JHM-2028A User Manual

JIHUA MEDICAL APPARATUS & INSTRUMENTS CO.
LTD GUANGZHOU
JHM-2028A Haemodialysis
Device
User’s Manual
Catalog
1 Safety guidelines 3
2 Brief introductions 6
2.1 Introductions on the HD device 6
2.2 Main technical specifications 8
3 Definition and terms 12
4 Structure and function of HD device 13
4.1 Overall structure of HD device 13
4.2 Components 18
4.2.1 Structure of blood pump/spare pump 18
4.2.2 Structure of syringe stand 19
4.3 Introduction on extracorporeal blood circulation 20
4.4 Introduction on the water way system 22
4.5 Introduction on hydrogen carbonate dialysis 27
4.5.1 Connection of concentrate tube 27
4.5.2 Supply method of the RO water 30
4.5.2.1 RO water tube supply 30
4.5.2.2 Container supply (selective device) 30
4.6 Description of combination for Na+ curve graph and UF curve graph 31
4.7 Introduction on the cleaning procedures 31
4.8 Menu description 34
4.8.1 Screen comments 34
4.8.2 Menu description 36
Select self-test mode 36
Self-test menu 37
Prime rinse menu 37
Dialysis menu 37
Curve display men 38
Set the selective menu 39
Dialysis setting menu 39
Advanced setting menu 40
Working mode setting menu 40
Time setting menu 40
HCO3- setting menu 43
Other setting menu 43
Software type of Shut off menu 43
Cleanness menu 44
Cleanness program menu(such as disinfection) 44
4.9 Using menu-parameter setting 44
－I－
4.9.1 Set flux of blood pump 45
4.9.2 Dialysis setting menu 45
Set dialysis time 45
Set heparin time 46
Set heparin flux 46
Set UF volume 46
+
Set Na basic value 47
+
Set Max. value of Na curve 47
+
Set Na conc. curve and UF curve 47
4.9.3 Advanced setting menu 48
Set V.P. span 48
Set A.P. span 49
Set TMP span 49
Set conductivity span 49
Set upper temp. alarm 50
Set lower temp. alarm 50
Set dialysate flux 50
Set pump dia. of blood pump(spare pump) 51
Alarm volume adjustment 51
Display the record stored by conductivity 51
Display the record stored by temperature 53
Set tube diameter of heparine pump 54
4.9.4 Work mode setting menu 55
Set work mode 55
Set Disinfect mode 56
Set of rinse mode 56
Set Hot Dis. mode 57
Set single needle treatment 58
Set ISO UF parameter 58
Pipe connection diagram in HD (ISO UF) mode 59
4.9.5 Time setting menu 60
Setting date 60
Setting time 60
Setting up limit 61
Setting low limit 61
Setting bypass 61
4.9.6 HCO3- setting menu 62
Setting HCO3- concentration 62
4.9.7 Kt/V setting menu 63
Set dialysis volume measure 63
Kt/V Calibration 63
－II－
URR 63
SRI2pool 64
nPCR 64
TACurea 65
4.9.8 Other setting menu 66
Setting dialysate temp. 66
Setting bridging flux 66
Setting flux of spare pump 66
Spare pump acts as blood pump 67
4.9.9 Shut off menu 67
Operate the software type of Shut off 67
Restart 68
4.9.10 Priming menu 68
Modify the range of alarm limit (i.e.: modify V.P. alarm limit) 68
4.10 Tone mute function 69
4.11 UF test 69
5 Treatment 70
5.1 Preparation work 70
5.1.1 Start to run hemodialysis equipment 70
5.1.1.1 A+B common dialysis mode 70
5.1.2 Self-test of function 71
5.1.3 The supply of the dialysate 73
5.1.4 The installation of the injector 74
5.1.5 The installation of the blood pipe system 75
5.1.6 Adjust the injection bracket 77
5.1.7 The installation of the adjust-liquor connection 77
5.1.8 The setting of parameter 78
5.1.9 Na+ curve graph and UF curve graph 79
5.1.10 The prime before the treatment 79
5.1.10.1 The preparation work for prime rinse 79
5.2 The operation of treatment 80
5.2.1 Dialysis treatment 80
5.2.2 Isolated UF treatment 84
6 Cleanness 86
6.1 Introduction 86
6.2 Exterior cleanness 87
6.3 The basic condition to undergo the process of interior cleanness 87
6.4 Interior cleanness 87
6.4.1 Pipeline connection during the disinfection, hot disinfection and rinse 87
6.4.2 Operation 89
6.4.2.1 Operation of disinfection 89
－III－
6.4.2.2 Operation of hot disinfection 91
6.4.2.3 Operation of rinse 94
7 Alarms show and the disposal of unusual thing 96
7.1 Alarms show 96
7.2 The alarm of blood loop 97
7.2.1 TMP alarm 97
7.2.2 A.P. alarm 97
7.2.3 V.P. alarm 98
7.2.4 Blood leakage alarm 98
7.2.5 Blood level alarm 99
7.2.6 Alarm of air bubble 99
7.2.7 Alarm of heparin 100
The alarm of heparin clog 100
Alarm of heparin empty 100
Alarm of heparin time up 100
7.3 The alarm of dialysate loop 101
7.3.1 The alarm of conductivity 101
7.3.2 Alarm of temp. 101
7.4 Power failure alarm 102
7.5 Battery alarm 102
7.6 Warming/notice 102
7.7 Disposal of unusual thing 103
7.7.1 The disposal principle for the unusual thing of hemodialysis device 103
7.7.2 The disposal of unusual things of hemodialysis device 104
7.7.2.1 The disposal of warning 104
Spot disposal 105
Maintenance disposal 111
7.7.2.2 The disposal of unusual things for the main parts 112
8 Maintenance and storage 113
9 Instruction for selective device 114
9.1 Instruction of blood-pressure meter（optional） 114
9.2 Instruction of back-up power supply 119
Appendix A 120
Appendix B 121
－IV－
JHM-2028 A Hemodialysis Device User’s Manual
JHM-2028A Hemodialysis Device User ’s Manual(V9.68 EN-0)
This user’s manual is part of the documents of JHM-2028A Hemodialysis Device, whic h contains
some necessary information in the operation of JHM-2028A Hemodialysis Device.
Notes on the symbols used in this manual.
Warning:
It w arns the operators not to conduct some operation. Otherwis e the
device may be damaged, or hazard may be generated toward the
operator or patient.
Note:
It reminds the operator to operate according to the instructions.
Otherwis e you may not get the intended result.
Type of protection against electric shock: Type B
Defibrillation-proof type: Type BF
Equal potential
Outlet port of waste
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Inlet port of reverse osmosis
Please carefully read through this user’s manual. Please ref er to the actual device f or the real appearance of the device.
MANUFACTURER:Ji-Hua Medical Apparatus and Instruments Co., Ltd guangzhou

Add: 7F,No.1025,1027,Gaopu Rd.,Tianhe District,Guangzhou,China
Tel: 0086-20-87072136， 87072364， 87072397， 87072454
Fax: 0086-20-37020037
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1 Safety guidelines
1.1 Requirements on the operator
1.1.1 Clinical experience and relativ e physiology knowledge on JHM-2028A Hemodialysis.
1.1.2 Fully understand the contents of this user’s manual.

1.1.3 Have receiv ed training on the correct operation and utilization of the JHM-2028A Hemodialysis
device. Able to distinguish the abnormality of the devic e.
1.2 Safety notices
1.2.1 The operator should carefully read through the user’s manual before the operation of the
JHM-2028A Hemodialysis device.
1.2.2 The operator should verify the parameter that he or she inputs, that’s to say, the operator should
check whether the input parameter value is correct or not. If there is discrepancy betw een the
optimal parameter value and the displayed parameter value, the setting value should be
adjusted before running the devic e.
1.2.3 Make sure the power supply system (cir cuit, voltage and cable) meets the electricity load
requirement of the device.
1.2.4 JHM-2028A Hemodialysis Device is a Category I and Type b devic e, please plug the power cable
into a three core socket with grounding wire, making sure the grounding is appropriate.
1.2.5 During the dialysis period, if the protective system alarms, the operator should find out the alarm
reason timely and solv e the abnormality quickly before the dialysis continues. In case of alarms
that fail to resume normal in short time, or serious abnormality, the dialysis treatment should be
terminated.
1.2.6 It is recommended to select the syringe w ith same brand and same model when changing the
syringe of heparin pump
1.2.7 The exposed live parts should be earthed by means of the protective earth for the individual
safety and the prevention from indirect electric shock. The good protectiv e earth may ensure the
personal safety in the case of the electric leakage against the injury or death caused by the
electric shock.
1.2.8 No item unrelated to the devic e is allowed to be placed on the top of devic e for the sake of the
normal operation of the devic e.

1.3 The device could only be used for one patient during the hemodialysis treatment,
1.4 Contradiction: uncontrollable coagulation abnormality.
-3-
1.5 Only the manufacture or those personnel authoriz ed by the manufacturer can assemble, debug or
repair the device.
1.6 In case of malfunctions, you can try the normal troubleshooting methods, In case of failure, please
contact the company. Non-professional personnel are not allowed to dis assemble the device.
1.7 It is the responsibility of the users to comply with the regulations related to the waste fluid discharge
in his/her country or region.
1.8 The surface of waste pipe should not be contacted with that of the wastewater treatment system or
the bacteria may enter the hemodialysis devic e along the waste pipe. The use of the waste pipe
with strong corrosion resistance feature is recommended.
1.9 The abnormal substance, whic h reaches the blood chamber of dialyzer from the dialysate chamber,
may result in the risk that the blood of patient is contaminated by bacteria and endotoxin.
1.10 The protection system w ith the measurement of venous pressure against the loss of blood in vitro
can only reduce in part the hazardousness which may remain such as the ris k condition of the
blood loss of the patient in vitro. The measures to minimize the risk: the blood pump stops and the
ultrafiltration is lowered to the min value when the preset value of alarm is exceeded.
1.11 Any narrow part of the external tube (such as the small blood tubing set or intubation) may lead to
the risk of hemolysis whic h might not be detected by the protection system.
1.12 The failure in the function of ultrasonic air detector may be resulted from the ultrasonic glue or clot.
1.13 The air may enter the external tube through the joint at the bottom of air detector; the occurrence of
such event may be caused by the use of single needle or central venous catheter in the case of
negative pressure.
1.14 When the pre-pump arterial pressure is low, the blood flow and the efficacy of treatment may be
compromised, thus the blood flow and the pressure range of pre-pump arterial pressure should be
maintained.
1.15 Contraindic ations: patient w ith the contraindic ations of hemodialysis such as shock or hypotension,
and severe hemorrhage trend; severe heart-brain complications such as cardiac enlargement
accompanied with cardiac hypofunction or cerebral hemorrhage, and severe arrhythmia, etc.
1.16 Only one type of potential equalization conductor can be used in the device.
1.17 There are certain interferences during the operation of the devic e, such as high-power motor,
solenoid valv e, induction heating equipment, high frequency welder, external radio, X-ray device,
high frequency physiotherapy device and ignition system of internal combustion engine, whic h may
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affect the safe operation of the devic e. Do not place the dialy zer in the environment w ith
electromagnetic interference.
1.18 The operator should pay attention to the safety ris k related to the connection/dis connection with
patient; as well as the safety risk caused by the incorrect connection of external pipeline.
Note:
When the outdoor temperature is below 0℃, the device should
be laid aside for one hour before installation after moving it in from
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2 Brief introductions
2.1 Introductions on the HD device
2.1.1 Product name: hemodialysis device
2.1.2 Model: JHM-2028A
2.1.3 Standard No. of product: YZB/National 1305-2013 Hemodialysis Devic e
2.1.4 Application: JHM-2028A Hemodialysis Device is used for Hemodialysis on patients w ith acute or
chronic kidney failure.
2.1.5 Performance, structure and components of the product: the product consists of dialysate supply
system (dialysis pump, ultrafiltration pump, proportion preparation unit, liquid constant
temperature unit, transmembrane pressure monitoring and conductivity monitoring) and blood
circulation system (blood pump, heparin pump, arterial-venous pressure monitoring, air bubble
monitoring and blood leakage monitoring), without the dis posal sterile consumables used with
the device included.
2.1.6 JHM-2028A Hemodialysis Device can be used in various medical centers and for clinical use.
When JHM-2028A Hemodialysis Devic e is conducting HD treatment, it runs and monitors the
dialysate cir culation and extracorporeal blood circulation.
2.1.7 All the operation menu and running status of JHM-2028A Hemodialysis Device is displayed on the
color LCD screen.
2.1.8 JHM-2028A Hemodialysis Device uses hydrogen carbonate and acetate for HD treatment.
2.1.9 JHM-2028A Hemodialysis Device With single needle dialysis function.
2.1.9 JHM-2028A Hemodialysis Device should be connected to the RO w ater treatment
2.1.10 In the circulation, after heating and air removing, the dialysate is conveyed to the dialyzer, whic h
keeps the flow-in fluid and flow-out fluid equal in volume. According to the selected UF rate, the
necessary UF volume for treatment can be achieved.
2.1.11 In the extracorporeal blood circulation, the blood goes through the dialy zer. The air inspector can
prevent the air entering. The blood leakage inspector and venous pressure inspector can prevent
the blood loss.
2.1.12 The mixing proportion of hydrogen carbonate concentrate and RO water is 1:1.225:32.775
（A:B:water）. The manufacturer can customize the mixing proportion according to the user’s
demand.
＋
2.1.13Based on the requirement of treatment, the concentration of Na can be adjusted in the range of
136mmol/L~145 mmol/L.
2.1.14 JHM-2028A Hemodialysis Devic e can conduct pure UF (ISO UF)/ single needle treatment/double
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needle treatment .
2.1.15 JHM-2028A Hemodialysis Devic e can conduct rinse, hot disinfection, and dis infection procedures
to complete automatic cleaning and disinfection.
2.1.16 The flux of dialy sate can be adjusted within the range of 300 ml/min~800 ml/min.
2.1.17JHM-2028A Hemodialysis Device is equipped with a safety monitor system that ensures the safety
of patients. Extracorporeal blood-losing protection system meets with GB9706.2 “The part 2~16 for
Medical Electronic Device: safety requirement for hemodialysis , hemodiafiltration and
hemofiltration”.
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2.2 Main technical specifications
z Dimension: Height: About 145 cm (Fluid stand is not included)
Width: About 34 cm
Length: About 37 cm (Foot is not included)
Area: About （56.3×62.5） cm2
z Weight: About 90 kg
z Electric safety
Electric shock resistance type: Category I
Electric shock protection degree: Type B Symbol:
Liquid incursion protection: Anti-dripping Symbol: IPX1
z Work system: continuous running
z Pow er supply
Line voltage: AC220V, Frequency 50/60Hz
Input power: 1700W
z Fuse: 2×10A（Ф6×30）
Main sw itch: C65N 32A AC250V
z Working condition
Flow -in water pressure: 0.1 MPa~0.6 MPa (Standard)
The quality of reverse osmosis water conforms to standard YY
0572-2005.
Flow -in water temperature: 5℃~35℃
Working environment: Temperature 10℃~38℃, with relative humidity not greater than
80% atmospheric pressure 70kPa~106kPa.
Drainage: 0~100cm higher than the ground surface
Concentrate supply : Maximum suction height of 75 cm
Temporary idle period: It is recommended to disinfect the device before the HD device
temporarily stops working. And hot disinfection the device
before the device resumes working.
Storage temperature: 5℃~40℃ (without using anti-freeze)
-10℃~40℃(w ith the water pipeline being emptied)
Stability: 10º
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z Restrain hearable alarm: The silent time of alarm is 2 minutes.
New alarm can activate mute alarm
z Working procedure
Function test: Automatic test on the safety system after powering on.
Rinse the system lines: In “Rinse” status, the device automatically rinse the system lines.
HD: Hemodialysis with hydrogen carbonate and acetate
Sequential UF: UF/Pure UF(ISO UF) w ithout flow of dialysate
Cleaning procedure: Including disinfection, hot disinfection, rinse three modes.
Disinfect mode is devided into “Citric acid” and “Peracetic acid”.
Rinse mode includes the options of cold rinse and hot rinse
Hot disinfection mode is devided into “Heat + Citric acid” and “Heat”.
z Dialysate circulation and safety system
Blood leakage inspector: Method: Photo electricity inspection
Reaction threshold value: When red blood cell rate is
0.32±0.02, the blood lead age of each liter of dialysate is
equal or over 1ml (flow rate of dialy sate is 500 ml/min)
TMP: Display range: -100 mmHg~+600 mmHg
Error: ±20 mmHg
Width of warning window: Adjustable in the range of
-100 mmHg ~ +600 mmHg
UF: ISO UF flow rate: 0~4000ml/h
HD flow rate: 0~4000ml/h
UF preset range: 0~16000ml
UF precision: ±30 ml/h or ±1%, whichever is greater (absolute value)
Concentration of dialy sate Display range: 0 mS/cm~15.8 mS/cm
(conductivity) Error: 0.1 mS/cm
Hydrogen carbonate: Standard setting: 1:1.225:32.775
1:1.830:34.000
1:1.830:34.000
1:2.100:34.000
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The concentration of NaCl contained in liquid B between the second ratio and the thir d ratio is
different.
Na+ adjustment range: 136 mmol/L~145 mmol/L
z Cleaning procedure:
Rinse: Temperature of clod rinse Ambient temperature (10 min)
Temperature of hot rinse 50℃~90℃ (10 min, w ithout heating time)
Disinfection: Time: 36 min for working mode “citric acid”
31 min for working mode “peracetic acid”
Hot disinfection： Time: 42 min for working mode “heating + citric acid”
32 min for working mode “heating”
z Flow Dialysate flow: 300ml/min~800ml/min
+10%
Error: -5%
z External blood circulation and safety system
Blood pump: Rang of flow rate: 20ml/min~460 ml/min（ID Ф 6 mm）
20 ml/min~620 ml/min（ID Ф 8 mm）

Error: ±10％ or ±10mL/min, w hichever is greater
(absolute value) (pressure at blood outlet:
-300mmHg ~ 0mmHg）
Pump tube diameter: Ф 6 mm, Ф 8 mm
Equipped w ith a spare pump, the technic data is the same with those whic h
are regulated by the blood pump.
Arterial pressure: Display range: -300 mmHg~+400 mmHg
Error: ±20 mmHg
Alarm: Adjustable w ithin the range of -300 mmHg~+400 mmHg
Venous pressure: Display range: -50 mmHg~+300 mmHg
Error: ±10 mmHg
Alarm: Adjustable w ithin the range of 10 mmHg~300 mmHg
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Heparin pump: Range of flow rate: 0.1 ml/h~10 ml/h
Resolving rate: 0.1 ml/h
Error: 5％ or ±0.2mL/h, whic hever is greater (absolute value)
Injection duration: 0~9:59
Syringe size: 10 ml / 20 ml / 30 ml
Blood level inspector: Method: Ultrasonic transportation
Air bubble inspector: Method: IR inspection
Reaction threshold: Under blood flow rate of 200 ml/min, single
air bubble of 200µl appears.
Sound alarm: It’s adjustable within the range of 65~72 dB
The cycle of sound alarm is one per second, the intermittent silence
is 0.5 second.
z Blood way lines and dialysate are universal w ith Fresenius and Toray.
z Backup power supply Lead acid battery (maintenance-free)
24V（2×12V）/ 7Ah
z Hemomanometer The value indicates the measured pressured value and pulses.
Operation temperature/humidity: temperature 10℃~38℃, relative
humidity ≤80%, atmospheric pressure 70kPa~106kPa.
Storagetemperature/humidity: relativ e humidity ≤80%, in the room w ithout
caustic gas and w ith good ventilation.
Measurement range: pressure 0~299mmHg
Cuff of hemomanometer: class I Defibrillation-proof: type BF
Measurement range of pulse: 40/min~180/min
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3 Definition and terms

Please find below some explanation on the special terms that are used in this manual.
Extracorporeal circulation: Blood circulation conducted outside the human body.
Air trap: Air device installed in the blood line system to separate the gas that is
irresolvable in the blood, including blood level inspector and air bubble
inspector.
Bypass: Bypass the dialysate from the dialyzer.
Conductivity: The electricity conductiv ity of the dialysate.
Venous line clamp: The device that automatically clamps the blood line system.
Blood measurement line: Line that connects the blood way system and the pressure monitor device.
Rotation pin: Pump head of the blood pump and spare pump, w hic h is used to rollingly
press pump tube.
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4 Structure and function of HD device

