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User’s Guide

Select

Содержание Liberty Select

Страница 1: ...User s Guide Select ...

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Страница 3: ...esenius Medical Care the triangle logo stay safe Liberty and Liberty Select are trademarks of Fresenius Medical Care Holdings Inc or its affiliated companies All other trademarks are the property of their respective owners This document is for software version 2 9 0 Liberty Select Cycler The Liberty Select Cycler is manufactured by Fresenius USA Inc 4040 Nelson Ave Concord CA 94520 Caution Federal...

Страница 4: ... topics If not refer to the Index for further details Please note that the Contents Quick Search see page 3 Glossary see page 262 and Error Messages Tables see page 221 and 230 also contain similar information but presented in a slightly different way The goal of the User s Guide is to help you find the information you need quickly and easily The User s Guide is developed as a reference and guidan...

Страница 5: ...p module 169 Drain Complication 231 Patient Line is Blocked 233 Liberty Select Cycler Settings How to set weight SI units 86 How to change the time date 94 How to set screen blanking 94 How to adjust the alarm key volume 94 Treatment Setup How to use the IQdrive 194 How to set your parameters 52 Pre Treatment checklist 98 How to insert stay safe PIN connector into stay safe organizer 106 Exchanges...

Страница 6: ... Your Liberty Select Cycler 22 The Control Panel 26 The Status Bar 28 Touch Screen Buttons 30 Navigating With Screen Buttons 32 The Pump Module 34 The Cassette and Tubing Set 38 The stay safe Organizer 42 The Heater Tray 44 Setting up Your Liberty Select Cycler 46 Entering Your Prescription 50 Entering Your Treatment Settings 52 Select Therapy Tab 54 CCPD Treatment Based Settings 56 CCPD Cycle Bas...

Страница 7: ... Using the STOP key 182 Using the STAT Drain 184 Bypassing a Phase 186 Using the IQdrive Optional 194 Using the Wireless Modem Optional 200 Moving Your Liberty Select Cycler 202 Warnings and Alarms 206 Warnings and Alarms continued 208 Warning The Help Button 212 Alarm Red Status Bar 216 Troubleshooting 218 Error messages listed by code 221 Error messages listed alphabetically 230 Different People...

Страница 8: ...80145 Rev A Liberty Select Cycler User s Guide My Treatment Settings Use this page for your treatment values as prescribed by your doctor or practitioner Use only one of these prescriptions for your treatment ...

Страница 9: ...Liberty Select Cycler User s Guide P N 480145 Rev A 7 ...

Страница 10: ...8 P N 480145 Rev A Liberty Select Cycler User s Guide ...

Страница 11: ...Liberty Select Cycler User s Guide P N 480145 Rev A 9 ...

Страница 12: ...__________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ...

Страница 13: ...Liberty Select Cycler User s Guide P N 480145 Rev A 11 Introduction Overview ...

Страница 14: ...ements Operators like you must be trained on the Liberty Select Cycler to perform peritoneal dialysis under the direction of a physician In addition each operator should be Knowledgeable of peritoneal dialysis procedures and how they affect the body Well practiced in aseptic techniques and other peritoneal dialysis procedures Very familiar with the contents of this User s Guide as well as fully tr...

Страница 15: ...oneal Dialysis Precautions Your doctor or practitioner has prescribed peritoneal dialysis PD for you There are risks to PD but your doctor feels it is better to perform PD than not Here are some things you and your doctor or practitioner should consider You must perform PD treatments according to the prescription given to you by your physician and the manufacturer s instructions Not doing so may r...

Страница 16: ...PD nurse It cannot provide or replace clinical advice This User s Guide is specially designed for easy readability and understanding It has illustrated procedures and step by step instructions Follow your machine s on screen instructions Use this User s Guide as a guide for your machine s screens You should read the entire User s Guide before beginning your treatment Take note of attention boxes e...

Страница 17: ...of the switch on the back of your machine means the switch is in the OFF position This symbol stands for the USB port located on the back of the machine This port is where you connect your IQdrive This symbol stands for the RS232 Serial Port Connection on the cycler s rear panel for modem only This symbol on the back of your cycler means to consult the operating instructions for proper use of the ...

Страница 18: ...o pick up the used cycler The replacement policy applies only to those cyclers that remain the property of Fresenius Medical Care North America History files on these devices are maintained by Fresenius Medical Care North America Related Reading These documents have more information about your Liberty Select Cycler Liberty Select Cycler Initiating Treatment Procedure Card Liberty Select Cycler Han...

Страница 19: ...rescribe your entire treatment If you use incorrect values it may cause serious injury or death Do not use example values shown in machine pictures Warning In the event of an incomplete treatment call your doctor practitioner or PD nurse Warning Check for proper functioning of your machine before beginning your treatment Alarm failure or unidentified problems could lead to serious health risks War...

Страница 20: ...ing strong electromagnetic radiation such as portable phones radio equipment walkie talkies etc radio transmitters and like equipment near your machine Improper operation may result Digital phones may be conditionally allowed Discontinue use of any device if any interference is noted such as false pressure readings that disappear when the external signal is removed Warning You must keep your machi...

Страница 21: ...ptoms or feel a large painful build up of pressure during your fill do not finish your fill cycle Press the STOP key and immediately initiate a STAT Drain or perform a manual drain as instructed by your PD nurse See page 184 for more information on how to use the STAT Drain feature Once the fluid is completely drained from your abdomen call your doctor practitioner or PD nurse Warning If you have ...

Страница 22: ...r 240V Caution Do not place your cycler near external heating or cooling sources like heaters or air conditioners Caution Your Liberty Select Cycler contains an internal battery This battery requires no periodic maintenance and you should not attempt to replace it Caution Your Liberty Select Cycler is a computer controlled electro mechanical medical device It should be installed in an appropriate ...

Страница 23: ...patient line If you use a different tubing set your PD nurse is responsible for providing alternate instructions Fresenius Medical Care manufactures tubing sets for use with the model Liberty Select Cycler The performance of tubing sets not manufactured by Fresenius Medical Care cannot be guaranteed by Fresenius Medical Care and are therefore the responsibility of the prescribing doctor or practit...

Страница 24: ...22 P N 480145 Rev A Liberty Select Cycler User s Guide Meet Your Liberty Select Cycler ...

Страница 25: ...ritoneum over a set amount of time Dwell phase When that time is completed your cycler drains the waste from your body Drain phase Your machine repeats this as often as your doctor or practitioner prescribes All dialysate and waste pass through a disposable sterile tubing set that is discarded after each treatment This User s Guide features treatment walkthroughs for each type of dialysis therapy ...

Страница 26: ...24 P N 480145 Rev A Liberty Select Cycler User s Guide Your Liberty Select Cycler Front View Bag Sensor Heater Tray Touchscreen Control Panel Pump Module Door Latch Cabinet ...

Страница 27: ...Liberty Select Cycler User s Guide P N 480145 Rev A 25 Your Liberty Select Cycler Rear View Power Cord Power Cord Socket Power Switch Fan Vent IQdrive Slot USB Port On Off ...

Страница 28: ...26 P N 480145 Rev A Liberty Select Cycler User s Guide The Control Panel Status Bar Main Area Button Area Up Down Arrow Keys OK Key STOP Key Touch screen ...

Страница 29: ...es You may also make treatment selections there Button Area The Button Area contains movement buttons like Next Back and Details Up Down Arrow keys The Up Down Arrow keys are used to raise or lower button values OK key The OK key confirms Touch Screen selections In treatment procedures the OK key also moves you to the next step During certain actions like Drain and Fill you may use the OK key to b...

Страница 30: ...28 P N 480145 Rev A Liberty Select Cycler User s Guide The Status Bar ...

Страница 31: ...ause dwell or drain Yellow The Yellow Status Bar appears whenever you press the STOP key during an action see Green See Using the STOP key on page 182 Orange An Orange Status Bar indicates a warning that needs your immediate attention During a warning the screen buttons are unavailable all actions stop and an audible alarm sounds Press the STOP key to silence the alarm Red A Red Status Bar indicat...

Страница 32: ...ht color or background color Selected Darker color or lighter background color Unavailable or Display Only Gray or light blue Screen Buttons Movement Buttons Parameter Buttons Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 33: ...ext page for more information about each of the Status Bar screen buttons Movement Buttons Movement buttons are light blue oval shaped buttons They are usually located in the button area of the Touch Screen Movement buttons move you from a screen to its sub screen and back For example in a Treatment screen the Details movement button will move you to a screen showing the Treatment screen s details...

