Fresenius Medical
Hemodialysis Machine
4000 E, B, H and S Technical Manual 5th Edition Sept March 2009
Technical Manual
350 Pages
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Page 1
4008 E / 4008 B / 4008 H / 4008 S Hemodialysis system Technical Manual Edition: 5/03.09 Part no.: M40 618 1 Software 4.5/5.3 and higher
!
Caution! These Operating Instructions in pdfformat are for information only. They are not a replacement for the Operating Instructions supplied with the machine/device and options.
Fresenius Medical Care
Important information on the Technical Manual How to use the Technical Manual Identification
The document can be identified by the following information on the title page and on the labels, if any: – Edition of the technical document – Part number of the technical document
Page identification
The page identification 1-3, for example, refers to: chapter 1, page 3.
Editorial information
The editorial information 1/01.05, for example, refers to the 1st edition, January 2005.
Changes
Changes to the Technical Manual will be released as new editions or supplements. In general: This manual is subject to change without notice.
Significance of the safety precautions
Explanation of the Caution and Note symbols used:
Caution Advises the operator against certain procedures or actions that could cause damage to the equipment or may have adverse effects on operators and patients.
☞
Note Informs the operator that if the steps are not followed as described, a specific function will be executed incorrectly or will not be executed at all, or will not produce the desired effect.
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Important information on the system Technician’s qualification Purpose
This Technical Manual is intended for service technicians and is to be used for first studies (to acquire a basic knowledge) and for reference purposes (for TSC, Maintenance and repair). The Technical Manual, however, does not replace the training courses offered by the manufacturer.
Requirements
Knowledge of the current Operating Instructions for the respective system. Background experience in mechanics, electrical and medical engineering.
Precautions for working on the system Authorized persons
Assembly, extensions, adjustments, modifications or repairs may only be carried out by the manufacturer or persons authorized by him.
Test equipment and accessories
The activities described in this technical document require the availability of the necessary technical test equipment and accessories.
Specifications
For the specifications of the respective system, refer to the current Operating Instructions. Observe the information on the specifications.
Precautions
Before turning power on, repair any visible damage. Prior to opening the system and when working on the open system, the following precautions have to be observed: – Protect the components against ingress of fluids. – Do not touch live parts (e.g. connectors of the power cable or heater). – Disconnect and connect all jacks, connectors and components only when the system is turned off.
ESD precautions
When repairing the system and replacing spare parts, observe the applicable ESD precautions.
Hygienic measures
The system and the consumables are generally considered to be contaminated and must therefore be sufficiently disinfected by the responsible organization as specified by the manufacturer.
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Table of contents Section
Page
1 1.1 1.2 1.3
Description of system functions and malfunctions ... Description of the T1 test ... Functional description of the modules ... Functional description of the hydraulic unit ...
11-3 1-78 1-83
2 2.1
2-
2.2
Technical Safety Checks / Maintenance ... Technical Safety Checks and Maintenance for 4008 hemodialysis systems and options ... TSC report ...
3 3.1 3.2 3.3 3.4
Adjustment instructions ... Overview of the DIP switches in the 4008 ... Calibration mode ... Hydraulics ... Air detector ...
33-9 3-13 3-15 3-31
4
Calibration program ...
4-
5 5.1 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13
Diagnostics program... General notes ... Menu structure ... Reading the analog inputs of CPU I ... Reading the analog inputs of CPU II ... Reading the digital inputs of CPU I ... Reading the digital inputs of CPU II ... Writing the analog outputs of CPU I ... Writing the analog outputs of CPU II ... Writing the digital outputs of CPU I ... Writing the digital outputs of CPU II ... Writing/Reading the digital outputs of CPU I ... ONLINEplus™ module ... HPU ...
55-3 5-5 5-7 5-9 5-10 5-15 5-19 5-20 5-21 5-27 5-30 5-31 5-32
6 6.1 6.2 6.3 6.4
Setup menu ... Overview Setup menu settings ... Overview ... Main menu 4008 E/B ... Main menu 4008 H/S ...
66-3 6-7 6-9 6-37
7
Miscellaneous ...
