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1. Click Sound Alarm Sound Warning Sound Therapy End Sound El START STOP LAMP LAMP START STOP Software gt 3 46 gt 5 XX 1 Activate the Buttons Lamps and Sounds menu with the Buttons Lamps and Sounds key in the TL Manual Test and Calibration menu The following menu is displayed The following parameters can be checked Click Sound Alarm Sound Warning Sound Therapy End 100 Therapy End 50 SW gt 5 XX Software lt 3 46 1 Activate the Buttons Lamps and Sound menu with the Buttons Lamps and Sound key in the TL Manual Test and Calibration menu The following menu is displayed The following parameters can be checked Click Sound Alarm Sound Warning Sound Therapy End Sound LED LED LED Inscription on Keys M T M D DE08C M KAY DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy You can test the keys and lamps of the menbrane keyboard and the sounds You can test the function of the T B and k keys and the respective LEDs You can also test the different sounds click sound alarm and warning sounds SW lt 3 46 SW gt 3 46 Acknowledge alarms 2 k Acknowledge entries B Braun M edizintechnologie GmbH Dialog Dialog Advanced meer 4 10 1 2 Monitor Test A table appears with all colours Every square contains an alphanumerical character with different character fonts The brightness and the contrast
2. Pressure Comparison Test MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mE Inflation Time s The Test 1 key activates and deactivates the inflation time Thus the inflation time of the pump is tested up to 300 mmHg i e Test 1 e 0 250 mmHg e 0 300 mmHg The measurement chamber is connected to the ABPM system via the pressure tubing A pressure is built up to 300 mmHg The Test 2 key activates and deactivates the deflation speed Thus the deflation Test 2 speed of the deflation valve is tested The deflation starts at 300 mmHg The measurement chamber is connected to the ABPM system via the pressure is Pt tubing A pressure is built up to 300 mmHg The deflation speed is devided in 4 steps 260 180 mmHg 180 100 mmHg 100 60 mmHg and 60 30 mmHg Sinni rr ou na rfiin Iiz Deflation Speed mmHg s a oF ee oe Ts os E m4 TT de EE vie niha ll Initial Deflation Speed Check The Test 3 key activates and deactivates the initial deflation speed check Thus Test 3 the initial deflation speed of the ABPM is tested The measurement chamber is connected to the ABPM system via the pressure tubing A pressure is built up to 300 mmHg The initial deflation speed is checked e Min amplitude e Max amplitude nnp nx Arpi fwn i J risin Be ttn Sand hk al e Counts Air Leakage mmHg
3. key key switches to Thus the following is checked e relay switches and e the Weight Offset Saved and the Weight Offset Measured approx correspond approx 2 6 kg in the display for the Controller and Supervisor 14 Remove calibration weight from HDF arm M T M D DE08C M KAY p DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mS 4 10 4 13 Calibration PV Alarm Window DIALOG TSM MODE 1 Activate the LLC Manual Calibration menu with Dec 10 2003 07 53 the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the PV Alarm Window menu by Actual S Desired S _ af sce TCHR pressing on the line Calibration 2 12 PV Alarm Window The following menu is displayed Calibration EE 3 Press the a or gt key to skip to the Calibration previous or to the next calibration menu Calibration Calibration 2 4 yj a PV Alarm Window PV Alarm Window default 100 mmH You can set the window values for the alarm limits set range 40 20 mmHg of the PV monitoring for therapy PV Low Limit Pos PV Low Limit Position PV You can set the low limit position and window 200 values for the alarm limits of the PV monitoring for mmHg Ee therapy 150 P Alarm Window PY low limit Pos PY abs low limit PA abs low limit 400 350 300 250 100 50
4. 3 Acknowledge with Calibration key 4 Insert the 50 ml template into the heparin pump Comfort and close syringe holder 5 Acknowledge with Calibration key 6 Acknowledge and store complete calibration procedure with Vox key MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSeS FSH 0a 4 10 4 3 Calibration Pressure Sensors of Water Side PE and PDA Prior to Calibration e Use calibrated dialysis measurement instrument e Wait until Dialog has reached working temperature You can calibrate the degassing pressure sensor PE and the outlet dialysate fluid pressure sensor PDA You can build up a negative pressure in the degassing circuit with the degassing pump EP and the degassing control valve RVE for calibration If you open the air separator valve WLA the degassing line is opened to PDA Thereby PDA can also be calibrated Please pay attenion to the level difference and whether fluid is in the connection line between the degassing circuit and WLA The following pressure sensors can be calibrated e PE degassing pressure sensor e PDA outlet diaylsate fluid pressure sensor EP EK PE no aeeetae E B DALTILE A SLS lt O C 0e A 26 52525 SSS SOS 4 ef Fig Degassing Circuit and PDA The dialyser tubings must be free of air for the calibration Please ensure that
5. 1 Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the Calibration Conductivity menu by pressing on the line Calibration 2 6 Conductivity The following menu is displayed 3 Press the a or La key to skip to the previous or to the next calibration menu UZ CLOSED BICLF Calibration Pree Common Calibration Q ENDLF Calibration VZ CLOSED KORSE M T M D DE08C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced ENDLF ENDLF S TSD TSD S 3250 173 41 6 41 6 digit digit Kopf Drehz Kopf Drehz LLC STATUS 00000000 4 10 4 6 1 Calibration BICLF via RS 232 ENDLF ENDLF S TSD 0 0 0 0 digit digit M T M D DE08C M KAY FPE 1723 UZ geschlossen BICP rpm 160 KP rpm 0 rpm 1600 H 20 ENDLF Kalibrierung VZ geschlossen Daten sichern vA X Note Do not calibrate the conductivity sensors BICLF ENDLF ENDLF S with the me key because the reference point 14 mS cm for the BICLF sensor is at the end of it s measurement limits digit value gt 4095 Thus the calibration values for the BICLF sensor could be invalid i e the following digit value is displayed in the LLC Status window see figure 8 XXX XXX X Calibration data out of range If th
6. 7 Close water tap 8 Lock safety ring of pressure reducer valve DMV 9 Switch off Dialog 10 Disassemble manometer 11 Reassemble locking screw MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSE 4 10 4 22 Calibrate Arterial Tubing Clamp SAKA and Venous Tubing Clamp SAKV You can calibrate the gap for the arterial tubing clamp SAKA and the venous tubing clamp SAKV e Calibration template 1 4 1 5 770 2493 1 Remove cap A e g use a sharpe knife to lift out Fig Tubing Clamp SAKA SAKV Set gap E to 1 4 mm with 1 4 mm template 2 Loosen screw D 3 Push 1 4 mm template between clamp B and eccentric C 4 Turn eccentric C until 1 4 mm is set 5 Tighten again screw D Note The 1 4 mm template fits through the gap 6 Check wit the 1 5 mm template Note The 1 5 mm template must not fit through the gap 7 Reassemble cap A MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced Se FEH Till 6H 4 10 4 23 Setting Servomotor for Disinfection Valve VD Basic Position Disinfection Valve VD The servomotor and the servomotor board must only be replaced together because they are a calibrated unit The position tag C of the servomotor B must be seated in the light barrier D when assembled see figure This basic
7. Dialog Dialog Advanced SSeS 76576 a 4 10 4 1 1 Single Calibration Pressure Dialysis measurement instrument connected to RS 232 interface SW gt Sensor PA via RS 232 6 20 A dialysis measurement instrument HDM gt 99 with a software version gt 3 52 can be connected to the RS 232 interface for calibration Actual Status Desired Setting Press the Calibration key for a single calibration e g oe eee ES pressure sensor PA A calibration window is opened if the key is selected BPA rpm ol PRE digit 1310 Calibration i E e o Bee e Dialysis measurement instrument e g HDM 99 and DCI option art no 770 7218 or a D Sub zero modem cable e Syringe e Tubing tubing clamp 1 Connect dialysis measurement instrument to the RS 232 interface and Switch on machine connect syringe and tubing 2 Connect tubing end to the arterial pressure sensor PA 3 Press PA Calibration key PA Calibration Point 300 mmHg 4 Build up a pressure to 300 mmHg 10 mmHg with a syringe and clamp the tube an el Value 5 Compare the stable reference value in the X window with the sired rae desired value in the AE _ window and acknowledge with the Calibration key sired e The reference value is taken over in the Sale window Act Point e The next calibration point is displayed in the __X___ window PA Calibration Point 0 mmHg 6 Remove syringe 0 mmHg os Ref Value 7 Compare th
8. Language for Treatment File Operations 1 Insert language diskette into floppy disk drive Apron 1996_ 1137 2 Select Diskette icon Language Maintenance 3 Select the English Language German Language English Language Mode TREATMENT or the New Language button to install the appropriate language German Language New Language Language for TSM Service Program ARO SES 2 Insert language diskette into floppy disk drive Language Maintenance 3 Select the English Language or the German English Language Mode Language button to install the appropriate language German Language MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mee 4 7 2 DOS File Operations STK Report This function is not supported Production Report You can save the production report to a DOS diskette The DOS compatible file name has eight characters for the serial number of the specific Dialog unit and ord file recognition File name date year and time are protocolled in the report Example file name Dialog Serial No 2001 File Name 00002001 prd 1 Insert DOS diskette into floppy disk drive 2 Select Diskette icon 3 Save production list to diskette 4 1 3 Calibration Data Operations Save Calibration Data The calibration data must be saved to the hard disk drive by LLC LLS after every Low Level Controller LLC calibrati
9. 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support Use the scroll bar until the following menu appears 2 Activate the Single Needle Parameters menu with the Single Needle icon The following parameters can be set e Arterial Pressure Low Limit 150 immis e Single Needle Valve control pressures 100 mmHg e Single Needle Cross Over control pressures 350 mmHg bow mmHg 360 mmHg You can set ther lower limit for the arterial pressure in therapy Only for LLC The set range depends upon the setting of the absolute lower limit value of PA menu LLC Manual Calibration 2 12 PV Alarm Window PA Absolute Low Limit The maximum lower venous control pressure can be set for the Single Needle Valve option in the Single Needle menu Maximum Control Minimum PV For safety reasons it is necessary to limit the maximum value for the lower venous controll pressure for the SN valve The maximun setting is 150 mmHg default setting If the SAKV currentless closed option is present AAM I standard the value can be set higher Furthermore the control pressure PV can be set Thereby the blood pump is started stopped and the venous tubing clamp SAKV is opened closed The control pressures for PA and PV can be set for single needle cross over B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 9 1 6 Heparin Parameters Dialysate side parameters Blo
10. Both LEDs switched off Low Level Controller Blood Concentration Value lt 0 05 The red LED is automatically activated after 10 s The controller value for the switched off red LED must be as follows the supervisor value is uncritical red LED Low Level Controller Blood Concentration Value 2 75 to 3 25 2 Press LED TEST RED key to switch to the green LED The RED key switches to the GREEN key The green LED is tested The controller value for the switched off green LED must be as follows the supervisor value is uncritical green LED Low Level Controller Blood Concentration Value 2 00 to 2 50 If values deviate a calibration may be possible via the potentiometers at the blood leak detector type 1 see also low level calibration MT M D DE08C M KAY l DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 10 2 19 Test 1 19 Leak Test MSBK1 0 Cus UDABK1 VEBK2 MSKB2 Leak Test M T M D DE08C M KAY DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy VABK2 ba fan X je 0 us Start Pressure Positive Start Pressure Negative LLC Alarm 1 Activate the Leak Test menu with the Leak Test key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the a or La key to skip to the previous or to the next test point You can run a leakage test for
11. End Conductivity Sensor Without automatic acceptance of the reference value SW lt 6 20 ENDLF ENDLF_S A N The composition of the undiluted acid concentrate is listed in table 1 Press the ENDLF calibration key to calibrate the conductivity sensor ENDLF ENDLS S A calibration window is opened if the key is selected BICLF ENDLF ENDLF S TSD TSD S FPE 0 0 0 0 0 0 0 0 digit digit digit e Calibration solution undiluted acid concentrate see table 1 Press ENDLF Calibration key Speed BICP 0 min Speed KP 0 min 2 Enter the stable value from the dialysis measurement instrument as ENDLF Calibration Point 0 mS cm ee reference value and acknowledge with the Salipration Note Do not confirm the set value 0 00 mS cm Pay attention to the deviation range for the conductivity and the temperature at the dialysis measurement instrument key UI ENDLF Calibration Point 14 0 mS cm Connect the red suction rod to the undiluted acid concentrate 4 Increase slowly the speed of the concentrate pump KP approx 115 120 min t until a stable conductivity value of 14 0 mS cm 0 2 mS cm is displayed at the dialysis measurement instrument Pay attention to the deviation range for the conductivity and the temperature at the dialysis measurement instrument Ref Value 5 Press key MT M D DE08C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dia
12. Outflow Pump Speed rpm TSD c OFF 4 gt J LAMP TEST Pre Calibration e 5 The LED Test is activated with the LED TEST OFF key The OFF key switches to the RED key as soon as the key is pressed The blood concentration value for the detector signal with switched off LEDs is displayed for approx 10 sec The blood concentration value of the controller for the switched off red LED must be as follows the supervisor value is uncritical Both LEDs switched off Low Level Controller Blood Concentration Value lt 0 05 The red LED is automatically activated after 10 s The controller value for the Switched off red LED must be as follows the supervisor value is uncritical red LED Low Level Controller Blood Concentration Value 2 75 to 3 25 M T M D DEOSC M KAY B Braun M edizintechnologie GmbH DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy Dialog Dialog Advanced 4 10 4 7 2 Function Check Blood Leak Detector Type 1 Art No 3451 6562C M T M D DE08C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy 6 Press LED TEST RED key to switch to the green LED The RED key switches to the GREEN key The green LED is tested The controller value for the switched off green LED must be as follows green LED Low Level Controller Blood Concentration Value 2 00 to 2 50 The new version types 1 can be calibrated with the potentiometers P1 and P2 if the c
13. Timings Language selection Summer time setting Screen Saver appearance Appearing time Parameter Setting Window Disappearing Time Screen Saver Appearance Appearing Time M T M D DE08C M KAY The time parameters can be set in the Timings menu 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support The following menu is opened and displayed scroll with scroll bar 2 Activate the Timings menu with the Timings icon The following menu is displayed The following parameters can be set e Parameter setting window disappearing time e Screen saver appearance e Appearing time You can set the automatic disappearing time for the Parameter Setting Window lower screen in therapy You can activate a screen saver with the YES button The actual image on the screen is then replaced by the screen saver according to the preset time The original image appears in case of an alarm or if the screen is touched The following screen savers are activated Therapy selection B Braun logo date time Preparation B Braun logo time status line Therapy and end of therapy Time cake remaining time status line Disinfection Time cake disinfection mode phase You can set the appearance time of the Screen Saver DialogAd sm Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHES o 4 9 1 14 Language Selectio
14. You can skip directly to the calibration of the HP Clamp OPEN Eorna Calibration heparin pump Comfortby pressing the en 2J sim goa HP Syringe Sensor mm HP Position mm HP Pressure Sensor HP Clamp HP Syringe Sensor The syringe diameter is displayed in mm with the HPSP signal If there is no syringe in the heparin pump a value lt 13 mm must be detected HP Position If the syringe holder is completely opened a value gt 39 mm must be detected Thereby the software can recognize an opened syring holder HP Pressure Sensor The HPKOLB signal detects if the drive push button is driven against a syringe plunger HP Clamp The clamps for the syringe are open closed with the HPKRALLOZU signal The clamp position must be recognized with the HPKRALLO signal HP Motor State The motor current is switched by the HPON signal for the stepper motor drive HP Speed You can switch to two different speeds to check the basic drive functions of the heparin pump HP Motor Direction The motor direction is switched by the HPM ORI signal for the stepper motor drive Sie If necessary switch the Dialog off and on again to repeat the test for the heparin pump The HP Speed must be set to SLOW prior to a new setting Heparin Pump Position 1 Switch the HP Motor Direction key to OPEN and the HP Speed to FAST Switch Open and Closed HP Motor Sate key to ON Wait until the OPEN position is reached Switch the HP Speed to SLOW The HP Pos
15. 14 3 mS cm Seleched acetate H ARAUN CONCENTRATE 1 Selected bicarbonate BIC withowt Natl BIL i Selected acu B BRAUA ACID 1 B Temperature measurement unit 24 F Diahysate Flow Bud ml fmin Dialysate tempersture Dialysate Flow B BRAUN ACID 2 6 Click the Default Value window to change the value mS cm e BIC without NaCl e BIC with NaCl 7 Click the Acid icon to activate the selected acid The following menu is opened You can enter 10 concentrate names and conversion factors respectively The selected concentrate name is displayed in the Concentrate Name window 8 Click the Default Value window if you want to change the value mS cm You can set the current measurement unit of the temperature 1 Activate the Dialysate Side Parameters menu with the Dialysate Side Parameters icon 2 Click the C or F button to select and activate the measurement unit You can preset the dialysate flow for therapy 1 Click the ml min button to set the dialysate flow Dialysate Temperature You can set the dialysate temperature for therapy 1 Click the C button to set the dialysate temperature M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SWE 62 4 9 1 2 Blood Side Parameters 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support
16. 2 Check the functions with the appropriate keys 3 Press the lt or gt key to skip to the previous or to the next test point HP Position mm The forward feed distance is displayed in mm only if the syringe is inserted and locked The counter is reset if the lock sensor is opened The distance is detected from the signal of the light barrier on the motor axle HP Syringe Sensor The sensor for the sensor plate of the syringe detects an inserted syringe Lock Sensor Sensor to open the clasp nut The clasp nut is assembled on the drive spindle and limits the max pressure load of the heparin pump HP Motor State Activates switches off the heparin pump HP Speed Selection between slow and fast forward feed M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mE Heparin Pump Comfort The heparin pump type is selected in LLC Manual Calibration Calibration 2 2 Heparin Pump Heparin Pump Type Heparin Pump Type Selection e Heparin Pump Comfort e Heparin Pump Compact DIALOG TSM MODE 1 Activate the Heparin Pump menu with the menu The following menu is displayed for the heparin pump Comfort 2 Check the functions with the appropriate keys Actual Status Desired Setting HP Motor State OFF 3 Press the a or La key to skip to the previous or to the next test point HP Speed SLOW HP Motor Direction OPEN
17. 5 Enter the suction volume 200 ml residual volume as the reference value 6 Press Calibration key to acknowledge 7 Acknowledge and store completed calibration procedure with Vox key 4 10 4 9 2 Calibration UF Pump The accuracy of the UFP calibration is essential for the precise weight reduction of a patient during dialysis 1 Clamp and remove outlet tubing from UFP Connect a tubing to outlet of UFP and insert tubing into graduated cylinder 2 Press the UF Pump Speed START Calibration to gat the system free of air and press the STOP Calibration key to stop the UFP 3 Empty graduated cylinder and insert tubing again 4 Start pump calibration by pressing the UF Pump Speed START Calibration Calibration key again after the system is free of air The UFP runs 480 revolutions in 2 minutes and stops Ref Val 5 Press Eee key which appears automatically after 2 minutes 6 Enter the measured delivery volume as reference value 7 Press Calibration key to acknowledge 8 Acknowledge and store completed calibration procedure with Vox key 4 10 4 9 3 Calibration UF Pump for HDF Bag Option Piston Pump A modified piston pump with a stroke volume of approx 0 3 ml is used for the HDF bag option Correction Factor A correction factor of 0 992 must be used for the precise calculation during calibration The correction factor is necessary because water is used instead of ultrafiltrate different densiti
18. BICP_FLOW_S BICP_S BL LAMP T BLCON BLCON_S BPA BPA_COVER BPA FLOW BPAIMP S BPV BPV_COVER BPVIMP S D24VOFF EM PTYING ENDLF ENDLF S EP FPA FPE Free Memory H HP POS HPKOLB HPKRALLO K_SS KP KP_ FLOW KP_FLOW_S KP_S LAFS LEAKTEST LF LLC STATUS LLS STATUS M SBK1 M SBK2 NSVB PA PA S PBE PBS M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy 24 V cut off blood side HP BPA BPV Bicarbonate rinsing connector sensor Bicarbonate cartridge Bicarbonate cartridge supervisor Bicarbonate conductivity Bicarbonate pump Bicarbonate pump flow Bicarbonate pump flow supervisor Bicarbonate pump supervisor Blood leak detector lamp test Blood leak detector Blood leak detector supervisor Arterial blood pump Arterial blood pump cover Arterial blood pump flow Arterial blood pump pulse supervisor Venous blood pump Venous blood pump cover Venous blood pump pulse supervisor 24 V cut off dialysate side VDA VDE Emptying End conductivity End conductivity supervisor Degassing pump Outlet flow pump Inlet flow pump Free RAM memory DIMM SIMM Heater Heparin pump drive position Heparin pump plate sensor Heparin pump claws Concentrate rinsing connector sensor Concentrate pump Concentrate pump flow Concentrate pump flow supervisor Concentrate pump supervisor Air separator level sensors Leakage test Conductivity sens
19. PV digit PBE digit An input can be acknowledged e g a reference value or a completed calibration procedure can PBS digit Pe Common Cali X PA H VA be acknowledged and saved ANCEL 0 K O K EE ae ae a eee en l A calibration procedure can be terminated at Terminate Calibration Procedure x any time with the CANCEL key The existing CANCEL calibration data are maintained in the LLS and LLC Save Calibration Procedure z The calibration procedure is completed and the OK new calibration data is stored in the LLC and LLS 0 1 0 with the OK key Note Pay attention to the LLC and LLS status windows The bit sequence 0 1 0 must be identical in the LLC and LLS status windows during the saving jue STATUS 00000000 0 000000 N ko procedure The calibration data is saved only after the bit sequence 0 1 O see figure 0 1 0 lt q You should save the calibration data to the hard disk drive before you exit the TSM service program LLS STATUS 00000 00 TSM Main Menu File Operations Save Calibration Data Conversion Table Voltage Digits Conironer 12 DEl eee Voltage 0 to 5V Digits 0 to 4095 0 to 255 M T M D DEOSC M KAY B Braun M edizintechnologie GmbH DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy Dialog Dialog Advanced FSH FEU 6 4 10 4 Low Level Calibration You can calibrate all sensors in the LLC Manual Calibration menu The number of calibration points is preset b
20. PV abs Low Limit default 20 mmHg set range 50 100 mmHg 0 50 Fig PV Settings PV Absolute Low Limit If the setting values are changed these must be in agreement with the user because the lower limit value can be used as a possible indication for bleeding e g if the venous access to the patient is disconnected Furthermore please note that the LLS limit value is 10 mmHg under the PV Abs Low Limit protection system You can set the absolute low limit for PW and the window values for the alarm size and position of the PV monitoring for therapy The supervisor uses a tolerance of 10 mmHg for monitoring the PV limit values to prevent double alarms PA Absolute Low Limit The set PA Absolute Low Limit value 10 mmHg is used as limit in therapy and TSM service program system configuration MT M D DEO8C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSH FSH 0a 4 10 4 14 Calibration Flow Rate of BPA and BPV OSP The tube constants can be directly entered or calculated via a comparison measurement BPA and BPV OSP option HDF online substitution pump can be activated with the START Calibration key The delivered volume is measured in ml and entered as reference value The pressure conditions for the tube system during measurement must be identical with the pressure conditions in therapy DIALOG TSM MODE 1 Activate the LLC
21. Substitution Substitution supervisor Substitution weight volum supervisor Sum infusion Syringe diameter Transmembrane pressure Bicarbonate temperature sensor Dialysate temperature sensor Dialysate temperature sensor supervisor Degassing temperature sensor Degassing temperature sensor Ultrafiltration flow Ultrafiltration pump Ultrafiltration pump supervisor Outlet valve balance chamber 1 supervisor Outlet valve balance chamber 2 supervisor Vent filter valve Vent filter valve supervisor BIC pump valve BIC cartridge holder top Valve BIC cartridge holder concentrate rod valve Bypass valve Bypass valve supervisor Disinfection valve supervisor Dialyser outlet valve Dialyser outlet valve balance chamber 1 supervisor Dialyser outlet valve balance chamber 2 supervisor Dialyser outlet valve supervisor Dialyser inlet valve Dialyser inlet valve balance chamber 1 supervisor Dialyser inlet valve balance chamber 2 supervisor Dialyser inlet valve supervisor DF filter valve DF filter valve supervisor Inlet valve balance chamber 1 supervisor Inlet valve balance chamber 2 supervisor Air separator valve Substitution outlet valve Substitution outlet valve supervisor Substitution inlet valve B Braun M edizintechnologie GmbH Dialog Dialog Advanced Me VSAE_S Substitution inlet valve supervisor VSB Substitution bypass valve VSB_S Substitution bypass valve supervisor VVB Upline tank valve VZ Circulation valve W
22. TSBIC ENDLF S TSD S D gt fT HAO BICLF RVK A ENDLF TSD VB RVB X BICP KPED Fig BICLF and ENDLF Conductivity Sensors 1 Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the BICLF and ENDLF Ratio menu by pressing on the line Calibration 2 10 BICLF and ENDLF Ratio The following menu is displayed Calibration 3 Press the KI or gt key to skip to the Pie previous or to the next calibration menu Calibration Calibration a a The BICLF Cart Ratio is only displayed if the bicarbonate cartridge holder option is activated in oe the Production Report LLC Options Holder for BIC Pe 4 gt A Cartridge You can determine the limit of the ENDLF ratio measured at the end conductivity sensor ENDLF Desired Setting Controller BICLF Ratio ENDLF Ratio BICLF Kart Ratio M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced Bicarbonate Therapy Acetate Therapy Bicarbonate Pump BICP 1 Check Bicarbonate M T M D DE08C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy Ratio Values Factory Settings BICLF Ratio 25 ratio water bicarbonate for canister operation ENDLF Ratio 31 bicarbonate mode ratio water acid acetate mode ratio water acetate BIC Cart
23. XX X XX X The service overview can be selected in therapy mode with the LA bewice key icon The second page of the service overview can be selected with the service key ICON Click the Door icon to jump back to the initial menu XXXXX XXXXX OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED XXXX rpm XXXX rpm XXX ml min XXX ml min OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED X XX Yoo X XX Yoo XX rpm XX rpm XXX mmHg XXX mmHg XXX mmHg OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED XXXX rpm XXXX rpm XXX ml min XXX ml min XXX mmHg XXX mmHg XXX mmHg XXX mmHg XXX mmHg XXX mmHg XXX mmHg Ips XXXX rpm XXXX rpm XXXX rpm XXXX rpm SAKA OPEN CLOSED SAKV OPEN CLOSED SAKV_S OPEN CLOSED SAD NO AIR AIR SAD S NO AIR AIR SAD TIME S OK SAD REF _S XXXX mV SYRDIA XX X mm POSITION XX XX mm Fig First Page Service Overview in Therapy Mode M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced me The first page of the service overview can be selected with the service key icon Click the Door icon to jump back to th
24. with the Dialyser icon The following parameters can be set e Dialysis Station Specific Kt V Target e Default Setting for Treatment Mode Warning of Dialysis Station Specific Ktf Target Default Setting for Treatment Mode Kt V Target Projecte d Deviation Warning of Ktf Target Projected deviation e Kt V Table Manual INPUT Setting Clean Blood Volume Enabled Ktf Table Manual INPUT e Dialyser Filter Urea Clearance Data Setting Clean Blood Volume 9 enabled ii NO Dialyser Filter Urea Clearance Data DF1 DF2 Dialysate Flow BF 1 BF2 BF6 Blood Flow ml min ml min Dialysis Station Specific Kt V Target The target value is the Kt V value at the end of a therapy The target is set by the user Default Setting for Treatment Mode If the calculated Kt V from the set parameters is smaller than the set target value Warning of Kt V Target Projected Deviation 4 message is activated Kt V Table Manual INPUT YES Activated Setting Clean Blood Volume Enabled The ratio can be edited subsequently in therapy for adaptation to the calculated Kt V value Dialyser Filter Urea Clearance Data The Kt V is approximately calculated via the Dialyser Filter Urea Clearance Data for the selected dialyser see table use scroll bar to see table MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 9 1 13 Timings
