Page 1 2008T Hemodialysis Machine Operator’s Manual Caution: Federal (US) law restricts this device to sale only by or on the order of a physician P/N 490122 Rev N...
Page 2 Contact Fresenius Medical Care Technical Support for applicable Field Service Bulletins. The spare parts manual for the model 2008T and other information may be found on our website at www.fmcna.com Caution: Federal (US) law restricts this device to sale only by or on the order of a physician.
Page 3: Table Of Contents
General Warnings .......................... 13 Using a Central Venous Catheter ....................18 CHAPTER 1 Overview ..............................19 Function of the 2008T Hemodialysis Machine ................19 Organization of the 2008T Hemodialysis Machine ............... 19 The Control Panel .......................... 22 Control Panel Keypad ........................23 ...
Page 4: Table Of Contents
Alarms and Troubleshooting ......................... 153 Operational Status ........................153 Troubleshooting ........................... 157 Replacing the Diasafe Plus Filter ....................218 Replacing the 9-Volt Battery ....................... 218 APPENDIX A Single Needle Dialysis (Optional) ......................220 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 5: Table Of Contents
Available Software & Hardware Treatment Options and Default Settings ......... 258 Equipment Storage and Maintenance ..................263 Machine Specifications ........................ 264 Manufacturer’s EMC Declaration ....................271 Product Improvement Policy ....................... 274 Warranty ............................275 Glossary ..............................276 Index ..............................281 2008T Machine Operator’s Manual P/N 490122 Rev N...
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Page 7: About This Manual
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.
Page 8: Requirements
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.
Page 9: Conventions
IPX1 Vertical drip-proof level of protection from liquid drips, leaks and spills Protective ground terminal Equipotentiality RF transmitter: Intentional Radio Frequency (RF) transmissions for wireless communications (see The CDX System, Appendix B) 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 10 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). Touchscreen Optional data input device that overlays the display screen. The Touchscreen reacts to fingertip pressure. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 11: About Hemodialysis
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. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 12 These instructions are for the 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.
Page 13: General Warnings
General Warnings General Warnings This section contains general warnings statements regarding the use and maintenance of the 2008T hemodialysis 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.
Page 14 The selection of other dialysate concentrate types must be done by a qualified, authorized person. The 2008T hemodialysis machine can be set up for various concentrate types. Use Table 35 in Appendix C to ensure that you have compatible concentrates and configurations.
Page 15 2008T hemodialysis machine when making or receiving phone calls. If a WiFi-connected device (e.g. laptop computers, tablet devices, smartphones) is found to cause interference, it is recommended to use that device at least four feet away from the 2008T hemodialysis machine.
Page 16 When not using the bibag system, the maximum supplied pressure is 2 psi. Caution: Only the bags manufactured by Fresenius Medical Care may be used in the bibag connector. Caution: System leaks may occur. Unattended operation of the machine (for example, during disinfection at night) may result in flooding and can cause property damage.
Page 17 Fresenius Medical Care manufactures bloodlines for use with the model 2008T hemodialysis machine. The performance of bloodlines not manufactured by Fresenius Medical Care cannot be guaranteed by Fresenius Medical Care and are therefore the responsibility of the prescribing physician. Note: The following materials come into contact with purified water, dialysate, or dialysate...
Page 18: Using A Central Venous Catheter
Assembly, installation, adjustment, or repair is to be performed only by persons authorized by the facility medical director or by Fresenius USA, Inc. Questions? For further information regarding the operation, repair, parts, or maintenance of the 2008T hemodialysis machine, please contact: Fresenius USA, Inc.
Page 19: Chapter 1 Overview
Here the concentrates used to make up the dialysate are mixed and pumped to the dialyzer. The following pages contain front and rear views of the 2008T hemodialysis machine and a brief description of the machine’s features. You should familiarize yourself with the location and purpose of these features.
Page 20 Chapter 1—Overview Figure 1 – 2008T Hemodialysis Machine—Front View 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 21 Chapter 1—Overview Figure 2 – 2008T Hemodialysis Machine—Rear View 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 22: The Control Panel
Chapter 1—Overview The Control Panel The control panel (see Figure 3) is located at the top, front of the 2008T hemodialysis machine and contains keys that allow the user to control the operation of the 2008T hemodialysis machine. Located at the top of the control panel is a display screen that can show a variety of treatment screens which the operator uses to set treatment parameters and monitor the treatment.
Page 23: Control Panel Keypad
Conductivity Low, Conductivity High, bibag: Cond Low, Bicarb Cond 2 Low, Bicarb Cond 2 High, Low Temperature, and High Temperature. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 24 Note: Pressing any control panel key (except for the Power key) while in CDX Mode (if available) will switch the machine back to Dialysis Mode. See Appendix B on page 233 for more information on CDX Mode. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 25 Its color matches the Status Box (see Figure 5). The lights (red, green, or yellow) are used to display status information. This allows clinic personnel to monitor the status of each 2008T hemodialysis machine from a distance during treatment. There are several selections for meaning of the lights described in the Available Software &...
Page 26 View charts that provide graphic views of treatment effectiveness (Kt/V), sodium variation system (SVS) and ultrafiltration (UF) profiles, and patient’s blood pressure over time. Displays the summary data of the patient’s treatment progress. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 27 Most of the commonly viewed data from other screens are also grouped on the “Crit-Line” screen for convenient monitoring. For more information, see the 2008T Hemodialysis Machine with CLiC User’s Guide (P/N 490206). View all pulse and blood pressure test results taken during treatment.
Page 28 Press the Fn Lock key again to turn off the function lock. Note: Older versions of the keyboard instead feature a Fn key which must be held down to select the secondary functions of the blue function number keys. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 29 It also disappears when a value is entered but not yet confirmed. To display the cursor again, press the Escape key to cancel the change or press the CONFIRM key to confirm the change. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 30: The Back Panel
On/Off Switch Figure 9 – Back Panel The back panel of the 2008T hemodialysis machine is located on the back of the machine at the top of the cabinet. It contains additional controls like audible volume, switches and various connections.
Page 31 Hour Meter This displays the number of hours the machine has run over its lifetime. See the “2008T Preventive Maintenance Procedures Manual” (P/N 508033) for information on scheduled maintenance. Ethernet Port 10/100 Ethernet connection for the CDX PC (optional);...
Page 32: Modules
Chapter 1—Overview Modules The modules accompanying the 2008T hemodialysis machine are located just below the control panel. The Arterial Drip Chamber, Blood Pump, Heparin Pump, and Level Detector modules contribute to the task of transmitting the blood from the patient, through the dialyzer and back to the patient.
Page 33 Note: The 2008T hemodialysis machine’s modules and internal hydraulics involve fluids: accidental spills can occur. Spills may cause slips and falls and can cause damage to carpeting and other surfaces.
Page 34 When door is open, simultaneously press the  and  keys and then press the  or  key to select the pump segment diameter. Tubing Retainer A spring-loaded device that secures the pump segment in place. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 35 Manually moving the carriage to infuse heparin is not recommended. Syringe Barrel Lock Tabs Wings Slot Syringe Plunger Slide Carriage Carriage Latch Figure 12 – The Heparin Pump Module (shown with syringe) 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 36 Pressure Port Venous Drip Chamber Holder Up/Down Level Adjust Door Latch Level Detector Sensor Venous Optical Clamp Detector Optical Detector Door (Rotate Clockwise to Open) Figure 13 – The Level Detector Module 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 37 The modules (Arterial Drip Chamber, Blood Pump, Level Detector, and Heparin Pump) can be arranged on the 2008T hemodialysis machine 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.
Page 38: The Dialysate Path
Chapter 1—Overview The Dialysate Path The 2008T hemodialysis machine is a three-stream dialysate delivery machine: it mixes the dialysate from three different sources and sends it to the dialyzer for treatment. The three main parts of the dialysate are: purified (RO) water, acid concentrate, and bicarbonate concentrate.
