IVAC
IVAC P7000 Mk II Directions for Use Issue 7
Directions for Use
144 Pages
Preview
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12-09-2003
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Manufacturer’s Address: ALARIS Medical UK Ltd The Crescent Jays Close Basingstoke Hampshire RG22 4BS United Kingdom www.alarismed.com
P7000 Mk II Actilyse / Alteplase
Directions for Use Istruzioni per l’uso Gebrauchsanweisung
P7000 GB/I/D
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Contents English
Getting Started
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Introduction... 2 Features of the IVAC® P7000 Actilyse... 2 Controls and Indicators... 3 Front Panel and Main Display... 3 Operating Precautions... 4 - 5 Installation... 6 Pole Clamp... 6 Functional Earth... 6 Replacing the AC Fuses... 6 Loading a Syringe... 7 Starting the Pump - Actilyse Mode... 8 Power ON/OFF... 9 Purge... 9 Actilyse Operation Differences... 9 Review... 10 Pressure Level with Pressure Set fitted... 10 Pressure Level without Pressure Set fitted... 10 Clear Volume... 11 Cancel Actilyse... 11 24H Log... 12 Event Log... 12 Starting the Pump - Normal Mode... 13 Power ON/OFF... 14 Purge... 14 Bolus Infusions... 14 Review... 15 Pressure Level with Pressure Set fitted... 15 Pressure Level without Pressure Set fitted... 15 Drugs and Dosing - Drug Name Only... 16 Drugs and Dosing - Using Pre-configured Drug Dosing Protocol . . 16 Drugs and Dosing - Using User-programmed Drug Dosing... 16 Volume to be Infused (VTBI)... 17 Set VTBI Over Time... 17 Set by Doserate / Set by ml/h... 18 Selecting the Set by Doserate Option... 18 Selecting the Set by ml/h Option... 18 Clear Volume... 19 Induction... 19 Multidose... 20 Clear multidose... 20 24 H Log... 21 Event Log... 21 Rate Lock... 22 Disable Rate Lock... 22 Re-Enable Rate Lock... 22 Alarm Procedures... 23 - 24
Configured Options
Drug Set-up... 25 - 26 General Options... 27 - 28 Clock Set... 29 Hospital Name... 30 Enable Syringes... 31 Enable Units... 32 i / vi 7001FAOPT7H ISS 7
Contents English cont. Specifications
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RS232 / Nursecall Feature... 101 Self Test Routine... 103 - 106 Configuration Record... 107 Symbol Definition and Equipment Classifications... 109 Specifications... 110 - 115 Routine Maintenance Procedures... 116 Disposal... 116 Cleaning and Storage... 116 Battery Operation... 120 Occlusion Pressure Limits for IVAC® 50ml Syringes... 122 - 123 Spare Parts... 124 Service Equipment... 125 Trumpet and Start-up Curves... 126 - 129 Technical Description... 130 Service Contacts... 132 Warranty... 133
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Getting Started Introduction The IVAC® P7000 Actilyse is a fully featured high end variable pressure syringe pump suitable for critical care applications. The IVAC® P7000 Actilyse variable pressure pump is one of the IVAC® family of "P" Series syringe pumps. Many aspects of general operation, performance, accuracy and safety checking systems designed into the P7000 unit are common throughout the range. The IVAC® P7000 Actilyse functions with a range of standard, single use, disposable Luer-lock syringes of various types and accepts sizes from 5ml to 100ml. With the Actilyse dosing schedule option enabled, the pump can offer all the features of the IVAC® P7000 Actilyse or the ability for a pre-programmed multiphase protocol for the dispensing of the