25. 2004 doc pdf lt 120304 gt ddmmyy 180 mmHg l Arterial pressure Upper limit 100 mmHg 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support Use the scroll bar until the following menu appears 2 Activate the Min Max Parameters menu with the MIN Max icon The following menu is opened The following parameters can be set in the Min Max Parameters menu Arterial Pressure Lower Limit Arterial Pressure Upper Limit Limit Maximum PBE Limit Delta PBE Limit Maximum TM P Limits Low High TM P You can set the lower limit for the arterial pressure in therapy Only for the LLC the set range depends on the setting of the absolute lower limit value of PA menu LLC Manual Calibration 2 12 PV Alarm Window PA Absolute Low Limit PA Absolute Low Limit You can set the upper limit for the monitoring of the arterial pressure in therapy You can set the maximum limit for the monitoring of the PBE in therapy You can set the permissible changes for PBE during therapy You can set the upper limit for TMP for the monitoring in therapy The lower and upper limit can be set in for TMP monitoring in therapy Limit OFF activated Limit OFF deactivated Monitoring is not performed Monitoring is performed B Braun M edizintechnologie GmbH Dialog Dialog Advanced me 4 9 1 4 Arterial Bolus Parameters 1 Activate the System Configuration menu with the System Confi
26. 3 Press the LS previous or to the next test point Speed You can select the speed of the arterial blood pump BPA The controller displays the motor speed The supervisor displays the head speed The speed is kept stable via a hardware controller but it is not controlled to the desired set point i e the actual value does not have to correspond with the desired set point value The low level controller detects the motor speed via Hall sensors These are integrated in the motor The supervisor detects the speed via a slot disk with light barrier assembled on the pump head axle The conversion factor for the gear of the pump has a ratio of 1 46 65 between both actual values Flow The controller displays the calculated flow rate Cover State If the pump cover is opened the blood pump BPA is stopped The low level controller detects and displays the opened pump cover M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSS EES 6 4 10 2 3 Test 1 3 Blood Pump Venous Substitution Pump 1 Activate the Blood Pump Venous menu with the Blood Pump Venous key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the KI or gt key to skip to the previous or to the next test point The BPV pump has an own tubing factor for in substitution mode 2 13 Flow of BPA and BPV Su
27. Blood leak detector BL S Blood leak detector supervisor BOLUS VOL Bolus volumen BOLUS VOL S Bolus volumen supervisor BPA Arterial blood pump BPA S Arterial blood pump supervisor BPV Venous blood pump BPV_S Venous blood pump supervisor D24V_S 24 V cut off dialysate side supervisor VDA VDE DF Remaining time for DF DF Remaining time of dialysis for DF ENDLF End conductivity ENDLF S End conductivity supervisor END RATIO End ratio END RATIO_ S End ratio supervisor EP Degassing pump F E DFS Filter recognition DF filter sensor F E HDFS Filter recognition HD filter sensor FM D Flow measurement dialysate FM D Substitution flow measurement FMD_S Flow measurement dialysate supervisor FMD S Substitution flow measurement supervisor FPA Outlet flow pump FPE Inlet flow pump HDF HF_V HDF HF volume HDF HF_V_S HDF HF volume supervisor HDF Remaining time for HDF HDF Remaining time of dialysis for HDF HEATER REL1_S HEATER REL2_S HEATER Heater relay 1 supervisor Heater relay 2 supervisor Heater INF LEAK S Infusion leakage supervisor K_SS Concentrate rinsing connector sensor KP Concentrate pump KP_S Concentrate pump supervisor LAFSO Top air separator level sensor LAFSU Bottom air separator level sensor LLC Low level controller LLS Low level supervisor M SBK1 Membrane position sensor balance chamber 1 M SBK2 Membrane position sensor balance chamber 2 NSVB Level sensors upline tan
28. CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED XXXX XX X XX XX Mb Fig Service Overview in TSM M ode M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy BPA X BPAIMP_S X BPA FLOW X BPA COVER OPEN CLOSED BPV X BPVIMP_S X BPV_COVER OPEN CLOSED UFP_S UFP_FLOW UFP_FLOW_S BICP_S BICP_FLOW BICP_FLOW_S KP_S KP_ FLOW KP_FLOW_S HP_POS X X HPKOLB ON OFF HPKRALLO OPEN CLOSED BLCON BLCON_S SAD_LEVEL XX SAD _LEV_S X XXX SAD AIR BLOOD SAD S AIR BLOOD LAFS HIGH MIDDLE LOW XX X XX X XX X XX X OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED B Braun M edizintechnologie GmbH X OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED _S OPEN CLOSED BIC SS OPEN CLOSED K SS OPEN CLOSED SBS1 OPEN CLOSED SBS2 OPEN CLOSED BICKARTS OPEN CLOSED BICKARTS S OPEN CLOSED BICLF X XX EN DLF X XX ENDLF S X XX RDA NO BLOOD BLOOD RDA_S NO BLOOD BLOOD RDV NO BLOOD BLOOD RDV_S NO BLOOD BLOOD B24VOFF D24VOFF ON OFF ON OFF Dialog Dialog Advanced 4 6 1 Legend Service Overview in TSM Service Program B24VOFF BIC_SS BICKART BICKART S BICLF BICP BICP_FLOW
29. Load Calibration Data 4 8 1 Floppy Diskette Operations Production Report You can load a production report from a diskette or save the production report to diskette 1 Insert a formatted DOS diskette or a diskette with the production report into floppy disk drive 2 Select Diskette icon 3 Load or store the production report System Configuration You can load the basic setting TSM therapy from diskette or save the basic setting TSM therapy to diskette A diskette with the system configuration from an other machine can only be used if the hardware the software and the operating system QNX2 or QNX4 match 1 Insert a formatted DOS diskette or a diskette with the system configuration into floppy disk drive 2 Select floppy disc icon 3 Load or store the basic setting Dialog Version Number You can load a new Dialog version no e g due to a controller software update 1 Insert Dialog version number diskette into floppy disk drive 2 Select Diskette icon 3 Load new version number Patient Diskette Creating You can create a patient diskette DOS 1 Insert DOS formatted diskette into floppy disk drive 2 Select Patient Diskette Creating icon A DOS formatted patient diskette is created M T M D DE08C M KAY DialogAd_sm_ Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SESS 62 Language Maintenance You can load or supplement a new language for t
30. Manual Test Dialyser Filter Parameters Kt V oa Timings a Langauge Selection Test 1 1 Staff Call Alarms Power Off Cross aA l ABPM Parameters Test 1 2 Blood Pump Arterial Low Level Options Summer Time Setting Test 1 3 Blood Pump Venous L gt HDF Miscellaneous Parameters Test 1 4 Heparin Pump L Holder for BIC Cartidge DBI Parameters Test 1 5 Tubing Clamps a Test 1 6 Pressure Sensors Blood Side gt Pyrogen Filter Test 1 7 Safety Air Detector Red Sensor L HDF Online User Defind Alarm Test 1 8 Co upling Detectors SMPS Switched Mode Power Supply Messages Test 1 9 Water Intake Upline Tank and Flow Pump FPE 4 Test 1 10 Degassing and Heating L_ SMPS with Rechargeable Batte Test 1 11 Dialysis Temperature L Holder for BIC Cartridge with Nonreturn Valves Last Treatment Test 1 12 Concentrate Pump and Conductivity Lp Network DBI from SW 6 5X Result Test 1 13 Balance Chamber Valves nesuItS Test 1 14 By Pass and Disinfection Valves bioLogic RR ABPS Test 1 15 Flow Pump PA Balance Chamber Sensors KT and Air Separator V Trend Configuration Test 1 16 Pressure Water Part Test 1 17 UF Pump Test 1 18 Blood Leak Detector Test 1 19 Leak Test Test 1 20 Water Part Overview Test 1 21 Emptying Test 1 22 HDF L Test 1 22 1 HDF Load Cell Test 1 23 BIC Cartridge Valves and Coupling Detectors Test 1 24 HDF Online Test 1 25 HDF Online Valves and Coupling Detectors Test 1 26 Option Rechargeable Battery Test 1 27 DFS Pressure Test
31. No Description 3451 9084 Blood leak detector type 2 for Dialog with rinsing bridge 2 3451 8940 Blood leak detector type 2 with adapter and assembly parts for Dialog with rinsing bridge 1 i Settings in TSM Service Program A Dialog software version number gt 3 46 is required for the blood leak detector type 2 The blood leak detector type 2 must be activated after assembly in the TSM service program A citro thermal disinfection decalcification must be performed before initial calibration Function Test and Calibration A function test and a calibration is performed for the blood leak detector type 2 If a current value is out of limits during the function test exchange the blood leak detector type 2 A calibration of the voltages for the red and green LED is not possible Check the blood leak detector type 2 after a citro thermal disinfection LC M anual Test Test 1 18 Blood Leak Detector Close front and rear door for the function test and calibration to prevent light irradiation on the sensor Leakages Air and micro bubbles can lead to false measurement values in the measurement line and can cause fluctuation of the current value If air is visible check the complete system for leaks in menu 1 20 Test Water Part After the initialisation phase rinse the blood leak detector approx 1 min and then perform a leakage test of the system in menu 1 19 Leak Test M T M D DE08C M KAY n DialogAd_sm Chapter 4 3_6 2004 doc pdf
32. Point 500 mmHg 10 Connect syringe and Build up a pressure to 500 mmHg 10 mmHg and clamp the tube Ref Value 11 Press key 12 Enter the stable value from the dialysis measurement instrument as reference value 13 Acknowledge with the Calibration key 14 Acknowledge and store completed calibration with Vox key 15 Remove dialysis measurement instrument syringe and tubing MT M D DE08C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS FSH Till 6 a 4 10 4 1 5 Common Calibration Pressure Sensors PA PV PBE and PBS PA must be calibrated again after the common calibration because the calibration range for PA are different e Dialysis measurement instrument e g HDM 99 e Syringe Tubing tubing clamp 1 Connect the dialysis measurement instrument syringe and tubing set 2 Connect the end of the tubing to pressure sensors PA PV PBE PBS option Ii Common Calibration 3 Press key 4 Perform a combined calibration see the description of the single calibration e Calibration point 100 mmHg e Calibration point 0 mmHg e Calibration point 500 mmHg 5 Calibrate the PA sensor once more M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH H FSH Tillie 0 4 10 4 2 Heparin Pump Heparin Pump Co
33. Setting window 5 digits are automatically added by the software Example Test level TS 48 5 53 Desired Setting Calibration SAVE Calibration DJA 2 Press Calibration key and wait until the Calibration key switches back again SAD TEST ae The calibration procedure is completed 3 Press the SAVECzltration key to store the calibration data in the E PROM 4 10 4 10 1 SAD Test after Calibration SAD Test AIR must be detected If the SAD TEST is activated The sensitivity can be changed to check the switching point AIR must be detected If a tubing filled with air is inserted NO AIR must be detected if a tubing filled with fluid is inserted DIALOG TSM MODE 1 Activate the menu Test 1 7 Air Sensor Red Dec 01 2003 15 25 Sensor in the LLC Manual Test menu 2 Insert a tubing filled with air in the SAD and close cover Actual Status Desired Setting Soe eS 3 Enter 1 digit in the Desired Setting window SAD SAD LEVEL Level The controller and supervisor must SAD TRIGGER OFF display SAD TEST AIR SAD TimeContr 4 Desired Setting window SAD TEST set to TEST KS 5 digits and insert a tubing filled with liquide and check Actual Status display RDA Controller AIR RDV Supervisor AIR SAD TEST 5 Desired Setting window SAD Trigger OFF set to OFF and check Actual Status display Supervisor must change to ON MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 200
34. Substitution inlet valve Substitution inlet valve supervisor Substitution bypass valve Substitution bypass valve supervisor Circulation valve Circulation valve supervisor Working time counter B Braun M edizintechnologie GmbH Dialog Dialog Advanced me 4 1 File Operations SW lt 6 20 1 Set TSM service program mode on supervisor board hardware switch K1 position 2 2 Switch on Dialog Treatment Support Manual Test amp Calibration Production Report Service Reports Working Time hour Quan DIALOG Versi ber OrkKing ae our Queu A aptly num The File Operations menu is displayed The following Eee parameters can be selected Jun 04 2003 13 20 ONX DOS 3 Activate the File Operations menu with the Diskette icon in menu TSM Main Menu QNX 2 File Operations e Patient Disk Creating Production Report ue Patient Disk Creating j l System Configuration Dialog Version Number LAL Production report Ut a ake Lt Language Maintenance G System Configuration EN DOS File Operations e Production Report e Start DOS File System EN DIALOG Version number Start DOS File System Save Calibration Data Low Level Controller LLC END Language Maintenance Down Load Calibration Data Low Level Controller LLC Save Calibration Data A Down Load Calibration Data 4 7 1 QNX File Operations Patient Disk Creating You can format a QNX diskette with the icon The patient name is che
35. The following menu is opened Trend Configuration 2 Activate the Last Trend Configuration menu with the Trend Configuration key in the Treatment Support menu The following menu is opened and displayed Actual Dialysate Fluid Flow Actual Bic Conductivity of Dialysate Fluid Actual Final Conductivity of Dialysate Fluid Actual Temperature after Bicarbonate mixing Actual Dialysate Fluid Temperature Actual Temperature of Degasing Part Actual Ultra Filtration Volume Actual Trans Membrane Pressure Actual Speed of UF Pump Actually Given Heparin Volume Actual Venous Pressure Actual Arterial Pressure Number of events Event list Actual Pressure of Degasing Pressure Sensor gt B _ A 3 Select a trend group The following menu is opened and displayed DIALOG TSM MODE ma iaa Trend Configuration Actual Dialysate Fluid Flow Actual Bic Conductivity of Dialysate Fluid Actual Final Conductivity of Dialysate Fluid 4 Select the parameter if necessary use scroll bar that you would like to exchange 5 Select the new parameter if necessary use scroll bar that you would like to take over Actual Arterial Pressure y Actual Yenous Pressure Actual Blood Fow Actual Phase Volume Actually Treated Blood Volume 6 Press the OK key The new parameter is taken over Ke Ae VA Xaj M T M D DE08C M KAY pi l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechno
36. Then the dialyser can be turned to fill the DF side If NO is Activated The filling of the dialyser is automatically started after the Filling BP Volume is finished Rinsing Bloood Flow You can set the blood flow for rinsing After the selftests BPA delivers a longitudinal flow during rinsing This depends on the rinsing mode Longitudinal rinsing along the dialyser e Blood side inlet outlet e Water side inlet outlet Cross rinsing through the dialyser membrane e Blood side to water side Note Interdependencies when changing parameters Change Automatic Adaptation from Rinsing Time Rate Rate Rinsing Time Rinsing Volume Rate Rinsing Time by UFP You can set the rinsing time for bag rinsing without substitution line s online Thus rinsing via the dialyser membrane is possible After the termination of the rinsing time rinsing is performed with min UF Rinsing Rate by UFP You can set the rinsing rate for the UFP to reach the Rinsing Volume by UFP The Rinsing Time by UFP is automatically recalculated Rinsing Volume by UFP You can set the rinsing volume via the dialyser membrane for the Rinsing Time by UFP The Rinsing Rate by UFP is automatically recalculated Rinsing Time by BPA BPV The rinsing time for Rinsing Volume by BPA or BPV is set BPA BPV generates the rinsing flow via the dialyser membrane for bag rinsing with connected s online and rinsing out of the machine Rinsing Rate by BPA BPV The rinsing rate
37. Use the scroll bar until the following menu appears 2 Activate the Blood Side Parameters menu with the Blood Side icon The following menu is opened SAD prohibition possibility i The following parameters can be set Default blood flow at End of Therapy e SAD prohibition possibility e Default Blood Flow at End of Therapy SAD Prohibition Possibility You can activate the SAD prohibition with the YES button during the disconnection phase of the patient i e the SAD alarm is suppressed during this procedure and the blood pump can be started 1 Click the YES or NO button to set the SAD prohibition possibility Default Blood Flow at End of Therapy You can preselect the blood flow which will be preset at the end of a threapy 1 Click the ml min button to set the default blood flow at the end of a therapy M T M D DEO8C M KAY ii l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 9 1 3 Min Max Parameters Min Max parameters Arterial Bolus parameters Single Needle parameters Arterial pressure Lower limit Limit Maximum PBE 700 mmHg 150 mmHg 500 mmHg Limit Delta PBE Limit Maximum TMP Limits Low High TMP Arterial Pressure Lower Limit Arterial Pressure Upper Limit Limit Maximum PBE Limit Delta PBE Limit Maximum TM P Limits Low High TM P M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6
38. a power breakdown In all other operating modes with the exception of therapy the Akku Enable battery enable AKKU_EN signal is set to OFF i e the machine is Switched off in case of a power breakdown 1 Battery loaded charge LED off i e Akku OK battery OK ON 2 Set Akku Enable battery enable to ON 3 Disconnect machine from mains with mains plug An audible signal is activated from the power supply which indicates that the machine is running in battery operation Blood pump s run s Monitor is on Power Fail ON Akku OK battery OK changes from ON to OFF Power Fail The switch mode power supply sends the signal to the LLC indicating a power failure OFF Mains voltage present and in the tolerance limits ON Mains voltage not present or out of tolerance limits Akku OK ON Battery capacity gt required capacity for 20 minutes battery running Battery OK time OFF Battery capacity lt required capacity for 20 minutes battery running time External State Indicates if machine was switched on externally ON Machine was switched on externally MT MD DEO8C M KAY S DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mee 4 10 2 27 1 27 DFS Pressure Test of Therapy 1 Activate the DFS Pressure Test of Therapy menu with the DFS Pressure Test of Therapy key in the LLC Manual Test menu The following menu is displayed 2 Check the functions w
39. and acknowledge wit key Calibration Point 38 C 8 Increase slowly heater power until a stable temperature value of 38 C 2 C is displayed at the dialysis measurement instrument Pay attention to the deviation range of 0 1 C over 10 s at the dialysis measurement instrument Note Note the value of the heater power because this value is required for the calibration of the conductivity Ref Value 9 Press key 10 Enter the stable value from the dialysis measurement instrument as reference value and acknowledge with Calibration key MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mS Calibration Point 50 C 11 Increase slowly heater power until a stable temperature value of 50 C 2 C is displayed at the dialysis measurement instrument Pay attention to the deviation range of 0 1 C over 10 s at the dialysis measurement instrument Ref Value oar 12 Press key ore ee n 13 Enter the stable value from the dialysis measurement instrument as ttc status 90000000 o oooooo reference value and acknowledge with Calibration key Vox 14 Acknowledge and save the completed calibration procedure with Vox key 0 1 0 lt lt Note Pay attention to the LLC Status and LLS Status windows The bit sequence LLS STATUS 00000 00 0 1 0 must be identical in the LLC Status and LLS Status windows during the saving procedure The
40. bottom holder BKOS is obsolete in the top holder Thus the machine is reset and is ready to start a new filling procedure for the new cartrdige 4 12 Service Reports The Operation Mode Report can be selected in the Service Reports menu Operation M ode Report The switching from therapy mode to TSM mode and back to the therapy mode is documented with date and time M T M D DE08C M KAY p DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH
41. calibration data are saved only after the bit sequence 0 1 0 see figure M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 10 4 6 Calibration Conductivity Sensors Bicarbonate BICLF and END Conductivity ENDLF ENDLF_ S Dialysis Measurement Instrument e g HDM 99 Prior to Calibration of BICLF ENDLF ENDLF_S Test and Calibration Solution for BICLF Composition of Calibration Solution for BICLF Composition of Calibration Solution for ENDLF ENDLF_S Calibration Points for BICLF and ENDLF ENDLF_ S M T M D DE08C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy If the conductivity sensor BICLF or ENDLF ENDLF S is exchanged the temperature sensors TSBIC andTSD TSD S must be calibrated prior to the calibration of the conductivity sensors BICLF ENDLF ENDLF_S Technical Data e Temperature coefficient 2 10 C set Reference temperature Ther 25 C set Correct cell constant set Conductivity accuracy lt 0 1 mS cm Conductivity resolution 0 01 mS cm Use calibrated dialysis measurement instrument Perform a cirto thermal disinfection Wait until Dialog has reached working temperature Calibrate temperature sensors TSBIC TSD TSD_S The applied acid concentrate used as test and calibration solution if not available use acetate must be diluted according to the prerequisites with deionized w
42. complete calibration procedure with Vox key 17 Remove dialysis measurement instrument M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS FEH Till 0a 4 10 4 4 Calibration Degassing Temperature Sensor TSE Prior to Calibration e Use calibrated dialysis measurement instrument e Wait until Dialog has reached working temperature You can calibrate the degassing temperature sensor TSE The following calibration points are used TSE degassing temperatur sensor 30 C 40 C 85 C TSE TSH JA HH N _ amp Dos sfai TT TA E mi j j fis 1 J J de VB I 1 a AGI Da RVVB Fig Temperature Circulation 1 Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the Degassing Temperature menu by pressing on the line Calibration 2 4 Degassing Temperature The following menu is displayed 3 Press the KI or gt key to skip to the previous or to the next calibration menu MT M D DE08C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSeS FSU 6 a 4 10 4 4 1 Calibration TSE The calibration with the automatic acceptance of the reference values from the HDM 99 or a similar unit is
43. digits Safety air detector supervisor Safety air detector test Rinsing bridge connector sensor 1 Rinsing bridge connector sensor 2 Bicarbonate temperature sensor Dialysate temperature sensor Dialysate temperature sensor supervisor Degassing temperature sensor Ultrafiltration pump Ultrafiltration pump flow Ultrafiltration pump flow supervisor Ultrafiltration pump supervisor Outlet valve balance chamber 1 Outlet valve balance chamber 1 supervisor Outlet valve balance chamber 2 Outlet valve balance chamber 2 supervisor Filter vent valve Vent filter valve supervisor By pass valve By pass valve supervisor Disinfection valve Disinfection valve supervisor Dialyser outlet valve Dialyser outlet valve balance chamber 1 Dialyser outlet valve balance chamber 1 supervisor Dialyser outlet valve balance chamber 2 Dialyser outlet valve balance chamber 2 supervisor Dialyser outlet valve supervisor Dialyser inlet valve Dialyser inlet valve balance chamber 1 Dialyser inlet valve balance chamber 1 supervisor Dialyser inlet valve balance chamber 2 Dialyser inlet valve balance chamber 2 supervisor Dialyser inlet valve supervisor DF filter valve DF filter valve supervisor Inlet valve balance chamber 1 Inlet valve balance chamber 1 supervisor Inlet valve balance chamber 2 Inlet valve balance chamber 2 supervisor Air separator valve Air separator valve supervisor Substitution outlet valve Substitution outlet valve supervisor
44. doc pdf lt 120304 gt ddmmyy 4 9 1 18 4 9 2 4 9 3 4 9 4 4 10 4 10 1 4 10 1 1 4 10 1 2 4 10 1 3 4 10 14 4 10 1 5 4 10 1 6 4 10 1 7 4 10 2 4 10 2 1 4 10 2 2 4 10 2 3 4 10 2 4 4 10 2 5 4 10 2 6 4 10 2 4 10 2 8 4 10 2 9 4 10 2 10 4 10 2 11 4 10 2 12 4 10 2 13 4 10 2 14 4 10 2 15 4 10 2 16 4 10 2 17 4 10 2 18 4 10 2 19 4 10 2 20 4 10 2 21 DBI Parameters User Defined Alarm M essages Last Treatment Results Trend Configuration Manual Test and Calibration TL Manual Test and Calibration Buttons Lamps and Sounds Monitor Test Touch Screen Calibration Supervisor Window Test File System Check ABPM Maintenance DBI Test LLC M anual Test Test 1 1 Staff call Alarms and Power Off Test 1 2 Blood Pump Arterial Test 1 3 Blood Pump Venous Substition Pump Test 1 4 Heparin Pump Test 1 5 Tubing Clamps Test 1 6 Pressure Sensors Blood Side Test 1 7 Air Sensor SAD Red Sensor Test 1 8 Coupling Detectors Test 1 9 Water Inlet Upline Tank and Flow Pump FPE Test 1 10 Degassing and Heating Test 1 11 Dialysis Temperature Test 1 12 Concentrate Pumps and Conductivity Test 1 13 Balance Chamber Valves Test 1 14 Bypass and Disinfection Valves Test 1 15 Flow pump FPA Balance Chamber Sensors and Air Separator Test 1 16 Pressure Water Part Test 1 17 UF Pump Test 1 18 Blood Leak Test 1 19 Leak Test Test 1 20 Water Part Overview Test 1 21 Emptying 4 50 4 51 4 51 4 53 4 54 4 54 4 55 4 56 4 5
45. is exceeded Alarm and warning in therapy if limit is exceeded B Braun M edizintechnologie GmbH Dialog Dialog Advanced meee UF Profile Editor The UF profile can be edited in the UF Profile Editor Editing can be performed in the therapy mode and in the TSM service program CONST Constant If this button is activated all intervals of the profile are set to 100 LIN Linear If this button is activated only the first interval can be set A linear adaptation is calculated for the remaining process EXP Exponential If this button is activated only the first interval can be set An exponential adaptation is calculated for the remaining process Note If both the LIN and EXP buttons are not activated the response of the graph can be selected individually If an interval is changed the remaining intervals are adapted accordingly The last interval can not be modified because this setting is calculated from the previous interval settings Current Profile No The profile selected with this button is displayed and can be modified Additionally to 10 standard profiles 20 further profiles can be activated displayed and modified Profile No 0 This is a constant 100 profile Profile No 1 to 9 These profiles are pre defined Profile No 10 A profile which was edited in therapy Profile No 11 to 30 These profiles can be edited in the TSM service program and stored under a number UF Mode HD The UF proces
46. leak detector must b clean FPA must be switched off to prevent a flow during the calibration procedure The calibration of the blood leak detector type 2 is performed in two steps e Turbidity calibration e Calibration with reference solution You can skip directly to the calibration of the blood leak detector type 2 by Calibration pressing the Satter key e Reference Solution Red Dye 770 0911 e Graduated cylinder 2 litre 1 Both dialyser couplings are connected to the rinsing bridge 2 Prepare reference solution i e Prepare reference solution with 1 o reference solution e g 2 litre water 2 ml reference solution The water should have at least 30 C for an accurate calibration M ix the reference solution thoroughly 4 10 4 8 3 1 Turbidity Calibration with Water Calibrati 3 Press eeni key The calibration window is opened 4 Set FPA slowly to zero Calibration 5 Press the key to activate the first calibration point of the automatic calibration The values must be in the following limits Actual Status Actual Status Controller Supervisor Blood Concentration 20 to 20 215 to 222 thousandth part o After the calibration of the first point the second calibration point is automatically displayed 4 10 4 8 3 2 Calibration with Reference Solution Red Dye 6 Carefully pull off red dialyser coupling to prevent any loss of fluid air intake 7 Carefully insert red dialyser cou
47. performed according to the description of the pressure sensors for the blood side e Dialysis measurement instrument e g HDM 99 e Adapter set coupling tubing dialyser couplings 1 Connect the adapter set between the temperature sensor TSE and upline tank VB 2 Connect dialysis measurement instrument to adapter set 3 Set degassing pump EP to 1800 min 4 Press TSE Lalbration key TSE Calibration Point 30 C 5 Increase heater power in slowly until a stable temperature value of 30 C 2 C Is displayed at the dialysis measurement instrument Ref Value 6 Press key 7 Enter the stable value from the dialysis measurement instrument as reference value 8 Acknowledge with the Calibration key TSE Calibration Point 40 C 9 Increase heater power in slowly until a stable temperature value of 40 C 2 C Is displayed at the dialysis measurement instrument Ref Value 10 Press key 11 Enter the stable value from the dialysis measurement instrument as reference value 12 Acknowledge with the Calibration key TSE Calibration Point 85 C 13 Slowly increase heater power in until a stable temperature value of 85 C 2 C Is displayed at the dialysis measurement instrument Ref Value 14 Press key 15 Enter the stable value from the dialysis measurement instrument 16 Acknowledge with the Calibration key 17 Acknowledge and store complete calibration procedure with Vox ke
