Fresenius Medical Care 2008T Operator's Manual
  1. Manuals
  2. Brands
  3. Fresenius Medical Care Manuals
  4. Medical Equipment
  5. 2008T BlueStar
  6. Operator's manual

Fresenius Medical Care 2008T Operator's Manual

Hemodialysis machine
Hide thumbs Also See for 2008T:
Table of Contents

Advertisement

Quick Links

Download this manual See also: Troubleshooting Manual, Instruction and Installation Manual
2008T Hemodialysis Machine
Operator's Manual
Caution: Federal (US) law restricts this device to sale only by or on the order of a physician.
Note: The most recent version of this manual can be accessed at fmcna.com/frtmanuals.
490122 Rev Q

Advertisement

Table of Contents
loading
Need help?

Need help?

Do you have a question about the 2008T and is the answer not in the manual?

Questions and answers

Related Manuals for Fresenius Medical Care 2008T

Summary of Contents for Fresenius Medical Care 2008T

  • Page 1 2008T Hemodialysis Machine Operator’s Manual Caution: Federal (US) law restricts this device to sale only by or on the order of a physician. Note: The most recent version of this manual can be accessed at fmcna.com/frtmanuals. 490122 Rev Q...
  • Page 2 This machine accommodates the use of both low flux and high flux dialyzers. The SLED therapy option is not to be used for patients weighing ≤ 40 kg. The 2008T BlueStar Hemodialysis Machine is not to be used for plasma replacement therapies, for patients weighing less than 20 kg, or for renal therapies using substitution fluid.
  • Page 3 System (Optional): The bibag system is used with three stream proportioning hemodialysis systems equipped with the bibag module such as the 2008T Hemodialysis Machine and is intended for use in bicarbonate hemodialysis for acute and chronic renal failure. The bibag is intended for extracorporeal bicarbonate hemodialysis according to a physician’s prescription.

  • Page 4: Table Of Contents

    General Warnings .......................... 16  Using a Central Venous Catheter ....................21  CHAPTER 1 Overview ..............................23  Function of the 2008T Hemodialysis Machine ................23  Organization of the 2008T Hemodialysis Machine ............... 23  The Control Panel .......................... 26  Control Panel Keypad ........................27 ...
  • Page 5 Cleaning the Exterior Surface ...................... 180  Rinse Program ..........................183  Acid Clean Program ........................184  Heat Disinfection Program ......................185  Chemical/Rinse Program ......................186  Chemical/Dwell Program ......................188  Acid & Heat Disin (Disinfect) Program ..................190  2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 6 Auto Heat Disinfect (functional software version 2.70 or later) ..........326  Auto Start (functional software version 2.70 or later) ..............328  CDX Auto On (functional software version 2.70 or later)............330  PM Reminder ..........................331  2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 7 Equipment Storage and Maintenance ..................339  Machine Specifications ........................ 340  Essential Performance ........................350  Manufacturer’s EMC Declaration ....................352  Product Improvement Policy ....................... 356  Warranty ............................356  Patents ............................357  Glossary ..............................358  Index ..............................364  2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 8 This page intentionally blank 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 9: About This Manual

    This manual is organized to systematically guide a patient-care specialist through the set up, operation, and clean up of the 2008T hemodialysis machine in daily use. The book begins with an overview that introduces the operator to the major components and describes how they are organized on the machine.

  • Page 10: Requirements

    Index An index to aid the operator in referencing information is included Requirements Operators of the 2008T hemodialysis machine must be trained to administer hemodialysis at the direction of a physician. In addition, the operator should be:  Knowledgeable of hemodialysis methodology and relevant physiology.

  • Page 11: Conventions

    Mandatory Action: A command describing required action to maintain safety. Consult Accompanying Documents: This symbol is located on the 2008T hemodialysis machine. It means, refer to the 2008T Operator's Manual for additional information. Note: Notes are advisory comments or recommendations regarding practices or procedures.
  • Page 12 Vertical drip-proof level of protection from liquid drips, leaks and spills IPX1 Protective ground terminal Equipotentiality—this symbol may appear on older machines RF transmitter: Intentional Radio Frequency (RF) transmissions for wireless communications (see The CDX System, Appendix B) 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 13 A flip-down panel on the right side of the control panel that reacts to fingertip pressure. The Touchpad controls an on-screen cursor (arrow). Touchscreen Optional data input device that overlays the display screen. The Touchscreen reacts to fingertip pressure. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 14: About Hemodialysis

    This program will vary from facility to facility. Infections or pyrogen reactions may also result from contamination of the extracorporeal circuit or inadequate procedures used to reuse dialyzers. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 15 These instructions are for the 2008T hemodialysis machine. The machine must only be operated in accordance with these instructions. All operators of this machine must be thoroughly trained and have read this entire manual and any applicable appendices before using the machine.

  • Page 16: General Warnings

    General Warnings General Warnings This section contains general warnings statements regarding the use and maintenance of the 2008T hemodialysis machine. It is not a complete summary, and additional warning statements specific to pertinent topics can be found within this manual. Water Warning! Connect water inlet according to the specifications for the machine.
  • Page 17 The selection of other dialysate concentrate types must be done by a qualified, authorized person. The 2008T hemodialysis machine can be set up for various concentrate types. Use Table 40 in Appendix C to ensure that you have compatible concentrates and configurations.
  • Page 18 Warning! Shock hazard. Do not remove covers. Refer servicing to qualified personnel. Replace fuses only with the same type and rating. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 19 2008T hemodialysis machine when making or receiving phone calls. If a WiFi-connected device (e.g. laptop computers, tablet devices, smartphones) is found to cause interference, it is recommended to use that device at least four feet away from the 2008T hemodialysis machine.
  • Page 20 Discontinuation of the hemodialysis treatment could result in persistence or worsening of acidosis, hyperkalemia, and volume overload which can lead to serious injury or death. Caution: Only the bags manufactured by Fresenius Medical Care may be used in the bibag connector.

  • Page 21: Using A Central Venous Catheter

    Fresenius Medical Care manufactures bloodlines for use with the model 2008T hemodialysis machine. The performance of bloodlines not manufactured by Fresenius Medical Care cannot be guaranteed by Fresenius Medical Care and are therefore the responsibility of the prescribing physician. Note: The following materials come into contact with purified water, dialysate, or dialysate...
  • Page 22 Assembly, installation, adjustment, or repair is to be performed only by persons authorized by the facility medical director or by Fresenius USA, Inc. Questions? For further information regarding the operation, repair, parts, or maintenance of the 2008T hemodialysis machine, please contact: Fresenius USA, Inc.

  • Page 23: Overview

    Here the concentrates used to make up the dialysate are mixed and pumped to the dialyzer. The following pages contain front and rear views of the 2008T hemodialysis machine and a brief description of the machine’s features. You should familiarize yourself with the location and purpose of these features.
  • Page 24 Chapter 1—Overview Figure 1 – 2008T Hemodialysis Machine—Front View 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 25 Chapter 1—Overview Figure 2 – 2008T Hemodialysis Machine—Rear View 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 26: The Control Panel

    Chapter 1—Overview The Control Panel The control panel (see Figure 3) is located at the top, front of the 2008T hemodialysis machine and contains keys that allow the user to control the operation of the 2008T hemodialysis machine. Located at the top of the control panel is a display screen that can show a variety of treatment screens which the operator uses to set treatment parameters and monitor the treatment.

  • Page 27: Control Panel Keypad

    (for a total of six minutes) when using a bibag disposable for the bicarbonate source: Conductivity Low, Conductivity High, bibag: Cond Low, Bicarb Cond 2 Low, Bicarb Cond 2 High, Low Temperature, and High Temperature. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 28 The pump will run for: Two minutes, or Until an adequate fluid level is detected by the ultrasonic sensors in the level detector module, or Until the volume set in Service Mode is reached. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 29 5). The lights (red, green, or yellow) are used to display status information. This allows clinic personnel to monitor the status of each 2008T hemodialysis machine from a distance during treatment. There are several selections for the meaning of the lights described in the ‘Beacon’...
  • Page 30 Adjustments to treatment parameters and options are made using buttons. For a description of the various types of buttons and their states, see Figure 7 on the next page. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 31 Chapter 3, “Setting Treatment Parameters” and Chapter 4, “Monitoring the Treatment.” Table 2 – Common Screen-Buttons Select … To … View current treatment data including treatment time remaining, UF data, arterial, venous, and transmembrane pressures, and dialysate data. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 32 Most of the commonly viewed data from other screens are also grouped on the “Crit-Line” screen for convenient monitoring. For more information, see the 2008T Hemodialysis Machine with CLiC User’s Guide (P/N 490206). View all pulse and blood pressure test results taken during treatment.
  • Page 33 Press the Fn Lock key again to turn off the function lock. Note: Older versions of the keyboard instead feature a Fn key which must be held down to select the secondary functions of the blue function number keys. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 34 It also disappears when a value is entered but not yet confirmed. To display the cursor again, press the Escape key to cancel the change or press the CONFIRM key to confirm the change. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 35: The Back Panel

    Figure 10 – Back Panel (with obsolete external hour meter and volume knob) The back panel of the 2008T hemodialysis machine is located on the back of the machine at the top of the cabinet. It contains additional controls like audible volume, switches and various connections.
  • Page 36 Hour Meter This displays the number of hours the machine has run over its lifetime. See the “2008T Preventive Maintenance Procedures Manual” (P/N 508033) for information on scheduled maintenance. For functional software version 2.70 or later, this external hour meter may be disabled or absent.

  • Page 37: Patientcard Reader (Optional)

    The optional PatientCard Reader is housed inside the IV Pole mount on the right side of the 2008T hemodialysis machine. It is used to read the patient ID, prescription, patient settings, and treatment history stored on the PatientCard. The PatientCard Reader can also be used to write to a brand new PatientCard to save the patient’s name, birthdate, and ID number.

  • Page 38: Modules

    Chapter 1—Overview Modules The modules accompanying the 2008T hemodialysis machine are located just below the control panel. The Arterial Drip Chamber, Blood Pump, Heparin Pump, and Level Detector modules contribute to the task of transmitting the blood from the patient, through the dialyzer and back to the patient.
  • Page 39 Blood Pump module is turned off. To turn the Blood Pump module back on, simply touch the Touchscreen, Keyboard, or Touchpad. For more information about Low Power Mode, see page 324 for more information. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 40 In an emergency the rotor can be turned with a separate hand crank (on the back of the machine) to manually return the blood, see page 165 for more information. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 41 Manually moving the carriage to infuse heparin is not recommended. Syringe Barrel Lock Tabs Wings Slot Syringe Plunger Slide Carriage Carriage Latch Figure 14 – The Heparin Pump Module (shown with syringe) 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 42 Pressure Port Venous Drip Chamber Holder Up/Down Level Adjust Door Latch Level Detector Sensor Venous Optical Clamp Detector Optical Detector Door (Rotate Clockwise to Open) Figure 15 – The Level Detector Module 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 43 The modules (Arterial Drip Chamber, Blood Pump, Level Detector, and Heparin Pump) can be arranged on the 2008T hemodialysis machine in a variety of ways to allow for pre- or post-arterial pump pressure monitoring. The machine can accommodate most standard blood tubing that have pump segments ranging from 2 to 10 mm internal diameter.