Страница 34: ... 480145 Rev A Liberty Select Cycler User s Guide Navigating With Screen Buttons Screen buttons Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 35: ...creen button allows you to edit various settings In the Settings screens you may enter treatment settings patient information and software and hardware options See Entering Your Treatment Settings on pages 49 95 for further instructions My Records The My Records screen button allows you to view your current treatment data and treatment data from past treatments For more information see The My Reco...

Страница 36: ...45 Rev A Liberty Select Cycler User s Guide The Pump Module Door Sensor Cassette Guide Pins Cassette Pump Plate Door Latch Safety Clamp Pressure Sensor Alignment Bar Valves Cassette Catch Pump Heads Cassette Door ...

Страница 37: ...tte Pressure Sensors The Cassette Pump Plate also features two white pressure sensors to monitor you during treatment Caution Do not touch the white pressure sensors in the Pump Module Pressing on the pressure sensors may cause serious damage to them Cassette Guide Pins and Cassette Catch When the cassette is inserted during set up it fits up and under the cassette guide pins at the top of the Cas...

Страница 38: ...oor The Cassette Door holds the cassette in place against the Cassette Pump Plate when locked Door Latch The Door Latch locks the Pump Door During treatment do not attempt to unlatch the Pump Door unless instructed to do so Warning Keep fingers clear of moving parts ...

Страница 39: ...Liberty Select Cycler User s Guide P N 480145 Rev A 37 This Page is Intentionally Blank ...

Страница 40: ... Cycler User s Guide The Cassette and Tubing Set stay safe PIN Connector Patient Line Blue Clamp Last Bag Green Clamp Solution Bags White Clamp Heater Bag Red Clamp Drain Yellow Clamp stay safe PIN connector 1 stay safe PIN connector 2 ...

Страница 41: ...wo 2 PIN connectors PIN connector 1 and PIN connector 2 PIN connector 2 is wrapped in plastic and should be used as instructed by your PD nurse The PIN connector contains two parts the blue button and the PIN When you turn and press the blue button the PIN inside the connector closes the fluid path to reduce the risk of contamination Do not push in the PIN until instructed to do so on the cycler s...

Страница 42: ...your second bag if needed Solution Bag Line 1 white clamp The Bag 1 Line has a white clamp It connects to your first bag if needed Heater Bag Line red clamp The Heater Bag Line has a red clamp It connects to the dialysate solution bag on the Heater Tray Note Do not place items other than solution bags on the Heater Tray Drain line yellow clamp The Drain Line has a yellow clamp It connects to your ...

Страница 43: ...Liberty Select Cycler User s Guide P N 480145 Rev A 41 This Page is Intentionally Blank ...

Страница 44: ...42 P N 480145 Rev A Liberty Select Cycler User s Guide The stay safe Organizer New Cap Holder stay safe Organizer Clip Tubing Channel Extension Cap Holder Insert below Control Panel ...

Страница 45: ...ing both hands to set up your cycler for treatment Always remember to use a new stay safe cap every time you disconnect yourself from the cycler stay safe Organizer Clip The stay safe PIN connector on the patient line blue clamp fits into this holder The organizer clip keeps it in place so you can connect yourself to it when your cycler instructs you to Do not depress the blue button on the PIN co...

Страница 46: ...44 P N 480145 Rev A Liberty Select Cycler User s Guide The Heater Tray Heater Tray Bag Sensor ...

Страница 47: ...ke up to 30 minutes Warning During the heating process the Heater Tray can get as hot as 50 C 122 F Do not come into contact with the Heater Tray as it may cause injury Caution Do not lift your machine by the heater tray Caution Do not place items other than solution bags on the Heater Tray Bag Sensor The Bag Sensor measures the temperature of the dialysate solution in the heater bag ...

Страница 48: ...46 P N 480145 Rev A Liberty Select Cycler User s Guide Setting up Your Liberty Select Cycler 1 2 Lift by handles 3 ...

Страница 49: ...kaging in case your cycler needs to be repacked Position your cycler near the edge of the table or Liberty cart so the tubing from the cassette will be able to hang down without kinking Make sure that the top of the cycler is no more than 12 inches higher or lower than your bed Make sure the cycler is not close to a heating or cooling source Warning Use proper lifting techniques lift with your kne...

Страница 50: ...ree prong power outlet See page 50 for a picture of the back of your machine Warning If you are unable to insert the plug in its socket and an outlet contact a Fresenius Medical Care Technical Support Representative at 1 800 227 2572 Do not alter the power cord Do not use the power cord if broken or damaged Your machine must be plugged directly into the electrical outlet do not use extension cords...

Страница 51: ...Liberty Select Cycler User s Guide P N 480145 Rev A 49 My Settings ...

Страница 52: ...50 P N 480145 Rev A Liberty Select Cycler User s Guide Entering Your Prescription 1 On Off ...

Страница 53: ...the USB enabled option is set to YES see Options Settings on page 86 you may insert the IQdrive into the back of your machine at this time See Using the IQdrive on page 194 for more information about inserting the IQdrive The numbered items in the picture on the left match the numbered steps listed on this page Do each step in order and pay close attention to Note Caution and Warning statements 1 ...

Страница 54: ...2 P N 480145 Rev A Liberty Select Cycler User s Guide Entering Your Treatment Settings 2 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 55: ...sferred from an IQdrive Use the treatment settings from the My Treatment settings sheet on page 6 or follow your PD nurse s instructions To manually enter your treatment settings touch the My Settings screen button You will then go to the My Settings screen Note If the USB enabled option under My Settings Options is set to YES and an IQdrive is correctly inserted into the IQdrive slot on your cycl...

Страница 56: ...54 P N 480145 Rev A Liberty Select Cycler User s Guide Select Therapy Tab 3 4 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 57: ...ny alarms Patients may experience fewer drain complication alarms using Treatment Based than Cycle Based therapy If you are in Cycle Based therapy and experiencing drain complications you may want to discuss switching therapy types with your doctor practitioner or PD nurse 4 Select therapy type Touch the button matching your prescribed treatment You will then move to the corresponding screen Turn ...

Страница 58: ... P N 480145 Rev A Liberty Select Cycler User s Guide CCPD Treatment Based Settings 5 6 7 8 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 59: ...tion Total sleep time Estimated sum of all Drain Fill and Dwell time during the treatment Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons Note If you need to set the last bag option see Options Settings on page 86 6 Enter values When you touch a yellow button it will turn orange Use the Up Down Arrow ...

Страница 60: ...58 P N 480145 Rev A Liberty Select Cycler User s Guide CCPD Cycle Based Settings 5 6 7 8 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 61: ...in you Fill time The amount of time available to fill you Drain time The amount of time available to drain you after a Dwell Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons Note If you need to set the last bag option see Options Settings on page 86 6 Enter values When you touch a yellow button it will...

Страница 62: ... P N 480145 Rev A Liberty Select Cycler User s Guide IPD Treatment Based Settings 5 6 7 8 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 63: ...e filled with each Pause Total sleep time Estimated sum of all Drain Fill and Dwell time during your treatment Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons Note If you need to set the last bag option see Options Settings on page 86 6 Enter values When you touch a yellow button it will turn orange U...

Страница 64: ...62 P N 480145 Rev A Liberty Select Cycler User s Guide IPD Cycle Based Settings 5 6 7 8 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 65: ... Pause Dwell time The amount of time the dialysate dwells in you Fill time The amount of time available to fill you Drain time The amount of time available to drain you after a Dwell Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons 6 Enter values When you touch a yellow button it will turn orange Use t...

Страница 66: ...4 P N 480145 Rev A Liberty Select Cycler User s Guide PD Treatment Based Settings 5 6 7 8 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 67: ...of your Last Fill this is optional and may be set to zero per the physician prescription Total sleep time Estimated sum of all Drain Fill and Dwell time during your treatment Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons Note If you need to set the last bag option see Options Settings on page 86 6 E...

Страница 68: ...66 P N 480145 Rev A Liberty Select Cycler User s Guide PD Cycle Based Settings 5 6 7 8 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 69: ...o per the physician prescription Dwell time The amount of time the dialysate dwells in you Fill time The amount of time available to fill you Drain time The amount of time available to drain you after a Dwell Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons Note If you need to set the last bag option s...

Страница 70: ...P N 480145 Rev A Liberty Select Cycler User s Guide Tidal Treatment Based Settings 5 6 7 8 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 71: ...ause First fill volume The amount of your First Fill Tidal fill volume How much you are to be filled each exchange Total sleep time Estimated sum of all Drain Fill and Dwell time during your treatment Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons 6 Enter values When you touch a yellow button it will...

