Liberty Select
User’s Guide
Se
lect
Liberty Select Cycler User’s Guide
© Copyright 2019 Fresenius Medical Care—All Rights Reserved
This document contains proprietary information of Fresenius USA, Inc.
d/b/a Fresenius Medical Care North America and its affiliates (“Fresenius
Medical Care”). The contents of this document may not be disclosed to
third parties, copied, or duplicated in any form, in whole or in part, without
the prior written permission of Fresenius Medical Care.
Fresenius 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
Fresenius USA, Inc.
4040 Nelson Ave
Concord, CA 94520
Caution: Federal (US) law restricts this device to sale only by or on the
order of a physician.
Caution: Frequency, duration, and treatment settings are to be determined
by the prescribing physician.
Indications for Use: The Fresenius Liberty Select Cycler is indicated for
acute and chronic peritoneal dialysis.
®
Select Cycler is manufactured by:
Liberty Select Cycler User’s Guide P/N 480145 Rev A 1
How to Use this User’s
Guide
This User’s Guide is a reference for you to look up
information about the Liberty Select Cycler. Start with the
topic you are interested in, and look for it in the Table of
Contents (see page 4) or in the Index (see page 266). The
Table of Contents is detailed enough that you should be
able to find most 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 guidance
for information for all of your automated peritoneal dialysis
(APD) treatments. The order of the topics presented here is
the same order you will follow as you set up your
treatment.
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Contents Quick Search
This page is a quick reminder where to find certain procedures or further
instructions:
Events
Liberty Select Cycler Settings
Treatment Setup
Power Failure: 242
Troubleshooting Error Messages: 218
Incomplete Treatment: 17
Alarms (with no sound): 207
Defective cassette/tubing set: 105
Moisture in pump module: 169
Drain Complication: 231
Patient Line is Blocked: 233
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
Exchanges
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
How to bypass: 186
How to do a STAT drain: 184
Drain times based on Fill volume: 240
Technical Support Number: 1-800-227-2572
Liberty Select Cycler User’s Guide P/N 480145 Rev A 3
Table of Contents
How to Use this User’s Guide ............................................................2
Contents Quick Search ......................................................................3
My Treatment Settings .......................................................................6
Introduction ...................................................................................... 12
Requirements ............................................................................... 12
Purpose of the Liberty Select Cycler ............................................ 12
Contraindications (When this machine should not be used) ........ 13
Peritoneal Dialysis Precautions ................................................... 13
About This User’s Guide .............................................................. 14
Peritoneal Cycler Preventive Maintenance: ................................. 16
Related Reading .......................................................................... 16
For Technical Questions .............................................................. 16
For Medical or Clinical Questions ................................................ 16
General Warnings ........................................................................ 17
Meet 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-Based Settings ................................................ 58
IPD: Treatment-Based Settings ............................................. 60
IPD: Cycle-Based Settings .................................................... 62
PD+: Treatment-Based Settings ........................................... 64
PD+: Cycle-Based Settings ................................................... 66
Tidal: Treatment-Based Settings ........................................... 68
Tidal: Cycle-Based Settings .................................................. 72
Patient Settings Tab ................................................................. 76
Options Settings Tab ................................................................ 86
Hardware Settings Tab ................................................................ 94
Pre-Treatment Checklist .................................................................. 98
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Starting Your Treatment ................................................................ 100
Preparing .................................................................................... 104
Priming ....................................................................................... 122
Ready for Treatment - Connecting Yourself .............................. 132
Exchanges ..................................................................................... 136
Exchange: Drain 0 ..................................................................... 138
Exchange: Fill1 .......................................................................... 140
Exchange: Pause ....................................................................... 142
Exchange: Dwell ........................................................................ 148
Additional Drain Option .............................................................. 150
Ending Your Treatment ................................................................. 154
Your Treatment Summary .......................................................... 162
Power Down Cycler ................................................................... 170
Appendix ....................................................................................... 174
The My Records Screen-Button ................................................. 176
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 Drain Differently .............................................. 240
Power Failure ............................................................................. 242
Cleaning Your Cycler .................................................................... 248
Machine Specifications .................................................................. 250
Manufacturer’s EMC Declaration ............................................... 254
Product Improvement Policy ...................................................... 258
Warranty ..................................................................................... 258
Glossary ........................................................................................ 262
Index .............................................................................................. 266
Liberty Select Cycler User’s Guide P/N 480145 Rev A 5
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.
