Fresenius Medical Care 4008 B Manuals

Manuals and User Guides for Fresenius Medical Care 4008 B. We have 2 Fresenius Medical Care 4008 B manuals available for free PDF download: Technical Manual, Operating Instructions Manual

Fresenius Medical Care 4008 B Technical Manual (595 pages)

Hemodialysis Machine

Brand: Fresenius Medical Care | Category: Medical Equipment | Size: 13 MB

Table of Contents

6
- Section Page
  
  7
- 1 Description of Machine Functions and Malfunctions
  
  8
Technical Safety Checks / Technical Measurement Checks / Maintenance

106
Adjustment Instructions/Overview of the Dip Switches in the 4008

136
- 3 Adjustment Instructions
  
  136
  - Overview of the DIP Switches in the 4008
    136
    
    Plus (Option)
    141
- Overview of the DIP Switches in the 4008
  
  146
  - LP 631 (CPU 1) DIP Switch Array
    146
  - LP 631 (CPU 1) DIP Switch Array
    147
  - LP 632 (CPU 2) DIP Switch Array
    148
  - LP 632 (CPU 2) DIP Switch Array
    149
- Calibration Mode
  
  150
  - Basic Conditions
    150
  - Messages on the Displays on the UF Monitor (4008 E/B) or on the Screen (4008 H/S)
    150
- Hydraulics
  
  152
  - Reduced Water Inlet Pressure
    152
  - Degassing Pump Pressure
    154
  - Balancing Chamber Loading Pressure
    156
  - Flow Pump Pressure
    158
  - UF Pump Volume
    160
  - CDS Pressure Switch
    162
- Air Detector
  
  164
- 4 Calibration Program
  
  166
Diagnostics Program

200
- General Notes
  202
- Menu Structure
  204
- Reading the Analog Inputs of CPU I
  206
- Reading the Analog Inputs of CPU
  208
- Reading the Digital Inputs of CPU I
  209
- Reading the Digital Inputs of CPU
  214
- Writing the Analog Outputs of CPU I
  218
- Writing the Analog Outputs of CPU
  219
- Writing the Digital Outputs of CPU I
  220
- Writing the Digital Outputs of CPU
  226
- Writing/Reading the Digital Outputs of CPU I
  229
- 6 Setup Menu
  
  232
  - Overview
    238
  - Main Menu 4008 E/B Rev. 5.2
    240
  - Main Menu 4008 H/S Rev. 4.3
    266
- 7 Miscellaneous
  
  296
Section Page/Circuit Diagrams and Circuit Descriptions

298
- Section Page
  
  298
- 8 Circuit Diagrams and Circuit Descriptions
  
  298
  - Block Diagram 4008
    302
  - AC Diagram 4008 E/H
    304
  - AC Diagram 4008 B/S
    306
  - Block Diagram of Voltage Supply
    308
  - Block Diagram of Screen 4008 H/S
    310
  - Connection Layout Diagram
    312
  - Connection Diagram CAN Communication
    313
  - Hydraulics Processor Block Diagram
    314
  - LP 450-2 Level Detector Control (LD)
    316
  - Description
    316
    
    LP 450-2 Level Detector Control (LD)
    320
    
    P.C.B. LP 493 Blood Leak Detector
    328
    
    Description
    328
  - Circuit Diagram and Component Layout Diagram
    329
  - LP 624 Control Board
    332
    
    LP 624 Control Board (BP)
    332
    
    Description
    332
  - Circuit Diagram and Component Layout Diagram
    335
    
    P.C.B. LP 630 Motherboard
    342
  - Lp 631 Cpu 1
    350
    
    Description
    350
    
    Lp 631 Cpu
    350
  - Circuit Diagram and Component Layout Diagram
    359
  - Lp 632 Cpu
    362
    
    Description
    362
  - Circuit Diagram and Component Layout Diagram
    367
  - LP 633 Input Board
    382
    
    Description
    382
  - P.C.B. LP 634 Output Board
    402
    
    Description
    402
  - P.C.B. LP 635 Display Board
    426
    
    Description
    426
  - LP 636 External Connectors
    444
  - P.C.B. LP 638 Power Supply
    448
  - P.C.B. LP 639 Power Logic
    456
  - LP 950 Control Board (HEP)
    468
  - LP 644-4 Display Board (HEP)
    476
    
    LP 645 Position Sensor Membrane Pump
    480
  - LP 647 Power Logic a (4008 B/S)
    484
  - LP 649-2 Display Board (4008 B/S)
    492
  - LP 742 Interference Filter
    510
  - LP 743 Power Control 2 (4008 B/S)
    514
  - LP 744 Power Control 1 (4008 B/S)
    520
  - P.C.B. LP 747 Distribution Board
    524
  - LP 748 Display Board (BP)
    530
  - LP 763 Multi Interface Board
    534
  - LP 922 Display Board (4008 S)
    542
  - LP 923 Traffic Light (4008 H/S)
    558
  - LP 924 Display Board (4008 H)
    562
  - P.C.B. LP 941 Hydraulics Processor
    578

