Abbott APM II Operating Manual
Contents
1. 2 9 Using the Pole Clamp 2 10 Using the Carrying Case 2 10 430 600032 001 Rev 6 95 iv System Operating Manual Ea k r Programming 3 1 Programming Tips and Information aa 3 1 Turning On the APMI 3 2 Programming the Pump 3 3 Operation 4 1 Starting delivery 4 1 Stoppingdelivery 4 1 Delivering a Loading Dose 4 2 Delivering a Bolus or PCA Dose 4 3 Clearing Amounts at Start of Shift 4 3 ReviewingtheProgram 4 4 Changing the Program 4 4 RepeatingtheProgram 4 5 EnterngaNewProgram 4 5 Displaying the Date and Time 4 6 ChangingtheClock 4 6 Changing the Air Sensitiviy 4 7 Locking the Keypad 4 8 Locking the Keypad 4 9 Unlocking the Keypad 4 9 Activating the Automatic KeypadLock 4 9 Deactivating the Automatic Keypad Lock 4 10 Program History 5 1 History Review Tips and Information 0 5 1 Displaying the HistoryEventLog 5 3 Displaying the Amounts Delivered 5 3 Printing the Program History 5 3 430 600032 001 Rev 6 95 A2. Liquid crystal display LCD with backlight Pump alarms at approx 100 uL of air Pump alarms at approx 300 uL of air Air alarm off A time of day clock allows logging of history event time and date Accuracy of the clock is 3 minutes per month or better RS232C serial interface port isolated interface circuit for use with Seiko DPU411 or Kodak Diconix 150 or 180si Printers The following are screen displays for alarm and alert conditions Go to Section 7 Alerts and Alarms for a description of each condition ON BATTERIES LOW BATTERY CHANGE BATTERIES START AMOUNT TOO SMALL AMOUNT TOO LARGE CHECK CARTRIDGE OCCLUSION ALMOST EMPTY EMPTY PURGE OVERUSE AIR IN LINE 1 HOUR LIMIT 4 HOUR LIMIT SYSTEM ALARM MALFUNCTION CHECK PRINTER 430 600032 001 Rev 6 95
3. Never use sharp objects such as pens pencils fingemails paper clips needles etc to clean the pump U Cleaning and Disinfection The pump case exterior and cartridge channel should be kept clean and free of contamination Establish a routine schedule for cleaning the APM II To clean the APM II complete the following steps e Turn off the pump e Clean the exposed surfaces of the pump with a soft lint free cloth dampened with the appropriate cleaning solution listed in the table on the following page The pump is not affected by the appropriate cleaning solutions 430 600032 001 Rev 6 95 6 2 System Operating Manual Note Not all cleaning solutions are disinfectants Check product labeling e Wipe the solution from the pump surface with a moistened cloth e Dry the pump after cleaning Cleaning Solutions Super Edisonite S M Edison Per manufacturers Chemical Co recommendation Vesphene li se Calgon Vestal Per manufacturer s Laboratories recommendation Manu Klenz Calgon Vestal Per manufacturers Laboratories recommendation Formula C Diversey Corp Per manufacturer s recommendation Household bleach Per hospital procedures do not exceed one part bleach in O Cleaning the Optics four parts water The area containing the optics surfaces located in the cartridge channel should be cleaned on a regular basis CAUTION If the optics surfaces are not kept clean and free of de
4. 19 Power supply voltage is too high 1 n 2 13 o 430 600032 001 Rev 6 95 7 8 System Operating Manual O System Alarm Intermittent beeping SYSTEM ALARM Message flashes The system detects a problem with the motor circuit or the cartridge Press SILENCE to mute alarm for one minute Press RUN STOP to stop pump and clear the message Check cartridge for problem For error code 5 or 7 replace the cartridge if it is difficult to rotate Verify that the system error codes have been cleared by pressing and releasing ENTER then pressing and holding 5 If the code has cleared the first number that appears after ERR will be zero The succeeding numbers indicate up to three prior system error codes Verify program Press RUN STOP to resume therapy If problem persists remove pump from service record system alarm number and software version and call Abbott Clinical Customer Support at 1 800 338 7867 Code At low rates the motor is not off when it should be Excessive motor current while running b calculations were not done may occur with ocelusions Overuse of purge 430 600032 001 Rev 6 95 Delivery Rate Minimum Maximum Bolus PCA 8 Loading Dose Rate Volume Minimum Maximum Bolus 8 PCA Minimum Maximum Lockout Time Loading Dose Minimum Maximum Dimensions 4 Weight Power Sources AC Battery Battery Pac
5. Press 2 2 VOLUME INFO 1 SHIFT Press 1 to display shift information or 2 2 CONTAINER to display container information SHIFT CLEARED Press HISTORY or A to scroll through the 9 40 PM AUG 3j log press V to scroll back Press any other key to stop the review U Printing the Program History The history event log can be printed by connecting the pump to a printer Two custom printer cables are available refer to page 1 4 for list numbers The cables are not interchangeable CAUTION Printers should be operated on battery power when used with the APM II Do not connect the AC power supply to a printer 430 600032 001 Rev 6 95 5 4 System Operating Manual To print from the APM II complete the following steps e Connect the cable to the printer per manufacturer s instructions e Insert the cable pin connector into the port on the bottom of the pump e Before the printer is powered on set the dipswitches or printer settings as shown below e Load paper and place the printer ON LINE In run or stop mode press PRINT to start printing gt Seiko DPU411 Dipswitch Settings ON ON ne O m m OCO OC O 12345678 123456 gt Kodak Diconix 150 Dipswitch Settings Switch 1 Switch 2 ON ON BOOMO OOOO OO switch B COO E a 123456789 12345678 Switch A gt Kodak Diconix 180si Printer Settings Generate the Current Printer Settings printout and confirm that they match the r
