Manual Tecnico-Maquina de Dialisis-4008h-4008s PDF

4008 H / 4008 S
Hemodialysis Machine
Technical Manual
Supplemental Instructions for the OCM Option
Part no.: M32 514 1
Fresenius Medical Care
Table of Contents
Section
Page
1
1.1
1.2
Description of errors ....................................................................................................

Display messages ...........................................................................................................
Description of errors .......................................................................................................
1-1
1-3
1-5
3
3.1
3.2
3.3
Adjustment instructions ...............................................................................................

Measuring equipment .....................................................................................................
Flow diagram ..................................................................................................................
Calibration mode .............................................................................................................
3-1
3-3
3-4
3-8
Calibration program ......................................................................................................
4-1
6
6.1
6.2
Setup menu ...................................................................................................................

Overview .........................................................................................................................
Main menu 4008 H/S ......................................................................................................
6-1
6-1
6-2
8
8.1
8.2
Circuit diagrams ............................................................................................................

Circuit diagrams and component layout LP 632, CPU 2 ...............................................
Circuit diagrams and component layout LP 633-5, Input board ....................................
8-1
8-3
8-19
Fresenius Medical Care 4008
OCM Supplement
2/10.01 (TM)
0-1
0-2
Fresenius Medical Care 4008 OCM Supplement
2/10.01 (TM)
Table of Contents 1 Description of Errors

Section
Page
1.1
1.1.1
1.1.2
Display messages .........................................................................................................

Informational messages ..................................................................................................
Warnings .........................................................................................................................
1-3
1-3
1-4
1.2
Description of errors .....................................................................................................
1-5
OCM Supplement
2/10.01 (TM)
1-1
1-2
2/10.01 (TM)
1.1
Displaymeldungen
1.1.1
Informative Meldungen
Clear.: XXXml/min
Shows the last measured clearance value. Displayed for

1 minute after a successful measurement.
Plasma-Na: XXXmmol/l
Shows the plasma sodium concentration of the last single

measurement for 1 minute.
Kt/V: X.XX
Shows the current Kt/V. Displayed for 1 minute when the UF

goal has been reached or if the OD senses clear fluid.
Kt: XX.Xl
Displayed instead of Kt/V:X.XX if no valid value for Vurea is

available. Shows the current value of Kt. Displayed for
1 minute when the UF goal has been achieved or if the OD
senses clear fluid.
Kt/V: Not available
There are no Kt/V data available as the calculation of Kt/V was

aborted. Displayed for 1 minute when the UF goal has been
achieved or if the OD senses clear fluid.
Enter V(urea)?
This message is displayed at the start of a dialysis treatment

provided the operator has not already entered the V urea on the
screen. This message will be displayed when the OCM is
switched on manually by the operator or after the optical detector has sensed blood, provided OCM measurement ON
was preselected in the Setup. This message prompts the operator to enter the patients volume of urea distribution. It will
only be displayed if the Vurea has not yet been entered. If the Vuhas been changed during the OCM measurement, the Kt/V
rea
will be recalculated provided it is already available. This message will be cleared by pressing the Start/Reset key.
HDF/HF < > OCM
An OCM and an HDF or HF treatment procedure cannot be

performed simultaneously. Displayed once if OCM is selected
while HDF/HF is active. If HDF/HF is selected while OCM is already active, the OCM will be aborted and the message OCM
off will be displayed. The OCM can, however, be reselected
after HDF/HF has been switched off.
SN < > OCM
The OCM cannot be started as a Single Needle treatment (SN

or SN click-clack) has been selected.
Profile< > OCM
An OCM cannot be started in conjunction with a Na-/UF profile

1, 5 or 6 and a treatment time of less than 180 minutes. Displayed when the OCM is switched on and/or when selecting a
profile.
OCM Supplement
2/10.01 (TM)
1-3
1.1.2
OCM tech. deact./X
The OCM cannot be started as the CD cells or the temperature

sensors are not properly calibrated or have been manually deactivated when operating the machine. Also displayed when
the integral relationship of the adjustment measurement is outside the limits. Displayed when the OCM is activated manually
or when the OD senses dark fluid if the default setting for the
OCM is set to active.
Inform the service technician of the error code (X).
OCM off/X
The OCM was aborted due to a malfunction and will be deactivated until the end of the treatment.
Inform the service technician of the error code (X).
OCM adjust
Displays during an OCM adjustment.
OCM adjust OK
Displays after successful completion of an OCM adjustment.
OCM adjust cancelled
The OCM adjustment was not successfully completed and will

be repeated after the next treatment.
OCM adjust intended
Displays when the optical detector senses dark fluid and if an

adjustment measurement is required on completion of the
treatment in progress.
Input value too low
The operator has attempted to enter a value for an OCM parameter that is below the minimum limit.
Input value too high
The operator has attempted to enter a value for an OCM parameter that is above the maximum limit.
Warnings
Kt/V too low
1-4
Displays if the prescribed Kt/V cannot be reached at the end of

