贝朗血透机维修手册自检

1、 1Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021Self Test SW 7.5xS

2、ervice Manual - Chapter 3维修手册第三章维修手册第三章 2Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with

3、all rights.11/24/2021常规常规通常每次开机后进入治疗前都必须进行自检。所有关系到安全的功能都将被测试，确保治疗安全进行。治疗开始前不可跳过自检。仅在自检程序完全通过后开始治疗程序才是安全可靠的。 3Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permissio

4、n and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021安全第一安全第一 - 自检程序步骤自检程序步骤1.开机后开机后软件和定标数据检查软件和定标数据检查 上次消毒记录检查上次消毒记录检查2. 治疗前自检治疗前自检safety system安全报警系统安全报警系统internal hydraulic进水进水 blood leak漏血传感器漏血传感器 Heater加热器加热器Temperature温度传感器温度传感器Conductivity电导度传感器电导度传感器Ultraf

5、iltration超滤部分超滤部分SAD空气传感器空气传感器pressure sensors血路压力血路压力4. 消毒冲洗消毒冲洗消毒：温度、浓度达到要求消毒：温度、浓度达到要求+冲洗冲洗ok3.治疗 同时传感器不间断的监测并由独立的监测系统处理器计算报警临界值自动或 手动开机 4Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to thi

6、rd parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021开机初始化开机初始化开机信号发送到SMPSLLC初始化硬件装载程序装载定标数据LLS初始化硬件装载程序装载定标数据启动 Diabus通讯检查检测板开关K1位置 0 - 2 - 3启动与开关位置相应的程序 Therapy - TSM - Software Update报警信息: RAM/ROM Error 或 CRC calibration Error 如果

7、自检失败 TLC主板BIOS程序启动从硬盘启动程序 5Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/

8、24/2021治疗之前治疗之前冲洗水路 填充水箱 ，冲洗整个水路 6Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rig

9、hts.11/24/2021自检自检所有测试步骤都由控制板控制完成监测板通过自己的传感器监测整个过程。监测板测试 D24V 和 B24V 电压继电器各 3 秒。 打开 24V 继电器，给控制板进行下一步测试提供电压。任一自检步骤如失败将自动循环监测该步骤。维修界面有自检程序代码，显示自检程序进度。 7Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessi

10、ble to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021自检自检 维修界面维修界面 chapter 3 page 36-38自检代码 8Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole

11、, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021自检自检 自检代码总览自检代码总览Code Test Code00 xxxNo tests or rinsing 16xxx Sound and LED test (from SW 7.51)17xxxLLC DFS Test 18 (analog voltage test from SW 7.5

12、1 and sup. version 3)11xxxBlood leak detector12xxxDFS leakage test15xxx HDF online 完整性测试 (only for Dialog HDF online)20 xxx UF pump21xxx Conductivity22xxxTemperature TSD30 xxx SAD: level test31xxx SAD: counter test32xxx Pressure sensors blood side: equality test for blood side pressure sensors33xxx

13、Pressure sensors blood side: blood side pressure test34xxx Substitution pump HDF bag (only for Dialog HDF bag)35xxx Flow detector HDF bag (only for Dialog HDF bag)36xxx Load cell HDF bag (only for Dialog HDF bag)37xxx Disinfection valve VD40 xxx Leakage test substitution line S online HDF online 9Au

14、thors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021自检状态自检状态 chapter 3 pag

15、e 36 10Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021T T S S S:T T

16、S S SLLS test code to LLCPerform ed test stepLLC SubcodeThi rd ( x = 0, 1, 2) bl ood l eak detector test: Send si gnal to bl ood l eak detectortask( See tabl e, LLC code col um n. )LLS SubcodeBl ood l eak detector test: M easurem ent of red and green l evel( See tabl e, LLS code col um n. )CodeLLCLL

17、SCode1.1102xPrerequi si tes for Test:Upl i ne tank m ust be fi l l edTi m eout 2 m i n2.Test code = 11 to LLSTest code = 11 back to LLC3.1110 xEV_TEST_BLOODLEAK_ON ON Bl oodl eakTaskI DTest i ni ti al i sati on ( VGD ON)11000 4.Si ngl e m easurem ent of green,Si ngl e m easurem ent of red,then com p

