manual tecnico-maquina de dialisis-4008h-4008s.pdf

8/19/2019 MANUAL TECNICO-MAQUINA DE DIALISIS-4008H-4008S.pdf

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4008 H / 4008 S

Hemodialysis Machine

Technical Manual

Supplemental Instructions for the OCM Option

Part no.: M32 514 1

CareFreseniusMedical


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Fresenius Medical Care 4008 OCM Supplement 2/10.01 (TM) 0-1

Table of Contents

Section Page

1 Description of errors .................................................................................................... 1-11.1 Display messages ........................................................................................................... 1-31.2 Description of errors ....................................................................................................... 1-5

3 Adjustment instructions ............................................................................................... 3-1

3.1 Measuring equipment ..................................................................................................... 3-33.2 Flow diagram .................................................................................................................. 3-43.3 Calibration mode ............................................................................................................. 3-8

4 Calibration program ...................................................................................................... 4-1

6 Setup menu ................................................................................................................... 6-16.1 Overview ......................................................................................................................... 6-1

6.2 Main menu 4008 H/S ...................................................................................................... 6-2

8 Circuit diagrams ............................................................................................................ 8-18.1 Circuit diagrams and component layout LP 632, CPU 2 ............................................... 8-38.2 Circuit diagrams and component layout LP 633-5, Input board .................................... 8-19


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0-2 Fresenius Medical Care 4008 OCM Supplement 2/10.01 (TM)


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Table of Contents 1 Description of Errors

Section Page

1.1 Display messages ......................................................................................................... 1-3

1.1.1 Informational messages .................................................................................................. 1-31.1.2 Warnings ......................................................................................................................... 1-4

1.2 Description of errors ..................................................................................................... 1-5


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1.1 Displaymeldungen

1.1.1 Informative Meldungen

Clear.: XXXml/min Shows the last measured clearance value. Displayed for1 minute after a successful measurement.

Plasma-Na: XXXmmol/l Shows the plasma sodium concentration of the last singlemeasurement for 1 minute.

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

isavailable. Shows the current value of Kt. Displayed for1 minute when the UF goal has been achieved or if the ODsenses clear fluid.

Kt/V: Not available There are no Kt/V data available as the calculation of Kt/V wasaborted. Displayed for 1 minute when the UF goal has beenachieved or if the OD senses clear fluid.

Enter V(urea)? This message is displayed at the start of a dialysis treatmentprovided the operator has not already entered the V

urea on the

screen. This message will be displayed when the OCM isswitched on manually by the operator or after the optical de-tector has sensed blood, provided “OCM measurement ON”was preselected in the Setup. This message prompts the ope-rator to enter the patient’s volume of urea distribution. It will

only be displayed if the Vurea has not yet been entered. If the Vu-rea

has been changed during the OCM measurement, the Kt/Vwill be recalculated provided it is already available. This mes-sage will be cleared by pressing the Start/Reset key.

HDF/HF < > OCM An OCM and an HDF or HF treatment procedure cannot beperformed simultaneously. Displayed once if OCM is selectedwhile HDF/HF is active. If HDF/HF is selected while OCM is al-ready active, the OCM will be aborted and the message “OCMoff” will be displayed. The OCM can, however, be reselectedafter HDF/HF has been switched off.

SN < > OCM The OCM cannot be started as a Single Needle treatment (SNor SN click-clack) has been selected.

Profile< > OCM An OCM cannot be started in conjunction with a Na-/UF profile1, 5 or 6 and a treatment time of less than 180 minutes. Dis-played when the OCM is switched on and/or when selecting aprofile.


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1.1.2 Warnings

The operator has attempted to enter a value for an OCM para-meter that is below the minimum limit.

OCM tech. deact./X The OCM cannot be started as the CD cells or the temperaturesensors are not properly calibrated or have been manually de-activated when operating the machine. Also displayed whenthe integral relationship of the adjustment measurement is out-side the limits. Displayed when the OCM is activated manuallyor when the OD senses dark fluid if the default setting for theOCM 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 deacti-vated until the end of the treatment.Inform the service technician of the error code (X).

OCM adjust Displays during an OCM adjustment.

