Maintenance Manual AK200

front_rearAK200Smaint_en_4.
pdf
2004-09-13
11:38:04
Maintenance Manual
AK 200 S / AK 200 ULTRA S
05.2006
CM
MY
CY
CMY
GAMBRO
Maintenance Manual
Preventive maintenance procedures for

AK 200 S / AK 200 ULTRA S
General ........................................................... 2:2
Test equipment ............................................. 2:3
Preventive Maintenance: Base-kit............
Parts ................................................................
How to exchange the parts included
in the Base-kit .................................................
Actions to carry out after the parts
have been exchanged ......................................
2:4
2:4
2:5
2:8
Preventive Maintenance: A-kit ...............

Parts ..............................................................
How to exchange the exterior parts
included in the A-kit ......................................
Actions to carry out after the parts have
been exchanged .............................................
2:23
2:23
Preventive Maintenance: B-kit ...............

Parts ..............................................................
How to exchange the parts included
in the B-kit ....................................................
been exchanged .............................................
2:26
2:26
AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006
2:24
2:25
2:27
2:29
2:1
Maintenance Manual
General
To ensure proper operation of the AK 200 S /
AK 200 ULTRA S, a qualified service technician
must perform a complete series of preventive
maintenance procedures at regular intervals.
The maintenance and calibration information
that you need to use is provided in this manual.
To fulfill the preventive maintenance procedures

for AK 200 S / AK 200 ULTRA S some parts must
be exchanged. The necessary parts to be exchanged are available in a Base-kit and two
complementary kits:
Base-kit (K40165001)
The preventive maintenance procedures have

been devised to require a minimum of time while
ensuring that the machine is maintained in
optimum operation condition.
Included in the preventive maintenance procedures are checks to verify normal machine
operation. Should the machine fail to pass any of
these tests, repair or calibration might be
needed, then repeat the tests until the specifications are met.
A-kit (K40166001): Includes exterior parts

B-kit (K40167001): Overhauling service-kit
When performing preventive maintenance
procedures or calibrations, which require access
to the interior of the machine, you must have
proper electrostatic safety devices (i.e. wrist
grounding straps or grounding mats) in place to
prevent damage to electrostatic sensitive components within the machine.
It is mandatory to perform at least a preventive

maintenance every second year.
A yearly maintenance is recommended. The rate
of preventive maintenance might be different
due to variations of the operating environment.
The AK 200 S / AK 200 ULTRA S will perform as
designed only if it is used and maintained in
accordance with Gambros instructions.
Any warranties made by Gambro with respect to
the AK 200 S / AK 200 ULTRA S are void if the
equipment is not used in accordance with the
instructions provided. Gambro will not accept
responsibility for any damage or injury resulting
from improper use or maintenance or unauthorized repair.
2:2
During repair of any of the parts in the flow

path, special care should be taken and a good
hygiene should be kept.
Note! After maintenance a disinfection program
must be performed before a treatment is performed.
Checklists are provided in the Spare Parts
Instruction that is included in the maintenancekits. The purpose of these checklists is to record
the work done.
Maintenance Manual
Test equipment
Test equipment needed to perform maintenance
Test equipment:
Tolerance:
Manufacturer:
Conductivity measurement
Pressure measurement
0.1 mS/cm
2mmHg to 200mmHg
1% beyond 200mmHg
If BPM is installed:
0.8mmHg
0.2C
0.5%
5 ml
N/A
MESA, IBP
MESA, IBP, Druck
Gambro
K40169001
T = 1.1 (Stop pin = 1.1*2*0.7 = 1.5mm)

T = 1.6 (Stop pin = 1.6*2*0.7 = 2.2mm)
T = 2.0 (Stop pin = 2.0*2*0.7 = 2.8mm)
Gambro
K40158001
Gambro
K40158002
K40158003
K40158004
K13983002
Temperature measurement:
Digital Voltmeter
Measuring glass
Blood leak Calibration
Cover
Gauge pin kit for blood pump rollers
(including three different pins)
Gambro Order
number:
MESA, IBP
Fluke
T = wall thickness of the blood tubing

Gauge pin kit for blood pump rollers
(to be ordered separately)
T = 1.1 (Stop pin = 1.1*2*0.7 = 1.5mm)

T = 1.6 (Stop pin = 1.6*2*0.7 = 2.2mm)
T = 2.0 (Stop pin = 2.0*2*0.7 = 2.8mm)
Calibration tube kit

Drip chamber
Tube for calibration of
priming detector
Safety tester
*BPM test equipment
*BPM Cuff
*pH buffers
N/A
N/A
N/A
Gambro
According to IEC 60601-1

