Fresenius 2008T Dialysis System - Service Manual
Fresenius 2008T Dialysis System - Service Manual
Fresenius 2008T Dialysis System - Service Manual
HEMODIALYSIS
SYSTEM
TROUBLESHOOTING
GUIDE
Manufactured by:
Fresenius USA, Inc.
4040 Nelson Avenue
Concord, CA 94520
TROUBLESHOOTING
GUIDE
Part Number 490292 Rev. A
Manufactured by:
Fresenius USA, Inc.
4040 Nelson Avenue
Concord, CA 94520
http://www.fmcna.com
Copyright 2017 Fresenius Medical Care North America, All Rights Reserved
2008T Technical Troubleshooting Guide
This document contains proprietary information of Fresenius USA, Inc. d/b/a Fresenius Medical
Care North America and its affiliates (“Fresenius Medical Care”). The contents of this document
may not be disclosed to third parties, copied, or duplicated in any form, in whole or in part, without
the prior written permission of Fresenius Medical Care.
Fresenius Medical Care, the triangle logo, 2008T, 2008, bibag and DIASAFE are trademarks of
Fresenius Medical Care Holdings, Inc., and/or its affiliated companies. All other trademarks are the
property of their respective owners.
Caution: US Federal law restricts this device to sale only by or on the order of a physician.
Frequency, duration, and parameters of treatment are to be determined by the prescribing
physician.
Installation, maintenance, calibration and other technical information may be found in the
2008T Technician’s Manual, P/N 490130
Contact Fresenius Medical Care Technical Support for applicable Field Service Bulletins. The
spare parts manual for the model 2008T and other information may be found on our web site at
www.fmcna.com
Indications for Use: The 2008T hemodialysis machine is indicated for acute and chronic dialysis
therapy.
TABLE OF CONTENTS
Page #
USING THE TROUBLESHOOTING GUIDE ............................................................................................... 3
THE (HYDRAULIC) 'ORDER' OF TROUBLESHOOTING .......................................................................... 6
INITIAL CHECKS ........................................................................................................................................ 7
FINAL CHECKS BEFORE RETURNING THE MACHINE TO CLINICAL SERVICE ............................... 15
TEST EQUIPMENT ................................................................................................................................... 16
VOLTAGE DETECTOR CALIBRATION ................................................................................................... 17
OPERATING MODES ............................................................................................................................... 19
SECTION 1 – FLOW ERRORS IN DIALYSIS PROGRAM ....................................................................... 23
SECTION 2 – “NO WATER” ALARM ...................................................................................................... 152
SECTION 3 - FLOW ERRORS IN A CLEANING / DISINFECTION PROGRAM ................................... 166
SECTION 4 - TEMPERATURE PROBLEMS .......................................................................................... 232
• "TEMP OVER 95 DEGREES" IN HEAT DISINFECT
SECTION 5 - CONDUCTIVITY / ON LINE CLEARANCE PROBLEMS ................................................. 334
• BAD DIALYSATE LAB VALUES
• ON LINE CLEARANCE (OLC) PROBLEMS
SECTION 6 – CONCENTRATE PUMP ERRORS .................................................................................. 441
• "ACID PUMP NO EOS" OR "ACID PUMP ALWAYS EOS"
• "BIC PUMP NO EOS" OR "BIC PUMP ALWAYS EOS"
SECTION 7 - COND REF FAILURE OR COND OFFSET FAILURE ..................................................... 448
SECTION 8 - FILLING PROGRAM (AIR LEAK) PROBLEMS ................................................................ 452
SECTION 9 - TMP PROBLEMS ............................................................................................................. 483
SECTION 10 - PRESSURE TESTS FAILING ........................................................................................ 517
• "FAIL GET NEG TMP"
• "FAIL NEG STABILIZE"
• "FAIL NEG FLOW ON"
• "FAIL GET POS TMP"
• "FAIL POS STABILIZE"
• "FAIL POS FLOW OFF"
• "ONLINE PHT FAILED"
SECTION 11 – INDUCED AIR LEAK TESTS ......................................................................................... 534
SECTION 12 – INDUCED POSITIVE PRESSURE TESTS.................................................................... 541
SECTION 13 - DEAERATION PROBLEMS............................................................................................ 543
SECTION 14 - UF (ULTRAFILTRATION) PUMP PROBLEMS .............................................................. 548
SECTION 15 - BLOOD LEAK PROBLEMS ............................................................................................ 556
A. ALWAYS turn the machine OFF before replacing a circuit board or unplugging ribbon cables.
B. Observe Electrostatic Discharge (ESD) Precautions when working inside the card cage!
C. It is assumed the troubleshooter is Certified and has working knowledge of the machine.
D. It is assumed the troubleshooter knows how to use a multimeter (Volts DC / Volts AC / Resistance).
E. DO NOT calibrate or swap parts unless instructed. NEVER swap parts between malfunctioning
machines! Parts should be tested (known good) in another machine before swapping them in.
F. Calibration(s) may be required after replacing a component. Refer to Appendix B (page 758) and
Appendix C (page 759).
G. Perform FINAL CHECKS (page 15) before returning the machine to clinical service.
H. Be CAREFUL to maintain your current location as you proceed AND read each procedure before
performing it. Pay attention to ‘CAUTIONS’ and ‘NOTES’!
I. Troubleshooting procedures are arranged as a ‘flow chart’. ENSURE you go to the CORRECT
procedure number as prompted. You CANNOT necessarily read down the page as sometimes
procedures on that page are SKIPPED.
J. Sometimes procedures ‘call’ another procedure in a different Section. NOTE the current procedure and
page number BEFORE proceeding to the ‘called’ procedure!
K. If multiple ‘possibilities’ are suggested (example: TWO (2) possible bad components: 1) Bad Actuator-
Test Board; 2) Bad Functional Board), swap the listed components, with known good, one at a time,
starting with the first component in the list. In between test the machine to see the new part fixes the
problem. If NOT continue through the list until the machine is fixed.
L. Hydraulic components can be isolated via the DISTRIBUTION BOARD. Referring to Figure 1 (page 4):
There are three (3) Distribution Board sections: 1) Sensors; 2) Pumps; 3) Valves
Electronic hydraulic components each have labeled connector positions as referenced in the 2008
Flow Diagram. Labels are printed above or below each position. For example, Float Switch #5 is
labeled “X5, FLOAT-SW”, temperature sensor NTC #2 is labeled “X2, CON-NTC”, etc.
From left-to-right, positions start at #2 [example: NTC #2, labeled “X2, CON-NTC”]. There is no
position #1! Post Dialyzer Temperature Sensor #44 plugs into position #14; Valve #41 plugs
into position #27
There are several VACANT positions! When removing a connector NOTE its position and label.
Be CAREFUL to return all connectors to their correct positions!
Turn the machine off BEFORE unplugging OR plugging RIBBON cables. These include the
SENSORS, ACTUATOR, Acid (#16) and Bicarbonate (#17) Pumps, Blood Leak Sensor (#8),
Heparin Pump (#18) and the Blood Pressure Module
M. Figure below, if asked to measure DC voltages (VDC) and in some cases resistance (Ω) connect the
meter’s ground (black) lead to the card cage (i.e. chassis ground).
N. Procedures may vary depending on if the machine is equipped for bibag. See the following page:
Understanding the ‘Order of Troubleshooting’ will lead to the root cause of a problem and NOT its effects.
1. External HYDRAULIC LEAKS can cause all problems below it. If a leak is seen eliminate it before
troubleshooting any problem below it!
NOTE! Vent tubing overflow may occur with Flow Errors, Filling Programs, and “TMP is Low” alarms.
2. “NO WATER” alarms may cause Flow Errors. ENSURE a “No Water” alarm NEVER occurs before
troubleshooting any problem below it.
3. FLOW ERRORS turn the heater off. Ensure the machine remains clear of FLOW ERRORS before
troubleshooting temperature. If dialysate flow is unstable temperature will be unstable!
4. TEMPERATURE compensates conductivity. Ensure TEMPERATURE is between 35.5 and 38.5° C and
stable i.e. not changing more than 0.2º C per minute before troubleshooting conductivity. If
TEMPERATURE is unstable conductivity will be unstable which will also cause OLC to cancel!
5. In Dialysis Program, low CONDUCTIVITY will cause a false ‘air in dialysate’ signal from Chamber #69’s
Air Sensor #6 which causes Filling Programs. Do not troubleshoot a Filling Program unless
CONDUCTIVITY is between 13.0 and 14.4 mS!
6. In Dialysis Program, if Chamber #69’s Air Sensor #6 senses ‘air in dialysate’ a FILLING PROGRAM
occurs. Valve #43 opens to vent Chamber #69 to drain and therefore TMP will decrease. Do not
troubleshoot a “TMP is Low” alarm if the machine is in a FILLING PROGRAM!
NOTE! In all Cleaning Programs ‘air in dialysate’ is invalid. FILLING PROGRAM does NOT occur!
7. TMP alarms may occur if there is an external leak or ‘air in dialysate’. Do not troubleshoot TMP alarms
unless you are sure there are no leaks AND good Temperature and Conductivity.
8. ‘Air in dialysate’ may cause false BLOOD LEAK alarms. Also, if Conductivity and/or a Temperature
alarm are present ‘bypass’ occurs i.e. Valve #24 closed, Valve #26 open. In this event Blood Leak
Sensor #8 is bypassed. Ensure all alarms above BLOOD LEAK remain clear before troubleshooting
BLOOD LEAK.
9. PRESSURE TESTS may fail if any problem above it occurs. ENSURE the machine remains clear of all
alarms before troubleshooting PRESSURE TEST FAILURES.
b) Figure below, trace the cable from the Blood Pressure Module
to ENSURE it is NOT reverse connected with another module!
c) Using air, clear excessive dust from the surface of the motherboard*. *To LOCATE the motherboard
refer to Figure 4A (page 10).
d) ENSURE no foreign objects (screws, etc.) are laying on the surface of the motherboard!
e) Using a flashlight, inspect the surface of the motherboard for corrosion or burning!
f) Press down HARD on ALL circuit boards to ensure good connections to the motherboard.
No A problem located, and repaired, during INITIAL CHECKS may have solved the problem
you were troubleshooting! If not, return to the procedure that brought you to INITIAL
CHECKS!
8) Slide the Power Supply ¼ way out away from the cabinet. DO NOT let it fall out!
13) A problem located, and repaired, during INITIAL CHECKS may have solved the problem you were
troubleshooting! If not, return to the procedure that brought you to INITIAL CHECKS.
1 – 9 pin Test Connector; 2 – Power Logic Board NOTE A (page 10); 3 – Actuator-Test Board NOTE B (page 11),
4 – Functional Board; 5 – User Interface (UI-MICS) Board; 6 – Sensor Board
P/N 190246
A) Unless whatever problem you are troubleshooting will not allow entering Service Mode, if the Actuator-
Test Board is replaced, the Voltage Detector Calibration should be performed! See VOLTAGE
DETECTOR CALIBRATION (page 17).
B) Figure below, if equipped with a bibag Connector the ‘Interface Board’ is piggy backed to the
component side of the Actuator-Test Board. It interfaces the bibag hydraulic components, Actuator-Test
Board and the bibag Distribution Board and Distribution Box 2.
B) Figure below, inside the card cage, the bibag Interface circuit board piggybacks onto the Actuator-Test
Board (2nd circuit board from the left)!
C) ENSURE the bibag Interface Board is connected securely to the Actuator-Test Board! If not this may
be the problem!
D) ENSURE the bibag Interface Board’s 26 AND 20 Pin Ribbon cables are plugged in securely! If not this
may be the problem!
E) Using a flashlight, inspect the 26 AND 20 Pin Ribbon cables for signs of damage. If damage is located
this may be the problem!
F) If the Troubleshooting Guide has instructed you to ‘swap in’ the bibag Interface board use ESD
protection AND ENSURE the new board is known good!
bibag Connector
1) Remove all test equipment from the distribution board and ENSURE all female connectors are plugged
in properly.
3) To help locate future leaks clean spills from hydraulic drawer and floor.
8) Allow [Temperature] to stabilize between 35.1 and 38.9° C; [Conductivity] to between 13.0 and 14.2
mS.
9) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’!
10) ENSURE the external flow indicator’s ‘bob’ is rising and falling in the sight tube!
11) Check Temperature, Conductivity and pH per the Preventative Maintenance Procedures booklet.
12) Perform the automated Alarms/Pressure Tests per Preventative Maintenance Procedures booklet. Do
NOT return the machine to clinical service unless all tests pass!
13) Place the acid connector into a jug of water and allow [Conductivity] to fall to 10 mS.
14) ENSURE the external flow indicator’s ‘bob’ is NOT moving (i.e. Valve #24 is closing).
15) If clinic procedures requires it perform an electrical safety check (i.e. leakage current).
16) Perform Acid Clean and / or Bleach or Heat Disinfection per clinic policy.
• One (1) 1000 ml Graduated Cylinder; One (1) 100 ml Graduated Cylinder; One (1) 60 ml syringe
• Flashlight
• Optional: Figure below, Magnetic (Mag) Probe to check valve solenoid magnetism. The Probe can
be obtained from www.stanleysupplyservices.com (P/N 127-800).
A) Per the Figure below, the EXTENDER BOARD (P/N 190600) is required.
B) Turn the machine OFF and GENTLY open the card cage!
C) Behind the card cage, ENSURE the 24V POWER cable remained plugged in!
1) Keeping the EXTENDER BOARD’S resistors towards the FRONT OF THE MACHINE install it into
the motherboard’s nine (9) pin TEST* connector. *To LOCATE refer to Figure 4A (page 10)).
2) ENSURE the board is matched pin for pin to the TEST connector! From the FRONT OF THE
MACHINE SGND on the LEFT; 24V-C on the RIGHT!
3) Push the board down hard. It may resist a good connection into the motherboard.
G) Connect the meter’s black lead to chassis ground (refer to Figure 2, page 4).
H) Measure at the Extender Board’s +12V measuring point (five (5) pins from the left).
L) ENSURE the [12 Volt Set] data box is pale yellow /white.
If not start over!
Yes “Operator Error” occurs! Proceed to page 675, procedure number P- H.1.2.
N) The screen should say “4. Verify that 5V EST is between 4.8 to 5.2….”. If not start over!
O) Based on the screen’s [5V EST] AND [12V EST] windows, TWO (2)
CHECKS:
Yes (to BOTH): Press ‘Enter’ to save the calibration THEN see parts P and Q.
Q) If a previous procedure brought you to VOLTAGE DETECTOR CALIBRATION return to that procedure.
b) Turn the machine on. When the “Press CONFIRM for Service Mode” appears on the screen press ‘Enter’
or ‘Confirm’. The screen says “Machine In Service Mode”.
‘Swapping’ in a Sensor and / or a Functional Board may cause a “COND OFFSET FAILURE” during System
Initialization. T and C Mode negates this Errors so these boards can be tested without having to perform
calibrations.
b) Next to T and C Mode place the ‘X’ in the “Yes” box then press ‘Enter’. The
‘X’ MUST turn blue!
d) When the “Select Program” screen (1) appears, “Machine in T and C Mode” appears and upon
returning to Dialysis Program, the Home Screen’s (3) [UF Goal] and [UF Time] windows display “N/A”.
a) Turn the machine on and allow the “Select Program” screen (1) to appear.
b) Press the screen’s ‘Dialysis’ button to call the Dialysate (“Select Concentrate”) screen (2).
c) Press the screen’s ‘Conc’ button and a list of, up to 10, ACID concentrates appears.
d) Using the arrow keypads, select the ACID that is connected to the machine.
e) Press the keyboard’s ‘Enter’ key or the mousepad’s ‘Confirm’ key to place the machine into Dialysis
Program.
NOTE! The machine remains in idle mode UNLESS ‘Enter’ or ‘Confirm’ is pressed!
f) Pressing the screen’s ‘Home’ tab calls the ‘Home’ screen (3).
g) While troubleshooting, the Treatment clock (Figure right) MUST be off i.e. “Tx
Paused”!
Auto Flow
Selecting Dialysate Flow rates more than 800 ml/min enables auto flow (1.5x or 2x). At these settings
Dialysate Flow rate will automatically adjust itself, in 100 ml/min increments, depending on blood pump
rate. For example, at 2X, when the blood pump rate is set to 250 ml/min, Dialysate Flow will set itself to
500 ml/min (2 x 250) and the Home screen’s [Dialysate Flow] window will display preceding “a” (i.e.
a500”). Do NOT select 1.5x or 2x while troubleshooting!
a) Return both dialyzer connectors to the shunt and close the door.
b) Place both concentrate connectors into their rinse ports. This calls the “Select Program” screen (1).
d) Press the desired Cleaning / Disinfection Program button then follow screen prompts that may appear
depending on what Cleaning Program is selected.
D) Call debug screen 2. Look at ! EMPTY! (left column). TWO (2) possible scenarios:
2) IF ! EMPTY = 0: Either the RED dialyzer line is NOT connected to the shunt properly OR FOUR
(4) possible bad components: 1) Actuator-Test Board; 2) Functional Board;
3) Arterial dialyzer line shunt door switch; 4) Motherboard
E) If the Automated Tests are running (screen reads “Test:.…”) allow them to finish.
2
If [Dialysate Flow] is blinking Flow is off! Flow MUST be on!
Yes Active leak located! Proceed to page 598, SECTION 21- HYDRAULIC LEAKS.
Yes “No Water” appears! Proceed to page 152, SECTION 2 – NO WATER ALARM.
No “No Water” NEVER* appears! See procedure number F- 1.0.0 (page 24).
* NOTE! From here forward, if (and ONLY if) a “No Water” banner EVER appears address
it FIRST! “No Water” alarms cause Flow Errors.
A) Connect the Bicarb (blue) connector FIRMLY to a JUG1 of BICARB! The Bicarb connector CANNOT
be in its rinse port!
1
A bibag disposable (pouch) CANNOT be attached while troubleshooting!
C) ENSURE the Bicarb jug is FULL. If it ever runs empty Loading Pressure becomes unstable!
D) Call debug screen 0. Figure below, ENSURE the bibag Connector door is shown FULLY closed!
C) Unplug the female Air Sensor’s connector but DO NOT remove the ‘CBE board’ under the connector!
D) Leave the Air Sensor distribution board position vacant for now!
2) IF it says “No Air” OR toggles between “Air” and “No Air”: See parts a AND b next page:
2) IF Chamber #69 continues to say “No Air” or toggles between “Air” and “No Air”:
Proceed to page 27, procedure number F- 1.0.3.
No AFTER two (2) minutes FILACT REMAINS = 0! Look at VERR (lower right).
TWO (2) possible scenarios:
1) IF (and ONLY if) VERR = 0: See procedure number F- 1.0.3 (page 27).
d) Figure right, from here forward, if (and ONLY if) a “Dial Valve
Failure” OR “Act Byp Valve Fail” banner EVER appears
proceed to page 711, Section 26
2) IF it continues to EVER say “No Air”: Filling Program is not working! See parts a AND b below:
a) Before performing part b NOTE this page number THEN perform INITIAL CHECKS (page 7).
b) FIVE (5) possible bad components: 1) CBE board1; 2) Sensor Board 2; 3) Functional Board3;
4) Distribution board; 5) Motherboard.
1 A) Swap in a known good CBE board; B) With the Air Sensor’s connector REMAINING
UNPLUGGED return to Dialysis Program (“Select Program” → ‘Dialysis’ → ’Enter’);
C) From debug screen 0, if Chamber #69’s text box now says “Air” the previous CBE board
is bad.
2 A) With the machine off, swap in a known good Sensor Board; B) Place the machine into T
and C Mode (refer to OPERATING MODES (page 19); C) With the Air Sensor’s connector
REMAINING UNPLUGGED, return to Dialysis Program; D) From debug screen 0, if
Chamber #69’s text box now says “Air” the previous Sensor Board is bad.
3 A) With the machine off, swap in a known good Functional Board; B) Pace the new
Functional Board into T and C Mode; C) With the Air Sensor’s connector REMAINING
UNPLUGGED, return to Dialysis Program; D) From debug screen 0, if Chamber #69’s text
box now says “Air” the previous Functional Board is bad.
a) FIGURE BELOW, CAREFULLY place one of the plugs, from the FOUR-RESISTOR SET, into
th
the Air Sensor’s distribution board position i.e. 5 position* from the LEFT.
* NOTE! If CBE modified the resistor MUST plug into the ‘CBE board’ pin for pin!
b) From debug screen 0, based on Chamber #69’s text box now. TWO (2) possible scenarios:
1) IF (and ONLY if) it says “No Air” always: See procedure number F- 1.0.5 (page 30).
2) IF is says “Air” OR toggles between “Air” and “No Air”: To avoid unnecessary work, perform
parts a THROUGH e below:
a) BE CERTAIN the resistor plug is placed PROPERLY in the 5th position from the left!
b) If CBE modified, using a flashlight, ENSURE the resistor plugs into the CBE board, pin for pin,
especially the TOP pin!
c) If (and ONLY if) the text box now says “No Air” always see procedure number F- 1.0.5 (page
30). If it EVER says “Air” see part d next page!
d) Use a different plug from the four-resistor set! If (and ONLY if) the text box now says “No
Air” always see procedure number F- 1.0.5 (page 30). If it EVER says “Air” continue to part e.
e) The text box continues to say “Air” OR toggles between “Air” and “No Air”. SIX (6) possible bad
components: 1) CBE board1; 2) Sensor Board2; 3) Sensor cable3 4) Functional Board 4;
5) Distribution board; 6) Motherboard.
1 A) Swap in a known good CBE board; B) Return to Dialysis Program (“Select Program” →
‘Dialysis’ → ‘Enter’); C) Plug one of the resistors from the four-resistor set into the new
CBE board; D) From debug screen 0, if the text box now says “No Air” always the previous
CBE board is bad.
2 Leaving the resistor plug installed: A) With the machine off, swap in a known
good Sensor Board; B) To prevent “Cond Offset Failure” place the machine into T and C
Mode (refer to OPERATING MODES (page 19); C) Return to Dialysis Program; D) From
debug screen 0, if the text box now says “No Air” always the previous Sensor Board is bad.
3 Leaving the resistor plug installed: The Sensor Board cable can be checked.
NOTE that one (1) AIR SENSOR connection will be checked and proceed to page 569,
SECTION 17 - CHECKING THE SENSOR BOARD CABLE.
4
Leaving the resistor plug installed: A) With the machine off, swap in a known good
Functional Board; B) To prevent “Cond Offset Failure” place the new Functional Board into T
and C Mode; C) Return to Dialysis Program; D) From debug screen 0, if the text box now
says “No Air” always the previous Functional Board is bad.
C) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
F) Call debug screen 1. If FILACT = 0 continue to part G. If (and ONLY if) FILACT = 1 return to (ABOVE)
procedure number F- 1.0.4 (page 28)
G) Per the Figure below, check the Flow AND Deaeration Motor shafts for counterclockwise (CCW)
rotation. BOTH rotating CCW?
Yes BOTH motors rotating! See procedure number F- 1.0.6 (page 31).
A) ENSURE the Loading Pressure gauge (yellow connector) reads 0 psi BEFORE installing it SLAM it
into the Acetate/Acid rinse port!
B) Loading Pressure may or may not cycle. TWO (2) possible scenarios:
1) IF cycling, possibly every nine (9) seconds: Pressure is ‘OKAY’ if it cycles to a PEAK of
somewhere between 23 and 27 AND a low of NEVER LESS than 11 psi. Watch both levels for
one (1) minute THEN see part C.
2) IF NOT cycling: Pressure is ‘OKAY’ if it STAYS between 23 and 27 psi. See part C.
1) IF (and ONLY if) pressure REMAINS ‘OKAY’: Leaving the gauge installed, see procedure
number F- 1.0.6.11 (page 31).
2) IF pressure is EVER NOT ‘OKAY’: Close the shunt door THEN proceed to page 33, procedure
number F- 1.0.7.
a) Leaving [Dialysate Flow] on, disconnect the Bicarb (blue) connector from the jug and allow
it to hang. DO NOT plug it into its rinse port!
b) Watch the Loading Pressure gauge for two (2) minutes! It may occasionally cycle below 15 psi but
is ‘OKAY’ if it PEAKS to between 23 and 27 psi. TWO (2) possible scenarios:
1) IF (and ONLY if) it PEAKS to between 23 and 27 psi! Reconnect to the bicarb jug THEN
proceed to page 38, procedure number F- 2.0.0
2) IF DROPS to and REMAINS less than 18 psi: See parts a THROUGH c next page:
b) ENSURING the bicarb jug is FULL, plug the blue connector into it.
c) Allow up to three (3) minutes while watching the gauge. If pressure again begins to PEAK
to between 23 and 27 psi this confirms THREE (3) possible problems: 1) Loose or bad
ribbon cable at the bibag Interface board (refer to Figure 4C (page 11)) OR 2) Bad Valve
#101 (see Figure below) OR 3) Bad bibag Interface board.
1) IF (and ONLY if) EVER MORE THAN 29 psi: Proceed to page 36, procedure number F- 1.0.9.
2) IF (and ONLY if) REMAINS LESS THAN 15 psi: A) Remove the gauge THEN again SLAM it into
the RINSE port; B) If still REMAINS less than 15 psi proceed to page 124, procedure number
F- 15.0.0.
3) IF (and ONLY if) PEAKS to between 15 and 22 psi but cycles below 11 psi: See procedure
number F- 1.0.8.11 (page 35).
4) IF (and ONLY if) PEAKS to between 23 and 27 psi but cycles below 11 psi: See procedure
number F- 1.0.8.11 (page 35).
5) IF PEAKS to between 15 and 22 psi AND NEVER cycles below 11 psi: NOTING how many turns,
turn Loading Pressure Valve #65’s nut* CLOCKWISE until if a PEAK pressure of between 23 and 25
psi is achieved. TWO (2) possible scenarios 1) or 2) below:
1) IF (and ONLY if) between 23 and 25 psi CANNOT be achieved: Return Valve #65’s
screw to its ORIGINAL location then proceed to page 124, procedure number F- 15.0.0.
1) IF (and ONLY if) Flow Error EVER = 1, even just once: Return to (ABOVE)
procedure number F- 1.0.5 (page 30).
2) IF Flow Error REMAINS = 0: A flow problem is NOT occurring at this time but other
problems may be! Refer to the Table of Contents for whatever other problem may be
occuring.
A) Per the Figure below, clamp the tubing attached at the top of Valve #101.
Yes Continues to drop below 11 psi! Proceed to page 137, procedure number
F- 18.0.0.
No Does NOT drop below 11 psi now! See procedure number F- 1.0.8.2 (page 35).
1) IF (and ONLY if) PEAKS to between 23 and 27 psi: Leaving the clamp in place for now, proceed to
page 38, procedure number F- 2.0.0.
2) IF PEAKS to between 15 and 22 psi: Return to page 34, procedure number F- 1.0.8.
Adjust Loading Pressure Valve #65’s* nut counterclockwise but no more than a few turns. Can you adjust
PEAK pressure to between 23 and 25 psi (Yes or No)? * To LOCATE Valve #65 refer to Figure 6 (page 22)
1) IF (and ONLY if) Flow Error EVER = 1, even just once: Return to (ABOVE) procedure
number F- 1.0.5 (page 31).
2) IF Flow Error REMAINS = 0: A flow problem is NOT occurring at this time but other
problems may be! Refer to the Table of Contents for whatever other problem may be
occurring.
No Loading Pressure REMAINS more than 25 psi! A) Turn the machine OFF; B) Proceed to page
613, procedure number LEAKING- 6.0.0.
The Deaeration Pressure calibration is used to check Loading Pressure ONLY (i.e. gauge in RINSE port)!
There is NO NEED to install the Deaeration gauge!
B) Press ‘Enter. Is Loading Pressure (Rinse port gauge) peaking to between 23 and 27 psi?
Yes Loading Pressure peaking to between 23 and 27 psi! Perform parts C) THROUGH F).
No Loading pressure is REMAINING less than 23 OR more than 27 psi! THREE (3) possible
scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) between 27 and 30 psi: Adjust Valve #65* until the peak pressure is between
23 and 25 psi THEN perform parts C) THROUGH F). * To locate Valve #65 refer to Figure 6
(page 22)
2) IF (if and ONLY if) between 15 and 22 psi: Adjust Valve #65* until the peak pressure is between
23 and 25 psi THEN perform parts C) THROUGH F). * To locate Valve #65 refer to Figure 6
(page 22).
1) IF Flow Error EVER = 1: A) Open the shunt door! B) Proceed to page 38, procedure
number F- 2.0.0.
2) IF Flow Error REMAINS = 0: A Flow problem is NOT occurring at this time but other problems
may be! Refer to the Table of Contents for whatever other problem may be occurring
2) IF the ‘dots’ NEVER cycle i.e. four (4) are STAYING blue AND four (4) STAYING white OR all
eight (8) are STAYING white: See procedure number F- 2.1.0 (page 38).
b) WITHOUT LOOKING AWAY, ignoring a ‘blink’ to 1 that lasts less than (2) two seconds,
watch Valve Error for one (1) minute or until if it = 1 for LONGER THAN two (2) seconds.
TWO (2) possible scenarios:
1) IF (and ONLY if) Valve Error = 0 OR ‘blinks’ to 1 for less than two (2) seconds:
Proceed to page 213, TROUBLESHOOTING VALVE ERRORS IN DIALYSIS
PROGRAM
2) IF Valve Error EVER = 1 LONGER THAN two (2) seconds! Proceed to page 711,
Section 26.
No ! EMPTY = 0: Either the arterial (red) dialyzer line IS NOT connected to the shunt properly OR
FOUR (4) possible bad components: 1) Actuator-Test Board a OR; 2) Functional Board a, b;
3) Arterial dialyzer line shunt door switch OR; 4) Motherboarda
a) To ENSURE the shunt door is OPEN, CVRCLS (2nd column from left) = 0 always!
b) Watch DIALVLO (2nd column from left) for thirty (30) seconds.
TWO (2) possible scenarios:
1) IF (and ONLY if) DIAVLO REMAINS ALWAYS = 0! See procedure number F- 2.4.0 (page 39).
2) IF DIALVLO cycles between 0 and 1 (possibly rapidly) OR is remaining = 1! Valve #24 may be
in a malfunctioning electrical state! Proceed to page 711, Section 26.
Call debug screen 1. Watch FLWP (upper right), for thirty (30) seconds! TWO (2)
possible scenarios:
1) IF (and ONLY if) FLWP REMAINS LESS THAN 255: See procedure number F- 2.5.0 (page 40).
2) IF FLWP is ALWAYS = 255! The machine may NOT be going in Dialysis Program! Perform parts a
THROUGH c below:
c) Call debug screen 1. ENSURING a “No Water” NEVER occurs watch FLWP for one (1) FULL
minute! TWO (2) possible scenarios:
1) IF (and ONLY if) FLWP IS NOT REMAINING = 255! See procedure number F- 2.5.0
(page 40).
2) IF FLWP is REMAINING ALWAYS = 255 (i.e. NEVER less than 255): With the machine off,
swap in the following components (Component List below) one at a time then, in between,
repeat parts b and c to test each one in between until FLWP does NOT REMAIN 255.
Component List: 1) Actuator-Test Boarda; 2) Functional Boarda, b; 3) Motherboarda.
a
To LOCATE the boards, refer to Figure 4A (page 10). b To prevent “Cond Offset Failure”
place the machine into T and C Mode (refer to OPERATING MODES, page 19))
CHECK #1: a) Using the handle end* of a screwdriver, push on BOTH the FLOW AND DEAERATION
MOTOR shafts, release, then push again.
b) Can you make EITHER motor stop rotating and REMAIN stopped (Yes or No)?
Yes If ABSOLUTELY SURE one or both of the motors stops! THREE (3)
possible bad components: 1) Bad Motor (probably brushes) OR; 2) Bad
pump head OR; 3) Bad Actuator-Test Board1.
1
To LOCATE the Actuator-Test board refer to Figure 4A (page 10).
1
To LOCATE the board refer to Figure 4A (page 10)
c) From debug screen 1, ENSURE FLWP (upper right) is LESS THAN 255 (i.e. Flow is on)!
c) At the bottom of the screen, press the Test & Options tab. DO NOT start the tests!
d) Per the Figure below, does the OPTIONAL [Dialysate Sampler] button appear?
Yes The [Dialysate Sampler] button should NOT appear! Refer to the NOTE below!
No The [Dialysate Sampler] does NOT appear! See procedure number F- 2.7.0 (page 41).
Call the Home screen. Figure right, if the TMP window is RED a TMP alarm
is present. TWO (2) possible scenarios:
1) IF (and ONLY if) the TMP window is WHITE: See procedure number F- 2.8.0 (page 42).
A) Press and release the ‘Reset’ key then immediately press and hold it for three (3) seconds.
D) Allow twenty (20) seconds then see procedure number F- 2.8.0 (page 42).
b) WITHOUT LOOKING AWAY, watch Flow Error for two (2) minutes OR until if it EVER = 1. TWO (2)
possible scenarios:
1) IF (and ONLY if) Flow Error = 1 even if just once: A problem is indicated in the ‘bypass circuit’!
Proceed to page 55, procedure number F- 5.0.0.
a) Press and hold the keyboard’s “1” key for five (5) seconds!
1) Qdl is NEVER LESS THAN 720 OR MORE THAN 880! Leaving the shunt door OPEN, see
procedure number F- 2.9.0 (page 42).
2) Qdl is OR becomes less than 720 OR more than 880! A problem is indicated in the ‘bypass’
circuit! Proceed to page 55, procedure number F- 5.0.0.
F- 2.9.0 Qdl REMAINING BETWEEN 720 AND 880 / ISOLATE FOR A LEAKING BC VALVE
a) Call debug screen 4 and locate PDIA AND ADIA (Figure right).
b) BOTH should be between 2.0 and 8.5 AND STABLE i.e. DOES NOT
change more than 0.4 per minute. WITHOUT LOOKING AWAY, watch for
two (2) minutes! TWO (2) possible scenarios:
1) IF (and ONLY if) PDIA AND ADIA are REMAINING stable between 2.0 and 8.5: See
procedure number F- 2.9.2 (page 44).
2) IF PDIA AND / OR ADIA is NOT remaining stable between 2.0 and 8.5: See parts a THROUGH f
next page:
c) Press the ‘Dialysis’ button but DO NOT press ’Confirm’ or ‘Enter’ TILL INSTRUCTED!
d) Call debug screen 0. If parts a through c were performed correctly the TOP balancing chamber
valves ‘dots’, #31 through #34, are REMAINING BLUE!
e) Remove the RED DIALYZER connector from the shunt door and HOLD
IT UP as seen in the Figure right!
f) Continuous flow, more than 0.2 ml per minute from the connector?
1) IF (and ONLY if) valve #41’s ‘dot’ cycles between white and blue: Turn
the machine off THEN proceed to page 572, SECTION 18A –
DIAGNOSTIC VALVE LEAK TESTS.
2) IF valve #41’s ‘dot’ STAYS white! Call debug screen 4. Once again, watch
PDIA AND ADIA for one (1) minute! TWO (2) possible scenarios i) or ii)
below:
i) IF (and ONLY if) PDIA AND / OR ADIA is NOT between 2.0 and 7.5
OR changes more than 0.1 i.e. is unstable: Proceed to page 505,
procedure number TMP- 3.0.0.
ii) IF PDIA AND ADIA is between 2.0 and 7.5 AND does NOT change
more than 0.1: Proceed to page 61, procedure number F- 6.1.2.
b) Call the Home screen. Is [Temperature] REMAINING between 35.5 and 38.5 °C AND Conductivity
REMAINING between 13.0 and 14.5 mS? TWO (2) possible scenarios:
1) IF (and ONLY if) Temperature AND / OR Conductivity is NOT remaining in range: Proceed
to page 47, procedure number F- 2.0.15.
c) Press ‘Enter’
d) Allow up to three (3) minutes OR until if Valve #24’s ‘dot’ turns blue. TWO (2) possible
scenarios next page:
2) IF after three (3) minutes it stays WHITE: Proceed to page 46, procedure number
F- 2.0.12.
Table 2
Call debug screen 1 to see VERR (right column, bottom). TWO (2) possible scenarios:
1) IF (and ONLY if) VERR = 1 or more: Proceed to page 213, TROUBLESHOOTING VALVE
ERRORS IN DIALYSIS PROGRAM.
2) IF VERR = 0: Call the Home screen. Has [Dialysate Flow] REMAINED 800 ml/min?
Yes [Dialysate Flow] is 800 ml/min! Proceed to page 120, procedure number F- 14.0.0.
c) Allow two (2) minutes THEN return to (ABOVE) procedure number F- 2.7.0 (page 41).
Call the Home screen. Is the [Temperature] window (Figure right) RED?
Yes [Temperature] window is red! See procedure number F- 2.0.13 (page 46).
a) Return to the Home screen. ENSURING [Conductivity] is REMAINING between 13.0 and
14.5 mS ENSURE also the Conductivity window is REMAINING pale yellow/white!
b) Call debug screen 0. Allow up to three (3) minutes OR until Valve #24’s ‘dot’ turns blue. TWO
(2) possible scenarios:
1) IF the ‘dot’ turns blue: Immediately return to page 45, procedure number F- 2.0.10.
2) IF it REMAINS white: If certain you are seeing or saw a Flow Error proceed to page
120, procedure number F- 14.0.0 to check the ‘out of bypass’ circuit (i.e. Valve #24 AND
Valve #25).
c) Press ‘Enter’.
d) Allow [Temperature] to stabilize to between 35.0 and 39.0 °C AND Conductivity to between 13.0 and
14.5 mS.
1) IF the ‘dot’ turns blue: Immediately return to page 45, procedure number F- 2.0.10.
2) IF REMAINS white: If certain you saw a Flow Error proceed to page 120, procedure number
F- 14.0.0, to check the ‘out of bypass’ circuit (i.e. Valve #24 AND Valve #25).
c) Press ‘Enter’.
Yes Flow Error EVER = 1! Proceed to page 55, procedure number F- 5.0.0.
1) IF (and ONLY if) BC Switch is EVER = 897 or more even if only once: Proceed
to page 55, procedure number F- 5.0.0.
2) IF BC Switch is NEVER = 897 or more: See procedure number F- 2.0.16 (page 47).
1) IF (and ONLY if) the Temperature window is red: Proceed to page 232,
SECTION 4 – TEMPERATURE PROBLEMS.
2) IF (and ONLY if) Conductivity is NOT between 13.0 and 14.5 mS: Proceed to page 335,
SECTION 5 – CONDUCTIVITY PROBLEMS.
3) IF the Temperature window is pale yellow/white AND Conductivity is between 13.0 and 14.5
mS: See (ABOVE) procedure number F- 2.9.2 (page 44).
A) WITHOUT returning the Air Sensor’s female connector yet, remove the resistor plug from the distribution
board.
No Less than 600 ml! Proceed to page 49, procedure number F- 3.1.3.
Yes A DiaSafe® filter WAS swapped in! Watch Flow Error for five (5) minutes. If it EVER = 1
proceed to page 50, procedure number F- 3.2.0. If Flow Error REMAINS = 0 DO NOT
continue.
No DO NOT replace the DiaSafe® filter at this time! Proceed to page 50, procedure
number F- 3.2.0!
c) Figure below, using a flashlight, check through Valve #43’s OUTPUT tubing for bio-growth
restrictions. If a restriction is located this may be the problem!
d) Allow four (4) minutes for Valve #43’s solenoid to become warm.
Yes Warm solenoid! TWO (2) possible bad components: 1) Actuator-Test* board OR; 2) Valve
#43.
*
To LOCATE the Actuator-Test board refer to Figure 4A (page 10).
No The solenoid IS NOT warm! NOTE ONLY VALVE #43 will be checked and proceed to
page 210, TROUBLESHOOTING A VALVE.
a) This procedure uses a psi gauge. ENSURE it reads 0 psi before installing it.
b) Watch for one (1) minute to ENSURE a “No Water” alarm NEVER occurs!
c) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
d) Allow Valve #43’s ‘dot’ (Figure right) to turn blue then WHITE again! While
white, does pressure CYCLE, about every three (3) seconds, to between 35
and 36 psi?
Yes Between 35 and 36 psi! See procedure number F- 3.3.0 (page 51).
No Is NOT between 35 and 36 psi! ENSURING the machine was in RINSE AND no leaks, TWO
(2) possible scenarios below:
1) IF (and ONLY if) pressure is too low: DO NOT calibrate instead proceed to page
101, procedure number F- 9.0.2.
2) IF pressure is too high: Perform parts a AND b below:
a) Per the Figure above, adjust Valve #78 until pressure cycles to between 35 and 36
psi!
c) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’!
1) IF (and ONLY if) the TMP window is NOT red: See procedure number F- 3.6.0 (page 51).
2) IF the TMP window is red (TMP alarm): See parts a THROUGH c below:
a) Press and release the ‘Reset’ key then immediately press and hold it for three (3) seconds.
c) If a TMP alarm reoccurs, repeat parts a and b up to twice more BEFORE continuing to
procedure number F- 3.6.0 (page 51).
1) IF (and ONLY if) REMAINS ALWAYS = 897 or more: Return to (ABOVE) procedure number
F- 2.0.0 (page 38).
2) IF (and ONLY if) NEVER = 897 or more: The Flow Error must be VERY intermittent!
Procedure number F- 3.8.0 (page 52) may locate it!
3) IF EVER cycles to 897 or more but does NOT remain 897: See parts a THROUGH e below:
a) Replace the DiaSafe® filter preferably with one from another machine that is not exhibiting
Flow Errors.
b) Place the machine into RINSE for five (5) minutes to prime the filter.
d) From the Home screen, allow [Conductivity] to increase to more than 13.0 mS.
e) Call debug screen 6 to watch BC Switch for five (5) full minutes OR until if it EVER = 897 or
more! THREE (3) possible scenarios next page:
1) IF (and ONLY if) REMAINS = 897 or more: Return to (ABOVE) procedure number
F- 2.0.0 (page 38).
2) IF (and ONLY if) NEVER 897 or more: The Flow Error is not occurring now. Replacing
the Diasafe® filter may have fixed the problem HOWEVER, watch for BC Switch for five
(5) more minutes.
3) IF EVER cycles to 897 or more but DOES NOT remain 897 or more: See procedure
number F- 3.8.0 (page 52).
a) It is RECOMMENDED to perform an acid clean as bicarb precipitate may restrict hydraulic pathways
causing intermittent flow errors.
1) IF (and ONLY if) the TMP window is NOT red: See procedure number F- 3.8.1 (page 53).
2) IF the TMP window is red (TMP alarm): See parts a THROUGH c below:
a) Press and release the ‘Reset’ key then immediately press and hold it for three (3) seconds.
c) If a TMP alarm reoccurs, repeat parts a and b up to twice more BEFORE continuing to
procedure number F- 3.8.1 (page 53).
The following step-by-step procedures may locate an extremely intermittent Flow Error:
5) Call debug screen 0. Watching for up to ten (10) minutes, if Flow Error EVER = 1 continue to step #6.
6) Call debug screen 1. If VERR EVER = 1 or more indicates an intermittent Valve Error. In this event
ONLY see procedure number F- 2.0.0 (page 38). If VERR = 0 continue to step #7.
7) Call debug screen 0. A) ENSURE Chamber #69 says “No Air”; B) If drain flow and
incoming water pressure is good almost every time the Balancing Chamber valve
‘dots’ cycle, Valve #41’s ‘dot’ turns blue for about one (1) second.
8) Call debug screen 4. ENSURE PDIA (left column) is between 2.0 and 8.0 AND is IS NOT changing
more than 0.3 per minute which may indicate a bad DiaSafe® filter OR a leaking balancing chamber
valve.
9) Performing parts a through e below, may locate an intermittent bad CFS transducer:
a) From the Home screen, set [Dialysate Flow] to “OFF” and press ‘Enter’.
b) Call debug screen 0. Figure right, ENSURE FLWP = 255 (Flow is off).
d) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
e) Repeat parts a through d at least eight (8) times. If ACFS goes to between 4.0 and 5.9
instantaneously, EVERY SINGLE TIME, continue to step #10 (next page).
11) If Conductivity is remaining less than 14.3 mS continue to step #12. If Conductivity increases to
14.4 mS or more, ENSURING Loading Pressure remains ‘OKAY’ AND drain flow is GOOD (i.e.
Valve #41’s ‘dot’ cycling between blue and white) may indicate an intermittent ‘stuck closed’
balancing chamber valve. Diagnostic Valve Leak Tests will NOT help but procedure number F- 7.0.0
(page 70) may.
13) From debug screen 0, allow Valve #24’s ‘dot’ to turn blue i.e. no Temp, Cond or bibag alarms.
Continue to step #14.
14) If Flow Error remains = 0 for five (5) minutes continue to step #15. If Flow Error EVER = 1 along with
a possible “TMP is High” and/or “Filling Program” AND Loading Pressure remains ‘OKAY’ may
indicate: 1) A restricted DiaSafe® filter OR; 2) Restricted external dialysate line filter #73 OR;
3) Restricted Valve #24 OR; 4) Restricted Valve #25.
15) BEFORE continuing to step #16, NOTE this page number as you may be prompted to return here.
16) Proceed to page 580 to perform SECTION 19 - TESTING FOR A LEAKING BALANCING
CHAMBER DIAPHRAGM
17) If a leaking balancing chamber diaphragm was not located in step #16, return to Dialysis Program
and allow five (5) minutes BEFORE continuing to step #18.
18) From the Home screen, press the [Dialysate Flow] window.
20) ENSURING debug screen 0’s Chamber #69 says “No Air” constantly, if necessary, RESET a TMP
alarm then continue to step #21.
21) A) Allow twenty (20) minutes or longer ENSURING TMP does NOT become more than 300 AND a
TMP alarm NEVER occurs; C) Call debug screen 10. If ACFS HI = 6.0 or more may indicate a bad
CFS transducer #10. If ACFS HI is NOT = 6.0 or more continue to step #22
22) If Deaeration motor brushes have not been replaced at 8000 hour intervals do so now. If Flow motor
brushes have never been replaced do so now.
Note: ENSURE ‘soft brushes’ are installed in the Flow motor!
23) Call debug screen 0. Without resetting alarms, ENSURING Flow Error is NEVER = 1 watch FLWP
for several minutes. If it changes by more than +/- 2 either the DiaSafe® filter may be bad OR the Flow
Pump or motor may be bad!
24) If the preceding steps did not locate a problem the Troubleshooting Guide cannot locate a Flow Error!
1) IF (and ONLY if) SURE the machine was NOT worked on previously for this Flow problem:
See procedure number F- 5.1.0 (page 56).
2) IF the machine WAS or MAY have been worked on: See parts a THROUGH c below:
a) Leave the machine in Dialysis Program and DO NOT turn Dialysate Flow “OFF”!
b) Per Figure 9 below, CAREFULLY trace the wires from EACH valve to its distribution
board position.
c) If (and ONLY if) a wiring error is NOT located see procedure number F- 5.1.0 (page 56). If a
wiring error was located this may be the problem.
b) Watch BC Switch (middle column) for thirty (30) FULL seconds. Does it REMAIN
ALWAYS = 897?
Yes BC Switch ALWAYS = 897! See procedure number F- 5.1.1 (page 56).
No BC Switch IS NOT always = 897! Proceed to page 57, procedure number F- 5.2.0 (page 57).
a) Figure below, CAREFULLY trace BOTH wire harnesses from distribution board connectors “X9,
P-Dial” AND “X10, CFS” to ENSURE they go to the correct (blue) Pressure Transducer.
Yes BOTH are connected properly! See procedure number F- 5.2.0 (page 57).
No Connect them properly i.e. CFS #10 → “X10, CFS”; Dialysate Pressure #9 → “X9, P-Dial”
and allow one (1) minute. Call debug screen 1 to watch Flow Error for four (4) minutes. If it
remains = 0 this may have fixed the problem. If it EVER = 1, even just once, continue
procedure number F- 5.2.0 (page 57)
Yes REMAINING ALWAYS RED! See procedure number F- 5.3.0 (page 57).
c) Is the external flow indicator’s ‘bob’ rising at least ¼ way up in the sight tube?
F- 5.3.0 COND AND / OR TEMP WINDOWS ALWAYS RED / ISOLATE VALVE #24 / VALVE #26
Is the external flow indicator’s ‘bob’ rising at least ¼ way in the sight tube?
Yes ‘Bob’ moving! If SURE the Conductivity AND / OR the Temperature window is ALWAYS
RED proceed to page 119, procedure number F- 13.0.0.
c) Watching for one (1) minute, flow MAY occur every nine (9) seconds!
d) Consider ALL FOUR (4) scenarios below AND proceed with the one that BEST MATCHES:
Figure A
Figure B
Figure C
Scenario #4: IF No Flow EVER: If (and ONLY if) the [Dialysate Flow] window says “OFF” OR
is blinking return to (ABOVE) procedure number F- 5.2.0
(page 57). If [Dialysate Flow] does NOT say “OFF” and is
not blinking proceed to page 67, procedure number
F- 6.3.0.
F- 6.1.0 PULSE – STOP – PULSE OR ‘DRIBBLE’ / ISOLATE FOR STUCK OPEN BC VALVE
B) ENSURING [Dialysate Flow] is on ENSURE a good drain connection by listening for or visually
verifying flow.
C) If a TMP alarm is NOT present skip to part D. If a TMP alarm is present: 1) Press and release the
‘Reset’ key then immediately press and hold it for three (3) seconds; 2) Allow thirty (30) seconds;
3) If a TMP alarm reoccurs attempt RESET up to twice more BEFORE continuing to part D.
E) Call debug screen 4 to watch PDIA (left column) AND ADIA (right
column) for TWO (2) minutes. BOTH should REMAIN between
1.5 and 8.5 AND STABLE i.e. does NOT change more than 0.3
per minute!
1) IF (and ONLY if) PDIA AND ADIA is REMAINING between 1.5 and 8.5 AND is STABLE:
Proceed to page 62, procedure number F- 6.1.4.
2) IF PDIA and / or ADIA is NOT remaining between 1.5 and 8.5 and / or is NOT stable: See
procedure number F- 6.1.1 (page 60).
a) Momentarily plug the RED (acid) concentrate connector into its rinse port to call “Select Program”.
c) Press the ‘Dialysis’ button but DO NOT press ‘Confirm’ or ‘Enter’ till instructed!
d) Call debug screen 0. If parts a through c were performed correctly the TOP balancing chamber valves
‘dots’ are REMAINING BLUE!
e) Remove the red DIALYZER connector from the shunt door and HOLD IT
UP as seen in the Figure right.
f) Continuous flow, more than 0.2 ml every minute, from the connector?
Yes Continuous flow! Turn the machine off THEN proceed to page 572,
SECTION 18A – DIAGNOSTIC VALVE LEAK TESTS.
c) From debug screen 0, Figure right, watch valve #41’s ‘dot’ for thirty
(30) seconds. TWO (2) possible scenarios:
1) IF (and ONLY if) valve #41’s ‘dot’ cycles between white and blue: Turn the
machine off THEN proceed to page 572, SECTION 18A – DIAGNOSTIC VALVE
LEAK TESTS
2) IF valve #41’s ‘dot’ STAYS white: Call debug screen 4. Watch PDIA AND ADIA
again for one (1) minute, TWO (2) possible scenarios i) or ii) below:
i) IF (and ONLY if) PDIA AND / OR ADIA is NOT between 3.0 and 7.5 OR
changes more than 0.1 i.e. unstable: Proceed to page 505, procedure
number TMP- 3.0.0.
ii) IF PDIA AND ADIA are between 3.0 and 7.5 and DOES NOT change more
than 0.1 i.e. is stable: See procedure number F- 6.1.2 (page 61).
B) Preferably from another machine, that is not having Flow Errors, swap in a DiaSafe® filter!
C) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
E) Allow five (5) minutes OR until NO AIR bubbles are seen flowing through the DiaSafe housing tubing.
H) If a TMP alarm is NOT PRESENT skip to part J. If a TMP alarm is present: 1) Press and release the
‘Reset’ key then immediately press and hold it for three (3) seconds; 2) Allow thirty (30) seconds; 3) If
a TMP alarm reoccurs attempt RESET up to twice more BEFORE continuing to part I.
J) Call debug screen 0. WITHOUT LOOKING AWAY watch Flow Error for four (4) minutes OR until it
EVER = 1, even just once, indicating a Flow Error. TWO (2) possible scenarios 1) or 2) below:
1) IF (and ONLY if) Flow Error ALWAYS = 0: Possibly the Diasafe® filter fixed the problem OR the
flow error is intermittent! Proceed to page 44, procedure number F- 2.9.2.
2) IF Flow Error EVER = 1: Call debug screen 4. PDIA should REMAIN between 1.5 and 8.0 AND
STABLE i.e. DOES NOT change more than 0.3 per minute. Watch it for two (2) minutes. TWO (2)
possible scenarios 3) or 4) below:
3) IF (and ONLY if) PDIA is IS NOT remaining between 1.5 and 8.0 and / or is IS NOT
stable: See procedure number F- 6.1.3 (page 61).
4) IF PDIA is STABLE between 1.5 and 8.0: Close the shunt door THEN proceed to
page 62, procedure number F - 6.1.4
c) BEFORE continuing to part d, proceed to page 572, to perform SECTION 18A – DIAGNOSTIC
VALVE LEAK TESTS.
d) If a leaking balancing chamber valve was NOT located in part c, proceed to page 73, procedure
number F- 7.0.4.
a) Call the Home screen. ENSURE [Dialysate Flow] is still set to 800 ml/min.
b) [Conductivity] MUST BE more than 11.0 mS indicating the Acid Pump is drawing!
Yes [Conductivity] more than 14.7 mS! Proceed to page 70, procedure number F- 7.0.0.
No [Conductivity] less than 14.7 mS! ENSURING [Dialysate Flow] is at 800 ml/min, see parts A
THROUGH F below:
D) Figures below, ENSURING TMP is STABLE between +200 and negative 400 (stable =
does DOES NOT change more than 40 per minute), watch ACFS for two (2) minutes. TWO (2)
possible scenarios below:
Scenario #1: ACFS NORMAL behavior: Mostly remains between 2.0 and 5.0 but may
occasionally drop below 1.0 but for NO MORE than ten (10) seconds. If
(and ONLY if) ACFS is behaving normally continue to part E.
Scenario #2: ACFS ABNORMAL behavior: If EVER 5.9 or more OR remains lower than 1.0
for LONGER THAN ten (10) seconds proceed to page 97, procedure number
F- 8.0.0.
F) WITHOUT LOOKING AWAY, ENSURING a “No Water” banner NEVER appears, watch BC
Switch for up to five (5) minutes OR until if it EVER is more than 400 OR less than 203. FOUR
(4) possible scenarios 1) or 2) or 3) or 4) next page:
2) IF (and ONLY if) BC Switch is NEVER more than 400 OR less than 203: See procedure
number F- 6.1.5 (page 63).
3) IF (and ONLY if) BC Switch cycles CONSISTENTLY from about 220 for nine (9)
seconds to more than 400 for two (2) seconds: Proceed to page 70, procedure
number F- 7.0.0!
4) IF BC Switch is EVER more than 400 OR less than 203 but NOT CONSISTENTLY as
in Scenario #3: To locate an intermittent bad CFS Transducer perform parts a through e
below:
a) Call debug screen 0. If Valve #24’s ‘dot’ is blue ENSURE the external flow indicator’s
bob is moving up and down
b) From the Home screen, set [Dialysate Flow] to “OFF” and press ‘Enter’.
e) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’. Repeat
parts a through e at least eight (8) times. If ACFS, goes to between 4.0 and 5.9, within
0.5 seconds, EVERY SINGLE TIME, see procedure number F- 6.1.5 (page 63).
1) IF (and ONLY if) the TMP window is white: See procedure number F- 6.1.6 (page 64).
2) IF the TMP window is RED (TMP alarm): See parts a THROUGH d below:
a) Press and release the ‘Reset’ key then immediately press and hold it for three (3) seconds;
c) If a TMP alarm reoccurs attempt RESET up to twice more BEFORE continuing to part d
d) Allow thirty (30) seconds BEFORE continuing to procedure number F- 6.1.6 (page 64).
Call debug screen 4 to again watch PDIA for TWO (2) FULL minutes. TWO (2) possible scenarios:
1) IF (and ONLY if) PDIA increases to more than 8.0 OR drops to less than 2.0: Return to
page 60, procedure number F- 6.1.1.
2) IF PDIA NEVER increases to more than 8.0 OR drops to less than 2.0: As NOTED in procedure
number F- 6.0.0 (page 58), drain flow was either: 1) Pulse – Stop – Pulse – Stop – etc. (NO ‘dribble’)
OR; 2) Pulse – Stop – Pulse – ‘dribble’ (a noticeably weaker stream) etc. TWO (2) possible scenarios
i) or ii) below:
i) IF (and ONLY if) drain flow = Pulse – Stop – Pulse – Stop (NO ‘dribble’): See procedure
number F- 6.1.7 (page 64).
ii) IF drain flow = Pulse – Stop – Pulse – ‘Dribble’ (two second slow stream): A procedure, in a
different Section, is performed next. NOTE this page and procedure number (F- 6.1.6), because
you may prompted to return to here, THEN perform parts A through C below:
A) BEFORE continuing to part b proceed to page 580, to perform SECTION 19 - TESTING FOR
A LEAKING BALANCING CHAMBER DIAPHRAGM.
B) If a balancing chamber diaphragm leak was not located in part a, return to Dialysis Program
(“Select Program” → ‘Dialysis’ → ‘Enter’).
a) If (and ONLY if) you have EVER seen [Temperature] ‘bounce’ up and down, more than 0.5º C, with
less than one (1) second in between, TWO (2) procedures: #1) NOTE this page and procedure number
(F- 6.1.7) for as you may be prompted to return here; #2) BEFORE continuing to part b proceed to
page 580, SECTION 19 - TESTING FOR A LEAKING BALANCING CHAMBER DIAPHRAGM.
b) Call debug screen 1. FLWP (upper right column) is a digital-to-analog value that controls Flow Pump
speed. It should remain stable (+/- 2). Without looking away watch FLWP for up to THREE (3) minutes.
Does it increase steadily more than 4, until a Flow Error occurs then falls only to increase again until a
Flow Error occurs, etc.?
Yes FLWP ramping up and down more than +/- 2: Possibly a tubing restriction somewhere. Start with
the Diasafe® filter possibly even inside the
housing.
1) IF (and ONLY if) BC Switch REMAINS ALWAYS = 897: ENSURING a “No Water” alarm has
NEVER occurred proceed to page 97, procedure number F- 8.0.0.
2) IF (and ONLY if) BC Switch ‘cycles’ to more than four-hundred (400) for two (2) seconds
then to less than 3.0 for nine (9) seconds: Proceed to page 70, procedure number F- 7.0.0.
3) IF (and ONLY if) BC Switch ‘cycles’ to more than four-hundred (400) but NEVER to 897:
See procedure number F- 6.1.9 (page 65).
4) IF BC Switch is NEVER more than four-hundred (400): See parts a THROUGH c below:
a) Call debug screen 1. If NPHT (upper right) is decreasing press and hold
the keyboard’s “1” key until it is more than 600 then see part b If (and
ONLY if) NPHT = 720 skip to part c.
Yes BC Switch is REMAINING between 203 and 248! The Flow Error is not
presenting at this time. It may be extremely intermittent! Return to page 52,
procedure number F- 3.8.0
No BC Switch is NOT remaining between 203 and 248! Call the Home screen. TWO
(2) possible scenarios below:
1) IF (and ONLY if) [Dialysate Flow] has remained at 800 ml/min: See
procedure number F- 6.1.9 (page 65).
2) IF [Dialysate Flow] has NOT remained 800 ml/min: Set it to 800, allow thirty
(30) seconds, then return to (ABOVE) procedure number F- 6.1.8 (page 65).
Yes [Conductivity] = More than 14.8 mS! Proceed to page 70, procedure number F- 7.0.0.
No [Conductivity] is less than 14.8 mS! Proceed to page 69, procedure number F- 6.5.0.
Drain flow NEVER stops! From the Home screen, is [Conductivity] more than 15.0 mS?
Yes [Conductivity] more than 15.0! ENSURING Loading Pressure (Rinse port gauge) is
peaking to between 23 and 27 psi, see procedure number F- 6.3.0 (page 67).
No [Conductivity] remaining less 15.0! This procedure checks if Valve #43 is sticking open.
See parts a AND b below:
a) Per the Figure below, double clamp valve #43’s OUTPUT tubing. NOTE! The
output tubing extends towards the front of the machine!
1) IF (and ONLY if) drain flow becomes Pulse → Stop → Pulse → Stop:
Remove the clamps from valve #43. TWO (2) possible bad components: 1) Bad
Actuator-Test* Board OR; 2) Bad valve #43.
Per the Figure below, touch valve #30’s (black) solenoid. Is it HOT?
No Solenoid is NOT hot! NOTE ONLY VALVE #30 will be checked and proceed to page 210,
TROUBLESHOOTING A VALVE.
b) Press ‘Enter’!
c) Check through Valve #30’s input AND output tubing for bio-growth
restrictions.
d) Figure right, at the rear of the machine, remove the tubing from the
‘To Drain’ (BOTTOM!) nozzle.
f) Per the Figure above, remove the tubing from Valve #30’s INPUT nozzle.
g) Attach a syringe, with tubing attached that will fit SNUG over Valve #30’s nozzle.
h) Push or pull on the syringe plunger. If Valve #30 is open the plunger moves with no resistance. TWO (2)
possible scenarios next page:
2) IF the plunger OFFERS RESISTANCE: Valve #30 is restricted! TWO (2) possible bad
components: 1) Bad Valve #30 OR; 2) Bad Actuator-Test Board. To LOCATE the board refer to
Figure 4A (page 10).
a) Reconnect valve #30’s INPUT tubing but DO NOT reattach the drain tubing to the rear the machine!
1) IF (and ONLY if) the TMP window is NOT red: See procedure number F- 6.4.2 (page 68)
2) IF the TMP window is red (TMP alarm): See parts A THROUGH C below:
A) Press and release the ‘Reset’ key then immediately press and hold it for three (3) seconds.
C) If a TMP alarm reoccurs attempt RESET up to twice more BEFORE continuing to procedure
number F- 6.4.2 (page 68).
b) Measure flow from the REAR ‘To Drain’ port for one (1) minute. TWO (2) possible scenarios:
1) IF (and ONLY if) LESS THAN 725 ml: Proceed to page 70, procedure number
F- 7.0.0.
2) IF MORE THAN 725 ml: Check the drain tubing and it’s (if used) ‘Quick Connector’ for possible
bio-growth restrictions.
a) IMPORTANT! From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’!
1) IF the TMP window is NOT red: See procedure number F- 6.5.2 (page 69).
2) IF the TMP window is RED (TMP alarm): A) Press and release the ‘Reset’ key then press and
hold it for three (3) seconds; B) Allow thirty (30) seconds; C) If a TMP alarm reoccurs attempt
RESET up to twice more BEFORE continuing to procedure number F- 6.5.2 (page 69).
TMP is STABLE if the TMP window remains white AND does NOT change more than 60 in three (3)
minutes. TWO (2) possible scenarios:
1) IF (and ONLY if) TMP is UNSTABLE: See procedure number F- 6.6.0 (page 69).
2) IF TMP is STABLE: A procedure, in a different Section, is performed next. NOTE this page and
procedure number (F- 6.5.2) as you may be prompted to return to here. Perform parts A through C
below:
A) BEFORE continuing to part B, proceed to page 580, to perform SECTION 19 - TESTING FOR
A LEAKING BALANCING CHAMBER DIAPHRAGM.
B) If a balancing chamber diaphragm leak was not located in part A, return to Dialysis Program
(“Select Program→ ‘Dialysis’ → ‘Enter’)!
a) A procedure, in a different Section, is performed next. NOTE this page and procedure number (F- 6.6.0)
as you may prompted to return to here.
b) BEFORE continuing to part c, proceed to page 572, to perform SECTION 18A – DIAGNOSTIC
VALVE LEAK TESTS
c) If a leaking balancing chamber valve was not located in part b, return to Dialysis Program (“Select
Program” → ‘Dialysis’ → ‘Enter’)!
d) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
e) Call debug screen 6. WITHOUT LOOKING AWAY, watch BC Switch for up to five (5) minutes.
ENSURING a “No Water” alarm NEVER occurs does BC Switch EVER = 897 or more even just once?
Yes BC Switch = 897 or more (constant or once in a while): Proceed to page 70, procedure
number F- 7.0.0.
No BC Switch NEVER, EVER = 897 or more: If TMP remains unstable proceed to page 483,
SECTION 9- TMP PROBLEMS . If TMP is stable the flow problem is no longer presenting.
a) Call the Home screen. ENSURE [Dialysate Flow] is on* at 800 ml/min!
b) Recheck Loading Pressure (Rinse port gauge). It may not cycle but must PEAK to between
23 and 27 psi?
Yes Between 23 and 27 psi! See procedure number F- 7.0.1 (page 70).
No Less than 23 OR more than 27 psi! Return to page 33, procedure number F- 1.0.7.
A) Call debug screen 0. Watch Flow Error (TOP window) for one (1) minute. TWO (2) possible scenarios:
1) IF Flow Error is ALWAYS = 1 (i.e. NEVER = 0): See procedure number F- 7.0.2 (page 71).
B) ENSURING the machine has been in Dialysis Program at least five (5) minutes. Call the Home screen.
Is [Conductivity] = 17 mS?
No [Conductivity] is less than 17 mS! Possibly even within range sometimes but then drifts
high. See part C
C) As bicarb precipitate may be partially plugging hydraulic pathways perform (2) two subsequent Acid
Cleans using vinegar or citric acid.
D) After the last Rinse cycle, return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
H) WITHOUT LOOKING AWAY, watch Flow Error for up to FIVE (5) minutes OR until it EVER = 1, even if
just once! TWO (2) possible scenarios:
1) IF (and ONLY if) Flow Error EVER = 1! See procedure number F- 7.0.2 (page 71).
2) IF Flow Error ALWAYS = 0! A flow error is not presenting at this time! Possibly the Acid Clean
fixed the problem!
CHECK #1 CAREFULLY check the ENTIRE LENGTH of the Actuator Cable for damage!
CHECK #3 ENSURE the valves are plugged into their CORRECT distribution board positions!
Yes ENSURING the problem was repaired, see procedure number F- 7.0.2.1 (page 71).
F- 7.0.2.1 PROBLEM WITH ACTUATOR CABLE OR VALVE NOT PLUGGED IN WAS LOCATED
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
c) Allow five (5) minutes then set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
d) Call debug screen 0, WITHOUT LOOKING AWAY, watch Flow Error for up to FIVE (5) minutes OR
until it EVER = 1, even if just once! TWO (2) possible scenarios:
1) IF (and ONLY if) Flow Error EVER = 1! See procedure number F- 7.0.3 (page 72).
* Note: Known good = has been tested in another machine that is NEVER issuing Flow Errors! If a
known good Actuator-Test board is NOT used here AND the problem is a bad board you may
perform unnecessary, and time consuming, component replacement!
d) Turn the machine on return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
f) Call debug screen 0. WITHOUT LOOKING AWAY, watch Flow Error for up to FIVE (5) minutes OR
until it EVER = 1, even if just once. TWO (2) possible scenarios:
1) IF (and ONLY if) Flow Error EVER = 1! See procedure number F- 7.0.4 (page 73) to test for a
restricted Balancing Chamber valve!
2) IF Flow Error ALWAYS = 0! Problem solved! The previous Actuator-Test Board may be bad.
b) Balancing Chamber valve connectors will be switched to test ‘fresh side’ flow paths. Flow is measured
into a 1000 ml GRADUATED cylinder for one (1) minute. Good flow = more than 800 ml every minute!
c) ENSURING “Select Program” REMAINS up, perform PARTS 1 AND 2 EVEN IF PART 1 yields bad
flow!
PART 1: a) Remove the RED DIALYZER connector from the shunt door and place it into a bucket!
b) Plug valve #35’s connector into valve #30’s distribution board position, “V30”. Leave
valve #30 unplugged!
c) Hold the connector over the bucket and watch flow (if any) for one (1) minute. If good
initially but significantly slows indicates an intermittent bad valve #31 or #35. If no flow,
ENSURE valve #35’s connector is placed properly in position “V30”. If okay see part d!
d) Measure flow, from the RED connector, into the cylinder for one (1) minute.
c) Watch flow (if any) from the connector for one (1) minute. If good initially but
significantly slows indicates a bad valve #33 or #37. If no flow, ENSURE valve #37’s
connector is placed properly in position “V30”. If okay see part d.
d) Measure flow, from the RED connector, into the cylinder, for one (1) minute!
f) Leaving valve #37 in valve #30’s position for now, analyze BOTH Part 1 AND Part 2’s
measurements per Table 3 below:
Less than 800 ml Less than 800 ml See procedure number F- 7.0.5 (page 79)
Less than 800 ml More than 800 ml See procedure number F- 7.3.33 (page 75)
More than 800 ml Less than 800 ml See procedure number F- 7.4.44 (page 77)
More than 800 ml More than 800 ml See procedure number F- 7.3.1 (page 83)
PART 1 THEORY: Plugging V35 into V30’s distribution board position should open V35. If V31 AND V35
are open, as well as no other restrictions in the path, flow will be directed to the shunt where it is measured.
PART 2 THEORY: Plugging V37 into V30’s distribution board position should open V37. If V37 AND V33
are open flow will be directed to the shunt
Balancing Chamber Valve #35 and/or Valve #31 is not opening. Also, the Actuator Cable or distribution
board may be bad. These procedures isolate between these components:
C) Per the Figure below, replace Valve #35 with a known good valve.
D) Plug the new Valve #35’s connector into Valve #30’s distribution board position, “V30”.
F) With “Select Program” up, measure flow, from the RED connector, into the cylinder for one (1) minute.
More than 800 ml collected?
Yes More than 800 ml collected! Problem located! The previous Valve #35 is bad.
No Less than 800 ml collected! See procedure number F- 7.3.44 (page 75).
B) Plug valve #35’s connector into its PROPER distribution board position, “V35”.
C) Per the Figure above, replace Valve #31 with a known good valve.
D) Plug the new Valve #31’s connector into Valve #30’s distribution board position, “V30”.
F) With “Select Program” up, measure flow, from the RED connector, for one (1) minute. More than 800 ml
collected?
Yes More than 800 ml collected! Problem located! The previous Valve #31 is bad.
b) THREE (3) possible bad components: 1) Bad Actuator-Test board; 2) Bad Actuator
cable; 2) Bad distribution board.
Balancing Chamber Valve #37 and/or Valve #33 is not opening. Also, the Actuator Cable or distribution
board may be bad. These procedures isolate between these components:
B) Per the Figure below, replace Valve #37 with a known good valve.
C) Plug the new Valve #37’s connector into Valve #30’s distribution board position, “V30”.
E) With “Select Program” up, measure flow, from the RED connector, into the cylinder for one (1) minute.
More than 800 ml collected?
Yes More than 800 ml collected! Problem solved! The previous Valve #37 is bad.
No Less than 800 ml collected! See procedure number F- 7.4.45 (page 77).
B) Plug the new valve #37’s connector into its distribution board position, “V37”!
C) Per the Figure above, replace Valve #33 with a known good valve.
D) Plug the new Valve #33 into Valve #30’s distribution board position, “V30”!
F) With “Select Program” up, measure flow, from the RED connector, for one (1) minute. More than 800 ml
collected?
Yes More than 800 ml collected! Problem solved! The previous Valve #33 is bad.
b) THREE (3) possible bad components: 1) Bad Actuator-Test board*; 2) Bad Actuator
cable* OR; 3) Bad distribution board.
b) EXCEPT for valve #37 and valve #30, ENSURE ALL OTHER valves are plugged into their PROPER
distribution board positions!
c) TWO (2) ‘touch’ checks on valve #26 AND #25’s (black) solenoids:
8TOUCH CHECK #1: Per Figure 15 below touch Valve #26’s solenoid.
TOUCH CHECK #2: Per Figure 16 (next page), above (blue) Dialysate Pressure Transducer #9, is
Valve #25. Touch its solenoid then see part d.
d) Per Table J below, respond according to BOTH ‘touch’ checks:
Warm (or Hot) Warm (or Hot) See procedure number F- 7.0.6 (page 80)
c) Remove the clamp and measure flow, from the tubing, for one (1) minute. 800 ml or more collected?
Yes 800 ml or more! A) Clamp and reattach the tubing; B) See procedure number F- 7.0.7 (page 80).
No Less than 800 ml! A) Clamp and reattach the tubing; B) Proceed to page 82, procedure number
F- 7.0.9.
b) Remove the clamp from Valve #26 and measure from the
Flow Pump tubing for one (1) minute. 800 ml or more
collected?
b) Using a flashlight, check for restrictions through the tubing between valve #26 and Air
Removal Chamber #69.
c) Assuming all above procedures were performed correctly, TWO (2) possible bad
components: 1) Bad Actuator-Test* Board OR; 2) Bad valve #26.
c) Figure below, open Dialysate Line Filter #73’s housing and measure flow from the tubing segment shown
for one (1) minute.
Yes 800 ml or more! A) Return valve #37 and #30 to their distribution board positions;
B) A restriction between Filter #73 and the red dialyzer connector is indicated.
b) Figure above, using a flashlight, check for restrictions (possibly bio-growth) through the
tubing to and from Valve #25, Dialysate Pressure Transducer #9, and Blood Leak Sensor
#8. If a restriction is located this is the problem!
c) Assuming all above procedures were performed correctly, valve #25 is bad.
d) Measure flow, from the tubing for one (1) minute. 800 ml or more collected?
Yes 800 or more! A) Clamp and reattach the tubing; B) See procedure number F- 7.1.0
(page 82).
a) Return valves #30 and #37 to their respective distribution board positions.
b) Read before performing! CAREFULLY repeat from (ABOVE) procedure number F- 7.0.4
(page 73) but if you return here THREE (3) possible bad components: 1) Bad Actuator-
Test Board1 OR; 2) Bad Actuator-Test board cable OR; 3) Multiple restricted balancing
chamber valves2 #31, #33, #35 and #37
1
To LOCATE the Actuator-Test board refer to Figure 4A (page 10)
2
To LOCATE valves #31, #33, #35 and #37 refer to Figure 14 (page 76)
b) Using a flashlight, check for restrictions (possibly bio-growth), through the tubing, to and from the
balancing chamber valves and the DiaSafe® filter. If no restrictions are located, replace the DiaSafe®
filter per procedure.
a) CAUTION! Return valves #30 AND #37 to their PROPER distribution board positions.
c) A bucket, filled with at least ten (10) liters (3.0 gallons) tap or RO water, is REQUIRED!
Yes Air bubbles seen! The FLOW PUMP may be oriented incorrectly! Figure 17 below shows
CORRECT orientation!
No bubbles! Leaving the Flow Pump plugged in AND the dialyzer connector in the bucket, see
procedure number F- 7.3.2 (page 84).
b) Figure right, at the rear of the machine, remove the tubing from the
Drain (BOTTOM!) nozzle. Flow from the nozzle will be measured.
Good flow is more than 800 ml per minute!
b) Plug valve #36 into valve #33’s distribution board position, “V33”.
c) Watch drain flow (if any) for one (1) minute. If good initially but significantly slows down
indicates an intermittent bad valve #32 or #36. If no flow ENSURE valve #36’s
connector is placed properly in position “V33”. If okay see part d!
b) Plug valve #38 into valve #31’s distribution board position, “V31”.
c) Watch drain flow (if any) for one (1) minute. If good initially but significantly slows down
indicates an intermittent bad valve #34 or #38. If no flow, ENSURE valve #38’s
connector is placed properly in position “V31”. If okay see part d.
e) Unplug valve #38 THEN analyze BOTH Part 3 AND Part 4’s measurements per Table
4 below:
Less than 800 ml Less than 800 ml See procedure number F- 7.4.0 (page 86)
Less than 800 ml More than 800 ml See procedure number F- 7.6.10 (page 92)
More than 800 ml Less than 800 ml See procedure number F- 7.7.20 (page 94)
More than 800 ml More than 800 ml See procedure number F- 7.8.0 (page 96)
PART 3 THEORY: V36 is plugged into V33’s position which should open V36. If both V36 and V32 are
open the Flow Pump draws from the bucket and sends it through the spent side of the balancing chamber,
through V30, to drain where it is measured.
PART 4 THEORY: V38 is plugged into V31’s position which should open V38. If both V31 and V38 are
open the Flow Pump draws from the bucket and sends it through the spent side of the balancing chamber
to drain.
Yes There was some flow! Proceed to page 87, procedure number F- 7.4.3
No There was no flow at all! See procedure number F- 7.4.2 (page 86).
Figure below, EXCEPT for valves #38 and #31, ENSURE are ALL OTHER valves, especially Valve #30,
are plugged PROPERLY into their distribution board positions?
Yes Valves plugged in correctly! See procedure number F- 7.4.3 (page 87).
No You located a valve plugged wrong! Return ALL VALVES to their distribution board PROPER
positions and return to page 84, procedure number F- 7.3.2.
Per the Figure below, touch valve #30’s (black) solenoid. Is it HOT?
Yes Valve #30’s solenoid is hot! See procedure number F- 7.4.4 (page 87).
b) Return the Deaeration AND Flow Pump to their distribution board positions.
c) NOTE ONLY VALVE #30 will be checked and proceed to page 210,
TROUBLESHOOTING A VALVE.
a) Per the Figure above, check through valve #30’s INPUT and OUTPUT tubing for bio-growth restrictions.
b) Remove valve #30’s INPUT tubing and attach a syringe, with tubing attached that will fit snug over the
valve’s nozzle.
c) Push or pull on the syringe plunger. If valve #30 is open the plunger moves with no resistance. TWO (2)
possible scenarios next page:
2) IF the plunger offers resistance i.e. valve #30 restricted: TWO (2) possible bad components:
1) Valve #30 OR; 2) Actuator-Test Board*. *To LOCATE the Actuator-Test board, refer to Figure 4A
(page 10).
a) Reattach valve #30’s tubing AND the tubing to the rear drain port.
b) IMPORTANT! Return valve’s #38 AND #31 to their PROPER distribution board positions.
g) Start a one (1) minute timer as you plug valve #35 into valve #30’s distribution
board position “V30”.
No Less than 800 ml! There may be a valve restricting intermittently! See parts a AND b
below:
CHECK #1 Per the Figure below, check for tubing restrictions to and from post-Cell #13.
f) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
g) Figure right, allow Valve #43’s ‘dot’ to turn blue then WHITE again! While
white, does pressure CYCLE, about every three (3) seconds, to between 35
and 36?
Yes Between 35 and 36 psi! See procedure number F- 7.5.2 (page 90).
No Is NOT between 35 and 36 psi! ENSURING the machine was in RINSE AND no leaks, TWO
(2) possible scenarios below:
1) IF (and ONLY if) pressure is too low: DO NOT calibrate instead proceed to
page 101, procedure number F- 9.0.2.
2) IF pressure is too high: Perform parts a AND b below:
b) Per the Figure above, adjust Valve #78 until pressure cycles to between
35 and 36 psi!
a) Plug into acid and bicarb and return to Dialysis Program (“Select Program” →‘Dialysis’ → 'Enter')!
b) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’!
d) Call debug screen 6. WITHOUT LOOKING AWAY, watch BC Switch for four (4) FULL minute OR until
if it EVER = 897 or more, even just once. Does it EVER become 897 or more (Yes or No)?
COMPONENT LIST:
1) Bad Actuator-Test Board1 OR; 2) Bad actuator cable OR; 3) Multiple intermittent
restricted balancing chamber valves #32, #34, #36 and #382.
No BC Switch is NEVER 897 or more. A Flow Error is not presenting at this time! It may be
extremely intermittent. Return to page 52, procedure number F- 3.8.0.
1
To LOCATE the Actuator-Test board refer to Figure 4A (page 10);
2
To LOCATE these valves refer to Figure 20 (page 92)
Balancing Chamber Valve #36 and/or Valve #32 is not opening. Also, the Actuator Cable or the distribution
board may be bad. These procedures isolate between these components:
B) Return valves #31 AND #38 to their PROPER distribution board positions.
C) The Flow Pump remains plugged into the Deaeration Pump’s distribution board position!
D) Per the Figure below, replace Valve #36 with a known good!
E) Plug the new valve #36’s connector into valve #33’s distribution board position, “V33”.
F) ENSURE the bucket with the RED dialyzer connector submersed is full!
H) With “Select Program” up, measure drain flow for one (1) minute. More than 800 ml every minute?
Yes More than 800 ml! Problem located! The previous valve #36 is bad!
No Less than 800 ml collected! See procedure number F- 7.6.12 (page 92).
B) Return Valves #33 AND the new Valve #36 connectors to their PROPER distribution board positions!
C) Per the Figure above, replace Valve #32 with a known good!
Parts D through G next page
E) ENSURE the bucket with the RED dialyzer connector submersed is full.
G) With “Select Program” up, measure drain flow for one (1) minute. More than 800 ml every minute?
Yes More than 800 ml! Problem located! The previous Valve #32 is bad!
b) THREE possible (3) bad components: 1) Bad Actuator-Test board; 2) Bad Actuator cable
OR; 3) Bad distribution board.
