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1. Tel 800 353 3569 USA Fax 607 257 7256 www transonic com AUSHDO2 Service Manual page 6 Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 IV Troubleshooting Guide Warning and power is applied a Dangerous voltages are present in the unit when the covers are removed Only Factory Authorized Personnel are permitted to work inside the meter SYMPTOM WHAT TO CHECK Unit will not turn on The monitor does not measure flow HDO2 Aquisition does not work Any other problem Check the AC power cord Check the AC fuses in the power entry module Call Technical Support Service 1 800 353 3569 USA Consult the HDO2 Operator s Manual Call Technical Support Service 1 800 353 3569 USA Si Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 CORRECTIVE ACTION Ensure that all power cord connections are fulled seated If blown replace the TSI P N TF1A5M5X20 fuses AUSHDO2 Service Manual page 7 P 1 2 3 4 5 6 T 8 9 r gt O fj Tel 800 353 3569 USA Fax 607 257 7256 www transonic com Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 DESCRIPTION Sensor holder HD02 Fuse 1 5A 240 VAC 5mm x 20 mm AC power cord medical grade US AC power cord medical grade Europe AC power cord medical grade UK
2. i L QuYOB 311209014 1 f a 82d Oo m mm G O gt AUSHDOZ2 Service Manual page 11 Fax 3143 407 7201 www transonic com Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 e mail info transonic nl ic Transon Europe Tel 31 43 407 7200 j L V Circuit Operation 8 Block Diagram cont CFs 912 54567 PORT B O12 34567 PORT E BFPT1029 nn E ann S N amann le e lt Li a LJ CN e a ES 3 C24 O kika ns FLOW g ARTERIAL REC AMP ARTERIAL FLOW VENOUS REC AMP VENOUS PHASE 2 ARTERIAL PHASE 1 CT oQ09 L UB C32 C33 ci ARTERIAL PHASE 2 VENOUS PHASE 1 c oQ FONVHO a N 039 2 ous en 9v18 yov18 SO ame 8 FPT1029 rev E 2 19 04 Transonic Systems Inc ig Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com AUSHD02 Service Manual page 12 Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201
3. AC power cord medical grade Australia Operator s Manual HD02 Standard rolling stand Laptop compatible rolling stand HD02 computer monitor software USB Cable USB Upgrade Kit Transonic Systems Inc IV Replacement Parts TRANSONIC SYSTEMS INC P N FEF1003 TF1A5MX20 TPC101 H TPC101 EUR TPC101 UK TPC101 AUS AUTHDO2 AOS1000 AOS1002 ASCDHDO2 AEUSB 2 AMUSBK 1 AUSHD02 Service Manual page 8 V Uitrasound Dilution Theory of Operation LI HD Series Monitors Use Ultrasound Principle I Transit time Technology to Measure Differential Transit Time Delivered Blood Flow flow in the dialysis tubing pump flow Ultrasound sensors clipped onto hemodialysis tubing blood lines transmit minute levels of ultrasound through the tubing wall into the blood stream Sensitive electronics derive flow via transit time ultrasound principles Access Recirculation Using indicator dilution principles the same sensors sense the direct reflux of saline from the venous line back into the arterial line after a saline indicator change in the venous blood line Access Flow After reversing the blood lines the sensors measure Access Flow by the patented Krivitski Method Cardiac Output With blood lines in their normal position the Transonic monitor analyzes cardio pulmonary recirculation CPR to measure cardiac output Transonic OHDXX Hemodialysis Monitor Fig 1 Transit time flow dilution sensing duri
4. 0 N Fig 3 Typical forward line indicator Concentration curves showing 096 access recirculation O Access Flow is measured by the The Krivitski Method a pioneering Transonic contribution to vascular access management Fig 4 The upstream venous access needle introduces an indicator into the access flow stream The downstream arterial access needle samples the blood concentration diluted by the indicator Figs 5 Venous Arterial Isotonic saline introduction Access Flow Fig 4 Krivitski Method Access Flow Measurement Dialysis lines are reversed to induce recirculation from which vascular access flow Qa is calculated Transonic Systems Inc ig Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 Measurement amp Results 20 19 0 10 20 30 40 50 60 70 90 90 2c31e7d247 wda tisec November 9 2010 13 42 America New Yon Access Flow L 680 7 Fig 5 Typical induced recirculation curves for the Krivitski Method for calculating Qa Cardiac Output with blood lines in the normal configuration and no direct recirculation present cardiopulmonary recirculation provides a measure of cardiac output Fig 6 The full saline indicator bolus travels into the heart where it is mixed diluted into the full cardiac output Part of this diluted indicator then reappears at the Transonic arte
