Periodic Replacement Manual: Single Patient Dialysis System

Single patient dialysis system
MDS-101
Periodic replacement manual
6000h
MDS-101
Table of contents
Table of contents
Part composition figure / Part replacement procedure

1.1 Pressure relief valve..............................................................................................................................2
1.2 Air separator chamber ..........................................................................................................................4
1.3 Water relief valve...................................................................................................................................8
1.4 Solenoid valves V10-V12 ...................................................................................................................12
1.5 Differential pressure relief valve..........................................................................................................14
1.6 Concentrate pump ..............................................................................................................................16
1.7 C328-H416 valve (for V20-1, V20-2) .................................................................................................20
1.8 Chambers I and II................................................................................................................................22
1.9 Solenoid valves V1-V8........................................................................................................................26
1.10 Mixing chamber...................................................................................................................................28
1.11 Flow control valve................................................................................................................................32
1.12 Constant flow valve.............................................................................................................................36
1.13 Dialysis fluid conductivity monitor.......................................................................................................38
1.14 Sampling port ......................................................................................................................................40
1.15 Blood leak detector..............................................................................................................................42
1.16 Circulation chamber ............................................................................................................................44
1.17 Circulation relief valve .........................................................................................................................48
1.18 Solenoid valve V16 .............................................................................................................................52
MDS-101
Introduction
Introduction
This system is a single patient dialysis system intended for the artificial hemodialysis of ESRD patients and
should not be used for other purposes.
This periodic replacement manual describes the required items for the maintenance of the system.
・ Make sure that maintenance is conducted by personnel who took the system maintenance lecture and
is fully versed in the system.
・ In order to keep performance and safety during the lifetime of this system and to avoid a breakdown, we
highly recommend customers to conduct a periodic preventive maintenance for this system. Especially,
concerning possible fatigue, replacement of the “periodic replacement parts” within a specified period is
recommended.
Preparation before starting the maintenance work
・ Remove the top cover and open the front panel. Then open the both sides of the side cover.
Securing enough working space is recommended for the work.
・ Periodic replacement includes such works as decomposition of parts and removal of tubes containing
liquid.
Therefore, please prepare tray and waste cloths to treat the drain from the parts and tubes.
・ Regarding specific parts, adjustment and operation check of the machine are required after periodic
replacement.
Please conduct them, consulting the Service manual.
After the work
・ Confirm if the magnetic shield of the control board is attached firmly and there’s no tools left in the
machine before closing the front cover and side covers.
・ Be sure to conduct chemical and water rinse after the replacement of parts.
Part composition figure /
Part replacement procedure
MDS-101
1.1 Pressure relief valve
Time Part No. Name Qty Remarks

6000h ZS00128300 O-ring/P4/Si White 1
6000h ZS00129100 O-ring/P14/Si 1
12000h MA00833500 Pressure relief valve spring 1
Pressure relief valve
O-ring /P14/Si Relief plug Cap

O-ring /P4/Si White
(6000h) (12000h) (6000h) (12000h)
Pressure relief valve spring (12000h)
Relief body Relief plunger
2
MDS-101
Replacing the pressure relief valve parts
1.1.1 Tools required piece 1.1.3 Adjustment

・ Forceps.............................................................3 1) No need for adjustment after replacing the
parts.
1.1.2 Replacement procedure
【Disassembling (6000h) (12000h)】 1.1.4 Confirmation
1) Open the side cover (left). 1) Refer to the separate [Service Manual 5.49
2) Cramp the inlet and outlet of the pressure Pressure Relief Valve].
relief valve with forcipes.
3) Remove the pressure relief valve. Be careful
not to let the fluid flow into the system.
4) Open the pressure relief valve by turning the
cap and pull out the relief plug and the
pressure relief valve spring together from the
relief body.
O-ring/P4/Si White (6000h) (12000h)

O-ring/P14/Si (6000h) (12000h)
Pressure relief
valve spring (12000h)
・ Be careful not to let the internal springs pop out.
5) Replace the O-ring/P4/Si White and

O-ring/P14/Si (6000h, 12000h).
6) Replace the pressure relief valve spring from
the relief plug (12000h).
【Assembling (6000h) (12000h)】

1) Insert the relief plug into the relief body and
tighten the cap.
2) As the pressure relief valve has the direction,
confirm the flow direction and install the valve
in the correct direction.
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MDS-101
1.2 Air separator chamber

6000h ZS00128600 O-ring/JASO60/Si White 1
12000h ZB00225400 Air separator 1
Air separator chamber

(12000h)
Body
O-ring/JASO60/Si White Float

(6000h) (12000h)
Partition
Body
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MDS-101
Replacing the air separator chamber parts
1.2.1 Tools required piece 【Assembling (6000h)】

・ Phillips driver (No.2) .........................................1 1) By placing the partition in the groove under
・ Forceps.............................................................3 the body of the air separator, assemble the
・ Tray ...................................................................1 air separator and install this on the system.

・ For assembly, fasten the four screws with equal
【Disassembling (6000h)】 force.
1) Open the front panel.
2) Loosen the two
screws fixing the air 2) Connect the tubes and remove the forceps.
separator.
3) Slide the air separator
upward and pull it out.
・ After replacement, check the unit for leaks and
discharge of excessive fluid.
・ Be careful with other cables and tubes.
4) Place a tray under the body. Close the tubes

connected to the air separator with forcipes
and disconnect the tubes over the plate.
・ Be careful for the splash from the tubes when

disconnecting them. Never let the splash enter
into the machine.
5) Loosen the four screws and disassemble the

air separator.
6) Remove stains from the body, float and
partition by running water.
7) Replace the O-ring/JASO60/Si White.
・ Do not reuse the removed O-ring as it may

cause a fluid leak.
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MDS-101
【Disassembling (12000h)】 1.2.3 Adjustment

1) Refer to the aforementioned step 1) - 3). 1) No need for adjustment after replacing the
2) Place a plate under the air separator. Close parts.
the tubes connected to the air separator with
forcipes and disconnect the tubes over the 1.2.4 Confirmation
plate. 1) Refer to the separate [Service Manual 5.33
Air Separator].

disconnecting them. Never let the splash enter ・ After rinsing, wipe off water from the external
into the machine. surface of the air separator.
【Assembling (12000h)】
1) Replace with the new air separator. Insert
the screw into the notch on the air separator
and fasten the screw.
2) Connect the tubes and remove the forceps.
To the degassing pump
To V10
To the water relief valve
・ After replacement, check this for leaks and

