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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 (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 the Cassette System
59
Inserting the Arterial Blood Line System
60
Inserting the Venous Blood Line System
60
Inserting the Filtrate Line System
61
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
Priming the Tubing System
64
Rinsing the Tubing System / Entering Treatment Parameters
65
UF Rinse
66
Recirculation / Waiting for Patient
66
Connecting the Patient
67
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
Filling the Citrate and Calcium Drip Chambers
80
Priming the CI-Ca Lines
81
Priming the Tubing System
82
Rinsing the Tubing System / Entering Treatment Parameters
82
UF Rinse
84
Recirculation / Waiting for Patient
84
Connecting the Patient
85
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 the Arterial Blood Line System
93
Inserting the Venous Blood Line System
94
Inserting the Filtrate Line System
94
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
Priming the Tubing System
97
Rinsing the Tubing System / Entering Treatment Parameters
98
UF Rinse
99
Recirculation / Waiting for Patient
99
Connecting the Patient
100
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 Cassette System
106
Inserting the Arterial Blood Line System
107
Inserting the Venous Blood Line System
107
Inserting the Filtrate Line System
108
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
Inserting the Arterial Blood Line System
122
Inserting the Venous Blood Line System
123
Inserting the Filtrate Line System
123
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
Device Functions
189
Description of Treatments
190
Continuous Renal Replacement Therapy (CRRT = Continuous Renal Replacement Therapy)
190
Paediatric CRRT Treatments
198
Membrane Plasma Separation (MPS)
199
Slow Continuous Ultrafiltration (SCUF)
202
Haemoperfusion (HP)
203
Anticoagulation
204
Systemic Anticoagulation
204
Regional Anticoagulation with Citrate
205
General Information on Citrate Anticoagulation
205
Adequate Anticoagulation in the Extracorporeal Blood Circuit
210
Control of Systemic Ionised Calcium
211
Controlling the Systemic Acid-Base Status
213
Citrate Accumulation
215
Solutions for Citrate Anticoagulation
216
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
Network
267
Note Required According to Medical Device Legislation
269
Information and Remarks on the Free Software Contained in the Haemodialysis System
269
GNU General Public License, Version
269
GNU Lesser General Public License, Version
273
Mozilla Public License, Version
280
Veillard License
280
Catharon License (Libft2Lib)
281
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