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Medfusion-2010 manual

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1. Running Volume RV A recording of total volume delivered since the last volume limit reset The volume limit minus running volume equals the volume yet to be delivered n O n ad P N 9 61 20100 0 3 Model 2010 Operations Manual Page 66 DEFINITIONS continued Standby Time The time in hours minutes on the LCD display during the standby mode that represents the time remaining before the next infusion begins Total Delivered Refers to the amount of medication actually delivered during the course of an infusion however does not include the volume delivered in the priming mode Volume Time Mode A level of pump operation that delivers a specific dose volume over a specified delivery time useful in delivery of a single dose over a specific time User Mode A level of pump operation that is available to the user of the pump Level of operation can be limited by custom programming or can allow the user full access to program parameters P N 9 61 20100 0 3 Model 2010 Operations Manual Page 67 APPENDIX IV CUSTOM PROGRAM MODE The Custom Program Mode CP allows customization by the selection of the infusion mode s the bolus yes or no the alarm volume the alarm temporary delay time alarm types and syringe manufac turer Entry into this mode is limited due to the lockout feature This mode generally is utilized by health care professionals and biomedical engineers to initially preprogra
2. NOTE Time entries in minutes equal to or exceeding 60 ie 00 60 to 00 99 are converted to hours i e 01 00 to 01 39 The time entry then must be confirmed by pressing the ENTER key Press ENTER key to enter the desired DT The LCD automatically advances Model 2010 Operations Manual Volume Time ps 6 6664m1 DT gt see E EI MONO 12 Dose Ual BB BB8nl smi MONO 12 premi banii 8 8888m1 DT Dose Vol 18 Z5m1 pom sien 8 8888m1 MONO 12 DU 18 25ml Del Time BB8 BB E pet ranas 8 000 E MONO 12 DV 18 25m1 Del Tine 01 32 USER MODES continued Volume Time NOTE NVALID NUMBER displays on the LCD when an invalid rate entry occurs The fastest possible infusion time will appear for the DV selected pu 18 2501 DT 01 38 8 The pump automatically calculates the rate and all informa tion on the LCD is solid not flashing The operator should PRIME to remove any mechanical slack before commenc ing delivery Rate 6 Boon HR STEP 6 PRIMING For important detailed information on priming please see section PRIME STEP 7 DELIVERY Press the DELIVER key to begin the infusion The LCD will T m 5 fl h ELIVER li i ink E E not flash and the green LED D ER light begins to blink B Du 18 25m1 DT 01 38 B The RUNNING VOLUME RV will not appear on t
3. Introduction Body Weight Mode The Body Weight Mode allows programming for delivery in mcg kg min mcg kg HR MG kg min and MG kg HR Locking in a single rate mode simplifies programming by limiting selection to one of the four avail able choices Entry of the concentration weight and rate are required Additionally a bolus amount may be custom programmed for delivery of a specific bolus of fluid or drug from any size syringe It delivers at the fastest rate possible for the syringe in use The Body Weight Mode conveniently delivers in a variety of Rate Modes for meticulous infusion of drugs or fluids NOTE The pump remembers the last programmed settings except Total Delivered even after being turned OFF Therefore if the operator elects to use the same infusion mode the last values will appear They may be changed or confirmed All settings will be erased and set to zero if the infusion mode is changed STEP 1 BODY WEIGHT When the pump is turned ON lines 3 and 4 of the LCD display appear as follows ELEM ELI Fe pera sene gt VER 1 Options VER 1 35 Options B Bol BAT U gt Bol BAT U Select Mode Preset Mode is Body Weight mode Bod If PRESET MODE IS appears 2 no other modes were custom programmed PIN 9 61 20100 0 3 Model 2010 Operations Manual If SELECT MODE appears other infusion modes can be selected by using the SELECT key see Section IV Step 3 To select Body Weight press
4. ENTER ag To display other modes To enter mode displayed Page 14 USER MODES continued Body Weight STEP 2 RATE MODE The last programmed RATE MODE will flash To con firm press ENTER are ptions yA Bol BAT V 7 7 Press SELECT to change RATE MODE choices Press ENTER to confirm choice MG kg min NOTE In this example mcg kg min was entered MG kg min STEP 3 BOLUS AMOUNT CUSTOM PROGRAMMABLE NOTE if a BOLUS AMOUNT is custom pro grammed the LCD will display the last programmed parameter e g Bolus Amouni Yes to No Ha BOLUS AMOUNT is not custom programmed the pump will automatically skip to Step 4 If NO is entered the LCD will automatically skip to Step 4 If YES is entered a BOLUS delivery is possible NOTE A BOLUS will be administered at the fastest rate possible for the syringe size in use IA AS AA nn P N 9 61 20100 0 3 Model 2010 Operations Manual Page 15 3 USER MODES continued Body Weight STEP 4 PROGRAMMING SYRINGE MANUFACTURER CUSTOM PROGRAMMABLE EN p nin HEHE BBBAMG C BBBMG ml U B BBkg NOTE f a syringe manufacturer is custom pro grammed the pump automatically advances to LOAD SYRINGE Entry into the custom program mode allows a syringe manufacturer change Select Mf Press the SELECT key to make the choices appear d on the LCD Repeated presses of the SELECT key display the available choices For example B D re
5. NOTE The DV only eguals the TOTAL DELIVERED readout during the administration of the first infusion To continue the infusion press DELIVER The RUNNING VOLUME resets to zero RV 0 00ml and another dose can be given For example if two DV amounts are delivered the TOTAL DELIVERED amount will equal twice the DV amount STEP 10 PROGRAMMING STANDBY TIME The STANDBY MODE allows temporary suspension of an infusion while retaining all pertinent data e g rate total delivered syringe size syringe manufacturer etc See Section STANDBY MODE for detailed information on programming and cancelling STANDBY TIME P N 9 61 20100 0 3 Model 2010 Operations Manual Page 40 P N 9 61 20100 0 3 SECTION VI MULTIMODE PROGRAMMING OPERATING FEATURES BOLUS DELIVERY To administer a BOLUS the pump must be delivering Press both the BOLUS and PRIME key s at the same time The BOLUS AMOUNT delivered will be continuously updated on the LCD and the bolus deliver LED lights programmed rate p Once the BOLUS AMOUNT has been delivered the pump will resume the previously REPROGRAM A BOLUS AMOUNT To reprogram a BOLUS AMOUNT follow method 1 or 2 METHOD 1 Press the STOP PROGRAM key to stop the delivery Press the BOLUS key to get the BOLUS AMOUNT to flash gt Press the RATE key s to change the BOLUS AMOUNT gt Press the ENTER keys to enter a new BOLUS A
6. NOTE Time entries in minutes that equal or exceed 60 C AIDS TIME 037 7 00 60 to 00 99 are converted to hours i e 01 00 to A 01 39 The time entry then must be confirmed by pressing the ENTER key gt Press ENTER to start the timer The LCD states STBY Time 03 30 The time shown on the LCD will begin to count down STBY TIME 03 30 NOTE When the STANDBY TIME elapses STBY Time 00 00 disappears from the screen the STOP STBV TIME 88 88 PROGRAM audio alarm sounds and the previously programmed rate reappears deliver gt Press the DELIVER key to begin delivery P N 9 61 20100 0 3 Model 2010 Operations Manual Page 45 Multimode Programming Operating Features Continued CANCELLING THE STANDBY TIME D Press the STOP PROGRAM key to return the pump to the previously programmed setting gt Press the DELIVER key to begin delivery PIN 9 61 20100 0 3 Mode 2010 Operations Manual Page 46 SECTION VII OTHER KEY FUNCTIONS A ALARM OFF ON To temporarily silence an audio alarm press the ALARM AUDIO OFF ON key The alarm Stops but the appropriate LED remains lit After approximately 2 or 60 minutes the audio alarm automatically turns back ON The time delay of 2 or 60 minutes is custom pro grammed at the factory or by qualified biomedical personnel To accomplish reactivation of the audio alarm press the ALARM OFF ON key for a second time The only exception to this is
7. PERF 50 ml The following are trademarks B D by Becton Dickinson and Company Monoject by Sherwood Medical Abboject by Abbott Laboratories and Perfusor by B Braun P N 9 61 20100 0 3 Model 2010 Operations Manual Page 4 SECTION Ill GENERAL DESCRIPTION DIAGRAM P N 9 61 20100 0 3 DAOANAPARLOPNA CLUTCH LEVER SYRINGE DRIVER SYRINGE PLUNGER RETAINER SYRINGE CLAMP GROOVE RETAINER SYRINGE CLAMP CLEAR SYRINGE SADDLE LCD LIQUID CRYSTAL DISPLAY CHARGING RECEPTACLE ON OFF SWITCH Model 2010 Operations Manual Page 5 SECTION iV OPERATING INSTRUCTIONS STEP 1 SYRINGE LOADING STEP 1A E pen z Pinch and hold together the CLUTCH LEVER releases the clutch and puli the SYRINGE DRIVER outward until it reaches the end of its track pull syringe driver STEP 18 Grasp the clear SYRINGE CLAMP pull upward allowing room for the syringe inthe SYRINGE SADDLE STEP 1C insert the syringe plunger end first P N 9 61 20100 0 3 Model 2010 Operations Manual Page 6 OPERATING INSTRUCTIONS continued STEP 1C continued NOTE To be certain that the syringe is properly placed inthe pump make sure the graduations numbers on the syringe face up The clear syringe clamp must secure the syringe tabs within the syringe clamp groove Syringe tabs can be rotated slightly Finger tabs should be parallel in relation to the clamp
8. be shifted follow the procedure below ime en MONO 12 8 BBBBMG C B5H MG ml Press the PROTOCOL DECIMAL key to change Weight gt See Below the location of the decimal point P N 9 61 20100 0 3 Mode 2010 Operations Manual Page 18 USER MODES continued Body Weight STEP 7B PROGRAMMING WEIGHT VALUE SE MONO 8 C 858 MG nl To program a weight press the RATE selection key s located beneath the flashing numerals The SELECT key does not program weight ES M Weight Press ENTER key to enter the desired weight STEP 8 PROGRAMMING A BOLUS AMOUNT CUSTOM PROGRAMMABLE If BOLUS amount does not appear on the LCD it was not custom programmed the pump automati cally skips to Step 9 The BOLUS AMOUNT allows delivery of a specific preprogrammed bolus of fluid or drug from any size syringe The decimal point position of the BOLUS AMOUNT is fixed and determined by the RATE MODE selected e g in mcg kg min and mcg kg HR the bolus decimal is fixed at 0000 mcg kg inthe MG kg min and MG Kg HR the bolus decimal is fixed at 00 00 MGikg See section BOLUS for detailed information on programming delivering and reprogramming bolus doses P N 9 61 20100 0 3 Model 2010 Operations Manual Page 19 USER MODES continued STEP 9 PROGRAMMING RATE STEP 9A CHANGING DECIMAL POINT If the decimal point is located appropriately skip to Step 9B If the dec
9. fers to Becton Dickinson Mono refers to Monoject Teru refers to Terumo and BD G refers to B D glass and ABOT refers to Abbott prefilled syringe etc BD G ABOT sy EA TS i Press ENTER to confirm your selection NOTE The SYRINGE MANUFACTURER ap pears on the LCD and the pump automatically ad In this example MONO vances to the next programmable item was entered NOTE Turn the main power off and start over to i correct an inadvertent mis entry of the Syringe ji Manufacturer A correction is possible only if g SELECT MANUFACTURER appears on the LCD A WARNING Verify that the syringe manufacturer on the LCD is the same as the syringe in use Failure to use the listed manufacturer could result in inaccurate delivery The pump cannot automatically identify syringe manufacturer P N 9 61 20100 0 3 Model 2010 Operations Manual Page 16 USER MODES continued Body Weight STEP 5 PROGRAMMING SYRINGE SIZE The fourth line ofthe LCD alternately flashes LOAD SY 8 x B w j E C BBBMG ml U B B8BHkg RINGE PRESS enter If the syringe is not already loaded onto the pump load the syringe as instructed see Section IV Operating In structions Once the syringe is properly loaded press the ENTER key The pump will automatically enter the correct syringe size and advance to the next programmable item unless use of the B D luer lock syringe was selected in custom programming