  • Page 44: The Dialysate Path

    Chapter 1—Overview The Dialysate Path The 2008T hemodialysis machine is a three-stream dialysate delivery machine: it mixes the dialysate from three different sources and sends it to the dialyzer for treatment. The three main parts of the dialysate are: purified (RO) water, acid concentrate, and bicarbonate concentrate.
  • Page 45 Note: When using the ‘Independent Cond Test’ Service Mode option ( software version 2.70 or later) with the bibag disposable as the bicarbonate source, the 2008T hemodialysis machine will independently verify the conductivity and pH when running self- tests.
  • Page 46 See the bibag estimated run time table on page 301 for more information. Dialyzer The 2008T hemodialysis machine is compatible with commercially available dialyzers that are equipped with standard dialysate connections (ISO 8637). The dialyzer connects to the dialysate path via the dialysate lines on the shunt interlock.
  • Page 47 Figure 18 – Shunt Interlock, Flow Indicator & Dialyzer Connectors (viewed from back of machine) The shunt interlock is located on the right side of the 2008T hemodialysis machine. It links the dialysate lines when they are connected to it. The shunt door flips up to reveal color- coded latching-connectors.

  • Page 48: Iv Pole And Dialyzer Holder

    Chapter 1—Overview IV Pole and Dialyzer Holder IV Pole Release Grip Dialyzer Bloodline Swivel Elbow Release Latch IV Pole Holder Holders Joint Button Clamp Figure 19 – The IV Pole and Dialyzer Holder 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 49: Moving The Machine

    Moving the Machine The 2008T hemodialysis machine has wheels on the bottom to make it easy to move. Before moving the machine, make sure the IV pole is secured in its lower mount.
  • Page 50 3. Slowly lower machine step. Hold IV pole above upper down step. Keep firm mount. hold on IV pole. Do not tip machine too far forward! Figure 21 – Moving the 2008T Hemodialysis Machine 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 51: Daily Preparation For Treatment

    Conducting pressure and alarm tests Starting Point The following is a checklist of conditions that should exist after installation of the 2008T hemodialysis machine by a qualified technician. Before beginning the daily preparation procedures, visually inspect the machine to verify that: ...

  • Page 52: Preparing The Dialysis Delivery System

    Chapter 2—Daily Preparation for Treatment Preparing the Dialysis Delivery System There are two ways to prepare the 2008T hemodialysis machine for a treatment: the standard, manual setup method or the Auto Start method (functional software version 2.70 or later with BlueStar Premium).
  • Page 53 Figure 23). (The optional Touchscreen can be used by touching the Dialysis button directly.) If the machine is being prepared for Sustained Low Efficiency Dialysis (SLED), select the SLED button instead. For more information on SLED, see Appendix B on page 283. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 54 Doing so will stop the flow to and from the bibag disposable. Note: Bicarbonate solution is not stable over time. Make a fresh batch for each treatment according to the manufacturer’s instructions. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 55 The machine’s conductivity and temperature readings should stabilize within ten minutes. While the 2008T hemodialysis machine is preparing the dialysate, the bloodlines may be set up. Turn to page 58 for instructions on preparing the extracorporeal blood circuit.

  • Page 56: Auto Start Machine Setup

     The Auto Start option has been set to run for the current treatment day (see page 328 for information on setting the Auto Start schedule)  The 2008T hemodialysis machine is either off, in Low Power Mode, or displaying the “Select Program” screen ...
  • Page 57 “Auto Start: Complete” in the Status Box and the message, “Connect and prime bloodlines” in the Dialogue Box (see Figure 28). Press the Reset key to clear it and then follow the instructions on the next page to connect the bloodlines before priming. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 58: Preparing The Extracorporeal Blood Circuit

    (from the dialyzer to the patient). Be sure to use aseptic technique for all bloodline connections. Note: To prepare the 2008T hemodialysis machine for single-needle dialysis, see “Single Needle Dialysis” in Appendix A. Note: The Post-pump arterial chamber configuration is incompatible with the Auto Prime and Assisted Reinfusion options.

  • Page 59: Connecting The Extracorporeal Blood Circuit

    Press and hold the Start/Stop key. The rotor will rotate to the 5 o’clock position and stop. Relieve pressure on the retainer and release the segment. The beginning of the pump segment should be secured between the left yoke and the tubing retainer. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 60 1. Mount the dialyzer in its holder, arterial-end up. 2. If the CLiC device will be used for this treatment, connect the Crit-Line Blood Chamber to the dialyzer’s arterial port at this time. For more information, see the 2008T Hemodialysis Machine with CLiC User’s Guide (P/N 490206).

  • Page 61: Priming The Blood Circuit

    Chapter 2—Daily Preparation for Treatment Priming the Blood Circuit There are three different ways to prime the bloodlines on the 2008T hemodialysis machine: Standard Prime, Prime Amount, and Auto Prime (functional software version 2.70 with BlueStar Premium).  The Standard Prime method allows the operator to prime the blood circuit by controlling the flow of the saline manually.
  • Page 62 2. Connect the dialyzer end of the venous bloodline to the venous port of the dialyzer. 3. Hang a saline bag and attach an administration line, if not already attached, to the saline port on the arterial bloodline. Aseptically spike the saline bag. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 63 If necessary, press the Reset key to clear any alarms. 14. Ensure that the extracorporeal circuit is free of air bubbles. Next, turn to page 70 to run the self-tests and finish connecting the bloodlines. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 64 Pressure tests must be run before using Auto Prime; turn to page 70 to first run the self-tests. Note: The Auto Prime feature is disabled when the ‘Single Needle’ option is set. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 65 2. Put line in venous clamp and close med ports Ensure the venous bloodline is inserted into the venous line clamp below the optical detector. Close the clamps on the medication ports on each of the drip chambers. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 66 The Start button will be grayed-out during priming. When the Prime Progress bar graph reaches 100%, the next set of instructions will be displayed to recirculate the saline, see the next page. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 67 When the Test & Recirc bar graph shows 100%, the machine will display the message, “Auto Prime Complete, Press Confirm” in the Dialogue Box. Press the CONFIRM key to exit this screen and view the “Test & Options” screen (see next page). 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 68 Note: If the Pressure and Alarm tests have not successfully completed, select the Both Tests button to run the remaining tests. Continue on the next page to perform the final setup of the machine before entering the treatment parameters. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 69 Note: The 2008T hemodialysis machine can be configured (in Service Mode) so that audible alarms occur only when the optical detector senses blood. If this option is not selected, an audible alarm will sound when the shunt interlock door is open.

  • Page 70: Testing The 2008T Hemodialysis Machine

    Select the Both Tests button in the “Test & Options” screen to start the test, see below: Note: The 2008T hemodialysis machine can be configured so that this testing is mandatory after power up with the Service Mode ‘Forced Test’ option selected (see page 303 for more information).
  • Page 71 The Pressure Holding Test, the Alarm test, or both tests can be started by selecting the corresponding button on the “Test & Options” screen and pressing the CONFIRM key on the Touchpad. After a long power down, however, only the Both Tests button is enabled. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 72 Pressure, Alarm, and Diasafe tests and the cause cannot be corrected, or if it fails subsequent tests, it should not be used for treatment. Remove the machine from service and have it inspected by a qualified technician to correct the problem. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 73: Recirculation And Final Set-Up Procedure

    Chapter 2—Daily Preparation for Treatment The 2008T hemodialysis machine can be set up to perform online PHTs during treatment. These tests routinely happen every 12 minutes, and check the integrity of the hydraulic system. In the event of a failure, an alarm sounds and a message is displayed in the Status Box.
  • Page 74 Note: The 2008T hemodialysis machine can be configured (in Service Mode) so that audible alarms occur only when the optical detector senses blood. If this option is not selected, an audible alarm will sound when the shunt interlock door is open.

  • Page 75: Setting Treatment Parameters

    Warning! The values shown in pictures here are for example only. Parameters must be entered as prescribed by the patient’s physician. Failure to enter correct parameters could result in serious injury or death. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 76: Recommended Order For Screen-By-Screen Entry

    Before entering treatment parameters, the existing parameters and settings should be reverted to their defaults. This is done using the New Tx key, continue to the next page. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 77: New Treatment Key

    If the PatientCard is not used, the New Tx key should be used to prepare the 2008T hemodialysis machine for each treatment. After pressing and confirming the New Tx key or after a long power down: ...

  • Page 78: Entering A Treatment Parameter

    Enter the new value using the numbers or  /  (up or down) keys located on the Keyboard. After entering the new value, press the CONFIRM key to save it in the 2008T hemodialysis machine’s memory. The following example illustrates this procedure.
  • Page 79 To display the cursor again the operator can do one of the following: tap the Touchpad, press the CONFIRM or Escape key on the Touchpad or press the Enter or Esc key on the keyboard. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 80: Dialysate Screen Settings

    Note: If the machine is set up for use with Citrasate, a ‘Citrate’ meter box will be displayed in the dialysate constituent list. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 81 Select and confirm this button again to resume dialysate flow at the previously set rate (functional software version 2.34 or later). 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 82 “Sodium Variation System” on page 101. This button is colored green when an SVS profile is running (functional software version 2.34 or later). If the SVS option is set to ‘No’ in Service Mode, this button will not be displayed. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 83 Final Dialysate Composition Final Dialysate contains sodium, bicarbonate, and the minor dialysate constituents shown on the “Dialysate” screen. The 2008T hemodialysis machine maintains dialysate sodium and bicarbonate at the prescribed levels using a volumetric proportioning system. The conductivity of the dialysate is displayed and used to monitor, but not control, the Final Dialysate composition.
  • Page 84 Citrasate 2251-CA with 2.7 mEq/L Acetate (2.4 mEq/L Citrate + 0.3 mEq/L Acetate) Prescribed Sodium Bicarbonate Potassium Calcium Magnesium Citrate Acetate Dextrose Bicarbonate 34 mEq/L nominal setting 20 mEq/L lowest setting 40 mEq/L highest setting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 85 Constant at 137 mEq/L NaturaLyte GranuFlo Citrasate Nominal Bicarbonate Setting Nominal Bicarbonate Setting Nominal Bicarbonate Setting Minimum Bicarbonate Setting Minimum Bicarbonate Setting Minimum Bicarbonate Setting Maximum Bicarbonate Setting Maximum Bicarbonate Setting Maximum Bicarbonate Setting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 86 To enter the acid/bicarbonate concentrate type: 1) From the “Dialysate” screen, select the Conc button. The “Concentrate” subscreen opens. Figure 39 – Enter Acid & Bicarbonate Type 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 87 Concentrate menu. 4) Enter the prescribed Base Na+ and Bicarbonate values as described in “Entering a Treatment Parameter” on page 78. Figure 40 – Entering Concentrate Information 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 88 6) Select Dialysate to exit the “Acid/Bicarb Alert” subscreen. The volume of each concentrate will count down as it is used. Figure 41 – Setting Acid & Bicarbonate Alerts 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 89  (up) arrow key. To shift the window downward, press the  (down) arrow key. 3) Press the CONFIRM key to save the change. Figure 42 – Changing Conductivity Limits 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 90 It is the responsibility of the user to ensure that non- prequalified manufactured acid concentrate have the correct pH. For more information on collecting a dialysate sample for external testing, see “Testing the Dialysate” on page 337. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 91: Home Screen Settings

