Nipro Surdial Trouble shooting manual
TROUBLE SHOOTING MANUAL
SINGLE PATIENT DIALYSIS MACHINE
ＳＵＲＤＩＡＬ
Manufacturer NIPRO CORPORATION
3-9-3, Honjo-Nishi, Kita-Ku, OSAKA 531-8510, JAPAN
PHONE +81-6-6372-2331 / FAX +81-6-6371-7422
Version No. ０Ｒ３１０８－０２０８
to check them for finding trouble cause to
1. GENERAL DESCRIPTION
When TROUBLE is detected,
check symptom and condition and
perform
TROUBLE SHOOTING
determine action to be taken.
Condition, check method, cause and
action to be taken for each trouble are
described in this Manual.
ＷＡＲＮＩＮＧ
Perform check after reading Cautions
for Safety thoroughly contained in
Service Manual.
When power ON of SURDIAL is
required to perform check, take care
of electric shock.
↓
In accordance with procedure specified in
SERVICE MANUAL,
take action and check the result.
Construction drawings and adjusting
procedures of each Assy and
component, list of components and the
like are contained in Service Manual.
2. ALARM/ERROR INDICATIONS AND DESCRIPTION
NO. ALARM/ERROR INDICATION NO. ALARM/ERROR INDICATION
E01 RECOVER FROM EMERGENCY STOP E41 VCa CLOSED CIRCUIT LEAK ERROR
E02 T1 TEMPERATURE SENSOR ERROR E42 VCb CLOSED CIRCUIT LEAK ERROR
E03 T2 TEMPERATURE SENSOR ERROR E43 VCb CLOSED CIRCUIT LEAK ERROR
E04 T3 TEMPERATURE SENSOR ERROR E44 AIR ELIMINATION TANK ERROR
E05 DIALYSATE TEM PERATURE MAX ALARM E45 BLOWN-OUT FUSE DETECTION
E06 DIALYSATE TEM PARATURE MIN ALARM E46 WATCH-DOG ERROR
E07 DIALYSATE PRESSURE MAXLIMIT E47 RAM ERROR
E08 DIALYSATE PRESSURE MINLIMIT E48 EEPROM ERROR
E09 DAIALYSATE PRESSUREMAX ALARM E49 EPROM ERROR
E10 DIALYSATE PRESSUREMIN ALARM E50 RAM INITIALIZE
E11 VENOUS PRESSURE MAX LIMIT E51 EEPROM INITIALIZE
E12 VENOUS PRESSURE MIN LIMIT E52 SWITCH ERROR
E13 VENOUS PRESSURE MAX ALARM E53 I/O PORT ERROR
E14 VENOUS PRESSURE MIN ALARM E54 CONNECTION ERROR SBY0151-SBY0156
E15 ARTERIAL PRESSURE MAX LIMIT E55 BP BATTERY ERROR
E16 ARTERIAL PRESSURE MIN LIMIT E56 COUPLER SW ON ALARM(DIALYSIS)
E17 ARTERIAL PRESSURE MAX ALARM E57 COUPLER SW ON ALARM(PREP.)
E18 ARTERIAL PRESSURE MIN ALARM E58 COUPLER SW OFF ALARM
E19 TMP ALARM E59 UF MAX ALARM
E20 DIALYSATE CONDUCTIVITY MAX ALARM E60 SYRINGE INFUSION COMPLETION
E21 DIALYSATE CONDUCTIVITY MIN ALARM E61 COMPLETION OF SYRINGE.P INFUSION
E22 BLOOD LEAK SENSOR ERROR E62 PERFORMED PRIMING
E23 BLOOD LEAK ALARM E63 PREFORMED TARGET UF.
E24 AIR BUBBLES ARE DETECTED E64 NO W ATER RINSING
E25 HEATER OVER HEAT ALARM E65 PREPARE DIALYSATE CONC.
E26 SHORT WATER SUPPLY E66 CONC CONNECTOR TO RINSING PORT.
E27 SHORT DIALYSATE FLOW E67 RESET SW
E28 DIALYSATE FLOW STOP E68 UF DIALYSE SW
E29 SN SWITCH TIME ALARM E69 BYPASS SW
E30 BLOOD PUMP ERROR ALARM/ERROR DESCRIPTION
E31 BLOOD PUMP STOP ERROR Disabled LCD indication
E32 CLV POSITION ERROR Disabled SW function
E33 VISCOUS PUMP DRIVING ERROR(VPa) Disabled syringe pump operation
E34 VISCOUS PUMP DRIVING ERROR(VPb) Blood pump error
E35 VP DRAWING VOLUME IS AT MAX LIM. Level change in venous drip chamber
E36 VCa CLOSED CIRCUIT LEAK ERROR Air inclusion in dialysate
E37 VCa CLOSED CIRCUIT LEAK ERROR Unstable dialysate flow rate
E38 VCb CLOSED CIRCUIT LEAK ERROR Disabled discharge by pressing drain SW
E39 VCb CLOSED CIRCUIT LEAK ERROR UFR error exceeding allowable upper/lower limits
E40 VCa CLOSED CIRCUIT LEAK ERROR Date and time are initialized.