10. in MG Kg HR final conc in MG ml m HR wt in Kilos RATE in m HR wt in kilos MG kg HR final conc in MG ml CONC in MG ml wt in kilos MG kg HR m AR RATE MODE MG HR RATE in MG HR final conc in MG ml ml HR RATE in m HR MG AR final conc in MG mi CONC in MG ml MG HR mi HR A P N 9 61 20100 0 3 Model 2010 Operations Manual Page 65 APPENDIX Ili EFINITIONS Alarm Temporary Delay Time A custom programmed delay time of either 2 or60 minutes thatis activated when the alarm key is pressed once Alarm Volume A program option in the CP mode that allows variance of the alarm auditory volume as either loud or soft Body Weight Mode A level of pump operation that delivers either mcg or mg per kilo per time e g minute or hour Bolus A level of pump operation during which a preprogrammed amount is delivered atthe fastest rate possible for the syringe size in use by pressing both the BOLUS and PRIME keys Continuous Infusion Mode A level of pump operation that allows delivery of a specific fluid volume at a specified rate Useful in delivery of a volume of medication at a specific constant rato Custom Program Mode CP A level of pump operation that is limited in access by a lockout feature and generally only accessed by healthcare professionals or biomedical engineers to preprogram or customize the pump by selection of the infusio
11. is exceeded For example ifthe decimal point is placed in the hundredths location on a 60cc MONO syringe the minimum rate is 00 10 Once the minimum has been satisfied the operator can program a number in the hundreaths place e g 00 15 Syringe manufacturers BBM FRES PERF are available only in software version 1 2A P N 9 61 20100 0 3 Mode 2010 Operations Manual Page 63 APPENDIX ll CALCULATIONS es The following formulas are used to calculate various variables in the BODY WEIGHT mode and CONCENTRATION mode RATE MODE mcg kg min RATE in mcg kg min final conc in MG mi mI HR 1000 60 min HR wt in Kilos RATE in ml HR 60 min HR wt in kilos mcg kg min final conc in MG ml 1000 CONC in MG ml 60 min HR wt in kilos mcg kg min mUHR 1000 RATE MODE meg kg HR RATE in mcg kg HR final conc in MG ml ml HR 1000 wt in kilos RATE in mV HR wt in kilos mcg kg HR final conc in MG ml 1000 CONC in MG ml wt in kilos mcg kg HR ml HR 1000 RATE MODE MG kg min RATE in MG kg min z final conc in MG ml ml HR 80 min HR wt in kilos RATE in ral HR 60 min HR wt in kilos MG kg min final conc in MG ml CONC in MG ml 60 min HR wt in kilos MG kg min m HR er aaa PIN 9 61 20100 0 3 Model 2010 Operations Manual Page 64 RATE MODE MG kg HR RATE
12. lock syringe was selected in custom programming in which case the operator must select sy ringe size i e 1cc or 3cc See Appendix V Press enter A WARNING Always confirm that the syringe size stated on the LCD agrees with the size of the syringe loaded on the pump Failure to select the correct syringe size will result inaccurate delivery A WARNING If the B D luer lock option was selected in custom programming the operator must select the ap propriate syringe size i e 1cc or 3cc The pump cannot distinguish between these syringe sizes SYRINGE s TOTAL BEUVERED T NEN MO B0BBM STEP 5 PROGRAMMING CONCENTRATION g mg per ml Conc gt See Below STEP 5A CHANGING DECIMAL POINT LOCATION EPR If the decimal point is located appropriately skip to Step Protocol 5B lf the decimal point needs to be shifted follow the gn procedure below Press the PROTOCOL DECIMAL key to change the lo Conc 000 MG ml cation of the decimal point Conc 0 00 MG ml Conc 00 0 MG mi P N 9 61 20100 0 3 Mode 2010 Operations Manual Page 25 USER MODES continued Mass Mode STEP 5B PROGRAMMING CONCENTRATION VALUE To program a CONC press the RATE selection key s located beneath the flashing numerals The SELECT key does not program concentration Conc 2 18 UHG nl Press ENTER key to enter the desired concentration STEP 6 PROGRAMMING A BOLUS AMOUNT CUSTOM PROGRAMM
13. make the choices a 4 B D gt pear on the LCD Repeated presses of the SE LECT key display the available choices For ex ample B D refers to Becton Dickinson Mono re fers to Monoject refers to Terumo and BD G refers to B D glass and ABOT refers to Abbott CC mono X 7D prefilled syringe etc TERU P N 9 61 20100 0 3 Model 2010 Operations Manual Page 36 USER MODES continued Volume Time Press ENTER to program your selection NOTE The syringe manufacturer appears on the LCD and the pump automatically advances to the next pro grammable item In this example MONO NOTE Turn the main power off and start over to correct was entered an inadvertent misentery of the Syringe Manufacturer A correction is possible only if SELECT MANUFAC TURER appears on the LCD WARNING Verify thatthe syringe manufacturer on the LCD is the same as the syringe in use Failure to use the listed manufacturer could result in inaccurate delivery The pump cannot automatically identify syringe manufacturer STEP 3 PROGRAMMING SYRINGE SIZE The fourth line of the LCD alternately flashes Load E E Syringe Press enter If the syringe is not already loaded onto the pump load the syringe as instructed see Section IV Operating In structions Once the syringe is properly loaded press the ENTER key The pump will automatically enter the correct syringe size and advance to
14. thatthe model number and software version of the pump and the operations manual agree In the VOLUME TIME mode the pump may be programmed to deliver as little as 0 05 ml however the calculated rate must be greater than or equal to the minimum allowable rate for that particular size of syringe In consideration of how syringe pumps operate clinicians should consider use of appropri ate syringe tubing and in line devices for the given application and the drug being infused Certain factors enhance multiple characteristics of syringe pump infusion such as time to detect an occlusion visual verification of volume delivered continuity of flow time to reach the set rate Following are considerations requiring discretion by clinicians using syringe pumps Typically this is most important with continuous injections of short half life drugs P N 9 61 20100 0 3 Model 2010 Operations Manual Page 58 PRECAUTIONS continued a Selectthe smallest syringe size appropriate for the intended application Friction within the syringe between the plunger rubber tip and the barrel can affect the continuity of flow and the time required to attain the set infusion rate the plunger tip expands and relaxes throughout the infusion particularly with larger syringes at slower rates The best case is to use smaller syringes at higher rates b Donotuse a 60 cc syringe for rates of 2 0 cc hour or less Such use is generally not recommended when using
15. the low battery alarm If this alarm is silenced it will not be reactivated in 2 or 60 minutes i e the alarm OFF ON permanently silences this alarm NOTE 7he SYSTEM MALFUNCTION alarm is only silenced by turning off the main power B RESET TOTAL VOLUME DELIVERED The RESET TOTAL DELIVERED key is active only when the pump is in the STOP PRO GRAM mode To RESET the TOTAL DELIVERED to 0 00 press the key Each time the main power is switched ON the TOTAL DELIVERED automatically zeros C PROTOCOL DECIMAL This key has a dual function depeding on the rate mode selected In the BODY WEIGHT MODE the PROTOCOL key permits one to select the desired rate mode e g mcg kg min mcg kg HR etc in the STOP PROGRAM mode In all modes except VOLUME TIME one can use the key to shift the decimal point for various parameters e g concentration weight and infusion rate D BOLUS DELIVERY In order to administer a BOLUS press atthe same time both the BOLUS and PRIME keys E RATE SELECTION KEY Used to enter values including concentration weight rate time and volume Simultaneously pressing any two rate selection keys resets the parameter to 0 in cases of inadvertent misentry F PUMP POWER SWITCH Used to turn the pump ON I and OFF 0 Lr P N 9 61 20100 0 3 Model 2010 Operations Manual Page 47 SECTION VIII ALARMS ALERTS INTRODUCTION The pump incorporates a serie
16. the next programmable item unless use of the B D luer lock syringe was selected in custom programming in which case the operator must select sy ringe size i e 1cc or 3cc See Appendix V WARNING Always confirm that the syringe size stated onthe LCD agrees with the size of the syringe loaded on the pump Failure to select the correct syringe size will result in inaccurate delivery WARNING If the B D luer lock option was selected in custom programming the operator must select the ap propriate syringe size i e 1cc or 3cc The pump cannot distinguish between these syringe sizes P N 9 61 20100 0 3 Model 2010 Operations Manual Page 37 STEP 4 STEP 5 P N 9 61 20100 0 3 USER MODES continued PROGRAMMING DOSE VOLUME DV Press the appropriate RATE SELECTION key s to pro gram a DOSE VOLUME DV NOTE Continuously pressing the RATE SELECTION key s automatically advances the number NOTE The pump can be programmed to deliver a vol ume of 0 05 ml with the stipulation that the calculated rate must be equal to or greater than the minimum al lowable rate for the chosen syringe sizc Press ENTER key to enter the desired DV The LCD automatically advances PROGRAMMING DELIVERY TIME DT Press the appropriate RATE SELECTION key s to pro gram a DELIVERY TIME DT e g Hours Minutes NOTE Continuously pressing the RATE SELECTION key s automatically advances the number
17. to blink NM p seil MONO 28 4 8BB8B8n1 Bz1 258ml Rate 5 350 m1 HR Inthe DELIVERY MODE all keys are inactive for pro gramming except the ALARM ON OFF key the BO LUS DELIVERY key s provided a BOLUS was pro grammed and the RATE SELECTION key s STEP 8B CHANGING THE RATE The operator can change the infusion RATE by two methods See Section RATE CHANGES for detailed information on same STEP 9 BOLUS PROGRAMMING See Section BOLUS for detailed information on programming delivering and reprogramming bolus doses 434 P N 9 61 20100 0 3 Model 2010 Operations Manual Page 34 USER MODES continued Continuous Mode STEP 10 STOP DELIVERY Press the STOP PROGRAM key to stop the infusion The STOP PROGRAM LED blinks and a slow inter mittent 1 audio alarm sounds NOTE Alarms e g occlusion depleted battery Sy ringe pops out interrupt delivery Correct the alarm and press the DELIVER key to resume STEP 11 STOPPING A BOLUS A BOLUS may be stopped at anytime by pressing the STOP PROGRAM key The BOLUS AMOUNT given will be briefly displayed before the LCD returns to the previously programmed rate Press DELIVER key to resume delivery STEP 12 PROGRAMMING STANDBY TIME The STANDBY MODE allows temporary suspension of an infusion while retaining all pertinent data e g rate to
