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5008S Fresenuis Service Manual
5008S Fresenuis Service Manual
Service Manual
Edition: 9/01.11
Part no.: M46 081 1
0123
Table of contents
1 Index
2 Important information
2.1 Important information on the Service Manual ........................................................................ 2-1
2.2 Important information on the device ....................................................................................... 2-2
2.3 Addresses .................................................................................................................................. 2-3
3 Installation
3.1 Important information on the installation / initial start-up..................................................... 3-1
3.2 Initial start-up report ................................................................................................................. 3-1
3.3 Explanations on the initial start-up report .............................................................................. 3-7
4 Specifications
4.1 Dimensions and weight ............................................................................................................ 4-1
4.2 Type label (device identification) ............................................................................................. 4-1
4.3 Electrical safety (classification according to EN 60601-1, IEC 601-1) .................................. 4-2
4.4 Electrical supply ........................................................................................................................ 4-2
4.5 Fuses .......................................................................................................................................... 4-2
4.6 Guidance and manufacturer's declaration on EMC (IEC 60601-1-2:2001) ........................... 4-3
4.7 Operating conditions ................................................................................................................ 4-5
4.8 External connection options .................................................................................................... 4-6
4.9 Override conditions................................................................................................................... 4-6
4.10 Operating programs .................................................................................................................. 4-7
4.11 Dialysate circuit and safety systems....................................................................................... 4-8
4.12 Extracorporeal blood circuit and safety systems ................................................................ 4-11
4.13 DIASAFE®plus ......................................................................................................................... 4-13
4.14 OCM .......................................................................................................................................... 4-13
4.15 ONLINEplus™ .......................................................................................................................... 4-13
4.16 Single-Needle (option) ............................................................................................................ 4-14
4.17 BPM (option) ............................................................................................................................ 4-14
4.18 BTM (option) ............................................................................................................................ 4-15
5 Setup
5.1 SYSTEM SCREEN settings ....................................................................................................... 5-1
5.2 Operator setup ........................................................................................................................... 5-2
5.3 Technician's setup .................................................................................................................. 5-29
6 TSC / maintenance
6.1 Important information regarding the procedure..................................................................... 6-1
6.2 Accessories and supplies......................................................................................................... 6-2
6.3 TSC / MA test report ................................................................................................................. 6-2
6.4 Explanations on the TSC / MA test report ............................................................................... 6-7
6.5 TSC report ................................................................................................................................ 6-31
7 Error messages
9 Calibration / adjustment
9.1 Selecting the Service menu ...................................................................................................... 9-1
9.2 Service menu, contents ............................................................................................................ 9-1
9.3 Flow diagram.............................................................................................................................. 9-1
9.4 Calibrate ..................................................................................................................................... 9-2
9.5 Diagnostics ................................................................................................................................ 9-9
9.6 Setup......................................................................................................................................... 9-12
9.7 Module ...................................................................................................................................... 9-12
9.8 Various...................................................................................................................................... 9-12
9.9 Update....................................................................................................................................... 9-12
10 Repair
10.1 Precautions for working on the hemodialysis system......................................................... 10-1
10.2 Component overview .............................................................................................................. 10-2
11 Functional description
11.1 Complete system..................................................................................................................... 11-1
11.2 P.C.B.s, overview..................................................................................................................... 11-3
11.3 Monitor ..................................................................................................................................... 11-4
11.4 EBM (Extracorporeal Blood Circuit Module)......................................................................... 11-6
11.5 Hydraulics (block diagram / description) .............................................................................. 11-8
11.6 Power supply unit.................................................................................................................. 11-10
11.7 Pneumatics ............................................................................................................................ 11-12
11.8 Hydraulics (flow diagram / legend / description)................................................................ 11-14
11.9 Endless rinse program.......................................................................................................... 11-18
1 Index
How to use the index: Index entry 1-3, for example, refers to chapter 1, page 3.
Air bubble detector ABD 10-42 Calibration / adjustment 9-1 Error messages 7-1
Air bubble detector ABD, removing Carrying the 5008S dialysis Explanations on the TSC / MA test
and installing 10-42 system 10-14 report 6-7
Air bubble detector settings 5-33 Cart 10-66 External connection options 4-6
Heparin pump length sensor, Media supply rail, opening 10-15 Power supply unit, description
removing and installing 10-44 Miscellaneous 5-26 11-11
Hydraulics 10-4, 10-5 Monitor 10-19 Power supply unit, removing and
Hydraulics legend 10-8 installing 10-27
Monitor M1 operating system,
Hydraulics, block diagram 11-8 updating 10-26 Preparation 4-7
Hydraulics, description 11-9 Monitor transport protection 10-25 Pressure holding test 4-9
Monitor, block diagram 11-4 Pulse 4-15
I Monitor, description 11-5
Identification 2-1 Moving the hemodialysis system Q
to a horizontal position 10-13 Quick guide 12-1
Important information on the
installation / initial start-up 3-1
Important information regarding N R
the procedure 6-1 Network (LAN) 4-16 Recirculation measurement 4-15
Ingress of fluid via the pressure Network interface 10-70 Reinfusion 5-3
line 10-34
Removing and installing the air
Initial start-up report 3-1
O bubble detector ABD 10-41
Initial start-up report, explanations
Occlusion clamp, removing and Repair 10-1
3-7
installing 10-33 Rinse/reinfusion volume 5-3
Installation 3-1
OCM 4-13, 5-26 Room temperature 5-28
International service 2-3
ONLINE (bolus) 5-23
ISO-UF (Sequential therapy) 4-7
IV pole, removing and installing
ONLINEplus™ 5-23 S
10-14 Operating conditions 4-5 Self-cutting screws 10-11
Operating programs 4-7 Service menu, contents 9-1
K Operator setup 5-2 Service menu, selecting 9-1
Optical detector 4-12 Service program (option) 12-1
Kinking (BLK) 5-28
Override conditions 4-6 Settings EBM 5-31
Kinking / clotting 5-28
Kt/V warning 5-26 Settings Hydraulics 5-30
P Settings, SYSTEM SCREEN 5-1
L P.C.B. LP 1131 10-86 Setup 5-1, 5-2
P.C.B. LP 1142 10-92 Shunt interlock, removing and
LAN (network) 4-16
P.C.B.s, overview 11-3 installing 10-16
Level detector 4-12
PatientCard 5-22 Side panel, opening 10-15
Level detector, removing and
PC board 10-99 Single programs 5-20
installing 10-47
PC service software 12-1 Single-Needle 4-14, 5-26
Loudness (audible alarm) 5-1
Placing the system on its side / Single-Needle Click-Clack 4-13,
LP 1105 10-78
carrying the system 10-13 5-26
LP 1106 10-80
Pneumatics of the arterial Single-Needle pressure
LP 1107 10-82 transducer with internal
pressure measurement unit, check
LP 1140 10-88 10-36 compliance chamber, check for
LP 1141 10-90 leakage 10-38
Pneumatics, block diagram 11-12
LP 1145 10-96 SN chamber 4-14
Pneumatics, description 11-13
LP1134-1 10-87 SN hydrophobic filter (WET) 5-15
Power cable, removing and
installing 10-27 SNAPLOC attachment 10-10
M Power supply unit, block diagram Specifications 4-1
11-10 Stroke volume 4-14
Manufacturer 2-3
Substitution 5-23
T
T1 test 4-7
Technician's setup 5-29
Time 5-1
Tools (service equipment) 8-1
Transmembrane pressure 4-8
TSC / MA test report 6-2
TSC / maintenance 6-1
TSC report 6-31
Type label 4-1
U
UF pump 10-56
UFC measurement 4-9
Ultrafiltration 4-9, 5-14
User interface 5-16
V
Ven. hydrophobic filter (WET) 5-15
Venous pressure measurement
4-12
Venous pressure transducer,
check for leakage 10-36
W
Water inlet flow regulator,
removing and installing 10-54
Weekly programs 5-20
Weight 4-1
Wrench torques 10-11
2 Important information
Identification The document can be identified by the following information on the title
page and on the labels, if any:
– Edition of the technical document
– Part number of the technical document
Page identification The page identification 1-3, for example, refers to Chapter 1, page 3.
Editorial information The editorial information 1/01.05, for example, refers to: 1st edition,
January 2005.
Illustrations The illustrations used in the documents (e.g. screens, photos, etc.) may
differ from the original if this does not have any influence on the
function.
Caution
Advises the operator against certain procedures or actions that could
cause damage to the equipment or may have adverse effects on
individuals.
Note
Informs the operator that failure to follow the steps as specified may
result in the specific function not being executed correctly, not being
executed at all, or not producing the desired effect.
Test equipment and The activities described in this technical document require the
accessories availability of the necessary technical measuring equipment and
accessories.
ESD precautions When repairing the device and when replacing spare parts, observe the
applicable ESD precautions.
Monitor support arm If the hemodialysis system is to be placed in a horizontal position for
servicing, the monitor support arm must be protected with the transport
protection to prevent it from flipping over.
To be observed after Disinfection, a T1 test and a check of the electrical safety (see Service
working on the device Manual chapter 6) must be performed after working on the device.
To be observed after After a disinfection program has been stopped or if the system is to be
stopping a disinfection preserved, the hemodialysis system must be disconnected from the
program water supply after a maximum of 3 days. When the system is returned
to use, check that the pressure of the water supply meets the prescribed
minimum pressure.
2.3 Addresses
Local service
3 Installation
For initial start-up only This technical document is only intended for the initial start-up. This
technical document is not intended for recommissioning devices that
have been removed from service or have temporarily been taken out of
service.
Tester's qualification The tests must be performed by the Technical Service of Fresenius
Medical Care or a person authorized by them.
The tests may only be performed by persons who are qualified to
properly perform the specified checks owing to their educational
background and training, their knowledge and experience gained in
practice. Furthermore, the persons performing the tests must not be
bound by any directives when performing this activity.
Test equipment and The activities described in this technical document require the
accessories availability of the necessary technical measuring equipment and
accessories.
ESD precautions When repairing the device and when replacing spare parts, observe the
applicable ESD precautions.
TSC / MA intervals The TSC / MA procedures on this device are to be performed after 24
months.
Comments:
The device has been released for its intended use. Yes
(Attach inspection label) No
Comments:
Re 1 Unpacking
Re 1.2 It has been verified that all parts of the device are included in the
delivery.
Check that all parts of the device have been accounted for. Inform your
contact at Fresenius immediately of any missing parts.
Re 2 Visual inspections
Front view:
bibag®flap and flap for suction tubes: Warning - risk of scalding and
caustic burning
Below bibag® flap: reference to bibag®
Rear view:
Right side:
Re 3 Preparation
Integrity of:
1 Grip handle
2 Valve tappet
3 Clamping and tappet surfaces
When pushing the grip handle back, a significant counterpressure can
be felt. When the tappet is released, it will move back to its initial
position.
Re 3.2 Transport protection for the monitor support arm removed and stored.
Operating condition: Off
Re 3.3 IV pole inserted into the monitor support arm and secured with a
threaded pin. (Torque: 90 Ncm)
Operating condition: Off
Place the protective cover for the monitor support arm.
Screw the IV pole hanger onto the IV pole.
Caution
Observe the following rules of hygiene when connecting to the water
supply:
– Only use tubings with undamaged packaging.
– Do not open the packaging until shortly before installing the tubing.
– Avoid touching the ends of the tubing and the adapters, if possible.
Connect the water supply tubing. Connect the drain tubing. Connect the
flush tubing (option).
Operating condition: Off
Protect the tubings from slipping out.
Standard: Length 3 m, internal diameter 6 mm
When using other tubing dimensions,
Adapt the tubing parameters in the SERVICE menu, under "SETUP".
Tubing dimensions adjusted: Length ___ m, internal diameter___ mm
Caution
Observe the following rules of hygiene when inserting the
DIASAFE®plus:
– Only use filters with undamaged packaging.
– Remove the packaging and the protective straps only immediately
before installing the filter
– Only touch the connectors if required.