6
MDS-101
MEMO
7
MDS-101
1.3 Water relief valve

6000h MA00844700 Relief valve diaphragm 1
Adjusting screw
Relief body Lock nut
Relief spring guide

Relief spring
Relief valve diaphragm pedestal Relief valve diaphragm
(6000h) (12000h)
Base
Mounting plate
8
MDS-101
Replacing the water relief valve parts
1.3.1 Tools required piece

・ Phillips driver (No.2) .........................................1 5) While holding the relief valve body and the
・ Forceps.............................................................2 base, loosen the four screws and
disassemble the water relief valve.
【Disassembling】
1) Open the front ・ Be careful not to let the relief spring pop out.
panel and the side
cover (left). IN line
2) Remove the two Relief spring
screws from the Relief valve
Lock nut diaphragm
plate retaining the
water relief valve OUT line
and remove this Base
valve.
Mounting plate
3) To avoid leaking the fluid into the system, Adjusting screw
clamp the two tubes connected to the water Relief body

relief valve with forcipes before removing the
water relief valve. Then, remove the tubes.
・ Be careful not to let fluid flow into the system.
4) Loosen the lock nut and turn the adjusting

screw counterclockwise to release the spring
force.
・ The spring force cannot be completely released.
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MDS-101
【Assembling】 1.3.3 Adjustment

1) Insert a new relief valve diaphragm into the 1) Refer to the separate [service manual
groove of the base and place the relief spring 5.58.20.1 Inspection].
at the center of the diaphragm.
2) Align the relief valve body and the base 1.3.4 Confirmation
vertically and fix them to the mounting plate 1) Refer to the separate [Service Manual 5.19
by fastening the four screws with equal force. Water Relief Valve].
・ When assembling the unit, place the mounting

plate in the correct direction relative to the IN
line on the base. The plate should not be
installed in a wrong direction.
・ Be careful that the relief spring is not distorted or
moved away from the center.
3) Turn the adjusting screw clockwise for

temporary adjustment. Connect the tubes
and install the water relief valve to the
system.
・ Without temporary adjustment, too much fluid

will be delivered, which increases the load to
each component.
・ Check the positions of the IN and OUT lines
and connect the tubes correctly.
10
MDS-101
MEMO
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MDS-101
1.4 Solenoid valves V10-V12

6000h ZS00127700 SVB-1A plunger 1
6000h ZS00127800 SVB-1A diaphragm 1
V10
V11
V12
Body
Diaphragm unit
SVB-1A plunger
(6000h) (12000h)
Solenoid ASSY
SVB-1A diaphragm
(6000h) (12000h)
Retainer
Spring
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MDS-101
Replacing the solenoid valve parts (V10-V12)
1.4.1 Tools required piece 【Assembling】

・ Phillips driver (No.2) .........................................1 1) Assemble the unit with the retainer inserted
・ Forceps.............................................................2 between the diaphragm and plunger.
2) Assemble the solenoid valves and connect
1.4.2 Replacement procedure the tubes and connectors.
【Disassembling】
1) Remove the connector from the solenoid
valve to be replaced.
2) Close the tubes with forceps and remove the
tubes. In line
3) Except of V11 and V12 loosen the two

screws and remove the solenoid valve.
4) Loosen the two screws and disassemble the ・ Make sure that the positions of the IN and OUT
(SUP) lines of the solenoid valve are correct.
solenoid valve.
3) After replacement, check the solenoid valve

・ Be careful not to let the internal spring pop out. operation on the Maintenance Mode screen.
4) Reset the work time of the solenoid valves
5) Remove the diaphragm unit and replaced on the Reset Work Time screen.
disassemble the unit into the diaphragm,
retainer and plunger. 1.4.3 Adjustment
6) Replace the SVB-1A diaphragm and 1) No need for adjustment after replacing the
SVB-1A plunger. parts.
1.4.4 Confirmation
1) Refer to the separate [Service Manual 5.42
Solenoid Valve].
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MDS-101
1.5 Differential pressure relief valve

6000h ZS00129100 O-ring/P14/Si 1
12000h MA01037800 Differential pressure relief valve spring 1
Differential pressure relief valve
O-ring /P4/Si White O-ring /P14/Si Relief plug Cap

(6000h) (12000h) (6000h) (12000h)
Differential
pressure relief valve spring (12000h)
Relief body Relief plunger
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MDS-101
Replacing the differential pressure relief valve

parts

・ Forceps.............................................................2 1) No need for adjustment after replacing the
parts.
【Disassembling (6000h) (12000h)】 1.5.4 Confirmation
1) Open the side cover (right). 1) With forceps,
2) Close the inlet and outlet of the differential clamp the tubing Differential pressure
pressure relief valve with forceps. on the relief plug relief valve
3) Remove the differential pressure relief valve. side. Using
Be careful not to let fluid flow into the system. syringe, add the
4) Open the differential pressure relief valve by air pressure up to
turning the cap and pull out the relief plug the range of
and the differential pressure relief valve 147-177kPa from
spring together from the relief body. the relief body
side. Check if the
O-ring/P4/Si White (6000h) (12000h)
decrease in the
O-ring/P14/Si (6000h) (12000h) pressure after 1
minute is 2.9kPa or
less. Differential pressure
2) Remove the relief valve
Differential pressure relief forceps and add
valve spring (12000h) pressure gradually
from the relief body
side.
Check if air leakage
・ Be careful not to let the internal spring pop out.
occurs when the air
pressure is within
5) Replace the O-ring/P4/Si White (6000h, the range of
12000h) and O-ring/P14/Si (6000h, 12000h). 6.9-19.6kPa.
6) Replace the pressure relief valve spring from 3) With forceps, clamp the tubing on the relief
the relief plug (12000h). body side. Using syringe, vacuum the air
from the relief plug side to the range of -60-
【Assembling】 -70kPa. Remove the tubing on the relief plug
1) Insert the relief plug into the relief body and side. Then check if the increase in the air
tighten the cap. pressure after 1minute is 2.9kPa or less.
2) As the differential pressure relief valve has
the directions, confirm the flow direction and
install the valve in the correct orientation.
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MDS-101
1.6 Concentrate pump