the treatment with the current Kt/V.
2/10.01 (TM)
1.2
Description of errors
Error message displayed
Description
OCM OFF
The OCM option will be deactivated until the machine is

switched off.
Power failure with battery backup
CPU II error
OCM OFF/2

switched off.
One of the CD cells has measured a value below 11.5 mS/cm
during more than 3 consecutive OCM measurements.
Check CD cells for proper connection
P.C.B. LP 633-5 defective
OCM OFF/3

switched off.
System error
OCM OFF/5

switched off.
A downward pulse occurs although an upward pulse was requested.
Check the bibag/concentrate delivery
Check the concentrate pumps / mixing system
Air in the dialysate
OCM OFF/6

switched off.
System error
OCM OFF/7

switched off.
Implausibility of the ratio of blood flow to clearance or no apparent change on the CD cell during more than three consecutive
measurements.
Poor terminal connection of the CD cell
OCM Supplement
2/10.01 (TM)
1-5
Error message displayed
Description
OCM tech. deact./1
The OCM option is decalibrated and can only be reactivated

after a successful pulse calibration.
Deviation between the 8-bit and the 12-bit CD value of the precell > 0.5 ms/cm for > 20 s.
Disinfection
Check OCM calibration and calibrate, if necessary
OCM tech. deact./4

Three cyclic pressure holding tests (CPHT) showed a deviation
of > 0.5 ms/cm between CD cell 7 and CD cell 110 for > 4.5 s.
Disinfection
OCM tech. deact./7

More than 5 consecutive measurements showed a clearance of
more than 1.3 times the blood flow or below zero.
Check the CD cells for poor terminal connection.
Disinfect, if necessary
Check the calibration
OCM tech. deact./8

Zero pulse measurement failure or time of maximum pulse between pre- and post-CD cell > 13 s.
Check the hydraulic for proper flow
OCM tech. deact./9

The correction factor of the zero pulse measurement for upward
or downward pulses is outside the acceptable range of 0.8 to
1.2.
Perform a disinfection
1-6
2/10.01 (TM)
Table of Contents 3 Adjustment instructions

Section
Page
3.1
Measuring equipment ...................................................................................................
3-3
3.2
3.2.1
3.2.2
Flow diagram .................................................................................................................

Flow diagram 4008 H with OCM .....................................................................................
Flow diagram 4008 S with OCM .....................................................................................
3-4
3-4
3-6
3.3
3.3.1
3.3.2
Calibration mode ...........................................................................................................

Basic conditions ..............................................................................................................
Display messages (4008 H/S) ........................................................................................
3-8
3-8
3-8
OCM Supplement
2/10.01 (TM)
3-1
3-2
2/10.01 (TM)
3.1
Measuring equipment
Caution
The accuracy of the measuring equipment used during the calibration procedure
is decisive for the accuracy of the OCM measurement.
The measuring equipment used for the calibration of the conductivity must have
an accuracy of 0.05 mS/cm within a temperature range of 35 C 39 C.
We recommend to use the UMED universal measuring device which is available
from Fresenius (part no. M32 403 1).
UMED
Service Case
Part number M32 403 1
OCM Supplement
2/10.01 (TM)
3-3
3.2
Flow diagram
3.2.1
Flow diagram 4008 H with OCM
3-4
2/10.01 (TM)
Legend
2 Temperature sensor
5 Float switch
6 Level sensor
7 Conductivity cell
8 Blood leak detector
9 Pressure transducer
10 Reed contact, concentrate
12 Reed contact, bicarbonate
21 Flow pump
22 UF pump
23 Concentrate pump
24 Dialyzer valve 1
24b Dialyzer valve 2
25 Bicarbonate pump
26 Bypass valve
29 Degassing pump
30 Outlet valve
31 Balancing chamber valve 1
39 Negative pressure valve
41 Water inlet valve
43 Fill valve
54 Heater rod
61 Pressure reducing valve
63 Water inlet filter
65 Loading pressure valve
66 Heater block
66a Water inflow chamber
66b Heater rod chamber
66c Float chamber
68 Balancing chamber
71 Filter / concentrate
72 Filter / bicarbonate
73 Filter / dialysate ext.
74 Filter / UF
75 External flow indicator
76 Filter / fill valve
77 Heat exchanger
78 Relief valve
84 Disinfectant valve
85 Disinfectant connector
86 Recirculation valve
87 Drain valve
88 Multifunction block
88a Degassing chamber
88b Secondary air separator
88c Primary air separator
89 Degassing orifice
90a Rinse chamber / concentrate
90b Rinse chamber / bicarbonate
91 Rinse valve
92 Vent valve
94 Concentrate suction tube
95 Bicarbonate suction tube

