Hemofiltration ll AK-10 System - Operator’s manual i for hemofiltration “ - BMM 10-1 HFM 10-1The AK-10 system for hemofiltration. Introduction The AK-10 system for hemofiltration isdesigned around two basic building blocks, the Blood Monitor and the Fluid Monitor. The system can easily be expanded or ‘modified by adding or interchanging monitors to meeta variety of needs and treatment techniques ‘This manual describes the operation of wo of the monitors in the AK-1Dsystem. The BMM 10-1 is the standard blood monitor for extracorporeal circulation. It controls and monitors the blood circulation in the extracorporeal sys tem. The HEM 10-1 is the hemofiltration fluid monitorfor standard hemofiltration. It controls and monitors the amount offiltrate drawn from the patient and theamount (of infusion solution given to the patient during the treat- Note: The AK-10 hemofiltration machine may only be ‘operated by persons trained in hemofiltration and who are familiar with the operation procedure given in this manual When unpacking, check equipment for damage. If equipment is damaged proper operation cannot beas- sured. Contents Introduction Description ‘The Blood Monitor The Hemofiltration Fluid Monitor Hemofiltration preparations Attaching the blood and fluid lines Starting the machine Priming and rinsing procedure Initiating hemofiltration Changing parameters during treatment Discontinuing hemofiltration Alarms Blood Monitor alarms Hemofiltration Monitor alarms Erroralarms Operator action table Technical error codes, Cleaning Technical data BMM 10-1 Technical data HFM 10-1The Blood Monitor The BMM 10-1 monitor can be conveniently divided intoa ‘number of functional groups which work together tocon- trol and monitor the extracorporeal blood circuit, As the other monitors in the AK-10 system, the BMM is designed, so that mode selection is made with white butions and operational settings with knobs. Alarm indication and alarm handling buttons arc always red. On this monitor, certain selector buttons have two positions, "in” (light on) and “out” (light aff). For these buttons the instructions, “depress” and "release”are used to designate the action of pushing in and letting out the buttons. 1. TheMAIN SWITCH powersboth the blood monitor and theemofiltration uid monitor.'The MUTE button lights upon alarm and used o temporarily silence the audible alarm, Pressing the butionsilences the buzzer for 30 seconds. A power allure willeause the MUTE button toblinkandan intermitentalarm 2. ‘Thcheparin-protamine pump adits flow ra control knob. Theknobingraduated in mU/hinere- ments 3 ‘Theblood pump, flow meter anditsflow rate control knob, Te blood low meter indicates the ow ratein ml/min. Inthe even ofa power failure the Blood can be returned w the patent by pulling out the white handle onthe blood pump and turning the jump nthe direction indicated bythe arrows 4a The venous pressure meter with adjustablealarm limits and the venous pressure alarm button (VENOUSPRESS). Ab The venous pressure connector male) 5 The arterial pressure sensor and thearterial pressure alarm indicator (ARTER.PRESS.). The arterial pressure sensor can be bypassed by pulling ‘out the sensor plate. The sensitivity can be adjusted by rotating the pressure plate, Thearterial and venous line clamps. Thesolenoid clamps clamp the arterial and venous lines in certain alarm situations. ‘The single needle mode selector button (SN ON) and the arterial and venous time-setting knobs. Owing to the high blood flow rate needed in hemo- filtration, the use ofa double-pump blood monitor, suchas the AK-10 BMM 10+, isrecommended for single needle mode. Theair detector, the air detector bypass button. (AIRDET.BYPASS) and the air detector reset but- ton (AIRDET.RESET). The air detector head isad- justable to accommodate most drip chambers of 18~30 mm diameter. The ultrasonic air detector will detect atleast 0.2 mlair/min at blood flows below 300 ml/min and give an alarm, The back of the machine ‘The interface cable. b) Themains fuse(s). he monitor type label with serial number. Note that the serial number for the hemofiltration and blood monitor may bedifferent.The Hemofiltration Fluid Monitor ‘The HEM 10-1 monitor consists of numberof functional ‘groups which control and monitor the filtrate and infusion circuits Mode selection is made with white control buttons, while alarms are indicated and dealt with using red indicators and buttons. 1. Thefiltrate scale (maximum load 35g) 2 Thefiktrate pump and ts flow rate controtknob. 3 ‘Thctransmembrane pressure meter with adjustable alarm limits, alarm indicator (TMP ALARM), TMP control knob and filtrate pressure connector. ‘The monitor indicates the TMP as the difference etsween the ‘venous pressure and the pressure caused by the filtrate pump. The selecied TMP is automatically held constant by the monitor. The TMP is shown onthe transmembrane pressure meter. 4. Theblood leak detector, the blood leakalarmbut- ton (BLOOD LEAK) and its sensitivity control knob. 5 Theinfusion scale (maximum load: 35 kg) 6 Theinfusion pump and its flow rate control knob. 7 ‘Theinfusion heater with temperature control knob and temperature alarm indicator (TEMP. ALARM). Internal alarm limitsare normally secat 34°C and 42°C, The heater is not activated until the AUTO mode isentred 8 The automatic treatmentis monitored and controlled swith 8) Theautomatic treatment selector button (AUTO). b) The weight loss selector (kg DIFF). The desired weightloss is selected with the thumb wheel selectors. C) ‘The infusion quantity selector (kg INF). ‘The desired infusion quantity is selected with the thumb wheel selectors. d) Thedisplay. The accumulated weightlossin ke (max 9.9 kg) is continuously shown. (Blinking display indicates thatthe patientis scaining weight) @) The filtrate flow rate button (UF RATE). When the buttonis pressed the display will indicate the filtrate low rate in /min (UF rate). f) Thetime button (TIME). When the buttonis pressed the display will indicate the calculated remaining treatment time in hours and tensof minutes (8.5 means 3 hours and 50minates). During the last hourof treatment the remaining time is shown inminutes When the UFRATE and TIME button are pres- sed simultaneously the display will show theaceu- ‘mulated infusion volume infused into the patient, During the frst 10 minutes ofthe treatment before the ‘treaiment parameters have been adjusted tothe patient and ype of emailer used, the indicator is nat ver accurate Q) Theerror indicator (ERROR) indicates either operating fault (steady red light) oF technical fault (blinking re ight). When the UF RATE and TIME buttons are pressed simultaneously thedisplay will ndicatean error code, Forerror codessee page 20, ‘The ERROR indicator will be steadily lit until the AUTO mode is activated. This is to notify the operator of the manual mode. bag The back of the machine a) Theinterface cable. b) Themains fuse(s). c) Themonitor type label with serial numer. Note that the serial numer for the hemofiltration and, blood monitor may be different.Hemofiltration preparations Attaching the blood and fluid lines First check that the mains cables are connected to power. A power failure alarm will result ifthe mains cables arenot connected, ~ that the interface cable between the blood monitor (BMM) and the hemofiltration Mluid monitor (HFM) is correctly placed. An alarm will result ifthe cableis not connected. [fimproperly connected the monitors will not operate Setting up 1 Hang up container/bags with sulicient infusion solu- dion forthe treatmenton the infusionscale. 2 Hang upempry container /bagson the fltratescae Make sure that the container bags have the capacity tocontain the selected quantity ofitrate ie, dhe volume Othe infuson solution pus the patient's weightloss Note: The container/bags must hang fieesoas a guarantee the caceuracy ofthe scale during the treatment. They must not be removed or touched during treatment 3 Place the hemofilter in the holder in a vertical position \with the arterial end at the bottom, Note: It isimportant that the hemefilter remains inthis position throughout the priming and rinsing procedure aswell as during treatment, 4 Place the blood lines and the fuid lines on the machine and connect tothe hemofilter according to thesche- ‘matic diagram on page 9. Take care to maintain the sterility ofall connectors, Arterial blood line 1. Arterial pressure sensor Place the pillow inthe arterial pressure sensor. Secure the blood line on both sides ofthe pillow by adjusting it into the ineholders, 2 Blood pump ‘Thread the pump segment intothe blood pm, When the purtpsegment isin place close theblood pump door 3. Hemofilterblood port Attach thehemofitercon- rector tothe blood portacihe bottom of the hemotiter. 4, Heparin-protamine pump —Open the pump by pulling down the housing. Place the heparin lin nto bneof the wo grooves. Push the housing up tolock the Tine into place 5 Arterial tine clamp- Place the pre-pumparterialline into theline clamp colour-coded withthe red dot Venous blood line 1 Air detector —Place the venous drip chamber half way down into the airdetector. 2. Venous ine clamp- Place the post-ipchamber ‘enous ine nto the line clamp coloured with the Bie dot 3 Venous pressure connector Attachthe venous presturetanaduccr protector the venous prseire 4 Hemofitter blood port Attach the hemofilter con- nector tothe blood porton the top ofthe hemofilterStarting the machine 10 Infusion line 1. Theheater Pullout and open theheater. Fasten the heating bag to the vertical barat the back, Press the soft partofthefinesintothe ine holders an pall thelines Dutoftheheaterso that the bagi correctly paced in the heater. Close and push in the heater. Note: The fines must not be kinked or twisted in the heater. The heater, infusion pump and filtrate pump will not function if the heater isnot property inserted, 2-Thevenousdrip chamber —Connecttheinfusion ine {coming out from the upper partofthc heater) othe ber 3 Theinfusion pump -Thread the pump segmentinto theinfasion pump, 4. Container/bags—Clampall multiconncctr fines be- fore attaching othe infusion container/ bags. Ua pyrogen filter is used in the infusion line please follow separate instructions fo this device. Filtrate line 1 Theblood leak detector — Place the filtrate chamber half-way down into the blood leak detector. (Otherwise turbulence might cause false alarms). 2 Thefittrate pressure connector - Attach thefikrate pressure transducer protector tothe Brat pressure 3 Thefiltrate pump-Thread the pumpsegmentinto thefiltate pump, 4. Thehemofilter filtrate port Connect thefiltate line to the filtrate port of tie hemofilter 5 Thedrain ine—Remove the protection capattheend ofthe drain ine and place the in into the filtrate Before starting the machine 1. Placeclampson the lines according tothe procedure followed in the uni. (The filtrate fine should be lam ped closeto thehemofier) 2 Connecta physiological solution (2000 ml) tothe ar- terial bod ine for priming and rinsing the Hinesand hemofilter Place he fre end ofthe venous ine intoan empty bot 3. trthehepari ineisto be used, connect tothe heparinsolution (bagorsyringe). Starting the machine 4. Depress MAIN SWITCH (igh on) Wait until the countdown on the display has ended (079 + errorcode symbols) Several alarm lights should now belt, since the machine isnot yet ready for hemofiltration 5 Ifthe buzzersounds continuously ~ pullout thearterial pressure sensor plate. = depress AIRDET. BYPASS (Ligh on) move the adjustable alarm limits on the venous pressure meter apart ~ release AUTO (light of). ~ depress BLOOD LEAK (light of) and turn the sen- sitivity control knob to 10. — move the adjustable alarm limits on the transmem- brane pressure meter apart Ifthe AUTO mode isnot activated within JOminutes after hhaving started the machine there will bean AUTO alarm. ‘The buzzer will sound and MUTE islit. Ifthe machineis not yet ready forthe hemofiltration treatment press MAIN SWITCH twice to reset the alarm function foranother 1Orminates The TEMP. ALARM and ERROR buttons will belt until AUTO is presed.Priming and rinsing procedure General For priming and rinsing of the Gambro Fiber Hemofilters, continue with the procedure on this page. For primingand rinsing of other hemofilters, the procedure recommended. by the manufacturer should be followed, Theinstructions, in steps | 5 below should be incorporated into this pro- cedure. Check safety functions 1. Arterial pressure sensor—Clamp the line just before the arterial pressure pillow. The arterial pressure alarm will be activated: ARTER. PRESS. (lighton). Blood, heparin infusion and filtrate pumps topand the buzzer sounds. To reactivate the alarm, remove the clamp and adjust the senso plateifnecessary. 