OCM adjust intended Displays when the optical detector senses dark fluid and if anadjustment measurement is required on completion of thetreatment in progress.

Input value too low

Input value too high The operator has attempted to enter a value for an OCM para-meter that is above the maximum limit.

OCM adjust OK Displays after successful completion of an OCM adjustment.

OCM adjust cancelled The OCM adjustment was not successfully completed and willbe repeated after the next treatment.

Kt/V too low Displays if the prescribed Kt/V cannot be reached at the end ofthe treatment with the current Kt/V.


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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 The OCM option will be deactivated until the machine isswitched off.One of the CD cells has measured a value below 11.5 mS/cmduring more than 3 consecutive OCM measurements.

– Check CD cells for proper connection

– P.C.B. LP 633-5 defective

OCM OFF/3 The OCM option will be deactivated until the machine isswitched off.

– System error


A downward pulse occurs although an upward pulse was re-quested.

– Check the bibag/concentrate delivery – Check the concentrate pumps / mixing system

– Air in the dialysate


– System error


Implausibility of the ratio of blood flow to clearance or no appa-rent change on the CD cell during more than three consecutivemeasurements.

– Poor terminal connection of the CD cell

1.2 Description of errors


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Error message displayed Description

OCM tech. deact./1 The OCM option is decalibrated and can only be reactivatedafter a successful pulse calibration.Deviation between the 8-bit and the 12-bit CD value of the pre-cell > 0.5 ms/cm for > 20 s.

– Disinfection – Check OCM calibration and calibrate, if necessary

OCM tech. deact./4 The OCM option is decalibrated and can only be reactivatedafter a successful pulse calibration.Three cyclic pressure holding tests (CPHT) showed a deviationof > 0.5 ms/cm between CD cell 7 and CD cell 110 for > 4.5 s.

– Disinfection – Check OCM calibration and calibrate, if necessary

OCM tech. deact./7 The OCM option is decalibrated and can only be reactivatedafter a successful pulse calibration.

More than 5 consecutive measurements showed a clearance ofmore 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 The OCM option is decalibrated and can only be reactivatedafter a successful pulse calibration.Zero pulse measurement failure or time of maximum pulse be-tween pre- and post-CD cell > 13 s.

– Check the hydraulic for proper flow

– Check OCM calibration and calibrate, if necessary

OCM tech. deact./9 The OCM option is decalibrated and can only be reactivatedafter a successful pulse calibration.The correction factor of the zero pulse measurement for upwardor downward pulses is outside the acceptable range of 0.8 to1.2.

– Perform a disinfection – Check OCM calibration and calibrate, if necessary


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Table of Contents 3 Adjustment instructions

Section Page

3.1 Measuring equipment ................................................................................................... 3-3

3.2 Flow diagram ................................................................................................................. 3-43.2.1 Flow diagram 4008 H with OCM ..................................................................................... 3-43.2.2 Flow diagram 4008 S with OCM ..................................................................................... 3-6

3.3 Calibration mode ........................................................................................................... 3-83.3.1 Basic conditions .............................................................................................................. 3-83.3.2 Display messages (4008 H/S) ........................................................................................ 3-8


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3.1 Measuring equipment

CautionThe accuracy of the measuring equipment used during the calibration procedureis decisive for the accuracy of the OCM measurement.

The measuring equipment used for the calibration of the conductivity must havean 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 availablefrom Fresenius (part no. M32 403 1).

UMED Service CasePart number M32 403 1


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3.2 Flow diagram

3.2.1 Flow diagram 4008 H with OCM


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Legend

2 Temperature sensor3 Temperature sensor4 Temperature sensor5 Float switch6 Level sensor7 Conductivity cell

8 Blood leak detector9 Pressure transducer10 Reed contact, concentrate12 Reed contact, bicarbonate21 Flow pump22 UF pump23 Concentrate pump24 Dialyzer valve 124b Dialyzer valve 225 Bicarbonate pump26 Bypass valve29 Degassing pump30 Outlet valve