Balancing Chamber Valve #38 and/or Valve #34 is not opening. Also, the Actuator Cable or the distribution
board may be bad. These procedures isolate between these components:
b) The Flow Pump remains plugged into the Deaeration Pump’s distribution board position.
c) Per the Figure below, replace Valve #38 with a known good.
d) Plug the new valve #38’s connector into valve #31’s distribution board position, “V31”.
e) ENSURE the bucket with the RED dialyzer connector submersed in it is full!
g) With “Select Program” up, measure drain flow, into the cylinder, for one (1) minute. More than 800 ml
every minute?
Yes More than 800 ml! Problem located! The previous valve #38 is bad!
No Less than 800 ml collected! See procedure number F- 7.7.22 (page 95).
B) Return Valves #38 AND #31 to their PROPER distribution board positions.
C) Per the Figure previous page, replace Valve #34 with a known good!
D) Plug the new valve #34’s connector into valve #33’s distribution board position, “V33”.
E) ENSURE the bucket with the RED dialyzer connector submersed in it is full!
G) With “Select Program” up, measure drain flow for one (1) minute. More than 800 ml every minute?
Yes More than 800 ml! Problem located! The previous valve #34 is bad!
b) THREE (3) possible bad components: 1) Bad Actuator-Test board; 2) Bad Actuator cable;
3) Bad distribution board
All secondary side components are checking good HOWEVER, the problem may be intermittent.
d) Return Flow Pump #21 AND Deaeration Pump #20 to their distribution board positions.
d) SLAM the Loading Pressure gauge in the Acid/Acetate Rinse port! ENSURE PEAK pressure is
between 23 and 27 psi.
e) Call debug screen 6 to watch BC Switch for three (3) FULL minutes OR until if it ever becomes more
than 400 OR less than 203 indicating a flow problem! TWO (2) possible scenarios below:
1) IF (and ONLY if) BC Switch is NEVER more than 400 OR less than 203: A) Leaving the shunt
door open, allow Temperature and Conductivity to become normal; B) Return to (ABOVE)
procedure number F- 3.8.0 (page 52).
2) IF BC Switch is or becomes less more than 400 OR less than 203 even if only once: See parts
a AND b below:
a) From the Home screen, set the [Dialysate Flow] window to “OFF”.
b) Press ‘Enter’!
d) Call debug screen 4 to see PDIA (lower left column). TWO (2) possible
scenarios:
1) IF (and ONLY if) PDIA is between 2.0 and 7.5: See procedure
number F- 8.2.0 (page 98).
2) IF PDIA is less than 2.0 OR more than 7.5: See parts a THROUGH d
below:
a) Press and release the ‘Reset’ key then press and hold it for three (3) seconds!
c) If PDIA is still less than 2.0 OR more than 7.5, repeat parts a and b up to twice BEFORE
continuing to part d.
1) IF PDIA (and ONLY if) is between 2.0 and 7.5: See procedure number F- 8.2.0
(page 98).
2) IF PDIA is less than 2.0 OR more than 7.5: See parts A AND B below:
a) Call debug screen 0. Figure right, look at ACFS THEN locate its value in
COLUMN 1 of the Table below.
d) Based on BOTH ACFS readings, respond according to the Table’s COLUMN 3,:
Between 3.0 and 6.0 Between 4.0 and 5.8 BOTH ACFS values are good! The CFS
circuit is good! See procedure number
(Good) (Good)
F- 8.3.0 (page 99)
Between 3.0 and 6.0 Less than 4.0 OR more than 5.8 Screen 0’s ACFS is good; Screen 10’s
ACFS is bad
(Good) (Bad)
THREE (3) possible bad components1:
1) Sensor Board OR; 2) Functional Board
OR; 3) Mother board connection between
the Functional and Sensor Board
Less than 3.0 OR more Between 4.0 and 5.8 Screen 0’s ACFS is bad; Screen 10’s
than 6.0 ACFS is good
(Good)
(Bad)
THREE (3) possible bad components2:
1) Actuator-Test Board OR; 2) Bad Sensor
Board OR; 3) Motherboard connection
between the Actuator-Test and Sensor
Board
1
Referring to OPERATING MODES (page 19), to prevent “Cond Offset Failure”, place the machine into
T and C Mode THEN , with the machine off, swap these components in, one at a time, and in between,
when screen 10’s ACFS goes to between 3.0 and 6.0 the last component swapped in is the culprit.
2
Referring to OPERATING MODES (page 19), to prevent “Cond Offset Failure”, place the machine into
T and C Mode THEN, with the machine off, swap these components in, one at a time and in between,
when screen 0’s ACFS goes to between 3.0 and 6.0 the last component swapped in is the culprit.
e) Call debug screen 10 to watch ACFS for one (1) FULL minute. FOUR (4) possible scenarios 1) or 2) or
3) or 4) below:
1) IF ACFS CYCLES between less than 0.5 to somewhere between 3.0 and 5.8, possibly
every nine (9) seconds: See procedure number F- 8.4.0 (page 99).
2) IF (and ONLY if) ACFS REMAINS ALWAYS between 0 and 3.0: Proceed to page 112,
procedure number F- 11.0.0.
3) IF (and ONLY if) ACFS REMAINS ALWAYS between 3.0 and 5.8: Proceed to page 100,
procedure number F- 9.0.0.
4) IF (and ONLY if) ACFS REMAINS ALWAYS more than 5.8: Proceed to page 112,
procedure number F- 11.0.0.
Call debug screen 6. WITHOUT LOOKING AWAY, watch BC Switch (middle column)
for three (3) FULL minutes. If it EVER becomes more than 400 OR less than 203 even
if only once indicates a Flow Problem?
Yes BC Switch becomes more than 400 OR less than 203. Return to (ABOVE) procedure number
F- 2.0.0 (page 38).
No BC Switch NEVER more than 400 OR less than 203. A flow problem is not presenting at this
time.
b) This procedure requires a psi gauge. ENSURE it reads 0 psi before installing it!
c) Per Figure 21 below, tee the gauge into the Flow Pump’s WHITE (output) tubing.
d) To prevent leaks and false readings, tie wrap both sides of the gauge tubing.
f) ENSURING a “No Water” NEVER appears, call debug screen 0. If debug does not appear press ‘Esc’
then call screen 0.
g) Allow Valve #43’s ‘dot’ (Figure right) to turn blue then WHITE again! While
white, does gauge pressure CYCLE, about every three (3) seconds, to
between 35 and 36 psi?
Yes Between 35 and 36 psi! Proceed to page 109, procedure number F- 9.0.5.
No Is NOT between 35 and 36 psi! ENSURING the machine was in RINSE AND no leaks, TWO
(2) possible scenarios:
1) IF (and ONLY if) pressure is too low: DO NOT calibrate instead proceed to
page 101, procedure number F- 9.0.2.
2) IF pressure is too high: A) Per the Figure below, adjust Valve #78 until pressure cycles
to between 35 and 36 psi; B) See procedure number F- 9.0.5 (page 109).
Figure 21 –
Hydraulics, Rear View
a) Still in RINSE, CAREFUL HERE! Per Figure 22 (below), DOUBLE CLAMP Valve #43’s OUTPUT
tubing! NOTE! Valve #43’s output tubing extends towards the front of the machine!
b) Does gauge pressure NOW CYCLE to more than 35 psi about every three (3) seconds (Yes or No)?
Yes More than 35 psi! This may indicate Valve #43 is sticking open. A) Release the clamps;
B) Allow Valve #43’s ‘dot’ to turn blue then white again; C) While white, if pressure again
does NOT cycle to more than 35 psi then TWO (2) possible bad components: 1) Bad
Actuator-Test Board1 OR; 2) Bad Valve #43. 1To LOCATE the board refer to Figure 4A
(page 10).
No Less than 35 psi! Leaving the clamps in place, see procedure number F- 9.0.24 (page 102).
b) Service Mode’s Flow Pressure is used to isolate the Flow Pump’s input circuit!
DO NOT follow the screen instructions! Perform no adjustments until instructed!
1) IF (and ONLY if) MORE THAN 800 ml collected! See procedure number F- 9.0.25 (page 102).
2) IF LESS THAN 800 ml collected! Proceed to page 105, procedure number F- 9.0.4.
Yes Between 35 and 36 psi! Good static pressure but NOT dynamic! TWO (2) possible bad
components: 1) Bad Flow Pump head OR; 2) Bad Flow Pump motor (possibly brushes).
c) Per the Figure below, above the Deair Pump, locate Valve #78.
d) WARNING! To avoid error DO NOT use a plastic clamp in part e! Use METAL NEEDLE NOSE
PLIERS instead!
e) While watching the gauge, using PLIERS, TIGHTLY clamp then QUICKLY unclamp the white tubing
at the top of Valve #78 several times.
f) When clamped, does gauge pressure reach forty (40) psi or more?
Yes 40 psi or more! The Flow Pump is okay! See procedure number F- 9.0.27 (page 104).
No Less than 40 psi! TWO (2) possible bad components: 1) Bad Flow Pump head OR; 2) Bad Flow
Pump motor (possibly brushes).
e) Can you adjust the new Valve #78’s screw to a gauge pressure of between 35 and 36 psi (Yes or No)?
a) CAUTION! To prevent further damage, Remove the clamps from Valve #43.
b) Obtain an empty bucket.
c) Figure below, remove Valve #26’s INPUT tubing and direct it into the bucket!
f) Direct Valve #26’s tubing into the graduated cylinder for one (1) minute.
Yes MORE than 800 ml! Proceed to page 107, procedure number F- 9.0.42.
No Less than 800 ml! See procedure number F- 9.0.41 (page 106).
a) ENSURE no restrictions or leaks between the DiaSafe® filter and the Balancing Chambers
c) Figure below, at the rear of the DiaSafe® filter housing, remove the tubing from Valve #28 (V28) and
direct it into the bucket.
f) Direct the tubing into the graduated cylinder for one (1) minute.
No Less than 800 ml collected! This indicates restricted ‘Fresh Side’ Balancing Chamber valve.
See parts through c below:
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ →
Enter).
Yes More than 800 ml! Good flow from Valve #24! See procedure number F- 9.0.43 (page 108).
b) Figure BELOW, open Dialysate Filter #73 housing and ENSURE the filter is clean!
Yes Solenoid warm! TWO possible bad components: 1) Bad Actuator-Test Board1; 2) Bad Valve
#25. 1 To LOCATE the board refer to Figure 4A (page 10).
No Solenoid is not warm! NOTE ONLY VALVE #25 will be checked and proceed to page 210,
TROUBLESHOOTING A VALVE
b) From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’
c) Figure below, insert one of the resistor plugs, from the FOUR-RESISTOR SET, into CFS #10’s
distribution board position, “x10, CFS”.
a) ENSURE the resistor plug was placed correctly at position “CFS” before continuing! If
not, repeat procedure number F- 9.0.5 (page 109) from part c.
b) Leaving the resistor plug installed for now, FOUR (4) possible bad components:
1) Actuator-Test Board1 OR; 2) Sensor Board2 OR 3) Sensor Board cable3 OR;
4) Distribution board.
1
A) With the machine off, swap in a known good Actuator-Test Boarda; B) Return to
Dialysis Program (“Select Program” → Dialysis’ → ‘Enter’); C) If ACFS = 0.0 the
previous Actuator-Test Board is bad.
a
To LOCATE the board refer to Figure 4A (page 10)
2 A) With the machine off, swap in a known good Sensor Boardb; B) Place the machine
into T and C Mode (refer to OPERATING MODES (page 19); C) IMPORTANT! Return
to Dialysis Program (“Select Program” → Dialysis’ → ‘Enter’). If ACFS = 0.0 the
previous Sensor Board is bad.
b
To LOCATE the board refer to Figure 4A (page 10)
3 The Sensor Board cable can be checked. NOTE three (3) CFS TRANSDUCER
connections will be checked and proceed to page 569, SECTION 17 - CHECKING
THE SENSOR BOARD CABLE.
a) Return CFS #10’s connector to distribution board position “x10, CFS”. If returned properly ACFS =
between 3.0 and 8.1.
b) From the Home screen, ENSURE Dialysate Flow is set at 500 ml/min.
Yes Red TMP window! A) Press and release the ‘Reset’ key then immediately press and hold it
for three seconds; B) Allow thirty (30) seconds; C) If a TMP alarm reoccurs attempt RESET
up to twice more BEFORE continuing to procedure number F- 9.0.7 (page 110).
No TMP window is pale yellow/white! See procedure number F- 9.0.7 (page 110).
TMP is STABLE if (and ONLY if) the TMP Window REMAINS white AND the TMP does NOT change more
than +/- 60 mmHg in three (3) minutes. TWO (2) possible scenarios:
1) IF (and ONLY if) TMP is STABLE: See procedure number F- 9.0.8 (page 110).
A) BEFORE continuing to part B, proceed to page 572, SECTION 18A – DIAGNOSTIC VALVE
LEAK TESTS.
B) If a balancing chamber valve leak was not located in part A, see procedure number F- 9.0.8
(page 110).
A procedure, in a different Section, is performed next. IMPORTANT! NOTE this page and procedure
number (F- 9.0.8) as you may prompted to return to here:
a) BEFORE continuing to part b, proceed to page 580, to perform SECTION 19 - TESTING FOR A
LEAKING BALANCING CHAMBER DIAPHRAGM.
b) If a leaking diaphragm is not located in part a, return to Dialysis Program (“Select Program” → ‘Dialysis’
→ ‘Enter’)!
c) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’
d) If BC Switch (debug screen 6) = 897 (constantly) AND ACFS (debug screen 10) remains between 3.0
and 8.0. TWO (2) possible bad components: 1) CFS transducer #10a OR; 2) Sensor board b,c.
a
To LOCATE CFS transducer #10 refer to Figure 21 (page 100); bTo LOCATE the Sensor board see
Figure 4A (page 10).
c
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to OPERATING
MODES page 19)).
a) Call debug screen 10. If all procedures were performed correctly PDIA (middle column)
= between 3.5 and 6.5.
c) Using a flashlight, check inside the vacant “X10” position. If corrosion or damaged pins are located
this may be the problem!
Yes ACFS between 4.0 and 6.0! The CFS Pressure Sensor #10* is bad. *To LOCATE the
CFS Pressure Sensor #10 refer to Figure 21 (page 100).
No ACFS is less than 4.0 OR more than 6.0! Leaving PDIA in CFS for now, FIVE (5) possible bad
components: 1) Bad Actuator-Test Boarda OR; 2) Bad Sensor Board b OR; 3) Bad Sensor
Board cable OR; 4) Bad distribution board OR;5) Bad motherboard.
a
A) With the power off, swap in a known good Actuator-Test1 Board; B) IMPORTANT!
Return Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’); C) If ACFS is between
4.0 and 6.0 the previous Actuator-Test Board is bad.
1
To LOCATE the board refer to Figure 4A (page 10).
b A) With the power off, swap in a known good Sensor Board2; B) Place the machine into
T and C Mode (refer to OPERATING MODES (page 19); C) IMPORTANT! Return to
Dialysis Program)!; D) If ACFS now = between 4.0 and 6.0 the previous Sensor Board is
bad.
2
To LOCATE the Sensor board see Figure 4A (page 10).
b) Press ‘Enter’!
c) Press and release the ‘Reset’ key then immediately press and hold it for three (3) seconds. Allow thirty
(30) seconds. If a TMP occurs attempt RESET up to FIVE (5) times BEFORE continuing to part d.
Yes ACFS = 3.5 or more! See procedure number F- 11.0.4 (page 112).
c) After no more than five (5) minutes ACFS should increase to 9.0 or more?
Yes ACFS 9.0 or more! A) Return the CFS transducer #10 to distribution board
position “x10, CFS”; B) See procedure number F- 11.0.4 (page 112).
No ACFS is IS NOT 9.0 or more! Leaving the CFS transducer unplugged, FOUR
(4) possible bad components: 1) Actuator-Test Boarda OR; 2) Sensor Boardb OR;
3) Sensor Board cable OR; 4) Distribution board.
a
A) With the power off, swap in a known good Actuator-Test Board (to LOCATE
the board refer to Figure 4A, page 10); B) IMPORTANT! Return to Dialysis
Program (“Select Program” → ‘Dialysis’ → ‘Enter’); C) Allow five (5) minutes;
D) If ACFS = more than 9.0 the previous Actuator-Test Board is bad.
b A) With the power off, swap in a known good Sensor Board (to LOCATE refer to
Figure 4A, page 10); B) Place the machine into T and C Mode (refer to
OPERATING MODES (page 19); C) Return to Dialysis Program; D) Allow up to
five (5) minutes; E) If ACFS = more than 9.0 the previous Sensor Board is bad.
No PDial is NOT = 0 +/- 50! A) IMPORTANT! From the Home screen, set Dialysate Flow to
500 ml/min and press ‘Enter’!; B) Proceed to page 115, procedure number F- 12.0.0.
a) Call the Home screen. Set [Dialysate Flow] to 500 ml/min and press Enter’!
Yes TMP window IS RED! A) Press and release the ‘Reset’ key then immediately press and hold it
for three (3) seconds. B) Allow thirty (30) seconds. C) If a TMP alarm reoccurs attempt RESET
up to twice more BEFORE continuing to procedure number F- 11.0.6 (page 113).
TMP is STABLE if (and ONLY if) the TMP window REMAINS white AND TMP does NOT change more than
60 mmHg in three (3) minutes. TWO (2) possible scenarios:
1) IF (and ONLY if) TMP is STABLE: See procedure number F- 11.0.7 (page 113).
2) IF TMP is UNSTABLE: A procedure in a different Section is performed next! NOTE this page and
procedure number (F- 11.0.6) as you may be because you may be prompted to return here. See part A
below:
A) Before continuing to part B, proceed to page 572 to perform SECTION 18A – DIAGNOSTIC
VALVE LEAK TESTS.
B) If a balancing chamber valve leak was not located in part A turn the machine off then see
procedure number F- 11.0.7 (page 113).
d) Remove the red dialyzer connector from the shunt door and place it into a 1000 ml graduated cylinder.
e) Plug valve #37 into valve #30’s distribution board position “V30”. This opens valve #37. Valve #30
remains unplugged!
1) IF (and ONLY if) less than 800 ml collected: A) Return the dialyzer connector to the shunt
but DO NOT unplug valve #37; B) See (ABOVE) procedure number F- 7.0.5 (page 79).
a) Turn the machine off and return valves #37 and #30 to their distribution board positions.
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
c) If the Flow Error reoccurs TWO (2) possible bad components: 1) Bad DiaSafe® filter OR; 2) Bad
CFS transducer #10*. *To LOCATE the CFS transducer refer to Figure 21 (page 100).
This is NOT a routine calibration! Follow the instructions exactly to avoid error!
i) Close the shunt door and ENSURE the flow indicator’s ‘bob’ is moving up and down.
j) Press ‘Enter’. The screen says “3. Press [Dialysate Flow on/off] key…”
k) Press the screen’s “Dialysate Flow On” button then press ‘Enter’.
l) ENSURE the button says “Dialysate Flow Off” AND the external flow indicator is NOT moving (Flow is
off).
n) Using the syringe, adjust pressure until the external meter = between -2 and 2 mmHg.
a) The screen says “6. Pressurize until dialysate pressure reads -250 mmHg…” .
b) PULL on the syringe plunger. Can you achieve negative (-)250 +/- 5 mmHg on the external meter?
Yes -250 achieved! Clamp the ‘to syringe’ tubing to hotd this pressure then see procedure
number F- 12.2.0 (page 116).
No -250 CANNOT be achieved! ENSURE the transducer protector, at the meter, is NOT wet OR
consider replacing it! If OKAY, proceed to page 117, procedure number F- 12.3.0.
Does meter pressure HOLD, +/- 15 mmHg, for one (1) minute?
No Pressure does DOES NOT hold! Proceed to page 117, procedure number F- 12.3.0.
a) ENSURING the external meter is HOLDING negative (-)250 +/- 5 mmHg press ‘Enter’ twice to save the
calibration.
1) IF (and ONLY if) “Operator Error” occurred: See procedure number F- 12.4.0 (page 118).
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ →
‘Enter’)!
c) From the Home screen set [Dialysate Flow] to 500 ml/min and press ‘Enter‘.
No -250 COULD NOT be achieved AND / OR could not be held! Either the transducer protector at the
meter is wet OR a Four-Way tubing connection is leaking. See parts A through C below:
a) IMPORTANT! Remove BOTH clamps from the Dialysate Line tubing segments.
c) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
d) IMPORTANT! From the Home screen, set [Dialysate Flow] to “OFF” and press ’Enter’.
e) Proceed to page 509, procedure number TMP- 4.0.0 to locate a hydraulic leak.
a) ENSURE the transducer protector, at the external meter, is not WET or consider replacing it!
b) Return the Dialysate lines to the shunt and close the door.
d) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’→ ‘Enter).
g) Read before performing! Repeat (ABOVE) procedure number F- 12.0.0 (page 115). If (and ONLY if)
you return to F- 12.4.0, because “Operator Error” reoccurs, swap the listed components (see
Component List below), one at a time, and in between repeating procedure number F- 12.0.0 (page
115) until “Operator Error” does not reoccur indicating the last component swapped in is bad!
Component List:
1) Dialysate Pressure Transducer #9*;; 2) Sensor Board; 3) Actuator-Test Board; 4) Functional Board;
5) Sensor Board cable; 6) Distribution board.
The Temperature AND / OR the Conductivity window is REMAINING RED BUT the external flow
indicator’s bob is moving!
a) Per the Figure BELOW, trace the wires from Valve #24’s AND #26’s distribution board connectors, to
Valve #24 and #26 in the hydraulics to ENSURE they are wired to the CORRECT valve!
e) ENSURING [Dialysate Flow] is set to 800 ml/min AND is not blinking is the external flow indicator’s
‘bob’ still rising?
Yes ‘Bob’ moving! TWO (2) possible bad components: 1) Actuator-Test Board OR; 2) Valve
#24.
No ‘Bob’ NOT moving! If a Flow Error is still occurring, return to (ABOVE) procedure number
F- 6.0.0 (page 58). If the Flow Error never occurs do not continue.
b) Service Mode’s Flow Pressure is used to isolate the ‘out of bypass’ circuit. DO
NOT follow the screen instructions! Instead following the procedures below!
e) Remove the BLUE dialyzer connector from the shunt door and measure from it for one (1) minute.
1) IF (and ONLY if) MORE THAN 800 ml collected! Valve #24 is okay! See procedure number
F- 14.0.4 (page 120).
2) IF LESS than 800 ml collected! Bad flow from Valve #24. Proceed to page 122, procedure
number F- 14.0.6.
F- 14.0.4 VALVE #24 IS OKAY / ISOLATE VALVE #25 / FROM DIALYZER CIRCUIT
a) Return the BLUE connector to the shunt and close the door.
1) IF (and ONLY if) MORE THAN 800 ml collected! The ‘out of bypass’ circuit checks good! See
procedure number F- 14.0.5 (page 121).
2) IF LESS THAN 800 ml collected! A restriction in the ‘from (red) Dialyzer’ line is indicated! See
parts a THROUGH c next page:
b) Per the Figure below, open Dialysate Filter #73’s housing and ENSURE the filter inside is
clean!
c) Per the Figure below, touch Valve #25’s black solenoid. Is it warm?
Yes The solenoid is warm! TWO (2) possible bad components: 1) Bad Actuator-Test
Board OR; 2) Bad Valve #25
No The solenoid is NOT warm! NOTE ONLY VALVE #25 will be checked and proceed
to page 210, TROUBLESHOOTING A VALVE
b) Turn the machine on and return to Dialysis Program with [Dialysate Flow] set to 800 ml/min.
c) Open the shunt door and, if present, reset a TMP alarm up to twice before continuing.
1) IF BC SWITCH always = 897 or more: Return to page 38, procedure number F- 2.0.0.
3) IF BC SWITCH NEVER = 897 or more: The Troubleshooting Guide cannot locate a Flow
problem at this time.
d) Measure again from the blue dialyzer connector for one (1) minute.
e) Press ‘Enter’ to return to “Calibrate Hydraulics”. More than 800 ml collected (Yes or No)?
Yes More than 800 ml collected! Return the connector to the door. Valve #26 is sticking open.
Return to procedure number F- 14.0.2 (page 120) to confirm this HOWEVER, if you return
here: TWO (2) possible bad components: 1) Actuator-Test Board OR 2) Valve #26.
No Less that 800 ml collected! Valve #26 is okay! See procedure number F- 14.0.8 (page 123).
b) Obtain a bucket!
c) Per the Figure below, remove the tubing from Valve #24’s INPUT and direct into the bucket
Yes More than 800 ml! See procedure number F- 14.0.81 (page 123).
No A) Reconnect Valve #24’s tubing. B) TWO (2) possible bad components: 1) Restricted
DiaSafe© filter OR 2) Restricted tubing inside the DiaSafe© housing.
F- 14.0.81 GOOD FLOW FROM VALVE #24’S / ISOLATE ACTUATOR-TEST BOARD / VALVE #24
b) Per the Figure above, touch valve 24’s (black) solenoid. Is it warm (i.e. energized)?
Yes Solenoid is warm! TWO (2) possible bad components: 1) Actuator-Test Board; 2) Valve #24.
No Solenoid in NOT warm! NOTE ONLY VALVE #24 will be checked and proceed to page
210, TROUBLESHOOTING A VALVE.
D) Call debug screen 1 to see DEAP (upper right). TWO (2) possible scenarios:
1) IF (and ONLY if) DEAP = 75 OR LESS! See procedure number F- 15.2.0 (page 125).
a) Enter Service Mode → Calibrate Hydraulics → Deaeration Pressure. DO NOT follow the
screen instructions! See part b instead!
g) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’).
No DEAP NOT = 45! CAREFULLY repeat the Deaeration Pressure calibration, from part
a, but if (and ONLY if) after repeating DEAP STILL does not = 45, THREE (3) possible
bad components: 1) Actuator-Test Board OR; 2) Functional Board EEPROM (IC2) OR;
3) Functional Board.
Per the Figure below, is the DEAERATION MOTOR shaft rotating COUNTERCLOCKWISE (CCW)?
No IS NOT rotating CCW! NOTE ONLY the DEAERATION MOTOR will be checked then proceed to
page 141, TROUBLESHOOTING MOTORS.
Using the handle end* of a screwdriver, push HARD on and release the DEAERATION MOTOR’S shaft
several times. Can you make it stop rotating and REMAIN stopped?
Yes If SURE the motor stops! TWO (2) possible bad components: 1) Deaeration Motor (possibly
brushes) OR; 2) Deaeration Pump head.
Recheck Loading Pressure (Rinse Port gauge). TWO (2) possible scenarios below:
Yes BC Switch goes to 897 or more! Return to page 38, procedure number F- 2.0.0.
f) Now direct the tubing into the cylinder for ONE (1)
minute. MORE THAN one hundred thirty (130) ml
collected?
Yes More than 130 ml! No airlock! See procedure number F- 15.2.4 (page 127).
No Less than 130 ml! There may be an airlock between hydrochamber C and the pump. Leaving
the tubing off and the pump unplugged, proceed to page 132, procedure number F- 16.0.0.
b) Reconnect to Bicarb!
c) Return the Deaeration Pump’s connector to distribution board position P20, “Degas-P”.
1) IF equipped with a bibag Connector: See procedure number F- 15.3.0 (page 128).
2) IF NOT equipped with a bibag Connector: Proceed to page 130, procedure number
F- 15.5.0.
No flow Close the bibag door FULLY then see procedure number F- 15.3.2 (page 128).
a) Leaving the gauge in the Rinse port, a second psi gauge is required. ENSURE this gauge reads
zero (0) psi BEFORE installing it.
b) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
c) Reading the gauge at the Deaeration Pump, TWO (2) possible scenarios below:
1) IF (and ONLY if) peaking to MORE than 26 psi: Turn Valve #65’s nut (Figure above)
counterclockwise (outward) to decrease pressure. If (and ONLY if) between 23 and 25 psi can be
achieved see procedure number F- 15.3.6 (page 129). If between 23 and 25 psi CANNOT be
achieved Valve #65 may be bad.
2) ALL OTHER scenarios: Turning Valve #65’s nut (Figure above) clockwise (inward), can you bring
peak pressure to between 23 and 25 psi?
Yes Between 23 and 25 psi! See procedure number F- 15.3.6 (page 129).
No Pressure remains lower than 23 psi! ENSURING no leaks, see parts a AND b next page:
a) ENSURE more than 130 ml flow per minute to the Deaeration Pump (i.e. no airlock)!
Compare the gauge reading at the Deaeration Pump to the gauge reading in the RINSE port. Are they
within three (3) psi of each other?
Yes BOTH gauges within three (3) psi of each other! See procedure number F- 15.3.8 (page 129).
No Pressure at the RINSE port gauge is way less than pressure at the Deaeration Pump gauge!
See parts a THROUGH c below:
Yes More than 720 ml per minute! THREE (3) possible problems: 1) Loose bibag
Interface Board ribbon cable (refer to Figure 4C, page 11)) OR; 2) Bad Valve #108*
OR; 3) Bad bibag Interface Board.
No Way less than 720 ml per minute! THREE (3) possible problems: 1) Loose bibag
Interface Board ribbon cable (refer to Figure 4C, page 11)) OR; 2) Bad Valve #103*
OR; 3) Bad bibag Interface Board.
1) IF BC Switch EVER = 897 or more, even if only once: Return to page 38, procedure number
F- 2.0.0.
2) IF BC Switch NEVER = 897 or more: Turn the Heater Switch on THEN check Deaeration Pressure*
per the Preventative Maintenance Procedures booklet.
a) WARNING! Using a plastic clamp in part b will cause error! Use METAL NEEDLE NOSE
PLIERS instead!
b) Per Figure 27 (below), using NEEDLE NOSE PLIERS, AND WHILE WATCHING THE GAUGE,
clamp then QUICKLY release the white tubing at the TOP of Loading Pressure Valve #65!
Yes Peaks to 35 psi or more! The Deaeration Pump is okay! TWO (2) possible bad
components: 1) Bad Loading Pressure Valve #65 OR; 2) Bad Hydrochamber.
No Did NOT peak to at least 35 psi! See procedure number F- 15.5.2 (page 131).
b) Per the Figure right, remove the pump head from the
deaeration motor to expose the ‘Drive Magnet’.
a) Ensure the ‘Drive Magnet’ rotates the motor shaft. It may be uncoupled!
b) TWO (2) possible bad components: 1) Bad Deaeration Pump head OR; 2) Bad
Deaeration motor.
No The magnet DOES NOT rotate freely! The motor is bad! NOTE! The ‘binding motor’ may have
destroyed the Actuator-Test and/or Power Logic Board!
This procedure attempts to clear an air lock. First Restrictor #48 is checked to see if it is plugged!
a) A 60 ml syringe, with the plunger pushed all THE WAY IN, is REQUIRED! Using a smaller
syringe may cause error!
c) PULL on the plunger to the end of the barrel! If Restrictor #48 is plugged you will feel very strong
resistance and may not be able to pull the plunger all the way out. Very strong resistance (Yes or No)?
Yes Strong resistance! Restrictor #48 is plugged with debris1. Replace the tubing segment that
contains Restrictor #48. To LOCATE Restrictor #48 refer to Figure 27 (page 130)!
1
Debris indicates FIVE (5) possibilities: 1) Inadequate acid cleaning (white bicarbonate
precipitate) OR; 2) Excessive O-ring lubrication OR; 3) Inadequately filtered incoming
water OR; 4) Degrading Deaeration Pump Head OR; 5) Degrading Heater element.
No Very little resistance! Restrictor #48 is open! Perform parts A THROUGH E below:
A) Remove the syringe and MEASURE flow from the tubing for one (1) minute. If less than 130
ml see part B. If (and ONLY if) more than 130 ml see procedure number F- 16.0.1 (page
132).
E) Repeat parts A through E up to TEN (10) TIMES OR until if more than 130 ml every minute
is MEASURED?
Yes If SURE of more than 130 ml every minute! See procedure number F- 16.0.1
(page 132).
No After ten (10) attempts you CANNOT get more than 130 ml every minute! Proceed
to page 133, procedure number F- 16.0.5.
Direct the tubing into the bucket for FIVE (5) FULL minutes. Flow will either: 1) Continue at more than 130
ml every minute (if float switch #5 is good) OR 2) Stop. TWO (2) possible scenarios:
1) IF (and ONLY if) flow continues at more than 130 ml every minute: The air lock has been
eliminated! Proceed to page 136, procedure number F- 16.2.0.
a) Per the Figure below, clamp the tubing attached at the top Valve #101.
b) With the plunger pushed fully in, once again, attach the syringe to the Deaeration Pump’s CLEAR
tubing.
c) Pull the plunger to the end of the barrel then remove the syringe.
d) MEASURE flow from the tubing looking for more than 130 ml every minute!
e) Repeat parts b through e up to TEN (10) TIMES . Do you EVER get than 130 ml every minute?
Yes IF SURE of more than 130 ml per minute! Remove the clamp from Valve #101! THREE
(3) possible problems: 1) Loose bibag Interface Board ribbon cable (refer to Figure 4C,
page 11)) OR; 2) Bad Valve #101 OR; 3) Bad bibag Interface Board.
No After ten (10) attempts you DO NOT measure more than 130 ml per minute! Remove the
clamp from Valve #101 then see procedure number F- 16.0.7 (page 134).
c) MEASURE flow from the Vent Tubing for ONE (1) minute. More than eight hundred (800) ml collected?
Yes More than 800 ml per minute! See procedure number F- 16.0.8 (page 134).
Yes ‘Dot’= Blue! A) Reattach the Deaeration Pump’s input tubing; B) Proceed to
page 152, SECTION 2 – NO WATER ALARM!
a) BE VERY SURE the 274 Ω resistor plug, from the TWO-RESISTOR SET, is
placed PROPERLY at distribution board position “FLOAT-SW”! If not, repeat
(ABOVE) procedure number F- 16.0.7 (page 134).
b) FIVE (5) possible bad components: 1) Bad Actuator-Test Board OR; 2) Bad
Sensor Board cable OR 3) Bad Sensor Board OR; 4) Bad distribution board
OR; 5) Bad motherboard.
c) PULL on the plunger! If Restrictor #48 is still open there is very little resistance and you will be able to
pull the plunger to the end of the barrel.
d) Remove the syringe and MEASURE flow from the tubing for one (1) minute. If NOT more than 130 ml
repeat parts b through d up to TEN (10) TIMES!
e) After no less than ten (10) attempts are you able to achieve more than 130 ml every minute?
Yes More than 130 ml every minute! See procedure number F- 16.0.9 (page 135).
No Cannot achieve more than 130 ml per minute! TWO (2) possible bad components: 1) Bad Float
Switch* OR; 2) Bad hydrochamber.
a) This procedure requires up to five (5) FULL minutes to prevent labor-intensive error!
b) Direct the tubing into a bucket for up to five (5) minutes. It will either: 1) Continue at more than
130 ml every minute OR 2) Stop.
1) IF (and ONLY if) flow continues at more than 130 ml every minute! The float is okay! See
procedure number F- 16.2.0 (page 136).
2) IF flow STOPS! TWO (2) possible bad components: 1) Bad Float Switch #5a OR; 2) Bad
hydrochamber.
d) Call debug screen 6. WITHOUT LOOKING AWAY, watch BC Switch (middle column)
for three (3) FULL minutes. If EVER = 897, even just once, indicates a Flow problem.
Does it EVER = 897?
Yes BC Switch = 897 at least once! Return to (ABOVE) procedure number F- 2.0.0 (page 38).
No BC Switch is NEVER = 897! Check Deaeration Pressure per the Preventative Maintenance
Procedures booklet.
1) IF (and ONLY if) SURE the machine was NOT worked on previously for this Flow
problem: See procedure number F- 18.1.0 (page 138).
2) IF the machine WAS or MAY have been worked on previously: See parts a THROUGH c
below:
a) Leave the machine in Dialysis Program and DO NOT turn Dialysate Flow “OFF”!
b) Figure below, without unplugging valves, CAREFULLY trace the wires from EACH valve to
its SPECIFIC distribution board position. If ANY do NOT terminate properly, at either end,
this most likely is the problem!
c) If (and ONLY if) a wiring error is NOT located see procedure number F- 18.1.0 (page 138).
a) Ignoring the MINIMUM pressure for now, if Loading Pressure is NOT achieving a PEAK of somewhere
between 23 and 25 psi, adjust Loading Pressure Valve #65’s nut (Figure below) until it does.
b) Figure right, if threads are visible under Valve #65’s nut see
part c. If no threads are visible either the wrong spring is
installed* OR Valve #65 is bad. * Refer to Figure 6 (page 22)
a) Press and release the ‘Reset’ key then immediately press and hold it for three (3) seconds.
c) If a TMP alarm reoccurs attempt parts a through c up to twice more BEFORE continuing to
part c.
d) Allow thirty (30) seconds BEFORE continuing to procedure number F- 18.2.0 (page 138).
2) IF PDIA OR ADIA does NOT REMAIN between 2.0 and 8.0: See parts A THROUGH C below:
A) A procedure in a different Section is performed next. NOTE this page and procedure number
(F- 18.2.0) because you may be prompted to return here.
B) BEFORE continuing to part C, proceed to page 572, to perform SECTION 18A – DIAGNOSTIC
VALVE LEAK TESTS.
C) If a leaking balancing chamber valve was NOT located in part B, see procedure number F- 19.0.0
(page 139).
c) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’!
d) WITHOUT LOOKING AWAY, simultaneously watch for a “No Water” alarm and Loading Pressure for five
(5) minutes. Is Loading Pressure now cycling between a low of NEVER LESS THAN 11 psi and a PEAK
of somewhere between 23 and 27 psi (Yes or No)?
Yes Between 23 and 27 psi! Assuming a Flow Error does not occur perform an acid clean! If
(and ONLY if) the Loading Pressure problem reoccurs in the near future see procedure
number F- 19.1.0 (page 139).
No Cycles to less than 23 psi! See procedure number F- 19.1.0 (page 139).
a) A procedure, in a different Section, is performed next. IMPORTANT! NOTE this page and procedure
number (F- 19.1.0) as you may prompted to return to here.
c) If the Hydrochamber leak was not located in part b return to Dialysis Program (“Select Program” →
‘Dialysis’ → ‘Enter)!
e) WITHOUT LOOKING AWAY simultaneously watch for a “No Water” alarm AND Loading Pressure, for
five (5) minutes. Is Loading Pressure now cycling to a PEAK of somewhere between 23 and 27 psi (Yes
or No)?
No NOT between 23 and 27 psi! FIVE (5) possible bad components (see Component List below).
Swap in each, one at a time, and in between, check if Loading Pressure PEAKING to
between 23 and 27 psi can be achieved indicating the last component swapped in is the
problem.
COMPONENT LIST:
1) Deaeration Pump head*; 2) Deaeration Pump motor*; 3) Loading Pressure Valve #65**;
4) Float switch (see Figure below); 5) Hydrochamber (see Figure below).
** Attempt to calibrate the new Valve #65 to achieve a peak loading pressure of between
23 and 25 psi
A) The procedure that directed had you NOTE which motor (Deaeration OR Flow) is to be checked.
CHECK ONLY this motor!
B) Per the Figure below, the NOTED motor shaft is THREE (3) possible scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) NOT rotating at ALL: Proceed to page 144, procedure number
MOTORS- 4.0.0.
2) IF (and ONLY if) rotating CLOCKWISE (i.e. backwards!): See procedure number
MOTORS- 2.0.0 (page 141).
b) Per Figure right, remove the Torx screws (T-25) BUT DO NOT
remove the cap to maintain the brushes in position!
c) Rotate the cap 180° then reinstall the screws and tighten them.
Yes Rotating CCW! Place the machine into Rinse for several minutes to eliminate a potential air lock.
No NOT rotating CCW! Return to (ABOVE) procedure number MOTORS- 1.0.0 (page 141).
a) Per the Figure below, to ENSURE a proper distribution board connection, trace the wires from the motor
to the Distribution Board. Deaeration Pump → Distribution Board position “P20”; Flow Pump →
Distribution Board position “P21”.
b) Per the Figure below, to ENSURE the pump head is oriented correctly, the ‘ID Decal’, MUST be either
on the TOP OR FRONT of the pump head. If on the front, it MUST be right side up!
f) Call debug screen 2 to see ! EMPTY (left column). TWO (2) possible scenarios:
1) IF (and ONLY if) ! EMPTY = 1: See procedure number MOTORS- 3.1.0 (page 143).
2) IF ! EMPTY = 0: FOUR (4) possible bad components: 1) Bad Actuator-Test Board OR; 2) Bad
Functional Board OR; 3) Bad arterial and/or venous line shunt door switch OR; 4) Bad motherboard.
* Swap in each component one at a time, with known good, until ! Empty = 1
** To prevent “Cond Offset Failure”, place the machine into T and C Mode (refer to OPERATING
MODES (page 19))
d) Manually spin the ‘Drive Magnet’! Does it rotate freely i.e. is NOT
binding?
Yes Rotates freely! A) Ensure rotating the drive magnet causes the motor shaft to rotate. B) If
the shaft rotates a problem is not indicated at this time HOWEVER, the motor may be
stalling intermittently. Consider replacing the brushes!
No Does NOT rotate freely! The motor is bad* and brushes WON’T help.
* The binding motor may have destroyed the Actuator-Test and/or the Power Logic Board
Hit the motor HARD with a screwdriver handle. Does it start rotating?
Yes Motor starts rotating! Proceed to page 149, procedure number MOTORS- 5.0.0.
e) TWO (2) scenarios depending on what Program the machine was in when you ORIGINALLY
started troubleshooting:
1) IF (and ONLY if) a Cleaning Program (Heat Disinfect, Rinse, etc.): Place the
machine into RINSE then see procedure number MOTORS- 4.1.0 (page 145)
B) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
Yes Motor is rotating! If (and ONLY if) a bad connection was corrected above AND if a Flow Error
occurs see the Table of Contents for whatever Program the machine is in! If a bad connection
was NOT located above proceed to page 149, procedure number MOTORS- 5.0.0.
No Motor is NOT rotating! See procedure number MOTORS- 4.2.0 (page 145).
1) IF (and ONLY if) in RINSE: Proceed to page 146, procedure number MOTORS- 4.5.0.
Call debug screen 2 to see ! EMPTY (left column). TWO (2) possible scenarios:
1) IF (and ONLY if) ! EMPTY = 0: Either the (red) arterial dialyzer connector is NOT connected to the
shunt properly OR FOUR (4) possible bad components*; 1) Bad Actuator-Test Board; 2) Bad
Functional Board** OR; 3) Bad arterial line shunt door micro switch OR; 4) Bad motherboard
c) From debug screen 2, look at ! EMPTY again! TWO (2) possible scenarios:
1) IF (and ONLY if) ! EMPTY = 1: A) Return the dialyzer connectors to the shunt.
B) See procedure number MOTORS- 4.5.0 (page 146).
* Swap in each component one at a time, with known good, until ! Empty = 1
** To prevent “Cond Offset Failure”, place the machine into T and C Mode (refer to OPERATING MODES,
page 19))
b) Using a flashlight, check inside the motor’s distribution board position for ‘white’ corrosion or damaged
male pins. Damage indicates the distribution board may need to be replaced!
e) Touch the meter’s leads together. The meter MUST read less than 1 Ω! Subtract this from the
subsequent measurement.
f) Measure, INSIDE the female connector, BETWEEN the soldered terminals. Less than ten (10) Ω?
Yes Less than 10 Ω! See procedure number MOTORS- 4.6.0 (page 147).
e) Per Table 5 below, perform the indicated Response based on measured voltage.
24V Power Harness (Behind the card cage / Inside the Power Supply)
b) Figure right, remove the pump head from the NOTED motor to
expose the ‘Drive Magnet’.
c) Manually spin the ‘Drive Magnet’. Does it rotate freely i.e. is NOT
‘binding’?
No Does NOT rotate freely! The motor is bad and brushes won’t help. CAUTION! The ‘binding’
motor may have damaged the Actuator-Test and/or Power Logic Board!
COMPONENT LIST: 1) Actuator-Test Board*; 2) Actuator board ribbon cable; 3) Distribution board;
4) Power supply connections.
e) Check for motor for rotation to see if the new component causes it to run. If not turn the machine off and
repeat parts c through e until it does run!
Yes Rotates freely! See procedure number MOTORS- 5.0.2 (page 149).
No Does NOT rotate freely! The motor is bad* and brushes won’t help. * NOTE! The binding motor
may have destroyed the Actuator-Test and/or Power Logic Board
a) ENSURE rotating the drive magnet causes the motor shaft to rotate.
b) If the shaft rotates a problem is not indicated at this time HOWEVER, the motor may be stalling
intermittently. Replace the brushes but if the motor stops again in the near future, THREE (3) possible
bad components below:
COMPONENT LIST:
1) Bad Motor OR; 2) Bad pump head OR; 3) Bad Actuator-Test Board*. Swap in each one at a time
with known good and test for a stalling motor in between.
This procedure pressurizes the Hydrochamber to locate a potential leak. Two (2) clamps are required:
c) Clamp the Vent Tubing! If tubing ‘blows’ off remove the resistor plug, tie wrap the tubing, then
reinstall the plug!
g) Is a leak located?
Yes Leak located! See BLOCK LEAK- 2.0.0
(page 151).
No leaks! a) Return the float’s connector to distribution board position X5, “FLOAT-SW”
b) Reconnect the Deaeration Pump’s tubing.
c) Ensure you remove BOTH clamps!
d) Return to the procedure that brought you here as NOTED.
c) Per the Figure below, based on where a leak was seen, THREE (3) possible scenarios 1) or 2) or
3) below:
1) IF (and ONLY if) a tubing leak: Repair (tie wrap, if possible) and retest for a leak.
2) IF (and ONLY if) from Valve #39: THREE (3) possibilities: 1) Bad Valve #39 mounting bracket;
2) Bad O-ring under Valve #39; 3) Cracked Valve #39 body.
3) ALL OTHER locations: Per the Figure below, if the plug is leaking replace its O-ring. All other
leaks, it may be necessary to replace the Hydrochamber.
A) ENSURE the water is on! If attached to a PORTABLE RO ENSURE it is on, alarm free, AND NOT in
product divert!
B) ENSURE the incoming water line, between the 2008T and the RO, is connected PROPERLY!
D) Ignoring the TOP Flow Error window, look at Valve Error (2nd window
down). TWO (2) possible scenarios 1) or 2) below:
1) IF (and ONLY if) Valve Error = 0: See procedure number NW- 1.0.0 (page 152).
2) IF Valve Error = 1 longer than two (2) seconds consistently: Refer to the Table below:
A Cleaning / Disinfection Program Proceed to page 207, procedure number CLEAN- 7.0.0
(Rinse, Heat Disinfect, etc.)
a) Figure below, ENSURE the Vent Tubing is NOT kinked, INCLUDING the short segment going back
to the Float!
b) Is the machine attached to a PORTABLE RO? TWO (2) possible scenarios 1) or 2) next page:
a) If multiple machines are attached to the same RO the RO may not support this! At the OTHER
machines turn [Dialysate Flow] “OFF” OR turn them off; allow two (2) minutes, then check if the
“No Water” alarm reoccurs.
b) If the tap water, feeding the RO, is less than 10° C (50° F) this may decrease RO Product flow
causing “No Water” alarms!
a) If multiple machines are indicating “No Water” alarms there is a problem with the RO!
b) Determine if circumstances such as “filling the bicarbonate tank” may be decreasing RO Product flow.
2008T machines require at least 1000 every minute!
c) In the incoming water line, if a garden hose fitting is used (Figure right)
AND the optional filter is used, ENSURE it is clean!
d) Measure RO product flow from the station. It must be MORE THAN 1000
ml every minute!
2) IF Valve #41’s ‘dot’ is ALWAYS blue (NEVER white)! ENSURING the water or portable RO
is on AND the station’s incoming water valve is open, if the ‘dot’ still REMAINS blue, proceed to
page 159, procedure number NW- 2.0.0.
NOTE! If (and ONLY if) in a CLEANING / DISINFECTION PROGRAM AND a “No Water” alarm is coming
and going the PROGRAM will complete but takes longer than normal. If you can live with this, especially if
using a portable RO, the machine is okay for now.
WITHOUT LOOKING AWAY, watch for four (4) FULL minutes OR until if a “No Water” alarm EVER
reoccurs?
Yes “No Water” reoccurs! See procedure number NW- 1.0.4 (page 154).
Leaving the machine in whatever Program it is CURRENTLY in, TWO (2) possible scenarios:
1) IF (and ONLY if) in HEAT DISINFECT Program: See procedure number NW- 1.0.5
(page 155).
2) ALL OTHER Programs including Dialysis: Proceed to page 157, procedure number NW- 1.0.10.
a) Press ‘Esc’ TWICE then ‘Enter’ TWICE to call the “Select Program” screen!
d) WITHOUT LOOKING AWAY, watch for four (4) minutes OR until if a “No Water” alarm EVER reoccurs?
Yes “No Water” reoccurs! Proceed to page 157, procedure number NW- 1.0.10.
No “No Water” does NOT reoccur! The alarm may be related to Heat Disinfect ONLY!
See procedure number NW- 1.0.6 (page 155).
a) Press ‘Esc’ then ‘Enter’ twice to call the “Select Program” screen.
WITHOUT LOOKING AWAY, watch for four (4) FULL minutes OR until if a “No Water” alarm EVER
reoccurs?
Yes “No Water” alarm reoccurs! See procedure number NW- 1.0.8 (page 156).
No “No Water” does NOT reoccur! Do NOT continue but close the shunt door!
a) Call debug screen 4. If debug does not appear press ‘Escape’ then call sceen 4.
b) When Valve #43 is closed*, PDIA (left column) NORMALLY cycles between 0.0
and to more than 0.1. When Valve #43 opens it stays more than 1.0 but
NORMALLY for no more than sixteen (16) seconds.
* In Heat Disinfect Valve #43 automatically cycles between closed and open.
c) WITHOUT LOOKING AWAY, watch PDIA for forty-five (45) seconds. If it remains more than 0.1
continue to watch for forty five (45) more seconds. Does it EVER cycle to 0.0?
Yes PDIA cycles to 0.0! See procedure number NW- 1.0.10 (page 157).
No PDIA REMAINS ALWAYS more than 0.1! See parts a AND b below:
a) Per the Figure below, double clamp Valve #43’s OUTPUT tubing. NOTE!
Valve #43’s output tubing extends towards the front of the machine!
b) Watch PDIA again for forty five (45) seconds. Does it NOW cycle to 0.0?
Yes PDIA now cycles to 0.0! Remove the clamps. Possible bad component: 1) Bad
Actuator-Test Board OR; 2) Bad Valve #43.
No PDIA still DOES NOT cycle to 0.0! A) ENSURE Valve #43 is double clamped
properly; B) Return to Dialysis Program, allow eight (8) minutes, and then check
for TMP problems.
b) A psi pressure gauge is required. ENSURE it reads 0 psi before installing it!
c) Figure below, tee the gauge into Inlet Pressure Regulator #61.
d) Tie wrap both sides of the gauge tubing to prevent leaks and false readings!
Call debug screen 0, to watch Valve #41’s ‘dot’ for forty-five (45) seconds. TWO (2) possible scenarios:
1) IF (and ONLY if) Valve #41’s ‘dot’ is NEVER white (ALWAYS blue): If ABSOLUTELY SURE the
water is ON and the ‘dot’ still is NEVER white proceed to page 159, procedure number NW- 2.0.0.
2) IF Valve #41’s ‘dot’ is remaining white OR cycling between white and blue! TWO (2) possible
scenarios below:
Scenario #1: IF (and ONLY if) REMAINING white: If (and ONLY if) a “No Water” alarm NEVER
reoccurs whatever was causing the problem is no longer present! If a “No Water”
alarm does reoccur see Scenario #2 below.
Scenario #2: IF cycling between white and blue: Gauge pressure should cycle between a PEAK of
more than 18 psi and to NEVER LESS than 8 psi. WITHOUT LOOKING AWAY, watch
the gauge AND the screen two (2) minutes and preferably until a “No Water” alarm
reoccurs. TWO (2) possible scenarios 1) or 2) next page:
2) IF the PEAK cycles to or remains MORE THAN 18 psi: THREE (3) possible scenarios below:
Scenario #1: IF (and ONLY if) the MINIMUM EVER falls lower than 8 psi: This indicates a
problem with RO Product flow or pressure!
Scenario #2: IF (and ONLY if) the MINIMUM remains more than 8 psi AND a “No Water”
alarm reoccurs: Proceed to page 162, procedure number NW- 3.0.0.
Scenario #3: IF the MINIMUM remains more than 8 psi AND a “No Water” does NOT
reoccur: The problem IS NOT presenting at this time!
2) IF MORE THAN 18 psi CANNOT be achieved: ASSUMING incoming water has remained more
than 1000 every minute, Inlet Pressure Regulator #61 may be bad.
a) Figure below, ENSURE Valve #41’s connector is plugged PROPERLY into distribution board position
“V27, IN-V”.
b) Call debug screen 0 to watch Valve #41’s ’dot’ for one (1) FULL minute. TWO (2) possible scenarios:
1) IF (and ONLY if) Valve #41’s ‘dot’ is now remaining white OR cycling between white and
blue: The constant “No Water” alarm is no longer occurring! If (and ONLY if) a “No Water” alarm
occurs intermittently return to (ABOVE) procedure number NW- 1.0.10 (page 157). If a “No
Water” alarms NEVER occurs the No Water problem is not occurring!
Scenario #1: IF (and ONLY if) Valve Error = 0! See procedure number NW- 2.0.1 (page 160).
Scenario #2: IF Valve Error = 1 longer than two (2) seconds consistently! Refer to the
Table below:
A Cleaning / Disinfection Program Proceed to page 207, procedure number CLEAN- 7.0.0
(Rinse, Heat Disinfect, etc.)
b) A psi pressure gauge is required. ENSURE it reads 0 psi before installing it!
c) Per the Figure below, tee the gauge into Inlet Pressure Regulator #61.
e) WARNING! Do not use a plastic clamp in part e as this will cause error!
f) Using METAL PLIERS, tightly clamp the tubing between the gauge and the Heat Exchanger at the
location shown the Figure above. TWO (2) possible scenarios
1) IF the gauge = 18 psi or more: Remove the pliers then proceed to page 162, procedure
number NW- 3.0.0
2) IF the gauge = less than 18 psi: ENSURING the water was on prior to checking pressure, remove
the pliers then see procedure number NW- 2.0.2 (page 160).
1) IF (and ONLY if) 1000 ml or more collected: See procedure number NW- 2.0.3 (page 161).
2) IF less than 1000 ml: This is the problem! TWO (2) checks:
a) TURN THE WATER OFF and reattach the Incoming Water Tubing.
1) IF (and ONLY if) more than 18 psi CAN be achieved: Remove the pliers then allow one (1)
FULL minute. If a “No Water” alarm reoccurs return to (ABOVE) procedure number NW- 1.0.2
(page 154). If the “No Water” alarm NEVER occurs there is no need to continue!
2) IF 18 psi CANNOT be achieved: Assuming incoming RO Product flow has remained more than
1000 ml every minute, Inlet Pressure Regulator #61 may be bad.
1) IF (and ONLY if) Valve #41’s ‘dot’ is BLUE always: Valve #41 should be open. Leaving the plug
installed, see procedure number NW- 4.0.0 (page 163).
2) IF Valve #41’s ‘dot’ is or EVER turns WHITE: See parts a AND b below:
a) ENSURE the 274 Ω plug, from the TWO-RESISTOR SET is PROPERLY placed at
distribution board position “FLOAT-SW”! If not, repeat procedure number NW- 3.0.0 (page 162)
from part b.
b) Leaving the plug installed, swap the following components in (Component List below) one at a
time and, in between, test each new component until Valve #41’s ‘dot’ remains blue.
1
To LOCATE the boards refer to Figure 4A (page 10).
2
To prevent “Cond Offset Failure”, place the machine into T and C Mode (refer to
OPERATING MODES, page 19)
a) Place a 1000 ml graduated cylinder under the Vent tubing it to capture overflow.
Yes 800 ml or more! See procedure number NW- 5.0.0 (page 164).
No Not 800 ml or more! ENSURING the water was ON, Per the Figure below, touch
Valve #41’s (black) solenoid. TWO (2) possible scenarios:
1) IF (and ONLY if) Valve #41’s solenoid is warm: TWO possible bad components:
1) Bad Actuator-Test Board; 2) Bad valve #41 and/or its blue wire harness.
2) IF Valve #41’s solenoid is cold: NOTE ONLY VALVE #41 will be checked and
proceed to page 210, TROUBLESHOOTING A VALVE.
c) Per the Figure below, locate the clear tubing (from Valve #41) that enters the ‘Air Gap Tower’ vertically
at the top of the Hydrochamber.
d) Pull the tubing off the ‘Air Gap Tower’ and direct it into the cylinder.
1) IF (and ONLY if) more than 800 ml collected: See procedure number NW- 5.1.0 (page 165).
2) IF less than 800 ml collected: There is not enough water from the RO OR a there is a restriction
at, to or from Valve #41.
e) Figure right, remove the Heater and check its port into the
top of the hydrochamber for heat damage (i.e. melting). If
(and ONLY if) damage is located replace the
hydrochamber.
h) Turn the machine on and return to the Program where the “No Water” alarm occurred.
i) If the “No Water” alarm reoccurs, either inadequate incoming water flow (less than 1000 ml per minute
OR TWO (2) possible bad components: 1) (Intermittent) bad Float* Switch OR; 2) Bad Actuator-Test
Board
*
To LOCATE the Float Switch refer to Figure 28 (page 140).
NOTE! If you placed the machine in RINSE because a Flow Error was occurring in Dialysis Program return
to Dialysis Program and proceed to page 23, SECTION 1 - FLOW ERRORS IN DIALYSIS PROGRAM
These procedures troubleshoot Flow Errors that occur in Heat Disinfect, Rinse, etc. Alarm banners include
“Flow Error”, “Flow Inlet Error” and “Flow Recirc Error 1”.
B) Figure below, did tubing ‘blow off’ a UF Check Valve OR was there an active leak prior to
Interrupting?
Yes Tubing ‘blew’ off OR an active leak! See procedure number CLEAN- 1.0.0 (page 166).
No Tubing did NOT blow off AND no active leaks! See parts a and b below:
a) If the Flow Error was occurring in Heat Disinfect return to it. If not place the machine in
RINSE!
b) Per the Figure above, ENSURE the tubing to and from UF Check Valve #63 is NOT kinked!
a) If (and ONLY if) the problem was occurring in Heat Disinfect return to it. If not place the machine in
RINSE.
CHECK #1: Figure right, water from the Fluid Sample port = UF Check
Valve #64 is bad!
CHECK #2: No ‘squirts’ into the bucket = UF Check Valve #63 is bad!
c) Allow up to four (4) minutes OR until if a leak reoccurs. TWO (2) possible
scenarios below:
1) IF (and ONLY if) NO leaks! Proceed to page 169, procedure number CLEAN- 1.0.5.
2) IF a leak occurs! Interrupt the Program! With the “Interrupted” banner up, see procedure number
CLEAN- 1.0.3 (page 167).
2) IF (and ONLY if) Valve Error = 1 MORE THAN (2) seconds: Proceed to page 207, procedure
number CLEAN- 7.0.0.
b) Locate Val1 Err AND Val2 Err. TWO (2) possible scenarios:
1) IF (and ONLY if) BOTH Val1 Err AND Val2 Err = 0: Turn the machine OFF then proceed to
page 607, procedure number LEAKING- 4.0.0.
2) IF Val1 Err AND/OR Val2 Err = 1: Proceed to page 727. SECTION 29 – BIBAG: VALVE 1
OR 2 ERROR.
NOTE! From here forward, if (and ONLY if) a leak develops, address it first!
*
If (and ONLY if) a “No Water” alarm EVER occurs address it first!
c) Does Valve Error EVER = 1 for LONGER THAN two (2) seconds! TWO (2) possible scenarios:
1) IF (and ONLY if) Valve Error = 0 OR ‘blinks to 1’ for less than two (2) seconds!
ENSURING the shunt door is CLOSED, proceed to page 224, TROUBLESHOOTING VALVE
ERRORS IN CLEANING PROGRAMS
2) IF Valve Error EVER = 1 LONGER THAN two (2) seconds: See procedure number
CLEAN- 7.0.0 (page 207).
NOTE! Flow Errors may cause some Vent Tubing overflow. This is normal and can be ignored.
a) Per the Figure below, check for Vent Tubing kinks, INCLUDING the short segment going back to the
float!
b) If a kink was located and eliminated allow three (3) minutes to see if this fixes the flow error. If (and
ONLY if) the flow error reoccurs see procedure number CLEAN- 1.2.1 (page 171).
A) Call debug screen 14 (Figure below). If debug does not appear press ‘Esc’ then call screen 14.
No Val1 Err AND /OR Val2 Err = 1! Proceed to page 727, SECTION 29 – BIBAG: VALVE 1 OR
2 ERROR
A) Loading Pressure may or may not be cycling. TWO (2) possible scenarios below:
1) IF NOT cycling: Pressure is ‘OKAY’ if it REMAINS between 22 and 27 psi. See part B!
2) IF cycling: It may cycle to but SHOULD NOT remain less than 15 psi. It is ‘OKAY’ if it EVER
cycles to a PEAK between 22 and 27 psi. See part B!
2) IF (and ONLY if) REMAINS ALWAYS less than 15 psi: ENSURING the gauge was SLAMMED
into the Rinse port, Loading Pressure is low! See procedure number CLEAN- 1.2.33 (page 174).
3) IF (and ONLY if) EVER MORE than 28 psi: Turn Valve #65’s nut (Figure below)
counterclockwise (outward) to adjust to a PEAK of between 22 and 25 psi. If a Flow Error
reoccurs proceed page 190, procedure number CLEAN- 3.0.0.
4) IF cycling to a PEAK of between 15 and 21 psi: ENSURING the gauge was SLAMMED into
the Rinse port, turn Valve #65’s nut (Figure below) clockwise (inward) attempting to adjust to a
PEAK of between 22 and 25 psi. Can you?
Yes Pressure CAN be adjusted to its PEAK! Allow two (2) minutes then if a Flow Error
reoccurs proceed page 190, procedure number CLEAN- 3.0.0.
No Loading Pressure remains low! See procedure number CLEAN- 1.2.33 (page 174).
b) Call debug screen 0 (Figure below). If debug does not appear press ‘Esc’ then call screen 0
1) IF (and ONLY if) DEAP = 75 OR less: See procedure number CLEAN- 1.2.4 (page 175).
a) Enter Service Mode → Calibrate Hydraulics → Deaeration Pressure. DO NOT follow the
screen instructions! See part b instead!
h) Call debug screen 0. If debug does not appear press the ‘Esc’ key then call debug screen 0.
Yes DEAP = 45! See procedure number CLEAN- 1.2.4 (page 175).
No DEAP NOT = 45! CAREFULLY repeat the Deaeration Pressure Calibration from part
a). After repeating, if (and ONLY if) DEAP STILL does not = 45, THREE (3) possible
bad components: 1) Bad Actuator-Test Board OR; 2) Bad Functional Board EEPROM
(IC2) OR; 3) Bad Functional Board.
c) NOTING ONLY the DEAERATION MOTOR will be checked proceed to page 141,
TROUBLESHOOTING MOTORS.
Using the handle end of a screwdriver, push HARD on and release the DEAERATION MOTOR SHAFT
several times. Can you make it stop rotating and REMAIN stopped?
Yes If ABSOLUTELY SURE the motor stops! TWO (2) possible bad components: 1) Bad
Deaeration Motor (likely bad brushes) OR; 2) Bad Deaeration Pump head.
No The motor does NOT stop! See procedure number CLEAN- 1.2.6 (page 176).
Recheck Loading Pressure (gauge in Rinse port). THREE (3) possible scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) ALWAYS less than 15 psi: Leaving the machine in the Cleaning Program, see
procedure number CLEAN- 1.5.0 (page 176).
2) IF (and ONLY if) MORE than 25 psi: Figure below, turn Valve #65’s nut counterclockwise (outward) to
adjust to between 23 and 25 psi then proceed page 190, procedure number CLEAN- 3.0.0.
3) IF cycling to between 15 and 21 psi: Figure below, turn Valve #65’s nut clockwise (inward)
attempting to adjust pressure to a PEAK between 23 and 25 psi. Can you?
Yes Pressure CAN be adjusted to its PEAK! Allow two (2) minutes then if a Flow Error
reoccurs proceed page 190, procedure number CLEAN- 3.0.0.
No Loading Pressure remains low! Leaving the machine in the Cleaning Program, see
procedure number CLEAN- 1.5.0 (page 176).
d) Now direct the tubing into the cylinder for ONE (1) minute! More than three hundred (300) ml collected?
Yes More than 300 ml! See procedure number CLEAN- 1.5.2 (page 177).
No Less than 300 ml! Leaving the tubing off and the pump unplugged, proceed to page 183,
procedure number CLEAN- 2.0.0.
NOTE! Swap the components in one at a time until no flow from the Connector nozzle.
A) Per the Figures BELOW, double clamp Valve #43’s OUTPUT tubing.* *Valve #43’s OUTPUT tubing
extends towards the FRONT of the machine!
a) If the Flow Error was occurring in Heat Disinfect return to it. If not place the machine in RINSE!
c) Reading the gauge at the Deaeration Pump, TWO (2) possible scenarios below:
1) IF (and ONLY if) peaking to MORE than 27 psi: Turn Valve #65’s nut (Figure above)
counterclockwise to bring PEAK pressure, at the Deaeration Pump gauge, to between
23 and 25 psi. If this pressure can be achieved see procedure number CLEAN- 1.5.7 (page 181).
If it CANNOT be adjusted to between 23 and 25 psi Valve #65 may be bad.
2) ALL OTHER scenarios: Turn Valve #65’s nut until a PEAK pressure, at the Deaeration Pump
gauge, is between 23 and 25 psi. Can you achieve this pressure?
Yes Between 23 and 25 psi! See procedure number CLEAN- 1.5.7 (page 181).
No Pressure remains less than 22 psi! ENSURING no leaks, see parts a AND b below:
a) ENSURE more than 300 ml per minute input flow to the Deaeration Pump (i.e. no
recurring air lock)!
b) Swap the following components (see Component List below) one at a time, with
known good, and in between, attempting to adjust pressure at the Deaeration
Pump gauge to a PEAK of between 23 and 25 psi. When between 23 and 25 psi
can be achieved the last component swqapped in is the problem! .
* Ensure the correct spring is installed under Valve #65’s nut! Refer to Figure 6
(page 22)
Compare the gauge at the Deaeration Pump to the gauge in the RINSE port. Are they within three (3) psi of
each other?
Yes Within 3 psi of each other! Proceed to page 189, procedure number CLEAN- 2.4.0.
No Pressure at the RINSE port gauge is way less than pressure at the Deaeration Pump gauge! See
parts a THROUGH d below:
c) ENSURING Rinse OR Heat Disinfect is running, measure flow from the drain tubing, into the
cylinder, for ONE (1) minute!
Yes More than 500 ml! THREE (3) possible problems: 1) Loose bibag Interface Board
ribbon cable (refer to Figure 4C, page 11)) OR; 2) Bad Valve #108 (refer to
Figure below) OR; 3) Bad bibag Interface Board.
No Way less than 500 ml! THREE (3) possible problems: 1) Loose bibag Interface
Board ribbon cable (see Figure 4C, page 11)) OR; 2) Bad Valve #103 (refer to
Figure below) OR; 3) Bad bibag Interface Board
This procedure attempts to clear an air lock. First Restrictor #48 is checked to see if it is plugged!
d) Attach the syringe, to the DEAERATION PUMP’s clear tubing removed earlier.
e) PULL on the plunger to the end of the barrel! If Restrictor #48 is plugged you will feel very strong
resistance and may not be able to pull the plunger all the way out. Very strong resistance (Yes or No)?
Yes Very strong resistance! Restrictor #48 is plugged with debris1. Replace the tubing segment
that contains Restrictor #48*. *To LOCATE Restrictor #48 refer to the Figure, next page)!
1
Debris indicates FIVE (5) possibilities: 1) Excessive O-ring lubrication; 2) Inadequate acid
cleaning (bicarbonate precipitate); 3) Inadequately filtered incoming water;
4) Degraded Heater; 5) Degrading Deaeration Pump Head.
No Very little resistance! Restrictor #48 is open! Perform parts A THROUGH E below:
A) Remove the syringe and MEASURE flow from the tubing. If less than 130 ml is collected
see part B. If (and ONLY if) more than 130 ml is collected see procedure number
CLEAN- 2.0.2 (page 184).
E) Repeat parts A through E up to TEN (10) TIMES OR until if you MEASURE more than
130 ml every minute?
Yes More than 130 ml every minute! No airlock! See procedure number
CLEAN- 2.0.2 (page 184).
No After ten (10) attempts you CANNOT achieve more than 130 ml per minute!
An airlock is present! Proceed to page 186, procedure number
CLEAN- 2.0.5.
Direct the tubing into a bucket for up to FIVE (5) minutes. Flow will either: 1) Continue at more than 130 ml
every minute OR 2) Stop. TWO (2) possible scenarios:
1) IF (and ONLY if) flow continues at 130 ml or more every minute: Leaving the tubing off and the
pump unplugged, see procedure number CLEAN- 2.0.3 (page 185).
Cleaning Programs open Valve #39. This procedure isolates Valve #39:
a) Per the Figure above, at the bottom of the Hydrochamber, clamp the tubing segment that contains
Restrictor #48!
b) If the Flow Error was occurring in Heat Disinfect return to it! If not place the
machine in RINSE!
c) Again direct the Deaeration Pump’s CLEAR tubing into the 1000 ml cylinder.
d) Measure for ONE (1) minute! More than two hundred (200) ml collected?
Yes More than 200 ml! Valve #39 is okay! See procedure number CLEAN- 2.0.4 (page 185).
b) Swap in the following components (see Component List below) one at a time, with known
good, then repeat (ABOVE) procedure number CLEAN- 2.0.3 (page 185) until more than
200 ml is collected indicating the last component swapped in is the problem.
CLEAN- 2.0.4 MORE THAN 200 ML PER MINUTE/ VALVE #39 IS OKAY
If all procedures were performed correctly you have determined good flow through Restrictor #48 AND
Valve #39 i.e. more than 300 ml every minute input flow to the Deaeration Pump. See parts a THROUGH c
below:
b) Again attach the 60 ml syringe, with the plunger pushed all the way in, to the Deaeration Pump’s
CLEAR tubing.
c) Pull the plunger to the end of the barrel then remove the syringe.
d) From the tubing, MEASURE flow for one (1) minute, looking for at least 130 ml!
e) Repeat parts b THROUGH e up to TEN TIMES OR until if you measure at least 130 ml in one (1)
minute?
Yes More than 130 ml per minute! THREE (3) possible problems: 1) Loose bibag Interface
Board ribbon cable (refer to Figure 4C, page 11)) OR; 2) Bad Valve #101 OR; 3) Bad
bibag Interface Board.
No After ten (10) attempts you DO NOT measure more than 130 ml per minute! Remove the
clamp from Valve #101 then see procedure number CLEAN- 2.1.0 (page 187).
c) MEASURE from the Vent Tubing for ONE (1) minute. More than eight hundred (800) ml collected?
Yes More than 800 ml! See procedure number CLEAN- 2.1.1 (page 187).
Yes ‘Dot’ = Blue! A) Reattach the Deaeration Pump’s input tubing; B) Proceed to
page 152, SECTION 2 – NO WATER ALARM
No ‘Dot’ = White! a) BE VERY SURE the 274 Ω resistor plug, from the TWO-
RESISTOR SET, is placed PROPERLY in distribution board
position, “FLOAT-SW”! If not, repeat procedure number
CLEAN- 2.1.0 (page 187)!
d) Remove the syringe and MEASURE flow from the tubing for one (1) minute. If less than 130 ml is
collected repeat parts b through d up to TEN (10) TIMES! After no less than ten (10) attempts do
you MEASURE more than 130 ml every minute?
Yes More than 130 ml! See procedure number CLEAN- 2.1.2 (page 188).
No Nowhere near 130 ml! TWO (2) possible bad components: 1) Bad Float Switch* OR; 2) Bad
Hydrochamber.
a) This procedure requires up to four (4) FULL minutes to prevent labor-intensive error.
b) Direct the tubing into the bucket for up to four (4) minutes. Flow will either: 1) Continue at more than
130 ml every minute OR 2) Stop. TWO (2) possible scenarios:
1) IF (and ONLY if) flow continues at 130 ml every minute: Return to (ABOVE) procedure
number CLEAN- 2.0.3 (page 185).
2) IF flow STOPS: TWO (2) possibilities: 1) Bad Float Switch #5* OR; 2) Bad Hydrochamber.
d) Watching for ten (10) minutes, does a Flow Error banner EVER reoccur? THREE (3) possible
scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) a Flow Error does DOES NOT reoccur! Problem solved! Check Loading and
Deaeration Pressure per the Preventative Maintenance Procedures booklet.
2) IF (and ONLY if) a Flow Error reoccurs AND Loading Pressure is peaking to between 23 and
27 psi: See procedure number CLEAN- 3.0.0 (page 190).
3) IF a Flow Error reoccurs AND peak Loading Pressure is below 22 psi: Return to (ABOVE)
procedure number CLEAN- 1.2.4 (page 175).
b) THREE (3) checks on the Flow AND Deaeration motors (Figure below):
Check #1: Is the FLOW MOTOR shaft rotating in the same direction as the Deaeration Motor i.e.
counterclockwise (CCW)?
No If (and ONLY if) it is NOT rotating CCW, NOTING ONLY the FLOW MOTOR
will be checked proceed to page 141, TROUBLESHOOTING MOTORS
Check #2: Using the handle end of a screwdriver, push hard on the FLOW MOTOR’S shaft, release it,
and then push again several times. Can you make stop rotating and REMAIN stopped?
Yes If ABSOLUTELY SURE the motor stops! TWO (2) possible bad
components: 1) Bad Flow Motor (probably brushes) OR; 2) Bad Flow
Pump head.
Check #3: Push hard on and release the DEAERATION MOTOR shaft. Can you make it stop rotating?
Yes If ABSOLUTELY SURE the motor stops! TWO (2) possible bad components:
1) Bad Deaeration Motor (possibly brushes) OR; 2) Bad Deaeration Pump
head.
b) A psi pressure gauge is required next. ENSURE it reads 0 before installing it!
c) Per the Figure below, tee the gauge into the OUTPUT (white tubing) side of the Flow Pump.
CAUTION! Fluid may be hot but won’t scald you!
d) Tie wrap both sides of the gauge tubing to prevent leaks and false readings!
e) If (and ONLY if) the Flow Error was occurring in Heat Disinfect return to it. If not place the machine in
RINSE!
No Remains less than 34 psi! ENSURING Heat Disinfect OR Rinse is running AND no leaks, see
parts a THROUGH c below:
a) Watch for one (1) minute to ENSURE a “No Water” alarm NEVER occurs!
b) Referring to Figure 32 (page 170), behind the Deair Pump, locate Valve #78.
c) Can you adjust Valve #78 until the gauge cycles to a PEAK of between 34 and 36 psi?
Yes Pressure adjusts to between 34 and 36 psi! Allow two (2) minutes then, if a
Flow Error reoccurs, Proceed to page 193, procedure number
CLEAN- 4.0.0.
a) Per the Figures below, DOUBLE clamp the OUTPUT tubing at Valve #43. NOTE! Valve #43’s
output tubing extends towards the front of the machine!
b) Can you now adjust Valve #78 until gauge pressure cycles to between 34 psi and 36 psi about every
three (3) seconds (Yes of No)?
Yes Between 34 and 36 psi! This may indicate Valve #43 sticking open! A) Release the clamps!
B) ENSURING Valve #43’s ‘dot’ is white, if pressure again DOES NOT cycle to more than
34 psi then TWO (2) possible bad components: 1) Actuator-Test Board OR; 2) Valve #43.
No Remains less than 34 psi! Leaving the clamps in place, proceed to page 102 procedure
number F- 9.0.24.
a) Leave the gauge installed ENSURE its tubing is NOT kinked (restricting flow)!
1) IF (and ONLY if) in RINSE: Proceed to page 202, procedure number CLEAN- 5.0.0.
2) IF Valve #29’s ‘dot’ is EVER = white: Proceed to page 202, procedure number CLEAN- 5.0.0.
c) Watching for one (1) minute, ignoring a ‘blink to 1’ that lasts less than one (1) second, does Valve
Error EVER = 1 for LONGER THAN two (2) seconds?
Yes Valve Error = 1 LONGER THAN two (2) seconds! Proceed to page 207, procedure
number CLEAN- 7.0.0.
No Valve Error = 0 OR ‘blinks to 1’ for less than one (1) second! Close the shunt door THEN
proceed to page 224, TROUBLESHOOTING VALVE ERRORS IN CLEANING
PROGRAMS
Watching for fifteen (15) seconds, does the external flow indicator’s ‘bob’ EVER rise at least ¼ way up in
the sight tube?
Yes ‘Bob’ moving! Proceed to page 198, procedure number CLEAN- 4.6.0.
b) ENSURE Flow Pump Pressure (gauge at Flow Pump) is still PEAKING to between
34 and 38 psi.
c) ENSURE Loading Pressure (gauge in Rinse port) PEAK pressure remains between
22 and 27 psi.
No Significant resistance encountered! NOTE ONLY VALVE #29 will be checked and proceed to
page 210, TROUBLESHOOTING A VALVE
a) A 1000 ml (or larger) graduated cylinder is required below. CAUTION! Fluid may be hot!
d) Remove the BLUE dialyzer connector but DO NOT CLOSE THE DOOR!
e) Measure from the dialyzer connector for thirty (30) seconds! More than 300 ml collected?
No Less than 300 ml! ENSURING the “Interrupted” banner is NOT up, see parts a THROUGH c
below:
a) Return the dialyzer connector to the shunt but DO NOT close the door!
b) Per the Figure below, routing Valve #24’s INPUT tubing so that spillage into the
hydraulics does NOT occur, REMOVE the tubing and measure flow from it for thirty (30)
seconds.
Yes More than 300 ml! A) Return Valve #24’s tubing. B) NOTE ONLY VALVE
#24 will be checked and proceed to page 210, TROUBLESHOOTING A
VALVE
b) If Loading AND Flow Pressure are still good, FOUR possible bad
components: 1) Restricted DiaSafe® filter; 2) Bad Actuator-Test Board OR
3) Bad Actuator Cable; OR 4) Multiple stuck closed balancing chamber
valves.
a) With the dialyzer connector out of the shunt ENSURE the external flow indicator’s ‘bob’ is rising at least
¼ way up in the sight tube!
c) Does the external flow indicator’s ‘bob’ now rise at least ¼ way up?
Yes ‘Bob’ moving now! See procedure number CLEAN- 4.6.0 (page 198).
a) ENSURE no restrictions in the ‘from dialyzer (red) line’ especially the external filter!
b) If no restrictions, NOTE ONLY VALVE #25 will be checked and proceed to page 210,
TROUBLESHOOTING A VALVE
When Remaining Prerinse Time = 0:00, Valve #29 stays open and Valve #30 stays closed. The Actuator-
Test Board watches for Dialysate Pressure Sensor #9 (debug screen 4’s PDIA and ADIA) transitions to
sense flow.
b) Wwith the “Interrupted” banner up, remove the red dialyzer connector from the shunt door and hold it at
the level of the dialyzer holder. ENSURE no flow from dialyzer connector!
Between 3.0 and 6.0 Between 2.0 and 6.0 BOTH PDIA and ADIA are good! The Dialysate
Pressure sensor is good! See procedure number
(Good) (Good) CLEAN- 4.6.1 (page 199).
Less than Less than BOTH PDIA AND ADIA are bad! Leaving the
3.0 OR more than 6.0 2.0 OR more than 6.0 “Interrupted” banner up, proceed to page 505,
(Bad) (Bad) procedure number TMP- 3.0.0
a) Return the dialyzer connector to the shunt and close the door!
c) To isolate between four (4) possible bad valves read part d’s two-part description BEFORE performing
part e!
PART 1: When Valve #43 is closed* PDIA cycles between 0.0 (for 3 to 5 seconds) to more than 0.1
(for about one second). It is abnormal for PDIA to cycle to 6.0 or more OR remain 0.0 for more than
seven (7) seconds!
* Valve #43 cycles between closed for forty five (45) seconds and open for sixteen (16) seconds
PART 2: When Valve #43 is open* PDIA stays between 1.0 and 5.0. When Valve #43 closes PDIA
resumes cycling. If (and ONLY if) PDIA REMAINS between 1.0 and 5.0 for MORE THAN ninety (90)
seconds see procedure number CLEAN- 4.6.22 (page 200).
e) WITHOUT LOOKING AWAY, watch PDIA AND for “Flow Recirc Error 1” for five (5) minutes OR until if
“Flow Recirc Error 1” appears. Proceed according to one of the TWO (2) possible scenarios below:
1) IF (and ONLY if) “Flow Recirc Error 1” NEVER occurs: Whatever was causing the Flow Error
is not exhibiting yet! Watch PDIA until either a Flow Error occurs OR Heat Disinfect finishes.