18. 54 SECTION XI IV POLE OR RAIL 55 56 SECTION XII PRECAUTIONS itr essen 57 59 SECTION XIII CLEANING a nee 60 SECTION XIV SERVICE AND LIMITED WARRANTY 61 62 APPENDIX FLOW RATES 63 APPENDIX II CALCULATIONS 64 65 APPENDIX Ill DEFINITIONS 5 2 ran 66 67 APPENDIX IV CUSTOM PROGRAM MODE 68 74 APPENDXY INTHE OPERATION MODE as 75 P N 9 61 20100 0 3 Model 2010 Operations Manual Page i SECTION INTRODUCTION The Medfusion 2010 syringe pump provides continuous bolus or intermittent delivery whenever meticulous low volume drug or fluid injections using a Syringe are required in the hospital In the body weight mode the pump may be programmed to deliver in meg kg min mcg kg HR MG kg min and MG kg HR Other infusion modes may also be programmed e g MG HR mi HR and volume over time All medications should be delivered in accordance with their approved drug labeling IMPORTANT Clinical discretion should guide the use of this Syringe pump and associated disposables Considerations should include but not be limited to the medication or fluid to be administered its stability its compatibility and its pharmacologic response to environmental conditions Consult with the syringe manufacturer medical literature drug package inserts and other available sources for additional information on syringe medication interaction
19. ABLE If BOLUS AMOUNT does not appear on the LCD it was not custom programmed the pump auto matically skips to Step 7 The BOLUS AMOUNT allows delivery of a specific preprogrammed bolus of fluid or drug from any size syringe The decimal pont position of the BOLUS AMOUNT is fixed and determined by the RATE MODE selected e g in mcg kg min and meg kg HR the bolus decimal is fixed at 0000 mcg kg in the MG kg min and MG kg HR ihe bolus decimal is fixed at 00 00 MG kg See section BOLUS for detailed information on programming delivering and reprogramming bolus doses P N 9 61 20100 0 3 Model 2010 Operations Manual Page 26 STEP 7 STEP 7A STEP 7B P N 9 61 20100 0 3 USER MODES continued PROGRAMMING RATE MG per hour CHANGING THE DECIMAL POINT LOCATION If the decimal point is located appropriately skip to Step 7B If the decimal point needs to be changed follow the procedure below Press the PROTOCOL DECIMAL key to change the location of the decimal point NOTE f the decimal point of the RATE is changed a new BOLUS amount will be requested after the new RATE is entered The decimal point for both the RATE and BOLUS are automatically placed in the same location PROGRAMMING RATE To program a RATE press the RATE selection key s located beneath the flashing numerals NOTE Continuously pressing the RATE selection key automatically advances the number Press ENTE
20. ACTURER appears on the LCD WARNING Verify that the syringe manufacturer on the LCD is the same as the syringe in use Failure to use the listed manufacturer could result in inaccurate delivery The pump cannot automaticaliy identity syringe manufacturer P N 9 61 20100 0 3 Model 2010 Operations Manual Page 31 USER MODES continued Continuous Mode STEP 4 PROGRAMMING SYRINGE SIZE A A The fourth line of the LCD alternately flashes LOAD SYRINGE PRESS enter oe etiem B 8880n1 immi sex If the syringe is not already loaded onto the pump load the syringe as instructed see Section IV Operating Instructions Load Syring Once the syringe is properly loaded press the ENTER key NN The pump will automatically enter the correct syringe size and advanceto the next programmable item unless use of the B D luer lock syringe was selected in custom program ming in which case the operator must select syringe size i e Tec or 3cc See Appendix V E MONO see rne 8 88808mn1 Press enter WARNING Always confirm that the syringe size stated a on the LCD agrees with the size of the syringe loaded on the pump Failure to select the correct syringe size will re sult in inaccurate delivery enter WARNING If the B D luer lock option was selected in custom programming the operator must select the appro priate syringe size i e 1cc or 3cc The pump
21. CLAMP is kept clear of labels etc and that the syringe finger tabs are oriented as described in this manual p O un P N 9 61 20100 0 3 Model 2010 Operations Manual Page 49 ALARMS ALERTS continued 1 INVALID NUMBER This LCD message occurs with entry of a parameter which cannot be accepted by the com puter Two beeps sound and the first valid number is displayed For example a rate too fast forthe syringe selected a volume limit greater than the volume of the syringe selected if the Time Between Doses is less than or equal to the Delivery Time in V T where the desired delivery time is too fast for the volume chosen etc J LOW BATTERY The low battery alarm occurs approximately 30 minutes before battery depletion at rates of 5 cc hr or less The low battery LED lights and two beeps occur intermittently every 15 sec onds The audio alarm may be permanently silenced by pressing the atarm On Off key once The FD will remain on K OCCLUSION SENSING The Medfusion 2010 syringe pumps can operate at variable sensitivities to occlusion The occlusion sensitivity set atthe manufacturer unless otherwise specified is normal Three other options exist for the force setting including LOW INT MID and HIGH The best options may be selected for the specific clinical application To change the force setting on the 2010 syringe pumps consult the manufacturer the service manua
22. DELIVERY Press the STOP PROGRAM key to stop the infusion B The STOP PROGRAM LED blinks and a slow inter program mittent 1 audio alarm sounds NOTE Alarms e g occlusion depleted battery sy Pim ringe pops out interrupt delivery Correct the alarm E and press the DELIVER key to resume STEP 14 STOPPING A BOLUS ABOLUS may be stopped at any time by pressing the STOP PROGRAM key The BOLUS AMOUNT given will be briefly displayed before the LCD returns to the previously programmed rate deliver Press DELIVER key to resume delivery STEP 15 PROGRAMMING STANDBY TIME The STANDBY MODE allows temporary suspension of an infusion while retaining all pertinent data e g rate total delivered syringe size syringe manufacturer etc See Section STANDBY MODE for detailed information on programming and cancelling standby time ee a DO DO DO a e i e P N 9 61 20100 0 3 Model 2010 Operations Manual Page 22 USER MODES Mass Mode Introduction Mass Mode MG HR The Mass Mode allows programming of a concentration value in MG HR Additionally a bolus amount may be custom programmed for delivery of a specific bolus of fluid or drug from any size syringe It delivers at the fastest rate possible forthe syringe in use The Mass Mode conveniently delivers in MG HR for meticulous infusion of drugs or fluids STEP 1 MG HR MODE When the pump is turned ON lines 3 and 4 ofthe LCD display appear as f
23. EP 11A INITIATING DELIVERY Press the DELIVER key to begin the infusion The LCD will not flash and the green LED DELIVER light begins to blink Inthe DELIVERY MODE all keys are inactive for pro gramming except the ALARM ON OFF key the BO LUS DELIVERY key s provided a BOLUS was pro grammed and the RATE SELECTION key s STEP 11B DELIVERY VIEW ML HR AND SIMPLIFY SCREEN VIEW While delivering the operator can temporarily display the TOTAL DELIVERED in ml and the RATE in ml per hour by pressing and releasing the ENTER key NOTE The ml conversion can also be viewed in STOP PROGRAM by pressing the ENTER key SIMPLIFY Pressthe SELECT key while delivering to simplify the screen Another press of SELECT will make the full screen reappear ES MONO 12 B 088BMG B Bi C B85BHG ml U Z 5Bkg 8 B 3 mcg kg Es k mas min 1 108 B MONO 12 1 27m1 B C BSOMG ml U 2 56kg E B 3 meg kg Rate 3 3080 mi HR BE pw Bei MONO 12 8 B635MG 8 E mcg kg min 1 188 P N 9 61 20100 0 3 Model 2010 Operations Manual Page 21 USER MODES continued Body Weight STEP 11C CHANGING THE RATE The operator can change the infusion RATE by two methods See Section RATE CHANGES for detailed information on same STEP 12 BOLUS PROGRAMMING See Section BOLUS for detailed information on programming delivering and reprogramming bolus doses STEP 13 STOP
24. MOUNT gt Press the DELIVER key to reestablish continuous infusion Model 2010 Operations Manual METHOD 2 Press the STOP PROGRAM key to stop the delivery Press the SELECT key to get the CON CENTRATION to flash Press ENTER to confirm CONC and to get the BOLUS to flash Press the RATE key s to change the BO LUS AMOUNT Press the ENTER keys to enter a new BOLUS AMOUNT gt Press any RATE key to change rate or Press ENTER to reconfirm rate LCD will not flash Press the DELIVER key to reestablish continuous infusion Page 41 Multimode Programming Operating Features Continued TEMPORARILY DEPROGRAMMING BOLUS AMOUNT METHOD 1 Follow either Method 1 or 2 as described above Enter a BOLUS Amount of all O s METHOD 2 To deprogram a BOLUS AMOUNT press the STOP PROGRAM key to stop delivery Press PROTOCOL DECIMAL key BOLUS AMOUNT YES will flash on LCD Press the SELECT key to change YES to NO Press the ENTER key to enter e Press DELIVER to reestablish continuous infusion P N 9 61 20100 0 3 Model 2010 Operations Manual Page 42 Multimode Programming Operating Features Continued CHANGING THE RATE The operator can change the infusion RATE by two methods Q STOP THE PUMP D Press STOP PROGRAM D Press the RATE SELECTION keys to start rate flashing program a new rate gt P
25. Operations Manual For Medfusion 2010 Syringe Pump Software Versions 1 2 and 1 2A NOTE The software version on the pump may display a third digit that is consistent with a software update that does not affect the operation of the pump and is invisible to the user Please call Medex if the first or second digit on the pump does not correspond to this manual This product is compliant with the requirements for Electromag netic Compatibility EN60601 1 2 per Council Directive 89 336 EEC The CE mark is applied to this product when destined for Europe to indicate compliance P N 9 61 20100 0 3 REVISION 3 OCTOBER 1996 O 9 m D O o gt gt TABLE OF CONTENTS Page SECTIONI INTRODUCTION AA ttt 1 2 SECTION II GENERAL SPECIFICATIONS 3 4 SECTION It GENERAL DESCRIPTION DIAGRAM SECTION IV OPERATING SECTION V USER MODES thee HP Body Weight Mode Mass Mode MG HR Continuous Mode MI Volume Time Mode SECTION VI PROGRAMMING OPERATING FEATURES WITH MULTIMODE APPLICATION 41 46 Bolus Delivery Change Rate Prime Standby Mode SECTION VI OTHER KEY FUNCTIONS 2 2 47 SECTION Vill ALARMS ALERTS TABLE Torarica SECTION IX BATTERY POWER SS SECTIONX BATTERY VOLTAGE sense
26. R to enter the desired rate No information on the LCD flashes When the display is solid not flashing the operator should PRIME to remove any mechanical slack before commencing DELIVERY NOTE NVALID NUMBER displays on the LCD when an invalid rate entry occurs followed by the high est possible rate programmable for the syringe se lected Mode 2010 Operations Manual Mass Mode ringer oes MONO 28 C 16 BMG ml B Z 5HBHG Rate pee Eit h B BABBNG See Below 4 Rate 0 000 MG HR Rate 00 00 MG HR Rate 000 0 MG HR gt id Rate 0000MG HR gt wm MONO 28 C 18 BMG ml B 2 5880MG Rate rem pue H BBBBHG B BBBMG HR OR lt Rate 00 00 MG HR men pum MONO za 4 6668NG C 18 BMG 4m1 B 2 58BMG Rate 3 250NG HR OR lt Rate 03 25 MG HR 27 USER MODES continued Mass Mode STEP 8 PRIMING For important detailed information on priming please see section PRIME STEP 9 DELIVERY STEP 9A INITIATING DELIVERY MONO 28 BS C 10 0NG m1 Bl B 2 588HG Rate ABABA Press the DELIVER keyto begin the infusion The LCD will not flash and the green LED DELIVER light begins 3 2580MG HR f to blink age Tre ae tes Inthe DELIVERY MODE all keys are inactive for pro gramming except the ALARM ON OFF key the BO LUS DELIVERY key s provided a BOLU