18、ari son of: red green + 0. 2 Vno ti m eout11003110045.Acknow l edge w i th sw i tch-off VGD11005 6.1120 xW ai t for D24OFF ( ti m eout 30 s)110117.VGD ON110128.1130 xW ai t for D24ON ( ti m eout 30 s)9.1199xCom pl eted( T T S S x )( T T S S S )1 1 1 0 21 1 0 0 4自检自检 显示状态显示状态 11Authors: Guenter Nisse

19、nHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021Sound and LED Test 报警声光测试报警声光测试可能测试到的配件 :-

20、 LED / OSD Board defective- 扬声器- 触发器 (主板或FPB板)- 连线导电不良或接头松动 -SMPS的维修跳线P101短路- SMPS 的继电器 VGB 或 VGDLLS 通过电流进行测试, 两个OSD (Optical Status Display)板上的红色 LED灯 发光 同时 扬声器发出报警声 (software version 7.5x)。Code LLC 1610 x - 1699x / SUP 16001 - 16028 12Authors: Guenter NissenHeiko RiemenschneiderTraining document,

21、no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021 检测检测 +/- 12 V 避免电压过高或过低避免电压过高或过低控制板控制板 水路水路12V电压测试电压测试Code LLC 1710 x 1799x / SUP

22、17001 - 12036 仅适用于使用仅适用于使用3型检测板并型检测板并 SW 7.5x的机器的机器 13Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnolog

23、ie GmbH with all rights.11/24/2021漏血测试:1. 测试 绿光“信号2. 测试 红光“信号 3. 比较红绿信号自动定标:自动定标，补偿漂移 LED电路开关和 红绿光信号放大电路 okokLED 发光管 red / green接收管 LED额外的接收管LED，提供自动定标参数透析液漏血传感器漏血传感器 2型型Code LLC 1102x - 1199x / SUP 11000 - 11012 14Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This

24、 document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021DFS 透析液通路压力测试DFS 测试程序中，以下部件将被测试是否漏气 :平衡腔包括所有阀门和平衡腔膜片冲洗桥整体:- 漏血传感器- VDE, VDA- 消毒阀门和透析器接头空气分离室, UF pump自FPE

25、 到 RVDA的所有软管， 接头， 管夹等。对于HDF Online机器: 可测试出是否破裂或接口漏气。Dialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 15Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains th

26、e property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021备注简化图例只显示两个腔体中的一个平衡腔体正压由 FPE正压泵提供， 压力的测量和监测由PDA压力传感器负责要漏气测试成功必须首先冲洗整个水路并保持水路无空气可能的故障:1) UF pump超滤泵漏气或故障2) 任何微小泻漏，水路不通可尝试动作: 增加RVFPE高压保护阀的压力至1.5 bar 可能通过DFS 测试Dialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 16Authors: Guenter NissenHeiko

27、 RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021RVFPEDDEBLVDMDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7

28、.xx阀门关闭阀门打开为简化图例，没有显示出如下与DFS压力测试关系不密切的部件:- 空气分离室- 冲洗桥- 消毒阀- 漏血传感器- RVFPA, DDE 17Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of

29、 B. Braun Medizintechnologie GmbH with all rights.11/24/2021RVFPEDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx阀门关闭阀门打开 18Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our perm

30、ission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021Pressure build-up at VDABKCode LLC 1220 x / SUP 12002 预计PDA 425 mmHgPDA压力达不到预计值则可能:FPE/RVFPE故障,，VDABK1/2漏气，膜片漏气RVFPE? s 16000 sDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 19Authors: Guenter NissenHeiko Riemensch

31、neiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021UF pump testCode LLC 1225x / SUP 12002 - 12016 RVFPE 16000

32、 s此时LLS 必需检测到超滤泵转动5圈否则可能是超滤泵传感器故障或超滤泵卡死Dialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 20Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of