31 Balancing chamber valve 132 Balancing chamber valve 233 Balancing chamber valve 334 Balancing chamber valve 435 Balancing chamber valve 536 Balancing chamber valve 637 Balancing chamber valve 738 Balancing chamber valve 839 Negative pressure valve41 Water inlet valve43 Fill valve54 Heater rod61 Pressure reducing valve63 Water inlet filter65 Loading pressure valve66 Heater block66a Water inflow chamber66b Heater rod chamber66c Float chamber68 Balancing chamber71 Filter / concentrate72 Filter / bicarbonate73 Filter / dialysate ext.74 Filter / UF75 External flow indicator76 Filter / fill valve77 Heat exchanger

78 Relief valve84 Disinfectant valve85 Disinfectant connector86 Recirculation valve87 Drain valve88 Multifunction block88a Degassing chamber88b Secondary air separator88c Primary air separator89 Degassing orifice90a Rinse chamber / concentrate90b Rinse chamber / bicarbonate91 Rinse valve

92 Vent valve94 Concentrate suction tube

95 Bicarbonate suction tube97 Air separation pump99 Rinse valve100 Rinse valve102 Central concentrate delivery valve104 Central bicarbonate delivery valve

109 Temperature sensor110 Conductivity cell111 Hydrophobic filter112 Vent valve114 Dialysate filter115 Sensor Disinfection valve116 Sampling valve117 Check valve / concentrate118 Check valve / bicarbonate119 Filter / concentrate120 Filter / bicarbonate121 Central concentrate delivery connector122 Central bicarbonate delivery connector

123 Pressure switch for V102124 Pressure switch for V104130 biBag drain valve132 biBag conductivity cell133 biBag temperature sensor134 biBag pressure transducer136 biBag connector137 biBag micro-switch 1138 biBag micro-switch 2148 Filter / rinse valve V100149 Filter / rinse valve V99150 Filter / fill valve151 Orifice181 Temperature compensation plate 2182 Pressure transducer 2183 Test valve184 Filter / test valve185 Compressor188 Evacuation valve189 Retentate valve190 Online filter191 Online valve 3192 Online valve 2193 Online valve 1194 Rinse port195 Substituate port201 Air separator / concentrate

202 Level sensor / concentrate203 Air separator / bicarbonate204 Level sensor / bicarbonate205 Mixing point / concentrate / bicarbonate206 Buffer volume chamber210 Filter

Hydraulics measuring points:

A Reduced water inlet pressureB Balancing chamber loading pressureC Flow pump pressure

D Degassing pump pressure


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3.2.2 Flow diagram 4008 S with OCM


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Legende

2 Temperature sensor3 Temperature sensor4 Temperature sensor5 Float switch6 Level sensor7 Conductivity cell

8 Blood leak detector9 Pressure transducer10 Reed contact, concentrate12 Reed contact, bicarbonate21 Flow pump22 UF pump23 Concentrate pump24 Dialyzer valve 124b Dialyzer valve 225 Bicarbonate pump26 Bypass valve29 Degassing pump30 Outlet valve

31 Balancing chamber valve 132 Balancing chamber valve 233 Balancing chamber valve 334 Balancing chamber valve 435 Balancing chamber valve 536 Balancing chamber valve 637 Balancing chamber valve 738 Balancing chamber valve 839 Negative pressure valve41 Water inlet valve43 Fill valve54 Heater rod61 Pressure reducing valve63 Water inlet filter65 Loading pressure valve66 Heater block66a Water inflow chamber66b Heater rod chamber66c Float chamber68 Balancing chamber71 Filter / concentrate72 Filter / bicarbonate73 Filter / dialysate ext.74 Filter / UF75 External flow indicator76 Filter / fill valve77 Heat exchanger

78 Relief valve84 Disinfectant valve85 Disinfectant connector86 Recirculation valve87 Drain valve88 Multifunction block88a Degassing chamber88b Secondary air separator88c Primary air separator89 Degassing orifice90a Rinse chamber / concentrate90b Rinse chamber / bicarbonate91 Rinse valve

92 Vent valve94 Concentrate suction tube

95 Bicarbonate suction tube97 Air separation pump99 Rinse valve100 Rinse valve102 Central concentrate delivery valve104 Central bicarbonate delivery valve

