fresenius kabi agilia service manual

By continuing to browse the site you are agreeing to our use of cookies. Please review our Privacy Policy for more details. All Rights Reserved. Sign in Forgot Password. My Bench Close Sign In Not A Member. Sign Up Join MedWrench OK name type Receive Summary Emails. This will also help other community members who face similar challenges. You are about to submit an abuse report for this post. By continuing to browse the site you are agreeing to our use of cookies. Please review our Privacy Policy for more details. All Rights Reserved. A collection of service manuals, tutorials and descriptions of medical equipment. Fresenius Injectomat MC Agilia. Fresenius prevention of accidental free flow.A password reset link will be sent to you by email. Injectomat Agilia Technical Manual Eng.Injectomat Agilia is fitted at the back with an infrared cell. Injectomat Agilia is equipped with an integrated system allowing it to be fixed onto a pole or a rail. Its integrated locking system allows three Agilia IV pumps to be stacked on top of one another to facilitate transportation. Operation diagram Supply Mode, battery management, battery life indication Introduction Precautions for use Fresenius Kabi recommend a complete reading of the Instructions For Use manual, in accordance with norm EN 60 601-1. ! Fresenius Kabi cannot, in any circumstances, be held responsible for any medical or other problem due to incorrect use of the device. Kindly consult the Instructions For Use manual for more details. Atmospheric pressure: 700hPa to 1060hPa. Operation safety As soon as it is in operation, the Injectomat Agilia syringe pump ensures continuous surveillance of its functions. Any internal fault or any procedural anomaly is immediately detected. Nevertheless, abnormal functioning of the device, without a defined cause, must always be brought to the attention of the qualified staff in your establishment or our Technical Service.

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Blood warmer see the Fluid Warmer section. Infusion pumps of Alaris, Imed and CardinalHealth might be identical as well as BME and CME. Support is not desired. Argus 708 Support is not desired. B. Braun Horizon Nxt Support is not desired. Graseby 500, 505 Support is not desired. Graseby 3100 Support is not desired. Graseby 3300 Support is not desired. Graseby 3400 Support is not desired. Grasby Omnifuse PCA Support is not desired. Grasby Omnifuse Syringe Pump Support is not desired. Grasby Omnifuse Support is not desired. Graseby MS16A,26 Support is not desired. Hospira Acclaim Support is not desired. Nutricia F-800 Support is not desired. Smiths Medical Cadd-Legacy PCA Support is not desired. Smiths Medical Cadd-Legacy Plus Support is not desired. Smiths Medical Cadd-Prizm PCS 2 Support is not desired. Smiths Medical Cadd-Prizm VIP Support is not desired. Stihler Astotherm AP-220-260. Sign in Forgot Password. My Bench Close Sign In Not A Member. Sign Up Join MedWrench OK name type Receive Summary Emails. Combines a friendly, lightweight pump packed with features and functionality that can adapt to the way you work and grow, and offers steadfast support to get you up and running. It’s a smart approach using proven technology that makes the transition today and transformation tomorrow. FORUMS View All (3) Ask a New Question 1 Reply -leroyman2 7 months ago 7 months ago Syringe calibration kit Hi all, hope you well. Just wanted to know where I can buy syringe calibration kits? I have tried contacting technical support and searched the service manual but have had no luck. Reply SERVICE COMPANIES View All Infusion Pump Companies BMES Contact Mountain States Biomedical Services Contact FDA Alerts View All Fresenius Kabi Recalls Volumat MC Agilia Infusion Pump and Vigilant. The FDA has identified this as a Class I recall, the most serious type of recall. Use of these devices may cause serious injuries or death. This site uses cookies.

Important: If these maintenance procedures are not observed, the pump correct operation will be impaired. Quality control At the request of the health organisation, a quality check will be carried out every 12 months. A quality check (not included in the guarantee) consists of different inspection procedures as defined in the pump Technical Manual. Only a qualified technician may perform the quality check which must be performed using Fresenius Kabi software. For more information, kindly contact our Technical Service. Recycling of obsolete batteries and devices: Before disposal, remove battery from the device. Batteries and devices with this label must not be disposed of with the general waste. They must be collected separately and disposed of according to local regulations. For further information pertaining to waste processing regulation, contact your local Fresenius Kabi. Preventive maintenance Checks A quality control certificate is available at the end of this section. In order to ensure the smooth running of the checking procedure, recharge the battery for 16 hours beforehand. Keyboard description. Key Function ON switches on the pump. OFF switches it off when pressed for over three seconds. SILENCE ALARM STOP stops infusion. The selection keys scroll through the numbers and letters on the tenths, units and tens values and allow one to move to the next menu. OK validates your test selection or moves the cursor.It is advisable to clean and disinfect the device external surfaces regularly and especially before connecting a new patient and before any maintenance operation in order to protect patient and staff. Disconnect the device from its main supply before cleaning. Do not place in an AUTOCLAVE nor IMMERSE the device. Do not let liquids enter the device housing. If the device is placed in a high contamination risk unit, it is advisable to leave it in the room during disinfecting, after having disinfected it with amoist cloth.

The alarm for the most rapidly detected discrepancy is activated. Injectomat Agilia is equipped with an internal battery that ensures normal functioning during a mains power cut. In addition, a safety fuse protects the concerned mains area.Protection against leakage current: Defibrillation-proof type CF applied Protection against electric shocks: class II. Description and operation Physical description Flanges groove Plunger protection Cover Plunger disengagement control Angle bracket Plunger Base Syringe clamp Control panel Injectomat Agilia is made up of three main parts: a base, a cover and an angle bracket. The cover contains: a display board. The base contains: a CPU board a mechanical framework assembly a plunger unit. The angle bracket contains: a power supply board and a battery Fixing clamp system. Preventive maintenance Recommendations The device can only be checked, serviced or repaired by Fresenius Kabi or by a certified and approved maintenance service. Any abnormal functioning of the pump must be brought to the attention of your in house qualified technical personnel or our Technical Service. Should you need to return the pump to our Technical Service, it should be cleaned, disinfected and very carefully packaged, preferably in its original packaging, before being shipped. For all information concerning the repair and use of the pump, kindly contact our Technical Service or our Customer service. Fresenius Kabi is not liable for loss or damage to the pump during its transport to our Technical Service. Maintenance schedule Preventive maintenance In order to maintain the pump’s performances, a preventive maintenance inspection must be carried out every 3 years. This procedure, which includes battery replacement, should be carried out by a qualified technician. Any abnormal functioning or failure must be reported to the qualified technical staff in your organisation or to our Technical Service. In these instances, the pump should not be used.

Recalibrate the position sensor (Cal 3) with maintenance software. Flow rate or displacement control drift. The installed syringe doesn't correspond with the selected syringe. The position sensor calibration values have drifted. Replace or confirm the right syringe brand. Check the position sensor calibration values and recalibrate it if necessary. Change the position sensor. Occlusion alarm after the device has been turned on. Wrong calibration of the force sensor. Force sensor is out of order. Flexible circuit cut. Occlusion alarm during the infusion. The pressure limit selected is too low. Wrong calibration of the force sensor. Flexible circuit cut. Disengagement alarm after the device has been turned on or during the infusion. The disengagement micro-switch is defective. Carriage flexible circuit is cut. Unjustified alarm of plunger head position. Recalibrate and check the force sensor. Replace the force sensor. Replace the flexible circuit. Select a higher pressure limit. Recalibrate and check the force sensor. Replace the flexible circuit. Replace the micro-switch. Replace the flat ribbon cable. Check the anti-siphon system Check the good condition of the pusher internal mechanism. Replace the flat ribbon cable. Flexible circuit cut. Defective syringe holder potentiometer. Flat ribbon cable is defective. Check the syringe holder and replace the defective parts if necessary. Display defect: LED, screen. Check the good condition of the display board. Replace the LED or the control transistors. Check the connectors linking the CPU and display boards. Replace the display board. Device turns off when mains cord disconnection. The battery is unplugged or the battery cable is cut. The power supply LED doesn't lit. Battery is totally discharged. Power supply board is defective. Check the battery connection. Replace the battery. Replace the power supply board. Problem Cause Action Battery alarm while it has been completely charged.

Use a cloth soaked in DETERGENT-DISINFECTANT, previously diluted with water if required, to destroy micro organisms. Avoid abrasive scrubbing which could scratch the casing. Do not rinse or wipe the surfaces. Do not use: TRICHLOROETHYLENE-DICHLOROETHYLENE. AMMONIA. AMMONIUM CHLORIDE. CHLORINE AND AROMATIC HYDROCARBON.Take care with ALCOHOL based SPRAYS (20% - 40% alcohol). They lead to tarnishing and small cracks in the plastic, and do not provide the necessary cleaning prior to disinfection. Disinfecting SPRAYS may be used, in accordance wih the manufacturer recommendation, from a distance of 30cm of the device, avoid the accumulation of the product in liquid form. Please contact the appropriate service responsible for cleaning and disinfecting products in your establishment for further details. Storage The device should be stored in a dry, cool place. In case of prolonged storage, the battery should be disconnected via the battery access flap situated underneath the device.This should be done by a qualified technician. Humidity: 10% to 90%, no condensation. Fully recharge the battery before using the device to avoid any risks caused by micro power Use of the internal battery This device is provided with NiMH battery. When the device is disconnected from the mains, it automatically switches to battery mode. Before starting for the first time, charge the battery for approx. 5 hours by connecting the power supply cord without using the device. In case of frequent mains operations, battery life may be decreased. To limit this risk, it is recommended to use the device on the battery mode, approximately every 4 weeks, until getting a battery pre-alarm signal. Diagnostic Troubleshooting guide Problem Cause Action End of infusion detected too early (at approximately 10ml). No end of infusion pre-alarm and alarm The installed syringe doesn't correspond with the selected syringe. Replace or confirm the right syringe brand.

If the keypad is unlocked during the infusion, it will lock again automatically after a time- out. The screen displays 5. Press OK to confirm. Switching from Night Mode to Day Mode You can switch to day mode as follows: 1. You can view the infusion history as follows: 1. Press 2. Press the arrow keys to select 3. Press enter. 4. You can view flow rate history as follows: 1. Press 2. You can view pressure history as follows: 1. Press 2. Press the arrow keys to select 3. You can view the remaining time before clinical information display as follows: 1. To return to the normal menus, power off then power on again. Option Descriptions Four different option groups are available on the pump. Communication via Wi-Fi The Wi-Fi option allows the pump to connect to a hospital information system without cables. To activate or deactivate the Wi-Fi module, see section 8.3, page 77. For more information on the Wi-Fi module, refer to the technical manual. Perform this user test before each use of the pump. 1. Check the external appearance of the pump for the absence of cracks or other visible damage. When an alarm is triggered, a message is displayed on the pump screen. We recommend that the user stand in front of the pump to read the message before acknowledgment. The time remaining is less than the defined time duration (adjustable between 1 and Near end of volume Medium (!!) 30 minutes), and the remaining VTBI until the limit !! volume limit has dropped to less than 10% of the syringe capacity. Information The upper soft limit is exceeded, according to Upper soft max signal the drug settings defined in the drug library. Information The lower soft limit is exceeded, according to Lower soft min signal the drug settings defined in the drug library. Temperature increase.This will prevent the back-up of IV fluid or medication into the gravity line.

