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
Adjustmenti nstructions ...............................................................................................
3-1
3.1 3.2 3.3
Measuring equipment ..................................................................................................... Flow diagram .................................................................................................................. Calibration mode .............................................................................................................
3-3 3-4 3-8
4
Calibration program ......................................................................................................
4-1
6 6.1 6.2
Setupmenu ................................................................................................................... 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
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
1-1
1-2
Fresenius Medical Care
4008
OCM Supplement
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 V urea 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 patient’s 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.
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
1-3
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 measuremen t 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.
1.1.2
Warnings
Kt/V too low
1-4
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Displays if the prescribed Kt/V cannot be reached at the end of the treatment with the current Kt/V.
4008
OCM Supplement
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
The OCM option will be deactivated until the machine is 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
The OCM option will be deactivated until the machine is switched off. – System error
OCM OFF/5
The OCM option will be deactivated until the machine is switched off. A downward pulse occurs although an upward pulse was requested. – Check the bibag/concentrate delivery – Air Check thedialysate concentrate pumps / mixing system – in the
OCM OFF/6
The OCM option will be deactivated until the machine is switched off. – System error
OCM OFF/7
The OCM option will be deactivated until the machine is 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
Fresenius Medical Care
4008
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
The OCM option is decalibrated and can only be reactivated after a successful pulse calibration. 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 – Check OCM calibration and calibrate, if necessary
OCM tech. deact./7
The OCM option is decalibrated and can only be reactivated after a successful pulse calibration. 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
The OCM option is decalibrated and can only be reactivated after a successful pulse calibration. Zero pulse measurement failure or time of maximum pulse between 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 reactivated after a successful pulse calibration. 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 – Check OCM calibration and calibrate, if necessary
1-6
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
Table of Contents
3 Adjustment instructions
Section
Page
3.1
Measuringe quipment ...................................................................................................
3-3
3.2 3.2.1 3.2.2
Flow diagram ................................................................................................................. Flow dia gram 4008 H with OCM ..................................................................................... Flow dia gram 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
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
3-1
3-2
Fresenius Medical Care
4008
OCM Supplement
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
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
3-3
3.2
Flow diagram
3.2.1
Flow diagram 4008 H with OCM
3-4
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
Legend 2 3 4 5 6 7 8 9 10 12 21
Temperature sensor Temperature sensor Temperature sensor Float switch Level sensor Conductivity cell Blood leak detector Pressure transducer Reed contact, concentrate Reed contact, bicarbonate 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 32 Balancing chamber valve 33 Balancing chamber valve 34 Balancing chamber valve 35 Balancing chamber valve 36 Balancing chamber valve 37 Balancing chamber valve 38 Balancing chamber 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 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