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Liberty Select Cycler User’s Guide P/N 480145 Rev A 9
Notes: ________________________________________________
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Introduction & Overview
Liberty Select Cycler User’s Guide P/N 480145 Rev A 11
Introduction
Enjoy the freedom that the Liberty Select Cycler offers
you. We at Fresenius Medical Care know that life on
peritoneal dialysis may be complicated, but we have
worked hard to make it simpler. Your Liberty Select
Cycler is light, portable, and easy to operate. It has an easy
to load cassette and simple touch screen menus to guide
you through setup and treatment procedures. Carefully
following your doctor or practitioner’s instructions, you
have the convenience and freedom of peritoneal dialysis at
your fingertips. Be sure to read and follow all instructions
and warnings listed in the User’s Guide.
Requirements
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 trained and qualified to
operate this machine. You and any other user
must be able to identify between normal and
abnormal operation.
Purpose of the Liberty Select Cycler
The Liberty Select Cycler is indicated for short term (acute)
and long term (chronic) peritoneal dialysis.
The Liberty Select Cycler can provide the following
therapies:
Continuous Cycling Peritoneal Dialysis (CCPD)
Intermittent Peritoneal Dialysis (IPD)
Peritoneal Dialysis Plus (PD+)
Tidal Peritoneal Dialysis (TPD)
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Contraindications (When this machine should not be used)
CAPD and CCPD are effective and attractive choices for
many ESRD patients; however, no one dialysis therapy is
right for all patients. The following health problems may
prevent you from using the Liberty Select Cycler:
Leaks across the inside of your body’s lining
(Transdiaphramatic leakage)
A destructive metabolism (hypercatabolism)
Too little peritoneal membrane surface area
Multiple abdominal surgeries
This is a guideline only. Your doctor or practitioner must
make the final decision whether the Liberty Select Cycler is
appropriate for you.
MR (Magnetic Resonance) Unsafe: Liberty Select
Cycler must not to be used in an MR environment.
Liberty Select Cycler may pose unacceptable risks to
the patient, medical staff or other persons within the
MR environment.
Peritoneal 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 result in
harm. Abdominal pain, bleeding, infected peritoneal
membrane (peritonitis), and a blocked catheter extension
set can cause problems with your treatment. Some dialysate
solutions are stronger (higher percentage of dextrose) than
others at removing fluids. It is important to use the right
dialysate solution for your needs: the wrong dialysate
solution may pull too much fluid (hypovolemia/
dehydration) out of your body and may cause low blood
pressure (hypotension) or muscle cramping. Or it may pull
too little fluid (hypervolemia/overhydration) and may cause
high blood pressure (hypertension) or swelling (edema).
You must continue to remove the right amount of fluid
from your body.
Liberty Select Cycler User’s Guide P/N 480145 Rev A 13
You and your PD nurse must work together to monitor your
body weight and blood chemistry levels. You must pay
close attention to how you feel and report any changes to
your PD nurse. This may help prevent such complications
as congestive heart failure, volume depletion, overfill of
solution, shock, and inadequate therapy. Follow your
prescription and instructions to reduce the risk of these
problems that could result in serious complications.
Care partners should carefully monitor patients for the
above signs and symptoms.
About This User’s Guide
This User’s Guide is a reference for properly trained home
users of the Liberty Select Cycler—it does not replace
formal training by your 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 stepby-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, explained below:
Attention Boxes
Warning: This symbol warns against an action or
situation that could hurt you. If you do not follow these
instructions, it can lead to serious injury or death.
Shock Hazard: This symbol means you could get a
severe electrical shock if you use the equipment wrong.
Caution: This symbol means you will damage your
machine if you do not follow instructions.
Note: This symbol means there is extra information
about machine features. Notes have helpful information
and tips. They may also show instructions for unique
14 P/N 480145 Rev A Liberty Select Cycler User’s Guide
cases.
Other Important Symbols
Degree of protection against electric shock: Type BF
Symbol for Alternating Current (AC).
Symbol for a Protective ground terminal.
This symbol with the finger pinch in the background
means to keep fingers clear of any moving parts.
ON: This symbol, at the top of the switch on the back
of your machine, means the switch is in the ON
position.
OFF: This symbol, at the bottom 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
equipment.
MR (Magnetic Resonance) unsafe: This symbol, on
the back of your machine, means the machine must not
be placed in an MR environment.
This symbol on the back of your cycler indicates that
Interference may occur in the vicinity of the machine.
