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4008 S
Hemodialysis device
Service Manual
Software version: 11.40 and higher
Edition: 7/01.13
Part no.: M49 985 1
0123
Related Manuals for Fresenius Medical Care 4008 S
Summary of Contents for Fresenius Medical Care 4008 S
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Page 1
4008 S Hemodialysis device Service Manual Software version: 11.40 and higher Edition: 7/01.13 Part no.: M49 985 1 0123… -
Page 3: Table Of Contents
Supply mains ……………………..4-5 Guidance and manufacturer’s declaration for EMC (IEC 60601-1-2)……………………… 4-8 4.8.1 Electromagnetic emissions………………….4-8 4.8.2 Electromagnetic immunity ………………….4-8 4.8.3 Recommended separation distances between portable and mobile RF Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 4
Setting the digital outputs of CPU 1 …………….5-48 5.1.4.10 Setting the digital outputs of CPU 2 …………….5-54 5.1.4.11 Setting / reading the digital outputs of CPU 1 …………5-57 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 5
Positive pressure test (positive pressure holding test) ………….. 7-11 7.1.14 UF function test ……………………. 7-14 7.1.15 Conductivity test ……………………7-15 7.1.16 DIASAFE plus test/ HPU test ………………..7-16 Device error during cleaning programs …………….7-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 6
Part 12.3: Calibrating the concentrate pump stroke …………..9-22 9.1.27 Part 12.4: Measuring the volume of the concentrate pump in liters……….. 9-23 9.1.28 Part 12.5: Calibrating the bicarbonate pump stroke …………..9-24 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 7
Assignment of the hydraulic processing unit (HPU) …………..10-9 10.4 Assembly of components………………… 10-10 10.4.1 Self-cutting screws ……………………10-10 10.4.2 Torques ……………………… 10-10 10.5 Housing and cart ……………………10-11 10.5.1 Tilting the device……………………10-11 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 8
10.8.16 Filter holder for DIASAFE plus ………………..10-41 10.9 Extracorporeal Blood Circuit Module (EBM)…………… 10-42 10.9.1 Opening and closing the EBM, service position …………..10-42 10.9.2 Pneumatic unit contamination………………..10-43 10.9.3 BPM (option)……………………..10-44 viii Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 9
HPU wiring diagram (hydraulic processing unit)…………..11-47 11.2.6 CAN communication connection diagram …………….11-49 11.2.7 P.C.B. LP 450-2 Air detector control (LD) …………….11-50 11.2.8 P.C.B. LP 493 Blood leak detector ………………11-52 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 10
11.2.24 P.C.B. LP 1629 EBM display ………………..11-71 11.2.25 P.C.B. LP 1631 CPU 1 ………………….11-72 11.2.26 Heater board (4008 power supply unit) ………………. 11-74 11.2.27 Power board (4008 power supply unit) ………………11-75 12 Appendix Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 11
Error messages 7-1 Hydraulic unit, description 11-30 CALIBRATION menu structure 9-2 Error messages after turning Hydraulics unit 9-42 power on 7-28 CAN communication connection diagram 11-49 Error messages during dialysis 7-29 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 12
Tools (service equipment) 8-1 P.C.B. LP 632: DIP switch (array 2) 5-69 Traffic light (operation status indicator) 10-22 P.C.B. LP 634: DIP switch (array 1) 5-70 Transportation of hemodialysis unit 3-28 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 13
– Edition, e.g., 4/03.11 means, 4th edition, March 2011 – The page identification 1-3, for example refers, to chapter 1, page 3. Organization of the To facilitate the use of documents from Fresenius Medical Care, the chapters organization of the chapters has been standardized in all manuals. -
Page 14: Significance Of The Note
A T1 test and a check of the electrical safety must be performed after working on the device working on the device. The current Operating Instructions must be enclosed with the device. If necessary, additional operator training is required. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 15: Technical Documentation
Touching live parts will cause an electric shock. Disconnect the power plug before opening the device. Actuating the On / Off switch stops operation of the device, but does not disconnect the device from the supply voltage! Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 16: Addresses
Phone: +49 6172 609-0 www.fmc-ag.com International Fresenius Medical Care service Deutschland GmbH Service Support International Hafenstrasse 9 97424 Schweinfurt Germany Phone: +49 9721 678-333 (hotline) Fax: +49 9721 678-130 Local service Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 17: Installation
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. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 18: Important Information For Use In A Domestic Environment
Moving within a domestic (see Transportation of hemodialysis unit page 3-28) environment Initial start-up report See the following pages. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 19
Arterial zero point: 0 mmHg (±10 mmHg) CALIBRATION Yes No Venous zero point: 0 mmHg (±10 mmHg) CALIBRATION Yes No Check of the blood leak detector Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 20
Run the disinfection program. Cleaning / – – disinfection 14.4 Operating Instructions and accessories package complete and match the – – device. 14.5 Attach TSC inspection label. – – Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 21
The device has been released for further use Yes (attach inspection label). No Date of next inspection: Remarks: Date: Signature: Stamp: Warning On completion of these procedures it is imperative to run a disinfection. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 22: Explanations For The Initial Start-Up Report
Re 1.2 The following closing plugs have to be removed: – on the overflow tube of the heater block – on the disinfectant connector – on the water inlet plate Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 23
Re 2.1 Labels and identifications are present and legible (with illustrations below). 2 x label «Type label complete device“ Check device specification: Serial number Equipment code 1 x label «Made in Germany» Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 24
(monitor / chassis unit) 1 x label «Type label monitor unit / chassis unit“ 1 x label «Hot surface“ 1 x label «Power supply unit type label“ 1 x label «Hydraulic unit type label“ Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 25
Chapter 3: Installation 1 x label «Type label EBM“ 1 x label «Insert dialyzer lines here“ 1 x label «Refer to instruction manual/booklet“ Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 26
Chapter 3: Installation ® 1 x label „Hot rinse“ (DIASAFE plus) 1 x label „Hot rinse“ (overflow tube) 1 x label „Hot rinse“ (shunt interlock) 1 x label „Hot rinse“ (disinfection solution) 3-10 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 27
Chapter 3: Installation 1 x label „Potential equalization“ 1 x label «To / from dialyser“ 1 x label «CDS warning label“ (option) 1 x label «Water input / drain, max. 6 bar“ Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-11… -
Page 28
1 x label „max. 5 kg“ (IV pole) ® 1 x label „Hot rinse“ (bibag connector, on the outside) ® ® 1 x label „bibag “ (bibag connector, on the inside) 3-12 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 29
1 x label „Hot rinse“ (sealing cap, on the outside) 2 x Label «Warning label risk of hand injury» (EBM hinge bracket on the left and on the right) 1 x label „Warning“ (BPM connection) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-13… -
Page 30
Chapter 3: Installation 2 x labels «Tipping hazard» (housing left and housing right) Bed-Side-Link (option): 2 x label: „LAN“ and „CardBox“ 3-14 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 31
To be checked: – Tubings and cuff of BPM (option) Re 2.3 The power cable shows no signs of damage. Re 2.4 Blood pump emergency crank attached to housing rear. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-15… -
Page 32
(switch 3, 4, 5 to OFF and switch 7 depending on the heater rod) LP1631 – Without Central Delivery System: P.C.B. LP 1631: Array 2, switch 7 on ON LP1631 3-16 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 33
Rinse to remove any preservatives. Operating condition: Cleaning / rinsing – Turn the hemodialysis device on – Wait until the device is completely booted up. Then set the service switch (1) to ON (top). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-17… -
Page 34
Operating condition: Service mode / CALIBRATION Re 5 Check of the zero point of the pressure display (art./ven.) Re 5.1 Arterial zero point: 0 mmHg (±10 mmHg) Operating condition: Service mode / CALIBRATION 3-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 35
10 cm above the shunt interlock. CAL. DIAL. PRESSURE Conf Conf DIALYSATE Pressure see Part 14.1 Conf TMP-Check see Part 14.2 Conf PDIAL2 press-check see Part 14.3 Conf back to menu ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-19… -
Page 36
Operating condition: Service mode / CALIBRATION Re 9 Check of the extracorporeal components Re 9.1 Blood pumps: Check the blood pump rate. (see chapter 9.1.8 page 9-9). Operating condition: Service mode / CALIBRATION 3-20 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 37
The exact measuring points are indicated in the figures. – Heater rod — outward measurement point (screw head) (1) on the bottom right on the rear side of the device Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-21… -
Page 38
Chapter 3: Installation – Screw head (2) / monitor rear – Screw head (3) / power supply unit 3-22 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 39
Differential current measurement according to figure 5: Direct measurement according to fig. 4 The unit under test must be insulated when installed. All earth connections (e.g. potential equalization, …) have to be removed. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-23… -
Page 40
Last measured value: 390 µA 470 + (470 – 390) = 470 + 80 = 550 (-> not passed!) Re 11 Functional test Re 11.1 T1 test performed. Operating condition: T1 Test 3-24 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 41
– Use the syringe to generate a pressure of approx. 2 bar (see Checking the venous occlusion clamp page 9-51). – The pressure may not drop by more than 0.1 bar within 3 minutes. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-25… -
Page 42
Check the desired temperature of 36.5 °C (±0.2 °C) using a reference measuring instrument connected between the dialyzer couplings. – Optical detector = dark (NTC 109 is active) – Flow = 500 ml/min 3-26 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 43
Date of next inspection: The next inspection date has to be entered in the report. The intervals prescribed by the manufacturer must be observed. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-27… -
Page 44: Transportation Of Hemodialysis Unit
Risk of tilting when pushing the device or leaning against it If lateral force is exerted it may result in tilting or slipping of the device. Check transportation conditions are as stated. 3-28 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 45
After transportation – After moving the device, bring the hemodialysis device back into service (see Restarting after removing 4008 from Service). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-29… -
Page 46
Chapter 3: Installation 3-30 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 47: Specifications
Empty weight incl. all options: approx. 86 kg Safe working load: approx. 39 kg Maximum total weight: approx. 125 kg (Empty weight incl. all options + safe working load = maximum total weight) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 48: Type Label (Identification Of The Device)
Manufacturer with date of manufacture as year digit Operating temperature range Power requirements (voltage / power consumption) Maximum total weight (empty weight + safe working load) Serial number Type identification Equipment code (EC) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 49: Operating Environment
Degree of protection Defibrillator-protected applied part of type CF against electric shock (blood pressure cuff) Degree of protection drip-proof against ingress of liquids Leakage currents according to IEC 60601-1 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 50: Electrical Supply
1 x T 3.15 A; power supply unit, fuse in housing foot (rear) / SI5 Power board T 3.15 A Safety fuse Axial FF 10 A Safety fuse Heater board T 2.5 A Safety fuse T 6.3 A Safety fuse T 16 A Safety fuse Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 51: Supply Mains
Recommendation: one residual-current device for each device (or outlet) (RCD less than or equal to 30 mA). – Overvoltage / lightning protection in the main and emergency power supply. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 52
(B / BF / CF) Housing leakage currents of all types 10 times higher than ”CF” Via the blood and patient leakage current! the dialysate, the patient is electrically connected to the earth potential. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 53
Additionally, the room must comprise a potential equalization. For further information see IEC 60364-7-710. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 54: Guidance And Manufacturer’s Declaration For Emc (Iec 60601-1-2)
±1 kV differential ±1 kV differential Mains power quality should be that of a IEC 61000-4-5 mode mode typical commercial and / or hospital ±2 kV common mode ±2 kV common mode environment. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 55
Interference may occur in the vicinity of equipment marked with the following symbol. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 56: Recommended Separation Distances Between Portable And Mobile Rf
(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. 4-10 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 57: Operating Conditions
*AL = Action Level. ISO 13959:2009: Concentration from which on steps should be taken to interrupt the trend towards higher, unacceptable values. The value usually is about 50% of the alarm limit. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 4-11…
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Page 58: Consumption Data / Energy Data
Other data is available from the manufacturer on request. Average water Dialysis: approx. 30 liters consumption Disinfection: approx. 14.5 liters Heat disinfection: approx. 10.5 liters Mean acid concentrate Dialysis (mixing ratio 1+44 ACF): approx. 0.7 liters consumption 4-12 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 59: Storage Conditions
IEC or ISO standards (e.g., IEC 60950-1 for information technology equipment). Furthermore, all device configurations shall comply with the requirements for medical electrical systems (see Chapter 16 and Appendix I to EN 60601-1:2006). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 4-13…
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Page 60: Override Conditions
Mute alarm time: adjustable in the SETUP MENU from 1 minute to 2 minutes (factory setting: 1 minute) Any new alarm reactivates the silenced audible alarm. Blood leak override Override time: 2 minutes 4-14 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 61: Materials Used
4.14 Materials used Plastics Description Use in the dialysis circuit EPDM PA (PA 6.6) PBT / ABS GF 20 PC+ABS PE (soft) PEEK Polyester PP-H PP(E) PPSU Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 4-15…
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Page 62
CM/ EPDM-L EPDM Metals / glass Description Use in the dialysis circuit Graphite Glass Aluminum Sheet copper Steel sheet Aluminum sheet St37K 1.4300 1.4301 1.4305 1.4401 1.4404 / 1.4435 4-16 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 63
Synchroflex (toothed belt) Sirex PU foam (insulating boards), open-pored, adhesive on one side Ceramics Miscellaneous – adhesives Description Use in the dialysis circuit Loctite Scotch-Weld DP 460 Scotch-Weld V 23 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 4-17… -
Page 64
Dilution: Type FS 225 Screening lacquer: Elektro DAG 438/ Fa. Acheson Screwlock Loctite 243 Miscellaneous – packaging Description Use in the dialysis circuit Ethafoam (polystyrene) Corrugated cardboard Cellular rubber Wooden pallet 4-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 65
Potting compound PU 151/20, UP resin, Iron core Copper + tin, Plug connectors glassfiber enforced thermoplast P.C.B. base material, epoxy fiberglass Electronic components Ferrite cores, lithium batteries, lead-acid battery Copper, PVC, Teflon Cables Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 4-19… -
Page 66
Chapter 4: Specifications 4-20 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 67: Setup / Service Program
Setting the service switch to ON while the treatment or the cleaning program is in progress will turn off the heater relay. 5.1.1 Service mode overview CALIBRATION DIAGNOSTICS MISCELLANEOUS SETUP MENU Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 68: Service Mode Key Functions
Scrolling through menu items / Selecting a menu item Conf Changing values and functions in the menus + / – Storing the modified values (Audio paused) Exiting a menu without saving the data Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 69: Setup Menu
SET BPM see Part 22 Conf Conf UF EINSTELLUNGEN see Part 11 STORE DEFAULT VALUES see Part 23 Conf Conf SET STD. PRIME-TIME see Part 12 BACK TO MAIN MENU ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 70: Part 1: Setting Alarm And Warning Times
Set ART-AL DELAYTIME Conf Art Al Delay = 5s Set the desired delay time (0 to 5 seconds) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 seconds Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 71
Part 1.4: Setting the UF warning time Set UF-WARNING-TIME Conf UF-Warn-Time = 10min Set the desired warning time (10, 30 min) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 seconds Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 72: Part 2: Setting The Cleaning Program
3 seconds 5.1.3.3 Part 2: Setting the cleaning program SETUP CLEANING PGM Conf Conf CLEANING Times see Part 2.1 Conf DEFAULT Cleaning Pgm see Part 2.2 Conf back to menu ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 73
Part 2.1.1: Rinsing time Rinsing TIME Conf Rinsing Time = 15min Set the desired time (5 to 30 min) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 seconds Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 74
Part 2.1.4: Rinsing free time Rinsing Free TIME Conf R.-Free Time = 6min Set the desired time by pressing the +/– keys. Audio paused DATA STORED After approx. 3 seconds Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 75
Part 2.1.7: Citro mandatory rinsing time CITRO-Mandat-Ri-Time Conf CITRO-MRTime = 10min Set the desired time (10 to 25 min) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 seconds Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 76
PGM 2: -F-HDIS-M- DATA STORED 3 seconds +/– Audio After PGM 3: -F-D-M-HR- paused DATA STORED approx. 3 seconds +/– Audio After PGM 4: -F-HDIS-M-HR- paused DATA STORED approx. 3 seconds +/– 5-10 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 77: Part 3: Mixing Ratio
After paused canister 1+44 C DATA STORED approx. 3 s +/– Audio After canister 1+44 ACF paused DATA STORED approx. 3 s +/– Conf VARIABLE SETTING See Part 3.1 +/– Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-11…
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Page 78
CDS 1+44 C +/– CDS 1+34 Audio After paused DATA STORED Audio approx. 3 s canister 1+44 ACF paused ACKNOWLEDGED +/– CDS 1+44 C +/– Conf VARIABLE SETTING See Part 3.1 +/– 5-12 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 79
1+44 ACF paused ACKNOWLEDGED CDS 1+34 paused DATA STORED approx. 3 s +/– Audio Conf After VARIABLE SETTING see Part 3.1 CDS 1+34 paused DATA STORED approx. 3 s +/– Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-13… -
Page 80
+/– keys. Audio paused ACKNOWLEDGED After approx. 3 s Na(B)[mmol]: 25 Set the desired value (25 to 80) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 s 5-14 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 81: Part 4: Setting The Conductivity Limit
AdaptedFlow ON/OFF see Part 6.1 Conf SET Flow Parameter see Part 6.2 Conf SET Temp. Parameter see Part 6.3 Conf SET Na/Bic Parameter see Part 6.4 Conf back to menu ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-15…
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Page 82
Conf Optional AdpFlow factor: 1.9 Set the desired value (from 1.0 to 2.0, except 1.2 and 1.5) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 s 5-16 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 83
SET Temp. Parameter Conf Temp.[°C]: 36,5 Set the desired value (35.0 to 39.0) by pressing the +/– keys. Value set in Dial Audio paused DATA STORED After approx. 3 s Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-17… -
Page 84
Audio paused ACKNOWLEDGED After approx. 3 s Limit Na/Base 13mmol Set the desired value (0 – 13) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 s 5-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 85: Part 7: Cumulated Blood Volume
OCM MEASUREMENT Conf Audio After OCM Measurement: OFF paused DATA STORED approx. 3 s (default +/– value: OFF) Audio After paused OCM Measurement: ON DATA STORED approx. 3 s +/– Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-19…
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Page 86: Part 9: Automatically Starting Single-Needle Mode
5.1.3.10 Part 9: Automatically starting Single-Needle mode AUTOM. SN-START Conf Audio After paused autom. SN: OFF DATA STORED approx. 3 s +/– Audio After autom. SN: ON paused DATA STORED approx. 3 s +/– 5-20 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 87: Part 10: Activating Monit_Ntc 109
5.1.3.13 Part 12: Setting the priming time SET STD. PRIME-TIME Conf Prime-Time = 2min Set the desired time (1 to 5 min) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 s Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-21…
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Page 88: Part 13: Sound I/O Switch
In dialysis mode, the BPR/UFR warning must always be enabled, i.e. «ON». BPR/UFR-WARNING Conf Audio After paused BPR/UFR-Warning: ON DATA STORED approx. 3 s +/– Audio After BPR/UFR-Warning: OFF paused DATA STORED approx. 3 s +/– 5-22 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 89: Part 16: Setting The Rinse Volume
+/– 5.1.3.19 Part 18: Setting the venous alarm window VENOUS LIMITS Conf Conf ASYM. LIMITS see Part 18.1 Conf VEN. WINDOW POSITION see Part 18.2 Conf back to menu ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-23…
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Page 90: Part 19: Setting Central Delivery
5.1.3.21 Part 20: AutoOFF after AutoON AutoOFF after AutoON Conf Audio After paused Auto OFF: OFF DATA STORED approx. 3 s +/– Audio After Auto OFF: ON paused DATA STORED approx. 3 s +/– 5-24 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 91: Part 21: Camus Baud Rate
Upper MAP limit see Part 22.6 Conf Lower MAP limit see Part 22.7 Conf Upper Pulse limit see Part 22.8 Conf Lower Pulse limit see Part 22.9 Conf back to menu ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-25…
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Page 92
Conf Lower SYS = 90mmHg Set the desired value (30 to 245 mmHg in 5 mmHg increments) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 s 5-26 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 93
Conf Upper MAP = 120mmHg Set the desired value (75 to 255 mmHg in 5 mmHg increments) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 s Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-27… -
Page 94
Low. Pulse = 60/min Set the desired value (20 to 175 per min in 5 per min increments) by pressing the +/– keys. Audio paused DATA STORED After approx. 3 s 5-28 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 95: Part 23: Storing Default Values
PGM 1: -R- PGM 1: -R- PGM 2: -R- endless PGM 1: -F-HR-C- PGM 2: -F-HR- PGM 3: -IHR- PGM 1: -F-D-M- PGM 2: -F-HDIS-M- PGM 3: -F-D-M-HR- PGM 4: -F-HDIS-M-HR- Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-29…
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Page 96
BPR/UFR warning: ON BPR/UFR warning: ON BPR/UFR warning: OFF SET RINSE-VOLUME RINSE-VOL: 1000 ml 1000 ml 0–5000 ml 100 ml T1-TEST AUTOSTART T1-T. Autostart: OFF T1-T. Autostart: OFF T1-T. Autostart: ON 5-30 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 97
70 mmHg 20-230 mmHg 5 mmHg Upper Pulse limit 120 1/min 45–245 1/min 5 1/min Lower Pulse limit 60 1/min 20-175 1/min 5 1/min STORE DEFAULT VALUES Press Audio paused key Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-31… -
Page 98: Diagnostics
The active signal state (may indicate both voltage and no voltage) is indicated by 1111 on the display (fields to ), by the operation status indicators being activated and by an audible signal. 5-32 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 99
The four arrow keys, the On/Off key and the Conf key are not implemented because their function can be checked by selecting the appropriate menu. The fields to in the display are defined as follows: XXXX XXXX XXXX XXXX Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-33… -
Page 100: Diagnostics Menu Structure
Conf back to menu ? Conf Conf Conf Conf CAN-COMPONENTS see Part 10 Conf back to menu ? Conf Conf see Part 11 Conf Conf BACK TO MAIN MENU ? 5-34 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 101: Reading The Analog Inputs Of Cpu 1
0 V, IC 27/27, ADC 0 E: CPU1_P_VEN Venous pressure 0–12 V, IC 27/28, ADC 0–255 E: CPU1_BPR_VEN Venous blood pump rate 0-10 V, IC 27/1, ADC 0-215 (Line diameter: 8 mm) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-35…
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Page 102
E: CPU1_FREE1 Not used 0 V, IC 29/26, ADC 0 E: CPU1_TEMP_DIAL2 Temperature NTC 109 0–12 V, IC 29/27, ADC 0–255 E: CPU1_COND_SIGNAL2 Not used 0 V, IC 29/28, ADC 0 5-36 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 103: Reading The Analog Inputs Of Cpu 2
E: CPU2_P_DIAL Dialysate pressure 0-10 V, IC 12/9, ADC 0-231 E: CPU2_COND_SIGNAL CD display 0-10.8 V, IC 12/8, ADC 0-251 E: CPU2_TEMP_DIAL1 Temperature display 0-10.8 V, IC 12/7, ADC 0-251 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-37…
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Page 104: Reading The Digital Inputs Of Cpu 1
Audio paused key. In this case, the Audio paused LED is lit. Part 3 Conf Conf CPU1: RD DIGITAL INP I: CPU1_COND_V84 back to menu ? 5-38 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 105
LD alarm channel 2 IC 13/7 Preparation: LD alarm-free, and set CLAMP_CTRL (CPU 1: WR DIGIT. OUTPUT) to 1. Test: Initiate LD alarm E: CPU1_SUB_W_P Feedback from UF pump 2 IC 13/8 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-39… -
Page 106
Shunt interlock microswitch IC 15/6 Only red tube in shunt interlock and shunt interlock closed: 0 E: CPU1_SHUNT Shunt interlock microswitch IC 15/7 Open/close shunt interlock E: CPU1_SERV_EN Not used IC 15/8 5-40 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 107
External alarm IC 20/2 Initiate an external alarm E: CPU1_SERVICE_MODE Switching Dialysis / Service mode IC 20/3 Toggle the service switch E: CPU1_LEVEL_UP Raise LD level IC 20/4 Actuate Raise level Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-41… -
Page 108
E: CPU1_LATCH7_FREE1 Not used IC 7/2 E: CPU1_LATCH7_FREE2 Not used IC 7/3 E: CPU1_LATCH7_FREE3 Not used IC 7/4 E: CPU1_LATCH7_FREE4 Not used IC 7/5 E: CPU1_LATCH7_FREE5 Not used IC 7/6 5-42 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 109: Reading The Digital Inputs Of Cpu 2
If high level is applied, an audible alarm is active at the same time. This can be suppressed by pressing the Audio paused key. In this case, the Audio paused LED is lit. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-43…
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Page 110
IC 5/6, LD alarm / alarm-free E: CPU2_LDA2 LD alarm channel 2 IC 5/7 Preparation: LD alarm-free, and set CLAMP_CTRL (CPU1: WR DIGIT. OUTP) to 1 Test: Initiate LD alarm 5-44 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 111
Concentrate reed contact IC 7/2 Actuate rinse chamber / concentrate reed contact E: CPU2_V147 IC 7/3 E: CPU2_REED_BIC Bicarbonate reed contact IC 7/4 Actuate rinse chamber / bicarbonate reed contact Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-45… -
Page 112
(1: DIP switch ON) E: CPU2_DIP2: 11000001 DIP switch CPU 2, array 2 IC 10/2–9 DIP switch position shown on the display (1: DIP switch ON) Back to menu ? 5-46 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 113: Setting The Analog Outputs Of Cpu 1
0–4.4 V (X634L/ between A, B, C 27 and A, B, C 28, 0–21 V) A: CPU1_STEUER_FP Flow pump speed setting IC 18-A_19 0–4.4 V (X634L/ between A, B, C 29 and A, B, C 30, 0–21 V) Back to menu ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-47…
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Page 114: Setting The Analog Outputs Of Cpu 2
Setting the digital outputs of CPU 1 Explanation Display (field ): 0000 = not active 1111 = active (level P.C.B. LP 634) (adjustable by pressing the + / – keys) 5-48 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 115
(Valve automatically closes after a short time to prevent water from overflowing) A: CPU1_V43 Valve 43 IC 7/15 A: CPU1_V84 Valve 84 IC 7/18 Note: Activation of valve V84 must be followed by a rinse program. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-49… -
Page 116
Flow pump stop IC 4/15 A: CPU1_SET_UF1_ON UF pump 1 activation IC 4/14 (0/1 jump = 1 stroke) A: CPU1_SET_UF2_ON UF pump 2 activation IC 4/13 (0/1 jump = 1 stroke) 5-50 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 117
IC 5/16 to 0: intrinsic clock pulse; to 1: current increase switchover A: CPU1_BC_PULSE Balancing chamber switchover IC 5/15 A: CPU1_EN_STEP_PULS Gal switchover IC 5/14 A: CPU1_BC_FUNCTION Balancing chamber Gal switchover IC 5/13 A: CPU1_STEPPER_PULS Intrinsic clock pulse IC 5/12 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-51… -
Page 118
A: CPU1_HOT_RINSE Hot rinse switchover IC 11/17 A: CPU1_TEST_BATT Battery test IC 11/16 A: CPU1_CPU_AKKU Battery relay IC 11/15 A: CPU1_HEAT_OFF Heater blockage IC 11/14 A: CPU1_STAFF_CALL Staff call IC 11/13 5-52 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 119
P.C.B. LP 922/X5.5 A: CPU1_OVERLAP_VALUE Loads the dead time counter IC 3/12-19 (DAC 0–255 adjustable) A: CPU1_V_ADS Not used A: CPU1_NC_I Not used A: CPU1_NC_II Not used A: CPU1_NC_III Not used Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-53… -
Page 120: Setting The Digital Outputs Of Cpu 2
Preparation: Activate V 24B (CPU1: WR DIGIT. OUTP) Test: Switch valve on / off with V 24B_EN A: CPU2_UF_P_CTRL UF pump 1 activation IC 24/14, 0/1 jump = 1 stroke Preparation: Set CPU2_UF_P_EN to 1. 5-54 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 121
Optical LD system weakened X632/C15 A: CPU2_CLAMP_CTRL Air detector clamp control X632/C10 Preparation: Air detector alarm-free A: CPU2_NC5 Not used X632/B25 A: CPU2_NC7 Not used X632/B10 A: CPU2_BLL_DET Blood leak detector detuning X632/A25 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-55… -
Page 122
A: CPU2_LED6 P.C.B. LP 632 LED 6 IC 21/14 A: CPU2_LED7 P.C.B. LP 632 LED 7 IC 21/13 A: CPU2_LED8 P.C.B. LP 632 LED 8 IC 21/12 Back to menu ? 5-56 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 123: Setting / Reading The Digital Outputs Of Cpu 1
Feedback P.C.B. LP 633-5/IC 13/6 (If setting from 0 to 1 = 1 stroke; feedback is brief jump to 1) CPU 1_COMBI: AIR_SEP ASP activation / deactivation Back to menu ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-57…
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Page 124: Hpu
A:WTR_AIR_P Compressor Conf back to menu ? A:WTR_V_TEST Test valve V183 A:WTR_V39 Negative pressure valve A:WTR_RETENT_V Retentate valve V189 A:WTR_V_EVAC_INDI implemented A:WTR_V_EVAC_SOD Evacuation valve V188 Conf back to menu ? 5-58 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 125: Bpm (Option)
Field 2, after approx. 3 minutes: Final pressure in mmHg (Tolerance: +/– 3 mmHg) Field 3: Leakage in mmHg (Tolerance: +/– 2 mmHg) Field 4: Leakage rate in mmHg (< 6 mmHg/min) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-59…
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Page 126: Miscellaneous
SYSTEM CLOCK see Part 1 SW-VERSION-NUMBER see Part 2 Conf Conf BACK TO MAIN MENU ? see Part 3 Conf SYSTEM CLOCK see Part 1 Conf BACK TO MAIN MENU ? 5-60 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 127: System Clock
Conf Press the +/– keys to set the seconds, day, month and year in the same way. Audio paused DATA STORED After approx. 3 s Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-61…
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Page 128: Sw-Version-Number
BPM (option) Part 3 Conf Conf Serial number XXXXXXXX Conf Serial number BPU XXXXXXXXXX Conf Operating hours XXXXXXXXX h Conf No. meas. cycles XXXXXXXXXX Conf back to menu ? 5-62 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 129: Calibration
Chapter 5: Setup / service program 5.1.6 CALIBRATION For a description of the CALIBRATION service menu, please refer to Chapter Calibration / adjustment (see chapter 9.1 page 9-1). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-63…
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Page 130: Dip Switch Overview
T1 test 500 ml/min / cleaning 600 ml/min T1 test 800 ml/min / cleaning 800 ml/min The basic position on delivery is in italics. «No assignment» requires the OFF position. 5-64 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 131: Lp 1631 (Cpu 1) Dip Switch Array 2
The basic position on delivery is in italics. «No assignment» requires the OFF position. * DIP switch 7 is no longer relevant if DIP switch 8 is set to ON. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-65…
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Page 132: Lp 1631 (Cpu 1) Dip Switch Array 3
P.C.B. LP 1631 (CPU 1) DIP switch array 3 LP1631 DIP switch / Function Position Language setting English German French Portuguese Spanish Czech Russian Turkish Polish Bulgarian Greek Arabic Slovenian Serbian Romanian Lithuanian Macedonian Croatian Chinese Hebrew Swedish 5-66 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 133
Chapter 5: Setup / service program DIP switch / Function Position Software update with SD-card Active Not active not assigned The basic position on delivery is in italics. «No assignment» requires the OFF position. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-67… -
Page 134: Lp 632 (Cpu 2) Dip Switch Array 1
Every 12.5 minutes, alarm output only with cyclic PHT alarm Cyclic PHT Air Detector Not permitted with P.C.B. LP 450-2 not assigned The basic position on delivery is in italics. «No assignment» requires the OFF position. 5-68 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 135: Lp 632 (Cpu 2) Dip Switch Array 2
With HPU Not permitted V39 Test Fast heater for HDIS Inactive Active not assigned not assigned The basic position on delivery is in italics. «No assignment» requires the OFF position. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-69…
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Page 136: Lp 634: Dip Switch (Array 1)
If an alarm system is set for which the staff has not been trained yet, instructions must be given prior to the first treatment. In the Treatment types menu, you can select between the Acute alarm system (default setting) or the Standard alarm system. 5-70 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 137: Software Update
D8 serve for evaluating the error (see Error code table page 5-72). 5. Turn the device off 6. Re-set DIP switch 7 to OFF 7. The SD-card may be removed or remain inserted Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-71…
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Page 138: Error Code Table
Memory location in the update client not written on correctly / Repeat update (change MDC-II board, if necessary) Transfer buffer underrun / Communication error, repeat update (change LP 1631 or MDC-II board, if necessary) 5-72 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 139
Communication error, repeat update (change LP 1631 or MDC-II board, if necessary) Data block acknowledge – error 5 / Communication error, repeat update (change LP 1631 or MDC-II board, if necessary) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-73… -
Page 140: Service Program (Quick Guide)
With the Service Software 4008 application open, use «Help» from the menu bar to access the Quick Guide, as follows: → → «Help“ «Help Topics“ (1) → → „Help“ „Context Help“ (2) (see Fig. below) 5-74 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 141
«Documentation» directly from the folder on the corresponding drive (3). The «Documentation» folder contains the German and the English version of the Quick Guide in PDF format (4) (see following Fig.). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 5-75… -
Page 142
Chapter 5: Setup / service program 5-76 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 143: Tsc / Maintenance
Specifications The technical specifications must be adhered to. Warning When the device is returned to use, check that the pressure of the water supply meets the prescribed minimum pressure. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 144: Accessories And Supplies
TSC / MA test report See the following pages. This report differs from the TSC test report in the first column Type (e.g., TSC, MA) and the maintenance items (see chapter 6.5 page 6-32). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 145
– Array 2, switch 5 is on OFF ® DIASAFE plus ® DIASAFE plus filter life checked. – – Hydrophobic filter (F111) and hydrophobic filter / test valve (F184) – – replaced. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 146
– 100 mmHg / ±3 mmHg – 50 mmHg / ±3 mmHg 11.5 Safety valve: Emptied at 320 mmHg ±10 mmHg DIAGNOSTICS – – 11.6 Blood pressure measurement performed. Preparation – – Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 147
The device has been released for further use Yes (attach inspection label). No Date of next inspection: Remarks: Date: Signature: Stamp: Warning On completion of these procedures it is imperative to run a disinfection. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 148: Explanations On The Test Report — Tsc / Ma Tsc, Explanations On Test Report
The battery fuse accessible (see illustration below) (1) from the outside corresponds to the indicated value. Alternative to checking the fuse: If the seal is undamaged, the battery fuse does not have to be checked. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 149
Re 1.2 Labels and identifications are present and legible (with illustrations below). 2 x label «Type label complete device“ Check device specification: Serial number Equipment code 1 x label «Made in Germany» Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 150
(monitor / chassis unit) 1 x label «Type label monitor unit / chassis unit“ 1 x label «Hot surface“ 1 x label «Power supply unit type label“ 1 x label «Hydraulic unit type label“ Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 151
Chapter 6: TSC / maintenance 1 x label «Type label EBM“ 1 x label «Insert dialyzer lines here“ 1 x label «Refer to instruction manual/booklet“ Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 152
Chapter 6: TSC / maintenance ® 1 x label „Hot rinse“ (DIASAFE plus) 1 x label „Hot rinse“ (overflow tube) 1 x label „Hot rinse“ (shunt interlock) 1 x label „Hot rinse“ (disinfection solution) 6-10 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 153
Chapter 6: TSC / maintenance 1 x label „Potential equalization“ 1 x label «To / from dialyser“ 1 x label «CDS warning label“ (option) 1 x label «Water input / drain, max. 6 bar“ Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-11… -
Page 154
1 x label „max. 5 kg“ (IV pole) ® 1 x label „Hot rinse“ (bibag connector, on the outside) ® ® 1 x label „bibag “ (bibag connector, on the inside) 6-12 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 155
1 x label „Hot rinse“ (sealing cap, on the outside) 2 x Label «Warning label risk of hand injury» (EBM hinge bracket on the left and on the right) 1 x label „Warning“ (BPM connection) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-13… -
Page 156
Chapter 6: TSC / maintenance 2 x labels «Tipping hazard» (housing left and housing right) Bed-Side-Link (option): 2 x label: „LAN“ and „CardBox“ 6-14 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 157
Mechanical condition permits further safe use. There are no signs of damage or contamination affecting proper function of the device. To be checked: – Tubings and cuff of BPM (option) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-15… -
Page 158
Replace the filters in the suction tubes: – Filter / concentrate (F71) – Filter / bicarbonate (F72) Re 2.4 Replace the vent valve (V92). With CDS option, replace the concentrate check valve (V117). 6-16 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 159
Replace filter / degassing orifice (F210) (if present). ® Re 2.13 bibag connector (H136), replace O-rings. Grease the O-rings with Unisilkon grease before installation. Re 2.14 Replace shabby and/or dirty tubes. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-17… -
Page 160
The basic settings of the DIP switches are marked red in the illustrations below. A detailed overview can be found in chapter 5 (see chapter 5.2 page 5-64). Check of the DIP switches P.C.B. LP 1631 (CPU 1): 6-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 161
– Array 2, switch 5 is on OFF LP632 ® Re 4 DIASAFE plus ® Re 4.1 Check of the DIASAFE plus filter life, maximum filter life: 12 weeks. Operating condition: Off Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-19… -
Page 162
(measuring point D in HU). The negative pressure must be between 0.81 bar and 0.85 bar. Re 7.4 Check balancing chamber relief pressure at a flow of 800 ml/min (relief valve A78). 6-20 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 163
Re 8.2 Measure the volume of the concentrate pump in liters or compare with an appropriate reference device. If necessary, make settings according to calibration instructions. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-21… -
Page 164
Re 9.3 Arterial and Single-Needle blood pump. Operating condition: Service mode / CALIBRATION Check the blood pump rate under CALIB. (B)-PUMP-RATE. Calibrating the blood pump rate (see chapter 9.1.8 page 9-9) 6-22 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 165
– Venous pressure inlet open against atmosphere – Flow off Check zero point. With the dialysate circuit open, the water level must be approx. 10 cm above the shunt interlock. Check slope. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-23… -
Page 166
After the system has recognized that the circuit is open, the flow is switched on automatically. Wait for MUTE-LED The Audio paused LED is flashing. Audio paused DATA STORED After approx. 3 s 6-24 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 167
The venous occlusion clamp must close in the event of a blood alarm. Operating condition: Preparation Re 10.6 Air detector, check the venous occlusion clamp. Pressure may not drop by more than 0.1 bar within 3 minutes. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-25… -
Page 168
Remove any differences by running a calibration program. Re 10.8 Desired temperature 36.5 °C ±0.2 °C checked with reference device. Operating condition: Dialysis The device must be entirely closed during this check! 6-26 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 169
– 200 mmHg / ±3 mmHg – 150 mmHg / ±3 mmHg – 100 mmHg / ±3 mmHg – 50 mmHg / ±3 mmHg Operating condition: Service mode / DIAGNOSTICS Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-27… -
Page 170
Max. 0.3 (with power cable). Operating condition: Off The protective earth resistance must be checked on the following measurement points. The exact measuring points are indicated in the figures. 6-28 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 171
– Heater rod — outward measurement point (screw head) (1) on the bottom right on the rear side of the device – Screw head (2) / monitor rear – Screw head (3) / power supply unit Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-29… -
Page 172
Differential current measurement according to figure 5: Direct measurement according to fig. 4: The unit under test must be insulated when installed. All earth connections (e.g. potential equalization, …) have to be removed. 6-30 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 173
470 + (470 – 390) = 470 + 80 = 550 (-> not passed!) Re 13 Functional test Re 13.1 T1 test performed. Operating condition: T1 Test T1 test passed without errors. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-31… -
Page 174: Test Report — Tsc
The explanations on this report can be found on the previous pages (see chapter 6.4 page 6-6). TSC report numbering Numbers, which are not listed here, are not included in the TSC. They are part of the Maintenance procedures. 6-32 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 175
– – 50 mmHg / ±3 mmHg – 11.5 Safety valve: Emptied at 320 mmHg ±10 mmHg DIAGNOSTICS – – 11.6 Blood pressure measurement performed. Preparation – – Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 6-33… -
Page 176
The device has been released for further use Yes (attach inspection label). No Date of next inspection: Remarks: Date: Signature: Stamp: Warning On completion of these procedures it is imperative to run a disinfection. 6-34 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 177: Error Messages
(V24 = off, V26 = on, V24B = off). – Acknowledgement (V24, X637/C1) X632/A4 not 24 V – Acknowledgement (V26, X637/C2) X632/A6 not 0 V – Acknowledgement (V24B, X637/C23) X632/A5 not 24 V Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 178: Opt. Detector Test
CPU2 recognizes that the optical detector senses opaque fluid (required because of the test in the cleaning program). – Acknowledgement X632/A30 not 12 V. – AD28 defective F95 opt. Detector System error Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 179: Blood System Test
– Control line (BPSST_VEN, X634L/B15) X348V/1 not 12 V or (BPST_VEN, X634L/A15) X348V/3 not 12 V – IC16 on P.C.B. LP 633-5 defective. – P.C.B. LP 633-5 recognizes Single-Needle pump although it is not connected. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 180
– Acknowledgement line (BPUS, X348A/8) X632/A13 not 0 V – Acknowledgement line (BPUS, X348A/8) X632/A13 not 12 V – Blood pump speed is set to “0”: preset speed during the T1 test Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 181: Ven. Pressure System Test
– Control (VENT_VALVE, X634R/C18) X351/1 of the vent valve in the LD is defective – Acknowledgement (P_VEN, X351/4) X632L/C17 that the voltage value is outside the zero point tolerance – P-venous has not been calibrated Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 182: Air Detector Test
Closing of the air detector clamp via the CPU1 control line was not possible, or CPU2 acknowledgement is incorrect. – Clamp control (CLP_CTL, X634/C14) X351/8 not 0 V. – Acknowledgement (LDA2, X351/6) X632/C14 not 0 V Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 183
6.5–13.5 V after 3 seconds. – Adapter board AD28 not connected – Acknowledgement (X351/11 X633L/25A jumper to X633L/ B7) not 12 V – Relay on AD28 failed to drop. F95 Air Detector System error Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 184: Display Test
– The test level is incorrect (TESTBATT, X634R/C23) X639/A10, no 12 V pulse (100 ms) – Fuse in the base is defective – R39 on P.C.B. LP 647 defective, possibly caused by flickering power supply unit F95 Battery System error Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 185: Blood Leak Test
The actual temperature is higher than 39.0 °C (test running time 15> 15 minutes). – Calibrate the temperature – The regulating sensor (NTC-2) is defective – Acknowledgement (T_DIAL1, X633L/B16) X632/A24, voltage got stuck. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 186: Negative Pressure Test (Negative Pressure Holding Test)
– The D-A converter (IC11) on P.C.B. LP 632 is defective – The operational amplifier (IC1/IC3) on P.C.B. LP 632 is defective – Acknowledgement (P_DIAL, X633L/B6) X632/A29 is defective – CI signal is missing (P.C.B. LP 632 X632/B22). 7-10 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 187: Positive Pressure Test (Positive Pressure Holding Test)
– Solenoid valve V26 mechanically not open – Solenoid valve V43 mechanically not closed The balancing chamber is switched to passage during this test sequence. V24, V24B and V43 are closed; V26 is open. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-11…
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Page 188
The second working point (116 digits) of the differential amplifier cannot be set correctly. – The D-A converter (IC11) on P.C.B. LP 632 is defective – The operational amplifier (IC1/IC3) on P.C.B. LP 632 is defective 7-12 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 189
– The D-A converter (IC11) on P.C.B. LP 632 is defective – The operational amplifier (IC1/IC3) on P.C.B. LP 632 is defective – Acknowledgement (P_DIAL, X633L/B6) X632/A29 is defective Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-13… -
Page 190: Uf Function Test
No activity of the UF pump 1 during the test (5 seconds). – Acknowledgement (UF_P1, X637/B23) X632/A7, no LOW pulses. – Control line (UF_P1, X634L/ABC23) X637/B23, no LOW pulses. 7-14 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 191: Conductivity Test
The bibag CD detuning is not more than 1 mS/cm. – Acknowledgement (COND_SIGNAL3, X633R/A12) MP TP3 on P.C.B. LP 633-5, change in voltage insufficient – Detuning (COND_DET, X632/A21) X633L/B31 insufficient Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-15…
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Page 192: Diasafe Plus Test/ Hpu Test
V183 in the system. – V183 fails to open, mechanically defective – Compressor P185 defective, not running – HPU, V183 and / or compressor P185 output stage etc. defective 7-16 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 193
F43 DIASAFE plus See error message between F03 and F04 DIASAFE plus F44 DIASAFE plus See error message between F03 and F04 DIASAFE plus F95 DIASAFE plus System error F95 HPU Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-17… -
Page 194: Device Error During Cleaning Programs
Dis I – IV. Another possibility of correcting the problem can be found in the service mode (by a service technician only) in the NOVRAM menu item (clear V84 malfunction). 7-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 195: Psw (Pressure Switch) Monitoring During Free Rinsing (Only With Devices With Cds)
– Check acknowledgement of pressure switch on P.C.B. LP 633-5: Bicarbonate: X633L/A19 – Cartridge filter (F210) upstream of degassing pump clogged or wrong filter (filter for disinfectant container) installed. Filters can be distinguished by different adapters. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-19…
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Page 196
– Switching point of pressure switch too low: Desired= 700 mbar ±20 mbar – Check acknowledgement of pressure switch on P.C.B. LP 633-5: Bicarbonate: X633L/A19 7-20 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 197
However, this message is displayed only if a mandatory rinse program is requested, since the concentrate and bicarbonate lines still have to be emptied before the device is switched off. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-21… -
Page 198: Rinse Section Test (Check Of V91, V99, V100) (Only Devices With Cds)
– Pressure switch for PSW_102 (S123) fails to open Rinse Failure F14 Shortly before the end of the mandatory rinse in Dis I – V. Rinse section test not completed correctly. Possibly caused by flow problems. 7-22 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 199: Rinse Section Test (Check Of V91 And V98) (Only Devices Without Cds)
– V100 fails to open mechanically (possibly clogged) – V91 constantly electrically or mechanically open – Concentrate pump fails to pump – Filter (148) clogged – Pressure switch fails to open Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-23…
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Page 200
– Concentrate line squeezed at strain relief Rinse Failure F14 Shortly before the end of the mandatory rinse in Dis I – V. Rinse section test not completed correctly. Possibly caused by flow problems. 7-24 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 201: V39 Test
CPU-II failed During a cleaning program in RI I to II, HR I to III, Dis I to V. The watchdog relay has dropped. Communication (RxD or TxD) may be disturbed. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-25…
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Page 202
During a cleaning program in RI I to II, HR I to III, Dis I to V. V102 electrically opened. 24 V will be turned off. The error cannot be acknowledged. 7-26 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 203
Battery voltage < 17.2 V ±2.5 % Only in the event of a power failure during the cleaning programs. If the voltage drops below 17 V, the device will switch off. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-27… -
Page 204: Error Messages After Turning Power On
No valid value has been filed during start in the NOVRAM. The temperature difference between NTC109 and NTC3 is too high. Switch off NTC 109 in the SETUP MENU, or recalibrate the temperature. 7-28 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 205: Error Messages During Treatment
Cyclic PHT F03 IC1 or IC3 on P.C.B. LP 632 is defective, or device leakage Cyclic PHT F04 It was not possible to complete the test within a specific time interval Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-29…
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Page 206
Possible cause: – Controlling monoflop on LP 634 defective F329 UF failure Pulse time of one UF1 pump stroke exceeds 500 ms. Possible cause: – Controlling monoflop on LP 634 defective 7-30 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 207
CPU2 UF deviation compared to the theoretical UF target volume. Possible cause: – System error F354 UF failure UF rate exceeds the maximum rate allowed. Possible cause: – System error Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-31… -
Page 208: Hpu (Hydraulic Processing Unit) Error Messages
HPU Error F08 General valve malfunction: – System error HPU Error F09 Compressor error(185) – MV43 defective or activated – Compressor 185 defective or activated – Error on P.C.B. LP 941 7-32 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 209
– CRC error in the transfer HPU CPU1 – The electrical test (VDE) was performed directly after turning the device on. Turn the device on at least 2 minutes before the test. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-33… -
Page 210: Blood Pump (Arterial) Error Messages
Time basis error gate array <- -> microcontroller Interrupt INT0 constantly triggered by gate array (no main loop runs) Error serial communication between CPU1 and LP 950 Optical sensor (no pulses) 7-34 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 211: Bpm Module Error Messages
(Remove the cuff from the A failure is detected if the CPU-P1 pressure is > ±9 mmHg or the pressure patient!) change is > ±1 mmHg 5 seconds after starting a measurement. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-35…
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Page 212
Interval pause < 30 seconds (Remove the cuff from the patient!) E90 BPM error CPU-P2 pressure > 330 mmHg for more than 300 ms. (Remove the cuff from the patient!) 7-36 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 213
25 seconds. Monitoring will then be active in order to detect a pressure stage. patient!) E99 BPM error Pressure difference between CPU-P1 and CPU-P2 on 1st stage > 20 mmHg (Remove the cuff from the patient!) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 7-37… -
Page 214
Chapter 7: Error messages 7-38 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 215: Tools (Service Equipment)
35 °C to 39 °C. We recommend using UMED measuring equipment as supplied by the manufacturer. HMED pressure measuring instrument with case (set) Universal measuring device UMED with case (set) (temperature, conductivity, pressure) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 216
Chapter 8: Tools (service equipment) Secutest VDE test device (without printer module) Printer module Carrying case (not illustrated) Service Software Set 4008 Measuring cylinder 100 ml Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 217
Chapter 8: Tools (service equipment) ESD service kit ESD workshop kit Extraction tool for ICs Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 218
Chapter 8: Tools (service equipment) Electronic pocket scales Adjustment set for 22-mm air detector ® Calibration connector for bibag Conductivity / temperature Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 219
Chapter 8: Tools (service equipment) ND grey foil filter 0.4 Deep hexagon socket wrench for Luer-Lock Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 220
Chapter 8: Tools (service equipment) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 221: Calibration / Adjustment
(see chapter 9.1.11 page 9-11) (Single-Needle pressure) (optional) Adjusting the current increasing pulse (see chapter 9.1.15 page 9-14) Setting the Hall sensors in the heparin pump (see chapter 9.1.46 page 9-39) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 222: Calibration Menu Structure
Part 14 Conf CALIBRATE BLD see Part 15 Conf CALIB. BIBAG VALUES see Part 16 Conf RESET FAILURE RECORD see Part 17 Conf NOVRAM see Part 18 Conf back to menu ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 223
(see chapter 9.1.38 page 9-34) CALIBRATE BLD (see chapter 9.1.42 page 9-37) CALIB. BIBAG VALUES (see chapter 9.1.43 page 9-38) RESET FAILURE RECORD (see chapter 9.1.44 page 9-38) NOVRAM (see chapter 9.1.45 page 9-39) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 224: Part 1: Calibrating The Arterial Pressure
The accuracy of the pressure gauge used must correspond to that of the UMED or HMED. The accuracy of the pressure gauge used must at least correspond to the following values: –1 to 2 bar: ±5 mbar 2 to 8 bar: ±20 mbar Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 225: Part 2: Calibrating The Pressure In The Arterial Blood Pump
Start/Stop key on the blood pump module The values are stored. Should this message fail to appear, repeat the calibration procdure. Reset the hex switch to position 2 in the final step. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 226: Without Menu Display: Setting The Blood Pump Stop Alarm
Without menu display: Setting the blood pump stop alarm Set the hex switch on P.C.B. LP 624 (pos. 1) to position B. If the error message E02 appears on the blood pump display, reset it with the Start/Stop key. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 227: Part 3: Calibrating The Venous Pressure
The accuracy of the pressure gauge used must correspond to that of the UMED or HMED. The accuracy of the pressure gauge used must at least correspond to the following values: -1 to 2 bar ±5 mbar 2 to 8 bar ±20 mbar Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 228: Part 4: Calibrating The Venous Pressure Measurement In The Air Detector
Check zero point and slope; if necessary, repeat the procedure. Note: When adjusting the air detector, execute the CAL. VENOUS PRESSURE menu item. Fig.: P.C.B. LP 450-2 Potentiometer P3 Potentiometer P4 P.C.B. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 229: Part 5: Calibrating The Blood Pump Rate
Note: Set the line diameter to 8 mm before starting the calibration procedure and press Start/Stop on the blood pump. * The BP rate of 550 ml/min represents a default value. It can be changed using the LM (+/–) keys. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 230: Part 5.2: Calibrating The Sn Blood Pump Rate (Option)
Setting the Single-Needle stroke volume 1. Simultaneously press the and Start/Stop keys. 2. Press the and (+ / –) keys to set the stroke volume and confirm with Start/Stop. 9-10 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 231: Without Menu Display: Calibrating The Single-Needle Blood Pump (Single-Needle Pressure) (Optional)
Single-Needle pump: the lower switching point is fixed (75 mmHg). – the upper switching point depends on the stroke volume, see table below: Stroke volume (ml) Upper switching point (mmHg) ±7 mmHg Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-11…
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Page 232: Part 6: Measuring The Volume Of The Uf Pump In Liters
Note Measuring cylinder accuracy: ±0.5 %. Note When using scales as a measuring instrument, please ensure that concentrate is not connected. 9-12 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 233: Part 7: Calibrating The Degassing Pressure
«Calibrate flow», maybe the setting of the current increasing pulse must be changed. Note The flow selected first is accompanied by the DIASAFE-filling act. message which is displayed for the duration of 17 balancing chamber switchings. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-13…
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Page 234: Without Menu Display: Adjusting The Current Increasing Pulse
10 seconds after each half revolution!) until the actual flow is again approx. 300. – Turn potentiometer P1 in clockwise direction for another 2 revolutions. Case 2: The device is in intrinsic pulse mode («Eigentakt»). – Display: flow (300) = 147 9-14 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 235: Part 9: Calibrating The 500 Flow Rate
Change the digits in display (field y) by pressing the +/– keys, until the actual value agrees with the specified value (500). Audio paused DATA STORED After approx. 3 s Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-15…
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Page 236: Part 10: Calibrating The 800 Flow Rate
Part 11.1 Conf Check TEMPERATURE see Part 11.2 Conf OCM TEMP.-Check see Part 11.3 Conf back to menu ? Note Accuracy of the measuring instrument to be connected externally: ±0.2 °C. 9-16 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 237: Part 11.1: Setting The Dialysate Temperature
NTC3 temperature NTC4, 12 bit Dynamic measuring range switching Note The hydraulic unit must be installed, the rear wall closed and the ® DIASAFE plus must be covered. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-17…
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Page 238: Part 11.2: Check The Dialysate Temperature
Repeat the Tolerance: ±0.5 °C procedure with different values (e.g. 35/39 °C) Note The hydraulic unit must be installed, the rear wall closed and the ® DIASAFE plus must be covered. 9-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 239: Part 11.3: Checking The Dialysate Temperature For Ocm
Repeat the ±0.2 °C procedure with different values (e.g. 35/39 °C) Note The hydraulic unit must be installed, the rear wall closed and the ® DIASAFE plus must be covered. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-19…
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Page 240: Part 12: Calibrating The Mixing System
MAND. FILLING active Time left displayed in display field Œ After 9 s Press ALARMTONE MUTE Audio paused act temp = XX.X °C The membrane pumps are running; the display counts down. 9-20 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 241: Part 12.2: Determining The Balancing Chamber Volume
BC-Volume = 30.19 ml Audio paused DATA STORED After approx. 3 s Note Measuring cylinder accuracy: ±0.5 %. Note When using scales as a measuring instrument, please ensure that concentrate is not connected. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-21…
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Page 242: Part 12.3: Calibrating The Concentrate Pump Stroke
CONP-Vol = 0.828 ml Enter the determined volume of one pump stroke by pressing the +/– keys. Audio paused DATA STORED After approx. 3 s Note Measuring cylinder accuracy: ±0.5 %. 9-22 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 243: Part 12.4: Measuring The Volume Of The Concentrate Pump In Liters
Check the volume and, if necessary, repeat the procedure. Note Measuring cylinder accuracy: ±0.5 %. Note When using scales as a measuring instrument, please ensure that concentrate is not connected. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-23…
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Page 244: Part 12.5: Calibrating The Bicarbonate Pump Stroke
+/– keys. Audio paused DATA STORED After approx. 3 s Note Measuring cylinder accuracy: ±0.5 %. Note When using scales as a measuring instrument, please ensure that concentrate is not connected. 9-24 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 245: Part 12.6: Measuring The Volume Of The Bicarbonate Pump In Liters
Check the volume and, if necessary, repeat the procedure. Note Measuring cylinder accuracy: ±0.5 %. Note When using scales as a measuring instrument, please ensure that concentrate is not connected. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-25…
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Page 246: Part 12.7: Checking The Concentrate And Bicarbonate Volumes
However, when returning to “CAL. MIXING-SYSTEM”, the display will indicate the factory setting again. Note Measuring cylinder accuracy: ±0.5 %. Note When using scales as a measuring instrument, please ensure that concentrate is not connected. 9-26 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 247
OCM PULSE calibr. see Part 13.3 Conf CONDUCTIVITY Check see Part 13.4 Conf OCM COND.-Check see Part 13.5 Conf TEMP/COND COMP Check see Part 13.6 Conf back to menu ? Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-27… -
Page 248: Part 13.1: Conductivity Setting
CD cell 7; 12 bit / 8 bit switching Steps for concentrate pump Steps for bicarbonate pump CD cell 110; 12 bit / 8 bit switching 9-28 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 249: Part 13.2: Temperature/Conductivity Compensation Setting
Verify that the preset temperature of 39 °C is achieved and that it has stabilized. Check: Display, LED bargraph display Tolerance: ±0.5 °C Audio paused DATA STORED After approx. 3 s Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-29…
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Page 250: Part 13.3: Calibrating The Ocm Pulse
Tolerance per pulse: ±25 Audio paused DATA STORED After approx. 3 s Note If the value is outside ±25, the conductivity measuring system of the hemodialysis device must be checked. 9-30 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 251: Part 13.4: Conductivity Test
3 s CD cell 110; 12 bit / 8 bit switching act.cond: XX.X mS/cm Verify the conductivity. Check: Reference meter, display, LED bargraph display. Repeat the procedure with different values. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-31…
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Page 252: Part 13.5: Checking The Ocm Conductivity
CD cell 110; 12 bit After approx. 3 s CD cell 110 OCM Cond.-Check Verify the conductivity. Check: Reference meter, display, LED bargraph display. Repeat the procedure with different values. 9-32 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 253: Part 13.6: Temperature / Conductivity Compensation Test
(7, 110) against each other. The tolerance of the two conductivity cells may not exceed 0.05 mS/cm. If this tolerance is exceeded, the OCM pulse must be calibrated. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-33…
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Page 254: Part 14: Calibrating The Dialysate Pressure
UMED or HMED. The accuracy of the pressure gauge used must at least correspond to the following values: -1 to 2 bar ±5 mbar 2 to 8 bar ±20 mbar 9-34 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 255: Part 14.1: Dialysate Pressure
After the system has recognized that the circuit is open, the flow is switched on automatically. Wait for MUTE-LED The Audio paused LED is flashing. Audio paused DATA STORED After approx. 3 s Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-35…
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Page 256: Part 14.2: Tmp-Check
Use the following steps to check flow compensation: – Use the Arrow keys to select the Flow setting field. – Set the flow by pressing the + / – keys – Confirm with Audio paused key 9-36 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 257: Part 15: Blood Leak Voltage
Tolerance for dimness voltage: 5 V ±0.3 V. Note: If values deviate check the glass burette for contamination. Close the housing; temperature 37 °C; avoid incident light from an external source. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-37…
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Page 258: Part 16: Calibrating The Bibag ® Values
With test plug: 45,7 mS/cm or 84,5 mS/cm 9.1.44 Part 17: Reset the failure record RESET FAILURE RECORD Conf Audible alarm Are you sure ? Audio paused ACKNOWLEDGED After approx. 3 s 9-38 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 259: Part 18: Initializing The Novram, Clearing The Mandatory Rinse, Erasing A V84 Malfunction
– Adjust Hall sensor 1, so that the the bottom of the plunger and the end of the syringe’s scale (0 ml) are on the same level. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-39…
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Page 260
Each time Hall sensor 2 was adjusted, the complete setting for Hall sensor 2 have to be repeated. – Briefly press the key (syringe plunger holder moves to its upper end position). 9-40 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 261
Chapter 9: Calibration / adjustment Hall sensor 1 Hall sensor 2 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-41… -
Page 262: Hydraulics Unit
– Pull back the knurled nut on the pressure reducing valve A61. – Turn the knurled nut to set the water pressure to the desired value (clockwise: «+», counterclockwise: «–»). – Push the knurled nut back in. 9-42 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 263: Degassing Pump Pressure
Adjusting the pressure of the degassing pump: – Enter the CALIBRATION service menu, select and start the option CAL. DEGAS. PRESSURE (see Part 7: Calibrating the degassing pressure page 9-13). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-43…
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Page 264
The setting for the degassing pump has to be increased in increments from a low speed until no significant increase of the degassing pump pressure can be detected anymore. This setting can also be saved. 9-44 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 265: Balancing Chamber Loading Pressure
Adjusting the loading pressure of the balancing chamber: – Use the loading pressure valve A65 to adjust the loading pressure to the desired value. Turning the adjusting screw clockwise will increase the loading pressure. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-45…
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Page 266: Flow Pump Pressure
– If it deviates from the desired value, the pressure of the flow pump must be adjusted. Adjusting the pressure of the flow pump – Use the relief valve A78 to adjust the rated value. 9-46 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 267: Uf Pump Volume
– Change the delivery volume, using the adjusting screw (turning the adjusting screw clockwise reduces, turning it counter-clockwise increases the stroke volume). – Retighten the lock nut – Verify the delivery volume Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-47…
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Page 268: Cds (Central Delivery System) Pressure Switch
0.7 bar continues to act on the pressure switch. – Check the switching point by means of the audible alarm. Desired value: Pressure switch (Envec): 0.68–0.72 bar. Fig.: CDS pressure switch (PSW 123) 9-48 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 269
Chapter 9: Calibration / adjustment Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-49… -
Page 270
Measured switching pressure: 130 mbar +30 mbar. Note In the menu item E: CPU1_BIBAG_PSW, the active level is identified by 1111. The active level of the circuit output is LOW (< 1 V). 9-50 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 271: Air Detector