    “Entering a Parameter” on page 78. Note: The 2008T hemodialysis machine is equipped with both visual cues and audible alarms to alert the operator to potential problems. In every alarm condition, assess the patient for any changes in his/her physiologic state.
  • Page 92 UF Goal. To run Isolated Ultrafiltration, see “Running Isolated UF as Sequential Dialysis” on page 99. Blood alarms or online pressure holding tests temporarily stop this timer. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 93 In order to be conservative with lower dialysate flow rates, each transition point to the next higher dialysate flow rate is somewhat earlier than one would calculate. See the table on page 342 for more details. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 94 0 to 300 in SLED in increments of 5. Setting the blood flow rate to zero will stop the blood pump. The blood flow rate flashes when the blood pump is stopped. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 95 UF on/off key is pressed. If the UF on/off key is pressed during dialysis to turn off the UF pump, it will not resume with the Treatment Clock button. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 96: Ultrafiltration

    Table 17 – The UF Profile Subscreen Buttons Button Function Profile 1 – Increases the UF rate for approximately the first 40% of the treatment then gradually decreases 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 97 The UF Goal and UF Time values from the “Home” screen will appear in the “UF Profiles” subscreen. Once the UF Goal and UF Time are entered, the Maximum UF Rate for the selected profile is calculated and displayed in the corresponding text box on the screen. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 98 This button (UF Profile in the “Home” screen) changes to the selected profile when selection is confirmed. 4) Press CONFIRM. Figure 46 – Setting UF Profile Parameters 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 99: Isolated Ultrafiltration

    After five minutes of Isolated UF, an alarm sounds and the Low Alarm message, “5 Minutes Flow Off,” appears in the Status Box. The operator has the option of continuing Isolated UF or starting dialysis. This alarm occurs only once. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 100 Chapter 3—Setting Treatment Parameters To set the 2008T hemodialysis machine for sequential dialysis: 1) Set UF treatment parameters. Set the UF Time to include the combined treatment and Isolated UF times. 2) Select Dialysate Flow to highlight it. 3) Make sure UF is on (the green light will be on).

  • Page 101: Sodium Variation System

    If the Na or Bicarbonate level is entered with a numeric key, they are only recalculated after the CONFIRM key is pressed or a parameter button is selected for a different parameter. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 102 SVS program. The end time is represented in the profile graph by a tick mark on the horizontal axis. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 103 The SVS timer is activated when the Tx Clock button is initially selected and confirmed to start treatment. The SVS profile parameters can only be changed if the SVS is turned off using the ‘None’ profile button. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 104  Terminate the program by selecting the SVS Time button on the “SVS Profile” subscreen, entering zero using the Keyboard, and pressing Enter/CONFIRM or by changing profile to “None” and pressing CONFIRM 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 105: Heparin Screen Settings

    Chapter 3—Setting Treatment Parameters Heparin Screen Settings The “Heparin” screen settings control the 2008T heparin pump operation. It can be set to deliver heparin in a bolus dose and at a consistent rate during the treatment. What to set in this screen…...
  • Page 106 The heparin pump should be monitored to verify the intended infusion during treatment. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 107 Keyboard to scroll the drop-down menu until the correct syringe type is highlighted. 4) Press CONFIRM. Figure 51 – The Syringe Subscreen on the Heparin Screen (showing functional software version 2.70) 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 108 8. Release the carriage latch and allow the plunger lock tabs to clamp the plunger in place securely. Syringe Barrel Lock Tabs Wings Slot Syringe Plunger Slide Carriage Plunger Lock Tabs Carriage Latch Figure 52 – The 2008T Heparin Pump Module with Syringe Loaded and Connected 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 109 Warning! The heparin pump is to be used only under positive pressure conditions. Under negative pressure conditions, excessive heparin may be infused. Note: The Heparin button is colored green when the heparin delivery system is running (functional software version 2.34 or later). 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 110: Test & Options Screen Settings

    The “Test & Options” screen is divided into two distinct sections. The left side of the screen is used to initiate the self-test and show the results (see “Testing the 2008T Hemodialysis Machine” on page 70). The right side of the screen is available to set the machine for various treatment options.
  • Page 111 “Crit-Line Screen” on page 155 for more information. Selecting the Patient ID button allows the user to enter a patient’s ID in the text box located to the right of the button. The 2008T hemodialysis machine can upload treatment information to a network database for review by clinical staff using a personal computer.
  • Page 112 The High Flux button selects parameters for the use of a high flux dialyzer for treatment. The selection is indicated by an X in the On or Off box. Warning! It is essential that the 2008T hemodialysis machine’s balancing system is operating properly. The machine must successfully complete a Pressure test before each treatment, especially when using high-flux dialyzers.

  • Page 113: Low Volume Dialysis

    A blue ‘X’ will appear in the ‘On’ check box next to the button when the option is selected. The blood pressure module uses a lower, initial-inflation pressure when the Low Volume option selected (see the Blood Pressure Module machine specifications on page 349. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 114: Blood Pressure Screen Settings

    Note: The blood pressure module is not designed to replace the periodic observation of the patient by the clinical staff. The clinical staff should review all blood pressure readings. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 115 The programmable range for Lower Pulse is 40 – 140 beats/min for standard patients and 40 – 180 beats/min for Low Volume patients. An alarm event occurs when the patient’s pulse rate reaches or falls below the set value. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 116 Note: Using cuff tubing longer than 10 feet may result in erroneous blood pressure readings. At this point, all treatment parameters should be entered and it is time to connect the patient and begin the treatment; turn to page 133 to continue. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 117: Using The Default Parameters Screen

    Note: The “Default Settings” screens can be exited at any time without saving changes by pressing the Escape key. Selecting the Done button and confirming the changes (see page 123) transfers the prescription to the various dialysis screens used during treatment. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 118 After entering the dialysate prescription, select the Done button to return to the main “Default Parameters” screen. There the Heparin Settings button may be selected to enter the heparin- related parameters. Turn to the next page to enter the heparin prescription. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 119 After entering the heparin prescription, select the Done button to return to the main “Default Parameters” screen. There the BP Settings button may be selected to enter the blood pressure-related parameters. Turn to the next page to enter the blood pressure prescription. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 120 After entering the blood pressure prescription, select the Done button to return to the main “Default Parameters” screen. There the UF Settings button may be selected to enter the UF- related parameters. Turn to the next page to enter the ultrafiltration prescription. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 121 Function Total Weight—This is the total weight in kilograms when the patient was weighed with a scale before the treatment. This value may include the patient’s clothing, wheelchair, gurney, or other equipment. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 122 After entering the ultrafiltration prescription, select the Done button to return to the main “Default Parameters” screen. There the remaining parameter-buttons may be selected. Turn to the next page to finish entering the prescription. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 123 “Test & Options,” see page 110 for more information. At this point, all treatment parameters should be entered and it is time to connect the patient and begin the treatment; turn to page 133 to continue. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 124: Using The Patientcard

    Note: After the Save button has been selected, the patient ID, first name, last name, and birthdate can no longer be edited. If a change to these items must be made, another new, blank PatientCard must be inserted to display this screen again. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 125 Confirm key to instead download the last prescription saved on the PatientCard. If a prescription for this patient is available on the PatientCard, the 2008T hemodialysis machine will automatically download it and display it on the “Prescription” screen. If no prescription yet exists, a default prescription will be displayed.
  • Page 126 PatientCard or pressing the Escape key. Selecting the Done button and confirming the changes (see page 132) saves any changes to the PatientCard and transfers the prescription to the various dialysis screens used during treatment. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 127 After entering the dialysate prescription, select the Done button to return to the main “Prescription” screen. There the Heparin Settings button may be selected to enter the heparin-related parameters. Turn to the next page to enter the heparin prescription. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 128 After entering the heparin prescription, select the Done button to return to the main “Prescription” screen. There the BP Settings button may be selected to enter the blood pressure-related parameters. Turn to the next page to enter the blood pressure prescription. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 129 After entering the blood pressure prescription, select the Done button to return to the main “Prescription” screen. There the UF Settings button may be selected to enter the UF-related parameters. Turn to the next page to enter the ultrafiltration prescription. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 130 Note: If the patient scale is equipped with a PatientCard Reader, the total weight can be automatically transferred to be displayed here. Contact Fresenius Medical Care Spare Parts department or your sales representative for more information and pricing. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 131 After entering the ultrafiltration prescription, select the Done button to return to the main “Prescription” screen. There the remaining parameter-buttons may be selected. Turn to the next page to finish entering the prescription. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 132 Dialysis program screens used during treatment. If any changes were made by the operator, the 2008T hemodialysis machine will display a pop-up window with a list of all changes that were made. If the Escape key is pressed, the changes will not be saved and no settings will be transferred to the Dialysis program screens.

  • Page 133: Starting Dialysis

    Verification of prescription, conductivity, and pH should also have been confirmed. It is now time to connect the patient to the 2008T hemodialysis machine via the blood tubing and begin the dialysis treatment.
  • Page 134 Warning! When establishing blood flow, ensure that air will not be infused into the patient. Warning! Check all bloodlines for kinking. Improper blood flow may cause hemolysis of the blood. Continue to the next page to monitor the treatment. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 135: Monitoring The Treatment

    This must be done to avoid drawing air into the system. Drawing air into the system can cause the concentrate pumps to malfunction. Note: The 2008T hemodialysis machine is equipped with both visual cues and audible alarms to alert the operator to potential problems. In every alarm condition, assess the patient for any changes in his/her physiologic state.