48. the degassing chamber is filled with liquid 20 cm approx 15 mmHg e Dialysis measurement instrument e g HDM 99 1 Connect dialysis measurement instrument between dialyser couplings 2 Set degassing control valve RVE to 50 3 Open air separator valve with the _vacioseD key The key switches to VLAOPEN Press PE Calibration key 5 Slowly increase the speed of the degassing pump EP until a negative pressure of 400 mmHg 10 mmHg is displayed at the dialysis measurement instrument PE Calibration Point 400 mmHg Ref Value 6 Press key 7 Enter the stable value from the dialysis measurement instrument as reference value 8 Acknowledge with Calibration key PE Calibration Point 100 mmHg 9 Slowly reduce the speed of the degassing pump EP until a negative pressure of 100 mmHg amp 10 mmHg is displayed at the dialysis measurement instrument Ref Value 10 Press key 11 Enter the stable value from the dialysis measurement instrument as reference value 12 Acknowledge with Calibration key 13 Acknowledge and store complete calibration procedure with Vox key 14 Remove dialysis measurement instrument M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSE 4 10 4 3 2 Calibration Pressure Sensor Dialysate Fluid Outlet PDA The calibration with the automatic acceptance of the refer
49. 0 0 0 O rpm digit digit e Dialysis measurement instrument e g HDM 99 and DCI option art no 770 7218 or a D Sub zero modem cable e Adapter set coupling tubing dialyser couplings 1 Connect dialysis measurement instrument between FPE and balance chamber to the RS 232 interface and switch on machine 2 Connect dialyser couplings to flow meter adapter of the dialysis measurement instrument 3 Increase slowly the speed of FPE until a flow of 750 ml min 50 ml min is reached 4 Press lt i ctto key for a combined calibration of TSBIC and TSD TSD_ S The circulation valve WZ stays closed MT M D DE08C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mS Calibration Point 30 C 5 Increase slowly heater power in until a stable temperature value of 30 C 2 C is displayed at the dialysis measurement instrument Pay attention to the deviation range of 0 1 C over 10 s at the dialysis measurement instrument Ref Value 6 Compare the stable reference value in the X window with the sired Tee desired value in the Nate window and acknowledge with the Calibration key sired e The reference value is taken over in the fale window Act Point e The next calibration point is displayed in the __X__ window Calibration Point 38 C 7 Increase slowly heater power until a stable temperature value of 38 C 2 C is
50. 2 5 Dialysis Temperature Calibration 2 6 Conductivity MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSE 4 10 4 1 Calibration Pressure Sensors Blood Side PA PV PBE and PBS Prior to Calibration e Use calibrated dialysis measurement instrument e Wait until Dialog has reached working temperature You can calibrate the following pressure sensors of the blood side either separately or combined e PA arterial pressure sensor e PV venous pressure sensor e PBE blood inlet pressure sensor e PBS blood control pressure sensor If the pressure sensor PBS is present the sensor is activated with the PBS Icon After a calibration compare the pressure sensor values The sensor values are displayed in digits see conversion table PV PA W amp PAS PO KH PBE 3 ROA BPA BPV re e 9 SAD JC PO J v v SAKV gt K XK SAA Fig Single Needle Version DIALOG TSM MODE 1 Activate the LLC Manual Calibration menu with Dec 10 2003 0643 the LLC Manual Calibration key in the Manual Test and Calibration menu Actual Status Desired Setting 2 Activate the Pressure Sensors Blood Side menu Controller Supervisor Controller by pressing on the line Calibration 2 1 Pressure Sensors Blood Side The following menu is BPA rpm 0 ts displayed PA digit o o Calibration ci gt Py digit P
51. 4 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSSE 4 10 4 10 2 Selection SAD Version 2 1 Activate the menus Calibration 2 9 Safety Air Detector SAD SAD Type 2 Activate SAD with Fixed Alarm Level from Version 2 Note If the safety air detector version 1 is present e If the SAD version 1 is defective replace with SAD version 2 M T M D DE08C M KAY p DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH eS FEU Tillie 26H 4 10 4 11 Calibration BICLF and ENDLF Ratio You can set the limit values for the BICLF and ENDLF ratio The ratio between bicarbonate acid acetate concentrate and water e g osmosis water is monitored during dialysis Thus dialysis is monitored to prevent the use of false concentrates All concentrates applied by the user must be checked during commissioning If necessary the limit ratio value for bicarbonate and acid acetate respectively must be adapted to each machine to meet the customer specific requirements ENDLF Ratio for Acid Concentrate with Ratio 1 44 The ENDLF ratio should be set to 45 if an acid concentrate is used with a ratio of 1 44 The acetate dialysis should be disabled because an acetate dialysis is not possible with this setting Treatment Support System Configuration Dialysate Side Parameters Acetate M ode Disabled YES RVFPE oe VEBK1 2
52. 7 4 58 4 59 4 59 4 60 4 61 4 62 4 63 4 64 4 65 4 68 4 69 4 70 4 71 4 72 4 73 4 74 4 75 4 76 4 7 4 78 4 80 4 81 4 82 4 84 4 87 4 88 B Braun M edizintechnologie GmbH Dialog Dialog Advanced M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy 4 10 2 22 4 10 2 23 4 10 2 24 4 10 2 25 4 10 2 26 4 10 2 27 4 10 3 4 10 4 4 10 4 1 4 10 4 1 1 4 10 4 1 2 4 10 4 1 3 4 10 4 1 4 4 10 4 1 5 4 10 4 2 4 10 43 4 10 43 1 4 10 4 3 2 4 10 4 4 4 10441 4 10 45 4 10 45 1 4 10 4 5 2 4 10 4 6 4 10 4 6 1 4 10 4 6 2 4 10 4 6 3 4 10 4 6 4 4 10 4 7 4 10 4 7 1 4 10 4 7 2 Test 1 22 HDF 1 23 BIC Cartridge Valves and Coupling Detectors 1 24 HDF Online 1 25 HDF Online Valves and Coupling Detectors 1 26 Option Rechargeable Battery 1 27 DFS Pressure Test of Therapy General Information Calibration Low Level Calibration Calibration Pressure Sensors Blood Side PA PV PBE and PBS Single Calibration Pressure Sensor PA via RS 232 Single Calibration Pressure Sensor PA Single Calibration Pressure Sensors PV PBE and PBS via RS 232 Single Calibration Pressure Sensors PV PBE and PBS Common Calibration Pressure Sensors PA PV PBE and PBS Heparin Pump Calibration Pressure Sensors of Water Side PE and PDA Calibration Pressure Sensor Degassing PE Calibration Pressure Sensor Dialysate Fluid Outlet PDA Calibration Degassing Temperature Sensor TSE Calibration TSE C
53. Dialog Dialog Advanced SHEESH Copyright This technical documentation remains with all rights the property of B Braun Medizintechnologie GmbH B Braun M edizintechnologie GmbH March 2004 Software Version Dialog Dialog The description of the TSM service program is valid for the Advanced software version 6 21 For software versions lt 6 20 menus descriptions or settings can differ from the SW 6 21 or specific options may not be available Dialog Dialog Advanced The name Dialog is used to simplify the text in the chapter TSM service program If necessary Dialog or Dialog Advanced is used to distinguish between different version types Commissioning and Service Only trained personnel must commission and service the Dialog Dialog Advanced Servicing must only be perfomed with proper tools calibration equipment and be in accordance with the most recent revision of this service manual technical information which must be clearly and thoroughly understood Electrical Shock Hazard To prevent electrical shock hazard Switch off the Dialog Dialog Advanced and disconnect unit from mains if you have to open the machine for servicing Do not touch any exposed wiring or conductive surfaces while the Dialog Dialog Advanced is opened The voltages present when electrical power is connected to the Dialog Dialog Advanced can Cause serious injury or death TSM Service Program Only activate the TSM service program for service activities It is prohibit
54. EE 3 Press the or La key to skip to the sind o0 0 gt Calibration previous or to the next calibration menu PBE digit o0 Calibration nS digit o0 o Calibration Qr Common Calibration Pee KE D A M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MS Open the PBS Type menu with the PBS Type key If the pressure sensor PBS is present activate with PBS Present Dialog with two blood pumps PBS Type PBS not present Common Calibration Press the key for a combined calibration 100 mmHg 0 mmHg 500 mmHg of the pressure sensors PA PV PBE and PBS A calibration window is opened if the key is selected Actual Status Desired Setting Controller Supervisor Controller Note dii PA must be calibrated again after the common digit calibration because PA has a different working di range and thus different calibration points 300 digit mmHg 0 mmHg 300 mmHg digit digit Ref Val Press the eee key to enter a reference value An enter window is opened if the key Is selected Desired Setting Controller 100 0 500 0 BPA rpm PA digit Ea a2 oa PV digit 2 een o PBE digit 2 8 Ea so I ea Act s Xo Vf K x Xon MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH
55. EO8C M KAY B Braun Medizintechnologie GmbH DialogAd_sm_ Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy Dialog Dialog Advanced Se Dialog software version gt 6 20 a dialysis measurement instrument e g HDM gt 99 witha software version gt 3 52 can be connected to the Dialog to calibrate the pressure the 5 temperature and the conductivity The HDM is Toi connected to the RS 232 interface of the cawan motherboard Desired The desired value of the machine is displayed Value Ref Value If a dialysis measurement Instrument HDM is connected the referenz value window appears The reference value of the dialysis measurement instrument is displayed Input values can be increased in increments with the displayed software key as an alternative to the hardware key on the keyboard membrane of the colour monitor on Actual Status Controller Supervisor co o Input values can be decreased in increments PA digit o o a with the displayed software key as an wo wi To 0 alternative to the hardware key on the keyboard membrane of the colour monitor PBE digit o The calculator symbol opens a numeric software keyboard You can enter values with this keyboard The entered value must be in the Desired Setting permissible limits e g 0 to 3000 see figure Controller rpm PA digit Calibration Calibration Calibration Calibration
56. M KAY 1 Activate the Dialysis Temperature menu with the Dialysis Temperature key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the KI or gt key to skip to the previous or to the next test point You can skip directly to the calibration of the temperature sensors TSBIC Calibrati TSD TSD S by pressing the ey ke The dialysate is heated up with the set heater power H The flow pumps FPE FPA work with the set speed The balance chambers are opened and the machine works In main flow The temperature must be controlled by the heater to a stable set point to test the temperature sensors If you open the circulation valve ZW a closed flow circuit is achieved via the upline tank The flow pump FPE should be set to 1500 min The temperature sensors must be in the measurement range of 32 to 44 C with a deviation of gt 1 5 C and lt 0 5 C The measurement range is as follows TSE TSD TSBIC O to 100 C TSD S 30 to 55 C DialogAd sm Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mE 4 10 2 12 Test 1 12 Concentrate Pumps and Conductivity TSBIC BICLF ENDLF ENDLF S TSD 0 00 0 00 0 00 0 0 mS cm mS cm mS cm UZ CLOSED Head Speed rpm 0 0 ml min BICPFLOW_S 0 0 ml min KPFLOW_S 0 0 ml min by pressing the Activate the Concentrate Pumps and Conducti
57. Manual Calibration menu with Dec 10 2003 0755 the LLC Manual Calibration key in the Manual Test and Calibration menu area 2 Activate the Flow of BPA and BPV OSP menu by Actual Status pressing on the line Calibration 2 13 Flow of Pump Speed rpm l l BPA and BPV OSP The following menu is Controller Supervisor eree seg displayed ie START Calibrati ative 3 Press the lt or gt key to skip to the BPV START Calibration previous or to the next calibration menu Qe cate Se Tube Constant DIALOG TSM MODE 1 Press the Tube Constant key to activate the Dec 10 2003 10 15 menu Calibration 2 13 1 Tube Constants of BPA and BPV The following menu is displayed The following tube constants must be entered for the applied tubing system Actual Tube Constant Controller 8 x 12 Tubing System BPA 12306 ul Head rotation 0 BPV 12306 ul Head rotation Supervisor New Tube Constant Setting BPA ulfhead rot BP ulfhead rot MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced Se Pump Head 1 Press the Pump Head key to activate the menu Pump Head Selection The following menu is displayed You can select the pump head roller typ used in the blood pumps e Pump head 8 x 12 e Pump head 7 x 10 option M T M D DE08C M KAY p DialogAd_sm_Chapter 4 3_6 2004 do
58. Ratio 35 ratio water bicarbonate for cartridge operation The ENDLF ratio limit value 31 factory setting can be modified must not be exceeded An alarm is activated if this ENDLF ratio limit is exceeded Bicarbonate Mode Upper Limit ENDLF Ratio lt 31 Default Value BICLF Ration 25 7 canister Default Value BICLF Ration 25 10 cartridge Setting Range Setting Range ENDLF Ratio 14 BICLF Ratio 3 mS cm mS cm Acid 10 to 50 Bicarbonate a 10 to 50 canister 25 to 50 cartridge Concentrate Pump KP Suction Rod red Bicarbonate Pump BICP Suction Rod blue The ENDLF ratio limit value must not fall below 31 factory setting can be modified An alarm is activated if this ENDLF ratio limit is lower than 31 Acetate Mode Lower Limit ENDLF RATIO gt 31 Setting Range ENDLF Ratio 14 Setting Range BICLF Ratio 3 mS cm mS cm Acetate 10 to 50 Concentrate Pump KP Suction Rod red BICP is deactivated in acetate mode The BICLF Ratio and ENDLF ratio limits can be modified in the given limits These limits were determined and set to meet the general requirements The Dialog is delivered with a standard factory setting Concentrates which are individually composed and applied in dialysis centres can differ from these standard values The BICLF ENDLF ratio value can differ from Dialog to Dialog deviations approx 10 These deviations are conditioned by the system and are caused by the vol
59. TEST key the switch level is automatically increased i e air must always be detected SAD Trigger OFF The cyclic measurement of the controller can be checked with the SAD TRIGGER OFF key SAD Messung The cyclic measurement is checked by the controller and must be detected by the supervisor with the SAD Time Contr SAD Test AIR must be detected if the SAD TEST is activated The sensitivity can be changed to check the scwitching point AIR AIR must be detected if a tubing filled with air is inserted NO AIR NO AIR must be detected if a tubing filled with fluid is inserted MT MD DEO8C M KAY a DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSB EES 4 10 2 8 Test 1 8 Coupling Detectors 1 Activate the Coupling Detectors menu with the Coupling key in the LLC Manual Test menu The following menu is displayed 2 Check the functions of the reed contacts with the appropriate couplings 3 Press the or gt key to skip to the previous or to the next test point You can check the actual status of the reed sensors Detectors e BIC SS Bicarbonate rinsing connection sensor e KSS Concentrate rinsing connector sensor e SBS1 2 Rinsing bridge connector sensor dialyser couplings M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mee 4 10 2 9 Test 1 9 Water Inlet
60. The Test 4 key activates and deactivates the air leakage test 3 minutes Thus Test 4 the pneumatic integrity of the ABPM system Is tested re The measurement chamber is connected to the ABPM system via the pressure Est cd aplristel i tubing A pressure is built up to 300 mmHg and is held for 3 minutes 4 10 1 7 DBI Test For detailed information regarding networking for Dialog machines see the technical information Nexadia BSL Network and software for networking MT M D DE08C M KAY l DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mE 4 10 2 LLC M anual Test You can test the function of the low level controller LLC sensors pumps and valves You can select a test menu and check a single or where applicable combined sensor pump and valve The components are displayed in graphics position and corresponding value is displayed Additionally you can directly skip to the Low Level Calibration menu with a Calibration key DIALOG TSM MODE 1 Activate the Manual Test and Calibration menu Manual Test amp Calibration with the Manual Test and Calibration key in the TSM Main Menu The following menu is displayed TL Manual Test amp Calibration LLC Manual Test LLC Manual Calibration 2 Activate the LLC Manual Test menu with the LLC Manual Test key in the Manual Test and Calibration menu The following menu is Test 1 1 Staff Call f Alarms f Power o
61. Time hour DIALOG Version number 6 Pon tir 1 Activate the Treatment Support menu with the Treatment Support button in menu TSM Main Menu The following menu is opened Four sub menus can be selected in the Treatment Support menu System Configuration User defined Alarm Messages Last Treatment Results Trend Configuration System Configuration This is a special editor to set the configuration of the treatment mode e g limits default values The new settings are valid after the restart of the machine User Defined Alarm Messages Every alarm message has of two parts The first Fix Alarm message is a noneditable alarm description The second User Alarm message can be edited by the user for additional remarks only available in some SW versions Last Treatment Results You can select and define the configuration of the trends displayed in treatment mode The stored data of the last treatment can be displayed with the second function Trend Configuration There are five trend groups which can be selected for the treatment program Every group has three treatment parameters M T M D DEO8C M KAY ii l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced meee 4 9 1 System Configuration 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support The following menu is opened Dialysate
62. Upline Tank and Flow Pump FPE 1 Activate the Water Inlet menu with the Water Inlet key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the KI or gt key to skip to the previous or to the next test point NSUB HIGH UZ CLOSED You can set the flow of the upline tank control valve RVVB RVVB must guarantee a flow of gt 1200 ml min at a water inlet pressure of approx 1 3 bar The pressure reducer valve is set to 1 3 bar The level of the upline tank VB is displayed on the screen by the level sensors NSVB high medium and low If the upline tank is full the valve RVVB is closed automatically If the flow pump FPE is activated FPA is also switched on to allow an unrestricted flow through the balance chambers The degassing pump PE is permanently switched on to allow a circulation in both compartments of the upline tank RVE is opened If the emptying is activated to drain the machine the pumps are Switched on for a short period and RVVB closed All balance chamber valves are opened and the outlet flow pump FPA works in main flow with the same speed as the inlet flow pump FPE The degassing pump EP runs and the degassing control valve RVE is open M T M D DE08C M KAY np DialogAd_sm Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 10 2 10 Test 1 10 Degassing and Heating 1 A
63. VD 4 162 4 11 Production Report 4 164 4 11 1 Version Number Dialog 4 165 4 11 2 Low Level Options 4 165 4 12 Service Reports 4 166 M 1 MD DEO8C M KAY B Braun Medizintechnologie GmbH DialogAd_sm_ Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy Dialog Dialog Advanced SHEESH 62 4 1 Start TSM Service Program The TSM Main Menu TSM Technical Support and Maintenance is used for servicing the machine The TSM service program TSM Main Menu is started as follows ae Switch off machine omm me E i B m o o Open rear door mee N ca mot ooo A On supervisor board SB turn hardware switch K1 from position 0 to position 2 Hardware Switch K1 Position 0 Therapy Mode Position 2 TSM Mode Position 3 Software Update Mode i i sotto 00 8000080 parr wmm B i mel i o O oO i g car Tomoa g p ceceno onoono 0 nono O co Basiea moomoo 7210 Switch on machine The machine starts in TSM mode Fig Suppervisor Board with Hardware Switch K1 The TSM Main Menu is displayed The following four DIALOG TSM MODE l sub menus can be selected e Treatment Support Treatment Support e Manual Test and Calibration e Production Report Manual Test amp Calibration e Service Report Production Report Service Reports Working Time hour D DIALOG Version number 6 i on 7 77 Treatment Support inti parameters can be set for the therapy mode in th
64. VSAE VSAA The flow path through both filters DF and HDF can be set via the valves Before operation in main flow the DF filter inlet must be vented via VDFF because the membranes of the DF filter and HDF filter are impermeable to air Valve VBE can only be opened if PDA lt 100 mmHg to prevent fluid penetration a Start the Emptying ON at least three times and manually clamp the bypass z tubing to ensure a complete emptying M T M D DE08C M KAY np DialogAd_sm Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSBB PSE 4 10 2 25 1 25 HDF Online Valves and Coupling Detectors 1 Activate the HDF Online Valves and Coupling Detectors menu with the HDF Online Valves and Coupling Detectors key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the LAU or LF key to skip to the previous or to the next test point You can activate and deactivate the HDF online valves Valves VBE VDFF VSB VSAE VSAA You can either activate or deactivate a single valve with the Desired Setting icon or all valves VBE VDFF VSB VSAE VSAA with the Common Setting icon Thus the feedback from the LLS can be checked Detectors PSAUSS substitution port outlet sensor The status of the additional coupling sensor PSAUS can be checked PSABFS substitution port drain sensor The status of the additional couplin
65. a 5 M T M D DE08C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy The LED test is activated with the LED TEST OFF key The OFF key switches to the RED key key as soon as the key is pressed The red LED is tested after 10 s The controller value for the switched off red LED must be as follows the supervisor value is uncritical Note write down value red LED Actual Status Controller Blood Concentration lt 4 00 Press the LED TEST RED key to switch to the green LED The RED key switches to the GREEN key The green LED is tested The controller value for the switched off green LED must be as follows the supervisor value is uncritical Note write down value green LED Actual Status Controller Blood Concentration gt 2 06 B Braun M edizintechnologie GmbH Dialog Dialog Advanced See FEU Tillie 6 a 7 The actual controller values for the red LED and the green LED must be divided The calculated value must be in the following limits to the first decimal digit round off red LED green LED 1 2 1 4 i Exchange the blood leak detector type 2 if one of these three values are out of limits 4 10 4 8 3 Calibration Blood Leak Detector Type 2 Close front and rear door for the calibration to prevent light irradiation on the sensor Air and micro bubbles must not be present prior or during the calibration of the blood leak detector if necessary rinse see information 4 10 4 7 The blood
66. after selftests User message for BS filled Rinsing bloood flow Rinsing time by UFP Rinsing rate by UFP Rinsing volume by UFP 200 ml min 00 59 h min 203 myn Rinsing time by BPA or BPV Rinsing rate by BPA or BPV Rinsing volume by BPA or BPV Blood Flow for connecting patient Filling BP Rate Filling BP Volume Automatic Rinse Program after Selftests M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy You can set the BP rate to fill the blood line system BS for all rinsing modes You can set the filling rinsing volume for the A V system With Rinsing Out of M achine The filling of the dialyser is started after the filling BP volume is reached e g 300 ml With Bag Rinsing The blood pump BPA is stopped after the filling BP volume is reached e g 300 ml This allows the changing from two bags to one bag If YES is Activated Thr rinsing is automatically performed directly after the BS selftests If NO is Activated The rinsing must be started manually after the BS selftests B Braun M edizintechnologie GmbH Dialog Dialog Advanced SESS 62 User Message for BS Filled If YES is Activated The following user message is displayed after rinsing out of the machine Is the blood system filled with NaCl solution and rinsed All levels correctly set The BS system is filled until the k key is pressed and the filling BP volume is completed Thus the level can be set
67. air bubbles in the system are removed 4 Rinse blood leak detector for approx 15 to 30 min with FPA 1000 min to warm up the complete system to a temperature of approx 40 C 5 The LED Test is activated with the LED TEST OFF key The OFF key switches to the RED key as soon as the key is pressed The red LED is tested after 10 s The controller value for the switched off red LED must be as follows the supervisor value is uncritical red LED Actual Status Controller Blood Concentration lt 4 00 6 Press the LED TEST RED key to switch to the green LED The RED key switches to the GREEN key The green LED is tested The controller value for the switched off green LED must be as follows the supervisor value is uncritical green LED Actual Status Controller Blood Concentration gt 2 06 7 The actual controller values for the red LED and the green LED must be divided The calculated value must be in the following limits to the first decimal digit round off red LED green LED 1 2 1 4 Exchange the blood leak detector type 2 if one of these three values are out of limits Check Blood Leak Detector Type 1 1 The LED Test is activated with the LED TEST OFF key The OFF key switches to the RED key when pressed The blood concentration value for the detector signal is displayed for approx 10 s The blood concentration value of the controller for the switched off LEDs must be as follows the supervisor value is uncritical
68. alibration Dialysis Temperature Sensors TSBIC and TSD TSD_S Calibration TSBIC TSD TSD_S via RS 232 Calibration TSBIC TSD TSD_S Calibration Conductivity Sensors Bicarbonate BICLF and END Conductivity ENDLF ENDLF_S Calibration BICLF via RS 232 Calibration BICLF End Conductivity Sensor ENDLF ENDLF_S via RS 232 End Conductivity Sensor ENDLF ENDLF S Calibration Blood Leak Detector Type 1 Function Check Blood Leak Detector Type 1 Function Check Blood Leak Detector Type 1 Art No 3451 6562C gt gt gt gt gt gt gt gt 4 89 4 90 4 91 4 92 4 93 4 94 4 95 4 97 4 98 100 101 102 103 104 105 106 107 108 109 110 111 112 114 116 118 121 123 125 127 128 129 B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 10 4 7 3 Calibration Blood Leak Detector Type 1 4 130 4 10 4 7 3 1 Turbidity Calibration with Water 4 130 4 10 4 7 3 2 Calibration with Reference Solution Red Dye 4 130 4 10 4 7 4 Actual Value Check Blood Leak Detector Type 1 4 131 4 10 4 7 4 1 Check 0 o Blood Concentration 4 131 4 10 4 7 4 2 Check 1 o Blood Concentration 4 131 4 10 4 8 Calibration Blood Leak Detector Type 2 4 132 4 10 4 8 1 Activation Blood Leak Detector Type 2 4 133 4 10 4 8 2 Check Blood Leak Detector Type 2 4 133 4 10 4 8 3 Calibration Blood Leak Detector Type 2 4 134 4 10 4 8 3 1 Turbidity Calibration with Water 4 134 4 10 4 8 3 2 Calibration with Reference Solution R
69. alternative to the software key on the touch screen The service overview can be selected in the TSM with the hardware key Note SW gt 3 46 SW lt 3 46 Fig Keyboard Membrane Software Keys The software keys are displayed in the respective menus of the TSM service program and can be operated via the touch screen a A single sensor is selected for calibration with Dec 10 2003 06 43 Calibration the software key and a lower calibration window is opened Actual Status Desired Setting Controller Supervisor Contfoller ja ica _ A combined sensor calibration can be selected PA digit o o Calibration _ eae Calibration aah a key and a lower calibration PY digit ie 07 a Calibration P miai o Calibration gt The previous calibration menu or the next calibration menu can be selected with the software keys a Exit the menu with the door key Max Points The number of calibration steps is displayed or X can be modified Act Point The current calibration step is displayed PBS digit o0 o Calibration Qee Common Calibration E 4 gt H oX The input window is opened to enter a reference Ref Value value It should always be close to the proposed reference value The calibration for the respective current Calibration calibration point is started Max Points 3 x A calibration can be terminated The procedure ia is not saved M 1 MD D
70. and close with tubing clamp e Check pressure drop The pressure drop must be lt 50 mmHg in 30s Leak Test Heat Exchanger WT a Rinse water circuit to prevent air bubbles b Close the outlet c Activate test The FPE builds up a pressure d Check pressure drop The pressure drop must be lt 50 mmHg in 30s MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mee 4 10 2 20 Test 1 20 Water Part Overview 1 Activate the Water Part Overview menu with the Water Part Overview key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the KI or gt key to skip to the bo eC J000 netan previous or to the next test point UZ CLOSED You can set the speed for the flow pump FPE FPA The heater power H can be set in The speed of the concentrate pumps BICP KP can be set manually After starting this menu the balance chamber is intialised Then the flow pump FPE is set to the same speed as FPA The balance chamber valves are switched automatically M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHSEEB PSHE 6 4 10 2 21 Test 1 21 Emptying 1 Activate the Emptying menu with the Emptying key in the LLC Manual Test menu The following menu is displa
