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    fresenius k machines manual

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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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