95 97 99 100 102 104 109 110 111 112 114
115 Sensor Disinfection valve 116 Sampling valve 117 Check valve / concentrate 118 Check valve / bicarbonate 119 Filter / concentrate 120 Filter / bicarbonate 121 Central concentrate delivery connector 122 Central bicarbonate delivery connector 123 Pressure switch for V102 124 Pressure switch for V104 130 biBag drain valve 132 biBag conductivity cell 133 biBag temperature sensor 134 biBag pressure transducer 136 biBag connector 137 biBag micro-switch 1 138 biBag micro-switch 2 148 Filter / rinse valve V100 149 Filter / rinse valve V99 150 Filter / fill valve 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
1 2 3 4 5 6 7 8
Disinfectant connector 85 Recirculation valve 86 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
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Bicarbonate suction tube Air separation pump Rinse valve Rinse valve Central concentrate delivery valve Central bicarbonate delivery valve Temperature sensor Conductivity cell Hydrophobic filter Vent valve Dialysate filter
Level sensor bicarbonate/ bicarbonate 204 Mixing poin t / /concentrate 205 206 Buffer volume chamber 210 Filter
Hydraulics measuring points: A B C D
4008
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
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
Legende 2 3 4 5 6 7 8 9 10 12 21
Temperature sensor Temperature sensor Temperature sensor Float switch Level sensor Conductivity cell Blood leak detector Pressure transducer Reed contact, concentrate Reed contact, bicarbonate 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 32 Balancing chamber valve 33 Balancing chamber valve 34 Balancing chamber valve 35 Balancing chamber valve 36 Balancing chamber valve 37 Balancing chamber valve 38 Balancing chamber 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 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
95 97 99 100 102 104 109 110 111 112 114
115 Sensor Disinfection valve 116 Sampling valve 117 Check valve / concentrate 118 Check valve / bicarbonate 119 Filter / concentrate 120 Filter / bicarbonate 121 Central concentrate delivery connector 122 Central bicarbonate delivery connector 123 Pressure switch for V102 124 Pressure switch for V104 130 biBag drain valve 132 biBag conductivity cell 133 biBag temperature sensor 134 biBag pressure transducer 136 biBag connector 137 biBag micro-switch 1 138 biBag micro-switch 2 148 Filter / rinse valve V100 149 Filter / rinse valve V99 150 Filter / fill valve 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
1 2 3 4 5 6 7 8
Disinfectant connector 85 Recirculation valve 86 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
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Bicarbonate suction tube Air separation pump Rinse valve Rinse valve Central concentrate delivery valve Central bicarbonate delivery valve Temperature sensor Conductivity cell Hydrophobic filter Vent valve Dialysate filter
Level sensor bicarbonate/ bicarbonate 204 Mixing poin t / /concentrate 205 206 Buffer volume chamber 210 Filter
Hydraulics measuring points: A B C D
4008
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 m ode
3.3.1
Basic c onditions
– 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 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)
7890
3-8
Esc
4
5
6
1
2
3
C
Fresenius Medical Care
Best
4008
OCM Supplement
2/10.01 (TM)
4
Calibration program
CALIBRATION
Confirm key
DIAGNOSTICS
MISCELLANEOUS
SETUP MENU
Fresenius Medical Care
4008
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
CAL. FLOW 500 ml/min
CAL. FLOW 800 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 ?
4-2
Fresenius Medical Care
Confirm key
4008
OCM Supplement
2/05.00 (TM)
● Part 11: Calibrating the dialysate temperature
CALIB. TEMPERATURE Confirm key Temp. ADJUSTMENT
Confirm key
see Part 11.1
Check TEMPERATURE
Confirm key
see Part 11.2
OCM TEMP.-Check
Confirm key
back to menu?
Confirm key
see Part 11.3
Note Accuracy of the external meter to be connected: ±0.2 °C.
Fresenius Medical Care
4008
OCM Supplement
2/05.00 (TM)
4-3
● Part 11.1: Adjusting the dialysate temperature
Temp. ADJUSTMENT
adj. temp to 37 °C
Confirm key Esc key
adj. temp to 37C °
Connect the external reference instrument. Connect the BIC suction tube to the BIC container or place it in water of room temperature. Adjust the digital value in the UF Rate window ➁ by pressing the +/– keys. “
1
XXXX
A D C - d ig it s
2
XXXX
D A C - d ig it s
3
XXXX
ADC-digits
4
XXXX
A D C - d ig it s
”
Wait until the temperature on the external reference instrument indicates 37.0 C.