7-
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Section
Page
8 8.1 8.2 8.3 8.4 8.5 8.6 8.7 8.8 8.9 8.10 8.11 8.12 8.13 8.14 8.15 8.16 8.17 8.18 8.19 8.20 8.21 8.22 8.23 8.24 8.25 8.26 8.27
Circuit diagrams and circuit descriptions ... Block diagram 4008 ... Block diagram of voltage supply ... Block diagram of screen 4008 H/S ... Connection layout diagram ... P.C.B. LP 450-2 Level detector control (LD) ... P.C.B. LP 493 Blood leak detector ... P.C.B. LP 624 Control board (BP) ... P.C.B. LP 630 Motherboard ... P.C.B. LP 631 CPU 1 ... P.C.B. LP 632 CPU 2 ... P.C.B. LP 633 Input board ... P.C.B. LP 634 Output board ... P.C.B. LP 635 Display board ... P.C.B. LP 636 External connectors ... P.C.B. LP 950 Control board (HEP) ... P.C.B. LP 644-4 Display board (HEP) ... P.C.B. LP 645 Position sensor membrane pump ... P.C.B. LP 649-2 Display board (4008 B/S) ... P.C.B. LP 742 Interference filter ... P.C.B. LP 748 Display board (BP) ... P.C.B. LP 763 Multi interface board (COMMCO III) ... P.C.B. LP 922 Display board (4008 S) ... P.C.B. LP 923 Traffic light (4008 H/S) ... P.C.B. LP 924 Display board (4008 H) ... P.C.B. LP 941 Hydraulics processor ... Heater board (power supply unit 4008) ... Power board (power supply unit 4008) ...
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88-3 8-4 8-5 8-6 8-9 8-11 8-12 8-13 8-14 8-16 8-18 8-20 8-22 8-24 8-25 8-26 8-27 8-28 8-30 8-31 8-32 8-33 8-34 8-35 8-36 8-37 8-38
Table of contents 1 Description of system functions and malfunctions Section
Page
1.1 1.1.1 1.1.2 1.1.3 1.1.4 1.1.5 1.1.6
Description of the T1 test ... T1 test flow diagram, serial program steps ... T1 test flow diagram, parallel program steps ... Description of the T1 test incl. error messages ... Description of system errors during the cleaning programs ... Error messages after turning power on ... Error messages during dialysis ...
1-3 1-3 1-5 1-7 1-53 1-70 1-71
1.2 1.2.1 1.2.2 1.2.3 1.2.4
Functional description of the modules ... Blood pump (arterial) ... Blood pump (Single-Needle), optional ... Heparin pump ... Air detector ...
1-78 1-78 1-79 1-80 1-82
1.3
Functional description of the hydraulic unit ... Fig.: Flow diagram ... Description of the hydraulic unit ... Theory of operation of the balancing chamber ... Central delivery system option ... Program sequences during the cleaning programs ... Fig.: Flow chart of cleaning programs – overview ...
1-83 1-83 1-85 1-87 1-91 1-92 1-92
1.3.1 1.3.2 1.3.3 1.3.4
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1.1
Description of the T1 test
1.1.1
T1 test flow diagram, serial program steps TEST ACCUMULATOR
MODULE T1
START T1 TEST TEST OK ?
no
STORAGE ERROR NUMBER
no
STORAGE ERROR NUMBER
no
STORAGE ERROR NUMBER
no
STORAGE ERROR NUMBER
no
STORAGE ERROR NUMBER
no
STORAGE ERROR NUMBER
no
STORAGE ERROR NUMBER
yes
TEST BYPASS
TEST OK ?