Fresenius Medical Care 4008 B Operating Instructions Manual (362 pages)

Brand: Fresenius Medical Care | Category: Medical Equipment | Size: 3 MB

Table of Contents
7
Intended Use
13
Fields of Application
13
Side Effects
13
Contraindications
13
General Description
14
Accessories
16
Transportation and Storage
18
Transportation
18
Storage
19
Structure and Function of Individual Machine Components
20
Monitor
20
Modules
26
Plus (Option)
29
Description of the Basic Hydraulics Incl. DIASAFE
32
Plus (Option)
36
Description of the Advanced Hydraulics
36
Central Delivery System (CDS) - Optional
38
Description of the Procedure
44
Description of Bicarbonate Dialysis
44
Fig
48
Fig
49
Description of the Variation Function
53
Description of DIASAFE ® Plus (Option) with Basic Hydraulics
54
Plus
54
Description of the Extracorporeal Blood Circuit
62
Double Needle Dialysis
63
Single Needle Click-Clack Dialysis
63
Fig: Extracorporeal Blood Circuit - Single Needle Dialysis (Optional)
64
Single Needle Dialysis (Optional)
65
Effective Blood Flow and Cumulated Blood Volume
66
Initial Start-Up
68
Relevant Instructions before Initial Start-Up
68
How to Connect the Hemodialysis Machine
74
Inserting / Priming the DIASAFE
77
Plus (Option) on Machines with Advanced Hydraulics
82
Cleaning Programs
87
General Information on the Cleaning Programs
87
Disinfection and Removal of Calcium Deposits
88
Maintenance
90
Disposables and Consumables
90
Disposables
90
Consumables
92
Plus (Option)
93
Specifications
100
Dimensions, Weight and Housing Material
100
Electrical Safety
100
Electrical Supply
104
Type Label
104
Fuses
105
Operating Conditions
105
External Connection Options
106
Overriding Conditions
107
Operating Programs
108
1.10.10 Dialysate Circuit and Safety Systems
109
1.10.11 Extracorporeal Blood Circuit and Safety Systems
113
1.10.12 Environmental Compatibility and Recycling
116
Definition and Terms
119
Abbreviations and Symbols
121
Abbreviations
121
Symbols
122
Technical Safety Checks
123
Important Information
123
TSC Checklist
124
Certificates
126
EC Certificate
126
Literature
130
Hemodialysis in General
130
Dialysate Filter and ON-LINE HDF
130
Blood Temperature Monitor (BTM)
130
Hemodialysis Machine
133
Turning Power on
133
Blood Pump Self-Test
134
Heparin Pump Self-Test
135
Concentrate Supply
136
Functional Test
142
General Notes
142
Start of the Test
142
Automatic Start
143
Priming During the Test
145
Test Steps
149
End of Test
150
Malfunctions
151
Interruptions in the Test Sequence
154
Premature Termination of the Test
154
Blood Pump
155
Installing the Arterial Lines
155
Selecting the Line Size
156
Heparin Pump
157
Positioning the Slide Carriage
157
Setting the Delivery Rate
159
Setting the Delivery Time
160
Air Detector
161
Installing the Venous Lines
161
Extracorporeal Blood Circuit
163
Priming the Extracorporeal Blood Circuit with a Saline Bag
166
Priming
166
Setting the Delivery Rate of the Blood Pump
167
Stopping Delivery
168
Interrupting the Priming Program
170
Premature Termination
170
Dialysate Side
171
Treatment
171
Functional Checks Prior to each Dialysis Treatment
171
Setting the Acetate / Acid Pump
172
Setting the Bicarbonate Pump
174
Setting the CD Window
175
Collecting a Fluid Sample
177
Connecting the Dialyzer
177
Changing the Dialysate Flow
179
Changing the Dialysate Temperature
179
Rinsing the Dialyzer
180
Ultrafiltration
183
Erasing the UF Volume
183
Erasing the UF Data
184
Entering UF Parameters
185
Starting Ultrafiltration
188
Stopping / Interrupting Ultrafiltration
189
Continuing Ultrafiltration
189
Changing UF Data
190
Double Needle Dialysis
191
Connecting the Patient
191
Initiating Dialysis
194
3.2.3 Administering a Heparin Bolus
195
Single Needle Dialysis
196
Preparation
196
Setting the Stroke Volume When Using a SN Blood Pump
197
Connecting the Patient
198
Single Needle Click-Clack
201
Selecting the Treatment Mode
201
Changing the Pressure Limits / Stroke Volume
202
Terminating / Switching off the SN Click-Clack Mode
203
Isolated Ultrafiltration (ISO-UF)
204
Selecting the Treatment Mode
204
Interrupting ISO-UF
207
Displaying ISO Data
208
Erasing ISO Data
208
Sequential Ultrafiltration - Manual Entry
209
Sodium and UF Profiles
211
