Fresenius Medical Care multiFiltrate, Инструкция по эксплуатации

Страница: 4 / 282

iv Fresenius Medical Care multiFiltrate IFU-EN-UK 15A-2015
3.2.1 Monitor ........................................................................................................................................ 3-4
3.2.2 Heparin pump ............................................................................................................................. 3-5
3.2.3 Extracorporeal blood circuit module ............................................................................................ 3-6
3.2.4 multiFiltrate with Ci-Ca module (option)....................................................................................... 3-7
3.2.4.1
Ci-Ca module front view ............................................................................................... 3-8
3.2.4.2 Ci-Ca module rear view................................................................................................ 3-8
3.3 User interface ............................................................................................................................. 3-9
4 Operation
4.1 Application principles ............................................................................................................... 4-1
4.2 Basic operation philosophy ...................................................................................................... 4-5
4.2.1 Menu selection............................................................................................................................. 4-5
4.2.2 Treatment main screen................................................................................................................ 4-6
4.2.3 Entering treatment parameters .................................................................................................... 4-7
4.3 Basic operation steps ............................................................................................................... 4-9
4.3.1 Entering ultrafiltration / UF goal ................................................................................................... 4-9
4.3.2 Resetting the alarm limits in alarm-free condition...................................................................... 4-10
4.3.3 Raising and lowering the venous bubble catcher level.............................................................. 4-11
4.3.3.1
Raising the level ......................................................................................................... 4-11
4.3.3.2 Lowering the level ...................................................................................................... 4-11
4.3.4 Bolus anticoagulation................................................................................................................. 4-11
4.4 Making the device ready for operation .................................................................................. 4-12
4.4.1 Turning the device on ................................................................................................................ 4-12
4.4.2 Starting the functional test ......................................................................................................... 4-14
4.4.3 Selecting the anticoagulation method........................................................................................ 4-15
4.4.4 Continuing the previous treatment............................................................................................. 4-15
4.4.5 Selecting the treatment mode.................................................................................................... 4-16
4.5 CRRT treatments ..................................................................................................................... 4-17
4.5.1 Starting conditions ..................................................................................................................... 4-17
4.5.2 Inserting the cassette system or AV set .................................................................................... 4-17
4.5.2.1
Inserting the cassette system..................................................................................... 4-17
4.5.2.2 Inserting the arterial blood line system....................................................................... 4-18
4.5.2.3 Inserting the venous blood line system ...................................................................... 4-18
4.5.2.4 Inserting the filtrate line system.................................................................................. 4-19
4.5.3 Inserting further tubing systems................................................................................................. 4-19
4.5.3.1
Inserting the dialysate or sub predilution tubing system
(except for CVVH) ...................................................................................................... 4-20
4.5.3.2 Inserting the substituate or sub postdilution tubing system
(except for CVVHD).................................................................................................... 4-20
4.5.4 Inserting the heparin syringe ..................................................................................................... 4-21
4.5.5 Complete tubing arrangement ................................................................................................... 4-21
4.5.6 Preparation ................................................................................................................................ 4-22
4.5.6.1
Priming the tubing system .......................................................................................... 4-22
4.5.6.2 Rinsing the tubing system / entering treatment parameters....................................... 4-23
4.5.6.3 UF rinse...................................................................................................................... 4-24
4.5.6.4 Recirculation / waiting for patient ............................................................................... 4-24
4.5.6.5 Connecting the patient ............................................................................................... 4-25
4.5.7 Treatment .................................................................................................................................. 4-26
4.5.7.1
Treatment main screen .............................................................................................. 4-26
4.5.7.2 Treatment menu ......................................................................................................... 4-27