Medfusion 3010 and 3010a Configuration Manual Rev 1

Medex ... 3010/3010a

Table of Contents INTRODUCTION ... 1 Finding Relevant Information------------------------------------------------------------------------------------------------------------- 1 CUSTOM CONFIGURING FEATURES & OPTIONS ... 2 Custom Configuration Overview --------------------------------------------------------------------------------------------------------- 2 Factory Default Configuration ------------------------------------------------------------------------------------------------------------ 3 Three Major Sets of Defaults... 3 Enabling, Disabling, and Moving -------------------------------------------------------------------------------------------------------- 4 Table Of Custom Configuration Options ------------------------------------------------------------------------------------------------ 4 Table of Library Features------------------------------------------------------------------------------------------------------------------ 7 Table of Configuration Cloning Features------------------------------------------------------------------------------------------------ 9 PASSWORD PROTECTION ... 10 Using the Custom Configuration Security Code -------------------------------------------------------------------------------------- 10 RESTORE & USE DEFAULT CONFIGURATION SETTINGS ... 11 Why Use Default Configuration Settings? --------------------------------------------------------------------------------------------- 11 Restoring Default Settings---------------------------------------------------------------------------------------------------------------- 11 Tables of Default Settings for Anesthesia, General, and NICU --------------------------------------------------------------------- 12 By Syringe Manufacturer... 12 By Delivery Modes... 13 By Program Options... 14 By Auto Prompt Options... 14 By Other Default Options ... 14 CONTROLLING ONSCREEN APPEARANCE ... 16 Reordering Features Onscreen ----------------------------------------------------------------------------------------------------------- 16 Enabling / Disabling / Moving the Page Break ---------------------------------------------------------------------------------------- 18 Rules for Using Page Breaks... 18 Steps for Placing the Page Break ... 18 ENABLING / DISABLING / MOVING SYRINGES ... 19

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3010/3010a ... Medex Enable or Disable Syringes by Manufacturer------------------------------------------------------------------------------------------ 19 Reordering Syringe Manufacturer Order ...21 ENABLING / DISABLING / MOVING DELIVERY MODES ... 22 Table of Delivery Modes----------------------------------------------------------------------------------------------------------------- 22 Enable / Disable / Move Delivery Modes ---------------------------------------------------------------------------------------------- 25 Custom Program--------------------------------------------------------------------------------------------------------------------------- 26 Moving “Custom Program” Onscreen ...26 Biomed ------------------------------------------------------------------------------------------------------------------------------------- 28 What Does Biomed Do?...28 Moving “Biomed” Onscreen ...28 ENABLING / DISABLING / MOVING PROGRAM OPTIONS ... 30 Table of Program Options---------------------------------------------------------------------------------------------------------------- 30 Enable / Disable / Move Program Options--------------------------------------------------------------------------------------------- 32 Reordering Program Options ...33 AUTO PROMPTS ... 34 Enable / Disable Auto Prompts---------------------------------------------------------------------------------------------------------- 34 Reordering Auto Prompts ---------------------------------------------------------------------------------------------------------------- 35 MISCELLANEOUS SETTINGS ... 36 Pump ID Label ---------------------------------------------------------------------------------------------------------------------------- 36 Naming the Pump...36 Pump Naming Convention ...37 Setting Occlusion Limits ----------------------------------------------------------------------------------------------------------------- 37 Set Maximum Flow Rate----------------------------------------------------------------------------------------------------------------- 38 Set Default Bolus Rates ------------------------------------------------------------------------------------------------------------------ 39 Enable / Disable Program Dose Display ----------------------------------------------------------------------------------------------- 40 Setup & Test Pump Alarms -------------------------------------------------------------------------------------------------------------- 42 Setting Alarm Style...42 Set Alarm Silence time ...43 Set Near Empty Alarm Time ...44 Set Alarm Loudness ...45 Test Alarm Loudness...47 Set & Test Keyclick (Beep) Loudness-------------------------------------------------------------------------------------------------- 48