109 Temperature sensor110 Conductivity cell111 Hydrophobic filter112 Vent valve114 Dialysate filter115 Sensor Disinfection valve116 Sampling valve117 Check valve / concentrate118 Check valve / bicarbonate119 Filter / concentrate120 Filter / bicarbonate121 Central concentrate delivery connector122 Central bicarbonate delivery connector

123 Pressure switch for V102124 Pressure switch for V104130 biBag drain valve132 biBag conductivity cell133 biBag temperature sensor134 biBag pressure transducer136 biBag connector137 biBag micro-switch 1138 biBag micro-switch 2148 Filter / rinse valve V100149 Filter / rinse valve V99150 Filter / fill valve151 Orifice181 Temperature compensation plate 2182 Pressure transducer 2183 Test valve184 Filter / test valve185 Compressor188 Evacuation valve189 Retentate valve190 Online filter191 Online valve 3192 Online valve 2193 Online valve 1194 Rinse port195 Substituate port201 Air separator / concentrate

202 Level sensor / concentrate203 Air separator / bicarbonate204 Level sensor / bicarbonate205 Mixing point / concentrate / bicarbonate206 Buffer volume chamber210 Filter

Hydraulics measuring points:

A Reduced water inlet pressureB Balancing chamber loading pressureC Flow pump pressure

D Degassing pump pressure


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3.3 Calibration mode

3.3.1 Basic conditions

– The hemodialysis machine must beswitched off.

– The service switch must be in the ON(up) position.

– Turn the hemodialysis machine on.

3.3.2 Display messages (4008 H/S)

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4

1

5 6

2 3 C Best

Esc

CALIBRATION

004.7 Volt

011.9 Volt

023.6 Volt

020.4 Volt

12 V voltage (11.5 V – 12.5 V)

Watchdog supply voltage (4.5 V – 5.5 V)

Battery charging voltage (> 20 V)

24 V voltage (23 V – 25 V)


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CALIBRATION

Confirm

key

DIAGNOSTICS

MISCELLANEOUS

SETUP MENU

4 Calibration program


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● Main menu

CALIBRATION

Confirmkey

CAL. ART. PRESSURE

CAL. ART. P_MODULE

CALIB. (B)-PUMP-RATE

CAL. VENOUS PRESSURE

CAL. VEN. P_MODULE

ADJ. UF-PUMP VOLUME

CAL. DEGAS. PRESSURE

CAL. FLOW 300 ml/min



CALIB. TEMPERATURE

Confirmkey see Part 11

CAL. MIXING SYSTEM

CALIB. CONDUCTIVITY

Confirmkey see Part 13

CAL. DIAL. PRESSURE

CALIBRATE BLD

CALIB. BIBAG VALUES

NOVRAM

back to main menu ?

Confirmkey

RESET FAILURE RECORD


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● Part 11: Calibrating the dialysate temperature

CALIB. TEMPERATURE

Confirmkey

Temp. ADJUSTMENT

Confirmkey

see Part 11.1

Check TEMPERATURE

Confirmkey

see Part 11.2

OCM TEMP.-CheckConfirm

keysee Part 11.3

back to menu?

Confirmkey

NoteAccuracy of the external meter to be connected: ±0.2 °C.


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7 8 9 0

4

1

5 6

2 3 C Conf

Esc

1

2

3

4

Temp. ADJUSTMENT

Confirmkey

DATA STORED

Connect the externalreference instrument.

Connect the BIC suctiontube to the BIC container

or place it in waterof room temperature.

Tone Mutekey

approx. 3 sec

adj. temp to 37°CEsckey

Adjust the digital value inthe “UF Rate” window ➁ by

pressing the +/– keys.

Wait until the temperatureon the external reference

instrument indicates 37.0 °C.

