Day 2

Hydraulic Flowpath Lab Part 2
• Purpose: To gain experience locating and

identifying components and understand how to
relate those components to the hydraulic
flowpath diagram.
• Using the flowpath diagram identify the

numbered hydraulic component.
• Fill in each table with the name of the
component
• The numbered components follow the hydraulic
flowpath diagram.
© 2012 Gambro, Inc. 1

Dialysate 39
Control
40
36
37
38
39
40
37
38
36
37

Ultrafilter
41
42
43a
43b
43 a
42
41 43 b

Ultrafilter
44
47
45
46
47 46
45
44

Dialysate Lines
Bypass 50
49
48
Inside Door
48
51
49
50
51

Ultrafiltration 57
52
53
54 56
55
56 58
57
58 55
54
52
53
58

Fluid Removal
59
60
61
64
61 59
62
63
60
64
63
59
62

Flow to 65
Drain 66
66A
67
70 68
69
70
67
66A
67
Behind 66
66
69
68
65 Lower Rear Panel

UF Rear Door, Behind Pumps
Accuracy
76 73
71
79
75
75
72
77 80
74
78
71 76
72 77
73 78
74 79
75 80

UF Accuracy
82 84
83
81
81
82
83
84

WHO
85
85 89
86
87
88
89 88
90
90a 90a
90
86
87 86
88
Behind door

Chemical Disinfect
92
91
95
94
91
92
93
94 93
95

Phoenix Hydraulic Phases Overview
®
Processes: Phases:
Dialysis 32, 7, 1, 2,… 18,19, … 33
Rinse 1,2,… 8…14,15,16, CCK
Chem. Disinf. 1,2… 17
Heat Disinf. 1,2,… 18 20
Heat Citric 1,2,… 13,14,15 26 28
Notes: Phases execute almost in numerical order except:

•Dialysis 32 & 0 = Idle
•Dialysis 19 = dialyzing, Dialysis 18 = Taration
•A group may repeat for several cycles to consume time
(e.g. Rinse 8…14 and Heat Citric 13,14,15 and some in Heat Disinf.)
•Heat and Heat Citric may jump to 18 or 26 respectively to reheat
•See Service Manual Chapter 3 for details.

Service Manual Chapter 3 Hydraulic Phases
• Divided into 5 sections (processes):

Dialysis, Rinse, Chem, Heat, Heat Citric
• Each phase:
Left page=table, Right page=diagram
• Each section begins with its own legend
• Importance or Value:
– expected behavior = Phase Diagrams & Tables
– actual behavior = observations of Status Screen & system
– Differences: expected vs. actual
= info for troubleshooting
• Advanced Phoenix CD animations of flow path

bring flowpath diagrams to life & give extra info.
Part number: LOC-16961

Dialysis Phase 19 - Dialysis
•Paths shown bold in each phase diagram are active paths

(bold in the Service Manual = yellow highlight on this slide).
•Manual uses schematic symbols for devices compared to
Student Training Manual uses pictorial symbols.
•Phase 19 is normal treatment (dialyzing + ultrafiltrating)

Dialysis Phase 18 – Taration (Flow Meter Cal.)
•Dialysate in bypass to calibrate D2 relative to D1 (dialyze time paused).

•Ultrafiltration continues.
•Recirculation back thru EVUFo & Po
•Every 15 min. for approximately 40 sec. during treatment.

Legend
Notes:
Each Process has its own legend
to explain symbols used in tables
for that Process.

Profiling
• Profiling
allows for
configuration of
predetermined
adjustments for
Final Conductivity
(Sodium Profiling)
and/or
Ultra-filtration
(UF Profiling)

Profiling
• Three curve
types:
– Constant
– Step
– Progressive
• Constant
– Corresponds to
Dialysis Mode
with Profiling
turned off.
(Disabled)

Profiling
• Step
– Each Step is 15
minutes
– Next and future

steps can be
changed during
Treatment
– Treatment Time
determines
number of steps

Profiling
• Progressive
– Amount of
change by
midpoint of
treatment
determined by
Curve
Coefficient %
– Range from 20
to 80 %
– A coefficient of
50% will be a
straight line
– Less then 50%
Curve is concave

Technical Assistance Services
PHOENIX® Simulated Treatment (w Heparin & Profiling)

