Fresenius Medical Care multiFiltrate Manuals

Fresenius Medical Care multiFiltrate Manuals

Manuals and User Guides for Fresenius Medical Care multiFiltrate. We have 1 Fresenius Medical Care multiFiltrate manual available for free PDF download: Instructions For Use Manual

Fresenius Medical Care multiFiltrate Instructions For Use Manual

Fresenius Medical Care multiFiltrate Instructions For Use Manual (282 pages)

Brand: Fresenius Medical Care | Category: Medical Equipment | Size: 5 MB

Table of Contents

Table of Contents
3
2 Important Information

18
- Significance of Warnings
  18
- Significance of Notes
  18
- Significance of Tips
  18
- Brief Description
  19
- Intended Use
  19
- Intended Purpose
  19
- Specification of Use
  19
- Treatment Modes and Fields of Application
  20
- Anticoagulation of the Extracorporeal Blood Circuit
  20
- Paediatric CVVH and CVVHD Treatment Modes
  21
- Side Effects
  21
- Contraindications
  22
- Interaction with Other Systems
  23
- Restrictions
  23
- Risks of Regional Anticoagulation
  23
- Target Group
  23
- To be Observed When Working on the Device
  24
- Expected Service Life
  24
- Duties of the Responsible Organisation
  24
- Operator Responsibility
  25
- Disclaimer of Liability
  26
- Warnings
  26
- Warnings Relating to Hygiene
  26
- Warnings Related to Therapy
  26
- Warnings Relating to the System
  29
- Electrical Warnings
  30
- Warnings Relating to Consumables and Accessories
  31
- Addresses
  32
3 Design

33
- Views of the Device
  33
- Front View
  33
- Rear View
  34
- Controls and Indicators
  36
- Monitor
  36
- Heparin Pump
  37
- Extracorporeal Blood Circuit Module
  38
- Multifiltrate with CI-Ca Module (Option)
  39
  - CI-Ca Module Front View
    40
  - CI-Ca Module Rear View
    40
- User Interface
  41
4 Operation

43
- Application Principles
  43
- Basic Operation Philosophy
  47
- Menu Selection
  47
- Treatment Main Screen
  48
- Entering Treatment Parameters
  49
- Basic Operation Steps
  51
- Entering Ultrafiltration / UF Goal
  51
- Resetting the Alarm Limits in Alarm-Free Condition
  52
- Raising and Lowering the Venous Bubble Catcher Level
  53
  - Raising the Level
    53
  - Lowering the Level
    53
- Bolus Anticoagulation
  53
- Making the Device Ready for Operation
  54
- Turning the Device on
  54
- Starting the Functional Test
  56
- Selecting the Anticoagulation Method
  57
- Continuing the Previous Treatment
  57
- Selecting the Treatment Mode
  58
- CRRT Treatments
  59
- Starting Conditions
  59
- Inserting the Cassette System or AV Set
  59
- Inserting Further Tubing Systems
  61
  - Inserting the Dialysate or Sub Predilution Tubing System (Except for CVVH)
    62
  - Inserting the Substituate or Sub Postdilution Tubing System (Except for CVVHD)
    62
- Inserting the Heparin Syringe
  63
- Complete Tubing Arrangement
  63
- Preparation
  64
- Treatment
  68
  - Treatment Main Screen
    68
  - Treatment Menu
    69
  - Treatment Parameters
    69
- Change of Procedure (Except for CVVHD and CVVH)
  70
  - Change of Procedure to CVVH
    70
  - Change of Procedure to CVVHD
    70
- Change of Procedure Back to CVVHDF
  71
- End of Treatment
  72
  - Terminating the Treatment
    72
  - Starting Reinfusion
    72
- Disconnecting the Patient and Removing the Tubing System
  74
- Treatment History
  74
- CRRT Treatments with Citrate Anticoagulation
  75
- Starting Conditions
  75
- Inserting the Cassette System
  76
  - Inserting the Citrate Tube and the Calcium Tube
    76
- Inserting Further Tubing Systems
  77
  - Inserting the Dialysate Tubing System
    77
  - Inserting the Substituate Tubing System (Except for CVVHD CI-Ca)
    78
- Inserting the Heparin Syringe
  79
- Complete Tubing Arrangement
  79
- Preparation
  80
- Treatment
  86
  - Checking the Post-Filter Calcium Concentration
    86
  - Treatment Main Screen
    87
  - Treatment Menu
    88
  - Treatment Parameters
    88
- End of Treatment
  89
  - Terminating the Treatment
    89
  - Starting Reinfusion
    89
- Disconnecting the Patient and Removing the Tubing System
  90
- Treatment History
  92
- Paediatric CRRT Treatments
  93
- Starting Conditions
  93
- Inserting the AV Set
  93
- Inserting Further Tubing Systems
  94
  - Inserting the Dialysate Tubing System (Except for CVVH)
    95
  - Inserting the Substituate Tubing System (Except for CVVHD)
    95
- Inserting the Heparin Syringe
  96
- Complete Tubing Arrangement
  96
- Preparation
  97
- Treatment
  101
- Treatment Main Screen
  101
- Treatment Menu
  102
- Treatment Parameters
  102
- End of Treatment
  103
  - Terminating the Treatment
    103
  - Starting Reinfusion
    103
- Disconnecting the Patient and Removing the Tubing System
  105
- Treatment History
  105
- Membrane Plasma Separation (MPS)
  106
- Starting Conditions
  106
- Inserting the Cassette System or AV Set
  106
- Inserting the Plasma Line System
  108
- Inserting the Heparin Syringe
  109
- Complete Tubing Arrangement
  109
- Preparation
  110
  - Priming the Tubing System
    110
  - Rinsing the Tubing System / Entering Treatment Parameters
    111
  - UF Rinse
    112
  - Recirculation / Waiting for Patient
    112
  - Filling Plasma
    113
  - Connecting the Patient
    114
- Treatment
  115
  - Treatment Main Screen
    115
  - Treatment Menu
    115
  - Treatment Parameters
    116
  - Performing a Bag Change
    116
- End of Treatment
  118
  - Infusing Remaining Plasma
    118
  - Terminating the Treatment
    119
  - Starting Reinfusion
    119
- Disconnecting the Patient and Removing the Tubing System
  121
- Treatment History
  121
- Slow Continuous Ultrafiltration (SCUF)
  122
- Starting Conditions
  122
- Inserting the AV Set
  122
- Complete Tubing Arrangement
  125
- Preparation
  125
  - Priming the Tubing System
    125
  - UF Rinse
    127
- Treatment
  129
  - Treatment Parameters
    130
  - End of Treatment
    131
    
