neXus CC Quick Reference Guide Issue 2

• This guide supports the BD Alaris™ neXus CC Syringe Pump, hereinafter referred to as Pump. • This guide is not intended to be comprehensive instructions for the setup and operation of the Pump. • For complete Pump information, refer to the Directions For Use. • All persons operating the Pump should consult the Directions For Use.

AC POWER indicator RUN button

MUTE button

Controls

BATTERY indicator

PURGE / BOLUS button

0000CF04568_Iss2_en.indd 2

ON / OFF button

CHEVRON keys

Softkeys

HOLD button

PRESSURE button OPTION button

0000CF04568 Iss. 2

2/14

26/08/2020 11:35:03

1.

Open syringe clamp. To open, pull the syringe clamp forward and down.

2.

Securely place barrel flange (a) in between the two parts of the syringe flange clamp (b). Ensure syringe can remain in position with syringe clamp open.

3.

Close syringe clamp. To close, lift the syringe clamp until it locks against the syringe barrel.

4.

Ensure that both plunger grippers (c) are fully locked on to the plunger flange (d) and the upper finger grip (e) has returned to its original position.

A

Loading a Syringe

B

E C

0000CF04568_Iss2_en.indd 3

D

0000CF04568 Iss. 2

3/14

26/08/2020 11:35:05

DRUG ON:HOLD adrenaline RATE : 0.10ml/h VOLUME : 4.79ml

BD PLASTIPAK

CONFIRM

1. 2.

ICU

Starting the Infusion 5. 6.

NO

BD PLASTIPAK Alaris™ neXus50CC

CONFIRM

CONFIRM PROFILE YES NO TYPE

When CONFIRM PROFILE screen is shown: • Select NO to change profile and then follow on screen prompts • Select YES to retain current profile Note: The CONFIRM PROFILE screen is only shown if more than one profile is available in the data set. ml/h ON HOLD DOSING ONLY DRUGS A B C D E F G H I J K L M N O

4.

50

Switch the Pump on a. When CLEAR SETUP? screen is shown: • Select YES to clear previous setup • Select NO to retain previous setup go to step 6. Data SetON:HOLD Data set name Version : 1 25 AUG 2020 16:18 UTC

3.

ICU

CLEAR SETUP YES TYPE

BD PLASTIPAK DRUG 50

SELECT OK CONFIRM

TYPE

When Select Infusion Setup screen is shown select using the f keys: • ml/h • DOSING ONLY • DRUGS (A–Z) Press OK to confirm and follow the prompts as required. Load the syringe according to the procedure in this guide.

0000CF04568_Iss2_en.indd 4

0000CF04568 Iss. 2

4/14

26/08/2020 11:35:06

7.

Ensure extension set is attached to syringe, but disconnected from patient. Insert pressure disc into pressure transducer, as required. To insert or remove pressure disc into or from the pressure transducer, insert finger into the recess in the pressure disc and push back or pull forward with care. Do not pull on the extension set to insert or remove the pressure disc.

+ ADJUST −

8.

TYPE TYPE

Ensure that the syringe type and size match those displayed on the Pump then press CONFIRM. If required, the brand of syringe can be changed by pressing the TYPE softkey. ON HOLD PURGE

200 9.

CONFIRM CONFIRM

50

ml/h

BD HOLD PLASTIPAK KEY BELOW 50 ENSURE INFUSION SET IS DISCONNECTED FROM PATIENT

PURGE CONFIRM

TYPE

QUIT

Press i button to enter the purge screen. Then press and hold the PURGE softkey to purge the extension set.

Starting the Infusion continued

BD PLASTIPAK BD PLASTIPAK

ON ON HOLD HOLD

3.15ml/h 3.00µg/kg/min

10. Enter or adjust the rate using the f keys, if required. 11. Press b button to start the infusion. INFUSING will be displayed.

0000CF04568_Iss2_en.indd 5

0000CF04568 Iss. 2

5/14

26/08/2020 11:35:06

Hands-On Bolus Only BD PLASTIPAK HOLD KEY BELOW

ON HOLD BOLUS

200

ml/h

+ ADJUST −

BOLUS CONFIRM

VOLUME ml

1.5 TYPE

50

QUIT

1.

During infusion press the i button once to display the BOLUS MODE screen.

2. 3.

Use the f keys to adjust the bolus rate if required. To deliver the bolus press and hold the BOLUS softkey. When the desired bolus volume has been delivered or the bolus volume limit is reached, release the softkey.

Bolus Infusions

If the VTBI is reached during a bolus, the VTBI complete alarm will sound.

Hands-On and Hands-Free Bolus 1. 2.

