Professional Documents
Culture Documents
Hemodialysis Machine
Technical Manual
Section Page
3.1
3.2 Measuring
Flow diagramequipment .....................................................................................................
.................................................................................................................. 3-3
3-4
3.3 Calibration mode ............................................................................................................. 3-8
Section Page
Clear.: XXXml/min Shows the last measured clearance value. Displayed for
1 minute after a successful measurement.
Plasma-Na: XXXmmol/l Shows the plasma sodium concentration of the last single
measurement for 1 minute.
Kt/V: X.XX Shows the current Kt/V. Displayed for 1 minute when the UF
goal has been reached or if the OD senses clear fluid.
Kt/V: Not available There are no Kt/V data available as the calculation of Kt/V was
aborted. Displayed for 1 minute when the UF goal has been
achieved or if the OD senses clear fluid.
HDF/HF < > OCM An OCM and an HDF or HF treatment procedure cannot be
performed simultaneously. Displayed once if OCM is selected
while HDF/HF is active. If HDF/HF is selected while OCM is al-
ready active, the OCM will be aborted and the message “ OCM
off” will be displayed. The OCM can, however, be reselected
after HDF/HF has been switched off.
SN < > OCM The OCM cannot be started as a Single Needle treatment (SN
or SN click-clack) has been selected.
Profile< > OCM An OCM cannot be started in conjunction with a Na-/UF profile
1, 5 or 6 and a treatment time of less than 180 minutes. Dis-
played when the OCM is switched on and/or when selecting a
profile.
OCM off/X The OCM was aborted due to a malfunction and will be deacti-
vated until the end of the treatment.
Inform the service technician of the error code (X).
OCM adjust cancelled The OCM adjustment was not successfully completed and will
be repeated after the next treatment.
OCM adjust intended Displays when the optical detector senses dark fluid and if an
adjustment measurement is required on completion of the
treatment in progress.
Input value too low The operator has attempted to enter a value for an OCM para-
meter that is below the minimum limit.
Input value too high The operator has attempted to enter a value for an OCM para-
1.1.2 Warnings
Kt/V too low Displays if the prescribed Kt/V cannot be reached at the end of
the treatment with the current Kt/V.
OCM OFF The OCM option will be deactivated until the machine is
switched off.
– Power failure with battery backup
– CPU II error
OCM OFF/2 The OCM option will be deactivated until the machine is
switched off.
One of the CD cells has measured a value below 11.5 mS/cm
during more than 3 consecutive OCM measurements.
– Check CD cells for proper connection
– P.C.B. LP 633-5 defective
OCM OFF/3 The OCM option will be deactivated until the machine is
switched off.
– System error
OCM OFF/5 The OCM option will be deactivated until the machine is
switched off.
A downward pulse occurs although an upward pulse was re-
quested.
– Check the bibag/concentrate delivery
– Air
– Check thedialysate
in the concentrate pumps / mixing system
OCM OFF/6 The OCM option will be deactivated until the machine is
switched off.
– System error
OCM OFF/7 The OCM option will be deactivated until the machine is
switched off.
Implausibility of the ratio of blood flow to clearance or no appa-
rent change on the CD cell during more than three consecutive
measurements.
– Poor terminal connection of the CD cell
OCM tech. deact./1 The OCM option is decalibrated and can only be reactivated
after a successful pulse calibration.
Deviation between the 8-bit and the 12-bit CD value of the pre-
cell > 0.5 ms/cm for > 20 s.
– Disinfection
– Check OCM calibration and calibrate, if necessary
OCM tech. deact./4 The OCM option is decalibrated and can only be reactivated
after a successful pulse calibration.
Three cyclic pressure holding tests (CPHT) showed a deviation
of > 0.5 ms/cm between CD cell 7 and CD cell 110 for > 4.5 s.
– Disinfection
– Check OCM calibration and calibrate, if necessary
OCM tech. deact./7 The OCM option is decalibrated and can only be reactivated
after a successful pulse calibration.
More than 5 consecutive measurements showed a clearance of
more than 1.3 times the blood flow or below zero.
– Check the CD cells for poor terminal connection.
– Disinfect, if necessary
– Check the calibration
OCM tech. deact./8 The OCM option is decalibrated and can only be reactivated
after a successful pulse calibration.
Zero pulse measurement failure or time of maximum pulse be-
OCM tech. deact./9 The OCM option is decalibrated and can only be reactivated
after a successful pulse calibration.
The correction factor of the zero pulse measurement for upward
or downward pulses is outside the acceptable range of 0.8 to
1.2.
– Perform a disinfection
– Check OCM calibration and calibrate, if necessary
Section Page
Caution
The accuracy of the measuring equipment used during the calibration procedure
is decisive for the accuracy of the OCM measurement.
The measuring equipment used for the calibration of the conductivity must have
an accuracy of 0.05 mS/cm within a temperature range of 35 °C – 39 °C.