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Medex ... 3010/3010a Testing Keyclick (Beep) Loudness ... 49 WORKING WITH LIBRARIES & TEMPLATES... 50 Default & Other Library Settings-------------------------------------------------------------------------------------------------------- 50 What Are Standard Libraries Templates? ---------------------------------------------------------------------------------------------- 51 Enable / Disable Standard Library Usage ---------------------------------------------------------------------------------------------- 51 Reordering Library Display Position ... 53 What Are E-Plates Library Templates?------------------------------------------------------------------------------------------------- 53 Enabling / Disabling E-Plates------------------------------------------------------------------------------------------------------------ 54 Displaying E-Plates Options ... 55 Create & Save A Library Entry (Template) -------------------------------------------------------------------------------------------- 56 Disable “Save to Library” Before Sending Pump to Workplace... 56 Saving a New Template (Entry)... 57 Template Naming Conventions... 59 Reusing Templates... 59 Libraries Must Be Enabled Before You Can Use Them... 59 Libraries Must Follow Standards & Practices... 60 Enabling the Libraries... 60 Clear Library Entry (or Template) ------------------------------------------------------------------------------------------------------ 61 Clear All Libraries------------------------------------------------------------------------------------------------------------------------- 63 CONFIGURATION CLONING ... 64 What is Configuration Cloning? --------------------------------------------------------------------------------------------------------- 64 Teaching and Learning ------------------------------------------------------------------------------------------------------------------- 64 Preparing for Configuration Cloning---------------------------------------------------------------------------------------------------- 64 Using The Teach Mode ------------------------------------------------------------------------------------------------------------------- 64 Using The Learn Mode ------------------------------------------------------------------------------------------------------------------- 66 Troubleshooting the “Learn Error – Remote Not in Teach Mode” Error Message ----------------------------------------------- 67

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Medex ... 3010/3010a

INTRODUCTION This manual is designed to teach you the customizing process for the 3010 and 3010a infusion pumps. Through customization, you make the pump meet the specific needs and purposes of your unit, organization, department, or hospital. You must be thoroughly familiar with the contents of the Operation Manual as well as this manual, before customizing the features and options of the pump. This manual presumes you have studied the Operation Manual, and you must be fully competent with using the pump.

Usability

This manual and its contents are valid for use with all software versions starting with 2.0.x; for example, 2.0.0, 2.0.1, etc.

FINDING RELEVANT INFORMATION Refer to the 3010 and 3010a Infusion Pump Operation Manual for the following important information: • • • • • • • •

Important Operation Notices Correct Use of This Pump Intended Use Features & Controls Technical Specifications & Definitions Syringe Manufacturers & Standard Operation Warnings & Cautions Guidelines For Enhanced Pump Performance

 1998-1999 by MedexMedical . All Rights Reserved.

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3010/3010a ... Medex

CUSTOM CONFIGURING FEATURES & OPTIONS This chapter contains definitions and a requirements overview for customizing the operations of the 3010 or 3010a infusion pump. This includes custom selection, enabling or disabling, and setting pump features. The actual configuration any 3010 or 3010a infusion pump has depends entirely on whatever its current settings may be. If you don’t know what the current setting are, you should review them before changing them. You should also learn who last setup the pump, and whether you are authorized to change their settings for a particular pump. The only people who should be authorized to setup & monitor any infusion are nurses, physicians, or other health-care professionals with training to practice infusion therapy and operate the 3010 or 3010a syringe pumps.

CUSTOM CONFIGURATION OVERVIEW What follows is a basic overview of the configuration utility, what it is intended for, and how to use it.

Multiple Changes Are Possible

While the following steps describe making a single configuration change, it is not necessary to exit customization before making additional changes. Once you have started using the configuration utility you can make as many changes as you wish before you exit.

1.

The pump must be ON and ready for use.

2.

At the SELECT THE MODE screen, find and select the CUSTOM PROGRAM feature. (Depending on the current setup for your pump, you usually have to press the More button and search for it on alternative screens.

3.

Type the configuration password: 3000. Then press the Enter button.

4.

Find the option or feature you wish to customize, enable, or disable. Make your changes. Usually, you must press the Stop button to save changes and exit. In other cases, your changes are saved when you exit a feature or option.

5.

You can always revise any changes you have made before exiting the configuration utility.

