NIKKISO

Manual No. 831en-R7

Hemodialysis System

DBB-27
Technical manual ver.3.0

IMPORTANT
This manual contains the installation method,
setting and adjusting items of DBB-27 and
others. Before start of operation, read this
manual fully to understand proper operation
procedures and cautions, and always operate
the equipment in right and safe manner. Having
read this manual, keep it together with the
warranty sheet at a prominent place near the
equipment where all concerned personnel can
refer to it.

NIICKISO
® «©0

NIKKISO CO.,LTD.
 IMPORTANT
This manual is effective for the DBB-27 mounted with the software of
Version 3.0.

Please confirm not only the model name, but also the software
version.

1. The model name is mentioned in the rating plate at the rear panel.
2. The software version is confirmed by the following operation on the
LCD of the monitor panel.

Touch the monitor displayed on the Technician menu bar in the LCD
and the pull down menu appears at the lower side of the monitor.
Touch the I/O data (to be displayed when input the password) to open
the I/O screen. At the upper left side, the software version is shown.

DBB-27 Technical manual No. 831en-R7

 Table of contents ( 1 / 3 )
Chapter 1 Installation, Trial run, Transport

1.1. Safety indications............................................................................ 14

1.2. Precautions that must be observed before the trial run ..................................... 14
1.2.1. Environmental conditions ............................................................................................ 1-2
1.2.2. Installation conditions ................................................................................................. 1-2
1.3. Trial run ................................................................................................................................ 1-5
1.3.1. Installation ...................................................................................................................... 1-5
1.3.2. Start of trial run ————————————————————————————— j-u
1.4. Transport ............................................................................................................................. 1-13
1.4.1. Indoor transport ......................................................................................................... 1-13
1.4.2. Outdoor transport ...................... 1-13

Chapter 2 Switches

2.1. Call the technician switch screen ............................................................................... 2"1

2.2. Technicians switch screen .............................................................................................. 2-2
2.2.1. Technicians switch screen ( EXTRACORPOREAL ) .........................................2-4
2.2.2. Technicians screen ( HYDRO CIRCUIT ) ............................................................. 2-7
2.2.3. Technicians switch screen (ALARM, TEST) .................................................. 2’12
2.2.4. Technicians switch screen (OTHERS) ............................................................. 2-16
2.2.5. Technicians switch screen (MODE) ................................................................. 2-18
2.2.6. Other switches ........................................................................................................... 2-20

Chapter 3 Self test

3.1. UFC self test and conductivity self test .................................................................... 3-1
9.2. Micro-computer test ...........---- ........................................................................................ 3 _2
3.3. Blood monitor self test ...................................................................................................... 3-3
3.4. Coupling leak test ............................................................................................................. 3-4

Chapter 4 Setting items

4.1. Basic data input methods 4-1

4.1.1. Data input by turning knob .......................................................................................4-1
4.1.2. Data input by using ten-key ...................................................................................... 4-2
4.1.3. Data input by moving bar graph .....................................................................-....... 4-3
4.1.4. Data input by using up-down key ............................................................................ 4-3

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 Table of contents ( 2 / 3 )
4.2. Call the alarm point setting screen .................................................................. 4-4
4.2.1. Call from the Technicians menu bar.................................................................. 4-4
4.2.2. Call from the Nurse menu bar ..................................................................... 4-4
4.3. Classification of setting data ............................................................................ 4’6
4.4. Table of setting items ........................................................................................4-8
4.4.1. Description on the table of setting items ..........................................................4-8
4.4.2. Hospital 1 data ....................................................................................................4-9
1. Dialysis condition ...................................................................................... 4'9
2. Alarm point ............................................................................................... 4'11
3. UF profile................................................................................................... 4-13
4. Conductivity profile ................................................................................ 4-14
4.2. Na profile 4-16
5. Operation range ......................................................................................... 4-17
6. Blood pressure ......................................................................................... 4-17
7. Alarm monitoring ..................................................................................... 4’19
8. Set conductivity alarm.............................................................................. 4-20
9. Blood volume.............................................................................................. 4-20
10. Priming, Collection .................................................................................... 4-21
4.4.3. Hospital 2 data.................................................................................................. 4-22
1. Blood pump ........-...... 4-22
2. Priming setting -------- ------------------------------------------ 4-23
3. Dialyzer warming ..................................................................................... 4-23
4. Buzzer ...................................................................................................... 4-24
5. LCD............................................................................................................. 4-25
6. Customize ................................................................................................... 4-28
7. Weekly program......................................................................................... 4-39
8. Clock .................................................................................................... 4-40
9. Alarm monitoring ( Fixed / Auto-set ) ------------------------- 4-40
10. Single needle .............................................................................................. 4-41
11. Gas purge.................................................................................................... 4 _ 41
12. Cleaning program ( Function, Name ) ..................................................... 4-42
13. Cleaning program (Sequence) ................................................................. 4-43
14. Infusion pump ........................................................................................... 4-47
15. Dialysate temperature ............................................................................... 4'48
16. Water supply pressure............. —............................................................. 4-48
17. Running time of parts ............................................................................... 4-49
18. Replacement of parts ................................................................................. 4-50

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 Table of contents ( 3 / 3 )
19. Ultrafiltration ............................................................................................ 4'52
20. Dialysate flow rate .................................................................................... 4-53
21. Deaeration pump, Booster pump ............................................................. 4-53
24. Pump self test ............................................................................................ 4-54
25. TMP ............................................................................................................ 4-55
26. Air bubble ................................................................ 4-55
27. Conductivity ............................................................................................... 4-56
28. Blood leak ................................................................................................... 4-56
29. Widen alarm point ..................................... 4’57
30. Override ..................................................................................................... 4-57
31. Setting of blood circuit ............................................................................... 4-57
32. OK Monitor ................................................................................................ 4-58
33. External lamp ............................................................................................ 4 _61
34. Solenoid valve ............................................................................................ 4-62
35. Others ......................................................................................................... 4-62
36. Automatic OFF time ................................................................................. 4’63
37. BPM ............................................................................................................ 4-63
38. Auto collection ........................................................................................... 4-64
39. Blood circuit drain ..................................................................................... 4-64
40. Blood volume meter .................................................................................. 4'64
41. CF replacement .......................................................................................... 4-65
42. Timer setting .............................................................................................. 4-65
43. Coupling leak test ..................................................................................... 4-66
4.5. Input method of patient name ....................................................................... 4-67
4.5.1. Call the Patient name setting key board screen......................................... 4-67
4.5.2. Entering using the patient name setting keyboard.................................... 4-68
4.5.3. Patient name input method ...................................................................... 4-69

Chapter 5 Adjusting items

5.1. Performing adjustments in the adjusting mode............................................. 5-1

5.1.1. How to open the Adjusting screen 5-1
5.2. List of Adjustment Items ................................................................................. 5-2

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DBB-27 T echn i ca I manua I No. 831 en-R7

 1. I n s t a l l a t i o n , T r i a l run, Transport

Chapter 1 Installation, Trial run, Transport

1.1. Safely indications

The installation and the trial run of the DBB-27 must be executed by specially trained
personnel. In any case, understand the contents in this manual well enough and do the
trial run and start the initial operation.

This indicates the presence of a serious danger that will cause death or
serious injury if the contents are not followed.

This indicates the presence of a dangerous condition that may cause death or
serious injury if the contents are not followed.

This indicates the presence of a condition that may result in damage to the
aution
equipment (physical damage) or incorrect treatment results if the contents
are not followed.
This indicates important points that the operator should know when
Or* Notes
operating this equipment, and important points about conditions that the
operator should remain aware of.

1.2. Precautions that must be observed before the trial run

This equipment should be installed, adjusted, repaired, and the trial run performed by a
specially trained professional technician.

Anyone operating this equipment must first thoroughly read and understand this
manual before starting the trial run adjustments and initial operation.

You are required to use the DBB-27 only within the scope of this
technical manual chapter 1.2 “ Items to be kept before the trial run
“ and the operating instruction manual chapter 1.7 “ Specifications of
DBB-27
Nikkiso can only be responsible for the safety, reliability and
performance of the DBB-27 when it is used in direct accordance with
the items detailed in [Chapter 1.2 Precautions that must be observed
before the trial run] in the Technical Manual (this manual) and
[Chapter 1.7 Specifications of DBB-27] in the Operating Manual.

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1. I n s t a l l a t i o n , T r i a l run, Transport

1.2.1. Environmental conditions

1. Use environment
Use the DBB-27 under the following conditions;
Ambient temperature: 10~35°C
Relative humidity: 30~85%

2. Transport and storage

Transport and store the DBB-27 under the following conditions!
Ambient temperature : -20~60°C
Relative humidity: 10~95% ( Not dew condenses )
Atmospheric pressure: 50~106kPa ( 0.5~1.06 bar )

aution or case
transport or he storage for 15 weeks or longer,
please strictly keep above “ Environmental conditions “.

1.2.2. Installation conditions

1. Electric supply facilities
1) The electric power supply necessary for the operation of the DBB-27 must
conform to the respective laws and regulations in the customer's region.
2) Power supply
• Voltage
220 / 230 1 240 VAC ±10 %, 50 1 60 Hz ±lHz
• Current
10 A

2. Protective earth and earth for potential equalization

1) Protective earth
The DBB-27 shall be connected to a hospital grade main socket outlet with the
protective earth.

/ Warning Plug the equipment into a hospital-grade outlet with two I

conductors and ground connector. Do not use AC power plugs or I
adapters that cut the protective earth terminal. I
[Ground integrity failure may result in electrical shock or I
equipment malfunction due to noise.] I

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2) Equipotential earth
In case DBB-27 to be used or installed at the medical room whose electric facility
has the earth resistance of greater than 10 Q and less than 100 Q at its earth
electrode or equipotential earth is necessary by other reason, equipotential earth
shall be made by using the terminal for equipotential earth on the rear of DBB-27.
As for the location of the terminal for equipotential earth, please refer to Operating
instruction manual chapter 2.1.4 “Power supply panel/Connector panel
Do not use defibrillators while the equipment is connected to a
patient.
[Electric shock from the defibrillator may be conducted to the
device via the patient, and cause electric shock to persons in the
vicinity.!

3. Spacing
DBB-27 must be installed in a place where the location to the patient, operation,
maintenance and control are at most rational level. To ensure safe operation of
DBB-27, installed it on the flat floor where no objects that are likely to fall down or
hinder operation exist around DBB-27. Also, to connect the utilities (power supply,
water supply and drain ) , install DBB-27 so that the power cable ( 3.5 m ) and drain
hose ( 3 m ) are not stretched.
Do not use this equipment within a controlled area for radiation
or MRI. Mobile phones, transceivers, and other electric
communication devices must not be brought into the room in
which this equipment is installed, or into a neighboring machine
room or preparation room.
[Electromagnetic interference may cause malfunction.]

Do not connect any accessories to DBB-27 other than optional

accessories. [If any improper accessories are connected to
DBB-27, it may lead to serious patient injury as well as
equipment malfunction.]

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1. I n s t a l l a t i o n , T r i a l run, Transport

3. Water supply
1) Water
Use only the water suitable for the hemodialysis to operate DBB-27. The water to be
used for DBB-27 must be the water treated by the reverse osmosis system, pure
water and softened water.

2) Conditions
© Water supply pressure: 70~300 kPa ( 0.7~3.0 bar )
If water supply pressure is higher than above value, lower that by using the
reducing valve.

aution Set the secondary side maximum pressure of the pressure

reducing valve to 45 to 50 kPa, and maintain the SV1 solenoid
valve (water supply) inlet side pressure above 10 kPa at all times.
i

© Water supply temperature: 10~30°C

4. Intensive piping for concentrate

For the case that concentrate is supplied by the intensive piping, change the back
pressure valve of B Concentrate to the same one as A Concentrate back pressure valve.
Maximum Concentrate supply pressure at using the intensive piping : 50kPa or less.
T~ ‘ X ... ..................
/fSCaution h® Preset va l ue for the spring in the back pressure valve for B
concentrate varies depending on the concentrate supply method.
Be careful not to mount wrong back pressure valve so that conductivity
fluctuation is avoided. Kind of each back pressure valve is
distinguished by the valve body color as follows!
Body color of the back pressure valve for A Concentrate : White
Body color of the back pressure valve for B Concentrate : Blue (White in
intensive piping for concentrate)

5. Drain
The drain system shall be made so that it can process the drain at used flow rate
( standard : 500 ml/min. ) according to the local rules and regulations of each district. Be
careful of the reverse siphon and the air accumulation between drain connector and
drain port. For the case that disinfecting Equid with high temperature is flown through
the drain pipe, use the drain pipe made of materials durable of high temperature.
Concerning the drain connection, please refer to the technical manual chapter 1.3.1
“ Installation “.

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1.3. Trial run

1.3.1. Installation
1. Dialyzer coupler and bypass connector
1) Connect the dialyzer coupler ( blue ) to the dialysate outlet port.
2) Connect the dialyzer coupler ( red ) and the dialysate return filter ( ID 6.5mm )
to the dialysate return port.
3) Connect the dialyzer couplers ( blue and red ) to the bypass connector and place
them into the bypass connector holder.
Always use the proper dialyzer hose ( ID 6.5mm ) supplied with DBB-27 or the one
specified by Nikkiso. Hose must be 120 ± 5 cm long.
2. Concentrate connectors
1) Connect B Concentrate connector ( blue ) to B Concentrate port.
2) Connect A Concentrate connector ( red/white ) to A Concentrate port.
Do not fail to use the hose attached with DBB-27 or the one specified by Nikkiso.
3. Dialysate filter ( EF-02 )
Mount the dialysate filter ( EF-02 ) into the EF-02 holder at the rear of DBB-27.

EF Notes For details on using the Dialysate filter, see the [Dialysate Filter
Instruction Manual]

Dialysate filter EF-02

Holder for EF-02

[Fig.1’1 Mounting locationEF-02]

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1. I n s t a l l a t i o n , T r i a l run, Transport

1) Turn levers at top and bottom of the holder to perpendicular direction, and push in
dialysate filter to the holder at the back side of DBB-27.

lever

holder
Dialysate holder (EF-02)
I

A -“ ■

lever
[Fig. 1-2 Attachment diagram of dialysate filter ( EF-02 ) ]
2) Firmly install the EF-02 at the upper and the lower ports to the holder and lock with
lever. ( See the diagram below)

Turn levers after the dialysate pushed in enough to touch two points at
aution top and bottom to the holder, (points shown as * 1 in the figure. If the
filter is locked without enough pressing, it could lead to leakage.

lever

holder

*1

lever

[Fig. 1-3 Attachment diagram 2 of dialysate filter ( EF-02 )]

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4. For the case of not using dialysate filter

1) Open the left side cover of DBB-27, remove the silicon hose from the hose connector
which connects silicon hose to the backward filter holder and newly connect as
follows;

silicon hose

hose connector ( ID <j> 5 ) 90 mm

silicon hose
( ID </> 5 ) 60 mm

Tpipe (for</> 5 )

Silicon hose (ID <f> 5) 90 mm

To EF-02 holder

[Fig. 1-4 Connection for not using dialysate filter]

aution 1. Use the silicon hose and T pipe specified by Nikkiso.

2.The length of silicon hose is as shown in above figure.
3.Firmly connect silicon hose and others.

2) The mode shall be adjusted to “ Not use CF ( dialysate filter )”.

aution Please refer to the technical manual chapter 5.2 Adjustment items
table, 17 Selection of use.

5. Drain of the dialysate filter

For changing the used dialysate filter to new one, carry it out after the used filter is
drained.
1) Press the |CF replace] key on the Switch screen of DBB-27.
2) The CF replacement screen opens.
3) The leftover of the liquid inside the dialysate filter can be drained by operating
keys according to the messages to be displayed on the screen.
As for details of operation method, please refer to the Technical Manual Chapter
2.2.2 “ Technician Switch screen ( Hydro circuit -related) item 15 and Chapter 2.2.6
“Other switches" |CF replace key.

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1. I n s t a l l a t i o n , T r i a l run, Transport

6. Execute CF leak test

After dialysate filter is mounted or exchanged, execute CF leak test filling up the filter
with liquid by either following CD or ® and confirm of no problem.
(DBy letting DBB-27 be into the Gas purge mode, the pipe self check shall be
automatically performed.
(2)By operating the Pipe self check switch on the Switch screen of DBB-27, the CF
leak test shall be performed.

Concerning the details on the operation method, please refer to the Technical Manual
Chapter 2.2.3 “Technicians switch screen (Alarm, test ) Item 12 “ UFC self test key”.

/$\Warninq The rinsing solution, disinfecting solution and dialysate circulating in

DBB-27 always flow through the dialysate filter. To determine an
operating time in each mode such as rinse, disinfection or treatment
preparation, always consider a period of time necessary for liquid
substitution in the dialysate filter. Before the treatment, confirm of no
leftover of rinse or disinfecting solution in the dialysate filter.

A/Varnin In case of leakage on the depth filter or tubing, discontinue treatment

and take required actions such as replacing the depth filter or parts of
tubing.

The leak test of dialysate filter cannot be carried out when DBB-27 is in
aution
following cases at the pipe self check;
1. In the Treatment preparation mode, the bypass connector is not
placed in the bypass connector holder.
2. The mode is Gas purge, Connect, Disconnect, Start or Stop.

aution
1. After the dialysate filter is mounted or exchanged, do not fail to carry
out the CF leak test and confirm that any liquid leak does not exist.
2. If any abnormality from the CF leak test is observed, take necessary
action for restoration, then carry out the CF leak test again to
confirm that no problem exists. The treatment must, thereafter, be
started.
3. To prevent over-ultrafiltration, always check for leak from the
dialysate filter and piping during the treatment and at the daily
check and inspection. If any leak is observed from the dialysate filter
or the piping, stop the treatment and take necessary action
immediately such as exchange the filters or piping parts.

L_
7. Signal, cable
If necessary, the connection of signal, cables shall be made.

The IP address of DBB-27 is shown on the rear cover.

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1) External input
Connect the external signal, which runs or stops the hydraulic unit or the
extracorporeal line, to the external input connector.
2) Monitor output 2 ( External output 1 )
Connect a cable to the Monitor output 2 connector to transmit the output signal of
the DBB-27 operating status to the external auxiliary equipment.
3) Monitor outputl ( External output 2 )
Connect a cable to the Monitor output 1 connector to transmit the signal of DBB-27
operating status to displaying plate and the external auxiliary equipment. (Contact
output : Max DC24V/120 mA)
4) Nurse call
Connect the Nurse Call cable ( optional accessory ) to the Nurse Call connector.
5) Blood pressure measuring manual switch
Connect the Blood Measuring manual switch cable ( optional accessory ) to the Blood
Measuring switch connector.
6) Peripheral equipment 1,2
Connect a cable to the peripheral equipment communication connector to transmit
computer data.

EF Notes Use "External input" or "Monitor output 1 (output 2)" for the
supply line hot rinse program.
For details, refer to the instruction manual for breakout box
DSB-05/DSB-06.
8. Irrigator stand
Set the irrigator stand to the stand holder.

9. External display lamp

Mount the external display lamps to the back panel of DBB-27 and connect the connectors.

10. Negative pressure detector ( optional accessory )

Mount the Negative Pressure detector to the irrigator stand and connect the connector.

11. Excess solution receiver ( separately sold )

Mount the excess solution receiver to the irrigator stand and connect a hose.

12. Priming clamp unit ( optional accessory )

Mount the Priming clamp unit to the irrigator stand and be connected.

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1. I n s t a l l a t i o n , T r i a l run, Transport

13. Clip-type air detector ( optional accessory )

Connect the Clip-type air detector to the connector at the back of LCD.

This part is red.

[Fig. 1-5 Clip-type air detector]

14. Water supply
Connect the filter attached to DBB-27 to the water supply hose. Connect the water
supply connector to the water supply device.

aution( The water supply hose must be the one attached to DBB-27 or the one
J specified by Nikkiso ( ID 8mm ).

15. Drain
Connect the drain connector to the drain device. The height of the drain port must be
below 30cm from the floor face. Use the attached hose or appropriate one specified by
Nikkiso ( ID 8mm ). drain hose
air hole
below 30cm

I di ain duct
[Fig. 1-6 drain connection]
To prevent siphon phenomenon from the drain duct, make the air hole
to release the drain duct to the atmosphere. Let the drain hose not
touch the drain liquid. Do not touch carelessly the drain duct as hot
disinfectant may flow through it. When high temperature disinfecting
liquid is flown through the drain pipe, use the material durable to it.
16. Fuse i
Insert the battery fuses to the fuse holder and lock.
Be sure to carry on the insertion of fuses and locking of the fuse holder.
If these are not done surely, fuses may be broken causing contact failure

17. Battery operation switch of the blood pump

Turn to OFF position of the battery operation switch at the rear side of DBB-27.

18. Power code

Connect the power code to power supply facility.

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 1. Installation, T r i a l run, Transport

1.3.2. Start of trial run

1. Supply the water to DBB-27.
2. Check the following items,'
1) Whether or not each connector of concentrate is firmly connected to each
corresponding port.
2) Whether or not the dialyzer coupler is firmly connected to the bypass connector
and mounted to the bypass connector holder.
3. Press the main power switch to ON.
DBB-27 enters the Preset mode.
4. Touch the |Mode|icon indicated on the status bar in the screen

Notes
______ in f° r screen,
A s the
name m
please °d-
e suc as
? rese t toManual
refer tohInstruction be indicated
chapteron 7.2
the “status
Manualbar
rinse mode _________________________________________________
Mode screen opens.
5. Touch the |Rinse| key for 1.5 sec. or longer. The color of the |Rinse| key changes.
6. Having entered the Rinse mode, DBB-27 starts Rinse operation.
7. The Rinse process is performed for 10 min. or longer.

After power is turned on, make rinse at least for 5 minutes until the
equipment has filled with water. In order to prevent air from entering,
perform rinse without heating. Observe DBB'27 for leaks, strange
noises, or the presence of other abnormalities while rinsing.

8.Touch the Preset key for 1.5 sec. or longer. Key’s color changes and enters the Preset
mode.
9. Adjust the air detector voltage by reference to the Maintenance manual "5.15 Air
detector voltage adjustment".

10. Set necessary values and make record of them.

Execute disinfection without fail after trial run is over.

aution

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11. Always check if a nut in hydraulic part were securely fastened after disinfection
performed at the end of installation.

• Inlet and outlet of the UFP

• Inlet and outlet of the SPA, SPB and the SPNa
• 2 inlets and 2 outlet of the DP
• The filter (dialysate return); FL1
• The filter (inlet of the CP); FL2
• The back pressure valve; Hl and H2
• The relief valve; L
• The back pressure valve; H-C1,H-C2 and H-C3
• The water pressure transducer; PT1
• The dialysate pressure transducers! PTS
• The check valve! CV41

To avoid cracking a nut due to much force, fasten manually without any
tools.
I , , ... <• .

• B sampling port / Concentrate suction nozzle

• Dialysate sampling port / Concentrate suction nozzle

aution To avoid a crack due to exceeded force, tighten it up with tools at 49N • cm
(5kgf7cm).

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 1. I n s t a l l a t i o n , T r i a l run, Transport

1.4. Transport
1.4.1. Indoor transport
1. Ordinary carrying
1) Release the caster break
2) Then, DBB-27 can be pushed or rotated to all direction.
( DBB-27 can be attached with transporting handle as option. )
2. Get over the small difference in level ( For example: Entrance to elevator )
To avoid being damaged or fallen down of DBB-27, move the equipment little by little and
get over the small difference in level slowly.
3. Get over the big difference in level ( For example: stairs )
When DBB-27 gets over the big difference in level, it must be lifted up. For this, at
least 4 persons are needed.
1) Remove the break of caster.
2) Incline DBB-27.
3) Transport DBB-27 lifting up.
Do not hold the monitor, external display lamp, or irrigator stand holder when
lifting.
4) Having placed DBB-27 on the floor, set it up by reverse procedures.
handle for transport
( optional accessory )

[ Fig. 1-7 Upper view of DBB-27 and transport direction ]

1.4.2. Outdoor transport

1. Do not push and go across the place where the surface is not flat such as stone- paved
road.
2. For the case that DBB-27 is transported on uneven place, protect DBB-27 with
appropriate packing and load a cart. When DBB-27 is transported, disinfection and
draining must be done by the person authorized by Nikki so.

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 2. Switches

Chapter 2 Switches

This chapter contains the descriptions about the function of each switch. As an example,
the Technicians Screen is used. The switches described can be customized and displayed
on each screen. When they are customized to each screen, please refer to Chapter 4
“ Setting items “ of this Technical Manual.

2.1. Call the technician switch screen

1. Touch the SETTING key on the menu bar. The pull-down menu appears below the
|SETTING| key.
2. Touch the |KEY| on the pull-down menu. The Technicians switch screen opens.

SETTING GRAPHIC I STANDARD SETTING

(D UP RATE (t/h)
KEYS

[ Fig.2-1 KEY on the pull-down menu ]

DBB-27 Technical manual No.831en-R7 2 - 1

2. Switches

2.2. Technicians switch screen

The switch screen comes in 5 kinds as follows? EXTRACORPOREAL
HYDRO CIRCUIT
ALARM, TEST
OTHERS
MODE

■ Touch the desired switch out of [EXTRACORPOREAL], [HYDRO CIRCUIT],

[ALARM, TEST], [OTHERS] and [MODE].

■ The tag touched turns [blue] and selected switches are displayed on the screen.

■ When the key with shadow L-,-.;;J is operated ( ON/OFF ) from displayed switches,
touch it for 1.5 sec. or longer until the sound “ Pi —“ is heard.

■ When switch is in the state of ON, key color becomes any of green, orange, red, blue
or yellow. When switch is in the state of OFF, key color becomes grey.

■ When switch color is grey and the key letter is white, this key cannot be opetated.

2-2 DBB-27 Technical manual No. 831en-R7

 2. Switches

1 5) (2 3

EXTRACORPOREAL HYDRO CIRCUIT | | ALARM , TEST | OTHERS

MODE

RIR Rg| |a| |H| m fg]

IP I iVrAPIoI PRIMING I AUTO I AUTO I

BOLUS I FEED I ASSIST I PRIMING I COLLECT I

BPM
SINGLE BLD GIR.
DATA
NEEDLE DRAIN
RESET

[Fig.2’2 Technicians Switch Screen (EXTRACORPOREAL) ]

No. Tag name Description

(D EXTRACORPOREAL By touching the EXTRACORPOREAL tag, the tag

turns blue and extracorporeal-related switches are
displayed.
HYDRO CIRCUIT By touching the HYDRO CIRCUIT tag, the tag
turns blue and Hydro circuit-related switches are
displayed.
ALARM, TEST By touching the ALARM, TEST tag, the tag turns
blue and Alarm • test-related switches are
displayed.
OTHERS By touching the OTHERS tag, the tag turns blue
and timer and LCD related switches are displayed.
© MODE By touching the MODE tag, the tag turns blue and
mode-related switched are displayed.

DBB-27 Technical manual No. 831en-R7 2-3

2. Switches

2.2.1. Technicians switch screen ( EXTRACORPOREAL )

Here are switches of Technicians switch screen (EXTRACORPOREAL )

EXTRACORPOREAL ' | HYDRO CIRCUIT | ALARM , TEST 1

| OTHERS 1
MODE |

FIR IH3R RR @| @| IH]

g] M g g B

SINGLE BLD CIR.