Страница 72: ...0145 Rev A Liberty Select Cycler User s Guide Tidal Treatment Based Settings continued 9 10 11 12 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 73: ...n cause serious injury or death For more information on overfilling see page 190 Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons Note If you need to set the last bag option see Options Settings on page 86 10 Enter values When you touch a yellow button it will turn orange Use the Up Down Arrow keys to ...

Страница 74: ...2 P N 480145 Rev A Liberty Select Cycler User s Guide Tidal Cycle Based Settings 5 6 7 8 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 75: ...al fill volume How much you are to be filled each exchange Dwell time The amount of time the dialysate dwells in you Fill time The amount of time available to fill you Drain time The amount of time available to Drain you after a Dwell Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons 6 Enter values When...

Страница 76: ...480145 Rev A Liberty Select Cycler User s Guide Tidal Cycle Based Settings continued 9 10 11 12 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 77: ...se serious injury or death For more information on overfilling see page 190 Note Light blue buttons cannot be selected Your machine calculates the values in blue buttons based on the values you enter in the yellow buttons Note If you need to set the last bag option see Options Settings on page 86 10 Enter values When you touch a yellow button it will turn orange Use the Up Down Arrow keys to set i...

Страница 78: ...76 P N 480145 Rev A Liberty Select Cycler User s Guide Patient Settings Tab 1 2 3 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 79: ...ame screen 2 Touch your first name 3 Press OK Touch the your first name button and then press the OK key to enter your first name You will automatically move to the keyboard screen Note You only need to enter your personal patient information the first time you start up your machine Your information will be saved for later treatments ...

Страница 80: ...78 P N 480145 Rev A Liberty Select Cycler User s Guide Entering Your First Name 4 5 6 ...

Страница 81: ... and then press the OK key Note If you need to enter a number or symbol touch the button on the right side of the text box above the keypad To return to the letters touch the button that appears on the left side of the text box above the number keypad 5 Touch Save When you have entered your first name touch the Save button 6 Press OK Press the OK key to confirm and save your settings You will retu...

Страница 82: ...80 P N 480145 Rev A Liberty Select Cycler User s Guide Entering Your Date of Birth 7 8 9 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 83: ...e Up Down Arrow keys to change the first two numbers to the month of your birth date Example Press the OK key to confirm the selection and move on to the next set of numbers in your birthdate Press the OK key to confirm the selection and move on to set your birth year as shown above 9 Press OK When you are finished entering your birth year press the OK key to confirm and save your date of birth Co...

Страница 84: ...82 P N 480145 Rev A Liberty Select Cycler User s Guide Entering Your Weight 10 11 12 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 85: ...ractitioner see My Treatment Settings page 6 Failure to enter your own prescribed treatment settings could result in complications that may be severe Note Your weight may be entered in either pounds lbs or kilograms kg See Options Settings on page 86 11 Enter your weight Use the Up Down Arrow keys to enter your weight 12 Press OK When you are finished entering your weight press the OK key to confi...

Страница 86: ...84 P N 480145 Rev A Liberty Select Cycler User s Guide Entering Your Gender 13 14 15 16 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 87: ...ton to enter your gender 14 Enter your gender Use the Up Down Arrow keys to switch between Male and Female 15 Press OK When you are finished entering your gender press the OK key to confirm and save your selection 16 Touch options Touch the options button to go to the Options Settings screen ...

Страница 88: ...86 P N 480145 Rev A Liberty Select Cycler User s Guide Options Settings Tab 1 2 3 4 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 89: ...t require a Last Bag Option this Last Bag line green clamp may be used for additional solution SI Units If set to NO your weight is displayed in lbs your temperature is in F and your blood glucose is in mg dL If set to YES your weight is in kgs your temperature is in C and your blood glucose is in mmol dL Personal data If this option is set to YES recommended your cycler will ask you to enter your...

Страница 90: ...88 P N 480145 Rev A Liberty Select Cycler User s Guide 3 Press OK Press the OK key to confirm and save your settings 4 Touch hardware Touch the hardware button to go to the Hardware Settings screen ...

Страница 91: ...Liberty Select Cycler User s Guide P N 480145 Rev A 89 This Page is Intentionally Blank ...

Страница 92: ...P N 480145 Rev A Liberty Select Cycler User s Guide Options Settings Tab continued 1 2 3 4 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 93: ...drain alert If this option is set to YES your cycler will alert you with an alarm sound to choose whether or not to do an additional drain If this option is set to NO the cycler will prompt you to choose whether or not to do an additional drain but without an alarm sound flow alert and flow alert sound The flow alert is a series of self resetting notification alerts in the form of four soft beeps ...

Страница 94: ...ow alert and flow alert sound are set to NO The flow alert message will NOT display The flow alert sound will NOT occur The cycler displays an alarm when you are draining or filling slowly The alarm that displays depends on whether you are draining or filling If you continue to drain slowly a drain complication alarm will display If you continue to fill slowly a patient line blocked alarm will dis...

Страница 95: ...Liberty Select Cycler User s Guide P N 480145 Rev A 93 This Page is Intentionally Blank ...

Страница 96: ...94 P N 480145 Rev A Liberty Select Cycler User s Guide Hardware Settings Tab 1 2 3 4 ...

Страница 97: ...nywhere on the screen and it will light up Brightness How bright the screen is 1 dark 10 bright 2 Enter values When you touch a yellow button it will turn orange Use the Up Down Arrow keys to set it to the desired value Repeat these steps to enter all of your values 3 Press OK Press the OK key to confirm and save your settings 4 Touch My Treatment At this point you should have entered your entire ...

Страница 98: ...96 P N 480145 Rev A Liberty Select Cycler User s Guide This Page is Intentionally Blank ...

Страница 99: ...Liberty Select Cycler User s Guide P N 480145 Rev A 97 My Treatment ...

Страница 100: ...98 P N 480145 Rev A Liberty Select Cycler User s Guide Pre Treatment Checklist On Off ...

Страница 101: ... for treatment see page 248 for more information Warning If any of the conditions listed above have not been met you must correct them before continuing with your treatment preparation Failure to do so could result in complications that may be severe Note Check that if you are using an IQdrive the IQdrive is inserted properly into the IQdrive slot on the back of your machine see page 194 Note Your...

Страница 102: ...100 P N 480145 Rev A Liberty Select Cycler User s Guide Starting Your Treatment 1 ...

Страница 103: ...t begin your treatment until your entire prescription has been entered Warning Check for proper functioning of your machine before beginning your treatment Note This User s Guide is only a guide for the Liberty Select Cycler screens Follow your exact screen order on the machine and use these pictures only as a reference Note If your IQdrive therapy settings have changed since your last treatment y...

Страница 104: ...102 P N 480145 Rev A Liberty Select Cycler User s Guide Starting Treatment continued 2 3 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 105: ...er the correct values turn to page 52 3 Press OK If the treatment values are listed correctly press the OK key to continue Your cycler will take a moment to process and you will move on to the next screen Warning Your doctor or practitioner will prescribe your entire treatment Using incorrect values could result in complications that may be severe Do not use example values shown in machine picture...

Страница 106: ...104 P N 480145 Rev A Liberty Select Cycler User s Guide Preparing 4 Gather Supplies 5 ...

Страница 107: ...g A new sterile cassette and drain line must be used for every treatment Check that the cassette and tubing are free from kinks or damage and that it is not past its expiration date Look for scratches loose tubing or small hole in the cassette membrane Damaged tubing or cassettes can lead to leaks contamination and infection Save your tubing set for pick up and immediately call Customer Service at...

Страница 108: ...106 P N 480145 Rev A Liberty Select Cycler User s Guide 6 7 stay safe PIN connector 1 stay safe PIN connector 2 stay safe Organizer ...

Страница 109: ...or damage Look for scratches loose tubing or small holes in the cassette film Caution Use caution when touching the cassette film to prevent damage Warning DO NOT USE the set if it is damaged Put the damaged set aside and immediately call Customer Service at 800 323 5188 to arrange a pick up to return the damaged set Caution DO NOT insert the cassette until the cycler prompts you with the on scree...

Страница 110: ...age 34 for a drawing of the pump plate Note The cycler operates the same with or without an alignment bar The same cassette insertion technique should be used for cyclers with or without an alignment bar If your cycler has an alignment bar make sure the tubing is hanging down over the alignment bar and in front of the cycler If your cycler does not have an alignment bar make sure the tubing is han...