Actilyse drug. 100mg of Actilyse is reconstituted in 100ml of water for injections giving a fixed concentration of 1mg/ml. Set-up of the Actilyse protocol requires entry of patient weight in the range 40kg to 150kg. Upon confirmation of weight the protocol is calculated as follows. Stage 1. Always set at 15mg at the cap bolus rate (typically 1200ml/h). Stage 2. For patients with weight of 65kg and above, 50mg is infused in 30mins. For patients below 65kg dose is 0.75mg per kg of patient weight in 30min (maximum 50mg). Stage 3. For patients with weight of 65kg and above, 35mg is infused in 60mins. For patients below 65kg dose is 0.5mg per kg of patient weight in 60min (maximum 35mg). Example 1 - 83kg patient. Stage 1 - 15mg bolus. Rate = cap bolus rate (typically 1200ml/h) Stage 2 - 50mg dose. Given concentration of 1mg/ml volume to dispense is 50.0ml in 30mins giving rate of 50.0 x 2 = 100ml/hr. Stage 3 - 35mg dose. Given concentration of 1mg/ml volume to dispense is 35.0ml in 60mins giving rate of 35.0 x 1 = 35.0ml/hr. Example 2 - 62kg patient. Stage 1 - 15mg bolus. Rate = cap bolus rate (typically 1200ml/h) Stage 2 - 62kg x 0.75mg/kg = 46.5mg dose. Given concentration of 1mg/ml volume to dispense is 46.5ml in 30mins giving rate of 46.5 x 2 = 93.0ml/hr. Stage 3 - 62kg x 0.5mg/kg = 31.0mg dose. Given concentration of 1mg/ml volume to dispense is 31.0ml in 60mins giving rate of 31.0 x 1 = 31.0ml/hr.
Features of IVAC® P7000 Actilyse
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Actilyse Compatible.
Rate range 0.1 to 1200ml/hr.
In-line pressure monitoring 0 to 750mmHg.
Optional auto setting of pressure alarm.
Large graphics format display includes pressure trending.
24 hour logging of volume and mass.
Event logging records operation of the P7000.
Optional auto bolus reduction following occlusion alarm.
Optional fast start facility reduces infusion start-up delays.
Communications and nurse call interfaces.
Multi-position pole clamp.
Configurable drug protocols for simplified drug dosing.
Programmable multidose and induction protocols. 7001FAOPT7H ISS 7
Getting Started Controls and Indicators START Button - Press to start the infusion. STOP Button - Press to stop the infusion. The Amber light will flash to indicate an alarm.
MAIN DISPLAY - For screen information see Front Panel and Main Display. Press PURGE/BOLUS to purge the extension line during set up while the pump is stopped or to bolus at an accelerated rate while an infusion is running.
PRESSURE TRANSDUCER - Detects if an infusion line with a pressure disc is fitted. The pressure transducer will measure positive infusion line pressures.
AC POWER - When illuminated the unit is connected to AC power and the internal battery is being charged.
OPTIONS button - Press the OPTIONS button to access drug name and other optional features.
PRESSURE - Use the PRESSURE button to display the pumping pressure.
BATTERY - When illuminated the pump is running on the internal battery. When flashing the battery power is low, less than 30 minutes of use remains.
Use “Blank Soft Keys” in conjunction with the prompts shown on the display.
Use “Double Chevron” for fast increase / decrease and the “Single Chevron” for slower increase / decrease of values shown on the display in set-up and configuration. Are also referred to as the rate keys.
ON/OFF - Press once to switch the pump ON. Press and hold down for 3 seconds to switch the pump OFF.