2. Airdetector—Release AIRDET. BYPASS (light of); AIRDET. RESET (light on). The air detector alarm will be activated: All pumps stop, the buzzersounds. ‘The arterial and venous solenoid clamps close*. To reactivate the alarm, press AIRDET. RESET (light aff). Mnecessary, adjust the fluid to the correct levelin the venous drip chamber usinga syringe 3 Venous pressure Move the adjustable alarm limits tosimulatea decrease and an increase ofthe venous pressure, The venous pressure alarm will be activated: ‘VENOUS PRESS (light on). All pumps stop, the wzzer sounds. The arterial and venous clamps close* ‘Toreactivate thealarm, set the alarmlimitsat +10and +200 mmHg. 4 Blood leak Turn the sensitivity contol knob down tint BLOOD LEAK lightsup. The blood leakalarm willbe aetivated: All pumps stop, the buzzer sounds ad the arterialand venous lamps cloe,Toreactvate thealarm, depres the BLOOD LEAK button and tur the sensitivity control knob up two degrees (igh ef: 5 Transmembrane pressure: a) Move thelower adjustablealarm limit tsimulate a decrease in TMP: TMP (lighton) the buzzer vill sound. b) Move the upper adjustable alarm limit to simulate anincrease in TMP: TMP (ligh on, the buzzer sounds and te trate pump stops ‘Toreactivate the alarm, set the adjustable alarm limits at Oand 200 mmFig, Set the TMPcontrol Knob at 100 mmBlg. FMP (light) *) Not on all models Gambro® Fiber Hemofilters Approximately 500ml of infsion solution is used to prime the Infusion circuit. Lf a pyragen filter is included inthe infusion line the procedure recommended by the manufacturer for priming and rinsing should be followed. An additional 2000-ml of priming solution wil be required to rinse and prime the rest ofthe system. At least half ofthis volume should ‘passthrough the membrane tothe filtrate compartment. 1. Removeany obstructing clamps and start thein- fasion pump torinse and prime the infusion creut 2 When 500 ml of infusion solution has been used, stop the infusion pump and clamp the infusion line at the venous drip chamber. 3 Remove any obstructing clamps and start the blood pumpat 150 ml/min torinse and prime theblood 4 Prime with 500 ml ofpriming solution and remove airftom the blood compartment in the hemofilter by gently tapping the upper header wth the hand 5 Unclamp thefiltrateline (te filratpunp segment Stouldnt bn pston nthe irate pnp) and clamp the enous ine atthe top ofthe hemofilter. 6 Rinscand prime the trate compartment with 1000 mnlotprimgsolution 7 Unclamp the venousline and clamp thefiltraeline again. Rinse and prime withthe remaining 00 mof priming solution 8 Just before the 2000 ml of priming solution hasbeen used remove any remaining ar from the blood cr cuit. Adjust the amount offlud inthe venousdrip Chamber witha syringe until the leelis atleast Tem {10mm) below the topof the drip chamber, 9 Turnoff the blood pump and clamp the arterial and venous lines. 10 Insert the filtrate pump segment into the filtrate pump and unclamp the infusion and filtratelines. The hemofilter is now ready for useInitiating hemofiltration Changing parameters during treatment 4 Selectinitial settings 1. Sec thedesired weight loss (kg DIFF) in kg and hun- dreds of grams (7.3= 1 kg.) 2 Setshe desied quantity ofinfusion solution xgINF) atwaysinwholekg ie) ‘To prevent air from coming into the infusion circuit, there must alevays be I ire of infusion solution in exces of the desired amount infused: Ex: Ifthe total volume ofthe container/bags is 20 litres, the desired amount of infusion solution should never exceed 19 tres. Start the blood circulation Connect the arterial blood line to the patient. 2 _ Remove theclamps rom the arterial ine and the 3 Startthe blood pump ata low initial low rate (100 ml/min). 4. startheheparin pump, ifrequired, and set the 5 Remove the clamp fom the venous ine when the ‘venous pressureis+100 mmblgand et the priming solution fushout 6 Stoptheblood pump when the blood reaches the vertous drip chamber, 7 Make sure that all air has been removed from the venous line, and then clampit, Connect the venous line to the patient, 9 Remove the camps from the venous line and the 10 starctheblood pumpand set the required blood low rate Start hemofiltration 11. Start the infusion pump. Turn the knob to max flow rate (othervie the buzzer will sound and the heater will not be activated when entering AUTO). The pump speedwitl automaticaly be controlled when AUTO is depressed. 12. Start the filtrate pump. Turn the knob to max flow rate. The pump speed will automatically be control- led by the selected TMP when AUTO is depressed. Warning: There is no control ofthe infusion and filtrate flow rates in the manual mode, Itis therefore recommended tostart the infusion and filtrate pumps at max flowrate to avoid deviation ofthe two flow rates and consequent weight gain orloss before entering the AUTO mode. 13 Depress AUTO (ligt on) -ERROR (light off). Du- ting the first 15 seconds the display will indicate the selected weight loss and selected quantity of infusion solution. Note: Check that the data on the display andthe selected settings correspond. If not, the patient data selector ismalfunc- tioning. Discontinue the treatment according tothe procedure ‘on page 16 and cal for technical service. Select the operating values 14 Check that the blood flow rate is at therequired value. 15 Set the venous pressure alarm limits just above and below the patient’s stabilized venous pressure. Warning: The lower alarm limit should never be set below Ommbg. 16 Sette required TMP and set the slarmtimits accordingly. Itisimportant to aves flow rate before the TMPis eto the desired valuein order to prevent hemaconcentraion ient blood 17 Recheck all connections in the blood and fluid cir- cuit nexpand due to the contact with warm infusion solution and blood. ‘as the material Warning: No red lights should be lit when the treatments initiated Note: /1 ofthe utmost importance that MAIN SWITCH isnot touched daring treatment. If this happens the programme will brevet ‘andthe machine will restart the treatment without counting the weight loss already obtained. To reset seerestart and weighing procedure. ‘Ufamains power failure occurs during treatment the actual treatment lata are stored for 1Ominutes. After JOminutesit is necessary to reprogram the treatment data. Changing the weight loss During the treatment it is possible to change theselected weight loss. 1. Retease AUTO (lightoff) ERROR (light). 2 Set thenew weight loss desired. The weight lossshould not be set below the weight loss already achieved, otherwise the patient will getreinfused, 3 Depress AUTO (lghton) -ERROR (light) Daring the first 15 seconds the display wil indicate the new selected weight loss and the quantity of infusion solution. The buzzer will sound for S seconds, (Check that the display corresponds with the selected. data on the thumb wheels. Asa safety precaution the buzzer will sound and the infusion ‘and filtrate pumps stop if AUTO is not reactivated within T minute. During this manual mode the infusion and filtrate flow rates are registered and included inthe treatment data. The display will continuously how the accumulated weight loss. Uy the infusion and filtrate pumps are turned aff there isa 10 minutes delay before the AUTO alarm will be activated. Changing the quantity o fusion solution tis also possible to change the selected quantity of in- fusion solution during the treatment following the pro- cedure above, Restart and weighing procedure a 8 wo Ne 10 11 12 Read and record the weight loss on thedisplay Switch off the machine by releasing MAIN SWITCH (light of) Release AUTO and turn off the: pumps. Remove the infusion container/bags from the in- fusion scale, donot touch the filtrate container. iasion and filtrate Switch on the machine by depressing MAIN SWITCH (light on) and reset any alarm which may Wait until the count-down on the display (0—9and error code symbols) has ended ress the TIME button (light on): 0.0 is now shown on thedisplay, Hang up the infusion container/bags on the infusion scale, ‘The display will now indicate the quantity of infusion solution. Reprogram Kg INF and Kg DIFF (with respect 10 the patient’s weightloss). ‘Turn on the infusion ang filtrate pumps. Depress AUTO (light on)Discontinuing hemofiltration Alarms 16 1 Ifthe heparin-protamine pump has been used, top the pump at the prescribed time before finishing the When te desired weigh loss andinfeson ole hav ben obtained the reatmen shouldbe terminated. Thisis indicated by the flloning = AUTO blinks = the buzzer sounds ~ the infusion pump stops ~ the irate pump stops. Note: The treatment is considered finished, when the preset infusion olume has been attained. 2-Turmoffine filtrate pump. Set TMPat 100mmHg and clamp thefitrat line coming outo the hemo- iter. 3 Tumofheinfusion pump and clamp theinfuson line leading othe venous rip chamber 4 Release AUTO (ligh blinks) -ERROR (light on) Move the alarm limits on the transmembrane pressure meter apart. 