4.1 Overall structure of HD device
HD Device ——Appearance
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HD Device ——Front view
Illustration:
1. Indicator
Red blinks—Alarm
Yellow on—Ready
Green on—Running
2. LCD display
3. Blood pressure measurement
display screen (optional device,
refer to 9.1)
4. The adaptor of venous pressure
5. Spare pump
6. Sw itch of Spare pump
7. Venous pot with ultrasonic sensor
8. Sw itch of venous line clamp
9. Venous line clamp
10. Air bubble inspector (Optical
inspection)
11. A adapter group (red adapter)
12. Suction tube of A concentrate
13. Suction tube of B concentrate
14. Pow er supply indicator
15. Fluid stand
16. Switch of power supply
17. The adapter of arterial pressure
18. Blood pump
19. Switch of blood pump
20. Arterial pot plank
21. Heparin pump
22. B adapter group (blue adapter)
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HD Device ——Rear view
Illustration:
1. Ventilation fan
2. Pow er box
3. Pow er switch
4. Ventilation port
5. ①Sampling port 1 of UF fluid
6. ②Disinfection solution connector
7. ③Sampling port 2 of UF fluid
8. Ejection w ater port
9. Alarm beeper
RF1-30
10. Fuse (2X10A) F10AL250V
11. Mark symbol

symbol (Notice: refer to the
accompanied documents)
symbol (Anti-shock protection
degree: Type B)
IP×1（inflow liquid protection
enti-drip）
12. Power cable
13. Ventilation port
14. Supply pipe connector
15. Dialyzer return connector
16. gas port
17. Inlet port of RO water
18. Blood leakage inspector
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HD Device ——Left view
Illustration:
1. Blood level adjustment button of
venous pot
Raise the height of blood
level of venous pot
Lower the height of blood
level of venous pot
2. Blood pressure measurement
port (select devic e)
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HD Device ——right view
Illustration:
1. Clamp of dialyzer
2. Supply tube of dialysate (blue
adapter)Filtration adapter
3. Box
4. Reflux tube of dialysate (red
adapter)
3 5. Bobber observation devic e
6. Filter
1
4
5
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4.2 Components
4.2.1 Structure of blood pump/spare pump
Illustration:
1. Pump cover
2. Rotation pin
3. Pump case
4. Clamp
5. Pump tube fixation
slot
Pull out the spanner of the rotation pin, rotate the spanner until the handle is vertical against the
rotation pin fix ation slot, then the rotation pin is able to be released from the pump case
Illustration:
1. Rotation post (one on each side)
2. Guiding post
3. Spanner
4. Adjustment screw (one on each side)
5. Rotation pin fix ation slot
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4.2.2 Structure of syringe stand
Illustration:
1. Stopper
1 2. Stopper adjustment button
3. Fixation slot
2
4. Syringe clamp
5. Pump holder
Note: Please rotate the knob as per

rotation direction sign till
basic line is aligning with
3
scale before using.
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4.3 Introduction on extracorporeal blood circulation
Introduction on extracorporeal blood circulation:
Connect the artery and vein of the patients w ith the blood pump, dialyzer and monitoring device, to
establis h a close cir cuit of external circulation.
During the dialysis , the heparin pump injects heparin into the blood way on a regular basis to prevent
the blood from coagulation. The heparin flow rate can be adjusted according to the treatment
requirement. The range of heparin flow rate is 0.1 ml/h-10 ml/h.
The patient blood was led out of the body by the blood pump and enters the venous pot after going
through the dialy zer. In the venous pot, the venous pressure is measured and strictly monitored w ithin the
preset range. The venous pot is located in the ultrasonic fluid level inspector to prevent the introduction of
air. Once the fluid level is lowered and bubble blood appears in the venous pot, the blood alarm is
triggered. The blood pump stops immediately, the venous line clamp automatically clamps the venous
blood way to block blood reflux, alarm w ith light and sound begins, and the UF ends.
After going through the venous pot, the blood flows through the air bubble inspector, whic h detects the
existence of air bubble in the blood circuit. Once the air bubble is found, the alarm w ith light and sound is
triggered. The blood pump and the UF pump stop immediately, the venous line clamp automatically clap
the blood way to prevent blood reflux.
Eventually, the blood is conveyed back into the patient body.
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Extracorporeal blood circulation illustration:
B2
B1 B3 B4
Artery End
B11
B14 B12
Connect
B16 B10 To
B6
B15 B13 Dialysate
B7 Circut
B8
Vein End B9
Illustration:
B1. Arterial pressure inspector

B2. Blood pump
B3. Heparin pump syringe
B4. P1 inspector
B5. Dialyzer
B6. Ultrasonic blood level inspector
B7. Venous pot
B8. Venous line clamp
B9. Air bubble inspector
B10. Ventilation valve
B11. Venous pressure inspector
B12. Air bleed pump
B13. Ventilation pump
B14. Electromagnetic valve
B15. Electromagnetic valve
B16. Ventilation valve
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4.4 Introduction on the water way system
The following tw o RO water supply methods are available for selection:
1. Supply by the RO water tube, the adapter (W1) connects to the RO w ater tube.
2. Supply by the container, the RO water container supplies the fluid, the adapter（W1） connects to
the RO w ater container.
The RO w ater enters the water way through the adapter W1, and it’s heated in the heater system (W5)
after getting through W2 ,W3 and W4, meanwhile, air will be removed in W5 by the air-removing device
(W6).
The heat exchanger (W3) is to transfer the heat from the used dialy sate that runs out of the balance
system to the RO water.
After the air is removed, the RO w ater gets to the confecting system (W7), and the concentrate is
pumped up into the confecting system by the ceramic pump at the same time, and then they get mixed
into dialysate. The dialysate is driv en by the pre-dialysis pump (W8), and runs through the mix
temperature sensor (W9) and the mix conductivity sensor (W10) into the balance system (W11), then it
runs through another temperature sensor (W12) and conductiv ity sensor (W13), if the temperature or the
conductiv ity doesn’t meet the preset values, the pre-dialysis valve (W14) and the post-dialysis valve
(W22) w ill be closed and the bypass valv e (W23) will be opened to get the unqualif ied dialysate around
the dialyzer (W18). If the temperature and the conductiv ity meet the preset values, the bypass valve
(W23) w ill be closed, and the pre-dialysis valv e (W14) and the post-dialysis valv e (W22) will be opened
to lead the dialysate into the dialy zer.
Note：When bic art cartridge is loaded, tube B should connect back to the connector Block of
Concentrate B.
The used dialysate that come out from the dialyzer runs through a pressure sensor (W21), the
pressure measured here can be regarded as the value for TMP calculation.
The used dialy sate runs through the air-removing device (W24) again in order to ensure the volume of
the fresh dialysate is exactly the same as the used dialysate that is replaced all along. Then it is driven
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by the post-dialysis pump (W28), and runs through the balance system (W11), the heat exchanger (W3)
and the blood leakage inspector (W35). The blood leakage inspector is to monitor if there is blood
infiltrating the dialysate cir cuit due to the damage of dialysis membrane. After that, the used dialysate
runs through evacuation valv e (W36) and gets out of the water way from outlet of evacuation (W37).
The UF pump (W34) draws out the dialysate from the fluid infusion system at the preset rate. As the
system is airtight, the ultrafiltrate can be drawn out at the same volume from the blood through the
dialyzer.
-23-
W 27
Waterway sketch map
W 26
W 31
W 25
W 32
W 24
W 30
W4 2 W29 Ar ti al
W 34
W 40
W 48
W2 2 W2 1
W20 W19 W 49
W4 1
W2 8
W 38 W 18
W 23
W9 W1 2 W 14
W8 W 15 W17
W1 0 W 13 W 16
W7
W1 1 W50
Connect blood loop
-24-
W 51 W 53 W52 Ve no us
W 43 W 39
W 33
W 44 W 46
W6 W 35 W3 6
W5
W4 5 W 47
W 37
W3
W2 W1
B l o o d wa y
Water way
Schematic diagram of isolated ultrafiltration
Artial
Venous
W52
W53
W48
W51
W49
W50
Connect blood loop
W18
W17
W19
W16
W37
W1
W33
W32
W20
W15
W36
W22 W21
W14
W2
W35
W30
W34
W31
W13
W23
W12
W29
W3
W26 W25
W11
W27
W24
W28
W10
W9
W6
W8
W7
W5
W38
W39
W40
W47
W46
Blood way
Water way
W43
W44
W42
W45
W41
-25-
Illustration:
W1. Inlet of RO w ater W28. Post-dialysis pump
W2. Pressure decreasing valve W29. Inlet of UF valve
W3. Heat exchanger W30. Disinfection valve
W4. None W31. Disinfectant back valv e
W5. Heater system W32. Disinfectant interface
W6. Recycle air-removing device W33. UF sampling quick connector
W7. Confecting system W34. UF pump
W8. Pre-dialysis pump W35. Blood leakage inspector
W9. Mix temperature sensor W36. Evacuation valve
W10. Mix conductivity sensor W37. outlet of evacuation
W11. Balance system W38. ceramic pump B
W12. Temperature sensor W39. ceramic pump A
W13. Conductivity sensor W40. Air-removing Unit B
W14. Pre-dialysis valve W41. Dry powder frame
W15. Filter W42. Concentrate B filter
W16. Bobber observer W43. Concentrate A filter
W17. Fast adapter sleeve of dialy zer inlet (blue) W44. Concentrate A adapter
W18. Dialyzer W45. Concentrate B adapter
W19. Fast adapter sleeve of dialy zer inlet (red) W46. Connector Block of Concentrate A
W20. Filter W47. Connector Block of Concentrate B
W21. Pressure sensor W48. Blood pump
W22. Post-dialysis valve W49. Heparin pump
W23. Bypass valve W50. Venous pressure
W24. Fluid air-removing devic e W51. Venous pot with ultrasonic sensor
W25. Fluid air-removing valve W52. Venous line clamp
W26. Fluid air-removing pump W53. Air bubble inspector
W27. Gas port
-26-
4.5 Introduction on hydrogen carbonate and acetate dialysis
4.5.1 Connection of concentrate tube
Tw o types of concentrates used in hydrogen carbonate dialysis :

——Acidic concentrate (concentrate A)
——Hydrogen carbonates concentrate (concentrate B)
The concentrate is sucked by two pumps, and is conveyed to the HD devic e to mix w ith the RO water.
The suction tube of concentrate is connected to the container accordingly.
To minimize misusing of concentration, concentration container should have special mark.
To avoid the misconnection with container, sucking pump should als o have special mark.
Warning:
You must use the container with specif ic mark and matched suction
tube, to avoid wrong connection.
The mixing process is based on volume and proportion. That is , the concentrate pump mix certain
volume of concentrate into the water of fix ed volume.
Only by using the concentrate matching the mixing system, you can get a correct ion concentration in
the dialysate.
By measurement on the conductiv ity and the bypass function, the system can prevent the dialysate
with wrong concentration from entering the dialyzer.
In case of existence of wrong components in the dialysate, the conductiv ity will exceed the alarm range
and triggers the alarm. The HD device then opens the bypass, accompanied w ith light and sound alarm.
The condensate of dialy sate is required to comply with the standard YY 0598-2006.
The components of dialy sate include: sodium chloride, potassium chloride, calcium chloride,
magnesium chloride, sodium bicarbonate andglacial acetic acid.
The dialytic powder should be diluted as per the ratio specif ied in the instruction. The sample of
dialysate is collected from the device and the resultant ionic concentration of dialysate should be
consistent with the labeled amount as shown below:
The sodium (Na) is 97.5%-102.5% of labeled amount；acetic acid (or acetate) is 90%-110% of
labeled amount;
Calcium (Ca), kalium (K), Magnesium (Mg), Chlorine (Cl) and bicarbonate (HCO3）should be
95%-105% of labeled amount.
-27-
Specific measurement method: When the device is running in Hemodialysis mode, collect the
sample of dialy sate as the devic e become stable. The test is conduced according to the description in
Item 6.5.1~6.5.4 on Page 4 of YY0598-2006 and the result should be consistent w ith the requirements
described above.
Warning:
The hydrogen carbonate concentrate and acetate concentrate cannot
be stored again once opened.
Warning:
Please make sure the container has sufficient hydrogen carbonate
concentrate and acetate concentrate to complete the treatment.
The single fault condition defined based on the alarm limit of protection system:
Upper limit alarm of mixed conductivity: the error among each component of dialy sate is ±0.5%;
low er limit alarm of mixed conductivity: the error among each component of dialy sate is ±0.5%.
Upper limit of outflow conductiv ity: the error among each component of dialysate is ±0.5%; lower
limit alarm of outflow conductivity: the error among each component of dialysate is ±0.5%.
-28-
Tube connections is as below
Tube connection of A+B m ode—Front view
Place the concentrate A adapter (red) of the

concentrate A suction tube into the concentrate
A container.
Place the concentrate B adapter (blue) of the

concentrate B suction tube into the concentrate
B container.
-29-
4.5.2 Supply method of the RO w ater
Only the RO water can be used when confecting the dialy sate.
The requirement of the RO water's quality meets with the standard YY0572.
4.5.2.1 RO w ater tube supply
Tube connection—Rear view
Connect the tube to the adapter.
4.5.2.2 Container supply (selective device)
Tube connection—Rear view
Connect the tube w ith the dialysate container.
Connect to
dialysate
container
-30-
4.6 Description of combination for Na+ curve graph and UF curve graph
JHM-2028A HD devic e possesses the function of combining Na+ curve graph with UF curve graph.
Na+ curve graph: 0 ~ 7.
UF curve graph: 0 ~ 7.
The below diagram will show the possible combination of Na+ curve graph and UF curve graph:
+
Na curv e graph
0 1 2 3 4 5 6 7
UF 1
curv e
graph 2
4.7 Introduction on the cleaning procedures

4.7.1Cleaning procedures
The cleaning procedures include three patters, which are dis infection, hot disinfection and rinse.
Please refer to 6.4.2 for the detailed process of each patter
4.7.2 Decalc ific ation

Detailed in Appendix A
4.7.3 Disinfection
4.7.3.1 Hot disinfection
In the specif ic period of disinfection, the surface temperature of dialy sate pipeline in the device
should be maintained at 60℃~100℃ of disinfection temperature.
4.7.3.2 Parameters related to chemical disinfection

Sustained
Disinfection Contact duration (error: Residue volume of
Composition concentration of
method ±1 min) disinfectant
disinfectant
Chemical 20 min by default
Citric acid 12~22g/L ≤5mg/L
disinfection (10~60 min configurable)
-31-
peracetic 20 min by default

0.2~0.5g/L ≤5mg/L
acid (10~60 min configurable)
Hot 20 min by default
Citric acid 12~22g/L ≤5mg/L
disinfection (10~60 min configurable)
4.7.4 Measuring the concentration and residue volume of dis infectant
(1) Run the chemical disinfection program, connect the pipe of Liquid B to the dis infectant cartridge
following the prompt of the device, and then start the time measurement whic h will be ended upon the
completion of disinfection, the contact time of dis infectant should be calculated on the basis of the
following formula;
Time of contacting disinfection = Measured time - 15
The sample is collected on the supply port at 10 minutes after the chemical infection program is run,
the content of citric acid is measured with high-performance liquid chromatography (refer to appendix B)
and the content of peracetic acid is determined w ith quantitative test paper, the result should be
consistent with the requirement in the table above.
Follow ing the dis infection, the sampling is done at the supply port, and the content of citric acid is
measured w ith high-performance liquid chromatography (refer to appendix B) and the content of
peracetic acid is determined with quantitativ e test paper, the result should be consistent with the
requirement in the table above.
(2) Run the hot dis infection program, connect the pipe of Liquid B to the disinfectant cartridge
following the prompt of the device, and then start the time measurement whic h will be ended upon the
completion of disinfection, the contact time of dis infectant should be calculated on the basis of the
following formula;
Time of disinfection contact = Measured time - 15
The sample is collected on the supply port at 10 minutes after the hot infection program is run, the
content of citric acid is measured with high-performance liquid chromatography (refer to appendix B) and
the content of peracetic acid is determined w ith quantitative test paper, the result should be consis tent
with the requirement in the table above.

-32-
Follow ing the dis infection, the sampling is done at the supply port, and the content of citric acid is
measured w ith high-performance liquid chromatography (refer to appendix B) and the content of
peracetic acid is determined with quantitativ e test paper, the result should be consistent with the
requirement in the table above.
-33-
4.8 Menu description
4.8.1 Screen comments
Screen chart (i.e.: screen for dialysis setting menu)
2 3 4 5
Prime
Stopped
Dialysis Setting KEY
Dialy sis Time 4 : 00 Heparin Time 3 : 30 0 1

2 3 6
1 UF Goal 0000 ml Heparin Flux 03.0 ml/h
4 5
UF Max 0000 ml/h Base Na+ 140 mmol/l 6 7
8 9
UF Volume 0000 ml Na+ Max 150 mmol/l
<- ->
UF Curve 0 Na+ Cur ve 0
Return OK
8 7
z Screen description:
1. Menu area
2. Current mode
3. Text area (display the text info.)
4. Mute button
5. Battery area (display battery capacity)
6. Keyboard (input data)
7. Confirm key (save the setting content)
8. Return key (exit the menu)
z The color description for the data in menu area:
Background Font Fig. value

White Black Can’t input
Black White Can input
-34-
Screen display (i.e.: dialysis menu)
2 3 4 5
Dialysis Low er Conductivity Alam
Stopped Blood Level Alarm
TMP. A.P. V.P. Battery Blood Leak Blood Level Air Bubble Hepar in Clogging Temp. Cond.
6
7 UF Rat e Heparin Time Time Lef t Temp.

600 400 300
0010 ml/h 3:30 3:59 23.0 ℃ 15.5
1 500 300 250
UF Volume Heparin Flux Na+ HCO3-
8 15
400 200 200
00000 ml 10.0 ml/ h 138 mmol/l 032 m m ol/l 14.5
300 100 150
UF Goal 9 14
200 0 100
-100
00000 ml 13.5
100 50
Blood pump Spare Pump 13
0 -200 0
-100 -300 -50

200 ml/min 200 ml/ min 12.5
mmHg mmHg mmHg mS/cm

Blood p. Heparin UF P. Spare P. Bypass 10
04.1 7
Run Bridging Return Setting MON 15:03
11 12
z Screen description:
1. Menu area
2. Current mode
3. Text area (display text information)
4. Mute button
5.Battery area (display battery capacity)
6. Alarm indicator light
7. ▲、▼arrow key(modify data)
8. Display section of concentration of Na+ and HCO3-
9. Curve button (simultaneously display Na+ curve graph and UF curve graph)
10. Running key (blood pump, heparin pump, UF pump, spare pump and bypass)
11. Function key (run key, bridging key, return key, setting key)
12.Time area
z Display for the color of running key:
It displays blue background and black font in stop status
It displays blue background and black font in start status
-35-
4.8.2 Menu description
Note:
Location of operator: 10-20 cm directly away from LCD.
z Pow er supply switch on screen
Display logo and product model on the screen.

Welcome To
JHM-2028A
z Select self -test mode
Select Self-Test Mode This menu display the information of self-test.

1:The t reat ment m odes of hemodi al ysis, hemodi af ilt rat ion, hem ofilt rat ion, hemoperfusion,
plasma exchange can be used aft er self -t est 1.
Use function key to select self-test 1, self -test
2:T he treat ment modes of hemofil tration,hemoperf usion, plasm a exchange can be used
2, skip, test.
aft er self-t est 2.
3: Press "Skip" butt on if no need self -t est. “Progress bar” dis play the selectiv e wait time.
4:B e sure wit h the temp and conductivity rate whit hin the normal range prior to hemodialysis
Color of progress bar display ：
progressing
t reatm ent .
5: Place the suct ion tubes of liquid A& B into concentrate container respect ively prior to
running sel f-test m ode 1. 1．Blue (running time)
6: Please turn to repairer if self -t est failed.
2．White (remained time)
Automatically enter into self -test mode 1 if not
Self-Test 1 Self-Test 2 Skip select self-test mode within the waiting time.
1 2
-36-
z Self-test menu
Lower Temp alarm
Self-test Lower Conductivity alarm Self test.
Blood Level Normal Spare Pump Normal
Test Gear
pump Tes t In-Pro.
The below color marks the status for every
test:
Air B ubble Test C ond.
Normal Heparin Pump Normal sy stem Test In-Pro.
test status color
V.P. Normal W at er Work
preparation
Test Temp.
Test In-pro. syst em Tes t In-Pro. test in-process yellow
normal green
A.P. Normal Tes t Balance
valve
Test in-pro
failed red
TMP Normal Test UF
pump Test in-pro The info.of current testing displays in text area.
Blood Pump Normal Test A/B
Test in-pro
Screen w ill enter into priming menu
pump
automatically when self-test finished.

Temp. 23.0 ℃ Cond. 01.0 mS/cm
z Prime rinse menu

Prime Lower Conductivity Alar m
Stopped Blood Level alarm It displays various parameters for dialy sis
TMP. A. P. V. P. Batt er y Blood Leak Blood Level Air B ubble H eparin Clogging Temp. Cond.
treatment.
UF Rate Hepari n Time Time Left Temp.
6 00 40 0 3 00
0010 ml/h 3:30 3:59 23.0 ℃ 1 5.5
Use ▲or▼ to modify the alarm range of
5 00 30 0 2 50
UF Volume Hepari n Flu x Na+ HCO3-
4 00 20 0 2 00
0000 ml 10.0 ml/h 138 mmol /l 032 mmol /l
15
TMP/AP/VP/Cond., modify the flux of blood
1 4.5
pump and UF presetting volume.

3 00 100 1 50
UF Goal 14
2 00 0 1 00
0000 ml 1 3.5
10 0 -1 00 50
Use function key to select treatment,
0 -2 00 0
- 10 0 -3 00 -50
200 ml/min 200 ml/min 1 2.5
disinfection and setting menu.
Blood p. Hepar in UF P. Spar e P. Bypass Use menu frame to select dialysis, dis infect,
04.17
Pr ime Treatment Disinfect Setting MON
15:03 and set menu and start.
Note: For the prime, press “Bypass” button to
enter “Solution-saving prime mode”.
z Dialysis menu
P rime Lower Conductivity A lar m It display the current status of HD devic e

S topped Blood Level alarm
TMP. A. P. V. P. Batt er y Blood Leak Blood Level Air B ubble H eparin Clogging Temp. Cond.
during dialysis
6 00 40 0 3 00
UF Rate Hepari n Time Time Left Temp. It display the parameters during treatment,
0010 ml/h 3:30 3:59 23.0 ℃
curve key display the preset Na+ cond. curve and
1 5.5
5 00 30 0 2 50
UF Volume Hepari n Flu x Na+ HCO3 - 15
4 00 20 0 2 00
0000 ml 10.0 ml/h 138 mmol /l 032 mmol /l
3 00 100 1 50
1 4.5 UF volume curve by graph
UF Goal 14
2 00 0
-1 00
1 00
0000 ml 1 3.5 Use ▲or▼ to modify the alarm limit of
10 0 50
Blood pump Spare Pump
TMP/AP/VP/Cond. modify flux of blood ump and
13
0 -2 00 0
- 10 0 -3 00 -50
200 ml/min 200 ml/min 1 2.5
mmHg mmHg mmHg mS/cm UF presetting volume.

