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Fresenius Medical Care 2008T Quick Start Manual

Fresenius Medical Care 2008T Quick Start Manual

Hemodialysis machine
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Quick Start Guide

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Summary of Contents for Fresenius Medical Care 2008T

  • Page 1 Quick Start Guide...
  • Page 2: Indications For Use

    System (Optional): The bibag system is used with ® three stream proportioning hemodialysis systems equipped with the bibag module such as the 2008T Hemodialysis Machine and is intended for use in bicarbonate hemodialysis for acute and chronic renal failure. The bibag is intended for extracorporeal bicarbonate hemodialysis according to a physician’s prescription.
  • Page 3 Caution: Federal (US) law restricts this device to sale by or on the order of a physician. Note: Read the Instructions for Use for safe and proper use of this device. For a complete description of hazards, contraindications, side effects, and precautions, see full package labeling available at www.fmcna.com.
  • Page 4 Set Up Concentrate 1. Press the Power key on the control panel. The Select Program screen will then appear on the monitor. 2. Flip down the touchpad and/or the keyboard. 3. Plug the acid (red) concentrate connector into the acid source. 4.
  • Page 5 3. With the white bibag handle facing out (the blue labeling should be facing you), hang the bag on the bibag connector nozzles. 4. Close the door, making sure it latches firmly in place. You will hear an audible click indicating the door is closed. 5.
  • Page 6 Setup Concentrate (continued) WARNING! Acid concentrate products are used as one component in mixing dialysate bath. These acid products contain chemical compounds that, after mixing, yield acetate (and citrate in certain products) in the dialysate. (Please refer to the acid concentrate product labeling for specific acetate/ citrate amounts.) After diffusion across the dialyzer membrane, acetate (and citrate when present) is...
  • Page 7 When the dialysis session terminates, acetate (and citrate when present) that has not yet metabolized may remain in the blood and will be converted to serum bicarbonate after diffusion ceases, without possibility of diffusion out of the blood. The post dialysis metabolism of acetate (and citrate when present) could thus briefly increase serum bicarbonate concentration above the prescribed bicarbonate concentration of the dialysate.
  • Page 8 Setting-up Bloodlines and Priming Extracorporeal Circuit Follow facility’s policy and procedure guidelines for setting up bloodlines and priming the extracorporeal circuit. Note: Policies and procedures should include the manufacturer’s recommendation for use, including dialysis machine, bloodline, and blood chamber (if Crit-Line ®...
  • Page 9 Pressure and Alarm Tests 1. To run the tests, verify: a. Dialysate lines are on the shunt interlock with the interlock door closed. b. The machine is alarm-free. c. Arterial and venous pressure monitor lines are clamped and disconnected so the pressure ports are open to the atmosphere.
  • Page 10 Recirculation 1. If applicable, based on the specific bloodline and dialyzer being used, rotate the dialyzer so the arterial (red) inlet is up. 2. Check the conductivity and the pH of the dialysate and test for residual disinfectant, if applicable, before connecting the dialysate lines to the dialyzer.
  • Page 11 5. When the dialysate compartment is filled, rotate the dialyzer so the arterial (red) inlet is down. 6. After priming the extracorporeal blood circuit, press Reset to clear all alarms. Set the blood pump per facility’s policy to begin recirculating saline through the circuit. 7.
  • Page 12: Starting Dialysis

    3. If the CLiC™ device will be used for this treatment, clip the CLiC device on the Crit-Line blood chamber at this time. For more information, see the “2008T Hemodialysis Machine with CLiC User’s Guide” (P/N 490206). 4. Verify that ultrafiltration is off (UF light is off), and that the UF Removed button is reset to zero.
  • Page 13 6. Lower the blood pump rate to the “Facility’s Initiation of Treatment Policy and Procedures” and press the Start/Stop key to stop the blood pump. 7. Connect the arterial and venous bloodlines to patient’s access and initiate treatment per the unit’s protocol. WARNING! Check all bloodline and dialysate line connections for fluid leaks.
  • Page 14: Completion Of Dialysis

    Completion of Dialysis 1. Press Reset to clear any alarms. 2. Select the TX Clock and press Confirm to stop the treatment. The status box will now show “Dialysis Paused.” 3. Press the Start/Stop key on the blood pump to stop the pump.
  • Page 15 10. Close the shunt interlock door. Message “Emptying” will be displayed. 11. Drain the dialysate compartment. The dialyzer is empty as soon as there is air in the outlet line or an “Emptying stopped” message appears. 12. Open the shunt interlock door, remove red dialyzer connector from the dialyzer and place it on the shunt.
  • Page 16 Acid Clean & Heat Disinfection 1. To run the cleansing/disinfecting programs, verify: • Dialysate lines are securely on the shunt. • Acid and bicarbonate connectors are securely inserted into their respective ports. 2. After the last treatment of the day, select the Acid Clean and Heat Disinfect button on the Select Program screen and press Confirm.
  • Page 17 the bibag door closed when running any rinse or disinfection program. 6. The “Heat Disinfect” screen appears next in the display. The machine will automatically run a short rinse (seven minutes standard or ten minutes with DIASAFE Plus) ® or extended rinse (twenty minutes) depending how the machine was configured in Service Mode.
  • Page 18 Acid Clean & Chemical Rinse 1. To run the Cleaning/Disinfecting programs, verify: • Dialysate lines are securely on the shunt. • Acid and bicarbonate connectors are securely inserted into the respective machine ports. 2. After the last treatment of the day, select the Acid Clean button on the Select Program screen and press Confirm.
  • Page 19 Heat Exchanger. However, the machine will still be able to run Heat Disinfection programs and hemodialysis treatments per unit protocol. Call a qualified service technician. 7. When prompted, connect the red acid connector to a jug containing chemical disinfectant and press Confirm. 8.
  • Page 20 © 2010 - 2017, Fresenius Medical Care, All Rights Reserved. Fresenius Medical Care, the triangle logo, Fresenius Renal Technologies, 2008, bi b ag, Crit-Line, CLiC, and DIASAFE are trademarks of Fresenius Medical Care Holdings, Inc. or its affiliated companies. All other...