We recommend to use the UMED universal measuring device which is available
from Fresenius (part no. M32 403 1).
UMED Service
Case
Part number M32 403 1
Disinfectant connector
85 Recirculation
86 valve Level sensor
204 Mixing
205 poin t / /concentrate
bicarbonate/ bicarbonate
87 Drain valve 206 Buffer volume chamber
88 Multifunction block 210 Filter
88a Degassing chamber
88b Secondary air separator
88c Primary air separator Hydraulics measuring points:
89 Degassing orifice
90a Rinse chamber / concentrate A Reduced water inlet pressure
90b Rinse chamber / bicarbonate B Balancing chamber loading pressure
91 Rinse valve C Flow pump pressure
92 Vent valve D Degassing pump pressure
94 Concentrate suction tube
Disinfectant connector
85 Recirculation
86 valve Level sensor
204 Mixing
205 poin t / /concentrate
bicarbonate/ bicarbonate
87 Drain valve 206 Buffer volume chamber
88 Multifunction block 210 Filter
88a Degassing chamber
88b Secondary air separator
88c Primary air separator Hydraulics measuring points:
89 Degassing orifice
90a Rinse chamber / concentrate A Reduced water inlet pressure
90b Rinse chamber / bicarbonate B Balancing chamber loading pressure
91 Rinse valve C Flow pump pressure
92 Vent valve D Degassing pump pressure
94 Concentrate suction tube
CALIBRATION
7890 Esc
4 5 6
1 2 3 C Best
Confirm
CALIBRATION key
DIAGNOSTICS
MISCELLANEOUS
SETUP MENU
CALIBRATION
Confirm
key
CALIB. (B)-PUMP-RATE
Confirm
CALIB. TEMPERATURE key see Part 11
Confirm
CALIB. CONDUCTIVITY key see Part 13
CALIBRATE BLD
NOVRAM
Confirm
back to main menu ? key
CALIB. TEMPERATURE
Confirm
key
Confirm
OCM TEMP.-Check key see Part 11.3
Confirm
back to menu? key
Note
Accuracy of the external meter to be connected: ±0.2 °C.
Temp. ADJUSTMENT
Confirm
key
adj. temp to 37 °C
DATA STORED
➀ NTC3; 8 bit
➁ Control 8 bit
approx. 3 sec
➂ NTC3; 12 bit
Esc
OCM TEMP. Adjust key
➃ NTC109; 8 bit,
Machine in bypass if NTC 109 is activated in SETUP
1 XXXX ADC-digits
DATA STORED
2 XXXX °C
approx. 3 sec
3 XXXX A D C - d ig it s
4 XXXX DAC-digits
7890 Esc
4 5 6
1 2 3 C Conf
➀ NTC3; 12 bit
➁ NTC3 temperature
➂ NTC4; 12 bit
➃ Dynamic measurement range switching
Check TEMPERATURE
Confirm
key
use
to select the
Temperature setting field
Specify a temperature by
pressing the +/– keys.
Tone mute
key
ACKNOWLEDGED
approx. 3 sec
➀ NTC3; 8 bit
➂ NTC109; temperature
1 XXXX A D C - d ig it s
➃ NTC109; 8 bit
2
3 XXX.X °C
4 XXXX A D C - d ig it s
Alpha Temperature
display adjustment
7890 Esc
4 5 6
1 2 3 C Conf
OCM TEMP.-Check
Confirm
key
use
to select the
Temperature setting field
Specify a temperature by
pressing the +/– keys.
Tone Mute
key
ACKNOWLEDGED
approx. 3 sec
➀ NTC3; 12 bit
3 XXXX A D C - di g i t s
4 XX.XX °C
Alpha Temperature
display adjustment
7890 Esc
4 5 6
1 2 3 C Conf
CALIB. CONDUCTIVITY
Confirm
key
Confirm
TEMP/COND COMP Calib key see Part 13.3
Confirm
back to menu?
key
CONDUCTIVITY Set
Confirm
key
Esc
CD set: 12.80 mS/cm key
CD set: 15.70 mS/cm
Use to
move to the Use to
Concentrate setting field. move to the
If no key is Concentrate setting field.
Conc. set =±0 % pressed for If no key is
approx. 4 sec conc. set =–X % pressed for
Tone Mute
key Tone Mute
key
ACKNOWLEDGED
ACKNOWLEDGED
approx. 3 sec
approx. 3 sec
Tone
keyMute Tone Mute
key
ACKNOWLEDGED
DATA STORED
approx. 3 sec
approx. 3 sec
➂
1 XXXX ADC-digits
[ADC-digits (OCM)]
➃ CD cell 110; 12 bit/ 8 bit alternating
2 XXXX steps
(concentrate pump)
3 XXXX steps
(bicarbonate pump)
4 XXXX ADC-digits
[ADC-digits (OCM)]
Alpha Concentrate Bicarbonate
display setting setting
7890 Esc
4 5 6
1 2 3 C Conf
Note
An adjustment of the conductivity using a calibration concentrate is currently
not possible, since a suitable calibration concentrate is not available.