DATA STORED

Machine in bypass

Tone Mutekey

approx. 3 sec

OCM TEMP. AdjustEsckey

Wait for the temperatureto stabilize (37 °C)

Indicated in "UF rate"window ➁

7 8 9 0

4

1

5 6

2 3 C Conf

Esc

adj. temp to 37°C

XXXX ADC-digits

XXXX ADC-digits

XXXX ADC-digits

XXXX DAC-digits

➀ NTC3; 8 bit

➁ Control 8 bit

➂ NTC3; 12 bit

➃ NTC109; 8 bit,if NTC 109 is activated in SETUP

OCM TEMP.-Adjust

XXXX ADC-digits

XXXX ADC-digits

XXXX DAC-digits

XXXX °C

➀ NTC3; 12 bit

➁ NTC3 temperature

➂ NTC4; 12 bit

➃ Dynamic measurement range switching

1

2

3

4

● Part 11.1: Adjusting the dialysate temperature


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7 8 9 0

4

1

5 6

2 3 C Conf

Esc

1

2

3

4

● Part 11.2: Checking the dialysate temperature

Check TEMPERATURE

Confirmkey

use to select the

Temperature setting field

act temp = 37.0 °C

Repeat theprocedure

with differentvalues

(e.g. 35/39 °C)

Check whether thepreselected temperature

is achieved.Check: reference instrument,

display and 37.0 °CLED display correspondto 115/116 digits in the“UF Volume” window ➀.

Tolerance: ±0.5 °C

ACT temp = XX.X °C

Esckey

approx. 3 sec

ACKNOWLEDGED

Tone mutekey

Specify a temperature bypressing the +/ – keys.

set temp = XX.X °C

act. temp = 37.0 °C

XXXX ADC-digits

XXX.X °C

XXXX ADC-digits

Alpha

display

Temperature

adjustment

➀ NTC3; 8 bit

➁

➂ NTC109; temperature

➃ NTC109; 8 bit


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● Part 11.3: Checking the dialysate temperature for OCM

OCM TEMP.-Check

Confirmkey

use to select the

Temperature setting field

act temp = 37.0 °C

Repeat theprocedure

with differentvalues

(e.g. 35/39 °C)

Check whether thepreselected temperature

is achieved.Check: Display,

37.0 °C bargraph displayTolerance of the

displayed temperaturein the UF rate field ➁

and the UF time field ➃:±0.2 °C

ACT temp = XX.X °C

Esckey

approx. 3 sec

ACKNOWLEDGED

Tone Mutekey

Specify a temperature bypressing the +/ – keys.

set temp = XX.X °C

Open the shunt coverto switch the machine

to the bypass mode

7 8 9 0

4

1

5 6

2 3 C Conf

Esc

1

2

3

4

OCM Temp.-Check

XXXX ADC-digits

XX.XX °C

XXXX ADC-digits

XX.XX °C

Alpha

display

Temperature

adjustment

➀ NTC3; 12 bit

➁ NTC3; temperature

➂ NTC4; 12 bit

➃ NTC4; temperature


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● Part 13: Calibrating the conductivity

CALIB. CONDUCTIVITY

Confirmkey

CONDUCTIVITY Set

Confirmkey

see Part 13.1

TEMP/COND COMP Calib

Confirmkey

see Part 13.3

OCM PULSE calib.

Confirmkey

see Part 13.4

CONDUCTIVITY Check

Confirmkey

see Part 13.5

OCM COND.-Check

Confirmkey

see Part 13.7

TEMP/COND COMP CheckConfirm

keysee Part 13.8

back to menu?

Confirmkey

COND. with Concentr. see Part 13.2Confirmkey

COND Check with ConcConfirm

keysee Part 13.6


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7 8 9 0

4

1

5 6

2 3 C Conf

Esc

1

2

3

4

● Part 13.1: Setting the conductivity

CONDUCTIVITY Set

Confirmkey

CD set: 12.80 mS/cm

CD set: 12.80 mS/cm

CD set: 15.70 mS/cm

Esckey

Use tomove to the

Concentrate setting field.

Use +/ – to reducethe concentrate pump

volume to get to a CD inthe lower display range.

Conc. set = ±0 %If no key ispressed forapprox. 4 sec

Tone Mutekey

ACKNOWLEDGED

approx. 3 sec

Wait for the CD to stabilize.Compare the CD with theexternal reference meter.

In case of a deviation, adjust the dis-play by pressing the +/ – keys.

Tone Mutekey

ACKNOWLEDGED

approx. 3 sec

Use tomove to the

Concentrate setting field.

