Name: Candela GentleLASE 9914-00-0880
Brand: Candela
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Candela Corporation Proprietary

8501-00-1741, Revision A

July 2003

GentleLASE

(MGL)

Service Manual

Models: 9914-00-0880

9914-00-0890

9914-00-0910

9914-00-0930

Candela Corporation

530 Boston Post Road

Wayland, MA 01778-1886

Telephone (508) 358-7637

Table of Contents4
How to Use this Manual20
Definitions of Expressions Used in this Manual22
General Precautions before Use23
Intended Use26
Safety Philosophy27
The Preparation of Dialysis Fluid30
Inlet Water Requirements30
Preparation of the Dialysis Fluid30
Ultrafilters; Frequency of Change30
List of Concentrates, Accessories and Disposables31
List of Symbols34
Description - the Machine and Its Components37
Blood Monitor38
Product View38
Fluid Monitor40
Rear of the Machine - Without Options42
Rear of the Machine - Options Included44
Monitor Stand46
Electrically Adjustable Height48
Controlling the Machine - General Guidelines51
Operator’s Panel52
Hygiene Group54
Mode Group55
Concentrate Stand-By Mode56
Procedure for Manual Activation57
Resume Fluid Preparation57
Therapy Group59
Treatment Overview Group60
Bargraph Display60
Flow Diagram60
Ultraﬁltration Path60
Time Display61
Parameter Buttons and Their Displays62
Reset Possibilities66
Alarm Indicators67
Alarm Function of the Parameter Buttons68
Override Possibilities70
Arterial Pressure Alarm Override70
Low Venous Pressure Alarm Override70
Air Detector Alarm Override70
Blood Leak Alarm Override71
Stand-By Group72
Display and Setting Group73
Information Display73
Treatment Overview Screen74
Function Check Overview Screen76
Tests Shown on Function Check Overview Screen77
The Eight Commandments78
Setting of Parameters79
Downloading Treatment Parameters82
The Ultrafiltration Control84
Protective System for Ultrafiltration85
Returning the Blood During a Power Failure88
Battery Back-Up88
Recovery from a Short Power Failure89
Recirculation During Treatment90
Reconnection of the Patient90
Change of Blood Pump Segment92
Bicart/Selectcart Change During Treatment93
Hemodialysis, Double Needle Treatment95
Check before Starting the Machine96
Start the Machine96
Function Check97
Select Concentrates98
Connect Concentrates100
Attaching the Dialyzer and the Blood Lines105
Arterial Blood Line106
Venous Blood Line110
Priming and Rinsing the Extracorporeal Circuit111
Initiating113
Set the Treatment Parameters113
Always Check/Adjust113
Connect the Patient114
Start the Treatment115
Pressure Alarm Limits Setting116
Venous/Arterial Pressure116
Tmp116
Discontinuing118
Automatic Emptying of Bicart, Selectcart and Selectbag118
Discontinuing Procedure119
After-Treatment Handling of the Machine120
Hemodialysis, Single Needle Treatment123
Glossary of Single Needle Parameters and Key Terms125
Single Needle Treatment with Two Blood Pumps126
Priming and Rinsing Procedure in Single Needle/Double Pump Mode131
Single Needle Treatment with One Blood Pump140
Single Needle / Single Pump Settings141
Double Needle to Single Needle Treatment - Change During Treatment146
Resume Treatment146
Isolated UF151
Profiling155
Profiling of Na+ and HCO3- Dialysis Fluid Concentration156
3 Different Graphs for Proﬁling Sodium and Bicarbonate156
Proﬁling, Degressive Graph157
Proﬁling, Progressive Graph157
Profiling of Ultrafiltration Rate158
Curve Setting/Change/Cancellation159
Activation of Profiling with Already Preset Models161
Hemodiafiltration, Low Volume163
Protective System for Low Volume HDF164
Start up166
Infusion Line in HDF Low Volume, Set-Up167
Priming and Rinsing168
Initiating and Starting169
Bolus Infusion Possibility170
BVS - Blood Volume Sensor171
∆BV Text Information173
Alarm174
Graphs175
BVS On/Off176
BPM - Blood Pressure Monitor179
Patient Factors Which Affect Readings181
BMP Handling183
The BPM Screens184
BPM Button Pressed Once184
BPM Button Pressed Twice185
BPM Alarm Function186
Alarm Limits Setting186
Mode187
Start/Stop188
Diascan189
How the Measuring Process Is Performed by the Machine190
Glossary of Diascan Parameters and Key Terms191
Precautions before Use192
Screens (Diascan)193
The First Screen194
Measurement Mode194
Alarm Limit for Clearance194
Measurement Result Values195
The Second Screen196
Distribution Volume196
Forecast198
Target198
Alarm Limit for Kt/V198
Measurement Result Values When Distribution Volume Has Not Been Set199
Second Screen Symbol199
Measurement Result Values When Distribution Volume Has Been Set200
Accumulated and Forecast Values201
The Third Screen201
Latest Measured Values201
Time to Target202
Third Screen Symbols202
Clearance Alarm Limit203
Kt/V Alarm Limit203
Step-By-Step Instructions for Measuring Clearance and Kt/V204
Single Clearance Measurement Check204
Continuous Measuring of Clearance206
Single Kt/V and Clearance Measurement Check208
Continuous Measuring of Kt/V and Clearance210
Hygiene and Maintenance213
Glossary of Disinfection Terms215
Disinfection History216
List of Disinfection Screen Symbols216
Schedule for Hygiene and Maintenance218
When the Machine Is Planned Not to be in Use219