N/A
N/A
0.07 pH units
Rigel, Biotec, Metron

Gambro
Gambro
BVS test tool

Magnet for blood pump cover
Gambro
Gambro
K22151001
100900141
pH 7 100810001
pH 9 100810002
K22281001
K19049001
* If installed
2:3
Maintenance Manual
Base-kit
Preventive Maintenance: Base-kit

Parts
The Base-kit (K40165001) includes all parts
necessary to fulfill the mandatory preventive
maintenance procedures for AK 200 S /
AK 200 ULTRA S.
Step
2, 3
4
Monitor
BM/FM
AC/DC
5, 6
FM
7
7
8
9
10
11
12
13
14
15
16
16
17
18
FM
FM
FM
FM
FM
FM
FM
FM
FM
FM
FM
FM
FM
FM
Denomination
Air filter
Air filter
O-ring for BiCart- and SelectCart holder,
upper and lower.
O-ring for ultrafilter holders
Square-ring for ultrafilter holders
Filter BiCart holder, upper and lower (50m)
Filter SelectCart holder, lower (50m)
Filter after the SelectBag holder (50m)
Filter heating vessel (250m)
V-ring heating vessel
Membrane for internal pressure regulator
Membrane for non-return valve
Sample port for 6 mm tube
Sealing ring (Inlet unit - heating vessel)
Ring (Inlet unit - heating vessel)
Sealing for infusion port
Label
Part no.
K11503001
K18891001
Qty
3
1
100319008
100319029
K14920001
K16538C
K16538C
K16538C
K14944001
100318086
K40153001
K17989001
K20219002
K07994001
K08227001
K18184001
K24092001
4
2
2
1
1
1
2
1
1
1
1
1
1
1
Note!
As a complement to the Base-kit, two additional
kits are available; A- and B-kit.
2:4
Maintenance Manual
Base-kit
How to exchange the parts included in

the Base-kit
1. First perform a combined heat disinfection

program with CleanCart C or liquid citric
acid.
Then perform a heat disinfection program in
combination with CleanCart A or a Chemical
disinfection program with sodium hypochlorite. Refer to the AK 200 S or
AK 200 ULTRA S Operators Manual.
4. Change air filters in the AC/DC unit.
OK Kommentare
2. Change air filters in the Blood Monitor.
OK Kommentare
5. Change the upper and lower O-rings in the
BiCart holder.
2
3
1
o-ring
OK Kommentare
3. Change air filter in the Fluid Monitor.
OK Kommentare
6. Change the upper and lower O-rings in the

SelectCart holder.
2
3
1
o-ring
OK Kommentare
OK Kommentare
2:5
Maintenance Manual
Base-kit
7. Change the O-rings and square-rings in the

ultrafilter holders. (Only for AK 200 S with
UFD-kit and AK 200 ULTRA S)
10. Change the particle filter after the SelectBag

holder (50 m).
o-ring
o-ring
squarering
OK Kommentare
8. Change the upper and lower filters on the
BiCart holder (50 m).
OK Kommentare
9. Change the lower filter on the SelectCart
holder (50 m).
OK Kommentare
11. Change the filter for the heating vessel
(250 m).
OK Kommentare
12. Change the V-rings in the heating vessel.
OK Kommentare
2:6
OK Kommentare
Maintenance Manual
Base-kit
OK Kommentare
13. If ULTRA: Change the membrane for the
internal pressure regulator.
16. Change the sealing ring and the ring on the

inlet unit inside the heating vessel.
Note! It is important that the sealing ring is
re-assembled with its flat side according to
this illustration.
OK Kommentare
14. If ULTRA: Change the membrane for the

non-return valve.
OK Kommentare
15. Change the sample ports.
17. If ULTRA: Change the sealing for the

infusion port on the FM front.
OK Kommentare
18. Mark month and year for the next scheduled
preventive maintenance. Attach the label to
the rear cover of the machine.
10
05
06
OK Kommentare
07
08
09
OK Kommentare
10
05
06
07
08
09
2:7
Maintenance Manual
Base-kit
Actions to carry out after the parts

have been exchanged
1. Check that the screws for the blood pump(s)
are tightened.
OK Kommentare
2. Check that the screws for the hose clamps on
the water inlet and drain tube are tightened.
3. Check that the wheels are tightened.
OK Kommentare
4. Check that the screw for the infusion stand is
tightened.
OK Kommentare
5. Perform the Protective Earth Test (PET)
according to instructions available in
HCEN12190, Electrical safety inspections for
AK-machines.
OK Kommentare
OK Kommentare
2:8
Base-kit
Maintenance Manual
6. Check the protective earth resistance in BM.