97 Air separation pump
99 Rinse valve
100 Rinse valve
102 Central concentrate delivery valve
104 Central bicarbonate delivery valve
110 Conductivity cell
111 Hydrophobic filter
112 Vent valve
114 Dialysate filter
115 Sensor Disinfection valve
116 Sampling valve
117 Check valve / concentrate
118 Check valve / bicarbonate
121 Central concentrate delivery connector
122 Central bicarbonate delivery connector
123 Pressure switch for V102
130 biBag drain valve
132 biBag conductivity cell
133 biBag temperature sensor
134 biBag pressure transducer
136 biBag connector
137 biBag micro-switch 1
148 Filter / rinse valve V100
151 Orifice
181 Temperature compensation plate 2
182 Pressure transducer 2
183 Test valve
184 Filter / test valve
185 Compressor
188 Evacuation valve
189 Retentate valve
190 Online filter
191 Online valve 3
192 Online valve 2
193 Online valve 1
194 Rinse port
195 Substituate port
201 Air separator / concentrate
202 Level sensor / concentrate
203 Air separator / bicarbonate
204 Level sensor / bicarbonate
205 Mixing point / concentrate / bicarbonate
206 Buffer volume chamber
210 Filter
Hydraulics measuring points:
A
B
C
D
Reduced water inlet pressure

Balancing chamber loading pressure
Flow pump pressure
Degassing pump pressure
OCM Supplement
2/10.01 (TM)
3-5
3.2.2
3-6
Flow diagram 4008 S with OCM
2/10.01 (TM)
Legende
5 Float switch
6 Level sensor
7 Conductivity cell
8 Blood leak detector
9 Pressure transducer
10 Reed contact, concentrate
12 Reed contact, bicarbonate
21 Flow pump
22 UF pump
23 Concentrate pump
24 Dialyzer valve 1
24b Dialyzer valve 2
25 Bicarbonate pump
26 Bypass valve
29 Degassing pump
30 Outlet valve
39 Negative pressure valve
41 Water inlet valve
43 Fill valve
54 Heater rod
61 Pressure reducing valve
63 Water inlet filter
65 Loading pressure valve
66 Heater block
66a Water inflow chamber
66b Heater rod chamber
66c Float chamber
68 Balancing chamber
73 Filter / dialysate ext.
74 Filter / UF
75 External flow indicator
77 Heat exchanger
78 Relief valve
84 Disinfectant valve
85 Disinfectant connector
86 Recirculation valve
87 Drain valve
88 Multifunction block
88a Degassing chamber
88b Secondary air separator
88c Primary air separator
89 Degassing orifice
90a Rinse chamber / concentrate
90b Rinse chamber / bicarbonate
91 Rinse valve
92 Vent valve
94 Concentrate suction tube
95 Bicarbonate suction tube

97 Air separation pump
99 Rinse valve
100 Rinse valve
102 Central concentrate delivery valve
104 Central bicarbonate delivery valve
110 Conductivity cell
111 Hydrophobic filter
112 Vent valve
114 Dialysate filter
115 Sensor Disinfection valve
116 Sampling valve
117 Check valve / concentrate
118 Check valve / bicarbonate
121 Central concentrate delivery connector
122 Central bicarbonate delivery connector
130 biBag drain valve
132 biBag conductivity cell
133 biBag temperature sensor
134 biBag pressure transducer
136 biBag connector
151 Orifice
181 Temperature compensation plate 2
182 Pressure transducer 2
183 Test valve
184 Filter / test valve
185 Compressor
188 Evacuation valve
189 Retentate valve
190 Online filter
191 Online valve 3
192 Online valve 2
193 Online valve 1
194 Rinse port
195 Substituate port
201 Air separator / concentrate
202 Level sensor / concentrate
203 Air separator / bicarbonate
204 Level sensor / bicarbonate
205 Mixing point / concentrate / bicarbonate
206 Buffer volume chamber
210 Filter
Hydraulics measuring points:
A
B
C
D
Reduced water inlet pressure

Balancing chamber loading pressure
Flow pump pressure
Degassing pump pressure
OCM Supplement
2/10.01 (TM)
3-7
3.3
Calibration mode
3.3.1
Basic conditions
The hemodialysis machine must be