5 Adjustthelower venous pressure alarm limitto Ommilg 6 Tumoffthe blood pump. Return the blood 7 10 W 12 13 14 15 16 Clamp the arterial blood line and the cannula and removeit from the patient Connect the arterial blood line to atleast 100 mlof physiologic solution. Invert the hemofilter to facilitate the rinse-back of blood. Start the blood pump and set the desired rinse-back flow rate to remove the blood from the extracorporeal circuit Clamp the venous line repeatedly to facilitateade- quate emptying of thehemofilter. When the required amount ofblood has been turned to the patient, stop the blood pump, clamp the venous line and cannula and disconnect it from the patient ‘When the blood lines are disconnected from the pax tient, depress AIRDET. BYPASS (light on). Release MAIN SWITCH (ight off). This isnecess- ary to reset the programme even ifa new treatmentis tobestarted immediately. Remove and discard the hemofilter, blood lines and {uid lines, Disarm the arterial pressure alarm by pulling out the sensor plate. Remove the infusion and the filtrate containers/bags, General ‘The AK-10 monitors are designed to detect and indicate three conditions —elinical alarms, technical alarms and ‘operational faults, Clinical alarms, caused for example by blood leaks or air detection, will resultin an audible alarm, the MUTE bbutton and the indicator for the specific alarm being steadily li. Ifa deviation occurs in the weighing system the ERROR indicator will be litand at least one error code “will be displayed to signal the possible need for operator Clinical Alarms ‘The hemofiltration monitor can indicate technical alarms. The machine continuously tests its own function, Ifa malfunction is detected, there will bean audible alarm, simultaneously the MUTE bution will be lit and the ER- ROR indicator will blink, An error code will bedisplayed and the service staff should be informed ofthis. Aslowly blinking indicator on the hemofiltration monitor signifies that the operator should take some action, ZZERSOUNDS BLOOD PUMPSTOPS INFUSION PUMPSTOPS FILTRATE PUMPSTOPS REACTION BU HEPARIN PUMPSTOPS, A-VCLAMPS CLOSE ALARMLIGHT HEATER TURNS OFF AIRDET. RESET ARTER, PRESS, ‘VENOUS PRESS _ BLOOD LEAK, x ]x |x |x] x fx |x |x |x x |x |x |x TEMP. (high) TEMP. (low) TMP (high) TMP (low) ERROR FLASHING AUTO. *Notom all models ”Blood Monitor alarms Hemofiltration monitor alarms 18 Inan alarm situation, first check the connections to the patient before taking any other steps. Then press MUTE tosilence the buzzer. The buzzer will soundagain ifthe fault is not rectified within approximately 30 seconds. Take the following steps according to which al: ti lightis 1 AIRDET. RESET (iedighton) All pumps stop. The clamps lose on the arterial and venous blood Times: Te alarms activated theres to mach aro foamn the ena dip chamber. Aer recfyng the fat, remove Press AIRDET. RESET until the light goesoft 2 ARTER. PRESS (red light on). All pumps stop. The clamps close on the arterial and venous blood Tines®. The alarm is activate by an increased negative pressure ‘tween te patient andthe blood pup. This may be caused by a fallin the patient's blood pressure, altered position ofthe arterial needle, ora kinkin the arterial line between the patient and the arterial pressure pillow: 3 VENOUS PRESS (red!igh-on) @) Toohigh. All pumps stop. The alarm is activated by a increas ofthe venous presse above the upper adja Hlealarm lit. This may be caused by anobstruc- tion ofthe venous lin afer the drip chamber ora change in the patient's postion, b) Tootow. All pumps stop. The clamps closeon the arterial and venous blood lines*. The alarm tbacvtedby decree ince onus presar below the ier asta alam ini This maybe caused by aleakingor separated line an obstruction before the venousdrip chamber, afl in the patents blood pressure ora change inthe paien's posi By pressing VENOUS PRESS. the blood pump can be forced to runsoas to determine why thealarm has occured. *Not on all models, 4. TEMP. ALARM (religion) a) ‘Toohigh. Theinfusion and filtrate pumps stop, theheater is turned off. (To rectlythealarm condi tion, both pump wllrun intermitentlyuntlthe temperatuein de heater correct), The alarm might be activated by a kinked infusion line, a temporary stop of the infcion mp ore maint inthe etre aris aillgiven after 1 sinutes carry out" Discontinuing hemofiltration” and ello technical service b) Too low (no buzzer). Noreaction except red light ~ The heater is turned on when the AUTO-mode is activated, The low temp alarm will then disappear. ~ Low temp alarm when AUTO is activated indicates toolow temperature of incoming infusion solution or heater malfunction. A medical decision must be ma- de whether the treatment should be continued or not. 5 BLOODLEAK (vi lighton)All pumps stopand clamps close on the arterial and venous blood Times the leak isnot immediately visible verify the presence of blood witha separatetest @) Small leaks: Turn up the sensitivity knob to position Wand press BLOOD LEAK (light off). By decreasing the transmembrane pressure and blood flow rate the leak usually seals itself within approx. S minutes, Remember to turn the sensitivity knob back to the original position, increase the blood flow rate and the transmembrane pressure. b) Major leaks: It is important to consider the possible risk of contamination from the filtrate compartment. AAtthis point a medical decision must be made whet- her or not to return the blood tothe patient. Ifthe blood is tobe returned tothe patient proceed ‘with "Discontinuing hemofiltration” on page 16, in- structions 1-13. Itmay be necessary to remove the drip chamber from thcblood leak detector in order tostart the pumps (if ‘he lght des not goof when BLOOD LEAK i presiedand he sensitivity contol kno is et at position 1) Ifthe blood is not to be returned tothe patient proceed with "Discontinuing hemofiltration” on page 16, in- structions 1-6. Change the hemofilter and ifrequired, blood lines and filtrate line. The infusion circuit is not to be removed. Make sure to use an aseptic technique when handling the venous drip chamber connection. Carry out "Priming procedure” and "Initiating he- ‘mofiltration” on page 14, following the appropriate Note: The machine should not be switched off during this procedure as the patients treatment parameters are banked in the memory. Ifthe machine is switched off follow "Restartand. weighing procedure” on page 15, instructions 1~12 ‘TMP ALARM (ed ight on) a) Toohigh. The filtrate pump stops. Th alamis cette yon increta trenemabrem presse dove heuper adele alarm lt This may be Caused bya blockage before the filtratepurmp. b) Toolow. Noreactionexceptthe TMP ALARM and MUTE buttons arelitand the Buzzer Sounds, Therm satisted byaderas nthe iransmembranepresiure below theloweradjstble alarm limit This may be caused by anair leak before the filtrate pump or thefiltrate pressure ransducer protector not being propery connected tothe MUTE (red light on, the buzzer sounds) 88) Theinisionratecontrl ao isnot tunedonarisinmin ston shen the AUTO modes actoted Resetby {araing thereon tol knob to max position. b) Tie AUTO md isnt activated within 1Omintesafter having started the machine Activate the AUTO modeor press MAIN SWITCH, tuicetresetthealam. ©). Themieprcsor inthe emafitraton monitor has supped. Note the error code if possible andearry out "Discontinuing hemofitcaion”.Callfortech- nical service AUTO (blinking, the buzzer sounds), The infusion and filtrate pumps stop. The treatment has finished. Carry out "Discontinuing hemofiltration”Erroralarms Operation action table 20 General MUTE slit, the buzzer sounds and the ERROR indicator is linking or steadily lit A) Steadily it ERROR The alarm indices a fault the gravimetric weighing stem which may be caused by a handling mistake. Note the error code: By pressing the UF RATEand ‘TIME buttons simultaneously the error code isdisp- layed on the hemofiltration monitor. b) Biinking ERROR The alarm indicates a technical oul Note the error code as mentioned in pinta). Garry out Discontinuing hemofiltration” and call for technical sevice. Caution After having rectified the fault caused by wrong handling thealarm condition will automatically be corrected within approx. 5 minutes (buzzer ff, lights off). However, whilst thealarm is maintained, the patient must be carefully supervie. ine aterm( 3 CD or Fy ceesncenop within 45 minutes, carry out "Discontinuing hemofiltration”, Error code Alarm condition ac Reason 1 Runningin manual mode Action Ifready to initiate the treatment press AUTO to activate the AUTO mode. Ifnot ready press MAIN SWITCH twice to reset the alarm function for another 10 minutes, 1 ud ‘Theamount ofinfu- sion solution infused into the patient has not been within the 30~300 ml/min limits during the last 160sec 1 Theinfusion line is kinked. 2 Noinfusion solution in thecon- tainer/bags 3 The infusion pump isnot running. 4 The container/bags are not hanging tree. Check all the lines in the infusion circuit and straighten out the kink. Discontinue hemofiltration. Contact physician with re- gard to whether a new treatment should be performed on the same day. Check that the pumpis switched on, that the pump there is no kink. segment is correctly inserted and th necessary, call for technical service toexchange the infusion pump. Make sure that the container/bags are hanging fre. uc The filtrate flow rate has not been within the 30—300 ml/min limits during the last 160 sec 1 Thefiltrate line is kinked. 2 The filtrate drain line is not placed in the filtrate container. 3. The filtrate pump is not running, 4 Thecontainerisnot hanging free. Straighten out the kink Place the drain line in the filtrate container. Note how much filtrate was lost and ifnecessary reprogram the patient’s weight loss (amount oflost filtrate = decrease of the patient’s weightloss) Check the preset TMP value. At TMP=0 the UF rateis less than 30 ml/min. Check that the pump is switched con, that the pump segments correctly inserted and that there is nokink. Ifnecessary, cal for technical service to exchange the filtrate pump. Make sure that the container is hanging free. 21Operator action table Operator action table 2 Error code Alarm condition af Linearity alarm a) » ‘The patient's weight lossis morethan calcula ted value plus 10% of selected value. If the selected weight ass is less than 2.0hg, the alarm limit is set at calculated value plus 2008 The patient's weightloss is more than 500 ¢/15 min, for the first hour. weight lossis more than selected kg DIFF plus 0.5 kg. Reason 1 Theinfusion lineis kinked 2 Theinfusion pump is not running, 3 The filtrate pressure transducer protector is not connected tothe filtrate pressure connector on the HFM Action Straighten out the kink ' see LIF Actionon page 21 Connect the filtrate pressure transducer protector tothe filtrate pressure connector. When the faultis rectified the HFM will automaticaly corecttke ‘alarm condition and compensate forthe patent's excess weight [oss by having ahigher flow ratein the infusion purp than in thefidrate pump, Supervise the patient during the alarm condition. Donot reprogram. Ifnecessary IV solution can be given tothe patient. Os Linearity alarm a) b) ° The patien weightloss is less than calculated va- ue minus 10% of selected value. If the selected weight loss isess than 2.0, the alarm limits setat calculated value minus 2006. ‘The patienthas gained more than 300g within the first hour. The patient's we ight gain exceeds 0.5kg/13 mindu- ring the first hour afiera reprogram ming 1 The filtrate ineis kinked but the filtrate low rateis more than 30 ml/min, 2 The Giltratedrain line isnot placed into the filtrate container 3 Thefiltrate pumpis not ru Straighten out the kink, When the fultis rectified the HEM will automatically corect he alarm condition and compensole forthe patent's excess weight gain ‘yhaving ahh flaw rate in the flrate pump than in the infsion pnp. Supervise the patient during the alarm condition, Donot reprogram, Place the filtrate drain line into the filtrate container. In this case it may be necessary to reprogramme forless weight loss, ce WE aionenpge 2 Error code Alarm condition eu Reason Action ofmore than 100g eee ‘on the infusion have been removed after AUTO | having rectified the fault the alarm condition will be ofkg INF + 200 | - - ! ce — ‘of more than the programmed amountof kg INF +g DIFF + 200g ‘on the filtrate seale compared to the tared value. she filtrate containerafter AUTO was activated. to place anything on the filtrate container during treatment. After having rectified the fault thealarm condition will be automatically corrected, 2BTechnical error codes Cleaning Indicated by a blinking ERROR indicator, MUTE is it -rsounds. By pressing the UPRATE and TIME buttons simultaneously the error code will be shown on the display and the bus: Caution ‘The problem needs to be corrected by a technician. Carry out ”Discontinuing hemofiltration” and call for technical service, Error code ci 33 uz ce 32 wu ‘3 oF cs Explanation of alarm condition Microprocessor failure/error Lossof TARB values Microprocessor failure/error Microprocessor filure/error Microprocessor failure/error Microprocessor failure/error Microprocessor failure/error Microprocessor failure/error Weighing function failure/error Clean when necessary Wipe the outside with a cloth moistened with disinfectant Do not usealeohol or indine-based disinfectant. These solvents will dtey and crack most polymers. Always Keep the heater closed and inserted whilecleaning to protect the heating plates and sensors Blood, infusion and filtrate pumps. Pullout the pump handle, turn, the roller willdisengage from the shaft. The roller assembly can be disinfected in almostany solution and can also be autoclaved. To replace the roller assembly, place iton the shaft, turn, and the first lock will engage. Continue to turn while applying pressure (othe locking handle and the second lock will engage. Heparin-protamine pump Unscrew the knob (turn tothe lft) and remove the roller. The housing and shalt can now be cleaned easily 2sbow 26 Technical data BMM 10-1 Operating principle Double-needle or single-needie blood Circulation using time regulated clamps Blood pump Seif-threading roller pump “Arterial pressure adjustable occlusion Flow regulation ‘50-500 m/min indicated on flow instrument Roller pump for two lines (heparin and when required protamine) Flow regulation (010 i/m indicated on regulating knob Pressure sensor plate with microswitch Alarm limits: adjustable ~ 50 to ~500mmHg Venous pressure ‘Measuredin dripchamber Instrument: ~200 to + 400 mmHg + 109% mmHg Alarm limits: adjustable on instrument Airdetector ‘Sensitivity: max. 0.2 mlair/minat blood flow below 300miimin Ultrasonic detection at dripchamber Power supply Mains voltage 240,220, 190, 110 +10%; 500 60Hz (Mains frequency must be specified for running-time meter) Power Max. 100W Cable length ‘Approx. 