Fresenius Medical Care Liberty User manual

Liberty®Cycler Handi-Guide
A Patient’s Reference to the Most Commonly
Asked Questions about the Liberty®Cycler
This information is not intended to replace the advice or training from your physician or PD nurse. Please refer to the Instructions
For Use (IFU) for detailed information, on device description, instructions, contraindications, warnings and precautions.

Table of Contents
INTRODUCTION 1
TREATMENT AND CYCLE BASED TREATMENTS 2
CYCLER SET UP TIPS 3
OPERATION QUESTIONS 6
STAY•SAFE®ORGANIZER 10
ALARMS 11
WARNING MESSAGES 12
DRAIN COMPLICATIONS 13
DIFFERENT PEOPLE DRAIN DIFFERENTLY 14
POWER FAILURE 15
BYPASSING 17
OVERFILL 18
DISCONNECTING 19
CLEANING 20
OPTIONS 21
THERAPY SETTINGS 24

1
Introduction to Liberty
This Handi-Guide is designed to answer many of the questions that you may have when you start
using your Liberty cycler at home or whenever you may need a quick reference guide.
This guide is not intended to take the place of the Liberty Cycler User’s Guide (P/N 480038)
where you will find more detailed information about using your cycler.
Another important and helpful reference is the Liberty Initiating Treatment Procedure Card
(P/N 480039). If we haven’t addressed your concerns or if you have any other questions, you can
always call your PD Nurse or doctor at your dialysis unit or our Technical Support line at [phone].
This information is not intended to replace the advice or training from your physician or PD Nurse.
Please refer to your Liberty Cycler User’s Guide for detailed information on device description,
instructions, contraindications, warnings and precautions.
This document is for software version 2.8.2.

2
Treatment Based and
Cycle Based Treatments
The Liberty cycler may be programmed to deliver Treatment Based or Cycle Based therapy.
TREATMENT BASED means that your total treatment time will be programmed into your cycler.
Your cycler will deliver your treatment in the specified amount of time.This method is useful for
people that need to finish treatment by a certain time in the mornings in order to meet other
obligations such as going to work.
CYCLE BASED means the prescribed dwell time will elapse before solution is automatically drained.
This ensures that the time prescribed to filter waste and remove excess fluid is not shortened.
NOTE: Depending on your treatment results, your doctor or PD Nurse may switch you from
Treatment Based to Cycle Based or vice versa.

3
Cycler Set-Up Tips
How do I load the cassette?
Make sure that the Liberty cycler is positioned near the front of the table or cart so that all lines
can hang freely from the cassette.
Open the cassette door by pressing the latch on top of the door.
With the plastic domes facing outward, insert the top portion of the cassette then snap the
lower portion into place.
Close the cassette door securely.
NOTE: The cassette cannot be inserted unless your cycler is prompting “insert cassette”.
If you attempt to insert it at any other time, the cassette will not snap into place and the door
will not close.
CAUTION: The integrity of the cassette and film can be compromised if mishandled or misused.
Improper loading of the Liberty cassette into the Liberty cycler could cause damage to the flexible film.
Ensure the cassette is seated under both upper guide pins, is flush with the back plate, and is held by
the lower catch, before closing the cassette door.

4
Cycler Set-Up Tips
How many solution bags can be
placed on the heater tray?
Solution bags should be connected to the lines on a flat surface with the ports facing you to decrease
the chance of contamination. However, no more than two 5,000 mL (<15 kg or 33 lbs) can be placed
at one time on top of the heater tray. Connect the red clamp line to the heater bag, the white clamp
lines to the supply bags and the green clamp line to the last bag, if prescribed.
Once connected, the supply bags must be removed from the heater tray.
The heater bag with the red line clamp must then be positioned properly
on the heater tray covering the silver bag sensor.
Make sure the cones are broken completely. It is okay if the cones float up into the bag.
The cones cannot go through the tubing or get into your body.

5
Cycler Set-Up Tips
Why does the Liberty ask for information
about a daytime manual exchange
when a prime is complete?
If your doctor has told you to do an exchange using a manual CAPD system in addition to exchanges
automatically delivered by the Liberty cycler, you will need to enter the fill volume used for this manual
exchange into the Liberty before initiating drain ‘0’.This is important because the Liberty must know
how much drain volume to expect in order to ensure that Drain ‘0’ drains enough solution. Making
sure that drain volumes are sufficient is essential to preventing an overfill situation.