Front Panel and Main Display Pump Status
Syringe Type
Time Review Data
Infusion Rate
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Getting Started Operating Precautions This IVAC® pump has been calibrated for use with single use disposable syringes. To ensure correct and accurate operation, only use LuerLock versions of the syringe make and size specified on the pump or described in the directions for use. Use of non-specified syringes or administration sets may impair the operation of the pump and the accuracy of the infusion. Uncontrolled flow or syphoning may result if the syringe is located on the pump without its finger grips and plunger correctly located in the slots provided, or if it is removed from the pump before the extension line is properly isolated from the patient. Isolation may include closing a tap in the patient line or activating a flow stop clamp. When combining several apparatus and/or instruments with administration sets and other tubing, for example via a 3 way tap, the performance of the pump may be impacted and should be monitored closely. Do not mount the pump in a vertical position with the AC power inlet or the syringe pointing upwards. This could affect electrical safety in the event of a fluid spill over the unit or lead to an infusion of air which may be in the syringe. To protect against the introduction of air the user should regularly monitor the progress of the infusion, syringe, extension line and patient connections and follow the priming procedure specified in the purge procedure in Getting Started. This is a positive pressure device designed to achieve very accurate fluid administration by automatically compensating for resistance encountered in the infusion system. The pumping pressure alarm system is not designed to provide protection against, or detection of, infiltration conditions which can occur at low pressures. Several alarm conditions detected by this pump will stop the infusion and generate audible alarms. Users must perform regular checks to ensure that the infusion is progressing correctly and no alarms are operating. 4 / 134
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Getting Started Operating Precautions This instrument is protected against the effects of external interference, including high energy radio frequency emissions, magnetic fields and electrostatic discharge (for example, as generated by electrosurgical and cauterising equipment, large motors, portable radios, cellular telephones etc.) and is designed to fail safe if unreasonable levels of interference are encountered. In some circumstances the unit may be affected by an electrostatic discharge of above 8kV. At test levels lower than these values the unit will operate normally. In rare circumstances the unit may be affected by radio frequency radiation above a level of 3V/m. If the unit is affected by this external interference the unit will fail safe or reset, (a call back alarm will occur after 2 minutes). Should false alarm conditions be encountered either, remove the source of the interference, or regulate the infusion by another appropriate means. This unit emits a certain level of electromagnetic radiation which is within the levels specified by IEC60601-2-24 and IEC60601-1-2. If however the unit interacts with other equipment measures should be taken to minimise the effects, for instance by repositioning or relocation. If this instrument is dropped, subjected to excessive moisture, humidity or high temperature, or otherwise suspected to have been damaged, remove it from service for inspection by a qualified service engineer. An explosion hazard exists if the instrument is used in the presence of flammable anaesthetics. Exercise care to locate the unit away from any such hazardous sources. An electrical shock hazard exists if the units casing is opened or removed. Refer all servicing to qualified service personnel. A comprehensive service manual containing circuit descriptions, servicing and testing information is available for this unit. It can be ordered from your ALARIS Medical Systems® authorised distributor (Technical Service Manual Part Number 6000PB00001). 7001FAOPT7H ISS 7
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Getting Started Installation Check that the pump is complete, undamaged and that the voltage rating specified on the base plate is compatible with your AC power supply. Items supplied with this ALARIS Medical Systems® syringe pump are;
IVAC® P7000 ACTILYSE SYRINGE PUMP MULTI-POSITION POLE CLAMP DIRECTIONS FOR USE AC POWER CABLE (AS REQUESTED) PROTECTIVE PACKAGING
Connect the unit to the AC power supply for 24 hours to ensure that the internal battery is fully charged. Should the pump fail to perform correctly, replace it in its original protective packaging and contact a qualified service engineer for investigation.
Pole Clamp The pole clamp is supplied fitted to the rear of the unit and will provide secure fixing to standard I.V. poles of a diameter of up to 40mm. The pole clamp can also be fitted in a choice of 4 fixing positions allowing the unit to be mounted to vertical and horizontal poles, equipment rails and hospital furniture in a variety of convenient operating orientations. The pole clamp may be adjusted for use with horizontal fittings by using the existing fixings screws with the alternative fixing holes in the pole clamp. The multi position pole clamp hinge will support the unit at a range of angles on an I. V. pole. To adjust the angle the unit needs to be secured to a pole; using a hand at either end of the instrument, change the screen viewing and syringe access angle of the instrument. Important: Do not mount the unit with the AC power inlet or the syringe pointing upwards. This could affect the electrical safety in the event of a fluid spill or lead to the infusion of air which may be in the syringe.
Replacing the AC Fuses If the pump continually illuminates the battery symbol and the AC power indicator light does not illuminate when the pump is connected to the AC power supply and switched ON, suspect that either, the power supply fuse in the AC power plug, or, the internal AC fuses have blown. First check the power supply fuse in the AC mains plug. If the AC power indicator light does not illuminate remove the pump from service. It is recommended that only a qualified service engineer replaces the AC fuses. For further information regarding the replacement of the internal AC fuses refer to the technical service manual.