5. 3569 USA Fax 607 257 7256 www transonic com AUSHD02 Service Manual page i Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 l a Introduction Lf 1 9 SCOPE OF THIS MANUAL The intent of this service manual is to teach flowmeter Users and their Biomedical Engineering Service Departments how to maintain HDO2 flowmonitor and flowsensor for performance to factory specifications and how to make elementary repairs if necessary Physical care of the flowmeter and flowsensor including sterilization and cleaning procedures is also described in the Operator s Manual In any instance of equipment malfunction the User is asked to return the equipment to Transonic Systems Inc or to its authorized agents for repair or recalibration CAUTION SERVICE BY NON AUTHORIZED PERSONNEL WILL VOID THE FACTORY WARRANTY AND MAY VOID THE SAFETY RATING Transonic Systems Inc offers a liberal factory warranty on its flowmeters and flowsensors see next page In no event should the User attempt to modify the flowmeter or flowsensor Si Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com AUSHD02 Service Manual page 1 Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 Ig l b Factory Guarantee Service amp Warranty A CALIBRATION GUARANTEE B LI Ij Transonic Systems Inc certifies that HDO2 Hemodialysis Monitor and its software are calibrated by method
6. HDO2 Repair amp Maintenance Manual Transoni ap Transonic Quality Care HD02 Hemodilaysis Monitor THE INFORMATION HEREIN IS PROPRIETARY NO PART OF IT MAY BE COPIED OR DISTRIBUTED WITHOUT EXPRESS WRITTEN PERMISSION OF TRANSONIC SYSTEMS INC MANAGEMENT USA Technical Support Call 4 1 800 353 3569 USA AUSHD02 Service Manual SB M L Transonic Systems Inc Copyright 2003 by Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 HDO2 Maintenance amp Repair Manual Contents l INTRODUCTION page a Scope of Manual EE EE EE EG SE ee rene nn nn 1 b Factory Guarantee 6 e R 0 R KKR EG Re EE ee ee ee 2 c Equipment Return Instructions llle 3 Il PERIODIC MAINTENANCE REQUIREMENTS d MORILOE ai Bl ER A ek Rate de etui chika e BO Re et a cites seek tet Laer 4 b Flowsensors orai sicau ER R ae ee R RE ek RRR Ged Pad RE Re o Dod aes 4 c Record of Sterile Tubing Flowsensor Use EE EE EE se ee 5 Ill FLOW MONITOR SPECIFICATIONS 6 IV TROUBLESHOOTING GUIDE a G ide 2 scs ER EE N OE EE EE 7 b ReplacementParts is SEE ER ES se eee 8 V CIRCUIT OPERATION amp BLOCK DIAGRAM a Theory of Operation es seeti sennae sere teren ren eee 9 b Circuit Operation 8 Block Diagrams EE EE EE ee ee ee 11 Si Transonic Systems Inc Tel 800 353
7. culation The velocity of ultrasound in blood 1560 1590 m sec is determined primarily by its blood protein concentration The Transonic Hemodialysis Monitor and clip on Flow dilution Sensors measure ultrasound velocity A bolus of isotonic saline ultrasound velocity 1533 m sec introduced into the blood stream dilutes the blood and reduces the ultrasound velocity The sensor records this saline bolus as a conventional indicator dilution curve A bolus of saline indicator is introduced into the blood line As the saline passes through the blood lines the arterial and venous sensors each register an indicator dilution curve The following measurements can be selected Protected under USA patents 5 453 576 5 595 182 5 685 989 International patent EP 0 781 161 B1 AUSHD02 Service Manual page 9 Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 Lr V Uitrasound Dilution Theory of Operation Principle II Ultrasound Indicator Dilution cont Access Recirculation the Hemodialysis Monitor identifies the direct reflux of the venous saline indicator bolus into the arterial line Fig 3 The ratio of indicator concentrations equals access recirculation High timing resolution enables identification of zero access recirculation Fig 3 _ Measurement 8 Results 0 10 0 10 20 30 40 50 50 70 au 90 12aft7314fcU0 waag tse September 9 2010 11 54 Amenca New York Recirculation Qb 236 0 mi
8. ieces over the front and back ends of the flowmeter to protect the meter from damage Notches in the foam should correspond to the cable exiting the front of the meter 4 Lift the instrument with its foam padding into the box On top of the foam place the cardboard insert along with all correspondence cables manuals etc Seal the box for shipping 6 With a carrier of your choice ship the meter back to the factory The address is Transonic Systems Inc 34 Dutch Mill Road Ithaca NY 14850 USA 7 Direct all questions to Customer Service at 800 353 3569 USA or fax us 607 257 7256 B REUSABLE FLOWSENSORS PROBES 1 Call Customer Service 1 800 353 3569USA with a description of the problem and the Service Technician will give you a RMA return material authorization number 2 Thoroughly clean all sensors Any sensor that has not been cleaned will be immediately returned without repair 3 Package all parts of the flowsensor in the original packaging along with any correspondence you wish to include 4 With a carrier of your choice ship the meter back to the factory The address is Transonic Systems Inc 34 Dutch Mill Road Ithaca NY 14850 USA 7T Direct all questions to Customer Service at 800 353 3569 USA or fax us 607 257 7256 Si Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com AUSHDO2 Service Manual page 3 Europe Tel 31 43 407 7200 e mail info transonic nl Fa