71. ater The components of the acid concentrate are listed in table 1 Nominal Composition of Ready for Use Dialysate According to Data on Canister 1 Acid Concentrate 1 225 BIC 32 775 Deionized Water Component max Oscillation mmol l Range Sodium 0 Potassium 2 Calcium 0 5 Magnesium 0 5 Chlorine 3 Acetate l Bicarbonate 32 1 Glucose 0 g l 1 g l Osmolarity 5 mOsm Table 1 The following B Braun acid concentrates can be used e g SW376A SW163A SW 196A SW127A SW93A SW102A SW380A SW95A SW139A SW 381A SW178A SW393A SW195A If acid concentrates are not available the following B Braun acetate concentrates can be used as an alternative e g SW44 and SW 174 If acid concentrate from B Braun is not available acid concentrate from a second source can be used The composition is listed in table 1 Acid concentrate is diluted with deionized water with a ratio of 1 4 or 1 4 5 with acete to calibrate the BICLF sensor i e bicarbonate concentrate is not used The undiluted acid concentrate if not available use acetate is used to calibrate the ENDLF ENDLF_S sensors see table 1 The following calibration points are used e Calibration points BICLF 0 mS cm 3 mS cm 5 8 mS cm e Calibration points ENDLF ENDLF_ S 0 mS cm 14 0 mS cm e Conductivity calibration point deviation 0 2 mS cm e Conductivity oscillation range 1 digit 0 1 mS cm displayed value of Dialog over 10 s i e the conductivity should be con
72. ature Edit Actual Temperature of Degasing Part 1 Press the Edit key to select treatment parameters Actual Ultra Filtration Volume Actual Trans Membrane Pressure Actual Speed of UF Pump Actually Given Heparin Volume Actual Venous Pressure Actual Arterial Pressure Number of events Event list Actual Pressure of Degasing Pressure Sensor 2 Select the parameter from the top field if necessary use scroll bar that you would like to exchange Apr 02 1996 13 33 Actual Dialysate Fluid Flow Actual Bic Conductivity of Dialysate Fluid Actual Final Conductivity of Dialysate Fluid 3 Select the new parameter from the bottom field if necessary use scroll bar that you would like to take over Actual Arterial Pressure Actual Venous Pressure Actual Blood How Actual Phase Volume Actually Treated Blood Volume 4 Press the OK key The new parameter is taken over M T M D DE08C M KAY pi DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SEES U 4 9 4 Trend Configuration You can select five different trend groups for the treatment mode Three treatment parameters can be configured individually for every group a Treatment Support 1 Activate the Treatment Support menu with the Nov 22 1995 1113 Treatment Support key in the TSM Main Menu System Configuration User defined Alarm Messages Last Treatment Results
73. bar with the adjustment screw of RVFPE 8 Tighten lock nut again 9 Remove manometer and flow meter MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHH SH Tillie 0a 4 10 4 18 Calibration Dialysate Nonreturn Valve RVDA You can calibrate the dialysate nonreturn valve RVDA Loop In Point for Calibration RVFPE Einschlauchpunkt fur Kalibrierung Fig Water Inlet Sub Rack with RVDA Dialog Advanced e Manometer 0 to 4 bar 770 1357 e Flow meter 770 0857 e Allen key 3mm Please ensure that the manometer and connection tubing are at the same level as the balance chamber rinsing bridge and dialyser during calibration 1 Remove lower front cover 2 Connect manometer and flowmeter between flow pump FPE and balance chamber FBK1 Select Test 1 20 Water Part Overview in TSM Set speed of flow pump FPA to 500 ml min Set temperature TSD to 37 C Loosen lock nut on RVDA adjustment screw Set a pressure of 300 mmHg 400 mbar HDF online 375 mmHg 500 mbar with the adjustment screw of RVDA 8 Tighten lock nut again Jx DH UO A WW 9 Remove manometer and flow meter M T M D DE08C M KAY n l DialogAd_sm Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 10 4 19 Calibration Outlet Flow Pump Nonreturn Valve RVFPA You can calibrate the outlet fl
74. be set for the BICLF Cart Ratio Check the ratio value in therapy Service overview and adjust if necessary Setting Range 25to 50 Limits Setting 10 1 Enter 35 in Desired Setting Controller for the BICLF Cart Ratio 2 Save the entered value with the Calibration key 3 Check the bicarbonate ratio value in therapy M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSeS FEU 0a 4 10 4 12 Calibration Load Cell You can calibrate the load cell for the HDF bag option The load cell is calibrated in two steps The first calibration step is performed without a weight the second calibration step with a 10 kg calibration weight The system is protected against over or under calibration The result of the calibration can be tested in menu 1 22 HDF Wait until machine has reached operating temperature The HDF arm must be in the upper end position during calibration e Calibration Weight 10 kg 770 1713 1 Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the Laod Cell menu by pressing on the line Calibration 2 11 Load Cell The following menu is displayed 3 Press the lq or gt key to skip to the Load Cell digit previous or to the next calibration menu 4 Drive the HDF arm to upper end position 5 Press Load Cell Calibration key 6 Press
75. bstitution Pump menu The flow for the BPV substitution is displayed with this factor Speed You can select the speed of the venous blood pump BPV substitution pump The controller displays the motor speed The supervisor displays the head speed The speed is kept stable via a hardware controller but it is not controlled to the desired set point i e the actual value does not have to correspond with the desired set point value The low level controller detects the motor speed via Hall sensors These are integrated in the motor The low level supervisor detects the speed via a slot disk with light barrier assembled on the pump head axle The conversion factor for the gear of the pump has a ratio of 1 46 65 between both actual values Cover State If the pump cover is opened the blood pump BPV substitution pump is stopped The low level controller detects and displays the opened pump cover M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS E EB Pll 6 4 10 2 4 Test 1 4 Heparin Pump Heparin Pump Compact The heparin pump type is selected in LLC Manual Calibration Calibration 2 2 Heparin Pump Heparin Pump Type Heparin Pump Type Selection e Heparin Pump Comfort e Heparin Pump Compact 1 Activate the Heparin Pump menu with the Heparin Pump key in the LLC Manual Test menu The following menu is displayed for the heparin pump Compact
76. c pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced S378 7SU TE 08 4 10 4 15 Infusion Density Substitution Pump 1 Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the Substitution Pump menu by pressing on the line Calibration 2 14 Substitution Pump The following menu is displayed 3 Press the LAU or L __ key to skip to the previous or to the next calibration menu Infusion Density g l The value for the infusion density must be set to 1006 Substitution Pump The value for the tube constant must be set to 3372 for pump head 8 x 12 ul Head Rotation M T M D DE08C M KAY pi DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced S W FSU 08 4 10 4 16 Stroke Value HDF Online Substitution Pump OSP 1 Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the HDF Online Substitution Pump OSP menu by pressing on the line Calibration 2 15 HDF Online Substitution Pump OSP The following menu is displayed 3 Press the t or LF key to skip to the previous or to the next calibration menu Stroke Value The stroke value must be set to 8300 for pump head 8 x 12 HDF Online Substitution Pump OSP Note The displayed values for the controller and supervisor ca
77. can lead to incorrect measurement values in the measurement line and can cause fluctuation of the current value If air is visible check the complete system for leaks in menu 1 20 Test Water Part After the initialisation phase rinse the blood leak detector approx 1 min and then perform a leakage test of the system in menu 1 19 Leak Test 4 10 4 7 1 Function Check Blood Leak Detector Type 1 The following function checks are performed e Red and green LED e Receiver circuit e Optical efficiency of the detector block The blood leak detector type 1 up to art no 3451 656B must be replaced if the function test is not passed If the values are out of limits the blood leak detector from art no 3451 656C can be recalibrated with the potentiometers The temperature is controlled to approx 40 C in menu 1 18 DIALOG TSM MODE 1 Connect both dialyser couplings to the rinsing Fev 07 2001 115e bridge 2 Select menu 1 18 in TSM to perform a function check of the blood leak detector Actual Status Controller Supervisor Desired Setting 3 Rinse the blood leak detector for approx 1 min Controller with flow pump outlet FPA 2000 min at the beginning of the rinsing time Thereby possible air bubbles are removed 0 4 Rinse blood leak detector for a minimum 30 min with FPA 1000 min Thereby the complete system is warmed up to an even temperature of approx 40 C Blood Concentration promille
78. cessary you can set the end of the summer time date and hour Time Difference If necessary you can set the time difference between summer and winter time M T M D DEO8C M KAY ii l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 9 1 17 Miscellaneous Parameters Language selection Summer time setting Miscellaneous parameters Automatic Preparation Start Data walidation with UF Profile Editing in Treatment enabled Click Sound TMP Bar Visible Warning for Patient Data Saving A Skip Selftests Enabled Automatic Preparation Start Data Validation with UF Profile No 10 Setting M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy Further parameters can be set in the Miscellaneous Parameters menu 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support The following menu is opened and displayed scroll with scroll bar 2 Activate the Miscellaneous Parameters menu with the Miscellaneous Parameters icon The following menu is displayed The following parameters can be set Click Sound TMP Bar Visable Warning for Patient Data Saving Skip Selftests Enabled Automatic Preparation Start Data Validation with UF Profile No 10 Setting M anual Bypass Confirmation Window Enabled End of Therapy Sound Duration Automatic Reinfusion Start at Entering E
79. cked on the diskette Thus it is guaranteed that other patient diskettes are not overwritten Cal ad al LJ 1 Insert a non formatted diskette or DOS formatted diskette into floppy disk drive 2 Select Diskette icon 3 Format QNX diskette Production Report You can load a production report from a diskette or save the production report to a diskette 1 Insert an empty QNX diskette or a diskette with the production report into floppy disk drive 2 Select Diskette icon 3 Load or store the production report MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SEES U System Configuration You can load the basic setting TSM therapy from diskette or save the basic setting TSM therapy to a diskette A diskette with the system configuration from an other machine can only be used if the hardware the software and the operating system QNX2 or QNX4 match 1 Insert an empty QNX diskette or a diskette with the system configuration into floppy disk drive 2 Select Diskette icon 3 Load or store the system configuration Dialog Version Number You can load a new Dialog version no e g due to a controller software update 1 Insert Dialog version number diskette into floppy disk drive 2 Select Diskette icon 3 Load new version number Language Maintenance You can load or supplement a new language for therapy or TSM service program
80. ctivate the Degassing and Heating menu with the Degassing and Heating key in the LLC Manual Test menu The following menu is displayed J 2 Check the functions with the appropriate keys HOFF1 S ON UZ CLOSED H RELAY ON M T M D DE08C M KAY 3 Press the KI or gt key to skip to the previous or to the next test point You can skip directly to the calibration of the pressure sensor PE or the Calibrati Calibrati temperature sensor TSE by pressing the appropriate aa or Ae key The components of the degassing and heating circuit can be tested step by step All balance chamber valves are switched so that one half of the balance chamber is open and the other side closed to position the membrane The flow pump FPE and FPA have the same speed and work in main flow If the speed of FPE is set the degassing pump EP starts automatically with a higher speed The heater H is stopped if the degassing pump EP lt 500 min the degassing temperature sensor TSE gt 89 C degassing control valve RVE lt 30 or the upline tank VB is empty The degassing pump EP must be able to build up a flow of gt 1200 ml min at a negative pressure of 400 mmHg DialogAd sm Chapter 4 2 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mee 4 10 2 11 Test 1 11 Dialysis Temperature TSE TSBIC TSD TSD S FPE 00 E 00 C 00 L 00 C 0 rpm VEN ae Va UZ CLOSED M T M D DE08C
81. ctivate the System Configuration menu with Rinsing parameters the System Configuration button in menu Treatment Support The following menu is Opened and displayed scroll with scroll bar UF parameters Disinfection parameters 2 Activate the Disinfection menu with the Disinfection Parameters icon The following menu is displayed Disinfection after each therapy 3 Scroll the menu with the scroll bar Automatic Preparation Start after Disinfection The followin g parameters can be set Thermal disinfection e Disinfection after each therapy e Automatic Preparation Start after Disinfection e Thermal Disinfection e Chemical Disinfection e Chemical Disinfection Short e Central Thermal Disinfection e Central Chemical Disinfection Chemical disinfection Chemical disinfection short Central Thermal disinfection Central Chemical disinfection e Rinsing D e Auto Switch On with Rinsing No Weekly 8 Schedule e Switch On Time e Auto Switch On by Weekly Schedule e Weekly Schedule e Start on Sunday Start on M onday e Maximum Out of Action Time Day Hour Minutes e Disinfection Configuration Data Central Thermal Central Chemical Rinsing Disinfection after each Therapy If the YES button is activated a disinfection must be performed after every therapy Automatic Preparation Start YES after Disinfection After disinfection and rinsing the Preparation and the selftests are start
82. d Leak Detector menu with the Dec 01 2003 1605 Blood Leak Detector key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys Desired Setting a e 3 Press the a or LS key to skip to the previous or to the next test point You can check the following functions of the blood 0 leak detector e Red and green LED e Receiver circuit OFF e Optical efficiency of the detector block 4b J A Actual Status Controller Supervisor Blood Concentration promille Outflow Pump Speed rpm TSD c LAMP TEST Pace Calibration e You can skip directly to the calibration of the blood leak detector by pressing the A Calibration ELGE ke Blood Leak Detector The safety air detector type is selected in LLC Manual Calibration Calibration 2 7 1 and 2 Blood Leak Detector SAD BL Type e No automatic adjustment type 3810 6515 e Automatic adjustment in preparation type 3810 6515 e BLtype 2 with automatic adjustment type 3824 3784 art no 3451 908X Blood Leak Detector 2 A Dialog software version number gt 3 46 is required for the blood leak detector 2 The blood leak detector 2 performs an automatic calibration of the zero point with a reference diode The blood leak detector 2 can be checked and calibrated The rinsing block must have an even temperature for calibration If both dialyser couplings are connected to the rinsing br
83. d on the SAD example calibration level KS 48 and was determined individually for every SAD ex works The test level is the value used to check the function of the SAD in the cyclic selftest The test level is 5 digits higher than the calibration level Test level TS Calibration Level KS 5 Digits The safety air detector SAD version 2 has a fixed alarm level The alarm level is displayed after the test level is entered Software lt 6 21 10 Digits Software gt 6 21 15 Digits PBE PES C3 9 QK ROA BPA HP w Aaa V A A Fig Single Needle Version M T M D DE08C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu Activate the Safety Air Detector SAD menu by pressing on the line Calibration 2 9 Safety Air Detector SAD The following menu Is displayed Press the KI or gt key to skip to the previous or to the next calibration menu B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH F6H Tillie 6 an The value for the calibration level ist marked on the SAD example calibration level KS 48 The test level is calculated by adding 5 digits to the calibration level e Test level TS Calibration Level KS 5 Digits 53 0 64 SAD LEVEL 1 Take the value for the calibration level KS on the SAD and enter the value in the Desired
84. df lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mE 4 10 2 7 Test 1 7 Air Sensor SAD Red Sensor 1 Activate the Air Sensor Red Sensor menu with the Air Sensor Red Sensor key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the KI or gt key to skip to the previous or to the next test point You can skip directly to the calibration of the safety air detector SAD by pressing Calibration he Glen ke Safety Air Detector Version 1 and 2 The safety air detector type is selected in LLC Manual Calibration Calibration 2 9 Safety Air Detector SAD SAD Type e SAD with variable alarm level version 1 e SAD with fixed alarm level version 2 SAD with Fixed Alarm Level The calibration of both SADs depends on the SAD types The calibration level Version 2 example KS 48 on the SAD is entered for the SAD with a fixed alarm level version 2 The alarm level is automatically set to 15 digits software lt 6 21 10 digits after the calibration value is entered The test level is calculated by adding 5 digits to the calibration level test level KS 5 digits You can find the detailed description and procedure for the calibration of the SAD version 2 in the menu LLC Manual Calibration Calibration 2 9 Safety Air Detector SAD SAD Test Activate the internal test of the safety air detector SAD with the SAD
85. displayed at the dialysis measurement instrument Pay attention to the deviation range of 0 1 C over 10 s at the dialysis measurement instrument Note Note the value of the heater power because this value is required for the calibration of the conductivity a er Value 8 Compare the stable reference value in the X window with the sired eee desired value in the ate window and acknowledge with the Calibration key Desired e The reference value is taken over in the _ Se I window Act Point e The next calibration point is displayed in the __X__ window Calibration Point 50 C 9 Increase slowly heater power until a stable temperature value of 50 C 2 C is displayed at the dialysis measurement instrument Pay attention to the deviation range of 0 1 C over 10 s at the dialysis measurement instrument Ref Value 10 Compare the stable reference value in the X window with the on L desired value in the QMIME window and acknowledge with the Calibration key sired e The reference value is taken over in the Nale Pandom E STATUS 00000000 0 000000 Pay attention to the LLC Status and LLS Status windows The bit sequence sequence 0 1 0 see figure 11 Acknowledge and save the completed calibration procedure with Vox key 0 1 0 must be identical in the LLC Status and LLS Status windows during 0 1 0 lt 0 1 0 1 Note Vox the saving procedure The calibration data are saved only af
86. doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 10 4 20 Calibration Dialyser Inlet Throttle Valve DDE You can calibrate the dialyser inlet throttle valve DDE Loop In Point for Calibration Einschlauchpunkt fur Kalibrierung L 2 VDEBKIN BK1 ABK1 Co Copel iT VAK VLA V N VDABK2 lt gt Fig Calibration DDE Loop In Point Fig UF Sub Rack with DDE Dialog Advanced L e Manometer 0 to 4 bar 770 1357 e Flow meter 770 0857 e Allen key Please ensure that the manometer and connection tubing are at the same level as the throttle during calibration M T M D DEOSC M KAY B Braun M edizintechnologie GmbH DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy Dialog Dialog Advanced MSE E 1 Connect manometer and flowmeter between balance chamber and dialysate inlet throttle DDE 2 Insert both dialysate couplings into a vessel filled with water Thus uncontrolled pressure conditions are prevented Select Test 1 20 Water Part Overview in TSM Set speed of flow pump FPA to 500 ml min Set temperature TSD to 37 C Loosen lock nut on DDE adjustment screw Set a pressure of 300 mmHg 400 mbar with the adjustment screw of DDE Tighten lock nut again Oo O N O wn RA W Remove manometer and flow meter MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M
87. e Treatment Support Manual Test amp Calibration All manual tests and calibrations can be performed in the Manual Test and Calibration menu Production Report All machine specific data and options are available in the Production Report menu Service Reports The Operation Mode Report menu can be selected in the Service Report menu M T M D DE08C M KAY DialogAd_sm_ Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSeS 62 Working Time Counter The total working time of the Dialog is displayed in the Working Time Counter window The total working time is stored on the hard disk drive Pa Activate additional information with the HELP icon H LP Activate HELP icon Select a sub menu via touch screen A window with the help text is opened for the selected button The File Operations menu see paragraph 4 7 can be activated with the Diskette icon For example data can be loaded from diskette or saved to diskette Diskette Format From SW gt 6 XX QNX 4 special diskettes for the QNX operating system do not have to be generated The diskettes for file operation are DOS Windows compatible i e can be used in a PC with a DOS Windows operating system Note The format for patient diskettes and configuration diskettes TSM now have DOS format i e are not compatible with QNX 2 diskettes SW lt 6 20 Dialog Version Number The actual Dialog software version is displa
88. e calibration was successful the following digit value is displayed OXXXXXXX Dialysis measurement instrument connected to RS 232 interface SW gt 6 20 Composition of the calibration solution for BICLF To calibrate the BICLF sensor deionized water is mixed with the respective acid concentrate i e bicarbonate concentrate is not used 0 DialogAd_sm_ Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy A dialysis measurement instrument HDM gt 99 with a software version gt 3 52 can be connected to the RS 232 interface for calibration Press the BICLF Calibration key to calibrate the conductivity sensor BICLF A calibration window is opened if the key is selected B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS FEH Tillie 0 a There is no cyclic switching of the balance chambers during the conductivity calibration Thus a continuous flow is accomplished which is necessary for the calibration The following valves are opened VEBK2 VDEBK2 and VABK1 VDABK1 Pay attention that air bubbles do not build up in the reference sensor during calibration e Dialysis measurement instrument e g HDM 99 and DCI option art no 770 7218 or a D Sub zero modem cable e Calibration solution diluted acid concentrate e Adapter set coupling tubing dialyser couplings i 1 Connect dialysis measurement instrument between FPE and balance chamber to the RS 232 interface and switch on machine 2 Co
89. e initial menu Dialog Basic HDF HF Online B24V_S ON OFF BAG OPEN CLOSED Batt enabled YES NO D24V S ON OFF BAG_S OPEN CLOSED Selftest NOT OK OK HEATER RELI S ON OFF OPEN CLOSED SBS1 COUPLED UNCOUPLED cypan ETA HDF HF_V XXI SBS2 COUPLED UNCOUPLED gt OFT HOFA V S XXI BIC SS COUPLED UNCOUPLED BOLUS VOL X mi K SS COUPLED UNCOUPLED BOLUS VOL S RDA NO BLOOD BLOOD SUBST_S RDA S NO BLOOD BLOOD SUBST_WV_s RDV NO BLOOD BLOOD SUM INF ACT INES INF LEAK S 0000 0000 0000 0000 0000 0000 0000 0000 0000 0000 0000 0000 0000 FREEM XX X XX X XX X Mb Fig Second Page Service Overview in Therapy Mode M T M D DEO8C M KAY ii l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 5 1 Legend Service Overview in Therapy Mode M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy ACTINF_S Actual infusion supervisor B24V _S 24 V cut off blood side supervisor HP BPA BPV BAG Bag weight BAG S Bag weight supervisor BIC_SS Bicarbonate rinsing connector sensor BICLF Bicarbonate conductivity BICP Bicarbonate pump BICP_S Bicarbonate pump supervisor BIC RATIO Bicarbonate ratio BIC RATIO_S Bicarbonate ratio supervisor BKOS BIC cartridge holder upper switch BKUS BIC cartridge holder lower switch BKUS S BIC cartridge holder lower switch supervisor BL
90. e stable reference value in the X window with the ak m desired value in the AMBE window and acknowledge with the Salbration key sired e The reference value is taken over in the Fale window Act Point e The next calibration point is displayed in the __X__ window PA Calibration Point 300 mmHg 8 Connect syringe and Build up a pressure to 300 mmHg 10 mmHg and clamp the tube Ref Value 9 Compare the stable reference value in the X window with the ia desired value in the Nate window and acknowledge with the Calibration key sjred e The reference value is taken over in the ae window 10 Acknowledge and store completed calibration with the Vox key 11 Remove dialysis measurement instrument syringe and tubing MT M D DEO8C M KAY n DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced Se 4 10 4 1 2 Single Calibration Pressure Without automatic acceptance of the reference value SW lt 6 20 Sensor PA Calibration Press the key for a single calibration e g pressure sensor PA A calibration window is opened if the key is selected e Dialysis measurement instrument e g HDM 99 e Syringe e Tubing tubing clamp Connect dialysis measurement instrument syringe and tubing 1 2 Connect tubing end to the arterial pressure sensor PA 3 Press PA Calibration key PA Calibration Point 300 mmHg 4 B
91. e statuses can Ton Level be checked Controller 7 Supervisor Subsystem SW Versions SCB C scp s e Top Level BOM ECG e Controller e Supervisor e SCB C e SCB S Language Versions Therapy Language e 044 English e 049 German e or further therapy languages 4 11 2 Low Level Options Press the Low Level Options key The Low Level Options menu is opened DIALOG TSM MODE Options assembled in the machine must be activated Nov 21 2000 1212 in the Low Level Options menu Options or other z equipment that are retrofitted in the Dialog must also Low Level Options pah be activated in this menu The following options can be activated HDF Holder for BIC cartridge Low Level Options Pyrogen filter e HDF l Te e BIC cartridge holder e Pyrogen filter SMPS Switched Mode Power Supply e HDFonline SMPS with Accu e SMPS switch mode power supply Holder for BIC cartridge with nonreturn valve e SMPS with battery l e BIC cartridge holder with nonreturn valve Pree A X HDF The HDF bag option must be selected and saved in the menu Low Level Options to activate the option BIC Cartridge Holder The BIC cartridge holder version 1 option must be selected and saved in the menu Low Level Options to activate the option This type of BIC cartridge holder is without nonreturn valve and can be retrofitted in machines with a software version up to 3 46 HDF Online The HDF online option mus
92. e supervisor window and the data of the Minimal Final Conductivity is displayed You can either close the supervisor window with the Cancel key or select and acknowledge the single parameters and close the supervisor window with the k key 2 Activate the Parameter Check window with the Parameter Check key The following menu is displayed Conduciviy 10 2 mS cm 3 Press the Cancel key to close the supervisor window or A LE Sa i Press the k key to select and acknowledge the H the values are not equal please press the Cancel button and single parameters and close the supervisor Call the technician window SAD alarm disable Dislyser Draining BRAUN LOGO Hack to Therapy Quo Ei More Windows M T M D DE08C M KAY np DialogAd_sm Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SEES 62 4 7 1 5 File System Check Press the OK key to start the check of the Dialog file system This function reads all executable files and creates a check value If it does not equal with the original check value a warning message is displayed DIALOG TSM MODE 1 Activate the Test System Check menu with the Nov 22 1995 11 44 Test System Check key in the TL Manual Test and Calibration menu The following menu is i displayed Hard Disk Check 2 Press the OK key of the Hard Disk Check to test the hard disk drive or Application SW Check Press the OK
93. e valves VDFF VSB VSAE and VSAA and the Substitution port are checked If the test is activated for the dialysate circuit an automatic leakage test is performed The test is started with a negative test pressure and then followed by a positive test pressure The leakage test consists of three test steps If an error occurs an LLC alarm is activated LLC Status 00020000 B Braun Medizintechnologie GmbH Dialog Dialog Advanced SSS o Test Procedure Positive Test Pressure e A positive pressure is built up with the FPE pump e The pump is stopped and the valves closed if the set point pressure for PDA 400 mmHg is reached e The PDA reference value is stored after a wait state of 5 s e This reference value is compared with the actual value after 30 s e If the deviation is lt 10 mmHg the next test step is performed Test Step 1 VLA VEBK1 2 VABK1 2 closed Test Step 2 VLA VDEBK1 2 VDABK1 2 closed Note Only if start pressure was positive After the second test step a leakproof test of the membranes is performed The valves have the following position VDEBK VABK opened VDABK VEBK VLA closed Test Step 2a Note Test step 2a and 2b only for HDF online machines VLA Air separator valve closed VDFF DF filter valve closed VSB Substitution bypass valve closed VSAE Substitution connect