PREFACE
Thank you for purchase of NIPRO Single Patient Dialysis Machine “SURDIAL”.
Information for serviceman or technician required to perform check and maintenance of
SURDIAL is given by this Trouble Shooting Manual. All operations described in this
Manual should be performed by only qualified serviceman or technician who should be
familiar with replacement of components of microprocessor based electronic devices and
should have basic knowledge concerning conventional dialysate line of dialysis machine.
The serviceman or technician should be familiar with all operations contained in this
Manual by reading it thoroughly to full understand them before starting trouble shooting.
Use this Manual together with Operation and Service Manuals of SURDIAL. Same
descriptions contained in them are minimal.
Generally, information required to operate SURDIAL is contained in Operation Manual of
SURDIAL though technical description is also contained partially. Information related to
maintenance, component replacement and various settings is contained in Service Manual
of SURDIAL. In this Manual, information related to method of trouble shooting is
contained.
Description concerning the trouble shooting contained in this Manual is protected by
copyright owned by the manufacturer. Partial or whole copy, duplication or preparation of
version in any foreign language of this Manual should not be allowed without obtaining prior
written approval of the manufacturer.
E01 RECOVER FROM EMERGENCY STOP
Detection Recovery to normal from emergency machine stop due to power failure caused during execution of sequence
Detection
process
Rinse
Preparation
Prep. end
Dialysis
Recovery
Reset Automatic recovery to normal Note
Audible
alarm
○ (3 times)
Dialysate line function BP/SP stop CLV function Reset
Execution of sequence before
error detection
― ― ―
Becoming error free of upper/lower alarm limits of
venous, arterial and dialysate pressures by error
detection
Conditionor cause Check and action
Recovery from power failure Not required
Intentional OFF-ON of power breaker Not required
Intentional OFF-ON of power SW Not required
Check ： Identify position(s) of leakage or short-circuit of AC230V
(AC110V) line.
Disconnect components one by one from the line to identify
OFF of breaker due to leakage or short
circuit of AC230V (AC110V) line
damaged one(s) by testing or operate components in the line
one by one manually to do so.
ＣＡＵＴＩＯＮ
Check correct earth connection of SURDIAL and disconnect
components after disconnecting power plug from receptacle.
Action: Repair or replace damaged one(s).
Incorrect power plug connection Action: Connect the plug to receptacle securely.
Check: Pull lightly each of harnesses connecting POWER PLUG－
SWITCH GEAR － TERMINAL BLOCK2 － POWER SWITCH －
NOISE FILTER － TERMINAL BLOCK1 － POWER SUPPLY －
SUB-BOARD CN412 － SUB-BOARD CN413 － MAIN BOARD
Incorrect power line connection
CN1 in series to check loosening, incorrect contact and
disconnection.
Action： If the loosening is detected, tighten securely. If the incorrect
contact and/or disconnection are/is detected, replace relevant
harness(es) with new one(s).
Conditionor cause Check and action
Repetition of error of recovery from
emergency stop
Check: Identify whether error cause(s) is (are) main board,
sub-board and/or DC+5V/±12V switching power supply.
Check that actual output voltage is ≧4.8V (nominal: 5VDC)
when measured at test points on main and sub-board.
Action：
When ≧4.8V is not outputted to the main board and sub-board:
・ Replace sub-board with new one or the switching power
supply with new one.
When it is outputted to sub-board, while it is not outputted to
main board:
・ Replace main board with new one.
When it is outputted to the main board and sub-board:
・ Replace main board with new one.
E02 T1 TEMPERATURE SENSOR ERROR
Detection T1 temperature exceeding measurable limit
Detection
process
Rinse wait
Rinse
Rinse end
Air purge
Dialysis
wait
Preparation
Prep. end
Dialysis
Recovery
Rese
Press [RESET] SW. Note
t
Audible
alarm
○ (7 times)
↑
↑
↑
○ (Continuous)
↑
↑
↑
↑
Continuance
↑
↑
↑
↑
Dialysate line stop
↑
↑
↑
Condition or cause Check and action
Indication error of temperature and
other analog system
Incorrect [Ｔ１] terminal connection
Internal disconnection or short circuit
of [T1]
Introduction of high temperature water
from water supply source
Incorrect indicated temperature
calibration of main board
Dialysate line function BP/SP stop CLV function Reset
― ― ○
Check: Check whether indications of all temperature sensors and other
sensors such as dialysate pressure sensor are incorrect.
Check stable output of voltage of ≧4.9V (nominal: 5Vref) at test
point on main board.
Action: Replace main board with new one.
Check: Check no incorrect wiring, loosening, corrosion and/or
disconnection at TM1 T1 terminal of main board.
Action: If loosened, tighten securely.
If incorrectly wired, correct.
If corroded or disconnected, replace [T1] with new one.
