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04SrvMode Baxter 1550
04SrvMode Baxter 1550
0 SERVICE MODE
4.1 Overview..................................................................................................................1
4.1.1 1550 Logs ................................................................................................1
4.2 Accessing the Service Mode ................................................................................3
4.3 Setup Machine ........................................................................................................5
4.3.1 Concentrates............................................................................................5
4.3.2 Tubing Segment Diameter .....................................................................8
4.3.3 Syringe Type ............................................................................................8
4.3.4 Default Message Display .......................................................................8
4.3.5 Date and Time .........................................................................................9
4.3.6 Saving the Data .......................................................................................9
4.3.7 Using the Bicarbonate Dialysis Worksheet..........................................10
4.4 Machine Setup from Cartridge..............................................................................19
4.5 Machine Setup to Cartridge ..................................................................................20
4.6 Renal Link Calibration Setup .............................................................................21
4.7 Eventlogs to Cartridge ...........................................................................................24
4.8 Clearing the Operator's Eventlog..........................................................................25
4.9 Clearing the Machine Log......................................................................................26
4.1.1 1550 Logs A large amount of data is stored by the 1550 in 5 different logs.
Because they will be referred to throughout this chapter, they
are described here so you can refer back to them as needed.
PROCEDURE ERROR
P110 RED PORT DISCONN
P112 CONNECT INTERLOCK
P127 REMOVE DISINFECT
P311 ILLEGAL INTERLOCK
MACHINE ALARM
A144 H CHK BLUE CONC
A403 RESTART – NO WATER
A619 NO DISPLAY (BLOOD LEAK)
A631 CONNECT INTERLCK
A645 NO DISPLAY (LOW COND TEST)
CHECK CONTROLS
C097 REMOVE DISINFECT
C280 UFC – END OF TIME
C402 BLD PUMP STOPPED
C410 NO DISPLAY (PRES WIND NOT SET)
MESSAGES/USER NOTICES
M020 DISINFECT DONE (RESIDUAL
CHECK)
M021 DISINFECT DONE (IN SLEEP MODE)
M807 LOW 9V BATTERY
TEXT EVENTS
E000 MACHINE POWER ON
E103 DISF – BLEACH
E110 UFC – START PRESSED
E115 UFC RECAL DX
To place the 1550 in the Service Mode, hold down the push
button (SW2) on PC16 (see Figure 4-1) while turning the front
panel mode switch to any of the three operating positions.
Hold the push button until the Side Panel displays the message:
01: PLEASE WAIT
When you press ENTER, the machine goes into the SERVICE
MODE and the following prompts appear and repeat.
SERVICE STATE
SCAN TO CHANGE
"ENTER" TO RUN
SKIP - TO QUIT
SETUP - MACHINE
SETUP FROM CART
SETUP TO CART
ADJ PROP PUMPS
COND CAL VERIFY
CALIBRATE COND
SC CAL SETUP
EVENTLOG TO CART
CLEAR OPER LOG
CLEAR MACH LOG
4.3 SETUP MACHINE Pressing ENTER with SETUP MACHINE displayed causes the
following to appear:
SETUP - MACHINE
"SCAN" TO CHANGE
"ENTER" FOR OK
SKIP - TO QUIT
SETUP PUSH ENTER
4.3.4 Default Message The default message display allows the user to select the
Display information to be displayed if no alarm messages are present.
When this menu comes up it displays:
DEF: COND DISP
4.3.5 Date and Time Upon acceptance of the default display, the display will
automatically show the date in the following
DAY/DATE/TIME format:
TU 01JAN92 16:00
NOTE The day/date/time displayed is the time the user entered the
service mode, not the current time. If the displayed time
approximates the time the service mode was entered, no
adjustment is necessary.
CONFIRMING SETUP
SETUP COMPLETE
PRESS "ENTER"
NOTE Pressing "( SKIP" exits without saving and returns to the
initial CONC A: sub-menu (see Par. 4.3.1).
CANCEL CHANGES?
CANCEL #=YES (=NO
4.3.7 Using the A worksheet should be completed for each concentrate used in
Bicarbonate Dialysis the center. Once completed, a copy of each worksheet should
Worksheet be kept at the nurse's station for reference purposes. Please
note that because the Baxter 1550 can use 35X, 36.83X, and
45X concentrates, there are three different worksheets. Please
be sure the proper worksheet is used for the appropriate
concentrate type. The next few pages will have examples of
filled in worksheets, followed by blank ones for you to
photocopy and use.
Look at your concentrate containers and determine the units
used to express the different chemical concentrations. Enter
their mEq/l values into the worksheet as follows.