Page 39 The bibag connector is part of the bibag system. It is a hardware option that allows use of a dry bicarbonate powder to make dialysate solution for the 2008T hemodialysis machine. The bicarbonate powder is contained in a bag called the bibag disposable. The machine adds purified (RO) water to the bag and pumps out the liquid bicarbonate concentrate to mix with the acid concentrate and more RO water.
Page 40 See the bibag estimated run time table on page 244 for more information. Dialyzer The 2008T hemodialysis machine is compatible with commercially available dialyzers that are equipped with standard dialysate connections (ISO 8637). The dialyzer connects to the dialysate path via the dialysate lines on the shunt interlock.
Page 41 Figure 16 – Shunt Interlock, Flow Indicator & Dialyzer Connectors (viewed from back of machine) The shunt interlock is located on the right side of the 2008T hemodialysis machine. It links the dialysate lines when they are connected to it. The shunt door flips up to reveal color- coded latching-connectors.
Page 42: Iv Pole And Dialyzer Holder
Chapter 1—Overview IV Pole and Dialyzer Holder IV Pole Release Grip Dialyzer Bloodline Swivel Elbow Release Latch IV Pole Holder Holders Joint Button Clamp Figure 17 – The IV Pole and Dialyzer Holder 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 43: Moving The Machine
Moving the Machine The 2008T hemodialysis machine has wheels on the bottom to make it easy to move. Before moving the machine, make sure the IV pole is secured in its lower mount.
Page 44 3. Slowly lower machine step. Hold IV pole above upper down step. Keep firm mount. hold on IV pole. Do not tip machine too far forward! Figure 19 – Moving the 2008T Hemodialysis Machine 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 45: Chapter 2 Daily Preparation For Treatment
Conducting pressure and alarm tests Starting Point The following is a checklist of conditions that should exist after installation of the 2008T hemodialysis machine by a qualified technician. Before beginning the daily preparation procedures, visually inspect the machine to verify that: ...
Page 46: Preparing The Dialysis Delivery System
“Select Program” screen. Note: The “Select Program” screen displays any additional software applications (Apps) that are installed on the 2008T hemodialysis machine (see Figure 20 for an example). Figure 20 – The Select Program Screen and Touchpad Note: If the bibag disposable is the bicarbonate source, do not pull the blue bicarbonate connector from the machine’s rinse port.
Page 47 Current acid concentrate selection Figure 21 – The Dialysate Screen Note: If the machine is set up for use with Citrasate, a ‘Citrate’ meter box will be displayed in the dialysate constituent list. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 48 The machine’s conductivity and temperature readings should stabilize within ten minutes. While the 2008T hemodialysis machine is preparing the dialysate, the bloodlines may be set up. Turn to the next page for instructions on preparing the extracorporeal blood circuit.
Page 49: Preparing The Extracorporeal Blood Circuit
(from the dialyzer to the patient). Be sure to use aseptic technique for all bloodline connections. Note: To prepare the 2008T hemodialysis machine for single-needle dialysis, see “Single Needle Dialysis” in Appendix A. Figure 22 – Pre-pump Arterial Chamber Configuration Figure 23 –...
Page 50: Connecting The Extracorporeal Blood Circuit
Press and hold the Start/Stop key. The rotor will rotate to the 5 o’clock position and stop. Relieve pressure on the retainer and release the segment. The beginning of the pump segment should be secured between the left yoke and the tubing retainer. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 51 1. Mount the dialyzer in its holder, arterial-end up. 2. If the CLiC device will be used for this treatment, connect the Crit-Line Blood Chamber to the dialyzer’s arterial port at this time. For more information, see the 2008T Hemodialysis Machine with CLiC User’s Guide (P/N 490206).
Page 52 Chapter 2—Daily Preparation for Treatment Priming the Blood Circuit There are two different ways to prime the blood circuit on the 2008T hemodialysis machine—Standard Prime method and Prime Amount method. The Standard Prime method allows the operator to prime the blood circuit by controlling the flow of the saline manually.
Page 53 6. On the control panel keypad, press the Prime key. 7. Press the blood pump Start/Stop key and run the blood pump at a rate of 150 ml/min. Adjust the flow rate by pressing the  (up) or  (down) keys. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 54 If 1.5x or 2x dialysate flow (Auto Flow) is selected, be sure that the dialysate flow rate is at least the minimum required rate. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 55: Testing The 2008T Hemodialysis Machine
Select the Both Tests button in the “Test & Options” screen to start the test. The 2008T hemodialysis machine 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.
Page 56: Test Sequence
The Pressure Holding Test, the Alarm test, or both tests can be started by selecting the corresponding button on the “Test & Options” screen and pressing the CONFIRM key on the Touchpad. After a long power down, however, only the Both Tests button is enabled. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 57 Chapter 6, “Troubleshooting”. Pressing the RESET key once mutes an alarm, pressing it a second time resets the right side of the screen. Figure 25 – Test Failure Screen 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 58: Recirculation And Final Set-Up Procedure
Remove the machine from service and have it inspected by a qualified technician to correct the problem. The 2008T hemodialysis machine can be set up to perform online PHTs during treatment. These tests routinely happen every 12 minutes, and check the integrity of the hydraulic system.
Page 59 Note: The 2008T hemodialysis machine can be configured (in Service Mode) so that audible alarms occur only when the optical detector senses blood. If this option is not selected, an audible alarm will sound when the shunt interlock door is open.
Page 60: Chapter 3 Setting Treatment Parameters
Kt/V AF Screen—Set the parameters for the Kt/V display and run the Access Flow measurement.  BTM/BVM Screen—If applicable, set the BTM and BVM parameters.  Blood Pressure Screen—Set pressure and interval settings to facilitate taking pulse and blood pressure readings automatically. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 61: New Treatment Key
Chapter 3—Setting Treatment Parameters New Treatment Key When the 2008T hemodialysis machine is first turned on in preparation for daily operation (after a long power down), all treatment parameters revert to their default settings. This can also be accomplished by pressing the New Tx (New Treatment) key when in Dialysis Mode.
Page 62: Entering A Treatment Parameter
 /  (up or down) keys located on the Keyboard. After entering the new value, press the CONFIRM key to save it in the 2008T hemodialysis machine’s memory. The following example illustrates this procedure.
Page 63: Dialysate Screen Settings
Within the “Dialysate” screen, the concentrations of base sodium (Na ), bicarbonate, and other constituents are displayed. The Theoretical Conductivity (TCD)—the conductivity of the dialysate based on these concentrations—is displayed in the left side of the screen. The 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 64 Dialysate at the Actual Conductivity displayed Base Na and Bicarbonate values. Alarm Window Electrolyte Profile of Selected Concentrate at the base sodium and Conductivity bicarbonate levels Scale Figure 29 – The Dialysate Screen 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 65 “Sodium Variation System” on page 83. This button is colored green when an SVS profile is running (software version 2.34 or later). If the SVS option is set to ‘No’ in Service Mode, this button will not be displayed. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 66 Final Dialysate Composition Final Dialysate contains sodium, bicarbonate, and the minor dialysate constituents shown on the “Dialysate” screen. The 2008T hemodialysis machine maintains dialysate sodium and bicarbonate at the prescribed levels using a volumetric proportioning system. The conductivity of the dialysate is displayed and used to monitor, but not control, the Final Dialysate composition.