6000h MA00544900 Concentrate head BF 1
6000h MA00544800 Concentrate bottom BF 1
12000h ZS00128900 Concentrate driving shaft 1
Concentrate pump
Concentrate driving shaft

(12000h) Cylinder base
Concentrate bottom BF
Concentrate head BF (6000h) (12000h)
(6000h) (12000h)
Retainer bottom
Piston Cylinder
Retainer
Cylinder head
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MDS-101
Replacing the concentrate pump parts

・ Phillips driver (No.2)...........................................1 9) Remove the thrust bearing.
・ Flat- blade screwdrivers ....................................1 10) Remove the 4 screws on the cylinder head
・ Nut driver/spanner 7mm.................................1 and detach the
・ Hex wrench 2mm............................................1 cylinder head and
cylinder base.
・ Forceps...............................................................1
・ Silicon adhesive
Recommended：Shin-Etsu Chemical Co., Ltd.
KE-44T or KE-45T
・ Oil compound Cylinder head
HIVAC-G
・ Grease
Recommended：NOK Corporation
Stabrags Grease (STABRAGS NBU8EP) Cylinder base

【Disassembling (6000h), (12000h)】
1) Open the side cover on the right side.
2) Put forceps on the tubing connected to the
concentrate pump. Then remove the tubing.
3) Remove concentrate pump’s 2 connectors
attached to the motor and interrupter PCB.
4) Remove the 2 nuts in the front which is ・ Please be careful as nuts will easily come off
holding the concentrate pump. when screws are removed.
5) Take out the interrupter PCB, removing the
concentrate stroke pin. 11) With the ball screws attached on, take the
6) Loosen the ball screw and 2 hex screws piston out from the cylinder.
holding the motor. 12) From the piston, remove the 4 screws fixing
7) Remove the 4 screws fixing the motor and the retainer bottom. Then take out the
cylinder base. retainer bottom with the ball screws attached
8) Remove the motor carefully without rotating it, on it.
so as not to let the ball screw roll out from the 13) Take out the BF diaphragm from the piston.
piston. 14) Remove the 4 hexagon head bolts at the top
of the piston. Then remove the head
BFdiaphragm and retainer head.
・ If the ball screws come off the pistion, the bearing
ball can roll out of the cylinder. As it cannot be
re-installed, please handle with care.
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MDS-101
【Grease application】
15) Apply Stabrags Grease on to the ball screws.
Apply an ear-pick full of grease onto the each
ball nut part of upper and lower nuts.
Note
・ The new concentrate driving shaft because it is

Front Back
coated with enough grease is not required again.
・ The movement of the concentrate pump 4) Check if there’s no overflow of adhesive
spreads the grease between the screws and
nuts. between the retainer head and BF
diaphragm, and head BF diaphragm and
16) Wipe out the old grease on the thrust bearing piston. Wipe it if there is.
and apply the new Stabrags Grease. 5) Put the silicon adhesive on the lower surface
When applying, put enough amount of of the piston, positioning it to stick to the inner
grease onto the both sides of the bearing. area than the screw holes.
17) Put the thrust bearing between the upper 6) With retainer bottom, using 4 screws, attach
and lower plate. Wipe the running grease off. the bottom BF diaphragm and concentrate
driving shaft onto the piston, setting the
【Assembling (6000h), (12000h)】 surface with the number to be faced to the
1) Apply a thin layer of silicon adhesive onto the piston.
top of the piston and 7) Tighten the 4 hex screws up to the torque of
retainer. Like the picture about 0.68N･m, Don’t tighten more than this
on the right, put the torque.
adhesive onto the inner
area than the screw holes.
・ Be cautious about the direction (front/back) of the
BF diaphragm when assemble.
・ If the hex screws are tighten too much, wrinkles
・ Don’t apply too much adhesive. occur on the BF diaphragm which can trigger the
malfunction or the breakage of the screw part of
2) Using 4 hex screws, fix the head BF the piston, hindering the attachment.
diaphragm together with retainer head onto
the piston. Please note the side of the head 8) Check if there’s no overflow of adhesive
BF diaphragm bearing no number should between the retainer bottom and BF
face to the piston side. diaphragm, and bottom BF diaphragm and
3) Tighten the 4 hex screws up to the torque of piston. Wipe it if there is.
about 0.23N･m. Don’t tighten more than this 9) Apply a thin layer of oil compound
torque. (HIVAC-G) onto the inside of cylinder case.
10) Set the piston unit, making the direction of
the hose opening face to left.
・ Be cautious about the direction (front/back) of the
BF diaphragm when assemble.
・ If the hex screws are tighten too much, wrinkles
occur on the BF diaphragm which can trigger the
malfunction or the breakage of the screw part of
the piston, hindering the attachment.
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MDS-101
11) Attach the BF diaphragm onto the cylinder 16) Fix cylinder to the motor with 4 screws,
case. Then fix and straighten the BF having the motor connect side face to the
diaphragm concentrate stroke pin side.
as the 17) Attach the interrupter PCB, with the “UP”
picture on mark on it up.
the right. Set as this 18) Attach the concentrate pump in the reverse
order indicated in the disassembling section
2) - 4).
1.6.3 Adjustment
・ Try to avoid any sagging of the BF diaphragm. 1) There’s no need for adjustment after the
parts replacement.
12) Attach the concentrate stroke pin to the
Note
retainer bottom.
13) Using 4 screws, attach the cylinder head and ・ There’s no need for adjustment of concentration.
cylinder base to the cylinder. Align the faces
of the concentrate stroke pin and hose 1.6.4 Confirmation
opening on the cylinder horizontally. Align the 1) Conduct the inspection of the concentrate
cylinder head hose and cylinder hose pump according to the Service manual
vertically. 5.37.1.
2) Operate the machine under the rinse mode
to check the following points.
・ Be cautious about the direction of each part ・If there’s any abnormal sound or vibration.
when assemble.
・If there’s any leakage.
・If there’s any needless alarming.
14) With the surface having the smaller hole on it
up, mount the thrust bearing on the motor.
・ Be cautious about the direction of the thrust

bearing.
15) Mount the assembled cylinder onto the

motor. Tighten the hex screws, locating and
adjusting it to the D-section of the axis of the
motor.
・ Be sure to make the ball screw and thrust

bearing fully engage with each other, having no
gap between them.
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MDS-101
1.7 C328-H416 valve (for V20-1, V20-2)

