Quick User Guide
2 Pages
Preview
Page 1
Alert and alarm conditions When the ALERT activates:
1. The infusion continues 2. Three beeps are heard approximately every three/four minutes
Screen
The alert activates approximately 15-30 minutes prior to an alarm state
When the ALARM activates:
1. The infusion stops 2. The LED indicator light turns from green to red
Ambulatory Syringe Pump
3. The alarm sounds continuously until either the pump is paused or the problem is rectified 4. An error message appears on the display indicating the alarm cause
Rate Setting and Rate Mode (LOCK OFF) Quick user guide Feature recognition
Description
Implication/Action
STOP/NO • Takes user back a step during programming • Stops delivery
Low Battery
Alert: Battery life is almost depleted
Prepare to charge battery
Near End
Alert: Infusion will end soon
Prepare to change syringe or turn pump off
Pump Paused Too Long
Alarm: Pump has been left in STOP mode (on hold) for 2 minutes
Either start the infusion, continue pause or turn the pump off
End Battery
Alarm: Internal battery is depleted
Charge battery immediately
Syringe Empty, Remove Syringe
Alarm: Current infusion programme has completed/syringe is empty
Power the pump off or change the syringe to start a new infusion
Syringe Displaced, Check Syringe
Alarm: One or more of the syringe detection sensors is not detecting
Check screen messages for assistance / Check the syringe and re-seat as necessary
Occlusion
Alarm: Pt access device is either blocked, occluded, clamped or kinked
Flush/replace access device, release the clamp or un-kink tubing
Technical problem/error and failure identification
Two examples of system failure screen messages are shown in the boxes (right).
The pump alarms if an internal system fault has been detected and the unit will be inoperative. • Power the pump off and then power on again, this may rectify the problem. • If the problem cannot be rectified, power off the pump and remove from patient use. Follow local policy and/or contact your authorised Medical Engineering Department for advice if necessary. If possible, record the code number and a summary of the fault. Refer to Operating Manual for details on Keypad Lock
System Error. Press & Hold INFO for Details
ERROR Startup MotMov Fail If problem persists send pump for service.
CME Medical UK Ltd Kincraig Business Park, Kincraig Road, Blackpool FY2 0PJ
PLUS/MINUS To scroll up or down through list of options
FF (Forward)/BACK Adjusts position of actuator for syringe loading
Tel: 01253 894646 Fax: 01253 896648 [email protected] www.cmemedical.co.uk
Doc Ref: T60 QUG Rate Setting & Rate Mode (Lock Off): T60 QUG/Rate /v7/June 2013
Troubleshooting
3. A screen message alternates with the infusion running screen until the end of the battery/infusion
Power ON/OFF Turns pump on and off
START/YES • Confirms choices during programming • Starts delivery
INFO • Accesses info menu (with infusion paused/stopped) • Accesses infusion information during delivery • Locks and unlocks keypad
CME Medical Device Training is RCN Accredited The information contained in this guide is a summary only, based on default settings. Refer to Operating Manual for full operating instructions. Users must have undertaken training before operating this device. Screen information is representative only and some text wording/screen information may vary slightly with different software versions. You must refer to local policy and procedures for specific guidance on pump settings/set-up and use of accessories (e.g. cannula and administration lines). Always follow screen prompts. Before pressing keys to proceed, ensure selections made correspond with what is required.
Starting an Infusion Rate Setting and Rate Mode (Lock Off)
7. Screen display for Rate Setting: (Default ml/h rate displays)
Scenario
Check or change ml/h rate
Pump settings: Lock OFF, default duration 0 hours Syringe: 20ml BD Plastipak, syringe volume 12ml with primed line Infusion required: Start an infusion of 2ml/h
NOTE: If Rate Change during infusion is enabled, maximum and minimum limits are set automatically
Enter the infusion rate required
1. Ensure barrel clamp arm is down and no syringe in place
3. Software version and pump identification displays •
The actuator is moving to the position of the last syringe that was in place at the start of the previous infusion
•
Pump default settings display
•
Check battery level: press INFO key then YES.
Open syringe cover, align syringe to sensors and use the FF/BACK keys to move the actuator for syringe placement if necessary.
xxx Version LCAT xxxxx ID: Syringe Pump
6. Change volume if required. Confirm by pressing YES
Rate 2 ml/h
Confirm , Press YES
20ml BD Plastipak
Rate 0 ml/h
Confirm by pressing YES
Change +/- , Press YES
20ml BD Plastipak
Rate 2 ml/h
Confirm , Press YES
9. Infusion summary displays. Check all settings and confirm by pressing YES. If purging, press FF key before pressing YES and follow screen prompts 10. Connect line to patient access device. Press YES to start the infusion when ready to do so
Start infusion?
11. Visually check that the Infusion Running screen is visible and the green light flashes intermittently
Time Remaining 06:00
Pre-Loading Use NO to Interrupt
Occlusion XXX mmHg Max rate 5ml/h Program lock OFF Battery status 90%
Rate 2.0ml/h
<<< Pump Delivering 20ml BD Plastipak
Monitoring during infusion
Load Syringe
Occlusion XXX mmHg Max rate 5ml/h Program lock OFF Battery status 90%
Change +/-, Press YES
• Scroll menu using +/- keys and press YES to view the option selected Pre-Loading and Automatic Actuator Movement
VI 0.0
Empty
To change the rate, press and hold down (+/-) key
Time Remaining 06:00
Rate 2 ml/h
<<< Pump Delivering 20ml BD Plastipak
20ml BD Plastipak
Rate 1.0 ml/h
Change +/- , Press YES
Continue to press down until rate required displays, then release
20ml BD Plastipak
Rate 1.0 ml/h
Change +/- , Press YES
Check that the Time Remaining 12:00 correct rate is Rate 1 ml/h displaying and that <<< Pump Delivering 20ml BD Plastipak the duration has changed accordingly
When the rate is increased, the infusion duration will decrease When the rate is decreased, the infusion duration will increase
If an incorrect syringe brand displays and the correct syringe does not appear in the menu, lift the barrel clamp arm and re-seat correctly so that the correct syringe displays. If a syringe brand and size displays which differs from the syringe inserted, scroll through the syringe options to find the correct syringe. When the correct syringe displays, confirm and the “YES to Resume, NO for New Syringe” screen will display. Press YES to Resume, NO for New Syringe
Pressing YES retains the current programme (ml/h rate is resumed)
Pressing NO deletes the current programme, so a new programme can be entered/confirmed.
• If you increase the syringe volume and resume the programme/syringe, the duration of delivery will increase (resets Volume Infused history to zero)
• These sequences clear a programme if still in the pump memory
Press YES to Resume, NO for New Syringe? 90% Full
WARNING: If you re-confirm an incorrect syringe brand/ size, your current programme will be deleted and the “YES to Resume, NO for New Syringe” screen will not display.
Pre-Loading and Automatic Actuator Movement commences when the pump is powered up, the barrel clamp arm is down and no syringe is in place. During Pre-Loading, simultaneous screens display pump information and the actuator moves automatically
Battery Level
2. Check rate is correct. Press YES to confirm
• •
• Battery Level / Exit / Rate Setting / Event Log / Change Set-up (Rate Setting and Change Set Up are access-code protected)
Infusion Summary
Scenario Change infusion rate from 2ml/h to 1ml/h
20ml BD Plastipak
Volume 12ml
Options for viewing are:
Press INFO key twice:
Remove/apply keypad lock if necessary 1.
With no infusion running, press the INFO key.
Press INFO key once:
Rate Titration/Change During Infusion (if enabled) 20ml BD Plastipak Change +/- , Press YES
Accessing the Info menu
• At the end of Pre-Loading the actuator returns to the start position of the last infusion programmed
VTBI 12.0
The syringe brand displayed MUST match the syringe used. If necessary use +/- keys to select the matching syringe 5. Observe pump default settings and wait for next screen to display
Change +/- , Press YES
20ml BD Plastipak
Volume 12.0ml Duration 06:00 Rate 2.0ml/h Confirm, Press YES
Raise barrel clamp arm, load the syringe and lower arm 4. If the syringe size/brand displayed matches the one used, confirm by pressing YES
Rate 0.5 ml/h
Confirm by pressing YES
8. Screen display for Rate Mode: (0 ml/h rate displays)
Connect pump to mains power supply and attach to pole mount as applicable 2. Press and hold down the ON/OFF key until the screen illuminates. The actuator moves (pre-loading) and the first four screens display automatically
20ml BD Plastipak
Pump features and functions
The screen prompt “Press YES to Resume, NO for New Syringe” will display if the programme is interrupted in some way during start-up checks (if still available in the pump memory); for example, if, following an alarm and during start-up checks, the pump is powered off and powered on with a syringe in place, or with no syringe in place and the barrel clamp raised. If this screen does not display during the start-up sequence, there is no programme available in the pump memory. 20ml BD Plastipak Select +/-, Press YES
When the syringe size/brand displayed matches the one used, confirm by pressing YES.
(If necessary use +/- keys to find the matching syringe)
The important feature to remember is that “Resume” protects the infusion rate for the current programme, so:
• If you decrease the syringe volume and resume the programme/syringe, the duration of delivery will decrease (volume displays in Volume Infused history)
Purge option (if enabled) To reduce or eliminate slack (visible spaces at the syringe collar and plunger loading points) and ensure a faster start-up time (time to reach the programmed infusion rate), you can purge the system once only up to a configured volume limit.
Follow local policy/procedure for the appropriate option to press when the screen prompt “Press YES to Resume, NO for New Syringe” displays following purge. If you press “YES to Resume” the purge volume will display in the Volume Infused history.