94. eated in the eccentric groove Control disc Rinsing bridge a7 mMmOM DW Intake of Disinfectant M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH e 7SH Tillie 20a 4 11 Production Report The delivery data of the Dialog are displayed in the menu i e must be entered during the commissioning of the machine Options can be activated in the menu Icons e g ABPM bioLogic RR cross over Low Level Options e g HDF online BIC cartridge holder Activate the Production Report menu with the Production Report key in TSM Main Menu Options assembled in the machine must be activated Options that are retrofitted in the Dialog must also be activated in this menu or in the Low Level Options menu see also 4 11 2 e ABPM e bioLogic RR e Cross over e Low Level Options e DBI e DCI e KT V ABPM Automatic Blood Pressure If the option is assembled in the machine or the option is retrofitted it must be M asurement selected and saved to activate the option bioLogic RR Automatic Blood Pressure The bioLogic RR icon is displayed after the installation software was installed for Stabilisation the bioLogic RR option The bioLogic RR must be selected and saved to activate the option Cross Over If the cross over option is assembled in the machine it must be selected and saved to activate the option DBI Dialog Bedside Link Interface The DBI opti
95. ed NO After disinfection and rinsing the disinfection method is terminated MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced Thermal Disinfection Chemical Disinfection Short Chemical Disinfection Central Thermal Disinfection Central Chemical Disinfection Rinsing Auto Switch On with Rinsing no Weekly Schedule Auto Switch On with Rinsing No Weekly Schedule Weekly Schedule Start on Sunday Start on M onday Maximum Out of Action Time M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy You can enable the thermal disinfection with the YES button in the disinfection program or disable with the NO button If you select the NO button the thermal disinfection icon is not displayed in the disinfection program You can enable the chemical disinfection with the YES button in the disinfection program or disable with the NO button If you select the NO button the chemical disinfection icon is not displayed in the disinfection program You can enable the short chemical disinfection with the YES button in the disinfection program or disable with the NO button If you select the NO button the short chemical disinfection icon is not displayed in the disinfection program The inlet feed line and the machine are disinfected with hot water if the central facility loop line is also disinfected with hot wa
96. ed Dye 4 134 4 10 4 8 4 Actual Value Check Blood Leak Detector Type 2 4 135 4 10 4 8 4 1 Check 0 o Blood Concentration 4 135 4 10 4 8 4 2 Check 1 o Blood Concentration 4 135 4 10 4 9 Calibration Flow Rate UF BICP and KP Pump 4 136 4 10 4 9 1 Calibration BICP and KP Pump 4 136 4 10 4 9 2 Calibration UF Pump 4 137 4 10 4 9 3 Calibration UF Pump for HDF Bag Option 4 137 4 10 4 9 4 Stroke Value of BICP KP and UFP 4 138 4 10 4 10 Calibration Safety Air Detector SAD Version 2 4 139 4 10 4 10 1 SAD Test after Calibration 4 140 4 10 4 10 2 Selection SAD Version 2 4 141 4 10 4 11 Calibration BICLF and ENDLF Ratio 4 142 4 10 4 12 Calibration Load Cell 4 146 4 10 4 13 Calibration PV Alarm Window 4 148 4 10 4 14 Calibration Flow Rate of BPA and BPV OSP 4 149 4 10 4 15 Infusion Density Substitution Pump 4 151 4 10 4 16 Stroke Value HDF Online Substitution Pump OSP 4 152 4 10 4 17 Calibration Inlet Flow Pump Nonreturn Valve RVFPE 4 153 4 10 4 18 Calibration Dialysate Nonreturn Valve RVDA 4 155 4 10 4 19 Calibration Outlet Flow Pump Nonreturn Valve RVFPA 4 156 4 10 4 20 Calibration Dialyser Inlet Throttle Valve DDE 4 158 4 10 4 21 Calibration Pressure Reducer Valve DMV 4 160 4 10 4 22 Calibrate Arterial Tubing Clamp SAKA and Venous 4 161 Tubing Clamp SAKV M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced Mee 4 10 4 23 Setting Servomotor for Disinfection Valve
97. ed speed of lt FPA 20 min during this test Thereby a final dY r conductivity ENDLF of gt 0 5 mS cm is obtained if a concentrate is connected This conductivity is required to test the level sensors in the air separator LA If the lower level sensor LAFSU is activated the air separator valve VLA is opened and the balance chamber valves are Fig Filling Cycle Balance Chamber Phase 2 switched Thereby FPE delivers fluid into the dialyser circuit VLA is only closed and switched to normal operation if the top level sensor LAFSO detects fluid MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSBB PSHE 4 10 2 16 Test 1 16 Pressure Water Part 1 Activate the Pressure Water Part menu with the Pressure Water Part key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the Ki or gt key to skip to the previous or to the next test point You can skip directly to the calibration of the pressure sensors PE PDA by Calibration pressing the The degassing pump EP and the degassing control valve RVE can be set The air separator valve WLA can be opened closed A negative pressure can be obtained via the degassing pump PE to test the degassing presure sensor PE and the outlet dialysate fluid pressure sensor PDA If VLA is opened the negative pressure is als
98. ed to connect a patient to the Dialog Dialog Advanced and to run a therapy if the TSM service program is activated in the Dialog Dialog Advanced If the TSM service program is activated the audible alarm is Switched off The TSM service program is started in the service mode supervisor board hardware switch K1 position 2 Software The software is installed in the software mode supervisor board hardware switch K1 position 3 Therapy Mode After completion of all procedures switch back to the therapy mode supervisor board hardware switch K1 position 0 Calibration Only perform a calibration after the Dialog Dialog Advanced has reached working temperature You should save the calibration data to the hard disk drive before you exit the TSM service program TSM Main Menu File Operations Save Calibration Data MT MD DEO8C M KAY n DialogAd_sm Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced Connection and Operation Service Board Prevent Shorts during Exchange of Boards Valves Pumps 24 VL Prevent Chemical Burns and Scalding Cover in Rear Door O Rings ESD Requirements Figures Fuses Spare Parts Function Check M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy The service board must only be operated in the TSM service program If the service board is connected to the Dialog Dialog Advanced it is prohibited to con
99. edizintechnologie GmbH Dialog Dialog Advanced FSS Hee FSH 6a 4 10 4 21 Calibration Pressure Reducer Valve DMV You can calibrate the pressure reducer valve DMV lt a TSE KSS M oi VB NSVB Ne RVE E W Fy a K RVVB x x RVDA DM oe Fig Calibration DMV Fig Water Inlet Sub Rack with DMV Dialog Advanced A e Manometer 0 to 2 5 bar 3451 1571 The calibration of DMV is performed in the dynamic operating mode FPE running level in the upline tank is controlled 1 Disconnect water inlet hose from wall connection close water tap if necessary Start briefly the unit to achieve a pressure free condition in the water inlet part 2 Remove locking screw from DMV and screw in the manometer if necessary use Teflon tap to prevent leakages Note Pressure reducer valves DMV without a locking screw for the connection of a manometer were used in older Dialog machines These machines have a separate connection for the manometer 3 Connect water hose and open the water tap 4 Open the following menus in the TSM service program Manual Test and Calibration LLC Manual Test and 1 9 Water Inlet Upline Tank and Flow Pump FPE 5 Set FPE to 2000 min and RVVB to 100 the level in the upline tank must be controlled between middle and filled NSVB 6 Unlock safety ring of pressure reducer valve DMV and set pressure to approx 1 3 bar with the adjustment screw
100. einfusion of the blood DCI Dianet Address Data Set For detailed information regarding networking for Dialog machines see the technical information 4 00 Dialog Communication Interface DCI DBI Baud Rate Data Set For detailed information regarding networking for Dialog machines see the technical information Nexadia BSL Network and the respective software for networking 4 9 1 18 DBI Parameters For detailed information regarding networking for Dialog machines see the technical information Nexadia BSL Network and the respective software for networking M T M D DE08C M KAY DialogAd_sm_ Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHEESH 62 4 9 2 User Defined Alarm Messages The function User Defined Alarm Messages is not available for software lt 6 XX 4 9 3 Last Treatment Results The last treatment results can be displayed The time base can be selected Five different graphic blocks can be selected Three treatment parameters for every block can be configured individually DIALOG TSM MODE 1 Activate the Treatment Support menu with the Nov 22 1995 1113 Treatment Support key in the TSM Main Menu The following menu is opened System Configuration User defined Alarm Messages Last Treatment Results Trend Configuration Pree A DIALOG TSM MODE 2 Activate the Last Treatment Results menu with Nov 24 1995 1259 Last T
101. ence values from the HDM 99 or a similar unit is performed according to the description of the pressure sensors for the blood side The dialyser tubings must be free of air Please ensure that the dialysis measurement instrument and connection tubing are at the same level as the rinsing bridge e Dialysis measurement instrument e g HDM 99 1 Connect dialysis measurement instrument between dialyser couplings 2 Set degassing control valve RVE to 50 3 Open air separator valve VLA of the air separator LA PDA Calibration Point 400 mmHg 4 Press PDA Calibration key 5 Increase the speed of the degassing pump EP until a negative pressure of 400 mmHg 10 mmHg is displayed at the dialysis measurement instrument 6 Press _MACLOSED_ key to close VLA Now PDA is separated from EP and thus very stable Ref Value 7 Press key 8 Enter the stable value from the dialysis measurement instrument as reference value 9 Acknowledge with the Calibration key 10 Press VOEN key to open VLA PDA Calibration Point 100 mmHg 11 Slowly decrease the speed of the degassing pump EP until a negative pressure of 100 mmHg 10 mmHg is displayed at the dialysis measurement instrument 12 Press _VIACLOSED key to close VLA Ref Value 13 Press key 14 Enter the stable value from the dialysis measurement instrument as reference value 15 Acknowledge with Calibration key 16 Acknowledge and store
102. es Thus the requested accuracy is guaranteed during calibration The counted pump head revolutions are displayed in the Actual Status window by the supervisor after the calibration e 500 ml graduated cylinder art no 770 2302 e 1m syringe art no 770 2310 e Tubing clamp 1 Clamp and remove outlet tubing from UFP Connect a tubing to outlet of UFP and insert tubing into 500 ml graduated cylinder M T M D DE08C M KAY n DialogAd_sm Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SH H e 7SH Fill 6H 2 Activate calibration menu 2 8 and wait until the initialisation of the balance chamber is completed dialyser couplings must be connected to the rinsing bridge 3 Press the UF Pump Speed START Calibration key and run the machine for 10 minutes to e get the machine to the operating temperature and e get the system free of air 4 Press STOP Calibration key to stop UFP 5 Empty completely the graduated cylinder and insert tubing again d START Ca 6 Press the UF Pump Spee libration Key to start calibration after the system is free of air The calibration time is selected to deliver approx 500 ml 7 Stop calibration procedure with STOP Calibration key when 500 ml mark on the graduated cylinder is reached The machine calculates the elapsed revolutions of the UFP 8 Level to the 500 ml mark on the graduated cylinder with a 1 ml syri
103. ff displayed if necessary use scroll bar Test 1 2 Blood Pump Arterial The following tests can be selected 1 1 Staff Call Alarms Power off 1 2 Blood Pump Arterial 1 3 Blood Pump Venous Substitution Pump 1 4 Heparin Pump 1 5 Tubing Clamps 1 6 Pressure Sensors Blood Side 1 7 Air Sensor Red Sensor 1 8 Coupling Detectors 1 9 Water Intake Upline Tank and Flow Pump FPE 1 10 Degassing and Heating 1 11 Dialysis Temperature 1 12 Concentrate Pumps and Conductivity 1 13 Balance Chamber Valves 1 14 Bypass and Disinfection Valves 1 15 Flow Pump FPA Balance Chamber and Air Separator 1 16 Pressure Water Part 1 17 UF Pump 1 18 Blood Leak 1 19 Leak Test 1 20 Water Part Overview 1 21 Emptying 1 22 HDF 1 23 BIC Cartridge Valve and Coupling Detectors 1 24 HDF Online 1 25 HDF Online Valves and Coupling Detectors 1 26 Option Rechargeable Battery 1 27 DFS Pressure Test of Therapy Test 1 3 Blood Pump Venous Test 1 4 Heparin Pump Test 1 5 Tubing Clamps Test 1 6 Pressure Sensors Blood Side MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 10 2 1 Test 1 1 Staff Call Alarms Power Off Staff Call Acoustical Alarm Water Side Power OFF M T M D DE08C M KAY DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy Blood Side Power OFF Remote Power OFF 1 Activate the Staff Call Alarms Powe
104. g Dialog Advanced SHEESH 62 Table of Contents Page 4 1 Start TSM Service Program 4 8 4 2 Quit TSM Service Program 4 9 43 QNX Operating System 4 9 4 4 Structure of TSM Service Program 4 10 45 Service Overview in Therapy Mode 4 11 45 1 Legend Service Overview in Therapy Mode 4 13 4 6 Service Overview in TSM Service Program 4 16 4 6 1 Legend Service Overview in TSM Service Program 4 17 4 1 File Operations SW lt 6 20 4 19 4 1 1 QNX File Operations 4 19 4 1 2 DOS File Operations 4 21 4 8 File Operations SW gt 6 20 4 22 4 8 1 Floppy Diskette Operations 4 22 4 8 2 Calibration Data Operations 4 23 4 9 Treatment Support 4 24 4 9 1 System Configuration 4 25 4 9 1 1 Dialysate Side Parameters 4 25 4 9 1 2 Blood Side Parameters 4 28 4 9 1 3 Min M ax Parameters 4 29 4 9 1 4 Arterial Bolus Parameters 4 30 4 9 1 5 Single Needle Parameters 4 31 4 9 1 6 Heparin Parameters 4 32 4 9 1 7 Rinsing Parameters 4 34 4 9 1 8 UF Parameters 4 36 4 9 1 9 HDF HF Parameters 4 39 4 9 1 10 Disinfection Parameters 4 40 4 9 1 11 Filter Parameters 4 43 4 9 1 12 Dialyser Parameters Kt V 4 44 4 9 1 13 Timings 4 45 4 9 1 14 Language Selection 4 46 4 9 1 15 Automatic Blood Pressure Measurement ABPM 4 4 4 9 1 16 Summer Time Setting 4 48 4 9 1 17 Miscellaneous Parameters 4 49 M 1 MD DEO8C M KAY B Braun Medizintechnologie GmbH DialogAd_sm_Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy Dialog Dialog Advanced M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004
105. g sensor PSABFS can be checked FEDFFS filter recognition DF filter The status of the additional coupling sensor FEDFFS can be checked FEHDFS filter recognition HDF filter The status of the additional coupling sensor FEHDFS can be checked M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSS EES a 4 10 2 26 1 26 Option Rechargeable Battery Charge Batteries To guarantee battery operation the batteries may have to be charged for several hours if the Dialog was not connected to mains for a longer period If the batteries are empty the charge time is gt 8 hours to guarantee a battery running time of at least 20 minutes 1 Activate the Option Rechargeable Battery menu with the Option Rechargeable Battery key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the KI or gt key to skip to the previous or to the next test point The enable parameter can be set and the following OFF parameters can be checked FF Setting e Akku Enable battery enable AKKU_EN signal Check e Power Fail PF signal e Akku OK battery OK AKKU_ OK signal e External State EXT STATE signal Akku Enable The enable signal is set to ON by the LLC in therapy Thus indicating to the power Battery Enable supply that the battery operation can be enabled in the case of
106. guration button in menu Treatment Support Use the scroll bar until the following menu appears Min Max parameters Arterial Bolus parameters Single Needle parameters 2 Activate the Arterial Bolus Parameters menu Feb 19 2002 1105 with the Arterial Bolus icon The following menu is opened SEE _100 Ee 7 The following parameters can be set in the Arterial Arterial Bolus with SAKA support YES Bolus Parameters menu e Arterial Bolus Volume e Arterial Bolus with SAKA Support Arterial Bolus Volume The volume for an arterial bolus can be set Arterial Bolus with SAKA Support The arterial tubing clamp SAKA can be used to support an arterial bolus in the Arterial Bolus Parameters menu Prerequisites are e Arterial tubing clamp SAKA present e An arterial line system with infusion access is present between the SAKA and blood pump M T M D DEO8C M KAY ii l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 9 1 5 Single Needle Parameters Min Max parameters Arterial Bolus parameters Single Needle parameters Art press Low limit Single Needle Valve Max Control Min PY Control Min P Control Max P Single Needle Cross Over Control PA Control P Arterial Pressure Low Limit Single Needle Valve Single Needle Cross Over M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy
107. hamber Sensors and Air Separator MSBK1L 0 Cus ENDLF VLA CLOSED MSKB2 0 Cus BK BK M SBK a Fig Switch Point MSBK1 2 Phase 1 FPE 8 BK Abflu Drain Fig Filling Cycle Balance Chamber Phase 1 M T M D DE08C M KAY DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy 1 Activate the Flow Pump FPA Balance Chamber Sensors and Air Separator menu with the Flow Pump FPA Balance Chamber Sensors and Air Separator key in the LLC M anual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the a or LS key to skip to the previous or to the next test point If the test initialisation is started the switching point of the membrane position sensor balance chambers M SBK1 2 are detected If the maximum stroke of MSBK1 2 is reached the balance chamber valves are automatically switched see figure If you set the flow pump FPA the left side of one of the balance chambers is filled by the flow pump FPE Simultaneously the fluid in the right side of the balance chamber is emptied to the drain B Braun M edizintechnologie GmbH Dialog Dialog Advanced mE Phase 2 Dialysator The right side of the balance chamber is filled with Dialyser the fluid from the dialyser by the flow pump FPA Simulataneuosly the fresh fluid in the left side of the balance chamber is delivered into the dialyser circuit The concentrate pump KP is set to a fix
108. he key is selected digit digit digit digit e Dialysis measurement instrument e g HDM 99 and DCI option art no 770 7218 or a D Sub zero modem cable e Syringe e Tubing tubing clamp 1 Connect dialysis measurement instrument to the RS 232 interface and Switch on machine connect syringe and tubing 2 Connect the tubing to the respective pressure sensor PV PBE or PBS 3 Press PV PBE or PBS Calibration key PV PBE PBS Calibration Point 100 mmHg 4 Build up a pressure to 100 mmHg 10 mmHg with a syringe and clamp the tube Ref Value 5 Compare the stable reference value in the X window with the sired ae desired value in the Yael window and acknowledge with the Salbration key sired e The reference value is taken over in the fale window Act Point e The next calibration point is displayed in the __X___ window PV PBE PBS Calibration Point 0 mmHg Remove syringe 0 mmHg oO Ref Value 7 Compare the stable reference value in the X window with the sired eae desired value in the Yale window and acknowledge with the Calibration key sired e The reference value is taken over in the fale window Act Point e The next calibration point is displayed in the __X___ window PV PBE PBS Calibration Point 500 mmHg 8 Connect syringe and Build up a pressure to 500 mmHg 10 mmHg and clamp the tube Ref Value 9 Compare the stable reference value in the X
109. he red sensor RDA as soon as the blood pump detects blood DialogAd sm Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSB PSs 6a Selected Syringe The selected syringe type is used in therapy Heparin Pump Comfort You can set the syringe name and the outer and inner diameter of the syringe Heparin Pump Compact You can set the syringe name and the inner diameter of the syringe 1 Activate the Selected Syringe menu with the Selected Syringe icon The following menu is Opened M T M D DE08C M KAY b DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 9 1 7 Rinsing Parameters Rinsing parameters UF parameters Disinfection parameters Filling BP Rate Filling BP Volume Automatic rinse program after selftests User Message for BS Filled Rinsing Blood Flow Rinsing Time by UFP Rinsing Rate by UFP The Rinsing Parameters can be set in the Rinsing Parameters menu 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support The following menu is Opened and displayed scroll with scroll bar 2 Activate the Rinsing Parameters menu with the Rinsing Parameters icon The following menu is displayed 100 700 imi The following parameters can be set Filling BP rate Filling BP volume Automatic rinse program
110. herapy or for the TSM service program Language for Treatment Operations 1 Insert language diskette into floppy disk drive SRC 5 2 Select Diskette icon Language Maintenance 3 Select the English Language German Language English Language Mode TREATMENT or the New Language button to install the appropriate language German Language New Language Language for TSM Service Program uone 2 Insert language Diskette into floppy disk drive Language Maintenance 3 Select the English Language or the German English Language Mode TSM Language button to install the appropriate language German Language 4 8 2 Calibration Data Operations Save Calibration Data The calibration data must be saved to the hard disk drive by LLC LLS after every Low Level Controller LLC calibration Down Load Calibration Data The LLC calibration data can be downloaded from the hard disk drive to the Low Level Controller LLC exchanged controller board LLC Note Exchange Supervisor Board The procedure for the exchange of a supervisor board is different details see chapter 3 repair instructions MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHEESH 62 4 9 Treatment Support DIALOG TSM MODE May 06 2003 13 27 Treatment Support Manual Test amp Calibration Production Report Service Reports Working
111. idge the flow pumps FPA FPE work in main flow If only one coupling is connected FPE is stopped The test solution can be sucked in by the second coupling via FPA The first calibation point must be performed with clean water A function test and a calibration is performed for the blood leak detector 2 If an actual value is out of limits during the function test exchange the blood leak detector 2 Check the blood leak detector 2 after a citro thermal disinfection LLC Manual Test Test 1 18 Blood Leak Detector Close front and rear door for the function test to prevent light irradiation on the sensor Leakages Air and micro bubbles can lead to false measurement values in the measurement line and can cause fluctuation of the actual value If air is visible check the complete system for leaks in menu 1 20 Test Water Part After the initialisation phase rinse the blood leak detector approx 1 min and then perform a leakage test of the system in menu 1 19 Leak Test MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mE Check Blood Leak Detector Type 2 1 Connect both dialyser couplings to the rinsing bridge 2 Select menu 1 18 in TSM to perform a function check of the blood leak detector 3 Rinse the blood leak detector BL for approx 1 min at the beginning of the rinsing time with flow pump outlet FPA 2000 min Thereby possible
112. ion Pay attention to the LLC Status window The calibration data are only valid if i i the following digit value is displayed in the LLC Status window X X X X X X X see figure If the calibration value for BICLF is at the limit range the calibration data could be invalid Thus the following digit value is displayed in the LLC Status LLC STATUS 00000000 window 8 X X X X X X X see figure Repeat calibration procedure 13 Acknowledge completed calibration procedure with VoK key calibration Vox data are saved 0 1 0 4 Note Pay attention to the LLC Status and LLS Status windows The bit sequence eS eee 0 1 0 must be Identical in the LLC Status and LLS Status windows during the saving procedure The calibration data are saved only after the bit sequence 0 1 0 see figure Proceed with the calibration of the conductivity sensors ENDLF ENDLF_S after the calibration of BICLF M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH H FSH Fill 6a 4 10 4 6 2 Calibration BICLF Without automatic acceptance of the reference value SW lt 6 20 Composition of the calibration solution for BICLF To calibrate the BICLF sensor deionized water is mixed with the respective acid concentrate i e bicarbonate concentrate is not used Press the BICLF Calibration key to calibrate the conductivity sensor BICLF A calibration windo
113. ion inlet valve closed Test Step 2b VLA Air separator valve closed VDFF DF filter valve closed VSB Substitution bypass valve closed VSAA Substitution connection outlet valve closed HFB _ vse N N vs KHXH vee Fig Excerpt Flow Diagram for HDF Online Test Step 3 VLA VDE VDA closed MT M D DE08C M KAY l DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSP 6 Negative Test Pressure The valve switching is identical with the above description Test Steps 1 to 3 e Negative pressure is built up with the UF pump after the third test step e The pump is stopped and the valves are closed if the set point pressure for PDA 400 mmHg is reached e The PDA reference value is stored after a wait state of 5 s e This reference value is compared with the actual value after 30 s e If the deviation is lt 10 mmHg the next test step is performed Leak Test Heat Exchanger The following component is tested Heat Exchanger WT M anual Leakage Test Heat Exchanger WT a Rinse the flow circuit with water prior to the leakage test to prevent air bubbles in the test area b Close all valves in the Dialog switch off machine c Connect a manometer and a syringe filled with water to the water outlet d Build up a test pressure 400 mmHg 50 mmHg with the syringe
114. is connected between FPE and the inlet to the balance chamber see figure Measurement of the Flow Connect the dialyser couplings to the flow sensor of the dialysis measurement instrument The flow sensor is connected to the dialysis measurement instrument see figure depends on applied dialysis measurement instrument Dialysis Measurement l Instrument Dialyseme system r t Measurement Dialyser o Dialysator Me sonde RVFPE ENDLF S TSD S K OOO So TSD FPE VEBK1 2 B Braun M edizintechnologie GmbH Dialog Dialog Advanced 1 Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the Dialysis Temperature menu by pressing on the line Calibration 2 5 Dialysis Temperature The following menu is displayed UZ CLOSED a rae j 3 Press the KI or gt key to skip to the Isere Tsp Tsp FPE Sa previous or to the next calibration menu 0 rpm digit digit digit 4 10 4 5 1 Calibration TSBIC TSD TSD_S via Dialysis measurement instrument connected to RS 232 interface SW gt RS 232 6 20 A dialysis measurement instrument HDM gt 99 with a software version gt 3 52 can be connected to the RS 232 interface for calibration Press the 07e ceto key to calibrate the temperature sensors TSBIC and TSD TSD_S A calibration window is opened if the key is selected UZ CLOSED TSBIC TSD TSD S FPE
115. is set for Rinsing Volume by BPA or BPV Rinsing Volume by BPA BPV The rinsing volume via the dialyser membrane is set for Rinsing Time by BPA or BPV Blood Flow for Connecting Patient You can set the blood flow for connecting the patient in therapy The blood pump BPA is started with this rate when the therapy is started MT MD DEO8C M KAY n DialogAd_sm Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 9 1 8 UF Parameters Rinsing parameters UF parameters Disinfection parameters minimal UF rate UF rate compensation Net UF rate up lim UF volume Therapy time Gross UF Rate vs Blood Flow Gross UF Rate vs Blood Flow Minimal UF Rate UF Rate Compensation Net UF Rate Upper Limit UF Volume Therapy Time Gross UF Rate vs Blood Flow Alarm Limit M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy 2000 imi 04 00 h min The dialysate fluid parameters can be set in the UF Parameters menu 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support The following menu is Opened and displayed scroll with scroll bar 2 Activate the UF Parameters menu with the UF Parameters icon The following menu is opened The following parameters can be set Minimal UF rate UF rate compensation Net UF rate upper limit UF volume Therapy time Gr
116. isconnect red dialyser coupling Carefully insert red dialyser coupling into reference solution Set FPA slowly to 1000 min and draw in remaining reference solution Check blood concentration of the controller and supervisor The blood concentration values for the controller and supervisor must be In the following limits Actual Status ControllerActual Status Supervisor 0 95 to 1 1 0 95 to 1 1 Blood Concentration thousandth part o B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSE 4 10 4 9 Calibration of Flow Rate UFP BICP and KP You can calibrate the ultrafiltration pump UFP the bicarbonate pump BICP and the concentrate pump KP Prior to calibration the balance chamber initialisation must be completed The respective pump runs for a predetermined time after pressing the START Calibration Kay and stops after a certain number of revolutions are reached RVFPE TSBIC ENOLF S TSDLS SA R T PONIA Vee ee LILLE DO RVR RICIF RVKK FNDIF TSD FPF se KPN Fig Bicarbonate Pump BICP Concentrate Pump KP and Ultrafiltration Pump UFP DIALOG TSM MODE During the selection of the menu Dec 10 2003 07 30 e the balance chamber is initialised and e the UFP is set to a defined initial position reed sensor position ee a Thus the accuracy during the calibration of UFP S E ee improved because UFP runs back to the initial position at the of calibration Thus complete Head Speed revol