Page 67 Citrasate 2251-CA with 2.7 mEq/L Acetate (2.4 mEq/L Citrate + 0.3 mEq/L Acetate) Prescribed Sodium Bicarbonate Potassium Calcium Magnesium Citrate Acetate Dextrose Bicarbonate 34 mEq/L nominal setting 20 mEq/L lowest setting 40 mEq/L highest setting 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 68 Constant at 137 mEq/L NaturaLyte GranuFlo Citrasate Nominal Bicarbonate Setting Nominal Bicarbonate Setting Nominal Bicarbonate Setting Minimum Bicarbonate Setting Minimum Bicarbonate Setting Minimum Bicarbonate Setting Maximum Bicarbonate Setting Maximum Bicarbonate Setting Maximum Bicarbonate Setting 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 69 Chapter 3—Setting Treatment Parameters Setting an Acid/Bicarbonate Type Acid/bicarbonate concentrate types are programmed into computer memory of the 2008T hemodialysis machine. If the current patient’s prescribed dialysate differs from the previous patient’s, or if the machine is new or has been recalibrated, a new acid/bicarbonate concentrate type matching the dialysate prescribed by the current patient’s physician must be...
Page 70 Concentrate menu. 4) Enter the prescribed Base Na+ and Bicarbonate values as described in “Entering a Treatment Parameter.” Figure 31 – Entering Concentrate Information 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 71 6) Select Dialysate to exit the “Acid/Bicarb Alert” subscreen. The volume of each concentrate will count down as it is used. Figure 32 – Setting Acid & Bicarbonate Alerts 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 72  (up) arrow key. To shift the window downward, press the  (down) arrow key. 3) Press the CONFIRM key to save the change. Figure 33 – Changing Conductivity Limits 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 73 Verify that the conductivity is reasonably close to the theoretical conductivity value (TCD) and the pH is between 6.9 and 7.6. If they are not, do not initiate dialysis. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 74: Home Screen Settings
“Entering a Parameter” on page 62. Note: The 2008T hemodialysis machine is equipped with both visual cues and audible alarms to alert the operator to potential problems. In every alarm condition, assess the patient for any changes in his/her physiologic state.
Page 75 (ultrafiltration). Generally the UF rate is not entered, but rather automatically calculated from the UF Goal and UF Time. If the UF Rate value is manually changed, the UF Time value will automatically change accordingly. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 76 UF Time button is automatically transferred to the RTD button if UF removed is 0. If it is necessary to change the treatment time, RTD can be entered here. A dialysate or blood alarm will stop this timer. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 77 UF on/off key is pressed. If the UF on/off key is pressed during dialysis to turn off the UF pump, it will not resume with the Treatment Clock button. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 78: Ultrafiltration
Table 17 – The UF Profile Subscreen Buttons Button Function Profile 1 – Increases the UF rate for approximately the first 40% of the treatment then gradually decreases 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 79 The UF Goal and UF Time values from the “Home” screen will appear in the “UF Profiles” subscreen. 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. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 80 This button (UF Profile in the “Home” screen) changes to the selected profile when selection is confirmed. 4) Press CONFIRM. Figure 37 – Setting UF Profile Parameters 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 81 After five minutes of pure ultrafiltration, an alarm sounds and the warning message, “5 MINUTES FLOW OFF,” appears in the Status Box. The operator has the option of continuing pure ultrafiltration or starting dialysis. This alarm occurs only once. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 82 Chapter 3—Setting Treatment Parameters To set the 2008T hemodialysis machine for sequential dialysis: 1) Set UF treatment parameters. Set the UF Time to include the combined treatment and pure UF times. 2) Select Dialysate Flow to highlight it. 3) Use the ...
Page 83: Sodium Variation System
If the Na or Bicarbonate level is entered with a numeric key, they are only recalculated after the CONFIRM key is pressed or a parameter button is selected for a different parameter. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 84 SVS program. The end time is represented in the profile graph by a tick mark on the horizontal axis. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 85 The SVS timer is activated when the Tx Clock button is initially selected and confirmed to start treatment. The SVS profile parameters can only be changed if the SVS is turned off using the ‘None’ profile button. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 86  Terminate the program by selecting the SVS Time button on the “SVS Profile” subscreen, entering zero using the Keyboard, and pressing Enter/CONFIRM or by changing profile to “None” and pressing CONFIRM 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 87: Heparin Screen Settings
Chapter 3—Setting Treatment Parameters Heparin Screen Settings The “Heparin” screen settings control the 2008T heparin pump operation. It can be set to deliver heparin in a bolus dose and at a consistent rate during the treatment. What to set in this screen…...
Page 88 To use the timer, select the Heparin Dwell button and press the CONFIRM key. This will cause the Status Light above the 2008T display screen to flash yellow at half-second intervals for five minutes while the heparin is dwelling.
Page 89 3) Use the Up/Down keys on the keyboard to scroll the drop-down menu until the correct syringe type is highlighted. 4) Press CONFIRM. Figure 42 – The Syringe Subscreen on the Heparin Delivery Screen 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 90 8. Release the carriage latch and allow the plunger lock tabs to clamp the plunger in place securely. Syringe Barrel Lock Tabs Wings Slot Syringe Plunger Slide Carriage Plunger Lock Tabs Carriage Latch Figure 43 – The 2008T Heparin Pump Module with Syringe Loaded and Connected 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 91 Warning! The heparin pump is to be used only under positive pressure conditions. Under negative pressure conditions, excessive heparin may be infused. Note: The Heparin button is colored green when the heparin delivery system is running (software version 2.34 or later). 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 92: Test & Options Screen Settings
The “Test & Options” screen is divided into two distinct sections. The left side of the screen is used to initiate the self test and show the results (see “Testing the 2008T Hemodialysis Machine” on page 55). The right side of the screen is available to set the machine for various treatment options.
Page 93 See the “Crit-Line Screen” on page 119 for more information. Selecting the Patient ID button allows the user to enter a patient’s ID in the text box located to the right of the button. The 2008T hemodialysis machine can upload treatment information to a network database for review by clinical staff using a personal computer.
Page 94: Blood Pressure Screen Settings
Note: The blood pressure module is not designed to replace the periodic observation of the patient by the clinical staff. The clinical staff should review all blood pressure readings. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 95 180 mm Hg. For all subsequent readings, the cuff will inflate to 50 mm Hg above the last systolic pressure reading for adults. The minimum inflation pressure is 50 mm Hg. The maximum inflation pressure is 300 mm Hg. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 96  or  (up or down) arrow keys on the Keyboard may be used to change the time. Note: Using cuff tubing longer than 10 feet may result in erroneous blood pressure readings. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 97: Starting Dialysis
At this point, all treatment parameters and options should be entered. 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 2008T hemodialysis machine via the blood tubing and begin the dialysis treatment.
Page 98 Warning! When establishing blood flow, ensure that air will not be infused into the patient. Warning! Check all bloodlines for kinking. Improper blood flow may cause hemolysis of the blood. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 99: Chapter 4 Monitoring The Treatment
This must be done to avoid drawing air into the system. Drawing air into the system can cause the concentrate pumps to malfunction. Note: The 2008T hemodialysis machine is equipped with both visual cues and audible alarms to alert the operator to potential problems. In every alarm condition, assess the patient for any changes in his/her physiologic state.
Page 100: Home Screen Monitoring
“Home” screen. Note: If the 2008T hemodialysis machine is set up in Service Mode to display the “Crit- Line” screen instead of the “BTM BVM” screen, the various functions and parameters of the treatment can also be viewed on the “Crit-Line”...
Page 101 Time buttons stop counting down. 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. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 102 Adjusting the blood pump rate will cause the alarm limits to spread, allowing the pressure to stabilize before new limits are re-established. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 103 Machine alarms may not occur in every blood loss situation. Note: When the optical detector senses blood, the minimum the lower venous pressure limit will be set to is + 9 mm Hg. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 104 The transmembrane pressure (TMP) is equal to the venous pressure minus the dialysate pressure measured in mm Hg. On the 2008T hemodialysis machine, 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.