SODIUM BICARBONATE: If you use powdered Sodium Bicarbonate, enter the amount in
grams, divide by the amount of water used to make the liquid
concentrate in liters and enter the results as gm/L. Divide the
gm/L amount by the factor used on the worksheet and enter in
Box #1. If you use liquid Sodium Bicarbonate, enter it's diluted
value in the heavy lined Box #1. Multiply this value by the
appropriate factor and enter the results as gm/L in Box I. Copy
this value to Box I at the bottom of the form. Before you
proceed, look for other heavy lined boxes on the form. The
value you just placed in the Box #1 should be copied to the
Box #1 for the Sodium entry line and Bicarbonate Data entry
line.
SODIUM CHLORIDE: 35X and 45X Bicarbonate Concentrates do not have sodium
chloride in the bicarbonate. This step can be skipped for those
concentrates. If your bicarbonate has powdered sodium
chloride, enter the amount in grams, divide by the amount of
water used and enter the results as gm/L. Divide the gm/L by
1.18 and enter in Box #2. If you use liquid sodium chloride,
enter its diluted value in the heavy lined Box #2. Multiply this
value by 1.18 and place the results as gm/L in Box J. Copy this
value into Box J at the bottom of the form. Before you proceed
to Sodium, look for other heavy lined boxes on the form. The
value you just placed in the #2 Box should be copied to the #2
box for the Sodium entry line and the Chloride entry line.
SODIUM: Enter the Sodium value and transfer the number to final Na
Box A on the right. There is one exception; if the Sodium is
for an acidified contribution only, add the values of the box(es)
to the right of Na+ and enter the results as final Na in Box A.
CALCIUM: Enter the value and transfer the number to Box B on the right.
POTASSIUM: Enter the value and transfer the number to Box C on the right.
MAGNESIUM: Enter the value and transfer the number to Box D on the right.
CHLORIDE: Enter the value in the first box. If using a 36.83X concentrate,
also add the value in heavy lined Box 2 and place the results in
Box E on the right.
ACETATE: Enter the value in the heavy lined Box #3 for 36.83X
concentrate, or Box 2 for 35X and 45X concentrates, and copy
it to Box F on the right. It should also be copied to the other
Box #2(3) under Bicarbonate Data.
DEXTROSE: Enter the value and multiply by 100. Enter the final Dextrose
in Box G.
BICARBONATE DATA: You should already have entered the values for Box 1 and Box
2 (3) from previous steps. Subtract Box 2 (3) from Box 1.
Place the final Bicarbonate in Box H.
When all the boxes are filled in, you must check the ion
balance. Add boxes A+B+C+D. Now add E+F+H. The totals
of these two must be equal. If not, go back and check your
work. The 1550 will not accept the chemical mix if this ion
balance is in error.
If the ion balance is correct, set up the 1550 in the service mode
to enter the values from your worksheet. The Side Panel
displays will guide you through each step. Just remember to
enter the values in the order shown on the worksheet.
4.4 MACHINE SETUP Activate the 1550 in Service Mode as described at the
FROM CARTRIDGE beginning of this section.
The Main Menu display will be:
SERVICE STATE
SCAN TO CHANGE
"ENTER" TO RUN
SKIP- TO QUIT
Press the SCAN UP/DOWN keys until the display shows:
SETUP FROM CART
Then press the ENTER key.
TRANSFERRING THE If you have not already inserted a blank Cartridge, the display
INFORMATION will be:
INSERT CARTRIDGE
When the Cartridge is inserted the machine may very briefly
display:
TESTING CART
If anything is wrong with the Cartridge such as an incompatible
software revision, invalid data, or simply blank, the display will
be:
WRONG CARTRIDGE
otherwise, the display will be:
TRANSFERRING
During the transfer, the machine runs additional checks for
wrong or corrupted data or a cartridge malfunction.
One of the following messages may occur at this point:
WRONG CARTRIDGE
or
INVALID REVISION
or
TRANSFER ERROR
followed by:
REPLACE CART
4.5 MACHINE SETUP TO When the 1550 has been setup with the chemical options
CARTRIDGE desired, the entire setup may be loaded into a cartridge for
safekeeping or transfer to another machine. To accomplish
this, activate the 1550 in Service Mode as described in the
beginning of this section.
The main display will be:
SERVICE STATE
SCAN TO CHANGE
"ENTER" TO RUN
SKIP - TO QUIT
Press the SCAN UP/DOWN keys until the display shows:
SETUP TO CART
Then press the ENTER key.
TRANSFERRING THE If the new Cartridge is not already loaded into the machine, the
INFORMATION next display will be:
INSERT CARTRIDGE
The machine will test the cartridge. If the cartridge is blank or
a previous machine setup cartridge, it will proceed directly to :
TESTING CART . . . .
If it is a patient cartridge, the display will be:
WRONG CARTRIDGE _
ERASE AND USE?
ERASE #=YES (=NO
If you answer yes, the cartridge will be erased and the transfer
will begin as shown below. If you answer no, the display will
cycle back to the Service State.
If no problems were encountered, the next display will be:
TESTING CART . . . .
and then:
TRANSFERRING
A final check deals with verification of the data transferred.
