Bl- 1.0.4 Isolate Tmp; Section 15 - Blood Leak Problems - Fresenius Medical Care 2008K2 Troubleshooting Manual

Hemodialysis system
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The Blood Leak Detector #8 detects blood as little as 0.35 ml / Liter! If a patient is on the machine, before
considering service, check for a 'real' blood leak using a Hemastix
A)
ENSURE the dialyzer connectors are connected PROPERLY to the shunt door!
B)
CLOSE THE SHUNT DOOR!
C)
DO NOT reset alarms until instructed!
D)
[Temperature] MUST be between 35.0 and 39.0 °C; [Conductivity] between 13.2 and 14.5 mS. BOTH
MUST BE STABLE i.e. NOT changing more than +/- 0.2 per minute!
E)
If automated tests EVER start (screen reads "Test:....) allow them to finish BEFORE continuing!
F)
From the Home screen, set [Dialysate Flow] to 500 ml/min and press 'CONFIRM'.
G)
Call debug screen 0 to see Flow Error . If it EVER = 1, even once, indicates a masked Flow Error!
WITHOUT LOOKING AWAY, watch Flow Error for two (2) minutes or until if it EVER = 1! TWO (2)
possible scenarios 1) or 2) below:
Yes
Flow Error EVER = 1, even if only once: Proceed to
ERRORS IN DIALYSIS
No
Flow Error ALWAYS = 0: See parts a AND b below:
a) Valve #24's 'dot' MUST be BLUE i.e. machine is not in bypass BEFORE continuing to part b!
b) Call the Home screen. Figure right, what color is the TMP Window?
1)
IF (and ONLY if) pale yellow/white: See procedure number
BL- 1.0.4
2)
IF RED (TMP alarm present): A) Press and release the 'RESET' key then immediately
press and hold it for three (3) seconds; B) Allow thirty (30) seconds; C) If a TMP alarm
reoccurs, attempt RESET up to twice more BEFORE continuing to procedure number
BL- 1.0.4

BL- 1.0.4 ISOLATE TMP

TMP is STABLE ONLY if the TMP Window stays white AND its value does NOT change more than +/- 60
mmHg in three (3) minutes! TWO (2) possible scenarios:
1)
IF (and ONLY if) TMP is UNSTABLE: Proceed to
2) IF TMP is STABLE: See procedure number
.
Do NOT troubleshoot Blood Leak if a "No Water", Flow Error, Temperature, or Conductivity
alarm EVER occur! The machine MUST NOT be 'in bypass'!

SECTION 15 - BLOOD LEAK PROBLEMS

PROGRAM.
(page 511).
(page 511).
BL- 1.0.5
2008K/K2 Troubleshooting Guide
P/N 507298 Rev. H
®
strip or equivalent per clinic procedure.
page 20
,
SECTION 1 - FLOW
page 440
,
SECTION 9- TMP
(page 512).
PROBLEMS.
Page 511

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