TEST BLOOD LEAK DETECTOR
no
STORAGE ERROR NUMBER
TEST OK ? yes
yes
TEST TEMPERATURE
TEST OPT. DETECTOR
TEST OK ?
no
STORAGE ERROR NUMBER
TEST OK ? yes
yes
NEG. PRESSURE HOLDING TEST
TEST BLOOD SYSTEM
TEST OK ?
no
STORAGE ERROR NUMBER
TEST OK ? yes
yes
POS. PRESSURE HOLDING TEST
TEST VENOUS PRESSURE
TEST OK ?
no
STORAGE ERROR NUMBER
TEST OK ? yes
yes
TEST UF-FUNCTION
TEST AIR DETECTOR
TEST OK ?
no
STORAGE ERROR NUMBER
TEST OK ? yes
yes
TEST CONDUCTIVITY
TEST DISPLAY
TEST OK ?
no
STORAGE ERROR NUMBER
TEST OK ? yes
yes
TEST ARTERIAL PRESSURE
TEST OK ? yes
no
Basic hydraulics
Advanced hydraulics
TEST DIASAFE/HDF FILTER
TEST DIASAFE PLUS / ONLINE PLUS / HPU TEST
STORAGE ERROR NUMBER TEST OK ?
no
STORAGE ERROR NUMBER
yes
1
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1
T1 TEST UNSUCCESSFUL no
yes
DIALYSIS START KEY
INCORRECT TEST STEP
RETURN
TEST OK ?
no
ERROR DISPLAY
yes
NEXT INCORRECT TEST STEP
yes
FURTHER INCORRECT TEST STEPS no RETURN
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1.1.2
T1 test flow diagram, parallel program steps
MODULE T1
START T1 TEST
TEST OPT. DETECTOR
TEST BLOOD SYSTEM
yes
TEST OK ?
STORAGE ERROR NUMBER
yes
TEST OK ?
1
no
TEST BYPASS
TEST OK ?
no
STORAGE ERROR NUMBER
TEST VENOUS PRESSURE
TEST TEMPERATURE
yes
TEST OK ?
TEST OK ?
no
STORAGE ERROR NUMBER
TEST AIR DETECTOR
NEG. PRESSURE HOLDING TEST
yes
TEST OK ? no
TEST OK ?
no
Conductivity?
yes
STORAGE ERROR NUMBER
1
no STORAGE ERROR NUMBER
yes
TEST BLOOD LEAK DETECTOR
yes
yes
TEST OK ? no
1
STORAGE ERROR NUMBER
yes
TEST CONDUCTIVITY
yes
no STORAGE ERROR NUMBER
TEST CONDUCTIVITY
POS. PRESSURE HOLDING TEST
TEST UF-FUNCTION
yes
no
TEST OK ? no
STORAGE ERROR NUMBER
STORAGE ERROR NUMBER
TEST DIASAFE/HDF FILTER
yes
TEST OK ?
yes
no STORAGE ERROR NUMBER
TEST UF-FUNCTION
Basic hydraulics
Advanced hydraulics
TEST DIASAFE/HDF FILTER
TEST DIASAFE PLUS / ONLINE PLUS / HPU-TEST
yes TEST OK ?
yes
TEST OK ?
yes
1 no
STORAGE ERROR NUMBER
yes
TEST OK ?
1
no
TEST OK ?
STORAGE ERROR NUMBER
no
TEST ARTERIAL PRESSURE
yes
TEST OK ?
1
STORAGE ERROR NUMBER
STORAGE ERROR NUMBER
no
TEST OK ?
yes
TEST OK ? no
no
1
STORAGE ERROR NUMBER
TEST OK ?
TEST ACCUMULATOR
no
STORAGE ERROR NUMBER
TEST OK ?
yes
no
STORAGE ERROR NUMBER
POS. PRESSURE HOLDING TEST
TEST DISPLAY
STORAGE ERROR NUMBER
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no
1
STORAGE ERROR NUMBER
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1
T1 TEST UNSUCCESSFUL no
yes
DIALYSIS START KEY
INCORRECT TEST STEP
RETURN
TEST OK ?
no
ERROR DISPLAY
no
NEXT INCORRECT TEST STEP
yes
FURTHER INCORRECT TEST STEPS yes RETURN
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1.1.3
Description of the T1 test incl. error messages ● Prerequisites for starting and running the test
Error message
Description
Power failure
Power failure while the test is in progress
Dialines not conn
The dialysate lines are not in the interlock shunt.
Shunt Cover open
The interlock shunt is open.
Connect Conc.Line Wrong conc. supply
The concentrate connector is in the rinse chamber, or concentrate is not connected at all. The error message depends on the central delivery system preselected in the setup menu.