  • Page 136: Home Screen Monitoring

    “Home” screen. Note: If the 2008T hemodialysis machine is set up in Service Mode to display the “Crit- Line” screen instead of the “BTM BVM” screen, the various functions and parameters of the treatment can also be viewed on the “Crit-Line”...
  • Page 137 Time buttons stop counting down. The sodium content of the dialysate remains at the profile level it was when the treatment was paused. The blood pump and the dialysate flow, however, remain running. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 138 Adjusting the blood pump rate will cause the alarm limits to spread, allowing the pressure to stabilize before new limits are re-established. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 139 Machine alarms may not occur in every blood loss situation. Note: When the optical detector senses blood, the minimum the lower venous pressure limit will be set to is + 9 mmHg. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 140 Transmembrane Pressure (TMP) The transmembrane pressure (TMP) is equal to the venous pressure minus the dialysate pressure measured in mmHg. On the 2008T hemodialysis machine, the TMP is normally negative. Because the machine uses a closed, volumetric ultrafiltration system, the TMP is monitored primarily for detecting large shifts in pressure.

  • Page 141: Trends Screen Monitoring

    This button is used to display either the current or previous treatment summary data. When a PatientCard is inserted, this button allows the operator to view the past three stored treatment dates. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 142 This is the last Relative Blood Volume from the BVM, if available (% of initial value). Concentrate This is the concentrate selected for this treatment. Na Base This is the base Na level for the Sodium Variation System program (mEq/l) 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 143 Warning! Do not use the values displayed on the machine solely in making future therapy decisions. If any value far exceeds the expected range, confirm the measurement through independent means before making any changes to the patient’s prescription. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 144: Kt/V & Access Flow Monitoring

    Figure 71 – The Kt/V and Access Flow Screen The following table describes the features found in the “Kt/V AF” screen on machines with active OLC functionality. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 145 The prescribed target single-pool value, ranging from 0.40 to 2.50, is entered in this button. This value is reset to the default value when the New Tx key is pressed. The default value may be changed in Service Mode. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 146 (i.e., the value displayed in the RTD button of the “Home” screen at the start of treatment). The point where these lines cross represents the target Kt/V at the end of the prescribed treatment. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 147 Kt/V, the solid portion of the plot appears red and an exclamatory icon is displayed to the right of the graph (see Figure 73 below). Figure 73 – Projected Clearance is less than 100 Percent of Target 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 148 The result will be more accurate if both tests are done at the same blood flow rate. Note: Fresenius Medical Care recommends using Combiset bloodlines with Twister blood flow reversal device (P/N 03-2794-0) for treatments running access flow tests. The integrated Twister device eliminates the need to disconnect the bloodlines from the access during treatment.
  • Page 149 Note: During the second OLC measurement for the Access Flow test, the UF will change to 70 if running low flux or 300 if running high flux. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 150 Data” subscreen. For more information, see page 303. This value indicates the total blood volume (in liters) that has passed through the dialyzer based on the blood pump flow rate and adjusted for negative arterial pressure. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 151 (hours/min.) elapsed from the beginning of treatment. Manual tests are preceded with “M”. Tests done for Access flow with the lines reversed are preceded with “AF”. These tests are not used in the Mean Kecn value. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 152: Blood Temperature Monitor / Blood Volume Monitor Screen

    Chapter 4—Monitoring the Treatment Blood Temperature Monitor / Blood Volume Monitor Screen Note: The 2008T hemodialysis machine is set up in Service Mode to display either the “BTM BVM” screen or the “Crit-Line” screen. If the second to last screen-button along the bottom of the display screen shows “Crit-Line”...
  • Page 153 The vertical dotted line indicates the scheduled end of treatment. Note: When the 2008T hemodialysis machine is first turned on, the small display on the BTM will indicate 1107. This is a normal event and can be cleared by pressing the Up ...
  • Page 154 RBV (e.g. saline flush) the red line will continue dotted with the last transferred value. The yellow dotted line shows the alert level. The vertical dotted line indicates the scheduled end of treatment. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 155: Crit-Line Screen

    Chapter 4—Monitoring the Treatment Crit-Line Screen Note: The 2008T hemodialysis machine is set up in Service Mode to display either the “BTM BVM” screen or the “Crit-Line” screen. If the second to last screen-button along the bottom of the display screen shows “BTM BVM” instead of “Crit-Line,” turn to page 152.
  • Page 156 Chapter 4—Monitoring the Treatment Note: The CLiC device is only a tool used to complement a treatment on the 2008T hemodialysis machine. Operators must rely on their own clinical assessment of the patient to administer the treatment, as per the standard of care.
  • Page 157 BV Alert Level button – Sets the BV (Blood Volume) Alert Level (under physician direction). When the current ΔBV% change drops below the set BV alert level, the 2008T hemodialysis machine stops the UF pump and displays the alert message “Rel. Blood Volume Low”.
  • Page 158 0 to the ΔBV% value. As the dialysis treatment progresses, fluid is taken out of the blood by the 2008T hemodialysis machine’s ultrafiltration pump. This will result in a greater percentage of the blood being red blood cells and the blood volume fill graph will trend downwards and approach the alert level.
  • Page 159 BV Alert Level button on page 157). The line will appear on the graph after the initial Hct is determined. When the alert is triggered, the 2008T hemodialysis machine stops the UF pump and displays the alert message “Rel. Blood Volume Low”. The alert can be cleared by lowering the alert level or by setting the BV Alert Level to OFF.
  • Page 160 The Tx Clock button and an RTD button to set the RTD are also located on the “Home” screen. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 161: Blood Pressure Screen Monitoring

    Warning! Too frequent measurements can cause injury to the patient due to blood flow interference. During patient treatment, regularly check that operation of the automated blood pressure monitoring subsystem does not result in prolonged impairment of the patient's blood circulation. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 162: During Treatment

    If an online PHT failure occurs once during a treatment, perform the Pressure Test (from the “Test & Options” screen) before the next treatment to verify the integrity of the hydraulic system. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 163 5. Close the bibag door, making sure it latches firmly in place. An audible click indicates the door is closed. The treatment will resume after the machine fills the bag with heated water. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 164: Blood Recirculation Procedure

    3. Aseptically reconnect the arterial and venous bloodlines to the patient’s access sites. 4. Restart the blood pump and adjust blood pump to the prescribed flow rate. 5. Select the Tx Clock button and press CONFIRM to resume the treatment. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 165: Power Failure During Dialysis

    9-volt battery from the back of the machine. Manually Operating the Blood Pump In the event of a power failure during treatment, the 2008T blood pump can be manually operated to return the blood to the patient or to keep the blood in recirculation if a quick resumption of power is anticipated.
  • Page 166 60–100 ml/min. Observe the venous chamber and bloodline to ensure that no air is infused in the patient. Manual circulation time is the responsibility of the clinic’s medical supervisor. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 167 SVS Profile. Adjust the SVS-Time if necessary. 14. The UF treatment parameters are also saved during a power failure. Check all parameters (UF Goal, UF Time, UF Rate, UF-Removed) for correct settings and adjust if necessary. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 168: Completion Of Dialysis

    Assisted Reinfusion method (functional software version 2.70 or later). For instructions on using the Assisted Reinfusion feature, see page 170. To return the blood to the patient using the standard method, continue to the next page. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 169: Returning Blood To The Patient (Standard Method)

    6. Clamp the arterial and venous bloodlines and the patient’s arterial and venous access lines, and aseptically disconnect them. If the PatientCard was used to program the treatment, the 2008T hemodialysis machine will now attempt to save the treatment data.

  • Page 170: Returning Blood To The Patient Using Assisted Reinfusion

    Note: The Assisted Reinfusion button is unavailable when either Low Volume or Single Needle options are set to ‘On’. Note: This procedure is shown using CombiSet bloodlines P/N 03-2722-9; if a different bloodline set is used, the clinic is responsible for providing instructions. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 171 (see next page). This screen shows venous and TMP pressure bar graphs similar to the ones on the “Home” screen. Monitor the pressures when returning blood to the patient. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 172 Press the Done button to exit the “Assisted Reinfusion” screen and return to the “Test & Options” screen. If the PatientCard was used to program the treatment, the 2008T hemodialysis machine will now attempt to save the current treatment data.
  • Page 173 4. Close the bibag door securely, making sure that the door latches into place (two clicks should be heard). Next the dialyzer should be removed from the machine, turn to the next page. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 174 6. Insert the concentrate connectors into their proper rinse ports. The “Select Program” screen will be displayed. 7. Clean or disinfect the exterior of the machine according to routine cleaning and maintenance procedures described in “Disinfection and Maintenance,” on page 176. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 175 Discard the disposable Crit-Line Blood Chamber with the rest of the bloodlines. When RTD is zero and the Tx Clock is paused, a Print button will appear on the “Crit-Line” screen in place of the Markers button. For more information, see the 2008T Hemodialysis Machine with CLiC User’s Guide (P/N 490206).

  • Page 176: Disinfection And Maintenance

    This chapter covers all cleaning, disinfection, and maintenance tasks that can be performed by the operator. Included are instructions for running the programs found on the “Select Program” screen designed to clean and disinfect the fluid paths found in the 2008T hemodialysis machine.
  • Page 177 Chapter 5—Disinfection and Maintenance The fluid path of the 2008T hemodialysis machine can be disinfected chemically or with heat. The machine should be rinsed thoroughly after chemical disinfection and before introducing any other chemicals to the machine. The machine should be heat disinfected at least once each day it is used and rinsed per unit protocol.
  • Page 178 Disinfect bicarbonate concentrate containers and suction caps per Weekly facility protocol. Page 181 Rinse and air dry all bicarbonate concentrate containers and suction Daily caps. Page 181 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 179 Warning! It is the responsibility of the clinic to disinfect and maintain the hygienic quality of any central delivery systems to which the 2008T hemodialysis machine may be connected. Note: The manufacturer recommends daily heat disinfection, but if the clinic’s policy requires chemical disinfection daily, then heat disinfection should be run weekly.

  • Page 180: Cleaning The Exterior Surface

    Warning! Inspect the blood pump rotor for proper operation (tubing guide posts not bent, rollers move freely, crank lever moves freely). Bent or loose tubing guide posts can damage bloodlines. Replace rotor if necessary. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 181 Chapter 5—Disinfection and Maintenance The bibag Connector The optional bibag connector is connected to the 2008T hemodialysis machine’s hydraulics so running rinse or disinfection programs from the “Select Program” screen will also rinse or disinfect the bibag connector. To prevent bicarbonate buildup on the bibag connector: ...
  • Page 182 With some RO systems, the water inlet line may be disinfected along with the RO and distribution piping by leaving the dialysis machine in Rinse mode during RO disinfection. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 183: Rinse Program

    Figure 90 – The Rinse Screen Note: If the rinse cycle followed chemical disinfection, the water from the rear drain must be tested to ensure that residual disinfectant has been reduced to an acceptable level. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 184: Acid Clean Program

    Chapter 5—Disinfection and Maintenance Acid Clean Program The 2008T hemodialysis machine should undergo an acid cleaning daily when using bicarbonate concentrates during dialysis. The purpose of the Acid Clean program is to prevent the buildup of bicarbonates inside the machine that can have a detrimental effect on the machine’s performance and treatment efficacy.