Press the i button once to display the BOLUS MODE screen. Press the YES softkey to go to the HANDSFREE bolus screen or press HANDSON softkey.

3.

Use the f keys to adjust the bolus DOSE if required. If necessary press the RATE softkey to adjust the bolus delivery rate. Press the flashing BOLUS softkey once to begin the delivery of the preset bolus. To terminate a bolus being delivered press STOP softkey. This will stop the bolus

4. 5.

and continue infusing at the set rate. Press the h button to stop the bolus delivery and place the Pump on hold. Note: If the bolus volume reaches the set bolus volume limit the bolus will stop and the Pump will revert to infuse at the set infusion rate.

0000CF04568_Iss2_en.indd 6

0000CF04568 Iss. 2

6/14

26/08/2020 11:35:06

Rate Titration If Rate Titration is enabled: 1. 2.

Select the new rate using the f keys. The message <START TO CONFIRM> will flash on screen and the Pump continues to infuse at the original rate.

3.

Press the b button to start infusing at the new rate.

If Rate Titration is disabled: Press the h button to put the Pump on hold.

2.

Select the new rate using the f keys.

3.

Press the b button to start infusing at the new rate.

0000CF04568_Iss2_en.indd 7

Rate Titration

1.

0000CF04568 Iss. 2

7/14

26/08/2020 11:35:06

Volume To Be Infused (VTBI) 1.

Press the VTBI softkey on main display to enter the volume to be infused screen.

2.

Enter the volume to be infused using the f keys and press OK to confirm.

3.

Set the END RATE using the f keys. Press OK to confirm.

Setting VTBI over Time This option allows a specific VTBI and delivery time to be set. Stop the infusion. Press d button to access the options menu.

2.

Select the SET VTBI OVER TIME option using the f keys and press the OK softkey.

3. 4.

Adjust the volume to be infused using the f keys. Press the OK softkey to confirm.

5. 6.

Enter the time over which the volume is to be infused using the f keys . The infusion rate will automatically be calculated. Press OK softkey to enter the value or BACK to return to the VTBI.

7.

Set the END RATE using the f keys. Press OK to confirm.

VTBI

1.

0000CF04568_Iss2_en.indd 8

0000CF04568 Iss. 2

8/14

26/08/2020 11:35:06

*Pressure options only applicable if a pressure disc is fitted.

• If the Auto Set Pressure Option is enabled then the Pump automatically adjusts the pressure occlusion limit. • After 15 minutes of infusion the Pump automatically adjusts the occlusion pressure limit to XX mmHg above the average infusion pressure, taken from the average of the last five minutes of infusion. • The pressure adjusted, XX, which takes the AUTO OFFSET value configured and scales it dependent on the average infusion pressure. • At pressures up to 100mmHg the AUTO OFFSET value is added. From this pressure to above, the alarm level is set to whatever the AUTO OFFSET value is as a percentage above the average infusion pressure up to the maximum pressure of 1000mmHg.

Pressure Level with Pressure Disc fitted* Current in-line pressure

Pressure alarm limit ONPRESSURE HOLD LINE

59mmHg 89mmHg

+ ADJUST −

BD PLASTIPAK 07:50

TREND CONFIRM

AUTO TYPE

50 08:10

OK

Adjusts pressure alarm level

20 minute trend graph

1.

To check and adjust the pressure level, press the e button.

2.

Press the f keys to increase or decrease the alarm limit. The new limit will be indicated on the display. The AUTO Pressure feature may be used when a stable pressure has been achieved over a short period of infusion. The automatic pressure alarm level is set by pressing the AUTO softkey. Press the TREND softkey to view the pressure trend of the previous 12 hours. The pressure trend can be viewed at 15 minute intervals by using the + / − softkeys. Press OK to confirm the new limit and exit the screen.

3.

4.

5.

0000CF04568_Iss2_en.indd 9

0000CF04568 Iss. 2

Pressure with a pressure disc fitted

Auto Set Pressure (If enabled)*

9/14

26/08/2020 11:35:06

Pressure Level without Pressure Disc fitted Current in-line pressure

Pressure alarm limit

ON HOLD PUMPING PRESSURE

L1 L5

+ ADJUST −

BD PLASTIPAK

50

TYPE

OK

CONFIRM

Pressure without a pressure disc fitted

Adjusts pressure alarm level 1.

To check and adjust the pressure level, press the e button.

2.

Press the f keys to increase or decrease the alarm limit. The new limit will be indicated on the display. Press OK to confirm the new limit and exit the screen.

3.

0000CF04568_Iss2_en.indd 10

0000CF04568 Iss. 2

10/14

26/08/2020 11:35:06

Action

<Error Code and Message> The alarm system has detected an internal malfunction.