Measure between TP 8 (Z0VL) on the BMCPU board and the earth point on the bottom
plate. Measure in M, should be > 1 M.
The machine must be empty and switched off
during measurement.
Note! The BM must be connected to the FM.
TP4
TP5
TP7
8. Erase the error code buffers. Enter

service menu > Diagnose > System >
Errors > Erase
OK Kommentare
TP9
TP10
TP11
TP14
TP6
TP8
TP12
TP13
TP17
TP18
TP22
TP15
TP16
TP21
TP19
TP20
E01342007
1074
TP3
TP2
OK Kommentare
7. Check the protective earth resistance in FM.
Measure between TP 7 (Z0VL) on the Power
distribution board and the earth point on the
back plate. Measure in M, should be
> 1 M . The machine must be empty and
switched off during measurement.
TP4
TP3
TP1
TP2
TP7
TP8
TP5
TP6
E01345009
OK Kommentare
2:9
Base-kit
Maintenance Manual
9. BPM-test
Note!
Following text is valid for machines equipped with
the SunTech blood pressure module (K24274001).
For machines equipped with the Colin blood pressure module (K23564001), refer to HCEN9291,
revision 07.2005 for technical and maintenance
information about BPM.
9.3 Check of air leakage

By entering this test mode the air leakage
for the BPM module, cuff hose and cuff
will be tested automatically.
Before entering the test mode cuff and cuff
hose to be connected to the AK 200 S /
AK 200 ULTRA S.
Cuff to be wrapped tight to the BPM test
equipment.
9.1 Test method:

- Attach BPM cuff, 100900141, tight to the
BPM test equipment, K22151001.
- Start the AK 200 S / AK 200 ULTRA S with
the main switch and the ON/OFF button.
- Enter Service mode.
- Enter Diagnostics mode.
- Select BM, Others, BPM
9.2 BPM sub-tests
In the BPM service menu the following subtests are included:
- Air leakage test: measures that the equipment is airtight.
- Inflation speed test: measures the time to fill
the cuff with air.
- Static pressure: Check of pressure transducer calibration
Each of the tests can be carried out separately
but the above order for carrying out the subtests is recommended.
BPM test equipment is used to simulate

the patient arm circumference. The air
leakage is only tested for 90 sec but the
value is recalculated for 3 minutes.
If the displayed value is above 18 mm Hg /
3 minutes, this indicates that there is a
possible air leakage in the system.
It is of course also possible to perform this
test without the cuff and cuff hose connected but then the test will only check
for air leakage within the
AK 200 S / AK 200 ULTRA S. In this case
replace the cuff and cuff hose by a tube,
which is closed.
9.4 Check of inflation speed
Check that the results from the sub-tests not

exceed following limits:
- Air leakage: maximum 18 mmHg/ 3 min
- Inflation speed: 2 -11 s
- Static pressure: Maximum deviation from
reference to be within 3 mm Hg.
50 3 mmHg
150 3 mmHg
250 3 mmHg
OK Kommentare - 9.1
By entering this test mode the capacity for

the pump within the module will be tested
automatically. Before entering the test
mode cuff and cuff hose to be connected to
the AK 200 S / AK 200 ULTRA S.
Cuff to be wrapped tight to the BPM test
equipment. If the displayed time is above
11 seconds, this test indicates that the
pump is worn-out.
OK Kommentare - 9.3
OK Kommentare - 9.2
OK Kommentare - 9.4
2:10
Base-kit
9.5 Check of pressure transducer calibration and

measured pressure
By entering this test mode it will be possible to
check the actual pressure value for the BPM
pressure on the AK 200 S /
AK 200 ULTRA S display.
Before entering the test mode, pressure transducer calibration tube kit K13983002 to be
connected to the BPM connector on the rear of
the AK 200 S / AK 200 ULTRA S . No cuff and
cuff hose to be connected.
Maintenance Manual
10. Calibrate the Priming detector (BM 6).