Re 4 Setup
Check MaxWaterFlow.
Desired value: 1300 ml/min to 1550 ml/min.
Use A04 for making corrections, if necessary.
(If it is not possible to set a water inlet flow ≥ 1300 ml/min, it will not
always be possible to achieve the dialysate flow of 1000 ml/min.)
Re 6 Dialysate pressure
Remove both dialysate lines from the shunt interlock and bring them to
the same level as the shunt interlock. Close the shunt interlock.
Check zero point S03 / S07.
Check S03. 0 mbar ±30 mbar
Check S07. 0 mbar ±30 mbar
Check the difference S03 / S07.
Difference |(S03 - S07)| ≤ 20 mbar
Example:
S03: -10 mbar
S07: -5 mbar
Difference S03 / S07: Difference |(-10 mbar - (-5 mbar)| = 5 mbar
Re 9 Degassing
or
Basic requirements:
– Measurement of the protective earth resistance performed.
– Perform the measurement with the hemodialysis system being at
operating temperature.
– Dialysate:
Dialysis temperature: ≥ 37 °C
Dialysate flow: ≥ 300 ml/min
Conductivity: ≥ 13 mS/cm
– When performing a direct measurement, the following precautions
also must be observed:
The device must be insulated when installed.
All external connections must have been removed from the device.
The line voltage during the measurement will be recorded, as well as
the maximum device leakage current of both mains polarities, scaled to
the nominal voltage of the power supply. Maximum device leakage
current: 500 µA
Example:
Line voltage during measurement: 225 V
Device leakage current
with mains polarity 1: 180 µA
with mains polarity 2: 120 µA
Maximum value of both mains polarities: 180 µA
Nominal voltage of the power supply: 230 V
Scaled to nominal voltage 184 µA
(180 µA: 225 V x 230 V = 184 µA
Device leakage current < 500 µA: OK
Additional conditions:
If the device leakage current, scaled to the nominal voltage is higher
than 90 % of the admissible alarm limit (= 450 µA), the last measured
value or the first measured value must additionally be considered for the
rating.
If the device leakage current has considerably increased since the last
measurement or has continuously increased since the first
measurement (slow deterioration of the insulation), or if the sum
composed of the current value plus the difference since the last
measurement is > 500 µA, the measurement has not been passed.
Example 1:
Device leakage current: 470 µA
Last measured value: 450 µA
470 + (470 – 450) = 470 + 20 = 490; is OK
Example 2:
Device leakage current: 470 µA
Last measured value: 390 µA
470 + (470 – 390) = 470 + 80 = 550; not passed
Re 11 Final checks
Basic requirements:
Insert the tubing set. Venous pressure line connected. Connect the
reference meter. Using a syringe, build up a pressure of approx.
280 mmHg.
Check the venous pressure display.
Desired value: built-up pressure ±5 mmHg
Example:
Built-up pressure: 283 mmHg
Desired value: 278 mmHg to 288 mmHg
Re 11.10 Entries recorded in the medical device register and on the machine
card.
Operating condition: Off
Assessment of the test The device has been released for its intended use.
Attach inspection sticker.
It must be ensured that the intended use of the device will not present
a hazard to patients, operators or other third parties.
Within the scope of the overall assessment, the tester must make a
definite decision whether the device may be used or not. The
responsible organization has to be informed immediately about any
signs of damage detected.
Date of next inspection:
The date for the next inspection must be entered in the report.
The intervals specified by the manufacturer have to be observed.
Comments:
Irregularities encountered during the assessment will be recorded in
this section.
Date, signature, stamp:
Assessment of the initial start-up has to be confirmed with date, tester's
signature and stamp.
4 Specifications
The type label shown is only an example. The decisive criterion is the
data specified on the type label of the device.
1 Type identification
2 Serial number
3 Power requirements
4 Protection against ingress of liquids: drip-proof
5 CE mark
6 Manufacturer (year of manufacture, address)
7 Degree of protection against electric shock: type B
8 Identification of electric and electronic devices
9 Equipment code (EC: Equipment Code)
Applicable only to the BPM Defibrillator-protected applied part of the type CF,
blood pressure cuff: Symbol:
Degree of protection
against electric shock
4.5 Fuses
Electromagnetic emissions
Electromagnetic immunity
Recommended separation distances between portable and mobile RF communications equipment and
the hemodialysis system
The hemodialysis system is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the hemodialysis system can help prevent
electromagnetic interference by maintaining a minimum distance between portable and mobile RF
communications equipment (transmitters) and the hemodialysis system as recommended below, according to the
maximum output power of the communications equipment.
Rated maximum output Separation distance according to frequency of transmitter m
power of transmitter 150 kHz to < 80 MHz 80 MHz to <800 MHz 800 MHz to 2.5 GHz
W d = 1.17 √P d = 0.35 √P d = 0.7 √P
0.01 0.11 0.035 0.07
0.1 0.37 0.11 0.22
1 1.17 0.35 0.7
10 3.7 1.10 2.21
100 11.7 3.5 7.0
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
metres (m) can be determined using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
Water inlet rate 1.5 l/min; with an inlet pressure of 1.5 bar
Water drain 0 up to 100 cm above the ground, no less than 5 cm free fall. The water
drain must be located at a lower level than the dialyzer position.
Operating temperature 15 °C to 35 °C
range
Stability 5°
Admissible inclination during operation: ≤ 3°
Caution
Additional equipment connected to medical electrical equipment must
comply with the respective IEC or ISO standards (e.g. IEC 60950 for
data processing equipment). Furthermore all configurations shall
comply with the requirements for medical electrical systems (see IEC
60601-1-1 or clause 16 of the 3Ed. of IEC 60601-1, respectively).
Anybody connecting additional equipment to medical electrical
equipment configures a medical system and is therefore responsible
that the system complies with the requirements for medical electrical
systems. Attention is drawn to the fact that local laws take priority over
the above mentioned requirements. If in doubt, consult your local
representative or the technical service department.
Caution
The external alarm indicators do not relieve the operator of the
obligation to observe the local alarms of the device.
Alarm output For the connection of an external alarm indicator (staff call). (Potential-
free alarm output. Alternating contact maximum 24 V/24 W).
Port: 5-pin diode plug via a shielded line; shield grounded on either side.
Alarm override After confirmation of the error message and start of the blood systems:
The arterial and venous pressure alarms will be overridden for approx.
10 seconds. (window inactive)
T1 test Automatic test for verification of the operating and safety systems.
The T1 test is mandatory
– after power on (not following a power failure)
– after a cleaning program
Preparation Defined by the optical detector located below the venous bubble
catcher.
Preparation is terminated as soon as the optical detector senses dark
in the blood lines.
Priming and rinsing the Minimum rinse volume 500 ml; automatic switching to Rinse mode, if
blood lines fluid level detected in the level detector. Automatic raising of the fluid
level during the rinse phase.
Single-Needle Click-Clack With blood pump, arterial and venous occlusion clamp.
Pressure-pressure-controlled with adjustable pressure reverse values.
Exceptional procedure in case of problems with the vascular access
during Double-Needle treatment.
Circulation (during the The Circulation function allows to disconnect the patient from the
treatment) hemodialysis system for a short time during the treatment.
Blood leak detector Response threshold ≤ 0.5 ml blood loss per minute into the dialysate at
a hematocrit of 0.25.
(Flow rate 100 ml/min up to 1000 ml/min)
Definition:
Example:
Ultrafiltration error: with 1000 ml in 1 hour: ±1 % = ±10 ml/h
Balancing error: at 30 l fluid flow in 1 hour at a dialysate flow of
500 ml/min: ±0.1 % = ±30 ml/h
Maximum balancing error:
F = FUF + FBil = (±10 ml/h) + (±30 ml/h) = ±40 ml/h
The factor (AutoFlow) may be modified in the Operator setup and in the
DIALYSATE SCREEN.
Values above 1.5 may result in a minor increase of the dialysis dose. At
the same time, the water, concentrate and energy consumption
increases.
The contrary applies to values below 1.5, i.e., the dialysis dose may
decrease, while the water, concentrate and energy consumption may
be reduced.
EcoFlow: dialysate flow automatically reduced to 100 ml/min in
Preparation
The following has to be observed regarding the dialysate flow:
If the water inlet rate is not sufficient for achieving the maximum
dialysate flow of 1000 ml/min, the admissible adjustment range will be
delimited accordingly.
Hot rinse:
Desired temperature: 85 °C
Resolution: 0.5 °C
Measuring accuracy: ±2.0 °C
Rinse and disinfection flow Desired value: 600 ml/min or 700 ml/min (depending on the settings in
the Technician's setup) (During the recirculation phase of the
disinfection, the flow is always 600 ml/min)
Concentration of Dilution:
disinfectant The disinfectants (Citrosteril®, Diasteril®, Puristeril® 340,
Puristeril® plus) are diluted with purified water in the hemodialysis
system at a ratio of 1+24.
The disinfectant (Sporotal® 100) is diluted with purified water in the
hemodialysis system at a ratio of 1+34.
4.13 DIASAFE®plus
4.14 OCM
4.15 ONLINEplus™
Body temperature control Allowed range of desired values for body temperature change rate:
– 0.5 °C/h to + 0.5 °C/h
Dialysate temperature range used by the BTM:
– Minimum dialysate temperature: 35.5 °C
– Maximum dialysate temperature: 37.0 °C to 38.0 °C
(Adjustable in the Operator setup)
4.19 Network
Caution
The responsible organization of the network is responsible for
protecting the device from excessive network load (e.g. by
accumulation of broadcast messages or port scans). If necessary, the
connection to the network must be established via a router or a firewall,
for example.
The system configurator is responsible for the further secure data
processing, e.g. in PC software applications.
The responsible organization of the network is responsible for the
protection of the not encrypted, transferred data.
The data transfer of alarm states via the network must not be used as
an external alarm alert (staff call).
5 Setup
Loudness 6 1 to 9 1 –
Blood line
Blood pump
Delivery rates
Preparation (NaCl)
UF rinse vol. 0 ml – – –
Reinfusion (NaCl)
Anticoagulation
Heparin
Heparin unit ml – – –
Auto bolus No – – –
Remove syringe types from the operator list by touching the Remove syringe button. Remove own syringe types
by touching the Delete syringe button.
Parameter – – – –
Displays the
parameters of the
selected syringe.
Syringe name – – – –
Dialysate
Bags
Define concentrates
Remove concentrates from the operator list by touching the Remove concentrate button. Remove own
concentrates by touching the Delete concentrate button.
Add own concentrates to the Concentrates list by touching the New concentrate button (adjustable only with
ServiceCard).
The composition of the concentrate selected under "Dialysate", "Default values, dialysate" cannot be changed
and the concentrate cannot be deleted.
Folder: AF...
Folder: AC-F...
Folder: smartbag...
Folder: Others...
Name Explanation
Concentrate name Abbreviation used by the manufacturer, usually name of the A concentrate.
A concentrate, Parts Proportion of the acidic concentrate of the composition, is the reference quantity of the
mixing ratio, constant = 1.
B concentrate, Parts Proportion of the bicarbonate concentrate of the composition. In case of acetate
dialysis the value is 0.
Electrolytes
Na+ (sodium) Is the concentration of the respective ions in the ready-to-use dialysate.
K+ (potassium)
Ca++ (calcium)
Mg++ (magnesium)
Cl- (chloride)
HCO3- (bicarbonate)
CH3COO- (acetate) Acetate is the concentrate of the acetate in the ready-to-use dialysate.
In case of bicarbonate dialysis:
If the value set here is zero, it is assumed that the prescription contains hydrochloric
acid (HCl).
Other ingredients
Glucose Is the concentration of the glucose in the ready-to-use dialysate. Caution: The unit of
measure is g/l.