  • Page 185: Heat Disinfection Program

    Note: Cooling time can be shortened by running the Rinse program, which will flush the machine with 98.6 °F/37 °C water. Do not cool the machine with the Rinse program unless the machine will be used immediately afterwards. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 186: Chemical/Rinse Program

    Chemical/Rinse program can no longer be run due to a leak detected in the Heat Exchanger. However, the machine will still be able to run Heat Disinfection programs and hemodialysis treatments per unit protocol. Call a qualified service technician. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 187 9. When prompted, press CONFIRM to exit. Warning! Test for residual disinfectant prior to starting treatment following a chemical disinfection. Note: The machine will automatically perform a Diasafe test after the Chemical Rinse program completes. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 188: Chemical/Dwell Program

    The program starts with a 45 second rinse. The message, “Rinsing Line, Please Wait” is displayed in the Status Box. 6. When prompted, connect the red connector to a chemical disinfectant. Press CONFIRM. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 189 Status Box. Press CONFIRM to exit. Warning! The mandatory rinse cycle must be completed and a test for residual disinfectant must be performed prior to the next treatment. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 190: Acid & Heat Disin (Disinfect) Program

    Chapter 5—Disinfection and Maintenance Acid & Heat Disin (Disinfect) Program The 2008T hemodialysis machine should undergo an acid cleaning daily when using bicarbonate concentrates during dialysis in addition to daily disinfection on treatment days. The purpose of the Acid & Heat Disin program (functional software version 2.38 or later) is to prevent the buildup of bicarbonates inside the machine that can have a detrimental effect on the machine’s performance and treatment efficacy and to then disinfect the machine.
  • Page 191 Note: Cooling time can be shortened by running the Rinse program, which will flush the machine with 98.6 °F/37 °C water. Do not cool the machine with the Rinse program unless the machine will be used immediately afterwards. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 192 In the event of a power failure, the Heat Disinfection program will not be recorded in the disinfection log or last disinfection field on the “Select Program” screen until the program is completed. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 193: Disinfect Log (Optional)

    To save the last 1,200 disinfection events stored on the machine to a USB drive, insert a USB drive into USB Port 1 on the right side of the 2008T hemodialysis machine display monitor. The 2008T hemodialysis machine will immediately begin transferring the data while displaying the transfer progress in a bar graph.

  • Page 194: Alarms And Troubleshooting

    Operational Status The 2008T hemodialysis machine is equipped with a system of electronic components and diagnostic software that monitor its operation and performance. When problems or potential problems are detected, the operator is alerted through informational messages displayed on the screen and in some cases, audible alarms.
  • Page 195 Low Alarm events do not stop the blood pump. The message displayed in the Status Box is intended to alert the operator of a functional anomaly, a procedural error, or an existing condition requiring remedial action. A Low Alarm may be accompanied by an audible alarm. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 196  Other Note: The 2008T hemodialysis machine may be configured to suppress all audible alarms until blood is sensed in the venous line by the optical sensor below the venous clamp assembly. In these machines, the audible alarms occur only if the dialysate lines are off the shunt and blood is sensed by the optical detector.
  • Page 197 Reset key will be on during an override. Warning! During an override, the machine’s blood leak detector is inactive. You must monitor the treatment. Note: The Reset key light flashes when a blood alarm occurs. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 198: Troubleshooting

    The Status Box Message column identifies the message as it appears in the Status Box or in the Dialogue Box of the display screen. Purpose of Message The Purpose of Message column is a brief explanation of the Status Box message or the condition that generated it. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 199 If necessary, press the Escape key to display the cursor again. Note: If the 2008T hemodialysis machine becomes unresponsive (locks-up or ‘freezes’) or if the display screen unexpectedly turns off and does not turn back on when touching it or pressing the Reset key, turn off the machine by pressing and holding the Power key for two seconds.
  • Page 200 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required # of Tests has been set to The operator has attempted to set the Dialog The machine has set the number of tests to the lowest value allowed.
  • Page 201 Press the Reset key to clear. If problem persists, return the blood to Blood Pump Message) Alarm the patient if alarm occurs during the treatment. Take blood pump module out of service and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 202 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required A.25 (Arterial or SN Pressure increase when the Level Up High Press the Reset key to clear. Possibility that the level adjust pump is...
  • Page 203 Turn machine power off and back on. If alarm is not cleared, return Alarm the blood to the patient if the alarm occurs during treatment. Take the machine out of service and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 204 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Act BYP Valve Fail 1 Electronic self-test failure. High Turn machine power off and back on. If alarm is not cleared, return Alarm the blood to the patient if the alarm occurs during treatment. Take the machine out of service and alert a qualified service technician.
  • Page 205 If unable to reset alarm, return blood to the patient if possible. Do not return clotted blood to the patient. 6) Take the machine out of service and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 206 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Arterial Pressure not Arterial pressure calibration has been High Turn machine power off and back on. If alarm is not cleared, take the calibrated lost or not set.
  • Page 207 (Water) still not cleared, return blood to the patient. Take the machine out of the bibag disposable. The machine is service and alert a qualified service technician. in bypass mode. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 208 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required bibag: Cond Low The actual or measured bibag High Check the bibag disposable: if there is only about one inch (2.5 cm) conductivity is below the low Alarm of bicarbonate left at the bottom of the bag, replace the bag.
  • Page 209 No Bag A bag must be on the connector to High Place a bag on the bibag connector and close the door to continue. continue. Alarm (Water) Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 210 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required bibag: No Comm. The bibag interface board is not High Turn machine power off and back on. If the alarm is not cleared, Alarm communicating with the actuator return the blood to the patient if alarms occurs during a treatment.
  • Page 211 Electronic self-test: temperature High Turn machine power off and back on. If the alarm is not cleared, take calibration error. Alarm the machine out of service and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 212 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required bibag: Temp Sensor Err The bibag temperature sensor is not Advisory Insert the blue bicarbonate connector into an appropriate liquid reading the correct temperature.
  • Page 213 Take the machine out of service and alert a qualified bicarbonate. The machine is in service technician. bypass mode. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 214 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Bicarb: Cond Low The actual or measured sodium High Make certain the correct bicarbonate is connected to the machine bicarbonate concentrate conductivity Alarm and that there is enough concentrate available. Wait five minutes for...
  • Page 215 Blood flow unstable When attempting to start an OLC test, Advisory Wait a minute or so and start the OLC test again. certain conditions are necessary, including stable blood flow rate. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 216 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Blood Leak? The blood leak detector has detected High 1) Press Reset to reset the alarm. the presence of blood or air in the...
  • Page 217 Alarm Blood Pump ROM Error Flash ROM CRC error High See message E.02 Alarm Blood Pump Stop Alarm Pump rotor turning when it should not High See message A.29 Alarm Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 218 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Blood Pump Stopped The blood pump is on and the speed High 1) Correct other alarms that could have triggered the stopped pump is set, but the blood pump has Alarm message.
  • Page 219 Alarm BP Pressure Alarm Arterial pressure-read back analog High See message A.22 voltage at X348/7 is out of limits Alarm SN pressure-read back analog voltage is out of limits Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 220 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required BP Receive Alarm Error in received Intel-Hex-line High See message A.28 Alarm BP Rotation Error Pump rotor turning when it should not High See message E.23...
  • Page 221 High Press Reset to clear the message. BVM will no longer pass Alarm information to the 2008T monitor. Turn the power off and back on. If the alarm is not cleared, refer to a qualified service technician. BVM No Communication...
  • Page 222 Check the CLiC device’s USB cable: not received data from the CLiC to disable Crit-Line message  Make sure the cable is securely connected to the 2008T device. The Status Box displays the hemodialysis machine’s USB port. Low Alarm message “Crit-Line: No ...
  • Page 223 After the prescribed conductivity is reached, verify the conductivity and the pH using independent testing devices. If unable to attain prescribed conductivity, discontinue treatment and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 224 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Conductivity Limits set to The operator has entered a new Opening On the “Dialysate” screen, select the prescribed concentrate, enter default concentrate in Service Mode,...
  • Page 225 CONFIRM to the information cannot be saved to continue or Press Escape the corrupt PatientCard. Press the Escape key to cancel saving to any PatientCard. to cancel saving to PatientCard Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 226 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Corrupted PatientCard! An unreadable PatientCard is inserted Pop-Up Press the CONFIRM key to continue then reinsert the PatientCard. If Press CONFIRM to into the PatientCard Reader slot and the message is still not cleared, insert a new, blank PatientCard to continue.
  • Page 227 Low Alarm Check the CLiC device’s USB cable: not received data from the CLiC  Make sure the cable is securely connected to the 2008T device. hemodialysis machine’s USB port.  Wait up to one minute for the message to clear.
  • Page 228 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Crit-Line on Filter? To verify the CLiC device, the device Advisory Place the CLiC device on the CLiC Verification Filter, which is must be clipped to its verification filter.
  • Page 229 Diasafe self test. Diasafe Test Recovery This message advises the operator of Advisory Advisory message only. No action is required. the status of the Diasafe self test. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 230 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Disinfection Log The Disinfect Log screen-button on Advisory To view the last 1,200 disinfection events stored on the machine, use the “Select Program” screen was the up/down arrow keys to scroll.
  • Page 231 When air is sensed, emptying will Low Alarm Connect the red dialyzer return line to the shunt. If the alarm is stop. repeated, take the machine out of service and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 232 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Emptying too long The dialyzer empty program has High If blood is not sensed, return the dialyzer supply and return lines to exceeded its maximum limit.
  • Page 233 Message a qualified service technician. Fail * Optical Detect Optical Detector test has failed. Test Rerun test, if failure repeats, remove machine from service and alert Message a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 234 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Fail * Pos Flow Off Positive flow off pressure holding test Test Rerun test. If failure repeats, remove machine from service and alert failed Message a qualified service technician.
  • Page 235 Turn machine power off and back on. If alarm is not cleared, take the calibrated lost or not set. Alarm machine out of service and alert a qualified service technician that flow pressure calibration is needed. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 236 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Flow Rate not Set If the dialysate flow is turned on while Advisory Set the dialysate flow rate to the desired value. the display screen flow rate selection is still “OFF”, this reminder is...
  • Page 237 4) Turn the power off and on. If the alarm is not cleared, return the blood to the patient if the alarm occurs during treatment. 5) Take the machine out of service and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 238 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required High Temperature The actual dialysate temperature has High 1) Ensure that water is flowing to machine when turned on. exceeded the high-temperature alarm Alarm 2) Check water supply to machine for excess temperature and limit.
  • Page 239 Message Opening Lost Misc Settings! Miscellaneous settings have been Verify all treatment settings before using the machine. Screen lost. Message Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 240 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Lost Power-Up Flags! Power-up flags have been lost. Opening Verify all treatment settings before using the machine. Screen Message Lost Scheduler Settings! Scheduler settings have been lost...
  • Page 241 The ‘T and C Mode’ option in Service Opening Take the machine out of service and alert a qualified service Mode option has wrongly been set. Screen technician to turn off T and C mode. Message Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 242 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Max UF rate reached. This message informs the operator Dialog In the “Home” screen, decrease the UF Goal or increase the UF Select new Goal or Time...
  • Page 243 New Art Limits chosen This message advises the operator Advisory Advisory only. No action is required. that a new set of arterial limits has been set. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 244 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required New features loaded, Advisory message when uploading Advisory Put the original calibration EEPROM in IC 20 and restart the machine. Power Off, Replace hardware key option...
  • Page 245 (12 minutes between tests), return the blood to the patient if alarm occurs during treatment. Take the machine out of service and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 246 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Online PHT Too Long Electronic self-test failure. High Turn machine power off and back on. If alarm is not cleared, return Alarm the blood to the patient if alarm occurs during treatment. Take the machine out of service and alert a qualified service technician.
  • Page 247 No action required. This message will be displayed for four minutes concentrates for the dialysate or until conductivity is within range, whichever comes first. Self-tests are unavailable until this message clears. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 248 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Prescription Verification, The PatientCard had been used to Pop-Up To transfer the modified prescription to the dialysis screens for The following prescription view the patient’s prescription on the treatment, press the CONFIRM key.
  • Page 249 RAM Battery Failure Electronic self-test failure. High Turn machine power off and back on. If the alarm is not cleared, take Alarm the machine out of service and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 250 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required RAM Code Corrupted 1 Electronic self-test failure. High Turn machine power off and back on. If the alarm is not cleared, Alarm return the blood to the patient if alarm occurs during treatment. Take the machine out of service and alert a qualified service technician.
  • Page 251 The New Tx key has been pressed Advisory To erase the current treatment information and move it to the CONFIRM or Escape “Trends” screen when initiating a new treatment, press CONFIRM. To cancel, press Escape. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 252 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Resetting, Try Again. Blood pressure module resetting Low Alarm Wait until blood pressure module completes resetting and retry blood pressure reading. Retry > Press = XXX...
  • Page 253 Figure 26). screen is in conflict. Set Arterial Limits This is a message to re-center the Advisory Press and hold Reset for 1 second to re-center the limits. arterial limits if necessary Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 254 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Set Blood Flow to 300 This message is a prompt for the Low Alarm To proceed, set Blood Flow to 300 and press CONFIRM.
  • Page 255 See message A.11 maximum voltage Alarm SN BP Receiving Alarm Error in received Intel-Hex-line High See message A.28 Alarm SN BP ROM Error Flash ROM CRC error High See message E.02 Alarm Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 256 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required SN BP Rotation Error Pump rotor turning when it should not High See message E.23 be for a second time Alarm SN BP Set Rate Alarm...
  • Page 257 The temperature trim function will be disabled until the machine is pre and post sensors are verified turned off and back on. against one another. This message occurs if the two temperature sensors are more than 0.5 C different. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 258 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Temp Control not This message is displayed on the sign Advisory Calibrate the temperature control. calibrated on screen if the temperature sensors were not matched when they were verified against one another.
  • Page 259 Auto Prime cannot continue because Pop-up Make sure the conditions listed in the pop-up are corrected then of any number of the error conditions press the CONFIRM key to continue. listed in the pop-up. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 260 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Tx Clock On The operator has selected the Empty Dialog If the treatment is not yet completed and the bibag disposable must bibag button when the Tx Clock is...
  • Page 261 The machine is in bypass Alarm the blood to the patient if alarm occurs during treatment. Take the mode. (Water) machine out of service and alert a qualified service technician. Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 262 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required V104/108 Stuck Closed Bicarbonate concentrate port valve High Check for a kinked bicarbonate concentrate supply line. error or rinse port valve error. The Alarm Make sure that the bicarbonate concentrate connector is firmly machine is in bypass mode.
  • Page 263 Select the parameter-button or CONFIRM to continue hemodialysis machine. screen-button associated with the out of range value and set it within in the allowable limits for the 2008T hemodialysis machine to continue. Valve 43 Failure Valve 43 has remained open too long High Turn machine power off and back on.
  • Page 264 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required Ven. Pressure Alarm High pressure detected in the venous High 1) Check venous tubing for kinks, clotting, or closed clamps. drip chamber. (with the upper Venous...
  • Page 265 Water Prerinse The machine is running a water rinse Advisory Advisory only. No action is required. Line rinsing duration is before a cleaning or disinfecting displayed as ‘Remaining Prerinse Time’. program Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 266 Troubleshooting 2008T Machine Operator’s Manual P/N 490122 Rev Q Message Purpose of Message Type Action Required WD: 24v Rcvr Err Long Electronic self-test failure. High Turn machine power off and back on. If the alarm is not cleared, take Alarm the machine out of service and alert a qualified service technician.