Check: Remove TM1 T1 terminal from main board and measure
resistance between Red and White to find short circuit,
disconnection and fluctuation.
Action: Replace [T1] with new one.
Action: Overhaul dialysate line to correct potential damage.
Action: Calibrate temperatures indicated by [T1], [T2] and [T3] circuits
of main board using temperature calibrator.
If the calibration is impossible, replace main board with new
one.
E03 T2 TEMPERATURE SENSOR ERROR
Detection T2 temperature exceeding measurable limit
Detection
process
Rinse wait
Rinse
Rinse end
Air purge
Dialysis
wait
Preparation
Prep. end
Dialysis
Recovery
Rese
Press [RESET] SW. Note
t
Audible
alarm
○ (7 times)
↑
↑
↑
○ (Continuous)
↑
↑
↑
↑
Continuance
↑
↑
↑
↑
Dialysate line stop
↑
↑
↑
Condition or cause Check and action
Indication error of temperature and
other analog system
Incorrect [Ｔ2] terminal connection
Internal disconnection or short circuit
of [T2]
Incorrect indicated temperature
calibration of main board
Dialysate line function BP/SP stop CLV function Reset
― ― ○
After Ver 3, measurable extent of upper limit while
rinse isn’t detectable.
Check: Check whether indications of all temperature sensors and other
sensors such as dialysate pressure sensor are incorrect.
Check stable output of voltage of ≧4.9V (nominal: 5Vref) at test
point on main board.
Action: Replace main board with new one.
Check: Check no incorrect wiring, loosening, corrosion and/or
disconnection at TM1 T2 terminal of main board.
Action: If loosened, tighten securely.
If incorrectly wired, correct.
If corroded or disconnected, replace [T2] with new one
Check: Remove TM1 T2 terminal from main board and measure
resistance between Red and White to find short circuit,
disconnection and fluctuation.
Action: Replace [T2] with new one.
Action: Calibrate temperatures indicated by [T1], [T2] and [T3] circuits
of main board using temperature calibrator.
If the calibration is impossible, replace main board with new
one.
E04 T3 TEMPERATURE SENSOR ERROR
Detection T3 temperature exceeding measurable limit
Detection
process
Rinse wait
Rinse
Rinse end
Air purge
Dialysis
wait
Preparation
Prep. end
Dialysis
Recovery
Reset Press [RESET] SW. Note
Audible
alarm
○ (7 times)
↑
↑
↑
○ (Continuous)
↑
↑
↑
↑
Dialysate line function BP/SP stop CLV function Reset
Continuance
↑
↑
↑
↑
Dialysate line stop
↑
↑
↑
Condition or cause Check and action
Check: Check whether indications of all temperature sensors and other
sensors such as dialysate pressure sensor are incorrect.
Indication error of temperature and
other analog system
Check stable output of voltage of ≧4.9V (nominal: 5Vref) at test
point on main board.
Action: Replace main board with new one.
Check: Check no incorrect wiring, loosening, corrosion and/or
disconnection at TM1 T3 terminal of main board.
Incorrect [Ｔ3] terminal connection
Action: If loosened, tighten securely.
If incorrectly wired, correct.
If corroded or disconnected, replace [T2] with new one
Check: Remove TM1 T3 terminal from main board and measure
Internal disconnection or short circuit
of [T3]
resistance between Red and White to find short circuit,
disconnection and fluctuation.
Action: Replace [T3] with new one.
Action: Calibrate temperatures indicated by [T1], [T2] and [T3] circuits
Incorrect indicated temperature
calibration of main board
of main board using temperature calibrator.
If the calibration is impossible, replace main board with new
one.
― ― ○
E05 DIALYSATE TEMPERATURE MAX ALARM
Detection Dialysate temperature T3 of ≧upper alarm limit during heater ON
Detection
process
Preparation
Prep. end
Dialysis
Recovery
Press [RESET] SW to reset.
Reset
Auto reset is caused after release from alarm
condition for 10 seconds.
Audible
alarm
○ (Continuous) Auto bypass
Heater OFF
Condition or cause Check and action
Actually higher dialysate temperature
○Failure of main board
○Incorrect calibration of indicated
temperature of main board
○Higher supply water temperature
○Lower priming flow rate
Dialysate line function BP/SP stop CLV function Reset
― ― ○
Note
Check: Check whether actual dialysate temperature is higher than
upper alarm limit by touching dialysate supply line with hand
when the line is connected to dialyzer or by measurement of
temperature of dialysate discharged from coupler outlet using
thermometer when patient is not connected to the machine.
Action: Replace main board with new one.
Action: Calibrate temperatures indicated by [T1], [T2] and [T3] circuits
of main board using temperature calibrator.
If the calibration is impossible, replace main board with new
one.
Action: Adjust supply water temperature as specified.
・When heat exchanger is used : 5 to 30℃
・When heat exchanger is not used：17 to 30℃
Action: Adjust priming flow rate to 700 to 750mL/min.