2) IF “Flow Recirc Error 1” occurs AND also one of THREE (3) scenarios below:
Scenario #1: IF (and ONLY if) PDIA was EVER = 6.0 OR more: A restriction at Valve #24 OR
Valve #25 is indicated. See the Figures below to locate these valves!
Scenario #2: IF (and ONLY if) PDIA EVER stayed 0.0 for longer than seven (7) seconds: A
restriction at Valve #29 is indicated! See the left Figure below to locate Valve #29!
Scenario #3: IF PDIA NEVER = 6.0 OR more AND NEVER 0.0 more than seven (7) seconds:
To isolate Valve #43, proceed to page 201, procedure number CLEAN- 4.6.33.
a) PDIA is staying between 1.0 AND 5.0. This procedure (parts b and c) confirms a problem with Valve
#43 or the Actuator-Test Board.
b) Per the Figure below, double clamp the OUTPUT tubing at Valve #43. Note! Valve #43’s output
tubing extends towards the FRONT of the machine.
c) If PDIA begins to cycle to 0.0 this indicates, TWO (2) possible bad components: 1) Bad Actuator-Test
Board OR; 2) Bad Valve #43 (sticking open).
PDIA is NEVER 6.0 or AND NEVER 0.0 longer than seven (7) seconds!
d) Per the Figure below, unplug the Flow Pump from Distribution Board position “P21-Flow-P”.
Yes ‘Bob’ moving! Valve #43 is okay! A) Return the Flow Pump’s connector to distribution
board position” P21- Flow-P”; B) ENSURE the Flow Motor rotates; C) If “Flow Recirc
Error 1” continues to occur you may have made an error somewhere!
No ‘Bob’ NOT moving! ENSURING Loading Pressure (gauge in the rinse port) remains good,
TWO (2) possible bad components: 1) Bad Actuator-Test Board OR 2) Bad Valve #43
(sticking closed).
NOTE! When troubleshooting is complete be sure to return the Flow Pump’s connector to
distribution board; position” P21- Flow-P”;
c) Ignoring a ‘blink to 1’ that lasts less than one (1) second, watch for one (1) minute. Does Valve Error
EVER = 1 for LONGER THAN two (2) seconds CAREFUL HERE! TWO (2) possible scenarios:
1) IF (and ONLY if) Valve Error = 0 OR ‘blinks to 1’ for less than one (1) second! Close the
shunt door then proceed to page 224, TROUBLESHOOTING VALVE ERRORS IN CLEANING
PROGRAMS
2) IF Valve Error EVER = 1 LONGER THAN two (2) seconds: Turn the machine OFF then
proceed to page 207, procedure number CLEAN- 7.0.0.
1) IF (and ONLY if) BOTH ‘dots’ turn WHITE, at the SAME TIME, for LONGER THAN thirty
(30) seconds! See procedure number CLEAN- 5.2.1 (page 203).
2) IF BOTH dots, at the SAME TIME, are NEVER white LONGER THAN thirty (30) seconds!
Proceed to page 204, procedure number CLEAN- 5.3.0.
CLEAN- 5.2.1 VALVE #30 AND VALVE #29 ‘DOTS’ REMAINING WHITE LONGER THAN 30 SECONDS
Yes Dialysate Sampling = No! See procedure number CLEAN- 5.2.2 (page 203).
No a) Move the ‘X’ to the No box THEN press ‘Enter’. The ‘X’ MUST turn blue!
b) If (and ONLY if) the Flow Error was occurring in Heat Disinfect return to it. If not place the
machine in RINSE!
c) Watching for five (5) FULL minutes, TWO (2) possible scenarios:
1) IF (and ONLY if) a Flow Error reoccurs: Return to page 202, procedure number
CLEAN- 5.0.0.
2) IF a Flow Error does NOT reoccur: Problem solved! The Dialysate Sampling
Hardware Option was set to “Yes” accidently.
When the Dialysate Sampling Hardware Option = “No” then having Valve #30’s AND #29’s ‘dots’ white at
the same time is UNLIKELY and, if you made and error, could result in unnecessary work! See parts a
THROUGH c below!
b) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
c) WITHOUT LOOKING AWAY, watch Valve #30’s AND #29’s ‘dots’ again for four (4) FULL minutes. Do
they BOTH EVER turn WHITE again, at the SAME TIME, for more than thirty (30) seconds?
No BOTH dots do NOT turn white at the same time. See parts A AND B below:
A) If the flow error was originally occurring in Heat Disinfect return to it! If not leave the
machine in RINSE.
B) See procedure number CLEAN- 5.3.0 (page 204).
a) Leaving the shunt door OPEN, ENSURE a “No Water” alarm NEVER occurs!
b) Watching for thirty (30) FULL seconds, does the external flow indicator’s ‘bob’ EVER rise about ½ way
up OR higher in the sight glass?
Yes ‘Bob’ moving! See procedure number CLEAN- 5.4.0 (page 204).
a) ENSURE no tubing restrictions at the Flow Pump AND the DiaSafe® filter.
b) ENSURE Flow Pump Pressure (gauge at Flow Pump) is PEAKING to between 34 and 37 psi.
c) ENSURE Loading Pressure (gauge in Rinse port) is peaking to between 22 and 27 psi.
WITHOUT LOOKING AWAY, watch specifically for a “Flow Error” AND / OR a “Flow Inlet Error” for four (4)
minutes OR until if either one EVER occurs?
Yes “Flow Inlet Error” AND / OR “Flow Error” occurs! Proceed to page 205, procedure number
CLEAN- 6.0.0.
b) Assuming neither alarm EVER occurs, allow Remaining Prerinse Time to reach 0:00!
c) Watch until if a “Flow Recirc Error 1” occurs OR until if the program completes! TWO (2)
possible scenarios (next page):
2) IF “Flow Recirc Error 1” occurs: See (ABOVE) procedure number CLEAN- 4.2.0
(page 193).
g) Push hard on the syringe plunger while watching Valve #29’s OUTPUT tubing. Resistance is normal!
If Valve #29 is sticking open you will see air moving ALL THE WAY through it?
No Air is NOT moving through Valve #29! See parts A AND b below:
No Air IS NOT moving through Valve #29! The Actuator-Test Board is bad!
CHECK #2 Check the entire length of the ACTUATOR CABLE for damage!
CHECK #3 ENSURE all Valves are plugged PROPERLY into their distribution board positions!
CHECK #4 ENSURE the black PGND wire is plugged in and shows no signs of burning.
Yes Problem located! After the repair see procedure number CLEAN- 7.0.1 (page 207).
b) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
c) Watch the 2nd window down, Valve Error, for five (5) minutes. If it DOES NOT = 1 for longer than
two (2) seconds the repair solved the problem HOWEVER, if (and ONLY if) a Flow Error reoccurs see
(ABOVE) procedure number CLEAN- 1.0.5 (page 169).
a) Figures below, you will check four (4) Valves: 1) Valve #24; 2) Valve #38; 3) Valve #39; 4) Valve
#43.
b) THREE (3) checks on EACH Valve! Trace the blue wires from between the distribution board to their
solenoid terminals:
c) If a problem was found (and repaired) this may have solved the problem. If a problem was NOT located
see procedure number CLEAN- 7.4.0 (page 209).
b) Four (4) Valve solenoids will be checked. Perform parts c through h on: 1) Valve #24; 2) Valve
#38; 3) Valve #39; 4) Valve #43.
c) Unplug one of the four (your choice) from the distribution board.
e) Where the wires are connected, place one meter lead on one terminal and the other lead on the other
terminal.
g) If the valve checks good plug it back into its distribution board position!
Yes Solenoid between 40 and 100 Ω! Repeat parts b THROUGH h for ALL FOUR valves! If
(and ONLY if) ALL FOUR solenoids are between 40 and 100 Ω, see procedure number
CLEAN- 7.4.1 (page 209).
No The valve solenoid OR its blue wire harness is bad. Replace the valve then return to Heat
Disinfect OR Rinse and check for a Valve Error!
b) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
c) Watch the 2nd window down, Valve Error, for up to five (5) minutes. Does it EVER = 1 for longer than
two (2) seconds?
Yes Valve Error = 1 longer than two (2) seconds! THREE (3) possible bad components:
1) Bad Actuator-Test Board OR; 2) Bad Actuator cable OR; 3) Bad distribution board.
No Valve Error REMAINS = 0. You may have solved the Valve Error problem above. If (and
ONLY if) a Flow Error reoccurs see (ABOVE) procedure number CLEAN- 1.0.5
(page 169).
Check #1: The ACTUATOR CABLE is plugged in SECURELY AND is not damaged!
Check #2: The NOTED valve is plugged PROPERLY into its position. If not, this most likely is the
problem!
Figure 34 – Distribution Board
c) Before continuing to procedure number TSV- 2.0.0 (page 212), refer to Figure 35 (page 211) OR
Figure 36 (page 211) to LOCATE the NOTED valve.
a) THREE (3) checks, WHILE tracing the NOTED valve’s wires from
the distribution board to the solenoid terminals (Figure right):
b) If no problems were located, see procedure number TSV- 2.1.0 (page 212).
Yes Between 40 and 100 Ω! FIVE (5) possible bad components (see Component List below).
Swap in one at a time and in between test the machine.
No Less than 40 Ω OR more than 100 Ω! See procedure number TSV- 3.0.0 (page 212).
Figure right, place one meter lead on one solenoid terminal and the other lead
on the other terminal. Between 40 and 100 Ώ?
If VERR = one (1) or more and / or is continuing to increase indicates a valve circuit resistance of less than
20 Ω and is used for troubleshooting. HOWEVER, if VERR reaches it maximum of 255 it becomes useless!
B) For now, ignore a “V104/108 Stuck Closed” or “V105 Stuck Closed” alarm if one occurs!
E) FIGURE BELOW, a previous procedure may have already placed a resistor plug in the distribution
board’s AIR SENSOR position 4th connector cap i.e. 5th position FROM THE LEFT!
1) IF (and ONLY if) a resistor plug is ALREADY in place: See procedure number VE- 1.0.0
(page 214).
b) Call debug screen 0. Figure right, the text box above Chamber #69
MUST say “Air”!
* If CBE modified the resistor MUST plug into the CBE board pin for pin. ENSURE the TOP
CBE board pin is covered by the resistor!
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
c) From the Home screen, set [Dialysate Flow] to 300 ml/min and press ‘Enter’.
Figure 37 – Debug
Screen 0
b) Figure above, watch the Balancing Chamber Valve ‘dots’, for one (1) minute. THREE (3)
possible scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) ALL EIGHT are REMAINING white: See procedure number VE- 2.0.0
(page 215).
2) IF (and ONLY if) four (4) are REMAINING blue AND four (4) are REMAINING white: Proceed to
page 218, procedure number VE- 4.0.0.
3) IF ALL EIGHT are CYCLING between white and blue: Proceed to page 217, procedure
number VE- 3.0.0.
NOTE! One of the valve circuits whose ‘dots’ are blue is the problem! These procedures isolate between
them:
b) Allow up to thirty (30) seconds. Do the Balancing Chamber Valve ‘dots’ begin to cycle between white
and blue?
Yes The Balancing Chamber Valve ‘dots’ cycle! Valve #25 OR its blue wire harness is bad! To
LOCATE Valve #25 refer to Figure 36 (page 211).
No All Balancing Chamber Valve ‘dots’ REMAIN white! Leaving the shunt door open, TWO (2)
possible scenarios next page:
2) ALL other scenarios: Proceed to page 223, procedure number VE- 7.0.0.
VE- 2.0.1 ONLY VALVES #30 AND #26 ‘DOTS’ ARE BLUE
b) Watch the Balancing Chamber Valve ‘dots’ for thirty (30) seconds. Do they begin to cycle between white
and blue?
Yes The Balancing Chamber Valves to cycle! Valve #26 OR its blue wire harness is bad.
No The Balancing Chamber Valve ‘dots’ REMAIN white! See procedure number VE- 2.0.2
(page 216).
VE- 2.0.2 VALVE #26 UNPLUGGED AND THE BALANCING CHAMBER VALVES REMAIN WHITE
Yes The Balancing Chamber Valves begin to cycle! Valve #30 OR its blue wire harness is bad.
B) Turning the machine off first, swap in each component (see Component List below),
one at a time, returning to Dialysis Program in between, until VERR remains = 0 for ten
(10) minutes indicating the last component swapped in is the
Component List:
b) NOTE VERR’s value for reference. If VERR EVER reaches 255 return to procedure number VE- 1.0.0
(page 214) to reset it.
d) Watch VERR until if it increases above what was noted OR for ten (10) minutes whichever comes first!
TWO (2) possible scenarios:
1) IF (and ONLY if) VERR increases above what was noted: Return to ABOVE procedure
number VE- 1.0.0 (page 214).
2) IF VERR does NOT increase: See procedure number VE- 3.5.0 (page 217).
a) Remove the resistor plug from the Air Sensors distribution board position but DO NOT return the
Air Sensor’s connector yet!
c) Call debug screen 1. Watch VERR until if it increases above what was noted in
procedure number VE- 3.0.0 OR for five (5) minutes whichever comes first!
Does VERR increase?
Yes VERR increases! See ABOVE procedure number VE- 1.0.2 (page 215).
No VERR DOES NOT increase! Return the Air Sensor’s connector to it distribution board
position. A valve error is not occurring at this time! If a Flow Error reoccurs proceed to page
38, procedure number F- 2.0.0!
NOTE! One of the valve circuits whose ‘dots’ are blue is the problem. These procedure isolate between
them:
b) Press’ Enter’!
c) Return to screen 0. If flow is off all eight (8) Balancing Chamber Valves remain white.
d) Call debug screen 1! NOTE VERR’s value for reference later. If VERR EVER reaches 255 return to
procedure number VE- 1.0.0 (page 214) to reset it.
e) Watch VERR until if it increases above what you noted in part d OR for five (5) minutes whichever
comes first! TWO (2) possible scenarios:
1) IF (and ONLY if) VERR increases above what was noted in part d: Leaving [Dialysate Flow]
“OFF”, proceed to page 223, procedure number VE- 7.0.0.
2) IF VERR does NOT increases above what was noted in part d: This indicates a problem with a
Balancing Chamber Valve circuit. See procedure number VE- 4.0.1 (page 218).
c) Allow the Balancing Chamber Valve ‘dots’ to STOP cycling i.e. four (4) REMAINING blue! Four (4)
REMAINING white! This may take a while so be patient!
1) IF (and ONLY if) V32, V33, V35 AND V38 are REMAINING blue: The problem is in Balancing
Chamber Valve Cycle 1! See procedure number VE- 5.0.0 (page 219).
2) IF V31, V34, V36 AND V37 are REMAINING blue: The problem is in Balancing Chamber Valve
Cycle 2! Proceed to page 221, procedure number VE- 6.0.0.
Valves #32, #33, #35, and #38 ‘dots’ REMAINING blue. One of these valve
circuits is causing the problem and these procedures isolate between them!
b) Call debug screen 0 and watch the Balancing Chamber Valve ‘dots’ for
forty-five (45) seconds. Do they begin to cycle between white and blue?
No Valves do NOT cycle! See procedure number VE- 5.0.1 (page 219).
b) Watch the Balancing Chamber Valve ‘dots’ for forty-five (45) seconds. Do they begin to cycle between
white and blue?
Yes The Balancing Chamber Valves begin to cycle between white and blue! Valve #33 OR its blue
wire harness is bad.
No Valves do NOT cycle! See procedure number VE- 5.0.2 (page 219).
b) Watch the Balancing Chamber Valve ‘dots’ for forty-five (45) seconds. Do they begin to cycle between
white and blue?
Yes The Balancing Chamber Valves begin to cycle between white and blue! Valve #35 OR its blue
wire harness is bad.
No Valves do NOT cycle! See procedure number VE- 5.0.3 (page 220).
b) Watch the Balancing Chamber Valve ‘dots’ for forty-five (45) seconds. Do they begin to cycle between
white and blue?
Yes The Balancing Chamber Valves begin to cycle between white and blue! Valve #38 OR its blue
wire harness is bad.
No The Balancing Chamber Valves do not cycle after Valves #32, #33, #35, and #38 have all been
unplugged! See parts A and B below:
B) Turning the machine off first, swap in each component (see Component List below), one at
a time, returning to Dialysis Program in between, until VERR remains = 0 for ten (10)
minutes indicating the last component swapped in is the problem.
Component List
Valves #31, #34, #36, and #37 ‘dots’ REMAINING blue. One of these valve
circuits is causing the problem and these procedures isolate between them.
b) Call debug screen 0 and watch the Balancing Chamber Valve ‘dots’ for
forty-five (45) seconds. Do they begin to cycle between white and blue?
No Valves do NOT cycle! See procedure number VE- 6.0.1 (page 221).
b) Watch the Balancing Chamber Valve ‘dots’ for forty-five (45) seconds. Do they begin to cycle between
white and blue?
Yes The Balancing Chamber Valves begin to cycle between white and blue! Valve #34 OR its blue
wire harness is bad.
No Valves do NOT cycle! See procedure number VE- 6.0.2 (page 221).
b) Watch the Balancing Chamber Valve ‘dots’ for forty-five (45) seconds. Do they begin to cycle between
white and blue?
Yes The Balancing Chamber Valves begin to cycle! Valve #36 OR its blue wire harness is bad.
No Valves do NOT cycle! See procedure number VE- 6.0.3 (page 222).
b) Watch the Balancing Chamber Valve ‘dots’ for forty-five (45) seconds. Do they begin to cycle between
white and blue?
Yes The Balancing Chamber Valves begin to cycle between white and blue! Valve #37 OR its
blue wire harness is bad.
No The Balancing Chamber Valves do not cycle after Valves #31, #34, #36, and #37 have all
been unplugged! See parts A and B below:
B) Turning the machine off first, swap in each component (see Component List below), one
at a time, returning to Dialysis Program in between, until VERR remains = 0 for ten (10)
minutes indicating the last component swapped in is the problem.
Component List
a) From debug screen 0, RECORD the valve numbers of the valves whose ‘dots’ are BLUE! One of
these valve circuits may be the problem! These procedures isolates them.
b) Call debug screen 1. NOTE VERR’s value for reference later. If VERR EVER reaches 255 return to
procedure number VE- 1.0.0 (page 214) to reset it.
c) Watch VERR until if it increases above what was noted in part b OR for five (5) minutes whichever
comes first! TWO (2) possible scenarios:
1) IF VERR does NOT increase above what was noted in part b: A valve error is not occurring
at this time! Turn Dialysate Flow on. If a Flow Error reoccurs proceed to page 38, procedure
number F- 2.0.0.
2) IF VERR increases above what was noted in part b: See procedure number VE- 7.0.1
(page 223).
a) At the distribution board (Figure below), unplug one of the RECORDED valves. This isolates the valves
solenoid and its wire harness.
b) Watch VERR until if it increases above what was noted in procedure number VE- 7.0.0, part b OR for
five (5) minutes whichever comes first! TWO (2) possible scenarios:
1) IF VERR does NOT increase: The last valve unplugged OR its blue wire harness is the problem!
2) IF VERR increases: Repeat procedure number VE- 7.0.1 until all RECORDED valves have been
unplugged. If after all these valve(s) are unplugged AND VERR is still increasing, THREE (3)
possible bad components, see the Component List below:
Component List: Swap in each, one at a time, returning to Dialysis Program in between, until
VERR remains = 0 for 10 minutes indicating the last component swapped in is the problem!
B) Per the Figure below, at the distribution board, THREE (3) checks:
Check #1: ENSURE the ACTUATOR CABLE is plugged in securely AND is not damaged!
Check #2: ENSURE the black PGND is plugged in securely AND shows no sign of burning!
Check #3: ENSURE all Valves are plugged PROPERLY into their distribution board positions
B) If a problem was NOT located in part A, see procedure number VEC- 1.0.0 (page 224). If a problem
was located AND REPAIRED return to Heat Disinfect OR Rinse. If VERR (debug screen 1) remains = 0
for five (5) minutes the problem has been eliminated. If VERR does NOT remain = 0 see procedure
number VEC- 1.0.0 (page 224).
b) Watching for one (1) minute, does the flow indicator’s ’bob’ EVER rise, at least ¼ way up, in the sight
tube?
Yes ‘Bob’ moving! Proceed to page 230, procedure number VEC- 2.0.0
No ‘Bob’ NOT MOVING! See procedure number VEC- 1.1.0 (page 225).
a) Call debug screen 2 (Figure below). If debug does not appear press ‘Esc’ then call screen 2.
b) Watch DIAVLO (lower left) for forty-five (45) seconds. BE CAREFUL, THREE (3) possible scenarios
1) or 2) or 3) below:
1) IF (and ONLY if) DIAVLO cycles between 1 (for three seconds), and 0 (for one second):
See procedure number VEC- 1.2.0 (page 226).
2) IF (and ONLY if) DIAVLO ‘blinks rapidly’ to 0 but for way less than one second: NOTE ONLY
VALVE #24 will be checked and proceed to page 210, TROUBLESHOOTING A VALVE
a) Turn the
machine OFF!
b) Figure right,
unplug Valve
#24’s from its
distribution
board position.
Yes Cycles between 0 and 1. Valve #24 or its blue wire harness is bad (to
LOCATE Valve #24 refer to Figure 35 (page 211)).
No Does NOT cycle! A) Return valve #24 to the distribution board; B) NOTE
ONLY VALVE #24 will be checked and proceed to page 210,
TROUBLESHOOTING A VALVE .
b) Leave the machine in whatever Program it is CURRENTLY in: 1) In Rinse? OR 2) In Heat Disinfect?
1) IF (and ONLY if) in RINSE: See procedure number VEC- 1.3.0 (page 227).
a) Turn the machine OFF then back on. Allow the “Select Program” screen to appear but DO NOT
press any keys till instructed!
VEC- 1.4.0 GOOD FLOW THROUGH VALVE #30 / ISOLATE VALVE #24
d) Remove the BLUE dialyzer quick connector from the shunt but DO NOT CLOSE THE
DOOR! The Program MUST NOT Interrupt!
e) Measure from the blue dialyzer connector, for thirty (30) seconds! More than 300 ml collected?
Yes More than 300 ml! Without returning the connector to the shunt yet, see procedure number
VE- 1.5.0 (page 229).
No Less than 300 ml! ENSURING the machine was in Heat Disinfect OR Rinse see parts a
THROUGH c below:
a) Return the dialyzer connector to the shunt but DO NOT close the door.
Parts b and c next page
Yes More than 300 ml! A) Return Valve #24’s tubing; B) NOTE ONLY VALVE
#24 will be checked and proceed to page 210, TROUBLESHOOTING A
VALVE
No Less than 300 ml! Return Valve #24’s tubing THEN see procedure number
VE- 1.4.1 (page 228).
a) ENSURE Loading Pressure (gauge in Rinse port) is still PEAKING to between 22 and 27 psi.
b) ENSURE Flow Pump Pressure (gauge at Flow Pump) is still PEAKING to between 34 and 38 psi.
c) If Loading AND Flow Pressure are good, THREE (3) possible bad components: 1) Bad Actuator-Test
Board OR 2) Bad Actuator Cable OR 3) Multiple bad balancing chamber valves.
a) With the shunt door open, the dialyzer connector NOT in the shunt AND still in Heat Disinfect OR Rinse,
ENSURE the external flow indicator’s ‘bob’ is rising!
b) Return the dialyzer connector to the shunt but DO NOT close the door!
c) Watching for thirty (30) seconds, does the external flow indicator’s ‘bob’ rise at least ½ way up now?
Yes Bob moving! Something changed! A) Turn the machine OFF; B) Close the door; C) Turn
the machine on and return to Heat Disinfect OR Rinse; D) If a Flow Error reoccurs return to
(ABOVE) procedure number CLEAN- 1.2.2 (page 172).
No ‘Bob’ not moving! NOTE ONLY VALVE #25 will be checked and proceed to page 210,
TROUBLESHOOTING A VALVE
B) This procedure checks Valve #39 in RINSE. If it opens, as it should, deaeration pressure will be
between 0 and -13 inHg i.e. nowhere near -24 inHg. See parts a THROUGH e below:
a) The deaeration gauge is here. ENSURE it reads 0 inHg before installing it.
c) Figure below, tee the gauge into the Inlet (clear) tubing of the Deaeration Pump.
1) IF (and ONLY if) between 0 and -13 inHg: Valve #39 is open! See procedure number
VEC- 2.2.0 (page 231)!
2) IF between -13 and -30 inHg: ENSURING the machine was in RINSE prior to checking
pressure, Valve #39 IS NOT opening! FOUR (4) possible bad components: 1) Bad Actuator-
Test Board OR; 2) Bad Valve #39 (see Figure above) OR; 3) Bad ACTUATOR cable OR;
4) Bad distribution board.
B) Turn the machine on and allow the “Select Program” screen to appear. What color
is the ‘Dialysis’ button (Gray or Blue)?
1) IF GRAY: Place the machine in RINSE. Most Valve Errors will not stop Program timing for very
long. Allow RINSE to complete i.e. [Remaining Time] = 0:00, then see part C.
D) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’
F) Call debug screen 1 to see VERR (right column, bottom). TWO (2) possible scenarios:
1) IF (and ONLY if) VERR = 0: For some reason the Valve Error is not occurring at this time.
Yes Valve Error = 0 OR ‘blinks’ to 1 for less than one second! Proceed to page 213,
TROUBLESHOOTING VALVE ERRORS IN DIALYSIS PROGRAM
No Valve Error = 1 LONGER THAN two (2) seconds! Proceed to page 711,
Section 26.
a) From the Home screen, ENSURE [Dialysate Flow] is on* AND set to 800 ml/min.
b) ENSURING the Heater Switch and Dialysate Flow has been on for six (6) minutes if the
temperature problem still exists see procedure number T- 1.0.0 (page 233).
i) IF (and ONLY if) the “TEMP OVER 95 DEGREES” banner occurred: A) Turn the machine
off then back on; B) RETURN TO DIALYSIS PROGRAM (“Select Program” → ‘Dialysis’ →
‘Enter’)! C) From the Home screen set [Dialysate Flow] to 800 ml/min and press ‘Enter’;
D) See procedure number T- 1.0.0 (page 233).
ii) IF the Heater Switch was “OFF”: Allow twenty (20) minutes ENSURING a Flow Error soe not
occur! If [Temperature] does NOT increase to more than 80° C see scenario iii below.
iii) ALL OTHER scenarios: ENSURING Heat Disinfect has been running for at least twenty (20)
minutes, with the shunt door CLOSED, no leaks AND no Flow Errors! TWO (2) possible
scenarios:
1) IF (and ONLY if) [Temperature] REMAINS more than 80° C AND the [Remaining
Time] window has ‘frozen’ at less than one (1) minute: ENSURING no external
leaks, TWO (2) possible bad components: Component #1: Power Logic Board OR;
Component #2: Functional Board.
c) From the Home screen, set [Dialysate Flow]* to 800 ml/min and press ‘Enter’.
b) Press ‘Enter’.
c) Call debug screen 1. TWO (2) checks:
Check #2: 12V EST (right column): Between 11.7 and 12.3?
1) IF (and ONLY if) BOTH are in range AND stable i.e. not changing more than 0.1: See
procedure number T- 1.0.1 (page 233).
2) IF one OR both is NOT REMAINING in range OR is unstable: See parts a THROUGH e below:
e) Call debug screen 1. If (and ONLY if) 5V EST and/or 12 EST are still NOT in range OR
unstable proceed to page 642, procedure number P- B.0.0. If 5V EST and/or 12 EST are in
range see procedure number T- 1.0.1 (page 233).
a) If the Automated Tests are running (screen reads “Test:.…”) allow them to finish.
Yes Flow Error = 1, even if only once! Proceed to page 23, SECTION 1 - FLOW ERRORS IN
DIALYSIS PROGRAM
c) In RINSE, is the external flow indicator’s ‘bob’ rising at least ¼ way up in the sight tube?
A) Press ‘Esc’ then ‘Enter’ twice to call “Select Program” but DO NOT press
‘Dialysis’ till instructed!
b) With “Select Program” remaining up, see procedure number T- 1.0.3 (page 235).
NOTE! Temperature problems may cause the bibag system to seemingly malfunction.
CHECK #1: From RIGHT-TO-LEFT, the BOTTOM four (4) wires MUST BE brown, blue, green/yellow
OR black, white, green; the TOP three (3) wires MUST BE brown, blue, green/yellow!
CHECK #2: Yank on all of the wires to ENSURE they are SECURELY attached.
CHECK #3: If (and ONLY if) signs of burning is seen indicate the wires may not have been securely
attached AND the distribution board needs to be replaced!
E) Touch the leads together. The meter MUST read less than 0.3 Ω!
F) Figure above, measure BETWEEN the Heater Connector’s BLUE and BROWN wires. TWO (2)
possible scenarios:
1) IF (and ONLY if) between 8.0 and 13.0 Ω: The heater is good! See procedure number T-
1.0.4 (page 236).
2) ALL OTHER scenarios (possibly about 20 Ω or “OL”): The heater* is bad! *To LOCATE the
heater refer to Figure 28 (page 140).
A) Per the Figure BELOW, trace NTC #2 AND NTC #3’s cables from their distribution board
connectors to the sensors. TWO (2) checks:
CHECK #2 ENSURE the sensors are not reverse connected with another component!
1) IF (and ONLY if) NO PROBLEMS were located: Proceed to page 237, procedure number
T- 1.0.6.
2) IF (and ONLY if) insulation damage was located: Replace the sensor(s) then see procedure
number T- 1.0.5 (page 236).
3) IF a sensor was reverse connected: AFTER correcting the problem see procedure number
T- 1.0.5 (page 236).
Depending on where the problem ORIGINALLY occurred, TWO (2) possible scenarios:
2) IF in Heat Disinfect: A) Return to Heat Disinfect; B) Allow up to thirty (30) minutes. C) If the problem
reoccurs, before continuing to part D, put the machine in RINSE for fifteen (15) minutes to cool it down
rapidly; D) See procedure number T- 1.0.6 (page 237).
e) The Functional Board is the 3rd circuit board from the right! Figure below, unplug the ten (10) pin
ribbon cable from the P8 connector.
g) Where was the problem ORIGINALLY occurring, 1) In Dialysis Program i.e. connected to
concentrate? OR 2) In Heat Disinfect? TWO (2) possible scenarios:
1) IF (and ONLY if) in Dialysis Program: See procedure number T- 1.0.7 (page
239).
2) IF in Heat Disinfect: Return to Heat Disinfect and allow up to thirty (30) minutes. TWO
(2) possible scenarios next page:
a) To cool the machine quickly, place it into RINSE for fifteen (15) minutes!
Scenario #2: IF the temperature problem NEVER reoccurs: See parts a AND b
below:
a) To cool the machine quickly, place it into RINSE for fifteen (15) minutes!
A) Connect to known good acid* and LIQUID bicarbonate*! * Tested per clinic procedures!
E) Call debug screen 0. If Flow Error EVER = 1, even just once, there is a masked Flow Error. WITHOUT
LOOKING AWAY, watch it for two (2) minutes. TWO (2) possible scenarios:
2) IF (and ONLY if), Flow Error EVER = 1: Proceed to page 23, SECTION 1 - FLOW ERRORS IN
DIALYSIS PROGRAM.
1) IF (and ONLY if), BC Switch EVER = 897 or more: Proceed to page 23, SECTION 1 - FLOW
ERRORS IN DIALYSIS PROGRAM
2) IF BC Switch NEVER, EVER = 897 or more: Call the Home screen to see [Temperature]. TWO
(2) possible scenarios below:
Scenario #1: IF (and ONLY if) remains less than 35.1° C: Proceed to page
245, procedure number T- 1.0.142.
Scenario #2: IF EVER more than 35.1° C: See procedure number T- 1.0.8 (page 240).
a) Watch [Temperature] for one (1) minute. If UNSTABLE i.e. changes more than 0.2° C watch for three
(3) more minutes BEFORE continuing to part b. If STABLE i.e. does NOT change more than 0.2° C see
part b.
1) IF (and ONLY if) unstable AND, at least once, becomes more than 38.9° C: Proceed
to page 256, procedure number T- 1.3.0.
• IF (and ONLY if) pale yellow / white! Proceed to page 243, procedure number T- 1.0.130.
3) IF (and ONLY if) unstable and falls to OR remains less than 35.1° C: Proceed to
page 245, procedure number T- 1.0.142.
4) IF UNSTABLE BUT remains more than or goes to 35.1° C BUT IS NEVER more than
38.9° C: Proceed to page 247, procedure number T- 1.0.155.
T- 1.0.9 [TEMPERATURE] BETWEEN 35.1 AND 38.9 BUT ITS WINDOW IS STILL RED
STEP #1
b) Per the Figure (above, right), avoiding VACANT position #4, place the 34° C (6.808 KΩ) plug, from the
FOUR-RESISTOR SET, into the 2nd distribution board position from the left, “MON-NTC”.
The screen should say “Connect a 5.117 K ohm resistor...”. Place the 41° C (5.117 KΩ) plug into the 2nd
distribution board position from the left. Is [Pre-Temperature Reference] between 157 and 169?
Yes Between 157 and 169! ‘Sharply’ press ‘Enter’ ONCE and see STEP #3 (page 241).
No NOT between 157 and 169! ENSURE the 41° C plug is placed properly at the 2nd position from
the LEFT! If okay see procedure number T- 1.0.10 (page 241).
STEP #3
The screen should say “Connect a 1.255 K ohm resistor...”. Place the 80° C (1.255 KΩ) plug into the
2nd distribution board position from the left. Is [Pre-Temperature Reference] between 191 and 203?
Yes Between 191 and 203! ‘Sharply’ press ‘Enter’ ONCE and see STEP #4 (page 241).
No NOT between 191 and 203! ENSURE the 80° C plug is placed properly at the 2nd position from
the LEFT! If okay see procedure number T- 1.0.10 (page 241).
STEP #4
The screen should say “Connect a 0.915 K ohm resistor...”. Place the 90° C (0.915 KΩ) plug into the
2nd distribution board position from the left. Is [Pre-Temperature Reference] between 204 and 216?
Yes Between 204 and 216! A) Press ‘Enter’ twice to SAVE the calibration; B) Proceed page
242, procedure number T- 1.0.122.
No NOT between 204 and 216! ENSURE the 90° C plug is placed properly at the 2nd position
from the LEFT! If okay see procedure number T- 1.0.10 (page 241).
A) Read before performing! Turn the machine off! Using a different FOUR-RESISTOR SET return to
(ABOVE) procedure number T- 1.0.9 (page 240) HOWEVER, if you return here see part B.
B) Read before performing! Referring to COMPONENT LIST (below), swap in each, one at a time, with
known good and in between return to (ABOVE) procedure number T- 1.0.9 (page 240) to test each. If
you return here swap in the next component in the list until the error no longer occurs.
a) Return NTC #3’s connector to the 2nd distribution board position from the left, “MON-NTC”.
c) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
1) IF (and ONLY if) pale yellow / white: See procedure number T- 1.0.130 (page 243).
2) IF RED: Read this procedure before performing it. Swap in the listed components (see
COMPONENT LIST below), one at a time, with known good, and in between return to (ABOVE)
procedure number T- 1.0.9 (page 240) to test each new component. If you return here swap in
the next component until the [Temperature] window is pale yellow/white!
a
To LOCATE these boards refer to Figure 4A (page 10)
b
With the Functional board, to prevent “Cond Offset Failure”, place the
machine into T and C Mode (refer to OPERATING MODES, page 19))
1) IF (and ONLY if) LESS THAN 30.0° C: See procedure number T- 1.0.131 (page 243).
2) IF MORE THAN 30° C: If ABSOLUTELY SURE the connector at the 2nd position from the
LEFT, “MON-NTC”, is unplugged AND [Temperature] is STILL more than 30.0° C proceed to
page 262, procedure number T- 1.4.0.
a) Return NTC #3’s connector to the 2nd distribution board position from the LEFT, “MON-NTC”.
b) If NTC #3 was plugged in correctly [Temperature] RETURNS to between 35.1 and 38.9° C!
1) IF (and ONLY if) STABLE* between 13.0 and 14.5 mS AND the window is pale yellow/white:
See procedure number T- 1.0.133 (page 244).
2) IF (and ONLY if) less than 13.0 OR more than 14.5 mS: Proceed to page 335,
SECTION 5 – CONDUCTIVITY PROBLEMS.
3) IF STABLE* between 13.0 and 14.5 mS AND the window IS RED: See parts a THROUGH c
below:
No [Conductivity] window is RED Allow up to three (3) minutes OR until if the [Conductivity]
window turns WHITE. TWO (2) possible scenarios below:
1) IF the window turns WHITE: See procedure number T- 1.0.133 (page 244).
2) IF after three (3) minutes the window remains RED: Proceed to page 320,
procedure number T- 7.0.0.
Call debug screen 0. Figure right, is Valve #24’s ‘dot’ blue OR white?
b) From the Home screen, ENSURE the [Conductivity] AND [Temperature] windows are pale
yellow/white!
c) Call debug screen 0. Watch Valve #24’s ‘dot’ for up to (2) more minutes OR until if it turns blue. TWO
(2) possible scenarios:
1) IF (and ONLY if) the ‘dot’ turns blue: See procedure number T- 1.0.134 (page 244).
2) IF the ‘dot’ remains white AND the [Temperature] window is white: Proceed to page 320,
procedure number T- 7.0.0.
Call the Home screen. ENSURING [Dialysate Flow] is set to 500 ml/min, is the external flow indicator’s ‘bob’
rising at least ¼ way up in the sight tube?
c) If ‘bob’ still is not moving AND Valve #24’s ‘dot’ is blue there may be masked Flow Error.
1) IF (and ONLY if) ALWAYS LESS THAN 100.0 volts AC: The heater is staying off!
See procedure number T- 1.0.144 (page 245).
2) IF EVER MORE THAN 100.0 volts AC: Call debug screen 4 to see
TEMP CAL (right column). More than one hundred and twenty (120)?
Yes TEMP CAL more than 120! See Proceed to page 247, procedure number T- 1.0.155.
No TEMP CAL less than 120! Proceed to page 320, procedure number T- 7.0.0.
Yes TEMP CAL more than 120! See procedure number T- 1.0.147 (page 246).
No TEMP CAL less than 120! Proceed to page 320, procedure number T- 7.0.0.
1) IF (and ONLY if) always less than 10.0 volts AC (VAC): Replace NTC #2* with a known good
THEN proceed to page 320, procedure number T- 7.0.0.
2) IF EVER more than 100.0 volts AC (VAC): Allow five (5) minutes! TWO (2) possible scenarios:
Scenario #1: IF (and ONLY if) [Temperature] increases to 35.1º C OR more: Problem
solved! NTC #2 may not have been connected properly.
Scenario #2: IF [Temperature] does DOES NOT increase to 35.1º C OR more: See
procedure number T- 1.0.155 (page 247).
c) Watching TEMP (lower left) for one (1) minute, THREE (3) possible scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) between 4.0 and 6.0 AND STABLE i.e. does NOT change more than 0.2:
See procedure number T- 1.0.16 (page 247).
2) IF (and ONLY if) less than 4.0 OR more than 6.0: Perform parts a AND b below:
a) Remove the plug then reinsert it into the 2nd position from the left, “MON-NTC”. If TEMP is
still less than 4.0 OR more than 6.0 see part b. If now between 4.0 and 6.0 AND STABLE
(not changing more than 0.2 per minute) see procedure number T- 1.0.16 (page 247).
b) Use the 6.04 KΩ plug from a different TWO-RESISTOR SET. If (and ONLY if) TEMP is
still less than 4.0 OR more than 6.0 proceed to page 313, procedure number T- 5.0.0. If
TEMP between 4.0 and 6.0 AND STABLE (not changing more than 0.2 per minute) see
procedure number T- 1.0.16 (page 247).
3) IF between 1.0 AND 8.0 BUT changes more than 0.2 per minute: Perform parts
A through C below:
B) FOUR (4) possible bad components, see COMPONENT LIST below. Swap in each, one at a
time, and in between continue to part C) to test the new component! COMPONENT LIST:
1) Sensor Board *; 2) Functional Board*; 3) Power Logic Board; 4) Distribution board
* For each board, to prevent “Cond Offset Failure”, place the machine into T and C Mode
(refer to OPERATING MODES, page 19))
C) Return to Dialysis Program. Watch debug screen 4’s TEMP for one (1) minute. If now between
4.0 and 6.0 and stable the last component swapped in is bad. If still not between 4.0 and 6.0 or
unstable return to part A to try the next component in the list!
Call the Home screen. Based on the [Temperature] window, TWO (2) possible scenarios:
1) IF (and ONLY if) between 35.1 and 38.9 °C: ENSURING the [Temperature] window is pale
yellow/white, see procedure number T- 1.0.17 (page 248).
2) IF less than 35.1 OR more than 38.9 °C: Proceed to page 320, procedure number T- 7.0.0.
1) IF (and ONLY if) BETWEEN 12.9 and 14.5 mS AND is stable (i.e. does NOT change more
than 0.2): See procedure number T- 1.0.18 (page 248).
2) IF (and ONLY if) BETWEEN 12.9 and 14.5 BUT changes MORE than 0.2: THREE (3) possible
bad components (see COMPONENT LIST below). Turn the machine off and swap in each, one at a
time, in between returning to Dialysis Program, until [Conductivity] is STABLE between 12.9 and
14.5 mS.
a To prevent “Cond Offset Failure” place the machine in T and C Mode (refer to
OPERATING MODES, page 19))
3) IF less than 12.9 OR more than 14.5 mS: See parts a AND b below:
a) Remove the 274 Ω plug then reinsert it OR consider using the 274 Ω plug from a different
TWO-RESISTOR SET.
b) If (and ONLY if) [Conductivity] is still is less than 12.9 OR more than 14.5 proceed to page
320, procedure number T- 7.0.0. If NOW STABLE between 12.9 and 14.5 see procedure
number T- 1.0.18 (page 248).
1) IF (and ONLY if) pale / yellow white: See procedure number T- 1.0.19 (page 249).
c) Press ‘Enter’!
d) Allow three (3) minutes OR until if the [Conductivity] window turns white. TWO (2) possible
scenarios next page:
2) IF AFTER three (3) minutes the [Conductivity] window remains RED: Proceed to page
320, procedure number T- 7.0.0.
Call debug screen 0. Figure right, is Valve #24’s ‘dot’ blue OR white?
c) Call the Home screen to ENSURE the [Temperature] AND [Conductivity] windows are pale
yellow/white.
d) Return to debug screen 0. Allow up to three (3) minutes OR until if Valve #24’s ‘dot’ turns blue.
TWO (2) possible scenarios:
1) IF (and ONLY if) the ‘dot’ turns blue: See procedure number T- 1.0.191 (page 249).
2) IF the ‘dot’ turns REMAINS white: Proceed to page 320, procedure number T- 7.0.0.
c) Is the external flow indicator’s ‘bob’ rising at least ¼ way up in the sight tube?
a) From the Home screen, ENSURE the [Temperature] AND [Conductivity] windows are
pale yellow/white.
b) Call debug screen 0. If Valve #24’s ‘dot’ is still blue AND the ‘bob’ still is not moving there
may be masked Dialysate Flow Error.
Yes Temperature is LESS THAN 35.1° C! See procedure number T- 1.0.22 (page 252).
c) Press and hold the keyboard’s “1” key for five (5) seconds.
e) Watch the meter for one (1) minute. TWO (2) possible scenarios:
1) IF between 35.1° C and 38.9° C AND STABLE i.e. does NOT change more than
0.2° C per minute: Proceed to page 253, procedure number T- 1.0.255.
2) IF UNSTABLE i.e. changes more than 0.2 °C per minute: Allow ninety (90) more
seconds THEN, ENSURING the ‘bob’ is moving up and down*, watch the meter for one (1)
more minute. Does it STOP changing more than +/- 0.2 °C (Yes or No)?
* Note! If the ‘bob’ has stopped moving call debug screen 0. If Flow Error remains = 0
return to (ABOVE) procedure number T- 1.0.155 (page 247).
Yes Measured temperature STABLIZES. If (and ONLY if) between 35.1 and 38.9º C
proceed to page 253, procedure number T- 1.0.255. If not between 35.1 and 38.9°C
return to (ABOVE) procedure number T- 1.0.21 (page 250).
No Measured temperature continues to be unstable. Watch the meter for five (5) more
minutes. THREE (3) possible scenarios 1) or 2) or 3) next page:
2) IF remains more than 35.1° BUT NEVER more than 38.8° C: Proceed to
page 316, procedure number T- 6.0.0.
3) IF EVER more than 38.8° C even if only once: Perform parts a THROUGH d
below:
d) If (and ONLY if) incoming water is less than 35.0° C proceed to page 259,
procedure number T- 1.3.40.
b) WITHOUT LOOKING AWAY, watch the meter for UP TO SEVEN (7) minutes OR until if it
EVER reaches more than 35.5° C even if only once?
No Less than 35.5° C! Either incoming water is EXTREMELY cold OR you made an
error and heater voltage is NOT more than 100 volts AC OR the heater is intermittent
bad.
a) Return NTC #2’s connector to 1st distribution board position from the left, “CON-
NTC”.
b) If a 6.04 KΩ plug was previously placed at NTC #3’s distribution board position (“MON-NTC”) remove it
and return NTC #3’s connector to the 2nd position from the left!
c) Call debug screen 4 to see TEMP (lower left). TWO (2) possible scenarios:
1) IF (and ONLY if) 4.0 or more: NTC #3 is okay. See procedure number T- 1.0.24 (page 252).
2) IF LESS THAN 4.0: NTC #3 is plugged in incorrectly OR is bad. To LOCATE NTC #3 refer to
Figure 42 (page 236).
a) If a 274 Ω plug was previously placed at the Cond Cell’s distribution board position, “X7, COND”,
remove it and return the Cond Cell’s connector.
Yes TEMP is 4.0 OR more! See procedure number T- 1.0.26 (page 253).
No TEMP is less than 4.0. NTC #3* is plugged in incorrectly OR is bad. *To LOCATE NTC #3
refer to Figure 42 (page 236).
From the Home screen, the [Temperature] window is, TWO (2) possible scenarios:
1) IF (and ONLY if) less than 35.1 OR more than 38.9° C: Proceed to page 320, procedure
number T- 7.0.0.
No ‘Bob’ IS NOT moving! Return to (ABOVE) procedure number T- 1.0.132 (page 243).
Is the machine’s [Temperature] window within +/- 0.3 of the meter’s reading?
Yes Within +/- 0.3° C of each other! See procedure number T- 1.0.28 (page 254).
No NOT within +/- 0.3° C of each other! Proceed to page 320, procedure number T- 7.0.0.
Proceed according to why you ORIGINALLY started troubleshooting. THREE (3) possible scenarios 1) or
2) or 3) below:
1) IF the problem was in a Heat Disinfect AND a “TEMP OVER 95 DEGREES” occurred: Proceed
to page 264, procedure number T- 1.5.0.
2) IF the problem was in a Heat Disinfect AND [Temperature] did NOT reach 80° C: Proceed to
page 300, procedure number T- 3.0.0
3) IF the problem was in Dialysis Program: Per the Figure below, TWO (2) possible scenarios:
1) IF the temperature problem reoccurs The BTM is okay! See (ABOVE) procedure
number T- 1.0.7 (page 239).
b) Next to ‘BTM’, place the ‘X’ into the “Yes” box then press ‘Enter’. The “X” turns
blue!
e) For part f, the Functional board is the 3rd board from the right!
2) IF a temperature problem reoccurs: The BTM MAY be bad. Check its dip
switch settings per its Operator’s Manual.
This procedure isolates between uncontrollable temperature, unstable monitoring or high incoming RO water
temperature.
a) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
1) IF (and ONLY if) it starts falling: Allow it to fall 0.3° C BEFORE continuing to part e.
2) [Temperature] NEVER stops falling: See procedure number T- 1.3.11 (page 256).
e) NOTE [Temperature] THEN, WITHOUT LOOKING AWAY, watch it for up to FIVE (5) minutes for one
(1) of the following THREE (3) possible scenarios:
Scenario #1: IF it STEADILY falls, until less than 35.5° C i.e. NEVER, EVER increases:
Proceed to page 259, procedure number T- 1.3.40.
Scenario #2: IF it EVER INCREASES 0.2° C or more above what was noted in part e: See
procedure number T- 1.3.11 (page 256).
Scenario #3: IF AFTER five (5) minutes, REMAINS more than 35.5° C: See procedure number
T- 1.3.11 (page 256).
a) Using a calibrated temperature meter check the incoming water (RO) source.
Yes Less than 34.0º C! See procedure number T- 1.3.12 (page 256).
No More than 34.0º C! The temperature of the tap water feeding the RO is too high!
a) ENSURE NTC 3’s connector is unplugged from the 2nd distribution board position from the
left, “MON-NTC”. If NOT, return to (ABOVE) procedure number T- 1.3.12 (page 256).
b) Leaving NTC #3 unplugged, with the machine off, one at a time, swap in the listed
components (see COMPONENT LIST below) with known good, then in between
returning to Dialysis Program, to test each new component until screen 4’s TEMP is less
than 0.3 indicating the last component swapped in is the problem.
1
To LOCATE these boards refer to Figure 4A (page 10)
2
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to
OPERATING MODES, (page 19))
Yes TEMP 6.0 or lower! See procedure number T- 1.3.14 (page 258).
a) ENSURE the 6.04 KΩ plug from the TWO-RESISTOR SET is placed properly at the
2nd position from the left, “MON-NTC”. If TEMP is still more than 6.0 see part b.
b) Leaving the plug in place, with the machine off, swap in the listed components (see
COMPONENT LIST below), one at a time, with known good, in between returning to
Dialysis Program each UNTIL screen 4’s TEMP is 6.0 or lower indicating the last component
swapped in is the problem.
1
To LOCATE these boards refer to Figure 4A (page 10).
2
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to
OPERATING MODES, page 19).
Call debug screen 5. WITHOUT LOOKING AWAY, watch TPRE (top, middle column) for one (1) minute
noting the highest and lowest values seen. TWO (2) possible scenarios 1) or 2) below:
1) IF (and ONLY if) TPRE changes more than twenty (20)! TPRE is unstable: Leaving the 6.04 KΩ
plug installed, one at a time, swap in the listed components (see COMPONENT LIST below), with
known good, then return to Dialysis Program and repeat procedure number T- 1.3.14 (page 258) to
test each new component until TPRE DOES NOT change more than +/- 20 indicating the last
component swapped in is the problem.
COMPONENT LIST: 1) Power Logic Boarda; 2) Sensor Boarda,b; 3) Deaeration motor; 4) Flow
motor.
a
To LOCATE these boards refer to Figure 4A (page 10). b To prevent “Cond Offset Failure”
place the machine into T and C Mode (refer to OPERATING MODES (page 19))
2) IF TPRE does NOT change more than 20 (twenty)! TPRE is stable! Perform parts a through g below:
c) Turn the machine off and replace NTC #3* with a known good. *To LOCATE NTC #3 refer to Figure
42 (page 236).
g) WITHOUT LOOKING AWAY, watch the [Temperature] window for up to ten (10) minutes to see if it
EVER exceeds 39.0° C even if only once?
Yes Exceeds 39.0° C! See procedure number T- 1.3.40 (page 259). The old NTC #3 is
probably okay!
No NEVER exceeds 39.0° C! The original problem (High Temperature) is no longer occurring
HOWEVER, see (ABOVE) procedure number T- 1.0.8 (page 240).
2) IF LESS THAN 10.0 volts AC: ENSURING the HEATER Switch was on AND the meter was set to
AC voltage prior to measuring, see procedure number T- 1.3.60 (page 259).
c) LEAVING “CON-NTC” VACANT, allow [Temperature] to increase to more than 38.0° C BEFORE
continuing to part d!
1) IF (and ONLY if) TEMP is more than 3.0: See procedure number T- 1.3.70 (page 260).
A) Replace NTC#2* it with a known good. *To LOCATE NTC #2 refer to Figure 42 (page
236).
c) Enter Service Mode → Options → Hardware Options. Does the “Yes” box at
‘Temp Comp’ have a blue ‘X’ in it? (Yes or No)
Yes Place the ‘X’ in the “No” box and press ‘Enter’. The ‘X’ turns blue!
Post a note that ‘Temp Comp’ is off then see procedure number
T- 1.3.80 (page 260).
c) Sharply press ‘Enter’ TWICE to turn the [TEMP DAC] data box pale yellow / white.
e) Set [TEMP DAC] to “130” and press ‘Enter’. ENSURE the [TEMP DAC] is pale yellow / white. If gray
exit the calibration then return to part a!
h) IGNORING the external meter adjust the [Monitor Reference] data box to 34.0° C!
b) Press ‘Enter’ to turn the [TEMP DAC] data box pale yellow / white.
c) ENSURING the shunt door is CLOSED the external flow indicator’s ‘bob’ MUST be moving up and
down!
d) WITHOUT LOOKING AWAY, watch the external meter for seven (7) minutes OR until if it EVER
exceeds 39°.0 C even if only once. TWO (2) possible scenarios:
1) IF (and ONLY if) the meter NEVER exceeds 39.0° C! Press and release ‘Enter’ twice to save
the calibration THEN proceed to page 320, procedure number T- 7.0.0.
2) IF the meter EVER exceeds 39.0° C! TWO (2) possible scenarios i or ii below:
i. IF NTC #2 WAS NOT replaced in THIS troubleshooting session: See parts a AND b
below:
a) Turn the machne off and replace NTC #2* with a known good. *To LOCATE NTC #2
refer to Figure 42 (page 236).
ii. IF NTC #2 WAS replaced in THIS session: TWO (2) possible bad components (see
COMPONENT LIST below). One at a time, replace each, with known good, and in between
repeat procedure number T- 1.3.90 (page 261) until the meter DOES NOT exceed 39.0° C.
1
To LOCATE these boards refer to Figure 4A (page 10)
2
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to
OPERATING MODES (page 19))
With NTC #3 REMAINING unplugged, call debug screen 4. Is TEMP (lower left) less than
0.3?
Yes TEMP less than 0.3! See procedure number T- 1.4.1 (page 262).
No TEMP more than 0.3! Read before performing: A) Turn the machine off; B) Swap in the listed
components (see COMPONENT LIST below) one at a time, with known good, then in between;
C) Return to Dialysis Program and repeat procedure number T- 1.4.0 (page 262) until screen 4’s
TEMP is less than 0.3 indicating the last component swapped in is the problem.
1
To LOCATE these boards refer to Figure 4A (page 10)
2
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to OPERATING
MODES (page 19))
Enter Service Mode → Options → Hardware Options. Does the “Yes” box
next to ‘Temp Comp’ have an ‘X’ in it (Yes or No)?
Yes Place the ‘X’ in the “No” box and press ‘Enter’. The ‘X’ turns blue.
Post a note that ‘Temp Comp’ is off then see procedure number
T- 1.4.2 (page 262).
T- 1.4.2 TEMP COMP = NO / ATTEMPT TO SET TEMP LOW RANGE / TEMP CONTROL
NOTE! This procedure is NOT a calibration! There is NO NEED to install a meter yet! DO NOT
touch the screen’s [Temp DAC] data box!
b) Press and release ‘Enter’ until the screen’s [Monitor Reference] box turns pale yellow / white.
d) Adjust [Monitor Reference] to as low as it will go then increase it 0.2° C ABOVE that.
e) Press and release the ‘Enter’ key until the calibration is saved.
g) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
h) With NTC #3 remaining unplugged, call the Home screen. Is [Temperature] less than 30.0° C now?
No More than 30.0° C! Read before performing! With the machine off, one at a time, swap in
the listed components (COMPONENT LIST below) with known good THEN in between
repeat (ABOVE) procedure number T- 1.4.2 (page 262) until [Temperature] remains less
than 30.0° C indicating the last component swapped in is the problem.
1
To LOCATE these boards refer to Figure 4A (page 10)
2
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to
OPERATING MODES (page 19))
T- 1.4.3 TEMPERATURE LESS THAN 30.0° C / CALIBRATE TEMP CONTROL / CONFIRM SOLUTION
d) Again unplug NTC #3 from the 2nd distribution board position from the left, “X3, MON-NTC”.
e) Call the Home screen. Based on [Temperature], TWO (2) possible scenarios:
1) IF less than 30.0° C: A) Leaving NTC #3 unplugged, allow six (6) minutes; B) Set [Dialysate
Flow] to 500 ml/min; C) If [Temperature] remains less than 30.0° C return NTC #3’s connector to
2nd distribution board position from the left, “X3, MON-NTC” THEN refer to Appendix B (page
758) to perform other necessary calibrations.
2) IF more than 30.0° C: Read before performing! One at a time, swap the listed components (see
COMPONENT LIST below), with known good, and in between repeat procedure number T- 1.4.3
(page 263) until the [Temperature] window is less than 30.0° C indicating the last component
swapped in was the problem.
COMPONENT LIST: 1) Actuator-Test Boarda; 2) Sensor Board cable; 3) Sensor Boarda ,b;
4) Functional Board (possibly IC20) a, b; 5) Distribution board; 6) Motherboard.
a
To LOCATE these boards refer to Figure 4A (page 10).
b
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to OPERATING
MODES (page 19)).
A) Install the hydraulics into the cabinet but DO NOT screw the rear panels in yet!
C) Call debug screen 10. If debug doesn’t appear press ‘Esc’ then call screen 10.
1) IF (and ONLY if) “TEMP OVER 95 DEGREES” DOES NOT reoccur: The problem is not
occurring at this time. DO NOT continue!
2) IF (and ONLY if) IF “TEMP OVER 95 DEGREES” reoccurs AND 5V HI = 5.3 OR more and / or
24V HI = 28.0 OR more: Proceed to page 271, procedure number T- 1.5.51.
3) IF “TEMP OVER 95 DEGREES” reoccurs BUT 5V HI OR 24V HI DID NOT go high: This
procedure, parts a THROUGH e below, checks Valve #39. If it opens, as it should, deaeration
pressure will be between 0 and -10 inHg i.e. nowhere near -24 inHg:
1) IF (and ONLY if) between 0 and -10 inHg: Allow the screen’s [Remaining Time]
window to reach 0:00 BEFORE continuing to procedure number T- 1.5.1 (page 265).
2) IF between -11 and -30 inHg: Read before performing! ENSURING the machine was
in RINSE prior to checking pressure, Valve #39 is not opening! A) Turn the machine
off;
B) One at a time, swap in the listed components (see COMPONENT LIST below) with
known good then in between; C) Return to RINSE; D) If the gauge is now between 0
and -10 inHg the last component swapped in is the problem.
Yes [Remaining Prerinse Time] = 0:00! See procedure number T- 1.5.2 (page 265).
a) Being aware that flow does not stop, remove the dialyzer connectors from the shunt and connect them
to a calibrated Temperature (°C) meter* but DO NOT shut the door!
* WARNING! A NEO-1 meter CANNOT be used! The NEO-2 and other meters, capable of
measuring more than 90° C, can be used! Refer to the meter’s Operator’s manual
b) A “Flow Recirc Error” may occur but MUST go away within forty five (45) seconds!
c) The “Cover is Open” banner appears but the flow indicator’s ‘bob’ MUST be moving up and down!
e) Noting the screen’s [Temperature] window, THREE (3) possible scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) screen [Temperature] = 95° C or more: Proceed to page 269, procedure
number T- 1.5.5.
2) IF (and ONLY if) screen [Temperature] is LESS THAN 95° C BUT “TEMP OVER 95
DEGREES” reoccurs: Proceed to page 268, procedure number T- 1.5.4.
3) IF screen [Temperature] is LESS THAN 95° C AND “TEMP OVER 95 DEGREES” DID NOT
reoccur: Perform parts A AND B below:
A) A) ENSURING screen [Temperature] remains between 80° C and 92° C, without looking
away, watch it for one (1) minute noting its highest and lowest values.
B) To determine [Temperature] stability subtract the lowest value seen from the highest value
seen. TWO (2) possible scenarios 1) or 2) below:
1) IF (and ONLY if) the result is MORE THAN two (2) i.e. UNSTABLE: ENSURING
“TEMP OVER 95 DEGREES” HAS NOT reoccured see procedure number T- 1.5.3
(page 266).
2) IF the result is two (2) or less i.e. STABLE: The problem is not occurring at this time!
c) To prevent damage DO NOT leave the machine. The external meter MUST NEVER reach 95° or more!
d) Once again, watch the screen’s [Temperature] for one (1) minute noting its highest and lowest values.
e) Subtract the lowest value seen from the highest. TWO (2) possible scenarios 1) or 2) below:
1) IF (and ONLY if) the result is more than one (1) i.e. unstable: Proceed to
page 272, procedure number T- 1.5.52.
2) IF the result is zero (0) or one (1) i.e. STABLE: Perform parts A and B below:
A) ENSURING the flow indicator’s ‘bob’ is moving up and down, watch the external meter for one
(1) minute noting its highest and lowest values.
B) Determine stability by subtracting the lowest value seen from the highest. Is the result more
than two (2.0)?
Yes More than two (2.0)! For future use, NOTE METER STABILITY is more than two (2.0)
THEN see procedure number T- 1.5.3.10 (page 267).
No Less than two (2.0)! For future use, NOTE METER STABILITY is less than two (2.0)
THEN see procedure number T- 1.5.3.10 (page 267).
a) Incoming RO water temperature, less than 20.0° C, may cause unstable temperature. In any event,
continue to part b.
b) Return NTC #3’s connector to the 2nd distribution board position from the LEFT, “MON-NTC”!
d) Press ‘Esc’ then ‘Enter’ twice to call the “Select Program” screen.
1) IF “TEMP OVER 95 DEGREES” alarm DOES NOT reoccur: The problem is not occurring at
this time! DO NOT continue.
i) IF (and ONLY if) METER stability was MORE than two (2.0): READ before performing!
A) With the machine off, one at a time, swap in the listed components (see Component List A
below), with known good THEN; B) In between, return to page 265, procedure number
T- 1.5.1 until stability is less than two (2) indicating the last component swapped in is the
problem.
1
To LOCATE NTC #2 refer to Figure 42 (page 236)
2
To LOCATE the boards refer to Figure 4A (page 10)
3
Calibrate Temp Sensor AND Temp Control AND Cond Cells BEFORE testing these
components!
ii) IF METER stability was two (2.0) OR LESS: READ before performing! A) With the machine
off, one at a time, swap in the listed components (see Component List B below) with known
good THEN; B) In between, return to page 265, procedure number T- 1.5.1 until “TEMP
OVER 95 DEGREES” DOES NOT occur indicating the last component swapped in was the
problem.
1
To LOCATE NTC #3 refer to Figure 42 (page 236)
2
To LOCATE the boards refer to Figure 4A (page 10)
3
Calibrate Temp Sensor AND Temp Control AND Cond Cells BEFORE testing these
components
Yes An “Error” banner occurs! CAREFULLY repeat the Temp Sensor calibration but if an
“Error” banner reoccurs proceed to page 320, procedure number T- 7.0.0. If an Error
banner DOES NOT reoccur see part B.
B) Read before performing! Return to page 265, procedure number T- 1.5.1 to see if the calibration
fixed the problem. If (and ONLY if) you return to procedure number T- 1.5.4 continue to part C.
C) BEFORE continuing to part D calibrate Temp Control per the Calibration Procedures booklet.
D) Read before performing! Return to page 265, procedure number T- 1.5.1 to see if the calibration
fixed the problem. If (and ONLY if) you return to procedure number T- 1.5.4 continue to part E.
E) BEFORE continuing to part F turn the machine off and swap in a known good Actuator-Test Board*.
*To LOCATE the board refer to Figure 4A (page 10).
F) BEFORE continuing to part G, note this page number then proceed to page 17 to perform the
VOLTAGE DETECTOR CALIBRATION
G) Read before performing! Return to page 265, procedure number T- 1.5.1 to see if the new board
fixed the problem. If (and ONLY if) you return to procedure number T- 1.5.4 replace the Functional
Board* and perform all calibrations. *To LOCATE the board refer to Figure 4A (page 10)
D) IMMEDIATELY call debug screen 10. If debug does not appear press ‘Esc’ then call screen 10.
E) Watch 5V HI AND 24V HI for three (3) minutes OR until if 5V HI = 5.3 or more and / or 24V HI = 28.0 or
more?
Yes 5V HI exceeds 5.3 and / or 24V HI exceeds 28.0! Proceed to page 271, procedure number
T- 1.5.51.
No 5V [HI] remains less than 5.3 AND 24V HI remains less than 28.0! Continue to parts F through H.
F) To prevent damage DO NOT leave the machine! The external meter MUST NEVER exceed 95° C!
H) Watch the screen’s [Temperature] window for one (1) minute. THREE (3) possible scenarios:
1) IF (and ONLY if) screen [Temperature] is between 77 and 83° C AND stable i.e. does NOT
change more than 1.0: Leaving the resistor plug installed, proceed to page 273, procedure
number T- 1.5.53.
2) IF (and ONLY if) screen [Temperature] is unstable i.e. changes more than 1.0: Leaving the
resistor plug installed, proceed to page 272, procedure number T- 1.5.52.
3) IF screen [Temperature] is stable i.e. DOES NOT change more than 1.0 but IS NOT between
77 and 83° C: As prompted perform parts A THROUGH L below:
A) ENSURE the 80° C (1.255 KΩ) plug, from the FOUR-RESISTOR SET, was placed properly at
the 2nd distribution board position from the left, “MON-NTC”! If not, repeat procedure number
T- 1.5.5 (page 269).
B) Consider using the 80° C (1.255 KΩ) plug, from another FOUR-RESISTOR SET. If screen
[Temperature] is still NOT between 77 and 83° C continue to part C.
C) Remove the resistor plug and return NTC #3’s connector to the 2nd distribution board position
from the left, “MON-NTC”.
D) BEFORE continuing to part E (next page), place the machine into RINSE for fifteen (15)
minutes to cool it down rapidly.
F) Read before performing! Return to page 265, procedure number T- 1.5.1 to see if the
calibrations fixed the problem. If (and ONLY IF) you return to part E continue to part G.
G) Turn the machine off and swap in a known good Sensor Board*. *To LOCATE the Sensor
board refer to Figure 4A (page 10).
H) Perform THREE (3) calibrations: Cal 1) Temp Sensor AND Cal 2) Temp Control AND
Cal 3) Cond Cells. After the calibrations are complete continue to part I.
I) Read before performing! Return to page 265, procedure number T- 1.5.1 to see if the new
board fixed the problem. If (and ONLY if) you return to part E continue to part J.
J) Read before performing! Turn the machine off and swap in a known good Functional Board.
*To LOCATE the Functional board refer to Figure 4A (page 10).
K) Perform THREE (3) calibrations: Cal 1) Temp Sensor; Cal 2) Temp Control; Cal 3) Cond
Cells. After the calibrations are complete continue to L.
L) Return to page 265, procedure number T- 1.5.1 to see if the new board fixed the problem.
B) Open the card cage and push down HARD on ALL circuit boards!
D) Using a flashlight, inspect the surface of the motherboard for corrosion or burning.
E) BEFORE going to part F, note this page number, then proceed to page 17 to perform the VOLTAGE
DETECTOR CALIBRATION.
F) Return to HEAT DISINFECT then IMMEDIATELY call debug screen 10. If debug doesn’t appear press
‘Esc’ then call screen 10.
G) Allow thirty (30) minutes OR until if “TEMP OVER 95 DEGREES” reoccurs. THREE (3) possible
scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) “TEMP OVER 95 DEGREES” DOES NOT reoccur: DO NOT continue!
2) IF (and ONLY if) 5V HI = 5.3 OR MORE AND / OR 24V = 28.0 OR MORE: Continue to part H.
3) IF “TEMP OVER 95 DEGREES” reoccured BUT 5V HI REMAINED less than 5.3 AND 24V HI
REMAINED less than 28.0: Proceed to page 264, procedure number’s T- 1.5.0, SCENARIO
#3.
H) Read before performing! With the machine off, swap in one of the listed components (see
COMPONENT LIST below) with known good THEN, in between, perform parts I and J to see if the new
component fixes the high voltage problem.
2
BEFORE performing part I, note this page number then proceed to page 17 to perform the
VOLTAGE DETECTOR CALIBRATION
3
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to OPERATING
MODES, page 19))
I) Return to HEAT DISINFECT THEN IMMEDIATELY call debug screen 10. If debug does not appear
press ‘Esc’ then call screen 10.
J) Allowing up to thirty (30) minutes. Based on 5V HI AND 24V HI, TWO (2) possible scenarios:
1) IF (and ONLY if) 5V HI = 5.3 OR MORE AND / OR 24V = 28.0 OR MORE: Return to part H
above.
2) IF 5V HI REMAINS LESS THAN 5.3 AND 24V HI REMAINS LESS THAN 28.0: The last
component ‘swapped in’ solved the high voltage problem.
B) Return the dialyzer lines to the shunt and close the door!
C) Leave the 80° resistor plug installed until the problem is solved.
D) Read before perform! THREE (3) possible bad components (COMPONENT LIST below). A) With the
machine off, one at a time, swap in each, with known good* THEN; B) In between, perform parts E
AND F below to see if the new component makes the screen’s [Temperature] stable indicating the last
component swapped in is the problem.
1
To LOCATE the boards refer to Figure 4A (page 10)
2
To prevent a “Cond Offset Failure” place the machine into T and C Mode (refer to OPERATING
MODES, page 19))
F) Is screen [Temperature] stable now i.e. DOES NOT not change more than 1.0?
Yes [Temperature] is stable! The last component fixed the problem. Calibrate the machine as
instructed per Appendix B (page 758).
WITHOUT LOOKING AWAY (to avoid damage), watch the external meter for up to twenty-five (25) minutes
or until if it exceeds 95° C! TWO (2) possible scenarios:
1) IF (and ONLY if) the meter exceeds 95° C: See procedure number T- 1.5.677 (page 274).
2) IF the meter does NOT exceed 95° C: Perform parts A THROUGH I below as prompted:
B) Turn the machine off and replace NTC #3* with a known good, and plug it into the 2nd
distribution board position from the left, “MON-NTC”. * To LOCATE NTC #3 refer to Figure 42
(page 236)
C) Read before performing! Return to (ABOVE) procedure number T- 1.5.1 (page 265) to see if the
new NTC #3 fixed the problem. If (and ONLY if) you return to procedure number T- 1.5.53
continue to part D.
D) Turn the machine off and swap in a known good Sensor Board* then continue to part E. *To
LOCATE the board refer to Figure 4A (page 10).
E) Perform TWO (2) calibrations: Cal 1) Temp Control; Cal 2) Cond Cells. After the calibrations
continue to part F.
F) Read before performing! Return to (ABOVE) procedure number T- 1.5.1 (page 265) to see if the
new Sensor board fixed the problem. If (and ONLY if) you return to procedure number
T- 1.5.53 continue to G.
G) Read before performing! Turn the machine off and swap in a known good Functional Board
THEN see part H.
H) Perform FOUR (4) calibrations: Cal 1) Voltage Detection; Cal 2) Temp Sensor; Cal 3) Temp
Control; Cal 4) Cond Cells. After the calibrations see part I.
I) Return to (ABOVE) procedure number T- 1.5.1 (page 265) to see if the new board fixed the
problem.
A) Return NTC #3’s connector to the 2nd distribution board position from the left, “MON-NTC”.
B) Replace Temperature control sensor NTC #2* with a known good.THEN continue to part C. *To
LOCATE NTC #2 refer to Figure 42 (page 236).
C) Read before performing! Return to procedure number T- 1.5.1 (page 265) to see if the new NTC #2
fixed the problem. If (and ONLY if) you return to procedure number 1.5.677 continue to part D.
D) Swap in a known good Sensor Board* THEN continue to part E. *To LOCATE the board refer to Figure
4A (page 10)
E) Perform TWO (2) calibrations: Cal 1) Temp Control; Cal 2) Cond Cells THEN continue to part F.
F) Read before performing! Return to (ABOVE) procedure number T- 1.5.1 (page 265) to see if the new
board fixed the problem. If (and ONLY if) you return to procedure number 1.5.677 continue to part G.
H) Perform FOUR (4) calibrations: Cal 1) Voltage Detection; Cal 2) Temp Sensor; Cal 3) Temp Control;
Cal 4) Cond Cells THEN continue to part I.
I) Read before performing! Return to (ABOVE) procedure number T- 1.5.1 (page 265) to see if the new
board fixed the problem. If (and ONLY if) you return to procedure number 1.5.677 the motherboard may
be bad.
d) Ignoring a possible temporary “Flow Recirc Error” the “Cover is Open” banner presents.
e) ENSURING a “No Water” alarm NEVER occurs, the external flow indicator’s ‘bob’ MUST be moving up
and down!
c) The meter’s temperature should eventually increase. If incoming water is very cold response may take
up to seven (7) minutes. If incoming water is at normal temperature usually within three (3) minutes.
d) WITHOUT LOOKING AWAY, watch the external meter for UP TO seven (7) minutes OR until if it
reaches 36.0° C OR more?
No Remains less than 36.0° C! Leaving NTC #2 unplugged, proceed to page 276,
procedure number T- 1.7.5.
a) Call debug screen 4. If debug does not appear press ‘Esc’ then call screen 4.
Yes TEMP 4.0 or more. Proceed to page 277, procedure number T- 1.7.72.
b) Replace NTC #3* with a known good.* To LOCATE NTC #3 refer to see Figure 42
(page 236).
A) Press ‘Esc’ then ‘Enter’ twice to call the “Select Program” screen.
C) From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’!
T- 1.7.6 HEATER VOLTAGE MORE THAN 100 VOLTS AC / VERIFY INCOMING WATER TEMP
a) Using a temperature meter, measure INCOMING WATER temperature from the RO!
Yes Incoming water more than 20.0° C! The heater* may be bad. *To LOCATE the heater refer
to Figure 28 (page 140).
No Incoming water is less than 20.0°C! Too low! AFTER this problem is corrected the
Temperature problem may not exist!
b) Return NTC #2 to the 1st distribution board position from the left, “CON-NTC”.
c) Temperature may continue to increase for a few minutes! Allow the external meter to fall below 35.0°
C BEFORE continuing to procedure number T- 1.7.8 (page 277).
c) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
e) Based on the Home screen’s [Temperature] reading. TWO (2) possible scenarios:
2) IF BETWEEN 35.1 and 38.9° C: A Temperature problem is not present at THIS time. To check
possible intermittent temperature problems proceed to page 240, procedure number T- 1.0.8.
Yes TEMP = 2.5 OR less! NTC #2 appears to be okay. See procedure number T- 1.8.1
(page 278).
a) ENSURING the HEATER Switch was OFF, return NTC #3’s connector to 2nd distribution
board position from the left, “MON-NTC”!
a) Return NTC #2’s connector to 1st distribution board position from the left, “CON-NTC”.
b) Avoiding the VACANT position at the right (“PH-PR”), return NTC #3’s connector to the 2nd distribution
board position from the left, “MON-NTC”.
Yes Place the ‘X’ in the “No” box and press ‘Enter’. The ‘X’ turns blue.
Post a note that ‘Temp Comp’ is off then see procedure number
T- 1.8.2 (page 279).
This is NOT a routine Temperature calibration. Follow the procedure exactly to avoid error.
g) ‘Sharply’ press ‘Enter’. [TEMP DAC] MUST remain pale yellow/ white i.e. NOT gray.
h) ENSURING flow through the external indicator AND the Heater Switch is on, allow up to five (5)
minutes OR until the external meter reaches 35.5° C or more?
Yes Meter 35.5° C or more! See procedure number T- 1.8.3 (page 279).
No Meter less than 35.5° C! With [TEMP DAC] pale yellow / white, see procedure number T-
1.8.4 (page 279).
a) Allowing five (5) minutes after each [TEMP DAC] adjustment, continue until the external meter is
between 36.9 and 37.1° C.
b) Does [TEMP DAC] have to be set to 190 or more to bring meter temperature to 36.9 and 37.1° C?
Yes [TEMP DAC] is 190 or more! See procedure number T- 1.8.4 (page 279).
No [TEMP DAC] less than 190! Proceed to page 327, procedure number T- 7.5.0.
If incoming water is less than 20.0° C (from the RO) the machine may not be able to maintain temperature.
a) Using a calibrated temperature meter measure INCOMING WATER from the RO!
Yes More than 20° C! See procedure number T- 1.8.5 (page 280).
No Less than 20.0° C! Incoming water temperature is too low! Once this problem is fixed, most
likely, temperature can be calibrated.
b) Open the card cage and reseat the Sensor, Power Logic and Functional Boards!
b) ‘Sharply’ press ‘Enter’ TWICE to turn the screen’s [TEMP DAC] data box pale yellow/white.
e) Press ‘Enter’. [TEMP DAC] MUST return to pale yellow / white i.e. NOT gray.
f) ENSURING flow through the external indicator, allow up to six (6) minutes OR until if the external
meter reaches 35.5° C or more?
3
To prevent “Cond Offset Failure”, place the machine into T and C Mode (refer to
OPERATING MODES (page 19))
a) Remaining in Dialysis Program or Heat Disinfect, to prevent pulling cables loose, GENTLY open the
card cage.
c) Connect the black lead to chassis ground (see Figure 2, page 4).
d) CAUTION! Signals are about to be measured at pins that are VERY close to others and touching
pins together with a standard meter lead could cause massive DAMAGE. As directed below, make
your RED meter lead PROTECTED. DO NOT CONTINUE UNTIL YOU HAVE DONE THIS!
e) Figure below, at the top of the Power Logic board, closest to the screen, locate its twenty-pin X2 cable.
f) Measure from the solder (rear) side of the X2 cable, at pin 6 (TOP row, three pins from the REAR of
the machine). 9.5 volts DC OR MORE?
No Pin 6 LESS THAN 9.5 volts! Proceed to page 292, procedure number T- 2.2.0.
a) If in Heat Disinfect see part b. If in Dialysis Program ENSURE [Dialysate Flow] is on*!
b) Figure below, at the top front edge of the Power Logic board, locate transistor T5.
c) Expecting almost 0 volts DC, measure at T5’s TOP solder point as shown above. Less than twenty
(20.0) volts DC*?
Yes T5 LESS THAN 20.0 volts DC*! See procedure number T- 2.0.2 (page 283).
No T5 between 20.0 and 28.0 volts DC*! Proceed to page 285, procedure number T- 2.0.5.
* Pay attention
to the meter’s
units!
a) CAUTION! The next measurement will be from the Power Logic board’s twenty-pin X2 cable, at pin
7. Pin 9, next door, is connected to 24 volts DC and touching pins 7 and 9 together WILL
DAMAGE several boards! To prevent this, TWO (2) precautions:
b) Measure at PIN 7, (BOTTOM row, four pins from the REAR of the machine). 4.0 volts DC or MORE?
Yes Pin 7 is 4.0 volts OR MORE! See procedure number T- 2.0.3 (page 283).
No Pin 7 is LESS THAN 4.0 volts! Proceed to page 286, procedure number T- 2.0.6.
a) Return NTC #2’s connector to the 1st distribution board position from the left,
“CON-NTC”.
b) Call debug screen 0. Watch for six (6) minutes to ENSURE Flow Error is NEVER = 1 and a “No Water”
NEVER occurs.
c) From the Home or Heat Disinfect screen, [Temperature] should increase to:
• IF in Heat Disinfect: After no more than thirty (30) minutes, more than 80° C!
d) The low temperature problem may be intermittent and occurs ONLY after the machine has been
running for a while with good temperature. In this event DO NOT turn the machine off!
e) ENSURING a “No Water” alarm OR a Flow Error are NOT occurring AND there is less than 10 volts AC
at the heater, unplug NTC #2. If heater voltage returns to more than 100 volts AC replace NTC #2. If
(and ONLY if) heater voltage remains less than 10.0 volts AC, TWO (2) DC voltage measurements
isolates the entire heater circuit:
Measurement #1: Per Figure 43 (page 281) at x2, pin 6. Good = more than 9.6 volts DC.
Measurement #2: Per Figure 44 (page 282), at T5’s TOP pin. Good = less than 2.0 volts DC.
Scenario #1: IF (and ONLY if) BOTH measurements are GOOD: All card cage signals are okay.
There is an intermittent problem with the Triac or the Power Control Board in the power
supply.
Scenario #2: IF a BAD signal is measured: TWO (2) possibilities: If (and ONLY if) the pin 6
measurement is less than 9.6 volts DC see procedure number T- 2.2.0 (page 292). If the
T5 measurement is more than 2.0 volts DC see procedure number T- 2.0.5 (page 285).
a) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
b) Watching for one (1) minute, if Flow Error EVER = 1 OR a “No Water” alarm EVER appears DO NOT
troubleshoot temperature!
c) CAUTION! The next measurement is from the Power Logic board’s twenty-pin X2 cable, at pin 7.
Pin 9, next door, is connected to 24 volts DC and touching pins 7 and 9 together WILL
DAMAGE several boards! To prevent this, TWO (2) precautions:
2) Per the Figure below, place the lead horizontally onto pin 7 (BOTTOM row, four
pins from the REAR of the machine). 4.0 volts DC or MORE?
Yes Pin 7 is 4.0 volts OR MORE! Proceed to page 287, procedure number T- 2.1.0.