33、 B. Braun Medizintechnologie GmbH with all rights.11/24/2021压力不能降低则可能:超滤泵故障或RVDA阀门需调整, 排水管打折或 VDEBK1/2 漏气Pressure decrease at VDABK by UFPCode LLC 1230 x / SUP 12021 PDA 425 mmHg 16000 sDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx阀门关闭阀门打开 24Authors: Guenter NissenHeiko RiemenschneiderTraining document, no

34、 update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021 Pressure decrease by UFPCode LLC 1250 x / SUP 12101 PDA 380 mmHg380mmHg如果PDA压力60秒内不能

35、如预计减低到380mmHg以下则可能 VDEBK1 或 VDEBK2漏气超滤泵故障 16000 sDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 25Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the p

36、roperty of B. Braun Medizintechnologie GmbH with all rights.11/24/2021Diaphragm testCode LLC 1255x / SUP 12101 - 12148 如压力升高则可能:一个或两个膜片漏气如压力过低则可能:VABK1 或 VABK2 漏气PDA 425 mmHg 16000 sDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx阀门关闭阀门打开 27Authors: Guenter NissenHeiko RiemenschneiderTraining document, no upd

37、ate service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021液体按膜片移动的方向进入平衡腔Code LLC 1265x / SUP 12151 32000 sDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 2

38、8Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021利用UFP超滤泵降低 VABK阀门处的

39、压力Code LLC 1270 x / SUP 12151PDA 380 mmHg 32000 sDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 29Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the p

40、roperty of B. Braun Medizintechnologie GmbH with all rights.11/24/2021VEBK testCode LLC 1275x / SUP 12151 - 121881,3bar1,3bar300 - 340 mmHg若 PDA压力过高则说明 :VEBK1 或 VEBK2 漏气若PDA压力过低则说明: VABK1 或 VABK2 漏气 32000 sPDA 300 - 450 mmHgDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 30Authors: Guenter NissenHeiko Riemen

41、schneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021完成完成DFS测试测试压力释放Code LLC 1280 x / SUP 12000打开所有阀门并控制泵使PD

42、A 压力调节在-200和 +200 mmHg之间 32000 sDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 31Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Bra

43、un Medizintechnologie GmbH with all rights.11/24/2021HDF Online DialogPDABL对于HDF Online机器，DFS压力测试后，还有一些部件是可能漏气的:如超净滤器，或阀门 VBE 、VSAE 、 VSAA等所以还有HDF Online 测试VDMDialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 32Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may n

44、ot be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021平衡腔概要可能故障:DFS-测试失败软管/管路连接处漏气阀门漏气 (需逐个判断)膜片漏气水路内空气过多初始化错误 报警提示“膜移动”（membrane movement）膜位移传感器板或线圈故障 (应总是对称运动)FPE/FPA老化，或故障

45、某个阀门不能打开软管打折，水路堵塞水路内空气过多Dialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 33Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Mediz

46、intechnologie GmbH with all rights.11/24/2021检查破片时需使用维修程序 TSM, Low Level Test 1.131,3 barRVDAUF1,3 barFBK10,4 bar 打开阀门 VEBK1, VEBK2, VABK1, VABK2 关闭阀门 VDEBK1, VDEBK2, VDABK1, VDABK2 取下连接到过滤网 FBK1 并用三通连接注射器和压力表和过滤网 (如图所示) 用注射器向管路内加压力至1.3bar，然后用夹子夹住注射器侧软管 如果任一膜片破裂漏气则压力快速降低 (需同时更换两块膜片)平衡腔膜片 (如何判断膜片破裂漏气

47、)Dialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 34Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with

48、 all rights.11/24/2021检查外部漏气进水路的方法，进入维修程序 TSM, low level test 1.23关闭阀门 VVB 和 VBICP取下连接过滤网 FBK1 的软管并通过三通连接注射器和压力表 (如图所示)用注射器向 DF透析液模块（水槽）方向打水加压，观察哪里漏水出来。FBK1Manometer1,3 bar平衡腔 (由于漏气而大量气泡进入水路时)Dialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 35Authors: Guenter NissenHeiko RiemenschneiderTraining document, no u