27. RV IS RESET BUT THE TOTAL VOLUME IS CUMULATIVE SYRINGE POPS OUT This alarm occurs ifthe syringe is disturbed during the infusion A type 3 or continuous alarm sounds and the fourth line of the LCD altemates between PRESS enter and SYRINGE POPS our To correct confirm that the syringe is loaded properly then press ENTER to verify syringe size Press DELIVER to continue the infusion The audio alarm is temporarily silenced by pressing the ALARM OFF ON key G CHECK CLUTCH This alarm occurs if the clutch is not engaged to the SYRINGE DRIVER A type 3 or continuous alarm sounds and the fourth line of the LCD alternates between PRESS enter and CHECK CLUTCHIP To correct make sure the clutch is fully engaged and that the syringe is properly loaded Press ENTER to confirm clutch check and then DELIVER to continue the infusion The audio alarm is temporarily silenced by pressing the ALARM OFF ON key If the clutch is manually disen gaged for a period oftime orthe driver is manually moved during delivery a CHECK CLUTCH alarm results H INVALID SIZE This alarm occurs if the syringe loaded on the pump is notthe size which is stored in the pump In addition please note that the pump cannot distinguish between the same size syringe for different manufacturers To correct confirm that the syringe manufacturer programmed is the same as the syringe being utilized Also verify that the area between the syringe barrel and SYRINGE
28. S was pro grammed and the RATE SELECTION key s STEP 9B DELIVERY VIEW ML HR AND SIMPLIFY SCREEN N C 16 BNG m1 VIEW B 2 588HG While delivering ihe operator can temporarily display the TOTAL DELIVERED in ml and the RATE in ml per hour by pressing and releasing the ENTER key NOTE The ml conversion can also be viewed in STOP PROGRAM by pressing the ENTER key SIMPLIFY Press the SELECT key while delivering to simplify the ES screen Another press of SELECT will make the full screen reappear not shown MONO 20 5 2888MG Y 2 258MG HR E P N 9 61 20100 0 3 Model 2010 Operations Manual Page 28 USER MODES continued Mass Mode STEP 9C CHANGING THE RATE The operator can change the infusion RATE by two methods See Section RATE CHANGES for detailed information on same STEP 10 BOLUS PROGRAMMING See Section BOLUS for detailed information on programming delivering and reprogramming bolus doses STEP 11 STOP DELIVERY Press the STOP PROGRAM key to stop the infusion The STOP PROGRAM LED blinks and a slow inter mittent 1 audio alarm sounds NOTE Alarms e g occlusion depleted battery sy ringe pops out interrupt delivery Correct the alarm and press the DELIVER key to resume STEP 12 STOPPING A BOLUS ABOLUS may be stopped at anytime by pressing the STOP PROGRAM key The BOLUS AMOUNT given will be briefly displayed before the LCD retur
29. SION OR NONE YES YES LOAD A NEWLY FILLED SYRINGE Bolus Amt NO NO NIA N A NOT APPLICABLE Alarm will not reactivate once alarm ON OFF is pressed P N 9 61 20100 0 3 Model 2010 Operations Manual TEMPORARY AUDIO OFF RESETS TO AUDIO ON AFTER 2 MINUTES OR 60 MINUTES OFF LINE PROGRAMMABLE OR THE AUDIO CAN BE TURNED BAGK ON BY PRESSING THE AUDIO OFF ON KEY FOR A SECOND TIME DENOTES LED COLOR E G G GREEN RED Y YELLOW 0 CHECK CLUTCH ALARM OCCURS IF THE TRACK DOES NOT MOVE AT THE PROPER SPEED ACCORDING TO THE RATE SET ON THE PUMP IF THE DRIVER IS MOVED MANUALLY DURING DELIVERY A CHECK CLUTCH ALARM OCCURS CORRECT PROBLEM AND ES YES YES 8 Yes NONE Yes YES PRESS DELIVERY TO RESTART INFUSION NO REMOVE UNIT FROM SERVICE E musttunoft YES R NONE system Error YES YES AND CONSULT main power MANUFACTURER Two quick yA PLUG INTO MAIN AC AS 41 wiin15 Permanent YES AS ATA sec delays Pump cannet infuse ures yes YES S into AC Alow fme far balle fo recharge NONE Yes INFORMATION ONLY NONE NA YES 9 NA NONE NO INFORMATION ONLY Syringe RE ENTER 3 YES Pops yes ves EAR Outi 93 16 second NO NA Plime Vol NA NA NONE NA NA NA ONE PECK NA NA N A Press ENTER then DELVER Y Y ae lam recur consul cance manua cr qudifed biomedical personne
30. TTACHING YOUR PUMP TO THE POLE CLAMP To permanently affix the pump to the Pole Clamp Assembly slide the Mounting Plate into the assembly then attach the entire unit to the pump with flat head screws Consult Technical Services at manufacturer for further information Front View Model 2010 Operations Manual Page 56 SECTION Xil PRECAUTIONS WARNING 1 2 3 11 12 13 14 This pump is for use only the under direction of qualified medical professionals Verify all programmed settings PRIOR to initiating delivery Verify that both the manufacturer of the syringe in use and the syringe size coincide with the information displayed on the LCD display Purge all air from the syringe and infusion lines BEFORE connecting to patient Do not place any labels on the syringe that will be covered by the syringe retainer clamp This clamp must contact the syringe barrel without interference to ensure accurate syringe size sensing Do not use in presence of flammable anesthetics or explosive gases i e in laboratories or in operating rooms where explosive gases are present Always use PRIME when mounting a newly filled syringe to remove any mechanical tolerances Failure to do so may delay the delivery of the infusate and cause theTOTAL VOLUME DELIVERED display to read higher than actually delivered to the patient Medex recommends use of syringes as indicated in the General Specifications Section Contact Med
31. The SELECT key toggles between LOUD and SOFT B ALARM VOLUME SOFT STEP 7 PROGRAMMING ALARM DELAY The LCD queries alarm delay options NOTE The delay time is activated when the A ALARM DELAY 7 alarm off on key is pressed The SELECT key toggles between a 2 minute and a 1 hour delay time STEP 8 PROGRAMMING SYRINGE MANUFACTURER The LCD displays the options for each syringe manufacturer according to software version which may include B D MONO TERU BBM FRES PERF BD G or ABOT SELECT Press SELECT to eliminate access to a given manufacturer in the operation mode OR ENTER the desired manufacturer s NOTE Multiple manufacturers may be entered P N 9 61 20100 0 3 Model 2010 Operations Manual Page 73 CUSTOM PROGRAM MODE continued 2 STEP 10 SELECTION FOR B D LUER LOCK SYRINGE eme BET The LCD queries use of the Luer Lock B D 1 cc syringe LuerLock BD icc VES The SELECT key toggles between YES and x NO Press ENTER to program choice Nass If YES is entered in the query for use of the B D Luer Lock 1 m E pm bue SYRINGE iger ete LuerLock BD icc NO syringe the operator must select the appropriate Syringe size l e 1 cc or 3 cc The pump cannot distinguish between these syringe sizes VERIFY BATCH SETTINGS The purpose of the code is to allow quick ve
32. X S sole obligation with respect to any such defect is limited to the repair or at MEDEX s option replacement of the Syringe Infusion Pump Purchaser pays return freight charges This limited warranty is made on the condition that prompt notification of a defect is given to MEDEX within the warranly period and thal MEDEX shali have the sole right to determine whether a defect exists This limited warranty does not apply to Syringe Pumps that have been partially or completely disas sembled altered subjected to misuse negligence or accident or operated other than in accor dance with the instructions provided by MEDEX This limited warranty represents the exclusive obligation of MEDEX and the exctusive remedy of the purchaser regarding defects in a Syringe Infusion Pump THIS WARRANTY IS GIVEN IN LIEU OF ANY EXPRESS OR IMPLIED WARRANTIES INCLUDING THE WARRANTY OF MERCHANT ABILITY OR FITNESS FOR A PARTICULAR PURPOSE No person is authorized to modify in any manner MEDEX S obligation as described above MEDEX reserves the right to make changes in or additions to pumps manufactured and or sold by MEDEX at any time without incurring any obligation to make the same or similar changes on pumps previously manufactured or sold by MEDEX P N 9 61 20100 0 3 Model 2010 Operations Manual Page 61 SERVICE AND LIMITED WARRANTY continued SERVICE CAUTION The syringe pump should not be serviced by any personnel who have n
33. a syringe pump c Connect the syringe pump tubing at the closest point to the patient for more predictable and accurate delivery of the fluid d Use small internal diameter high hardness tubing and no in line devices for best results at low rates 10 Aroutine preventive maintenance schedule should be followed according to the policy defined by the individual hospital Presently Medex recommends that these procedures be performed as indicated in the Service Manual Additiona routine cleaning and inspections should be performed on an as needed basis i e droppage fluid contamination suspect malfunction etc gt imponTAnT On the front of this manual is a revision date If the date is over three 3 years please contact Medex to see if additional information related to this product is available Rte A EY P N 9 61 20100 0 3 Model 2010 Operations Manual Page 59 SECTION XII CLEANING The pump housing may be cleaned with the following agents AMMONIA and 97 water LpH se by Calgon Vestal Laboratories CLOROX and 90 to 95 water MANU KLENZ by Calgon Vestal Laboratories CONTROL III by Maril Products Inc METRIZYME by MetrexResearch Corporation COLDSPOR byMetrexResearch Corporation MILD SOAP AND WATER SOLUTION DETACHOL byFernadale Laboratories Inc NUTRA pH by Snowden Pencer ENVY by S C Johnson amp Son Inc SANI CLOTH by distributor Professional ENZOL by Johnson amp Johnson Medical Inc Dispos
34. ables Inc ETHYLALCOHOL 95 190 proof SEPTISOL byCalgon Vestal Laboratories HARCO TINCTURE OF GREEN SOAP by Harley SPORICIDIN by Calgon Vestal Laboratories Chemicals TOR by Huntington Laboratories Inc ISOPROPYL ALCOHOL 70 ruhhing alcahol WISKADHESIVE REMOVERPAD by Baxter ISOPROPYLALCOHOL 70 and 10 ACETONE Healthcare Corporation This ie the way we wash our pumps Wash our pumps Wash our pumps CAUTION Recommendations for agents applies to compatibility of agent with the plastic housing and is not based on the cleansing disinfecting ability or effectiveness Medex makes no representations as to any agent s ability to cleanse or disinfect We defer io the guidelines of ihe manufacturer for mixing instructions for agents listed WARNING Do not use solutions containing strong detergents organic solvents quarternary ammonium or ammonium chloride to clean any portion of the pump as serious damage could result DO NOT IMMERSE Avoid spills and inadvertent allowance offluid in the pump housing P N 9 61 20100 0 3 Model 2010 Operations Manual Page 60 SECTION XIV SERVICE AND LIMITED WARRANTY Other than cleaning maintenance must be performed by qualified biomedical personnel trained by Medex LIMITED WARRANTY MEDEX Inc warrants to the purchaser that the Syringe Infusion Pump shall be free from defects in material and workmanship for a period of one 1 year from the date of purchase MEDE
35. as shown syringe tabs parallel to clamp TA PUR Eu il If not properly engaged the pump may alarm after it has been in the deliver mode for a period of time For all size syringes be sure the finger tabs of the syringe engage the syringe clamp groove retainer and the syringe saddle P N 9 61 20100 0 3 Model 2010 Operations Manual Page 7 Pinch together the CLUTCH LEVER and move the SYRINGE DRIVER forward until the SYRINGE DRIVER contacts the plunger end of the DISPOSABLE SYRINGE Ss IMPORTANT Make sure the CLUTCH LEVER snaps into its fully extended operating position STEP iF Insert the end of the SYRINGE PLUNGER into the SYRINGE PLUNGER RETAINER thus holding it in place The SYRINGE PLUNGER may need to be lifted to load A WARNING Failure to secure the syringe plunger to the plunger retainer may resultin siphoning causing overdelivery CAUTION The plunger must be in contact with the driver to begin immediate delivery A gap could lead to a delay in delivery Use the prime function to eliminate any gap P N 9 61 20100 0 3 Model 2010 Operations Manual Page 8 OPERATING INSTRUCTIONS continued STEP 1G REMOVING THE SYRINGE Plunger Retainer To remove syringe from pump Lift up the clear syringe clamp and remove the empty syringe as shown E IMPORTANT Be sure to lift the syringe plunger out of the plunger retainer groove before pulling the