6000h ZS00127300 C328-H416A valve seat (for V20-1,V20-2) 2
12000h ZS00127200 C328-H416A movable core 1
12000h ZS00127400 C328-H416A spring 1set Contains two types.
12000h ZS00127500 C328-H416A diaphragm boss 1
V20-1 V20-2
C328-H416 valve (for V20-1, V20-2)
C328-H416A movable core

(12000h)
C328-H416A valve seat

(6000h) (12000h)
C328-H416A spring
(12000h)
C328-H416A spring
(12000h)
C328-H416A diaphragm boss

(12000h)
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MDS-101
Replacing the C328-H416 valve parts

(V20-1,V20-2)

・ Phillips driver (No2) .......................................1 7) Take off the seal that is wrapped around the
・ Precision screwdriver ....................................1 solenoid and rotate the solenoid ring
・ Forceps..........................................................3 counterclockwise to remove it. Remove the
movable core inside the solenoid valve and
1.7.2 Replacement procedure replace the movable core (12000h).
【Disassembling (6000h), (12000h)】
1) Remove the connector from the solenoid ・ Be careful not to let the internal spring of the
valve to be replaced. valve pop out.
2) Close the tubes with forceps and remove the
tubes. C328-H416A spring Solenoid ring
Solenoid Movable core

3) From machine loosen the two screws and
remove the solenoid valve.
4) Loosen the two screws and disassemble the 【Assembling (6000h), (12000h)】
solenoid valve. 1) Assemble the solenoid valve and connect
the tubes and connector.
2) After replacement, check the operation.
・ Be careful not to let the internal spring of the Check the connections for leaks.
valve pop out. 3) On the Reset Work Time screen, reset the
work time of the replaced solenoid valve.
1.7.3 Adjustment
1) No need for adjustment after replacing the
parts.
C328-H416A diaphragm boss
1.7.4 Confirmation
C328-H416A spring 1) Refer to the separate [Service Manual 5.42
C328-H416 Valve seats Solenoid Valve].
5) Replace the two C328-H416 valve seats
(6000h, 12000h).
6) Replace the C328-H416A spring and
C328-H416A diaphragm boss (12000h).
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MDS-101
1.8 Chambers I and II

6000h MA00526800 Seat packing 4
6000h MA00014300 Chamber diaphragm 2
6000h ZS00152400 Chamber T joint replacement kit 4 set Only standard machine
12000h MA00014200 Scale chamber 4
12000h MA01112900 Chamber nipple 4 Only Hot rinse machine
Fixing plate
Chambers I and II
Nipple cover plate

Solenoid valve set plate Chamber II side
Chamber T joint
Chamber screws
(6000h)
Seat packing
(6000h) (12000h)
O-ring/P10/Si White Chamber nipple

(12000h)
(6000h) (12000h)
Chamber diaphragm
Nuts (6000h) (12000h)
Scale chamber
Chamber I side (12000h)
Standard machine Hot rinse machine
22
MDS-101
Replacing the chamber I and II parts

・ Phillips driver (No2)............................................1 11) Pull out the chamber T joint from the
・ Flat- blade screwdrivers ....................................1 chamber nipple (straight type).
・ Nut driver/spanner 8mm....................................1 12) Remove the 4 screws from the nipple cover
・ Torque driver.......................................................1 plate to release the plate.
13) Pull out the chamber nipple and remove the
Adjustable to 30kgf･cm
O-ring/P10/Si White and seat packing from
・ Torque driver bit 8mm........................................1
the chamber nipple.
・ Forceps...............................................................4
14) Remove the chamber fixing screws and nuts,
using the nut driver/spanner and Philips
driver.
【Disassembling (6000h, 12000h)】
15) Take out the chamber diaphragm from the
chamber.
・ When replacing the parts, be sure to put on

clean plastic gloves as the inside of chamber can 【Assembling (6000h, 12000h)】
be contaminated with bodily wastes. 1) Remove the stain from the scale chambers if
they’re dirty (6000h).
1) Turn off the main power supply.
2) Prepare new scale chambers. Clean them if
2) Open the front panel and left and right side
they’re dusty (12000h).
covers.
3) Clean the new diaphragms if they're dusty.
3) Remove the 2 screws on this chamber fixing
4) Attach the chamber diaphragm carefully. Be
plate to disassemble the plate.
sure to face the convex surface to V1, V2
4) Put the forceps on the tubing connected to
and V7, V8 side.
the Y- joint (or T- joint in case of hot rinse
V1-V2 or V7-V8
machine) attached to the solenoid valves on
the upper part of chamber. Then remove the V3-V4 or V5-V6
tubing.
5) Select 【Maintenance mode】-【Machine
testing】【- Valve V1 - V24】on the screen and
turn on the V1 - V8.
6) With the connector of the solenoid valve kept
attached, tilt the chamber, pulling it to the
front and receive the water/solution with a
Chamber diaphragm
bucket.
7) Conduct 【Maintenance mode 】-【Machine
testing】 - Valve V1- V24】and turn off the V1-
【
V8. Remove all of the connector from the
・ Please note that if the chamber diaphragm‘s
solenoid valve. direction is wrong, UF error may occur.
8) Remove the chamber unit from the machine.
9) Remove the tubings from all solenoid valves.
10) Remove the 2 screws from each solenoid
valve base and then pull out all solenoid
valves from the chamber T joint.
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5) Using chamber fixing screws and nuts, fix 【I n the case of Hot rinse machine】
the chamber I and II. Use the torque driver 6) Replace with the new Chamber nipple
for tightening, setting the power to 30kgf･cm. (12000h).
To avoid leakage, tighten all the screws in Replace the seat packing,
the order indicated with the picture 1 below. O-ring/P-10Si/white and attach them to the
Then re-tighten them all according to the Chamber nipple (6000h, 12000h).
picture 2. 7) Fix the nipple cover plate with 4 screws.
8) Paying utmost attention to the direction of
Chamber nipple, attach it. Connect the
silicon tube having the size of φ5×φ11,
connecting the Chamber nipple with
picture 1 picture 2
Solenoid valve, to the Chamber nipple.
【When replacing the Chamber T ・ Direction of Chamber T joint when attaching

