AAMI RD52 : 2004

Glossary of equivalent standards
Committee representation
Foreword
Introduction: Need for this AAMI recommended practice
Changes to ANSI/AAMI RD52:2004, as a result of Amendments
1 - 4
1 Scope
  1.1 General
  1.2 Inclusions
  1.3 Exclusions
2 Normative references
3 Definitions
4 Fluid quality
  4.1 Water
      4.1.1 Maximum level of chemical contaminants in water
      4.1.2 Bacteriology of water
  4.2 Concentrate
      4.2.1 Maximum level of chemical contaminants in
            concentrate
      4.2.2 Bacteriology of concentrate
  4.3 Dialysate
      4.3.1 Maximum level of chemical contaminants in
            dialysate
      4.3.2 Bacteriology of dialysate
5 Equipment
  5.1 General
  5.2 Water purification systems
      5.2.1 General
      5.2.2 Sediment filters
      5.2.3 Cartridge filters
      5.2.4 Softeners
      5.2.5 Carbon adsorption
      5.2.6 Chemical injection systems
      5.2.7 Reverse osmosis
      5.2.8 Deionization
      5.2.9 Ultrafiltration
  5.3 Water storage and distribution
      5.3.1 General
      5.3.2 Water storage
      5.3.3 Water distribution systems
      5.3.4 Bacterial control devices
  5.4 Concentrate preparation
      5.4.1 General
      5.4.2 Materials compatibility
      5.4.3 Bulk storage tanks (acid concentrate)
      5.4.4 Mixing systems
      5.4.5 Additives
  5.5 Concentrate distribution
      5.5.1 Materials compatibility
      5.5.2 System configurations
      5.5.3 Acid concentrate distribution systems
      5.5.4 Bicarbonate concentrate distribution systems
      5.5.5 Concentrate outlets
  5.6 Dialysate proportioning
6 Monitoring
  6.1 General
  6.2 Water purification
      6.2.1 General
      6.2.2 Sediment filters
      6.2.3 Cartridge filters
      6.2.4 Softeners
      6.2.5 Carbon adsorption
      6.2.6 Chemical injection systems
      6.2.7 Reverse osmosis
      6.2.8 Deionization
      6.2.9 Ultrafiltration
  6.3 Water storage and distribution
      6.3.1 General
      6.3.2 Water storage
      6.3.3 Water distribution systems
      6.3.4 Bacterial control devices
  6.4 Concentrate preparation
      6.4.1 Mixing systems
      6.4.2 Additives
  6.5 Concentrate distribution
  6.6 Dialysate proportioning
7 Strategies for bacterial control
  7.1 General
  7.2 Microbial monitoring methods
      7.2.1 General
      7.2.2 Sample collection
      7.2.3 Heterotrophic plate count
      7.2.4 Bacterial endotoxin test
8 Environment
9 Personnel
Annexes
A - Rationale for the development and provisions of this
    recommended practice
B - Bibliography
C - Special considerations for home hemodialysis
D - Self-assessment of compliance with recommendations
    for dialysate preparation
E - Special considerations for acute hemodialysis

Gives guidance to dialysis practitioners on the preparation of dialysate for hemodialysis and related therapies, from the point at which municipal water enters their dialysis facility to the point at which the final dialysate enters the dialyzer.