Functional Earth It should be noted that the PSU fitted to this pump is functionally earthed. The functional earth feature has been designed to prevent electrical interference to other medical or electrical equipment. The AC power supply applied to this pump must have an earth conductor. Important: This provides a functional earth, not a protective earth. 6 / 134
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Getting Started Loading a Syringe Place the pump on a stable horizontal surface or secure using the pole clamp fitted. Prepare, load and prime the single use disposable syringe and extension line using standard aseptic techniques. Important: Only use a syringe of the type stated on the pump labelling.
1. Squeeze the finger grips on the plunger holder and slide the mechanism to the left. Lift the syringe clamp and rotate to the left. 2. Insert the syringe into the slots on the plunger holder. 3. Squeeze the finger grips on the plunger holder and slide the mechanism to the right until the syringe finger flanges locates in the V slot. Important: Advance the syringe until the finger flanges touch the front of the V slot closest to the syringe clamp. This is important to prevent delay at the start of the infusion.
4. Release the finger grips. Apply gentle pressure on the plunger holder to ensure that the drive is engaged. Rotate the syringe clamp forward until it locks onto the syringe barrel. 5. Check that the syringe plunger and finger flanges are correctly located in their slots.
Important: Only use a syringe of the type and size indicated on the pump or in this manual. Using an incorrect syringe could adversely affect the accuracy of the infusion and the performance of the pump. When initially loading the syringe, allow for the volume of fluid contained in the extension line and retained in the syringe at the end of infusion as this “deadspace” will not be infused. 7001FAOPT7H ISS 7
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Getting Started - Actilyse Mode Starting the Pump in Actilyse Mode 1. Connect the pump to an AC power supply using the AC power cable. Press the ON/OFF button. 2. NEW PATIENT ? - Answering NO will retain all previous patient history. YES will automatically reset the patient history to zero. Press the CONFIRM softkey to confirm the selection. 3. USE ACTILYSE ? - Answer YES to put the unit into the Actilyse set up screen. 4. WEIGHT - Enter patient weight using the chevron keys and press OK. 5. PROTOCOL DISPLAY - Check protocol displayed and press CONFIRM to continue or BACK to change patient weight. On confirmation of protocol check that time and date displayed are correct. 6. CONFIRM SYRINGE - Check that the syringe type and size matches the display. If required, the type of syringe can be changed by pressing the TYPE button. Press CONFIRM when the correct type and size are shown. The display will show the current Actilyse stage and ACTILYSE flashed with ON HOLD. 7. PURGE (if required) Press the PURGE/BOLUS button then the two PURGE buttons together until fluid flows and the syringe extension line priming is complete. The volume used during priming will be displayed on the display. 8. CONNECT PATIENT - Connect the extension line to the patient access site, and insert the pressure disc into the pressure transducer. 9. START - Press START to commence operation. INFUSING will be displayed and the progress of each of the three Actilyse stages will be shown on the right hand side of the display. 10. STOP - On completion of the Actilyse protocol the infusion will stop. The display will show the total volume infused. The instrument will return to normal mode operation.
Important: The unit will automatically operate from its internal battery if the pump is switched on without being connected to the AC power supply. Each time the unit is switched ON, check that the alarm beeps twice and that all the segments of the display, the green and amber lights are illuminated during the self test routine. 8 / 134
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Getting Started - Actilyse Mode Power ON/OFF To power up the unit press the power on/off button once. To power off the unit press and hold down the power ON/OFF button for 3 seconds. The display will count down and switch the unit OFF.
Purge The PURGE button allows the delivery of a limited volume of fluid in order to purge the extension line prior to being connected to a patient or after changing a syringe. The purge function cannot be used if the rate lock is enabled. 1. To use the purge option stop the pump and press the PURGE button. 2. The display will change and show two purge softkeys. Press the two PURGE softkeys simultaneously. The purged volume is not added to the volume infused. 3. When the purging function has been completed press the QUIT softkey to exit the menu.