No Pin 7 is LESS THAN 4.0 volts! See procedure number T- 2.0.6 (page 286).
b) IMPORTANT! Return NTC #2’s connector to the 1st distribution board position from the left,
“CON-NTC”.
c) Swap in known good Actuator-Test board. To LOCATE the board refer to Figure 4A (page 10).
d) With the known good board in, see procedure number T- 2.0.7 (page 286).
d) CAUTION! The measurement at the Power Logic board’s twenty-pin X2 cable, at pin 7, is repeated.
To avoid damage:
2) Place the lead horizontally on pin 7 (BOTTOM row, four pins from the REAR of the
machine). 4.0 volts DC or MORE now?
Yes Pin 7 now 4.0 volts OR more! The new Actuator-Test board fixed the problem.
No Pin 7 still 3.9 volts DC or less! Turning the machine off in between, one at a time, swap
in the following boards, see the APPROPIATE BOARD LIST below, and in between
repeat procedure number T- 2.0.7 (page 286) to test each until pin 7 is 4.0 volts DC or
more.
1
To LOCATE the bibag Interface board refer to Figure 4C (page 11)
2
To LOCATE these boards refer to Figure 4A (page 10)
3
To prevent a “Cond Offset Failure” alarm place the machine into T and C Mode (refer to
OPERATING MODES, page 19))
2
To prevent a “Cond Offset Failure” alarm place the machine into T and C Mode (refer to
OPERATING MODES (page 19))
A bad diode 17 (D17) destroys Power Logic Boards. Its RESISTANCE (Ω) is checked here:
c) Confirm the twenty (20) and nine (9) pin* cables MUST be unplugged! BEFORE unplugging the nine pin
cable NOTE its polarity (i.e. orange wire on the right).
1) IF (and ONLY if) between 900 and 1500 Ω (0.900 and 1.5 KΩ)! Diode 17 is good!
See procedure number T- 2.1.4 (page 288).
2) IF less than 900 Ω (0.900 KΩ) OR more than 1500 Ω (1.5 KΩ): Diode 17 is bad!
Perform parts a AND b below:
a) Replace BOTH the Power Control board* (inside the power supply) AND the Power Logic
board (inside the card cage) with known good. *It is a good idea to check diode 17 on the new
Power Control board.
b) After BOTH boards are replaced, leaving NTC #2 unplugged, see procedure number T- 2.1.4
(page 288).
a) IMPORTANT! Figure below, ENSURE all cables are PROPERLY connected to the Power Control
board!
NOTE! A good diode 17 does NOT necessarily mean the Power Control board is good
c) Measure again at the Power Logic board’s T5 TOP pin. If necessary, refer to Figure 44 (page 282).
Yes T5 LESS THAN 2.0 volts! Proceed to page 291, procedure number T- 2.1.8.
No T5 between 2.0 and 28.0 volts! See procedure number T- 2.1.6 (page 289).
a) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
b) Watching for one (1) minute, if Flow Error EVER = 1 OR a “No Water” alarm EVER appears DO NOT
troubleshoot temperature!
c) CAUTION! The measurement at the Power Logic board’s twenty-pin X2 cable, at pin 7 is repeated
To avoid damage, TWO (2) precautions:
2) Per the Figure below, place the lead horizontally onto pin 7 (BOTTOM row, four
pins from the REAR of the machine). 4.0 volts DC or MORE now?
Yes Pin 7 is more than 4.0 volts. See procedure number T- 2.1.7 (page 290).
No Pin 7 is 3.9 volts OR LESS! See (ABOVE) procedure number T- 2.0.6 (page 286).
b) Referring to the Component List below, swap them in, one at a time, then in between continue to part c
to see if the new component fixed the problem.
Component List: 1) Twenty pin Power Logic Cable; 2) Power Control board (inside the power supply);
3) Power Logic Board; 4) Functional Board1; 5) Motherboard
1
To prevent a “Cond Offset Failure” alarm place the machine into T and C Mode (refer to OPERATING
MODES, page 19)
d) Measure again at the Power Logic board’s T5 TOP pin. If necessary, refer to Figure 44 (page 282).
LESS THAN two (2.0) volts DC now?
Yes T5 LESS THAN 2.0 volts! The new component fixed the problem
No T5 between 2.0 and 28.0 volts! Repeat parts a through d until T5 is LESS than 2.0 volts DC.
Per the Figure below, measure again at the Power Logic Board’s X2 cable, pin 6 (TOP row, three pins
from the REAR of the machine). TWO (2) possible scenarios:
1) IF (and ONLY if) 9.6 volts DC OR MORE: Proceed to page 295, procedure number T- 2.6.0.
2) IF LESS THAN 9.6 volts DC: See procedure number T- 2.2.0 (page 292).
Yes More than 100 volts AC! The heater is on! The previous Power Logic Board is bad.
IMPORTANT! Return NTC #2’s connector to the 1st distribution board position from the
left, “CON-NTC”.
No Less than 100 volts AC! With the new Power Logic board in the heater is still off! See parts a
THROUGH c below:
c) Figure below, measure AGAIN at the Power Logic Board’s X2 cable, pin 6 (TOP row, three
pins from the REAR of the machine). TWO (2) possible scenarios:
1) IF (and ONLY if) 9.5 volts DC OR MORE: This signal is good so the previous
Power Logic Board is bad but the ‘heater off’ problem still exists. Return to page
282, procedure number T- 2.0.1 to check other relevant signals.
2) IF less than 9.5 volts DC: The signal continues to be ‘bad’! See procedure number
T- 2.2.1 (page 293).
d) Enter Service Mode → Options → Hardware Options. Place the ‘X’ into the
“Yes” box and press ‘Enter’. The ‘X’ turns blue.
No Less than 100.0 volts AC! The heater is still off! See parts a THROUGH c below:
c) Measure again at the Power Logic Board’s X2 cable, pin 6 (TOP row, three pins from the
REAR of the machine). TWO (2) possible scenarios:
1) IF (and ONLY if) 9.5 volts DC or more: This is a good signal so the previous
Sensor Board is bad HOWEVER, the heater off problem still exists. See (ABOVE)
procedure number T- 2.0.1 (page 282) to check other relevant signals.
2) IF 9.4 volts DC or lower: This signal continues to be ‘bad’ so the previous Sensor
Board is probably good! See parts a THROUGH d below:
Yes More than 12,000 Ω (12.0 KΩ)! See part A through D below:
D) Set the meter to read AC and check for voltage again BETWEEN
the Heater Connector’s BROWN and BLUE wires. If the “no voltage
to the heater” problem continues the motherboard may be a bad.
a) Turn the machine OFF and UNPLUG it. CAUTION! Electrocution hazard if NOT unplugged!
b) Figure below, open the power supply to see the Power Control board.
c) Figure above, the 20-pin X2 Power Logic cable runs between the Power Control and Power Logic
boards. TWO (2) checks:
CHECK #2: Inspect the cable’s entire length. If damage is located replace the cable as this may be
the problem!
A) Figure below, lay the power supply panel down to see the component side of the Power Control board.
Figure 48 – Power Control Board
Yes Burning located! Replace BOTH the Power Control Board AND the Triac*. *To
LOCATE the Triac refer to the Figure below.
C) Lay the power supply panel down to see the rear (solder) side of the board.
Measurement #1: BETWEEN ST13 AND ST7. Good = less than 2.0 Ω.
Measurement #2: BETWEEN ST5 AND ST4. Good = less than 2.0 Ω.
Yes BOTH LESS than 2.0 Ω! The Heater Switch is OKAY! See procedure number T- 2.6.6
(page 298).
Per the Figure below, measure BETWEEN K1 and K2. Between 9.0 and 15.0 Ω?
Yes Between 9.0 and 15.0 Ω! The Heater Connections are OKAY! See procedure number
T- 2.6.7 (page 298).
No More than 15.0 Ω! Check the heater wires for a ‘broken circuit’ between the Power Control
Board’s K1 and K2 and the distribution board’s Heater Connector.
Component List: 1) 20-pin (X2) Power Logic cable; 2) Triac (see Figure below); 3) Power
Control board (inside the power supply).
a) Without screwing in the rear panels, install the hydraulics into the cabinet.
c) Watch the screen’s [Temperature] window for fifteen (15) minutes OR until if it increases to 50° C or
more. TWO (2) possible scenarios:
1) IF (and ONLY if) [Temperature] NEVER reaches at least 50° C: See procedure number
T- 3.0.1 (page 300).
2) IF [Temperature] INCREASES to 50° C or more: Allow twenty (20) minutes OR until if Heat
Disinfect finishes. TWO (2) possible scenarios i) or ii) below:
i) IF (and ONLY if) [Temperature] DOES NOT reach 80° C OR does but then falls and
REMAINS less than 79° C for at least three (3) minutes: See procedure number T- 3.0.1
(page 300).
ii) IF [Temperature] reaches and remains 80° C or more: The machine may have turned itself
off. The problem (“Temperature does not reach 80° C) is no longer occurring!
a) Return NTC #2’s connector to the 1st distribution board position from the left “CON-NTC”.
c) ENSURING the HEATER Switch is on AND [Remaining Prerinse Time] = 0:00, see
procedure number T- 3.0.3 (page 301).
When [Remaining Prerinse Time] = 0:00 drain Valve #30 closes and Valve #29 opens resulting in no
drain flow. If Valve #30 is sticking open Heat Disinfect can take a long time to reach 80° C!
1) IF (and ONLY if) drain flow HAS stopped: This is normal! Reconnect the drain THEN see
procedure number T- 3.0.4 (page 302).
2) IF drain flow DID NOT stop: This may or may not cause this temperature problem but must be
fixed before continuing! Perform parts a through c below:
a) Turn the machine OFF and swap in a known good, Valve #30*. *To LOCATE Valve #30 refer to
Figure 35 (page 211).
b) Place the machine into RINSE until it finishes i.e.[Remaining Time] = 0:00.
c) Return to Heat Disinfect! ENSURING [Remaining Prerinse Time] = 0:00 is there drain flow
now (Yes or No)?
No Drain flow stopped! Return to (ABOVE) procedure number T- 3.0.0 (page 300) to see if
this fixes the temperature problem.
a) IMPORTANT! Press ‘Esc’ then ‘Enter’ twice to call the “Select Program” screen.
b) Remove the dialyzer lines from the shunt and attach them to a calibrated Temperature (°C) meter*.
* CAUTION! DO NOT USE a Mesa® NEO-1 as it CANNOT measure temperature more than 40°C.
The NEO-2 and most other meters can be used! Refer to the meter’s Operator’s Manual!
This procedure simulates the dialyzer connectors in the shunt door to allow the Heat Disinfect to start!
b) While CONTINUING TO HOLD the buttons CLOSE THE DOOR over your hand.
c) With your left hand, press the screen’s HEAT DISINFECT button to start HEAT DISINFECT.
f) The “Cover is Open” banner appears! A “Flow Recirc Error” may occur but MUST go away within forty
five (45) seconds!
g) ENSURING the flow indicator’s ‘bob’ is moving up and down, see procedure number T- 3.0.6
(page 303).
a) “No Water” OR Flow Error alarms turn the heater off! From here forward, if (and ONLY if) either occurs
address the alarm first!
b) Allow fifteen (15) FULL minutes OR until if the external meter reads 50° C or more. Based on the
external meter reading, TWO (2) possible scenarios below:
1) IF (and ONLY if) DOES NOT achieve 50° C or more: See procedure number T- 3.0.7
(page 303).
2) IF 50° C or more: Allow up to fifteen (15) minutes longer. TWO (2) possible scenarios i) or ii)
below:
i) IF (and ONLY if) the meter NEVER ACHIEVES 80° C OR does but then falls and
REMAINS less than 79° C for three (3) minutes: See procedure number T- 3.0.7
(page 303).
ii) IF the meter STAYS at 80° C or more: Proceed to page 305, procedure number T- 3.0.9.
2) IF more than 100 volts AC: Leaving NTC #2 unplugged, perform parts a AND b below:
a) CAUTION! To avoid damage DO NOT leave the machine. The external meter MUST NOT
be allowed to go higher than 95° C.
b) Watch the external meter for up to fifteen (15) minutes OR until if it achieves more than 80°
C?
No Does NOT achieve 80° C or more! Either incoming water is extremely cold (less than
12° C) OR you made an error and Heater voltage is NOT more than 100 volts AC
OR the Heater is bad!
b) One of the listed components (see COMPONENT LIST below) may be bad. Swap in one, starting with
NTC #2 then, in between, perform parts c through h to test the new component.
1
To LOCATE NTC #2 refer to Figure 42 (page 236)
2
To LOCATE the boards see Figure 4A (page 10)
3
Calibrate Temperature Control AND Cond Cells before testing these components!
c) Return to HEAT DISINFECT without the Temperature meter attached for now.
f) ENSURING the flow indicator’s ‘bob’ is moving up and down in the sight tube, check distribution board
Heater Connector heater voltage (more than 100 volts AC) between each component!
g) Allow thirty (30) minutes OR until if the external meter’s reading maintains 80° C or more before
continuing to part h!
1) IF (and ONLY if) achieves 80° C or more: The new component fixed the problem! If a
Functional or Sensor Board was replaced perform all calibrations.
2) IF does NOT reach 80° C: Repeat procedure number T- 3.0.8 (page 304) swapping in known
good component from the list, one at a time, until the meter achieves 80° C or more. When (and
NOT until) the meter reaches 80° C or more see procedure number T- 3.0.9 (page 305).
ENSURING the meter’s reading maintains at 80° C or more, TWO (2) possible scenarios:
1) IF (and ONLY if) the screen’s [Temperature] window is 80° C or more: The temperature problem
is no longer occurring!
2) IF the screen’s [Temperature] window is NOT 80° C or more: Perform parts a THROUGH h below:
b) One of the listed components (see COMPONENT LIST below) may be bad. Swap in one, starting
with NTC #3, then perform parts c through h to test the new component.
1
To LOCATE NTC #3 refer to Figure 42 (page 236)
2
To LOCATE the boards see Figure 4A (page 10)
3
Calibrate Temperature Control AND Cond Cells before testing these components!
c) Return to HEAT DISINFECT without the Temperature meter attached for now.
d) BEFORE continuing to part e, allow the screen’s [Remaining Prerinse Time] window = 0:00!
f) ENSURE the flow indicator’s ‘bob’ is moving up and down in the sight tube!
g) Allow up to thirty five (35) minutes OR until if the meter’s reading achieves 80° C or more before
continuing to part h!
1) IF (and ONLY if) the meter does NOT reach 80° C or does NOT maintain at 80° C or more:
Return to (ABOVE) procedure number T- 3.0.6 (page 303).
2) IF the meter reaches AND maintains 80° C or more, TWO (2) possible scenarios i or ii:
i) IF (and ONLY if) the screen’s [Temperature] display reaches 80° C or more: The new
component fixed the problem.
ii) IF the [Temperature] display does NOT reach 80° C: Repeat procedure number T- 3.0.9
(page 305) parts a THROUGH h until the [Temperature] display does reach 80° C.
c) Confirm you attach the meter’s black lead to chassis ground (see Figure 2, page 4).
d) CAUTION! A signal is about to be measured from a pin that is VERY close to others and touching
pins together with a standard meter lead may cause massive DAMAGE. As directed below, make your
RED meter lead PROTECTED. DO NOT CONTINUE UNTIL YOU HAVE DONE THIS
e) Per the Figure below, at the top of the Power Logic Board, closest to the screen, locate its 20-pin X2
cable.
f) Measure at pin 6 (TOP row, 3 pins from the rear of machine). TWO (2) possible scenarios:
1) IF (and ONLY if) more than 1.0 volts DC: See procedure number T- 4.0.1 (page 307).
2) IF less than 1.0 volts DC: Proceed to page 310, procedure number T- 4.3.0.
b) Swap in a known good* Power Logic Board**. ** To LOCATE the board see Figure 4A (page 12)
* Known good = tested in another machine that does not allow temperature to exceed 39°.0 C!
d) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
d) Set T and C Mode to “Yes” and press ‘Enter’. The ‘X’ turns blue!
f) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
g) From the Home screen, ENSURING [Temperature] is less than 40,0° C, again measure BETWEEN the
Heater Connector’s BLUE and BROWN wires. TWO (2) possible scenarios:
1) IF (and ONLY if) more than 100.0 volts AC: See procedure number T- 4.0.4 (page 308).
NOTE: The previous Sensor Board is probably good.
2) IF less than 10.0 volts AC: Problem solved! The previous Sensor Board is bad. Perform parts A
through C below:
1) IF (and ONLY if) LESS THAN 300 Ω (0.300 KΩ): ENSURING the machine was OFF before
measuring AND assuming all procedures were performed correctly the mother board may be
bad.
b) ENSURE the 274 Ω plug, from the TWO-RESISTOR SET, is placed properly in the 1st
distribution board positon from the left, “CON-NTC”! If not, repeat procedure number T- 4.0.4
(page 308).
c) ENSURE the meter was set to resistance (Ω) AND its black lead was connected to chassis
ground If not, repeat procedure number T- 4.0.4 (page 308).
d) TWO (2) possible bad components: 1) Sensor Board* cable OR; 2) Distribution board.
1) IF MORE THAN 10 Million ohms (10.0 MΩ), possibly “OL”: ENSURE the Heater Switch
REMAINS ON, see procedure number T- 4.4.0 (page 311).
2) IF LESS THAN 10 Million ohms (10.0 MΩ) most likely WAY less (example: 300 Ω): See parts
a AND b below:
b) TWO (2) possible bad components: 1) Bad Triac* OR; 2) Bad Power Control Board.
* To LOCATE the Triac trace the brown and blue wires connected to ST8 and ST11 to it!
CAUTION! The Triac’s wires are position sensitive! Plugging into the wrong terminal can
damage the Power Control board or the new Triac
b) Does the ‘Yes’ box at ‘Temp Comp’ have a blue ‘X’ in it?
Yes Place the ‘X’ in the “No” box and press ‘Enter’ (the ‘X’ turns
blue). Post a note that ‘Temp Comp’ is off then see procedure
number T- 4.4.1 (page 311).
b) Press ‘Enter’ TWICE. The screen’s [TEMP DAC] data box turns pale yellow / white.
c) Press [TEMP DAC]. It turns bright yellow and set its value to “20”
g) Measure again at the distribution board’s Heater Connector between the BLUE and BROWN wires.
More than 100.0 volts AC now?
Yes More than 100.0 volts AC! See procedure number T- 4.5.0 (page 312).
h) Measure at the Heater Connector between the BLUE and BROWN wires. More than 100 volts AC?
Yes More than 100.0 volts AC! Electrocution hazard if the machine is NOT unplugged before
continuing! The Triac* is bad. *To LOCATE the Triac refer to the Figure below.
No Electrocution hazard if NOT unplugged before continuing! The Power Control Board
(inside the power supply) is bad.
Yes TEMP is less than 1.0! See procedure number T- 5.0.1 (page 313).
No TEMP is more than 1.0! Proceed to page 315, procedure number T- 5.0.3.
e) Connect the meter’s black lead to chassis ground (see Figure 2, page 4).
f) Per Figure 53 below, measure at the solder side of Sensor Board’s ‘X2’ connector at pin 12 (top row,
6 pins from the rear of the machine).
No MORE than 300 Ω! ENSURING the machine was OFF, prior to measuring, see parts a
THROUGH d below:
a) ENSURE the 274 Ω plug, from the TWO-RESISTOR SET, is in the 2nd position,
from the left, “MON-NTC”.
d) Per the Figure below, measure again at pin 12 ENSURING good contact with the pin! Is
the meter’s numeric AND units display less than 300 Ω now (Yes or No)?
Yes LESS than 300 Ω! See procedure number T- 5.0.2 (page 314).
No MORE than 300 Ω! TWO (2) possible bad components: 1) Sensor cable OR
2) Distribution board
Leaving the 6.04 KΩ plug installed, call debug screen 4. Is TEMP (lower left) between 4.0 and 6.0?
Yes TEMP between 4.0 and 6.0! Proceed to page 320, procedure number T- 7.0.0.
No TEMP IS NOT between 4.0 and 6.0! It should be! See parts a and b below:
A) ENSURE the 6.04 KΩ plug, from the TWO-RESISTOR SET, is placed correctly at the 2nd
distribution board position from the left, “MON-NTC”. If NOT, repeat procedure number T-
5.0.3 (page 315).
C) Read before performing! With the machine off, swap in the listed components (see
COMPONENT LIST below) one at a time, with known good and in between, to test each new
component, perform parts D and E until TEMP is between 4.0 and 6.0.
1
To prevent “Cond Offset Failure”, place the machine into T and C Mode for EACH board
(refer to OPERATING MODES, page 19).
E) Call debug screen 4. If TEMP is now between 4.0 and 6.0 the last component swapped in
was the problem. If NOT return to part C.
a) Per the Figure below, ENSURE both NTCs’ are plugged into their distribution board positions. They
may have been unplugged in a previous procedure!
b) Trace EACH CABLE, from the distribution board to the NTC, to once again THOROUGHLY check for
insulation damage! Insulation damage causes instability!
a) From the Home screen, ENSURE [Dialysate Flow] is set at the rate where the temperature instability is
occurring.
b) Call debug screen 0. WITHOUT LOOKING AWAY, watch Flow Error for three (3) minutes or until if it
EVER = 1, even if only once, indicating a Flow problem. TWO (2) possible scenarios:
1) IF (and ONLY if) Flow Error EVER = 1: Proceed to page 23, SECTION 1 - FLOW ERRORS
IN DIALYSIS PROGRAM.
Yes Deaeration pressure is okay. Position the gauge so that its tubing is not pinched THEN see
procedure number T- 6.3.0 (page 317).
No Deaeration pressure is NOT OKAY! ENSURING the “No Water” alarm is NOT presenting,
NOTE this page number, as you will return here, THEN proceed to page 543, SECTION 13
- DEAERATION PROBLEMS.
Yes Another procedure in different Section is performed next. NOTE this page and procedure
number as you may prompted to return to here. See parts a and b below
b) If a torn balancing chamber diaphragm was not located in part a see procedure number
T- 6.6.0 (page 318).
No See procedure number T- 6.6.0 (page 318).
Is the machine connected to the: 1) SAME water source as other currently RUNNING machines that
have good stable temperature OR 2) Its OWN water source, possibly a portable RO. TWO (2) possible
scenarios:
1) IF (and ONLY if) connected to the SAME water source as other machines: See procedure
number T- 6.8.0 (page 318).
2) IF connected to its OWN water source: Using a calibrated temperature meter check the incoming
water temperature (i.e. from the RO). If NOT between 10 and 33° C (50 and 86° F) this may be the
problem! If (and ONLY if) between 10 and 33° C see procedure number T- 6.8.0 (page 318).
g) If Temperature instability continues i.e. changes more than 0.2 °C per minute, see procedure number
T- 6.9.0 (page 318).
Other procedures, in different Sections of the Guide, are performed next. NOTE this page and procedure
number as you may prompted to return to here:
a) BEFORE continuing to part b, page 580, to perform SECTION 19 - TESTING FOR A LEAKING
BALANCING CHAMBER DIAPHRAGM.
b) If leaking diaphragm was not located in part a, turn the machine OFF!
b) Call debug screen 0 to watch Flow Error AND for a “No Water” alarm. A “No Water” alarm must
NEVER occur and Flow Error must NEVER = 1. Watch for fifteen (15) minutes!
1) IF (and ONLY if) Temperature is NEVER unstable: The Troubleshooting Guide cannot locate a
problem at this time!
2) IF Temperature is or becomes unstable: With the machine turned off, one at a time swap in the
listed components (see Component List below) with known good then, in between, repeat
procedure number T- 6.9.1 (page 319) to test each new component.
Component List: 1) Power Logic Boarda; 2) NTC #2; 3) Heater b; 4) Sensor Board (with a new
Sensor board you must calibrate Temp Sensor AND Temp Control); 5) TWO (2) power supply
components: i) Power Control board; ii) Heater Triac .
a
To LOCATE the board refer to Figure 4A (page 10)
b
To LOCATE refer to Figure 28 (page 140);
c
To LOCATE the Heater Triac REFER to the Figure at the bottom of page 312
These are non-routine TROUBLESHOOTING procedures! Follow them exactly to avoid error!
WARNING! Hydraulic alarms are not announced in Service Mode!
STEP #1
Yes Between 64 and 76! ‘Sharply’ press ‘Enter’. If no Error banners1 appear see STEP #2
(page 320).
1
If an “Operator Error” OR
”Actuator Board Error”
banner appears proceed
to page 321, procedure number T- 7.1.0.
No NOT between 64 and 76! ENSURE the 34° C plug is placed properly at the 2nd position from the
left! If okay, see procedure number T- 7.1.0 (page 321).
STEP #2
a) The screen should say “Connect a 5.117 K ohm resistor...”.
b) Place the 41° C (5.117 KΩ) plug into the 2nd distribution board position from the left.
Is [Pre-Temperature Reference] between 157 and 169?
Yes Between 157 and 169! ‘Sharply’ press ‘Enter’ then see STEP #3 (page 321).
No NOT between 157 and 169! ENSURE the 41° C plug is placed properly at the 2nd position from
the left! If okay, see procedure number T- 7.1.0 (page 321).
b) Place the 80° C (1.255 KΩ) plug into the 2nd distribution board position from the left. Is [Pre-
Temperature Reference] between 191 and 203?
Yes Between 191 and 203! ‘Sharply press ‘Enter’ then see STEP #4 (page 321).
No NOT between 191 and 203! ENSURE the 80° C plug is placed properly at the 2nd position from
the left! If okay, see procedure number T- 7.1.0 (page 321).
STEP #4
b) Place the 90° C (0.915 KΩ) plug into the 2nd distribution board position from the left.
Is [Pre-Temperature Reference] between 204 and 216?
Yes Between 204 and 216! Save the calibration then proceed to page 322, procedure number
T- 7.2.0.
No NOT between 204 and 216! ENSURE the 90° C plug is placed properly at the 2nd position
from the left! If okay, see procedure number T- 7.1.0 (page 321).
Perform this procedure if (and ONLY if) “Operator Error” OR “Actuator Board Error” banner occurred OR a
[Pre-Temperature Reference] value was not in range.
b) Using a different FOUR-RESISTOR SET return to (ABOVE) procedure number T- 7.0.0 (page 320)
HOWEVER, if you return here see part c.
c) Read before performing! With the machine off, swap in the listed components (see COMPONENT
LIST below), one at a time, with known good then, in between, return to (ABOVE) procedure number
T- 7.0.0 (page 320) to test each new component until the error banner does NOT occur indicating the
last component swapped in is the problem.
a) Return NTC #3’s connector to the 2nd distribution board position from the left, “MON-NTC”.
b) ENSURE NTC #2’s connector is in the 1st distribution board position from the left, “CON-NTC”.
d) Install the hydraulics into the cabinet however, there is no need to screw the rear panels in yet!
e) Enter Service Mode → Options → Hardware Options. Does the “Yes” box at
‘Temp Comp’ have an ‘X’ in it (Yes or No)?
Yes Place the ‘X’ in the “No” box and press ‘Enter’. The ‘X’ turns blue.
Post a note that ‘Temp Comp’ is off THEN see procedure number
T- 7.2.1 (page 323).
a) ENSURE the concentrate connectors are attached to acid and LIQUID bicarb.
g) Based on the [TEMP DAC] data box, TWO (2) possible scenarios:
1) IF (and ONLY if) between 120 and 180: See procedure number T- 7.2.2 (page 324).
c) ‘Sharply’ press ‘Enter’ ONCE. [TEMP DAC] MUST be pale yellow/white (NOT gray).
The flow indicator’s ‘bob’ will be watched to see if it EVER, even once, stays down longer than four (4)
seconds AND the external meter will be watched to see if it EVER, even once, exceeds 38.9° C. WITHOUT
LOOKING AWAY watch ‘bob’ AND the meter for five (5) minutes. TWO (2) possible scenarios:
1) IF (and ONLY if) ‘bob’ NEVER stays down longer than four (4) seconds: Proceed to page
326, procedure number T- 7.4.0.
2) IF ‘bob’, even if only once, stays down longer than four (4) seconds: See procedure number
T- 7.2.4 (page 324).
T- 7.2.4 ‘BOB’ DOWN LONGER THAN FOUR SECONDS / ISOLATE INTERNAL ALARM LIMIT
Yes ‘Bob’ moving! Leaving NTC #3 unplugged, see procedure number T- 7.2.5 (page 324).
No ‘Bob’ not moving! A) Return NTC #3’s connector to 2nd position from the left, “MON-NTC”;
B) There is an unannounced “No Water” OR Flow Error present; C) Turn the machine off;
D) Turn the machine back on and return to Dialysis Program (“Select Program” → ‘Dialysis’ →
‘Enter’) to troubleshoot these problems!
T- 7.2.5 ‘BOB’ WAS NOT RISING BUT IS NOW / ISOLATE POSSIBLE HIGH TEMPERATURE
TO PREVENT DAMAGE, WITHOUT LOOKING AWAY, watch the external meter for six (6) minutes or until
if it, even if only once, exceeds 38.9° C! TWO (2) possible scenarios:
1) IF (and ONLY if) the meter NEVER reaches 38.9° C: See procedure number T- 7.2.6 (page 325).
2) IF the meter DOES reach 38.9° C, even if only ONCE: See parts a THROUGH e below:
b) RETURN NTC #3’s connector to the 2nd distribution board position from the left, “MON-NTC”.
c) Using a temperature meter measure incoming (RO) water temperature. If (and ONLY if) less than
37.0º C see part d. If more than 37.0° C incoming water is too high and this may be the problem.
e) ‘Sharply’ press ‘Enter’ TWICE. The [Monitor Reference] data box turns pale yellow / white.
i) ‘Sharply’ press ‘Enter’ TWICE to turn [Monitor Reference] GRAY! Does the GRAY [Monitor
Reference] box remain less than 35.0° C?
Yes [Monitor Reference] remains less than 35.0° C! Press and release the ‘Enter’ key until
the calibration is saved then proceed to page 323, procedure number T- 7.2.1.
No [Monitor Reference] DOES NOT remain less than 35.0°C! Read before performing! With
the machine off, swap the listed components (see COMPONENT LIST below) one at a time,
with known good, and in between return to (ABOVE) procedure number T- 7.2.1 (page 323)
and test the new component until [Monitor Reference] remains less than 35.0° C indicating
the last component swapped in was the problem.
Based on the external meter’s reading, THREE (3) possible scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) remaining less than 33.0° C: See procedure number T- 7.4.1 (page 326).
2) IF (and ONLY if) remaining between 33.1 and 38.9° C: Proceed to page 327, procedure
number T- 7.5.0.
3) IF EVER WAS more than 38.9° C, even if only ONCE: Perform parts a THROUGH c below:
b) ENSURE incoming water temperature (from the RO) is less than 35.0º C.
c) If (and ONLY if) incoming water temperature is less than 35.0° C proceed to page 259,
procedure number T- 1.3.40.
c) Read before performing! THIS TIME setting [TEMP DAC] to “180”, return to (ABOVE)
procedure number T- 7.2.1 (page 323). If (and ONLY if) you return here see proceed to page 275,
procedure number T- 1.7.0.
At this point it does not matter if the external meter is 37.0° C! WITHOUT LOOKING AWAY, watch it for one
(1) minute noting its highest and lowest values. TWO (2) possible scenarios:
1) IF (and ONLY if) temperature changes more than 0.2° C: ENSURING the external flow
indicator’s ‘bob’ is rising and falling, see procedure number T- 7.5.2 (page 327).
2) IF temperature does DOES NOT change more than 0.2° C: DO NOT press ‘Enter’ or ‘Confirm’ until
instructed! Based on the external meter’s reading, TWO (2) possible scenarios i) or ii) below:
i) IF (and ONLY if) between 36.9 and 37.1° C: See procedure number T- 7.6.0 (page 329).
ii) IF NOT between 36.9 and 37.1° C: See parts a THROUGH c below:
b) Adjust [TEMP DAC] (+/- 2 = +/- 0.1° C) then sharply press ‘Enter’. [TEMP DAC] MUST be
pale yellow/white (NOT GRAY) to continue!
c) Allow FIVE (5) minutes while watching the external flow indicator’s ‘bob’. Does it
EVER remain down for longer than four (4) seconds?.
Yes ‘Bob’ stays down longer than four (4) seconds! Proceed to page 324,
procedure number T- 7.2.4.
No ‘Bob’ never stays down longer than four (4) seconds! Repeat procedure number
T- 7.5.0 (page 327) until the external meter is between 36.9 and 37.1° C.
a) Continue to watch the meter for up to six (6) minutes ENSURING the external flow indicator’s ‘bob’ is
rising and falling. If the external meter does NOT fall to less than 33° C continue to part b. If it DOES
proceed to page 326, procedure number T- 7.4.1.
b) Was procedure number T- 6.0.0 (page 316) performed in THIS troubleshooting session?
Yes Procedure number T- 6.0.0 was already performed! See procedure number T- 7.5.3
(page 328).
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ →
‘Enter’).
1) IF (and ONLY if) NTC #2 was NEITHER checked NOR replaced in THIS troubleshooting session:
See procedure number T- 8.0.0 (page 333) to check (or replace) NTC #2*.
2) IF (and ONLY if) NTC #2 was checked in THIS troubleshooting session: Turn the machine off
and replace NTC #2* with a known good THEN return to (ABOVE) procedure number T- 7.2.1 (page
323) to see NTC #2 was the problem.
3) IF NTC #2 was replaced in THIS troubleshooting session: READ before continuing! With
the machine off, one at a time, swap in the listed components (see COMPONENT LIST), and in
between, return to (ABOVE) procedure number T- 7.2.1 (page 323) to test each new
component.
*** To LOCATE the Heater Triac REFER to the Figure at the bottom of page 312.
The screen’s [Monitor Reference] data box should be gray AND at this point it does not matter if it = 37°
C! WITHOUT LOOKING AWAY, watch it one (1) minute noting its highest and lowest value. TWO (2)
possible scenarios 1) or 2) below:
1) IF (and ONLY if) [Monitor Reference] changes more than +/- 0.2° C: ENSURING the external
meter is STABLE between 36.9 and 37.1° C, proceed to page 332, procedure number T- 7.8.0.
2) IF [Monitor Reference] does NOT change more than +/- 0.2° C: See parts a AND b below:
a) ‘Sharply’ press ‘Enter’ to turn the [Monitor Reference] data box pale yellow / white.
b) Activate [Monitor Reference], it turns bright yellow. Without pressing ‘Enter’ or ’Confirm’ until
instructed can you adjust [Monitor Reference] to match the external meter?
Yes [Monitor Reference] should be bright yellow AND between 36.9 and 37.1° C. See
procedure number T- 7.6.2 (page 329).
No With the machine off, swap in the listed components (see COMPONENT LIST below), one
at a time, with known good, and in between return to (ABOVE) procedure number T- 7.2.1
(page 323) to test each new component.
COMPONENT LIST: 1) NTC #3*. *To LOCATE NTC #3 refer to Figure 42, page 236);
2) Functional Board.
CAREFUL HERE! This procedure determines if a ‘Slow Flow’ temperature calibration is necessary:
a) ‘Sharply’ press ‘Enter’! [Monitor Reference] MUST return to pale yellow / white!
1) IF the screen says “9. Connect an external temperature meter…”: A ‘Slow Flow’ calibration
is required! See procedure number T- 7.6.4 (page 330).
2) IF the screen says “Calibration saved. Press CONFIRM”: If the procedures were done correctly
the [Monitor Reference] data box is GRAY. Does it continue to read between 36.9 and 37.1° C?
Yes The GRAY data box = between 36.9 and 37.1° C. This completes the calibration
HOWEVER, if you started out troubleshooting a “TEMP OVER 95 DEGREES” alarm in
Heat Disinfect proceed to page 265, procedure number T- 1.5.1. If not, return to
Dialysis Program.
No The GRAY data box DOES NOT = between 36.9 and 37.1. Swap in the listed components
(see COMPONENT LIST below), one at a time, with known good then return to (ABOVE)
procedure number T- 7.2.1 (page 323) to test each new component.
COMPONENT LIST: 1) NTC #3*. *To LOCATE NTC #3 refer Figure 42, page 236);
2) Functional Board.
a) [TEMP DAC] = 255 and Flow Rate (Figure right) = 100 (ml/min)! The external flow
indicator’s ‘bob’ may look like it is NOT moving! This is NORMAL here!
b) ‘Sharply’ press ‘Enter’. The screen reads “11. Adjust the TEMP DAC…” and [TEMP DAC] turns pale
yellow / white.
c) Press [TEMP DAC]. It turns bright yellow. Initially set it to “210” then ‘sharply’ press ‘Enter’ ONCE!
d) ENSURING [TEMP DAC] is pale yellow / white continue to part e. If (and ONLY if) [TEMP DAC] is
GRAY escape the calibration and unfortunately return to (ABOVE) procedure number T- 7.2.1
(page 323).
e) WITHOUT LOOKING AWAY, simultaneously watch the external meter AND the screen’s [Monitor
Reference] data box for thirteen (13) minutes. TWO (2) possible scenarios:
1) IF (and ONLY if) one OR both exceed 40.0° C even ONCE: This time adjusting [TEMP DAC]
10 lower than it already is and pressing ‘Enter’, repeat parts d and e.
2) IF neither NEVER exceeds 40.0° C: See procedure number T- 7.6.5 (page 330).
The external meter fluctuates SLOWLY, approximately +/- 0.4° C, between a high and a low. WITHOUT
LOOKING AWAY, watch fifteen (15) high to low cycles. TWO (2) possible scenarios:
1) IF (and ONLY if) the high is consistently between 36.9 and 37.1° C! See procedure number
T- 7.6.6 (page 331).
2) IF the high is IS NOT consistently between 36.9 and 37.1° C: See parts a THROUGH c below:
a) Activate [TEMP DAC], it turns bright yellow and adjust its value (+/- 2 = +/- 0.1° C).
b) ‘Sharply’ press ‘Enter’ to return [TEMP DAC] to pale yellow / white. It must NOT turn gray until the
meter consistently cycles to a high of between 36.9 and 37.1° C.
b) Adjust [Monitor Reference] to match the meter’s highest reading (i.e. between 36.9 and 37.1° C).
d) Does the GRAY [Monitor Reference] data box read between 36.4 and 37.6° C?
Yes The data box is between 36.4 and 37.6° C! This completes the calibration HOWEVER, if you
started out troubleshooting a “TEMP OVER 95 DEGREES” in Heat Disinfect proceed to
page 265, procedure number T- 1.5.1. If not, return to Dialysis Program.
No The data box IS NOT between 36.4 and 37.8! With the machine off, swap in the listed
components (see COMPONENT LIST below), one at a time, with known good, in between
returning to (ABOVE) procedure number T- 7.2.1 (page 323) to test each new component.
1
To LOCATE NTC #3 refer to Figure 42 (page 236)
1) IF (and ONLY if) [Monitor Reference] continues to change more than 0.2 °C per minute:
THREE (3) possible bad components: 1) Unstable +12 and / or -12 volt DC voltage (i.e. possible
bad Power Logic Board); 2) Bad Sensor Board; 3) Bad Functional Board.
2) IF [Monitor Reference] does DOES NOT change more than 0.2 °C per minute: NTC #3 may be
bad: See parts a AND b below:
a) Replace NTC #3* with a known good! *To LOCATE NTC #3 refer to Figure 42 (page 236).
This procedure checks NTC #2 resistance (Ω) response. An accurate thermometer is required. If one is not
available replace NTC #2 (see Figure 54, page 333) with a known good then return to (ABOVE) procedure
number T- 7.2.1 (page 323).
b) Per the Figure below, unplug NTC #2’s connector from the 1st position from the left, “CON-NTC”.
c) CAREFULLY (thin wires involved!) open NTC #2’s female distribution board connector.
d) Per the Figure above, remove NTC #2 from the hydrochamber to expose its ‘probe end’.
NOTE! Do NOT misplace the O-ring!
e) If (and ONLY if) NTC #2 appears ‘rusty’ replace it then return to (ABOVE)
procedure number T- 7.2.1 (page 323). If NOT rusty continue to part f.
f) Clean with paper towel. Do not touch it from this point forward to avoid
fouling it!
g) Fill a Styrofoam cup with water, accurately measured, between 36 and 38o C!
h) Per the Figure right, drop NTC #2’s ’probe end’ into the cup.
External leaks, “No Water” and Flow Errors cause Conductivity problems. If either occur at ANY TIME
address them first! To avoid error observe ALL stated times below!
A) From the Home screen, ENSURE [Dialysate Flow] is on* and has been set to 800 ml/min for five (5)
minutes!
C) If the Automated Tests are running (screen reads “Test:.…”) allow them to finish.
Scenario #1: FOUR (4) minutes, if it was necessary to adjust “Temp Setting” to 37.0° C in part E.
Scenario #2: TWO (2) minutes, if it WAS NOT necessary to adjust “Temp Setting” to 37° C in part E.
No Flow Error = 1 even if just once! Proceed to page 23, SECTION 1 - FLOW ERRORS IN
DIALYSIS PROGRAM
J) Using a flashlight, ENSURE large air bubbles are NOT moving into the machine
through the acid and bicarb inlet tubing! If air is seen check the connector(s).
1) IF (and ONLY if) STABLE between 13.0 and 14.3 mS (stable = did NOT change more than
0.2): See procedure number CO- 1.0.0 (page 337).
* WARNING! If equipped with a bibag Connector, to isolate the bibag system, for now connect to
JUGS!
P) From the Home screen, ENSURE [Dialysate Flow] is set to AT LEAST 500 ml/min!
R) If the acid AND / OR bicarb source was changed above allow five (5) minutes BEFORE continuing to
part S.
1) IF (and ONLY if) LESS THAN 12.6 mS: Proceed to page 338 procedure number CO- 1.0.1.
2) IF (and ONLY if) MORE THAN 15.7 mS: Proceed to page 353, procedure number CO- 1.0.4.
B) Figure below, ENSURE the ‘Selected Acid’ matches the acid connected to the machine.
E) From the Home screen, ENSURE [Dialysate Flow] is on to at 500 ml/min or more.
F) If the ‘Selected Acid’ AND / OR [Base Na+] AND / OR [Bicarbonate] was changed, allow five (5)
minutes BEFORE continuing to part G.
1) IF (and ONLY if) LESS THAN 13.0 mS: See procedure number CO- 1.0.1 (page 338).
2) IF (and ONLY if) STABLE between 13.0 and 14.3: Proceed to page 363, procedure number
CO- 1.0.9.
Call debug screen 0. Figure right, what color is the Bic pump’s ‘dot’, BLUE or
WHITE?
Yes [Bicarbonate] window more than zero (0)! Proceed to page 409,
procedure number CO- 9.0.0.
1:34 Acetate is rarely used and uses ONLY one concentrate, ACETATE. Troubleshooting must be
performed using bicarb i.e. the [Bicarbonate] window MUST be more than zero (0). See parts a THROUGH
c below:
a) Firmly connect to ACID AND known good bicarb!
b) Press the screen’s ‘Conc’ button THEN select the ACID that is attached to the machine.
c) Press ‘Enter’! ENSURING the [Bicarbonate] window is now MORE THAN zero (0), call debug
screen 0. What color is the Bic pump’s ‘dot’ now, BLUE or WHITE?
1) IF BLUE: ENSURING [Dialysate Flow] is on at 800 ml/min, allow five (5) full minutes. If
[Conductivity] remains less than 13.0 mS see procedure number CO- 1.0.3
(page 339).
A) Plug BOTH connectors HARD into their rinse ports but DO NOT press any screen keys!
Check #1: ENSURE the wands are attached to the cap AND reach to the
bottom of the jug(s)!
E) ENSURING no external leaks ANYWHERE, is the external flow indicator’s ‘bob’ moving at least ¼ up
in the sight tube?
No ‘Bob’ NOT moving! Return to Dialysis Program THEN proceed to page 23, SECTION 1 -
FLOW ERRORS IN DIALYSIS PROGRAM
F) Call debug screen 1. If debug does not appear press ‘Esc’ then call screen 1.
G) WITHOUT LOOKING AWAY, watch NO EOS AND ALWEOS for one (1) minute.
They should NEVER = 1, not even once! Proceed per Table 7 below:
J) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
B) WITHOUT LOOKING AWAY, watch ALL FOUR, for four (4) minutes. If a ‘1’ appears, even just once,
indicates a problem. Do ALL FOUR (4) REMAIN = 0?
Yes ALL FOUR ALWAYS = 0! From the Home screen, if [Conductivity] is more than 13.4 mS
do not continue. If [Conductivity] remains less than 13.4 see
part C next page.
1) IF (and ONLY if) V105 Er C EVER = 1 = Valve #105 possibly stuck closed: Proceed
to page 435, procedure number CO- 13.0.00.
2) IF (and ONLY if) V105 Er EVER = 1: Proceed to page 744, SECTION 31– VALVE 104
OR VALVE 105 ERROR.
3) IF (and ONLY if) V104 Er C EVER = 1 = Valve #104 possibly stuck closed: Proceed
to page 438, procedure number CO- 14.0.00.
4) IF V104 Er EVER = 1: Proceed to page 744, SECTION 31– VALVE 104 OR VALVE 105
ERROR
No Valve #104 and / or Valve #105 ‘dot’ is WHITE! THREE (3) possible scenarios below:
Scenario #1: IF (and ONLY if) Valve #104’s ‘dot’ is WHITE: See procedure number
CO- 1.0.3.4 (page 343).
Scenario #2: IF (and ONLY if) Valve #105’s ‘dot’ is WHITE: See procedure number
CO- 1.0.3.6 (page 347).
Scenario #3: IF BOTH are WHITE: See procedure number CO- 1.0.3.4 (page 343).
2) IF air / bicarb is NOT moving OR moving back and forth! See part I.
I) Turn the machine OFF and pull the hydraulics away from the cabinet.
J) Per the Figures below, locate the bibag Connector’s tubing segments. TWO (2) checks:
CHECK #1: ENSURE no external leaks in the tubing segments and Filter #118!
CHECK #2: Per the tubing identification (ID) bands, ENSURE the segments have not been
reversed.
K) Leaving the hydraulics out, ENSURE FIRM connections to the acid and bicarb jugs
L) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’).
N) Check again through the bicarb inlet tubing. Is bicarb / air now moving, in one direction ONLY, towards
the machine now?
Yes Bicarb / air moving into machine now! The bibag tubing segments may have been kinked.
A) Call debug screen 15. Bic Press is from Pressure Sensor #110.
D) Turn the machine on. When the screen says “Press CONFIRM For Service Mode” press ‘Enter’. The
screen MUST say “Machine In Service Mode”.
I) GENTLY push on the plunger. Can you push water through Valve #104 into the cup?
Yes Able to push water into the cup! Proceed to page 345, procedure number
CO- 1.0.3.5.
No Cannot push water into the cup! Ensuring Valve #104’s ‘dot’ is still blue, a restriction
between the Bicarb Pump and the Blue Connector is indicated! Leaving the syringe
attached, see part J
Check #1: ENSURE no tubing restrictions between the Bicarb connector and the TOP, INPUT side of
Valve #104.
Check #2: ENSURE no tubing restrictions between the BOTTOM, OUTPUT side of Valve #104 and
the second from the bottom port of the bibag Air Separator Chamber.
K) Pull the BOTTOM, OUTPUT tubing off Valve #104. Can you push water through Valve #104?
Yes Can push through Valve #104! There is a restriction between the bibag Air Separator
Chamber and the input of the Bicarb Pump.
No THREE (3) possible problems: 1) Loose bibag Interface board ribbon cable (refer to
Figure 4C (page 11)) OR; 2) Bad Valve #104 OR; 3) Bad connection, from Valve #104,
inside Distribution Box 2 (refer to Figure 4D (page 13)).
b) CLAMP and remove the Bicarb Pump’s TOP, (solid) OUTPUT tubing. Place a cup under the vacant
nozzle.
c) Fill the syringe with water and reattach it to the blue connector.
d) Press the keyboard’s ‘Esc’ key THEN → Calibrate Hydraulics → Bic Pump Volume.
e) Press the blinking ‘Prime’ key. The lamp above the key turns on solid.
f) As the screen’s [Target] window counts down, indicating individual pump strokes, GENTLY push on the
syringe plunger. After no more than six (6) strokes, at each stroke, do you see ‘spitting’ from the pump’s
output nozzle?
Yes Pump spitting, See procedure number CO- 1.0.3.5.1 (page 345).
A) Remove the clamp and reattach the Bicarb Pump’s output tubing.
C) Set [Dialysate Flow] to 800 ml/min then allow one (1) minute.
D) Call debug screen 0. Figure right, based on Valve #104’s dot color:
1) IF (and ONLY if) WHITE: See procedure number CO- 1.0.3.5.2 (page 345).
2) IF REMAINING BLUE: Check through the bicarb inlet tubing. If bicarb is drawn, in one direction only,
towards the machine, return to (ABOVE) procedure number CO- 1.0.3.1 (page 340). If bicarb is NOT
being drawn there is a problem with the Bicarb Pump.
B) Press the screen’s ‘Options’ button then call debug screen 0 to ENSURE Valve #104’s ‘dot’ is now blue!
1) IF a negative sign (-) appears: Attach a syringe, with its plunger pulled out, to the BLUE
connector, then push on the plunger attempting to create at least positive 90.
2) IF a negative sign DOES NOT appear: Attach a syringe, with its plunger pushed all the way in, to
the BLUE connector, then pull on the plunger attempting to create at least negative (-)90.
D) Are you able to make Bic Press at least positive OR negative (-) 90?
No Could not make Bic Press at least 90 OR -90! See procedure number CO- 1.0.3.5.3
(page 346).
A) Figure below, attach the syringe, to the tube that goes to (blue) pressure Sensor #110 (i.e. tube #2).
B) If Bic Press is negative (-) push on the plunger attempting to achieve at least positive 90. If Bic Press
is positive pull on the plunger attempting to achieve at least -90?
No FOUR (4) possible problems: 1) Loose bibag Interface board ribbon cable (refer to
Figure 4C (page 11)) OR; 2) Bad Pressure Sensor #110 (top Figure below) OR; 3) Bad
bibag Interface board OR; 3) Bad connection, from Pressure Sensor #110, inside the
bibag Distribution Board (refer to Figure 4D (page 13)).
C) Filter #118 (bottom Figure below) can be checked by attaching a water filled syringe to it and pushing
in the direction of the arrow on its body. If able to push air water through there may be is a leak
between the bibag Connector and / or Valve #104 and / or the bibag Air Separator Chamber.
A) Call debug screen 15. Acid Press is from Pressure Sensor #106.
E) Per the Figures below, THREE (3) checks for external leaks:
Check #1: Between the Acid (red) connector and Valve #105’s INPUT (TOP) tubing.
Check #2: Between Valve #105’s OUTPUT (BOTTOM) tubing and Pressure Sensor #106.
Check #3: Between Pressure Sensor #106 and the Acid Pump input (BOTTOM) white nozzle.
Parts F through K next page
I) Pull the tubing off the Acid Pump’s INPUT (bottom) white nozzle.
Place a cup under the nozzle to capture output.
K) GENTLY push on the syringe plunger. Can you push water through Valve #105 into the cup?
Yes Able to push water into the cup! See procedure number CO- 1.0.3.6.2 (page 348).
No Cannot push water into the cup! Pull the BOTTOM, OUTPUT tubing off Valve #105. Can you
push water through Valve #105?
Yes Can push water through Valve #105! There is a restriction between the
Pressure Sensor #106 and the Acid Pump.
No CANNOT push water through Valve #105! FOUR (4) possible problems: 1) Loose
bibag Interface board ribbon cable (refer to Figure 4C (page 11)) OR; 2) Bad
Valve #105; OR; 3) Bad bibag Interface board OR; 4) Bad connection, from Valve
#105, inside Distribution Box 2 (refer to Figure 4D (page 13)).
B) CLAMP and remove the Acid Pump’s TOP, (solid) OUTPUT tubing. Place a cup under the nozzle to
capture output.
C) Fill the syringe with water and attach it to the Acid connector.
D) Press the keyboard’s ‘Esc’ key THEN → Calibrate Hydraulics → Acid Pump Volume.
E) Press the blinking ‘Prime’ key. The lamp above the key turns on solid.
F) As the screen’s [Target] window counts down, indicating pump strokes, GENTLY push on the syringe
plunger. After no more than six (6) strokes, at each stroke, do you see ‘spitting’ from the pump’s output
nozzle?
A) Remove the clamp and reattach the Acid Pump’s output tubing.
C) Set [Dialysate Flow] to 800 ml/min then allow one (1) minute
D) Call debug screen 0. Figure right, based on Valve #105’s dot color:
2) IF REMAINING BLUE: Check through the Acid Inlet tubing. If acid is drawn, in one direction only,
towards the machine, return to (ABOVE) procedure number CO- 1.0.3.1 (page 340). If acid is NOT
being drawn there is a problem with the Acid Pump.
C) Call debug screen 0 and ENSURE Valve #105’s ‘dot’ is now blue!
E) Call debug screen 15 to see Acid Press:
1) IF (and ONLY if) a negative sign (-) appears: Attach a syringe, with its plunger pulled out, to
the RED connector, then push on the plunger attempting to create at least positive 90.
2) IF a negative sign (-) DOES NOT appear: Attach a syringe, with its plunger pushed all the way
in, to the RED connector, then pull on the plunger attempting to create at least negative (-)90
F) Are you able to make Acid Press at least positive OR negative (-)90?
Yes Acid Press goes to at least positive 90 OR negative (-)90! There may still be a problem
with the Acid Pump.
No Could not make Acid Press positive 90 OR negative (-)90! FOUR (4) possible problems:
1) Loose bibag Interface Board ribbon cable (refer to Figure 4C (page 11)) OR; 2) Bad
Pressure Sensor #106 OR; 3) Bad bibag Interface Board OR; 4) Bad connection, from
Pressure Sensor #106, inside the Distribution Box 2 (refer to Figure 4D (page 13)).
2) IF air / bicarb is NOT moving OR moving back and forth! See procedure number CO- 4.1.0
(page 375).
B) Figure below, ENSURE no leaks from the ACID and BICARB pumps.
C) Figure below, if a ‘Quick Connector’ is present, at the end of the drain tubing, an ADAPTOR is required!
a) Reconnect the drain then ensure good drain flow by either seeing or hearing it.
b) ENSURING [Dialysate Flow] is set to 800 ml/min and on, see procedure
number CO- 1.0.4 (page 353).
Figure A
d) Allow four (4) minutes then see procedure number CO- 1.0.4 (page 353).
Figure B
Yes AAcid = Acid! See procedure number CO- 1.0.4.2 (page 353).
No AAcid is NOT remaining within 3 of Acid! There is a problem with Acid Pump control! Close the
shunt door THEN proceed to page 441, SECTION 6 - CONCENTRATE PUMP ERRORS...
Figure right, watch Bic versus ABic for one (1) minute. Are they remaining always
within +/- 3 of each other?
Yes ABic = Bic! See procedure number CO- 1.0.5 (page 353).
No. ABic is NOT remaining within +/- 3 of Bic! Figure right, watch the Bicarb
(BIC) pump’s ‘dot’ for THREE (3) minutes. It should REMAIN blue. TWO
(2) possible scenarios:
1) IF (and ONLY if) the ‘dot’ is EVER white: See procedure number CO- 9.0.0 (page 409).
2) IF the ‘dot’ REMAINS BLUE: There is a problem with Bicarb Pump control. Close the shunt
door THEN proceed to page 441, SECTION 6 - CONCENTRATE PUMP ERRORS.
Filling Programs (“Air” in dialysate) may mask Loading Pressure problems and Flow Errors.
1) IF it EVER says “Air” even just once: See procedure number CO- 1.0.5.2 (page 354).
2) IF (AND ONLY if) it ALWAYS says “No Air”! Proceed to page 356, procedure number
CO- 1.0.6.
A) Figure below, inside the distribution board, locate the Air Sensor’s female connector! 4th
connector i.e. 5th position FROM THE LEFT. If CBE modified it plugs into the ‘CBE board’ two
pins higher than the others!
* NOTE! If CBE modified the resistor MUST plug into the CBE board pin for pin! ENSURE the top CBE
board pin is covered by the resistor!
a) ENSURING the Loading Pressure gauge (yellow connector) reads 0 psi before inserting it SLAM* it
into the Acetate/Acid rinse port. * or else pressure always read low
b) Loading Pressure may not cycle but is ‘OKAY’ if it achieves a peak of between 23 and 26 psi. TWO (2)
possible scenarios:
1) IF (and ONLY if) pressure is ‘OKAY’: Leaving the gauge installed, see procedure number
CO- 1.0.6.2 (page 356).
2) IF pressure is NOT ‘OKAY’: Leaving the gauge installed, proceed to page 33, procedure
number F- 1.0.7.
b) WITHOUT LOOKING AWAY, watch Flow Error for three (3) minutes OR until if it EVER = 1, even just
once, indicating a Flow Error:
1) IF (and ONLY if) Flow Error ALWAYS = 0! Proceed to page 357, procedure number
CO- 1.0.7
NOTE! If [Conductivity] has been ‘drifting’ between good and high watch Flow Error for up
to six (6) minutes to catch a potentially VERY intermittent Flow Error!
2) IF Flow Error EVER = 1 even just once: Proceed to page 23, SECTION 1 - FLOW ERRORS
IN DIALYSIS PROGRAM.
a) If previously removed, return the Air Sensor’s female connector to 5th distribution board
position FROM THE LEFT. Figure below, if CBE modified it plugs into the CBE board pin for pin!
b) See procedure number CO- 1.0.7 (page 357).
a) BE SURE the blue connector is in KNOWN GOOD bicarb; the red connector in KNOWN GOOD
acid.
b) Consider using the acid and bicarb from another machine that has good Conductivity!
c) From the Home screen, ENSURE [Dialysate Flow] is on at AT LEAST 500 ml/min!
Scenario #1: IF (and ONLY if) LESS THAN 13.3 mS: Proceed to page 365, procedure number
CO- 2.0.0.
Scenario #2: IF (and ONLY if) MORE THAN 14.3 mS: See procedure number CO- 1.0.8 (page
358)
Scenario #3: IF STABLE between 13.3 and 14.3 mS: Something changed! If the original problem
is no longer occurring DO NOT continue.
E) Touch the ACID AND BICARB PUMPS again. TWO (2) possible scenarios:
1) IF (and ONLY if) the ACID PUMP continues to stroke BUT the BICARB PUMP stops: This is
normal! See procedure number CO- 1.0.8.1 (page 359).
2) IF the BICARB PUMP is stroking AND the ACID PUMP stops: See parts a AND b below:
a) TWO (2) possible scenarios to ENSURE the Acid and Bicarb pump tubing is NOT reversed!
1) IF equipped with a bibag Connector: Per the Figures below, trace the clear (INPUT) tubing
from the ACID PUMP to ENSURE it comes from (blue) Pressure Sensor #106.
2) IF NOT equipped with a bibag Connector: Per the top Figure below, trace the tubing from the
red (ACID) connector to ENSURE it goes to the input of the ACID PUMP!
b) If ABSOLUTELY SURE the pumps are plumbed correctly, see procedure number CO- 1.0.8.2
(page 360).
a) ENSURE Loading Pressure (Acid Rinse Port gauge) continues to reach a peak more than 22 psi.
Scenario #1: See Figure A. Approximately 30 ml pulses that stop between each and every
cycle i.e. Pulse → Stop → Pulse → Stop → etc. Reconnect the drain then see
procedure number CO- 1.0.8.3 (page 360).
Figure A
Scenario #2: See Figure B. If a continuous weak stream that LASTS for several seconds or
longer! ENSURING the drain tubing opening was pointed up, proceed to page 66,
procedure number F- 6.2.0.
Figure B
CO- 1.0.8.3 DRAIN FLOW PULSE → STOP / [CONDUCTIVITY] MORE THAN 14.5 mS
D) Is the external flow indicator’s ‘bob’ moving at least ¼ up in the sight tube?
No ‘Bob’ NOT moving! ENSURING the machine was in RINSE, return to Dialysis Program
THEN proceed to page 23, SECTION 1 - FLOW ERRORS IN DIALYSIS PROGRAM
E) Watch for ten (10) minutes ENSURING a “No Water” or a Flow Error NEVER occurs.
F) See procedure number CO- 1.0.8.4 (page 361).
c) Is [Conductivity] = 10 mS now?
Yes [Conductivity] = 10.0 mS! Pre-Dialyzer Conductivity Cell # 7* is bad. *To LOCATE
Cell #7, refer to the Figure next page).
a) Not likely! BE VERY SURE you unplugged Conductivity Cell #7’s connector from
position, “X7, COND”! If [Conductivity] is STILL more than 10.0 mS continue to
part b.
b) Figure below, TWO (2) possible bad components: 1) Bad Sensor Board cable OR
2) Bad distribution board.
b) Press ‘Enter’.
c) Allow six (6) minutes BEFORE proceeding to page 365, procedure number CO- 2.0.0.
Dialysate SCREEN
b) TCD is based on Dialysate Composition and indicates what the ‘Actual’ Conductivity would be if
everything was perfect.
c) Using [Alarm Width], spread Conductivity Limits as wide as they will go and press ‘Enter’.
d) Using [Alarm Position], set the upper Limit to 0.5 above TCD and press ‘Enter’.
a) Press the upper left ‘Conc’ button to call the ACID Sub Screen (Figure below). This screen indicates the
‘Selected Acid’s’ Ionic Profile.
b) Does the label on the connected ACID match the Sub Screen’s Ionic Profile (Yes or No)?
Yes The label = the screen’s Ionic Profile. See parts a AND b below:
a) Per its label, ENSURE the bicarb is the same ‘Type’ as the acid.
No Referring to NOTES 1 through 4 below, THREE (3) possibilities: 1) The connected acid may
NOT be the ‘Selected Acid’; 2) You made an error and the levels are correct; 3) The connected
acid was entered incorrectly in Service mode.
NOTE 1: If a Granuflo® acid is selected the screen’s Acetate (Ac) value should be ½ the value on the
ACID’S label. EXAMPLE: 4.0 on the screen = 8.0 on the label. If Granuflo® IS NOT selected
the screen’s Ac value should = exactly the value on the label!
NOTE 2: Sub Screen values are rounded! EXAMPLE: 2.30 on the screen may = 2.25 on the label.
NOTE 3: Na+ = Sodium. If the sodium level on the label is 110 or less it indicates sodium contributed
by the acid alone. If more than 110 it indicates the TOTAL or FINAL Sodium.
* If the label states Dextrose in mmol/L THEN 5.5 mmol/L = 100 mg/dL;11 mmol/L = 200
mg/dL
1) IF pale yellow/white: If equipped with a bibag Connector see procedure number CO- 2.0.1
(page 365). If (and ONLY if) NO bibag Connector proceed to page 368,
procedure number CO- 2.0.6.
f) CAUTION! If JCon Low OR JCon Hi EVER = 1 BE VERY SURE the bicarb connected to the
machine has tested good per clinic procedures.
g) WITHOUT LOOKING AWAY, watch JCon Low AND JCon Hi for one (1) minute. TWO (2) possible
scenarios:
1) IF (and ONLY if) BOTH JCon Low AND JCon Hi ALWAYS = 0: The Bicarb’s Conductivity is
good! Proceed to page 368, procedure number CO- 2.0.6.
1) IF (and ONLY if) the Bic ‘dot’ is EVER white: See procedure
number CO- 9.0.0 (page 409).
2) IF (and ONLY if) the ‘dot’ is ALWAYS blue AND ABic is REMAINING within three (3) of Bic:
See procedure number CO- 2.0.3 (page 366).
3) IF the ‘dot’ is ALWAYS blue BUT ABic is NOT REMAINING within three (3) of Bic: TWO (2)
possible bad components: 1) Bicarbonate Pump OR; 2) Actuator-Test Board.
a) Note this page and procedure number (CO- 2.0.3) THEN perform an Acid clean per procedure.
b) After the acid clean see procedure number CO- 2.0.4 (page 366).
c) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
d) IMPORTANT! Allow six (6) minutes BEFORE continuing to part e next page!
1) IF (and ONLY if) JCon Low AND JCon Hi = 0 ALWAYS: Bicarb Conductivity is no longer
violating its limits. Problem solved!
2) IF JCon Low OR JCon Hi EVER = 1 (always OR once in a while): Turn the machine OFF then
perform parts a THROUGH d below:
c) Perform the BICARBONATE PUMP VOLUME CALIBRATION per the Calibration Procedures
booklet.
Yes “Operator Error” DID NOT occur! See procedure number CO- 2.0.5 (page 367).
No “Operator Error” occurred! Proceed to page 379, procedure number CO- 4.9.0
c) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
1) IF (and ONLY if) JCon Low AND JCon Hi = 0 (always): Bicarb conductivity is no longer violating
the limits. Problem solved!
2) IF JCon Low OR JCon Hi = 1 (always OR once in while): If you are ABSOLUTELY SURE the
bicarb is good There may be a problem related to a loose ribbon cable at the bibag Interface Board
(refer to Figure 4C, page 11)) AND / OR a bad bibag Interface Board AND / OR the bibag Cond Cell
#113 AND / OR bibag Temp Sensor #114.
Call the Home screen. What color is the [Conductivity] window (Figure
right)? TWO (2) possible scenarios:
1) IF (and ONLY if) pale yellow / white: See procedure number CO- 2.0.8 (page 370).
Yes ‘Actual’ Conductivity between the Limits! See procedure number CO- 2.0.7 (page 369).
a) Return Conductivity Cell #7’s connector to distribution board position “X7, COND”.
d) Is the external flow indicator’s ‘bob’ rising at least ¼ way up in the sight tube?
Yes ‘Bob’ moving! Proceed to page 383, procedure number CO- 6.0.0.
CO- 2.0.7.1 BOTH HICOND AND LOCOND = 0 AND THE CONDUCTIVITY WINDOW IS RED
Allowing up to three (3) minutes, does the Conductivity window eventually turn white?
Yes Conductivity window white! See procedure number CO- 2.0.8 (page 370).
No After three (3) minutes the Conductivity window STAYS RED! Perform parts a THROUGH d
below:
a) If a previous procedure placed the 274Ω resistor plug into the Conductivity Cell’s
distribution board position remove it and return Conductivity Cell #7’s connector to
distribution board position “X7, COND”.
b) Close the shunt door and return the concentrate connectors to their rinse ports.
d) Is the external flow indicator’s ‘bob’ rising at least ¼ way up in the sight tube?
Yes ‘Bob’ moving! See procedure number CO- 6.0.0 (page 383).
D) Is the external flow indicator’s ‘bob’ rising at least ¼ way up in the sight tube?
Yes ‘Bob moving! Proceed to page 372, procedure number CO- 2.0.9.
d) Is the external flow indicator’s ‘bob’ rising at least ¼ way up in the sight tube?
Yes ‘Bob’ moving! Proceed to page 383, procedure number CO- 6.0.0.
No ‘Bob’ NOT moving! ENSURING the machine is in RINSE see parts a AND b
below:
Is the external flow indicator’s ‘bob’ rising at least ¼ way up in the sight tube?
Yes ‘Bob’ moving! See procedure number CO- 2.0.9 (page 372).
a) From the Home screen, ENSURE [Dialysate Flow] remains set to at least 500 ml/min!
* If EITHER JCon Low OR JCon Hi = 1 return to (ABOVE) procedure number CO- 2.0.1
(page 365).
d) If ‘bob’ STILL is not moving AND if (and ONLY if) debug screen 0’s, Valve #24’s ‘dot’ is still
blue, proceed to page 23, SECTION 1 - FLOW ERRORS IN DIALYSIS PROGRAM.
e) Press and hold the keyboard’s “1” key for five (5) seconds.
g) ENSURING the flow indicator’s ‘bob’ is moving up and down, is the external meter stable between
35.5 and 38.5° C?
Yes Between 35.5 and 38.5° C! See procedure number CO- 2.0.10 (page 372).
No NOT between 35.5 and 38.5! Proceed to page 320, procedure number T- 7.0.0.
c) ENSURING ‘bob’ is still moving up and down, based on the external meter’s (measured) reading versus
TCD, THREE (3) possible scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) measured conductivity is within 0.4 of TCD AND stable i.e. does NOT
change more than +/- 0.15 per minute: See procedure number CO- 3.0.0 (page 373).
2) IF (and ONLY if) measured conductivity IS NOT within 0.4 of TCD: Proceed to page 398,
procedure number CO- 8.0.0.
3) IF measured conductivity IS MOSTLY within 0.4 of TCD BUT unstable i.e. changes more
than 0.2 per minute: See parts a AND b below:
1) IF (and ONLY if) = 17.0 mS: See procedure number CO- 3.1.0 (page 373).
2) IF (and ONLY if) = 10.0 mS: See procedure number CO- 3.2.0 (page 373).
Yes [Conductivity] is within 0.4 of TCD! Proceed to page 374, procedure number
CO- 3.4.0.
No [Conductivity] is NOT within 0.4 of TCD! Proceed to page 383, procedure number
CO- 6.0.0.
c) ENSURING a Flow Error NEVER occurs allow ten (10) FULL minutes BEFORE continuing to part d!
Yes FPRE within 400 of Pre Offset! See procedure number CO- 6.0.0 (page 383).
No FPRE is NOT within 400 of Pre Offset! Pre Dialyzer Conductivity Cell #7* is bad
* To LOCATE cell #7 refer to Figure 57 (page 374).
Yes FPRE within +/- 10 of Pre Offset +/- 10! Either Conductivity Cell #7* was not plugged into
distribution board position “X7-COND” properly OR is bad. *To LOCATE Cell #7 refer to
Figure 57 (page 374).
No FPRE is NOT within +/- 10 of Pre Offset! Proceed to page 383, procedure number CO- 6.0.0.
CO- 3.4.0 [CONDUCTIVITY] WITHIN 0.4 OF TCD / VERIFY CONDUCTIVITY ALARM LIMITS
What color is the Home screen’s [Conductivity] window now? TWO (2) possible scenarios:
1) IF (and ONLY if) pale yellow / white: See procedure number CO- 3.5.0 (page 374).
c) Press ‘Enter’!
a) Allow up to two (2) additional minutes OR until the external flow indicator’s ‘bob’ starts to move up and
down!
b) Based on the meter’s reading versus the machine’s [Conductivity] window. TWO (2) possible
scenarios:
1) IF (and ONLY if) the meter and the [Conductivity] window are within 0.15 of each other:
Proceed to page 410, procedure number CO- 9.8.0.
2) IF the meter and the [Conductivity] window are NOT within 0.15 of each other! Proceed to
page 383, procedure number CO- 6.0.0.
b) Figure (below), if check valves (with white inserts) are installed in the Acid and / or Bicarb Pump input
and/or output tubing REMOVE them completely and reattach all tubing with straight fittings!
a) Return the acid and bicarb CONNECTORS HARD into their rinse ports.
c) ENSURING no external leaks, see procedure number CO- 4.2.1 (page 376).
a) Call debug screen 1. Watch NO EOS AND ALWEOS (third column from right)
for one (1) FULL minute.
Table 8 – EOS
Yes Air / concentrate now drawn into the machine in ONE DIRECTION ONLY! See procedure
number CO- 4.2.3 (page 377).
No Air / concentrate NOT seen OR moving back and forth! Proceed to page 378, procedure
number CO- 4.4.0.
a) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
Yes REMAINS LESS than 13.0 mS! Return to page 353, procedure number CO- 1.0.4.
No Conductivity MORE than 13.0 mS! The low Conductivity problem is solved.
c) Per the Figure (right), place the connector’s ‘adapter plug’ ONLY into a
container of water i.e. do NOT submerse the whole connector!
e) Per the Figure right, remove the connector from the inlet tubing and
submerse the tubing, without the filter, into a container of water.
Yes Concentrate drawn! Per the Figure below, there is a problem with the concentrate connector.
a) Per the Figure below, ENSURE no tubing restriction at the Acid and /or Bicarb pump.
Check #1: The metal plate has arrows to identify the Input (←) and
Output (→) ports. ENSURE the colored nozzle is at the
Output port AND is towards the TOP of the machine
Check #2: ENSURE the Input (clear) and Output (solid) tubing is
connected to the appropriate nozzles per check #1.
c) Per the Figures (right), disassemble the suspect pump(s). SIX (6)
more checks:
Check #4: Check for debris and for broken or bent springs.
Check #6: Compare BOTH springs to new and replace one that
appears shorter than a new one.
a) ENSURE Loading Pressure (Rinse port gauge) is cycling to a PEAK of somewhere between 23
and 25 psi.
b) [Temperature] influences Conductivity. If [Temperature] changes more than +/- 0.2° C per minute
address the temperature problem first!
c) Turn the machine OFF to avoid air locking the deaeration pump!
No NOTE this page number, as you will return here, THEN proceed to page 543, SECTION 13 -
DEAERATION PROBLEMS.
Per the Figure (above, right), using a flashlight, for ONE (1) MINUTE, and WITHOUT LOOKING AWAY,
watch for air bubbles flowing through Conductivity Cell #7. Is air seen?
Yes Air seen! Proceed to page 539, procedure number AIR- 1.0.5.
Call debug screen 0. Watch AAcid versus Acid for one (1) minute. Remaining within
three (3) of each other?
Yes AAcid = Acid! See procedure number CO- 5.3.1 (page 380).
No AAcid is NOT remaining within three (3) of Acid! Proceed to page 441, SECTION 6 -
CONCENTRATE PUMP ERRORS.
Watch ABic versus Bic for one (1) minute. Remaining within three (3) of each other?
No ABic is NOT remaining within three (3) of Bic! Watch the Bicarb (BIC)
Pump’s ‘dot’ (Figure right) for TWO (2) minutes. TWO (2) possible
scenarios:
1) IF (and ONLY if) the ‘dot’ EVER turns white: Proceed to page 409, procedure
number CO- 9.0.0.
d) Perform the ACID (CONCENTRATE) PUMP VOLUME CALIBRATION per the CALIBRATION
PROCEDURES booklet.
Yes “Operator Error” did NOT occur! See procedure number CO- 5.5.0 (page 381).
No “Operator Error” occurred! Proceed to page 379, procedure number CO- 4.9.0.
c) Can you accurately enter the burette volumes without an “Operator Error” banner occurring (Yes or
No)?
1. ENSURE a ‘strong’ spring was NOT accidently installed at the output ports of the acid AND
bicarbonate pump. BOTH pumps get ‘weak’ springs!
2. Compare both springs to new springs. Replace any that are shorter than a new spring.
3. Other procedures, in different Sections of the Guide, are performed next. NOTE this page and
procedure number (CO- 5.6.0) because you may be prompted to return here.
4. If not already performed in THIS Troubleshooting session, BEFORE continuing to step #5, proceed to
page 580, to perform SECTION 19 - TESTING FOR A LEAKING BALANCING CHAMBER
DIAPHRAGM.
5. If a bad balancing chamber diaphragm was not located in step #4, BEFORE continuing to step #6,
proceed to page 150, to perform PRESSURE TEST HYDROCHAMBER.
6. If the Hydrochamber was not leaking (per step #5), ENSURE Deaeration Motor brushes have been
replaced at 8000 hour intervals AND Flow Motor brushes have been replaced approximately at 16,000
hour intervals.
7. Assuming ALL procedures were performed thoroughly AND Conductivity remains unstable the
Troubleshooting Guide is unable to locate the problem.
No The OLC option is off! A) Enter Service mode → Options → Hardware Options; B) Set OLC to
“Yes” and press ‘Enter’; C) Return to debug screen 0 to ENSURE the Post Dialyzer Cond
and Temp symbols now appear; D) Proceed to page 384, procedure number CO- 6.2.0.
Yes Post Dialyzer Temp is more than 34.00° C! See procedure number CO- 6.2.0 (page 384).
No Post Dialyzer Temp LESS THAN 34.00° C! Proceed to page 418, procedure number
CO- 10.0.20.
While in Dialysis, ENSURE the machine is clear of “No Water”, Flow Errors and
Temperature alarms. Hydraulic alarm banners are not displayed in Service mode!
These are TROUBLESHOOTING procedure! Perform EXACTLY as written to avoid error!
b) ENSURING plenty of known good acid and LIQUID Bicarb plug FIRMLY into each.
g) ENSURING the external flow indicator’s ‘bob’ is moving at least ¼ way up the sight tube ALLOW six
(6) minutes before continuing to STEP #1 below:
STEP #1: Set the external meter to measure Temperature (°C). Watch it for thirty (30) seconds.
Between 35.1 and 39.9° C AND stable i.e. DOES NOT change more than +/- 0.25° C?
STEP #2: Set the meter to measure Conductivity (mS). Its reading MUST BE between 13.0 and 14.5
mS?
Yes Between 13.0 and 14.5 mS! Continue to STEP #3 next page.
No NOT between 13.0 and 14.5 mS! See parts a AND b below.
a) SLAM the Loading Pressure gauge into the Acetate/Acid rinse port. If no masked
“No Water” or Flow Error alarms the gauge cycles, approximately EVERY three (3)
seconds, to about 25 psi. If not cycling return to Dialysis Program!
STEP #4: Is the screen’s Frequency window between ten-thousand (10000) and twelve-thousand
(12000) Hz (Hertz)?
Yes Frequency between 10000 and 12000 Hz! Continue to STEP #5.
No Frequency is NOT between 10000 and 12000 Hz! Perform parts a AND b below:
a) Figure below, trace Cond Cell #7’s cable to ENSURE it plugs into the
Distribution board PROPERLY. If not, this is the problem!
b) Read before performing! One at a time, swap in the listed components (see
Component List below). with known good and in between repeat (ABOVE)
procedure number CO- 6.2.0 (page 384) until Frequency is between 10000 and
12000 Hz indicating the last component swapped in is bad.
COMPONENT LIST:
STEP #5: If Cond Cell #7’s reading stabilizes, “5. Conductivity value is stable….” appears and the
[Conductivity] data box turns pale yellow / white?
No [Conductivity] box remains gray! Possible problem with the Cond Cell #7 circuit.
Proceed to page 395, procedure number CO- 7.0.0.
c) ‘Sharply’ press ‘Enter’ to turn [Conductivity] pale yellow / white. Does [Conductivity] remain within
0.2 of the external meter?
Yes [Conductivity] remains within +/- 0.2 of the meter! See procedure number CO- 6.3.2
(page 386).
No Read BEFORE performing! Acid Clean the machine THEN return to (ABOVE) procedure
number CO- 6.2.0 (page 384). If (and ONLY if) you return here, with the machine off, one at
a time, swap the listed components (see COMPONENT LIST below) with known good
THEN, return to (ABOVE) procedure number CO- 6.2.0 until [Conductivity] remains within
0.2 of the meter indicating the last component swapped in is bad!
COMPONENT LIST: 1) Conductivity Cell #7* *To LOCATE Cell #7 refer to the Figure
previous page); 2) Sensor Board; 3) Functional Board (IC 20?).
‘Sharply’ press ‘Enter’. Does the screen say “7. Connect the Lines to a Large Dialyzer…”?
Yes “Connect the Lines…” appears! See procedure number CO- 6.4.0 (page 387).
No a) If (and ONLY if) the screen says “8. Reading first point for post conductivity cell.” see
procedure number CO- 6.4.0 (page 387).
b) ‘Sharply press ‘Enter’ again to save the calibration. Does any type of an “Error” banner occur
(Yes or No)?
Yes “Error” banner occurs!. Read before performing! Acid clean the machine then
return to (ABOVE) procedure number CO- 6.2.0 (page 384) HOWEVER, if you
RETURN HERE swap the listed components (see COMPONENT LIST below) one
at a time and repeat procedure number CO- 6.2.0 until an “Error” does NOT appear!
Indicating the last component swapped in is the problem.
b) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’!
This four-point calibration sets slope for Post Dialyzer (OLC) Cond Cell #13.
See parts a THROUGH e below:
2
ENSURE the blood ports are tightly sealed to prevent air leaks!
WARNING! Do NOT use the blood port caps from the dialyzer’s
packaging. Blood tubing (Figure right) is BEST.
d) Press ‘Enter’. The screen says “8. Reading first point for post conductivity cell.”
e) After no more than ten (10) minutes, does the [Conductivity] data box stabilize between 15.00 and
15.90 mS causing the screen to advance to: “9. Reading second point for post conductivity cell.”?
Yes Screen advances to the second point! See procedure number CO- 6.4.2 (page 388).
No Screen DOES NOT advance to the second point! TWO (2) possible scenarios below:
1) IF (and ONLY if) “COND LESS THAN 10.0” OR “COND LESS THAN 15.0” banner
occurred: Proceed to page 389, procedure number CO- 6.5.0.
a) If a new dialyzer was used and it was not PRIMED it may cause an unannounced
Flow Error which makes the external indicator’s ‘bob’ stop rising and falling. In this
event ‘Escape’ the calibration THEN return to (ABOVE) procedure number CO- 6.2.0
(page 384).
b) If the external flow indicator’s bob is moving up and down proceed to page 390,
procedure number CO- 6.6.0.
a) Unless a “COND LESS THAN…” banner appears OR an announced Flow Error occurs. the remaining
three steps advance as below:
• “9. Reading second point for post conductivity cell.” Within six (6) minutes the [Conductivity]
box should stabilize between 13.00 and 14.00 mS causing advancement to step #10 (third point)
• “10. Reading third point for post conductivity cell.” Within six (6) minutes the [Conductivity]
box should stabilize between 15.00 and 15.90 mS causing advancement to step #11 (fourth point)
• “11. Reading fourth point for post conductivity cell.” Within six (6) minutes the [Conductivity]
box should stabilize between 13.00 and 14.00 mS
b) If all steps advance successfully the screen says: “Press ‘CONFIRM’ to complete the calibration.”?