LAB 3
This LAB describes the procedures to perform a Simulated Patient Treatment that includes
additional patient related procedures: Heparin infusion; UF and Sodium (Na) Profiling. Lab
activities include: TOOLS; SETUP; SIMULATED TREATMENT; ENDING TREATMENT; RINSE
SETUP: REQUIRED TOOLS / EQUIPMENT / SUPPLIES
1. Acid Concentrate
2. Bicarbonate (BiCart or liquid bicarbonate solution mixed in jug)
3. A/V Pressure Test Tool
4. Approx. 10 inch fluid-filled length of blood tubing for Air Bubble Detector (ABD) and Venous
Clamp
5. P2 Pump Calibration Tool
6. 1000 cc (or larger) Graduated Cylinder (simulates patient)
7. 20 cc Syringe (or larger)
SETUP: MOUNTING TOOLS
8. ACID: Connect a jug of acid concentrate to the machine using the red, male Acid
Concentrate Connector and a white Suction Rod.
9. BiCart: Install a BiCart cartridge or connect the jug of liquid bicarbonate
10. A/V PRESSURE TEST TOOL:
10.1. Open the Blood Pump door and install the Arterial/Venous Pressure Test Cartridge
and close the door securely. The two pressure transducer access lines should be open
to atmospheric pressure.
10.2. NOTE: Simulates arterial / venous patient blood pressures in the Blood Tubing Set.
10.3. NOTE: The Blood Pump Rotor will automatically position itself to the horizontal
position when the Blood Pump Cover is opened.
Page 1 of 9 May 2012


LAB 3
11. TUBING SEGMENT:
11.1. Install a fluid-filled length of blood tubing in the ABD and the Venous Clamp.
11.2. NOTE: Simulates the presence of a Blood Tubing Set.
12. P2 PUMP CAL TOOL:
12.1. Hang the P2 Cal Tool in the Dialyzer Holder on the L side of the machine (red & blue
dialysate connectors up). Do not connect the dialysate lines to the P2 Test Tool at
this time. (Connect the dialysate lines only after the “Dialysate Prep Complete”
message appears on the display, later in this setup procedure.)
12.2. NOTE: Simulates the Dialyzer.
13. GRADUATE:
13.1. Fill the graduated cylinder with 1000 ml of tap water and place it on an inverted
bucket on the left side of the machine.
13.2. NOTE: Simulates the Patient. During Dialysis, the system pulls fluid from the patient
through the dialyzer. During a Simulated Run, the system pulls fluid from the
graduated cylinder (patient) through the P2 Cal Tool (dialyzer).
SETUP: BEGIN DIALYSATE PREPARATION PROCESS
14. Press the SETUP key.
15. Press the BICART key. (or LIQUID BICARB if applicable)
SETUP: ENTER TREATMENT PARAMETERS – HEPARIN PARAMETERS
16. Select the HEPARIN tab, press the SET key, and program the following heparin parameters:
16.1. INITIAL BOLUS = 3.0
16.2. HEPARIN RATE = 8.0
16.3. HEPARIN STOP TIME = 0
16.4. Press the SET key.
16.5. Install an empty syringe in the holder and use the right arrow key to extend it half
way.
16.6. Select LINEAR. The key will turn yellow indicating that heparin infusion is active.
16.7. Return to the HOME screen.


LAB 3
SETUP: ENTER TREATMENT PARAMETERS – CONDUCTIVITY PROFILE
17. Press the PROFILE tab and observe the layout of the Profiling Home screen. Press the CON
tab and then the SET key to enter the following parameters:
17.1. CON CURVE TYPE = PROGRESSIVE
17.2. INITIAL VALUE = 15.0
17.3. FINAL VALUE = 14.0
17.4. CURVE COEFFICIENT = 20% to 80% (experiment, then select any value)
17.5. Press the SET key to return to the Profile Home screen.
SETUP: ENTER TREATMENT PARAMETERS – ULTRAFILTRATION PROFILE
18. Press the PROFILE and SET key and set the treatment time to 1 hour. Press the UF tab
and then the SET key to enter the following parameters:
18.1. UF CURVE TYPE = STEP
18.2. 1st 15 min. step: STEP UFR = select any rate
18.3. 2nd 15 min. step: STEP UFR = select a different rate
18.4. 3rd 15 min. step: STEP UFR = select another different rate
18.5. 4th 15 min. step: STEP UFR = select another different rate
18.6. TARGET LOSS = 1.6 kg
18.7. Press the SET key to return to the Profile Home screen.
19. Select the ACTIVATE UF RATE CURVE and ACTIVATE CONDUCT. CURVE keys. They will
both turn yellow indicating that they are active.
NOTE: While you wait for the Prime key to appear observe the progression of the T1 Test
messages at the top of the screen.
SETUP: PRIME KEY & SIMULATE SALINE PRIME
20. When it appears, press the PRIME key and then press the PRIME W/O UF key. The Blood
Pump will begin to run in the reverse direction (CW). (This simulates priming the blood
tubing set with saline to purge it and the dialyzer of air.)
21. When the “Prime Volume Complete” message appears, press the OVERRIDE button to
clear the message.
22. NOTE: While waiting, identify the screen icons and pictogram, and their meanings.


