Fresenius Medical Care Liberty, Manual

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Fresenius Medical Care Liberty Manual Download Page 4

2

Treatment Based and

Cycle Based Treatments

The Liberty cycler may be programmed to deliver Treatment Based or Cycle Based therapy.

TREATMENT BASED

means that your total treatment time will be programmed into your cycler.

Your cycler will deliver your treatment in the specified amount of time. This method is useful for
people that need to finish treatment by a certain time in the mornings in order to meet other

obligations such as going to work.

CYCLE BASED

means the prescribed dwell time will elapse before solution is automatically drained.

This ensures that the time prescribed to filter waste and remove excess fluid is not shortened.

NOTE:

Depending on your treatment results, your doctor or PD Nurse may switch you from

Treatment Based to Cycle Based or vice versa.

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Summary of Contents for Liberty

Page 1: ...estions about the Liberty Cycler This information is not intended to replace the advice or training from your physician or PD nurse Please refer to the Instructions For Use IFU for detailed information on device description instructions contraindications warnings and precautions ...

Page 2: ...MENTS 2 CYCLER SET UP TIPS 3 OPERATION QUESTIONS 6 STAY SAFE ORGANIZER 10 ALARMS 11 WARNING MESSAGES 12 DRAIN COMPLICATIONS 13 DIFFERENT PEOPLE DRAIN DIFFERENTLY 14 POWER FAILURE 15 BYPASSING 17 OVERFILL 18 DISCONNECTING 19 CLEANING 20 OPTIONS 21 THERAPY SETTINGS 24 ...

Page 3: ...important and helpful reference is the Liberty Initiating Treatment Procedure Card P N 480039 If we haven t addressed your concerns or if you have any other questions you can always call your PD Nurse or doctor at your dialysis unit or our Technical Support line at 800 227 2572 This information is not intended to replace the advice or training from your physician or PD Nurse Please refer to your L...

Page 4: ...t of time This method is useful for people that need to finish treatment by a certain time in the mornings in order to meet other obligations such as going to work CYCLE BASED means the prescribed dwell time will elapse before solution is automatically drained This ensures that the time prescribed to filter waste and remove excess fluid is not shortened NOTE Depending on your treatment results you...

Page 5: ... the cassette door securely NOTE The cassette cannot be inserted unless your cycler is prompting insert cassette If you attempt to insert it at any other time the cassette will not snap into place and the door will not close CAUTION The integrity of the cassette and film can be compromised if mishandled or misused Improper loading of the Liberty cassette into the Liberty cycler could cause damage ...

Page 6: ...the heater tray Connect the red clamp line to the heater bag the white clamp lines to the supply bags and the green clamp line to the last bag if prescribed Once connected the supply bags must be removed from the heater tray The heater bag with the red line clamp must then be positioned properly on the heater tray covering the silver bag sensor Make sure the cones are broken completely It is okay ...

Page 7: ...on to exchanges automatically delivered by the Liberty cycler you will need to enter the fill volume used for this manual exchange into the Liberty before initiating drain 0 This is important because the Liberty must know how much drain volume to expect in order to ensure that Drain 0 drains enough solution Making sure that drain volumes are sufficient is essential to preventing an overfill situat...

Page 8: ...ell time based on the total time programmed the number of cycles as well as the time it takes for each drain and fill If a drain or fill cycle takes longer than estimated by your cycler the dwell time will be shortened to make sure you end treatment on time In Cycle Based mode your dwell time will not be shortened ...

Page 9: ...the My Settings screen then choosing the Hardware tab On this screen choose the alarm loudness key It will turn orange when you touch it You can now adjust the volume Push the up down arrow keys to change the setting Press OK to save your changed settings A good way to determine the best volume for you is to set your cycler in a quiet room as it is when you sleep If you wear hearing aides remove t...

Page 10: ...t will appear on the IQdrive letting you know that it is correctly inserted The drive is designed to fit one way Be sure it fits snugly NOTE Once you have inserted the IQdrive properly the screen should display a message asking if you want to program the cycler with the new IQdrive settings If this message is NOT displayed call your PD nurse You may be asked to access My Settings Option tab and se...

Page 11: ... the settings on the IQdrive will overwrite the settings on your cycler By pressing the Reject button the current cycler settings will be retained and the IQdrive settings will be ignored If you notice a problem with your prescription on the IQdrive you can choose to Reject it After selecting Accept or Reject your cycler will move to the Ready screen and you can start treatment When bringing your ...

Page 12: ... the end of the tubing set patient connector into the organizer clip NOTE See Fig 1 showing use with more than one trigger Roll the connector to the right side to fully position it in the clip Press the tubing into the Flush channel of the organizer NOTE If you need to clean your stay safe organizer it can be washed with warm soapy water or can be placed in the top rack of your dishwasher Fig 1 ...

Page 13: ...cycler Press the STOP key to silence your cycler then write down the error message and sub code located on top of the main screen underneath the red status bar before you turn off your cycler You will also be asked for your Liberty cycler serial number and software version which is found on the top of your cycler For a complete listing of alarms refer to the Warnings Alarms section in the Liberty ...

