AAMI Standards & RD52-2004 Recommendations
AAMI Standards RD52-2004
AAMI Standards & RD52-2004 Recommendations - Print PDF

Water Testing

Test
Usage
Where Used
Test Goals
Product Used
Endotoxin
Weekly, until a pattern
of consistent compliance
is demonstrated (recommended
monthly thereafter)
1st and last outlets of water loop + reprocessing and
bicarb mixing points
Action Limit:
<2EU/mL / 200CFU/mL
Alert Limit:
<1EU.mL / <50CFU/mL
Pyrosate
pH

Daily as part of RO
system validation

Prior to water entering
RO pre-treatment system
Around neutral pH 7.0
Serim Water pH
Test Kit #5154
Total
Chlorine
Daily, as part of RO
system validation. Also
prior to 2nd and 3rd shifts
(if applicable)
Between and after
carbon beds
<0.1 ppm
Water
Hardness
Daily, as part of RO
system validation
After water softener
At or <10 ppm
Pyrosate Endotoxin Testing

Dialysate Testing

Test
Usage
Where Used
Test Goals
Product Used
Endotoxin Monthly, rotated. Test at
least 2 machines / month.
Each machine is tested at
least once / year.
From dialysate port of
the dialyzer or a sampling
from which samples can be collected using a pyrogen-free container
Action Limit:
<2EU/mL / <200CFU/mL
Alert Limit:
<1EU/mL / <50CFU/mL
Ultrapure dialysate:
<0.03EU/mL / <0.1CFU/mL
Infusion dialysate:
<0.03EU/mL / <1CFU/1000mL
Pyrosate
Bicarbonate-
acid mixed
solution pH
Before each treatment
in addition to machine
reading (must have 2
separate tests)
After dialysis equipment
has diluted bicarb & acid
concentrates. Sample from
port entering dialyzer
7.0 - 8.0 Serim Bicarb
pH Test Kit
#5116A
  Replaces the Phoenix meter (and their associated calibrations and repairs)
Conductivity can be done with a less expensive MyronL.
Pyrosate Endotoxin Testing

Other Tests

Test
Usage
Where Used
Test Goals
Product Used
Residual
Chlorine
When using chlorine to clean dialysis equipment
concentrate containers, etc.
Final rinse water <0.5 ppm Serim Residual
Chlorine Test Kit
#5100A or 5100C
Blood Leak
in dialysate
When blood leak
detector alarms
Test dialysate exiting
dialyzer or waste fluid
from drain line
<0.35 mL/min Serim Blood Leak Test Kit #5119 or
#5119A
  Replaces Hemastix® or urine multiple test strips