NEEOLE DRAIN

[ Fig. 2-3 Technicians Switch screen (EXTRACORPOREAL) ]

No. Name Description

1 AIR Key to switch ON/OFF of venous air detector power source.
DETECTOR Touch this key for 1.5 sec. or longer, make it green (ON),
POWER then the venous air detector becomes monitoring state.
When this key is gray color, the detector becomes OFF and
can not be monitored. Following cases, the Air power key is
not operative for ON/OFF;
• Under the mode of Rinse ■ disinfection, Preset or
Treatment preparation
■ Under auto blood collection ( automatically becomes
ON)
• Under Operation(Start) •Stop mode
( automatically becomes ON )
■ At blood detecting
2 CLIP-AIR Key to switch ON/OFF of Clip -type air detector power
DETECTOR source. Touch this key for 1.5 sec. or longer, make it green
POWER ( ON ), then the clip-type air detector becomes monitoring
state. When this key is gray color, the detector becomes
OFF and can not be monitored. If clip-type air detector
( option ) is not mounted, the Clip -Air power key is not
displayed.
3 BP POWER Key to switch ON/OFF of the Blood Pump power source.
Touch this key for 1.5 sec. or longer, make it green ( ON ),
then the pump power becomes ON. When this key is gray
color, the pump power becomes OFF

2-4 DBB-27 Technical manual No. 831en-R7

 2. Switches

No. Name Description

4 Key to select use of BV meter or not. Touch this key for 1.5 sec.
or longer, make it green (ON), then you can use the BV meter.
BV SELECT
If Blood Volume meter( option ) is not mounted, this key is not
displayed.
5 dBV INITIAL Key to start manual measurement of dBV or after start of
manual or automatic dBV calculation to reset dBV value and
restart dBV calculation. By touching this key for 1.5 sec. or
longer, the key becomes active. When Blood Volume monitor
(option) is not mounted, this key is not displayed.
6 BVM DATA Touch the BVM DATA OUTPUT] key to display the BV
OUTPUT meter data output screen.
However, if a blood volume monitor (optional accessory) is not
attached, the I JVM DATA OUTPUT key is not displayed.
7 IP Touch the IP 1:ey to open the IP setting screen.
In case of IP power ON, the key lights in green and
indicates IP irate. During the IP rapid-feed, IP total
volume is dis played.
8 USE IP Key to select IP Use <DPIP No Use. By touching this
key for 1. 5 sec. or longer,
IP Use an<i IP No Use is switched one other. [IP Use] lights
in green. n [IP No Use] selection, |lP Poweij, |IP Power Auto|
OFF and ][ I P P W O K M O N I OFF key become invalid.
9 IP POWER Key to turn [ON] or turn [OFF. IP Power switch. By
touching IP POWER] key, the key lights in green (ON),
IP Power turns ON a nd IP comes to operate.
10 IP POWER Key automatically to turn OFF IP power. If IP Power
AUTO OFF Auto OFF key is touched for 1.5 sec. or longer to light
in green (ON), IP Power is automatically OFF some
time ahead of the treatment completion time or UF
completion time, (by the time set with Power Auto
OFF Time). While [IP No Use] is selected, this key
does not function.
11 IP PW OK Key to turn off [IP Power OK Monitor OFF].
MONI OFF IP PW OK MONI OFF key is touched for 1.5 sec. or
longer to be green (ON), [IP Power OK Monitor OFF] is
displayed even at IP Power OFF. When IP Power is
automatically OFF,
IP PW OK MONI OFF ’ key is automatically ON. When [IP
No Use] is selected, this does not function.
z >

Notes The IP power OK monitor alarm can be turned off after an

appointed time. Set "IP power OK monitor switch" to "Off 1, and
set "IP power OK monitor shutdown time". Once "IP power OK
monitor shutdown time" is set to "On", the IP power OK monitor
alarm will not sound.

DBB-27 Technical manual No. 831en-R7 2 - 5

2. Switches

No. Name Description

12 IP BOLUS Key manually to do IP Bolus.
By touching IP BOLUS key for 1.5 sec. or longer to be green
(ON), IP Bolus can be manually started.
In the case that [Use] is selected in [IP auto. Bolus ], the
key blink in green.
13 IP RAPID Key to do IP Rapid feed. During IP RAPID FEED is
FEED touched, the key lights in green and fast forward infusion
can be manually performed.
14 PRIMING Touch PRIMING ASSIST key to display Priming assist
ASSIST screen.
15 AUTO Touch AUTO PRIMING key to display Auto priming screen.
PRIMING
16 BLOOD Touch BLOOD COLLECT key to display blood collect
COLLECT screen.
17 BPM DATA Key to reset blood pressure measurement data. Touch this
RESET key for 1.5 sec. or longer so that it flashes in green, and the
blood pressure measurement data is reset.
18 BPM Key to start the blood pressure measurement. Touch this
MEASURE key, then Blood pressure measurement screen appears and
START the measurement starts. Key light up in green while
measuring blood pressure. If this key is touched during the
measurement, the measurement will be stopped. If Blood
Pressure Monitor (optional accessory) is not mounted, BPM
MEASURE START key is not displayed.
19 SINGLE Touch [SINGLE NEEDLEl key. The Single needle screen
NEEDLE appears. When Single needle is ON, the key lights up in
green.
20 BLOOD Key to use the drain function of blood circuit.
CIRCUIT This key will turn green during blood circuit drain.
DRAIN For details, refer to Chapter 9.5 “Drain the leftover inside
the blood circuit” of the Instruction Manual. If [Blood
circuit drain function] in setting Hospital 2 [39. Blood
circuit drain] is set to [0: Not use], this key does not appear
on the screen.

2-6 DBB-27 Techn i ca I manua 1 No. 831 en-R7

 2. Switches

2.2.2. Technicians screen ( HYDRO CIRCUIT )

Here are switches of the Technicians screen (HYDRO CIRCUIT).

| EXTRACORPOREAL | HYDRO CIRCUIT ALARM , TEST | |_ OTHERS

K I
[JO @ H H 3
I WJ I II UF VOL II I UF I I Na | | CONDUCT |
RESET | || RESET || PROFILE PROFILE PROFILE

NO It INITIAL
THP ZERO TUP
UF-FACT
CALC INITIAL
MEASURE

DIALYSAT
FLOW Na CONO.
SELECT CHECK

[Fig.2-4 Technicians screen (HYDRO CIRCUIT)]

No. Name Description

1 UFC OFF Touch [UFC OFF| key for 1.5 sec. or longer to light up in
orange ( ON ), then SV7 solenoid valve opens (open air)
and the hydraulic line of UFR controller is released to
make the ultra-filtration control invalid. Touch the |UFC|
|OFF| key again for 1.5 sec. or longer to turn to gray
(OFF), UFC off is stopped.

Notes UFC off does not mean that the UF rate is zero. At UFC off, UF pump
does not operate.

Do not operate the UFC off key when a patient is connected to this
equipment. [Doing so may cause an excess of UF.]

About UFC off key:

When this key is ON, the pressure of dialysate hydraulic line is released to the pressure
near the atmospheric pressure. Accordingly, the difference between dialysate pressure
and venous pressure ( TMP=VP-DP ) causes filtration, that is, the same principle of
dialysis equipment without UFR controller ( the method of determining UF rate from
venous pressure and dialysate pressure ) causes ultra-filtration. The UF rate in this case
is not displayed on the FUF totalj .

DBB-27 Technical manual No. 831en-R7 2 - 7

2. Switches

No. Name Description

2 CONNECT OPEN AIR Key to make the dialysate side pressure of the
(PLATE) dialyzer open air in case of Parallel-Plate dialyzer.
Touch the [CONNECT OPEN AIR (PLATE)].
Key for 1.5 sec. or longer to light up in orange,
then open SV7 solenoid valve ( open air ), SV5
solenoid valve ( dialysate return port ) and SV2
solenoid valve ( drain ) to release the dialysate
pressure of the dialyzer to air. Touch this key
again for 1.5 sec. or longer to turn to gray
( OFF ), then open air is stopped. This key is
valid only under the Connect mode and moving
to other modes, it turns off automatically.

Warning Don’t touch the CONNECT OPEN AIR(PLATE) key in case of hollow
fiber dialyzer.
[It may cause excessive fluid removal or clogging of dialyzer.]
Don’t keep the |CONNECT OPEN AIR (PLATE)] key turned on more
than necessary, in case of Parallel-Plate dialyzer.
[It may cause excessive fluid removal.]

No. Name Description

3 CIRCUIT PRESSURE Key to depressurize the blood circuit. While
RELEASE touching the key, it lights up in orange and
open SV7 solenoid valve ( open air ), SV5
solenoid valve ( dialysate return port ), SV2
solenoid valve ( drain ) to escape the pressure
inside the blood circuit to hydraulic circuit via
dialyzer. [CIRCUIT PRESSURE RELEASE] key
is valid only when venous pressure exceeds
OmmHg under Stop or Connect mode. The
operation time of this key is recorded. Even if
this key continues being touched, operation
cannot be performed exceeding Imin.
( Relevant setting ’ [Effective time of pressure
release from circuit] in setting Hospital 2 [34.
Solenoid valve])
4 UF RATE DOWN Key to set down UF rate temporarily. Touch
this key for 1.5 sec. or longer to light up in
orange. The set UF pump rate is changed to
that of [UF rate (UF rate down)] in Hospital 2
[19.2 UF 1], Touch this key again for 1.5 sec. or
longer to turn to gray (OFF), the lowering state
of UF rate is cleared. However, if the set rate is
higher than that before this key is pressed, the
lowering state o£UF rate is not changed.
5 UFCALCU Touch this key to open the UF Calculation
screen. While UF Pump is operating, the key
lights up in green.

2-8 DBB-27 Technical manual No. 831en-R7

 2. Switches

No. Name _____________ Description ______________________________

6 TREAT TIME RESET Key to reset the treatment passing time. Touch
the TREAT TIME RESET key for 1.5 sec. or
longer, it flashes in green and the treatment

UF VOL RESET Key to reset the UF volume. Touch [UF VOL

IrESEtI key for 1.5 sec. or longer, it flashes in
green and, the UF volume is reset to 0.00 L.
UF PROFILE Touch UF PROFILE key to call up the UF
profile setting screen, on which UF profile data
can be set. When UF profile is ON, it lights up
in green.
Na PROFILE By touching [Na PROFILE! key, the Na infusing
profile screen can be called, to set Na infusing
data. However, when Na infusing profile

not displayed. When |Na PROFILE! key is ON,

it lights up in green. ( This key is displayed if
optional Na infusing profile is mounted. ) _____
10 CONDUCT PROFILE By touching [CONDUCT PROFILE, key, the
Conductivity set screen can be called up and
conductivity data can be set on this screen.
When ICONDUCT PROFILE! key is ON, it
lights up in green.
NO TMP ZERO CALC Key not to make TMP zero calibration. In the
TMP monitor mode, TMP zero calibration is
automatically carried out, but if |NO TMP
ZERO CALC key is touched for 1.5 sec. or
longer and lighted up in orange ( ON ), TMP
zero calibration is not performed. In the TMP
auto-forecast mode, TMP zero calibration is
made even if No TMP zero calibration is (ON).
12 TMP INITIAL Key to do TMP Initial calibration. In TMP
auto-set monitor mode and TMP auto-trace
monitor mode, TMP Initial calibration is
automatically carried out. When the result is
inadequate, touch the |TMP INITIAL) key for
1.5 sec. or longer, the key flashed in green and
TMP Initial calibration is performed again.
13 INITIAL UF-FACT Key to do the Initial UFR measurement.
MEASURE In the TMP auto-forecast mode, Initial UFR is
measured after TMP zero calibration. When
the result is inadequate, touch the key for 1.5
sec. or longer, then the key flashes in green and
the Initial UFR is measured again. The
INITIAL UF-FACT MEASURE, key is valid
only when TMP auto-forecast mode is selected
and TMP zero calibration is completed.

DBB-27 T e c h n i c a l manual No. 831en-R7 2-9

2. Switches

No. Name Description

14 DIALYSAT FLOW SELECT Key to change dialysate flow rate temporarily.
Touch the [DIALYSAT FLOW SELECT?! key for
1.5 sec. or longer to turn green, dialysate flow
rate is changed to that of [Set dialysate flow
rate 2 setting J in Hospital 2 120 Dialysate
flow rate J . If this key is touched again for 1.5
sec. or longer and turns to gray ( OFF ) , the
flow rate returns to original value.
15 DIALYSAT FLUID Key to do sampling of the dialysate.
SAMPLE When dialysate is sampled, set t' ie dialyzer
coupler to DBB‘27 and touch the DIALYSAT!
IFLUID SAMPLEl key for 1.5 sec. c>r longer to
turn green. Then, sample the dial Lysate from
the sample port. The key is valid only when
mode is Preparation. When satmpling of
dialysate is over, touch again the dialysat!
[FLUID SAMPLE) key for 1.5 sec. or longer, to
make it gray ( OFF ) and returns to
Preparation mode.
16 CF REPLACE Key to drain the leftover of liquid in dialysate
filter ( CF ) when it is replaced. While draining
is carried out, the key is displayed in orange.
As for details, please refer to the rTechnical
Manual Chapter 2 . 2 . 6 Item 1 CF replace key.J
17 Na Prime This key prime s the Na concentrate.
Whe n perform ing Na concentrate priming, with
the clialyzer coiupler set to the equipment, connect
the concentra te connector to the concentrate
sucti on connec tor on the concentrate tank, touch
the Na Prime key for 1.5 seconds or longer to
mak e it “green ” (ON).
The Na Prime key is only available during the
Prep aration n lode and Preparation (washing)
modie.
Whe n in Prepa iration mode, the mode switches to
Was] biing mode
Whe n the N;a concentrate priming mode is
com] dieted, the mode automatically returns to the
Prep iaration m ode.

Whe n [Na Pr: iming Function Use selection] in

setti ng Hospiti al 2 [27.3 Na Infusion] is set to [<T
Not use], the [Na Prime| key is not displayed, on
the escreen.

If the bypass connector is detached from the bypass connector holder,

QSF Notes
the Na concentrate priming operation is interrupted.

2-10 DBB-27 Technical manual No. 831en-R7

 2. Switches

No Name Description
18 Na COND. This key is for extracting diasylate when Na concentrate priming and
CHECK Na concentrate infusion have been performed (step 1, or reflect the
infusion conductivity set at the start)
Execute the |Na COND. CHECK| key when the Na infusion profile is
[ON].
When performing Na infusion conductivity checks, with the dialyzer
coupEng set in the equipment, connect the concentrate connector to the
concentrate suction connector on the concentrate tank, and touch the
|Na COND. CHECK] key for more than 1.5 seconds to make it “Green”
(ON). ______________
The |Na COND. CHECK) key is only available during Preparation mode
and Preparation (washing) mode.
When in Preparation mode, the mode switches to washing mode.
When Na infusion conductivity check has completed, the mode
automatically switches to Preparation mode.
In the gas purge after Na infusion conductivity check, dialyzer priming
is possible with dialysate with the Na concentration infused (step 1, or
infusion conductivity set at the start is reflected).

If [Na infuse cond check func Use sei ] in setting Hospital 2 [27.3 Na
Infusion] is set to fo: Do not use], the |Na COND. CHECK| key is not
displayed on the screen.

(Sr* Notes
If the bypass connector is detached from the bypass connector holder,
the Na concentrate priming operation is interrupted.

DBB-27 Technical manual No. 831en-R7 2-11

2. Switches

2.2.3. Technicians switch screen ( ALARM, TEST )

Here are switches of Technicians switch screen ( ALARM, TEST ).

| EXTRACORPOREAL | | HYDRO CIRCUIT | ALARM , TEST OTHERS

I MODE I
TEST ALARM
RESET OVERRIDE RESET

WIDEN V. PRES I Di a. P | THP OIBP ]

ALARM ALARM ALARM ALARM I ALARM I
I CLEAR | I CLEAR | | CLEAR | | CLEAR |

Bfl S ffl Fs l HO
BLD II | VEN PRES | | OIBP | I|COUPLING||
OFFSET ZERO ZERO LEAK
MEASURE CALC CALC

[ Fig. 2-5 Technicians switch screen (Alarm • Test ) ]

No. Name Description

1. TEST RESET Key to reset the alarm which cannot be cleared by Alarm
reset.
- The solenoid valve leak alarm (Quantity) can be turned off.
- When the CF test does not complete properly during a
tubing self-test, the TEST RESET key can be pressed to
proceed to the next test.
To reset the Solenoid valve leak alarm ( leak amount: much ), the
Technician password is needed.

No. Name Description

2 OVERRIDE Comes in 2 kinds, one is ordinary override temporarily to
reset venous pressure alarm, dialyzer inlet blood pressure
alarm, blood leak alarm and the other is the override at blood
collection. This key is displayed only when those alarms
mentioned above or air alarm (Connect mode and Disconnect
mode) is occurring. As for details, please refer to [Instruction
Manual Chapter 10.4.1 Override function].
3 ALARM RESET Key to reset alarm. While alarm is occurring, touch the
|ALARM RESET| key and alarm can be reset. If alarming
causes are not removed, alarm occurs again.
4 Buzzer mute Key to stop alarm buzzer temporarily or to stop completion
buzzer and nurse call buzzer.
While alarm buzzer or completion buzzer is sounding, Buzzer
mute key flashes, sounding buzzer gets stopped if this key is
touched, but alarm buzzer will sound again after set time is
passed.
( Buzzer gets stopped for the set time of TOverride term of
alarm buzzer by [MUTE] KEYj of Hospital2 T4.4 Buzzer
(Time)j Even when buzzer stops temporarily, if alarm buzzer
or completion buzzer newly occurs, buzzer will sound.

2-12 DBB-27 T e c h n i c a l manual No. 831en-R7

 2. Switches

No. Name Description

5 WIDEN Key to change the automatic setting alarm width of each pressure all at
ALARM once temporarily. If the saline is infused into the blood circuit during the
POINT treatment, this may affect each pressure and cause the pressure alarm.
If this occurs, touch the [WIDEN ALARM POINT, key for 1.5 sec. or
longer to turn green ( ON ) , the automatic setting alarm width of each
pressure can be changed all at once temporarily. When this key is ON,
the alarm width set by widen alarm of Hospital 2 T29.1 Widen alarm
point J becomes valid. This setting is valid only for the time set
according to FAutomatic OFF time (Widen alarm point) J of Hospital 2
F29.2 Widen alarm point (Time) J , thereafter, the auto-set alarm width
value of each pressure is reset to normal set value. Also, reset can be
made by touching again the (WIDEN ALARM POINT, key for 1.5 sec. or
longer and making it gray ( OFF ).

When a single needle is used, this switch key is displayed in white

ISF* Notes
letters, showing that the switch is inactive.

No Name Description _______________

6 This kf?y temporarily releases thei venous pressure alarm.
If the ,V. PRES ALARM CLE lR| key is touched while the venous
pressui re alarm is occurring swi tching it to “red” (ON), [Venous pres
alarm under temporary release] is displayed in the [message] screen,
and th(s venous pressure alarm if3 temporarily released (for the amount
V. PRES
of time set in [Automatic OFF ti me (Venous press alarm clear)] in the
ALARM
setting Hospital 2 [36. Automatic off time]).
CLEAR
If the [V. PRES ALARM CLEAR key is touched again during [Venous
pres a larm under temporary i release], the venous pressure alarm
returns 3 back to the operating conidition.
(For cletails on the temporary release function, see the [Operating
Manua 1, Chapter 10.4.2 Tempora ry Release Function].)
7 Dia.P This kt ;y temporarily releases the3 dialysate pressure alarm.
ALARM If the Dia. P ALARM CLEAR key is touched while the dialysate
CLEAR pressui re alarm is occurring swit ching it to “red” (ON), [Dialysate pres
alarm in temp, release] is dispk lyed in the [Message] screen, and the
dialysa ite pressure alarm is ten iporarily released (for the amount of
time stit in [Automatic OFF timi 3 (Dialysate press alarm clear)] in the
setting : Hospital 2 [36. Automatic ! off time]).
If the |Dia. P ALARM CLEAR, k ey is touched again during [Dialysate
pres al arm in temp, release], the dialysate pressure alarm returns back
to the <operating condition.
(For d etails on the temporary release function, see the [Operating
Manua il, Chapter 10.4.2 Tempora iry Release Function].)
8 TMP This key temporarily releases the TMP alarm.
ALARM If the (TMP ALARM CLEAR, key is touched while the TMP alarm is
CLEAR occurring switching it to “red” (ON), [TMP Alarm clear] is display in the
[Message] screen, and the TMP alarm is temporarily released (for the
amount of time set in [Automatic OFF time (TMP alarm clear)] in the
setting Hospital 2 [36. Automatic off time]).
If the [TMP ALARM CLEAR, key is touched again during [TMP alarm
clear], the TMP alarm returns back to the operating condition.
(For details on the temporary release function, see the [Operating
Manual, Chapter 10.4.2 Temporary Release Function].)

DBB-27 Technical manual No. 831en-R7 2 - 13

2. Switches

No Name Description ______

9 DIBP This key temporarily releases the DIBP alarm
ALARM If the |DIBP ALARM CLEAR, key is touched while the DIBP alarm is
CLEAR occurring switching it to “red” (ON), [Dialyzer DIBP alarm in temp,
release] is displayed in the [Message] screen, and the dialyzer DIBP
alarm is temporarily released (for the amount of time set in [Automatic
OFF time (DIBP alarm clear)] in the setting Hospital 2 [36. Automatic
off time]). __________________
If the |PIBP ALARM CLEAR, key is touched during [Dialyzer DIBP
alarm in temp, release], the dialyzer DIBP alarm returns back to the
operating condition.
(For details on the temporary release function, see the [Operating
Manual, Chapter 10.4.2 Temporary Release Function].) _______________
10 BLD Key to read in the blood leak initial voltage again manually. Touching
VOLTAGE the |BLD VOLTAGE INITIAL key for 1.5 sec. or longer to make the key
INITIAL flash in green ( ON ), the blooi1 leak initial voltage is read in. Normally,
blood leak initial voltage is r<ead in automatically following gas purge
completion which is conducts sd after Rinse / Disinfect mode or Drain
mode. This key is used in caise the read blood leak initial voltage is
abnormal.

J® 3
Notes The value of light receiving side voltage may not be normal if the air
remains inside the blood leak detector.

No. Name Description

11 BLD TEST Key to perform the blood leak test manually.
Touch the |BLD TEST, key for 1.5 sec. or longer to make the key light in
green ( ON ), the blood leak test is performed.

Notes When gas purge is performed during blood leak test, air may
cause blood leak detector test failure or blood leak detector dirt
alarm.
When blood leak test is performed manually after UFC self-test
or drain, air may cause blood leak detector test failure or blood
leak detector dirt alarm.
Perform gas purge for air removal prior to manual blood leak
test. i
No. Name Description
12 UFC SELF Key to perform self test of hydraulic circuit manually. The self test can
TEST be executed when treatment mode is HD and the mode is Preparation
or Stop. (6 : Balance test can be carried out in Gas Purge, Dialyzer
warming, Connect, Disconnect and Operation (Start) mode. )
Touch this key, then Ten key appears. Input the desired item by its
number (shown as below) and press the set button. The selected test
starts.
0 All test
1 Piping leak test
2:UF test
SUF leak test
4:Heater cut relay test
5:SV leak detector test
6 balance test
While UFC self test is being executed, the key lights up in green ( ON ).