Warning If the device is not used for an extended period (longer than 2 months), it is recommended that the battery be removed from the device and put. Range of settings and default values may be adjusted in the pump options (Basic Profile) or a compatible DERS (custom profiles). Increment rules may be modified with a compatible DERS (custom profiles). The battery charges when the pump is connected to AC power supply. Before starting for the first time, charge the battery for approximately 6 hours by plugging in the power supply cord with the pump powered off. Information If communication with the wireless network is interrupted, the pump can be used as intended. For more information, contact your Fresenius Kabi sales representative. Data integrity and quality of service are inherent in the design. The system should be ensured and maintained by a qualified and trained technical user, or a Fresenius Kabi sales representative. If such use is necessary, this equipment and the other equipment should be observed to verify that they are operating normally. Please refer to your competent Health Authority or local Fresenius Kabi sales representative to check availability on your market. Agilia Connect Infusion Devices detailed intended use are available on request. Discover everything Scribd has to offer, including books and audiobooks from major publishers. Start Free Trial Cancel anytime.Browse Books Site Directory Site Language: English Change Language English Change Language. A collection of service manuals, tutorials and descriptions of medical equipment. Fresenius Injectomat MC Agilia. With Injectomat Agilia you can monitor your syringe pump at Injectomat Agilia offers interactive navigation via www.fresenius-kabi.com Maintenance Tools.12 Dec 2016 Infusion Technology - Fresenius Kabi USA Fresenius kapi injectomat agilia service manual - EBME.

MAX 4376 voltage regulator is out of order. Check the battery charging voltage Replace the power supply board if necessary. Replace the battery. Battery is totally discharged. The device turns ON or turns OFF alone. Defective keyboard. Power supply board is out of order. Some keys of the keyboard do not work. Defective keyboard. Check and replace the keyboard if necessary. After a fall Mechanical elements are damaged. Check the status of the housings and the mechanical system. Modifications may be done in future editions.We are a non-profit group that run this website to share documents. We need your help to maintenance this website. The user must adhere to the instructions specified in this IFU. Failure to adhere to these instructions may result in damage to the equipment, injury to patients or injury to users. Typical initial training duration: 1 hour. It is recommended that users attend a refresher training session of about 20 minutes every year. For training, contact your Fresenius Kabi sales representative. Information For more information on using the device in specific conditions, contact your Fresenius Kabi sales representative. Near Power Cord Inlet Warning Near RS232 Communication Port See section 9, page 78. Infusion in Progress (Custom Profiles) This symbol is displayed when the pump is infusing a drug customized with infusion limits customized with a compatible DERS. Infusion Stopped STOP remains in the center of the screen until the user starts the infusion again. By default, factory settings include only 1 profile (Basic Profile). Custom profiles can be created and loaded to the pump using a compatible DERS. Custom profiles feature a specific pump configuration and a drug library. For example, make sure to limit flow rates for sensitive populations. Do not stack the pump with equipment other than those recommended. Using the Rotating Pole Clamp The rotating pole clamp is located at the back of the pump.

Preparing and priming the syringe and the extension set Section 12.2, page 87. Powering on Section 5.3, page 28. See section 4, page 23. 2. Plug the pump into the AC power supply. See section 16.1, page 103. 3. Before starting the pump for the first time, you must charge the battery for approximately 6 hours. The symbol shows three different charge levels: If the pump height is raised relative to the distal tip of the catheter (e.g., during patient transport), the increase in height of the syringe pump can result in a temporary increase in fluid delivery or bolus until the flow rate. A clinical advisory message may appear, if one is configured for the selected syringe. 4. A clinical advisory message may appear, if one is configured for the selected drug. 3. Press OK to acknowledge the clinical advisory message and continue programming, or C to change the drug.The VTBI and the flow rate are automatically calculated based on dose and duration settings. Infusion Duration At the current rate, the remaining infusion time in hours and minutes. To restart the infusion, first confirm or modify the programming settings, then start the infusion. The flow rate is calculated automatically. Flow rate Dose Rate 3. End of infusion settings are configurable with a compatible DERS (custom profiles), or in the pump options (Basic Profile). When the limit is reached, an alarm is triggered. 1. Access the Volume Limit menu, see section 7.12, page 66. Flow rate Dose Rate 2. Always select the automatic prime function for life-sustaining drugs. 6.11.2 Pre-programming the Pump You can program the pump before installing the syringe. 1. Warning To avoid the presence of air and to minimize the amount of time it takes the pump to recognize an occlusion and generate an alarm while infusing at low rates (e.g., less than 5 mL per hour, and especially flow rates less than 0.5 mL per hour):. The keypad will lock automatically at infusion start.

Fresenius Injectomat Agilia Service Manual User Manual Here 1 2 Hi, frendis i need a servive manual for Fresenius kapi injectomat agilia.. I also need the service manual - Fresenius Kabi Injectomat Agilia. Would you be so. Opportunity Makers. Your Faculty. Opportunity Makers. Your Faculty. Students receive the same guidance, expertise, and access to vast professional networks. While you may be learning online, our faculty is just on the other side of your screen, fully committed, and engaged in your success. All Rights Reserved. Intended use Injectomat Agilia is This pump must be Precautions to The symbol vis Injectomat Agilia wof the medical devicesradiations avoids the uis placed near devicedistances between equ The device must noshould always be used The device can be etc. If you wish to use tmust be used in a horiz The physiological esyringe. Check that thealarm setting times in r In case of unexpecalarm, to stop infusionChapter 6).Its immunity makes it possible to ensure correct operation.

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Hold for one second to turn the power off and If blood is sensed, the machine will power down with an audible alarm. 2008K Operator’s Manual rev. K 2008K Operator’s Manual rev. K. The data entry keys, at the bottom of the treatment display section, are the means used to enter treatment parameter values or make selections inside the treatment screen. 2008K Operator’s Manual rev. K. K 2008K Operator’s Manual rev. K. Specific information regarding each treatment screen can be found in Chapter 3, “Setting Treatment Parameters” and Chapter 4, “Monitoring the Treatment.” 2008K Operator’s Manual rev. K. The Override light will not illuminate. Warning! During an override, the blood leak detector is inactive. Monitor the treatment. 2008K Operator’s Manual rev. K 2008K Operator’s Manual rev. K. A minor blood leak has been detected by the blood leak detector.Dialysate flow is bypassing the dialyzer because dialysate is outside the allowable temperature or conductivity limits, or shunt interlock door is open. 2008K Operator’s Manual rev. K. Each component contributes to the task of transmitting the blood from the patient, through the dialyzer and back to the patient. Any machine can be set up for a pre-pump or post-pump arterial chamber, or single-needle dialysis (requiring two blood pumps) by adding modules, or rearranging their order. Tubing Retainer A spring-loaded device that secures the pump segment in place. 2008K Operator’s Manual rev. K. An optional thigh cuff is also available. Chamber Holder Latching door secures chamber in place. 2008K Operator’s Manual rev. K. The modules (Blood pump, level detector, and heparin pump) can be arranged on the 2008K in a variety of ways to allow for pre-or post-arterial pump pressure monitoring. The machine can accommodate most standard blood tubing that have pump segments ranging from 2 to 10 mm internal diameter. The green light above the key will light, and the “Select Program” screen (see Figure 12) will appear on the monitor.

The blue lines on the machine are guides for the venous bloodline (from the dialyzer to the patient). Be sure to use aseptic technique for all bloodline connections. 2008K Operator’s Manual rev. K. Warning! Make sure the collar of the pump segment is positioned below the bottom of the yoke. This will minimize the possibility of the segment kinking during pump operation. 2008K Operator’s Manual rev. K. To prevent contamination, do not allow it to touch the fluid in the bucket. 17. Mount the dialyzer in its holder, arterial-end up. 2008K Operator’s Manual rev. K. The Standard Prime method allows the operator to prime the blood circuit by controlling the flow of the saline manually. The Prime Amount method is a machine option that is set in the Service mode, and limits the amount of saline used in the priming procedure to a preset volume. Do not press the Level Adjust key so long that the pressure transducer protector becomes wet. Wet transducer protectors must be replaced to avoid erroneous pressure readings. 2008K Operator’s Manual rev. K. If 2X dialysate flow is selected, be sure that the dialysate flow rate is at least the minimum required rate. 2008K Operator’s Manual rev. K. The 2008K can be configured so that this testing is mandatory after power up providing that the force test option is selected. In this case, the test will start on its own. After a long power down, however, only the Both Tests button is enabled. 2008K Operator’s Manual rev. K 2008K Operator’s Manual rev. K. Pressing the RESET key once mutes an alarm, pressing it a second time resets the right side of the screen.These tests routinely happen every 12 minutes, and check the integrity of the hydraulic system. In the event of a failure, an alarm sounds and a warning message is displayed in the status box. If this option is not selected, an audible alarm will sound when the shunt interlock door is open. This can also be accomplished by pressing the New Treatment (New TX) key.

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The contents of this document may not be disclosed to third parties, copied, or duplicated in any form, in whole or in part, without the prior written permission of Fresenius Medical Care. The book begins with an overview that introduces the operator to the major components and describes how they are organized on the machine. Control The control panel is located at the top third of the 2008K and contains the Panel touch screen and panel keys used in controlling the treatment. Allergic reactions to chemical disinfectants may occur if insufficient procedures are used to remove or maintain the residual disinfectant at acceptable levels. Chemical disinfectants are 2008K Operator’s Manual rev. K. The machine must only be operated in accordance with these instructions. All operators of this machine must be thoroughly trained and have read this entire manual and any applicable appendices before using the machine. It is not a complete summary, and additional warning statements specific to pertinent topics can be found within this manual. Water Warning! Connect water inlet according to the specifications for the machine. Use Table 27 in Appendix B to ensure that you have compatible concentrates and configurations. Fresenius Medical Care manufactures bloodlines for use with the model 2008K hemodialysis machine. The performance of bloodlines not manufactured by Fresenius Medical Care cannot be guaranteed by Fresenius and are therefore the responsibility of the prescribing physician. Questions? For further information regarding the operation, repair, parts, or maintenance of the Fresenius 2008K hemodialysis machine, please contact: Fresenius USA 2637 Shadelands Drive (800) 227-2572. You should familiarize yourself with the location and purpose of these features. Located in the middle of the control panel is the touch screen that can display a variety of treatment screens through which the operator can use to set treatment parameters and monitor the treatment.

The New TX key allows the operator to reset patient treatment parameters to their default settings without interrupting the power to the machine. The following parameter value, press the CONFIRM key to save it in the 2008K memory. The following example illustrates this procedure. Most dialysate or dialysate-related alarm parameters are accessed from the “Dialysate” screen. Unless otherwise described, enter or change a dialysate-related value by following the procedure described in “Entering a Parameter” on page 49. 2008K Operator’s Manual rev. K. The “Concentrate” subscreen opens. K 2008K Operator’s Manual rev. K. The volume of each concentrate will count down as it is used. K 2008K Operator’s Manual rev. K. To shift the window downward, press the Down arrow key. 3) Press CONFIRM to save the new alarm settings.Verify that the pH is normal and that the conductivity is reasonably close to the theoretical value. If it is not, do not initiate dialysis. 2008K Operator’s Manual rev. K. If the UF Rate value is manually changed, the UF Time value will automatically change accordingly. 2008K Operator’s Manual rev. K. For more information, see “Sodium Variation System” on page 66. 2008K Operator’s Manual rev. K. Once the UF Goal and UF Time are entered, the Maximum UF Rate for the selected profile is calculated and displayed in the corresponding text box on the screen. 2008K Operator’s Manual rev. K. Set the UF Time to include the combined treatment and pure UF times. 2) Turn off Dialysate Flow. Yellow light will flash when flow is off. Once the SVS is started, it functions as a count down timer displaying the time remaining in the SVS program. The end time is represented in the profile graph by a tick mark on the horizontal axis. 2008K Operator’s Manual rev. K. It can be set to deliver heparin in a bolus dose and at a consistent rate during the treatment.The heparin pump should be monitored to verify the intended infusion during treatment. 2008K Operator’s Manual rev. K.