Blood p. Hepar in UF P. Spar e P. B ypass
04.17
Pr ime Treatment Disinfect Setting 15:03
MON
-37-
z Curve dis play menu

Prim e
St opped
Press curve key “ ” on dialysis menu and
UF p ro file Na + pr ofile Kt /V HC O3 -
Time Le ft 4:00
UF pr o file enter into curve dis play menu of “UF profile”,
UF pro file m ean s use diff ere nt UF ra te in diffe ren t ph ase
UF R ate 2000 m /l h
in dia lysis.T he a rea of UF p rof lie me ans UF vo lume . UF G oa l 0000 ml
“Na+ profile”, “Kt/V” and “HCO3-“ .
U F ra te( m l/h ) UF Vo lume 0000 ml Press the key of “UF profile” and it w ill display
400 0
V. P. 0003
menu of UF curve.
m mHg
3000
TMP - 100 m mHg
2000
Na + 140 m mol/l If dialysia treatment time is more than 5 hours,
1000
Co nd . 00.0 m S/cm
machine w ill not go into curve display manual
Te mp . 00.0 ℃
0
through curve key-press of menu.
0 1 2 3 4 5 6
T ime (h )
Exit
Pri me
Stopped Press the key of “Na+ profile” and it will display
U F pr of ile Na + p r ofile Kt/V HCO 3-
Na + p r ofile
Time L e ft 4:00
menu of the Na+ curve.
Na+ pro file m ea ns u se d fi fer ent sodiu m c once ntr ation au tom atically
UF Ra te 2000 ml/h
in diffe ren t ph ase in d a

i lysis. UF G oa l 0000 ml
Na + con ce nt ra tio n( mm o l/l) UF Vo lume 0000 ml

160
V.P . 0003 mmHg
150
TMP -100 mmHg
140
Na + 140 mmol/l
Co nd . 00.0 mS/cm
130
Temp . 00.0 ℃
120
0 1 2 3 4 5 6
T im e (h ) Exit
Prim e
St opped Press the key of “Kt/V” and it w ill display menu
UF p ro file Na + pr o file Kt/ V HCO 3 -
4:00
If the resu lt af ter dialysis is >1 .2, it me ans dialysis ade qua cy.
Time Le ft
of the Kt/V curve.
UF Rat e 2000 ml/h
K t/V
3.0 UF Go al 0000 ml
0.0
2.5
UF Volu me 0000 ml
V .P. 0003 mmHg

2.0
TMP -100 mmHg

1.5
Na + 140 mmol/l
1.0
C on d. 00.0 mS /cm
0.5
Te mp. 00.0 ℃
0.0
0 1 2 3 4 5 6
T ime (h ) Exit
-38-
Press the key of “HCO3-“ and it will display

Prim e
Stopped
UF pr ofil e Na+ p r ofile Kt/V HCO 3 -
HCO 3- p ro file
Time L eft 4:00
menu of HCO3- curve.
U F Ra te 2000 ml/h
HCO3- standard value:35mmol/l.

HC O3- pr ofile mea ns H CO3- con cen trat ion a nd rela tive time sette d
as req uir ed d ialysis. U F Go al 0000 ml
HCO 3- (m m o l/l) s ta nd ard valu e( mmo l/l) : 3 5 U F Volu me 0000 ml

42
40
V.P. 0003 mm Hg
TMP -100 mm Hg
35 N a+ 140 mm ol/l
C on d. 00.0 mS /cm
30
Te mp. 00.0 ℃
28
0 1 2 3 4 5 6
Tim e (h )
Exit
z Set the selectiv e menu

Prime
Stopped The below setting can be selected in this
Setting Select KEY menu:
0 1 ——Dialysis Setting
Dialysis Setting Advanced Setting
2 3 ——Work Mode
Work Mode Time Setting
4 5 ——HCO3-
HCO3- Kt/V 6 7 ——Kt/V
Other Setting Shut O ff 8 9 ——Other Settings
Common Setting <- -> ——Advanced Setting
Blood Pump 210 ml /min BP Vol ume
000.0 L
Return OK ——Time Setting
——Shut Off
It can modify the flux of blood pump on the
menu.
z Dialysis setting menu

Prime
Stopped The below parameters can be set in this
dialysis setting menu:
4 : 00 3 : 30 0 1
Dialysi s Time Heparin Time
——Set dialy sis time, heparin time and flux
2 3 ——Set UF flux and UF total volume
UF Goal 0000 ml Heparin Fl ux 03.0 ml/h
4 5 ——Set Na+ basic value and Max.value
UF M ax 0000 m l/h Base Na+ 140 mm ol/l 6 7 ——Set UF curve graph
8 9 ——Set Na+ Conc. Curve graph
UF Volume 0000 ml Na+ Max 150 m mol/l
<- -> Display of fig. color:

UF Curve 0 Na+ Curve 0
Return OK Black background &white font: can input;
White background &black font: has been set.
-39-
z Advanced setting menu

Pr ime
Stopped Set the alarm value of V.P., A.P., TMP and
Advanced Setting KEY
Cond..
Adv. set Cond. save T emp. save Reserve T ube of Hep
0 1
Modify the upper & lower value of temp. alarm.
V. P. Span 200 m mHg Upper Temp. 38.5 ℃
2 3 Pipe diameter setting of blood pump and spare
A. P. Span 200 m mHg Lower Temp 34.5 ℃
4 5
pump, dialysate flow and alarm volume adjusting
Blood Pump 8mm 6 7 are also included in this menu.
T MP. Span 400 m mHg
Pipe dia. 6m m
8 9 This menu can als o display the data and
Spare Pum p 8mm
Cond. Span 1.0 mS/cm
Pipe dia.
6m m <- -> profile records of conductiv ity and temperature.
Dialysi s Flux 500 m l/mi n Alarm Volume
Return OK
Working mode setting menu

Prime
Treatment mode can be setted as follow ing
Stopped
Work Mode Setting
during in the working mode menu
Work Mode ISO UF Set Conn. Draw Reserved Reserved Reserved Reserved
——Work mode;
A : B : H2O Worke Mode Disinfect Mode Hot Dis. Mode
1:1.225:32.775 HD ——ISO UF setting;
Citric acid Heat+Citri c acid
1:1.830:34.000 ISO UF
1:1.830:34.000 Peraceti c acid Heat ——Conn. Draw.
1:2.100:34.000 Rinse Mode The working mode includes HD and ISO UF.
Acetate
Cold rinse
The disinfection mode includes citric acid
Na:1 38 K:2.0 Ca:1.7 5 Mg:0.5
Hot rinse
Ac:3.0 HCO3:32 B)NaCl:0g/l and peracetic acid.
Blood Mode
The rinse mode includes clod rinse and hot
A+B Mode
A+B
(Needle)
Double
rinse.
Single Return OK The hot dis infection mode includes “heating
+ citric acid” and “heating”.
z Time setting menu

Prim e
Stopped Time setting menu.
Time Setting KEY
Setting date, time, and week in the setting time
T ime Set Co n d c omp Temp c omp Other Co mp Result
0 1
menu.
Year M on th Dat e
2 3
20 08 01 01 This menu can also display the accumulative
4 5
Hour M i nut e D ay running time of this machine.
6 7
00 03 7
8 9
Ac cunulativ e Running T im e
<- ->
0000042 Hou r 16 m inu te
Return OK
-40-
Prime
Stopped Cond. Compare menu.
Time Setting KE Y
The scope of both the monitor upper limit and
Time Set C ond comp Temp c omp Other Comp Result
0 1
16.5 16.5 16.5 16.0
the monitor lower limit is 0.5 ～2mS/cm. The
Pre.Cond. Mi x Cond.
16.0
20.6
16.0 16.0
00.1
15.0 2 3 default value in the systerm is 1.0mS/cm.
15.5 15.5 15.5 14.0
15.0
Post Cond. 15.0 15.0
Cond. A 13.0
4 5 According to the operator’s setting, system w ill
00.1 00.1
14.5
14.0
14.5
14.0
14.5
14.0
12.0
11.0
6 7 automatically process the pre-dialysis and
Up Limit (A:B:H2O)
13.5
01.0
13.5 13.5
1 :1.2 25: 32.7 75
10.0
8 9 post-dialysis conuctivity compare. If compare
13.0 13.0 13.0 1 :1.2 60: 32.7 40 9.0
12.5
Low Limit
12.5 12.5 1 :1.8 30: 34.0 00
1 :2.1 00: 34.0 00
8.0
<- -> fails for 3 times continousely, it w ill display alarm
12.0 12.0 12.0 7.0
01.0
11.5
mS/cm
11.5
m S/ cm
11.5
mS/cm
6.0
mS/cm
Return OK message:”Cond of pre-dia and post-dia different,
please check.” If one of the 3 times compares
success, it won’t alarm and won’t choose
bypass. The compare will process during the
dialysis process.circularly.
The process information of this compare w ill
display in “Comp. Result” menu.
P rime
Stopped Temp comp. menu.
Tim e Setti ng KEY
System w ill process pre-dialysis temparature
Ti me Set Cond c omp Temp c omp Other Com p Re sult
0 1 and post-dialy sis temp.compare automatically,
41.0 41.0 41.0 41.0
Pre Temp Mix T em p
40.0 40.0 40.0 40.0 2 3 and display the information of pre-dialysis temp.
16.4 16.9
39.0 39.0 39.0 39.0
38.0 Post Temp 38.0 38.0 Temp. A 38.0

4 5 post-dialysis temp., temp setting,mix. Temp. and
16.7 16.8
6 7
37.0 37.0 37.0 37.0
36.0 36.0 36.0 36.0 temp of solution A.

Tem p. Set
35.0 35.0 35.0 35.0
8 9
34.0 36. 0 34.0 34.0 34.0
33.0 33.0 33.0 33.0

<- ->
32.0 32.0 32.0 32.0
31.0 31.0 31.0 31.0

℃ ℃ ℃ ℃
Retur n OK
-41-
Pr ime
S topped Other menu.
Time Setting KEY
This menu displays the temperature of heating
Tim e Set C on d co m p Te m p co mp Other Comp Resu lt
0 1
chamber, goal of heating chamber, average of
Pum p A Data
Heat Ch. Temp 023. 0 ℃
ml/10 0Round 01198 ml
2 3 outlet Temp., goal Cond. of A , blood leakage
G oa l o f
h ea t Ch . 021. 9 ℃
Pum p B Data
ml/10 0Round 01192 ml 4 5 feedback, communication ok, Pump A data,
Dia. Fluid
Ave ra g e o f
O u tle t Te m p.
004. 0 ℃
( ml/9 Cavit y)
00709 ml 6 7 pump B data, dialysis fluid feedback, UF Pump
G oa l C on d. o f A
( mS/c m) 000. 0 UF pum p
( 3.5 ms /Round)
00000 8 9 feedback, UF P Reference and communication
Bloo d .le ak 00035 UF P. Ref 22634300 <- -> failed.
Co m m OK 003066 Comm Faild 000013
Return OK
Prime
S topped
Comp. Result menu
Tim e Setting K EY This menu displays process information during
Tim e S et C ond comp Temp c omp Other Co mp Re sult
0 1 the compare in “cond. Compare menu”
Chec k Phase 000 Pre & Post C ond.
comp. bypass or not
Forbid
OK
2 3 “Check phase” means whih times of compare
Comp. time 000 S 4 5 it is processing;
Conduc tivit y
Dif. time
000 S 6 7 “Comp. Time” means how long it will take for
P-c ond. Chec k
D if. times 000 8 9 the compare;
Comp. Result
of Pre. & Post
Not Compare <- -> ”Conductiv ity Dif. Time” means the time
Waterw ay
Bypas s St atus
Normal
Return OK beyond the error scope in this compare result;
”P-cond.Check Dif. Times: means the times
that compare result beyond the error scope
during process of the compare;
”Comp. Result of Pre.&Post.” Means the result
of this compare;
”Waterway Bypass Status” : “Normal” means in
the status of waterway; “abnormal” means in the
status of bypass.
“Pre&Post Cond. Compa. Bypass or not”:
“Forbid” means won’t carry out bypass even if
compare failed; “OK” means carrying out bypass
when compare failed.
-42-
z HCO3 - setting menu

Prime
Stopped
In the setting menu of HCO3- , setting its
HCO3 - SetUp KEY
HCO3-(mmol/l) STANDARD:35
concentration and running time.
0 1
42 The standard value is 35mmol/L.
40
2 3
35 4 5
6 7
30
28 8 9
0 1 2 3 4 5 6
TIME(H) <- ->
HCO3- 038 mmol/l
Return OK
z Other setting menu

Pr ime
S topped The menu can be used to set the dialysate
Other Setting K EY
temperature, flow rate of bridging and
36.5 ℃ 200 0 1
Dialysis Temp. Spare P. F lux ml/min
substitution pump, and to review the times of
Bridging Flux 080 ml/min
2 3 dialysis .
Regard Spare P.
NO 4 5 The menu allows the substitution pump to
as Bl ood P. YES
6 7 be used as the blood pump (the settings selected
8 9 previously will be retained after the restart of
<- -> device); the selection may also be canceled in
Dialysi s times 0042 Ti mes
Return OK this menu.
z Softw are type of Shut off menu

Prime
Stopped Optional turn off, restart and cancel in the turn
Setting Select KEY off menu.
0 1
2 3
Shut off sy stem g
4 5
Shut Off Restart Canc el
6 7
Other Setting Shut Off 8 9
Common Setting <- ->
Blood Pump 210 ml/min BP Volume 000.0 L
Return OK
-43-
z Cleanness menu
Dis infection
S topped List the information for cleanness description.
TMP. A.P. V. P. Battery Blood Leak B lood Level Air Bubble Heparin C logging Temp. C ond.
Display the cleanness mode to be used, use

Acc or ding to su gg est ion ,do op er at ion on su ction tu be s o f liq uid( A) an d
6 00 400 300
liqu id( B)
Co nn ec t d ialysa te su pply /re tu rn tub es of dia lyze r to th e por t o f mac hin e
function key to select and start cleanness mode
1 5. 5
500 300 25 0
40 0 20 0 20 0
Rins e t ime is 1 0 min s
Ple as e d on 't sto p it d ur ing ho t d isinfe ctio n o r disin fec tion pr oc ess
15 needed.
1 4. 5
300 1 00 1 50 The d isinfe ctio n solu tion u sed in disin fec tion an d ho t dis infe ctio n is
con fec ted by th e d efin ed fo rmula 14
200 0 1 00 N ot a llow ed to re tur n to oth er mod es if th e d isinf ect o
i n or ho t d isinf ectio n
h as no t b ee n co mple ted 1 3. 5
1 00 -1 00 50
Th e mac hin e mus t g o th ro ug h d isin fec tion or h ot d isin fec tion pr oc ess 13
0 -2 00 0 a fre r eve ry tre at me nt eve ry time
1 2. 5
-1 00 -3 00 -5 0
04.17
Ri nse Disinfect Hot Di s. Return MON 15:03
z Cleanness program menu(such as disinfection)

Disinfection
Running List the information for cleanness description.
TMP . A. P. V.P. Batt ery Blood Leak Blood Level Air Bubble H eparin Cl ogging Temp. C ond.
Display the cleanness mode to be used, use
60 0 40 0 30 0
Cond. Time Left Temp. 1 5. 5
function key to select and start cleanness mode
50 0 30 0 2 50
00.0 mS/cm 0:35 34.3 ℃ 15 needed.
40 0 20 0 2 00
14. 5
30 0 10 0 15 0
14
20 0 0 10 0
13. 5
100 - 100 50
13
0 - 200 0 Rins e Dis infec t
12. 5
-1 00 - 300 - 50 1%
1%
04.17
Rinse Disinfect Hot Dis. Return MO N 15:03
1 2
4.9 Using menu—parameter setting
Prime Lower Conductivity Alar m Priming menu.

Stopped Blood Level alarm
TMP. A. P. V. P. Batt ery Blood Leak Blood Level Air B ubble H eparin Clogging Temp. Cond. Press “Setting” key on priming menu.
Screen displays setting selection menu.
6 00 40 0 3 00
0010 ml/h 3:30 3:59 23.0 ℃ 1 5.5
5 00 30 0 2 50
UF Volume Hepari n Flu x Na+ HCO3- 15
4 00 20 0 2 00
0000 ml 10.0 ml/h 138 mmol /l 032 mmol /l 1 4.5
3 00 100 1 50
UF Goal 14
2 00 0 1 00
-1 00
0000 ml 1 3.5
10 0 50
-2 00
0 0
- 10 0 -3 00 -50
200 ml/min 200 ml/min 1 2.5
Blood p. Hepar in UF P. Spar e P. Bypass

04.17
Pr ime Treatment Disinfect Setting MON
15:03
-44-
4.9.1 Set flux of blood pump
Prime
Stopped Press the fig. (flux of blood pump) which need
Setting Select K EY modifying, the fig. Color shows black background
0 1 and white font.
2 3 Press again the fig. in keyboard, input the fig.
4 5 of flux demanded.
HCO3- Kt/V 6 7 Selective range for flux of blood pump:
Pipe dia.ф6mm,20ml/min～460ml/min;
Pipe dia.ф8mm,20ml/min～620ml/min.
Common S etting <- ->
BP Vol ume
Blood Pump 210 ml /min 000.0 L
Return OK
Prime
Stopped Set selection menu.
Setting Select K EY Press “Dialysis Setting” key, the screen w ill
0 1
Dialysis Setting Advanced Setting display dialysis setting menu.
2 3
4 5
HCO3- Kt/V 6 7
Common S etting <- ->
BP Vol ume
Return OK
4.9.2 Dialysis setting menu
z Set dialysis time
P rime
Stopped The default dialysis time is 4:00.
Dialys is Setting KEY
Press the fig. (Dialysis Time) w hich need
Dialysi s Time 4 : 00 Heparin Time 3 : 30 0 1 modifying, the fig. color displays black
2 3 background and white font.
4 5 Re-press the fig. in keyboard, input the
UF Max 0000 ml/h Base Na+ 140 mmol/l 6 7 demanded time.
8 9 Selective range for dialysis time:
<- -> 0 ～ 9:59.

Return OK
-45-
z Set heparin time

P rime
Stopped Default heparin time in the menu is 3:30.
Press the fig. (Heparin Time) w hich need
Dialysi s Time 4 : 00 Heparin Time 3 : 30 0 1 modifying, the fig. color displays black
2 3 background and white font.
UF Max 0000 ml/h Base Na+ 140 mmol/l 6 7 demanded time.
8 9 Selective range for heparin time:
<- -> 0 ～ 9:59.

Return OK
z Set heparin flux

P rime
Stopped Press the fig. (Heparin Flux) whic h need
modifying, the fig. color displays black
4 : 00 3 : 30 0 1
background and white font.
4 5 demanded flux.
UF Max 0000 ml/h Base Na+ 140 mmol/l 6 7 Selective range for heparin flux:
8 9 0.1ml/h～10ml/h.
<- ->
Return OK
z Set UF volume
P rime
Stopped Press the fig. (UF Goal) w hic h needs
4 : 00 3 : 30 0 1
4 5 demanded UF volume.
UF Max 0000 ml/h Base Na+ 140 mmol/l 6 7 Selective range for UF goal:
8 9 0～16000ml.
<- ->
Return OK
-46-
z Set Na+ basic value
Press the fig. (Na+ basic value) which need

Prime
Stopped
4 : 00 3 : 30 0 1
2 3
UF Goal 0000 ml Heparin Flux 03.0 ml/h Re-press the fig. in keyboard, input the
4 5
demanded basic value.
UF Max 0000 ml/h Base Na+ 140 mmol /l 6 7
Selective range for Na+ basic value:
8 9
UF Volume 0000 ml Na+ Max 150 mmol/l 136mmol/l ～ 145mmol/l.
<- ->
Return OK
z Set Max.value of Na+ curve

Prime
Stopped Press the fig. (Na+ max. value) which need
4 : 00 3 : 30 0 1
Dialysis Time Heparin Time
2 3
UF Goal 0000 ml Heparin Flux 03.0 ml/h Re-press the fig. in keyboard, input the
4 5
demanded Na+ max.value.
UF Max 0000 ml/h Base Na+ 140 mmol/l 6 7
Selective range for Na+ max.value:
8 9
UF Volume 0000 ml Na+ Max 150 mmol/l 146mmol/l～150mmol/l.
<- ->
Return OK
z Set Na+ conc. curve and UF curve

Prime
Stopped Press the fig. of Na+ conc.Curve, re-press
the fig. in keyboard, and input the demanded Na+
4 : 00 3 : 30 0 1
Dialysis Time Heparin Time
conc. Curve graph.
2 3
UF Goal 0000 ml Heparin Flux 03.0 ml/h Na+ conc. Curve graph: 0 ～ 7.
4 5
UF Max 0000 ml/h Base Na+ 140 mmol /l 6 7
Press the fig. of UF curve, re-press the fig. in
8 9
UF Vol ume 0000 ml Na+ Max 150 mmol/l keyboard, and input the demanded UF Curve
<- -> graph.
Return OK UF Curve graph: 0 ～ 7.
After setting all the parameter, press “OK” key.