LAB 3
SETUP: SET ARTERIAL & VENOUS BLOOD PRESSURES
23. Apply simulated patient pressures to the A/V Pressure Test Tool with a small syringe:
23.1. Set the venous pressure between +50 and +200 mmHg and clamp.
23.2. Set the arterial pressure between –50 and –200 mmHg and clamp.
SETUP: DIALYSATE PREP COMPLETE & CONNECT DIALYZER LINES

(DIALYSATE PRIME)
24. When the “Dialysate Prep Complete” message is displayed at the top of the screen (and/or
yellow BYPASS key appears indicating machine is in bypass), perform the following steps:
24.1. Attach the dialysate lines to the P2 Cal Tool, matching the connector colors.
24.2. Hold the Tool in the filling position. (SEE FIGURE 1a).
24.3. Place the long narrow tube of the P2 Tool into the water-filled graduated cylinder and
open the Tool clamps. Clamp off the short unused “Y” section of the Tool. (SEE
FIGURE 1b).
24.4. Press the yellow BYPASS key to take it out of bypass (BYPASS turns gray and P2 Tool
will begin to fill)
24.5. When the Tool is about 75% full, invert the Tool so the dialysate connectors are at
bottom and place in dialyzer holder. (See Figures 1a and 1b.)
24.6. (Water drawn from the cylinder during Dialysis will simulate fluid removed from the
patient.)


LAB 3
Figure 1a – FILLING POSITION Figure 1b – TESTING POSITION
Connect and fill to 75%, then invert. Clamp the short tube from the “Y”. Add
an extension to the open tube or elevate
the graduated cylinder, so that the tube
reaches to the bottom.


LAB 3
SETUP: PATIENT CONNECT
25. Within two minutes, the PATIENT CONNECT and RECIRC keys will appear.
26. Press the PATIENT CONNECT key, and then press the () button to confirm.
27. Press the Blood Pump ON/OFF button to start the blood pump at the default speed. (Pump
turns in the CCW direction.)
SETUP: SIMULATE PATIENT’S BLOOD
28. In order to simulate blood in the tubing in the Patient Sensor (a necessary condition for the
machine to continue toward Dialysis), follow these steps:
28.1. Select Status Screen #2 to view the Patient Sensor signal (PAT SENSOR) in the
Protection Module column about ¾ of the way down. Record here _________.
28.2. To prevent triggering an AIR IN BLOOD alarm, GENTLY open the air bubble detector
(ABD) door.
28.3. Using a thick business card or thin credit card, SLOWLY block the patient sensor’s
signal at the bottom of the ABD assembly by GENTLY sliding the card up from the
bottom of the ABD, on the right side of the fluid-filled tubing, between the tubing and
the patient sensor.
NOTE: An AIR IN BLOOD alarm will be triggered if the tubing is disturbed in the top
1/3 of the ABD (or if too much vibration of the blood tubing occurs).
NOTE: If an AIR IN BLOOD alarm occurs, see the procedure in the next section.
28.4. The patient sensor value should slowly decrease to ≈ 20 and the BLOOD IN VENOUS
LINE alarm should then occur (this is good), turning the blood drop icon red and
stopping the blood pump. Press the OVERRIDE button, which will clear the alarm
message and restart the blood pump.
28.5. GENTLY slide the card down and out of the ABD and GENTLY close the ABD door.
Press the HOME key to return to the home screen.
NOTE: An alternate method of making the patient sensor sense blood (blood drop
icon turns red) is to simply remove and then replace the tubing in the ABD, then clear
the AIR IN BLOOD alarm as described the next section.


LAB 3
SETUP: AIR IN BLOOD ALARM
29. If an AIR IN BLOOD alarm occurs, ensure that the ABD door is securely closed and follow
these 4 steps to clear the alarm:
29.1. NEGATIVE - Connect a syringe to the venous line on the A/V Pressure Test Tool and
decrease the displayed venous pressure to a negative value of about - 40 mmHg.
NOTE: Opening the venous pressure to atmosphere is usually sufficient during a
Simulated Treatment.
29.2. OVERRIDE – Press the yellow OVERRIDE button on the Main Keyboard (override
symbol will then appear at the left side of the alarm message and the Venous Clamp
will open).
29.3. RESUME – Press the RESUME button (on the Blood Pump Keyboard) to restart the
Blood Pump.
29.4. POSITIVE – After the alarm clears and the Blood Pump resumes, reapply positive
venous pressure.
SIMULATED TREATMENT: START DIALYSIS
30. Remove the P2 Tool line from the graduated cylinder and record the fluid level: _________.
Insure that the level in the cylinder is still greater than 900 ml.
31. Replace the line and verify that the end of the tube reaches to the bottom of the cylinder.
The short section of tubing at the “Y” should remain clamped.
32. Press the DIALYSIS key on the display. After the Blood Pump ramps to the default speed
(green light stops blinking), set the Blood Pump speed to about 400 ml/min.
33. If a “HEPARINIZATION NOT STARTED” alarm occurs, clear it by pressing the OVERIDE
button. It can also be cleared by pressing the HEPARIN tab and then pressing LINEAR
(turns yellow - ON). Press the HOME tab to return. The Heparin Pump can be left on or it
can be turned off (touch LINEAR again - turns white - OFF) during the simulated treatment.
34. Connect the blood pressure cuff quick connector to the (BPM) port on the rear panel. Put
the blood pressure cuff on your arm. Press the ♥ key on the Main Keyboard. Verify that the
cuff inflates and when the BP measurement is complete, confirm blood pressure and pulse
values are displayed.
SIMULATED TREATMENT: END DIALYSIS