2-14 DBB-27 Techn i ca I manuaI No. 831en-R7

 2. Switches

No. Name Description

13 BM SELF Key to perform Blood-monitor self test. Touch this key and
TEST Blood-monitor self test starts. While Blood-monitor self test is
being performed, the key lights up in green ( ON ).
14 CONDUCT Key to perform Conductivity self test manually.
SELF TEST Touch the Conductivity self test key for 1.5 sec. or longer to make
it light up in green ( ON ), the conductivity self test starts. While
conductivity self test is being performed, the key lights up in green
(ON).
15 BLD Key to perform reading of blood leak detector off-set voltage again.
OFFSET Touch the Blood leak off-set volt, measure key for 1.5 sec. or longer
MEASURE to make it light up in green ( ON ), the off-set volt, of blood leak
detector is reset.
16 VEN PRES The zero point of the venous pressure sensor may deviate over time or
ZERO CALC due to temperature drifts. This key is used to calibrate for this
deviation. _______________
If |VEN PRES ZERO CALC| key is touched, a window confirming
manual zero calibration is displayed.
Touch the |Yes| key on the confirmation window to perform venous
pressure zero calibration. Zero calibration is not performed if the [No|
key is touched.
Z. . s
/f\paution Remove the pressure line of the blood circuit from the venous pressure
connector and let it open air, thereafter perform zero calibration of the
venous pressure. When deviation of displaying value exceeds ±
20mmHg to adjustment value, the venous pressure zero calibration
cannot be used. For this case, adjust again the zero span of the venous
pressure sensor under the Adjustment mode.
1 .-
No. Name Description
17 DIBP ZERO Key to correct the deviation of dialyzer inlet blood pressure
CALC sensor 0 point, which is resulted from time passing or temperature
drift. Touch this key, then the Confirmation screen of manual zero
calibration appears. By touching |YES| key on this screen, dialyzer
inlet blood pressure zero calibration is carried out. If |NQ| key is
touched, the calibration is not carried out. If dialyzer inlet blood
pressure monitor (optional accessory) is not mounted, this key is
not displayed on the screen.
F.......""
Remove the pressure line of the blood circuit from the dialyzer inlet
/j\paution
blood pressure connector and let it open air, thereafter perform zero
calibration of the dialyzer inlet blood pressure. When deviation of
displaying value exceeds ±20mmHg to adjustment value, the dialyzer
inlet blood pressure zero calibration can not be used. For this case,
adjust again the zero span of the dialyzer inlet blood pressure sensor
under the Adiustment mode.
i

No. Name Description

18 COUPLING Key to perform Coupling leak test manually.
LEAK Touch the Coupling leak test key for 1.5 sec. or longer to make the
TEST key light up in green ( ON ), then Coupling leak test is performed.
Touch the key again for 1.5 sec. or longer to make the key gray
( OFF ), Coupling leak test will be stopped. ____________________

DBB-27 Technical manual No. 831en-R7 2 - 15

2. Switches

2.2.4. Technicians switch screen ( OTHERS )

Here are switches of Technicians switch screen ( OTHERS ).

| EXTRACORPOREAL | [ HYDRO CIRCUIT | [ ALARM TEST OTHERS

MODE

TREAT
DATA

TIMER

LCD LCD SW BATTER*

COLOR COLL SET CHARGE
EXT-LAMP SETTING

[ Fig. 2- 6 Technicians switch screen ( OTHERS )]

No. Name Description

1 TREAT Touch the Treatment data key to open the Treatment Data screen.
DATA
Touch the ]PAT DATA| key to display the patient data screen.
2 The PAT DATA key does not appear when the dialysate
PAT DATA
communication ssystem communication unit (optional) is not
connected.
Touch the COM SET key to display the communication settings
screen. _ _ _
3 COM SET The COM SET key does not appear when the dialysate
communication £system communication unit (optional) is not
connected.
The COMM RECORD key starts recording on the host computer.
Touch the COMM RECORD key for 1.5 seconds or longer until it
COMM turns green to start recording monitor data onto the host computer.
4
RECORD The COMM RECORD key does not appear when the dialysate
communication system communication unit (optional) is not
connected.
5 Timer Key to use the timer function. As for details, please refer to
F Instruction Manual Chapter 9.1 Timer J .
6 LCD Key to adjust the brightness of LCD back light and external
ext-lamp display lamp ( LED ). As for details, please refer to the [Technical
Manual Chapter 2.2.6 Item 2 LCD ext-lamp key].
7 LCD Key to set LCD color. As for details, please refer to [Technical
COLOR Manual Chapter 2.2.6 Item 3 LCD Color setting key].
SETTING

2-16 DBB-27 T e c h n i c a l manual No. 831en-R7

 2. Switches

No. Name Description

8 The |SW COLL SEI] key allows collective customization of all
SW COLL switches displayed in the switch area.
SET For details, refer to Chapter 2.2.6 "Other switches", "4. SW
COLL SET key" of the Technical Manual.
9 BATTERY Key to conduct continuous battery charging. Touch this key for
CHARGE 1.5 sec. or longer, the key turns green (ON) and the charge for 8
hours starts. If power supply of DBB’27 is operated during the
battery continuous charging, it keeps the state of ON for 8 hours
to continue charging. For the case that the continuous charging
is stopped, touch the key for 1.5 sec. or longer and turn the key
to gray light off ( OFF ).

no
/4\caution Per orm continuous battery charging (quick charging)
> unless the battery power is depleted after the battery is replaced
or is used by the blood pump.
[Continuously charging (quick charging) the battery when it is
fully charged causes depletion of battery power, which will cause
decreased battery operating time for the blood pump, or a
shortened battery lifespan.]
It will take approximately 48 hours to completely recharge the
battery when quick charge is off.
.....
I— ... ---

DBB-27 Technical manual No. 831en-R7 2-17

2. Switches

2.2.5. Technicians switch screen ( MODE )

Here are switches of Technicians switch screen ( MODE ).
| EXTRACORPOREAL | | HYDRO CIRCUIT j | ALARM , TEST] | OTHERS
MODE

HO I-UF

DIS- DRAIN
■CON,

[ Fig. 2-7 Technicians switch screen ( MODE ) ]

No. Name Description

1 PRESET Touch the |PRESET| key for 1.5 sec. or longer to enter the
Preset mode. The key lights up in green during the
Preset mode.
2 RINSE Touch the |RINSE key for 1.5 sec. or longer to enter the
Rinse mode. The key lights up in green during the Rinse
mode.
3 TREATMENT Touch the [TREATMENT PREPARE] key for 1.5 sec. or
PREPARE longer to enter the Treatment preparation mode. The
key lights up in green during the Treatment preparation
mode.
4 PREPARE Touch the |PREPARE| key for 1.5 sec. or longer to enter
the Preparation mode.
5 GAS PURGE Touch the GAS PURGE] key for 1.5 sec. or longer to start
the Gas purge. When the key lights up in green, the
state is normal. When the key flashes, preparatory
operation to transfer liquid is being performed.
6 DIALYZER Touch the |DIALYZER WARMING] key for 1.5 sec. or
WARMING longer to start the dialyzer warming. When the key
lights up in green, the state is normal. When the key
flashed, preparatory operation to transfer liquid is being
performed.
7 CONNECT Touch the [CONNECT] key to enter the Connect mode.
During the Connect mode, the key lights up in green.
8 START Touch the [START] key to start the Treatment. When the
key lights up in green, the state is normal. When the key
flashes, process such as TMP zero calibration is being
performed. When an alarm is occurring, by touching the
[START] key the alarm can be cleared. If alarm causes
are not removed, alarm occurs again.

2-18 DBB-27 Technical manual No. 831en-R7

 2. Switches

No. Name Description

9 STOP Touch the STOP) key to stop the Treatment. During the
stop mode, the key lights up in orange. When an alarm
is occurrin; g, by touching the |STOP| key the alarm can be
cleared. If alarm causes are not removed, alarm occurs
again.
10 HD Key to switch the treatment mode to HD. When the
Treatment mode is HD, the key lights up in green.
11 I-UF Key to switch the treatment mode to I-UF. When the
Treatment mode is TUF, the key lights up in blue. If
TUF is exclusively set, the I-UF setting screen opens.
12 DIS-CON Touch the DIS-CON| key for 1.5 sec. or longer to enter
the Discon nect mode. When mode is Disconnect, the key
lights up ii i blue. When an alarm is occurring, the alarm
can be rele sased by touching the |DIS-CON key. If alarm
causes are not removed, alarm occurs again.
13 DRAIN Touch the DRAIN] key for 1.5 sec. or longer to enter the
Drain moc e. The leftover of liquid is drained from the
dialyzer. D'uring draining, the |DRAIN| key lights up in
green show dng under the Drain operation.

DBB-27 Technical manual No. 831en-R7 2-19

2. Switches

2.2.6. Other switches

1. CF replace key

Replacement of CF can be executed in the Treatment preparation,

Notes
preparation and Preset mode. In any other mode CF cannot be
replaced.

Key to drain the leftover of liquid inside the dialysate filter ( CF ) when it is exchanged.
During the draining, the key lights up in orange.
(1) Description of the operation screen.
Press the |CF replace] key on the Technicians switch screen (Hydro circuit -related ) to
open the CF replacement screen.

CF REPLACEMENT

RUN T I
RUNNING OF
TIME CONFIRM WATER
RESET REMOVAL
(h) ——J s—. I .... ........

Message
OF Replacement i s p o s s i b l e on P r e s e t ,
Treatment p r e p a r a t i o n and P r e p a r a t i o n modes
Press [CF WATER REMOVAL]key t o c a r r y out CF
replacement.

[ Fig. 2-8 CF Exchange screen ]

No. Name Description

1 CF water removal Key to start/stop CF draining. During the CF
draining, the key is displayed in green.
2 Confirm ■ Key to confirm dialyzer coupler release to
perform draining of the CF Secondary side.
Press the Confirm key to enter the draining
of the CF Secondary side.
■ Key to confirm that CF is exchanged.
Pressing the key makes DBB-27 recognize that
CF exchange is over. When the Confirm key
needs to be operated, the key flashes in green
and in gray.
3 Running time reset Key to call the palette in which CF running time
is reset.
4 Run time Display of the CF running time ( using time )
5 Message window Window to display operating instruction
messages and others.

2-20 DBB-27 T e c h n i c a l manual No. 831en-R7

 2. Switches

(2) Operation method

1) Before the start of OF replacement
In the Message window, the guidance of the CF replacement method is displayed.
Message ______________________________________
CF Replacement is possible on Preset,
Treatment preparation and Preparation modes.
Press [CF WATER REMOVAUkey to carry out CF
replacement.
2) Operation of CF draining
(D Press the CF water removal key ( Bypass connector to be connected )
The CF water removal key becomes green and CF draining starts.
Step 1: Preparatory operation (Air removal )
Executed for 10 seconds ( Setting is changeable )
For the case that lots of air bubbles exist in the pipe, drain capability of the
CF decreases affected with air. To avoid this, air removal is conducted. In
the Message window, a message is displayed.
• In case that bypass coupler is mounted in the bypass connector holder:
Message
Preparation (Air removal)

• In case that bypass coupler is dislocated from the bypass connector holder:
Message _____________________________________
Preparation (Air removal)
Connect dialyzer coupling to bypass connector
and return it to the bypass connector holder.
Step 2- Let the inside of the dialyzer hose be negative pressure.
To prevent leakage at removing the dialyzer coupler, make the inside of the
dialyzer hose to negative pressure. In the Message window, a message is
displayed.
Message
Please wait

® Remove the bypass connector out of the bypass connector holder to release the
dialyzer coupler. When the bypass connector is removed, the Confirm key turns to
flashing in green and gray. After releasing the dialyzer coupler, press the Confirm
key.

DBB-27 Technical manual No. 831en-R7 2 - 21

2. Switches

Step 3: Stop ( Wait for the release of the dialyzer coupler )

Press the Confirm key to go forward to next step. Message is shown in the
Message window.
Message _____________________________________
Remove the bypass connector from the connector
holder and release the dialyzer coupling
then press[CONFIRM]key.
Step 4- Drain of the CF ( Secondary side )
Introducing the air from the bypass connector, perform the draining of the CF
secondary side. Passing 30 seconds, it will be completed. ( Setting is
changeable ) Message is shown in the Message window.
Message
Under CF is draining (side2)

Step 5- CF Draining ( Primary side )

Introducing the air from the SV41 solenoid valve ( CFL ), perform the
draining of the CF Primary side. Passing 10 seconds, it will be completed.
( Setting is changeable ) Message is shown in the Message window. Following
the message, connect the dialyzer coupler to the bypass connector and return
it to the bypass connector holder.
• In case that the bypass coupler is mounted in the bypass connector holder:
Message
Under CF is draining (sidel)

• In case that the bypass connector is dislocated from the bypass connector
holder:
Message
Under CF is draining (sidel)
Connect dialyzer coupling to bypass connector
and return it to the bypass connector holder.

2 - 22 DBB-27 Technical manual No. 831en-R7

 2. Switches

Step 6 Pump stop and release

The booster pump (CP2) is stopped. Message is shown in the Message window.
• In case that the bypass coupler is mounted in the bypass connector holder :
Message
Please wait

• In case that the bypass coupler is dislocated from the bypass connector
holder:
Message
Connect dialyzer coupling to bypass connector
and return it to the bypass connector holder.

(3) CF replacement
After having replaced the CF, press the Confirm key.
Step 7: All stop ( Confirm the CF replacement and its completion )
Here, the removing and mounting of the CF is enabled. Following the
message indication, exchange the CF. The Confirm key flashes in green and
gray. After CF replacement is over, press the Confirm key to complete the
operation. Message is shown in the Message window.
• In case that the bypass coupler is mounted in the bypass connector holder.
Message
Replace a old filter

Check if CFs are replaced without fail and

press [CONFIRM] key.
• In case that the bypass coupler is dislocated from the bypass connector
holder.
Message
Connect dialyzer coupling to bypass connector
and return it to the bypass connector holder.

Replace a old filter

DBB-27 Techn i ca I manuaI No. 831 en-R7 2-23

2. Switches

© Reset the CF running time

For resetting the CF running time, press the Operation reset key. The confirmation
of running time reset screen appears.
Do jrou reset (IF running time ?

1 h YES NO
By pressing YES, the running time is reset.
3) Operation to complete the CF replacement
After the CF is replaced, filling up the liquid and rinsing of the CF are necessary. The
guiding message about the operation after CF replacement is displayed.
Message
Perform [Treatment preparation] to use for
the treatment.
Not for the use of the treatment, perform the
Cleaning program.
In the Preparation mode, by conducting the CF leak test, filling up the liquid and
rinsing of the CF can be performed. In the air removal process of the CF leak test,
filling up of liquid and rinsing is conducted for 5 minutes.

2-24 DBB-27 Technical manual No. 831en-R7

 2. Switches

2. LCD ext-lamp key

This is the key to adjust the brightness of the LCD Back Light and the External Display
Lamp ( LED ). In the Technicians switch screen ( Others ), touch the LCD ext-lamp key
to open the Adjust LCD and External Lamp screen.

ADJUST LCD AND EXTERNAL LAMP Time

LCD Exter. lamp

SET
32/32
tm RED MAX
YELLOW MAX
GREEN MAX
8q BLUE 'MAX,

[ Fig.2-9 LCD • External Display Lamp adjusting screen 1 ]

No. Description _______________________

1 Touch the A v|key to open the Ten key screen to set the brightness of LCD.
2 By touching |a| key, LCD gets brighter. By touching |v|key, LCD gets
darker.
3 By touching the A V key, the ten key opens to set the brightness of the
external display lamps.
4 Touch the MAX| key, and the key becomes |SET| display. The brightness of
the extern: al lamps is set to the desired value. Touch the |SET| key, and the
key turns to |MAX| display. The brightness of external lamps is set to
maximum.
5 By touching |a| key, External lamps get brighter. By touching |v|key, they
get darker.
6 Touch the Time key to open Fthe LCD • External display lamps adjusting
screen 2 J to set the brightness of f LCD and External display lamps at day
time and at nighttime J . ( Refer to Fig. 2-10 )

DBB-27 T e c h n i c a l manual No, 831en-R7 2-25

2. Switches

LCD

External SET SET

lamp / 32/32 32/32
GLR

YELU

.UE

[ Fig.2-10 LCD • External display lamp adjusting screen 2 ]

No. Description
1 Display the switching time of [the brightness of LCD and External display
lamps at daytime]. Touch the displaying part. The start time at daytime is
set with ten-key. For example, in case of Fig.2-10 LCD • External display
lamps adjusting screen 2, 8:00~ 18:00 is the daytime.
2 Display the brightness of LCD at daytime. By touching the displaying part,
the brightness of LCD at daytime can be set with ten-key.
3 Display the switching time of [the brightness of LCD and External display
lamps at nighttime]. Touch the displaying part. The start time at nighttime
is set with ten-key. For example, in case of Fig.2-10 LCD • External display
lamps adjusting screen 2, 18 : 00~8 : 00 is the nighttime.
4 Display the brightness of LCD at nighttime. By touching the displaying
part, the brightness of LCD at nighttime can be set with ten-key.
5 Display the brightness of the External display lamps at daytime. Touch the
|MAX| key. The key turns to |SET| display. The brightness of External display
lamps at daytime is set to the desired value. Touch the |SET| key. The key
turns to |MAX| display to set their brightness to maximum.
6 Display setting value of the brightness of the External display lamps at
daytime. By touching the displaying part, the brightness of the lamps at
daytime can be set with ten-key.
7 Display the brightness of the External display lamps at nighttime. Touch
the |MAX| key. The key turns to |SET| display. The brightness of External
display lamps at nighttime is set to the desired value. Touch the |SET| key.
The key turns to MAX| display to set their brightness to maximum.
8 Display setting value of the brightness of the External display lamps at
nighttime. By touching the displaying part, the brightness of the lamps at
nighttime can be set with ten-key.

2-26 DBB-27 T e c h n i c a l manual No. 831en-R7

 2. Switches

3. LCD color setting key

This is the Key to setting LCD color. In the Technicians switch screen ( Others ),
touch the LCD color setting key, the LCD color setting screen opens. In the LCD
color setting screen, following color can be set by discretion!
Menu bar background color • Menu bar letter color • Telop background color
Screen background color • Monitor label color • Telop letter color
Monitor background color • Monitor data letter color
Multi-panel background color • Switch letter color

V
Col 1 Col 2

Preparation

Operat Operat
Stop
(HD) (I-UF)

® ■AS
|| n aboI = ■■■■■■■■
®
© Telop

SH zone KEY|
®

[ Fig. 2'11 LCD Color setting screen ]

A : The name of part to be set is displayed. By touching of ®~®, the name of part to be
changeable is displayed. Among the names displayed at A part, the name in green is
objective part of setting.
< How to set >
1. Select the desired item to set from @~®.
2. Select the desired part to set from A part.
3. Select the desired color from sample colors of @. However, the sample colors of no
looking solid cannot be selected.
4. By touching the |SET| key, the set displayed color becomes effective. When plural
parts are set, touch the SEI] key after all setting is over.
* After touching the |Col 1| or |Col2| key, if the |SET| key is touched, the color will return
to the Color scheme at shipment.

DBB-27 T e c h n i c a l manual No. 831en-R7

2-27
2. Switches

•Function key
No. Name Description
1 Key to return to Color scheme at shipment
Col 1 Col 2 Col 1 : light color (colors used for models before software
V2.1E)
Col 2 : dark color
2 This key switches between pages with sample colors.

I I Page D light color

Page 2- middle color
Page dark color
3 This key confirms the selected color scheme.
SET Confirm: touch the SET key.
Cancel: exit the LCD color adjustment screen without
touching the SET key.
4 This key switches on / off the background color on the
Inv. bkgd
monitor
Vai. bkgd On: monitor background color is displayed
Off: monitor background color is not displayed (uses
the same color as the background color of the screen)
A partition will appear in the middle of monitor A.
r
5 Key to select background color and letter color.
Select from 114 color samples.
r mn t
However, the [Sample color) key of not looking solid
cannot be selected due to being used to other part.

2-28 DBB-27 Technical manual No. 831en-R7

 2. Switches

No. Key _________Item to be set _________

Nurse Nurse
back c o l o r letter color
JWENUJJAf J
Technician Technician
back c o l o r letter color

[Function]
6 Key to set the color of menu bar letters and background.
[item to be set]
Nurse background color: Selective background color on menu bar at Nurse
mode.
Nurse letter color: Letter color on menu bar at Nurse mode.
Technicians background color: Selective background color on menu bar at
Technicians mode.
Technicians letter color: Letter color on menu bar at Technicians mode. _______
No key Item to be set

Disinfection Preparation
Back c o l o r
Operat Operat
Stop
(HD) (I-UF)

[Function]
Key to set the screen background color.
[Item to be set]
• Rinse • Disinfection’- Screen background color of Rinse • Disinfection, Preset and
Drain modes.
• Treatment preparation: Screen background color of Treatment preparation,
Preparation, Gas purge and Dialyzer warming modes.
• Operation ( HD ): Screen background color of HD operation mode.
• Operation ( I-UF ): Screen background color of I’UF operation mode.
• Stop: Screen background color of Stop, Connect and Disconnect modes. ________
No Key Item to be set

Honi l a b e l Letter c o l o r

[Function]
Key to set letter color of monitor label.
8
[Item to be set]
DIALV TEMP

Color of this part of letter is set.

[ Fig. 2-12 Monitor label letter color ]

DBB-27 Technical manual No. 831en-R7 2 - 29

2. Switches

•Setting key
No Key Item to be set

Settable | Back c o l o r Letter color

[Function]
Key to set background color and data letter color of the monitors which can be
operated by touching the data displaying area among monitors. The monitor
looking solid is the Settable monitor.
[Items to be set]
OIALY TEMP
etter
Background Color ofJ-*’ 3 / Color of Settable Monitor
settable Monitor (Color of numeric part)

[ Fig.2-13 Background color and letter color of Settable

No Key Item to be set

M u l t i panel Back c o l o r Letter color

[Function]
Key to set the background color and letter color of Multi- panel.

Items to be set] Letter color of Multi-panel

NURS I N

START TIME

12:59'
Background color of Multi-panel

[Fig.2-14 Background color and letter color of Multi-panel]

2-30 DBB-27 T e c h n i c a l manual No. 831en-R7

 2. Switches

•Setting key
No Key Item to be set

SW zone Back color

[Function]
Thia key is located on the right side of the screen, and sets the background color of the
switch area that includes the START and STOP key.
[Item to be set. __________
Background color of the switch area

STOP I
Background color of the switch area]

No Key Item to be set

Hon bkgd col Hon font col

(common) (common)

Hon bkgd col Hon font col

(ml t -panel) (ml t—panel )

[Function]
This key sets background color and data font color of the monitors on which the data
display area cannot be touched to open the settings screen. Monitors with a solid
background color do not provide access to settings.
[Item to be set] ___
VEN PRESS (mmHg)] n a +a VEN PRESS M:
| Monitor data
letter color

12 IV*—
[Monitor background on]
Monitor background
color
70
[Monitor background off]
[Fig.2-16 Monitor background and font color outside the multi panel]
Data display area inside the multi panel
NURSING

START TIME
Monitor data letter color

12:59’ Monitor background color

[Fig.2-17 Monitor background and font color inside the multi panel]

' ' Monitors that do not provide access to settings are displayed with a
Notes solid background color or are surrounded by fixed color inside the multi
' panel so that they remain easily visible when the color scheme for the
monitors are changed.

DBB-27 Technical manual No. 831en-R7 2 - 31

2. Switches

•Setting key
No Key Item to be set

User 1 User 2
r— ------- -
Telop
User 3 Back c o l o r

13 [Function]
This is a key to set the color of the Telop background and letters.
[Item to be set]
User 1 : Letter color for User 1 Telop
User 2 : Letter color for User 2 Telop
User 3 : Letter color for User 3 Telop
Back color : Telop background color
No Key Item to be set

KEY ] Letter c o l o r

14
[Function]
Key to set letter color of the switch key
[Item to be set]
Font color of the switch key

2-32 DBB-27 Technical manual No. 831en-R7

 2. Switches

4. [Switch collective setting! key

This key allows collective customization of all switches displayed in the switch area on
the right side.
Switch collective setting is performed in the technician mode, and is
Notes only available to operators with permission to access the engineer
mode.
Touch the switch collective setting key on the technician switch screen (Others) to
open the switch collective setting screen.
Touch each key for 1.5 seconds or longer to start customizing the switch. After the
collective setting, switches may be customized for each step as usual via Hospital 2
16. Customization]
uooe
ULI[ .]| MONITOR T || SETTING T |[ GRAPHIC T | STANDARD SETTING T [ [

| EXTRACORPOREAL] | HYDRO CIRCUIT1 | ALARM , TEST"] OTHERS

MODE
Switch collective setting
Change customize setting i n Sff area c o l l e c t i v e l y .

Touch a key to be set for 1.5 seconds or longer.

I n i t i a l s e t t i n g : Layout of i n i t i a l setting
Typel: Buzzer stop/op/stop key are located on the top.
Type2: Layout with less SW ( e . g . , no buzzer stop)
Type2: Process transfer switch i s central I y- 1coated

11ICAUTION!11
All customized switch layout is initialized.
See technical manual for detailed switch layouts by type.

I n i t i a l set Type 1 Type 2 Type 3

B« FLW (riL/dId)

MODE PRESET

All customized switch layout is initialized.

There are four types of customization.

[Default settings]
Default settings for when the equipment was shipped.
Treatment
preparation Connect mode Start/Stop Disconnect Rinse/Disinfecti
mode mode mode on mode
No.l Alarm reset Buzzer mute Buzzer mute Buzzer mute Alarm reset
No.2 --- Start Start Start ...
No.3 Treatment data Stop Stop Stop ...
No.4 IP rapid feed ... ... Auto collection IP rapid feed
No.5 ... ... ... ...
Drain
No.6 ... Disconnect Disconnect Disconnect Weekly
program

DBB-27 T e c h n i c a l manual No. 831en-R7

2-33
2. Switches

[Type 1]
Based on the default settings, with the BUZZER MUTE, START, and STOP keys placed at
the top of the screen during all steps. _______________________________
Treatment Start/Stop Disconnect Rinse/Disinfect
preparation Connect mode ion mode
mode mode
mode
No.l Buzzer mute Buzzer mute Buzzer mute Buzzer mute Buzzer mute
No.2 Start Start Start Start _____Start _____
No.3 Stop Stop Stop Stop Stop
No.4 --- Preparation ... ... ...
No.5 IP rapid feed ... ... Drain IP rapid feed
No.6 ... Disconnect Disconnect Disconnect Weekly
program

[Type 2]
The START and STOP keys are fixed, and minimum numbers of keys are shown.
Treatment
Start/Stop Disconnect Rinse/Disinfect
preparation Connect mode
mode mode ion mode
mode
No.l ... ... ... ... ...
No.2 Start Start Start Start Start
No.3 Stop Stop Stop Stop Stop
No.4 ... ... ... ... ...
No.5 IP rapid feed ... ... Drain ...
No.6 ... Disconnect Disconnect Disconnect Weekly
program

[Type 3]
The START and STOP keys are placed at the top of the screen for all steps.
STEP keys are provided to make transitions between steps without switching the screen.
Treatment
Start/Stop Disconnect Rinse/Disinfect
preparation Connect mode
mode mode ion mode
mode
No.l Start Start Start Start Start
No.2 Stop Stop Stop Stop Stop
No.3 ... Preparation ... Preparation Preparation
No.4 ... Connect Connect ... ...
No.5 IP rapid feed IP rapid feed ... Drain ...
No.6 ... Disconnect Disconnect Disconnect Weekly
program

2-34 DBB-27 Technical manual No. 831en-R7

 3. S e l f test

Chapter 3 Self test

DBB-27 conducts the UFC self test and conductivity self test under the Treatment
Preparation mode to confirm the working of hydraulic parts and the conductivity-related
matters.

To confirm before treatment that treatment is in possible state, do not

fail to conduct each self test. If any alarm occurs from self test, the
DBB-27 cannot be used for treatment. Remove the causes without fail
and conduct the self test again.

Also, confirming the working of micro-computer and blood pump and others by
conducting micro-computer test and blood monitor self test.

If any failure is resulted from each self test, it will be informed with alarm according to
the test on which failure is found out. As for details, please refer to the ITnstruction
Manual Chapter 10 Alarm and Action to be taken] .

3.1. UFC self test and conductivity self test

The UFC self test and the conductivity self test are conducted to confirm the working of
hydraulic parts of the Duplex Pump and the UF Pump, and the conductivity-related
matters.

The UFC self test and the conductivity self test can also get started manually by the
UFC self test| key or the [Conductivity self test| key in the Technicians switch ( alarm •
test ) screen.
1. Before the UFC self test
2. Under execution of the UFC self test ( first half part )
According to the start of the Treatment Preparation mode, the UFC self test ( first
half part ) gets automatically started. The contents of self test execution are displayed
as messages.
3. Under execution of the conductivity self test
When the UFC self test ( first half ) is over, the conductivity self test gets
automatically started. Under the conductivity self test in the Treatment Preparation
mode, SV close test is executed. The message of “Under execution of conductivity self
test” is displayed.
4. Under execution of the UFC self test ( last half )
When the conductivity self test is over, the UFC self test ( last half) gets automatically
started. The contents of self test execution are displayed as messages.

DBB-27 Technical manual No. 831en-R7 3 - 1

3. S e l f test

5. Blood leak test

The blood leak test is automatically started. The message of “Under execution of Blood
leak test” is displayed.
6. Completion of the UFC self test • conductivity self test and blood leak test
When UFC self test, conductivity self test and blood leak test are over, the mode
automatically enters the Preparation. The message displays “UFC self test executed” ,
“conductivity self test executed” and “blood leak test execute”.

In the case that sodium infusion program is used, the sodium infusion
Notes
line needs to be filled up with sodium concentrate. After the mode
entered the Treatment Preparation, insert the sodium concentrate
suction nozzle ( purple ) to the tank and connect the concentrate
connector ( purple ) to the concentrate suction nozzle ( purple ).

3.2. Micro-computer test

The micro-computer test conducts following tests to confirm the normality of CPU, RAM
and others. ( takes about 40 seconds )

CPU test
RAM test
ROM test
3 P RAM test
Data base test

Under the Treatment Preparation mode, micro-computer test is started. While

micro-computer test is being carried, the Micro-computer test screen appears.

3-2 DBB-27 Techn i ca I manuaI No. 831en-R7

 3. Self test

3.3. Blood monitor self test

The BM self test conducts following contents to confirm the clamp action of blood pump
or air detector.