UMED «External Sensors 1–5» using the External sensor cable. Only for UMED: not applicable for HMED or pressure gage! Luer-Lock adapter Put the tubing into the venous occlusion clamp Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-51…
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Page 272
The ambient temperature should be between 15 °C and 35 °C. Warning The calibration using the set for the air detector calibration is only valid for devices running with Fresenius tubing systems. Observe the “use by” date! 9-52 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 273: Adjustment Using The Set For Air Detector Calibration (See Adjustment Instructions)
Remove residual grease using lint-free cloth and a permissible disinfectant. – In addition, the venous occlusion clamp has to be checked and the optical detector has to be calibrated and checked (see chapter 9.3.1.2 page 9-54). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-53…
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Page 274: Checking The Venous Occlusion Clamp
DIAGNOSTICS service menu: Read digital inputs CPU 1, select the menu item E: CPU1_OD_IN: – Install the grey filter, single-laid; close the flap – The display changes from 1111 to 0000 9-54 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 275: Alternative: Adjustment Without The Set For Air Detector Calibration
– Remove the venous bubble catcher from the air detector. – In addition, the venous occlusion clamp has to be checked and the optical detector has to be calibrated and checked (see chapter 9.3.1.2 page 9-54). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9-55…
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Page 276
Chapter 9: Calibration / adjustment 9-56 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 277: Servicing / Repair
3 days. Warning When the device is returned to use, check that the pressure of the water supply meets the prescribed minimum pressure. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-1…
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Page 278: Equipment
Chapter 10: Servicing / repair 10.2 Equipment Closing plug set for hydraulic tubings Unisilkon grease Anti-tamper fixing (low-/medium-/high-strength screwlock) 10-2 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 279: Component Overview
P.C.B. LP 633-5 Input board P.C.B. LP 634 Output board P.C.B. LP 1631 CPU 1 P.C.B. LP 630 Motherboard P.C.B. LP 632 CPU 2 MDC-II board P.C.B. LP 636 External connectors Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-3…
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Page 280: Extracorporeal Blood Circuit Module (Ebm)
(optional) Single-Needle pressure transducer (optional)17 Heparin pump drive SN hydrophobic filter (optional) BPM module (optional) P.C.B. LP 624 Arterial blood pump Rotary magnet, venous occlusion clamp P.C.B. LP 1627 Display 10-4 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 281: Hydraulics Rear
Chapter 10: Servicing / repair 10.3.3 Hydraulics rear F184 CD7 V183 V43 P97 V100 V102 S123 P185 H54a V100* V117 F210 S182 F119 H151 P22a V24b Hydraulics legend (see chapter 10.3.6 page 10-8) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-5…
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Page 282: Hydraulics, Lateral View From The Left
Chapter 10: Servicing / repair 10.3.4 Hydraulics, lateral view from the left CD110 V99 F111 V112 S134 H90b S202 CD132 H201 V188 Hydraulics legend (see chapter 10.3.6 page 10-8) 10-6 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 283: Hydraulics, Lateral View From The Right
Chapter 10: Servicing / repair 10.3.5 Hydraulics, lateral view from the right P97a F148 F149 P21a H90a V189 H205 Hydraulics legend (see chapter 10.3.6 page 10-8) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-7…
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Page 284: Hydraulics Legend
Multifunction block S182 Pressure transducer 2 Degassing orifice S202 Concentrate level sensor H90a Concentrate rinse chamber S204 Bicarbonate level sensor (hidden by S202) H90b Bicarbonate rinse chamber Concentrate suction tube 10-8 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 285: Assignment Of The Hydraulic Processing Unit (Hpu)
Bibag SW Bibag (LP1628) P-Dial 1 (9) X A6 X A4 X A3 X 10 X B1 X R2 V89 Sens. ZKV PSW Reedk. 10 LP 941 WTR / HPU Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-9…
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Page 286: Assembly Of Components
Gear pumps (pump on drive), membrane pumps, 1.2 Nm UF pump, heat exchanger: Potential equalization bolt: 6.5 Nm Luer-Lock: 2.3 Nm Rotary magnet and heat conduction plate: 1.3 Nm Heating block with float switch: 1.5 Nm 10-10 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 287: Housing And Cart
Unscrew the lock nut (2) and the brake cable (1). Slightly press on the brake and unmount the brake cable. Then dismount the brake roller by unscrewing the 4 screws (1). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-11…
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Page 288: Brakes
M5x55 flat head screws. Remove 4 clamping strips (2) with 2 screws each. Remove the brake shaft with brake pedal (1). The spring plates can each be removed with 1 screw. 10-12 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 289: Shunt Interlock
Lock the nut to secure the position. 10.5.4 Shunt interlock 10.5.4.1 Shunt interlock complete Remove the screw (1) and pull out the IV pole to the top. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-13…
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Page 290: Microswitch
– Color coding 10.5.4.2 Microswitch Unscrew 4 screws (1) and remove the shunt interlock housing (2). Unscrew the microswitch covering (1). Pull out the microswitch (1) including cable to the top. 10-14 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 291: Power Supply Unit And Battery
2 screws, and pull the power supply unit out of the housing to the rear. After replacement or repair, check the voltages in the calibration menu, calibrate the temperature, and check the temperature. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-15…
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Page 292: Power Board
Pull off the cable from the power board (1), remove 6 screws (2), and dismount the power board. 10.6.2.2 Heater board Disconnect all cables from the heater board (1). Remove 5 screws (2) and dismount the heater board. 10-16 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 293: Battery
Connect up as shown in the following figure. 10.7 Monitor 10.7.1 Opening the monitor Remove the screws (1) and the cover (2) and push the monitor to the front. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-17…
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Page 294: Removing And Installing The Printed Circuit Boards
Pull off all cables from P.C.B. LP 630. Unscrew P.C.B. LP 630 with 9 nuts (1). When installing, secure the nuts with anti-tamper fixing. After replacement or repair, check the jumpers. 10-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 295: Lp 636 External I/O Board
Press back the detent mechanisms (1) and remove the front panel from the device. Unscrew the perforated plate (3) with 4 screws. After replacement or repair, run the display test and the key test. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-19…
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Page 296: Mdc-Ii Board And Backlight Inverter
Screw off the 4 threaded rods (1) and lift out the MDC-II board. The backlight inverter (2) can be soldered off from the bottom side of the MDC-II board. 10-20 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 297: Tft Display
2 washers (1) each, and lift out the TFT display (2). 10.7.5.5 Backlighting Remove the screws (2) and self-cutting screws (1), and press in the detent mechanism (3). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-21…
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Page 298: Operation Status Indicator (Traffic Light)
Pull off the connector (3) from P.C.B. LP 636. Press back the detent mechanisms (1) and remove P.C.B. LP 1131 (2). Unscrew the screws (1) to remove the status indicator housing. After replacement or repair, check the flows. 10-22 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 299: Hydraulics Unit
To do so, pull the connecting cables (2) from the HPU, disconnect the heater rod cables, and pull the tubes running ® to the bibag connector (1). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-23…
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Page 300: Lp 941 Hpu With Distribution Bar
To remove P.C.B. LP 941, pull off all cables, press in the side buttons deeply, and pull out the HPU. Connector pin assignment (see chapter 10.3.7 page 10-9). After replacement or repair, calibrate PDial2 and adjust the TMP. 10-24 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 301: Heater Block, Heater Rod And Float Switch
– Pull off all other tubes from the heater block. – Seal off all tubes with plugs. – Unscrew 2 screws (1). – Lift the heating block slightly and remove Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-25…
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Page 302: Float Switch
After replacement or repair, check the temperature. 10.8.3.2 Float switch Removal To remove the float switch, complete the following tasks: – Remove the 2 screws (1). – Pull out the float switch (2). 10-26 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 303: Heater Rod
– Unscrew the strain relief (1) from the cap (2). – Unscrew the cap (2) from the connector (3). – Open the connector’s strain relief. – Release the cable wires (4). – Expose the cables. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-27…
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Page 304
Chapter 10: Servicing / repair – Turn the heating rod counterclockwise. – Remove the heating rod. Installation When re-installing, proceed as follows: – Insert the new seal correctly. 10-28 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 305
– Install the heating rod connector. – Seals (1) are inserted correctly. – Replace the heating block cover. – Tighten the 5 screws with the appropriate torque (see chapter 10.4.2 page 10-10). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-29… -
Page 306: Multifunction Block
11 to pressure measuring point D to dosing point H205 12 V43, to filter F76 to pressure transducer S9 13 to air separation pump P97 to filter F74 / sensor S115 10-30 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 307: Balancing Chamber
When installing, ensure proper arrangement of the tubes: to valve V30 to inlet of heater block H66b to valve V87 to outlet of heater block H66a After replacement or repair, check the flows. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-31…
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Page 308: Uf Pump
When installing ensure that the pump outlet (red) faces upwards and the tubing arrangement is correct: Outlet (red) to V86 / V87 / heat exchanger Inlet (white) to filter F74 10-32 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 309: Membrane Pump (Conc/Bic)
H201 Bicarbonate pump tubing: Outlet (blue) to dosing point H205 Inlet (white) to CD cell CD132 After replacement or repair, measure the membrane pump volume in liters, calibrate, check conductivity. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-33…
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Page 310: Gear Pump
Pull off the marked connecting cable (3) from the motor; cable 29 for degassing pump (2), cable 21 for flow pump (1). Unscrew the motor with 3 nuts using a saw ring (1). 10-34 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 311: Blood Leak Detector
Be absolutely sure to avoid fingerprints and other contaminations on the glass cuvette during repair. Remove the glass cuvette (2). Unscrew the blood leak detector with 2 screws (1). Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-35…
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Page 312: Valves (Type)
Solenoid valve with 2 adapters, V24, V24b, V30, V91 high kv value Solenoid valve for disinfection Check valve on heater block Check valve V117 Ventilation valve V112 10-36 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 313: Disinfection Valve V84 With Cd Monitor
Pull off the cable from V84 (3). Pull of the CD monitor from the valve block (1) and from valve V84 (3). Unscrew V84 with 2 screws (2). After replacement or repair, check the flows. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-37…
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Page 314: Suction Tube
Pull off the tube with the tube clamp (3). Pull out the sealing plunger (2) in forward direction. When installing, ensure proper seating of the sealing lip; if necessary, correct with tweezers. 10-38 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 315: Rinse Chamber
Unscrew the carrier plate (1) with 4 screws (2). Unscrew the reed switch from the rinse chamber adapter with 3 screws (1) and washers. After replacement or repair, run a functional test in the Diagnostics menu. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-39…
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Page 316: Bibag Connector
Pull out the bibag connector with tubes and cables. While installing, ensure proper seating of the seal (1). After replacement or repair, check the switching states in the Diagnostics and Functions menu. 10-40 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 317: 2Microswitch
Unscrew the filter holder with 4 screws (1), pull off the tubes. When installing, ensure proper tubing arrangement: to valve V189 to CD cell CD7 to valve / balancing chamber Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-41…
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Page 318: Extracorporeal Blood Circuit Module (Ebm)
Pull out the open EBM a little and turn it into its vertical service position. The EBM clicks into place. Close the EBM (1) in reverse order. To do so, initially press the detent mechanisms outwards. 10-42 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 319: Pneumatic Unit Contamination
– Single-Needle pressure transducer (optional) – Arterial pressure measurement unit – Compressor unit – Internal compliance chamber for Single-Needle (optional) – Hydrophobic filter When replacing a component, also replace the pneumatic tubing. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-43…
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Page 320: Bpm (Option)
10.9.4 Luer-Lock connection cone Cut the tube clamp (2) open and remove it. Pull off the rube, remove the nut (1). When installing, use a new tube and a new tube clamp. 10-44 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 321: Blood Pump
10.9.5.3 Hall sensor for rotor Unscrew the blood pump stator (1) or double stator (SN option) with 2 or 5 screws (2), respectively. Pull out the stator including cable to the front. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-45…
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Page 322: Heparin Pump
(see Syringe type table page 11-26), calibrate the Hall sensors, and check for proper functioning. 10.9.6.2 Optical sensor Remove the screw (2) and washer, and remove the optical sensor (1). 10-46 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 323: Drive
Remove the screw (2) and pull out the syringe plunger holder (1). Remove the screws (1, 2, 3) and pull out the mechanics. Used screws and torques: 30×25 (0.6 Nm) 30×20 (0.6 Nm) 40×20 (1.1 Nm) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-47…
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Page 324: Drip Chamber Holder
(2). Pull out the cylinder pin (3), press back the spring, and pull out the ultrasonic sensor(4) including spring. When installing, stick a new adhesive tape to the angle to secure the cylinder pin. 10-48 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 325: Compressor / Ventilation Valve
Unscrew the compressor (3) with 2 screws (4) or unscrew the vent valve (1) with 2 screws (2) from the carrier plate. After replacement or repair, run a functional test. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-49…
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Page 326: Venous Occlusion Clamp With Rotary Magnet, Bolt
1.0 mm ±0.2 mm. Screw a new bolt into the venous occlusion clamp – secure with Loctite 243. After replacement or repair, run a functional test. 10-50 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 327: Calibration And Test Steps After Repair
/ volume (SN) ® P.C.B. LP 1628 Distributor Check bibag switching states, check BPM (option) for proper functioning P.C.B. LP 941 HPU Calibrate PDial2, calibrate TMP Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-51…
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Page 328
Functional test Flow pump Set flows, check relief pressure, adjust current increase Degassing pump Degassing pressure, loading pressure TMP pressure transducer (S9, S182) Adjustment ® Pressure switch bibag Diagnostics, check 10-52 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 329
Check with bibag Evacuation valve V188 Check ventilation after air has been sucked in Retentate valve V189 Filter test (in T1 Test) All other valves T1 test and disinfection without error message Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10-53… -
Page 330
Chapter 10: Servicing / repair 10-54 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 331: Functional Description
Chapter 11: Functional description 11 Functional description 11.1 Functional description 11.1.1 T1 test description Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-1…
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Page 332
T1 TEST Start / Reset KEY UNSUCCESSFUL TEST ACCUMULATOR INCORRECT TEST STEP RETURN STORAGE TEST OK ERROR NUMBER ERROR TEST OK DISPLAY FURTHER NEXT INCORRECT INCORRECT TEST STEP TEST STEPS RETURN 11-2 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 333: T1 Test Flow Diagram, Parallel Run
ERROR NUMBER TEST DIASAFE PLUS / TEST TEST DIASAFE PLUS / HPU TEST UF-FUNCTION HPU TEST TEST OK TEST OK TEST OK STORAGE STORAGE STORAGE ERROR NUMBER ERROR NUMBER ERROR NUMBER Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-3…
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Page 334: Overview Of The Individual Test Sections
Pos. Pressure Holding (see chapter 11.1.1.15 page 11-16) UF Function (see chapter 11.1.1.16 page 11-17) Conductivity (see chapter 11.1.1.17 page 11-18) Diasafe plus / HPU test (see chapter 11.1.1.18 page 11-19) 11-4 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 335
Input board X634R/C24 board X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P1631 Mother- C P U 1 board LP 922 Display board V24B V24B Testgenerierung/Generation of Test Rückmeldung/Acknowledgement Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-5… -
Page 336
X633L/C8 X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P 1631 Mother- C PU 1 board X351/5 X351/7 Pven LP 922 X351/10 Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement 11-6 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 337: Blood System Test
/C14 X634L/B14 /B15 X631/A20 X631/A21 X1631/20a X1631/21a BPSST_A LP 630 DATA BUS L P 1631 Mother- C P U 1 board Pven LP 922 Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-7…
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Page 338: Venous Pressure System Test
X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P 1631 Mother- C P U 1 board X351/1 X351/2 P VEN LP 922 Display board X351/4 X351/10 Testgenerierung/Generation of Test Rückmeldung/Acknowledgement 11-8 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 339
X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P1631 Mother- C P U 1 board X351/10 X351/14 P VEN LP 922 X351/6 Display board X351/8 Testgenerierung/Generation of Test Rückmeldung/Acknowledgement Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-9… -
Page 340
+LS X634L/A13 -LS X634L/B13 X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P1631 Mother- C P U 1 board LP 922 Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement 11-10 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 341: 10Arterial Pressure System Test
Output board board X633L/B12 X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P1631 Mother- C P U 1 board X348a/7 X348a/9 LP 922 Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-11…
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Page 342
X639/A4 X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P1631 Mother- C P U 1 U_ACCU board Akku (16 — 22V) LP 922 Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement 11-12 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 343
Input X633L/B10 Output board board X633L/B9 X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P1631 Mother- C P U 1 board LP 922 Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-13… -
Page 344
X634R/C24 X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P1631 Mother- C P U 1 board X639/A20 LP 922 Power Display Supply board 4008 Testgenerierung/Generation of Test Rückmeldung/Acknowledgement 11-14 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 345
Input X634L/B10 board board X633R/C28 X634R/A24 X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P1631 Mother- C P U 1 board LP 922 Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-15… -
Page 346
Output X634L/A7 board board X634L/ X633R/ X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P1631 Mother- C P U 1 board LP 922 Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement 11-16 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 347: 16Uf Function Test
X633L/ X634L/ X634L/ A-C24 A-C23 X631/A20 X631/A21 X1631/20a X1631/21a LP 630 DATA BUS L P 1631 Mother- C P U 1 board LP 922 Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-17…
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Page 348
Output Input board board X633R/ X631/A20 X631/A21 X1631/21a X1631/20a LP 630 DATA BUS L P1631 Mother- C P U 1 board LP 922 (bibag-LF-Zelle) Display board Testgenerierung/Generation of Test Rückmeldung/Acknowledgement 11-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 349
C P U 1 board V 1 12 L P922 V 3 2 Disp lay board V 26 V 3 5 V 3 5 V 3 6 Testgenerierung/Generation of Test Rückmeldung/Acknowledgement Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-19… -
Page 350: Tests During Cleaning Programs
Pressure build-up PSW 102 V91/100/102 closed Start open monitoring The pressure switch is designed as a normally open switch Switching point of the pressure switch (Envec) 700 mbar ±20 mbar 11-20 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 351: Rinse Section Test (Check Of V91, V99, V100) (Only Devices With Cds)
System stopped Message PSW_102 Error V188 open System stopped Pressure reduced on PSW_102 V102/104 open für 900 ms V91/99/100 closed Normal Pressure decreased with mandatory rinse concentrate pump sequence Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-21…
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Page 352
Rinse Failure Pressure switch closed Pressure reduction Program stopped via V188 Pressure reduction via V99 V188 Failure Pressure switch Program stopped open V99 Failure Pressure switch Program stopped open Test completed 11-22 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 353: V39 Test
Delete mandatory rinse (dav1 + 20 mmHg Pressure compensation < dav2) Evacuate rinse chambers Test failed DAC degas. pump Pressure compensation = 200 ? „V39 Failure“ DAC degas. pump = 220 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-23…
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Page 354: Description Of The Modules
To adjust it, first press the Start/Stop key and the key simultaneously. Then change the value by using the and keys. The lower switching point is fixed to 75 mmHg. 11-24 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 355: Heparin Pump
The manufacturer does not assume any responsibility or liability for personal injury or other damage and excludes any warranty for damage to the hemodialysis device resulting from the use of non-approved or unsuitable consumables or accessories. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-25…
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Page 356: Air Detector
The amplitude of the signal received is dependent upon the medium between the converters. Its value is at its minimum with the venous bubble catcher empty (air) and at its maximum with bubble-free 11-26 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 357: Optical Detector
P.C.B. in the monitor. There, the pressure is indicated on a quasi-analog LED scale, and the transmembrane pressure is computed by determining the difference between the dialysate pressure and the venous pressure. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-27…
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Page 358: Functional Description Of The Hydraulic Unit
H88a H88b H88c V35 V36 V37 V38 H151 F210 S115 S115 F148 F149 V100 H205 F119 V117 S123 V102 S134 PT133 S138 S137 CD132 H136 H201 S202 S204 H203 V188 V130 11-28 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 359
Disinfection valve Disinfectant connector Hydraulics measurement points: Recirculation valve Reduced water inlet pressure Drain valve Loading pressure (balancing chamber) Multifunction block Flow pump pressure H88a Degassing chamber Degassing pump pressure Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-29… -
Page 360: Description Of The Hydraulic Unit
The second chamber is operated at an inverse sequence. Each time the chamber is changed over (maximum deflection of the membrane), all valves are closed for approx. 100 ms (dead time). 11-30 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 361
V30, the heat exchanger H77 and the drain valve V87 into the drain. The recirculation valve V86 and the drain valve V87 serve to recirculate fluid during the hot rinsing and disinfection programs. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-31… -
Page 362: Functional Principle Of The Balancing Chamber
Closed valves: V31, V34, V36 and V37 is filled with fresh solution used solution is discharged into the drain fresh solution is forced into the dialyzer is filled with used solution 11-32 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 363
Separation of air is only required for the dialysis programs. In all other programs, the air separation pump P97 and the fill valve V43 are force-actuated. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-33… -
Page 364
Chamber F2 is filled. This forces the fluid from chamber A2 into chamber A1. The fluid is then forced by chamber A1 via the dialyzer and into the secondary air separator H88b. 11-34 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 365: Cds — Central Delivery System (Option)
The pressure switch S123 is used to monitor the pressure. Three minutes before the mandatory rinse program is completed, a functional test of rinse valve V91, V99 and V100 is performed. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-35…
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Page 366
1 min. The time specifications are based on the factory setting. Shorter or longer program times can be set at any time with the SETUP MENU (see chapter 5.1.3 page 5-3). 11-36 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 367
PGM 1: –R– T/°C t/min Rinse chamber Rinse evacuation 10 strokes each 15–30 min (Setup) approx. 1 min Start PGM 2: –R– endl. (endless) T/°C t/min Rinse endless Start (abortion of program) Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-37… -
Page 368
Hot rinsing Rinse chamber Heating Timing from 80 °C evacuation Rinsing clean 10 strokes each approx. 6 min 15–30 min (Setup) approx. 1 min 3–10 min approx. (Setup) 4 min Start 11-38 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 369
PGM 3: –IHR–C– T/°C approx. approx. t/min Rinse chamber Heating Integrated hot rinsing Cooling rinse evacuation 10 strokes each approx. 5 min 15–40 min (Setup) Temperature- approx. 1 min controlled Start Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-39… -
Page 370
Set the level of the float switch chamber below the lower switching point of the float switch by 1 balancing chamber changeover and 4 UF pump strokes. Aspiration of disinfectant for 50 UF-pump strokes. 11-40 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 371
Set the level of the float switch chamber below the lower switching point of the float switch by 1 balancing chamber changeover and 4 UF pump strokes. Aspiration of disinfectant for 50 UF-pump strokes. Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-41… -
Page 372
Set the level of the float switch chamber below the lower switching point of the float switch by 23 UF pump strokes. Aspiration of disinfectant for 32 concentrate pump strokes à 330 steps. 11-42 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 373: Block Diagrams / Wiring Diagrams / P.c.b. Layouts
Chapter 11: Functional description 11.2 Block diagrams / wiring diagrams / P.C.B. layouts 11.2.1 4008 S block diagram Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-43…
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Page 374: Voltage Supply Block Diagram
Chapter 11: Functional description 11.2.2 Voltage supply block diagram 11-44 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 375: Monitor Block Diagram
Chapter 11: Functional description 11.2.3 Monitor block diagram Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-45…
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Page 376: Hpu Block Diagram (Hydraulic Processing Unit)
Chapter 11: Functional description 11.2.4 HPU block diagram (hydraulic processing unit) 11-46 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 377: Hpu Wiring Diagram (Hydraulic Processing Unit)
Chapter 11: Functional description 11.2.5 HPU wiring diagram (hydraulic processing unit) X_BPM Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-47…
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Page 378
X S1 Dialysate pressure transducer 2 (182) X S2 NC X S3 NC X S4 NC X S5 Concentrate level sensor (202) X S6 NTC INDI (308) X S7 INDI conductivity cell (309) 11-48 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 379: Can Communication Connection Diagram
Chapter 11: Functional description 11.2.6 CAN communication connection diagram LP 1631 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-49…
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Page 380: Lp 450-2 Air Detector Control (Ld)
X159 Pven-Verstimmung / Pven detune Belüftungsventil auf / V ent valve open = H Belüftungsventil Vent valve X161 Venöse Klemme Venous clamp X153 Membranpumpe Membrane pum p X157 Potenzialausgleich Ground 11-50 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 381
Chapter 11: Functional description Fig.: P.C.B. LP 450-2 layout M Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-51… -
Page 382: Lp 493 Blood Leak Detector
Chapter 11: Functional description 11.2.8 P.C.B. LP 493 Blood leak detector Fig.: P.C.B. LP 493 layout I 11-52 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 383: Lp 624 Pump Control, Arterial Blood Pump / Single-Needle Blood Pump (Option)
Chapter 11: Functional description 11.2.9 P.C.B. LP 624 Pump control, arterial blood pump / Single-Needle blood pump (option) Fig.: P.C.B. LP 624 layout L Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-53…
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Page 384: Lp 630 Motherboard
Chapter 11: Functional description 11.2.10 P.C.B. LP 630 Motherboard Fig.: P.C.B. LP 630 layout O 11-54 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 385
Chapter 11: Functional description 11.2.11 P.C.B. LP 632 CPU 2 Fig.: P.C.B. LP 632-5 block diagram (SMT) ADRESSES DATA PORT ANALOG PORT Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-55… -
Page 386
Chapter 11: Functional description Fig.: P.C.B. LP 632 layout M 11-56 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 387: Lp 633-5 Input Board
BPSB_AR T BPUS_AR T COND_SIGNAL2 BPSB_VEN BPUS_VEN BIBAG_TEMP HEP_ALARM BIB_LEVEL BIBAG_COND EXT_ALARM SP ARE SER VICE_MODE LEVEL UP U_BA TT_SW LEVEL DOWN ADS_SN Uref ACKN_CONC ACKN_BIC BIBAG_PSW Microprocessor Interface CPU 1 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-57…
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Page 388
Chapter 11: Functional description Fig.: P.C.B. LP 633-5 layout I 11-58 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 389: Lp 634 Output Board
Oszillator / Oscillator EN1 1 Zähler / Latch FLOW_P Counter D/ A DEGAS_P TEMP_SET DAC_BLL DAC_DIM DAC_ TEMP_AD DAC_P_ZE U_ref STEUER_EP BIBAG_TEMP_A STEUER_FP EN12 V_Z V1 V_Z V2 Latch FREE_OUTP Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-59…
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Page 390
Chapter 11: Functional description Fig.: P.C.B. LP 634 layout Q 11-60 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 391: Lp 636 External I/O Board
Chapter 11: Functional description 11.2.14 P.C.B. LP 636 External I/O board Fig.: P.C.B. LP 636 layout J Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-61…
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Page 392: Lp 645 Membrane Pump Optical Sensor
Chapter 11: Functional description 11.2.15 P.C.B. LP 645 membrane pump optical sensor Fig.: P.C.B. LP 645 layout A 11-62 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 393: Lp 763 Multi-Interface Board (Commco Iii)
Chapter 11: Functional description 11.2.16 P.C.B. LP 763 Multi-interface board (COMMCO III) Fig.: P.C.B. LP 763 layout D Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-63…
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Page 394: Lp 922 Display Board
Chapter 11: Functional description 11.2.17 P.C.B. LP 922 Display board Fig.: P.C.B. LP 922 layout K 11-64 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 395: Lp 941 Hpu (Hydraulic Processing Unit)
Chapter 11: Functional description 11.2.18 P.C.B. LP 941 HPU (hydraulic processing unit) Fig.: P.C.B. LP 941 layout B Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-65…
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Page 396: Lp 950 Control Board (Hep)
Chapter 11: Functional description 11.2.19 P.C.B. LP 950 Control board (HEP) Fig.: P.C.B. LP 950 layout M 11-66 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 397: Lp 1131 Operation Status Indicator (Traffic Light)
Chapter 11: Functional description 11.2.20 P.C.B. LP 1131 Operation status indicator (traffic light) Fig.: P.C.B. LP 1131 layout E Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-67…
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Page 398: Lp 1147 Bpm (Optional)
Chapter 11: Functional description 11.2.21 P.C.B. LP 1147 BPM (optional) Fig.: P.C.B. LP 1147 layout C 11-68 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 399: Lp 1627 Display, Ebm Sn (Optional)
Chapter 11: Functional description 11.2.22 P.C.B. LP 1627 Display, EBM SN (optional) Fig.: P.C.B. LP 1627 layout 0 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-69…
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Page 400: Lp 1628 Distributor Board
Chapter 11: Functional description 11.2.23 P.C.B. LP 1628 Distributor board Fig.: P.C.B. LP 1628 layout 0 +24V_EM X_CAN_MON X_BPM_MON PWR_GND X_CAN2 X_CAN3 X_WTR X_S21/47 11-70 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 401: Lp 1629 Ebm Display
Chapter 11: Functional description 11.2.24 P.C.B. LP 1629 EBM display Fig.: P.C.B. LP 1629 layout 0 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-71…
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Page 402
DIP switch A/D bus array 1 Digital Digital DIP switch array 2 Digital SD card Digital DIP switch array 3 LEDs watchdog serial interface 4 channel 11-72 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 403
R144 R150 R121 IC11 IC13IC15 IC12 R51 R53 R158 IC14 IC10 C20-1 R119 R118 C24 C25 C26 R116 IC22 DR10 R163 Insulated by hot-melt spot gluing = mit Heißklebepunkt isoliert Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-73… -
Page 404: Heater Board (4008 Power Supply Unit)
Chapter 11: Functional description 11.2.26 Heater board (4008 power supply unit) Fig.: Heater board layout 11-74 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
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Page 405: Power Board (4008 Power Supply Unit)
Chapter 11: Functional description 11.2.27 Power board (4008 power supply unit) Fig.: Power board layout Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-75…
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Page 406
Chapter 11: Functional description 11-76 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13… -
Page 407: Appendix
Chapter 12: Appendix 12 Appendix Chapter without content Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 12-1…
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Page 408
Chapter 12: Appendix 12-2 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13…
Практичный подход к качественному лечению
- Онлайн оценка эффективности и дозы диализа (ОСМ®)
- Ультрачистая диализная жидкость благодаря DIASAFE®plus
- Использование гигиенически чистого сухого бикарбоната в картриджах bibag®
- Адаптированный поток1 для оптимизации использования ресурсов
Основные характеристики
Настройки монитора артериального давления (BPM)
Обеспечение качества работы
Высокая оперативность
Процедура гемодиализа подразумевает большое количество необходимых ручных операций, связанных с управлением аппарата для гемодиализа и обеспечением непосредственно самой процедуры. Эргономичный дизайн и логичная структура меню управления в 4008S classix значительно облегчают процесс управления, а также быстрое и интуитивно понятное программирование параметров лечения. Важные параметры лечения представлены графически на TFT-LCD мониторе 10,4″, который отображает параметры в ходе процедуры лечения и обеспечивает быстрый доступ к истории лечения. Монитор артериального давления (BPM) полностью интегрирован, что в так же упрощает работу медицинского персонала. В сочетании с Системой управления данными терапии (TDMS) повседневная практика диализа может быть организована более эффективным и действенным образом, в полной мере используя сбор данных о каждой процедуре в режиме online и средства управления ходом процедуры.
Настройки для онлайн монитора клиренса (ОСМ®)
ОСМ® — онлайн монитор клиренса
Многочисленные исследования показали, что заболеваемость и смертность тесно коррелируют с обеспеченной дозой диализа. Онлайн монитор клиренса (ОСМ®) обеспечивает непрерывный контроль:
- Эффективности клиренса по мочевине in-vivo (K)
- Накопленной объём очищенной плазмы (Kt) или текущее значение выполненной дозы диализа (Kt/V)
- Концентрации натрия в плазме:
возможные отклонения от установленной цели терапии могут быть обнаружены оператором и исправлены непосредственно во время лечения * без дополнительных расходов на одноразовые материалы или дополнительных усилий.
Онлайн-монитор клиренса (ОСМ®) в комбинации с Монитором состава тела (ВСМ), измеряющим объем распределения мочевины V, обеспечивает точную оценку параметра Кт / V, согласующегося с традиционными методами, основанными на анализе проб крови.4
DIASAFE®plus — Фильтр диализной жидкости
Обеспечение качества терапии
DIASAFE ® plus — Фильтр диализной жидкости
Качество и чистота диализной жидкости являются предметом серьезной озабоченности в современной заместительной почечной терапии, так как значительные объемы диализной жидкости вступают в контакт с кровью пациента во время каждой процедуры. Эндотоксины, присутствующие в диализной жидкости не отвечающей требованиям качества, могут вызвать нежелательные острые реакции и повлиять на долгосрочный результат пациентов на хроническом гемодиализе. Благодаря уникальным сорбционным свойствам мембраны волокон — Fresenius Polysulfone®, фильтр диализной жидкости DIASAFE® plus задерживать эндотоксины, что позволяет производить сверхчистую диализную жидкость. Кроме того, интеллектуальная концепция безопасности фильтра подразумевает:
- Функциональный контроль целостности фильтра
- Автоматический контроль срока службы фильтра
- Технологию асептического монтажа/демонтажа фильтра
Ультрачистая диализная жидкость признана неотъемлемой частью современного диализного оборудования. Естественно, что фильтр DIASAFE® plus является неотъемлемой частью базовой конфигурации всех современных диализных аппаратов Fresenius Medical Care.
bibag® — Сухой Бикарбонатный концентрат
bibag® — Сухой Бикарбонатный концентрат
Чтобы избежать потенциального риска микробиологического загрязнения через жидкий бикарбонатный концентрат, бикарбонатный буфер всегда поставляется в виде сухого вещества. В дополнение к этому отличному гигиеническому стандарту, bibag® характеризуется:
- Простотой и эргономикой в использовании
- Сокращением требуемой площади для хранения
- Экологическими преимуществами за счет уменьшения объема отходов упаковки, уменьшения веса и объема при транспортировке
Основные особенности
Практичный подход к качественному лечению
Почти каждый второй пациент с тХПН умирает в результате сердечно-сосудистых заболеваний. Вот почему кардиопротективный гемодиализ является основным принципом Fresenius Medical Care как провайдера диализной помощи с более чем 100 летним опытом. Каждый наш шаг ориентирован на минимизацию сердечно-сосудистых рисков и продление жизни пациентов. 4008S classix продолжает историю успеха известной серии 4008, сочетая лучшее качество ГД лечения с надежностью и эксплуатационной эффективностью.
Аппарат для гемодиализа 4008S classix
Доказанное качество
Последняя разработка в весьма успешной серии 4008
- Усовершенствованный контур диализной жидкости с высокоточной объемноконтролируемой ультрафильтрацией
- Надежная гидравлика
Передовое лечение
Высококачественный ГД для защиты Вашего пациента
- ОСМ® (Онлайн монитор клиренса)
- DIASAFE®plus (Фильтр для диализной жидкости)
- bibag® (Сухой бикарбонатный концентрат)
- Одноигольный режим или Одноигольный режим типа «клик-клак» (SN или SN Click-Clack)
Высокая оперативность
Экономически выгодное использование ресурсов
- Легкое, быстрое и интуитивно понятное управление
- TDMS (Система управления данными терапии)
- BPM (Монитор артериального давления)
- CDS (Централизованная система подачи концентрата)
- Адаптированный поток*
* Адаптированный поток доступен не во всех странах
Технические данные
Технические данные 4008S classix
Общие данные | |
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Размеры 4008S Вес | 1370 x 500 x 650 мм (В x Д x Ш) (в том числе блокировка шунта и подставка) около 86 кг |
Водоснабжение | |
Давление воды на входе | 1,5 – 6,0 бар |
Температура воды на входе | 5°C — 30°C; для «интегрированной горячей промывки» 85°C — 95°C |
Максимальная высота слива | 1 м |
Поставка концентрата | |
Давление | 0 — 100 мбар; 1 м макс. высота всасывания |
Центральное снабжение | 1 центральный концентрат кислоты (по желанию) 0 — 500 мбар |
Данные электричества | |
Мощность | 100 — 240 V AC, 50 — 60 Гц |
Текущее потребление | Примерно 9 A (при 230 V) and 15 A (при 110 V) |
Внешние соединения | Сетевой интерфейс для обмена данными с системой управления данными терапии (опционально); вход / выход для подключения внешнего вспомогательного оборудования; тревожный вход / выход (например, для вызова медсестры); диагностика компьютера домашнего диализа |
Батарея | 18 V; 3 Ah (бесперебойная) |
Экстракорпоральный контур
Экстракорпоральный контур | |
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Мониторинг артериального давления | |
Диапазон дисплея | — 300 мм рт.ст. до + 280 мм рт.ст. |
Точность | ±10 мм рт.ст. |
Разрешение | 20 мм рт.ст. |
Мониторинг венозного давления | |
Диапазон дисплея | — 60 мм рт.ст. до + 520 мм рт.ст. |
Точность | ±10 мм рт.ст. |
Разрешение | 20 мм рт.ст. |
Мониторинг трансмембранного давления | |
Диапазон дисплея | — 60 мм рт.ст. до + 520 мм рт.ст. |
Разрешение | 20 мм рт.ст. |
Насос артериальной крови | |
Диапазон скорости кровотока | 15 — 600 мл/мин |
Точность | ± 10% |
Разрешение | 5 мл/мин |
Система одной иглы (опционально) | С 2-мя насосами крови, контроль внутреннего давления / давления с изменяемым объемом хода (макс. 50 мл/мин) |
Детектор пузырьков воздуха | Ультразвуковое измерение передачи в системе переливания крови, дополнительный оптический мониторинг венозного зажима |
Гепариновый насос | Диапазон доставки: от 0 до 10 мл/ч Функция болюса: макс. 5 мл на размер болюсного шприца: 20 мл |
Контур диализной жидкости
Контур диализной жидкости | |
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Диапазон потока диализной жидкости | |
Выбирается | 0 – 300 – 500 – 800 мл/мин |
AdaptedFlow*(выбирается) | Поток диализата адаптирован к эффективному кровотоку |
Температура диализной жидкости | |
Выбирается | 35°C — 39°C |
Проводимость диализной жидкости | |
Диапазон | 12,8 – 15,7 мS/см (25°C) |
Точность | ± 0,1 мS/см |
Разрешение | 0,1 мS/см |
Кислотный компонент диализной жидкости | |
Соотношение смешивания | 1 + 27.6 (возможны другие) |
Диапазон регулировки | — 8 to + 8 ммоль/л |
Кислотный компонент диализной жидкости | |
Соотношение смешивания по умолчанию | 1 + 27,6 (возможны другие) |
Диапазон регулировки | — 8 до + 8 ммоль/л |
OCM® | Онлайн клиренс мониторинг |
Точность клиренса K | ± 6% |
Сухой концентрат бикарбоната | bibag® |
Система фильтров диализной жидкости | DIASAFE®plus |
Точность балансировки | ± 0,1 % в зависимости от общего объема диализата |
Проверка поддержания давления | Циклически |
Ультрафильтрация | |
Скорость УФ | 0 – 4 000 мл/ч (при шаге 1 мл/ч) |
Точность объема насоса | ± 1% |
Отображаемые параметры | цель УФ, время УФ, скорость УФ, объем УФ |
Детектор утечки крови | |
Чувствительность | ≤ 0,5 мл крови/мин (Hct = 25) при макс. потоке 800 мл/мин |
BPM (Опционально) | |
Диапазон экрана | Систола: 30 мм рт.ст.- 280 мм рт.ст. |
Диастола: 10 мм рт.ст.- 240 мм рт.ст. | |
MAP: 20 мм рт.ст.- 255 мм рт.ст. | |
Пульс: 20 — 245 уд/мин | |
Точность | ± 3 мм рт.ст. |
Разрешение | 1 мм рт.ст. |
Программы дезинфекции и очистки **
Программы дезинфекции и очистки** | |
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Промывание Температура/поток |
37 °C / 600 мл/мин |
Горячая промывка (рециркуляция) Температура/поток |
84 °C / 450 мл/мин |
Встроенная горячая промывка Температура/поток |
84°C / 450 мл/мин |
Очистка Sporotal®100 (рециркуляция) Температура/поток |
37 °C / 600 мл/мин |
Тепловая дезинфекция Диастерил®/Цитростерил® (рециркуляция) Температура/поток |
84° C / 450 мл/мин |
Дезинфекция Пуристерил® 340/плюс (рециркуляция) Температура/поток |
37 °C / 600 мл/мин |
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4008 E / 4008 B / 4008 H / 4008 S Hemodialysis Machine Technical Manual Fresenius Medical Care Important Information Organization of the Technical Manual Page identification Page identification 1-3 is to be interpreted as: Chapter 1, page 3. Editorial information This Technical Manual has been updated to 4/09.03 = 4th edition, September 2003 In case of updates, the pages concerned will be replaced. Refer to the table below to verify that the Technical Manual is up-to-date. Modifications Part number: 672 079 1 Page(s) Current version 0-1 0-2 – 0-4 0-5 – 0-6 4/09.03 4/08.03 4/09.03 1-1 – 1-6 1-7 1-8 – 1-98 4/08.03 4/09.03 4/08.03 2-1 – 2-30 4/09.03 3-1 – 3-22 3-23 3-24 – 3-30 4/08.03 4/09.03 4/08.03 4-1 – 4-34 4/08.03 5-1 – 5-32 4/08.03 6-1 – 6-64 4/08.03 7-1 – 7-2 4/08.03 8-1 – 8-298 4/09.03 Manual changes will be released as new editions, supplement sheets or product information. In general, this manual will be subject to modification. Fresenius Medical Care 4008 4/08.03 (TM) 4/09.03 0-1 How to use the technical manual Intended use This Technical Manual is intended for service technicians. It can be used both for first studies (to acquire a basic knowledge) and for reference purposes (for TSC, maintenance and repair). The study of this manual, however, does not replace the training courses offered by the manufacturer. Requirements Knowledge of the current Operating Instructions for the respective system. Experience in mechanics, electrical and medical engineering. Specifications For the specifications of the respective system, refer to the current Operating Instructions. Circuit diagrams and component layouts The identification on the PCB permits the user/technician to verify if the circuit diagram/component layout matches the PCB actually installed in the system. Explanation of the Note and Caution symbols used ☞ Note Informs the operator that in case of a failure to follow the steps as described, a specific function will be executed incorrectly or will not be executed at all, or will not produce the desired effect. Caution Advises the operator against certain procedures or actions that could cause damage to the equipment or may have adverse effects on operators and patients. 0-2 Fresenius Medical Care 4008 4/08.03 (TM) Instructions to be Observed when Servicing the System Authorized persons Assembly, extensions, adjustments, modifications or repairs may only be carried out by the manufacturer or persons authorized by him. Test equipment and accessories The activities described in the Technical Manual require the availability of the necessary technical test equipment and accessories. Precautions When working on the open system, the following precautions must be respected: – Protect the components against ingress of fluids. – Do not touch live parts (e. g. connectors of the power cord or heater). ESD precautions When repairing and when replacing spare parts, observe the applicable ESD precautions (e.g. EN 100 015-1). Fresenius Medical Care 4008 4/08.03 (TM) 0-3 Addresses Please address any inquires to: Manufacturer Fresenius Medical Care AG D-61346 Bad Homburg Telefon: +49-6172-609-0 www.fmc-ag.com Service Central Europe Fresenius Medical Care Deutschland GmbH Geschäftsbereich Zentraleuropa Kundendienst / Service-Center Steinmühlstraße 24b D-61352 Bad Homburg Telefon: +49-6172-609-7100 Fax: +49-6172-609-7102 E-mail: [email protected] International Service Fresenius Medical Care Deutschland GmbH Service Support International Hafenstraße 9 D-97424 Schweinfurt Telefon: +49-9721-678-333 (Hotline) Fax: +49-9721-678-130 Local Service 0-4 Fresenius Medical Care 4008 4/08.03 (TM) Table of contents Section Page 1 1.1 1.2 1.3 Description of machine functions and malfunctions ............................................... Description of the T1 test ................................................................................................ Functional description of the modules ............................................................................ Functional description of the hydraulic unit ..................................................................... 11-3 1-78 1-83 2 2.1 2- 2.3 Technical safety checks / Technical measurement checks / Maintenance ............ Technical safety checks and maintenance for 4008 hemodialysis systems and options ................................................................... Technical measurement checks and maintenance ki for options of 4008 hemodialysis systems ...................................................................... TSC checklist .................................................................................................................. 3 3.1 3.2 3.3 3.4 Adjustment instructions ............................................................................................... Overview of the DIP switches in the 4008 ...................................................................... Calibration mode ............................................................................................................. Hydraulics ....................................................................................................................... Air detector ...................................................................................................................... 33-11 3-15 3-17 3-29 4 Calibration program ...................................................................................................... 4- 5 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 Diagnostics program .................................................................................................... General notes ................................................................................................................. Menu structure ................................................................................................................ Reading the analog inputs of CPU I ............................................................................... Reading the analog inputs of CPU II .............................................................................. Reading the digital inputs of CPU I ................................................................................. Reading the digital inputs of CPU II ................................................................................ Writing the analog outputs of CPU I ............................................................................... Writing the analog outputs of CPU II .............................................................................. Writing the digital outputs of CPU I ................................................................................. Writing the digital outputs of CPU II ................................................................................ Writing/Reading the digital outputs of CPU I .................................................................. ONLINE plus™ module ..................................................................................................... 55-3 5-5 5-7 5-9 5-10 5-15 5-19 5-20 5-21 5-27 5-30 5-31 6 6.1 6.2 6.3 6.4 Setup menu ................................................................................................................... Übersicht Setup-Einstellungen ....................................................................................... Overview ......................................................................................................................... Main menu 4008 E/B Rev. 5.2 ........................................................................................ Main menu 4008 H/S Rev. 4.3 ........................................................................................ 66-3 6-7 6-9 6-35 7 Miscellaneous ............................................................................................................... 7- 2.2 Fresenius Medical Care 4008 4/08.03 (TM) 4/09.03 2-3 2-23 2-29 0-5 Section 8 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 8.10 8.11 8.12 8.13 8.14 8.15 8.16 8.17 8.18 8.19 8.20 8.21 8.22 8.23 8.24 8.25 8.26 8.27 8.28 8.29 8.30 8.31 8.32 8.33 0-6 Page Circuit diagrams and circuit descriptions .................................................................. Block diagram 4008 ........................................................................................................ AC diagram 4008 E/H ..................................................................................................... AC diagram 4008 B/S ..................................................................................................... Block diagram of voltage supply ..................................................................................... Block diagram of Screen 4008 H/S ................................................................................. Connection layout diagram ............................................................................................. P.C.B. LP 450-2 Level detector control (LD) .................................................................. P.C.B. LP 493 Blood leak detector ................................................................................. P.C.B. LP 624 Control board (BP) .................................................................................. P.C.B. LP 630 Motherboard ............................................................................................ P.C.B. LP 631 CPU 1 ...................................................................................................... P.C.B. LP 632 CPU 2 ...................................................................................................... P.C.B. LP 633 Input board .............................................................................................. P.C.B. LP 634 Output board ........................................................................................... P.C.B. LP 635 Display board .......................................................................................... P.C.B. LP 636 External connectors ................................................................................ P.C.B. LP 638 Power supply .......................................................................................... P.C.B. LP 639 Power logic ............................................................................................. P.C.B. LP 950 Control board (HEP) ............................................................................... P.C.B. LP 644-4 Display board (HEP) ............................................................................ P.C.B. LP 645 Position sensor membrane pump .......................................................... P.C.B. LP 647 Power logic A (4008 B/S) ........................................................................ P.C.B. LP 649-2 Display board (4008 B/S) ..................................................................... P.C.B. LP 742 Interference filter ..................................................................................... P.C.B. LP 743 Power control 2 (4008 B/S) ..................................................................... P.C.B. LP 744 Power control 1 (4008 B/S) ..................................................................... P.C.B. LP 747 Distribution board .................................................................................... P.C.B. LP 748 Display board (BP) .................................................................................. P.C.B. LP 763 Multi interface board ............................................................................... P.C.B. LP 922 Display board (4008 S) ........................................................................... P.C.B. LP 923 Traffic light (4008 H/S) ............................................................................ P.C.B. LP 924 Display board (4008 H) ........................................................................... P.C.B. LP 941 Hydraulics processor .............................................................................. Fresenius Medical Care 4008 4/09.03 4/08.03 (TM) 88-5 8-7 8-9 8-11 8-13 8-15 8-19 8-31 8-35 8-45 8-53 8-65 8-85 8-105 8-129 8-147 8-151 8-159 8-171 8-179 8-183 8-187 8-195 8-213 8-217 8-223 8-227 8-233 8-237 8-245 8-261 8-265 8-281 Table of contents 1 Description of machine functions and malfunctions Section Page 1.1 1.1.1 1.1.2 1.1.3 1.1.4 1.1.5 1.1.6 Description of the T1 test ............................................................................................. T1 test flow diagram, serial program steps ..................................................................... T1 test flow diagram, parallel program steps .................................................................. Description of the T1 test incl. error messages ............................................................. Description of machine errors during the cleaning programs ........................................ Error messages after turning power on .......................................................................... Error messages during dialysis ....................................................................................... 1-3 1-3 1-5 1-7 1-53 1-70 1-71 1.2 1.2.1 1.2.2 1.2.3 1.2.4 Functional description of the modules ....................................................................... Blood pump (arterial) ...................................................................................................... Blood pump (single needle), optional ............................................................................. Heparin pump ................................................................................................................. Air detector ...................................................................................................................... 1-78 1-78 1-79 1-80 1-82 1.3 Functional description of the hydraulic unit ............................................................. Fig.: Flow diagram .......................................................................................................... Description of the hydraulic unit ...................................................................................... Theory of operation of the balancing chamber .............................................................. Central delivery system option ........................................................................................ Program runs during the cleaning programs .................................................................. Fig.: Flow chart of cleaning programs – overview ......................................................... 1-83 1-83 1-85 1-87 1-91 1-92 1-92 1.3.1 1.3.2 1.3.3 1.3.4 Fresenius Medical Care 4008 4/08.03 (TM) 1-1 1-2 Fresenius Medical Care 4008 4/08.03 (TM) 1.1 Description of the T1 test 1.1.1 T1 test flow diagram, serial program steps MODULE T1 TEST ACCUMULATOR START T1 TEST TEST OK ? no STORAGE ERROR NUMBER no STORAGE ERROR NUMBER no STORAGE ERROR NUMBER no STORAGE ERROR NUMBER no STORAGE ERROR NUMBER no STORAGE ERROR NUMBER no STORAGE ERROR NUMBER no STORAGE ERROR NUMBER yes TEST BYPASS TEST OK ? TEST BLOOD LEAK DETECTOR no STORAGE ERROR NUMBER TEST OK ? yes yes TEST OPT. DETECTOR TEST OK ? TEST TEMPERATURE no STORAGE ERROR NUMBER TEST OK ? yes yes TEST BLOOD SYSTEM TEST OK ? NEG. PRESSURE HOLDING TEST no STORAGE ERROR NUMBER TEST OK ? yes yes TEST VENOUS PRESSURE TEST OK ? POS. PRESSURE HOLDING TEST no STORAGE ERROR NUMBER TEST OK ? yes yes TEST AIR DETECTOR TEST OK ? TEST UF-FUNCTION no STORAGE ERROR NUMBER TEST OK ? yes yes TEST DISPLAY TEST OK ? TEST CONDUCTIVITY no STORAGE ERROR NUMBER TEST OK ? yes yes TEST ARTERIAL PRESSURE TEST OK ? TEST DIASAFE/HDF FILTER no STORAGE ERROR NUMBER TEST OK ? yes yes 1 Fresenius Medical Care 4008 4/08.03 (TM) 1-3 1 T1 TEST UNSUCCESSFUL no yes DIALYSIS START KEY INCORRECT TEST STEP RETURN TEST OK ? no ERROR DISPLAY yes FURTHER INCORRECT TEST STEPS yes NEXT INCORRECT TEST STEP no RETURN 1-4 Fresenius Medical Care 4008 4/08.03 (TM) 1.1.2 T1 test flow diagram, parallel program steps MODULE T1 START T1 TEST TEST OPT. DETECTOR TEST BLOOD SYSTEM yes TEST OK ? no yes TEST OK ? TEST OK ? no 1 STORAGE ERROR NUMBER TEST BYPASS STORAGE ERROR NUMBER TEST VENOUS PRESSURE TEST TEMPERATURE yes TEST OK ? TEST OK ? no STORAGE ERROR NUMBER TEST AIR DETECTOR NEG. PRESSURE HOLDING TEST yes TEST OK ? no TEST OK ? no Conductivity? yes 1 STORAGE ERROR NUMBER yes TEST OK ? no 1 STORAGE ERROR NUMBER yes TEST BLOOD LEAK DETECTOR yes yes TEST OK ? no 1 STORAGE ERROR NUMBER yes TEST CONDUCTIVITY yes no STORAGE ERROR NUMBER TEST CONDUCTIVITY TEST UF-FUNCTION yes no TEST OK ? no STORAGE ERROR NUMBER STORAGE ERROR NUMBER TEST DIASAFE/HDF FILTER STORAGE ERROR NUMBER no TEST OK ? STORAGE ERROR NUMBER no TEST ARTERIAL PRESSURE yes TEST OK ? 1 STORAGE ERROR NUMBER STORAGE ERROR NUMBER no TEST OK ? yes TEST OK ? no no 1 STORAGE ERROR NUMBER TEST OK ? TEST ACCUMULATOR no STORAGE ERROR NUMBER TEST OK ? yes no STORAGE ERROR NUMBER POS. PRESSURE HOLDING TEST TEST DISPLAY POS. PRESSURE HOLDING TEST yes TEST OK ? yes no STORAGE ERROR NUMBER TEST UF-FUNCTION yes 1 TEST OK ? no STORAGE ERROR NUMBER Fresenius Medical Care 4008 TEST DIASAFE/HDF FILTER yes 1 TEST OK ? no yes 1 STORAGE ERROR NUMBER 4/08.03 (TM) 1-5 1 T1 TEST UNSUCCESSFUL no yes DIALYSIS START KEY INCORRECT TEST STEP RETURN TEST OK ? no ERROR DISPLAY no NEXT INCORRECT TEST STEP yes FURTHER INCORRECT TEST STEPS yes RETURN 1-6 Fresenius Medical Care 4008 4/08.03 (TM) 1.1.3 Description of the T1 test incl. error messages ● Notes on the descriptions of errors The values specified are internal mathematical values, which are used in the program. Resolutions and tolerances are as follows: 1. Arterial pressure: 2. Venous pressure: 3. Dialysate pressure, coarse: fine: 4. CD resolution: 5. Temperature: 3 mmHg/digit 3 mmHg/digit 6.0 mmHg/digit 0.5 mmHg/digit 0.06 mS/digit 0.05 °C/digit and and and and and and ± 1 digit of measured value. ± 1 digit of measured value. ± 1 digit of measured value. ± 1 digit of measured value. ± 1 digit of measured value. ± 1 digit of measured value. ● Prerequisites for starting and running the test Error message Description Power failure Power failure while the test is in progress Dialines not conn The dialysate lines are not in the interlock shunt. Shunt Cover open The interlock shunt is open. Connect Conc.Line Wrong conc. supply The concentrate connector is in the rinse chamber, or concentrate is not connected at all. The error message depends on the central delivery system preselected in the setup menu. Blood Sensed by OD The optical detector senses blood in the system. Flow alarm Line to or from the dialyzer kinked, malfunctions in the hydraulics. Water alarm Water supply interrupted. ● Overview of the individual test steps Bypass test ..................................................................................................................... Optical detector test ........................................................................................................ Blood system test ............................................................................................................ Venous pressure system test ......................................................................................... Air detector test ............................................................................................................... Display test ..................................................................................................................... Arterial pressure system test .......................................................................................... Battery test ...................................................................................................................... Blood leak test ................................................................................................................ Temperature test ............................................................................................................. Negative pressure holding test ....................................................................................... Positive pressure holding test ......................................................................................... UF function test ............................................................................................................... Conductivity test ............................................................................................................. Diasafe/HDF filter test ..................................................................................................... Fresenius Medical Care 4008 4/08.03 (TM) 4/09.03 1-8 1-10 1-12 1-16 1-18 1-22 1-24 1-26 1-28 1-30 1-32 1-34 1-39 1-42 1-44 1-7 ● Bypass test Test description: Check of the following functions: – Heater relay – Bypass (electric) – Check of the temperature range changeover Illustration: X632/A26 HOT_RINSE LP 639 (4008E/H) X639/ Power Logic A20 X632/A10 H_REL_W X639/A12 X632/A9 EM_H_OFF X639/A17 X632/C25 V24_EN X632/C26 V24B_EN X632/B22 CI X632/A6 V26 X632/A6 V26 X632/A5 V24B X634R/ X634R/ X632/A4 V24 A18 C22 LP 647 (4008S/B) LP 632 CPU 2 X632/B28 LP 634 X634R/ Input board X631/A21 LP 631 LP 630 CPU 1 Output board X634L/A25 X631/A20 A23 X634L/C25 LP 633 X634L/C12 X632/B27 DATA BUS (4008 B) Display board LP 924 (4008 H) LP 922 (4008 S) Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement 1-8 Fresenius Medical Care 4008 4/08.03 (TM) V24 V24B V26 LP 649 (4008 E) V24B LP 635 V24 Mother board V26 X634R/ C24 Error description: Error message Description F 01 Bypass The heater relay is switched off. – Acknowledgement (H_REL_W, X639/A12) → X632/A10, 0 V are missing. F 02 Bypass The heater relay cannot be switched off by CPU2. – Acknowledgement (H_REL_W, X639/Y12) → X632/A10, 12 V are missing. – Control line (EM_H_OFF, X632/A9) → X639/A17, 12 V are missing. F 03 Bypass The temperature measurement range is set to hot rinse. – Control line (HOTRINSE, X634R/C24) → X639/A20, 0 V are missing. – Acknowledgement (HOTRINSE, X634R/C24) → X632/A26, 0 V are missing. F 04 Bypass The extended bypass cannot be correctly switched by CPU2 (V24 = off, V26 = on, V24B = off). – Acknowledgement (V24, X637/C1) → X632/A4, 24 V are missing. – Acknowledgement (V26, X637/C2) → X632/A6, 0 V are missing. – Acknowledgement (V24B, X637/C23) → X632/A5, 24 V are missing. F 05 Bypass The extended bypass cannot be correctly switched off by CPU2 (V24 = on, V26 = off, V24B = on). – Acknowledgement (V24, X637/C1) → X632/A4, 0 V are missing. – Acknowledgement (V26, X637/C2) → X632/A6, 24 V are missing. – Acknowledgement (V24B, X637/C23) → X632/A5, 0 V are missing. F06 Bypass CPU1 fails to set the temperature control to hot rinse. – Control line (HOTRINSE, X634R/C24) → X639/A20, 12 V are missing. – Acknowledgement (HOTRINSE, X634R/C24) → X632/A26, 12 V are missing. F 07 Bypass The extended bypass cannot be correctly switched by CPU1 (V24 = off, V26 = on, V24B = off). – Acknowledgement (V24, X637/C1) → X632/A4, 24 V are missing. – Acknowledgement (V26, X637/C2) → X632/A6, 0 V are missing. – Acknowledgement (V24B, X637/C23) → X632/A5, 24 V are missing. F08 Bypass CPU1 fails to reset the temperature control to dialysis. – Control line (HOTRINSE, X634R/C24) → X639/A20, 0 V are missing. – Acknowledgement (HOTRINSE, X634R/C24) → X632/A26, 0 V are missing. F09 Bypass The extended bypass cannot be correctly switched off by CPU1 (V24 = on, V26 = off, V24B = on). – Acknowledgement (V24, X637/C1) → X632/A4, 0 V are missing. – Acknowledgement (V26, X637/C2) → X632/A6, 24 V are missing. – Acknowledgement (V24B, X637/C23) → X632/A5, 0 V are missing. F95 Bypass System error Fresenius Medical Care 4008 4/08.03 (TM) 1-9 ● Optical detector test Test description: Attenuation of the optical detector. Check of the acknowledgement of the optical detector. Illustration: LP 632 CPU 2 X632/C16 LDSA X632/C15 ODSA X632/A30 OD_OUT X633L/C7 32/B27 LP 633 X632/B28 LP 634 Input board Output board 31/A20 OD_IN X633L/C8 X631/A21 LP 631 LP 630 CPU 1 DATA BUS Mother board X351/5 LP 635 LP 649 (4008 E) (4008 B) X351/10 Display board LP 924 LP 922 (4008 H) (4008 S) Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement 1-10 Fresenius Medical Care 4008 X351/7 Pven 4/08.03 (TM) Error description: Error message Description F01 opt. Detector CPU1 interprets the optical detector in a different way than does CPU2. – Acknowledgement (OD_OUT, X633L/C7) → X632/A30 and the digital input of P.C.B. LP 633 measure different levels. F02 opt. Detector CPU2 fails to recognize blood in the system. – Acknowledgement (OD_OUT, X633L/C7) → X632/A30, 0 V are missing. – Detuning (ODSA, X632/C15) → X351/7 not 12V. F03 opt. Detector CPU1 fails to recognize blood in the system. – Acknowledgement (OD_OUT, X633L/C7) → digital input on P.C.B. LP 633. – Detuning (ODSA, X632/C15) → X351/7 not 12V. F04 opt. Detector CPU2 recognizes that the optical detector senses opaque fluid (required because of the test in the cleaning program). – Acknowledgement X632/A30 not 12V. – AD28 defective. F96 opt. Detector System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-11 ● Blood system test Test description: Check of the following functions: – Blood alarm acknowledgement – Blood pump switch-off Illustration: LP 632 X632/C10 CLP_CTL X632/C14 LDA2 X632/C21 BL_AL X632/B11 BPSB_VEN X632/A11 BPSB_ART X632/A15 SN_ART CPU 2 X632/B28 X632/B27 X634L/ C15 Input board Output board A13 X633L/ LP 647 (4008S/B) X634L/ B15 B14 LP 631 C14 BPSST_A DATA BUS LP 635 LP 649 (4008 E) (4008 B) LP 922 (4008 H) (4008 S) Testgenerierung/Generation of Test Rückmeldung/Acknowledgement Fresenius Medical Care 4008 4/08.03 (TM) X351/6 X348/V3 X348/V6 X348a/1 X348a/3 Pven Display board LP 924 X348a/6 X348a/2 BPSST_V Mother board X351/8 LP 630 CPU 1 1-12 X634L/ X631/A21 X348/V1 X631/A20 (4008E/H) A15 BPST_ART X633L/ C13 LP 634 X634L/ A14 LP 633 Error description: Error message Description F09 Bloodsystem Acknowledgement that CPU2 recognizes that the arterial blood pump is inactive (BP not running). – Acknowledgement (BPSB_ART, X348a/6) → X632/A11, 12 V missing. – Control line (BPSST_ART, X634L/B14) → X348a/1, 12 V missing or (BPST_ART, X634L/A14) → X348a/3, 12 V are missing. F10 Bloodsystem Acknowledgement that CPU1 recognizes that the arterial blood pump is inactive (BP not running). – Acknowledgement (BPSB_ART, X348a/6) → X633L/A11, 12 V are missing. – Control line (BPSTT_ART, X634L/B14) → X348a/1, 12 V missing or (BPST_ART, X634L/A14) → X348a/3, 12 V missing. – Level is raised during the T1 test. F11 Bloodsystem The arterial blood pump cannot be stopped by CPU1. CPU2 recognizes that the arterial blood pump remains active. – Control line (BPSST_ART, X634L/B14) → X348a/1, 0 V missing, as well as (BPST_ART, X634L/A14) → X348a/3, 0 V missing. – Acknowledgement (BPSB_ART, X348a/6) → X632/A11, 0 V are missing. – The level is raised during the T1 test, or the up/down key on the air detector is blocked and the level is constantly raised. F12 Bloodsystem The arterial blood pump cannot be stopped by CPU1. CPU1 recognizes that the arterial blood pump remains active. – Control line (BPSST_A, X634L/B14) → X348a/1, 0 V missing, as well as (BPST_ART, X634L/A14) → X348a/3, 0 V missing. – Acknowledgement (BPSB_ART, X348a/6) → X633L/A11, 0 V are missing. F13 Bloodsystem Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) Acknowledgement that CPU2 detects that the pump is inactive (pump is not running). – Acknowledgement (BPSB_VEN, X348V/6) → X632/ B11, 12V missing – Control line (BPSST_VEN, X634L/B15) → X348V/1, 12V missing or (BPST_VEN, X634L/A15) → X348V/3, 12V missing – Transistor T9 on P.C.B. LP754 defective – IC5 on P.C.B. LP632 defective – In 4008 HDF an HDF treatment was performed, followed by a cleaning program with the substituate pump running, then the T1 test has been re-started. The substituate pump must be switched off because otherwise the test step will fail to be passed (problem was corrected with SW 3.20 in 4008 H/S systems: the substituate pump will be switched off automatically on starting a cleaning program). Fresenius Medical Care 4008 4/08.03 (TM) 1-13 1-14 F14 Bloodsystem Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) Acknowledgement that CPU1 detects that the pump is inactive (pump is not running). – Acknowledgement (BPSB_VEN,X348V/6) → X633L/A13, 12V missing – Control line (BPSST_VEN, X634L/B15) → X348V/1 not 12V or (BPST_VEN, X634L/A15) → X348V/3 not 12V – IC16 on P.C.B. LP633 defective – P.C.B. LP633 recognizes Single-Needle pump although it is not connected. F15 Bloodsystem Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) CPU1 fails to stop the corresponding blood pump. CPU2 detects that the pump remains active. – Control line (BPSST_VEN, X634L/B15) → X348V/1, 0V missing as well as (BPST_VEN, X634L/A15) → X348V/3 not 0V – Acknowledgement (BPSB_VEN, X348V/6) → X632/B11, 0V missing – Transistor T9 on P.C.B. LP754 defective – IC5 on P.C.B. LP632 defective – During the test the lines are inserted on the corresponding pump using the Start/Stop key. – P.C.B. LP633 recognizes Single-Needle pump although it is not connected. F16 Bloodsystem Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) CPU1 fails to stop the corresponding blood pump. CPU1 detects that the pump remains active. – Control line (BPSST_VEN, X634L/B15) → X348V/1 not 0V as well as (BPST_VEN, X634L/A15) → X348V/3 not 0V – Acknowledgement (BPSB_VEN, X348V/6) → X633L/A13 not 0V – IC16 on P.C.B. LP633 defective – P.C.B. LP633 recognizes Single-Needle pump although it is not connected. F17 Bloodsystem Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) Although the recognition of the venous blood pump (ADKS) is not acknowledged, the 24-V supply voltage of the pump can be switched off. – Acknowledgement line (ADKS, X348V/7) → X633L/A10 not 12V – Acknowledgement (BPSB_VEN, X348V/6) → X633L/A13 not 12V – Acknowledgement (BPSB_VEN, X348V/6) → X632/B11 not 12V – Online-HDF has already been switched on during the T1 test. – IC16 on P.C.B. LP633 defective. Fresenius Medical Care 4008 4/08.03 (TM) F18 Bloodsystem Applicable for SW 5.00/4.10 and higher, check of the BPUS signal (CPU, P.C.B. LP 632) At the beginning of the test step a maximum of 40s may pass until rotation has stopped.If the blood pump is being activated, the rotation stop alarm must have been cleared. – Acknowledgement line (BPUS, X348A/8) → X632/A13 not 0V – Acknowledgement line (BPUS, X348A/8) → X632/A13 not 12V – Blood pump speed is set to “0”: preset speed during the T1 test. F19 Bloodsystem Applicable for SW 5.00/4.10 and higher, check of the BPUS signal (CPU, P.C.B. LP 631 via LP 633) At the beginning of the test step a maximum of 40s may pass until rotation has stopped. If the blood pump is being activated, the rotation stop alarm must have been cleared. 