3m. ‘Mains socket Standardearthed socket; DIN specifications for220V; ASA or 110 Fuses 220V:2"x0,63ATT; DINS x20 rg ‘Themonitoris protected against $40V:2"x 1.25 ATT,ASA6.3x22 electric shock according to IEC601-1, *Forsome countries 10.63 ATT; 1.25ATT Classification. Leakage current 30pA Dimensions Depth: 400mm (with front components 450 mm) Width: 510mm Height: 180mm Weight 13g Fluid balancing Technical data HFM 10-1 Electronic feed-back contro Pumps. Infusion: set-threading ler pump Uratitrate:sof-threadingroller pump Infusion and utrafitrate scales Weighing range: 0-35 kg (including weighing arms and containers) Selectors kgDIFF: weightloss Flow rate: /appprox. 20-200 ml/min with tube 6% 1.5dia. Flow rate: /approx. 20-200 mU/min with tube 6x1 Sia Overload protection: mechanical Weighing arms: different types avaiiableto suitmost types of containers kgINF: quantity ofinfusion solution Pressure/TMP Temperature Regulation (010500 mmHg (Oto 66kPa) 10% or + 10 mmHg (1.3 kPa) instrument # 50 to 500 mmHg(+7 to ~66kPa) ‘Alarmiimits| ‘Adjustable; set with twoindicators Tncominginfusion solution: min. 15°C Heatedinfusion solution: 35 —40°G= "0 Blood leak detector Power supply “Transilumination ofthe ulafirate towards infrared phototrarsistor Mains voltage 240,220, 180, 110+ 10%: 500r60 Hz (Mains frequency must be speciied for running-timemeter) Power ‘Approx. 400W Mains socket ‘Standard earthed socket; DIN specifications for 220V;ASA for 110V Sensitivity: adjustable; 10 steps; least Sensitive position 10, Fuses, 2002" <0.63 ATT and 1.6AF; DIN5%20 TOV:2"% 1.25 ATTand3.0AF; ASAB3x32, e ‘Themonitoris protected against electric shock according to EC 601-1, Classification B. *Forsome countries 10,63ATT; 1.25 ATT Cablelenath ‘Approx.3m Dimensions Depth: 400mm (with front components 450mm) Wiath: 510mm Height: 190mm Weight 235K9ouquieB ~~ ojo peoH HCE:6821 © Copy Gambro AB, Lund, Sweden O5.1986/Psnetby Rats iLundAK-10 System Hemofiltration monitor HFM 10-1 Service manual gambroContents General description srsvntsensesestn ‘Temperature control and alarm... Pressure monitoring and control Infusion pump control... Ultrafltrate pump control Blood leak detection, Buzzer alarm. Weighing system. "10 minutes" alarm. Power supply. Resetting circuits ‘Alarm list Field service... Removing the cover Removing the instrume Removing the front panel ‘Changing the printed circuit boards Removing the rear section. ‘Changing the fan. Adjusting the pumps. ‘Changing the pump motors. ‘Changing the load cells ‘Changing the voltage. ‘Changing the signal lamps. Special adjustments, Technical aids, Connections... Checking voltages, board 1 Adjusting the temperature conteol circuit. Adjusting the temperature alarm circuit. Adjusting the pressure transducer ‘Adjusting the pressure monitoring circuits. ‘Adjusting the TMP alarm delay.. Adjusting the blood leak detector. Zeroing the weighing amplifier. Calibrating the weighing system, Adjusting the load limits Adjusting the pump motor circuits. Error codes: Signal lis, ‘Technical data panelGeneral descriptionTemperature control and alarm gotten gr wong jemujigg soy njeas —ttte Jw from cs 1 I na oft works 7 et pe Diagram 1 There are wo types of temperature transducers, An alarm trans ducer and a regulating transducer ‘The regulating transducer in the heater-handle is connected to a bridge board (TR S1). The bridge is zeroed by R20. The output from the bridge is amplified and fed through an analog selector ‘on board 2 and an analog-digital converter on board 3 to the ‘microprocessor. The range is set by R24. From the temperature potentiometer on the front panel, TMSV is fed in the same way to the microprocessor. The analog selector is selected by PIB4 (zer0) and addressed by PLBS-7 from the microprocessor aera) ag [pune L oad The microprocessor compares the two values and issues signal HENI through the 1/0 circuit on board 2to the opto relay inthe mains power. The opto relay connects the mains voltage to the hheater in series with the normally activated relay K3. HENI is, pulsed to turn the heater on for longer or shorter intervals de: pending on the temperature deviation, The pulsing of HEN1 is also controlled by infusion flow information in the microproces sor (speed control signal MCVI, see Infusion pump control) If the infusion potentiometer is not turned far enough (clock: wise) from a zero position then in manaul mode the heater is switched off and in AUTO mode the heater is switched off and the buzzer sounds, Rear socket ‘There ate wo types of alarms: 1. Software alarms. TThe microprocessor ‘urns the heacer off at five different alarms: blood lead (BLAO), air in blood circuit (ADA), arterial pressure too low (APAO), venous pressure out of limits (DPAO), oF a sensed temperature by the regulating transducer ‘exceeds 42°C. In the last case (temp more than 42°C) the micro- processor turns PCT to be an outport and deactivates relay K3, lights up the TEMP ALARM lamp, switches on the buzzer, makes HENI high, stops pump. After the temperature goes be ow 42°C the infusion pump rotates at least $x 1/2 rev. (with in tervals) until the temperature goes below 37°C. When the pump rotates, the microprocessor turns PCT to be an outport 2. Hardware alarms. ‘The alarm transducer is placed adjacent to the handle in the heater and connected to a comparator on board 2 (TS $1). The second input tothe comparator is set to the equivalent of 42°C by potentiometer R19. Ifthe sensed temperature exceeds this value, the comparator issues a zero, which deactivates the relay K3 lights the TEMP ALARM lamp, stops pumps. After the tempe- ralure goes below 42°C, the infusion pump works as described. above(. 1) TEMP ALARM Temperature potentiometer Infusion heater Safety switch Mains power Board 2 The output from the comparator is also input to the micro: processor through the 1/0 circuit The regulating transducer circuit also issues the low temperature alarm signal incase the temperature goes below 34°C. the signal is amplified and fed to the comparator lighting up the TEMP ALARM lamp. the relay is also deactivated when the heater is pulled out and the safety switch opens, The open safety switch stops the infusion ‘and ultrafiltrate pumps (see diagram 3 and 4), The heater is divided up in two elements, which are connected in series for 220 V or in paralell for 110 V. Each element has an overheating guard which breaks the supply circuit at 78°C and automatically resets when the element has cooled down.Pressure monitoring and control joy i fl Diagram 2 ‘The ultrafiltrate pressure transducer is fed with -5 V from an __Thesummed voltages are amplified further and fed to the TMP amplifier servingasa +10V/-5Vdeconverter. The output from meter. the transducer, NPTS is amplified and fed to a summing point, ‘where itis added toa zero-setting voltage from the-5 V converter and a venous pressure signal VEPA/VEPB. ‘Trimmer R23 is used to set the output of the NPTS amplifier at (Omm Hg ultrafiltrate pressure, Trimmer R26isused to adjust the venous pressure signal 2S is used to adjust the instrument at the O mmHg venous pressure ‘The ultrafiltrate and venous pressure signals are also fed to the ‘microprocessor through the in analog selector and the analog- digital converte. In the same way TPSV is fed from the TMP potentiometer on the front panel to the microprocessor. The in selector is selected by P14 and addressed by P1BS-7. The ‘microprocessor will compare set and actual values and control the ultrafiltrate pump to keep the TMP at the set value irespec- tive of changes in the venous pressure. TMP potentiometer TMP ALARM TMP meter Ulirafisate pressure Rear socket (On the meter there are two alarm limit indicators with opto- electronic sensors, one giving PRAH when TMP (trans mem- brane pressure) is too high, the other PRAL when TMP is too low. The signals are inverted and fed to the TMP ALARM lamp through an OR gate and to the buzzer alarm circuits (dia- gram 6). ‘The upper limit signal is also fed to the stop circuit for the ultra filtrate pump (diagram 4), HCE-911, kev 06.1986 Board 3 Board 2Infusion pump speed potentiometer Infusion pump control td AUTO fv PID, HRV? 4, OBIT Infusion pump motor yg 2B : Aen rey as-s| See 7] L a Oe . aaa Pee [ST fin eet | 7S " see [ae Lf | r Ngscoae \. v AUTO ( . aay P30 Board 7 yo 0 Rear socket | : ( ae eel Themotorcanbestoppedat any timetby the BPMS inal which When AUTOisselested, signal AUSW ised through the I/O pelea is received either from the microprocessor when treatment js cult tothe microprocessor to select automatic contro i the infu- une | Pe ‘completed or at air detection (ADAO), insufficient arterial pres- sion potentiometer is not turned far enough (clockwise) from a ‘When the infusion pump speed potentiometer is turned from the zero position, a switch connects +28 V to one end of the four \Windings of the infusion pump motor. The other ends of the windings are each connected to their own driver. The motor has no mechanical commutator. It is controlled in- stead by Hall elements which sense the position ofthe rotor. The Hall elements are fed with + 12 V (HESV) and balanced with R10. PSO1-04 from the Hall elements control the drivers. sure (APAO), venous pressure out of limits (DPAO), blood leakage (BAO) and infusion temperature above 42°C or heater pulled out (TPMS). The signal enters a stop circuit which acts on the drivers, Fora quick stop this results in short-cireuiting of two fof the motor windings through the diodes VI and V2. When BPMS ceases, the stop circuit are current limitation in the drivers s0 that the motor does not startin a rush The speed of the motor- i.e indirectly the flow- is regulated by the signal MCV1. The signal i fed to a regulating circuit, which acts on the drivers. The regulating circuit also senses the current thro- Ugh the drivers. In case of momentary overloading it limits the ccurtent. In case of prolonged overloading it stops the motor but automatically makes repeated attempts at starting, zero position in AUTO mode then the heater is switched off and the buzzer sounds. The microprocessor lights the AUTO lamp. Signal MCVIis then derived from the microprocessor through a digital-analog converter on board 3 and the out analog selector ‘on board 2. The out analog