  • Page 267: Replacing The Diasafe Plus Filter

    6. Place the orange product installation date label on the filter. 7. Reinstall the clear protective cover. 8. Power on the 2008T hemodialysis machine and test the new Diasafe Plus filter: From the “Test & Options” screen (see page 110), select the Pressure Test button and press CONFIRM to start the test.

  • Page 268: Replacing The 9-Volt Battery

    1. Turn the machine OFF. Locate the battery on the back of the machine and push the black battery loading cartridge in and to the left. The battery cartridge will pop forward. Slide the cartridge out. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 269 Warning! If the machine fails these tests and the cause cannot be corrected, it should not be used for treatment. Have the machine checked by a qualified technician to correct the problem. Note: Periodically check the power cord for damage (fraying, over-heating, cuts, scrapes, etc.) 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 270: Single Needle Dialysis (Optional)

    Note: Before using these instructions, the Single Needle Blood Pump module must be installed in the 2008T hemodialysis machine. The Service Mode “Options: Module Options” screen Digital SN Blood Pump option must be set to ‘Yes’. See the Single Needle 2008K Series Blood Pump Installation Instructions (P/N 507639) for more information.
  • Page 271 Fresenius Medical Care manufactures bloodlines for use with the 2008T hemodialysis machine. The performance of bloodline sets not manufactured by Fresenius Medical Care cannot be guaranteed by Fresenius Medical Care and are therefore the responsibility of the prescribing physician. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 272 Press and hold the Start/Stop key again and the rotor will rotate one full turn to automatically position the remainder of the segment within the pump housing. After loading, any extra pump segment tubing length should be on the right side of the pump. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 273 Warning! Do not allow the ends to touch the fluid in the bucket to prevent contamination. Dialyzer Setup 1. Mount the dialyzer in its holder, arterial-end up. Screw dialyzer caps onto the dialyzer ports. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 274 Appendix A Priming the Single Needle Blood Circuit There are two different ways to prime the blood circuit on the 2008T hemodialysis machine:  Standard Prime method: This method allows the operator to prime the blood circuit by controlling the flow of the saline manually.
  • Page 275 Heparin Pump module. If the heparin pump is not used, clamp the heparin line. 6. Press the Prime key on the control panel. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 276 2x dialysate flow (Auto Flow) is selected, be sure that the dialysate flow rate is at least the minimum required rate. Testing the 2008T hemodialysis machine with Single Needle blood pump Follow the instructions in the “Testing the 2008T Hemodialysis Machine” section on page 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 277 8. Press the  (down) key on the Level Detector module to lower the fluid level in the drip chamber. Verify that the blood pump stops and the venous clamp occludes. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 278 It is now time to insert the single needle blood pump segment and connect the patient to the 2008T hemodialysis machine via the blood tubing and begin the dialysis treatment.
  • Page 279 20% higher than the arterial blood pump rate. The blood flow rate displayed on the Arterial Blood Pump module with the Single Needle option set to ‘On’ equals the average blood flow rate for both pumps. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 280 Warning! When establishing blood flow, ensure that air will not be infused into the patient. Warning! Check all bloodlines for kinking. Improper blood flow may cause hemolysis of the blood. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 281 4. Remove the single needle blood pump segment from the single needle blood pump: a. Open the door and align the rotor by pressing and holding the Start/Stop key until the pump stops. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 282 Note: Depending on how your machine was configured, and audible alarm may sound when the saline solution reaches the optical sensor. Press Reset to silence the alarm. Continue with the instructions listed in the “Removing the Dialyzer” section on page 174. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 283: Sustained Low Efficiency Dialysis (Sled) (Optional)

    2008T hemodialysis machine. To prepare the 2008T hemodialysis machine for SLED, follow the instructions in Chapter 2, “Daily Preparation for Treatment.” Note: Indicate on the concentrate jugs the date and time the bicarbonate was mixed or opened to ensure solution stability.
  • Page 284 When the Treatment Time displayed in the button reaches 12:00 (hours), the non-resettable alarm, “SLED Complete,” is displayed in the Status Box, an alarm sounds, the dialysate flow stops, and the UF pump stops. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 285: Treatment Monitoring

    (UF Rate, residual kidney function, drainage, etc.) have to be considered for determining fluid balance of the patient. It may be necessary to readjust the UF rate hourly. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 286 4. From the “Select Program” screen, select Heat Disinfect and press CONFIRM. During heat disinfection, the RO unit, if used, can be disconnected from the 2008T hemodialysis machine once the water temperature reaches 80 °C (176 °F) and the recirculation cycle starts.

  • Page 287: The Cdx System (Optional)

    Appendix C The CDX System (Optional) The Clinical Data eXchange (CDX) system is an independent PC that is built into the 2008T hemodialysis machine. The CDX PC can run software programs that are displayed on the 2008T display screen and accessed with the Keyboard, Touchscreen, and Touchpad like any other personal computer (PC).
  • Page 288 Pressing the blue CDX key will switch back and forth between displaying Dialysis/SLED and CDX. Note: The blue CDX key will not switch to CDX during an alarm if blood is sensed and the Tx Clock is running. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 289: Machine Connections

    Therapy Mode to initiate that function. Machine Connections The 2008T hemodialysis machine has two USB ports. USB port 1 is located on the right side of the display screen and protected with a flap (see Figure 104 on the next page). It is used for updating the hemodialysis machine software.
  • Page 290 Appendix C USB Port 1 Figure 104 – USB Port 1 on Right Side of Display Screen USB Port 2 Ethernet Port Figure 105 – CDX PC Access on the Back Panel 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 291: Instructions For Clinic Information Systems Personnel

    Note: The selection, installation, and maintenance of the MIS application is performed by the clinic. No MIS is sold as part of the 2008T hemodialysis machine. The operating system factory-installed on the 2008T hemodialysis machine is for testing purposes only.
  • Page 292 Writing 5GB or less per day should not present a problem. Also note that the 2008T hemodialysis machine may be powered off at any time. There is no requirement that the user do a PC shutdown before power is removed. Because of this, it is recommended that the operating system implemented be tolerant to this situation, or the operator should be instructed to shut down the operating system before shutting off power.

  • Page 293: Cdx Pc Specifications For The Intel Atom D525 Processor

    Caution: Use of WEP is not recommended and could cause data to be compromised and impact patient privacy. It is the responsibility of the clinic to ensure that CDX communication is appropriately secured. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 294: Cdx Pc Specifications For The Intel Atom N270 Processor

    Appendix C Serial COM1: Connects to the 2008T functional processor board to support data transfer from the 2008T hemodialysis machine to the CDX PC. COM2: For use with the touchscreen Drivers All drivers (except for the touchscreen) are available at www.aaeon.com, under the ETX-LN product, or at www.advantech.com under the SOM-4463B1 product;...
  • Page 295 IEEE802.11b/g/n dual band, supports 64/128-bit WEP, WPA, WPAPSK, WPA2, following) WPA2-PSK. RT3572 USB chipset. Driver available at: www.mediatek.com COM1: Connects to the 2008T functional processor board to support data transfer Serial from the 2008T hemodialysis machine to the CDX PC. COM2: For use with the touchscreen Additional Drivers Most operating systems will install the necessary hardware drivers automatically.
  • Page 296 IEEE802.11b/g/n dual band, supports 64/128-bit WEP, WPA, WPAPSK, WPA2, Network WPA2-PSK. RT3572 USB chipset. Driver available at: www.mediatek.com Serial COM1: Connects to the 2008T functional processor board to support data transfer from the 2008T hemodialysis machine to the CDX PC. COM2: For use with the touchscreen Additional Drivers Most operating systems will install the necessary hardware drivers automatically.
  • Page 297 USE BY ANY PARTY, OR IN CONNECTION WITH ANY FAILURE OF PERFORMANCE, ERROR, OMISSION, INTERRUPTION, DEFECT, DELAY IN OPERATION OR TRANSMISSION, COMPUTER VIRUS OR SYSTEM FAILURE, EVEN IF FRESENIUS MEDICAL CARE, OR REPRESENTATIVES THEREOF, ARE ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, LOSSES OR EXPENSES.

  • Page 298: Concentrate Types

    “Select Program” screen. Look for this display at the lower left of the screen: If your functional software version is 2.70 or later, your 2008T hemodialysis machine is configured for 45x concentrates only. Both bicarbonate concentrate and acid concentrate must be connected to the machine.
  • Page 299 “Select Program” screen. Look for this display at the lower left of the screen: If your functional software version is 2.69 or earlier, your 2008T hemodialysis machine can be set up for various concentrate types. If a bicarbonate-type concentrate is to be used, both bicarbonate concentrate and acid concentrate must be connected to the machine.
  • Page 300 1 : 27.6 81.25g/L) Other Sodium 81.25 g/L or Bicarbonate 84.0 g/L 65.95 g/L 84.0 g/L None 79.25 g/L Concentrate NaHCO NaHCO + 23.53 NaHCO or 72 g/L composition g/L NaCl NaHCO 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 301: Estimated Bibag Disposable Run Times (Minutes)

    Highlighted run times indicate more than 10 hours of treatment time. ** To estimate run times for bicarbonate settings lower than what is listed in the table, use a bicarbonate selection of 24 (mEq/L or mmol/L). 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 302: Service Mode

    For a description of Service Mode calibration procedures, see the following documents:  2008T Technicians Manual (P/N 490130)  2008T Calibration Procedures Manual (P/N 508032)  2008T Preventive Maintenance Procedures Manual (P/N 508033) 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 303: Treatment Options Screen

    300 mmHg for 30 seconds. The TMP alarm limits will completely open. After 30 seconds the limits will reset around the current pressure readings. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 304 Allow Slow Flow The Allow Slow Flow option allows the machine to run dialysate flows of 100, 150 or 200 ml/min. This feature requires a special temperature calibration. Please refer to the 2008T Hemodialysis System Calibration Procedures manual (P/N 508032).
  • Page 305 (see above) or what the operator has entered on the “Home” screen. Note: Idle Mode requires special temperature calibrations. Please refer to the 2008T Hemodialysis System Calibration Procedures manual (P/N 508032). 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 306 Selectable’ here. Otherwise, the arterial window may be set to a total width of 120, 160, or 200 mmHg. The lowest value that does not cause frequent nuisance alarms should be chosen. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 307 (functional software version 2.70 or later) Setting this button to ‘Locked’ grays out the Conductivity Alarm Position button on the Dialysis/SLED “Dialysate” screen, making it unavailable to adjust the Conductivity Alarm Window position. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 308: Hardware Options Screen

    Prime’ and ‘Assisted Reinfusion’ options are not available if the ‘Arterial Chamber’ option is set to ‘Post’ pump. Diasafe Auto-Test This option is used to choose whether or not to display the Diasafe Test on the Dialysis/SLED “Test & Options” screen. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 309 Kt/V is projected to be at least 100% of target (depending on selected Service Mode option).  With “Status” selected, the lights act the same as the Red/Yellow/Green indicator lights on the machine. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 310 Heparin Pump When this option is set to ‘Yes’, the heparin pump settings are available to set on the Dialysis/SLED “Heparin” screen. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 311: Default Settings Screen

    This button selects the duration of the Chemical/Rinse program. It can be set from 10 to 60 minutes in one minute increments. Chemical/Dwell Time This button selects the duration of the Chemical/Dwell program. It can be set from 10 to 60 minutes in one minute increments. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 312 See page 314 for instructions on using the functional software version 2.69 or earlier of the Auto Heat Disinfect program. Note: Requires special activation for this feature, contact Fresenius Medical Care Spare Parts department or your sales representative for more information and pricing.
  • Page 313 (functional software version 2.70 or later) This selection limits the Low Volume maximum UF rate for a low volume patient’s treatment. The choices are 500, 600, 700, 800, 900, and 1000 ml/h. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 314: Auto Heat Disinfect (Functional Software Version 2.69 Or Earlier)

    The Auto Heat Disinfect option is a special feature* that allows the user to program the 2008T hemodialysis machine to automatically run a heat disinfection program according to a schedule. In the “Options: Default Settings” screen the user may select a start time (Start Prg) and any day(s) of the week toggle-button(s).
  • Page 315 Note: If the Service Mode option ‘Off after heat disin’ is set to ‘Yes’, the machine will automatically turn off after the Heat Disinfect program is complete. This includes Heat Disinfect programs that are manually selected. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 316: Enter Conc Screen: Selecting And Adding Concentrates

    Note: When updating the software, the “Enter Conc” screen concentrate list is cleared and saved in memory. If the software is downgraded, the old concentrate list will be restored. The 2008T hemodialysis machine is configured by acid concentrates; the bicarbonate concentrate dilution type (family) is paired to the selected acid concentrate. Concentrates currently selected for use in Dialysis/SLED are listed on the Service Mode “Enter Conc”...
  • Page 317 CONFIRM key. The acid concentrate will now appear in the “Enter Conc” screen concentrate list (see page 245). Select the Add From Catalog button and the pre-programmed concentrate list appears. Figure 113 – Adding Acid Concentrates from the Catalog 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 318 NaturaLyte (see Figure 114 above): Enter the values for Sodium (Na+), Potassium (K+), Calcium (Ca++), Magnesium (Mg++), Acetic Acid (Acetate), and Dextrose. The calculated values are Chloride (Cl-) and Na Acetate. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 319 Citrasate (see Figure 116 above): Enter the values for Sodium (Na+) (first three digits only), Potassium (K+), Calcium (Ca++), Magnesium (Mg++), and Dextrose. The calculated values are Chloride (Cl-), Citrate, and Na Acetate. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 320 On the “Enter Conc” screen (see Figure 111), select the Del From List button. Use the  /  (up or down) keys located on the Keyboard to select the undesired concentrate then press the CONFIRM key to delete it. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 321: Uf Profile Screen: Creating Custom Uf Profiles

    5. Press the CONFIRM key to save the newly created profile. The newly created profile will be available in the Dialysis program with the number indicated in the upper right corner of the button. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 322: Module Options Screen

    This button enables or disables the optional PatientCard hardware. See page 37 for more information. Note: The ‘PatientCard’ option is part of BlueStar Premium and requires additional hardware. Contact the Fresenius Medical Care Spare Parts department or your sales representative for more information and pricing. Crit-Line (functional software version 2.57 or later)
  • Page 323 (functional software version 2.70 or later with BlueStar Premium) The 2008T hemodialysis machine can be set to ‘Acute’ or ‘Std.’ (default standard) type alarm type. The ‘Acute’ option uses different alarm tones and displays High Alarms with a flashing red Status Light.

  • Page 324: Scheduler Screen (Functional Software Version 2.70 Or Later)

    BlueStar Premium) Time to Low Power Mode This option is used to set the time the 2008T hemodialysis machine will remain idle on the “Select Program” screen before entering Low Power Mode. The available selections are: OFF (in which the machine does not enter Low Power Mode), 5, 10, 15, 20, 25, and 30 minutes.
  • Page 325 This button displays the “Auto Start” screen, see page 328 for a description of this feature. Note: The ‘Auto Start’ option is part of BlueStar Premium and requires additional hardware. Contact the Fresenius Medical Care Spare Parts department or your sales representative for more information and pricing.

  • Page 326: Auto Heat Disinfect (Functional Software Version 2.70 Or Later)

    The Auto Heat Disinfect option is a special feature* that allows the user to program the 2008T hemodialysis machine to automatically run a heat disinfection program according to a schedule. In the “Maint.: Scheduler: Auto Heat Disinfect” screen the user may select a unique start time for any day(s) of the week.
  • Page 327 5. Press the CONFIRM key to confirm the changes, then power down the machine for two minutes. Note: If the 2008T hemodialysis machine is equipped with BlueStar Premium, the machine does not need to be left running: programming the Auto Heat Disinfection will cause the machine to automatically turn on at the desired time to run the Heat Disinfect program.

  • Page 328: Auto Start (Functional Software Version 2.70 Or Later)

    Process” screen the user may select a unique start time for any day(s) of the week. This program affects the start time and testing sequence of the 2008T hemodialysis machine for treatment setup, all other settings function as usual. With the concentrates are connected, the Auto Start program will run at the selected time(s).
  • Page 329 Low Power Mode at midnight (0:00) and then power on the rest of the machine (valves, pumps, and modules) at the selected Auto Start start time. See page 330 for more information about CDX Auto On. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 330: Cdx Auto On (Functional Software Version 2.70 Or Later)

    This program affects only the CDX system, all other settings function as usual. Note: If the 2008T hemodialysis machine is set to be on for the entire day, the only way to turn off the machine is to set the Mains Power switch on the back of the machine to OFF (see Figure 10 on page 35).