Страница 111: ...Insert the tubing into the Tubing Channel on the right Finally gently close the cassette door Ensure the cassette door clicks into place to lock it Your cycler will pressurize the cassette door and then display the next setup screen Caution Do NOT force the door closed If you are having trouble closing the door open the cassette door and make sure the cassette has been inserted correctly ...

Страница 112: ...110 P N 480145 Rev A Liberty Select Cycler User s Guide Select Heater Bag 8 9 ...

Страница 113: ...00 mL plus the extra 1000 mL needed for flushing and priming the minimum heater bag volume should be at least a 3L bag Discuss the proper heater bag size with your PD nurse to help prevent this alert Note Not all solution bag volumes may be available in your area Note Make sure to choose the correct volume for your heater bag Not enough volume for the prescribed treatment may cause alarms and prev...

Страница 114: ...112 P N 480145 Rev A Liberty Select Cycler User s Guide Connect Solution Lines 10 11 12 13 14 Heater Bag Placement Line up solution bag at corners Do not extend bag over edge ...

Страница 115: ...nbalanced bags on the cart may cause it to tip over and damage your machine The maximum load limit on the Liberty cart in addition to the cycler is 60 lbs 2 2 lbs per Liter of solution Do not overload the Liberty cart Make sure that you set the cart brakes to OFF when moving the cart and ON when the cart is stationary Note Make sure that the solution bags are placed no more than 3 feet below the c...

Страница 116: ... bag set Do not close the yellow clamp Warning Protective measures MUST be taken to prevent backup in the drain line When connecting the drain line ensure that an air gap is maintained between the drain line and the drain Note Do not submerge the end of the drain line in liquid such as a toilet bowl Always remove the cap at the end of the drain line 13 Touch Next All the prescribed lines should be...

Страница 117: ...Liberty Select Cycler User s Guide P N 480145 Rev A 115 This Page is Intentionally Blank ...

Страница 118: ...116 P N 480145 Rev A Liberty Select Cycler User s Guide Break Cones and Clamp Unused Lines 15 Initiate Solution Flow 16 17 ...

Страница 119: ...Make sure the cone is broken completely A white guide should be visible You may use Handi Tool to assist you with breaking the cone 16 Clamp close unused lines Clamp any line that is not connected to a solution bag Keep the heater bag line red clamp drain line yellow clamp and patient line blue clamp open throughout setup and treatment 17 Touch Next Touch the Next button to continue Your cycler wi...

Страница 120: ...A Liberty Select Cycler User s Guide Check Bags 18 19 Note This picture is an example only You must follow your prescription and the instructions of your PD nurse Connected with unclamped line Unconnected or clamped line ...

Страница 121: ...n these lines The clamps should be closed for unconnected or unused lines If the bag detection test results are wrong check the connections whether the cones are completely broken and whether the correct clamps are open or closed Touch the Back button to run the bag detection test again Note You must have all of your solution bags connected at this point After the bag connection verification you c...

Страница 122: ...120 P N 480145 Rev A Liberty Select Cycler User s Guide Performing Flush ...

Страница 123: ...ing flush The screen displays a timer to count down the flushing time The next screen will appear when the flushing is complete Note If you need to stop the flushing process press the STOP key The pump will stop and the Flushing Stopped screen will be displayed Flushing will resume when you press the OK key ...

Страница 124: ...122 P N 480145 Rev A Liberty Select Cycler User s Guide Priming 20 21 ...

Страница 125: ...tient Line blue clamp is open Make sure the patient line blue clamp is open to prepare the patient line for priming 21 Touch Next Touch the Next button to begin the priming process Note During the prime phase the patient line blue clamp must be lower than the heater bag ...

Страница 126: ...124 P N 480145 Rev A Liberty Select Cycler User s Guide Performing Prime ...

Страница 127: ...ct Cycler User s Guide P N 480145 Rev A 125 Performing Prime Your machine will now prime the lines The screen displays a timer to count down the Priming time The next screen will appear when the priming is complete ...

Страница 128: ...126 P N 480145 Rev A Liberty Select Cycler User s Guide Priming Complete 22 23 ...

Страница 129: ...s the Back button again to ensure the line is fully primed If your lines have been primed and there is no air in them close the patient line blue clamp 23 Touch Next Make sure your patient line blue clamp is clamped Touch the Next button to continue to the next screen The daytime manual exchange screen will appear You will need to enter your daytime manual exchange volume if you performed a manual...

Страница 130: ...P N 480145 Rev A Liberty Select Cycler User s Guide Entering a Daytime Exchange 24 25 26 27 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 131: ...ycler will not know that you have additional fluid in your abdomen Do NOT bypass Drain 0 Your Liberty Select Cycler will switch to Fill 1 when you are finished draining To set the daytime exch button to YES touch the button and it will turn orange Use the Up Down Arrow keys to change it from NO to YES Press the OK key to save the change 25 Enter manual fill volume if you had a manual exchange Afte...

Страница 132: ...130 P N 480145 Rev A Liberty Select Cycler User s Guide Confirming Your Daytime Exchange 28 29 ...

Страница 133: ...values you just entered on the previous screen If the values are not correct touch the Back button Then re enter the correct values see the previous page 29 Touch Next If your daytime exchange values are listed correctly touch the Next button to continue to the next screen The next screen will provide instructions on how to connect to your machine ...

Страница 134: ...132 P N 480145 Rev A Liberty Select Cycler User s Guide Ready for Treatment Connecting Yourself 30 31 32 stay safe Organizer ...

Страница 135: ... on the patient line blue clamp Note You may remove the PIN connector from the stay safe Organizer after your connection is completed to allow more freedom of movement during the treatment Note Be careful not to push in the blue button on the PIN connector until prompted by the cycler after a treatment or when interrupting pause a treatment If you push in the blue button before prompted by the cyc...

Страница 136: ...med into the Liberty Select Cycler your cycler will not know that you have additional fluid in your abdomen Do NOT bypass Drain 0 Your Liberty Select Cycler will switch to Fill 1 when you are finished draining Note Your actual treatment time starts with the beginning of Drain 0 For information on bypassing an exchange see page 190 ...

Страница 137: ...Liberty Select Cycler User s Guide P N 480145 Rev A 135 Exchanges ...

Страница 138: ...136 P N 480145 Rev A Liberty Select Cycler User s Guide Exchanges Drain Fill Dwell Pause ...

Страница 139: ...ing Peritoneal Dialysis CCPD is a Continuous Therapy It is the most common therapy prescribed With CCPD you have dialysate in your peritoneal cavity at all times Two or more dialysate Exchanges are done through the night and one long Exchange is done during the day Each morning your cycler will fill you for the day When you reconnect to your machine again at night you must first drain the dialysat...

Страница 140: ... Select Cycler User s Guide Exchange Drain 0 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner Expected drain volume Total volume drained Ultrafiltration UF Draining ...

Страница 141: ... expected drain volume This is based on your prescription Ultrafiltration is the excess fluid that is removed during your drain The graph will show the fluid level rise past the black line Any ultrafiltration is shown in orange above the black line on the cup Note If you are a positional drainer you may need to change your body position throughout your treatment Discuss this further with your PD n...

Страница 142: ...480145 Rev A Liberty Select Cycler User s Guide Exchange Fill1 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner Volume set Volume filled Filling ...

Страница 143: ... or death For more information on overfilling see page 190 Note You may fill more quickly lying down than sitting or standing up There is less pressure on your abdomen in a lying down position Note If you need to stop the Fill process press the STOP key The pump will stop and the Filling Stopped screen will be displayed Filling will resume when you press the OK key Note Your cycler will delay your...

Страница 144: ...142 P N 480145 Rev A Liberty Select Cycler User s Guide Exchange Pause 1 2 Close Clamp Turn turn clockwise and push in Blue Button ...

Страница 145: ...ure to insert the new sterile cap into the stay safe New Cap Holder before you disconnect To disconnect from your cycler Mask then wash or sanitize hands as instructed by your PD nurse Insert the stay safe PIN connector connected to your catheter extension set into the stay safe organizer clip below the control panel Insert a new stay safe cap on the left side of the organizer Turn the blue button...

Страница 146: ...lect Cycler User s Guide 2 Touch Next You may now leave your machine Touch the Next button when you are ready to reconnect to your cycler Note The Next button is not available until your cycler has finished filling up the heater bag ...