117. ith the appropriate keys 3 Press the key to skip to the previous test point or press the key to automatically Skip to the first test point Start Button You can activate the DFS pressure test with the Start button from the selftest in Preparation Stop Button The test run can be terminated with the Stop button The button jumps back to Start in case of an error or at the end of the pressure test Test Code The test codes for LLC and LLS are displayed for all test phases In case of an error the defective components can be determined with the help of the test description MT MD DEO8C M KAY a DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH FSH Fill 6 4 10 3 General Information Calibration Measurement instruments e g dialysis measurement instrument used to calibrate Dialog machines are subject to regular inspections or if necessary calibration by the acc manufacturer or by a certified calibration lab Various keys software keys and hardware keys are used during calibration The function and significance of the keys are as follows Hardware Keys The hardware keys are on the keyboard membrane of the colour monitor see figure Input values can be increased in increments with the displayed hardware key as an alternative to the software key on the touch screen Input values can be decreased in increments with the displayed hardware key as an
118. ition mm must display 0 mm 2 Open and close the HP Clamp with the OPEN CLOSED key and check the Actual Status of the HP Pressure Sensor ON OFF and HP Clamp OPEN CLOSED Manually press the pressure push button on the heparin pump and check the Actual Status of the HP Pressure Sensor ON OFF MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mE 3 Switch the HP Motor Direction key to CLOSED and the HP Speed to FAST Open and close the HP Clamp 3 times during the opening procedure and check the Actual Status values Wait until the closed position is reached Switch the HP Speed to SLOW The HP Position mm must display 120 mm 3 mm 4 Switch the HP Motor Direction key to OPEN and the HP Speed to FAST Open and close the HP Clamp 3 times during the opening procedure and check the Actual Status values Wait until the OPEN position is reached Switch the HP Speed to SLOW The HP Position mm must display 0 mm 1 mm Check Inserted Syringe 5 Insert a syringe Switch the HP Motor Direction key to CLOSED and the HP Speed to FAST Check the HP Pressure Sensor ON OFF when the syringe was recognized Check the inserted syringe The syringe must have a range lt 1 ml in the CLOSED position MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS EEB PS
119. k OSP Online substitution pump OSP_S Online substitution pump supervisor PA Arterial pressure sensor PA S Arterial pressure sensor supervisor PBS Blood control pressure sensor PBS S Blood control pressure sensor supervisor B Braun M edizintechnologie GmbH Dialog Dialog Advanced M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy PDA PDA _S PE POSITION PSABF S PSAUS S PV PV _S RDA RDA_S RDV RVE RVVB SAD REF_S SAD TIME S SAD SAD S SAKA SAKV SAKV_S SBS1 SBS2 SUBAD SUBST SUBST S SUBST WV_S SUM INF SYR DIA TMP VDA VDABK1 S VDABK2 S VDA S VDE VDEBK1 S VDEBK2 S VDE S VDFF VDFF_S VEBKI S VEBK2 S VLA VSAA VSAA S VSAE Dialysate outlet pressure sensor Dialysate outlet pressure sensor supervisor Degassing pressure sensor Drive position Substitution port drain sensor Substitution port outlet sensor Venous pressure sensor Venous pressure sensor supervisor Arterial red detector Arterial red detector supervisor Venous red detector Degassing control valve Upline tank control valve Safety air detector reference voltage supervisor Safety air detector time control supervisor Safety air detector Safety air detector supervisor Arterial tubing clamp Venous tubing clamp Venous tubing clamp supervisor Rinsing bridge connector sensor 1 Rinsing bridge connector sensor 2 Substitution air detector
120. kday and Time parameters e Monday Tuesday Sunday e Night Moon Symbol Dialog switches off after disinfection is completed e Day Sun Symbol Dialog does not switch off and remains in Rinsing e Switch On Time e Disinfection Method e Disinfectants Disinfection Configuration Data Central The parameters for the water inlet system can be set in the menu Disinfection Thermal Central Chemical Rinsing Configuration Data Central Thermal Central Chemical Rinsing maoe TSH HOE Central Thermal fan 31 2001 16 07 Inlet Flow e Time 00 30 is Central Chemical Central Chemical Inlet Flow 250 mlfmin e Inlet Flow e inlet Time Inlet Time 00 05 h min e Rinsing Flow J Rinsing Flow B00 mimin Rinsing Time Rinsing Rinsing Time 00 30 h min amp inetEow Rinsing Inlet Flow 200 ml min e Time Time 00 0 h min MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 9 1 11 Filter Parameters HDF HF Online parameters Disinfection parameters Filter parameters 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support Use the scroll bar until the following menu appears 2 Activate the Filter Parameters menu with the Filter icon The following parameters can be set for HDF online Titer _thetany Ne _Fiter perata Tame ol _ and pyr
121. key of the Application SW Check to test the application software 4 10 1 6 ABPM Maintenance DIALOG TSM MODE 1 Activate the ABPM Maintenance menu with the May 03 1999 09 37 ABPM Maintenance key in the TL Manual Test and Calibration menu The following menu is FW version BWF011R 92 11 06 displayed SW version Revision SYS BPM BPM 0 03 Exp The ABPM Maintenance menu is used for the ET ih mmHg KEN mmHg function test of the Dialog automatic blood pressure EAE i measurement ABPM option The cuff is replaced by l 260 180 180 100 100 60 60 30 a 500 ml measurement chamber 2 Deflation Speed mmHg s 0 0 0 0 0 0 0 0 _ fe ol f a The following functions can be tested 3 Initial Deflation Speed Check 0 0 0 Si e P Test Pressure Comparison Test 4 Air Leakage mmHg re i ee ia a e Test 1 mer pume e Test 2 Deflation Speed J Test 4 Air Leakage Pree p Test Test 1 Test 2 Testa eee A See chapter 5 technical safety inspection and preventive maintenance inspection protocol for the automatic blood pressure measurement ABPM and the execution procedure for the measurement inspection The P Test key activates and deactivates the pressure comparison test of the p Test ABPM The P Test is used to compare the pressure value of the pressure sensor with a reference instrument A reference instrument accuracy lt 0 5 mmHg is required for the comparison test of the pressure sensor
122. log Advanced SHS 7SH Till 6a 6 Enter the stable value from the dialysis measurement instrument as reference value and acknowledge with __Calibration_ key Note Pay attention to the LLC Status window The calibration data are only valid if the following digit value is displayed in the LLC Status window X X X X X X X see figure If the calibration value for ENDLF is at the limit range the calibration data T could be invalid Thus the following digit value is displayed in the LLC Status n window 8 X X X X X X X see figure Repeat calibration procedure only in LLC Status Window wae gt Calibration E LLC STATUS 00000000 000000 7 Acknowledge completed calibration procedure with Vox key calibration data are saved 4 Note 0 1 0 lt Pay attention to the LLC Status and LLS Status windows The bit sequence LLS STATUS 00000 00 0 1 0 must be identical in the LLC Status and LLS Status windows during the saving procedure The calibration data are saved only after the bit sequence 0 1 0 see figure 8 Stop FPE BICP and KP and remove dialysis measurement instrument M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS Hee 76H 6a 4 10 4 7 Calibration Blood Leak Detector Type 1 You can calibrate the blood leak detector BL type 1 The rinsing block must have an even temperature for the calibration If both dia
123. logie GmbH Dialog Dialog Advanced mee 4 10 M anual Test and Calibration The menu contains test and calibration functions The user can test all basic operations and calibrate components e g sensors and pumps Treatment Support Manual Test amp Calibration Production Report Service Reports Working Time hour D DIALOG Version number 0 ere 7 7 The TSM Main Menu appears after the machine Is Switched on 1 Activate the Manual Test and Calibration menu with the Manual Test and Calibration key in the TSM Main Menu The following menu is opened TL Manual Test amp Calibration LLC Manual Test LLC Manual Calibration 4 10 1 TL M anual Test and Calibration In the TL Manual Test and Calibration menu you can perform the functional tests and a touch screen calibration method for the top level system and options also connected to top level system Buttons Lamps amp Sounds Supervisor Window Test 1 Activate the TL Manual Test and Calibration menu with the TL Manual Test and Calibration Monitor Test File System Check key Touch Screen Calibration ABPM Maintenance DBI Test MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 10 1 1 Buttons Lamps and Sounds Click Sound Alarm Sound Warning Sound Therapy End 100 Therapy End 50 iii
124. lood 20 to 20 215 to 222 Concentration Digit 4 10 4 7 3 2 Calibration with Reference Solution Red Dye 12 Carefully pull off red dialyser coupling to prevent any loss of fluid entry of air 13 Carefully insert red dialyser coupling into reference solution loss of fluid intake of air 14 Set FPA slowly to 1000 min and draw in approx 1 reference solution 15 Set the FPA slowly to zero If the displayed actual blood concentration value of the controller is stable press the Calibration key to acknowledge The displayed actual blood concentration value must be in the following range to ensure a large enough resolution Actual Status Controller gt 200 Blood Concentration Digit 16 Acknowledge and store completed calibration procedure with Vox key M T M D DE08C M KAY n DialogAd_sm Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced Se FSu Tillie 6H 4 10 4 7 4 Actual Value Check Blood Leak Detector Type 1 17 Select menu 1 18 in TSM to check actual value of the blood leak detector 4 10 4 7 4 1 Check 0 o Blood Concentration 18 Connect red dialyser coupling to rinsing bridge 19 Set FPA slowly to 1000 min and rinse 20 Check blood concentrtion of the controller and supervisor The values for the controller and supervisor must be in the following limits Actual Status Actual Status Controller Supervisor Blood Concentrati
125. lower Calibration key to start calibration Pics The zero point 0 g is calibrated and then automatically switched to the second calibration point 7 Hang the calibration weight on the HDF arm of the load cell Ref Val 8 Press pees key and enter the weight marked on the calibration weight 9 Start with _alibration key The second calibration point is automatically calibrated An automatic calibration of the weight offset with the new calibration data is performed with the test resistor after pressing the Vox key Save Calibration Data Check the accuracy of the load cell Manual Test and Calibration LLC Manual Test Test 1 22 HDF Test 1 22 1 HDF Load Cell 10 Acknowledge and store completed calibration Desired Setting Save Calibration Data with Vox key Actual Status Supervisor Controller Load Cell digit Save Calibration Data AS x MT MD DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 11 Press __TestResistor_ key to change to the menu Test 1 22 1 HDF load cell Load Cell 12 Check the calibration weight displayed in the Controller and Supervisor window Test Resistor ON OFF Note It is not important that a calibration weight is hanged on the load cell It is important that the load cell is steady during the test 13 Press Tt fessor ON Test Resistor OFF
126. lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS 76H Fill 0 a 4 10 4 8 1 Activation Blood Leak Detector Type 2 If a blood leak detector type 2 is assembled the setting BL Type with Auto Adjustment Type 3824 3784 must be activated A software calibration is not performed in no autom adjustment Type 38106515 lt Preparation gt autom adjustment in preparation Type 38106515 Actual Status Controller Supervisor Blood Concentration promille Outflow Pump Speed rpm TSD c LAMP TEST The blood leak detector type 2 performs an automatic calibration with a reference diode 1 Select Manual Test and Calibration Select LLC M anual Calibration Select Calibration 2 7 Blood Leak Detector Select BL Type icon Select blood leak detector 2 type 3824 3784 and press OK key The blood leak detector type 2 is activated um AeA W N 1 Connect both dialyser couplings to the rinsing bridge 2 Select menu Test 1 18 Blood Leak in TSM to perform a function check of the blood leak Desired Setting detector Controller 3 Rinse the blood leak detector for approx 1 min at the beginning of the rinsing time with flow pump outlet FPA 2000 min Thereby 0 possible air bubbles in the system are removed 4 Rinse blood leak detector for approx 15 to 30 OFF min with FPA 1000 min to warm up the complete system to a temperature of approx 40 C a o
127. lyser couplings are connected to the rinsing bridge the flow pumps FPA FPE work in main flow If only one coupling is connected FPE is stopped The reference solution can be sucked in by FPA via the red dialyser coupling The first calibation point must be performed with clear water The following calibration points are used Blood leck detector 0 and 1 o PE RVE N p lt VDE IN L VBP VDA BL PDA J KIQA 65 SOL S505 E VA SSA KS LLS The flow pump FPE is automatically stopped if only one dialyser coupling is connected The calibration of the blood leak detector type 1 is devided into three sections e Function test e Calibration e Check of the current value 1 You can activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the Blood Leak menu by pressing on Desired Setting the line Calibration 2 Blood Leak The following Contallen menu is displayed Outflow Pump Speed rpm 3 Press the Kl or gt key to skip to the previous or to the next calibration menu TSD c Blood Concentration digit M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSE Close front and rear door for the function test and calibration to prevent light irradiation on the sensor Leakages Air and micro bubbles
128. ment data can be deleted in the table NO Deactivated The measurement data is saved in the table until the end of therapy and can not be deleted Auto Start from Patient Diskette NO of Cyclic Reading The cyclic blood pressure measurement must always be selected manually YES If the cyclic blood pressure measurement is on the patient diskette ABPM is automatically activated at the beginning of a new therapy M T M D DE08C M KAY b DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSE U 4 9 1 16 Summer Time Setting ___DIALOG TSM MODE Mar 27 1996 10 49 1 Activate the System Configuration menu with Timings TA the System Configuration button in menu Treatment Support The following menu is opened and displayed scroll with scroll bar The Summer Time Parameters can be set in the Summer Time Setting menu Language selection Summer time setting 2 Activate the Summer Time Setting menu with the Summer Time Setting icon The following menu is displayed Begin of summer time Mar 31 1996 mfdfy LA The following parameters can be set 02 00 J h min e Begin of summer time End of summer time Sep 29 1996 m dfy e End of summer time e Time difference 02a 200 h min Time difference 01 00 h min Begin of Summer Time If necessary you can set the start of the summer time date and hour End of Summer Time If ne
129. mfort The syringe sensor for the heparin pump Comfort can be calibrated with templates Thereby the various syringe diameters are detected and the syringe seizes are recognized The values are displayed in digits DIALOG TSM MODE 1 Activate the LLC Manual Calibration menu with Dec 10 2003 sid the LLC Manual Calibration key in the Manual Test and Calibration menu 2 Activate the Heparin Pump menu by pressing on the line Calibration 2 2 Heparin Pump The following menu is displayed 3 Press the a or LS key to skip to the previous or to the next calibration menu Controller Actual Status HP Syringe Sensor digit o0 Calibration a mej Joja Heaprin Pump Type Heparin Pump Type Selection Comfort 0 must be activated see figure if a Heparin Pump Type Selection heparin pump Comfort is present in the machine If present you can skip from menu Low Level Test 1 4 Heparin Pump to the menu Calibration 2 2 Heparin Pump with the Calibration key Compact 1 must be activated if a heparin pump Compact is present in the machine Then a calibration of the syringe diameter is not necessary i e you can not skip to the menu Calibration 2 2 Heparin Pump from the menu Low Level Test 1 4 Heparin Pump Compact 1 e Potentiometer template 20 ml 770 1543 e Potentiometer template 50 ml 770 1551 1 Press Calibration key 2 Insert the 20 ml template into the heparin pump Comfort and close syringe holder
130. n A language can be selected in the Language Selection menu 1 Activate the System Configuration menu with Timings EY the System Configuration button in menu Treatment Support The following menu is opened and displayed scroll with scroll bar Language selection Summer time setting 2 Activate the Language Selection menu with the Language Selection icon If necessary use the scroll bar to move the menu down Select the English or German language or an additional language which is available The following menu is displayed or if available additional language If English is selected the therapy and TSM language is English If German is selected the therapy and TSM language is German If an additional language is selected this language is used in therapy The TSM language is English M T M D DEO8C M KAY ii l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSE EPS 6 4 9 1 15 Automatic Blood Pressure Measurement ABPM The ABPM parameters can be set in the ABPM menu 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support The following menu is Opened and displayed The following parameters can be set e Delete Button Data e Auto Start from Patient Diskette of Cyclic Reading Delete Button Data YES Activated In therapy a delete button is displayed in the ABPM menu The measure
131. n differ because both systems have different resolutions M T M D DE08C M KAY p DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSE 4 10 4 17 Calibration Inlet Flow Pump Nonreturn Valve RVFPE You can calibrate the inlet flow pump nonreturn valve RVFPE Loop In Point for Calibration Einschlauchpunkt RVFPE f r Kalibrierung BK2 Fig Calibration RVFPE Loop In Point Fig DF Sub Rack with RVFPE Dialog Advanced Manometer 0 to 4 bar 770 1357 Flow meter 770 0857 Allen key 3 mm Size 7 spanner Please ensure that the manometer and connection tubing are at the same level as the nonreturn valve during calibration 1 Connect manometer and flowmeter between flow pump FPE and balance chamber Note There still can be calibration couplings KK1 2 3 4 in Dialog machines These are obsolete since the Dialog Advanced i e if there are leakage problems disassemble the couplings and conncet the tubing directly 2 Select Test 1 20 Water Part Overview in TSM 3 Set speed of flow pump FPA to 500 ml min 4 Set temperature TSD to 37 C MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSE 5 Clamp tubing between manometer and balance chamber from FPE 6 Loosen lock nut on RVFPE adjustment screw 7 Set a pressure of 975 mmHg 1300 m
132. n to the deviation range for the conductivity and the temperature at the dialysis measurement instrument Ref Value 13 Press key 14 Enter the stable value from the dialysis measurement instrument as reference value and acknowledge with Calibration key Note Pay attention to the LLC Status window The calibration data are only valid if the following digit value is displayed in the LLC Status window X X X X X X X see figure If the calibration value for BICLF is at the limit range the calibration data could be invalid Thus the following digit value is displayed in the LLC Status 0 1 0 s1 window 8 X X X X X X X see figure Repeat calibration procedure only in LLC Status Window s111 gt Calibration E 15 Acknowledge completed calibration procedure with VoK key calibration data are saved LLC STATUS 00000000 000000 N O K Note 0 1 0 4 Pay attention to the LLC Status and LLS Status windows The bit sequence 0 1 0 must be identical in the LLC Status and LLS Status windows during LLS STATUS 00000 00 the saving procedure The calibration data are saved only after the bit sequence 0 1 0 see figure Proceed with the calibration of the conductivity sensors ENDLF ENDLF_S after the calibration of BICLF M T M D DE08C M KAY n DialogAd_sm Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH Hee FSH 6a 4 10 4 6 3 End Conductivity Se
133. nd of Treatment DCI Dianet Address Data Set DBI Baud Rate Data Set If you acitvate the YES button a click sound is activated if a button or the touch screen is pressed If you click the YES button you can activate a TMP display in the therapy mode The TMP display is only visible in therapy If you click the YES button you can generate a warning message to save the patient data in the following cases e The patient data was loaded from the floppy disk drive e The therapy was terminated without saving the patient data It is not permitted to activate the Skip Selftest Enable function It is prohibited to run a therapy with a patient if the selftest was not passed successfully Preparation is started after the machine is switched on if the machine was in therapy selection mode when switched off Data acknowledgement can either be performed with the touch screen or the keyboard The editing of the UF profiles can be performed in treatment B Braun M edizintechnologie GmbH Dialog Dialog Advanced me Manual Bypass Confirmation The confirmation window for bypass can be enabled with YES Thus every bypass Window Enabled switching must be confirmed manually End of Therapy Sound Duration The duration of the sound can be reduced at the end of a therapy Automatic Reinfusion Start at A window is automatically opened at the end of therapy This window must be Entering End of Treatment confirmed at the end of the therapy for the r
134. nect a patient to the Dialog Dialog Advanced and to run a therapy Standard Power Supply Ascom Prevent shorts during the exchange of boards valves and pumps remove the fuse SI 14 6 3 AT 24 VL from the standard power supply Ascom because the 24 VL reduction is very slow During servicing on running machines prevent chemical burns and scalding of the skin due to the penetration of disinfectant or hot liquid Servicing of mechanical assembly groups components in contact with fluid the black cover in the rear door must be assembled during servicing because it serves as a spray protection for the assembled printed circuit boards Always check o rings from disassembled groups components and replace if necessary Pay attention to ESD requirements because electronic components are sensitive to electrostatic discharges The displayed figures can differ slightly from the machines on site due to different hardware statuses If fuses are replaced they must exactly match the type and rating specified by the manufacturer in the spare parts list technical information Where applicable fuses must be approved by UL CSA Only use original spare parts manufactured and sold by B Braun M edizintechnologie GmbH Check the respective function of the assembly group component after servicing A complete function check must be performed after every service according to the operating manual B Braun M edizintechnologie GmbH Dialo
135. nge i e either remove or inject with the syringe document respective volume Thus the exact delivered volume can be determined 9 The measured volume V measureg Must be multiplied by the correction factor 0 992 This calculated reference volume V e must be entered during the calibration procedure Viet V eaved X 0 992 10 Press Salbration key to acknowledge 11 Acknowledge and store completed calibration procedure with Vox key Strok 12 Press ne key to select the menu 2 8 1 Stroke Value of BICP KP and UFP Compare the calculated stroke values of LLC and LLS The values must correspond to one decimal place 4 10 4 9 4 Stroke Value of BICP KP and UFP The sub menu 2 8 1 Stroke Value of BICP KP and UFP can be selected with the Stroke Value UFP key The sub menu 2 8 1 Stroke Value of BICP KP and UFP can be selected from the menus 1 17 UF Pump 1 22 HDF or 2 8 Calibration Flow of BICP KP and UFP The stroke values ul head rotation can be entered directly if the exact values are known for the bicarbonate pump BICP concentrate pump KP and ultrafiltration pump UFP M T M D DE08C M KAY 7 DialogAd_sm_ Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun Medizintechnologie GmbH Dialog Dialog Advanced 4 10 4 10 Calibration Safety Air Detector SAD Version 2 Calibration Level Test Level Alarm Level PA a3 SAD J C rv JE jae The value for the calibration level ist marke
136. nnect dialyser couplings to flow meter adapter of the dialysis measurement instrument 3 Increase slowly the speed of FPE until a flow of 750 ml min 50 ml min is reached BICLF Calibration Point 0 mS cm 4 Change slowly heater power until a stable temperature value of 38 C 2 C is displayed at the dialysis measurement instrument Note Use the heater power value you noted during the calibration of TSBIC TSD TSD _S 5 Press BICLF Calibration key 6 Press the pee key and enter 3 for a three point calibration Speed BICP 0 min Speed KP 0 min Ref Value 7 Compare the stable reference value in the X window with the a desired value in the Yate _ window and acknowledge with the Salbrtion key sired e The reference value is taken over in the fale window Act Point e The next calibration point is displayed in the X _ window Note Pay attention to the deviation range for the conductivity and the temperature at the dialysis measurement instrument Do not change by mistake the suction rods and the pumps BICP KP A calibration solution with a ratio of approx 1 4 is necessary for the 3 mS cm and 5 8 mS cm calibration i e 1 acid concentrate 4 water If acid concentrate is not available a calibration solution with acetate can be used The ratio is approx 1 4 5 i e 1 acetate 4 5 water BICLF Calibration Point 3 mS cm 8 Connect blue suction rod to the diluted acid concen
137. nsor Dialysis measurement instrument connected to RS 232 interface SW gt ENDLF ENDLF_S via RS 232 6 20 A N The composition of the undiluted acid concentrate is listed in table 1 A dialysis measurement instrument HDM gt 99 with a software version gt 3 52 can be connected to the RS 232 interface for calibration Press the ENDLF calibration key to calibrate the conductivity sensor ENDLF A calibration window is opened if the key is selected ENDLF ENDLF S TSD TSD S 0 0 0 0 0 0 digit digit e Calibration solution undiluted acid concentrate see table 1 ENDLF Calibration Point 0 mS cm 1 Press ENDLF Calibration key Speed BICP 0 min Speed KP 0 min Ref Value 2 Compare the stable reference value in the X window with the a me desired value in the Yael window and acknowledge with the Calibration key sired e The reference value is taken over in the fale window Act Point e The next calibration point is displayed in the __X___ window Connect the red suction rod to the undiluted acid concentrate UJ ENDLF Calibration Point 14 0 mS cm 4 Increase slowly the speed of the concentrate pump KP approx 115 120 min until a stable conductivity value of 14 0 mS cm 0 2 mS cm is displayed at the dialysis measurement instrument Pay attention to the deviation range for the conductivity and the temperature at the dialysis measurement instrument MT M D DEO8C M KAY n l DialogAd_sm_Chap
138. o present at PDA If fluid is in the connection line between the air separator and degassing circuit the fluid column leads to a higher pressure at PE according to the level difference A dialysis measurement instrument should be connected to the dialyser couplings for the pressure measurement M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced M 4 10 2 17 Test 1 17 UF Pump 1 Activate the UF Pump menu with the UF Pump key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the KI or key to skip to the previous or to the next test point You can set the speed of the UF pump UFP The head speed and the calculated flow is displayed At the beginning of the test the balance chambers are initialised The flow pumps FPE FPA are activated to reach the prepressure for UFP set by the value of the throttle DDE The Flow Detector FM is only present in machines with the option HDF bag FM detects a fluid flow if UFP runs The Stroke Value UFP should not be used in a normal case because UFP must be calibrated see LLC manual calibration M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSE U HE 4 10 2 18 Test 1 18 Blood Leak DIALOG TSM MODE 1 Activate the Bloo
139. od side parameters Heparin parameters Heparin measurement unit Conversion factor heparin IE ml Heparin rate Heparin bolus volume Therapy beginning bolus Selected syringe Heparin Measurement Unit Conversion Factor Heparin IE ml Heparin Rate Heparin Bolus Volume Therapy Beginning Bolus M T M D DE08C M KAY You can set the parameters in the Heparin Parameters menu and select a syringe type 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support The following menu is opened 2 Activate the Heparin Parameters menu with the Heparin Parameters icon The following menu is opened Eh The following parameters can be set 1000 3 0 mlfh Heparin measurement unit Conversion factor heparin IE ml Heparin rate Heparin bolus volume Therapy beginning bolus Selected syringe The measurement unit IE H or ml h can be selected for heparin You can set the conversion factor IE M L dependimg on the mixing ratio if the amount of heparin should be displayed in international units IE The conversion factor describes the quantity of IE in 1 ml solution e g 1000 IE represent in 1 ml solution 1000 IE heparin The heparin rate can be set to IE h or ml h depending on the selected uint You can select the bolus volume for the heparin bolus An automatic bolus can be administered at the bebinning of a therapy The bolus is administered by t