10.1 Enter Service/Calibr/BM and set the
AK 200 S / AK 200 ULTRA S display to:
PRIMING DETECTOR
BM 6
10.2 Press
to start calibration routine.
10.3
INSERT EMPTY REFERENCE TUBE
Press SET key when ready
Note! The pressure transducer calibration tube

kit must be drained before being connected, to
make sure that no fluids or particles enters the
BPM connector or tubings. This might otherwise
damage or destroy the sensitive BPM sensors.
When Measured pressure is displayed it is
possible to start applying the external reference
pressure.
Note! Pressures shall be applied very carefully
so that no overpressures occur.
To check the actual pressure value, external
pressure reference instrument to be connected
and external pressure of 250, 150, 50 mm Hg to
be applied. Check deviation from reference
pressure instrument for displayed value.
OK Kommentare
10.4 The calibration is now performed automatically and the calibration factor is written into
the EEPROM.
10.5 The calibration value is now shown on the
information display:
READY BLOOD
XX
10.6 Press the lit
LEVEL
Confirm
to confirm.
OK Kommentare
2:11
Base-kit
Maintenance Manual
11. Calibrate the Level detector

(Air detector) (BM 5).
11.1 Enter Service/Calibr/BM and set the
12. Measure the power on battery B1 on the

BM-CPU board, exchange if the value is
below 2,6 V (Note! The machine must be
switched on when measuring).
LEVEL DETECTOR
BM 5
11.2 Press
11.3 Insert a filled drip chamber. It is recommended that both the water and the drip
chamber have a temperature of approx.
37 C. Make sure that the level detector and
drip chamber are dry and clean. If possible,
the drip chamber shall be from the same
type of bloodline as will be used during
treatment.
OK Kommentare - 11
Level =
Transmit =
OK Kommentare - 12
Batt =
11.4 Press the lit
11.5 The calibration is now performed automatically and the calibration factor is written
into the EEPROM.
11.6 The calibration value is now shown on the
information display:
READY
LEVEL
XX
TRANSMIT
YYY
Confirm
The value under LEVEL is the new alarm

limit, it is recommended that this value is
between 30 and 40 for best performance.
The value under TRANSMIT is the transmission level, which is normally 255 but can
also be 160, if the air detector transducers
are exceptionally good.
2:12
Maintenance Manual
Base-kit
13. Control of the blood pump occlusion

Check surface on the roller at the pump rotor, if
it is damaged exchange the unit. The roller unit
should easily go back to upper end position when
it has been pressed down to end position, exchange unit if it gets stuck in any position.
Note! If the blood lines/infusion lines have a
different wall thickness, the occlusion of the
blood pump must be adjusted to the right size.
Use the gauge pins (stop/go) available in the kit
K40158001. The kit includes following three
different gauge pins:
T = 1.1 (Stop pin = 1.1*2*0.7 = 1.5mm)
T = 1.6 (Stop pin = 1.6*2*0.7 = 2.2mm)
T = 2.0 (Stop pin = 2.0*2*0.7 = 2.8mm)
The GO pin should barely pass within the calibrating area.

The STOP pin is NOT allowed to pass in any
point within the calibrating area.
Note! Put grease on the GO and STOP pins
when not used and store gage in plastic bag to
prevent it from corroding.
Note! The gauge pins can also be ordered separately:
T=1.1 (white) K40158002
T=1.6 mm (red) K40158003
T=2.0 mm (blue) K40158004
OK Kommentare - 13
Use following formula to calculate which gage

pin to use:
2 * wall thickness * 0,7 (mm)
Check the range between the blood pump rollers
and the path according to the picture below.
Adjust range between the blood pump rollers and
the path if it is necessary.
= Measuring
2:13
Maintenance Manual
Base-kit
14. Enter Service/Calibr/BM and set the

PRESSURE SYSTEM
14.1 Press
BM 1

PRESSURE ARTERIAL

15.1 Press
14.2 Make sure that nothing is connected to the

transducer (zero pressure)
14.3 Check zero level of the System Pressure
Transducer.
Tolerance: 5 mmHg.
Calibrate if necessary (see chapter calibration
for details).
OK Kommentare - 12
zero leve =
2:14
BM 2

transducer (zero pressure)
15.3 Check zero level of the Arterial Pressure
Transducer.
Tolerance: 5 mmHg.
for details).
OK Kommentare - 15
zero level =
Base-kit
Maintenance Manual

PRESSURE VENOUS
16.1 Press
17. Enter Diagnose/BM/Pumps and check that

the blood pump(s) stops when the cover is
opened.
BM 3

transducer (zero pressure).
16.3 Check zero level of the Venous Pressure
Transducer.
Tolerance: 5 mmHg.
for details).
18. Start the blood pump(s) and let it run at

lowest possible speed. Open the blood pump
cover and place a magnet (1) on the sensor
for the cover. Stop the blood pump rotor by
manually grabbing the handle (2).
Check that the power to the blood pump
motor is switched off within 2 seconds.
1
OK Kommentare - 16
zero level =
OK Kommentare - 17
OK Kommentare - 18
2:15
Base-kit
Maintenance Manual
19. Enter Service/Calibr/FM and set the

DEGASSING PRESSURE
19.1 Press
FM 7

FLOW OUTPUT PRESSURE
20.1 Press
FM 8
19.2 Disconnect a tube to achieve zero pressure

(see picture).