1. Acknowledgement line (BPUS, X348A/8) → X633L/A12 not 0V 2. Acknowledgement line (BPUS, X348A/8) → X633L/A12 not 12V F95 Bloodsystem System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-15 ● Venous pressure system test Test description: Verification of the lower limit by checking the venous zero point. The upper limit is tested by detuning the venous pressure unit in positive direction. (The venous line clamp is closed during the test.) Illustration: LP 632 X632/C16 LDSA X632/C18 PV_DET X632/C17 P_VEN CPU 2 X632/B27 X632/B28 LP 633 Input board X631/A20 Output board X634R/C18 VENT_V X633L/B5 LP 634 X631/A21 LP 631 LP 630 CPU 1 DATA BUS Mother board X351/1 LP 635 LP 649 (4008 E) (4008 B) Display board LP 924 LP 922 (4008 H) (4008 S) X351/4 Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement 1-16 Fresenius Medical Care 4008 X351/2 P VEN 4/08.03 (TM) X351/10 Error description Error message Description F01 Venous CPU1 (input board) shows a venous zero point deviation of more than ±12 mmHg (60 s). – Control (VENT_VALVE, X634R/C18) → X351/1 of the vent valve in the LD is defective. – Acknowledgement (P_VEN, X351/4) → X633L/B5 that the voltage value is outside the zero point tolerance. – P-venous has not been calibrated. F02 Venous CPU2 shows a venous zero point deviation of more than ±12 mmHg (60 s). – Control (VENT_VALVE, X634R/C18) → X351/1 of the vent valve in the LD is defective. – Acknowledgement (P_VEN, X351/4) → X632/C17, the voltage value is outside the zero point tolerance. – P-venous has not been calibrated. F03 Venous With detuning in positive direction, the achieved change in the venous display is less than 100 mmHg (7 s). – The test detuning is defective (PV_DET, X632/C18) → X351/2. – Acknowledgement (P_VEN, X351/4) → X633L/B5, the change in voltage is too low. – P-venous has not been calibrated. F04 Venous The deviation in the measured value between CPU1 and CPU2 is higher than ±12 mmHg (if Pven > 100 mmHg). – Acknowledgement (P_VEN, X351/4) → X633L/B5 and X632/C17 measure different voltage values. – P-venous has not been calibrated. F95 Venous System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-17 ● Air detector test Test description: – Test of the air detector by checking the alarm state. – Switch-off of the venous line clamp in the air detector module. Illustration: 1-18 Fresenius Medical Care 4008 4/08.03 (TM) Error description: Error message Description F01 Airdetector CPU1 interprets the air detector signal in a different way than does CPU2. – Acknowledgements (LDA1, X351/14) → X632/C13 and X633L/C10 recognize different signal levels. F02 Airdetector The air detector alarm is not recognized by CPU2. – Acknowledgement (LDA1, X351/14) → X632/C13, 0 V are missing. – Transmission weakening (LDSA, X632/C16) → X351/10, 12 V are missing. F03 Airdetector Air detector clamps acknowledgement (CPU2) activated (clamp closed). – Acknowledgement (LDA2, X351/6) → X632/C14, 24 V are missing. – Clamp control (CLP_CTL, X634L/C14) → X351/8, 12 V are missing. – Clamp control (CLP_CTL, X632/C10) → X351/8, 12 V are missing. F04 Airdetector Air detector clamps acknowledgement (CPU1) activated (clamp closed). – Acknowledgement (LDA2, X351/6) → X633L/C13, 24 V are missing. – Clamp control (CLP_CTL, X634L/C14) → X351/8, 12 V are missing. – Clamp control (CLP_CTL, X632/C10) → X351/8, 12 V are missing. F05 Airdetector The blood alarm signal has not been cleared (indicates an alarm). – Acknowledgement (BL_AL, X634L/C15) → X632/C21, 12 V are missing. If the HDF option is used, this signal is not tested (special function). F06 Airdetector Closing of the air detector clamp via the CPU2 control line was not possible. – Clamp control (CLP_CTL, X632/C10) → X351/8, 0 V are missing. – Acknowledgement (LDA2, X351/6) → X632/C14, 0 V are missing. F07 Airdetector Opening of the air detector clamp via the CPU2 control line was not possible. – Clamp control (CLP_CTL, X632/C10) → X351/8, 12 V are missing. – Acknowledgement (LDA2, X351/6) → X632/C14, 24 V are missing. F08 Airdetector Closing of the air detector clamp via the CPU1 control line was not possible, or CPU2 acknowledgement is incorrect. – Clamp control (CLP_CTL, X634L/C14) → X351/8, 0 V are missing. – Acknowledgement (LDA2, X351/6) → X632/C14, 0 V are missing. Fresenius Medical Care 4008 4/08.03 (TM) 1-19 F09 Airdetector Closing of the air detector clamp via the CPU1 control line was not possible, or CPU1 acknowledgement is incorrect. – Clamp control (CLP_CTL, X634L/C14) → X351/8, 0 V are missing. – Acknowledgement (LDA2, X351/6) → X633L/C13, 0 V are missing. F10 Airdetector The blood alarm message is missing. – Acknowledgement (BL_AL, X634R/C15) → X632/C21, 0 V are missing. If the HDF option is used, this signal is not tested (special function). F11 Airdetector Air detector clamps acknowledgement (CPU2) activated (clamp closed). – Acknowledgement (LDA2, X351/6) → X632/C14, 24 V are missing. – Clamp control (CLP_CTL, X634L/C14) → X351/8, 12 V are missing. – Clamp control (CLP_CTL, X632/C10) → X351/8, 12 V are missing. F12 Airdetector Air detector clamps acknowledgement (CPU1) activated (clamp closed). – Acknowledgement (LDA2, X351/6) → X633L/C13, 24 V are missing. – Clamp control (CLP_CTL, X634L/C14) → X351/8, 12 V are missing. – Clamp control (CLP_CTL, X632/C10) → X351/8, 12 V are missing. F13 Airdetector The blood alarm signal has not been cleared (indicates alarm). – Acknowledgement (BL_AL, X634L/C15) → X632/C21, 12 V are missing. If the HDF option is used, this signal is not tested (special function). 1-20 F14 Airdetector Raise level key on the air detector is constantly active. – Acknowledgement (LEVEL_UP, X351/3) → X632/C11 not 0V. F15 Airdetector Acknowledgement of the supply voltage for the ultrasonic output stage not between 6.5 and 13.5 V after 3 seconds. – Adapter board AD28 not connected – Acknowledgement (X351/11 → X633L/25A jumper to X633L/B7) not 12V. – Relay on AD28 failed to drop. F16 Airdetector Acknowledgement of the supply voltage for the ultrasound output stage not >14.5V after 3 seconds. – Adapter board AD28 not connected. – Acknowledgement (X351/11 → X633L/25A jumper to X633L/B7) not 16V/24V. – Relay on AD28 is not controlled. – No 10-Hz signal at ALARM_REST (X351/12) Fresenius Medical Care 4008 4/08.03 (TM) F17 Airdetector Acknowledgement of the supply voltage for the ultrasound output stage not between 6.5 and 13.5 V after 3 seconds. – Adapter board AD28 not connected – Acknowledgement (X351/11 → X633L/25A jumper to X633L/B7) not 12V – Relay on AD28 failed to drop F95 Airdetector System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-21 ● Display test Test description: Check of all displays and indicators on the monitor front – Display test – Status LED – Alarm LED – Seven-segment display, all dark – Seven-segment display, all 8888 – Bar graph – CPU1/CPU2 alarm tone This display test must be monitored by the user! Illustration: LP 632 CPU2_AL X632/C29 CPU 2 X634R/A16 LP 633 Input board X632/ B28 X632/ B27 LP 634 Output board +LS X634L/A13 -LS X634L/B13 X631/ A21 X631/ A20 LP 631 LP 630 CPU 1 DATA BUS Mother board LP 635 LP 649 (4008 E) (4008 B) Test Display Display board LP 924 LP 922 (4008 H) (4008 S) 8888 8888 8888 8888 Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement 1-22 Fresenius Medical Care 4008 4/08.03 (TM) Error description: Error message Description F01 Display CPU1 failed to start the display test within 5 sec. – The “test started” information transmitted via the serial interface is missing. F02 Display CPU1 failed to complete the display test within 120 sec. – The “test completed” information transmitted via the serial interface is missing. F95 Display System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-23 ● Arterial pressure system test Test description: Test of the arterial pressure unit by electronic detuning in positive or negative direction. Illustration: 1-24 Fresenius Medical Care 4008 4/08.03 (TM) Error description: Error message Description F01 Arterial With detuning in negative direction, the change achieved on the arterial display is less than 100 mmHg (2 sec). – Acknowledgement (P_ART, X348A/7) → X633L/B12, insufficient voltage change. – Test detuning defective (PA_DET, X632/A17) → X348A/9. F02 Arterial With detuning in positive direction, the change achieved on the arterial display is less than 100 mmHg (2 sec). – Acknowledgement (P_ART, X348A/7) → X633L/B12, insufficient voltage change. – Test detuning defective (PA_DET, X632/A17) → X348A/9. F95 Arterial System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-25 ● Battery test Test description: Check of the battery voltage under load. Illustration: TESTBATT LP 632 CPU 2 X634R/C23 LP 633 X632/B27 Input board X632/B28 X639/A10 LP 634 LP 639 (4008E/H) Output board Power Logic LP 647 (4008S/B) X633L/B21 X639/A2 X639/A3 X639/A4 X631/A21 X631/A20 LP 631 LP 630 CPU 1 DATA BUS Mother board U_ACCU Akku (16 - 22V) LP 635 LP 649 (4008 E) (4008 B) Display board LP 924 LP 922 (4008 H) (4008 S) Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement 1-26 Fresenius Medical Care 4008 4/08.03 (TM) Error description: Error message Description F01 Accumulator CPU1 failed to complete the battery test within 5 sec. – The “test completed” information transmitted via the serial interface is missing. F02 Accumulator The battery charge is insufficient for 15 min emergency operation (maybe no battery connected). – The battery voltage (U_ACCU, ...) → X633L/B21 dropped below 17.6 V. – Acknowledgement (U_ACCU, ...) → X633L/B21 of the battery voltage defective. F03 Accumulator The test circuit on P.C.B. LP 639 defective. – The test level is incorrect (TESTBATT, X634R/C23) → X639/A10, the 12-V pulse is missing (100 ms). – Power supply unit LP639 SI5 or in 4008B/S systems fuse in the base defective. – R39 on P.C.B. LP639 (4008E/H) or P.C.B. LP647 (4008B/S) defective, possibly caused by flickering power supply unit. F95 Accumulator System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-27 ● Blood leak test Test description: Test of the blood leak detector by lowering the capacity of the transmitting diode. Illustration: 1-28 Fresenius Medical Care 4008 4/08.03 (TM) Error description: Error message Description F01 Bloodleak Blood leak channel and dimness not in alarm-free condition during the T1 test. – Dimness channel contaminated (calcium precipitate, etc.) – Acknowledgement (BLL, X637A/18) → X633L/B10 voltage value within the alarm tolerances (< 3V). – Acknowledgement (BLL_DIM, X637A/21) → X633L/B11 voltage value within the alarm tolerances (<1.5V/ >8V). – DAC_BLL or DAC_DIM not within the tolerances (check calibration) F02 Bloodleak The blood leak alarm/dimness alarm is not recognized during test detuning. – Acknowledgement (BLL, X637A/18) → X633L/B10 voltage value not within the alarm tolerances. – Acknowledgement (BLL_DIM, X637A/21 → X633L/B11 voltage value not within the alarm tolerances (<1.5V) – Test detuning (BLL_DET, X632/A25) → X633L/B27 not 5V – Calibration of DAC_BLL or DAC_DIM is too high – Detuning (DAC_DIM, X634R/A11) → X633L/C3 impossible – Dimness calibration is set to potentiometer calibration (BR6 from pos. 1/2 to 2/3). F03 Bloodleak After test detuning, the blood leak channel and dimness fail to enter the alarm-free state. – Dimness channel contaminated (calcium precipitate, etc.) – Acknowledgement (BLL, X637A/18) → X633L/B10 voltage value within the alarm tolerances – Test detuning (BLL_DET, X632/A25) → X633L/B27 not 0V. – Acknowledgement (BLL_DIM, X637A/21) → X633L/B11 voltage value within the alarm tolerances (<1.5V / >8V). – DAC_BLL or DAC_DIM not within the tolerances (check calibration) F95 Bloodleak System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-29 ● Temperature test Test description: Test of the upper alarm limit by electronically detuning the temperature display in positive direction. Illustration: LP 639 (4008E/H) LP 632 CPU 2 X632/A26 HOTRINSE X632/A24 T_DIAL1 Logic LP 647 X632/A23 (4008S/B) T_DETADJ X633R/C21 LP 633 X632/B28 X632/B27 X633L/B16 X631/A21 LP 631 LP 630 CPU 1 X633R/C15 X631/A20 X633R/C25 Input board X633R/ A20 X634R/ A13 BIBAG_TE LP 634 Output board X634R/C24 DATA BUS LP 635 LP 649 (4008 E) (4008 B) NTC_BIB MON_NTC Mother board LP 922 (4008 H) (4008 S) (4008S/B) Rueckmeldung/Acknowledgement Fresenius Medical Care 4008 (4008E/H) LP 647 Testgenerierung/Generation of Test 1-30 LP 639 Power Logic Display board LP 924 X639/A20 4/08.03 (TM) Error description: Error message Description F01 Temperature The temperature measuring range is not set to hemodialysis. – Control line (HOTRINSE, X634R/C24) → X639/A20, 0 V are missing. – Acknowledgement (HOTRINSE, X634R/C24) → X632/A26, 0 V are missing. F02 Temperature The actual temperature is less than 35.0 °C (test running time > 15 minutes). – Calibrate the temperature. – The heater rod failed. – Acknowledgement (T_DIAL1, X633L/B16) → X632/A24, voltage got stuck. F03 Temperature The actual temperature is higher than 39.0 °C (test running time > 15 minutes). – Calibrate the temperature. – The regulating sensor (NTC-2) is defective. – Acknowledgement (T_DIAL1, X633L/B16) → X632/A24, voltage got stuck. F04 Temperature The temperature failed to stabilize within 15 minutes. – Acknowledgement (T_DIAL1, X633L/B16) → X632/A24 is steadily changing (change > 0.3 °C/15 sec). F05 Temperature Detuning in positive direction not higher than 3 °C (10 sec). – Acknowledgement (T_DIAL1, X633L/B16) → X632/A24, change in voltage insufficient. – Detuning (T_DETADJ, X632/A23) → X633R/C21 insufficient. F06 Temperature The monitor sensor indicates a constant value. – NTC-3 defective. F07 Temperature The test release is missing (max. test running time is 10 minutes). – Run-time problem (software). F08 Temperature CPU1 failed to transmit a Bibag status message within 3 sec. – Run-time problem (software). F09 Temperature Bibag NTC_BIB detuning not higher than 1 °C. – Acknowledgement (NTC_BIB, X633R/C15) → ADW on P.C.B. LP 633, change in voltage insufficient. – Detuning (BIBAG_TE, X634R/A13) → X633R/A20 insufficient. F10 Temperature Bibag temperature display outside of measuring range (15 to 45 °C). – Acknowledgement (NTC_BIB, X633R/C15) → ADW on P.C.B. LP 633. F95 Temperature System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-31 ● Negative pressure holding test Test description: Within a specific time period, the actual value of the dialysate pressure transducer should change within certain limits only. Illustration: LP 632 CPU 2 X632/B27 X632/A19 ACKN_ASP X632/B22 CI X632/C27 UF_P_CTL X632/A29 P_DIAL X632/B28 X633L/B6 LP 633 Input board LP 634 Output board X633R/C28 X631/A20 X634R/A24 X631/A21 LP 631 LP 630 CPU 1 DATA BUS LP 649 (4008 E) (4008 B) Display board LP 924 LP 922 (4008 H) (4008 S) Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement 1-32 Fresenius Medical Care 4008 4/08.03 (TM) UF_P_CTL +P_DIAL Mother board LP 635 X634R/A23 X634R/A24 X634L/B10 Error description: Error message Description F01 neg. Pressure During the start phase a negative pressure of more than 450 mmHg has developed (max. test running time 120 sec), – the hydraulic system is contaminated, – the air separation pump started running. F02 neg. Pressure Setting the dialysate pressure to the test pressure (–300 mmHg to –450 mmHg) was not possible (max. test running time 120 sec). Upon repetition of measurement, the range was extended from –260 mmHg to 490 mmHg. – Leakage in the hydraulic system. – The UF pump is defective. – If the HDF filter test was skipped: Clamp the HDF filter. F03 neg. Pressure The working point (116 digits) of the differential amplifier cannot be set correctly (max. test running time 120 sec). – Pressure variations are too large. – The D-A converter (IC11) on P.C.B. LP 632 is defective. – The operational amplifier (IC1/IC3) on P.C.B. LP 632 is defective. – The acknowledgement (P_DIAL, X633L/B6) → X632/A29 is defective. – The CI signal is missing (LP 632 → X632/B22). F04 neg. Pressure Completion of pressure measurement was not possible (max. test running time 120 sec). – The D-A converter (IC11) on P.C.B. LP 632 is defective. – The operational amplifier (IC1/IC3) on P.C.B. LP 632 is defective. – The acknowledgement (P_DIAL, X633L/B6) → X632/A29 is defetive. F05 neg. Pressure The air separation pump started running during the measurement phase. – Acknowledgement (ACKN_ASP, X634L/B10) → X632/A19, 0 V are missing. – ASP has been interrupted electrically. F06 neg. Pressure The negative pressure holding test failed to be passed. The dialysate pressure drop exceeds ±40 mmHg (related to ten balancing chamber switching). – Leakage in the hydraulic system. F07 neg. Pressure Current increasing pulses were not recognized (min. 2x). – 5-V balancing chamber pulses are missing (CI. X634R/A23) → X632/B22. F95 neg. Pressure System error. In machines with HDF option, the negative pressure holding test is performed internally only; i.e. V24, V24B are closed and V26 is open. Fresenius Medical Care 4008 4/08.03 (TM) 1-33 ● Positive pressure holding test Test description: Valves V24, V24B and V26 are checked for proper function (mechanical). Test of the TMP unit by detuning it electronically in positive direction. With the dialysate flow turned off, positive pressure is applied to the balancing system. The actual value of the dialysate pressure transducer is now monitored for a defined period of time. Test of the pump segment of P97. V24B_EN X632/A4 V24 X632/A6 V26 X632/C20 P_DETADJ X632/A29 P_DIAL X633L/ B6 X632/B28 X633R/ A18 . LP 633 Input board . X631/A21 X631/A20 LP 634 Output board X634L/A6 X634L/A8 X634L/A5 X634L/A7 X634L/ C25 X634L/ A-C23 X633R/ C28 X634L/ A25 X634L/B10 X632/C26 X634L/ A-C28 V24_EN X634R/A24 UF_P_CTRL X632/C25 X634L/A22 X632/B27 ACKN_ASP X632/C27 X634R/C22 CPU 2 V43 X632/A19 X634L/C22 LP 632 X632/C5 X634R/A18 Illustration: LP 631 LP 630 CPU 1 DATA BUS Display board LP 924 LP 922 (4008 H) (4008 S) V35 V31 V31 V33 V35 V37 V24 Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement Fresenius Medical Care 4008 V43 P97 ASP V26 1-34 DEGAS+P2 AIR_SEP+ AIR_SEP- UF_P1 (4008 B) V24 LP 649 (4008 E) V26 LP 635 +P_DIAL Mother board 4/08.03 (TM) Error description: Error message Description F01 pos. Pressure The CPU1 mandatory priming program was not completed (10 sec). – The solenoid valve V43 is not closed. F24 pos. Pressure V24 valve error. – Acknowledgement (V24, X637/C1) → X632/A4, 24 V are missing. F25 pos. Pressure No pressure increase above 150 mmHg (change in pressure) after valve switching. – Control signals of V24 and V24B mistaken for each other. – Leakage in the external system (shunt interlock, dialysate lines, etc.). – If the HDF filter test was skipped: Clamp the HDF filter. F26 pos. Pressure No pressure compensation after opening of V43 (–125 mmHg to 55 mmHg). – V24 got stuck (mechanically open). – V43 not open. – V26 leaking. F27 pos. Pressure No pressure compensation after opening of V43 (–125 mmHg to 55 mmHg). – V24 got stuck (mechanically open). – V43 not open. – V189 (retentate valve) leaking. F02 pos. Pressure The loading pressure cannot be measured via the solenoid valve V26 in the hydraulic system (P-Dial. < 600 mmHg, 15 sec). – Solenoid valve V26 mechanically not open. – Solenoid valve V43 mechanically not closed. The balancing chamber is switched to passage during this test sequence. V24, V24B and V43 are closed; V26 is open. F03 pos. Pressure The hydraulic system cannot be deaerated via the solenoid valve V43; the zero point of –125 to 55 mmHg has not been reached (15 sec). – Solenoid valve V26 mechanically not closed. – Solenoid valve V43 mechanically not open. – Zero point outside the –125 to 55 mmHg range. The balancing chamber is switched to passage during this test sequence. V24, V24B and V26 are closed; V43 is open. F04 pos. Pressure The first working point (220 digits) of the differential amplifier cannot be set. – Pressure variations are too large. – The D-A converter (IC11) on P.C.B. LP 632 is defective. – The operational amplifier (IC1/IC3) on P.C.B. LP 632 is defective. – The acknowledgement (P_DIAL, X633L/B6) → X632/A29 is defective. Fresenius Medical Care 4008 4/08.03 (TM) 1-35 F05 pos. Pressure Test detuning results in a change in the measuring range of more than 95 mmHg (60 sec). – The operational amplifier (IC2) on P.C.B. LP 632 is defective. – Acknowledgement (P_DIAL, X633L/B6) → X632/A29, change in voltage too large. – Detuning defective (P_DETADJ, X632/C20) → X633R/C22. – The balancing chamber valve V36 or V38 (old water valve) is leaking. F06 pos. Pressure Test detuning results in a change in the measuring range of less than 85 mmHg (60 sec). – The D-A converter (IC11) on P.C.B. LP 632 is defective. – Acknowledgement (P_DIAL, X633L/B6) → X632/A29, change in voltage insufficient. – Detuning defective (P_DETADJ, X632/C20) → X633R/C22. – V26 is leaking. F07 pos. Pressure After detuning in the test there is a difference (P.diff > ±9 mmHg) between the display and the differential amplifier. – The voltage divider R23/R9 or the operational amplifier IC2 is defective. – The operational amplifier IC1/IC3 is defective. – The balancing chamber valve V36 or V38 (old water valve) is leaking. F08 pos. Pressure Test detuning results in a change in the measuring range of more than 400 mmHg (20 sec). – The operational amplifier (IC2) on P.C.B. LP 632 is defective. – Acknowledgement (P_DIAL, X633L/B6) → X632/A29, change in voltage too large. – Detuning defective (P_DETADJ, X632/C20) → X633R/C22. F09 pos. Pressure Test detuning results in a change in the measuring range of less than 350 mmHg (20 sec). – The D-A converter (IC11) on P.C.B. LP 632 is defective. – Acknowledgement (P_DIAL, X633L/B6) → X632/A29, change in voltage insufficient. – Detuning defective (DIAL_DET_ADJ, X632/C20) → X633R/C22. F10 pos. Pressure The second working point (116 digits) of the operational amplifier cannot be set correctly. – The D-A converter (IC11) on P.C.B. LP 632 is defective. – The operational amplifier (IC1/IC3) on P.C.B. LP 632 is defective. F11 pos. Pressure Change in the dialysate pressure after closing of the solenoid valve V43 (zero point change of ±20 mmHg within 15 sec). – The solenoid valve V24B is not closed. – The balancing chamber valve V36 or V38 (old water valve) is leaking. The balancing chamber is switched to passage during this test sequence. V43, V24B and V26 are closed; V24 is open. 1-36 Fresenius Medical Care 4008 4/08.03 (TM) F12 pos. Pressure The loading pressure cannot be measured via the solenoid valves V24 and V24B in the hydraulic system (P-Dial. < 600 mmHg, 15 sec). – Solenoid valve V24 or V24B mechanically not open. The balancing chamber is switched to passage during this test sequence. V43 and V26 are closed; V24 and V24B are open. F13 pos. Pressure The hydraulic system cannot be deaerated via the solenoid valve V43 (P-Dial. not equal to –125 to 55 mmHg, 20 sec). – The solenoid valve V24 is not closed. – V43 neither opens electrically nor mechanically. The balancing chamber is switched to passage during this test sequence. V24 and V26 are closed; V24B and V43 are open. F14 pos. Pressure Zero point change after closing of solenoid valve V43 (20 sec). Standard: P-Dial. not equal to –125 to 55 mmHg. HDF option: P-Dial. not equal to –125 to 60 mmHg. – The solenoid valve V24 is not closed. The balancing chamber is switched to passage during this test sequence. V24, V26 and V43 are closed; V24B is open. F15 pos. Pressure The loading pressure is below 780 mmHg ±30 mmHg (10 sec). – The loading pressure is too low. F16 pos. Pressure During the start phase, the pressure dropped below 620 mmHg (measuring tolerance: ±30 mmHg, max. test running time 120 sec). – Major leakage in the hydraulic system. – The UF pump spring is defective. – The loading pressure is too low. – The air separation pump fails to occlude. – Relief valve is leaking. F17 pos. Pressure During the start phase, it was not possible to reduce the dialysate pressure to a value below 760 mmHg (measuring tolerance: ±30 mmHg, test running time 120 sec). – The loading pressure is too high. – The UF pump is defective. F18 pos. Pressure The working point (116 digits) of the differential amplifier cannot be set correctly (test running time 120 sec). – The pressure variations in the system are too large. F19 pos. Pressure Completion of the pressure measurement was not possible (max. test running time 120 sec). – The D-A converter (IC11) on P.C.B. LP 632 is defective. – The acknowledgement (P_DIAL, X633L/B6) → X632/A29 is defective. Fresenius Medical Care 4008 4/08.03 (TM) 1-37 1-38 F20 pos. Pressure The positive pressure holding test failed to be passed. While the flow was off, a pressure drop of more than ±80 mmHg/min was detected in the hydraulic system. – Leakage in the hydraulic system. – The UF pump spring is defective. – ASP fails to occlude. – Relief valve leaking. – V84 leaking. F21 pos. Pressure The dialysate pressure cannot be set to a value between 460 and 760 mmHg ±30 mmHg (10 sec). – The heat exchanger is defective. – Problem in the hydraulic system. F22 pos. Pressure The air separation pump is not running during the test phase (2 sec). – Control line (AIR_SEP+, X634L/A22) → ASP/..., 24 V are missing. – Control line (AIR_SEP–, X634L/C22) → ASP/..., 0 V are missing. – Acknowledgement (ACKN_ASP, X634L/B10) → X632/A19, 12 V are missing. F23 pos. Pressure Pressure drop in the hydraulic system during the measurement phase (8 sec). Change more than +4 digits or more than –8 digits. – Leakage in the pump segment of the air separation pump. – Leakage in the heat exchanger. – Acknowledgement (P_DIAL, X633L/B6) → X632/A29, change in voltage too large. F24 – F27 See between F01 and F02 F28 pos. Pressure ASP functional test (running and delivery test) – ASP line segment is occluded – ASP line segment has been incorrectly inserted (check direction of delivery) – ASP is not running (electrically or mechanically) – V87 electrically or mechanically closed F95 pos. Pressure System error. Fresenius Medical Care 4008 4/08.03 (TM) ● UF function test Test description: CPU1 activates the UF pump at a defined rate. CPU2 checks the UF pump. CPU2 blocks the control line of the UF pump and checks whether the UF pump stops. Check of the UF counter. The following is additionally applicable with built-in 4008 HDF option: CPU1 activates the UF pump 2 at a defined rate. CPU2 checks the hydraulic and the electric function of the UF pump 2. CPU2 blocks the control line of the UF pump 2 and checks whether it stops. Check of the UF2 counter. Illustration: LP 632 CPU 2 X632/C7 UF_P2 X632/A7 UF_P1 X632/C28 UF_P_EN X632/C27 UF_P_CTL UF_P2CTL P_DIAL X633L/ B6 X632/B24 X632/A29 X632/B27 X634R/A24 X632/ B28 X634R/ X634R/ C11 A22 LP 633 LP 634 Input board X633R/ C28 X631/A20 X633L/ C23 Output board X633L/ C14 X634L/ A-C24 X634L/ A-C23 X631/A21 LP 631 DATA BUS LP 649 (4008 E) (4008 B) Display board LP 924 LP 922 (4008 H) (4008 S) UF_P2 (nur bei 4008 HDF) +P_DIAL LP 635 . . Mother board UF_P1 LP 630 CPU 1 Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement Fresenius Medical Care 4008 4/08.03 (TM) 1-39 Error description: 1-40 Error message Description F01 UF-Function The pause between the strokes of the UF pump 1 was shorter than 220 ms. Correct volume delivery is not ensured due to too short a return. – CPU1 issued too high a pump rate. F02 UF-Function The pulse time for the UF pump 1 is shorter than 180 ms. Correct volume delivery is not ensured due to too short an emission time. – The monoflop on P.C.B. LP 634 is defective (IC42/R82/C47). F03 UF-Function The pulse time for the UF pump 1 is longer than 500 ms. A maximum rate of 5000 ml/h is not possible. – The monoflop on P.C.B. LP 634 is defective (IC42/R82/C47). F04 UF-Function No activity of the UF pump 1 during the test (5 sec). – Acknowledgement (UF_P1, X637/B23) → X632/A7, no LOW pulses. – Control line (UF_P1, X634L/ABC23) → X637/B23, no LOW pulses. F05 UF-Function The UF pump 1 cannot be stopped by CPU2. – Control line (UF_P_EN, X632/C28) → X634R/A22, 5 V are missing. – The reset input at IC42/pin 3 on P.C.B. LP 634 is defective. F06 UF-Function The UF pump acknowledgement of CPU1 is defective. – Acknowledgement (UF_P1, X637/B23) → X622L/C14, no LOW pulses. F07 UF-Function The change in pressure after a stroke is less than 20 mmHg. – The UF pump 1 is mechanically defective. – Control line (UF_P1_CTL, X632/C27) → X634R/A24, no LOW pulse. F09 UF-Function Dialysate pressure is outside the measuring range (15s). – UF pressure transducer defective – D/A converter (IC11) on P.C.B. LP 632 defective – Operational amplifier (IC1/IC3) on P.C.B. LP 632 defective F11 UF-Function The pause between the strokes of the UF pump 2 was shorter than 220 ms. Correct volume delivery is not ensured due to too short a return. – CPU1 issued too high a pump rate. F12 UF-Function The pulse time for the UF pump 2 is shorter than 180 ms. Correct volume delivery is not ensured due to too short an emission time. – The monoflop on P.C.B. LP 634 is defective (IC42/R65/C45). Fresenius Medical Care 4008 4/08.03 (TM) F13 UF-Function The pulse time for the UF pump 2 is longer than 500 ms. A maximum rate of 5000 ml/h is not possible. – The monoflop on P.C.B. LP 634 is defective (IC42/R65/C45). F14 UF-Function No activity of the UF pump 2 during the test (4 sec). – Acknowledgement (UF_P2, X637/B26) → X632/C7, no LOW pulses. – Control line (UF_P2, X634L/ABC24) → X637/B26, no LOW pulses. F15 UF-Function The UF pump 2 cannot be stopped by CPU2. – Control line (UF_P_EN, X632/C28) → X634R/A22, 5 V are missing. – The reset input at IC42/pin 13 on P.C.B. LP 634 is defective. F16 UF-Function The UF pump acknowledgement of CPU1 is defective. – Acknowledgement (UF_P2, X637/B26) → X633L/C23, no LOW pulses. F09 UF-Function Dialysate pressure is outside the measuring range (15s). – UF pressure transducer defective – D/A converter (IC11) on P.C.B. LP 632 defective – Operational amplifier (IC1/IC3) on P.C.B. LP 632 defective F17 UF-Function The change in pressure after a stroke of the UF pump 2 is less than 20 mmHg. – The UF pump 2 is mechanically defective. – Control line (UF_P2_CTL, X632/B24) → X634R/C11, no HIGH pulse. F20 UF-Function The difference in volume between UF pump 1 and UF pump 2 is higher than 25% (range of tolerance 15% to 35%). – The stroke volume of UF pump 1 or UF pump 2 has been misadjusted. F95 UF-Function System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-41 ● Conductivity test Test description: Test of the alarm limits by electronically detuning the conductivity by +5% or by –5%. Illustration: LP 632 CPU 2 X632/A26 HOTRINSE X632/A21 COND_DET X632/A22 COND_SIG 7b X632/B27 X632/B28 X633L/B8 X633L/B31 X634R/C24 LP 633 LP 634 X633R/A16 X631/A20 X631/A21 LP 631 LP 630 CPU 1 X633R/ C17 Output baord X633R/C27 Input board DATA BUS LP 635 LP 649 (4008 E) (4008 B) (Bibag-LF-Zelle) Display board LP 924 LP 922 (4008 H) (4008 S) Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement 1-42 Fresenius Medical Care 4008 COND_C108 COND_BIB COND_C1 Mother board 4/08.03 (TM) Error description: Error message Description F01 Conductivity The conductivity failed to be within the scale limits or to stabilize within 10 minutes (±0.1 mS/10 sec). – Concentrate is not connected. – Acknowledgement (COND_SIG, X633L/B8) → X632/A22, voltage outside the measuring range or unstable. F02 Conductivity Detuning in positive direction not more than 0.5 mS (10 sec). – Acknowledgement (COND_SIG, X633L/B8) → X632/A22 insufficient. – Detuning (COND_DET, X632/A21) → X633L/B31 insufficient. F03 Conductivity Detuning in negative direction not more than 0.5 mS (10 sec). – Acknowledgement (COND_SIG, X633L/B8) → X632/A22 insufficient. – Detuning (COND_DET, X632/A21) → X633L/B31 insufficient. F04 Conductivity The conductivity cell indicates a constant value. – The CD cell is defective. F05 Conductivity CPU1 failed to transmit a Bibag status message within 3 sec. – Run-time problem (software). F08 Conductivity CPU 1 fails to increase the working point (when the conductivity is <40mS/cm uncompensated) for the bibag conductivity by > 5 digits. – Detuning (HOT_RINSE, X634R/C24 → X633R/A16) not 12V – P.C.B. LP633 T2 or IC26 defective F06 Conductivity The Bibag CD detuning is not more than 1 mS/cm. – Acknowledgement (COND_SIGNAL3, X633R/A12) → MP TP3 on P.C.B. LP 633, change in voltage insufficient. – Detuning (COND_DET, X632/A21) → X633L/B31 insufficient. F07 Conductivity The Bibag CD display is outside of the measuring range (46 to 84 mS/ cm). – Acknowledgement (COND_SIGNAL3, X633R/A12) → MP TP3 on P.C.B. LP 633. – Conductivity outside the expected detuning range caused by wrong concentrate on the bicarbonate port or temperature too low. F95 Conductivity System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-43 ● Diasafe/HDF filter test Test description: Test of the filters by testing the volume of the internal capillary and pressure holding test. CPU 2 X632/B27 V_DSAFE X632/C25 V24_EN X632/C26 V24B_EN X632/A6 V26 X632/A29 P_DIAL X633L/ B6 X632/B28 X634R/C22 LP 632 X632/B5 X634R/A18 Illustration: X634L/A-C28 LP 633 LP 634 X634L/C5 . X634L/C7 . X634L/A7 X634L/C25 X634L/ A-C23 X633R/ C28 X631/A21 X631/A20 Output board X634L/ A-C30 Input board LP 631 LP 630 CPU 1 DATA BUS DEGAS+P1 Mother board V36 V35 FLOW+P1 (4008 B) UF_P1 LP 649 (4008 E) V26 LP 635 +P_DIAL V112 V32 Display board LP 924 LP 922 (4008 H) (4008 S) V26 V35 Testgenerierung/Generation of Test Rueckmeldung/Acknowledgement 1-44 Fresenius Medical Care 4008 4/08.03 (TM) V36 V35 Error description: Error message Description F02 Diasafe The balancing chamber was not stopped by CPU1 (24 sec). – The message via the serial interface from CPU1 to CPU2 is missing. – The current rise pulse is missing (CI, X634R/A23) → X633L/C31, no 5-V pulse. F04 Diasafe CPU1 failed to complete one balancing chamber switching within 20 sec (30 ml fluid not removed?). – The message via the serial interface from CPU1 to CPU2 is missing. – The current rise pulse is missing (CI, 634R/A23) → 633L/C31, no 5V pulse. F06 Diasafe During the pressure built-up phase, a negative pressure of less than –450 mHg has developed (24 sec). – Diasafe valve not open, control line (V_DSAFE, X632/B5) → X637/ C16, 0 V are missing. F07 Diasafe After the maximum fluid volume of 145 ml + 30 ml has been removed, the expected negative pressure of –300 mmHg to –450 mm Hg failed to build up. – Major leakage in the Diasafe filter membrane and/or filter housing. – Major leakage in the O-rings on filter holder/couplings. – V26 electrically or mechanically not closed. F08 Diasafe The negative test pressure of more than –300 mmHg has developed before the minimum fluid removal of 145 ml –30 ml has been achieved. – The Diasafe filter is contaminated. – The Diasafe filter was not correctly deaerated upon start of the test. – V112 electrically or mechanically not open. F09 Diasafe The zero point for pressure measurement cannot be set. The maximum test time has been exceeded (max. test time 5 min). – Leakage in the Diasafe filter membrane and/or filter housing. – Leakage in the O-rings on filter holder/couplings. – P.C.B. LP 632, IC3/pin 12 not in socket or IC defective (differential amplifier). F10 Diasafe The negative pressure to be achieved in the test failed to stabilize within the maximum test time of 5 minutes (change > ±16.7 mmHg/ min). – Leakage in the Diasafe filter membrane and/or filter housing. – Leakage in the O-rings on filter holder/couplings. – Leakage in the hydraulic system. – V 26 electrically or mechanically not closed. F20 Diasafe It was not possible to prime (deaerate) the dialysate filter within 2 minutes. – Flow problems. – The priming program is permanently active (level sensor, osmosis water, or P.C.B. LP 633, IC36 defective). F95 Diasafe System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-45 1-46 Error message Description F01 HDF-Filter The Diasafe option has not been set although ON-LINE HDF has been selected. – CPU 2: DIP switch array 2, switch 1 not set to ON. F02 HDF-Filter CPU1 failed to stop the balancing chamber (24 sec). – The message via the serial interface from CPU1 to CPU2 is missing. – The current rise pulse is missing (CI, X634/A23) → X633L/C31, no 5-V pulse. F04 HDF-Filter CPU1 failed to comlete one balancing chamber switching within 20 sec (30 ml fluid not removed?). – The message via the serial interface from CPU1 to CPU2 is missing. – Verify the current rise pulse. F06 HDF-Filter During the pressure-buildup phase, a negative pressure of less than –370 mmHg has developed (24 sec). – The HDF filter is clamped/clogged. – The Diasafe valve is not open, control line (V_DSAFE, X632/B5) → X637/C16, 0 V are missing. F07 HDF-Filter After the maximum fluid volume of 255 ml +60 ml has been removed the expected negative pressure of –220 mmHg up to 370 mmHg failed to build up. – Major leakage in the Diasafe/HDF filter membrane and/or filter housing. – Major leakage in the O-rings on filter holder/couplings. – V26 electrically or mechanically not closed. F08 HDF-Filter The negative test pressure of less than –220 mmHg has developed, before the minimum fluid removal of 255 ml –60 ml has been achieved. – The Diasafe/HDF filters are contaminated. – The Diasafe/HDF filters were not correctly deaerated upon start of the test. – V112 electrically or mechanically not open. F09 HDF-Filter The zero point for pressure measurement cannot be set. The max. test time has been exceeded (10 min). – Leakage in the Diasafe/HDF filter membrane and/or filter housing. – Leakage in the O-rings on filter holder/couplings. F10 HDF-Filter The negative pressure to be achieved in the test failed to stabilize within the maximum test time of 10 minutes (change > ±13.3 mmHg/min). – Leakage in the Diasafe/HDF filter membrane and/or filter housing. – Leakage in the O-rings on filter holder/couplings. – Leakage in the hydraulic system. – V26 electrically or mechanically not closed. Fresenius Medical Care 4008 4/08.03 (TM) F20 HDF-Filter It was not possible to prime (deaerate) the Diasafe filter within 2 minutes. – Flow problems. – The priming program is permanently active (level sensor, osmosis water, or P.C.B. LP 633, IC36 defective). F21 HDF-Filter It was not possible to correctly rinse/prime the HDF filter within 5 minutes (before the test). – Flow problems. – No conductivity. – Conductivity at the upper or lower end of the scale range. – The HDF pump is not running (e.g. open door). – The delivery rate of the HDF pump is less than 380 ml/min. – Line diameter not set to 8 mm. – NTC6 permanently fails to detect fluid. – Sieve on V43 clogged. F22 HDF-Filter It was not possible to correctly rinse/prime the HDF filter within 5 minutes (after the test). – Flow problems. – No conductivity. – Conductivity at the upper or lower end of the scale range. – Especially with biBag machines: check filter on V43 – The HDF pump is not running (e.g. open door). – The delivery rate of the HDF pump is less than 380 ml/min. – Line diameter not set to 8 mm. – NTC6 permanently fails to detect fluid. – Sieve on V43 clogged. F95 HDF-Filter System error. Fresenius Medical Care 4008 4/08.03 (TM) 1-47 ● Test Online plus / Diasafe plus-Filter F01 ONLINE plus F01 DIASAFE plus F01 HPU F34 ONLINE plus F34 DIASAFE plus F02 ONLINE plus F02 DIASAFE plus F02 HPU F03 ONLINE plus F03 DIASAFE plus F03 HPU F41 ONLINE plus F41 DIASAFE plus F41 HPU F42 ONLINE plus F42 DIASAFE plus F42 HPU 1-48 Present options and DIP switch settings do not match. CPU1 machine status (MST), HPU status and DIP switch/Array2 changed during the test running time. – ONLINE plus: CPU 2: Array 2, DipSw2 not set to OFF CPU 2: Array 2, DipSw3 not set to ON – DIASAFE plus: CPU 2: Array 2, DipSw2 not set to OFF CPU 2: Array 2, DipSw3 not set to OFF – MST transmitted by CPU1 not matching with the set DIP switch of array 2. – DIP switch/Array2 changed while the test was in progress. – HPU logged off. Pressure holding test not passed. Max. number of treatments exceeded? – Diasafe and HDF filter membranes leaking/worn. Dialysate outlet pressure (DA1) outside the permissible range (10s). DA1 test range: –125mmHg ≤ P_dial ≤ 55 mmHg – Acknowledgement DA 1 (P_DIAL, X633L/B6) → X632/A29 – Acknowledgement line DA 2 (see HPU diagram) Cross comparison of both pressure transducers (DA1 / DA2) is outside the acceptable tolerance (10s). P(DA2) == P(DA1) ±20mmHg – Acknowledgement DA 1 (P_DIAL, X633L/B6) → X632/A29 – Acknowledgement DA 2 (see HPU diagram) The test valve V183 is leaking. Pressure increase in the system of ∆P(DA2) > 30 mmHg within 4s. – V183 open, contaminated, or mechanically defective – HPU, output stage etc. defective No pressure increase of ∆P(DA2) > 200 mmHg within 4s after opening the test valve V183 in the system. – V183 fails to open or mechanically defective. – Air pump defective, is not running – HPU, V183 and/or air pump output stage etc. defective Fresenius Medical Care 4008 4/08.03 (TM) F43 ONLINE plus F43 DIASAFE plus F43 HPU F44 ONLINE plus F44 DIASAFE plus F44 HPU F04 ONLINE plus F04 DIASAFE plus The lower pressure test range of ∆P(DA2) > 300 mmHg failed to be achieved within 1s after closing the test valve V183. – HPU, output stage etc. defective – ONLINE filter leaking The upper pressure test range of ∆P(DA2) 750 mmHg was exceeded within 4s after closing of the test valve V183. – HPU, output stage etc. defective The air pump is running although valve V43 is closed. – HPU, output stage etc. defective F05 ONLINE plus The door on the Online Sys module is open during the rate test. – Close module door. F06 ONLINE plus Port 1 is open during the first pressure build-up phase. – Close port 1 (substituate port). F07 ONLINE plus Port 2 is open during the first pressure build-up phase. – Close port 2 (rinse port). F08 ONLINE plus Failure to reach the test pressure PDIAL2 > 795 mmHg within 12s. – Calibrate dialysate pressure. – Replace DA 2 (re-calibration required) – Air pump (185) or test valve (V183) defective – Hydraulic system or valve ONL3 (191) leaking – Air pump control (185) based on V43 status defective (HPU defective) F09 ONLINE plus The ONLINE system pump failed to comply with the first test rate of 100 ml/min ± 9 ml/min. – ONLINE system pump control defective F10 ONLINE plus Monitoring unit (Hall sensor) of the pump rotor detects incorrect rotation of the rotor (desired rate 300 ml/min ± 25%). – ONLINE system pump control defective (outside the tolerance of ±25%) – Hall sensor /electronics defective F11 ONLINE plus The ONLINE system pump failed to comply with the second test rate of 300 ml/min ± 9 ml/min. – ONLINE system pump control defective F12 ONLINE plus After the ONLINE system pump was switched off in the test, the monitoring unit (Hall sensor) detects that the rotor failed to stop correctly. – Pump stop (output stage) defective – Hall sensor /electronics defective Fresenius Medical Care 4008 4/08.03 (TM) 1-49 1-50 F13 ONLINE plus After the ONLINE system pump was switched off in the test, the actual rate of the module is > 0 ml/min. – Pump stop (output stage) defective – Synchro-transmitter electronics defective F14 ONLINE plus After activation of the substituate pump the monitoring unit (Hall sensor) of the pump rotor detects incorrect rotation of the rotor (desired rate 300 ml/min). – Pump control defective (outside the tolerance of ±25%) – Hall sensor /electronics defective F15 ONLINE plus After activation of the substituate pump the system pump failed to comply with the test rate of 300 ml/min ±9ml/min. – Pump control defective F16 ONLINE plus Port 1 open during ONL valve test sequence. – Close port 1 (substituate port). F17 ONLINE plus Port 2 open during ONL valve test sequence. – Close port 2 (rinse port). F18 ONLINE plus Acknowledgement of ONL1 (V193) differs from the desired state of the valve. – Valve control in the ONLINE Sys module defective – Valve acknowledgement in the ONLINE Sys module defective F19 ONLINE plus Acknowledgement of ONL2 (V192) differs from the desired state of the valve. – Valve control in the ONLINE Sys module defective – Valve acknowledgement in the ONLINE Sys module defective F20 ONLINE plus Acknowledgement of ONL3 (V191) differs from the desired state of the valve. – Valve control in the ONLINE Sys module defective – Valve acknowledgement in the ONLINE Sys module defective F21 ONLINE plus Leakage test ONL3 (V191) failed to be passed. The permitted pressure drop of ∆P < –10 mmHg has been exceeded or the test pressure is P ≤ 710 mmHg. – Valve ONL3 (V191) in the ONLINE Sys module leaking – Leaking system / tubing connections – Port 1 or 2 in the ONLINE Sys module leaking F22 ONLINE plus Leakage test ONL2 (V192) failed to be passed. The permitted pressure drop of ∆P < –10 mmHg has been exceeded or the test pressure is P ≤ 710 mmHg. – Valve ONL2 (V192) in the ONLINE Sys module leaking – Leaky system /tubing connections – Port 1 in the ONLINE Sys module leaking F23 ONLINE plus Leakage test ONL1 (V193) failed to be passed. The permitted pressure drop of ∆P < –10 mmHg has been exceeded or the test pressure is P ≤ 710mmHg. – Valve ONL1 (V193) in the ONLINE Sys module leaking – Leaky system /tubing connections Fresenius Medical Care 4008 4/08.03 (TM) F24 ONLINE plus After the valves ONL1 to 3 opened, the pressure drop in the system was insufficient (∆P < –100 mmHg). – Valve ONL1/ONL2/ONL3 electrically or mechanically not open – Kinked tubing – HDF filter strongly contaminated F25 ONLINE plus No pressure change of ∆P > 40 mmHg within 15s. – HDF filter membrane leaking (major leakage) – No HDF filter installed F26 ONLINE plus F26 DIASAFE plus F27 ONLINE plus F27 DIASAFE plus F28 ONLINE plus F28 DIASAFE plus F29 ONLINE plus F29 DIASAFE plus F30 ONLINE plus F30 DIASAFE plus F31 ONLINE plus F31 DIASAFE plus F31 HPU F32 ONLINE plus Insufficient test pressure (P < 750mmHg) in the system. – HDF filter membrane leaking (major leakage) – No HDF filter installed – Hydraulics system leaking After the valve V189 opened, the pressure drop in the system was insufficient (∆P < –70 mmHg). – Valve V189 electrically or mechanically not open – Diasafe filter strongly contaminated – Filter before/after V43 strongly contaminated Pressure increase in the system fails to exceed P > 760 mmHg. – Diasafe filter membrane leaking (major leakage) – No Diasafe filter installed Pressure holding test failed to be passed. Excess pressure drop within a measurement time of 30s (∆P > –10 mmHg). – Diasafe and/or HDF filter membrane leaking During the pressure holding test valve(s) ONL1, 2 or 3 and/or V189 was (were) closed (according to electronic acknowledgement). – Valve control failed Fill phase has been stopped. Valve(s) V26 open and/or V24, V24b closed (according to electronic acknowledgement), or failure to perform 25 or 15 balancing chamber switchings within 120s. – Valve control failed – Balancing chamber switchings failed (e.g. only “Eigentakt”) Valve(s) ONL1, 2 or 3 closed and/or V24 open or port 1 or 2 open during the rinse phase (according to electronic acknowledgement). – Valve control failed – Operator opened ports too early. Fresenius Medical Care 4008 4/08.03 (TM) 1-51 F33 ONLINE plus 1-52 Rinse phase has been aborted. Valve V189 open (according to electronic acknowledgement), or failure to perform 34 balancing chamber switchings within 240s. – Valve control failed – Failure to detect current rise pulse – Conductivity not within the scale range Possible cause: Concentrate and/or bicarbonate level sensor do not recognize CD, although present. F34 ONLINE plus F34 DIASAFE plus See error message between F01 and F02 ONLINE plus /DIASAFE plus F41 ONLINE plus F41 DIASAFE plus See error message between F01 and F02 ONLINE plus /DIASAFE plus F42 ONLINE plus F42 DIASAFE plus See error message between F03 and F04 ONLINE plus /DIASAFE plus F43 ONLINE plus F43 DIASAFE plus See error message between F03 and F04 ONLINE plus /DIASAFE plus F44 ONLINE plus F44 DIASAFE plus See error message between F03 and F04 ONLINE plus /DIASAFE plus F95 ONLINE plus F95 DIASAFE plus F95 HPU System error Fresenius Medical Care 4008 4/08.03 (TM) 1.1.4 Description of machine errors during the cleaning programs ● V84 monitoring Error message Description Rinse Failure F01 End of the rinse-free program in Dis I to V. Conductivity has been recognized via V84, although the valve is still closed. This error message can be acknowledged by pressing the Rinse key. Rinse Failure F21 Disinfectant suction phase in Dis I – IV. Maximum permissible UF pump strokes (160) during the suction phase) exceeded. Error message cannot be acknowledged. Turn the system off and on again. Rinse Failure F02 Disinfectant suction phase in Dis I to IV. Conductivity has not been recognized via V84, and the “Disinfectant empty ?” message has been acknowledged twice. This error message cannot be acknowledged. Switch the machine off and on again. Program Dis V (only on machines with advanced hydraulics) No conductivity detected via concentrate level sensor, and “Disinfectant empty ?” message acknowledged twice. Error message cannot be acknowledged. Turn the system off and on again. Rinse Failure F03 End of the suction phase in Dis I to IV. Conductivity has been recognized via V84, although the valve is already closed. This error message can be acknowledged by pressing the Disinfection key. Rinse Failure F04 End of the suction phase in Dis I to IV. The float switch does not recognize any fluid after the disinfectant has been drawn in. Aeration of the disinfectant container! This error message cannot be acknowledged. Turn the system off and on again. F01, F02 and F03 cause the V84 monitoring flag to be set. I.e. after one of these error messages has occurred, Bergström or ISO-UF dialysis is no longer possible, since it is not possible to switch the flow off. The V84 malfunction can be eliminated by correctly performing Dis I to IV. The problem can also be corrected using the calibration program (by a service technician only), menu item NOVRAM (Reset V84). Fresenius Medical Care 4008 4/08.03 (TM) 1-53 ● PSW (pressure switch) monitoring The following requirements must be fulfilled to run the PSW test: – DIP switch 8 Dip array 2 on P.C.B. LP631 must be set to ON. – Rinse free followed by disinfection or heat disinfection (Dis. I–V) or Mandatory rinse as individual program START PSW 104 closed or PSW 102 closed no PSW 104 open V104 opens Pressure decrease by membrane pumps no Error message Rinse Failure F13 yes yes PSW 104 closed no PSW 102 open V102 opens Pressure decrease by membrane pumps no Error message Rinse Failure F07 yes yes PSW 104 and PSW 102 open no yes Error message Rinse Failure F05 or Rinse Failure F06 or Rinse Failure F12 (PSW 104 and PSW 102 closed). System stopped. PSW 102 closed no Error message Rinse Failure F08 yes Start PSW monitoring Pressure build-up V91/104 open V100 closed Mandatory rinse required yes Pressure reduction of the rinsing chambers (3 strokes each of the conc. and bic. pump) no yes PSW 104 closed Evacuation of the conc. and bic. line (12 strokes each of the conc. and bic. pump) Pressure build-up V91/104 open V100 closed no Pressure build-up V91/100/102 open PSW 102 closed 24 V switched off. System stopped. yes Pressure build-up V91/100/102 open no 1-54 Fresenius Medical Care 4008 4/08.03 (TM) The pressure switches are designed as make contacts. Specifications: Delta pressure switch: Switching point 700 mbar ±20 mbar Alcatel-SEL-pressure switch: Switching range 675 – 805 mbar Envec pressure switch: Switching range 700 mbar ±20 mbar Error message Description Rinse Failure F05 Rinse-free program with following Dis or HDIS or mandatory rinse as individual program in Dis I to V. It was impossible to open the pressure switch for PSW_104 (S124) (bicarbonate). – Pressure on distribution piping > 500 mbar (according to specification, the permissible pressure is max. 500 mbar) pressure peaks on distribution piping: Frequently occurs in distribution pipings with user points if e.g. several patients are disconnected simultaneously and disinfection is started. – Switching point of pressure switch too low: Desired value = 700 mbar ± 20 mbar – Check acknowledgement of pressure switch on P.C.B. LP 633: Bicarbonate: X633L/ A19 Rinse Failure F06 Rinse-free program with following Dis or HDIS or mandatory rinse as individual program in Dis I to V. It was impossible to open the pressure switch for PSW_102 (S123) (concentrate). – Pressure on distribution piping > 500 mbar (according to specification, the permissible pressure is max. 500 mbar) pressure peaks on distribution piping: Frequently occurs in distribution pipings with user points if e.g. several patients are disconnected simultaneously and disinfection is started. – Switching point of pressure switch too low: Desired value = 700 mbar ± 20 mbar – Check acknowledgement of pressure switch on P.C.B. LP 633: Concentrate: X633L/ A20 Rinse Failure F07 Rinse-free program, Dis, HDIS, or mandatory rinse in Dis I to V. Pressure drop during the monitoring phase on PSW_104 (S124) (bicarbonate) or pressure build-up impossible. – Check switching point of pressure switch – Check loading pressure (possibly splinter or contamination in orifice 151, remove tube and purge tube from both ends). – Check negative pressure and test orifice (89). (For this purpose, remove and purge the tubing from both ends) – Check check valve (118) and filter (120). – Check CDS valve (104). – Verify tightness of CDS path. – Check acknowledgement of pressure switch on P.C.B. LP 633: Bicarbonate: X633L/ A19 – Cartridge filter upstream of degassing pump clogged or wrong filter (filter for disinfectant container) installed. Filters can be distinguished by different adapters. Fresenius Medical Care 4008 4/08.03 (TM) 1-55 1-56 Rinse Failure F08 Rinse-free program, Dis, HDIS, or mandatory rinse in Dis I to V. Pressure drop during the monitoring phase on PSW_102 (S123) (concentrate) or pressure build-up impossible. – Check switching point of pressure switch. – Check loading pressure. (possibly splinter or contamination in orifice 151, remove tube and purge tube from both ends) – Check negative pressure and orifice (89). (For this purpose, remove and purge the tubing from both ends) – Check check valve (117) and filter (119). – Check CDS valve (102). – Verify tightness of CDS path. – Check acknowledgement of pressure switch on P.C.B. LP 633: Concentrate: X633L/ A20 – Cartridge filter upstream of degassing pump clogged or wrong filter (filter for disinfectant container) installed. Filters can be distinguished by different adapters. Rinse Failure F09 Five minutes before the end of the mandatory rinse in Dis I to V. Pressure switch PSW_104 (S124) (bicarbonate) or PSW_102 (S123) (concentrate) did not open after pressure reduction. See Rinse Failure F12. Rinse Failure F12 Rinse-free program with following Dis or HDIS or mandatory rinse as individual program in Dis I to V. The pressure switches for PSW_104 (S124) (bicarbonate) and for PSW_102 (S123) (concentrate) could not be opened. – Membrane pumps fail to run. – V 102 or 104 fails to open. – Pressure on distribution piping > 500 mbar (according to specification, the permissible pressure is max. 500 mbar) pressure peaks on distribution piping: Frequently occurs in distribution pipings with user points if e.g. several patients are disconnected simultaneously and disinfection is started. – Switching point of pressure switch too low: desired value = 700 mbar ± 20 mbar – Check acknowledgement of pressure switch on P.C.B. LP 633: Bicarbonate: X633L/ A19 Fresenius Medical Care 4008 4/08.03 (TM) Rinse Failure F13 Rinse-free program with following Dis or HDIS or mandatory rinse as individual program in Dis I to V. Pressure drop during the monitoring phase on PSW_104 (S124) (bicarbonate) or PSW_102 (S123) (concentrate) or pressure build-up impossible. – Check switching point of pressure switch. – Check loading pressure. (Possibly splinter or contamination in orifice 151; remove tube and blow through tube from both ends) – Check negative pressure and orifice (89). (For this purpose, remove and purge the tubing from both ends) – Check check valve (117/118) and filter (119/120). – Check CDS valve (102/104). – Verify tightness of CDS path. – Check acknowledgement of pressure switch on P.C.B. LP 633: Bicarbonate: X633L/ A19 Concentrate: X633L/ A20 – Cartridge filter upstream of degassing pump clogged or wrong filter (filter for disinfectant container) installed. Filters can be distinguished by different adapters. In case of F07, F08 and F13, the “DO NOT SWITCH OFF !!” message can, in addition, be alternately displayed. However, this message is displayed only if a mandatory rinse program is requested, since the concentrate and bicarbonate lines still have to be emptied before the machine is switched off. Fresenius Medical Care 4008 4/08.03 (TM) 1-57 ● Hydraulics test (check of V91, V99, V100) in machines with central delivery system Mandatory rinse time ≤3 min no BiBag machine? yes V91/100/102/130 are opened for 900 ms V99 closed yes no V102 is opened for 900 ms. Pressure reduction with membrane pump (for two balancing chamber switch-overs) yes HPU yes (hydraulic processing unit) installed? PSW_102 open no Rinse Failure F11 System stopped no Normal mandatory rinse sequence Message Error V91/100 System stopped yes Pressure reduction on PSW 102 V102/104 open for 900 ms V91/99/100 closed Pressure decreased with concentrate pump V91/99/100/102 open for 900 ms V104 closed PSW_102 open no Message Error V99 System stopped yes 1-58 Fresenius Medical Care 4008 Message Error V130 System stopped V91/100/102/188 are opened for 900 ms V99 closed yes PSW_102 closed no no yes Pressure build-up PSW_102 V91/100/102 open for 900 ms V99/104 closed Concentrate and bicarbonate pump stopped PSW_102 open 4/08.03 (TM) PSW_102 open no Message Error V188 System stopped Error message Description Rinse Failure F11 Three minutes before the end of the mandatory rinse in Dis I to V. The pressure switch PSW_102 (S123) (concentrate) did not open after pressure reduction. – Pressure on distribution piping > 500 mbar (according to specification, the permissible pressure is max. 500 mbar). Pressure peaks on distribution piping: Frequently occurs in distribution pipings with user points if e.g. several patients are disconnected simultaneously and disinfection is started. – Switching point of pressure switch too low: desired value = 700 mbar ± 20 mbar – Membrane pumps fail to run – V102 fails to open electrically or mechanically – Check acknowledgement of pressure switch on P.C.B. LP 633: X633L/ A20 V91/V100 Failure Three minutes before the end of the mandatory rinse in Dis I to V. V91 or V100 cannot be opened. – V91 or V 100 fail to open electrically: P.C.B. LP 634: V91 = X634L/A12; V100 = X634L/C13 – V 91 or V 100 mechanically not open: check sieve (148) upstream of V100, or valves clogged – V99 constantly open (electrically P.C.B. LP 634: X634L/B12 or mechanically) – V 102 not open – Pressure switch for PSW_102 (S 123) fails to switch V99 Failure Three minutes before the end of the mandatory rinse in Dis I to V. V99 cannot be opened. – V 99 fails to open electrically: P.C.B. LP 634: X634L/ B12. – V 99 fails to open mechanically: check sieve (149) before V99, or V99 clogged. – Pressure switch for PSW_102 (S 123) fails to open. V130 Failure Three minutes before the end of the mandatory rinse in Dis I to V. V130 cannot be opened (applicable to machines with BIBAG only). – V130 electrically defective: P.C.B. LP 634: X634L/ A4 – V130 mechanically defective or clogged – Pressure switch for PSW_102 (S 123) fails to open. – Check tubing for bicarbonate suction line and bibag block. V188 Failure V188 fails to open. – V188 electrically defective. – V188 mechanically defective or clogged – Pressure switch for PSW_102 (S123) fails to open. F14 Shortly before the end of the mandatory rinse in Dis I to V (CDS: Dis I to IV). The hydraulics test has not been completed correctly, possibly caused by flow problems. Fresenius Medical Care 4008 4/08.03 (TM) 1-59 ● Hydraulics test (check of V91 and valve 98) in machines without central delivery system 1-60 Error message Description F14 Three minutes before the end of the mandatory rinse in Dis I to V. It was not possible to readjust the flow to 750 ml/min ±50 ml/min. V91 defective. V91 Failure Three minutes before the end of the mandatory rinse in Dis I to V. After V91 has opened, a flow > 950 ml/min failed to develop. V91 or valve V98 defective. F14 Shortly before the end of the mandatory rinse in Dis I to V. The hydraulics test has not been completed correctly, possibly caused by flow problems. Fresenius Medical Care 4008 4/08.03 (TM) ● Hydraulics test (check of V91, V99, V100, V130) in machines with BIBAG and without central delivery system The following requirements must be fulfilled to run the hydraulics test: 1.The test is run during the last 3 minutes of the mandatory rinse program only. 2.DIP switch 7 DIP array 2 on PCB LP 631 must be set to ON. Mandatory rinse time ≤3 min no Pressure switch open no V100 Failure Program stopped no Rinse Failure F16 Program stopped no Error V99 Program stopped yes yes Pressure reduction by bic. pump (performed 5x) Pressure switch open Pressure build-up V91/100 open no Rinse Failure F15 Program stopped Pressure switch closed yes yes Pressure build-up V91 open V100 closed Pressure switch closed Pressure reduction via V99 no V91 Failure Program stopped Pressure switch open yes yes Pressure reduction via V100 by conc. pump (performed 8x) Pressure build-up V91 open V100 closed Pressure switch closed Pressure build-up V91/100 open no Rinse Failure F17 Program stopped Pressure switch closed yes Rinse Failure F20 Program stopped no Rinse Failure V188 Program stopped yes Pressure reduction via V130 Pressure switch open no Pressure build-up via V188 no V130 Failure Program stopped Pressure switch open yes yes HPU yes (hydraulic processing unit) installed? no Test completed Fresenius Medical Care 4008 4/08.03 (TM) 1-61 1-62 Error message Description Rinse Failure F15 Three minutes before the end of the mandatory rinse in Dis I to V. DS (BIBAG pressure switch 134) could not be opened at the beginning of the test. – Check pressure switch: Switching point: rated value: 100 mbar + 30 – Suction error of bicarbonate pump – V91 constantly electrically or mechanically open – V99/100 constantly electrically or mechanically closed V91 Failure Three minutes before the end of the mandatory rinse in Dis I to V. It is impossible to build up pressure on DS (BIBAG pressure switch 134) via V91. – Pressure switch fails to close mechanically: check switching point. – V91 fails to open electrically: P.C.B. LP 634: X634L/A12. – V91 fails to open mechanically (possibly clogged) – V130 electrically not closed: P.C.B. LP 634: X634L/ A4 – V130 fails to close mechanically (possibly clogged). – Bibag connector leaking (check O rings) – Sealing on the bicarbonate suction tube leaking. – Check acknowledgement of pressure switch on P.C.B. LP 633: X633L/A8. – V99 constantly electrically or mechanically open. V100 Failure Three minutes before the end of the mandatory rinse in Dis I to V. It is impossible to build up pressure on DS (BIBAG pressure switch 134) via V100. – V100 fails to open electrically: P.C.B. LP634: X634L/C13. – V100 fails to open mechanically (possibly clogged). – V91 constantly electrically or mechanically open – Concentrate pump fails to pump. – Filter (148) clogged. – Pressure switch fails to open. Rinse Failure F16 Three minutes before the end of the mandatory rinse in Dis I to V. DS (BIBAG pressure switch 134) cannot be closed. V99 or V130 is leaking. – V91 fails to open electrically or mechanically. – V99 constantly electrically or mechanically open – V130 constantly electrically or mechanically open – Sealing on the concentrate suction tube leaking. – Pressure switch fails to close. V99 Failure Three minutes before the end of the mandatory rinse in Dis I to V. DS (BIBAG pressure switch 134) cannot be opened. V99 does not open. – V99 fails to open electrically or mechanically. – V100 fails to open electrically or mechanically. – Pressure switch fails to open. – V91 electrically or mechanically open – Filter (149) upstream of V99 clogged Fresenius Medical Care 4008 4/08.03 (TM) Rinse Failure F17 Three minutes before the end of the mandatory rinse in Dis I to V. DS (BIBAG pressure switch 134) cannot be closed. – V91 fails to open electrically or mechanically. – V130 electrically or mechanically open – V100 electrically or mechanically open – Pressure switch fails to close. V130 Failure Three minutes before the end of the mandatory rinse in Dis I to V. DS (BIBAG pressure switch 134) cannot be opened. – V130 fails to open electrically or mechanically. – Pressure switch fails to open. – Check tubing for bicarbonate suction line and bibag block. – Bicarbonate line squeezed at strain relief. – Narrowing in the reducer on the bibag connector Rinse Failure F 20 Impossible to close the pressure switch (134) via V91/100. – V91 fails to open electrically or mechanically. – V130/V188 electrically or mechanically open. – Pressure switch fails to close. V188 Failure The pressure on pressure switch (134) cannot be reduced via V188. – V188 fails to open electrically or mechanically – Pressure switch fails to open – Verschlauchung für Konzentratansaugleitung und Luftabscheideblock prüfen / Check tubing for carbonate suction line and air separator block. – Concentrate line squeezed at strain relief. Rinse Failure F14 Shortly before the end of the mandatory rinse in Dis I to V. The hydraulics test has not been completed correctly, possibly caused by flow problems. Fresenius Medical Care 4008 4/08.03 (TM) 1-63 1-64 Fresenius Medical Care 4008 4/08.03 (TM) Measure for 5 sec.: Mean pressure value dav2 Open V39; Wait for 5 sec. Measure for 5 sec.: Mean pressure value dav1 Wait for 10 sec. open: V26, V91, V99, V100, V31, V33, V35, V37; V39 closed DAC degas. pump = 200 Mandatory rinse ≤ 1 min yes DAC deg. pump = 220 yes DAC degas. pump no = 200 ? nein Pressure yes increase? (dav1 + 50 mmHg < dav2) no BiBag machine? no Pressure yes increase? (dav1 + 20 mmHg < dav2) Test failed Pressure compensation “V39 Failure” Test passed Delete mandatory rinse Pressure compensation Evacuate rinse chambers ● V39 test The following requirements must be fulfilled to run the V39 test: 1. The test is run during the last minute of the mandatory rinse program only. 2. DIP switch 5 DIP array 2 on PCB LP 632 must be set to OFF. Error message Description V39 Failure On opening V39 a difference in pressure (averaged value V39 open – averaged value V39 closed) is detected on the dialysate pressure transducer (182): Standard system: < 50 mmHg bibag system: < 20 mmHg – V39 fails to open / close electrically or mechanically (possibly hydraulic processing unit defective). – It is impossible to re-adjust the degassing pump (P.C.B. LP 634). – V91, V99, V100 fail to open electrically or mechanically. – Dialysate pressure transducer (182) defective or not calibrated (possibly hydraulic processing unit defective) – Filter 210 (upstream of degassing pump) clogged. Fresenius Medical Care 4008 4/08.03 (TM) 1-65 ● Further messages which may be displayed before or during a cleaning program 1-66 Error message Description Blood Sensed by OD Start of a cleaning program in RI I to II, HR I to III, Dis I to V. The optical detector in the air detector module recognizes blood. Shunt Cover open Start of a cleaning program or during a cleaning program in RI I to II, HR I to III, Dis I to V. The shunt interlock is not closed. Dialines not conn Start of a cleaning program in RI I to II, HR I to III, Dis I to V. The dialysate couplings are not connected to the shunt interlock. No LD alarm Priming of the blood line system in RI I to II, HR I to III, Dis I to V. The drip chamber in the air detector module does not recognize any alarm. Conc line not conn Start of a cleaning program in RI I to II, HR I to III, Dis I to V, or end of the disinfectant suction phase in Dis V. The concentrate plug is not connected to the rinse chamber. Reconnect the concentrate plug to the rinse chamber. Bic line not conn Start of a cleaning program in RI I to II, HR I to III, Dis I to V, or end of the disinfectant suction phase in Dis V. The bicarbonate plug is not connected to the rinse chamber. Reconnect the bicarbonate plug to the rinse chamber. Voltage Failure During a cleaning program in RI I to II, HR I to III, Dis I to V. The 24-V/12-V supply voltages are drifting. This error can be acknowledged for 8 sec by pressing the respective program key. CPU-II failed During a cleaning program in RI I to II, HR I to III, Dis I to V. The watchdog relay has dropped. Communication (RxD or TxD) may be disturbed. High temperature During a cleaning program in RI I to II, HR I to III, Dis I to V. Temperature > 41 °C; > 90 °C during HR; > 91 °C during IHR. The machine continues to run. The alarm tone can be acknowledged. Upon error elimination, the message is automatically cleared. Low temperature During a cleaning program in RI I to II, HR I to III, Dis I to V. Temperature < 33 °C; < 78.5 °C during HR. The machine continues to run. The alarm tone can be acknowledged. Upon error elimination, the message is automatically cleared. Fresenius Medical Care 4008 4/08.03 (TM) Water alarm During a cleaning program in RI I to II, HR I to III, Dis I to V. The float switch transmits the “no water available” message for more than 10 seconds. The balancing chamber has stopped; V41 is permanently open. Upon error elimination, the message is automatically cleared. Water alarm During a cleaning program in RI I to II, HR I to III, Dis I to V. For more than 30 seconds, the float switch fails to signal that water is required (not applicable to recirculation programs). The machine continues to run. Upon error elimination, the message is automatically cleared. Flow alarm During a cleaning program in RI I to II, HR I to III, Dis I to V. A current rise pulse is not recognized for more than 12 seconds. The machine continues to run at “Eigentakt” (10 seconds). Upon error elimination, the message is automatically cleared. Upper Flow Alarm During a cleaning program in RI I to II, HR I to III, Dis I to V. The cleaning flow increases to > 1000 ml/min. The program has stopped. The error can be acknowledged by pressing the respective cleaning program key. UF-Pump failed During a cleaning program in RI I to II, HR I to III, Dis I to V. The UF pump has stopped or the rate deviates (2800 ml/h < UFR < 6000 ml/h). The program has stopped. The error can be acknowledged by pressing the respective cleaning program key. UF-Pump 2 failed During a cleaning program in RI I to II, HR I to III, Dis I to VI. The UF2 pump has stopped (applicable only to machines with 4008 HDF). The error can be acknowledged by pressing the respective cleaning program key. Dial. Valve failed During a cleaning program in RI I to II, HR I to III, Dis I to V. V24 or V24B is closed although it should be open. The program has stopped. The error message can be acknowledged by pressing the respective program key. Bypass Valve failed During a cleaning program in RI I to II, HR I to III, Dis I to V. V26 is closed although it should be open. The program has stopped. The error message can be acknowledged by pressing the respective program key. Fresenius Medical Care 4008 4/08.03 (TM) 1-67 V102 Failure During a cleaning program in RI I to II, HR I to III, Dis I to V. V102 has been opened electrically. 