Actually acceptable dialysate
temperature
○Failure of T3 temperature sensor
○Incorrect calibration of main board
Check: Check whether actual dialysate temperature is acceptable by
touching dialysate supply line with hand when the line is
connected to dialyzer or by measurement of temperature of
dialysate discharged from coupler outlet using thermometer
when patient is not connected to the machine.
Check: Check whether indicated temperature is fluctuated when
harness of T3 temperature sensor is shaken.
Check also whether indicated T3 temperature is deviated when
temperature calibrator is connected.
Action: If check result is unacceptable, replace T3 temperature sensor
with new one.
Check: Check whether indicated T3 temperature is deviated when
temperature calibrator is connected.
Action: Calibrate [T3] circuit of main board using temperature
calibrator.
If the calibration is impossible, replace main board with new
one.
E06 DIALYSATE TEMPERATURE MIN ALARM
Detection Dialysate temperature T3 of ≦lower alarm limit
Detection
process
Dialysis
Reset
Audible
alarm
○ (3 times)
Press [RESET] SW to reset.
Auto reset is caused after release from alarm
condition for 10 seconds.
Dialysate line function BP/SP stop CLV function Reset
Auto bypass
Note
― ― ○
Condition or cause Check and action
Actually lower dialysate temperature
Check: Check whether indicated T3 temperature is deviated when
○ Failure of main board
○ Incorrect calibration of indicated
temperature of main board
○ Lower supply water temperature
○Failure of heater
○ Higher priming flow rate
Actually acceptable dialysate
temperature
○ Failure of T3 temperature sensor
○ Incorrect calibration of main board
Check: Check whether actual dialysate temperature is lower than lower
alarm limit by touching dialysate supply line with hand when the
line is connected to dialyzer or by measurement of temperature
of dialysate discharged from coupler outlet using thermometer
when patient is not connected to the machine.
Action: Replace main board with new one.
Action: Calibrate temperatures indicated by [T1], [T2] and [T3] circuits
of main board using temperature calibrator.
If the calibration is impossible, replace main board with new
one.
Action: Adjust supply water temperature as specified.
・When heat exchanger is used : 5 to 30℃
・When heat exchanger is not used：17 to 30℃
Check: Measure resistance between both ends of heater at room
temperature after power OFF.
Action: Replace heater if the resistance is out of the below ranges:
230V spec. ：38.3 to 44.1Ω
110V spec. ：8.7 to 10.0Ω
Action: Adjust priming flow rate to 700 to 750ml/min.
Check: Check whether actual dialysate temperature is acceptable by
touching dialysate supply line with hand when the line is
connected to dialyzer or by measurement of temperature of
dialysate discharged from coupler outlet using thermometer
when patient is not connected to the machine.
Check: Check whether indicated temperature is fluctuated when
harness of T3 temperature sensor is shaken.
Check also whether indicated T3 temperature is deviated when
temperature calibrator is connected.
Action: If check result is unacceptable, replace T3 temperature sensor
with new one.
temperature calibrator is connected.
Action: Calibrate [T3] circuit of main board using temperature
calibrator.
If the calibration is impossible, replace main board with new
one.
E07 DIALYSATE PRESSURE MAX LIMIT
Detection Dialysate pressure of ≧+400mmHg
Detection
process
Rinse wait
Rinse
Rinse end
Air purge
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Auto reset of BP, SP and CLV
Reset
Press [RESET] SW to reset UF stop.
Audible
alarm
○ (7 times)
↑
↑
↑
○ (Continuous)
↑
↑
↑
↑
Condition or cause Check and action
Pressure rise due to failure of [PR1]
Dialysate line function BP/SP stop CLV function Reset
UF stop
ON of V4 and V10 for 2 sec.
Note
2 sec. 2 sec. ○
Action: Adjustment of [PR1]
In adjustment is impossible, repair or replace [PR1].
Leak from [V10] Action: Repair or replacement of [V10]
Error occurrence at gas purge
○Occlusion of [R2]
○Excess tightening of [PC2]
○Impossible opening of [V4]
Action: Change [R2] so that dialysate pressure becomes 0 to
100mmHg during gas purge.
Action: Adjust [PC2] so that dialysate pressure becomes 0 to
100mmHg during gas purge.
Check: Check whether [V4] functions when it is turned on or off in
maintenance mode 4 screen.
If not functions, remove connector from [V4] and check whether
24V is outputted to the connector when [V4] is ON in
maintenance mode 4 screen.
Action:・If 24V is not outputted, replace main board with mew one.
・If it is outputted, replace [V4] with mew one.
Pressure rise due to folding of blood
Action: Correct folding.
line
Check: Disconnect hose from the sensor Assy to expose to
atmosphere for checking whether indicated pressure is nearly
0mmHg.
Failure of dialysate pressure sensor
board or the sensor
Action: If the indicated pressure is not nearly 0mmHg, calibrate the
sensor board.
If calibration is impossible, replace the board or sensor with new
one.
E07 DIALYSATE PRESSURE MAX LIMIT
Condition or cause Check and action
Disconnection of harness from the
sensor Assy or insufficient contact of
connector of it
Check: Pull lead wire (harness) lightly to check whether it is separated
or loosened.