switched off.
The service switch must be in the ON
(up) position.
Turn the hemodialysis machine on.
3.3.2
Display messages (4008 H/S)
CALIBRATION
3-8
004.7
Volt
Watchdog supply voltage (4.5 V 5.5 V)
011.9
Volt
12 V voltage (11.5 V 12.5 V)
023.6
Volt
24 V voltage (23 V 25 V)
020.4
Volt
Battery charging voltage (> 20 V)
Esc
Best
2/10.01 (TM)
Calibration program
CALIBRATION
Confirm
key
DIAGNOSTICS
MISCELLANEOUS
SETUP MENU
OCM Supplement
2/05.00 (TM)
4-1
Main menu
CALIBRATION
Confirm
key
CAL. ART. PRESSURE
CAL. ART. P_MODULE
CAL. VENOUS PRESSURE
CAL. VEN. P_MODULE
CALIB. (B)-PUMP-RATE
ADJ. UF-PUMP VOLUME
CAL. DEGAS. PRESSURE
CAL. FLOW 300 ml/min
CALIB. TEMPERATURE
Confirm
key
see Part 11
Confirm
key
see Part 13
CAL. MIXING SYSTEM
CALIB. CONDUCTIVITY
CAL. DIAL. PRESSURE
CALIBRATE BLD
CALIB. BIBAG VALUES
RESET FAILURE RECORD
NOVRAM
back to main menu ?
Confirm
key
4-2
2/05.00 (TM)
Part 11: Calibrating the dialysate temperature

CALIB. TEMPERATURE
Confirm
key
Temp. ADJUSTMENT
Confirm
key
see Part 11.1
Confirm
key
see Part 11.2
Confirm
key
see Part 11.3
Check TEMPERATURE
OCM TEMP.-Check
Confirm
key
back to menu?
Note
Accuracy of the external meter to be connected: 0.2 C.
OCM Supplement
2/05.00 (TM)
4-3
Part 11.1: Adjusting the dialysate temperature

Temp. ADJUSTMENT
adj. temp to 37C
Confirm
key
adj. temp to 37C
Esc
key
Connect the external

reference instrument.
Connect the BIC suction
tube to the BIC container
or place it in water
of room temperature.
XXXX
ADC-digits
XXXX
DAC-digits
XXXX
ADC-digits
XXXX
ADC-digits
Adjust the digital value in

the UF Rate window by
pressing the +/ keys.
Wait until the temperature
on the external reference
instrument indicates 37.0 C.
Tone Mute
key
Esc
Conf
NTC3; 8 bit
DATA STORED
Control 8 bit
approx. 3 sec
NTC3; 12 bit
OCM TEMP. Adjust
Machine in bypass
Esc
key
NTC109; 8 bit,
if NTC 109 is activated in SETUP
Wait for the temperature

to stabilize (37 C)
Indicated in "UF rate"
window
OCM TEMP.-Adjust
Tone Mute
key
XXXX
ADC-digits
XXXX
XXXX
ADC-digits
XXXX
DAC-digits
DATA STORED
approx. 3 sec
Esc
Conf
NTC3; 12 bit
NTC3 temperature
NTC4; 12 bit
Dynamic measurement range switching
4-4
2/05.00 (TM)
Part 11.2: Checking the dialysate temperature

Check TEMPERATURE
Confirm
key
act temp = 37.0 C
use
to select the
Temperature setting field
set temp = XX.X C
Specify a temperature by
Tone mute
key
ACKNOWLEDGED
approx. 3 sec
ACT temp = XX.X C
Check whether the

preselected temperature
is achieved.
Check: reference instrument,
display and 37.0 C
LED display correspond
to 115/116 digits in the
UF Volume window .
Tolerance: 0.5 C
Repeat the
procedure
with different
values
Esc
(e.g. 35/39 C)
key
NTC3; 8 bit
act. temp = 37.0 C

1
XXXX
NTC109; temperature
ADC-digits
NTC109; 8 bit
2
3
XXX.X
XXXX
ADC-digits
Alpha
display
7
Temperature
adjustment
Esc
Conf
OCM Supplement
2/05.00 (TM)
4-5
Part 11.3: Checking the dialysate temperature for OCM

OCM TEMP.-Check
Confirm
key
Open the shunt cover

to switch the machine
to the bypass mode
act temp = 37.0 C
use
to select the
Temperature setting field
set temp = XX.X C
Specify a temperature by
Tone Mute
key
ACKNOWLEDGED
approx. 3 sec
ACT temp = XX.X C
Repeat the
procedure
with different
values
(e.g. 35/39 C)
Check whether the

preselected temperature
is achieved.
Check: Display,
37.0 C bargraph display
Tolerance of the
displayed temperature
in the UF rate field
and the UF time field :
0.2 C
Esc
key
NTC3; 12 bit
NTC3; temperature
OCM Temp.-Check
1
XXXX
ADC-digits
XX.XX
XXXX
ADC-digits
XX.XX
NTC4; 12 bit
NTC4; temperature
Alpha
display
4-6
Temperature
adjustment
Esc
Conf
2/05.00 (TM)
Part 13: Calibrating the conductivity