Use +/ – to raisethe concentrate pump

volume to get to a CD inthe lower display range.

conc. set = –X %If no key ispressed forapprox. 4 sec

e.g.:

Tone Mutekey

Conc. set. = +10 %

ACKNOWLEDGED

approx. 3 sec

CD set: XX.X mS/cm

Wait for the CD to stabilize.Compare the CD with the

external reference instrument.In case of a deviation, adjust the dis-

play by pressing the +/ – keys.

Tone Mutekey

DATA STORED

approx. 3 sec

Conc. set. = –X %

CD set: 12.80 mS/cm

XXXX ADC-digits[ADC-digits (OCM)]

XXXX steps(concentrate pump)

XXXX steps(bicarbonate pump)

Concentrate

setting

XXXX ADC-digits[ADC-digits (OCM)]

Bicarbonate

setting

Alpha

display

➀ CD cell 7; 12 bit / 8 bit alternating

➁

➂

➃ CD cell 110; 12 bit/ 8 bit alternating


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● Part 13.2: Setting the conductivity with concentrate

NoteAn adjustment of the conductivity using a calibration concentrate is currentlynot possible, since a suitable calibration concentrate is not available.

COND. with Concentr.


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7 8 9 0

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5 6

2 3 C Conf

Esc

1

2

3

4

7 8 9 0

4

1

5 6

2 3 C Conf

Esc

1

2

3

4

● Part 13.3: Setting the temperature/conductivity compensation

If the conductivity isoutside the limits:use to select

the concentrate settingfield

TEMP/COND COMP Calib.

Confirmkey

approx. 3 sec

act temp = XX.XX °CEsckey

conc. set = +X %

ACKNOWLEDGED

Tone Mutekey

approx. 3 sec

act temp = XX.XX°C

If no key ispressed forapprox. 4 sec

conc. set = ±0 %

Use +/ – to reduce/increasethe concentrate pump volume

until the conductivity isinside the alarm limits

13.9 – 14.5 mS/cm

Verify that the presettemperature of 35 °C is achieved

and that it has stabilized.Check: Display,

LED bargraph displayTolerance: ±0.5 °C

ACKNOWLEDGED

approx. 3 sec

act temp = XX.XX °C

DATA STORED

Tone Mutekey

Verifythat the conductivity of

both measuring cells in the"UF rate" (➁) and the "UF time"(➃)

window is identical and that it iswithin 13.9 to 14.5 mS/cm.

Tone Mutekey

Verify that the presettemperature of 39 °C is achieved

and that it has stabilized.Check: Display,

LED bargraph displayTolerance: ±0.5 °C

Machine in bypass


XX.XX mS/cm

Temperature

adjustment

XX.XX mS/cm

XX.XX mS/cm

XX.XX mS/cm

Concentrate

setting

Bicarbonate

setting


XX.XX mS/cm

XX.XX mS/cm

XX.XX mS/cm

XX.XX mS/cm

➀ CD cell 7,Value in mS/cm after confirmation of 35°C

➁ CD cell 7, current value in mS/cm

➂ CD cell 110,Value in mS/cm after confirmation of 35°C

➃

CD cell 110, current value in mS/cm

Temperature

adjustment

Alpha

display

Alpha

display


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● Part 13.4: OCM pulse calibration

OCM PULSE calibr.

Confirmkey

DATA STORED

Tone Mutekey

approx. 3 sec

Start PULSE calib.?

Tone Mutekey

Esckey

OCM PULSE UP activ

Positive OCM pulseduration

Esckey

OCM PULSE DOWN activ

Negative OCM pulseduration

Esckey

OCM PULSE finished

approx. 3 sec

Tone muteLED is flashing.

Info sound

pos. Dialy: –XXXX.X neg. Dialy: XXXX.X

alternating

Tolerance per pulse: ±25

Verify that theconductivity is

within13.9 to 14.6 msand wait for the

conductivity to stabilize.

NoteIf the value is outside ±25,check the conductivity mea-suring system of the dialysissystem.

