CALIBRATION CHECK LIST FOR FRESENIUS MEDICAL CARE

4008B/4008S/4008H DIALYSIS MACHINES

MACHINE DETAILS

Date ___________________ Location ____________________ Hospital ____________________

Serial No _______________ Hr Clock ____________________ Software ________ EC _______

Machine Condition (Visual)

External panels ______________ Labels ____________

Power Cord ______________ Power Plug ____________

External Hose and Tubing ______________ Internal tubing ____________

Hydraulic Pressure

Water Inlet Pressure 0.95 to- 1.05 ______________

Degassing Pessure - 0.81 to- 0.85 ______________ UFRDisplay ____________

Loading Pressure 1.20 to- 1.30 ______________

Relief Valve 78 2.00 to- 2.10 ______________ Only for 4008 B/E/S/H

UF-Pump Volume

60 Strokes 59.5to- 60.5 ______________ ml

Bbag Pressure

Pressure Switch 85 -110 ______________ mmHg

Voltages Supply

Voltages Nominal
Battery Charging
+ 5V (+0.2) + 12V (+0.2V) + 24V (+0.7V) Voltage

T1 Test Performed _____________ H Dis Performed ________________

Bio Chem, Na+ _____________ Bio Chem, HCO3 ________________

MONITOR CALIBRATION

Item Screen UF UF UF Time

Alpha Volume Rate Goal Left
Display Display Display Display Display
Art Pressure
0 Point 0 113
Art Pressre
Gain 210 ………………
Vena Pressure
0 Point 0 30
Vena Pressure -
Gain 500 ………………

Art BP - Rate 550 ……………… Art BP Dislpay 550

SN BP - Rate ……………… ……………… SN BP Dislpay ………………
HDF BP - Rate ……………… ……………… HDF BP Display ………………

Flow 300 ……………… ………………

Flow 500 498 - 507 ………………
Flow 800 798 - 816 ………………

Temp Adjustment 37ºC ……………… ……………… ………………

Temp Check 37.0 ……………… ……………… ………………

BC Volume ………………
Conc Pump
Volume/ Stroke ……………… ………………
Bic Pump
Volume/ Stroke ……………… ………………

CD Low Point - % ……………… ……………… ……………… ………………

CD High Point - % ……………… ……………… ……………… ………………

TMP 0-Point 0 130 ………………

TMP Gain ……………… ……………… ………………

BLD Detector 5.0 ………………

BLD Dimness 5.0 ………………

Maintenance Sticker Serviced By Hendryanto

Srart Clibration :
Finised Clibration :
 CALIBRATION CHECK LIST FOR FRESENIUS MEDICAL CARE
4008B/4008S/4008H DIALYSIS MACHINES

MACHINE DETAILS

Date 06 – 07 / 07 / 2019 Location Surabaya Hospital : RSK St. Vincentius A Paulo

Serial No _______________ Hr Clock ____________________ Software ________ EC _______

Machine Condition (Visual)

External panels ______________ Labels ____________

Power Cord ______________ Power Plug ____________

External Hose and Tubing ______________ Internal tubing ____________

Hydraulic Pressure

Water Inlet Pressure 0.95 to- 1.05 ______________

Degassing Pessure - 0.81 to- 0.85 ______________ UFRDisplay ____________

Loading Pressure 1.20 to- 1.30 ______________

Relief Valve 78 2.00 to- 2.10 ______________ Only for 4008 B/E/S/H

UF-Pump Volume

60 Strokes 59.5to- 60.5 ______________ ml

Bbag Pressure

Pressure Switch 85 -110 ______________ mmHg

Voltages Supply

Voltages Nominal
Battery Charging
+ 5V (+0.2) + 12V (+0.2V) + 24V (+0.7V) Voltage

T1 Test Performed _____________ H Dis Performed ________________

Bio Chem, Na+ _____________ Bio Chem, HCO3 ________________