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Post by bcjammerx on Feb 7, 2023 2:41:22 GMT
This is unrelated to my previous uf issues.
I was doing a pm on this machine and got to the uf check. I set the mock treatment for 30 min and to pull 125ml. I used a 250ml graduated cylinder. I weighed it before and after to get an exact amount. After 30 min it had pulled 200ml. I calibrated the uf pump and got 107, repeated the test and this time it pulled 150ml. I replaced the uf pump and redid calibration, got 107 and some change. again it pulled 150ml. So I replaced the balance chamber membranes, only one of the prongs had some deformation but not much. the membranes sealed perfectly on a flat surface. I then set the uf calibration to 111. This time it pulled 133ml. Good enough to pass, but I'm not pleased with the fact that I had to set the uf pump calibration to 111 when I had ACTUALLY measured 107 and some change. To get that I did the uf calibration via the manual, I weighed the before (250ml) and after and got 107.2 And even at 111 it still wasn't perfect.
All the sensors for the uf matched, no alarms previously or while doing my mock treatments, and no patient or staff complaints of patients leaving dryer than expected either.
machine is v9.12 with a little over 20k hours. Not noticing any air bubbles or leaks otherwise either. I've never had one do this, usually my uf check goes without event.
Thoughts?
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btech
New Member
Posts: 43
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Post by btech on Feb 7, 2023 9:36:12 GMT
The UF is depening on many factors, two of them are DDE and RVDA, if they are wrongly adjusted the UF measurement wont be accurate. That might be the reason why you are not getting a correct result during your test´s. A blocked/ old DF filter as an example can have an impact aswell.
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Post by Admin on Feb 7, 2023 11:40:38 GMT
I agree with B-Tech. Definitely change your DF Filter, disinfect, and run a uf cal and try it again and let us know.
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Post by bcjammerx on Feb 8, 2023 2:06:47 GMT
it doesn't have a df filter, you do mean the one on the back correct? yeah it doesn't have one of those :\ I'll look into checking the dde and rvda though, thanks for the guidance
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Post by Admin on Feb 8, 2023 2:46:26 GMT
Yup the one on the back. Also make sure there’s no air bubbles in the lines
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Post by Travis CHBT on Feb 8, 2023 18:33:05 GMT
bcjammerx, where are you hanging your graduated cylinder and are you able to run a BFR of 400ml/min without any venous pressure alarms? If the cylinder is too low it can pull more fluid. Cylinder/lines should be patient height.
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Post by bcjammerx on Feb 10, 2023 1:40:01 GMT
bcjammerx, where are you hanging your graduated cylinder and are you able to run a BFR of 400ml/min without any venous pressure alarms? If the cylinder is too low it can pull more fluid. Cylinder/lines should be patient height. twice on the rack behind the monitor, twice on the floor...both times it pulled more than it should have but it pulled 150 with it on the monitor rack and on the floor Yes it runs up to max bfr without alarms
Also, it doesn't have a df filter and no air bubbles. It's pulling correctly just had to set it to 111 instead of 107
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Post by Admin on Feb 10, 2023 12:18:09 GMT
BC Jammer - I take a graduated cylinder, drill a hole in the top, and put a zip tie on it and hang it from the heparin pump barrel holder.
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Post by Chuck Weddle on Feb 10, 2023 12:51:22 GMT
BC Jammer - I take a graduated cylinder, drill a hole in the top, and put a zip tie on it and hang it from the heparin pump barrel holder. This is what we do also. Question......If there is a substantial difference in volume going from the cylinder being on the floor and at dialyzer height....wouldn't that be an indication of a problem with the piston pump?
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Post by bcjammerx on Feb 11, 2023 12:07:01 GMT
BC Jammer - I take a graduated cylinder, drill a hole in the top, and put a zip tie on it and hang it from the heparin pump barrel holder. This is what we do also. Question......If there is a substantial difference in volume going from the cylinder being on the floor and at dialyzer height....wouldn't that be an indication of a problem with the piston pump? could be, but mine drew the same amount no matter where I put it, and I put it behind the monitor twice and on the floor twice. each time it drew the same amount after the pump was calibrated to 107...each time it drew 150ml instead of 125 (new and old piston pump drew this amount). so I had replaced the piston pump and still drawing 150, so I replaced the bc membranes, still drew 150. course this is a 9.12 and doesn't have the bc membrane calibration, not that it would matter in this case it seems. I set the uf pump calibration to 111 and it drew 130. so problem "solved", I just don't like "fixin" it like that :\
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