Liberty Select Cycler User’s Guide P/N 480145 Rev A 15
Peritoneal Cycler Preventive Maintenance:
All Fresenius Medical Care Peritoneal Cyclers are designed
to detect drifting calibrations and mechanical failures
through an extensive self-check built into the machine. This
check is done each time the machine is powered on.
Functional parameters are also continuously monitored
throughout the treatment. The only required maintenance
is surface cleaning as stated in the User’s Guide.
If problems do occur, in most cases Fresenius Medical Care
will replace the cycler within 1 working day and, if
applicable, arrange to 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 Handi-Guide
Liberty Select Cycler Field Service Bulletins may
be obtained from the Fresenius
website: www.FMCNA.com or contact your
healthcare professional for more information.
For Technical Questions
If you have any questions, please call a Fresenius Medical
Care Technical Support Representative anytime at 1-800-
227-2572.
For Medical or Clinical Questions
Call your home therapy nurse or on-call nurse.
Medical Care
16 P/N 480145 Rev A Liberty Select Cycler User’s Guide
General Warnings
Read all the warnings before beginning your treatment.
Additional warning statements for each topic are found
throughout the User’s Guide.
Warning: Read this entire User’s Guide before beginning
your treatment. You must be familiar with how to use
your machine and with the features of this User’s Guide.
If you do not follow these instructions to install and
maintain this equipment, it may cause serious injury or
death.
Warning: Protective measures MUST be taken to
prevent backup in the drain line.
drain line, ensure that an air gap is maintained between
the drain line and the drain.
When connecting the
Warning: Your doctor or practitioner must prescribe 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.
Warning: Keep fingers clear of moving parts.
Warning: The Liberty Select Cycler is not sterile
equipment. Only the interior of the tubing sets are
sterilized. You must use aseptic technique (masking and
hand washing) as directed by your PD nurse to prevent
infection. Infections may cause serious injury or death.
Warning: Explosion Hazard. Do not use in the presence
of flammable substances like anesthetics.
Warning: Check that all tubing is free from kinks or
damage (scratches, loose tubing, small holes) before
beginning treatment.
Liberty Select Cycler User’s Guide P/N 480145 Rev A 17
Warning: Do not use damaged cassettes for your
treatment. Damaged cassettes can lead to leaks,
contamination, and infection.
Warning: Do not allow any liquid to drip in or on your
machine. Spills from your treatment can lead to serious
injury or death. If spills occur, immediately contact a
Fresenius Medical Care
Technical Support Representative
at 1-800-227-2572. Do not attempt to clean or disinfect
leaks inside your cycler.
Warning: You must clean your machine to prevent
contamination and infection.
Warning: Do not use devices emitting 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 machine away from pets,
pests and children to prevent contamination and infection.
Warning: Use caution when handling the cycler tubing
set as it may cause strangulation.
Warning: The power cord, tubing set and drain line(s)
can be a trip hazard and may result in falls.
Warning: If the fluid in the drain line appears cloudy,
contact your PD nurse because this could be an early sign
of infection.
18 P/N 480145 Rev A Liberty Select Cycler User’s Guide
Warning: Increased Intraperitoneal Volume (IIPV),
commonly known as Overfill, is when you have too much
fluid in your abdomen. IIPV/overfill may result in serious
injury or death from conditions such as: abdominal wall
and/or diaphragmatic hernias, hydrothorax, heart problems
including chest pain and heart failure, high blood pressure,
pulmonary edema, decreased pulmonary function and
pericardial effusion.
Patients and care partners should watch for the potential
signs of IIPV. These include:
Difficulty breathing
Vomiting or spitting up
Feeling full, bloated, or overfilled after treatment
Abdominal pain or discomfort
Expanded or tense abdomen
Chest pain
Increased blood pressure
Change in mental status
Leakage of fluid from the PD catheter extension
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 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 no Last Fill programmed on your
cycler and you did a manual Fill during the day, your
cycler does not know that you must drain additional fluid
from the abdomen. If your catheter extension set line then
gets kinked during Drain 0 and the draining stops, your
cycler may advance to Fill 1 before you have finished
draining your abdomen. This may cause an overfill
situation which may lead to serious injury or death.
Always make sure that you have drained enough during
Drain 0 when your cycler starts Fill 1.
Drain 0 may be bypassed under certain circumstances.
Please consult your PD nurse before bypassing Drain 0.
See page 186 for more information.
Liberty Select Cycler User’s Guide P/N 480145 Rev A 19
Warning: Shock hazard. Do not remove Heater Tray.