LAB 3
35. When the Treatment Time display has counted down to 00:00, the message “Treatment
Time Complete” will be displayed. Remove the P2 Cal Tool line and record the amount of
fluid that remains in the graduated cylinder: ____________
36. Subtract the remaining fluid amount from the starting amount to determine the Fluid
Removed ____________. (This value should be 800 ±25 ml. This is the fluid removed from
the simulated “patient”.)
37. Record the TOT FLUID REMOVED display value ____________. (This value should also be
800 ±25 ml.)
NOTE: This ends the Simulated Treatment.
RINSEBACK: RETURNS PATIENTS BLOOD FROM BLOODTUBING
38. Press the RINSEBACK key and press the () button.
NOTE: In an actual dialysis treatment, the arterial patient line is attached to a saline bag and
the Blood Pump returns the blood from the Blood Tubing Set and Dialyzer back to the
patient.
EMPTYING: DIALYSATE EMPTIED FROM DIALYZER (P2 TOOL)
39. Press the EMPTYING key and press the () button. This will begin the process of empting
the dialysate from the P2 Test Tool.
40. Follow the directions in the screen. After returning the blue dialysate line connector to the
bypass port, elevate the P2 Test Tool holding it with the red dialysate connector on the
bottom and allow the machine to drain the Test Tool.
41. Do not remove the BiCart cartridge and the acid concentrate connector at this time.
NOTE: Waiting until IDLE to remove the BiCart allows the BiCart cartridge to depressurize,
which prevents splatters of bicarbonate solution.
42. When the “DIALYZER EMPTY” message appears, return the red dialysate line to its bypass
port.
43. Remove the A/V Test Tool and the short tubing segment from the ABD assembly and Venous
Clamp.
DESCALING: CLEANING THE HYDRAULIC FLOW PATH (ACID or VINEGAR)


LAB 3
44. Press the DESCALING key. (Acid concentrate is drawn up while the descaling timer counts
down. The optional VINEGAR DESCAL key can be used with a jug of vinegar substituted for
the acid jug. The Phoenix system will perform a brief 3-minute final rinse to flush out the
acid or vinegar used during Descaling.)
RETURN TO IDLE:
45. When the Final Rinse is complete, the system will display a message in a large white box to
indicate it is executing self tests (T1 Tests 5-11). Then it will return to the IDLE mode and
the Rx MGMT, SETUP, NEW SESSION, and ADR keys will appear.
46. Connect the Acid Concentrate Connector to its rinse port. Remove and cap the unused
portion of the BiCart cartridge for later use. Close the BiCart Holder arms to the rinse
position.
47. Press the ADR key and press the RINSE key to initiate a full system rinse.
48. This concludes LAB #3.

T1 Tests Overview
•T1 Tests are automatic Self-Tests that ensure:
–Machine is working properly
–Machine is able to protect the patient
•Described in Service Manual chapter 7
•Observed in Status Screen #2, 4th column, items “T1T…”
•Valuable troubleshooting tool
(need simulation tools for 2nd half tests)

T1 Tests execute when
• During boot-up: 1st half (Tests 1-11) executes

verifying computer and electronics related hardware
• Beginning of 1st treatment (SETUP…Dialysate Preparation Complete)
2nd half (Tests 13-21) executes
verifying dialysate, hydraulic, patient-monitoring, alarm hardware
• Between treatments:
– Between Emptying … IDLE: Tests 5-11 execute,
and activates NEW SESSION key, and
– If press NEW SESSION key: Only Tests 13-15, 20 are executed, or
– If press SETUP key: All Tests 13 – 21 are executed
– Re-boot ensures no tests are skipped

T1 Tests List
1 CPU (after power on) IDLE MODE
2 EPROM CRC (after SETUP Key)
3 Comparator 13 Valve Commands
4 RAM IC’s 14 Venous & Arterial Pressure
5 Battery (12V) 15 Blood Pump
6 Audible & Visual Alarms 16 Pi, Po Pressures & Leak Test
Not used
7 17 Temperature
Not used
8 18 Acid Conductivity
Not used
9 19 Bicarb Conductivity
10 24 Volt Power Removal 20 Blood Leak Detector
11 Venous Clamp 21 Ultrafiltration Pump & Diascan
Not used
12 22 Not used – (T1 Tests Complete)
IDLE MODE

4
OFF
OFF
13
12
21
22
4
4
PREPARATION
COMPLETE
DIALYSATE
T1T RESULT
T1T RESULT
T1T ACTIVE
T1T ACTIVE
T1T NEXT
T1T LAST
T1T NEXT
T1T LAST
22
21
P UF
IDLE
T1 Test Progression
20
BLOOD LEAK DETECTOR

NO TEST FOR
PHOENIX
STEP 12
Concurrently
19
B CONDUCITV ITY
12
18
A CONDUCTIV ITY
11
VENOUS CLA MP
© 2012 Gambro, Inc.