joint of Standard machine (please
use the Chamber T joint replacement V2 V3 V7 V6
kit】
6) Attach the seat packing and
O-ring/P-10Si/white to the originally attached
Chamber nipple.
・ Chamber nipple’s shape becomes T-shape and ・ Direction of Chamber nipple when attaching
the shape of Nipple cover plate also changes. (For both of Chamber T joint replacement kit
・ When replacing 1 set of Chamber unit, 4 sets of and Hot rinse machine)
Chamber T joint replacement kit are required.
V2 V3 V7 V6
7) Fix the nipple cover plate with 4 screws.
8) Paying utmost attention to the direction of
Chamber nipple, attach it. Then connect the
originally attached silicon tube having the
size of φ5×φ11 to the Chamber nipple.
Note
・ Regarding the periodical replacement after this,

the parts required and the procedure are the ・ Don't set the chamber T joints in the wrong
direction.
same as the case of Hot rinse machine.
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MDS-101
9) Set the solenoid valve according to the 【Degassing of chamber unit】

arrangement indicated below. For V1-V2 16) Degassing process begins by turning on the
side, be sure to fix with chamber fixing nuts, main power supply while the DIP SW-4 on
while for V5-V6 side, use the screws. the control PCB is active.
17) When completed, the comment window
indicates the message of 【Air purge
completed】.
Note
When alarms like water supply shortage alarm

Chamber II are let off during the air purge process, press the
release switch to continue the degassing.
Chamber diaphragm
Chamber I 18) Turn off the main power supply and then turn
off DIP SW-4 on the control PCB.
・ Please pay close attention when mounting the 1.8.3 Adjustment

solenoid valves. Have “SUP” markings on the 1) No need for adjustment after replacing the
solenoid valves face outside.
parts.
10) Fix the solenoid valve set plate with 2
screws. 1.8.4 Confirmation
11) Attach the silicon tubing connected with 1) Turn on the main power supply of the
Y-joint (T-joint) to the solenoid valve. Be machine and operate the self check in the
careful about the followings when attaching preparation process. Confirm if no alarm
it. occurs.
・ Each set of V1-V8, V4-V5, V2-V7, V3-V6 2) Confirm if there’s no leakage from the
should be connected with Y-joint (T-joint). connecting points between chamber unit and
・ Each set of V4-V5, V2-V7 and V3-V6 should solenoid valve.
be connected with the tube of φ5×φ9.
・ V1-V8 should be connected with the tube
ofφ5×φ11.
12) Put the assembled chamber unit on the
machine, placing the chamber fixing nut in
front.
13) Connect the Y tubing (T tubing) and silicon
tubing. Remove the forceps.
14) Join the solenoid valve’s connectors
properly.
15) Fix the chamber unit with fixing plate.
25
MDS-101
1.9 Solenoid valves V1-V8

6000h ZS00127700 SVB-1A plunger 8
6000h ZS00127800 SVB-1A diaphragm 8
V1-V8
Solenoid valve V1-V8
Body
Diaphragm unit
SVB-1A plunger
(6000h) (12000h)
Solenoid ASSY
SVB-1A diaphragm
(6000h) (12000h)
Retainer
Spring
26
MDS-101
Replacing the solenoid valve parts (V1-V8)
1.9.1 Tools required piece 4) Install the chamber unit on the system and
・ Phillips driver (No.2)...........................................1 connect the solenoid valve connectors and
the tubes.
【Disassembling】
1) Remove the chamber unit. ・ Ensure that the tubes are correctly connected.
2) Remove the tube and connector from the
solenoid valve to be replaced. 5) Be sure to conduct air purge and operation
3) Loosen the two screws from the solenoid check after replacement. Also, confirm if
valve set plate. Slide the solenoid valve and there’s no leakage in the connecting part of
remove it from the T-shaped tube. solenoid valve.
4) From the rear side of the solenoid valve set 6) On the Reset Work Time screen, reset the
plate, loosen the two screws fixing the work time of the replaced solenoid valve.
solenoid valve to the solenoid valve set plate
and remove the solenoid valve. 1.9.3 Adjustment
parts.
・ Be careful not to let the intimal spring pop out.
1.9.4 Confirmation
5) Remove the diaphragm unit and 1) Refer to the separate [Service Manual 5.41
disassemble the unit into the diaphragm, Chamber I and II] and [Service Manual 5.42
retainer and plunger. Solenoid Valve].
【Assembling】
1) Replace the SVB-1A diaphragm and
SVB-1A plunger. Assemble the unit with the
retainer inserted between the diaphragm and
plunger.
2) Assemble the solenoid valves and attach the
solenoid valve set plate to the solenoid valve.
3) Insert the solenoid valve set plate assembled
in step 2) into the T-shaped tube and fasten
the screws.
T-shaped
tube Solenoid valve
Set plate
27
MDS-101
1.10 Mixing chamber

12000h ZB00225600 Mixing chamber 1 Only standard machine
12000h ZB00148200 Mixing chamber (Hot Rinse) 1 Only Hot rinse machine
Mixing chamber or Mixing

chamber (Hot Rinse machine)
(12000h)
O-ring/JASO60/Si White
Body (6000h)
O-ring/JASO60/Si White Control plate of mixing plate

(6000h)
Mixing plate
Body
Mixing chamber Mixing chamber

(Standard machine) (Hot Rinse machine)
28
MDS-101
Replacing the mixing chamber parts

1.10.1 Tools required piece 1) Assemble the mixing chamber and install
・ Phillips driver (No.2)...........................................1 this on the system.
・ Forceps...............................................................2
・ Tray .....................................................................1
force.
【Disassembling (6000h)】
1) Open the side cover 2) Connect the tubes and remove the forceps.
(left).
2) Loosen the two
screws fixing the
mixing chamber.
3) Slide the mixing
chamber upward and
pull it out.
4) Place a tray under the
mixing chamber.
Close the tubes connected to the mixing
chamber with forceps and disconnect the
tubes over the tray.

into the machine.
5) Loosen the four screws and disassemble the

mixing chamber.
6) Wash out remove stains from the mixing
chamber and mixing plate by running water.
After rinsing, wipe off water from the external
surface of the mixing chamber.
7) Replace the O-ring.

cause a fluid leak.
29
MDS-101
1) Refer to the aforementioned step 1) - 3). 1.10.3 Adjustment
2) Place a tray under the mixing chamber. 1) No need for adjustment after replacing the
Close the tubes connected to the mixing parts.
chamber with forcipes and disconnect the
tubes over the tray. 1.10.4 Confirmation
【Assembling (12000h)】 Mixing Chamber].
1) Replace the in to mixing chamber. Insert the
screw into the notch on the mixing chamber
and fasten the screw.
To the circulation flow sensor
To the Chamber (V2-V7)