7 8 9 0

4

1

5 6

2 3 C Conf

Esc

1

2

3

4

OCM PULSE UP activ

XXXX Seconds

XXXX Index

XXXX

XXXX mS/cm

➀ Time elapsed since the pulse calibrationwas started

➁ Counter

➂Concentrate setting

➃ CD cell 7,compensated CD value


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7 8 9 0

4

1

5 6

2 3 C Conf

Esc

1

2

3

4

● Part 13.5: Conductivity check

CONDUCTIVITY Check

Confirmkey

act. cond: XX.X mS/cm

use to selectthe Concentrate

setting field

Esckey

Verify the conductivity.Check:

Reference meter, display,LED bargraph display

conc. set = ± 0%

Use the +/ – keysto reduce the

concentrate pump volume

approx. 3 sec


Repeat theprocedure withdifferent values


conc. set = –6 %

ACKNOWLEDGED

Tone Mutekey

e.g.:

➀ CD cell 7; 12 bit / 8 bit alternating➁

➂

➃ CD cell 110; 12 bit / 8 bit alternating


XXXX

XXXX

XXXX

XXXX

ADC-digits[ADC-digits (OCM)]

steps(concentrate pump)

steps(bicarbonate pump)

Concentrate

setting

ADC-digits[ADC-digits (OCM)]

Temperature

adjustment

Bicarbonate

settingAlpha

display


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● Part 13.6: Conductivity test with concentrate

NoteA calibration of the conductivity using a calibration concentrate is currently notpossible, since a suitable calibration concentrate is not available.

COND Check with Conc


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7 8 9 0

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1

5 6

2 3 C Conf

Esc

1

2

3

4

● Part 13.7: OCM conductivity check

OCM COND.-Check

Confirmkey

OCM Cond.-Check

Use toselect the

concentrate setting field

Esckey

Verify the conductivity.Check:

Reference meter, display,LED bargraph display

conc. set = ± 0%

Use the +/ – keysto reduce the

concentrate pump volume.

approx. 3 sec

OCM Cond.-Check

Repeat theprocedure withdifferent values


conc. set = –6 %

ACKNOWLEDGED

Tone Mutekey

e.g.:

➀ CD cell 7; 12 bit➁ CD cell 7

➂ CD cell 110;12 bit

➃ CD cell 110

OCM Cond.-Check

XXXX ADC-digits (OCM)

XX.XX mS/cm

XXXX ADC-digits (OCM)

XX.XX mS/cm

Alpha

display

Concentrate

setting

Temperature

adjustment

Bicarbonate

setting


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● Part 13.8: Temperature/conductivity compensation check

The individualconductivities and their

compensation factors aredisplayed in the fields

(see 4008 H/S)

TEMP/COND COMP Check

Confirmkey


The conductivity cellscan be crosschecked

by changing theconcentration

or temperature.

Esckey

➀ CD cell 7, compensated

➁ CD cell 7, compensation factor

➂ CD cell 110, compensated

➃ CD cell 110, compensation factor

7 8 9 0

4

1

5 6

2 3 C Conf

Esc

1

2

3

4


XX.XX mS/cm

XXXX mS/(cm•°C)

XX.XX mS/cm

XXXX mS/(cm•°C)

Alpha

display

Concentrate

setting

Temperature

adjustment

Bicarbonate

setting


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6.1 Overview

CALIBRATION

DIAGNOSTICS

MISCELLANEOUS

SETUP MENU

Confirmkey

6 Setup Menu


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6.2 Main menu 4008 H/S

SETUP MENU

Confirmkey

SET ALARM/WARN TIME

SETUP CLEANING PGM

INFO SOUND (C-PGM)

SETUP DILUTION

SET CONDUCT. LIMIT

SET DIAL PARAMETERS

AUTOM. SN-START

ACTIV. MONIT_NTC109

ACTIV. STD UF-DATA

SET STD. PRIME-TIME

SOUND I/O-SWITCH

SET CENTRAL-DELIVERY

STORE DEFAULT VALUES

BACK TO MAIN MENU ?