As the carriage moves upward, observe the heparin as it travels from the syringe through the heparin line. The heparin administration system is now ready for patient treatment. Warning! The heparin pump is to be used only under positive pressure conditions. Under negative pressure conditions, excessive heparin may be infused. 2008K Operator’s Manual rev. K. The right side of the screen is available to set the machine for various treatment options. Refer to the table below for descriptions of the purpose and functions of each button. The 2008K can upload treatment information to a network database for review by clinical staff using a personal computer. Modifying the 2008K operation to accommodate pediatric patients is accomplished by touching the Pediatric button on the Touch Screen. An X will appear in the On check box next to the button when the option is selected. An alarm event occurs when the patient’s systolic pressure reaches or exceeds the set value. 2008K Operator’s Manual rev. K. Note: Using cuff tubing longer than 10 feet may result in erroneous blood pressure readings. 2008K Operator’s Manual rev. K. Dialysate should already be verified for absence of disinfectant, verification of prescription, conductivity, and pH should also be confirmed. It is now time to connect the patient to the 2008K via the blood tubing and begin the dialysis treatment. The timer stops during a blood alarm or whenever the UF pump is stopped. 2008K Operator’s Manual rev. K. The sodium content of the dialysate remains at the profile level it was when the treatment was paused. The blood pump and the dialysate flow, however, remain running. 2008K Operator’s Manual rev. K. On the 2008K, the TMP is normally negative. Because the machine uses a closed, volumetric ultrafiltration system, the TMP is monitored primarily for detecting large shifts in pressure. K 2008K Operator’s Manual rev. K. UF Time This is the UF time selected for the treatment (min).

High Flux This shows whether or not the High Flux dialyzer option is set. 2008K Operator’s Manual rev. K. This value is reset to the default value when the New Tx key is pressed. The default value may be changed in Service Mode. 2008K Operator’s Manual rev. K. This data box displays in hours and minutes the amount of time the patient has been on dialysis. 2008K Operator’s Manual rev. K. Manual tests are preceded with “M”. Tests done for Access flow with the lines reversed are preceded with “AF”. These tests are not used in the Mean Kecn value. 2008K Operator’s Manual rev. K. The yellow dotted line shows the alert level. The vertical dotted line indicates the scheduled end of treatment. 2008K Operator’s Manual rev. K. The displayed TMP during this time represents pressure within the hydraulics, therefore, the TMP reading may change slightly. The TMP alarm limits are spread during the test. 2008K Operator’s Manual rev. K. Observe the venous chamber and bloodline to ensure that no air is infused in the patient. Manual circulation time is the responsibility of the clinic’s medical supervisor. 2008K Operator’s Manual rev. K. Check all parameters (UF Goal, UF Time, UF Rate, UF-Removed) for correct settings and adjust if necessary. 2008K Operator’s Manual rev. K. In such cases: 1. Place the dialysate supply lines on the shunt 2. Cap the dialyzer ports with the caps supplied with the dialyzer and process dialyzer as per unit protocol 2008K Operator’s Manual rev. K. Be sure to open the door to the optical detector before pulling the line from the venous clamp and optical detector assembly. 2008K Operator’s Manual rev. K. Included are instructions for running the programs found on the “Select Program” screen designed to clean and disinfect the fluid paths found in the 2008K. Cleaning and Disinfection Daily cleaning, chemical, and heat disinfection procedures should be performed to maximize the efficiency and minimize bacterial levels within the system.

The machine should The fluid path of the 2008K can be disinfected chemically or with heat. The machine should be rinsed thoroughly after chemical disinfection and before introducing any other chemicals be rinsed thoroughly after chemical disinfection and before introducing any other chemicals to the machine. If the machine is chemically disinfected daily, we recommend that it also be heat disinfected at least once per week. 2008K Operator’s Manual rev. K. Check for residual disinfectant before using the disinfected containers. All concentrate containers should be left empty (shake if necessary) and inverted when stored overnight. 2008K Operator’s Manual rev. K. With some RO systems, the water inlet line may be disinfected along with the RO and distribution piping by leaving the dialysis machine in Rinse mode during RO disinfection. 2008K Operator’s Manual rev. K. The purpose of the Acid Cleaning program is to prevent the buildup of bicarbonates inside the machine that can have a detrimental effect on the machine’s performance and treatment efficacy. If you are unable to completely clean biofilm from the drain line, select the “Extended Pre-rinse” option in Service Mode. If necessary, replace the drain line. 2008K Operator’s Manual rev. K. The message, “ Rinsing Lines, Please Wait ” is displayed in the Status box.Warning! Test for residual disinfectant prior to starting treatment following a chemical disinfection. Note: The machine will automatically perform a Diasafe test after the Chemical Rinse program completes. 2008K Operator’s Manual rev. K. The message, “Rinsing Line, Please Wait” is displayed in the Status box. 7. When prompted, connect red connector to chemical disinfectant. Press CONFIRM. Operator’s Manual rev. K 2008K. Note: Visually confirm that disinfectant has been pulled into the machine. Warning! The mandatory rinse cycle must be completed and a test for residual disinfectant must be performed prior to the next treatment. 2008K Operator’s Manual rev.

K. The entire Rinse program must be completed before the operator can initiate dialysis. Operator’s Manual rev. K 2008K. When problems or potential problems are detected, the operator is alerted through informational messages displayed on the screen and in some cases, audible alarms. Warning Status The Status Box background changes to yellow when a Warning condition exists. A Warning condition, although potentially serious, does not pose an immediate threat to the patient. Operator’s Manual rev. K 2008K. The accompanying table describes the function of each feature. If there is no blood alarm present, pressing and holding this key for one full second will re-center the arterial and venous alarm limits. Operator’s Manual rev. K 2008K. The table following this section is indexed by Status box message.Operator’s Manual rev. K 2008K. Verify that. If problem persists, take blood pump Blood Pump Message) module out of service and alert a qualified technician. Troubleshooting 2008K Operator’s Manual rev. K. Possibility that the level adjust pump Blood Pump Message) key is pressed is connected backward so that the level is lowered instead of raised. If alarm is not cleared, take the communication problem machine out of service and alert a qualified technician. Adjusting TMP The operator has chosen to relieve Advisory No action necessary.K Air Detector Alarm The level of blood in the venous drip Blood 1) Inspect the venous drip chamber and level detector module to chamber is too low. Alarm see if: There is an adequate level of blood in chamber. Message value is acceptable or enter new value. Troubleshooting 2008K Operator’s Manual rev. K. K BIC PUMP ALARM This is a pump failure warning. Warning A single occurrence is not a problem if the machine automatically resets. If the problem persists for longer than one minute or occurs repeatedly, turn machine power off and back on. If alarm is not cleared, take the machine out of service.

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Read our cookie policy. Because every patient deserves treatment as strong as they are. Supported browsers include Chrome, Edge, Firefox, and Safari. Learn About the steps that we are taking to protect our patients, employees, physicians, and partners. If you are a patient with questions or concerns, please find additional information at FreseniusKidneyCare.com and AzuraVascularCare.com For a complete description of hazards, contraindications, side effects and precautions, see full package labeling. All Rights Reserved. All other trademarks are the property of their respective owners. Download and Read Fresenius K2 Machine Manual Fresenius K2 Machine Manual Spend your time even for only few minutes to read a book. LeRoi Air Comp 125 Preview Pages 7 to than the Buy It. Fuel, Air, Intake and. Download and Read Fresenius K Machine Manual straight box stitch for beginners learn the basics of crochet and how to crochet beginners russian with interactive. Bobcat T190, T200, T250, hydraulic pecker for 1. Auto Trans Oil Cooler. Milestones in Dialysis: Home over 90% of the machines utilized in the provision of hemodialysis are manufactured by Fresenius Medical Care. I highly recommend a. Fresenius K Machine Manual from facebook. Fresenius K Machine Manual download. Fresenius K Machine Manual from instagram. DO NOT RELEASE - RESOLD AT LOT 783R: to keep your vehicle working properly. Using this repair manual T300, T320 Bottom Track. Your bid is the same as or more Ingersoll-Rand Pro Pac Single brakes. Small Diesel Engine Service Manual This small diesel manuals that deal with more than 200 different of a mechanic; it includes valuable information as with up to 160. Fresenius Medical Care - Schweinfurt Plant. Bobcat T190, T200, T250, specified a shipping method to Russian Federation. Over 100,000 machines. 14H Fresenius K Machine Manual from. Fresenius K2 Machine Manual FREE FRESENIUS K2 MACHINE MANUAL DOWNLOAD The best ebooks about Fresenius K2 Machine Manual that you can get.

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Specific information regarding each treatment screen can be found in Chapter 3, “Setting Treatment Parameters” and Chapter 4, “Monitoring the Treatment.” 2008K Operator’s Manual rev. K. The Override light will not illuminate. Warning! During an override, the blood leak detector is inactive. Monitor the treatment. 2008K Operator’s Manual rev. K 2008K Operator’s Manual rev. K. A minor blood leak has been detected by the blood leak detector.Dialysate flow is bypassing the dialyzer because dialysate is outside the allowable temperature or conductivity limits, or shunt interlock door is open. 2008K Operator’s Manual rev. K. Each component contributes to the task of transmitting the blood from the patient, through the dialyzer and back to the patient. Any machine can be set up for a pre-pump or post-pump arterial chamber, or single-needle dialysis (requiring two blood pumps) by adding modules, or rearranging their order. Tubing Retainer A spring-loaded device that secures the pump segment in place. 2008K Operator’s Manual rev. K. An optional thigh cuff is also available. Chamber Holder Latching door secures chamber in place. 2008K Operator’s Manual rev. K. The modules (Blood pump, level detector, and heparin pump) can be arranged on the 2008K in a variety of ways to allow for pre-or post-arterial pump pressure monitoring. The machine can accommodate most standard blood tubing that have pump segments ranging from 2 to 10 mm internal diameter. The green light above the key will light, and the “Select Program” screen (see Figure 12) will appear on the monitor. The blue lines on the machine are guides for the venous bloodline (from the dialyzer to the patient). Be sure to use aseptic technique for all bloodline connections. 2008K Operator’s Manual rev. K. Warning! Make sure the collar of the pump segment is positioned below the bottom of the yoke. This will minimize the possibility of the segment kinking during pump operation. 2008K Operator’s Manual rev. K.

Allergic reactions to chemical disinfectants may occur if insufficient procedures are used to remove or maintain the residual disinfectant at acceptable levels. Chemical disinfectants are 2008K Operator’s Manual rev. K. The machine must only be operated in accordance with these instructions. All operators of this machine must be thoroughly trained and have read this entire manual and any applicable appendices before using the machine. It is not a complete summary, and additional warning statements specific to pertinent topics can be found within this manual. Water Warning! Connect water inlet according to the specifications for the machine. Use Table 27 in Appendix B to ensure that you have compatible concentrates and configurations. Fresenius Medical Care manufactures bloodlines for use with the model 2008K hemodialysis machine. The performance of bloodlines not manufactured by Fresenius Medical Care cannot be guaranteed by Fresenius and are therefore the responsibility of the prescribing physician. Questions? For further information regarding the operation, repair, parts, or maintenance of the Fresenius 2008K hemodialysis machine, please contact: Fresenius USA 2637 Shadelands Drive (800) 227-2572. You should familiarize yourself with the location and purpose of these features. Located in the middle of the control panel is the touch screen that can display a variety of treatment screens through which the operator can use to set treatment parameters and monitor the treatment. Hold for one second to turn the power off and If blood is sensed, the machine will power down with an audible alarm. 2008K Operator’s Manual rev. K 2008K Operator’s Manual rev. K. The data entry keys, at the bottom of the treatment display section, are the means used to enter treatment parameter values or make selections inside the treatment screen. 2008K Operator’s Manual rev. K. K 2008K Operator’s Manual rev. K.

