Fresenius Medical Care 4008 4/09.03 (TM) 2-29
2.3 TSC checklist
No. Description Measured ✓
value
1 Visual checks
1.1 Fuses accessible from the outside comply with the indicated values – ❏
1.2 Labels and identifications are present and legible – ❏
1.3 Mechanical condition permits further safe use – ❏
1.4 No damage or contaminations detectable – ❏
1.5 Power cord not damaged – ❏
2 General checks
2.1 Power failure alarm – continuous sound – text displayed: Emergency operation – ❏
2.2 Air separation by air separation pump activated; text displayed – ❏
if more air must be separated and OD senses opaque fluid: Fill program
2.3 V91, V99, V100 are operational and do not leak.
(Check will not be applicable if CDS or hydraulics test activated.) – ❏
4 Ultrafiltration system and membrane pumps
4.1 UF pump, 1 stroke = 1 ml, 60 strokes = 60 ml ± 0.5 ml ………… ❏
5 Dialysis mode
5.5 Conductivity display checked using a reference meter CD system/CD ref. …… / …… ❏
(If the bibag
®
option is used, connect a bibag
®
.)
6 Extracorporeal components
6.3 Blood pumps: check the blood pump rate (calibration program: BP-Rate CHECK) – ❏
6.4 SN switching pressure checked according to table in TM – ❏
6.5 Blood pump stop alarm checked – ❏
6.6 Venous line clamp closes after blood alarm – ❏
6.7 Pressure of approx. 2 bar in the venous bubble catcher.
Pressure must not drop by more than 0.1 bar within 3 minutes. – ❏
7 Options
7.4 4008 HDF
7.4.1 Volume delivered by the 2
nd
UF pump checked: 60 strokes = 60 ml ± 0.5 ml ………… ❏
7.5 Online-HDF
7.5.6 ❏ Substituate pump (part no. 672 521 1) with DC motor:
check volume delivered by the pump desired/actual …… / …… ❏
or
❏ Substituate pump (part no. 674 982 1) with stepper motor: check the pump rate – ❏
(calibration program:BP-Rate CHECK)
7.5.7 Substituate pump stop:
– after blood alarm – ❏
– after triggering the bypass function – ❏
– after opening the blood pump door – ❏
7.5.8 Check substituate pump for proper function:
– Rinse program, delivery rate: 400 ml/min – ❏
– Hot rinse program, delivery rate: 150 ml/min – ❏
– Disinfection program, delivery rate: 400 ml/min – ❏
7.6 ONLINE
plus
™
7.6.4 Line in the line pinch valve 193 (ONL1) replaced – ❏
7.6.5 Valve V39 checked – ❏
(Not applicable if DIP switch array 2, P.C.B. LP 632, switch 5 set to OFF)
TSC checklist
for the Technical Safety Checks
to be performed annually (every 12 months)
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CareFreseniusMedical
Name of technician:
Service report no.:
Customer/Customer no.:
Inventory no.: Serial no.: Operating hours:
System type:
With option(s):