CALIB. CONDUCTIVITY
Confirm
key
CONDUCTIVITY Set
Confirm
key
see Part 13.1
Confirm
key
see Part 13.2
Confirm
key
see Part 13.3
Confirm
key
see Part 13.4
Confirm
key
see Part 13.5
Confirm
key
see Part 13.6
Confirm
key
see Part 13.7
Confirm
key
see Part 13.8
COND. with Concentr.
TEMP/COND COMP Calib
OCM PULSE calib.
CONDUCTIVITY Check
COND Check with Conc
OCM COND.-Check
TEMP/COND COMP Check
back to menu?
Confirm
key
OCM Supplement
2/05.00 (TM)
4-7
Part 13.1: Setting the conductivity

CONDUCTIVITY Set
Confirm
key
Esc
key
CD set: 12.80 mS/cm
CD set: 15.70 mS/cm
Use to
move to the
Concentrate setting field.
Use to
move to the
Concentrate setting field.
If no key is
pressed for
approx. 4 sec
Conc. set = 0 %
conc. set = X %
Use +/ to reduce
the concentrate pump
volume to get to a CD in
the lower display range.
If no key is
pressed for
approx. 4 sec
Use +/ to raise
the concentrate pump
volume to get to a CD in
the lower display range.
e.g.:
Conc. set. = X %
Conc. set. = +10 %

Tone Mute
key
Tone Mute
key
ACKNOWLEDGED
ACKNOWLEDGED
approx. 3 sec
approx. 3 sec
CD set: 12.80 mS/cm

CD set: XX.X mS/cm
Wait for the CD to stabilize.

Compare the CD with the
external reference meter.
In case of a deviation, adjust the display by pressing the +/ keys.
Wait for the CD to stabilize.

Compare the CD with the
external reference instrument.
In case of a deviation, adjust the display by pressing the +/ keys.
Tone Mute
key
Tone Mute
key
ACKNOWLEDGED
DATA STORED
approx. 3 sec
approx. 3 sec
CD cell 7; 12 bit / 8 bit alternating
CD set: 12.80 mS/cm

XXXX
ADC-digits
XXXX
steps
XXXX
steps
XXXX
ADC-digits
Concentrate
setting
Alpha
display
4-8
[ADC-digits (OCM)]
CD cell 110; 12 bit/ 8 bit alternating
(concentrate pump)
(bicarbonate pump)
[ADC-digits (OCM)]
Bicarbonate
setting
Esc
Conf
2/05.00 (TM)
Part 13.2: Setting the conductivity with concentrate

COND. with Concentr.
Note
An adjustment of the conductivity using a calibration concentrate is currently
not possible, since a suitable calibration concentrate is not available.
OCM Supplement
2/05.00 (TM)
4-9
Part 13.3: Setting the temperature/conductivity compensation

TEMP/COND COMP Calib.
act temp = XX.XX C
Confirm
key
Machine in bypass
Esc
key
act temp = XX.XX C
Verify
that the conductivity of
both measuring cells in the
"UF rate" () and the "UF time"()
window is identical and that it is
within 13.9 to 14.5 mS/cm.
XX.XX
mS/cm
XX.XX
mS/cm
XX.XX
mS/cm
XX.XX
mS/cm
Alpha
display
If the conductivity is
outside the limits:
use to select
the concentrate setting
field
conc. set = 0 %
If no key is
pressed for
approx. 4 sec
Concentrate
setting
Bicarbonate Temperature
setting
adjustment
Esc
Use +/ to reduce/increase
the concentrate pump volume
until the conductivity is
inside the alarm limits
13.9 14.5 mS/cm
Conf
act temp = XX.XX C

1
XX.XX
mS/cm
XX.XX
mS/cm
XX.XX
mS/cm
XX.XX
mS/cm
conc. set = +X %
Tone Mute
key
ACKNOWLEDGED
approx. 3 sec
Alpha
display
act temp = XX.XX C
Verify that the preset

temperature of 35 C is achieved
and that it has stabilized.
Check: Display,
LED bargraph display
Tolerance: 0.5 C
Tone Mute
key
ACKNOWLEDGED
approx. 3 sec
act temp = XX.XX C
Temperature
adjustment
Esc
CD cell 7,
Value in mS/cm after confirmation of 35C
CD cell 7, current value in mS/cm
CD cell 110,
Value in mS/cm after confirmation of 35C
CD cell 110, current value in mS/cm
Verify that the preset

temperature of 39 C is achieved
and that it has stabilized.
Check: Display,
Tolerance: 0.5 C
Tone Mute
key
DATA STORED
approx. 3 sec
4-10
Conf
OCM Supplement
2/05.00 (TM)
Part 13.4: OCM pulse calibration

OCM PULSE calibr.
Verify that the

conductivity is
within13.9 to 14.6 ms
and wait for the
conductivity to stabilize.
Confirm
key
Esc
key
Start PULSE calib.?

