HEMO DIALYSIS MAINTENANCE

T H U R S D A Y , J U L Y 2 , 2 0 0 9

Trouble Shooting Guide for Fresenius 4008 Hemodialysis Units

Trouble Shooting Tips   for Fresenius 4008 Hemodialysis Units

 

                                     Compiled By:Biju David,   Healthtronics    

 

 

General Guidelines:

1) Make sure that the following errors / alarms are not present before running the T1 test.

                            a) Power Failure

                            b) Dialines not conn

                            c) Shunt cover open

                            d) Connect conc.Line

                            e) Blood sensed by OD

                            f) Flow alarm

                            g) Water alarm

 

2) When T1 test fails, press “Test” key again and note the displayed error code before

proceeding to technical manual for further clues.

 

3) If more than 1 test fails select “Test Service” ON (PCB LP 632 DIP switch array 1, SW 4 ON)

& do the test individually to get the error codes of the concerned test fail.

 

Test Equipments:

             

                            a) Hemodialysis tester

                            b) Pressure guage

                            c) Graduated Measuring jar (100ml ,1000ml)

                            d) Flashlight.

                            e) Digital multimeter

 

Pressure Units:

 

1Bar = 14.5 psi =749.94mmHg

 

The Order of Troubleshooting :

1) Water Alarms

                            2) Flow Alarms              

                            3) Upper Flow Alarm

                            4) Temperature

                            5) Conductivity

                            6) Blood Leak

                            7) Pressure Holding Test Failures.

                         8) TMP Continuous Alarms

                           9) Hydraulic Test Fails

                            10) Blood Pump Errors / Level Detector Alarms

                        /Arterial Alarms/ Venous Alarms

                        /Heparin Pump Errors/ Diasafe Errors

                        11) Ultra Filtration Errors

                            12) Battery Fail

 

 

                           

S NO. Error Possible Causes Tips Remarks1 Water Alarm a) No Water

Supply/ Low Pressure.

a) Water InletPressure(0.95 to 1.05 Bar)

UseDiagnostics Program to check the water Flow Path.

b) Pressure Regulator (61) c) Check the Inlet Filter

d) Water Inlet Valve

(41)

 

 

c) Check Valve 41

2 Flow Alarm a) Blocked filter

b) Defective valve/pump

(valve resistance 50 to 80 Ohms)

c) Calibration

a) Verify flow 300, 500, 800

b) Calibrate if required.

a) Create flow from diagnostics.

b)Verify Loading pressure (1.2 – 1.45 Bar)

3 Upper Flow Alarm

a) Degassing filter

b) Degassing pressure

c) Flow calibration

   

4 Temperature

i) High temperature

 

 

ii) Low temperature

a) Incomingwater temperature

b) Temp Calib

 

a) Temp Calib

 

b) Heater Rod.

  a) Incomplete hot disinfection can be a reason!

 

 

a) Flow errors can lead to Low Temp Alarm!

b) Heater rod resistance around 30 Ohms

 

S NO. Error Possible Causes Tips Remarks

5

 

 

 

 

 

Conductivity

i) Low Conductivity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a) Dilution Ratio.

 

 

b)Concentrate or Bicarbonate

 

 

c) Conc. & BIC pump strokes and output??

 

d) Conc and BIC pump spring set broken??

 

e) Conductivity (Display ) Calibration

 

 

f) Faulty Conc or BIC Pump

 

a)Flow Errors

 

 

 

a) Verify Dilution Ratioin Set Up Menu

 

b) Wrong or Expired Solution??

 

c) Calibrate if required

 

 

d) Replace if required

 

 

 

e) Temperature and Conductivity (display) Calibration

 

 

 

a) Verify flow ,Calibrate if required

 

a)Normally 1+35.83(Nacl26);

depends on the A & B part

b) Provided the concentrate and BIC strokes and suction is OK

c) Ref: Calibration-Mixing System

 

d) Calibrate the Conc and BIC pumps after replacing the springs. Use the graduated measuring Jar to measure the stroke volume.

 

 

 

 

 

 

 

 

 

 

 

ii) High Conductivity

 

b)Dilution

 

 

c) Concentrate or Bicarbonate

 

d) Conductivity (Display ) Calibration

 

 

 

 

b) Verify Dilution

 

c) Wrong or Expired Solution??

d) Temperature and Conductivity (display) Calibration

 

 

 

c) Ref: Set up- Dilution

 

 

S NO. Error Possible Causes Tips Remarks6 TMP / Dial

Pressurea) Dialyser membrane defects

 

b) Dial Pressure Calibration Required.

a) Replace Dialyser.

 

 

b)Continuous TMP Alarm / Pressure fail indicates Dial Pressure Calibration

 

 

 

 

a)Adjust 0 mmHg ( LP 633 Pot

P3) and do dial pressure calibration.

7 Blood Leak Blood Leakand Adjust both to 5  

Dimness Calibration

Volts.

8 Pressure Holding Test

 

 

i) Positive Pressure Errors

 

 

 

 

 

 

ii) Negative Pressure Errors

 

 

 

 

a) Leakage in Hydraulic system.

 

b) Dial Pressure Calibration

 

 

 

a) UF filter blockage

 

b) UF Pump Calibration

 

c) Broken UF Pump Spring set

 

d) Minute Leakage in Hydraulic system

 

 

 

a) Observe for leaks during Positive pressure test or Induced pressure test.

 

 

 

 

 

 

 

c) Observe/ Replace Spring set

 

d) Check tightness of hoses

 

 

a) Use a flash light.

 

b) Do Dial Pressure calibration only if the error code indicates dial pressure calibration.

 

 

b) Use the graduated measuring Jar.

 

 

 

d) Use Diagnostics program

 

 

 S NO. Error Possible Causes Tips Remarks

9 Hydraulic Test Fail

 

i)Rinse Failure Alarm

 

 

 

 

 

 

 

 

 

 

 

 

 

ii) V39 Failure.

a) Rinse Filters 148 & 149

 

b)Rinse Valves 91,99,100

 

 

 

 

 

 

 

c) Bibag Pressure switch 134

a) Clogged

Filter 210

a) Replace Filters if needed.

b) Most cases pressure leak due to loose hose at these valves

OR  Leak from Conc and BIC pick up line rubber seals.

c) Check PS 134 from Diagnostics.

a) 3 minutes before the end of cleaning program.

 

 

 

 

 

 

 

 

 

 

 

a) 1 minute before the end of cleaning program.

10 i) Blood Pump Errors

 

 

 

 

a) BP Power cord

 

 

 

b) Jammed Motor

a) Replace power cord

 

 

 

b) Replace

a) Power cord is the one connecting control board to motor

 

 

 

 

 

 

 

 

 

 

 

ii)Level detector Alarm

 

iii) Arterial Pressure Alarms

 

 

 

 

c) Control Board

 

 

 

 

 

a) Air Detector

 

 

a) Arterial Pressure calibration

 

bearing

 

 

 

 

 

 

 

 

a) Calibrate Air detector

 

c) Do complete arterial calibration and BP speed calibration after replacing the control board

 

 

 

S NO. Error Possible Causes Tips Remarks10 Contd… iv) Venous

Pressure Alarms

 

 

a) Transducer Protector ( P Ven)

 

b) Venous Pressure

Partially clogged female connection.

 

 

 

 

 

 

 

 

 

v) Heparin Pump Errors

 

 

 

vi) Diasafe Errors

calibration

 

c) Venous Line set.

a) Mechanical problem of gear

 

 

 

a)F 03/ F02

 

 

b)F 34/ 43

 

c) Diasafe Pressure Transducer

 

 

 

 

 

 

a) Manually rotate the gear to Top or bottom end and retest the pump

a) Dial Pressure calibration required

b) Damaged Diasafe Filter

 

 

 

 

 

 

 

 

 

 

 

 

 

a)

 

 

c) Replace Diasafe filter.

11 Ultrafiltration Errors.

i) Less fluid removal

 

 

a)UF Pump filter (74)

b) UF Pump Calibration

c) UF pump spring set

 

 

 

 

b) Verify Calibration

c)Replace if

 

 

 

 

b) Verify the stroke volume (1ml/ stroke)

d) UF Pump required

d) Replace if defective.

12 Battery Fail.

 

 

a) Battery

 

b) BatteryFuse (3.15 A)

c) LP 647

 

a) BatteryVol. 18 V .

 

 

c) LP 647 is in the Power supply module.

 

 

 

 

 

 

 

Diagnostics Program

 

1) On the service switch

2) Enter Diagnostics- Write outputs – Write Digital outputs – CPU 1 : Digital outputs.

 

Rinsing V 84 ( Disinfection Valve)

 

1) On V 87, 30, 32, 34, 36, 38, 84   (On -   1111)

2) Start Flow Pump (FP On - 0000)

 

Creating the Flow

 

1) Switch On V 24, 24 B, 30,31,32,33,34,35,36,37,38,87

2) Start Flow Pump and Degassing pump

3) Set On FL_ SW_ EN (Float Switch Enable)

 

Note: Balancing Chamber inlet /outlet valve combination can be switched off one group at a

time to locate the faulty BC valve, if any.

 

 

 

 

 

 

 

 

 

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P O S T E D B Y   H D U S A B A H   A T   1 1 : 2 9 P M  

3 C O M M E N T S :

1.

Mdk August 26, 2009 at 10:40 AM

Hola!! Soy de Argentina y trabajo en un centro de diálisis. Yo estoy encargado del mantenimiento de las máquinas 4008B y esta guia es de mucha utilidad para mi ya que acá no hay mucha info de fresenius.Saludos cordiales,David

Reply

2.

kouassi December 28, 2011 at 5:29 AM

Salut. comment entrer dans le NOVORAM pour résoudre le problème de V84.

Reply

3.

RICHARD GERALDINO February 25, 2013 at 6:10 AM

HOLA ME PODRIAN FACILITAR UN MANUAL DE LA MAQUINA DE DIALISIS EN MENCION FRESENIUS 4008S

Reply

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