Fresenius Medical Care 5008 Reference guide

The 5008 Therapy System
Brief Operating Guide
0462-FMC-5008-TS-Brief-OpGuide.indd 1 09/09/2016 11:43

Starting system and set-up
5
8
7
2
1
4
6
3
A
‘Alpha’/blood pump clip
B
SafeLine/‘alpha clip’
C
ONLINE HDF pump
D
ONLINE Substituate port
E
Online Rinse port
F
Post-dilution connector
G
Pre-dilution connector
H
Blood/air optical detector
I
Blood Temperature Monitor (BTM)
Caution
The colour coding of the dialyser couplings may vary from that
shown above – please check your local policy/colour coding.
0462-FMC-5008-TS-Brief-OpGuide.indd 2 09/09/2016 11:43

1. Switch on the system
1
2. Select ‘treatment’ (or ‘disinfection’).
3. Connect concentrate and bibag®, ensure correct concentrate is
selected in dialysate menu. T1 test starts automatically.
4. Open the EBM doors
2
and follow on screen instructions for
lining – arterial line first, ensu e the sound is generated when
inserting the red ‘alpha clip’
A
into the line guide. Attach heparin
syringe
3
if required.
5. Attach the venous line ensuring the line below the venous
bubble catcher is firmly placed in the blood/air detector
H
groove.
6. Place the SafeLine (sub tubing) into the HDF pump ensure
the sound is generated on insertion of the clear plastic ‘alpha
clip’
B
into the line guide, then connect the arterial line to the
SafeLine 4.
7. Connect the rinse connector
5
to the venous line.
8. On completion of T1 test, insert the substituate connector
into the ONLINE Substituate port
D
and the rinse connector
(on the venous line) into the ONLINE Rinse port
E
.
9. Close the doors and attach the dialyser couplings 6
as instructed.
10. Press the blood pump button on the screen to commence prime.
11. Priming is complete when the prime volume has been reached,
the blood pump speed has reduced to 50 ml/min and the
operating mode (preparation screen) displays pre-circulation.
12. Enter UF and heparin data, check conductivity and temperature
are correct. Ensure correct dialysate is selected (dialysate menu).
0462-FMC-5008-TS-Brief-OpGuide.indd 3 09/09/2016 11:43

Caution
Transducer Protector (Hydrophobic filter
1. In order to avoid a possible ingress/loss of
air and wetting of the transducer protector in
case of pressure fluctuations, it is important
to ensure that the transducer protector is
correctly and tightly connected.
2. If a transducer protector is wetted with
priming fluid or blood, it must be replaced
immediately. Any fluid that is in the line
must not be forced back using a syringe,
as this may damage the filter and may lead
to contamination of the system.
3. If at any time during treatment, blood has
reached the transducer protector, the system
must be checked for contamination after
completion of the treatment (check windows
on white face of transducer protector).
A CONTAMINATED SYSTEM MUST BE TAKEN
OUT OF SERVICE FOR DECONTAMINATION.
0462-FMC-5008-TS-Brief-OpGuide.indd 4 09/09/2016 11:43

Venous bubble catcher and level detector.
1. It is important to ensure that the level detector
is clean and dry and that the venous bubble
catcher is correctly positioned so that it makes
good contact with the level detector.
2. If there is a leakage of fluid f om the Safeline/
arterial patient line connection during
preparation it is essential to clean and dry
both the venous bubble catcher and the
level detector. Failure to do so may result in
incorrect reading of blood levels in the venous
bubble catcher at any time throughout
the treatment.
0462-FMC-5008-TS-Brief-OpGuide.indd 5 09/09/2016 11:43

Connecting a Patient
5
8
7
2
1
4
6
3
A
‘Alpha’/blood pump clip
B
SafeLine/‘alpha clip’
C
ONLINE HDF pump
D
ONLINE Substituate port
E
Online Rinse port
F
Post-dilution connector
G
Pre-dilution connector
H
Blood/air optical detector
I
Blood Temperature Monitor (BTM)
Caution
The colour coding of the dialyser couplings may vary from that
shown above – please check your local policy/colour coding.
0462-FMC-5008-TS-Brief-OpGuide.indd 6 09/09/2016 11:43

1. When the patient access is prepared and the full prime
volume has been reached, stop the prime by pressing the
blood pump button on the screen.
2. Message ‘choices’ – ‘continue’ (rinse) or ‘exit’ (rinse) are
displayed, press ‘exit’ (rinse).
3. Follow on screen instructions – connect arterial and venous
lines to patient access. Connect the SafeLine (sub tubing)
to the post or pre-dilution connector
F
/
G
.
4. Ensure the Rinse port
E
is closed, close the EBM doors,
open clamps and confirm blood pump start
5. Dialysis commences when blood is sensed by the
optical detector
H
below venous bubble catcher,
message ‘start dialysis treatment’ – press OK.
6. Increase blood flow to the p escribed speed
7
.
7. UF starts automatically if data is already set.
8. Heparin starts automatically.
9. Bolus may be given manually from heparin menu.
0462-FMC-5008-TS-Brief-OpGuide.indd 7 09/09/2016 11:43