6
Operation
What if the dwell time is shorter
than expected?
In Treatment Based mode, your cycler will adjust the dwell time based on the total time programmed,
the number of cycles, as well as the time it takes for each drain and fill. If a drain or fill cycle takes
longer than estimated by your cycler, the dwell time will be shortened to make sure you end
treatment on time.
In Cycle Based mode, your dwell time will not be shortened.

7
Operation
What if the alarm volume is too soft
or too loud?
When you receive your Liberty cycler, the alarm volume is preset to 5, with 1 being the
lowest volume and 20 being the loudest.You may change this setting by selecting the
“My Settings” screen then choosing the “Hardware” tab. On this screen choose the alarm
loudness key. It will turn orange when you touch it.You can now adjust the volume. Push
the UP/DOWN arrow keys to change the setting. Press OK to save your changed settings.
A good way to determine the best volume for you is to set your cycler in a quiet room,
as it is when you sleep. If you wear hearing aides, remove them before setting the volume.

8
Operation
How do I use the IQdrive for the first time
or with a new prescription?
Put in the rectangular metal end of the IQdrive into the slot in the upper left back panel of
the Liberty.Turn the Liberty on. A small light will appear on the IQdrive letting you know
that it is correctly inserted.The drive is designed to fit one way. Be sure it fits snugly.
NOTE: Once you have inserted the IQdrive properly, the screen should display a message
asking if you want to program the cycler with the new IQdrive settings. If this message is
NOT displayed, call your PD nurse.You may be asked to access “My Settings/Option” tab
and select USB enabled to “YES”.

9
Operation
How do I use the IQdrive for the first time
or with a new prescription?
You may choose to Accept or Reject the new settings or view Current Settings.
If you choose to view the Current Settings, the display will show the patient settings on your
cycler. From here you have the option to press the IQdrive settings button which will take you back
to the previous screen. By pressing the Accept button, the settings on the IQdrive will overwrite
the settings on your cycler. By pressing the Reject button, the current cycler settings will be
retained and the IQdrive settings will be ignored. If you notice a problem with your prescription on
the IQdrive, you can choose to Reject it.After selecting Accept or Reject, your cycler will move
to the “Ready” screen and you can start treatment.
When bringing your IQdrive to your PD Nurse, keep it clean and dry. Put it in a plastic bag.
Do not leave it in your car with extreme heat, do not leave it in the bottom of your purse,
and keep it away from magnets. Handle with care.

10
stay•safe Organizer
When and how do I put the stay•safe PIN
connector (trigger) on the blue patient line
into the stay•safe organizer?
• After inserting your cassette, you should place the trigger at the end
of the tubing set patient connector into the organizer clip.
NOTE: See Fig. 1 showing use with more than one trigger.
• Roll the connector to the right side to fully position it in the clip.
Press the tubing into the “Flush” channel of the organizer.
NOTE: Ifyouneedtocleanyourstay•safeorganizer,itcanbewashedwith
warm soapy water or can be placed in the top rack of your dishwasher.
Fig. 1

11
Alarms
What do I do when I get an alarm?
Red status bar alarms indicate a problem that must be reported to the Technical Support representative
at 800-227-2572. Alarms cannot be reset and require you to turn off your cycler. Press the STOP key
to silence your cycler, then write down the error message and sub-code located on top of the main screen
underneath the red status bar before you turn off your cycler. You will also be asked for your Liberty
cycler serial number and software version, which is found on the top of your cycler.
For a complete listing of alarms refer to the Warnings & Alarms section in the Liberty Cycler User’s Guide.

12
Warning Messages
What do I do when I get a warning?
Orange status bar warnings alert you to conditions that need your attention. During a warning your
cycler beeps to notify you of the warning and the status bar turns to orange. Press the STOP key
to mute the beeping. Follow the instructions on the screen to troubleshoot the warning.The screen
will indicate “Press OK to retry”. If you cannot clear the warning after a few attempts, call Technical
Support for assistance.