36. cannot dis tinguish between these syringe sizes STEP 5 PROGRAMMING A BOLUS AMOUNT CUSTOM PROGRAMMABLE If BOLUS AMOUNT does not appear on the LCD it was r i n kikazi not custom programmed the pump automatically skips to MONO 28 BBBBm1 Step 6 The BOLUS AMOUNT allows delivery of a specific Bolus mt 1 258 ml preprogrammed bolus of fluid or drug from any size syringe The decimal point position of the BOLUS AMOUNT is de termined by the decimal point location selected for the rate It cannot be changed unless the rate decimal point is changed Program the BOLUS AMOUNT with the RATE SELECTION Bolus Amt 01 25 key s Continuously pressingthe RATE SELECTION key s automatically advances the number Press ENTER to program the desired BOLUS AMOUNT m The LCD automatically advances P N 9 61 20100 0 3 Model 2010 Operations Manual Page 32 USER MODES continued Continuous Mode EMEN STEP 6 PROGRAMMING RATE MG per hour STEP 6A CHANGING THE DECIMAL POINT LOCATION If the decimal point is located appropriately skip to E HONO 28 Step 6B If the decimal point needs to be changed follow the procedure below B 1 258ml te Press the PROTOCOL DECIMAL key to change the location of the decimai point NOTE f the decimal point of the RATE is changed a new BOLUS amount will be requested after the new Rate 0 000 MVHR RATE is entered The decimal point for both the RATE Rate 00 00 mI HR and BOLUS a
37. cton Dickirison Mono refers to Monoject Teru refers to Terumo and BD G refers to B D glass and ABOT refers to Abbott prefilled syringe etc Press ENTER to confirm your selection NOTE The SYRINGE MANUFACTURER ap pears on the LCD and ihe pump automatically ad vances to the next programmable item in this example MONO was entered NOTE Turn the main power off and start over to correct an inadvertent mis eniry of ihe Syringe Manufacturer correction is possible only if SELECT MANUFACTURER appears on the LCD WARNING gt Verify that the syringe manufacturer on the LCD is the same as the syringe in use Failure to use the listed manufacturer could result in inaccurate delivery The pump cannot automatically identify syringe manufacturer BREMEN Ann P N 9 61 20100 0 3 Model 2010 Operations Manual Page 24 USER MODES continued Mass Mode STEP 4 PROGRAMMING SYRINGE SIZE The fourth line of the LCD alternately flashes LOAD SY mier one oer RINGE PRESS enter MONO s B8 8888MG C BBBHG mn 1 If the syringe is not already loaded onto the pump load the syringe as instructed see Section IV Operating In mad Syringe structions ie pne Once the syringe is properly loaded press the ENTER de key The pump will automatically enter the correct syringe sex 8 8868MG size and advance to the next programmabie item unless C BBBHG n1 use of the B D luer
38. e pump to strong magnetic fields as it may affect pump function Itis recommended that this pump not be used in situations where the syringe is connected to a system much less than atmospheric pressure i e negative pressure below 100 mmHg Atcertain pressures the plunger could be pulled from the retainer resulting in a siphoning situation and the resulting complications of an overdelivery which could include serious injury or death CAUTION Always verify carefully thatthe syringe is mounted properly The finger tabs should be secured by the syringe clamp and the syringe plunger end by the syringe driver retainer For 60cc syringes be sure the finger tabs of the syringe engage the syringe clamp groove retainer andthe syringe saddle Rotating the syringe barrel will improve engagement If not properly engaged the pump may alarm after it has been in the deliver mode for a period of time Do not allow fluids to enter the pump Immediately wipe off all spills The TOTAL VOLUME DELIVERED and the VOLUME LIMIT use separate counters Do not use organic solvents to clean the pump Use only those agents listed under cleaning to clean and disinfect the pump Use of unapproved agents could damage the pump See cleaning agent section Do not autoclave or subject the pump to temperatures which exceed 50 degrees C Use only those drugs which are compatible with the disposable syringe selected and the existing environmental conditions Verify
39. elivery time Flow Rate 0 01 to 378 0 ml hr dependent on syringe size selected See Appendix 1 Bolus Rate Body Weight Mass and Continuous Modes Power AC Adapter DC Internal rechargeable batteries Recharge Time No longer than 16 hours with the pump turned off Battery Capacity At 25 degrees C a 16 hour charge will operate the pump for approximately 10 hours at 5 0 ml hr with a 60 ml syringe Alarms Alerts Near Empty Syringe Pops Out Empty Invalid Size Dose Vol Delivered Invalid Number Bolus Delivery Check Clutch Occlusion Alarm Temporary Delay System Malfunction 2 or 60 minutes Low Battery Alarm Audio Volume Depleted Battery Soft or Loud Status Alerts Stop Program Battery Depleted Deliver Priming Battery In Use Standby Mode Battery Charging Back Light Total Delivered 0000 0000 to 9999 9999 MG and 0000 0000 to 9999 9999 ml EEELLEC HGLLIGIILLLLIULIILULLLLLLLILML a e d P N 9 61 20100 0 3 Model 2010 Operations Manual Page 3 GENERAL SPECIFICATIONS continued Syringe Selection Version 1 2 Five Options 4 Manufacturers Becton Dickinson B D 1 3 5 10 20 30 60 ml Monoject Mono 1 3 6 12 20 35 60 ml Terumo Teru 1 3 5 10 20 30 60 ml Becton Dickinson Glass BD G 1 3 5 10 ml Abbott Abot 50 ml Abboject Version 1 2A also includes 3 additional syringe manufacturers Braun BBM 2 5 10 20 30 60 mi Fresenius FRES 10 50 Perfusor
40. ex for use of other syringes If the pump fails to perform as described herein remove from service and consult Medex Selection of the some alarm option silences the audio component for the following alarm conditions STOP PROGRAM includes standby mode NEAR EMPTY EMPTY and VOLUME LIMIT When an occlusion occurs and is corrected there is a risk of infusing the pressurized build up of infusate To avoid inadvertent bolus relieve pressure before restarting the infusion Verify that the syringe manufacturer on the LCD is the same as the syringe in use Failure to use the listed manufacturer could result in inaccurate delivery The pump cannot automati cally identify syringe manufacturer Always confirm thatthe syringe size stated on the LCD agrees with the size of the syringe loaded on the pump Failure to select the correct syringe size will result in inaccurate delivery If the B D luer lock option was selected in custom programming the operator must select the appropriate syringe size 1 or 3cc The pump cannot distinguish between these Syringe sizes P N 9 61 20100 0 3 Model 2010 Operations Manual Page 57 PRECAUTIONS continued 18 14 If the pump has been dropped or damaged it must be thoroughly examined and tested to assure that it is functioning properly Failure to do so could result in either under or over delivery of medication along with the resulting consequences Do not expose th
41. fies the MG HR mode Press ENTER to access the MG HR mode OR Press SELECT io eliminate access to the MG Select Mode HR mode HG HR mode The LCD automatically advances to the next choice P N 9 61 20100 0 3 Model 2010 Operations Manual Page 69 CUSTOM PROGRAM MODE continued STEP 2C ML PER HOUR The flashing LCD identifies the ml HR mode Press ENTER to access the mI HR mode Select Mode ML HR mode OR Press SELECT to eliminate access to the ml HR mode The LCD automatically advances to the next choice select STEP 2D VOLUME OVER TIME The flashing LCD identifies the VOLUME TIME mode Press ENTER to access the VOLUME TIME mode SELECT MODE OR _ UOLUME TIME _ Press SELECT to eliminate access to the VOL UME TIME mode The LCD automatically advances to the next choice PIN 9 61 20100 0 3 Model 2010 Operations Manual Page 70 CUSTOM PROGRAM MODE continued NOTE STEP 3 appears if the Body Weight mode is the only mode ENTERED If other modes were entered skip to STEP 4 STEP 3 LOCKING IN A SINGLE RATE MODE NOTE Locking in a single rate mode applies to the BODY WEIGHT MODE only it simpli fies programming by limiting the RATE MODE selection to one of the four available choices Delivery in the other three RATE MODE choices then is not possible Use the SELECT key to change the LCD to YES or NO If NO is ente
42. ge con Time 66 60 tinuously display The battery voltage displays after a 60 second delay FOR EXAMPLE pee c pee This display indicates the batteries have been U 8 A recharging for ten hours seventeen minutes and the present battery voltage is 8 0 10 1 P N 9 61 20100 0 3 Model 2010 Operations Manual Page 53 SECTION X BATTERY VOLTAGE A To checkthe charge status of the batteries 1 Unplug the AC adaptor 2 Turn the pump ON 3 Review the voltage stated on the LCD BAT U 7 8 A voltage greater than 8 2 volts indicates a nearly FULL CHARGE however the pump should be recharged for 16 hours to insure a FULL CHARGE A voltage less than 7 3 volts indicates a LOW BATTERY condition er IE ne P N 9 61 20100 0 3 Model 2010 Operations Manual Page 54 SECTION KI IV POLE OR RAIL ATTACHMENT A INTRODUCTION All pumps can easily accept the POLE CLAMP or the ROTATING POLE CLAMP using the procedures described below ATTACHING POLE CLAMPS 1 Orient the POLE CLAMP either verti cally for IV pole mounting or horizontally rail mounting Use the two 6 32 flat head screws provided to secure the IV clamp to the back of the pump 2 The ROTATING POLE CLAMP is de signed to provide maximum flexibility when mounting or transporting your Sy ringe pump Special features include a quick release lock and full pump rotation capablities Rubber capped feet on the mounting prevent the pum
43. he LCD until delivery begins inthe DELIVERY MODE ali keys are inactive for program ming except the ALARM ON OFF key the BOLUS DELIV ERY key s provided a BOLUS was programmed and the RATE SELECTION key s STEP 8 RUNNING VOLUME The RV in hundredths of a ml will be displayed on the LCD NOTE The RV records how much of the DOSE VOLUME MON 9 658Bn1 E e g VOLUME LIMIT has been delivered DV 18 25m1 DT B8i 38 B The RV is reset to zero when any of the following events RU 9 65m1 occur change in syringe size empty alarm reprogramthe 83 he DV and when PRIME is used P N 9 61 20100 0 8 Model 2010 Operations Manual Page 39 USER MODES continued Volume Time STEP 9 STOP END DELIVERY STEP 9A STOP DELIVERY Press the STOP PROGRAM key to stop the infusion aam The STOP PROGRAM LED blinks and a slow inter mer me mittent 1 audio alarm sounds MONO 12 9 65001 DU 18 25ml DT 81 38 NOTE Alarms e g occlusion depleted battery sy m ringe pops out interrupt delivery Correct the alarm pios 6 Sam LR and press the DELIVER key to resume pee rivero STEP 9B END OF DELIVERY Su c EE dE When the DV is reached the number 2 audio alarm MONO 12 18 2588nl sounds The LCD reads DOSE VOL DELIVERED DU 180 25m DT 81 38 Press Enter and the STOP PROGRAM LED blinks indicating delivery cessation To silence the audio Rate 6 833m1 HR alarm press the ALARM OFF ON key gt lt stop program