6.

Once you exit custom configuration, whatever changes you just made to pump configuration are now “permanent” until the next time they are changed. (Here, “permanent” means at least 10 years.)

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Medex ... 3010/3010a FACTORY DEFAULT CONFIGURATION The 3010 or 3010a infusion pumps come with the Anesthesia Defaults as its active settings. These defaults create a basic group of features, including syringes, delivery modes, program options, libraries and their templates, occlusion settings, flow rates, and alarms. Such standard features provide a foundation for customizing the pump to meet your needs.

THREE MAJOR SETS OF DEFAULTS The 3010 and 3010a infusion pump software has three sets of factory default configurations stored in files the pump can read from but not write to. They are: • • •

Anesthesia General NICU

These can be used to restore configuration to factory settings after a pump has been customized. Their settings can also be used as “foundation” for customizing a pump to meet the specific needs of a unit, department, organization, or hospital. There are three groups of default settings built into the pump. These major groups of presets can be used to undo all customizations which have been made to a pump, and restore it to a more standard usage. For information on restoring and/or using Default Configurations, see the chapter titled “Restore & Use Default Configuration”.

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3010/3010a ... Medex ENABLING, DISABLING, AND MOVING The most common capability of custom configuration is allowing you to simply enable or disable individual features and options. You can also move an enabled feature to reorder its appearance onscreen. When a feature or option is enabled, you can use it. All its settings or options are available to select from on applicable screen. When a feature or option is disabled, you cannot use it. None of its settings or options are available to select from on any screen. The same holds true for enabling and disabling syringes for use with the pump. The parameters for correctly using the syringes become available or unavailable. In other words, you are simply toggling a feature ON or OFF. The feature you toggle becomes available or unavailable until the next time you decide to change its status.

More Information on Enabling / Disabling

For more information on this feature, see the chapters titled: “Enabling / Disabling / Moving Syringes” “Enabling / Disabling / Moving Delivery Modes” “Enabling / Disabling / Moving Program Options”

TABLE OF CUSTOM CONFIGURATION OPTIONS The following is a table of features and options available for customization to meet the specific needs of your unit, department, organization, or hospital: Feature or Option

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What It Controls

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Medex ... 3010/3010a The alarms are the warnings or cautions the pump sounds to let you know something is happening or about to happen. There are four major options for alarm setup: Alarm Setup

• • • •

Auto Prompts

Alarm Style – Choose International or Medex defined alarms. Alarm Silence Time – Set the interval pump remains silent after you press the  button. Near Empty Alarm Time – Set the time “before the syringe is empty” when pump sounds an alarm. (This alarm may be disabled.) Alarm Loudness – Choose alarm volumes levels from very soft to very loud.

The auto prompts are “stopping points” in the setup levels. Each forces you to confirm an action, verify setting correctness, or proceed in a defined way. They are especially effective when using templates settings from the libraries – where you are using preprogrammed values as a shortcut. This pump comes with three major sets of configuration defaults intended to provide a baseline for meeting the needs of your unit, department, organization or hospital. They are: 1. Anesthesia Defaults. 2. General Defaults. 3. NICU Defaults.

Default Configurations Restore & Use

The term “default” is here defined as values or groups of values which are arbitrarily used as standard settings. But with this pump, “standard settings” are whatever values are defined as standard by your unit, department, organization, or hospital. You may opt to restore these defaults at any time through custom configuration. Tables of settings for all three groups are in the chapter titled “Restore / Use Default Configuration”.

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3010/3010a ... Medex Feature or Option

What It Controls

Default Bolus Rate

Allows setting the default bolus delivery rate used as a standard for pump operations. This default may then be accepted or manually overridden during the actual setup of a bolus dose while programming an infusion delivery.

Keyclick (beep) Loudness

The keyclick is the beeping sound the buttons make when you press them. You can set this range from soft to very loud.

Maximum Flow Rate

Allows limiting maximum flow rate settings for normal delivery of medication or fluids.

Occlusion Limit

Allows selecting and setting from 4 different levels of occlusion limits programmed into the infusion pumps. They are: Very Low; Low; Normal; High.