49、pdate service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021冲洗桥可能故障:DFS-测试失败消毒阀漏气透析器接头膜片/密封圈漏气VDE, PDA 或 BLD 等部件可能漏气机器吸消毒液量不足，电导度过低等吸管端口没有完全沉入消毒液吸管

50、端口滤网堵塞消毒液桶空了消毒阀等部件漏气 (检查更换弹簧密封圈等)Dialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 36Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Br

51、aun Medizintechnologie GmbH with all rights.11/24/2021DFS 测试失败用软管旁路透析器接头软管（如图连接），从而避免冲洗桥内部件（消毒阀、透析器接头、软管）对DFS测试的影响。如果再次测试DFS通过说明消毒阀或透析器接头漏气。消毒阀和透析器接头及软管Dialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 37Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be c

52、opied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021关注 位移传感器MSBK1、MSBK2 和 除气泵EP, 正压泵FPE及负压泵FPA FPA泵速过快 内部水路不通畅或水路漏气 FPA泵头老化 FPE泵速过快伴有电导度、温度报警 水路不通场或排水管打折 突然缺水，内部漏水/漏气等(停止加热并泵停转) F

53、PE泵头老化 EP 转速达 3000 rpm 泵头或RVE除气比例阀老化，或除气压力PE故障 水路漏气 位移传感器线圈 MSBK1 、 MSBK2或信号放大板故障 工作范围 15000 至 30000 s之间 (总是对称变化)平衡腔 (膜移动)Dialog+ DFS 透析液通路漏气测试透析液通路漏气测试 SW 7.xx 38Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or mad

54、e be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021DFS 漏气测试漏气测试 HDF OnlineCode LLC - 1502x - 1599x Online超净滤器的破裂相关的安全测试, 机内置换液系统的漏气测试, 附加阀门 VBE/VSAE/VSAA的漏气测试.完整性测试:在负压低于 -500 mmHg时 空气不能通过超净滤器内的半透膜.检测 HDF 滤器是

55、否破膜: 滤器内一侧充满空气; 另一侧调节压力到 5 mS/cm可能故障:定标电导度是零点定标错误。Code LLC - 2110 x - 2199x 47Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B

56、. Braun Medizintechnologie GmbH with all rights.11/24/2021温度传感器测试温度传感器测试透析液应可加热到 +41 C监测板可识别到高温度点。可能故障:温度传感器定标错误或传感器故障Code LLC - 2202x - 2299x 48Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to

57、 third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/20210102030405060判断接收信号KS临界值报警水平SAD 测试测试测试水平 = KS + 5每1.2 秒发出一次测试脉冲.LED会指示信号发出LED 不亮: SAD 故障LED 常亮: 监测到空气Code LLC - 3002x - 3199x 49Authors: Guenter NissenHeiko RiemenschneiderTra

58、ining document, no update service.This document may not be copied, partly or whole, or made be accessible to third parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021SAD 测试测试Code LLC - 3002x - 3099x SAD 测试分为两个步骤1. SAD 水平测试 测量测试水平与定标水

59、平进行比较。 重启动机器或重新定标SAD。如果已经放入血路管，不会影响该测试。监测板测试步骤 30000 - 30009 水平测试2. 计数测试检查测试脉冲的长短。测试脉冲是由控制板发出的测试信号，监测板同时监测接收计数。计数失败则说明LLC, LLS 或 SAD硬件故障 50Authors: Guenter NissenHeiko RiemenschneiderTraining document, no update service.This document may not be copied, partly or whole, or made be accessible to third

60、 parties without our permission and remains the property of B. Braun Medizintechnologie GmbH with all rights.11/24/2021血路压力传感器测试血路压力传感器测试PA 和 PV的值进行比较PA和PV的差别不应高于 40 mmHgPA 和 PV 的值将通过内部电阻变化提高到 180 mmHg (仅适用于 Software 7.5x 且使用3型监测板的机器) 再次比较可能故障:压力传感器定标错误或传感器故障没有连接测量或保护罩堵塞，管路故障Code LLC - 3202x - 3299x