• Blood pump rotation/stop/ rotating direction detecting test

• The clamp Open/Close test for venous air detector
• The battery voltage test

1. If any of following condition A, B or C of starting the blood monitor self test is

fulfilled, it gets started. The blood monitor self test can also be started manually by
touching the |BM self test| key in the Technicians switch ( alarm • test ) screen for 1.5
sec. or longer.
The effective conditions of the BM self test :
1.Mode must be any of Treatment Preparation, Preparation, Gas purge or
Dialyzer warming.
2.Not under the Priming assist or the Auto-priming
S.Not under any alarm
While the blood monitor self test is being conducted, message displays “Under blood
monitor self test”.
The automatic start conditions of the blood monitor self test:
A l.Under the Circulation ( complete ) process of the Automatic priming.
2.No alarm occurs.
S.Under the setting for the blood monitor self test automatically to start
4.The blood monitor self test has not been carried out.
B. l.Under any mode of Treatment Preparation, Gas purge or Dialyzer
warming
2.Not under the Priming assist or the Automatic priming
3.No alarm occurs.
4.Under the setting for the blood monitor self test
automatically to start
5.The blood monitor self test has not been carried out.
C. l.Under the Preparation mode
2. Gas purge has been completed
S.Not under the Priming assist or the Automatic priming
4. No alarm occurs
5.Under the setting for the blood monitor self test automatically to start
mi. . 1.1. . .1 .. . .’J , , , i, , . , T J 1, , „ • . .1 . i

2. When the blood monitor self test is over, message displays “blood monitor self test
passed”.

While the blood monitor self test is being carried, the blood pump
rotates reversely by approximately 1/8 revolution. This is not abnormal,
just for confirming its working.

DBB-27 Technical manual No. 831en-R7 3 - 3

3. S e l f test

3.4. Coupling leak test

The coupling leak test is conducted to confirm points below.
• To confirm that dialyzer coupler is firmly connected to the bypass connector.
• To confirm that no remarkable leak or others exist on the dialyzer hose.
1, The coupling leak test can be conducted either manually or automatically
(1) Manual coupling leak test
By touching the Coupling leak test key in the Technicians switch ( alarm • test )
screen for 1.5 sec. or longer, the coupling leak test can manually be started or
stopped.
The effective conditions of the Coupling leak test:
1) Under either Preparation mode or Rinse mode ( For the case that optional
concentrate nozzle washing unit is used, invalid in Rinse mode. )
2) Dialyzer coupler is firmly connected to bypass connector and placed in the bypass
connector holder.
3) No alarm is occurring on the hydraulic circuit such as conductivity, temperature,
water supply, dialysate pressure and so on.
4) Not under the UFC self test
5) Not under the conductivity self test
6) Not under the CF exchange operation
7) Not under the waiting in connection with RO equipment.
( Relevant setting : Hospital 2 F35.2 Others 2J
FSelect the operation corresponding RO J , initial value is F0=Not linkage J
FRO stand-by time to correspondj , initial value is 10 seconds)
(2) Automatic coupling leak test
In the first Preparation mode and Rinse mode after dialysis treatment is over, the
coupling leak test is started.
(Relevant setting: Hospital 2 FSelection of automatic coupling leak test! in [43. Coupling
leak test], initial value is [0: Not carry out].)

3 - 4 DBB-27 Technical manual No. 831en-R7

 3. Self test

Notes The start conditions of the automatic coupling leak test:

(1) The case of the first Preparation mode after dialysis treatment is
over.
1. The [Selection of the auto coupling leakage test] is set to either
[l=Carry out at Preparation mode] or [3=Carry out at Preparation •
Rinse mode]
2. It has passed for over the set time after entering the Preparation
mode.
(Relevant setting: [The delay time by the start of the automatic
coupling leak test ( Preparation mode )] of Hospital 2 [43 Coupling
leak test])
3. Dialyzer coupler is firmly connected to the bypass connector and
placed in the bypass connector holder.
4. No alarm occurs on the hydraulic circuit.
5. Not under the UFC self test
6. Not under the conductivity self test
7. Not under the CF exchange
8. Not under the waiting in connection with RO equipment.
(Relevant setting: Hospital 2 [35.2 Others 2], [Select the
operation corresponding RO], initial value is [0=Not linkage]
[RO stand-by time to correspond], initial value is 10 seconds )
(2) The case of the first Rinse mode after dialysis treatment is over.
1. [Selection of the automatic coupling test] is set to either [2=Carry out
at Rinse mode]or [3=Carry out at Preparation • Rinse mode].
2. It has passed for over the set time after entering the Rinse mode.
(Relevant setting: [The delay time by the start of the automatic
coupling leak test (Rinse mode)] of Hospital 2 [43 Coupling leak test])
However, when concentrate washing nozzle (option) is used, the
automatic coupling leak test can be executed only at delay time of 0
second.
3. Dialyzer coupler is firmly connected to the bypass connector and
placed in the bypass connector holder.
4. No alarm occurs on the hydraulic circuit.
5. Not under the RO stand-by time to correspond.
(Relevant setting: Hospital 2 [35.2 Others 2], [Select the operation
corresponding RO], initial value is [0=Not linkage] and [RO stand-by
time to correspond], initial value is 10 seconds.)

2. During the test

Message displays during the test “Under the coupling leak test”.

DBB-27 Techn i ca I manua I No. 831 en-R7 3-5

3. S e l f test

3. When test is completed.

(D If measurement value is normal, message displays “Coupling leak test passed”.
® If measurement value is not normal, message displays “Coupling leak test, not
passed” and alarm buzzer sounds. The conceivable causes of abnormality are
dialyzer coupler is not connected correctly to the bypass connector, or
remarkable leak exists on the dialyzer hose, etc.
( Relevant setting: FCoupling leak test alarm pointj in Hospital 2 [43. Coupling
leak test], initial value is -lOOmmHg.)

Notes If coupling test fails in the Rinse mode, Rinse operation can be stopped
to avoid the Equid leakage which may occur while the coupling is
connected again to the bypass connector.
(Relevant setting: [Hydrocircuit activation at coupkng leak test failure]
in Hospital2 [43 Coupling leak test], initial value is [0=to continue the
Rinse operation])
• If [l=to stop the Rinse operation temporarily] is set, the Rinse
operation is stopped for 5 minutes after the couphng test failure
occurs, then resumed. However, if alarm state is released with the
Alarm reset key or others, Rinse operation can be resumed at any
time. When Rinse operation is stopped by above setting, message
displays “Rinse operation is stopped temporarily”.
• If [2=to stop the Rinse operation] is set, the Rinse operation is stopped
from the time when couphng test failure occurs to the time when the
alarm state is released. When Rinse operation is stopped by above
setting, message displays “Rinse operation is stopped.

Messages of “Rinse operation is stopped temporarily.” and “Rinse

operation is stopped” are erased with foUowing conditions;
• The case that the cleaning program is newly started.
• The case that mode enters the operation and stop process at the
following dialysis treatment.

In the case that the couphng leak test is executed at the Rinse mode of
the cleaning program, the time of cleaning program is not counted
while Rinse operation is stopped on account of the test execution and
test failure on the couphng leak test.

3-6 DBB-27 T e c h n i c a l manual No. 831en-R7

 4. S e t t i n g items

Chapter 4 Setting items

4.1. Basic data input methods

Basic data input ( change ) method comes in 4 kinds,'

Data input by turning knob
Data input by ten-key
Data input by moving bar-graph
Data input by using up -down key

4.1.1. Data input by turning knob

This method is only valid to input blood flow rate of blood pump.
That is, blood flow rate is set by using a blood flow rate setter.

By turning the blood flow rate setter to the right , blood flow rate increases.
By turning the blood flow rate setter to the left , blood flow rate decreases.

NtXICISO

decrease increase

[ Fig. 4-1 Blood flow rate setter ]

DBB-27 Techn i ca I manua I No. 831en-R7 4 - 1

4. S e t t i n g items

4.1.2. Data input by using ten-key

By touching data display or key, the ten-key screen to input data opens. By touching
the applicable key, following function is carried out!

No Item Description
By touching |Return| key, ten-key
1 |Return|
Ti 7® screen closes.
Set ext
Name of| Displays name of item to change
2 ( Not displayed when detail screen
NEW set item| opens at the side of ten-key )

OLD 32 $ 3 |new| Displays the value newly input.

MAX

mmmH:: 4

5
olcl|

MAX
MIN
Displays the set value ( value before
changed )

Displays the settable

value )
range ( limit

$
By touching |CLR| key, the input value

aaacr s
6

7
CLR

and
is erased. ( For example, when input
error is made, touch [cLR| key )

Touch the desired value key.

_0
Usually, you can input your desired
value without touching this key. For
the case to input pressure alarm
8 QandQ point, however, settle positive or
negative of pressure. For the input of
negative value, touch 0 key first.
Touch the SET key until the new and
9 SET the old values become equal.
CXI ] i

[Fig. 4-2 Ten-key pad]

aution] When input a new value, do not fail to confirm that values in the |new|
field and the [old] field are the same.

4-2 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

4.1.3. Data input by moving bar graph

By touching bar graph on the screen directly, data can be changed without using the
ten-key.

1. Touch the upper end of the bar graph and move the finger up and down to reach the
desired data.
2. The upper end of the bar graph moves according to the finger position.
3. When detail value is desired, input by ten-key.

[ Fig. 4-3 Input by bar graph ]

4.1.4. Data input by using up-down key

By touching the data display or key, the screen to input data opens.
By touching @ , (▼) on the screen directly, data can be changed without using ten-key.
Every touching (J) , 1 is added to the number of the objective digit.
Every touching ® , 1 is subtracted the number of the objective digit.

0.0 0

[Fig.4-4 Input using the up-down keys]

DBB-27 Technical manual No. 831en-R7

4-3
4. S e t t i n g items

4.2. Call the alarm point setting screen

4.2.1. Call from the Technicians menu bar

1. Touch the SETTING key displayed on the Technicians menu bar in the screen.
Below the SETTING key, Pull-down menu screen will be displayed.
2. Touch the SET ALARM POINT key to open the Select alarm item screen.
3. Touch the desired name of alarm. Setting screen of the touched alarm point will
open.

| MONITOR I SETTING

MUk keys (0 UF RATE a/h)

SET ALARM POI

[ Fig. 4-5 SET ALARM POINTon the pull-down menu ]

4.2.2. Call from the Nurse menu bar

Referring to the above calling method from the Technicians screen, take following
method;
1. Touch the Accessory displayed on the Nurse menu bar in the screen. Below the
Accessory, the pull-down menu will be displayed.
2. Touch the SET ALARM POINT key. The Select alarm items screen will open.
3. Touch the desired name of alarm. The setting screen of the touched alarm point will
open.

4-4 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

Alarm p o i n t ~ ....................................................
2. Alarm p o i n t

2. 1 Venous pressure alarm (\/vy

2. 3 D i a l y s a t e pressure alarm y (

2, 4 TMP alarm

2. 5 Pressure l o s s alarm

2. 6 D i a l y s e r i n l e t b l o o d pressure alarm

8. 1 C o n d u c t i v i t y p r o f i l e alarm

8. 2 Na c o n d u c t i v i t y alarm

Alarm do i nt
2. 1 Venous pressure alarm __________________________,
HD • 1-UF Connect SN
Disconnect
F i x e d upper 400 mmHg 533 mmHg ■ 533 mmHg

Auto-set maximum 400 mmHg — —

Auto-set w i d t h upper 67 mmHg — —

Auto-set w i d t h lower -40 mmHA ’ -------- ------—

Auto-set minimum 13 mmHg \ — —

F i x e d lower - 6 7 mmHg -267 mmHg -67 mmHg

NEXT group 0 mmHg

[ Fig. 4-6 Select alarm point items screen and setting screen ]

DBB-27 T e c h n i c a l manual No. 831en-R7 4- 5

4. S e t t i n g items

4 . 3 . Classification of setting data

1. Setting data are classified into 5 kinds.
1) Hospital 1
Data to set for the patients.
2) On treatment
Data valid only for one treatment and changeable temporarily.
( Setting items are the same as Hospital 1 and include alarm point. )
3) Set alarm points
Data valid only for one treatment and changeable temporarily.
( Setting items are a part of the On treatment. )
4) Patient
Data to set for each person of 16 patients .
( Setting items are the same as Hospital 1. )
(Not available when the dialysate communication system (optional) is
connected.)
5) Hospital 2
Data to set for DBB-27 and hospitals.

flQSF* Notes There are Adjusting data as those other than Setting data. Adjusting
data are those adjusted proper to each DBB w27 and not changed except
at check and maintenance.

2. To change and confirm Hospital 1 data and Hospital 2 data, password input is
necessary. On treatment data come in two kinds. One is require password input and
the other is not.

3. On treatment data is changed in 2 methods.

(D Change to (Hospital 1 dataj (No. (1) on [Figure 4-7 Classification of the set data])
( On treatment dataj becomes identical with (Hospital 1 dataj in following cases;
• Drain operation is performed.
• Mode moves from Start to Rinse / Disinfection ( Cleaning program ).
• Reset function of treatment data is activated.
• Patient selection is released.
[Activation of the Reset function of treatment dataj means activation of
Notes
the setting of treatment data reset delay time] of Hospital 2[35.1 Other
1]

If the settings have been temporarily changed for one treatment,

aution change [On treatment data]. Even if Hospital data 1 is changed, the
changes are not reflected on [On treatment data] until the operations
above are performed.

4-6 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

Change to TPatient dataj

TOn treatment data] becomes identical with FPatient data] when patient is
selected.

Data to be used for

operation.

On treatment Patient
data Data
Hospital 1
Data ( 16 persons )
Alarm
Alarm Alarm point
point data data etc.
point data
etc.

Hopital 2
Data

[ Fig. 4-7 Classification of the set data ]

Notes Setting
does not.
data comes in 2 types. One requires password and the other

• ***’• Setting data within this frame have 2 kinds. One requires
: • • • • • ’ password to input and the other does not.

Setting data within this frame requires password to input.

4. Patient data can be identical with Hospital 1 data. (Refer to ® on Fig. 4-7
Classification of the setting data)
When patient name is changed on the Patient setting screen, following screen will
appear;
Do you copy [HOSPITAL 1 ] data t o t h e data base
of t h i s p a t i e n t ?

| YES | | NO |

[ Fig.4-8 Confirmation of patient data 1

DBB-27 T e c h n i c a l manual No. 831en-R7 4 - 7

4. S e t t i n g items

IlhSr* Notes
This functon is convenient in setting new patient data by clearing
previous patient data when patients move. Data for Hospital 1 should
be set to values appropriate for each facility.

4.4. Table of setting items

4.4.1. Description on the table of setting items

The Table of setting items is consisted of 5 columns and consistent with screen display
as much as possible.
1. Setting items column
Displays items to set.
2. Initial value column ( Initial set value, Initial adjusting value and Initial value )
Displays the set value at DBB-27C shipment.
3. Set value column
Column to record newly set value
4. Set range column
Displays the settable range. “ Selection “ means “ Selection of number
5. Remarks column
Displays notes • additional items in setting.

Setting item 1 Initial value Set value Set range ( unit )

Setting item 2 Initial value Set value Set range ( unit )

Remarks

[ Fig. 4.9 Description on Table of setting items ]

Notes
The table of setting items is structured basically as above arrangement,
however, some setting items may be arranged in different way as they
can not be structured as above. For this case, follow the display of the
table.

4-8 DBB-27 T e c h n i c a l manual No. 831en-R7

 4. Setting items

4.4.2. Hospital 1 data

1. Dialysis condition

1.1. Dialysis condition ( Treatment mode, UF )

Treatment mode 0 Selection *1
Treatment time 4:00 0:01-7:59 (h: min)
UF goal 0.00 0.00-9.99 (L) *2
UF rate 0.00 0.00-4.00 (L/h) *3
Selection of input method
0 Selection *4
of treatment time
Select priority items for
0 Selection *5
UF calc.
Selection of UF calculation 1 Selection *6

Single Needle (SN) 0 Selection *7

SN control pressure upper 200 0-400 (mmHg) *8
SN control pressure lower 100 0-400 (mmHg) *8
Selection of I-UF 0 Selection *9
I-UF time 0:30 0:00-7:59 (himin)
I-UF volume 0.00 0.00-31.93 (L)
I-UF time selection of
1 Selection *10
count
*1 : 0=HD mode 1=I-UF mode
*2 : Set range differs by setting of UF volume/switch of setting digit.
*3 : Set range differs by setting of the upper limit of UF rate operation range.
*4 : 0=Input with the treatment time l=Input with the setting time
*5 : O=Calculate UF rate l=Calculate UF goal
*6 : 0=No UF calculation 1=UF calculation
*7:0=OFF 1=0 N
*8 : Upper limit>Lower limit ( Upper limit can not be set lower than Lower limit. Lower limit can
not be set higher than Upper limit, either. Also, Upper limit can not be set higher than
venous pressure fixed alarm upper limit ( SN ), and Lower limit can not be set lower than
venous pressure fixed alarm lower limit ( SN ).
*97 : 0=HD setting As for UF values, use the vaolues set on HD)
1=I-UF only As for UFvalues, use the values of exclusively for I-UF use)
*810 : 0=No counting l=Counting

DBB-27 Technical manual No. 831en-R7 4 - 9

4. S e t t i n g items

1 . 2 . Dialysis condition ( Extracorporeal )

IP selection 1 Selection *1
IP start 1 Selection *2
IP rate 0.0 0.0-10.0 (mL/h) *3
IP auto, bolus 0 Selection *4
IP bolus volume 0.0 0.0-20.0 (ml)
IP power auto-off 0 Selection *5
IP power auto-off time 0 ___ 0-120 (min)*6 ________________________

IP power OK monitor off 0 Selection *5

IP power OK monitor off
0 0-120 (min)
time
*1 : 0=Notuse l=Use
*2 : 0=Manual l=Automatic
• When 1 ( Automatic ) is selected and blood is detected in patient connection mode or
operation key or stop key is operated, IP power automatically turns on.
*3 : Setting range differs depending upon setting of upper limit of IP rate operation range.
*4 : 0=Not use 1= Use
*5 : 0=OFF 1=ON
*6 : Setting range differs depend upon setting of IP power ok monitor off time.

Notes The IP power OK monitor alarm can be turned off after an

appointed time. Set "IP power OK monitor switch" to "Off, and
set "IP power OK monitor shutdown time". Once "IP power OK
monitor shutdown time" is set to "On", the IP power OK monitor
alarm will not sound.

1 . 3 . Dialysis condi Ltion ( Di: ilysis re ated )

2(A2) Selection *1
Selection of concentrate
2(B2) Selection *1
Dialysate temp. 36.0 33.0-40.0 (DC)
Dialysate flow rate 500 300-700 (mL/min)
Total conductivity target 12.5~15.5 (mS/cm)
Bicarbonate conductivity 1.50-7.00 (mS/cm)
*
target
Select corres act of cond
0 Selection *2
pro and UP pro
*1 : l=Concentrate 1 (Bl,Al) 2= Concentrate 2 (B2,A2),
3= Concentrate 3 (B3,A3),
4= Concentrate 4 (B4,A4) 5= Concentrate 4 (B5,A5)
: Subject to adjusted data.
*2: 0= No link operation l=Link operation

4-10 DBB-27 Technical manual No. 831en-R7

 4. Setting items

2. Alarm point
2.1. Venous pressure alarm
Patient connect • SN Set range
H D • I-UF
Blood collection
Fixed upper 300 400 400 -200-500 (mmHg) *1
Auto-set maximum 300 -200-500 (mmHg) *2
Auto-set width upper 50 0-400 (mmHg)
Auto-set width lower -30 -400-0 (mmHg)
Auto-set minimum 10 -200-500 (mmHg) *2
Fixed lower -50 -200 -50 -200-500 (mmHg) *1
*1 : Upper limit>Lower limit ( Upper limit can not be set lower than Lower Emit. Lower Emit can
not be set higher than Upper Emit, either.) Set Emit can not be set beyond the value of
Hospital 2 F9.1 Fixed alarm limit value J • F9.2 Fixed alarm Emit value ( Single Needle )j
*2 : Upper Emit>Lower Emit ( Upper Emit can not be set lower than Lower limit. Lower Emit can
not be set higher than Upper Emit, either.)

2.3. Dialysate pressure alarmL

H D • I-UF SN Set range
-400-400 (mmHg)
Fixed upper 300 300
*1
-400-400 (mmHg)
Auto-set maximum 300 300 *2
Auto-set width upper 50 70 0~400(mmHg)
Auto-set width lower -50 -70 -400-0 (mmHg)
Auto-set minimum -300 -400-400 (mmHg)
-300
*2
-400-400 (mmHg)
Fixed lower -300 ■300 *1
*1 : Upper limit>Lower limit ( Upper limit can not be set lower than 1uower limit. Lower Emit can
not be set higher than Upper limit, either.) Set limit can not be set beyond the value of
Hospital 2 19.1 Fixed alarm limit valued • 19.2 Fixed alarm li mit value ( Single Needle ) J
*2 : Upper limit>Lower limit ( Upper limit can not be set lower than ]Lower Emit. Lower Emit can
not be set higher than Upper limit, either.)

2.4. TMP alarm

H D • I-UF SN Set range
Fixed upper 500 500 -100-500 (mmHg) *1
Auto-set maximum 500 500 -100-500 (mmHg) *2
Auto-set width upper 50 70 0~400 (mmHg)
Auto-forecast width upper 20 50 0-400 (mmHg)
Auto-forecast width lower -20 -50 -400-0 (mmHg)
Auto-set width lower -50 ■70 -400-0 (mmHg)
Auto-set minimum ■30 -30 -100-500 (mmHg) *2
Fixed lower -30 -30 -100-500 (mmHg) *1
*1 : Upper limit>Lower limit ( Upper Emit can not be set lower than Lower limit. Lower limit can
not be set higher than Upper limit, either.) Set limit can not be set beyond the value of
Hospital 2 19.1 Fixed alarm pointj • 19.2 Fixed alarm point ( Single Ncsedle )j
*2 : Upper limit>Lower limit ( Upper limit can not be set lower than Lower ]limit. Lower limit can
not be set higher than Upper limit, either.)

DBB-27 Technical manual No. 831en-R7 4-11

4. S e t t i n g items

2.5. Pressure loss alarm

Fixed upper 80 -200-400 (mmHg) *1
Auto-set width upper 20 0~400 (mmHg)
Auto-set width lower -20 ■400~0 (mmHg)
Fixed lower 0 ■200~400 (mmHg) *1
*1 ! Upper limit>Lower liiu.it ( Upper limit can not be set lower than Lower limit. Lower limit
can not be set higher than Upper limit, either.)

2.6. Dialyzer inlet blood pressure alarm

Patient connect •
H D • I-UF SN Set range
Blood collection
Fixed upper 300 500 500 -200-600 (mmHg) *1
Auto-set maximum 300 -200-600 (mmHg) *2
Auto-set width upper 50 0-400 (mmHg)
Auto-set width lower ■50 -400-0 (mmHg)
Auto-set minimum 0 -200-600 (mmHg) *2
Fixed lower -50 -200 -50 -200-600 (mmHg) *1
*1 : Upper limit>Lower Limit ( Upper limit can not be set lower than Lower limit. Lower limit
cannot be set higher than Upper limit, either.) Set limit can not be set beyond the value of
Hospital 2 (9.1 Fixeid alarm pointj • (9.2 Fixed alarm point ( Single Needle ) J
*2 : Upper limit>Lower ]Limit ( Upper limit can not be set lower than Lower limit. Lower limit
cannot be set higher than Upper limit, either.)

2.7. UF factor alarm

Initial UF-factor alarm ( upper ) 200.00 0.00-300.00 (mL/h/mmHg) *1
Initial UFR-factor alarm ( lower ) 1.00 0.00-300.00 (mL/h/mmHg) *1
UF-factor drop alarm 50 0-95 (%)
*1 : Upper limit>Lower limit ( Upper limit can not be set lower than Lower limit. Lower limit
can not be set higher than Upper limit, either.)

2.8. TMP zero calibration alarm

Middle Point Upper limit Lower limit
-200-200 0-100 -100-0
HD -45 50 (mmHg) -50 (mmHg)
(mmHg)

-200-200 0-100 -100-0

I-UF ■70 50 ■50 (mmHg)
(mmHg) (mmHg)

4-12 DBB-27 T e c h n i c a l manual No. 831en-R7

 4. S e t t i n g items

3. UF profile
Final
Step No. 1 2 3 4 5 6 7 8 9 10 position
Power
Initial Operation HD HD HD HD HD HD HD HD HD HD OFF
10
value Index 200 150 100 50 0 0 50 100 150 200
1 Operation
Set
value Index
Initial Operation HD HD HD HD HD HD HD HD HD HD
10 OFF
value Index 150 150 150 150 150 50 50 50 50 50
2 • Operation
Set
value Index
Initial Operation HD HD HD HD HD HD HD HD HD HD
10 OFF
value Index 50 50 50 50 50 150 150 150 150 150
3 Operation
Set
value Index
Initial Operation HD HD HD HD HD HD HD HD HD HD
10 OFF
value Index 200 200 160 160 120 120 80 80 40 40
4 Operation
Set
value Index
Initial Operation HD HD HD HD HD HD HD HD HD HD
value Index 200 200 160 160 120 120 80
10 OFF
80 40 40
5 Operation
Set
value Index
Initial Operation HD HD HD HD HD HD HD HD HD HD
value Index 40 40 80 80 120 120 160 160 200 200
10 OFF
6 Set Operation
value Index
Initial Operation HD HD HD HD HD HD HD HD HD HD
value Index 150 150 150 150 150 150 150 150 50
10 OFF
50
7 Set Operation
value Index
Initial Operation HD HD HD HD HD HD HD HD HD HD
value Index 150 150 150 150 150 150 150 150 50 50
10 OFF
8 Set Operation
value Index
Operation HD/ECUM OFF/O
Set range 1-10
Index 0-200 N*1
*1 : Among pattern 1~9, only pattern 1 can set the power ON.