24 V are switched off. The error cannot be acknowledged. V104 Failure During a cleaning program in RI I to II, HR I to III, Dis I to V. V104 has been opened electrically. 24 V are switched off. The error cannot be acknowledged. HDF-Pump failure During a cleaning program in RI I to II, HR I to III, Dis I to V. The HDF pump has stopped, or the speed deviates (rated value: 400 ml/min, actual value: ≤ 300 ml/min; rated value: 150 ml/min, actual value: ≤ 100 ml/min). The error message can be acknowledged for one complete cleaning program run by pressing the respective program key. The prompt: “Are you sure ?” is displayed. Float-Switch Failure During a disinfectant program in the suction phase in Dis I to V (CDS: Dis I to IV). The lower switching point of the float switch is not reached within 20 sec. The program has stopped. Connect Disinfectant Disinfectant suction phase in Dis V. Request to connect the disinfectant. Press CONFIRM key Disinfectant suction phase in Dis V. After the disinfectant has been connected, the Confirm key on the menu panel must be pressed to start the suction procedure. The program has stopped. Please Wait Disinfectant suction phase in Dis V. Disinfectant is drawn in via the concentrate pump. Disinfectant empty ? Disinfectant suction phase in Dis I to V. Dis V: After the disinfectant has been drawn in, the float switch does not recognize any fluid. Dis I to IV, Dis VI: The V84 monitoring unit does not recognize any conductivity. Disinf-Temp. too high Transition to disinfection in Dis I to V. Temperature at the end of the rinse-free procedure > 40 °C. Again and again, the rinse-free procedure is prolonged by 1 minute. An audible warning is sounded after 4 minutes. The message is automatically cleared, and it cannot be acknowledged. 1-68 Fresenius Medical Care 4008 4/08.03 (TM) Rinse required ! During stored mandatory rinse in Dis I to V. The mandatory rinse has been interrupted (e.g. the machine has been switched off). Rinse after Disinf. Selection of a cleaning program, although a mandatory rinse has been requested in HR. A disinfection program has been stopped and subsequently a rinsing or hot rinsing program started. Power Failure During a cleaning program in RI I to II, HR I to III, Dis I to V. Line voltage failed. BIBAG connect. open Upon start of a cleaning program in RI I to II, HR I to III, Dis I to V. The BIBAG connector is not closed (cap not attached). Heater error During the CDS rinsing phase at the end of a hot rinsing program or a hot disinfection program in CDS: HR I to III, Dis II to IV. The heater signal (P.C.B. LP 633: X633R/A26) is not changing for > 40 sec. Accumulator empty! Battery voltage <17.2 V ±2.5 % Only in the event of a power failure during the cleaning programs. If the voltage drops below 17 V, the machine will switch off. Fresenius Medical Care 4008 4/08.03 (TM) 1-69 1.1.5 Error messages after turning power on Error message Description EPROM ERROR System error. Check the plugs and the EPROM for proper connection. Replace the EPROM, if necessary. BRAM_#_XXXX_XXXX_XXXX System error. Switch the machine off and on again. Check the plugs and the BRAM for proper connection. Replace the BRAM, if necessary. Then recalibrate. 1-70 RAM ERROR System error. Switch the machine off and on again. Check the plugs and the RAM for proper connection. Replace the RAM, if necessary. Keyboard Error Short-circuit on the keyboard. Switch the machine off and on again. Check the plugs for proper connection. Possible short-circuit on the keys. Replace the front panel, if necessary. Watchdog Error This error message can only be displayed shortly after switch-on. Switch the machine off and on again. Check the WD relay and components. Check CPU2/CPU1. Check the plug connectors on the monitor. XX (not calibrated) NOVRAM error upon test request. Switch the machine off and on again. Recalibrate the function indicated. Replace the NOVRAM, if necessary. NTC109 switched off No valid value has been filed during start in the NOVRAM. The difference in temperature between NTC 109 and NTC 3 is too large. Switch off NTC 109 in the setup menu, or recalibrate the temperature. Fresenius Medical Care 4008 4/08.03 (TM) 1.1.6 Error messages during dialysis Error message Description Voltage Failure The 24-V/12-V supply voltages are drifting. The machine enters the safe state and must be switched off/on. – The 12-V or 24-V operating voltage is outside of the permissible range: 24 V: > 26 V / < 22.5 V 12 V: > 13.5 to 15 V / < 10.5 V – Check the power supply unit. – Power supply unit okay: Check the voltages applied to P.C.B. LP 633: +12 V: X633R/A, C31 +24 V: 24V_EM: X633L/B20 24 V Switched Off The 24-V supply voltage has fallen below 5 V. The machine enters the safe state and must be switched off/on. – Check the power supply unit. – Power supply unit okay: Check the voltages at P.C.B. LP 633: +24V_EM: X633L/B20 – Remove all plug-in modules. As soon as the machine is running: reconnect each plug-in module individually with the machine switched off; determine the defective module and repair it. – Completely loosen the hydraulic compartment connections. Caution: J1 must now be fitted on P.C.B. LP 630 since, without it, the machine would not be able to perform the watchdog test. Be absolutely sure to remove the jumper again for hemodialysis operation. With the machine running, check the short circuit in the hydraulic compartment for 24-V supply and the valves and pumps for short circuit. CPU-II failed CPU2 fails to communicate via the serial interface. The machine enters the safe state and must be switched off/on. – The software versions of CPU1 and CPU2 are mismatching. – Hardware defect on CPU2. Profile time diff. Deviation in time between CPU1 and CPU2. The error message is emitted 60 seconds after the start of the profile. – The clock module on CPU1 (IC14) is defective; or calibrate the time in case of layout < D. Cyclical PHT F01 Balancing error. – System leakage. – Applicable to Diasafe machines: On CPU II, the DIP switch array 2, switch 1, is not set to “ON”. Cyclical PHT F02 Balancing error. – System leakage. – Applicable to Diasafe machines: On CPU II, the DIP switch array 2, switch 1, is not set to “ON”. Fresenius Medical Care 4008 4/08.03 (TM) 1-71 1-72 Cyclical PHT F03 IC1 or IC3 on P.C.B. LP 632 is defective, or system leakage. Cyclical PHT F04 It was not possible to complete the test within a specific time interval. V84 faultiness ! Conductivity is recognized at the V84 electrodes. This error message is emitted for the first time at the end of the T1 test. The error can be acknowledged for the duration of one hemodialysis procedure by pressing the Dialysis Start key. It is, however, not possible to switch off the flow (Bergström-/ISO-UF operating mode). Should the error occur during Flow OFF, the flow is switched on automatically. – First of all, it must be verified whether a Rinse Failure F01, F02 or F03 occurred during the previous disinfection procedure (see listing of cleaning program errors). Should this be the case, a disinfection program I to IV (not Dis V) must be completed correctly. The problem can also be corrected using the calibration program, NOVRAM menu item (Reset V84). – Should this not be possible, the error memory of the machine can be read out. – Should this neither be possible, the test described below can be performed: Remove the disinfectant. Switch the machine off and on again. Perform or skip the T1 test. Should the error message be displayed again at the end of the test, it was generated by a Rinse Failure F01, F02 or F03 and can be cleared only by taking the measures described above. Should the message not be displayed again, a second test can be performed: Reconnect the disinfectant. Set the UF rate and switch on the UF unit. Should the error occur at this moment, there is a leakage on V84 (see listing of cleaning program errors). Shunt Cover open (temporarily) – P.C.B. LP 633 C24 (100n) temporarily short-circuited. – Shunt interlock defective (check switches). Voltage Failure (temporarily) P.C.B. LP 633 C84 (100n) temporarily short-circuited. Fresenius Medical Care 4008 4/08.03 (TM) UF1 volume - Error UF2 volume - Error Failure to pass the test for a UF pump. The fill volume for the secondary air separator is outside the 100 ml ±4 ml tolerance. Possible cause: – The UF pump fails to deliver correctly (not calibrated or mechanical defect) – If the test result is >104 ml, the problem can also be caused by air coming from a poorly deaerated dialyzer. F327 UF-failure Pause between two UF1 pump strokes less than 220 ms. Possible cause: – CPU-1 defective F328 UF-failure Pulse time of one UF1 pump stroke less than 180 ms. Possible cause: – Controlling monoflop on LP 634 defective F329 UF-failure Pulse time of one UF1 pump stroke exceeds 500 ms Possible cause: – Controlling monoflop on LP 634 defective. F330 UF-failure Pick-up time of the UF1 pump exceeds 10 sec. Possible cause: – Controlling output stage on LP 634 defective. F331 UF-failure Theoretical/actual rate of the UF1 pump deviates by more than ±10 %. Possible cause: – Communication problem or CPU-1/CPU-2 software problem. F332 UF-failure UF1 pump stopped for more than the maximum time period. Possible cause: – Controlling output stage on LP 634 defective. – UF pump interruption – Communication problem or CPU-1/CPU-2 software problem. F333 UF-failure UF1 volume change more than 10 ml although UF is switched off. Possible cause: – Communication problem or CPU-1/CPU-2 software problem. F334 UF-failure Pause between two UF2 pump strokes less than 220 ms. Possible cause: – CPU-1 defective F335 UF-failure Pulse time of one UF2 pump stroke less than 180 ms. Possible cause: – Controlling monoflop on LP 634 defective. F336 UF-failure Pulse time of one UF2 pump stroke exceeds 500 ms. Possible cause: – Controlling monoflop on LP 634 defective. Fresenius Medical Care 4008 4/08.03 (TM) 1-73 1-74 F337 UF-failure Starting time of the UF2 pump exceeds 10 sec. Possible cause: – Controlling output stage on LP 634 defective. F338 UF-failure Desired/actual rate of the UF2 pump deviates by more than 10 %. Possible cause: – Communication problem or CPU-1/CPU-2 software problem. F339 UF-failure UF2 pump stopped for more than the maximum time period. Possible cause: – Controlling output stage on LP 634 defective. – UF pump interruption – Communication problem or CPU-1/CPU-2 software problem. F340 UF-failure UF2 volume change more than 10 ml although UF is switched off. Possible cause: – Communication problem or CPU-1/CPU-2 software problem. F341 UF-failure Mechanical UF1 pump failure. Possible cause: – Broken spring – Contaminated filter F342 UF-failure Mechanical UF2 pump failure. Possible cause: – Broken spring – Contaminated filter F343 UF-failure UF1/UF2 pump volume difference Possible cause: – Delivery volume altered Fresenius Medical Care 4008 4/08.03 (TM) ● HPU error Error message Description HPU Error F00 The HPU logs off with index STATUS_ER; no bit is set in the error bit field. – Problem on P.C.B. LP 941 – Problem on CAN distributor board – Problem on P.C.B. LP 763 – Problem on motherboard HPU Error F01 The cyclic communication has failed for more than 2 seconds. – System error HPU Error F02 The response to an event violated the time-out. – System error HPU Error F03 An error occurred in the program sequence. – System error HPU Error F04 Voltage drop (24V_SW) during HPU operation. – 24V voltage supply on P.C.B. LP 941 failed (watchdog dropped). HPU Error F05 Watchdog test failed to be passed. – Watchdog circuit on P.C.B. LP 941 HPU Error F06 Reference voltage monitoring detected an error. – Reference voltage circuit on P.C.B. LP941 is defective. HPU Error F07 The HPU was logged off by the monitor. Will not be displayed since CPU1 has already stopped the communication. – System error HPU Error F08 General valve malfunction: may occur in HPU SW 2.01 or 3.00. (Software versions before evaluation of the HPU errors). – System error HPU Error F09 Malfunction of the compressor (185) – MV43 defective or activated – Compressor 185 defective or activated – Error on P.C.B. LP 941 HPU Error F10 Malfunction of valve MV39 – MV39 defective or activated – Error on P.C.B. LP 941 HPU Error F11 Malfunction of test valve (183) – MV43 defective or activated – MV183 defective or activated – Error on P.C.B. LP941 Fresenius Medical Care 4008 4/08.03 (TM) 1-75 1-76 HPU Error F12 Malfunction of evacuation valve (188) – MV188 defective or activated – Error on P.C.B. LP 941 HPU Error F13 Malfunction of retentate valve (189) – MV189 defective or activated – Error on P.C.B. LP 941 HPU Error F14 Defective component on P.C.B. LP 941 – Error on P.C.B. LP 941 HPU Error F15 Error in the HPU software. Valves are activated incorrectly. – System error HPU Error F98 Proceeding to the T1 test is not allowed after restart. – System error HPU Error F99 HPU fails without logging off. – Damaged cable or similar problem – HPU logged off by CPU1 – CRC error in the transfer HPU → CPU1 – BVM is connected via CAN and software <3.20 is installed in the BVM. – The VDE test was performed directly after turning the system on. Turn the system on at least 2 minutes before the test. Fresenius Medical Care 4008 4/08.03 (TM) ● ONLINE module errors Error message Description ONL Error F00 Online module error ONL Error F01 Watchdog error ONL Error F02 Watchdog error ONL Error F03 Watchdog error ONL Error F04 Error in the program sequence ONL Error F05 +24V_WD dropped to less than 17V or was switched off ONL Error F06 Time-out of the communication watchdog exceeded ONL Error F07 A transmission from the module was not confirmed by the dialysis system ONL Error F08 General valve error ONL Error F09 T1 test skipped ONL Error F10 T1 test for ONLINEplus failed to be passed ONL Error F11 Reference voltage is outside the tolerance ONL Error F12 CRC error ONL Error F13 EEPROM error ONL Error F14 The monitor disabled the ONLINEplus module ONL Error F16 Valve error ONL1 ONL Error F17 Valve error ONL1 ONL Error F18 Valve error ONL1 Fresenius Medical Care 4008 4/08.03 (TM) 1-77 1.2 Functional description of the modules 1.2.1 Blood pump (arterial) The blood pump ensures a sufficient blood flow in the extracorporeal blood circuit. It is absolutely necessary that sterility is maintained and that the blood is prevented from becoming contaminated. The blood pump is designed as roller pump provided in an exchangeable plug-in module integrated in the hemodialysis machine. The blood line is installed between a stator, which, with its rolling surface bent in a circle, represents a thrust bearing, and a rotor, which is provided with rollers and pivoted in the stator. The pressure of the rollers causes the development of a narrow or seal. If the rollers are moving in the direction of delivery, the blood is pushed in this direction. A microprocessor controls the stepper motor with quartz accuracy, depending on the selected delivery rate, the set line diameter, and the monitor signals. The pressure measuring equipment comprises a piezo-resistive pressure transducer. The pressure-proportional voltage is indicated on the monitor on a quasi-analog LED scale. Functions of the blood pump: – RAM and CRC test after turning power on, – control and monitoring of the function by a dual processor system, – emergency switchoff in case of an alarm: stop recognition (15 or 30 sec), – setting of the speed to 180 ml/min during priming, – measurement of the arterial pressure or the single needle pressure (depending on the model concerned), – semi-automatic loading and unloading of the line segment. Error messages: E.01 Line diameter outside the permissible range E.02 Undefined hex switch position E.03 Uncalibrated arterial pressure transducer E.04 Run-time monitoring error during SN operation E.05 SN stroke volume outside the permissible range E.06 SN pressure thresholds outside the range of values of the A-D converter E.08 Stop alarm E.09 Error during A-D conversion E.12 Rotary monitoring error (Hall sensor) E.13 Monitoring error with regard to current sensing resistors E.14 Monitoring error with regard to current sensing resistors E.15 Speed monitoring error 1-78 Fresenius Medical Care 4008 4/08.03 (TM) 1.2.2 Blood pump (single needle), optional Essentially, the blood pump (single needle) is identical with the arterial blood pump. The difference lies in the single needle control. During SN operation, the pressure outlet of the compliance vessel is connected to the pressure connector of the SN pump. The pressure transducer is protected by a hydrophobic filter both in the external and the internal tubing system. The SN stroke volume can be set within a range from 10 ml to 50 ml in increments of 5 ml. The lower changeover point is fixed to 75 mmHg. The upper changeover point depends on the stroke volume: Stroke volume (ml) 10 15 20 25 30 35 40 45 50 Changeover point (mmHg) ± 7 mmHg 110 130 150 172 195 219 244 270 299 Fresenius Medical Care 4008 4/08.03 (TM) 1-79 1.2.3 Heparin pump Since the blood flows through an extracorporeal circuit during hemodialysis, coagulation would occur within a short time. The heparin pump allows continuous heparinization of the blood causing the coagulation time to be prolonged. Since the heparin volume required during hemodialysis depends on the respective patient concerned, it must be determined by the attending physician. A syringe plunger is moved by a drive rod, which is connected to a threaded spindle via a sliding block. A microprocessor-controlled stepper motor causes the spindle to rotate. Depending on the type of activation, the plunger moves up or down. A Hall sensor indicates the upper end position of the plunger. The protective system of the pump comprises a speed monitoring unit (slotted disc with optical sensor) as well as a motor current monitoring unit. The different syringe types can be selected by means of a coding switch: 0 20-ml syringe 1 30-ml syringe 2 50-ml syringe 3 10-ml syringe 4 – F unused Caution Do not change the coding switch position during operation. Function of the heparin pump: – RAM and CRC test after turning power on, – delivery rate adjustable from 0.1 ml to 10 ml in increments of 0.1 ml, – delivery time preselection (stopwatch) adjustable from 1 min to 9 h 59 min, – bolus administration. 1-80 Fresenius Medical Care 4008 4/08.03 (TM) Error codes: E01 Hardware error, gate array defective E02 Hardware error, reset by spike or test alarm E03 Checksum error, data loss E04 First start-up E05 Incorrect hex switch position E06 Missing or incorrect data for the variable syringe E07 Selection of wrong syringe E11 to E13 Step error E12 Overdelivery during fast return E14 to E15 Error in direction of rotation (software not equal to hardware!) E16 Software error E19 Optical sensor error (stop of syringe holder or optical sensor defective) E20 Error in direction of rotation E33 Step error (impermissible range) E37 Slotted disc error E40 Division error (division by zero) E41 to E42 Error in direction of rotation (fast return) E43 to E44 Error in direction of rotation (slow return) E45 to E46 Error in direction of rotation (fast advance) E47 to E48 Error in direction of rotation (slow advance) E49 Step error (underdelivery during slow advance) E50 Step error (underdelivery during slow return) E51 Step error (overdelivery during fast advance) E55 Error in step counting (optical sensor defective or mechanics too sluggish; no pulses from the slotted disc) E56 Error in step counting (more than 8 pulses during transition of the slotted disc; the slotted disc is oscillating) E90 Display error Fresenius Medical Care 4008 4/08.03 (TM) 1-81 1.2.4 Air detector The penetration of air into the patient's extracorporeal blood circuit may cause an air embolism. In order to catch limited amounts of air and to separate accompanying air bubbles, the venous blood line is expanded (venous drip chamber). A major task of the air detector is to monitor the filling level in the venous drip chamber. Ultrasonic air detector The protection system against air infusion uses the method of ultrasonic transmission. Ultrasonic converters are attached on either side of the venous bubble catcher. At periodic intervals of approx. 90 ms, a transmitting resonator generates attenuated ultrasonic vibrations at a natural resonance of approx. 90 kHz, which are absorbed by a receiving resonator. The amplitude of the signal received is dependent upon the medium between the converters. Its value is at its minimum with the bubble catcher empty (air) and at its maximum with bubble-free fluids. The amplitude decreases with increasing air content (foam). The signal path is fail-safe up to and including the receiving resonator, i.e. the failure of any component always leads to a smaller amplitude and, thus, to an alarm. Starting at the receiving resonator, the signal voltage is always sent onto two independent receiver paths. As soon as the signal is too weak, one of these receiver paths causes the blood pump to stop and the other the venous line clamp to close. The ▲ and ▼ keys are used to both raise and lower the blood level in the venous bubble catcher. As long as the ▲ key is pressed, the venous line clamp closes. The vent valve in the air detector module opens, and the blood level rises. The blood pump runs at reduced speed (180 ml/min). As long as the ▼ key is pressed, the venous line clamp remains open. The vent valve in the air detector module opens, the ventilation pump is running, and the blood level sinks. The blood pump runs at the preselected speed. Optical detector The optical detector serves to detect if there is blood or saline solution or air in the venous return line downstream of the bubble catcher. In the hemodialysis machine, the hemodialysis phase is defined by presence of a dark medium and the preparation phase by presence of a clear medium. Venous pressure measurement The venous pressure measuring equipment comprises a piezo-resistive pressure sensor provided on the P.C.B. with following operational amplifier. The pressure-proportional output voltage is supplied onto the logic P.C.B. in the monitor. There, the pressure is indicated on a quasi-analog LED scale, and the transmembrane pressure is computed by determinig the difference between the dialysate pressure and the venous pressure. 1-82 Fresenius Medical Care 4008 4/08.03 (TM) 1.3 Functional description of the hydraulic unit Fig.: Flow diagram Fresenius Medical Care 4008 4/08.03 (TM) 1-83 Legend 2 3 4 5 6 7 8 9 10 12 21 22 23 24 24b 25 26 29 30 31 32 33 34 35 36 37 38 39 41 43 54 61 63 65 66 66a 66b 66c 68 71 72 73 74 75 76 77 78 84 85 86 87 88 88a 88b 88c 89 90a 90b 91 92 94 95 Temperature sensor Temperature sensor Temperature sensor (OCM option) Float switch Level sensor Conductivity cell Blood leak detector Pressure transducer Reed contact for concentrate Reed contact for bicarbonate Flow pump UF pump Concentrate pump Dialyzer valve 1 Dialyzer valve 2 Bicarbonate pump Bypass valve Degassing pump Outlet valve Balancing chamber valve 1 Balancing chamber valve 2 Balancing chamber valve 3 Balancing chamber valve 4 Balancing chamber valve 5 Balancing chamber valve 6 Balancing chamber valve 7 Balancing chamber valve 8 Negative pressure valve Water inlet valve Fill valve Heater rod Pressure reduction valve Filter/water inlet Loading pressure valve Heater block Water inflow chamber Heater rod chamber Float switch chamber Balancing chamber Filter/concentrate Filter/bicarbonate Filter/dialysate Filter/UF External flow indicator Filter/fill valve Heat exchanger Relief valve Disinfection valve Disinfection connector Recirculation valve Drain valve Multifunction block Degassing chamber Secondary air separator Primary air separator Degassing orifice Acetate rinse chamber Bicarbonate rinse chamber Rinse valve Vent valve Concentrate suction tube Bicarbonate suction tube 1-84 Fresenius Medical Care 4008 97 98 99 100 102 104 109 110 111 112 114 115 116 117 118 119 120 121 122 123 124 125 130 132 133 134 136 137 138 148 149 151 182 183 184 188 189 190 191 192 193 194 195 201 202 203 204 205 206 210 Air separating pump Rinse valve Rinse valve Rinse valve CDS, concentrate valve CDS, bicarbonate valve Temperature sensor Conductivity cell (OCM option) Hydrophobic filter Vent valve Dialysate filter Disinfection valve sensor Fluid sample valve Check valve (concentrate) Check valve (bicarbonate) Filter (concentrate) Filter (bicarbonate) CDS, concentrate connector CDS, bicarbonate connector Pressure switch for V102 Pressure switch for V104 Temperature compensation plate Bibag drain valve Bibag conductivity cell Bibag temperature sensor Bibag pressure transducer Bibag connector Bibag microswitch 1 Bibag microswitch 2 Filter (rinse valve 100) Filter (rinse valve 99) Orifice Pressure transducer 2 (Diasafe plus option) Test valve (Diasafe plus option) Compressor (Diasafe plus option) Evacuation valve Retentate valve Online filter (Online plus option) Online 3 valve (Online plus option) Online 2 valve (Online plus option) Online 1 valve (Online plus option) Rinse port (Online plus option) Substituate port (Online plus option) Concentrate air separator Concentrate level sensor Bicarbonate air separator Bicarbonate level sensor Concentrate / bicarbonate mixing point Buffer volume chamber Filter Hydraulics measuring points A B C D Reduced water inlet pressure Loading pressure Pressure of flow pump Pressure of degassing pump 4/08.03 (TM) 1.3.1 Description of the hydraulic unit As soon as the inlet valve (41) opens, the water flows through the pressure reducing valve (61) into the chamber (66a) of the heater block and across the heat exchanger (77) into the heater rod chamber (66b). The concentrate pump (23) admixes concentrate to the inflowing water per balancing chamber phase. The vent tubing prevents pressure from building up in chambers b and c. In the hot rinse mode, the developing vapor can escape through the vent tubing. While it is rising, the fluid is warmed up to the preset temperature by the heater (54). The heater is controlled by the temperature sensor (2). From chamber b, the dialysate flows into the chamber (66c). Incorporated in this chamber is a float switch (5), which controls the solenoid valve (41), thus ensuring the correct fluid level. The degassing pump (29) draws in the dialysate via the degassing orifice (89). This generates a negative pressure of 0.8 bar. In the lines and the following chamber (88a), the dialysate is degassed to a level which is sufficient for hemodialysis. Via the degassing pump (29), dialysate and released air are directed tangentially into the primary air separator (88c), where air bubbles and the airless dialysate are separated. The air accumulates at the top of the chamber (88c). Then, together with the recirculation flow and via the loading pressure valve (65) as well as the chamber (66c), the air escapes into the atmosphere. Chamber 88c is provided with a separating disc, which serves to prevent bicarbonate, if added, from being recirculated via the heater rod chamber (66b). At the bottom of chamber 88c, the degassed dialysate is pressed out and into the balancing chamber (68) by means of the loading pressure. Together with the eight solenoid valves (31 to 38), the balancing chamber (68) constitutes the balancing system. Each of the two sections of the balancing chamber comprises two compartments separated by an elastic membrane each. Hence, there are two chambers with four spaces: – F1 and F2: fresh fluid – A1 and A2: waste fluid (used) As soon as one of the chambers (A1 or A2) is filled with dialysate, the solenoid valves are reversed in groups of four. The valves are reversed by the electronic evaluation of the current rise pulse of the drive motor of the pump (21), which receives this pulse upon membrane abutment. Within the filling phase, F1 or F2 is filled with fresh dialysate by means of the loading pressure. In order to obtain a continuous flow, a second chamber is switched parallel to the first chamber. The second chamber is operated at an inverse sequence. Each time the chamber is changed over (maximum deflection of the membrane), all valves are closed for approx. 100 ms (dead time). From the balancing chamber, the dialysate flows through the conductivity cell (7) with integrated temperature sensor (3). The measured conductivity values are indicated on the monitor in ms/cm, related to 25 °C. Fresenius Medical Care 4008 4/08.03 (TM) 1-85 The temperature sensor (3) has the following functions: – temperature compensation of the conductivity display, – indication of the dialysate temperature. Should the actual values (temperature or conductivity) of the dialysate exceed or fall below the limit settings, the bypass valve (26) opens, and the dialyzer valve (24) is closed. The machine is now in the bypass mode. The dialysate is discharged into the drain not via the dialyzer, but via the secondary air separator (88b) and the balancing chamber (68). If the actual conductivity and temperature values of the dialysate are within the set limits, the dialyzer valve (24) opens. The valve (26) is closed. The dialysate flows to the dialyzer. After the dialyzer, the dialysate which is now loaded with the substances usually eliminated with the urine flows into the secondary air separator (88b) via a filter (73), the valve (24b) and the blood leak detector (8). The secondary air separator (88b) comprises the pressure transducer (9) and the level sensor (6). With a hematocrit of 0.25, blood losses of 0.5 ml per minute are recognized in the dialysate by the blood leak detector. Together with the venous back pressure, the signal of the pressure transducer (9) is evaluated and indicated on the monitor as TMP. The fluid level in the secondary air separator (88b) is monitored by the level sensor (6). Due to the secondary air separator (88b), only airless dialysate is always delivered into the balancing chamber (68). Any presence of air bubbles in the balancing chamber (68) would cause balancing errors. The dialysate is pressed into the balancing chamber (68) by the flow pump (21). As mentioned above, the balancing chamber valves are reversed by the current rise pulses of the drive motor of the flow pump. Using the speed of this pump, the dialysate flow can be adjusted in the dialysis program: 300, 500, and 800 ml/min. In the cleaning programs, the flow of the dialysate is fixed. The relief valve (78) is used to limit the pressure of the flow pump before the balancing chamber to approx. 2 bar. After the balancing chamber, the dialysate flows through the valve (30), the heat exchanger (77) and the valve (87) into the drain. The valves (86) and (87) serve to recirculate fluid during the hot rinsing and disinfection programs. 1-86 Fresenius Medical Care 4008 4/08.03 (TM) 1.3.2 Theory of operation of the balancing chamber ● (Standard program) 1st cycle: 2nd cycle: Fresenius Medical Care 4008 4/08.03 (TM) 1-87 1st cycle: Closed valves: 31, 34, 36, and 37 F1 is filled with fresh dialysate. A1 used dialysate is discharged into the drain. F2 fresh dialysate is forced into the dialyzer. A2 is filled with used dialysate. 2nd cycle: Closed valves: 32, 33, 35, and 38 F1 fresh solution is forced into the dialyzer. A1 is filled with used dialysate. F2 is filled with fresh dialysate. A2 used dialysate is discharged into the drain. This system ensures that equal amounts of fluid enter and exit the dialyzer. This leads to an exact balancing of the dialysate and, in conjunction with the ultrafiltration pump (22), a controlled volumetric ultrafiltration. ● Secondary air purging by the air separation pump 97 As soon as the fluid level in the secondary air separator (88b) has dropped below the level sensor (6), this sensor activates the air separation pump (97). Should the fluid level not have reached the level sensor (6) within a given time period, the FILL PROGRAM is started. ☞ 1-88 Note In order to recognize the fluid level, the level sensor (6) requires fluid with a certain minimum conductivity, which is definitely achieved in all dialysis programs. Separation of air is only required in the dialysis programs. In all other programs, the air separation pump (97) and the valve (43) are force-actuated. Fresenius Medical Care 4008 4/08.03 (TM) ● FILL PROGRAM: air separation by valve 43 at atmospheric pressure 1st cycle: 30 31 32 33 34 97 76 43 F1 A1 F2 A2 36 37 68 35 6 38 6 88b 21 9 84 2nd cycle: 30 31 32 33 34 97 76 43 F1 A1 F2 A2 36 37 68 35 6 38 6 21 88b 9 84 Fresenius Medical Care 4008 4/08.03 (TM) 1-89 If not enough air was separated and the fluid level is still below the level sensor (6), the FILL PROGRAM is activated. The pump (21) fills either chamber A1 or chamber A2. Valves (36), (38), and (30) are closed. The valve (43) opens. The air can escape into the drain. 1st cycle: Chamber F1 is filled. This forces the fluid from chamber A1 into chamber A2. The fluid is then forced into the seconary air separator (88b) by chamber A2 via the dialyzer. 2nd cycle: Chamber F2 is filled. This forces the fluid from chamber A2 into chamber A1. The fluid is then forced into the secondary air separator (88b) by chamber A1 via the dialyzer. Filling is performed in this way to prevent a change in conductivity. As is the case in the standard program, here as well one stroke of the concentrate pump is still accomplished per balancing chamber cycle (30 ml). A fill program is always activated at the beginning of hemodialysis (to fill the dialyzer). Should it be activated during the hemodialysis procedure (OD dark), this is shown on the display. ☞ 1-90 Note Repeated activation of the fill program during treatment indicates a defect (leakages). Fresenius Medical Care 4008 4/08.03 (TM) 1.3.3 Central delivery system option The central delivery system is connected to the connectors 121/122. The concentrate flows into the rinse chambers via the inlet filters and the valves 102/104. Through the connected concentrate suction tubes, the concentrate pumps deliver the concentrate to the mixing point. During hemodialysis, the valves 91/99 and 100 are closed. Depending on the central delivery system, V102 and/or V104 are open. During the cleaning programs, the valves 102 and 104 are closed. During the suction phase of concentrate pump and bicarbonate pump, the valves 91 and 99 open for 500 ms upon each balancing chamber changeover. Valve 100 is open. In order to check the tightness of the valves 102 and 104, the pressure switch is tested during the rinse-clear phase with following disinfection or hot disinfection or a mandatory rinse. To perform this test, pressure is applied to the two lines between the check valves 117/118 and the valves 102/104. The pressure switches P123 and P124 are used to monitor the pressure. Three minutes before the mandatory rinse program is completed, a functional check of the valves 91/99 and 100 is performed. Fresenius Medical Care 4008 4/08.03 (TM) 1-91 1.3.4 Program runs during the cleaning programs Fig.: Flow chart of cleaning programs – overview End of hemodialysis Hot rinse Rinse PGM 1: –R– PGM 2: –R– endless PGM 1: –F–HR–C– PGM 2: –F–HR– PGM 3: –IHR– / –IHR–C– Disinfection (cleaning) PGM 1: –F–D–M– PGM 2: –F–HDIS–M– PGM 3: –F–D–M–HR– PGM 4: –F–HDIS–M–HR– PGM 5: –F–D(F)–M– Hemodialysis ● Explanation of the abbreviations used PGM R R endless F HR C D D(F) HDIS M IHR Program Rinse Endless rinse Rinsing clear Hot rinsing Cooling rinse Disinfection Disinfection Disinfectant drawn in from the front (concentrate suction tube). Hot disinfection Mandatory rinse Integrated hot rinsing ● Notes on program runs At the end of the set program, the rinse chamber is evacuated for approx. 1 min. Any statements on time refer to the factory setting. Shorter or longer program times can be set at any time by means of the SET UP menu (see Technical Manual, Chapter 6). 1-92 Fresenius Medical Care 4008 4/08.03 (TM) ● Rinse PGM 1: –R– T/°C 37 33 Rinse Rinse chamber evacuation 10 strokes each 15 to 30 min (Setup) approx. 1 min Start (Rinse key) t/min End PGM 2: –R– endless T/°C 37 33 t/min Rinse endless Start (Rinse key) End (abortion of program) Fresenius Medical Care 4008 4/08.03 (TM) 1-93 ● Hot rinsing PGM 1: –F–HR–C– T/°C 80 37 34,5 Heating Rinsing clean approx. 6 min 4 to 10 min approx. 4 min (Setup) Start (Hot rinse key) Hot rinsing Timing from 80 °C Cooling rinse Rinse chamber evacuation down to 34.5 °C 10 strokes each 15 to 30 min (Setup) approx. 8 min t/min approx. 1 min End PGM 2: –F–HR– T/°C 80 37 Heating Rinsing clean approx. 6 min 4 to 10 min approx. (Setup) 4 min Start (Hot rinse key) 1-94 Hot rinsing Timing from 80 °C Rinse chamber evacuation 10 strokes each 15 to 30 min (Setup) approx. 1 min Fresenius Medical Care 4008 End 4/08.03 (TM) t/min PGM 3: –IHR– T/°C 80 Integrated hot rinsing Rinse chamber evacuation 10 strokes each 15 to 40 min (Setup) approx. 1 min Start (Hot rinse key) t/min End PGM 3: –IHR–C– T/°C approx. 80 approx. 35 Heating approx. 5 min Integrated hot rinsing Cooling rinse Rinse chamber evacuation 10 strokes each 15 to 40 min (SetUp) Temperaturecontrolled approx. 1 min Start (Hot rinse key) t/min End Fresenius Medical Care 4008 4/08.03 (TM) 1-95 ● Disinfection PGM 1: –F–D–M– T/°C 37 33 Rinsing clean Prep.* 4 to 10 min (Setup) Disinfection Mandatory rinse approx. 1 min 10 to 20 min (Setup) Start (Disinfection key) 15 to 30 min (Setup) Rinse chamber evacuation 10 strokes each t/min approx. 1 min Mandatory rinse requested End *Prep.: preparation phase: Heater off Set the level of the float switch chamber below the lower switching point of the float switch by 1 balancing chamber changeover and 4 UF pump strokes. Aspiration of disinfectant for 50 UF-pump strokes. PGM 2: –F–HDIS–M– T/°C 80 37 34,5 Hot disinfection Mandatory rinse Rinse chamber evacuation 10 strokes each 4 to 10 min approx. approx. 10 to 20 min (Setup) 1 min 4 min (Setup) 15 to 30 min (Setup) approx. 1 min Rinsing clean Prep.* Heating approx. 6 min Start (Disinfection key) Mandatory rinse requested *Prep.: preparation phase: Heater off Set the level of the float switch chamber below the lower switching point of the float switch by 1 balancing chamber changeover and 4 UF pump strokes. Aspiration of disinfectant for 50 UF-pump strokes. 1-96 Fresenius Medical Care 4008 4/08.03 (TM) End t/min PGM 3: –F–D–M–HR T/°C 80 37 33 Rinsing clean 4 to 10 min (Setup) Prep.* DisMandatory rinse infection Heating approx. 10 to 20 min 15 to 30 min approx. 4 min 1 min (Setup) (Setup) approx. 6 min Start (Disinfection key) Hot rinsing Rinse chamber evacuation 10 strokes each 15 to 30 min (Setup) approx. 1 min Mandatory rinse requested t/min End *Prep.: preparation phase: Heater off Set the level of the float switch chamber below the lower switching point of the float switch by 1 balancing chamber changeover and 4 UF pump strokes. Aspiration of disinfectant for 50 UF-pump strokes. Fresenius Medical Care 4008 4/08.03 (TM) 1-97 PGM 4: –F–HDIS–M–HR– T/°C 80 37 Rinsing clean Prep.* Heating Hot Mandatory rinse disinfection Heating 4 to 10 min approx. approx. 10 to 20 min 1 min 4 min (Setup) (Setup) Hot rinsing Rinse chamber evacuation 10 strokes each t/min 15 to 30 min approx. 15 to 30 min approx. 1 min 4 min (Setup) (Setup) approx. 6 min approx. 6 min Mandatory rinse requested Start (Disinfection key) End *Prep.: preparation phase: Heater off Set the level of the float switch chamber below the lower switching point of the float switch by 1 balancing chamber changeover and 4 UF pump strokes. Aspiration of disinfectant for 50 UF-pump strokes. PGM 5: –F–D(F)–M– T/°C 37 33 Rinsing clean Prep.* 4 to 10 min (Setup) Start (Disinfection key) Disinfection Mandatory rinse approx. 1 min 10 to 20 min (Setup) 15 to 30 min (Setup) Rinse chamber evacuation 10 strokes each approx. 1 min Mandatory rinse requested *Prep.: preparation phase: Heater off Set the level of the float switch chamber below the lower switching point of the float switch by 23 UF pump strokes. Aspiration of disinfectant for 32 concentrate pump strokes à 330 steps. 1-98 Fresenius Medical Care 4008 4/08.03 (TM) End t/min Table of Contents 2 Technical safety checks / 2 Technical measurement checks / Maintenance Section 2.1 Page Technical safety checks and maintenance for 4008 hemodialysis systems and options ............................................................ Important notes ............................................................................................................... Description – Technical safety checks and maintenance .............................................. Checklist – Technical safety checks and maintenance ................................................. Notes – Checking the electrical safety ............................................................................ 2-3 2-3 2-5 2-15 2-19 2.2.1 2.2.2 2.2.3 Technical measurement checks and maintenance for options of 4008 hemodialysis systems ............................................................... Important notes ............................................................................................................... Description – Technical measurement checks and maintenance .................................. Checklist – Technical measurement checks and maintenance ..................................... 2-23 2-23 2-25 2-27 2.3 TSC checklist ................................................................................................................ 2-29 2.1.1 2.1.2 2.1.3 2.1.4 2.2 Fresenius Medical Care 4008 4/09.03 (TM) 2-1 2-2 Fresenius Medical Care 4008 4/09.03 (TM) 2.1 Technical safety checks and maintenance for 4008 hemodialysis systems and options 2.1.1 Important notes This chapter lists all necessary technical safety checks (TSC) and maintenance procedures (MA). The checks must be performed every 12 months. Performance of the technical safety checks must be recorded in the Medical Device Register. Please refer to page 2-5 to page 2-13 for the description of the technical safety checks and maintenance. Please refer to page 2-15 to page 2-18 for the checklist of the technical safety checks and maintenance. Instructions to be Observed when Servicing the System Assembly, extensions, adjustments, modifications or repairs may only be carried out by the manufacturer or persons authorized by him. The activities described in the Technical Manual require the availability of the necessary technical test equipment and accessories. When working on the open system, the following precautions must be respected: – Protect the components against ingress of fluids. – Do not touch live parts (e. g. connectors of the power cord or heater). When repairing and when replacing spare parts, observe the applicable ESD precautions (e.g. EN 100 015-1). Fresenius Medical Care 4008 4/09.03 (TM) 2-3 2-4 Fresenius Medical Care 4008 4/09.03 (TM) 2.1.2 Description – Technical safety checks and maintenance Scope and intervals of technical safety checks INTERVAL: once a year (every 12 months) The following inspections must be carried out every 12 months at the latest by persons who are qualified to properly perform the specified technical safety checks owing to their educational background and training, their knowledge and experience gained in practice and who are not subject to any directions with regard to this inspection activity. TSC MA No. Description Expected value / function 1 Visual inspections TSC 1.1 Fuses accessible from the outside Must comply with the maximum permissible values. TSC 1.2 Labels and identification Must be present and legible. TSC 1.3 Mechanical condition Must permit further safe use. TSC 1.4 Damage and contaminations There must not be any detectable damage or contamination. TSC 1.5 Power cord Must not be damaged. MA 1.6 Preventive maintenance procedures MA 1.6.1 MA MA MA MA 1.6.2 1.6.3 1.6.4 1.6.5 MA 1.6.6 MA 1.6.7 MA MA 1.6.8 1.6.9 MA MA 1.6.10 1.6.11 MA 1.6.12 MA 1.6.13 MA MA MA 1.6.14 1.6.15 1.6.16 Replace the sealing in the concentrate/bicarbonate suction tubes and lubricate with silicone paste. Replace the rivet in the suction tubes, if necessary. Check the rubber in the rinse chambers for proper function. Replace the filters of the suction tubes (71/72). Retighten the rinse chamber (90a/90b) screws. Replace the check valve (92). When using CDS, replace the O-rings in the check valves (117/118) or change the valves. Replace the filter sieves; upstream of the UF pump (filter 74), downstream of MV43 (filter 76), between MV99 and rinse chamber (filter 149), between MV100 and rinse chamber (filter 148). When using CDS, replace the filters and O-rings (119/120). Replace the filter sieve in the dialyzer line; replace the complete filter (73), if necessary. Replace the O-rings in the dialyzer couplings. Check the line in the sampling valve (116) dialysate circuit for proper function, replace the complete valve, if necessary. Clean or replace the fan filter in the monitor. Check the air separation pump (97): replace the belt ribbon and the line segment. Observe direction of delivery. MV 84 must be replaced after 2 years. Only if Puristeril is used. Replace the connecting piece or equilibration chamber. Only for systems in which the ONLINEplus™ option or the DIASAFE®plus option is not used. Replace filter 210 (if present). Replace the filter of the disinfectant suction tube. Replace worn or dirty tubings. Fresenius Medical Care 4008 4/09.03 (TM) 2-5 TSC MA No. Description Expected value / function 2 General checks TSC 2.1 Power failure alarm Dialysis mode; Continuous sound after removing the power plug. Text displayed: Emergency operation The extracorporeal blood circuit incl. all monitoring functions is maintained. TSC 2.2 Check level sensor Draw in air via the dialysate couplings. The air separation pump is activated. If more air is detected, the machine will switch to the fill program, depending on the dialysate flow. Text displayed when the OD senses opaque fluid: Fillprogram TSC 2.3 Check valves 91; 99 and 100 Check externally for tightness and proper function. Controlled via the diagnostics program. This check will not be applicable if: – CDS is activated – P.C.B. LP 631 SH2 SW8 set to ON – the hydraulics test is activated – P.C.B. LP 631 SH2 SW7 set to ON 3 Check of the hydraulics Check all pressures with undamped pressure gauges! 2-6 MA 3.1 Check the water inlet pressure (reduced) and correct, if necessary. Connect a pressure gauge before MV41 to measuring point A in the hydraulic unit. With the valve MV41 closed the pressure should range between 0.9 and 1.4 bar. MA 3.2 Check the balancing chamber loading pressure and correct, if necessary. Connect a pressure gauge to the pressure side of the degassing pump (measuring point B in the hydraulic unit). The pressure should be between 1.2 and 1.3 bar. MA 3.3 Check the negative degassing pump pressure Connect a pressure gauge to the suction side of the degassing pump (measuring point D in the hydraulic unit). The negative pressure should be between 0.81 and 0.85 bar. MA 3.4 Check the balancing chamber relief pressure at a flow of 800 ml/min (relief valve 78). Connect a pressure gauge to the pressure side of the flow pump (measuring point C in the hydraulic unit). The maximum pressure should be between 2.0 and 2.1 bar. Fresenius Medical Care 4008 4/09.03 (TM) TSC MA No. Description 4 Ultrafiltration system and membrane pumps 4.1 Check the delivery volume of the UF pump. In the dialysis mode collect 60 ml of dialysate in an appropriate graduated cylinder. 60 strokes = 60 ml (±0.5 ml). Correct the setting of the UF pump, if necessary. MA 4.2 Check the balancing chamber volume. Collect the volume of two consecutive balancing chamber switchings. The average volume must be 30 ml ±1 ml. MA 4.3 Test the concentrate pump volume or compare it with an appropriate reference. Adjust according to calibration instructions, if necessary. MA 4.4 Test the bicarbonate pump volume or compare it with an appropriate reference. Adjust according to calibration instructions, if necessary. 5 Dialysis mode MA 5.1 Temperature Use a reference meter connected between the dialyzer couplings to verify that the temperature is 37 °C ±0.5 °C. Correct any deviations with the calibration program. MA 5.2 Temperature display (not applicable for 4008 B / 4008 S) The temperature shown on the monitor front panel must be 37 °C ±0.5 °C. Correct any deviations with the calibration program. MA 5.3 Verify the dialysate flow 300/500/800 ml/min Collect fluid on the drain using a measuring cylinder. 800 ml/min (desired value: 765 to 837 ml/min) 500 ml/min (desired value: 471 to 528 ml/min) 300 ml/min (desired value: 279 to 321 ml/min) Adjust according to calibration instructions, if necessary. MA 5.4 Dialysate pressure Perform a TMP test according to the calibration instructions. (part 14 CAL. DIAL. PRESSURE) 5.5 Verify the conductivity display When the bibag® option is used, connect a bibag®! Measure the conductivity with a reference meter connected bewteen the dialyzer couplings. The conductivity measured must agree with the value on the reference meter. Correct any deviations with the calibration program. TSC TSC Expected value / function Fresenius Medical Care 4008 4/09.03 (TM) 2-7 TSC No. Description 6 Extracorporeal components MA 6.1 Arterial pressure transducer Check the slope of the pressure transducer. After applying a pressure of approx. 200 mmHg to the pressure transducer the value displayed must agree with the reading shown on the external reference meter (tolerance ±mmHg). Correct any deviations with the calibration program. MA 6.2 Venous pressure transducer Check the slope of the pressure transducer. After applying a pressure of approx. 300 mmHg to the pressure transducer the value displayed on the machine must agree with the reading shown on the external reference meter (tolerance ±10 mmHg). Correct any deviations with the calibration program. TSC 6.3 Arterial and Single Needle blood pump Check the blood pump rate (calibration program: BP-Rate CHECK). TSC 6.4 SN switching points Check the switching points according to the table in the TM. TSC 6.5 Check the blood pump stop alarm. Opening the blood pump door will trigger the blood pump stop alarm after 30 s (factory setting). TSC 6.6 Air detector TSC 6.7 In the event of a blood alarm, the venous line clamp must close. Generate a pressure of about 2 bar in the venous bubble catcher. Ensure that the pressure does not drop by more than 0.1 bar within 3 minutes. (See chapter 3, Adjustment instructions.) 2-8 MA Expected value / function Fresenius Medical Care 4008 4/09.03 (TM) TSC TSC MA No. Description Expected value / function 7 Options 7.1 bibag® MA 7.1.1 bibag® connector Replace the O-rings. MA 7.1.2 PSW 134 Check the switching pressure. The maximum switching pressure is 100 mbar + 10 mbar. 7.2 DIASAFE MA 7.2.1 DIASAFE filter life Check the filter life. Filter life: 12 weeks MA 7.2.2 Hydrophobic filter 111 Replace the filter. MA 7.2.3 O-rings in the dialysate couplings of the DIASAFE Replace the O-rings. 7.3 DIASAFE®plus MA 7.3.1 DIASAFE®plus filter life Check the filter life. Filter life: 12 weeks MA 7.3.2 Hydrophobic filter 111 Replace the filter. 7.4 4008 HDF 7.4.1 Check the delivery rate of the 2nd UF pump. Collect 60 ml of dialysate in the dialysis mode using an appropriate measuring cylinder. 60 strokes = 60 ml (±0.5 ml) If necessary, correct the value. Fresenius Medical Care 4008 4/09.03 (TM) 2-9 TSC TSC MA No. Description Expected value / function 7.5 ON-LINE-HDF (and DIASAFE) MA 7.5.1 Filter life of DIASAFE and ON-LINE filter Check the filter life. Filter life of the DIASAFE: 12 weeks Filter life of ON-LINE filter: 8 weeks or 50 treatments MA 7.5.2 Hydrophobic filter 111 Replace the filter. MA 7.5.3 O-rings in the dialysate couplings of the DIASAFE Replace the O-rings. MA 7.5.4 HDF pump rotor Check the rotor for smooth running and wear. MA 7.5.5 Fastening strap Check the fastening strap for Luer-lock. 7.5.6 Substituate pump (part no. 672 521 1) with DC motor Speed 150 ml/min To determine the delivery volume: the volume of fluid delivered must agree with the preset value (±10 %). To check the speed: with the above setting the blood pump rotor must turn at 13.5 rpm. (See Technical Manual ON-LINE-HDF, chapter 3). or Substituate pump (part no. 674 982 1) with stepper motor Check the pump rate (calibration program: BP-Rate CHECK). Stop the substituate pump by – triggering a blood alarm, – triggering the bypass function, – opening the blood pump door. TSC 7.5.7 Substituate pump stop TSC 7.5.8 Substituate pump function – Rinse – Hot rinse – Disinfection 2-10 Fresenius Medical Care 4008 Start the rinse program; the pump will deliver at 400 ml/min. Start the hot rinse program; the pump will deliver at 150 ml/min. Start the disinfection program; the pump will deliver at 400 ml/min. 4/09.03 (TM) TSC MA No. Description Expected value / function 7.6 ONLINEplus ™ (and DIASAFE®plus ) MA 7.6.1 Filter life of DIASAFE®plus and ONLINEplus ™ filter Check the filter life. Filter life of DIASAFE®plus and ONLINEplus™ filter: 12 weeks or 100 treatments MA 7.6.2 Hydrophobic filters 111 and 184 Replace the filters. MA 7.6.3 Substituate port (195) and rinse port (194) Replace the O-rings. TSC 7.6.4 Line pinch valve 193 (ONL1) Replace the line. TSC 7.6.5 Valve 39 Note: This TSC item will not be applicable if DIP switch array 2, P.C.B. LP 632, switch 5 is set to OFF. Check for proper function. 7.7 OCM No further technical safety checks and maintenance procedures must be performed. 7.8 BPM 4008 Perform the technical measurement checks and maintenance procedures every 2 years (see section 2.2). 7.9 BTM 4008 No further technical safety checks and maintenance procedures must be performed. 7.10 BVM 4008 No further technical safety checks and maintenance procedures must be performed. Fresenius Medical Care 4008 4/09.03 (TM) 2-11 TSC MA No. Description Expected value / function 8 Checking the electrical safety In Germany according to DIN VDE 0751 standard – 1st Edition 10/2001. In other countries, observe the local regulations! For measuring points, see 2.1.4 Notes – Checking the electrical safety. TSC 8.1 Visual inspections performed see item 1 Visual inspections TSC 8.2 Protective earth resistance Max. 0.3 Ω (with power cord) TSC 8.3 Measurement of the leakage current (device leakage current) Differential current measurement according to fig. C.6 M 1 L (N ) L N (L) N PE or Direct measurement according to fig. C.5 L N PE MD Basic conditions: – Measurement of the protective earth resistance has been completed. – Perform the measurement with the machine being at operating temperature in the Dialysis or Preparation operation mode. – Dialysate: Dialysis temperature > 37°C Dialysate flow 300 ml/min Conductivity 13 mS/min – When performing a direct measurement, the following precautions must be observed: The device must be installed under insulated conditions. All external connections must have been removed from the device. 2-12 Fresenius Medical Care 4008 4/09.03 (TM) TSC MA No. Description Expected value / function Documentation covers the line voltage during the measurement and the maximum device leakage current of both mains polarities scaled to the line voltage of the power supply. Maximum device leakage current: 500 µA Example: Line voltage during measurement: 225 V Device leakage current for mains polarity 1: 180 µA for 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 • 230 V = 184 µA) Device leakage current < 500 µA: OK Additional conditions: If the device leakage current 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 considerably increased since the last measurement or continuously increased since the first measurement (creeping 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: Leakage current: 470 µA Last measured value: 450 µA 470 + (470 – 450) = 470 + 20 = 490 ➜ OK Example 2: Leakage current: 470 µA Last measured value: 390 µA 470 + (470 – 390) = 470 + 80 = 550 ➜ not passed TSC MA 9 Functional check 9.1 Perform the functional test Press the Test key. The machine must successfully pass the T1 test. 9.2 Hot rinse / disinfection Run a disinfection program. Fresenius Medical Care 4008 4/09.03 (TM) 2-13 2-14 Fresenius Medical Care 4008 4/09.03 (TM) 2.1.3 Checklist – Technical safety checks and maintenance Service report no.: Customer/Customer no.: Serial no.: Inventory no.: Machine type: 4008 ❏ Operating hours: 4008 B ❏ 4008 H ❏ 4008 S ❏ With option: SN ❏ bibag® ❏ 4008 HDF ❏ ON-LINE-HDF ❏ ONLINEplus ™ ❏ BTM ❏ BPM ❏ BVM ❏ DIASAFE ❏ DIASAFE®plus ❏ OCM ❏ MA MA MA MA MA MA 1 1.1 1.2 1.3 1.4 1.5 1.6 1.6.1 1.6.2 1.6.3 1.6.4 1.6.5 1.6.6 MA MA MA MA MA MA MA 1.6.7 1.6.8 1.6.9 1.6.10 1.6.11 1.6.12 1.6.13 MA MA MA 1.6.14 1.6.15 1.6.16 TSC TSC TSC TSC TSC 2 TSC 2.1 TSC 2.2 TSC 2.3 MA MA MA MA 3 3.1 3.2 3.3 3.4 Visual checks Fuses accessible from the outside comply with the indicated values................................ Labels and identifications present and legible ................................................................... Mechanical conditions permits further safe use ................................................................ No damage or contaminations detectable ......................................................................... Power cord not damaged ................................................................................................... Preventive maintenance procedures Sealing in the suction tubes changed and lubricated, rivet replaced ................................ Rubber in rinse chambers checked for proper function ..................................................... Suction tube filters replaced .............................................................................................. Rinse chamber screws tight ............................................................................................... Check valve replaced ........................................................................................................ Pre-UF pump filter, filter downstream of MV43, filter between rinse chambers, and on MV99, MV100, CDS and disinfectant port replaced .............................................. Dialysate filter replaced or sieve changed ......................................................................... O-rings in dialyzer couplings replaced ............................................................................... Sampling valve functions properly ..................................................................................... Fan filter replaced ............................................................................................................... Ribbon belt and line segment in air separation pump changed ......................................... MV84, replaced after 2 years. (Only if Puristeril is used.) ................................................. Connecting piece or equilibration chamber replaced. (Only if ONLINE™plus or DIASAFE®plus option is not used.) .............................................. Filter 210 replaced (if present) ........................................................................................... Filter of the disinfectant suction tube replaced .................................................................. No dirty or worn tubings ..................................................................................................... ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ General checks Power failure alarm – continous sound – display: Emergency operation .......................... ❏ Air separation by air separation pump activated; display if more air must be separated and OD senses opaque fluid: fill program ............. ❏ V91, V99, V100 function properly and do not leak (Check will not be applicable if CDS or hydraulics test is activated) ................................. ❏ Check of the hydraulics Water inlet pressure (reduced) 0.9 bar to 1.4 bar ................... Measured value:________ Loading pressure 1.25 bar ±0.05 bar...................................... Measured value:________ Negative degassing pump pressure 0.81 to 0.85 bar ............. Measured value:________ Balancing chamber relief pressure at 800 ml/min 2.0 bar to 2.1 bar .................................................................... Measured value:________ Fresenius Medical Care 4008 4/09.03 (TM) ❏ ❏ ❏ ❏ 2-15 4 TSC 4.1 MA 4.2 MA 4.3 MA 4.4 ❏ ❏ ❏ ❏ Dialysis mode Expected temperature 37 °C ± 0.5 °C .................................... Measured value:________ Temperature display 37 °C ± 0.5 °C ....................................... Measured value:________ Dialysate flow check 800 ml/min (desired value: 765 to 837 ml/min) ................... Measured value:________ 500 ml/min (desired value: 471 to 528 ml/min) ................... Measured value:________ 300 ml/min (desired value: 279 to 321 ml/min) ................... Measured value:________ Dialysate pressure – Check zero point with flow off ........................................................................................ – Slope checked ................................................................................................................ Conductivity display checked with reference meter ........................................................... If the bibag ® option is used, connect a bibag ®! – CD system ........................................................................... Measured value:________ – CD ref. .................................................................................. Measured value:________ ❏ ❏ 6 6.1 6.2 6.3 6.4 6.5 6.6 6.7 Extracorporeal components Arterial pressure displayed checked with reference meter ................................................ Venous pressure displayed checked with reference meter ............................................... Blood pumps: blood pump rate checked (calibration program: BP-Rate CHECK) ............ SN switching pressure checked according to table in TM ................................................. Blood pump stop alarm checked ....................................................................................... Venous line clamp closes after blood alarm ...................................................................... Pressure of about 2 bar in the venous bubble catcher ...................................................... Pressure must not drop by more than 0.1 bar within 3 minutes. ....................................... ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ 7 Options MA MA 7.1 7.1.1 7.1.2 bibag® bibag® connector, O-rings replaced ................................................................................... ❏ Switching pressure of PSW134 checked, 100 mbar, + 10 mbar ............................................................... Measured value:________ ❏ MA MA MA 7.2 7.2.1 7.2.2 7.2.3 DIASAFE DIASAFE filter life checked ................................................................................................ ❏ Hydrophobic filter 111 replaced ......................................................................................... ❏ O-rings in the dialysate couplings of the DIASAFE replaced ............................................ ❏ MA MA 7.3 7.3.1 7.3.2 DIASAFE®plus DIASAFE®plus filter life checked ......................................................................................... ❏ Hydrophobic filter 111 replaced ......................................................................................... ❏ 7.4 TSC 7.4.1 4008 HDF 2nd UF pump 1 stroke = 1 ml, 60 strokes = 60 ml ± 0.5 ml ..... Measured value:________ ❏ MA MA MA MA 5 5.1 5.2 5.3 Ultrafiltration system and membrane pumps UF pump, 1 stroke = 1 ml, 60 strokes = 60 ml ±0.5 ml ........... Measured value:________ Average balancing chamber volume 30 ± 1 ml....................... Measured value:________ Concentrate pump calibration volume removal / number of strokes ................................................................... Measured value:________ Bicarbonate pump calibration volume removal / number of strokes ................................................................... Measured value:________ 5.4 TSC 5.5 MA MA TSC TSC TSC TSC TSC MA MA MA MA MA TSC 2-16 7.5 7.5.1 7.5.2 7.5.3 7.5.4 7.5.5 7.5.6 ON-LINE-HDF (and DIASAFE) Filter life of the DIASAFE and ON-LINE filter checked ...................................................... Hydrophobic filter 111 replaced ......................................................................................... O-rings in the dialysate couplings of the DIASAFE replaced ............................................ HDF pump rotor checked (smooth running, wear) ............................................................ Fastening strap for Luer-lock checked .............................................................................. Substituate pump ................................................................................................................ ❏ (part no. 672 521 1) with DC motor: volume delivered by the pump checked ............................... desired/actual:____/____ or ❏ (part no. 674 982 1) with stepper motor: pump rate checked (calibration program: HDF-P.-Rate CHECK) Fresenius Medical Care 4008 4/09.03 (TM) ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ TSC 7.5.7 TSC 7.5.8 7.6 MA 7.6.1 MA 7.6.2 MA 7.6.3 TSC 7.6.4 TSC 7.6.5 Substituate pump stop – after blood alarm ............................................................................................................. – after triggering the bypass function ................................................................................ – after opening the blood pump door ................................................................................ Check substituate pump for proper function – Rinse program, delivery rate: 400 ml/min ...................................................................... – Hot rinse program, delivery rate: 150 ml/min ................................................................. – Disinfection program, delivery rate: 400 ml/min ............................................................. ONLINEplus ™ (and DIASAFE®plus ) Filter life of DIASAFE®plus and ONLINEplus ™ checked ...................................................... Hydrophobic filters 111 and 184 replaced ......................................................................... O-rings in substituate port 195 and in rinse port 194 replaced .......................................... Line in the line pinch valve 193 (ONL1) replaced .............................................................. Valve V39 checked (Not applicable if DIP switch array 2, P.C.B. LP 632, switch 5 set to OFF) ...................... 7.7 OCM No further technical safety checks and maintenance procedures must be performed. 7.8 BPM 4008 Perform the technical measurement checks and maintenance procedures every 2 years (see section 2.2). 7.9 BTM 4008 No further technical safety checks and maintenance procedures must be performed. 7.10 BVM 4008 No further technical safety checks and maintenance procedures must be performed. 8 Checking the electrical safety In Germany according to DIN VDE 0751 standard – 1 st Edition 10/2001. In other countries, observe the local regulations! ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ For measuring points, see 2.1.4 VDE check. For 4008 HDF option, check additional measuring point! TSC 8.1 Visual inspections performed according to item 1 ............................................................. ❏ TSC 8.2 Protective earth resistance max. 0.3 Ω (with power cord) ...... Measured value:________ ❏ TSC 8.3 Measurement of the leakage current ................................................................................. ❏ ❏ Differential current measurement according to fig. C.6 or ❏ Direct measurement according to fig. C.5 Nominal voltage of power supply ................... ________ Volt Device leakage current mains polarity 1 ........ ________ µA for line voltage ................................................ ________ Volt scaled to nominal voltage (maximum 500 µA, see also Additional conditions) ............................................. Measured value:________ Device leakage current mains polarity 2 ........ ________ µA for line voltage ................................................ ________ Volt scaled to nominal voltage (maximum 500 µA, see also Additional conditions) ............................................. Measured value:________ Test equipment used: ______________________________ Fresenius Medical Care 4008 4/09.03 (TM) 2-17 9 TSC 9.1 MA 9.2 Date: Final checks T1 test performed ............................................................................................................... ❏ Hot rinse / disinfection performed ...................................................................................... ❏ Signature: Stamp: ❏ Yes The system has been released for further use Remarks: Date: 2-18 Signature: Fresenius Medical Care 4008 4/09.03 (TM) Stamp: ❏ No 2.1.4 Notes – Checking the electrical safety ● Test 4008 E, 4008 H 1. Protective earth resistance measuring points 4 1 5 6 7 8 2 9 3 Legend 1 2 3 Monitor rear panel (ports housing) Hydraulic unit rear panel (plate on the push-on blade inside) Caution: The grounding cable must be connected. Ground stud for potential equalization 4 5 6 7 8 9 Upper rear panel (screw) Heat sink (power supply unit) Monitor rear panel (plate) Power supply plate Heater rod housing (hydraulic unit open) Dialyzer line ports (hydraulic unit open / earthing screw) 2. Use a meter (e.g. SECUTEST 0701) to check the leakage current. Fresenius Medical Care 4008 4/09.03 (TM) 2-19 ● Test 4008 B, 4008 S 1. Protective earth resistance measuring points 2 3 4 1 5 Legend 1 2 Ground stud for potential equalization Upper rear panel (screw) 3 4 5 Heat sink (power supply unit) Heater rod housing (hydraulic unit open) Dialyzer line ports (adapters) 2. Use a meter (e.g. SECUTEST 0701) to check the leakage current. 2-20 Fresenius Medical Care 4008 4/09.03 (TM) ● Test 4008 HDF (option) 1. Protective earth resistance measuring point Measuring point Protective earth resistance test 2. Use a meter (e.g. SECUTEST 0701) to check the leakage current. 3. Measurement conditions The measurements must be taken in the dialysis mode in the “ON phase” of the heater control system. The scales must be moved out to such an extent that neither of the two end switches are actuated (middle position). Fresenius Medical Care 4008 4/09.03 (TM) 2-21 2-22 Fresenius Medical Care 4008 4/09.03 (TM) 2.2 Technical measurement checks and maintenance for options of 4008 hemodialysis systems 2.2.1 Important notes This chapter lists all necessary technical measurement checks (TMC) and preventive maintenance procedures (MA). The checks must be performed every 24 months. After the technical measurement checks have been performed successfully, identify the medical equipment with a mark (label). The year of the next technical measurement checks as well as the authority or person that performed the technical measurement checks must be indicated clearly and traceably. Please refer to page 2-25 for the description of the technical measurement checks and maintenance. Please refer to page 2-27 for the checklist of the technical measurement checks and maintenance. Fresenius Medical Care 4008 4/09.03 (TM) 2-23 2-24 Fresenius Medical Care 4008 4/09.03 (TM) 2.2.2 Description – Technical measurement checks and maintenance ● BPM 4008 Scope and intervals of technical safety checks INTERVAL: every 24 months The following inspections must be carried out every 24 months at the latest by persons who are qualified to properly perform the specified technical measurement checks owing to their educational background and training, their knowledge and experience gained in practice and who are not subject to any directions with regard to this inspection activity. TMC MA No. Description Expected value / function 1 Visual checks MA 1.1 Labels and indications Must be present and clearly legible. Check of the actual condition. MA 1.2 Mechanical condition Must permit further safe use. MA MA 1.2.1 1.2.2 MA 1.2.3 Check whether the line connector is correctly attached to the device. Check whether the internal blood pressure module, the printed circuit boards and all cable connections are correctly fixed. Replace damaged lines or cuffs. 2 Functional checks MA 2.1 Indicating elements Visual and audible functional checks after turn-on. (See Operating Instructions BPM 4008, Chapter 2.2) MA 2.2 Touch panel Check whether the touch panel is functioning correctly. TMC 2.3 Leakage test Perform the leakage test with cuff and pressure line connected. The pressure leakage rate must be less than 6 mmHg/min. (See Technical Manual BPM 4008, Chapter 3.1) TMC 2.4 Calibration Calibration: Pressure values: Tolerance: 250 mmHg ±5 mmHg 200 mmHg ±4 mmHg 150 mmHg ±3 mmHg 100 mmHg ±3 mmHg 050 mmHg ±3 mmHg (See Technical Manual BPM 4008, Chapter 3.2) TMC 2.5 Safety valve Check the safety valve. The system must be discharged at 320 mmHg ± 10 mmHg. (See Technical Manual BPM 4008, Chapter 3.3) TMC 2.6 Measuring of blood pressure Measure the blood pressure in the manual mode. Check the results for plausibility. Fresenius Medical Care 4008 4/09.03 (TM) 2-25 2-26 Fresenius Medical Care 4008 4/09.03 (TM) 2.2.3 Checklist – Technical measurement checks and maintenance ● BPM 4008 Customer/Customer no.: Service report no.: Serial number BPM 4008: Installed in system: Inventory no.: Operating hours: MA MA MA MA 1 1.1 1.2 1.2.1 1.2.2 MA 1.2.3 MA MA TMC TMC 2 2.1 2.2 2.3 2.4 TMC 2.5 TMC 2.6 Date: Visual checks Labels and indications are present and legible ................................................................. Mechanical condition permits further safe use .................................................................. Line connector is correctly fixed to the system .................................................................. Internal blood pressure module, printed circuit boards, cable connections are correctly fixed ...................................................................................................................... Damaged lines or cuffs have been replaced ..................................................................... Functional checks Indicating elements checked ............................................................................................. Touch panel checked ......................................................................................................... Leakage test: pressure leakage rate less than 6 mmHg/min ............................................. Calibration: Pressure values Tolerance 250 mmHg ±5mmHg ..................................................... Measured value:________ 200 mmHg ±5mmHg ..................................................... Measured value:________ 150 mmHg ±3mmHg ..................................................... Measured value:________ 100 mmHg ±3mmHg ..................................................... Measured value:________ 050 mmHg ±3mmHg ..................................................... Measured value:________ Safety valve: discharge at 320 mmHg, ±10 mmHg ............................................................ Blood pressure measured .................................................................................................. ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ ❏ Name/Signature: Fresenius Medical Care 4008 4/09.03 (TM) 2-27 2-28 Fresenius Medical Care 4008 4/09.03 (TM) 2.3 TSC checklist TSC checklist 4008 for the Technical Safety Checks to be performed annually (every 12 months) Fresenius Medical Care Page 1/2 Service report no.: Name of technician: Customer/Customer no.: Inventory no.: Serial no.: Operating hours: System type: With option(s): No. Description 1 1.1 1.2 1.3 1.4 1.5 2 2.1 2.2 Visual checks Fuses accessible from the outside comply with the indicated values Labels and identifications are present and legible Mechanical condition permits further safe use No damage or contaminations detectable Power cord not damaged General checks Power failure alarm – continuous sound – text displayed: Emergency operation Air separation by air separation pump activated; text displayed if more air must be separated and OD senses opaque fluid: Fill program V91, V99, V100 are operational and do not leak. (Check will not be applicable if CDS or hydraulics test activated.) Ultrafiltration system and membrane pumps UF pump, 1 stroke = 1 ml, 60 strokes = 60 ml ± 0.5 ml Dialysis mode Conductivity display checked using a reference meter CD system/CD ref. (If the bibag® option is used, connect a bibag®.) Extracorporeal components Blood pumps: check the blood pump rate (calibration program: BP-Rate CHECK) SN switching pressure checked according to table in TM Blood pump stop alarm checked Venous line clamp closes after blood alarm Pressure of approx. 2 bar in the venous bubble catcher. Pressure must not drop by more than 0.1 bar within 3 minutes. Options 4008 HDF Volume delivered by the 2nd UF pump checked: 60 strokes = 60 ml ± 0.5 ml Online-HDF ❏ Substituate pump (part no. 672 521 1) with DC motor: check volume delivered by the pump desired/actual or ❏ Substituate pump (part no. 674 982 1) with stepper motor: check the pump rate (calibration program:BP-Rate CHECK) Substituate pump stop: – after blood alarm – after triggering the bypass function – after opening the blood pump door Check substituate pump for proper function: – Rinse program, delivery rate: 400 ml/min – Hot rinse program, delivery rate: 150 ml/min – Disinfection program, delivery rate: 400 ml/min ONLINEplus™ Line in the line pinch valve 193 (ONL1) replaced Valve V39 checked (Not applicable if DIP switch array 2, P.C.B. LP 632, switch 5 set to OFF) 2.3 4 4.1 5 5.5 6 6.3 6.4 6.5 6.6 6.7 7 7.4 7.4.1 7.5 7.5.6 7.5.7 7.5.8 7.6 7.6.4 7.6.5 Fresenius Medical Care 4008 Measured value ✓ – – – – – ❏ ❏ ❏ ❏ ❏ – – ❏ ❏ – ❏ ………… ❏ …… / …… ❏ – – – – ❏ ❏ ❏ ❏ – ❏ ………… ❏ …… / …… ❏ – ❏ – – – ❏ ❏ ❏ – – – ❏ ❏ ❏ – – ❏ ❏ 4/09.03 (TM) 2-29 TSC checklist 4008 for the Technical Safety Checks to be performed annually (every 12 months) Fresenius Medical Care Page 2/2 No. Description 8 Checking the electrical safety In Germany according to DIN VDE 0751 standard –1st Edition 10/2001. In other countries, observe the local regulations! Visual inspection performed according to item 1. Protective earth resistance maximum 0.3 ohms (with power cord) Measurement of the leakage current (device leakage current) 8.1 8.2 8.3 Measured value ✓ ………… Ω ❏ ❏ ❏ ❏ Differential current measurement according to fig. C.6 or ❏ Direct measurement according to fig. C.5 Nominal voltage of power supply: 9 9.1 ………… V Device leakage current mains polarity 1 ………… µA for line voltage ………… V scaled to nominal voltage (maximum 500 µA, see also Additional conditions) ………… µA Device leakage current mains polarity 2 ………… µA for line voltage ………… V scaled to nominal voltage (maximum 500 µA, see also Additional conditions) ………… µA Test equipment used …………………………………………………………… Functional test T1 test performed – Date: Signature: Stamp: ❏ Yes The system has been released for further use Remarks: Date: 2-30 Signature: Fresenius Medical Care 4008 4/09.03 (TM) ❏ Stamp: ❏ No Table of contents 3 Adjustment instructions Section Page Fig.: Measuring equipment ............................................................................................. Fig.: Flow diagram of basic hydraulics incl. DIASAFE®plus (option) ............................... Fig.: Flow diagram 4008 H with advanced hydraulics ................................................... Fig.: P.C.B. overview ...................................................................................................... 3-4 3-6 3-8 3-10 3.1 3.1.1 3.1.2 3.1.3 3.1.4 Overview of the DIP switches in the 4008 .................................................................. P.C.B. LP 631 (CPU 1) DIP switch array 1 ..................................................................... P.C.B. LP 631 (CPU 1) DIP switch array 2 ..................................................................... P.C.B. LP 632 (CPU 2) DIP switch array 1 ..................................................................... P.C.B. LP 632 (CPU 2) DIP switch array 2 ..................................................................... 3-11 3-11 3-12 3-13 3-14 3.2 3.2.1 3.2.2 Calibration mode ........................................................................................................... Basic conditions .............................................................................................................. Messages on the displays on the UF monitor (4008 E/B) or on the screen (4008 H/S) ... 3-15 3-15 3-15 3.3 3.3.1 3.3.2 3.3.3 3.3.4 3.3.5 3.3.6 Hydraulics ...................................................................................................................... Reduced water inlet pressure ......................................................................................... Degassing pump pressure .............................................................................................. Balancing chamber loading pressure ............................................................................. Flow pump pressure ....................................................................................................... UF pump volume ............................................................................................................. CDS pressure switch ...................................................................................................... 3-17 3-17 3-19 3-21 3-23 3-25 3-27 3.4 Air detector .................................................................................................................... 3-29 Fresenius Medical Care 4008 4/08.03 (TM) 3-1 3-2 Fresenius Medical Care 4008 4/08.03 (TM) Fresenius Medical Care 4008 4/08.03 (TM) 3-3 Fig.: Measuring equipment 2 1 4 3 6 10 3-4 Fresenius Medical Care 4008 4/08.03 (TM) 5 9 11 Pos. Measuring equipment Part number 1 Pressure gauge HMED with carrying case (set) M30 770 1 2 Universal measuring device UMED (conductivity, pressure, temperature) M32 403 1 3 Secutest VDE tester (without printer module) Printer module (not ill.) Carrying case (not ill.) 631 064 1 630 652 1 630 648 1 4 Valve control indicator 672 337 1 5 Service software with interface for PC M30 335 1 6 Electronic pocket scales Test weight with spirit level and certificate M33 537 1 M33 538 1 7 Measuring cylinder, 100 ml (not ill.) 510 085 1 8 Special tool for installation and removal of modules (not ill.) 671 381 1 9 ESD service kit 630 387 1 10 ESD work station kit 630 388 1 11 IC extraction tool 677 469 1 Fresenius Medical Care 4008 4/08.03 (TM) 3-5 Fig.: Flow diagram of basic hydraulics incl. DIASAFE®plus (option) 3-6 Fresenius Medical Care 4008 4/08.03 (TM) Legend 2 3 5 6 7 8 9 10 12 21 22 23 24 24b 25 26 29 30 31 32 33 34 35 36 37 38 41 43 54 61 63 65 66 66a 66b 66c 68 71 72 73 74 75 76 77 78 84 85 Temperature sensor Temperature sensor Float switch Level sensor Conductivity cell Blood leak detector Pressure transducer Reed contact for concentrate Reed contact for bicarbonate Flow pump UF pump Concentrate pump Dialyzer valve 1 Dialyzer valve 2 Bicarbonate pump Bypass valve Degassing pump Outlet valve Balancing chamber valve 1 Balancing chamber valve 2 Balancing chamber valve 3 Balancing chamber valve 4 Balancing chamber valve 5 Balancing chamber valve 6 Balancing chamber valve 7 Balancing chamber valve 8 Water inlet valve Fill valve Heater rod Pressure reducing valve Water inlet filter Loading pressure valve Heater block Water inflow chamber Heater rod chamber Float chamber Balancing chamber Filter/concentrate Filter/bicarbonate Filter/dialysate ext. Filter/UF External flow indicator Filter/fill valve Heat exchanger Relief valve Disinfectant valve Disinfectant connector 86 Recirculation valve 87 Drain valve 88 Multifunction block 88a Degassing chamber 88b Secondary air separator 88c Primary air separator 89 Degassing orifice 90a Rinse chamber concentrate 90b Rinse chamber bicarbonate 91 Rinse valve 92 Vent valve 94 Concentrate suction tube 95 Bicarbonate suction tube 97 Air separation pump 99 Rinse valve 100 Rinse valve 102 Central concentrate delivery valve 104 Central bicarbonate delivery valve 109 Temperature sensor 111 Hydrophobic filter 112 Vent valve 114 Dialysate filter 115 Sensor disinfection valve 116 Sampling valve 117 Check valve (concentrate) 118 Check valve (bicarbonate) 119 Filter (concentrate) 120 Filter (bicarbonate) 121 Central concentrate delivery connector 122 Central bicarbonate delivery connector 123 Pressure switch for V102 124 Pressure switch for V104 130 bibag ® drain valve 131 bibag ® block 131a bibag ® air sep. chamber 131b bibag ® mixing chamber 132 bibag ® conductivity cell 133 bibag ® temperature sensor 134 bibag ® pressure transducer 135 bibag ® level sensor 136 bibag ® connector 137 bibag ® microswitch 1 138 bibag ® microswitch 2 148 Filter/rinse valve 100 149 Filter/rinse valve 99 151 Orifice 210 Filter (degassing orifice) Hydraulics measuring points A B C D Reduced water inlet pressure Balancing chamber loading pressure Flow pump pressure Degassing pump pressure Fresenius Medical Care 4008 4/08.03 (TM) 3-7 Fig.: Flow diagram 4008 H with advanced hydraulics 3-8 Fresenius Medical Care 4008 4/08.03 (TM) Legend 2 3 5 6 7 8 9 10 12 21 22 23 24 24b 25 26 29 30 31 32 33 34 35 36 37 38 39 41 43 54 61 63 65 66 66a 66b 66c 68 71 72 73 74 75 76 77 78 84 85 86 87 88 88a 88b 88c 89 90a 90b Temperature sensor Temperature sensor Float switch Level sensor Conductivity cell Blood leak detector Pressure transducer Reed contact for concentrate Reed contact for bicarbonate Flow pump UF pump Concentrate pump Dialyzer valve 1 Dialyzer valve 2 Bicarbonate pump Bypass valve Degassing pump Outlet valve Balancing chamber valve 1 Balancing chamber valve 2 Balancing chamber valve 3 Balancing chamber valve 4 Balancing chamber valve 5 Balancing chamber valve 6 Balancing chamber valve 7 Balancing chamber valve 8 Negative pressure valve Water inlet valve Fill valve Heater rod Pressure reducing valve Water inlet filter Loading pressure valve Heater block Water inflow chamber Heater rod chamber Float chamber Balancing chamber Filter/concentrate Filter/bicarbonate Filter dialysate external Filter/UF External flow indicator Filter/fill valve Heat exchanger Relief valve Disinfectant valve Disinfectant connector Recirculation valve Drain valve Multifunction block Degassing chamber Secondary air separator Primary air separator Degassing orifice Rinse chamber, concentrate Rinse chamber, bicarbonate 91 Rinse valve 92 Vent valve 94 Concentrate suction tube 95 Bicarbonate suction tube 97 Air separation pump 99 Rinse valve 100 Rinse valve 102 Central concentrate delivery valve 104 Central bicarbonate delivery valve 109 Temperature sensor 111 Hydrophobic filter 112 Vent valve 114 Dialysate filter 115 Sensor disinfection valve 116 Sampling valve 117 Check valve (concentrate) 118 Check valve (bicarbonate) 119 Filter (concentrate) 120 Filter (bicarbonate) 121 Central concentrate delivery connector 122 Central bicarbonate delivery connector 123 Pressure switch for V102 124 Pressure switch for V104 130 bibag ® drain valve 131 bibag ® block 131a bibag ® air sep. chamber 131b bibag ® mixing chamber 132 bibag ® conductivity measuring cell 133 bibag ® temperature sensor 134 bibag ® pressure transducer 135 bibag ® level sensor 136 bibag ® connector 137 bibag ® microswitch 1 138 bibag ® microswitch 2 148 Filter/rinse valve 100 149 Filter/rinse valve 99 151 Orifice 182 Pressure transducer 2 183 Test valve 184 Test valve filter 185 Compressor 188 Evacuation valve 189 Retentate valve 201 Air separator 202 Level sensor 203 Air separator 204 Level sensor 205 Concentrate / bicarbonate mixing point 206 Buffer volume chamber 210 Filter (degassing orifice) Hydraulics measuring points A Reduced water inlet pressure B Balancing chamber loading pressure C Flow pump pressure D Degassing pump pressure Fresenius Medical Care 4008 4/08.03 (TM) 3-9 Fig.: P.C.B. overview Rear Panel Rückplatte LP 636 LP 630 LP 633 LP 632 LP 634 1 DIP-SW1 SW1 8 P1 1 Current Increasing Stromerhöhung DIP-SW2 SW2 8 P3 1 SH1 DIP-SW2 8 1 SH2 DIP-SW1 8 LP 631 Alpha-Display (4008E/4008B) Display board 4008/E: LP 635; 4008H: LP 924; 4008B: LP 649; 4008S: LP 922 Front Panel / Mounting Plate LP 630 LP 631 LP 632 LP 633 LP 634 LP 635 LP 636 LP 649 LP 763 LP 924 LP 922 3-10 Frontplatte / Montageplatte Motherboard CPU 1 (operating system) CPU 2 (safety system) Input board Output board Display board External connectors Display board 4008 B Interface board Display board 4008 H Display board 4008 S Fresenius Medical Care 4008 4/08.03 (TM) TMP-Gain TMP-Steilheit (LP 763) 3.1 Overview of the DIP switches in the 4008 3.1.1 P.C.B. LP 631 (CPU 1) DIP switch array 1 ☞ Note Dip switch 6 is provided for service purposes/troubleshooting only and must be set to the OFF position for dialysis mode. SH1 LP631 SH2 1 2 3 4 5 6 7 8 ON OFF Switch / Position Function SW 1 ON OFF ON OFF SW 2 ON ON OFF OFF max. UF rate 1000 ml/h 2000 ml/h 3000 ml/h 4000 ml/h SW 3 ON OFF ON OFF ON OFF ON OFF SW 4 ON ON OFF OFF ON ON OFF OFF SW 5 ON ON ON ON OFF OFF OFF OFF Language 1 English German French Portuguese Dutch Italian Swedish Spanish Language 2 English Finnish Czech Danish Russian Turkish Polish Slovakian SW 6 ON OFF CRC/RAM test skip perform SW 7 ON OFF Heater rod 1300 W (at 100 to 120 V) 1600 W (at 220 to 240 V) SW 8 ON OFF Test flow 500 ml/min 800 ml/min Language 3 English Japanese Bulgarian Greek Arabic (only 4008 H/S) Norwegian (only 4008 H/S) Slovenian (only 4008 H/S) Ex-Yugoslavian (only 4008 H/S) The basic position upon delivery is shown in italics. For “not used” the switch must be set to OFF. Fresenius Medical Care 4008 4/08.03 (TM) 3-11 3.1.2 P.C.B. LP 631 (CPU 1) DIP switch array 2 LP631 SH2 SH1 1 2 3 4 5 6 7 8 ON OFF Switch / Position Function SW 1 ON OFF CAL mode Mode 0 Mode 1 SW 2 ON OFF ON OFF SW 3 ON ON OFF OFF Ext. alarm input Invalid RO system Patient bell Ext. alarm SW 4 ON OFF Remote control System with remote control System without remote control SW 5 ON OFF COMMCO LP 763 or LP 758 or LP 729 Enabled Disabled SW 6 ON OFF COMMCO Special record Standard record SW 7 ON OFF Hydraulics test (not CDS) Active Inactive SW 8 ON OFF Central delivery system Installed Not installed The basic position upon delivery is shown in italics. For “not used” the switch must be set to OFF. 3-12 Fresenius Medical Care 4008 4/08.03 (TM) 3.1.3 P.C.B. LP 632 (CPU 2) DIP switch array 1 ☞ Note DIP switches 3 and 8 permit to skip test steps which are requested by the machine. If the switches are set to the “can be skipped” position, it is important to know that the operator can then bypass the automatic test of the safety systems. The person demanding this switch position shall be solely responsible for such a procedure. LP632 SW1 SW2 1 2 3 4 5 6 7 8 ON OFF Switch Position Function Switch 1 ON OFF Not used Switch 2 ON OFF T1 test, serial sequence T1 test, parallel sequence Switch 3 ON OFF Skip T1 test T1 test mandatory Switch 4 ON OFF Test service “ON” (hemodialysis not possible) Test service “OFF” (automatic T1 test) Switch 5 ON OFF Cyclic PHT every 2 minutes and indication of the test result (service) Cyclic PHT every 12.5 minutes, Alarm emission only with cyclical PHT alarm Switch 6 ON OFF Cyclic PHT “ON” Cyclic PHT “OFF” Switch 7 ON OFF Air detector with PCB LP 450 without AD28 Air detector with PCB LP 450-2 or with AD28 Switch 8 ON OFF HDF test can be skipped HDF test mandatory The basic position upon delivery is shown in italics. For “not used” the switch must be set to OFF. Fresenius Medical Care 4008 4/08.03 (TM) 3-13 3.1.3 P.C.B. LP 632 (CPU 2) DIP switch array 2 LP632 SW1 SW2 1 2 3 4 5 ON OFF Switch Position Function Switch 1 ON OFF DIASAFE / DIASAFE®plus on DIASAFE / DIASAFE®plus off Switch 2 ON OFF ON-LINE-HDF on ON-LINE-HDF off Switch 3 ON OFF ONLINEplus ™ on ONLINEplus ™ off Switch 4 ON OFF Advanced hydraulics Basic hydraulics Switch 5 ON OFF V39 Test off V39 Test on Switch 6 ON OFF Fast heating HDIS deactivated Fast heating HDIS activated Switch 7 ON OFF Not used Switch 8 ON OFF Not used The basic position upon delivery is shown in italics. For “not used” the switch must be set to OFF. 3-14 Fresenius Medical Care 4008 4/08.03 (TM) 6 7 8 3.2 Calibration mode 3.2.1 Basic conditions – The hemodialysis machine must be switched off. – The service switch must be in the ON (up) position. – Turn the hemodialysis machine on. 3.2.2 Messages on the displays on the UF monitor (4008 E/B) or on the screen (4008 H/S) The values indicated on the display must be divided by the factor 10. Ultrafiltration UF Volume ml Reset Volume 0047 UF Rate Values in brackets: tolerances Watchdog supply voltage (4.5 V to 5.5 V) ml/h 0119 UF Goal 12-V voltage (11.5 V to 12.5 V) ml 0236 Time Left 24-V voltage (23 V to 25 V) h:min 0204 Battery charging voltage (>20 V) UF I/O Prog. CALIBRATION 7 8 9 4 5 6 1 2 3 004.7 Volt Watchdog supply voltage (4.5 V – 5.5 V) 011.9 Volt 12 V voltage (11.5 V – 12.5 V) 023.6 Volt 24 V voltage (23 V – 25 V) 020.4 Volt Battery charging voltage (> 20 V) Esc 0 C Best Fresenius Medical Care 4008 4/08.03 (TM) 3-15 MV41 Measurement port A MV41 Pressure reducing valve Measurement port A Pressure reducing valve (61) 4008 B/S 4008 E/H 3-16 Fresenius Medical Care 4008 4/08.03 (TM) 3.3 Hydraulics ☞ 3.3.1 Note Measuring equipment for measurement points in hydraulic unit: UMED, HMED, scales or pressure gauge with a measuring range of –1 to +2.2 bar, min. quality class 1.6. Reduced water inlet pressure Measuring equipment: UMED, HMED or pressure gauge Place of measurement: Hydraulics, measurement port A Condition: Flow on Check/adjustment: – Check the reduced water inlet pressure Connect the measuring equipment to measurement port A. Measure the water pressure with MV 41 closed. Rated value of water inlet pressure: 0.90 to 1.40 bar If it deviates from the rated value, the water inlet pressure must be adjusted. – Adjust the reduced water inlet pressure Pull back the knurled nut on the pressure reducing valve (16). Turn the knurled nut to set the water pressure to the desired value (clockwise: +, counterclockwise: –). Push the knurled nut back in. Fresenius Medical Care 4008 4/08.03 (TM) 3-17 100 91 117 104 Measurement port D 4008 E/H 4008 B/S 118 Measurement port D 4008 B/S ONLINEplus™ 3-18 Fresenius Medical Care 4008 4/08.03 (TM) Measurement port D 3.3.2 Degassing pump pressure Measuring equipment: UMED, HMED or pressure gauge Place of measurement: Hydraulics, measurement port D Check/adjustment: – Check the pressure of the degassing pump Connect the measuring equipment to the measurement port D. Measure the pressure of the degassing pump. Rated value of degassing pump pressure: –0.81 to –0.85 bar If it deviates from the rated value, the pressure of the degassing pump must be adjusted. – Adjust the pressure of the degassing pump Enter the CALIBRATION menu, select and start the option CAL. DEGAS. PRESSURE (➜ Calibration, Chapter 4, Section 7). ☞ Note If the pressure of the degassing pump was changed, make sure to check the loading pressure and readjust, if necessary. Fresenius Medical Care 4008 4/08.03 (TM) 3-19 MV41 Loading pressure valve 65 Loading pressure valve 65 Measurement port B Measurement port B 4008 E/H 3-20 4008 B/S Fresenius Medical Care 4008 4/08.03 (TM) 3.3.3 Balancing chamber loading pressure Measuring equipment: UMED, HMED or pressure gauge Place of measurement: Hydraulics, measurement port B Check/adjustment: – Check the loading pressure of the balancing chamber Connect the measuring equipment to the measurement port B. Measure the loading pressure of the balancing chamber. Rated value of the balancing chamber loading pressure: 1.2 to 1.3 bar If it deviates from the rated value, the loading pressure of the balancing chamber must be adjusted. – Adjust the loading pressure of the balancing chamber Use the loading pressure valve (65) to adjust the loading pressure to the rated value. Turning the adjusting screw clockwise will increase the loading pressure. ☞ ☞ Note During the balancing chamber fill phase, the loading pressure drops to approx. 1.0 bar. Note If the loading pressure was changed, make sure to check the degassing pump pressure and readjust, if necessary. Fresenius Medical Care 4008 4/08.03 (TM) 3-21 102 100 Relief valve 78 Measurement port C 91 117 104 4008 E/H Relief valve 78 Measurement port C 118 4008 B/S ONLINEplus™ 3-22 Fresenius Medical Care 4008 4/08.03 (TM) 3.3.4 Flow pump pressure Measuring equipment: UMED, HMED or pressure gauge Place of measurement: Hydraulics, measurement port C Prerequisite: A dialysate flow of 800 ml/min must have been preselected. Check/adjustment: – Check the pressure of the flow pump Connect the measuring equipment to the measurement port C. Turn the water supply off; water alarm; balancing chamber inactive. Measure the pressure of the flow pump. Rated value of the flow pump pressure: 2.0 to 2.1 bar If it deviates from the rated value, the pressure of the flow pump must be adjusted. – Adjust the pressure of the flow pump Use the relief valve (78) to adjust the rated value. Measurement port C Relief valve 78 4008 B/S Fresenius Medical Care 4008 4/08.03 (TM) 4/09.03 3-23 T-piece Drain line 4008 E/H 3-24 Fresenius Medical Care 4008 4/08.03 (TM) 3.3.5 UF pump volume ☞ Note If scales are used for measuring, it must be ensured that no concentrate is connected. Measuring equipment: Scales or measuring cylinder, tolerance ±0.5 % Place of measurement: Hydraulic unit open Condition: Calibration program selected Check/adjustment: – Check the UF pump volume Remove the drain line of the UF pump from the T-piece (close the T-piece). Place the drain line in the measuring cylinder. Access the CALIBRATION menu, select and start the ADJ. UF-PUMP VOLUME option (➜ Calibration, Chapter 4, Part 6). Rated value: number of strokes in ml or g ±1%. – Adjust the UF pump Remove the protective cover. Unscrew the lock nut. Change the delivery volume, using the adjusting screw (turning the adjusting screw clockwise reduces, turning it counter-clockwise increases the stroke volume). Retighten the lock nut. Verify the delivery volume. T-piece Drain line 4008 B/S Fresenius Medical Care 4008 4/08.03 (TM) 3-25 4008 E/H 4008 B/S 3-26 Fresenius Medical Care 4008 4/08.03 (TM) 3.3.6 CDS pressure switch Measuring equipment: Measurement setup according to diagram, UMED, HMED or pressure gauge (e.g. 0 to 1 bar, accuracy ±1 %), syringe Place of measurement: Hydraulic unit open Condition: The CDS connectors in position 121 and position 122 must be depressurized. The pressure compensation port on the pressure switch must be open to air (atmospheric pressure). The lines of the measuring equipment should be as short as possible. The service mode must be selected. Check/adjustment: – Connect the measuring equipment as illustrated in the diagram. – Select the DIAGNOSTICS menu: READ INPUTS READ DIGITAL INPUTS CPU1: RD DIGITAL INP I: CPU1_PSW_V102 or I: CPU1_PSW_104 – Activate the audible alarm by pressing the (Alarm) Tone Mute key (depressurized: alarm on). – During these menu options, the solenoid valves MV102 and MV104 are closed. – Use the syringe to create a pressure of 0.7 bar. – Use forceps to clamp the line at point a, so that the pressure switch remains loaded with 0.7 bar. – Verify the switching point by means of the audible alarm Rated values: Alcatel pressure switch (part no.: 674 322 1) (yellow): 0.68 – 0.80 bar Delta pressure switch, dark grey: 0.68 – 0.72 bar Envec pressure switch: 0.68 – 0.72 bar If the switching point deviates, adjust with the adjusting screw b (make sure there is no mechanical load on the pressure switch while adjusting). – After completed adjustment, depressurize the measuring equipment and repeat the check. If necessary, repeat the adjustment procedure. This adjustment procedure simultaneously checks the tightness of the check valves 117 and 118 and the solenoid valves 102 and 104. Fresenius Medical Care 4008 4/08.03 (TM) 3-27 Fluid level Potentiometer 1 Potentiometer 2 Potentiometer 5 LP 450 LED DI5 Jumper J1 3-28 LED DI10 Fresenius Medical Care 4008 4/08.03 (TM) 3.4 Air detector Caution For adjusting the air detector, the system must be in “Calibration” mode. The ambient temperature should range between 15 and 35 °C. Measuring equipment: Measurement setup according to diagram UMED, HMED or pressure gauge, bubble catcher, syringe filled with degassed water or saline solution Place of measurement: Air detector Check/adjustment: – Adjust the ultrasonic detector Install the measuring set-up before checking/adjusting the air detector. Do not yet place the line in the occlusion clamp. Jumper J1 / P.C.B. LP 450 set to calibration. Fill the bubble catcher. The fluid level must be set to approx. 10 mm above the top edge of the sensor holder. Turn potentiometer 1 and potentiometer 2 on P.C.B. LP 450 clockwise, until the LED DI5 and LED DI10 on P.C.B. LP 450 are dark. Slowly (attention: time constant) turn potentiometer 1 on P.C.B. LP 450 counterclockwise, until the LED DI5 on P.C.B. LP 450 lights. Slowly (attention: time constant) turn the potentiometer 2 on P.C.B. LP 450 counterclockwise, until the LED DI10 on P.C.B. LP 450 lights. After completion of the calibration procedure, set the jumper J1 / P.C.B. LP 450 back to the operation position. – Check Lower the level in the bubble catcher: an alarm must be emitted. Raise the level in the bubble catcher: it must be possible to clear the alarm; both LEDs must be off! – Check the venous line clamp (➜ Fig. on p. 3-28) Place the line in the venous line clamp. Open the clamp and, using the syringe, generate a pressure of approx. 2 bar. Close the clamp. The pressure must not drop by more than 0.1 bar within 3 minutes. – Adjust the optical detector Use the gray filter, double-laid, part no. 640 560 1. Diagnostics menu; reading of digital inputs by CPU 1; item I: CPU1_OD_IN. Install the gray filter, double-laid; close the hinged cover. Slowly turn potentiometer 5 on P.C.B. LP 450 clockwise, until the UF display indicates 1111. Slowly turn potentiometer 5 counterclockwise, until the display jumps to 0000. Continue to turn the potentiometer counterclockwise for half a turn. Avoid incident light from external sources. Fresenius Medical Care 4008 4/08.03 (TM) 3-29 3-30 Fresenius Medical Care 4008 4/08.03 (TM) 4 Calibration program Confirm key CALIBRATION ▲▼ DIAGNOSTICS ▲▼ MISCELLANEOUS ▲▼ SETUP MENU ▲▼ Adjustments made without display messages: Adjusting the blood pump stop alarm (blood pump or HDF pump) ............................... 4-5 Calibrating the single needle blood pump ....................................................................... 4-11 Adjusting the current rise pulse ...................................................................................... 4-15 Adjusting the Hall sensor in the heparin pump .............................................................. 4-34 In the Calibration, Diagnostics, Setup and Miscellaneous program the function of the keys differs between 4008 E/B and 4008 H/S machines. Function 4008 E/B 4008 H/S ▲▼ ▲▼ Confirm Conf ▲▼ +/– Override Tone Mute Select Esc Scrolling through menu options Selecting a menu option Changing values and functions in a menu Saving changes Exiting a menu without saving the data In the description of the steps, the differing keys to be used on 4008 H/S machines are shown in brackets. Fresenius Medical Care 4008 4/08.03 (TM) 4-1 ● Main menu ☞ CALIBRATION Confirm key CAL. ART. PRESSURE Confirm key see Part 1 Confirm key see Part 2 Confirm key see Part 3 Confirm key see Part 4 Confirm key see Part 5 Confirm key see Part 6 Confirm key see Part 7 Confirm key see Part 8 Confirm key see Part 9 Confirm key see Part 10 Confirm key see Part 11 Confirm key see Part 12 Confirm key see Part 13 Confirm key see Part 14 Confirm key see Part 15 Confirm key see Part 16 (Option) Confirm key see Part 17 Confirm key see Part 18 ▲▼ CAL. ART. P_MODULE ▲▼ CAL. VENOUS PRESSURE ▲▼ CAL. VEN. P_MODULE ▲▼ CALIB. (B)-PUMP-RATE ▲▼ ADJ. UF-PUMP VOLUME ▲▼ CAL. DEGAS. PRESSURE ▲▼ CAL. FLOW 300 ml/min ▲▼ CAL. FLOW 500 ml/min ▲▼ CAL. FLOW 800 ml/min ▲▼ CALIB. TEMPERATURE ▲▼ CAL. MIXING SYSTEM ▲▼ CALIB. CONDUCTIVITY ▲▼ CAL. DIAL. PRESSURE ▲▼ CALIBRATE BLD ▲▼ CALIB. BIBAG VALUES ▲▼ RESET FAILURE RECORD ▲▼ NOVRAM ▲▼ back to main menu ? Confirm key ▲▼ 4-2 Fresenius Medical Care 4008 4/08.03 (TM) Note Before calibrating the hydraulics, remove possibly existing precipitate by running an appropriate disinfection program. ● Part 1: Calibrate arterial pressure CAL. ART. PRESSURE Confirm key Arterial PRESSURE Confirm key Art. pressure transducer open to atmosphere ▲▼ Art. PRESS. CHECK art. press: ±0 mmHg Confirm key back to menu ? ▲▼ Override (Tone Mute) key Confirm key ▲▼ art.zero.: ±0 mmHg Activate various pressure values. The values on the display, the art. pressure display and the reference instrument must be identical. Check whether the scale limits can be reached. Tolerance: ±10 mmHg Select (Esc) key ACKNOWLEDGED approx. 3 sec art.gain.: +210 mmHg Apply >210 mmHg to art. pressure transducer (reference instrument!) Set the value of the reference instrument on the display by pressing the ▲▼ (+/–) keys. Override (Tone Mute) key Note: If calibration of this function is impossible, the “CAL. ART. P_MODULE” mode must first be performed. ☞ DATA STORED approx. 3 sec Note Pressure gauge accuracy: ±1 % of the measured value. Fresenius Medical Care 4008 4/08.03 (TM) 4-3 ● Part 2: Calibrate the pressure in the arterial blood pump Set the hex switch in the module (P.C.B. LP 624, pos. 1) to position F. Should the error message E02 appear on the blood pump display, clear the message by pressing the Start/Stop key. CAL. ART. P_MODULE Confirm key art. press: XXX mmHg Select (Esc) key arterial pressure transducer open to atmosphere (arterial blood pump) Set the value on the alphanumeric display to 000 mmHg by pressing the ▲▼ keys on the blood pump module Acknowledge by pressing the Start/Stop key on the blood pump module Connect the syringe, which is connected to the external reference instrument, to the arterial pressure transducer. Apply exactly 250 mmHg to the pressure transducer Press the ▲▼ keys on the blood pump module to readjust the slope, until the alphanumeric display agrees with the external reference instrument. Acknowledge by pressing the Start/Stop key on the blood pump module Data stored. Should this message fail to appear, repeat the calibration procedure. Return the hex switch to position 0. 4-4 Fresenius Medical Care 4008 4/08.03 (TM) ● Without display messages: adjusting the blood pump stop alarm (blood pump or HDF pump) Set the hex switch in the module (P.C.B. LP 624, pos. 1) to position B. Should the error message E02 appear on the blood pump display, clear the message by pressing the Start/Stop key. Change the preset value (15/30 sec) by pressing the ▲▼ keys on the blood pump module. Acknowledge by pressing the Start/Stop key on the module. The stored value appears after 2 seconds. Return the hex switch to position 0. Automatic reset on the module Fresenius Medical Care 4008 4/08.03 (TM) 4-5 ● Part 3: Calibrate the venous pressure CAL. VENOUS PRESSURE Select (Esc) key Confirm key Venous PRESSURE Confirm key ven.zero.: ±0 mmHg ▲▼ Ven. PRESS. CHECK ▲▼ back to menu ? ▲▼ Confirm key Select (Esc) key Confirm key Select (Esc) key Venous pressure transducer at the air detector open to atmosphere ven.press: ±0 mmHg Activate various pressure values. The values on the display, the venous pressure display and the external reference instrument must be identical. Check whether the scale limits can be reached. Tolerance: ±10 mmHg Override (Tone Mute) key ACKNOWLEDGED approx. 3 sec ven.gain.: + 500 mmHg Select (Esc) key Connect the external reference instrument Apply ≤500 mmHg to the venous pressure transducer. Read the external reference instrument and set the value on the display by pressing the ▲▼ (+/–) keys. Note: If calibration of this function is not possible, the “CAL. VEN. P_MODULE” mode must first be performed in the air detector. ☞ 4-6 Override (Tone Mute) key DATA STORED approx. 3 sec Note Pressure gauge accuracy: ±1 % of the measured value. Fresenius Medical Care 4008 4/08.03 (TM) ● Part 4: Calibrate the venous pressure measurement in the air detector CAL. VEN. P_MODULE Confirm key Select (Esc) key ven.press: XXX mmHg The venous pressure transducer is open to atmosphere (air detector module) Readjust the zero-point potentiometer (P3/LP450) in the air detector until the display indicates ±0 mmHg ven.press: ±0 mmHg Connect the syringe, which is connected to the external reference instrument, to the venous pressure transducer. Apply >400 mmHg to the pressure transducer. Use the slope potentiometer (P4/LP450) to set the value of the external reference instrument on the display. Select (Esc) key Note: Check zero point and slope; if necessary, repeat the procedure. Note: When adjusting the air detector, execute the CAL. VENOUS PRESSURE menu item. LP 450 Pot 3 Pot 4 Fresenius Medical Care 4008 4/08.03 (TM) 4-7 ● Part 5: Calibrate the blood pump rates CALIB. (B)-PUMP-RATE Confirm key CALIB. ART. BP-RATE Confirm key see Part 5.1 Confirm key see Part 5.2 Confirm key see Part 5.3 This function is possible only if ONLINE-HDF has been activated by means of the DIP switch. ▲▼ CALIB. SN. BP-RATE ▲▼ CALIB. HDF-PUMP-RATE ▲▼ back to menu ? Confirm key ▲▼ 4-8 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 5.1: Calibrate arterial blood pump CALIB. ART. BP-RATE Confirm key calib. Art. BP-RATE Confirm key ▲▼ art. BP-Rate CHECK Confirm key ▲▼ back to menu ? Confirm key ▲▼ Select (Esc) key (B)P–Rate=550 ml/min Adjust a rate of ≥550 ml/min* on the art. blood pump. (B)P–Rate=550 ml/min Set various delivery rates on the arterial blood pump. The values on the display and the BP must be identical. Select (Esc) key Override (Tone Mute) key DATA STORED approx. 3 sec Note: Set the line diameter to 8 mm before starting the calibration procedure and press Start/Stop on the blood pump. * The BP rate of 550 ml/min represents a default value. It can be changed using the ▲▼ (+/–) keys. ● Part 5.2: Calibrate single needle blood pump rate CALIB. SN. BP–RATE Confirm key calib. sn. BP–RATE ▲▼ SN. BP-Rate CHECK Using a syringe, set the pressure at the P-SN connector according to the set stroke volume (see table). Confirm key ▲▼ back to menu ? Confirm key Confirm key Select (Esc) key (B)P–Rate=550 ml/min Set a rate of ≥550 ml/min* on the SN blood pump. (B)P–Rate=550 ml/min Set various delivery rates on the SN blood pump. The values on the display and the BP must be identical. ▲▼ Override (Tone Mute) key DATA STORED Select (Esc) key approx. 3 sec Note: Set the line diameter to 8 mm before starting the calibration procedure and press Start/Stop on the blood pump. * The BP rate of 550 ml/min represents a default value. It can be changed using the ▲▼ (+/–) keys. SN pump: lower switching point fixed to 75 mmHg Stroke volume (ml) 10 15 20 25 30 35 40 45 50 Upper switching point (mmHg) ± 7 mmHg 110 130 150 172 195 219 244 270 299 Fresenius Medical Care 4008 4/08.03 (TM) 4-9 ● Part 5.3: Calibrate ONLINE-HDF pump CALIB. HDF–PUMP–RATE Confirm key calib. HDF–PUMP–RATE Confirm key (B)P–Rate=400 ml/min ▲▼ HDF-Pump-Rate Check Confirm key (B)P–Rate=200 ml/min (max) Confirm key Adjust various delivery rates on the the HDF pump. The values on display and the HDF pump must be identical. ▲▼ back to menu ? ▲▼ Select (Esc) key Enter the value of the HDF pump display by pressing the ▲▼ (+/–) keys. Override (Tone Mute) key DATA STORED approx. 3 sec Note: This function is possible only if ONLINE-HDF has been activated by means of the DIP switch. 4-10 Fresenius Medical Care 4008 4/08.03 (TM) Select (Esc) key ● Without display messages: calibrate single needle blood pump (SN pressure) Set the hex switch in the module (P.C.B. LP 624, pos. 1) to position F. Should the error message E02 appear on the blood pump display, clear the message by pressing the Start/Stop key. The SN pressure transducer is open to atmosphere (SN blood pump). Press the Start/Stop key on the SN blood pump. Connect the syringe, which is connected to the external reference instrument, to the SN pressure transducer. Apply exactly 250 mmHg to the pressure transducer. Acknowledge by pressing the Start/Stop key on the SN blood pump. The values are stored. Finally return the hex switch to position 1. Then select SN.BP-Rate CHECK Check the SN stroke volume. Set stroke volume, e.g. 30 ml. Using a syringe and the external reference instrument, check the lower (fixed to 75 mmHg) and the upper switching point. (Depending on the stroke volume selected, the upper switching point can be found in the table). If the switching points are outside the tolerance range, repeat the calibration procedure. SN pump: lower switching point fixed to 75 mmHg Stroke volume (ml) 10 15 20 25 30 35 40 45 50 Upper switching point (mmHg) ± 7 mmHg 110 130 150 172 195 219 244 270 299 Fresenius Medical Care 4008 4/08.03 (TM) 4-11 ● Part 6: Adjust UF pump volume ADJ. UF-PUMP VOLUME optional Confirm key UF–Pump 1 (Vers. I) Confirm key ▲▼ pulse-amount = 60 Selec (Esc) key optional Enter the number of strokes by pressing the ▲▼ (+/–) keys. Confirm key UF-Pump 2 Override (Tone Mute) key ▲▼ Confirm key back to menu ? ACKNOWLEDGED ▲▼ approx. 3 sec press uf key Remove the line from the UF pump, close the T-piece. Hang the line into a graduated cylinder. Switch on the UF pump by pressing the UF I/O key. UF I/O key Note: Check the volume. If necessary, readjust the UF pump and repeat the procedure. (See 3.3.5) ☞ 4-12 uf pulses left = 60 The remaining UF strokes are indicated on the display. The “UF Goal” display indicates the number of preselected strokes. Note Graduated cylinder accuracy: ±0.5 %. Fresenius Medical Care 4008 4/08.03 (TM) Select (Esc) key ● Part 7: calibrate degassing pressure CAL. DEGAS. PRESSURE Confirm key adjust degas.-press. Select (Esc) key Connect a pressure gauge for the degassing pressure. Set the degassing pressure to –0.81 bar (to –0.85 bar) by pressing the ▲▼ (+/–) keys. Override (Tone Mute) key DATA STORED approx. 3 sec At this point, the following messages may appear: – fill program active – set flow on See also 3.3.2 Degassing pump pressure Fresenius Medical Care 4008 4/08.03 (TM) 4-13 ● Part 8: 300 ml/min flow CAL. FLOW 300 ml/min Confirm key flow (300) = XXX Select (Esc) key Change the digits in the “UF Rate” window by pressing the ▲▼ (+/–) keys, until the actual value agrees with the specified value (300). Override (Tone Mute) key DATA STORED approx. 3 sec Important: If it is impossible to adjust the 300 – 500 – 800 flow volumes, or if problems caused by flow alarms occur after the “calibrate flow” message has appeared, this can be caused by the setting of the current rise pulse. Note: For the flow selected first, the message “DIASAFE-filling act.” is displayed for 17 balancing chamber switchings. 4-14 Fresenius Medical Care 4008 4/08.03 (TM) Adjusting the current rise pulse: – – – – Select “calibrate flow 300 ml/min”; display: flow (300) = XXX. The actual flow XXX must be approx. 300; if necessary, correct it using the ▲ and ▼ keys. Connect an oscilloscope to MP8 and MP1, and the ground MP7 to P.C.B. LP 634. Use P1 to set the current rise pulse as shown in the diagram below. Make sure that the actual flow (display XXX) remains at approx. 300; if necessary, correct it using the ▲ and ▼ keys. MP1 1 V/cm GND MP8 2 V/cm Time Base 1 sec. GND Alternative adjustment of the current rise (if an oscilloscope is not available): – Select “calibrate flow 300 ml/min”. – There are two possibilities of reaction by the machine: 1. The machine runs with regular balancing chamber switching. Display: flow (300) = XXX. – If necessary, correct the flow using the ▲ and ▲ keys, until the actual flow indicates approx. 300. – Turn the potentiometer P1 counterclockwise (wait for at least 10 sec after each rotation!), until the machine switches to “Eigentakt”. – Display: flow (300) = 147. – Now turn the potentiometer P1 clockwise (wait for at least 10 sec after each half-rotation!), until the actual flow again indicates approx. 300. – Turn the potentiometer P1 clockwise for another 2 rotations. 2. The machine is in the “Eigentakt” mode. Display: flow (300) = 147. – Turn the potentiometer P1 clockwise, until the machine switches from “Eigentakt” to regular balancing chamber switching (wait for approx. 10 sec after each rotation!). – Display: flow (300) = XXX. – If necessary, correct the flow using the ▲ and ▲ keys, until the actual flow indicates approx. 300. – Turn the potentiometer P1 counterclockwise (wait for at least 10 sec after each rotation), until the machine switches to “Eigentakt”. – Display: flow (300) = 147. – Now turn the potentiometer P1 clockwise (wait for at least 10 sec after each half-rotation!), until the actual flow again indicates approx. 300. – Turn the potentiometer P1 clockwise for another 2 rotations. After adjusting the current rise pulse, check and, if necessary, readjust the 300/500/800 flow settings. Fresenius Medical Care 4008 4/08.03 (TM) 4-15 ● Part 9: Calibrate 500 ml/min flow CAL. Flow 500 ml/min Confirm key flow (500) = XXX Select (Esc) key Change the digits in the “UF Rate” window by pressing the ▲▼ (+/–) keys, until the actual value agrees with the specified value (500). Override (Tone Mute) key DATA STORED approx. 3 sec ● Part 10: 800 ml/min flow CAL. FLOW 800 ml/min Confirm key flow (800) = XXX Select (Esc) key Change the digits in the “UF Rate” window by pressing the ▲▼ (+/–) keys, until the actual value agrees with the specified value (800). Override (Tone Mute) key DATA STORED approx. 3 sec 4-16 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 11: Calibrate dialysate temperature CALIB. TEMPERATURE Confirm key Confirm key Temp. ADJUSTMENT adj. temp to 37°C ▲▼ Check TEMPERATURE Confirm key act temp = 37.0 °C Confirm key Set Temperature key (Use to select the Temperature setting field) ▲▼ back to menu ? ▲▼ set temp = XX.X °C Specify a temperature by pressing the ▲▼ (+/–) keys. Note: The hydraulic unit must be installed, the rear panel closed and the Diasafe protected by cover! Select (Esc) key Connect the external reference instrument. Connect the BIC suction tube to the BIC container or place it in water of room temperature. Adjust the digital value in the “UF Rate” window by pressing the ▲▼ (+/–) keys. Wait until the temperature value on the external reference instrument has reached 37.0 °C. Override (Tone Mute) key Override (Tone mute) key DATA STORED ACKNOWLEDGED approx. 3 sec approx. 3 sec ACT temp = XX.X °C Repeat the procedure using different values (e.g. 35/39 °C) ☞ Check whether the temperature preselected is achieved. Check: reference instrument, display and 37.0 °C LED display correspond to 115/116 digits in the “UF Volume” window. Tolerance: ±0.5 °C Select (Esc) key Note Measuring instrument accuracy: ±0.2 °C. 4008 H/S, display for “Check TEMPERATURE”: act temp = XX.X °C XXXX ADC-digits XXX.X °C XXXX ADC-digits alpha display 7 8 9 4 5 6 1 2 3 Temperature setting Esc 0 C Best Fresenius Medical Care 4008 4/08.03 (TM) 4-17 ● Part 12: Calibrate mixing system CAL. MIXING-SYSTEM Confirm key Run-In PUMPS Confirm key see Part 12.1 Confirm key see Part 12.2 Confirm key see Part 12.3 Confirm key see Part 12.4 Confirm key see Part 12.5 Confirm key see Part 12.6 Confirm key see Part 12.7 ▲▼ DET. BAL.CHAMBER Vol ▲▼ cal. CONC.-PUMP-VOL ▲▼ CONC. PUMP VOL det. ▲▼ calib. BIC.-PUMP-VOL ▲▼ BIC. PUMP VOL det. ▲▼ check CONC/BIC VOL. ▲▼ back to menu ? Confirm key ▲▼ 4-18 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 12.1: Run-in of membrane pumps The concentrate suction tubes are in a container filled with water Run-In PUMPS Confirm key START MAND. FILLING? Select (Esc) key Override (Tone Mute) key MAND. FILLING active Select (Esc) key Time left displayed in the field UF volume After 9 seconds ( Press ALARMTONE MUTE ) Select (Esc) key Press OVERRIDE Override (Tone Mute) key mem puls left = 1000 Select (Esc) key The membrane pumps are running; the display counts down. Fresenius Medical Care 4008 4/08.03 (TM) 4-19 ● Part 12.2: Determine the balancing chamber volume DET. BAL.CHAMBER Vol Determine the balancing chamber volume. Pull off the drain line. Collect two consecutive pulses of fluid. Determine the volume and divide it by two. Confirm key BC–Volume = 30.00 ml Select (Esc) key Enter the balancing chamber volume determined above with the ▲▼ (+/–) keys. (Tolerance ±1 ml) Override (Tone Mute) key DATA STORED approx. 3 sec ☞ 4-20 Note Accuracy of the measuring cylinder: ±0.5 %. Fresenius Medical Care 4008 4/08.03 (TM) ● Part 12.3: Calibrate the concentrate pump stroke cal. CONC.-PUMP-VOL Confirm key CONP-Vol = 0.828 ml Select (Esc) key Enter the determined volume of one pump stroke by pressing the ▲▼ (+/–) keys. Override (Tone Mute) key DATA STORED approx. 3 sec ☞ Note Accuracy of the measuring cylinder: ±0.5 %. Fresenius Medical Care 4008 4/08.03 (TM) 4-21 ● Part 12.4: Determine the concentrate pump volume CONC. PUMP VOL det. Confirm key START MAND. FILLING? Select (Esc) key Override (Tone Mute) key MAND. FILLING active Select (Esc) key Time left displayed in the field UF volume after 9 seconds Select (Esc) key conc pulses = 100 Override (Tone Mute) key Select (Esc) key ACKNOWLEDGED approx. 3 sec ( Press ALARMTONE MUTE ) Select (Esc) key Press OVERRIDE Override (Tone Mute) key Select (Esc) key conc puls left = 100 The concentrate pump runs for 100 strokes. The display counts down. Then determine and record the volume removed by the pump. Notes: 100 strokes are factory-set. This setting can be changed by pressing the ▲▼ (+/–) keys (depending on the graduated cylinder used). However, when returning to “CAL. MIXING-SYSTEM”, the display will indicate the factory setting again. Check the volume and, if necessary, repeat the procedure. ☞ 4-22 Note Accuracy of the measuring cylinder: ±0.5 %. Fresenius Medical Care 4008 4/08.03 (TM) ● Part 12.5: Calibrate bicarbonate pump stroke calib. BIC.-PUMP-VOL Confirm key Select (Esc) key BICP-Vol = 1.050 ml Enter the determined volume of one pump stroke by pressing the ▲▼ (+/–) keys. Override (Tone Mute) key DATA STORED approx. 3 sec ☞ Note Accuracy of the measuring cylinder: ±0.5 %. Fresenius Medical Care 4008 4/08.03 (TM) 4-23 ● Part 12.6: Determine the bicarbonate pump volume BIC. PUMP VOL det. Confirm key START MAND. FILLING? Select (Esc) key Override (Tone Mute) key MAND. FILLING active Select (Esc) key Time left displayed in the field UF volume After 9 seconds Select (Esc) key bic pulses = 50 Override (Tone Mute) key ACKNOWLEDGED Select (Esc) key approx. 3 sec ( Press ALARMTONE MUTE ) Select (Esc) key Press OVERRIDE Override (Tone Mute) key Select (Esc) key conc puls left = 50 The bicarbonate pump runs for 50 strokes. The display counts down. Then determine and record the volume removed by the pump. Notes: 50 strokes are factory-set. This setting can be changed by pressing the ▲▼ (+/–) keys (depending on the graduated cylinder used). However, when returning to “CAL. MIXING-SYSTEM”, the display will indicate the factory setting again. Check the volume and, if necessary, repeat the procedure. ☞ 4-24 Note Accuracy of the measuring cylinder: ±0.5 %. Fresenius Medical Care 4008 4/08.03 (TM) ● Part 12.7: Check the concentrate and/or bicarbonate volume The bicarbonate suction tube is in a container filled with water. check CONC/BIC VOL. Confirm key START MAND. FILLING? Select (Esc) key Override (Tone Mute) key MAND. FILLING active Select (Esc) key Time left displayed in the field UF volume After 9 seconds Select (Esc) key conc pulses = 100 Override (Tone Mute) key Select (Esc) key ACKNOWLEDGED approx. 3 sec ( Press ALARMTONE MUTE ) Select (Esc) key Press OVERRIDE Override (Tone Mute) key Select (Esc) key mem puls left = 50 The pump runs for 50 strokes. The display counts down. Then determine and record the volume removed by the pump. Check mixing ratio Notes: This test step permits verification of the concentrate or bicarbonate pump volumes in accordance with the parameters entered for the mixing system (mixing ratio, BC volume, conc. and bic. pump volume). The pump whose concentrate suction tube is pulled off is activated. 50 strokes are factory-set. This setting can be changed by pressing the ▲▼ (+/–) keys (depending on the graduated cylinder used). However, when returning to “CAL. MIXING-SYSTEM”, the display will indicate the factory setting again. ☞ Note Accuracy of the measuring cylinder: ±0.5 %. Fresenius Medical Care 4008 4/08.03 (TM) 4-25 ● Part 13: Calibrate conductivity (the values stated are examples only) CALIB. CONDUCTIVITY Confirm key Confirm key CONDUCTIVITY Set ▲▼ Confirm key CONDUCTIVITY Check ▲▼ Confirm key back to menu ? ▲▼ Select (Esc) key cond.set: XX.X mS/cm act.cond: 14.7 mS/cm Conc key (Use to move to the Concentrate setting field.) conc. set = ±0 % Readjust the pump by pressing the ▲▼ (+/–) keys. Conc key (Use to move to the Concentrate setting field. conc. set = ±0 % If no key is pressed for approx. 4 sec Use ▲▼ (+/–) to reduce the concentrate pump volume to obtain a conductivity in the lower display range. e.g.: Conc. set. = –6 % ☞ Override (Tone Mute) key Note Measuring instrument accuracy: ±0.06 mS/cm. Override (Tone Mute) key ACKNOWLEDGED ACKNOWLEDGED approx. 3 sec approx. 3 sec act.cond: XX.X mS/cm cond.set: XX.X mS/cm Select (Esc) key Wait for the CD to stabilize. Compare the CD with the external reference instrument. Note: In case of a deviation, adjust the disCompare the value indicated on the display with the LED play by pressing the ▲▼ (+/–) keys. display and the external measuring instrument. Override (Tone Mute) Repeat the procedure key using different values. Note: Before calibrating the CD, the temperature must be calibrated or checked. Note: After having readjusted the values, wait until the changed value is indicated. ACKNOWLEDGED approx. 3 sec cond.set: XX.X mS/cm 4008 H/S: Conc key (Use to move to the Concentrate setting field.) act. cond: XX.X mS/cm XXXX ADC-digits XXXX steps XXXX steps conc. set = –6 % If no key is pressed for approx. 4 sec Use ▲▼ (+/–) to raise the concentrate pump volume to obtain a conductivity in the lower display range. e.g.: Conc. set. = +10 % conductivity display concentrate setting bicarbonate setting temperature setting Override (Tone Mute) key ACKNOWLEDGED 7 8 9 4 5 6 1 2 3 Esc 0 approx. 3 sec C Best In 4008 H/S machines the temperature compensation function can also be checked: Use to select the temperature setting field. Use +/– to adjust the temperature. Confirm with the Tone Mute key. cond.set: XX.X mS/cm Wait for the CD to stabilize. Compare the CD with the external reference instrument. In case of a deviation, adjust the display by pressing the ▲▼ (+/–) keys. Override (Tone Mute) key DATA STORED 4-26 Fresenius Medical Care 4008 4/08.03 (TM) approx. 3 sec ● Part 14: Calibrate the dialysate pressure (stainless steel pressure transducer) CAL. DIAL. PRESSURE Confirm key DIALYSATE Pressure Confirm key see Part 14.1 Confirm key see Part 14.2 Confirm key see Part 14.3 ▲▼ TMP-Check ▲▼ PDIAL2 press-check ▲▼ Confirm key back to menu ? ▲▼ ☞ Note Measuring instrument accuracy: ±1 % of the measured value. Fresenius Medical Care 4008 4/08.03 (TM) 4-27 ● Part 14.1: Dialysate pressure DIALYSATE Pressure Confirm key Select (Esc) key adj.zero.: + XXX mmHg Open the dialysate circuit. Flow off / UF off. The dialysate pressure approaches “0”. Open the dialysate circuit. Set “0” mmHg on the display by pressing the ▲▼ (+/–) keys. Override (Tone Mute) key adj.zero.: ± 0 mmHg ACKNOWLEDGED Close the dialysate circuit. approx. 3 sec Switch on the flow. Switch on the flow. Switch on the UF pump by pressing the UF I/O key. dia.gain.: – 500 mmHg Leave the UF pump running until approx. –500 mmHg are indicated by the external reference instrument. Close the dialysate circuit. Switch on the UF pump by pressing the UF I/O key. Switch off the flow. Use the potentiometer P3/LP 633 to set the value indicated by the external reference instrument on the alphanumeric display. Leave the UF pump running, until approx. 500 mmHg are indicated by the external reference instrument. Switch off the flow. Repeat the procedure until 0 and –500 mmHg correspond to the external comparison instrument. not OK OK Enter the value indicated by the external reference instrument by pressing the ▲▼ (+/–) keys. Override (Tone Mute) key OPEN SYSTEM Open the dialysate circuit. After the system has recognized that the circuit is open, the flow is switched on automatically. Wait for OVERRID.LED The Override LED is flashing. Override (Tone Mute) key DATA STORED approx. 3 sec 4-28 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 14.2: TMP check TMP-Check Confirm key tmp: XXX mmHg Use the UF pump to build up various negative pressures (Flow on / UF off). Compare the values indicated on the display, the LED display and the external measuring instrument. Select (Esc) key approx. 3 sec Note: Observe the venous pressure! Note: Switch the flow on and off again once in a while, to maintain the operating temperature of the pressure transducer. ● Part 14.3: PDIAL2 pressure check PDIAL2 press-check 4008 H/S: Confirm key PDial2: –XXX mmHg PDial2: –XXX mmHg XXXX Use the UF pump to build up various negative pressures (Flow on / UF off). Compare the values indicated on the display, the LED display and the external measuring instrument. ADC-digits Select (Esc) key PDial2 display approx. 3 sec Note: Observe the venous pressure! 7 8 9 4 5 6 1 2 3 Flow setting Esc 0 C Best In 4008 H/S machines the temperature compensation function can also be checked: Press to select the field Flow setting. Adjust the flow by pressing +/–. Confirm by pressing the Tone Mute key. Fresenius Medical Care 4008 4/08.03 (TM) 4-29 ● Part 15: Blood leak voltage CALIBRATE BLD Confirm key Adjust BLOOD-LEAK Confirm key volt. bll. = 5.0 V ▲▼ Adjust DIMNESS Confirm key ▲▼ back to menu ? Confirm key volt.dimn. = 5.0 V Select (Esc) key Set 5.0 V on the display by pressing the ▲▼ (+/–) keys. ▲▼ Override (Tone Mute) key Set 5.0 V on the display by pressing the ▲▼ (+/–) keys. Override (Tone Mute) key DATA STORED approx. 3 sec DATA STORED approx. 3 sec Tolerance for dimness voltage: 4.9 – 5.1 V. Note: If values deviate check the glass burette for contamination. Close the housing; temperature 37 °C; avoid incident light from an external source. 4-30 Fresenius Medical Care 4008 4/08.03 (TM) Select (Esc) key ● Part 16: Calibrate BIBAG values (optional) CALIB. BIBAG VALUES Confirm key BIBAG Temp.-Adjust Confirm key connect 10kΩ±0.1% ▲▼ BIBAG Temp.-Check Confirm key * act temp = XX.X°C Select (Esc) key Connect the calibration resistor (10 kΩ) to X107. ▲▼ BIBAG Cond.-Adjust Confirm key Select (Esc) key connect 104Ω±0.1% Select (Esc) key Override (Tone Mute) key DATA STORED Connect the calibration resistor (104Ω) to X108. approx. 3 sec Override (Tone Mute) key ACKNOWLEDGED approx. 3 sec Select (Esc) key connect 56.2Ω±0.1% Connect the calibration resistor (56.2Ω) to X108. Override (Tone Mute) key DATA STORED approx. 3 sec ▲▼ BIBAG Cond.-Check Confirm key ** act.cond: XX.XmS/cm Select (Esc) key ▲▼ back to menu ? ▲▼ Confirm key * with test plug: 25 °C ** without test plug: 45,7 mS/cm or 84,5 mS/cm refer also to the Technical Manual for the biBag Fresenius Medical Care 4008 4/08.03 (TM) 4-31 ● Part 17: Reset the failure record RESET FAILURE RECORD Confirm key audible alarm Are you sure ? Select (Esc) key Override (Tone Mute) key ACKNOWLEDGED approx. 3 sec 4-32 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 18: Initialize NOVRAM, reset mandatory rinse, reset V84 malfunction audible alarm Are you sure ? Select (Esc) key Override (Tone Mute) key ACKNOWLEDGED NOVRAM approx. 3 sec Confirm key Init NOVRAM BACK TO MAIN MENU ? Confirm key ▲▼ Reset MAND. RINSE audible alarm Confirm key ▲▼ Reset CDS-MAND RINSE Are you sure ? audible alarm Confirm key ▲▼ Are you sure ? Select (Esc) key Override (Tone Mute) key Select (Esc) key Override (Tone Mute) key ACKNOWLEDGED approx. 3 sec ACKNOWLEDGED BACK TO MAIN MENU ? approx. 3 sec BACK TO MAIN MENU ? audible alarm Confirm key Reset V84 ▲▼ back to menu ? Confirm key Are you sure ? Select (Esc) key Override (Tone Mute) key ▲▼ ACKNOWLEDGED approx. 3 sec BACK TO MAIN MENU ? Note: The “NOVRAM” menu option can be entered only if the DIP-Switch1/DIP-Sw.Array2/LP631 is activated in the calibration mode. To this end and depending on its initial position, the switch must be actuated once and then be reset to its initial position. Fresenius Medical Care 4008 4/08.03 (TM) 4-33 ● Without menu display: adjustment of the Hall sensor inside the heparin pump – – – – – Remove plug connector from Hall sensor 2. Move the slide carriage down over Hall sensor 1. Move the slide carriage up to its fully open position. Move the slide carriage down again to the end of its travel. The free motion between the slide carriage and the housing should be approx. 0.5 mm. If necessary, change the position of Hall sensor 1 and repeat the procedure. Adjustment of Hall sensor 2 – Reconnect plug connector for Hall sensor 2. – Move the slide carriage down to approx. 2 cm before the end of its travel. – Manually turn the threaded spindle approx. 2-3 rotations in delivery direction. – Move the slide carriage down. – The slide carriage must stop before the mechanical end of its travel. If necessary, change the position of Hall sensor 2 and repeat the procedure several times. Hall sensor 1 Hall sensor 2 4-34 Fresenius Medical Care 4008 4/08.03 (TM) Table of contents 5 Diagnostics program Section Page 5.1 General notes ................................................................................................................ 5-3 5.2 Menu structure .............................................................................................................. 5-5 5.3 Reading the analog inputs of CPU I ............................................................................ 5-7 5.4 Reading the analog inputs of CPU II ........................................................................... 5-9 5.5 Reading the digital inputs of CPU I ............................................................................. 5-10 5.6 Reading the digital inputs of CPU II ............................................................................ 5-15 5.7 Writing the analog outputs of CPU I ........................................................................... 5-19 5.8 Writing the analog outputs of CPU II .......................................................................... 5-20 5.9 Writing the digital outputs of CPU I ............................................................................ 5-21 5.10 Writing the digital outputs of CPU II ........................................................................... 5-27 5.11 Writing/Reading the digital outputs of CPU I ............................................................ 5-30 5.12 ONLINE plus™ module .................................................................................................... 5-31 Fresenius Medical Care 4008 4/08.03 (TM) 5-1 5-2 Fresenius Medical Care 4008 4/08.03 (TM) 5.1 General notes The diagnostics program serves to activate all inputs and outputs of the hemodialysis machine. Activation is related to CPU1 (P.C.B. LP 631), CPU2 (P.C.B. LP 632), as well as to the output board (P.C.B. LP 634) and the input board (P.C.B. LP 633). Using this program, the technician is able to program his own settings for testing of error images. The diagnostics program is divided into the following menus: – READ INPUTS – READ ANALOG INPUTS – CPU1: RD ANALOG INP. – CPU2: RD ANALOG INP. – READ DIGITAL INPUTS – CPU1: RD DIGITAL INP – CPU2: RD DIGITAL INP – WRITE OUTPUTS – WRITE ANALOG OUTPUTS – CPU1: WR ANALOG OUTP – CPU2: WR ANALOG OUTP – WRITE DIGIT. OUTPUTS – CPU1: WR DIGIT. OUTP – CPU2: WR DIGIT. OUTP – INP/OUTP COMBINATION – CPU1: COMBINATION – CAN–COMPONENTS – WTR – ONLINE–PLUS–MODUL In order to indicate the corresponding levels, all UF-seven-segment displays as well as the status indicator (monitor), the external traffic light and the loudspeaker are used in the “READ DIGITAL INPUTS” menu. The active signal state (which may correspond to both present and absent voltage) is indicated by 1111 on the UF displays, activated traffic light (status indicator) and audible signal. An audible signal can be deactivated by pressing the (Alarm) Tone Mute key. With the audible signal deactivated, the (Alarm) Tone Mute LED is flashing as a reminder. The audible signal indication can be used to evaluate the state of the signal without having to look at the monitor. This may be advantageous in case measurements have to be made behind the machine (e.g. hydraulic unit). Fresenius Medical Care 4008 4/08.03 (TM) 5-3 ☞ Note In the diagnostics program, the signals are listed in the order of their electric connection, i.e. in latch groups of 8 signals each, according to the 8-bit data bus and according to the latch numbering on the circuit diagram (e.g. P.C.B. LP 633: CS_LATCH0 – CS_LATCH6). The are not divided into groups of pertinency (e.g. all Bibag signals one after the other). The only exception here is the activation of the solenoid valves. These are listed in the menu in the order of their numbers. This facilitates finding each individual valve since, as a rule, several valves must be simultaneously activated for trouble shooting. Since the signals are assigned to their respective connections (latch groups), it is possible at any time, by using the circuit diagram, to locate the respective signal in the menu, even if the signal name should have changed. Within one latch group, only one known signal suffices to find the renamed signal by counting through the menu. Deviations of all voltage values indicated are possible due to tolerances and depending on the various systems. The “CPU1: RD DIGITAL INP” menu item includes the “I:CPU1_KEY_TESTING” item, which serves to perform the key test. The key actuated is indicated on the alphanumeric display. The UP, DOWN, CONFIRM, SELECT and I/O keys have not been implemented, since their function can be tested by selecting the corresponding menu. CALIBRATION ▲▼ DIAGNOSTICS Confirm key ▲▼ MISCELLANEOUS ▲▼ SETUP MENU ▲▼ 5-4 Fresenius Medical Care 4008 4/08.03 (TM) 5.2 Menu structure 䊳 DIAGNOSTICS 䊱 Confirm key 䊳 READ INPUTS 䊱䊲 WRITE OUTPUTS 䊱䊲 INP/OUTP COMBINATION Confirm key 䊱䊲 䊱 CAN–COMPONENTS 䊱䊲 BACK TO MAIN MENU? 䊳 READ INPUTS 䊲 Confirm key 䊲 䊲 READ ANALOG INPUTS 䊳 Confirm key 䊳 CPU1: RD ANALOG INP. → from page 5-7 䊱䊲 CPU2: RD ANALOG INP. → from page 5-9 䊱䊲 䊱䊲 back to menu ? 䊳 Confirm key 䊲 READ DIGITAL INPUTS 䊳 Confirm key 䊳 CPU1: RD DIGITAL INP → from page 5-10 䊱䊲 CPU2: RD DIGITAL INP 䊱䊲 䊱䊲 back to menu ? back to menu? → from page 5-15 䊳 䊳 Confirm key Confirm key 䊱䊲 Fresenius Medical Care 4008 4/08.03 (TM) 5-5 䊳 WRITE OUTPUTS 䊲 Confirm key 䊲 䊲 WRITE ANALOG OUTPUTS 䊳 Confirm key 䊳 CPU1: WR ANALOG OUTP → from page 5-19 䊱䊲 CPU2: WR ANALOG OUTP → from page 5-20 䊱䊲 䊱䊲 back to menu ? 䊳 Confirm key 䊲 WRITE DIGIT. OUTPUTS 䊳 Confirm key 䊳 CPU1: WR DIGIT. OUTP → from page 5-21 䊱䊲 CPU2: WR DIGIT. OUTP 䊱䊲 䊱䊲 back to menu ? back to menu ? → from page 5-27 䊳 Confirm key 䊳 Confirm key 䊳 Confirm key 䊱䊲 䊲 INP/OUTP COMBINATION 䊳 CPU 1: COMBINATION → from page 5-30 䊱䊲 back to menu ? 䊳 Confirm key 䊲 CAN–COMPONENTS 䊳 Confirm key 䊳 WTR Not used 䊱䊲 ONLINE–PLUS–MODUL → from page 5-31 䊱䊲 back to menu ? 5-6 Fresenius Medical Care 4008 4/08.03 (TM) 䊳 Confirm key 5.3 Reading the analog inputs of CPU I Explanation: UF Volume display: Time Left display: ADC value Analog voltage (in 0.1 V), converted to the value at the input of P.C.B. LP 633 CPU1: RD ANALOG INP. 䊲 Confirm key 䊲 I: CPU1_PWR_WD Voltage for watchdog monitoring 5 V, IC 27/26, ACD 107 (4.5 to 5.5 V) 䊱䊲 I: CPU1_P_CONC Not used 0 V, IC 27/27, ACD 0 䊱䊲 I: CPU1_P_VEN Venous pressure 0 to 12 V, IC 27/28, ADC 0 to 255 䊱䊲 I: CPU1_BPR_VEN Venous blood pump rate 0 to 10 V, IC 27/1, ADC 0 to 215 (8 mm line diameter) 䊱䊲 I: CPU1_PR_HDF HDF blood pump rate 0 to 3.3 V, IC 27/1, ADC 0 to 72 (HDF switched on, 8 mm line diameter) 䊱䊲 I: CPU1_BPR_ART Arterial blood pump rate 0 to 10 V, IC 27/2, ADC 0 to 215 (8 mm line diameter) 䊱䊲 I: CPU1_VEN_BPR_SET Rated value specified for the venous blood pump rate 0 to 8 V, IC 27/3, ADC 0 to 171 (8 mm line diameter) 䊱䊲 I: CPU1_HDF_PR_SET Rated value specified for the HDF blood pump rate 0 to 2.7 V, IC 27/3, ADC 0 to 58 (HDF switched on, 8 mm line diameter) 䊱䊲 I: CPU1_ART_BPR_SET Rated value specified for the arterial blood pump rate 0 to 8 V, IC 27/4, ADC 0 to 171 (8 mm line diameter) 䊱䊲 I: CPU1_REF1 Reference voltage AD 0 2.5 V, IC 27/5, ADC 128 (2.3 to 2.5 V) 䊱䊲 I: CPU1_U_ACCU Battery voltage e.g. 22 V, IC 28/26, ADC e.g. 184 䊱䊲 I: CPU1_P_BIC Not used 0 V, IC 28/27, ADC 0 䊱䊲 I: CPU1_24V_EM 24V_EMERGENCY 24 V, IC 28/28, ADC 117 (22.5 to 26 V) Fresenius Medical Care 4008 4/08.03 (TM) 5-7 䊱䊲 I: CPU1_P_ART 䊱䊲 I: CPU1_TEMP_DIAL3 Arterial pressure 0 to 10.5 V, IC 28/1, ADC 0 to 225 Temperature NTC (slot X107 / LP 747) 0 – 12 V, IC 29/1, ADC 0 – 255 䊱䊲 䊱䊲 I: CPU1_BLL_DIM Blood leak dimness voltage 5.0 V, IC 28/2, ADC 108 I: CPU1_COND_SIGNAL3 CD cell (slot X108 / LP 747) 0 – 10,8 V, IC 29/2, ADC 0 – 231 䊱䊲 䊱䊲 I: CPU1_BLL I: CPU1_FREE2 Blood leak voltage 5.0 V, IC 28/3, ADC 108 Not used, open input IC 29/3 䊱䊲 䊱䊲 I: CPU1_COND_SIGNAL1 I: CPU1_U_BATT_SW CD display 0 to 10.8 V, IC 28/4, ADC 0 to 231 Voltage for alarm tone, if battery relay is off 10.6 V, IC 29/4, ADC 110 䊱䊲 䊱䊲 I: CPU1_REF2 Reference voltage AD1 2.5 V, IC 28/5, ADC 128 (2.3 V to 2.5 V) I: CPU1_REF3 Reference voltage AD2 2.5 V, IC 29/5, ADC 128 (2.3 to 2.5 V) 䊱䊲 䊱䊲 I: CPU1_FREE1 Not used 0 V, IC 29/26, ADC 0 back to menu ? 