140. of Therapy LLC Manual Calibration Calibration 2 1 Pressure Sensors Blood Side Calibration 2 2 Heparin Pump Calibration 2 3 Pressure Sensors Water Side Calibration 2 4 Degassing Temperature Calibration 2 5 Dialysis Temperature Calibration 2 6 Conductivity Calibration 2 7 Blood Leak Detector Calibration 2 8 Flow of BICP KP and UF Pump L Calibration 2 8 1 Stroke Value of BICP KP and UFP Calibration 2 9 Safety Air Detector SAD Calibration 2 10 BICLF Ratio and ENDLF Ratio Calibration 2 11 Load Cell Calibration 2 12 PV Alarm Window Calibration 2 13 Flow of BPA and BPV Pump L gt Calibration 2 13 1 Tube Constants of BPA and BPV L Roller Pump Head Selection Calibration 2 14 Substitution Pump Calibration 2 15 HDF Online Substitution Pump OSP Fig TSM Service Program MT MD DEO8C M KAY ai DialogAd sm Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy B Braun Medizintechnologie GmbH Dialog Dialog Advanced 45 Service Overview in Therapy Mode General RVVB XX MSBK1 NSVB TOP MIDDLE BOTTOM MSBK2 VEBK1 S XXX C VEBK2 S VABK S __ VDEBK _S XXX VDABK1_S NO AIR AIR NO AIR AIR OPEN CLOSED FPE BICLF EN DLF ENDLF S BICP BICP_S BIC Ratio BIC Ratio_S KP KP 5 END Ratio END Ratio_S FPA FM D XXX C FMD S XXX C T XXX C XXX OC VBP VBP_S VDE X X mS cm VDE S XX X mS cm VDA XX X mS cm XX rom XX rom XX X XX X XX rpm XX rpm
141. of the monitor can be checked with this test image 1 Activate the Monitor Test menu with the Monitor Test key in the TL Manual Test and Calibration menu The following menu is di a displayed aA bB jJ o0 pP j J oO pP qQ rR sS wW x X yY Z Lee 456 789 A MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSS Wee SG lls 002 4 10 1 3 Touch Screen Calibration The touch screen can be calibrated The active part of the touch screen is displayed in the figure Three corner points are used A B and C for the calibration The touch area is defined by the calibration To ensure an accurate calibration tip on the finger tip of the symbol during calibration 1 Activate the Touch Screen Calibration menu with the Touch Screen Calibration key in the TL Manual Test and Calibration menu The following menu is displayed 2 Tip the finger symbol A in the upper left corner The first calibration point is defined 3 Tip the finger symbol B in the lower right corner The second calibration point is defined 4 Tip the finger symbol C in the upper right corner The third calibration point is defined The calibration data is stored The intial menu is automatically displayed again 5 Switch the Dialog off and on again The new calibration data are loaded for the touch screen 6 Check the touch screen Reset Default Val
142. ogen filter LE i E Filter type eg Diacap Ultra Filter Therapy Number Filter Operation Time h M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy e Number of therapies therapy no e Filter operating hour counter operating time h The filter type can be typed e g Diacap Ultra The number of therapies can be set for the DF HDF filters The following messages are displayed before Preparation after the life time data for therapy numbers filter operation time is expired one of the first three lines are selected displayed depending on the filter s which is are expired lt Check the DF Filter gt or lt Check the HDF Filter gt or lt Check the DF and HDF Filter gt or lt Check the life time data on the service screen gt lt Do you want to continue with an expired filter gt The message must be acknowledged with the El key The operating hours can be set for the intended operation time of the DF HDF filters The operating hour counter is active when DF Preparation is active B Braun M edizintechnologie GmbH Dialog Dialog Advanced me 4 9 1 12 Dialyser Parameters Kt V 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support Use the scroll bar until the ae following menu appears Disinfection parameters Filter parameters Dialyser parameters Kt V 2 Activate the Dialyser Parameters Kt V menu
143. on Down Load Calibration Data The LLC calibration data can be downloaded from the hard disk drive to the Low Level Controller LLC exchanged controller board LLC Note Exchange Supervisor Board The procedure for the exchange of a supervisor board is different details see chapter 3 repair instructions M T M D DE08C M KAY DialogAd_sm_ Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSE U2 4 8 File Operations SW gt 6 20 The File Operations menu is selected with the Diskette icon in the TSM main menu Floppy Diskette READ WRITE CREATE Note The format for patient diskettes and q Production Report LS configuration diskettes TSM now have DOS format i e are not compatible with QNX 2 SW E System Configuration ES E DIALOG Version number lt 6 20 diskettes From QNX 4 special diskettes for the QNX operating system do not have to be generated The diskettes for file operation are DOS compatible i e can be EN Language Maintenance Patient Diskette Creating used in a PC with a DOS Windows operating system ajaja The following parameters can be selected _Hard Disk READ f WRITE Floppy Diskette Read Write Create Save Calibration Data H Down Load Calibration Data e Production Report System Configuration Dialog Version Number Language Maintenance Patient Diskette Creating Hard Disk Read Write e Save Calibration Data e Down
144. on 0 to 0 2 0 to 0 2 per mil 4 10 4 7 4 2 Check 1 o Blood Concentration 21 Set FPA slowly to zero 22 Carefully disconnect red dialyser coupling 23 Carefully insert red dialyser coupling into remaining reference solution 24 Set FPA slowly to 1000 min and draw in reference solution 25 Check blood concentration of the controller and supervisor The blood concentrate values for the controller and supervisor must be in the following limits Actual Status Actual Status Controller Supervisor Blood Concentration 0 95 to 1 1 0 95 to1 1 per mil M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced See FSU 0 a 4 10 4 8 Calibration Blood Leak Detector Type 2 You can check and calibrate the blood leak detector BL type 2 The rinsing block must have an even temperature for the calibration If both dialyser couplings are connected to the rinsing bridge the flow pumps FPA FPE work in main flow If only one coupling is connected FPE is stopped The reference solution can be sucked in by the red coupling via FPA PE RVE N p lt VDE fN L VBP VLA L LAFS 8 E FPA AY Fig Rinsing Bridge with Blood Leak Detector BL VDA BL PDA v 7 N KAE A xx gt Sd ag w Ordering Information The blood leak detector type 2 can be ordered under the following art no Art
145. on can be activated with the DBI icon if the option is installed in the Dialog machine The TLC detects a connected BSL module before the Production Report is opened If a BSL module was detected the DBI icon and DCI icon are displayed The DBI icon and DCI icon are interlocked For detailed information regarding networking for Dialog machines see the technical information Nexadia BSL network and software for networking DCI Data Communication Interface A Dialog machine communicates via a serial RS232 interface if a DCI option is assembled A Dianet protocol is used for communication The DBI icon and DCI icon are interlocked For detailed information regarding networking for Dialog machines see the technical information 4 00 Data communication interface DCI KT V The KT V option can be selected and saved in the Production Report MT M D DE08C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSE 4 11 1 Version Number Dialog Press the Version Number Dialog key The Version Number Dialog menu is opened Production Report The software version status of the Dialog is displayed Nov 22 1995 12 23 The various software versions for top level controller Supervisor etc are displayed and can be checked These versions depend on the installed Dialog Subsystem SW Versions Language Versions software version The following softwar
146. on to the deviation range for the conductivity and the temperature at the dialysis measurement instrument M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS 27657 6a Si Do not change by mistake the suction rods and the pumps BICP KP A calibration solution with a ratio of approx 1 4 is necessary for the 3 mS cm and 5 8 mS cm calibration i e 1 acid concentrate 4 water If acid concentrate is not available a calibration solution with acetate can be used The ratio is approx 1 4 5 i e 1 acetate 4 5 water BICLF Calibration Point 3 mS cm 8 Connect blue suction rod to the diluted acid concentrate calibration solution 9 Increase slowly the speed approx 100 110 min of the bicarbonate pump BICP until a stable conductivity value of 3 0 mS cm 0 2 mS cm Is displayed at the dialysis measurement instrument Pay attention to the deviation range for the conductivity and the temperature at the dialysis measurement instrument Ref Value 10 Press key 11 Enter the stable value from the dialysis measurement instrument as reference value and acknowledge with Calibration key BICLF Calibration Point 5 8 mS cm 12 Increase slowly the speed approx 200 210 min of the bicarbonate pump BICP until a stable conductivity value of 5 8 mS cm 0 2 mS cm Is displayed at the dialysis measurement instrument Pay attentio
147. or Alarm messages low level controller Alarm messages low level supervisor Membrane position sensor balance chamber 1 Membrane position sensor balance chamber 2 Level sensor upline tank Arterial pressure sensor Arterial pressure sensor supervisor Blood inlet pressure sensor Blood control pressure sensor Blood control pressure sensor supervisor Dialysate outlet pressure sensor Dialysate outlet pressure sensor Dialysate outlet pressure sensor supervisor Degassing pressure sensor Venous pressure sensor Venous pressure sensor supervisor B Braun M edizintechnologie GmbH Dialog Dialog Advanced M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy RDA RDA S RDV RDV S RVE RVVB SAD SAD LEV S SAD LEVEL SAD LEVEL SAD S SAD TEST SBS1 SBS2 TSBI TSD UFP UFP_ FLOW UFP_FLOW_S UFP_S VABK1 VABK1 S VABK2 VABK2 S VBE VBE S VBP VBP S VD VD S VDA VDABK1 VDABK1 S VDABK2 VDABK2 S VDA S VDE VDEBK1 VDEBK1 S VDEBK2 VDEBK2 S VDE S VDFF VDFF_S VEBK1 VEBKI S VEBK2 VEBK2 S VLA VLA_S VSAA VSAA S VSAE VSAE S VSB VSB_S VZ VZ S WTC Arterial red detector Arterial red detector supervisor Venous red detector Venous red detector supervisor Degassing control valve Upline tank control valve Safety air detector Safety air detector supervisor level voltage Safety air detector level Safety air detector level
148. orking Time Counter Working time counter WTC bioLogic RR biologic RR Option LLC ALARM _ The low level controller alarms are displayed in a hexadecimal format The corresponding bit alarms are shown in the LLC alarm window LLS ALARM _ The low level supervisor alarms are displayed in a hexadecimal format The corresponding bit alarms are shown in the LLS alarm window LLC MESSAGE The LLC messages are displayed in a hexadecimal format The corresponding bit messages are shown in the message window FREE MEMORY Free RAM memory DIM M SIM M LLC S amp TLC Alarm Window e Low level controller alarm text Window messages according to the LLC hex numbers from the LLC alarm window e Low level supervisor alarm text Window messages according to the LLS hex numbers from the LLS alarm window e Top level controller alarm messages Window according to the TLC hex numbers from the TLC alarm window LLC Message Window LLC text messages according to the LLC message hex numbers from LLC message window M T M D DE08C M KAY DialogAd_sm_ Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 0 Service Overview in TSM Service Program General The service overview can be selected with the I key in the TSM service program SAD _ LEVEL LEAKTEST EMPTYING BL LAMP T SAD_TEST ON OFF ON OFF ON OFF ON OFF X X OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN CLOSED OPEN
149. oss UF rate vs blood flow alarm limit Gross UF rate vs blood flow warning limit UF profile editor You can set the minimal UF rate If YES is Activated If the Minimal UF Rate is active the Uf rate is recalculated to reach the required UF volume You can set the upper limit of the net UF rate You can set the UF volume You can set the therapy time There is no limit alarms for HDF machines in predilution You can set and activate an alarm limit i e an alarm red is activated if the limit is reached The alarm limit can only be changed if the warning limit was changed in advance The alarm can be acknowledged with the amp key Setting Range The alarm limit can not be set lower than the warning limit even if the warning limit is deactivated B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHEESH 62 Gross UF Rate vs Blood Flow You can set and activate a warning limit i e a warning yellow is activated if the Warning Limit limit is reached Setting Range The alarm limit can not be set lower than the warning limit even if the warning limit is deactivated Alarm Limit Warning Limit Alarm Limit deactivated deactivated activated activated M T M D DE08C M KAY DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy Warning Limit deactivated No alarm no warning in therapy activated deactivated activated Warning in therapy if limit is exceeded Alarm in therapy if limit
150. ow pump nonreturn valve RVFPA BKI N VABK1 i VBP E g E 2 VDABK1 a E E Loop In Point for Calibration Einschlauchpunkt l f r Kalibrierung iii Fig Calibration RVFPA Loop In Point Fig UF Sub Rack with RVFPA Dialog Advanced i Manometer 0 to 4 bar 770 1357 Flow meter 770 0857 Allen key 3 mm Size 7 spanner Please ensure that the manometer and connection tubing are at the same level as the nonreturn valve during calibration M T M D DE08C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced Se E7657 0a 1 Connect manometer and flowmeter between flow pump FPA and balance chamber Note There can still be calibration couplings KK1 2 3 4 in Dialog machines These are obsolete since the Dialog Advanced i e if there are leakage problems disassemble the couplings and conncet the tubing directly Insert both dialyser couplings into a vessel filled with water Select Test 1 20 Water Part Overview in TSM Set speed of flow pump FPA to 500 ml min Set temperature TSD to 37 C Clamp tubing between manometer and balance chamber from FPA Loosen lock nut on RVFPA adjustment screw CO AYO UO A WW N Set a pressure of 975 mmHg 1300 mbar with the adjustment screw of RVFPA 9 Tighten lock nut again 10 Remove manometer and flow meter M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004
151. pling Detectors 1 Activate the BIC Cartridge Valves and Coupling Detectors menu with the BIC Cartridge Valves and Coupling Detectors key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the KI or key to skip to the previous or to the next test point Valves VVB VBICP VBKO VBKS The valves WVB VBICP VBKO and VBKS can be switched either separately or together Detectors BKOS BIC Cartridge Holder with Nonreturn Valve A reed sensor is not present BIC Cartridge Holder without Valve The status of the reed sensor OPEN CLOSED is displayed BKUS BKUS S The status of the reed sensor OPEN CLOSED is displayed M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced me 4 10 2 24 1 24 HDF Online Exchange Intervals The HFB filter must be exchanged in one year Intervals 1 Activate the HDF Online menu with the HDF Online key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the KI or gt key to skip to the previous or to the next test point You can check the function of the HDF online substitution pump OSP BPV and the additional valves Online Substitution Pump The function of the HDF online substitution pump OSP BPV can be checked OSP BPV Valves VBE VDFF VSB
152. pling into reference solution loss of fluid air intake M T M D DE08C M KAY n DialogAd_sm Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 8 9 10 4 10 4 8 4 Actual Value Check Blood Leak Detector Type 2 11 4 10 4 8 4 1 Check 0 o Blood Concentration 12 13 14 4 10 4 8 4 2 Check 1 o Blood Concentration 15 16 17 18 19 M T M D DE08C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy Set FPA slowly to 1000 min t and draw in approx 1 I reference solution Set the FPA slowly to zero If the displayed actual blood concentration Calibration value of the controller is stable press the key to acknowledge The displayed actual blood concentration value must be in the following limit to ensure a sufficient resolution Actual Status Controller Blood Concentration thousandth part o gt 200 Acknowledge and store completed calibration procedure with Vox key Select menu 1 18 in TSM to check the actual value of the blood leak detector Connect red dialyser coupling to rinsing bridge Set FPA slowly to 1000 min and rinse Check blood concentration of the controller and supervisor The values for the controller and supervisor must be in the following limits Actual Status ControllerActual Status Supervisor 0 to 0 2 Blood Concentration thousandth part o Set FPA slowly to zero Carefully d
153. position must be guaranteed if the servomotor is disassembled and assembled again on the disinfection valve rinsing bridge Thus the correct operation of VD is guaranteed i e switching from the air line to the disinfection line In basic position the disinfection valve WD e isopen to the air line i e disinfectants can not be sucked in Fig Disinfection Valve VD Rinsing Bridge Open front door of Dialog Pull off the connector A from the desinfection valve board Disassemble servomotor B gt W N F Prior to the assembly of the new servomotor B pay attention to the position of the bevel E on the eccentric axle The bevel E must be in upper position see figure Do not pull off the bow G from the control disc H because it s position is set ex works 5 The bow G on the control disc H must be seated in the eccentric groove F MT M D DEO8C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH 6 Assemble servomotor B Dialog Dialog Advanced all lt The position tag C of the servomotor B is seated in the light barrier D The bow G not visible is seated in the eccentric groove F Plug in connector to desinfection valve board Check function of the desinfection valve position tag C in light barrier D Servomotor Position tag Light barrier Bevel on eccentric axle Eccentric groove Bow only partly visible is s
154. r Off menu with the Staff Call Alarms Power Off key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press thel_S J orl J key to skip to the last or to the next test point The staff call can be activated with the PRUF PRUF S signal and the acoustical alarm can be switched separately with the ACAL ACAL S signal by the controller and supervisor The low level supervisor can test the power off for the 24 V supply voltage with the D240FF S signal for the dialysate side power off The feedback to the controller ON OFF shows whether the voltage was switched The low level supervisor can test the power off for the 24 V supply voltage with the B240FF S signal for the blood side power off The feedback to the controller ON OFF shows whether the voltage was switched The REMOTE signal for the remote power off can be activated by the controller The machine is switched off by the internal real time clock RTC The machine is Switched on again after the shortest time period approx 64 s has expired The machine can be switched on immediately if the machine is switched off and on again B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSB EB Pll 6 NE 4 10 2 2 Test 1 2 Blood Pump Arterial 1 Activate the Blood Pump Arterial menu with the Blood Pump Arterial key in the LLC Manual Test menu The following menu is displayed W or P key to skip to the
155. r for the function test and calibration to prevent light irradiation on the sensor Air and micro bubbles must not be present prior or during the calibration of the detector if necessary see information 4 10 4 7 The blood detector must be clean The FPA must be switched off to prevent a flow during the calibration procedure The calibration for the blood leak detector type 1 is performed in two steps e Turbidity calibration e Calibration with reference solution The calibration of the blood leak detector can be selected from the menu 1 18 with the Calloration key e Reference Solution Red Dye 770 0911 e Graduated cylinder 2 litre Both dialyser couplings are connected to the rinsing bridge 7 8 Prepare reference solution i e Prepare reference solution with 1 o reference solution e g 2 litre water 2 ml reference solution The water should have at least 30 C for an accurate calibration Mix the reference solution thoroughly 4 10 4 7 3 1 Turbidity Calibration with W ater 9 Press Calibration key The calibration window Is opened 10 Set FPA slowly to zero with the key of the calculator 11 Press the Calibration key to activate the first actual calibration point of the automatic calibration After the calibration of the first point the second calibration point is automatically displayed 4 10 4 7 3 2 The values must be in the following limits Actual Status Actual Status Controller Supervisor B
156. reatment Results the Last Treatment Results key in the Treatment 1 Support menu The following menu is opened i and displayed The following settings can be selected Actual Dialysate Fluid Flow ml min j i 1 e Cursor left and right e Time display 0 i e Selection of trend groups Actual Bic Conductivity of Dialysate Fluid mmol l j 141 140 Actual Final Conductivity of Dialysate Fluid mmol l 0 30 Cursor left and right You can shift the time base in one minute increments with the left or right cursor The time is displayed in the Time Display window A specific time can be selected in the graphics with the time base Thus the corresponding events can be displayed Time Display You can position the time base on a certain treatment time The corresponding events can be displayed Selection of Trend Groups You can select the Trend Groups menu Five trend groups with three treatment parameters each can be configured individually MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced The trend group to be displayed can be selected red arrow You can select three treatment parameters from a list for one group with the Edit key Actual Dialysate Fluid Flow Actual Bic Conductivity of Dialysate Fluid Actual Final Conductivity of Dialysate Fluid Actual Temperature after Bicarbonate mixing Actual Dialysate Fluid Temper
157. s 6 4 10 2 5 Test 1 5 Tubing Clamps Tubing Clamps M T M D DE08C M KAY DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy Activate the Tubing Clamps menu with the Tubing Clamps key in the LLC Manual Test menu The following menu is displayed Check the functions with the appropriate keys Press the _SJ or i a key to skip to the previous or to the next test point The venous tubing clamp SAKV and arterial tubing clamp SAKA can be closed and opened Thereby the switch function and leakage test pressure clamp gap time can be tested The closed clamp gap is set to 1 4 mm 0 1 mm B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSBB PSE 4 10 2 6 Test 1 6 Pressure Sensors Blood Side 1 Activate the Pressure Sensors Blood Side menu with the Pressure Sensors Blood Side key in the LLC M anual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the gt key to skip to the previous or to the next test point A DON Calibration 9 You can skip directly to the calibration of the sensors by pressing the key Pressure Sensors The values of the pressure sensors PA PV PBE and PBS are displayed The sensor pressure can be tested with a syringe The value for PBS is 0 if PBS was not activated in the 2 1 Pressure Sensors Blood Side menu M T M D DE08C M KAY S DialogAd_sm_Chapter 4 2_6 2004 doc p
158. s of the activated interval is set to HD with theHD button UF Mode Sequential SEQ The UF process of the activated interval is set to sequential with the SEQ button M T M D DE08C M KAY i DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSB PSE 6 4 9 1 9 HDF HF Parameters 1 Activate the System Configuration menu with the System Configuration button in menu Treatment Support Use the scroll bar until the following menu appears 2 Activate the Single Needle Parameters menu with the Single Needle icon The following menu is Opened The following parameters can be set HDF HF substitution flow Dialysate flow HDF HF infusion bolus volume Post Predilution Selection HDF HF Substitution Flow The HDF HF substitution flow can be set Dialysate Flow The dialysate flow can be set HDF HF Infusion Bolus Volume The HDF HF infusion bolus volume can be set Post Predilution Selection You can set predilution for a HDF HF therapy by activating the Predilution button M T M D DE08C M KAY b DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced me 4 9 1 10 Disinfection Parameters Disinfection after servicing in TSM Before disinfection rinse the machine to remove residual dialysate or concentrate in the system The disinfection parameters can be set in the Disinfection Parameters menu 1 A
159. service program 8 Switch on Dialog 9 Select the Manual Test amp Calibration key 10 Select LLC Manual Calibration key and activate 2 10 BICLF Ratio amp ENDLF Ratio For bicarbonate therapy with BICLF ratio values near the limits or out of the default setting of 25 7 11 If necessary enter the value for BICLF ratio mean value of all bicarbonates in BICLF Ratio Desired Setting Controller 25 key default value 25 12 Acknowledge and save the entered value with the Calibration key 13 Select Treatment Support key 14 Select System Configuration key and activate the Dialysate Side Parameters key The set ENDLF ratio limit should be between the bicarbonate and acetate mode Change the set point range accordingly for acid ENDLF ratio gt 31 or acetate ENDLF ratio lt 31 15 If necessary select ENDLF ratio Limit XX key limit Value 31 and enter the value for the ENDLF ratio mean value for all concentrates 16 Save the entered limit value 17 Switch off Dialog and set switch K1 to position 0 therapy 2 Check Acetate Check the conductivity of the acetate in the therapy main menu according to the prerequisites of the customer setting of ENDLF ratio and check whether the ENDLF ratio for bicarbonate 31 are in the limits Thus a change between bicarbonate and acetate is possible without changing the ENDLF ratio value when changing from bicarbonate to acetate i e ENDLF ratio limit value gt 31 Connect the
160. side parameters Scroll the various system configuration points up or down with the scroll bar System configuration points can be selected additional settings are Blood side parameters activated if specific options are selected Heparin parameters 4 9 1 1 Dialysate Side Parameters a _System Configuration The dialysate fluid parameters can be set in the May 22 1997 12 35 Dialysate Side Parameters menu 1 Activate the Dialysate Side Parameters menu Conductivity measurement unit with the Dialysate Side Parameters icon The Acetate mode disabled following menu is opened Default conductivity mode ii The following parameters can be set ea ee e Conductivity measurement unit e Acetate mode disabled e Default conductivity mode i e Selected acetate only necessary if mmol l is calerked acidi e Selected bicarbonate selected acid only necessary if mmol I is selected e Temperature measurement unit e Dialysate flow Dialysate temperature Conductivity Measurement Unit You can either select conductivity mS cm or sodium concentration mmol l for the conductivity measurement unit If sodium concentration mmol l is selected a corresponding conversion factor must be entered Activate the ACET or BIC icon to enter the corresponding conversion factor 1 Click the mmol l or mS cm button to select a measurement unit Acetate M ode Disabled The acetate mode can be disabled 1 Click the YES button
161. skip to the previous or to the next test point se 8a se a oe You can activate a single valve or combined setting via the controller The actual condition is displayed by the supervisor The following valves can be activated Valves VDEBK1 2 Dialyser inlet valve balance chamber VEBK1 2 Inlet valve balance chamber VDABK1 2 Dialyser outlet valve balance chamber VABK1 2 Outlet valve balance chamber M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSBB PSs 6s 4 10 2 14 Test 1 14 Bypass and Disinfection Valves 1 Activate the Bypass and Disinfection Valves menu with the Bypass and Disinfection Valves key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the gt key to skip to the previous or to the next test point ze sto ste se e ote You can activate a single valve or combined setting via the controller The actual condition is displayed by the supervisor The following valves can be activated Valves VBP VDE VDA VD VZ VLA M T M D DE08C M KAY DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy Bypass valve Dialyser inlet valve Dialyser outlet valve Disinfection valve Circulation valve Ais separator valve B Braun M edizintechnologie GmbH Dialog Dialog Advanced mE 4 10 2 15 Test 1 15 Flow Pump FPA Balance C
162. stant over a time period of 10 s Reference temperature 38 C 2 C e Temperature oscillation range 1 digit 0 1 C displayed value of Dialog over 10 s i e the temperature should be constant over a time period of 10 s B Braun M edizintechnologie GmbH Dialog Dialog Advanced Calibration Measurement of the Temperature and the Conductivity Measurement of the Flow TSBIC OL RVB X V BICP KPL Calibration Solution Kalibrierl sung Fig Dialysate Preparation ENDLF ENDLF S TSD 0 0 0 0 digit digit Head Speed Head Speed 40 E O O C BICLF RVKA EN Undiluted Acid Concentrate Unverdunntes Saurekonzentrat The temperature sensors TSBIC TSD TSD S must be calibrated prior to the calibration of the conductivity sensors BICLF ENDLF ENDLF S in menu LLC Manual Calibration Calibration 2 5 Dialysis Temperature The measurement sensor for temperature and conductivity of the dialysis measurement instrument is connected between FPE and the inlet to the balance chamber see figure Connect the dialyser couplings to the flow sensor of the dialysis measurement instrument The flow sensor is connected to the dialysis measurement instrument see figure depends on applied dialysis measurement instrument Dialysis Measurement Instrument Dialysemefsystem Measurement Sensor Dialyser Mebsonde Dialysator 7M easurement Sensor Me sonde VEBK1 2
