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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.

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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.