T1 –TEST AUTOSTART

SET RINSE –VOLUME

BPR/UFR –WARNING

SET KEY-CLICK

HAEMOGLOBIN UNIT

OCM SETTINGSConfirm

keysee Part 9

ONLINE plus SETTINGS

CONFIRMKEY

CALC. CUMUL. BLOOD-VOL


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● Part 9: OCM Settings

● Part 9.1: Activating the OCM measurement

OCM SETTINGS

Confirmkey

OCM MEASUREMENT

Confirmkey

see Part 9.1

OCM ZERO MEASUREMENT

Confirmkey

see Part 9.2

OCM DELAY TIME

Confirmkey

see Part 9.3

OCM CLR CORR FACTOR

Confirmkey

see Part 9.4

OCM BASELINE DIFFConfirm

keysee Part 9.5

back to menu?

Confirmkey

OCM INTEGRAL VALUEConfirm

keysee Part 9.6

OCM KT/V WARNLEVELConfirm

keysee Part 9.7

OCM MEASUREMENT

Confirmkey

OCM Measurement: OFF

+/ –

Tone Mutekey

OCM Measurement: ON

DATA STORED

Esckey

Tone Mutekey DATA STORED

Esckey

Afterapprox. 3 sec

Afterapprox. 3 sec

+/ –

(Default: OFF)


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● Part 9.2: Activating the OCM zero measurement

OCM ZERO MEASUREMENT

Confirmkey

OCM Zero Measurement: OFF

Tone MutekeyOCM Zero Measurement: ON DATA STORED

Esckey

Tone Mutekey DATA STORED

Esckey

Afterapprox. 3 sec

Afterapprox. 3 sec

+/ –

+/ –

(Default: ON)

NoteIf the OCM zero measurement is set to “OFF”, the OCM option will be deacti-vated.When the OCM zero measurement is reactivated (ON) it is imperative to per-form an OCM pulse calibration.

● Part 9.3: Setting the OCM delay time

OCM DELAY TIME

Delay Time: XX s

Use +/ – to set the valueshown in the table on the right

(1 – 70 seconds)

Confirmkey

Tone Mutekey

DATA STORED

After approx. 3 sec

Esckey

Machine Hydraulic unit type Time

4008 H AutoPRIME™ 15 sec4008 H ONLINEplus ™ 65 sec

4008 S AutoPRIME™ 18 sec

4008 S ONLINEplus ™ 67 sec


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● Part 9.4: Setting the OCM correction factor

OCM CLR CORR FACTOR

Confirmkey

ClrCorr Factor: 1.000

The value displayedis the

default value

Tone Mutekey

DATA STORED

After approx. 3 sec

Esckey

NoteDo not change the default value.

NoteIn 4008 H/S machines it is generally possible to define a correction factor forall clearance measurements. This feature has been provided to be able toadapt a machine at its place of installation to latest knowledge gained fromscientific discussion that has not been completed yet. Based on present know-ledge the correction factor for Fresenius Polysulfone membranes must be ad- justed to “1” (factory setting). The accuracies specified are only applicable forFresenius Polysulfone membranes in combination with a correction factor thatwas set to “1”.

● Part 9.5: Setting the OCM baseline difference

OCM BASELINE DIFF

Base Diff.: 0.015 ms/cm


default value

Confirmkey

Tone Mutekey

DATA STORED

After approx. 3 sec

Esckey



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● Part 9.6: Setting the OCM integral value

OCM INTEGRAL VALUE

Integral value: 55


default value

Confirmkey

Tone Mutekey

DATA STORED

After approx. 3 sec

Esckey


● Part 9.7: Setting the OCM KT/V warning level

OCM KT/V WARNLEVEL

Kt/V Warnlevel: 85 %

Use +/ – to set thewarning level

(Default: 85)Range: 0 – 99 %0 = no warning

Confirmkey

Tone Mutekey

DATA STORED

After approx. 3 sec

Esckey


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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


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LP 632, CPU 2Component layout

8.1 Circuit diagrams and component layoutLP 632, CPU2


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LP 632, CPU 2Circuit diagram 1/7


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LP 633-5Component layout

8.2 Circuit diagrams and component layoutLP 633-5, Input board


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LP 633Circuit diagram 1/8


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manual tecnico-maquina de dialisis-4008h-4008s.pdf

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