163. suction rod correctly Operating Mode Acetate e red suction rod for acetate M T M D DE08C M KAY n DialogAd_sm Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSE TEN 1 Select the Haemodialysis key in Therapy Selection Machine switches to Preparation Select the Parameter key A parameter window is opened Select Bicarbonate key and activate acetate mode Connect the respective acetate after the request Select service overview to display END RATIO Wait till a stable ENDLF ratio value is reached Use the mean value if there are slight deviations U A W N Note all ENDLF ratio values of different concentrates Switch off the Dialog and set switch K1 to position 2 TSM service program Switch on Dialog O O N O Select Treatment Support key 10 Select System Configuration key and activate the Dialysate Side Parameters key The set ENDLF ratio limit should be between the bicarbonate and acetate mode Change the set point range accordingly for acetate ENDLF ratio lt 31 or acid ENDLF ratio gt 31 11 If necessary select ENDLF ratio Limit XX key limit Value 31 and enter the value for the ENDLF ratio 12 Save the entered limit value 13 Switch off Dialog and set switch K1 to position 0 therapy 3 Bicarbonate Cartridge Holder Option The option must be activated set and checked in the TSM service program After the activation a ratio value must
164. t be selected activated in the menu Low Level Options for HDF online machines MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced MSSE Pyrogen Filter The pyrogen filter option must be selected and saved in the menu Low Level Options to activate the option SM PS Switch M ode Power Supply The SM PS switch mode power supply must be selected and saved in the menu Low Level Options if a switch mode power supply is assembled in the machine to activate the different functions SM PS with Battery If the battery option is assembled or a battery option is retrofitted it must be selected and saved in the menu Low Level Options to activate the option BIC Cartridge Holder with Nonreturn If the option BIC cartridge holder with nonreturn valve is assembled or the option Valve is retrofitted it must be selected and saved in the menu Low Level Options to activate the option The BIC cartridge holder with nonreturn valve has an additional drip protection in the top and bottom holder spring loaded nonreturn valve Additionally a swivel arm is integrated in the top holder which opens the nonreturn valves when the holders are closed This type of BIC cartridge holder can be retrofitted in machines with a software from 5 00 Exchange cartridge during a dialysis The holder must be closed after removing an empty cartridge A reset is performed via BKUS in the
165. ter gt 85 C The inlet feed lines are disinfected with chemical disinfectants if the central facility loop line is also disinfected with chemical disinfectants Rinsing of disinfectant residues e g a disinfection was performed in the evening and the residues are rinsed in the morning The parameters for the switch on and the weekly schedule can be set in the menu Auto Switch On with Rinsing No Weekly Schedule and Auto Switch On by Weekly Schedule The buttons are interlocked The machine Is rinsed after the preselected switch on time The button is only enabled if the function is selected The parameters for the weekly schedule can be set with the Weekly Schedule The table for the weekly schedule can either start with Sunday or Monday Limit OFF The function is activated if the Limit OFF button is not pressed The Limit OFF button is activated in the default setting the parameter buttons are disabled i e parameter values can not be set B Braun M edizintechnologie GmbH Dialog Dialog Advanced O N The parameters for the weekly schedule can be set i o oone H in the Weekly Schedule menu x lon j Zitronensiure 50 The table can also be modified by the user in the K f Long ea Bday therapy disinfection mode e Wednesday K e 7 come P d r a tS ae ey Auto Switch On by Weekly Schedule The selected disinfection method is performed according to the preselected Wee
166. ter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SH H 76H Till 6a Ref Value 5 Compare the stable reference value in the X window with the Lie desired value in the Yael window and acknowledge with the Calibration key sired e The reference value is taken over in the Nale handon Note E Pay attention to the LLC Status window The calibration data are only valid if gt aa the following digit value is displayed in the LLC Status window X X X X X X X see figure If the calibration value for ENDLF is at the limit range the calibration data ee could be invalid Thus the following digit value is displayed in the LLC Status window 8 X X X X X X X see figure Repeat calibration procedure only in LLC Status Window ssce E E OAA OTRS 1 6 Acknowledge completed calibration procedure with Vox key calibration z data are saved Mok z Note 0 1 0 A Pay attention to the LLC Status and LLS Status windows The bit sequence LLS STATUS 00000 00 0 1 0 must be identical in the LLC Status and LLS Status windows during the saving procedure The calibration data are saved only after the bit sequence 0 1 0 see figure 7 Stop FPE BICP and KP and remove dialysis measurement instrument M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH FSH Till oa 4 10 4 6 4
167. ter the bit LLS STATUS 00000 00 M T M D DE08C M KAY n DialogAd_sm Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH FEH Tillie 6a 4 10 4 5 2 Calibration TSBIC TSD TSD_S Without automatic acceptance of the reference value SW lt 6 20 Press the e ctto key to calibrate the temperature sensors TSBIC and TSD TSD_S A calibration window is opened if the key is selected FPE rpm 0 H 0 UZ CLOSED VZ CLOSED TSBIC TSD TSD S FPE 0 0 0 rpm digit digit digit TSBIC Calibration TSD e Dialysis measurement instrument e g HDM 99 e Adapter set coupling tubing dialyser couplings 1 Connect dialysis measurement instrument between FPE and balance chamber 2 Connect dialyser couplings to flow meter adapter of the dialysis measurement instrument 3 Increase slowly the speed of FPE until a flow of 750 ml min 50 ml min is reached 4 press m uma key for a combined calibration of TSBIC and TSD TSD_S The circulation valve VZ stays closed Calibration Point 30 C 5 Increase slowly heater power in until a stable temperature value of 30 C 2 C is displayed at the dialysis measurement instrument Pay attention to the deviation range of 0 1 C over 10 s at the dialysis measurement instrument Ref Value 6 Press key 7 Enter the stable value from the dialysis measurement instrument as h Calibration reference value
168. th water into the SUBAD and check Close SUBAD cover NO AIR Cover State Load Cell g SUBAD AIR e Insert substitution line segment with air into the SUBAD and check Close SUBAD cover AIR You can test the substitution delivery and the components by connecting a substitution line The substitution pump BPV works with the selected speed conversion factor between motor speed and head speed 46 615 The load cell can be checked after calibration with a calibration weight The pump is stopped if the pump cover cover sensor is opened The flow and the weight loss on the load cell can be checked by using a graduated cylinder The substitution air detector SUBAD can be checked Calibration weight 10 kg Substitution Line 6 Open pump cover Pump stops and opened pump cover symbol is displayed 7 Insert new pump segment of a new substitution line Enter the following speeds and check in the display 1500 min and 120 min The speed value ranges are listed in the table Enter 1500 min and wait until a stable value is displayed Enter 120 min and wait until a stable value is displayed Actual Satutus Controller Motor Speed 975 2025 Speed Actual Satutus Supervisor Head Speed 120 2 4 MT M D DE08C M KAY 7 DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced M 4 10 2 23 1 23 BIC Cartridge Valves and Cou
169. the dialysis measurement instrument and connection tubing are at the same level as the rinsing bridge DIALOG TSM MODE 1 Activate the LLC Manual Calibration menu with Dec 10 2003 0702 the LLC Manual Calibration key in the Manual Test and Calibration menu z 2 Activate the Pressure Sensors Water Side menu Actual Status Desired Setting Controller Supervisor Controller by pressing on the line Calibration 2 3 Pressure Sensors Water Side The following menu is o displayed 100 D 3 Press the KI or gt key to skip to the VLA CLOSED aes ue 10S previous or to the next calibration menu Calibration Calibration Bes KILEN Degassing Pump rpm Degassing Valve Air Separator Valve Degassing Pressure digit Dialysis Pressure digit M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS FSH oa 4 10 4 3 1 Calibration Pressure Sensor Degassing PE The calibration with the automatic acceptance of the reference values from the HDM 99 or a similar unit is performed according to the description of the pressure sensors for the blood side A pressure difference can be present between the dialysis measurement instrument and the pressure sensor PE tolerance of pressure sensor PE 50 mmHg The pressure difference can occur if the connection line from the air separation valve VLA to
170. the balance chamber system the bypass valve WBP and the main flow valves VDE VDA the air separator valve WLA and the UF pump UFP The flow system must be filled with water prior to the leakage test if necassary fill in menu 1 20 Water Part Overview The following components are tested Membrane position sensors MSBK1 2 Balance chamber valves VDEBK1 2 VDABK1 2 VEBK1 2 VABK1 2 Bypass valve VBP Dialyser in output valves VDE VDA Disinfection valve VD Air separator valve VLA Membrane leakproof test VDEBK VABK opened VDABK VEBK VLA closed Af Start Pressure Positive was set An additional membrane leakproof test is performed after the second test step If the test is activated for the dialysate circuit an automatic leakage test is performed The test is started with a positive test pressure and then followed by a negative test pressure If the test is started with a positive test pressure an additional test step is performed after the second test step This additional step performs a leakproof test of the membranes The valves have the following position during the test e VDEBK VABK opened e VDABK VEBK VLA closed The test pressure is present in the inlet balance chamber during this test The membrane seals the outlet of the test circuit A defective membrane would cause a pressure drop HDF Online HDF online machines the two additional test steps 2a and 2b are performed after the membrane test Thus th
171. to disable the acetate mode Default Conductivity M ode The bicarbonate dialysis is the standard factory setting You can preselect either acetate or bicarbonate for the standard dialysis operation mode 1 Click either the Bic or Acet button for the standard setting MT M D DEO8C M KAY n l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced me Selected Acetate You can enter up to 10 acetate concentrate names and the conversion factors for the conversion of conductivity values for concentrate of sodium ions You can activate a concentrate for therapy by pressing a free section of the window 1 Click the Acet icon to activate the selected acetate The following menu is opened 2 Click the Concentrate window to enter or to edit 100 a concentrate name This name is displayed in therapy mode PED 3 Click the Conversion window if necessary to Conversion factor mS cm per mmol l 0 100 mS cm per mmol l iaio 14 0 J imS em Conversion Factor 3 CONCENTRATE name B BRAUN CONCENTRATE 3 RS Conductivity Value LF Standard Value EE A A Conversion factor mS cm per mmolfl eee Measured Value NaCl Concentration Default value 4 0 mSfem ed 4 Click the Default Value window if you want to change the value mS cm Selected Bicarbonate Selected Acid You can activate a window for BIC without or with NaCl by pressing a free section of the windo
172. trate calibration solution 9 Increase slowly the speed approx 100 110 min of the bicarbonate pump BICP until a stable conductivity value of 3 0 mS cm 0 2 mS cm Is displayed at the dialysis measurement instrument Pay attention to the deviation range for the conductivity and the temperature at the dialysis measurement instrument Ref Value 10 Compare the stable reference value in the X window with the an Lue desired value in the Y80 _ window ana acknowledge with the albration key sired e The reference value is taken over in the fale window Act Point e The next calibration point is displayed in the __X__ window M T M D DE08C M KAY n DialogAd_sm Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SHS 76H Till oan BICLF Calibration Point 5 8 mS cm 11 Increase slowly the speed approx 200 210 min of the bicarbonate pump BICP until a stable conductivity value of 5 8 mS cm 0 2 mS cm Is displayed at the dialysis measurement instrument Pay attention to the deviation range for the conductivity and the temperature at the dialysis measurement instrument ef Value 12 Compare the stable reference value in the X window with the sired TEET desired value in the Nate window and acknowledge with the Calibration key sired e The reference value is taken over in the fae window Note only in LLC Status Window TID a Calibrat
173. ues If the touch screen is out of function e g after a faulty calibration the default values for the touch screen can be downloaded Take the following steps to reset the default values for the touch screen 1 Press the key of the blood pump keyboard three times in the TSM Main Menu 2 Switch machine off and on again The old default data is restored M T M D DE08C M KAY np DialogAd_sm Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced mee 4 7 1 4 Supervisor Window Test The position and data of the selected supervisor window is displayed You can close the window with the Cancel key 1 Activate the Supervisor Window Test menu with the Supervisor Window Test key in the TL Manual Test and Calibration menu The following menu is displayed The following supervisor windows can be checked Parameter Check SAD Alarm Disable Back to Therapy End of Therapy Dialyser Draining Parameter Check End of Therapy Start of Disinfection Start of Disinfection S A D alarm disable Dialyser Draining BRAUN LOGO Braun Logo ore Windows Back to Therapy D More Windows Multi Window HELP M e UFTime and Max UF Rate e Connecting Patient MW with Substitution Volume Min and Max Final Conductivity UF Volume and Max UF Rate Skip Selftests Reinfusion The parameter check is displayed as an example The position of th
174. uild up a pressure to 300 mmHg 10 mmHg with a syringe and clamp the tube Ref Value 5 Press 6 Enter the stable value from the dialysis measurement instrument as reference value key Calibration 7 Acknowledge with the key PA Calibration Point 0 mmHg 8 Remove syringe 0 mmHg Calibration 9 Acknowledge the reference value 0 mmHg with the PA Calibration Point 300 mmHg 10 Connect syringe and Build up a pressure to 300 mmHg 10 mmHg and clamp the tube I key Ref Value 11 Press key 12 Enter the stable value from the dialysis measurement instrument as reference value 13 Acknowledge with the Calibration y ey 14 Acknowledge and store completed calibration with Vox key 15 Remove dialysis measurement instrument syringe and tubing MT M D DE08C M KAY n l DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced FSH Hee FSU Tillie 20a 4 10 4 1 3 Single Calibration Pressure Sensors Dialysis measurement instrument connected to RS 232 interface SW gt PV PBE and PBS via RS 232 6 20 A dialysis measurement instrument HDM gt 99 with a software version gt 3 52 can be connected to the RS 232 interface for calibration Actual Status Desired Setting Press the Lalibration key for a single calibration of KAntrONEr SUPER Eaa the pressure sensor PV PBE or PBS A calibration rpm window is opened if t
175. ume measurement of the balance chamber system membrane position sensors MSBK1 2 This deviation is not valid for a single machine If necessary slightly tap the conductivity sensors during calibration to prevent air bubbles to adhere to the sensors The delivery rates of KP and BICP must be calibrated correctly Check the conductivity of all concentrates in the therapy main menu according to the prerequisites of the customer setting of ENDLF ratio and BICLF ratio f necessary change END BICLF ratio e BICLF ratio default value 25 7 e ENDLF ratio limit value lt 31 Connect the suction rod correctly Operating Mode Bicarbonate e red suction rod for acid concentrates e blue suction rod for bicarbonate B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSeS FSH o TEN 1 Select the Haemodialysis key in Therapy Selection Machine switches to Preparation 2 Select the Parameter key a parameter window is opened 3 Select Bicarbonate key and activate bicarbonate mode 4 Connect the respective concentrate bicarbonate acid after the request Note After water side selftest approx 10 minutes 5 Select service overview to display the current RATIO values Wait till stable ratio values are reached Use the mean value if there are slight deviations 6 Connect and check all concentrates in succession and note the BICLF ratio and ENDLF ratio values 7 Switch off the Dialog and set switch K1 to position 2 TSM
176. urrent values of the controller are out of limits The procedure of the function check is identical with the above description 5 The LED Test is activated with the LED TEST OFF key The OFF key switches to the RED key as soon as the key is pressed The blood concentration value of the controller for the switched off LEDs must be as follows the supervisor value is uncritical Both LEDs switched off Actual Status Controller Blood Concentration lt 0 05 The red LED is automatically activated after 10 s The controller value for the Switched off red LED must be as follows the supervisor value is uncritical red LED Actual Status Controller Blood Concentration 2 75 to 3 25 5a Only set the actual value to 3 00 with the potentiometer P1 right potentiometer if the actual value for the red LED is out of limits 6 Press LAMP TEST RED key to switch to the green LED The RED key switches over to GREEN key The green LED is tested The controller value for the switched off green LED must be as follows green LED Actual Status Controller Blood Concentration 2 00 to 2 50 6a Only set the actual value to 2 25 with the potentiometer P2 left potentiometer if the actual value for the green LED is out of limits 6b Safety paint potentiometers after calibration 6c Check actual values B Braun M edizintechnologie GmbH Dialog Dialog Advanced Seu 0a 4 10 4 7 3 Calibration Blood Leak Detector Type 1 i Close front and rear doo
177. ut can be changed manually if a higher accuracy linearity is wanted Some sensors have the possibility to run a combined or a single calibration The TSM Main Menu is diplayed after the machine is Switched on service switch in position 2 Treatment Support Manual Test amp Calibration Production Report Service Reports Working Time hour DIALOG Version number 0 Pree B 7 2 1 Activate the Manual Test amp Calibration menu with the Manual Test amp Calibration key in the TSM Main Menu The following menu is displayed TL Manual Test amp Calibration LLC Manual Test LLC Manual Calibration 2 Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual Test and Calibration menu The following menu Calibration 2 1 Pressure Sensors Blood Side iS displayed The following low level calibrations can be selected 2 1 Pressure sensors blood side 2 2 Heparin pump 2 3 Pressure sensors water side 2 4 Degassing temperature 2 5 Dialysis temperature 2 6 Conductivity 2 7 Blood leak detector 2 8 Flow of BICP KP and UF pump 2 9 Safety air detector SAD 2 10 BICLF ratio and ENDLF ratio 2 11 Load cell 2 12 PV alarm window 2 13 Flow rate of BPA and BPV 2 14 Substitution pump 2 15 HDF online substitution pump OSP Calibration 2 2 Heparin Pump Calibration 2 3 Pressure Sensors Water Side Calibration 2 4 Degassing Temperature Calibration
178. utions are counted START Calibration 1 Activate the LLC Manual Calibration menu with the LLC Manual Calibration key in the Manual START Calibration Test and Calibration menu 2 Activate the Flow of BICP KP and UF Pump START Calibration menu by pressing on the line Calibration 2 8 Flow of BICP KP and UF Pump The following Pree ae 4 gt A menu Is displayed e aiue 3 Press the a or LS key to skip to the previous or to the next calibration menu UF Pump Speed rpm BICP Pump Speed rpm KP Pump Speed rpm 4 10 4 9 1 Calibration BICP and KP Pump Prior to calibration the initialisation of the balance chamber must be completed The initialisation is completed if the LLC Status window changes from 000000004 to000000000 The system must be free of air for calibration Thus an accurate calibration is guaranteed a e Graduated Cylinder e Tubing clamp 1 Fill graduated cylinder with 200 ml water 2 Remove respective concentrate suction rod from rinsing chamber and Insert into graduated cylinder M T M D DEQ amp C M KAY B Braun M edizintechnologie GmbH DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy Dialog Dialog Advanced MSE 3 Press the BICP Pump Speed or KP Pump Speed SRT Calibration Kay again to start a pump calibration The piston pump runs 480 revolutions in 2 minutes and stops Ref Val 4 Press the aici key which appears automatically after 2 minutes
179. vity menu with the Concentrate Pumps and Conductivity key in the LLC Manual Test menu The following menu is displayed Check the functions with the appropriate keys Press the KI or La key to skip to the previous or to the next test point You can skip directly to the calibration of the conductivity sensors BICLF ENDLF You can set the pumps BICP KP flow pump FPE and the heater power H All balance chamber valves are open and the flow pump FPA works with the Same speed as FPE The machine is in main flow The machine can suck in concentrate with the concentrate pumps BICP KP for the preparation of the conductivity to test the conductivity sensors BICLF ENDLF ENDLF S You can connect a dialysis measurement instrument at the dialyser couplings or between FPE and the balance chamber The supervisor displays the head speed BICP S KP S of the concentrate pumps Set the speed of the flow pump FPE to 1500 min Thereby the pulsating flow of the pumps have no influence on the conductivity measurement M T M D DE08C M KAY DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SSBB PSE 6 NT 4 10 2 13 Test 1 13 Balance Chamber Valves 1 Activate the Balance Chamber Valves menu with the Balance Chamber Valves key in the LLC Manual Test menu The following menu is displayed 2 Check the functions with the appropriate keys 3 Press the s Le key to
180. w You can select the current bicarbonate type with or without NaCl e Bicarbonate without NaCl 2 4 mS cm __ DIALOG TSM MODE e Bicarbonate with NaCl 4 7 mS cm Jun 20 1997 13 22 Do not activate Bicarbonate with NaCl if the BIC cartridge holder option Is installed and applied This setting is used in therapy If necessary you can set the name and the conversion factor mS cm per mmol l for the applied bicarbonate type 1 Click the BIC icon to activate the selected 2 BIC with NaCl name BIC with NaCl bicarbonate Conversion factor mS cm per mmol l 0 100 The following menu is opened Default value 5 8 mS cm l l I m 2 Click the Bicarbonate window to enter or to edit Selected acid a bicarbonate name 3 Click the Conversion window if necessary to enter or to change the conversion factor mS cm per mmol l 4 You can select the current acetate concentrate Enter the name and the conversion factor mS cm per mmol l for the different acetate concentrates 5 The conversion factor is calculated like acetate M T M D DEO8C M KAY ii l DialogAd_sm_Chapter 4 1_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced B BRAUN ACID 1 14 3 2 CONCENTRATE name Conversion factor mS cm per mmol l 0 100 Default value 14 3 mS cm 3 CONCENTRATE name B BRAUN ACID 3 Conversion factor mS cm per mmol l 0 100 Default value
181. w is opened if the key is selected ENDLF ENDLF S TSD TSD S FPE 0 0 0 0 0 0 digit digit i There is no cyclic switching of the balance chambers during the conductivity calibration Thus a continuous flow is accomplished which is necessary for the calibration The following valves are opened VEBK2 VDEBK2 and VABK1 VDABK1 Pay attention that air bubbles do not build up in the reference sensor during calibration e Dialysis measurement instrument e g HDM 99 Calibration solution diluted acid concentrate Adapter set coupling tubing dialyser couplings 1 Connect dialysis measurement instrument between FPE and balance chamber 2 Connect dialyser couplings to flow meter adapter of the dialysis measurement instrument 3 Increase slowly the speed of FPE until a flow of 750 ml min 50 ml min is reached BICLF Calibration Point 0 mS cm 4 Change slowly heater power until a stable temperature value of 38 C 2 C is displayed at the dialysis measurement instrument Note Use the heater power value you noted during the calibration of TSBIC TSD TSD _S 5 Press BICLF calibration key 6 Press the a ea key and enter 3 for a three point calibration Speed BICP 0 min Speed KP 0 min 7 Enter the stable value from the dialysis measurement instrument as reference value and acknowledge with the Calibration key Note Do not confirm the set value 0 00 mS cm but by all means enter the reference value Pay attenti
182. window with the La desired value in the le_ window and acknowledge with the Salbration key sired e The reference value is taken over in the Nale handon 10 Acknowledge and store completed calibration with Vox key 11 Remove dialysis measurement instrument syringe and tubing M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced See 6H Fille 62H 4 10 4 1 4 Single Calibration Pressure Without automatic acceptance of the reference value SW lt 6 20 Sensors PV PBE and PBS Press the Calibration key for a single calibration of the pressure sensor PV PBE or PBS A calibration window is opened if the key is selected e Dialysis measurement instrument e g HDM 99 e Syringe e Tubing tubing clamp 1 Connect dialysis measurement instrument syring and tube 2 Connect the tubing to the respective pressure sensor PV PBE or PBS 3 Press PV PBE or PBS Calibration key PV PBE PBS Calibration Point 100 mmHg 4 Build up a pressure to 100 mmHg 10 mmHg with a syringe and clamp the tube Ref Value 5 Press key 6 Enter the stable value from the dialysis measurement instrument as reference value 7 Acknowledge with the Calibration key PV PBE PBS Calibration Point 0 mmHg 8 Remove syringe 0 mmHg 9 Acknowledge the reference value 0 mmHg with the Calibration key PV PBE PBS Calibration
183. y 18 Rinse briefly with flow pump FPE to cool down the water menu 1 9 in LLC M anual Test 19 Stop degassing pump EP and disconnect adapter set M T M D DE08C M KAY n DialogAd_sm Chapter 4 3 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced 4 10 4 5 Sensors TSBIC and TSD TSD_S Dialysis Measurement Instrument e g HDM 99 Prior to Calibration TSBIC VB SOL RVB A KP ON Fig Dialysate Preparation M T M D DE08C M KAY DialogAd_sm_Chapter 4 3_6 2004 doc pdf lt 120304 gt ddmmyy BICLF RVKA ENDLF Calibration Dialysis Temperature The conductivity sensors BICLF and ENDLF ENDLF_S have to be calibrated after every calibration of the temperature sensors TSBIC TSD TSD_S in menu LLC Manual Calibration Calibration 2 6 Conductivity Technical Data Temperature accuracy lt 0 2 C Temperature resolution minimum 0 1 C Use calibrated dialysis measurement instrument Wait until Dialog has reached working temperature The following calibration points are used Calibration points TSBIC TSD TSD_S 30 C 38 C 50 C Temperature deviation 2 C Temperature oscillation range 1 digit 0 1 C displayed value of Dialog over 10 s i e the temperature should be constant over a time period of 10 s Measurement of the Temperature and the Conductivity The measurement sensor for temperature and conductivity of the dialysis measurement instrument
184. yed 2 Check the functions with the appropriate keys 3 Press the 4 or La key to skip to the previous or to the next test point You can drain the system After the emptying key is activated the drain procedure is started The actual value i e the fluid level of the upline tank WB is displayed by the level sensors NSVB Start the Emptying ON at least three times and manually clamp the bypass tubing to ensure a complete emptying M T M D DE08C M KAY TE DialogAd_sm_Chapter 4 2_6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced SEES 62 4 10 2 22 Test 1 22 HDF A max of 20 kg can be loaded on the HDF arm This guarantees a safe tilt stability of the Dialog see operating instructions 1 Activate the HDF menu with the HDF key in the LLC Manual Test menu The following menu is displayed acter Stats 2 Check the functions with the appropriate keys Supervisor Head _ Desired Setting Controller 0 3 Press the lq or gt key to skip to the previous or to the next test point Controller EA ol Subst Pump rpm Speed Flow ml min 4 Hang the calibration weight on the load cell and check the Load Cell display 50 g 5 Check substitution air detector SUBAD for AIR and NO AIR Stroke Value UFP NO AIR e Insert the substitution line Segment filled Pree Test Resistor Subst Pump Calibration 4 p A wi
185. yed in the Dialog version number window supported SW versions 2 30 3 4X 5 XX 6 XX The software versions for the top and low level can be displayed and checked this is also possible in the production report 4 2 Quit TSM Service Program The following steps must be taken to quit the service program and to reenter the therapy mode a 1 Switch off machine 2 On supervisor board SB turn hardware switch K1 from position 2 to position 0 therapy mode 3 Close rear door 4 Switch on machine The machine starts in therapy mode 4 3 QNX Operating System QNX 2 Operating System A QNX 2 operating system is used for software lt 5 XX QNX 4 Operating System A QNX 4 operating system is used for software gt 6 20 i Software gt 6 20 The format for patient diskettes and configuration diskettes TSM now have DOS format i e are not compatible with QNX 2 SW lt 6 20 diskettes M T M D DE08C M KAY n DialogAd_sm Chapter 4 1 6 2004 doc pdf lt 120304 gt ddmmyy B Braun M edizintechnologie GmbH Dialog Dialog Advanced REE HS lll 0B WE 4 4 Structure of TSM Service Program Software 6 21 1b CO D 0 g V TL Manual Test and Calibration Buttons Lamps and Sounds Monitor Test arcin La Touch Screen Calibration Versi lon Number Supervisor Window Test Dialog File System Check ABPM Maintenance HDF Online Test DBI Test HDF HE P eas Disinfection Parameters Filter Parameters LLC

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