The right side of the screen is available to set the machine for various treatment options. Refer to the table below for descriptions of the purpose and functions of each button. The 2008K can upload treatment information to a network database for review by clinical staff using a personal computer. Modifying the 2008K operation to accommodate pediatric patients is accomplished by touching the Pediatric button on the Touch Screen. An X will appear in the On check box next to the button when the option is selected. An alarm event occurs when the patient’s systolic pressure reaches or exceeds the set value. 2008K Operator’s Manual rev. K. Note: Using cuff tubing longer than 10 feet may result in erroneous blood pressure readings. 2008K Operator’s Manual rev. K. Dialysate should already be verified for absence of disinfectant, verification of prescription, conductivity, and pH should also be confirmed. It is now time to connect the patient to the 2008K via the blood tubing and begin the dialysis treatment. The timer stops during a blood alarm or whenever the UF pump is stopped. 2008K Operator’s Manual rev. K. The sodium content of the dialysate remains at the profile level it was when the treatment was paused. The blood pump and the dialysate flow, however, remain running. 2008K Operator’s Manual rev. K. On the 2008K, the TMP is normally negative. Because the machine uses a closed, volumetric ultrafiltration system, the TMP is monitored primarily for detecting large shifts in pressure. K 2008K Operator’s Manual rev. K. UF Time This is the UF time selected for the treatment (min).High Flux This shows whether or not the High Flux dialyzer option is set. 2008K Operator’s Manual rev. K. This value is reset to the default value when the New Tx key is pressed. The default value may be changed in Service Mode. 2008K Operator’s Manual rev. K. This data box displays in hours and minutes the amount of time the patient has been on dialysis. 2008K Operator’s Manual rev. K.

Manual tests are preceded with “M”. Tests done for Access flow with the lines reversed are preceded with “AF”. These tests are not used in the Mean Kecn value. 2008K Operator’s Manual rev. K. The yellow dotted line shows the alert level. The vertical dotted line indicates the scheduled end of treatment. 2008K Operator’s Manual rev. K. The displayed TMP during this time represents pressure within the hydraulics, therefore, the TMP reading may change slightly. The TMP alarm limits are spread during the test. 2008K Operator’s Manual rev. K. Observe the venous chamber and bloodline to ensure that no air is infused in the patient. Manual circulation time is the responsibility of the clinic’s medical supervisor. 2008K Operator’s Manual rev. K. Check all parameters (UF Goal, UF Time, UF Rate, UF-Removed) for correct settings and adjust if necessary. 2008K Operator’s Manual rev. K. In such cases: 1. Place the dialysate supply lines on the shunt 2. Cap the dialyzer ports with the caps supplied with the dialyzer and process dialyzer as per unit protocol 2008K Operator’s Manual rev. K. Be sure to open the door to the optical detector before pulling the line from the venous clamp and optical detector assembly. 2008K Operator’s Manual rev. K. Included are instructions for running the programs found on the “Select Program” screen designed to clean and disinfect the fluid paths found in the 2008K. Cleaning and Disinfection Daily cleaning, chemical, and heat disinfection procedures should be performed to maximize the efficiency and minimize bacterial levels within the system. The machine should The fluid path of the 2008K can be disinfected chemically or with heat. The machine should be rinsed thoroughly after chemical disinfection and before introducing any other chemicals be rinsed thoroughly after chemical disinfection and before introducing any other chemicals to the machine.

To prevent contamination, do not allow it to touch the fluid in the bucket. 17. Mount the dialyzer in its holder, arterial-end up. 2008K Operator’s Manual rev. K. The Standard Prime method allows the operator to prime the blood circuit by controlling the flow of the saline manually. The Prime Amount method is a machine option that is set in the Service mode, and limits the amount of saline used in the priming procedure to a preset volume. Do not press the Level Adjust key so long that the pressure transducer protector becomes wet. Wet transducer protectors must be replaced to avoid erroneous pressure readings. 2008K Operator’s Manual rev. K. If 2X dialysate flow is selected, be sure that the dialysate flow rate is at least the minimum required rate. 2008K Operator’s Manual rev. K. The 2008K can be configured so that this testing is mandatory after power up providing that the force test option is selected. In this case, the test will start on its own. After a long power down, however, only the Both Tests button is enabled. 2008K Operator’s Manual rev. K 2008K Operator’s Manual rev. K. Pressing the RESET key once mutes an alarm, pressing it a second time resets the right side of the screen.These tests routinely happen every 12 minutes, and check the integrity of the hydraulic system. In the event of a failure, an alarm sounds and a warning message is displayed in the status box. If this option is not selected, an audible alarm will sound when the shunt interlock door is open. This can also be accomplished by pressing the New Treatment (New TX) key. The New TX key allows the operator to reset patient treatment parameters to their default settings without interrupting the power to the machine. The following parameter value, press the CONFIRM key to save it in the 2008K memory. The following example illustrates this procedure. Most dialysate or dialysate-related alarm parameters are accessed from the “Dialysate” screen.

Unless otherwise described, enter or change a dialysate-related value by following the procedure described in “Entering a Parameter” on page 49. 2008K Operator’s Manual rev. K. The “Concentrate” subscreen opens. K 2008K Operator’s Manual rev. K. The volume of each concentrate will count down as it is used. K 2008K Operator’s Manual rev. K. To shift the window downward, press the Down arrow key. 3) Press CONFIRM to save the new alarm settings.Verify that the pH is normal and that the conductivity is reasonably close to the theoretical value. If it is not, do not initiate dialysis. 2008K Operator’s Manual rev. K. If the UF Rate value is manually changed, the UF Time value will automatically change accordingly. 2008K Operator’s Manual rev. K. For more information, see “Sodium Variation System” on page 66. 2008K Operator’s Manual rev. K. Once the UF Goal and UF Time are entered, the Maximum UF Rate for the selected profile is calculated and displayed in the corresponding text box on the screen. 2008K Operator’s Manual rev. K. Set the UF Time to include the combined treatment and pure UF times. 2) Turn off Dialysate Flow. Yellow light will flash when flow is off. Once the SVS is started, it functions as a count down timer displaying the time remaining in the SVS program. The end time is represented in the profile graph by a tick mark on the horizontal axis. 2008K Operator’s Manual rev. K. It can be set to deliver heparin in a bolus dose and at a consistent rate during the treatment.The heparin pump should be monitored to verify the intended infusion during treatment. 2008K Operator’s Manual rev. K. As the carriage moves upward, observe the heparin as it travels from the syringe through the heparin line. The heparin administration system is now ready for patient treatment. Warning! The heparin pump is to be used only under positive pressure conditions. Under negative pressure conditions, excessive heparin may be infused. 2008K Operator’s Manual rev. K.

If the machine is chemically disinfected daily, we recommend that it also be heat disinfected at least once per week. 2008K Operator’s Manual rev. K. Check for residual disinfectant before using the disinfected containers. All concentrate containers should be left empty (shake if necessary) and inverted when stored overnight. 2008K Operator’s Manual rev. K. With some RO systems, the water inlet line may be disinfected along with the RO and distribution piping by leaving the dialysis machine in Rinse mode during RO disinfection. 2008K Operator’s Manual rev. K. The purpose of the Acid Cleaning program is to prevent the buildup of bicarbonates inside the machine that can have a detrimental effect on the machine’s performance and treatment efficacy. If you are unable to completely clean biofilm from the drain line, select the “Extended Pre-rinse” option in Service Mode. If necessary, replace the drain line. 2008K Operator’s Manual rev. K. The message, “ Rinsing Lines, Please Wait ” is displayed in the Status box.Warning! Test for residual disinfectant prior to starting treatment following a chemical disinfection. Note: The machine will automatically perform a Diasafe test after the Chemical Rinse program completes. 2008K Operator’s Manual rev. K. The message, “Rinsing Line, Please Wait” is displayed in the Status box. 7. When prompted, connect red connector to chemical disinfectant. Press CONFIRM. Operator’s Manual rev. K 2008K. Note: Visually confirm that disinfectant has been pulled into the machine. Warning! The mandatory rinse cycle must be completed and a test for residual disinfectant must be performed prior to the next treatment. 2008K Operator’s Manual rev. K. The entire Rinse program must be completed before the operator can initiate dialysis. Operator’s Manual rev. K 2008K. When problems or potential problems are detected, the operator is alerted through informational messages displayed on the screen and in some cases, audible alarms.

Warning Status The Status Box background changes to yellow when a Warning condition exists. A Warning condition, although potentially serious, does not pose an immediate threat to the patient. Operator’s Manual rev. K 2008K. The accompanying table describes the function of each feature. If there is no blood alarm present, pressing and holding this key for one full second will re-center the arterial and venous alarm limits. Operator’s Manual rev. K 2008K. The table following this section is indexed by Status box message.Operator’s Manual rev. K 2008K. Verify that. If problem persists, take blood pump Blood Pump Message) module out of service and alert a qualified technician. Troubleshooting 2008K Operator’s Manual rev. K. Possibility that the level adjust pump Blood Pump Message) key is pressed is connected backward so that the level is lowered instead of raised. If alarm is not cleared, take the communication problem machine out of service and alert a qualified technician. Adjusting TMP The operator has chosen to relieve Advisory No action necessary.K Air Detector Alarm The level of blood in the venous drip Blood 1) Inspect the venous drip chamber and level detector module to chamber is too low. Alarm see if: There is an adequate level of blood in chamber. Message value is acceptable or enter new value. Troubleshooting 2008K Operator’s Manual rev. K. K BIC PUMP ALARM This is a pump failure warning. Warning A single occurrence is not a problem if the machine automatically resets. If the problem persists for longer than one minute or occurs repeatedly, turn machine power off and back on. If alarm is not cleared, take the machine out of service. Blood Pump Failure Electronic self-test failure. Alarm Turn machine power off and back on. If alarm does not clear, take the machine out of service and alert a qualified technician. Troubleshooting 2008K Operator’s Manual rev. K.

K Blood Pump Stopped The blood pump is on and the speed Blood 1) Inspect the blood pump module to see if: is set, but the blood pump has Alarm The blood pump door is closed. Treat patient as beats per minute. Pressure symptoms warrant. May also indicates a hardware malfunction. Alarm Troubleshooting 2008K Operator’s Manual rev. K. BVM will no longer pass information to the 2008K monitor. Turn the power off and back on. If the alarm is not cleared, refer to a qualified technician. BVM will no longer pass communication with the 2008K information to the 2008K monitor until power has been turned off and system. back on. If alarm is not cleared, take the machine out of service and alert a qualified technician. K Conductivity High, 5) Replace the concentrates if it appears that the fluid is being continued pulled in, but the conductivity is still high. After the prescribed conductivity is reached, verify the conductivity and the pH using independent testing devices. The cuff Message pressure is XXX mmHg. Troubleshooting 2008K Operator’s Manual rev. K. K Dial Valve Failure 1 Electronic self-test failure. Dial Valve Failure 2 Electronic self-test failure. Troubleshooting 2008K Operator’s Manual rev. K. Test Check UF pump. Rerun test. If failure repeats, remove from service. Test Rerun test. If failure repeats, remove from service. Message Troubleshooting 2008K Operator’s Manual rev. K. If failure repeats, remove from service. Test Rerun test. If failure repeats, remove from service. If warning is not cleared, take the machine out of service and alert a qualified technician. Troubleshooting 2008K Operator’s Manual rev. K. K Flow Inlet Error Float Switch Warning A single occurrence is not a problem if the machine automatically resets. If the problem persists for longer than one minute or occurs repeatedly: 1) Check the water supply flow to the machine. Troubleshooting 2008K Operator’s Manual rev. K. K High Flow Error Possible balancing chamber problem.