Component ingredients
Acid (A) CH3COOH (acetic acid) or HCl (hydrochloric acid), is the concentration of the acid
which originates from the acidic or A concentrate (prior to the reaction with the
bicarbonate component), in case of bicarbonate dialysis it is in most cases identical
with the acetate. If the value set here is zero, it is assumed that it is identical with
acetate, i.e. that the acetate of the ready-to-use dialysate is produced by the reaction
of the acetic acid of the acid concentrate with the bicarbonate and that the
concentrates did not contain any acetate prior to this reaction. This is the normal case.
Acetic acid and hydrochloric acid are considered as acid.
Na(B) Is the concentration of the sodium in the ready-to-use dialysate which originates from
the B concentrate (bicarbonate concentrate). If the bicarbonate concentrate does not
contain any additional saline, this value equals the total of the values for bicarbonate
and acid (acid is in most cases identical with the acetate).
If the B concentrate contains additional saline, the value for Na(B) equals the total of
the final concentration of this saline in the ready-to-use dialysate, the HCO3-
(bicarbonate) and the acid (A).
If a zero figures under Na(B), it is assumed to be pure bicarbonate concentrate.
Concentrate
name
B concentrate non- 0
dimensional
Water non- 19 40
dimensional
Electrolytes
Other ingredients
Glucose g/l 0 3
Component ingredients
Acid (A) 0
Na(B) 0
Concentrate
name
Electrolytes
CH3COO- 1/100 mmol/l 0.00 10.00 Acetate and acid input ≤ 10.00
Other ingredients
Glucose g/l 0 3
Component ingredients
1 Example of a concentrate
2 Electrolyte proportions in the bicarbonate
The canister label of the concentrate used as an example shows
the electrolyte proportions in the bicarbonate.
(On products from other manufacturers, this information may be
listed separately.)
3 A concentrate
4 Water
5 B concentrate
Water 32.775 l
Electrolytes
Other ingredients
Component ingredients
Electrolytes with a positive charge (+) Electrolytes with a negative charge (–)
Ultrafiltration
Max. UF rate – – – –
Alarm processing
Warning times
User interface
DataXchange Panel
Close DXP No – – No
Yes
Graphics
The diagram types listed under selectable options can be assigned to a group. Each group can contain a
maximum of 4 graphics. Each diagram type can be contained in any group, but only once. Graphics can only be
selected if the particular option is available.
Define options
A maximum of 4 option buttons may be added. The option buttons which have been added will appear on the
lower right above the SYSTEM button.
(If the BPM option is available, a maximum of 3 options may be created.)
Options can be added only if the particular option is available.
Define controls
On the TREATMENT SCREEN 6 fields are displayed in one row by default. In addition, 2 further rows with a
maximum of 12 fields, depending on the field size, may be created.
Option fields can be added only if the particular option is available.
Cleaning
Audible info No – – No
Yes
Auto On
Requirements:
– Pre-program the T1 test under Auto On.
(Observe the time programming of the osmosis unit.)
– CDS for acid connected.
Caution
After removal of the foil, immediately connect the bibag® using aseptic
technique. Then close the bicarbonate flap.
Weekly programs The program and the power-up time may be preselected.
Then turn programming on or off via Status.
If several programming actions have been performed, it is possible to turn them all
on or off via the Auto On Programs I/O button.
Single programs The program and the power-up time may be preselected.
Then turn programming on or off via Status.
If several programming actions have been performed, it is possible to turn them all
on or off via the Auto On Programs I/O button.
Blood pressure No – – No
measurement Yes
Bolus 90 ml 90 to 240 ml 30 ml –
Emergency bolus No – – No
(Preset: Yes
bolus = 240 ml,
bolus rate = blood flow
before emergency –
50 ml/min)
PatientCard
First name – – – –
Surname – – – –
Database ID – – – –
Date of birth – – – –
ONLINE (Can only be selected if the ONLINE option exists and if Filter 2 is set in the Device
standards submenu in the Technician's setup.)
Treatment mode
Bolus
Preparation (ONLINE)
Reinfusion (ONLINE)
Substitution
Hemoconcentration
Dialyzer identification
– High-Flux dialyzers by Fresenius Medical Care with a TMP offset depending on the dialyzer do not have any
identification marks. These dialyzers are already preset.
– All other dialyzers use a default value for the TMP offset as a standard. These dialyzers are identified by an
asterisk (*) before the dialyzer name.
Parameter – – – –
Displays the
parameters (AutoSub
factor / Predilution and
Postdilution) of the
selected dialyzers.
Remove dialyzers from the operator list by touching the Remove dialyzer button.
Define new dialyzers for the Dialyzer list by touching the New dialyzer button. The newly created dialyzers are
assigned a default value for the TMP offset and are identified by an asterisk (*) before the dialyzer name.
Dialyzer name – – – –
AutoSub factor
Define new High-Flux dialyzers by Fresenius Medical Care for the Dialyzer list by touching the Copy dialyzer
button. The copied dialyzers are assigned a TMP offset depending on the dialyzer and do not have any
identification marks. The original dialyzer name will be adopted, with an additional name having to be added.
Dialyzer
Dialyzer name – – – –
Additional name
AutoSub factor
Delete dialyzers from the Dialyzer list by touching the Delete dialyzer button.
Stroke vol. 35 ml 10 to 50 ml 5 ml –
(SN conventional)
10 to 60 ml
(SN extended)
Single-Needle Click-Clack
SN pressure window, venous pressure:
Width: 80 to 480 mmHg; maximum SN pressure: 480 mmHg, minimum SN pressure: 20 mmHg;
Miscellaneous
Installation place Installation place of the hemodialysis system may be entered here (e.g. name of
(Displayed in submenu the hospital).
"Status", "Device info")
BTM
Recirculation
Body temperature
Room temperature
Extended safety
You can change over from the Technician's setup to the Operator setup,
as well as from the Operator setup back to the Technician's setup.
Touch the appropriate buttons:
In the Technician's setup touch the Operator setup button.
In the Operator setup touch the SETUP button (for Technician's setup).
Settings Hydraulics
Device standards
Flush Yes – – –
or
No
(not adjustable)
Internal diameter 6 mm 3 to 20 mm 1 mm –
(Only displayed if
Flush is set to "Yes".)
Water supply
Heater rod
Calcification
Settings EBM
Motor type
Heparin pump
Note
The values set in the following table under Drip chamber should only be
changed if required.
Correct level in the venous The level must be within the following limits.
bubble catcher Lower limit:
during Double-Needle or The filler neck is submersed.
Single-Needle treatment Upper limit:
Up to a maximum of 3 mm below the cover of the venous bubble
catcher.
1 Adjustment range
2 Upper limit
3 Lower limit
Correct level in the venous The level must be within the following limits.
bubble catcher Lower limit:
during Singe-Needle Click- The filler neck is submersed.
Clack treatment Upper limit:
Up to a maximum of 2 mm above the lower limit.
1 Adjustment range
2 Upper limit
3 Lower limit
Altering the level in the The level can be changed from values 0 ml to 30 ml under "Last fill
venous bubble catcher level". 1 ml corresponds to a level alteration of approx. 2 mm.
(Example: For raising the level by 6 mm, the value under "Last fill level"
must be increased by 3 ml.)
Bubble catcher
Extended safety
Disconnection (VAM) No No
Yes
Caution
Only the values listed under standard blood lines in the following table
may be set on the hemodialysis system. When performing software
updates, these values must be checked and reset, if required.
The values given under standard blood lines in the table below may only
be modified following written instructions by Fresenius Medical Care.
Events 1000 – – –
Page 1
Page 2
Hot rinse
Rinse
Free Rinse
Disinfection
Degreasing
Page 2
Mandatory rinse
(after Disinfection/Degreasing)
Heat disinfection
Mandatory rinse
(after Heat disinfection)
* The time values indicated apply to a heater rod power rating < 2000 W (for heater rods: 100 V, 110 V, 120 V)
Page 2
Novram
Delete mandatory – – – –
disinfection
Delete mandatory – – – –
rinse
Miscellaneous
Caution
The submenu item "Skip T1 test?" may only be set to "Yes" for
servicing. If "Skip T1 test?" is set to "Yes", all required automatic checks
of the safety systems are deactivated.
After servicing "Skip T1 test?" must be set to "No" again.
The manufacturer does not assume any responsibility or liability for
personal injury or other damage resulting from the "Skip T1 test?" option
being set to "Yes" during the treatment.
Date – – – –
(current date)
Loudness 6 1 to 9 1 –
Sound 1 0 to 3 1 –
Can T1 test be No – – No
skipped? Yes
Screen monitoring No – – No
Yes
Language – – – e.g.:
(depends on the German,
languages available at English,
present.) French,
...
Device name – – – –
Network
Network settings
TCP/IP settings
Device IP 192.168.120.0 – – –
Database
Port 0 0 to 65535 1 –
DataXchange Panel
If the DataXchange Panel is to be used, the network, the database and the DataXchange Panel must be
activated. Observe the following information regarding the DataXchange Panel "Address".
Address – – – –
The address for the start-up screen can be set under “DataXchange Panel", sub-item "Address”:
(1) If no address is selected, http://10.144.47.22/dXp/default.aspx will be used as the start-up screen.
(2) If only a path is entered in the address field, this path will be preceded by the database server address and the
protocol.
(3) If the address starts with http:/, the entire address is taken from the field.
6 TSC / maintenance
Checks This chapter includes the Technical Safety Checks (TSC) and the
maintenance procedures (MA) to be performed.
The Technical Safety Checks (TSC) must be carried out every 2 years
(24 months).
Performance of the Technical Safety Checks must be entered in the
Medical Device Register.
The maintenance procedures (MA) are a recommendation of the
manufacturer. The maintenance procedures have to be carried out after
2 years (24 months) at the latest and serve to prevent malfunctions.
Tester's qualification The tests must be performed by the Technical Service of Fresenius
Medical Care or a person authorized by them.
The tests may only be performed by persons who are qualified to
properly perform the specified checks owing to their educational
background and training, their knowledge and experience gained in
practice. Furthermore, the persons performing the tests must not be
bound by any directives when performing this activity.
Test equipment and The activities described in this technical document require the
accessories availability of the necessary technical measuring equipment and
accessories.
ESD precautions When repairing the device and when replacing spare parts, observe the
applicable ESD precautions.
TSC and maintenance set M42 100 1 For TSC and maintenance of a device.
Tubing set M37 591 1 For testing the venous occlusion clamp.
Unisilikon grease, L 250 L, (10 g tube) M30 267 1 Use only in places described in the
explanations.
Battery CR 2032, Lithium (3 V/230 mAh) M37 682 1 Replace every 4 years.
Battery CR 1225, Lithium (3 V/42 mAh) 644 456 1 Replace every 4 years.
Battery pack, lead (24 V/7.2 Ah) M40 737 1 Replace every 4 years.
Solenoid valve adapter fitting, one port M38 862 1 ---Only applicable when using
Puristeril® 340, Puristeril® plus:
replace V20
Solenoid valve adapter fitting, one port M38 862 1 ---Only applicable when using
Sporotal® 100:
replace V34
Comments:
The device has been released for its intended use. Yes
(Attach inspection label) No
Comments:
Re 1 Visual inspections
Re 1.1 The fuse accessible from the outside corresponds to the indicated
value.
Operating condition: Off
Front view:
bibag®flap and flap for suction tubes: Warning - risk of scalding and
caustic burning
Below bibag® flap: reference to bibag®
Rear view:
Right side:
Integrity of:
1 Grip handle
2 Valve tappet
3 Clamping and tappet surfaces
When pushing the grip handle back, a significant counterpressure can
be felt. When the tappet is released, it will move back to its initial
position.
F06
Re 2.12 Check valve for water inlet (A05) checked for proper function.
Operating condition: Off
Basic requirements:
Device turned off.
Disconnect tubing connections from A05 (1).
Connect the external pressure gauge, connected with a syringe (3), to
the outlet side of A05 (2).
Using a syringe, build up a pressure of >2.5 bar.
Maximum pressure drop within 1 minute on the display of the pressure
gauge 60 mbar.