30
MDS-101
MEMO
31
MDS-101
1.11 Flow control valve

6000h ZS00128400 O-ring/JASO13/Si Red 1
6000h ZS00128500 O-rings/P6/Si Red 2
12000h ZS00122700 Needle unit 1
Flow control valve
Motor
Interrupter mounting plate
O-ring bushing Needle unit

(12000h)
O-rings/P6/Si Red
(6000h) (12000h)
Valve head Valve body
O-ring/JASO13/Si Red
(6000h) (12000h)
32
MDS-101
Replacing the flow control valve parts

・ Phillips driver (No.2)...........................................1 9) The valve head is gradually removed from
・ Flat- blade screwdriver ......................................1 body.
・ Hex wrench 1.5mm ........................................1 Note
・ Forceps...............................................................1 ・ When the O-ring bushing remains in the valve
・ Syringe................................................................1 head, the valve head is returned to the original
・ Tube....................................................................1 position. Repeat it again.
(The thing which can connect between
10) Remove the O-ring bushing from the needle
syringe-hose)
portion.
・ Silicon oil
11) Replace all O-rings attached to O-ring
bushing.
KE-96H-160,000CS
O-ring/JASO13/Si Red
【Disassembling (6000h)】 O-ring bushing
OUT-line O-ring/P6/Si Red
【Grease application】
IN-line 12) Apply specified silicone oil on the inner
O-ring bushing surface of the through-hole of the O-ring
Valve head bushing.
1) Turn off the power main supply.

2) Open the side cover (left).
1) Let the O-ring bushing pass to the needle
3) Close the tubes connected to the valve head
portion.
with forceps and then remove the tubes.
4) Remove the two connectors from the flow
control valve. ・ Wipe the needle portion to which the oil, the affix,
5) Remove the two screws from the flow control etc have adhered, with clean cloth.
valve.
6) Then take out this valve from machine
2) Cautious of direction of OUT-line and
remove, the two screws from the valve head.
attaches the valve head.
7) Connect a tube to IN-line of the valve head,
3) Attach the flow control valve to the machine.
and connect the syringe.
4) Attach the two connectors to the flow control
8) Block OUT-line of the valve head with a
valve.
finger, and pressurize inside of the valve
5) Attach the drip-proof cover on interrupter
head by the syringe.
board.
6) Connect the tubes to the flow control valve
and remove the forceps.
33
MDS-101
1) Refer to the 【Disassembling (6000h)】 step 6) Loosen the two set screws of the feed screw
1) - 9). portion.
7) Remove the needle unit from the motor.
Note
・ When the O-ring bushing remains in the valve 【Assembling (12000h)】

head, the valve head is returned to the original 1) Insert a new needle unit with the set screws
position. And it works again.
at a right angle to the flat side (D-shaped cut
2) Describe the position of the screws fixing side) motor output shaft. Fasten the set
interrupter mounting plate using the pen. screws.
After that, remove the Interrupter mounting 2) Tighten the two set screws.
plate. 3) Attach the valve body to the motor.
3) Remove the needle guide using the flat- 4) Attach the needle guide with hands and
blade screwdriver. tighten the screws with flat screw driver.
Interrupter mounting plate 5) Replace all O-rings attached to O-ring
bushing.
6) Apply specified silicone oil on the inner
surface of the through-hole of the O-ring
bushing.
Needle guide
4) Remove the four screws of the valve body. ・ Wipe the needle portion with clean cloth to
5) Remove the motor and the needle unit from remove the oil, the affix, etc.
the valve body.
7) Attach the interrupter mounting plate,
targeting the marks made in the prior section
Needle unit of 【Disassembling (12000h)】.
Motor 8) Refer to the 【Assembling (6000h)】 step 1)-
Valve body 6).And attach flow control valve to the unit.
1.11.3 Adjustment
Needle guide set position Flow control valve].
●
1.11.4 Confirmation
Feed screw Needle
Flow control valve].
D-shaped cut side
Set screw
Needle
Feed screw
Motor output shaft
34
MDS-101
MEMO
35
MDS-101
1.12 Constant flow valve

6000h ZS00128000 Fluid pressure diaphragm 1
12000h ZS00128800 Constant flow valve spring 1
Constant flow valve
Constant flow valve spring

(12000h)
Fluid pressure diaphragm

(6000h) (12000h)
Base
Constant flow valve body
36
MDS-101
Replacing the constant flow valve parts

5) Replace the fluid pressure diaphragm
1.12.1 Tools required piece (6000h, 12000h).
・ Phillips driver (No.2)...........................................1 Replace the constant flow valve spring
・ Forceps...............................................................4 (12000h).
1.12.2 Replacement procedure 【Assembling (6000h), (12000h)】

【Disassembling (6000h), (12000h)】 1) Place the constant flow valve spring at the
1) Open the front center of the base and insert the fluid
panel. pressure diaphragm into the groove in the
2) Remove the center of the base.
two screws 2) Align the constant flow valve body and the
from the plate base vertically and fix them by fastening the
retaining the six screws with equal force.
constant flow valve. Remove the valve by
pulling it downward together with the set
plate. ・ When assembling the unit, place the set plate in
the correct direction relative to the IN line on the
base. Tubes cannot be connected in a wrong
Camber (V4, V5)
direction.
・ Check the spring for distortion and be careful not
to let the fluid pressure diaphragm get caught.
Circulation
chamber
3) Install the constant flow valve and check the

unit.
Dialysate Flow control valve
conductivity monitor (IN line)
3) Close the four tubes connected to the valve ・ After replacement, always check the dialysate
flow rate and confirm that it operates within the
with forcipes and remove the valve. criteria.
1.12.3 Adjustment
・ Be careful not to let fluid flow into the system. 1) No need for adjustment after replacing the
parts.
4) While holding the constant flow valve body
and base, loosen the six screws and 1.12.4 Confirmation
disassemble the constant flow valve. 1) Refer to the separate [Service Manual 5.44
Constant Flow Valve].
・ Be careful not to let the spring pop out from the

constant flow valve.
37
MDS-101
1.13 Dialysis fluid conductivity monitor

6000h 901ORP07SI000000 O-ring/P7/Si White 1
Dialysate conductivity monitor
O-ring/P7/Si White
(6000h) (12000h)
Body
Washer
Dialysate conductivity lid
38
MDS-101
Replacing the dialysis fluid conductivity

monitor parts

・ Phillips driver (No.2)...........................................1 1) Refer to the separate [Service Manual 5.46
・ Forceps...............................................................2 Dialysate Conductivity Monitor].
1.13.2 Replacement procedure 1.13.4 Confirmation