_9 ______________________________________________
UF index number ( start ) 100 0-200
UF index number ( end ) 100 0-200
UF program course 1.0 0.0-2.0
Power OFF OFF/ON *1
*1 : Among pattern 1—9, only pattern 1 can set the power ON. ________

DBB-27 T e c h n i c a l manual No. 831en-R7 4-13

 4. S e t t i n g items

4. Conductivity profile

4.1. Conductivity profile

Switching

Power
position
Final

time
Step No. 1 2 3 4 5 6 7 8 9 10

Dialysate 14.0 14.0 14.0 14.0 14.0 13.5 13.5 13.5 13.5 13.5
Initial 30 OFF

°
value B liquid 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50 2.50
1
Set Dialysate
value B liquid

Initial Dialysate 13.5 13.5 13.5 13.5 13.5 14.0 14.0 14.0 14.0 14.0
10 30 OFF
value B liquid 2.50 2.50 2.50 2.50 2.50 3.00 3.00 3.00 3.00 3.00
2
Set Dialysate
value B liquid

Initial Dialysate 14.0 14.0 13.5 13.5 13.5 13.5 13.5 13.5 14.0 14.0
10 30 OFF
value B liquid 3.00 3.00 3.00 3.00 3.00 2.50 2.50 2.50 2.50 2.50
3
Set Dialysate
value B liquid

Initial Dialysate 13.5 13.5 13.5 14.0 14.0 14.0 14.0 13.5 13.5 13.5
10 30 OFF
value B liquid 3.00 3.00 2.50 2.50 2.50 3.00 3.00 2.50 2.50 2.50
4
Set Dialysate
value B liquid

Initial Dialysate 13.5 13.5 14.0 14.0 13.5 13.5 14.0 14.0 13.5 13.5
10 30 OFF
value B liquid 3.00 2.50 2.50 3.00 3.00 3.00 3.00 2.50 2.50 3.00
5
Set Dialysate
value B liquid

Initial Dialysate 13.5 13.5 14.0 14.0 14.0 14.0 14.0 14.0 13.5 13.5
10 30 OFF
value B liquid 3.00 3.00 3.00 2.50 2.50 2.50 2.50 3.00 3.00 3.00
6
Set Dialysate
value B liquid

Initial Dialysate 14.0 14.0 13.5 13.5 13.5 13.5 13.5 13.5 14.0 14.0
10 30 OFF
value B liquid 2.50 2.50 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00
7
Set Dialysate
value B liquid
Dialysate 12.5 15.5 (mS/cm) 1~
OFF
Set range 1~ 99 /ON
B liquid 1.50-7.00 (mS/cm) 10 (min *1
) *2
*1 : Among pattern 1~9, only pattern 1 can set the power ON.
*2. The switching time can only be set if [Select corres act of cond pro and UF pro] is selected to [No link operation] in
Hospital 1 [1.3 Dialysis condition (Dialysis related)].

4-14 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

Switching
position

Power
time
Final
Step No. 1 2 3 4 5 6 7 8 9 10

Initial Dialysate 13.5 14.0 13.5 14.0 13.5 14.0 13.5 14.0 13.5 14.0
10 30 OFF
value B liquid 3.00 3.00 3.00 3.00 3.00 3.00 3.00 3.00 2.50 2.50
8
Set Dialysate
value B liquid
Dialysate 12.5-15.5 (mS/cm) 1~
1- OFF
99 /ON
Set range 10 (min
B liquid 1.50-7.00 (mS/cm) *1
) *2
*1 : Among pattern 1~9, only pattern 1 can set the power ON.
*2- The switching time can only be set if [Select corres act of cond pro and UF pro] is selected to [No link operation] in.
Hospital 1 [1.3 Dialysis condition (Dialysis related)].

9
Start 13.5 12.5-15.5 (mS/cm)
Dialysate
End 15.0 12.5-15.5 (mS/cm)
conductivity
Course 2.0 0.0-2.0

Start 2.50 1.50-7.00 (mS/cm)

B liquid
End 3.00 1.50-7.00 (mS/cm)
Conductivity
Course 2.0 0.0-2.0

Power OFF OFF/ON *1

*1 : Among pattern 1~9, only pattern 1 can set the power ON.

DBB-27 T e c h n i c a l manual No. 831en-R7

4-15
4. S e t t i n g items

4.2. Na profile

Na infusion
Step No. 1 2 3 4 5 6 7 8 9 10 switching Power
time

Initial value 0 0 0 0 0 0 0 0 0 0 30 OFF

1
Set value
Initial value 0 0 0 0 0 0 0 0 0 0 30 OFF
2
Set value
Initial value 0 0 0 0 0 0 0 0 0 0 30 OFF
3
Set value
Initial value 0 0 0 0 0 0 0 0 0 0 30 OFF
4
Set value
Initial value 0 0 0 0 0 0 0 0 0 0 30 OFF
5
Set value
Initial value 0 0 0 0 0 0 0 0 0 0 30 OFF
6
Set value
Initial value 0 0 0 0 0 0 0 0 0 0 30 OFF
7
Set value
Initial value 0 0 0 0 0 0 0 0 0 0 30 OFF
8
Set value
OFF/O
1~99 (min)
Set range 0~50 (mEq/L) *1
N*2
*3
*1 : Set range differs depend upon setting of upper limit of Na infusion conductivity operating
range.
*2 : Among pattern 1~9, only pattern 1 can set the power ON.
*3: The switching time can only be set if [Select corres act of Na infu and UF pro] is selected to
[No link operation] in Hospital 1 [1.3 Dialysis condition (Dialysis related)].

9 ___________________________________________
Start 0 0~50 (mEq/L) *1
Na Conduc 0~50 (mEq/L) *1
End 0
tivity
Course 1.0 0.0-2.0
Power OFF OFF/ON *2
*1 : Set range differs depend, upon setting of upper limit of Na infusion conductivity operating
range.
*2 : Among pattern 1 9, only pattern 1 can set the power ON.

4-16 DBB-27 Technical manual No. 831en-R7

 4. Setting items

5. Operation range
Blood flow operation range maximum 300 40~600 (mL/min)
Infusion pump operation range 10.0 0.0~10.0 (mL/h)
maximum _______________
UF rate operation range maximum 2.00 0.00-4.00 (L/h)
Dialysate temp, operation range 40.0 33.0-40.0 (°C) *1
maximum
Dialysate temp, operation range 33.0 33.0-40.0 (°C) *1
minimum
Na infusion operation range maximum 50 0-50 (mEq/L)
*1 : Upper limit>Lower limit ( Upper limit can not be set lower than Lower limit. Lower limit can
not be set higher than Upper limit, either.) __________ _ ___________________ __________

6. Blood pressure

6.1. Blood pressure ( Set measurement )

Blood pressure auto-measurement 30 2-180 (min)
interval
Cuff selection 0 Selection *1
Inflation pressure value setting (Adult) 180 120-220 (mmHg)
Inflation pressure value setting (infant) 120 80~140 (mmHg)
Inflation pressure mode selection 1 Selection *2
Continuous blood pressure measurement
0 Selection *3
mode
Select high speed measurement 1 Selection *4
*1 : 0=Adult l=Infant
*2 : 0=Manual (by inflation value setting) l=Auto-set pressure 2=Smart inflation
*3 : 0=12 min 1=5 min
*4: 0=OFF 1=ON

6.2. Blood pressure (Set measurement2)

Use selection of start time settings 0 (Not use) Selection*!
Blood pres measurement start time 8:00 (8:00am) 0:00~23:59
Mode selection after blood pressure 2 (Auto
measurement Selection*2
measurement)
*1 : 0=Notuse l=Use
*2 : 0=Manual measurement l=Continuous measurement 2=Auto measurement

DBB-27 Technical manual No. 831en-R7 4-17

4. S e t t i n g items

6.3. Blood pressure (Alarm point* SYS * DIApres)

Adult Infant
Systolic blood pressure
200 60-250 (mmHg) *1 120 40-120 (mmHg) *1
upper alarm
Systolic blood pressure
lower alarm 80 0, 60-250 (mmHg) *2 50 0, 40-120 (mmHg) *2
Diastolic blood 20-90 (mmHg) *1
160 40-200 (mmHg) *1 80
pressure upper alarm
Diastolic blood
50 0, 40-200 (mmHg) *2 30 0, 20-90 (mmHg) *2
pressure lower alarm
*1 : Upper limits Lower limit ( Upper limit can not be set lower than Lower limit. Lower limit
can not be set higher than Upper limit, either.)
*2 : Upper limit> Lower Emit ( Upper Emit can not be set lower than Lower Emit. Lower Emit
can not be set higher than Upper Emit, either.)
The alarm is not monitored when set to 0 (mmHg) or 0 (bpm).

Notes When maximum blood pressure lower limit alarm point is set to 0, it is
not monitored and the combined operation described in Hospital 1 [6.5
blood pressure (combined operation with maximum blood pressure
alarm)] is not allowed.

Pay attention to patient condition, as blood pressure upper or lower

aution
Emit alarm is not monitored when it is set to 0.

6.4. Blood pressure (Alarm point- MAP ■ PR )

Adult Infant
Mean blood pressure
upper alarm 180 45-235 (mmHg) *1 90 30-100 (mmHg) *1
Mean blood pressure 0, 45-235 (mmHg) 0, 30-100 (mmHg)
lower alarm 60 40
*2 *2
Pulse upper alarm 170 40-200 (bpm) *1 180 40-240 (bpm) *1
Pulse lower alarm 50 0, 40-200 (bpm) *2 70 0, 40-240 (bpm) *2
*1 : Upper Emit Lower Emii' ( Upper Emit can not be set lower than Lower Emit. Lower Emit
can not be set higher thai a Upper Emit, either.)
*2 : Upper Emit Lower Emrt ( Upper Emit can not be set lower than Lower limit. Lower limit
can not be set higher thai a Upper Emit, either.)
The alarm is not monitor ed when set to 0 (mmHg) or 0 (bpm).

Pay attention to patient condition, as it is not monitored when mean

aution blood pressure or pulse rate lower limit alarm point is set to 0.

4-18 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

6.5. Blood pressure ( Corresponding with SYS alarm )

Action _________Speed ______________
BP selection on SYS blood 0 Selection *1 100 40-600 (mL/min)
pressure upper alarm
BP selection on SYS blood 0 Selection *1 100 40~600 (mL/min)
pressure lower alarm
UF selection on SYS blood 0 Selection *2 0.10 0.00-4.00 (L/h)
pressure upper alarm
UF selection on SYS blood 0 Selection *2 0.10 0.00-4.00 (L/h)
pressure lower alarm
Na infusion selection on SYS 0 Selection *3 0 0-50 (mEq/L)
blood pressure upper alarm
Na infusion selection on SYS 0 0-50 (mEq/L)
0 Selection *3
blood pressure lower alarm
*1 : 0= No changed 1= Blood flow down
*2 : 0= No changed 1= UF rate, down
*3 : 0= No changed _______l=Na suction conductivity up

6.6. Blood pressure ( Ending conditions of measurement )

BPM auto-measur. waiting time (Alarm) 0 0-120 (min)
BPM auto-measur. waiting time
0 0-120 (min)
(Condition)
Pause of BPM measurement (Alarm) 0 Selection *1
Pause of BPM measurement (Condition) 0 Selection *1
*1 : 0=Continue the measurement l=Stop the measurement

7. Alarm monitoring

7.1. Alarm monitoring 1

Mode of UFC monitoring 0 Selection *1
Selection of TMP zero calibration 0 Selection *2
Monitoring of auto-set alarm
1 Selection *3
( Venous pressure )
Monitoring of auto-set alarm
1 Selection *3
( Dialysate pressure )
Monitoring of auto-set/auto-forecast Selection *3
alarm ( TMP>
1
Monitoring of auto-set alarm
1 Selection *3
( Dialyzer inlet blood pressure )
Monitoring of auto-set alarm
1 Selection *3
( Pressure loss )
*1 : 0=TMP auto-forcaset monitor mode 1=TMP auto-set mode
2=Dialysate pres monitor mode
*2 : 0=Calibration l=No calibration
*3 : 0=Fixed alarm monitoring 1= Auto-set alarm monitoring

DBB-27 Techn i ca I manua I No. 831 en-R7 4-19

4. S e t t i n g items

7.2. Alarm monitoring 2

Monitoring of auto-set alarm 1 Selection *1

( Na conductivity )
*1 : 0=Fixed alarm monitoring Not monitor auto-set alarm 1= AMonitor auto-set alarm
monitoring

8. Set conductivity alarm

8.1. Conductivity profile alarm

Upper :imit Lower limit
Bicarb, conductivity alarm -9.9-0.0 (%)
( auto -set width ) Profile 5.0 0.0-9.9 (%) -5.0
Total conductivity alarm
( auto- set width ) Profile 5.0 0.0-9.9 (%) -5.0 -9.9-0.0 (%)

8.2. Na conductivity alarm

Upper limit Lower limit

Na conductivity alarm
( auto-set width ) 5 0-50 (mEq/L) -5 -50-0 (mEq/L)
Na conductivity alarm 100-200 100-200
( Fixed upper ) 190 120
(mEq/L) *1 (mEq/L) *1
*1 : Upper limit>Lower limit ( Upper limit can not be set lower than Lower limit. Lower limit
can not be set higher than Upper limit, either.)

9. Blood volume

9. 1. Blood volume 1
dBV drop alarm point 1 -20.0 -100-0 (%) *1
dBV drop alarm point 2 -40.0 -100-0 (%) *2
dBV changed rate alarm point -10.0 -50.0-0.0 (%/min) *3
:
*1 Alarm point 1 alarm point 2. Not monitored for 0 (%).
*2: Alarm point 1 alarm point 2. Not monitored for -100 (%).
*3: Not monitored for 0 (%/minute).

9. 2. Blood volume 2
Sei. of blood volume 1 Selection *1
*1 : 0=Not use l=Use

9. 4. Blood volume 4
dBV minimum UF rate 0.00 0.00~2.00(L/h)
dBV minimum UF prolonged time 5 0~30(min)
Pre weight 0.00 0.00— 300.00(kg) ______________

4-20 DBB-27 T e c h n i c a l manual No. 831en-R7

 4. Setting items

10. Priming, Collection

10.1. Priming assist

Art. prim, volume 200 0-2000 (mL) ________________
Ven. prim, volume 200 0-2000 (mL)
Air purge volume 400 0-2000 (mL)
Exchange volume 800 0-2000 (mL)
Auto, shift select (Art. to Venous ) 0 Selection *1
Auto, shift select ( Ven. to Air purge ) 0 Selection *1
BP activation (Air purge ) 0 Selection *2

Art. prim, flow 100 0-600 (mL/min)

Ven. prim, flow 100 0-600 (mL/min)
Air purge flow 300 0-600 (mL/min)

BP run time (Air purge ) 2.0 0.5-9.9 (sec)

BP stop time (Air purge ) 1.0 0.5-9.9 (sec)
*1 : 0=Not continue l=Continue
*2 : 0=Continuous action l=Intermittent action

10.2. Automatic priming

Process time ( Drop ) 40 0-999 (sec)
Volume ( Prim ) 250 0-999 (mL)
BP rate ( Prim ) 1st time 250 0-600 (mL/min)
BP rate ( Circulation ) 400 0-600 (mL/min)
Total volume 600 0-2000 (mL)
Starting time 7:00 0:00-23:59 (h: min)

BP rate ( Prim ) 2nd on 250 0-600 (mL/min)

Process time ( Circulation ) 300 0-999 (sec)

10.3. Automatic collection

Saline volume to be used 200 10-999 (mL)

BP rate 100 0-600 (mL/min)
End condition 0 Selection* 1
( Blood / Saline detector )
*1 : 0=Notuse l=Use

DBB-27 Technical manual No. 831en-R7 4-21

4. S e t t i n g items

4.4.3. Hospital 2 data

1. Blood pump

1.1. Blood pump 1

BP act. detects blood ( Connect ) 1 Selection *1
BP action at blood circuit no detection 1 Selection *2
BP action at blood circuit no detection Selection *2
0
( Prim, assist )
BP short slow up time 2 2~60 (sec)
Select auto-reset of BP power SW 1 Selection *3
BP rate( Rinse to Gas purge ) 100 0~600 (mL/min)
*1 : 0=Not stop l=Stop
*2 : 0=Action is possible(No confirmation) l=Action is possible with confirmation
*3 : 0=No auto-reset l=Auto-reset

1.2. Blood pump 2

Patient
Dialyzer warming Blood collection Setting range
connection
Blood pump rate 200 100 100 0~600 (mL/min)
Blood pump rate
change 0 0 0 Selection *1
Blood pump power 0 0 0 Selection *2
*1 : 0=Rate is not changed l=Rate is changed
*2 : 0=Not automatically turn OFF 1= Automatically turn OFF

1.3. Blood flow rate setting

Blood flow rate setter step value 5 l~20 (mL/min)
Sensitiv. of bld flow setter ( bld up ) 0 0~50
Sensitiv. of bld flow setter ( bld down ) 0 0~50
Blood flow rate mis-setting prevention mode 0 Selection *1
Blood flow mis-setting preven.prolonged time 0.7 0.0~1.0 (sec)
Blood flow mis-set.preven.effec.time(Model) 60 l~600 (sec)
Blood flow mis-set.preven.effec.time(Mode2) 2 l ~ 1 0 (see)
*1 : 0=Not use
l=Be activated blood flow rate display by touching.
2=Set the delay time on the blood flow setter.

4-22 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

2. Priming setting

2.1. Priming assist

Priming assist, BP slow stop 1 Selection *1
Priming assist, liquid empty detection 0 Selection *2
Priming assistance screen display time 0 0~60 (min)
Priming assist, SW operation restricted 0 Selection *3
Selection of patient setting use (Prim, assist ) 0 Selection *4
*1 : 0=No slow / stop 1= Slow / stop
*2 : 0=No emptied detection l=Emptied detection
*3 : 0=No restriction
1= Pressing long of operation [Venous priming| and |Airdrawing| keys is valid priming mode
does not automatically continue.
*4 : 0=Not use l=Use

2.2. Automatic priming

Auto priming, liquid empty detection 1 Selection *1
Auto priming, empty alarm buzzer stand by 0 0~600 (sec)
Auto priming, BP operation time after priming 0 0~600 (sec)
Selection of patient set. use (Auto. prim. ) 0 Selection *2
*1 : 0= No empties detection 1= Empties detection
*2 : 0= Not use 1= Use

3. Dialyzer warming
Dialyzer warming time 2 l~60 (min)
Dialyzer warming after gas purge 0 Selection *1
Dialyzer warming stop time 10 l~60 (min)
Rinsing of dialyzer (Rinse extraction) 0.00 0.00~8.00(L)
Rinsing of dialyzer (Rinse rate) 1.20 0.00~4.00(L/h)
*1 : 0=Notused l=Used

DBB-27 T e c h n i c a l manual No. 831en-R7 4-23

4. S e t t i n g items

4. Buzzer

4.1. Buzzer ( Complete buzzer )

Melody selection Information selection
Treatment completion 0 Selection *1 0 Selection *2
Infusion completion 0 Selection *1
Infusion time completion 0 Selection *1
UF completion 0 Selection *1 1 Selection *2 __________
* 1 : 0 * Buzzer 7 * Melody 7 14 • IVelody 14
1 • Melody 1 8 * Melody 8 15 • ]V[elody 15
2 • Melody 2 9 ‘ Melody 9 16 • JVfelody 16
3 ’ Melody 3 10 • Melody 10 17 • IV[elody 17
4 ’ Melody 4 11 • Melody 11 18 : 1V1
[elody 18
5 • Melody 5 12 » Melody 12 19 • IV[elody 19
6 - Melody 6 13 • Melody 13 20 : IV[elody 20
*2 : 0=No buzzer l=Buzzer

4.2. Buzzer ( Sound ) 1

Tone Volume Octave Frequency
Alarm 6 Selection *1 0 0-15 *3 4 0-7 343 1-511 (Hz)
Completion 6 Selection *2 3 0-15 *3 4 0-7 343 1-511 (Hz)
Key 6 Selection *2 0 0-15 *3 5 0-7 257 1-511 (Hz)
Nurse call 6 Selection *2 0 0~15 *3 4 0-7 343 1-511 (Hz)
OK monitor 1 3 Selection *2 0 0-15 *3 4 0-7 432 1-511 (Hz)
OK monitor 2 3 Selection *2 0 0-15 *3 4 0-7 343 1-511 (Hz)
*1 : l=Violin 4=Flute 5=Clarinet
6=Oboe 7=Trumpet 8=Organ
9=Horn 10=Synthesizer
*2 : 1= Violin 2=Guitar 3=Piano
4= Flute 5= Clarinet 6= Oboe
7= Trumpet 8= Organ 9= Horn
10= Synthesizer ll=Harpsichord 12=Vibraphone
13=Synthe bass 14=Wood bass 15=Electric bass
*3 : Volume of Buzzer Maximum 0, Minimum 15

4.2. Buzzer ( Sound ) 2

Tone Volume Octave Frequency
BPM alarm buzz,
14 Selection *1 0 0-15 *3
intermit
BPM alarm buzz 34
7 Selection *2 0 0-15 *3 4 0-7 1~511(Hz)
( contin ) o
*1 : 1= Violin 2=Guitar 3=Piano
4= Flute 5= Clarinet 6= Oboe
7= Trumpet 8= Organ 9= Horn
10= Synthesizer ll=Harpsichord 12=Vibraphone
13=Synthe bass 14=Wood bass 15=Electric bass
*2 : l=Violin 4=Flute 5=Clarinet
6=Oboe 7=Trumpet 8=Organ
9=Horn 10=Synthesizer
*3 : Volume of Buzzer Maximum 0, Minimum 15

4-24 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

4.3, Buzzer ( Others)

Preparation, Connect, Disconnect 0 Selection *1
Treatment stop 0 Selection *2
Buzzer action to start auto-measure bld pres 0 Selection *3
Blood detection alarm buzzer action 1 Selection *3
*1 : 0=No buzzer
l=buzzer (when external indication lamp is set to flashing)
2=buzzer (when external indication lamp is set to flashing and mode has entered once to
the Start mode.)
*2 : 0=No buzzer
l=Buzzer (Case of external indication lamp flashing)
*3 : 0=No buzzer l=Buzzer

4.4. Buzzer ( Time )

Override term of alarm buzzer by [MUTE] KEY 120 0-300 (sec)
OK monitor buzzer intermittent time 70 0-1800 (sec)
Intermit, time of bld pres alarm buzzer 25 0-60 (sec)
Dialysis completed buzzer auto-stop time 0 0-60 (sec)
UF completion buzzer auto-stop time 0 0~60 (sec)
IP completion buzzer auto-stop time 0 0-60 (sec)
Timer complete buzzer auto-stop time 0 0~60 (sec)

4.5. Buzzer ( Time ) 2

IP completion buzzer auto-stop time 0 0~60 (sec)
Infusion time complet. Bz.auto.stop time 0 0-60 (sec) ____________

5. LCD

5.1. LCD ( Display time 1 )

LCD dislay time ( Preset ) 10 0-600 (sec) *1
LCD dislay time ( Rinse / Disinfec. ) 10 0-600 (sec) *1
LCD dislay time ( Treatment preparation ) 0 0-600 (sec) *1
LCD dislay time ( Treatment ) 0 0-600 (sec) *1
*1 : No ristriction of time at setting 0 second.

5.2. LCD ( Display time 2 )

Tenkey and Pop-up screen display time 10 0,3-600 (sec) *1
Operation display time 10 0,3-600 (sec) *1
BPM screen display time 0 0-60 (min) *1
Menu bar display time 0 0 , 5-300 (sec) *1
*1 : No ristriction of time at setting 0 second.

DBB-27 Technical manual No. 831en-R7 4-25

4. S e t t i n g items

5.3. LCD ( Message screen )

Selection of message screen shift method 1 Selection *1
Setting of message screen switch time 0 0~600 (sec)
Setting of message screen display time 10 3~180 (sec)
*1 : 0=Manual l=Automatic

5.4. LCD ( Back light )

Selection of LCD back light lighting sound 1 Selection *1
Selection of use of auto-response sensor 1 Selection *2
Auto-response sensor prolonged time 0 0~30 (sec)
*1 ; 0=No sound, of lighting up ( No sound either at touching or at detecting a person )
l=Exist at touching (No sound at detecting a person)
2=Exist at detecting a person (No sound at touching)
3=Exist sound ( both at touching and at detecting person)
*2 : 0=Not use (Not use the auto-response sensor as a condition of back light OFF/ON)
l=Use (Use the auto-response sensor as a condition of back light sensor)

5.5. LCD (Pop-up screen)

Pop-Up screen (Except UF setting) 1 Selection *1
Pop-up screen (UF setting ) 1 Selection *1
UF Pop-up UF volume reset SW display 0 Selection *2
IP Pop-up IP power supply switch display 0 Selection *2
IP Pop-up IP rapid switch display 0 Selection *2
*1 : 0=Notuse l=Use
*2 : 0=Not display l=Display

5.6. LCD (Screen)

Select basic screen during treatment 0 Selection *1
Auto, display of timer screen 5 0~300 (sec)
Indicator alarm point numerical display 0 Selection *2
Menu bar mode selection 1 Selection *3
run/stop/blood collect/buzzer stop Select key type 2 Selection *4
Select switch zone display 1 Selection *2
*1 : 0=Bar graph screen 1=BPM screen 2=Timer screen
3=Treatment progress screen 4=Nurse screen 11=BV meter screen
12=Communication screen (Virtual terminal) 13=4 partition graph screen
*2 : 0=No display l=Display
*3 : 0=Technician menu bar l=Nurse menu bar
*4 : l=type 1 2=type 2
*5 : 0=Not displayed l=displayed

5.7. LCD (Telop display)

Alarm/Information display selection 0 Selection* 1
User registration display selection 0 Selection* 1
Blood pres meas results display selection 0 Selection* 1
B-pres measure result dsp time 5 l~480(min)
*1 : 0=No display l=Display

4-26 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

5.8. LCD (Telop user registration)

Message Start time _____ Display time Completing melody
NO.l User 1 60 l~480(min) 5 l~480(min) 0 Selection*!
NO.2 User 2 120 l~480(min) 5 l~480(min) 0 Selection* 1
NO.3 User 3 180 l~480(min) 5 l~480(min) 0 Selection*!
*1 : 0=B uzzer 7=Melody 7 14=Melody 14
i=jy lelody 1 8=Melody 8 15=Melody 15
2=]Vlelody 2 9=Melody 9 16=Melody 16
3=lvlelody 3 10=Melody 10 17=Melody 17
4=Nlelody 4 ll=Melody 11 18=Melody 18
5=JVlelody 5 12=Melody 12 19=Melody 19
6=Nlelody 6 13=Melody 13 20=Melody 20

5.9. LCD (Screensaver)

Select screensaver use (transfer time) 10 0~60 (min) *1
Select screensaver auto resp sensor
1 Selection *2
(switch screensaver —» trtmt screen)
Buzzer at the change to screen saver 1 Selection *3
Display screensaver status bar 1 Selection *4
*1 : 0=Not used l-60=Time to display screen(min)
*2 : 0= Not used l=Use
*3 : 0=Buzzer OFF l=Buzzer ON
*4 : 0=monitor value l=status icon

DBB-27 Technical manual No. 831en-R7 4-27

4. Setting items

6. Customize

| t || N |[ epw |[ TIMER |[ TREAT. PROG. |[ ACCESSORY J [ STANOARO SETTING |

VEN PRESS Cmmiic>; OIALY PRESS tone) UF VOLUME (0 up GOAL (D OF RATE (L/h

-2 -35 O.oo Hil EEl

’ ?l i

OIA Pulse HeasUreTime

BPM SYS
0:00

Adult [2OrE0 (ffiL/h)

(iMlHg) tolls) (bpn)
200 OIALY TEMP

150
SET.

I CONDUCT
100 CONT

50
MEAS
11371 (mS/ciri)
AUTO MEAS
30 M INT OIALY FLOW
120 100 240

Elapsed time (min)

MEASUR (mL/min)

8. FLW (mLMn>
OPERAT
CALC
MODE
(HD) 120
Menu

Monitor A
Indicator
Switch
Monitor B

Multi-panel

Status icon Blood

flow

j®* Notes When fCKBar graph screen J is selected from f Select basic screen during
treatment J of Hospital 2 F5.6 LCD ( screen )j , indicator is not displayed
even if “display indicator by customizing” is selected.

