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2008K Hemodialysis Machine Operator's Manual

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2008K Hemodialysis Machine Operator's Manual 2008K Hemodialysis Machine Operator’s Manual P/N 490042 Rev P 2008K Hemodialysis Machine Operator’s Manual © Copyright 2000 - 2018 Fresenius USA, Inc.—All Rights Reserved This document contains proprietary information of Fresenius Medical Care Renal Therapies Group, LLC and its affiliates (“Fresenius Medical Care”). The contents of this document may not be disclosed to third parties, copied, or duplicated in any form, in whole or in part, without the prior written permission of Fresenius Medical Care. Fresenius Medical Care, the triangle logo, 2008, 2008K@home, the @ home logo, Combiset, Twister, NaturaLyte, GranuFlo, DIASAFE, and PURISTERIL are trademarks of Fresenius Medical Care Holdings, Inc., and/or its affiliated companies. Citrasate is a registered trademark of Advanced Renal Technologies, Inc. in the United States and used under license from Advanced Renal Technologies, Inc. All other trademarks are the property of their respective owners. Caution: US Federal law restricts this device to sale only by or on the order of a physician. Frequency, duration, and parameters of treatment are to be determined by the prescribing physician. Note: Not all features are available in all regions. The 2008K hemodialysis machine is manufactured by: Fresenius USA, Inc. 4040 Nelson Avenue Concord, CA 94520 Installation, maintenance, calibration and other technical information may be found in the 2008K Technician’s Manual, P/N 490049. Contact Fresenius Medical Care Technical Support for applicable Field Service Bulletins. The spare parts manual for the model 2008K and other information may be found on our web site at www.fmcna.com Indications for use: the 2008K hemodialysis machine is indicated for acute and chronic dialysis therapy. 2 2008K Hemodialysis Machine Operator’s Manual Rev P Contents About this manual… ................................................................................................................................. 7 Requirements ................................................................................................................................... 8 Related Reading ............................................................................................................................... 8 Conventions ..................................................................................................................................... 9 About Hemodialysis…................................................................................................................... 11 General Warnings .......................................................................................................................... 13 Using a Central Venous Catheter ................................................................................................... 18 CHAPTER 1 Overview ................................................................................................................................................. 20 Function of the 2008K hemodialysis machine ............................................................................... 20 Organization of the 2008K hemodialysis machine ........................................................................ 20 The Control Panel .......................................................................................................................... 23 Control Panel Keys ........................................................................................................................ 24 Modules ......................................................................................................................................... 31 The Dialysate Path ......................................................................................................................... 37 IV Pole and Dialyzer Holder .......................................................................................................... 40 Moving the Machine ...................................................................................................................... 41 CHAPTER 2 Daily Preparation for Treatment ............................................................................................................. 43 Starting Point ................................................................................................................................. 43 Preparing the Dialysis Delivery System ........................................................................................ 44 Preparing the Extracorporeal Blood Circuit................................................................................... 45 Connecting the Extracorporeal Blood Circuit ................................................................................ 47 Testing the 2008K hemodialysis machine ..................................................................................... 52 Recirculation and Final Set-Up Procedure ..................................................................................... 55 CHAPTER 3 Setting Treatment Parameters ................................................................................................................. 57 Recommended Screen Order ......................................................................................................... 57 New Treatment Key ....................................................................................................................... 58 Entering a Parameter ...................................................................................................................... 59 Dialysate Screen Settings ............................................................................................................... 60 Home Screen Settings .................................................................................................................... 71 2008K Hemodialysis Machine Operator’s Manual Rev P 3 Ultrafiltration ................................................................................................................................. 75 Sodium Variation System .............................................................................................................. 80 Heparin Screen Settings ................................................................................................................. 84 Test & Options Screen Settings ..................................................................................................... 89 Pediatric Dialysis ........................................................................................................................... 91 Blood Pressure Screen Settings ..................................................................................................... 91 Starting Dialysis ............................................................................................................................. 94 CHAPTER 4 Monitoring the Treatment ....................................................................................................................... 95 Home Screen Monitoring ............................................................................................................... 96 Trends Screen Monitoring ........................................................................................................... 101 Kt/V & Access Flow Monitoring ................................................................................................. 104 Blood Temperature Monitor / Blood Volume Monitor Screen .................................................... 112 Blood Pressure Screen Monitoring .............................................................................................. 115 During Treatment ......................................................................................................................... 116 Blood Recirculation Procedure .................................................................................................... 117 Power Failure during Dialysis ..................................................................................................... 118 Completion of Dialysis ................................................................................................................ 121 CHAPTER 5 Disinfection and Maintenance .............................................................................................................. 124 Cleaning and Disinfection ............................................................................................................ 124 Cleaning the Exterior Surface ...................................................................................................... 127 Rinse Program .............................................................................................................................. 129 Acid Clean Program ..................................................................................................................... 130 Heat Disinfection ......................................................................................................................... 131 Chemical/Rinse Program ............................................................................................................. 132 Chemical/Dwell Program ............................................................................................................. 134 CHAPTER 6 Alarms and Troubleshooting ................................................................................................................. 137
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