Dialog+透析机使用说明书目录1. 安全操作..........................................................................1-3 关于使用说明.........................................................................1-3 有效性...............................................................................1-3目标人群...........................................................................1-3本使用说明书中的警告、注意事项与符号.................1-4缩写词...............................................................................1-5用途及适应症.........................................................................1-5 禁忌症.........................................................................1-6副作用.........................................................................1-6特殊危害与预防措施.............................................................1-6 患者的特殊条件..............................................................1-6电气危险...........................................................................1-7电磁相互作用....................................................................1-7维护与过滤器的更换........................................................1-7操作人员信息.........................................................................1-8 试运行之前厂家的培训..................................................1-8对使用人员的要求..........................................................1-8法规符合性......................................................................1-9厂家责任...........................................................................1-9技术变更........................................................................1-102. 产品说明..........................................................................2-3 基本机型.........................................................................2-3 Dialog 单泵透析机............ +............................................2-5 Dialog 双泵透析机.............+ ............................................2-6 Dialog血液透析滤过-联机系统（HDF-online）+ ........2-7透析机上的符号......................................................................2-8 控制元件与监视器上的信息.................................................2-9 全部图标总览.......................................................................2-11 输入数值......................................................................2-17疗法种类......................................................................2-21血液透析（HD）..........................................................2-21单纯超滤（ISO UF）....................................................2-21血液滤过-联机系统（HF/HF-online）.......................2-22血液透析滤过-联机系统（HDF/HDF-online）.........2-22治疗方法......................................................................2-23双针程序........................................................................2-23单针程序........................................................................2-23透析的有效性（Kt/V）.......................................................2-26 定时器的使用......................................................................2-27 3 安装与调试..........................................................................3-3 供货范围.........................................................................3-3储存.........................................................................3-3装在原包装内储存..........................................................3-3用前临时储存..................................................................3-3停止运行...........................................................................3-3运输.........................................................................3-4滚轮运输...........................................................................3-4搬运...................................................................................3-4安装现场.........................................................................3-5电气连接...........................................................................3-6水损防护...........................................................................3-6潜在的爆炸区域..............................................................3-6水源.........................................................................3-6水源质量与透析液..........................................................3-6用过液体的处置..............................................................3-7初始调试.........................................................................3-7设置日期与时间......................................................................3-7开机与关机.........................................................................3-84 血液透析的准备..........................................................................4-3 调用血液透析主屏幕.............................................................4-3自检.........................................................................4-4自检期间的操作..............................................................4-4终止自检程序..................................................................4-5完成自检程序..................................................................4-5减少准备治疗阶段的报警声音.............................................4-5连接浓缩液.........................................................................4-8设置冲洗参数.........................................................................4-9安装和冲洗管路系统..........................................................4-10安装管路系统...............................................................4-10冲洗和测试管路系统...................................................4-12肝素泵的准备......................................................................4-12安装肝素注射器...........................................................4-12肝素管路排气...............................................................4-13设置治疗参数......................................................................4-14设置透析液参数...........................................................4-15透析液的监测...............................................................4-16设置超滤参数...............................................................4-17置压力范围...................................................................4-18设置肝素参数...............................................................4-20冲洗透析器......................................................................4-21待机模式......................................................................4-21激活待机模式.............................................................4-22关闭待机模式.............................................................4-22准备阶段中停电的处理....................................................4-225. 启动血液透析..........................................................................5-3 检查患者数据.........................................................................5-3连接患者连接与启动血液透析.............................................5-4血液透析期间.........................................................................5-5血液侧血压范围的监测..................................................5-5用最低超滤速度治疗......................................................5-7肝素的追加注射..............................................................5-7动脉追加注射..................................................................5-8治疗参数图形显示(趋势图.........................................5-10血液透析的中断（旁路...............................................5-12治疗的完成......................................................................5-13终止治疗........................................................................5-13继续治疗........................................................................5-136. 结束血液透析治疗..........................................................................6-2 再输注.........................................................................6-2排空透析器.........................................................................6-4治疗执行情况总览.................................................................6-47. 消毒..........................................................................7-3程序与消毒剂.........................................................................7-3消毒准备.........................................................................7-4消毒剂罐的定位..............................................................7-4选择消毒程序..................................................................7-5自动关机与重新启动.............................................................7-6消毒后自动关机..............................................................7-6自动关机和重新启动......................................................7-6化学消毒.........................................................................7-8短时间化学消毒......................................................................7-9热消毒.........................................................................7-9水源来水的消毒...................................................................7-10用来自闭合主管路的消毒溶液进行化学消毒...........7-11用来自闭合主管路的热渗透剂进行热消毒..............7-12冲洗渗透剂的进口管...................................................7-14检查消毒剂残留物..............................................................7-15脱钙......................................................................7-16终止消毒......................................................................7-16旧机器的处置.....................................................................7-168. 血液透析滤过-联机系统/血液滤过-联机系统............................8-3 血液透析滤过/血液滤过的准备............................................8-4调用血液透析滤过/血液滤过屏幕................................8-4连接浓缩剂......................................................................8-4输入置换参数..................................................................8-5插入管路系统..................................................................8-7用来自联机系统的置换溶液充注和冲洗管路系统....8-7检查管路系统...............................................................8-10血液透析滤过/血液滤过的执行.........................................8-10将患者与血液透析滤过/血液滤过系统进行连接....8-10血液透析滤过/血液滤过期间.......................................8-11血液透析滤过/血液滤过的完成.........................................8-13再输注置换溶液...........................................................8-13排空透析器...................................................................8-15消毒......................................................................8-15定时消毒........................................................................8-15显示联机过滤器数据...................................................8-15更换联机过滤器...........................................................8-16置换液的取样...............................................................8-19 9. 