Page 14: ...ing a warning your cycler beeps to notify you of the warning and the status bar turns to orange Press the STOP key to mute the beeping Follow the instructions on the screen to troubleshoot the warning The screen will indicate Press OK to retry If you cannot clear the warning after a few attempts call Technical Support for assistance ...

Page 15: ... positions to move fluids within your abdomen Are you constipated If so contact your PD Nurse for instructions on what to do Check that your catheter extension set is adequately secured If you are unable to clear Drain Complication contact your PD Nurse for instructions on what to do NOTE Your cycler will check midway through the drain cycle to determine if approximately 35 of the previous fill ha...

Page 16: ...mmed to deliver Cycle Based therapy you or your PD Nurse should program drain time to correspond to your fill volume The graph below provides a guideline for drain time based on fill volumes The Liberty cycler will not allow a drain time to be programmed that is less than the programmed fill volume divided by 100 mL For example if your fill volume is 2500 mL the Liberty will not allow a drain time...

Page 17: ...estart where you left off if the power comes back on within 8 hours An F will show up in your records indicating a power failure occurred during that treatment NOTE Your Liberty cycler must be plugged into a 120V three prong power outlet Warning If you are unable to insert the plug into an outlet contact Technical Support Do not alter the power cord Your machine must be plugged directly into the e...

Page 18: ...and the screen will read Power Fail Detected Recovery Check in progress If your cycler passes the safety check it will beep again Press STOP to mute and then you may select Resume Treatment If your cycler does not pass the safety check select Cancel Treatment and follow the prompts on the screen to start your treatment over Use new supplies for new treatment NOTE If the power has been off for more...

Page 19: ... Fill can bypass anytime Dwell for 1 to 2 minutes at the beginning of Dwell the heater bag is being emptied or refilled Pause cannot bypass must wait for the next button to appear in order to continue to next phase NOTE You can bypass Fill at anytime Warning You must discuss the risks associated with bypassing or skipping any phase of treatment with your doctor or PD nurse Bypassing may decrease t...

Page 20: ... abdomen Shortness of breath Chest pain Vomiting or spitting up Leakage of fluid from your PD catheter exit site For this reason you may perform an immediate STAT drain anytime during fill pause or dwell if you feel uncomfortable or suspect an overfill situation Press the STOP key Press STAT drain button on right side of screen The next screen displays Are you sure you want to do a STAT drain Conf...

Page 21: ...Twist the stay safe trigger 1 4 turn to the right Push trigger to insert new PIN into line Close the blue clamp on the blue patient line Place the stay safe trigger in the organizer Close your catheter extension set clamp Disconnect blue patient line from extension set Place a new sterile stay safe cap on the extension set ...

Page 22: ...contact Technical Support immediately Clean fluid spills immediately to prevent moisture from possibly damaging your machine Your machine should be placed on a water tolerant surface and spills should be cleaned up immediately CAUTION Do not touch the white pressure sensors in the pump module Pressing on the pressure sensors may damage them CAUTION Do not use foaming type cleansers or disinfectant...

Page 23: ...f you choose YES for this option your cycler will save the fluid in the bag attached to the green line for the last fill During the last dwell your cycler will empty the heater bag fill it from the last bag warm the fluid and deliver this specific solution for the last fill Medications may be added to this bag since it will not mix with the other bags and become diluted If you need more than 20 00...

Page 24: ...al health data at the end of the treatment Be sure to include your dextrose concentrations USB enabled If you select YES for this option your cycler will automatically look for the USB drive when your cycler is turned on If the USB drive is not inserted into your cycler when you turn the machine on it will display an alert letting you know it is not in place You can then insert it and your cycler ...

Page 25: ... date set for the Pacific Standard time zone Reset the time to your specific time zone by following the directions in your Liberty Cycler User s Guide Screen blanking The purpose of the screen blanking functionality is to darken the touch screen so that there is no added light in the room If this option is set to on your touch screen to will go dark after 10 minutes of inactivity If you select off...

Page 26: ...he heater bag must hold the first fill volume plus 1000 mL Number of exchanges One to 99 Number of pauses You may or may not be prescribed pauses If you are your PD Nurse will instruct you on the number of pauses to enter Maximum total volume Each treatment can deliver up to 25 000 mL DrainTime Lowest programmable drain time in minutes fill volume divided by 100 maximum drain time 59 minutes Patie...

Page 27: ... the change before you begin or wait until you are finished To change the time Touch the My Settings button and select the Hardware tab Touch the yellow Time Format box It will turn orange Use the Up Down arrow keys to set it to AM PM or 24 hour Press OK Now touch the yellow Time box It will turn orange Use the Up Down arrow keys to set the hour Press OK Press the Up Down arrow keys again to set t...

Page 28: ...ty cycler Your Personal Health Data When you select YES under your personal data options for this setting you will be required to fill in the following data How much of each type of solution was set up Last bag type if different Blood glucose sugar Weight Pulse Blood pressure Temperature ...

Page 29: ... contact Technical Support at 800 227 2572 Fresenius Medical Care the triangle logo Liberty stay safe and IQdrive are trademarks of Fresenius Medical Care Holdings Inc or its affiliated companies 2008 2014 Fresenius Medical Care North America All rights reserved Printed in USA www fmcna com P N 480040 Rev D ...

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