17
24 V OLT PO WER T EMPERATURE

10
RE MOVAL
P i & P o PRES S URES
16
P ATIENT CIRCUIT
NO TESTS FOR
STEPS 7 TO 9
LE AK AGE
9
PHOENIX
BLO OD PUMP
15
8
7
V ENO US P RESSURE
14
A RT ERIAL P RESS URE
ALA RM TES T
(AUDIO & V ISUA L)
6
VALVE COMMANDS
13
BATTE RY TE ST
5
PREPARATION
IN PROGRESS
DIALYSATE
PROTECTIVE BOARD
RAM IC’S
4
CO MPA RATO R
3
EP ROM CRC
2
CP U T ES T
1
COMPACT FLASH
ACETATE
LOA DING
BICARB
BICART
A PP LICA TION
( PHO ENIX 3.3x )
LOA DING
PC 104 BOARD
O PERATING
SYS TE M
BIOS BOOT
PRESSED
SETUP
POWER ON
START
IDLE
The Phoenix system can use both types of
®
bicarbonate concentrate.
The correct type of acid concentrate must be selected
for use with each of these bicarbonate concentrates
Bicarbonate Concentrate Acid Concentrate
8.4% (BiCart) 35X or 45X
6.6% 36.83X
Acid mixing ratios

Designation 35X 36.83X 45X
Fresenius Baxter/Drake Phoenix
Acid:Water Mix 1:34 1:35.8 1:44
AAMI Symbol SQUARE CIRCLE TRIANGLE
• Calibrate Phoenix conductivity using the same concentrates that the

machine has been configured to use. If both 8.4% and 6.6% concentrates are
to be used, calibration of the bicarbonate conductivity must be made using
both bicarbonate types. See calibration notes in the Service Manual, Ch. 8

B lo o d P u m p
H a ll S e n s o r
B o a rd
Heparin
Motor
-+
Stepper
Board Motor
System Block Diagram HDBPM

Arterial & Venous Clamps
Module
Blood Pump CLAMP
DRIVER BLOOD PUMP
Tc CD Pressure BOARD MOTOR BOARD
Cuff
HOUR Venous
Gambro Clamp
Alarm Lamp Line Line
Patient Card Diascan Sensor Presence
Sensor
Touch Optical sensor on
Screen newer machines
-
Keyboard Bio DL2 Blood V50
PIB Board
or
Video Slave DL5 Slave
Board Board Audio Alarm
Buzzer
Main Board -+
Arterial Venous ABD Blood
Tech DL1 Pressure Pressure Patient Pump
Pc-104
card Sensor Sensor Sensor Speed Protective V9
MOTHER BOARD
Slave
Ethernet
Water Heating & Deaeration Board
Carrier 1 Board Board
(Dialmaster/ 115V
Black box)
Hydraulic V50
RELAY OPTO
RS 485
Board
Slave SWP
PH
CDROM (CentryNet) Board BOARD
Swkb OVER
Heater
TPS
Ph
Enable
SWFS LFP PC TEMP LD1 Sensor
Drive BOARD
SWP1
Swa Swb Swd
SWBY TP
Concentrate A & B Proportioning

J2/J37 on Mother Board PD
SRESET
+15VS
+24VP
-15VA
-15VS
+5VD
+5VB
+5VP
+15V
+24V
12V Only on
+12V
EVH2O, EVDEG, EVC, EVD, EVP,

Switching Supply EVS, EV1S, EVD1, EVBP2, EVD2, PA +15vs
EVUF, EVHE, EVW1 AND EVW2 -15vs
0vs PB
A B
WHO WCON/WHF
Blood Leak
Power Supply +24V BATTERY 12V - Switching Supply Dialysate flow & Mass Balance Detector
BACKUP 7.2V - Linear Supply DCS-out Lp Ld1 Ld2
Module Power LFD Ev1, Ev2, EVBP,
TEST BAT D2 EVUFO, EVDS1,
Fail DCS-in PF D1
PI P1 P2 PO EVR1
Buzzer
MAIN
SWITCH
PS Ultrafiltration
REL24
Sterilant HLS 24 VP enable

HLUF
Tank REL24
LLS PUF UF Burette LLUF
MSWOFF
Power Transformer not used on Switching Supply Oct 2011

Power Supply/Management
Protective V9
Slave
Board
PWFAIL
TEST BAT
REL24
MOTHER BOARD
J2/J37 on Mother Board

SRESET
+15VS
+24VP
-15VS
-15VA
+5VD
+5VB
+5VP
+15V
+24V
12V Only on
Switching Supply
Power Supply +24V BATTERY