Page 105: Trends Screen Monitoring
If necessary, the treatment summary results from the prior treatment may be recalled. Table 23 – The Trends Screen Buttons Button Function This button is used to display either the current or previous treatment summary data. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 106 This is the average UF rate at this point in the treatment (ml). UF Time This is the UF time selected for the treatment (min). UF Profile This is the UF profile # selected for the treatment 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 107 This is the last access flow determination, if available (ml/min) Flow Avg Recirc. This is the average of all the recirculation determinations made for this treatment (%) High Flux This shows whether or not the High Flux dialyzer option is set. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 108: Kt/V & Access Flow Monitoring
Figure 48 – The Kt/V and Access Flow Screen The following table describes the features found in the “Kt/V AF” screen on machines with active OLC functionality. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 109 The prescribed target single-pool value, ranging from 0.40 to 2.50, is entered in this button. This value is reset to the default value when the New Tx key is pressed. The default value may be changed in Service Mode. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 110 (i.e., the value displayed in the RTD button of the “Home” screen at the start of treatment). The point where these lines cross represents the target Kt/V at the end of the prescribed treatment. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 111 Kt/V, the solid portion of the plot appears red and an exclamatory icon is displayed to the right of the graph (see Figure 50 below). Figure 50 – Projected Clearance is less than 100 Percent of Target 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 112 The result will be more accurate if both tests are done at the same blood flow rate. Note: Fresenius Medical Care recommends using Combiset bloodlines with Twister blood flow reversal device (P/N 03-2794-0) for treatments running access flow tests. The integrated Twister device eliminates the need to disconnect the bloodlines from the access during treatment.
Page 113 Note: During the second OLC measurement for the Access Flow test, the UF will change to 70 if running low flux or 300 if running high flux. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 114 OLC test. This value indicates the total blood volume (in liters) that has passed through the dialyzer based on the blood pump flow rate and adjusted for negative arterial pressure. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 115 (hours/min.) elapsed from the beginning of treatment. 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. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 116: Blood Temperature Monitor / Blood Volume Monitor Screen
Chapter 4—Monitoring the Treatment Blood Temperature Monitor / Blood Volume Monitor Screen Note: The 2008T hemodialysis machine is set up in Service Mode to display either the “BTM BVM” screen or the “Crit-Line” screen. If the second to last screen-button along the bottom of the display screen shows “Crit-Line”...
Page 117 The vertical dotted line indicates the scheduled end of treatment. Note: When the 2008T hemodialysis machine is first turned on, the small display on the BTM will indicate 1107. This is a normal event and can be cleared by pressing the Up ...
Page 118 RBV (e.g. saline flush) the red line will continue dotted with the last transferred value. The yellow dotted line shows the alert level. The vertical dotted line indicates the scheduled end of treatment. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 119: Crit-Line Screen
Chapter 4—Monitoring the Treatment Crit-Line Screen Note: The 2008T hemodialysis machine is set up in Service Mode to display either the “BTM BVM” screen or the “Crit-Line” screen. If the second to last screen-button along the bottom of the display screen shows “BTM BVM” instead of “Crit-Line,” turn to page 116.
Page 120 Chapter 4—Monitoring the Treatment Note: The CLiC device is only a tool used to complement a treatment on the 2008T hemodialysis machine. Operators must rely on their own clinical assessment of the patient to administer the treatment, as per the standard of care.
Page 121 BV Alert Level button – Sets the BV (Blood Volume) Alert Level (under physician direction). When the current ∆BV% change drops below the set BV alert level, the 2008T hemodialysis machine stops the UF pump and displays the alert message “Rel. Blood Volume Low”.
Page 122 0 to the ΔBV% value. As the dialysis treatment progresses, fluid is taken out of the blood by the 2008T hemodialysis machine’s ultrafiltration pump. This will result in a greater percentage of the blood being red blood cells and the blood volume fill graph will trend downwards and approach the alert level.
Page 123 BV Alert Level button on page 121). The line will appear on the graph after the initial Hct is determined. When the alert is triggered, the 2008T hemodialysis machine stops the UF pump and displays the alert message “Rel. Blood Volume Low”. The alert can be cleared by lowering the alert level or by setting the BV Alert Level to OFF.
Page 124 Remaining Time of Dialysis (RTD). The green segment of the pie chart represents the amount of treatment completed and grows as the treatment progresses. The Tx Clock button and an RTD button to set the RTD are also located on the “Home” screen. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 125: Blood Pressure Screen Monitoring
Mean Arterial Pressure (MAP), and the pulse rate of the patient during the test. The MAP is measured by the blood pressure module and thus may differ from MAP calculated from systolic and diastolic pressure. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 126: During Treatment
The machine is in bypass mode during the test period. 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. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 127 5. Close the bibag door, making sure it latches firmly in place. An audible click indicates the door is closed. The treatment will resume after the machine fills the bag with heated water. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 128: Blood Recirculation Procedure
3. Aseptically reconnect the arterial and venous bloodlines to the patient’s access sites. 4. Restart the blood pump and adjust blood pump to the prescribed flow rate. 5. Select the Tx Clock button and press CONFIRM to resume the treatment. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 129: Power Failure During Dialysis
9-volt battery from the back of the machine. Manually Operating the Blood Pump In the event of a power failure during treatment, the 2008T blood pump can be manually operated to return the blood to the patient or to keep the blood in recirculation if a quick resumption of power is anticipated.
Page 130 Manual circulation time is the responsibility of the clinic’s medical supervisor. Warning! Carefully observe the venous chamber and bloodline for the presence of air. Be sure no air will be infused into the patient. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 131 SVS Profile. Adjust the SVS-Time if necessary. 13. The UF treatment parameters are also saved during a power failure. Check all parameters (UF Goal, UF Time, UF Rate, UF-Removed) for correct settings and adjust if necessary. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 132: Completion Of Dialysis
Note: Depending on how your machine was configured, and audible alarm may sound when the saline solution reaches the optical sensor. Press RESET to silence the alarm. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 133 8. Insert the concentrate wands into their proper rinse ports. The “Select Program” screen appears on the display screen. 9. Clean or disinfect the exterior of the machine according to routine cleaning and maintenance procedures described in “Disinfection and Maintenance,” on page 136. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 134 When RTD is zero and the Tx Clock is paused, a Print button will appear on the “Crit-Line” screen in place of the Markers button. To clear the data on the “Crit-Line” screen without printing, press the New Tx key. For more information, see the 2008T Hemodialysis Machine with CLiC User’s Guide (P/N 490206).
Page 135 3. Lift up on the dark-gray bibag door handle to open the bibag door. Remove the bag and dispose of it per unit protocol. Close the bibag door securely, making sure that the door latches into place (two clicks should be heard). 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 136: Cleaning And Disinfection
This chapter covers all cleaning, disinfection, and maintenance tasks that can be performed by the operator. Included are instructions for running the programs found on the “Select Program” screen designed to clean and disinfect the fluid paths found in the 2008T hemodialysis machine.
Page 137 Chapter 5—Disinfection and Maintenance The fluid path of the 2008T hemodialysis machine can be disinfected chemically or with heat. The machine should be rinsed thoroughly after chemical disinfection and before introducing any other chemicals to the machine. The machine should be disinfected at least once each day it is used and rinsed per unit protocol.
Page 138 Page 149 machine. This program is recommended daily on the days the machine is used for treatment. Clean and disinfect bicarbonate concentrate jugs and suction cap Weekly wands per facility protocol. Page 141 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 139 Follow the instructions of the chemical manufacturer for residual testing. If the machine is chemically disinfected daily, we recommend that it also be heat disinfected at least once per week. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 140: Cleaning The Exterior Surface
) dimethyl benzyl ammonium chloride. These ingredients attack the polycarbonate plastics used in the machine. The optional bibag connector is connected to the 2008T hemodialysis machine’s hydraulics so running rinse or disinfection programs from the “Select Program” screen will also rinse or disinfect the bibag connector.