针程序..........................................................................9-3单针交叉（SN-CO）..............................................................9-3 治疗准备...........................................................................9-3治疗运行...........................................................................9-5结束治疗...........................................................................9-7单针阀.........................................................................9-8治疗准备...........................................................................9-8治疗运行........................................................................9-10结束治疗........................................................................9-10 10. 可选功能.......................................................................10-5 血压自动监测.....................................................................10-5 （血压计）袖带.........................................................10-5设置..............................................................................10-7启动/停止措施............................................................10-9列出与图形显示测量值..........................................10-10bioLogic RR. - 自动血压稳定.........................................10-11操作模式....................................................................10-11设置血压下限和最大超滤速度................................10-11超滤与血压发展图形显示.......................................10-13bioLogic RR. Comfort曲线图向导法自动血压稳定功能...........10-14程序............................................................................10-14设置收缩压的最小值(SLL)和超滤率的最大值.....10-15推荐的收缩压下限值的设置(SLL)........................10-17使用BioLogic RR. Comfort功能.............................10-17血压级数和超滤图表屏幕.......................................10-18碳酸氢盐筒固定器..........................................................10-19 插入碳酸氢盐筒.......................................................10-20透析期间更换碳酸氢盐筒1.......................................0-21透析之后排空碳酸氢盐筒.......................................10-21血液透析滤过（HDF）袋...............................................10-22 调用血液透析滤过/血液滤过屏幕.........................10-22置置换参数...............................................................10-23血液透析滤过袋的准备.1.........................................0-24用袋装的置换溶液充注和冲洗管路系统..............10-25换袋............................................................................10-26报警范围...................................................................10-26浓缩液的集中供给..........................................................10-28 透析液超净滤器..............................................................10-28 使用与操作模式.......................................................10-28更换透析液过滤器...................................................10-30数据复位...................................................................10-32消毒............................................................................10-33对透析液取样...........................................................10-34应急电源/蓄电池.............................................................10-36 充电指示器...............................................................10-37动电池测试...............................................................10-37电池操作结束...........................................................10-38通信接口....................................................................10-38 BSL（床边连接）......................................................10-38 Dialog+透析机的计算机接口....................................10-38护士呼叫...................................................................10-38 11. 配置........................................................................11-3配置每周消毒计划..............................................................11-3 配置曲线^ .......................................................................11-4 基本原则.......................................................................11-4设置曲线参数..............................................................11-5UF曲线.......................................................................11-7UF曲线表......................................................................11-9患者磁盘/IC卡.................................................................11-14使用患者磁盘/IC卡..................................................11-14患者磁盘的格式化/清除IC卡内容........................11-14输入患者姓名...........................................................11-15阅读患者数据...........................................................11-16储存患者数据（参数设定值）...............................11-16输入计算透析有效性的参数..........................................11-17调整监视器的亮度...........................................................11-22选择屏幕显示语言...........................................................11-23编辑趋势图表参数...........................................................11-2412. 维护与清洗.......................................................................12-3外部清洗......................................................................12-3维修与技术安全检查........................................................12-3定期维修.....................................................................12-4技术安全检查(TSC)..................................................12-4技术维修和保修................................................................12-5保修..............................................................................12-5旧透析机的处置................................................................12-513. 报警和纠正措施.......................................................................13-3 显示和复位报警................................................................13-3报警和结果......................................................................13-5透析报警.....................................................................13-5ABPM 报警................................................................13-11SAD 纠正报警..................................................................13-12手动血液回流..................................................................13-13部分声音信号的省略......................................................13-14部分报警声音的省略..............................................13-14部分操作提示声音的省略.......................................13-1514. 选项......................................................................14-3机械配件......................................................................14-4其它耗材......................................................................14-415 技术规范......................................................................15-3一般技术规范....................................................................15-3环境条件......................................................................15-4建议安全距离....................................................................15-5透析液系统......................................................................15-6体外循环......................................................................15-9接触到透析液的物质材料..............................................15-12HDF/HF-联机系统技术规范............................................15-13挂袋式的技术规范..........................................................15-14ABPM 血压监测装置.......................................................15-15对环境有毒有害的物质名称和含量............................15-1616 录......................................................................16-3透析液流量表....................................................................16-3主要透析液流量表....................................................16-3Dialog+流程表..............................................................16-5维修协议......................................................................16-6目录1. 安全操作..........................................................................................1-3 关于使用说明...........................................................................1-3有效性................................................................................1-3目人群............................................................................1-3本使用说明书中的警告、注意事项与符号.................1-4缩写词................................................................................1-5用途及适应症...........................................................................1-5禁忌症.......................................................................................1-6副作用.......................................................................................1-6特殊危害与预防措施..............................................................1-6患者的特殊条件...............................................................1-6电气危险............................................................................1-7电磁相互作用....................................................................1-7维护与过滤器的更换........................................................1-7操作人员信息...........................................................................1-8试运行之前厂家的培训...................................................1-8对使用人员的要求...........................................................1-8法规符合性.......................................................................1-9厂家责任............................................................................1-9技术变更.........................................................................1-10警告术语含义DANGER（危险）如果不加防范，将存在可能导致人员死亡或严重受伤的极大危险。