selectors selected by PIB4 (one) and addressed by P1BS-7 from the microprocessor. When treatment js completed the microprocessor will cause the lamp to blink. In manual mode the POT! signal s fed to analog selector in-A/D converter- microprocessor. The microprocessor is only copying POTI, and transfering it to the regulating stage as MCV. When the heater is on the microprocessor filtrates POT! to prevent MCVI from quick changes. Ifthe infusion potentiometer is not turned far enough (clockwise) from a zero position in manual ‘mode then the heater is switched off. Signal AULA is also fed 0 the "10 minutes” alarm board (dia- gram 8)Ultrafiltrate pump control Diagram 4 HC F-691,Rew 6.1988Blood leak detection Diagram 5 The t and the lamp extingui BLOOD LEAK button.Buzzer alarm Diagram 6 ‘The buzzer alarm signal BUZO is initiated in three instances. Ac blood leakage, ie at BLAO, BUZO will at once be issued 10 the blood unit AUTMP out of limits, BUZO will be issued after adelay which ean be set by R27, From the microprocessor, a square wave P1 BOs fed out (oa mo- nostable on board 2. The monostable will then give out a conti- nous ero. If the microcomputer fails or issues an alarm( stops a square wave) the monostable output will go high and BUZO will be issued. When treatment is finished, P4B1 will be inhibited in- tentionally to initiate the alarm and alert the operator. After the AUTOswitch is released the microprocessor continues genera. ting of a square wave, ‘The general alarm signal BUZ1 from the blood unit is input to the microprocessor for later use at connection of a central alarm system. Board 2 BR Rear socket HC E4911, Rey 41984 15Weighing system | ____jerae Aon Neb, | Ta maa a = [ “4 “ ig rengea Jrce Diagram 7 ‘The load cells consist of strain sensors, arranged in bridges and powered by +8 V. The outputs are input to an analog selector, which is controlled from the microprocessor through an 1/O cir- cuit. The selector first passes the output from one load cell and then its inverted version to an amplifier. The output from the amplifier is analog to digital converted and fed to the mi- croprocessor where the mean value is calculated. The micropro- cessor eventually uses the mean value at four such mean values for the control. In this way any drift in the amplifier is compen- sated. The output from the other load cel is treated in the same way. The load cell range is limited to 35 kg by stop screws in the bottom plate below the load cells. ‘The analog-digital converter signals BUSY to the microproces- sor during conversion to indicate when no values are available. LED on the board is then extinguished, 6 $< nmt-9 reas 24 son J ‘The load cells are individually calibrated by selector plugs inser- {ed in sockets on board 4 when exchanging the cells. The calibra- tion switeh is for selecting the 1/0 circuit for display of cali- bration factor for infusion or ultrafiltrate scales (see service). “The values set on the infusion and balance selectors ar also input to the microprocessor. When AUTO is selected (see infusion ‘pump control and Ultrafiltrate pump control) the pump motor speeds are controlled to obtain the selected values. Infusion selector Ulratitrate load cell Normally, the weight loss (up to 9,9 ke) is indicated on the di splay (steady light - patient weight loss, blinking light - patient weight gain). IF button TIME is depressed, the indicator will show calculated remaining treatment time in hours and tens of ‘minutes. During the last hour the remaining time will be shown in minutes. If button UF RATE is depressed, the indicator will show the ult rafilration rate in fractions of litre/min. ‘The ERROR lamp is lt at weighing errors, which the operator can often correct, or blinks at other errors, which concern the ‘operation ofthe microprocessor. The display will show codes for these errors if the UF RATE and TIME buttons are depressed, simultaneously (see service) Display board TIME and UP RATE (below display) Infusion Toad cell Board 2 Board 3 WR Bound 4 ””410 minutes” alarm board. AUSy ‘ON, J oe | ‘ON, Ts i 4 Diagram 8 The function of the board is to monitor that the AUTO lamp is 7 Board 7Power supply — ssegran | sun, beaon c it Ly eee Fast 7) nn a le ym Diagram 9 a ‘The hemofiltration unit receives its electrical supply from the mains power and board 1 The unit is connected directly to the mains by a mains relay in the mains power. The mains relay receives its operating voltage from the blood unit when this has been switched on. Mains Voltage is tapped off, before the main fuses, forthe heater (see diagram 1). ‘The mains power also contains mains filter, voltage selection for 110, 130, 220 and 240 V, as well as +/" 10 V, and mains Uvansformer Board 1 contains rectifiers and stabilizes for a range of volt- ages distributed to boards 2-7. Stabilizers are also placed on boards 2 and 4, Board | also contains resetting circuits (see diagram 10), HEF, Rev 4.1986 -$an.00 | a TF 0} —— <:] — SS ype jae toes | fae Board 2:0 7 HC E6911, Rey, 06.1984 Laem) LL ow Running time meter (left of mains power) aResetting circuits Diagram 10 2 rgic and weigh electronics are reset at switch-of. HC E-601, Rey, 06.1984 Board 410 2 (reset boards)Alarm list Aifected devices Source of alarm | TEMP ALARM lamp TMP ALARM lamp Bus blood BLOOD LEAK ERROR lamp blinking ERROR lamp steady Alarm temperature transducer Regulating temperature transducer (high temp) O}O O;O} ,O Regulating temperature transducer (low temp) O;/O}O Blood leak detector Air detector (from blood unit) Arterial pressure transducer (from blood unit) Venous pressure transducer (from blood unit) O;O};O/}O Safety switch LOlO/O]olo}| @)5@]1@) (Ce oO] O;o}olo} TMP meter (t00 low TMP) O TMP meter (100 high TMP) O AUTO switch (not pressed) Treatment faults Electronies O}O}]O;}O} 0} Infusion pump potentiometer (in manual mode) Infusion pump potentiometer (inauto mode) O cy Field service Removing the cover Disconnect the machine from the mains Loosen the locking screw and withdraw the cover retainers. Lift the cover straight up. Before replacing, check that the cover retainers are pulled out Insert the cover retainers carefully while depressing the cover. Removing the instrument panel. ‘The instrument panel can be lifted away with all connections in tact. First disconnect the machine from the mains, Removing the front panel. Undo the outer nuts on the pump motor housing, 2. Push the motors back so that the clutches disengage: 3. Loosen the bracket for the heater cables from the power supply. ‘Cut the strap holding the heater cable. Note: Study the heater cables carefully before dismanting the unit. They ‘must be correctly installed to avoid kinking problems. Unplug heater and front panel connectors and lift up the front panel and heater. Clutch Motor housing Outer HC E4911, Rey. 06.1984 of Cover retainer Instrument panel Front panel Mains power 25Changing the printed circuit boards Fold the liting arms outwards When replacing te boards, note that whereby each board only fits one po adjacent to the power supply Fd 1 is the one Board 1: Power supply board Board 2: Control logic Board 3: Microprocessor Board 4: Weigh electronics Board 5: Infusion pump control board Board 6: Ultrafiltrate pump control board Board 7: 10 minutes” alarm board Board 1 Board 2 Board 3 Board 4 Board 5 Board 6 Board 7 Removing the rear section Just lift the seetion up. Changing the fan. Lift away the rear section to expose the fan, Adjusting the pumps Insert the gauge pin between one of the pressure rollers and the pump path without using force. Check that the holder of the Toller just starts to move inwards. If it does not, rotate the rotor through 180°, 1urn the adjusting screw and check again, 26 Rear section Changing the pump motors 1. Remove the two rear serews in the bottom plate of the motor and loosen the front serew Unplug the cable ull the motor to the rear so that the two halves of the clutch slide apart and lift out the motor, Changing the load cells. 1. Disconnect the load cell cable from board 4, 2. Infusion load cell: Remove the plate to the right of the load cal. Chuteh: Unrafitrate Changing the voltage ‘The switch under the transparent cover on the power supply ean be set for 110, 130, 220 and 240 V. By means of strapping itis also possible fo select a0 V, + 10 oF -10 V deviation from these values, Changing the signal lamps Remove the text cap with the special cool oF by inserting a screwdriver in the slot on the top and twisting. Remove the lamp by palling it straight out with the removing tool. All lamps are 36 V. 30 mA. Strap A for 4/-0.V Stcap B for -10 V Strap C for +10 V LUltrafitrate cell. Remove the rear section. 3. Remore the two screws in the T-bracket holding the load cell 10 the bottom plate ( one screw on each side of the load cell, atthe rear end), 4. Move lpracket to the new load cell 5. Reassemble 6, Adjust the load limits (See Special adjustments) Bottom plate Infusion Toad cell Rear seetionSpecial adjustments Technical aids The following instructions are based on the availabilty of four special technical aids Startbox KO 6934 003 220 V K06934 004 110 V Temperature simulator KO 7004 002 ‘Trim adaptor KO 6952 002 Extension cable KO 6944 001 In addition you will need a feeler gauge KO 7050 of 0.9 mum and fan approved reference weight of 10 kg. The special technical aids will simplify she adjusments and help provide more accuracy. Instructions on how to adjust without ‘hese aids will eventually be inserted on all cireult diagrams. | io | sie ate Staribox KO 6934 008 220 V Ko 6934 00 110 V Trim adaptor KO 6952 002 Extension cable KO 6944 001 Connections Connect the Gambro startbox K0 6934 003/4 to the rear socket ‘on the hemofiliration unit. Set the startbox knob to zero venous pressure and switch on the main switch If a Gambro startbox is not available, use the BMM 10 blood unit Checking the voltages, board 1 1. Check that the voltages from the stabilizes are +12 V $/-05 V(TP 212P), 12 V +/-0.5 V(TP ZI2VN) and SV +/-0.25 V (TPZ28V). Check the 10 V reference voltages is 10 V+ /-50 mV (TP Z1OP). If neseccary, adjust R14 (second potentiometer from Front end). 3. Mains voltage monitoring: 4. Connect the fluid unit mains input to a variable tans- former. Set the nominal value minus 154%. ‘Adjust R11 so that V16 lights up. |. Repeat for plus 15%. Adjust R100n Board | so that V17 lights up, e. Vary the voltage +/-15% from nominal value and check that V16 and V17 light up respectively £. Revert to normal line voltage. », 4. DC voltage monitoring: a, Remove ZOV from R35, put in the R32-module b. Readjust R35, now t0 4.500 V at TPSVP. ©. Adjust R13 so that VIS lights up. 4. Readjust R35 10 obtain 5,500 V at TP Z5VZP. © Adjust RI2 so that VI4 lights up. £. Seal all adjusted potentiometers with red sealing paint 8. Remove the R32-module, h. Connect R35 to Z0V. i, Adjust R35t0 5.2 V +/-0.025 V. Adjusting the temperature control circuit 1, Connect temperature simulator KO 7004 002 to P76 on the mains power and trim adaptor KO 6952 002 10 P35 on board 2 2. Check firstthe 10 V reference voltage at P35:8 w.r.t P3513. If necessary adjust R21 (third potentiometer from rear end) to 10 V +/-20mV. Check that the voltage at p35:10is 5 V $/-20 mV w.t.1 P3513, 3. Set switch 2 on simulator KO 7004 002 to 42.5°C (2938, ohms). 4, Set switch 1 to RESET. 5. Adjust R20 (second potentiometer from rear end) to 0 V “+ /-20 mV at P35:2 w.4.¢ P3513, 6. Set switch 2 t0 32.5°C (4417 ohms). 7. Adjust R24 10 +10 V +/-20 mV at P3S:1 w.t.c P3S:13. Adjusting the temperature alarm circuit NOTE: the calibration switch on board 4 must be in one ofits ‘outer (calibration) positions during adjustment of the temper ture transducer cureuit. 