Pump ID Label

Allows giving each infusion pump its own identification name and/or number. This can be useful for identifying not only the pump, but the type of configuration setup used by the pump.

Select Program Options

This pump can also use various options you can use to modify any delivery or infusion settings. They are: • • • •

Standby Loading Dose Bolus Dose Volume Limit

• • • •

KVO Save to Library Toggle PVD / PDD Override Occl Limit

Select Delivery Modes

This pump comes with numerous standard delivery modes enabled. Plus, there are also several custom delivery modes you can setup. All these delivery modes can be either enabled or disabled for use with your infusion pump.

Select Syringes

The 3010 or 3010a infusion pumps are engineered to work precisely within the physical parameters of specific syringes from specific manufacturers. Thus it comes with a database of syringes by manufacturer which are available for use with the pump.

Program Dose or Program Volume Display

You have the option of displaying onscreen during any infusion the program volume delivered or program dosage delivered. If there is no concentration set, then the display is the program volume delivered.

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Medex ... 3010/3010a TABLE OF LIBRARY FEATURES The following is a table of features for E-Plates and Standard libraries. These can be enabled, disabled, and customized to meet the needs of your unit, department, organization, or hospital.

Feature or Option

What It Controls

The E-Plates Library contains 16 blank or used “templates” of for storing settings. Such presets include syringe size, rate of dosage, size of dosage, patient’s weight, and so on. E-Plates Library Templates

Each template can be given an easily recognized name. After you select a template for use, its name appears on the delivery screen. So you can verify correct settings by verifying the name. “E-Plates” is an abbreviation for “Electronic Templates”. When you use an E-Plate, all its presets load en masse, without step-by-step verification, and the pump pauses at the BEGIN INFUSION screen. All you have to do is check setting correctness on the screen, then press the Start button to begin infusion. The pump has 3 “standard” libraries containing 16 blank or used “templates” per library. These are user-programmable “sets” of standard values used for administering standard fluids or medications without having to setup individual dosage each time.

Standard Libraries Templates

Each template can be given an easily recognized name, with as many as 15 characters. After you select a template for use, its name appears on the delivery screen. So you can verify correct settings by verifying the name. Such standard dosages shall always be setup according to the standards & practices of your hospital, unit, or organization.

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3010/3010a ... Medex Feature or Option

What It Controls

It is very easy to save a new template to any of the 4 libraries. This should be a carefully controlled aspect of configuration, as it take place outside the CUSTOM PROGRAM utility. 1. You must enable the SAVE TO LIBRARY feature before you can create a template.

Create & Save a Library Entry (Template)

2.

Then you have to exit custom programming and use the SELECT THE Mode feature to setup the infusion you wish to save as a template.

3.

Then use the SAVE TO LIBRARY option to store it as a template in your choice of the 4 libraries.

4.

Repeat steps 2 & 3 for each template you create.

5.

When finished creating templates, use the CUSTOM PROGRAM utility to disable the SAVE TO LIBRARY feature. Otherwise, any user can make changes to the templates.

Once stored in a library, these templates can be reused any time you need to start a standard infusion delivery. Clear Library Entry (Template)

This is a housekeeping utility which allows erasing or deleting the contents of a single template in an E-Plates or Standard library.

Clear All Libraries

This is a housekeeping utility which allows erasing or deleting the contents of ALL templates in ALL E-Plate and Standard libraries.

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Medex ... 3010/3010a TABLE OF CONFIGURATION CLONING FEATURES Configuration cloning is the ability to create custom configuration settings in one pump, then transfer them en masse to another pump. Below is a table of Configuration Cloning features and their definitions.

Feature or Option

What It Controls

Configuration Cloning

This is a time saving feature, rather than a specific configuration option. Cloning allows setting one pump to the precise requirements of any unit, department, organization, or hospital – then transmitting those setting to any other pump or group of pumps. This cloning process copies configuration and/or libraries from pump to pump.

Teach Mode

The teach mode is the option which allows one pump to transmit its custom configuration to another pump. The teacher transmits all settings at once.

Learn Mode

The learn mode is the option which allows one pump to receive custom configuration transmitted from another pump. The pump may learn: configuration only; libraries only; or all.