    Terminating the Treatment
    131
    
    Starting Reinfusion
    143
  - Disconnecting the Patient and Removing the Tubing System
    145
  - Treatment History
    145
  - Treatment Menu
    146
  - Deselecting CI-Ca Anticoagulation
    146
  - Selecting CI-Ca Anticoagulation
    147
  - Substituate / Dialysate / Filtrate Bag Change
    149
  - CI-Ca Bag Change
    149
  - Syringe Change
    151
  - Pressure Graphs
    152
  - Balance Data
    152
    
    General Balance Information
    152
    
    Balance Data During the Treatment
    153
    
    Balance Data Development
    154
    
    Balance Data for Previous Treatment
    154
    
    Total Balance after the Treatment
    155
    
    Balance Since Reset
    155
  - Alarm Limits Menu
    156
    
    Preset Alarm Limits
    156
    
    Changing the Venous Width of the Alarm Limits Window
    157
    
    Exiting the Alarm Limits Menu
    157
  - Events
    158
  - Sub. Bolus 100 Ml
    159
  - System Parameters
    161
  - Default Treatment Settings
    162
  - Setting the Date / Time
    162
  - Interrupting the Treatment
    163
  - Disconnecting the Patient / Interrupting the Treatment
    164
  - Connecting the Patient / Continuing the Treatment
    165
5 Alarm Processing

167
- Acknowledging a Message Repeatedly
  167
- Alarm Schemes
  168
- Old Alarm Scheme
  168
- New Alarm Scheme
  169
- High-Priority Alarm Conditions
  169
- Monitoring Function Suppression
  170
- Alarm System
  170
- Alarm System Response
  172
- Messages
  173
- Note Box (White)
  174
- Warning Box
  174
- Alarm Box
  175
- Messages During the Functional Test
  176
- Handling Alarm Limits in the Event of an Alarm
  177
- Ratio of UF Rate to BP Rate
  178
- Ratio of Calcium Flow to Filtrate Flow
  180
- Ratio of Citrate Flow to BP Rate
  181
- Overriding the Blood Leak Detector
  182
- Power Failure (Mains Failure)
  184
- Manual Reinfusion
  185
6 Cleaning / Disinfection

187
- Surface Cleaning / Surface Disinfection
  187
- Disinfectants and Cleaning Agents
  187
7 Functional Description

189
8 Consumables, Accessories, Additional Equipment

219
- Consumables
  220
- Multifiltrate Kits
  220
- Haemofilter / Plasma Filter
  221
- Dialysate and Haemofiltration Solutions
  222
- Isotonic Nacl Solutions
  222
- Citrate Solution
  222
- Disposable Syringes
  222
- Other Disposables
  223
- Accessories
  224
- Additional Equipment
  224
9 Installation

225
- Connection Requirements
  225
- Environment
  225
- Power Supply Network
  225
- Installation / Initial Start-Up Requirements
  226
- Important Information on Initial Start-Up
  226
- Electrical Installation
  227
10 Transport / Storage

229
- Relocation
  229
- Transport
  231
- Storage
  231
- Environmental Compatibility and Disposal
  232
- Information for the Responsible Organisation
  232
- Information for Recycling and Waste Disposal Facilities
  232
11 Technical Safety Checks / Maintenance Procedures

233
- Important Information on the Technical Safety Checks / Maintenance Procedures
  233
12 Specifications

235
- Dimensions and Weight
  235
- Identification Label
  236
- Identification Label of the Device
  236
- Voltage Label
  236
- Identification Label of the CI-Ca Module
  237
- Electrical Safety
  237
- Electrical Supply
  238
- Information on Electromagnetic Compatibility
  239
- Minimum Distances between Radiated Interference Source and the Device
  239
- Guidance and Manufacturer's Declaration on EMC
  241
- Operating Conditions
  243
- Storage Conditions
  244
- External Connection Options
  244
- Operating Programs
  245
- Balancing / Dialysate Circuit and Safety Systems
  246
- Extracorporeal Blood Circuit and Safety Systems
  248
- Materials Used
  250
13 Definitions

253
- Terms
  253
- Abbreviations
  255
- Symbols
  256
- Consumables Symbols
  258
- Certificates
  259
14 Options

261
- CI-Ca Module (Option)
  261
- Operating Programs
  261
- CI-Ca Alarm Management
  261
- Multidatalink (Option) and Patient / Case ID
  263
- Requirements
  263
- Treatment with Patient / Case ID
  263
  - Previous Treatment, Continuing
    263
  - Entering the Patient / Case ID in UF Rinse
    264
15 Appendix

267

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