Re 2.13 Filters (F08, F10, F11, F12, F14, F16) and filter disinfectant container
changed.
Operating condition: Off
Re 3 Hydraulics
Re 4 Dialysate pressure
Basic requirements:
The hemodialysis system must be closed.
The reference measuring instrument must be placed at the bottommost
position of the IV pole.
Dialyzer couplings must be connected to the reference instrument.
Flow on until dialysate lines and reference measuring instrument are
free from air. Then flow off.
Reference measuring instrument: 0 bar
Open the vent valve (UMED).
Using a syringe (filled with fluid) set a value of 0 bar, via the vent valve.
Check S03. Desired value: +11 mbar to +71 mbar
Check S07. Desired value: +11 mbar to +71 mbar
Re 6 Temperature / conductivity
Re 7 OCM
Re 8 Error memory
Re 9 Options
Re 9.1 BPM
4 Pressure port
In the service mode, select DIAGNOSTICS. Select BPM from the
DIAGNOSTICS menu.
Remove tube and blood pressure cuff from the pressure connector.
Connect a rigid metal vessel (1), a pressure gauge (2), and an aspirator
bulb with drain valve (3) to the pressure connector.
Touch the Calibration test I/O button.
Set the appropriate test pressure using the drain valve. Wait until the
pressure has stabilized. Check the test pressure.
250 mmHg/ ±3 mmHg
200 mmHg/ ±3 mmHg
150 mmHg/ ±3 mmHg
100 mmHg/ ±3 mmHg
50 mmHg/ ±3 mmHg
Re 9.2 BTM
There are no additional Technical Safety Checks and Maintenance
Procedures to be performed. (Exception: measurement of the
protective earth resistance)
Re 9.3 BVM
Re 10 T1 test
Re 11 Extracorporeal components
Basic requirements:
Insert the tubing set. Venous pressure line connected. Connect the
reference meter. Using a syringe, build up a pressure of approx.
280 mmHg.
Check the venous pressure display.
Desired value: built-up pressure ±5 mmHg
Example:
Built-up pressure: 283 mmHg
Desired value: 278 mmHg to 288 mmHg
Basic requirements:
– Insert the tubing set.
Open the doors. Insert the line guide into the blood pump until a
signal is sounded (1). Insert pressure dome into pressure
measurement unit (2).
Insert the line into the venous occlusion clamp (3). Close the doors.
– Open the doors.
– Connect pressure gauge (reference measurement instrument) with
the tubing set (4).
– Connect syringe (5a) and non-return valve (5b) with the tubing set.
– Close clamps (6a) and (6b) at the tubing set
– Prior to pressure build-up, the tubing set must have been in the
closed venous occlusion clamp for at least 1 minute at a temperature
of approx. 20 °C. (Pressure can be built up immediately if the tubing
set has a temperature of ≥ 33 °C.)
– Fuses accessible from the outside comply with the indicated values.
– Labels and inscriptions are present and legible.
– The mechanical condition permits further safe use.
– There are no signs of damage or dirt.
– The power cable shows no signs of damage.
or
Basic requirements:
– Measurement of the protective earth resistance performed.
– Perform the measurement with the hemodialysis system being at
operating temperature.
– Dialysate:
Dialysis temperature: ≥ 37 °C
Dialysate flow: ≥ 300 ml/min
Conductivity: ≥ 13 mS/cm
– When performing a direct measurement, the following precautions
also must be observed:
The device must be insulated when installed.
All external connections must have been removed from the device.
The line voltage during the measurement will be recorded, as well as
the maximum device leakage current of both mains polarities, scaled to
the nominal voltage of the power supply. Maximum device leakage
current: 500 µA
Example:
Line voltage during measurement: 225 V
Device leakage current
with mains polarity 1: 180 µA
with mains polarity 2: 120 µA
Maximum value of both mains polarities: 180 µA
Nominal voltage of the power supply: 230 V
Scaled to nominal voltage 184 µA
(180 µA: 225 V x 230 V = 184 µA
Device leakage current < 500 µA: OK
Additional conditions:
If the device leakage current, scaled to the nominal voltage is higher
than 90 % of the admissible alarm limit (= 450 µA), the last measured
value or the first measured value must additionally be considered for the
rating.
If the device leakage current has considerably increased since the last
measurement or has continuously increased since the first
measurement (slow deterioration of the insulation), or if the sum
composed of the current value plus the difference since the last
measurement is > 500 µA, the measurement has not been passed.
Example 1:
Device leakage current: 470 µA
Last measured value: 450 µA
470 + (470 – 450) = 470 + 20 = 490; is OK
Example 2:
Device leakage current: 470 µA
Last measured value: 390 µA
470 + (470 – 390) = 470 + 80 = 550; not passed
Re 13 Final checks
Assessment of the test The device has been released for its intended use.
Attach inspection sticker.
It must be ensured that the intended use of the device will not present
a hazard to patients, operators or other third parties.
Within the scope of the overall assessment, the tester must make a
definite decision whether the device may be used or not. The
responsible organization has to be informed immediately about any
signs of damage detected.
Date of next inspection:
The date for the next inspection must be entered in the report.
The intervals specified by the manufacturer have to be observed.
Comments:
Irregularities encountered during the assessment will be recorded in
this section.
Comments:
The device has been released for its intended use. Yes
(Attach inspection label) No
Comments:
7 Error messages
Up to 3 messages can be filed in the Message button.
Touch the X button to file the messages.
To retrieve the messages, touch the Current messages field.
If several messages are displayed, select the desired message.
The windows contain a brief description of the condition for the operator
and the required instructions to correct the problem.
Help can be displayed directly by touching the ? button in the window.
The associated Info window will be opened automatically.
Caution
Only for OCM:
The precision of the measuring equipment used during calibration plays
an important role 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 in the temperature range of
35 °C to 39 °C.
We recommend using the measuring device UMED (part no. M32 403
1) available from Fresenius Medical Care.
Printer module
Part number: 630 652 1
PC Service Software
Part number: M35 016 1
Tool kit
Part number: M35 463 1
9 Calibration / adjustment
FLOW DIAGRAM
CALIBRATE
DIAGNOSTICS
SETUP
MODULE
VARIOUS
UPDATE
9.4 Calibrate
Select the Calibrate touch screen field. Touch the Start calibration
button.
The following message will be displayed on the upper left: Touch the
target center spot! Touch the "target center spot".
The following message will be displayed on the lower right: Touch the
target center spot! Touch the "target center spot".
After successful calibration, the CALIBRATE SCREEN will be
displayed.
If the menu cannot be selected (touch screen decalibrated), use the
following combination of buttons on the monitor. Consecutively press and
hold the following keys until the target points appear to the upper left of
the screen: Mute, Blood system Start, and Blood system Stop.
Thereafter, follow the steps above to continue calibration.
Basic requirements:
The pressure transducers (S03 / S07 / S15 / S16) have been calibrated.
Loading pressure test Touch the Loading pressure test button. The loading pressure (A02)
is being tested.
The following message will be displayed: Loading pressure (A02):
XXXX mbar.
Negative pressure test Touch the Negative pressure test button. The negative degassing
pressure of the degassing pump is being tested.
The following message will be displayed: Please wait. Filling phase in
progress!
Followed by the message: Degassing pressure -XXXX mbar.
Basic requirements:
The pressure transducers (S03 / S07 / S15 / S16) have been calibrated.
Select the Flow pump (A03) field. Touch the Start calibration button.
The following message will be displayed: Adjustment of relief valve A03.
between 2450 and 2650 mbar – Pressure S15: XXXX mbar. If the
pressure is within the range, touch the Confirm button.
The CALIBRATE SCREEN will be displayed. The flow pump (A03) is
now calibrated.
If the pressure limitation is not within the desired range, it must be
adjusted using A03.
Note
In the Service menu, the dialysate flow can be set from 100 ml/min to
1000 ml/min in increments of 100 ml/min and be checked.
Touch the CALIBRATE button in the Service menu.
Select the desired flow.
Touch the Dialysate flow button (waves) to display the flow diagram.
If the flow deviates from the selected flow by more than ±30 ml/min the
flow pump (P03) will adjust the flow automatically.
If the flow pump (P03) adjusts the flow it is yellow in the flow diagram.
If the adjustment is completed, the flow pump (P03) will be shown in red
with yellow circles which means that the adjustment value has been
stored.
All selectable flows have to be checked by performing this procedure.
Basic requirements:
The hemodialysis system must be closed.
Flow on, response time approx. 10 minutes
Select the Temperature (PT7 / PT8 / PT9) field. Touch the Start
calibration button.
Measure the reference temperature with an external measuring
instrument.
Select the Ref. temp. field. Enter the reference temperature. Touch the
OK button to confirm the value entered. Touch the Accept value
button.
The CALIBRATE SCREEN will be displayed.
Note
If the temperature has been recalibrated, the OCM must also be
recalibrated.
Basic requirements:
The temperature (PT7 / PT8 / PT9) has been calibrated.
The hemodialysis system must be closed.
The connected concentrate is identical to the set concentrate.
Flow on, response time approx. 10 minutes
Measure the reference conductivity with an external measuring
instrument.
Select the Conductivity (CD7 / CD9) field. Touch the Start calibration
button.
Automatic setting of the Prescr. Na depending on the connected
concentrate.
Select the Ref. CD 13.00 mS/cm field. Enter the reference conductivity.
Touch the OK button to confirm the value entered. Touch the Accept
value button.
(If entering of the reference CD is not possible, the CD can be adapted
by changing the Prescr. Na.)
Automatic setting of the Prescr. Na depending on the connected
concentrate.
Select the Ref. CD 15.00 mS/cm field. Enter the reference conductivity.
Touch the OK button to confirm the value entered. Touch the Accept
value button.
(If entering of the reference CD is not possible, the CD can be adapted
by changing the Prescr. Na.)
The CALIBRATE SCREEN will be displayed.
Note
If the conductivity has been recalibrated, the OCM must also be
recalibrated.
Volumes
Blood leak
Basic requirements:
The hemodialysis system must be closed. (Avoid incidence of ambient
light.)
Temperature in the range between 34 °C and 39 °C, flow on, flow
500 ml/min
Select the Blood leak field. Touch the Start calibration button.
The following message will be displayed: Please confirm that the
cuvette is clear and is inserted correctly into the blood leak detector!
Calibration will then be performed automatically! – Confirm – Stop.
Touch the Confirm button.
After successful calibration, the CALIBRATE SCREEN will be
displayed.
OCM
Basic requirements:
The temperature (PT7 / PT8 / PT9) has been calibrated.
The conductivity (CD7 / CD9) has been calibrated.
Select the OCM field. Touch the Start calibration button.
Automatic OCM adjustment. (Duration approx. 18 minutes.)
After successful calibration the following message will be displayed:
Correction factor: Up = X,XXXX Down = X,XXXX Cdi-Cdo-deviation =
X µS/cm – Confirm
After successful calibration, the CALIBRATE SCREEN will be
displayed.
9.5 Diagnostics
Diagnostics contents
Monitor
Monitor - Info
EBM
EBM - Info
EBM - Sensors
Hydraulics
Hydraulics - Info
Flow diagram: Individual control
Hydraulics - Test
Power supply unit
Power supply unit - Info
BPM (option)
BPM - Info
BTM (option)
BTM - Info
Monitor
Monitor - Info Displays the operating hours of the OS (operating system) and the SS
(safety system).
EBM
EBM - Info Displays the operating hours of the OS (operating system) and the SS
(safety system).
EBM - Sensors This indicator shows the particular status of the assembly with regard to
operating system and safety system.
Applies only to sensor position 1, art. pressure measurement unit.
Touch position 1 in the EBM display to open or close the arterial
pressure measurement unit.
Hydraulics
Hydraulics - Info Displays the operating hours of the OS (operating system) and the SS
(safety system).
Flow diagram: Individual Open the flow diagram of the hydraulics on the screen.
control It is then possible to open and close the individual valves by touching
the associated valve icon on the screen.