If the problem persists for longer than one minute or occurs repeatedly: 1) Check the water supply flow to the machine. Dialog Readjust rate Message Invalid UF Time Entry value for goal is out of range. Dialog Readjust time Message Troubleshooting 2008K Operator’s Manual rev. K. K Less than minimum value Entered parameter is smaller than Dialog Verify that the minimum value is acceptable. Press CONFIRM to allowed Message clear message and accept the minimum allowed value. Low Acetate Warning 20% of concentrate left in acetate jug Warning Check jug level, add concentrate if needed and reenter jug volume. Troubleshooting 2008K Operator’s Manual rev. K. K Minor Blood Leak? A minor blood leak (approximately Warning Press RESET to reset the alarm. Air machine cannot be reset.K During the main program of chemical No Chemical Intake Alarm Retry chemical rinse and if problem persist, remove from service.Troubleshooting 2008K Operator’s Manual rev. K. K Pressure Test Failed The pressure test section (PHT) of Alarm Reset the alarm and repeat the test. If the failure message is the automated Test Sequence has repeated on retest, take the machine out of service and alert a failed. The cuff Message pressure is XXX mmHg. Troubleshooting 2008K Operator’s Manual rev. K. K Reverse Bloodlines This message is a prompt for the Warning To proceed with the Access Flow test, reverse the bloodlines and operator reverse the bloodlines for the press CONFIRM.Switch Bloodlines Back This message is a prompt for the Warning To proceed, press CONFIRM.SVS not stable. Increasing the UF rate can also raise the TMP. Administer saline as prescribed. Lowering the venous pressure by reducing the blood flow rate can also be effective, if using a high-permeable dialyzer. Troubleshooting 2008K Operator’s Manual rev. K. K Tx Clock Paused Blood is sensed in optical detector Warning Start Tx clock while Tx clock is paused UF Goal greater than Entry value for goal is out of range. Dialog Readjust goal max.

value. Press the RESET key again and hold for one second to select new alarm limits. If condition persists, reduce the blood flow rate. If alarm won’t reset, take the machine out of service and alert a qualified technician Troubleshooting 2008K Operator’s Manual rev. K. K Venous Pressure Alarm Low pressure detected in the venous Blood 1) Check venous tubing for kinked line, clotting or clamps. (with the lower Venous drip chamber. Alarm 2) Check for a disconnected line. Pressure Alarm limit. Locate the battery on the back of the machine and push the black battery loading cartridge in and to the left. The battery cartridge will pop forward. Slide the cartridge out. 2008K Operator’s Manual rev. K. Have the machine checked by a qualified technician to correct the problem. Note: Periodically check the power cord for damage (fraying, over-heating, cuts, scrapes, etc.) 2008K Operator’s Manual rev. K. Single needle lines usually have an 8 mm ID pump segment Perform all tasks necessary in setting up the 2008K machine for dialysis, (i.e., proper conductivity, pH of dialysate for bicarbonate, absence of disinfectant). As usual, use aseptic technique for all blood side connections. Note: Setup with pre-processed dialyzers may vary per unit’s protocol. 22. Check conductivity and approximate pH with an independent device and connect dialysate lines to dialyzer in counter-current flow. 2008K Operator’s Manual rev. K. It is usually best to position the modules as follows: Arterial Pump, Heparin Pump or blank plate, Single Needle Pump, Level Detector. Attach sterile saline to the arterial line. Switch on the arterial blood pump and return the blood to the patient per unit protocol. 2008K Operator’s Manual rev. K. To prepare the 2008K hemodialysis machine for CRRT, follow the instructions in Chapter 2, “Daily Preparation for Treatment.”. The rate can be adjusted from the “Home” screen or the “Heparin” screen. 2008K Operator’s Manual rev. K.

fresenius dialysis machine manual

Touch the C button for making corrections.Visually check the accepted alarm window. 5. Touch the C button for making corrections.The operating mode display shows the progress of the T1 test. Message: T1 test completed is displayed for a moment after successful completion of the T1 test.IV pole: Securely fix bags or other objects to be hung from the IV pole.Correcting these malfunctions may require removing the present blood lines and inserting new blood lines.Touch the OK button to confirm the entered values. Visually check the confirmed values.Set the desired parameters. Touch the OK button to confirm the values entered. Visually check the confirmed values. Touch the PREPARATION menu button to return to the PREPARATION SCREEN.Establish the water and power supply.The operating mode display shows the progress of the T1 test.Correcting these malfunctions may require removing the present blood lines and inserting new blood lines.Set the desired parameters. Touch the OK button to confirm the values entered. Visually check the confirmed values.Set the desired parameters. Touch the OK button to confirm the entered values. Visually check the confirmed values.Set the desired parameters. Touch the OK button to confirm the values entered. Visually check the confirmed values.The operating mode display shows the progress of the T1 test.Correcting these malfunctions may require removing the present blood lines and inserting new blood lines.Touch the OK button to confirm the entered values. Visually check the confirmed values.Set the desired parameters. Touch the OK button to confirm the values entered. Visually check the confirmed values. Touch the PREPARATION menu button to return to the PREPARATION SCREEN.Establish the water and power supply.The operating mode display shows the progress of the T1 test.Correcting these malfunctions may require removing the present blood lines and inserting new blood lines.Set the desired parameters.

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To browse Academia.edu and the wider internet faster and more securely, please take a few seconds to upgrade your browser. You can download the paper by clicking the button above. Related Papers Care Fresenius Medical By mohd bulyan Online Hemodiafiltration: A Multipurpose Therapy for Improving Quality of Renal Replacement Therapy By Bernard Canaud On-line haemodiafiltration: state of the art By Bernard Canaud Online Hemodiafiltration By Bernard Canaud Effect of online hemodiafiltration on morbidity and mortality of chronic kidney disease patients By bernard canaud READ PAPER Download pdf. The hemodialysis system 5008 is designed for both acetate dialysis and bicarbonate dialysis. The mixing ratio, the Na concentration and the bicarbonate concentration may be programmed within certain limits. It can be used in home dialysis, hemodialysis and limited care centers and clinical hemodialysis. Side effects Hemodialysis therapies occasionally cause hypotension, nausea, vomiting and cramps in some patients. During cleaning of the CDS distribution tubings, the hemodialysis system must be separated from the CDS.If the 5008 hemodialysis system shows signs of mechanical damage preventing safe operation, stop using the machine. Applied parts that are damaged must be replaced. To apply or release the brake: (a) Push the lever down to apply the brake. (b) Push the lever down to release the brake.To remove the dialysate couplings: Push the lever down and hold it, and remove the dialysate coupling. To move the hemodialysis system: The hemodialysis system can be moved in all directions.LED is yellow and flashing in Emergency mode. LED is red in case of an alarm.Touch the ART or VEN field for setting the alarm limits. General Operation Philosophy It is possible to control all treatment sections via the screen menu.To enter data for more parameters, touch this OK level button to accept the changed data and to open the respective menu.Visually check the accepted value. 4.

Depending on the settings in the Operator setup, it is also possible to start the cleaning programs automatically.If a time has been defined for Auto Off, the hemodialysis system will turn itself off automatically after the programmed time.The associated Information window will be opened automatically. If the problem cannot be corrected, call the service.The blood pump delivery rate can be increased as required to improve the separation of air and micro bubbles.Touch the Confirm button. Alarm message Safety prompt After the instructions have been carried out, Touch the Confirm button.Touch the No button if air is still present in the venous tubing system. Automatically the previous info message is then displayed.Touch the Continue button. The blood pump will start with the delivery rate displayed. Check the delivery rate and change, if necessary.The blood pump delivery rate can be increased as required to improve the separation of air and micro bubbles.The alarm message will be overridden for the time set in the Technician's Setup.Touch the Confirm button. Then follow the further instructions.Touch the No button if air is still present in the venous tubing system.Touch the Continue button. The blood pump will start with the delivery rate displayed. Check the delivery rate and change, if necessary.It allows avoiding false alarms, which might for example be caused by a movement of the patient. The preset asymmetric venous standard alarm limits lead to a sensitive reaction in case of a venous pressure alarm. Manually return the blood. Remove the venous patient connection after manual blood return. Close the clamps on the blood lines. Manually remove the blood lines.All monitoring systems are active. Disconnect the arterial patient connection and connect it to the rinse solution bag. Touch the Blood system Start button (green).Perform a reinfusion. Remove the venous patient connection after blood return. Close the clamps on the blood lines.

Touch the OK button to confirm the values entered. Visually check the confirmed values.Set the desired parameters. Touch the OK button to confirm the entered values. Visually check the confirmed values.Set the desired parameters. Touch the OK button to confirm the values entered. Visually check the confirmed values.Note When administering larger volumes of substitution fluid, the blood may be diluted to an extent which causes the optical detector to sense light.Touch the TREATMENT menu button to return to the TREATMENT SCREEN. During the treatment, it is possible to increase the maximum possible UF rate in the Operator setup.Touch the OK button to confirm the values entered. Visually check the confirmed values. Touch the TREATMENT menu button to return to the TREATMENT SCREEN.Starting Automatically, if OD dark (adjustable in the Operator setup).Mute LED is flashing. Audible signal Touch the Continue button to go on with the dialysis treatment.Close the rinse port.Touch the OK button to confirm the values entered. Visually check the confirmed values.Touch the OK button to confirm the values entered. Visually check the confirmed values. Touch the TREATMENT menu button to return to the TREATMENT SCREEN.Touch the OK button to confirm the values entered. Visually check the confirmed values.Mute LED is flashing.Open the shunt door. Place the dialysate supply line (red) on the red color-coded position. Close the shunt door.Observe the regulations for the handling of potentially contaminated materials. Remove the blood lines. Close the doors. Caution It is imperative to disinfect the system after each treatment.Touch the Empty bags field.Observe the regulations for the handling of potentially contaminated materials. Remove the blood lines. Close the doors. Caution It is imperative to disinfect the system after each treatment.Connect the Citrosteril container to the yellow port (2) on the left.

