Agilia SP PCA WiFi Quick Reference Guide June 2020

Description Handset Keypad

Cover Lock

Protective Cover

Syringe Barrel Clasp

Disengagement Lever Plunger Driver Syringe Flange Cradle

Installation  Attaching the pump to its support 1. Push the blue release button to unfold the fixing clamp. 2. Orientate the fixing clamp to the desired position. 3. Screw clamp until fully secured to its support. 4. Insert the key and turn it anti-clockwise to lock the pump to its support.

 Plug power cord. The Power Supply Indicator lights up

Installing a syringe Connect the extension set to the syringe according to local practice. Prime and check that there is no air in the syringe or extension set. IMPORTANT: Ensure that the patient is not connected.

 Insert the key and turn it anti-clockwise to open the protective cover.  Place the syringe into the cradle, the flanges inserted in the provided slot.  Secure the syringe with the syringe barrel clasp.  Move the plunger driver gently until it makes contact with the plunger head.  Close the protective cover by pushing it firmly. Keep the key in a safe place.

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Powering on 1. Press the ON/OFF

key. An auto-test checks the functionality of the pump.

2. Immediately after powering on the pump, make sure that all LED lights blink.

Selecting a profile • Select the desired profile with the arrow keys. NOTE: profiles preceded by a light house contain drug libraries . • Confirm your choice by pressing

.

• If required enter the 4 digit PCA code.

Selecting a syringe • Press to confirm the displayed syringe, or (Edit) to change it and access the syringe list.

Setting drug concentration • Press the arrow keys to select concentration unit. • Confirm by pressing

.

• Press the arrow keys to adjust the concentration of the drug. • Confirm by pressing

.

Selecting the PCA mode • Press the arrow keys to select the required PCA mode • Confirm by pressing

.

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Programming a PCA bolus (if part of the PCA mode) • Press the arrow keys to adjust the PCA bolus dose. • Confirm by pressing

.

NOTE: the corresponding volume of bolus is automatically calculated and displayed. • Press the arrow keys to adjust the Lockout time in minutes. • Confirm by pressing

.

Programming a continuous rate (if part of the PCA mode) • Press the arrow keys to adjust the Continuous rate. NOTE: in dose mode, the corresponding flow rate in mL/h is automatically computed and displayed. • Confirm by pressing

.

Setting the cumulated limits (if part of the PCA mode) • Press the arrow keys to adjust the Duration over which the cumulated limits will be computed. • Press the arrow keys to adjust the Maximum dose allowed over the duration previously adjusted. • If required use the arrow keys to adjust the Maximum number of patient boluses allowed. • Confirm by pressing

.

Reviewing the PCA infusion settings Verify: - Drug concentration, - PCA mode, - Patient bolus dose (if any), - Backgroung rate (if any). • Confirm by pressing or,

.

• Press the CANCEL VALUE modify the programming.

key to

Verify: - Lockout time, - Maximum dose, - Maximum number of Patient Boluses. • Confirm by pressing or,

.

• Press the CANCEL VALUE modify the programming. Page 4

key to

Reviewing the PCA infusion settings (continued) Verify: - Estimated duration of the infusion, based on setting. - Estimated number of PCA boluses available. • Confirm by pressing or,

.

• Press the CANCEL VALUE modify the programming.

key to

Starting a PCA infusion - Check that there is no air in the syringe or in the extension set. - Connect the extension set to the patient’s access device. - Check the integrity of the fluid delivery path. • Press or,

to begin infusion.

• Press (Review) to return to programming.

Administering a PCA bolus (patient bolus) The patient can self-administer a PCA bolus if allowed by the PCA infusion programmed on the pump. NOTE: check handset connection to the pump. • Give the handset to the patient and explain to the patient how to trigger a bolus. • A sound signal is emitted whenever the bolus button is pressed.

Monitoring the running PCA infusion After starting a PCA infusion, you can monitor the infusion on the screen. - Drug concentration (if any), - BOLUS ONLY or Current rate (if any), - Availability of the PCA bolus (if configured). One green LED lit: infusion started but not currently infusing.

• When a PCA bolus is being administered, the remaining bolus dose is displayed in dose and in %. Green LEDs flashing regularly to indicate infusion in progress.

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Displaying PCA history Press the PCA history

key to display PCA infusion data.

PCA infusion data is saved on the pump for the last 24 hours. During PCA infusion, or after it has ended, you can display information on PCA treatment received by a patient. In this example, over the last 4 hours: - The total dose is 15.9 mg, - 10 PCA boluses have been administered, - 14 PCA boluses have been requested. • Press progress.

for details on treatment in

In this example, after 4 hours: - The total dose was 2.99 mg, - 1 PCA bolus was given, - No clinician boluses given, - 1 PCA bolus was requested. • Press / to move the event marker to the Left / Right. • Press

/

to zoom In / Out.

PCA treatment total dose (from beginning) Press the MENU treatment).

key, then press the arrow keys to select

(PCA

Summary information on the PCA treatment administered is displayed: - Total dose infused, - Number of PCA boluses and clinician boluses, - Time since the beginning of treatment. NOTE: to clear the total dose, STOP the infusion and enter the passcode first.

Reviewing the program during cycle

• Press (Review) to access program review during PCA cycle.

• Press to review the different parameters of the current infusion • Press

to move backwards.

• Press the CANCEL VALUE Page 6

key to escape.

Modifying a running PCA infusion At any time during a PCA infusion, you can modify the infusion settings. You must enter the passcode for PCA therapy if prompted. • Press the STOP PCA treatment.

key to interrupt the

• Press (Review) to select the summary of PCA settings: the current PCA delivery mode is displayed.

• Press (Edit) to change the PCA delivery mode, or, • Press to select other items of the current program. In this example, the patient bolus parameters: • Press

(Edit).

• Re-adjust to the new parameters. • Review the new parameters by pressing . • Press to resume the infusion with the new settings.

Clinician bolus • Press the key: The screen displays the choice of a PCA bolus or Clinician bolus. • Press bolus .

to confirm access to Clinician

NOTE: enter the passcode for PCA therapy if prompted. • Press the arrow keys to adjust the Dose of the Clinician bolus. NOTE: if you have already administered a PCA bolus, the previous dose is displayed. • Confirm by pressing

.

• Press to administer the Clinician bolus. Monitor the progress of the bolus on the screen.

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Keypad description On / Off

Arrow keys - Increment (fast / low)

Arrow keys - Decrement (low / fast)

Confirm Value / Move to next field

Stop

Bolus / Prime

PCA History / Menu

Cancel Value / Move back to previous field

Alarm silence

Light indicators Power Supply Indicator: - lit when connected to AC, - unlit when disconnected. Battery Charge Status Indicator: - blinking when charging, - permanent lit when fully charged. Infusion started: constant green. (Infusion started in PCA bolus only mode) Infusion in Progress: flashing green. Low-Priority Alarm: constant yellow. Medium-Priority Alarm: flashing yellow. High-Priority Alarm: flashing red. Page 8

Notes

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This document may contain inaccuracies or typographical errors. Modifications may thus be made, and included in later editions. Due to the evolution of standards, and of legal texts and materials, the characteristics indicated in the text and images of this document are applicable only to the device with which it is included.

Fresenius Kabi Australia Pty L:imited Level 2, 2 Woodland Way, Mount Kuring-gai NSW 2080, Australia Phone: 1300 732 001 www.fresenius-kabi.com/au PM2020.759 Published June 2020

Fresenius Kabi New Zealand Limited 60 Pavillion Drive, Mangere Auckland, 2022. New Zealand www.fresenius-kabi.com/nz TAPS MR6850