Page 141 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. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 142: Rinse Program
At the end of the Rinse program, the machine will display the message, “ CONFIRM TO EXIT.” If the rinse cycle followed chemical disinfection, the water from the rear drain must be tested to ensure that residual disinfectant has been reduced to an acceptable level. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 143: Acid Clean Program
Chapter 5—Disinfection and Maintenance Acid Clean Program The 2008T hemodialysis machine should undergo an acid cleaning daily when using bicarbonate concentrates during dialysis. The purpose of the Acid Clean 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.
Page 144: Heat Disinfection Program
Note: Cooling time can be shortened by running the Rinse program, which will flush the machine with 37°C water. Do not cool the machine with the Rinse program unless the machine will be used immediately afterwards. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 145: Chemical/Rinse Program
Chemical/Rinse program can no longer be run due to a leak detected in the 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. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 146 9. Press CONFIRM to exit. 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. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 147: Chemical/Dwell Program
The message, “Rinsing Line, Please Wait” is displayed in the Status Box. 6. When prompted, connect red connector to chemical disinfectant. Press CONFIRM. 7. Water Pre-rinse will start. Remaining Pre-rinse Time meter box counts down. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 148 Status Box. 11. Press CONFIRM to exit. Warning! The mandatory rinse cycle must be completed and a test for residual disinfectant must be performed prior to the next treatment. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 149: Acid & Heat Disin (Disinfect) Program
Chapter 5—Disinfection and Maintenance Acid & Heat Disin (Disinfect) Program The 2008T hemodialysis machine should undergo an acid cleaning daily when using bicarbonate concentrates during dialysis in addition to daily disinfection on treatment days. The purpose of the Acid & Heat Disin program (software version 2.38 or later) is to prevent the buildup of bicarbonates inside the machine that can have a detrimental effect on the machine’s performance and treatment efficacy and to then disinfect the machine.
Page 150 Note: Cooling time can be shortened by running the Rinse program, which will flush the machine with 37°C water. Do not cool the machine with the Rinse program unless the machine will be used immediately afterwards. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 151 If a mandatory rinse cycle is interrupted by a power failure, only a Rinse program is available in the “Select Program” screen. The entire Rinse program must be completed before the operator can initiate dialysis. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 152 Chapter 5—Disinfection and Maintenance This page intentionally blank 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 153: Chapter 6 Alarms And Troubleshooting
Operational Status The 2008T hemodialysis machine is equipped with a system of electronic components and diagnostic software that monitor its operation and performance. When problems or potential problems are detected, the operator is alerted through informational messages displayed on the screen and in some cases, audible alarms.
Page 154 Warning events do not stop the blood pump. The message displayed in the Status Box is intended to alert the operator of a functional anomaly, a procedural error, or an existing condition requiring remedial action. A warning may be accompanied by an audible alarm. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 155  RTD stops There are several features on the 2008T hemodialysis machine control panel that you should be familiar with in the event of a blood alarm. Figure 68 – Control Panel Features for Blood Alarms identifies the location of each of them. The accompanying table describes the function of each feature.
Page 156 RESET key will be on during an override. Warning! During an override, the machine’s blood leak detector is inactive. You must monitor the treatment. Note: The RESET key light flashes when a blood alarm occurs. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 157: Troubleshooting
The Status Box Message column identifies the message as it appears in the Status Box or in the Dialogue Box of the display screen. Purpose of Message The Purpose of Message column is a brief explanation of the Status Box message or the condition that generated it. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 158 If necessary, press the Escape key to display the cursor again. Note: If the 2008T hemodialysis machine becomes unresponsive (locks-up or ‘freezes’) or if the display screen unexpectedly turns off, turn off the machine by pressing and holding the Power key for two seconds.
Page 159 Electronic self-test, power supply Alarm Turn machine power off and back on. If alarm is not cleared, take the limits exceeded. machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 160 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N 60 Minutes Flow Off Warning 1) Press RESET to silence the alarm. Dialysate flow has been off for 60 minutes in the sequential option. 2) Re-establish dialysate flow to comply with the prescribed treatment.
Page 161 Acetate concentrate has been Connect blue (bicarbonate) wand/connector into the blue rinse port. selected and the blue bicarbonate Be sure the concentrate selection is correct. wand/connector is out of its port. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 162 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Acid Press Calib Err bibag system pressure calibration Advisory Turn machine power off and back on. If message is not cleared, take error. the machine out of service and alert a qualified service technician.
Page 163 (see page 129 for instructions). Take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 164 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Art. Pressure Alarm (with The pressure inside the arterial drip Blood 1) Check arterial and venous tubing for kinked line, clotting or the upper Arterial chamber is above the set alarm limits.
Page 165 Interface Board cannot boot up. Alarm Turn machine power off and back on. If alarm is not cleared, take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 166 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N bibag: Chamber Venting The system is venting and the Advisory Advisory only. No action is required. machine is in bypass mode. Note: If this message occurs repeatedly, open the bibag door, wait 30 seconds to relieve the pressure, and lift the bag off the bibag connector nozzles to vent the air.
Page 167 Run a Rinse program until message is cleared. If the alarm is not cleared, take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 168 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N bibag: Door Error Sensor error. Advisory Turn machine power off and back on. If the message is not cleared, return the blood to the patient if alarm occurs during treatment. Take the machine out of service and alert a qualified service technician.
Page 169 If the alarm is not cleared, return the blood to the patient if alarm occurs during treatment. Take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 170 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N bibag: Press Too High The pressure inside the bibag Water Open the bibag door, wait 30 seconds to relieve the pressure, and disposable is above the set alarm Alarm remove the bag. Place the bag back on the connector and close the limits.
Page 171 Bic Conn Out of Port The blue bicarbonate wand/connector Warning Connect blue (bicarbonate) wand/connectors into the blue rinse port. is out of its port. Verify the concentrate selection. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 172 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Bicarb Cond 2 High Bicarbonate conductivity cell is Water A single occurrence is not a problem if the machine automatically measuring high dialysate bicarbonate Alarm resets. If the problem lasts longer than five minutes or occurs conductivity when using the bibag repeatedly, turn power off and back on.
Page 173 The machine is in bypass the blood to the patient if alarm occurs during treatment. Take the mode. machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 174 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Bicarb: Vent Too Long The bibag system has been venting Water Press the RESET key to clear the message. If the alarm persists, turn longer than ten minutes when using Alarm machine power off and back on.
Page 175 + 5 volts is outside the allowable Alarm See message E.10 range Blood Pump +12 V Error Alarm See message E.07 + 12 volts is outside the allowable range ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 176 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Blood Pump -12 V Error - 12 volts is outside the allowable Alarm See message E.09 range Blood Pump +24 V Error + 24 volts is outside the allowable Alarm See message E.08...
Page 177 See message E.99 while in Service Mode Blood Pump Volt Error Reference Voltage error Alarm See message E.04 Blood Pump WD Error Watchdog timeout Alarm See message E.06 ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 178 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Blood Sensed An action has been initiated that Warning 1) Inspect the optical detector below the line clamp. requires that blood not be sensed. 2) Press RESET to reset the alarm.
Page 179 1) Remove kink in line to cuff. valve in blood pressure module Pressure 2) May indicate a hardware malfunction. If problem persists, malfunction. Alarm remove cuff and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 180 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N BPM: Oscil Wave Check The diastolic blood pressure reading Blood Indicates a hardware malfunction. If problem persists, remove cuff is close to or greater than the systolic Pressure and alert a qualified service technician.
Page 181 The BVM module has failed Alarm Press RESET to clear the message. BVM will no longer pass information to the 2008T monitor. Turn the power off and back on. If the alarm is not cleared, refer to a qualified service technician. BVM No Communication...