Action: Repair
Drain tube is blocked.
○No folding/kinking of Drain tube
○Drain tube tip is placed too higher
position.
○Drain tube is too long.
Check：Remove drain tube from drain port and check drain liquid is
drained from port correctly or not.
Action：Remove the trouble cause.
Action：Drain tube tip must be placed above the machine floor by 0 to
60 cm.
Action：Use tube of an inter diameter of 8 mm and a length of 2 m or
shorter to connect to the port.
E08 DIALYSATE PRESSURE MIN LIMIT
Detection Dialysate pressure of ≦-400mmHg
Detection
process
Rinse wait
Rinse
Rinse end
Air purge
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Auto reset of BP, SP and CLV
Reset
Press [RESET] SW to reset UF stop.
Audible
alarm
○ (7 times)
↑
↑
↑
○ (Continuous)
↑
↑
↑
↑
Dialysate line function BP/SP stop CLV function Reset
UF stop
ON of V4 and V10 for 2 sec.
Note
2 ses. 2 sec. ○
Condition or cause Check and action
Check: Check whether the line is folded or clamped by forceps
Occlusion of dialysate line to dialyzer
visually.
Action: Correct folding or clamp.
Excess occlusion in dialyzer Action: Replace dialyzer with new one.
Check: Check stop of leak by clamping [V4] line with forceps.
Leak from [V4]
Action: Clean [V4] by rinsing after disassembling or replace it with new
one.
Opening of [V4] due to malfunction of
[FSW]
Action: Clean air-elimination tank [AS2] by rinsing after disassembling
or replace it with new one.
Action: Adjust pressure in closed line.
Occlusion of [RV2]
If adjustment is impossible, Clean [RV2] by rinsing after
disassembling or replace it with new one.
Error occurrence during gas purge
○Failure of [V10]
Check: Check whether [V10] functions when it is turned on or off in
maintenance mode 4 screen.
If not functions, disconnect connector from [V10] and turn on it
in maintenance mode 4 screen to check whether 24V is
outputted to the connector.
Action: If 24V is not outputted, replace main board with new one.
If it is outputted, replace [V10] with new one.
Check: Disconnect hose from the sensor Assy to expose to
atmosphere for checking whether indicated pressure is nearly
0mmHg.
Failure of dialysate pressure sensor
board or the sensor
Disconnection of harness from the
sensor Assy or insufficient contact of
connector of it
Low water supply flow Action：Increase water supply flow rate more than 750 mL/min.
No water supply Check/Action：See E26 SHORT WATER SUPPLY.
Low water supply pressure Check/Action：See E26 SHORT WATER SUPPLY.
Alarm while gaspurge Check/Action：See E26 SHORT WATER SUPPLY.
Action: If the indicated pressure is not nearly 0mmHg, calibrate the
sensor board.
If calibration is impossible, replace the board or sensor with new
one.
Check: Pull lead wire (harness) lightly to check whether it is separated
or loosened.
Action: Repair
On the acid rince without an acid rince
option.
Check/Action：See E26 SHORT WATER SUPPLY.
E09 DIALYSATE PRESSURE MAX ALARM
Detection Dialysate pressure of ≧set upper alarm limit
Detection
process
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Auto reset of BP, SP and CLV
Reset
Press [RESET] SW to reset UF stop.
Audible
Dialysate line function BP/SP stop CLV function Reset
alarm
○ (Continuous) UF stop
ON of V4 and V10 for 2 sec.
2 sec. 2 sec. ○
By the alarm actuation, upper/lower alarm limits of
Note
venous pressure become error free.
Condition or cause Check and action
Simultaneous actuation of this alarm
with venous pressure max alarm
Check: See E13 VENOUS PRESSURE MAX ALARM.
Action: See E13 VENOUS PRESSURE MAX ALARM.
Dialysate pressure rise due to UF stop Action: Remove cause of UF stop.
Dialysate pressure rise due to failure of
[PR1]
Action: Adjust [PR1].
If adjustment is impossible, repair [PR1] or replace it with new
one.
Leak from [V10] Action: Repair [V10] or replace it with new one.
Leak from [V5] and [V7] Action: Repair [V5] and [V7] or replace them with new ones.
E10 DIALYSATE PRESSURE MIN ALARM
Detection Dialysate pressure of ≦set lower alarm limit
Detection
process
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Auto reset of BP, SP and CLV
Reset
Press [RESET] SW to reset UF stop.
Audible
alarm
○ (Continuous) UF stop
Condition or cause Check and action
Simultaneous actuation of this alarm
with venous pressure min alarm
Occlusion of [RV2]
Leak from [V4]
Dialysate line function BP/SP stop CLV function Reset
2 sec. 2 sec. ○
ON of V4 and V10 for 2 sec.
By the alarm actuation, upper/lower alarm limits of
Note
venous pressure become error free.
Check: See E14 Venous pressure min alarm.
