Gambro AK 96 Dialysis Machine Operator’s Manual – Program Version 3.xx (October 2009)

Description

Gambro AK 96 Dialysis Machine Operator’s Manual – Program Version 3.xx (October 2009)

This is the complete three-part Operator’s Manual for the Gambro AK 96 dialysis machine, covering program version 3.xx as documented in the October 2009 revision (HCEN12239 Revision 10.2009). The manual is designed for operators trained in hemodialysis and guides you through every stage of machine use, from initial setup and function checks through double-needle treatment, single-needle treatment, isolated ultrafiltration, profiling, hygiene, maintenance, and the full alarm and attention alarm handbooks.

The AK 96 is a single-patient hemodialysis machine manufactured by Gambro Lundia AB in Lund, Sweden. This Gambro AK 96 operator’s manual provides the handling guidelines, parameter settings, safety philosophy, and alarm response procedures required to operate the machine correctly and maintain patient safety throughout treatment.

File Details

• Manual Type: Operator’s Manual (three-part set)
• Brand: Gambro
• Model: AK 96
• Program Version: 3.xx
• Revision: HCEN12239 Revision 10.2009
• Order Number: MHCN12239-P3xx
• Language: English
• File Format: PDF
• Page Count: Approximately 506 pages

Chapters Covered

The Gambro AK 96 dialysis machine operator’s manual is organised into three parts, each addressing a distinct area of machine operation. The complete manual must be available to fully assimilate the instructions, as references and index extend across all three parts.

Part 1 — Base Manual for General Use

• Chapter 1: Before You Get Started – General Information, including intended use, safety philosophy, dialysis fluid preparation, inlet water requirements, and a list of concentrates, accessories, and disposables
• Chapter 2: Description – The Machine and its Components, covering the blood part, the fluid part, and the rear of the machine with detailed component terms and illustrations
• Chapter 3: Operating the Machine – Handling Guidelines, including the operator’s panel, time display, flow diagram, buttons, information display, ultrafiltration control, power failure procedures, battery back-up operation, and handling features such as concentrate stand-by mode and infusions during treatment
• Chapter 4: Hemodialysis – Double Needle Treatment, from starting the machine and function check through attaching disposables, priming (manual, assisted, and recirculation), treatment, pressure alarm limit setting, discontinuing, and machine aftercare
• Chapter 5: Hemodialysis – Single Needle Treatment (option), including a glossary of single needle parameters, preparations, patient connection, treatment start, pressure alarm limits, and discontinuing
• Chapter 6: Isolated Ultrafiltration, covering general principles and procedures before, during, and after treatment
• Chapter 7: Profiling, including profiling of sodium and bicarbonate dialysis fluid concentration and ultrafiltration rate, with linear, step, and interval graphs
• Chapter 8: Hygiene and Maintenance, including disinfection history, schedule, heat disinfection, chemical disinfection, rinse/drain programs, flow path maintenance, ultrafilter replacement, and exterior maintenance
• Chapter 9: Technical Data and Specifications, covering performance and specification of the control system and supervisory system, physical data, materials in contact with fluids, environmental data, electromagnetic environment, and standards
• Chapter 10: Major Changes in Operator’s Manual between program version 2.xx and 3.xx

Part 2 — Instructions for Measurement Functions

• Chapter 11: BPM – Blood Pressure Monitor (option), covering general information, patient factors affecting readings, the BPM log list, single measuring, automatic interval measuring, and automatic continuous measuring
• Chapter 12: Diascan (option), covering general information, application, how the measuring process is performed, glossary of Diascan parameters, precautions before use, menus, viewing menu, setting menu, alarms, and step-by-step instructions for measuring clearance and Kt/V

Part 3 — Alarm Handbook

• Chapter 13: Alarms, including alarm overview, general alarm handling, alarm history, and the full alarm list with arterial pressure alarms, venous pressure alarms, air detector alarm, low blood flow rate alarm, single needle stroke volume alarm, blood pressure alarms, blood leak alarm, TMP alarms, temperature alarms, conductivity alarm, pH alarm, connect patient alarm, and technical alarm
• Chapter 14: Attention Alarms, covering general attention alarm handling and the full attention alarm list in alphabetical order

Within these chapters, the Gambro AK 96 operator’s manual details the blood part and fluid part of the machine, the operator’s panel and its buttons, the flow diagram, the ultrafiltration control system, power failure procedures, concentrate handling, priming procedures, patient connection, treatment start and pressure alarm limit setting, discontinuing and rinse-back, and the complete alarm and attention alarm lists with causes, machine actions, and operator measures.