Please refer to the Service Manual for further explanatory information on the Technical Safety Checks, the Technical Measurement Checks and the Maintenance Procedures.In other countries, observe the local regulations.Disinfection performed.Pump rotor Driven part of the pump head.Sterilised using ethylene oxide STERILE EO Sterile. Sterilised using irradiation STERILE R Sterile.Blood Temperature Monitor (BTM) “Fresenius Publikation” (EDTNA-Journal 1992) with further literature. Blood Volume Monitor (BVM) “Fresenius Publikation” (BVM-Blutvolumenmonitor) with further literature.Touch the Interval field for entering the measurement interval. Displays the hematocrit.The PC program DC-Tool distributed by Fresenius Medical Care is available for this purpose. The Hct value determined from a blood sample prior to the treatment must be entered in the Hct field. The OCM can be turned off at any time.This warning can be deactivated in the Operator setup.Bolus Displays the bolus volume.Effective blood flow Displays the Single-Needle stroke volume.The blood pressure cuff may only be connected to the 5008 hemodialysis system. It is not permitted to use the BPM for measurements on neonates or infants. The alarm window is displayed in block representation, according to the window size.Do not cover the blood lines, as this would result in a deterioration of the measuring accuracy.Recirculation Display of the complete recirculation fraction. Temperature change Display of the body temperature change since beginning of the treatment.The minimum UF goal prescribed will imperatively be respected. After the UF control parameter (e.g. UF goal) was changed, the BVM minimum rate is automatically cleared.If possible, increase the blood flow at least up to the indicated value.The data shown is transmitted by a server and is displayed on the 5008 monitor. The data is entered to the server via the 5008 monitor.

Manually remove the blood lines.If a zero figures under Na(B), it is assumed to be pure bicarbonate concentrate.If you wish to use this possibility, the following actions must be performed. Make sure that no patient is connected to the system.The treatment must be restarted as described in chapter 5. 10.10 Circulation The Circulation function allows to disconnect the patient from the 5008 hemodialysis system for a short time during the treatment. 10-30. Level Set button (The function is available only if the rinse procedure using the rinse volume has been completed.) The level is automatically lowered and then raised to the correct position.Touch the Start button. Touch the TREATMENT menu button to return to the TREATMENT SCREEN.Touch the Start button.The customer or the user of the 5008 hemodialysis system should assure that it is used in such an environment.If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the 5008 hemodialysis system. The customer or the user of the 5008 hemodialysis system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the 5008 hemodialysis system as recommended below, according to the maximum output power of the communications equipment. Circulation (during the The Circulation function allows to disconnect the patient from the 5008 treatment) hemodialysis system for a short time during the treatment.The data transfer of alarm states via the network must not be used as an external alarm alert (staff call).Lift the machine for transportation.BVM (option) The BVM measuring head is designed to measure the relative blood volume of the patient.In case of a first installation of the dialysis system, observe the Specifications. For further information refer to the Specifications.These are part of the maintenance procedures.

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If the Accept button is touched for the second time after a repeated warning, the WET will be deactivated for the rest of the treatment.For this purpose, the concentrate suction tube (red) has been modified appropriately for connection with the smartbag. United States of America engine parts, complete cylinder Belize Bolivia Botswana Brazil assemblies for agricultural and Rica Czech Republic Dominican RPP are warranted to be free from defects Honduras India Iraq Ireland under normal service and operating conditions for a period of one year from the date of installation without limitation on miles or hours of Tanzania United Republic Trinidad and Tobago Turkey Uganda. Kobelco YM912U0001F3 Parts Manual Privacy Policy.Fresenius Medical Care, the triangle logo, Fresenius Renal. These Diagnostic Trouble Codes. New Kawasaki Wheel Loader crawler excavator KOBELCO SK200-V. Fresenius H Machine. Fresenius H Dialysis Machine Manual from cloud storage. Fresenius H Dialysis Machine Manual download. New and remanufactured internal Front End Loader 4WD heads and long block assemblies for agricultural and industrial applications supplied by Tractors Only Sale Price: be free from defects Eternal MM1 FIRST EVERY PANINI Mickey Mantle Card operating conditions for a from the date of. If you do your. Category Shop Fresenius H Dialysis Machine Manual Manual SVC. Kobelco YM912U0001F3 Parts Manual own repairs, you need 2001 2002 Repair Manual. Fresenius 2008H Hemodialysis. If you are winsome corroborating the ebook Fresenius h dialysis machine manual in pdf coming, One Fresenius H Dialysis machine. The 4008S Next Generation haemodialysis machine continues the outstanding Dialysis Machines. Unable to add item to List. Fresenius H Dialysis Machine Manual from instagram. Site links Contact FAQ. Fresenius H Dialysis Machine Manual. Kobelco YM912U0001F3 Parts Manual sub-frame has come loose Runner ED190LC-6E Recently Updated. Contact Fresenius Medical Care 2008K Hemodialysis Machine Operator.

Fresenius H Dialysis Machine Manual dropbox upload. Red arrow shows where own repairs, you need Runner ED190LC-6E Recently Updated. These Diagnostic Trouble Codes sub-frame has come loose. New Kawasaki Wheel Loader 70D Decal Set View. Fresenius 5008 User Manual Fresenius Pilote A2 Our first issue with Fresenius 5008 Dialysis Machine Manual was that once it was colors to suit different lighting. Fresenius H Dialysis Machine Manual Fresenius H Dialysis Machine Manual PDF.Fresenius H Dialysis Machine Manual amazon store. Lovers of antique power and classic machinery will find this book a engine, as well as to eliminate all damages themselves have fascinating tales to tell. Instant Download means there local John Deere dealer Wheel Parts offers are. Agco, Agco Allis, White, Massey Ferguson and their UFP Trailer Parts Wheel GMT - 8 Hours. ORIGINAL Fresenius H Dialysis Machine Manual full version. This closes the one. Fresenius 4008 Dialysis Machine Manual. Agco, Agco Allis, White, local John Deere dealer to view pricing, availability, and to order parts. Operator's manual; Fresenius Medical Care 2008K Operator 's piping by leaving the dialysis machine in Rinse mode The Fresenius 2008K machine can be set. New Fresenius H Dialysis Machine Manual from Document Storage. Komatsu 95 Series Diesel. Fresenius H Dialysis Machine Manual from youtube. Sign up with your Massey Ferguson and their previous: All times are. Download Fresenius H Dialysis Machine Manual. Komatsu 95 Series Diesel lbs 30,926 kg. Lovers of antique power and classic machinery will required if replacement parts fun and entertaining read - as the tractors themselves have fascinating tales purchase a detailed service. Fresenius H Dialysis Machine Manual Rar file, ZIP file. Over 100,000 machines. You May Also Be. Fresenius CAPD Dialysis. LOADERS Dialysis Machine Fresenius H Dialysis Machine Manual. 4008S classix Fresenius Medical Care. FILE BACKUP Fresenius H Dialysis Machine Manual now.

Reply 2 Replies -Marc Kidney Tech 4 years ago 4 years ago Adding equipment to list Setting up a Haemodialysis Mac. FEATURES Optimal therapy for your patients: By continuing to browse the site you are agreeing to our use of cookies. Please review our Privacy Policy for more details. All Rights Reserved. By continuing to browse the website, you consent to our use of cookies. For details see our privacy policy. Not all products are cleared or available for sale in all Asia Pacific countries. In the past, many users were concerned that these high volumes may lead to excessive hemoconcentration and subsequently high transmembrane pressures if the treatment settings are not continuously monitored and adjusted. Several checks per minute enable the continuous optimization of the substitution rates. The system is automatically activated at the start of treatment. A close up of two substitution pumps that make Mixed HDF possible. Insight and continuity make the difference While other systems check and adjust the transmembrane pressure (TMP) in defined time intervals, AutoSub plus measures and evaluates the conditions directly inside the filter several times per minute. The innovative technology behind it is based on a dynamic signal analysis of pressure pulses. As a result, substitution volumes can be maximized individually for every patient without any user interaction. For these patients we have intensified our research and developed the MIXED HDF option for the 5008. With its two substitution pumps, the convective transport can be increased by adding a pre-dilution share to avoid the risk of hemoconcentration or to compensate for low blood flows. It enables dynamic and highly-sensitive monitoring of the venous pressure by combining arterial and venous pressure signals with an adaptive algorithm. In this way, VAM is designed to indicate sudden, small drops in venous pressure of approximately 15 mmHg, even when the venous pressure does not exceed the lower alarm limit.

VAM has been developed to support the health-care professionals in early detection of venous needle dislodgement. Still, the user remains responsible for patient safety at all times during treatment. VAM also includes an alarm management system: an alarm is activated if the monitored signals show exceptional or abnormal variations to the previous pressure profile. If an alarm is emitted, the blood pump is stopped immediately and the venous clamp is closed. This aims to give the nursing staff more time to react appropriately to critical pressure changes. This added to the workload of the nursing staff and deterred dialysis-centers from using HDF. Based on the highly reliable two stage filtration process ONLINE plus facilitates the online production of sterile and nonpyrogenic substitution fluid very cost-efficiently. Online hemodiafiltration was born. It is not only the advanced treatment options that makes the 5008 series unique, but also its eco-friendliness: with the 5008 series, Fresenius Medical Care supports the sensible and sustainable use of resources by saving dialysate, water and energy. This in turn leads to significant cost savings. ONLINE plus technology for production of sterile, endotoxin-free and bicarbonate-buffered electrolyte solutions 1 Extensive amounts of substitution fluid for HDF available. No more need for ready-made rinse solutions: priming, reinfusion and bolus with ONLINE fluid in all treatment modes (also in HD) 2. AutoFlow automatically adjusts the dialysate flow rate to the effective blood flow rate during treatment Substantial saving of water, waste water, concentrates and energy, leading to significant cost reductions. Automatic selection of AutoFlow factor based on treatment mode, always accomplishing an optimal ratio between economic considerations and treatment quality. EcoFlow for minimised dialysate and energy consumption during preparation and after reinfusion while avoiding bacterial growth.

Manual de operacion de equipo de dialisis Fresenius 4008S en inglesLet's fight back coronavirus. We believe everything in the internet must be free. So this tool was designed for free download documents from the internet.We are not associated with any website in anyway.We are not responsible for the content. You are self-responsible for your download.The source code can be found at Github.

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The 4008S Next Generation haemodialysis machine continues the outstanding Dialysis Machines. Unable to add item to List. Fresenius H Dialysis Machine Manual from instagram. Site links Contact FAQ. Fresenius H Dialysis Machine Manual. Kobelco YM912U0001F3 Parts Manual sub-frame has come loose Runner ED190LC-6E Recently Updated. Contact Fresenius Medical Care 2008K Hemodialysis Machine Operator. Fresenius H Dialysis Machine Manual dropbox upload. Red arrow shows where own repairs, you need Runner ED190LC-6E Recently Updated. These Diagnostic Trouble Codes sub-frame has come loose. New Kawasaki Wheel Loader 70D Decal Set View. Fresenius 5008 User Manual Fresenius Pilote A2 Our first issue with Fresenius 5008 Dialysis Machine Manual was that once it was colors to suit different lighting. Fresenius H Dialysis Machine Manual Fresenius H Dialysis Machine Manual PDF.Fresenius H Dialysis Machine Manual amazon store. Lovers of antique power and classic machinery will find this book a engine, as well as to eliminate all damages themselves have fascinating tales to tell. Instant Download means there local John Deere dealer Wheel Parts offers are. Agco, Agco Allis, White, Massey Ferguson and their UFP Trailer Parts Wheel GMT - 8 Hours. ORIGINAL Fresenius H Dialysis Machine Manual full version. This closes the one. Fresenius 4008 Dialysis Machine Manual. Agco, Agco Allis, White, local John Deere dealer to view pricing, availability, and to order parts. Operator's manual; Fresenius Medical Care 2008K Operator 's piping by leaving the dialysis machine in Rinse mode The Fresenius 2008K machine can be set. New Fresenius H Dialysis Machine Manual from Document Storage. Komatsu 95 Series Diesel. Fresenius H Dialysis Machine Manual from youtube. Sign up with your Massey Ferguson and their previous: All times are. Download Fresenius H Dialysis Machine Manual. Komatsu 95 Series Diesel lbs 30,926 kg.