Страница 147: ...Liberty Select Cycler User s Guide P N 480145 Rev A 145 This Page is Intentionally Blank ...

Страница 148: ...146 P N 480145 Rev A Liberty Select Cycler User s Guide Exchange Pause Re Start 3 4 stay safe PIN connector 1 stay safe PIN connector 2 Turn turn clockwise and push in Blue Button stay safe Organizer ...

Страница 149: ...onnection when using a cycler set with dual PIN connector or an MTS Multiple Tubing Segment set To reconnect to your cycler Put on your mask Wash your hands Unwrap the next stay safe PIN connector Insert the next stay safe PIN connector on your patient line into the stay safe organizer clip below the control panel Insert the tubing into the Tubing Channel on the right Remove the clear stay safe ca...

Страница 150: ...148 P N 480145 Rev A Liberty Select Cycler User s Guide Exchange Dwell Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 151: ...Fill Warning During the heating process the Heater Tray can get as hot as 50 C 122 F Do not come into contact with the Heater Tray as it may cause injury Note If you need to stop the dwell process press the STOP key The Dwell timer will stop counting down and the Dwell Stopped screen will be displayed The Dwell will resume when you press the OK key Note The cycler cannot bypass an exchange while t...

Страница 152: ...150 P N 480145 Rev A Liberty Select Cycler User s Guide Additional Drain Option 1 2 ...

Страница 153: ...e additional drain will immediately begin draining your abdomen Note An additional drain works the same way as a regular Drain You may stop it or bypass it as needed Note An additional drain is a planned drain STAT drain is an unplanned drain After your additional drain is complete your cycler will begin your Last Fill if programmed or it will end the treatment Your treatment data will show that y...

Страница 154: ...152 P N 480145 Rev A Liberty Select Cycler User s Guide This Page is Intentionally Blank ...

Страница 155: ...Liberty Select Cycler User s Guide P N 480145 Rev A 153 Ending Treatment ...

Страница 156: ...154 P N 480145 Rev A Liberty Select Cycler User s Guide Ending Your Treatment 1 2 Disconnect 3 Turn turn clockwise and push in Blue Button Close Clamp ...

Страница 157: ... from your cycler Be sure to insert the new sterile cap into the stay safe New Cap Holder before you disconnect To disconnect from your cycler Mask then wash or sanitize hands as instructed by your PD nurse Insert the stay safe PIN connector connected to your catheter extension set into the stay safe organizer clip below the control panel Insert a new stay safe cap on the left side of the organize...

Страница 158: ... User s Guide 3 Touch Next Touch the Next button to continue If you set the personal data option to YES see Options Settings on page 86 your cycler will next go to the Personal Data screen If the personal data option is not set turn to page 166 ...

Страница 159: ...Liberty Select Cycler User s Guide P N 480145 Rev A 157 This Page is Intentionally Blank ...

Страница 160: ...P N 480145 Rev A Liberty Select Cycler User s Guide Entering Your Personal Health Data 4 5 6 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 161: ...1 5 used during treatment Dextrose 2 5 The volume of dextrose 2 5 used during treatment Dextrose 4 25 The volume of dextrose 4 25 used during treatment Last Bag Type Dextrose type of the last bag used 1 5 2 5 or 4 25 Blood glucose Your blood glucose level Patient Weight Your weight after your treatment Pulse Your pulse in beats per minute Blood pressure Measure your blood pressure Touch the blood ...

Страница 162: ...ou are finished entering all your data press the OK key to confirm the selections 6 Touch Next After pressing the OK key touch the Next button to continue If you press Next without entering your Personal Data no information will be recorded for this treatment date ...

Страница 163: ...Liberty Select Cycler User s Guide P N 480145 Rev A 161 This Page is Intentionally Blank ...

Страница 164: ...162 P N 480145 Rev A Liberty Select Cycler User s Guide Your Treatment Summary 7 8 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 165: ...ion about your latest treatment The Details screen displays information about exchanges times and volumes See the next page for more information about this screen Note Your cycler is designed to complete your treatment on time If within that time the dwell was longer than expected due to an alarm the Dwell Time button will display the word gained before the time If the dwell was shorter than expec...

Страница 166: ...164 P N 480145 Rev A Liberty Select Cycler User s Guide Treatment Summary continued 9 10 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 167: ...lume Drain time Ultrafiltration UF volume Note If the Drain Fill Dwell or Pause times were interrupted at all the following letters will appear next to the time to show the interruption F Power Failure B Bypass P Paused S STAT Drain Additional Drain 10 Touch Back Touch the Back button to return to the Treatment Summary screen Then to continue to the next step on the next page touch the Next button...

Страница 168: ...166 P N 480145 Rev A Liberty Select Cycler User s Guide Remove Set Screen 1 11 12 ...

Страница 169: ... fluid spills when removing the disposable set Note Clamp all lines to prevent spills Spills can cause damage to carpeting and other surfaces To contain such spills your machine should be on a spill tolerant surface Clean up spills immediately 12 Touch Next Touch the Next button to continue to the next step ...

Страница 170: ...168 P N 480145 Rev A Liberty Select Cycler User s Guide Remove Set Screen 2 13 14 ...

Страница 171: ...moisture in it your cassette may have a leak Save your tubing set and call a Fresenius Medical Care Technical Support Representative immediately at 1 800 227 2572 You will be contacted about having the used tubing set sample picked up Please notify your PD nurse about this event You should clean your cycler at this time as instructed by your PD nurse See Cleaning Your Cycler on page 248 Close the ...

Страница 172: ...170 P N 480145 Rev A Liberty Select Cycler User s Guide Power Down Cycler view your health and treatment data ...

Страница 173: ...safely remove it at this time Caution Handle your IQdrive with care When taking your IQdrive to and from your dialysis facility store it in a plastic bag and keep it clean and dry Do not leave your IQdrive in a hot car or in the bottom of a purse where it can become damaged Touch My Records If you would like to further review your treatment information restart your cycler and touch the My Records ...

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Страница 175: ...Liberty Select Cycler User s Guide P N 480145 Rev A 173 Appendix ...

Страница 176: ...174 P N 480145 Rev A Liberty Select Cycler User s Guide Appendix ...

Страница 177: ... STOP key Turn to page 182 Using the STAT Drain Turn to page 184 Bypassing a phase Turn to page 186 Using the IQdrive Turn to page 194 Moving your Liberty Select Cycler Turn to page 202 If you get lost in any of these screens simply touch the Back button if available to go to a previous screen You may also touch any screen button in the Status Bar to view other screens See page 32 for more informa...

Страница 178: ...76 P N 480145 Rev A Liberty Select Cycler User s Guide The My Records Screen Button 1 2 3 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 179: ...ther screen Touch the My Records screen button to view your treatment history 2 Select treatment date to view The select treatment table displays your last six treatments in the main area Use the Up Down Arrow keys to scroll through the different pages of your treatments to see older treatment dates if desired Touching a treatment date will select that treatment by highlighting it with a blue bar ...

Страница 180: ...178 P N 480145 Rev A Liberty Select Cycler User s Guide Treatment Details 4 5 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 181: ...hows Fill volume Fill time Dwell time Drain volume Drain time Ultrafiltration UF volume Note If the Drain Fill Dwell or Pause times were interrupted at all the following letters will appear next to the time to show the interruption F Power Failure B Bypass P Paused S STAT Drain Additional Drain Note To go back and select a new treatment date touch the Back button 5 Touch Next Touch the Next button...

Страница 182: ...180 P N 480145 Rev A Liberty Select Cycler User s Guide Your Personal Health Data 6 7 Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 183: ...the field will display N A for Not Available The Your Personal Health Data screen shows Dextrose 1 5 Dextrose 2 5 Dextrose 4 25 Last bag type The weight you entered after treatment Blood glucose Pulse Blood Pressure Temperature 7 Touch Back Touch the Back button to return to the Your Personal Health Data screen Note You may touch any of the screen buttons in the Status Bar to exit the Personal Hea...

Страница 184: ...182 P N 480145 Rev A Liberty Select Cycler User s Guide Using the STOP key 1 2 ...

Страница 185: ...l Dwell or Pause you may choose to do an immediate STAT drain at this time Do not press the OK key on your cycler instead turn to the next page of this User s Guide for instructions on performing a STAT drain 2 Press OK when you are ready to continue When your cycler is stopped the following occurs The pump motor stops The Status Bar changes to yellow The word stopped appears at the top of the scr...

Страница 186: ...184 P N 480145 Rev A Liberty Select Cycler User s Guide Using the STAT Drain 1 2 3 ...