Refer servicing to qualified personnel. The electrical
source must be single phase, three-conductor type at
120/250 VAC 50/60Hz. Your cycler needs a protective
earth electrical ground connection. The outlet you use for
your cycler must be checked and maintained for a good
ground connection to protect you from risk of electrical
shock.
Warning: Shock hazard. The machine must be plugged
directly into an electrical outlet; do not use extension
cords or power strips. Do not use power cords other than
those provided with your cycler. Do not use the power
cord if broken or damaged. If you must connect your
cycler to a 240V power source, contact a Fresenius
Medical Care
Technical Support Representative at 1-800-
227-2572 for a power cord rated for 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 environment (indoors) free
from extremes of temperature and humidity and
reasonably protected from dust and dirt contamination or
liquid splashes. Failure to install your Liberty Select
Cycler according to these guidelines may result in
improper operation or early failure of the device or its
parts.
Caution: Use only cycler tubing sets intended for the
Liberty Select Cycler.
Caution: Use only your fingertips on the Touch Screen
and cycler keys. Use of other objects, such as pens, may
result in damage or premature failure.
Caution: The cassette door is pressurized. Do not
attempt to open the cassette door until your machine
instructs you to do so.
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Caution: Use of accessories, transducers and cables other
than those provided with your cycler may result in
increased emissions or decreased immunity of the cycler
and result in improper operation.
Caution: In order to prevent potentially hazardous
conditions and ensure the safe operation of the Liberty
Select Cycler, Radio Frequency Identification (RFID)
Equipment or other RF emitting devices must be kept at
least 3 meters from the system while in operation.
Note: Your machine’s operation involves fluids:
accidental spills can occur. 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.
Note: This User’s Guide shows tubing set model 05087212 which has two stay•safe PIN connectors
(sometimes referred to as patient connector) on the 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
practitioner.
Note: Under normal operating conditions, the expected
useful life of the Liberty Select Cycler is five years.
Note: If it becomes necessary to disconnect, the set in use
must have a second unused sterile PIN connector
available to resume treatment. After safely disconnecting
PIN connector 1, using PIN technology, and attaching a
sterile cap to the catheter extension set, prepare and insert
the sterile PIN connector (PIN connector 2), so it is ready
for reconnection later. If this is not done, there is a chance
you could attempt to connect to the used PIN connector
(PIN connector 1). This same procedure should also be
followed when you perform a Pause exchange. For more
information, see page 142.
Liberty Select Cycler User’s Guide P/N 480145 Rev A 21
Meet Your Liberty Select
Cycler
22 P/N 480145 Rev A Liberty Select Cycler User’s Guide
Liberty Select Cycler Purpose
Your Liberty Select Cycler helps your body to do the work
of your kidneys. Your cycler pumps dialysate (a cleansing
solution used to draw waste products and extra fluids out of
your blood) into your empty peritoneal cavity (Fill phase).
There it absorbs waste through your body’s natural
membrane, the peritoneum, 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. Please read the entire User’s
Guide to learn about the features of your Liberty Select
Cycler before beginning your treatment. For a summary of
the types of therapy, please see page 137.
Liberty Select Cycler User’s Guide P/N 480145 Rev A 23
Touchscreen
Heater
Tray
Bag
Sensor
Control
Panel
Pump
Module
Door
Latch
Your Liberty Select Cycler - Front View
Cabinet
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Fan
Vent
Power
Switch
IQdrive Slot /
USB Port
On
Off
Power
Cord
Power Cord
Socket
Your Liberty Select Cycler - Rear View
Liberty Select Cycler User’s Guide P/N 480145 Rev A 25
The Control Panel
Touchscreen
Status
Bar
Main
Area
Button
Area
Up/Down
Arrow
Keys
OK
Key
STOP
Key
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Control Panel
The Control Panel contains all the keys and buttons you
need to set up and run your treatment.
Touch Screen
The Touch Screen is a viewing screen that reacts to
fingertip pressure. Using the Touch Screen, you may
monitor your treatment and select treatment options with
Touch Screen Buttons. The different types of Touch
Screen Buttons are described on page 30.
Status Bar
See page 28 for a description of the Status Bar.
Main Area
The Touch Screen Main Area shows information and
procedures. 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 bypass that action. Press and hold
the OK key for about four seconds to display the “Bypass”
screen. There you may choose to bypass a phase of your
treatment or not (see page 190 for instructions on how to
perform bypass).
STOP key
The STOP key stops functions on your machine. Pressing
the STOP key during an audible alarm will silence the
alarm for ten minutes.
Liberty Select Cycler User’s Guide P/N 480145 Rev A 27
The Status Bar
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