Action: See E14 Venous pressure min alarm.
Action: Adjust pressure in closed line.
If adjustment is impossible, clean [RV2] by rinsing after
disassembling or replace it with new one.
Check: Check no dialysate pressure change by clamping [V4] line with
forceps.
Action: In the case of no change, clean [V4] by rinsing after
disassembling or replace it with new one.
Opening of [V4] due to failure of [FSW]
The opening may be simultaneously
caused with E44 AIR ELIMINATION
TANK ERROR
Check: See E44 AIR ELIMINATION TANK ERROR
Action: See E44 AIR ELIMINATION TANK ERROR
Leak from [V6] and [V8] Action: Repair [V6] and [V8] or replace them with new ones.
Excess occlusion in dialyzer Action: Replace dialyzer with new one if required.
E11 VENOUS PRESSURE MAX LIMIT
Detection Venous pressure of ≧+400mmHg
Detection
process
Dialysis wait
Rinse
Rinse end
Air purge
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Reset Press [RESET] SW to recover. Note
Audible
alarm
○ (7 times)
↑
↑
↑
○ (Continuous)
↑
↑
↑
↑
Dialysate line function BP/SP stop CLV function Reset
UF stop ○ ― ○
Condition or cause Check and action
Folding or occlusion of blood line
between Venous Drip Chamber and
patient or occlusion of the line with
Action: Remove the trouble cause.
Robert clamp
Thrombus formed at mesh of venous
drip chamber or at shunt connector
Error occurrence during single needle
dialysis
Action: Remove thrombus or replace blood line with new one.
Action: Set upper pressure change limit of SN correctly.
Check: Disconnect blood line from venous pressure inlet port to
expose to atmosphere and check indicated venous pressure is
Failure of venous pressure sensor
board
nearly 0mmHg.
Action: If nearly 0mmHg is not indicated, calibrate the board.
If calibration is impossible, replace the board with new one.
E12 VENOUS PRESSURE MIN LIMIT
Detection Venous pressure of ≦-400mmHg
Detection
process
Dialysis wait
Rinse
Rinse end
Air purge
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Reset Press [RESET] SW to recover. Note
Audible
alarm
○ (7 times)
↑
↑
↑
○ (Continuous)
↑
↑
↑
↑
Dialysate line function BP/SP stop CLV function Reset
UF stop
Condition or cause Check and action
Simultaneous occurrence of this error
with dialysate related error
Simultaneous occurrence of this error
with arterial pressure related error
Action: Remove cause of dialysate related error.
Action: Remove cause of arterial pressure related error
Press of DRAIN SW without removing
coupler of dialyzer under occluding
Note: DRAIN SW operation-miss
venous line with Robert clamp
Check: Disconnect blood line from venous pressure inlet port to
expose to atmosphere and check indicated venous pressure is
Failure of venous pressure sensor
board
nearly 0mmHg.
Action: If nearly 0mmHg is not indicated, calibrate the board.
If calibration is impossible, replace the board with new one.
○ ― ○
E13 VENOUS PRESSURE MAX ALARM
Detection Venous pressure of ≧set upper alarm limit
Detection
process
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Reset Press [RESET] SW to recover. Note
Audible
Dialysate line function BP/SP stop CLV function Reset
alarm
○ (Continuous) UF stop ○ ― ○
Condition or cause Check and action
Check: Check shunt occlusion or blood line folding.
Occlusion of venous line.
Action: Remove the trouble.
Check: Check shunt occlusion or blood line folding.
Occlusion of arterial line
Action: Remove the trouble.
By the alarm actuation, upper/lower alarm limits of
dialysate pressure become error free.
Venous pressure change due to patient
movement
Significant discharge pressure change
of blood pump
Action: If the change is significant, raise somewhat upper alarm limit of
venous pressure at discretion of doctor.
Check: Check whether discharge flow rate, pressure applied to rolling
tube and rotor rotation of blood pump are normal.
Action: Adjust the occlusion or the pump rpm correctly.
If adjustment is impossible, replace the pump or sub-board
with new one.
E14 VENOUS PRESSURE MIN ALARM
Detection Venous pressure of ≦set lower alarm limit
Detection
process
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Reset Press [RESET] SW to recover. Note
Audible
Dialysate line function BP/SP stop CLV function Reset
alarm
○ (Continuous) UF stop ○ ― ○
Condition or cause Check and action
Blood pressure drop of patient
Action: Stop UF and monitor patient condition.
Correct if set lower alarm limit of venous pressure is incorrect.
Check: Check no introduction of blood in venous pressure sensor line.
Dislodgment of venous line from
venous pressure inlet port
Action: When blood is not introduced in the line, connect venous line
to the port. If introduced, replace the sensor line with new one.
By the alarm actuation, upper/lower alarm limits of
dialysate pressure become error free.
Occlusion of venous line
Occlusion of arterial line.
Venous pressure change due to patient
movement
Significant discharge pressure change
of blood pump
Check: Check shunt occlusion or venous line folding.
Action: Remove the trouble.