Tone Mute
key
Esc
key
OCM PULSE UP activ
Positive OCM pulse

duration
OCM PULSE DOWN activ
Esc
key
Negative OCM pulse

duration
OCM PULSE finished
approx. 3 sec
Tone mute
LED is flashing.
Info sound
pos. Dialy: XXXX.X
neg. Dialy: XXXX.X
alternating
Tolerance per pulse: 25
Tone Mute
key
DATA STORED
Note
If the value is outside 25,
check the conductivity measuring system of the dialysis
system.
approx. 3 sec
Time elapsed since the pulse calibration

was started
OCM PULSE UP activ
Counter
XXXX
Seconds
Concentrate setting
XXXX
Index
CD cell 7,
compensated CD value
XXXX
XXXX
mS/cm
Esc
Conf
4008 OCM Supplement
2/05.00 (TM)
4-11
Part 13.5: Conductivity check

CONDUCTIVITY Check
Confirm
key
act. cond: XX.X mS/cm
use to select
the Concentrate
setting field
If no key is
pressed for
approx. 4 sec
conc. set = 0%
Use the +/ keys

to reduce the
concentrate pump volume
e.g.:
conc. set = 6 %
Tone Mute
key
ACKNOWLEDGED
approx. 3 sec
Repeat the
procedure with
different values
Verify the conductivity.

Check:
Reference meter, display,
Esc
key

XXXX
ADC-digits
XXXX
steps
XXXX
steps
XXXX
ADC-digits
Concentrate
setting
Alpha
display
4-12
[ADC-digits (OCM)]
(concentrate pump)
(bicarbonate pump)
[ADC-digits (OCM)]
setting
adjustment
Esc
Conf
OCM Supplement
2/05.00 (TM)
Part 13.6: Conductivity test with concentrate

COND Check with Conc
Note
A calibration of the conductivity using a calibration concentrate is currently not
possible, since a suitable calibration concentrate is not available.
4008 OCM Supplement
2/05.00 (TM)
4-13
Part 13.7: OCM conductivity check

OCM COND.-Check
Confirm
key
OCM Cond.-Check
Use to
select the
concentrate setting field
If no key is
pressed for
approx. 4 sec
conc. set = 0%
Use the +/ keys

to reduce the
concentrate pump volume.
e.g.:
conc. set = 6 %
Tone Mute
key
ACKNOWLEDGED
approx. 3 sec
OCM Cond.-Check
Repeat the
procedure with
different values
Verify the conductivity.

Check:
Reference meter, display,
Esc
key
CD cell 7; 12 bit
CD cell 7
OCM Cond.-Check
1
XXXX
ADC-digits (OCM)
XX.XX
mS/cm
XXXX
ADC-digits (OCM)
XX.XX
mS/cm
CD cell 110;12 bit

CD cell 110
Alpha
display
4-14
Concentrate
setting
setting
adjustment
Esc
Conf
OCM Supplement
2/05.00 (TM)
Part 13.8: Temperature/conductivity compensation check

TEMP/COND COMP Check
Confirm
key
act temp = XX.XX C
The individual
conductivities and their
compensation factors are
displayed in the fields
(see 4008 H/S)
The conductivity cells
can be crosschecked
by changing the
concentration
or temperature.
Esc
key
CD cell 7, compensated
CD cell 7, compensation factor
act temp = XX.XX C

1
XX.XX
mS/cm
XXXX
mS/(cmC)
XX.XX
mS/cm
XXXX
mS/(cmC)
CD cell 110, compensated

CD cell 110, compensation factor
Alpha
display
Concentrate
setting
setting
adjustment
Esc
Conf
4008 OCM Supplement
2/05.00 (TM)
4-15
4-16
OCM Supplement
2/05.00 (TM)
Setup Menu
6.1
Overview
CALIBRATION
DIAGNOSTICS
MISCELLANEOUS
SETUP MENU
Confirm
key
OCM Supplement
2/05.00 (TM)
6-1
6.2
Main menu 4008 H/S
SETUP MENU
Confirm
key
SET ALARM/WARN TIME
ACTIV. STD UF-DATA
SETUP CLEANING PGM
SET STD. PRIME-TIME
SETUP DILUTION
SOUND I/O-SWITCH
SET CONDUCT. LIMIT
SET KEY-CLICK
INFO SOUND (C-PGM)
BPR/UFRWARNING
SET DIAL PARAMETERS
SET RINSEVOLUME
CALC. CUMUL. BLOOD-VOL
T1TEST AUTOSTART
HAEMOGLOBIN UNIT
ONLINE plus SETTINGS
OCM SETTINGS
Confirm
key
see Part 9
SET CENTRAL-DELIVERY
AUTOM. SN-START
STORE DEFAULT VALUES
ACTIV. MONIT_NTC109
BACK TO MAIN MENU ?
6-2
CONFIRM
KEY
2/05.00 (TM)
Part 9: OCM Settings