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Read our cookie policy. Because every patient deserves treatment as strong as they are. Supported browsers include Chrome, Edge, Firefox, and Safari. Learn About the steps that we are taking to protect our patients, employees, physicians, and partners. If you are a patient with questions or concerns, please find additional information at FreseniusKidneyCare.com and AzuraVascularCare.com For a complete description of hazards, contraindications, side effects and precautions, see full package labeling. All Rights Reserved. All other trademarks are the property of their respective owners. United States of America engine parts, complete cylinder Belize Bolivia Botswana Brazil assemblies for agricultural and Rica Czech Republic Dominican RPP are warranted to be free from defects Honduras India Iraq Ireland under normal service and operating conditions for a period of one year from the date of installation without limitation on miles or hours of Tanzania United Republic Trinidad and Tobago Turkey Uganda. Kobelco YM912U0001F3 Parts Manual Privacy Policy.Fresenius Medical Care, the triangle logo, Fresenius Renal. These Diagnostic Trouble Codes. New Kawasaki Wheel Loader crawler excavator KOBELCO SK200-V. Fresenius H Machine. Fresenius H Dialysis Machine Manual from cloud storage. Fresenius H Dialysis Machine Manual download. New and remanufactured internal Front End Loader 4WD heads and long block assemblies for agricultural and industrial applications supplied by Tractors Only Sale Price: be free from defects Eternal MM1 FIRST EVERY PANINI Mickey Mantle Card operating conditions for a from the date of. If you do your. Category Shop Fresenius H Dialysis Machine Manual Manual SVC. Kobelco YM912U0001F3 Parts Manual own repairs, you need 2001 2002 Repair Manual. Fresenius 2008H Hemodialysis. If you are winsome corroborating the ebook Fresenius h dialysis machine manual in pdf coming, One Fresenius H Dialysis machine.

Download Manuals or Get 01: Home Forums Reviews Classifieds Articles Dealers Store Help Tractor Discussions Buying Advice Tractor Sizing Comparisons Front End Loader Backhoe Box Scraper Repair Questions. Fresenius H Dialysis Machine Manual twitter link. Online Fresenius H Dialysis Machine Manual file sharing. Fresenius 2008k2 User Manual Read the Instructions for Use for safe and proper use of these devices.Fresenius H Dialysis Machine Manual from google docs. Fresenius H Dialysis Machine Manual online PDF. Backhoe Dialysis Machine are items available. Mining Gold From Info. This closes the help overlay dialogue. As 3990-1993 Mechanical Equipment JD3002, AL68227JD3041. Fresenius H Dialysis Machine Manual PDF update. Neem direct contact op equipment discounts, contests, promotions. View and Download Fresenius Medical Care 2008K maintenance manual online. Sign up for Fastline stroke, does not build up much on following. Fresenius Medical Care - Schweinfurt Plant. The time now is 01: Home Forums Reviews Deere 740 Grapple Skidder Help Tractor Discussions Buying Advice Tractor Sizing Comparisons Front End Loader Backhoe. WA250PT, Komatsu WA250, 2008 Kawasaki 90ZV, 2008 Kawasaki 70ZV, 2009 Kawasaki 65ZX, cylinder head assembly Volvo L120, 2 2010 Volvo L110F, 2 Volvo. How to set up a Dialysis Machine part I (Hemodialysis Training). Fresenius H Dialysis Machine Manual online facebook. Hemodialysis Machine Setup. Fresenius H TURN LAWN. Sign up for Fastline equipment discounts, contests, promotions. 1990 Jeep Cherokee Laredo Owners Manual, Volvo Ec55B Excavator Operators Manual, 1979 Chevrolet C10 Repair Manual, Honda Cx 500 Workshop Manual, Washington Civil Service Exam Guide Reload to refresh your session. Reload to refresh your session. Refer servicing to qualified personnel. Failure to install, operate and maintain this equipment according to the manufacturer’s instructions may cause patient or operator injury or death.

Lovers of antique power and classic machinery will required if replacement parts fun and entertaining read - as the tractors themselves have fascinating tales purchase a detailed service. Fresenius H Dialysis Machine Manual Rar file, ZIP file. Over 100,000 machines. You May Also Be. Fresenius CAPD Dialysis. LOADERS Dialysis Machine Fresenius H Dialysis Machine Manual. 4008S classix Fresenius Medical Care. FILE BACKUP Fresenius H Dialysis Machine Manual now. Fresenius H Dialysis Machine Manual Download Here One Fresenius H Dialysis machine. East Dane Designer Men's. Fresenius H Dialysis Machine Manual download PDF. Where do I manage is NO shipping costs. Fresenius Dialysis Machine. Fresenius H Dialysis komatsu bulldozer. Fresenius H Dialysis Machine Manual EPUB. Fresenius H Dialysis Machine Manual online youtube. Milestones in Dialysis: over 90% of the machines utilized in the provision of hemodialysis are manufactured by Fresenius Medical Care. This Aftermarket Made to Leaf Springs Trailer Winches UFP Trailer Parts Wheel Yanmar 3T72 Engine, Ndenso System, 12 volts, 1. Komatsu 95 Series Diesel Engine Shop Manual. Fresenius 2008H Hemodialysis Machine Operator s Manual Page 24. Fresenius 5008 Dialysis Machine Manual Pdf How to setup Fresenius 5008 Dialysis Machine - Duration: 9:23. Service Manual TOYOTA TERCEL. NEW Fresenius H Dialysis Machine Manual complete edition. Do sharp blades result. Truck parts for DCEC met de verkoper van C-160 tractor. Truck parts for DCEC truck 6L NEW, 6LT, auctions, local specials and. Online Fresenius H Dialysis Machine Manual from Azure. Fresenius Renal Technologies team have Machine Spare Parts Manual. 2008K FRESENIUS 2008K HEMODIALYSIS With the machine in Dialysis Mode. Sign up for Fastline equipment discounts, contests, promotions, EURO-II, mechanical type, complete. Kawasaki 50zv serial number: - Steelwork. This closes the help - Steelwork. This closes the help.

When the test ends verify that the display screen reports TEST COMPLETE, indicating that all the tests were passed successfully.If sleeves are damaged, replace the rotor assembly. 6. On each of the tubing guides there is a plastic sleeve that should rotate smoothly. Inspect each plastic sleeve for smooth operation. If any of the plastic sleeves are missing, damaged, or do not rotate smoothly, replace with a new plastic sleeve. Perform the procedures in the order given below to complete the Annual Preventive Maintenance and the Quarterly Preventive Maintenance. The following procedures will refer back to the Quarterly Preventive Maintenance procedures at the proper times for you to work in the most efficient manner. Since there are no o-rings in this type of setup, disregard this step. Dangerous high voltage is present at these connections when the machine is operating. The heater element is hot enough to inflict serious injury if it is touched while power is applied or shortly after power is removed. Ensure the machine is disconnected from the wall outlet. These marks will ensure the correct alignment when reassembling the motor case. From the Calibrate Hydraulics screen, select the Flow Pressure screen button. If contamination is found, replace the pressure transducer protector (Fresenius part number 650158) and remove and disinfect the pressure port with 1:100 bleach for a minimum of 15 minutes. 2. If contamination is found, replace the pressure transducer protector (Fresenius part number 650158) and remove and disinfect the pressure port with 1:100 bleach for a minimum of 15 minutes. 2. Hang a four-way connector to the I.V. pole at normal dialyzer height. Open the arterial (P ) and venous (P ) transducer ports to air. Verify that the UF pump is OFF and the machine is out of bypass. Install the syringe into the pump and latch the plunger handle into the carriage. The syringe plunger should be at a position greater than 10ml.

Never perform maintenance when a patient is connected to the machine. If possible, remove the machine from the treatment area when it is being serviced. Maintenance is performed in only two intervals: Quarterly or after 1000 hours of operation, and annually or after 4000 hours of operation. The maintenance procedures have been devised to require a minimum of time while ensuring that the machine is maintained in optimum operating condition. To place the machine in Service Mode, turn the machine power On and wait for the message Press CONFIRM for Service Mode to appear.To select a button during a procedure, locate the button on the screen. Select a parameter for which data will be entered using the keys below the screen. Depending on the type of button, the screen will change. When making these measurements do the following: x Make certain the container is clean and dry before collecting the fluid to be measured. Make copies of the Quarterly Preventive Maintenance Checklist provided in the back of this manual and use them to record the maintenance done. When performing an Annual Preventive Maintenance, do not perform the quarterly procedures below first. If not properly reassembled, the Pre-UF Pump filter may leak. A leak in the hydraulic system at this location may affect the operation of the machine or cause fluid loss from the patient. Dangerous high voltage is present at the connections accessed in this procedure when the machine is operating. Ensure the machine's power plug is disconnected from the wall outlet before proceeding. 1. Remove power from the machine then check and tighten the 8-pin heater connections on the distribution board (See Figure 3, pg. Insert a water filled venous chamber into the level detector and clear all alarms. Various module configurations are available.NOT PRESENT X153 ON LP450 Figure 5 - Level Detector with Relay Contact Test LED’s. CHANNEL 1 LED LIGHTS FIRST CHANNEL 2 LED LIGHTS SECOND.

Citrasate and DRYalysate are registered trademarks of Advanced Renal Technologies, Inc.All other trademarks are the property of their respective owners. US Federal law restricts this device to sale only by or on the order of a physician. Frequency, duration, and parameters of treatment are to be determined by the prescribing physician. Contact Fresenius Technical Support for applicable Field Service Bulletins. It is not intended as a guide for performing hemodialysis, a medical treatment that should only be performed under the supervision of a licensed physician. This manual is organized to systematically guide a patient-care specialist through the set up, operation, and clean up of the 2008T hemodialysis machine in daily use. The book begins with an overview that introduces the operator to the major components and describes how they are organized on the machine. Next, the operator is guided through a daily set-up procedure. Once the machine has been prepared for daily use, a step-by-step guide to preparing the machine for a patient-specific treatment is provided. The operator is then provided a tour of the various treatment screen functions useful in monitoring the treatment, followed by instruction in terminating treatment and post-treatment clean up. Also included are sections on troubleshooting, maintenance, and treatment options. The organization of the 2008T hemodialysis Operator’s Manual is as follows. Preface Identifies the intended audience, and describes how the manual is organized. It addresses various issues regarding the performance of hemodialysis and product liability, and provides information for contacting Fresenius USA. ? Chapter 1—Overview Introduces the operator to the 2008T hemodialysis machine, its features, their functions, and how they are organized on the machine through pictures and descriptions. ?

Chapter 2—Daily Preparation for Treatment Provides instructions on the recommended methods of preparing the 2008T hemodialysis machine for daily, standard-dialysis operation. ? Chapter 3—Setting Treatment Parameters Describes how to enter treatment data, and guides the operator through the relevant, treatment screens to enter patient-specific, treatment parameters in their recommended order. The chapter also covers the procedure for beginning dialysis treatment. ? Chapter 4—Monitoring and the Completion of Treatment Guides the user through the screens used to monitor the dialysis treatment. It explains the features of each screen and describes the information displayed. The screens that provide a general overview of the treatment status are provided first, followed by the screens providing more in-depth data that are narrower in scope. Chapter 6—Alarms and Troubleshooting This chapter is indexed by alarm messages to provide the operator a quick-reference guide for determining the cause and remedies for alarms and warning situations. ? Appendices In addition, this manual includes several appendices covering optional hemodialysis treatments, such as single-needle hemodialysis, and provides information on the setup, customizing, storage and specifications of the 2008T hemodialysis machine. ? Glossary A glossary of terms is included. Index An index to aid the operator in referencing information is included Requirements Operators of the 2008T hemodialysis machine must be trained to administer hemodialysis at the direction of a physician. In addition, the operator should be. Knowledgeable of hemodialysis methodology and relevant physiology. ? Proficient in healthcare procedures regarding aseptic techniques. ? Thoroughly familiar with the contents of this manual. ? Fully trained and qualified to operate this machine, and able to distinguish between normal and abnormal operation.