【Disassembling】 1) Refer to the separate [Service Manual 5.46
1) Remove the rear Dialysate Conductivity Monitor].
cover.
2) Open the side
cover (left) and
remove the
dialysis fluid
conductivity
monitor electrode
connector
connected to the
control board.
3) Close the tubes connected to the dialysis
fluid conductivity monitor electrode with
forceps and then pull out the electrode.
4) Loosen the one screw and remove the

dialysis fluid conductivity monitor lid.
5) Replace the O-ring/P7/Si White.
【Assembling】
1) Assemble the dialysis fluid conductivity
monitor and install this on the system.
39
MDS-101
1.14 Sampling port

6000h MA00833900 Port packing 1
6000h MA00834000 Port spring 1
Sampling port
Port cap
Port packing
(6000h) (12000h)
Port plunger
Port spring
(6000h) (12000h)
Port body
40
MDS-101
Replacing the sampling port parts

・ Forceps...............................................................2 1) No need for adjustment after replacing the
parts.
【Disassembling】 1.14.4 Confirmation
1) Close the tube with forceps. 1) Refer to the separate [Service Manual 5.45
2) Turn the sampling port cap counterclockwise Sampling Port].
and remove the cap.
・ When removing the cap, be careful not to let the

spring pop out.
3) Replace the port spring and remove the port

packing from the cap with a small
screwdriver and replace it.
【Assembling】
1) Assemble the sampling port and install the
unit on the system.
41
MDS-101
1.15 Blood leak detector
No. Part No. Name Qty Remarks

6000h ZS00132800 Blood leak detector O-ring 1
12000h ZB00257400 Blood leak detector 1
Blood leak detector

(12000h)
Body
Blood leak detector O-ring

(6000h) (12000h)
Cap
42
MDS-101
Replacing the blood leak detector parts
1.15.1 Tools required piece 【Disassembling (12000h)】

・ Flat - blade screwdriver .....................................1 1) Open the front panel.
・ Phillips driver (No.2)...........................................1 2) Discharge fluid from the blood leak detector.
・ Forceps...............................................................2

1) Open the front panel.
2) Place a tray under the blood leak detector.
3) Turn the blood leak detector cap
counterclockwise to loosen it.
4) When the cap is detached from the blood
leak detector, internal fluid (of about 20 mL) 3) Loosen the two screws fixing the blood leak
comes out. detector and pull it backward to remove it.
5) When fluid is completely discharged, pull the 4) Remove the connector from the control
cap straight to remove it. board.
6) Wipe the inner surface of the detector 5) Clamp the tubes connected to the blood leak
carefully with a clean soft cloth. detector with forcipes and then remove the
With the tip of a flat screwdriver, remove the tubes.
O-ring from the plug and replace the O-ring.
・ Be sure to re-connect each tube to the original

【Assembling (6000h)】 position properly. Marking the tubes prior to the
Blood leak detector disconnection will help identify their positions.
O-ring
Plug
Cap 1) Connect the tubes and connector to a new
blood leak detector and attach the unit to the
mounting plate.
2) After replacement, check the blood leak
detector.
1) Attach and turn the cap clockwise to fasten it. 1.15.3 Adjustment
parts.
1.15.4 Confirmation
Blood Leak Detector].
43
MDS-101
1.16 Circulation chamber

12000h ZB00225500 Circulation chamber 1
Circulation chamber
(12000h)
Body
O-ring/JASO60/Si White
(6000h) (12000h)
Body
44
MDS-101
Replacing the Circulation chamber parts

・ Phillips driver (No.2)...........................................1 5) Loosen the four screws and disassemble the
・ Forceps...............................................................3 circulation chamber.
・ Tray .....................................................................1 6) Wash out remove stains from the air
separator, circulation chamber by running
1.16.2 Replacement procedure water.
7) After rinsing, wipe off water from the external
1) Open the front surface of the circulation chamber.
panel. 8) Replace the O-ring/JASO60/Si White.
2) Loosen the two
screws fixing the
circulation
cause a fluid leak.
chamber.
3) Slide the circulation
chamber upward 【Assembling (6000h)】
and pull it out. 1) Assemble the circulation chamber and install
4) Place a tray under the circulation chamber. this chamber on the system.
Clamp the tubes connected to the circulation
chamber with forcipes and disconnect the
tubes over the tray.
force.
・ Be careful with other cables and tubes.
・ When the tubes are disconnected from the
circulation chamber, the internal fluid comes out.
Be careful not to let fluid into the system.
45
MDS-101
【Disassembling (12000h)】 1.16.3 Adjustment

1) Refer to the aforementioned step 1) - 3). 1) No need for adjustment after replacing the
2) Place a tray under the circulation chamber. parts.
Close the tubes connected to the air
separator with forceps and disconnect the 1.16.4 Confirmation
tubes above the tray. 1) Refer to the separate [Service Manual 5.35
Circulation Chamber].

into the machine.
1) Replace the in to circulation chamber. Insert
the screw into the notch on the circulation
chamber and fasten the screws.
To the circulation pump
To the constant flow valve
To the circulation relief valve
・ Be sure to attach the chamber in the correct

orientation.
・ Insert the screws into the notch on the
circulation chamber and fasten the screws.
・ After replacement, check the unit for leaks.
46
MDS-101
MEMO
47
MDS-101
1.17 Circulation relief valve

6000h MA00844700 Relief valve diaphragm 1
Circulation relief valve
Adjusting screw
Relief body Lock nut
Relief spring guide

Relief spring
Relief valve diaphragm pedestal Relief valve diaphragm
(6000h) (12000h)
Base
Mounting plate
48
MDS-101
Replacing the circulation relief valve parts