The machine will compare the current machine settings with
the data just transferred to the cartridge. A detected error will
result in:
REPLACE CART
If no problems were encountered, the transfer will complete
and the display will be:
TRANSFER^DONE^^^
The display will automatically return to the Service Mode Main
Menu.
Remove the Cartridge and attach an appropriate label for future
reference.
Press the SKIP key to return to the Service Mode main menu.
4.6 RENAL LINK This procedure is necessary ONLY if the 1550 is to be used
CALIBRATION SETUP with the Baxter Renal Link system. The Pressure Displays on
the 1550 need to be calibrated to match the digital signals being
sent to the Renal Link. To accomplish this, activate the 1550
Service Mode as described in the beginning of this section.
The Main Menu display will be:
SERVICE STATE
SCAN TO CHANGE
"ENTER" TO RUN
SKIP- TO QUIT
Press the SCAN UP/DOWN keys until the display shows:
SC CAL SETUP
Press the SCAN UP/DOWN keys until the number matches the
arterial meter reading. Press ENTER to accept this value.
Repeat this step for the venous meter following the instructions
on the Side Panel display. Connect the arterial and venous
Luer-Loks together to vary the TMP meter for its calibration.
Once the TMP high setpoint has been entered the display will
momentarily be:
SC CAL COMPLETE
and then the program will return to the beginning:
SC CAL SETUP
At this time, press "Q-SKIP" to return to the Main Service
Menu, or simply shut off the 1550 to exit the Service Mode.
The total range for setting the pressure meters is from -150
mmHg (for Single Needle versions of the 1550) to +650
mmHg. The preferred setpoint for the Low Calibration is
approximately 0 mmHg and the preferred setpoint for the High
Calibration is approximately +400 mmHg. The 1550 forces the
technician to have at least a 300 mmHg difference between the
low and high setpoints when calibrating the gauges.
If, during the calibration process, the 1550 senses a change in
pressure of more than 6 mmHg within 1½ seconds, the Side
Panel will display:
UNSTABLE READING
The calibration is stored on the motherboard EEPROM. If this
data is corrupt, the 1550 will indicate this next time the
machine is powered up (in either the service mode or any of the
three normal operating modes). The 1550 Side Panel will
display:
CAL EEPROM ERROR
PRESS ENTER
TO CONTINUE
At this time the user can press the ENTER key to acknowledge
this fact and continue using the 1550 as desired (unless the
1550 is being used in conjunction with the Smart Connection).
4.7 EVENTLOGS TO The 1550 stores an Operator's Event Log and a Machine Event
CARTRIDGE Log on the Monitor CPU. Both of these event logs can be
stored on a 1550 cartridge. To accomplish this, activate the
1550 in Service Mode as described in the beginning of this
section.
The main display will be:
SERVICE STATE
SCAN TO CHANGE
"ENTER" TO RUN
SKIP- TO QUIT
Press the SCAN UP/DOWN keys until the display shows:
EVENTLOG TO CART
Then press the ENTER key.
TRANSFERRING THE If the new Cartridge is not already loaded into the machine, the
INFORMATION next display will be:
INSERT CARTRIDGE
SKIP- TO QUIT
If the cartridge inserted is blank the display will read:
TRANSFERING. . . .
If the cartridge has patient information on it, the display will
be:
WRONG CARTRIDGE_
ERASE AND USE?
#=YES (=NO
SKIP- TO QUIT
If you answer yes, the cartridge will be erased and the transfer
will begin as shown below. If you answer no, the display will
cycle back to:
EVENTLOG TO CART
If no problems were encountered, the next display will flash the
word:
TRANSFERING . . . .
4.8 CLEARING THE The 1550 stores the last 100 alarms (events) on the Monitor
OPERATOR'S CPU. The 1550 allows the technician to clear this log. To
EVENTLOG accomplish this, activate the 1550 Service Mode as described
in the beginning of this section.
The Main Menu display will be:
SERVICE STATE
SCAN TO CHANGE
"ENTER" TO RUN
SKIP- TO QUIT
Press the SCAN UP/DOWN keys until the display shows:
CLEAR OPER LOG
Then press the ENTER key. The display on the Side Panel will
be:
CLEAR #=YES *=NO
To return to the previous display without clearing the log, press
the "*-SKIP" key. To clear the log, press the "#" key, and the
Side Panel will momentarily display:
OPER LOG CLEARED
and then return to the display:
CLEAR OPER LOG
Press the SKIP key to return to the Main Service Mode Menu.
4.9 CLEARING THE The 1550 stores the last 100 FAULTS (events) on the Monitor
MACHINE LOG CPU. The 1550 allows the technician to clear this log. To
accomplish this, activate the 1550 Service Mode as described
in the beginning of this section.
The Main Menu display will be:
SERVICE STATE
SCAN TO CHANGE
"ENTER" TO RUN
SKIP- TO QUIT
Press the SCAN UP/DOWN keys until the display shows:
CLEAR MACH LOG
Then press the ENTER key. The display on the Side Panel will
be: