Fresenius Medical Care 4008 S
5. Central acetate supply
1.7 Menu Description
1.7.2 Using the Menus – Examples
● Example 1: Changing the venous alarm limits
Dialysis menu
Press the key to select the Alarm limits menu.
7 8 9 0
4 1
5 6
2 3 C Conf
Esc
☛
C Conf
Esc
☛
7 8 9 0
4 1
5 6
2 3 C Conf
Esc
☛
Press the Conf key.
Press the key
to move to the Position field of the venous pressure display.
Use the keys
to change the venous alarm limits.
7 8 9 0
4
1
5 6
2 3 C
☛
Press the Conf key.
The screen returns to the Dialysis menu.
C Conf
Esc
☛
● Example 2: Changing the dialysate flow
Press the Dialysate Menu key.
The Dialysate menu displays.
Use the keys to select Flow.
Use the keys
to set the desired dialysate flow.
7 8 9 0
Press the Conf key.
The screen returns to the Dialysate menu.
Tone Mute Dialysate Menu
1.7.3 Menu Description
● Power-up screen
Shows the machine type and, in the up-per right text field, the software version.
● T1 Test
The following colors identify the individual test steps / results:
Test step Background Characters OK Error
Prior to the test blue white
during the test green black
successfully completed blue white ✓
failed red white ✗
skipped red white
The test step currently in progress is shown in the text field.
** 4008S / VX.X **
If a UF and a sodium profile are selected the graphical display will show:
1 the preset concentrate (black dashed line)
2 the actual sodium curve (blue) 3 the UF volume already removed (yellow) 4 the theoretical UF rate curve (black) The Dialysis menu shows the current status of the machine during dialysis.
The Dialysis menu also provides the option to graphically display parameters of a treatment in progress or of recorded data (see also Dialysis representation).
If other menus are selected and no key is pressed for approx. 30 seconds, the screen automat-ically returns to the Dialysis menu (exception: UF menu).
● Dialysis menu
If only a UF profile is selected, the graphical display will show:
1 the preset concentrate (black dashed line)
2 the actual sodium curve (blue) 3 the UF volume already removed
(yellow)
4 the theoretical UF rate curve (black)
If only a sodium profile is selected, the graphical display will show:
1 the actual sodium curve (blue) 2 the theoretical sodium curve (black) 3 the UF volume already removed
(yellow)
4 the preset concentrate (black dashed line) 1
Graphical representation of blood tem-perature (optional):
1 Dialysate temperature (black) 2 Venous blood temperature (blue) 3 Arterial blood temperature (red) 4 Calculated recirculation in % Graphical representation of blood pres-sure and blood volume (optional):
1 Relative blood volume in % (black) 2 Systolic blood pressure in mmHg
(red)
3 Diastolic blood pressure in mmHg (blue)
1 2 3
2 1 3
4
● Dialysate menu
The dialysate menu displays the dialy-sate parameters.
With the exception of the dilution (mixing ratio), the values for all other parameters displayed can be entered or edited.
In the Base Na+ field, entry of the value indicated on the container is required.
● Ultrafiltration menu
The Ultrafiltration menu displays the ul-trafiltration parameters.
With the exception of the Max. Rate, UF Volume and ISO Volume, the values for all other parameters displayed can be entered or edited.
● Dialysate menu with bibag® (option)
The menu permits selection of the follo-wing additional function:
Empty BIBAG?
Preparation
● Treatment mode
This menu permits selection of the fol-lowing treatment modes:
– HDF (optional) (not yet implemented) – SN Click-Clack
● Alarm limits menu
The Alarm limits menu permits selec-tion and deselecselec-tion of the reinfusion and the needle adjustment function.
This menu also includes the fields for changing the position and size of the ar-terial, the venous and the TMP alarm window.
Preparation
● System parameters
The following settings can be defined in the System parameters menu:
– Reset treatment parameters – Brightness
– Auto-On Program:
to program rinse programs and power-up time for each day of the week
– System time:
to set the current date and time Setting the system parameters:
Use the keys to select the desired parameter.
– Reset treatment parameters:
Use the keys to select Yes.
– Brightness:
Use the keys to change the bright-ness.
– Auto-On Program:
Use the 74 8 9 0
1
5 6
2 3 keys or the keys to select the desired program and to set the time.
– System time:
Use the 74 8 9 0
1
5 6
2 3 keys or the keys to set the date and time.
Save with the Conf. key.
Preparation
The Dialysis representation menu lists several diagrams for selection, such as, for example, displaying the arterial / venous pressure and blood pressure values in the Dialysis menu.
If the same diagram has been selected for both display fields or if “No diagram”
has been selected for one of the two dis-play options, the diagram actually select-ed will be displayselect-ed over the full size of the screen.
(Factory setting: upper diagram 1, lower diagram 2)
The cumulated blood volume and the ef-fective dialysis time are shown in the Dialysis data field.
Selecting the diagrams:
Use the keys to select the upper or the lower diagram.
Use the 74 8 9 0
1
5 6
2 3 keys or the keys to se-lect the desired type of diagram.
Save the selection with the Conf key.
● Dialysis graphics
Two diagrams displayed in the Dialysis menu, e.g. Profiles and BPM
One diagram displayed in the Dialysis menu, e.g. Profiles, displayed over the full screen size
Preparation
Preparation
● Cleaning menu
● Cleaning process menu (e.g. heat disinfection)
Each cleaning program has its own menu which shows a schematic repres-entation of the cleaning process with in-dication of the time left and the temper-ature.
Yellow area: concentration of disinfec-tant
Red-blue area: temperature curve The cleaning menu displays the avail-able cleaning programs. The desired cleaning program is selected and started via the menu.
The cleaning menu also includes:
– The Filter change function.
(applicable for advanced hydraulics only)
– The Last disinfection function.
Here the date and time, and the pro-gram of the last disinfection that was fully completed (arrow) is displayed.
Chapter 4, Alarm Processing, contains a list of possible alarm messages.
● Alarm