Press “Return” key, screen return to set selection
menu.
-47-
Prime
Setting Select KEY Press “Advanced Setting” key, the screen w ill
0 1 display dialysis setting menu.
2 3
4 5
HCO3- Kt/V 6 7
BP Vol ume
Return OK
Prime
Stopped Passport login menu.
Password Logon KEY
Input the preset passport in the keyboard,
0 1
Passwor d： press “OK” key, and screen display senior set
2 3
menu.
4 5
Code: 3721
6 7
8 9
<- ->
Return OK
4.9.3 Advanced setting menu
z Set V.P. span

Prime
Stopped Press the fig. (V.P span) which need
Adv. set
modifying, the fig. color dis plays black
Cond. save Temp. save Reserve Tube of Hep
0 1
V.P. Span 200 mmHg Upper T emp. 38.5 ℃
2 3
Re-press the fig. in keyboard, input the
A.P. Span 200 mmHg Lower Temp 34.5 ℃
4 5
demanded V.P. span.
Blood Pump 8mm 6 7
TMP. Span 400 mmHg
Pipe dia. 6mm
The span of venous pressure refers to the
8 9 difference between the upper and lower alarm
Spare Pump 8mm
Pipe dia.
6mm <- -> limits of venous pressure.
Di alysis Fl ux 500 ml/min Alarm Volume
Return OK Selective range for V.P. span:
50mmHg～220mmHg.
-48-
z Set A.P. span

Prime
Stopped Press the fig. (A.P span) whic h need
Adv. set
0 1
mmHg
V.P. Span 200 Upper T emp. 38.5 ℃
2 3
4 5
demanded A.P. span.
Blood Pump 8mm 6 7
TMP. Span 400 mmHg
Pipe dia. 6mm
The span of arterial pressure refers to the
8 9 difference betw een the upper and lower alarm
Spare Pump 8mm
Pipe dia.
6mm <- -> limits of arterial pressure.
Return OK Selective range for A.P. span:
100mmHg～420mmHg.
z Set TMP span

Prime
Stopped Press the fig. (TMP span) whic h need
Adv. set Cond. save Temp. save Reserve Tube of Hep
0 1
mmHg
2 3
4 5
demanded TMP. span.
Blood Pump 8mm 6 7 The span of transmembrane pressure refers to
TMP. Span 400 mmHg
Pipe dia. 6mm
8 9 the difference between the upper and lower
Spare Pump 8mm
Pipe dia.
6mm <- -> alarm limits of transmembrane pressure.
Return OK Selective range for TMP. span:
100mmHg～420mmHg.
z Set conductivity span

Prime
Stopped
Press the fig. (Cond. span) whic h need
0 1
mmHg
4 5 demanded cond. span.
Blood Pump 8mm 6 7 The span of conductivity refers to the
TMP. Span 400 mmHg
Pipe dia. 6mm
8 9 difference betw een the upper and lower alarm
Spare Pump 8mm
Pipe dia.
6mm <- -> limits of conductivity.
Return OK Selective range for cond. span:
0.8mS/cm～1.6mS/cm.
-49-
z Set upper temp. alarm
Prime
Stopped Press the fig. (Upper temp.) whic h need
0 1
mmHg
2 3
4 5
demanded upper temp. value.
Blood Pump 8mm 6 7 Selective range for upper temp. alarm:
TMP. Span 400 mmHg
Pipe dia. 6mm
8 9 37.5℃～40℃.
Spare Pump 8mm
Pipe dia.
6mm <- ->
Return OK
z Set lower temp. alarm

Prime
Stopped Press the fig. (Lower temp.) whic h need
Adv. set
0 1
mmHg
2 3
4 5
demanded lower temp. value.
Blood Pump 8mm 6 7
TMP. Span 400 mmHg
Pipe dia. 6mm
Selective range for lower temp.alarm:
8 9 33.5℃～35.5℃.
Spare Pump 8mm
Pipe dia.
6mm <- ->
Return OK
z Set dialysate flux

Prime
Stopped Press the fig. (Dialysate flux) which need
0 1
mmHg
4 5
demanded flux.
Blood Pump 8mm 6 7 Selective range for dialysate flux:
TMP. Span 400 mmHg
Pipe dia. 6mm
8 9 300ml/min～800ml/min.
Spare Pump 8mm
Pipe dia.
6mm <- ->
Return OK
-50-
z Set pump dia. Of blood pump(spare pump)
Prime
Stopped Press “○” beside the set fig. of pipe dia., it
displays“⊙”, whic h means it has been set.
0 1
mmHg
The selective range of pipe dia. for blood
2 3
pump spare pump: ф6mm
4 5
ф8mm
Blood Pump 8mm 6 7
TMP. Span 400 mmHg
Pipe dia. 6mm
8 9
Spare Pump 8mm
Pipe dia.
6mm <- ->
Return OK
z Alarm volume adjustment

Prime
Stopped On the volume line, move the indic ator position
to adjust the alarm volume, towards left (volume
0 1
reduced) or towards right (volume increased).
mmHg
2 3
4 5
Blood Pump 8mm 6 7
TMP. Span 400 mmHg
Pipe dia. 6mm
8 9
Spare Pump 8mm
Pipe dia.
6mm <- ->
Return OK
z Display the record stored by conductivity

Prime
Stopped This menu can display the conductiv ity data
Adv. set Cond. save Tem p. save Reserve Tube of Hep
records for every minute in every treatment by
0 1
T ime Pre. Back.
Cond. Cond.
Mix.
Cond.
A
Cond.
Upper
Limit
Lower Bypass
Limi t St atus
pressing ”Cond. save”, including time,
2 3
pre-dialy sis conductivity, post-dialysis
0 0:01 1 6.9 00 .0 00 .1 00 .0 14 .5 13 .5 0 002
0 0:02 1 5.2 00 .1 00 .1 00 .1 15 .5 14 .5 0 005
0 0:03 1 4.9 00 .1 00 .1 00 .1 15 .5 14 .5 0 005
4 5
0 0:04 1 4.7 00 .1 00 .1 00 .1 15 .5 14 .5 0 005 conductiv ity, mixture conductivity, conductivity A,
0 0:05 1 4.4 11.0 00 .1 00 .1 15 .0 14 .0 0 000
6 7
0 0:06
0 0:07
1 4.3
1 4.3
11.8
10.6
00 .3
00 .8
00 .3
01 .1
15 .0
15 .0
14 .0
14 .0
0 000
0 000 conductiv ity upper limit setting value,
0 0:08 1 4.2 05 .9 03 .2 03 .7 15 .0 14 .0 0 000 8 9
0 0:09 1 4.2 08 .9 04 .4 04 .8 15 .0 14 .0 0 000 conductiv ity lower limit setting value and the
0 0:10 1 4.1 07 .4 05 .4 05 .7 15 .0 14 .0 0 000
0 0:11 1 4.1 07 .8 05 .7 06 .0 15 .0 14 .0 0 000 <- -> reasson to start bypass, which the machine will
0 0:12 1 4.1 07 .6 06 .0 06 .2 15 .0 14 .0 0 000
Dat e: 2008. 12.01 09:30 Times: 0001 Page: 0001/ 0003
Prof ile Pre. record Next record Pre. page Next page
Return OK save them by itself automatically.
0000: Running normal and there is no need to
start bypass;
0001: Bypass started is choosed;
0002: Conductivity upper limit is incorrect and
start bypass;
-51-
0003: Conductivity lower limit is incorrect and

start bypass;
0004: Temperature upper limit is incorrect and
start bypass;
0005: Temperature lower limit is incorrect and
start bypass;
0006: Pre-dialysis and post-dialy sis
comparis on failure and start bypass;
0007: Cond≥15.2mS/cm;
0008: Cond≤13.0mS/cm.
Last conductiv ity data records can be checked
by pressing “Pre. record” and the last one can be
checked by pressing “Next record”; If there is
many pages in current conductivity data records,
“Pre. page” or “Next page” can be pressed.
The menu w ill display as followed if “Profile” is
pressed
Prime
Stopped This menu can display the profile records
information of pre-dialy sis conductiv ity,
Adv. set Cond. save T emp. save Reserve Tube of Hep
0 1
1 6.0
Pr e. post-dialysis conductivity, mixture conductiv ity
1 5.5 Co nd .
2 3
1 5.0
and Na+.
Bac k 4 5
1 4.5 Co nd . White: Pre-dialysis conductivity;
1 4.0
M ix.
6 7 Dark blue: Port-dialysis conductivity;
1 3.5 Co nd .
1 3.0
8 9 Green: Mixture conductiv ity;
1 2.5 Na +
<- -> Light blue: Na+ concentration;
1 2.0
( mS/cm ) 1 2 3 4 5 6 ( Hour )
Date
Dat e: 2008. 12.01 09:30
Pre. record Next record
Tim es: 0001
Reserve Reserve
Return OK Conductivity Scope: 12.0～16.0 mS/cm;
Time scope: 0～6 hour.
Press “Pre. record” or “Next record” can
display last or next conductiv ity profile records.
The menu w ill be displayed as above if “Data”
is pressed.
-52-
z Display the record stored by temperature

Prime
Stopped The menu will display the temperature data
records for every minute in every treatment by
Adv. set Cond. save T emp. save Reserve Tube of Hep
0 1
Time Pre. Back. Mix. A Temp. Chamb. Goat of pressing “Temp. save”, including time,
Temp. Temp. Temp. Temp. Set ting Tem p. heat Ch.
2 3
00:0 1
00:0 2
24 .7
32 .0
24 .8
31 .6
24 .6
32 .9
2 4.8
3 3.3
3 6.5
3 6.5
3 9.6
3 6.3
27.5
35.2 pre-dialy sis temperature, post-dialysis
00:0 3 33 .1 32 .9 33 .9 3 4.1 3 6.5 3 7.3 35.7 4 5
00:0 4 33 .8 33 .8 34 .4 3 4.6 3 6.5 3 6.9 36.2 temperature and mixture temperature,
00:0 5 35 .2 32 .9 35 .8 3 5.8 3 6.5 3 7.8 37.2
00:0 6 35 .7 32 .2 36 .3 3 6.2 3 6.5 3 8.0 37.5 6 7 Temperature A, Temperature setting value,
00:0 7 35 .9 32 .5 36 .4 3 6.4 3 6.5 3 9.8 38.3
00:0 8
00:0 9
36 .2
36 .4
34 .3
33 .3
36 .7
36 .9
3 6.7
3 6.7
3 6.5
3 6.5
3 8.2
3 9.7
38.0
38.3
8 9 Heating chamber temperature and Goat of heat
00:1 0 36 .5 34 .6 36 .9 3 6.7 3 6.5 3 9.6 38.2
00:1 1 36 .5 34 .6 37 .2 3 6.9 3 6.5 40.7 38.3 <- -> chamber,whic h the machine will save it by itself
00:1 2 36 .7 34 .4 37 .2 3 6.9 3 6.5 3 9.0 38.2
Date: 2008.12.01 09:30
Prof ile Pre. record
Tim es: 0001 Page: 0001/ 0002
Next record Pre. page Next page
Return OK automatically.
Last temperature data records can be checked
by pressing “Pre. record” and the last one can be
checked by pressing “Next record”; If there is
many pages in current temperature data records,
“Pre. page” or “Next page” can be pressed.
The menu w ill display as followed if “Profile” is
pressed
Prime
Stopped This menu can display the profile records
information of pre-dialysis temperature,
0 1
3 9.5
Pre . post-dialysis temperature, mixture temperature
3 9.0 Tem p.
2 3
3 8.5
and temperature A.
3 8.0
Back 4 5
3 7.5 Tem p. White: Pre-dialysis temperature;
3 7.0
6 7
3 6.5
3 6.0
M ix.
Tem p.
Dark blue: Port-dialysis temperature;
3 5.5 8 9 Green: Mixture temperature;
3 5.0
3 4.5
A
Tem p. <- -> Light blue: Temperature A;
3 4.0
1 2 3 4 5 6 ( Hou r)
℃
Date
Date: 2008.12. 01 09: 30
Pre. record Next record
Ti mes: 0001
Reserve Reserve
Return OK Temperature Scope: 34.0～39.5 ℃;
Time scope: 0～6 hour.
Press “Pre. record” or “Next record” can
display last or next temperature profile records.
The menu w ill be displayed as above if “Data”
is pressed.
-53-
z Set tube diameter of heparine pump

Prime Press down “Tube of Hep” key, can set heparin
Stopped
Advanced Setting KEY tube diameter on this submenu.
0 1 Tube diameter of heparin pump divides into by
Tube di ameter
of hepari n P.
by man ual
Ch oose au to.
2 3 manual and choose automatically.
4 5 Press “○” beside the set fig. of pipe dia., it
10ml
Choose heparin
tube diameter
by manual
20m l 6 7 displays“⊙”, whic h means it has been set.
30ml
8 9 Heparin pump tube diameter size has 10ml,
<- -> 20ml and 30ml.
Return OK
When heparin tube diameter choose

Prime
Stopped automatically ,the heparine pump tube diameter
Adv. set Cond. save Tem p. save Reserve Tube of Hep size is unselective.
0 1
Tube di am eter
of heparin P.
by m anu al
Cho ose auto .

2 3
4 5
10ml
Choose heparin
tube di ameter
by manual
20m l 6 7
30m l
8 9
<- ->
Return OK
Prime
Setting Select KEY Press “Work Mode” key, screen displays work
0 1 mode set menu.
2 3
4 5
HCO3- Kt/V 6 7
Blood Pum p 210 ml /m in BP Vol ume
000.0 L
Return OK
-54-

Press “Return” key, screen return to set
selection menu.
4.9.4 Work mode setting menu
z Set work mode

Prime Working mode, Disinfect mode and Hot Dis.
Stopped
Work Mode Setting mode and Blood mode can be set by pressing
Work Mode Conn. Draw Reserved Reserved Reserved
ISO UF Set Reserved
"working mode" button.
A : B : H2O Worke Mode Disinfect Mode Hot Dis. Mode
1:1.225:32.775 HD
The bicarbonate concentrate, RO water mixing
1 :1.830:34.000 ISO UF
Peraceti c acid
ratio(A:B:w ater) is set by default and it can not be
1:1.830:34.000 Heat
1:2.100:34.000
Rinse Mode
changed on this menu.
Acetate
Cold rinse When the work mode , disinfect mode, hot dis .
Na:1 38 K:2.0 Ca:1.7 5 Mg:0.5 Hot rinse
Ac:3.0 HCO3:32 B)NaCl:0g/l Mode or bloodway mode is changed, the menu
A+B Mo de
Blood Mode will display clue on relativ e confirmation or
(Needle)
A+B Double
operation error as followed.
Single Return OK
To confirm the modific ation, click "OK" button,
otherwis e click "Cancel" button.
Prime
Stopped Press “ISO UF ‘O’ ”, it displays “⊙”, whic h
Work Mode Setting
Wor k Mo de ISO UF Set Con n. Dra w Re serve d Rese rved Reser ved Re serve d means “ISO UF” mode has been selected.
A : B : H2 O Wor ke M ode Disinfect Mode Hot Dis. Mode
1:1 .225:32.775 HD
Citric acid Heat+Ci tric acid
1 :1.830:34.000 ISO UF
Peraceti c acid Heat
1:1.830:3 4.00 0
1:2.100:3 4.00 0
Rinse Mode
Acetate
Cold rinse
Na:1 38 K:2 .0 Ca:1.75 M g:0.5
Hot rinse
A c:3.0 HCO3:32 B )NaCl: 0g/l
Blood Mod e
A+B Mode (Need le)
A+B Do uble
Sing le R eturn OK
-55-
Prime
Stopped Confirmation on work mode modification.
Work Mode Setting
Work Mode ISO UF Set Conn. Draw Reserved Reserved Reserved Reserved Click “OK” to confirm modicafic ation,
A : B : H2O Work Mode Disinfect Mode Hot Dis. Mode
otherwis e click "Cancel" button.
1:1.225 :32.775 HD Citric acid Heat+Citric acid
1:1.260 :32.740 ISO UF Confi rm
1:1.830 :34.000 Are you sure to ch ange 'Work Mode'?
1:2.100 :34.000
? Hemodial ysis mode (HD)
Change to b e:
Ace tate
Na:138 K:2.0 Ca:1.75 Mg:0 .5 ISO Utrafil tration(ISO UF)
Ac:3.0 HCO3:32 B)NaCl:0g /l OK Cancel
Blood Mod e
A+B Mode (Nee dle)
A+B Doub le
Sing e
l Return OK
z Set Disinfect mode
Prime
Stopped Press “Peracetic acid ‘O’ ”, it displays “⊙”,
Work Mode Setting
Wo rk M ode I SO UF Set Con n. Dr aw Reser ved Reser ved Rese rved Reser ved whic h means “Peracetic acid” mode has been
A : B : H2O Wor ke M ode Disinf ect Mode Hot Dis. Mode selected.
1: 1. 225: 32.7 75 HD
Cit ric acid Heat+Citric acid
1:1 .83 0:34 .000 ISO UF
Peracetic acid Heat
1 :1. 830: 34. 000
1 :2. 100: 34. 000
Rinse M ode
Ace tat e
Col d rinse
Na:138 K:2.0 Ca:1 .75 Mg: 0.5
Hot rinse
Ac:3.0 HCO3:3 2 B) Na Cl:0g /l
Blood Mod e
A+ B M ode (Need le)
A+ B Do uble
Sing le Retu rn OK
Pr ime
Stopped Confirmation on disinfect mode modification.
Work Mode Setting
Work Mode I SO UF Set Conn. Draw Reserved Reserved Reserved Reserved
Click “OK” to confirm modicafic ation,
A : B : H2O W ork M ode Disinfect Mode Hot Di s. Mode otherwis e click "Cancel" button.
1: 1.225 :32. 775 HD
Citric aci d Heat+Citric aci d
1: 1.830 :34. 000 ISO UF Confirm
1: 1.830 :34. 000 Are you su re to change 'Disi nfect Mode'?
1: 2.100 :34. 000
Acet ate
? Citri c acid
Change to be:
Peracetic acid
Na:13 8 K:2. 0 Ca :1.75 Mg:0. 5
OK Can cel
Ac:3.0 HCO3 :32 B) Na Cl:0g/l
Bloo d Mo de
A+B M ode (Ne edle)
A+B Doub le
Single Re turn OK
-56-
z Set of rinse mode

Prime
Stopped Press “Hot rinse ‘○’” point to display “⊙”,
Work Mode Setting
Wo rk M od e ISO UF Set Conn . Dra w Reser ved Rese rve d Re ser ved Reser ved and then press button “Confirm”. “Hot rinse”
A : B : H 2O Work e M ode Disi nfect Mode Hot Dis. Mode
1:1.225:32.775 HD
Citric aci d Heat+Ci tric aci d
1:1.8 30:34.0 00 ISO UF
Peracetic acid Heat
1:1 .830 :34 .00 0
1:2 .100 :34 .00 0
Ri nse Mode
Acetate
Col d rinse
Na:138 K:2.0 Ca:1.75 M g:0.5
Hot rinse
Ac:3.0 HCO3 :32 B)NaCl:0g/l
Blo od M ode
A+B Mode ( Need e
l )
A+B Dou ble
Single Return OK
Prime
Stopped Confirm again the information to change
Work Mode Setting
the rinse mode:
A : B : H 2O Work Mode Disinfect Mode Hot Di s. Mode To confirm the change, press “Confirm”
1:1.225 :32 .77 5 HD
1:1.830 :34 .00 0 ISO UF C onfirm
Citric acid Heat+Citric acid
button; the device is switched to hot rinse
1:1.830 :34 .00 0 Are yo u sure to cha nge 'rinse Mode'?
1:2.100 :34 .00 0
mode follow ing the confirmation; otherwise
Acetate
? 'col d ri nse' Change tobe:'hot ri nse'
Na:138 K:2 .0 Ca:1.75 Mg:0.5

press the button “Cancel” to stay in “Cold
OK Can cel
rinse” mode.
Ac:3 .0 HCO3:32 B)NaCl:0g/l
Blo od M od e
A+B Mo de ( Need le)
A+B Dou ble
Sing e
l Return OK
z Set Hot Dis. Mode
Prime
Stopped Press“Heat ‘O’ ”, it displays “⊙”, whic h
Work Mode Setting
Wor k Mo de ISO UF Set Con n. Dra w Re serve d Rese rved Reser ved Re serve d means “Heat” mode has been selected.
A : B : H2 O Wor ke M ode Disinfect Mode Hot Dis. Mode
1:1 .225:32.775 HD
Citric acid Heat+Ci tric acid
1 :1.830:34.000 ISO UF
1:1.830:3 4.00 0
1:2.100:3 4.00 0
Rinse Mode
Acetate
Cold rinse
Na:1 38 K:2 .0 Ca:1.75 M g:0.5
Hot rinse
Ac:3.0 HCO3:32 B)NaCl: 0g/l
Blood Mod e
A+B Mode (Need le)
A+B Do uble
Sing le R eturn OK
-57-
Pr ime
Stopped Confirmation on hot dis. mode modification.
Work Mode Setting
Work M ode ISO UF Set Conn. Draw Reserved Reserved Reserved Reserved
Click “OK” to confirm modicafic ation,
A : B : H2O Work Mo de Di sinfect Mode Hot Dis. Mode otherwis e click "Cancel" button.
1:1.2 25:32.7 75 HD
Citri c acid Heat+Citri c acid
1:1.8 30:34.0 00 ISO UF Confirm
1:1.8 30:34.0 00 Are you su re to ch ange 'Hot Dis. Mode'?
1:2.1 00:34.0 00
? Heat+Ci tric acid
Chan ge to be:
Acetate
Heat
Na:138 K:2.0 Ca:1.75 M g:0.5
OK Ca ncel
Ac:3. 0 HCO 3:32 B )NaCl:0g/l
Bloo d M ode
A+B Mode (Ne edle )
A+B Dou ble
Single Re turn OK
z Set single needle treatment
Prime
Stopped
Select “Single ‘O’ ”, it displays “⊙”, that means
Work Mode Setting
Wor k Mo de Re serve d
single needle mode has been selected.
ISO UF Set Conn . Draw Re serve d Re serve d Rese rved
A : B : H2O Worke Mo de Disinfect Mode Hot Dis. M ode

1:1.22 5:32 .775 HD
1 :1.830:34.000 ISO UF
1:1.830:34.000
1:2.100:34.000
Rinse Mode
Acetate
Cold rinse
Na:1 38 K:2.0 Ca:1.7 5 Mg:0.5
Hot rinse
Ac:3.0 HCO3:32 B)NaCl:0g/l
Bloo d M ode
A+B Mo de ( Ne edle )
A+ B Dou ble
Single Return OK
Prime
Stopped Confirmation on bloodway mode modification.
Work Mode S etting
Work Mode IS O UF Set Conn. Draw Res erv ed Res erv ed Res erv ed Reserved Click “OK” to confirm modicafic ation,
A : B : H 2O Work Mode Dis infec t M ode Hot Di s. Mode
otherwise click "Cancel" button.
1 :1.225:32.77 5 HD
Cit ric ac id Heat+Citric ac id
1 :1.830:34.00 0 IS O UF Con firm
1 :1.830:34.00 0 Are you sure to chan ge 'Blood Mode'?
1 :2.100:34.00 0
? Double Needle Trea tment
Change to be:
Ace tate
Na:138 K :2.0 Ca:1.75 M g:0.5
Single Needle Trea tment
OK Can cel
Ac:3.0 HCO3:32 B )NaCl:0g/l
B loo d Mo de
A+B Mode (Nee dle)
A +B Doub e
l
S ingle Return OK
z Set ISO UF parameter
-58-
Prime
Stopped Click "ISO UF setting" button, ISO UF time,
Work Mode Setting
double needle ISO UF volume and single
needle ISO UF volume can be set in this menu.
0 1
Optional range of ISO UF: 0 ~ 9:59;
ISO UF Time 0 : 30 2 3
Optional range of double needle ISO UF: 0 ~
Double Needle
0000 ml 4 5
ISO UF Goal
8000ml;
Sin gle Nee dle
6 7
ISO UF Goal 0000 ml
Optional range of single needle ISO UF: 0 ~
8 9
ISO UF Volume 0000 ml 2000ml.
Software ed iti on is: V9.68 EN Return OK Press the data needed to be modified and the
data will be displayed in white and with black
background, then press the number in the
keyboard for input. After setting, click "OK"
button to confirm.
Prime
Stopped
When the set volume of the double needle
Work Mode Setting
ISO UF exceeds Max. residue volume, the
system displays the prompt, press the button

0 1
Alarm
“Confirm” and input again the total volume of the
2 3
! setti ng time over max.resi dal valu e ! double needle ISO UF.
please in put a gain then press 'ok' ! 4 5
OK 6 7
8 9
ISO UF Volume
0000 ml
Software edi tion is: V9.68 EN
Return OK
z Pipe connection diagram in HD (ISO UF) mode

Prime
Stopped Press "Conn. Draw" button and this sub-menu
Work Mode Setting
can dis play HD (ISO UF) and hot disinfection
B. P. The Left diagram is the pipe diagram in HD
Heparin HD(ISO UF)
(ISO UF) mode.