  • Page 331: Pm Reminder

    The PM (Preventive Maintenance) Reminder option is part of BlueStar Premium * and it allows the user to program the 2008T hemodialysis machine to display the next preventive maintenance due date on the “Select Program” screen (see Figure 124). The Service Mode “PM Reminder”...
  • Page 332 Figure 125 on the next page. The remaining hours will continue to count down to zero days and the additional reminder message will remain until the PM Reminder is reset again. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 333 Figure 125 – Additional PM Reminder displayed on the Select Program Screen (showing functional software version 2.70) Note: If a Diasafe Reminder also occurs during this time, it will be displayed above the additional PM Reminder message, see page 334 for more information. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 334: Diasafe Reminder

    The Diasafe Reminder option is part of BlueStar Premium * and it allows the user to program the 2008T hemodialysis machine to display a reminder on the “Select Program” screen (see Figure 127) to replace the Diasafe Plus starting seven days before the 90 day period has expired.
  • Page 335 Figure 127 – Diasafe Reminder message displayed on the Select Program Screen (showing functional software version 2.70) Note: If the additional PM Reminder message also occurs during this time, it will be displayed below the Diasafe Reminder message, see page 331 for more information. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 336: Other Options

    Note: The key may be used only once. If the key is reused, the machine locks up and displays the message “Eeprom already used. Power off. Replace eeprom”. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 337: Testing The Dialysate

    The Dialysate Sample Port is special connector on the dialyzer supply line. Opening the connection allows the operator to conveniently draw a dialysate sample from the 2008T hemodialysis machine’s dialysate flow path. This sample may then be used to test the dialysate for conductivity, pH, and residual disinfectant.
  • Page 338 If the reading is not reasonably close to the theoretical conductivity value (TCD), check the meter’s calibration and retest the dialysate sample. If the reading is still not within limits, take the 2008T hemodialysis machine out of service and contact a qualified technician.

  • Page 339: Equipment Storage And Maintenance

    Storage Preparation Before storing the 2008T hemodialysis machine, the hydraulics should be disinfected. It is also necessary to wipe the external parts of the machine with a surface cleaner. Frequency of disinfection and length of the dwell time depend on the disinfectant and shall be determined by acceptable culture result.

  • Page 340: Machine Specifications

    16 amp double pole rocker switch External Connections Isolated RS232 and Ethernet ports; leakage current isolation per UL 60601-1 between the machine and external computer. Electromagnetic compatibility See EMC Declaration on page 350 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 341 ANSI/AAMI 11663:2014, Quality of dialysis fluid for hemodialysis and related therapies  ANSI/AAMI 23500:2014, Guidance for the preparation and quality management of fluids for hemodialysis and related therapies Other related standards include:  ANSI/AAMI RD52:2004, Dialysate for hemodialysis 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 342 § Adjustment Range 130 to 155 mEq/L Na Bicarbonate Volumetric, selected with associated acid ratio 1:27.46 § § 1:19.13 1:25.16 1:27.6 § § Not available with functional software version 2.70 or later 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 343 Between 10 and 60 minutes (internally selectable) Auto Heat Disinfect Pre-rinse Time Between 15 and 30 minutes (user selectable) @ 600 ml/min (standard) or 350 ml/min (extended pre-rinse). Note: Heater is off during pre-rinse. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 344 Alarm after 15 or 30 seconds without an alternation of the pumps. Heparin Pump Administration Rate 0 to 9.9 ml/hr Accuracy: ± 5% Monitoring Monitoring end of stroke Bolus From 0.1 to 9.9 ml volume 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 345 ± 20 mmHg or ± 10% of indicated reading, whichever is greater TMP Monitor +60 to –520 mmHg with automatically set time delayed window limit values of  60 (conventional dialysis) and  40 mmHg (high flux dialysis). Compensation for upward drift. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 346 Fluid Removal Rate Monitoring Online Pressure Holding test for hydraulic leak detection Alarm Limit: 300 ml/hr minimum (Diasafe Plus installed) Additional Monitoring Alarm in case of power failure. Alarm in case of water shortage. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 347 “Crit-Line” screen (displayed instead of the “BTM BVM” screen). The Crit-Line in a Clip (CLiC) device plugs into the 2008T machine and clips onto a disposable cuvette in the bloodline in order to perform the measurement.
  • Page 348 Range: 65-89 dBA (functional software versions 2.70 or greater with BlueStar Premium) Blood Pressure Module Technique Measures systolic, diastolic pressures, and heart rate (pulse rate) using oscillometric method. MAP measured. Cuff Deflation Interactive computer controlled. Determination for standard 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 349 (Internal alarm values preset to provide alarm limits in the event individual values are not entered) Low Volume Standard (20-40 kg) (>40 kg) Systolic 160/80 200/90 120/60 120/70 Diastolic 100/40 110/50 Pulse 120/50 120/50 Inflation Pressure Auto Auto 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 350: Essential Performance

    Appendix E Essential Performance Listed below are the essential performance characteristics of the 2008T BlueStar Hemodialysis Machine (functional software version 2.70 or later). Feature Specification Blood Flow Rates Bloodline Blood flow rate 8 mm 20-600 mL/min* 6.35 (displayed as 6.4) mm 20-465 mL/min 4.8 mm...
  • Page 351 2°C above and below set point. Alarm window will not adjust to below 34°C (or 30°C during BTM recirculation measurement) or above 41 °C. Heparin Delivery Rate 0 – 9.9 mL/hr Accuracy: ± 5% 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 352: Manufacturer's Emc Declaration

    Guidance and manufacturer’s declaration – electromagnetic emissions The 2008T hemodialysis machine is intended for use in the electromagnetic environment specified below. The customer or user of the 2008T hemodialysis machine should ensure it is used in such an environment. Emissions test Compliance Electromagnetic environment –...
  • Page 353 Guidance and manufacturer’s declaration – electromagnetic immunity The 2008T hemodialysis machine is intended for use in the electromagnetic environment specified below. The customer or the user of the 2008T hemodialysis machine should assure that it is used in such an environment. Immunity test...
  • Page 354 Guidance and manufacturer’s declaration – electromagnetic immunity The 2008T hemodialysis machine is intended for use in the electromagnetic environment specified below. The customer or the user of the 2008T hemodialysis machine should assure that it is used in such an environment. Immunity test...
  • Page 355 RF communications equipment and the 2008T hemodialysis machine The 2008T hemodialysis machine is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the 2008T hemodialysis machine can help prevent...

  • Page 356: Product Improvement Policy

    Appendix E Product Improvement Policy The 2008T hemodialysis machine was designed and built to comply with these product specifications. It is the intention of Fresenius USA, Inc. to improve products continuously, a process which may result in modifications to specifications or equipment produced in the future.

  • Page 357: Patents

    REFER ALL SERVICING AND INFORMATION REQUESTS TO: Fresenius USA, Inc. Attention: Service Department 4040 Nelson Avenue Concord, CA 94520 Telephone: (800) 227-2572 Patents Visit www.fmcna.com/patents for a listing of all applicable patents. 2008T Machine Operator’s Manual P/N 490122 Rev Q...

  • Page 358: Glossary

    “Home” screen is preceded by the letter ‘a’ when auto flow has been set. Auto Start—An optional feature that automatically powers on the 2008T hemodialysis machine according to a schedule and begins running self-tests when concentrates are connected.
  • Page 359 The 2008T hemodialysis machine can be manually put into bypass mode by lifting the shunt door. Compliance Chamber—A blood-holding receptacle similar to a drip chamber. Compliance chambers are part of the arterial bloodline used in single-needle dialysis.
  • Page 360 Fill Program—Occurs when water level in the air separation chamber gets too low. The air separation chamber is part of the hydraulic system inside the 2008T hemodialysis machine. This program is used to remove excessive air from the hydraulic system. The machine will normally go into a Fill program when the dialyzer is first connected to the dialyzer lines, and the air within the dialyzer is being purged.
  • Page 361 Mode “Scheduler” screen that can be used to set a maintenance reminder at certain intervals, displayed on the “Select Program” screen. When the maintenance due date is approaching, an additional message appears on the “Select Program” screen. 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 362 After the determined amount of fluid has been drawn, the second stage, usually a standard dialysis treatment, occurs. See also Isolated UF. Service Mode—A functional state of the 2008T hemodialysis machine that allows technicians to calibrate the machine or program various software features and options that are only accessible in Service Mode.
  • Page 363 A second internal TP is also installed. Ultrafiltration (UF)—Ultrafiltration is the process of drawing off excess fluid from the patient during treatment. The 2008T hydraulic system is a closed system that uses a separate UF pump for greater accuracy.

  • Page 364: Index

    Alarm Volume ...... 30, 35, 194 Balancing Chambers ......356 Alarm Volume Locked ....... 30 Base Na ..........356 Alarm Volume, locking ....321 Base Na button ......81, 102 Alarms ..........194 Beacon option ........307 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 365 Blood Temperature Monitor Screen152, See Chemical/Rinse program ....186 also BTM Citrasate ........83, 316 Blood Tubing .... 43, See Bloodlines Citrate ..........318 Blood Volume Change graph .... 158 Cleaning and Disinfection....176 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 366 Custom UF Profiles......319 E  D  eKt/V ..........358 Default Dial Flow ......303 Electrolyte profile ......104 Default Parameters ......117 Electromagnetic Default Parameters Screen definition345, Emissions ........350 Environment ........350 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 367 Heparin Rate button ......106 Light ......See Status Light Heparin Rate button in SLED ... 285 Lin buttonSee Linear Profile (SVS) button Heparin screen Linear Profile (SVS) button ....102 setting parameters in ..... 105 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 368 Resetting ........329 New Tx Rx Warning ....77, 310 Setting ........... 329 No Power alarm ........36 PM Reminder definition ....359 None (SVS) button ......102 Positive Pressure ....... 360 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 369 Kt/V graph ........ 146 Setting ........... 103 RTD = 0 ........168, 281 SVS Time .......... 361 RTD button ......... 94 SVS Time button....... 102 monitoring ........137 Switches Heater ..........35 2008T Machine Operator’s Manual P/N 490122 Rev Q...
  • Page 370 Data box ........150 Troubleshooting ........ 198 Volume (sound pressure level) ... 35 Tx Clock button ........ 137 W  U  Water Supply maintenance ....182 UF Goal button ........92 Wheel Lock ......... 49 2008T Machine Operator’s Manual P/N 490122 Rev Q...

Table of Contents

Save PDF