(see picture).
19.3 Check zero level of the Degassing Pressure

Transducer.
Tolerance: 5 mmHg.
for details).
20.3 Check zero level of the Flow Output Pressure Transducer.

Tolerance: 5 mmHg.
for details).
OK Kommentare - 19
Zero level =
2:16
OK Kommentare - 23
Zero level =
Maintenance Manual
Base-kit

FLOW INPUT PRESSURE
21.1 Press
FM 9

HIGH PRESSURE GUARD
FM 10

22.1 Press

(see picture).
21.3 Check zero level of the Flow Input Pressure
Transducer.
Tolerance: 5 mmHg.
for details).
OK Kommentare - 21
Zero level =

(see picture).
22.3 Check zero level of the High Pressure
Guard Transducer.
Tolerance: 5 mmHg.
for details).
OK Kommentare - 22
Zero level =
2:17
Maintenance Manual
Base-kit

DIALYSIS FLUID PRESSURE
23.1 Press
FM 11

SAFETY GUARD PRESSURE
24.1 Press
FM 12

(see picture).

(see picture).
23.3 Check zero level of the Dialysis Fluid Pressure Transducer.

Tolerance: 5 mmHg.
for details).
24.3 Check zero level of the Safety Guard Pressure Transducer.

Tolerance: 5 mmHg.
for details).
OR
OK Kommentare - 23
Zero level =
2:18
OK Kommentare - 24
Zero level =
Maintenance Manual
Base-kit
25. If installed: Calibrate the pH-sensor

(FM 13) with a buffer solution.
26. Remove the blood leak detector cover and
clean the inside of the blood leak housing.
Mount a blood leak calibration cover. Make
sure that the filter is in horisontal position,
start the AK 200 S / AK 200 ULTRA S.
Enter the Service menu, select calibration,
FM, intern and Blood Leak Detector
(FM24).
Place A-pickup tube in concentrate container and let it stabilise for 15 minutes.
Note! Let the AK 200 S / AK 200 ULTRA S
stabilize at 37 C
Press
to enter the blood leak calibra-
tion routine.
Check the blood leak detector limits 0 and
100 10.
Calibrate if necessary (see chapter
calibration for details).
27. Check the water level in the heating vessel,
should be approximately 1cm above the
centerline, adjust if necessary.
28. Check the conductivity indications, at approximately 14 mS/cm.

Use GXL fluid monitor screen and a reference instrument connected to the dialysis
fluid tubes.
The indicated conductivity values in GXL
should correspond to the indication on the
reference instrument. The maximum deviation is 0.1 mS/cm.
29. Check the temperature indications, at approximately 37 C.
Use GXL fluid monitor screen and a reference instrument connected to the dialysis
fluid tubes.
The indicated temperature value (at the
conductivity cell 2, guard) should correspond
to the indication on the reference instrument. The maximum deviation is 1.5 C.
If the deviation is more than the stated
tolerance; the affected temperature transducer must be exchanged.
30. Place the B-pickup tube in the concentrate
container.
Perform an FRN calibration. Enter service
menu/Calibr/FM/Other/UF/Restr.
OK Kommentare - 25
OK Kommentare - 28
OK Kommentare - 26
OK Kommentare - 29
OK Kommentare - 27
OK Kommentare - 30
2:19
Maintenance Manual
31. Let the machine pass Fch. Check the DC

leakage between TP 7 (Z0VL) on the Power
distribution board and the earth point on the
back plate. Measure in DC Voltage, should be
< 1 V.
32. Check the DC leakage between TP 7 (Z0VL)
on the Power distribution board and the
cover on the Degass pump motor. Measure in
DC Voltage, should be < 1 V.
Degass pump head. Measure in DC Voltage,
should be < 1 V.
cover on the Flow Out pump motor. Measure
in DC Voltage, should be < 1 V.
Base-kit
38. If ULTRA: Calibration of internal pressure

regulator.
38.1 Press
and set the main flow to
500 ml/min.
38.2 Choose
38.3 Press
or
and switch to
38.4 Connect the dialyzer coupling to the conductivity cell on the reference instrument.
38.5 Adjust venous pressure to +100 mmHg and
TMP to +400 mmHg.