・ Phillips driver (No.2)...........................................1 5) While holding the relief valve body and the
・ Forceps...............................................................2 base, loosen the four screws and
disassemble the water relief valve.
【Disassembling】
1) Open the front panel ・ Be careful not to let the relief spring pop out.
and the side cover IN line
(right). Relief spring
2) Loosen the two Relief valve
screws of the Lock nut diaphragm
circulation relief valve

and remove the valve.
Base
3) Clamp the two tubes
connected to the circulation relief valve with Mounting plate
Adjusting screw
forcipes and then remove the valve.
Relief body
4) Loosen the lock nut and turn the adjusting

screw counterclockwise to releases the
spring force.
・ The spring force cannot be completely

released.
49
MDS-101
【Assembling】 1.17.3 Adjustment

1) Insert a new relief valve diaphragm into the 1) Refer to the separate [service manual
groove of the base and place the relief spring 5.58.20.1 Inspection].
at the center of the diaphragm.
2) Align the relief valve body and the base 1.17.4 Confirmation
vertically and fix them to the mounting plate 1) Refer to the separate [Service Manual 5.20
by fastening the four screws with equal force. Circulation Relief Valve].
・ When assembling this valve, place the

mounting plate in the correct direction relative to
the IN line on the base. The plate should not be
installed in a wrong direction.
・ Be careful that the relief spring is not distorted or
moved away from the center.
3) Turn the adjusting screw clockwise for

temporary adjustment. Connect the tubes
and install the circulation relief valve to the
system.
・ Without temporary adjustment, too much fluid

will be delivered, which increases the load to
each component.
・ Check the positions of the IN and OUT lines
and connect the tubes correctly.
4) Check and adjust the hydraulic balance.
・ After replacement, be sure to check and adjust

the hydraulic balance and confirm that the fluid
pressure is within the criteria.
50
MDS-101
MEMO
51
MDS-101
1.18 Solenoid valve V16

6000h ZS00127700 SVB - 1A plunger 1 SN80101 - 80200
6000h ZS00127800 SVB - 1A diaphragm 1 SN80101 - 80200
6000h ZS00147400 C2KK - H803C diaphragm 1 SN80201 -
6000h ZS00147300 C2KK - H803C plunger 1 SN80201 -
6000h ZS00147500 C2KK - H803C spring 1 SN80201 -
Solenoid valve V16
SVB - 1A diaphragm C2KK - H803C diaphragm
SVB - 1A plunger C2KK - H803C plunger

C2KK - H803C spring
Serial number : 80101 - 80200 Serial number : 80201 -
52
MDS-101
Replacing the solenoid valve parts (V16)
1.18.1 Tools required piece 7) Assemble the solenoid valve and connect
・ Phillips driver (No.2)...........................................1 the tubes and connector.
・ Forceps...............................................................2 8) After replacement, check the solenoid valve
operation on the maintenance mode screen.
1.18.2 Replacement procedure 9) Reset the work time of the solenoid valves
【SVB - 1A】Serial Number : 80101 - 80200 replaced on the reset work time screen.
1) Remove the connector from the solenoid
valve to be replaced. 【C2KK - H803C】Serial Number : 80201-
2) Clamp the tubes with forcipes and remove 1) Refer to the above-mentioned step 1) - 5).
the tubes. 2) Replace the diaphragm and plunger.
Assemble the unit with the retainer inserted
between the diaphragm and plunger. And
・ Be careful not to let fluid flow into the system. then replace the spring.
3) Refer to the above - mentioned step 7) - 9).
3) Loosen the two screws and remove the
solenoid valve.
4) Loosen the two screws and disassemble the
solenoid valves (V16).
・ Be careful not to let the internal springs pop out.
5) Remove the diaphragm unit and

disassemble the unit into the diaphragm, 1.18.3 Adjustment
retainer and plunger. 1) No need for adjustment after replacing the
6) Replace the SVB-1A diaphragm and parts.
SVB-1A plunger. Assemble the unit with the
retainer inserted between the SVB-1A 1.18.4 Confirmation
diaphragm and SVB-1A plunger. 1) Refer to the separate [Service Manual 5.42
Solenoid Valve].
Spring
Tube
O-ring
Body Screw
Solenoid ASSY
Diaphragm
Plunger
Retainer
Diaphragm unit
53

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Periodic Replacement Manual: Single Patient Dialysis System

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Single patient dialysis system

Part composition figure / Part replacement procedure

Preparation before starting the maintenance work

After the work

1.1 Pressure relief valve

Time Part No. Name Qty Remarks

Pressure relief valve

O-ring /P14/Si Relief plug Cap

Pressure relief valve spring (12000h)

Relief body Relief plunger

Replacing the pressure relief valve parts

1.1.1 Tools required piece 1.1.3 Adjustment

O-ring/P4/Si White (6000h) (12000h)

・ Be careful not to let the internal springs pop out.

5) Replace the O-ring/P4/Si White and

【Assembling (6000h) (12000h)】

1.2 Air separator chamber

Time Part No. Name Qty Remarks

Air separator chamber

O-ring/JASO60/Si White Float

Replacing the air separator chamber parts

1.2.1 Tools required piece 【Assembling (6000h)】

1.2.2 Replacement procedure

・ Be careful with other cables and tubes.

4) Place a tray under the body. Close the tubes

・ Be careful for the splash from the tubes when

5) Loosen the four screws and disassemble the

・ Do not reuse the removed O-ring as it may

【Disassembling (12000h)】 1.2.3 Adjustment

・ Be careful for the splash from the tubes when

To the degassing pump

・ After replacement, check this for leaks and

1.3 Water relief valve

Time Part No. Name Qty Remarks

Relief body Lock nut

Relief spring guide

Replacing the water relief valve parts

1.3.1 Tools required piece

clamp the two tubes connected to the water Relief body

・ Be careful not to let fluid flow into the system.

4) Loosen the lock nut and turn the adjusting

・ The spring force cannot be completely released.

【Assembling】 1.3.3 Adjustment

・ When assembling the unit, place the mounting

3) Turn the adjusting screw clockwise for

・ Without temporary adjustment, too much fluid

1.4 Solenoid valves V10-V12

Time Part No. Name Qty Remarks

Replacing the solenoid valve parts (V10-V12)

1.4.1 Tools required piece 【Assembling】

・ Be careful not to let fluid flow into the system.

3) Except of V11 and V12 loosen the two

3) After replacement, check the solenoid valve

1.5 Differential pressure relief valve

Time Part No. Name Qty Remarks

Differential pressure relief valve

O-ring /P4/Si White O-ring /P14/Si Relief plug Cap