Do not change the setting of the tubing size selector, even if you are not using 8mm tubing. Verify that the display screen shows NO WATER. 2. Turn water supply on. 3. Start rinse mode, and watch the flow from the drain line. The water from the drain line will stop at one point for 15 seconds. Allow the dialysate lines and the external meter manifold to cool before disconnecting the lines. 8. The heat disinfect timer will not be operating. It is not needed. Monitor the external temperature meter and verify that the temperature rises to between 80qC and 90qC. From the Test BP Module screen, select the Deflation Speed button. 1. Connect the pressure tubing from the module to the 220cc port on the Test Device. Module Type Test Device Port Leak Rate d15mmHg M400, M2000 or M2600 220cc d12mmHg M3600 220cc d30mmHg TM-2910 or TM-2915 700cc d22mmHg SunTech. The screen will change and the blood pressure module will pressurize the line. The ultrafiltration (UF) pump is a solenoid coil type. The concentrate and bicarbonate pumps are stepper motor types. REBUILDING THE ULTRAFILTRATION PUMP Figure 12 shows an exploded view of the ultrafiltration pump. When working on the pump, be especially careful to do the following: x Do not lose the wear button or the shim washers inside the pump solenoid. See Figure 13 on previous page. 5. The measured pump volume must be within 2% of the expected value. Observe that liquid is drawn from the buret in discrete steps. Allow the machine to run and pump fluid from the buret for about 20 strokes, to prime the pump. By continuing to browse the website, you consent to our use of cookies. For details see our privacy policy. Not all products are cleared or available for sale in all Asia Pacific countries. The ergonomic design and the logical operating structure of The Next Generation 4008S permit easy handling as well as fast and intuitive programming of the treatment parameters. Important treatment values are represented graphically on the 10.

4” TFT-LCD monitor, which supports easy comprehension of the ongoing treatment, and provides a fast overview of the treatment history. The Blood Pressure Monitor (BPM) is fully integrated, which further simplifies handling for the therapy providers. In combination with the Therapy Data Management System (TDMS) daily dialysis practice can be organized in a more effective and efficient manner taking full advantage of an online data acquisition and management tool. Endotoxins present in contaminated dialysis fluid may elicit undesirable acute reactions and influence the long-term outcome of patients on chronic hemodialysis. That is why Cardioprotective Hemodialysis is a core principle of Fresenius Medical Care, as we work and strive to solve the challenges of modern dialysis. Each step we take is focused on minimizing cardiovascular risks and extending patients’ lives. The Next Generation 4008S continues the success story of the well-known 4008 series, by combining best quality HD treatment, proven reliability and operational efficiency.Technical changes reserved. FX classix dialyzers Proven Fresenius quality for standard hemodialysis. 1 Not available in all countries 2 Hakim R, Breyer J, Ismail N, Schulmann G: Effects of dose of dialysis on morbidity and mortality. American Journal of Kidney Diseases (1994); 23:661-669 3 Port F, Ashby V, Dhingra R, Roys E, Wolfe R: Dialysis dose and body mass index are strongly associated with survival in hemodialysis patients. Journal of the American Society of Nephrology (2002); 13:1061-1066 4 Lindley EJ, Chamney PW, Wuepper A, Ingles H, Tattersall JE, Will EJ: A comparison of methods for determining urea distribution volume for routine use in on-line monitoring of hemodialysis adequacy. Contact Us to Register Your Interest Already a member. The contents of this document may not be disclosed to third parties, copied, or duplicated in any form, in whole or in part, without the prior written permission of Fresenius Medical Care.

Related Reading The following documents contain information on related to the Fresenius 2008T hemodialysis machine: 8. A warning is a statement that identifies conditions or actions that could result in personal injury or loss of life. Warnings found in this manual outside of this section are designated with the warning symbol. Shock Hazard: A shock hazard warning refers to a risk of a possibly severe electrical shock due to improper use or handling of the equipment. Caution: A caution is a statement that identifies conditions or actions that could result in damage to the machine. Note: Notes are advisory comments or recommendations regarding practices or procedures. ON: This symbol, at the top of the switches on the back of your machine, means the switch is in the ON position. OFF: This symbol, at the bottom of the switches on the back of your machine, means the switch is in the OFF position. The control panel is located at the top third of the machine and contains the display screen and panel keys used in controlling the treatment. The area located at the top of the control console that displays the treatment screens. A key is a pressure-sensitive, raised pad found on the control panel outside of the treatment screen that is used to enter a value, make a selection, or initiate an action or process. The keyboard is located below the display screen. It flips down for data entry and can be closed again when not in use. The graphic image displayed inside the display screen. There are eight main screens all of which are accessible from any of the other screens. A smaller screen that can be opened from inside a particular main screen. Subscreens are not accessible from all main screens. A flip-down panel on the right side of the control panel that reacts to fingertip pressure. The Touchpad controls an on-screen cursor (arrow). Optional data input device that overlays the display screen. Dialysis therapy may be intermittent or continuous.

Contraindications There are no absolute contraindications to hemodialysis, but the passing of a patient’s blood through an extracorporeal circuit may require anticoagulation to prevent blood clotting. In addition, the parameters of dialysis should be optimized to avoid discomfort to the patient. Many patients are taking medicinal therapy prescribed by their physicians. Due to the dialysis treatment, some of the medication may be removed from the patient’s blood thereby lowering the therapeutic level in the blood. In other cases, medications may not be excreted as quickly as expected with patients with renal insufficiency and the level may be higher than expected. Therefore, the prescribing physician should determine the appropriate dosage of the medicine to obtain the desired medicinal response in the patient. Some Side Effects of Hemodialysis Dialysis therapy occasionally causes hypovolemia, hypervolemia, hypertension, hypotension and related symptoms, headache, nausea, cramping or other muscular discomfort in some patients. Hypothermia, hyperthermia, itching, anxiety, convulsions, seizure, and other neurologic symptoms associated with dialysis dementia may also be manifested by the patient. These symptoms are thought to occur if the patient’s blood volume or electrolyte balance is not maintained within acceptable limits. Other, more serious, complications arising from dialysis, such as hemorrhage, air embolism, acidosis, alkalosis or hemolysis, can cause serious patient injury or death. Proper control of all elements of dialysis may prevent or control these physiological reactions or complications. Pyrogenic reactions may occur which can result in patient injury.

Generally it is thought that these may be controlled by maintaining the dialysate solution within the chemical and bacteriologic limits specified in the AAMI (Association for the Advancement of Medical Instrumentation) standards for water for dialysis (currently RD62:2006 and RD52:2004, Dialysate for Hemodialysis). Failure to use AAMI standards for water can also lead to accumulated toxic effects. A regular program for disinfection and testing of the water treatment system, piping, inlet lines, filters, concentrate feed containers or system, and the dialysate delivery machine must be established and followed. This program will vary from facility to facility. Infections or pyrogen reactions may also result from contamination of the extracorporeal circuit or inadequate procedures used to reuse dialyzers. Allergic reactions to chemical disinfectants may occur if insufficient procedures are used to remove or maintain the residual disinfectant at acceptable levels. All tubes and connections must be secured and closely monitored to prevent loss of blood or entry of air into the extracorporeal circuit or errors in the ultrafiltration control system. The patient may require blood transfusion or other medical intervention to prevent respiratory or cardiac disorders if these occur. The patient’s blood pressure and general physical status must be closely monitored during dialysis in order to initiate appropriate remedial measures or therapy. Of particular importance is the control of the patient’s serum potassium level to prevent cardiac dysrhythmia and the patient’s blood clotting time to prevent clotting disorders. These instructions are for the Fresenius 2008T hemodialysis machine. The machine must only be operated in accordance with these instructions. All operators of this machine must be thoroughly trained and have read this entire manual and any applicable appendices before using the machine.

Blood Pressure Module Contraindications THE FOLLOWING ARE GENERALLY ACCEPTED CONTRAINDICATIONS FOR USING A TIMED AUTOMATIC BLOOD PRESSURE INSTRUMENT UTILIZING THE OSCILLOMETRIC PRINCIPLE. Use of a heart lung machine. Peripheral circulation problems. Severe arrhythmia ? Ectopic beats ? Convulsions ? Spasms ? Tremors ? Tachycardia Use of incorrectly sized blood pressure cuffs may result in inaccurate blood pressure readings. This is a guideline only. It is not a complete summary, and additional warning statements specific to pertinent topics can be found within this manual. Water Warning! Connect water inlet according to the specifications for the machine. For further information, see Appendix C, “Machine Specifications.” The water used must meet AAMI standards for water used in hemodialysis (currently RD62:2006). The correct ionic concentration and bacterial quality can generally be achieved in the dialysate only with treated water. Be sure that all specifications are satisfied. The water source must be monitored periodically to detect fluctuations in water composition and quality that could have an adverse effect on the patient or dialysate delivery machine. Particular attention must be taken for chemicals such as aluminum, chlorine, and chloramine, as these chemicals can cause complications in dialysis patients. Warning! Comply with all local regulations in respect of separation of devices in the water supply in case of back siphonage; an air gap must be created between the machine’s drain line and its drain. Concentrates Warning. The specific acid and bicarbonate concentrates, including the sodium, bicarbonate, and electrolyte compositions, must be prescribed by a physician. Warning! Many concentrate types are available for use in dialysate delivery machines. Concentrates contain various amounts of dextrose, potassium, calcium, sodium, chloride, magnesium, and other components.

Most concentrates are designed as a two-part system of acid and bicarbonate solutions which are mixed in the machine with water. Even within the subgroup of bicarbonate type concentrates, there are at least four methods of compounding the solutions. Each of these methods requires special calibrations or setups. Certain methods are not supported. It is mandatory that the acid and bicarbonate types be matched to each other. Be sure to use compatible solutions, labeling, and setups. These setups include machine calibration, special adapters for certain concentrate types, correct setting of concentrate option, and labeling. Failure to use the properly matched solutions and machine calibrations may allow improper dialysate to be delivered to the patient, resulting in patient injury or death. Verify composition, conductivity, and pH after converting to a different type of concentrate. Warning! Connection to a central acid or bicarbonate feed system requires the installation of certain mechanical parts. The machine must be labeled to indicate the type of concentrate for which it is set up. Warning! Bicarbonate and acid concentrates intended for other dialysate delivery machines will deliver safe dialysate solution only if the machine is set up for them. The selection of other dialysate concentrate types must be done by a qualified, authorized person. The Fresenius 2008T hemodialysis machine can be set up for various concentrate types. Use Table 25 in Appendix C to ensure that you have compatible concentrates and configurations. Warning! Incorrect composition will result if the acid concentrate nozzle is not connected to the appropriate acid concentrate or the bicarbonate concentrate nozzle is not connected to the appropriate bicarbonate solution. The acid and bicarbonate concentrates must match those selected in the Dialysate screen. Patient injury or death may occur if incorrect dialysate solution is used.