P7000 Actilyse Operation Differences With the Actilyse option enabled the operation of the P7000 differs in the following ways:
Rate Lock is permanently set and no option to change rate directly will be presented regardless of the RATE LOCK setting in general options. Rate Titration is NEVER possible regardless of the RATE TITRATION setting in general options. Bolus operation is NOT permitted during Actilyse operation.
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Getting Started - Actilyse Mode REVIEW Review 1. To review the protocol data press the REVIEW softkey. 2. The protocol data will be displayed in the main display. 3. Press the REVIEW softkey to toggle between the pressure setting and the Actilyse stage display. 4. Repeat until the protocol data required is displayed in the main display.
Pressure level with pressure set fitted (dedicated) 1. To check and adjust the pressure level press the PRESSURE button. The display will change and a bar graph will show the pressure alarm level and current pressure level. 2. To adjust the alarm level press the rate keys to increase or decrease the level. The new level will be indicated on the display. 3. When the pressure level has been selected press QUIT to exit the screen. 4. If the Auto Pressure Option has been enabled (see General Options) an automatic pressure alarm level can be calculated and set by pressing the AUTO softkey.
Pressure level without pressure set fitted (non-dedicated) 1. To check and adjust the pressure level press the PRESSURE button. The display will change and a bar graph will show the pressure alarm level and current pressure level. 2. To adjust the alarm level press the rate keys to increase or decrease the level. The new level will be indicated on the display. 3. When the pressure level has been selected press QUIT to exit the screen. 10 / 134
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Getting Started - Actilyse Mode The following options which would be available in the normal P7000 operating mode are NOT available in the Actilyse mode when the OPTION (?) button is pressed: Drugs and Dosing Set VTBI Set VTBI over Time Rate Lock Volume over Time Induction Multidose
Clear Volume
1. Press the ? button to access the options menu. 2. Select the CLEAR VOLUME option using the chevron keys and press the OK softkey indicated on the screen. 3. The volume infused will be displayed. 4. Press the YES softkey to clear the volume infused displayed. Press the NO softkey to retain the volume.
Clear Actilyse 1. With the infusion stopped, press the ? button to access the options menu. 2. Select the CLEAR ACTILYSE option using the chevron keys and press the OK softkey indicated on the screen. 3. This clears the Actilyse protocol and returns the unit to normal mode operation.
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Getting Started - Actilyse Mode 24H Log This option provides a graphical representation and an hour by hour record of the drug amount administered to the patient over the last 24 hour period.
1. Press the “?” button to access the options menu.
2. Select the 24H LOG option using the chevron keys and press the OK softkey indicated on the screen.
3. Press the NEXT softkey indicated on the screen to access the hourly volume infused log.
4. Press the QUIT softkey to exit the log.
Event Log This option can be modified within general options to show the full contents of the log or the last patient records only. 1. Press the ? button to access the options menu. 2. Select the EVENT LOG option using the chevron keys. 3. Press the OK softkey indicated on the screen. 4. Press the QUIT softkey indicated on the screen to exit the menu.
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Getting Started - Normal Mode Starting the Pump - Normal Mode 1. Connect the pump to an AC power supply using the AC power cable. Press the ON/OFF button 2. NEW PATIENT? - Answering NO will retain all previous patient history. YES will automatically reset the patient history to zero, press the CONFIRM softkey to confirm selection. Check time and date is correct. 3. CONFIRM SYRINGE - Check that the syringe type and size being used matches the display. If required, the type of syringe can be changed by pressing the TYPE button. 4. Press CONFIRM when the correct type and size are shown. 5. SET A RATE - Check the rate shown if old patient data has been retained and change the rate if necessary using the ADJUST buttons. 6. PURGE (if required) - Press the PURGE/BOLUS button then the two PURGE softkeys together until fluid flows and priming of the syringe extension line is complete. The audible alarm will operate during use of the PURGE softkeys and the volume used during priming will be shown on the display. 7. CONNECT PATIENT - Connect the extension line to the patient access device, and insert the pressure disc into the pressure transducer. 8. START - Press START to commence operation. INFUSING will be displayed. The AMBER STOP light will be replaced by the flashing GREEN START light to indicate that the pump is operating. 9. STOP - Press STOP to halt operation. The AMBER light will replace the GREEN light. Important: The unit will automatically operate from its internal battery if the pump is switched on without being connected to the AC power supply. Each time the unit is switched ON, check that the alarm beeps twice and that all the segments of the display, the green and amber lights are illuminated during the self test routine. 7001FAOPT7H ISS 7
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Getting Started - Normal Mode Power ON/OFF To power up the unit press the power on/off button once. To power off the unit press and hold down the power ON/OFF button for 3 seconds. The display will count down and switch the unit OFF.