Check: Check shunt occlusion or arterial line folding.
Action: Remove the trouble.
Action: If the change is significant, lower somewhat lower alarm limit
of venous pressure at discretion of doctor.
Check: Check whether discharge flow rate, pressure applied to rolling
tube and rotor rotation of blood pump are normal.
Action: Adjust the occlusion or the pump rpm correctly.
If adjustment is impossible, replace the pump or sub-board
with new one.
E15 ARTERIAL PRESSURE MAX LIMIT
Detection Arterial pressure of ≧+400mmHg
Detection
process
Dialysis wait
Rinse
Rinse end
Air purge
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Reset Press [RESET] SW to recover. Note
Audible
alarm
○ (７times)
↑
↑
↑
○ (Continuous)
↑
↑
↑
↑
Dialysate line function BP/SP stop CLV function Reset
UF stop ○ ― ○
Condition or cause Check and action
Simultaneous actuation of this error
with dialysate pressure related error
Simultaneous actuation of this error
with venous pressure related error
Action: Remove cause of dialysate pressure related error.
Action: Remove cause of venous pressure related error.
Folding or occlusion of blood line
between arterial Drip chamber and
dialyzer or occlusion of the line with
Action: Remove the trouble cause.
Robert clamp
Folding or occlusion of blood line
between venous Drip chamber and
patient or occlusion of the line with
Action: Remove the trouble cause.
Robert clamp
Thrombus formed at mesh of arterial
drip chamber or
Action: Remove thrombus or replace blood line with new one.
Check: Disconnect blood line from arterial pressure inlet port to
expose to atmosphere and check indicated arterial pressure is
Failure of arterial pressure sensor
board
nearly 0mmHg.
Action: If nearly 0mmHg is not indicated, calibrate the board.
If calibration is impossible, replace the board with new one.
E16 ARTERIAL PRESSURE MIN LIMIT
Detection Arterial pressure of ≦-400mmHg
Detection
process
Dialysis wait
Rinse
Rinse end
Air purge
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Reset Press [RESET] SW to recover. Note
Audible
alarm
○ (７times)
↑
↑
↑
○ (Continuous)
↑
↑
↑
↑
Dialysate line function BP/SP stop CLV function Reset
UF stop ○ ― ○
Condition or cause Check and action
Simultaneous actuation of this error
with dialysate pressure related error
Thrombus formed at arterial shunt
connector
Action: Remove cause of dialysate pressure related error.
Action: Remove thrombus or replace blood line with new one.
Folding or occlusion of blood line
between arterial drip chamber and
patient or occlusion of the line with
Action: Remove the trouble cause.
Robert clamp
Check: Disconnect blood line from arterial pressure inlet port to
expose to atmosphere and check indicated arterial pressure is
Failure of arterial pressure sensor
board
nearly 0mmHg.
Action: If nearly 0mmHg is not indicated, calibrate the board.
If calibration is impossible, replace the board with new one.
E17 ARTERIAL PRESSURE MAX ALARM
Detection Arterial pressure of ≧set upper alarm limit
Detection
process
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Reset Press [RESET] SW to recover. Note
Audible
Dialysate line function BP/SP stop CLV function Reset
alarm
○ (Continuous) UF stop ○ ― ○
Condition or cause Check and action
Check: Check shunt occlusion and blood line folding.
Occlusion of venous line.
Action: Correct the trouble.
Check: Check shunt occlusion and blood line folding.
Occlusion of arterial line.
Action: Correct the trouble.
By the alarm actuation, set upper/lower alarm limits
of dialysate pressure become error free.
Arterial pressure change due to patient
movement
Significant discharge pressure change
of blood pump
Action: If the change is significant, raise set upper alarm limit of
arterial pressure somewhat at discretion of doctor.
Check: Check whether discharge flow rate, pressure applied to rolling
tube and rotor rotation of blood pump are normal.
Action: Adjust the occlusion or the pump rpm correctly.
If adjustment is impossible, replace the pump or sub-board
with new one.
E18 ARTERIAL PRESSURE MIN ALARM
Detection Arterial pressure of ≦set lower alarm limit
Detection
process
Dialysis wait
Preparation
Prep. end
Dialysis
Recovery
Reset Press [RESET] SW to recover. Note
Audible
Dialysate line function BP/SP stop CLV function Reset
alarm
○ (Continuous) UF stop ○ ― ○
Condition or cause Check and action
Blood pressure drop of patient
Action: Stop UF and monitor patient condition.
Correct if set lower alarm limit of venous pressure is incorrect.
Check: Check no introduction of blood in arterial pressure sensor line.
Dislodgment of blood line form arterial
pressure inlet port
Action: When blood is not introduced in the line, connect arterial line
to the port. If introduced, replace the arterial line with new one.
By the alarm actuation, set upper/lower alarm limits
of dialysate pressure become error free.
Occlusion of venous line.
Occlusion of arterial line.
Arterial pressure change due to patient
movement
Significant discharge pressure change
of blood pump
Check: Check shunt occlusion and blood line folding.