9. its duly appointed distributor or licensed representative WARRANTY CLAIM The obligations of Transonic Systems Inc under this warranty are limited to repairing or at its option replacing any goods determined to be defective Buyer must notify Transonic Systems Inc in writing within the warranty period of the reason Buyer believes that warranty repairs are required Buyer is then required upon the request of Transonic Systems Inc and at Buyer s expense to return the goods to the Transonic Systems Inc manufacturing plant Freight for shipping the repaired goods from the Transonic Systems Inc manufacturing plant to Buyer s place of business shall be paid for by the Buyer Any goods repaired or replaced by Transonic Systems Inc shall be warranted for the period of time remaining on the original warranty from its date of inception Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com AUSHDO2 Service Manual page 2 Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 c Equipment Return Instructions Ig A METERS 1 Call Transonic Systems Customer Service 1 800 353 3569 with a description of the problem and the Service Technician will give you a RMA return material authorization number 2 Please use the shipping carton supplied with the meter for returning the meter for repair If you need a carton contact Customer Service at 1 800 353 3569 3 Place the two foam packing p
10. mes wet drying overnight in an incubator oven x60 C 140 is recommended Transcribe the flow data to the Record of Sensor Probe Use available in this manual along with observations of the sensor s received quality strength Signal quality usually diminishes as the sensor increases in age If the received signal quality drops below the 50 level the sensor should not be used Inspect the cables and connectors routinely for damage Store the sensors at room temperature Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com AUSHD02 Repair Manual page 4 Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 Record of Flow Dilution Sensor Use Lr Maintaining a record of sensor received signal quality is part of routine sensor maintenance The sensor s received signal is normalized to 1 0 at the factory on the tubing for which the sensor is built and should vary only slowly over time due to transducer aging when the sensor is used with the tubing specified on its Transonic Flowsensor Specifications sheet As signal degradation may indicate improper mounting of the sensor or deterioration of sensor function performance tracking is helpful in diagnosing problems before flow readings become questionable User contact person phone Sterile tubing clamp on probe date received Made for tubing material O D LD Rec d Y How Used Miss Date Signal In Patient i ing if di Ampli
11. ng hemodialysis System Components a Hemodialysis Monitor b Transonic Arterial amp Venous Flow Dilutions Sensors c Laptop computer for automated calculations d Isotonic saline 0 9 NaCl released from the patient s saline bag or by direct injection into the blood line Si Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com Ultrasound sensor MENDA Delivered Blood Flow gt Cable The clip on sensor transmits a beam of ultrasound through the blood line Two transducers pass ultrasonic Fig 2 Clip on signals back and forth alternately Flow Dilution Sensor intersecting the flowing blood in upstream and downstream directions The Hemodialysis Monitor derives an accurate measure of the changes in transit time time it takes for the wave of ultrasound to travel from one transducer to the other resulting from the motion of the blood in the vessel The difference between the upstream and downstream transit times is a measure of volume flow Dialysi During hemodialysis two matched flow dilution sensors are clipped onto the arterial and venous dialysis lines Fig 1 The monitor continuously displays delivered blood flow Comparison of this reading with the pump flow setting i e the flow the pump tries to deliver provides an opportunity to identify and correct dialysis delivery problems Principle Il Ultrasound Indicator Dilution Patient Blood Flows amp Recir
