Diascan & Kt/V measurement

Select SET DIASCAN

Set values
Select WATSON FORMULA

Set values
The Diascan can be used for:

•Clearance measurement (K) in order to read the current dialysis

efficiency for the on going treatment.

•Dialysis dose measurement (Kt or Kt/V) in order to check that the

prescribed dialysis dose is being maintained, which provides quality
assurance for the treatments.

•Kt/V target supervision , which means that the machine constantly

calculates if the desired and minimum values for Kt/V, set by the operator
for each individual patient, can be reached at treatment end.

© 2008, Gambro Lundia AB 2

DiaScan hardware
•Extra conductivity cell (Conductivity cell C).

•Measure the conductivity after (down stream) the dialyzer.

•PT-100, for temperature compensation of the conductivity value.

•The DiaScan cell cannot be calibrated in the field.

•The Diascan is offset, to match the P cell during the UF cell taration.

© 2008, Gambro Lundia AB 3

DiaScan Function
•Measure the effectiveness of the treatment or the K (clearance) i.e. how
many ml/min of blood that has been totally cleared from urea.

•Machine cannot measure urea. But the machine can measure sodium
ions. Sodium ions has about the same size as urea.

•By increasing/decreasing the sodium level in a step of 0.5 mS/cm (preset)

for about 5-7 minutes and then measure the conductivity before and after
the dialyzer, the ability of the dialyzer to transport sodium can be
calculated.

•The step will either be negative or positive depending on sodium level in

the blood and in the dialysis fluid.

© 2008, Gambro Lundia AB 4

•Measurement interval is set with a preset (start value).
•Flow condition has to be stable for 5 minutes and then the actual
measurement is done for 8-10 minutes.

•If stable flow conditions are not met the measurement is delayed
until the conditions have been stable for 5 minutes.

© 2008, Gambro Lundia AB 5

•Then there is a measurement of the pre step condition (3 minutes) then
the step is added and the actual measurement is done.

•If a measurement of pre step condition is disturbed by an alarm or change

of blood flow, the measurement is rescheduled to be performed again
when the conditions are stable.

•Stable flow conditions:

No changes in: Blood flow, UF-rate or Fluid composition, No UF-tarations (bypass) or Bypass Alarms
(bypass or blood pump stop).

•The limits for conductivity are widened during the measurement and until
1 minute after.

© 2008, Gambro Lundia AB 6

•Some parameters are locked during the measurement (Pre step and
step):
• sodium and bicarbonate (conductivity)
• temperature
• dialysis fluid flow
• UF volume
• profiling settings

•The following can interrupt a measurement:

• Blood flow stop or change
• UF stop

If a measurement is interrupted, the measurement will be rescheduled until stable flow conditions are met.
If the limit for sodium load has been reached an attention is issued.

© 2008, Gambro Lundia AB 7

Diascan error codes

•No error codes that will interrupt the treatment.

•If there is a technical error with the Diascan during treatment an

attention will be issued and a silent error code will be stored in the error
code buffer.

© 2008, Gambro Lundia AB 8