44. he pump continues to deliver after the NEAR EMPTY alarm sounds However be aware of the following If a volume limit is programmed and is less than the fluid in the syringe the volume limit alarm will sound at the appropriate point and the infusion will stop If a volume limit is programmed to be larger than the fluid remaining a NEAR EMPTY alarm and EMPTY alarm will sound at the end of the syringe No Volume Limit alarm will sound If a volume limit value just slightly less than the volume of fluid in the syringe is programmed as a volume limit the near empty alarm will sound then the volume limit alarm may sound AAA A ER A RE I ER MALT un mn ET Orr P N 9 61 20100 0 3 Model 2010 Operations Manual Page 48 ALARMS ALERTS continued E EMPTY ALARM The EMPTY ALARMSS actuation point is determined by a mathematical formula based on the Syringe Manufacturer and Syringe Size Whenever an EMPTY ALARM sounds Alarm 2 the operator should visually verify that the syringe in use is EMPTY The operator must decide to terminate the infusion or replace the syringe with a new supply of infusate NOTE The pump stops delivering when the EMPTY ALARM SOUNDS The audio 2 alarm may be temporarily silenced by pressing the ALARM OFF ON key If the syringe has any fluid remaining to deliver restart the infusion by pressing the DELIVER key The NEAR EMPTY ALARM will sound and when the syringe is empty you will receive a second EMPTY ALARM NOTE THAT THE
45. his could cause over delivery of infusate or an infusion of air purged from 4 the set NOTE When priming the occlusion alarm may occur if a small bore Mini vol extension set is used Intermittently press and release the PRIME key versus pressing and holding it continuously to alleviate this problem P N 9 61 20100 0 3 Model 2010 Operations Manual Page 44 Multimode Programming Operating Features Continued PROGRAMMING STANDBY TIME IN WARNING If the some alarm selection was made in the custom program mode the STOP PROGRAM audio alarm was disabled therefore an audio alarm will not occur when the STANDBY TIME elapses in the STANDBY MODE The STANDBY MODE allows temporary suspension of an infusion while retaining all pertinent data e g rate total delivered syringe size syringe manufacturer etc The T STANDBY TIMER delays the occurence of the STOP am PROGRAM audio alarm by the time programmed gt Press the STOP PROGRAM key to stop the infusion The E pump must be in the STOP PROGRAM mode Press at Ed enter the same time the STOP PROGRAM and ENTER keys then release both gt The last line ofthe LCD will appear as shown sel lt ent gt Stand by gt gt Press the ENTER key The LCD displays STBY Time 00 00 gt Program the desired STANDBY TIME in hours and minutes e g 03 30 for three hours and thirty minutes STBY TIME 08 88 with the RATE keys
46. imal point needs to be changed follow the procedure below Press the PROTOCOL DECIMAL key to change the location of the decimal point STEP 9B PROGRAMMING RATE To program a RATE press the RATE selection key s located beneath the flashing numerals NOTE Continuously pressing the RATE selection key automatically advances the number Press ENTER to enter the desired rate Body Weight polen pw Hose MONO 12 8 C 058HG nl W 2 58kg B 3 mcg kg mcg kg min 5ee Below Protocol 0000 MG HR gt meg kg min 0 000 MG HR meg kg min 00 00 MG HR _mcg kg min 000 0 MG HR gt rene prom MONO 12 A BRBBMG C B580MG nl W 2 58kg B 3 mcg4kg ncg kg min B B8B8 E p MONO 12 A B0BBMG C 858MG m1 W 2 5Bkg B 3 mcg kg y kg min 1 168 No information on the LCD flashes When the display is solid not flashing the operator should PRIME to remove any mechanical slack before commencing DELIVERY NOTE NVALID NUMBER displays on the LCD when an invalid rate entry occurs followed by the high est possible rate programmable for the syringe se lected P N 9 61 20100 0 3 Model 2010 Operations Manual Page 20 USER MODES continued STEP 10 PRIMING Body Weight For important detailed information on priming please see section PRIME STEP 11 DELIVERY ST
47. in which case the operator must select sy ringe size i e 1cc or 3cc See Appendix V amp WARNING Always confirm that the syringe size stated on the LCD agrees with the size of the syringe loaded on the pump Failure to select the correct syringe size will result in inaccurate delivery WARNING Ii the B D luer lock option was selected in custom programming the operator must select the ap propriate syringe size i e tcc or 3cc The pump cennot distinguish between these syringe sizes STEP 6 PROGRAMMING CONCENTRATION mg per mi STEP GA CHANGING DECIMAL POINT LOCATION If the decimal point is located appropriately skip to Step 6B If the decimal point needs to be shifted follow the procedure below Press the PROTOCOL DECIMAL key to change the lo Conc 000 MG ml cation of the decimal point Conc 0 00 MG ml Conc 00 0 MG ml P N 9 61 20100 0 3 Model 2010 Operations Manual Page 17 USER MODES continued Body Weight STEP 6B PROGRAMMING CONCENTRATION VALUE To program CONCENTRATION Conc peor For press the RATE SELECTION key s located A BABAMG beneath the flashing numerals The SELECT key YAA BB ke does not program concentration BSBMG m1 Press ENTER to enter the desired concentration STEP 7 PROGRAMMING WEIGHT KILOGRAMS STEP 7A CHANGING THE DECIMAL POINT LOCATION If the decimal point is located appropriately skip to STEP 7B If the decimal point needs to
48. l See D below Page 52 SECTION IX BATTERY POWER A The pump s batteries simultaneously recharge while operating and while the pump is turned OFF but plugged into AC The batteries cannot be overcharged The BATTERY CHARGING LED indicates that electricity is reaching the batteries B Ifthe LOW BATTERY LED lights and an audio alarm occurs while the pump is running the pump should be placed on AC as soon as possible However the pump s operation is not compromised in any way while operating in the low battery state C Ifthe pump is allowed to reach DEPLETED BATTERY the LED will flash and 3 audio alarm will sound The pump is no longer able to continue operating To continue the infusion the pump must be plugged into the wall The LCD appears as described below D If a low or depleted battery condition exists upon turning the pump ON the LCD will state Bat Depl Plug in AC The pump must be plugged into AC and the DELIVER key pressed before commencing operation E The LCD backlight is normally off when the pump is operating on battery power With activation ofthe BACKLIGHT key or any other key on battery power the BACKLIGHT stays on for 15 seconds The backlight is always lit when the pump is operating on AC power F To display the battery recharge time press and uer pe hold both STOP PROGRAM and DELIVER keys then turn the pump on U 7 6 Both the recharge time and battery volta
49. l or Medex certified biomedical personnel For software version 1 2 if LOW INT MID HIGH are selected the syringe size will be followed by an L respectively so the operator will be able to identify the proper force table For software version 1 21 or higher MID has been changed to INT or l The PSI setting is theoretically derived Generally the actual PSi will be lower than the theoretical value The actual output pressure is affected by a multiplicity of factors including syringe size friction between syringe barrel and plunger catheter gauge internal diameter ofthe tubing durometer of the tubing residual volume of tubing rate of infusion use of various in line devices including stopcocksjfilters valves etc For example making changes to the force setting with use ofa Monoject 35cc syringe affects the following i Monoject 35cc syringe Normal 11 0 force Ibs 16 4 max theoretical psi Low 4 0 force Ibs 5 96 max theoretical psi Intermediate 6 88 force lbs 10 2 max theoretical psi Middle 13 8 force lbs 20 5 max theoretical psi High 15 0 force ibs 22 3 max theoretical psi For further information on theoretical values for other syringe sizes settings please contact Medex s Technical Services IMPORTANT Any setting may produce false occlusion alarms however in general the lower occlusion pressures are more likely to create false occlusion alarms P N 9 61 20100 0 3 Model 2010 Operations Man
50. m the pump prior to routine clinical use Once the pump is programmed in the CP mode go to Sections IV and V for normal operating instructions STEP 1 ENTERING THE CUSTOM PROGRAM CP MODE STEP 1A ENTER CP MODE To enter the CP Mode press and hold down at the same time the SELECT and ENTER keys then turn the pump ON with the power 4 switch select The LCD display should be blank zm Tata DELIVERED Release the SELECT and ENTER keys to vi sualize the LOCK CODE as shown gt Lock 9000 Y STEP 1B ENTER LOCKOUT ACCESS CODE Program the access code 1234 by using the pesi s appropriate RATE SELECTION keys NOTE An inadvertent mis entry can be cor rected by pressing any two rate keys simulta neously which converts the display to zeros Press ENTER to enter the code The pump will automatically advance to the CP Mode if a valid code is entered An erroneous code denies access to the CP Mode PIN 9 61 20100 0 3 Model 2010 Operations Manual Page 68 CUSTOM PROGRAM MODE continued A M STEP 2 PREPROGRAMMING DELIVERY MODES STEP 2 BODY WEIGHT The flashing LCD identifies the BODY WEIGHT mode Press ENTER to access the BODY WEIGHT mode Select Mode OR m Bo Press SELECT to eliminate access to the BODY WEIGHT mode Pee ente The LCD automatically advances to the next choice STEP 2B MG PER HOUR The flashing LCD identi
51. n modes the maximum infusion rate the alarm volume the alarm temporary delay time volume limit KVO rate and alarm types Delivery Made The level of pump operation during which the infusion occurs as initiated by pressing the DELIVER key and indicated by the blinking of the green LED DELIVER Key light All keys except the ALARM OFF ON key and STOP PROGRAM key are inactivated Delivery Time DT Time in hours and minutes for the dose volume to be delivered Dose Volume DV Volume in mls of dose to be administered the same as volume limit in the volume time mode Invalid Number A LCD parameter that indicates what has been programmed is not consistent with other values entered The highest possible entry that is programmable will be displayed e g if a VL is entered that exceeds the syringe capacity the display will show the highest value programmable for the syringe selected Light Emitting Diode LED A red yellow or green light function which appear on front panel ofthe pump Liquid Crystal Display LCD The pump screen Prime A level of pump operation thatis only activated in the program mode when all another functions have been entered Priming allows the fluid to be delivered to displace air in the tubing attached to the syringe The actual priming volume can be verified on the prime volume counter of the LCD The prime function also eliminates any mechanical slack whenever a newly filled syringe is loaded onto the pump
52. ns to the m previously programmed rate program Press DELIVER key to resume delivery STEP 13 PROGRAMMING STANDBY TIME Eg The STANDBY MODE allows temporary suspension of an infusion while retaining all pertinent data e g rate total delivered syringe size syringe manufacturer etc See Section STANDBY MODE for detailed information on programming and cancelling standby time P N 9 61 20100 0 3 Model 2010 Operations Manual Page 29 USER MODES Continuous Mode Introduction Continuous Mode ML HR The Continuouos Mode allows programming of the rate in mI HR Additionally a bolus amount may be custom programmed for delivery of a specific bolus of fluid or drug from any size syringe 1t delivers at the fastest rate possible for the syringe in use The Continuous Mode conveniently deliv ers in MVHR for meticulous infusion of drugs or fluids STEP 1 ML HR MODE When the pump is turned ON lines 3 and 4 ofthe LCD display appear as follows FRE tee seien ums pom B VER 1 3 Options s VER 1 9 Options HRK Bol BAT U Bol Preset Mode Is Select Mode ML HR node ML HR mode If PRESET MODE IS appears If SELECT MODE appears no other infusion modes were other infusion modes can custom programmed be selected by using the SELECT key See Section IV To select ML HR press ENTER STEP 2 BOLUS AMOUNT CUSTOM PROGRAMMABLE NOTE if a BOLUS AMOUNT is custom p