Страница 187: ...146 for information on how to reconnect after a Pause After you reconnect the STAT drain will immediately begin draining your abdomen During a STAT drain your cycler will display a Drain screen with the word STAT in the upper left corner to show that it is running an unplanned drain Note A STAT Drain works the same as a regular Drain You may stop it or bypass it as needed Note An additional drain ...

Страница 188: ...h Prescribed Drain 0 Drain 0 Begins Drain 0 Ends Fill 1 Begins Fill 1 Fills Prescribed Volume Dwell 1 with Prescribed Volume Drain 0 Bypassed With Undrained Peritoneal Cavity Scenario 2 Drain 0 Begins But Phase is Bypassed Fill 1 Begins with Undrained Peritoneal Cavity Fill 1 Fills Prescribed Volume Dwell 1 with Excess Volume ...

Страница 189: ... 43 mL You can safely bypass Drain 0 during this time 2 You do one or more manual daytime exchanges that you did not program into your cycler see page 128 In this case your cycler does not know that you have additional fluid in your abdomen so you must NOT bypass Drain 0 Wait for your cycler to finish draining you before continuing to Fill 1 3 You have a Last Fill programmed During Drain 0 your cy...

Страница 190: ...e abdomen Chest pain Increased blood pressure Change in mental status Leakage of fluid from the PD catheter exit site If you experience any of these symptoms or feel a large painful build up of pressure during your fill do not finish your fill cycle Press the STOP key and immediately initiate a STAT Drain as instructed by your PD nurse See page 184 for more information on how to use the STAT Drain...

Страница 191: ...Liberty Select Cycler User s Guide P N 480145 Rev A 189 This Page is Intentionally Blank ...

Страница 192: ...ler User s Guide Bypassing a Phase continued 1 2 Note If you accidentally reach this screen and do not want to bypass the current phase wait a few seconds and the cycler will return to the previous screen 1 Press and hold OK for four seconds ...

Страница 193: ... feel a large painful build up of pressure during your fill or any of the signs listed on page 190 do not finish your fill cycle Press the STOP key and immediately initiate a STAT Drain as instructed by your PD nurse See page 184 for more information on how to use the STAT Drain feature Once the fluid is completely drained from your abdomen notify your doctor practitioner or PD nurse Warning Do no...

Страница 194: ...ither not receive your programmed amount of dialysate or not have as much time to filter out the waste Your treatment may not be as effective The letter B will be displayed next to your treatment details in the My Records screen to show a bypass occurred For more information see Treatment Details on page 176 ...

Страница 195: ...Liberty Select Cycler User s Guide P N 480145 Rev A 193 This Page is Intentionally Blank ...

Страница 196: ...194 P N 480145 Rev A Liberty Select Cycler User s Guide Using the IQdrive Optional View From Back of Liberty Select Cycler IQdrive IQdrive slot USB Port IQdrive slot USB Port On Off ...

Страница 197: ...Qdrive to store your own data from other sources for example digital photos from your computer Storing personal data on your IQdrive will corrupt your treatment data and your Liberty Select Cycler will no longer be able to record your treatment progress on your IQdrive Your PD nurse will then need to erase everything on your IQdrive and reformat it Note If the USB enabled option is set to YES but ...

Страница 198: ...196 P N 480145 Rev A Liberty Select Cycler User s Guide USB Upload Select option Note The values shown here are for example only You must use the values prescribed by your doctor or practitioner ...

Страница 199: ...ings are incorrect You will use the old therapy settings that are saved to your cycler Current Settings Touch this button to review your old therapy settings From that screen you may touch the IQdrive Settings button to return to this screen After selecting either Accept or Reject you will move to the Ready screen as usual Turn to page 52 to continue entering your treatment values or if already en...

Страница 200: ...de Data Security The data files transferred via the IQdrive contain only patient data The data is encrypted with a key based encryption The encrypted data cannot be read without reapplying the encryption algorithm thereby ensuring the security of the data ...

Страница 201: ...Liberty Select Cycler User s Guide P N 480145 Rev A 199 This Page is Intentionally Blank ...

Страница 202: ...200 P N 480145 Rev A Liberty Select Cycler User s Guide Using the Wireless Modem Optional View From Back of Liberty Select Cycler RS 232 Port Modem Connection ...

Страница 203: ...t the end of next treatment To view the treatment data on your cycler see The My Records Screen Button on page 176 Note For more information on the wireless modem see either the Liberty Select Cycler Wireless Modem User s Guide P N 480106 or P N 480107 or the Liberty Gateway User s Guide P N 480122 Note Do not connect any other modems or accessories to your cycler that are not approved by Freseniu...

Страница 204: ...202 P N 480145 Rev A Liberty Select Cycler User s Guide Moving Your Liberty Select Cycler ...

Страница 205: ...on If you are using the Liberty cart be sure to properly balance the solution bags by hanging them on both sides of the cart Unbalanced bags on the cart may cause it to tip over and damage your machine The maximum load limit on the Liberty cart in addition to the cycler is 60 lbs 2 2 lbs per Liter of solution Do not overload the Liberty cart Make sure that you set the cart brakes to OFF when movin...

Страница 206: ...204 P N 480145 Rev A Liberty Select Cycler User s Guide This Page is Intentionally Blank ...

Страница 207: ...Liberty Select Cycler User s Guide P N 480145 Rev A 205 Alarms Troubleshooting ...

Страница 208: ...206 P N 480145 Rev A Liberty Select Cycler User s Guide Warnings and Alarms Press STOP key to silence alarm ...

Страница 209: ...re is no alarm sound Warnings During a warning the Status Bar turns orange and an audible alarm sounds Press the STOP key to silence your cycler With some warnings pressing the OK key will start a retest and may clear the condition causing the alarm If available a Help button will appear in the button area see Warning The Help Button on page 212 You then have the chance to correct the situation by...

Страница 210: ...208 P N 480145 Rev A Liberty Select Cycler User s Guide Warnings and Alarms continued Error Code ...

Страница 211: ...wash or sanitize hands as instructed by your PD nurse Insert the stay safe PIN connector connected to your catheter extension set into the stay safe organizer clip below the control panel Insert a new stay safe cap on the left side of the organizer Turn the blue button on the PIN connector turn clockwise and push it in to make sure that the PIN has been inserted into the PIN connector Close patien...

Страница 212: ...s battery RAM CRC Alarm A critical software error has occurred EEPROM Alarm A critical circuit board error has occurred Heater Alarm The heater temperature is reading too high or too low and cannot be corrected Pneumatic Alarm The pneumatic sensor is reading incorrectly or is out of range and cannot be corrected Self Test Alarm A self test has failed after repeated retests System Error A critical ...

Страница 213: ...Liberty Select Cycler User s Guide P N 480145 Rev A 211 This Page is Intentionally Blank ...

Страница 214: ...212 P N 480145 Rev A Liberty Select Cycler User s Guide Warning The Help Button 1 2 ...

Страница 215: ...g messages are triggered by conditions and events that occur in your machine during operation The running function will stop during a warning situation When the condition causing them is corrected the machine will reset back to its normal condition Some conditions may be reset simply by pressing the OK key when prompted In some cases you can reset the machine yourself to clear the error Note Durin...

Страница 216: ...214 P N 480145 Rev A Liberty Select Cycler User s Guide Warning Help Screens 3 4 ...

Страница 217: ...ng by following the instructions on the screen or in this User s Guide call a Fresenius Medical Care Technical Support Representative at 1 800 227 2572 Warning Do not continue your treatment until the warning situation has been corrected 4 Press OK When you have corrected the warning situation press the OK key or Back first then OK to resume the function You will return to the last step you were o...

Страница 218: ...216 P N 480145 Rev A Liberty Select Cycler User s Guide Alarm Red Status Bar Record Error Code Press STOP to mute Turn power OFF On Off ...

Страница 219: ...lockwise and push it in to make sure that the PIN has been inserted into the PIN connector Close patient line blue clamp Close catheter extension set clamp Use aseptic technique to carefully disconnect your catheter extension set from your patient line and cap off with a new sterile stay safe cap Check that the new sterile stay safe cap is securely attached to your catheter extension set before re...

Страница 220: ...ommended action may or may not clear the alarm or warning Do not continue your treatment until the conditions causing these messages are corrected and the messages are cleared Warning You must use aseptic technique as directed by your PD nurse to prevent infection Warning Use a new sterile stay safe PIN connector and cap every time you disconnect from your cycler Be sure to insert the new sterile ...