䊲 䊱䊲 Confirm key I: CPU1_TEMP_DIAL2 Temperature NTC 109 0 to 12 V, IC 29/27, ADC 0 to 255 䊲 CPU1: RD ANALOG INP. 䊱䊲 I: CPU1_COND_SINGAL2 Not used 0 V, IC 29/28, ADC 0 5-8 Fresenius Medical Care 4008 4/08.03 (TM) 5.4 Reading the analog inputs of CPU II Explanation: UF Volume display: Time Left display: ADC value Analog voltage (in 0.1 V), converted to the value at the input of P.C.B. LP 632 CPU2: RD ANALOG INP. 䊱䊲 I: CPU2_BLL_DIM 䊲 Confirm key 䊲 I: CPU2_BPR_ART Arterial blood pump 0 to 9.6 V, IC 12/20, ADC 0 to 223 䊱䊲 I: CPU2_P_ART Arterial pressure 0 to 10.6 V, IC 12/19, ADC 0 to 245 䊱䊲 I: CPU2_P_VEN Venous pressure 0 to 11 V, IC 12/18, ADC 0 to 255 䊱䊲 I: CPU2_P_DIAL Dialysate pressure 0 to 10 V, IC 12/17, ADC 0 to 231 䊱䊲 I: CPU2_COND_SIGNAL CD display 0 to 10.8 V, IC 12/16, ADC 0 to 251 Blood leak dimness voltage 5.0 V, IC 12/13, ADC 116 䊱䊲 I: CPU2_BLL Blood leak voltage 5.0 V, IC 12/13, ADC 116 䊱䊲 I: CPU2_+10V Reference voltage, D-A converter/CPU II 10 V; 12/13, ADC 234 䊱䊲 I: CPU2_NC6 Not used 0 V, IC 12/13, ADC 0 䊱䊲 back to menu ? 䊲 Confirm key 䊲 CPU2: RD ANALOG INP. 䊱䊲 I: CPU2_TEMP_DIAL1 Temperature display 0 to 10.8 V, IC 12/15, ADC 0 to 251 䊱䊲 I: CPU2_P_DIAL2 Control voltage for higher resolution Dialysate pressure 0 to 10.9 V, IC 12/14, ADC 0 to 252 Fresenius Medical Care 4008 4/08.03 (TM) 5-9 5.5 Reading the digital inputs of CPU I Explanation: All UF displays show 0000; red, yellow, green traffic light off: low level at latch on P.C.B. LP 633 All UF displays show 1111; red, yellow, green traffic light on: high level at latch on P.C.B. LP 633 If high level is applied, an audible alarm is simultaneously sounded. This tone can be suppressed by pressing the Alarm Tone Mute key. In this case, the Alarm Tone Mute LED is illuminated. 䊱䊲 CPU1: RD DIGITAL INP I: CPU1_ABG_BYP 䊲 Not used IC 19/7 Confirm key 䊱䊲 䊲 I: CPU1_COND_V84 I: CPU1_ABG_ON V84 CD recognition IC 19/2 Check by pulling off/short-circuiting the sensors 䊱䊲 Not used IC 19/8 䊱䊲 I: CPU1_ABG_ALARM Not used IC 19/9 I: CPU1_LDA1 LD alarm, channel 1 IC 19/3 Check whether LD in alarm/alarm-free state 䊱䊲 I: CPU1_V43 Valve 43 IC 13/2 Check by opening/closing the valve 䊱䊲 I: CPU1_OD_IN LD optical detector IC 19/4 Check whether OD detects dark/light 䊱䊲 I: CPU1_V26 Valve 26 IC 13/3 Check by opening/closing the valve 䊱䊲 I: CPU1_FL_SWITCH1 Float switch IC 19/5 Generate water deficiency in calibration mode: 0 Open V 41 until water exits the vent tubing: 1 䊱䊲 I: CPU1_V24b 䊱䊲 I: CPU1_CI Balancing chamber switching pulse IC 19/6 5-10 Fresenius Medical Care 4008 4/08.03 (TM) Valve 24b IC 13/4 Check by opening/closing the valve 䊱䊲 䊱䊲 I: CPU1_V24 I: CPU1_REED_RINSE Valve 24 IC 13/5 Check by opening/closing the valve Concentrate reed contact IC 14/4 Actuate rinse chamber/concentrate reed contact 䊱䊲 䊱䊲 I: CPU1_UF_P1 Acknowledgement of UF pump 1 IC 13/6 Check possible only in the combination menu 䊱䊲 I: CPU1_PSW_V102 LD alarm, channel 2 IC 13/7 Preparation: LD alarm-free and set CLAMP_CTRL (CPU1: WR DIGIT. OUTP) to 1 Check: initiate an LD alarm I: CPU1_SUB_W_P Acknowledgement of UF pump 2 IC 13/8 䊱䊲 I: CPU1_LC11 IC 13/9 䊱䊲 I: CPU1_REED_BIC Bicarbonate reed contact IC 14/2 Actuate rinse chamber/bicarbonate reed contact 䊱䊲 I: CPU1_BIBAG Microswitch 137 / connector IC 14/3 Check by connecting/removing the BIBAG Microswitch 138 / connector IC 14/5 Check by connecting/removing the cap 䊱䊲 I: CPU1_LDA2 䊱䊲 I: CPU1_BIBAG_C Concentrate pressure switch IC 14/6 Check by increasing/decreasing the pressure at the pressure switch 䊱䊲 I: CPU1_PSW_V104 Bicarbonate pressure switch IC 14/7 Check by increasing/decreasing the pressure at the pressure switch 䊱䊲 I: CPU1_PWR_OFF Power off IC 14/8 䊱䊲 I: CPU1_HEP_ON Heparin pump on IC 14/9 Switch heparin pump on/off 䊱䊲 I: CPU1_LA32 IC 15/2 Fresenius Medical Care 4008 4/08.03 (TM) 5-11 䊱䊲 䊱䊲 I: CPU1_SW_ON_OFF I: CPU1_SN On/off key on machine IC 15/3 Brief key actuation Single needle changeover IC 16/2 Changeover pressure of SN blood pump reached: 0 䊱䊲 䊱䊲 I: CPU1_PWR_FAIL I: CPU1_ADKS Power failure recognition IC 15/4 Single needle blood pump recognition connected IC 16/3 Connect/remove the blood pump (only with the machine off) 䊱䊲 I: CPU1_SHUNT_OUTP Microswitch, interlock shunt IC 15/5 Both lines in the interlock shunt and interlock shunt closed: 0 䊱䊲 I: CPU1_BPSB_ART Arterial blood pump stop confirmation IC 16/4 Actuation of Start/Stop key on the arterial blood pump 䊱䊲 I: CPU1_SHUNT_INP Microswitch, interlock shunt IC 15/6 Red line only in the interlock shunt and interlock shunt closed: 0 䊱䊲 I: CPU1_BPUS_ART Arterial blood pump revolution stop IC 16/5 Arterial blood pump alarm field on: 0 (cleared by pressing the Start/Stop key on the blood pump) 䊱䊲 I: CPU1_SHUNT Microswitch, interlock shunt IC 15/7 Open/close interlock shunt 䊱䊲 I: CPU1_BPSB_VEN 䊱䊲 Venous blood pump stop confirmation IC 16/6 Actuation of the Start/Stop key on the venous blood pump I: CPU1_SERV_EN Not used IC 15/8 䊱䊲 䊱䊲 I: CPU1_BPUS_VEN I: CPU1_LEV_SIGNAL Level sensor (NTC 6 – replacement) IC 15/9 Check by removing/short-circuiting the sensor pins 5-12 Fresenius Medical Care 4008 4/08.03 (TM) Venous blood pump revolution stop IC 16/7 Preparation: Set SNST (CPU1: WR DIGIT. OUTP) to 1 and wait for the alarm field. Venous blood pump on. Check: clearing of the alarm field by pressing the Start/Stop key on the venous blood pump 䊱䊲 䊱䊲 E. CPU1_HEP_ALARM I: CPU1_ACKN_CONC Heparin pump alarm IC 16/8 Generate a heparin pump alarm (e.g. by blocking the syringe slide) Not used IC 20/7 䊱䊲 I: CPU1_ACKN_BIC 䊱䊲 Not used IC 20/8 I: CPU1_BIB_LEVEL Level sensor 135 IC 16/9 Check by removing/shorting the sensor pins 䊱䊲 I: CPU1_EXT_ALARM External alarm IC 20/2 Release of an external alarm 䊱䊲 I: CPU1_SERVICE_MODE Dialysis/calibration changeover IC 20/3 Reset the service switch 䊱䊲 I: CPU1_LEVEL_UP Raise the LD level IC 20/4 Press the “Raise level” key 䊱䊲 I: CPU1_LEVEL_DOWN Lower the LED level IC 29/5 Preparation: LD alarm-free, set CLAMP_CTRL (CPU1: WR DIGIT. OUTP) to 1 Check: press the “Lower level” key 䊱䊲 I: CPU1_ADS_SN Not used IC 20/6 䊱䊲 I: CPU1_BIBAG_PSW BIBAG pressure switch IC 20/9 Check by increasing/decreasing pressure on the pressure switch 䊱䊲 I: CPU1_RA21 Not used IC 21/2 䊱䊲 I: CPU1_HDF_ON HDF on IC 21/3 Actuation of HDF On/Off switch 䊱䊲 I: CPU1_V102 Acknowledgement, valve 102 IC 21/4 Open/close the valve 䊱䊲 I: CPU1_V104 Acknowledgement, valve 104 IC 21/5 Open/close the valve 䊱䊲 I: CPU1_CSS_REED IC 21/6 Fresenius Medical Care 4008 4/08.03 (TM) 5-13 䊱䊲 I: CPU1_HEAT_CLK 䊱䊲 I: CPU1_LATCH7_FREE7 IC 21/7 Not used IC 7/8 䊱䊲 䊱䊲 I: CPU1_BYP_REQ IC 21/8 I: CPU1_LATCH7_FREE8 Not used IC 7/9 䊱䊲 䊱䊲 I: CPU1_CLP_REQ IC 21/9 I: CPU1_DIP1:00011100 䊱䊲 DIP switch CPU I/array I P.C.B. LP 631/IC 12/2 to 9 The position of the DIP switches is shown on the alphanumeric display (1: DIP switch „ON“) I: CPU1_LATCH7_FREE1 Not used IC 7/2 䊱䊲 䊱䊲 I: CPU1_LATCH7_FREE2 I: CPU1_DIP2: 00000000 DIP switch CPU I/array II P.C.B. LP 631/IC 13/2 to 9 The position of the DIP switches is shown on the alphanumeric display (1: DIP switch „ON“) Not used IC 7/3 䊱䊲 I: CPU1_LATCH7_FREE3 Not used IC 7/4 䊱䊲 I: CPU1_KEY_TESTING Touch panel test P.C.B. LP 635/IC 73/2 to 6 The key pressed is shown on the alphanumerical display, the LED next to the key is illuminated. 䊱䊲 I: CPU1_LATCH7_FREE4 Not used IC 7/5 䊱䊲 䊱䊲 I: CPU1_RCU_KEY_TEST I: CPU1_LATCH7_FREE5 Touch panel test for the remote control RCU 4008. The key pressed is shown on the alphanumerical display, the LED next to the key is illuminated. Not used IC 7/6 䊱䊲 䊱䊲 I: CPU1_LATCH7_FREE6 Not used IC 7/7 back to menu ? 䊲 Confirm key 䊲 CPU1: RD DIGITAL INP 5-14 Fresenius Medical Care 4008 4/08.03 (TM) 5.6 Reading the digital inputs of CPU II Explanation: All UF displays show 0000; red, yellow, green traffic light off: low level at latch on P.C.B. LP 632 All UF displays show 1111; red, yellow, green traffic light on: high level at latch on P.C.B. LP 632 If high level is applied, an audible alarm is simultaneously sounded. This tone can be suppressed by pressing the Alarm Tone Mute key. In this case, the Alarm Tone Mute LED is illuminated. CPU2: RD DIGITAL INP 䊱䊲 I: CPU2_V26 䊲 Confirm key 䊲 I: CPU2_NC3 Not used IC 4/2 䊱䊲 I: CPU2_UF_P1 Acknowledgement, UF pump 1 IC 4/3 䊱䊲 I: CPU2_ACKN_AIRSEP Acknowledgement, air separation pump IC 4/4 䊱䊲 I: CPU2_UF_P2 Acknowledgement, UF pump 2 IC 4/5 䊱䊲 I: CPU2_CI Balancing chamber switching pulse IC 4/6 䊱䊲 I: CPU2_V24 Acknowledgement, valve 26 IC 4/9, open/close the valve 䊱䊲 I: CPU2_V43 Acknowledgement, valve 43 IC 5/2, open/close the valve 䊱䊲 I: CPU2_BL_ALARM Blood pump rate changeover SN/HDF IC 5/3 䊱䊲 I: CPU2_PWR_OFF Power off IC 5/4 䊱䊲 I: CPU2_FL_SWITCH+5V Float switch IC 5/5 Generate a water deficiency in the calibration mode = 0 Open V41 until water exits the vent tubing = 1 䊱䊲 I: CPU2_LDA1 LD alarm, channel 1 IC 5/6, LD alarm/alarm-free Acknowledgement, valve 24 IC 4/7, open/close the valve 䊱䊲 I: CPU2_V24b Acknowledgement, valve 24b IC 4/8, open/close the valve Fresenius Medical Care 4008 4/08.03 (TM) 5-15 䊱䊲 䊱䊲 I: CPU2_LDA2 I: CPU2_BPST_VEN LD alarm, channel 2 IC 5/7 Preparation: LD alarm-free and set CLAMP_CTRL (CPU1: WR DIGIT. OUTP) to 1 Check: generate an LD alarm Acknowledgement, special control of the venous blood pump IC 6/5 Check by setting BPST_VEN (CPU1: WR DIGIT. OUTP) to 1/0 䊱䊲 䊱䊲 I: CPU2_BPUS_VEN I: CPU2_BPSB_VEN Venous blood pump revolution stop IC 6/6 Preparation: Set SNST (CPU1: WR DIGIT. OUTP) to 1 and wait for the alarm field of the venous blood pump to turn on Check: clear the alarm field by pressing the Start/Stop key on the venous blood pump Venous blood pump stop confirmation IC 5/8 Actuation of the Start/Stop key on the venous blood pump 䊱䊲 I: CPU2_BPSB_ART Arterial blood pump stop confirmation IC 5/9 Actuation of the Start/Stop key on the arterial blood pump 䊱䊲 I: CPU2_ADKS Single needle blood pump recognition connected IC 6/7 Connect/remove the blood pump (with the machine off only) 䊱䊲 I: CPU2_V42 Not used IC 6/2 䊱䊲 䊱䊲 I: CPU2_LEVEL_UP I: CPU2_BPST_ART Acknowledgement, special control of the arterial blood pump IC 6/3 Check by setting BPST_ART (CPU1: WR DIGIT. OUTP) to 1/0 Raise LD level IC 6/8, press the “Raise level” key 䊱䊲 I: CPU2_LEVEL_DOWN Lower LD level IC 6/9 Preparation: LD alarm-free, set CLAMP_CTRL (CPU1: WR DIGIT. OUTP) to 1 Check: press the “Lower level” key 䊱䊲 I: CPU2_BPUS_ART Arterial blood pump revolution stop IC 6/4 Alarm field of the arterial blood pump on = 0 (cleared by pressing the Start/Stop key on the blood pump) 䊱䊲 I: CPU2_RINSE Concentrate reed contact IC 7/2 Actuate rinse chamber/concentrate reed contact 5-16 Fresenius Medical Care 4008 4/08.03 (TM) 䊱䊲 䊱䊲 I: CPU2_V147 I: CPU2_SERVICE_MODE IC 7/3 Changeover dialysis/calibration IC 8/3, reset the service switch 䊱䊲 䊱䊲 I: CPU2_REED_BIC I: CPU2_HOT_RINSE Bicarbonate reed contact IC 7/4 Actuate rinse chamber/bicarbonate reed contact Changeover hot rinsing IC 8/4 Check by setting HOT_RINSE (CPU1: WR DIGIT. OUTP) to 0/1 䊱䊲 䊱䊲 I: CPU2_PSW_104 Bicarbonate pressure switch IC 7/5 Check by increasing/decreasing pressure at the pressure switch I: CPU2_SNST I: CPU2_V145 Single needle control IC 8/6 IC 7/6 䊱䊲 䊱䊲 I: CPU2_SHUNT_OUTP I: CPU2_24V_SW Microswitch, interlock shunt IC 7/7 Both lines in the interlock shunt and interlock shunt closed: 0 䊱䊲 Microswitch, interlock shunt IC 7/8 Red line only in the interlock shunt and interlock shunt closed: 0 䊱䊲 䊱䊲 Single needle changeover IC 8/8, SN switching pressure reached: 0 䊱䊲 I: CPU2_HEAT_RL_WATCH Acknowledgement, heater relay IC 8/9 I: CPU2_SHUNT Microswitch, interlock shunt IC 7/9, open/close the interlock shunt Not used IC 8/2 24-V switch IC 8/7 I: CPU2_SN I: CPU2_SHUNT_INP I: CPU2_ABG_ON LD optical detector IC 8/5, optical detector light/dark 䊱䊲 䊱䊲 䊱䊲 I: CPU2_OD_OUT 䊱䊲 I: CPU2_DIP1: 01100110 DIP switch CPU II/array I IC 9/2 to 9 DIP switch position shown on the alphanumeric display (1: DIP switch „ON“) Fresenius Medical Care 4008 4/08.03 (TM) 5-17 䊱䊲 I: CPU2_DIP2: 11000001 DIP switch CPU II/array II IC 10/2 to 9 DIP switch position shown on the alphanumeric display (1: DIP switch „ON“) 䊱䊲 back to menu ? 䊲 Confirm key 䊲 CPU2: RD DIGITAL INP 5-18 Fresenius Medical Care 4008 4/08.03 (TM) 5.7 Writing the analog outputs of CPU I Explanation: UF Rate display: Time Left display: DAC value (can be changed with: 4008/E/B: ▲▼ UF Rate, 4008 H/S: +/–) Analog voltage on P.C.B. LP 634, in 0.1 V 䊱䊲 CPU1: WR ANALOG OUTP O: CPU1_DAC_X2 䊲 Not used IC 53/4 0 to 5 V (X634R/C13, 0 to 5 V) Confirm key 䊲 䊱䊲 O: CPU1_TEMP_SET Rated value specified for the temperature IC 53/9 0 to 5 V (X634R/C20, 0.2 to 10 V) 䊱䊲 O: CPU1_STEUER_EP Speed setting, degassing pump IC 53/3 0 to 4.4 V (X634L/ between A, B, C 27 and A, B, C 28, 0 to 21 V) 䊱䊲 O: CPU1_DAC_DIM Calibration voltage, dimness IC 53/8 0 to 5 V (C634R/A11, 0 to 5 V) O: CPU1_STEUER_FP Speed setting, flow pump IC 53/2 0 to 4.4 V (X634L/ between A, B, C 29 and A, B, C 30, 0 to 21 V) 䊱䊲 O: CPU1_TEMP_ADJ Calibration voltage, temperature control IC 53/7 0 to 5 V (X634R/C21, 0 to 5 V) 䊱䊲 O: CPU1_DAC_BLL Calibration voltage, blood leak IC 53/6 0 to 5 V (X634R/A12, 0 to 5 V) 䊱䊲 back to menu ? 䊲 Confirm key 䊲 CPU1: WR ANALOG OUTP 䊱䊲 O: CPU1_BIBAG_TEMP_AJ Calibration voltage for temperature NTC (slot X107 / LP 747) IC 53/5 0 to 5 V (X634R/A13, 0 to 5 V) Fresenius Medical Care 4008 4/08.03 (TM) 5-19 5.8 Writing the analog outputs of CPU II Explanation: UF Rate display: Time Left display: DAC value (can be changed with: 4008/E/B: ▲▼ UF Rate, 4008 H/S: +/–) Analog voltage on P.C.B. LP 632, in 0.1 V 䊱䊲 CPU2: WR ANALOG OUTP O: CPU2_HIGH_RES_OP 䊲 OP control voltage for higher resolution of dialysate pressure IC 11/20, 0 to 10 V Confirm key 䊲 O: CPU2_TEMP_DET_ADJ 䊱䊲 Detuning, temperature display IC 11/2, 0 to 10 V (X632/A23, 0 to 10 V) back to menu ? 䊲 䊱䊲 Confirm key O: CPU2_DIAL_DET_ADJ Detuning, dialysate pressure display IC 11/1, 0 to 10 V (X632/C 20, 0 to 10 V) 䊲 CPU2: WR ANALOG OUTP 䊱䊲 O: CPU2_P_ADS_DET Not used IC 11/20, 0 to 10 V (X632/A 20, 0 to 10 V) 䊱䊲 O: CPU2_PV_DET Detuning, venous pressure IC 11/20, 0 to 10 V (X632/C 18, 1 to 9 V) 䊱䊲 O: CPU2_PA_DET Detuning, arterial pressure IC 11/19, 0 to 10 V (X632/A 17, 4 to 7 V) 䊱䊲 O: CPU2_COND_DET Detuning, CD display IC 11/19, 0 to 10 V (X632/A 21, 0 to 10 V) 5-20 Fresenius Medical Care 4008 4/08.03 (TM) 5.9 Writing the digital outputs of CPU I Explanation: UF Rate display: 0000 = not active 1111 = active (P.C.B. LP 634 level) (can be changed with: 4008/E/B: ▲▼ UF Rate, 4008 H/S: +/–) CPU1: WR DIGIT. OUTP 䊱䊲 O: CPU1_V33 䊲 Confirm key 䊲 O: CPU1_V24 Valve 24 IC 10/19 䊱䊲 O: CPU1_V24B Valve 24b IC 10/13 䊱䊲 O: CPU1_V26 Valve 26 IC 10/18 䊱䊲 O: CPU1_V130 Valve 130 IC 10/17 䊱䊲 O: CPU1_V30 Valve 30 IC 7/16 䊱䊲 O: CPU1_V31 Valve 31 IC 12/19 䊱䊲 O: CPU1_V32 Valve 33 IC 12/17 䊱䊲 O: CPU1_V34 Valve 34 IC 12/16 䊱䊲 O: CPU1_V35 Valve 35 IC 12/15 䊱䊲 O: CPU1_V36 Valve 36 IC 12/14 䊱䊲 O: CPU1_V37 Valve 37 IC 12/13 䊱䊲 O: CPU1_V38 Valve 38 IC 12/12 䊱䊲 O: CPU1_V41 Valve 41 IC 7/13 (After a short time interval, the valve closes automatically, to prevent the water from overflowing.) Valve 32 IC 12/18 Fresenius Medical Care 4008 4/08.03 (TM) 5-21 䊱䊲 䊱䊲 O: CPU1_V43 O: CPU1_V102 Valve 43 IC 7/15 Valve 102 IC 10/12 (Activation of the valve is possible only if a mandatory rinse is not requested.) 䊱䊲 O: CPU1_V84 䊱䊲 Valve 84 IC 7/18 Note: After the valve V84 has been activated, rinsing is mandatory. O: CPU1_V104 Valve 104 IC 7/14 (Activation of the valve is possible only if a mandatory rinse is not requested.) 䊱䊲 䊱䊲 O: CPU1_V86 Valve 86 IC 7/17 O: CPU1_V126 Not used 䊱䊲 䊱䊲 O: CPU1_V87 O: CPU1_V145 Valve 87 IC 10/15 Not used 䊱䊲 䊱䊲 O: CPU1_V91 O: CPU1_V147 Valve 91 IC 10/14 Note: When exiting this menu option (return to „CPU1: WR DIGIT. OUTP“) the valve will be closed. Not used 䊱䊲 O: CPU1_V172 Not used 䊱䊲 䊱䊲 O: CPU1_V99 O: CPU1_V173 Valve 99 IC 7/19 Note: When exiting this menu option (return to „CPU1: WR DIGIT. OUTP“) the valve will be closed. Not used 䊱䊲 O: CPU1_AIR_SEP_PUMP Air separation pump IC 4/18, 19 (1111: clockwise) Note: When exiting the menu option, the ASP stops 䊱䊲 O: CPU1_V100 Valve 100 IC 4/17 Note: When exiting this menu option (return to „CPU1: WR DIGIT. OUTP“) the valve will be closed. 5-22 Fresenius Medical Care 4008 4/08.03 (TM) 䊱䊲 O: CPU1_STOP_EP Stopping of the degassing pump IC 4/16 䊱䊲 O: CPU1_STOP_FP Stopping of the flow pump IC 4/15 䊱䊲 O: CPU1_SET_UF1_ON Activation of UF pump 1 IC 4/14 (0/1 jump = 1 stroke) 䊱䊲 O: CPU1_SET_UF2_ON Activation of UF pump 2 IC 4/13 (0/1 jump = 1 stroke) 䊱䊲 O: CPU1_SET_EN_UF2 Not used IC 4/12 䊱䊲 O: CPU1_SET_FLOW_ON Flow on Dataword to Gal 23: 0000 0010 (active, V 32 open) 0000 0011 (inactive, V 31, 32 open) 䊱䊲 O: CPU1_SET_FILL_PRG Fill program Dataword to Gal 23: 0000 1010 (V 32, 34 open) 䊱䊲 O: CPU1_EMPTIING_PRG Emptying program: Dataword to Gal 23: 0001 0010 (V 32, 35 open) 䊱䊲 O: CPU1_FILL_ONE_CHAM Filling of a balancing chamber compartment Dataword to Gal 23: 0100 0010 (V 32, 37 open) 䊱䊲 O: CPU1_EMPTY_ONE_CHA Emptying of a balancing chamber compartment Dataword to Gal 23: 1100 0010 (V 32, 37, 38 open) 䊱䊲 O: CPU1_CO:L:XXXXXXXX Step number of concentrate pump The dataword to IC 2 is indicated on the alphanumeric display and can be changed by pressing the UF Rate UP/ DOWN keys. Prerequisite: reed contact of concentrate connector open 䊱䊲 O: CPU1_BI_L:XXXXXXXX Step number of bicarbonate pump Prerequisite: reed contact of bicarbonate connector open 䊱䊲 O: CPU1_ALARM_SOUND Alarm tone IC 5/18, 19 set to 1: active 䊱䊲 O: CPU1_WARN_SOUND Warning tone IC 5/18 set to 1, 19 to 0: active 䊱䊲 O: CPU1_INFO_SOUND Infosound IC 5/18 set to 0, 19 to 1: active 䊱䊲 O: CPU1_CLK_OVERLAP Changeover of dead time of balancing chamber IC 5/17 set to 0: 1 kHz; to 1: 2 Hz Fresenius Medical Care 4008 4/08.03 (TM) 5-23 䊱䊲 䊱䊲 O:CPU1_EN_IN_PULSE O: CPU1_CPU_OFF Changeover, “Eigentakt” IC 5/16 set to 0: “Eigentakt”; to 1: changover current rise Automatic switchoff IC 13/18 In position 1, the machine switches off 䊱䊲 䊱䊲 O: CPU1_BC_PULSE O: CPU1_EN_PF_AT Balancing chamber switching IC 5/15 Release of audible power failure alarm IC 13/17 Preparation: set WD_SET (CPU2: WR DIGIT. OUTP) Check: with EN_PF_AT set to 0/1, the power failure alarm can be switched on/off 䊱䊲 O: CPU1_EN_STEP_PULS Gal changeover IC 5/14 䊱䊲 䊱䊲 O: CPU1_PIC_RA3 O: CPU1_BC_FUNCTION Not used IC 13/16 Activation of balancing chamber gal IC 5/13 䊱䊲 䊱䊲 O: CPU1_PROG_LOG1 O: CPU1_STEPPER_PULS Program logic 1, HDF pump IC 13/14 (0: speed 200; 1: speed 400) “Eigentakt” IC 5/12 䊱䊲 䊱䊲 O: CPU1_FL_SWITCH_EN O: CPU1_PROG_LOG2 V41 release IC 7/12 Check: Set level to 1 and float switch down: V 41 open Set level to 0 and float switch down: V 41 closed Program logic 2, HDF pump IC 13/13 (0: speed 200; 1: speed 150) 䊱䊲 O: CPU1_VENT_VALVE LD vent valve IC 13/12 䊱䊲 O: CPU1_SNST Single needle control IC 13/19 Preparation: LD alarm-free and set CLAMP_CTRL (CPU1: WR DIGIT. OUTP) to 1 Check: SNST set to 1: as soon as the SN changeover pressure is reached, the venous blood pump is running 5-24 Fresenius Medical Care 4008 䊱䊲 O: CPU1_LOG_42 4/08.03 (TM) Not used IC 11/19 䊱䊲 䊱䊲 O: CPU1_CLR_ALARM O: CPU1_BPSST_ART Clearing of the alarm IC 11/18 Check: generate a heparin pump alarm; by setting CLR_ALARM from 0 to 1, the alarm is cleared. Arterial blood pump system stop IC 6/18 䊱䊲 O: CPU1_CLAMP_CTRL LD clamp control IC 6/17 Preparation: LD in no alarm state 䊱䊲 O: CPU1_HOT_RINSE 䊱䊲 Changeover, hot rinsing IC 11/17 O: CPU1_BPST_VEN 䊱䊲 Special control of the venous blood pump IC 6/16 O: CPU1_TEST_BATT Battery test IC 11/16 䊱䊲 䊱䊲 O: CPU1_BPSST_VEN Venous blood pump system stop IC 6/15 Preparation: Set SNST (CPU1: WR DIGIT. OUTP) to 1 Check: apply pressure to the SN blood pump; with BPSST_VEN, the blood pump can be switched on/off. O: CPU1_CPU_AKKU Battery relay IC 11/15 䊱䊲 O: CPU1_HEAT_OFF Heater blocking IC 11/14 䊱䊲 O: CPU1_BL_ALARM 䊱䊲 Changeover, blood pump rate Single needle/HDF IC 6/14 O: CPU1_STAFF_CALL Staff call IC 11/13 䊱䊲 䊱䊲 O: CPU1_TL_YELLOW O: CPU1_TL_RED Traffic light red IC 11/12 (The pertinent status indicator on the front panel lights simultaneously.) 䊱䊲 O: CPU1_BPST_ART Special control of the arterial blood pump IC 6/19 Traffic light yellow IC 6/13 (The pertinent status indicator on the front panel lights simultaneously.) 䊱䊲 O: CPU1_TL_GREEN Traffic Light green IC 6/12 The pertinent status indicator on the front panel lights simultaneously. Fresenius Medical Care 4008 4/08.03 (TM) 5-25 䊱䊲 O: PUMP FASTER 4008 H/S: 䊱䊲 O: CPU1_ACKN_BL_ALARM Not used O: CPU1_BP_FASTER Increase blood pump rate + (RCU 4008) LP 649/X4.4; LP 635/X4.4; LP 922/X5.4; LP 924/X6.4 䊱䊲 O: CPU1_DISPLAY_TEST All LED indicators are tested. The display on the UF monitor counts from 1 to 0. 䊱䊲 O: PUMP SLOWER 4008 H/S: O: CPU1_BP_SLOWER 䊱䊲 back to menu ? Decrease blood pump rate – (RCU 4008) LP 649/X4.5; LP 635/X4.5; LP 922/X5.5; LP 924/X6.5 䊲 Confirm key 䊱䊲 O: CPU1_OVERLAP_VALUE 䊲 CPU1: WR DIGIT. OUTP Charging of the dead time counter IC 3/12 to 19 (DAC adjustable from 0 to 255) 䊱䊲 O: CPU1_V_ADS Not used 䊱䊲 O: CPU1_NC_I Not used 䊱䊲 O: CPU1_NC_II Not used 䊱䊲 O: CPU1_NC_III Not used 䊱䊲 O: CPU1_ACKN_FLOW Not used 5-26 Fresenius Medical Care 4008 4/08.03 (TM) 5.10 Writing the digital outputs of CPU II Explanation: UF Rate display: 0000 = not active 1111 = active (P.C.B. LP 632 level) (can be changed with: 4008/E/B: ▲▼ UF Rate, 4008 H/S: +/–) 䊱䊲 CPU2: WR DIGIT. OUTP O: CPU2_UF_P_CTRL 䊲 Activation of UF pump IC 24/14, 0/1 level change = 1 stroke Preparation: set CPU2_UF_P_EN to 1. Confirm key 䊲 O: CPU2_WD_RES Watchdog reset IC 24/18 Preparation: Set WD_SET (CPU2: WR DIGIT. OUTP) to 0, then to 1 again. Check: Briefly set WD_RES to 0; upon reset to 1, the WD relay is connected. 䊱䊲 O: CPU2_UF_P_EN Release of UF pumps IC 24/13 䊱䊲 O: CPU2_CPU2_ALARM 䊱䊲 Release of the alarm tone by CPU II IC 24/12 O: CPU2_WD_SET Watchdog set IC 24/17 Watchdog relay drops out, 24 V switched off, audible signal is sounded. To clear the alarm, turn the machine off and on again. Otherwise calibration impossible. 䊱䊲 Release of V24b IC 24/15 Preparation: switch on V 24B (CPU1: WR DIGIT. OUTP). Check: switch the valve on/off with V 24B_EN. Activation of UF-Pump 2 IC 24/11, 0/1 level change = 1 stroke Preparation: set CPU2_UF_P_EN to 1. O: CPU2_4066_ENABLE_1 Release of V 24 IC 24/16 Preparation: V 24 Switch on (CPU1: WR DIGIT. OUTP). Check: switch the valve on/off with V 24_EN. O: CPU2_V24B_EN O: CPU2_UF_P2_CTRL 䊱䊲 O: CPU2_V24_EN 䊱䊲 䊱䊲 Analog switch for P_ADS_DET IC 20/13 (X632/A20) 䊱䊲 O: CPU2_4066_ENABLE_2 Analog switch for +10-V reference voltage IC 27/5 䊱䊲 O: CPU2_4066_ENABLE_3 Analog switch for PV_DET IC 20/6 (X632/C18) Fresenius Medical Care 4008 4/08.03 (TM) 5-27 䊱䊲 䊱䊲 O: CPU2_4066_ENABLE_4 O: CPU2_CLAMP_CTRL Analog switch for PA_DET IC 20/12 (X632/A17) Clamp control, air detector X632/C10 Preparation: LD in no alarm state 䊱䊲 䊱䊲 O: CPU2_4066_ENABLE_5 O: CPU2_NC5 Analog switch, not used IC 27/13 Not used X632/B25 䊱䊲 䊱䊲 O: CPU2_4066_ENABLE_6 O: CPU2_NC7 Analog switch for COND_DET IC 20/5 (X632/A21) Not used X632/B10 䊱䊲 䊱䊲 O: CPU2_4066_ENABLE_7 O: CPU2_BLL_DET Analog switch for BLL_DIM IC 27/6 Detuning of blood leak detector X632/A25 䊱䊲 䊱䊲 O: CPU2_4066_ENABLE_8 O: CPU2_SN_EN Analog switch for BLL IC 27/12 Release of single needle X632/C19 䊱䊲 䊱䊲 O: CPU2_SN_ART O: CPU2_NC10 Single needle control, arterial X632/A15 Not used X632/B4 䊱䊲 䊱䊲 O: CPU2_LDSA O: CPU2_V26 Attenuation of LD ultrasonic sensor X632/C16 Preparation: LD alarm-free and set CLAMP_CTRL (CPU1: WR DIGIT. OUTP) to 1. Check: by setting LDSA to 1, the clamp at the LD closes. Valve 26 X632/A6 䊱䊲 O: CPU2_V42 Not used X632/C4 䊱䊲 䊱䊲 O: CPU2_ODSA Attenuation of LD optical sensor X632/C15 5-28 Fresenius Medical Care 4008 O: CPU2_V43 Valve 43 X632/C5 4/08.03 (TM) 䊱䊲 䊱䊲 O: CPU2_LED6 O: CPU2_VENT_DSAFE Vent valve, Diasafe X632/B5 P.C.B. LP 632, LED 6 IC 21/14 䊱䊲 䊱䊲 O: CPU2_LED7 O: CPU2_EM_HEAT_OFF Heater relay X632/A9 For safety reasons, the relay switches off again after having been activated. P.C.B. LP 632, LED 7 IC 21/13 䊱䊲 O: CPU2_LED8 䊱䊲 O: CPU2_NC8 Not used X632/B9 P.C.B. LP 632, LED 8 IC 21/12 䊱䊲 back to menu ? 䊱䊲 O: CPU2_NC9 X632/C6 IC 29/13 䊱䊲 䊲 Confirm key 䊲 CPU2: WR DIGIT. OUTP O: CPU2_LED1 P.C.B. LP 632, LED 1 IC 21/19 䊱䊲 O: CPU2_LED2 P.C.B. LP 632, LED 2 IC 21/18 䊱䊲 O: CPU2_LED3 P.C.B. LP 632, LED 3 IC 21/17 䊱䊲 O: CPU2_LED4 P.C.B. LP 632, LED 4 IC 21/16 䊱䊲 O: CPU2_LED5 P.C.B. LP 632, LED 5 IC 21/15 Fresenius Medical Care 4008 4/08.03 (TM) 5-29 5.11 Writing/Reading the digital outputs of CPU I Explanation: UF Volume display: UF Rate display: Acknowledgement/input (in case of 1111, the three status LEDs of the traffic light are also illuminated) Activation/output (can be changed with: 4008/E/B: ▲▼ UF Rate, 4008 H/S: +/–) 䊱䊲 CPU1: COMBINATION CPU 1_COMBI: V104 䊲 Valve 104 Activation, P.C.B. LP 634/IC 7/14 Acknowledgement, P.C.B. LP 633/IC 21/5 (Activation of the valve is possible only if a mandatory rinse is not requested) Confirm key 䊲 CPU 1_COMBI: V24 Valve 24 Activation, P.C.B. LP 634/IC 10/19 Acknowledgement, P.C.B. LP 633/ IC 13/5 䊱䊲 CPU 1_COMBI: UF1_PUMP UF pump 1 Activation, P.C.B. LP 634/IC 4/14 Acknowledgement, P.C.B. LP 633/IC 13/6 (when setting from 0 to 1 = 1 stroke; acknowledgement is a brief change to 1) 䊱䊲 CPU 1_COMBI: V24B Valve 24b Activation, P.C.B. LP 634/IC 10/13 Acknowledgement, P.C.B. LP 633/ IC 13/4 䊱䊲 䊱䊲 CPU 1_COMBI: AIR_SEP CPU 1_COMBI: V26 Switching the ASP on/off Valve 26 Activation, P.C.B. LP 634/IC 10/18 Acknowledgement, P.C.B. LP 633/ IC 13/3 䊱䊲 back to menu ? 䊱䊲 䊲 Confirm key CPU 1_COMBI: V43 Valve 43 Activation, P.C.B. LP 634/IC 7/15 Acknowledgement, P.C.B. LP 633/ IC 13/2 䊲 CPU 1: COMBINATION 䊱䊲 CPU 1_COMBI: V102 Valve 102 Activation, P.C.B. LP 634/IC 10/12 Acknowledgement, P.C.B. LP 633/ IC 21/4 (Activation of the valve is possible only if a mandatory rinse is not requested) 5-30 Fresenius Medical Care 4008 4/08.03 (TM) 5.12 ONLINEplus™ module ON-LINE-PLUS-MODUL READ INPUTS ▲▼ Confirm key ▲▼ Confirm key Confirm key back to menu ? ▲▼ back to menu ? Confirm key READ DIGITAL INPUTS ▲▼ WRITE OUTPUTS Confirm key READ ANALOG INPUTS Confirm key ▲▼ Confirm key ▲▼ WRITE ANALOG OUTPUTS Confirm key not yet implemented Confirm key A: ONL+_ONL1 (V193) ▲▼ WRITE DIGITAL OUTPUTS P.C.B. LP 785 X1/6a valve Online 1 V193 ▲▼ back to menu ? ▲▼ Confirm key ▲▼ A: ONL+_ONL2 (V192) P.C.B. LP 785 X1/7a valve Online 2 V192 ▲▼ A: ONL+_ONL3 (V191) P.C.B. LP 785 X1/8a valve Online 3 V191 ▲▼ back to menu ? Fresenius Medical Care 4008 4/08.03 (TM) Confirm key 5-31 5-32 Fresenius Medical Care 4008 4/08.03 (TM) Table of contents 6 Setup menu Section Page 6.1 Overview Setup menu settings ................................................................................... 6-3 6.2 Overview ........................................................................................................................ 6-7 6.3 Main menu 4008 E/B Rev. 5.2 ...................................................................................... 6-9 6.4 Main menu 4008 H/S Rev. 4.3 ...................................................................................... 6-35 Fresenius Medical Care 4008 4/08.03 (TM) 6-1 6-2 Fresenius Medical Care 4008 4/08.03 (TM) 6.1 Overview Setup menu settings Menu item SET ALARM/WARN TIME Menu item Submenu Default value Value range Resolution 1 sec Set ART-AL DELAYTIME 5 sec 0 – 5 sec Set VEN-AL DELAYTIME 5 sec 0 – 5 sec 1 sec Set FLOW-OFF W-TIME 30 min 30 – 60 min 15 min Set UF-WARNING-TIME 10 min 10/30 min 20 min Set MUTE-TIME 1 min 1 – 2 min 1 min Submenu Default value Value range Resolution Rinsing TIME 15 min 5 – 30 min 1 min Hotrinse TIME 15 min 15 – 30 min 1 min Disinfection TIME 10 min 10 – 20 min 1 min Rinsing Free TIME CPU1: DIP switch array 1, SW8 set to OFF (Test flow 800 ml/min) 3 min 3 – 10 min for CDS: 5 min 5 – 10 min 1 min CPU1: DIP switch array 1, SW8 set to ON (Test flow 500 ml/min) 4 min 4 – 10 min for CDS: 6 min 6 – 10 min 1 min Hot-Disinf TIME 10 min 1 min Mandatory Rinse TIME CPU1: DIP switch array 1, SW8 set to OFF (Test flow 800 ml/min) 15 min 15 – 30 min for ON-LINE-HDF: 20 min 20 – 30 min for ONLINEplus ™: 17 min 17 – 30 min SETUP CLEANING PGM CLEANING Times 10 – 20 min CPU1: DIP switch array 1, SW8 set to ON (Test flow 500 ml/min) 15 min 15 – 30 min for ON-LINE-HDF: 20 min 20 – 30 min for ONLINEplus ™: 20 min 20 – 30 min CITRO-Mandat-Ri-Time CPU1: DIP switch array 1, SW8 set to OFF (Test flow 800 ml/min) 10 min 10 – 25 min for ON-LINE-HDF: 20 min 20 – 25 min for ONLINEplus ™: 17 min 17 – 25 min CPU1: DIP switch array 1, SW8 set to ON (Test flow 500 ml/min) 10 min 10 – 25 min for ON-LINE-HDF: 20 min 20 – 25 min for ONLINEplus ™: 20 min 20 – 25 min INTEGRATED-HR Time 15 min 15 – 40 min 1 min 1 min 1 min 1 min 1 min 1 min 1 min 1 min 1 min 1 min 1 min 1 min 1 min 1 min 1 min Continued on the next page Fresenius Medical Care 4008 4/08.03 (TM) 6-3 Menu item Submenu Default value Selectable options RINSE Pgm PGM 1: –R– PGM 1: –R– PGM 2: –R– endless HOTRINSE Program PGM 1: –F–HR–C– PGM 1: –F–HR–C– PGM 2: –F–HR– PGM 3: –IHR– PGM 4: –IHR–C– DISINFECTION Pgm PGM 2: –F–HDIS–M– PGM 1: –F–D–M– PGM 2: –F–HDIS–M– PGM 3: –F–D–M–HR– PGM 4: –F–HDIS–M–HR– PGM 1: –R– PGM 1: –R– PGM 2: –R– endless PGM 1: –F–HR–C– PGM 2: –F–HR– PGM 3: –IHR– PGM 4: –IHR–C– PGM 1: –F–D–M– PGM 2: –F–HDIS–M– PGM 3: –F–D–M–HR– PGM 4: –F–HDIS–M–HR– Default value Selectable options 1+34 1+34 1+35.83 ( NaCl 20 ) 1+35.83 ( NaCl 26 ) 1+35.83 ( Belgium ) 1+44 C 1+44 ACF VARIABLE SETTING SETUP CLEANING PGM (Continued) Pgm COMBINATION only for 4008 E/B DEFAULT Cleaning Pgm only for 4008 E/B Menu item Submenu SETUP DILUTION Default value Value range Resolution VARIABLE SETTING – – – – 0.800 – 2.500 30.000 – 45.000 25 – 45 25 – 80 0.001 0.001 1 1 Submenu Default value Selectable options HDF-DILUTION only for ON-LINE-HDF (option) HDF–PRE–dilution HDF–PRE–dilution HDF–POST–dilution Menu item Submenu Default value Value range Resolution SET CONDUCT. LIMIT Cd Limit: 12.8 mS/cm 12.8 mS/cm 12.8 – 14.0 mS/cm 0.1 mS/cm Menu item Submenu Default value Selectable options Info-Sound: ON Info-Sound: ON Info-Sound: OFF Menu item INFO SOUND ( C-PGM ) Menu item Submenu Default value Value range Resolution SET Flow Parameter Flow[ml/min]: 500 500 ml/min 300 / 500 / 800 ml/min or value set in Dial SET Temp. Parameter Temp.[ °C]: 37.0 37 °C 35 – 39 °C or value set in Dial 0.5 °C SET Na/Bic Parameter Base Na+ 135mmol 135 mmol 125 – 150 mmol or value set in Dial 1 mmol Prescr. Na+ 135mmol 135 mmol 125 – 150 mmol 1 mmol (±13 mmol around the basic value) Bicarbonate ±0mmol 0 mmol –8 to +8 mmol or value set in Dial Limit Na/Base: 13 mmol only for 4008 H/S 13 mmol 0 – 13 mmol 1 mmol however prescribed Na+ , Base Na+ SET DIAL PARAMETERS 6-4 Fresenius Medical Care 4008 4/08.03 (TM) 1 mmol Menu item Submenu DIALYSIS TIME only for 4008 E/B Menu item Submenu CALC.CUMUL.BLOOD-VOL Menu item Submenu Default value Selectable options Effect. dialysis time Effect. dialysis time UF time Default value Selectable options during seq DIAL: YES during seq DIAL: YES during seq DIAL: NO Default value Selectable options HAEMOGLOBIN UNIT only for BVM (option) and 4008 H/S g/dl g/dl mmol/l Menu item Default value Selectable options OCM Measurement: OFF OCM Measurement: OFF OCM Measurement: ON Submenu OCM SETTINGS OCM MEASUREMENT only for OCM (option) and 4008 H/S OCM ZERO MEASUREMENT OCM Zero Measure:ON Default value OCM MEASURE DEL.TIME Menu item Resolution 1 sec 4008 H with ONLINEplus ™: 65 sec 1 – 70 sec 1 sec 4008 S with advanced hydraulics: 18 sec 1 – 70 sec 1 sec 1 sec OCM CLR CORR FACTOR 1.000 0.001 OCM BASELINE DIFF. 0.015 mS/cm 0.001 – 0.5 mS/cm 0.001 mS/cm OCM INTEGRAL VALUE 55 20 – 120 1 OCM KT/V WARNLEVEL 85 % 0 – 99 % 1% Submenu Default value Selectable options autom. SN: OFF autom. SN: OFF autom. SN: ON Default value Selectable options MONIT_NTC109: YES MONIT_NTC109: YES MONIT_NTC109: NO Default value Selectable options std UF-DATA: NO std UF-DATA: NO std UF-DATA: YES Submenu ACTIV. MONIT_NTC109 Menu item Value range 4008 H with advanced hydraulics: 15 sec 1 – 70 sec 4008 S with ONLINEplus ™: 67 sec 1 – 70 sec AUTOM. SN-START Menu item OCM Zero Measure:ON OCM Zero Measure:OFF Submenu ACTIV. STD UF-DATA 0.500 – 1.200 Menu item Submenu Default value Value range Resolution SET STD. PRIME-TIME Prime-Time = 2min 2 min 1 – 5 min 1 min Menu item Submenu Default value Selectable options I/O-Warnsound: ON I/O-Warnsound: ON I/O-Warnsound: OFF Default value Selectable options key-click: ON key-click: ON key-click: OFF SOUND I/O-SWITCH Menu item SET KEY-CLICK only for 4008 H/S Submenu Fresenius Medical Care 4008 4/08.03 (TM) 6-5 Menu item Submenu BPR/UFR-WARNING Default value Selectable options BPR/UFR-Warning: ON BPR/UFR-Warning: ON BPR/UFR-Warning: OFF Menu item Submenu Default value Value range Resolution SET RINSE-VOLUME RINSE-VOL: 1000 ml 1000 ml 0 – 5000 ml 100 ml Menu item Submenu Default value Selectable options T1-T. Autostart: OFF T1-T. Autostart: OFF T1-T. Autostart: ON T1-TEST AUTOSTART Menu item Submenu Default value Value range Resolution ONLINE plus HD SET UF-Volume F/R 0 ml 0 – 1000 ml 100 ml SET Rinsing Volume 1000 ml 0 – 5000 ml 100 ml ONLINE plus HDF SET UF-Volume F/R 500 ml 0 – 1000 ml 100 ml SET Rinsing Volume 1000 ml 0 – 5000 ml 100 ml ONLINE plus SETTINGS only for ONLINEplus ™ (option) ONLINE plus HF ONLINE plus MISC. Menu item SET CENTRAL-DELIVERY SET Substit.-Volume 12 l 0 – 210 l 1l SET UF-Volume F/R 1000 ml 0 – 5000 ml 100 ml SET Rinsing Volume 1000 ml 0 – 5000 ml 100 ml SET Substit.-Volume 20 l 0 – 210 l 1l SET Reinf.-Volume 240 ml 90 – 480 ml 30 ml Submenu Default value Selectable options NO central-delivery NO central-delivery central Bic central Acid central Acid + Bic centr acetate-supply Menu item Adjustment STORE DEFAULT VALUES Press OVERRIDE only for 4008 E/B Press ALARMTONE MUTE only for 4008 H/S 6-6 Fresenius Medical Care 4008 4/08.03 (TM) 6.2 Overview CALIBRATION ▲▼ DIAGNOSTICS ▲▼ MISCELLANEOUS ▲▼ SETUP MENU Confirm key ▲▼ Fresenius Medical Care 4008 4/08.03 (TM) 6-7 6-8 Fresenius Medical Care 4008 4/08.03 (TM) 6.3 Main menu 4008 E/B Rev. 5.2 SETUP MENU Confirm key SET ALARM/WARN TIME Confirm key see Part 1 ▲▼ SETUP CLEANING PGM see Part 2 Confirm key see Part 3 see Part 4 (optional) Confirm key see Part 5 see Part 6 Confirm key see Part 7 see Part 8 ▲▼ see Part 13 SOUND I/O-SWITCH Confirm key see Part 14 BPR/UFR-WARNING Confirm key see Part 15 SET RINSE-VOLUME Confirm key see Part 16 T1-TEST AUTOSTART Confirm key see Part 17 ONLINE plus SETTINGS Confirm key see Part 18 (optional) Confirm key see Part 19 Confirm key see Part 20 ▲▼ Confirm key see Part 9 SET CENTRAL-DELIVERY ▲▼ ▲▼ AUTOM. SN-START Confirm key ▲▼ Confirm key ▲▼ CALC.CUMUL.BLOOD-VOL SET STD. PRIME-TIME ▲▼ ▲▼ DIALYSIS TIME see Part 12 ▲▼ Confirm key ▲▼ SET DIAL PARAMETERS Confirm key ▲▼ ▲▼ INFO SOUND ( C-PGM ) ACTIV. STD UF-DATA ▲▼ Confirm key ▲▼ SET CONDUCT. LIMIT see Part 11 ▲▼ ▲▼ HDF-DILUTION Confirm key ▲▼ Confirm key ▲▼ SETUP DILUTION ACTIV. MONIT_NTC109 Confirm key see Part 10 STORE DEFAULT VALUES ▲▼ BACK TO MAIN MENU ? Confirm key ▲▼ Fresenius Medical Care 4008 4/08.03 (TM) 6-9 ● Part 1: Set alarm and warning time SET ALARM/WARN TIME Confirm key Set ART-AL DELAYTIME Confirm key see Part 1.1 Confirm key see Part 1.2 Confirm key see Part 1.3 Confirm key see Part 1.4 Confirm key see Part 1.5 ▲▼ Set VEN-AL DELAYTIME ▲▼ Set FLOW-OFF W-TIME ▲▼ Set UF-WARNING-TIME ▲▼ Set MUTE-TIME ▲▼ back to menu ? Confirm key ▲▼ ● Part 1.1: Set the delay time of the arterial alarm Set ART-AL DELAYTIME Confirm key Art Al Delay = 5s Select key Set the desired delay time (0 to 5 sec) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 1.2: Set the delay time of the venous alarm Set VEN-AL DELAYTIME Confirm key Ven Al Delay = 5s Select key Set the desired delay time (0 to 5 sec) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec 6-10 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 1.3: Set the flow-off warning time Set FLOW-OFF W-TIME Confirm key Flow-Off-T = 30min Select key Set the desired warning time (30, 45, 60 min) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 1.4: Set the UF warning time Set UF-WARNING-TIME Confirm key UF-Warn-Time = 10min Select key Set the desired warning time (10, 30 min) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 1.5: Set the mute time Set MUTE-TIME Confirm key MUTE-TIME = 1min Select key Set the desired time (1, 2 min) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-11 ● Part 2: Set up the cleaning program SETUP CLEANING PGM Confirm key CLEANING Times Confirm key see Part 2.1 Confirm key see Part 2.2 ▲▼ Pgm COMBINATION ▲▼ Confirm key back to menu ? ▲▼ ● Part 2.1: Cleaning times ☞ Note The default values and the adjustable range for the cleaning times are not indicated, as they depend on the particular machine options. CLEANING Times Confirm key Rinsing TIME Confirm key see Part 2.1.1 Confirm key see Part 2.1.2 Confirm key see Part 2.1.3 Confirm key see Part 2.1.4 Confirm key see Part 2.1.5 Confirm key see Part 2.1.6 Confirm key see Part 2.1.7 Confirm key see Part 2.1.8 ▲▼ Hotrinse TIME ▲▼ Disinfection TIME ▲▼ Rinsing Free TIME ▲▼ Hot-Disinf TIME ▲▼ Mandatory Rinse TIME ▲▼ CITRO-Mandat-Ri-Time ▲▼ INTEGRATED-HR Time ▲▼ back to menu ? Confirm key ▲▼ 6-12 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 2.1.1: Rinsing time Rinsing TIME Confirm key Rinsing Time = xxmin Select key Set the desired time by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 2.1.2: Hot rinsing time Hotrinse TIME Confirm key H-Rinse Time = xxmin Select key Set the desired time by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 2.1.3: Disinfection time Disinfection TIME Confirm key Disinf. Time = xxmin Select key Set the desired time by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-13 ● Part 2.1.4: Rinsing free time Rinsing Free TIME Confirm key R.-Free Time = xmin Select key Set the desired time by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 2.1.5: Hot disinfection time Hot-Disinf TIME Confirm key H-Disinf Time = xxmin Select key Set the desired time by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 2.1.6: Mandatory rinse time Mandatory Rinse TIME Confirm key M-Rinse Time = xxmin Select key Set the desired time by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec 6-14 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 2.1.7: Citro mandatory rinse time CITRO Mandat-Ri-Time Confirm key CITRO-MRTime = xxmin Select key Set the desired time by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 2.1.8: Integrated hot rinse time INTEGRATED-HR Time Confirm key INT. HR-Time = xxmin Select key Set the desired time by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-15 ● Part 2.2: Cleaning program combination Pgm COMBINATION Confirm key Rinse Pgm Confirm key see Part 2.2.1 Confirm key see Part 2.2.2 Confirm key see Part 2.2.3 ▲▼ HOTRINSE Program ▲▼ DISINFECTION Pgm ▲▼ back to menu ? Confirm key ▲▼ 6-16 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 2.2.1: Rinse program Rinse Pgm Confirm key PGM 1 : –R– ▲▼ PGM 2: –R– endless ▲▼ Override key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Select key Override key Select key ● Part 2.2.2: Hot rinse program HOTRINSE Program Confirm key PGM 1 : –F–HR–C– ▲▼ PGM 2 : –F–HR– ▲▼ PGM 3: –IHR– ▲▼ PGM 4: –IHR–C– ▲▼ Override key Select key Override key Select key Override key Select key Override key Select key ● Part 2.2.3: Disinfection program DISINFECTION Pgm Confirm key PGM 2: –F–HDIS–M– ▲▼ PGM3: –F–D–M–HR– ▲▼ PGM4: –F–HDIS–M–HR– ▲▼ PGM1: –F–D–M– ▲▼ Override key Select key Override key Select key Override key Select key Override key Select key Fresenius Medical Care 4008 4/08.03 (TM) 6-17 ● Part 3: Dilution SETUP DILUTION Confirm key Override key 1+34 ▲▼ 1+35.83 ( NaCl 20 ) ▲▼ 1+35.83 ( NaCl 26 ) ▲▼ 1+35.83 ( Belgium ) ▲▼ ▲▼ Override key ▲▼ VARIABLE SETTING DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Select key Override key Select key Override key Select key Select key Override key 1+44 ACF After approx. 3 sec Select key Override key 1+44 C DATA STORED Select key Confirm key see Part 3.1 ▲▼ 6-18 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 3.1: Programmable mixing ratio (dilution) Caution The operator or technician is informed about his duty of care to enter the component parameters and settings correctly or to check them and to set the CD alarm window to the expected conductivity value. When using the programmable mixing ratio (dilution), make sure to use the right concentrate. Using a bibag® in combination with the programmable mixing ratio (dilution) is not allowed. Only enter authorized, programmable mixing ratios (dilutions). SETUP DILUTION Confirm key ▲▼ VARIABLE SETTING Confirm key B-Comp[part] : 0.800 Select key Set the desired value (0.800 – 2.500) by pressing the ▲▼ keys. Override key ACKNOWLEDGED After approx. 3 sec RO[part] : 30.000 Select key Set the desired value (30.000 – 45.000) by pressing the ▲▼ keys. Override key ACKNOWLEDGED After approx. 3 sec HCO3–[mmol]: 25 Select key Set the desired value (25 – 45) by pressing the ▲▼ keys. Override key ACKNOWLEDGED After approx. 3 sec Na(B)[mmol]: 25 Select key Set the desired value (25 – 80) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-19 ● Part 4: Set HDF dilution – only for ON-LINE-HDF (option) HDF-DILUTION Confirm key HDF-PRE-dilution ▲▼ HDF-POST-dilution ▲▼ Override key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Select key Override key Select key ● Part 5: Set conductivity limit SET CONDUCT. LIMIT Confirm key Cd Limit: 12.8 mS/cm Select key Set the desired value (12.8 to 14.0 mS/cm) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 6: Infosound cleaning program INFO SOUND (C-PGM) Confirm key Info-Sound: ON ▲▼ Info-Sound: OFF ▲▼ 6-20 Override key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Select key Override key Select key Fresenius Medical Care 4008 4/08.03 (TM) ● Part 7: Set dialysis parameters SET DIAL PARAMETERS Confirm key SET Flow Parameter Confirm key see Part 7.1 Confirm key see Part 7.2 Confirm key see Part 7.3 ▲▼ SET Temp. Parameter ▲▼ SET Na/Bic Parameter ▲▼ back to menu ? Confirm key ▲▼ ● Part 7.1: Set dialysate flow SET Flow Parameter Confirm key Flow[ml/min]: 500 Select key Set the desired value (300, 500, 800) by pressing the ▲▼ keys. OR Value set in Dial. Override key DATA STORED After approx. 3 sec ● Part 7.2: Set dialysate temperature SET Temp. Parameter Confirm key Temp.[°C]: 37,0 Select key Set the desired value (35.0 – 39.0) by pressing the ▲▼ keys. OR Value set in Dial. Override key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-21 ● Part 7.3: Set Na/Bic SET Na/Bic Parameter Confirm key Base Na+ 135mmol Select key Set the desired value (125 – 150) by pressing the ▲▼ keys. OR Value set in Dial. Override key ACKNOWLEDGED After approx. 3 sec Prescr. Na+ 135mmol Select key Set the desired value (125 – 148) by pressing the ▲▼ keys. Override key ACKNOWLEDGED After approx. 3 sec Bicarbonate ±0mmol Select key Set the desired value (+8 bis –8) by pressing the ▲▼ keys. OR Value set in Dial. Override key DATA STORED After approx. 3 sec 6-22 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 8: Dialysis time DIALYSIS TIME Confirm key Effect Dialysis Time ▲▼ Override key Override key UF-Time ▲▼ DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Select key Select key ● Part 9: Cumulated blood volume CALC.CUMUL.BLOOD-VOL Confirm key during seq DIAL: YES ▲▼ during seq DIAL: NO ▲▼ Override key Select key Override key Select key ● Part 10: Automatic single needle start AUTOM. SN-START Confirm key autom. SN: OFF ▲▼ autom. SN: ON ▲▼ Override key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Select key Override key Select key ● Part 11: Activation of Monit_NTC 109 ACTIV. MONIT_NTC109 Confirm key MONIT_NTC109: YES ▲▼ MONIT_NTC109: NO ▲▼ Override key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Select key Override key Select key Fresenius Medical Care 4008 4/08.03 (TM) 6-23 ● Part 12: Activation of standard UF data ACTIV. STRD UF-DATA Confirm key strd UF-DATA: NO Override key ▲▼ strd UF-DATA: YES Override key After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Select key ▲▼ UF-Rate: UF-Goal: Time Left: DATA STORED Select key 750 ml/h 3000 ml 4h ● Part 13: Set priming time SET STD. PRIME-TIME Confirm key Prime-Time = 2 min Select key Set the desired time (1 to 5 min) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 14: Warning sound I/O key SOUND I/O SWITCH Confirm key I/O-Warnsound: ON ▲▼ I/O-Warnsound: OFF ▲▼ 6-24 Override key Select key Override key Select key Fresenius Medical Care 4008 4/08.03 (TM) ● Part 15: Set BPR/UFR warning BPR/UFR–WARNING Confirm key BPR/UFR–WARNING: ON Override key ▲▼ Select key BPR/UFR–WARNING: OFF Override key ▲▼ Select key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec ● Part 16: Set rinse volume SET RINSE-VOLUME Confirm key Rinse-vol: 1000 ml Select key Set the desired value (0 – 5000 in 100 ml increments) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 17: T1 test autostart T1-TEST AUTOSTART Confirm key T1-T. Autostart: OFF ▲▼ T1-T. Autostart: ON ▲▼ Override key Select key Override key Select key Fresenius Medical Care 4008 4/08.03 (TM) 6-25 ● Part 18: ONLINEplus™ settings – only for ONLINEplus™ (option) ONLINE plus SETTINGS Confirm key ONLINE plus HD Confirm key see Part 18.1 Confirm key see Part 18.2 Confirm key see Part 18.3 Confirm key see Part 18.4 ▲▼ ONLINE plus HDF ▲▼ ONLINE plus HF ▲▼ ONLINE plus MISC. ▲▼ back to menu ? Confirm key ▲▼ 6-26 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 18.1: ONLINEplus™ HD ONLINE plus HD Confirm key SET UF-Volume F/R Confirm key see Part 18.1.1 Confirm key see Part 18.1.2 ▲▼ SET Rinsing Volume ▲▼ back to menu ? Confirm key ▲▼ ● Part 18.1.1: Set UF volume (filling/rinsing) SET UF-Volume F/R Confirm key Volume[ml]: 0 Select key Set the desired value (0 – 1000) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 18.1.2: Set rinse volume SET Rinsing Volume Confirm key Volume[ml]: 1000 Select key Set the desired value (0 – 5000) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-27 ● Part 18.2: ONLINEplus™ HDF ONLINE plus HDF Confirm key SET UF-Volume F/R Confirm key see Part 18.2.1 Confirm key see Part 18.2.2 Confirm key see Part 18.2.3 ▲▼ SET Rinsing Volume ▲▼ SET Substit.-Volume ▲▼ back to menu ? Confirm key ▲▼ ● Part 18.2.1: Set UF volume (filling/rinsing) SET UF-Volume F/R Confirm key Volume[ml]: 500 Select key Set the desired value (0 – 1000) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 18.2.2: Set rinse volume SET Rinsing Volume Confirm key Volume[ml]: 1000 Select key Set the desired value (0 – 5000) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec 6-28 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 18.2.3: Set substituate volume SET Substit.-Volume Confirm key Volume[l]: 12 Select key Set the desired value (0 – 210) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-29 ● Part 18.3: ONLINEplus™ HF ONLINE plus HF Confirm key SET UF-Volume F/R Confirm key see Part 18.3.1 Confirm key see Part 18.3.2 Confirm key see Part 18.3.3 ▲▼ SET Rinsing Volume ▲▼ SET Substit.-Volume ▲▼ back to menu ? Confirm key ▲▼ ● Part 18.3.1: Set UF volume (filling/rinsing) SET UF-Volume F/R Confirm key Volume[ml]: 1000 Select key Set the desired value (0 – 5000) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec ● Part 18.3.2: Set rinse volume SET Rinsing Volume Confirm key Volume[ml]: 1000 Select key Set the desired value (0 – 5000) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec 6-30 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 18.3.3: Set substituate volume SET Substit.-Volume Confirm key Volume[l]: 20 Select key Set the desired value (0 – 210) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-31 ● Part 18.4: ONLINEplus™ miscellaneous ONLINE plus MISC. Confirm key SET Reinf.-Volume Confirm key see Part 18.4.1 ▲▼ back to menu ? Confirm key ▲▼ ● Part 18.4.1: Set reinfusion volume SET Reinf.-Volume Confirm key Volume[ml]: 240 Select key Set the desired value (90 – 480) by pressing the ▲▼ keys. Override key DATA STORED After approx. 3 sec 6-32 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 19: Set parameters for central delivery system SET CENTRAL-DELIVERY Confirm key NO central-delivery ▲▼ Override key Override key central Bic ▲▼ central Acid ▲▼ central Acid + Bic ▲▼ centr acetate-supply ▲▼ DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Select key Select key Override key Select key Override key Select key Override key Select key ● Part 20: Store default values STORE DEFAULT VALUES Confirm key Press OVERRIDE Select key Store the default values by pressing the Override key. DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-33 6-34 Fresenius Medical Care 4008 4/08.03 (TM) 6.4 Main menu 4008 H/S Rev. 4.3 SETUP MENU Confirm key SET ALARM/WARN TIME Confirm key see Part 1 ▲▼ SETUP CLEANING PGM Confirm key see Part 2 see Part 3 see Part 4 (optional) see Part 5 see Part 6 see Part 7 see Part 8 see Part 9 (optional) ▲▼ SOUND I/O-SWITCH Confirm key see Part 15 SET KEY-CLICK Confirm key see Part 16 BPR/UFR-WARNING Confirm key see Part 17 SET RINSE-VOLUME Confirm key see Part 18 T1-TEST AUTOSTART Confirm key see Part 19 ONLINE plus SETTINGS Confirm key see Part 20 (optional) Confirm key see Part 21 Confirm key see Part 22 ▲▼ Confirm key see Part 10 (optional) ▲▼ AUTOM. SN-START see Part 14 ▲▼ Confirm key ▲▼ OCM SETTINGS Confirm key ▲▼ Confirm key ▲▼ HAEMOGLOBIN UNIT SET STD. PRIME-TIME ▲▼ Confirm key ▲▼ CALC.CUMUL.BLOOD-VOL see Part 13 ▲▼ Confirm key ▲▼ SET DIAL PARAMETERS Confirm key ▲▼ Confirm key ▲▼ INFO SOUND ( C-PGM ) ACTIV. STD UF-DATA ▲▼ Confirm key ▲▼ SET CONDUCT. LIMIT see Part 12 ▲▼ Confirm key ▲▼ HDF-DILUTION Confirm key ▲▼ ▲▼ SETUP DILUTION ACTIV. MONIT_NTC109 SET CENTRAL-DELIVERY ▲▼ Confirm key see Part 11 STORE DEFAULT VALUES ▲▼ BACK TO MAIN MENU ? Confirm key ▲▼ Fresenius Medical Care 4008 4/08.03 (TM) 6-35 ● Part 1: Set alarm and warning time SET ALARM/WARN TIME Confirm key Set ART-AL DELAYTIME Confirm key see Part 1.1 Confirm key see Part 1.2 Confirm key see Part 1.3 Confirm key see Part 1.4 Confirm key see Part 1.5 ▲▼ Set VEN-AL DELAYTIME ▲▼ Set FLOW-OFF W-TIME ▲▼ Set UF-WARNING-TIME ▲▼ Set MUTE-TIME ▲▼ back to menu ? Confirm key ▲▼ ● Part 1.1: Set the delay time of the arterial alarm Set ART-AL DELAYTIME Confirm key Art Al Delay = 5s Esc key Set the desired delay time (0 to 5 sec) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 1.2: Set the delay time of the venous alarm Set VEN-AL DELAYTIME Confirm key Ven Al Delay = 5s Esc key Set the desired delay time (0 to 5 sec) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec 6-36 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 1.3: Set flow-off warning time Set FLOW-OFF W-TIME Confirm key Flow-Off-T = 30 min Esc key Set the desired warning time (30, 45, 60 min) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 1.4: Set UF warning time Set UF-WARNING-TIME Confirm key UF-Warn-Time = 10 min Esc key Set the desired warning time (10, 30 min) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 1.5: Set mute time Set MUTE-TIME Confirm key MUTE-TIME = 1 min Esc key Set the desired time (1, 2 min) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-37 ● Part 2: Set up the cleaning program SETUP CLEANING PGM Confirm key CLEANING Times Confirm key see Part 2.1 Confirm key see Part 2.2 ▲▼ DEFAULT CLEANING Pgm ▲▼ back to menu ? Confirm key ▲▼ ● Part 2.1: Cleaning times ☞ Note The default values and the adjustable range for the cleaning times are not indicated, as they depend on the particular machine options. CLEANING Times Confirm key Rinsing TIME Confirm key see Part 2.1.1 Confirm key see Part 2.1.2 Confirm key see Part 2.1.3 Confirm key see Part 2.1.4 Confirm key see Part 2.1.5 Confirm key see Part 2.1.6 Confirm key see Part 2.1.7 Confirm key see Part 2.1.8 ▲▼ Hotrinse TIME ▲▼ Disinfection TIME ▲▼ Rinsing Free TIME ▲▼ Hot-Disinf TIME ▲▼ Mandatory Rinse TIME ▲▼ CITRO-Mandat-Ri-Time ▲▼ INTEGRATED-HR Time ▲▼ back to menu ? Confirm key ▲▼ 6-38 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 2.1.1: Rinsing time Rinsing TIME Confirm key Rinsing Time = xxmin Esc key Set the desired time by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 2.1.2: Hot rinsing time Hotrinse TIME Confirm key H-Rinse Time = xxmin Esc key Set the desired time by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 2.1.3: Disinfection time Disinfection TIME Confirm key Disinf. Time = xxmin Esc key Set the desired time by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-39 ● Part 2.1.4: Rinsing free time Rinsing Free TIME Confirm key R.-Free Time = xmin Esc key Set the desired time by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 2.1.5: Hot disinfection time Hot-Disinf TIME Confirm key H-Disinf Time = xxmin Esc key Set the desired time by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 2.1.6: Mandatory rinse time Mandatory Rinse TIME Confirm key M-Rinse Time = xxmin Esc key Set the desired time by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec 6-40 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 2.1.7: Citro mandatory rinse time CITRO Mandat-Ri-Time Confirm key CITRO-MRTime = xxmin Esc key Set the desired time by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 2.1.8: Integrated hot rinsing time INTEGRATED-HR Time Confirm key INT. HR-Time = xxmin Esc key Set the desired time by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-41 ● Part 2.2: Set Default cleaning program DEFAULT Cleaning Pgm Confirm key Tone Mute key PGM 1: –R– +/– PGM 2: –R– endless +/– PGM 1: –F–HR–C– +/– PGM 2: –F–HR– +/– PGM 3: –IHR– +/– PGM 4: –IHR–C– +/– PGM 1: –F–D–M– +/– PGM 2: –F–HDIS–M– +/– PGM 3: –F–D–M–HR– +/– PGM 4: –F–HDIS–M–HR– +/– 6-42 DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key Tone Mute key Esc key Tone Mute key Esc key Tone Mute key Esc key Tone Mute key Esc key Tone Mute key Esc key Tone Mute key Esc key Tone Mute key Esc key Tone Mute key Esc key Tone Mute key Esc key Fresenius Medical Care 4008 4/08.03 (TM) ● Part 3: Dilution SETUP DILUTION Confirm key Tone Mute key 1+34 +/– 1+35.83 ( NaCl 20 ) +/– 1+35.83 ( NaCl 26 ) +/– 1+35.83 ( Belgium ) +/– Tone Mute key +/– Tone Mute key +/– VARIABLE SETTING DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key Tone Mute key Esc key Esc key Tone Mute key 1+44 ACF After approx. 3 sec Esc key Tone Mute key 1+44 C DATA STORED Esc key Esc key Confirm key see Part 3.1 +/– Fresenius Medical Care 4008 4/08.03 (TM) 6-43 ● Part 3.1: Programmable mixing ratio (dilution) Caution The operator or technician is informed about his duty of care to enter the component parameters and settings correctly or to check them and to set the CD alarm window to the expected conductivity value. When using the programmable mixing ratio (dilution), make sure to use the right concentrate. Using a bibag® in combination with the programmable mixing ratio (dilution) is not allowed. Only enter authorized, programmable mixing ratios (dilutions). SETUP DILUTION Confirm key +/– VARIABLE SETTING Confirm key B-Comp[part]:0.800 Esc key Set the desired value (0.800 – 2.500) by pressing the +/– keys. Tone Mute key ACKNOWLEDGED After approx. 3 sec RO[part] : 30.000 Esc key Set the desired value (30.000 – 45.000) by pressing the +/– keys. Tone Mute key ACKNOWLEDGED After approx. 3 sec HCO3–[mmol]: 25 Esc key Set the desired value (25 – 45) by pressing the +/– keys. Tone Mute key ACKNOWLEDGED After approx. 3 sec Na(B)[mmol]: 25 Set the desired value (25 – 80) by pressing the +/– keys. Tone Mute key ACKNOWLEDGED After approx. 3 sec 6-44 Fresenius Medical Care 4008 4/08.03 (TM) Esc key ● Part 4: Set HDF dilution – only for ON-LINE-HDF (option) HDF-DILUTION Confirm key HDF-PRE-dilution Tone Mute key +/– HDF-POST-dilution DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key Tone Mute key Esc key +/– ● Part 5: Set conductivity limit SET CONDUCT. LIMIT Confirm key Cd Limit: 12.8 mS/cm Esc key Set the desired value (12.8 to 14.0 mS/cm) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 6: Infosound cleaning program INFO SOUND (C-PGM) Confirm key Info-Sound: ON +/– Info-Sound: OFF +/– Tone Mute key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key Tone Mute key Esc key Fresenius Medical Care 4008 4/08.03 (TM) 6-45 ● Part 7: Set dialysis parameters SET DIAL PARAMETERS Confirm key SET Flow Parameter Confirm key see Part 7.1 Confirm key see Part 7.2 Confirm key see Part 7.3 ▲▼ SET Temp. Parameter ▲▼ SET Na/Bic Parameter ▲▼ back to menu ? Confirm key ▲▼ ● Part 7.1: Set dialysate flow SET Flow Parameter Confirm key Flow[ml/min]: 500 Esc key Set the desired value (300, 500, 800) by pressing the +/– keys. OR Value set in Dial Tone Mute key DATA STORED After approx. 3 sec ● Part 7.2: Set dialysate temperature SET Temp. Parameter Confirm key Temp.[°C]: 37,0 Esc key Set the desired value (35.0 – 39.0) by pressing the +/– keys. OR Value set in Dial Tone Mute key DATA STORED After approx. 3 sec 6-46 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 7.3: Set Na/Bic SET Na/Bic Parameter Confirm key Base Na+ 135mmol Esc key Set the desired value (125 – 150) by pressing the +/– keys. OR Value set in Dial Tone Mute key ACKNOWLEDGED After approx. 3 sec Prescr. Na+ 135mmol Esc key Set the desired value (125 – 148) by pressing the +/– keys. Tone Mute key ACKNOWLEDGED After approx. 3 sec Bicarbonate ±0mmol Esc key Set the desired value (+8 to –8) by pressing the +/– keys. OR Value set in Dial Tone Mute key ACKNOWLEDGED After approx. 3 sec Limit Na/Base: 13 mmol Esc key Set the desired value (0 – 13) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-47 ● Part 8: Cumulated blood volume CALC.CUMUL.BLOOD-VOL Confirm key during seq DIAL: YES +/– during seq DIAL: NO +/– Tone Mute key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key Tone Mute key Esc key ● Part 9: Haemoglobin unit – only for BVM (option) HAEMOGLOBIN UNIT Confirm key Tone Mute key g/dl +/– +/– 6-48 After approx. 3 sec DATA STORED After approx. 3 sec Esc key Tone Mute key mmol/l DATA STORED Esc key Fresenius Medical Care 4008 4/08.03 (TM) ● Part 10: OCM settings – only for OCM (option) OCM SETTINGS Confirm key OCM MEASUREMENT Confirm key see Part 10.1 Confirm key see Part 10.2 Confirm key see Part 10.3 Confirm key see Part 10.4 Confirm key see Part 10.5 Confirm key see Part 10.6 Confirm key see Part 10.7 ▲▼ OCM ZERO MEASUREMENT ▲▼ OCM MEASURE DEL.TIME ▲▼ OCM CLR CORR FACTOR ▲▼ OCM BASELINE DIFF. ▲▼ OCM INTEGRAL VALUE ▲▼ OCM KT/V WARNLEVEL ▲▼ back to menu ? Confirm key ▲▼ Fresenius Medical Care 4008 4/08.03 (TM) 6-49 ● Part 10.1: Activate OCM measurement OCM MEASUREMENT Confirm key OCM Measurement: OFF Tone Mute key (default value: +/– OFF) DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key OCM Measurement: ON Tone Mute key Esc key +/– ● Part 10.2: Activate OCM zero measurement ☞ Note If the OCM zero measurement is set to “OFF”, the OCM option is deactivated. If the OCM option is reactivated (“ON”), an OCM pulse calibration must be performed. OCM ZERO MEASUREMENT Confirm key OCM Zero Measure:ON Tone Mute key (default value: +/– ON) OCM Zero Measure:OFF DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key Tone Mute key Esc key +/– ● Part 10.3: Set the OCM measurement delay time OCM MEASURE DEL.TIME Confirm key Delaytime: XX s Esc key Press +/– to set the value indicated in the table on the right (1 – 70 s) DATA STORED After approx. 3 sec Fresenius Medical Care 4008 Time 4008 H with advanced 4008 H hydraulics 4008 H with ONLINEplus™ 15 Sec 4008 S with advanced 4008 S hydraulics 4008 S with ONLINEplus™ Tone Mute key 6-50 System 4/08.03 (TM) 65 Sec 18 Sec 67 Sec ● Part 10.4: Set OCM correction factor ☞ ☞ Note Do not change the default value. Note The 4008 H/S offers the theoretical possibility of defining a correction value for all clearance measurements. The intention is to be able to adapt the system to to the latest state of technology resulting from the on-going scientific discussion. According to the current standard of knowledge, this correction value has to be set to “1” (factory setting) for Fresenius polysulfone membranes. The indicated accuracy specifications are valid only for Fresenius polysulfone membrane combined with this correction value setting of “1”. OCM CLR CORR FACTOR Confirm key Esc key ClrCorr Factor:1.000 Display value is default value Tone Mute key DATA STORED After approx. 3 sec ● Part 10.5: Set OCM baseline difference ☞ Note Do not change the default value. OCM BASELINE DIFF. Confirm key Baseline Diff:0.015 Esc key Display value is default value Tone Mute key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-51 ● Part 10.6: Set OCM integral value ☞ Note Do not change the default value. OCM INTEGRAL VALUE Confirm key Integral Value: 55 Esc key Display value is default value Tone Mute key DATA STORED After approx. 3 sec ● Part 10.7: Set OCM Kt/V warning level OCM KT/V WARNLEVEL Confirm key Kt/V Warnlevel: 85 % Esc key Press +/– to set the warning level (default value 85) Range 0 – 99% 0 = no warning Tone Mute key DATA STORED After approx. 3 sec 6-52 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 11: Automatic single needle start AUTOM. SN-START Confirm key autom. SN: OFF Tone Mute key +/– autom. SN: ON DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key Tone Mute key Esc key +/– ● Part 12: Activation of Monit_NTC 109 ACTIV. MONIT_NTC109 Confirm key MONIT_NTC109: YES Tone Mute key After approx. 3 sec DATA STORED After approx. 3 sec Esc key +/– MONIT_NTC109: NO DATA STORED Tone Mute key Esc key +/– ● Part 13: Activation of standard UF data ACTIV. STD UF-DATA Confirm key std UF-DATA: NO Tone Mute key Tone Mute key DATA STORED After approx. 3 sec Esc key +/– UF-Rate: UF-Goal: Time Left: After approx. 3 sec Esc key +/– std UF-DATA: YES DATA STORED 750 ml/h 3000 ml 4h Fresenius Medical Care 4008 4/08.03 (TM) 6-53 ● Part 14: Set priming time SET STD. PRIME-TIME Confirm key Prime-Time = 2min Esc key Set the desired time (1 to 5 min) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 15: Warning sound I/O key SOUND I/O SWITCH Confirm key I/O-Warnsound: ON +/– I/O-Warnsound: OFF +/– Tone Mute key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key Tone Mute key Esc key ● Part 16: Set key-click SET KEY-CLICK Confirm key key-click: ON +/– key-click: OFF +/– 6-54 Tone Mute key Esc key Tone Mute key Esc key Fresenius Medical Care 4008 4/08.03 (TM) ● Part 17: Set BPR/UFR warning BPR/UFR–WARNING Confirm key BPR/UFR–WARNING: ON Tone Mute key +/– Esc key BPR/UFR–WARNING: OFF Tone Mute key +/– Esc key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec ● Part 18: Set rinse volume SET RINSE–VOLUME Confirm key RINSE-VOL: 1000 ml Esc key Set the desired rinse volume (0 to 5000 ml in 100 ml increments) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 19: T1-Test Autostart T1-TEST AUTOSTART Confirm key T1-T. Autostart: OFF +/– T1-T. Autostart: ON +/– Tone Mute key Esc key Tone Mute key Esc key Fresenius Medical Care 4008 4/08.03 (TM) 6-55 ● Part 20: ONLINEplus ™ settings – only for ONLINEplus™ (option) ONLINE plus SETTINGS Confirm key ONLINE plus HD Confirm key see Part 20.1 Confirm key see Part 20.2 Confirm key see Part 20.3 Confirm key see Part 20.4 ▲▼ ONLINE plus HDF ▲▼ ONLINE plus HF ▲▼ ONLINE plus MISC. ▲▼ back to menu ? Confirm key ▲▼ 6-56 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 20.1: ONLINE plus™ HD ONLINE plus HD Confirm key SET UF-Volume F/R Confirm key see Part 20.1.1 Confirm key see Part 20.1.2 ▲▼ SET Rinsing Volume ▲▼ back to menu ? Confirm key ▲▼ ● Part 20.1.1: Set UF volume (filling/rinsing) SET UF-Volume F/R Confirm key Volume[ml]: 0 Esc key Set the desired value (0 – 1000) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 20.1.2: Set rinse volume SET Rinsing Volume Confirm key Volume[ml]: 1000 Esc key Set the desired value (0 – 5000) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-57 ● Part 20.2: ONLINEplus ™ HDF ONLINE plus HDF Confirm key SET UF-Volume F/R Confirm key see Part 20.2.1 Confirm key see Part 20.2.2 Confirm key see Part 20.2.3 ▲▼ SET Rinsing Volume ▲▼ SET Substit.-Volume ▲▼ back to menu ? Confirm key ▲▼ ● Part 20.2.1: Set UF volume (filling/rinsing) SET UF-Volume F/R Confirm key Volume[ml]: 500 Esc key Set the desired value (0 – 1000) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 20.2.2: Set rinse volume SET Rinsing Volume Confirm key Volume[ml]: 1000 Esc key Set the desired value (0 – 5000) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec 6-58 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 20.2.3: Set substituate volume SET Substit.-Volume Confirm key Volume[l]: 12 Esc key Set the desired value (0 – 210) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-59 ● Part 20.3: ONLINEplus ™ HF ONLINE plus HF Confirm key SET UF-Volume F/R Confirm key see Part 20.3.1 Confirm key see Part 20.3.2 Confirm key see Part 20.3.3 ▲▼ SET Rinsing Volume ▲▼ SET Substit.-Volume ▲▼ back to menu ? Confirm key ▲▼ ● Part 20.3.1: Set UF volume (filling/rinsing) SET UF-Volume F/R Confirm key Volume[ml]: 1000 Esc key Set the desired value (0 – 5000) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec ● Part 20.3.2: Set rinse volume SET Rinsing Volume Confirm key Volume[ml]: 1000 Esc key Set the desired value (0 – 5000) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec 6-60 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 20.3.3: Set substituate volume SET Substit.-Volume Confirm key Volume[l]: 20 Esc key Set the desired value (0 – 210) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-61 ● Part 20.4: ONLINEplus ™ miscellaneous ONLINE plus MISC. Confirm key SET Reinf.-Volume Confirm key see Part 20.4.1 ▲▼ back to menu ? Confirm key ▲▼ ● Part 20.4.1: Set reinfusion volume SET Reinf.-Volume Confirm key Volume[ml]: 240 Esc key Set the desired value (90 – 480) by pressing the +/– keys. Tone Mute key DATA STORED After approx. 3 sec 6-62 Fresenius Medical Care 4008 4/08.03 (TM) ● Part 21: Set parameters for central delivery system ☞ Note Central delivery is not available for the 3mix option. SET CENTRAL-DELIVERY Confirm key NO central-delivery Tone Mute key Tone Mute key Tone Mute key Tone Mute key DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec DATA STORED After approx. 3 sec Esc key +/– centr acetate-supply After approx. 3 sec Esc key +/– central Acid + Bic DATA STORED Esc key +/– central Acid After approx. 3 sec Esc key +/– central Bic DATA STORED Tone Mute key Esc key +/– ● Part 22: Store default values STORE DEFAULT VALUES Confirm key Press ALARMTONE MUTE Esc key Store the default values by pressing the Tone Mute key. DATA STORED After approx. 3 sec Fresenius Medical Care 4008 4/08.03 (TM) 6-63 6-64 Fresenius Medical Care 4008 4/08.03 (TM) 7 Miscellaneous CALIBRATION ▲▼ DIAGNOSTICS ▲▼ Confirm key MISCELLANEOUS ▲▼ SETUP MENU ▲▼ ● Main menu MISCELLANEOUS Service switch to dialysis mode Confirm key SYSTEM CLOCK Confirm key Confirm key ▲▼ BACK TO MAIN MENU ? ▲▼ see Part 1 SW-VERSION-NUMBER Confirm key see Part 2 Confirm key see Part 1 ▲▼ Confirm key SYSTEM CLOCK ▲▼ BACK TO MAIN MENU ? Confirm key ▲▼ Fresenius Medical Care 4008 4/08.03 (TM) 7-1 ● Part 1 SYSTEM CLOCK Confirm key time XX : XX : XX date XX : XX : XXXX Select (Esc) key Press the ▲▼ (+/–) keys to set the flashing hours. Confirm key Press the ▲▼ (+/–) keys to set the flashing minutes. Confirm key Press the ▲▼ (+/–) keys to set the seconds, day, month, year in the same way. Override (Tone Mute) key DATA STORED approx. 3 sec ● Part 2 SW-VERSION-NUMBER Confirm key CPU_1-Ver-No.: X.XX Select (Esc) key ▲▼ CPU_2-Ver-No.: X.XX Select (Esc) key ▲▼ 7-2 Fresenius Medical Care 4008 4/08.03 (TM) Table of contents 8 Circuit diagrams and circuit descriptions Section Page 8.1 Block diagram 4008 ...................................................................................................... 8-5 8.2 AC diagram 4008 E/H .................................................................................................... 8-7 8.3 AC diagram 4008 B/S .................................................................................................... 8-9 8.4 Block diagram of voltage supply ................................................................................ 8-11 8.5 Block diagram of Screen 4008 H/S .............................................................................. 8-13 8.6 8.6.1 8.6.2 Connection layout diagram .......................................................................................... Connection diagram CAN communication ...................................................................... Hydraulics processor block diagram ............................................................................... 8-15 8-16 8-17 8.7 8.7.1 8.7.2 P.C.B. LP 450-2 Level detector control (LD) .............................................................. Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-19 8-19 8-24 8.8 8.8.1 8.8.2 P.C.B. LP 493 Blood leak detector .............................................................................. Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-31 8-31 8-32 8.9 8.9.1 8.9.2 P.C.B. LP 624 Control board (BP) ............................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-35 8-35 8-38 8.10 8.10.1 8.10.2 P.C.B. LP 630 Motherboard .......................................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-45 8-45 8-46 8.11 8.11.1 8.11.2 P.C.B. LP 631 CPU 1 ..................................................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-53 8-53 8-62 8.12 8.12.1 8.12.2 P.C.B. LP 632 CPU 2 ..................................................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-65 8-65 8-70 8.13 8.13.1 8.13.2 P.C.B. LP 633 Input board ............................................................................................ Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-85 8-85 8-88 8.14 8.14.1 8.14.2 P.C.B. LP 634 Output board ......................................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-105 8-105 8-110 8.15 8.15.1 8.15.2 P.C.B. LP 635 Display board ........................................................................................ Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-129 8-129 8-132 Fresenius Medical Care 4008 4/09.03 (TM) 8-1 Section Page 8.16 8.16.1 8.16.2 P.C.B. LP 636 External connectors ............................................................................. Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-147 8-147 8-148 8.17 8.17.1 8.17.2 P.C.B. LP 638 Power supply ........................................................................................ Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-151 8-151 8-154 8.18 8.18.1 8.18.2 P.C.B. LP 639 Power logic ........................................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-159 8-159 8-164 8.19 8.19.1 8.19.2 P.C.B. LP 950 Control board (HEP) ............................................................................. Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-171 8-171 8-176 8.20 8.20.1 8.20.2 P.C.B. LP 644-4 Display board (HEP) .......................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-179 8-179 8-180 8.21 8.21.1 8.21.2 P.C.B. LP 645 Position sensor membrane pump ...................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-183 8-183 8-184 8.22 8.22.1 8.22.2 P.C.B. LP 647 Power logic A (4008 B/S) ..................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-187 8-187 8-190 8.23 8.23.1 8.23.2 P.C.B. LP 649-2 Display board (4008 B/S) .................................................................. Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-195 8-195 8-198 8.24 8.24.1 8.24.2 P.C.B. LP 742 Interference filter .................................................................................. Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-213 8-213 8-214 8.25 8.25.1 8.25.2 P.C.B. LP 743 Power control 2 (4008 B/S) .................................................................. Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-217 8-217 8-218 8.26 8.26.1 8.26.2 P.C.B. LP 744 Power control 1 (4008 B/S) .................................................................. Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-223 8-223 8-224 8.27 8.27.1 8.27.2 P.C.B. LP 747 Distribution board ................................................................................ Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-227 8-227 8-228 8.28 8.28.1 8.28.2 P.C.B. LP 748 Display board (BP) ............................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-233 8-233 8-234 8.29 8.29.1 8.29.2 P.C.B. LP 763 Multi interface board ............................................................................ Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-237 8-237 8-240 8-2 Fresenius Medical Care 4008 4/09.03 (TM) Section Page 8.30 8.30.1 8.30.2 P.C.B. LP 922 Display board (4008 S) ......................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-245 8-245 8-248 8.31 8.31.1 8.31.2 P.C.B. LP 923 Traffic light (4008 H/S) .......................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-261 8-261 8-262 8.32 8.32.1 8.32.2 P.C.B. LP 924 Display board (4008 H) ......................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-265 8-265 8-268 8.33 8.33.1 8.33.2 P.C.B. LP 941 Hydraulics processor ........................................................................... Description ...................................................................................................................... Circuit diagram and component layout diagram ............................................................ 8-281 8-281 8-284 Fresenius Medical Care 4008 4/09.03 (TM) 8-3 8-4 Fresenius Medical Care 4008 4/09.03 (TM) +5V serielle Schnittstelle serial interface PWR_WD +5V LP 632 CPU 2 +24V_SW LP 631 CPU 1 WD-Reset WD-Set +12V Watchdog-Ausgang Watchdog output +12V +24V_SW LP 633 Input board +12V +12V Hydraulik Hydraulic +5V +24V_EM LP 634 Output board +12V +12V Einschübe Modules +5V +24V_SW 230V Netzteil LP 638 Power supply LP 639 Power logic LP 647 LP 743 LP 744 +24V_EM +24V_SW +12V +5V 24V_US Akku Battery zum Display to display +24V_US LP 635 LP 649 LP 922 LP 924 Display board 4008: 4008 B: 4008 S: 4008 H: +5V 8.1 Block diagram 4008 Fresenius Medical Care 4008 4/09.03 (TM) 8-5 8-6 Fresenius Medical Care 4008 4/09.03 (TM) 8.2 AC diagram 4008 E/H Fresenius Medical Care 4008 4/09.03 (TM) 8-7 8-8 Fresenius Medical Care 4008 4/09.03 (TM) Fresenius Medical Care 4008 LP638 PGL1 PGL2 4/09.03 (TM) b LP638 hinzu 13-Dec.02 Fresenius Medical Care AC-Plan 4008B/S 8.3 AC diagram 4008 B/S 8-9 8-10 Fresenius Medical Care 4008 4/09.03 (TM) 230VAC 230VAC Fresenius Medical Care 4008 +12V Standby voltage Battery charge 24V_SW 36VAC 20VAC Main transformer 12VAC PWR_FAIL Power failure recognition PWR_ON/OFF Battery 45V_UR 26V_UR WD relay STDBY Battery relay U_AKKU +24V regulator 24V_US 24V_EM Bistable surge relay 24V_SW +10V regulator +10V regulator (LP 647, LP 743, LP 744 in 4008 B) LP 639 PWR_RES +5V +12V U_BATT_SW +5V regulator +12V regulator LP 638 Watchdog +5V regulator PWR_WD LP 631 8.4 Block diagram of voltage supply 4/09.03 (TM) 8-11 8-12 Fresenius Medical Care 4008 4/09.03 (TM) Display board LP922 (4008S) LP 924 (4008H) Power logic LP647 (4008S) LP639 (4008H) 24V_US RS232 RS232 Adress-/Databus 24V_US U-ACCU X639 Fresenius Medical Care 4008 24V_US RS232 RS232 RS232 Power Supply RS232 ROM CPU RAM ROM Speicher CPU RAM Speicher Backlight Inverter CPU RAM ROM CPU I LP631 CPU II LP632 4/09.03 (TM) U Backlight Video Signal Trafic Light LP923 Video Controller Video DRAM MDC-Board Motherboard LP630 Backlight TFT-Display 8.5 Block diagram of Screen 4008 H/S 8-13 8-14 Fresenius Medical Care 4008 4/09.03 (TM) LP 639 Power logic LP 647 LP 743 LP 744 Power logic 4008/E/H 4008B/S LP 638 Power supply Akku Accu X 639A LP 636 Extern I/O X ACCU X 636 X DIAG Fresenius Medical Care 4008 Display board X 635 X PWR X CAN LP 631 CPU 1 X 348A LP 632 CPU 2 X 637A Art LP 624 X 348 X 632 X 631 Diagnose Diagnosis X 633L X 633R Start Stop Start Stop X 350 4/09.03 (TM) 8-15 X A4 X A6 LP 941 Wasserteilrechner / Water....???? X A1 BI1 CO1 X A5 Bic.P. Conc.P. X C1 X A3 X A2 N.C. LP 630 Motherboard LP 763 Multi Interface Board Ventile / Valves LP 634 Output board Kurzschlußteil Shunt interlock X SHUNT X 637B X 637C X 351 LP 450 LP 450-2 X 351 Pven. X 82 X RS :h.min) Start Stop ( Rate: ml/h (Bolus: ml) LP 643-3 LP 950 ST 1 Rate Bolus Pumpen / Pumps LP 633 Input board X CAN X HDF X ACDA X 348V LP 624 X 348 SN Rate: ml/min (Ø: mm) X 634L X 634R Rate: ml/min (Ø: mm) X63Z Bibag ZKV PSW X 11 X 10 LF-Bibag 108 Bibag NTC107 X 13 X 12 NTC109 X 15 X 14 OCM_NTC4 OCM_LF110 X R1 Sensoren / Sensors X A7 Ventile / Valves Pumpen / Pumps Sensoren / Sensors X M9 X9 X8 X7 X6 X5 X3 X2 CAN X1 X 1/774 X 6/928 LP 928/774 CAN-BUS Verteiler CAN-BUS Distribution NTC2 X 16 X B1 Verteilerplatine Distribution board X 17 Blutleckdetektor Blood Leak Detector Reedk. 10 P-Dial 1 (9) LF 7 Niveau 6 FL-Switch 5 NTC3 X R2 X R3 X S7 X S6 X S5 X S4 X S3 X S2 X S1 V89 Sens. Bibag SW LF309 NTC308 Niveau Konz. NC NC NC P-Dial 2 XA1 UF-Pump 22 Flow pump 21 Degassing pump 29 Luftabscheidpumpe 97 XA2 Valves V24 V24B V26 V30 V41 V43 V84 V91 V112 XA3 Balancing chamber valves V31–V38 Valves V86 V87 XA4 CCS V99 V100 V102 V104 V126 V130 XA5 V183 V188 V189 V9 Kompressor 185 CO1 Concentrate pump BI1 Bicarbonate pump XR1 OCM_NT4 XR2 V84 Sensor XR3 Bibag Druckaufnehmer X2 NTC2 X3 NTC3 X5 Float switch X6 Level sensor 6 X7 Conductivity measuring cell X8 Dialysate pressure transducer 1 X9 Reed Kontakt 10 Konzentrat X10 Pressure switch CCS X11 Bibag X12 Bibag NTC 133 X13 Bibag conductivity measuring cell X14 NTC109 X15 OCM conductivity measuring cell 110 XS1 Dialysate pressure transducer 2 (182) XS2 NC XS3 NC XS4 NC XS5 Level sensor concentrate 202 XS6 NTC INDI 308 XS7 INDI conductivity measuring cell 309 8.6 Connection layout diagram 8-16 Fresenius Medical Care 4008 WTR CAN INTERFACE OPERATING SYSTEM CPU 1 4/09.03 (TM) HYDRAULIC CONTROLLER LP 941 LP 763 LP 631 MONITOR 4008 ONLINE PLUS MODULE LP 785 CAN DISTRIBUTION BOARD LP 774 (4008H) 8 SLOTS LP 928 (4008S) 6 SLOTS 8.6.1 Connection diagram CAN communication D C C-D +12V -12V EPROM RAM CAN_A_L CAN_A_H +5V -12V +5V 24V POWERFAIL +24V GND Uref EEPROM CANController II MikroController MicroController C515C C515C CANController Watchdog 5V_WD +24V WTR/HPU +24V_Akt P M Evac-V Ret-V V39 Test-V AKN- V43 AIR-PUMP 8.6.2 Hydraulics processor block diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-17 8-18 Fresenius Medical Care 4008 4/09.03 (TM) 8.7 P.C.B. LP 450-2 Level detector control (LD) 8.7.1 Description ● Audible section (transmitter) The self-capacitance of the transmitting converter is charged up to +12 V via R78 and discharged periodically via T9. The discharging current incites the oscillator to a dampened ultrasonic oscillation. With bridge BR1 being inserted in the calibration position (1-2), the converter is charged up to +6 V only, owing to the voltage division via R78 and R46. This reduces the transmitting amplitude to half its size. With transistor T8 being activated by the LDSA signal, the transmitting amplitude is reduced to a third of its size (test) due to the voltage division via R78 and R79. ● Audible section (receiver) Up to the outputs of the monostable alarm circuits IC 3 and IC 7 respectively, the two receiver channels are identical. This is the reason why only the upper channel will be described. The voltage emitted by the receiving converter is amplified by T2 in the amplifier stage and delivered to OP IC 1, which is connected as precision rectifier. The amplified positive half waves, which are emitted to pin 3 of comparator IC 2 via the RC element R6 and C6, appear at the cathode of DI3. As soon as the peaks of the signal envelope pending there exceed the reference voltage at pin 2, output 1 emits H pulses at 90-ms intervals, which, inverted via T3, are applied to the trigger input pin 5 of the first monostable circuit IC 3. The two monostable circuits of IC 3 can be retriggered. Due to their loading, the first one has a time constant of 60 ms and the second of 470 ms. The first 60-ms time constant has been selected such that, after each trigger pulse on the input side, the output can return to its initial position, until the next trigger pulse arrives. If this is the case, the second monostable circuit is retriggered at 90-ms intervals, while its output LDA1 remains at H level (alarm-free). Should comparator IC 2 not emit trigger pulses due to too small an input signal, the second monostable circuit returns to its initial position after 470 ms, while inducing L level at pin 14 of plug X351. The monitor interprets this L level as level detector alarm, which stops the blood systems. The working method of the second receiver channel is the same with the exception of the longer time constant of 700 ms of the second monostable circuit IC 7. Here, however, the output pin 7 sets the storage flip-flop IC 8 by means of H level in case of an alarm. The output pin 2 of IC 8 then inhibits FET T14 by means of L level so that the venous line clamp located in the drain branch becomes dead and closes. Upon T14 being inhibited, DI11 is inhibited as well, so that a 24-V level is applied to pin 6 of plug X351 via R55. During the test, this voltage is sampled in order to determine whether the venous line clamp has been turned off by the second receiver channel. If the alarm condition has been eliminated meanwhile, the flip-flop IC 8 can be reset by means of the positive edge of the dialysis start pulse from pin 12 of plug X351. In this case, the H level at pin 2 of IC 8 turns FET T14 on again, and the venous line clamp is opened. Fresenius Medical Care 4008 4/09.03 (TM) 8-19 ● Clamp control The clamp magnet can be controlled via transistor T13. This method is used for turn-off in case of all blood alarms and for single needle control. If an H level is applied to the CLAMP-CTRL signal at pin 8 of plug X351, the output voltage at pin 7 of OP IC 19, which is connected as integrator, drops linearly. Should this voltage fall below the reference voltage at pin 3 of IC 19, the output pin 1 turns to H level and controls T13 via T7. This delayed opening of the clamp magnet is coordinated with the starting delay of the blood pump and requisite for a trouble-free single needle operation. If the CLAMP-CTRL signal turns to L level, the integrator is rapidly recharged again via DI12 and R86, and the venous line clamp is actually closing without delay. ● Pulse generation Timer IC 11 is connected as astable multivibrator. It generates a symmetrical square-wave frequency of approx. 2.8 kHz, which is divided by the binary divider IC 10. 90 Hz are available at pin 3 for energizing the infrared emitter of the optical detector. The unbalanced square-wave voltage for energizing the ultrasonic transmitter (90 ms L level, 0.2 ms H level) is generated via the flip-flop IC 9. ● Visual section The infrared emitter of the optical detector is energized by pin 3 of IC 10 at a frequency of 90 Hz via transistors T10 and T11. The phototransistor on the opposite side of the optical sensor absorbs the modulated light and controls IC 14, which is connected as current-voltage converter, at pin 6. A square-wave voltage, whose amplitude is proportional to the transparency of the medium in the optical sensor, is applied to pin 7 of IC 14. This voltage reaches pin 3 of comparator IC 14 via voltage divider R65 and R66. If the positive half waves exceed the reference level at pin 2 of IC 14, a square-wave voltage is delivered by output pin 1; otherwise, the output is provided with L potential. Via pin 5 of plug X351, the square-wave voltage is delivered to the monitor, where it is used to generate a logic level. 8-20 Fresenius Medical Care 4008 4/09.03 (TM) ● +12-V monitoring In order to avoid malfunctions of the level detector and other circuits, the +12-V voltage is monitored by transistor T1. Via C3, any possible AC voltage superposition of the +12-V voltage is coupled onto the base emitter path of T1, which is biased via R20 and R21. Should the AC portion exceed approx. 0.5 Vss, T1 is controlled by means of the AC voltage. In addition, positive +12-V pulses, which set the alarm flip-flop IC 8 via DI4, are applied to the collector. The venous line clamp is now closing. ● Venous pressure measurement The pressure-proportional diagonal voltage of pressure sensor T12 is amplified to a voltage of 0 to +10 V by IC 13, which is connected as instrument amplifier. This voltage reaches the monitor via pin 4 of plug X351. Fresenius Medical Care 4008 4/09.03 (TM) 8-21 ● Raising the level in the venous bubble catcher The H level at pin 1 of X351 is inverted by IC 18, pins 3 and 6; or the L level at pin 3 of X154 energizes FET T16 via IC 15, pins 5, 6, 4. The vent valve is opened by FET T16. Simultaneously, the LEV-UP-OUT signal is inverted via IC 15, pins 8, 9, 10. The venous line clamp is blocked via DI17, and level raising is blocked at IC 15, pin 12. ● Lowering the level in the venous bubble catcher An L level at X154, pin 1, energizes FET T15 via IC 18, pins 2, 9. FET T15 activates the ventilation pump and, in addition, the vent valve via DI16. Level lowering can be blocked via an H level applied to pin 1 or pin 8 of IC 18. This is the case, if an L level is applied to at least one of pins 1, 2, 12, 13 of IC 15 (in case of a level detector alarm from channel 1 or 2; if the venous line clamp is being closed by external control; or in case of LEV-UP). 8-22 Fresenius Medical Care 4008 4/09.03 (TM) Fig.: Signal plan P.C.B. LP 450-2 US-Sender US-Transmitter 8.7.2 Circuit diagram and component layout diagram P.C.B. LP 450-2 Level detector control (LD) LP 450-2 X156 X155 US-Empfänger US-Receiver 1 2 3 X154 Niveau heben/senken Level up/down X351 1 2 X160 LP 248 3 4 Optischer Detektor Optical detector 1 X159 2 Belüftungsventil Vent valve 1 2 3 20 +24V 19 +24V 18 0 (24V) 17 0 (24V) 16 +12V 15 0 (12V) 14 LDA1 = L 13 Niveau senken / Level down = H 12 Dialyse Start / Dialysis start = H 11 n.c. 10 LDSA = H 9 Potentialausgleich / Ground 8 Klemme zu, Clamp closed = L 7 ODSA = H 6 LDA2 = H 5 OD: hell/light = 4 Pven 0 – 10 V 3 Spiegel heben / Level up 2 Pven-Verstimmung / Pven detune 1 Belüftungsventil, auf / Vent valve, open = H dunkel/dark = L X161 Venöse Klemme Venous clamp 1 X153 M 2 Membranpumpe Membrane pump X157 Potentialausgleich Ground Fresenius Medical Care 4008 4/09.03 (TM) 8-23 8-24 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 450-2 Component layout diagram P.C.B. LP 450-2 Circuit diagram 1/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-25 8-26 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 450-2 Circuit diagram 2/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-27 8-28 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 450-2 Circuit diagram 3/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-29 8-30 Fresenius Medical Care 4008 4/09.03 (TM) 8.8 P.C.B. LP 493 Blood leak detector 8.8.1 Description ● Operational principle A 2-color LED alternately emits green and red light through a measuring cuvette. A photoelectric cell converts the light intensity received into a voltage logarithmic to the light intensity, so that the square-wave amplitude generated from the alternating green/red illumination is proportional to the logarithm of the green/red quotient and that non-specific types of dimness, which equally attenuate both colors, do not affect the signal. ● Circuit description Blood leak channel Together with crystal Q1 and the capacitive voltage divider C8/C9, IC 6 generates a frequency of 32768 Hz in a three-point circuit. Via R23/R22, the binary divider IC 6 supplies transistor T1 with pulses of 32 Hz from Q10 for energizing the green LED and, inverted via the joint emitter resistor R34 and transistor T2, for energizing the red LED. The output voltage of the photoelectric cell is amplified via C2 and OP IC 1a and then inverted via OP IC 3a. The channel switch IC 5 scans the 2nd half (from IC 6-13 to IC 5-10) of the transient output amplitude of OP IC 1a and OP IC 3a respectively in phases synchronous to the green/red energization (from IC 6-15 to IC 5-9). The voltage is filtered via R12/C3 and amplified via OP IC 4b. Temperature and aging regulation A second photoelectric cell, which evaluates a reference ray of light not passing through the cuvette, readjusts the current of the red LED (via C10, OP IC 1b, OP IC 3b, IC 5, OP IC 4a, and T3) so that the different temperature coefficients or agings of the green and the red LED are compensated. The Zener diode raises the potential so that T3 can act as current-decreasing element. Since the difference is measured, the temperature coefficient of the photoelectric cells has no effects whatsoever. Calcium warning During bicarbonate dialysis, calcium is deposited in the measuring cuvette. Due to color-specific attenuation, this calcium delivers a signal opposite to that of a blood leak. This is the reason why the difference between cuvette channel and reference channel is evaluated via OP IC 2a/2b for calcium warning. Test By means of H level, transistor T4 becomes conductive via R5, thus detuning, by means of voltage division at R21/R28, the control loop for the green/red ratio, so that a blood leak signal is simulated. Fresenius Medical Care 4008 4/09.03 (TM) 8-31 8.8.2 8-32 Circuit diagram and component layout diagram P.C.B. LP 493 Blood leak detector Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 493 Component layout diagram P.C.B. LP 493 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-33 8-34 Fresenius Medical Care 4008 4/09.03 (TM) 8.9 P.C.B. LP 624 Control board (BP) 8.9.1 Description ● General information This printed circuit board comprises both the control and the power part. Plug connections on P.C.B. LP 624: – X186, connection to the position sensor – X188, connection to the stepper motor – X189, connection to P.C.B. LP 748 – X190, connection to the lid switch – X192, connection to the pressure transducer – X348, connection to the dialysis monitor Hex switches on P.C.B. LP 624: 0 Arterial blood pump 1 Single needle blood pump 2 – A Without function B Adjustment of BP stop alarm (15 or 30 sec) C Without function D Inquiry of time meter (display x 100 = number of hours) E Test operation (for the manufacturer only) F Calibration of pressure transducer ● Voltage generation Both the +24-V and the +12-V voltage supply are made available to the blood pump by the monitor. From the +24-V voltage, the +5-V supply voltage is generated on the module by the switching regulator IC 20, in order to minimize the dissipated power. ● Stepper motor activation For noise reduction purposes, the stepper motor is operated in the microstep mode. Resolution amounts to 60 microsteps per step. The RISC processor alternately transmits an 8-bit dataword to pins 3 and 5 of the two D-A converters of IC 7. At the output of the converters, two sine-wave voltages are available, which are phase-shifted by 90 degrees. Together with the current direction signals, these voltages are supplied to the stepper motor controller IC 2. Together with the two SM drivers IC 1/IC 22 and the current sensor resistors R58/R59, IC 2, as feedback, forms a closed control loop, which impresses two sine-wave currents (phase-shifted by 90 degrees) in the two windings of the SM. Fresenius Medical Care 4008 4/09.03 (TM) 8-35 ● Microprocessor The crystal Q2 between the processor connections 39 and 40 determines the pulse frequency of the microprocessor. The crystal starts to oscillate by means of the capacitors C5 and C6. The keyboard signals and the BSST, BPST signals are read in via port P4. IC 9 is provided as intermediate storage of the addresses A0 to A7. The ALE signal at pin 50 of the microprocessor represents the control line of the data-address latch. The signal from the revolution and rotational direction sensor (position sensor) in the pump bed is read in via port T1. When the hemodialysis machine is being switched off or if the voltage fails, the operating data of the pump are stored in the NOVRAM IC 21 via ports 5.1 to 5.3. The comparator IC 23 recognizes any low voltage (Power-Down). The WR line is used to control the data acceptance for the display into the external data latch IC 14. ● Intermediate PLL circuit Together with the counter IC 19, the PLL module IC 4 causes the frequency coming from the processor to be multiplied by a factor of 4, to activate the stepper motor, because the processor would be too slow for generating this frequency. ● RISC processor The RISC processor IC 5 is supplied with a pulse signal by the processor. Upon each pulse cycle, it alternately reads an 8-bit dataword from a look-up table for each phase of the stepper motor. This dataword contains both the current direction and the rated current value. In addition, the RISC processor contains a watchdog for the CPU. Should the pulse at pin 8/IC 5 be missing, the RISC processor releases a reset at the CPU via pin 7. ● Display control The dataword for energization of the display is stored in IC 14. Multiplexed operation of the individual digits is made possible by the decoder IC 18. 8-36 Fresenius Medical Care 4008 4/09.03 (TM) ● Speed and flow The processor emits the speed via port P1.1 and the flow via port P1.2 to the dialysis monitor. ● Pressure measurement The differential measuring amplifier for the pressure transducer is formed by IC 6 (1/2/3) and IC 6 (5/6/7). Via the A-D converter input AN7, the measuring signal is read in by the processor and calibrated to zero point and slope via the software. Subsequently, the measuring signal is pulsewidth-modulated via port P1.3 and emitted to the monitor via a following D-A converter IC 11 (5/ 6/7). Fresenius Medical Care 4008 4/09.03 (TM) 8-37 8.9.2 8-38 Circuit diagram and component layout diagram P.C.B. LP 624 Control board (BP) Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 624 Component layout diagram P.C.B. LP 624 Circuit diagram 1/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-39 8-40 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 624 Circuit diagram 2/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-41 8-42 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 624 Circuit diagram 3/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-43 8-44 Fresenius Medical Care 4008 4/09.03 (TM) 8.10 8.10.1 P.C.B. LP 630 Motherboard 8.10.2 Circuit diagram and component layout diagram P.C.B. LP 630 Motherboard Description P.C.B. LP 630 is the main P.C.B of the monitor. It comprises the board locations for the control P.C.B.s and the display P.C.B. All control signals of the 4008 E (up to 24 V) are distributed from this P.C.B. It is provided with the following connection sockets, which are accessible from the monitor rear: – Auxiliary socket (e.g. HDF) – RS232 (optical interface) – ACDA (optional: connection of an LDL adsorption equipment) – Diagnostics plug (connection of auxiliary service equipment) – Sensors – Blood pump (arterial) – Blood pump (SN) – Heparin pump – Level detector – Pumps – Valves – HDF (optional: connection of the ON-LINE HDF system) Fresenius Medical Care 4008 4/09.03 (TM) 8-45 8-46 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 630 Component layout diagram P.C.B. LP 630 Circuit diagram 1/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-47 8-48 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 630 Circuit diagram 2/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-49 8-50 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 630 Circuit diagram 3/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-51 8-52 Fresenius Medical Care 4008 4/09.03 (TM) 8.11 P.C.B. LP 631 CPU 1 8.11.1 Description ● General information P.C.B. LP 631 is a part of the safety-critical computer control. This assembly group represents a complete single-board computer which, in conjunction with input and output boards and a second computer system, performs the entire control of the hemodialysis machine. The use of large-scale integration modules manufactured in CMOS technology results in a highcapacity and reliable control unit with relatively small-size dimensions. The P.C.B. comprises the following components: – 8/16-bit microcontroller 80C188 – BUS logic – EPROM – Static RAM – Nonvolatile RAM – Serial interface module – Real-time clock with battery buffering – Watchdog – DIP switch arrays – Status indicator LEDs – Multifunction PAL ● 8/16-bit microcontroller 80C188 The 80C188 module, which has been developed from the INTEL 8088 microprocessor, represents a large-scale integration 16-bit microcontroller in CMOS technology. The following components are already integrated in the chip: – Clock generator – Two independent DMA channels – Programmable interrupt controller – Three programmable 16-bit counters/timers – DRAM refresh controller – Programmable storage and peripheral equipment chip-select logic – Programmable wait-state generator – Local bus controller Internally, the 80C188 operates with 16 bits, and externally with a multiplexed data-address bus with a data bus width of 8 bits. In conjunction with the integrated system components, the external 8-bit data bus width permits a simple, yet high-capacity circuit design. With the exception of the DMA and the DRAM refresh controller, all of the components integrated in the IC are used during processing of the program. Fresenius Medical Care 4008 4/09.03 (TM) 8-53 ● BUS logic In conjunction with the signals -DEN, DT/-R and ALE, three TTL latches (74HC573) and a data bus driver (74HC245) assume the task of editing the multiplexed data-address bus. The address bus is fully decoded and provided with a physical address range of 1 MByte. The edited data and address bus is conducted to the internal peripheral modules of CPU1 and to the 64-pin contact strip. The chip-select signals for external input/output boards are edited by the programmable storage and peripheral equipment chip-select logic incorporated in the microcontroller. ● EPROM The program to be performed by the machine is programmed in the EPROM. The 32-pin EPROM base can be equipped with program memory EPROMs of a size of up to 512 kBytes. The CS line of the EPROM is connected to the -UCS (Upper Memory Chip Select) signal of the microcontroller. This output of the microcontroller becomes active as soon as the microcontroller reads a program code or table data out of the EPROM. The scope of range, within which this line is intended to be active, can be programmed. ● Static RAM During operation of the machine, the 128-kByte read-write memories installed on the P.C.B. are used as data memories for temporary data, tables and branch vectors. The CS line of the RAM is connected to the _LCS (Lower Memory Chip Select) signal of the microcontroller. This output of the mcirocontroller becomes active, if the microcontroller requires or intends to store RAM data. The direction of data transfer is determined in conjunction with the -RD and -WR signals. The scope of the range, within which this line is intended to be active, can be programmed. ● Nonvolatile RAM The 48Z02 nonvolatile read-write memory (2 kBytes, no more than 8 kBytes) is provided for storing important data, which shall remain preserved after the machine has been switched off. A battery incorporated in the nonvolatile RAM as well as a voltage-monitoring circuit guarantee that the RAM cells are supplied with voltage and, consequently, that the data is preserved after the machine has been switched off. The following data is stored in the nonvolatile RAM: – Calibration data – Operating parameters – Data for power failure protection The CS line of the NOVRAM is connected to the -MCS0 (Midrange Memory Chip Select 0) signal of the microcontroller. This output of the microcontroller becomes active, if the microcontroller requires or intends to store NOVRAM data. The direction of the data transfer is determined in conjunction with the -RD and -WR signals. The scope of the range, within which this line is intended to be active, can be programmed. 8-54 Fresenius Medical Care 4008 4/09.03 (TM) ● Serial interface module An 85C30 serial interface module SCC is mounted on the P.C.B. for the purpose of serial communication with external peripheral equipment. This module is designed so that it can control two serial transmission channels in the full-duplex mode. The transmission parameters for channel A and channel B are as follows: – Transmission rate of 9600 baud – 1 start bit – 8 data bits – 1 stop bit – No parity bit Channel A is reserved for the communication with CPU 2 (P.C.B. LP 632). It operates with TTL level. Channel B is reserved for connections to external peripheral equipment. The insertion of a V.24 level converter (MAX232) into the transmitter and receiver line permits unrestricted operation on the V.24 level. For channel B, the XON/XOFF method is used as handshake record. Since the processing speed of the microcontroller during the transmission sequences should not be reduced too strongly by status requests (Polling Mode), the major part of the communication is performed in the interrupt operating mode. To this end, the interrupt input of the SCC is monitored by the interrupt controller provided in the 80C188 (INT0). Upon the arrival of an interrupt request, i.e. a data byte is ready for being retrieved or the transmitter buffer is empty, the SCC unit which has released the interrupt is determined, and the respective function will be called up. The data transfer between the transmitter buffers in the RAM and the respective registers in the SCC is now performed by means of the interrupt treatment function. As soon as the data transfer has been completed, the interrupt treatment function will be terminated and the machine returns to the program which has been interrupted. In addition, the communication via channel A is used as technical safety device, i.e. the software watchdog. The software watchdog operates as a complement to the hardware watchdog. It is provided for monitoring the cooperation between the two processor boards CPU 1 and CPU 2. Here, the communication between the two computers via a serial interface and according to a fixed communication protocol is taken as a basis. Communication consists of the transmission of data records (10 bytes length) and the evaluation of a response from the receiver. Detailed structure of a data record with the venous pressure taken as an example: Identification Blank Alarm status Sign Value Checksum (3 bytes) (1 byte) (1 byte) (1 byte) (3 bytes) (1 byte) VEN – H + 400 X Fresenius Medical Care 4008 4/09.03 (TM) 8-55 Rules for communication: Changes in value and/or status within the monitoring range of the respective computer result in the transmission of a data record to the other computer. Each data record transmission must be acknowledged by the receiver. Data records are acknowledged positively only if the comparison of the identification, the check of the value range and the comparison of the transmitted and computed checksum turned out to be positive. Any negative acknowledgement by the receiver causes the transmission of the data record to be repeated. Should a specific number of successive negative acknowledgements be exceeded, the system enters the “safe state”, i.e. either CPU 1 stops the periodical triggering of the hardware watchdog, or CPU 2 activates the hardware watchdog by emitting a WD_SET signal. Should changes in value not cause any data record to be transmitted within a specific period of time, a data record is transmitted compulsorily with the reaction of the receiver being evaluated. In order to prevent the regular program run from being inhibited by one computer permanently transmitting to the other, at least 50 ms must elapse between two transmissions. 8-56 Fresenius Medical Care 4008 4/09.03 (TM) ● Real-time clock with battery buffering The integrated module IC M 7170 or RTC 6591 represents a real-time clock (RTC), which is required for the machine to switch on automatically and which serves as a reference time base for time-critical functions during processing of a program. Since the modules are buffered by lithium batteries, the system time continues to run correctly even after the machine has been switched off, thus preserving the programmed switch-on time. As soon as the programmed switch-on moment has been reached, the -INT output of the IC M 7170 emits a signal, which generates the -AUTO_ON signal via a switching transistor. This signal is conducted to the POWER-LOGIC P.C.B. (LP 639), causing the machine to be switched on. A variable capacitor permits the fine adjustment of the clock module (required with IC M 7170 only). ● Watchdog The watchdog monitors the correct function of the CPU 1 board. Should the watchdog detect a malfunction, the 24-V supply voltage for system slide-in modules and hydraulics is switched off via a relay. Before the 24-V supply voltage is switched on, an initial test (functional check) is performed. During this check, the correctness of the time window, the communication with CPU 2 and the switch-off possibility by CPU 2 are tested. Should one or more of these prerequisties not be fulfilled, switch-on of the 24-V supply voltage is inhibited, with the system emitting the message “watchdog error” and remaining in the “safe state”. In order to further increase operating safety, the hardware watchdog is equipped with its own supply voltage; in addition, all signals transmitted to the hardware watchdog are optically decoupled. Thus, a resistance against external voltages of >35 V is achieved. Structure: The hardware watchdog comprises two one-shot multivibrators of type CD4538, which are responsible for the generation of the time window, as well as a D-flip-flop of type 74HC74 which, in conjunction with a driver transistor, establishes the output stage. The multivibrator combination is triggered by pulses (every 500 ms), which are generated by the software on CPU 1. Control of the output stage is realized by means of two signals emitted by CPU 2 (WD_SET, WD_RESET). Fresenius Medical Care 4008 4/09.03 (TM) 8-57 Regular operation: After a program runtime of 500 ms has elapsed, a function is called in, which releases a shorttime pulse at a digital output (PAL 16V8). This pulse causes the first monoflop (MF1) to be triggered and the inverted output pin 7 to turn to L level. This, in turn, causes monoflop 2 (MF2) to be triggered with its output pin 10 turning to H level. As a result, the reset input of the D-flip-flop becomes inactive. The D-flip-flop is set by a pulse emitted by CPU 2 (WD_RESET). The 24-V relay is switched on by the H level at output pin 9 (WD_OUT) via a following amplifier stage. The watchdog is activated. After the switch-on time of MF1 (approx. 400 ms) has elapsed, the inverted output (pin 7) turns to H level, thus deactivating the trigger input of MF2 (pin 11). If the next trigger pulse for MF1 arrives within the time span prescribed, the output of MF1 returns to L level, thus retriggering MF2. Since the output pin 10 remains at H level, the D-flip-flop remains set. Triggering too rapid: Should MF1 be triggered too frequently, i.e. repeatedly during a specified time span, the switchon time of MF1 will not elapse (permanent retriggering). The inverted output of MF1 continuously remains at L level. As a result, MF2 no longer receives any trigger edges and de-energizes after approx. 670 ms. Consequently, the 24-V relay will not be energized. It will de-energize (“safe state”). Triggering too slow or missing: Should too long a time span elapse until the trigger pulse for MF1 arrives, MF2 also de-energizes after approx. 670 ms, thus turning its output to L level. Consequently, the 24-V relay will not be energized. It will de-energize (“safe state”). Initial watchdog test: After the hemodialysis machine has been switched on and the input/output modules have been initalized by the computer, the hardware watchdog is checked for correct function. The watchdog test is divided in several phases. 1st phase: The watchdog is triggered by CPU 1 in the correct time-slot pattern, and a trigger request is transmitted to CPU 2. After having recognized the trigger request (prerequisite: correct communication between CPU 1 and CPU 2), CPU 2 tests the permissible voltage level (<5 V) and, with all prerequisites being fulfilled, emits a release pulse for the output-stage flip-flop (WD_RESET). Switch-on of the 24-V voltage is monitored via an analog input. If the voltage has achieved the correct value within a given period of time, the 1st phase is completed successfully. 8-58 Fresenius Medical Care 4008 4/09.03 (TM) 2nd phase: The watchdog is triggered too slowly; switch-off of the 24-V voltage is monitored. As soon as the voltage has fallen below a specific value (<5 V), the watchdog is again triggered by CPU 1 in the correct time-reference and a trigger request is transmitted to CPU 2. After having recognized the trigger request, CPU 2 checks the permissible voltage level and, with all prerequisites being fulfilled, emits a release pulse for the output-stage flip-flop (WD_RESET). With the function being correct, the 24-V voltage is again switched on. The increase of the 24-V voltage is monitored. The 2nd phase is now completed successfully. 3rd phase: The watchdog is triggered too rapidly; switch-off of the 24-V voltage is monitored. As soon as the voltage has fallen below a specific value (<5 V), the watchdog is again triggered by CPU 1 in the correct time-reference and a trigger request is transmitted to CPU 2. After having recognized the trigger request, CPU 2 checks the permissible voltage level and, with all prerequisites being fulfilled, emits a release pulse for the output-stage flip-flop (WD_RESET). With the function being correct, the 24-voltage is again switched on. The increase of the 24-V voltage is monitored. The 3rd phase is now completed successfully. 4th phase: The watchdog is triggered by CPU 1 in the correct time-reference. The 24-V voltage must be applied. CPU 2 emits an inhibit pulse (WD_SET) to the reset input of MF2. The output of MF2 acts on the output stage and resets the output-stage flip-flop, thus inhibiting the energization of the relay. The 24-V voltage is switched off, this being monitored by CPU 2. As soon as the voltage has fallen below a specific value (<5 V), the cut-off route of CPU 2 is tested, and CPU 2 emits a release pulse for the output-stage flip-flop (WD_RESET). With the function being correct, the 24-V voltage is again switched on. Achieving of the 24-V voltage level is being monitored. The 4th phase is now completed successfully. Only after the above sequence has been completed correctly will the 24-V voltage for the further function run be switched on. Fresenius Medical Care 4008 4/09.03 (TM) 8-59 ● DIP switch arrays Two eight-fold switch arrays permit various operating parameters to be predefined. ● Status indicator LEDs During the program run, an eight-fold LED line can be used for the indication of status values. After the machine has been switched on, various system initializations are performed by the program. Altogether, this procedure is performed four times, if the system is correctly initialized. Subsequently, the CRC check and the RAM test are performed. In addition to the text on the alphanumeric display, various LEDs are turned on. After these tests have also been completed successfully, the light-emitting diodes are used for indicating interrupt events and their processing time during the further course of operation. ● Multifunction PAL A programmable logic module PAL16V8 or GAL16V8 is provided for decoding the chip-select signals and for various logical operations for various components of the CPU 1 board. Boolean operation tables and logical equations filed in the PAL determine the behavior of the outputs in relation with the input signals. By the use of a PAL, it was possible to reduce the number of the integrated logic ICs to a large extent. 8-60 Fresenius Medical Care 4008 4/09.03 (TM) 80188 Microcontroller ADDRESSES DATA Data bus Address bus Control bus 128 KByte RAM PAL 8 KByte BATRAM DIP-SW1 DIP-SW2 512 KByte EPROM LED's SIO 2 CHANNEL WATCHDOG RTC Fig.: Block diagram P.C.B. LP 631 CPU 1 Fresenius Medical Care 4008 4/09.03 (TM) 8-61 8.11.2 8-62 Circuit diagram and component layout diagram P.C.B. LP 631 CPU 1 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 631 Component layout diagram P.C.B. LP 631 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-63 8-64 Fresenius Medical Care 4008 4/09.03 (TM) 8.12 P.C.B. LP 632 CPU 2 8.12.1 Description ● Technical data – – – – – – – – – 80C535 processor 11-MHz clock pulse frequency 128 Kbyte EPROM 8 Kbyte NOVRAM + 2 Kbyte SRAM Serial interface (Baud rate 9600, 8 data bits, 1 stop bit, no parity bit) 9 analog inputs (0 to 10 V) 40 digital inputs (24 V, 12 V, TTL level) 6 analog outputs (0 to 10 V) 24 digital outputs (TTL level, Darlington output stages) ● General information P.C.B. LP 632 (CPU 2) has the following functions in the hemodialysis machine: – T1 test generation – Monitoring functions: a) Transmembrane pressure b) Conductivity c) Temperature d) Hardware and software watchdog e) UF pump monitoring – Calibration voltages for: a) Dialysate pressure (TMP display) b) Temperature display P.C.B. LP 632 (CPU 2) constitutes a closed self-contained processor system (stand-alone system). Basically, the electronics of the CPU 2 comprises three essential functional blocks: – Analog and digital inputs – Microcontroller system – Analog and digital outputs Fresenius Medical Care 4008 4/09.03 (TM) 8-65 ● Analog inputs (circuit diagram 1/6) All of the analog inputs are designed for an operating range of 0 to 10 V. Each of these input signals is adapted to the integrated analog-to-digital converter (AN0 to AN7) of the 80C535 via a voltage divider with 12.1-kOhm/10-kOhm resistors and an impedance transformer (IC1 and IC2, LM324N – quadruple OP). The 5-V reference voltage (UREF_5V) required for the A-D converters is derived from the 12-V voltage supply via voltage divider R1/R2 (43.2 K/30.1 K). The two following operational amplifiers (IC 3, LM324N) are used as impedance transformers. They deliver the current required for the integrated A-D converter of the 80C535 microcontroller and supply further A-D converters on the input board P.C.B. LP 633 via the contact strip x632/C30. ● Digital inputs (circuit diagram 2/6) All of the digital inputs are each connected to a voltage divider. These voltage dividers are used to adapt different signal voltages (24 V, 12 V, 5 V) to the system of P.C.B. LP 632. Values are as follows: – 178.0 kOhms/47.0 kOhms for the 24-V signals, – 66.5 kOhms/47.0 kOhms for the 12-V signals. – The values for the 5-V signals (TTL level) are directly applied to the inputs of the drivers. Here, the resistors provided have been replaced by bridges. Via IC 4 and IC 5 (74HC541), the input signals are directly made available to the microcontroller at port 4 and port 1. IC 6, IC 7, IC 8, IC 9, and IC 10 (74HC541, TRI-STATE BUFFER) are used as bus drivers in the system. The processor has access to these drivers and inputs via specific addresses (chip-select signals). The two DIP SWITCHES SW1 and SW2 are provided for the basic adjustment of the hemodialysis machine or for the adjustment of its optional equipment. 8-66 Fresenius Medical Care 4008 4/09.03 (TM) ● Microcontroller system (circuit diagram 4/6) Microcontroller 80C535 (IC 12) is used as CPU. The microcontroller is provided with a multiplexed 8-bit data and address bus as well as freely available ports. The clock pulse frequency of the processor is deducted from a 11.0592-MHz crystal oscillator. A serial interface (TxD/pin 22 and RxD/pin 21) is directly made available by CPU 80C535. This interface is used for the communication between CPU 2 and CPU 1 (P.C.B. LP 631). The peripheral module PSD313 (Programmable System Devices) contains all elements necessary for the microcontroller system. The interface to the microcontroller consists of the multiplexed 8-bit bus and address lines A8 to A15 mentioned above, as well as of the following control lines /RD-, /WR-, ALE-, /PSEN- and /RST. A further element of the PSD313 is represented by the 128Kbyte EPROM (read only memory), where the program is filed, as well as a 2-Kbyte SRAM, which is used by the microcontroller. In addition, the module contains a programmable logic (PLD) for the generation of the necessary chip-select signals, which are emitted at ports B and C, and an address latch, which is available via port A. This address latch serves to separate data signals (D0 to D7) and address signals (A0 to A7) and/or to store the address bytes. Tasks of the control lines: /RD ReaD /WR WRite ALE AddressLatchEnable /PSEN ProgramStorENable /RST ReSeT Reading of the addressed RAM point Writing into the addressed RAM point Storing of the address bytes A0 to A7 into the latch Reading of operations/commands from the EPROM Microcontroller defined at zero address or new system start The storage module MK48Z08 (IC 13) constitutes an 8-Kbyte NOVRAM (nonvolatile read access memory). This NOVRAM is required for protecting the calibration data. A part of the NOVRAM, which is not needed for the calibration data, is used as normal RAM during the program run. Fresenius Medical Care 4008 4/09.03 (TM) 8-67 ● Analog and digital outputs (circuit diagram 5/6) The analog outputs are required for detuning the sensors during the test generation. The digitalto-analog converter IC11 (AD7226) is provided with four analog outputs. During the test, channels C and D are switched onto the sensor lines via analog switches (IC 20, CD40066). The analog switches are activated via level converters (IC 32, 4505). During hemodialysis, channel C is additionally used to adjust the working point of the high-resolution dialysate pressure amplifier (IC 3, LM324N). Channels A and B of the D-A converter simultaneously serve to generate the calibration voltages for the temperature display and the dialysate pressure (TMP display). The 10-V reference voltage is deducted from the temperature-stabilized zener diode IC 28 (ZN458B). IC 3/OP-2 operates as non-inverting amplifier and generates the +10-V reference voltage for the D-A converter IC11. Since it might become necessary to activate various peripheral equipment (control signals, actors, etc.), P.C.B. LP 632 is provided with TTL level outputs IC 24 / 74HC541/74HC574 and IC 30 / 74HC574 as well as with level converters (IC 33, 4504), which generate the 12-V signals. The IC 29 (UCN2803) with Darlington output stage (max. 600 mA) is used to control actuators (e.g. solenoid valves V43). In addition, 8 status LEDs are available, which are switched by the microcontroller via IC 21 (74HC574). 8-68 Fresenius Medical Care 4008 4/09.03 (TM) Fresenius Medical Care 4008 24DIGITAL inputs (BUFFER) 2x8 DIP SWITCH 16DIGITAL inputs (DIRECT) 9ANALOG inputs U-REF 5V Crystalcontrolled oscillator 11 MHz 80C535 Microcontroller ANALOG PORT U-REF 10V ADDRESSES Rx Tx DATA PORT Reference voltage 5 V / 10 V 4/09.03 (TM) Data bus Control bus serial interface Data bus Address bus Control bus Address decoder 128 KByte EPROM 2 KByte SRAM 8 KByte NOVRAM 8DIGITAL outputs (DIRECT) 8x Status LEDs 8POWER outputs (BUFFER) 8DIGITAL outputs (BUFFER) 6DAC outputs U-REF 10V Fig.: Block diagram P.C.B. LP 632 CPU 2 8-69 8.12.2 8-70 Circuit diagram and component layout diagram P.C.B. LP 632 CPU 2 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 632 Component layout diagram P.C.B. LP 632 Circuit diagram 1/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-71 8-72 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 632 Circuit diagram 2/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-73 8-74 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 632 Circuit diagram 3/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-75 8-76 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 632 Circuit diagram 4/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-77 8-78 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 632 Circuit diagram 5/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-79 8-80 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 632 Circuit diagram 6/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-81 8-82 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 632 Circuit diagram 7/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-83 8-84 Fresenius Medical Care 4008 4/09.03 (TM) 8.13 P.C.B. LP 633 Input board 8.13.1 Description ● Address coding (circuit diagram 1/7) P.C.B. LP 633 (input board) is directly connected to P.C.B. LP 631 (CPU 1) via the address bus, the data bus, and the control bus. IC2 buffers the control bus, which consists of the /WR/RD and CS_INPUT signals. The address bus and the data bus are buffered by IC 1 and IC 3. They are cut off highly resistive, as soon as H level is applied to the CS_INPUT signal at IC 2, pin 9. An L signal at IC 2, pin 9, releases ICs 1, 3 and 4. IC 4 decodes the addresses (4-to-16-line decoder). The decision, which outputs turn to L level, is taken by the address data at inputs A to D. The L signal releases the connected module. The ADCx_ALE and ADCx_OE signals are generated by IC 9 and IC 10 by means of the CS_ADCx, WR and RD signals. ● ADC oscillator (circuit diagram 1/7) IC 8 constitutes the oscillator for the analog-to-digital converters. ● Serial receiver (circuit diagram 1/7) At the moment, IC 6 is not needed. It will be used for data transmission (serial/parallel conversion) with the new level detector module. ● External alarm (circuit diagram 2/7) A voltage (AC voltage or DC voltage of 20 V to 40 V) can be applied to pins X633L/24b and X633L/25b. Rectified by GL1, this voltage generates the EXT_ALARM signal at OC1, pin 5. ● Driver (circuit diagram 2/7) The digital input signals are applied to driver modules IC 13 to IC 16 as well as IC 19 to IC 21. The driver modules are activated by the RD and /CS_LATCHx signals being applied. IC 17 and IC 18 are provided as voltage converters (12 V → 5 V). IC 45 constitutes a retriggerable single-shot multivibrator, which is triggered by the optical detector in the level detector module via the OD_IN signal at X633L/8c (frequency approx. 90 Hz). ● Analog-to-digital converters (ADCs) (circuit diagram 3/7) Via voltage dividers, the analog input signals are applied to the inputs of the A-D converters. The reference voltage for the ADCs, which is generated on CPU 2, is driven by IC 22 (5, 6, 7). Conversion of the analog input signals is started by the H-active ALE signal and can be read in after the conversion by applying the H-active OE signal. Fresenius Medical Care 4008 4/09.03 (TM) 8-85 ● Analog signal processing (circuit diagram 4+5/7) Dialysate pressure transducer (sheet 4) The bridge voltage of the pressure transducer applied to the contact strip X633/R, pin 28c and pin 30c, is amplified by IC 33 (5, 6, 7 and 1, 2, 3) (OP1 and OP2). The zero-point offset can be adjusted by means of the DIAL_DET_ADJ signal (from output board DAC) via R183. The output voltage is proportional to the pressure applied. The supply voltage (between 4 V and 5 V, depending on the solder strap selected) for the pressure transducer is generated by IC 32 (1, 2, 3) and transistor T1. Temperature (sheet 4) The circuit provided for measuring the temperature of the dialysate by means of the monitor NTC (3) constitutes a modified inversion adding stage with IC 32 (5, 6, 7). The nonlinearity of the monitor NTC (3) is compensated by resistor R55. The conversion from one range of measured values to the other is performed by transistors T8 and T6. For the hot rinsing procedure, the value of the amplification as well as of the offset of the circuit is modified. For the test procedure, the output signal is modified by means of resistor R56. This signal is also used for calibrating the temperature offset. Conductivity (sheet 5) Together with R112, C69, C71, and R113 as well as with R110, R111, and the channel resistor of transistor T4, IC 34 (5, 6, 7) constitutes an amplitude-controlled 1-kHz Wien bridge generator. The amplitude of the sinusoidal oscillation is controlled at transistor T4 via comparator IC 34 (1, 2, 3) as well as diode D1, R107 and R108. The cell current at pin X633R/27c is rectified via diodes D3, D4, D5, and D6. The differential voltage is measured at R114 and amplified by IC 39 (1, 2, 3). R114 is also used to measure the currents of the oscillator and the control unit, compensated by R120. The ripple differential voltage and any possible superimposed common-mode AC voltage is filtered by capacitor C72. The initial range from 0 to 15 mS/cm (actual conductivity) is suppressed by resistors R121 and R126. The input voltage is amplified by IC 39 (5, 6, 7) (OP2) to an output voltage ranging from 0 to 10 V. Further filtering is accomplished by capacitor C73. Diode D2 prevents negative selections of the circuits connected to pin X633L/8b. In order to test both the lower and the upper CD alarm limit, a voltage (0 to 10 V) is applied to pin X633L/31b, so that the amplitude of the measuring signal will be modified. Level sensor (sheet 6) IC 36 constitutes the integrated fluid level indicator LM 1830. This IC comprises a circuit, which is used to differentiate between two conditions: – presence of fluid – absence of fluid The circuit is provided with two sensing electrodes, to which an AC voltage generated in IC 36 is applied. A comparator circuit then compares the resistance of the fluid with an internal resistance or a reference resistance. With the resistances being different from each other, a frequency is generated in relation to the difference in the resistances. This causes the output of IC 36, pin 12, to turn to L level. Resistor R25 constitutes the reference resistance of the fluid. The 6-kHz oscillator frequency is determined by means of C43. In order to prevent the electrodes from becoming galvanized, the two capacitors C62 and C60 are used as coupling capacitors. Attention When operated with de-ionized water (osmosis water), the hemodialysis machine can constantly remain in the prime program during preparation for hemodialysis, until a specific basic conductivity value has been achieved. 8-86 Fresenius Medical Care 4008 4/09.03 (TM) Fig.: Block diagram P.C.B. LP 633 8.13.2 analog Circuit diagram and component layout diagram P.C.B. LP 633 Input board digital P_V102 BPR_VEN MF 5V/12V MF BUFFER 1 BUFFER 2 LD_SERIAL Uref REED_BIC BIBAG REED_RINSE BIBAG_C PSW_V102 PSW_V104 PWR_OFF HEP_ON BUFFER 3 BUFFER 7 ART_BPR_SET V43 V26 V24B V24 UF_P1 LDA2 SUB_W_P SPARE SPARE SW_ON_OFF PWR_FAIL SHUNT_OUTP SHUNT_INP SHUNT SERV_EN LEV_SIGNAL BUFFER 4 BPR_ART VEN_BPR_SET SN ADKS BPSB_ART BPUS_ART BPSB_VEN BPUS_VEN HEP_ALARM BIB_LEVEL EXT_ALARM SERVICE_MODE LEVEL UP LEVEL DOWN ADS_SN ACKN_CONC ACKN_BIC BIBAG_PSW U_ACCU P_V104 ADC 1 24V_EM P_ART BLL_DIM BLL/BLL_OLD COND_SIGNAL Uref SPARE TEMP_DIAL2 COND_SIGNAL2 BIBAG_TEMP BIBAG_COND SPARE U_BATT_SW Uref STEUER–BUS DATEN–BUS Microprocessor Interface ADR–BUS ADC 2 COND_V84 LDA1 OD_OUT FL_SWITCH_+5V CI ABG_BYP ABG_ON ABG_ALARM BUFFER 5 ADC 0 P_VEN BUFFER 0 PWR_WD BUFFER's HDF_ON V102 V104 CSS_REED SPARE SPARE SPARE SPARE BUFFER 6 ADC's CPU 1 Fresenius Medical Care 4008 4/09.03 (TM) 8-87 8-88 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 633 Component layout diagram P.C.B. LP 633 Circuit diagram 1/8 Fresenius Medical Care 4008 4/09.03 (TM) 8-89 8-90 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 633 Circuit diagram 2/8 Fresenius Medical Care 4008 4/09.03 (TM) 8-91 8-92 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 633 Circuit diagram 3/8 Fresenius Medical Care 4008 4/09.03 (TM) 8-93 8-94 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 633 Circuit diagram 4/8 Fresenius Medical Care 4008 4/09.03 (TM) 8-95 8-96 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 633 Circuit diagram 5/8 Fresenius Medical Care 4008 4/09.03 (TM) 8-97 8-98 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 633 Circuit diagram 6/8 Fresenius Medical Care 4008 4/09.03 (TM) 8-99 8-100 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 633 Circuit diagram 7/8 Fresenius Medical Care 4008 4/09.03 (TM) 8-101 8-102 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 633 Circuit diagram 8/8 Fresenius Medical Care 4008 4/09.03 (TM) 8-103 8-104 Fresenius Medical Care 4008 4/09.03 (TM) 8.14 P.C.B. LP 634 Output board 8.14.1 Description ● Address decoding (circuit diagram 1/9) The binary code applied to the address inputs is decoded via IC 14. It energizes the respective latches via the enable line 1-11 and 14 and the D-A converter (IC 53) via pin 13. Eight output voltages within a range from 0 to 5 V are delivered by the D-A converter. Out1 and Out 5 are amplified to a factor of 2 via OP27 and OP36 respectively. The 5-V reference voltage for the D-A converter is delivered by IC 27, pin 1. ● Degassing pump control (circuit diagram 2/9) Via the ST-EP control line at IC 8, which is used to compensate mass distortions, the rated voltage for the degassing pump is directed to the control input of the PWM module IC 50, pin 2. Via voltage dividers R100 and R97, the output voltage for the degassing pump is directed to the input of amplifier IC 50, pin 1, where it is compared with the rated voltage. The resultant signal controls the duration for starting the power transistor T4. The output current is measured at the variable 0.1-ohm multiplier R110, resulting in a maximum current of 2 A. ● Flow pump control and end position recognition (circuit diagram 3/9) Speed control: The dialysate flow is adjusted by means of a speed-controlled gear pump. Via the ST-FP control line at IC 8, which is used to compensate mass distortions, the rated voltage for the flow pump is directed to the control input of the PWM module IC 38, pin 2. Via voltage dividers R68 and R67, the output voltage for the flow pump is directed to the input of amplifier IC 38, pin 1, where it is compared with the rated voltage. The resultant signal controls the duration for starting the power transistor T1. The output current is measured at the variable 0.1-ohm multiplier R70, resulting in a maximum current of 2 A. End position recognition: As soon as the balancing chamber is filled on the drain side, the dialysate flow is stopped. This leads to an increase in pressure which, in turn, causes a current increase in the motor of the gear pump and is measured at R70. The motor current is amplified via OP32, pins 6 and 7, and is filtered by collector frequencies by means of C31, C44, and C32. The motor current is differentiated via C51, R42, and OP32. This differentiated current pulse is shaped into a square-wave signal by Schmitt trigger OP32. The signal, which is depending upon the current increase, is available at the output of the differentiating network C38 and R33. Fresenius Medical Care 4008 4/09.03 (TM) 8-105 ● Balancing chamber control (circuit diagram 4/9) Upon each positive edge, the D-FF IC 17 is energized via the Clk-Bc signal line. At the Q./Q outputs, D-FF IC 17 informs the GAL module IC 23, which of the balancing chamber valves is to be activated. The data word of IC 12 decides upon the PRG type of valve switching. Flow “off” Hemodialysis operation Prime program Emptying program Data word IC 12 0000 0011 0000 0010 0000 1010 0001 0010 Switching to single-valve control is possible via the FBKU signal line (the respective balancing chamber valve is controlled by the data word of IC 12). ● ASP control (air separating pump) (circuit diagram 5/9) UF pump control: At pin 4, the monoflop IC 42 is triggered by H level from IC 4, pin 14, via IC 39, pins 1 and 3. Via the power transistor T8, the output of IC 42, pin 6, controls the UF pump 1, with the starting time being determined by the RC element R82 and C47. At pin 12, the monoflop IC 42 is triggered by H level from IC 4, pin 13, via IC 39, pins 4 and 6. Via the power transistor T3, the output of IC 42, pin 10, controls the UF pump 2, with the starting time being determined by the RC element R65 and C45. The UF pumps can also be activated by CPU 2 via the UF-P-CTRL and UF_P2_CTRL signal lines. ● Digital control outputs (circuit diagram 6/9) Via the open collector drivers IC 34, IC 21, and IC 20, or via level converters IC 41, the respective signal lines are controlled by the data residing at latch IC 13, IC 11, and IC 6. 8-106 Fresenius Medical Care 4008 4/09.03 (TM) ● Stepper motor control ( circuit diagram 7/9) Initial control: After a reset at IC 24, pin 28, the level at IC 24, pin 8, is checked. H level corresponds to bicarbonate operation; with L level, only the concentrate pump is activated. The first trigger pulse at IC 24, pin 7, is used to initialize the pumps. Operation: The concentrate or bicarbonate pump respectively is activated by a trigger pulse at IC 24, pin 7. The step-number memory ICs (latch IC 2 or IC 1) are energized and read in via the control line IC 24, pin 6. L level applied to pin 6 = concentrate pump step number H level applied to pin 6 = bicarbonate pump step number The direction of rotation is reversed at pin 5 of IC 37 or at pin 5 of IC 26 respectively. The optical sensor signals (bic pos/conc pos) are shaped via the Schmitt trigger circuit IC 16 and read in at IC 24, pin 19, and IC 24, pin 18. Between the individual strokes, the motor current must be reduced (L level at IC 37, pin 10, and IC 26, pin 10). ● Valve control (circuit diagram 8/9) The data residing at latch IC 7 and IC 10 are directed to the driver modules of type 2068 and activate the individual factors. Dialysate valve control: Only by H level via the V24-en/V24b-en release line of CPU 2 can valves 24 and 24b be activated via IC 51 and IC 40. Water inlet control: Via IC 51, the H level of IC 7, pin 12, releases the float switch signal and controls valve 41 via IC 18, pin 3 and pin 2. Valve 41 can also be directly controlled via IC 7, pin 13, and IC 31, pin 12. Fresenius Medical Care 4008 4/09.03 (TM) 8-107 ● Alarm tone control and signal processing for both balancing chamber and stepper motor trigger (circuit diagram 9/9) Oscillator circuit: The oscillator circuit consists of a binary counter IC 35, R53, R56, C35, C39, and Q2. The output frequencies are active even with power failure, since U-Bat is fed to the 12-V supply network via D18. Power failure alarm: In case of power failure, L level is applied to IC 31, pin 7. Since the output of IC 31, pin 5, becomes highly resistive, approx. 9 V as well as the power failure frequency of 2048 Hz are applied to IC 31, pin 9, and are then directed to the output stage IC 45 (type TDA 7052) via IC 31, pin 20 and pin 11. Via the EN-PF-AT signal line, the power failure alarm tone is suppressed by means of H level at IC 31, pin 7. Balancing chamber dead time: By means of the positive edge, the D-FF IC 17 is set (H level at pin 5) and the count-down unit IC 15 released at pin 9. The counter is decreased by 1 increment upon each positive clock pulse edge. As soon as the counter reaches 0, pin 14 turns to L level, resetting the D-FF IC 17. By means of L level at pin 9 of IC 15, the data of IC 16 is again called into the counter. 8-108 Fresenius Medical Care 4008 4/09.03 (TM) Fig.: Block diagram P.C.B. LP 634 Output board 8.14.2 Circuit diagram and component layout diagram P.C.B. LP 634 Output Board EN1 +AIRSEP_P Latch UF_P1 UF_P_CTRL UF_P_EN UF_P2 UF_P2_CTRL EN2 Latch V31 V32 V33 V34 GAL V35 V36 V37 V38 EN3 CONC_P Latch Microcontroller EN4 BIC_P Latch & EN_CPU2 EN6 V24 V24 V24b V26 V87 V91 V102 V126 V130 Latch V30 V41 V43 V84 V86 V99 V104 Latch SN_EN SNST CPU_OFF V_ADS HDF_LOG1 PROG_LOG2 VENT_VALVE & Latch Control bus V24B Address deAddress bus coding EN7 Data bus Bus driver EN8 EN9 Latch CLR_ALARM CPU_AKKU HOT_RINSE HEAT_OFF TEST_BATT STAFF_CALL TL_RED Latch BPST_ART BPSST_VEN BPSST_ART HDF_SEL CLAMP_CTRL TL_YELLOW BPST_VEN TL_GREEN EN10 EN5 Latch GAL Oscillator EN11 Latch Counter D/A FLOW_P DEGAS_P TEMP_SET DAC_BLL DAC_DIM DAC_X TEMP_ADJ DAC_P_ZE STEUER_EP BIBAG_TEMP_AJ STEUER_FP U_ref EN12 V_ZKV1 V_ZKV2 VY5 FREE_OUTP Latch Fresenius Medical Care 4008 4/09.03 (TM) 8-109 8-110 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 634 Component layout diagram P.C.B. LP 634 Circuit diagram 1/9 Fresenius Medical Care 4008 4/09.03 (TM) 8-111 8-112 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 634 Circuit diagram 2/9 Fresenius Medical Care 4008 4/09.03 (TM) 8-113 8-114 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 634 Circuit diagram 3/9 Fresenius Medical Care 4008 4/09.03 (TM) 8-115 8-116 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 634 Circuit diagram 4/9 Fresenius Medical Care 4008 4/09.03 (TM) 8-117 8-118 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 634 Circuit diagram 5/9 Fresenius Medical Care 4008 4/09.03 (TM) 8-119 8-120 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 634 Circuit diagram 6/9 Fresenius Medical Care 4008 4/09.03 (TM) 8-121 8-122 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 634 Circuit diagram 7/9 Fresenius Medical Care 4008 4/09.03 (TM) 8-123 8-124 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 634 Circuit diagram 8/9 Fresenius Medical Care 4008 4/09.03 (TM) 8-125 8-126 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 634 Circuit diagram 9/9 Fresenius Medical Care 4008 4/09.03 (TM) 8-127 8-128 Fresenius Medical Care 4008 4/09.03 (TM) 8.15 P.C.B. LP 635 Display board 8.15.1 Description 4008 E hemodialysis machine – monitor ● Address decoder (circuit diagram 1/7) IC 1 and IC 2 are provided as 4-in-16-bit address decoders. The 22 chip selects are generated by means of addresses A0 to A3 and A4 for IC 1 as well as A4 inverted for IC 2. The 22 chip selects are generated only if, via IC 9, either X635/24 (write) or X635/25 (read) is at L level. IC 71 is used as data bus driver and is reversed in its direction by WR and RD. ● Keyboard matrix (circuit diagram 5/7) Pins N1 and GND of plug X2 are directly connected to the circuits in the power supply unit. These circuits are used to switch the machine on and off. Via IC 54, the remaining keys on the touch sensitive keyboard are connected to a matrix at the keyboard encoder IC 53 and an additional data line DB4. After the CPU has received the interrupt, the keyboard code is read out by means of CS20 via buffer IC 73. ● Brightness control (circuit diagram 1+2/7) The clock pulses required for the bar graph displays are delivered by IC 74 and the following gate logic. Superimposed by a higher frequency and a variable mark-to-space ratio, these clock pulses are used to modulate the brightness. To this end, the shift register IC 6 is provided. IC 6 is loaded in parallel with the desired mark-to-space ratio via a data word at DB0 to DB7 (CS21) and is cyclically rotating due to clock generator IC 7/11, 12, 13, and IC 7/8, 9, 10. ● Status indicator LEDs (circuit diagram 6/7) All status indicators as well as the condition indicator are switched by means of IC 21 and IC 25 (CS16, CS17). Both modules are – connected to the brightness control by R1, – not connected to the brightness control by R2 (maximum brightness). The I/O LED (power on/off) is directly connected to the 5-V supply network. ● Alarm indicator LEDs (circuit diagram 7/7) All alarm indicators are energized by IC 23 and CS18. The key click is controlled by output 19 of IC 23 via IC 46/5.14. Fresenius Medical Care 4008 4/09.03 (TM) 8-129 ● Text display (circuit diagram 1/7) The text display is an intelligent, 20-character display module. It is provided with its own processor. Texts are loaded by means of ASCII characters via the data bus CS22. By means of CS20 and via IC 73 and the data bus, the CPU can read whether the text display is ready to receive new data. ● UF displays (circuit diagram 2/7) IC 3 and IC 4 are 8-digit seven-segment display drivers. IC 3 operates the UF Volume and UF Rate displays. IC 4 operates the UF Goal and UF Time Left displays. These display drivers are loaded in series with 16-bit packets upon each rising clock edge. This information is buffered into the digit registers by means of the IC 5/16 and IC 5/18 load signals. Included in this information is the brightness control. ● Bar graph displays for arterial and venous pressure (circuit diagram 3/7) IC 19, IC 16, and IC 22 are provided as data memories for the arterial bar graph display, whose 30 LEDs are organized within a 5x6 matrix. The 5 lines are directly energized via the emitter sequence IC 30 by data buses DB0 to DB4 and the 6 columns via the 8-out-of-3 decoder IC 28 by data buses DB5 to DB7. The actual value (CS1) is stored by IC 19; the upper limit (CS2) is stored by IC 16; and the lower limit (CS3) is stored by IC 22. The respectively applicable LED is energized via the clock inputs CL1, CL2, and CL3. The clock pulses of CL1 have a longer duration than those of CL2 and CL3. Thus, the actual value is represented more brightly than the limits. IC 18 (CS4), IC 15 (CS5), and IC 20 (CS6) are provided as data memories for the venous bar graph display. The working method of this display is identical with that of the arterial bar graph display. ● Bar graph displays for TMP and conductivity (circuit diagram 4/7) IC 59 (CS7), IC 55 (CS8), and IC 57 (CS9) are provided as data memories for the TMP bar graph display. IC 58 (CS10), IC 60 (CS11), and IC 56 (CS12) are provided as data memories for the CD bar graph display. The working method of both displays is identical with that of the arterial bar graph displays. ● Bar graph displays for temperature and flow (circuit diagram 7/7) The bar graph displays for temperature and flow are energized by of IC 24 via CS19. The data lines DB4 to DB7 contain the value for the temperature display. Only 16 of the 20 LEDs of the temperature display are actually visible. The data lines D0 to D3 contain the value for the flow display. IC 72/19 is responsible for the brightness control of the temperature display, and IC 72/ 18 serves to turn the display dark. 8-130 Fresenius Medical Care 4008 4/09.03 (TM) Fig.: Block diagram P.C.B. LP 635 Display board 8.15.2 Circuit diagram and component layout diagram P.C.B. LP 635 Display board CS 1 – 12 Duty Cycle Bargraph Art Ven TMP Conductivity CS 16, 17 Status LED's Traffic Light CS 18 Alarm LED Key click CS WR RD A0 A1 A2 A3 A4 CS 19 Bargraph Temperature Flow Chip-Select Decoding CS 20 Keyboard Encoding Key interrupt Key matrix (Plug X2) CS 21 Brightness Control CS 22 Alpha Display CS 23 Data bus D0 – D7 UF Goal UF Time UF Rate UF Volume Fresenius Medical Care 4008 4/09.03 (TM) 8-131 8-132 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 635 Component layout diagram P.C.B. LP 635 Circuit diagram 1/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-133 8-134 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 635 Circuit diagram 2/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-135 8-136 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 635 Circuit diagram 3/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-137 8-138 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 635 Circuit diagram 4/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-139 8-140 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 635 Circuit diagram 5/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-141 8-142 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 635 Circuit diagram 6/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-143 8-144 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 635 Circuit diagram 7/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-145 8-146 Fresenius Medical Care 4008 4/09.03 (TM) 8.16 P.C.B. LP 636 External connectors 8.16.1 Description P.C.B. LP 636 is provided with the following connection sockets: – Loudspeaker – Alarm volume control – Traffic light – Input/output connection socket (for additional equipment available as option, such as a drop counter for LDL adsorption) – Screen (optional) – ALARM IN connection socket – ALARM OUT connection socket In addition, P.C.B. LP 636 is provided with a service switch. Fresenius Medical Care 4008 4/09.03 (TM) 8-147 8.16.2 8-148 Circuit diagram and component layout diagram P.C.B. LP 636 External connectors Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 636 Component layout diagram P.C.B. LP 636 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-149 8-150 Fresenius Medical Care 4008 4/09.03 (TM) 8.17 P.C.B. LP 638 Power supply 8.17.1 Description ● General information Three regulated voltages are available at the outputs of P.C.B. LP 638: – +5 V/2.5 A – +12 V/1.5 A – +24 V/15 A One switching regulator is provided to generate each of these voltages. Due to its higher capacity, the +24-V regulator is made out of discrete components (switching transistor, current limitation). One integrated type-L-296 switching regulator is used to generate the +5-V voltage and one to generate the +12-V voltage. ● +5-V regulator (circuit diagram 2/2) Via points PGL1 and PGL2, the AC voltage of the 20-V winding of the main transformer is directed onto the P.C.B. After having been rectified via GL1 and smoothed by means of C26, a nonregulated voltage of approx. 