H E M O D I A LY S I S M A I N T E N A N C E

THURSDAY, JULY 2, 2009

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. 1

Error Water Alarm

Possible Causes a) No Water Supply/ Low Pressure.

Tips Remarks a) Water UseDiagnostics InletPressure(0.95Program to check to 1.05 Bar) the water Flow Path.

b) Pressure Regulator (61) c) Check the Inlet Filter d) Water Inlet Valve c) Check Valve 41

Flow Alarm

(41) a) Blocked filter a) Verify flow 300, 500, 800 b) Defective valve/pump b) Calibrate if required. (valve resistance 50 to 80 Ohms) c) Calibration a) Degassing filter b) Degassing pressure c) Flow calibration a) Incomingwater temperature b) Temp Calib

a) Create flow from diagnostics. b)Verify Loading pressure (1.2 1.45 Bar)

Upper Flow Alarm

Temperature i) High temperature

a) Incomplete hot disinfection can be a reason!

a) Temp Calib ii) Low temperature b) Heater Rod. b) Heater rod resistance around 30 Ohms a) Flow errors can lead to Low Temp Alarm!

S NO.

Error

Possible Causes Tips

Remarks

Conductivity i) Low Conductivity a) Dilution Ratio. a) Verify Dilution a)Normally Ratioin Set Up 1+35.83(Nacl26); Menu depends on the A & B part b)Concentrate or b) Wrong or Expired Bicarbonate Solution?? b) Provided the concentrate and BIC strokes and suction is OK c) Ref: CalibrationMixing System

c) Calibrate if c) Conc. & BIC required pump strokes and output??

d) Conc and BIC d) Replace if pump spring set required broken??

e) Conductivity (Display ) Calibration e) Temperature and Conductivity (display) Calibration f) Faulty Conc or BIC Pump

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

a)Flow Errors a) Verify flow ,Calibrate if required

b)Dilution

b) Verify Dilution c) Ref: Set upDilution

ii) High Conductivity

c) Wrong or Expired c) Concentrate or Solution?? Bicarbonate d) Temperature and Conductivity (display) d) Conductivity Calibration (Display ) Calibration

S NO. 6

Error TMP / Dial Pressure

Possible Causes Tips a) Dialyser a) Replace membrane defects Dialyser.

Remarks

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

a)Adjust 0 mmHg ( LP 633 Pot P3) and do dial pressure calibration.

Blood Leak

Blood Leakand Dimness Calibration

Adjust both to 5 Volts.

Pressure Holding Test

i) Positive Pressure Errors

a) Leakage in a) Observe for Hydraulic system. a) Use a flash leaks during light. Positive pressure test or Induced pressure test. b) Dial Pressure Calibration b) Do Dial Pressure calibration only if the error code indicates dial pressure calibration. a) UF filter blockage

ii) Negative Pressure Errors

b) UF Pump Calibration

b) Use the graduated measuring Jar.

c) Observe/ c) Broken UF Pump Spring set Replace Spring set

d) Use d) Minute Diagnostics d) Check Leakage in program tightness of hoses Hydraulic system

S NO. 9

Error Hydraulic Test Fail

i)Rinse Failure Alarm

Possible Causes Tips Remarks a) Rinse Filters a) Replace Filters a) 3 minutes 148 & 149 if needed. before the end of cleaning program. b) Most cases pressure leak due b)Rinse Valves to loose hose at these valves 91,99,100 OR Leak from Conc and BIC pick up line rubber seals. c) Check PS 134 from Diagnostics.

c) Bibag Pressure switch 134 a) Clogged Filter 210 a) 1 minute before the end of cleaning program.

10

ii) V39 Failure. i) Blood Pump Errors

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

b) Jammed Motor b) Replace bearing c) Control Board c) Do complete arterial calibration and BP speed calibration after replacing the control board

a) Air Detector

ii)Level detector a) Arterial Alarm Pressure calibration

a) Calibrate Air detector

iii) Arterial Pressure Alarms

S NO. 10 Contd

Error iv) Venous

Possible Causes Tips Remarks a) Transducer Partially clogged female

Pressure Alarms Protector ( P Ven) connection.

b) Venous Pressure calibration

c) Venous Line set. a) Mechanical problem of gear v) Heparin Pump Errors a) Manually rotate the gear to Top or bottom end and retest the pump a)F 03/ F02 a) Dial Pressure calibration required b) Damaged Diasafe Filter b)F 34/ 43 a)

vi) Diasafe Errors

c) Diasafe Pressure Transducer 11 Ultrafiltration Errors. i) Less fluid removal

c) Replace Diasafe filter.

a)UF Pump filter (74) b) UF Pump Calibration

b) Verify

b) Verify the stroke

c) UF pump spring set d) UF Pump

Calibration c)Replace if required d) Replace if defective. a) BatteryVol. 18 V.

volume (1ml/ stroke)

12

Battery Fail.

a) Battery

b) BatteryFuse (3.15 A) c) LP 647 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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POSTED BY HDUSABAH AT 11:29 PM

3 COMMENTS:

1. MdkAugust 26, 2009 at 10:40 AM Hola!! Soy de Argentina y trabajo en un centro de dilisis. Yo estoy encargado del mantenimiento de las mquinas 4008B y esta guia es de mucha utilidad para mi ya que ac no hay mucha info de fresenius. Saludos cordiales, David Reply

2. kouassiDecember 28, 2011 at 5:29 AM Salut. comment entrer dans le NOVORAM pour rsoudre le problme de V84. Reply

3. RICHARD GERALDINOFebruary 25, 2013 at 6:10 AM

HOLA ME PODRIAN FACILITAR UN MANUAL DE LA MAQUINA DE DIALISIS EN MENCION FRESENIUS 4008S Reply Newer PostOlder PostHome Subscribe to: Post Comments (Atom)
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