Caution
Before opening the CDS valves, ensure that the device has been
disconnected from the CDS and confirm this disconnection when
selecting a CDS valve.
Hydraulics - Test Contains the following buttons for performing certain tests.
T1 test
Basic requirements:
Concentrate (acid) and bicarbonate must be connected.
The connected concentrated corresponds to the selected concentrate,
check / select the concentrate in the CALIBRATE menu.
S35, CD circuit, S10, S16, Loading time, Temp 07 / 08, S50 / S51, Blood
leak, Neg. pressure, Pos. pressure, DIASAFE, S09, CD circuit / CD
Others
ePHT
Cleaning pgm sequences
Prior to performing the tests (Test 1 and Test 2), touch the Test
preparation button to prepare the hydraulics for the test. Concentrate
and bicarbonate suction tube are in the rinse chamber.
Test preparation ( T ), Heat, V38 Test, Level sensors, Empty rinse
chamber, ( T ) - V03 Rinse, ( T ) - Test 1 (Heat exchanger / V03), ( T ) -
Test 2 (cleaning program rinse section test < 3 minutes), ( T ) - Suction
(rear), ( T ) - Suction (front).
Power supply unit - Info Displays the operating hours and the actual values of the 24 V, 18 V
and 5 V voltages, as well as the battery voltage.
BPM
BPM - Info Displays the serial number, the BPU serial number, the operating hours
and the number of measurement cycles.
Contains buttons and displays for performing the MA test.
BTM
BTM- info Displays the serial number and the operating hours.
9.6 Setup
9.7 Module
9.8 Various
9.9 Update
10 Repair
Test equipment and The activities described in this technical document require the
accessories availability of the necessary technical measuring equipment and
accessories.
ESD precautions When repairing the device and when replacing spare parts, observe the
applicable ESD precautions.
Monitor support arm If the hemodialysis system is to be placed in a horizontal position for
servicing, the monitor support arm must be protected with the transport
protection to prevent it from flipping over.
To be observed after After a disinfection program has been stopped or if the system is to be
stopping a disinfection preserved, the hemodialysis system must be disconnected from the
program water supply after a maximum of 3 days. When the system is returned
to use, check that the pressure of the water supply meets the prescribed
minimum pressure.
10.2.1 Monitor
2
9
8
3
4 5 6 7
1. Monitor rear
2. Loudspeaker and microphone
3. Monitor front with touch / display unit with screen failure sensor
4. PCB LP 1102-1 / LP1202 controller board (C167) monitor
5. P.C.B. LP 1104 monitor power supply board
6. PC board
7. P.C.B. LP 1145 Monitor interface
8. P.C.B. LP 1131 Monitor operating mode indicator
9. P.C.B. LP 1134 Chipcard reader
11
7 12
13
9
8 18
21
20
5 17
6 14
15
22 10 19 3 4 2 1
Legend
1 2 3 4 5
1 Monitor
2 External connection options
3 Push handle
4 Power supply
1 5 Fan filter
6 Filter 2 – ONLINEplus™, left
7 Filter 1 – DIASAFE®plus, right
2 8 Particle filter
9 Disinfectant connector H20
3
10 Disinfectant connector H35
11 Connector for CDS, red H29 (Central
4 Delivery System) acid (option)
12 Leakage sensor flap
5
13 Flush drain, H02 (option)
6
14 Drain, H19
7
15 Potential equalization
8 16 Battery compartment
19
11
18
12
13 14 15 16 17
V34
Explanation of symbols
Legend
1 1. Chassis sheet
2 2. Buffer
3
3. Hook geometry
4. Coupling
5. Bolt
4 Insert the hook of the component slightly
5 tilted into the buffer.
IV pole
Heparin pump
Dialyzer holder
10.4 Equipment
10.4.2 Consumables
Caution
If the hemodialysis system is to be laid horizontal for servicing, the
monitor support arm must be protected with the transport protection to
prevent it from flipping over (see chapter, 10.8.3 page 10-25).
Use at least 2 people when moving the hemodialysis system to a
horizontal position.
For stability reasons, the hemodialysis system may only be tilted if the
side panels are closed.
– Secure the monitor support arm with transport protection (see
chapter, 10.8.3 page 10-25).
– Apply the brake
– Put foamed material or something similar on the floor at the rear of
the cart.
– Put foamed material or something similar on the floor to cushion the
handle.
– Remove the left and the right door of the EBM (see chapter, 10.11.1
page 10-28).
– Hold the hemodialysis system by the EBM at the top and use two
people to tilt it backwards.
10.6 IV pole
10.7 Housing
1
Observe that after closing it, it must be
possible to open the flap (2) to the inside.
2
4
10.7.4 Removing and installing the microswitch in the installed shunt interlock
10.8 Monitor
10.8.1 Removing and installing the monitor and the monitor support arm
Caution
High voltage, unplug power plug before working on the monitor.
88
Installation
c b
Caution
Do not turn off the hemodialysis system during this phase.
Otherwise, program components will be erased from the Compact
Flash which cannot be recovered.
As a result, the hemodialysis system will not boot, but will stop showing
a black screen.
If this error has occurred, the Compact Flash must be replaced.
1 To install:
After the installation, secure the power cable
using a screw (1).
Caution
Risk of injury!
There is a risk of crushing body parts with the EBM hinge.
The following note must be observed:
88
Note
Before closing the EBM, the lock (1) must be turned fully back to the end
stop.
10.11.4 Removing and installing the venous and arterial occlusion clamp
10.11.5 Verification / repair procedure in case of ingress of blood or fluid via the pressure
line
Caution
Risk of infection
Contamination of the 5008S dialysis system with blood results in a risk
of infection.
The following must be observed to avoid an infection:
– Wear disposable gloves.
– Disinfect your hands after removing the gloves.
– Wear surgical mask and goggles if there is a risk of splashes and
aerosoles.
– Clean and disinfect the 5008S dialysis system before coming into
contact.
Checking the EBM front Check the housing front in the vicinity of the Luer-lock connectors for
residual blood, fluid and precipitation, especially at the following
positions:
– Venous pressure transducer
– Single-Needle pressure transducer
– Arterial pressure measurement unit
Checking the housing If blood or fluid enters into the main housing section or into other
main part components (e.g. P.C.B. LP 1202, P.C.B. LP 1107, BVM, BTM, BPM,
online module, etc.) via the compressor unit, these must be cleaned or
replaced.
Device-internal The internal hydrophobic filters (see following figures) must be checked
hydrophobic filters for wetting by fluid.
If internal hydrophobic filters have not been installed, retrofitting is
recommended.
(retrofit kit hydrophobic filter part. no.: M39 722 1)
Hydrophobic
filter before
compressor unit
Hydrophobic filter after
venous
Pressure transducer
Hydrophobic
filter before
SN compliance
chamber
to hydraulics Orifice
SN Luer-Lock
V5
Compliance
chamber Deaeration and
emergency unlocking
mechanism
V2
Arterial press.
meas. unit
to hydraulics
Orifice
Pven Venous
V1 V3 Luer-Lock
Check
valve
Compressor PSN
SN Luer-Lock
V4
V2
Arterial press.
meas. unit
Standby 0 0 0 0 0 0
Blood line 0 0 0 0 0 0
inserted
Opening pressure 0 1 0 0 0 1
dome
Lowering SN Click- 1 0 1 0 0 1
Clack
level
SN inserted, Double- 1 0 0 1 0 1
Needle active, lowering
level
Diagnostics, EBM 0 0 0 0 1 0
0 Not controlled
1 Controlled
to hydraulics
V1 Pven Venous
V3 Luer-Lock
PSN
Compressor V4 SN Luer-Lock
V5
Compliance
chamber Deaeration and
emergency unlocking
mechanism
V2
Arterial press.
meas. unit
V1 E1_PNEUMATIC_ValveFunctSelect
V2 E1_PNEUMATIC_ValveDockingUnitArt
V3 E1_PNEUMATIC_ValveLevelUpDownDC
V4 E1_PNEUMATIC_ValveSNLevelUpDown
V5 E1_PNEUMATIC_ValveSNCompliance
10.11.9 Removing and installing the grip handle of the occlusion clamps
1 2
2
1
To install:
Press the grip handle and insert the drive into
the bearing tube.
Screw in the female thread screw.
Install the drive with the bearing tube. While
doing so, ensure the adapter (1) is seated
properly.
Insert the syringe holder.
1
Connect the monitor grounding cable
For further installation see installation of the
length sensor,
(see chapter, 10.11.12 page 10-44).
Close the EBM.
Check for proper function.
Note
Always use a new threaded pin, as it is coated with self-locking lacquer.
Note
As different heparin pump types have been installed, installation details
may differ from the installation procedure described.
10.12 Hydraulics
10.12.1 Removing and installing the float switch S01 of the water inlet chamber
Caution
Risk of injury!
There is a risk of crushing body parts with the EBM hinge.
Open the EBM before removing the tubing.
2
Disconnect connectors S11 / plate and S36 /
4 plate.
Remove the UF pump.
Connections of the UF pump:
– (1) S11 / male connector
– (2) S36 / male connector
– (3) S11 / plate
– (4) S36 / plate
– X_S11_36 / electronics chassis
– (see chapter, 10.16.1 page 10-72)
V13
V14
V12 V11
V17
V18
V15
V16
Note
The heat exchanger operates using the countercurrent principle.
If it is repaired, it is imperative to ensure that the inlet and outlet are not
connected incorrectly, since swapping over the tubing considerably
reduces efficiency.
Caution
Disinfectant, risk of caustic burning.
Caution
Observe the following when replacing the heater rod:
The nominal voltage of the heater rod must match the line power
voltage.
The voltage and resistance values indicated on the heater rod must
match the values from the table specified below.
240 V 58 Ω 58 Ω
220 V to 230 V 52 Ω 52 Ω
120 V 24 Ω 24 Ω
110 V 20 Ω 20 Ω
L1: blue
L2: black
L3: brown
SL: green/ yellow
Caution
Risk of caustic burning
To prevent any skin contact with the disinfectant, wear protective
gloves.
When working with acidic substances:
Wear goggles!
Observe the safety precautions of the disinfectant used!
In the event of contact with acid:
Eye: Immediately flush with gently flowing water for 15 minutes.
Skin: Use soap under flowing water for neutralization.
Ingestion: Do not induce vomiting, but have the person affected drink
plenty of still water. Seek medical advice.
Caution
Microbiological risks
A defect of the disinfection valve can result in disinfectant in the
container becoming diluted with fluid entering it and thus reducing the
disinfecting effect.
The disinfectant container must be replaced following repair.
On the laptop:
– Start > Control Panel > Network
Connections > Select LAN connection >
Properties.
– Select Internet Protocol (TCP / IP) > and
click the Properties button >
– Enter the IP address as shown in the
illustration to the left > click the OK button.
– Close the "LAN Connection Properties"
dialog.
Network check:
– Connect the laptop and the hemodialysis
system using a "cross cable" (not a
regular network cable).
– Select on the laptop: Start > All Programs
> Accessories > Command Prompt.
– The screen illustrated on the left is
displayed
– Now enter the following command:
ping 192.168.0.5 ↵ .
P.C.B. LP 1140
Sensors
P.C.B. LP 1141
Actuators
J1
D1
Note
1 P.C.B. LP 1102-1 part no.: M37 453 1 is installed in the monitor
processor.
A total of 4 printed circuit boards LP 1102 or LP 1102-1 have been
installed in the hydraulics and the EBM of the hemodialysis system,
depending on the delivery status.
The same type of circuit board always have to be installed in pairs in the
EBM and in the hydraulics.
The difference between those boards is that IC2 and IC3 were produced
by different manufacturers.
Only circuit boards LP 1202 are installed from SW version 3.61.1.
Installation site
Jumper
After turning the hemodialysis system on, park the "Internal error"
message and open the "Status field".
Wait until buttons 1 and 2 have appeared.
To move to the Service menu, enter 2 x 112. Then start the update for
M2 in the Service menu.