Blood Sensed by OD
The optical detector senses blood in the system.
Flow alarm
Line to or from the dialyzer kinked, malfunctions in the hydraulics.
Water alarm
Water supply interrupted.
XXX not calibrated
A valid calibration value is missing in the NOVRAM.
● Overview of the individual test steps Bypass test ... Optical detector test ... Blood system test ... Venous pressure system test ... Air detector test ... Display test ... Arterial pressure system test ... Battery test ... Blood leak test ... Temperature test ... Negative pressure holding test ... Positive pressure holding test ... UF function test ... Conductivity test ... Diasafe/HDF filter test ... Online plus / Diasafe plus filter / HPU test ...
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● Bypass test Test description: Check of the following functions: – Heater relay – Bypass (electric) – Check of the temperature range changeover
Illustration: X632/A26
HOT_RINSE
LP 639 (4008E/H) X639/
Power Logic
A20
X632/A10
H_REL_W
X639/A12
X632/A9
EM_H_OFF
X639/A17
X632/C25
V24_EN
X632/C26
V24B_EN
X632/B22
CI
X632/A6
V26
X632/A6
V26
X632/A5
V24B
X634R/
X634R/
X632/A4
V24
A18
C22
LP 647 (4008S/B)
LP 632 CPU 2
X632/B28
LP 634 X634R/
Input board
X631/A21
LP 631 LP 630
CPU 1
Output board
X634L/A25
X631/A20
A23
X634L/C25
LP 633
X634L/C12
X632/B27
DATA BUS
(4008 B)
Display board LP 924 (4008 H)
LP 922 (4008 S) Testgenerierung/Generation of Test
Rueckmeldung/Acknowledgement
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Fresenius Medical Care 4008 5/03.09 (TM)
V26
LP 649
(4008 E)
V24B
LP 635
V24
Mother board
V24
V24B
V26
X634R/ C24
Error description:
Error message
Description
F 01 Bypass
The heater relay is switched off. – Acknowledgement (H_REL_W, X639/A12) → X632/A10, 0 V are missing.
F 02 Bypass
The heater relay cannot be switched off by CPU2. – Acknowledgement (H_REL_W, X639/Y12) → X632/A10, 12 V are missing. – Control line (EM_H_OFF, X632/A9) → X639/A17, 12 V are missing.
F 03 Bypass
The temperature measurement range is set to hot rinse. – Control line (HOTRINSE, X634R/C24) → X639/A20, 0 V are missing. – Acknowledgement (HOTRINSE, X634R/C24) → X632/A26, 0 V are missing.
F 04 Bypass
The extended bypass cannot be correctly switched by CPU2 (V24 = off, V26 = on, V24B = off). – Acknowledgement (V24, X637/C1) → X632/A4, 24 V are missing. – Acknowledgement (V26, X637/C2) → X632/A6, 0 V are missing. – Acknowledgement (V24B, X637/C23) → X632/A5, 24 V are missing.
F 05 Bypass
The extended bypass cannot be correctly switched off by CPU2 (V24 = on, V26 = off, V24B = on). – Acknowledgement (V24, X637/C1) → X632/A4, 0 V are missing. – Acknowledgement (V26, X637/C2) → X632/A6, 24 V are missing. – Acknowledgement (V24B, X637/C23) → X632/A5, 0 V are missing.
F06 Bypass
CPU1 fails to set the temperature control to hot rinse. – Control line (HOTRINSE, X634R/C24) → X639/A20, 12 V are missing. – Acknowledgement (HOTRINSE, X634R/C24) → X632/A26, 12 V are missing.
F 07 Bypass
The extended bypass cannot be correctly switched by CPU1 (V24 = off, V26 = on, V24B = off). – Acknowledgement (V24, X637/C1) → X632/A4, 24 V are missing. – Acknowledgement (V26, X637/C2) → X632/A6, 0 V are missing. – Acknowledgement (V24B, X637/C23) → X632/A5, 24 V are missing.