Confirm
key
act temp = XX.XX °C
field
4 5 6
If no key is
conc. set =±0 % pressed for 1 2 3 C Conf
approx. 4 sec
Use +/– to reduce/increase
the concentrate pump volume
until the conductivity is
inside the alarm limits act temp = XX.XX °C
13.9 – 14.5 mS/cm
1 XX. XX m S /c m
conc. set = +X %
2 XX. XX m S /c m
Tone Mute
key
3 XX. XX m S /c m
ACKNOWLEDGED
temperature of 35 °C is achieved
and that it has stabilized. 4 5 6
Check: Display,
LED bargraph display 1 2 3 C Conf
Tolerance: ±0.5 °C
Tone Mute
key
DATA STORED
approx. 3 sec
Confirm
key
Tone Mute
key
approx. 3 sec
Tone mute
LED is flashing.
Info sound
alternating
approx. 3 sec
4 XXXX m S /c m
7890 Esc
4 5 6
1 2 3 C Conf
CONDUCTIVITY Check
Confirm
key
use to select
the Concentrate
setting field
If no key is
conc. set =± 0% pressed for
approx. 4 sec
Use the +/– keys
to reduce the
concentrate pump volume
e.g.:
conc. set =–6 %
Tone Mute
key
ACKNOWLEDGED
approx. 3 sec
ADC-digits ➂
1 XXXX
[ADC-digits (OCM)]
➃ CD cell 110; 12 bit / 8 bit alternating
2 XXXX steps
(concentrate pump)
3 XXXX steps
(bicarbonate pump)
4 XXXX ADC-digits
[ADC-digits (OCM)]
Alpha Concentrate Bicarbonate Temperature
display setting setting adjustment
7890 Esc
4 5 6
1 2 3 C Conf
Note
A calibration of the conductivity using a calibration concentrate is currently not
possible, since a suitable calibration concentrate is not available.
OCM COND.-Check
Confirm
key
OCM Cond.-Check
Use to
select the
concentrate setting field
If no key is
conc. set =± 0% pressed for
approx. 4 sec
Use the +/– keys
to reduce the
concentrate pump volume.
e.g.:
conc. set =–6 %
Tone Mute
key
ACKNOWLEDGED
approx. 3 sec
OCM Cond.-Check
➀ CD cell 7; 12 bit
4 XX. XX m S /c m
Alpha Concentrate Bicarbonate Temperature
display setting setting adjustment
7890 Esc
4 5 6
1 2 3 C Conf
Confirm
key
The individual
conductivities and their
compensation factors are
displayed in the fields
(see 4008 H/S)
The
can conductivity cells
be crosschecked
by changing the
concentration
or temperature.
Esc
key
➀ CD cell 7, compensated
3 XX. XX m S /c m
4 XXXX mS/(cm•°C)
Alpha Concentrate Bicarbonate Temperature
display setting setting adjustment
7890 Esc
4 5 6
1 2 3 C Conf
6.1 Overview
CALIBRATION
DIAGNOSTICS
MISCELLANEOUS
Confirm
SETUP MENU key
SETUP MENU
Confirm
key
CONFIRM
ACTIV. MONIT_NTC109 BACK TO MAIN MENU ? KEY
OCM SETTINGS
Confirm
key
Confirm
OCM DELAY TIME key see Part 9.3
Confirm
back to menu? key
OCM MEASUREMENT
Confirm
key
Confirm
key
Note
If the OCM zero measurement is set to “OFF”, the OCM option will be deacti-
vated.
When the OCM zero measurement is reactivated (ON) it is imperative to per-
form an OCM pulse calibration.
DATA STORED
Confirm
key
Esc
ClrCorr Factor: 1.000 key
Tone Mute
key
DATA STORED
Note
Do not change the default value.
Note
In 4008 H/S machines it is generally possible to define a correction factor for
all clearance measurements. This feature has been provided to be able to
adapt a machine at its place of installation to latest knowledge gained from
scientific discussion that has not been completed yet. Based on present know-
ledge the correction factor for Fresenius Polysulfone membranes must be ad-
justed to “1” (factory setting). The accuracies specified are only applicable for
Fresenius Polysulfone membranes in combination with a correction factor that
was set to “1”.
Confirm
key
Esc
Base Diff.: 0.015 ms/cm key
Tone Mute
key
DATA STORED
Note
Do not change the default value.
Confirm
key
Esc
Integral value: 55 key
Tone Mute
key
DATA STORED
Note
Do not change the default value.
Confirm
key
Esc
Kt/V Warnlevel: 85 % key
Tone Mute
key
DATA STORED
S e c t io n P a ge
8.1 Circuit diagrams and component layout LP 632, CPU 2 .......................................... 8-3
8.2 Circuit d iagram s a nd component l ayout L P 6 33-5, I nput board ............................. 8-19