Page 182 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Concentrate Connected? The red acid concentrate connector is Warning Connect the red (acid) connector to the acid supply. not connected to the concentrate container. Cond Offset Failure Electronic self-test failure. Alarm Turn machine power Off and back On.
Page 183 Perform an Acid Clean program followed by a complete rinse cycle. Test machine operation. If conductivity alarm persists, take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 184 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Conductivity out of range When attempting to start an OLC test, Advisory Wait until the conductivity is stable and start the OLC test again. If certain conditions are necessary, the message repeats, do not use OLC until the conductivity sensors including the condition that have been recalibrated.
Page 185 Remove the device from the Crit-Line Blood Chamber.  Disconnect the CLiC device cable from the USB port and press the RESET key to disable CLiC device.  Contact a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 186 Warning Check the CLiC device’s USB cable: not received data from the CLiC  Make sure the cable is securely connected to the 2008T device. hemodialysis machine’s USB port.  Wait up to one minute for the message to clear.
Page 187 Take the machine out of service and alert a qualified service technician to replace the Diasafe filter if necessary ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 188 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Diasafe Test Passed This message advises the operator of Advisory Press the RESET key to clear the message the status of the Diasafe self test. Diasafe Test Recovery This message advises the operator of Advisory Advisory message only.
Page 189 Warning Connect the red dialyzer return line to the shunt. If the warning is stop. repeated, take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 190 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Emptying too long The dialyzer empty program has Alarm If blood is not sensed, return the dialyzer supply and return lines to exceeded its maximum limit. the shunt and close the shunt door to terminate the program. If the machine was in dialysis (blood sensed), turn machine power off and back on to clear the program.
Page 191 Temperature test has failed. Test Verify stable temp. Rerun test. If failure repeats, remove machine Message from service and alert a qualified service technician to recalibrate. Fail * Temp Low Soft ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 192 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Fail * Temp High Hard Temperature test has failed. Test Verify stable temp. Rerun test. If failure repeats, remove machine Message from service and alert a qualified service technician to recalibrate.
Page 193 If the dialysate flow is turned on while Advisory Set the dialysate flow rate to the desired value. the display screen flow rate selection is still “OFF”, this reminder is displayed. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 194 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Flow Recirc Error 1 Dialysate flow problem. 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.
Page 195 4) Turn the power off and on. If warning is not cleared, return the blood to the patient if alarm occurs during treatment. 5) Take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 196 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N High Temperature The actual dialysate temperature has Dialysate 1) Ensure that water is flowing to machine when turned on. exceeded the high-temperature alarm Alarm 2) Check water supply to machine for excess temperature and limit.
Page 197 Low Bicarb Warning 20% of concentrate left in bicarbonate Warning Check jug level, change to new jug of concentrate if needed and jug per entered value. reenter jug volume. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 198 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Low Flow Error Possible balancing chamber problem. 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.
Page 199 Note: Pressing and holding RESET for three seconds will activate the blood pump for about three minutes while a blood leak alarm exists. Press RESET again if needed. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 200 Warning To proceed with the selected operation, run the Pressure and Alarm proceeding with UF or SVS. tests. For more information, see Chapter 2 “Testing the 2008T Hemodialysis Machine.” Need Blood Sensed! Verify venous bloodline is in the Optical Detector.
Page 201 OLC Test Passed OLC self test passed Advisory Advisory only no action required Online Clearance Self- Machine is running an OLC self-test Advisory Advisory only no action required test ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 202 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Online Clearance Test Machine is running an OLC Advisory Advisory only no action required measurement Online PHT Failed The online Pressure Holding Test has Warning Reset the alarm. Check the machine for liquid leaks. If the failure failed.
Page 203 Priming The operator has pressed the Prime Advisory Advisory only. No action is required. key and initiated the priming function. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 204 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Put Connectors in Port The connectors must be in the Advisory Connect the red (acid/acetate) and/or blue (bicarbonate) connectors machine ports in order to start a to the appropriate rinse ports.
Page 205 Advisory To erase the current treatment information and move it to the CONFIRM or Escape “Trends” screen when initiating a new treatment, press CONFIRM. To cancel, press Escape. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 206 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Resetting, Try Again. Blood pressure module resetting Warning Wait until blood pressure module completes resetting and retry blood pressure reading. Retry > Press = XXX The cuff pressure is too low to...
Page 207 SN BP +24 V Error + 24 volts is outside the allowable Alarm See message E.08 range SN BP Button Alarm Key stuck or held in too long Alarm See message A.16 ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 208 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N SN BP Comm. Timeout Time out when receiving Intel-Hex- Alarm See message A.27 line or overflowed received buffer SN BP Del. Rate Alarm Actual speed-read back analog Alarm See message A.21...
Page 209 Heat Exchanger. However, the machine will still be able to run Heat Disinfection programs and hemodialysis treatments per unit protocol. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 210 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Take Lines Off Shunt An action has been initiated that Warning To proceed with the selected operation, dialyzer supply and return requires the dialyzer supply and lines must be off the shunt. Connect lines to the dialyzer.
Page 211 5) If unable to reset the alarm, return the blood to the patient if alarm occurs during treatment. Take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 212 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Tx Clock On The operator has selected the Empty Dialog If the treatment is not yet completed and the bibag disposable must bibag button when the Tx Clock is Message be changed, lift up on the bibag door, wait 30 seconds to relieve the running.
Page 213 The machine is in bypass Alarm the blood to the patient if alarm occurs during treatment. Take the mode. machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 214 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N V104/108 Stuck Closed Bicarbonate concentrate port valve Water Check for a kinked bicarbonate concentrate supply line. error or rinse port valve error. The Alarm Make sure that the bicarbonate concentrate connector is firmly machine is in bypass mode.
Page 215 If alarm won’t reset, return the blood to the patient if alarm occurs during treatment. Take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 216 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N Ven. Pressure Alarm Low pressure detected in the venous Blood 1) Check venous tubing for disconnected line. (with the lower Venous drip chamber. Alarm Note: A low venous pressure alarm may not occur with Pressure Alarm limit every disconnection or needle dislodgment.
Page 217 Electronic self-test failure. Alarm Turn machine power off and back on. If alarm is not cleared, take the machine out of service and alert a qualified service technician. ALARMS Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev N TROUBLE- SHOOTING...
Page 218: Replacing The Diasafe Plus Filter
2. Power the machine ON and run the Alarm test on the “Test & Options” screen (see page 55). The machine should fail the battery test. If it passes the test, call a qualified technician. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 219 Warning! If the machine fails these tests and the cause cannot be corrected, it should not be used for treatment. 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.) 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 220: Appendix A Single Needle Dialysis (Optional)
Note: Before using these instructions, the Single Needle Blood Pump module must be installed in the 2008T hemodialysis machine. The Service Mode “Options: Module Options” screen Digital SN Blood Pump option must be set to ‘Yes’. See the Single Needle 2008K Series Blood Pump Installation Instructions (P/N 507639) for more information.
Page 221 Fresenius Medical Care manufactures bloodlines for use with the 2008T hemodialysis machine. The performance of bloodline sets not manufactured by Fresenius Medical Care cannot be guaranteed by Fresenius Medical Care and are therefore the responsibility of the prescribing physician. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 222 Press and hold the Start/Stop key again and the rotor will rotate one full turn to automatically position the remainder of the segment within the pump housing. After loading, any extra pump segment tubing length should be on the right side of the pump. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 223 Warning! Do not allow the ends to touch the fluid in the bucket to prevent contamination. Dialyzer Setup 1. Mount the dialyzer in its holder, arterial-end up. Screw dialyzer caps onto the dialyzer ports. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 224 Appendix A Priming the Single Needle Blood Circuit There are two different ways to prime the blood circuit on the 2008T hemodialysis machine:  Standard Prime method: This method allows the operator to prime the blood circuit by controlling the flow of the saline manually.