Reserved
A. P.
Reserved
Di alyzer
Spare P.
Hot Disfect.
Air Bubble
Reserved
Blood Level V. P. Return OK
-59-
P rim e
S topped The Left diagram is the pipe diagram in rinse
W or k M ode S etting
Work M ode ISO UF Set Conn. Draw Reserved Reserved Reserved Reserved
and hot dis infection
A Port B Port suppl y port return port
To machine To m achine To machine T o machine HD(ISO UF)
Reserved
Reserved
Hot disfect.
Reserved
rinse, hot disi nfection, tube connect ion draw

Return OK

menu.
Prime
Setting Select K EY Press “Time Setting” key, screen time setting
0 1
Dialysis Setting Advanced Setting menu.
2 3
4 5
HCO3- Kt/V 6 7
Comm on S etting <- ->
000.0 L
Return OK
4.9.5 Time setting menu
z Setting date
Prim e
Stopped Press the date which need to revis e,the color
Time Setting KEY
of it dis play black background.and white font.
T ime Set Co n d c om p T em p c om p Other Co mp Result
0 1
Then press the figure of the keyboard,and
Year M on th Dat e
2 3
input the needed date.
20 08 01 01
4 5
Hour M i nut e D ay
6 7
00 03 7
8 9
Ac cunulativ e Running T im e
<- ->
0000042 Hou r 16 m inu te
R etu rn OK
-60-
z Setting time
Prime
Stopped Press the time and week which need to revis e,
Time Setting KEY
the color of it display black background, and
T ime Set Cond c omp Temp c omp Other Comp Result
0 1
white font.
Year Mon th Date
2 3
20 08 01 01 Then press the figure of the keyboard, and
4 5
Hour Mi nute D ay input the needed time and week.
6 7
00 03 7
8 9
Ac cunulativ e Running T ime
<- ->
0000042 Hou r 16 minu te
R etu rn OK
z Setting up limit
Prime
Stopped Press the date of Up Limit needed to be
Time Setting KEY
modified and input necessary value.
T ime Set Cond c omp Temp comp O ther Comp Result
0 1
16.5 16.5 16.5 16.0
Scope of Up Limit: 0.5～2mS/cm.
Pre.Cond. Mix Cond.
16.0
20.6
16.0 16.0
00.1
15.0 2 3
15.5 15.5 15.5 14.0
15.0 Post Cond. 15.0 15.0 Cond. A 13.0

4 5
00.1 00.1
6 7
14.5 14.5 14.5 12.0
14.0 14.0 14.0 11.0
Up Limit (A:B:H2O)
13.5
01.0
13.5 13.5
1: 1.22 5:32 .77 5
10.0
8 9
13.0 13.0 13.0 1: 1.26 0:32 .74 0 9.0
12.5
Low Li mit
12.5 12.5
1: 1.83 0:34 .00 0
1: 2.10 0:34 .00 0
8.0 <- ->
12.0 12.0 12.0 7.0
01.0
11.5 11.5 11.5 6.0
m S/ cm m S/cm mS/cm m S/c m Return OK
z Setting low limit
-61-
P rime
Stopped Press the date of Low Limit needed to be
Time Setting KEY
modified and input necessary value.
Ti me Set Co nd c om p Tem p co m p Other Com p Re sult
0 1
16.5 16.5 16.5 16.0
Scope of Low Limit: 0.5～2mS/cm.
Pre.Cond. Mix Cond.
16.0
20.6 16.0 16.0
00.1 15.0 2 3
15.5 15.5 15.5 14.0
15.0 Post Cond. 15.0 15.0 Cond. A 13.0

4 5
00.1 00.1
6 7
14.5 14.5 14.5 12.0
14.0 14.0 14.0 11.0
Up Lim it (A:B:H2O)
13.5
01.0
13.5 13.5
1:1 .22 5:32 .77 5
10.0
8 9
13.0 13.0 13.0 1:1 .26 0:32 .74 0 9.0
12.5
Low Lim it
12.5 12.5 1:1 .83 0:34 .00 0
1:2 .10 0:34 .00 0
8.0
<- ->
12.0 12.0 12.0 7.0
01.0
11.5 11.5 11.5 6.0
m S/c m mS/cm m S/cm m S/c m Return OK
z Setting bypass
Prime
S topped
Press “OK” means it will go bypass when
Time Setting K EY comparis on between pre-dialysis conductiv ity
Time Set C on d co m p T em p c om p Other Co mp Re sult
0 1 and post-dialy sis conductiv ity is failing.
F or bid
Ch ec k Ph a se 000 Pre & Po st C on d .
co m p. b yp ass o r no t OK
2 3
Co m p. tim e 000 S
4 5
Co nd uc tivit y
Dif. tim e 000 S
6 7
P-c on d. Ch ec k
D if. tim es 000 8 9
Co m p. Re su lt
of Pr e. & Po st
Not Co mp are <- ->
Wa te rw ay
Nor ma l
Byp as s St atu s
Return OK

selection menu.
Prime
Setting Select K EY Press “HCO3-” key, screen displays HCO3-
0 1
Dialysis Setting Advanced Setting set menu.
2 3
4 5
HCO3- Kt/V 6 7
000.0 L
Return OK
-62-
4.9.6 HCO3- setting menu
z Setting HCO3- concentration

P rime
S topped Press figure of HCO3- concentration whic h
HCO3 - S etUp
HCO3-(mmol/l) STANDARD:35
K EY
needed to revis e,the color of it display black
0 1
42 background.and white font.
40
2 3
Then press the number of the keyboard,and
4 5
35
input the its concentration.
6 7 Optional scope of HCO3- concentration:
30
28 8 9 28mmol/L ～ 42mmol/L.
0 1 2 3 4 5 6
TIME(H) <- ->
HCO3- 038 mmol/l
R etu rn OK
Prime
Setting Select K EY Press “Kt/V” key, screen displays Kt/V set
0 1 menu.
2 3
4 5
HCO3- Kt/V 6 7
BP Vol ume
Return OK
4.9.7 Kt/V setting menu
z Set dialysis volume measure

Prime
Stopped In the menu of “Patient data”, patients’ height
dialysis volume measure
Kt /V UR R SP1 2 po o l nP CR TACu re a
Pa tie n t d a ta and weight can be set through keyboard, and
He igh t W e igh t
Ca libr a tio n sh ou ld b e d o ne w he n Kt/ V t es ts ina cc ur a tel y.
In ca lib ra tio n , m a ch ine s ho u ld be in p r im e Kt/V function
Ban 170 cm 060 k g sex can be selected.
st at us . Pr e co nd itio n o n su cce ss fu l ca lib ra tio n : Pr e -d ia lysis OK
M a le
co n du ct ivity a nd p o st- dia ly sis co nd u ctiv ity sh ou ld b e in th e ra ng e o f G en d er
Fe ma le
13 .0 -1 5 .0 m S/c m , t he e rr o r be tw ee n th em sh ou ld b e les s t ha n 1 .0 m S/c m .
k ey bo a rd
Be g in Ca libr a tio n 0%
1 2 3
4 5 6
Pre-dialysis 00.0 m S/ cm 7 8 9
m S/ cm
0 OK
Pos t-dialysis 00.0
Ex it
-63-
z Kt/V Calibration
Prim e
S topped Press key of “Kt/V” and it will display Kt/V
Kt /V U RR SP 12 po ol n PCR TACu re a
Pa tien t d a ta
He igh t We igh t
calibration menu.
Ca libr at ion sh ou ld b e do ne wh en Kt/ V te sts ina ccu r ate ly.
In ca lib ra tion , ma chin e sh ou ld b e in pr ime Kt/ V fu ncti on
Ban
OK
170 cm 060 k g
Press“○”in front of “OK” key to start Kt/V
s tat us . Pr eco nd itio n on su cce ssfu l c alib ra tion : Pr e- d ialys is Ma le
c on du ctiv ity a nd p os t-d ialy sis c on du ctiv ity s ho uld b e in th e ra ng e o f
1 3.0 -1 5. 0 mS/ cm, th e er ro r be twe en th em s ho uld be le ss tha n 1.0 mS/cm.
Ge nd er
Fe ma le function. If it dis plays “⊙”, it means Kt/V function
ke yb oa rd
is already started.
Be gin Ca libr at ion 0% 1 2 3
This menu displays pre-dialy sis and
4 5 6
P re-d ialysi s 00.0 mS/cm 7 8 9 post-dialysis value.
P ost-di alysi s 00.0 mS/cm
0 OK In priming condition, press “start calibration”
Exi t
key to process Kt/V calibration.
The precondition of calibration successful is
showed as this menu.
z URR
Prime
St opped Press the key of “URR” and URR menu w ill be
dialysi s volum e m easure
Kt/ V U RR SP12 po o l n PCR TACur e a

Pa tie nt da ta
H eig ht W eig ht
displayed.
Dialys is urea reduct ion rate jus t reflec ts reduct ion percentage of solute
ins tead of act ul a solute-removing index . >70% indic ates dialy sis adequac y.
170 c m 060 kg
In URR menu, the first pre-dialysis BUN
Only for ref erence! Pleas e ref er to act ual clinic al for analy sis . Ma le
Ge n de r
Fe m ale volume and the first post-dialysis BUN volume
Fi rst pre-di al ysis BUN: 00.0 m m o l/l k eyb o ar d
can be set.
1 2 3
Fi rst post-dial ysis BUN: 00.0 m m o l/l Optional scope of the first pre-dialysis BUN
4 5 6
Dial ysis u rea redu cti on rate(URR): 0 % 7 8 9 volume : 0 ～ 50 mmol/l.
0 OK Optional scope of the first post-dialy sis BUN
Exit volume : 0 ～ 50 mmol/l.
After input finis hed, declining rate of dialy sis
urea (URR) w ill be worked out automatically.
z SRI2pool
-64-
Prime
St opped Press“SRI2pool” key and it w ill display the
Kt/V URR SP12 po ol nPCR TACur ea

Pat ien t d ata
He igh t Weig ht
menu“SRI2pool”.
P ool I I s olut e clearance index , a parameter c alc ul at ed by urea kinetic cm 060 kg
mo d e l, in d ica te s so lu te r em ov ing i nd e x i n dia ly sis . SR I>7 0 % in d ica te s
170
In the SRI2pool menu, the first pre-dialy sis
dia ly sis a de q ua cy . On ly fo r r ef er e nc e ! Pl ea se r e fe r to a ct ua l c lin ica l Male
fo r an a lys is. Ge nd er
Female BUN volume,the first post-dialysis BUN volume
First pre-d ialysi s BUN: 00.0 mmo l/l ke ybo a rd
and UF volume can be set.
1 2 3
First post-di alysis BUN: 00.0 mmo l/l Optional scope of the first pre-dialysis BUN
4 5 6
UF V olume 0000 ml
7 8 9 volume : 0 ～ 50 mmol/l.
Poo l II solu te clearance i ndex: 0 %
0 OK Optional scope of the first post-dialy sis BUN
(S R12po ol):
Exit volume : 0 ～ 50 mmol/l.
Optional scope of UF volume : 0 ～ 9999ml.
After input finished, solute clearance index of
Chamber II (SRI2pool) can be worked out
automatically.
z nPCR
P rime
S topped Press the key of “nPCR”, it w ill display the
dialysis volum e measure
Kt/V UR R SP 12 po ol nPC R TAC ur ea

Pat ien t d at a
He igh t We igh t
“nPCR” menu.
N ormal protein catabolism rat e. The protein int ak es f or dialy sis pat ient s cm 060 k g
s hould be more than 1. 1(g/k g. d), then nPCR w ill be m ore than 1.1(g/k g.d)
170
In “nPCR” menu, dialysis interphase Urine
t oo. When nPC R is les s than 0. 8(g/k g.d), it means malnut rit ion and Ma le
inadequat e dial ysi s rate w ill be high. Only for ref erence! Pleas e ref er
t o ac tual c linical f or analys is.
Ge nd er
Fe ma le volume, dialysis interval time, dialysis interphase
U rine v olume in dialy sis interphase: 0000 ml
ke yb oa rd
inner urine BUN, the first post-dialysis BUN, the
1 2 3
Interval t ime of dialy sis : 0000 min second pre-dialysis BUN can be set separately.
4 5 6
U rine BU N in dialys is int erphas e: 00.0 mmol/l
7 8 9 Optional scope of dialysis interphase urine

First pos t-dial ysi s B UN : 00.0 mmol/l
Sec ond pre-dialys is BUN : 00.0 mmol/l

0 OK volume : 0 ～ 9999ml.
N ormal prot ei n catabol ism rate(nP CR ): 0 g/ kg. d Exi t Optional scope of the dialysis interval time :
0 ～ 9999min.
Optional interphase inner urine BUN: 0 ～
50mmol/l.
Optional scope of the first post-dialysis
BUN : 0 ～ 50 mmol/l.
Optional scope of the second pre-dialysis
After input finis hed, the standard protein
decomposing rate (nPCR) can be worked out
automatically.
z TACurea
-65-
Prime
St opped Press the key of “TACurea”, it w ill
Kt/ V U RR SP12pool nPC R TAC urea

Pati ent data
Height Wei ght
display ”TACurea” menu.
Time Average Conc entrat ions of Urea reflects sy nt hesis si tuation of dialy- cm 060 kg
sis urea remov index and patient's prot ein metabolis m. TAC urea>50(mg/ d)
170
In” TACurea” menu, the first pre-dialysis BUN,
means ref erence index for dialys is adequac y. It indicates cardiovas cular, Male
nerv ous sys tem of alimentary c anal and other long-term complic ati ons
i nc reas e. Only for reference! pleas e refer to actual clinical f or analy sis.
Gender
Female the first post-dialysis BUN, the second
First pre-dialysis BU N: 00.0 mmol/l
keyboard
pre-dialy sis BUN, dialysis time and dialysis
First post -dialysi s BU N: 00.0 mmol/l 1 2 3
interval time can be set.
Sec ond pre-dialysis BU N: 00.0 mmol/l 4 5 6
D ialysis time: 0000 min 7 8 9 Optional scope of the first pre-dialysis BUN :
D ialysis interv al time: 0000 min 0 OK 0 ～ 50 mmol/l.
Time A verage C oncentrat ions
0 mg/dl
of Urea(TACurea):
Exit Optional scope of the first post-dialysis BUN :
0 ～ 50 mmol/l.
Optional scope of the second pre-dialy sis
Optional scope of dialysis time: 0 ～ 9999min
Optional scope of dialy sis interval time: 0 ～
9999min.
After input finished, time average
concentration of the urea (TACurea) can be
worked out automatically.
Prime
Setting Select KEY Press “Other Setting” key, screen displays
0 1 other setting menu.
2 3
4 5
HCO3- Kt/V 6 7
B lood Pum p 210 ml /m in BP Vol ume
000.0 L
Return OK

selection menu.
4.9.8 Other setting menu

-66-
z Setting dialysate temp.

Prime
Stopped Press the fig. (Dialysis Temp.) whic h need
Other Setting KEY
36.5 ℃ 200 0 1
Dialysis Temp. Spare P. Fl ux ml/ min
Bridging Flux 080 m l/min
Regard Spare P.
NO 4 5 demanded dialysis temp.
as Blood P . YES
6 7 Selective range for dialy sis temp.:
8 9 35℃～39℃.
<- ->
Dialysis t imes 0042 Times
Return OK
z Setting bridging flux

Prime
Stopped Press the fig. (Bridging Flux) which need
Other Setting KEY
36.5 ℃ 200 0 1
Dialysis Temp. Spare P. Fl ux ml/ min
2 3
Bridging Flux 080 m l/min Re-press the fig. in keyboard, input the
Regard Spare P.
NO 4 5 demanded bridging flux.
as Blood P . YES
6 7 Selective range for bridging flux:
8 9 50ml/min～120ml/min.
<- ->
Return OK
z Setting flux of spare pump

Prime
Stopped Press the fig. (Spare Pump Flux) which need
Other Setting KEY
36.5 200 0 1
Dialysis Temp. ℃ Spare P. Fl ux ml/ min
2 3
Regard Spare P.
NO 4 5 demanded flux.
as Blood P . YES
6 7 Selective range for spare-pump flux:
8 9 Pipe dia.ф6mm,20ml/min～460ml/min;
<- -> Pipe dia.ф8mm,20ml/min～620ml/min.
Return OK
z Setting pump acts as blood pump
-67-
Prime
Stopped Press “○” for yes ， it displays “⊙”,whic h
Other Setting KEY
means that spare pump acts as blood pump.
Dialysis Temp. 36.5 ℃ Spare P. Fl ux 200 ml/ min
0 1

2 3
Regard Spare P.
NO 4 5
as Blood P . YES
6 7
8 9
<- ->
Return OK
Prime
Setting Select KEY Press “Shut Off” key, screen dis plays shut off
0 1
Dialysis Setting Advanced Setting menu.
2 3
4 5
HCO3- Kt/V 6 7
000.0 L
Return OK
4.9.9 Shut off menu

z Operate the software type of Shut off menu
Prime
Stopped Press “Shut Off” key, machine can turn off
Setting Select KEY automatically.
0 1
Dialy sis Setting Advanced Setting
2 3
Shut off system g
4 5
Shut Off Restart Cancel
6 7
B lood P ump 210 m l/m in B P V olum e 000.0 L
Return OK

menu.
z Restart
-68-
Prime
Stopped Press “Restart” key, machine can restart
Setting Select KEY automatically.
0 1
Dialy sis Setting Advanced Setting
2 3
Shut off system g
4 5
Shut Off Restart Cancel
6 7
B lood P ump 210 m l/m in B P V olum e 000.0 L
Return OK
Prime
Setting Select KEY Press “Return” key, screen displays priming
0 1 menu.
2 3
4 5
HCO3- Kt/V 6 7
000.0 L
Return OK
4.9.10 Priming menu

z Modify the range of alarm limit(i.e.: modify V.P. alarm limit)
Prime Lower Conductivity Alarm
Stopped Blood Level alarm Prime rinse or dialysis menu.
TMP. A.P. V.P. Battery Blood Leak Blood Level Air Bubble H eparin Clogging Temp. C ond.
Press ▲or ▼ key to modify the V.P. alarm
UF Rate Hep arin T im e Time Left Temp.
6 00 4 00 30 0
0010 m l/ h 3:30 3:59 23.0 ℃
limit.
15 .5
5 00 3 00 25 0
UF Volume Hep arin F lux Na+ HCO3- 15
400 2 00 20 0
0000 m l 10.0 m l/h 138 m mol /l 032 mm ol/ l
14 .5
3 00 10 0 15 0
UF Goal 14
2 00 0 10 0
- 10 0
0000 m l 13 .5
1 00 50
- 20 0
0 0
-10 0 - 30 0 - 50
200 m l/ min 200 ml/ mi n 12 .5
m m Hg m mHg m mHg m S /cm
Blood p. Heparin UF P. Spare P. Bypass

04.17
Prime Treatment Disinfect Setting 15:03
MON
-69-

Stopped Blood Level alarm Press “Prime” button and the system
TMP. A. P. V.P. Batt ery Bl ood Leak Blood Level Air Bubble Heparin Clogging Temp. Cond.
displays the prompt.
UF Rate He pa rin T im e Time Left Temp.
60 0 40 0 30 0
0010 m l/h 3:30 3:59 23.0 ℃
Press “Confirm” to start prime; press
1 5. 5
50 0 30 0 2 50
40 0 20 0 2 00
Confirm 15 “Cancel” not to start prime as shown in left
It will shif t to Prime, But syst em det ect s that: 14 .5
30 0 10 0 15 0 1.Conductivity i s incorrect .
figure.
20 0 0 10 0
? 2. Temperature is i ncorrect .
T herefore, It f orbi ds to pum p blood and treat.
14
13 .5
1 00 -1 00 50
OK Cancel 13
0 -2 00 0
-1 00 -3 00 - 50
200 m l/m in 200 m l/ m in 12 .5
mm Hg mm Hg m mHg mS / cm

04.17
Prime Treatment Disinfect Setting MON 15:03
4.10 Tone mute function
Press “ ” key on screen to cancel the
alarm voice.
The alarm info. won’t be displayed in text area
until the malfunction is resolved .
4.11 UF test
Press button “sampling port 1 of UF fluid”,

when UF sampling tube is bounced out, it means
the test the test has been started.. Please put
measure container on place of “sampling port 2
of UF fluid” and collect the liquid from UF
sampling tube.
After the test, comparing the UF dialysate (flow
out from sampling inlet) measure result w ith the
set UF volume to get the UF precis ion.
-70-
5 Treatment
5.1 Preparation work
5.1.1 Start to run JHM-2028A Hemodialysis device
Note:
Please make sure the follow ing preparation work has been done
before using the HD device.
1) The connection betw een the HD device and the RO water supply
system has been done.
2) The connection between the HD device and the drainage system
has been done.
3) The connection betw een the HD device and the power supply
system has been done.
When the hemodialysis machine is running, don't run the other device
whic h will transmit electromagnetic wave or radio wave as this kind of
device will bring work malfunction to hemodialysis machine.
5.1.1.1 A+B common dialysis mode
Put A/B concentration absorbed tube into

corresponding container, then connect the
dialysate supply and return tube onto dialyzer
respectively.
-71-
Open the water supplier system of RO water.
Open the power switch on the back of the

hemodialysis devic e.
Press the key of “Power”, power-supply

indicator (green) shines.
The waterway of the hemodialysis will run.
5.1.2 Self-test of function
Condition of starting self -test:

z Connect with power supply
z Disinfection finished
Select S elf-Test Mode Display selectiv e self -test mode.