53. ollows SYRINGE oe To enne e VER 1 3 Options VER 1 Options see Bol BAT V x x Bol BAT U s E Preset Mode Is Select Mode MG HR mode MG HR node ee IF PRESET MODE IS appears no other infusion modes were custom programmed lf SELECT MODE appears other infusion modes can be selected by using the SELECT key See Section IV To select MG HR press ENTER STEP 2 BOLUS AMOUNT CUSTOM PROGRAMMABLE NOTE If a BOLUS AMOUNT is custom programmed the LCD will display the last programmed parameter e g Bolus Amount Yes or No If a BOLUS AMOUNT is not custom programmed the pump will automatically skip to Step 3 If NO is entered the LCD will automatically skip to Step 3 If YES is entered a BOLUS delivery is possible NOTE A BOLUS will be administered at the fastest rate possible for the syringe size in use PIN 9 61 20100 0 3 Model 2010 Operations Manual Page 23 USER MODES continued Mass Mode rr Er E t n STEP 3 PROGRAMMING SYRINGE MANUFACTURER CUSTOM PROGRAMMABLE NOTE f a syringe manufacturer is custom pro grammed the pump automatically advances to LOAD SYRINGE Entry into the custom program mode allows a syringe manufacturer change TES C ABBNG ml Baans Y Select Mf gr SeeBelou B Press the SELECT key to make the choices appear on the LCD Repeated presses of the SELECT key display the available choices For example B D re fers to Be
54. ot attended the 2000 Series Service School Other than cleaning maintenance must be performed by qualified biomedical personnel at the institution or at manufacturer For questions on repair service or maintenance of our pumps please call our TECHNICAL SERVICE DEPARTMENT at 1 800 648 0840 Whenreturning a pump for service please consider the following Call Technical Services at 1 800 648 0840 to obtain a RETURN AUTHORIZATION will need serial number model number p o ft other pertinent information related to the reason for return Decontaminate the pump or accessory prior to returning to the manufacturer accordingto O S H A guidelines NOTE If OSHA guidelines are not followed original packaging cannot be returned Package unit in original packaging or other appropriately protective shipping container gt Indicate the Return Authorization Number on the outside of the packaging Ship to MEDEX via preferred method at your cost Indicate preferred method of return er nn P N 9 61 20100 0 3 Model 2010 Operations Manual Page 62 APPENDIX I FLOW BALES SYRINGE SIZE en an Maximum Minimum 0 01 A2 5mlB D glass syringe is recognized in the software as a 3 ml syringe therefore 3ml is the selection option for a 2 5 ml B D glass syr nge Depending on the location of the decimal point rates can be programmed in smaller increments e g 0 01 0 001 0 0001 provided the minimum rate
55. oximately seven 7 seconds EC o X EE P N 9 61 20100 0 3 Model 2010 Operations Manual Page 11 OPERATING INSTRUCTIONS continued STEP 3 STEP 3A STEP 3B PROGRAMMING THE 2010 INTRODUCTION The program key LED blinks and a slow intermittent beep 1 sounds to indicate the Program Mode The alarm temporarily silences by pressing the ALARM OFF ON Key once Program or function changes occur only in the Stop Program Mode A single audio peck indicates a valid key press Occurs even when the audio is turned off ACCESSING THE DESIRED INFUSION MODE only if more than one mode was custom programmed The Medfusion 2010 Syringe Pump employs sequential programming The operator knows what selections can be made or programmed because they flash NOTE The infusion modes appear in the following order provided they were all custom programmed BODY WEIGHT MG HR ML HR VOLUME TIME These parameters do not appear if not custom programmed PRESET MODE IS onthe third line of the LCD indicates only one mode was cus tom programmed Refer to Section V User Modes BODY WEIGHT MODE NOTE Bol e g BOLUS appears on the LCD only if custom programmed VER 1 9 Oplione oeer Bol BAT U Select Mode Bodly Weight mode Press ENTER to use this mode The pump automatically advances to the BODY WEIGHT program enter OR Press SELECT to access other custom programmed infusion modes The next choice appears se
56. p from sliding when placed on a counter top or isolette Vertical SS A AA ATTACHING THE MOUNTING PLATE The Pole Clamp Mounting Plate is se cured to the pump with two flat head screws provided by the manufacturer ATTACHING AND REMOVING THE PUMP FROM THE POLE CLAMP ASSEMBLY To attach the pump to the Pole Clamp Assembly slide the Mounting Plate down into the grooves on the assembly until the Release Latch locks into place The pump may be quickly and easily re moved from the assembly by gently pull ing back on the Release Latch and slid ing the pump up and out of the grooves P N 9 61 20100 0 3 Model 2010 Operations Manual Page 55 IV POLE OR RAIL ATTACHMENT continued 3 ADDITIONAL ACCESSORY CATALOG NO 2001 TB Also available from Medex is a T bar multiple pump pole mount pictured below In addition to multiplying the capacity of or the multiple pumps it allows orientation of the 2000 Series pump for easy visualization one I V pole P N 9 61 20100 0 3 ROTATING THE PUMP ON THE POLE CLAMP When attached to the Pole Clamp As sembly the pump can be rotated to bet ter suit its environment To rotate the pump grasp it firmly and turn it in the de sired direction You feel the pump stop and lock into four different positions Straight Up 90 degrees to the right Up side Down and 90 degrees to the left PERMANENTLY A
57. quentially e g MG HR ML HR VOLUME TIME P N 9 61 20100 0 3 Model 2010 Operations Manual Page 12 OPERATING INSTRUCTIONS continued pum seine MG PER HOUR MG HR Em VER 1 Opti Press ENTER to use this mode The pump Bal BATOUSR A automatically advances to the MG HR pro Select Mode gram MG HR mode STEP 3C OR Press SELECT to access other custom pro grammed infusion modes The next choice appears sequentially e g ML HR VOLUME TIME BODY WEIGHT enter pe STEP 30 ML PER HOUR ML HR VER 1 3 Options Bol BAT U s Press ENTER to use this mode The pump Select Mode automatically advances to the ML HR program ML 7 HR node OR If another preprogrammed infusion mode is desired press SELECT and the next choice appears e g VOLUME TIME BODY WEIGHT MG HR a select STEP VOLUME TIME SYRINGE miger size poe P N 9 61 20100 0 3 Press ENTER to use this mode The pump au tomatically advances to the VOLUME TIME program NOTE f an Infusion Mode was not entered the process is repeated Model 2010 Operations Manual VER 1 Options eec E Bol BAT U Select Mode Uolume Tine mode select Page 13 SECTION V USER MODES Go to the appropriate section for the mode you wish to program Body Weight Pages 14 22 MG HR Pages 23 29 MUHR Pages 30 35 Volume Time Pages 36 40
58. re automatically placed in the same location Rate 000 0 STEP 6B PROGRAMMING RATE Rate _ 0000 mi HR To program a RATE press the RATE selection key s located beneath the flashing numerals NOTE Continuously pressing the RATE selection key automatically advances the number Press ENTER to enter the desired rate No information on the LCD flashes When the display is solid not flashing the operator should PRIME to remove any mechanical slack before commencing DELIVERY NOTE INVALID NUMBER displays on the LCD when an invalid rate entry occurs followed by the high est possible rate programmable for the syringe se lected Rate 05 35 mi HR CAUTION The rate does not reset to O when the sy m inge size is changed P N 9 61 20100 0 3 Model 2010 Operations Manual Page 33 USER MODES continued Continuous Mode NOTE Decimal point placement for rate may neces sitate reentry of the Bolus When the Bolus is reen E CORN uec MONO 28 8 888861 tered the decimal placement changes accordingly B 1 258m1 The final screen after the Bolus reentry is as shown Rate 358 m1 HR STEP 7 PRIMING For important detailed information on priming please see section PRIME STEP 8 DELIVERY STEP 8A INITIATING DELIVERY Press the DELIVER key to begin the infusion The LCD will not flash and the green LED DELIVER light begins
59. red go to Step 4 If YES is entered the last programmed RATE MODE will flash To confirm press ENTER To change press SELECT Press ENTER to enter choice Select Mode Bi Lock Rat 1 Lock Rate Mode NO Lock Rate Mode YES Select Rate See Below mcg kg min mcg kg HR P N 9 61 20100 0 3 Model 2010 Operations Manual Page 71 CUSTOM PROGRAM MODE continued D NP prom lol STEP 4 PROGRAMMING A BOLUS AMOUNT iger eMe only if BODY WEIGHT MG HR OR ML HR was selected NOTE A bolus amount cannot be programmed in Bolus fimt See Below VOLUME TIME mode E E E select Use the SELECT key to change the LCD to YES or NO Bolus Amount Yes Bolus Amount No Use the ENTER key to program your choice The LCD automatically advances to the next a screen STEP 5 ALARM OPTION The LCD queries the ALARM option Eee ee ger olze The SELECT key toggles between SOME and ALL Press ENTER to program choice ALARM OPTION 7 ALL A WARNING ea paa Selection of the SOME alarm option silences the audio component for the following alarm conditions STOP PROGRAM includes standby mode ALARM OPTION SOME NEAR EMPTY n EMPTY P N 9 61 20100 0 3 Model 2010 Operations Manual Page 72 CUSTOM PROGRAM MODE continued STEP 6 ALARM VOLUME OPTION The LCD will display the options for the alarm ALARM VOLUME 7 LOUD EA volume SES
60. ress the ENTER key gt Press the DELIVER key OR DONT STOP THE PUMP gt Press any RATE SELECTION key and when rate flashes D press RATE key to readjust existing rate to new RATE D Press ENTER to change to the newly programmed RATE a P N 9 61 20100 0 3 Model 2010 Operations Manual Page 43 Multimode Programming Operating Features Continued Press and hold the PRIME key purge air from the administration set The LCD states PRIME VOL _ Prime Vol 68 88m1 00 00ML and the pump runs at its fastest rate After approximately 16 seconds elapse a continuous tone ag 3 sounds However the pump continues to prime when the key is held down The amount delivered while priming is NOT counted Pri Vol 88 38 by the TOTAL DELIVERED counter However ihe 23811 amount delivered is shown on the prime volume counter The PRIME function only activates when the pump is in the STOP PROGRAM MODE and all other functions are entered e g Syringe Manufacturer Syringe Size Bolus Amount and Hate X CAUTION The prime function should be utilized when placing a newly filled sy 1 ringe on the pump or when attaching an infusion set Priming will displace the air in the set with the infusate and removes mechanical slack before starting delivery This assures thatthe syringe driver and plunger are in contact a WARNING Do not operate the pump in the prime function while connected to the patient T