Yes “Press ‘CONFIRM’ to complete the calibration” appears! See procedure number
CO- 6.4.4 (page 388).
No “Press ‘CONFIRM’ to complete the calibration” does NOT appear. TWO (2) possible
scenarios:
1) IF (and ONLY if) “COND LESS THAN 10.0” OR “COND LESS THAN 15.0” banner
occurred: Proceed to page 389, procedure number CO- 6.5.0.
Yes Error banner! Read before performing! Acid clean the machine then return to (ABOVE)
procedure number CO- 6.2.0 (page 384) to see if the acid clean fixes the problem. If (and
ONLY if) you return to procedure number CO- 6.4.4 the Functional Board may be bad
(IC20)?
c) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’
e) If you were troubleshooting an OLC problem proceed to page 424, procedure number
CO- 10.0.41.
a) Recheck Loading Pressure (gauge in Rinse port). Unless there is a masked “No Water” or a Flow Error
alarm pressure cycles, to a PEAK of about 25 psi. Do NOT continue UNLESS pressure is cycling
approximately EVERY THREE SECONDS!
b) ENSURING the shunt door is CLOSED, if the external flow indicator’s ‘bob’ is NOT moving up and
down there may be an unannounced “No Water” alarm or a Flow Error. Do NOT continue UNLESS the
‘bob’ is moving up and down!
c) Look through the clear acid and bicarb inlet tubing to ENSURE the pumps are drawing into the
machine with NO AIR! If a problem is located and fixed allow six (6) FULL minutes before continuing to
part d!
d) Does the screen’s [Conductivity] box go to between 13.0 and 14.0 at steps 9 or 10 OR between 15.0
and 15.9 at steps 8 or 10 now?
Yes [Conductivity] box is good! See procedure number CO- 6.5.6 (page 389).
No [Conductivity] box IS NOT good! See procedure number CO- 6.5.4 (page 389).
a) Swap acid and bicarb with a machine that has good conductivity.
c) Does the [Conductivity] box stabilize between 13.0 and 14.0 mS at steps 9 or 10 OR between 15.0
and 15.9 mS at steps 8 or 10?
Yes Alarm goes away! Return to (ABOVE) procedure number CO- 6.4.2 (page 388).
a) Recheck Loading Pressure (gauge in Rinse port). Unless there is an unannounced “No Water” or a
Flow Error alarm pressure cycles, to about 25 psi about every three (3) seconds! Do NOT continue
UNLESS cycling!
b) ENSURING the shunt door is CLOSED, if the external flow indicator‘s ‘bob’ is NOT moving up and
down there may be an unannounced “No Water” or Flow Error. Do NOT continue UNLESS ‘bob’ is
moving up and down!
a) Remove the dialyzer and reinstall the external meter to measure conductivity.
b) Close the shunt door then return to Service Mode → Calibrate Sensors → Cond Cells.
c) Follow the screen’s instructions through: “4. Waiting until the Conductivity value is stable.”
d) ENSURING the external flow indicator’s ‘bob’ is moving up and down, ALLOW six (6) FULL minutes to
ENSURE measured conductivity is between 13.0 and 14.4 mS.
e) Enter the measured conductivity into the [Conductivity] box and press ‘Enter’ twice.
g) Press ‘Enter’. Allow up to twenty-five (25) FULL minutes OR until if an alarm occurs. If all FOUR ‘OLC
points’ advance successfully the screen says: “Press ‘CONFIRM’ to complete the calibration?”
Yes “Press ’CONFIRM…” appears! There may be a problem with the original dialyzer! ‘Escape’
the calibration. This time using a DIFFERENT PRIMED dialyzer return to page 384,
procedure number CO- 6.2.0.
1) IF (and ONLY if) “COND LESS THAN 10.0” OR “COND LESS THAN 15.0”
banner occurred: See (ABOVE) procedure number CO- 6.5.0 (page 389).
2) All OTHERS: A possible problem with the Cond Cell #7 Circuit. Proceed to
page 395, procedure number CO- 7.0.0.
1) IF (and ONLY if) LESS THAN 14.5 mS: Proceed to page 394 procedure number CO- 6.8.6.
a) ENSURE the blue (bicarb) connector is not accidently plugged into acid; the red (acid) connector
MUST be in acid!
c) ENSURE the external flow indicator’s ‘bob’ continues to move up and down
d) Allowing up to fifteen (15) minutes, does the external meter’s reading stabilize between 13.0 and
14.4 (Yes or No)?
Yes Conductivity between 13.0 and 14.4! Remove the clamp and allow (7) seven minutes.
If the meter’s reading becomes more than 14.5 mS again this confirms a problem with
Valve #29. TWO (2) possible bad components: 1) Bad Actuator-Test Board OR;
2) Bad Valve #29.
No Conductivity is NOT between 13.0 and 14.4! TWO (2) possible scenarios:
1) IF equipped with a bibag Connector: See procedure number CO- 6.8.2 (page
392)
2) IF (and ONLY if) NOT equipped with a bibag Connector: Proceed to page
394, procedure number CO- 6.8.6.
a) ENSURE no air bubbles flowing through the clear Bicarb inlet tubing!
b) Press the screen’s lower left ‘Options’ key to escape the calibration.
c) Call debug screen 14. Is Air (4th column from left, 3rd window down) = 1?
1) IF (and ONLY if) Air = 0! See procedure number CO- 6.8.3 (page 393).
a) ENSURE screen 14’s Conductivity (2nd column from left, bottom row) is MORE THAN 48.00
indicating the bicarb AND the Bicarb Pump is good. Bad bicarb will cause AIR = 1!
c) Figure below, ENSURE the blue and brown wires are attached securely to their probes on top of
the bibag Air Separator Chamber! If not this will cause AIR = 1!
d) If Air still = 1 FOUR (4) possible problems: 1) Loose bibag Interface Board ribbon cable (refer
to Figure 4C (page 11)) OR; 2) Bad bibag Interface Board OR; 3) Bad connection, from Air
Sensor #112, inside the bibag Distribution Board (refer to Figure 4D (page 13) OR; 4) Bad
bibag Air Separator Chamber.
b) Per the Figure below, clamp the tubing attached at the top of Valve #101.
d) Allow up to fifteen (15) minutes OR until if the external meter stabilizes between 13.0 and 14.4 (Yes or
No)?
Yes Stabilizes between 13.0 and 14.4! Remove the clamp from Valve #101 and allow ten (10)
minutes. If measured conductivity becomes more than 14.5 again this confirms a problem with
Valve #101. THREE (3) possible problems: 1) Loose ribbon cable at the bibag Interface Board
(refer to Figure 4C (page 11)) OR; 2) Bad Valve #101 OR; 3) Bad bibag Interface Board (refer to
Figure 4D (page 13)).
No Does NOT stabilize between 13.0 and 14.4. Remove the clamp then see procedure number
CO- 6.8.6 (page 394).
c) Perform the ACID (CONCENTRATE) PUMP VOLUME CALIBRATION per the CALIBRATION
PROCEDURES booklet.
Yes “Operator Error” did NOT occur! See procedure number CO- 6.8.8 (page 394).
No “Operator Error” occurred! Problem with the acid pump! See (ABOVE) procedure number
CO- 4.9.0 (page 379).
Yes “Operator Error” did NOT occur! Repeat the Cond Cells calibration. If the external meter’
conductivity is NOW between 13.0 and 14.4 return to ABOVE procedure number CO- 6.3.0
(page 386). If NOT, assuming you performed all procedures correctly, the Troubleshooting
Guide cannot locate the problem.
No “Operator Error” occurred! Problem with the bicarb pump! See (ABOVE) procedure number
CO- 4.9.0 (page 379).
c) Install a conductivity meter into the dialysate lines to measure ‘actual’ conductivity subsequently!
d) Place the machine into Service Mode → Calibrate Sensors → Cond Cells. Follow the screen’s
instructions through: “4. Waiting until the Conductivity value is stable.”
g) If Cond Cell #7’s reading stabilizes, “5. Conductivity value is stable….” appears?
Yes “5. Conductivity value is stable…” DO NOT continue with the calibration! Cond Cell #7
may be bad. To LOCATE Cell #7 refer to Figure 57 (page 374).
d) Per the Figure below, the EXTENDER BOARD (P/N 190600) is required!
1) Keeping the EXTENDER BOARD’S resistors towards the FRONT OF THE MACHINE install it into
the motherboard’s 9 pin TEST* connector. *To LOCATE refer to Figure 4A (page 10))
2) ENSURE the board is matched pin for pin to the TEST connector! From the FRONT OF THE
MACHINE SGND on the LEFT; 24V-C on the RIGHT!
d) Connect the meter’s black lead to chassis ground (see Figure 2 (page 4)).
e) Measure at the EXTENDER BOARD’S +12V measuring point. TWO (2) possible scenarios:
1) IF (and ONLY if) between 11.7 and 13.3 volts DC: See procedure number CO- 7.3.4
(page 397).
2) IF NOT between 11.7 and 12.3 volts DC: ENSURE the extender board is installed pin for pin to
the TEST connector. If OKAY, replace the Power Logic Board*.
Measure at the EXTENDER BOARD’S -12V (negative 12V) measuring point. TWO (2) possible scenarios:
1) IF (and ONLY if) between -11.0 and -13.0 volts DC: Swap in the listed components (see
COMPONENT LIST below) one at a time and in between return to (ABOVE) procedure number
CO- 6.2.0 (page 384) to test each component
COMPONENT LIST: 1) Sensor Board OR; 2) Actuator-Test Board OR; 3) Functional Board
(IC20?) OR; 4) Sensor Board cable; 5) Distribution board.
2) IF NOT between -11.7 and -12.3 volts DC: ENSURE the extender board is installed correctly! If
OKAY, proceed to page 451, procedure number CR- 1.0.9.
TWO (2) possible scenarios based on the external meter’s reading versus TCD:
1) IF (and ONLY if) LESS THAN TCD - (minus) 0.4 i.e. Conductivity is LOW: Proceed to
page 401, procedure number CO- 8.2.0.
2) IF MORE THAN TCD + 0.4 i.e. Conductivity is HIGH: See procedure number CO- 8.1.0
(page 398).
1) IF (and ONLY if) LESS THAN 15.0 mS: See procedure number CO- 8.1.1 (page 400).
b) Figure below, ENSURE the ACID AND BICARB PUMPS are not reverse connected at the
distribution board!
• IF NOT equipped with bibag Connector: Per the TOP Figure below, trace the tubing from the
red (ACID) connector to ENSURE it goes to the ACID pump
• IF equipped with a bibag Connector: Per the Figures below, trace clear (input) tubing from the
ACID pump to ENSURE it comes from (blue) Pressure Sensor #106!
b) WITHOUT LOOKING AWAY, watch BC Switch (middle column) for THREE (3) MINUTES If it EVER =
897 or more, even just once, indicates a masked Flow Error! Is it EVER = 897 or more?
Yes BC Switch = 897 even if just once! Proceed to page 23, SECTION 1 - FLOW ERRORS
IN DIALYSIS PROGRAM.
No BC Switch is NEVER, EVER = 897 or more! See procedure number CO- 8.2.0 (page 401)
Call debug screen 0. Figure (right), WITHOUT LOOKING AWAY, watch Acid versus
AAcid for one (1) minute. Are they remaining always within +/- 3 of each other?
Yes AAcid = Acid! See procedure number CO- 8.2.1 (page 401).
No AAcid is NOT remaining within 3 of Acid! Proceed to page 441, SECTION 6 - CONCENTRATE
PUMP ERRORS...
Figure right, watch Bic versus ABic for one (1) minute. Are they remaining always
within +/- 3 of each other?
Yes ABic = Bic! See procedure number CO- 8.2.2 (page 401).
No. ABic is NOT remaining within +/- 3 of Bic! Figure right, watch the
Bicarbonate (BIC) pump’s ‘dot’ for THREE (3) minutes. It should REMAIN
blue. TWO (2) possible scenarios:
1) IF (and ONLY if) the ‘dot’ is EVER white: Proceed to page 409, procedure number
CO- 9.0.0.
a) If not already, allow the external flow indicator’s ‘bob’ to begin moving up and down.
b) Based on the external meter’s reading versus TCD, TWO (2) possible scenarios:
1) IF (and ONLY if) LESS THAN TCD - (minus) 0.4: See procedure number CO- 8.3.0 (page 404).
Call debug screen 14. WITHOUT LOOKING AWAY watch Air (4th column from left, 3rd
window down) for one (1) minute. Does Air ever = 1?
3) IF (and ONLY if) Air = 0 ALWAYS (NEVER = 1): See procedure number CO- 8.2.4 (page 403).
a) ENSURE no air through the clear Bicarbonate inlet tubing! This may cause Air = 1!
b) ENSURE screen 14’s Conductivity (2nd column from left, bottom row) is MORE THAN 48.00
indicating the bicarb AND Bicarb Pump is good. Bad bicarbonate will cause AIR = 1!
d) Figure below, ENSURE the blue and brown wires are attached securely to their probes on top of
the bibag Air Separator Chamber! If not this will cause AIR = 1!
e) If Air still = 1 FOUR (4) possible problems: 1) Loose bibag Interface Board ribbon cable (refer to
Figure 4C (page 11)) OR; 2) Bad bibag Interface Board OR; 3) Bad connection, from Air Sensor
#112, inside the bibag Distribution Board (refer to Figure 4D (page 13) OR; 4) Bad bibag Air
Separator Chamber.
b) Per the Figure below, clamp the tubing attached at the top of Valve #101.
d) From the Home screen, ENSURE [Dialysate Flow] is set at 800 ml/min!
e) Allow fifteen (15) minutes OR until if the external meter’s reading to within +/- 0.4 of TCD?
Yes Within +/- 0.4 of TCD! Remove the clamp from Valve #101 and allow ten (10) minutes. If
measured conductivity becomes high again this confirms a problem with Valve #101. TWO (2)
possible problems: 1) Bad Valve #101 OR 2) Bad bibag Interface Board (refer to Figure 4C
(page 11)).
No NOT within +/- 0.4 of TCD! Remove the clamp then see procedure number CO- 8.3.0 (page
404).
Figure below, the Balancing Chamber(s) Volume (BCV) MAY HAVE BEEN factory recorded, a three-digit
number (example 61.3), written on the top or side of the balancing chambers (Yes or No)?
Call debug screen 3. BCV (upper right) is the stored Balancing Chamber Volume, of
BOTH chambers (example: 613 = 61.3 ml). Does screen 3’s BCV = the factory recorded
value?
Yes BCV = the factory volume! See procedure number CO- 8.4.0 (page 405).
c) Call debug screen 3. If the calibration was performed correctly BCV = the factory value.
d) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
Yes Conductivity within +/- 0.4 mS of TCD. BCV was incorrect! Do NOT continue!
d) Perform the ACID (CONCENTRATE) PUMP VOLUME CALIBRATION per the Calibration booklet.
Yes “Operator Error” did NOT occur! See procedure number CO- 8.5.2 (page 405).
No “Operator Error” occurred! Acid pump problem! See (ABOVE) procedure number CO- 4.9.0
(page 379).
b) Are you able to enter measured burette volumes without an “Operator Error” occurring?
Yes “Operator Error” did NOT occur. See procedure number CO- 8.5.4 (page 405).
No “Operator Error” occurred! Bicarb Pump problem! See (ABOVE) procedure number CO- 4.9.0
(page 379).
b) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’!
d) ENSURING the external flow indicators’ ‘bob’ is moving up and down, is the external meter now within
+/- 0.4 mS of TCD?
Yes Conductivity within 0.4 of TCD! The pump calibrations fixed the problem!
1) IF (and ONLY if) measured conductivity is LESS THAN TCD - (minus) 0.4 (i.e.
Cond is Low): Proceed to page 407, procedure number CO- 8.7.0
2) IF measured conductivity is MORE THAN TCD + 0.4 (i.e. Cond is High): See
procedure number CO- 8.6.0 (page 406).
b) Allow fifteen (15) minutes OR until if the external meter returns to within +/- 0.4 of TCD (Yes or No)?
Yes External meter within 0.4 of TCD! Remove the clamp from Valve #29 and allow seven (7)
minutes. If conductivity becomes high again this confirms a problem with Valve #29. TWO (2)
possible bad components: 1) Bad valve #29; OR 2) Bad Actuator-Test Board.
No External meter is NOT within 0.4 of TCD! See procedure number CO- 8.7.0 (page 407).
a) BEFORE continuing to part b, NOTE this page and procedure number as you may be prompted to
return here THEN proceed to page 580, SECTION 19 - TESTING FOR A LEAKING BALANCING
CHAMBER DIAPHRAGM.
b) If a leaking balancing chamber diaphragm WAS NOT located in part a return to Dialysis Program
(“Select Program” → ‘Dialysis’ → ‘Enter’)!
A 100 ml graduated cylinder (preferably glass) is REQUIRED! CAUTION! Using a larger cylinder
results in gross error. If a CALIBRATED scale is available use it (1 gram = 1 ml)!
a) WITHOUT turning flow off, remove the tubing from the ‘To Drain’
(BOTTOM*) nozzle at the REAR OF THE MACHINE.
f) BCV (upper right, Balancing Chamber Volume) was entered during the last calibration
and is the volume of both chambers (example: 603 = 60.3 ml).
Yes BCV = measured volume! See procedure number CO- 8.9.0 (page 408).
b) Per the Figure below, remove the front clear tubing from the Heat Exchanger’s nozzle. Ignore a small
water crown that may appear.
c) Watch the open heat exchanger nozzle for up to three (3) minutes. Is water continually dripping,
possibly VERY slowly, from the Heat Exchanger’s nozzle (Yes or No)?
Yes Dripping from Heat Exchanger! TWO (2) procedures MUST be performed!
Procedure #1: With the water turned OFF, REPLACE the Heat Exchanger;
Procedure #2: Proceed to page 596, procedure number OVER- 8.0.0.
b) From the Home screen, set the [Dialysate Flow] window to 500 ml/min.
c) Press ‘Enter’ THEN see (ABOVE) procedure number CO- 5.6.0 (page 382).
A) Per the Figure below, inside the distribution board, unplug the 9th CONNECTOR CAP from the left!
This is the Bicarb Reed Switches Connector, “X12, BIC-SW”.
B) Using a flashlight, check inside the “BIC-SW” position for corrosion or damaged male pins as this may
be the problem!
COMPONENT LIST: 1) Actuator-Test Board; 2) Sensor Board*; 3) Sensor Board cable; 4) Functional
Board*; 5) Distribution board; 6) Motherboard.
* For each board, to prevent “COND OFFSET” alarms place the machine into T and C Mode (refer to
OPERATING MODES, page 19)
I) Call debug screen 0. If the Bic ‘dot’ REMAINS blue the last component swapped in was the problem. If
still white or cycling between white and blue return the to part F to swap in the next component.
Figure below, the Balancing Chamber(s) Volume (BCV) MAY BE factory recorded, a three-digit number
(example 61.3), written on the top of the Balancing Chambers (Yes or No)?
Call debug screen 3. BCV (upper right) is the stored Balancing Chamber Volume, of
BOTH chambers (example: 613 = 61.3 ml). Does BCV = the factory value?
Yes BCV = the factory value! If troubleshooting bad lab values proceed to page 412, procedure
number CO- 9.8.4. All other problems see procedure number CO- 9.8.2 (page 410).
No BCV does NOT = the factory value! See parts a THROUGH e below:
c) Call debug screen 3. If the calibration took BCV now = the factory value.
d) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’!
e) Allow six (6) minutes. Does the machine’s [Conductivity] window stabilize to within
+/- 0.4 mS of TCD?
Yes If troubleshooting bad lab values proceed to page 412, procedure number
CO- 9.8.4. All other problems see procedure number CO- 9.8.2 (page 410).
Yes Troubleshooting OLC problems! Proceed to page 416, procedure number CO- 10.0.00.
2) IF measured volume is consistent between 58 and 62 ml: See parts a AND b below:
a) Call debug screen 3. BCV (upper right, Balancing Chamber Volume) was
entered during the last BCV calibration (example: 603 = 60.3 ml)
Yes BCV and the RECORDED volume match! See procedure number CO- 9.8.4
(page 412).
No BCV and the RECORDED volume do NOT match! Read parts a THROUGH c below
before performing them:
c) Call debug screen 3. If the calibration took BCV = your RECORDED volume.
For additional information about the Acid and Bicarb Pump CHECKS read parts a through f below
BEFORE performing them:
a) To ENSURE the Acid and Bicarb Pump volumes are delivering within +/- 2%, you MUST perform the
Test Concentrate and Bicarbonate Pumps1 per the Preventative Maintenance Procedures as described
in Section 4.3. This IS NOT the CALIBRATIONS. It is a CHECK.
1
NOTE: If equipped with a bibag Connector, to prevent problems with the ‘active regulation’ feature,
per the Figure below: 1) Fill the 25 ml burette from the TOP (DO NOT fill from the bottom); 3) When
checking twenty (20) stroke volumes hold the burette so the connectors are at the level of the rinse
ports.
b) NEVER use a 50 ml burette. The additional pressure from the column may influence pump volume.
c) When pump strokes reach twenty (20) turn the burette’s stopcock off THEN quickly turn [Dialysate Flow]
off.
d) ACID PUMP VOLUME: If the twenty (20) stroke volume of the Acid Pump is not between AMIN and
AMAX calibrate the Acid Pump THEN return to Dialysis and repeat the check on the ACID Pump.
e) BICARB PUMP VOLUME: If the twenty (20) stroke volume of the Bicarb Pump is not between BMIN
and BMAX calibrate the Bicarb Pump THEN return to Dialysis and repeat the check on the BICARB
Pump.
f) If either pump needed to be calibrated this may have been the problem. If neither pump required
calibration ensure the Acid and Bicarb is good per clinic procedures.
Yes EQUIPPED with bibag Connector! If your facility is using disposable bibags see procedure
number CO- 9.9.1 (page 413). If NOT a Conductivity problem is not indicated at this time.
No NOT equipped with a bibag Connector! A Conductivity problem is not indicated at this time! DO
NOT continue!
c) Figures below, bibag Valve #100 ‘pulses’ open / closed to, from the right hand side, fill the bag with
water.
f) WITHOUT LOOKING AWAY, watch Cond High AND Cond Low for
one (1) minute. One or the other will = 1 (constant or once in a while) if
bibag conductivity is not within limits OR becomes unstable. TWO (2)
possible scenarios:
1) IF (and ONLY if) Cond High AND Cond Low = 0 (always): Reset all alarms! Is a “Cond 2
High” OR “Cond 2 Low” alarm banner occurring?
2) IF Cond High OR Cond Low = 1 (always or once in a while): Turn the machine OFF then
perform parts a THROUGH h below:
b) Figure below, kinked bibag Connector tubing will cause Conductivity to be unstable!
c) Figure below, ENSURE bibag Filter #118 is oriented correctly! The arrow on its body
MUST point away from the bibag Connector towards the hydraulics!
d) Filter #118 can be checked for by attaching a syringe to it and pulling or pushing in the
direction of the arrow on its body. If air moves freely the filter is okay!
g) With the hydraulics remaining out of the cabinet, return to Dialysis Program (“Select
Program” → ‘Dialysis’ → ‘Enter’).
h) Read before performing! Return to (ABOVE) procedure number CO- 9.9.1 (page 413)
but if (and ONLY if) you return here because Cond High OR Cond Low continues to = 1
there may be a problem with the bibag Interface Board (refer to Figure 4C, page 11)).
c) Call debug screen14. If Air = 0 continue to part d. If Air = 1 indicates a problem with bibag Air
Sensor #112 i.e. the brown and blue wires that plug into the top of the bibag air separator chamber
d) Reattach a bibag disposable and allow fifteen (15) minutes. If “Cond 2 Hi” occurs see part e. If
“Cond 2 Low” occurs calibrate the Bicarb Cell per procedure i.e. Service Mode → Calibrate Sensor
→ Cond Cells → Bicarb Cell.
e) Per the Figure below, clamp Valve #101 at the location shown then see part f.
Yes Remove the clamp and calibrate the Bicarb Cell per procedure i.e. Service Mode →
Calibrate Sensor → Cond Cells → Bicarb Cell.
No Possible leaking Valve #101! This can be confirmed by releasing the clamp and if “Cond 2
High” or “Cond 2 Low” reoccurs within fifteen (15) minutes.
OLC estimates UREA clearance (Kt/V) by measuring Conductivity pre and post dialyzer:
a) Return the dialyzer connectors to the shunt but LEAVE THE DOOR OPEN till instructed.
b) Per the Figure below, trace the wires from distribution board positions #13 (Post Dialyzer Cond
Cell #13) AND #44 (Post Temperature Sensor NTC #44), to the sensors to perform TWO (2) checks:
CHECK #1: Check the entire length for insulation damage. Damage will cause OLC problems and,
if damaged, the sensor should be replaced!
CHECK #2: ENSURE the connectors ARE NOT reverse connected another component!
c) From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’.
No Post Temp IS NOT within 1.2 of Pre Temp! Proceed to page 418, procedure number
CO- 10.0.20.
CO- 10.0.11 POST TEMP WITHIN 1.2 OF PRE TEMP / ISOLATE POST DIALYZER COND
Post Dialyzer Cond changes but overall is it remaining within 0.4 mS of Pre Dialyzer Cond?
Yes Post Cond within 0.4 of Pre Cond! Proceed to page 423, procedure number CO- 10.0.40.
No Post Cond is NOT within 0.4 of Pre Cond! Proceed to page 421, procedure number
CO- 10.0.30.
d) Figure right, install the 6.04 KΩ plug, from the TWO-RESISTOR SET,
into the Post Dialyzer Temp Sensor’s #44 distribution board position, “x44,
NTC-POST”.
Yes Post Temp between 35.5 and 38.5! Proceed to page 420, procedure number CO- 10.0.26.
No Post Temp is NOT between 35.5 and 38.5! See parts a and b below:
a) ENSURE the 6.04 KΩ plug from the TWO-RESISTOR SET is placed properly at
position “x44, NTC-POST”. If NOT, repeat (ABOVE) procedure number CO- 10.0.20
(page 418) AND / OR CONSIDER using the 6.04 KΩ plug from another TWO-RESISTOR
SET.
b) If SURE the plug is placed correctly see procedure number CO- 10.0.22 (page 418).
a) ENSURE connector labeled #7 (Pre Cond Cell #7) is in position “X7, COND”.
b) Enter Service Mode → Calibrate Sensors → Post Temp Sensor. NOTE! This is a non-routine
troubleshooting procedure! Follow the instructions carefully to avoid error!
c) Press ‘Enter’. The screen says “1. Connect a 6.808 K ohm resistor…”.
d) Per the Figure right, place the 34° C (6.808 KΩ) plug, from the FOUR-
RESISTOR SET into distribution board position, “x44, NTC-POST”.
a) ENSURE the 34° C (6.808 KΩ) plug is placed properly at position “x44, NTC-POST”. If
NOT, repeat (ABOVE) procedure number CO- 10.0.22 (page 418) AND/ OR consider
using the 34° C plug from another FOUR-RESISTOR SET!
b) If SURE the plug is placed correctly proceed to page 432, procedure number
CO- 11.0.00.
Yes “Error” banner appears! Read before performing! Turn the machine off then
CAREFULLY repeat (ABOVE) procedure number CO- 10.0.22 (page 418). CONSIDER
using the 34° C plug from another FOUR-RESISTOR SET. If the “Error” banner
reoccurs see procedure number CO- 11.0.00 (page 432).
b) Place the 41° C (5.117 KΩ) plug, from the FOUR-RESISTOR SET, into distribution board
position, “x44, NTC-POST”.
c) The screen’s [Post-Temperature Reference] box will be more than 150 if the 41° C plug is
placed properly.
d) Press ‘Enter’. The screen says “3. Calibration saved” and the screen’s [Post-
Temperature] data box should = 41° +/- 0.1 °C. Press ‘Enter’ again to save the
calibration...
b) From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’.
c) Allow the Home screen’s [Temperature] display to stabilize between 35.5 and 38.5° C.
Yes Post Temp more than 33! See procedure number CO- 10.0.28 (page 420).
No Post Temp is less than 33! Post Dialyzer Temp Sensor NTC #44* may be bad. *To
LOCATE NTC #44 refer to Figure 62 (page 416).
b) Perform the TEMPERATURE CONTROL calibration per the CALIBRATION PROCEDURES booklet.
c) After the calibration, return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
d) From the Home screen, allow [Temperature] to stabilize between 35.5 and 38.5° C.
f) From debug screen 0, is Post Dialyzer Temp now within +/- 0.6° C of Pre Dialyzer Temp?
Yes Post Temp within 0.6 of pre Temp. Problem solved! The Post Dialyzer Temp Sensor
NTC #44 was out of calibration.
No Post Temp is NOT within 0.6 of pre Temp. Post Dialyzer Temp Sensor NTC #44* may be
bad. *To LOCATE NTC #44 refer to Figure 62 (page 416).
ENSURING the shunt door is open, is screen 0’s Post Dialyzer Cond more than 10.000 mS?
Yes Post Cond more than 10.000! See procedure number CO- 10.0.32 (page 421),
No Post Cond less than 10.000! See procedure number CO- 10.0.34 (page 421),
Yes Post Cond more than 20.000! See procedure number CO- 10.0.34 (page 421).
No Post Cond less than 20.000! Proceed to page 384, procedure number CO- 6.2.0.
CO- 10.0.34 ISOLATE POST COND CIRCUIT
Yes FPOS more than 4000! Either Post Dialyzer Cond Cell #13 was not unplugged from
position “x13” or there is a problem with its circuit. THREE (3) possible bad
components’: 1) Sensor Board1 OR; 2) Sensor Board cable OR; 3) distribution board.
1
To prevent “Cond Offset Failure” place the machine into T and C mode. Refer to
OPERATING MODES, (page 19).
a) Per the Figure right, place the 274 Ω resistor plug, from the
TWO-RESISTOR SET, into the Post Dialyzer Cond Cell’s #13
vacant distribution board position, “x13, COND-POS”.
Yes FPOS between 13500 and 14500! See procedure number CO- 10.0.36
(page 422).
No Either the 274 Ω resistor plug was not placed properly or there is a problem
with the Post Dialyzer Cond Circuit: THREE (3) possible bad components:
1) Sensor Boarda OR 2) Sensor Board cable OR; 3) Distribution board.
a
To prevent “Cond Offset Failure” place the machine into T and C mode.
Refer to OPERATING MODES (page 19).
c) Was a COND CELLS calibration performed in THIS troubleshooting session (Yes or No)?
Yes Cond Cells calibration was already performed! Read before performing! Swap in a
known good Sensor Board then see (ABOVE) procedure number CO- 6.2.0 (page 384).
If you return here swap in a known good Functional Board and calibrate Cond Cells.
No Cond Cells calibration was not performed! See (ABOVE) procedure number CO- 6.2.0
(page 384).
Call debug screen 5. TWO (2) checks! Proceed according to the Yes – No choice
at check #2.
Yes (to both): CLOSE THE SHUNT DOOR then see procedure number CO- 10.0.41
(page 424).
No (to either OR both): Read before performing! Proceed to page 384, procedure
number CO- 6.2.0 to calibrate COND CELLS. If (and ONLY if)
you return here see procedure number CO- 10.0.41 (page 424).
a) Install a ‘dummy chamber’ in the Level Detector module and RESET ALL alarms!
b) Watch the screen for thirty (30) seconds. If a “Filling Program” banner EVER occurs, allow thirty (30)
seconds before continuing!
NOTE! Multiple “Filling Programs” occurrences indicate a hydraulic air leak that MUST be located and
repaired or else OLC tests cancel.
c) If screen says “Standby For Test” OR the screen says “Test:…” allow the tests to finish THEN allow
three (3) minutes BEFORE continuing to procedure number CO- 10.0.42 (page 424).
a) Call debug screen 1. Press the keyboard’s “1” keypad for five (5) seconds.
2) IF FLWP does NOT change more than +/- 2 (two): Reset ALL
alarms THEN see procedure number CO- 10.0.43 (page 424).
a) Call debug screen 5. Pre Dev val (right column) is the conductivity difference
between now and one (1) minute ago from Conductivity Cell #7. If no alarms
it changes continually!
b) After no more than two (2) minutes, if not already, Pre Dev val should fall to less than 135. TWO (2)
possible scenarios:
1) IF (and ONLY if) Pre Dev val is OR falls to less than 135: See procedure number
CO- 10.0.44 (page 425).
2) IF Pre Dev val NEVER falls below 135: Pre Cond is unstable! ENSURING no alarms occurred
see parts a AND b below:
a) Per the Figure next page, using a flashlight and WITHOUT LOOKING AWAY, for one (1)
minute, if air bubbles are flowing through Pre Dialyzer Cond Cell #7’s tubing locate and repair
the air leak!
b) If (and ONLY if) absolutely sure of no air, proceed to page 429, procedure number
CO- 10.0.60.
a) Post Dev val (right column) is the conductivity difference between now and one (1)
minute ago from Post-Conductivity Cell #13. If no alarms it changes continually!
b) After no more than three (3) minutes, if not already, Post Dev val should fall to less than 70. TWO (2)
possible scenarios:
1) IF Post Dev val is OR falls to less than 70: See procedure number CO- 10.0.46 (page 426).
2) IF Post Dev val NEVER falls below 70: Post Cond is unstable! ENSURING no alarms occurred
see parts a and b below:
a) Per the Figure above, using a flashlight and WITHOUT LOOKING AWAY, for one minute, if air
bubbles are flowing through the Post Dialyzer Cond Cell #13’s locate and repair the air leak!
b) If (and ONLY if) absolutely sure of no air proceed to page 429, procedure number
CO- 10.0.60.
a) Pre Stbl Ct (pre-conductivity stability counter) starts at 90 and decreases one unit
per second if Pre Dev val remains less than 135. If not already, after no more than
two (2) minutes it should fall to 0!
c) Call the Home screen and press the [Kt/V AF] button at the bottom of the screen.
No The OLC Test did NOT start! ENSURING no alarms AND the shunt door is CLOSED, TWO
(2) possible scenarios:
1) IF “Can’t Run OLC Test” banner appeared: See procedure number CO- 10.0.48
(page 426).
2) IF “OLC steps not calculated” appeared: Allow two (2) minutes then attempt to start
the OLC Test again. TWO (2) possible scenarios i) or ii) below:
ii) IF “OLC steps not calculated” banner reoccurs: Read before performing!
Proceed to page 384, procedure number CO- 6.2.0 to calibrate COND
CELLS. If (and ONLY if) you return here (“OLC steps not calculated”), TWO
(2) possible bad components: 1) Actuator-Test Board OR; 2) Functional
Board.
c) If Pre Stbl Ct AND Post Stbl Ct are BOTH = 0 OR goes to 0 within two (2) minutes proceed through
the following three (3) steps until if the OLC Test starts. If (and ONLY if) one or the other DOES NOT
go to 0 within two (2) minutes proceed to page 429, procedure number CO- 10.0.60.
Step #1: Allow two (2) minutes then attempt to start the OLC Self-Test again. If “Online Clearance
Self-Test” banner appears proceed to page 428, procedure number CO- 10.0.50. If
“Can’t Run OLC Test” reoccurs continue to step #2 next page.
c) Allow six (6) minutes ENSURING the Home screen’s [Conductivity] stabilizes
between 13.0 and 14.3 mS.
e) Read before performing! Return to page 423, procedure number CO- 10.0.40. If
(and ONLY if) you return here continue to step #3.
c) Allow six (6) minutes, ENSURING the Home screen’s [Conductivity] stabilizes between
13.0 and 14.3 mS.
e) Read before performing! Return to page 423, procedure number CO- 10.0.40. If (and
ONLY if) you return here proceed to page 384, procedure number CO- 6.2.0 to
calibrate COND CELLS. After the calibration if (and ONLY if) you return here, THREE
(3) possible bad components listed below:
b) After no more than four (4) minutes, if CPRE stabilizes at more than 15.0 mS, Pre Dev val falls. If it
falls to and remains less than 135* then Pre Stbl Ct counts down.
c) After no more than (5) five minutes, if CPOS stabilizes at more than 15.0 mS, Post Dev val falls. If it
falls to and remains less than 70* then Post Stbl Ct counts down.
* If a BLOOD ALARM OR a red banner Conductivity alarm occurs the counters stop! In this event, see
NOTES 1 and 2 below!
NOTE 1: Resetting Blood Alarms is okay but multiple resets may cause OLC to cancel. Having to
perform multiple Blood alarm RESETS indicates a problem unrelated to Conductivity!
NOTE 2: IF a red banner Conductivity alarm occurs: A) Turn the machine OFF; B) ENSURE
the acid and bicarb is GOOD; C) Return to Dialysis Program with [Dialysate Flow] set to
500 ml/min; D) Allow six (6) minutes; E) Return to (ABOVE) procedure number
CO- 10.0.41 (page 424). If (and ONLY if) you return to here, because a Conductivity
alarm reoccurs, see (ABOVE) procedure number CO- 6.2.0 (page 384).
d) When (and if) BOTH Pre Stbl Ct AND Post Stbl Ct = 0 then OLC Status = 2.
e) CPRE followed a minute or so later CPOS SHOULD gradually fall until less than 14.0 mS. The initial
instability causes Pre Stbl Ct AND Post Stbl Ct to increase. After a few minutes, if CPRE stabilizes
Pre Stbl Ct counts down. A couple of minutes later, if CPOS stabilizes, Post Stbl Ct counts down.
f) When Pre Stbl Ct AND Post Stbl = 0 then OLC Status = 0 indicating the OLC test is complete!
2) IF (and ONLY if) “OLC Test Failed” AND a Conductivity alarm DID NOT occur during
the test: See procedure number CO- 10.0.60 (page 429).
3) IF “OLC Test Cancelled”: Call debug screen 6 to see the OLC Cancels 1 – 6 data boxes. If
code “1” and / or “2” appear in any of the boxes see procedure number CO- 10.0.60 (page 429).
Codes “3” through “7” refer to Table A (page 433) for their meaning.
a) Per the Figure below, remove Post Dialyzer Temp Sensor NTC #44’s connector from distribution board
position “x44, NTC-POST”.
b) Using a flashlight, check the “x44” position for ‘white’ corrosion and / or damaged male pins. If
damage is located this may be the problem!
c) Per the Figure right, place the 6.04 KΩ plug, from the TWO-RESISTOR SET
into the Post Dialyzer Temp Sensor’s distribution board position “x44, NTC-
POST”.
d) Per the Figure above, remove Post Dialyzer Cond Cell #13’s connector from
distribution board position “x13, COND-POS”.
e) Check the “x13” position for ‘white’ corrosion and / or damaged male pins.
f) Leaving the 6.04 KΩ plug installed, place the 274 Ω resistor plug, from the TWO-RESISTOR SET,
into Post Dialyzer Cond Cell’s #13’s distribution board position “x13, COND-POS”.
g) Call debug screen 5. TWO (2) checks then proceed according to the TWO (2) scenarios after check
#2:
CHECK #1 (TPOS): WITHOUT LOOKING AWAY, watch TPOS for one (1) minute
noting its highest and lowest values. Subtract the lowest value seen from the
highest. Two (2) or less = GOOD! More than two (2) = BAD!
CHECK #2 (CPOS): Now watch CPOS for one (1) minute noting its highest and
lowest values. Subtract the lowest value seen from the highest. Eight (8) or less =
GOOD! More than eight (8) = BAD!
1) IF (and ONLY if) TPOS AND / OR CPOS ARE ‘BAD’: Proceed to page 432,
procedure number CO- 11.0.00.
a) Return Post Dialyzer Temp Sensor NTC #44’s connector to position “x44, NTC-POST”.
c) From debug screen 0, ENSURE Post Dialyzer Temp reads more than 35° C AND Post Dialyzer
Cond MUST more than 10.000.
c) Avoiding vacant position #4, place the 6.04 KΩ plug, from the TWO-RESISTOR SET, into the
Pre Dialyzer Temp Sensor’s NTC #3 distribution board position “x3, MON-NTC”.
d) Remove Pre Dialyzer Cond Cell #7’s connector from distribution board position “x7, COND”.
f) Leaving the 6.04 KΩ plug installed, place the 274 Ω plug, from the TWO-RESISTOR SET, into
Pre Dialyzer Cond Cell #7’s distribution board position, “x7, COND”.
g) From debug screen 5, TWO (2) checks then proceed according to the TWO (2) possible scenarios
after check #2.
CHECK #1 (TPRE): WITHOUT LOOKING AWAY, watch TPRE for one minute
noting its highest and lowest values. Subtract the lowest value seen from the highest.
Two (2) or less = GOOD! More than two (2) = BAD.
CHECK #2 (CPRE): Watch CPRE (4th column from right, second box down) for
exactly one minute noting its highest and lowest values Subtract the lowest value
seen from the highest. Eight (8) or less = GOOD! More than eight (8) = BAD.
1) IF (AND ONLY IF) TPRE AND / OR CPRE are ‘BAD’: Proceed to page 432,
procedure number CO- 11.0.00.
a) Return Pre Dialyzer Temp Sensor NTC #3s connector to position “x3, MON-NTC”. From debug
screen 0, ENSURE Pre Dialyzer Temp reads more than 35° C.
b) Return Pre Dialyzer Cond Cell #7 connector to position “x7, COND”. From debug screen 0,
ENSURE Pre Dialyzer Cond reads more than 10.0.
d) After rinse is complete, connect to known good concentrate and return to Dialysis Program.
f) Read before performing! Return to (ABOVE) procedure number CO- 10.0.40 (page 423). If (and
ONLY if) you return to procedure number CO- 10.0.705 see procedure number CO- 10.0.706 (page
431).
a) Read before performing! Proceed to (ABOVE) procedure number CO- 6.2.0 (page 384) to calibrate
COND CELLS. If (and ONLY if) you return here see part b.
b) Read before performing! Swap the following components in (see COMPONENT LIST below) one at a
time, with known good then return to (ABOVE) procedure number CO- 10.0.40 (page 423) to test the
new component. If (and ONLY if) you return here continue through the list until the OLC problem is
solved.
COMPONENT LIST: 1) Power Logic Board OR; 2) Actuator-Test Board OR; 3) Functional Board1
1
Cond Cells MUST be calibrated after the Functional board is swapped in before its OLC
functions can be tested!
d) From debug screen 0, ENSURE Pre Dialyzer Cond reads more than 10.0 mS.
e) The following components (see COMPONENT LIST below) are to be swapped in, with known good,
one at a time then, in between, continue to parts f through i to see if the new component fixes the
problem.
COMPONENT LIST: 1) Power Logic Board; 2) Sensor Board1; 3) Sensor Board cable;
4) Functional Board2; 5) Distribution board.
1
To prevent “Cond Offset Failure” place the machine into T and C mode. Refer to OPERATING
MODES, (page 19).
2
To prevent “Cond Offset Failure” the machine MUST AGAIN be placed into T and C mode!
g) From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’!
h) Allow six (6) FULL minutes, for Temperature and Conductivity to stabilize BEFORE continuing to part i!
i) Read before performing! Return to (ABOVE) procedure number CO- 10.0.10 (page 417) to see if the
new component fixed the problem. If (and ONLY if) you return to procedure number CO- 11.0.00 swap
in the next component and return to procedure number CO- 10.0.10 (page 417) until the OLC problem
is fixed.
A conductivity-related problem is not indicated HOWEVER, unstable Blood Pump rate may also cause
OLC Tests to cancel.
a) IMPORTANT! Reset ALL alarms. The machine MUST remain alarm free!
b) Turn the Blood Pump on to 400 ml/min and allow two (2) FULL minutes without
changing its rate again!
c) From debug screen 5, if (and ONLY if) the Pump is stable1, QbS (BOTTOM
window, Figure right) will settle to and remain between 0 and 3.
1
Resetting multiple blood alarms cause Blood Pump instability (OLC cancel code = “3”). In this
event the problem may be related to the patient’s access.
d) ENSURE ALL treatment parameters (below) were entered prior to treatment initiation. Changes made
just prior to OR while an OLC Test is running cause instability AND OLC Test cancelations.
e) For additional OLC diagnostics call debug screen 6 and refer to Table A (below)
f) For even more OLC diagnostics call debug screen 5 and refer to Table B (page 434).
Current TI Pre Dialyzer Temp sensor Ranges from 0 (unstable) to 100 (very stable)
NTC #3 stability
QbS Blood Pump Stability Counter Normally 0 or 1. If QbS reaches 20, the OLC test will
not start OR will cancel
Avg TI Pre Dialyzer Temp stability When Dialysate Flow = 500 ml/min, should be more
over the last 12 minutes than 70%. May be lower at other flow rates.
Pre Stbl Ct Pre Dialyzer counter Defaults to 90. Decreases to 0 if Pre Dialyzer Cond is
stable
Pre % Stbl Percentage of time Pre If OLC test is NOT running should be more than 90%.
Dialyzer Cond was stable over Instability (i.e. less than 90%) is NORMAL within 12
the last 12 minutes minutes of an OLC test.
Post Stbl Ct Post Dialyzer Cond counter Defaults to 70. Decreases to 0 if Post Dialyzer Cond is
stable.
Post % Stbl Percentage of time Post If OLC test is NOT running should be more than 90%.
Dialyzer Cond was stable over Instability (less than 90%) is NORMAL within 12
the last 12 minutes minutes of an OLC test.
OLC status Current stage of OLC test 0 = An OLC test is NOT running
1 = At or going to approx.15.5 mS
2 = At or going to the approx. 13.5 mS
OLC Enable OLC Enabled 0 = OLC is turned off (OLC will NOT run).
1 = If OLC is turned on.
CPRE Stable Pre Dialyzer Conductivity Not valid UNLESS an OLC test was performed.
when stable during OLC test
Example: 15318 = 15.318 mS
CPOS Stble Post Dialyzer Conductivity Not valid UNLESS an OLC was performed.
when stable during OLC test
Example: 15318 = 15.318 mS
NOTE! These procedures assume the filter, inside the red (acid) connector, has been checked and is clean!
b) Per the Figures below, THREE (3) checks for a tubing kink and / or a restriction between:
Check #1: The red (acid) concentrate connector and Valve #105.
Check #3: Pressure Sensor #106 and Acid Pump’s input (bottom, WHITE) nozzle.
c) If no restrictions are located, see procedure number CO- 13.0.01 (page 436).
a) Turn the machine on. When “Press CONFIRM For Service Mode” appears press ‘Enter’. The screen
MUST say “Machine In Service Mode”.
d) Per the Figure previous page, REMOVE the clear tubing from the Acid Pump’s INPUT (white)
nozzle and direct it into a cup.
e) Figure below, attach a water filled 60 ml syringe, WITH THE PLUNGER installed, to the acid (red)
connector.
f) GENTLY push on the plunger. Can you EASILY push water through Valve #105 into the cup?
Yes Can push water into cup! Valve #105 is at least partially open! See procedure number
CO- 13.0.02 (page 437).
b) FOUR (4) possible problems (see PROBLEM LIST below). Check each and / or swap in
each component, one at a time and in between repeat procedure number CO- 13.0.01
(page 436) until you are able to push water through Valve #105.
PROBLEM LIST: 1) Loose bibag Interface board ribbon cable (refer to Figure 4C
(page 11)) OR; 2) Bad Valve #105 OR; 3) Bad bibag Interface Board OR; 4) Bad
electrical connection, from Valve #105, inside Distribution Box 2 (refer to Figure 4D
(page 13)).
d) Press ‘Enter’ and allow the calibration to complete. If successful the “Calibrate Regulator Pressure”
banner appears (Figure below), and the screen will say “Calibration Complete, press CONFIRM to
save”.
Yes An Error banner DID NOT occur! Press ‘Enter’ Reconnect all tubing and test the machine
for “V105 Stuck Closed”. If it reoccurs there is a restriction between the red
connector and the Acid Pump that was not located OR Valve #105 may
be partially restricted!
No An Error banner occurred! Repeat the calibration but if the Error banner reoccurs, FOUR (4)
possible problems (see PROBLEM LIST below). Check and / or swap in each component one
at a time until the Regulator Pressure calibration is successful.
PROBLEM LIST: 1) Loose bibag Interface ribbon cable (refer to Figure 4C (page 11)) OR;
2) Bad Pressure Sensor #106 OR; 3) Bad bibag Interface board OR; 4) Bad connection, from
Pressure Sensor #106, inside Distribution Box 2 (refer to Figure 4D (page 13)).
NOTE! These procedures assume the filter, inside the Bicarb connector, is clean!
b) Per the Figures below, FOUR (4) checks for tubing kinks and / or restrictions between:
Check #1 The Bicarb (blue) concentrate connector and the TOP, INPUT side of Valve #104.
Check #2 Valve #104’s BOTTOM, OUTPUT side and the second from the bottom port of the bibag Air
Separator Chamber
Check #3 The very bottom port of bibag Air Separator Chamber and Conductivity Cell #113.
Check #4 Conductivity Cell #113 and the Bicarb Pump’s input BOTTOM, WHITE nozzle.
c) If no restrictions were located, see procedure number CO- 14.0.01 (page 440).
a) Per the Figure previous page, REMOVE the clear tubing from the Bicarb Pump’s INPUT
(white) nozzle and direct it into a cup.
b) Turn the machine on. When the screen says “Press CONFIRM For Service Mode” press ‘Enter’. The
screen MUST say “Machine In Service Mode”.
e) Figure below, attach a water filled 60 ml syringe, WITH THE PLUNGER installed, to the blue (Bicarb)
connector.
f) GENTLY push on the plunger. Can you EASILY push water through Valve #104 into the cup?
Yes Can easily push water through Valve #104 is at least partially open! See procedure number
CO- 14.0.02 (page 440).
b) FOUR (4) possible problems (see PROBLEM LIST below). Check each and / or swap in
each component, one at a time and in between repeat procedure number CO- 14.0.01
(page 439) until you are able to push water through Valve #104.
PROBLEM LIST: 1) Loose bibag Interface board ribbon cable (refer to Figure 4C
(page 11)) OR; 2) Bad Valve #104 OR; 3) Bad bibag Interface Board OR; 4) Bad
connection, from Valve #104, inside Distribution Box 2 (see Figure 4D (page 13)).
b) Just enough to hold them there, place the acid and bicarbonate connectors ¼ way into their rinse ports.
c) Press ‘Enter’ and allow the calibration to complete. If successful the “Calibrate Regulator Pressure”
banner appears (Figure below), and the screen will say “Calibration Complete, press CONFIRM to
save”.
Yes An Error banner DID NOT occur! Press ‘Enter’. Reconnect all tubing and test the
machine for “V104/V108 Stuck Closed”. If it reoccurs there is a restriction
between the blue connector and the Bicarb Pump that was not
located OR Valve #104 may be partially restricted!
No An Error banner occurred! Repeat the calibration but if the Error banner reoccurs, FOUR (4)
possible problems (see PROBLEM LIST below). Check and / or swap in each component
one at a time until the Regulator Pressure calibration is successful.
PROBLEM LIST: 1) Loose bibag Interface ribbon cable (refer to Figure 4C (page 11))
OR; 2) Bad Pressure Sensor #110 OR; 3) Bad bibag Interface board OR; 4) Bad
connection, from Pressure Sensor #110, inside the bibag Distribution Board (refer to
Figure 4D (page 13)).
A) Per Figure 63 (page 442), ENSURE the pumps are installed with their output (red or blue) nozzles
towards the top and the cables extend from the side. If not, this may be the problem!
B) BEFORE continuing to part C, NOTE this page number then perform INITIAL CHECKS (page 77).
C) If the problem was occurring in a Cleaning Program (Heat Disinfect, Rinse, etc.) return to it. If the
problem was occurring in Dialysis Program: 1) Return to Dialysis Program (“Select Program” →
‘Dialysis’ → ‘Enter’); 2) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’!
D) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
E) Allow thirty (30) seconds THEN, WITHOUT LOOKING AWAY, watch the pump symbols for up to two
(2) minutes OR until if one turns pink! FOUR (4) possible scenarios 1) or 2) or 3) or 4) below:
1) IF the CONC (acid) symbol is EVER pink (solid or blinking) AND the BIC symbol
is ALWAYS white: ACID pump system problem! See procedure number EOS- 2.0.0 (page 442).
2) IF the CONC (acid) symbol is ALWAYS white AND the BIC symbol is EVER pink
(solid or blinking): BIC pump system problem!. Proceed to page 443, procedure number
EOS- 3.0.0.
3) IF BOTH the CONC (acid) AND the BIC symbols are EVER pink (solid or blinking):
Proceed to page 446, procedure number EOS- 5.0.0.
4) IF BOTH pump symbols are ALWAYS white (i.e. NEVER pink): See parts a AND b below:
a) WITHOUT LOOKING AWAY, watch AAcid versus Acid for up to five (5) minutes. If AAcid
REMAINS within three (3) of Acid the Acid Pump System is okay. In this event continue to part
b. If AAcid does NOT remain within three (3) of Acid then TWO (2) possible bad components:
1) Bad ACID pump OR; 2) Bad Actuator-Test Board.
b) Watch ABic versus Bic for up to five (5) minutes. NOTE: If a disposable bibag is attached it is
normal for Bic AND ABic to change slightly but should remain within three (3) of each other. If
ABic REMAINS within three (3) of Bic the Bicarb Pump System is okay! If ABic does NOT
remaining within three (3) of Bic then TWO (2) possible bad components: 1) Bad BICARB pump
OR; 2) Bad Actuator-Test Board.
This procedure uses the known good Bicarb Pump to check the Acid Pump.
C) Plug the Bicarb Pump’s cable into the Acid Pump’s position “P16, CONC-P”.
D) CAUTION! The connector should insert easily if the pins are okay.
E) If the problem was occurring in a Cleaning Program return to it. If not return to Dialysis Program.
F) Call debug screen 0. If debug does not appear press ‘Esc’ then call debug 0.
G) Allow thirty (30) seconds THEN, ignoring the BIC symbol, watch the CONC symbol for up to two (2)
minutes: 1) EVER pink (solid or blinking)? OR 2) ALWAYS white?
1) IF ever pink: The Acid Pump is probably okay. See procedure number EOS- 4.0.0 (page 444).
This procedure uses the known good Acid Pump to check the bicarbonate pump.
C) Plug the Acid Pump’s cable, into the bicarbonate pump’s position “P17, BIC-P”. CAUTION! The
connector should insert easily if the pins are okay!
D) If the problem was occurring in a Cleaning Program return to it. If not return to Dialysis Program.
E) Call debug screen 0. If debug does not appear ’Esc’ then call screen 0.
F) Allow thirty (30) seconds THEN, ignoring the CONC symbol, watch the BIC symbol for up to two
minutes: 1) EVER pink (solid or blinking)? OR 2) Remaining ALWAYS white?
1) IF Pink: The bicarbonate pump is probably okay. Proceed to page 444, procedure number
EOS- 4.0.0.
b) Per Figure 63 (page 442), return both pump cables to their distribution board positions.
b) Swap in a known good Actuator-Test Board*. *To LOCATE the board refer to Figure 4A (page 10).
c) If the problem was occurring in a Cleaning Program return to it. If not, return to Dialysis Program.
d) Call debug screen 0. If debug does not appear press ’Esc’ then call screen 0.
e) Allow thirty (30) seconds THEN, WITHOUT LOOKING AWAY, watch for pump symbol for up two (2)
minutes. Does it REMAIN white now?
No Turns pink! Continue to EOS- 4.0.0, STEP #2 (the previous Actuator-Test Board is okay).
b) Swap in (or check1) a known good Sensor Board cable*. *To LOCATE the cable refer to Figure 4A
(page 10).
1 To check the Sensor Board cable, which pump is issuing the EOS error?
IF ACID: NOTE that one (1) ACID EOS connection (ONLY) will be checked and proceed to
page 569, SECTION 17- CHECKING THE SENSOR BOARD CABLE. If the cable
checks good continue to procedure number EOS- 4.0.0, step #3 next page.
IF BICARB: NOTE that one (1) BICARB EOS connection (ONLY) will be checked and proceed to
page 569, SECTION 17 - CHECKING THE SENSOR BOARD CABLE. If the cable
checks good continue to procedure number EOS- 4.0.0, step #3 next page.
c) If the problem was occurring in a Cleaning Program return to it. If not return to Dialysis Program.
d) Call debug screen 0. If debug does not appear press ’Esc’ then call screen 0.
e) Allow thirty (30) seconds THEN, WITHOUT LOOKING AWAY, watch for pump symbol for up two (2)
minutes. Does it REMAIN white now??
2
To check the actuator cable, which pump is issuing the EOS error?
IF ACID: NOTE that four (4) ACID PUMP connections (ONLY) will be checked and proceed to
page 566, SECTION 16 - CHECKING THE ACTUATOR BOARD CABLE. If the actuator
cable checks good continue to procedure number EOS- 4.0.0, step #4.
IF BICARB: NOTE that four (4) BICARB PUMP connections (ONLY) will be checked and proceed to
page 566, SECTION 16 - CHECKING THE ACTUATOR BOARD CABLE. If the
actuator cable checks good continue to procedure number EOS- 4.0.0, step #4.
c) If the problem was occurring in a Cleaning Program return to it. If not return to Dialysis Program.
d) Call debug screen 0. If debug does not appear press ’Esc’ then call debug screen 0.
e) Allow thirty (30) seconds THEN, WITHOUT LOOKING AWAY, watch for pump symbol for up two (2)
minutes. Does it REMAIN white now??
No Turns pink! See EOS- 4.0.0, STEP #4. NOTE: The previous actuator cable is probably
good!
EOS- 4.0.0, STEP #4: If sure all above checks were performed correctly, THREE (3) possible bad
components (see COMPONENT LIST below). Swap in, one at a time, testing the machine in between to
see if the new component fixed the problem:
1
To prevent a “Cond Offset Failure” place the machine into T and C Mode. Refer to OPERATING
MODES (page 19)
b) Per the Figure below, ENSURE BOTH pumps are installed with their output nozzles (red or blue)
towards the top and the ribbon cables extending from the side. If not, this may be the problem!
c) Swap in a known good Actuator-Test Board* *To LOCATE the board refer to Figure 4A (page 10).
d) If the problem was occurring in a Cleaning Program return to it. If not return to Dialysis Program.
e) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
f) Allow thirty (30) seconds THEN WITHOUT LOOKING AWAY, watch BOTH pump symbols for two (2)
minutes. Are BOTH still pink?
Yes Both pink! See procedure number EOS- 5.0.1 (page 446).
b) Per the Figure above, plug in a known good pump into distribution board position “P16, “Conc-P” (Acid
Pump)* OR “P16, Bic-P” (bicarbonate pump)*. * Your choice.
c) If the problem was occurring in a Cleaning Program return to it. If not return to Dialysis Program.
d) Call debug screen 0. If debug does not appear press ’Esc’ then call screen 0.
Yes Pump symbol remains white! The previous pump is bad. Repeat procedure number
EOS- 5.0.1 to test the alternate pump. IF BOTH symbols remain white: BOTH previous
pumps are bad. IF one pump is pink and the other is white: Proceed to page 441,
procedure number EOS- 1.0.0.
No Pump symbol pink! If sure all above checks were performed correctly, FIVE (5) possible bad
components (see COMPONENT LIST below). Swap in, one at a time, testing the machine in
between to see if the new component fixed the problem
COMPONENT LIST: Referring to Figure 4A (page 10): 1) Actuator cable; 2) Sensor Board
cable; 3) Sensor Board; 4) Distribution board; 5) Motherboard
d) If the “Cond Ref Failure” OR “Cond Offset Failure” reoccurs see procedure number CR- 1.0.1
(page 448).
Has a Sensor and / or a Functional Board been recently been ‘swapped’ in?
Yes If ‘swapping’ for troubleshooting purposes, other than “Cond Ref Failure” OR “Cond Offset
Failure” refer to OPERATING MODES (page 19) to place the machine into T and C Mode.
a) BEFORE continuing to part b, NOTE this page number then perform INITIAL CHECKS (page
7).
c) Referring to Figure 64 (page 449), the EXTENDER BOARD (P/N 190600) is required.
d) To avoid error, FOUR NOTES below:
1) Keeping the EXTENDER BOARD’S resistors towards the FRONT OF THE MACHINE
install it into the motherboard’s nine (9) pin TEST* connector. *To LOCATE refer to Figure
4A (page 10).
2) ENSURE the board is matched pin for pin to the TEST connector! From the FRONT OF
THE MACHINE SGND on the LEFT; 24V-C on the RIGHT!
3) Push the board down hard. It may resist a good connection to the motherboard!
a) Figure below, at the rear of the machine, ENSURE the 24V POWER harness has remained plugged in!
c) Connect the meter’s black lead to chassis ground (see Figure 2 (page 4)).
e) Measure at the EXTENDER BOARD’S -12V measuring point. Between -11.0 and -13.0 volts DC?
No If ABSOLUTELY SURE the extender board is installed properly AND you are measuring at
the correct point now measure at the EXTENDER BOARD’S +12V pin measuring point.
Between 11.7 and 12.3 volts DC?
Yes Between 11.7 and 12.3 volts DC! Proceed to page 451, procedure number
CR- 1.0.9.
No Less than 11.7 OR more than 12.3 volts! If ABSOLUTELY SURE the extender
board is installed properly, proceed to page 647 and refer to Table 17.
CR- 1.0.4 BETWEEN -11.0 AND -13.0 VOLTS / ISOLATE CELLS CALIBRATION
B) Place the machine into Service Mode → Calibrate Sensors → Cond Cells.
C) With an external dialysate meter attached AND the shunt door closed ENSURE the flow indicator’s
‘bob’ is moving up and down in the sight tube.
E) Set the external meter to temperature (°C). If between 35.1 and 39.9° C see part F. If (and ONLY if)
NOT between 35.1 and 39.9° C proceed to page 320, procedure number T- 7.0.0.
F) The screen’s Conductivity window SHOULD eventually turn pale yellow/white. If not an “Error”
banner appears on the screen. In this event skip to part H.
G) With the Conductivity window pale yellow/white set the external meter to measure Conductivity (mS).
ENSURING it reads between 13.0 and 14.5 mS proceed per the screens instructions.
Yes An “Error” banner NEVER occured! See procedure number CR- 1.0.5 (page 450).
No An “Error” occured! Swap in the listed component (see Component List below), one at a
time, with known good then, in between, repeat procedure number CR- 1.0.4 (page 450) to
test each new component.
Turn the machine OFF then back on. Does the “Cond Ref Failure” OR “Cond Offset Failure” reoccur?
Yes Problem reoccurs! Swap in the listed component (see the Component List above) one at a
time, with known good then, in between, repeat procedure number CR- 1.0.4 (page 450) to test
the new component. When a Failure DOES NOT reoccur the last component swapped in is the
problem.
No Problem does NOT reoccur! If the Sensor Board and / or Functional Board and / or Functional
Board’s EEPROM (IC20) was replaced it is necessary to perform ALL calibrations.
b) Figure below, at the rear of the card cage, ENSURE the Blood Pressure Module cable, is NOT reverse
connected with another module! If it is, correct this situation and re-measure -12 volts as this may
be the problem!
e) Remeasure -12V at the EXTENDER board. Between -11.0 and -13.0 volts DC now?
Yes Between -11.0 and -13.0 DC! The Blood Pressure module OR its cable may be bad OR a
wrong module was plugged in originally.
No NOT between -11.0 and -13.0 DC! See procedure number CR- 1.0.10 (page 451).
a) Replace the Power Logic board with a known good then see part b. To LOCATE the Power Logic board
refer to Figure 4A (page 10).
b) Remeasure -12V at the EXTENDER board. If still NOT between -11.0 and -13.0 volts DC see part c.
c) Possible -12 volt short! Except for the Power Logic and UI-MICS boards the other cage boards can be
isolated by pulling them out, one at a time and repeating the -12V measurement in between. If still NOT
between -11.0 and -13.0 volts see part d.
d) Possible bad UI-MICS board. Swap in with a known good and repeat the -12V measurement. If still
NOT between -11.0 and -13.0 volts possible bad motherboard.
Filling Programs NORMALLY occur when air is sensed by Chamber #69’s Air
Sensor #6 i.e. Chamber #69’s text box says “Air”. They are indicated with a “Filling
Program” or “10 Fill Pgm in 1 Hr” or “TMP Is Low” banner. Also, debug screen 1’s
FILACT = 1.
C) ENSURE the external flow indicator’s (sight tube) fittings are tight!
D) From the Home screen, ENSURE [Dialysate Flow] has been set to at least 500 ml/min for six (6)
minutes.
E) The Treatment Clock (Figure right) must be left off i.e. “Tx Paused”.
H) If the Automated Tests are running (screen reads “Test:.…”) allow them to finish.
I) Remove the ‘dummy venous chamber’ from the Level Detector, till instructed
otherwise!
Yes ‘Bob’ moving! See procedure number FIL- 1.0.0 (page 453).
1) IF (and ONLY if) Flow Error ALWAYS = 0! Call the Home screen. [Temperature]
MUST BE between 35.1 and 38.9° C; [Conductivity] more than 13.0 mS BEFORE
continuing to procedure number FIL- 1.0.0 (page 453).
Going forward, if a “No Water”, Flow Error, Temperature or a Conductivity alarm EVER occur address them
first!
b) Using a flashlight, ENSURE the Air Sensor’s female connector is plugged PROPERLY* into its
Distribution Board position i.e. 4th connector, 5th position, from the LEFT!
* Figure below, if the machine is CBE modified the female Air Sensor connector plugs into the ‘CBE
board’ which rises the connector two (2) pins higher than the others! The female connector
MUST plug into the CBE board pin for pin!
* IMPORTANT! Using a flashlight, ENSURE the TOP CBE board pin is covered by the Air
Sensor’s female connector! If not, FILACT will always = 1!
NOTE! If NOT CBE modified do so immediately as this may solve Filling Program problems. For
questions call 1-800-227-2572 and reference Field Action FA2014-01
* NOTE! If the wires are loose OR are NOT connected properly this may be the problem!
a) The Deaeration gauge is used next. ENSURE it reads 0 inHg before installing it!
c) Figure below, tee the gauge into the Inlet (clear tubing) side of the Deaeration Pump!
d) Turn the machine on and return to Dialysis Program (“Select Program → “Dialysis’ → ‘Enter).
e) Is Deaeration Pressure OKAY? Refer to Appendix A (page 757) for what pressure should be.
Yes Deaeration Pressure OKAY! See procedure number FIL- 1.0.2 (page 455).
No Deaeration Pressure IS NOT OKAY! ENSURING a “No Water” alarm is NOT presenting,
NOTE this page number, as you will return here, THEN proceed to page 543,
SECTION 13 - DEAERATION PROBLEMS.
c) Turn the machine on and return to Dialysis Program (“Select Program → “Dialysis’ → ‘Enter’).
Because the machine was off, [Conductivity] will be unstable! The following procedure requires three (3)
minutes during when [Conductivity] MUST stabilize to between 13.0 and 14.4 mS!
1) IF (and ONLY if) Flow Error ALWAYS = 0! See procedure number FIL- 1.0.4 (page 456).
2) IF Flow Error EVER = 1: Proceed to page 23, SECTION 1 - FLOW ERRORS IN DIALYSIS
PROGRAM.
* Stable = NOT changing more than 0.1 per minute! If Temperature is about 37.0° C and
Conductivity about 14.0 mS but either one bounces’ more than 0.3 may indicate a large
hydraulic air leak that must be located and repaired!
A bad On Line Clearance (OLC) component may cause Filling Programs EVEN if OLC is not activated or
used! From debug screen 0:
No PRE AND POST Conductivity ARE NOT within 0.4 mS of each other! See procedure number
FIL- 1.0.6 (page 457).
Figure below, to the right of Pre Dialyzer Cond Cell #7, is Post Dialyzer Cond Cell #13 present?
Yes Cond Cell #13 present! See procedure number FIL- 1.0.7 (page 457).
No Cond Cell #13 NOT present! Proceed to page 459, procedure number FIL- 2.0.0.
CHECK #2: ENSURE the cable from position “x13, COND-POS” terminates at Post Conductivity Cell
#13!
CHECK #3: ENSURE the cable from position “x44, NTC-POS” terminates at Post Temp Sensor #44!
No Problem with a cable! After the repair, perform parts a THROUGH d below:
a) Turn the machine OFF then allow seven (7) minutes BEFORE continuing to part b.
d) Call debug screen 1.Watch FILACT for two (2) minutes. If REMAINING = 0 the problem
is solved. If still going ever = 1 return to (ABOVE) procedure number FIL- 1.0.3 (page
456).
From debug screen 0, once again, does the OLC POST Dialyzer Cond symbol appear?
Yes POST Dialyzer Cond symbol appears! A problem with Post Dialyzer Cond. Close the shunt
door THEN proceed to page 417, procedure number CO- 10.0.10.
No The OLC option will have to be activated as a bad OLC reading may cause Filling Programs EVEN
IF the OLC option is not activated! Perform parts a THROUGH i below:
b) Next to OLC (upper right) place the ‘X’ in the “Yes” box and press the
keyboard’s ‘Enter’ key. The ‘X’ turns blue.
e) Call debug screen 0 and confirm the Post Dialyzer OLC symbols now appear.
i) Call debug screen 0. Are PRE AND POST Cond within 0.4 of each other now?
Yes PRE AND POST Conductivity within 0.4 mS of each other! See procedure
number FIL- 2.0.0 (page 459).
No PRE AND POST Conductivity ARE NOT within 0.4 mS of each other! A problem with
Post Dialyzer Cond. Close the shunt door and proceed to page 417, procedure
number CO- 10.0.10 (page 417).
b) Is the external flow indicator’s ‘bob’ moving up and down in the sight tube?
Yes ‘Bob’ moving! See procedure number FIL- 2.0.1 (page 459).
c) Press ‘Enter’.
a) Figure right, ENSURE the lamp above the front panel’s UF on/off
key is OFF i.e. UF is OFF!
c) Looking at the UF Pump’s vacant OUTPUT nozzle, TWO (2) possible scenarios:
1) IF (and ONLY if) no fluid from the UF Pump: Reattach the tubing then see procedure number
FIL- 2.0.2 (page 461).
2) IF you see fluid output from the UF Pump: See parts a AND b below:
b) Per the Figure below, WITHOUT LOOKING AWAY, watch the UF Pump’s ‘dot’ for ONE (1)
minute. Does it EVER BLINK between white and blue?
No The UF ‘dot’ DOES NOT blink! Fluid from the UF Pump indicates bad or incorrectly
installed internal seals/springs OR the pump is upside down!
Figure above, USING A FLASHLIGHT, FOR TWO (2) MINUTES, watch for air bubbles MOVING into
Chamber #69! Air seen?
Yes Air seen! Proceed to page 534, SECTION 11 - INDUCED AIR LEAK TESTS.
1) IF (and ONLY if) FILACT EVER = 1: Proceed to page 464, procedure number FIL- 2.1.0.
a) Open the shunt door and LEAVE IT OPEN till instructed otherwise!
c) Press and release ‘Reset’ key then immediately press and hold it for three (3) seconds. Allow thirty
(30) seconds. If any alarm reoccurs attempt reset up to twice more BEFORE continuing to part d.
Yes All alarms reset! See procedure number FIL- 2.0.5 (page 462).
Call debug screen 0. Per the Figure below, WITHOUT LOOKING AWAY, watch the UF Pump’s ‘dot’ for
forty five (45) seconds. Does it EVER BLINK between white and blue?
No The UF ‘dot’ does NOT blink! See procedure number FIL- 2.0.6 (page 463).
b) During this procedure you will look for air again through the INPUT TUBING at Chamber #69 but THIS
TIME while the Pressure Test’s “Get Neg TMP” AND “Neg Flow On” banners are up as this is when air
may be pulled in through a leak somewhere!
1) IF the [Pressure Test] button is BLUE: A) Press [Pressure Test]; B) Press ‘Enter’; C) Allow
the “Test: (Remove Air)” banner to expire THEN; D) IMMEDIATELY watch for air bubbles at
Chamber #69 for two (2) minutes!
Yes Air seen! Proceed to page 475, procedure number FIL- 5.0.0.
No air seen! Allow the tests to finish then one (1) more minute BEFORE performing parts A through
H below:
A) Call the Home screen. Set [UF GOAL] to 1000 ml; Set [UF Time] to 1:00 hr.
B) Press ‘Enter’.
D) Turn the Blood Pump on so that it is rotating at more than 100 ml/min.
F) Press the front panel’s UF on/off key. The green lamp MUST stay on solid!
G) When TMP* reaches 280 turn UF off IMMEDIATELY (i.e. UF lamp OFF)!
H) At Chamber #69’s INPUT tubing, IMMEDIATELY watch for air again. Air seen?
Yes Air seen! Proceed to page 475, procedure number FIL- 5.0.0
No air seen! If you were prompted to Troubleshooting Filling Programs the original
problem may still be occurring OTHERWISE do NOT continue!
b) Are BOTH in range AND stable i.e. not changing more than 0.1 per minute?
Yes BOTH 5V and 12V within range AND stable! See procedure number FIL- 2.3.0 (page 464).
B) Behind the card cage, ENSURE the 24V POWER harness has remained plugged in.
a) FIGURE BELOW, inside the distribution board, unplug the female Air Sensor’s connector i.e. 4th
Connector, 5th position from the left. If present, DO NOT unplug the CBE board, under the connector!
b) Using a flashlight, ENSURE no corrosion or damaged pins inside the distribution board!
c) Per the Figure next page, place a resistor plug, from the FOUR-RESISTOR SET into the Air
Sensor’s distribution board position! If CBE equipped, using a flashlight, ENSURE the
resistor covers ALL CBE board pins, especially the top pin!
Parts d and e next page
e) Based on debug screen 1’s FILACT now, TWO (2) possible scenarios:
1) IF (and ONLY if) FILACT ALWAYS = 0: See procedure number FIL- 2.4.0 (page 466).
A) ENSURE the plug is placed PROPERLY in the Air Sensor’s position! If CBE equipped, using a
flashlight, ENSURE the plug covers ALL CBE board pins, especially the top pin! If FILACT
remains = 1 see part B! If FILACT now = 0 always see procedure number FIL- 2.4.0 (page
466).
B) Use a different plug! If FILACT remains = 1 see part C. If FILACT = 0 always see procedure
number FIL- 2.4.0 (page 466).
C) SIX (6) possible bad components: 1) CBE board a; 2) Sensor Boardb; 3) Sensor Board cablec ;
4) Functional Board b; 5) Distribution board; 6) Motherboard.
a A) Swap in a known good CBE board; B) Return the resistor plug PROPERLY to the Air
Sensor’s distribution board position! C) Return to Dialysis Program (‘Dialysis’ → ‘Enter’);
C) From debug screen 1, if FILACT now = 0 the previous CBE board may be bad.
b A) Swap in a known good board; B) For each board, to prevent “Cond Offset” Failure”,
place the machine into T and C Mode (refer to OPERATING MODES, page 19); C) Return
to Dialysis Program; D) From debug screen 1, if FILACT now = 0 the previous board is bad.
c Swap in a known good cable OR it can be checked. NOTE that one (1) AIR SENSOR
connection will be checked and proceed to page 569, SECTION 17 - CHECKING THE
SENSOR BOARD CABLE
a) Call debug screen 6 to locate BC Switch (middle column). If EVER = 897 or more,
even just once, indicates a Flow Error! In any event see part b.
b) WITHOUT LOOKING AWAY, watch BC Switch for two (2) minutes. TWO (2) possible scenarios:
1) IF BC Switch is NEVER 897 or more! See procedure number FIL- 2.4.2 (page 466).
2) IF BC Switch = 897 or more, even just once! Proceed to page 23, SECTION 1- FLOW
ERRORS IN DIALYSIS PROGRAM.
c) Call debug screen 1. WITHOUT LOOKING AWAY, watch FILACT for two (2) minutes OR until if it
EVER = 1! TWO (2) possible scenarios:
Yes FILACT remains = 0! Leaving the wires connected together proceed to page 468,
procedure number FIL- 3.0.0.
1) IF FILACT ALWAYS = 0: Problem solved! The previous Air Sensor Connector is bad!
2) IF FILACT EVER = 1: Leaving the wires connected together perform parts A through E below:
Component List: 1) CBE board; 2) Sensor board; 3) Sensor board cable; 4) Functional
board ; 5) Distribution board; 6) Motherboard
C) If the time comes to swap in the Sensor or Functional board, for each board, to prevent “Cond
Offset” Failure”, place the machine into T and C Mode (refer to OPERATING MODES (page
19)).
D) Turn the machine on and return to Dialysis Program (“Select Program →‘Dialysis’ → ‘Enter’).
E) Call debug screen 1. Watch FILACT for three (3) minutes. If it REMAINS = 1 return to part A
and swap in the next component in the list. When FILACT remains = 0 the last component
swapped in is the problem.
This procedure creates Venous Pressure to ensure Valve #25 remains open for the subsequent test:
a) From the Home screen, set [Dialysate Flow] to “OFF” and press ‘Enter’!
b) Call debug screen 0. ENSURE all eight (8) balancing chamber valves (#31 through #38) ‘dots’ are
REMAINING white (Flow is Off)!
d) Figure below, attach a syringe, with a piece of tubing attached that will fit SNUG to the Level
Detector’s INNER Pven port.
f) Push on the syringe plunger until VEN (middle column) is between 400 and 450.
h) If VEN falls more than three (3) mmHg in thirty (30) seconds there is a leak at the Pven port OR inside
the module.
i) Leaving the clamp in place to keep VEN at more than 400, see procedure number FIL- 3.1.0 (page
469).
Yes -250 mmHg achieved. Clamp the Four Ways’s ‘to syringe’ tubing segment to hold the
pressure then see procedure number FIL- 3.2.0 (page 469).
No -250 mmHg COULD NOT be achieved! ENSURE the transducer protector, at the meter, is
not wet OR consider replacing it! If OKAY, see procedure number FIL- 3.3.0X (page 469).
Watch the meter for one (1) minute. Does pressure HOLD +/- 15 mmHg for one (1) minute?
Yes Pressure holds! Proceed to page 470, procedure number FIL- 3.5.0.
No Pressure DOES NOT hold! See procedure number FIL- 3.3.0X (page 469).
FIL- 3.3.0X PRESSURE NOT ACHIEVED OR DID NOT HOLD / ISOLATE FOUR-WAY
Yes -250 achieved and HOLDS! IMPORTANT! Remove BOTH clamps from both Four-Way
Dialysate Line segments and proceed to page 509, procedure number TMP- 4.0.0
No Either the transducer protector at the meter is wet OR a Four-Way tubing connection is leaking.
Locate and repair the problem then return to (ABOVE) procedure number FIL- 3.0.0 (page
468).
c) Figure right, separate the Air Sensor Connector’s brown and blue
wires. This eventually causes a Filling Program!
1) IF (and ONLY if) 600 ml or more collected: See procedure number FIL- 3.6.0 (page 471).
2) IF less than 600 ml collected: ENSURING [Dialysate Flow] is set to 300 ml/min, perform parts a
AND b below:
a) Figure below, CAREFULLY trace the wire harness from distribution board positions “X9, P-
Dial” AND “X10, CFS” to ENSURE they terminate at the correct Pressure Transducer. If NOT,
this may be the problem!
b) With [Dialysate Flow] set to 300 ml/min, ENSURE a good drain connection by either ‘listening’ for drain
flow or visually verifying it!
c) Return the Air Sensor Connector’s wires to their male probes on top of
Chamber #69 i.e. brown on top; blue on bottom!
h) Call debug screen 1. WITHOUT LOOKING AWAY, watch FILACT for up to two (2) minutes or until it
EVER = 1 even just once. TWO (2) possible scenarios:
1) IF (and ONLY if) FILACT EVER = 1: See procedure number FIL- 3.6.2 (page 472).
Figure below, watching for two (2) minutes, are air bubbles seen MOVING INTO Air Removal Chamber #69
now?
Yes Air seen! Proceed to page 534, SECTION 11 - INDUCED AIR LEAK TESTS to locate the
source of the air leak!
No No air seen! Watch FILACT again for one (1) minute or until it EVER = 1! THREE (3) possible
scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) FILACT always = 1 (NEVER = 0): See procedure number FIL- 3.7.0
(page 473).
2) IF (and ONLY if) FILACT now REMAINS = 0: Proceed to page 474, procedure number
FIL- 4.0.0
b) If a leaking Balancing Chamber valve was not located in part a, return to Dialysis
Program and, with [Dialyysate Flow] at 800 ml/min, wait until the external flow
indicator’s bob moves up and down (i.e. good Temp and Cond).
c) Call debug screen 1. Watch FILACT again for one (1) minute or until it EVER = 1.
TWO (2) possible scenarios:
B) SEVEN (7) possible bad components (see Component List below). One at a time, swap in each with
known good then, in between, continue with parts C through H to test each new component until
FILACT REMAINS = 0.
D) If the time comes to swap in Chamber #69’s cap BE SURE to attach the
female Air Sensor’s Connector’s blue and wires to the new caps male
probes.