on the Power distribution board and the Flow
Out pump head. Measure in DC Voltage,
should be < 1 V.
38.6 Connect a tube between the infusion port

and an external pressure reference instrument.

cover on the Flow In pump motor. Measure
in DC Voltage, should be < 1 V.
38.7 Press

on the Power distribution board and the Flow
In pump head. Measure in DC Voltage,
should be < 1 V.
OK Kommentare - 31
OK Kommentare - 32
OK Kommentare - 33
to obtain main flow through the
pressure regulator.
38.8 Adjust the pressure regulator to
+55 mmHg 5 mmHg.
38.9 Press
and remove the reference
instrument and tube.
OK Kommentare - 37
OK Kommentare 38
OK Kommentare - 34
OK Kommentare - 35
OK Kommentare - 36
2:20
Maintenance Manual
Base-kit
39. Perform a simulated treatment according to

following instruction:
If the BVS is installed, switch it on.
The machine must be in volume control.
Insert a filled venous drip chamber in the
level detector.
When the priming button is flashing, simulate
a venous pressure of approximately 50 mmHg.
(Insert the BVS test tool, K22281001).
Set the UF-volume to 0.9 and treatment TIME
to 1:00h.
Connect a T-piece to the dialysis tubings. Put
the end of the tube in a measuring glass filled
with more than 1 liter of water, approx. 37 C .
Press fluid bypass. Check that the tube to the
meassuring glass is filled with water and all
air bubbles are evacuated.
Set the blood pump speed to 200 ml/min, press
the priming button and start the blood pump.
Press UF-rate and set priming UF rate and
minimum UF-rate to 0.0 l/h.
Make sure the measuring glass is filled to 1.00
liter adjust if necessary.
Check the residual volume at TIME=0:00

Approved residual volume:
100 ml 50 ml.
Approved difference between actual
UF volume and UF Supervision
volume is 120 ml.
The BVS test tool simulates a hemoglobin
value within the range 60 160 g/l.
When inserted into the BVS unit it is possible
to check the switch, that a reference value is
taken and that a graph is shown on the information display when the BVS key is pressed.
The value for relative blood volume will be
approx. 0 % with some deviations. Do note
that the blood flow must be more than 180 ml/
min for 5 minutes before a reference value is
taken.
OK Kommentare - 39
Note! It is very important to do the following

things (A,B and C) more or less simultaneously
i.e. within seconds.
A: Simulate blood in the priming detector.
B: Make sure (again) that the measuring glass is
filled to 1.0 liter.
C: Press
D: Press TMP when UF rate is approximately at

set value (check bargraph).
Note! Make sure that the blood pump is not
stopped by any alarm during this test since this
may affect the accumulated UF volume.
All kind of fluid alarms (conductivity etc.) have to
be avoided.
2:21
Maintenance Manual
Base-kit
OK Kommentare - 25
40. Check that the overload protection on the
heparin pump is working.
41. Check the arterial clamp by attaching the
calibration tube set into the arterial clamp.
Enter priming mode and create a level
detector alarm to get the clamp closed. Apply
a pressure of 600 mmHg. Check that the
pressure does not fall more than 30 mmHg in
15 seconds.
42. Check the venous clamp by attaching the
calibration tube set into the venous clamp.
Enter priming mode and create a level
detector alarm, by lowering the level in the
drip chamber, to get the clamp closed.
Apply a pressure of 600 mmHg.
Check that the pressure does not fall more
than 30 mmHg in 15 seconds.
43. If installed: Check the battery backup by
disconnecting the mains plug. Let the machine run for at least 1 minute.
Note! This is not a capacity test of the
backup batteries. Instructions how to perform a capacity test of the backup-batteries,
refer to chapter Calibration in AK 200 S /
AK 200 ULTRA S Service Manual.
OK Kommentare - 41
OK Kommentare - 42
OK Kommentare - 43
OK Kommentare - 44
44. Reconnect the mains plug to the outlet

supply of an electrical safety tester.
Perform the Earth Leakage Test (ELT) and
the Patient Earth Leakage Test (PLT) according to instructions available in
HCEN12190, Electrical safety inspections for
AK-machines.
OK Kommentare - 45
45. Perform heat/chemical disinfection.
2:22
A-kit
Maintenance Manual
Preventive Maintenance: Supplementary A-kit