26 V is available as input voltage for the regulator. High-frequency disturbances are filtered via the input filter comprising DR100 and C101. Capacitors C100 and C102 are mainly used for additional smoothing of the input voltage, which is applied to IC 100, pin 3, of the switching regulator. The storage reactor DR101, the freewheeling diode D100 as well as output capacitors C106 and C107 are applied to the output of the regulator IC 100, pin 2. Capacitor C108 is used to suppress high-frequency spikes, which might be caused by the switching procedure. The maximum current is limited to approx. 2.5 A by resistor R101. The switching frequency of the regulator is determined by C110 and R103. It amounts to approx. 50 kHz. To be regulated, the output voltage is fed back via IC 100, pin 10. Via input IC 100, pin 1, any overvoltage is recognized at output IC 10, pin 2 (e.g. caused by a defect of the L-296 switching transistor). Via IC 100, pin 15, the thyristor TR100 is energized and the output, thus, shortcircuited. Due to the resultant high current, fuse SI2 is released. In addition, IC 100 is used to generate the power reset (e.g. upon start of the machine). The power reset is available at IC 100, pin 14. Resistor R102 is provided as pull-up resistor to +5 V. ● +12-V regulator (circuit diagram 2/2) The circuit is designed in the same manner as that of the +5-V regulator. However, pin 14 of IC 200 is not utilized. In addition, only a part of the output voltage is fed back via voltage dividers R203 and R204, in order to generate the +12-V voltage. Fresenius Medical Care 4008 4/09.03 (TM) 8-151 ● +24-V regulator (circuit diagram 1/2) The input voltage for the +24-V regulator is applied across P5 and P3. Supplied with clock pulses, this input voltage is connected to the storage reactor L1 via the transistor T3. With T3 being closed, the difference between input voltage and output voltage is above L1 (P8 more positive than P9). This fact causes the current in the reactor to increase linearly. The freewheeling diode D4 is inhibited during this phase. As soon as T3 opens, D4 becomes conductive. The output voltage plus the on-state voltage of D4 is now applied across the reactor (P9 more positive than P8). The current in the coil, which now also flows via D4, decreases linearly until switch T3 closes again. The output voltage for the duration of the individual switching cycles is held constant by means of C20. The output voltage is regulated by IC 1, which is provided as pulse width modulator. This modulator is supplied with pulses at a frequency of approx. 70 kHz (determined by R3 and C4). For regulation, the pulse width of the output signal (IC 1, pins 12 and 13) is modified. In order to make a regulation possible, the output voltage is fed back to IC 1, pin 1, via R9 and R2. Pin 2 of IC 1 is connected to the reference voltage of the module (IC 1, pin 16). IC 1 regulates the pulse width such that the difference between the voltages of IC 1, pin 1, and IC 1, pin 2, becomes zero. Via an inverter stage (R31, R32, and T5), the pulse-width-modulated signal switches transistor T2 which, in turn, is used to activate the transmitter UT1. At the output of UT1, diode D6 cuts off the negative portions of the transmitter voltage. Via D5 and R26, the signal reaches the gate of the main switching transistor T3. Transistor T4 is used to short-circuit the gate-source capacity of T3 at its cutoff moment. This leads to the achievement of as short a switching time as possible and a considerable reduction in switch dissipations. The current which flows through T3 is constantly monitored via a current multiplier (between P4 and P7). To this end, the voltage at the current multiplier is amplified via IC 3, pin 6, R10, and R13 and delivered to a comparator (IC 3, pin 3). The amplification factor has been selected such that the comparator output (IC 3, pin 1) changes its state at a current of approx. 15 A. The signal of the comparator output is directed to IC 1, pin 4, thus causing the current clock pulse to be interrupted immediately and the pulse width to be limited to a lesser degree (quasi-soft start) upon the next clock pulse due to the connection to IC 1, pin 9 (T6, R4, and C3). As a consequence, the output voltage (+24 V) drops. In order to protect the following circuits and solder tracks, the +24-V voltage is monitored via IC 5. Should the output voltage fall below +22 V (R20, R22) for more than approx. 200 ms (determined by C17), IC 5 cuts PWM IC 1 off via the latter’s pin 10 (low-voltage recognition). The regulator then starts again only after the machine has been switched off and on. Should an excess voltage develop at the output (> +26 V, R12 and R21), IC 5 activates the triac TR1, which short-circuits the output voltage, thus releasing the fuse SI1 (at P5). 8-152 Fresenius Medical Care 4008 4/09.03 (TM) 20 V AC 45V_UR Fuse Current measuring resistor Fuse Rectification Current limitation 12 V regulator +UB 24 V regulator Undervoltage switchoff Overvoltage output with current limitation and overvoltage recognition 5 V regulator with current limitation and overvoltage recognition 12 V regulator Overvoltage and undervoltage recognition PWR_RES DGND +5 V AGND +12 V PWRGND +24 V Fig.: Block diagram P.C.B. LP 638 Power supply Fresenius Medical Care 4008 4/09.03 (TM) 8-153 8.17.2 8-154 Circuit diagram and component layout diagram P.C.B. LP 638 Power supply Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 638 Component layout diagram P.C.B. LP 638 Circuit diagram 1/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-155 8-156 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 638 Circuit diagram 2/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-157 8-158 Fresenius Medical Care 4008 4/09.03 (TM) 8.18 P.C.B. LP 639 Power logic 8.18.1 Description ● Standby voltage generation Via transformer TR2, rectifier GL1 and smoothing capacitor C1, a non-regulated DC voltage of approx. 15 V is directed to the input of the linear regulator T1. The connected circuits are supplied by the regulated 12-V output voltage via diode D3. Since the power logic must be supplied even in case of power failures, the battery voltage is used to generate a voltage of approx. 10 V via the regulator IC 13. Via D2, this voltage is wire-ORed with the output voltage of T1. ● Power-on logic Upon actuation of the On/Off key on the front panel of the hemodialysis machine, an L level is applied to IC 4, pin 1, via X639A, Pin 7. This causes a rising edge to develop at IC 8, pin 3, via the interposed gates of IC 4 and IC 5. The output of FF IC 8 turns to H level, while the power relay RL3 is activated via T8. Simultaneously, the bistable relay RL4 is activated via the differentiating network C28, R3 and the transistor T10. As a result, the contact RL4, pin 4 and pin 5, is made so that, via the linear regulator comprising T6, R55, and ZD1, a voltage of approx. 10 V is available at X639A, pin 13, for the generation of the power failure alarm tone. In order to switch the machine off, a high edge is applied to IC 8, pin 11, via DI10. By means of this edge, the level at the D input of IC 8, pin 9, is stored (H level with the machine switched on). Simultaneously, a time element for the switchoff delay starts running (R54, C27). After approx. 1 sec (I5/2 – 3) or 2.5 sec (I5/1 – 2), IC4 , pin 6, turns to L level, and IC 6, pin 3, is supplied with H level, depending on the position of jumper 5. This H level can be read in by the CPUs via X639A, pin 22, and is used as switchoff recognition. After another approx. 150 ms, the second time element R41, C26 has elapsed. The machine is switched off via IC 8, pin 4. At the same time, the bistable relay RL4 is activated via the differentiating network C29, R2, and the transistor T11. As a result, the power failure alarm tone is suppressed (contact 4/5 RL4). Fresenius Medical Care 4008 4/09.03 (TM) 8-159 ● Power failure recognition and battery connection Since it must be possible to recognize a power failure, the secondary voltage of the standby transformer is monitored. The pulsating DC voltage is directed to the Schmitt trigger IC 4, pin 9, via diodes DI3, DI4, and the voltage divider R6, R7. Via IC6, pin 4, the 100-Hz square-wave signal developing at the output of IC 4, pin 8, is applied to the reset input of the counter module IC 9, pin 11 (4040). The pulse width of the square-wave signal is designed such that only short-time LOW pulses (approx. 3 ms wide) can develop at IC 9, pin 11; i.e. counter IC 9 is usually inhibited. A 5-V square-wave signal with a frequency of 2 kHz is applied to pin 23 of plug X639A. After a level conversion to 12 V (R62, T13, R63), this signal reaches the clock pulse input of the counter module IC 9, pin 10, via several interposed gates. During the L level phase of the reset signal, the counter IC 9, is counted up. Should this L level phase become impermissibly long because the supply voltage is dropping or the power failing, the counter module IC 9, pin 3, achieves H level after 8 ms. Via IC 6, pin 6, the reset signal for IC 9 is inhibited, the clock pulse separated from the counter by means of IC 6, pin 12, and the condition thus stored. The H level, which is now applied to X639A, pin 6, is a signal of power failure for the CPUs. Via IC 7, pin 8, the output signal of the counter module IC 9, pin3, is directed to the gate IC 7, pin 12. There it is linked to the watchdog signal of CPU 1, so that a H level is transmitted to T9 with the watchdog being intact only. T9 then supplies the coil of the battery relay RL5 with current, and the contact 7/8 RL5 is closed. The slide-in modules (24V_EM; X639A, pins 29, 39, 31) and both the 5-V and the 12-V switching regulators (26V_UR; X639C A28) are supplied with the battery voltage via diodes D4 and D6. As soon as IC 9, pin 3, has achieved H level, the square-wave signal, which is obtained from the standby voltage (see above), is applied to the clock pulse input of counter IC 9, pin 10, via IC 6, pin 9. After the power has returned, the counter is supplied with pulses by the square-wave signal, thus starting to count up again. Since the counter frequency has decreased (100 Hz instead of 2 kHz), it takes 160 ms until IC 9, pin 3, turns to L level and the battery is separated from the circuit again. This delayed switch-off and the rapid connection (8 ms) is intended to guarantee a smooth transition between normal operation and standby operation. The L level at IC 9, pin 3, serves to reestablish the initial situation (2-kHz pulse at IC 9, pin 3, and 100-Hz square-wave signal at IC 9, pin 11). ● Battery test In order to obtain information on the condition of the battery, it is briefly loaded during the T1 test. The resultant battery voltage is read in. By applying a H level to X639A, pin 10, a pulse of approx. 100 ms width is generated via the differentiating network C39, R24 and the two gates (IC 4, pin 13; IC 7, pins 1 and 2). This pulse is used as signal for activating the transistor T4. The battery is then loaded with a current of approx. 3 A by resistor R39. 8-160 Fresenius Medical Care 4008 4/09.03 (TM) ● Heater relay control and monitoring The heater relay is controlled by CPU 2. Relay RL2 is switched on by an L level at X639A, pin 17. For reasons of safety, the voltage supply for the relay has been looped via the sensor cable (HEAT_REL_24V), so that it is impossible to operate the heater relay with the sensor cable pulled off. The voltage applied across the coil of the heater relay is monitored by comparator IC 1, pins 2 and 3. Resistors R64 to R67 are laid out such that the condition of the relay is recognized as being cut off (IC 1, pin 1, at L level) only with a voltage lower than 3 V being applied across RL2. The output signal of the comparator can be read in by CPU 2 via X639A, pin 12. In addition, this signal also acts upon the heater control (see below). ● Battery charging circuit Emergency operation of the machine is guaranteed by three series lead-acid storage batteries of 6 V each. An integrated module IC 10 of type UC2906 is used to charge the batteries. The connected 24-V voltage (24V_SW) is used to provide for the supply voltage required for charging. The charging procedure is accomplished in three stages. Up to a battery voltage of 15 V, the minimum charging current amounts to 14 mA (in this charging state, the charging current decreases with increasing battery voltage). After a voltage of 15 V has been reached, the batteries are charged with a constant current. The charging current amounts to approx. 250 mA. This state is maintained until the battery voltage has risen to 22.4 V. Then the charging current starts dropping. As soon as the current has fallen below 14 mA, IC 10 switches over to the float state, maintaining the battery voltage at approx. 21 V. As soon as current consumption causes the battery voltage to drop, the above procedure starts again. Fresenius Medical Care 4008 4/09.03 (TM) 8-161 ● Heater control The temperature sensor is applied to X639A, pin 21. Together with R33 and R10, it constitutes a voltage divider. The rated-value specification for heater control is superimposed over this voltage divider via X639A, pin 18, and resistors R32 and R34. The resultant voltage is directed to the operational amplifier IC 2, pin 6 (LM358), which is connected as PID regulator. The regulator is compensated via a voltage, which is applied to X639A, pin 24, and is converted to the requisite range of voltage via IC 1, pin 6. This voltage cannot be influenced by means of the hardware (software compensation!). The output voltage of the PID regulator is superimposed over a delta signal, which is generated by IC 3, and is then delivered to comparator IC 2, pin 3. This comparator activates transistor stages T2 and T12. The L level applied to IC 11, pin 2, causes the triac coupler IL410 to ignite its internal triac, thus delivering the gate trigger voltage for the external main triac (1, 2, 3 X639D) via R51. The external main triac accepts the load current of the heater rod. The triac is fired with each zero crossover of the 230-V supply voltage only. To this end, a zero voltage recognition is integrated in the coupler IC 11. As a result, any disturbances, which are caused by the steep build-up of current under load in case of phase-shift control, are avoided. The heater control can be inhibited by an H level at X639A, pin 19. As already mentioned above, the heater relay monitoring unit also acts upon the control. Via diodes D9 and D10 as well as the RC element R72, R71, C42, the heater relay IC 1, pin 1, if de-energized (IC 1, pin 1, at H level), causes the heater control to be inhibited. The heater control is released only after the heater relay (IC 1, pin 1, turns to L level) has been activated and C42 has been unloaded via R71. This measure is intended to protect the triac coupler IC 11 and to treat the relay contacts of the heater relay gently. For hot rinsing, an H level at X639A, pin 20, causes R34 and R10 to be connected in parallel, resulting in a rated temperature value of approx. 84 °C. 8-162 Fresenius Medical Care 4008 4/09.03 (TM) Fig.: Block diagram P.C.B. LP 639 Power logic 8.18.2 Circuit diagram and component layout diagram P.C.B. LP 639 Power logic Heater relay 24V_SW EM_HEAT_OFF TEMP_ADJ HEAT_OFF Heater control TEMP_SET Triac HOT_RINSE Control NTC Heater rod 220V_L1 FROM_TRANS Fuse 220V_N TO_TRANS Fuse Fuse STDBY Fuse Standby voltage Power relay STDBY SW_ON_OFF Switchon logic Current surge relay Power failure alarm tone PWR_OFF AUTO_ON CPU_OFF Fresenius Medical Care 4008 4/09.03 (TM) 8-163 8-164 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 639 Component layout diagram P.C.B. LP 639 Circuit diagram 1/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-165 8-166 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 639 Circuit diagram 2/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-167 8-168 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 639 Circuit diagram 3/3 Fresenius Medical Care 4008 4/09.03 (TM) 8-169 8-170 Fresenius Medical Care 4008 4/09.03 (TM) 8.19 P.C.B. LP 950 Control board (HEP) 8.19.1 Description ● General information The electronics of the pump consists of two printed circuit boards: – LP 950 (control and power part) – LP 644-4 (display and keyboard) Both boards are connected by means of a 20-pin printed circuit board connectors (ST4). ● P.C.B. LP 950 P.C.B. LP 950 comprises the digital control unit. This unit communicates with the dialysis monitor via a 14-pin connector (ST1). In addition, an RS232 interface to the monitor is accomplished via the IC 18. Further plugs are ST2 leading to the stepper motor, ST3 leading to the optical sensor, and ST5 leading to the position sensor (Hall switch). Two switches are used to set different modes of operation. SW1 is used to determine the syringe type used. SW2 is used to simulate the blood detector in case service work becomes necessary. The circuit can be divided into four functional groups, which will be described in detail below. ● Voltage supply The 25-V capacity supply (LV) is directly applied to the switching power supply unit for 5-V supply and to the switching transistor T1. During normal operation, transistor T1 is permanently conductive, so that the +25-V voltage is then applied to the stepper-motor power driver. In case of an error, the microcontroller (MC) or the GATE-ARRAY (GA) can inhibit the FET T2 and, thus, the transistor T1. As a result, the stepper motor control (SMS) can be separated fromthe LV. The +5-V supply voltage (VCC) for the digital components is generated from the 25-V power supply by means of a switching-power-supply-unit regulator LM3578. As a result, a better efficiency is achieved than would be the case if use were made of a horizontal control unit. When the hemodialysis machine is being switched off or if the voltage fails, the operating data of the slide-in module is filed and stored in the NOVRAM IC 17. Together with the monostable circuit IC 15, comparator IC 13 constitutes a power-on-reset circuit. Fresenius Medical Care 4008 4/09.03 (TM) 8-171 ● Stepper motor activation IC 14 constitutes the stepper motor controller module (SMC). IC 14 allows both full-step and eighth-step operation, reversal of the direction of rotation, as well as a controllable motor current limitation. The digital control inputs and control outputs of the stepper motor controller are TTL-compatible and can be directly connected to the microcontroller or to the gate array. The step frequency, the direction of rotation and the module release of the stepper motor controller are applied to port 1.1 to port 1.3. Selection of full-step or eighth-step operation respectively is made by port A.7 of the gate array. Via port A.4, the phase current can be set to two different rated values. ● Interface to the hemodialysis machine A level of 12 V is applied to the signals emitted by the hemodialysis machine. The signals are limited to a voltage of 5 V by the optocoupler. A 12-V level is applied to the ALARM and PUMP output signals by means of a transistor and a pull-up resistor. A serial interface is provided for expansions. The voltage level of these signals amounts to 5 V. 8-172 Fresenius Medical Care 4008 4/09.03 (TM) ● Digital control unit Together with the dual operational amplifier and various passive components, the microcontroller and the gate array constitute the digital control unit. The gate array is provided as customer-specific integrated circuit. It comprises the following functions: 8-byte RAM This RAM is provided as expansion of the microcontroller RAM. 4-digit display controller Up to four seven-segment displays can be energized by the integrated display controller. Three displays with a joint cathode are incorporated in the heparin pump. The cathodes of the three displays are connected to the column connectors S00 to S20 of the gate array; the segments are connected to the respective connectors via variable multipliers. S30 is connected to the cathodes of the two control LEDs. The anodes are applied to the segment connectors SA0 to SF0 via variable multipliers. The display controller uses the multiplex method to operate the displays. 8-bit port A and 4-bit port B Port A and port B are bidirectional ports with integrated data directional registers. The hexagonal coding switch (selection of syringe type) is connected to ports PA.0 to PA.3; the Hall sensor provided for end position recognition is connected to port PA.5. Port PA.7 emits the signal for reversal from full-step to eighth-step operation and vice versa to the stepper motor controller. Port B is not utilized. Key encoder for 16 keys By means of the key encoder, 16 keys can be operated in a 4x4 matrix in multiplex operation. In addition to a 64-mS debouncing unit, an N-key-rollover function and a multiple key recognition, the key encoder is provided with an integrated permanent-key-depression recognition. The code of the key recognized is stored in a register, causing an interrupt to be released in the internal interrupt controller. Connectors X0 to X1 for columns and connectors Y0 to Y2 for lines are used for the heparin pump. Two external interrupt inputs Connectors EX0 to EX1 are provided as additional interrupt inputs. The respective interrupt is released by a rising edge at the inputs. The pulses of the optical sensor are converted into a digital signal by comparator IC 13 and connected to input EX0. A signal, which is reduced to 5 V, is applied to input EX1. This signal is emitted by the optical detector in the hemodialysis machine. This signal is a square-wave oscillation of approx. 100 Hz with air or a clear fluid being recognized by the sensor; with blood, L level is applied to the signal. Interrupt controller In addition to the interrupts released by the key encoder and the external interrupt inputs, a 1-MS and a 16-MS interrupt is made available by the gate array. All interrupts can be individually inhibited or released in a corresponding control register. After an interrupt request, the releasing interrupt must be determined in the respective routine by reading the interrupt flag register. In order to erase the respective interrupt flag, it suffices to read the pertinent address (see gate array data sheet). Fresenius Medical Care 4008 4/09.03 (TM) 8-173 Oscillator For being externally connected, the oscillator requires a crystal, two capacitors and a resistor. Since the internal timers must be set to the correct basic pulse rate, the frequency of the crystal must amount to 4.096 MHz. Watchdog The watchdog output of the gate array is set to H level by the program. Every millisecond, the integrated watchdog circuit sets the output level to L level, thus releasing an interrupt at the input INT0 of the microcontroller. During normal operation, the microcontroller now performs an interrupt routine, during which the watchdog circuit in the gate array is reset. This causes the watchdog output to return to H level. The base of FET T2 is likewise connected to the watchdog signal via a lowpass filter. The time constant of the lowpass filter is selected such that, during normal operation, the 1-ms interrupt causes transistor T1 to become conductive. 8-174 Fresenius Medical Care 4008 4/09.03 (TM) ● Speed and rotational direction monitoring unit 8.19.2 Circuit diagram and component layout diagram P.C.B. LP 950 Control board (HEP) A slotted disc is attached to the drive shaft of the syringe holder for monitoring the speed and the direction of rotation. This slotted disc penetrates the range of the optical sensor, where it generates a specific light-dark pattern. The optical sensor converts this pattern into corresponding voltage levels. The slotted disc is divided in three sections of 120 degrees each, each of them having the same window configuration: 20-degree opening, 20-degree tie, 40-degree opening, 40-degree tie. The division of the disc in two sections leads to the following speed-related pattern: 20° 40° 60° 80° 100° 120° 140° 160° 180° 140° 160° 180° In the opposite direction of rotation, the pattern is as follows: 20° 40° 60° 80° 100° 120° These patterns are evaluated by the software, so that a stop of the shaft is recognized not later than after 20°, because an L/H level or an H/L level respectively must be achieved after the corresponding period of time, if the shaft is rotating. After a 80-degree rotation, an error in the direction of rotation of the shaft is recognized. Fresenius Medical Care 4008 4/09.03 (TM) 8-175 8-176 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 950 Component layout diagram P.C.B. LP 950 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-177 8-178 Fresenius Medical Care 4008 4/09.03 (TM) 8.20 P.C.B. LP 644-4 Display board (HEP) 8.20.1 Description ● General information P.C.B. LP 644-4 comprises the elements for the display and the operating keyboard. All elements are covered by a water-tight foil. ● Display All of the information required is given to the user by three seven-segment displays and two LEDs. ● Keyboard The keyboard comprises six individual make contacts, which are directly soldered into the printed circuit board. These contacts constitute a 2x3 matrix and are directly connected to and evaluated by the gate array. Fresenius Medical Care 4008 4/09.03 (TM) 8-179 8.20.2 8-180 Circuit diagram and component layout diagram P.C.B. LP 644-4 Display board (HEP) Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 644-4 Component layout diagram P.C.B. LP 644-4 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-181 8-182 Fresenius Medical Care 4008 4/09.03 (TM) 8.21 P.C.B. LP 645 Position sensor membrane pump 8.21.1 Description ● General information P.C.B. LP 645 comprises the circuit for the recognition of the end position of the membrane pump. ● Description IC 1 and IC 2 are provided as two optical sensors. They are configurated such that their outputs are linked by an AND operation. Their joint output is X5. X5 turns to L level when the membrane of the pump is located in the front dead point (initialization point). Fresenius Medical Care 4008 4/09.03 (TM) 8-183 8.21.2 8-184 Circuit diagram and component layout diagram P.C.B. LP 645 Position sensor membrane pump Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 645 Component layout diagram P.C.B. LP 645 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-185 8-186 Fresenius Medical Care 4008 4/09.03 (TM) 8.22 P.C.B. LP 647 Power logic A (4008 B/S) 8.22.1 Description ● General notes In order to save space, power logic has been divided in 3 components in the 4008 B/S: – P.C.B. LP 647 Power logic A – P.C.B. LP 743 Power control 2 – P.C.B. LP 744 Power control 1 ● Standby voltage generation Via the transformer TR2, the rectifier GL1 and the filter capacitors C1, C3, C4, an unstabilized DC voltage of approx. 15 V is supplied to the input of the linear regulator (1/T1). The connected circuits are supplied by the stabilized output voltage of 12 V via the diode D3. In order that the turnon logic can be supplied in case of power failure, a voltage of approx. 10 V is generated from the battery voltage via the regulator IC13 and ORed to the output voltage of T1 via D2. ● Power turnon logic When the ON/OFF key on the front panel of the machine is pressed, a LOW level is applied to IC4, pin 1, via X647A, pin 7. By means of the interconnected gates of IC4 and IC5, this causes a rising edge at IC8, pin 3. The output of the FF (IC8, pin 1) becomes HIGH, and the power relay RL3 is activated via T8. At the same time, the bistable relay RL4 is energized via the differentiator C28, R3 and the transistor T10. Among others, this causes the contact RL4, pin 4 and pin 5 to close, so that a voltage of approx. 10 V is available at X647A, pin 16, via the linear regulator consisting of T6, R55 and ZD1, for generation of the audible power failure alarm. To turn the system off, a high edge is applied to IC8, pin 11, via DI10. This edge is used to store the level at input D (IC8, pin 9) (H level with the system turned on). At the same time, a time function element for the turnoff delay starts to run (R54, C27). After approx. 1 sec, IC4, pin 6, becomes LOW and IC6, pin 3, is supplied with HIGH level. This level can be read by the CPUs via X647A, pin 22, and is provided as turnoff detection. After another approx. 150 ms, the second time function element (R41, C26) has elapsed as well, and the system is turned off via IC8, pin 4. At the same time, the differentiator C29 and R2 and the transistor T11 are used to energize the bistable relay RL4, so that the audible power failure alarm is suppressed (contact 4/5 RL4). Fresenius Medical Care 4008 4/09.03 (TM) 8-187 ● Power failure detection and battery connection In order that a power failure can be detected, the secondary voltage of the standby transformer is monitored. The pulsating DC voltage is supplied to the Schmitt trigger IC4, pin 9, via the diodes DI3, DI4 and the voltage divider R6, R7. The rectangular signal (100 Hz) developing at the output (8/IC4) is applied to the reset input of the counter module 4040 (IC9, pin 11) via IC6, pin 4. The pulse width of the rectangular signal has been designed such that only short LOW pulses (approx. 3 ms wide) can develop at IC9, pin 11, i.e. the counter IC9 is inhibited most of the time. A 5-V rectangular signal with a frequency of 2 kHz is applied to pin 23 of connector X647A. After the level has been converted to 12 V (R62, R13, R63), this signal is supplied to the clock pulse input of the counter module (IC9, pin 10) via several intermediate gates. The counter is then incremented in the LOW phase of the reset signal (IC9 pin 9). Should this LOW phase take impermissibly long, caused by a decreasing supply voltage or a power failure, the counter module at IC9, pin 3, turns to HIGH level after 8 ms. Via IC6, pin 6, the reset signal for IC9 is inhibited, the clock pulse disconnected from the counter by means of IC6, pin 12, and the state thus stored. The HIGH level now applied to X647A, pin 6, signals power failure to the CPUs. Via IC7, pin 8, the output signal of the counter module (IC9, pin 3) is supplied to the gate IC7, pin 12. There, the signal is linked to the watchdog signal of CPU1 so that a HIGH level is transferred to T9 with an intact watchdog only. T9 then supplies the coil of the battery relay RL5 with current, and the contact 7/8 RL5 is closed. The slide-in modules (24 V EM; X647A, pins 29, 39, 31) and the switching regulators for 5 V and 12 V (26 V UR; X647C A28) are supplied with the battery voltage via the diodes D4 and D6. As soon as the HIGH level at IC9, pin 3, is achieved, the rectangular signal obtained from the standby voltage (see above) is applied to the clock pulse input of the counter (IC9, pin 9). After power has returned, this rectangular signal supplies the counter with clock pulses, and the counter continues to decrement. Caused by the lower counter frequency (100 Hz instead of 2 kHz), it will now take 160 ms until IC9, pin 3, becomes LOW again and the battery is again disconnected from the circuit. This delayed turnoff and the fast connection (8 ms) are intended to ensure a smooth transition from normal operation to power failure operation and vice versa. The initial situation (2 kHz clock pulse at IC9, pin 3, and 100 Hz rectangular signal at IC9, pin 11) is restored by means of the LOW level at 3/IC9. ● Battery test The battery is briefly charged during the T1 test and the resulting battery voltage read in, so that a statement on the state of the battery can be obtained. Upon applying HIGH level to pin 10 of X647A, a pulse of approx. 100 ms length is generated via the differentiator C39, R24 and the two gates (IC4, pin 13; IC7, pins 1 and 2). This pulse serves as the activation signal for the transistor T4. The resistor R39 then loads the battery with a current of approx. 3 A. ● Battery charging circuit Emergency operation of the system is ensured by three series lead batteries, each of 6 V. An incorporated module of type UC2906 (IC10) is used for charging the batteries. The connected 24 V voltage (24V SW) serves as the supply voltage for the charging procedure, which is performed in different stages. Up to a battery voltage of 15 V, the minimum charging current is 14 mA (on this charging level, the charging current decreases with increasing battery voltage). 8-188 Fresenius Medical Care 4008 4/09.03 (TM) After 15 V has been reached, the system switches over to charging with a constant current. Here, the charging current is approx. 240 mA. This level is maintained as long as necessary for the battery voltage to rise to 22.4 V. Subsequently, the charging current starts to decrease. As soon as the current falls below 14 mA, IC10 switches to the float state and maintains the battery voltage at approx. 21 V. If the battery voltage is decreased because power is consumed, the above procedure is restarted. ● Heater relay control and monitoring The heater relay is controlled by CPU 2. Relay RL2 is switched on by an L level at X647A, pin 17. For reasons of safety, the voltage supply for the relay has been looped via the sensor cable (HEAT_REL_24V), so that it is impossible to operate the heater relay with the sensor cable pulled off. The voltage applied across the coil of the heater relay is monitored by comparator IC 1, pins 2 and 3. Resistors R64 to R67 are laid out such that the condition of the relay is recognized as being cut off (IC 1, pin 1, at L level) only with a voltage lower than 3 V being applied across RL2. The output signal of the comparator can be read in by CPU 2 via X647A, pin 12. In addition, this signal also acts upon the heater control. ● Heater control The temperature sensor is applied to X647A, pin 2. Together with R33 and R10, it constitutes a voltage divider. The rated-value specification for heater control is superimposed over this voltage divider via X647A, pin 18, and resistors R32 and R34. The resultant voltage is directed to the operational amplifier IC 2, pin 6 (LM358), which is connected as PID regulator. The regulator is compensated via a voltage, which is applied to X647A, pin 24, and is converted to the requisite range of voltage via IC 1, pin 6. This voltage cannot be influenced by means of the hardware (software compensation!). The output voltage of the PID regulator is superimposed over a delta signal, which is generated by IC 3, and is then delivered to comparator IC 2, pin 3. This comparator activates transistor stages T2 and T12. The L level applied to IC 11, pin 2, causes the triac coupler IL410 to ignite its internal triac, thus delivering the gate trigger voltage for the external main triac (1, 2, 3 X744D) via R51. The external main triac accepts the load current of the heater rod. The triac is fired with each zero crossover of the 220-V supply voltage only. To this end, a zero voltage recognition is integrated in the coupler IC 11. As a result, any disturbances, which are caused by the steep build-up of current under load in case of phase-shift control, are avoided. The heater control can be inhibited by an H level at X647A, pin 19. As already mentioned above, the heater relay monitoring unit also acts upon the control. Via diodes D9 and D10 as well as the RC element R72, R71, C42, the heater relay IC 1, pin 1, if de-energized (IC 1, pin 1, at H level), causes the heater control to be inhibited. The heater control is released only after the heater relay (IC 1, pin 1, turns to L level) has been activated and C42 has been unloaded via R71. This measure is intended to protect the triac coupler IC 11 and to treat the relay contacts of the heater relay gently. For hot rinsing, an H level at X647A, pin 20, causes R34 and R10 to be connected in parallel, resulting in a rated temperature value of approx. 84 °C. Fresenius Medical Care 4008 4/09.03 (TM) 8-189 8.22.2 8-190 Circuit diagram and component layout diagram P.C.B. LP 647 Power logic A Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 647 Component layout diagram P.C.B. LP 647 Circuit diagram 1/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-191 8-192 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 647 Circuit diagram 2/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-193 8-194 Fresenius Medical Care 4008 4/09.03 (TM) 8.23 P.C.B. LP 649-2 Display board (4008 B/S) 8.23.1 Description 4008 B/S hemodialysis machine – monitor ● Address decoder (circuit diagram 1/7) IC 1 and IC 2 are provided as 4-in-16-bit address decoders. The 22 chip selects are generated by means of addresses X635/12 – 15 for IC 1 as well as X635/16 inverted for IC 2. The 22 chip selects are generated only if, via IC 9, either X635/24 (write) or X635/25 (read) is at L level. IC 71 is used as data bus driver and is reversed in its direction by WR and RD. ● Keyboard matrix (circuit diagram 5/7) Pin 1 and Pin 2 of connector X2 are directly connected to the circuits in the power supply unit. These circuits are used to switch the machine on and off. Via IC 54, the remaining keys on the touch sensitive keyboard are connected to a matrix at the keyboard encoder IC 53 and an additional data line DB4. After the CPU has received the interrupt, the keyboard code is read out by means of CS20 via buffer IC 73. ● Brightness control (circuit diagram 1+2/7) The clock pulses required for the bar graph displays are delivered by IC 74 and the following gate logic. Superimposed by a higher frequency and a variable mark-to-space ratio, these clock pulses are used to modulate the brightness. To this end, the shift register IC 6 is provided. IC 6 is loaded in parallel with the desired mark-to-space ratio via a data word at DB0 to DB7 (CS21) and is cyclically rotating due to clock generator IC 7/11, 12, 13, and IC 7/8, 9, 10. ● Status indicator LEDs (circuit diagram 6/7) All status indicators as well as the condition indicator are switched by means of IC 21 and IC 25 (CS16, CS17). Both modules are – connected to the brightness control by R1, – not connected to the brightness control by R2 (maximum brightness). The I/O LED (power on/off) is directly connected to the 5-V supply network. ● Alarm indicator LEDs (circuit diagram 7/7) All alarm indicators are energized by IC 23 and CS18. The key click is controlled by output 19 of IC 23 via IC 46/5.14. Fresenius Medical Care 4008 4/09.03 (TM) 8-195 ● Text display (circuit diagram 1/7) The text display is an intelligent, 20-character display module. It is provided with its own processor. Texts are loaded by means of ASCII characters via the data bus CS22. By means of CS20 and via IC 73 and the data bus, the CPU can read whether the text display is ready to receive new data. ● UF displays (circuit diagram 2/7) IC 3 and IC 4 are 8-digit seven-segment display drivers. IC 3 operates the UF Volume and UF Rate displays. IC 4 operates the UF Goal and UF Time Left displays. These display drivers are loaded in series with 16-bit packets upon each rising clock edge. This information is buffered into the digit registers by means of the IC 5/16 and IC 5/18 load signals. Included in this information is the brightness control. ● Bar graph displays for arterial and venous pressure (circuit diagram 3/7) IC 19, IC 16, and IC 22 are provided as data memories for the arterial bar graph display, whose 30 LEDs are organized within a 5x6 matrix. The 5 lines are directly energized via the emitter sequence IC 30 by data buses DB0 to DB4 and the 6 columns via the 8-out-of-3 decoder IC 28 by data buses DB5 to DB7. The actual value (CS1) is stored by IC 19; the upper limit (CS2) is stored by IC 16; and the lower limit (CS3) is stored by IC 22. The respectively applicable LED is energized via the clock inputs CL1, CL2, and CL3. The clock pulses of CL1 have a longer duration than those of CL2 and CL3. Thus, the actual value is represented more brightly than the limits. IC 18 (CS4), IC 15 (CS5), and IC 20 (CS6) are provided as data memories for the venous bar graph display. The working method of this display is identical with that of the arterial bar graph display. ● Bar graph displays for TMP and conductivity (circuit diagram 4/7) IC 59 (CS7), IC 55 (CS8), and IC 57 (CS9) are provided as data memories for the TMP bar graph display. IC 58 (CS10), IC 60 (CS11), and IC 56 (CS12) are provided as data memories for the CD bar graph display. The working method of both displays is identical with that of the arterial bar graph displays. 8-196 Fresenius Medical Care 4008 4/09.03 (TM) Fig.: Block diagram P.C.B. LP 649-2 Display board 8.23.2 Circuit diagram and component layout diagram P.C.B. LP 649-2 Display-Board CS 1 – 12 Duty Cycle Bargraph Art Ven TMP Conductivity CS 16, 17 Status LED's Traffic Light CS WR RD A0 A1 A2 A3 A4 CS 18 Alarm LED Key click Chip-Select Decoding CS 20 Keyboard Encoding Key interrupt Key matrix (Plug X2) CS 21 Brightness Control CS 22 Alpha Display CS 23 Data bus D0 – D7 UF Goal UF Time UF Rate UF Volume Fresenius Medical Care 4008 4/09.03 (TM) 8-197 8-198 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 649-2 Component layout diagram P.C.B. LP 649-2 Circuit diagram 1/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-199 8-200 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 649-2 Circuit diagram 2/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-201 8-202 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 649-2 Circuit diagram 3/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-203 8-204 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 649-2 Circuit diagram 4/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-205 8-206 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 649-2 Circuit diagram 5/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-207 8-208 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 649-2 Circuit diagram 6/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-209 8-210 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 649-2 Circuit diagram 7/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-211 8-212 Fresenius Medical Care 4008 4/09.03 (TM) 8.24 P.C.B. LP 742 Interference filter 8.24.1 Description P.C.B. LP 742 is provided for radio interference protection. Fresenius Medical Care 4008 4/09.03 (TM) 8-213 8.24.2 8-214 Circuit diagram and component layout diagram P.C.B. LP 742 Interference filter Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 742 Component layout diagram P.C.B. LP 742 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-215 8-216 Fresenius Medical Care 4008 4/09.03 (TM) 8.25 P.C.B. LP 743 Power control 2 (4008 B/S) 8.25.1 Description ● General information The power logic in the 4008 B/S comprises 3 components: – P.C.B. LP 647 Power logic A – P.C.B. LP 743 Power control 2 – P.C.B. LP 744 Power control 1 ● Function ➜ P.C.B. LP 647 Power logic A description (chapter 8.22.1) Fresenius Medical Care 4008 4/09.03 (TM) 8-217 8.25.2 8-218 Circuit diagram and component layout diagram P.C.B. LP 743 Power control 2 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 743 Component layout diagram P.C.B. LP 743 Circuit diagram 1/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-219 8-220 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 743 Circuit diagram 2/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-221 8-222 Fresenius Medical Care 4008 4/09.03 (TM) 8.26 P.C.B. LP 744 Power control 1 (4008 B/S) 8.26.1 Description ● General information The power logic in the 4008 B/S comprises 3 components: – P.C.B. LP 647 Power logic A – P.C.B. LP 743 Power control 2 – P.C.B. LP 744 Power control 1 ● Function ➜ P.C.B. LP 647 Power logic A description (chapter 8.22.1) Fresenius Medical Care 4008 4/09.03 (TM) 8-223 8.26.2 8-224 Circuit diagram and component layout diagram P.C.B. LP 744 Power control 1 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 744 Component layout diagram P.C.B. LP 744 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-225 8-226 Fresenius Medical Care 4008 4/09.03 (TM) 8.27 8.27.1 P.C.B. LP 747 Distribution board 8.27.2 Circuit diagram and component layout diagram P.C.B. LP 747 Distribution board Description The connectors of the low-voltage consumers provided in the hydraulic unit of the hemodialysis machine (up to 24 V) are plugged onto and supplied with the respective voltage on P.C.B. LP 747. The connection to the monitor is established by means of three ribbon cables: – Sensors up to no more than 12 V – Actuators (pumps) up to no more than 24 V – Actuators (valves) up to no more than 24 V Fresenius Medical Care 4008 4/09.03 (TM) 8-227 8-228 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 747 Component layout diagram P.C.B. LP 747 Circuit diagram 1/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-229 8-230 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 747 Circuit diagram 2/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-231 8-232 Fresenius Medical Care 4008 4/09.03 (TM) 8.28 P.C.B. LP 748 Display board (BP) 8.28.1 Description ● General information P.C.B. LP 748 comprises the display and the keyboard. Plug connection on P.C.B. LP 748: – X189, connection to P.C.B. LP 624 ● Display All of the information required is given to the user by three multiplexed seven-segment displays and two LEDs, which are fitted on bases. ● Keyboard The keyboard comprises three individual unlighted keys, which are directly soldered into the printed circuit board. If he presses a key, the user obtains an acknowledgement by a snap contact. Fresenius Medical Care 4008 4/09.03 (TM) 8-233 8.28.2 8-234 Circuit diagram and component layout diagram P.C.B. LP 748 Display board (BP) Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 748 Component layout diagram P.C.B. LP 748 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-235 8-236 Fresenius Medical Care 4008 4/09.03 (TM) 8.29 P.C.B. LP 763 Multi interface board (COMMCO III) 8.29.1 Description P.C.B. LP 763 is an interface board for the 4008 series. It is provided for communiction and data exchange of the CPU1 with other components inside or outside the machine. ● Functional groups The P.C.B. LP763 comprises six functional units: – RS232 interface – Keybox interface – CAN interface – COMMCO-1 interface – BTM interface – DIP switch array (4) ● RS232 interface description The interface chip SCC2698 (IC1) has eight serial channels. To obtain an RS232 level for transmission, each channel is connected across a RS232 level converter (MAX238 IC2, IC3). Each serial channel is wired to its own 10-pin plug. The plug connectors can be used to adapt new components or as monitoring connections. If nothing is stated to the contrary, the transfer parameters are 9600Bd, 8 data bits, 1 stop bit, no parity. The channels are either already allocated or reserved: Conn. Channel Use X2 X3 X4 X5 X6 a b c d e X7 X8 X9 f g h Special feature Standard HDF scale Baud rate 1200 Bd Standard HDF HDF pump Test channel Heparin pump FINESSE interface decoupled (CAMUS protocol) 2400/9600Bd Blood pressure monitor BPM ( in 4008H) Blood volume monitor BVM (in 4008H) not used The serial channel e among these channels is specially designed. It is decoupled and has a dielectric strength of 4 kV. Decoupling is ensured by two specially designed level converters (MAX250, IC8 and MAX251, IC9) in conjunction with the optocouplers (OC1, OC3) and the transformer UT1. Channel e is provided for the connection of a FINESSE system or a service PC. Fresenius Medical Care 4008 4/09.03 (TM) 8-237 ● Keybox interface (connector X11) An interface for the keybox (patient key interface) installed on P.C.B. LP763 is controlled by the digital inputs and outputs of the SCC2698 (IC1). When the FINESSE system and the keybox is connected, this interface is used to read the patient keys and to transfer the data via channel e to the FINESSE system. The key contents are read by a bit-serial process in a non RS232-compatible format. The yellow LED in the keybox is activated via a digital output in conjunction with transistor T1. ● CAN interface (connector X12) The INTEL CAN controller 82527 (IC5) is used for data exchange with modules that themselves have a CAN connection. The connections of the CAN bus are routed to the CAN bus A of the 4008 via a driver (Si9200 or 75LBC031, IC6). Transmission parameters are 500 kBaud for CAN V2.0bactive-standard. The levels comply with the requirements of ISO 11898. ● COMMCO-1 interface To ensure compatibility the plug connections on P.C.B. LP763 for the connection of the COMMCO-I board were not changed. Connector assignment: Conn. Connection to X1 X10 X14 X1 on P.C.B. LP 729 (COMMCO-1) X4 on P.C.B. LP 729 (COMMCO-1) X1 on P.C.B. LP 751 (decoupled for FINESSE interface of COMMCO-1) ● BTM interface (connector X13) To permit connection of a BTM module in dialysis machines with software 4.0 or higher (without using a COMMCO board), a BTM interface has been integrated on P.C.B. LP 763. The major parts of this interface are a programmable PLD (lattice ispLSI1016, IC11), several driver gates (IC10) and a driver transistor (T2) with circuitry. The function of the BTM interface is to ensure bidirectional communication between the dialysis machine and the BTM module. 8-238 Fresenius Medical Care 4008 4/09.03 (TM) ● DIP switch array (S1) As certification of the FINESSE system is still pending, it was decided to integrate the download function (possibility to preset the machine data via the FINESSE system) in the software, but to bar access to this function by a switch until certification of the FINESSE. For this purpose a 4x switch array was integrated on the board. The state of the switches can be read via digital input pins of the interface chip (IC1). Switch Use Function in ON position Function in OFF position 1 2 3 4 Enable FINESSE download not used not used not used enabled disabled Fresenius Medical Care 4008 4/09.03 (TM) 8-239 8.29.2 8-240 Circuit diagram and component layout diagram P.C.B. LP 763 Multi inferface board (COMMCO III) Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 763 Component layout diagram P.C.B. LP 763 Circuit diagram 1/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-241 8-242 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 763 Circuit diagram 2/2 Fresenius Medical Care 4008 4/09.03 (TM) 8-243 8-244 Fresenius Medical Care 4008 4/09.03 (TM) 8.30 P.C.B. LP 922 Display board (4008 S) 8.30.1 Description 4008 E hemodialysis machine – monitor ● Address decoder (circuit diagram 1/6) IC 1 and IC 2 are provided as 4-in-16-bit address decoders. The 22 chip selects are generated by means of addresses A0 to A3 and A4 for IC 1 as well as A4 inverted for IC 2. The 22 chip selects are generated only if, via IC 25, either X1/24 (write) or X1/25 (read) is at L level. IC 20 is used as data bus driver and is reversed in its direction by WR and RD. ● Keyboard matrix (circuit diagram 1/6) Pins N1 and GND of plug X2 are directly connected to the circuits in the power supply unit. These circuits are used to switch the machine on and off. Via IC 33, the remaining keys on the touch sensitive keyboard are connected to a matrix at the keyboard encoder IC 27 and an additional data line DB4. After the CPU has received the interrupt, the keyboard code is read out by means of CS20 via buffer IC 36. Fresenius Medical Care 4008 4/09.03 (TM) 8-245 ● Brightness control (circuit diagram 1/6) The clock pulses required for the bar graph displays are delivered by IC 74 and the following gate logic. Superimposed by a higher frequency and a variable mark-to-space ratio, these clock pulses are used to modulate the brightness. To this end, the shift register IC 6 is provided. IC 6 is loaded in parallel with the desired mark-to-space ratio via a data word at DB0 to DB7 (CS21). ● Status indicator LEDs (circuit diagram 4/6) All status indicators as well as the condition indicator are switched by means of IC 6 (CS16, CS17). Both modules are – connected to the brightness control by R9, – not connected to the brightness control by R8 (maximum brightness). The I/O LED (power on/off) is directly connected to the 5-V supply network. ● Alarm indicator LEDs (circuit diagram 5/6) All alarm indicators are energized by IC 12 and CS18. The key click is controlled by output 19 of IC 12 via IC 32/5.6. 8-246 Fresenius Medical Care 4008 4/09.03 (TM) ● Bar graph displays for arterial and venous pressure (circuit diagram 2/6) IC 3 and IC 4 are provided as data memories for the arterial bar graph display, whose 30 LEDs are organized within a 5x6 matrix. The 5 lines are directly energized via the emitter sequence IC 13 by data buses DB0 to DB4 and the 6 columns via the 8-out-of-3 decoder IC 14 by data buses DB5 to DB7. The actual value (CS1) and the upper limit (CS2) are stored by IC 3 and the lower limit (CS3) is stored by IC 4. The respectively applicable LED is energized via the clock inputs CL1, CL2, and CL3. The clock pulses of CL1 have a longer duration than those of CL2 and CL3. Thus, the actual value is represented more brightly than the limits. IC 10 (CS4, CS5), and IC 11 (CS6) are provided as data memories for the venous bar graph display. The working method of this display is identical with that of the arterial bar graph display. ● Bar graph displays for TMP and conductivity (circuit diagram 3/6) IC 17 (CS7) and IC 21 (CS8, CS9) are provided as data memories for the TMP bar graph display. IC 4 (CS10) and IC 5 (CS12) are provided as data memories for the CD bar graph display. The working method of both displays is identical with that of the arterial bar graph displays. Fresenius Medical Care 4008 4/09.03 (TM) 8-247 8.30.2 8-248 Circuit diagram and component layout diagram P.C.B. LP 922 Display board Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 922 Component layout diagram P.C.B. LP 922 Circuit diagram 1/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-249 8-250 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 922 Circuit diagram 2/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-251 8-252 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 922 Circuit diagram 3/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-253 8-254 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 922 Circuit diagram 4/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-255 8-256 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 922 Circuit diagram 5/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-257 8-258 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 922 Circuit diagram 6/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-259 8-260 Fresenius Medical Care 4008 4/09.03 (TM) 8.31 P.C.B. LP 923 Traffic light (4008 H/S) 8.31.1 Description P.C.B. LP 923 indicates the machine status: – green status indicator (operation) – yellow status indicator (warning/info) – red status indicator (alarm) Fresenius Medical Care 4008 4/09.03 (TM) 8-261 8.31.2 8-262 Circuit diagram and component layout diagram P.C.B. LP 923 Traffic light Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 923 Component layout diagram P.C.B. LP 923 Circuit diagram Fresenius Medical Care 4008 4/09.03 (TM) 8-263 8-264 Fresenius Medical Care 4008 4/09.03 (TM) 8.32 P.C.B. LP 924 Display board (4008 H) 8.32.1 Description 4008 H hemodialysis machine – monitor ● Address decoder (circuit diagram 1/6) IC 1 and IC 2 are provided as 4-in-16-bit address decoders. The 22 chip selects are generated by means of addresses A0 to A3 and A4 for IC 1 as well as A4 inverted for IC 2. The 22 chip selects are generated only if, via IC 3, either X1/24 (write) or X1/25 (read) is at L level. IC 7 is used as data bus driver and is reversed in its direction by WR and RD. ● Keyboard matrix (circuit diagram 1/6) Pins N1 and GND of plug X3 are directly connected to the circuits in the power supply unit. These circuits are used to switch the machine on and off. Via IC 14, the remaining keys on the touch sensitive keyboard are connected to a matrix at the keyboard encoder IC 12 and an additional data line DB4. After the CPU has received the interrupt, the keyboard code is read out by means of CS20 via buffer IC 13. ● Brightness control (circuit diagram 1+2/6) The clock pulses required for the bar graph displays are delivered by IC 10 and the following gate logic. Superimposed by a higher frequency and a variable mark-to-space ratio, these clock pulses are used to modulate the brightness. To this end, the shift register IC 6 is provided. IC 6 is loaded in parallel with the desired mark-to-space ratio via a data word at DB0 to DB7 (CS21) and is cyclically rotating due to clock generator IC 5/4,5,6 and IC 5/8,9,10. Fresenius Medical Care 4008 4/09.03 (TM) 8-265 ● Status indicator LEDs (circuit diagram 4/6) All status indicators as well as the condition indicator are switched by means of IC 35 and IC 38 (CS16, CS17). Both modules are – connected to the brightness control by R42, – not connected to the brightness control by R43 (maximum brightness). The I/O LED (power on/off) is directly connected to the 5-V supply network. ● Alarm indicator LEDs (circuit diagram 5/6) All alarm indicators are energized by IC 39 and CS18. The key click is controlled by output 19 of IC 39 via IC 40/5.14. ● Bar graph displays for arterial and venous pressure (circuit diagram 2/6) IC 15, IC 16, and IC 17 are provided as data memories for the arterial bar graph display, whose 30 LEDs are organized within a 5x6 matrix. The 5 lines are directly energized via the emitter sequence IC 21 by data buses DB0 to DB4 and the 6 columns via the 8-out-of-3 decoder IC 31 by data buses DB5 to DB7. The actual value (CS1) is stored by IC 15; the upper limit (CS2) is stored by IC 16; and the lower limit (CS3) is stored by IC 17. The respectively applicable LED is energized via the clock inputs CL1, CL2, and CL3. The clock pulses of CL1 have a longer duration than those of CL2 and CL3. Thus, the actual value is represented more brightly than the limits. IC 18 (CS4), IC 19 (CS5), and IC 20 (CS6) are provided as data memories for the venous bar graph display. The working method of this display is identical with that of the arterial bar graph display. 8-266 Fresenius Medical Care 4008 4/09.03 (TM) ● Bar graph displays for TMP and conductivity (circuit diagram 3/6) IC 25 (CS7), IC 26 (CS8), and IC 27 (CS9) are provided as data memories for the TMP bar graph display. IC 28 (CS10), IC 24 (CS11), and IC 30 (CS12) are provided as data memories for the CD bar graph display. The working method of both displays is identical with that of the arterial bar graph displays. ● Bar graph displays for temperature and flow (circuit diagram 6/6) The bar graph displays for temperature and flow are energized by of IC 41 via CS19. The data lines DB4 to DB7 contain the value for the temperature display. Only 16 of the 20 LEDs of the temperature display are actually visible. The data lines D0 to D3 contain the value for the flow display. IC 72/19 is responsible for the brightness control of the temperature display, and IC 72/ 18 serves to turn the display dark. Fresenius Medical Care 4008 4/09.03 (TM) 8-267 8.32.2 8-268 Circuit diagram and component layout diagram P.C.B. LP 924 Display board Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 924 Component layout diagram P.C.B. LP 924 Circuit diagram 1/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-269 8-270 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 924 Circuit diagram 2/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-271 8-272 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 924 Circuit diagram 3/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-273 8-274 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 924 Circuit diagram 4/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-275 8-276 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 924 Circuit diagram 5/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-277 8-278 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 924 Circuit diagram 6/6 Fresenius Medical Care 4008 4/09.03 (TM) 8-279 8-280 Fresenius Medical Care 4008 4/09.03 (TM) 8.33 P.C.B. LP 941 Hydraulics processor 8.33.1 Description ● Voltage supply The PC board is supplied with 24 V via plug X1. The switching regulator IC 10 which generates +5 V max., 1 A from 24 V is used for operation of the processor system. The IC 18 serves to supply the operation amplifier with +12 V. The reference voltage is generated with the reference voltage source IC 15 as well as IC 5. T8 is a power driver for the bridge voltage of the pressure transducers. IC 23 and T 7 are used to generate the negative supply voltage for the instrument amplifier. For delayed switching on of the operating voltages, the two switch controllers IC 10 and IC 18 are enabled with the low level on pin 5 only when the applied +24 V has become stable for approx. 5 seconds (watchdog test of 4008). Evaluation is performed with the comparator circuit associated with IC 13a. ● Processor system Technical data: – SAF C515C processor – 6 MHz clock frequency – 64 KByte EPROM – 32 KByte RAM – 16 KBit serial EEPROM – 10 Bit A/D converter with 8 multiplexed inputs – 6 ports – CAN controller AN 82527 – Interface for CAN driver – 2 ports The SAF C515C IC 8 receives its 6 Mhz clock frequency via GAL IC 7, pin 19. The oscillator frequency of 12 Mhz is generated by a separate oscillator component Q1 and divided by 2 for operation of the controller in the GAL. The 12 Mhz clock from the oscillator component is directly applied to CAN controller IC 9, pin 18. The SAF C515C operates with a multiplexed data/address bus. The upper addresses A8 to A15 are available at port 2 and the lower addresses A0 to A7 are available at address latch IC 3 after decoding. The IC 22 is a 64k x 8 Eprom. The RAM, IC 6, has a memory area of 32k x 8. The GAL IC 7 is used for the decoding of the chip select signals. The EEPROM IC 11 is provided for the backup of calibration data and treatment data during a power failure. The integrated CAN controller of SAF C 515 C is used for communication with the CPU 1. Data exchange is performed via pins 79/80 of IC 8 and via the CAN bus driver IC 12. The additional CAN controller IC 9 with the CAN bus driver IC 25 is provided for future options in the hydraulics system which will be performed with intelligent actuators. Data exchange with the additional CAN controller is performed via the data bus in conjunction with the signals /CS_CAN und /INT_CAN for transmitting and receiving as well as /RD and/WR for reading and writing the ports of IC 9. Fresenius Medical Care 4008 4/09.03 (TM) 8-281 ● Watchdog The watchdog circuit consists of the watchdog timer IC 17 with integrated voltage regulator, a dual optoelectronic coupler IC 16 and the transistors T 6 and T 9. The time-determining resistor is R 51. The time window is set to a basis of 500 ms. The open trigger window (TOW ) of the component internally ranges from -20% to + 20% (400...600 ms). Each time three successive pulses arrive from IC8, pin 60, via T 6 and IC 16b on pin 3 of the watchdog timer within this time window, the output pin 1 goes to L level and switches the 24 V_SW on via IC 16a and T 9. When a pulse is missing or triggering is too low or too fast, i.e. outside the time window, pin 1 of IC 17 goes to H level and the 24 V_WD is switched off. ● Peripherals T 1 to T 5 are the power drivers for the respective actuators. The current status of the respective actuator is read back via P 0.0 to P 1.1 via the voltage dividers R67 to R86 connected to the outputs. T11a represents a hardware lock of the air pump and the test valve when V 43 F (G54) is closed. T 11a enables the supply voltage for the AIR_PUMP and the V_TEST only when valve 43 is open. Acknowledgement for V43 status is via P1.4 (G19) IC 4 is an instrument amplifier for the pressure transducers with series connected voltage follower IC 2a. IC 2b is used for offset setting. The circuits associated with IC 19 and IC 21 have a corresponding set-up and serve for later extensions. IC 1a generates the processor and CAN controller reset. IC 1b detects power failure via a control line from the CAN distributor. IC 12 is a bidirectional CAN bus driver. IC 28 is a serial dual-channel 8-bit DA converter. Channel 1, in combination with IC 27b, is used to calibrate the temperature measuring circuit associated with IC 31a (not used at present). Channel 2 and IC 27a are available for options. ● Level detection The circuit with the Opamps 32 to 34 serves for level detection in the air separation chambers of the acetate and bicarbonate inlet line. IC 32a decouples the circuit from the 2KHz sinus signal. The measuring branch with IC 33b and IC 34b is applied at the analog input AN6, the reference branch with IC 33a and IC 34a is applied at the analog input AN7 of the controller. The activation threshold can be set by changing R137 in the measuring branch or via the software. 8-282 Fresenius Medical Care 4008 4/09.03 (TM) ● Conductivity Measurement The portion of the circuit with IC 20,21,30 as well as the transistors T12 and T13 are used for CD measurement and are identical with the circuits on LP 633. The measured value is read in at the analog input of the controller on AN4. Both the level and the conductivity circuits are supplied via line COND_C1 from the oscillator on LP 633. This means that these circuits can also be tested during detuning in the T1-test. ● Reference Voltage Monitoring D 12 is an additional reference voltage diode of 1.235 Volt which is connected with the analog input AN2 of the controller. U_REF and REF_ADC are compared with each other. A deviation of the voltage of REF_ADC from the nominal value by > ±2.5% is considered to be an error. In addition, the hardware monitors the reference value for ± 5 % via comparators IC 29a and 92b and the voltage divider, consisting of the resistors R 99, 100, 101 and 149. After switching on, the comparators are T1 tested. The transistors T 10b and 10a are alternatively switched to conducting via the signals TEST_H and TEST_L, and the upper or lower part of the voltage divider is bridged with R97 or R98. This is equivalent to a U_REF change of ± 10 %. The respective open collector output of each comparator goes to L level and the REF_FAIL signal is read in on P1.5 of IC 9. The reading in of the REF_ADC voltage and the testing of the comparator stage is performed only once after switching on (T1-test !!). The output of the comparator stage is continuously monitored (refer to T0 monitoring „2.2.4.3 Reference Voltage Monitoring“). Fresenius Medical Care 4008 4/09.03 (TM) 8-283 8.33.2 8-284 Circuit diagram and component layout diagram P.C.B. LP 941 Hydraulics processor Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 941 Component layout diagram P.C.B. LP 941 Circuit diagram 1/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-285 8-286 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 941 Circuit diagram 2/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-287 8-288 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 941 Circuit diagram 3/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-289 8-290 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 941 Circuit diagram 4/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-291 8-292 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 941 Circuit diagram 5/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-293 8-294 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 941 Circuit diagram 6/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-295 8-296 Fresenius Medical Care 4008 4/09.03 (TM) P.C.B. LP 941 Circuit diagram 7/7 Fresenius Medical Care 4008 4/09.03 (TM) 8-297 8-298 Fresenius Medical Care 4008 4/09.03 (TM)
Specifications:1857/1857051-4008_s.pdf file (31 May 2023) |
Accompanying Data:
Fresenius Medical Care 4008 S Medical Equipment PDF Service Manual (Updated: Wednesday 31st of May 2023 12:42:32 AM)
Rating: 4.6 (rated by 52 users)
Compatible devices: GranuFlo 450385-03, 4008 E, 460017, 5008, CRIT-LINE III, Liberty, GranuFlo 450385, 2008 Series.
Recommended Documentation:
Text Version of Service Manual
(Ocr-Read Summary of Contents of some pages of the Fresenius Medical Care 4008 S Document (Main Content), UPD: 31 May 2023)
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331, Fresenius Medical Care 4008 S Chapter 11: Functional description Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-1 11 Functional description 11.1 Functional description 11.1.1 T1 test description
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252, Chapter 9: Calibration / adjustment 9-32 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 9.1.36 Part 13.5: Checking the OCM conductivity OCM COND.-Check OCM Cond.-Check Conf key conc.set = –6 % conc. set = ± 0% Use the +/– keys to reduce the concentrate pumpvolume. Use ◄► to select the Concentrate …
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290, Fresenius Medical Care 4008 S Chapter 10: Servicing / repair 10-14 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 10.5.4.2 Microswitch Pull off the shunt interlock connector from the monitor and open the cable tie if necessary. Open the EBM (see chapter 10.9.1 page 10-42), and unscrew the shunt interlock from the device with 4 s…
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369, Fresenius Medical Care 4008 S Chapter 11: Functional description Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-39 PGM 3: –IHR– PGM 3: –IHR–C– 80 T/°C t/min Rinse chamber evacuation 10 strokes each 15–40 min (Setup) Start End approx. 1 min Integrated hot rinsing T/°C t/min Cooling rinse Rinse chamber e…
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333, Chapter 11: Functional description Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11-3 11.1.1.2 T1 test flow diagram, parallel run MODULE T1 STORAGE ERROR NUMBER START T1 TEST TEST OK ? yes no STORAGE ERROR NUMBER TEST OK ? yes no STORAGE ERROR NUMBER TEST BYPASS TEST OK ? yes no STORAGE ERROR NUMBER TEST…
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35, Chapter 3: Installation Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 3-19 Re 5.2 Venous zero point: 0 mmHg (±10 mmHg) Operating condition: Service mode / CALIBRATION Re 6 Check of the blood leak detector (see chapter 9.1.42 page 9-37) Ensure that the operating temperature of the devi…
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348, Chapter 11: Functional description 11-18 Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13 11.1.1.17 Conductivity test Test description Test the alarm limits by electronically detuning the conductivity either by +5 % or by –5 %. COND_SIG Rückmeldung/Acknowledgement Testgenerierung/Generation of Test …
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Fresenius Medical Care 4008 S User Manual
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Fresenius Medical Care 4008 S User Guide
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Fresenius Medical Care 4008 S PDF Manual
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AMS 800
AMS 800™ Urinary Control SystemDAILY USE: While the cuff is closed, urine stays inside the bladder. To urinate, open the cuff as follows: Feel for the control pump in your scrotum. Stabilize the control pump in the proper place by grasping the tubing above the control pump.1Grasp TubingControl Pump …
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Additional Information:
Popular Right Now:
Operating Impressions, Questions and Answers:
7.2.1
V84 monitoring…………………………………………………………………………………………………………… 7-18
7.2.2
(only with devices with CDS) ……………………………………………………………………………………….. 7-19
7.2.3
7.2.4
7.2.5
7.2.6
V39 Test …………………………………………………………………………………………………………………… 7-25
7.2.7
7.3
7.4
Error messages during treatment ……………………………………………………………………………… 7-29
7.4.1
7.4.2
7.4.3
Heparin pump error messages …………………………………………………………………………………….. 7-34
7.4.4
BPM module error messages ………………………………………………………………………………………. 7-35
8
9
9.1
CALIBRATION ……………………………………………………………………………………………………………. 9-1
9.1.1
Settings without menu display ……………………………………………………………………………………….. 9-1
9.1.2
CALIBRATION menu structure………………………………………………………………………………………. 9-2
9.1.3
9.1.4
9.1.5
9.1.6
9.1.7
9.1.8
9.1.9
9.1.10
9.1.11
9.1.12
9.1.13
9.1.14
9.1.15
9.1.16
Alternative method of adjusting the current increase
9.1.17
9.1.18
9.1.19
9.1.20
9.1.21
9.1.22
9.1.23
9.1.24
9.1.25
9.1.26
9.1.27
9.1.28
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Fresenius Medical Care 4008 S (Version V10) SM-EN 7/01.13