1, Connect temperature simulator KO 7004 002 to P76 on the ‘mains power, 2. Set switch 210 37.8°C. 3. Set switeh 1 10 ON (42°) 4. Connect the DVM to the two test pins on simulator KO 7004 002. 'S. Adjust R19 (first potentiometer from rear end) to obtain high signal, approx 16 V. 6. Check with switch 1, that che safety relay on the mains power is working, position SAFE. »Adjusting the pressure transducer NOTE: Because of interaction these adjustments must always be cattied out in full 1, Connect a reference gauge and & syringe to the angular nipple in the NPTS pressure transducer house. Connect the extension cable between socket P66 on the NPTS pres- sure transducer board and the corresponding plug Connect trim adaptor KO 6952 002 co the extension cable. Measure at the adaptor pins 2. Measure -5.000 V at pin 8 w.r.t pin 10. 3. Adjust RI (0 -3.500 V 4/-5 mV at pin 9 wart pin 10. NOTE: Zero pressure. 4. Apply a negative pressure of -400 mm Hg with the syringe sand measure -3.900 V. If necessary adjust R4. Then repeat point 3 if further adjustment is necessary, repeat poiat 4 Pressure and corresponding voltages mm He V +100 —3.400 © 3.500 (Adjus at zero pressure) 100 —3.600 200 3.700 30 — 3/800 400 3.900 (Adjust at —400 mm He) 500 —4.000 600 4.100 Tolerance +/-5 mm Hg and +/-$ mV. 5. Seal all adjusted potentiometers with red sealing paint 30 Adjusting the pressure monitoring circuits Always check the pressure transducer before attempting to ad: just the pressure monitoring circuits 1. Adjust R23 (fifth potentiometer from the front end of board 2) at zero pressure to +1.020 V +/-20 mV at P3819 wats. P3SELS 2. AL zero venous pressure adjust R2S (third potentiometer from front end) for OV + /-20mV at P3S:18 w.r.t, P33 3. Set the startbox knob to 400 mm Hg and adjust R26 (se~ cond potentiometer from front end) for 8 V +/-20 mV at 35:18 wrt, P35:13, The instrument on the instrument panel should now show -400 mm Hg. Adjusting the TMP alarm delay 1, Move one of the alaren limit indicators on the TMP instru ‘ment to obtain an alarm condition. Check that the time between alarm initiation and buzzer sounding is about 8 seconds. Adjust on R27 if necessary (first potentiometer from the front end of board 2) Adjusting the blood leak detector 1. See that the blood leak detector is filled with clear Muid 2. Cheek that the current in the BLUD wire is | mA by suring -560 mV on EOS (w.+.1. TELA). Adjust i nec with RI on the blood leak detector (accessible through a hole in the lower edge of the front panel) 3. Adjust R22 (Fourth potentiometer from the rear on board 2) for 6 V on TEO6 (w.r.t. TEI3), 4. By covering the sensor in the blood leak housing (right, side) check that the voltage on TE06 drops below 1 V, HC E4911, Rey 61984 Zeroing the weighing amplifier Start the machine and wait 30 seconds, 2. Check the +5 V on board 4 (weigh electronics). The vol tage must be +5 V +/-0.025 V, 0,000 V at TP4 w.r- ‘TPS. If necessary adjustR1 (rear potentiometer). (Note that the +5 Vis not allowed to drop below +5 V). 3. Set the call reat). jon switeh to the infusate position (to the 4. Load the infusate scale with 10 kg + /-0.005 ke. 5. Depress TIME, keep it depressed and adjust R11 until, ERROR lamp is off and 00-+/-08 is obtained on the di- splay. 66. Remove the load. Put the calibration switch back in mid- position, 7. Turn of the machine in order to clear the memory Calibrating the weighing system. Note: Check zeroing of the weighing amplitier. 1. Switch on the machine and wait for atleast 30 seconds 2._ See that there is no load on the scales. Depress TIME. The display should show 00. 3._ Set the calibration switch to the INF POS, (to the rear), 4. Set the infusion quantity selector to 10 ke. 5. Load the infusion scales with 10 kg + /-0.005 ke. 6. The display will show the calibration Factor bits in hexade- cimal form. If the display is steady, proceed to point 7, if the display is blinking: Depress UF RATE to obtain the difference between the actual calibration factor and the set- ting of the calibration plug. Ifthe difference is more than +/-2 bits anew calibration plug must be inserted. The in fusion plug isthe rear plug (IC7). Convert the digits to digital form and set the new plug to the calibration factor by cutting straps to represent ones. NOTE: The plug must be viewed from above. 7. Set the calibration switch to the ultrafiltrate position (10 the front) 8. Load the ultrafiltrate scales with 10 ke + /-0.005 kg. 9. Repeat as in point 6 for plug IC8 (fromt plug) 10. Set the calibration switeh to its neutral (middle) position 0000 00010010 0100 0101 ANd OM 1000 1001 1010 1011 MOO 101 M0111 mi] yo _ Ti ey Ly} ye _!| i 1 _! jc o 7 (2 7 ° La Conversion table e424 Example (x= cut) UF POS, INF POs, Calibration switeh auAdjusting the load limits 1. Unscrew the stop serews for the load cells (the screws are ac: cessible through holes in the bottom cover) and apply athin layer of Loctite 222 on the threads. 2. Reinsert the stop screws. Use feeler gauge KO 70500 set the distance between serew and load cell 10 0.9 mm. 3, Switch on the machine, wait 30 sec. 4. Depress TIME. 5. Load the infusate scales with approx. 35 ke. (Use a con- ‘ainer filled with water.) The load should be positioned as far out as possible on the load hook. Check that the di- splay indicates the weight, 6. Remove the load and wait until the display indicates 00, 7. Takeout the heater 8. Depress AUTO. 9. Load the ultrafiltrate scales with approx. 35 ks. The load should be positioned as far out as possible on the load hhook. Check that the display indicates the weight. Error codes Depress UF RATE and TIME buttons simultaneously for the display to show error codes when ERROR is lit or blinking ERROR lamp it (code figure I refers o the infusateside, 2t0 the ultrafiltrate side), 2 Adjusting the pump motor circuits 1. Connect an oscilloscope to TP1 on Board 5 (6) and adjust the sweep rate so that at least four pulses are shown on the oscilloscope. 2 Balance the Hall elements by adjusting R10 on Board 5 (6) for as equal pulse length as possible 3._ Set the pump potentiometer at maximum. 4. Connect the oscilloscope to the collector of one of the tran- sistors Q1, Q3, Q7 oF Q9 on Board $ (6). 5. Adjust RII On Board $ (6) so that the maximum rotor speed is about 37 rpm (t = approx, 25 mson the collector), 6. Connect a voltmeter to the wiper on R30, Minus to TP2. 7. Adjust R30 on Board 5 (6) to about + 1.5 V on the volt 8. Run the pump slowly, stop it by grasping the pump han. dle, check that driving stops after 2-3 seconds (stopping time) and that restart is obtained after about 20 seconds. Steady light (treatment fault) ul.uUe Linearity of infusion consumption (1) or ultrafiltrate output 2) ‘not within 30-300 ml/min for the last 160 seconds, Infusion o ultrafiltrate flow during the last 160 see (es Jo Linearity alarm indicates: 4) patient weight loss is more than estimated value + 10% of, selected value. IF the selected weight los i less than 2,0 kg the alarm timitis et at estimated value + 200g. However, during the first hourafter start or reprogramming of set values before aline- arity alarm curve has been established the alarm is set to thatthe patient weight loss will exceed $00 g/15 min, by patient weight loss is more than Ke diff + 0,5 kg. ‘The linearity alarm curve is provided every 42 min. Ifan alarm occurs the buzzer will only be active 1,5 min out of every 42 min, period. Patient weight change 9 asl 1 CLS 20 Estimated weight change =10%e of Ke diff or 2005 Ake aitt | +0.5 ks) +: ih 03 Linearity alarm indicates: a) patient weight lossis less than estimated value-10% of selected value, Ifthe selected weight lossisess than 2.0 kg the alarm iit is set at estimated value -200, by patient weight gain from the start of treatment exceeds 0.3 ke. This is the alarm limit during the first hour. ©) patient weight gain exceeds 0.5 kg/1S min during the first hour after a reprogramming. patient weight change Estimated weight change + 10% of Ke diff or 2008 Ci.Ce Total amount alarm 1, A weight increase of more than 100 g on the infusion scale ‘compared to the tarated value. ‘A weight decrease on infusion scale of more than the pro- ‘grammed amount of Kg INF + 200 g. 'A weight decrease of more than 100 g on the UF scale compared to the tarated value. A weight increase of ‘more than programmed amount of Kg INF + Kg DIFF + 200 g on UF scale Infusion or ultrafiltrate Sey ues +200 & Set values Tare 100 3Blinking light (technical fault) ca ds ue CC a) uu b3 Calculations not correct when carried out with simulated val- ‘The tare valueis placed in two memories when the AUTO button is depressed. The code indicates that these values are no longer equal. ‘The microprocessor reads out critical values written into a RAM ‘and compares it with the value which was written in. Thecode in- licates that deserepancies occur. Register storing not functioning correctly at starting up (Button AUTO can not be lit), Atstarting up first ones, then zeros are automatically written in- toall RAMS. The code indicates that this is not possible (Button AUTO can not be lit) ‘The sum of the contents in the PROMs has changed at starting: ‘up Button AUTO cannot be lt). Program memory test during treatment wrong. Microprocessor interrupt, not corzect. Function of weighing electronic board, not correct. a/ A/D stopped b/ A/D overranged ©/ Amplifier offset HC E-6011, Rev 06.1986 Signal list ASIN ASOT AULA ‘AUSW BDCR BLAO. BLLA BLSV BLUD BRSW BPMS BUZI BUZO AMD DOL-A...D DIO-A..D pot pP10 EALA FIVN FIVP HEN KGor KGi0 Leno LcPo Lio1 Luo MCVI Mcv2 Mcvo MSWB NPT. PRAH PRAL PRIN PRIP POTL PoT2 REDD REST TALA TIsw TMsW TMWI, 2,48 TPAL TPMS TPSV TRSI TSRC si UFSW VEPA VAPB VRFT Analog Signat Analog Signal Auto Lamp Auto Switch Blood Detector Blood Leak Blood Leak Blood Leak Blood Detector Blood Leak Blood Pump Buzzer Input Buzzer on Central Alarm Display 1 ke Display x 10 ke Decimal Point 1 kg Decimal Point <10 kx Error Alarm Flow Instrument Flow Instrument Heating Element Kilox 1 Kilo x10 Load cell Load Cell Liter x1 Liter 10 Motor Control Motor Control Speed potentiometer ground con, Main Switeh neg. Pressure Pressure Alarm Pressure ‘Alarm Pressure Instrument Pressure Instrument Speed pot for infusion pump Speed pot for ultrafiltrate pump Red Reset (Actives low) TMP: Time Temp Temp Temp TP Temp Temp Temp Utera Venous Venous Voltage Detector Alarm Switeh Set Thumb Alarm Pump Set Regulation Safety Sensor Filtrate Pressure Pressure Reference Input Output Current Alarm Lamp Set Reset Motor Monitor Lamp Negative Positive Number 1 Negative Positive Voltage t Voltage 2 Battery Transducer High Low Negative Positive Reference Out Voltage Switeh Stop Digital ou out Signal Switeh Stop Input Current Input Transducer 38Technical data ‘Type designation Infusion pump Design Flow regulation HEM 10-1 Self-threading roller pump O/approx 22-225 ml/min with tube 8 6.35 x 1.6 Ulteafittrate pump Design Self-threading roller pump Flow regulation O/approx 22-225 ml/min with tube © 6.35 x 1.6 a Temperature ~ z Incoming infusion Min 15°C (59°F) Heated infusion Infusion ultrafiltrate sales ‘Weighing range 35-40°C (95-104°F + /-1.8°R) 0-35 ke (77.2 Ibs, including weight of weighing ‘arms and containers) Overload protection Mechanical ‘Weighing arms Different types avaiable to suit most types of Selectors - — Kg DIFF ‘Weight loss Kg INF Infusion quantity Indicator - 7 - Normal indi Weight loss TIME depressed UF RATE depressed Both buttons depressed TMP Regulation Instrument Alara limits Blood leak detector Design Sensitivity Power supply Mains voltage Power consumption Length of cable Supply socket Fuses Dimensions Weight 36 Remaining treatment time Ultrafiltration rate Error code 0 t0 500 mm Hg (0t0 66 kPa) ~ /-10% or + /-10 mm He (1.3 kPa) #50 to -S00 mm Hg (+7 to -66 kPa) Adjustable set with two alarm limit indicators Transillumination of the ultrafiltrate towards in- frared phototransistor Adjustable 240, 220, 130, 110 V +/-10%, $0 0r 60 Hz (Supply Frequency must be specified for elapsed time meter) Approx. 