Connector
LEDs
Hydraulics
If available, transfer current calibration data by means of the PC service
program to the corresponding system (operating or safety system).
Follow the calibration instructions displayed in the service mode.
If the hydraulics operating system has been replaced, the operating
hours must be synchronized via the PC service program.
Required tests
X2
P.C.B. LP
1106
X22
PC board assy.
BR1-3
J1
BR4-5
Bumpers
on the
solder side
X7
P.C.B. LP 1145
Voltage supply
Note
When replacing P.C.B. LP1104, it must be ensured that solder bridges
BR1 to BR5 are coded correctly. The coding depends on the display
type used and the background lighting.
Installation site
Monitor front
Fuses
Jumper
Solder bridges
Caution
The solder bridges may only be coded when the hemodialysis system
is turned off.
One solder bridge must be closed at all times since otherwise a 24 V
voltage would be applied that could damage the display.
The selection of the voltage depends on the display used.
LEDs
Required tests
MP1
D3
D1
D2
J1
Installation site
power supply unit (power supply unit for processor and heater
regulation)
Jumper
Measurement points
MP1, GND
LEDs
Temperature calibration
Required tests
24 V
GND
18 V
24 V
GND
18 V
Battery 24 V
Battery GND
18 V
Installation site
Rear of the power supply unit (voltage supply and CAN distributor
board).
Fuses
Required tests
1 2 3 4 5
31
7
30
29 8
9
28
10
11
12
27
13
14
26
15
16
17
25
18
19
24
23 22 21 20
1. Single-Needle pump
2. ONL pump (substituate pump)
3. Blood pump
4. P.C.B. LP1106 CAN bus
5. P.C.B. LP1106 X11
6. P.C.B. LP1126 X2
7. Compressor
8. Valves Single-Needle option
9. Arterial clamp
10.Venous clamp
11.Compressor valves
12.Valves venous pressure transducer
13.Arterial pressure transducer
14.Venous pressure transducer
15.P.C.B. LP 1111, arterial pressure measurement unit
16.Level detector
17.ABD
18.P.C.B. LP 1144, door sensor
19.Leakage sensor, EBM
20.Optional CAN modules in the EBM
21.Optional CAN modules in the EBM
22.Optional CAN modules in the EBM
23.Optional CAN modules in the EBM
24.P.C.B. LP 1202, SS
25.P.C.B. LP 1202, SS
26.Single-Needle pressure transducer
27.P.C.B. LP 1202, OS
28.P.C.B. LP 1202, OS
29.P.C.B. LP 1112 blood pump ejector
30.P.C.B. LP 1112, substituate pump ejector
31.P.C.B. LP 1112 Single-Needle pump ejector
Installation site
Fuses
LEDs
D34: Watchdog
Required tests
Alternative:
Move the arterial pressure measurement unit out and back in and check
the status displayed (moving out and in performed by pressure applied
to the pressure measurement unit in the diagnostics screen)
Blood pump hall sensor
Substituate pump hall sensor
Hall sensor, substituate pump 2/SN
Blood pump ejector
Substituate pump ejector
Ejector, substituate pump 2/SN
EBM door, right
EBM door, left
Heparin syringe
Level detector
ABD
OD
Leakage sensor
Resistor chain
SN pressure
Arterial pressure
Venous pressure
Installation site
Required tests
Note
The difference between circuit boards LP 1131 and LP 1131-1 is a
ferrite core on the cable.
Installation site
Monitor front
LEDs
Required tests
Installation site
Monitor rear
Required tests
Installation site
Required tests
Flap switch:
bibag®
check in the flow diagram
Hall sensors:
Bicarbonate suction tube
Concentrate suction tube
check in the flow diagram
Switch:
Check the shunt interlock (flap / dialysate inlet port / dialysate outlet
port) in the flow diagram.
Check ONLINEplus (substituate / rinse port) in the flow chart.
SH2
J3
SH1
Installation site
Fuses
Jumper
LEDs
D55: Watchdog
Required tests
X1_EXT/IO
P.C.B. LP 1145 /
LP 1145-1
X8,
PC board
Installation site
Fuses
F1:
Index A (1 A fuse)
Jumper
Jumper J2 J3 J4
PIN 1 2 3 1 2 3 1 2 3
Emission of an alarm at the alarm line with the hemodialysis system turned off
Jumper J1
PIN 1 2 3
Hemodialysis Alarm-free
system
Turned on
Hemodialysis OFF
system variant II
Turned off (no alarm)
OFF
variant I
Legend
The second relay determines the alarm state. The alarm output is
closed in case of an alarm or during a power failure.
With the hemodialysis system turned off this means that the alarm
contact remains closed (like the OFF variant I of the 4008). An alarm is
emitted in this state.
If this is not desired, the alarm contact can be interrupted via jumper J1
(like OFF variant II).
Required tests
– Staff call
– If available, communication with AquaUno
– Check external 24V supply voltage e.g. with UMED.
– Perform the T1 test and a disinfection.
Display
LVDS
LP 1142
X_1145
PC board
X23
PCB 1104
X2
Voltage supply
Loudspeaker/
microphone
P1
Volume control
Touch / buttons
(including LEDs):
Installation site
Monitor front
Required tests
Note
First, the circuit boards LP 1102-1 were installed in the EBM and the
hydraulics.
From software version 3.61.1 on, circuit boards LP 1202 are installed in
the EBM, hydraulics and monitor processor.
Installation site
EBM:
Calibration is not required.
If the EBM operating system has been replaced, the operating hours
must be synchronized via the PC service program.
Required tests
10.16.15PC board
X3
LVDS
LP 1145
X1
LP 1104
X3
Status
indicator
LP 1131-1
X2
Card reader
LP 1129-1
Network
LP 1142
Mouse X2
Keypad LP 1102-1
X1
LP 1102-1
X CPU 2
P.C.B. LP 1145 / LP 1145-1
Installation site
Monitor front
11 Functional description
Monitor
RS 232
OS SS
CAN_OS CAN_SS
EBM
RS 232
OS SS
Hydraulics
RS 232
OS SS
OS
Options
Monitor,
external
OS connectors
Monitor power supply Monitor
Backlight distribution board
Inverter
PC
LP 1104 LP 1142
LP 1145
Hydraulics
Actor board
LP 1141
Pump control Pump control Pump control
LP 952 LP 952 LP 952
11.3 Monitor
Block diagram
Monitor
red yellow green
OI
screen
Touch failure sensor
LP 1139* Loud-
speaker
Monitor
card
reader
LP 1134
LP 1104
OS
SS SS
Controller board
(C167)
PC
LP 1202
LAN
RS 232 24 V
Description
P.C.B. LP 1104 houses the voltage supply for the entire monitor unit.
Independent voltages are generated from the +24 V supplied by the
power supply unit. +5 V for the OS/SS, +12 V or +5 V for the
backlighting, +12 V/+5 V or 3.3 V for the TFT electronics.
Block diagram
Sensors Actuators
Leakage detector
3/4
X_VALVE_1/2 1/2 1/2
1 1/2 X_VALVE_2 X_VALVE_6
1 1 1
3/4 X_VALVE_5
X_VALVE_3/4
1 1/2
X_BP X_EJECT_BP
X_ART_P1 X_VEN_P1
X_SUB_P1 X_EJECT_SUB1
X_ART_P2 X_VEN_P2
X_SUB_P2 X_EJECT_SUB2
OS SS
Controller board Controller board
(C 167) (C 167)
LP 1202 LP 1202
Description
The power supply unit supplies the P.C.B. LP 1107 with +24 V and
+18 V via P.C.B. LP 1106. The +5 V, +12 V linear and +12 V_PWR
voltages are generated on P.C.B. LP 1107. The +24 V_SW are enabled
via the watchdog.
The sensor signals are routed via P.C.B. LP 1107 to the OS and the SS
where they are evaluated. The OS controls the actuators via P.C.B.
LP 1107. The 24_V_SW are controlled independently by the SS via
P.C.B. LP 1107.
Distribution of the CAN bus of the OS and the SS is done via P.C.B.
LP 1107. P.C.B. LP 1107 is connected to the P.C.B. LP 1202, OS via
the plug connectors X1_OS, X2_OS and to the P.C.B. LP 1202, SS via
the plug connectors X1_SS, X2_SS.
Block diagram
SS OS
Connector PIN
Example XXX XXX
1 2 3 4 5
RS 232
----------------Sensors (OS)-------------------
CD5, CD9,
PT2, PT5, PT8, PT9,
Sensor S01, S09, S15, S17, S18, S19, S20,
S22, S50, S51, S53
board
LP 1140
- - - - - - - Actuators - - - - - - -
P01, P03
- - - - - - - Actuators - - - - - - -
P04, P05, P06
CAN SS (OS/SS) VG1 SS1
(+5 V and +24V_SW on LP 1141)
VG2 SS1
LP 1106 VG1 SS2
+24 V_SW +5 V
VG2 SS2
VG1 SS2
V31 VS4s n. c. n. c. 24/18V
VG2 SS2
n. c. n. c. n. c. n. c. 24/18V
VG1 OS5
V21 V23 V33 V32 24/18V
VG2 OS5
V50 VS2 V51 n. c. 24/18V
VG1 OS4
VS1 VB1 VB2 V36 24/18V
VG2 OS4
n. c. VS3s VS5s VS6s 24/18V
VG1 OS3
V34 V30 V29s V28 24/18V
VG2 OS3
n. c. n. c. n. c. n. c. 24/18V
VG1 OS2
V11 V12 V13 V14 24/18V
VG2 OS2
V15 V16 V17 V18 24/18V
VG1 OS1
V38 V19 V03 V02 24/18V
VG2 OS1
VF2 V20 V04 VF1 24/18V
Description
The power supply unit supplies the P.C.B. LP 1141 with +24 V and
+18 V via P.C.B. LP 1106. The +5 V, ±12 V voltages are generated on
P.C.B. LP 1141. The +24 V_SW and the +18 V_SW are enabled via the
watchdog. P.C.B. LP 1141 controls all actuators (valves, pumps) of the
hydraulics. P.C.B. LP 1141 is connected to the OS and the SS via
P.C.B. LP 1140.
P.C.B. LP 1140 includes the evaluation circuits for the sensors of the
OS and SS, e.g. temperature, conductivity, pressure, blood leak, optical
sensors. P.C.B. LP 1141 transmits the voltage supplies of the
processors as well as the activation signals for the actuators to the two
processors on P.C.B. LP 1202.
P.C.B. LP 1202 houses the central processing unit with the CPU
(C 167), a data memory with calibration data, a CAN bus driver, an
analog reference voltage source and a serial interface. P.C.B. LP 1202
requires the operating voltage +5 V, GND, +24 V and the Reset signal.
Block diagram
90 - 264 V/ AC
Output 1
(+24 V/20 A) Rating
Output 1+2
Output 2 480 W
(+18 V/14 A)
Battery
(+24 V/7 Ah)
Power supply
90 - 264 V/AC
Output 3 (+5 V / Standby)
Power Fail
+24 V
Battery test
On/Off
Power supply
distribution board
LP 1106
CAN
ON/OFF
Heater
relay
Heater
(of hydraulics)
Power supply
control
LP 1105
Description
11.7 Pneumatics
Block diagram
Arterial pressure
Compressor measurement unit
SN chamber
ventilation
Hydraulics
Description
The pneumatic unit is located in the EBM. In the EBM it is used for
controlling the arterial pressure measurement unit, for raising and
lowering the fluid level in the venous bubble catcher and for lowering the
fluid level in the SN chamber. In the hydraulics unit, the pneumatic unit
is required for the membrane integrity test and for the filter change
program.