12. rial sensor Cardiac output and Cardiac Index are calculated via conventional Stewart Hamilton analysis Measurement amp Results IC 10 fl Ww ot at 2T Da OVW 20 10 o 10 20 30 40 50 60 70 M 90 100 110 t sec m i L min a Cardiac Output ci 3 1 y L 5 A fan cev O0 8 L Fig 6 Typical forward line indicator concentration curves cardiac output AUSHD02 Service Manual page 10 yun Endjpip oway D 20 sjaulmay jnuuou Wvaovid 320718 39w4831N H21IMS PAY ISI 031 DHIMAN Hd IE ILIYAVKHI 9 POOL 1d 44 JOY JGILNI VF AYTISSIQ 195 HOLAS INud X HOLMS J40 NO OIONY ENU 10 ejgopoejes iedum ein SjDUB E mel bojuo ay 1 6310N LEE U 0z 0I 1H Y ONI 521545 JINOSNY L naal c 1 E im T SP 1 Q mum E N i H Z ia Q 13 FIYSBILM o 1 O ATdANS H3MOd 2 i E H i S d EF 8 mM ig H L d SINIS E BEOLL 4B mol sonn L i o ai GM d La SNOILO3NNO2 x c 3 Mie DB DOOTNYd INOX La Oo 8B SINDS i i 2 NOTA JOTYNY t l SNOILO3NNOS Ee f T3NYd HYS JIVYABILNI KILIAS Q FOV 491 1NI i L AlddNS IM0G i FT ma N01J23S n NOHLY 1051 Q l Adds 4 IMDA ECE St LAA H auvyosi OHVOB ADTs 9001 Ld 38 i O 3NYIdHOYB INGO 1d 18 l bel L Keel
13. s traceable to the USA National Institute of Standards and Technology NIST Transonic Systems Inc guarantees that the HDO2 Flowmeter will stay in calibration during its first year of use if used and stored per standard clinical apparatus practices Product users may purchase additional years of recalibration service and certification MITED WARRANTY Transonic Systems Inc warrants for a period of one 1 year from the date of shipment that HDO2 Hemodialysis Monitor will remain free from defects which are the result of faulty material or workmanship Product users may purchase additional years of warranty and repair service insurance Transonic Systems Inc warranty shall not apply to a defects caused by abuse neglect or misuse e g cut cable pulled cable broken sensor body due to mishandling b damage due to accident or casualty or c unauthorized repairs alterations Transonic Systems Inc warrants for a period of one 1 year from the date of shipment that HAE sterile tubing sensor will remain free from defects which are the result of faulty material or workmanship Transonic Systems Inc will at no cost to the user either repair or replace a monitor or sensor found defective within its warranty period The Buyer pays shipping charges No other warranty is expressed or implied Transonic Systems Inc is not liable for incidental or consequential damages Warranty is valid only if equipment is purchased through Transonic Systems or
14. tude Bench Gireut Describe tubing if different Example 12 9 97 good V Good Signal Quality indicator on meters front panel is fully lit Bench test procedures are described Section C of this manual When returning sensors for factory examination call the factory beforehand for a Return Material Authorization RMA number and include this page along with the sensor Si Transonic Systems Inc Tel 800 353 3569 USA Fax 607 257 7256 www transonic com AUSHD02 Service Manual page 5 Europe Tel 31 43 407 7200 e mail info transonic nl Fax 3143 407 7201 S Ill HD02 Flow Monitor Specifications HD02 FLOW MONITOR Ultrasonic transit time volume flowmeters Weight 10 Ibs Case size 11 wide x 14 deep x 4 high 27 8 cm x 35 4 cm x 9 12 cm General Features Automatic sensor recognition and re scaling of the meter USB Port High visibility red LED display Convenient ground connection on rear of unit Pull cart mounting system available for system mobility General Specifications Input power 100 249 VAC 50 60 HZ Detachable medical grade grounded power cord Fuses 2 each 1 5A fast blo 250 VAC 5 x 20 mm Patient electrical isolation IEC601 1 defibrillation proof 5000V USB Port Agency listed with ETL CSA IEC601 1 MDD and CE mark tested and approved Transonic Systems Inc ij Transonic Systems Inc
15. x 3143 407 7201 ll Periodic Maintenance Requirements Il b fj MONITOR Maintenance Check A routine maintenance check of the meter consists of exercising all of the functions of the meter with a sampling of flowsensors and verifying that all features respond as described in the Functional Tests section of the Operator s Manual If any of these functions do not respond as described contact Transonic Systems Technical Support Service 1 800 353 3569 USA Cleaning Exterior flowmeter surfaces can be cleaned using a cloth or brush dampened with soapy water followed by damp wiping with clear water Alternately the surface can be damp wiped clean with isopropyl alcohol at room temperature in a dry place Warning Do not drip liquids into the meter cabinet A flowmeter accidently exposed to spillage should be immediately unplugged from its power source Remove the cover If the spilled liquid is potentially corrosive or may leave a residue flood the area with clean water using care not to disturb components or components Compressed air may be used to blow liquid off components Remove the remaining liquid from the unit with a heat gun or a hair dryer Do not operate the flowmeter in a wet condition Extreme damage may occur to the unit FLOW DILUTION SENSORS Flow Dilution Sensors After use of a sterile tubing flowsensor wash and sterilize the sensor according to the instructions in the Operator s Manual If the connector beco

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