400 W ‘Approx. 3m Earthed standard socket. DIN model for 220 V, ASA for 110 V 220 V: 0.63 A TT and 1.6 A F, DIN $ x20 110 V: 1.25 A TTand 3.0 A F, ASA 6.332 Depth 400 min (450 mm including front components) Widht $20 mm Height 190 mm (13.7291 47.5 in) 23.5 kg (51.8 Ibs)He €-6811 © Copyright Gambro AB, Lund, Sweden. 03.1985/Printed by Rahms | Lund. gambro =r Gambro Lundia AB P.O. Box 10101 $220 10 Lund SwedenAK-10 System Hemofiltration monitor HFM 10-1 Spare part list oe BB +0Nn S1. Casing and panels. Item Denomination Order no. Remarks 1 Rear panel KOSTI2A 220 V, 2 fuses 1 Rear panel Ko 5772 B 220 V, 1 fuse 1 Rear panel Ko 5772.C 110 V, 2 fuses 1 Rear panel KO $772 D 100 V. 1 fuse 2____ Rear panel Ko 4670 E 3 Air filter KOa749 A 4 Mains cable 100 220 081 20V 4 Mains cable Ko 4926 A tov 5 Screw 100 370 312 6 Cable clamp 1 0 7 Flexing guard 100 314 080 8 Cable clamp 100 314 0s1 9 Grommet 100 334 047, 10 Plate USA Ko $099 001 nt Patent plate Ko 5098 001 12 Type designation plate Ko 152 13 Fuse plate Ko 5151 001 220 V, 630 mAT 13 Fuse plate Ko 5151 002 M10 V, 1.28 AT 18 Fuse 100 213 082 630 maT. 14 Fuse 100 213 043 1.28 AT 15 Fuse holder 100 212 001 10 V 1S Fuse holder 100 212 002 10 V 16 Cable K0 6166 A 220 V, 2 fuses 16 Cable K0 6166 B 220 V, 1 fuse 16 Cable K0 6166 C 110 V, 2 fuses 16 ‘able KO 6166 D TIO, 1 fuss 17 Shrink tube KO 5191 003 18 Flexible mounting KO 2691 001 19 Fan 100 328 013 Washer 100 392.902, Nut 100 390 400) 22 Alarm board KO 8613 001 23 Nut 100 390 300 24 Mounting plate KO 6292 001 25 Serew 100 370 26 Grommet 100 307 0 27 Locking slide assy Ko 4387 4 28 Screw 100 370 412 29 Washer 100 392.902, 30 Front panel K0 6128 31 Locking slide KO 4275 001 32 Retaining catch 0.6200 001 33 Screw MRX 4 x 12 100 378 412 34 Button Ko 3028 001 35 Cover Ko 5493, 36 Washer KO 6180 001 7 Screw 100 316 085 38 Washer KO $472 001 39 Bottom cover Ko $492 40 Rubber foot 100 307 012 2 HC E91, Rey 0.1980 He E4913, Res 82. Instrument panel. Denomination Order no. Remarks Instrument panel assy KO S795. mm He Instrument panel assy KO S775 B KPa Cable KO S718 A Cable KO 5744.8 Mounting plate KORA Instrument KO 5136 001 mam Hg Instrument KO 6286 001 kPa Washer 100 322 013 Display board. Ko $702 8 Spacer K0 6142 001 Filter 100 007 001 Potentiometer 100 106 028 Potentiometer K0 4970 001 Washer 100 322 009 Screw 100 378 510. Mounting bracket KO 5073 O01 Flat cable mounting 00 314 066,67 Strap 100 314 068 Nut 100 390 400 Signal lamp holder 100 210 010 Push button switeh 100 208 01s Signal switch 100 208 016 Code switch assy Ko 5989 Lamp lens kit Ko 6154 100 301 006 100 301 004 23 Scale K0 4706 001 2% Scale 00 301 002 27 Seale KO 5198 001 mm Hg 27 Scale KO 6288 001 kPa 28 Knob 100 300 O17 29 Cover 100 301 O12 30 Lamp 100 222.017, 31 Sign plate Ko 6144 001 32____ Sign plate KO 6143 001 3 Cover KO 4274 001 34 Nat 100 301 O11 4 HC E4913, Re. 03.19843. Blood leak detector. Pressure transducer. Item Denomination Order no. Remarks 1 Transducer assy Ko 7261 001 2 Screw 100 316 068) 3 Pressure transducer board K0 6170.4 4 Screw 00 370 408 S Washer Ko 6180 001 © Pressure ivansducer Ko 6269 00} 7 Oring 100 319 007 8 Transducer housing Ko 7224 001 9 O-ring 100 318 053 1o Swap 100 314 016 it Cable harness KO 5722 A 12 Washer 100 322 012 1B Spacer 100 316 074 1 Screw 100 382 416, 15 Serew 100 372.619 16 Blood leak detector assy KO 6162 B 17 Screw 100 370 214 18 Contact board K0 7120 001 19 Serew 100 370 304 20___Receiver board Ko 7118 001 21 Filter K0 6165 001 22 Detector housing KO 6098 001 230 Wire KO 5138 001 24 Transmitter board K0 7116 001 25 O-ring 100 318 054 26 ‘Screw 100 316 068 27 Cover, KO 4514 001 6 ME 4913, Re. 08.1984 He F613, Rev, 0.19844. Infusate pump, ultrafiltrate pump. Item Denomination Order no. Remarks 1 Motor unit K0 4566 A 2 Motor Ko4721 A 3 Clutch half assembly KO 4898 A 4 Chuteh halt Ko 4899 001 S___Set screw, MSKOSS 5 x 8 100 380 508 6 Dog 100 320 027 7 Insulation washer K0 4902 001 8 Screw, MCS 46 100 370 406 9 Motor cradle KO 4708 001 10 Angle piece KO 4709 001 W ‘Screw, MCS 4 x 14 100 370.414) 12 Flexibie mounting Ko 4817 001 B Washer, BRB 8.4 x 16 100 392 904 14 Nut, MeMs 100 390 800, 15 Bearing unit BO 0224 A 16 Cluteh insert KO 4901 OOF 17 Clutch half assembly Ko 4898 B 18 Clutch half Ko 4899 002 19 Casing Ko 4904 A 20___Retaining ring 100 330 003, 2 Ball bearing 100 326 003 ‘ 22 Bearing house KO 7724 001 3 Thread insert 100 316 022, 24 Pump shaft 180 0223 001 2s Ko 8424 A 6 100 318 056 27 Screw,’ MCS $ x 20 100 370 520 28 Pump housing BO 0260 001 29 Cover Ko 8325.A 30___Pump rotor assembly BO 0248 A 3 Roll holder BO 0236. A 32 Spacer BO 0154 006 33 Ball bearing 100 326 001 34 Roller 1B0 6228 001 35 Roll holder BO 0239 001 36 Shafi 'B0 0237 oo! 37 Screw, MCS 4x 25 100 370 425 38 Washer, BRB 4.3 x 8 100 392 902 39 Washer K0 7316 001 40 Spring KO 7315 001 rn Plastic washer, 4.3 x 12x 1.5 100 322 007 : ‘ 42 Serew, MCS $x 8 100 370 508 8 Rotor BO 0247 A “4 Pin 100 320 037 4s Pin BO 0234 001 46 Guide roller 'BO 0235 001 i 47 Thread insert 100 316 024 48 Hub BO 0246 001 49 Shaft BO 0256 001 50 Grip BO 0229 001 : ee HC E491), Ree O985. Heater. Item Denomination Order no. Remarks 1 Heater KO 5610 A 20 1 Heater KO 5610 B nov 2 Connector house 100 202 123 3 Pin 100 203 050 4 Pin 100 203 067, 3 Cable clamp 100 314 051 6 Cable clamp 100 314 050 7 Screw 100 370 310 8 Flexing guard 100 314 080 9 Screw 100 370 308, 10 Connector 100 202 067 11 Cable bearer Ko 6122 001 12 Strap 00 314 015 13 Strap serew KO 6068 001 14 Micro switeh 100 228 009) 15 Screw 100 370 212 1 Nut 100 390 200 IT Support KO6USA 18 Cover plate 0 6068 001 19 Screw 100 374 306 20 Support KO6IISA 2 Screw KO 6069 001 2 Guide KO 6062 001 23 Cover plate LO 6063 001 24 Screw 100 374 410 2s Guide KO 6061 OOF 26 Guide bar KO 6726 zm ONut 100 390 400 2% Sua KO $462 001 29 Guide Ko 5468 001 30 ‘Temperature transducer KO 6155 001 31 Screw 100 370 420 32 Guide KO $463 001 33 Block KO6IITA 34 Screw 100 370 440, 35 Block KO 6116 A 36 Heater plate KO 6101 A 20 36 Heater plate Ko 6101 B tov 37 Heater plate Ko 6102 20 37___Heater plate Ko 6102 B tov 10 He 491, Re. 01.1984 HE E4913, Re. 0819846. Power supply. Item Denomination Order no. Remarks Mains power complete KO 8348 O01 20V Mains power complete KO 8348 002 110 V, 1 fuse Mains power complete Ko 8348 003 110 V, 2 fuses Distance plate complete Ko 8345 001 220V Distance plate compl Ko 8345 002 10 V, 1 fuse - Distance plate complete KO 8345 003 110 V, 2 fuses Strap 100 314 O15 Rubber bush 100 314 078 Screw MES 4 x 8 100 374 408 Connector plint 100 204 O16 Screw MCS 3x4 100 370 304 Cover 100 205 042 Fuse 104 100 213 082 220 Fuse 12,5, 100 213.083 tov Label KO9468 001 - Cable KO 8403 GOT 220,V, 110 V Nut, MoM 4 00 390 400 Lock washer 100 322 005 Washer, Az 3.2 100 322 011 Earth cable Ko 9837 002 _ ‘Screw, MCS 4x 20 100 370 420 Distance plate K0 7056 G01 Earth label 100 340 001 Transient protector KO 5788 O01 Relay 100 200 038 Screw, MCS 4x6 100 370 406 Connector plate Ko 8037 G01 Relay 100 200 046 Screw, MCS 3.x 10 100 370 310 Washer 100 322 012 Distance plate KO 8038 OOT Nut, MOM 3 100 390 300 Secondary board Ko 7428 001 Spacing sleeve 100 316 092 Transformer K0 7123 001 7 - Primary board Ko 7761 001 Screw, MCS 3x 14 00 370 314 Coil, KO 7760 001 Voltage switch 100 206 010 Marking letter, "L”” 100 340 002 Marking letter, "N™ 100 340 003 Fuse, 315mA 100 213 10 Fuse, 2.54, 100 213 0ST Fuse, 408, 100 213 o1s Fuse, 125mA 100 213 Oss ee Fuse board ‘KO 7427 001 Cable 100 220 089 Cable, red Ko $142,010 Cable, black Ko 3140 010 Spacer 100 316 030 Cover KO 4884 001 2 HC E41, Re. 08.1988 HC F-013, Rev, 03.19867. Bottom plate. Item Denomination Order no. Remarks 1 Power supply board K0 4538 G 2 Control logic board Ko $710 002 3 Microprocessor board Ko 7257 001 4 Weight board Ko $706 A 3 Motor control board Ko 4475 C 6 Board guide Ko $459 002 7 Board guide K0 5459 001 8 Screw 100 370 308 9 Washer 100 392 901, 10___Cable harness KO S721 A uv Cable harness KO S720A 12 Cable harness KO S719. 13 Keying plug 100 203 068 1 Screw 100 370 312 15 Bus cable harness KO 7101 001 16 Spacer 100 316 015 17 Board guide K0-4846 001 18 Spacer 100 316 018, 19 Board guide Ko 4846 002 20 Spacer 100 316 057 dW Spacer 100 316 056 2 Strip KO $461 001 23 Spacer 100 316 085 24 Nut 100 390 400 25 wud KO 4816 003 26 ‘Screw 100 388 612 27 Mounting plate KO 6799 001 28 Nut 100 316 061 29 Screw 100 316 060 30 Time meter Ko 6297 001 50 He 30 Time meter KO 6297 002 60 He 31 Screw 100 370.422, 32 Washer 100 390 902, 3 Clamp 100 314 071 34___Shaver K0 4980 001 33 ~~«Screw 100 316 105 36 Holder Ko 7016 001 37 Expanding plug 00 320 032 38 Weight transducer, eft K0 6153.4 Transd.K0S729001 38 Weight transducer, left Ko 8468 001 ‘Trans. KOR4S6001 39 Weight transducer, right K0 6153 B “Transd.K0S729001 39 Weight transducer, right Ko 8468 002 Transd.K08456001 40 Plate KO $470 001 41 Screw 100 374 408, 2 Screw 100 370 408 Washer 100 322 008 44 Earth sign 100 340 001 45 Bottom plate K0 $454 A 46 Edge strip 100 312 029 47 100 316 104 #8 100 380 612 Py KO 7017 001 50 100 392 902 51 Hook, ave to individual spec. See ” Accesories catalogue” HCE 6442 52 Screw KO 6091 001 “4 HC E913, fe. 03.1988 HC EO, Rev 08.1986 1s8. Stand. Item Denomination Order no. Remarks 1 Rear bumper KO 6248 001 2 Screw 0 6651 001 3 Washer 100 392 003 i 4 Mounting plate KO 156A S Spacer plate Ko 6112 001 _ 6 Front bumper 0 6247 001 7 Screw 100 316 042 8 Stud 100 394 640 9 Frame KO $364 A 10 100 370 406 ‘Type destignation plate Ko 5478 026 Infusion stand assy Ko 5000 A Infusion stand, upper part Ko 4861 A Coupling Ko 4990 OO} Pin 100 320 008 Serew 100 376 420 Infusion stand, lower part KO S377 A Infusion stand, rod 2 KO 4862 001 a nee Pin 100 320 001 Bushing assy KO 6250 A Bushing Ko 6249 001 Knob 100 300 021 O-ring 100 318 020 = = Screw 100 382 635 Clamp K0 6540 001 Rod, assy K0 6650 A 100 316 049 KO 6246 COL Spacer KO 6814 001 Bottom Frame KO 6251 001 Wheel 100 308 034 7 HC B91, Re. 08.1986 HC E913, Res OL19H6HC € 6913) Copyright Gambro AB, Lund, Sweden. 63.1964/Prited by Rahms | Lund gambro’ Headottice Gambro AB PO Box 10101 '$-22010 Luna SwedenAK-10 System Hemofiltration monitor HFM 10-1 Electrical diag rams gambro’ (pee eeeContents Power supply Control logic Micro processor Weight electr Motor controller Mains power Primary board Secondary board Fuse board Display card Instrument panel Blood leak Transmitter board Receiver board Contact board Alarm board) Press trans board Wiring diagram Progr intercon. unit Ordering No K04538G K1 0824 001 K10140001 K0 706A K04a75 C KO 8348 001 07761 001 KO 7428 001 KO 7427 001 KO $702.4. KOSTIS.A. K06162B K07116 001 KO7118 001 K07120001 Ko 8613 002 K06170B 0 6009 Drawing K04539 K10283 K1 0141 K0S707 Ko.4477 Koa3s6 K08346 Koss KoaM6 K0 $703 KO S716 06076 K0 6076 K0 6076 06076 Ko 8614 Kosi7i K0s723 K06217Power supply 1000002 026 100 006 00s 100 202 094 100 212 008 100213 008 KO S941 005 100 212 004 100 213 009 05941 001 100 212 004 100 213 008, 0 $941 004 100212 004 100 213 004 Ko 5941 002 100 010 060 100 010 061 100 302 010 K0 7053 001 K0 8658 001 100 200 035 Pa E 8 Ls E 8 : "eg nus 109102067 v3, 10,11 kee to 04031 veins i617 m3 eet mai to soar ps 12,20 us io 10s zie, 28, 25vP 3,40 too 18080 zr, 22> ie too tose Rai22.23,2425 to oseeo A fae 2728.28 too ros0e Fuse ue too voce Fuse be mn too is ose m9 to isos B aD wo icons Five ns rarer Fase be rat in aso us i ns 0a1 B ms it rss Fase ws io 10503 Fae be a too soo me io os061 m4 RI 100 106 010 Fuse Bot 2.13 woo lsoLs Fuse be mean to rost22 C115, 161819 ot ss 1010061 G3 Gis 111808 Suen itonsa Cooing ange 1) chats ito rise Coot ange Gi io t1s038 ea C1, 20,22,28 Iso rie030 Cooing ane oot ics seo 010035 ic tno o1ots3 x 1S ito o10m3 13 socket ttoo1t wr rer tno i004 Pa isooioes? 