11-14
Water inlet Flush Drain
H01 H02
Drain
F01
H19
VF2
A04
V02 Compressor
EBM
V19 V21
S03 F06
PT7 PT8
A05 V11 V12 V13 V14 P
V30 V23 H15
Temp
Flow diagram
F04
S04
S05
H03 S09
Dialyzer
H07 S06
PT2 P05 P06
Temp
V32
S01 S15 P H18
S36
S16
P04 CD9
S29
M S07 H33
P S38 S30 H37
H08
CD5 A03 S11 PT9 P
P03 V33
F08 V25 F07
Temp
H43
V09 H17
P01 S08 H42
PT5
Temp
H06
V50 V51
H50 H51
H05
S35
V35s
VB1 VS1
F12 F11
V20 V34 H23
S20 S18
VB2 VS2
F10 F16
S19 S17
VS3s
VERSION 1.3
VS4s
VS5s
VS6s
H29
CDS
11.8 Hydraulics (flow diagram / legend / description)
5008S
SM-EN
9/01.11
Chapter 11: Functional description
Legend
Explanation of symbols
Legend
A02 Loading pressure valve, balancing chamber H50 Air separation chamber, bicarbonate
A03 Relief valve H51 Air separation chamber, concentrate
A04 Pressure reducing valve, water inlet P01 Degassing pump
A05 Check valve, water inlet P03 Flow pump
P04 UF pump
CD4 Conductivity cell, bicarbonate P05 Bicarbonate pump
CD5 Conductivity cell, bicarbonate P06 Concentrate pump
CD7 Conductivity cell, overall conductivity
CD9 Conductivity cell, OCM PT2 Sensor, temperature control
PT4 Temperature sensor, CD bicarbonate
F01 Filter, water inlet PT5 Temperature sensor, CD bicarbonate
F04 Filter 1 - DIASAFE®plus PT7 Temperature sensor, overall CD and temperature display
F05 Filter 2 - DIASAFE®plus PT8 Sensor, temperature re-adjustment
F06 Hydrophobic filter, compressor EBM PT9 Temperature sensor, CD OCM
F07 Particle filter, dialysate
F08 Filter, UF pump S01 Float switch, water inlet chamber
F10 Filter, disinfectant S03 Pressure transducer, dialyzer inlet
F11 Concentrate suction tube with filter S04 Sensor, shunt interlock inlet
F12 Bicarbonate suction tube with filter S05 Sensor, shunt interlock open
F14 Filter, CDS S06 Sensor, shunt interlock outlet
F16 Filter, disinfectant 2 S07 Pressure transducer, dialyzer outlet
S08 Blood leak detector
H01 Male connector, water inlet S09 Level sensor, secondary air separator
H02 Male connector, Flush S10 Sensor, air separation valve
H03 Water inlet chamber S11 UF pump, CD inlet
H04 Heat exchanger S15 Pressure transducer, balancing chamber switching
H05 Degassing orifice S16 Pressure transducer, fill dry concentrate bag
H06 Degassing chamber S17 Level sensor, concentrate rinse chamber
H07 Heater rod chamber S18 Sensor, concentrate rinse chamber lock
H08 Heater rod S19 Level sensor, rinse chamber, bicarbonate
H09 Primary air separator S20 Sensor, bicarbonate rinse chamber lock
H14 Balancing chamber S21 bibag® flap, bag operation position
H15 Sampling valve S22 bibag® connected
H16 Dialyzer coupling, to dialyzer S27 Sensor 1, substituate port
H17 Dialyzer coupling, from dialyzer S28 Sensor 2, substituate port
H18 Secondary air separator S29 Sensor 1, rinse port
H19 Male connector, drain S30 Sensor 2, rinse port
H20 Male connector, disinfectant S35 Leakage sensor, hydraulics
H21 Rinse chamber, concentrate S36 UF pump, CD outlet
H22 Rinse chamber, bicarbonate S38 UF pump, monitoring
H23 Connector, bibag® S47 bibag® flap, cleaning position
H29 Male connector, CDS S50 Sensor, bicarbonate air separator
H32 Substituate port S51 Sensor, concentrate air separator
H33 Rinse port S53 Sensor, flap for suction tube
H34 Male connector, compressor EBM
H35 Male connector, disinfectant 2
H36 Male connector, dialyzer coupling, to dialyzer
H37 Male connector, dialyzer coupling, from dialyzer
H42 Connector, potential equalization
H43 Male connector, vent water inlet chamber (continued next page)
Description
Turning power on To ensure regular rinsing of the water inlet tubing, flushing is started
after turning the device on. (Only if the Flush device option exists.)
The flush is diverted between the heat exchanger (H04) and the flush
valve (VF1).
When the flush valve 1 (VF1) is closed, a clocked circuit will open the
flush valve 2 (VF2). The permeate is rinsed via the water inlet tubing,
the flush valve 2 (V02) and the water outlet tubing into the flush drain.
Degassing Controlled by the float switch (S01) in the water inlet chamber (H03) the
permeate flows into the degassing chamber (H06). A negative pressure
is created due to the volumetric capacity of the degassing pump (P01)
and the restriction of the degassing orifice (H05). This negative
pressure is sufficient to force the air in the permeate to form air bubbles.
These accumulate in the primary air separator (H09). The air bubbles
are discharged via the loading pressure valve (A02) and the air outlet of
the water inlet chamber (H03).
Heating The permeate flowing through the heater rod chamber (H 07) is heated
to the regular dialysis temperature.
Balancing and The design of the hydraulics of the hemodialysis system provides for a
ultrafiltration dialysate circuit which is closed against the atmosphere.
This presents the basis for volumetrically controlled ultrafiltration.
The balancing chambers (H14) are operated at inverse sequences to
ensure that the volume of dialysate which enters the dialyzer equals the
volume which flows back across the balancing chambers. An
impermeable elastic membrane separates the used from the fresh
dialysate.
Reduction of the weight is solely determined by the UF pump (P04). The
UF pump removes a predefined volume (UF goal) from the closed
system which it pumps directly in to the drain, bypassing the balancing
chambers. This volume is removed from the patient's blood and is
replaced by an equal volume flowing through the dialyzer membrane.
Dialysate circuit Via the valves (V11, V13) fresh dialysate is fed in cycles by the
balancing chambers via the filter (F04) and the dialyzer valve (V24) to
the dialyzer.
The flow pump (P03) ensures that the dialysate discharged by the
dialyzer is fed to the balancing chambers via the secondary air
separator (H18).
If the level sensor (S09) detects air, the air separation valve (V29s)
starts its activity. The air is discharged by the negative pressure in the
degassing path and can therefore not enter the balancing chambers.
After the balancing process the dialysate is passed via the outlet valve
(V30), the heat exchanger (H04) and the drain valve (V19) to the drain.
Correct mixing and the temperature of the fresh dialysate are monitored
by the conductivity cells (CD4, CD7) and the temperature sensor (PT7).
If the values are outside the predefined limits, the device will alert the
operator and will switch to the bypass mode. The dialyzer valve (V24)
closes, the bypass valve (V26) opens, which prevents the improper
dialysate from being fed to the dialyzer.
The pressure transducer (S07) and the blood leak detector (S08) are
further safety elements.
Caution
The operator bears the sole responsibility for these operating modes.
The operator must ensure that the system (complete water supply,
installation, devices) is free from disinfectant and is subjected to a
"Mandatory rinse" or "Disinfection" program.
The operator is responsible for the effectiveness of a disinfection of the
water supply and the water inlet.
These operating modes do not represent any disinfection of the device.
The device can only be disinfected with a disinfection program.
The operator must take appropriate measures to prevent any danger for
personnel and patients as well as any damage to the device because
such danger and/or damage may cause risks which cannot be
sufficiently diminished by the dialysis system and the device software.
Note
The endless rinse program can only be started by an authorized
technician using the ServiceCard.
If the Flush path is installed in the device, it must be activated in the
setup menu.
Program sequence Various tests are performed at the beginning of the endless rinse
program (test time approx. 5 minutes). If the endless rinse program is
interrupted during this time or the tests are not passed, it is only possible
to run the endless rinse program. Other cleaning and disinfection
programs are disabled.
While the endless rinse program is executed, the hydraulics of the
dialysis system is rinsed for an unlimited time and the three water inlet
branches V38, VF1 and Flush are rinsed alternatively as defined.
11.9.1 Disinfection / sanitization with subsequent rinsing of the central permeate supply
including the supply line and the dialysis system using the endless rinse program
(operation with a disinfectant through the water inlet)
11.9.2 Rinsing free with disinfectant using the endless rinse program, in case the water
inlet branch is contaminated
Caution
It is imperative to ensure that other devices which are in dialysis mode
with connected patients are not connected to this permeate line while
the endless rinse program is running!
Quick Guide
PC Service Software 5008
Index 11/28.09
English
Table of contents
General Information ................................................................................................ 1
Preparation ................................................................................................................. 3
System Requirements............................................................................................. 3
Firewall.................................................................................................................... 4
Software Installation................................................................................................ 5
Hardware Installation .............................................................................................. 7
ServiceCard Description ......................................................................................... 8
Starting the Software .............................................................................................. 9
Changing the IP Address ...................................................................................... 10
Menu/Toolbar ........................................................................................................... 13
Overview ............................................................................................................... 13
Connection............................................................................................................ 14
Diagnostic ............................................................................................................. 19
Extras.................................................................................................................... 21
Settings ................................................................................................................. 22
View ...................................................................................................................... 24
Help / About ... ...................................................................................................... 25
Views ........................................................................................................................ 27
System Information ............................................................................................... 27
NOVRAM/Calibration Data.................................................................................... 29
Setup Data ............................................................................................................ 32
Error Memory ........................................................................................................ 35
Service Data Recorder.......................................................................................... 37
Software Update ................................................................................................... 39
Image from/to Compact Flash............................................................................... 42
Print Preview......................................................................................................... 44
Modification .............................................................................................................. 45
Quick Guide .......................................................................................................... 45
Index......................................................................................................................... 49
General Information
Caution:
After each data transfer from the PC Service Software 5008 to the
dialysis system, the operator of the PC Service Software 5008 must
check the data on the dialysis system for plausibility. The operator
himself or herself is responsible for the correctness of the data.
Caution:
After each data transfer from the PC Service Software 5008 to the
dialysis system, the dialysis system must be turned off and back on
again before treating a patient.
Caution:
This PC Service Software 5008 is intended for service purposes only.
Ensure that the interface cable to the PC is not connected during patient
treatment.
Addresses:
Local Service
Preparation
Preparation
System Requirements
Preparation
Firewall
Caution:
The PC Service Software 5008 needs the following firewall exceptions!
Service5008.exe
Preparation
Preparation
Software Installation
Caution:
Install the PC Service Software 5008 before connecting the ServiceCard
reader to the PC!
Caution:
When installing the software a PC Service Software 5008 version
already installed will automatically be uninstalled.
Caution:
Administrator rights are required to install the PC Service Software 5008!
In the Installation Code setup dialog, enter the installation code indicated on
the CD cover.
Preparation
Preparation
Hardware Installation
Caution:
The interface cable for the RS232 connection is not a standard cable. It
must therefore be ensured that the interface cable (M35111 or M28486
with Gender Changer M28487) is used which is supplied with the
product.
Caution:
In case of a direct network connection (PC <-> system) make sure to
use the enclosed Cross-Over patch cable (M36433).
Caution:
Install the PC Service Software 5008 before connecting the ServiceCard
reader to the PC!
Preparation
ServiceCard Description
Caution:
If the ServiceCard is read via the PC, only a read access to the system is
possible!
The ServiceCard must be inserted into the system for uploading data
(system information, setup, software update) to the system!
Since the authorization is limited to a specific period of time, the expiration date of
the ServiceCard is checked by a time monitoring function.
The expiration date of the ServiceCard is shown in the About dialog.
30 days prior to expiration, an informational message is displayed when starting the
application.
Once the expiration date is exceeded, the PC Service Software 5008 can no longer
be accessed. In this case the expiration date of the ServiceCard must be prolonged
by an authorized body.
Preparation
Preparation
After correct installation of the hardware, the system can be switched on.
Caution:
A manual configuration of the IP address on the Service PC is only
required if the automatic configuration with the PC Service Software
5008 fails (see Menu/Toolbar Connection).