7890
°
Tone Mute key
DATA STORED
Esc key
5
6
1
2
3
C
Conf
➀
NTC3; 8 bit
➁
Control 8 bit
➂
NTC3; 12 bit
➃
NTC109; 8 bit, if NTC 109 is activated in SETUP
approx. 3 sec OCM TEMP. Adjust
Esc
4
Machine in bypass Wait for the temperature to stabilize (37 C) Indicated in "UF rate" window ➁ °
OCM TEMP.-Adjust
Tone Mute key
1
XXXX
ADC-digits
2
XXXX
°C
3
XXXX
A D C - d ig it s
4
XXXX
DAC-digits
DATA STORED
approx. 3 sec
7890
4-4
Fresenius Medical Care
4008
Esc
4
5
6
1
2
3
C
Conf
➀
NTC3; 12 bit
➁
NTC3 temperature
➂
NTC4; 12 bit
➃
Dynamic measurement range switching
OCM Supplement
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 pressing the +/– keys. 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 ➀. Tolerance: ±0.5 °C Repeat the procedure with different values Esc (e.g. 35/39 °C) key
➀ ➁
act. temp = 37.0 °C 1
XXXX
NTC3; 8 bit
A D C - d ig it s
➂
NTC109; temperature
➃
NTC109; 8 bit
2 3
XXX.X
°C
4
XXXX
A D C - d ig it s
Alpha display
Temperature adjustment
7890
Esc
4
5
6
1
2
3
C
Fresenius Medical Care
Conf
4008
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 pressing the +/– keys. Tone Mute key
ACKNOWLEDGED
approx. 3 sec ACT temp = XX.X°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 ➁ and the UF time Repeat the ±0.2 °C field procedure with different values Esc (e.g. 35/39 °C) key
➃:
OCM Temp.-Check 1
XXXX
A D C - di g i t s
2
XX.XX
°C
3
XXXX
A D C - di g i t s
4
XX.XX
°C
Alpha display
NTC3; 12 bit
➁
NTC3; temperature
➂
NTC4; 12 bit
➃
NTC4; temperature
Temperature adjustment
7890
4-6
➀
Esc
4
5
6
1
2
3
C
Fresenius Medical Care
Conf
4008
OCM Supplement
2/05.00 (TM)
● Part 13: Calibrating the conductivity
CALIB. CONDUCTIVITY Confirm key CONDUCTIVITY Set
Confirm key
see Part 13.1
COND. with Concentr.
Confirm key
see Part 13.2
TEMP/COND COMP Calib
Confirm key
OCM PULSE calib.
Confirm key
see Part 13.4
CONDUCTIVITY Check
Confirm key
see Part 13.5
COND Check with Conc
Confirm key
see Part 13.6
OCM COND.-Check
Confirm key
see Part 13.7
TEMP/COND COMP Check
Confirm key
see Part 13.8
back to menu?
see Part 13.3
Confirm key
Fresenius Medical Care
4008
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.
Use +/– to raise the concentrate pump volume to get to a CD in the lower display range.
If no key is pressed for approx. 4 sec
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 keyMute
Tone Mute key
ACKNOWLEDGED DATA STORED
approx. 3 sec
approx. 3 sec
➀
Alpha display
➂
1
XXXX
ADC-digits
2
XXXX
steps
3
XXXX
steps
4
XXXX
[ADC-digits (OCM)] ADC-digits
[ADC-digits (OCM)]
➃
CD cell 110; 12 bit/ 8 bit alternating
(concentrate pump) (bicarbonate pump)
Concentrate Bicarbonate setting setting
7890
4-8
CD cell 7; 12 bit / 8 bit alternating
➁
CD set: 12.80 mS/cm
Esc
4
5
6
1
2
3
C
Fresenius Medical Care
Conf
4008
OCM Supplement
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.