Purge The PURGE button allows the delivery of a limited volume of fluid in order to purge the extension line prior to being connected to a patient or after changing a syringe. The purge function cannot be used if the rate lock is enabled. 1. To use the purge option stop the pump and press the PURGE button. 2. The display will change and show two purge softkeys. Press the two PURGE softkeys simultaneously. The purged volume is not added to the volume infused. 3. When the purging function has been completed press the QUIT softkey to exit the menu.
Bolus Infusions The bolus feature can be used during induction as well as during infusion. If the volume of the bolus reaches the bolus volume limit the bolus will stop and the pump will automatically revert to infuse at the set rate. If the volume to be infused is reached during a bolus, the volume to be infused complete alarm will operate and the unit will revert to its previous state. Press MUTE to stop the alarm or CANCEL to acknowledge the alarm. 1. During infusion press the BOLUS button once to display the bolus screen. 2. Use the chevron keys to set the bolus dose required. 3. To deliver the bolus press the two BOLUS softkeys simultaneously. During the bolus the unit will display the volume being infused. 4. When the desired bolus has been delivered, release the two bolus softkeys. The bolus volume will be added to the total volume infused. Press QUIT to exit the bolus screen. Important: Alarms are not disabled during the operation of the bolus feature. The pressure alarms are temporarily increased to their maximum levels during the operation of the bolus feature. A bolus cannot be administered if the rate lock is enabled or if a multidose set-up is in use.
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Getting Started - Normal Mode Review REVIEW 1. To review the protocol data press the REVIEW softkey. 2. The protocol data will be displayed in the main display. 3. Press the REVIEW softkey to toggle between the pressure setting and the VTBI status. 4. Repeat until the protocol data required is displayed in the main display.
Pressure level with pressure set fitted (dedicated) 1. To check and adjust the pressure level press the PRESSURE button. The display will change and a time phase graph will show the pressure alarm levels over a set period of time, and the current pressure level. 2. To adjust the alarm level press the rate keys to increase or decrease the level. The new level will be indicated on the display. 3. When the pressure level has been selected press QUIT to exit the screen. 4. If the Auto Pressure Option has been enabled (see General Options) an automatic pressure alarm level can be calculated and set by pressing the AUTO softkey.
Pressure level without pressure set fitted (non-dedicated) 1. To check and adjust the pressure level press the PRESSURE button. The display will change and a bar graph will show the pressure alarm level and current pressure level. 2. To adjust the alarm level press the rate keys to increase or decrease the level. The new level will be indicated on the display. 3. When the pressure level has been selected press QUIT to exit the screen. 7001FAOPT7H ISS 7
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Getting Started - Normal Mode These three options enable the unit to be set-up for use with a specific drug and/or dosing protocol. Drugs are pre-configured (see configured options) to enable rapid selection of the drug name, dosing units and default rate. For increased security using a configured drug maximum and minimum safety limits are programmable for concentration and dose rates. The infusion does not need to be stopped in order to set up drugs and dosing.
Drugs and Dosing - Drug name only 1. Press the ? button to access the options menu. 2. Select the DRUGS AND DOSING option using the chevron keys 3. Press the OK softkey to confirm the selection. 4. To select a drug name press the YES softkey. 5. Press the NO softkey to not select dosing or drug protocols. Important : The mass infused display is a sum of all drug masses infused which may be of different concentrations and even drug type. Therefore it should be noted that the relationship between currently displayed volume infused and mass infused may not directly relate to the current concentration.