OCM SETTINGS
Confirm
key
OCM MEASUREMENT
Confirm
key
see Part 9.1
Confirm
key
see Part 9.2
Confirm
key
see Part 9.3
Confirm
key
see Part 9.4
Confirm
key
see Part 9.5
Confirm
key
see Part 9.6
Confirm
key
see Part 9.7
OCM ZERO MEASUREMENT
OCM DELAY TIME
OCM CLR CORR FACTOR
OCM BASELINE DIFF
OCM INTEGRAL VALUE
OCM KT/V WARNLEVEL
Confirm
key
back to menu?
Part 9.1: Activating the OCM measurement

OCM MEASUREMENT
Confirm
key
OCM Measurement: OFF
(Default: OFF)
+/
OCM Measurement: ON
+/
Tone Mute
key
DATA STORED
After
approx. 3 sec
DATA STORED
After
approx. 3 sec
Esc
key
Tone Mute
key
Esc
key
OCM Supplement
2/05.00 (TM)
6-3
Part 9.2: Activating the OCM zero measurement

OCM ZERO MEASUREMENT
Confirm
key
OCM Zero Measurement: ON
(Default: ON)
Tone Mute
key
+/
Esc
key
OCM Zero Measurement: OFF
Tone Mute
key
+/
Esc
key
DATA STORED
After
approx. 3 sec
DATA STORED
After
approx. 3 sec
Note
If the OCM zero measurement is set to OFF, the OCM option will be deactivated.
When the OCM zero measurement is reactivated (ON) it is imperative to perform an OCM pulse calibration.
Part 9.3: Setting the OCM delay time

OCM DELAY TIME
Confirm
key
Delay Time: XX s
Esc
key
Use +/ to set the value

shown in the table on the right
(1 70 seconds)
Machine
Hydraulic unit type Time
4008 H
4008 H
AutoPRIME
ONLINEplus
15 sec
65 sec
4008 S
4008 S
AutoPRIME
ONLINEplus
18 sec
67 sec
Tone Mute
key
DATA STORED
After approx. 3 sec
6-4
2/05.00 (TM)
Part 9.4: Setting the OCM correction factor

OCM CLR CORR FACTOR
Confirm
key
Esc
key
ClrCorr Factor: 1.000

The value displayed
is the
default value
Tone Mute
key
DATA STORED
After approx. 3 sec
Note
Do not change the default value.
Note
In 4008 H/S machines it is generally possible to define a correction factor for
all clearance measurements. This feature has been provided to be able to
adapt a machine at its place of installation to latest knowledge gained from
scientific discussion that has not been completed yet. Based on present knowledge the correction factor for Fresenius Polysulfone membranes must be adjusted to 1 (factory setting). The accuracies specified are only applicable for
Fresenius Polysulfone membranes in combination with a correction factor that
was set to 1.
Part 9.5: Setting the OCM baseline difference

OCM BASELINE DIFF
Confirm
key
Base Diff.: 0.015 ms/cm
Esc
key
The value displayed

is the
default value
Tone Mute
key
DATA STORED
After approx. 3 sec
Note
OCM Supplement
2/05.00 (TM)
6-5
Part 9.6: Setting the OCM integral value

OCM INTEGRAL VALUE
Confirm
key
Esc
key
Integral value: 55
The value displayed
is the
default value
Tone Mute
key
DATA STORED
After approx. 3 sec
Note
Part 9.7: Setting the OCM KT/V warning level

OCM KT/V WARNLEVEL
Confirm
key
Kt/V Warnlevel: 85 %
Esc
key
Use +/ to set the

warning level
(Default: 85)
Range: 0 99 %
0 = no warning
Tone Mute
key
DATA STORED
After approx. 3 sec
6-6
2/05.00 (TM)
Table of Contents 8 Circuit diagrams

Section
Page
8.1
Circuit diagrams and component layout LP 632, CPU 2 ..........................................
8-3
8.2
Circuit diagrams and component layout LP 633-5, Input board .............................
8-19
OCM Supplement
2/10.01 (TM)
8-1
8-2
2/10.01 (TM)
8.1
Circuit diagrams and component layout

LP 632, CPU2
LP 632, CPU 2
OCM Supplement
Component layout
2/10.01 (TM)
8-3
8-4
2/10.01 (TM)
LP 632, CPU 2
Circuit diagram 1/7
OCM Supplement
2/10.01 (TM)
8-5
8-6
2/10.01 (TM)
LP 632, CPU 2
Circuit diagram 2/7
OCM Supplement
2/10.01 (TM)
8-7
8-8
2/10.01 (TM)
LP 632, CPU 2
Circuit diagram 3/7
OCM Supplement
2/10.01 (TM)
8-9
8-10
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2
Circuit diagram 4/7
4008 OCM Supplement
2/10.01 (TM)
8-11
8-12
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2
Circuit diagram 5/7
4008 OCM Supplement
2/10.01 (TM)
8-13
8-14
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2
Circuit diagram 6/7
4008 OCM Supplement
2/10.01 (TM)
8-15
8-16
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2
Circuit diagram 7/7
4008 OCM Supplement
2/10.01 (TM)
8-17
8-18
OCM Supplement
2/10.01 (TM)
8.2
Circuit diagrams and component layout