1:The t reatm ent modes of hemodialys is ,hemodi af iltrati on, hemof iltration,hemoperf usion,
plas ma exc hange c an be used af ter s el f-test 1.
Progressing-bar dis plays (green color) the
2:The t reat ment modes of hemof iltration,hemoperf usion, plas ma ex change can be us ed
waiting time.
after s elf-tes t 2.
3:P res s "Sk ip" but ton if no need self -t est .

Press “Self -Test 1” （or “Self-Test 2”）.
4:B e sure with the tem p and conduc tiv it y rate whit hi n the normal range prior to hemodialy sis
t reatment.
5:P lace the s uc tion t ubes of liquid A &B into c onc entrate c ont ainer respec tiv el y prior to
running self -t est mode 1.
6: Please t urn to repairer if s elf -test f ail ed.
Self- Tes t 1 Self-T es t 2 Sk ip
-72-
Note:
In the procedure of test-self , if the system inspects that system didn’t
undergo the procedure of disinfection or it was not finis hed last time, the
system will run this procedure automatically, until it is finished.
The signal light (yellow) shine.
Lower Temp alarm

Self-test Lower Conductivity alarm Self-test menu 1 display.
Test Gear
Blood Level Normal Spare Pump Normal pump Test In-Pro. Function self-test start automatically.
Air Bubble Normal Heparin Pump Normal Test Cond.
s yst em Test I n-Pro. The test steps in -precess will be highlighted with
V.P. Normal Water Work Tes t Temp. color （refer to 4.8.2）.

preparation Test In-pro. sys tem Test In-Pro.
If one function test didn’t pass, the failure

A.P. Normal Tes t Balance
Test in-pro
valve
information (for alarm) will be displayed in the text
Test UF
Normal
TMP pump Test in-pro area.
Blood Pump Normal Test A/B
pump Test in-pro Note: In self-test, when “Blood pump available”
T emp. 23.0 ℃ Cond. 01.0 m S/ cm prompted in the system, press the button of
tube-loading of blood pump for 3 seconds to start
the blood pump whic h will rotate at the speed of
150 ml/min; press the button of tube-loading of
blood pump for 3 seconds again to stop the blood
pump.

Stopped Blood Level alarm When the self -test finis hed, the system
TMP. A.P. V.P. Battery Blood Leak Blood Level Air Bubble Heparin Clogging Temp. Cond.
enters automatically the prime condition while
6 00 4 00 30 0
0010 m l/ h 3:30 3:59 23.0 ℃
the temperature and conductivity become stable
15 .5
and the button “Prime” turns to green.

5 00 3 00 25 0
UF Volume Hep arin F lux Na+ HCO3- 15
400 2 00 20 0
14 .5
3 00 10 0 15 0
UF Goal 14
2 00 0 10 0
- 10 0
0000 m l 13 .5
1 00 50
- 20 0
0 0
-10 0 - 30 0 - 50
200 m l/ min 200 ml/ mi n 12 .5
Blood p. Heparin UF P. Spar e P. Bypas s

04.17
MON
-73-
Prime Lower Conduc tivity Alarm

Click the button “Prime”, the system
TMP . A. P. V.P. B at tery B lood Leak B lood Lev el Air Bubble Heparin Clogging Temp. Cond.
displays the prompt, press “Confirm” to close
UF Rate H epa rin T im e Time Left Temp. priming or press “Cancel” to stay in priming
60 0 4 00 3 00
0010 m l/ h 3:30 3:59 23.0 ℃ 15 .5 state.
50 0 3 00 2 50
40 0 2 00 2 00
Confirm 15
When the conductivity or temperature is
will close the whole wat er way, 14 .5
30 0 10 0 15 0 i t wi ll t ake long t ime to resume incorrect, it is not allow ed to perform the blood
0 10 0 ? 14
drawing or treatment.
20 0
13 .5
- 10 0
10 0 50
OK Cancel 13
0 - 20 0 0
-1 00 - 30 0 - 50
200 m l/ mi n 200 ml/ m in 12 .5
mm Hg m mHg m mH g m S/ cm

04.17
Note：
If the system didn’t pass the function self-test, please turn off the machine
and re-press “power” button for re-test.
Warning:
Do undergo the disinfection before the first treatment.
5.1.3 The supply of the dialysate
Put the connector of A concentrate water tube (red) into the A concentration water container.
Put the connector of B concentrate water tube (blue) into the B concentration water container.
-74-
5.1.4 The installation of the injector
Rotate the knob of press head clockwis e to

keep the press head move upwards and
downwards.
Pull the clamp of needle cartridge, outwards,

install the injector w ith full liquor into the press
head and pump holder.
Rotate the knob counterclockwis e to fix the
press head.
Note :
Wings of injection should be in the fixed slot.
Refer to 4.2.2 for the name of parts
-75-
5.1.5 The installation of the blood pipe system
The sketch diagram of the blood pipe system
The installation of the blood pump pipe

Open the cover of the pump, put the entry of the blood pump pipe into the fix ed trough, press the
switch of blood pump, the rotor will move slow ly, the blood pump w ill enter into the space of two poles.
When the rotor move, the pump pipe will move into the pipe way, and fix the trough at last.
Adjust the elastic press of roll pole

Adjust the ball bearing of the rotor to adjust the screw, to adjust the degree of the tightness of the
pump pipeline.
If choosing other siz e of the pump pipe, do adjust the degree of the tightness of pump pipe.
Adjust ways: adjust the screw of the ball bearing of the pipe, increase or reduce the length. After the
pump pipe is installed, fill in a bag of saline water to the entry of the pipeline, hang in the place of 1 meter,
adjust the ball bearing pole and the screws, so as to make the ball bearing to press the pump pipeline
until the saline water won’t pour out, whic h is the best situation.
Look the 4.2.1 to have a look at the name of parts f or ref erence.
-76-
Note:
1. Make sure that the pump pipe can be fully pressed by the two ball
bearings.
2. After the pump pipe is set up, take on the cover of pump, otherwise
the rotor won’t move.
The installation of the air trap device
Open the door of the air inspector, fix the vein

Pot into the air inspector, then close the door of the
air inspector.
Open the door of the venous line clamp, press

the switch of it (as the left diagram shows it). Then
open the venous line clamp, put the vein pipe into
the venous line clamp, and close the door of it.
Circumrotate the vein pressure measurement

pipe into the vein pressure port.
Press the “Adjust” key to adjust the level of the
vein pot, press to increase the blood level, and
to reduce the blood level.
Warning:
All the connection between the blood pipelines should be
operated in asepsis.
The blood pipe should not twisted when the pipes are put into the
system.
-77-
Note：
All the connection between the blood pipelines should be operated in
asepsis .
5.1.6 Adjust the injection bracket
When it is needed to adjust the height of the

injection bracket, take hold of the adjust knob of
the bracket, push it upw ards to adjust the height
of the injection height.
5.1.7 The installation of the adjust- liquor connection
The hydronium in the dialysate is the main factor to decide the penetrativ e pressure of the dialysate,
whic h effects directly the concentration of the blood serum of the patient and the penetrative pressure. In
the process of the haemodialysis, adjust the concentration of the hydronium of the dialy sate according to
the situation of the patient, to reach up to the excellent result.
-78-
According to the situation of the patient, when

adjusting the concentration of the hydronium by
adjusting the dialysate, the adjust connection
should be put in the connect of the dialyzer.
Put the fast connector of the supplier pipe to
the port of it, then adjust the connect of the
adjust pump pipe.
5.1.8 The setting of parameter

Every time before the treatment, set up every parameter of the haemodialysis treatment according to
the actual situation of the patient.
For the ways to set up the parameters, please look the 4.9 for reference.
Note:
During the treatment, the set parameters can be modified.
-79-
5.1.9 Na+ curve graph and UF curve graph

Be sure to set a series of value before select curve graph:
——Max value of Na+
——UF total volume
——UF time
——Max speed of UF
The below chart shows the possible combination of Na+ curve graph and UF curve graph:
+
Na curv e graph
0 1 2 3 4 5 6 7
1
UF
curv e 2
graph
3
5.1.10 The prime before the treatment
5.1.10.1 The preparation work for prime rinse

（1）The temperature and conductiv ity of dialysate should be remained in the range of set value.
（2）Connect the supply pipe of dialysate to the inlet port of dialyzer and the return pipe of dialysate to
the outlet port of dialy zer.
（3）Connect the blood pipe on the both ends of dialyzer to the bag of physiological saline.
（4）Remove the air in the blood pipe.
-80-
5.2 The operation of treatment

5.2.1 Dialysis treatment
The patient can only be treated when the temperature of dialysate is maintained exactly within the
set temperature ±0.5℃ of dialysate and the conductivity within the target conductivity ±0.3Sm/cm prior to
the dialysis treatment.

Every parameters should be set up before the dialy sis treatment (refer to 4.9)

Stopped Blood Level alarm Prime rinse menu (stop status).
TMP. A.P. V.P. Ba tte r y Blo od L ea k Blo od L e vel Air Bu bb le H ep a rin Clo g gin g Te mp. C on d.
Press “Treatment” key, the screen will enter
6 00 4 00 30 0
0010 m l/ h 3:30 3:59 23.0 ℃
into dialysis menu (stop status).
15 .5
5 00 3 00 25 0
UF Volume Hep arin F lux Na+ HCO3- 15 Blood pump w ill stop running at this time.
400 2 00 20 0
14 .5
3 00 10 0 15 0
UF Goal 14
2 00 0 10 0
- 10 0
0000 m l 13 .5
1 00 50
- 20 0
0 0
-10 0 - 30 0 - 50
200 m l/ min 200 ml/ mi n 12 .5
Blood p. Heparin UF P. Spar e P. Bypas s

04.17
MON
Connect the artery blood pipe w ith the patient.
D ou ble N ee dle Lo we r Co nd uc tivit y Ala rm

D ialy sis S top p ed Bloo d L eve l a lar m Dialysis menu.
TMP . A.P. V. P. Bat ter y Blo od L e ak Bloo d Le ve l Air Bub ble He pa ri n C log g ing Temp . Co nd .
Press “Bridging” key, blood pump w ill run
UF Rate He pari n Tim e Time Left Temp.
60 0 400 3 00
0010 ml/ h 3:30 3:59 23.0 ℃ according to the set bridging flux, venous line
1 5. 5
50 0 300 250
20 0 200
UF Volume He pari n Flu x Na+ HCO3- 15 clamp opens and blood begins to circulate.
40 0
0000 ml 10.0 m l/ h 138 mm ol/ l 032 m mol/ l 1 4. 5
30 0 1 00 1 50
UF Goal 14
In bridging, the upper and lower limits of
20 0 0 1 00
0000 ml 1 3. 5
transmembrane pressure, arterial pressure and
100 -1 00 50
-2 00
venous pressure reach the maximal value.
0 0
-1 00 -3 00 -50
200 ml/ m in 200 m l/m in 1 2. 5
mm Hg mm Hg m m Hg mS / cm
Blood p. Heparin UF P. Spare P. By pass

When the bridging is completed, the upper
Return Setting
04.17 and lower limits of transmembrane pressure,
Run Bridging MON 15:03
arterial pressure and venous pressure resume to
the set value.
Double Needle The current mode on screen displays the info.

Dialy sis Bridging
of bridging running.
-81-
Note:
The system only monitors air bubble and liquid level in bridging
state.
Note:
Under the mode of dialysis and blood returning, entering into bridging
status can avoid system monitor, but need the supervis ion by people.
Connect the vein pipe with the patient.
Check and adjust the blood level of venous

pot.
D ouble N eedle Low er C onduc tivit y Alar m

D ialy sis Running Blood Level alar m
Press “Run” key or if system detect there is
TMP. A. P. V.P. Batt ery Blood Leak Blood Lev el Air Bubble Heparin Clogging Temp. C ond.
blood passing through blood line, the system w ill
H epa rin Time Time Left
60 0 40 0 30 0
UF Rate Temp.
enter into the mode of dialysis .
0010 ml/h 3:30 3:59 23.0 ℃ 15 .5
50 0 30 0 2 50
UF V olum e H epa rin Flux Na+ HCO3- 15
Blood pump, heparin pump and UF pump w ill
4 00 2 00 2 00
0000 ml 10.0 ml/h 138 mmol/l 032 mmol/l
30 0 10 0 15 0
1 4.5
run.
UF Goal 14
20 0 0 10 0
- 100
0000 ml 1 3.5
10 0 50
0 - 200 0
- 100 - 300 - 50
200 ml/min 200 ml/mi n 1 2.5
Blood p. Heparin UF P. Spare P. B ypass
04.17
Run Bridging Return Setting 15:03
M ON
Double Needle Current mode on screen displays the running

Dialy sis Running
info.
The signal light (green) shine.
-82-
Do ub le N eed le
When the set dialysis time counts down to
D ia lysis Tim eU p
Di aly sis Ru nn ing
0:00, system will raise alarm voic e.
Information displays in the text area.
Double Needle Lower C onduct ivity Alarm

Dialysis Running Bl ood Level alarm
When the treatment time is over, the “Bridging”
TMP. A.P. V.P. Battery Blood Leak Blood Level Air Bubble H eparin Clogging Temp. C ond.
button changes to “Bld Rtn” button and “Heparin
6 00 4 00 30 0
UF Rate Hep arin Time Time Left Temp. pump” button to “Evacuate” button.
0010 ml/h 3:30 0:00 23.0 ℃ 15 .5
5 00 3 00 25 0
UF Volume Hep arin Flux Na+ HCO3- 15
Press “Bld Rtn” button to run “Blood pump”
400 2 00 20 0
0000 ml 10.0 ml/h 138 mmol /l 032 mmol/l
3 00 10 0 15 0
14 .5
following the prompt of system and press the
UF Goal 14
2 00 0 10 0
1 00 - 10 0 50
0000 ml 13 .5 button “Blood pump” at this point to re-transfuse
0 - 20 0 0
200 ml/min 200 ml/mi n 12 .5
the blood to the patient.
-10 0 - 30 0 - 50
Blood p. Evacuate UF P. Spare P. Bypass
04.17
Run Bld Rtn Return Setting 15:03
MON
Blood R et urn
Running
Low er Conductiv ity Alarm
Blood Lev el alarm
When the air bubble is detected by the
TMP. A. P. V .P. Battery Blood Leak Blood Lev el Air Bubble H eparin Clogging Temp. C ond.
system, it w ill prompt if the blood return
60 0 40 0 30 0
UF Rate Hep arin Time Time Left Temp. continues. Press “Confirm” to continue the blood
0010 ml/h 3:30 0:00 23.0 ℃ 1 5.5
5 00 30 0 25 0
Confirm 15
return while the system will not detect the air
4 00 20 0 20 0
1 4.5
bubble; press “Cancel” to stop the return.
3 00
2 00
100
0
150
100
? Air bubbl e alarm! Continue to return the blood? 14
1 3.5
10 0 -1 00 50 OK Cancel
13
0 -2 00 0
- 100 -3 00 -5 0
200 ml/min 200 ml/min 1 2.5

04.17
Run Bld Rtn Return Setting MON 15:03
During the returning of blood, the status

indicator (red) remains ON.
-83-
Blood Return
Runnig
Lower C onduct ivity Alarm
B lood Level alarm
When the returning of blood is completed,
TMP. A.P. V.P. Batt ery Blood Leak Blood Level A ir B ubble Heparin C logging Temp. Cond.
the arrangement of dialyzer is changed to the
He parin Time Time Left Temp.
UF Rate one that the top end acts as the supply connector
6 00 4 00 30 0
0010 ml/h 3:30 0:00 23.0 ℃ 1 5. 5
500 3 00 2 50
UF Volume He parin Flu x Na+ HCO3- 15
whic h is connected back to the device while the
400 2 00 2 00
0000 ml 10.0 ml/h 138 mmol/l 032 mmol/l
300 10 0 15 0
1 4. 5
low er end as the return connector.
UF Goal 14
200 0 10 0
1 00 - 10 0 50
0000 ml 1 3. 5 Press “Drain” button to drain the liquid in the
0 - 20 0 0
200 ml/mi n 200 ml /min 1 2. 5
dialyzer.
-10 0 - 30 0 - 50
04.17
Run Bld Rtn Retur n Setting MON 15:03
Warning:
The “Drain” button can only be used after the separation of body and device
to drain the water in the dialyzer.
Warning:
When return the blood, take care of supervis ing not to put air into
patient’s body.
Note：
In the bypass mode, dialysis is ineffic acy.
Press “Bypass” key, then return to normal

dialysis status.
In the bypass mode, dialysis is ineffic acy.
-84-
5.2.2 Isolated UF treatment

Isolated UF can be performed directly, or during the course of dialy sis treatment according to the
actual demand.
Prime
Stopped Menu of working mode setting.
Work Mode Setting
Select ISO UF, the system w ill enter
A : B : H2O Worke Mode Disinfect Mode Hot Dis. Mode automatically “ISO UF setting”.
1:1.225:32.775 HD
Citric acid Heat+Citric acid
1:1.830:34.000 ISO UF
Peracetic acid Heat
1:1.830:34.000
1:2.100:34.000
Acetate
N a:138 K:2.0 Ca:1.75 M g:0.5
Ac:3.0 H C O3:3 2 B)N aC :l 0g /l
Blood Mode
A+B Mode (Needle)
A+B Double
Single Return OK
Prime
Stopped
Set volume and time of ISO UF (refer to the
Work Mode Setting
menu of ISO UF setting in section 4.10.4).
Press the button “Confirm”.

0 1
Press “Return” button to show the selection
ISO UF Time 0 : 30 2 3
menu.
Double Needle
0000 ml 4 5
ISO UF Goal
SingleNeedle
6 7
ISO UF Goal 0000 ml
8 9
ISO UF Volume 0000 ml
Softwareeditionis: V9.68EN Return OK
Prime
Stopped Press the button “Return” to show the
Setting Select KEY Prime menu.
0 1
2 3
4 5
HCO3- Kt/V 6 7
BP Vol ume
Return OK
-85-

TMP. A. P. V. P. Batt ery Blood Leak Blood Level Air B ubble H eparin Clogging Temp. Cond.