Fresenius Medical Care
4008
OCM Supplement
2/05.00 (TM)
4-9
● Part 13.3: Setting the temperature/con ductivity 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" ( ➁) and the "UF time"( ➃) window identical and that it is withinis13.9 to 14.5 mS/cm. Alpha display
If the conductivity is outside the limits: use to select the concentrate setting field conc. set =±0 %
1
XX. XX
m S /c m
2
XX. XX
m S /c m
3
XX. XX
m S /c m
4
XX. XX
m S /c m
Concentrate Bicarbonate Temperature setting setting adjustment
7890
If no key is pressed for approx. 4 sec
Esc
4
5
6
1
2
3
C
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
m S /c m
2
XX. XX
m S /c m
3
XX. XX
m S /c m
4
XX. XX
m S /c m
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
Temperature adjustment
7890
Tone Mute key ACKNOWLEDGED
approx. 3 sec
Esc
4
5
6
1
2
3
C
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
act temp = XX.XX°C
Verify that the preset temperature of 39 °C is achieved and that it has stabilized. Check: Display, LED bargraph display Tolerance: ±0.5 °C Tone Mute key DATA STORED
approx. 3 sec
4-10
Fresenius Medical Care
4008
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
OCM PULSE UP activ
Esc key
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:–X X X X . X
n eg .D i a l y: XX XX. 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
➀
Time elapsed since the pulse calibration was started
OCM PULSE UP activ ➁
Counter
1
XXXX
S e c o n ds
➂
Concentrate setting
2
XXXX
In d e x
➃
CD cell 7,
3
XXXX
4
XXXX
compensated CD value m S /c m
7890
Esc
4
5
6
1
2
3
C
Fresenius Medical Care
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 act. cond: XX.X mS/cm
Repeat the procedure with different values
Verify the conductivity. Check: Reference meter, display, LED bargraph display
Esc key
➀
act. cond: XX.X mS/cm 1
XXXX
ADC-digits
2
XXXX
steps
3
XXXX
steps
4
XXXX
ADC-digits
➁ ➂
[ADC-digits (OCM)]
➃
CD cell 110; 12 bit / 8 bit alternating
(concentrate pump) (bicarbonate pump) [ADC-digits (OCM)]
Concentrate Bicarbonate Temperature setting setting adjustment
Alpha display 7890
4-12
CD cell 7; 12 bit / 8 bit alternating
Esc
4
5
6
1
2
3
C
Fresenius Medical Care
Conf
4008
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.
Fresenius Medical Care
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, LED bargraph display
Esc key
OCM Cond.-Check 1
Alpha display
XXXX
2
XX. XX
3
XXXX
4
XX. XX
CD cell 7; 12 bit
➁
CD cell 7
➂
CD cell 110;12 bit
➃
CD cell 110
ADC-digits (OCM)
m S /c m ADC-digits (OCM)
m S /c m
Concentrate Bicarbonate Temperature setting setting adjustment
7890
4-14
➀
Esc
4
5
6
1
2
3
C
Fresenius Medical Care
Conf
4008
OCM Supplement
2/05.00 (TM)
● Part 13.8: Temperature/conduc tivity 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 cells can conductivity be crosschecked by changing the concentration or temperature. Esc key
act temp = XX.XX °C 1
Alpha display
XX.XX
➀
CD cell 7, compensated
➁
CD cell 7, compensation factor
➂
CD cell 110, compensated
➃
CD cell 110, compensation factor
mS/cm
2
XXXX
mS/(cm•°C)
3
XX. XX
m S /c m
4
XXXX
mS/(cm•°C)
Concentrate Bicarbonate Temperature setting adjustment setting
7890
Esc
4
5
6
1
2
3
C
Fresenius Medical Care
Conf
4008
OCM Supplement
2/05.00 (TM)
4-15
4-16
Fresenius Medical Care
4008
OCM Supplement
2/05.00 (TM)
6
Setup Menu
6.1
Overview
CALIBRATION
DIAGNOSTICS
MISCELLANEOUS
SETUP MENU
Fresenius Medical Care
Confirm key
4008
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/UFR–WARNING
SET DIAL PARAMETERS
SET RINSE–VOLUME
CALC. CUMUL. BLOOD-VOL
T1–TEST AUTOSTART
HAEMOGLOBIN UNIT
ONLINE plus SETTINGS
OCM SETTINGS
6-2
Confirm key
see Part 9
SET CENTRAL-DELIVERY
AUTOM. SN-START
STORE DEFAULT VALUES
ACTIV. MONIT_NTC109
BACK TO MAIN MENU ?