F) From the Home screen, allow [Conductivity] to increase to at least 13.0 mS.
H) Call debug screen 1. Watch FILACT for three (3) minutes. If EVER = 1 return to part A and swap in the
next component in the list. When FILACT remains = 0 the last component swapped in is the problem.
Call the Home screen. If the TMP window is RED (Figure right) a TMP alarm
is present. TWO (2) possible scenarios:
1) IF (and ONLY if) the TMP window is WHITE: See procedure number
FIL- 4.0.2 (page 474).
a) Press and release the ‘Reset’ key then immediately press and hold it for three (3) seconds.
c) If a TMP alarm reoccurs perform parts a and b up to twice more BEFORE continuing to part d.
d) Allow thirty (30) seconds then see procedure number FIL- 4.0.2 (page 474).
TMP is STABLE if the TMP window REMAINS white AND does NOT change more than 60 mmHg in three
(3) minutes. TWO (2) possible scenarios:
1) IF (and ONLY if) TMP is STABLE: ASSUMING all procedures were performed correctly (i.e. no
air seen at Chamber #69) AND if (and ONLY if) FILACT continues to = 1 intermittently, see
(ABOVE) procedure number FIL- 3.7.0 (page 473).
a) A procedure, in different Section, is performed next. NOTE this page and procedure number
(FIL- 4.0.2) as you may prompted to return here.
b) Before continuing to part b, proceed to page 572, to perform SECTION 18A – DIAGNOSTIC
VALVE LEAK TESTS.
c) If balancing chamber valve leak WAS NOT located in part b, proceed to page 483,
SECTION 9- TMP PROBLEMS
Call debug screen 1. Look at FILACT (middle column). TWO (2) possible scenarios:
1) IF (and ONLY if) FILACT = 0: See procedure number FIL- 5.1.0 (page 476).
a) Figure below, place one of the resistor plugs, from the FOUR-RESISTOR SET into Air Sensor
Connector’s distribution board position.
b) If (and ONLY if) the plug is placed PROPERLY FILACT, within two(2) minutes = 0 ALWAYS!
a) From the Home screen, set [Dialysate Flow] to “OFF” and press ‘Enter’!
b) Call debug screen 0. ENSURE all eight balancing chamber valves (#31 through #38) ‘dots’ are
REMAINING white (Flow is Off)!
d) Per the Figure below, attach a syringe with a piece of tubing attached that will fit SNUG to the
Level Detector’s INNER Pven port.
e) Call debug screen 1. Push on the syringe plunger until VEN (middle column) is
between 400 and 450.
g) If VEN falls more than 3 mmHg in 30 seconds there is a leak at the Pven port OR inside the module.
h) Leaving the clamp in place to keep VEN at more than 400, see procedure number FIL- 5.2.0 (page
477).
h) PULL on the syringe plunger. Can you achieve between -245 and -255 mmHg on the external meter?
Yes -250 mmHg achieved! Clamp the four ways’s ‘to syringe’ tubing segment to keep the
pressure then see procedure number FIL- 5.3.0 (page 477).
No COULD NOT achieve 250 mmHg! ENSURE the transducer protector, at the meter, is not wet
OR consider replacing it. If OKAY, proceed to page 478, procedure number FIL- 5.4.0.
Watch for one (1) FULL minute. Does pressure HOLD +/- 15 mmHg?
Yes Pressure holds! Proceed to page 479, procedure number FIL- 5.5.0.
No Pressure DOES NOT hold! See procedure number FIL- 5.4.0 (page 478).
Yes -250 achieved and HOLDS! IMPORTANT! Remove BOTH clamps from both Four-Way
Dialysate Line segments and, leaving [Dialysate Flow] off, proceed to page 509, procedure
number TMP- 4.0.0.
No CANNOT achieve or hold -250! Either the transducer protector at the meter is wet OR a Four-
Way tubing connection is leaking! See parts A and B below!
b) Figure right, if (and ONLY if) Valve #25’s ‘dot’ is BLUE continue
to part c. If NOT blue return to (ABOVE) procedure number
FIL- 5.1.0 (page 476).
c) Figure right, look at screen 0’s PDial data window. TWO (2)
possible scenarios:
1) IF (and ONLY if) PDial AGREES with the external meter within +/- 35: Proceed to page
482, procedure number FIL- 7.0.0.
2) IF PDial DOES NOT agree with the external meter within +/- 35: See procedure number
FIL- 6.0.0 (page 480).
a) To prevent wetting the meter’s transducer protector clamp the ‘to meter’ tubing segment!
b) From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’.
c) Enter Service Mode → Calibrate Sensors → Dialysate Pressure. The screen says “1. Connect a
pressure gauge in line…”. The “gauge” (meter) is ALREADY connected!
e) Press ‘Enter’. The screen says “3. Press the [Dialysate Flow on/off] key…”.
f) Press the screen’s “Dialysate Flow On” button, it turns dark blue
g) Press ‘Enter’! ENSURE the button says “Dialysate Flow Off” AND the external flow indicator is NOT
moving (Flow is off).
i) Using the syringe, adjust pressure until the external meter reads 0 +/- 2 mmHg.
a) Press ‘Enter’. The screen now says “6. Pressurize until dialysate pressure reads -250 mmHg….”.
b) PULL on the syringe plunger to achieve between – 245 and -255 mmHg on the external meter.
e) Press ‘Enter’.
1) IF (and ONLY if) an “Operator Error” occurred: See procedure number FIL 6.2.0 (page 481).
a) ENSURE the transducer protector, at the external meter, is not WET or consider replacing it!
b) Return the Dialysate lines to the shunt and close the door.
d) Turn the machie on and return to Dialysis Program (“Select Program” →‘Dialysis’ → ‘Enter’)!
g) Read before performing! Return to (ABOVE) procedure number FIL- 6.0.0 (page 480). If (and
ONLY if) you return to FIL- 6.2.0, because “Operator Error” reoccurs, one at a time, swap in the
listed components (see Component List below), and in between, return to procedure number
FIL- 6.0.0 (page 480) until “Operator Error” does not reoccur indicating the last component swapped
in is the problem.
Component List: 1) Dialysate Pressure Transducer #9a; 2) Sensor Boardb; 3) Actuator-Test Board;
4) Functional Board; 5) Sensor Board cable; 6) Distribution board.
a
To LOCATE Transducer #9 refer to Figure 6 (page 22).
b
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to
OPERATING MODES (page 19))
e) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’
Yes Air seen! Proceed to page 534, SECTION 11 - INDUCED AIR LEAK TESTS
No air seen! Call debug screen 1. WITHOUT LOOKING AWAY watch FILACT (middle column)
for up to two (2) minutes. If EVER = 1, even just once, indicates a Filling Program!
TWO (2) possible scenarios:
A) If the drain tubing is transparent, look through its ENTIRE length for bio-growth restrictions.
B) Call the Home screen. [Venous Pressure] MUST BE between -10 and 10 mmHg!
C) The Treatment Clock (Figure right) MUST be off i.e. “Tx Paused”!
D) ENSURE [Dialysate Flow] has been on and set to at least 500 ml/min, for six (6)
minutes.
E) If the Automated Tests are running (screen reads “Test:.…”) allow them to finish!
F) Remove the ‘dummy venous chamber’ from the Level Detector module till
instructed!
J) Is the external flow indicator’s ‘bob’ moving at least ¼ up the sight tube?
Yes ‘Bob’ moving! See procedure number TMP- 1.0.0 (page 485).
2) IF Flow Error EVER = 1: Proceed to page 23, SECTION 1, FLOW ERRORS IN DIALYSIS
PROGRAM.
L) Call the Home screen. [Temperature] MUST be STABLE* between 35.0 and 38.9° C; [Conductivity]
MUST be STABLE* between 13.0 and 14.5 mS!
O) Press ‘Enter’.
Yes ‘Bob’ moving! See procedure number TMP- 1.0.0 (page 485).
a) From the Home screen, ENSURE [Dialysate Flow] remained at 500 ml/min!
Yes ‘Bob’ moving! See procedure number TMP- 1.0.0 (page 485).
No ‘Bob’ NOT moving! ENSURE Valve #24’s ‘dot’ is REMAINING BLUE! If (and
ONLY if) ‘bob’ is still NOT moving, proceed to page 23, SECTION 1 - FLOW
ERRORS IN DIALYSIS PROGRAM.
a) Small air leaks cause BIG problems! TWO (2) checks. Be THROUGH!
CHECK #1: Using a flashlight, ENSURE no air bubbles, moving into the machine, through the acid
and bicarb inlet tubing! If air is seen there is a problem with a concentrate connector!
CHECK #2: ENSURE the external flow indicator’s (sight tube) fittings are tight!
1) IF (and ONLY if) FILACT EVER = 1: Proceed to page 453, procedure number FIL- 1.0.0.
1) IF (and ONLY if) PDIA AND ADIA REMAINING between 2.0 and 7.5: Proceed to page
487, procedure number TMP- 1.0.3.
2) IF PDIA AND / OR ADIA is IS NOT remaining between 2.0 and 7.5: See parts a
THROUGH e below:
a) Momentarily plug the acid concentrate into its rinse port to call “Select Program”!
c) Press the screen’s ‘Dialysis’ button but DO NOT press ‘Confirm’ or ‘Enter’ till
instructed!
d) Call debug screen 0. If parts a through c were performed correctly the TOP balancing
chamber valves, #31 through #34, ‘dots’ REMAIN BLUE!
e) Call debug screen 4 to watch PDIA (left column) AND ADIA (right column) for one (1)
minute. TWO (2) possible scenarios:
1) IF (and ONLY if) PDIA AND ADIA are remaining between 3.0 and 6.0 AND DO
NOT change more than 0.1 i.e. stable: See procedure number TMP- 1.0.2 (page
486).
2) IF PDIA AND / OR ADIA is IS NOT between 3.0 and 6.0 OR is NOT stable: See
parts a AND b below:
b) Continuous flow, more than 0.2 ml per minute, from the connector?
Yes Continuous flow! A) Return the connector to the shunt and close the door;
B) Turn the machine OFF; C) Proceed to page 572, SECTION 18A –
DIAGNOSTIC VALVE LEAK TESTS.
c) Figure right, watch Valve #41’s ‘dot’ for one (1) minute.
It should stay white! TWO (2) possible scenarios:
TMP- 1.0.2 PDIA AND ADIA STABLE BETWEEN 3.0 AND 7.0
b) Press ‘Enter’.
Yes bibag attached! a) Without turning [Dialysate Flow] off, remove the bibag!
b) Plug the BLUE concentrate connector into known good LIQUID bicarb!
a) ENSURE the Loading Pressure gauge (yellow connector) reads 0 psi before inserting it!
b) SLAM* the gauge into the red Acetate/Acid rinse port. * ELSE pressure will not be read correctly!
c) Loading Pressure is ‘OKAY’ if it achieves a PEAK of between 23 and 25 psi AND never cycles below
11 psi.
d) Watch the gauge for one (1) FULL minute. FOUR (4) possible scenarios 1) or 2) or 3) or 4) below:
1) IF (and ONLY if) pressure REMAINS ‘OKAY’: See procedure number TMP- 1.0.5 (page 488).
2) IF (and ONLY if) peaking to MORE THAN 26 psi: Turn Valve #65’s nut (see Figure next page)
counterclockwise (outward). If PEAK pressure CAN be adjusted to between 23 and 26 psi, see
procedure number TMP- 1.0.5 (page 488). If (and ONLY if) it CANNOT Valve #65 may be bad.
3) IF (and ONLY if) peaks to between 18 and 22 AND is NEVER less than 11 psi: Adjust Valve
#65’s nut (see Figure next page). Clockwise increases pressure! If (and ONLY if) PEAK pressure
CAN be adjusted to between 23 and 25 psi proceed to page 489, procedure number
TMP- 2.0.0. If it CANNOT proceed to page 33, procedure number F- 1.0.7.
4) ALL other scenarios: ENSURING the gauge was SLAMMED into the Rinse Port proceed to
page 33, procedure number F- 1.0.7.
d) Figure right, tee the gauge into the Inlet (clear tubing)
side of the Deaeration Pump.
f) Is Deaeration Pressure OKAY? Refer to Appendix A (page 757) for what pressure should be.
Yes Deaeration pressure OKAY! See procedure number TMP- 2.0.0 (page 489).
No Deaeration Pressure in NOT OKAY! ENSURING a “No Water” alarm is NOT presenting,
NOTE this page number, as you will return here, THEN proceed to page 543, SECTION 13
- DEAERATION PROBLEMS.
e) Turn the water on and allow the “No Water” alarm to go away!
h) Place the machine into RINSE to pressurize the secondary hydraulic circuit!
ENSURE a “No Water” alarm does NOT occur!
i) Unless a leak is immediately seen allow one (1) minute BEFORE continuing to procedure number
TMP- 2.0.1 (page 490).
Small external leaks cause BIG problems! For the following USE A FLASHLIGHT! FEEL AROUND!
NOTE! Not being THROUGH may cost unnecessary troubleshooting time!
CHECK #3: Figure right, ENSURE no leaks from inside the DiaSafe®
Filter housing and its tubing
b) Figure below, any water seen coming through Diasafe® Filter #92*?
a) Figure below, ENSURE no leaks at the UF, Acid and Bicarbonate (Bic) Pumps!
a) Figure below, inside the distribution board, the Air Sensor’s female Connector i.e. 4th
CONNECTOR, 5th position from the LEFT. NOTE! If the machine is CBE equipped the
Connector plugs into the CBE board which positions it two pins higher than the other
connectors!
b) Unplug the female Air Sensor’s connector but DO NOT remove the ‘CBE board’!
1) IF (and ONLY if) FILACT now = 1: A) Return the Air Sensor’s female connector PROPERLY to
its distribution board position; B) See procedure number TMP- 2.0.5 (page 495).
a) BEFORE continuing to part b, NOTE this page number then perform INITIAL CHECKS (page
7)!
b) With the Air Sensor’s Connector remaining unplugged until FILACT = 1!, FIVE (5)
possible bad components: 1) CBE board; 2) Sensor Board *; 3) Functional Board**;
4) Distribution board; 5) Motherboard.
* A) With the machine off, swap in a known good Sensor Board (see Figure 4A, page 10): B) Place the
machine into T and C Mode (refer to OPERATING MODES, page 19); C) With the Air Sensor’s
Connector remaining unplugged, return to Dialysis Program (“Select Program” → ‘Dialysis’ →
’Enter’); D) From debug screen 1, if FILACT = 1 now the previous Sensor Board is bad.
** A) With the machine off, swap in a known good Functional Board (see Figure 4A, page 10) then; B)
Place the new Functional Board into T and C Mode; C) With the Air Sensor’s Connector remaining
unplugged, return to Dialysis Program; D) From debug screen 1, if FILACT = 1 now the previous
Functional Board is bad.
This procedure ENSURES Valve #43 is not sticking closed AND allows Conductivity to increase:
1) IF (and ONLY if) Flow Error EVER = 1 even if only once: Proceed to page 23, SECTION
1, FLOW ERRORS IN DIALYSIS PROGRAM.
a) From the Home screen, allow [Conductivity] to stabilize between 13.0 and 14.5 mS!
b) Call debug screen 1. Allow FILACT = 0 ALWAYS. NOTE! If FILACT DOES NOT = 0, after
two (2) minutes, most likely the female Air Sensor connector IS NOT plugged in PROPERLY!
a) Figure right, ENSURE the lamp above the front panel’s UF on/off key is
OFF i.e. UF is OFF!
c) Figure right,
WITHOUT LOOKING
AWAY, watch the UF
Pump’s ‘dot’ for forty five
(45) seconds. It should
REMAIN white. Does it
EVER ‘blink’ to blue (Yes
or No)?
1) IF (and ONLY if) NO fluid output from the nozzle! A) Reattach the tubing!
B) See procedure number TMP- 2.0.7 (page 496).
2) IF fluid output from the nozzle! TWO (2) possibilities: 1) The UF Pump is
upside down! OR; 2) Incorrectly installed OR bad UF Pump seals/springs.
Yes Qdl REMAINS between 720 and 880! See procedure number TMP- 2.0.9 (page 497).
No Qdl DOES NOT REMAIN between 720 and 880! See parts a THROUGH c below:
a) Call the Home screen to ENSURE [Dialysate Flow] remains at 800 ml/min!
b) Press the “1” key for five (5) seconds THEN allow forty five (45) seconds BEFORE
continuing to part c!
c) Return to debug screen 5. Does Qdl NOW REMAIN between 720 and 880 ml/min?
Yes REMAINS between 720 and 880! See procedure number TMP- 2.0.9 (page
497).
No DOES NOT remain between 720 and 880! Call debug screen 0 to watch Flow
Error for three (3) minutes. If it EVER = 1 proceed to page 23, SECTION 1-
FLOW ERRORS IN DIALYSIS PROGRAM. If ALWAYS = 0 a restriction is
indicated. Try replacing the DiaSafe® filter, rinse the machine for five (5) minutes,
then return to (ABOVE) procedure number TMP- 2.0.5 (page 495). If you return
here there may a restriction to the drain.
Yes REMAINING white! Proceed to page 499, procedure number TMP- 2.0.16.
a) Attempt the TMP ALARM RESET SEQUENCE up to twice BEFORE continuing to part b.
b) Allow thirty (30) seconds! What color is the TMP window now? TWO (2) possible scenarios
next page:
a) TMP is UNSTABLE if ANY one or more of the three (3) following conditions occur:
Condition #2: If TMP DOES NOT remain between 0 and negative 450 mmHg (i.e. no ‘+’ sign)
Condition #3: If TMP changes more than 40 mmHg in one (1) minute
b) Is TMP UNSTABLE?
Yes TMP is unstable! Proceed to page 499, procedure number TMP- 2.0.16.
No TMP is STABLE! i.e. no ‘+’ sign AND TMP is between 0 and 450 AND DOES NOT change
more than 40. See procedure number TMP- 2.0.11 (page 498).
a) Press and release the ‘Reset’ key then immediately press and hold it for three (3) seconds.
b) Allow thirty (30) seconds. What color is the TMP window now? TWO (2) possible scenarios:
b) If (and ONLY if) BOTH conditions exist AND after multiple RESET attempts the TMP window
remains RED, FOUR (4) possible bad components: 1) Actuator-Test Board OR; 2) Sensor
Board1 OR; 3) Functional Board1 OR; 4) Motherboard.
1
To prevent “Cond Offset Failure” place the machine into T and C Mode (refer to
OPERATING MODES (page 19).
d) Leaving Flow OFF till instructed, see procedure number TMP- 2.0.17 (page 499).
This procedure creates Venous Pressure (VEN) to keep Valve #25 open for subsequent tests!
a) Figures below, attach a syringe with a piece of tubing attached that will fit SNUG to the Level Detector’s
INNER Pven port.
b) Call debug screen 1. Push on the syringe plunger until VEN (middle column) is
between 400 and 450.
d) If VEN falls more than 3 mmHg in thirty (30) seconds there is a leak at the Pven port OR inside the
module.
e) Leaving the clamp in place to keep VEN more than 400 see procedure number TMP- 2.2.5 (page 500).
h) PULL on the syringe plunger. Can you achieve between -245 and -255 mmHg on the meter?
Yes -250 +/- 5 mmHg achieved! Clamp the ‘to syringe’ tubing segment to HOLD the pressure
then see procedure number TMP- 2.2.6 (page 500).
No CANNOT achieve -250 +/- 5 mmHg! ENSURE the transducer protector, at the meter, is not
wet OR consider replacing it! If OKAY, see procedure number TMP- 2.2.7X (page 500).
Does meter pressure HOLD, +/- 15 mmHg, for one (1) minute?
Yes Pressure HOLDS! Proceed to page 502, procedure number TMP- 2.2.8.
No Pressure DOES NOT hold! See procedure number TMP- 2.2.7X (page 500).
TMP- 2.2.7X -250 COULD NOT BE ACHIEVED OR IT DID NOT HOLD / ISOLATE FOUR-WAY
No -250 could not be achieved or it DID NOT hold! Either the transducer protector is wet OR a
Four-Way assembly tubing connection is leaking! See parts A and B below:
A) Locate and repair the leak. Consider using another Four-Way assembly!
b) Figure right, if (and ONLY if) Valve #25’s ‘dot’ is BLUE continue
to part c. If NOT blue, return to (ABOVE) procedure number
TMP- 2.0.17 (page 499).
c) Figure right, look at screen 0’s PDial data window. TWO (2)
possible scenarios:
1) IF (and ONLY if) PDial AGREES with the external meter within +/- 30: See procedure number
TMP- 2.3.0 (page 502).
2) IF PDial DOES NOT agree with the external meter within +/- 30: Proceed to page 513,
procedure number TMP- 6.0.0.
d) PULL again. Can you make screen 0’s PDial reach at least -520 mmHg?
Yes -520 at PDial! See procedure number TMP- 2.3.1 (page 502).
No Cannot achieve -520! Proceed to page 513, procedure number TMP- 6.0.0.
a) Remove the syringe and ALL clamps to open the four way to atmosphere!
b) ENSURING the transducer protector, at the meter, is NOT wet, does screen 0’s PDial = 0 +/- 40?
Yes PDial = 0 +/- 40! See procedure number TMP- 2.3.2 (page 503).
No PDial IS NOT between 0 and 40! Proceed to page 513, procedure number TMP- 6.0.0.
a) CLAMP the external meter’s tubing segment! The external meter is invalid during the next test!
b) SLOWLY PUSH on the syringe plunger until screen 0’s PDial is between positive (+)300 and (+)325!
WARNING! DO NOT exceed +325 mmHg!
c) Clamp the Four-Way Assemblies ‘to syringe’ tubing segment. Does PDial HOLD +/- 25 for one (1)
minute (Yes or No)?
Yes PDial HOLDS +/- 25 mmHg per minute! See parts a AND b below:
a) Return the dialyzer lines to the shunt and CLOSE THE DOOR!
TMP- 2.3.3 PDIAL DOES NOT HOLD / ISOLATE POSITIVE PRESSURE LEAK
a) Return the dialyzer lines to the shunt AND CLOSE THE DOOR!
b) A procedure, in a different Section, is performed next. NOTE this page and procedure number
(TMP- 2.3.3) as you may prompted to return here.
c) BEFORE continuing to part d, proceed to page 541, to perform SECTION 12 - INDUCED POSITIVE
PRESSURE TESTS.
d) If a leak was not located in part c, check the Four Way for a positive pressure leak!
e) Place the machine in HEAT DISINFECT and allow Temperature to increase to more than 70° C!
f) CAREFULLY check the hydraulic compartment, the ENTIRE LENGTH of the dialyzer lines, and the
DiaSafe® housing for external leaks.
a) A procedure, in different Section of the Guide, is performed next. NOTE this page and procedure number
(TMP 1.3.4) as you may prompted to return to here.
b) BEFORE continuing to part c, proceed to page 572, to perform SECTION 18A – DIAGNOSTIC VALVE
LEAK TESTS.
c) If a leaking Balancing Chamber Valve was not located in part b, was the DiaSafe® filter replaced in THIS
troubleshooting session?
Yes The DiaSafe® filter was replaced! See procedure number TMP- 2.3.5 (page 504).
No The DiaSafe® filter WAS NOT replaced! See parts a THROUGH c below:
b) IMPORTANT! From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’!
c) Allow [Conductivity] to stabilize between 13.0 and 14.5 mS.
d) ENSURING [Dialysate Flow] remains at 500 ml/min, allow the flow indicator’s ‘bob’ to begin rising and
falling in the sight tube.
f) If necessary, reset a TMP alarm up to twice, allowing thirty (30) seconds between each reset, BEFORE
continuing to part g.
g) TMP is STABLE if (and ONLY if) the TMP window REMAINS white AND TMP does NOT change more
than 60 mmHg in three (3) minute. TWO (2) possible scenarios:
1) IF (and ONLY if) TMP is STABLE: See procedure number TMP- 2.3.6 (page 504).
2) IF TMP is UNSTABLE: Assuming ALL procedures were performed correctly AND ENSURING
debug screen’s Flow Error is NEVER, EVER = 1, Dialysate Pressure Transducer #9* may be bad
intermittent.
An immediate problem cannot be located. If the ORIGINAL problem was Failing the TMP alarms test
consider replacing the Dialysate Pressure Transducer #9.* * To LOCATE Transducer #9 refer to Figure 6
(page 22).
a) Figure below, trace the cable from distribution board position X9, “PDIAL” to the (blue) Dialysate
Pressure Transducer (#9) to ENSURE it has not been reversed connected with another hydraulic
component.
b) From the Home screen, set [Dialysate Flow] to “OFF” and press ‘Enter’
c) Call debug screen 1. ENSURE FLWP = 255 constant i.e. Dialysate Flow is “OFF”.
d) Remove BOTH dialyzers connector from the shunt door and place them at dialyzer level.
f) Call debug screen 10. Is ACFS (right corner) between 3.5 and 6.0?
Yes ACFS between 3.5 and 6.0! See procedure number TMP- 3.1.0 (page 506).
No ACFS IS NOT between 3.5 and 6.0! Proceed to page 507, procedure number TMP- 3.4.0.
This procedure uses the CFS transducer (known good) to check the dialysate pressure transducer circuit.
e) From debug screen 10, is PDIA (middle column) between 3.5 and 6.0?
Yes PDIA between 3.5 and 6.0! Dialysate Pressure Transducer #9 is bad.
No PDIA is NOT between 3.5 and 6.0! Perform parts A THROUGH E below:
A) Leave CFS (#10) plugged into “X9, PDIAL” for parts B through E.
C) One at a time, swap in the listed components, (see COMPONENT LIST below), with
known good and in between, until PDIA is between 3.5 and 6.0 indicating the last
component swapped in is bad!
E) If screen 10’s PDIA is now between 3.5 and 6.0 the last component swapped in was the
problem. If PDIA is NOT between 3.5 and 6.0 return to part B.
From debug screen 10, based on PDIA (middle column). TWO (2) possible scenarios:
1) IF (and ONLY if) PDIA = less than 4.0: See procedure number TMP- 3.5.0 (page 507).
2) IF PDIA = more than 6.0: Proceed to page 508, procedure number TMP- 3.6.0.
Yes PDIA increases to 9.0 or more! See procedure number TMP- 3.6.0 (page 508).
No PDIA DOES NOT increase to 9.0 or more! See parts A through E below:
C) One at a time, swap in the listed components (see COMPONENT LIST below), with known
good and in between perform parts D and E until PDIA is 9.0 or more indicating the last
component swapped in is bad!
1
To LOCATE the boards, refer to Figure 4A (page 10)
2
To prevent “Cond Offset Failure”, place the machine into T and C Mode (refer to
OPERATING MODES (page 19))
E) If screen 10’s PDIA is 9.0 or more the last component swapped in was the problem. If
PDIA is NOT 9.0 or more return to part A!
a) Referring to the note below, a known good1 pressure transducer, from your spare parts, is required to
isolate the dialysate pressure circuit.
1
On ANOTHER machine, that is not having TMP
problems, without attaching the tubing OR
mounting the spare parts transducer into the
hydraulics: 1) Plug it into distribution board position
X9, “PDIAL” (Figure right); 2) Call debug screen 10
and look at PDIA. A GOOD transducer will make it
read between 3.5 and 6.0.
f) On the malfunctioning machine, call debug screen 10. Is PDIA (middle column) between 3.5 and 6.0?
Yes PDIA between 3.5 and 6.0! The malfunctioning machine’s Dialysate Pressure Transducer
#9 is bad.
No PDIA IS NOT between 3.5 and 6.0! Perform parts A THROUGH E below:
C) One at a time, swap in the following components (see COMPONENT LIST below), with
known good then, in between perform parts D and E below until PDIA is between 3.5 and
6.0 indicating the last component swapped in is the problem.
1
To LOCATE the boards, refer to Figure 4A (page 10)
2
To prevent “Cond Offset Failure”, place the machine into T and C Mode (refer to
OPERATING MODES (page 19))
E) If screen 10’s PDIA is between 3.5 and 6.0 the last component swapped in is bad. If PDIA
still NOT between 3.5 and 6.0 return to part A.
a) Call debug screen 0. ENSURE all eight balancing chamber valves (#31 through #38) ‘dots’ are
REMAINING white i.e. Dialysate Flow OFF!
b) CAREFUL HERE! Per Figure 71 A (below), DOUBLE clamp the OUTPUT tubing at Valve #43’s
nozzle. NOTE! Valve #43’s output tubing extends towards the front of the machine!
c) Can you achieve between -245 and -255 mmHg and HOLD it (+/- 15 mmHg per minute) now?
Yes -250 mmHg achieved and HOLDS! TWO (2) possible bad components: 1) Valve #43;
2) Actuator-Test Board;
No -250 cannot be achieved and / or held! See procedure number TMP- 4.2.0 (page 510).
a) Open the shunt door to close valve #24 and #25. This isolates the external dialysate lines (see Figure
71 C (below)).
b) Attempt to achieve -250 mmHg then clamp the syringe tubing. Can you achieve -250 and HOLD it
(+/- 15 mmHg per minute) now?
Yes -250 mmHg achieved and HOLDS! Proceed to page 511, procedure number TMP- 4.4.0.
No -250 cannot be achieved and / or held! See procedure number TMP- 4.3.0 (page 510).
a) Trace the to and from dialyzer lines to where they attach to the rear
of the machine.
c) Can you achieve -250 mmHg and HOLD it (+/- 15 mmHg per minute)
now?
Yes -250 mmHg achieved and HOLDS! IMPORTANT! Remove the clamps then see
procedure number TMP- 4.4.0 (page 511).
No -250 cannot be achieved and / or held! FIVE (5) possibilities, 1) Leaking dialyzer quick
connectors and/or O-rings; 2) Leaking external flow indicator fittings; 3) Leaking optional
fluid sample port; 4) Leaking dialyzer line connections at the rear of the machine;
5) Leaking external dialysate line filter O-ring/housing.
b) CAREFUL HERE! Per Figure 72 A below, clamp the tubing attached to the rear side of Chamber #69
c) Can you achieve -250 mmHg and HOLD it (+/- 15 mmHg per minute) now (Yes or No)?
Yes -250 mmHg achieved and HOLDS! Remove ALL clamps! Chamber #69 OR its tubing OR
valve #43’s O-ring is leaking. Placing the machine in Rinse may help locate the leak. While in
Rinse allow ten (10) minutes to see a small leak then CAREFULLY check!
No --250 cannot be achieved and / or held! See procedure number TMP- 4.5.0 (page 512).
b) Can you achieve -250 mmHg and HOLD it (+/- 15 mmHg per minute) now (Yes or No)?
Yes -250 mmHg achieved and HOLDS! There is a leak between the top balancing chamber
valves (#31 through #34) and the DiaSafe® filter. Remove ALL clamps! Placing the machine
in RINSE may locate the leak but allow ten (10) minutes to see a small leak! If a leak is not
located, proceed to page 534, SECTION 11 - INDUCED AIR LEAK TESTS.
No -250 cannot be achieved and / or held! There is a leak between Chamber #69 and the valves
#24 and #25. Remove ALL clamps. SECTION 11 - INDUCED AIR LEAK TESTS (page 534)
may help locate the leak.
Figure 72 C – Isolation
Area
This is NOT a routine Dialysate Pressure calibration. Follow the procedures exactly to prevent making an
error!
a) To prevent wetting the meter’s transducer protector clamp the ‘to meter’ tubing segment!
b) From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’.
c) Enter Service Mode → Calibrate Sensors → Dialysate Pressure. The screen says “1. Connect a
pressure gauge in line…”. The “gauge” (meter) is ALREADY connected!
e) Press ‘Enter’. The screen says “3. Press the [Dialysate Flow on/off] key…”.
f) Press the screen’s “Dialysate Flow On” button, it turns dark blue and press ‘Enter’!
g) ENSURE the button says “Dialysate Flow Off” AND the external flow indicator is NOT moving i.e.Flow is
off).
i) Using the syringe, adjust pressure until the external meter reads 0 +/- 2 mmHg.
j) The screen’s [Dial Pressure Reference] window should be between 90 and 110?
Yes [Dial Pressure Reference] is between 90 and 110! Press ’Enter’ then see procedure
number TMP- 6.1.0 (page 514).
No [Dial Pressure Reference] is IS NOT between 90 and 110! Proceed to page 515,
procedure number TMP- 6.5.0.
A) The screen says “6. Pressurize until dialysate pressure reads -250 mmHg….”.
B) PULL on the syringe plunger to achieve negative between (-)245 and -255 mmHg on the external
meter.
E) The screen’s [Dial Pressure Reference] window should be between 130 and 150?
Yes [Dial Pressure Reference] is between 130 and 150! See part F.
No [Dial Pressure Reference] is IS NOT between 130 and 150! Proceed to page 515,
procedure number TMP- 6.5.0.
1) IF (and ONLY if) an “Operator Error” occurs: See procedure number TMP- 6.5.0 (page 515).
a) Press ‘Enter’ twice to save the calibration then turn the machine off.
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
d) Call the Home screen. Set [Dialysate Flow] to “OFF” and press ‘Enter’.
e) Call debug screen 0. ENSURE all eight balancing chamber valves (#31 through #38) are
REMAINING white (Dialysate Flow is OFF)! .
a) ENSURE the transducer protector, at the external meter, is not WET or consider replacing it!
b) Return the Dialysate lines to the shunt and close the door.
g) Read before performing! Repeat (ABOVE) procedure number TMP- 6.0.0 (page 513). If (and ONLY
if) you return to TMP- 6.5.0, because the problem reoccurs, swap in the listed components (see
Component List below), one at a time, in between returning to procedure number TMP- 6.0.0 (page
513) until the problem does not occur indicating the last component swapped in is bad!
Component List
1) Dialysate Pressure Transducer #9*; 2) Sensor Board; 3) Actuator-Test Board; 4) Functional Board;
5) Sensor Board cable; 6) Distribution board.
*
To LOCATE Transducer #9 refer to Figure 6 (page 22).
No Valve #28 stops leaking! Turn the machine off and replace the Actuator-Test Board.
The Pressure (Holding) Tests (PHT) checks the hydraulic system for leaks which could compromise
patient fluid removal! These procedures troubleshoot ALL PHT failures:
A) Per the Figure below, the Automated Tests consist of two (2) discrete tests: 1) Alarms Tests AND
2) Pressure Holding Tests (Negative and Positive). If a Pressure Test fails one or more of the
following messages are listed in the Test & Options screen:
*Fail Remove Air, *Fail Get Neg TMP, *Fail Neg Stabilize, *Fail Neg Flow On, *Fail Get Pos TMP,
*Fail Pos Stabilize, *Fail Pos Flow Off”.
B) Are the Tests CURRENTLY running i.e. screen says “ Test:…” OR “Testing”?
No DO NOT start the tests! Proceed to page 519, procedure number PHT- 1.5.0.
C) Figure right, has the “Get Neg TMP” banner been presenting
for LONGER THAN ninety (90) seconds?
Yes “Get Neg TMP” longer than ninety (90) seconds! See procedure number PHT- 1.0.0 (page
518).
No Allow the Tests to finish THEN proceed to page 519, procedure number PHT- 1.5.0.
1) IF (and ONLY if) the “Get Neg TMP” banner is still presenting Proceed to page
548, SECTION 14 – UF PUMP PROBLEMS
2) ALL OTHER banners: Allow the Tests to finish THEN proceed to page 519, procedure
number PHT- 1.5.0.
1) IF FILACT EVER = 1! A hydraulic air leak may be indicated! See procedure number PHT- 1.0.3
(page 518).
Yes “Get Neg TMP” presenting! See procedure number PHT- 1.0.3 (page 518).
No Allow the Tests to finish THEN proceed to page 519, procedure number PHT- 1.5.0.
a) Turn the machine off and remove the dummy chamber from the Level Detector module.
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
a) Call the Home screen. With the Level Detector’s Pven port vacant,
(Figure right) Venous Pressure MUST = 0 mmHg!
f) If screen says “Standby For Test” OR the tests are running (screen says “Test:…”) allow the tests to
finish then, even if they pass, see procedure number PHT- 1.5.1 (page 519).
b) From the Home screen, set [Dialysate Flow] to 500 ml/min and
press ‘Enter’’.
Check #3: Figure right, from the DiaSafe® filter housing and tubing
connections!
Check #4: ENSURE the external flow indicator’s (sight tube) fittings are tight!
B) Understanding Pressure Holding Test (PHT) theory (steps 1 – 5 below) aids troubleshooting. If already
familiar with PHT theory see procedure number PHT- 2.0.0 (page 521)
1) The Pressure Tests begin with “Remove Air”. This is a sixteen (16)
second Filling Program to purge air from the hydraulics. During this
time FILACT = 1 then should go to and remain = 0.
2) During “Get Neg TMP” the UF Pump strokes, every eight (8) seconds, to achieve
NEGATIVE PRESSURE. ATMP (Figure right) should increase to its TARGET of
more than negative 250 which causes the UF Pump to stop.
3) When “Neg Flow On” appears a thirty (30) second STABILIZATION period begins followed
immediately by a thirty (30) second HOLD period. During STABILIZATION ATMP should settle
between negative 250 and 450. During the HOLD period ATMP should not change more than
+/- 20!
IMPORTANT NOTE! If ATMP DOES NOT STABILIZE or HOLD the tests automatically repeat
steps #1 through #3 once.
4) During the brief “Get Pos TMP” the fresh side balancing chamber valves
momentarily open to achieve POSITIVE PRESSURE then all eight (8) balancing
chamber valves close and the flow pump turns off (i.e. Flow Off)! ATMP should go
to about positive (+)350.
5) When “Pos Flow Off” appears a twenty (20) second STABILIZATION period begins followed by a
thirty (30) second HOLD period. During STABILIZATION ATMP should settle between +180 and
+350. During the HOLD period ATMP should not change more than +/- 30!
b) At the bottom of the screen, press the [Test & Options] tab. TWO (2) possible scenarios:
1) IF the [Pressure Test] button is BLUE: Press [Pressure Test] THEN ‘Enter’ then
IMMEDIATELY see procedure number PHT- 2.0.1 (page 521).
2) IF the [Pressure Test] button is GRAY: Press [Both Tests] THEN ‘Enter’ THEN QUICKLY read
parts a AND b below:
a) Both Tests start with “Get Neg TMP”. If (and ONLY if) this initial “Get Neg TMP” period lasts
LONGER THAN two (2) minutes see ABOVE procedure number PHT- 1.0.0 (page 518). If “Get
Neg TMP” lasts less than two (2) minutes continue to part b.
b) ENSURE all tests above Negative Pressure Tests pass*. When “Conductivity Low Soft”
appears IMMEDIATELY see procedure number PHT- 2.0.1 (page 521).
* Other than Battery all other test failures above Negative Pressure may cause the Pressure
Tests to fail.
Yes “Get Neg TMP” longer than 90 seconds! See procedure number PHT- 2.0.2 (page 521).
ENSURING “Get Neg TMP” is still presenting watch FILACT for one (1) minute. Does
FILACT EVER = 1 indicating a possible hydraulic air leak?
Yes FILACT = 1 WHILE “Get Neg TMP” is up! Proceed to page 452, SECTION 8 – FILLING
PROGRAM PROBLEMS
1) IF (and ONLY if) “Get Neg TMP” is NOT presenting! See procedure number PHT- 3.0.0 (page 523).
b) Watch for TWO (2) minutes or until you see at least one
strong pulse that squirts into the room more than six (6)
feet (Yes or No)?
1) IF (and ONLY if) the “Get Neg TMP” banner is still presenting: Proceed to page
483, SECTION 9 – TMP PROBLEMS.
2) ALL OTHER banners: See procedure number PHT- 3.0.0 (page 523).
No Strong pulse(s) NEVER seen! Is the “Get Neg TMP” banner still presenting?
Yes “Get Neg TMP” still presenting! Proceed to page 548, SECTION 14 – UF PUMP
PROBLEMS
Allow the tests to finish! Do BOTH Pressure Tests (Positive and Negative) pass?
Yes BOTH pass! Proceed to page 527, procedure number PHT- 4.0.0.
No “Pressure Test Failed”! At the bottom of the screen, press the [Test & Options] tab. TWO (2)
possible scenarios:
1) IF “Fail: Remove Air” is listed: NOTE this THEN continue to procedure number
PHT- 3.1.0 (page 523).
2) ALL OTHER failure listings: See procedure number PHT- 3.1.0 (page 523).
c) Press the [Test & Options] tab THEN the [Pressure Test] button.
f) When “Neg Flow On” first appears a thirty (30) second STABILIZATION period begins. ATMP may be
initially unstable but should settle between -250 and -440!
NOTE: If “Remove Air” reappears the tests are REPEATING themselves AND FILACT will = 1 again.
In this event, allow “Neg Flow On” to reappear i.e. the repeat STABILIZATION period.
NOTE: If FILACT EVER = 1 (air sensed in the dialysate) during the repeat STABILIZATION period
NOTE this!
NOTE: If ATMP does not remain between -250 and -440 “Fail Neg Stabilize” will be listed in the Test
& Options screen possibly indicating a large air leak.
g) If ATMP remains between -250 and -440 a thirty (30) second HOLD period begins. “Neg Flow On”
remains up AND ATMP should not change more than +/- 20!
NOTE: If “Remove Air” reappears the tests are REPEATING themselves AND FILACT will = 1 again!
In this event, allow “Neg Flow On” to reappear then thirty (30) seconds for the HOLD period to
begin again.
NOTE: If FILACT EVER = 1 (air sensed in the dialysate) during the repeat HOLD period NOTE this!
NOTE: If ATMP does not HOLD +/- 21 “Fail Neg Flow On” will be listed in the Test & Options screen
possibly indicating a small air leak.
i) When “Pos Flow Off” appears a twenty (20) second stabilization period begins. ATMP should settle
between +180 and +350.
NOTE: If FILACT EVER = 1, even if only once, during “Pos Flow Off” NOTE this!
NOTE: If ATMP does not remain between +180 and +350 “Fail Pos Stabilize” will be listed in the Test
& Options screen possibly indicating an external fluid leak OR FILACT went to ‘1’.
j) If ATMP remained between +180 and +350 in part i a thirty (30) second HOLD period begins. “Pos
Flow Off” remains up AND ATMP should not change more than +/- 30
NOTE: If ATMP changes more than +/- 30 “Fail Pos Flow Off” will be listed in the Test & Options
screen possibly indicating a small external leak.
k) When the “Testing” banner appears IGNORE ATMP and FILACT. Do BOTH pass?
Yes BOTH pass! Proceed to page 527, procedure number PHT- 4.0.0.
No “Pressure Test(s) Failed”! See procedure number PHT- 3.1.2 (page 524).
Press the Test & Options tab. FOUR (4) possible scenarios 1) or 2) or 3) or 4) below:
1) IF (and ONLY if) “Fail Remove Air” is listed: Proceed to page 452, SECTION 8 – FILLING
PROGRAM PROBLEMS
2) IF (and ONLY if) “Fail Neg Stabilize” is listed. TWO (2) possible scenarios i) or ii) below:
i) IF FILACT EVER = 1 during the repeat 30 second STABILIZATION “Neg Flow On” period:
Proceed to page 452, SECTION 8 – FILLING PROGRAM PROBLEMS
ii) IF FILACT ALWAYS = 0 during the repeat 30 second “Neg Flow On” STABILIZATION
period: Proceed to page 483, SECTION 9 – TMP PROBLEMS!
3) IF (and ONLY if) “Fail Neg Flow On” is listed: THREE (3) possible scenarios i) or ii) or iii) below:
i) IF ATMP increased to more than -440: See procedure number PHT- 3.1.3 (page 525).
ii) IF FILACT EVER = 1 during the repeat 30 second HOLD “Neg Flow On” period: Proceed
to page 452, SECTION 8 – FILLING PROGRAM PROBLEMS
iii) IF FILACT ALWAYS = 0 during the repeat 30 second “Neg Flow On” STABILIZATION
period: Proceed to page 483, SECTION 9 – TMP PROBLEMS
4) ALL Positive Test Failure listings i.e. “Fail Get Pos TMP”, “Fail Pos Stabilize”, “Fail Pos Flow
Off”: Negative Pressure Test failures have priority over Positive Test failures. If any Negative Pressure
test failed see above Scenarios 2 or 3. If a Negative test DID NOT fail, TWO (2) possible scenarios i) or
ii) next page:
c) Reset ALL alarms. From the Test & Options screen press
the [Pressure Tests] button then ‘Enter’.
d) During “Get Neg TMP” the UF Pump sends ‘strong pulses’ through the Sample Connector every eight
(8) seconds until the “Neg Flow On” banner appears THEN the UF Pump SHOULD stop!
e) ENSURING “Neg Flow On” is presenting AND ATMP is REMAINING more than -270 does the UF
Pump CONTINUE to send strong pulses(s) through the UF Sample Connector (Yes or No)?
Yes If ABSOLUTELY SURE the UF Pump sent a pulse WHILE the “Neg Flow On” banner was up!
Turn the machine off then see the TWO (2) possibilities below. Repeat the Pressure Tests to
see if either solved the problem.
Possibilities: 1) Card cage circuit board not seated properly OR 2) Bad Actuator-Test
Board.
No If the Pressure Tests Fail, from the Tests & Options screen, if a Negative Pressure Test listing
appears see procedure number PHT- 3.1.4 (page 525). If a Positive Pressure Test listing
appears return to Scenario #4 of ABOVE procedure number PHT- 3.1.2 (page 524). If (and
ONLY if) the Pressure Tests pass proceed to page 527, procedure number PHT- 4.0.0.
1) IF (and ONLY if) “Fail Neg Stabilize” is listed. TWO (2) possible scenarios i) or ii) below:
i) IF FILACT EVER = 1 (even if only once) during the repeat 30 second STABILIZATION
“Neg Flow On” period: Proceed to page 452, SECTION 8 – FILLING PROGRAM
PROBLEMS
ii) IF FILACT ALWAYS = 0 during the repeat 30 second “Neg Flow On” STABILIZATION
period: Proceed to page 483, SECTION 9 – TMP PROBLEMS!
2) IF “Fail Neg Flow On” is listed: TWO (2) possible scenarios i) or ii) below:
i) IF FILACT EVER = 1 (even if only once) during the repeat 30 second HOLD “Neg Flow
On” period: Proceed to page 452, SECTION 8 – FILLING PROGRAM PROBLEMS
ii) IF FILACT ALWAYS = 0 during the repeat 30 second HOLD “Neg Flow On” period:
Proceed to page 483, SECTION 9 – TMP PROBLEMS
Yes The DiaSafe® filter has been replaced! Proceed to page 483, SECTION 9 – TMP
PROBLEMS
No a) Replace the DiaSafe® filter preferably with one from another machine that is passing
Pressure Tests.
d) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’!
e) Call debug screen 0 and allow Valve #24’s ‘dot’ to stay blue!
g) Reset all alarms and repeat the Pressure Tests. Do they BOTH pass?
Yes Both Pass! The DiaSafe® filter MAY have been causing the problem
HOWEVER, see procedure number PHT- 4.0.0 (page 527).
a) ENSURE the Loading Pressure gauge (yellow connector) reads 0 psi before inserting it!
b) SLAM the gauge into the red Acetate/Acid rinse port. *ELSE pressure will not be read correctly
c) Loading Pressure is ‘OKAY’ if it cycles between a PEAK of somewhere between 23 and 25 psi.
1) IF (and ONLY if) pressure REMAINS ‘OKAY’: Proceed to page 529, procedure number
PHT- 4.2.0.
3) IF (and ONLY if) peaking to between 15 and 22 psi: Adjust Valve #65’s nut (Figure below),
clockwise until a PEAK of between 23 and 25 is achieved! If pressure CAN be adjusted to
between 23 and 25 psi see procedure number PHT- 4.2.0 (page 529). If (and ONLY if) it
CANNOT proceed to page 33, procedure number F- 1.0.7
4) ALL other scenarios: ENSURING the gauge was SLAMMED into the Rinse Port proceed to
page 33, procedure number F- 1.0.7.
f) Deaeration Pressure OKAY? Refer to Appendix A (page 757) for what pressure should be.
Yes Deaeration pressure is OKAY. See procedure number PHT- 4.3.0 (page 529).
No Deaeration Pressure in NOT OKAY! ENSURING a “No Water” alarm is NOT presenting,
NOTE this page number, as you will return here, THEN proceed to page 543,
SECTION 13 - DEAERATION PROBLEMS
a) Turn the water OFF and allow a “No Water” alarm to occur.
d) Turn the water on and ENSURE the “No Water” alarm goes away!
e) Allow the machine to come out of bypass i.e. the external flow indicator’s ‘bob’ moving up and down in
the sight glass!
g) Reset all alarms then press the [Test & Options] tab. TWO (2) possible scenarios.
1) IF the [Pressure Test] button is BLUE: Press the [Pressure Test] button THEN ‘Enter’ THEN
IMMEDIATELY see procedure number PHT- 4.4.0 (page 530).
2) IF the [Pressure Test] button is GRAY: Press [Both Tests] THEN ‘Enter THEN IMMEDIATELY
see procedure number PHT- 4.4.0 (page 530).
Call debug screen 1. While watching the screen banners1, ATMP1 AND FILACT2 allow the tests to finish.
Do BOTH (Negative and Positive) pass?
Yes BOTH pass! See procedure number PHT- 4.5.0 (page 530).
No Pressure Test Failed! Return to (ABOVE) procedure number PHT- 3.1.2 (page 524) to analyze
the failure(s).
1
If ATMP changes more than 20 during “Neg Flow On’s” HOLD period indicates a leak
2
After “Remove Air”, if FILACT EVER = 1 indicates a hydraulic air leak.
The UF INTEGRITY TEST, performed here, isolates the UF Pump for leaks:
Yes BOTH Tests pass! See procedure number PHT- 4.6.0 (page 531).
Yes On Line PHT Failed! See procedure number PHT- 4.7.0 (page 531).
PHT- 4.7.0 ON LINE PHT FAILED / DIAGNOSTIC VALVE LEAK TESTS / VALVE #24 AND #25
ONLY two (2) valves will be tested, Valves #24 and #25:
a) Place the machine into Service Mode → Diagnostics → Valve Leak Test. Allow the [Test Status] data
box = “Ready”.
b) Press the screen’s [Valve Number] data box, it turns bright yellow. Using the keyboard’s Pg Up (↑) key
set [Valve Number] to say “Valve #24”.
d) Read the screen’s [TEST STATUS] box, TWO (2) possible scenarios:
1) IF “Failed”: REPEAT the test on the leaking valve. If (and ONLY if) it fails AGAIN TWO (2)
possibilities: 1) Replace the Actuator-Test Board with a known good then repeat the Valve Leak
Test to test on the valve. If (and ONLY if) the valve fails again: 2) Leaking valve! To locate the
valve refer to Figure 35 (page 211).
2) IF “Passed”: REPEAT the Valve Leak Test on “Valve #25”. Do BOTH valves #24 and #25 pass?
Yes BOTH Valves #24 AND #25 pass! See procedure number PHT- 5.0.0 (page 532).
No A valve fails! TWO (2) possibilities: 1) Replace the Actuator-Test Board with a known good
then repeat the Valve Leak Test to test it. If (and ONLY if) the test fails again: 2) Bad valve!
To locate the valve refer to Figure 35 (page 211).
BOTH Pressure Tests and the UF INTEGRITY TEST passed. See steps 1 through 6 below:
1) Check UF PUMP (1 ml/stroke volume) per the Preventative Maintenance Procedures booklet.
2) Verify accurate TMP by performing the Venous and Transmembrane Pressure checks in the
Preventative Maintenance Procedures booklet!
3) Read step 3 completely BEFORE performing it! Check Flow Pressure Calibration per the Calibration
Procedures booklet. It MUST be set to between 35 and 36 psi!
4) If (and ONLY if) you originally started out troubleshooting an “On Line PHT Failed” and not already
consider replacing the DiaSafe® filter.
5) The Troubleshooting Guide is unable to locate an immediate problem HOWEVER, if (and ONLY if) you
originally started out troubleshooting an “On Line PHT Failed” see step #6
A) Negative Pressure: With the balancing chamber (BC) valves cycling and the Flow Pump #21 running
these tests begin with “Get Neg TMP”. The UF Pump (#22) strokes until approximately -260 mmHg
(TMP = 260 mmHg) is achieved as monitored by Dialysate Pressure Transducer (#9). This normally
takes less than one (1) minute. When -160 mmHg is reached the UF Pump stops and “Neg Flow On”
appears. A thirty (30) second stabilization period begins followed by a thirty (30) second hold period. If
pressure remains stable (+/- 20 mmHg) for one minute the test passes.
B) Positive Pressure: All four ‘fresh side’ BC valves open briefly to drive positive (loading) pressure into
the secondary circuit then all eight BC valves close and Flow Pump stops. Because target pressure
(approximately +300 mmHg) is overshot the UF Pump strokes until the target (+300 mmHg) is achieved.
“Pos Flow Off” appears and a thirty (30) second stabilization period begins followed by a thirty (30)
second hold period. If pressure remains stable (+/- 30 mmHg) for one (1) minute the test passes.
C) On Line Pressure Holding Tests (On Line PHT), if activated are performed automatically every 720
seconds (12 minutes). They monitor current Dialysate Pressure (i.e. pressure is not created as it is
during Negative Flow On/Positive Flow Off Tests). Dialysate Flow is momentarily set to 500 ml/min,
Valve #26 opens and Valves #24 and #25 close (to isolate the dialyzer circuit). Dialysate pressure is
monitored for two (2) consecutive balancing chamber cycles, approximately seven (7) seconds. If
pressure remains stable the On Line PHT passes.
• PHT0: Leak test results of the first BC valve cycle, depending upon which valve cycle was active
when the test began. If less than 25 the valves in this cycle are not leaking.
• PHT1: Leak test results of the second BC valve cycle, depending upon which valve cycle was
active when the test began. If less than 25 the valves in this cycle are not leaking.
• Air entering or dialysate escaping through a bad O-ring, bad connection, tubing leak, etc.
• Valve #24, #25 leaking internally (if failing On Line PHT ONLY)
• Bad UF Pump #22 (with “Fail Get Neg TMP”, “Fail Neg Stabilize”, “Fail Neg Flow On”)
NOTE! Air is NORMAL in some locations, for example through the input tubing of Deaeration Pump #20
AND in the ‘To Drain’ circuit.
A) Referring to Figure 75 (page 535), look through the Flow Pump’s (clear) input tubing for air bubbles that
START in the middle of the tubing segment. If bubbles are located this may be the problem!
B) Temperature and Conductivity MUST remain normal and the external flow indicator’s ‘bob’ MUST be
rising and falling!
D) If not already, run the alarms and pressure tests. At this point it does not matter if they pass!
F) From the Home screen, set [UF Goal] to 1000; set [UF Time] to 1:00 Hr.
G) Press ‘Enter’
This procedure describes how to acheive negative pressure (TMP). TMP MUST be kept between 300 and
360 mmHg for ALL subsequent tests. If it EVER falls below 300 perform parts a THROUGH c below:
Figure below, ENSURING TMP is between 300 and 360 mmHg, for one (1) minute, watch through the
OUTPUT (to machine) side of Dialysate Filter #73. This is Location #1 (L1). Air bubbles seen?
Yes Air seen at L1! See procedure number AIR- 1.0.2 (page 536).
No air seen at L1! Proceed to page 537, procedure number AIR- 1.0.3.
Referring to Table 9 below, ENSURING TMP is between 300 and 360 mmHg:
Input Valve #24 / Valve #26 Valve #24 / Valve #26 mounting
L6 L7 (next row)
(see Figure 76, page 536). O-Ring(s)
Figure below, ENSURING TMP is between 300 and 360 mmHg, for one (1) minute, watch through the
INPUT tubing at the rear side of Chamber #69 (Location #10 (L10)). Air bubbles seen?
Yes Air seen at L10! See procedure number AIR-1.0.4 (page 538).
No air seen at L10! Return to the procedure that brought you here.
Per Table 10 below, ENSURING TMP is between 300 and 360 mmHg, for one (1) minute, watch for air
starting at Location #11 (L11).
Output Blood Leak Sensor Valve #24 / Valve #26 mounting O-Ring(s) (to
L11 #8 (see Figure 78, page L12 (next row) LOCATE refer to Figure 76, page 536) OR
538) DiaSafe® Filter Tubing connection
ENSURING TMP is between 300 and 360 mmHg, for one (1) minute, watch through the outlet (clear) tubing
at BOTH balancing chamber valves #31 AND #33. Is air coming from 1) ONE OR 2) BOTH valves?
1) IF ONLY ONE: TWO (2) possibilities: 1) Bad O-ring connection between the valve and the balancing
chamber; 2) Cracked valve body.
Using a flashlight. are air bubbles MOVING INTO the machine through the clear acid and / or bicarbonate
Inlet Tubing?
Yes Air seen! A) Check the acid and / or the bicarbonates O-rings and plug; B) If using jugs ensure
they are full; C) Check the pickup wand(s) O-rings.
d) Check the BIC PUMP tubing again. If the air leak continues the bibag Air Separator Chamber may
be leaking.
a) A procedure, in a different Section, is performed next. IMPORTANT! NOTE this page and procedure
number (AIR- 1.0.102) as you may prompted to return to here!
b) BEFORE continuing to part c, proceed to page 150 to perform PRESSURE TEST HYDROCHAMBER.
c) If a leaking Hydrochamber was not located in part b return to Dialysis Program (“Select Program” →
‘Dialysis’ → ‘Enter’).
d) Return to (ABOVE) procedure number AIR- 1.0.0 (page 534) to continue looking for an air leak.
During these procedures hydraulic systems are checked for external leaks. USE A FLASHLIGHT! BE
THOROUGH! FEEL AROUND! Small leaks may take several minutes to become obvious and can cause
BIG problems!
1. Place the machine into RINSE! This creates positive pressure in the secondary circuit!
2. Figure below check for leaks at: 1) Top and bottom of Air Removal Chamber #69; 2) Filter #74; 3) UF
Pump #22. If no leaks continue to step #3.
5. Look for small leaks, from the tubing and tubing fittings, INSIDE the DiaSafe® housing! If no leaks
continue to step #6.
6. Per the Figure above, disconnect Filter #92’s* tubing from Test Valve #28 to see the valve nozzle. Fluid
output from the nozzle?
*NOTE Water inside Filter #92 does NOT NECESSARILY mean Valve #28 is leaking!.
Yes Valve #28 leaking! Proceed to page 516, procedure number TMP- 9.0.0.
7. Allow three (3) minutes then REPEAT steps #2 through #6 to locate a potential VERY slow leak. If no
leaks are located continue to step #8.
8. If referred to INDUCED POSITIVE PRESSURE TESTS return to the procedure that brought you here as
NOTED.
a) Enter Service Mode → Calibrate Hydraulics → Deaeration Pressure but DO NOT press any keys yet!
a) ENSURE the Loading Pressure gauge (yellow connector) reads 0 psi before inserting it,
b) SLAM* the gauge into the Acetate/Acid rinse port. *ELSE pressure will not be read correctly!
c) Press ‘Enter’. The screen says “4. Adjust PUMP RATE…” AND the [Pump Rate] box is yellow!
Yes 16 psi or more! See procedure number DAIR- 2.0.0 (page 544).
a) If the [Pump Rate] window box is less than 210 set it to 210 and press ‘Enter’. If Loading
Pressure remains less than 16 psi see part b. If more than 16 psi see procedure number
DAIR- 2.0.0 (page 544).
b) Press ‘Enter’ to save the calibration then turn the machine OFF.
c) Tunr the machine on and return to Dialysis Program (“Select Program” →‘Dialysis’ →
‘Enter’)!
d) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
NOTES: 1) Loading and Deaeration pressure are calibrated until BOTH are in range. LOADING
between 23 and 25 psi; DEAERATION refer to Appendix A (page 757).
2) The value in the [Pump Rate] data box determines the speed of the Deaeration Motor
and thus Deaeration pressure! [Pump Rate] should NEVER be set to less than 180!
3) The BYPASS valve, on the Deaeration Pump (see Figure 84 (page 545)), should be
adjusted ONLY if Deaeration pressure is too high when [Pump Rate] = 180.
4) Loading Pressure is mechanically calibrated using Valve #65 (see Figure 84 (page 545))!
5) ‘Sharply’ press the ‘Enter’ key after each [Pump Rate] adjustment. The data box MUST
be pale yellow/white (NOT bright yellow or gray!) for the rate adjustment to take effect.
c) Adjust its value, then sharply press ‘Enter’ ONCE. The box MUST return to pale yellow / white i.e. not
bright yellow or gray!
Yes Target pressures achieved! A) Press ‘Enter’ to save the calibration; B) Turn the machine off
then on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’); C) The
Deaeration problem is solved but return to the procedure that prompted you here!
No Target pressures CANNOT be achieved! See procedure number DAIR- 4.0.0 (page 545)
Yes Target pressures achieved! See procedure number DAIR- 4.0.1 (page 546).
No Target pressures CANNOT be achieved! See procedure number DAIR- 5.0.0 (page 547).
IMPORTANT! Remove the clamp from Valve #39. Do pressures remain at target?
Yes Target pressures remain! A) Press ‘Enter’ to save the calibration; B) Turn the machine off then
on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’); C) The
Deaeration problem is solved but return to the procedure that prompted you here.
No Pressures DO NOT remain at target! See procedure number DAIR- 4.0.2 (page 546).
b) Do pressures go to target?
Yes Target pressures achieved! A) Press ‘Enter’ to save the calibration! B) Return to Dialysis
Program. C) The Deaeration problem is solved but return to the procedure that prompted
you here.
No Target pressures CANNOT be achieved! See procedure number DAIR- 6.0.0 (page 547).
NOTE! The previous pump head may be good!
d) ‘Sharply’ press ‘Enter’. Can [PUMP RATE] be adjusted to achieve target pressures?
Yes Target pressures achieved! Target pressures achieved! A) Press ‘Enter’ to save the
calibration; B) Return to Dialysis Program; C) The Deaeration problem is solved but return
to the procedure that prompted you here!
d) If a Hydrochamber leak was WAS NOT located in part c, THREE (3) possible bad
components: 1) Deaeration motor OR; 2) Deaeration restrictor #48* (*to LOCATE #48
refer to Figure 84 (page 545)) OR; 3) Bad Hydrochamber.
Yes (to any of the three): Proceed to page 553, procedure number UF- 5.0.0.
No (to ALL three): Perform parts a AND b below:
b) If no problems were located above see procedure number UF- 1.4.0 (page 549).
a) If the Automated Tests are running (screen reads “Test:.…) turn the machine OFF!
b) Return the concentrate connectors to their rinse ports and place the machine in RINSE!
d) If (and ONLY if) the UF pump is ‘clicking’ loudly ENSURE the wear button* and shim washers* are
installed properly! * To LOCATE the button and washers refer to Figure 88 (page 552).
f) Figure right, remove the Fluid Sample Connector from its port.
Strong individual ‘pulses’ that ‘squirt’ out at least six (6) feet?
b) Follow the screen’s instructions through step #4. The screen’s [Target]
box defaults to 24 strokes. DON’T CHANGE IT!
f) REPEAT parts c and d. Does burette volume read between the 0.9 and
1.1 ml scale i.e. UF Pump delivered between 23.9 and 24.1 ml?
1) IF (and ONLY if) BELOW the burette’s 4 ml scale mark i.e. less than 21 ml delivered:
Proceed to page 551, procedure number UF- 3.0.0.
2) IF ABOVE the burette’s 4 ml scale mark i.e. more than 21 ml delivered: Referring to
Figure 86 (page 550), attempt to calibrate UF Pump Volume. Does UF Pump volume
calibrate to between 23.9 and 24.1 ml after 24 strokes?
Figure 86 –
UF Pump
Adjustment
b) From the Home screen, allow [Temperature] and [Conductivity] to become normal!
c) Reset ALL alarms and press the screen’s [Test & Options] button.
d) Press [Both Tests] then ‘Enter’. Allow the ‘Conductivity’ test to pass.
f) Call debug screen 0 to see the UF Pump’s ‘dot’ and TMP (Figure right).
g) WHEN “Test: (Get Neg TMP)” is up AND TMP is less than 240, watch
the Fluid Sample Connector. When the UF Pump’s ‘dot’ blinks between
white and blue, about every eight (8) seconds, there should be strong
pulses through the Sample Connector that squirt out into the room at
least six (6) feet .
Yes Strong pulses! The UF Pump is good. See procedure number UF- 2.2.0 (page 550).
a). TMP should increase to more than 240 causing the “Test: Neg Flow On” banner to appear. Allow both
(Negative and Positive) pressure test to complete.
Check #3: ENSURE the diaphragm is NOT torn and for debris in the ports!
Check #4: ENSURE the Retaining Clip is in the slot to hold the ‘Heavy Spring’ at its maximum
compression
Check #5: ENSURE a ‘shim washer’ has not fallen into the solenoid cavity which may ‘jam’ the
diaphragm shaft! WARNING! While checking keep track of ALL ‘shim washers’
Check #6: Check the solenoid and diaphragm assembly for corrosion.
d) Reassemble the pump and attach the tubing but DO NOT mount the pump to the cabinet yet!
e) Allow five (5) FULL minutes THEN THREE (3) checks. Answer for all three at check #3:
Check #3: Is the UF Pump’s ‘dot’ ALWAYS blue? (i.e. NEVER white)
Yes (to any of the three): See procedure number UF- 5.1.0 (page 553).
No (to ALL three): The problem is not occuring at this time but 1) Check the UF Pump per the
Calibration Procedures AND 2) Perform the Alarms and Pressure Holding
Tests AND the UF Pump Integrity Test as described in the PM booklet!
NOTE! If a “UF Pump Alarm” banner EVER reappears see procedure number
UF- 5.1.0 (page 553)
One at a time swap in the listed components (see COMPONENT LIST below) but in between, to check if
the new component fixes the problem, return to (ABOVE) procedure number UF- 5.0.0 (page 553).
2
The cable can be checked. NOTE that four (4) UF PUMP connections will be checked and proceed
to page 566, SECTION 16 - CHECKING THE ACTUATOR BOARD CABLE
No Weak or no pulses! Swap in the listed components (see Component List below), one at a time,
and in between, to see if the new component fixes the problem, return to (ABOVE) procedure
number UF- 6.0.0 (page 554).
1
Without mounting the pump into the cabinet YET, plug a known good pump into
distribution board position “P22, UF-P”.
2
Turn the machine OFF before swapping in a known good Actuator-Test Board.
3
The Actuator cable can be checked. NOTE that four (4) UF PUMP connections will be
checked and proceed to page 566, SECTION 16 - CHECKING THE ACTUATOR BOARD
CABLE
f) REPEAT parts c and d. Does burette volume read between the 0.9
and 1.1 ml scale i.e. UF Pump delivered between 23.9 and 24.1 ml?
Yes Pump calibrates! See (ABOVE) procedure number UF- 2.1.0 (page 550).
No Replace the UF Pump with a known good and repeat (ABOVE) procedure
UF- 6.0.0 (page 554).
Yes BOTH Tests pass! A) Reattach the UF Pump’s tubing then; B) Perform the UF Pump
Calibration per the 2008 Calibration Procedures booklet.
C) ENSURING the machine has been in Dialysis Program for six (6) minutes, [Temperature] MUST be
between 35.0 and 39.0 °C; [Conductivity] between 13.2 and 14.5 mS. BOTH MUST BE STABLE i.e.
NOT changing more than +/- 0.2!
D) From the Home screen, set [Dialysate Flow] to 500 ml/min and press ‘Enter’.
E) If automated tests EVER start (screen reads “Test:.…) allow them to finish BEFORE continuing!
F) Call debug screen 0 to see Flow Error. If it EVER = 1, even once, indicates a masked Flow Error!
WITHOUT LOOKING AWAY, watch Flow Error for two (2) minutes or until if it EVER = 1! TWO (2)
possible scenarios 1) or 2) below:
Yes Flow Error EVER = 1: Proceed to page 23, SECTION 1 - FLOW ERRORS IN DIALYSIS
PROGRAM.
b) Call the Home screen. Figure right, what color is the TMP Window?
2) IF RED (TMP alarm present): A) Press and release the ‘RESET’ key then immediately
press and hold it for three (3) seconds; B) Allow thirty (30) seconds; C) If a TMP alarm
reoccurs, attempt RESET up to twice more BEFORE continuing to procedure number
BL- 1.0.4 (page 556).
TMP is STABLE ONLY if the TMP Window stays white AND its value does NOT change more than +/- 60
mmHg in three (3) minutes! TWO (2) possible scenarios:
1) IF (and ONLY if) TMP is UNSTABLE: Proceed to page 483, SECTION 9- TMP PROBLEMS.
2) IF TMP is STABLE: See procedure number BL- 1.0.5 (page 557).
.
Do NOT troubleshoot Blood Leak if a “No Water”, Flow Error, Temperature, or Conductivity
alarm EVER occur! The machine MUST NOT be ‘in bypass’!
Yes Press and release the ‘RESET’ key up to three (3) times in twenty (20) second intervals. TWO (2)
possible scenarios:
1) IF the Blood Leak alarm resets: See procedure number BL- 1.0.6 (page 557).
2) IF the Blood Leak alarm does NOT reset: Proceed to page 558, procedure number
BL- 2.0.0.
BL- 1.0.6 BLOOD LEAK ALARM NOT PRESENT (CHECK FOR AIR)
a) RESET ALL alarms and turn the blood pump on to 100 ml/min or more. NOTE! If the blood pump will not
run perform the alarms and pressure tests.
b) From the Home screen, set [UF GOAL] to 1000 ml; Set [UF Time] to 1:00 hr.
c) Press ‘Enter’.
d) Press the front panel’s UF on/off key. Figure right, the UF lamp MUST stay on
solid indicating UF is on.
e) Allow TMP to increase to 260 mmHg* THEN IMMEDIATELY turn UF off (UF on/off lamp off). TMP
should increase to no more than 320 mmHg.
* If TMP NEVER reaches 260 AND a “Filling Program” banner occurs more than twice a hydraulic air
leak is indicated. In this event ONLY proceed to page 559, procedure number BL- 3.0.0.
Air in dialysate cause false blood leak alarms. Per the Figure below, using a flashlight, watch for air
bubbles through the Blood Leak Sensor’s TO AND FROM tubing for one (1) minute each?
Yes Air seen! See procedure number BL- 3.0.0 (page 559).
Per the Figure right, using a flashlight, are air bubbles MOVING
into the machine through the clear acid and / or bicarb Inlet
Tubing?
Yes Air seen! A) If using a jugs ensure they are full AND the
wands reach the bottom of the jugs; B) Check the acid
and / or bicarb connector’s O-rings and plug; C) Check
the pickup wand(s) tubing.
a) Turn the water off and allow a “No Water” alarm to occur!
c) Allow one (1) minute for the deaeration motor to stop running!
d) Figure right, tee the gauge to the INPUT (clear tubing) of the
Deaeration Pump.
e) Turn the water on and allow the “No Water” alarm to go away!
f) Is Deaeration Pressure OKAY? Refer to Appendix A (page 757) for what pressure should be.
Yes Deaeration Pressure is OKAY! See procedure number BL- 3.0.4 (page 559).
No Deaeration Pressure in NOT OKAY! ENSURING a “No Water” alarm is NOT occuring,
NOTE this page number, as you will return here, THEN proceed to page 543, SECTION
13 - DEAERATION PROBLEMS.
a) Turn the water OFF and allow a “No Water” alarm to occur!
b) Allow one (1) minute for the deaeration motor to stop running!
d) Turn the water on and allow the “No Water alarm to go away!
a) Other procedures, in different Sections of the Guide, are performed next. IMPORTANT! NOTE this
page and procedure number (BL- 3.0.5) as you may prompted to return to here.
b) Before continuing to part c, proceed to page 541, to perform SECTION 12 - INDUCED POSITIVE
PRESSURE TESTS
c) If no leaks were located in part b return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
d) ALLOW six (6) minutes for [Temperature] AND [Conductivity] to STABLIZE to normal.
e) ENSURING the external flow indicator’s ‘bob’ is moving up and down, press and release the ‘RESET’
key up to three (3) times, in twenty (20) second intervals, attempting to clear a Blood Leak alarm
BEFORE continuing to part f.
f) Once again, using a flashlight, watch for air bubbles through the Blood Leak Sensor. THREE (3)
possible scenarios 1) or 2) or 3) below.
1) IF (and ONLY if) the Blood Leak alarm can be RESET AND air is seen: Proceed to page
534, SECTION 11 - INDUCED AIR LEAK TESTS.
2) IF (and ONLY if) the Blood Leak alarm CANNOT be RESET AND air is seen: Locate and repair
the air leak!
a) If automated tests are running (screen reads “Test: …) allow them to finish before
continuing!
b) Call debug screen 4 to see LEAK and DIMN. FIVE (5) possible scenarios, 1) or 2)
or 3) or 4) or 5) below:
1) IF LEAK is between 4.5 and 5.2 AND DIMN between 4.0 and 6.0: This is normal! Acid clean
then Bleach Disinfect. If (and ONLY if) a false Blood Leak reoccurs in the near future see
procedure number BL- 6.0.0 (page 565).
2) IF LEAK AND / OR DIMN are less than 0.2: See procedure number BL- 4.1.0 (page 561).
3) IF LEAK is more than 5.2; DIMN does not matter: Proceed to page 562, procedure number
BL- 4.4.4.
4) IF DIMN is more than 6.0; LEAK does not matter: Proceed to page 562, procedure number
BL- 4.4.4.
5) All OTHER scenarios: Proceed to page 565, procedure number BL- 6.0.0.
d) BEFORE continuing to part e the Sensor Board cable MAY be bad. NOTE that five (5) BLOOD LEAK
connections will be checked and proceed to page 569, to perform SECTION 17 - CHECKING THE
SENSOR BOARD CABLE.
e) If the Sensor Board cable checks return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
g) ENSURING the external flow indicator’s ‘bob’ is rising and falling, proceed to page 563, procedure
number BL- 5.0.0.
d) Leaving the cable unplugged, return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter)!’
Yes LEAK and DIMN BOTH = 0.0! See procedure number BL- 4.5.0 (page 562).
No LEAK and/or DIMN are more than 0.0! THREE (3) possible bad components (Component
List below). Swap the components in, one at a time, and in between repeat procedure
number BL- 4.4.4 (page 562), parts d and e, to test each new component until LEAK and
DIMN are BOTH 0.0 indicating the last component swapped in is the problem!
Component List: 1) Sensor Board cable; 2) Sensor Board1 (see Figure 4A, page 10);
3) Distribution board.
1
To prevent a “Cond Offset Failure”, place the machine into T and C Mode (refer to
OPERATING MODES, page 19)).
b) Return the Blood Leak Sensor’s ribbon cable to the distribution board.
e) ENSURING the external flow indicator’s ‘bob’ is rising and falling see procedure number BL- 5.0.0
(page 563).
A) CAUTION! Signals are about to be measured at pins that are VERY close to others and touching them
together with a standard meter lead may cause massive DAMAGE to the Sensor board. As instructed
below make your RED meter lead a PROTECTED lead! DO NOT perform the measurements*
until you have done this!
* If you DO NOT wish to measure see procedure number BL- 6.0.0 (page 565).
D) Connect the meter’s ground (black) lead to chassis ground (see Figure 2, page 4).
Table 11 – Sensor Board ‘X2’ DC Voltage Checks (Refer also to Figure 90)
6 Top row, third pin • IF less than 4.5 volts DC: See procedure number BL- 6.0.0 (page 565).
from the REAR of the
machine • IF more than 5.2 volts DC: See procedure number BL- 6.0.0 (page 565).
• IF between 4.5 and 5.2 volts DC: From debug screen 4, does LEAK = the pin
6 measurement within +/- 0.3 volts DC?
Yes LEAK = pin 6 (+/- 0.3). Measure at pin 7 (next row in table).
No LEAK NOT within +/- 0.3 of pin 6 = Bad Sensor Board (see page 10).
• IF between 4.0 and 6.0 volts DC: From debug screen 4, does DIMN = the pin
7 measurement within +/- 0.3 volts DC?
Yes DIMN = pin 7 (+/- 0.3). See procedure number BL- 6.0.0 (page 565).
No DIMN does NOT within +/- 0.3 of pin 7= Bad Sensor Board (see page 10).
Press and release the ‘RESET’ key up to three (3) times in twenty (20) second intervals. TWO (2) possible
scenarios below:
1) IF the Blood Leak alarm CAN be reset: The most likely cause of a false blood leak alarm is “air in
dialysate” possibly caused when priming a dialyzer or moving the lines between the shunt and the
dialyzer. If SURE there is no air flowing through the Blood Leak Sensor see procedure number
BL- 6.1.0 (page 565).
2) IF the Blood Leak alarm cannot be reset: See procedure number BL- 6.1.0 (page 565).
b) Using ESD precautions push down HARD on ALL circuit boards to ensure good connections to the
motherboard. ENSURE all boards are locked in!
c) ENSURE the Sensor and Actuator board ribbon cables are plugged in SECURELY
d) IMPORTANT! Perform ACID CLEAN followed by BLEACH DISINFECT to ensure the Blood Leak
Detector’s glass tube is clean of bicarb residue!
WARNING! Calibrating Blood Leak without first performing a Bleach Disinfect may lead to
unnecessary parts replacement and / or cause an inaccurate Blood Leak calibration!
a) Place the machine into Service mode → Calibrate Sensors → Blood Leak Detector.
c) NORMALLY the calibration, one at a time, takes the screen’s Leak then Dimness windows to
approximately 5.00 and should stabilize within FOUR (4) minutes.
d) Does the screen advance to step #5 “Calibration complete, press the [CONFIRM] key to save” within
FOUR (4) minutes (Yes or No)?
Yes Calibration completes! Press ‘Enter’ twice to save the calibration. Problem solved for now
HOWEVER, if a false Blood Leak alarm reoccurs in the near future swap the listed
components (see Component List below) one at a time with known good and repeat
procedure number BL- 6.2.0 (page 565) until a Blood Leak does NOT reoccur.
No Turn the machine off and swap the following components (see Component List below), one
at time, with known good, and in between attempting the Blood Leak calibration until it
calibrates normally.
Component List: 1) Blood Leak Sensor #81; 2) Actuator-Test Board2; 3) Sensor Board2; 4) Sensor
Board cable; 5) Functional Board2; 6) Distribution board.
1
NOTE! To LOCATE the Blood Leak Sensor see Figure 89 (page 558)
a) Per the Figure below, this procedure checks the cable by measuring conductor resistance (Ω) from one
end (distribution board) to the other (Actuator-Test Board). Good conductors measure 2 Ω or less.
b) IMPORTANT! Turn the machine OFF and open the card cage!
c) Check the cable’s entire length (distribution board to Actuator-Test Board) for bare wires or other damage!
d) Per the Figure above, unplug the cable from the distribution board’s ACTUATOR connector. Check inside
the vacant ACTUATOR connector for ‘white’ corrosion or damaged male pins. Damage ANYWHERE
may be the problem!
e) To determine your ohm (Ω) meter’s internal resistance touch the leads together. The meter MUST read
less than 1 Ω! Subtract the reading from ALL subsequent measurements!
f) Per the Figure above, the cable’s female connector has two rows of PLUGS. Hold it with its KEY TAB
DOWN. This puts the even numbered PLUGS in the top row AND the ‘Rear of Machine’ to the right.
g) Refer to Table 12 (page 567), to LOCATE the appropriate numbered
PLUG(S) for the NOTED PUMP or the NOTED VALVE Table 13
(page 568).
h) A meter probe will NOT penetrate deep enough and a paper clip may
cause damage! Use 25 gauge non-stranded wire as a ‘probe’. Per the
Figure (right), insert the ‘probe’ into the appropriate PLUG, then place
(or clip) one of the meter leads onto it.
i) Per Figure 92 (page 567), the cable terminates at the actuator
board’s P2 connector. The rear side PINS are in two rows. Odd
numbered in the bottom row, even in the top. NOTING the reference to the ‘Rear of Machine’ locate the
appropriate PIN per Table 12 or Table 13.
ACID PUMP (1 of 4) 1 Bottom row, first pin from the rear of machine
ACID PUMP (2 of 4) 2 Top row, first pin from the rear of machine
a) Per the Figure below, this procedure checks the cable by measuring conductor resistance (Ω) from one
end (distribution board) to the other (Sensor Board). Good conductors measure 2 Ω or less.
b) IMPORTANT! Turn the machine OFF and open the card cage.
c) Check the cable’s entire length (distribution board to Sensor Board) for bare wires or other damage.
d) Per the Figure above, unplug the cable from the distribution board’s SENSORS connector. Check inside
the vacant SENSORS connector for ‘white’ corrosion or damaged male pins. Damage ANYWHERE may
be the problem!
e) To determine your ohm (Ω) meter’s internal resistance touch the leads together. The meter MUST read
less than 1 Ω! Subtract the reading from ALL subsequent measurements.
f) Per the Figure below, the cable’s female connector has two rows of PLUGS. Hold it with its KEY TAB
towards the floor. This puts the even numbered PLUGS in the top row, odd numbered in the bottom row
AND the ‘Rear of Machine’ is towards the right.
h) A regular meter probe will not penetrate deep enough and a paper
clip may cause damage! INSTEAD, use 25 gauge non-stranded wire
as a ‘probe’. Referring to the Figure (right), insert the ‘probe’ into the
appropriate PLUG then place (or clip) one of the meters leads onto
the ‘probe’.
j) Place the second meter on the matching numbered PIN on the solder (rear) side of the P2 connector.