Characteristics of Disinfection, Decalcification and Cleaning Agents220
Hygiene - Heat Disinfection221
Performing Heat Disinfection Program223
Performing Heat Disinfection Program with Cleancart224
Performing Heat Disinfection Program with Liquid Citric Acid225
Performing Integrated Heat Disinfection Program with WRO 300 H226
Before Starting Integrated Heat Disinfection Program with WRO 300 H226
Automatic Start of Heat Disinfection Program228
Automatic Switch off after Heat Disinfection Program229
Integrated Heat Disinfection229
Hygiene - Chemical Disinfection230
Chemical Disinfectants231
Performing Chemical Disinfection Program232
Filling the Machine with Chemical Disinfectant233
Residual Test after Chemical Disinfection235
Central Chemical Disinfection236
Hygiene - Rinse/Drain237
Performing Rinse/Drain Program with Cleancart238
Automatic Start of Rinse/Drain Program240
Automatic Switch off after Rinse/Drain Program241
Maintenance - the Flow Path242
Decalcification242
Ultrafilter; How to Change243
Ultrafilter Replacement Reminder244
Maintenance - the Exterior of the Machine245
Blood Pump Care245
Blood Leak Detector Care245
Top Tray Care245
BPM Cuff Care246
Technical Data and Specifications247
Performance and Specification - Control System248
Blood Flow Control248
Double Needle248
Single Needle Single Pump/Single Needle Double Pump248
Blood Pressure Monitor (BPM)249
Blood Volume Sensor (BVS)249
Heparin Administration249
Air Detection249
Dialysis Fluid Preparation250
Ph Supervision250
Conductivity250
Concentration250
Half-Times251
Substitution Fluid (Low Volume HDF)251
Ultrafiltration Control251
Degassing251
Disinfection and Cleaning252
Heat Disinfection Program252
Peracetic Acid Program253
Low Concentration Peracetic Acid Program254
Hypochlorite Program254
Formaldehyde Program254
Water Supply255
Central Disinfection Program255
Other Programs, Total Time255
Drain256
Power Supply256
Connection of External Equipment256
External Serial Interface257
External Interface257
External I/O Interface257
Performance and Specification - Supervisory System259
Blood Pressure Supervision259
Ultrafiltration261
Substitution Fluid (Low Volume HDF)261
Physical Data262
Materials in Contact with Water, Concentrates and Dialysis Fluid263
Environmental Data264
Transportation and Storage264
Electromagnetic Environment264
Standards268
Alarm List270
Attention Alarm List277
Technical Alarm List313
Major Changes in Operator’s Manual315
Major Changes between Program Version 7.XX and 8.XX316
Index320
Firmware Requirement Specification324
- Definitions326
- Mini-GL326
- Mini-GL (LE)326
- Product Concept326
- Product Description326
- Purpose326
- References326
- Both Systems327
- Constraints327
- Control System Firmware327
- Hardware327
- Assumptions and Dependencies328
- Detailed Requirements328
- Programming Language328
- Safety328
- System States328
- Mini-GL State Diagram329
- Initialization State330
- Ready State330
- Standby State330
  - Standby Sub-Process/Warm-Up Sub-Process330
  - Activate Sub-Processes331
  - Calibrate Sub-Processes331
- Fault State331
- Ready Sub-Processes331
- Operator Controls333
- User Interface333
- Control Buttons334
- Displayed Control Variables334
  - Main Screen Parameter Buttons334
  - Option Screen Parameter Buttons334
- DCD Control (Optional)335
- External DCD (External Large Cylinder) Connected335
- Internal DCD (Candela 1000G Canister) Connected335
- No DCD Connected (no Treatment Area Cooling)335
- Third Party Vendor Cooling335
- DI Temperature Control336
- Laser Variable Mode/Maintenance Mode (MM or Maint Mode)336
- System Maintenance Interface336
- System Safety Monitor Components336
- Faults and Warnings337
- Installation Procedure340
- Laser System Unpacking340
- Coolant System Filling341
Installation Procedure341
- Initial Cryogen Canister Installation342
- Canister and Delivery System Locations342
- Handpiece Assembly Installation343
- Distance Gauge Installation344
- Fiber Assembly Installation344
- Footswitch Installation344
- Relocation345
- Mgentlelase Routine Preventative Maintenance Procedure346
Routine Preventive Maintenance Procedure349
- Procedures/Calibration350
- MGL & Gentlelase Flashlamp Replacement Procedure352
Flashlamp Replacement Procedure354
Handpiece Lens Replacement Procedure357
Handpiece Lens Replacement Procedure359
Mgentlelase HVPS Calibration Procedure361
Head Detector Calibration Procedure366
Laser Rail Alignment Procedure370
Laser Rail Alignment Procedure372
Mini-Gentlelase PM CHECKLIST375
- Lasers Treatment Guidelines376
- Hair Removal Treatment Guidelines376
- Telangiectasia (2-3 MM) Treatment Guidelines378
- Winkles Treatment Guidelines378
- Benign Pigmented Lesions Treatment Guidelines378
- Suggestions for Treatment379
- Skin Preparation for Treatment379
- Reduction of Plume and Hair Odor in Treatment Room379
- Untoward Effects379
- Treating Specific Body Areas380

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Candela GentleLASE 9914-00-0880 Specifications

General

Brand	Candela
Model	GentleLASE 9914-00-0880
Category	Personal Care Products
Language	English

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