Learn Everything

With this cloning feature, the pump receives ALL custom configuration settings, including Standard and E-Plates Libraries. This takes approximately 1 minute, depending on the size of the libraries.

Learn Config Only

With this cloning feature, the pump receives ONLY the custom configuration settings. This takes approximately 10 seconds.

Learn Libraries Only

With this cloning feature, the pump receives only the library settings. This takes approximately 1 minute, depending on the size of the libraries.

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3010/3010a ... Medex

PASSWORD PROTECTION Access to custom configuration is controlled by a security code. It is recommended you do not give this password to all users. Only persons authorized to reconfigure the pump’s operations should hold this password. The custom configuration security code is:

3000

Never tell this security setup control code to unauthorized personnel in your unit, department, organization or hospital. It is recommended your unit, department, organization or hospital establish a regulated protocol for determining who is responsible for configuring and reconfiguring the 3010 or 3010a infusion pumps. Only properly trained personnel should ever be authorized to setup this pump for use with patients.

Warning! Unauthorized Configuration

Unauthorized changes to pump configuration may cause confusion among users, which can create a hazard for use.

USING THE CUSTOM CONFIGURATION SECURITY CODE Below are the steps for accessing the custom programming or configuration mode of the 3010 or 3010a infusion pumps: 1.

The pump must be turned ON and read for use.

2.

At the SELECT THE MODE screen, press the More button until you find the CUSTOM PROGRAM option onscreen.

3.

Select CUSTOM PROGRAM by pressing its number button on the keypad.

4.

Now type the security code 3000. Then press the Enter button.

5.

The MODIFY SETTINGS screen should now appear. Make your custom configurations. Follow any onscreen prompts and directions. Your changes are either saved by pressing the Stop button, or when you exit CUSTOM PROGRAM.

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Medex ... 3010/3010a

RESTORE & USE DEFAULT CONFIGURATION SETTINGS This pump has 3 sets of default factory configuration files intended to meet the standard needs of most organizations or hospitals. You may select, restore, and use any of these default settings at any time through customer configuration. They are: 1.

Anesthesia Defaults.

2.

General Defaults.

3.

NICU Defaults.

These default settings are stored in files which are a permanent part of the software used to run the 3010 and 3010a infusion pumps. They are read only files, which the pump can read − but you cannot change through customization. Your customizations are saved to the configuration file which tells the pump how to use the features and options you have configured. The default setting files are simply a resource you can use to restore factory settings.

Anesthesia Defaults

The 3010 or 3010a infusion pumps are shipped with the ANESTHESIA DEFAULTS configuration settings selected.

WHY USE DEFAULT CONFIGURATION SETTINGS? If you are reconfiguring a 3010 or 3010a infusion pump which has been customized repeatedly, you may find the default configurations provide a common starting point for new customization. So you may find it convenient to simply restore one of the above three default configuration settings. Then just begin making your customization from there. You will have removed all customizations made by other units or departments.

RESTORING DEFAULT SETTINGS Below are the steps for restoring the default settings for the 3010 or 3010a infusion pump: 1.

With the pump turned ON, select CUSTOM PROGRAM from the list of features.

2.

Type the password and press the Enter button.

3.

The MODIFY SETTINGS screen should now appear.

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3010/3010a ... Medex 4.

Find and select the RESTORE DEFAULT CONFIGURATION feature. Press the More button until you locate it.

5.

The SELECT DEFAULT CONFIGURATION screen appears. The previously selected set of defaults has the highlight covering it. Select the default configuration you wish to reinstate. Your choices are: • • •

Anesthesia Defaults General Defaults NICU Defaults

6.

Pressing the number button for the selection puts the highlight on the set of defaults you intend to use.

7.

When ready, press the Enter button.

8.

The selected default settings have replaced all changes made to the pump configuration. See the following tables to review those default sets.