Page 225 7. Press the Start/Stop key on the Arterial Blood Pump module and run the pump at a rate of 150 ml/min. Adjust the flow rate by pressing the  (up) or  (down) keys. The compliance chamber will automatically fill to an acceptable level. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 226 2x dialysate flow (Auto Flow) is selected, be sure that the dialysate flow rate is at least the minimum required rate. Testing the 2008T hemodialysis machine with Single Needle blood pump Follow the instructions in the “Testing the 2008T Hemodialysis Machine” section on page 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 227 9. Press the  (up) key on the Level Detector module to raise the fluid level in the drip chamber to an acceptable level. 10. Check blood tubing to ensure that there are no kinks, especially between the blood pump and the dialyzer. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 228 It is now time to insert the single needle blood pump segment and connect the patient to the 2008T hemodialysis machine via the blood tubing and begin the dialysis treatment.
Page 229 Arterial Blood Pump module with the Single Needle option set to ‘On’ equals the average blood flow rate for both pumps. Note: Allow the system to recirculate several times before connecting the patient to assure that the extracorporeal circuit is ready. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 230 Warning! When establishing blood flow, ensure that air will not be infused into the patient. Warning! Check all bloodlines for kinking. Improper blood flow may cause hemolysis of the blood. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 231 4. Remove the single needle blood pump segment from the single needle blood pump: a. Open the door and align the rotor by pressing and holding the Start/Stop key until the pump stops. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 232 Note: Depending on how your machine was configured, and audible alarm may sound when the saline solution reaches the optical sensor. Press RESET to silence the alarm. Continue with the instructions listed in the “Removing the Dialyzer” section on page 133. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 233: The Cdx System (Optional)
Appendix B The CDX System (Optional) The Clinical Data eXchange (CDX) system is an independent PC that is built into the 2008T hemodialysis machine. The CDX PC can run software programs that are displayed on the 2008T display screen and accessed with the Keyboard, Touchscreen, and Touchpad like any other personal computer (PC).
Page 234 Pressing the blue CDX key will switch back and forth between Dialysis Mode and CDX Mode. Note: The blue CDX key will not switch to CDX Mode during an alarm if blood is sensed and the Tx Clock is running 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 235: Machine Connections
Dialysis mode to initiate that function. Machine Connections The 2008T hemodialysis machine has two USB ports. USB port 1 is located on the right side of the display screen and protected with a flap (see Figure 73 on the next page). It is used only for updating the hemodialysis machine software.
Page 236 Appendix B USB Port 1 Figure 73 – USB Port 1 on Right Side of Display Screen USB Port 2 Ethernet Port Figure 74 – CDX PC Access on the Back Panel 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 237: Instructions For Clinic Information Systems Personnel
Note: The selection, installation, and maintenance of the MIS application is performed by the clinic. No MIS is sold as part of the 2008T hemodialysis machine. The operating system factory-installed on the 2008T hemodialysis machine is for testing purposes only.
Page 238: Data Storage
Writing 5 Gbytes or less per day should not present a problem. Also note that the 2008T hemodialysis machine may be powered off at any time. There is no requirement that the user do a PC shutdown before power is removed. Because of this, it is recommended that the operating system implemented be tolerant to this situation, or the operator should be instructed to shut down the operating system before shutting off power.
Page 239: Cdx Pc Specifications For The Intel Atom D525 Processor
Network WPA2-PSK. RT3572 USB chipset. Driver available at: www.mediatek.com Serial COM1: Connects to the 2008T functional processor board to support data transfer from the 2008T hemodialysis machine to the CDX PC. COM2: For use with the touchscreen 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 240: Cdx Pc Specifications For The Intel Atom N270 Processor
Audio Speaker Additional speaker on back panel Codec Realtek AC97 Driver available at: www.realtek.com Input Devices Keyboard Hardwired PS/2 connection Touchpad Hardwired PS/2 connection Touchscreen ELO touchscreen protocol Driver available at: www.elotouch.com 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 241 WPA2-PSK. RT3572 USB chipset. Driver available at: www.mediatek.com Serial COM1: Connects to the 2008T functional processor board to support data transfer from the 2008T hemodialysis machine to the CDX PC. COM2: For use with the touchscreen Additional Drivers Most operating systems will install the necessary hardware drivers automatically.
Page 242: Concentrate Types
Appendix C Concentrate Types The 2008T hemodialysis machine can be set up for various concentrate types. If a bicarbonate-type concentrate is to be used, both bicarbonate concentrate and acid concentrate must be connected to the machine. The specific bicarbonate type is selected in Service Mode during calibration.
Page 243 1 : 27.6 Other (Bic = 81.25g/L) Sodium Bicarbonate 84.0 g/L 65.95 g/L 81.25 g/L or 84.0 g/L None Concentrate 79.25 g/L NaHCO NaHCO NaHCO composition or 72 g/L 23.53 g/L NaCl NaHCO 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 244: Estimated Bibag Disposable Run Times (Minutes)
Highlighted run times indicate 10+ hours of treatment time. ** To estimate run times for bicarbonate settings lower than what is listed in the table, use a bicarbonate selection of 24 (mEq/L or mmol/L). 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 245: Adding New Concentrates Or Changing The Type
Figure 75 – Selecting the Concentrate Type Step 4 Do one of the following: Select Add from Catalog if the concentrate is available in the pre-programmed list or Select Add New and create a new concentrate manually. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 246 Highlight the desired concentrate by using the Keyboard and then pressing CONFIRM. Select the Add From Catalog button and the pre-programmed concentrate list appears. Figure 76 – Adding Concentrates from the Catalog 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 247 4 mEq/l each in the Acetic Acid and Na Acetate fields. Select the Conc Name button and enter the desired name. Modify all constituents to match the concentrate label. Figure 77 – Adding a new concentrate 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 248 Note: If an acetate concentrate is selected, the Citrasate® option is not available. In Dialysis Mode, the dialysate composition list will now show a meter box for ‘Citrate’: Citrate meter box Figure 78 – Dialysate Composition with Citrate on the “Dialysate” screen 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 249: Auto Flow And Idle Mode
After the flow rate selection has been confirmed, the Dialysate Flow button displays the current dialysate flow rate. If “Auto Flow” is active, the flow rate will be indicated with the letter “a” preceding the flow rate as shown to the left. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 250 The dialysate flow changes in increments of 100 ml/min only. In order to be conservative with lower dialysate flow rates, each transition point to the next higher dialysate flow rate is somewhat earlier than one would calculate. See the table on page 265 for more details. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 251 Idle Mode, either 500 or 800 ml/min (if 1.5x or 2x Auto Flow was not set). The user is then free to set the prescription. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 252 (i.e., RTD > 0 or blood is sensed). The dialysate flow will then be the selected default dialysate flow (see page 251) or what the user has entered on the “Home” screen. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 253: Auto Heat Disinfect
The Auto Heat Disinfect option is a special feature* that allows the user to program the 2008T hemodialysis machine to automatically run a heat disinfection program according to a schedule. In the “Options: Default Settings” screen the user may select a start time (Start Prg) and any day(s) of the week toggle-button(s).
Page 254 Auto Heat Disinfect program to run. Note: At the end of the treatment day, perform an Acid Clean and leave the machine on the "Select Program" screen. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 255: Creating Custom Uf Profiles
Appendix C Creating Custom UF Profiles Four custom UF profiles can be defined on the 2008T hemodialysis machine. Step 1 To enter a custom UF profile, turn the machine on into Service Mode by pressing the CONFIRM key when prompted during the power up sequence.
Page 256: Testing The Dialysate
The Dialysate Sample Port is special connector on the dialyzer supply line. Opening the connection allows the operator to conveniently draw a dialysate sample from the 2008T hemodialysis machine’s dialysate flow path. This sample may then be used to test the dialysate for conductivity, pH, and residual disinfectant.