13
Drain Complications
What should I do if I have a
Drain Complication?
If the Liberty cycler displays a warning for Drain Complication the following are suggestions
for troubleshooting:
•Checkthatyourcatheterisnotkinkedandtheclampisopen
•Checkforbrinorclotsinthedrainline.Ifso,contactyourPDNurseforinstructionsonwhattodo.
•Changepositionstomoveuidswithinyourabdomen
•Areyouconstipated?Ifso,contactyourPDNurseforinstructionsonwhattodo.
•Checkthatyourcatheter/extensionsetisadequatelysecured
•Ifyouareunabletoclear“DrainComplication”,contactyourPDNurseforinstructionsonwhattodo.
NOTE: Your cycler will check midway through the drain cycle to determine if approximately
35% of the previous fill has drained. If not, it will beep to alert you of low drain rate.At the end
of drain, your cycler will again alert you if 70% of the previous fill has not drained.

14
Different People Drain Differently
How long will I take to drain?
Drain time can be affected by your catheter, your position, and several other factors. If drain takes
longer than expected or programmed, the screen will display a drain complication.
If your cycler is programmed to deliver Cycle Based therapy, you or your PD Nurse should program
drain time to correspond to your fill volume.The graph below provides a guideline for drain time
based on fill volumes.The Liberty cycler will not allow a drain time to be programmed that is less
than the programmed fill volume divided by 100 mL. For example, if your fill volume is 2500 mL,
the Liberty will not allow a drain time of less than 25 minutes to be programmed.The default time
is 20 minutes.

15
Power Failure
What happens when there is a power failure?
• Alllineswillautomaticallyclose
• Thepumpwillstop
• Thetouchscreenwillgoblank
If the power failure occurs after you have started your treatment, the treatment settings will be
stored and your treatment will restart where you left off if the power comes back on within 8 hours.
An “F” will show up in your records indicating a power failure occurred during that treatment.
NOTE: Your Liberty cycler must be plugged into a 120V three-prong power outlet.
Warning: If you are unable to insert the plug into an outlet, contact Technical Support. Do not
alter the power cord.Your machine must be plugged directly into the electrical outlet; do not use
extension cords or power strips (surge protectors).

16
Power Failure
What happens when power is restored?
• Yourcyclerwillgothrougha“PowerFailRecovery”processifpowerfailhappenedduring
drain, fill, dwell or pause
• Anaudiblebeepwillbeheard.PressSTOP to mute the warning.
• Yourcyclerwillperformasafetycheck.Thestatusbarwillstate“PowerFailRecovery”
and the screen will read “Power Fail Detected Recovery Check in progress”.
• Ifyourcyclerpassesthesafetycheckitwillbeepagain.
Press STOP to mute and then you may select “Resume Treatment”.
• Ifyourcyclerdoesnotpassthesafetycheck,select“CancelTreatment”
and follow the prompts on the screen to start your treatment over.
Use new supplies for new treatment.
NOTE: If the power has been off for more than
8 hours do NOT resume treatment. Discuss with
your PD Nurse any special instructions in case of
a power failure.

17
Bypassing
Why can’t I bypass during my treatment?
If you attempt to bypass when it is unsafe to do so, a message will be displayed on the screen
reading “bypass not allowed”. Bypass is not allowed during:
•Drain:ifthepatienthasnotdrainedenoughthatoverllcanoccurafterthenextll
• Fill: can bypass anytime
•Dwell:for1to2minutesatthebeginningofDwell;theheaterbagisbeingemptiedorrelled
•Pause:cannotbypass;mustwaitforthenextbuttontoappearinordertocontinue
to next phase
NOTE: You can bypass Fill at anytime
WARNING! You must discuss the risks associated with bypassing, or skipping, any phase
of treatment with your doctor or PD nurse. Bypassing may decrease the amount of treatment
you receive. You should not bypass Drain 0 unless you have a dry day.

18
Overfill
What is overfill and how do I prevent it?
Increased intraperitoneal volume (IIPV), commonly known as Overfill, is when you have
too much fluid in your abdomen. Overfill/IIPV may be caused by inadequate drainage,
and may result in serious injury or death.
Some of the symptoms you may have if you experience an overfill are:
•Discomfortorpressureinyourabdomen
•Shortnessofbreath
•Chestpain
•Vomitingorspittingup
•LeakageofuidfromyourPDcatheterexitsite
For this reason, you may perform an immediate STAT drain anytime during fill, pause
or dwell, if you feel uncomfortable or suspect an overfill situation.
• PresstheSTOP key
• PressSTAT drain button on right side of screen.The next screen displays
‘Are you sure you want to do a STAT drain?’
• ConrmthatyouwanttoinitiateanimmediatedrainbypressingSTAT drain
• AlwaysletyourdoctororPDNurseknowthatyoudidaSTAT drain
during your treatment