Reinfusion/Disconnection
5
8
7
2
1
4
6
3
A
‘Alpha’/blood pump clip
B
SafeLine/‘alpha clip’
C
ONLINE HDF pump
D
ONLINE Substituate port
E
Online Rinse port
F
Post-dilution connector
G
Pre-dilution connector
H
Blood/air optical detector
I
Blood Temperature Monitor (BTM)
Caution
The colour coding of the dialyser couplings may vary from that
shown above – please check your local policy/colour coding.
0462-FMC-5008-TS-Brief-OpGuide.indd 8 09/09/2016 11:43

1. Press ‘reinfusion’ and follow on screen instructions.
2. Disconnect the SafeLine from the post or pre-dilution connector
8 and attach to the recirculation adapter.
3. Disconnect arterial line from patient.
4. Once connected press ‘OK’ (only press ‘NaCl’ if you have run
out of acid/bicarb and need to use saline to wash back).
5. The blood pump will stop automatically when clear fluid is
recognised by the optical detector
H
. Press ‘continue reinfusion’
if more fluid is equired and manually stop the blood pump.
6. Disconnect the patient then press ‘remove lines’ button
on screen.
7. Drain the dialyser.
8. Remove all blood lines ensuring Substituate port
D
is
firmly closed
9. Replace concentrate suction tube and remove the bibag®
when empty.
10. Close EBM doors
2
– machine automatically goes into hot
disinfection, or press ‘heat disinfection’ on main screen.
0462-FMC-5008-TS-Brief-OpGuide.indd 9 09/09/2016 11:43

5008 Alarm Handling
Quick Reference Guide
Caution
This guide does not replace any information in the
manufacturer’s operating manual, which should be
read before operating the machine.
Additional information and help regarding alarms is available
by pressing the question mark (help key) in the alarm warning
box on the screen.
0462-FMC-5008-TS-Brief-OpGuide.indd 10 09/09/2016 11:43

1. ONLINE Connection error
(i) Blood pump section has not fed in properly, or
(ii) the clamp has not been released on the arterial line, or
(iii) part of the circuit is disconnected.
Check all connections and that the clamps have been released
(use the info’/? button to provide hints on possible causes).
If needed, use the handle on the pump to manually feed the
pump section (in clockwise direction).
2. Air detected below the venous bubble catcher
Venous bloodline not properly inserted in optical detector, or if
during treatment the level in the venous bubble catcher needs
to be raised.
Check level and raise if necessary using the up arrow in blood
system screen.
3. Level dropped in venous bubble catcher
Visually check the blood level before choosing the option to raise
the level. If the level is correct, check that the venous bubble catcher
is in the correct postion in the level detector and that the surfaces
of both are clean and dry.
0462-FMC-5008-TS-Brief-OpGuide.indd 11 09/09/2016 11:43

4. Extracorporeal Blood Module (EBM) Sensor alarm
There is a leakage of 20ml of blood or priming fluid in
the extracorporeal blood module.
Open the doors and clean the drip tray/sensor.
Check all connections to identify the leak.
5. DIASAFE®plus leakage alarm
There has been a leakage in the DIASAFE compartment of
50ml of fluid
Open the compartment, clean the drip tray and sensor.
Check the DIASAFEs have been inserted correctly.
Treatment may have to be discontinued. Contact Technicians
for assistance.
0462-FMC-5008-TS-Brief-OpGuide.indd 12 09/09/2016 11:43

6. Hydraulic leakage (treatment not possible)
70ml of fluid has inte nally leaked in the hydraulics.
Discontinue treatment and contact Technicians for assistance.
7. Micro bubble alarm
Follow on screen instructions, use operating manual if necessary.
8. Air handling procedure
Disconnect patient and re-circulate blood lines following the
on-screen instructions.
9. Venous pressure too high – reduce pressure manually
Open right hand door, attach 20ml syringe to venous bubble catcher,
unclamp and release pressure, alarm should clear automatically.
0462-FMC-5008-TS-Brief-OpGuide.indd 13 09/09/2016 11:43

10. Venous pressure measurement incorrect
If during prime – remove venous transducer protector and reconnect.
Press ‘repeat check’.
Most common cause is a flooded venous transducer p otector.
Press blood system screen and using down arrow reduce level
of fluid in the venous bubble catche . Press ‘re-check’ on the screen.
If necessary change venous transducer protector.
11. Arterial pressure measurement incorrect
(usually in prime mode)
Check arterial pressure dome is correctly inserted. If alarm persists,
remove arterial line, check cleanliness of arterial pressure unit.
Insert new arterial line if necessary.
0462-FMC-5008-TS-Brief-OpGuide.indd 14 09/09/2016 11:43

12. Optical detector does not sense blood
The optical sensor is below the venous bubble catcher – either
the bloodline is incorrectly inserted in the line guide, or treatment
has been discontinued without using the re-infusion programme.
Follow on screen instructions.
13. Haemoconcentration warning
Caused by a rise in TMP of >60mmhg during HDF or HF. Follow
on screen instructions and reduce substitution rate as advised
0462-FMC-5008-TS-Brief-OpGuide.indd 15 09/09/2016 11:44

Notes
0462-FMC-5008-TS-Brief-OpGuide.indd 16 09/09/2016 11:44

Notes
0462-FMC-5008-TS-Brief-OpGuide.indd 17 09/09/2016 11:44

Notes
0462-FMC-5008-TS-Brief-OpGuide.indd 18 09/09/2016 11:44

Notes
0462-FMC-5008-TS-Brief-OpGuide.indd 19 09/09/2016 11:44

Notes
0462-FMC-5008-TS-Brief-OpGuide.indd 20 09/09/2016 11:44