Страница 221: ... been inserted into the PIN connector Close patient line blue clamp Close catheter extension set clamp Use aseptic technique to carefully disconnect your catheter extension set from your patient line and cap off with a new sterile stay safe cap Check that the new sterile stay safe cap is securely attached to your catheter extension set before removing it from the stay safe organizer There are two ...

Страница 222: ... Guide Be sure to record the error code so you may look up the alarm message If you call a Fresenius Medical Care Technical Support Representative at 1 800 227 2572 they will also need this code The error code is located below the My Treatment button ...

Страница 223: ...stay safe Organizer Aseptically disconnect from cycler Turn off cycler and call service M01 Subcode 21 System Warning An unexpected error has occurred Press the OK key to retry M21 Sensor Warning Invalid sensor readings A sensor is reading incorrectly Press the OK key to retry M22 Self Test Alarm Safety Clamp Error The safety clamp self test has failed three times Press STOP to mute Record error c...

Страница 224: ... Aseptically disconnect from cycler Turn off cycler and call service M31 Treatment Warning Air detected in cassette The test failed due to possible air detection in cassette Press the OK key to retry M37 Self Test Warning Patient pressure not constant The self test has failed due to an error with one or both of the pressure sensors used to measure fluid pressure in the cassette Press the OK key to...

Страница 225: ...rning Patient vacuum too high An error with a sensor used to measure fluid pressure in the cassette Press the OK key to retry M44 Treatment Alarm Flowpath error An unrecoverable error has occurred Press STOP to mute Record error code Insert PIN Clamp lines Insert patient connector into stay safe Organizer Aseptically disconnect from cycler Turn off cycler and call service M44 1 Treatment Alarm Flo...

Страница 226: ...ing too low Press the OK key to retry M55 Pneumatic Warning Pressure reading high The cycler s pneumatic pressure is reading too high Press the OK key to retry M56 Pneumatic Warning Vacuum reading low The cycler is reading low vacuum pressure Press the OK key to retry M57 Pneumatic Warning Vacuum reading high The cycler s vacuum pressure is reading too high Press the OK key to retry M58 Self Test ...

Страница 227: ...ure nothing is on top of heater tray Make sure cycler has cooled down Make sure cycler is not placed near a heat source Press the OK key to retry M67 Self Test Alarm Fluid temperature out of range The solution temperature test has failed Press STOP to mute Record error code Insert PIN Clamp lines Insert patient connector into stay safe Organizer Aseptically disconnect from cycler Turn off cycler a...

Страница 228: ...ature low The solution temperature test has failed due to low temperatures Cold bags will increase warming time Be sure to store your bags at room temperature Check if heater plate tray is warm to touch Check for external cooling sources Be sure there are no open windows drafts or fans or air conditioners blowing on your cycler Press the OK key to retry M71 1 Pneumatic Alarm Pressure leak The cycl...

Страница 229: ...n off cycler and call service M71 3 Pneumatic Alarm Pressure leak The cycler has failed due to a possible vacuum leak Press STOP to mute Record error code Insert PIN Clamp lines Insert patient connector into stay safe Organizer Aseptically disconnect from cycler Turn off cycler and call service M74 Treatment Alarm Treatment start error An unrecoverable error has occurred Press STOP to mute Record ...

Страница 230: ... Aseptically disconnect from cycler Turn off cycler and call service M77 Treatment Warning Encoder flag error Treatment error Press the OK key to retry M83 Treatment Alarm Pump A vs B Volume error An unrecoverable error has occurred Press STOP to mute Record error code Insert PIN Clamp lines Insert patient connector into stay safe Organizer Aseptically disconnect from cycler Turn off cycler and ca...

Страница 231: ...ry RAM is corrupted Record error code Aseptically disconnect yourself from cycler if connected Turn off cycler and call service S_004 EEPROM Alarm EEPROM Error During startup the cycler cannot properly read the EEPROM memory chip Record error code Aseptically disconnect yourself from cycler if connected Turn off cycler and call service S_005 System Error An unrecoverable error has occurred Record ...

Страница 232: ...not allowed The operator has tried to bypass the current phase No action is required You cannot bypass while the heater bag is filling if it does not have enough solution for the next fill If your cycler detects that an overfill situation could occur 150 next Fill amount not drained from previous Fills you cannot bypass and the machine will continue to attempt to drain you until it is safe to move...

Страница 233: ... line If so contact your PD nurse for instructions on what to do Change positions to move fluid within your abdomen Check that the Drain Line is properly placed in drainage receptacle such as a toilet sink or bathtub Check position of drain bags and make sure they are flat and not on top of each other Are you constipated If so contact your PD nurse for instructions on what to do Check that your ca...

Страница 234: ...ry Heater Alarm Solution temperature high The solution temperature test has failed three times due to high temperatures Press STOP to mute Record error code Insert PIN Clamp lines Insert patient connector into stay safe Organizer Aseptically disconnect from cycler Turn off cycler and call service Heater bag not detected Your cycler is having trouble pumping dialysate from the heater bag Make sure ...

Страница 235: ... key to ignore the message and continue without using the IQdrive Make sure the heater bag is on the heater tray and the line is not clamped Your cycler is having trouble pumping dialysate from the heater bag Make sure that the Heater Bag Line Red clamp is properly connected the clamps are open and there is no kink in the line Make sure that the Heater Bag is properly positioned on the Heater Tray...

Страница 236: ...perly connected the clamps are open and there is no kink in the line Press the OK key to retry Patient Sensor Warning Patient sensors against vacuum sensors An error with a sensor used to measure fluid pressure in the cassette Press the OK key to retry Patient Sensor Warning Patient sensors too high An error with a sensor used to measure fluid pressure in the cassette Press the OK key to retry Pat...

Страница 237: ...ently check for external cooling sources Be sure there are no open windows drafts or fans or air conditioners blowing on your cycler Pneumatic Alarm Balloon Valve Leak The cycler has failed due to a possible balloon valve air pressure leak during treatment Press STOP to mute Record error code Insert PIN Clamp lines Insert patient connector into stay safe Organizer Aseptically disconnect from cycle...

Страница 238: ...off cycler and call service Self Test Alarm Safety Clamp Error The safety clamp test has failed three times Press STOP to mute Record error code If connected insert PIN Clamp lines Insert patient connector into stay safe Organizer Aseptically disconnect from cycler Turn off cycler and call service Self Test Warning Balloon Valve leak The self test has failed due to a possible balloon valve leak Pr...

Страница 239: ... Vacuum leak The self test has failed due to a possible vacuum leak Press the OK key to retry Self Test Warning Vacuum out of range The self test has failed due to vacuum pressures being out of range Press the OK key to retry Self Test Warning Vacuum production low The self test has failed due to low vacuum pressures Press the OK key to retry Sensor Warning Invalid sensor readings A sensor is read...

Страница 240: ...arning An unexpected error has occurred Press the OK key to retry Treatment Alarm Flowpath error An unrecoverable error has occurred Press STOP to mute Record error code Insert PIN Clamp lines Insert patient connector into stay safe Organizer Aseptically disconnect from cycler Turn off cycler and call service Treatment Alarm Pause time error An unrecoverable error has occurred Press STOP to mute R...

Страница 241: ... code Insert PIN Clamp lines Insert patient connector into stay safe Organizer Aseptically disconnect from cycler Turn off cycler and call service Treatment Warning Air detected in cassette The test failed due to possible air detection in cassette Press the OK key to retry Treatment Warning Encoder flag error Treatment error Press the OK key to retry Treatment Warning Volume error Volume is not be...

Страница 242: ...240 P N 480145 Rev A Liberty Select Cycler User s Guide Different People Drain Differently ...

Страница 243: ...the rate would have to be faster and you may have problems with drain alarms To help eliminate drain alarms you and your PD nurse should program your Drain Time to correspond with the amount of fluid you have filled The graph to the left shows the amount of time in minutes to program into your cycler for your drain times depending on the fill volume that you use According to this graph for example...

Страница 244: ...242 P N 480145 Rev A Liberty Select Cycler User s Guide Power Failure Turn power back ON On Off ...

Страница 245: ...on set into the stay safe organizer clip below the control panel Insert a new stay safe cap on the left side of the organizer Turn the blue button on the PIN connector turn clockwise and push it in to make sure that a new PIN is inserted in the line Close patient line blue clamp Close catheter extension set clamp Use aseptic technique to carefully disconnect your catheter extension set from your p...

Страница 246: ...244 P N 480145 Rev A Liberty Select Cycler User s Guide Power Failure continued Press STOP to mute ...