What This Manual Enables

This Gambro AK 96 dialysis machine operator’s manual gives trained operators the complete procedural framework for running hemodialysis treatments on the AK 96. It covers the machine’s safety philosophy, including the control and protective systems, single fault conditions, ultrafiltration control via transmembrane pressure, venous pressure monitoring, air detection, blood leak detection, and chemical disinfectant intake.

The manual provides step-by-step instructions for the function check that runs automatically at machine start-up, verifying internal safety and calibrations before treatment. It details how to connect and confirm concentrates, attach the dialyzer and blood lines, perform manual or assisted priming, connect the patient, start treatment, set pressure alarm limits, and discontinue treatment with rinse-back.

For clinics using the optional single needle treatment mode, the AK 96 manual explains the arterial and venous phases, stroke volume, mean blood flow rate, and how to optimise treatment by adjusting the venous pressure alarm window and keeping the level in the venous expansion chamber as low as possible. It also covers the optional isolated ultrafiltration function, which can be performed before, during, or after hemodialysis treatment when the patient’s condition requires immediate fluid removal.

The profiling chapter explains how the concentrations of sodium and bicarbonate in the dialysis fluid and the ultrafiltration rate can automatically be changed following predetermined graphs, including linear, step, and interval profiles, with instructions for setting and activating profiles manually or using preset models.

Hygiene and maintenance instructions cover heat disinfection programs, including programs with CleanCart cartridges and liquid citric acid, integrated heat disinfection with the WRO 300 H, chemical disinfection programs with peracetic acid, hypochlorite, and formaldehyde, rinse/drain programs, and exterior cleaning. The manual includes a schedule for hygiene and maintenance, a glossary of disinfection terms, and procedures for changing the ultrafilter.

The technical data chapter provides detailed specifications for the control system, including blood flow control, heparin pump, blood pressure monitoring, dialysis fluid preparation, ultrafiltration control, profiling, and Diascan, as well as performance and specification of the supervisory system, physical data, materials in contact with dialysis fluid, concentrates and water, environmental data, and a list of standards the machine complies with.

Alarms and Attention Alarms

The alarm handbook is a critical part of the AK 96 operator’s manual. The alarm list describes each alarm with its appearance, possible cause, machine actions, and operator measures. Alarms covered include arterial pressure high and low alarms, venous pressure high and low alarms, air detector alarm, low blood flow rate alarm, single needle stroke volume alarm, blood pressure alarms for systolic, diastolic, mean pressure, and pulse rate, blood leak alarm, TMP high and low alarms, temperature high and low alarms, conductivity alarm, pH alarm, connect patient alarm, and technical alarm.

Attention alarms are listed in alphabetical order and include detailed information on what triggers each attention alarm, what actions the machine takes automatically, and what the operator is expected to do. Examples include air detector not activated, air leakage, arterial pressure limits too wide, attach tubes to safety bypass, battery failure, BiCart holder not closed, BiCart not attached to holder, blood detected in assisted priming, blood in priming detector, blood leak detector failure, blood pump door not closed, blood pump overload, blood pump stop time expired, BPM failure, central chemical disinfection completed, chemical fillup not sufficient, CleanCart fill completed, cleaning required, clearance too low, connect concentrate, decalcification required, dialysis fluid flow too low, dialysis fluid not ready for treatment, dialysis fluid ready, Diascan failure, Diascan measurement failed, Diascan not possible during UF step/interval profiling, Diascan paused during isolated UF, Diascan rescheduled twice, disconnect arterial pressure, disconnect venous pressure, disinfection in progress, disinfection required, FCH is waiting, FCH prolonged due to chemical tests, fluid bypass time expired, fluid path menu has been closed, fluid path obstruction, fluid tube sensor test, fluid tubes in safety bypass, fluid tubes not in safety bypass, function check prolonged due to power failure, function check prolonged due to WRO, function check restarted, heater efficiency not sufficient, heparin flow rate set to zero, heparin pump overload, HCO3- setting has been changed, high conductivity not obtained, high inlet water conductivity, high monitor temperature alarm, high venous press test not made, impossible auto start setting, impossible time or UF setting, improper position of chemical disinfectant connector, improper position of pick up tube A, improper position of pick up tube B/acetate, incorrect acidic concentrate, incorrect bicarbonate concentrate, incorrect concentrate, incorrect dialysis fluid composition, incorrect language selection, insufficient inlet pressure, Kt/V forecast too low, Kt/V target reached, low battery power, low flow heat aborted, low flow heat not available in WRO, Na+ setting has been changed, negative UF rate, new ultrafilter required, no backfiltration warning, no BPM values, no change in blood pressure, no cuff attached, power failure battery operation, priming volume limit achieved, profiling is not restarted, recovered from power failure, PV and QD setting in conflict, remove tubes from safety bypass, rinse/dis menu has been closed, SAGS test failed, set dialysis fluid flow not reached, start heat in WRO, start low flow heat in WRO, time menu has been closed, TMP limits too wide, to end treatment zero time in isolated UF, to obtain total UFV isolated UF must be started, to start the air detector test fill the venous drip chamber, too high TMP required, treatment time expired, treatment will stop in 2 minutes high venous press test not made, UF rate limit reached, UF volume achieved too early, UF rate lower than minimum set, UFR setting has been changed, UF rate stopped due to high PV, UF stop time expired, UF volume set to zero, ven press menu has been closed, venous low limit below +10 mmHg, venous pressure limits too wide, wait 30 seconds to bypass dialysis fluid, WRO communication failure, WRO not ready, and wrong disinfectant agent.