Drugs and Dosing - Using pre-configured drug dosing protocol 1. Press the ? button to access the options menu. 2. Select the DRUGS AND DOSING option using the chevron keys 3. Press the OK softkey to confirm the selection. 4. Select the drug name from the list displayed using the chevron keys, press the YES softkey to confirm the selection. 5. Press the YES softkey to select DOSING. 6. Press the YES softkey to select PROTOCOL. This will select the predefined protocol for the drug name selected. 7. Enter the dosing information prompted on the screen for the drug selected using the OK softkey. 8. Press the CONFIRM softkey to enter the drug name, dosing information and the protocol selected.
When a protocol is used the drug name will be followed by a *. The set by ml/h / set by doserate option is now available.
Drugs and Dosing - Using user-programmed drug dosing 1. Press the ? button to access the options menu. 2. Select the DRUGS AND DOSING option using the chevron keys 3. Press the OK softkey to confirm the selection. 4. Select the drug name from the list displayed using the chevron keys, press the YES softkey to confirm the selection. 5. Press the YES softkey to select DOSING. 6. Press the NO softkey to not select PROTOCOL. 7. Enter the required dosing information via the screen prompts, using the chevron keys and the OK softkey. 8. Press the CONFIRM softkey to enter the drug name, dosing information and the protocol entered.
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This mode allows any dose rate set-up to be programmed with no reference to the preprogrammed drug protocols.
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Getting Started - Normal Mode Volume To Be Infused (VTBI) This option allows you to set a specific volume to infuse, and rate at the end of the volume to be infused, from stop, 1ml/h, 2ml/h and continuous infusion at the set rate. 1. Press the ? softkey to access the options menu. 2. Select the SET VTBI option using the chevron keys and press the OK softkey indicated on the screen. 3. Enter the volume to be infused using the chevron keys. When the volume to be infused has been entered, press the OK softkey. 4. Select the rate at the end of the VTBI using the rate selection chevrons. The default is STOP. 5. Press the OK softkey to exit the VTBI menu. 6. When the pump has delivered the set volume it will alarm. Press the CANCEL softkey to clear the alarm. 7. Press the CLEAR softkey to turn the VTBI function off, or set a new VTBI using the chevron keys.
Set VTBI Over Time Set ‘VTBI Over Time’ must be activated in the Configured Options. This option allows a VTBI and delivery time to be specified. The rate necessary to deliver the required volume within the required time will be calculated and displayed. Infusion must be stopped to select this option. 1. Press the ? button to access the options menu. 2. Select the SET VTBI OVER TIME option using the chevron keys and press the OK softkey indicated on the screen. 3. Adjust the volume to be infused using the chevron keys, when the volume to be infused has been entered press the OK softkey. 4. Enter the time over which the volume is to be infused. The infusion rate will automatically be calculated. Press the OK softkey to enter the value. 5. Select the rate at VTBI end and press the OK softkey. The default is STOP.
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Getting Started - Normal Mode Set by Doserate / Set by ml/h To set rates accurately in doserate or flowrate increments it may be necessary to switch between the rate adjust options SET BY DOSERATE and SET BY ml/h. An arrow to the left of the rate display indicates the rate that will change when the chevron buttons are used to increase/decrease the infusion rate. To set a doserate precisely the arrow must be pointing to the doserate (mg/kg/h); the flowrate will be calculated from the doserate. To accurately set a flowrate the arrow must be pointing to flowrate (ml/h); the doserate will be calculated from the flowrate.
Selecting the Set By Doserate Option 1. Press the ? button to access the options menu. 2. Select the SET BY DOSERATE option using the chevron keys. 3. Press the OK softkey. This will select the set by doserate option and an arrow will automatically point to the doserate on the display. If necessary the doserate can be increased or decreased using the chevron keys.
Selecting the Set By ml/h Option
1. Press the ? button to access the options menu. 2. Select the SET BY ml/h option using the chevron keys. 3. Press the OK softkey. This will select the set by flowrate option and an arrow will automatically point to the flowrate on the display. If necessary the flowrate can be increased or decreased using the chevron keys.
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