F08 Bypass
CPU1 fails to reset the temperature control to dialysis. – Control line (HOTRINSE, X634R/C24) → X639/A20, 0 V are missing. – Acknowledgement (HOTRINSE, X634R/C24) → X632/A26, 0 V are missing.
F09 Bypass
The extended bypass cannot be correctly switched off by CPU1 (V24 = on, V26 = off, V24B = on). – Acknowledgement (V24, X637/C1) → X632/A4, 0 V are missing. – Acknowledgement (V26, X637/C2) → X632/A6, 24 V are missing. – Acknowledgement (V24B, X637/C23) → X632/A5, 0 V are missing.
F95 Bypass
System error
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● Optical detector test Test description: Attenuation of the optical detector. Check of the acknowledgement of the optical detector.
Illustration: LP 632
CPU 2
X632/C16
LDSA
X632/C15
ODSA
X632/A30
OD_OUT X633L/C7
32/B27
X632/B28
LP 633
LP 634
Input board
Output board
31/A20
OD_IN
X633L/C8
X631/A21
LP 631 LP 630
CPU 1
DATA BUS
Mother board
X351/5
LP 635
LP 649
(4008 E)
(4008 B)
X351/10
Display board LP 924
LP 922
(4008 H)
(4008 S)
Testgenerierung/Generation of Test
Rueckmeldung/Acknowledgement
1-10
Fresenius Medical Care 4008
X351/7
Pven
5/03.09 (TM)
Error description:
Error message
Description
F01 opt. Detector
CPU1 interprets the optical detector in a different way than does CPU2. – Acknowledgement (OD_OUT, X633L/C7) → X632/A30 and the digital input of P.C.B. LP 633 measure different levels.
F02 opt. Detector
CPU2 fails to recognize blood in the system. – Acknowledgement (OD_OUT, X633L/C7) → X632/A30, 0 V are missing. – Detuning (ODSA, X632/C15) → X351/7 not 12V.
F03 opt. Detector
CPU1 fails to recognize blood in the system. – Acknowledgement (OD_OUT, X633L/C7) → digital input on P.C.B. LP 633. – Detuning (ODSA, X632/C15) → X351/7 not 12V.
F04 opt. Detector
CPU2 recognizes that the optical detector senses opaque fluid (required because of the test in the cleaning program). – Acknowledgement X632/A30 not 12V. – AD28 defective.
F96 opt. Detector
System error.
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● Blood system test Test description: Check of the following functions: – Blood alarm acknowledgement – Blood pump switch-off
Illustration:
LP 632
X632/C10
CLP_CTL
X632/C14
LDA2
X632/C21
BL_AL
X632/B11
BPSB_VEN
X632/A11
BPSB_ART
X632/A15
SN_ART
CPU 2
X632/B28
X632/B27
X634L/ C15
Input board
Output board
A13 X633L/
LP 647 (4008S/B) X634L/ B15
X634L/
B14
C14
X631/A21
LP 631
BPSST_A
DATA BUS
LP 635
LP 649
(4008 E)
(4008 B)
LP 922
(4008 H)
(4008 S) Testgenerierung/Generation of Test
Rückmeldung/Acknowledgement
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X351/6
X348/V3
X348/V6
X348a/1
X348a/3
Pven
Display board LP 924
X348a/6
X348a/2
BPSST_V
Mother board
X351/8
LP 630
CPU 1
X348/V1
X631/A20
(4008E/H)
A15
BPST_ART
X633L/ C13
LP 634
X634L/ A14
LP 633
Error description:
Error message
Description
F09 Bloodsystem
Acknowledgement that CPU2 recognizes that the arterial blood pump is inactive (BP not running). – Acknowledgement (BPSB_ART, X348a/6) → X632/A11, 12 V missing. – Control line (BPSST_ART, X634L/B14) → X348a/1, 12 V missing or (BPST_ART, X634L/A14) → X348a/3, 12 V are missing.
F10 Bloodsystem
Acknowledgement that CPU1 recognizes that the arterial blood pump is inactive (BP not running). – Acknowledgement (BPSB_ART, X348a/6) → X633L/A11, 12 V are missing. – Control line (BPSTT_ART, X634L/B14) → X348a/1, 12 V missing or (BPST_ART, X634L/A14) → X348a/3, 12 V missing. – Level is raised during the T1 test.