Some components require checking multiple conductors. 2.0 Ω or less for ALL required
conductors?
Yes The cable is good! Return it to the distribution board. If referred to CHECKING THE
SENSOR BOARD CABLE, return to the procedure that brought you here as noted.
No Unplug the cable from the Sensor Board’s X2 connector. Check inside the connector for
damaged male pins. If the pins are okay, replace the cable.
Cable Plug
HYDRAULIC COMPONENT Cable Plug / X2 PIN LOCATION
/ X2 PIN #
BLOOD LEAK TEST (1 of 5) 2 Top row, first pin from the rear of machine
BLOOD LEAK CAL DIMNESS (2 of 5) 3 Bottom row, 2 pins from the rear of machine
BLOOD LEAK CAL BL (3 of 5) 4 Top row, 2 pins from the rear of machine
BLOOD LEAK OUTPUT (4 of 5) 6 Top row, 3 pins from the rear of machine
BLOOD LEAK OUTPUT (5 of 5) 7 Bottom row, 4 pins from the rear of machine
Perform these tests ONLY as directed previously. Arbitrary performance may yield erroneous results!
ONLY the Balancing Chamber Valves, #31 through #38, will be tested! DO NOT run “auto” which tests
all valves!
a) Return both dialyzer connectors to the shunt and close the door!
e) Enter Service Mode → Diagnostics → Valve Leak Test. When the [Test Status] data box says “Ready”
proceed to B. PERFORM IOS TEST (page 572).
The IOS (Integrity Of System) isolates Chamber #69 and its tubing for leaks AND an IOS failure may cause
multiple valves to fail falsely! IOS must pass BEFORE testing the valves!
a) Press the screen’s [Valve Number] data box, it turns bright yellow.
b) Using the keyboard’s Pg Up (↑) key set the [Valve Number] box to “IOS”.
d) Reading the screen’s [TEST STATUS] box, TWO (2) possible scenarios:
1) IF “Failed” appears: REPEAT the IOS test. If (and ONLY if) it passes see Scenario #2 below. If it
fails again turn the machine off then see AUTOTEST- 1.0.0 (page 573).
2) IF “Passed” appears: Perform parts a THROUGH d below until ALL EIGHT (8) Balancing Chamber
Valves, #31 through #38, have been tested:
a) Press the screen’s [Valve Number] box. Using the Pg Up (↑) key select a Balancing Chamber
Valve*.
* The ‘fresh’ valves #31, #33, #35 and #37 are tested first followed by the ‘spent’ valves #32,
#34, #36 and #38.
c) If a valve passes ONCE consider it “passed” and continue to part d. If a valve fails repeat parts a
and b on THAT valve. If it fails again consider it “failed” THEN NOTE the valve number(s) AND
continue to part d.
d) Repeat parts a through d until ALL EIGHT (8) balancing chamber valves have been tested then
refer to Table 15 next page:
If ALL valves PASS Return to the NOTED procedure that brought you here
If ONLY one valve fails See procedure number AUTOTEST- 7.0.0 (page 577)
If ONLY Valves #31 and #35 fail See procedure number AUTOTEST- 7.0.0 (page 577)
If ONLY Valves #32 and #36 fail See procedure number AUTOTEST- 7.0.0 (page 577)
If ONLY Valves #33 and #37 fail See procedure number AUTOTEST- 7.0.0 (page 577)
If ONLY Valves #34 and #38 fail See procedure number AUTOTEST- 7.0.0 (page 577)
ANY external leak, however small, MAY be causing IOS failures and MUST be repaired!
c) Check the ENTIRE length of the dialyzer lines for leaks (i.e. dialyzer quick connectors, external flow
indicator, connections at the rear of the machine and (if equipped) the sample port.
d) Check the DiaSafe® filter tubing AND DiaSafe® housing for external leaks.
e) If a leak is NOT located allow two (2) minutes then repeat parts a THROUGH d! If still NO LEAKS see
procedure number AUTOTEST- 2.0.0 (page 573).
The UF Pump creates negative pressure for the Valve Leak Test. If it is malfunctioning multiple valves fail:
f) Press the ‘Prime’ key. IGNORE five (5) strokes then watch five (5). Does the UF Pump deliver ‘strong
pulses’ through the Fluid Sample Connector (Figure right) that ‘squirt’ out at least six (6) feet?
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ →
‘Enter’)!
This is NOT a routine calibration. Follow the instructions exactly to avoid error!
f) If using a NEO-2 attach to the +Port (top (red) port). If using a 90XL attach to the Pressure Module’s
Gauge Port.
h) CLOSE the shunt door AND ENSURE the flow indicator’s ‘bob’ is moving at least
¼ way up in the sight tube.
i) Press ‘Enter’. The screen says “3. Press the [Dialysate Flow on/off] key”.
j) Press the screen’s “Dialysate Flow On” button. It turns dark blue.
k) Press ‘Enter’ then ENSURE the button says “Dialysate Flow Off” AND the external flow indicator ‘bob’ is
NOT moving i.e. Flow is off.
m) Using the syringe, adjust pressure until the external meter reads between -2 and 2 mmHg.
n) Press ‘Enter’ then see procedure number AUTOTEST- 3.1.0 (page 575).
a) The screen says “6. Pressurize until dialysate pressure reads -250 mmHg…”.
b) PULL on the syringe plunger. Can you achieve between -245 and -255 mmHg on the external meter?
Yes Between -245 and -255 on the meter! See procedure number AUTOTEST- 3.2.0 (page 575).
No Between -245 and -255 CANNOT be achieved! ENSURE the Transducer Protector, at the meter
is not wet OR consider replacing it. If OKAY, see procedure number AUTOTEST- 4.0.0X
(page 575).
b) Does the meter pressure HOLD, +/- 15 mmHg, for one (1) minute?
Yes Pressure HOLDS! Proceed to page 576, procedure number AUTOTEST- 5.0.0.
No Pressure does NOT hold! See procedure number AUTOTEST- 4.0.0X (page 575).
AUTOTEST- 4.0.0X PRESSURE CANNOT BE ACHIEVED OR IT DID NOT HOLD/ ISOLATE FOUR WAY
1) IF still CANNOT achieve -250 OR it does NOT HOLD: Either the transducer protector at the
meter is wet OR a Four-Way tubing connection is leaking. Locate and repair the problem then
return to (ABOVE) procedure number AUTOTEST- 3.1.0 (page 575).
2) IF you CAN achieve -250 AND it HOLDS: See parts A THROUGH E below:
B) Remove BOTH clamps from the Four -Way dialysate line segments!
C) Return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’).
D) From the Home screen, set [Dialysate Flow] to “OFF” and press ‘Enter’.
a) ENSURING the meter is between -245 and -255 mmHg, press ‘Enter’.
1) IF (and ONLY if) “Operator Error” occurs: See procedure number AUTOTEST- 6.0.0 (page
576).
2) IF “Operator Error” does NOT occur: All systems that may cause multiple valve leaks are
checking okay! Perform parts a THROUGH h below:
a) Remove the Four- Way Assembly and return the dialyzer connectors to the shunt door.
b) Press the screen’s ‘Dialysate Off’ button. Set it to ‘Dialysate Flow On’ and press ‘Enter’
f) From the Home screen, set the [Dialysate Flow] window to 800 ml/min and press ‘Enter’!
h) Read this step before performing! Repeat the Diagnostic Leak Tests on the balancing chamber
valves (#31 through #38) HOWEVER, this time if multiple valves fail. TWO (2) possible bad
problems: 1) Bad Actuator-Test Board; 2) Multiple leaking valves.
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
Component List
1) Dialysate Pressure Transducer #9a; 2) Sensor Board; 3) Actuator-Test Board; 4) Functional Board;
5) Sensor Board cable; 6) Distribution board.
TWO (2) possibilities: 1) Bad Actuator-Test Board OR; 2) Bad valve(s) i.e. mechanically ‘stuck open’.
a) Turn the machine off and swap in a known good Actuator-Test Board (see Figure 4A, page 10).
b) Repeat the Diagnostic Valve Leak Test on the leaking valve(s). TWO (2) possible scenarios:
2) IF fails: Replace the leaking valve(s). To LOCATE the valve refer to Figure 96 (page 579). NOTE!
The previous Actuator-Test Board is probably good!
Diagnostic Valve Leak Tests Theory: These Tests isolate two ‘systems’: System #1) During the “IOS” Test,
Air Removal Chamber #69 (IOS) and System #2) Valves for potential leaks to atmosphere:
b) Pressures are achieved during each “Prep” phase using either the UF Pump to achieve negative pressure
or Loading Pressure to achieve positive pressure. Refer to the Table below.
c) During IOS all valves are closed which isolates Chamber #69 for a leak. IOS MUST pass to ensure the
valve leak tests are valid. If it fails all valves may fail
d) During each “Testing” phase the tested valve is closed and an alternate path to atmosphere is open for
thirty (30) seconds. If the valve is truly closed pressure holds (+/- 25 mmHg) for thirty (30) seconds and
the valve passes.
a) Referring to Figure 96 (page 579), turn the machine off and remove the clear OUTPUT tubing from all four
top-side balancing chamber valves (#31 through #34).
b) Unplug valve #30 from distribution board position labeled V30, “DRAIN-V” and leave it unplugged until
instructed OTHERWISE.
c) Place both dialyzer quick connects into a bucket of water and close the shunt door.
d) Unplug all eight balancing chamber valves from the distribution board positions “V31” through “V38”.
e) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’).
f) Ignoring Flow Errors, call debug screen 1. ENSURE that DEAP AND FLWP are less than 255.
Theory: All eight balancing chamber valves are closed (unless one is leaking). The following procedures
open the bottom valves, one at a time, using 24 volts from valve 30’s distribution board connector. Since
the deaeration pump (P20) and Flow Pump (P21) are running the bottom valves are pressurized. If a top
side valve is not sealing properly, a water leak will be seen through its exposed nozzle.
g) Plug valve #35 into valve #30’s distribution board position (V30, DRAIN-V). Watch the top side balancing
chamber valve nozzles. Replace any valve that is seen leaking (either valve #31 or valve #32).
h) Unplug valve #35 leave it unplugged and plug valve #36 into valve #30’s position (V30, DRAIN-V). Watch
the top side balancing chamber valve nozzles. Replace any valve that is seen leaking (either valve #31
or valve #32).
i) Unplug valve #36 leave it unplugged and plug valve #37 into valve #30’s position (V30, DRAIN-V). Watch
the top side balancing chamber valve nozzles. Replace any valve that is seen leaking (either valve #33
or valve #34).
j) Unplug valve #37 leave it unplugged and plug valve #38 into valve #30’s position (V30, DRAIN-V). Watch
the top side balancing chamber valve nozzles. Replace any valve that is seen leaking (either valve #33
or valve #34).
k) Unplug valve #38 and leave it unplugged. None of the top side balancing chamber valves are leaking.
Continue with BOTTOM SIDE LEAK PROCEDURE (page 579).
NOTE: Needle nose pliers are required (DO NOT use a plastic clamp) to QUICKLY clamp valve #35’s or
valve #37’s white (bottom) tubing IF a leak is seen. Referring to Figure 96 (page 579), locate these valves at
this time (left side, bottom).
a) Plug valve #31 into valve #30’s distribution board position (V30, “DRAIN-V”) and watch valve #31’s
nozzle. Is a leak seen?
Yes QUICKLY clamp valve #35’s white tubing. If the leak stops replace valve #35. If not, replace
valve #36.
No Unplug valve #31 and leave it unplugged. See part b.
b) Plug valve #32 into valve #30’s position (V30, “DRAIN-V”) and watch valve #32’s nozzle. Is a leak seen?
Yes QUICKLY clamp valve #35’s white tubing. If the leak stops replace valve #35. If not, replace
valve #36.
No Unplug valve #32 and leave it unplugged. See part c.
c) Plug valve #33 into valve #30’s position (V30, “DRAIN-V”) and watch valve #33’s nozzle. Is a leak seen?
Yes QUICKLY clamp valve #37’s white tubing. If the leak stops replace valve #37. If not, replace
valve #38.
No Unplug valve #33 and leave it unplugged. See part d.
d) Plug valve #34 into valve #30’s position (V30, “DRAIN-V”) and watch valve #34’s nozzle. Is a leak seen?
Yes QUICKLY clamp valve #37 white tubing. If the leak stops replace valve #37. If not, replace
valve #38.
No A balancing chamber valve leak is not obvious using this test. Turn the machine off and
CAREFULLY plug all valves back into the distribution board. Return to Dialysis Program and
perform automated Alarms / Pressure tests.
A torn balancing chamber diaphragm will cause Flow Errors and/or Temperature and/or Conductivity
problems and/or OLC problems
a) Call debug screen 5. If the debug screens do not appear press the ‘Esc’ key
then call screen 5.
b) IGNORING FPRE for now, is FPOS (Figure right, middle column, BELOW
FPRE) more than nine thousand (9000)?
Yes FPOS more than 9000! See procedure number BC LEAK- 3.0.0 (page 583).
No FPOS is NOT more than 9000. See procedure number BC LEAK- 1.1.0 (page 580).
a) Plug the concentrate connectors into their rinse ports to call the “Select Program” screen.
b) This procedure uses a psi pressure gauge. ENSURE it reads 0 psi before installing it!
c) Per the Figure below, tee the gauge between the Flow Pump's OUTPUT nozzle and its WHITE tubing.
d) Tie wrap both sides of the gauge tubing to prevent leaks and false readings!
e) Place the machine into RINSE! Watch for one (1) minute to ENSURE a “No Water” or a Flow Error DO
NOT occur!
f) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
g) Allow Valve #43’s ‘dot’ (Figure right) to turn blue then WHITE again! While
white, does pressure CYCLE, about every three (3) seconds, to between 35
and 36 psi?
No Is NOT between 35 and 36 psi! ENSURING the machine was in RINSE AND no leaks, TWO
(2) possible scenarios:
1) IF (and ONLY if) pressure is too low: DO NOT calibrate instead proceed to page
101, procedure number F- 9.0.2.
2) IF pressure is too high! Perform parts a AND b below:
a) Adjust Valve #78* until pressure cycles to between 35 and 36 psi! *To LOCATE #78
refer to Figure 97 (page 580).
b) Leaving the machine in RINSE, see procedure number BC LEAK- 2.0.0 (page 581).
Two (2) buckets are required, one empty and the other filled with one gallon of ACID CONCENTRATE.
Place both buckets on the floor and read the procedure before continuing:
a) Call debug screen 5. Allow FPRE (middle column) to reach LESS THAN two thousand eight hundred
(2800). This verifies all conductive fluids have been rinsed out.
f) Place the red dialyzer connector into the bucket of acid concentrate but DO NOT close the shunt door!
Rinse must NOT interrupt! The blue connector MUST be delivering flow into its bucket!
g) WITHOUT LOOKING AWAY, watch FPRE for up to three (3) minutes. Does it EVER, even if only once,
increase or fluctuate to MORE THAN four thousand (4000)?
Yes FPRE increases to more than 4000! A torn balancing chamber diaphragm is indicated.
Remove the clamp from valve #29 then replace BOTH balancing chamber diaphragms.
a) A torn diaphragm is NOT indicated! IMPORTANT! Remove the clamp from valve #29
and return the dialyzer lines to the shunt!
Two (2) buckets are required, one empty and the other filled with one gallon of ACID CONCENTRATE. Place
both buckets on the floor and read the procedures before continuing:
a) Place the machine into RINSE. If the external flow indicator’s ‘bob’ is not moving up and down
these tests are invalid!
b) Call debug screen 5. Allow FPRE (middle column, ABOVE FPOS), to become less than two thousand
eight hundred (2800). This verifies all conductive fluids have been rinsed out.
c) ENSURING RINSE is running (Remaining Time is NOT = 0:00) open the shunt door.
g) Remove the blue dialyzer connector from the shunt door and place it into the empty bucket.
h) Place the red dialyzer connector into the bucket of acid concentrate but DO NOT close the shunt door!
Rinse must NOT interrupt! The blue connector MUST be delivering water into its bucket!
i) WITHOUT LOOKING AWAY, watch FPOS for up to 45 seconds. Does it EVER, even if only once,
increase or fluctuate to more than seven thousand (7000)?
No FPOS less than 7000. Proceed to page 580, procedure number BC LEAK- 1.1.0 to check the
Flow Pump.
WITHOUT LOOKING AWAY, NOW watch FPRE for up to three (3) minutes. Does it EVER, even if only
once, increase or fluctuate to MORE THAN four thousand (4000)?
Yes FPRE fluctuates to 4000 or more! A torn balancing chamber diaphragm is indicated. Remove the
clamp from valve #29 then replace BOTH balancing chamber diaphragms.
a) A torn diaphragm is NOT indicated! IMPORTANT! Remove the clamp from valve #29 and
return the dialyzer lines to the shunt!
b). If referred to TESTING FOR A LEAKING BALANCING CHAMBER DIAPHRAGM, return to the
procedure that brought you here as NOTED!
Balancing Chamber Diaphragm Leak Test Theory: Referring to the Figure below, the Flow Pump #21
delivers a highly conductive acid solution into the ‘spent’ (S) side of the balancing chambers at high pressure.
Both balancing chamber ‘fresh’ (F) sides are open to low pressure because the blue (to dialyzer connector)
line is in a bucket open to atmosphere. If a balancing chamber diaphragm is torn (right side in this case) the
conductive acid solution is forced through the hole, into the fresh side, through Conductivity Cell #7 causing
FPRE to increase. If neither diaphragm is torn they prevent the acid solution from entering the fresh side and
FPRE will not increase. Recirc valve #29 must be clamped to prevent its eventual opening from recirculating
the acid solution back into the hydrochamber causing FPRE to increase falsely.
C) Plug BOTH the ACID AND BICARB connectors into their rinse ports.
E) Figures above, does MASSIVE OVERFLOW, more than 600 ml per minute, occur (Yes or No)?
Yes Massive overflow! Turn the machine OFF then proceed to page 593, procedure number
OVER- 6.0.0.
F) Figure below, ENSURE the Vent Tubing, ESPECIALLY the segment going to the Float is NOT restricted
G) Place the machine into the Program the overflow was occurring in i.e. i) Cleaning/Disinfection (Heat
Disinfect, Rinse, etc.) OR ii) Dialysis.
H) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
1) IF Flow Error EVER = 1, even just once! DO NOT troubleshoot overflow instead troubleshoot the
flow error! Refer to the Table of Contents for whatever program the machine is in.
2) IF Flow Error ALWAYS = 0! Is the machine in: i) A Cleaning Program OR ii ) Dialysis Program:
a) From the Home screen, allow [Conductivity] to increase to more than 12.0 mS.
No FILACT = 0! See procedure number OVER- 1.0.0 (page Error! Bookmark not
defined.).
b) When the machine is off OR if [Dialysate Flow] is “OFF” and the machine is attached to a Central
Concentrate Delivery System (SDS), over time, SDS pressure too high may force the concentrate pumps
open causing overflow.
c) Is the red AND / OR blue concentrate connectors currently attached to a SDS system?
Yes Attached to a central system! Allowing up to ½ hour, if (and ONLY if) overflow still occurs see
procedure number OVER- 1.0.1 (page 586). If overflow is NOT occurring maybe the problem
was occurring when attached to a particular station in the clinic where the pressure is too high.
No NOT attached to a central system. If (and ONLY if) overflow is still occurring see procedure
number OVER- 2.0.0 (page 587). If overflow is NOT occurring maybe it was occurring ONLY when
attached to a SDS where the pressure is too hig.
OVER- 1.0.1 ATTACHED TO A CENTRAL SYSTEM / ISOLATE HIGH PRESSURE (Slow Overflow)
a) Disconnect the red AND blue concentrate connector(s) from the central supply.
Yes Overflow stops! Acid and/or bicarbonate central pressure is too high!
No Overflow does NOT stop! See procedure number OVER- 2.0.0 (page 587).
Yes In Heat Disinfect! See procedure number OVER- 2.0.1 (page 587):
No NOT in Heat Disinfect! See procedure number OVER- 2.0.2 (page 587).
c) Allow up to five (5) more minutes. If a “Flow Recirc Error 1” banner appears DO NOT troubleshoot
overflow. If (and ONLY if) a “Flow Recirc Error 1” does NOT occur see procedure number OVER- 2.0.2
(page 587).
b) Per the Figure below, remove the front CLEAR tubing (to drain) from the Heat Exchanger.
c) Watch the vacant Heat Exchanger nozzle for up to THREE (3) minutes. or until you see dripping, possibly
VERY slowly (Yes or No)?
Yes Dripping seen! YOU MUST perform the following TWO (2) procedures: Procedure #1: Turn
the water OFF and replace the Heat Exchanger; Procedure #2: To prevent damaging the
new Heat Exchanger, see procedure number OVER- 8.0.0 (page 596) IMMEDIATELY.
No dripping! Reattach the tubing then see procedure number OVER- 3.0.0 (page 588).
c) Per the Figure below, install the gauge at Inlet Pressure Regulator #61.
e) Place the machine into RINSE and allow one (1) minute!
f) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
Yes Between 18 and 20 psi! See procedure number OVER- 3.0.1 (page 589).
No Per Figure 100 above: a) Loosen Regulator’s #61’s lock nut. b) Can the center screw be
adjusted until a PEAK between 18 and 20 psi is achieved? TWO (2) possible scenarios:
1) IF (and ONLY if) between 18 and 20 psi is achieved! See procedure number
OVER- 3.0.1 (page 589).
This procedure checks the Regulator #61’s ability to maintain pressure over time.
c) Allow up to fifteen (15) minutes! Does pressure increase more than 2 psi above what was noted in part b
(Yes or No)?
Yes Pressure increased more than 2 psi! TWO (2) possibilities: 1) Incoming water pressure
more than 105 psi OR; 2) Bad Regulator #61. There is a Rebuild kit available for Regulator
#61, P/N 190934.
No Pressure did NOT increase! See procedure number OVER- 4.0.0 (page 589).
b) Per the Figure below, at the top of the hydrochamber, locate the clear tubing that vertically enters
the Air Gap tower. This tubing is from Inlet Water Valve #41.
c) DO NOT touch the Vent Tubing but pull the tubing off the Air Gap Tower.
Part d next page
Yes Flow or dripping seen! See procedure number OVER- 4.0.1 (page 590).
No No flow OR dripping seen! Proceed to page 591, procedure number OVER- 5.0.0.
Yes Flow or dripping continues! Valve #41 is leaking and must be replaced! To LOCATE Valve
#41 refer to Figure 35 (page 211).
Yes Flow or dripping continues! The Actuator-Test Board is bad. To located the
board refer to Figure 4A (page 10).
No Flow or dripping stops! Float Switch #5 is bad! To LOCATE Float Switch #5 refer
to Figure 28 (page 140).
Valve #39 opens in Cleaning Programs and Deaeration pressure should be NOWHERE NEAR -24 inHg! This
is especially important for Heat Disinfect to prevent boiling which would cause overflow!
b) The deaeration gauge is used next. ENSURE it reads 0 inHg before installing it!
c) Per the Figure below, tee the gauge between the inlet (clear tubing) side and the Deaeration Pump’s
input nozzle.
1) IF (and ONLY if) pressure is between 0 and negative (-)12 inHg. Valve #39 is okay. See
procedure number OVER- 5.2.0 (page 592).
2) IF pressure is between negative (-)18 and negative (-)25 inHg: Valve #39 is NOT opening! FOUR
(4) possible bad components: 1) Bad Actuator-Test Board OR; 2) Bad Valve #39* OR; 3) Bad
ACTUATOR cable OR; 4) Bad distribution board!
b) Per the Figure right, remove the heater and check its
opening into the top of the hydrochamber for damage i.e.
melting. If (and ONLY if) damage is LOCATED replace
the hydrochamber. If (and ONLY if) damage is NOT
located continue to part c.
a) BEFORE continuing to part b, NOTE this page number then perform INITIAL CHECKS (page 7).
f) With the machine AND water ON allow thirty (30) seconds. TWO (2) possible scenarios
1) or 2) below:
1) IF (and ONLY if) massive overflow continues: With the machine AND water ON, see
procedure number OVER- 7.0.0 (page 595).
No Deaeration motor is rotating clockwise! NOTE ONLY the DEAERATION MOTOR will
be checked then proceed to page 141, TROUBLESHOOTING MOTORS.
a) With the machine AND water ON, CAREFULLY return valve #41 to distribution board position “IN-V”. If
(and ONLY if) ‘massive’ overflow continues see part b.
No a) Trace the float’s wiring harness from the distribution board to ENSURE it terminates at the
float. NOTE! To LOCATE the Float refer to Figure 28 (page 140).
c) With the machine AND water ON, if (and ONLY if) massive overflow continues see part d.
g) FOUR (4) possible bad components: 1) Bad actuator cable OR; 2) Bad Sensor Board cable
OR; 3) Bad distribution board OR; 4) Bad motherboard.
c) Per the Figure below, install the gauge at Inlet Pressure Regulator #61.
Yes Maximum is between 18 and 20 psi! See procedure number OVER- 8.2.0 (page 597).
No Per the Figure above: A) Loosen Regulator’s #61’s lock nut; B) Can the center screw be
adjusted until a maximum of between 18 and 20 psi is achieved? NOTE! Counterclockwise
decreases pressure. TWO (2) possible scenarios:
1) IF (and ONLY if) between 18 and 20 psi is achieved! See procedure number
OVER- 8.2.0 (page 597).
This procedure checks Pressure Regulator #61’s ability to maintain pressure over time.
c) NOTE gauge pressure then allow fifteen (15) minutes before continuing!
d) Does pressure increase more than 2 psi over what was noted in part c?
Yes Pressure increased more than 2 psi! TWO (2) possibilities: 1) Incoming water pressure is
more than 105 psi OR; 2) Bad Regulator #61. Regulator #61 can be rebuilt (Rebuild kit,
P/N 190934).
No Pressure did NOT increase over time. Pressure regulator #61 is okay. The overflow problem
should be solved!
B) ENSURE the ‘Incoming Water’ and ‘To Drain’ tubing (Figure right)
are not reversed connected!
C) ENSURE the ‘To Drain’ tubing is not kinked AND, if using a drain
’Quick Connector’, it is attached PROPERLY to the station drain!
a) ENSURE the tubing to and from UF Check Valve #63 is NOT restricted!
b) In the next procedure, but NOT YET, the machine will be placed into RINSE HOWEVER, if a leak occurs
DO NOT turn the machine off but instead, “Interrupt” Rinse by pressing the ‘Esc’ key then ‘Enter’ twice!
• No leaks from the Fluid Sample port (Figure right) ONLY if UF Check Valve
#64 is okay!
b) Place the acid and bicarbonate connectors into their rinse ports.
d) Allow up to four (4) minutes OR until if a leak occurs. TWO (2) possible scenarios:
1) IF (and ONLY if) NO leaks! Unless UF Check Valve #63’s tubing ‘blew off’ whatever was causing
the leak is no longer present!
a) If (and ONLY if) UF Check Valve’s tubing ‘blew off’ it is oriented incorrectly.
1) IF (and ONLY if) Valve Error = 1 LONGER THAN two (2) seconds: Proceed to page 207,
procedure number CLEAN- 7.0.0.
2) IF Valve Error = 0 OR ‘blinks to 1’ for less than one (1) second: Turn the machine OFF then
proceed to page 607, procedure number LEAKING- 4.0.0
ENSURING the water is on, this procedure checks if VERY HIGH Loading Pressure may be causing a leak!
a) ENSURING the Loading Pressure gauge (yellow connector) reads 0 psi before inserting it, SLAM* it
into the red Acetate/Acid rinse port.
c) Turn the machine on. When “Press CONFIRM For Service Mode” appears press ‘Enter’.
Yes Pressure more than 30 psi! Turn the machine OFF then proceed to page 613, procedure
number LEAKING- 6.0.0.
No Pressure less than 30 psi! With the Main Service Mode menu REMAINING up, allow two (2)
FULL minutes OR until if an active leak reoccurs. TWO (2) possible scenarios 1) or 2) below:
1) IF (and ONLY if) a leak DOES NOT reoccur: A possible Secondary Side Leak. See
procedure number LEAKING- 2.0.0 (page 603).
2) IF leak reoccurs: Listed under PRIMARY SIDE LEAK (below) are TWELVE (12) possible
scenarios (not inclusive):
6) IF from Regulator #61 OR Valve #41 (not including the Heat Exchanger): A) Ensure incoming
water pressure is not exceeding 100 psi; B) Check Inlet Water Pressure Regulator per the
CALIBRATION PROCEDURES booklet; C) Check tubing connections tie wraps or replace tubing;
4) If Valve #41 is leaking externally the tubing connection, O-ring, or the valve body may be cracked.
7) IF from Valve #39: A) Check the tubing connection; B) Possible bad O-ring between the valve and
the Hydrochamber; C) The valve body may be cracked.
8) IF from the Acid or Bic pump reinforced (output) tubing: Secure tubing connections with tie wraps.
9) IF between Deaeration Pump #20 and the Hydrochamber including Mixing Chambers #82:
Secure tubing connections with tie wraps.
10) IF between BOTTOM BALANCING CHAMBER VALVES, #35 / #37 and the Hydrochamber:
A) Secure tubing connections with tie wraps; B) Possible bad O-ring between the valve and the
balancing chamber; C) A valve body may be cracked.
11) IF between TOP BALANCING CHAMBER VALVES #32 / #34 and the HEAT EXCHANGER:
A) Secure tubing connections; B) Possible bad O-ring between the valve and the balancing chamber;
C) A valve body may be cracked.
12) Per the Figure below, if the machine is equipped for bibag AND leaking from a bibag component: A)
Secure tubing connections with tie wraps; B) If the component itself is leaking replace it!
c) Does the “Yes” box at Dialysate Sampling (Figure right) have a blue ‘X’
in it?
Yes Dialysate Sampling = “Yes”! See procedure number LEAKING- 2.1.0 (page 603).
1) IF (and ONLY if) in Dialysis Program: Turn the machine OFF then see procedure
number LEAKING- 3.2.0 (page 605).
b) ENSURE the “No” box at Dialysate Sampling now has a blue ‘X’ in it!
d) Return to the Program (Cleaning OR Dialysis) where the leak was seen!
If squirting into the bucket occurs UF Check Valve #63 is okay!
e) Figure right, if (and ONLY if) no leaks from the Fluid Sample port = UF
Check Valve #64 is okay!
f) Watch for up to four (4) minutes OR until an active leak reoccurs. TWO (2) possible scenarios:
1) IF (and ONLY if) an active leak reoccurs: Turn the machine OFF then see procedure number
LEAKING- 3.2.0 (page 605).
2) IF an active leaks does NOT reoccur AND THREE (3) possible scenarios i) or ii) or iii below:
i) IF in a Cleaning Program AND a Flow Error occurs: Proceed to page 170, procedure
number CLEAN- 1.2.0.
ii) IF in Dialysis Program AND a Flow Error occurs: Proceed to page 23, SECTION 1 - FLOW
ERRORS IN DIALYSIS PROGRAM.
iii) IF a Flow Error does NOT occur: The leak was probably due to the incorrect Dialysate
Sampling setting! This option should always be left at “No”!
c) Call debug screen 0. IGNORING the top window (Flow Error) look at Valve
Error (2nd window down). TWO (2) possible scenarios:
1) IF (and ONLY if) Valve Error = 1 LONGER THAN two (2) seconds: Proceed page 207,
procedure number CLEAN- 7.0.0.
2) IF Valve Error does NOT = 1 for LONGER THAN two (2) seconds: Was the leak ORIGINALLY
caused because UF Check Valve tubing was ‘blowing off’?
Yes UF Check Valve tubing was ‘blowing off’! See procedure number LEAKING- 3.1.0 (page
604).
No UF Check Valves were okay! Turn the machine OFF then proceed to page 605, procedure
number LEAKING- 3.2.0).
LEAKING- 3.1.0 LEAK IN CLEANING PROGRAM / UF CHECK VALVE TUBING BLOWING OFF
b) Subsequent squirting into the bucket occurs if (and ONLY if) UF Check Valve #63 is okay!
c) If the screen’s Heat Disinfect button is BLUE go to Heat Disinfect. If GRAY go to RINSE!
d) Figure right, if (and ONLY if) no leaks from the Fluid Sample port = UF Check
Valve #64 okay.
e) Call debug screen 0 to watch Valve Error (2nd window down) until if it =1
for LONGER THAN two (2) seconds OR until an active leak reoccurs OR for
three (3) FULL minutes, whichever comes first. TWO (2) possible scenarios
below:
1) IF (and ONLY if) Valve Error EVER = 1 for LONGER THAN two (2) seconds: Proceed page
207, procedure number CLEAN- 7.0.0.
2) IF Valve Error does NOT = 1 for longer than two (2) seconds: THREE (3) possible scenarios i) or
ii) or iii) below:
i) IF (and ONLY if) an active leak reoccurs: Turn the machine OFF then see procedure
number LEAKING- 3.2.0 (page 605).
ii) IF (and ONLY if) an active leak does NOT reoccur HOWEVER, a Flow Error occurs:
Proceed to page 170, procedure number CLEAN- 1.2.0 (page 170).
iii) IF an active leaks DOES NOT reoccur AND a Flow Error NEVER occurs: Reconnect the
Fluid Sample If UF tubing blows off again one or both of the UF Check Valves may be bad!
1) Figure right, if (and ONLY if) the DiaSafe® filter was leaking from its blue
headers: A) ENSURE the packing tabs are not present; B) Replace the filter!
2) Per the Figure below, IF (and ONLY if) Flow Relief Valve #78 was leaking: See
procedure number LEAKING- 3.3.0 (page 606)
3) IF (and ONLY if) the leak was from inside the DiaSafe® filter housing:
Inside the housing, tie wrap ALL tubing connections THEN see procedure
number LEAKING- 4.0.0 (page 607).
4) Per the Figure below, IF (and ONLY if) the leak was between the Flow Pump
and BALANCING CHAMBER VALVES #36 and/or #38: See procedure
number LEAKING- 3.3.0 (page 606).
5) All OTHER scenarios: See procedure number LEAKING- 4.0.0 (page 607).
a) Secure the tubing clamps at Valves #36* and #38*. * To LOCATE these Valves refer to the Figure
previous page!
b) A psi gauge is used next. ENSURE it reads 0 psi before installing it!
c) Per the Figure below, install the gauge at the Flow Pump’s OUTPUT (white) tubing.
d) Tie wrap both side of the gauge tubing to prevent leaks and false readings.
e) Enter Service Mode → Calibrate Hydraulics → Flow Pressure but DO NOT follow the screen’s
instructions!
g) Normal pressure is between 35 and 36 psi. Does pressure EXCEED 38 psi OR ‘peg’ its needle i.e. much
more than 38 psi?
Yes More than 38 psi! Per the Figure above, turn Valve #78’s nut COUNTERCLOCKWISE
(outward) attempting to adjust to between 35 and 36 psi. If it will not adjust Valve #78 may
be bad.
1) IF (and ONLY if) Flow Relief #78 is leaking from its body! Tighten the Phillips
screws on the Valve body then watch for four (4) minutes. If the leak continues
replace Valve #78 and calibrate it.
2) IF Flow Relief Valve #78 is NOT leaking! If the leak continues, there may be a bad
O-ring seal between the Balancing Chamber and Valve #36 and/or #38 OR Valve
#36 and / or #38 valve body is cracked.
a) Without causing tension on cables and tubing, move the hydraulics as far away from the cabinet as
possible!
c) Per Figure 107 below, check through Valve #30’s INPUT and OUTPUT tubing for restrictions.
d) Turn the machine but when “Select Program” appears DO NOT press
‘Dialysis’ or start a Cleaning program!
e) Figure right, screw the 60 syringe onto the Fluid Sample Port.
No Cannot push all water out! See procedure number LEAKING- 4.0.1 (page 608).
a) Remove the syringe from the Sample Port and fill it with water.
c) Attach a tubing segment to the syringe that will fit snug onto the
syringe AND Valve #30’s INPUT nozzle.
Yes All 60 ml can be pushed out! UF Check Valve #64* may be restricted. *To LOCATE Check
Valve #64 refer to Figure 107 (page 607).
No Cannot push all water out! See procedure number LEAKING- 4.0.2 (page 608).
LEAKING- 4.0.2 CANNOT PUSH THROUGH VALVE #30 / ISOLATE VALVE #30
b) ENSURE the external flow indicator’s ‘bob’ is at the bottom of the sight tube!
c) Flow from the shunt door and the flow through the indicator will be checked. Parts d through f MUST be
performed QUICKLY so read them BEFORE performing!
e) Remove the RED dialyzer connector from the shunt door but
DO NOT shut the door!
f) Figure right, strong flow, more than 300 ml every thirty (30)
seconds?
No Not more than 300 ml per 30 seconds! Turn the machine OFF then perform parts a THROUGH c
below:
a) ENSURE no tubing restrictions to and from the DiaSafe® filter including inside its housing!
b) Replace the DiaSafe® filter with a primed one from another machine*!
c) Repeat (ABOVE) procedure number LEAKING- 5.0.0 (page 609). If still not more than 300 ml
per thirty (30) seconds! NOTE ONLY VALVE #24 will be checked and proceed to page
210, TROUBLESHOOTING A VALVE.
a) Press the ‘Esc’ key then ‘Enter’ twice to call the “Select Program” screen.
b) Return the dialyzer connector to the shunt and close the door!
Yes ‘Bob’ moving! Valve #25 is okay! See procedure number LEAKING- 5.2.0 (page 610).
2) IF tubing DID NOT ‘blow off’: A) Reconnect the drain tubing; B) NOTE ONLY VALVE
#25 will be checked and proceed to page 210, TROUBLESHOOTING A VALVE.
a) Press ‘Esc’ then ‘Enter’ twice to call the “Select Program” screen!
b) Remove the red dialyzer connector from the shunt door and place it on the floor!
d) Per the Figure above, clamp and remove Valve #26’s INPUT tubing!
e) Fill the 60 ml syringe with water then attach it to Valve #26’s INPUT nozzle.
f) Push AS HARD AS YOU CAN on the syringe plunger. Can you push ALL 60 ml through Valve #26 within
FIVE (5) seconds?
Yes Valve #26 is okay! Return the dialyzer connector to the shunt then see procedure number
LEAKING- 5.3.0 (page 611).
No Significant resistance felt! NOTE ONLY VALVE #26 will be checked and proceed to
page 210, TROUBLESHOOTING A VALVE.
Yes All water pushed out! Flow through Valve #29! See procedure number LEAKING- 5.5.0
(page 612).
No Significant resistance felt! NOTE ONLY VALVE #29 (Figure below) will be checked and
proceed to page 210, TROUBLESHOOTING A VALVE
b) If the screen’s Heat Disinfect button is BLUE go to Heat Disinfect. If gray go to RINSE!
1) IF (and ONLY if) PDIA CYCLES from between 0.0 to more than 0.1 BUT NEVER more than
6.0l! A problem is not present at this time. Tie wrap or replace ALL tubing connections that were
leaking and ENSURE the machine passes the alarms and pressure tests!
2) IF (and ONLY if) PDIA REMAINS less than 1.0 for longer than 10 seconds: If a Flow Error
occurs OR a leak reoccurs there MAY be a partial restriction to the drain (Valve #30, Valve #29).
3) IF PDIA goes to more than 6.0 AND a Flow Error occurs: Referring to the Figures (below)
Valve #24 OR #25 is partially restricted!
a) With the machine OFF turn Loading Pressure Valve’s #65’s (located on the left side of the
hydrochamber) nut COUNTERCLOCKWISE to the point that it is almost all the way out i.e. maximum
number of threads showing!
d) Turn the machine on. When “Press CONFIRM for Service Mode” appears press ‘Enter’. The screen
says “Machine in Service Mode”.
e) Keeping an eye on the gauge, When ‘System Initialization’ reaches 90% does pressure again EXCEED
30 psi OR ‘peg’ the gauge’s needle (i.e. much more than 30 psi!)?
Yes Pressure exceeds 30 psi! See procedure number LEAKING- 6.1.0 (page 613).
No Pressure less than 30 psi! Perform the Loading and Deaeration Pressure calibration per the
Calibration Procedures booklet!
b) Remove Loading Pressure Valve #65 from the hydrochamber. NOTE! There will be leakage but leave
the water on!
c) Debris may be restricting Valve #65’s Hydrochamber return port. Referring to the 2008T Flow Diagram,
debris can be ANYWHERE between Deaeration Pump’s #20 output and Loading Pressure Valve #65. Is
debris located?
Yes Debris* located! See procedure number LEAKING- 6.2.0 (page 613).
c) Attempt to set Loading Pressure maximum to between 23 and 25 psi. If maximum pressure
will not adjust below 30 psi, TWO (2) possibilities: 1) Debris that was not located or
reoccurred OR; 2) Bad Loading Pressure Valve #65.
* Possible debris sources: 1) Excessive O-ring lubrication; 2) Inadequate acid clean cycles (i.e.
excessive bicarbonate precipitate); 3) Inadequately filtered incoming water; 4) Possible degrading
Deaeration Pump head gears.
c) Attempt to set Loading Pressure maximum to between 23 and 25 psi. If maximum pressure will not adjust
below 30 psi, TWO (2) possibilities: 1) Debris that was not located or reoccurred OR; 2) Bad Loading
Pressure Valve #65.
A leak was occurring in a Cleaning Program (Rinse, Heat Disinfect, etc.) and you saw the “Sample Bag
Connected?” banner on the screen.
a) Turn the machine on. When “Press CONFIRM For Service Mode” appears press ‘Enter’. The screen says
“Machine In Service Mode”.
d) Does the “Yes” box at Dialysate Sampling (Figure right) have a blue ‘X’
in it?
Yes Dialysate Sampling = “Yes”! See procedure number LEAKING- 7.1.0 (page 614).
No Dialysate Sampling = “No”! This is NORMAL and is not causing the leak! Turn the machine
OFF then return to (ABOVE) procedure number LEAKING- 1.1.0 (page 600).
b) ENSURE the “No” box at Dialysate Sampling now has a blue ‘X’ in it!
c) Reattach and all ‘blown off’ tubing but LEAVE the Fluid Sample Connector in the bucket!
e) From the ‘Select Program’ screen press RINSE. The “Sample Bag Connected” banner should NOT
appear!
f) With the machine in RINSE Program NOTE! Squirting from the Fluid Sample Connector is NORMAL =
UF Check Valve #63 is oriented correctly!
g) If (and ONLY if) an active leak reoccurs turn the machine OFF then return to (ABOVE) procedure
number LEAKING- 1.1.0 (page 600).
Turn the machine OFF for two (2) seconds, then back on. TWO (2) possible scenarios 1) or 2) below:
1) IF “WD: Fail Long Pulse” OR “WD: Fail Short Pulse” does NOT reoccur: Turn the machine off
and on ten (10) times allowing twenty (20) seconds in between as the problem may be intermittent! If
“WD” alarm reoccurs see scenario #2.
2) IF “WD: Fail Long Pulse” OR “WD: Fail Short Pulse” REOCCURS: Perform parts a THROUGH d
below:
a) Figure below, being CAREFUL to NOT pull the 24V Power Harness loose, open the card cage!
c) Connect the meter’s ground (black) lead to chassis ground (see Figure 2,
page 4)).
d) ENSURING the “WD: Fail Long Pulse” OR “WD: Fail Short Pulse” banner is on the screen,
see procedure number WD- 1.0.0 (page 616).
a) Per the Figure below, locate the Functional Board’s six (6) pin ‘P4’ connector at the top, front edge of the
board closest to the screen.
b) Measure at the rear side of the P4 connector, at pin 1 (rear pin), as seen in the Figure above. TWO (2)
possible scenarios:
1) IF (and ONLY if) more than 3.0 volts DC: Leaving the “WD: Fail Long Pulse” OR “WD: Fail Short
Pulse” banner up see procedure number WD- 1.0.1 (page 617).
2) IF less than 3.0 volts DC: Read before performing! Turning the machine off in between, one at a
time, swap in the listed components (see Component List (below)) with known good, Turn the
machine off and on several times, allowing twenty (20) seconds in between, to test new each
component!
1, 2
To prevent “Cond Offset Failure”, place the machine into T and C Mode (refer to OPERATING
MODES, page 19)) for each board.
a) Per the Figure below, locate IC2 at the top edge of the Power Logic Board.
b) Under IC2 are three resistors, top to bottom R8, R9 and R10.
c) Measure at the RIGHT side of R10, at the location shown in Figure 108. TWO (2) possible scenarios:
1) IF (and ONLY if) 3.6 volts DC or more: The Functional Board is bad (to locate see Figure 4A,
page 10)).
2) IF less than 3.6 volts DC: See procedure number WD- 1.0.3 (page 617).
a) Turn the machine OFF and swap in a known good Power Logic Board*. *To LOCATE the board refer to
Figure 4A AND NOTE A (page 10).
1) IF “WD: Fail Long Pulse” OR “WD: Fail Short Pulse” does NOT reoccur: Turn the machine off
and on several times, allowing 40 seconds in between, as the problem may be intermittent! If it
does not reoccur the new Power Logic Board fixed the problem.
2) IF “WD: Fail Long Pulse” OR “WD: Fail Short Pulse” REOCCURS:: Perform parts a THROUGH d
below:
a) Turn the machine OFF! The previous Power Logic Board is probably okay!
CHECK #1: Inspect the entire length of the 24V Power Harness. If burning or damage is
located this may be the problem!
CHECK #2: Inspect the surface of and all wires attached to the Power Control Board. If burning
or damage is located this may be the problem!
d) IC4 (see Figure above) is socketed and can be removed without desoldering! CAUTION! Being
careful NOT to install it upside down swap in a known good IC4 chip BEFORE continuing to
procedure number WD- 1.0.4 (page 619).
1) IF (and ONLY if) “WD: Fail Long Pulse” OR “WD: Fail Short Pulse” does NOT reoccur: Turn the
machine off and on several times, allowing 40 seconds in between, If “WD: Fail Long Pulse” OR “WD:
Fail Short Pulse” does NOT reoccur the new IC4 fixed the problem!
2) IF “WD: Fail Long Pulse” OR “WD: Fail Short Pulse” REOCCURS: See procedure number
WD- 1.0.5 (page 619).
a) ENSURE the “WD: Fail Long Pulse” OR “WD: Fail Short Pulse” banner is up BEFORE continuing to
part b.
b) Referring to the Figure below, measure again at the rear side of the Functional Board’s P4 connector, at
pin 1. TWO (2) possible scenarios:
1) IF (and ONLY if) more than 3 volts DC: Assuming all above procedures were performed
correctly, there may be a 24 volt ‘short circuit’ inside the power supply or the card cage. See
procedure number WD- 1.0.6 (page 620).
2) IF less than 3 volts DC: The symptom changed from what originally brought you here. It appears
the new IC4 is working. Return to (ABOVE) procedure number WD- 1.0.0 (page 616) to re-measure
voltage and proceed as directed.
a) Turn the machine OFF and swap in each component, one at a time, starting with the 24V Harness.
b) Turn the machine on. If (and ONLY if) the WD: Fail Long Pulse” OR “WD: Fail Short Pulse” reoccurs
AND there is more than 3.0 volts at the Functional Board’s P4 connector pin 1, continue through the list
until the WD alarm no longer occurs.
Component List: 1) 24V Harness*; 2) Power Control Board (inside the power supply). 3) All card cage
boards. 4) Motherboard.
This is NOT a Heater or Triac problem! From “Select Program”, for eight (8) seconds after
pressing ‘Dialysis’ then ‘Confirm’ or ‘Enter’, the Function Board turns the heater circuit off using Heater Relay
(RL3) located on the Power Control board. If the Function Board receives a signal that heater current is
present during this period it issues a “HEATER RELAY TEST FAIL”.
B) Figure below, being careful NOT to pull the 24V Power Harness loose, GENTLY open the card cage.
C) Push down HARD on the Power Logic and Functional Boards to ENSURE good connections to the
motherboard.
a) Turn the machine on and return to Dialysis Program (“Select Program”→ ‘Dialysis’ → ‘Enter’)!
Yes “HEATER RELAY TEST FAIL” reoccurs! Turn the machine OFF THEN see procedure
number HEATER RELAY- 1.0.1 (page 622).
No “HEATER RELAY TEST FAIL” did NOT reoccur! Reseating the boards may have fixed the
problem HOWEVER, see procedure number HEATER RELAY- 3.0.0 (page 628).
b) Figure right, measure at the wall plug. The meter MUST read more than
100 volts AC!
a) ENSURING the machine is off, TWO (2) people are required for this procedure!
b) Turn the machine on but when “Select Program” appears DO NOT push ‘Dialysis’ yet!
c) Read this step BEFORE going to part d! For eight (8) seconds, after pressing ‘Dialysis’ then ‘Confirm’
(or ‘Enter’) heater voltage SHOULD BE less than 10.0 volts. After eight (8) seconds, it MAY go to
more than 100.0 volts!
d) Figure below, at the distribution board’s Heater Connector, have Person #1 (you) HOLD the meter
leads between the BROWN and BLUE wires!
e) Person #2: Step #1 Press ‘Dialysis’; Step #2 Saying “Now” press ‘Enter’ to start Dialysis Program!
f) For the FIRST EIGHT (8) SECONDS, after hearing “Now”, more than 100.0 volts measured at the
heater?
Yes More than 100.0 volts! “HEATER RELAY TEST FAIL” MUST be up! See procedure number
HEATER RELAY- 2.0.0 (page 624).
No Less than 10.0 volts! Consider repeating procedure number HEATER RELAY- 1.0.2 (page
622) just to be sure! Does “HEATER RELAY TEST FAIL” reoccur?
No “HEATER RELAY TEST FAIL” did NOT reoccur! See procedure number
HEATER RELAY- 3.0.0 (page 628).
c) Turn the machine on AND return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’).
Yes “HEATER RELAY TEST FAIL” reoccurs! ENSURING the Heater Switch was off, see
procedure number HEATER RELAY- 1.0.4 (page 623).
No “HEATER RELAY TEST FAIL” did NOT reoccur! See parts a AND b below:
b) CAREFULLY repeat (ABOVE) procedure number HEATER RELAY- 1.0.2 (page 622) but if
(and ONLY if) you return here proceed to page 628, procedure number HEATER RELAY-
3.0.0.
HEATER RELAY- 1.0.4 HEATER SWITCH OFF BUT “HEATER RELAY TEST FAIL” REOCCURS
c) Return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’). If (and ONLY if) “HEATER RELAY
TEST FAIL” reoccurs see procedure number HEATER RELAY- 1.0.5 (page 623). If it DOES NOT
reoccur the new Power Logic board solved the problem!
a) Turn the machine off. THREE (3) possibilities (see COMPONENT LIST below). Swap each in, one at a
time then in between, see part b to see if the new component fixed the problem.
COMPONENT LIST: 1) Power Control board (inside the power supply); 2) Functional Board (to prevent
“Cond Offset Failure”, place the machine into T and C Mode (refer to OPERATING MODES, page 19));
3) Motherboard.
b) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’). If
“HEATER RELAY TEST FAIL” reoccurs swap in the next component in the list “HEATER RELAY TEST
FAIL” does NOT occur.
A bad diode 17 (D17) destroys Power Logic Boards. See parts a THROUGH h below:
a) Turn the power off and unplug the machine! Caution! Electrocution hazard if not unplugged!
b) Per Figure 111 below, open the power supply to see the component side of the Power Control board.
c) The twenty (20) and nine (9) pin* cables MUST be unplugged! *BEFORE unplugging the nine pin cable
NOTE its polarity (i.e. orange wire on the right)!
1) IF (and ONLY if) between 900 and 1500 Ω! (0.900 and 1.5 KΩ): Diode 17 is good!
Proceed to page 626, procedure number HEATER RELAY- 2.0.1.
2) IF less than 900 Ω (0.900 KΩ) OR more than 1500 Ω (1.5 KΩ): Diode 17 is bad!
Perform parts a THROUGH e below:
a) Replace BOTH the Power Control AND Power Logic* boards with known good! *To LOCATE
the board refer to Figure 4A AND NOTE A (page 10).
b) After BOTH boards are replaced, slide the power supply in but do not screw it in yet!
d) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’).
1) IF (and ONLY if) “Heater Relay Test Fail” reoccurs: The bad diode, now replaced,
may have caused other damage. See procedure number HEATER RELAY- 2.0.2 (page
627).
2) IF “Heater Relay Test Fail” DOES NOT reoccur: Problem solved! The previous diode 17
AND Power Logic Board is bad!
b) Slide the power supply back into the cabinet but DO NOT mount it yet!
c) Turn the machine off and swap in a known good Power Logic Board*. *To LOCATE the Power Logic
Board refer to Figure 4A AND NOTE A (page 10).
d) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’).
1) IF “Heater Relay Test Fail” reoccurs: Turn the machine off then see procedure number
HEATER RELAY- 2.0.2 (page 627).
2) IF “Heater Relay Test Fail” does NOT reoccur: Problem solved. The previous Power Logic Board
was bad.
a) Ensuring the machine is off, two (2) people are required for this procedure!
c) Turn the machine on but, when “Select Program” appears, DO NOT push “Dialysis’ yet!
d) At the distribution board, have Person #1 (you) HOLD the meter leads between the Heater
Connector’s BROWN and BLUE wires.
e) Person #2: Step #1 Press ‘Dialysis’; Step #2 Saying “Now” press ‘Enter’ to start Dialysis Program.
f) For the FIRST EIGHT (8) SECONDS, after hearing “Now”, more than 100.0 volts AC measured?
Yes More than 100.0 volts! It appears the Power Control board (inside the power supply) is bad.
1) IF (and ONLY if) “HEATER RELAY TEST FAIL” occurred: See (ABOVE) procedure
number HEATER RELAY- 1.0.3 (page 623).
2) IF “HEATER RELAY TEST FAIL” did NOT reoccur: See procedure number
HEATER RELAY- 3.0.0 (page 628).
A) Turn the machine off for two (2) seconds then back on.
B) Return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’). If (and ONLY if) “HEATER
RELAY TEST FAIL” reoccurs see procedure number HEATER RELAY- 3.1.0 (page 628). If “HEATER
RELAY TEST FAIL” DOES NOT occur see part C.
C) Repeat parts A and B four (4) times. If (and ONLY if) “HEATER RELAY TEST FAIL” does not reoccur
whatever was causing the problem has cleared!
D) Turn the machine off and swap in a known good Power Logic board*. *To LOCATE the Power Logic
board refer to Figure 4A AND NOTE A (page 10).
E) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’). If (and
ONLY if) “HEATER RELAY TEST FAIL” reoccurs see procedure number HEATER RELAY- 3.2.0 (page
628) otherwise see part F.
F) Turn the machine off then repeat parts E and F four (4) times. If “HEATER RELAY TEST FAIL” does
not reoccur the new Power Logic board fixed the problem!
G) Turn the machine off. THREE (3) possible bad component (see COMPONENT LIST below). Swap in
one (your choice), one at a time, then see part H to test the new component.
COMPONENT LIST: 1) Power Control board (inside the power supply) ; 2) Functional Board (to prevent
a “Cond Offset Failure”, place the machine into T and C Mode (refer to OPERATING MODES, page 19));
3) Motherboard.
H) Turn the machine on and return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’). If (and
ONLY if) “HEATER RELAY TEST FAIL” reoccurs repeat part G until HEATER RELAY TEST FAIL” does
not reoccur indicating the last component swapped in fixed the problem
A) If a DiaSafe® test is running allow it to finish BEFORE CONTINUING to part B. It is NORMAL for Flow
Error = 1 WHILE a DiaSafe® test is running
B) Using a flashlight, ENSURE no air bubbles are flowing into the machine through the Acid and
Bicarbonate inlet tubing. If air is seen there is a problem with a concentrate connection.
2) IF Flow Error EVER = 1! Proceed to page 23, SECTION 1 - FLOW ERRORS IN DIALYSIS
PROGRAM.
G) From the Home screen, [Temperature] MUST be between 35.5 and 38.5° C; [Conductivity] between
13.0 and 14.3 mS! BOTH MUST be stable i.e. NOT changing more than 0.2 per minute.
a) Using a flashlight, ENSURE no air bubbles flowing through the external flow indicator’s sight tube*!
* Air is normal after a Diasafe® test but should clear within four (4) minutes! Prolonged air cause Filling
Programs (i.e. FILACT = 1) and TMP will NOT stabilize!
d) If the [Pressure Test] key is gray press [Both Tests]. If blue press [Pressure Test]!
Yes BOTH Pressure Tests pass! See procedure number DIASAFE- 3.0.0 (page 630).
No A pressure test fails*! Proceed to page 517, SECTION 10 – PRESSURE TESTS FAILING.
f) Press ‘Enter’ to start the test then allow it to finish! TWO (2) possible scenarios:
b) Set [UF GOAL] to 1000 ml; Set [UF Time] to 1:00 hr.
c) Press ‘Enter’.
E) To turn UF on, press the front panel’s UF on/off key. The UF lamp (Figure
right) MUST STAY ON SOLID!
F) Without looking away, watch FILACT AND ATMP. If ATMP reaches 300, within forty
(40) seconds, turn UF off IMMEDIATELY i.e. UF lamp OFF! TWO (2) possible
scenarios:
1) IF ATMP reached 300 within 40 seconds: See procedure number DIASAFE- 4.0.2 (page
631).
2) IF ATMP DOES NOT reach 300 within 40 seconds: Based on FILACT, TWO (2) possible
scenarios below:
Scenario #1: IF FILACT WAS EVER = 1: A) Turn UF OFF then! B) Allow four (4) minutes
then; C) Repeat parts E and F of procedure number DIASAFE- 4.0.0 then;
D) If (and ONLY if) FILACT = 1 reoccurs turn UF OFF and proceed to page
452, SECTION 8 – FILLING PROGRAM PROBLEMS.
Scenario #2: IF FILACT was ALWAYS = 0: A) To check the UF Pump, perform the UF
Pump Calibration per the 2008 Calibration Procedures booklet then; B) If (and
ONLY if) UF volume is okay perform the Dialysate Pressure Calibration per the
2008 Calibration Procedures booklet.
Watching FILACT AND ATMP, allowing ten (10) seconds for stabilization, ATMP should stay more than
300 for twenty (20) seconds. TWO (2) possible scenarios below.
1) IF ATMP stays 300 OR more: See procedure number DIASAFE- 5.0.0 (page 632).
2) IF ATMP DOES NOT stay more than 300: Based on FILACT, TWO (2) possible scenarios:
Scenario #1: IF FILACT was EVER = 1: A) Allow four (4) minutes then; B) Repeat procedure
number DIASAFE- 4.0.0 (page 631); C) If (and ONLY if) FILACT = 1 reoccurs
proceed to page 452, SECTION 8 – FILLING PROGRAM PROBLEMS.
Scenario #2: IF FILACT was ALWAYS = 0: ENSURING UF is off proceed to page 483,
SECTION 9 - TMP PROBLEMS.
d) Press the ‘Diasafe Test’ button then ‘Enter’ then allow the test to finish! TWO (2) possible scenarios:
1) IF (and ONLY if) “Diasafe Test Passed”: FILTER #92 MAY be restricted! Repeat the test
once more as the failure may be intermittent!
2) IF “Diasafe Test Failed”: See procedure number DIASAFE- 6.0.0 (page 633).
b) ENSURE the syringe plunger moves freely back and forth inside the barrel!
f) Repeat the DiaSafe® Test while watching the syringe for one (1) minute. Is the plunger drawn into
the barrel?
Yes Plunger drawn! Valve #28 is OKAY! Proceed to page 635, procedure number
DIASAFE- 7.0.0.
No Plunger IS NOT drawn! See procedure number DIASAFE- 6.1.0 (page 633).
DIASAFE- 6.1.0 PLUNGER IS NOT DRAWN IN / ISOLATE FOR VALVE #28 SOLENOID ACTIVATION
Per the Figure above, touch Valve #28’s (black) solenoid. Is it warm?
Yes Solenoid is warm! TWO (2) possible bad components: 1) Bad Actuator-Test Board OR 2) Bad
Valve #28 (replace the valve AND its blue wire harness).
Check #2: If the wires DO NOT terminate properly at the solenoid terminals this may be the
problem!
Check #3: If the solenoid terminals are corroded replace the valve!
Yes Between 40 and 100 Ω! THREE (3) possible bad components (see COMPONENT
LIST below). Swap in each component, one at a time, and in between perform the
DiaSafe® test until the syringe plunger is drawn indicating the last component
swapped in was the problem.
No Less than 40 Ω OR more than 100 Ω. TWO (2) possible bad components: 1) Bad
valve #28 blue wire harness OR; 2) Bad valve #28.
b) Per the Figure below, ENSURE ‘TUBE A’ goes to VALVE #24 AND ‘TUBE B’ goes to VALVE
#26!
Yes Tubing is plumbed properly! See procedure number DIASAFE- 8.0.0 (page 636).
No Tubing is backwards! Per the Figure, attach the tubing properly and repeat the test.
f) Call debug screen 0. If the debug screens do not appear press the ‘Esc’ key then call screen 0.
g) Allow Valve #43’s ‘dot’ (Figure right) to turn blue then WHITE again! While
white, does pressure CYCLE, about every three (3) seconds, to between 35
and 36 psi?
Yes Between 35 and 36 psi! See procedure number DIASAFE- 9.0.0 (page 637).
No Is NOT between 35 and 36 psi! ENSURING the machine was in RINSE AND no leaks,
TWO (2) possible scenarios:
1) IF (and ONLY if) pressure is too low: DO NOT calibrate instead proceed to
page 101, procedure number F- 9.0.2
a) Per the Figure (above, right) adjust Valve #78 until pressure cycles to between 35
and 36 psi!
a) Place the machine into Service Mode → Diagnostics → Valve Leak Test then allow the screen’s [Test
Status] data box = “Ready”.
c) Use the keyboard’s Pg Up (↑) key until [Valve Number] = “Valve #26”.
d) Press ’Enter’’! When the test completes read the screen’s [TEST STATUS] data box. TWO (2)
possible scenarios:
1) IF Valve 26 “Failed”: REPEAT the test on Valve #26. If (and ONLY if) it fails AGAIN TWO (2)
possible bad components: 1) Replace the Actuator-Test Board with a known good then repeat
the Valve Leak Test on Valve #26! If Valve #26 fails again: 2) Bad Valve #26 (to LOCATE
Valve #26 refer to Figure 15 (page 79)).
a) Perform the UF Pump Calibration per the 2008 Calibration Procedures booklet.
b) Perform the TRANSMEMBRANE PRESSURE check per the 2008 Preventative Maintenance
Procedure booklet.
c) Repeat the Diasafe® test. If it fails replace the Diasafe® Filter per procedure and repeat the
test. If it continues to fail the Troubleshooting Guide is unable to locate the problem.
B) If troubleshooting the screen ‘remaining black’, if air is felt from the Power
Supply vents (Figure right) = fan running = MACHINE IS ON!
C) Figure right, the Main Power Switch does not turn the machine on but must be
on to turn the machine on! It MUST REMAIN ON for all procedures!
D) Proceed according to the OBSERVED symptom ONLY! Listed below are ten
(10) possible symptoms!
1) IF Machine ‘blows’ the wall breaker (GFI): A) Unplug ALL OTHER equipment that is connected to
the GFI circuit; B) Reset the GFI circuit; C) Plug a known good machine into it; D) Place the known
good machine into Heat Disinfect; E) Allow up to thirty (30) minutes to see if the GFI ‘blows’ again!
TWO (2) possible scenarios i) or ii) below:
i) IF the GFI ‘blows’ again: Either the GFI is not rated for the current drawn when a machine is in
Heat Disinfect OR the GFI is bad.
ii) IF the GFI does DOES NOT ‘blow’ again: There may have been too many machines plugged
into the same GFI circuit. Plug the suspected malfunctioning machine into the GFI and (if
possible) place it into Heat Disinfect. If (and ONLY if) the GFI ‘blows’ again proceed to page
640, procedure number P- A.0.0.
2) IF a “24V Low” OR “24V High” OR “WD: 24V Rcvr Err Short” OR “WD: 24V Rcvr Err Long”
banner: Leaving the machine on, proceed to page 642, procedure number P- B.0.0.
3) IF “5V Low” OR “5V High“ banner: Leaving the machine on, proceed to page 642, procedure
number P- B.0.0.
4) IF “12V POWER FAIL“ banner: Leaving the machine on, proceed to page 642, procedure
number P- B.0.0.
5) IF “Failed Sending Data To Actuator Board” banner: Leaving the machine on, proceed to page
642, procedure number P- B.0.0
6) IF after being on (fan running) for fifty (50) seconds the screen REMAINS BLACK: Proceed to
page 643, procedure number P- C.0.0.
7) IF after being on (fan running) for fifty (50) seconds the screen REMAINS fully OR partially
white and possibly displays nothing: Proceed to page 643, procedure number P- C.0.0.
8) IF after being on (fan running) for fifty (50) seconds the screen displays ‘weird’ i.e. scrambled,
weird colors, abnormal lines, upside down etc.: Proceed to page 643, procedure number P-
C.0.0.
10) IF the machine NEVER turns on i.e. fan NEVER runs: Perform parts a THROUGH d below:
a) If the fan IS NOT running continue to part b. If the fan IS RUNNING but, after fifty (50) seconds,
the screen REMAINS BLACK proceed to page 643, procedure number P- C.0.0.
b) Press the Power button for two (2) seconds! If the fan IS NOT running perform
parts c and d. If the fan is running but, after fifty (50) seconds, the screen
REMAINS BLACK proceed to page 643, procedure number P- C.0.0.
d) Press the Power button for two (2) seconds! If the machine still DOES NOT turn on (fan NEVER
runs), ENSURING the GFI did not ‘blow’, proceed to page 640, procedure number P- A.0.0.
a) Inspect the power plug and cord. Replace if burning or damage is located!
b) Per the Figure below, inspect the Strain Relief. Replace if damage is located!
c) Plug into a KNOWN GOOD GFI outlet but DO NOT attempt to turn the machine on yet!
A) Per the Figure above, turn the Heater Breaker Switch OFF!
B) Press the Power button for two (2) seconds. If the machine STAYS ON (fan running) perform parts C
through E. If the machine DOES NOT TURN ON (fan NEVER runs) OR if it TURNS ON but THEN ‘blows’
the GFI skip to part E.
D) Allow up to thirty (30) minutes, for the symptom to reoccur, BEFORE continuing to part E.
1) IF was ‘blowing’ the GFI but DOES NOT now: See procedure number P- A.4.0 (page 641).
2) IF was and continues to ‘blow’ the GFI: Proceed to page 708, procedure number P- 4.0.0.
3) IF was NEVER turning on (fan NEVER runs) AND still NEVER turns on: Proceed to page
686, procedure number P- 1.0.0.
4) IF was NEVER turning on but is on now (fan running): The heater* may be bad. This can be
confirmed by turning the machine off, turning the Heater Switch on, and attempting to turn the
machine on again.
a) CAUTION! Turn the machine OFF and unplug it! Electrocution hazard if NOT
unplugged!
c) From the BOTTOM of the Heater Connector: If a US Heater DISCONNECT the brown wire; if a German
Heater DISCONNECT the black wire.
g) If possible, place the machine in Rinse Program then allow up to thirty (30) minutes.
Yes GFI ‘blows’ again! FOUR (4) possible bad components: 1) Bad Fan OR; 2) Bad Power
Control board (inside the power supply) OR; 3) Bad power supply (or power cord / plug) OR;
4) Bad distribution board.
b) Replace the heater* with a known good. *To LOCATE the heater refer to Figure 28 (page
140).
c) Place the machine in Rinse Program then allow up to thirty (30) minutes. If the GFI ‘blows’
again FOUR (4) possible bad components: 1) Bad Fan OR; 2) Bad Power Control board
(inside the power supply) OR; 3) Bad power supply (or power cord / plug) OR; 4) Bad
distribution board.
a) WITH THE MACHINE ON i.e. banner on the screen, ENSURE the fan is running. If no air from the vents
the fan is bad and this allows excessive heat to build up which causes electronic failures!
d) Per Figure 113A below, at the rear of the card cage, ENSURE the 24V POWER harness is plugged in
securely with the orange wire to the left.
e) Per Figure 113B below, inspect the power plug, cord and strain relief for signs of burning or other
damage!
b) Figure below, at the rear of the card cage, trace the cable from Blood Pressure Module to ENSURE it
is NOT reverse connected with another module! If it is correct the situation as this may be the problem!
a) With the machine OFF, to avoid pulling cables loose, GENTLY open the card cage.
CHECK #1 Push DOWN HARD on the UI-MICS board to ensure a good connection to the motherboard.
CHECK #2 CAUTION! The J7 LCD Cable micro-pins can be damaged if unplugged. INSPECT it to
ENSURE it is plugged in properly!
c) Per the Figure below, behind the card cage, ENSURE the 24V POWER harness is plugged in securely.
a) Per the Figure below, ENSURE the ribbon cable BETWEEN the Functional and UI-MICS board is
plugged in securely i.e. P23 Functional board ↔ J6 UI-MICS board!
c) Allow fifty (50) seconds! If (and ONLY if) the screen problem continues, proceed to page 646,
procedure number P- E.0.0
a) Per the Figure below, the EXTENDER BOARD (P/N 190600) is required.
1) Keeping the EXTENDER BOARD’S resistors towards the FRONT OF THE MACHINE plug it into the
motherboard’s nine (9) pin TEST* connector.
2) ENSURE the board is matched pin for pin to the TEST connector! From the FRONT OF THE
MACHINE SGND on the LEFT; 24V-C on the RIGHT!
3) Push the board down hard. It may resist a good connection into the motherboard!
b) Connect the meter’s black lead to chassis ground (see Figure 2 (page 4)).
Parts c through e next page
e) From the REAR OF THE MACHINE, per Table 16 below, TWO (2) measurements at the
EXTENDER BOARD’s +12V AND +5V measuring points. TWO (2) possible scenarios:
1) IF (and ONLY if) BOTH are IN RANGE: RECORD the +12 volt measurement for later
then see procedure number P- F.0.0 (page 648).
2) ANY BAD measurement: A) ENSURE the extender board is installed properly! B) CAREFULLY
re-measure! C) If the measurement is still bad see Table 17 below.
Proceed according to the OBSERVED symptom ONLY! Nine (9) possible symptoms:
1) IF “24V Low” OR “24V High” OR “WD: 24V Rcvr Err Short” OR “WD: 24V Rcvr Err Long”: From
here on these are called “24V” alarms! Proceed to page 670, procedure number P- H.0.0.
2) IF “5V Low” OR “5V High“: Proceed to page 670, procedure number P- H.0.0.
4) IF the screen REMAINS BLACK: Proceed to page 650, procedure number P- F.2.0.
5) IF the original symptom was a black screen but it is on now: If this problem reoccurs in the near
future swap in a known good Power Logic board*. If (and ONLY if) the problem reoccurs, with a known
good Power Logic board, proceed to page 650, procedure number P- F.2.0.
*To LOCATE the Power Logic board refer to Figure 4A AND NOTE A (page 10)
6) IF the screen REMAINS FULLY OR PARTIALLY white and possibly displays nothing: See
procedure number P- F.1.0 (page 649).
7) IF the screen displays ‘weird’ i.e. scrambled, weird colors, abnormal lines, upside down etc.: See
procedure number P- F.1.0 (page 649).
8) IF “TEMP OVER 95 Degrees” in Heat Disinfect: Proceed to page 670, procedure number P- H.0.0.
B) Inside the card cage, reseat the Actuator-Test Board (2nd board from the left).
E) Turn the machine on. If a “24” volt alarm OR “Failed Sending Data…” occurs proceed to page
670, procedure number P- H.0.0.
d) Turn the machine on and allow fifty (50) seconds. If the screen problem reoccurs continue to part e.
e) Turn the machine off and swap in a known good Functional Board.
f) Turn the machine on and allow fifty (50) seconds. If a “Cond Offset Failure” banner appears the screen
is displaying normally but the machine needs to be calibrated. If the screen problem reoccurs continue
to part g.
g) Turn the machine off and swap a known good UI-MICS board.
h) Turn the machine on and allow fifty (50) seconds. If the screen problem reoccurs continue to part i.
i) Turn the machine off and swap in a known good J7 LCD cable.
j) Turn the machine on and allow fifty (50) seconds. If the screen problem reoccurs see continue to k.
k) The LCD screen may be bad OR a cable is unplugged inside the screen assembly.
c) Figure below, at the top edge of the UI-MICS board, measure at its connector J14 at the pin shown i.e.
REAR pin. TWO (2) possible scenarios
1) IF (and ONLY if) MORE THAN 23.0 volts DC: See procedure number P- F.2.2 (page 651).
2) IF LESS THAN 23.0 volts DC: Proceed to page 652, procedure number P- F.3.0.
CHECK #1: ENSURE the UI-MICS board’s J7 LCD cable is plugged in PROPERLY!
b) Turn the machine on (fan runs) and allow fifty (50) seconds. If screen remains black continue to part c.
c) Turn the machine off and swap in the cable that runs BETWEEN the Functional and UI-MICS board* with
a known good i.e. P23 Functional board ↔ J6 UI-MICS board.
* To LOCATE this cable refer to the Figure at the bottom of page 649
d) Turn the machine on (fan runs) and allow fifty (50) seconds. If screen remains black continue to part e.
e) Turn the machine off. Per the Figure above, swap in a known good J8-INVRTR cable.
f) Turn the machine on (fan runs) and allow fifty (50) seconds. If the screen remains black, see part g.
g) Turn the machine off. Per the Figure above, swap in a known good J7- LCD cable. CAUTION! Be
VERY careful to not bend or break the UI-MICS board’s J7 connector’s micro-pins!
h) Turn the machine on (fan runs) and allow fifty (50) seconds. If the screen remains black, see part i.
i) Turn the machine off and swap in a known good Functional Board.
j) Turn the machine on and allow fifty (50) seconds. If a “Cond Offset Failure” banner appears the screen
is displaying normally but the machine needs to be calibrated. If the screen remains black continue to
part k.
k) Turn the machine off and swap a known good UI-MICS board.
l) Turn the machine on (fan runs) and allow fifty (50) seconds. If the screen remains black the screen may
be bad OR a cable is unplugged inside the screen assembly.
1) IF (and ONLY if) less than 23.0 volts DC: See procedure number P- F.3.2 (page 652).
2) IF between 23.0 and 28.0 volts DC: See parts a THROUGH c below:
a) Turn the machine OFF and swap in a known good 24V POWER Harness*.
b) Turn the machine on (fan running). If the screen remains black see part c.
c) Measure again at the EXTENDER BOARDS 24V-A measuring point. If between 23.0 and 28.0 volts
is present at the extender board BUT IS NOT present at the UI-MICS board’s J14 connector AND the
screen remains black, TWO (2) possible bad components: 1) Bad UI-MICS board OR 2) Bad
motherboard.
P- F.3.2 EXTENDER BOARD +24V-A IS NOT BETWEEN 23.0 AND 28.0 VOLTS
d) Measure again at the EXTENDER BOARDS +24V-A measuring point. TWO (2) possible scenarios:
1) IF (and ONLY if) between 23.0 and 28.0 volts DC: The previous 24V POWER harness is bad.
The screen should be on now.
2) IF NOT between 23.0 and 28.0 volts DC AND the screen is still black: Several possible bad
components: 1) Bad thermal (BROWN) fuse S17* (2 Amp); 2) Possible bad circuit board in the card
cage**; 3) Possible bad motherboard.
* To LOCATE fuse S19 refer to Figure 132 (page 710)! With the machine off, it can be checked by
measuring RESISTANCE (Ω) BETWEEN its two terminals. A good fuse measures less than 0.5 Ω!
** With the machine off, swap in the card cage circuit boards, one at a time, and in between turn the
machine on and recheck +24V-A. More than 23.0 volts indicates the last board swapped in is the
problem.
b) CAUTION! DC voltages (VDC) are about to be measured at pins that are VERY close to others and
touching pins together with a standard meter lead could cause massive DAMAGE! As directed below
make your RED meter lead a PROTECTED lead! DO NOT CONTINUE UNTIL YOU
HAVE DONE THIS!
d) Figure below, at the top edge of the Power Logic Board, closest to the screen, locate its 20-pin X2 ribbon
cable.
MEASUREMENT #1: At pin 12 (TOP row, 6 pins from the REAR of machine)
MEASUREMENT #2: At pin 11 (BOTTOM row, 6 pins from the REAR of machine)
No BOTH are less than 23.0 volts! TWO (2) possible scenarios:
1) IF (and ONLY if) BOTH are less than 23.0 volts: See procedure number P- F.5.0 (page
654).
2) IF AT LEAST one more than 23.0 volts: The Power Logic X2 ribbon cable may be bad.
b) Per the Figure below, at the top edge of the UI-MICS board, measure at connector J14 at the pin
shown. More than 23.0 volts DC (Yes or No)?
Yes More than 23.0 volts DC! TWO possible bad components: 1) Power logic cable OR; 2) Bad
thermal (BROWN) fuse S19* (5 Amp).
* To LOCATE fuse S19 refer to Figure 132 (page 710)! With the machine off, it can be
checked by measuring RESISTANCE (Ω) BETWEEN its two terminals. A good fuse
measures less than 0.5 Ω!
No Less than 23.0 volts DC! See procedure number P- F.6.0 (page 655).
h) Per the Figure below, measure from the rear (solder) side of the Power Control Board’s ST12
connector. More than 23.0 volts DC (Yes or No)?
a) Turn the machine off and UNPLUG it. CAUTION! Electrocution hazard if not
unplugged!
b) Bad thermal (BROWN) fuse S13 (16 Amp). To LOCATE S13 refer to Figure 132 (page
710).
No Less than 23.0 volts! See procedure number P- F.7.0 (page 656).
b) Figure below, unplug the ACTUATOR Cable from the distribution board.
Yes More than 23.0 volts! Possible bad Acid, Bicarbonate, Flow or Deaeration Pump. Check
their distribution board connectors and wire harnesses for damage.
No Less than 23.0 volts! See procedure number P- F.8.0 (page 657).
b) Figure below, unplug the modules ONLY, including the Blood Pressure module! DO NOT
unplug the 24V Harness or shunt!
d) Turn the machine on (fan running)! Ignore “Art BP No Comm” OR “Blood Still Sensed!” if they
occur!
f) Measure again from the rear side of the Power Control Board’s ST12 connector. More than 23.0 volts DC
now? TWO (2) possible scenarios:
1) IF (and ONLY if) still less than 23.0 volts! TWO (2) possible bad components: 1) Bad Power
Control board (inside the power supply) OR 2) Bad power supply.
2) IF now more than 23.0 volts! One of the modules (or its cable) may be bad. To locate the bad
module perform parts A through D below:
C) Turn the machine on and measure again at ST12. If less than 23.0 volts the last module
plugged in is the problem.
b) Figure below, trace the cable from the Blood Pressure Module to ENSURE it is NOT reverse connected
with another module! If it is correct this situation and re-measure +5 and +12 volts as this may be the
problem!
a) Swap in a known good** Power Logic Board**. **To LOCATE the Power Logic Board refer
to Figure 4A AND NOTE A (page 10). The board is known good ONLY if +5 and +12 volts are within
range in another machine!
e) Re-measure +12 and / or +5 volts (within range now?). If the symptom was intermittent call debug
screen 1 to watch 5V Est and / or 12V Est. Allowing sufficient time, does the symptom you were
troubleshooting reoccur?
No Screen on and/or good voltage(s) now! The previous Power Logic Board may be bad.
From here forward these procedures determines if a component may be ‘dragging’ +12 and / or +5 high or
low! The previuos Power Logic board is probably good!
b) Per the Figure previous page, unplug the MODULES ONLY including the Blood Pressure Module! DO
NOT unplug the 24V Harness or shunt!
f) Either re-measure +12 and / or +5 volts (within range?) OR if the symptom was intermittent call debug
screen 1 to watch 5V Est and / or 12V Est. Allowing sufficient time, does the symptom you were
troubleshooting reoccur?
Yes Symptom reoccurs! A) Turn the machine OFF! B) BEING VERY CERTAIN the Blood
Pressure module cable ONLY is returned to the Blood Pressure or Colin connector,
reconnect ALL module cables; C) See procedure number P- G.5.2 (page 660).
No Screen on and/or good voltage(s) now! To locate the bad module see procedure number
P- G.5.1 (page 659).
b) Your choice, plug* ONE of the modules back in. * CAUTION! BE VERY CERTAIN to plug the
Blood Pressure module into the Blood Pressure or Colin position and NOT ANOTHER module!
e) Either re-measure +12 and / or +5 volts (within range?) OR if the symptom was intermittent call debug
screen 1 to watch 5V Est and / or 12V Est. Allowing sufficient time, does the symptom you were
troubleshooting reoccur?
Yes Symptom reoccurs! The last module plugged in (or its cable) is causing the problem!
No Screen on and/or good voltage(s)! Repeat parts a THROUGH e until ALL modules and have
been plugged back in. If the symptom does NOT reoccur, reseating the cables MAY have
eliminated the problem or a module was reverse connected with another.
c) Unplug the cables BUT DO NOT unplug the Power Logic board’s front cable (closest to the screen)!