Parts
The A-kit is designed to be used as a complementary addition to the Base-kit for the preventive
maintenance procedures of AK 200 S and
AK 200 ULTRA S.
The A-kit (K40166001) includes following exterior
parts:
Step
1
2
3
3,4
4
4
4
4
5
6
Monitor
FM
FM
FM
FM
FM
FM
FM
FM
FM
FM
Denomination
Pick-up tube (red)
Pick-up tube (blue-white)
Dialyser connector set (blue)
Locking ring (Dialyser connector)
Dialyser connector set (red)
Conical filter
O-ring for conical filter
Nipple
Non-return valve
Washer, blood pump rotor
Part no.
K13467002
K13467001
K14082002
K22591001
K14081002
L50824001
100319046
K13736001
K17978001
K07316001
Qty
1
1
1
2
1
1
1
1
1
4
Note!
All parts in the A-kit are possible to exchange
without opening the dialysis machine.
2:23
Maintenance Manual
A-kit
How to exchange the exterior parts

included in the A-kit
1. Change the pick-up tube A (red).
4. Change the dialyser connector set red,

locking ring, nipple, conical filter and O-ring.
5 mm
OK Kommentare - 1
2. Change the pick-up tube B (blue-white).
OK Kommentare - 2
3. Change the dialyser connector set blue and
the locking ring.
OK Kommentare - 4
5. Change the non-return valve on the water
inlet tube.
OK Kommentare - 5
6. Add/change the washers for the blood pump
rotors.
5 mm
OK Kommentare - 3
2:24
OK Kommentare - 6
A-kit
Maintenance Manual

been exchanged
1. First perform a heat disinfection program.
Refer to the AK 200 S or AK 200 ULTRA S
Operators Manual.
Use following formula to calculate which gage

pin to use:
2 * wall thickness * 0,7 (mm)
2. After the heat disinfection; re-tighten the nuts

of the dialyser connector set to the machine.
Check the range between the blood pump rollers

and the path according to the picture below.
Nuts
5 mm
= Measuring
3. Let the machine pass FCH.

A leakage test of the dialyser connector set is
peformed in state 24.
Adjust range between the blood pump rollers and

the path if it is necessary.
The GO pin should barely pass within the calibrating area.
4. Control of the blood pump occlusion

Check surface on the roller at the pump rotor, if
it is damaged exchange the unit. The roller unit
should easily go back to upper end position when
it has been pressed down to end position, exchange unit if it gets stuck in any position.
Note! If the blood lines/infusion lines have a
different wall thickness, the occlusion of the
blood pump must be adjusted to the right size.
Use the gauge pins (stop/go) available in the kit
K40158001. The kit includes following three
different gauge pins:
T = 1.1 (Stop pin = 1.1*2*0.7 = 1.5mm)
T = 1.6 (Stop pin = 1.6*2*0.7 = 2.2mm)
T = 2.0 (Stop pin = 2.0*2*0.7 = 2.8mm)
The STOP pin is NOT allowed to pass in any

point within the calibrating area.
Note! Put grease on the GO and STOP pins
when not used and store gage in plastic bag to
prevent it from corroding.
Note! The gauge pins can also be ordered separately:
T=1.1 (white) K40158002
T=1.6 mm (red) K40158003
T=2.0 mm (blue) K40158004
OK Kommentare
OK Kommentare - 2
OK Kommentare - 3
OK Kommentare - 4
2:25
Maintenance Manual
B-kit
Preventive Maintenance: Supplementary B-kit

Parts
The B-kit is designed to be used as a complementary addition to the Base-kit for the preventive
maintenance procedures of AK 200 S and
AK 200 ULTRA S.
The B-kit (K40167001) includes following
overhaul parts:
2:26
Step
Monitor
FM
FM
3
4
4
5
6
7
8
9
9
FM
FM
FM
FM
BM
BM
BM
BM
BM
Denomination
Spike kit BiCart- and SelectCart holder
(PEEK lower)
Complete valves:
FOVA, DIVA, TAVA, BYVA, DRVA
BCVA, TPVA, PBVA
Recirculation valve (complete)
Silicon tube (3x2mm)
Silicone tube 2x1,5
Santoprene tube
Venous pressure line (complete)
Arterial pressure line (complete)
System pressure line (complete)
Pump tube (air pumps)
Strap (air pumps)
Part no.
Qty
K21557006
K15235A
K15514002
100312032
100312166
100312141
K21353A
K15145001
K21358A
K22114001
100314015
1
7m
1m
2m
1
1
1
3
3
B-kit
Maintenance Manual
How to exchange the parts included in