TABLES OF DEFAULT SETTINGS FOR ANESTHESIA, GENERAL, AND NICU This section contains a series of tables containing default setting information for Anesthesia, General, and NICU. BY SYRINGE MANUFACTURER SYRINGE MANUFACTURER

ANESTHESIA

GENERAL

NICU

B. Braun Omnifix

Disabled

Disabled

Disabled

B. Braun Perfusor

Disabled

Disabled

Disabled

B-D Glass

Disabled

Disabled

Disabled

B-D

Enabled

Enabled

Enabled

Monoject

Enabled

Enabled

Enabled

Terumo

Enabled

Enabled

Enabled

AstraZeneca

Disabled

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Disabled

Disabled

Medex ... 3010/3010a BY DELIVERY MODES DEFAULT DELIVERY MODES

Micrograms kg Minute Micrograms kg Hour Milligrams kg Minute

ANESTHESIA (w/Order)

Enabled, 1st

GENERAL (w/Order)

NICU (w/Order)

Enabled, 3rd

Disabled

nd

Disabled

Disabled

rd

Disabled

Disabled

Enabled, 2 Enabled, 3

th

Milligrams kg Hour

Enabled, 4

Milliliter Hour

Enabled, 5th

Enabled, 1st

Enabled, 1st

Recall Last Settings

Enabled, 6th

Enabled, 4th

Enabled, 3rd

th

th

Enabled, 5

Enabled, 4th

Enabled, 2nd

Enabled, 2nd

Page Break

Disabled

Enabled, 7

Disabled

Volume / Time

Disabled

Micrograms Hour

Disabled

Disabled

Disabled

Micrograms Minute

Disabled

Disabled

Disabled

Milligrams Hour

Disabled

Disabled

Disabled

Milligrams Hour

Disabled

Disabled

Disabled

Millunits Hour

Disabled

Disabled

Disabled

Millunits Minute

Disabled

Disabled

Disabled

Units Hour

Disabled

Disabled

Disabled

Units Minute

Disabled

Disabled

Disabled

Library A

Disabled

Disabled

Disabled

Library B

Disabled

Disabled

Disabled

Library C

Disabled

Disabled

Disabled

Custom Dilution

Disabled

Disabled

Disabled

Disabled

Intermittent Volume / Time

Disabled

Disabled

Custom Program

Enabled, 8th

Enabled, 6th

Enabled, 6th

Biomed

Enabled, 9th

Enabled, 7th

Enabled, 7th

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3010/3010a ... Medex BY PROGRAM OPTIONS PROGRAM OPTIONS

ANESTHESIA

GENERAL

NICU

Standby

Enabled

Enabled

Loading Dose

Enabled

Disabled

Disabled

Bolus Dose

Enabled

Disabled

Disabled

Volume Limit

Disabled

KVO

Disabled

Enabled

Enabled Disabled

Disabled

Toggle PVD / PDD Save to Library

Enabled

Enabled

Disabled

Disabled Enabled

Disabled Enabled

BY AUTO PROMPT OPTIONS AUTO PROMPT OPTIONS

ANESTHESIA

GENERAL

NICU

Standby

Disabled

Disabled

Disabled

Loading Dose

Disabled

Disabled

Disabled

Bolus Dose

Disabled

Disabled

Disabled

Volume Limit

Disabled

Disabled

Disabled

KVO

Disabled

Disabled

Disabled

BY OTHER DEFAULT OPTIONS

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Medex ... 3010/3010a OTHER DEFAULT OPTIONS E-Plates Feature

ANESTHESIA

GENERAL

Enabled

NICU

Disabled

Disabled

Pump ID Label

Blank

Blank

Blank

Occlusion Limit

Normal

Normal

Normal

Maximum Delivery Rate

1130 ml / hr

Program Dose Display

300 ml / hr

Maximum

Default Bolus Rate

300 ml / hr 10X

Enabled

OTHER DEFAULT OPTIONS

5X Disabled

Disabled

ANESTHESIA

GENERAL

NICU

Medex

Medex

Medex

Alarm Silence Interval

2 minutes

2 minutes

2 minutes

Near Empty Alarm Interval

5 minutes

5 minutes

5 minutes

Alarm Volume (Loudness)

2

4

3

Key Click Volume

2

2

2

BD, Monoject, Terumo

BD, Monoject, Terumo

BD, Monoject, Terumo

Alarm Type

Syringe Manufacturer & Type

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