61. rifi cation ofthe custom program settings form one pump to the next If there is a discrepancy it indicates some difference in custom program ming ee Hold the PRIME key down and turn the pump on iF 58 2D 88 98 The custom program features in hexadecimal EEE code will appear on the last line of the LCD This code will be unique for each custom Setup Press any key to continue programming in the operation mode P N 9 61 20100 0 3 Model 2010 Operations Manual Page 74 APPENDIX V USE OF B D LUER LOCK SYRINGES IN THE OPERATION MODE lf B D Luer Lock 1 cc syringes are utilized with the Medfusion 2010 pump the option for this selection must be made in custom programming as follows The LCD queries the use of the B D Luer Lock 1 cc after programming options are chosen The SELECT key toggles between YES and NO Press ENTER to confirm choice IN WARNING Xe LuerLock BD icc VES E E pom olaaa 2 NO LuerLock BD icc _ Always confirm that the syringe size and manufacturer stated on the LCD agree with the size and manufacturer of the syringe loaded on the pump Failure to select the correct syringe size will result in inaccurate delivery ee P N 9 61 20100 0 3 Model 2010 Operations Manual Page 75
62. rogrammed the LCD will display the last programmed parameter e g Bolus Amount Yes or No If a BOLUS AMOUNT is not custom programmed the pump will automatically skip to Step 3 If NO is entered the LCD will automatically skip to Step 3 If YES is entered a BOLUS delivery is possible NOTE A BOLUS will be administered at the fastest rate possible for the syringe size in use P N 9 61 20100 0 3 Model 2010 Operations Manual Page 30 USER MODES continued Continuous Mode STEP 3 PROGRAMMING SYRINGE MANUFACTURER CUSTOM PROGRAMMABLE NOTE f a syringe manufacturer is custom pro grammed the pump automatically advances to LOAD SYRINGE Entry into the custom program m mode allows a syringe manufacturer change S Select Mfgr SeeBelow e 8 998 Press the SELECT key to make the choices appear on the LCD Repeated presses of the SELECT key displays the available choices For example B D re fers to Becton Dickinson Mono refers to Monoject Teru refers to Terumo and BD G refers to B D glass and ABOT refers to Abbott prefilled syringe etc Press ENTER to confirm your selection NOTE The SYRINGE MANUFACTURER ap pears on ihe LCD and ihe pump automatically ad in this ex MONO vances to the next programmable item ns exemple MO was entered NOTE Turn the main power and start over to correct an inadvertent mis eniry of the Syringe Manufacturer A correction is possible only if SELECT MANUF
63. s CAUTION In consideration of how syringe pumps operate clinicians should consider use of appropriate syringe tubing and in line devices for the given application and the drug being infused Certain factors enhance multiple characteristics of syringe pump infusion such as time to detect an occlusion visual verification of volume delivered continuity of flow time to reach the set rate Following are consider ations requiring discretion by clinicians using syringe pumps Typically this is most important with continuous injections of short half life drugs a Select smallest syringe size appropriate for the intended application Friction within the Syringe between the plunger rubber tip and the barrel can affect the continuity of flow and the time required to attain the set infusion rate the plunger tip expands and relaxes throughout the infusion particularly with larger syringes at slower rates The best case is to use smaller Syringes at higher rates b Donotuse a 60 cc syringe for rates of 2 0 cc hour or less Such use is generally not recommended when using a syringe pump Connect the syringe pump tubing at the closest point to the patient for more predictable and accurate delivery of the fluid d Use small internal diameter high durometer hardness tubing and no in line devices for best results at low rates Jeanne P N 9 61 20100 0 3 Model 2010 Operations Manual Page 1 INTRODUCTION Carefully read
64. s of ALARMS which are depicted in Table 1 NOTE Review Section VIII Other Key Functions for specifics on how the ALARM OFF ON key functions PROCEDURE FOR CORRECTING OCCLUSION ALARM Troubleshoot by first checking for Kinks in tubing Stopcocks and clamps which are turned off prohibiting flow Clotted IV catheter or needle Something preventing movemont of the Syringe Driver Make sure syringe is not empty APN Press the DELIVER key to restart the infusion once the occlusion is relieved corrected NOTE The pump STOPS INFUSING if an occlusion alarm occurs WARNING When an occlusion occurs and is corrected there is a risk of infusing the pressurized build up of infusate To avoid inadvertent Bolus relieve the pressure before restarting the infusion PROCEDURE FOR CORRECTING SYSTEM MALFUNCTION This alarm indicates that something has disrupted the operation of the microprocessor Fail ures which would activate this alarm are over and under deliveries and electrical compo nent failures WARNING If this alarm occurs remove the pump from service and consult the manufac turer Also record any operating data such as Total Volume Delivered Infusion Rate sy ringe manufacturer syringe size etc Once the pump is turned OFF this information is NOT retained NEAR EMPTY ALARM Under most conditions the NEAR EMPTY ALARM automatically sounds as 3 beeps ap proximately 10 minutes before the syringe becomes physically empty T
65. syringe out Plunger Retainer A WARNING Failure to follow proper syringe removal procedures could cause damage to your pump which may result in inaccurate drug delivery STEP 1H OPTIONAL Loading Securely attach the plunger holder cup Abbott Pre Filled Syringes provided by Abbott to the end of the syringe plunger Glue or tape must be utilized to securely attach the plunger holder cup Place the end of the cup into the plunger retainer as described in STEPS 1E and 1F N Plunger Holder Cup A WARNING Proper syringe loading and plunger holder cup placement is essential for proper delivery and actuation of the empty and near empty alarms improper use or the lack of use of the plunger holder cup may result in inaccuracy with ramifications that are drug dependent Failure to secure the plunger holder cup to the syringe may result in siphoning causing over delivery P N 9 61 20100 0 3 Model 2010 Operations Manual Page 9 OPERATING INSTRUCTIONS continued STEP 2 STEP 2A TURNING THE PUMP ON REVIEWING THE CUSTOM PROGRAMMED FEA TURES AND PUMP SELF TEST The main power switch is located on the end of the pump Switch it to the ON position i e O Off 1 On NOTE Make sure the power cord is plugged into an electrical outlet unless battery power is required When ON the LCD Liquid Crystal Display displays the following information Line 1 Software
66. tal delivered syringe size syringe manufacturer etc See Section STANDBY MODE for detailed information on programming and cancelling standby time mnEE A TC P N 9 61 20100 0 3 Model 2010 Operations Manual Page 35 USER MODES Volume Time Mode Introduction Volume Time Mode The VOLUME OVER TIME mode requires entry of two infusion parameters the desired DOSE VOLUME DV and the desired DELIVERY TIME DT This mode is most useful in delivery of a single dose The rate in ml per hour calculates automatically The DOSE VOLUME becomes the VOLUME LIMIT VL Use this mode when one needs to deliver a single dose over time ra sare rom seven VER 1 3 Options seex VER 1 Options see Bol BAT U Bol Preset Mode Is Select Mode Volume Time__ mode Uolume Time mode If PRESET MODE IS appears If SELECT MODE appears no other infusion modes were other infusion modes can custom programmed be selected by using the SELECT key See Section IV To select ml HR press ENTER 2 STEP 3 PROGRAMMING SYRINGE MANUFACTURER CUSTOM PROGRAMMABLE Fan mud di ger ze EH HA 6 6608m1 D T se NOTE f a syringe manufacturer is custom pro grammed the pump automatically advances to Select Mfgr SeeBelou LOAD SYRINGE Entry into the custom program 4 E mode allows a syringe manufacturer change select Press the SELECT key to
67. the entire contents of this manual including the PRECAUTIONS SECTION before attempting to use your Medfusion 2010 Pump and verify that the SOFTWARE VERSION of the pump and manuals are in agreement The 2010 has four infusion modes body weight milligrams per hour milliliters per hour and volume over time 1 Body Weight Mode where mass units e g mg or mcg are delivered per weight e g kg per time e g minute or hour Rates for this mode would be programmed in mg per kilogram per minute or per hour and mcg per kilogram per minute or hour 2 Mass Mode where mass units e 9 mg are delivered per time e g hour Rates for this example would be programmed in mg per hour 3 Continuous Mode where volume e g mi is delivered per time e g hour Rates forthis example would be programmed in ml per hour 4 Volume over Time Mode where the total delivery volume in ml and the desired delivery time in hours and minutes are programmed individually pa RE ad PIN 9 61 20100 0 3 Model 2010 Operations Manual Page 2 SECTION II GENERAL SPECIFICATIONS Overall Size 4 5 wide X 3 0 high X 7 5 long Weight 2 5 pounds Accuracy 3 excluding syringe variations Infusion Modes Body Weight Modes mcg kg min can be field customized meg kg HR MGikg min MG kg HR Mass Modes MG HR Continuous Mode ml HR Volume Time Mode dose volume d
68. ual Page 50 ALARMS ALERTS continued L PLUNGER SENSOR OCCLUSION Medfusion 2010 pumps subsequent to serial number 33601 and all pumps that have had the plunger holder track subassembly replaced with the plunger track 2 subassembly and the slide housing 2 subassembly have a number of changes to the track subassembly The retainer moves outward when the clutch is pinched Additionally dependent upon the soft ware version an alarm occurs when the plunger is not in place For software versions 1 2 and lower an occlusion alarm triggers during the size confirma tion sequence in pump programming or during delivery if the plunger is not properly loaded For software versions higher than 1 2 a LCD message LOAD SYRINGE PLUNGER oc curs inthe same scenario In both cases a continuous alarm occurs and the plunger should be placed into the retainer As with all occlusion alarm occurrences the user should check for all sources of occlusion andfor 1 2 software versions and lower the lack of plunger placement should be considered as a source The user is cued to do same v a labelling as follows verify that the syringe plunger is loaded in the retainer P N 0 61 21101 0 0 P N 9 61 20100 0 3 Model 2010 Operations Manual Page 51 TABLE i ALARM ALERT GRID FOR MODEL 2010 PROGRAM OR TURN PUMP OFF PREPARE TO TERMINATE 3 beeps NONE NO NO INFUSION OR LOAD A NEWLY FILLED SYRINGE TERMINATE INFU
69. version and a three digit number that defines the custom program op tions See Appendix IV Line 2 A Bol indicates a bolus feature was custom programmed The BATTERY VOLT AGE e g BAT V 7 7 appears as a two digit number NOTE A blenk LCD for Bol indicates this feature has not been custom programmed Line 3 Alarms that were custom pro grammed appear The first choice is either LOUD or SOFT the second is the TEMPO RARY ALARM DELAY TIME which is either 2 MIN or 1 HR and the third is ALARM OPTIONS which is either ALL or SOME VER 1 3 Options seee PR Bol BAT Y x W a Alarm Loud 2 MIN All VER 1 Options BAT Wo Alarm Loud 2 HIN All Bol BAT U s s ee P N 9 61 20100 0 3 Model 2010 Operations Manual Page 10 OPERATING INSTRUCTIONS continued The audio alarm sounds LED ALARM TEST Line 4 The LCD states SYSTEM TEST then it states LED ALARM TEST and all LEDs Light Emitting Diodes except the BATTERY CHARGING and SYSTEM MALFUNCTION briefly light ALARMS near empty empty bolus delivery occlusion NOTE 7he Battery In Use STOP PRO GRAM and DELIVER LEDs blink AP oliver sys malfunction Soares deliv low battery 3 depleted battery battery in use battery charging The pump performs a System Malfunction Test y The System Malfunction LED lights and the au SYS HAL TEST dio alarm sounds NOTE The self test takes appr

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