4-28 DBB-27 Technical manual No. 831en-R7

 4. Sett i ng i terns

Monitors to be displayable by customizing

1 ’Venous pressure (monitor only) 3’Dialyzer pressure loss (monitor only) 4’TMP(monitor only)
5:UF-factor 6:UF rate (moniter only) 7:UF goal
8:UF volume SKBlood pump ILBlood total
13:Total conductivity 14:Bicarbonate conductivity 15:Dialysate temperature
16Dialysate flow rate 20:Treatment remain time 2i:Treatment complete time
23’Dialysate pressure (monitor only) 24Water supply pressure 29>Treatment elapsed time
3(KDialyzer inlet blood pressure (monitor only)
3 leverage blood pump flow 32:Vblume stroke 331P total
35‘Start time 44’Na conductivity (monitor only) 45’Dialysate inlet blood and venous mean
pressure
46‘Systolic blood pressure/Diastolic blood pressure 47’IP rate 50’UF rate
51 ; Dialysate flow (moniter only)
52=UF complete time 57 : UF remain time 58:Delta BV
60:TMP zero calibration 61 initial UF-factor 62:Pulse
63:Mode elapsed time 66.Venous pres 67:Dialyzer pres difference
68:TMP 69Dialysate pres 70:Dialyzer inlet blood pressure
7i:Na conductivity 72:PRR 99:No display

Switches to be displayable by customizing

<Setteing data>
99’No display
<Extra corporeal>
18’ air power sw 52:clip air power
59-blood pump 103’Select BV meter use lOLdBV initialize
119: BVM data check/output 404P 21 -select IP use
19:IP power
89dP auto'off 90- IP OK monitor off
36:IP bolus 20‘IP quick sw
78!prim assist 79’auto prim 69-auto collect
63:blood data reset 92’start blood pres measure
107 ; single needle 91 ’drain, blood circuit
<Dialysate related>
14:UF open 93: Connect open air(Plate) 94‘circuit pres removal
2:UF pump rate lower 109:UF calculation 33’ reset treatment time
15: reset UF total 105:UF pro 106-Na pro
lllCond.pro 45:TMP not zero calibrated 17:TMP initial calibration
95:measure intial UF-factorl3:switch dialysate flow Wdialysate sampling
24:CF exchange 116- Na Priming 117: Na conductivity infusion check
<Alarm • test>
46:test clear 4’override Odarm reset
GO buzzer stop 12 ’alarm width for infusion
113 : Venous pres alarm temporary release 15= Diasylate pres alarm temporary release
51: TMP temporary release 114: DIBP alarm temporary release
27:read blood leak initial voltage 34:blood leak test 37:UFRC test
7CKBM test 28:cond.self test 110: Couplers leak test
81 ’venous pres manual zero calibration 82 ’blood inlet pres manual zero calibration
<Others>
26*treatment data GDweekly timer 65-patient info
62«communication set 66 Communication record 38 -timer
49‘LCD display lamp 71:LCD color adjust 96-Batt. cont. charge
<Mode>
64Treparation 77:Connect 53-Run
54’Stop 83:HD 84:I-UF
57’Disconnect 56 ©rain 108: Gas purge ON/OFF

DBB-27 Technical manual No. 831en-R7 4-29

4. S e t t i n g items

6.1. PREPARATION screen

MonitorA Indicator MonitorB Key

1
Venous 0
1 47
NO.l pressure alarm
Display IP rate reset
(monitor
only)
4 15 99
TMP 1
NO.2 Dialysate No
(monitor Display
cq temperature display CO
only) * J-1
8 Pl
o
Pl 13 Pl 26 a
1
NO.3 UF Total ■1 treatment
Display
volume (D o conductivity o data
CO 0 CO
16 co 20 co
7
NO.4 Not Dialysate IP quick
UF goal
display flow date SW
0 99
50 —
NO.5 Not — No
UF rate
display display
— — — 99
NO.6 — — — No
display
*1 : Refer to Chapter k Set1ing items 4-34 (Monitors to be cisplayable by customizingj
*2 : 0=Not display l=Display
* 3 : Refer to Chapter <I Sett ;ing items 4-34 FSwitches to be d.isplayable by customizingj

6.1. PREPARATION screen 2

Others
Select display of [Dialyser warming] KEY 1 (Display)
Select display of [Priming assit] KEY 1 (Display) Selection*!
Select display of [Auto, priming] KEY 1 (Display)
*1 : 0=Not displayed l=Displayed

4-30 DBB-27 T e c h n i c a l manual No. 831en-R7

 4. Setting items

6.2. TREATMENT screen (Connect)

Monitor A Indicator _____ Monitor B Key
1
Venous 60
1 47 buzzer
No.l Pressure Display IP rate
(monitor stop
only)
4 15
TMP 1 53
No.2 Dialysate
(monitor Display Run
temperature
only)

Selection *1

Selection*3
Selection*2
Selection*!
13
8 1 54
No.3 Total
UF volume Display Stop
conductivity
0 99 16
7 No Dialysate
No.4 Not
UF goal
display display flow rate
0 99
50 — No
No.5 Not —
UF rate display
display
— 57
No.6 — — — Dis-
—
connect
*1 : Refer to chapter 4 Setting items 4-34 TMonitors to be display able by customizing J
*2 : 0=Not display l=Display
*3 : Refer to chapter 4 Setting items 4-34 Switches to be displayable by customizing J

6.3. TREATMENT screen (Start • Stop)

MonitorA Indicator Monitor B Key
1
Venous 60
1 47
NO.l pressure buzzer
Display IP rate
(monitor stop
only)
4
15
TMP 1 53
NO.2 Dialysate
(monitor Display Run
temperature
Selection *3
Selection *1

only)
Selection *2
Selection *1

13
8 1 54
NO.3 Total
UF volume Display conductivity
Stop
0 16
7 99
NO.4 Not Dialysate
UF goal No display
display flow rate
0
50 — 99
NO.5 Not
UF rate No display
display
— 57
NO.6 — — —
Disconnect
*1 : Refer to Chapter 4 Setting items 4-34 Monitors to be displayable by customizingj
*2 : 0=Not display l=Display
*3 : Refer to Chapter 4 Setting items 4'34 1Switches to be displayable by customizingj

DBB-27 Technical manual No. 831en-R7 4-31

4. S e t t i n g items

6.4. TREATMENT screen ( Disconnect )

MonitorA Indicator Monitor B Key
1
Venous 60
1 47
NO.l pressure buzzer
Display IP rate
(monitor stop
only)
4
15
TMP 1 53
NO.2 Dialysate
(monitor Display Run
temperature
only) UN
CO
4:
*
Pl 13 ci Pl
8 1 Pl 54
NO.3 Total 'I
UF volume Display ■1
Stop
o conductivity JD
CD r—4 CD CD
CD 0 CD 16 CO CO
7 CO 69
NO.4 Not Dialysate
UF goal auto collect
display flow rate
0 — •

50 — 56
NO.5 Not
UF rate Drain
display
—

— — —— — 57
NO.6 —
Disconnect
*1 : Refer to Chapter 4 Setting items 4:- 34 ("Monitors to be disp[ ayah e by customizingj
*2 : 0=Not display l=Display
*3 : Refer to Chapter 4 Setting items 4:”34 rSwitches to be disp] [ayah Le by customizingj

6.5. RINSE / DISINFECTION screen

MonitorA Indicator Monitor B Key
1
Venous
1 47 0
N O . l pressure
Display IP rate alarm reset
(monitor
only)
4
15
TMP 1 99
NO.2 Dialysate
(monitor Display No display
temperature
only)
Selection *3
Selection *1
Selection *2
Selection *1

13
8 1 99
NO.3 Total No display
UF volume Display conductivity
0 16
7 20
NO.4 Not Dialysate
UF goal IP quick sw
display flow rate
0
50 — 99
NO.5 Not
UF rate No display
display
— — — 61 weekly
NO.6
timer
*1 : Refer to Chapter 4 Setting items 4-34 CM[onitors to be displayable by customizingj
*2 : 0=Not display l=Display
*3 : Refer to Chapter 4 Setting items 4-34 FS' witches to be displayable by customizingj

4-32 DBB-27 T e c h n i c a l manual No. 831en-R7

 4. S e t t i n g items

6.5. RINSE / DISINFECTION screen 2

Select display of [Preparation] KEY O (Not display)
Select display of [Auto.priming] 1 (Display)
KEY Selection*!
Select display of [Priming assist] 1 (Display)
KEY
*1 : 0=Not display l=Display

6.6. Monitor screen

MODE T | UOHITOR T | SETTING GRAPHIC T | STANDARD SETTING

T CONDUCT. 8 CONDUCT. DIALY TEMP OIALYSAT FLOW

(mS/ciu) (mS/cn) MONITOR CO MONI (mL/nin)

25.61 I 0| ALARM
RESET
START TIME ELAPSED TIME REMAIN TIME COMPLETE
TIME

0:00 4:00 18:35

UF VOLUME(L) UF GOAL(L) UF RATE
MONITOR (L/h)

O.oo roTo°l O.oo

IP TOTAL
W

PRESET

[ Fig.4-11 Monitor screen ]

1 2 3 4
14 15 16
The 13
Dialysate
1st Total Dialysate
Bicarbonate temperatur
line conductivity flow rate
conductivity e
29 21
The Treatment 20 Treatment
35 Treatment
2nd 1
Start time r1 elapsed r* complete r
line remain time
o time .s .s time .2
•8 ■8 6 ■8
The rS Js
8 O 7 (D UF rate <D 99 <D
3rd CO CO CO LO
UF volume UF goal (monitor No display
line
only)
The
33 99 99 99
4th
IP total No display No display No display
line
*1 : Refer to Chapter 4 Setting items 4-34 TMonitors to be displayable by customizing J

DBB-27 Technical manual No. 831en~R7 4-33

4. S e t t i n g items

6.6. Monitor screen 2

1 2 3 4
The 9 99
11 99
1st Blood No display No display
Blood total
line pump
23 44
4 24
The Dialysate Na
TMP Water
2nd pressure conductivity
(monitor supply (monitor
line (monitor pressure
only) 4
only)
only) 5 r r 4

* d
30 d

Selection
d 3
1 o
Dialyzer 45
I
Dialyzer Dialysate
The Venous inlet blood CD pressure
CD
(D <72 co inlet blood
3rd pressure tn blood
loss and venous
line (monitor pressure mean
(monitor
only) (monitor pressure
only)
only)
31
The 32
Average 58 99
4th Volume
blood Delta BV No display
line stroke
pump flow
*1 : Refer to Chapter 4 Setting items 4-34 fMonitors to be displayable by customizingj

4-34 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

6.7. Nurse screen

hl I 8PM _ _ _ _I
I tiue
lJ [treat. PROG. II ACCESSORY I[ STANOARO SETT1HG |

VEN PRESS (Mils) 01 ALY PRESS Mis) UF VOLUME (0 UF GOAL (D UF RATE (Uh)

92 -mi’ ;H0
IP START
NUR
START TIME ELAPSED TIME COMPLETE TIME REMAIN TIME Tzom CinO’
01 ALY TEMP
12:59 0:05 17:03 36J|
(<d)
IP TOTAL W n
| j CONDUCT

0.0 7
■ 13.7 |
&sM
I 01 ALY FLOW
CONDUCT SINGLE
UF
PROFILE PROFILE NEED | 500 |
, B. FLW (itl/min)

7201
[ Fig. 4-12 Nurse screen ]

1 2 3 4
21 20
35 29 Treatment Treatment

Selection *1
Selection *1
Selection *1
Selection *1

Monitor Start Treatment

complete remain
time elapsed time time time
99
33 99 99
Monitor No
IP total No display No display
display
cq
Selection *2

Selection *2
* *
PI 107
105 106 111
Key single
UF pro ’1 Na pro cond. pro
needle
o <D
co zn
*1 : Refer to Chapter 4 Setting items 4-34 ["Monitors to be displayable by customizing J
*2 : Refer to Chapter 4 Setting items 4-34 ["Switches to be displayable by customizing]

DBB-27 Technical manual No. 831en-R7 4-35

4. S e t t i n g i t e m s

6.8. Status icon

Press a tag to move to the setting screen directly.

TIMER | TREAT. PROG. ACCESSORY

START
300-Vsib
STOP
f TEMP

MODE
OPERA!
CALC

[ Fig.4-13 Status icon ]

I-Con Initial value Set value Set range

0 (treatment mode
1 (HD/I-UF)
(blue) )
2 1 (Air detector power)
3 2 (IP setting)
4 12 (UF calculation) Selection*!
5 9 (Mode)
6 99 (No display)
7 99 (No display)
8 99 (No display)
*1 O-treatment mode(HD/I"UF) i:Air detector power 2:IP setting
3-Single needle 4’UF profile 5-Na profile
6-BV meter 7-BPM 8 :Automatic response sensor
9-Mode 10-I-UF selection display 11 Communication
12-UF calculation 13 -Conductivity profile 14- Timer
99-No display

4-36 DBB-27 T e c h n i c a l manual No. 831en-R7

 4. S e t t i n g items

6.9. Treatment progress screen

Press a tag to move to the setting screen directly.

BPM TIHER I TREAT. ACCESSORY

VEN PRESS

START
PROGRESS
1?00
STOP
OF RATE

BLOOD FLOW
BLOOD TOTAL
IPRATL
IP TOTAL
VEN. PRESS 119
01 ALY FLOW

500 .conJ

I mode;

[ Fig.4-14 Treatment progress screen ]

Initial value Set value Set range

1 0 (UF volume)
2 1 (UFrate)
3 2 (UF goal)
4 3 (Blood flow)
5 4 (Blood total)
Selection*!
6 5 (IP rate)
7 6 (IP total)
8 7 (Venous pressure)
9 8 (Dialysate pressure)
10 9 (TMP)
:
*1 0 UF volume HUF rate 2:UF goal
3:Blood flow 4:Blood total 54P rate
6=IP total 7: Venous pressure SUialysate pressure
9:TMP 10(Dialyzer inlet blood pressure lUDialyzer pressure loss
12:Bicarbonate conductivity 13:Total conductivity 14:Dialysate temperature
15Oialysate flow rate IG Na conductivity 17:UF-factor
18:Delta BV 19:Systolic bld press (*1) 20Uiastolic bld press (*1)
2UMean blood press (*1) 22: Pulse (*1) 23=BP measure time (*1)
99:No display

Blood pressure data is only updated every 30 minutes. It may be

JSF* Notes
significantly delayed compared to other measurement data.

DBB-27 Technical manual No. 831en-R7 4-37

4. S e t t i n g items

6.10. Screensaver
Press a tag to move to the setting screen directly.

| N | UOOE J IKHIIJOR T | SETHH8 J GRAPHIC J STANDARD SETTING J |

Screens

UP
VOLUME
<SETTING> : O:D1B PRESS. , ,
Set monitor No. 1 to be displayed on
screensaver

Initial

<Setting
setting!

data>
7. IP rate setting
0.75 L/h
99! No display
YOIOUSPJXS.

92<*m
.
B.
||SET|
<4»* oimicp.
-79m, I W
* * “ “VJIHUAW
______i 8 0

[Fig4-15 Screensaver]

-— _ _ _ _ NO. Initial value Set value Set range

Central of monitor --- 0 (Remain time) Selection *1
1 7 (IP rate)
11 T
2 1
(Dialysate temp.)
3 12 (Total cond)
Status bur area
(Monitor value) 10 Selection *2
4
(Dialysate flow rate)
5 99 (No display)
6 99 (No display)
7 99 (No display)
*1 CKRemaintime LElapsed time 2- Remaining UF volume

*2 0:DIB PRESS 1 TRESS LOSS 2:DIB-VMEAN

3 Systolic blood pressure 4:Diastolic blood pressure 5: Pulse
6:dBV 7:lPrate 8=TMP
9 : Dialysate pressure 10 ; Dialysate flow rate ll ; Dialysate temp.
12: Total cond 13: Na conductivity 14: Water supply pressure
99:No display

4-38 DBB-27 T e c h n i c a l manual No. 831en-R7

 4. S e t t i n g items

7. Weekly program
Day of the week Process Com pletion time
1 0 Selection *1 8:00 00:00-23:59 (h: min)
Sunday 2 0 Selection *1 14:00 00:00-23:59 (h: min)
3 0 Selection *1 20:00 00-00 23-59 (h- min)
1 0 Selection *1 8:00 00:00-23:59 (h: min)
Monday 2 0 Selection *1 14:00 00:00-23:59 (h: min)
3 0 Selection *1 20:00 00:00-23:59 (h: min)
1 0 Selection *1 8=00 00:00-23:59 (h: min)
Tuesday 2 0 Selection *1 14:00 00:00-23:59 (h: min)
3 0 Selection *1 20:00 00:00-23:59 (h: min)
1 0 Selection *1 8=00 00:00-23:59 (h: min)
Wednesday 2 0 Selection *1 14:00 00:00-23:59 (h: min)
3 0 Selection *1 20:00 00’00 23*59 (h- min)
1 0 Selection *1 8:00 00:00-23:59 (h: min)
Thursday 2 0 Selection *1 14:00 00:00-23:59 (h: min)
3 0 Selection *1 20:00 00-00 23-59 (h- min)
1 0 Selection *1 8:00 00:00-23:59 (h: min)
Friday 2 0 Selection *1 14:00 00:00-23:59 (h: min)
3 0 Selection *1 20:00 00:00-23:59 (h: min)
1 0 Selection *1 8=00 00=00-23:59 (h: min)
Saturday 2 0 Selection *1 14:00 00:00-23:59 (h: min)
3 0 Selection *1 20:00 00:00-23:59 (h: min)
*1 : 0= Not SET 1=CLEAN 1 2= CLEAN 2
3= CLEAN 3 4= CLEAN4 5= CLEAN 5

Hot rinse
Day of the week Select _____________Setting time
Sunday 0 Selection *1 0:00 00:00-23=59 (h: min)
Monday 0 Selection *1 0=00 00:00-23:59 (h: min)
Tuesday 0 Selection *1 0=00 00:00-23:59 (h: min)
Wednesday 0 i Selection *1 0:00 00’00 23’59 (hl min)
Thursday 0 Selection *1 (X00 00:00-23:59 (h: min)
Friday 0 Selection *1 0:00 00:00-23:59 (h: min)
Saturday 0 Selection *1 0-00 00-00 23-59 (h- min)
*1 : 0=None l=Perf.

DBB-27 Technical manual No. 831en-R7 4-39

4. S e t t i n g items

8. Clock
Setting of clock ( year ) 00 00-99
Setting of clock 1.01 1.01-12.31
( month and the day )
Setting of clock 0 Selection *1
( the day of the week )
Setting of clock 0=00 0:00-23=59
( the hour & the minute )
*1 : 0=Sunday l=Monc Lay 2=Tuesday 3=Wednesday
4=Thursday 5=Frida ,y 6=Saturday

Settings for [8. Clock] cannot be changed during treatment (when one of
0 Notes the following conditions is fulfilled).
• Each mode of Connect, Treatment (start), Stop, Disconnect, or Drain
• After selecting the patient
• After confirming communication

9. Alarm monitoring ( Fixed / Auto-set )

9.1. Fixed alarm range upper limit

Upper limit Lower limit
Venous press fixed alarm setting limit 300 -50 ■200~500 (mmHg) *1
Dialysate press fixed alarm setting
300 -300 -400-400 (mmHg) *1
limit
TMP fixed alarm point setting limit 500 -30 -100-500 (mmHg) *1
Dialyzer inlet blood pres fixed alarm
500 -50 -200-600 (mmHg) *1
setting limit
*1 : Upper limit>Lower limit ( Upper limit can not be set lower than Lower limit. Lower limit
can not be set higher than Upper Emit, either.)

9.2. Fixed alarm range upper limit ( Single needle )

Upper Emit Lower Emit

Venous press fixed alarm setting limit 400 ■50 -200-500 (mmHg) *1
Dialysate pressure fixed alarm setting 300. ■300 -400-400 (mmHg) *1
limit
TMP fixed alarm point setting Emit 500 -30 -100-500 (mmHg) *1
Dialyzer inlet blood pres fixed alarm
setting Emit 500 ■50 -200-600 (mmHg) *1
*1 : Upper limits Lower limit ( Upper iimit can not be set lower than Lower Emit. Lower Emit
can not be set higher than Upper li:mit, either.)

4-40 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

9.4. Start time of auto-set. Alarm

Set time of venous pressure alarm 60 0-300 (sec) *1
(Auto-set )
Set time of dialysate pressure alarm 60 60-300 (sec)
(Auto-set)
Set time of TMP alarm (Auto-set) 120 60-300 (sec)
Set time of Dialyzer inlet blood pressure 0-300 (sec) *1
60
alarm ( Auto-set )
Set time of Pressure loss alarm (Auto-set ) 60 10-300 (sec)
Set time of Na conductivity alarm
180 0-600 (sec)
( Auto-set width ) ____
*1 : Over TSet time of fixed alarm point! in Hospital 2 [9.5 A arm monitoring]

9.5. Alarm monitoring

Alarm monitor at UF rate change 0 Selection *1
Negative blood pres alarm prolonged time 2.0 0.0-5.0 (sec)
Select auto-set alarm monitor conditions 0 Selection *2
Restricted time until auto-set alarm monitor 120 0~600 (sec)
Set time of fixed alarm point 10 0~10(sec) *3
*1 : 0=maintain auto-seting l=set again auto-setting
*2 : 0=monitor auto-set alarm regardless of the state of blood distinguisher.
l=monitor auto-set alarm only when blood distinguisher detects blood.
*3 : Values larger than [Set time of venous pressure alarm (Auto-set)] «and [Set time of Dialyzer
inlet blood pressure alarm (Auto-set)] in Hospital 2 [9.4 Start time of auto-set. Alarm]
cannot be set.

10. Single needle

SN blood drawing time alarm poipt 10 1-60 (sec)

SN blood collecting time alarm point 10 1-60 (sec)
SN pressure alarm point upper Emit 50 50-100 (mmHg)
SN pressure alarm point lower limit -50 -100—50 (mmHg)

11. Gas purge

Gas purge time 5 1-60 (min)
Auto-shift function to Connect mode after gas
0 Selection *1
purge end
Auto-shift time to Connect mode after gas purge
end 0 0-60 (min)
*1 : 0=Manual shift (Not automatically move) l=Automathic shift (blood detection)
2=Automathic shift (set time past)

DBB-27 T e c h n i c a l manual No. 831en-R7 4-41

4. Setting items

12. Cleaning program ( Function, Name )

Auto, power off after cleaning 1 1 Selection *1
Auto, power off after cleaning 2 1 Selection *1
Auto, power off after cleaning 3 1 Selection *1

Auto, power off after cleaning 4 1 Selection *1

Auto, power off after cleaning 5 1 Selection *1

Auto. Power off function during preset mode in Selection *2
1
cleaning program
Cleaning number ( Not use W. pro. ) 1 Selection *3
KEY title Cleaning prog. 1 Disinfection 1
KEY title Cleaning prog. 2 Disinfection 2
KEY title Cleaning prog. 3 Hot rinse
KEY title Cleaning prog. 4 Acid cleaning
KEY title Cleaning prog. 5 Rinse
Disinf solu tk low Sei action detct 1 Selection *4
Selection of hot rinse function to be used 0 Selection *5
*1 : 0=Preset l=Auto-off 2=Treatment Preparation
*2 : 0=Preset l=Power off
*3 : l=Cleaning 1 2=Cleaning 2 3=Cleaning 3
4=Cleaning 4 5=Cleaning 5
*4 : 0=Continue auto operation l=Stop auto operation
*5 : 0=not in use l=in use

4-42 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

13. Cleaning program (Sequence)

Only [Cleaning program 1 to 5] of [13. Cleaning program] have the set
Notes range column below Initial value and Set value as follows
d ii* item 11 Initial value Set value
Setting
Set range (unit)
11• • J o Initial value Set value
Setting item 2 Set range (unit)
______Remarks___________________

Cleaning program 1
]L 2 3 4 5
Rinse Chemical Rinse — —
Operation

disinfection

Selection *1

30 | 40 40 J 0 0
Time

0-999 (min)
6 7 8 9 10
— — — — —
Operation

Selection *1

0 0 1 0 0 1 0
Time

0-999 (min)

*1 : Preset Dwell Rinse Hot rinse

Chemical disinfection Acid cleaning Heat citric acid
Note : Chemical disinfection, acid cleaning and heat citric acid are set in detail.
Set range of time is changeable depending upon former process.
( Details* Refer to the time to be possible to set for each process. )

DBB-27 T e c h n i c a l manual No. 831en-R7 4-43

4. S e t t i n g items

Cleaning program 2
1 2 3_______ 4 5
Chemical
Operation

Rinse Rinse Pre-set Rinse

disinfection
Selection *1
30 40 40 0 30
Time

0-999 (min)

6 7 8 9 10
— — — — —
Operation

Selection *1

0 1 0 1 0 1 0 0
Time

0-999 (min)
*1 : Preset Dwell Rinse Hot rinse
Chemical disinfection Acid cleaning Heat citric acid
Note : Chemical disinfection, acid cleaning and heat citric acid are set in detail.
Set range of time is changeable depending upon former process.
( Details- Refer to the time to be possible to set for each process. )

Cleaning program 3
2 3 5
Rinse Hot rinse Rinse — —
Operation

Selection*!
9 25 10 0 0 1
1
Time

0-999 (min)
6 7 8 9 10
— — —- — —
Operation

Selection *1
0 1 0 1 0 1 0 1 0
Time

0-999 (min)
*1 : Preset Dwell Rinse Hot rinse
Chemical disinfection Acid cleaning Heat citric acid
Note : Chemical disinfection, acid cleaning and heat citric acid are set in detail.
Set range of time is changeable depending upon former process.
( Details- Refer to the time to be possible to set for each process. )

4-44 DBB-27 Techn i ca I manuaI No. 831en-R7

 4. Setting items

Cleaning program 4
2 3 4 5
Acid Chemical Rinse
Rinse
Operation
Rinse disinfection
cleaning

Selection *1
30 30 1 40 | 1 40 r
| 40 |
Time

0-999 (min)
6 7 ______ 8 9 10

Pre-set Rinse — — —
Operation

Selection *1

0 1 30 1 0 1 0 1 0
Time

0-999 (min)
*1 : Preset Dwell Rinse Hot rinse
Chemical disinfection Acid cleaning Heat citric acid
Note : Chemical disinfection, acid cleaning and heat citric acid are set in detail.
Set range of time is changeable depending upon former process. ( Details- Refer to the
time to be possible to set for each process. )

Cleaning program 5
1 2 3 5
Rinse — — — —
Operation

Selection *1

30 | 0 1 0 1 1 0 1 1 0 I
Time

0-999 (min)
6 7 8 9 10
— — — — —
Operation

Selection *1

0 1 0 1 o 0 0
Time

0-999 (min)
*1 : Preset Dwell Rinse Hot rinse
Chemical disinfection Acid cleaning Heat citric acid
Note : Chemical disinfection, acid cleaning and heat citric acid are set in detail.
Set range of time is changeable depending upon former process. ( Details: Refer to the
time to be possible to set for each process. )

DBB-27 Technical manual No. 831en-R7 4-45

4. S e t t i n g items

Chemical Conductivity
Infusion Disinfetion Conductivity Min.time
disinfectant
volume temperature lower limit upper limit
port

OF option

Concentrate
nozzle Please refer to below table 1.
washing
1.0 6.0
Chemical 20 (min)
0.0-6.0 1.0-19.9
disinfection
(mS/cm) (mS/cm)
Acid cleaning 20 (min)
Acid
92.00 Equid 2.0
Heat citric side 35(min)
acid 80.00-92.00 0.0-6.0
Selection *1
(°C) (mS/cm)
*1 : Sodium hypochlorite side Acid liquid side (Although it is possibel to select between
either side, select the acid Equid side.)
NOTE- Selection is changeable by keeping touch on the key. The initial infusion value depends
upon the existence of Na infusion option.