Figure 117 – Card Cage / Functional and Power Logic Board Devices
g) Either re-measure +12 and / or +5 volts (within range?) OR if the symptom was intermittent call debug
screen 1 to watch 5V Est and / or 12V Est. Allowing sufficient time, does the symptom you were
troubleshooting reoccur?
b) Your choice, plug ONE of the device cables back in where it belongs. Refer to Figure 117
(previous page)).
e) Either re-measure +12 and / or +5 volts (within range?) OR if the symptom was intermittent
call debug screen 1 to watch 5V Est and / or 12V Est. Allowing sufficient time, does the
symptom you were troubleshooting reoccur?
Yes Symptom reoccurs! The last device plugged in (or its cable) may be causing the
problem OR the wrong device is plugged in the wrong connector. Refer to Figure
117 (previous page)!
c) Figure below, unplug the Functional board’s P41 cable (to USB Port 1).
No Screen on and / or good voltage(s)! The USB port, on the right hand side of the screen, may
be bad. To confirm this plug the P41 cable back in. If the symptom you were troubleshooting
reoccurs the USB port is bad.
c) To isolate ALL hydraulic sensors at the same time, Figure below, unplug the Sensor board’s ribbon cable!
g) Either re-measure +12 and / or +5 volts (within range?) OR if the symptom was intermittent call debug
screen 1 to watch 5V Est and / or 12V Est. Allowing sufficient time, does the symptom you were
troubleshooting reoccur?
No Screen on and / or good voltage(s)! See procedure number P- G.5.5 (page 664).
c) One of 13 Sensors (NTC #2 - NTC #44) or one of five (5) Pumps (#16 - #22) may be causing the
problem. This procedure locates which one.
d) WITH THE MACHINE OFF, per the Figure above, your choice, unplug ONE of the Sensors or ONE of the
Pumps from the Distribution board.
NOTE! IGNORE grinding and / or UF and / or acid and / or bicarb pump alarms and / or Flow Errors.
h) Either re-measure +12 and / or +5 volts (within range?) OR if the symptom was intermittent call debug
screen 1 to watch 5V Est and / or 12V Est. Allowing sufficient time, does the symptom you were
troubleshooting reoccur (Yes or No)?
Yes Symptom reoccurs! Repeat parts d through h until ALL 13 Sensors (including Blood Leak) AND
ALL 5 pumps have been unplugged OR until the symptom does NOT reoccur indicating the last
component plugged in is the problem.
NOTE! If after ALL components have been unplugged AND the symptom reoccurs, turn the
machine off and replace the Sensor Board cable with a known good then repeat parts e
through h. If the symptom reoccurs see procedure number P- G.5.6 (page 665).
No Screen on and / or good voltages! The last component unplugged or its cable may be causing the
problem.
g) Either re-measure +12 and / or +5 volts (within range?) OR if the symptom was intermittent call debug
screen 1 to watch 5V Est and / or 12V Est. Allowing sufficient time, does the symptom you were
troubleshooting reoccur?
No Screen on and / or good voltages! The actuator cable may be causing the problem.
c) Figure below, EXCEPT FOR the LCD cable (J7), the keypad’s cable (J4), and the backlight invertor
cable (J8), in part d, UI-MICS board cables will be unplugged, one at a time, and the machine tested in
between. NOTE the cables and the connecors labeling.
d) With the machine OFF, per the table below AND the Figure next page, unplug one (your choice) of the
listed UI-MICS board device cables.
UI-MICS
Connector Device
J16 CDX Speaker (rear panel)
J5 Keyboard
J10 Mousepad
J17 USB Port #2 (rear panel)
J18 WIFI Adaptor (behind touchpad)
J21 Ethernet (rear panel)
h) Either re-measure +12 and / or +5 volts (within range?) OR if the symptom was intermittent call debug
screen 1 to watch 5V Est and / or 12V Est. Allowing sufficient time, does the symptom you were
troubleshooting reoccur (Yes or No)?
A) Turn the machine off and plug the UI-MICS cable back into the CORRECT position per
the labels.
B) Repeat part d through h until all UI-MICS device cables listed in the table have been
unplugged.
C) If after ALL cables have been unplugged AND the symptom continues, leaving the
machine on, see procedure number P- G.5.8 (page 669).
No Screen on and / or good voltages! The last UI-MICS device unplugged or its cable is causing the
problem!
1) IF (and ONLY if) the screen is NOT remaining black: Proceed to page 669, procedure number
P- G.5.9.
2) IF the screen is remaining black AND the measured +5 and / or +12 volts was not in range: See
parts a through f below:
a) Turn the machine OFF and, per their labels, plug the UI-MICS cables back in.
b) Per the Figure previous page, unplug the cable at the UI-MICS board’s J8 connector
e) Per the table below, measure +12 and +5 volts again. BOTH now within range?
Yes +12 and +5 in range now! The backlight inverter board, inside the front panel assembly,
AND / OR the J8 cable is bad.
No +12V and / or +5 still not in range! See procedure number P- G.5.8.2 (page 668).
a) Turn the machine OFF and, per its label, plug the UI-MICS J8 cable back in.
b) Per the Figure previous page, unplug the LCD cable at the UI-MICS board’s connector J7.
Yes +12 and +5 in range now! There is a problem with the LCD (the screen)
a) CAREFULLY plug the LCD cable back in. CAUTION! The J7 connector has micro pins
which can easily be bent or broken!
a) Turn the machine OFF and, per their labels, plug the UI-MICS cables back in!
BOARD LIST: 1) Actuator-Test Board; 2) bibag Interface Board1; 3) Sensor Board2; 5) Functional
Board2; 6) UI-MICS Board.
1
If equipped with a bibag Connector. To LOCATE the Interface board refer to Figure 4C (page 11).
2
To prevent “Cond Offset Failure”, place the machine in T and C Mode. Refer to OPERATING
MODES (page 19).
1) IF (and ONLY if) the screen was staying black but it is on now: The last board swapped in is
the problem!
2) IF (and ONLY if) the screen was staying black and still is staying black: Repeat parts b
THROUGH f. After ALL boards have been replaced with known good AND the screen remains black
possible bad: 1) Distribution board OR; 2) Motherboard.
3) IF the screen has ALWAYS been on: ENSURING the black lead remains connected to chassis
ground, either re-measure +12 and/or +5 volts (within range?) OR if the symptom you were
troubleshooting was intermittent, if possible, call debug screen 1 to monitor 5V Est and/or 12V
Est. Does the symptom you were troubleshooting reoccur (Yes or No)?
Yes Repeat parts b THROUGH f until ALL circuit boards in the BOARD LIST have been
replaced with known good. If after ALL boards have been replaced AND the symptom is
still present possible bad: 1) Distribution board OR; 2) Motherboard.
No Screen on and / or good voltages! The last board swapped in may be causing the problem.
This procedure attempts to place the machine into Service Mode. Some problems may not allow it!
a) Turn the machine off then back on. When “Press CONFIRM for Service Mode” appears press ‘Enter’.
The screen says “Machine in Service Mode”.
b) Allow forty (40) seconds! Does the Main Service Program menu appear?
Yes Service menu appears! See procedure number P- H.1.0 (page 670).
No The Service menu does DOES NOT appear! Proceed to page 697, procedure number
P- 2.0.0.
A) Select Calibrate Monitor → Voltage Detection. DO NOT follow the screen prompts! Perform
parts B through G instead!
B) Press the [12 Volt Set] data box. It turns bright yellow!
E) ENSURE the [12 Volt Set] box is pale yellow/white. If its gray return to part A)!
Yes “Operator Error” occurs! Proceed to page 675, procedure number P- H.1.2.
a) The screen should say “4. Verify that 5V EST is between 4.8 to 5.2….”. If not return to
part A)!
CHECK #1: Is the [5V EST] window between 4.8 and 5.2?
Yes (to BOTH): Press ‘Enter’. Leaving the machine in Service Mode, see
procedure number P- H.0.144 (page 671).
1) IF (and ONLY if) “5V Low” OR “5V High”: Proceed to page 681, procedure number P- H.3.0.
2) IF (and ONLY if) “12V POWER FAIL“: Proceed to page 681, procedure number P- H.3.0.
b) Call debug screen 15 and locate Bic Press (from pressure transducer #110).
1) IF (and ONLY if) Bic Press is negative (-): Proceed to page 681, procedure number
P- H.3.0.
2) IF (and ONLY if) Bic Press is positive but LESS THAN 249: Proceed to page 681,
procedure number P- H.3.0.
3) IF Bic Press is positive 249 OR more: See procedure number P- H.0.4 (page 671).
A) Leaving the machine on, pull the hydraulics away from the cabinet.
Check #2: Per the identification (ID) bands ENSURE the tubing segments are not reversed!
1
To LOCATE the Interface board refer to Figure 4C (page 11)
2
To LOCATE Valve #100 refer to the Hydraulics Front View Figure next page!
F) From screen 15, is Bic Press still MORE THAN positive 249?
Yes Bic Press still MORE THAN positive 249. See procedure number P- H.0.5 (page 673).
No Bic Press is now LESS THAN 249. There may have been a bibag Connector tubing kink!
Perform parts a THROUGH c below:
b) Place the machine in Dialysis Program or Rinse. If a voltage alarm occurs return to
(ABOVE) procedure number P- H.0.144 (page 671).
c) Reinstall the hydraulics ENSURING the bibag Connector tubing segments remain
unkinked!
A) Per the Figure above, pull Tube segment #2 off the bibag Connector i.e. from (blue) Pressure Sensor
#110.
B) Continuous flow (more than 5 ml per minute) through Pressure Sensor #110 (Yes or No)?
Yes Continuous flow! THREE (3) possible problems: 1) Loose bibag Interface board1 ribbon cable OR;
2) Bad Valve #1002 OR; 3) Bad bibag Interface Board1.
1
To LOCATE the Interface board refer to Figure 4C (page 11)
2
To LOCATE Valve #100 refer to the Figure above.
b) Just enough to hold them there, place the acid and bicarbonate connectors ¼ way into their rinse ports.
c) Press ‘Enter’ and allow the calibration to complete. If successful the “Calibrate Regulator Pressure”
banner appears (Figure below), and the screen will say “Calibration Complete, press CONFIRM to
save”.
Yes An Error banner DID NOT occur! Press ‘Enter’. Reattach all tubing then place the machine
in Dialysis Program or Rinse. If the voltage alarm reoccurs return to page 671, procedure
number P- H.0.144.
No An Error banner occurred! Repeat the calibration but if the Error banner reoccurs, FOUR (4)
possible problems (see PROBLEM LIST below). Check and / or swap in each component
one at a time until the Regulator Pressure calibration is successful.
PROBLEM LIST: 1) Loose bibag Interface ribbon cable (refer to Figure 4C (page 11)) OR;
2) Bad Pressure Sensor #110 (Figure below) OR; 3) Bad bibag Interface board OR; 4) Bad
electrical connection from Pressure Sensor #110 inside the bibag Distribution Board (refer to
Figure 4D (page 13)).
From here forward these procedures determine if a component may be ‘dragging’ +12 and / or +5 high or
low:
d) Repeat the Voltage Detection Calibration. THREE (3) possible scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) “Operator Error” reoccurs: See procedure number P- H.1.3 (page 676).
2) IF (and ONLY if) 5V EST AND / OR 12V EST are not in range: See procedure number
P- H.1.3 (page 676).
3) IF “Operator Error” did NOT occur AND 5V EST AND 12V EST are in range: TURNING THE
MACHINE OFF IN BETWEEN reconnect the module cables*, one at a time, and repeat the
Voltage Detection Calibration until the problem reoccurs indicating the last module plugged is the
problem.
* CAUTION! Never plug a module, other than the Blood Pressure module, into the Blood
Pressure or Colin position!
* CAUTION! Never plug the Blood Pressure module into another module’s position!
* CAUTION! DO NOT a plug a module, other than the Blood Pressure Module, into the Blood
Pressure or Colin position! DO NOT plug the Blood Pressure Module into another module’s
position! NEVER plug the Bood Pressure module in with the machine on!
c) CAREFUL HERE! Per the Figure below, unplug the SENSOR cable from the Distribution board!
d) Repeat the Voltage Detection Calibration. THREE (3) possible scenarios 1) or 2) or 3):
1) IF (and ONLY if) “Operator Error” reoccurs: See procedure number P- H.1.4 (page 677).
2) IF (and ONLY if) 5V EST AND / OR 12V EST are not in range: See procedure number P- H.1.4
(page 677).
3) IF “Operator Error” did NOT occur AND 5V EST AND 12V EST are in range: One of (12)
twelve Sensors or one of five (5) Pumps may be causing the problem! Perform parts A THROUGH
C below to locate which one:
A) IMPORTANT! Turn the machine OFF and reconnect the Sensor Board cable.
B) Per the Figure above, your choice, unplug ONE of thirteen (13) hydraulic Sensors or ONE of
five (5) Pumps from the Distribution board.
1) IF “Operator Error” does NOT occur AND 5V EST AND 12V EST are in range: The
last component unplugged may be causing the problem.
2) IF “Operator Error” occurs OR 5V EST OR 12V EST are NOT in range: Repeat parts B
through C until ALL thirteen (13) sensors (NTC #2 through NTC #44 AND the Blood Leak
Sensor) AND ALL five (5) pumps (#16 through #22), have been unplugged.
NOTE! AFTER all components have been unplugged AND the problem reoccurs swap the
Sensor Board cable with a known good. If (and ONLY if) the problem reoccurs see
procedure number P- H.1.4 (page 677).
c) Unplug the device cables BUT DO NOT unplug the Power Logic Board’s front ribbon cable!
d) From here forward, ignore “Art BP No Comm” OR “Blood Still Sensed!” if they occur!
e) Repeat the Voltage Detection Calibration. THREE (3) possible scenarios 1) or 2) or 3):
2) IF 5V EST AND/OR 12V EST are not in range: See procedure number P- H.1.5 (page 678).
3) IF “Operator Error” did NOT occur AND 5V EST AND 12V EST are in range: One of the
devices may be causing the problem. To locate which one perform parts A through C below:
C) Repeat the Voltage Detection Calibration. When the problem reoccurs the last device plugged
in or its cable is causing the problem!
c) Figure below, unplug the Functional board’s P41 cable (to USB Port 1).
d) Repeat the Voltage Detection Calibration. THREE (3) possible scenarios 1) or 2) or 3):
2) IF 5V EST AND/OR 12V EST are not in range: See procedure number P- H.1.6 (page 679).
3) IF “Operator Error” did NOT occur AND 5V EST AND 12V EST are in range: The USB port, on
the side of the screen may be bad. To confirm this, plug it back in and do the Voltage Detection
Calibration again.
c) Figures right and below, unplug all five (5) UI-MICS board
component connectors per the table below:
UI–MICS Connector Component
J10 Mousepad
2) IF 5V EST AND/OR 12V EST are not in range: See procedure number P- H.1.7 (page 680).
3) IF “Operator Error” did NOT occur AND 5V EST AND 12V EST are in range: One of the five (5)
components connected to the UI-MICS board may be causing the problem. To isolate which one
perform parts A through C below:
B) Your choice, reconnect ONE of the UI-MICS component cables to where it belongs.
C) Repeat the Voltage Detection Calibration. TWO (2) possible scenarios I or II below:
I. IF “Operator Error” DOES NOT occur AND 5V EST AND 12V EST are in range:
Repeat parts A through C until all five (5) components have been plugged back in.
II. IF “Operator Error” reoccurs OR 5V EST AND / OR 12V EST are NOT in range: The last
component plugged in is causing the problem.
b) Using ESD precautions, your choice, per the Board List below, swap in ONE of the card cage circuit
boards with known good, then see part c to test the new board.
BOARD LIST: 1) Actuator-Test Board; 2) bibag Interface Board1; 3) Sensor Board; 5) Functional
Board2; 6) UI-MICS Board.
1
If equipped with a bibag Connector. To LOCATE the Interface board refer to Figure 4C (page 11).
2
To prevent “Cond Offset Failure”, place the machine in T and C Mode. Refer to OPERATING
MODES (page 19)
c) Repeat the Voltage Detection Calibration. THREE (3) possible scenarios 1) or 2) or 3) below:
1) IF “Operator Error” reoccurs: Repeat parts a through c until “Operator Error” does NOT occur
indicating the last board swapped in was the problem. If after all boards have been swapped in
AND if “Operator Error” reoccurs the motherboard may be bad.
2) IF 5V EST AND/OR 12V EST are not in range: Repeat parts a through c until 5V EST AND/OR
12V EST are in range indicating the last board swapped in was the problem. If after all boards have
been swapped in AND if the problem is still present the motherboard may be bad.
3) IF “Operator Error” did NOT occur AND 5V EST AND 12V EST are within range: The last
board swapped in was causing the problem!
Yes System Initialization reaches 100%! See procedure number P- H.3.2 (page 681).
No Does NOT reach 100%! Proceed to page 697, procedure number P- 2.0.0.
a) Depending on what Program the problem was originally observed place the machine into Dialysis OR
Heat Disinfect OR Rinse Program.
b) Does a voltage alarm (“24V”, “12V”, “5V”) OR “Temp Over 95 Degrees” OR “Failed Sending Data…”
alarm occur?
No Allow thirty (30) minutes or longer. If a voltage alarm OR “Temp Over 95 Degrees” OR “Failed
Sending Data…” alarm occurs see procedure P- H.3.3 (page 681). If these alarms DO NOT
occur the Troubleshooting Guide the original symptom cannot be located.
B) Turn the machine on HOWEVER, if ”System Initialization” reaches 100% DO NOT press any keys yet!
1) IF (and ONLY if) a voltage alarm has NEVER occurred but “Failed Sending Data…” has:
Proceed to page 683, procedure number P- H.4.5.
1) IF “5” OR “12V” alarm was occuring: See procedure number P- H.4.1 (page 682).
2) IF ANY “24V” alarm was occuring: Proceed to page 683, procedure number P- H.4.5.
The following procedure describes how to use the debug screens to monitor +5 and +12 volts:
a) Press the screen’s ‘Dialysis’ button but DO NOT press ‘Enter’ or ‘CONFIRM’ yet!
b) Call debug screen 1 and locate 5V Est AND 12V Est:
• 5V Est: Should stay STABLE between 4.8 and 5.3 (stable = does NOT change
more than +/- 0.1). If NOT, see procedure number P- H.4.2 (page 682).
• 12V Est: Should stay STABLE between 11.7 and 12.3 (stable = does NOT changes more than +/-
0.1). If NOT, see procedure number P- H.4.2 (page 682).
e) Call debug screen 1. WITHOUT LOOKING AWAY, watch 5V Est AND/OR 12V Est for ten (10) minutes
or longer. Does 5V Est OR 12V Est become UNSTABLE (changes more than +/- 0.1)?
No a) Place the machine into Heat Disinfect then QUICKLY call debug screen 1. If debug
does not appear press ‘Esc’ then call screen 1.
b) If 5V Est OR 12V Est BECOMES unstable see procedure number P- H.4.2 (page 682).
If Heat Disinfect runs, without the symptom you were troubleshooting reoccurring, the
Troubleshooting Guide cannot locate the original problem!
a) Referring to Figure 4A and NOTE A (page 10), swap in a known good Power Logic board board then see
part b.
b) Repeat procedure number P- H.4.1 (page 682) to watch 5V Est AND/OR 12V Est.. ALLOW
SUFFICIENT TIME for symptom to reoccur! If it does see part c.
c) Referring to OPERATING MODES (page 19), place the machine into T and C mode;
d) Swap in a known good Sensor board*. *To LOCATE the board refer to Figure 4A (page 10)
e) Repeat procedure number P- H.4.1 (page 682) to watch 5V Est AND / OR 12V Est.. ALLOW
SUFFICIENT TIME! If the problem reoccurs proceed to page 659, procedure number P- G.5.0.
c) Figure below, locate the UI-MICS board’s ‘J14’ connector at the top edge of the UI-MICS board.
d) Place the red meter lead onto the ‘J14’ pin AS SHOWN below. TWO (2) possible scenarios:
Scenario #1: IF (and ONLY if) NOT between 23.0 and 28.0 volts DC (VDC): Proceed to page 708,
procedure number P- 4.0.0.
Scenario #2: IF between 23.0 and 28.0 volts DC (VDC). TWO (2) possible scenarios 1) or 2) below:
1) IF (and ONLY if voltage alarm has NEVER occurred but “Failed Sending
Data…” has: The most likely culprit is the Actuator-Test Board HOWEVER if
Failed Sending Data…” reoccurs any one of the card cage boards may be
interfering with the communication between the Actuator-Test and the Functional
Boards.
2) ALL OTHER scenarios: A) To measure voltage over a period of time now CLIP the
red meter lead onto the ‘J14’ pin; B) See procedure number P- H.4.6 (page 684).
a) With the “Select Program” banner up press the ‘Dialysis’ button but DO NOT press ‘Enter’ OR
“CONFIRM’ yet!
b) Call debug screen 10. Figure right, the 24V window is the ‘real time’
reading from the +24 volt DC supply. The HI and LO windows record
the highest and lowest starting one (1) minute after the machine is
turned on. Initially all windows = 0.0 then update after ONE (1)
MINUTE!
e) Call debug screen 10. The 24V window IS NORMALLY UNSTABLE but a problem does not occur unless
it falls below 23.0 volts or rises above 28.0 volts for eight (8) seconds.
f) WITHOUT LOOKING AWAY, watch the volt meter for ten (10) minutes. Does the MEASUREMENT
become unstable (i.e. change more than +/- 0.5) OR does the symptom you were troubleshooting
reoccur?
Yes Measurement unstable and / or symptom reoccurs! See procedure number P- H.4.7.1 (page
684).
No Measurement stable AND the symptom does NOT reoccur! Proceed to page 685, procedure
number P- H.4.8.
TWO (2) possible scenarios based on the stability of the MEASURED voltage:
1) IF MEASURED voltage became UNSTABLE: Proceed to page 708, procedure number P- 4.0.0.
2) IF MEASURED voltage remained STABLE: Perform parts A THROUGH F below:
B) Next to T and C Mode place the ‘X’ in the “Yes” box and press the
‘Enter’ key. The ‘X’ MUST turn blue! This prevents a “COND OFFSET
FAILURE” from occurring!
C) With the machine off, one at a time, swap in the card cage circuit boards with known good, (starting
with the Actuator-Test Board) then continue to part D to see if the new board fixes the problem.
NOTE! If equipped with a bibag Connector include the Interface board* among the boards swapped
in. * To LOCATE the Interface board refer to Figure 4C (page 11)
D) Turn the machine on but but DO NOT press ‘Enter’ OR “CONFIRM’ yet.
F) After replacing ALL boards if the problem reoccurs proceed to page 708, procedure number
P- 4.0.0.
a) Place the machine into Heat Disinfect then call debug screen 10. If debug does not appear press ‘Esc’
then call screen 10.
b) WITHOUT LOOKING AWAY, watch the the meter AND the 24V HI AND LO windows until if the symptom
you were troubleshooting reoccurs.
c) Does the MEASUREMENT become unstable and / or does the symptom you were troubleshooting
reoccur before Heat Disinfect finishes?
No Symptom DOES NOT reoccur! Return to Dialysis Program and allow sufficient time for the
symptom to reoccur. Does it (Yes or No)?
Yes With the machine off, one at a time swap in the card cage circuit boards, with
known good (starting with the Actuator-Test Board). In between, repeat
procedure number P- H.4.8 (page 685) to see if the new board fixes the
problem. NOTE! If equipped with a bibag Connector include the Interface board*
among the boards swapped in. After replacing ALL boards if the problem
reoccurs proceed to page 708, procedure number P- 4.0.0.
No The Troubleshooting Guide cannot locate the problem that caused the problem
you were troubleshooting.
1) IF (and ONLY if) MEASURED voltage became UNSTABLE: Proceed to page 708, procedure
number P- 4.0.0.
B) Next to T and C Mode place the ‘X’ in the “Yes” box and press the ‘Enter’
key. The ‘X’ turns blue. This prevents a “COND OFFSET” alarm from
occurring!
C) With the machine off, one at a time, swap in the card cage circuit boards, with known good, starting
with the Actuator-Test Board then continue to part D to see if the new board fixes the problem.
NOTE! If equipped with a bibag Connector include the Interface board* among the boards swapped
in. *To LOCATE the Interface board refer to Figure 4C (page 11)
D) Return to Heat Disinfect and allow sufficient time for the symptom you were troubleshooting to
reoccur. If it does swap in the next card cage board until it DOES NOT reoccur.
E) After replacing ALL boards, if the symptom you were troubleshooting reoccurs, proceed to page
708, procedure number P- 4.0.0.
b) Figure below, locate the UI-MICS board’s ‘J4’ Connector on the rear
(solder) side at the top, front edge of the board.
e) Push the Power button. Does the machine turn on AND REMAIN on (fan running) now?
Yes Machine turns on and REMAINS on! Allow adequate time to see if the machine turns itself off. If
(and ONLY if) it DOES turn off proceed to page 706, procedure number P- 3.0.0.
b) Connect the black lead to chassis ground (see Figure 2 (page 4)).
Parts c and d next page
d) MEASUREMENT #1: From the REAR side of T1’s TOP pin (pin 1, see Figure). TWO (2)
possible scenarios:
1) IF (and ONLY if) more than 10.0 volts DC: The white fuses are okay! See procedure
number P- 1.0.1 (page 687).
2) IF LESS THAN 10.0 volts DC (most likely way less): Proceed to page 693, procedure
number P- 1.1.02.
MEASUREMENT #2: From the rear side of T1’s BOTTOM pin (pin 3, see Figure). TWO (2) possible
scenarios:
1) IF (and ONLY if) more than 4.0 volts DC: See procedure number P- 1.0.2 (page 688).
2) IF NOT more than 4.0 volts DC: The Power Logic Board is bad.
a) Per the Figure below, locate IC2 at the top edge of the Power Logic Board.
b) Under IC2 are three (3) resistors, top to bottom, R8, R9 and R10.
d) Measure from the right side of R91, AT THE LOCATION SHOWN. TWO (2) possible scenarios:
1) IF (and ONLY if) between 4.0 and 6.0 volts: Proceed to page 690, procedure number
P- 1.0.4.
2) IF NOT between 4.0 and 6.0 volts! See procedure number P- 1.0.3 (page 689).
a) Figure below, unplug the keypad’s green ribbon cable from the UI-MICS board’s J4 connector.
b) Measure again at R91, at the location shown in Figure 121 (previous page). TWO (2) possible
scenarios:
1) IF (and ONLY if) between 4.0 and 6.0 volts: The keypad is bad.
2) IF NOT between 4.0 and 6.0 volts: See procedure number P- 1.0.3.2 (page 689).
a) Unlock the UI-MICS board THEN pull it ½ up i.e. remove it from its motherboard connector.
b) Measure again at R91, per Figure 121 (previous page). TWO (2) possible scenarios:
1) IF (and ONLY if) between 4.0 and 6.0 volts: The UI-MICS board is bad!
2) IF NOT between 4.0 and 6.0 volts: See parts a AND b below:
a) Swap in a known good Power Logic board (known good = from another machine that is turning
on)!
No NOT between 4.0 and 6.0 volts AND the machine will still not turn on! The motherboard
is bad.
b) Does voltage drop to LESS THAN 0.5 volts DC WHILE THE BUTTON
IS PRESSED?
Yes Drops to LESS THAN 0.5 volts! The Power button is okay.
See procedure number P- 1.0.5 (page 690).
No Does NOT drop to less than 0.5 volts! THREE (3) possible bad
components: 1) Most likely, bad keypad (Figure right); 2) Bad UI-
MICS board; 3) Bad motherboard.
a) Unplug the machine then plug it back in but DO NOT press the Power button yet!
b) Figure below, locate the Power Logic Board’s 20-pin X2 ribbon cable at the front, top edge of the board
nearest the screen.
c) Measure at the rear side of the X2 cable at pin 3 (bottom row, second pin from the rear of the machine).
TWO (2) possible scenarios:
1) IF (and ONLY if) MORE THAN 6.0 volts: See procedure number P- 1.0.6 (page 691).
2) IF LESS THAN 6.0 volts: Proceed to page 692, procedure number P- 1.0.9.
Continuing to measure at X2, pin 3 press and release the Power button. TWO (2) possible scenarios:
1) IF (and ONLY if) goes to less than 1.4 volts DC: See procedure number P- 1.0.7 (page 691).
2) IF REMAINS more than 1.4 volts DC: The Power Logic Board is bad.
Figure right, is the fan running i.e. air felt from the fan vents?
Yes Fan running! The machine is on! See procedure number P- 1.0.8
(page 691).
2) IF the screen is remaining black: Unplug the machine and replace Main Relay K1* AND
its four pin cable.
.
P- 1.0.8 FAN RUNNING / ISOLATE INTERMITTENT POWER ON PROBLEM
a) ENSURING the fan continues to run, if (and ONLY if) the screen REMAINS or turns BLACK after forty
(40) seconds see (ABOVE) procedure number P- B.0.0 (page 642).
b) ENSURING the fan continues to run, allow adequate time to see if the machine turns itself off. If (and
ONLY if) it does see procedure number P- 3.0.0 (page 706).
a) Turn the machine off and UNPLUG it. CAUTION! Electrocution hazard if not unplugged!
d) Figure right, remove the two (2) front screws and lay
power supplies rear panel down
g) Per the Figure below, measure from the rear side of the Power Control board’s four-pin X3
connector at pin 1. More than 6.0 volts DC?
Yes More than 6.0 volts! TWO (2) possible bad components: 1) Most likely the twenty-pin Power
Logic cable (X2) OR; 2) Main Relay K11 OR possibly its four-pin cable 1.
No Less than 6.0 volts! Unplug the machine then TWO (2) possible bad components: 1) Most
likely, bad main Relay K1 (possibly it four-pin cable) 1 OR 2) Bad Power Control board.
1
To LOCATE K1 and its cable refer to Figure 132 (page 710).
e) Remove the two front screws and lay the rear power
supplies panel down to access to the rear (solder)
side of the X2 cable.
g) Per the Figures below, measure DC voltage (VDC) at the rear (solder) side of the Power Control
board’s X2 connector, at pin 4 (BOTTOM row, SECOND pin from the left).
Yes More than 10.0 volts! TWO (2) possible bad components: 1) Bad 20-pin Power Logic ribbon
cable (X2) OR; 2) Bad Power Control board.
c) To determine the meter’s resistance touch its leads together. The meter MUST read less than 0.3 Ω!
Subtract this reading from subsequent measurements!
d) On the Power Control board, Figure below, measure ACROSS BOTH 6.3 Amp fuses. NOTE!
“OL” = bad fuse!
Figure 127 – Power Control Board / Fuses S12 and S16 / ST2 and ST1
Yes BOTH less than 1.0 Ω! See procedure number P- 1.2.1 (page 694).
No One or both fuses “OL” OR MORE THAN 1.0 Ω! Proceed to page 696, procedure number
P- 1.2.2.
P- 1.2.1 BOTH FUSES LESS THAN 1.0 Ω / ISOLATE INCOMING (LINE) VOLTAGE
a) Replace the bad 6.3 Amp fuse(s) with the new* ‘slow blow’ fuses approved in 2016. Call Technical
Servces (1-800-227-2572), if necessary, to ENSURE you have the new fuses i.e. correct part number!
* NOTE! The ‘slow blow’ fuses should remedy the majority of fuse problems!
c) Push and hold the Power button for two (2) seconds. Does the machine turn on now (fan running)?
Yes Machine turns on! Problem solved. The fuse(s) were bad.
b) Measure resistance (Ω) across the fuses again. If one or both are bad then one of the
diodes inside Main Bridge Rectifier (BR1)1 may be bad and destroying the fuse(s).
1
To LOCATE BR1 refer to Figure 132 (page 710).
2
NOTE: All Bridge Rectifier wires must be unplugged before performing a diode
check. The wires are position sensitive. RECORD where they plug into
BEFORE unplugging to prevent damage!
d) If the Bridge Rectifier checks good, or was previously replaced and the fuse(s) continue to
‘blow’ immediately proceed to page 708, procedure number P- 4.0.0.
b) Figure below unplug the ACTUATOR CABLE from the distribution board.
Yes System Initialization reaches 100%! See ISOLATING THE PUMPS this page.
No System Initialization does NOT reach 100%! See procedure number P- 2.0.1 (page 698).
C) Figure below, from the distribution board, unplug one of the pumps (your choice) then continue to part C
to see if this pump is the problem.
D) Turn the machine on (fan running). Does System Initialization reaches 100%?
Yes System Initialization reaches 100%! The unplugged pump may be causing the problem! To
confirm this turn the machine off, plug the pump back in, and turn the machine on. If System
Initialization does NOT reach 100% the pump is bad.
No System Initialization does NOT reach 100%! Turn the machine off and repeat parts B AND C until
System Initialization DOES reach 100%. If after ALL pumps have all been unplugged and System
Initialization still does NOT reach 100% the Actuator Cable OR the distribution board may be bad.
c) Figure below, unplug ALL MODULES ONLY including the Blood Pressure module! DO NOT
unplug the 24V Harness or shunt!
d) From here forward, ignore “Art BP No Comm” OR “Blood Still Sensed!” if they occur!
Yes System Initialization reaches 100%! See ISOLATING THE MODULES this page.
No System Initialization does NOT reach 100%! See procedure number P- 2.0.2 (page 699).
* CAUTION! Damage may occur if any module is reverse connected with another. NEVER plug
the Blood Pressure module in with the machine on!
D) Repeat parts A through D until System Initialization DOES NOT reach 100% indicating the last module
plugged in (or its cable) is causing the problem. If after plugging in ALL modules and System Initialization
reaches 100% either one of the modules was originally plugged in wrong OR the problem may be heat
related and requires running the machine in Heat Disinfect to locate it.
b) Per the Figure below, locate the UI-MICS board’s J14 connector at the top edge of the board.
Yes Between 23.0 and 28.0 volts and stable! See procedure number P- 2.0.3 (page 700).
No NOT between 23.0 and 28.0 volts OR unstable! See parts A and B below:
A) ENSURE the UI-MICS board is inserted tight into its motherboard connector. If not this may
be the problem!
B) If the board was inserted tight, proceed to page 708, procedure number P- 4.0.0.
b) Figure below, locate the Functional Board’s six-pin P4 connector at the top front edge of the
board, closest to the screen.
c) TIGHTLY HOLD the red meter lead on P4’s pin 1 (see Figure above, rear pin).
d) Looking for approximately 24.0 volts to momentarily pulse on and off more than once, turn the machine
ON (fan running), then WITHOUT LOOKING AWAY FROM THE METER, watch it for thirty
(30) seconds!
1) IF (and ONLY if) momentarily was more than 23.0 volts but after about thirty
(30) seconds fell to AND remained less than 3.0 volts: See procedure number
P- 2.0.4 (page 701).
2) IF (and ONLY if) ALWAYS less than 3.0 volts i.e. NEVER more than 23.0 volts
Leaving the machine ON, proceed to page 702, procedure number P- 2.0.5.
* To LOCATE IC4 AND fuse S18 refer to Figure 132 (page 710). With the machine off, the fuse
can be checked by measuring RESISTANCE (Ω) BETWEEN its two terminals. A good fuse
measures less than 0.5 Ω
4) IF AFTER thirty (30) seconds REMAINS between 23.0 and 28.0 volts: Proceed to
page 683, procedure number P- H.4.5.
c) Swap in a known good Sensor board*. *To LOCATE the board refer to Figure 4A (page 10)
d) Turn the machine on. When “Press CONFIRM for Service Mode” appears press ‘Enter’. The screen says
“Machine in Service Mode”.
e) Allow forty (40) seconds! Does the Main Service Program menu appear?
Yes Main Service Program menu appears! The previous Sensor board may be bad! To confirm
this: A) Turn the machine OFF; B) Put the original Sensor board back in; C) Turn the
machine on and to go to Service mode. If the Main Service Program menu does DOES NOT
appear the Sensor board is bad!
No Main Service Program menu does NOT appear! See parts A through E below:
B) One at a time, swap in the remaining card cage boards with known good, then continue to
part C to see if the new board allows the Main Service menu to appear. NOTE! If the
machine is equipped with a bibag Connector include the Interface board* among the
boards swapped in. *To LOCATE the Interface board refer to Figure 4C (page 11)).
C) Turn the machine on. When “Press CONFIRM for Service Mode” appears press ‘Enter’.
D) If the Main Service Program appears the last board swapped in may be causing the
problem. To confirm this: A) Turn the machine OFF; B) Put the original board back in.
C) Turn the machine on and go to Service mode. If the Main Service Program menu
DOES NOT appear the board is bad.
E) After replacing ALL boards if Main Service Program menu still DOES NOT appear
proceed to page 708, procedure number P- 4.0.0.
a) CAUTION! Signals are about to be measured at pins that are VERY close to others and touching
them together with a standard meter lead MAY CAUSE massive damage! As directed below, make
your RED meter lead PROTECTED! DO NOT CONTINUE UNTIL YOU HAVE DONE
THIS!
b) Per the Figure below, at the top of the Power Logic Board, closest to the screen, locate its 20-pin
‘X2’ ribbon cable.
c) Measure at the rear (solder) side of the X2 connector at pin 1 (bottom row, first pin from the REAR of
the machine). More than 10.0 volts DC?
Yes More than 10 volts! See procedure number P- 2.0.6 (page 703).
No Less than 10 volts! Replace the 20-pin Power Logic X2 ribbon cable.
b) Per the Figure previuos page, HOLD the meter lead on the solder (rear) side of Power Logic Board’s
‘X2’ connector, pin 1 (bottom row, first pin from the REAR of the machine).
c) Looking for pin 1 to fall below 1.0 volts AT LEAST ONE (1) TIME, WITHOUT LOOKING AWAY
FROM THE METER, turn the machine ON (fan running) and watch it for thirty (30) seconds!
1) IF (and ONLY if) pin 1 REMAINED ALWAYS more than 10.0 volts i.e. NEVER fell to less than
1.0 volt. Repeat procedure P- 2.0.6. If pin 1 STILL NEVER drops to less than 1.0 volt see
procedure number P- 2.0.7 (page 704).
2) IF, AT LEAST ONCE, pin 1 DID FALL to less than 1.0 volts: If System Initialization DOES NOT
reach 100%, TWO (2) possibilities: 1) Bad 24 volt switch (IC4)* on the Power Control Board (inside
the power supply) OR; 2) Bad thermal (BROWN) fuse S18*
* To LOCATE IC4 and fuse S18 refer to Figure 132, (page 710)
b) Per the Figure below, locate IC2 at the top edge of the Power Logic Board.
c) Under IC2 are three (3) resistors, top to bottom R8, R9 and R10.
d) HOLD the meter lead at resistor #10 (R10) at the location shown in the Figure above.
e) Looking for the measurement to more than 4.0 volts AT LEAST once, WITHOUT LOOKING
AWAY FROM THE METER, turn the machine ON (fan running) and watch for thirty (30)
seconds!
1) IF (and ONLY if) the measurment IS NEVER more than 4.0 volts: Repeat procedure
P- 2.0.7. If still NEVER more than 4.0 volts see procedure number P- 2.0.8 (page 705).
2) IF more than 4.0 volts at least once! See parts A through D below:
B) Swap in known good Power Logic Board*. *To LOCATE the board refer to Figure 4A AND
NOTE A (page 10)
D) If System Initialization DOES NOT reach 100% see procedure number P- 2.0.8 (page 705).
If System Initialization does reach 100% the previous Power Logic Board is bad!
c) Turn the machine on (fan running) and allow forty (40) seconds.
Does System Initialization reach 100%?
Yes System Initialization reaches 100%! The previous Actuator-Test Board is bad.
No System Initialization DOES NOT reach 100%! The previous Actuator-Test Board is good.
THREE (3) possible bad components: 1) Functional Board1; 2) UI-MICS board;
3) Motherboard. With the machine off, swap in each, one at a time, and repeat procedure
P- 2.0.8 until System Initialization reaches 100% indicating the last component swapped in is
the problem.
1
To avoid “Cond Offset Failure”, place the machine into T and C mode! Refer to
OPERATING MODES (page 19),
f) Press the Power button. In an attempt to isolate the keypad, TWO (2) possible scenarios:
1) IF the machine is REMAINING on (fan running) for at least thirty (30) seconds: See
procedure number P- 3.0.1 (page 707).
2) IF the machine turns on (fan running) but turns itself off almost immediately: The most likely
cause of this is the keypad. Replace it HOWEVER, if the problem reoccurs see OTHER
POSSIBILITIES below:
OTHER POSSIBILITIES: Swap in the following components (see Component List below) one at a
time, with known good, and in between, if the machine remains on the last component swapped in
was the problem!
Component List:
1) Power Logic Board; 2) Power Logic Board cable; 3) Main Relay (K1)*. *To LOCATE K1 refer to
Figure 132 (page 710).
With the machine on, QUICKLY unplug the keypad’s green ribbon cable from the UI-MICS Board’s J4
connector. TWO (2) possible scenarios:
1) IF the machine stays on after unplugging the cable: Place the machine into Heat Disinfect
and with the shunt door open allow up to one (1) hour. If the machine STAYS on see procedure number
P- 3.0.2 (page 707). If it turns itself off again see OTHER POSSIBILITIES below.
OTHER POSSIBILITIES: Swap in the following components (see Component List below) one at a
time, with known good, and in between if the machine remains on the last component swapped in
was the problem.
Component List:
1) Power Logic Board; 2) Power Logic Board cable; 3) Main Relay (K1). To LOCATE K1 refer to
Figure 132 (page 710).
2) IF the machine turns off before unplugging the cable: The most likely culprit is the
keypad itself. Replace it HOWEVER, if the problem reoccurs see OTHER POSSIBILITIES below:
OTHER POSSIBILITIES: Swap in the following components (see Component List below) one at a
time, with known good, and in between, if the machine remains on the last component swapped in
was the problem:
Component List:
1) Power Logic Board; 2) Power Logic Board cable; 3) Main Relay (K1)*. *To LOCATE K1 refer to
Figure 132 (page 710).
The most likely culprit is the keypad HOWEVER, this can be confirmed by, while leaving the machine on plug
the keypad back in. Allowing up to one (1) hour, if the machine turns itself off again the keypad (Figure
below) is for bad!
e) Figure below, ENSURE ALL cables are plugged in securely. If not, this is may be the problem!
f) Inspect the cables. If signs of burning or damage are located this may be the problem!
g) Inspect the board’s component (front) and solder (rear) surfaces. If signs of burning or damage are
located this may be the problem!
h) Using compressed air, remove dust from the component and solder side of the Power Control board.
Excessive dust may be the problem!
i) Referring to Figure 132 (page 710), using a Phillips screw driver ensure that Capacitor C1’s terminal
screws are tight. If not, this may be the problem!
j) If possible, turn the machine on (fan running) then, if possible, place it into Dialysis or Rinse or Heat
Disinfect Program. Does the problem reoccur (Yes or No)?
Yes Problem reoccurs! Replace the power supply with a known good supply (P/N 190011) OR
repair with known good components. SIX (6) possible bad components: 1) Bad main
capacitor* (C1, 24,000 µF, P/N 361216-01); 2) Bad main bridge rectifier* (BR1, P/N 362009-
04); 3) Bad boot capacitor* (C2, 10 µF, P/N 361216-03); 4) Bad Power Control board* (P/N
190019); 5) Bad main transformer* (P/N 290030); 6) Bad motherboard**.
No Problem does NOT reoccur! Allow up to thirty (30) minutes as the problem may be intermittent.
An intermittent problem more than likely is FIVE (5) possible bad component): 1) Main capacitor *
(C1, 24,000 µF, P/N 361216-01) OR; 2) Main bridge rectifier* (BR1, P/N 362009-04) OR; 3) Boot
capacitor* (C2, 10 µF, P/N 361216-03) OR; 4) Bad motherboard**.
NOTE! If the shunt door is partially open may cause “Dialyze Valve Fail 1”.
NOTE! The problem may be heat related. Observe all stated times to avoid error!
CHECK #1: ENSURE Valves #24 AND #43 AND #38 are plugged into their PROPER distribution board
positions!
CHECK #3: CHECK the entire length of the Actuator Cable for damage!
CHECK #4: ENSURE the black PGND wire is plugged in SECURELY AND shows no signs of burning!
D) If a problem was located (and REPAIRED) during the above checks this may have been the problem! If
no problems were located see procedure number DVF- 1.0.0 (page 712).
a) ENSURING the machine is OFF, to avoid pulling cables loose, GENTLY open the card cage!
c) Connect the meter’s black lead to chassis ground (see Figure 2 (page 4)).
d) Figure below, at the top of the Actuator-Test Board locate its 50-pin P2 connector. ENSURE the
ACTUATOR ribbon cable is plugged in securely here! If not this may be the problem!
e) Figure above, measure from the rear side of P2 at pin #43. Should be more than 40.0 Ω!
Yes MORE THAN 40 Ω! See procedure number DVF- 1.1.0 (page 712).
b) Open the shunt door and LEAVE IT OPEN till instructed otherwise!
c) Turn the machine on AND return to Dialysis Program (“Select Program” → ‘Dialysis’ → ‘Enter’)!
d) From the Home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
No “Dial Valve Failure” OR “Act Byp Valve Fail” DOES NOT occur! See procedure number
DVF- 1.2.0 (page 713).
DVF- 1.2.0 DIAL VALVE FAILURE OR ACT BYP VALVE FAIL DOES NOT OCCUR
c) Watch VERR (right column) for five (5) minutes OR until if it becomes more than zero
(0). Does VERR REMAIN = 0 for five minutes?
Yes VERR REMAINS = 0! Proceed to page 714, procedure number DVF- 2.0.0.
b) Ignoring the TOP Flow Error window, in part c, you will watch the 2nd
window down, Valve Error for one (1) minute.
c) WITHOUT LOOKING AWAY, ignoring ‘blinks to 1’ that last less than one (1) second, does Valve
Error EVER = 1 LONGER THAN two (2) seconds? TWO (2) possible scenarios:
1) IF Valve Error = 0 OR ‘blinks to 1’ for less than one (1) second! Proceed to page 213,
TROUBLESHOOTING VALVE ERRORS IN DIALYSIS PROGRAM
2) IF (and ONLY if) Valve Error = 1 for LONGER THAN two (2) seconds! With the shunt door
remaining open, proceed to page 716, procedure number DVF- 4.0.0.
Call debug screen 2 to see DIAVLO (Figure below). THREE (3) possible scenarios 1) or 2) or 3) below:
1) IF (and ONLY if) DIALVLO REMAINS ALWAYS = 1: Electrical problem with Valve #24. Proceed to
page 716, procedure number DVF- 4.0.0.
2) IF DIAVLO REMAINS ALWAYS = 0: With the shunt door REMAINING open, see procedure number
DVF- 2.1.0 (page 715).
3) IF (and ONLY if) DIAVLO blinks rapidly between 0 and 1: Electrical problem with Valve #24.
Proceed to page 716, procedure number DVF- 4.0.0.
1) IF (and ONLY if) Flow Error EVER = 1: Return to page 31, procedure number F- 1.0.6.
b) Allow Temperature to reach between 35.0 and 39.0 °C; Conductivity between 13.0 and 14.5
mS!
g) Allow up to two (2) minutes OR until Valve #24’s ‘dot’ turns blue
h) Allow five (5) MORE minutes! Does “Dialyze Valve Fail” OR “Act Byp Valve Fail” alarm banner
occur?
Yes “Dialyze Valve Fail” OR a “Act Byp Valve Fail” occurs! Electrical problem with
Valve #24. Proceed to page 716, procedure number DVF- 4.0.0.
No Whatever was causing the problem is no longer present! Watch for ten (10 minutes).
If a Flow Error reoccurs return to procedure number F- 1.0.6 (page 31).
b) Per the Figure below, THREE (3) checks while tracing Valve #43’s AND #24’s wires from the distribution
board to BOTH valves inside the hydraulics.
DVF- 4.1.0 ISOLATE VALVES #24 AND VALVE #43 SOLENOID CIRCUITS (2)
d) Where a blue wires are attached, place one meter lead on one
of the terminals and the other lead on the other terminal.
3) IF ONE OR BOTH is less than 40 OR more than 100 Ω: Replace the valve AND its blue wiring
harness.
DVF- 4.2.0 BOTH VALVES BETWEEN 40 AND 100 Ω / ISOLATE TOTAL CIRCUIT RESISTANCE (Ώ)
c) Connect the volt meter’s black lead to chassis ground (see Figure 2 (page 4)).
d) Figure below, TWO (2) measurements below, from the solder (rear) side of the Actuator-Test board’s P2
connector. Both should be between 40 and 100 Ω!
Measurement #1: Pin #46 (TOP row, 3rd pin from the screen) = Valve #43
Measurement #2: Pin #29 (BOTTOM row, 11th pin from the screen) = Valve #24
1) IF (and ONLY if) BOTH are between 40 and 100 Ω: See procedure number DVF- 4.2.2 (page
718).
2) IF ONE OR BOTH LESS THAN 40 Ω OR MORE THAN 100 Ω: Perform parts a THROUGH c
below:
a) ENSURE the machine was OFF AND valves #24 and #43 were returned to the distribution board
properly! If NOT, return to (ABOVE) procedure number DVF- 4.2.0 (page 717).
b) ENSURE both measurements were made at the correct Actuator-Test Board P2 pins!
c) THREE (3) possible bad components: 1) Bad Actuator-Test Board OR; 2) Bad actuator cable
OR; 3) Bad distribution board.
Yes VERR = 0! See (ABOVE) procedure number DVF- 2.1.0 (page 715).
No VERR = 1 OR more! Call debug screen 0. Ignoring Flow Error (TOP window), for one (1)
minute, watch the 2nd window down, Valve Error! Ignoring a ‘blink to 1’ that lasts less
than one (1) second, does Valve Error EVER = 1 for LONGER THAN two (2) seconds?
Yes Valve Error = 1 for LONGER THAN two (2) seconds! See procedure number
DVF- 4.3.0 (page 718).
No Valve Error = 0 OR ‘blinks to 1’ for less than one second! Proceed to page
213, TROUBLESHOOTING VALVE ERRORS IN DIALYSIS PROGRAM
Assuming all procedures were performed correctly, THREE (3) possible bad components (see COMPONENT
LIST below). Swap in each, one at a time, and in between return to Dialysis Program to test the new
component until debug screen 1’s VERR remains = 0 indicating the last component swapped in is the
problem.
1
To prevent “Cond Offset Failure”, place the machine into T and C Mode (refer to OPERATING MODES,
page 19)).
b) Using a flashlight, check inside the vacant distribution board position. If corrosion or damage is
located the distribution board needs to be replaced!
g) Do the balancing chamber ‘dots’ begin to cycle between blue and white?
Yes The balancing chamber ‘dots’ are cycling! Balancing Chamber Valve #38* OR its blue wire
harness is bad!
A) BEFORE continuing to part B, NOTE this page number and perform INITIAL CHECKS (page 7))
B) Turn the machine off and on. If (and ONLY if) “Act Blood Pump Failed” alarm reoccurs see procedure
number ABPF- 1.0.0 (page 720).
a) Referring to the Figure below, the EXTENDER BOARD (P/N 190600) is required.
b) Turn the machine OFF and, to prevent pulling cables loose, GENTLY open the card cage!
c) To avoid error, per the Figure below, FOUR (4) NOTES below:
1) Keeping the EXTENDER BOARD’S resistors towards the FRONT OF THE MACHINE install it into
the motherboard’s nine (9) pin TEST* connector. *To LOCATE refer to Figure 4A (page 10)).
2) ENSURE the board is matched pin for pin to the TEST connector! From the FRONT OF THE
MACHINE SGND on the LEFT; 24V-C on the RIGHT!
3) Push the board down hard. It may resist a good connection into the motherboard!
b) Connect the meter’s ground (black) lead to chassis ground (see Figure 2, page
4).
c) TIGHTLY HOLD the red meter lead at the EXTENDER BOARD’S +24V-C measuring point.
d) Looking for approximately 24.0 volts to ‘pulse’ on and off several times, WITHOUT LOOKING
AWAY FROM THE METER, turn the machine on (fan running), and watch for thirty (30) seconds.
Yes More than 23.0 volts DC seen! If (and ONLY if) the “Act Blood Pump Failed” reoccurred,
THREE (3) possible bad components (see Component List below). Swap in each component
in one at a time and, in between, see if the “Act Blood Pump Failed” reoccurs. Continue
through the list until “Act Blood Pump Failed” does not reoccur!
Component List: 1) Arterial Pump Ribbon cable; 2) Arterial Blood Pump Module;
3) Motherboard
No NEVER more than 23.0 volts seen! To avoid time consuming work, to ENSURE the extender
board is installed correctly, measure at its +5V and +12V points. If the board is installed correctly
these voltages will be present. If SURE the board is installed correctly AND you are measuring at
the correct points see procedure ABPF- 1.0.3 (page 722).
b) Figure below, unplug the MODULES ONLY, including the Blood Pressure module. DO NOT
unplug the 24V Harness or shunt!
c) Again TIGHTLY HOLD the red meter lead at the EXTENDER BOARD’S +24V-C measuring point.
d) WITHOUT LOOKING AWAY from the meter, turn the machine on (fan running), and watch for
thirty (30) second. More than 23.0 volts DC seen at ANY TIME DURING (Yes or No)?
Yes More than 23.0 volts DC seen! One of the modules is causing the problem: Read parts A
through C before performing them! A) Turn the machine off and plug the one of the
modules in (your choice); B) Turn the machine on while measuring at the EXTENDER
BOARD’S +24V-C measuring point; C) When more than 23.0 volts is again not seen the
last module plugged in or its cable is causing the problem.
No Never more than 23.0 volts! See procedure number ABPF- 1.0.4 (page 723).
a) Turn the machine off and UNPLUG it. CAUTION! Electrocution hazard if not unplugged
g) Per the Figure below, HOLD the red meter lead at the rear (solder) side, at pin 8, of the 24 V
Power Harness connector X1.
h) WITHOUT LOOKING AWAY from the meter, turn the machine ON (fan running) and watch for forty (40)
FULL seconds.
i) More than 23.0 volts DC (VDC) seen at ANY TIME EVER during the 40 seconds?
Yes More than 23.0 volts DC seen. Referring to Figure 134 (page 724), the 24 V Power Harness
is bad.
No Never more than 23.0 volts! The Power Control Board may be bad.
A) Per the Figure below, if the HEAT EXCHANGER’S ‘center screws’ and nuts are not tight this may be
problem!
D) Per the Figure below, install the gauge at Inlet Pressure Regulator #61.
G) Plug the concentrate connectors into their rinse ports AND place the machine into RINSE!
Part H next page
Yes Peak between 18 and 20 psi! See procedure number HEATEX- 2.0.0 (page 726).
No NOT between 18 and 20 psi! Referring to the Figure (previous page), loosen Regulator’s
#61’s lock nut and turn the center screw until a consistent peak of between 18 and 20 psi is
achieved. TWO (2) possible scenarios:
1) IF (and ONLY if) pressure adjusts to between 18 and 20 psi: See procedure number
HEATEX- 2.0.0 (page 726).
2) IF pressure will NOT adjust to between 18 and 20 psi: TWO (2) possibilities:
1) Incoming water pressure is more than 105 psi OR; 2) Regulator #61 is bad. Regulator
#61 can be rebuilt (Rebuild kit, P/N 190934). NOTE! Previous high pressure may have
been already damaged the Heat Exchanger causing it to leak!
This procedure checks that Inlet Pressure Regulator #61 maintains pressure over time:
b) Watch the gauge for two (2) minutes. Pressure should not increase to more than 20 psi! If it does
Regulator #61 is bad but can be rebuilt (Rebuild kit, P/N 190934). If it does NOT increase to more than
20 psi NOTE this pressure then see part c.
NOTE! Previous high pressure may have been already damaged the Heat Exchanger causing it to leak!
c) Allow twenty (20) minutes. Does pressure increase more than 2 psi above what was noted in part b?
Yes Pressure increases! TWO possibilities: 1) Incoming water pressure is more than 105 psi OR;
2) Bad Regulator #61. Regulator #61 can be rebuilt (Rebuild kit, P/N 190934). NOTE! The Heat
Exchanger may have already been damaged causing it to leak!
No Pressure does NOT increase! Per the Figure below, repair or replace the Heat Exchanger.
Per the Hydraulics Front View figure below, a “Bibag: Valve 1 Err”, indicates an electrical problem with
Valve #100 OR Valve #101. A “Bibag: Valve 2 Err” indicates an electrical problem with Valve #103
B) Per Figure 4C (page 11), ENSURE the 20 and 26 pin ribbon cables
are plugged SECURELY into the bibag Interface Board!
D) ENSURE the blue wires at Valve #100, #101 and #103 terminate
properly at their solenoid terminals (Figure right).
G) To avoid error, one valve at a time, unplug both wires from its solenoid
terminals and, Figure right, measure resistance (Ω) BETWEEN the
terminals. Between 40 and 100 Ω?
Yes Between 40 and 100 Ω! Plug the wires back into the solenoid
terminals then repeat part G for all three (3) valves. If all three valve
solenoids are between 40 and 100 Ω see part H next page.
I) ENSURE the cable to Valve #101, #100 and #103 is plugged in securely!
J) Place the machine into Dialysis or Rinse. If the “BiBag: Valve 1 Error” OR “BiBag: Valve 2 Error”
reoccurs, referring to the Figure below, there may be a problem with the 26 pin ribbon cable, between the
bibag Interface Board and the bibag Distribution Board, OR the the BBibag Interface Board.
“V104/108 Stuck Closed” OR V104 Er C =1 indicates a possible restriction in the Bicarb inlet system, as
sensed by Pressure Sensor #110 (Bic Press)
NOTE! If external leaks, “No Water”, or a Flow Error EVER occur address them FIRST!
1) IF occurring during OR after a Cleaning / Disinfection Program (Rinse, Heat Disinfect, etc.)
has stopped: See procedure number V104SC- 1.0.0 (page 730).
a) If attached to a Bicarb jug ENSURE the Pick Up wand tubing (Figure right)
is NOT kinked!
b) If attached to a Central Bicarb Delivery System (SDS) ENSURE good flow from
the station valve! The valve MUST be left open!
c) Call debug screen 15. Watch V104 Er C (bottom row. 3rd column
from left) for three (3) minutes OR until if it EVER = 1, even just
once?
Yes V104 Er C = 1, even just once! Proceed to page 438, procedure number
CO- 14.0.0.
No V104 Er C REMAINS = ‘0’! Whatever was causing “V104/108 Stuck Closed” has
cleared for now! Perform parts a THROUGH c below:
a) Call debug screen 0 to watch Flow Error (TOP window) for two (2) minutes. If
EVER = 1 a masked Flow Error is occurring! In this event, DO NOT continue to
troubleshoot “V104/108 Stuck Closed”.
b) If pulling from a Bicarb jug or a Central Bicarb Delivery System (SDS) AND
[Conductivity] increases to more than 13.0 mS Valve #104 is, at least, partially
open!
c) Install a venous dummy chamber in the Level Detector module and attempt to reset
all alarms. Does “V104/108 Stuck Closed” appear?
Yes “Valve 104/108 Stuck Closed” appears! Proceed to page 438, procedure
number CO- 14.0.0.
NOTE! A poorly inserted Bicarb connector, into its Rinse port, is the most common cause of “V104/108
Stuck Closed”!
D) Call debug screen 0. If debug does not appear press ‘Esc’ then call screen 0.
F) Is the external flow indicator’s ‘bob’ rising at least ½ way in the sight tube?
No ‘Bob’ NOT moving! Proceed to page 166, SECTION 3 - FLOW ERRORS IN CLEANING /
DISINFECTION PROGRAMS
2) IF (and ONLY if) Flow Error EVER = 1, even just once: Proceed to page 166, SECTION 3 -
FLOW ERRORS IN CLEANING / DISINFECTION PROGRAMS!
H) Call debug screen 15. Bic Press (Figure right) is from Pressure
Sensor #110. If a negative (‘-‘) sign appears pressure is
NEGATIVE. If no ‘-‘ sign it is POSITIVE! In any event see
procedure number V104SC- 1.0.1 (page 730).
No Bic Press is NOT between negative 50 and positive 30! Leaving the door OPEN, see procedure
number V104SC- 1.0.22 (page 732).
D) RETURN TO RINSE!
E) Call debug screen 15. If debug does not appear press ‘Esc’ then call screen 15.
1) IF NEVER achieves POSITIVE 400: Proceed to page 736, procedure number V104SC- 2.0.0.
A) Press ‘Esc’ to return to the main RINSE screen. THREE (3) possible scenarios:
1) IF (and ONLY if) the [Remaining Time] window is NOT ‘blinking’: See part B.
2) IF (and ONLY if) [Remaining Time] is ‘blinking’ AND the “V104/108 Stuck Closed”
banner is up: Proceed to page 739, procedure number V104SC- 2.0.3.
3) IF [Remaining Time] is ‘blinking’ AND the “V104/108 Stuck Closed” banner is NOT
up: Address whatever alarm banner is showing.
B) The first part of clearing “V104/108 Stuck Closed”, is successful. Now, when rinse finishes, Bic
Press must significantly decrease through Valves #104 and #108.
C) Watch carefully until if [Remaining Time] = 0:00. Does “V104/108 Stuck Closed” reappear?
Yes “V104/108 Stuck Closed” reappears! Proceed to page 739, procedure number
V104SC- 2.0.3.
No V104/108 Stuck Closed” NEVER reappears! When RINSE finishes return to Dialysis
Program (“Select Program” →.’Dialysis’ → ‘Enter’). TWO (2) possible scenarios:
A) Leaving the machine on, pull the hydraulics away from the cabinet to.
B) Figures below, per the numeric tubing identification (ID) bands, ENSURE the bibag Connector tubing
segments are not reversed or kinked!
C) Is Bic Press now between negative (-)50 and positive 30 (Yes or No)?
Yes Bic Press between negative 50 and positive 30! The tubing may have been restricted:
A) Reinstall the hydraulics ENSURING the tubing remain unrestricted! B) Return to
(ABOVE) procedure number V104SC- 1.0.0 (page 730).
No Bic Press still is NOT between negative 50 and positive 30! See part D next page.
Yes Bic Press between negative 50 and positive 30! a) Reattach Tube #2! b) Figure below,
check for restrictions between Valve #104 and the bibag Air Separation Chamber AND
between the bibag Air Separation Chamber and the Bicarb Pump!
No Bic Press is NOT between negative 50 and positive 30! Leaving Tube #2 off, see procedure
number V104SC- 1.0.3 (page 734).
NO TEXT INTENIONALLY
c) Press ‘Enter’ and allow the calibration to complete. If successful the “Calibrate Regulator Pressure”
banner appears (Figure below), and the screen will say “Calibration Complete, press CONFIRM to
save”.
Yes An Error banner DID NOT occur! Press ‘Enter’ then see procedure number V104SC-
1.0.3.1 (page 734).
No An Error banner occurred! Repeat the calibration but if the Error banner reoccurs, FOUR (4)
possible problems (see PROBLEM LIST below). Check and / or swap in each component
one at a time until the Regulator Pressure calibration is successful.
PROBLEM LIST: 1) Loose bibag Interface board ribbon cable (refer to Figure 4C (page 11))
OR; 2) Bad Pressure Sensor #110 OR; 3) Bad bibag Interface board OR; 4) Bad electrical
connection, from Pressure Sensor #110, inside the bibag Distribution Board (refer to Figure
4D (page 13)).
b) SLAM the ACID and BICARB connectors into their rinse ports!
c) Return to RINSE!
d) Call debug screen 15. If the debug screens do not appear press ‘Esc’ then call screen 15.
f) Watch Bic Press for two (2) minutes OR until if it achieves 400.
TWO (2) possible scenarios:
1) IF (and ONLY if) NEVER achieves POSITIVE 400: See procedure number V104SC- 2.0.0
(page 736).
2) IF reaches POSITIVE 400 or more at least once: See part A) next page:
1) IF (and ONLY if) the [Remaining Time] window is NOT ‘blinking’: See parts B)
and C).
2) IF (and ONLY if) [Remaining Time] is ‘blinking’ AND the “V104/108 Stuck
Closed” banner is up: Proceed to page 739, procedure number
V104SC- 2.0.3.
B) The first part of clearing “V104/108 Stuck Closed”, is successful. Now when rinse finishes,
Bic Press must significantly decrease through Valves #104 and #108.
C) Watch carefully until if [Remaining Time] = 0:00. Does “V104/108 Stuck Closed” reappear?
2) IF V104/108 Stuck Closed” does NOT reoccur: The alarm has been
cleared from memory! Possibly the blue connector was not inserted
properly into its rinse port when last rinsed.
NO TEXT INTENIONALLY
B) Figures below, per the identification (ID) bands on the tubing, ENSURE the bibag Connector tubing
segments have not been reversed or kinked
D) Call debug screen 15. If debug does not appear press ‘Esc’ then call screen 15.
E) Watch Bic Press for one (1) minute. Does it achieve more than POSITIVE 400 now (Yes or No)?
Yes Bic Press achieves POSITIVE 400! A tubing segment may have been kinked! Reinstall the
hydraulics ENSURING the tubing remains unrestricted!
No Bic Press does NOT achieve POSITIVE 400! See procedure number V104SC- 2.0.1 (page
737).
F) Watch the gauge for one (1) minute as it may cycle below 15 psi at times but does it EVER PEAK to at
least 23 psi?
1) IF REMAINS ALWAYS less than 15 psi: Proceed to page 174, procedure number
CLEAN- 1.2.33.
2) IF CYCLING to between 15 and 21 psi: Adjust Valve #65* attempting to achieve a PEAK of
between 23 and 25 psi. * To LOCATE Valve #65 refer to Figure 6 (page 22). TWO (2)
possible scenarios I or II below:
I. IF (and ONLY if) unable to adjust to at least 23 psi: Proceed to page 174,
procedure number CLEAN- 1.2.33
II. IF you can adjust to between 23 and 25 psi: Perform parts a THROUGH c below:
b) Return to RINSE!
c) Call debug screen 15. If Bic Press is achieving POSITIVE 400 this may have
solved the problem! If Bic Press still is not achieving 400 see part G next page.
J) Figure right, wipe all the water away from the door nozzles
and the door.
M) Is there is more water around the door nozzles than when you dried it earlier?
Yes Remove the clamp! Valve #100 is opening at least partially. Return to RINSE but if Bic
Press still is not achieving POSITIVE 400 AND “V104/V108 Stuck Closed” reoccurs replace
Valve #100 (see the Figure below to locate Valve #100)
No Remove the clamp! TWO (2) possible bad components: 1) Bad Valve #100 (see Figure below);
OR 2) Bad bibag Interface Board (refer to Figure 4C (page 11)).
Yes More than 180 ml! Proceed to page 741, procedure number V104SC- 3.0.0.
No Less than 180 ml! ENSURING the machine was in RINSE prior to checking flow, perform parts
a THROUGH c below:
b) If a restriction is located inside the BLUE connector or its adaptor plug this may be the
problem!
Yes More than 180 ml! TWO (2) possible bad components: 1) Restricted Bicarb concentrate
connector OR; 2) Bad Bicarb Rinse port.
No Less than 180 ml! ENSURING the machine was in RINSE prior to checking flow, perform parts
a AND b below:
a) With RINSE now interrupted, reattach the Bicarb rinse port tubing!
b) FIVE (5) possible problems: 1) Figure below, bad wire connection(s) between Valve #108
and Valve #104 OR; 2) Loose ribbon cable at the bibag Interface board (refer to Figure 4C
(page 11)) OR; 3) Bad Valve #108 OR; 4) Bad bibag Interface Board OR; 5) Bad electrical
connection, from Valve #108/Valve #104, inside Distribution Box #2 (see Figure 4D (page
13)).
A) Turn the machine on. When “Press CONFIRM For Service Mode” appears press ‘Enter’. The screen
says “Machine In Service Mode”.
H) GENTLY push on the syringe’s plunger. Are you able to easily push water all the way through and into
the cup?
Yes Able to push water through Valve #104 into the cup! Valve #104 is okay! See procedure
number V104SC- 3.2.0 (page 743).
c) Figure, previous page, ENSURE no tubing restrictions between Valve #104 and the
bibag Air Separator Chamber.
d) Per the Figure, previous page. ENSURE no restrictions between bibag Conductivity Cell
#113 and the Bicarb Pump’s input.
e) If no restrictions were located above, THREE (3) possible problems (see PROBLEMS
LIST below. Swap in each component, one at a time and repeat procedure number
V104SC- 3.1.0 (page 741), until you are able to push water through Valve #104.
PROBLEMS LIST
1) Bad Valve #104 (refer to the Figure, previous page) OR; 2) bibag Interface Board
(refer to Figure 4C (page 11)) OR; 3) Bad electrical connection, from Valve #104, inside
Distribution Box #2 (refer to Figure 4D (page 13)).
c) From the Service Mode menu press Calibrate Sensors → Pressure Transducers → Regulator
Pressure.
d) Just enough to hold them there, place BOTH concentrate connectors ¼ way into their rinse ports.
e) Press ‘Enter’ and allow the calibration to complete. If successful the “Calibrate Regulator Pressure”
banner appears (Figure below), and the screen will say “Calibration Complete, press CONFIRM to
save”.
Yes An Error banner DID NOT occur! See procedure number V104SC- 3.2.0.1 (page 743).
No An Error banner occurred! Repeat the calibration but if the Error banner reoccurs, FOUR (4)
possible problems (see PROBLEM LIST below). Check and / or swap in each component
one at a time until the Regulator Pressure calibration is successful.
PROBLEM LIST: 1) Loose bibag Interface board ribbon cable (refer to Figure 4C (page 11))
OR; 2) Bad Pressure Sensor #110 OR; 3) Bad bibag Interface board OR; 4) Bad electrical
connection from Pressure Sensor #110 inside the bibag Distribution Board (refer to Figure 4D
(page 13)).
c) Call debug screen 15. If the debug screens do not appear press ‘Esc’ then call screen 15.
d) Watch Bic Press. If it behaves as previously it MUST at least once, achieve POSITIVE 400 or more!.
1) IF (and ONLY if) V104 Er (3rd column from left) = 1: Referring to the Figure
below, there is a problem with Valve #104 and / or Valve #108. See part B.
2) IF (and ONLY if) V105 Er (2nd column from left) = 1: Referring to the Figure
below, there is a problem with Valve #105. See part B.
3) IF BOTH V105 Er AND V104 Er = 0: You are in the wrong Section! Neither valve is reporting a
problem!
1) IF (and ONLY if) V104 Er = 1: Problem with Valve #104 AND / OR Valve 108! See procedure
number V- 1.0.0 (page 744).
2) IF V105 Er = 1: Problem with Valve #105! Proceed to page 745, procedure number V- 2.0.0.
A) ENSURE Valve #104’s and #108 wires terminate properly at their solenoid
terminals (Figure right). If not, this is may be the problem!
D) As Valve #104 and #108 are wired in parallel, unplug also Valve #108’s wires from
its solenoid. If corrosion is located replace Valve #108!
E) Leaving the wires unplugged, Figure right, measure BETWEEN the solenoid
terminals of BOTH Valves (#104 and #108). BOTH solenoids between 40
and 100 Ω?
Yes BOTH solenoids between 40 and 100 Ω! A) Return the wires to the solenoid
terminals! B) TWO (2) possible problems: 1) Bad bibag Interface Board (refer
to Figure 4C (page 11)) OR; 2) Electrical connection, from Valve #104/Valve
#108, inside Distribution Box 2 (refer to Figure 4D (page 13)).
No Less than 40 Ω OR more than 100 Ω! Replace the Valve with the bad resistance measurement!
“V105 Stuck Closed” OR V105 Er C = 1 indicates a possible restriction in the Acid inlet system as sensed
by Pressure Sensor #106 (Acid Press).
NOTE! If external leaks, “No Water”, or a Flow Error EVER occur address them FIRST!
a) If attached to an Acid jug ENSURE the Pick Up wand tubing (Figure right)
is NOT kinked!
b) If attached to a central Acid delivery system (SDS) ENSURE good flow from
the station valve! The valve MUST be left open!
c) From the home screen, set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
Yes V105 Er C = 1 even just once! Proceed to page 435, procedure number
CO- 13.0.00.
No V105 Er C REMAINS ALWAYS = ‘0’! Whatever was causing “V105 Stuck Closed”
has cleared for now! See parts THROUGH c below:
a) Call debug screen 0 to watch Flow Error (TOP window) for two (2) minutes. If
EVER = 1 a masked Flow Error is occurring! In this event, DO NOT continue to
troubleshoot “V105 Stuck Closed”.
c) Install a venous dummy chamber in the Level Detector module and attempt to
reset all alarms. Does the “V105 Stuck Closed” banner appear?
NOTE! A poorly inserted Acid connector, into its Rinse port, is the most common cause of “V105 Stuck
Closed”!
F) Is the external flow indicator’s ‘bob’ rising at least ½ way up in the sight tube?
No ‘Bob’ NOT moving! Proceed to page 166, SECTION 3 - FLOW ERRORS IN CLEANING /
DISINFECTION PROGRAMS
2) IF Flow Error EVER = 1, even just once: Proceed to page 166, SECTION 3 - FLOW ERRORS
IN CLEANING / DISINFECTION PROGRAMS!
1) IF (and ONLY if) achieves POSITIVE 400 or more at least once: Proceed to page 752,
procedure number V105SC- 5.0.0.
J) Call debug screen 15. Does V105 Er (2nd column from left) = ‘0’?
No V105 Er = ‘1’! There is a problem with Valve #105! Proceed to page 744,
SECTION 31 – VALVE 104 OR VALVE 105 ERROR.
Yes More than 180 ml! See procedure number V105SC- 2.0.0 (page 749).
No Less than 180 ml! ENSURING the machine was in RINSE prior to checking flow, see part P.
Yes More than 180 ml! A) Reattach the tubing to the red connector! B) TWO (2) possible bad
components: 1) Restricted Bicarb (blue) concentrate connector OR; 2) Bad Acetate/Acid
Rinse port.
b) FIVE (5) possible problems: 1) Bad wire connection(s) between Valve #1081 and Valve #1041
OR; 2) Loose ribbon cable at the bibag Interface board (refer to Figure 4C (page 11)) OR;
3) Bad Valve #108 OR; 4) Bad bibag Interface Board OR; 5) Bad electrical connection, from
Valve #104/Valve #108, inside Distribution Box #2 (refer to Figure 4D (page 13)).
1
To LOCATE Valve #108 and Valve #104 refer to Figure 3 (page 5)
CHECK #1: Check for restrictions between the acid (red) connector and Valve #105.
CHECK #2: ENSURE the Acid Pump’s INPUT (white) nozzle is on the bottom.
CHECK #3: ENSURE the Acid Pump’s INPUT tubing is clear AND goes, unrestricted, to the bottom of
Pressure Sensor #106.
a) Turn the machine on. When the screen says “Press CONFIRM For Service Mode” press ‘Enter’. The
screen MUST say “Machine In Service Mode”.
e) REMOVE the clear tubing from the Acid Pump’s INPUT (white)
nozzle. Place a cup under the vacant nozzle.
g) GENTLY push on the plunger. Can you push water through Valve #105 into the cup?
Yes EASILY able to push water into the cup! Valve #105 is okay! See procedure number
V105SC- 2.3.0 (page 751).
No Significant resistance encountered! Problem with Valve #105! Perform parts a THROUGH c
below:
c) FOUR (4) possible problems (see PROBLEM LIST below). Check each and / or swap in
each component, one at a time and in between repeat procedure number V105SC- 2.1.0
(page 750) until you are able to push water through Valve #105.
PROBLEM LIST: 1) Loose bibag Interface board ribbon cable (refer to Figure 4C (page
11)) OR; 2) Bad Valve #105 OR; 3) Bad bibag Interface Board OR; 4) Bad electrical
connection, from Valve #105, inside Distribution Box 2 (see Figure 4D (page 13)).
Yes Acid Press is between -30 and 30. Pressure Sensor #106 seems to be okay! See
procedure number V105SC- 2.4.0 (page 751).
No Acid Press IS NOT between -30 and 30! Possible problem with Pressure Sensor #106! See
procedure number V105SC- 2.4.0 (page 751).
b) From the Service Mode menu press Calibrate Sensors → Pressure Transducers → Regulator
Pressure.
c) Just enough to hold them there, place BOTH concentrate connectors ¼ way into their rinse ports.
d) Press ‘Enter’ and allow the calibration to complete. If successful the “Calibrate Regulator Pressure”
banner appears (Figure below), and the screen will say “Calibration Complete, press CONFIRM to
save”.
Yes An Error banner DID NOT occur! Press ‘Enter’. Reconnect all tubing and test the machine
for “V105 Stuck Closed”. If it reoccurs there is a restriction between the
acid connector and the Acid Pump that was not located above OR
Valve #105 is partially restricted!
No An Error banner occurred! Repeat the calibration but if the Error banner reoccurs, FOUR (4)
possible problems (see PROBLEM LIST below). Check and / or swap in each component
one at a time until the Regulator Pressure calibration is successful.
PROBLEM LIST: 1) Loose bibag Interface ribbon cable (refer to Figure 4C (page 11)) OR;
2) Bad Pressure Sensor #106 OR; 3) Bad bibag Interface board OR; 4) Bad Pressure
Sensor #106 electrical connection inside Distribution Box 2 (refer to Figure 4D (page 13)).
CHECK #1: Check for restrictions between the acid connector and Valve #105.
CHECK #2: ENSURE the Acid Pump’s INPUT (white) nozzle is on the bottom.
CHECK #3: ENSURE the Acid Pump’s INPUT tubing is clear AND goes, unrestricted, to the bottom of
Pressure Sensor #106.
b) From the Service Mode menu press Calibrate Sensors → Pressure Transducers → Regulator
Pressure.
c) Just enough to hold them there, place BOTH concentrate connectors ¼ way into their rinse ports.
d) Press ‘Enter’ and allow the calibration to complete. If successful the “Calibrate Regulator Pressure”
banner appears (Figure below), and the screen will say “Calibration Complete, press CONFIRM to
save”.
Yes An Error banner DID NOT occur! Press ‘Enter’ Reconnect all tubing and test the machine
for “V105 Stuck Closed”. If it reoccurs there is a restriction between the acid
connector and the Acid Pump that was not located above OR Valve
#105 is partially restricted!
No An Error banner occurred! Turn the machine off THEN return to page 750, procedure
number V105SC- 2.1.0.
1) IF (and ONLY if) Flow Error ALWAYS = 0: Call the Home screen. ENSURE [Temperature] is more
than 35.5° C BEFORE continuing to procedure number BBAGVENT- 1.0.0 (page 754).
2) IF Flow Error EVER = 1, even just once: Proceed to page 23, SECTION 1 - FLOW ERRORS IN
DIALYSIS PROGRAM!
If bibag Air Sensor #112 senses air Valve #101, located on top of bibag Air Seperator
Chamber #111, pulses open every thirty (30) seconds allowing Deaeration Pump #20 to
pull air out of the Chamber. From debug screen 14, if Air = 1 = air sensed. If = 0 = no air.
During and after a bibag disposable is filled with water it is normal for Air = 1 (“Chamber
Venting”) HOWEVER, if Air = 1 longer than ten (10) minutes “Vent Too Long” occurs.
A) Call debug screen 14 to ENSURE Conductivity (bottom row) is more than 48. If not there may be a
problem with the bicarb pump.
B) Pull the Bicarb (blue) connector out of the rinse port and allow one (1) minute. Press the Reset key. If
“BiBag: Vent Too Long” does not clear within one (1) minute see part B.
E) Per the Figures below, check for bibag Connector tubing kinks!
K) Check Deaeration Pressure per the 2008 Preventative Maintenance Procedures booklet.
L) Leaving the hydraulics out, connected to acid with a bibag disposable (pouch) attached.
N) From the Home screen set [Dialysate Flow] to 800 ml/min and press ‘Enter’.
R) For two (2) minutes check for external leaks in the bibag hydraulic system (refer to the Figure, previous
page) and also in the tubing segments to and from the bibag Connector. If a leak is located this may be
the problem!
S) Interrupt RINSE!
T) Clamp and remove the tubing segment that is attached to the top of Valve #101* * To LOCATE Valve
#101 refer to the Figure, previous page).
V) Return to Rinse!
Yes 30 ml or more from Valve #101! The troubleshooting guide cannot locate an immediate
problem! A) Remove the clamp! then; B) Return to Dialysis Program with a bibag pouch
attached; C) If “BiBag: Vent Too Long” reoccurs possibly either the bibag Interface Board
(refer to Figure 4C (page 11) OR the bibag Air Removal Seperator #111 is bad.
No Way less than 30 ml from Valve #101! TWO (2) possible bad components: 1) Bad Valve #101
OR; 2) Bad bibag Interface Board (refer to Figure 4C (page 11)).
T Calibration
Replaced Component Then Calibrate
Procedures Section #
- Display Assembly (i.e. screen) - Touch Screen Calibration 2.1
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PRESSURE
VOLUME
MASS
Manufactured by:
Fresenius USA, Inc.
4040 Nelson Avenue
Concord, CA 94520
800 227-2572
http://www.fmcna.com