LP 633-5, Input board
4008 OCM Supplement
LP 633-5
Component layout
2/10.01 (TM)
8-19
8-20
OCM Supplement
2/10.01 (TM)
LP 633
Circuit diagram 1/8
4008 OCM Supplement
2/10.01 (TM)
8-21
8-22
OCM Supplement
2/10.01 (TM)
LP 633
Circuit diagram 2/8
4008 OCM Supplement
2/10.01 (TM)
8-23
8-24
OCM Supplement
2/10.01 (TM)
LP 633
Circuit diagram 3/8
4008 OCM Supplement
2/10.01 (TM)
8-25
8-26
OCM Supplement
2/10.01 (TM)
LP 633
Circuit diagram 4/8
4008 OCM Supplement
2/10.01 (TM)
8-27
8-28
OCM Supplement
2/10.01 (TM)
LP 633
Circuit diagram 5/8
4008 OCM Supplement
2/10.01 (TM)
8-29
8-30
OCM Supplement
2/10.01 (TM)
LP 633
Circuit diagram 6/8
4008 OCM Supplement
2/10.01 (TM)
8-31
8-32
OCM Supplement
2/10.01 (TM)
LP 633
Circuit diagram 7/8
4008 OCM Supplement
2/10.01 (TM)
8-33
8-34
OCM Supplement
2/10.01 (TM)
LP 633
Circuit diagram 8/8
4008 OCM Supplement
2/10.01 (TM)
8-35
8-36
OCM Supplement
2/10.01 (TM)

Manual Tecnico-Maquina de Dialisis-4008h-4008s PDF

Hochgeladen von

Dokumentinformationen

Originaltitel

Copyright

Verfügbare Formate

Dieses Dokument teilen

Dokument teilen oder einbetten

Freigabeoptionen

Stufen Sie dieses Dokument als nützlich ein?

Sind diese Inhalte unangemessen?

Copyright:

Verfügbare Formate

Manual Tecnico-Maquina de Dialisis-4008h-4008s PDF

Hochgeladen von

Copyright:

Verfügbare Formate

4008 H / 4008 S

Fresenius Medical Care

Description of errors ....................................................................................................

Adjustment instructions ...............................................................................................

Calibration program ......................................................................................................

Setup menu ...................................................................................................................

Circuit diagrams ............................................................................................................

Fresenius Medical Care 4008

Fresenius Medical Care 4008 OCM Supplement

Table of Contents 1 Description of Errors

Display messages .........................................................................................................

Description of errors .....................................................................................................

Fresenius Medical Care 4008

Fresenius Medical Care 4008 OCM Supplement

Shows the last measured clearance value. Displayed for

Shows the plasma sodium concentration of the last single

Shows the current Kt/V. Displayed for 1 minute when the UF

Displayed instead of Kt/V:X.XX if no valid value for Vurea is

Kt/V: Not available

There are no Kt/V data available as the calculation of Kt/V was

This message is displayed at the start of a dialysis treatment

HDF/HF < > OCM

An OCM and an HDF or HF treatment procedure cannot be

SN < > OCM

The OCM cannot be started as a Single Needle treatment (SN

Profile< > OCM

An OCM cannot be started in conjunction with a Na-/UF profile

Fresenius Medical Care 4008

OCM tech. deact./X

The OCM cannot be started as the CD cells or the temperature

Displays during an OCM adjustment.

Displays after successful completion of an OCM adjustment.

OCM adjust cancelled

The OCM adjustment was not successfully completed and will

OCM adjust intended

Displays when the optical detector senses dark fluid and if an

Input value too low

Input value too high

Kt/V too low

Displays if the prescribed Kt/V cannot be reached at the end of

Fresenius Medical Care 4008 OCM Supplement

Error message displayed

The OCM option will be deactivated until the machine is

The OCM option will be deactivated until the machine is

The OCM option will be deactivated until the machine is

The OCM option will be deactivated until the machine is

The OCM option will be deactivated until the machine is

The OCM option will be deactivated until the machine is

Fresenius Medical Care 4008

Error message displayed

OCM tech. deact./1

The OCM option is decalibrated and can only be reactivated

OCM tech. deact./4

The OCM option is decalibrated and can only be reactivated

OCM tech. deact./7

The OCM option is decalibrated and can only be reactivated

OCM tech. deact./8

The OCM option is decalibrated and can only be reactivated

OCM tech. deact./9

The OCM option is decalibrated and can only be reactivated

Fresenius Medical Care 4008 OCM Supplement

Table of Contents 3 Adjustment instructions

Measuring equipment ...................................................................................................