the B-kit
1. Change the lower complete spike house and
O-rings in the BiCart and SelectCart holder.
Assemble according to machine configuration.
OK Kommentare
2. Change following complete valves:
FOVA, DIVA, TAVA, BYVA, DRVA, BCVA,TPVA
and PBVA.
OK Kommentare
3. Change complete Recirculation valve.
OK Kommentare
4. Change all the Silicone tubes in the fluid

monitor.
OK Kommentare
5. Change all the Santoprene tubes in the fluid

monitor.
OK Kommentare
6. Change the (complete) venous pressure line.
OK Kommentare
2:27
Maintenance Manual
B-kit
7. Change the (complete) arterial pressure line.
OK Kommentare
8. Change the (complete) system pressure line.
OK Kommentare
9. Change the pump tubes for the air pumps.

Clean the rollers with ethanol (70 %).
OK Kommentare
2:28
Maintenance Manual
B-kit

been exchanged
1. First perform a heat disinfection program.
Refer to the AK 200 S or AK 200 ULTRA S
Operators Manual.
OK Kommentare
OK Kommentare
2. Let the machine pass FCH.

3. Perform a BiCart / SelectCart priming
according to the Operators Manual.
OK Kommentare
2:29
2.2
Slutkontrol
2.2.1 Elektrisk kontrol

2.2.1.1 Lkstrm- og isolationsstest
Den elektriske kontrol skal indeholde
relevante udvalgte mlevrdier.
OK
Fejl/kommentarer/udskiftninger/mlinger
St X
Skriv kun hvis ndvendig
OK
St X
1 Udfr elsikkerhedstest
2.2.2 Slutvurdering af udstyrets tilstand

1 Hvordan vurderes samlet stand
God Middel Drlig

St X
St X
St X
2.2.3 Servicemrkat
OK
St X
OK
St X
OK
St X
1 Pst FV mrke
2.2.4 Slutbemrkninger
1 Skriv eventuelle slutbemrkninger
2.3
Reservedelsforbrug
1 Reservedelsforbrug samt pris
2.4
Tidsforbrug
Time(r)
2.5
Underskrift (PC-tekst er nok)
Dato
Underskrift

Maintenance Manual AK200

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Maintenance Manual AK200

Uploaded by

Copyright:

Available Formats

front_rearAK200Smaint_en_4.

Preventive maintenance procedures for

Preventive Maintenance: A-kit ...............

Preventive Maintenance: B-kit ...............

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

To fulfill the preventive maintenance procedures

The preventive maintenance procedures have

A-kit (K40166001): Includes exterior parts

It is mandatory to perform at least a preventive

During repair of any of the parts in the flow

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

T = 1.1 (Stop pin = 1.1*2*0.7 = 1.5mm)

T = wall thickness of the blood tubing

T = 1.1 (Stop pin = 1.1*2*0.7 = 1.5mm)

Calibration tube kit

According to IEC 60601-1

Rigel, Biotec, Metron

T = wall thickness of the blood tubing

BVS test tool

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

Preventive Maintenance: Base-kit

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

How to exchange the parts included in

1. First perform a combined heat disinfection

4. Change air filters in the AC/DC unit.

2. Change air filters in the Blood Monitor.

3. Change air filter in the Fluid Monitor.

6. Change the upper and lower O-rings in the

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

7. Change the O-rings and square-rings in the

10. Change the particle filter after the SelectBag

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

16. Change the sealing ring and the ring on the

14. If ULTRA: Change the membrane for the

15. Change the sample ports.

17. If ULTRA: Change the sealing for the

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

Actions to carry out after the parts

3. Check that the wheels are tightened.

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

6. Check the protective earth resistance in BM.

8. Erase the error code buffers. Enter

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

9.3 Check of air leakage

9.1 Test method:

BPM test equipment is used to simulate

Check that the results from the sub-tests not

By entering this test mode the capacity for

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

9.5 Check of pressure transducer calibration and

10. Calibrate the Priming detector (BM 6).

to start calibration routine.

Note! The pressure transducer calibration tube

10.6 Press the lit

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

11. Calibrate the Level detector

12. Measure the power on battery B1 on the

to start calibration routine.

11.4 Press the lit

The value under LEVEL is the new alarm

AK 200 S /AK 200 ULTRA S HCEN12088 Rev. 05. 2006

13. Control of the blood pump occlusion

The GO pin should barely pass within the calibrating area.

T = wall thickness of the blood tubing

T = 1.1 (Stop pin = 1.120.7 = 1.5mm)

T = 1.1 (Stop pin = 1.120.7 = 1.5mm)