Table 1
Infusion volume
Na infusion Not Not Not Not
Exist Exist Exist Exist
option exist exist exist exist
Not Not Not Not
CF option Exist Exist Exist Exist
exist exist exist exist
Concentrate
Not Not Not Not
nozzle Exist Exist Exist Exist
exist exist exist exist
washing
Chemical
27 22 25 20 29 23 26 21
disinfection
Acid cleaning 45 37 42 34 49 39 44 35
Heat citric 52 42
54 44 50 40 58 46
acid

4-46 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

Settable time on each process

Process _____________Minimum time _____________
Pre-rinse 7 (min)
After rinse
(After acid cleaning, heat citric acid 8 (min)
disinfection or hot rinse)
After rinse (After chemical disinfection) 14 (min)

Heat citric acid 35 (min)

Acid cleaning 20 (min)

Chemical disinfection 20 (min)

Hot rinse 25 (min)

Preset Impossible to set time

Dwell 1 (min)

Hot rinse
Pre -rinse Hot rinse Rinse wait Post rinse
o 1 30 1 | io 1 0
Time
0-120 (min) 10-120 (min) 10-120 (min) 0-120 (min)
— 92.0 — —
Temperature
80.0~92.0°C
Note : When post-rinse is set to Omin, waiting is skippec >•

14. Infusion pump

14.1. Infusion pump 1

Size of syringe used in infusion pump 20.2 14.0-24.0 (mm)
Type of syringe used in infusion pump 2 Selection *1
Rapid feed rate of infusion pump 1500 10-1500 (mL/h) *2
Setting of IP bolus rate 1500 10-1500 (mL/h) *2
Selection of information at IP infusion complete 0 Selection *3
IP bolus blood flow setting 30 0-100 (mL)
IP power SW auto-reset selection 1 Selection *4
*1 : l=10mL Syringe 2=20mL Syringe 3=30mL Syringe
*2 : Flow rate range differs depending on syringe type settings. (10ml syringe only 10~1000ml)
*3 : (Vindication lamp not displayed with buzzer sound 1- Indication lamp displayed with
buzzer sound
*4: o= No auto-reset (IP rate is reset) 1= Auto-reset
When [1= (auto-reset)] is selected, IP power is reset ( OFF ) by Treatment data reset. __________

DBB-27 T e c h n i c a l manual No. 831en-R7 4-47

4. S e t t i n g items

14.2. Infusion pump 2

Select display of [ IP use or not ] KEY 1 Selection *1
Select IP action ( Disconnect ) 0 Selection *2
IP rapid feed display time 5 1~99 (sec)
Select IP rapid feed 2 Selection *3
Select IP bolus counting 2 Selection *3
Select use of IP bolus 1 ______Selection *4 _____
Monitoring of OK monitor ( IP rate is not set. ) 1 Selection *5
*1 : 0=No display l=Use
*2 : 0=Not stop l=Stop (IP power OFF)
*3 : 0=Not total l=Total if it is blood 2=Totaling
*4 : 0=Not use l=Use
*5 : 0=Without OK monitor 1= With OK monitor

14.3. Infusion pump 3

IP power auto-off, IP power OK monitor off Selection*!
1
function
IP power auto-off time Selection *2
0
IP power OK Monitor off time
Infusion pump total condition 0 Selection *3
IP auto.bolus operation after manual bolus 1 Selection *4
*1 : 0=Notuse l=Use
*2 : O=Treatment completion time 1=UF completion time
*3 : 0=Total up regardless the status of blood detector
l=Total up at blood being detected with blood detector
*4 : 0=Not carry out l=Carry out

15. Dialysate temperature

Temperature alarm (Auto-set width upper ) 1.0 0.0-5.0 (°C)
Temperature alarm (Auto set width lower ) -1.0 -5.0-0.0 (°C)
Alarm width for thermister comparati test 1.0 0.5~5.0 (°C)

16. Water supply pressure

Water pressure alarm ( upper ) 55 20-100 (kPa)
Water pressure alarm ( lower ) 10 0-20 (kPa)
Selection of water pressure unit 1 Selection*!
Water press, alarm ( lower ) Disinfection. 20 0-50 (kPa)
Water press, alarm ( lower ) Rinse 10 0-50 (kPa)
Water press, to open SV1 in Disinf. 30 0-50 (kPa)
Water press, to close SV1 in Disinf. 40 10-70 (kPa)
*1 : 0=bar l=kPa 2=kgf/cm2

4-48 DBB-27 T e c h n i c a l manual No. 831en-R7

 4. S e t t i n g items

17. Running time of parts

17.1. Running time of parts 1

Group 1 0 0-65000 (h)
Group 2 0 0-65000 (h) ___________
Group 3 0 0-65000 (h)
Running time 0 0-65000 (h)

17.2. Running time of parts 2

Duplex pump poppet valve 0 0-65000 (h)
Duplex pump cap seal 0 0-65000 (h)
Duplex pump slider 0 0-65000 (h) ___________
DP tape bearing 0 0-65000 (h)
UF pump poppet valve 0 0-65000 (h)
UF pump cap seal 0 0-65000 (h)

17.3. Running time of parts 3

CPl(Deaeration pump) mechanical seal 0 0-65000 (h)
Impeller of CPl(Deaeration) 0 0-65000 (h)
CP2(Booster pump) mechanical seal 0 0-65000 (h)
Impeller of CP2(booster) 0 0-65000 (h)
Concentrate pump poppet 0 0-65000 (h)
Concentrate pump cap seal 0 0-65000 (h)
Concent, pump back press, valve diaphragm 0 0-65000 (h)

17.4. Running time of parts 4

CF 0 0-65000 (h)
SV41 filter 0 0-65000 (h)
Dialysate fluid return filter 0 0-65000 (h)
Fan filter 0 0-65000 (h)
Deaeration pump filter 0 0-65000 (h)
Concentrate pump filter 0 0-65000 (h)
Disinfectant filter 0 0-65000 (h)

DBB-27 T e c h n i c a l manual No. 831en-R7 4-49

4. Setting items

17.5. Running time of parts 5

Bypass connector Oring 0 0-65000 (h)
Dialyzer coupler Oring 0 0-65000 (h) __________
Concentrate nozzle O-ring 0 0-65000 (h)
Solenoid valve 0 0-65000 (h)
Solenoid valves for chemical disinfectant 0 0-65000 (h)
Diaphragms of Valve H1,H2 and L 0 0-65000 (h)___________
Check valve (CV41) -0 0-65000 Ch) __________

18. Replacement of parts

18.1. Replacement time of parts 1

Group 1 0 0-65000 (h) *1
Group 2 0 0-65000 Ch) *1
Group 3 0 0-65000 Ch) *1
*1 : When exchange time of parts is set to 0 hours, monitor will not be active.

18,2. Replacement time of parts 2

Duplex pump poppet valve 0 0-65000 (h) *1
Duplex pump cap seal 0 0-65000 (h) *1
Duplex pump slider 0 0-65000 (h) *1
DP tape bearing 0 0-65000 (h) *1
1
UF pump poppet valve 0 0-65000 (h) *1
UF pump cap seal 0 0-65000 (h) *1
*1 : When exchange time of parts is set to 0 hours, monitor will not be active.

18.3. Replacement time of parts 3

CPl(Deaeration pump) mechanical seal 0 0-65000 (h) *1
Impeller of CPl(Deaeration) 0 0-65000 (h) *1
CP2(Booster pump) mechanical seal 0 0-65000 (h) *1
Impeller of CP2(booster) 0 0-65000 (h) *1
Concentrate pump poppet 0 0-65000 (h) *1
Concentrate pump cap seal 0 0-65000 (h) *1
Concent, pump back press, valve diaphragm 0 0-65000 (h) *1
*1 : When exchange time of parts is set to 0 hours, monitor will not be active.

4-50 DBB-27 Technical manual No. 831en-R7

 4. Sett i ng i terns

18.4. Replacement time of parts 4

CF 0 0-65000 (h)
SV41 filter 0 0-65000 (h)
Dialysate fluid return filter 0 0-65000 (h)
Fan filter 0 0-65000 (h)
Deaeration pump filter 0 0-65000 (h)
Concentrate pump filter ____________________ 0 0-65000 (h)
Disinfectant filter 0 0-65000 (h)
*1 : When exchange time of parts is set to 0 hours, monitor will not be active. ______________

18.5. Replacement time of parts 5

Bypass connector Oring 0 0-65000 (h)
Dialyzer coupler Oring 0 0-65000 (h)
Concentrate nozzle O-ring 0 0-65000 (h)
Solenoid valve 0 0-65000 (h)
Solenoid valves for chemical disinfectant 0 0-65000 (h)
Diaphragms of Valve H1,H2 and L 0 0-65000 (h)
Check valve (CV41) 0 0-65000 (h)
*1 : When exchange time of parts is set to 0 hours, monitor will not be active.

If the parts operating time exceeds the time set in [18. Replacement time of
Or Notes parts], you will be notified tha tthe replacement timing for the parts has
come in Preparation mode, after Treatment Preparation mode.

DBB-27 Techn i ca I manuaI No. 831en-R7 4-51

4. Setting items

19. Ultrafiltration

19.2. Ultrafiltration 1
Selection of Treatment time count ( Stop ) 1 Selection*!
Sei. of treat, time count ( UF rate down ) 0 Selection *2
Sei. of UF pump after UF completion 0 Selection *3
UF rate ( UF rate down ) 0.00 0.00-2.00 (L/h)
UF rate limit to blood flow rate 30 0-100 (%)
Selection of UF rate auto-recalculation 0 Selection *4
Redemand permit of over UF rate range 10 1-100 (%)
*1 : 0=Count l=Not count
•When To (Count)J is selected, time is counted as treatment time even during FStop modeJ
and r Bypassing at Start mode J . «=> Treatment time is enlarged.
*2 : 0=Count at UF rate is lowering. l=Not count at UF rate is lowering.
• When 1 ( Not count ) is selected, time is not counted as treatment time even by operating the
UFP rate down key. Treatment time is not enlarged.
*3 : 0=UF pump rate lowering 1=UF pump running on 2=UF pump stops
*4 : 0=not recalculate l=Recalculate
• When r1( Recalculate )j is selected, UF rate is automatically recalculated to complete UF
in the treatment remaining time.
For example, When Fo ( Count ) J is selected from FTreatment time conditions, Count at
Stop modej , time is counted and passed as treatment time even in the state that UF pump
is not operated such as in Stop mode or in bypassing at Start mode.
Also, when Fo ( Count the time at UF rate lowering ) j is selected from FSelection of
treatment time count ( UF rate down ) j , time is counted and passed even at the state that
UF rate is being lowered by operating the UFP rate down key.
As above mentioned, when UFP is stopped or its rate is down by any reason, later it
becomes normalized and resumes operation, if F1 ( Recalculate ) J is selected from FSelect
auto-recalculation of UF rate J , UF rate is automatically recalculated to complete UF in the
treatment remaining time.

19.3. Ultrafiltration 2
UF pump cell abnormal alarm point 2.000 1.000-3.000 (V)
UF pump discharge down alarm 80 0-600
Select, of display/set. digit of UF goal 0 Selection* 1
Reset of UF rate after UF complete 0 Selection*2
Reset of UF data in Drain mode 1 Selection*3
Select UF calculation screen 0 Selection*4
Select display of [UF vol. reset] KEY 1 Selection* 5
*1 : 0=Maximum 9.99L 1= Maximum 39.99L
*2 : 0=Without UF rate reset l=With UF rate reset
• When 1 ( With UF rate reset ) is selected, UF rate is set to zero at UF completion.
• Once UF rate is reset to zero, UF rate can not be input durng information of UF completion.
*3 : 0=Without reset l=With reset
• When 0 ( Without reset ) is set, UF rate, UF target set and UF total are not reset in the
treatment data reset of drain mode.
• When 1 ( With reset ) is set, UF rate and UF target set are reset to Set 1 value.
• This set is valid for treatment data reset in the Treatment Preparation mode according to
1Treatment data reset delay timej of Hospital 2 135 Others 1J .
*4 : 0=Up/Down key type l=Ten-key type
*5 : 0=No display l=Display

4-52 DBB-27 Technical manual No. 831en-R7

 4. S e t t i n g items

19.4. Ultrafiltration 3
Sei dia remain time extend func by UF calc _________ 0 Selection*!
*1 : 0=No extension for remaining time l=Extension for remaining time

20. Dialysate flow rate

20.1. Dialysate flow rate 1

Set dialysate flow rate ( Rinse/Disinfection ) 500 300-700 (mL/min)
Set dialysate flow rate ( Low flow ) 300 300-700 (mL/min)
Set dialysate flow rate ( Dialyzer warming ) 500 300-700 (mL/min)
Set dialysate flow rate ( Preparation ) 500 300-700 (mL/min)
Dialys. flow rate set (chenrdisin/acid circ) 500 500-700 (mL/min)
D.F.R. set(Heat-dis/Heat cit acid degas) 500 500-700 (mL/min)
D.F.R. set(Heat-disinf/Heat cit acid circ) 700 500-700 (mL/min)

20.2. Dialysate flow rate 2

Set dialysate flow rate (hot rinse: heat) 300 100-700 (mL/min)
Set dialysate flow rate (hot rinse’ rinse) 500 100-700 (mL/min)

20.3. Pipe section operation

Hydraulic action before gas purge 1 Selection *1
Hydraulic action after gas purge 1 Selection*!
*1 : 0= Stopped on both HD and I-UF
1= Activated at HD stopped at I-UF
2= Activated on both HD and I-UF

21. Deaeration pump, Booster pump

21.1. Deaeration pump

Deaeration pump rate ( Operation HD ) 2200 1000-2600 (rpm)
Deaeration pump rate ( Treatment preparation ) 2200 1000-2600 (rpm)
Deaeration pump rate ( Rinse ) 2200 1000-2600 (rpm)
Deaeration pump rate ( when heater outlet temp, is
1500 1000-2600 (rpm)
high)
Deaeration pump rate ( Disinfec. / Acid cleaning ) 1500 1000-2600 (rpm)

21.2. Booster pump

Booster pump rate ( Operatopn HD ) 1800 1000-2600 (rpm)
Booster pump rate (Operation I-UF ) 1500 1000-2600 (rpm)
Booster pump rate ( Rinse ) 1800 1000-2600 (rpm)
Booster pump rate ( Treatment preparation ) 1800 1000-2600 (rpm)
Booster pump rate ( Disinfec. / Acid cleaning ) 1500 1000-2600 (rpm)
Booster pump rate in high dialysate pressure 1000 1000-2600 (rpm)

DBB-27 T e c h n i c a l manual No. 831en-R7 4-53

4. Sett i ng i terns

24. Pump self test

24.1. Pump self test 1

Rate abnormal, Rate abnormal, Rate abnormal
upper limit _____lower limit _______ prolonged, time
BP 20 0-50 (%) ■20 -50-0 (%) 10 0-60 (sec)
IP 20 0-50 (%) -20 -50-0 (%) —
Duplex pump 20 0-50 (%) -20 -50-0 (%) 60 0~60 (sec)
Deaeration
20 0-50 (%) ■20 -50-0 (%) 60 0~60 (sec)
pump
Booster pump 20 0-50 (%) -20 -50-0 (%) 60 0~60 (sec)

24.2. Pump self test 2

Over load alarm point Over load prolonged time
BP 1.200 0.100-3.000 (V) 5 0-60 (sec)
Duplex pump 1.200 0.100-3.000 (V) 5 0-60 (sec)
Deaeration pump 3.000 2.500-3.000 (V) 60 10-60 (sec)
Booster pump 3.000 2.500-3.000 (V) 60 10-60 (sec)

24.3. Pump self test 3

Rate abnormal upper limit Rate abnormal lower limit
UF pump cell 5 0-50 (%) -5 -50-0 (7o)
Duplex pump cell 10 0-20 (%) ■10 -20-0 (%)

24.4. Pump self test 4

Flow rate alarm prolonged time Cell leak alarm point
UF pump cell 10 0~60 (sec) 0.500 0.000-2.000 (V)
Duplex pump cell — 0.700 0.000-3.000 (V)

24.5 Pump self test 5

Duplex pump rate down -20—10 (%)
-10
alarm
Duplex pump rate down
■10 -20-10 (%)
test alarm point
Duplex pump rate 0.14 0. 00~0. 35 (sec)
calulation offset time

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 4. S e t t i n g items

25. TMP
TMP zero calibration starting time 20 0-30 (min)
TMP zero calibration time 190 120-600 (sec)
TMP alarm prolonged time 2 0~60 (sec)
Changing of blood flow rate under TMP zero 1 Selection *1
calibration
Blood flow changed rate under TMP zero 70 50-100 (%)
calibration
UFC monitoring mode at HD —» I-UF 0 Selection*2
*1 : 0=No change l=Change
*2 : 0=Continue TMP monitoing (TMP auto-forecast monitoring or TMP auto-set monitoring)
l=dialysate pres monitoring

26. Air bubble

26.1. Air bubble 1

Air alarm ( Venous micro bubble ) 0.100 0.001-1.000 (mL)
Air alarm ( Arteial micro bubble ) 0.100 0.001-1.000 (mL)
Micro bubble sample cycle time 60 10~300 (sec)
Air detector power SW auto-reset select 1 Selection *1
Air detector power SW operation restricted 0 Selection *2
Clip-type air detector power initial 1 Selection *3
Select air detector power ON conditions 0 Selection *4
*1 : 0=No auto-reset (Having entered Rinse • Disinfection mode, the switch is automatically
reset)
l=Auto _reset
*2 : 0=No limit (ON/OFF is possible on Preparation, Gas purge, Dialyzer warming, Connect,
Start, Stop, Disconnect and Drain mode.)
l=Limit (Once entered Start mode, the switch can not be turned off on Preparation, Gas
purge, Dialyzer warming, Connect, Start, Stop and Disconnect mode.)
*3 : 0=OFF 1=ON
*4 : 0=Connect mode
l=Gas Purge mode

26.2. Air bubble 2

Select preparation mode air alarm msg 1 Selection *1
Select run / stop mode air alarm msg 1 Selection *1
*1 : 0=No corresponding message 1= Corresponding message

DBB-27 T e c h n i c a l manual No. 831en-R7 4-55

4. S e t t i n g items

27. Conductivity

27.1. Conductivity 1
Upper limit _________ Lower limit
B conduc. auto-set alarm 5.0 0.0-9.9 (°/o) -5.0 -9.9-0.0 (%)
width
Total conductivity auto-set -5.0 -9.9-0.0 (%)
5.0 0.0-9.9 (%)
alarm width

27.2. Conductivity 2
Selection of external intensive piping 0 Selection* 1
B concentrate pump compensation 1 Selection *2
A concentrate pump compensation 1 Selection *2
Flushing daily, vol. after cond. alarm is
500 500-5000 (mL)
returned
*1 : 0=Tank l=Intensive piping
*2 : 0=No efficiency correction 1= Efficiency correction

27.3. Na infusion
Na priming function Use selection 0 Selection *1
Na infuse cond check func Use sei 0 Selection *1
Na infuse cond check func Infuse time 3 1 5 (min)
Op sei after Na infuse cond check 0 Selection *2
*1 : 0= Not use 1= Use
*2 : 0=Na pump stop l=Na pump operate (Step 1, or start infusion concentration)

28. Blood leak

Green Red
Bld leak detector
1.250 0.001-4.999 (V) 0.750 0.001-4.999 (V)
contaminate alam point
BLD voltage abnormal 0.001-4.999 (V) 0.001-4.999 (V)
4.750 4.750
( upper ) *1 *1
BLD voltage abnormal 0.001-4.999 (V) 0.001~4.999 (V)
1.000 0.500
( lower ) *1 *1
Blood leak alarm point
0.5 0.1-0.5 (mL/L)
(HD)
Blood leak alarm point
(I-UF) 0.5 0.1-2.0 (mL/L)
Blood leak alarm
30 0-600 (sec)
prolonged time
*1 : Upper limit>Lower limit ( Upper limit can not be set lower than Lower limit. Lower Emit
can not be set higher than Upper Emit, either.)

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 4. Setting items

29. Widen alarm point

29.1. Widen alarm point

Upper limit ________ Lower limit
Venous pres alarm 0~400 (mmHg) ■70 -400-0 (mmHg)
70
(Auto-set width ) Widen alarm
Dialysate pres alarm 70 0-400 (mmHg) -70 -400-0 (mmHg)
(Auto-set width ) Widen alarm
TMP alarm 70 0~400 (mmHg) ■70 -400-0 (mmHg)
( Auto-set width )Widen alarm
TMP alarm (Auto-forecast 50 0-400 (mmHg) ■50 -400-0 (mmHg)
width ) Widen alarm
Dialyzer inlet blood pressure
alarm (Auto-set width ) 70 0-400 (mmHg) -70 -400-0 (mmHg)
Widen ALM
Pressure loss alarm (Auto-set 0~400 (mmHg) -50 -400~0 (mmHg)
50
width ) Widen alarm

29.2. Widen alarm point ( Time )

Automatic OFF time ( Widen alarm point ) 180 1-600 (sec)

30. Override
Setting of override time 120 1-120 (sec)
Limited override revolution value 7 1-7 (revolution)

31. Setting of blood circuit

Setting of blood circuit ( ID 8.0 ) 8.696 7.000-9.999 (mL)
Setting of blood circuit ( ID 6.6 ) 6.154 5.000-6.999 (mL)
Selection of blood circuit ( BP ) 0 Selection *1
Blood flow total condition 0 Selection *2
*1 : 0=ID 8.0mm 1=ID 6.6mm
*2 : 0=START/STOP mode or after treatment start.
1=START/STOP mode or detecting blood after treatment start.
2=START/STOP

DBB-27 Technical manual No. 831en-R7 4-57

4. S e t t i n g items

32. OK Monitor

32.1. OK Monitor (Extracorporeal)

External
Neglect buzzer delay
Buzzer display Delay time time
lamp
Blood pump power 1 2 0 0
Blood, pump cover 1 0
2 0 0-600
open

Selection *2
(sec)

Selection *1
BP rate 0 1 2 0 0
0—600
No blood circuit 1 2 0 0 (sec) *4
1 0-600 0
Detection of saline 2 30
(sec) *3
Clip-type air detector 1 0-600 0
2 0
power (sec)
* 1 : 0 = OK monitor buzzer OFF 1= OK monitor buzzer ON
*2 : O=Light off l=Light on 2= Flickeringl (1Hz) 3= Flickering2 (5Hz)
*3 : OK monitor does not report when set to 0
*4 : No continuous buzzer when set to 0

32.2. OK Monitor (UF)

External
Neglect buzzer delay
Buzzer display Delay time time
lamp
0—60 0
UF rate 0 1 2 0
(min)*3
UF goal 0 1 2 0 0—60 0
Selection *2
Selection *1

1 0 0-600
UF rate down 2 0 (min)
(sec) *4
UF rate too much 1 2 0 0
UF rate exceeds 1 0-600 0
2 0
operation range (sec)
UF rate exceeds 1
2 0
limited range
* 1 : 0 = OK monitor buzzer OFF 1= OK monitor buzzer ON
*2 : O=Light off l=Light on 2= Flickeringl (1Hz) 3= Flickering2 (5Hz)
*3 : OK monitor does not report when set to 0
*4 : No continuous buzzer when set to 0

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 4. S e t t i n g items

32.3. OK Monitor (IP)

External Neglect buzzer delay
Buzzer display Delay time time
lamp
IP Power 1 2 0 0

Selection *2
Selection *1
IP rate 0 1 2 0 0-600 0 0-600
No syringe 1 2 0 (sec) 0 (sec) *3
IP bolus volume 0 1 2 0 0
* 1 : 0 = OK monitor buzzer 0. FF 1= OK monitor buzzer ON
*2 : O=Light off l=Light on 2= Flickeringl (1Hz) 3= Flickering2 (5Hz)
*3 : OK monitor does not repiort when set to 0

32.4. OK Monitor (mode)

External
Neglect buzzer delay
Buzzer display Delay time time
lamp
Not operation mode 1 2 15 0-60 0
Selection *2 (min) 0
Selection *1

Treatment completion 1 2 15
1 0-600 0 0-600
Stop 2 0 (sec) *4
(sec)
Forgot to turn on 1 0—60 0
2 5
rinse/ disinfection (min)
0-600
Disconnect 1
(sec) *3
* 1 : 0 = OK monitor buzzer OFF 1= OK monitor buzzer ON
*2 : O=Light off l=Light on 2= Flickeringl (1Hz) 3= Flickering2 (5Hz)
*3 : OK monitor does not report when set to 0
*4 : No continuous buzzer when set to 0

32.5. OK Monitor (blood pres)

External
Neglect buzzer delay
Buzzer display Delay time time
lamp
___*2 _ _ _ _
±1_____

Under SYS blood

Selection
Selection

0-600 0 0-600
pressure alarm 1 2 0
activation (sec) (sec) *3

*1 ; 0= OK monitor buzzer 0] FF 1 = 0 K monitor buzzer ON

*2 : 0=Light off l=Light on 2= Flickeringl (1Hz) 3= Flickering2 (5Hz)
*3 : No continuous buzzer wl ten set to 0

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4. S e t t i n g items

32.6. OK Monitor (blood volume)

External
Neglect buzzer delay
Buzzer display Delay time time
lamp
No blood circuit 0-600 0 0—600
1 2 5

Selection *1

Selection *2
(BV meter) (sec) (sec) *3
UF rate 1 2
(dBV UF rate down)
dBV reference area 0-480 0-600
0 1 60 0
deviance (sec) (sec) *3
* 1 : 0 = OK monitor without buzzer 1= OK monitor with buzzer
*2 : 0= Light off 1= Light on 2= Flickeringl (1Hz) 3= Flickering2 (5Hz)
*3 : No continuous buzzer when set to 0

32.7. OK Monitor (Others)

External
Buzzer display Neglect buzzer delay
Delay time time
_ _ _lamp
Bypass connector 1 2 0 0
UFC OFF 1 2 0 0
Selection *2

Connect open air for

Selection *1

1 0-600 0 0-600
2 0
plate dialyzer (sec) (sec) *3
Port cleaning
connection 1 2 0 0
Forgot return Na cond 0-600
conn (Drain mode) 1 3 1
(sec) *4
* 1 : 0 = OK monitor buzzer OFF 1= OK monitor buzzer ON
*2 : O=Light off l=Light on 2= Flickeringl (1Hz) 3= Flickering2 (5Hz)
*3 : No continuous buzzer when set to 0
*4 : OK monitor does not report when set to 0