Technical Specifications Included

The technical data chapter of this Gambro AK 96 operator’s manual includes detailed specifications such as blood flow rate ranges for double needle and single needle treatment, flow accuracy, accumulated blood volume, heparin pump flow rate and bolus volume, venous and arterial pressure operating ranges and alarm limits, blood pressure monitor ranges for systolic, diastolic, mean pressure, and pulse rate, dialysis fluid temperature adjustment ranges, heater capacity, dialysis fluid flow rate, degassing pressure, dialysis fluid pressure, proportioning of concentrates, conductivity measuring range and alarm limits, ultrafiltration control including UF volume, UF coefficient, UF rate, and time control, profiling ranges for UF rate, sodium, and bicarbonate, Diascan clearance measurement specifications, chemical disinfection program details for peracetic acid, hypochlorite, and formaldehyde, heat disinfection temperatures and program times, rinse/drain times, water supply flow rate and pressure requirements, drain requirements, power supply specifications, battery back-up specifications, external equipment connection details, dimensions and weight, materials in contact with dialysis fluid, concentrates and water, environmental operating and storage conditions, electromagnetic emissions and immunity information, recommended separation distances, and a list of standards the machine complies with.

Who This Manual Is For

This Gambro AK 96 dialysis machine operator’s manual is intended for operators trained in hemodialysis who are responsible for running treatments on the AK 96. It is also a valuable reference for clinical staff who need to understand the machine’s operation, safety systems, alarm handling, hygiene procedures, and technical specifications. The manual assumes that the operator has studied the instructions and pays special attention to the safety philosophy of the machine.

Why This Manual Matters

Operating a hemodialysis machine safely requires a thorough understanding of its controls, safety systems, and alarm responses. The AK 96 manual provides the detailed procedural guidance and technical reference needed to run treatments correctly, respond to alarms and attention alarms appropriately, maintain the machine in a hygienic condition, and understand the machine’s specifications and limitations. It covers the complete treatment workflow from machine start-up and function check through patient connection, treatment monitoring, discontinuing, and machine aftercare.

Without the correct procedures and specifications, there is a risk of improper treatment, inadequate alarm response, or machine malfunction. This operator’s manual gives you the information you need to operate the AK 96 dialysis machine as intended and to maintain the high standard of care required for hemodialysis patients.

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Instant PDF Delivery

This Gambro AK 96 Dialysis Machine Operator’s Manual – Program Version 3.xx (October 2009) is delivered as an instant PDF download after payment. There is no shipping and no waiting for a physical copy. You can access the manual on any device that supports PDF files, search for the information you need, and print pages or sections as required for use at the machine side or in training. The PDF format makes it easy to keep the complete three-part manual available wherever you need it.

Whether you are setting up an AK 96 for the first time, training new operators, troubleshooting an alarm, performing hygiene and maintenance procedures, or checking a technical specification, this operator’s manual provides the comprehensive reference you need. It covers program version 3.xx as documented in the October 2009 revision and includes the complete Part 1 Base Manual for General Use, Part 2 Instructions for Measurement Functions, and Part 3 Alarm Handbook in a single PDF file.