Action: Correct the trouble.
Check: Check shunt occlusion and blood line folding.
Action: Correct the trouble.
Action: If the change is significant, raise set upper alarm limit of
arterial pressure somewhat at discretion of doctor.
Check: Check whether discharge flow rate, pressure applied to rolling
tube and rotor rotation of blood pump are normal.
Action: Adjust the occlusion or the pump rpm correctly.
If adjustment is impossible, replace the pump or sub-board
with new one
E19 TMP ALARM
Detection TMP (VP - DP) of ≧set alarm limit
Detection
process
Dialysis
Recovery
Reset Press [RESET] SW to recover. Note
Audible
Dialysate line function BP/SP stop CLV function Reset
alarm
○ (Continuous) UF stop ○ ○ ○
Condition or cause Check and action
Excess occlusion in dialyzer Action: Replace dialyzer with new one at discretion of doctor.
Lower setting of TMP alarm limit Action: Set TMP to appropriate value.
E09 DIALYSATE PRESSURE MAX
ALARM
E10 DIALYSATE PRESSURE MIN
ALARM
E13 VENOUS PRESSURE MAX ALARM
Simultaneous actuation of this alarm
Action: See E09 DIALYSATE PRESSURE MAX ALARM
See E10 DIALYSATE PRESSURE MIN ALARM
See E13 VENOUS PRESSURE MAX ALARM
See E14 VENOUS PRESSURE MIN ALARM
with E14 VENOUS PRESSURE MIN
ALARM
E07 DIALYSATE PRESSURE MAX LIMIT
E08 DIALYSATE PRESSURE MIN LIMIT
E11 VENOUS PRESSURE MAX LIMIT
Simultaneous actuation of this alarm
with E12 VENOUS PRESSURE MIN
Action: See E07 DIALYSATE PRESSURE MAX LIMIT.
See E08 DIALYSATE PRESSURE MIN LIMIT.
See E11 VENOUS PRESSURE MAX LIMIT.
See E12 VENOUS PRESSURE MIN LIMIT.
LIMIT
E20 DIALYSATE CONDUCTIVITY MAX ALARM
Detection Dialysate conductivity of ≧upper alarm limit
Detection
process
Dialysis ○ (Continuous) Auto bypass ― ― ―
Press [RESET]SW.
Reset
Abnormal actual conductivity
○No adjustment of conductivity
○Failure of main board
○Failure of [V13] or [V14]
○Failure of [V2] or [V3]
○Higher or lower priming flow rate
○Failure of [C2]
○ Folding, occlusion or collapsing of
concentrate line tube
Auto reset after release from alarm condition for 10
sec.
Condition or cause Check and action
Audible
Dialysate line function BP/SP stop CLV function Reset
alarm
Note
Check: Take dialysate sample from [SL] to measure actual
conductivity by specified method.
Action: Set conductivity correctly and calibrate indicated conductivity
in maintenance mode 5 screen.
Check: See E33 VISCOUS PUMP DRIVING ERROR(VPa) and
E34 VISCOUS PUMP DRIVING ERROR(VPb).
Action: See E33 VISCOUS PUMP DRIVING ERROR(VPa) and
E34 VISCOUS PUMP DRIVING ERROR(VPb).
Action: Repair [V13] or [V14] (V15)) or replace it with new one.
Action Repair [V2] or [V3] or replace it with new one.
Action: Adjust the flow rate to 700-750mL/min.
Action: Replace [C2] with new one.
Action: Correct the trouble.
E20 DIALYSATE CONDUCTIVITY MAX ALARM
Condition or cause Check and action
Normal actual conductivity
○[CD] electrode contaminated with dirt
such as CaCO3 or leak from
conductivity sensor
○Incorrect [CD] terminal connection
○Internal disconnection or short circuit
of [CD] harness
○Failure of main board
Check: Take dialysate sample from [SL] to measure conductivity by
specified method.
Action: Rinse the electrode with acetic acid followed by water rinsing
sufficiently.
If the dirt can not be removed, use specified detergent such
as CARON or SYUNMA to remove it after disassembling
conductivity sensor.
Check: Check no miss-wiring, loosening, corrosion and
disconnection of TM1 CD terminal of main board.
Action: If loosened, tighten the connection securely.
If miss-wired, correct.
If corroded or disconnected, replace harness with mew one.
Check: After disconnecting TM1 CD terminal from main board,
measure resistance between [CD] and [GND] to check no short
circuit, disconnection and fluctuation of measured resistance.
Action: Replace [CD] harness with new one.
Check: Change ambient temperature of main board to check whether
conductivity and temperature indications are changed.
Action: If incorrectly indicated, replace main board with new one.
When Na infusion unit (option) is used:
○Higher or lower concentration of Na
concentrate
○ Use of other chemical added
concentrate
○Use of other concentrate
Action: Use 10% Na concentrate.
Action: Set proper upper alarm limit of conductivity by considering
electrolyte concentration.
Action: Use 10% Na concentrate.
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