BACKUP
12V - Switching Supply
7.2V - Linear Supply
Module Power TEST BAT
Fail
Buzzer
MAIN
SWITCH
PWFAIL
REL24
MSWOFF
Power Transformer not used on Switching Supply
DISPLAY and TOUCHSCREEN OVERVIEW
THE DISPLAY 12V POWER SUPPLY
DC/DC 24/12 CONVERTER
CONSISTS OF 3
INDEPENDENT CIRCUITS
-
j 45 (FOR MACHINES S/N < Ph3066)
Motherboard
j 1
Inverter
Main Board BACKLIGHTING
LAMP
C AR R IER 1
LAMP
PC 104
d7-yellow
or VIDEO-DATA
PENTIUM
dl1-green
C PU
TOUCHSCREEN
CONTROLLER
TOUCHSCREEN
EMERGENCY
CALIBRATION
RGB
RGB
LVDS-TX LVDS-RX
LOW VOLTAGE DIFFERENTIAL S IGNALING
Communication Protocol
Bio Slave
SERIAL
COMMUNICATION
LED
Board Dl2 (Bottom LED

Blood
Older Boards Slave Board
FLASH
SERIAL
RAM
-Black Plastic Case) COMMUNICATION
LED
FLASH
DL5 (2nd LED from Top
RAM
Newer Boards
-White Plastic Case) V50
(Top Inside LED)
SERIAL
BPM COMMUNICATION
-
LED
68HC11
EEPROM
Micro.
ROM
RX-TX
Main Board
FLASH
8031
EEPROM
RAM
SELECT
SERIAL 68HC11
MOSI
MISO
V9
SCK
COMMUNICATION
SELECT
CARRIER1
RAM LED (Top LED)
MISO
MOSI
PCMCIA
SCK
CARRIER PLD DL1 S4
Protective
(Tech Card) (Bottom LED)
S2
PC-104
Slave
Communication
Master S3 SELECT
Master out Slave in 68HC11
Board
MOSI MOSI
PENTIUM
68HC11
Master in Slave out
EEPROM
CPU MISO MISO
Synchronization Clock
SCK SCK
S1
S1
S2
DECODER
S3
SELECT
MOSI
MISO
SCK
S4
16M or 64MB
Compact
EEPROM
128MB
Flash
DRAM
BIOS
COM
RS 485
EEPROM
RX-TX
PORT
Board
Ethernet 68HC11
Port
(CentryNet)
Serial Peripheral Interface (SPI)
SERIAL CHANNEL CONNECTED
TO THE COMMMUNICATION
SLAVES VIA THE MOTHER BOARD
Ethernet
SERIAL
Board
FLASH
RAM
COMMUNICATION
LED
CDROM (Exalis and V50

Black Box (Top Inside LED)
PATIENT
CARD Data Collection) Hydraulic
Drive Slave Board
Flow PD (Drain pressure)
PD
Control SWP (Water inlet
J4 P1 (Speed control)
FP1 (Pump encoder)
J18
press. sensor) J4
J13 P1
380 mmHg J4
EVH2O D1
(Water inlet valve) J36 J20
J20 FD1 (Flow meter signal)
J20 PFS (Clean dial. press)

PF PI PI (Dial. in pressure)
PC (Pump speed control) J3 J20 J20
PC FPC (Pump encoder) J3
Ev1, Ev2, EVBP,

LFP (Heater EVUFO, EVDS1,
inlet low flow) J35 EVR1
J36 Double image J36
200 ml/min comparison
SWP1 (Drain output
press. switch) J20 PO
760 mmHg J20 PO (Dial. out pressure) J20
J4 P2 (Speed control) FP2 (Pump encoder) J4

LFD (Dialysate flow switch) J13 P2
200 ml/min
- D2
J20 FD2 (Flow meter signal) J20
Main Board FPUF (Pump frequency)
Tech
Hydraulic V50
Puf (Speed control)
J5
Pc-104
card
Slave J5 Level Sensors
J35
Board HLUF
DL1
Ultrafiltration
J35
Carrier 1 Board
UF Burette
LLUF
Protective V9
Slave
Board
FLOW SETTING
CDROM
Drive
Connectors Listed are on Motherboard

Temperature Control
Main Board
Tech
Pc-104
card DL1 TEMPERATURE ENABLE AND SETTING SPI (Serial Periferal Interface) Protective V9
Slave
Board
Carrier 1 Board
Hydraulic V50
Slave
Board
Heater DC Resistance (approx.)10.3 Ohms
115V
RELAY OPTO
-
Closed When
Heater Enabled
Duty Cycle
Controlled
SWP
(Water inlet
pressure sensor) J13
380 mmHg
1-2 3-4
Heater over-temperature
LFP 24VP / 5VD / 0VD J2 1-2
Thermocouple (350° C)
2-3-5
(Heater inlet J4
low flow)
J35 J2
H (Opto control) On = Heater Enabled
200 ml/min 7
J2 Off = Heater Disabled
RCH LD1
(Enable heater relay)
1 J1
J2 TPS (Temp. probe PT100)
TP (temp. probe PT100) J20 TSTOHT OVER
(Over temp. test enable) TEMP.
6
J2 BOARD
OHT
PC (Heater over-temp. alarm)
4
(Pump speed control ) J3
J2
PC J3
FPC
(Pump encoder)
115Vac 1-3 POWER SUPPLY
J3 +15V / +10Vref