General Notes
211
Entering a UF Profile with and Without Sodium Profile
213
Entering a Sodium Profile with and Without UF Profile
215
Starting the Program
217
Retrieving Data
217
Program Completed
218
Stopping the Program
219
Continuing the Program
219
Prematurely Terminating the Program
220
DIASAFE Plus (Option)
221
Plus Plus
221
Display During Treatment
221
Management of Alarm Limits
225
Centering the Arterial / Venous Alarm Limits
225
Centering the TMP Alarm Limits
227
Changing the Arterial Alarm Window Size
228
Changing the Venous Alarm Window Size
229
Changing the TMP Alarm Limits
230
Needle Adjustment
233
Start
233
Stop
234
Blood Alarms
235
Indication of Alarms
235
Arterial Pressure Alarm
236
Venous Pressure Alarm
238
TMP Pressure Alarm
240
Blood Leak Dimness Warning
242
Blood Pump Alarm
244
Heparin Pump Alarm
245
Air Detector Alarm
246
Blood Pump Stop Alarm
247
Blood Pump Stop Alarm with Single Needle
248
Cycle Alarm with Single Needle Click-Clack
252
Dialysate Alarms
253
Indication of Alarms
253
Conductivity Alarm
253
Temperature Alarm
254
Flow Alarm
255
Warnings
256
Warnings
257
Warning Messages / Information
257
Emergency Operation
262
Error Messages During Cleaning Programs
264
Indication of Errors
264
Error Messages
265
Error Messages after Turning Power on
271
Error Messages When Using the Download Function
272
End of Treatment
277
Double Needle Dialysis
277
Single Needle Dialysis
278
Reinfusion
280
Performing Reinfusion
280
Repeating Reinfusion
282
Skipping Reinfusion
283
Premature Termination
283
Stopping the Treatment
284
Without Reinfusion
284
Stopping the Treatment with Reinfusion Program
287
Emptying the Bi B Ag (Option)
291
Emptying the Dialyzer
293
General Overview
297
General Notes
298
External Cleaning
299
Basic Conditions for Cleaning Programs
299
Disinfection and Decalcification
300
Start
301
Sequence
302
Program Selection
304
Program Termination
305
Cleaning / Degreasing Program
307
Start
312
Sequence
313
Program Termination
314
Start
315
Sequence
315
Rinsing
315
Start
317
Priming During Cleaning Programs
317
Setting the Delivery Rate of the Blood Pump
318
Stopping Delivery
318
Interrupting the Priming Program
319
Premature Termination
319
Preselection
321
Start
322
Setting the Delivery Rate of the Blood Pump
323
Delivery Stops
323
Interrupting Precirculation
324
Premature Termination
324
Menu Structures Overview
327
Settings on the Monitor
329
Adjusting the Illuminated Segments
329
5.3 Key-Click
330
Adjusting the System Clock
331
Auto-On Cleaning Program
332
Selecting a Cleaning Program
332
Automatic on
333
Displaying / Clearing Treatment Parameters
334
Displaying the Effective Blood Flow
334
Displaying the Accumulating Blood Volume
334
Clearing the Accumulating Blood Volume
335
Displaying the Effective Time
335
Clearing the Effective Time
336
Changing the DIASAFE
342
Filter Change Criteria
342
Changing the Filter
348
Bi B Ag ® (Option)
353
Emptying the Bi B Ag (During Treatment)
353
Connecting the Bi B Ag
355
Transferring Treatment Parameters (Download)
357
Description
357
Basic Requirements
357
Important Notes
358
Procedure
359
Aborting the Data Transfer
362

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Fresenius Medical Care 4008 B Manuals

Fresenius Medical Care 4008 B Technical Manual (595 pages)

Table of Contents

Table of Contents

Section Page

1 Description of Machine Functions and Malfunctions

Technical Safety Checks / Technical Measurement Checks / Maintenance

For 4008 Hemodialysis Systems and Options

Technical Safety Checks and Maintenance for 4008 Hemodialysis Systems and Options

Technical Measurement Checks and Maintenance for Options of 4008 Hemodialysis Systems

TSC Checklist

Adjustment Instructions/Overview of the Dip Switches in the 4008

3 Adjustment Instructions

Overview of the DIP Switches in the 4008

Calibration Mode

Hydraulics

Air Detector

4 Calibration Program

Diagnostics Program

6 Setup Menu

7 Miscellaneous

Section Page/Circuit Diagrams and Circuit Descriptions

Section Page

8 Circuit Diagrams and Circuit Descriptions

Fresenius Medical Care 4008 B Operating Instructions Manual (362 pages)

Table of Contents

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