• Note the malfunction code. • Remove Pump from service for examination by a qualified service engineer.

DRIVE DISENGAGED The drive system has been disengaged during operation.

• Check the finger grips and the position of the syringe.

OCCLUSION Excessive pressure measured at the syringe plunger exceeding the alarm limit.

• Identify and remove the cause of the blockage in the drive, syringe, or administration system before restarting the infusion.

LINE OCCLUSION Excessive pressure measured in the extension set at the pressure sensing disc exceeding the alarm limit.

• Identify and remove the cause of the blockage in the patient access site, or administration system before restarting the infusion.

CHECK SYRINGE Incorrect size of syringe has been fitted, the syringe has not been positioned correctly or has been disturbed during operation.

• Check the syringe location and the position.

PRESSURE DISC OUT The pressure disc has been removed from the pressure transducer during the infusion.

• Replace the pressure disc then restart the infusion.

BATTERY LOW Battery charge low with 30 minutes operation remaining.

• Reconnect to the AC power supply to charge the internal battery and continue operation.

BATTERY EMPTY The internal battery is too low to operate the Pump.

• Immediately connect the Pump to the AC power supply and cycle the power to resume operation.

NEAR END OF INFUSION The Pump is nearing the end of the infusion.

• Prepare next infusion, if required.

END OF INFUSION The Pump has reached the end of the infusion.

• Prepare next infusion, if required.

0000CF04568_Iss2_en.indd 11

0000CF04568 Iss. 2

Alarms

Alarm

11/14

26/08/2020 11:35:06

Alarm

Action • Press the c button to silence the alarm, then press the CANCEL softkey to clear this message. • Check infusion rate and confirm by pressing

TITRATION NOT CONFIRMED The infusion rate has been changed, but has not been confirmed and two minutes has passed without any operation.

the b button or press the h button to revert to the previous rate. • Pressing QUIT will cancel the titration and keep the original rate.

Alarms continued

VTBI DONE The pre-set Volume To Be Infused is complete. AC POWER FAIL AC Power has been disconnected and the Pump is operating on battery power.

• Prepare next infusion, if required. • Reconnect AC power supply or press the c button to silence the alarm and continue with battery operation. • The alarm will automatically cancel if the AC power supply is reconnected.

ADD DRUG NOT COMPLETE The ADD DRUG operation has not been completed.

• Press CANCEL softkey and complete ADD DRUG option.

ATTENTION (with “3 Beeps”) Pump left on hold for two minutes without starting operation.

• Review Pump setup. • Start infusion or turn off Pump.

0000CF04568_Iss2_en.indd 12

0000CF04568 Iss. 2

12/14

26/08/2020 11:35:07

Display

Action

DOSE WOULD EXCEED Infusion rate entered exceeds a Guardrails™ soft limit. DOSE UNDER Infusion rate entered is under a Guardrails™ soft limit.

• Check the infusion setting. • To confirm OVERRIDE LIMIT? press YES. • To deny OVERRIDE LIMIT? press NO.

DOSE NOT PERMITTED Dose rate entered exceeds the hard maximum limit.

CONCENTRATION NOT PERMITTED Concentration entered exceeds the hard maximum limit, or is under the hard minimum limit.

• Check the infusion setting and adjust to appropriate required rate.

Prompts

RATE NOT PERMITTED Infusion rate entered exceeds the hard maximum limit.

BOLUS DOSE NOT PERMITTED Bolus dose entered exceeds the hard maximum limit. WEIGHT OUTSIDE LIMIT Patient weight entered exceeds or is under a Guardrails™ soft limit. BOLUS DOSE OVER Bolus dose entered exceeds a Guardrails™ soft limit. BOLUS DOSE UNDER Bolus dose entered is under a Guardrails™ soft limit.

0000CF04568_Iss2_en.indd 13

0000CF04568 Iss. 2

• Check the weight setting. • To confirm OVERRIDE LIMIT? press YES. • To deny OVERRIDE LIMIT? press NO. • Check the bolus setting. • To confirm OVERRIDE LIMIT? press YES. • To deny OVERRIDE LIMIT? press NO.

13/14

26/08/2020 11:35:07

BD Switzerland Sàrl, Route de Crassier 17, Business Park Terre-Bonne, Batiment A4, 1262 Eysins, Switzerland

bd.com BD, the BD Logo, Alaris and Guardrails are trademarks of Becton, Dickinson and Company or its affiliates. © 2020 BD. All rights reserved.

0000CF04568_Iss2_en.indd 14

26/08/2020 11:35:07