Page 257 If the reading is not reasonably close to the theoretical conductivity value (TCD), check the meter’s calibration and retest the dialysate sample. If the reading is still not within limits, take the 2008T hemodialysis machine out of service and contact a qualified technician.
Page 258: Default Settings
Appendix C Available Software & Hardware Treatment Options and Default Settings The following options are available on the 2008T hemodialysis machine and selected from the Service Mode in either the “Treatment Options” screen or “Hardware Options” screen. Forced Test Upon power up and entering dialysis (except after a power failure or short power down), the machine will be in Standby.
Page 259 The Allow Slow Flow option allows the machine to run dialysate flows of 100 or 200 ml/min. This feature is activated in Service Mode and requires a temperature calibration. Please refer to the 2008T Hemodialysis System Calibration Procedures manual (P/N 508032). The SVS (Sodium Variation System) feature may be enabled or disabled (software version 2.34 or later).
Page 260 Kt/V is projected to be at least 100% of target (depending on selected Service Mode option).  With “Status” selected, the lights act the same as the Red/Yellow/Green indicator lights on the machine. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 261 “Dialysate” screen. These default values are set using these parameter entry buttons. Max. UF Rate The maximum UF rate that machine is limited with this selection. The choices are 1000, 2000, 3000, 4000 ml/h. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 262 Note: The key may be used only once. If the key is reused, the machine locks up and displays the message “Eeprom already used. Power off. Replace eeprom”. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 263: Equipment Storage And Maintenance
Storage Preparation Before storing the 2008T hemodialysis machine, the hydraulics should be disinfected. It is also necessary to wipe the external parts of the machine with a surface cleaner. Frequency of disinfection and length of the dwell time depend on the disinfectant and shall be determined by acceptable culture result.
Page 264: Machine Specifications
Back Flow Prevention Integral back flow prevention provided by external vent to atmosphere in water inlet circuit. Water Pressure Min 20 psi; max 105 psi Water Temperature Min 10 °C; max 25 °C 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 265 ANSI/ AAMI 13958:2014, Concentrates for hemodialysis and related therapies Concentrate Pressure Max suction height 3 feet; Max supplied pressure 2 psi Note: Max supplied pressure is 10 psi with bibag kit installed. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 266 Range 35 to 39 °C with alarm limit window automatically adjusted to 2 °C above and below set point. Alarm window will not go below 30° or above 41 °C. Heater 1.3 kW, electronically controlled. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 267 Heparin Pump Type of Syringe 10 – 12 ml disposable syringe Administration Rate 0 to 9.9 ml/hr Accuracy: ± 5% Monitoring Monitoring end of stroke Bolus From 0.1 to 9.9 ml volume 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 268 Four are preset and four may be defined by the user. Remaining Time of Dialysis (RTD) 0-9:59 hours auto transfer from UF time, counting down in 1- minute increments. Can adjust manually. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 269 “Crit-Line” screen (displayed instead of the “BTM BVM” screen). The Crit-Line in a Clip (CLiC) device plugs into the 2008T machine and clips onto a disposable cuvette in the bloodline in order to perform the measurement.
Page 270 Auto Zeroing Alarm Preset Values for Adult (Internal alarm values preset to provide alarm limits in the event individual values are not entered) Systolic 200/80 120/70 Diastolic 110/50 Pulse 120/50 Inflation Pressure Auto 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 271: Manufacturer's Emc Declaration
Guidance and manufacturer’s declaration – electromagnetic emissions The 2008T hemodialysis machine is intended for use in the electromagnetic environment specified below. The customer or user of the 2008T hemodialysis machine should ensure it is used in such an environment. Emissions test Compliance Electromagnetic environment –...
Page 272 Guidance and manufacturer’s declaration – electromagnetic immunity The 2008T hemodialysis machine is intended for use in the electromagnetic environment specified below. The customer or the user of the 2008T hemodialysis machine should assure that it is used in such an environment. Immunity test...
Page 273 Guidance and manufacturer’s declaration – electromagnetic immunity The 2008T hemodialysis machine is intended for use in the electromagnetic environment specified below. The customer or the user of the 2008T hemodialysis machine should assure that it is used in such an environment. Immunity test...
Page 274: Product Improvement Policy
RF communications equipment and the 2008T hemodialysis machine The 2008T hemodialysis machine is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the 2008T hemodialysis machine can help prevent...
Page 275: Warranty
REFER ALL SERVICING AND INFORMATION REQUESTS TO: Fresenius USA, Inc. Attention: Service Department 4040 Nelson Avenue Concord, CA 94520 Telephone: (800) 227-2572 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 276: Glossary
It can be caused by a change in pressure or concentration gradient between the dialysate and the blood. Balancing Chambers—A hydraulic unit inside the 2008T hemodialysis machine consisting of two chambers that ensure that the amount of fresh dialysate entering the dialysate flow is equal to the amount of used dialysate being drained.
Page 277 The 2008T hemodialysis machine can be manually put into bypass mode by lifting the shunt door. Compliance Chamber—A blood-holding receptacle similar to a drip chamber. Compliance chambers are part of the arterial bloodline used in single-needle dialysis.
Page 278 During a blood leak override, the machine’s blood leak monitor is inactive for three minutes. The Status Box will indicate a blood leak override is in effect. Peracetic acid—A disinfectant used in the Chemical/Rinse program to disinfect the hydraulic system. 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 279 After the determined amount of fluid has been drawn, the second stage, usually a standard dialysis treatment, occurs. Service Mode—A functional state of the 2008T hemodialysis machine that allows technicians to calibrate the machine or program various software features and options that are only accessible in Service Mode.
Page 280 A second internal TP is also installed. Ultrafiltration (UF)—Ultrafiltration is the process of drawing off excess fluid from the patient during treatment. The 2008T hydraulic system is a closed system that uses a separate UF pump for greater accuracy.
Page 281: Index
Arterial pressure monitoring ..... 102 Test, unscheduled ......125 Arterial Width button ......93 Blood pump Asymmetric Limits ......276 hand crank ........129 Auto Flow ... 76, 101, 249, 265, 276 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 282 Dialysate Flow button, monitoring ... 101 Cleaning and Disinfection....136 Dialysate path........38 CLiC device119, 269, 277, See also Crit- Dialysate Sample Port ....... 256 Line Dialysate Screen Clipping to bloodline ...... 97 settings ..........63 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 283 Lin buttonSee Linear Profile (SVS) button Hct ........See Hematocrit Linear Profile (SVS) button ....84 Heat Disinfect program ..144, 149, 253 Load Syringe button ......88 Heater switch ........30 Long Power Down ......278 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 284 P ven....See Pressure port, venous Sequential Dialysis...... 81, 279 Patient ID button ......... 93 Service mode ........279 Peracetic acid ........278 Short Power Down ......279 pH Testing ......... 257 Shunt Interlock ......21, 41 2008T Machine Operator’s Manual P/N 490122 Rev N...
Page 285 Theoretical W Timer ......See Heparin Dwell Warning Status ........154 TMP ..See Transmembrane Pressure Water Supply maintenance ....141 Total Infused button ......88 Wheel Lock ......... 43 Touchpad..........29 2008T Machine Operator’s Manual P/N 490122 Rev N...

Fresenius Medical Care 2008T Operator's Manual

CHAPTER 1 Overview

CHAPTER 2 Daily Preparation for Treatment

CHAPTER 3 Setting Treatment Parameters

CHAPTER 4 Monitoring the Treatment

CHAPTER 5 Disinfection and Maintenance

CHAPTER 6 Alarms and Troubleshooting

Quick Links

Troubleshooting

Related Manuals for Fresenius Medical Care 2008T

Summary of Contents for Fresenius Medical Care 2008T

Table of Contents