Step 1:
Windows:
Select Start->Setting->Network- and Dial-up connections
Step 2:
In this dialog, select the network card used. Then click the right mouse button to
select the Properties pop-up menu.
The following dialog will be displayed:
Preparation
Step 3:
Select Internet Protocol (TCP/IP) and click the Properties button.
The following dialog will be displayed:
Step 4:
Note down the previous settings to be able to restore these settings.
Select the settings for a Direct Connection as shown in the previous screen and click
the OK button.
IP address: 192.168.0.2
Subnet mask. 255.255.255.0
Menu/Toolbar
Menu Options/Toolbar
Overview
Status Bar
Menu Options/Toolbar
Connection
Caution:
All windows within the PC Service Software 5008 must be
closed to establish communications.
After clicking the menu option, the following dialog will be displayed:
Connection with...
Menu/Toolbar
Here the operator can select the type of connection by clicking the button ,
or . The currently selected type of connection is shown as a pushed
button (in the above example has been selected).
RS232 connection, e.g. via COM1
Modem connection, via a modem installed under Windows
Network connection
Caution:
Make sure that the network option on the system is set to
active in the Technician's setup->Network.
If the configuration was changed, the system must be
restarted for the settings to become effective.
Caution:
A network connection to the system can only be
established if no serial interface cable has been
connected to the system since the start of the system.
Otherwise disconnect the serial interface cable and
restart the system.
Caution:
Should the automatic Service PC network configuration
with the PC Service Software 5008 fail several times, the
network configuration must be changed manually, see
Changing the IP Address.
Make sure that the checkbox in the Connection with
... dialog is not checked.
Dialog 1:
Select whether the network connection with the system is to be
established via direct connection or via a network connection.
Dialog 2:
If Network connection (firm IP address) was selected in dialog 1, the
new IP address of the Service PC must be entered in this dialog box.
Menu/Toolbar
Dialog 3:
If the Service PC is provided with more than one network adapter,
select in the following dialog which network adapter is used for the
connection of the system.
After clicking the Connect button in the Connection with ... dialog, the
following dialog will be displayed:
Caution:
It may take several seconds before communications
have been disconnected.
Menu/Toolbar
Menu Options/Toolbar
Diagnostic
System Information:
Clicking this menu option will open the System Information screen. Here the
operator can view the following system data:
x System number
x Date
x Time
x Equipment
x Filter1 (Filter life, Treatments, Degreasing runs)
x Filter2 (Filter life, Treatments, Degreasing runs)
x Operating hours
NOVRAM/Calibration Data:
Clicking this menu option will open the NOVRAM/Calibration Data view.
Here the operator can
x read, display and save the NOVRAM data of the individual modules of the
system.
x delete the NOVRAM data of individual modules.
x read and display the NOVRAM data from a file, for uploading the
NOVRAM data, the calibration data or individual NOVRAM data to the
system.
Setup:
Clicking this menu option will open the Setup data view.
Here the operator can
x read, display and save the setup data of the system.
x edit the setup data.
x read and display the setup data from a file in order to upload them to the
system.
x create new setup data.
Error Memory:
Clicking this menu option will open the Error Memory view.
Here the operator can
x read, display and save the error memory of the individual modules of the
system.
x delete the error memory data of individual modules.
Menu/Toolbar
Menu Options/Toolbar
Extras
Caution:
Adminsistrator rights are required for this operation!
Menu Options/Toolbar
Settings
Interface Settings:
Clicking this menu option will open the dialog for the selection of the serial
interface or for the selection of the modem for a modem connection.
Menu/Toolbar
Network Configuration:
Clicking this menu option will open the dialog for the selection of the network
connection.
Menu Options/Toolbar
View
Toolbar:
When clicking this menu option the toolbar of the active window will be shown or
hidden.
Status Bar:
When clicking this menu option the status bar of the active window will be
shown or hidden.
Cascade:
When clicking this menu option all open windows will be displayed as cascading
windows.
Tile Vertically:
When clicking this menu option all open windows will be displayed one next to
the other.
Tile Horizontally:
When clicking this menu option all open windows will be displayed one above
the other.
Open views:
In this field, the currently open views are listed. The active view is checked.
Menu/Toolbar
Menu Options/Toolbar
Help Topics:
Clicking this menu option will open the help file.
Context Help:
When clicking this menu option, the software will switch to the context help
mode. In this mode the operator can click with the mouse on dialogs, views, to
obtain context-sensitive on-screen help.
About PC Service Software 5008 ...:
Clicking this menu option will open the About ... dialog.
Views
View
System Information
Clicking the command button will upload the system number to the system.
Clicking the command button will upload the time set by the operator to the
system.
Clicking the command button will upload the current time of the Service PC
to the system.
Shows the following information:
System type: e.g. 5008
Equipment: e.g. Diasafe, ONLINE Plus .
Shows the filter data for filters 1 and 2:
Filter life: 0 . .84 days
Treatments: 0 .. 100
Degreasing runs: 0 .. 11 .
For editing and transferring the Write Filter Data right is required!
Shows module information:
Module: Module name of the respective module
x OS: Operating system
x SS: Safety system
x ECMP: Eccentric membrane pump
SW version: Software version of the respective module
CRC: Cyclic redundancy check
Serial no.: Serial number of the respective module
Date: Date when the respective module was created
Operating hours: Indicates the operating hours of the modules
Total operating hours: Indicates the total operating hours of the modules
Here the operator can edit the operating hours of the complete system.
Caution:
It is the operator's responsibility to set the correct operating hours!
To change operating hours there are some authorisation on
ServiceCard necessary.
Views
View
NOVRAM/Calibration Data
Caution:
Before uploading NOVRAM data to the 5008, a backup of the old
NOVRAM data should be made by downloading the NOVRAM data from
the system and saving them to a file.
Caution:
When uploading NOVRAM data, calibration data may also be
overwritten. The operator must ensure that the NOVRAM data belong to
the respective system .
BVM, BPM, BTM NOVRAM data cannot be uploaded to the system, as
they can only be recalibrated at the factory!
the entire NOVRAM data, only the calibration data or only the highlighted
NOVRAM variables to the system.
Opens a file and uploads the entire NOVRAM data or only the calibration data
to the system, depending on the selection of the operator.
Deletes the NOVRAM data of the selected modules.
Opens the NOVRAM data from a file (*.5008nov).
Saves the NOVRAM data that was read to a file (*.5008nov).
Views
View
Setup Data
Caution:
The network settings become active after a system restart only.
Caution:
Check the uploaded data on the system for plausibility.
Views
It is possible to create a new setup for systems for which the setup information
file is saved on the PC.
As the setup may have changed with each software version, use the following
dialog to select the system type (e.g. 5008) and the software version the new
setup is to be created for.
Caution:
Systems which, due to the software version, do not yet support the
setup information file, are not displayed completely and can only be
edited in part, e.g. system type 5008 V3.36.
Support of the setup information file for system type 5008, version
V3.52 and higher.
Views
View
Error Memory
Downloads error memory data of the selected modules from the system.
Downloads error memory data of the selected modules from the 5008 and
saves them to a file (*.5008error).
Deletes the error memory data of the selected modules .
This should not be done before a backup of the error memory data has been
created.
Copies the selected error memory rows into clipboard.
Opens the error memory from a file (*.5008error).
Saves the error memory to a file (*.5008error).
Prints the error memory data.
Displays the Print Preview.
Displays general information on the setup data:
x System type
x System number
x File name
x SW version of the system
x Time
x Date
x Filename with path
Checkboxes where the operator can select for which modules the error
memory data are to be downloaded, displayed or to be deleted.
Dimmed modules have been reported by the system as not present.
Shows the error memory data:
Error code: error code of the system
Module: module name of the respective module
Mode: current mode when the error occurred.
Error error message in plain text.
message: Explanation of colors:
x black: text for the operator is displayed in a message box
on the system and written into the error memory.
x red: text is only written into the error memory.
Date: date when the problem occurred.
01.01.2001 means: the problem occurred prior to the initialization
Time: time when the problem occurred.
Pos: consecutive number as the data were downloaded from the
system.
The sort order can be changed by clicking the column header.
The width of the columns can be changed with the mouse.
If the width of the column is too small for the text, this will be indicated by "...".
The complete text will be displayed in a tool tip as soon as the mouse pointer is
on the respective field.
Highlighted lines may be copied onto the Clipboard, using the keyboard
shortcut Ctrl+C.
Views
View
Caution:
The service data recorder files have not yet been downloaded
from the system.
Deletes the service data recorder files selected under from the Compact-
Flash.
Downoads the service data recorder files selected under from the system
and saves them to a compressed file (*.5008fly).
Caution:
To increase the data transfer rate in case of larger service data
recorder files, the system is restarted and the service data
recorder files are downloaded during the restart.
Caution:
Ensure that no firewall blocks the download (e.g. VPN – Client
from Cisco).
Views
View
Software Update
Caution:
To increase the data transfer rate in case of larger data files, the
system is restarted and the update data are uploaded to the
system during the restart.
Caution:
Ensure that no firewall blocks the upload (e.g. VPN – Client from
Cisco).
Views
Version: Version
CRC: Cyclic redundancy check
Date: Date and time of compilation
Allows selection of optional packages.
e.g. standard setup, regional fonts
Allows selection of manufacturer defined base update.
The device will update the modules 'offline', without connection to Service PC.
(System software V4.00 necessary)
More service report information for the operator:
x e.g.
Files which are required by the system but which are missing or defective.
View
Caution:
The size of the image file must match the size of the Compact
Flash.
This means: a 64MB image cannot be written onto a 128MB
Compact Flash.
Caution:
After opening an image file the CRC will be calculated.
The calculated CRC should be compared with CRC from image
file. Only if the CRC matches you should transfer the image data.
Views
Check that the Compact Flash reader is correctly connected and that the
Compact Flash has been inserted into the reader.
In this case the Compact Flash should be removed and reconneced.
x Removable media found:
x More than one removable media found:
Remove all removable media except the Compact Flash of the system.
View
Print Preview
Clicking the Print Preview command button displays the print preview of the
selected view.
Selects individual pages
Zooms the size.
Prints the pages.
Page overview
Modification
List of Modifications
Quick Guide
Release Modification
0/04.03 First edition
1/09.03 Help adapted to version V1.01
x Layout revised
x Caution: Software for service purposes only, added on cover
page
x Table of contents added
x Item 1 - Preparation - amended
x Item 2.8 - Software Update - revised
2/49.03 Help adapted to version V1.10
x Graphics updated
x NOVRAM/calibration data description adapted
x Software update description adapted
3/17.04 Help adapted to version V1.11
x System information description (operating hours) adapted
x List of Modifications: Software added
4/29.04 Help adapted to version V1.20
x System Requirements
Network card added
x Hardware Installation
Part numbers of interface cables added
x Starting the Software:
Network access description added
x Description of the Service Card (Access Protection)
Note on ServiceCard expiration date added
x Menu Options/Toolbar: Settings
Network access description adapted
x Menu/Toolbar: View added
x View: System Information
Setting/deleting operating hours added
x View: Error Memory
Error memory view description extended
x View: Setup Data
Note: Operator/Technician's setup added
Description for Service PC active added
x View: Software Update
Release number omitted
Modification
Index
D Overview ...................................... 13
Description of the Service Card Settings ........................................ 22
(Access Protection) .........................8 S
F Screen
Firewall ...............................................4 Error Memory ............................... 35
G Image from/to CF ......................... 42
General Information............................1 Machine Info................................. 27
H NOVRAM/Calibration data ........... 29
Hardware Installation ..........................7 Print Preview ................................ 44
M Service Data Recorder ................. 37
Menu Options/Toolbar Setup Data ................................... 32
Connection....................................14 Software Update .......................... 39
Diagnosis ......................................19 Software Installation .......................... 5
Extras............................................21 Starting the Software ......................... 9
Help/About ....................................25 System Requirements ....................... 3