Conductivity Control
Protective V9
SET VALUES; BICARB AND FINAL CONDUCTIVITY

Slave
Board
Hydraulic V50
Main Board Slave FPA (Pump frequency) J6
Tech Board J4
card
Pc-104 SWA1C (Central SWA2C (Central
Acid Switch 1) Acid Switch 2)
PA (Speed control)
PA 1 2
DL1 J6
CENTRAL CONCENTRATE
Carrier 1 Board J6 DPA (Direction)
SWBC (Central
J4
3
Bicarb switch)
J6 HBST (Booster)
PFCA J14
Normally
Normally
Flashing
Off
Thermistor
D5 D6 CPC A PROTECT.
SWA (Acetate/acid Board ACID Conductivity Probe
conc. switch) J13 Frequency PFCA
Monitoring Voltage superviser ±15 Vs
Conductivity Probe
Normally
J14 DTY Kit CPCA On
CONTROL ACID
D4 Thermistor A
J14 CPCB
Normally Normally Thermistor
Flashing Off CPC B PROTECT.
Board BICARB. Conductivity Probe
D5 D6 PFCB
Frequency Voltage superviser ±15 Vs
SWBK (BiCart switch) J13 Conductivity Probe
Monitoring Normally
On
D4 CONTROL BICARB.
Thermistor B
SWB (Bicarb. SUPPLY
conc. switch) J13 +15VS 5VD
J6 PB (Speed control) 0VS 0VD J14
PB -15VS
J6 DPB (Direction) PFCB J14
J6 HBST (Booster) FPB (Pump frequency) J6

Conductivity Control/New Style Condo Cells
Protective V9
SET VALUES; BICARB AND FINAL CONDUCTIVITY

Slave
Board
Hydraulic V50
Main Board Slave FPA (Pump frequency) J6
Tech Board J4
card SWA1C (Central SWA2C (Central
Pc-104 Acid Switch 1)
2
Acid Switch 2)
1
PA (Speed control)
PA
DL1 J6 C o n do A an d C on d o B Ce lls S ta tu s L E D ’s
CENTRAL CONCENTRATE
J4
CONDO NOT OK
Carrier 1 Board J6 DPA (Direction) CONDO OK SWBC (Central
D7 ON (Steady) D7 Off Bicarb switch)
3
J6 HBST (Booster) D12 Flashing D12 ON (Steady)
PFCA J14
Thermistor
CPC A D12 PROTECT.
SWA (Acetate/acid Board ACID
conc. switch) J13 Conductivity Probe
Voltage superviser ±15 Vs

Conductivity Probe
J14 CPCA CONTROL ACID
D7
Thermistor
SUPPLY
+15VS 5VD PFCB J14
0VS 0VD
-15VS
Thermistor
SWBK (BiCart switch) J13 CPC B
D12 PROTECT.
Board BICARB Conductivity Probe
Voltage superviser ±15 Vs

Conductivity Probe
J14
CONTROL BICARB
SWB (Bicarb.
conc. switch) J13 D7
CPCB Thermistor
J6 PB (Speed control)
PB
J6 DPB (Direction) J14
J6 HBST (Booster) FPB (Pump frequency) J6

New Conductivity Cells
6975726 Probe Assy Kit Acetate
6975734 Probe Assy Kit Bicarb
(>= PH10614 See GI 110)
Probe Contacts soldered

to CPC CCA, which is
not spared separately
LED – D7
___
Condo OK Condo OK
D7 = ON (Steady) D7 = OFF
D12 = Flashing D12 = ON (Steady)
Condo OK = 1 – 24 mS
LED – D12
DTY CCA is not installed

on machines >= 10614. DTY
functions incorporated into
new Condo CPC CCAs.
Probes compatible with all serial numbers.

No jumpers to change/modify.
Probes include thermistors.
Even if retrofitting both Condo Probes,
do not remove DTY CCA.
PIB Board
BLOOD PUMP
MOTOR BOARD
J12
Norm ally Off

J41
SMART CARD On Du ring ABD Alarm
P9
INTERFACE
BOARD New Bo ard s D16 D18 D20
or or or PIB Board
Ol d Boa rds D24 D33 D27
P3 P4 P5 P6
P 10
P t.
AB D Se nsor
Blood Arterial Venous ABD Blood

Slave P ressure P ressure and Pum p
Sensor Sensor Patient Speed
Board Sensor
M ain B oard
Te ch Protective
ca rd
Pc-104 Slave
SP I (Serial P eripheral Interfa ce) Board
Carrier 1 Boar d
PIB Board/Keyboard Interface 2007
P1
P3
KEYBOARD
INTERFACE
P2
P7 P6 Main Control Panel
Blood
Pump
Control -+ P1
Normally Off
On During ABD Alarm
Panel
D16 D18 D20 New Boards
or or or PIB Board
D24 D33 D27 Old Boards
BLOOD PUMP
P5
MOTOR BOARD P3 P4
P10
P6
Pt.
ABD Sensor
Blood Arterial Venous ABD