110 tooo 088 Ordering no Wir2s 3.4. 5.6,7 Deewng 100 002 one reat iy two oo ars Compre Vas too oz 019 Chan order K04538.G K04339 0 0087 006 £0 0091 005 47532 3 4 Power supply Calibrating/Adjusting R14 ZIOP to 10,0V + /-0,050V. R47 Z12N to -12V -0,2V/+0V R10 Nom. netvoltage + 15M% - alarm under normal load, R11 Nom. netvoltage -15% ~ alarm under normal load R12 Alarm when ZSVP adjusted to 5,8V. R13 Alarm when ZSVP adjusted to 4,5V. R35 ZSVP 10 5,2V + /-0.025V. Remove ZOVL from R3S Put ing R32-module. Do adj Thea reassembleControl logic spate SE R14, 65, 71, 104 R79 R52, 53 RB 87, 88 3, 60, 63 R2 R16 R83, 85 R56, $7 R47, 90, 100, 103, R6, 44, 85, 64, 68, 69,80 R86 R4, 7,9, 10, 43, 49 50, 51, 62, 67, 81, 82, 84, 93, 94, 96, 101, 102, 107, 108, 109 R173 a2, 46 RES R76, 78, 91, 106 R92 R12, 15 RIT R35, 41 RS, 11, 28, $4, 61, 66 R29 R36 R37, 105, RSS R74 R39 RT Rag R19-21, 23, 24 R25 R22 R27 R26 100 104035 100 104 036 100 104 038 100 104039 100 104 04s, 100 104 047 100 104 048 100 104 049 100 104 050 100 104 051, 100 104 052 100 104 054 100 108 056 100 108 060 100 104 061 100 104 062 100 108 063 100 108 064 100 104 067 100 104 068, 100 104 069 100 104 071, 100 108 075 100 104 080 100 104 082 100 104 090 100 104 090 100 105 039 100 105 081 100 105 031 100 105 053, 100 106 010 100 106 013 100 106 014 100 106 021 100 106 025 R33, 38, $9, 77,97, 98, 99 R30, 31, 32 R34, 58, 75, R40 RIB. RNI,2 RN3 cn €2, 10,19 6, 12, 14 cas 1,3, 7,8, 9,11, 13, 15, 16, 18, 29, 21, 22, 23, 24, 25 1c IC15, 18, ICH, 12,20 117, 21 1c3 1C4, 22 Ics Ics Socket ICI, 2,7, 8,23 Ico 1c9, 10 Ice V1-19, 26 V20, 21 P3s P34, Key: pos. 59 Ja 32 Ordering no: Drawing: Layout Comp. print ‘Change order: 100 150 068 100 150 069 100 150.079 100 151 049 100 151 068, 100 108 024 100 108 025 100 110 037, 100 114 010 100 114 022 100 114 028 100 116 030 100010 001 100010019 100010 035, 1000010 036 100010 039 100.010 040 100 010 043, 100 010 050 100011 008 100 010 072 100 010 073, 100 010 074 100 010 089 100 002 005 100 002 048, 100 202 081, 100 202 114 100 202 166 100 202 167 K1 0824 001 K1 0283 £00129 006 0.0130 004 ors,Control logic Adjustment Note:All voltages measured against ZOVR, P3S/13. ROL: RID: R20: R24: R23) Ras: R26: R27, R22, Adj to 10 V +/-20 mV. Measure at P35/8. Conn. 2997 (42°C) between P10/28 and P10/26 adj. to the switch-point to get high level (Z16P) measure on P10/25. Conn, 2938 (42.5°C) between P10/29 and P10/26 adj. to.0 V +/-20 mV measure on P3S/2, ‘Change to 4417 (32.5°C) adj. TP 10 V +/-100 mV, measure on P35/1. Zero pressure in adj. to 1,02V measure on P35/19, Zero the instrument electrically. Conn. a current generator which gives 0,6656mA between 10/11 (positive) and P10/9 (neg) adj to 400 mmHg on the instrument. ‘Alarm delay TMP, adj. to 8s. ‘Conn. a current generator which gives 1.000 mA between 10/37 (positive) and P10/26 (neg) adj. to 6 V +/-125 mV ‘measure on P35/6.Microprocessor 3 Twn, RI 100 108 030 1026 100 010072 RS 100 108 038 12s 100 010089 R69, 15,19 100 108 085 1220 100 010 092 RS 100 108 039 Ice 100 010112 Ris 100 108 083 1C2, Socket 100 011 004 RIB 109 104 084 1a 100 010 036 R24 10 108 060 1C21, 24, Socket 100.011 004 R 100 104 061 1ca1, 24 100 010050 Ras 100 108 075 cis 100 010056 RB 100 108 076 cis 100 010058 RI 10 108 088 ICA, 7,8, Socket 100 011 002 Ri6 100 104085 1ca.7,8 100 206 004 R10, 20 100 104 090 1c10-13 100 011 012 R21, 22 100 105 083 ICI, 15, Socket 100 011 006 RIT 100 105 058 Ici ts 100 206 004 RIB 100 106 014 1C9, 22, Socket 100 011 002 RNI 100 108 024 vi233 100 002 004 RN2 34 100 108 025 vase 00 002 008 3 100 1100 25,34 100 110061 eT 100 130003 ar 10 113 009 < 400 114.029 P86 100 202 111 18, 21,22 10 118013 a 100 114 016 ff 100 202 260 3 100 114016 ne 100 202 260 1,4, 5,717, 19,20 100116030 er 100 202 262 23, 24,26, 27, 28, 30 32, 3538, 40,42, 43 13 10307 001 1028, 29 100 010 048 cis 100 010.088 1c6 100 010081 123 100 010 062 Ics 100 010.067 Ordering no: K1 0140001 Drawing Ki iat Layout E0 0814 02 ‘Comp. print 0 0415 001, Change order: 6308Microprocessor Adjusting R13: Remove [C24 adjust ASOT (P86 17) 0 10.00 V +/-20mV Programming for diff. type of memory. 1. PROM 2716 CMOS RAM "LIKE" 2114 with back up insert programming plugs as below. eo TD FD TO Go PoWeighing board 4 a eh R25, 26 100 100 05s TP1,2,3,4,5 100 202.031 R3, 24 100 104 033, RD 100 108 036. P3L, Key: pos 1 100 202 121 RS, 8, 9,21, 22 100 104 045 P32, Key pos? 100 202 121 RD 100 104 047 R23 100 104 049 si 100 208 019 R46 100 104 060 RIG, IS 100 104071 R20 100 104 090 R2 100 105 036 R7, 10 100 105 053, R16, 17 100 104 075 Ris, 19 100 105 079 RIL 100 106 010 RI 100 106 022 RNI, RN2 100 108 025 os 100 110037 C3, 5,8, 10, 12, 14, 15, 16, 18, 20,23, 25, 27,31 100 110061 1,2, 4,7, 9, 1, 13, 17, 19, 22, 24,26, 30, 32, 33 100 116 030 6 100 118 030 109 100 010 050 IC9 socket 100011 008 ICI, 10 100 010 086 1C3, 4,5 100 010 084 166 100 010081 1C6 socket 100011 008 122 100010 082 107.8 100 206 004 IC7, 8 socket 100011 002 raya Hoo one 0 Ordering no: K0 $706.4 Vi-8, 11-26 100 002 00s: Drawing: 05707 wag Hg 6 Os) Layout: 0 0116 003, 004 ‘Comp.print: 0 0168 001 ‘Change order: 5489aa feWeight electr. Calibrating/Adjusting RIL: Start the machine, wait 30sec. Set the ca. switch to infusate pos. (ear). Load the infusate scale with 10 Ke, Keep “TIME” depressed adj, R11 until “ERROR” is off and display this between 00- + /-08. IC7, 8:1. Start, wait 30sec 2. No load, press " 3. Set kilo inf. = 10Ke, 4. Cal. switch to inf. pos. 5. Load inf. side with 10 Ke, 6. Disp = Cal. factor in hex form. If steady go to point 7. If flashing press "UF", then disp = diff between cal. factor and plug value. If more than +/-2 bits insert new plug, 7. Cal. switch to "UF" pos. Load "UF" side with 10 Kg, 9. Repeat point 6, IME", display = 00.Motor controller RB RIB R3 R12 R25 RO R23 R78 R619 R21, 22 R26, 35 4, 5, 14, 17, 27, 36 R20, 28 R24 Ri6 R34 R15, 29, 33, R31 R32 R30 R12 Ril RIO cs a 7.8 a cio © ca 6 V3, 4,$,7,9, 1, 12 Vi3, 14 v6 v1,2 vi0 100 102.023, 100 102 063 100 104 033, 100 104 034 100 104 036 100 104 038, 100 104 045, 100 104 046 100 104 047 100 104 049 100 104 050 100 104 053, 100 104 056 100 104 060 100 104061 100 104 062 100 104 054 100 104075, 100 104 090 100 106 010 100 106 013 100 106 018, 100 106 022 100 112.023 100 112 048, 100 114 006 100 114 008, 100 114 009 100 114.023 100 114.029 100 114 034 100 002 004 100 002 005 100 002 008 100 002 009 100 002 025 Iet 1c2 96 Q2, 4,8, 10 Qs Qu Q1-3,7,9 TPLS P33, Key: pos 10 Cooling flange Ordering no Drawing: Layout: Comp.print Change order: In prod. from machine no: 100010032 100010 053, 100 000 003 100 000 004 100.000 010 100000 011 04513 001 100 202 031 100 202 064 100 302 012 Ko 4975 C Ko4a77 0078003, 0 0079 003 4819 HoseMotor controller Calibrating/Adjusting 1, Conn. an ose, to TPI-TP2. ‘Adj. RIO to equal long pulses. 2. Adj. RL to correct max speed. For HEM: 37 rpm. 3. Adj. R30 to 1.S¥ between TPS-TP2. Hold motor. Adj. R30 to 2-3 sec. stop time.Mains power Primary board a 100 120 002 a 100 120013, v 100.002 008 pr 100 202 076 K 100 200 042 s 100 206 010 Ordering no: 07761 001 Drawing: Ko 8346 Layout 50 0188 008 ‘Comp.print: £00215 001 ‘Change order: 5303 Fs || Fo] | Fr |] Fe ]) Fo (| en ennenee TF dt “o Secondary board vl P2 P30, Key pos: 9 PL Ordering no: Drawing: Layout: ‘Comp.print Change order: Fuse board ALB.C,D.E a Fuse $ Fuse 6 Fuse 7, 8 Fuse9 Ordering no: Drawing: Layout: Comp. print: ‘Change order: 100 002 004 100 202 0083 100 202 115 100 202 124 Ko 7428 001 K08346 BD 0145 004 0.0021 03 5303 100 212 004 100 220 081 100 213 055 100 213 015 100 213057 100 213 010 07427 001 Ko 8346 00145 005 0.0216 003 $303ap = eetEe Ss aio od a S u reste ea pieo Aejdsig vrmo hn 7 TL @gambroDisplay card RI RNI, RN2 1C3,4 Ici, 2 P40 Key, post19 100 100 054 100 108 027 100 106011 100010083 100 202 116 @eree _€00176001 Ordering no: Drawing: Layout: ‘Comp.print: Change order: KO S702 05703 00115 002 00176001 1990Instrument panel 8 Ordering no KOSTISA Drawing: KO5T7I6 ‘Change order: 2661a5 7 oles 8 oo if Be dtm = A 299 — —————}———] jac wp aDwst El alg —— +R 3a att * i 3 pm ott z 4 a 7 EE —— wyr | h: a ed ," IF | see re 9 ae — 9 4 per : a ee | ' ret § Sat z iP i a Le +a : kc be N Lo — | rir? ' or ee SS! ot : jy vtge TR Para Pe 1 a os za ttt | eens mec fo [ : 3 — 2 3 Shee ort 2 FE ie . [8 3 a 7 oe ie z I Oe | ay * ie Y eres ao KILO NF A ot = es i Sa ao | D> g I oer > * he tnt bey howe BY %, L > iF i gz yy yy bo | fe rere I Ey | SLisoHBlood leak detector 9 Sign and date Sign and date wo] Revision | on earn ans |NO[ Revision | on “e™ ern at appa | Gen. ass. draw. ee 2 fzone | A ne is Slingsby He “|¢ fue tel oye ben | “@ K05723/1 Psi | 4 RI 2 R2 200R & (). ZS5VP u TLL ECarOsTDT EDOROCATT a[e fe |rom no Tw Moet oe = Quantity [ Date 79-03-22 | Dm.by Len | Chk by Len | Auth.by , [Seale Finish ~ [BL000 LEAK @gambro jcirrecurt DIAGR. |K06076| 4 bund Sweden ! Lt pouid tiBlood leak Receiver board Ordering no 07118001 Drawing Koaors Layout £00220 001 orop pri = ‘Change order: 2647 a 100 006013, Contact board Toonnsnar ne Ordering no: Ko 7120001 Drawing: Kosor6 Layouts 2200208 001 Gomp. print: ko7122 Change order: 2687 R 100 105 031 RI 100 106 022 PSI, Key pos: 4 100 202110 Transmitter board RoR TS Ordering no: 07116001 = ° Drawing: KO 6076 Layout 00205 001 Comp prin Change order: 2687 vl 100 006 012RN 30 cu Tot acr |KO 8 6.1 & 3 vii pieog wiely OLAlarm board R1419 R2, 6,7, 12 R8, 9, 13, RL4, 5,11 RB RIO co 12 C45 cs Ict Ics 12 1c4 13 v1.2 P2t 20, Key: pos 10 100 108 047 100 108 050 100 104 060 100 104 062 100 104 077 100 104 090 100 110 060 100 116 036 100 114 010 100 114016 100010019 10001003, 100 010.036 100 010.064 100 010 067, 100 002 005 100 202 088 100 202 116 Sambo "" €00177004 ‘Comp.print: (Change order: Ko 8613 002 Ko 8614 E0 0113 005 E0 0177 004 6581Press. transducer board er “K06170__ tersyy izowy saad VRET__Z0vR PB9(P9OI + + 0 ‘ a, ev mo, oo . ciePO 7 Pressure le TRANSDUCER WY 10 Tove tzova) (2ovi) i INPTS] (eral = i | | | | ! | | ! ! | ! i ! \ i at Onmig © 400mg £00180005 afe [efron] 7 veil oreo | We uanuty [Dawe 621107 [omer ® A] cmv bp Jaur.onf [scate Fri | PRESS. TRANS. BOARD DATA IN: @gambro Lund ‘Sweden 113 Press. transducer board 2 T . ry Ic “0 1 ker ° -mi-b ter eoctaitd P66, Key: pos 6 P89) Feeler pin A, B,C Adjustment For KO 6513 001, KO 6510 001: A-3, B-2. RI Adjust -3,5V 4+ /-8mV, P66:9 at O mmHg Ra Adjust -3,9V +/-8mV, P66 at 400 mmHg, For KO%6513 002: A-2, B3, RI Adjust -3,5V +/-8mV, P66:9 at O mmHg. R4 Adjust -3.9V + /-8mY, P66:9 at 400 mmHg, Ordering no: Drawing: Layout Comp.print Change order: 100 103 052 100 104 060 100 104070 100 104077 100 105 048, 100 105 060 100 106 010 100 106 014 100 116.030 100010037 100 202 068 100 202 089 100 202 230 061708 Kosi?! £0 0180000 0 0181 005 4401Wiring diagram 12 Drawing: ko $723 1 663sa PERERA (i if An FF ‘ ie ii Roar 10557 pe fe [daeProgram interconn. unit 13 2 RNI RN2 Ic Ick Ic Ick IC, socket P22 2 [00185001 100 108 022 100 108 025 K0 6219001 06219003 K0 6219 004 K0 6219 006 100011 010 100 202 087 Intermittent BP Continuous BP Intermittent BP/USA Continuous BP/USA Ordering no: KO6216A Drawing: Ko6217 Layout: 0 0182 002 Comp.print: 0 0185 001, ‘Change order: 2479P22 | Rosita od i: oe i 7 = «he Is i eee a al 2 te re tH 2 He — Ke ioe 7 “te san ae Hn ie [ j r [ef =H pn reslel RARE Eee] 00 ooo a ae aes Fezb Hf EB — alee TI | | Ce ie TAO Bhs [= |lFl2 CNHc E-6012 ® Copyright Gamoro AB, Lund, Sweden, 10.1984/Printediy Rahms i Lun gambro! east Gambro Lunda AB P.O, Box 10101 $200 10 Lund