6 00 40 0 3 00
0010 ml/h 3:30 3:59 23.0 ℃ 1 5.5
5 00 30 0 2 50
UF Volume Hepari n Flu x Na+ HCO3- 15
4 00 20 0 2 00
0000 ml 10.0 ml/h 138 mmol /l 032 mmol /l 1 4.5
3 00 100 1 50
UF Goal 14
2 00 0 1 00
-1 00
0000 ml 1 3.5
10 0 50
-2 00
0 0
- 10 0 -3 00 -50
200 ml/min 200 ml/min 1 2.5

04.17
Pr ime Treatment Disinfect Setting 15:03
MON
Double Needle Current mode on screen display double

ISO UF Stopped
needle Isolated UF running info.
The set ISO UF time counts down to 0:00,

Double Needle
ISO UF Time Up
ISO UF Stopped
system stops isolated UF and enters into dialysis
running status automatically.
The info. of “ISO UF time up” is displayed in
text area.
Note:
In ISO UF, the conductivity and temperature are not monitored while
the indicator remains green.
-86-
6 Cleanness
6.1 Introduction
Cleanness includes exterior cleanness and interior cleanness.
Exterior cleanness is the cleanness of the outer part of the hemodialysis device after treatment.
Interior cleanness includes hot dis infection, dis infection and rinse, that is the cleanness of the
waterway in the hemodialysis device.
The process of rinse: the system w ill rinse the waterway of the hemodialysis device.
The process of hot disinfection: the system will remove the calc ium and rinse with hot water to the
waterway of hemodialysis device.
The process of the disinfection: the system w ill perform the dis infection and iron-removing to the
waterway of the hemodialysis device.
Warning:
The system should be undergoing the interior cleanness after the
dialysis treatment.
Note:
If the system is left unused for more than 72 hours, it is proposed to
under go the interior cleanness before use.
Note:
If the hemodialysis devic e is left unused as long as 5 minutes after the
process of the cleanness, the system w ill be power-off automatically.
Note:
After the completion of rinse procedure, the hemodialysis device
may be powered off automatically if it idles for 15 minutes.
-87-
6.2 Exterior cleanness
Every time after the treatment, use the pledget to clean the water and stain on the surface of the
hemodialysis devic e with the alc ohol or the hypochlorite. Keep the cleanness and the dryness of the
hemodialysis devic e. If there is the phenomenon of leaking water or dialysate, it should be cleanup and
deal w ith as soon as possible.
Do examine the colander web on the connector termly. If with the phenomena of jam, the web
should be cleaned or changed. The discarded filtering web should be dis posed properly to prevent
against pollution of the environment.
6.3 The basic condition to undergo the process of interior cleanness
● The treatment is finis hed

● The return of blood is finished
● The disinfection liquor is already prepared.
6.4 Interior cleanness
6.4.1 Pipeline connection during the disinfection, hot disinfection and rinse
Pipeline connect -----front view
The mode of disinfection, hot disinfection and

rinse:
Put solution A adaptor(red) of A concentration
absorbing tube into A adaptor seat and lock it by
circumvolving.
Put solution B adaptor (blue) of B
concentration absorbing tube into B adaptor seat
and lock it by circumvolving.
-88-
Pipeline connect----right-side diagram
The mode of the disinfection, hot disinfection

and rinse:
Connect blue fast adaptor cover of dialy sate
supply tube to supply tube adaptor (blue);
Connect red fast adaptor cover of dialy sate
return tube to return tube adaptor (red).
Not: cannot connect in opposite way.
The Pipeline connects—rear view
The mode of disinfection, hot disinfection and

rinse:
Put the rapid connector of connecting pipeline

to meet the pipe connector, the input pipe of the
RO w ater should be connected to the supply
Connect to system of the RO water.
Solution
Disinfection
RO water
supply system
Put the suck-pipe of dis infection solution into

the corresponding container when system
undergoes disinfection and hot dis infection.
-89-
Warning:
In the process of interior cleanness, make sure that there is enough
disinfection liquor in the dis infection container to undergo the disinfection
process.
6.4.2 Operation
6.4.2.1 Operation of disinfection
Disinfection solution tube connect drawing Sol ution

Dis infection
Blood Return
Runnig
Lower C onduct ivity Alarm
B lood Level alarm Dialysis treatment finished.
TMP. A.P. V.P. Batt ery Blood Leak Blood Level A ir B ubble Heparin C logging Temp. Cond.
Blood return（stop status ）.
UF Rate He parin T ime Time Left Temp.
6 00 4 00 30 0
0010 ml/h 3:30 0:00 23.0℃ Press “Return” key, the screen w ill return to
1 5. 5
500 3 00 2 50
2 00 2 00
UF Volume He parin F lu x Na+ HCO3- 15 display prime menu (stop status).
400
0000 ml 10.0 ml/h 138mmol/l 032 mmol/l 1 4. 5
300 10 0 15 0
UF Goal 14
200 0 10 0
- 10 0
0000 ml 1 3. 5
1 00 50
- 20 0
0 0
-10 0 - 30 0 - 50
200 ml/mi n 200ml /min 1 2. 5

04.17
Run Bld Rtn Retur n Setting MON 15:03
-90-
Pr ime
S top p ed
Lo we r Co nd uc tivit y Ala r m
Blo od L eve l a la rm Prime rinse menu (stop status).
TMP . A.P . V. P. Bat te ry Blo o d L e ak Bloo d L eve l Air Bub b le He p ar in Clo gg ing Te mp . Co n d.
Press “Disinfect” key to dis play cleanness

UF Rate H epa ri n Ti me Time Left Temp.
60 0 40 0 3 00
0010 ml/h 3:30 0:00 23.0 ℃ menu (stop status).
15 .5
50 0 30 0 250
UF Volume H epa ri n Fl ux Na+ HCO3-
15
40 0 20 0 200
0000 ml 10.0 ml/h 138 mmol/l 032 mmol/l 14 .5
30 0 1 00 1 50
UF Goal 14
20 0 0 1 00
0000 ml 13 .5
100 -1 00 50
0 -2 00 0
-1 00 -3 00 -5 0
200 ml /min 200ml/min 12 .5

04.17
Disinfection
Stopped Cleanness menu.
Press “Disinfect” key, and according to
TMP. A.P. V. P. Ba tte ry Blo od L ea k B loo d Le ve l Air Bu b ble He pa rin C log g ing Te mp. C on d .

liqu id( B)
machine instructions.
6 00 400 300
1 5. 5
500 300 25 0 Rins e t ime is 1 0 min s
15
40 0 20 0 20 0 Ple as e d on 't sto p it d ur ing ho t d isinfe ctio n o r disin fec tion pr oc ess
1 4. 5
1 00 -1 00 50
1 2. 5
-1 00 -3 00 -5 0
04.17
Disinfection
Stopped Confirm disinfection mode, system w ill start to
TMP. A. P. V.P. Batt ery Blood Leak Blood Level Air Bubble H eparin C logging Temp. Cond.
undergo disinfection process.
Ac cor din g t o su gg est ion ,do op er atio n on suc tion tu be s of liqu id( A) a nd
liq uid( B)
60 0 40 0 30 0
Con ne ct d ialysa te su pply /re tur n tub es of dialy zer to th e p or t o f mach ine
15 .5
50 0 30 0 25 0 Rin se time is 10 min s
Co nfi rm 15
4 00 20 0 20 0
Disinfecti on selected: Citric acid 14 .5
30 0 10 0 15 0
2 00 0 10 0
? Press 'ok' to continue
Press 'cancel' to re-sel ect, cha nge mode
14
13 .5
10 0 - 100 50
OK Can ce l 13
0 - 200 0
12 .5
- 100 - 300 - 50
04.17
Rinse Disinfect Hot Di s. Return 15:03
MON
-91-
Disinfection
Running Disinfection program menu.
TMP . A. P. V.P. Ba tt er y Blo o d Le a k Blo o d L e ve l Air Bub b le H ep ar in Cl og gin g Temp . C on d.
Current mode displays disinfection running

60 0 40 0 30 0
Cond. Time Left Temp.
info.
1 5. 5
50 0 30 0 2 50
00.0 mS/cm 0:35 34.3 ℃ 15 Work time of disinfection process refers to
40 0 20 0 2 00
14. 5
30 0 10 0 15 0
14
appendix.
20 0 0 10 0
100 - 100 50
13. 5
The menu displays the conductiv ity, remained
13
0 - 200 0 Rins e Dis infec t
12. 5 time and temperature in dis infect.
-1 00 - 300 - 50 1%
1%
When time counts down to 0:00, dis infection
04.17 finished and alarm voic e raised. Press “Confirm”,
Rinse Disinfect Hot Dis. Return MO N 15:03
the system prompts “Auto-Power off 5 minutes
after no operation on the device”.
Press “Return” button and the system enters
automatically the self -test mode.
Disinfection
Disinfec tion T ime Up “Disinfection time out” info. will display in text
Stopped
area.
6.4.2.2 Operation of hot disinfection
Disinfection solution tube connect drawing
When the hot disinfection begins, there is

1 minute as the rinse time; if the conductiv ity is
higher than 0.5 mS/cm, the rinse continues
until the conductiv ity is lower than 0.5 mS/cm,
and then the system performs the rinse for
additional 3 minutes.
Solution
Disinfection
-92-
Dis infection
S topped Cleanness menu.
Press “Hot Dis.” Key, system will start hot
disinfection process.
liqu id( B)
6 00 400 300
1 5. 5
15
1 4. 5
1 00 -1 00 50
1 2. 5
-1 00 -3 00 -5 0
04.17
Disinfection
Stopped Confirm hot disinfection mode, system w ill
TMP. A. P. V.P. Batt ery Blood Leak Blood Lev el Air Bubble H eparin C logging Temp. Cond.
start to undergo disinfection process.
Ac cor din g t o s ugg es tion ,do o per at ion on su ction tu be s o f liqu id( A) a nd
liq uid (B)
60 0 4 00 30 0
Con ne ct d ialys ate su pp ly/re tu rn tub es of dia lyzer to th e p or t o f mac hine
15 .5
5 00 3 00 2 50 Rin se time is 10 min s
15
4 00 2 00 2 00 C onfi rm
Hot D is. selected: He at + Citric a cid 14 .5
3 00 10 0 15 0
2 00 0 10 0
? Press 'ok' to continue
Press 'cancel' to re -sel ect, ch ange mode
14
13 .5
10 0 - 100 50
OK Can ce l 13
0 - 200 0
12 .5
- 100 - 300 - 50
04.17
Rinse Disinfect Hot Dis. Return 15:03
MON
When temperature ris es to be 65℃,the time

starts to count down.
-93-
Disinfection
Running Hot Disinfection process menu.
TMP . A. P. V.P. B att er y Blo o d Le a k Blo o d Le ve l Air Bu bb le H ep a rin C log gi ng Te mp. C on d.
Current mode displays hot disinfection info.

60 0 40 0 3 00
Cond. Time Left Temp. Work time of hot disinfection process refers to
15 .5
50 0 30 0 2 50
00.0 mS/cm 0:41 34.3 ℃ 15 2.2
40 0 2 00 2 00
14 .5
30 0 10 0 15 0
14
The menu displays the conductiv ity, remained
20 0 0 10 0
10 0 - 100 50 R inse Ho t Disin fect

13 .5 time and temperature in hot disinfection
13
0 - 200 0 1%
- 300 - 50 12 .5
-1 00
04.17
Rinse Disinfect Hot Dis. Return MON
15:03
After hot disinfection began, according to

suggestion, do operation on suction tubes of
Liquid B.
Solut ion
Disin fecti on
Disinfection When time counts down to 0:00, hot

Hot disinfection Time Up
Stopped
disinfection finished and alarm voic e raised.
Press “Confirm”, the system prompts
“Auto-Power off 5 minutes after no operation
on the device”.
Press “Return” button and the system
enters automatically the self -test mode.
“Hot disinfection time out” info.will display
in text area.
The hot disinfection program can be
stopped via pressing “Hot Dis.” key in hot
disinfection.
-94-
Warning:
It maybe damage this device if using the improper disinfection
solution (concentration).
6.4.2.3 Operation of rinse
The elevation of tube connection when the rinse starts
Dis infection
S topped Cleanness menu.
Press “Rinse” key, system starts to undergo
6 00 400 300
liqu id( B) rinse process.
1 5. 5
15
1 4. 5
1 00 -1 00 50
1 2. 5
-1 00 -3 00 -5 0
m m Hg m m Hg mm Hg m S /cm
04.17
-95-
Note：
When the rinse mode is selected as hot rinse, the system can only
execute the rinse procedure as the temperature reaches the hot rinsing
temperature preset on the adjustment interface.
Rinse
Running Rinse process menu.
TMP. A .P. V.P. B at tery Bl ood Leak Blood Level Air Bubble H eparin Clogging Temp. Cond.
Current mode displays rinse info.
6 00 4 00 3 00
Cond. Time Left Temp.
Work time of rinse process is 10 mins.
15 .5
5 00 3 00 2 50
00.0 mS/cm 0:09 34.3 ℃ 15 The menu displays the conductiv ity, remained
4 00 2 00 2 00
3 00 10 0 15 0
14 .5
time and temperature in rinse.
14
2 00 0 10 0
10 0 - 10 0 50 Rin se
13 .5 When time counts down to 0:00, rinse finished
13
1%
0 - 20 0 0
12 .5
and alarm voic e raised. Press “Confirm”, the
- 10 0 - 30 0 - 50
mmHg mmHg mmH g mS/cm
system prompts “Auto-Power off 15 minutes after
04.17 no operation on the device”.
Rinse Disinfect Hot Dis. Return MON 15:03
Press “Return” button and the system enters
automatically the self -test mode.
Disinfection
Rinse Time Up “Rinse time out” info. will display in text area .
Stopped
The rinse program can be stopped via
pressing “Rinse” key in rinse.
-96-
7 Alarms show and the disposal of unusual thing

7.1 Alarms show
Status indic ator shines red.
Dialysis
Running
Air bubble alarm Alarm info. displays in text area.
TMP. A.P. V. P. Battery Blood Leak Blood Level Air Bubble H eparin C logging Temp. Cond.
Such as: Air bubble alarm.
Corresponding alarm indicator shines red and
send off voice alarm.
Note:
The mute cycle of audio alarm is 100s.
Note：
If the problem occurred is not be solved but the alarm being cleared
repeatedly, there is potential risk whic h should be monitored by the
personnel, especially the items that may result in the personal injury
such as the venous pressure, liquid level, air bubble and blood leakage.
-97-
7.2 The alarm of blood loop

7.2.1 TMP alarm
TMP. A.P. V.P.

TMP Alarm indicator shines red.
Cause:
600 400 300
500 300 250

TMP exceeds alarm limit.
400 200 200
300 100 150
200 0 100
100 -100 50
0 -200 0
-100 -300 - 50
m m Hg m m Hg m m Hg
Alarm info. displays in text area.

Dialysis
Upper TMP alarm
Running Such as: Upper TMP alarm.
Send off voice alarm.
Systems continue to run.
7.2.2 A.P. alarm
TMP. A.P. V.P.

A.P. alarm indicator (red) shines.
6 00 400 300
Cause:
5 00 300 25 0
A.P exceeds alarm limit.
4 00 200 20 0
3 00 1 00 150
2 00 0 100
10 0 -10 0 50
0 -20 0 0
- 100 -30 0 -5 0
mmHg mmHg mmHg
Alarm info. displays in the word area.

Dialysis
Lower A.P. alarm
Running i.e.: Lower A.P. alarm.
Send off alarming voice.
Blood pump stops running.
The venous line clamp will stop the blood loop.
Under “Bridging” condition, system w ill
continue to run even A.P. exceeds alarm limit.
-98-
7.2.3 V.P. alarm
TMP. A.P. V. P.
V.P. alarm indicator (red) shines.
600 400 3 00
Cause:
500 300 250
V.P exceeds alarm limit.
400 200 200
300 1 00 1 50
200 0 1 00
1 00 -10 0 50
0 -20 0 0
-10 0 -30 0 -50
m m Hg m m Hg m m Hg
Alarm info. Displays in the word area.

Dialysis
Up per V.P. alarm
Ru nning i.e.: Upper V.P. alarm.
The venous line clamp will stop the blood loop.
Under “Bridging” condition, system w ill
continue to run even V.P. exceeds alarm limit.
7.2.4 Blood leakage alarm
Ba ttery Bl ood Le ak Blo od Leve l Air bubb le Hep arin cl ogg ing Blood leakage alarm indicator (red) shines.
Cause:
Blood exis ts in the dialysate loop.
Blood leakage alarm info. displays in the word

Dialysis
Blood leak alarm
Running area.
The venous line clamp w ill stop the blood
loop.
Under “Bridging” condition, system will
continue to run even blood leakage alarm.
-99-
7.2.5 Blood level alarm
Ba ttery Bl ood Le ak Blo od Leve l Air bubb le Hep arin cl ogg ing Blood level alarm indicator (red) shines.
Cause:
Blood level in venous pot is below detector
or there are foamed blood.
Blood level alarm info. dis plays in the word

Dialysis
Blood level alarm
Ru nning area.
loop.
Under “Bridging” condition, system will not
continue to run even blood level alarm.
7.2.6 Alarm of air bubble
Ba ttery Blo od Le ak Blo od Leve l Air b ubb le Hep arin cl oggi ng Air-bubble alarm indicator (red) shines.
Cause:
There is air bubble in blood loop.
Air bubble alarm info. displays in the word

Dialysis
A ir bubb le ala rm
Ru nning area.
loop.
Under “Bridging” condition, system will not
continue to run even air bubble alarm.
-100-
7.2.7 Alarm of heparin
The alarm of heparin clog
Ba ttery Bl ood Le ak Blo od Leve l Air b ubb le Hep arin cl oggi ng The indicator (red) for the alarm of heparin
block will shine.
Cause:
Heparin pump clog.
The info. of “Heparin-pump clog alarm””

Dialysis
He parin-pump clo g alarm
Ru nning displays in word area.
Send off alarm voice.
Alarm of heparin empty
Alarm cause:
Dialysis
He parin e mpty alarm
Ru nning No injection solution in heparin syringe.
The info. of “heparin empty alarm” displays in
word area.
Alarm of heparin time up
Alarm cause:
Dialysis
He parin t ime up
Ru nning The time of heparin injection counts down to
0:00.
The info. of “heparin time up” displays in word
area.
-101-
7.3 The alarm of dialysate loop
7.3.1 The alarm of conductivity
C on d .
Indicator (red) of conductiv ity alarm shines.
Cause:
1 5.5
Actual value of conductiv ity exceeds alarm
15
14.5
limit.
14
13.5
13
12.5
m S /c m
Alarm info. displays in word area.

Dialysis
Up per Cond uctivity alarm
Ru nning i.e.: Upper Conductivity alarm.
Water way is in the status of bypass work.
7.3.2 Alarm of temp.
Bl ood Le vel Air bub ble Hep arin cl oggi ng Temp. C ond. Indicator (red) of temp. alarm shines.
Cause:
Actual temp. of dialysate exceeds alarm
limit.
Alarm info. Displays in word area.

Dialysis
Up per Tem p alarm
Ru nning i.e.: Upper temp alarm.
Over-heat limit
Dialysis
Overh eat alarm Alarm cause:
Ru nning
Actual temp. of dialysate is abouve 41℃.
Time Left Temp
Over-heat alarm info. Displays in word area.
3:00 41.5℃
Current temp. displays on temp. screen.
Na+ Concentration
140 mmol /l Adjust Send off alarming voice.

-102-
7.4 Power failure alarm
Battery alarm info. displays in text area.

Pow er o ff alarm
Generate audio alarm.
7.5 Battery alarm
Ba ttery Bl ood Le ak Blo od Leve l Air b ubb le Hep arin cl oggi ng The signal light (red) for battery alarm shine.
Cause:
The storage battery inside machine is not
suffic ient to support one minute’s alarm.
Dialysis
Battery alarm info. displays in text area.
Low er battery alarm
Sto pped Generate audio alarm.
7.6 Warning/notice
Warning/notice show
Dialysis
The info. of warning/notic e or the relative
Co nnect Su pply t ube to machine
Sto pped
content display in the text area.
i.e.: Connect Supply tube to machine.
Generate auto alarm.
The signal light (red) shine.
-103-
7.7 Disposal of unusual thing
7.7.1 The disposal principle for the unusual thing of hemodialysis device
Before the dialysis:

1. If there is malfunction when start the hemodialysis device, restart the device to examine and check.
2. If there is the malfunction about the conductivity, perform the “rinse” in the allowed short time, then
examine and check.
3. If the hemodialysis device can’t resume, please transfer the dialysis patient to another good
hemodialysis devic e to receive the treatment.
4. Don’t use the devic e to do any dialysis treatment before it is repaired.
During the dialysis:

1. If there exis ts the warning voic e which w ill not affect the patient’s safety and can be solved at spot,
after the warning voic e, it is ok to do the dialysis treatment for the patient. After the treatment,
examine and check it at length.
2. If the warning voic e can’t be eliminated at once, do reinput the blood to the patient’s body and pause
the treatment, then undergo the examination and check. If it is resumed, continue the treatment,
otherwis e change the hemodialysis device or continue the treatment after the device is resumed.
3. During the treatment of dialysis , if there is malfunction that it is impossible to use the dialysis device
to return the blood for the patient, do turn the spanner on clockw is e by hand to make the blood
transport to the patient. Continue the treatment after the devic e is resumed or change another
device.
4．If the reverse ultrafiltration occurs during dialysis treatment, the water whic h enters into the body may
increase the blood pressure and weight of the patient. When confirm that this is not caused by the
malfunction of devic e, you can increase the blood flow or the ultrafiltration volume such that the
transmembrane pressure increases to the normal range.
-104-
7.7.2 The disposal of unusual things of hemodialysis device
7.7.2.1 The disposal of warning
Note:
With the alarm voice, press the key of “alarm mute” to eliminate the
warning voic e,but the warning indicator and warning words will still
display on the screen. At this time, operator should inspect the
parameter of protection system which the alarming is cancelled.
Warning：
The power supplied by the backup battery may maintained for 15
min after the power supply of the alarm system is failed; and the log will
be retained in this period.
Note：
The record will be retained even if the power of alarm system fails (mains
and internal supply ).
Note：
The power w ill be supplied by backup battery after the mains is
failed, and the alarm settings will not be changed during the period of the
power-off and recovery.
Warning:
If the device can’t be resume by the outer adjustment, do report to the
Engineers to repair the device.
Warning：
If the same or similar devices are used in any separate area such as
ICU or cardiac operating room, there may be potential hazardness when
the different alarm preset is applied.
-105-
Spot disposal:
Physiolog Alarm
Alarm Priorit
ical alarm delay Possible cause Solution
inform ationin b y
Yes/No (sec)
Upper limit alarm Excessiv e Lower the flow of
of Middle ultrafiltration volume ultrafiltration pump
No 2
transmembrane
Clogged pipe Unclog the pipe
pressure
Lower limit alarm
of Increase the flow of
Middle No 2 Insuffic ient blood flow
transmembrane blood pump
pressure
Clogged pipe Unclog the pipe
Upper limit alarm
Venous pipeline
of venous High Yes 4
tw is ted or under reorganize the pipeline
pressure
pressure
increase flow of blood
low blood flow
Lower limit alarm pump
of venous High Yes 4 Loose of intravenous Reconnect the
pressure needle intravenous needle
Clogged dialyzer Replace dialyzer
The conductivity of Check if there is no liquid
concentrate A and B in w ater pipeline
Upper limit alarm does not comply with Replace concentrate A
Middle No 2
of conductivity the requirement and B
Air leakage in the fast Replace the fast joint of
joint of dialy zer dialyzer
The conductivity of Check if there is no liquid
Low limit alarm of concentrate A and B in w ater pipeline
Middle No 2
conductiv ity does not comply with Replace concentrate A
the requirement and B
Press Bridging button for
3 seconds to start the
blood pump. When the
Alarm of air Air entering the blood
High Yes <0.12 air bubbles are queued
bubble pipeline
to the opening of vein,
pull out the needle to
remove the air bubbles,
-106-
and then reconnect the

needle. The system
should enter
automatically the normal
operational state 60
seconds after there is no
malfunction is identif ied
Press the button Bridging
to run the blood pump
and adjust the level
adjustment button of
venous kettle, as shown
Alarm of liquid Low level in venous
High Yes <0.12 in section 5.1.5. The
level kettle
system should enter
automatically the normal
operational state 60
seconds after there is no
malfunction is identif ied
Alarm of blood Broken membrane of
High Yes 2 Replace dialyzer
leakage dialyzer
Press Mute button to
The heparin injection
Alarm of heparin clear the alarm sound or
High No <1.1 time set by user is
time out add the heparin and set
counted down to zero
the heparin injection time
Syringe of heparin
Remove the obstacle
pump jammed
Clogged pipeline Unclog pipeline
Alarm of heparin
Middle No <390 Use the syringe to
clogging The syringe is pushed
aspirate the injection and
to the lowest end
do the replacement
Clogged dialyzer Replace dialyzer
The dialysate
The range set by the
Alarm of upper temperature is higher
Middle Yes 2 user is small, re-set the
temperature limit than the alarm range
alarm range
set by the user
The dialysate The range set by the
Alarm of lower
Middle Yes 2 temperature is higher user is small, re-set the
temperature limit
than the alarm range alarm range
-107-
set by the user
Concentrate A does
Error of
Middle No 2 not comply with Replace the concetrate
concentrate A
requirement
Concentrate B does
Error of
Middle No 2 not comply with Replace the concetrate
concentrate B
requirement
No disinfectant can be
Put the disinfectant
aspirated by the
suction tube into the
disinfectant suction
Error of disinfectant container
Middle No 2 tube
disinfectant
Disinfectant cannot
comply with the Replace the dis infectant
requirement
Connect the The circuit of
Put the connector of
pipeline of Liquid concentrate A is not
Middle No 2 Liquid A (red) into the
A to the supply connected to the tank
tank of concentrate A
kettle of concentrate A
The connector of
Put connector of Liquid A
Connect the Liquid A (red) is not
(red) into the socket of
pipeline of Liquid Middle No 2 put in the socket of
Liquid A in the device
A to the device Liquid A in the devic e
and screwed up
and screwed up.
Connect the The circuit of
Put the connector of
pipeline of Liquid concentrate B is not
Middle No 2 Liquid B (blue) into the
B to the supply connected to the tank
tank of concentrate B
kettle of concentrate B
The connector of
Put connector of Liquid B
Connect the Liquid B (blue) is not
(blue) into the socket of
pipeline of Liquid Middle No 2 put in the socket of
Liquid B in the device
B to the device Liquid B in the devic e
and screwed up
and screwed up.
Connect the supply pipe
of dialysate (blue) to the
Connect the The return pipeline is
low er end of dialyzer and
return pipe to Middle No 2 not connected to
the return pipe of
dialyzer dialyzer
dialysate (red) to the
upper end of dialy zer
-108-
Connect the supply pipe

of dialysate (blue) to the
Connect the The return pipeline is corresponding blue
return pipe to Middle No 2 not connected to connector and the return
device hemodialysis machine pipe of dialy sate (red) to
the corresponding red
connector
Dialysate or reverse Provide the new
osmosis water runs dialysate or reverse
out osmosis water
1. Check the devic e for
the correct
connection
2. Check the pipeline if
Alarm of no liquid
High No 2 Abnormal supply in the it is under pressure
in w ater pipeline
water-feeding system or twis ted
for reverse osmosis Sw itch to backup
water water-supply equipment
and ask the
manufacturer for
maintenance, if
necessary
Reverse 1．Connect properly the
connection of Reverse connection of supply /return pipeline
High No 4
supply /return supply /return pipeline 2. Re-disinfection or hot
pipeline disinfection
No Liquid A in the tank
Add Liquid A
of concentrate A
The suction tube of
Empty of Liquid A Middle No 2 Put suction tube of Liquid
Liquid A is not put into
A into the tank of
the tank of concentrate
concentrate A
A
Uncontrolled The blood pump
Middle No <50 Replace dialyzer
blood pump cannot be controlled
The electricity of
Patient’s leaving device
battery cannot cover
Battery alarm Middle No <1 to be arranged as soon
the time after the
as possible
mains failed
-109-
Dialyzed Patient’s
Supplied by backup
Alarm of leaving device to be
Middle No <1 supply after the mains
power-off arranged as soon as
failed
possible
When set ultrafiltration
Time-out of Time-out of the set time elapses, instruct the
High No <0.12
dialysis time dialysis time patient leaving the
device
as the time-out of ISO
Time-out of ISO Time-out of set ISO
High No <1.1 UF, the device switches
UF UF
to dialysis state
As the time-out of the
Time-out of the devic e
Time-out of rinse High No <1.1 device rinse, the water
rinse
pipeline stops
Time-out of Time-out of the devic e
High No <1.1 device dis infection, the
disinfection disinfection
water pipeline stops
Time-out of hot Time-out of the devic e
High No <1.1 device hot dis infection,
disinfection hot disinfection
the water pipeline stops
Incorrect setting of
Upper limit of re-set the upper/lower
High No 4 upper/lower limit of
arterial pressure limit of arterial pressure
arterial pressure
The arterial end of
blood pipeline under Unclog the pipeline
the pressure
Blood pump runs too Decrease the flow of
fast blood pump
Arterial stenosis or
Lower limit of Re-adjust the puncture
High No 4 incorrect position of
arterial pressure needle
arterial needle
Insuffic ient flow of the Adjust the upper/lower
patient limit of arterial pressure
Incorrect setting of
re-set the upper/lower
upper/lower limit of
limit of arterial pressure
arterial pressure
No liquid in w ater No supply of reverse Check if the switch of
High No 2
pipeline osmosis water reverse osmosis water is
-110-
opened or not
1. Check the devic e for

the correct
connection
2. Check the pipeline if
Abnormal supply in the it is under pressure
water-feeding system or twis ted
for reverse osmosis Sw itch to backup
water water-supply equipment
and ask the
manufacturer for
maintenance, if
necessary
Long-time alarm,
Error of abnormal Device failed, patient
High No <4
communication communication before leaves the devic e
the circuit board
Inconsistent
Device failed, patient
pre-dialy sis /post- Abnormal detected
High No <840 leaves the device which
dialysis conductiv ity
should be repaired
conductiv ity
As the devic e
Error in degassing
operates, no liquid is Device failed, patient
of substitution High No 4
supplied to the leaves the devic e
chamber
substitution chamber
Note: Alarm of highest priority, the alarm indicator flickers in red, “beep, beep, beep…beep, beep…beep,
beep, beep…beep, beep…”.
Alarm of middle priority, the alarm indicator flic kers in yellow, “beep, beep, beep…beep, beep…beep,
beep, beep…beep, beep…”.
-111-
Maintenance disposal
Note:
The following is for maintenance engineer’s reference.
Alarm info. Possible causes solutions

Temp. of inflow
Priming System w ill adjust automatically,if not, it should be
increasing or
mode checked furtherly
reducing suddenly
Overheat
Dialysis Heating Temp. is out
alarm Check the temp.detector of heater is good or not
mode of control
Rinse Temp. detector of
Check the temp.detector of outlet is good or not
mode outlet is out of work
Ask for professional personel to solve the problem.
Water Sampling board of water way is
Non-professional person is not allowed to
sampling error not good
disassemble it
UF inlet valve is damaged Change the UF inlet valve
Outlet of UF
valve of waste water outlet is
pump blocked Change another valve
damaged
Pump A didn’t
Pump A error Non-professional person is not allowed to
run
disassemble it
Pump B didn’t
Pump B error Non-professional person is not allowed to
run
disassemble it
UF Pump
UF pump error Non-professional person is not allowed to
didn’t run
disassemble it
Communicaton There are sth wrong w ith the Ask for professional personel to solve the problem.
error for connection between main Non-professional person is not allowed to
host-computer board and waterway board disassemble it
and water way
-112-
7.7.2.2 The disposal of unusual things for the main parts
Warning:
If the hemodialysis device can’t be resumed to normal status by
exterior adjustment, pleaseinform maintenance engineer.
Unusual
Unusual status The way to check and solve
part
The device can’t start in 1.Check the main sw itch is on or not

Pow er
normal way
supply 2.Check the pin w ith board connect well or not
During the treatment, suddenly
system
no signal of power supply m 3.Check the fuse burn out or not
The ball bearing of rotor didn’t
run 1.Check the cover of blood pump is closed correctly
Unusual voic e during the or not
The pump running
2.Check the pressure of ball bearing is good or not
of blood The speed is too fast or too
slow compared to other 3.Check the blood pipe diameter is the same as the
machines, and still can’t be set one
adjusted
The pressure of vein is
fixed( normally it will fluctuate
a little) 1.Check theVP detection pipe is clamped or not
VP
No vein pressure value 2.Check if the VP detection pipe is installed correctly
detection
When there is unusual things 3.Check if there is air leaking, if necessary, change
system
for the vein pressure, no
the blood loop pipe or pressure detection pipe
warning voice to remind the
operator
Venous line clamp can’t
pinned Check the venous clamp is lubricated or not, if
Venous
Venous line clamp can’t draw necessary put in some better lubric ater whic h has
line clamp
back automatically after stronger heat resistance
clamping
Dry Can not open
powder Check if there is lock in Dry powder frame
frame Can’t draw back
-113-
8 Maintenance and storage
8.1 Termly check the device whether the supply of water (such as the water purify unit) and electric ity
(such as the manostat) is good or not. And check whether those devices work properly or not, the
voltage is stable or not. For the area whic h the voltage is alw ays higher or lower, it is better to use the
automatic manostat.
8.2 Check the precision of the ultrafiltration per half a year or a year, have a look of the operation 4.12 for
reference.
8.3 Termly check the filtration web in the hemodialysis device, it there exists the situation of blocks, clear
up or change it in time.
Note:
After clearing up or changing the web, take care the airproof when
installing to avoid the connector of web w ill leak air.
8.4 If with the built-in power supply, the user should charge the battery according to follow ing ways when
they use the device for the first time:
Connect the hemodialysis device with the electricity source system by the electricity wire.
Connect with the electric ity source, the devic e should be charged for about 20 hours.
If the device have not used for a long time, repeat the process every 6 months.
8.5 The device can’t be impacted to avoid the damage to the parts in it.
8.6 The device should be put upright in the house w ith the relative humidity not more than 80%, no
causticity, and good ventilation.

Storage Temp.
without antif reeze: 5℃-40℃
with antif reeze: -10℃-40℃
8.7 This device has the guarantee of “return, replace and repair” for one year,please read the guarantee
card for reference.
-114-
9 Instruction for selective device

9.1 Instruction of blood-pressure meter (optional)
Diagram of blood pressure monitoring
power sw itch
display
screen
start switch
When measure BP, first connect the air tube

plug of arm belt with the BP interface which is on
the left side of HD device (refer to 4.1 chart),
wraps the belt on your arm tightly.
Press “ON/OFF” button, the initial display

mmHg ON/ OFF shows in the left diagram.
kPa
Start
When appears, you can start the

mm Hg
measurement.
kP a
-115-
Press “Start” button，air pump will run and

ON/ OFF increase pressure automatically.
Note: remove your hands from the button
Start
within 3 secds after touch the button.
When pressure is up to about 170mmHg
（22.5kPa）,air pump will stop automatically.
When stop measuring, press on/off button,
pressure increasing will stop automatically, air
drains and power is off.
Start to measure automatically, flashes

mmHg when puls e inspection starts.
kPa
Note: Don’t shake your arm and air tube
during measurement.
symbol flashes after finish the

mmHg measurement ,the air in arm belt w ill drain
kPa
automatically.
-116-
When measurement finishes, the H-BP and

mmHg L-BP value displays by mmHg, then change to
kPa the value by kPa .BP value and pulse times w ill
BP v alue display alternate to show on display.
(about 3.5 secds ）
mmHg
kPa
mmHg
kPa
Pulse times display

(about 2secds ）
-117-
Troubleshooting of blood pressure meter
Abnormal display Cause Settlement method
Confirm symbol ， keep your arm and

body immovably, try again.
When EE symbol occurs again, press the BP
insuffic ient pressure
button continuously, increase the pressure over
30-38mmHg（4-5kPa）than the preset highest
BP value.
arm or body moved or

talking during measurement
Confirm symbol ， keep your arm and

body immovably, try again.
press the button
continuously to increase
the pressure up to over
45kPa（300mmHg）
Abnormal status Checking Settlement

No pressure Does the plug of air tube connect Connect the air tube with HD device
increasing the HD device correctly? correctly
Insert the plug of air tube into the
Is the plug of air tube loosened?
connector, be sure to connect them well
EE mark displays:
Air leadage on the arm belt? Replace a new arm belt
can’t measure
Does arm move during increasing After press the ON/OFF button, keep
pressure? still during measurement
Is the arm belt wrapped well? Wrap the arm belt correctly
E mark displays:
Talking during the measurement?
can’t measure or Keep still during measurement
arm moved?
the BP value is too
Take off the clothes whic h oppress the
high ( low) Did clothes oppress the arm?
arm then measure again.
Others Press ON/OFF button, try again.
Safety precautions
-118-
9.1.1 You should use the dedicated arm band.

9.1.2 While the recovery time following the defibrillation voltage to be applied via cuff is at least 2-3
minutes, the cuff can only function as expected when such period is expired.
9.1.3 Do not fold tightly the arm band or air pipe.
9.1.4 There is potential risk when the balloon is maintained in over-inflation state.
9.1.5 For the occurrence of the general arrhythmia (such as APB, VPB and AF), the measured value
may not be correct or the blood pressure cannot be measured.
Relevant statement
9.1.6 Although the precision of pressure sensor of cuff has been tested, it is recommended to check and
calibrate the sensor annually in order to ensure the normal function and precis e measurement of
the hemomanometer. Use of pressure calibration instrument for verif ic ation is suggested.
9.1.7 Range of temperature/humidity
Operation temperature/humidity: temperature 10℃-38℃, relative humidity ≤80%, atmospheric pressure
70kPa-106kPa.
Storage temperature/humidity: relative humidity ≤80%, in the room without caustic gas and w ith good
ventilation.
9.1.8 The blood pressure value measured w ith this hemomanometer is equiv alent to the measured value
of stethoscopy w ith the error consistent with the requirement of YY0670.
Warning：
To measure according to the recorded instruction and the standard
of storage temperature/humidity, or the correct measurement may not be
realized.
Note：
Any measurement of blood pressure may be subject to the posture
and/or physical conditions of the measured indiv idual. The error of
unwanted movement may occur if there is any motion of body in the
measurement.
-119-
9.2 Instruction of back-up power supply
Se lf-test After starting dialysis device, system w ill

charge for spare power supply automatically
(capacitance is enough if battery display three
cases).
Dialysis
In the power cut status, system can start
Power off alarm
Running
spare power supply automatically, battery
displays surplus capacity.
Dialysis It w ill alarm w hen the battery is no capacity.

Lower battery alarm
Running
Character area display battery capacity
whic h is shortage.
-120-
Appendix A: Table of Sterilization Model

Sterilization Model Total time(minute)
Citric acid 36
Peracetic acid 31
Heating+Citric acid 42
Heating 32
Introduction：
z In normal condition, all the Pre-rinse Time in every model should be 1min. While if the water
conductiv ity is higher, time maybe extended till the conductivity is reduced.
z Disinfection Mode—> citric acid: it can disinfect the machine and remove the calcium.
z Disinfection Mode—> peracetic acid: it can disinfect the machine.
z Hot Dis. Mode—> heat + citric acid: it can dis infect the machine and remove calc ium. In this mode,
the time of heating water till 65℃ is not included in both cycling disinfec tion time and Total Time.
z Hot Disi. Mode—> heat: It can disinfect the machine. In this mode, the time of heating water till 65℃
is not included in both cycling disinfection time and Total Time.
z It is recommended to use 20% citric acid and 3.5% peracetic acid.
-121-
Appendix B Determine the content of citric acid with high-performance

liquid chromatography
B.1 Chromatogram conditions and suitability test
Use of sulfonic acid anion exchange resin (Rezex ROA- Organic Acid H+ ( 8%，150 mm ×7.8
mm, 8µm）, or column w ith similar nature) as filler, and 0.015mol/L sulphuric acid solutionas the
mobile phase, flow rate 0.6ml/min, detection w avelength 210nm, column temperature 40℃. The
chromatogram conditions and suitability test should be consistent w ith the requirements of Appendix
VC High-performance Liquid Chromatography in Chinese Phar macopoeia ( Part 2, 2010 edition): R
＞1.5, n＞3000, T = 0.7-1.3.
B.2 Deter mination of liquid chromatogram
1.0 g citr ic acid control w eighted precisely is dissolved w ith dialysis w ater to volume in the
volumetric flask until 10.0g/L citric acid control is obtained. Take and pour 20μL of such control in the
liquid chromatography for determination and the calculation of the peak area. Take the test solution
and dilute based on the appropriate dilution ratio w ith the dialysis w ater as the solution to be tested.
This solution is filtered w ith 0.45μm membrane and 20μL of w hich is taken and poured in the liquid
chromatography for determination and the calculation of the peak area. The concentration of citric
acid in the test article is calculated w ith the external standard method.
The calculation formula for the concentration of citric acid:

Ax
Content of citric acid（Cx）=Cr M (g/L)
—-
Ar
Where:
Cr ——Concentration of citric acid in citric acid control (g/L);
Ar ——Peak area of citric acid in citr ic acid control;
Ax ——Peak area of citric acid in sample;
M —— Dilution factor of sample.
-122-

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JIHUA MEDICAL APPARATUS & INSTRUMENTS CO.

JHM-2028A Hemodialysis Device User ’s Manual(V9.68 EN-0)

Notes on the symbols used in this manual.

Type of protection against electric shock: Type B

Defibrillation-proof type: Type BF

Outlet port of waste

Inlet port of reverse osmosis

MANUFACTURER:Ji-Hua Medical Apparatus and Instruments Co., Ltd guangzhou

Tel: 0086-20-87072136， 87072364， 87072397， 87072454

1.1.1 Clinical experience and relativ e physiology knowledge on JHM-2028A Hemodialysis.

1.1.2 Fully understand the contents of this user’s manual.

device. Able to distinguish the abnormality of the devic e.

1.2 Safety notices

JHM-2028A Hemodialysis device.

adjusted before running the devic e.

requirement of the device.

syringe of heparin pump

normal operation of the devic e.

repair the device.

in his/her country or region.

with strong corrosion resistance feature is recommended.

2.1.1 Product name: hemodialysis device

2.1.2 Model: JHM-2028A

2.1.3 Standard No. of product: YZB/National 1305-2013 Hemodialysis Devic e

the device included.

2.2 Main technical specifications

z Dimension: Height: About 145 cm (Fluid stand is not included)

Length: About 37 cm (Foot is not included)

Area: About （56.3×62.5） cm2

Electric shock resistance type: Category I

Electric shock protection degree: Type B Symbol:

Liquid incursion protection: Anti-dripping Symbol: IPX1

z Work system: continuous running

Line voltage: AC220V, Frequency 50/60Hz

Input power: 1700W

Main sw itch: C65N 32A AC250V

Flow -in water pressure: 0.1 MPa~0.6 MPa (Standard)

The quality of reverse osmosis water conforms to standard YY

Flow -in water temperature: 5℃~35℃

80% atmospheric pressure 70kPa~106kPa.

Drainage: 0~100cm higher than the ground surface

Concentrate supply : Maximum suction height of 75 cm

temporarily stops working. And hot disinfection the device

before the device resumes working.

Storage temperature: 5℃~40℃ (without using anti-freeze)

-10℃~40℃(w ith the water pipeline being emptied)

z Restrain hearable alarm: The silent time of alarm is 2 minutes.

New alarm can activate mute alarm

HD: Hemodialysis with hydrogen carbonate and acetate

Sequential UF: UF/Pure UF(ISO UF) w ithout flow of dialysate

Cleaning procedure: Including disinfection, hot disinfection, rinse three modes.

Disinfect mode is devided into “Citric acid” and “Peracetic acid”.

z Dialysate circulation and safety system

Blood leakage inspector: Method: Photo electricity inspection

Reaction threshold value: When red blood cell rate is

0.32±0.02, the blood lead age of each liter of dialysate is

equal or over 1ml (flow rate of dialy sate is 500 ml/min)

TMP: Display range: -100 mmHg~+600 mmHg

Error: ±20 mmHg

Width of warning window: Adjustable in the range of

-100 mmHg ~ +600 mmHg

UF: ISO UF flow rate: 0~4000ml/h

HD flow rate: 0~4000ml/h

UF preset range: 0~16000ml