Slave Pressure Pressure and
Sensor Sensor Patient
Board
-
Sensor
Tech Protective
card
Pc-104 Slave
SPI (Serial Peripheral Interface) Board
Carrier 1 Board
Main Board
Blood Module 6-2008
Blood Pump
Arterial & Venous Clamps APP APP2
(Position) (Position) J 12
B lo o d P u m p
APP CAP H a ll S e n s o r
J 12 (Position) (Cover) B o a rd
APSTOP
J 12
(Position) Blood Pump
APP
AP (Speed control)
APBK (Break) Motor Board AF(Encoder)
J 12 APDIR (Direction) CAP (Cover) J 12
AF
APP (Position) (Encoder)
APP2 (Position)
BioSlave
Board AF
(Encoder)
J 34 J 34
VC/AC clamp solenoid VC/AC
VCP/ACP position sensor VCP/ACP
Venous
Clamp
Line
Sensor LPS
Blood CLAMP
Venous
Line
Slave LVCS BOARD
Presence
-
Board Clamp
Sensor
(ABD)
Position
Sensor
Main Board
VCP/ACP
Tech
Clamp Protective
Solenoid
Slave
card
Pc-104 VC/AC

Carrier 1 Board
Heparin Pump
J42 DHEP (Direction)

LED
- +
Increase /
Decrease
J42
J42 HEP (Speed control) HEPARIN
DRIVER BOARD
J42 FHEP (encoder) J42
OVL (Overload) FHEP (encoder)

LOWL (Heparin loading OVL (Overload LOWL (Hep load
course end) or end of heparin) course end)
Stepper
Motor
Blood
Slave
Board
-
Main Board
Tech Protective
card
Pc-104 Slave
Carrier 1 Board

Day 2

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Day 2

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Hydraulic Flowpath Lab Part 2

• Purpose: To gain experience locating and

• Using the flowpath diagram identify the

© 2012 Gambro, Inc. 1

© 2012 Gambro, Inc. 2

© 2012 Gambro, Inc. 3

© 2012 Gambro, Inc. 4

© 2012 Gambro, Inc. 5

© 2012 Gambro, Inc. 6

© 2012 Gambro, Inc. 7

65 Lower Rear Panel

© 2012 Gambro, Inc. 8

© 2012 Gambro, Inc. 9

© 2012 Gambro, Inc. 10

© 2012 Gambro, Inc. 11

© 2012 Gambro, Inc. 12

Rinse 1,2,… 8…14,15,16, CCK

Chem. Disinf. 1,2… 17

Heat Disinf. 1,2,… 18 20

Heat Citric 1,2,… 13,14,15 26 28

Notes: Phases execute almost in numerical order except:

© 2012 Gambro, Inc. 1

• Divided into 5 sections (processes):

• Advanced Phoenix CD animations of flow path

© 2012 Gambro, Inc. 2

•Paths shown bold in each phase diagram are active paths

© 2012 Gambro, Inc. 3

•Dialysate in bypass to calibrate D2 relative to D1 (dialyze time paused).

© 2012 Gambro, Inc. 4

© 2012 Gambro, Inc. 5

© 2012 Gambro, Inc. 1

© 2012 Gambro, Inc. 2

– Next and future

© 2012 Gambro, Inc. 3

© 2012 Gambro, Inc. 4

PHOENIX® Simulated Treatment (w Heparin & Profiling)

SETUP: REQUIRED TOOLS / EQUIPMENT / SUPPLIES

2. Bicarbonate (BiCart or liquid bicarbonate solution mixed in jug)

3. A/V Pressure Test Tool

5. P2 Pump Calibration Tool

6. 1000 cc (or larger) Graduated Cylinder (simulates patient)

7. 20 cc Syringe (or larger)

SETUP: MOUNTING TOOLS

9. BiCart: Install a BiCart cartridge or connect the jug of liquid bicarbonate

10. A/V PRESSURE TEST TOOL:

Page 1 of 9 May 2012

PHOENIX® Simulated Treatment (w Heparin & Profiling)

11.2. NOTE: Simulates the presence of a Blood Tubing Set.

12. P2 PUMP CAL TOOL:

12.2. NOTE: Simulates the Dialyzer.

SETUP: BEGIN DIALYSATE PREPARATION PROCESS

14. Press the SETUP key.

15. Press the BICART key. (or LIQUID BICARB if applicable)

SETUP: ENTER TREATMENT PARAMETERS – HEPARIN PARAMETERS

16.7. Return to the HOME screen.

Page 2 of 9 May 2012

PHOENIX® Simulated Treatment (w Heparin & Profiling)

SETUP: ENTER TREATMENT PARAMETERS – ULTRAFILTRATION PROFILE

SETUP: PRIME KEY & SIMULATE SALINE PRIME

Page 3 of 9 May 2012

PHOENIX® Simulated Treatment (w Heparin & Profiling)

SETUP: DIALYSATE PREP COMPLETE & CONNECT DIALYZER LINES

Page 4 of 9 May 2012