F11 Bloodsystem
The arterial blood pump cannot be stopped by CPU1. CPU2 recognizes that the arterial blood pump remains active. – Control line (BPSST_ART, X634L/B14) → X348a/1, 0 V missing, as well as (BPST_ART, X634L/A14) → X348a/3, 0 V missing. – Acknowledgement (BPSB_ART, X348a/6) → X632/A11, 0 V are missing. – The level is raised during the T1 test, or the up/down key on the air detector is blocked and the level is constantly raised.
F12 Bloodsystem
The arterial blood pump cannot be stopped by CPU1. CPU1 recognizes that the arterial blood pump remains active. – Control line (BPSST_A, X634L/B14) → X348a/1, 0 V missing, as well as (BPST_ART, X634L/A14) → X348a/3, 0 V missing. – Acknowledgement (BPSB_ART, X348a/6) → X633L/A11, 0 V are missing.
F13 Bloodsystem
Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) Acknowledgement that CPU2 detects that the pump is inactive (pump is not running). – Acknowledgement (BPSB_VEN, X348V/6) → X632/ B11, 12V missing – Control line (BPSST_VEN, X634L/B15) → X348V/1, 12V missing or (BPST_VEN, X634L/A15) → X348V/3, 12V missing – Transistor T9 on P.C.B. LP 754 defective – IC5 on P.C.B. LP 632 defective – In 4008 HDF an HDF treatment was performed, followed by a cleaning program with the substituate pump running, then the T1 test has been re-started. The substituate pump must be switched off because otherwise the test step will fail to be passed (problem was corrected with SW 3.20 in 4008 H/S systems: the substituate pump will be switched off automatically on starting a cleaning program).
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F14 Bloodsystem
Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) Acknowledgement that CPU1 detects that the pump is inactive (pump is not running). – Acknowledgement (BPSB_VEN,X348V/6) → X633L/A13, 12V missing – Control line (BPSST_VEN, X634L/B15) → X348V/1 not 12V or (BPST_VEN, X634L/A15) → X348V/3 not 12V – IC16 on P.C.B. LP 633 defective – P.C.B. LP 633 recognizes Single-Needle pump although it is not connected.
F15 Bloodsystem
Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) CPU1 fails to stop the corresponding blood pump. CPU2 detects that the pump remains active. – Control line (BPSST_VEN, X634L/B15) → X348V/1, 0V missing as well as (BPST_VEN, X634L/A15) → X348V/3 not 0V – Acknowledgement (BPSB_VEN, X348V/6) → X632/B11, 0V missing – Transistor T9 on P.C.B. LP 754 defective – IC5 on P.C.B. LP 632 defective – During the test the lines are inserted on the corresponding pump using the Start/Stop key. – P.C.B. LP 633 recognizes Single-Needle pump although it is not connected.
F16 Bloodsystem
Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) CPU1 fails to stop the corresponding blood pump. CPU1 detects that the pump remains active. – Control line (BPSST_VEN, X634L/B15) → X348V/1 not 0V as well as (BPST_VEN, X634L/A15) → X348V/3 not 0V – Acknowledgement (BPSB_VEN, X348V/6) → X633L/A13 not 0V – IC16 on P.C.B. LP 633 defective – P.C.B. LP 633 recognizes Single-Needle pump although it is not connected.
F17 Bloodsystem
Applicable for SW 4.91/2.91 and higher if SN, ONLINE-HDF or 4008 HDF pump is connected (= ADKS active) Although the recognition of the venous blood pump (ADKS) is not acknowledged, the 24-V supply voltage of the pump can be switched off. – Acknowledgement line (ADKS, X348V/7) → X633L/A10 not 12V – Acknowledgement (BPSB_VEN, X348V/6) → X633L/A13 not 12V – Acknowledgement (BPSB_VEN, X348V/6) → X632/B11 not 12V – Online-HDF has already been switched on during the T1 test. – IC16 on P.C.B. LP 633 defective.
Fresenius Medical Care 4008
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