Fresenius Medical Care bibag 508213 Operator Instructions Manual
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Fresenius Medical Care bibag 508213 Operator Instructions Manual

Fresenius Medical Care bibag 508213 Operator Instructions Manual

2008t hemodialysis machine
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2008T Hemodialysis Machine
bibag System Operator's Instructions
2008T bibag System Operator's Instructions
P/N 508213 Rev J
1

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Summary of Contents for Fresenius Medical Care bibag 508213

  • Page 1 2008T Hemodialysis Machine bibag System Operator’s Instructions 2008T bibag System Operator’s Instructions P/N 508213 Rev J...

  • Page 2: Table Of Contents

    This document contains proprietary information of Fresenius Medical Care Renal Therapies Group, LLC and its affiliates (“Fresenius Medical Care”). The contents of this document may not be disclosed to third parties, copied, or duplicated in any form, in whole or in part, without the prior written permission of Fresenius Medical Care.

  • Page 3: Operating Instructions

    Central Delivery System. It may be necessary to use pressure regulators in order to reach proper conductivity. Caution: Only the bags manufactured by Fresenius Medical Care North America may be used in the bibag connector. Note: When the bibag connector is installed, the online pressure holding test becomes mandatory.

  • Page 4: Selecting Concentrates In Service Mode

    Note: The Diasafe Plus filter is required when the bibag system is in use. Note: Pressing the Mute key will silence an alarm for two minutes. The following alarms are muted for an additional four minutes (for a total of six minutes) when using the bibag system: •...

  • Page 5: Bibag System Details

    bibag System Details The bibag system is a hardware option that allows the usage of a dry bicarbonate powder to generate dialysate solution for the 2008T hemodialysis machine. The bibag disposable is a bag filled with dry bicarbonate powder with special inlet and outlet ports.

  • Page 6: Using The Bibag System For A Dialysis Treatment

    Using the bibag system for a dialysis treatment Begin with typical treatment setup (as explained in Chapter 2, “Preparing the Dialysate Delivery System” of the 2008T Hemodialysis Machine Operator’s Manual P/N 490122). If the treatment is just beginning, use the instructions below before entering Dialysis mode from the “Select Program”...

  • Page 7: Changing The Bibag Disposable During Treatment

    Table 1: 650g bibag Disposable Estimated Run Time (Minutes)* Bicarbonate Setting (mEq/L or mmol/L) 650g 800 180 185 189 195 200 206 212 218 225 232 240 248 257 267 277 288 300 700 206 211 217 222 229 235 242 249 257 265 274 284 294 305 316 329 343 600 240 246 253 259 267 274 282 291 300 310 320 331 343 356 369 384 400 500 288 295 303 311 320 329 339 349 360 372 384 397 411 427 443 461 480 400 360 369 379 389 400 411 424 436 450 465 480 497 514 533 554 576 600...

  • Page 8: Emptying A Bibag Disposable At The End Of Treatment

    Emptying a bibag disposable at the end of treatment Note: The Empty bibag feature cannot be used when blood is sensed or the Tx Clock is running. The Empty bibag button is also unavailable during a “bibag: Bag Leak” alarm. Note: The bibag disposable may also be emptied manually;...

  • Page 9: Using The Blue Bicarbonate Connector

    Using the blue bicarbonate connector Machines with the bibag connector may still be used for liquid bicarbonate-based dialysis when the bibag disposable is not in use. To switch to liquid bicarbonate- based dialysis: 1. Make sure that the bibag door is closed without a bag on the bibag connector. 2.

  • Page 10: Troubleshooting

    Troubleshooting All status messages (operational alarms, warnings, dialogues, and advisories) are displayed on the control panel screen. These messages are generated due to conditions and events that occur in the machine during operation. These messages will reset when the condition causing the message is corrected. In some cases, the operator must reset them.
  • Page 11 Message Purpose of Message Type Action Required Acid Press Calib Err bibag system pressure calibration error. Advisory Turn machine power off and back on. If message is not cleared, take the machine out of service and alert a qualified service technician. Active Pressure Pressure regulator not calibrated.
  • Page 12 Message Purpose of Message Type Action Required bibag: Cond Calib Err Electronic self-test: bibag conductivity Alarm Turn machine power off and back on. If the alarm is not cleared, take sensor calibration error. the machine out of service and alert a qualified service technician. bibag: Cond High The actual or measured bibag conductivity Water...
  • Page 13 Message Purpose of Message Type Action Required bibag: Cond Sensor The bibag conductivity sensor is not reading Advisory Insert the blue bicarbonate connector into an appropriate liquid the correct conductivity. The machine is in bicarbonate source bypass mode. To use the bibag disposable: If during treatment, rinse back the patient’s blood and disconnect the patient from the machine.
  • Page 14 Message Purpose of Message Type Action Required bibag: PHT Failed The bibag online Pressure Holding Test has Water If the PHT failed on the “Select Program” screen: failed. The machine is in bypass mode. Alarm • Turn machine power off and back on to rerun the test. •...
  • Page 15 Message Purpose of Message Type Action Required bibag: Press Too Low The pressure inside the bibag disposable is Water Open the bibag door, wait 30 seconds to relieve the pressure, and below the set alarm limits. The machine is in Alarm remove the bag.
  • Page 16 Message Purpose of Message Type Action Required bibag: Vent Too Long The bibag system has been venting longer Water Press the RESET key to clear the message. Pull the blue bicarbonate than ten minutes. The machine is in bypass Alarm connector out of its port and then firmly plug it back in.
  • Page 17 Message Purpose of Message Type Action Required Bicarb: Cond Low The actual or measured sodium bicarbonate Water Make certain the correct bicarbonate is connected to the machine and concentrate conductivity is below the low Alarm that there is enough concentrate available. Wait five minutes for conductivity alarm limit when using the blue conductivity to stabilize.
  • Page 18 Message Purpose of Message Type Action Required Blood Sensed The operator has selected the Empty bibag Warning If the treatment is not yet finished and the bag must be changed, lift up button when blood is sensed. The bag on the bibag door, wait 30 seconds to relieve the pressure, and remove cannot be emptied using the Empty bibag the bag.
  • Page 19 Message Purpose of Message Type Action Required V105 Stuck Open Acid concentrate port valve error. The Water Turn machine power off and back on. If alarm is not cleared, return the machine is in bypass mode. Alarm blood to the patient if alarm occurs during treatment. Take the machine out of service and alert a qualified service technician.

  • Page 20: 2008T Machine With Bibag System Specifications

    2008T Machine with bibag System Specifications Monitoring Dialysate Average Accuracy: ± 1.5% Conductivity Method: Temperature compensated electronic conductivity meter with adjustable alarm limits. bibag Dry Bicarbonate Temperature compensated conductivity display with automatically set alarm windows ±0.5 mS/cm around calculated conductivity, limited to ±0.4 mEq/L @ 24 mEq/L bicarbonate or less.

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