Страница 247: ...tion see Treatment Details on page 179 Recovery failure If the Power Fail Recovery test fails you must select the Cancel Treatment button and start a new treatment Follow the instructions on the screen Mask then wash or sanitize hands as instructed by your PD nurse Insert the stay safe PIN connector connected to your catheter extension set into the stay safe organizer clip below the control panel ...

Страница 248: ... the Next button to continue Close all clamps When prompted open the door and remove the cassette Restart your entire treatment with fresh dialysate bags and a new cassette Note If your power failure lasts longer than eight hours you may not resume your treatment ...

Страница 249: ...Liberty Select Cycler User s Guide P N 480145 Rev A 247 Cleaning Specifications Index and Glossary ...

Страница 250: ...248 P N 480145 Rev A Liberty Select Cycler User s Guide Cleaning Your Cycler Damp Cloth Heater Tray Cabinet Front Panel Apparatus Outer Door ...

Страница 251: ... prevent fluid from entering the pump module If any fluid gets inside your cycler you must contact a Fresenius Medical Care Technical Support Representative immediately at 1 800 227 2572 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...

Страница 252: ...s at 240V Circuit Breaker 6 Amp breaker contained in Power Entry Module External Connections USB Port IEC 60601 1 1988 A1 1991 A2 1995 Clause 6 8 2a 6 8 2c Accessories SIP SOP connections Accessories equipment connected to the analog and digital interfaces must be certified to the respective IEC standards i e IEC 60950 for data processing equipment and IEC 60601 1 for medical equipment Furthermore...

Страница 253: ...air or with oxygen or nitrous oxide User Interface Language The operating screens may be set to either English USA French Canada or Spanish Mexico Touch Screen LCD display reacts to fingertip pressure Keys Up Down STOP OK Hardware Settings Alarm Loudness 1 20 50 90 dB Key Loudness 0 20 Screen Blank ing Delay 10 minutes Screen Brightness 1 10 Solution Bag Volumes 2000 3000 5000 6000 v2 8 4 software...

Страница 254: ...r volume over the set limits see below is pumped to drain and M31 Air Detected in Cassette warning is displayed Air Detector Sensitivity Limits Fill air volume coming from heater bag 3 mL Drain air volume coming from patient s abdominal cavity 3 mL Dwell If air volume coming from supply bag 6 mL Dialysate Solution Overfill Protection Controlled by software Drain bypass is prevented when overfill i...

Страница 255: ... 06 FS2 P N PK 244 FCC Part 15 Class B Colocation FCC 15 247 Part 15 Subpart C Safety Approval IEC 60950 1 IEC 60601 1 2 4th edition IP22 operation Gateway Model SL 06 FS3 P N PK 245 FCC Part 15 Class B Colocation FCC 15 247 Part 15 Subpart C Safety Approval IEC 60950 1 IEC 60601 1 2 4th edition IP22 operation MEDICAL EQUIPMENT WITH RESPECT TO ELECTRICAL SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN A...

Страница 256: ...ysis was performed This analysis has shown that the emissions levels of the Liberty Cycler are significantly below the immunity requirements of ANSI AAMI IEC 60601 1 2 and therefore are not likely to impact the safe operation of other medical devices used within the proximity Guidance and manufacturer s declaration electromagnetic emissions The Liberty Cycler is intended for use in the electromagn...

Страница 257: ...ne s to earth 1 kV line s to line s 2 kV line s to earth Mains power quality should be that of a typical low voltage power supply network that supplies hospitals or buildings used for commercial or domestic purposes Voltage Dips short interruptions and voltage variation on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycles 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT fo...

Страница 258: ...nce in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than the compliance level in each frequency range b Interference may occur in the vicinity of equipment marked with the following symbol NOTE 1 At 80 MHz and 800 MHz the higher frequency applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagati...

Страница 259: ...d 1 2 P 80 MHz to 800 MHz d 1 2 P 800 MHz to 2 5 GHz d 2 3 P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitt...

Страница 260: ...e performance specification as new products Controlled procedures are used and the refurbishment is carried out at the same manufacturing location under the same quality management system as new medical devices REPLACEMENT Fresenius USA Inc sells both new and or refurbished medical devices Refurbished medical devices meet the same performance specification as new medical devices see above and eith...

Страница 261: ...shall be warranted for ninety 90 days from the date of initial installation or one hundred and eighty 180 days from the shipment whichever occurs first B Consumables shall not be warranted The Company will repair or replace at its option using new or reconditioned parts and or assemblies any parts subject to this warranty which are proven defective in materials or workmanship Such repair and repla...

Страница 262: ... with respect to the equipment or its sale operation and use and the Company neither assumes nor authorizes the assumption of any obligation or liability in connection with such equipment TERMS Net 30 days FOB shipping point plus sales and similar taxes The Company s prices do not include sales use excise or similar taxes Consequently in addition to the prices specified herein the amount of any pr...

Страница 263: ...v A 261 For additional servicing and information contact Fresenius Medical Care 800 227 2572 Attention Service Department 4040 Nelson Ave Concord CA 94520 The Liberty Select Cycler is manufactured by Fresenius USA Inc 4040 Nelson Ave Concord CA 94520 ...

Страница 264: ...requires a manual exchange CCPD Abbreviation for Continuous Cycling Peritoneal Dialysis CCPD is a continuous therapy with exchanges occurring throughout the night and sometimes during the day CCPD requires a cycler CCPD Volume The amount of dialysate delivered during exchanges Clean You have removed most but not all of the germs Good hand washing makes your hands clean not sterile Your work surfac...

Страница 265: ...placing the dialysate in your peritoneal cavity An exchange or cycle consists of three steps Fill Dwell and Drain Fibrin White protein strands that are sometimes found in your drained dialysate Flush Procedure to remove air and potential contaminates from bag line and connections Fill Process of filling your peritoneal cavity with fresh dialysate Fill Volume The prescribed amount of dialysate to f...

Страница 266: ...creen that displays the changeable value it controls Pause An exchange that allows you to dwell while either connected to or disconnected from your cycler It differs from other Dwells because it is not a timed function meaning you may pause for as long as you like Pause Volume The amount of dialysate delivered during the Pause portion of the exchanges PD Abbreviation for Peritoneal Dialysis PD Abb...

Страница 267: ...t is used to measure temperature Tidal fill volume The amount of dialysate to fill your peritoneal cavity during a Tidal therapy exchange This amount is typically less than CCPD and IPD volumes Tidal drain volume The amount of dialysate that is drained during each Tidal Exchange Drain 0 and the last Drain of the treatment will drain completely TPD Abbreviation for Tidal Peritoneal Dialysis Total s...

Страница 268: ...106 107 Inspecting 105 Leak 169 Pump plate 35 Removal 166 168 169 Catheter Line See Lines CCPD See Continuous Cycling Peritoneal Dialysis CCPD Cycle Based Settings 58 CCPD Treatment Based Settings56 Cleaning 248 Clock 95 Codes See Error messages Listed by code Connecting132 133 142 146 147 Connector143 155 209 217 219 243 245 See stay safe connector Continuous Cycling Peritoneal Dialysis 137 Contr...

Страница 269: ...eject settings 197 K Key loudness 95 Keys OK key 27 STOP key 27 Up Down Arrow keys 27 L Language setting 87 Last bag option 87 Last bag type 159 181 Last line See Lines Leak 105 See Cassette Transdiaphramatic 13 Liberty Select Cycler Features 23 Powering up 50 Requirements 12 Servicing 1 261 Setting up 46 Lines Blockage 231 233 234 238 Catheter Line 39 Connect 110 112 Drain 40 114 167 Heater 40 La...

Страница 270: ...scription 28 Warnings 207 Stay safe Cleaning 249 Connector 39 Extension cap holder 43 New cap holder 43 Organizer clip 43 Setting up 109 132 146 Tubing channel 43 STOP key See Keys STOP Systolic 159 T Technical Support 16 Temperature 159 181 Therapy Cycle based 55 Treatment based 55 Therapy button See Buttons Therapy type 55 Tidal Cycle Based Settings 72 Tidal Treatment Based Settings 68 Time Form...

Страница 271: ...Liberty Select Cycler User s Guide P N 480145 Rev A 269 After treatment 159 181 Entering 82 White line See Lines Solution Y Yellow line See Lines Drain ...

Страница 272: ...Fresenius USA Inc 4040 Nelson Avenue Concord CA 94520 www fmcna com ...

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