32.8. OK Monitor neglect buzz (blood detect)

BP stop OK Monitor buzzer prolonged time 0-600
at bld detect (operator detects) 60
(sec) *1
BP stop OK Monitor buzzer prolonged time (0-600
10
at bld detect (operator does not detect) (sec) *1
*1 : No continuous buzzer when set to 0

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 4. S e t t i n g items

32.11. OK Monitor (ExtracorporeaI2)

External
Neglect buzzer delay
Buzzer display Delay time time
lamp

Selection *2
Selection *1
No blood line at 0—600 0-600
1 2 10 0
clip-type air detector (sec) *3 (sec) *4

* 1 : 0 = OK monitor buzzer O'FF 1= OK monitor buzzer ON

*2 : 0= Light off 1.= Light on 2= Flickering 1 (1Hz) 3= Flickering2 (5Hz)
*3 : OK monitor does not repiart when set to 0
*4 : No continuous buzzer wt ten set to 0

33. External lamp

33.1. External lamp ( complete )

Treatment completion 0 Selection*!
Infusion completion 1 Selection *1
UF completion 1 Selection *1
*1 : O=light off l=light on

33.2. External lamp ( Condition )

Before UFC self test 3 Selection *1
UFC self test 2 Selection *1
After UFC self test 1 Selection *1
Conductivity self test 2 Selection *1
Before TMP zero calibration 2 Selection *1
Under TMP zero calibration 1 Selection *1
Priming assist 2 Selection *1
*1 : O=lightoff l=lighton 2=flashingl (1Hz) 3= flashing 2 (5Hz)

33.3. External lamp ( Mode 1 )

I-UF 1 Selection *1
Gas purge 2 Selection *2
Drain 2 Selection *2
Preset 0 Selection *2
*1 : O=light off l=light on
*2 : O=light off l=lighton 2=flashingl (1Hz) 3=flashing2 (5Hz)

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4. S e t t i n g items

33.4. External lamp ( Mode 2 )

Treat.prepare • Connect • Disconnect
0 Selection *1
( with bypass )
Treat.prepare • Connect • Disconnect Selection *1
2
( no bypass )
Stop ( with bypass ) 0 Selection *1
Stop ( no bypass ) 2 Selection *1
*1 : 0=light off l=light on 2=flashing 1 (1Hz) 3=flashing 2 (5Hz)

34. Solenoid valve

Closed loop SV leak alarm point ( Small ) 0.400 0.000-1.000 (V)
Closed loop SV leak alarm point ( Quantity ) 2.500 1.000-4.000 (V)
SV7,SV8 leak alarm point 2 ( Quantity ) 10 0~30 (times)
SV leak alarm decision number 3 1~4 (times)
Effective time of pressure release from circuit 60 l~60(sec)

35. Others

35.1. Others 1
Selection of Monitor output 1 action 0 Selection *1
Reset Monitor output 1 1 Selection *2
Select action of external input signal 1 Selection *3
Treatment data reset prolonged time 300 0~600 (sec)
Reset time of treatment data at Treatment—>
1 Selection *4
Rinse / Disin
Select BM self TEST auto-execution 1 Selection *5
* 1 : 0= Output only at bypass disconnected l=Output always 2=Output only when
bypass is disconnected UF output 3=Always output, UF output
*2 : 0=No reset l=reset at buzzer stop
*3 : 0=No selection of action l=Stop of hydraulin unit 2=Stop of blood pump
3=Stop of hydraulic unit plus Blood Pump
*4 : 0=No reset l=With reset
*5 : 0=No execution l=Execution

35.2. Others 2
Alarm point of back pressure set. fail.
10 0-300
( H l : supply)
Alarm point of back pressure set. fail.
10 0-300
( H2: Drain )
Select the operation corresponding RO 0 Selection *1
RO stand-by time to correspond 10 0~30 (sec)
*1 : 0=Notlink 1=1fink

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 4. S e t t i n g items

35.3. Others 3
Battery charge time 5 2-10 (sec)
Select air detector power ( Disconnect ) 0 Selection *1
Prep mode Flu spill prev func use sei 0 Selection *2
Prep mode Flu spill prev func op time 10 l~600(sec)
Concentrate nozzle liquid purge function 1 Selection *2
*1 : O=impossible l=possible to operate
*2 : 0=Not use l=Use

35.5. Schedule ( Kur setting )

Kur name Start time Selection of use

1st Morning *1 8=00 0:00~23:59*2 1 —

—
2nd Afternoon *1 13=00 0:00~23:59*2 1 Selection *3
3rd nighttime *1 18:00 0:00~23:59*2 1 Selection *3
*1 : Input of Kur name (6 letters in half size or 3 letters in full size)
*2 : Kur l Kur 2 Kur 3, When Kur is set to 0:00, this Kur can not be used.
*3 : 0=Not use l=Use

36. Automatic OFF time

Automatic OFF time
120 1-300 (sec)
(Venous press alarm clear)
Automatic OFF time
(Dialysate press alarm clear) 120 l~300 (sec)
Automatic OFF time ( TMP alarm clear ) 120 l~300 (sec)
Automatic OFF time (DIBP alarm clear) 120 l~300 (sec)
Monitor background color selection during
1 Selection* 1
alarm clear
Automatic OFF time
3 1~59 (min)
( Dialysate sampling KEY )
*0 : Do not change to red l=Change to red

37. BPM

37.1. BPM (operation selection)

Selection of BPM data reset 1 Selection*!
*1 : 0=Only by manual reset l=Gas purge mode

37.2. BPM (key display selection)

Display of BPM screen setting key 1 Selection *1
Display of BPM screen con. measure key 1 Selection *1
Display of BPM screen auto measure key 1 Selection *1
Blood pressure monitor graph range upper
limit 0 Selection *2
*1 : 0=Not display l=Display
*2 : 0=200mHg l=250mmHg

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4. S e t t i n g items

38. Auto collection

Auto-shift to auto-collection screen 0 Selection*!
Selection of patient setting use Selection *2
0
(Auto, collect.)
*1 : 0=Not shift l=Shift
*2 : 0=Not use l=Use

39. Blood circuit drain

Blood circuit drain function 0 Selection *1
Booster pump rate ( Blood circuit drain ) 1200 0, 200~1500(rpm)
Blood pump rate ( Blood circuit drain ) 40 0~600(mL/min)
Blood circuit drain auto-off by dialysate
0 Selection *1
pressure
Blood circuit drain auto-off dialysate pressure -450 -500-0 (mmHg)
Blood circuit drain auto-off time 150 0~600 (sec) *2
Blood line drain scrn auto switch sei 0 Selection *3
*1 : 0=Notuse l=Use
*2 : If time is set to 0, auto completion will not be activated.
*3’ 0=Not shift l=Shift

40. Blood volume meter

Start time to calculate dBV 5 0 60 (min)
dBV reference area auto, compensation time 0 0~120(min)
UF/dBV calculation start synchronism
0 Selection *1
function
*1 : 0= Not use 1= Use

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 4. S e t t i n g items

41. CF replacement
Preparatory running time at CF replacement 10 5-120 (sec)
Primary water drain time at CF replacement 10 5-120 (sec)
Secodary water drain time at CF replacement 30 5-120 (sec)
CP2 ( Booster Pump ) rate at CF replacement 1300 1000-2600 (rpm)
Fluid, filling time after CF replacement ______ 5 5~30 (min)
External lamp action 2 Selection*!
( During CF replacement ) ________
*1 : 0=Liglitoff l=Lighton 2=Flickering 1 (1Hz) 3=Flickering 2 (5Hz)

42. Timer setting

42.1. Timer setting 1

Completing
Timer name Remaining time Complete time
melody
No. 1 Timer 1 0-00 — 0

Selection *4
No. 2 Timer 2 0:00 0
Timer3 :
No. 3 *1 0 00 *2 *3 0
No. 4 Timer 4 0=00 0
No. 5 Timer 5 0:00 0
*1 : Input of timer names by key board ( 15 letters in ful . size )
*2 : 0 : 00 — 23: 59 (h ; min)
*3 : 0:00~23:59 (h: min)
As for Remaining time and Completion time, items s et later are effective.
Ineffective items are displayed as F ----- ; -----j ,
Remaining time is to be effective at initial.
*4 : 0=Buzzer 7=Melody 7 14=Melody 14
l=Melody 1 8=Melody 8 15=Melody 15
2=Melody 2 9=Melody 9 16=Melody 16
3=Melody 3 10=Melody 10 17=Melody 17
4=Melody 4 ll=Melody 11 18=Melody 18
5=Melody 5 12=Melody 12 19=Melody 19
6=Melody 6 13=Melody 13 20=Melody 20

42.2. Timer setting 2

Completing
Timer name Remaining time Complete time
melody
No. 6 Timer 6 0:00 0
Selection *4

No. 7 Timer 7 0=00 0

No. 8 Timer 8 *1 0:00 *2 *3 0
No. 9 Timer 9 0=00 0
No.10 Timer 10 :
0 00 0
*1~*4 : Please refer to 42.1 Timet set 1.

DBB-27 T e c h n i c a l manual No. 831en-R7 4-65

4. Sett I ng i terns

42.3. Timer setting 3

Timer name Completing
Remaining time Complete time
melody
No.11 Timer 11 0:00 0

Selection *4
No.12 Timer 12 (KOO 0
No. 13 Timer 13 *1 OW *2 *3 0
No. 14 Timer 14 0:00 0
No.15 Timer 15 0:00 0
*1~*4 : Please refer to 42.1 Timet set 1.

42.4. Timer setting 4

Timer name Remaining time Complete time Completing
melody
No.16 Timer 16 0:00 - - 0

Selection *4
No.17 Timer 17 0:00 - - 0
No. 18 Timer 18 *1 0-00 *2 - - *3 0
No.19 Timer 19 0:00 — 0
No.20 Timer 20 0:00 - - 0
*1 *4 : Please refer to 42.1 Timer set 1.

42.5. Ti
Select number of timer to use 1 Selection *1
*1 : 0=Use one ____________1= Multiple use _____________________________________

43. Coupling leak test

Selection of automatic coupling leak test 0 Selection*!
Prolonged time to start of automatic coupling
leak test ( Prepare mode ) 0 0~600 (sec)
Prolonged time to start of automatic coupling
0 0~600 (sec)
leak test ( Cleaning mode )
Hydrocircuit activation at coupling leak test
failure 0 Selection *2
Alarm buzzer activation at coupling leak test
failure 1 Selection *3
Coupling leak test alarm point ■100 ■100~0 (mmHg)
*1 : 0=Not carried out l=Carried out on Preparation mode
2= Carried out on Rinse mode 3=Carried out on Preparation • Rinse modes
*2 : 0=Continue Rinse operation l=Pause Rinse operation temporarily
2=Stop Rinse operation
*3 : 0= buzzer OFF l=buzzer

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 4. S e t t i n g items

4.5. Input method of patient name

Patient name can be input with maximum 9 letters.

( If it is input in half size letter, it can be input with maximum 18 letters. )

4.5.1. Call the Patient name setting key board screen

1. Touch the [Standard Setting) displayed on Technicians Menu bar in the screen.
Below the [Standard Setting), a pull-down menu will appear.

2. Touch the [Registration) of the pull-down menu.

The Patient Setting screen opens.

echnicians
\ / Nurses

LU
VEN PRESS
| MODE II MONITOR
(Mils) DI ALY PRESS (-Us)
II
UF VOLUME
SETTING
(0
JI GRAPHIC 1 STANDARD SETTING
UF GOAL co
SELECTION

■e
3 O.oo0.00 REGISTRATION

SCHEDULE

[ Fig. 4- 15 Registration on the pull-dowm menu ]

Touch the [Register NAME) key to make it effective ( green. ).

REGISTRATION
REG I

Patient I Patient Patient

[Patient ] [Patient ~| [Patient | Patient ~|

[Patient | Patient Patient Patient

[Patient | [Patient | [Patient | Patient ~~|

[ Fig.4-16 Patient setting screen ]

DBB-27 Technical manual No. 831en-R7 4-67

4. S e t t i n g items

4. Touch the desired blank name column. The Patient name setting key board will open.

NEVi Pat i e n 1: OUD Patient

[ Back |

aaa
aa a a a aaa a|T Fl I Clear

aaa a a a a a a a aa [ Space

aaFaamaa a F a aaa
aa a aa aa a a aa a
aaaaaa a aaa a a | SET |

[Fig. 4-17 Patient name setting keyboard screen (Numbers & Alphabet)]

4.5.2. Entering using the patient name setting keyboard

Patient names can be entered using the [Patient name setting keyboard].
A maximum of 18 characters can be input for a patient’s name.

NEW Patient OLD Patient

Clear
Back

aaaaaaaaaaaaa I Space
aaaaaaaaaaaaa I I
aaaaaaaaaaaaa
aaaaaaaaaaaaa SET
aaaaaaaaaaaaa I I

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 4. S e t t i n g items

4.5.3. Patient name input method

By touching the applicable key on the patient name setting keyboard, the following
functions are performed.

NEW \ Patient OLD Patient

Back

acoaaacotosQHacoizj
HHEOHQHQEZIQHQQCl
□□(IEQ0Q3I1EQQQ ( SET
No Name Description
A new The input name (character string) is displayed.
B old The entered name (character string) is displayed.
When the |Back| key is touched, one entered character is deleted.
1 Back (For example, if you make a mistake entering one character, touch the
|Back| key.)
When the |Clear| key is touched, all of the entered characters are deleted.
2 |Clear| (For example, if you make a mistake entering many characters, touch the
Clear key.)
You can enter spaces by touching the |Space| key.
3 |f3pac< (For example, you can insert a space between [First name] and
[Surname].)
Touch the [Set key to enter the inputted patient name.
4 Set When the [Set key is touched, the [Patient data] can be made the same as
[Hospital 1 data]. For details, refer to [Technical Manual Chapter 4.3
Setting data classification].

[Fig. 4'18 Keyboard screen for setting patient names (numbers and alphabet)]

DBB-27 T e c h n i c a l manual No. 831en-R7 4-69

4. S e t t i n g items

This page is intended to be blank.

4-70 DBB-27 Technical manual No. 831en-R7

 5. A d j u s t i n g items

Chapter 5 Adjusting items

5.1. Performing adjustments in the adjusting mode

Zero span at dialysate pressure sensor exchange, delivery flow at UF Pump exchange
and so forth are adjusted under the Adjusting mode. Following conditions make it
possible to enter the Adjusting mode;
1. Blood is not detected.
2. Dialyzer coupler is connected to bypass connector and set at bypass connector holder.
3. Not under cleaning program.
4. Not under auto-priming or under priming assist.

5.1.1. How to open the Adjusting screen

1. Input the Technician’s password.
2. Touch the Mode displayed on the Technicians menu bar in the screen. Below the
Mode, a pull-down menu will appear.
3. Touch the Adjust of the Pull-down menu. The Adjusting screen will open.

MOOEL OOB-21

| N ][ MODE J [monitor 1| SETTING J [ GRAPHIC 1 STANDARD SETTING

VEN P «ns) UF VOLUME 0) UFGOAL (D UF RATE (L/h)
PREPARATION
ALARM

TREATMENT i 0.00 ESH EEa RESET

RINSE
Rins DISINFECTION IP

DJUSTMENT
__E8ESEL_ l E20iriLl (itiL/h)

I Fig. 5-1 |Adjust| of Pull-down menu ]

DBB-27 Techn i ca I manuaI No. 831 en-R7 5 - 1

5. A d j u s t i n g items

5.2. List of Adjustment Items

1. Serial NO. I Password

Adjusting items Initial value Adjust range Unit
1.1 Password registration ( Technicians ) 44 10-99999 ........

1.3 Serial number J0000001 ........

1.4 IP address 192.168.10.101 ........
1.6 Selection of protocol converter 1 Selection*!
* 1 : 0 =Olcl type l=New type

2. Amplifier circuit
Adjusting items Initial value Adjust range Unit
2.1 Amplitude circuit ZERO (L) ........ ........ °C
2.2 Amplitude circuit SPAN (L) ........ ........ °C
2.3 Amplitude circuit ZERO (H) ........ ........ °C
2.4 Amplitude circuit SPAN (H) ........ ........ °C

3. Hydrocircuit sensor
Adjusting items Initial value Adjust range Unit
3.3 Dialysate pressure sensor ZERO -500 -600 —400 mmHg
3.4 Dialysate pressure sensor SPAN 500 400-600 mmHg
3.5 Water supply pressure sensor ZERO 0 ■100 -100 mmHg
3.6 Water supply pressure sensor SPAN 400 300-500 mmHg

4. Conductivity cell
Adjusting items Initial value Adjust range Unit
4.4 Cond. cell 2 constant 7.000 5.000—9.999 ........

4.5 Cond. cell 2 compensation coefficient 0.000 -1.000-1.000 ........

4.6 Cond. cell 2 temperature coefficient 2.20 0.00—2.99 ........
4.10 Cond. cell 4 constant 7.000 5.000-9.999 ........
4.11 Cond. cell 4 compensation 0.000 -1.000-1.000 ........
coefficient
4.12 Cond. cell 4 temperature coefficient 2.05 0.00-2.99 ........
4.16 Cond. cell 6 constant 7.000 5.000-9.999 ........
4.17 Cond. cell 6 compensation ........
0.000 -1.000-1.000
coefficient
4.18 Cond. cell 6 temperature coefficient 2.05 0.00-2.99 ........

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 5. A d j u s t i n g items

5. Reducing valve / back press, valve / relief valve

Adjusting items Initial value Adjust range Unit
5.1 Reducing valve ........ ........ ........

5.2 Back press, valve ( H1,H2 ) ........ ........ ........

5.3 Relief valve ( L ) ........ ........ ........

6. Pump ( UFP / DP )
Adjusting items Initial value Adjust range Unit
6.1 UF pump discharge volume 0.776 0.740—0.803 mL/st
6.2 Dialysate flow rate (Measurement) 500 300-700 mL/min
6.3 Dialysate flow rate ( Theoretical ) ........ ........ ........
6.4 Pump cell voltage 0.00 0.00-4.00 L/h

7. Conductivity / Temp, indication

Adjusting items Initial value Adjust range Unit
7.1 Cond. cell ZERO (Measurement) 3.00 0.00—30.00 mS/cm
7.2 Cond. cell SPAN (Measurement) 14.00 0.00-30.00 mS/cm
7.3 Cond. cell (Confirmation) 850 0-2000 ........
7.4 Temperature indication 36.0 33.0—40.0 °C

8. Conductivity (Registration)
Adjusting items Initial value Adjust range Unit
8.1 Concentrate 1 ........ ........ ........
8.2 Concentrate 2 ........ ........ ........
8.3 Concentrate 3 ........ ........ ........
8.4 Concentrate 4 ........ ........ ........
8.5 Concentrate 5 ........ ........ ........

9. Blood leak detector

Adjusting items Initial value Adjust range Unit
9.1 BLD received light volt ........ ........ ........
9.2 BLD test alarm point 90.0 0.0-99.9 %
9.3 BLD changed rate 2.0 0.0—9.9 %

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5. A d j u s t i n g items

10. Hardware interlock

Adjusting items Initial value Adjust range Unit
10.1 Hardware interlock ( Temp. ) 42.0 40.0~45.0 °C
10.2 Hardware interlock ( Conduct upper ) 900 0-2000 ........

10.3 Hardware interlock ( Conduct lower ) 600 0~2000 ........

11. Blood circuit sensor

Adjusting items Initial value Adjust range Unit
11.3 Venous pressure ZERO 0 -100~100 mmHg
11.4 Venous pressure SPAN 500 400—600 mmHg
11.5 Dialyzer inlet blood pressure ZERO 0 -100-100 mmHg
11.6 Dialyzer inlet blood pressure SPAN 500 400-600 mmHg
11.9 Blood/Saline detector volt. ( Saline ) ........ ........ ........
11.10 B/S detec. thresh volt
( Saline—>Blood ) 0.9 0.1-2.5 *1 V
11.11 B/S detec. thresh, volt
( Blood-* Saline ) 0.9 0.1-2.5 *1 V
11.12 B/S detec. thresh volt ( Circuit drain ) 0.9 0.0—2.5 V
*1 : i l l . 10 B/S detec. thresh volt (Saline—>Blood) J i l l . 11 B/S detec. thresh volt (Blood
—>Saline) J

12. Blood pump

Adjusting items Initial value Adjust range Unit
12.1 BP discharge volume (ID 8.0) 200 161-229 mL
12.2 BP discharge volume (ID 6.6) 160 130-181 mL

13. Confirmation operation

Adjusting items Initial value Adjust range Unit
13.1 Hydrocircuit action ......... ......... ........
13.2 Clamp action ......... ......... —

13.3 Deaeration / booster pump action 2200 1000—2600 rpm

13.4 Output signal action ......... ......... ........

13.5.1 Air detector action ( Venous ) ......... ......... ........

13.5.2 Air detector action ( Arterial ) ......... ......... ........
13.7 Blood pump action ......... ........ ........
13.8 Drain of Hydrocircuit ......... ........ ........
13.9 Switches operation (Confirmation) ......... ........ ........
13.10 UFC self test Carry out ......... ........ ........
13.11 Balance check ......... ------- ........
13.12 UF rate/UF volume check ......... ......... ........

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 5. A d j u s t i n g items

14. Set of rinse/disinfection

Adjusting items Initial value Adjust range Unit
14.1 UF pump rate ( Rinse mode ) 1.20 1.00—4.00 L/h
14.2 A Concentrate pump rate ( Rinse mode ) 2.50 1.00—4.00 L/h
14.3 B Concentrate pump rate ( Rinse mode ) 2.50 1.00-4.00 L/h

14.4 Na concentrate pump rate ( Rinse mode ) 2.50 1.00-4.00 L/h

14.5 UF pump rate ( Disinfectant suction ) 6.00 1.00-6.00 L/h
14.6 Warm rinsing temperature 40.0 20.0—40.0 °C
14.7 Select pre-warm/rinse 1 Selection* 1 ........
14.8 SV63, 64 test ( Deaeration pump rate ) 2200 1000-2600 rpm
14.9 SV63, 64 test alarm ( Heatless Rinse ) 1.5 0.1-9.9 °C
14.10 SV63, 64 test alarm ( Rinse, heater ON ) 1.0 0.1-9.9 °C
14.11 SV63, 64 test alarm
1.5 0.1—9.9 °C
( Rinse, heater OFF )
14.12 SV63, 64 test alarm ( Disin. Acid clean ) 1.5 0.1—9.9 °C
14.13 SV63, 64 test alarm ( Start, heat Disin ) 1.0 0.1—9.9 °C
14.14 SV63, 64 test alarm ( On heat Disin. ) 60.0 50.0-80.0 °C
*1 : 0=Notheat l=Heating

15. Blood circuit sensor test

Adjusting items Initial value Adjust range Unit
15.1 Battery tl5.2 V pressure transducer
(Alarm point)est volt 21.0 20.5-25.0 V
15.2 Venous pressure sensor alarm point 200 0-500 mmHg
15.3 DIP pressure transducer (Alarm point) 200 0-500 mmHg

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5. A d j u s t i n g items

16. UFC self test

Adjusting items Initial value Adjust range Unit
16. 1 DP trans, test compensation value 14 -100~100 mmHg
16. 2 DP trans, test alarm point (Compare) 20 5—100 mmHg
16.3 DP trans, test alarm point (Abs.) 100 50—400 mmHg
16.4 Reducing test alarm point -200 -400—100 mmHg
16.8 WP trans, test open alarm point 100 50-200 mmHg
16.9 WP trans, test boosted alarm point 200 100—400 mmHg
16.10 Sealing leak test time (Neg.) 10 10—600 sec
16.11 Sealing leak test alarm (Neg.abs.) -100 -400—50 mmHg
16.12 Sealing leak test alarm(Neg.rel.) 20 1-100 mmHg
16.13 Heat exchanger leak test time 10 10-600 sec
16.14 Heat exchanger leak test alarm point 20 1-100 mmHg
16.15 Pipe leak test time ( positive pressure ) 10 10-600 sec
16.16 Sealing leak test alarm(Pos.abs.) 200 50-400 mmHg
16.17 Sealing leak test alarm(Pos.rel.) 50 1-100 mmHg
16.18 UF pump test (UF rate) 4.00 0.50-4.00 L/h
16.19 UF pump test alarm point -200 -400—50 mmHg
16.20 UF pump relay test alarm point -100 -400—50 mmHg
16.21 SV41 test alarm point 100 50—400 mmHg
16.22 Dialysate filter test time 10 10-600 sec
16.23 Dialy. filter test alarm (Abs.) -150 ■400—50 mmHg
16.24 Dialy. filter test alarm (Rel.) 50 10—400 mmHg
16.25 Dialy. filter test drain time 40 10-100 sec
16.26 Dialy. filter test booster pump 1100 1000-2500 rpm
16.27 SV voltage test alarm point (close) 0.400 0.100-1.000 V
16.28 SV voltage test alarm point (open) 4.000 1.000—5.000 V
16.29 Balance test open time 5 5-300 sec
16.30 Stabil. waiting stroke for bal-test 10 5—20 stroke

16.31 Meas, stroke count for balance test 15 15—45 stroke

Use CF : 55
No CF (Not use
16.32 Balance test alarm point CF) : 80 0—400 mmHg
No CF (No CF
option) : 95

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 5. A d j u s t i n g items

16. UFC self test

Adjusting items Initial value Adjust range Unit
16.33 Balance test temp, changing alarm 1.5 0.0~5.0 °C
16.34 Booster pump speed ( Reducing ) 1300 1000~2500 rpm
16.35 Heater cut relay test 1 time 30 20~120 sec

16.36 Heater cut relay test 2 time 60 30~180 sec

16.37 Heater cut relay test 1 alarm range 4.0 1.0~5.0 °C

16.38 Heater cut relay test 2 alarm range 5.0 3.0~9.9 °C
16.39 The timing of Heater cut relay test 1 Selection* 1 time
16.40 The timing of CF leak test 1 Selection*! time
*1 : 0=Once a day l=Every time

17. Use selection

Adjusting items Initial value Adjust range Unit
17.1 Dialysate filter use use Selection *1 ........

17.2 BPM use use Selection *1 ........

17.3 Dialyzer inlet blood pressure use use Selection *1 ........

17.4 Communication use use Selection *1 ........

*1 : TUseJ • PNotuseJ

18. Computer communication

Adjusting items Initial value Adjust range Unit
18.1 Computer communication START ........ ........ ........
18.2 Computer communication END ........ ........ ........
18.3 Micro computer test ........ — —

19. BPM test

Adjusting items Initial value Adjust range Unit
19.1 BPM (Air leak test) ........ ------ ........

19.2 BPM (Pressure check test) ........ ........ ........

19.3 BPM (Manual switch check) ........ ........ ........

20. Blood volume

Adjusting items Initial value Adjust range Unit
20.1 BVM ZERO adjustment tool value 0 0~6000 ........
20.2 BVM SPAN adjustment tool value 0 4000~9999 ........
20. 3 BV receive light volt ZERO ........ ........ ........
20. 4 BV receive light volt SPAN ........ ........ ........

DBB-27 Technical manual No. 831en-R7 5 - 7

5. A d j u s t i n g items

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5-8 DBB-27 T e c h n i c a l manual No. 831en-R7

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