Fresenius Medical Care
4008
OCM Supplement
2/05.00 (TM)
CONFIRM KEY
● Part 9: OCM Se ttings
OCM SETTINGS Confirm key OCM MEASUREMENT
Confirm key
see Part 9.1
OCM ZERO MEASUREMENT
Confirm key
see Part 9.2
OCM DELAY TIME
Confirm key
OCM CLR CORR FACTOR
Confirm key
see Part 9.4
OCM BASELINE DIFF
Confirm key
see Part 9.5
OCM INTEGRAL VALUE
Confirm key
see Part 9.6
OCM KT/V WARNLEVEL
Confirm key
see Part 9.7
back to menu?
Confirm key
see Part 9.3
● Part 9. 1: Activating the OCM meas ureme nt
OCM MEASUREMENT Confirm key OCM Measurement: OFF (Default: OFF) +/–
DATA STORED
After approx. 3 sec
DATA STORED
After approx. 3 sec
Esc key
OCM Measurement: ON +/–
Tone Mute key
Tone Mute key Esc key
Fresenius Medical Care
4008
OCM Supplement
2/05.00 (TM)
6-3
● Part 9. 2: Activating the OCM zer o measur ement
OCM ZERO MEASUREMENT Confirm key Tone Mute key
OCM Zero Measurement: ON
(Default: ON)
+/–
Tone Mute key
OCM Zero Measurement: OFF
After approx. 3 sec
DATA STORED
After approx. 3 sec
Esc key
+/–
DATA STORED
Esc key
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 th e OCM de lay ti me
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
AutoPRIME ™
15 sec
4008 H
ONLINE plus™
65 sec
4008 S 4008 S
AutoPRIME ™ ONLINE plus™
18 sec 67 sec
Tone Mute key DATA STORED After approx. 3 sec
6-4
Fresenius Medical Care
4008
OCM Supplement
2/05.00 (TM)
● Part 9. 4: Setting the OCM co rrect ion fact or
OCM CLR CORR FACTOR Confirm key ClrCorr Factor: 1.000
Esc key
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 ba seline diffe rence
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 Do not change the default value.
Fresenius Medical Care
4008
OCM Supplement
2/05.00 (TM)
6-5
● Part 9. 6: Setting the OC M integ ral val ue
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 Do not change the default value.
● Part 9. 7: Setting the OC M KT/V wa rning 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
Fresenius Medical Care
4008
OCM Supplement
2/05.00 (TM)
Table of Contents
8 Circuit diagrams
S e c t io n
P a ge
8.1
Circuit diagrams and component layout LP 632, CPU 2 ..........................................
8-3
8.2
Circuit d iagram s a nd component l ayout L P 6 33-5, I nput board .............................
8-19
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-1
8-2
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8.1
Circuit diagrams and component layout LP 632, CPU2
Fresenius Medical Care
4008
OCM Supplement
LP 632, CPU 2 Component layout
2/10.01 (TM)
8-3
8-4
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2 Circuit diagram 1/7
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-5
8-6
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2 Circuit diagram 2/7
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-7
8-8
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2 Circuit diagram 3/7
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-9
8-10
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2 Circuit diagram 4/7
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-11
8-12
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2 Circuit diagram 5/7
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-13
8-14
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2 Circuit diagram 6/7
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-15
8-16
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 632, CPU 2 Circuit diagram 7/7
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-17
8-18
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8.2
Circuit diagrams and component layout LP 633-5, Input board
Fresenius Medical Care
4008
OCM Supplement
LP 633-5 Component layout
2/10.01 (TM)
8-19
8-20
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 633 Circuit diagram 1/8
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-21
8-22
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 633 Circuit diagram 2/8
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-23
8-24
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 633 Circuit diagram 3/8
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-25
8-26
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 633 Circuit diagram 4/8
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-27
8-28
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 633 Circuit diagram 5/8
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-29
8-30
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 633 Circuit diagram 6/8
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-31
8-32
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 633 Circuit diagram 7/8
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-33
8-34
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
LP 633 Circuit diagram 8/8
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)
8-35
8-36
Fresenius Medical Care
4008
OCM Supplement
2/10.01 (TM)