6. filter when the air in line alarm is off System Operating Manual Press 1 or 4 to choose the length of limit Select the maximum volume continuous plus bolus amount that can be delivered over a one hour or four hour period Press ENTER Step 7 Program container size Select the container size Press ENTER Note Volume that is used when purging the pump with the PURGE key is subtracted from the container but is not added to the amount infused Step 8 Select air sensitivity High alarm at approx 100 uL of air Low alarm at approx 300 pL of air Off air alarm off Press 1 2 or 3 to select air alarm sensitivity setting The setting selected displays for several seconds then the pump saves the program and enters the stop mode Go to page 2 8 Purging the Complete Set for instructions 430 600032 A01 Rev 2 96 Operation QO Starting delivery Before starting an infusion confirm the following e All the set connections are secure e Air is removed from the container and the tubing e Slide clamps are open e Any clamps on the patient access device are open PRESS RUN STOP In the stop mode press RUN STOP TO INFUSE TOTAL x xx The pump enters the run mode A bar icon RATE x xx HR rotates while the pump is operating The total increases as the infusion continues Stopping delivery TOTAL x xx Inthe run mode press RUN STOP RATE x xx HR PRE
7. resulting e g bolus delivered or not delivered The log has a 256 event storage capacity When the log limit is reached and not cleared events continue to be registered however the oldest registered event is replaced by the newest event For convenience the shift amounts delivered or container amounts delivered may be viewed independently of the entire history log Arecord can be printed that lists current program parameters shift information container information and the event log a sample is shown on the following page To review the current program on screen refer to page 4 4 Reviewing the Program The HISTORY key accesses the history menu and scrolls through the log During a review press and release HISTORY to scroll through the log one screen at a time or press and hold HISTORY to scroll quickly through the log You can also press and release or press and hold A to scroll through the log Press and release the V key to scroll back one screen or press and hold V to scroll quickly back through the log To stop a review press any other key If no key is pressed for 30 seconds the pump automatically returns to the mode it was in when HISTORY was pressed 430 600032 001 Rev 6 95 5 2 System Operating Manual x k X X K RK x ABBOTT PAIN MANAGER PUMP Pump Name PATIENT RECORD x x we we kk KK K x KK PATIENT NAME Space to Record
8. If pump becomes wet dry it immediately Check connections and programmed data Some cleaning and sanitizing compounds may slowly degrade components made from some plastic materials Do not use compounds containing combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride Do not sterilize by heat steam ETO or radiation Apply disinfectants to the outside surface of the pump only Do not use abrasive cleaners or materials on the pump Using abrasive cleaners or cleaning solutions not recommended by Abbott Laboratories may result in product damage Use only the AC power supply delivered with the APM II to charge the battery pack Always remove batteries if pump is to be stored for an extended period of time 430 600032 001 Rev 6 95 Setup This section describes how to set up the following elements of the APM II system e Power sources batteries battery pack and AC power supply e Bolus cord e Cartridge set and container e Accessories lockbox pole clamp and carrying case U Power Source s and Bolus Cord Setup Install batteries the battery pack or the AC power supply before using the APM II If bolus or PCA delivery is desired connect the bolus cord O Installing Disposable Batteries To install batteries complete the following steps e Turn the pump off and remove the battery door on the back of the pump e Insert two 9 V batteries into the compartment be sure the positive and negati
9. LOCKOUT xxx MINUTES 4 OR 1 HR LIMIT YES OR NO 430 600032 A01 Rev 2 96 3 5 When delivery is complete go to Step 6 for bolus or PCA programming or Step 7 for continuous programming Step 6 Program bolus or PCA dose Select the bolus dose amount mL mg or ug Press ENTER If PCA mode has been selected the pump will display SET PCA DOSE Select the bolus lockout time from 5 to 999 Press ENTER If PCA mode has been selected the pump will display PCA LOCKOUT Press YES to set a limit on the amount of drug the patient can be given in one or four hours If no limit is desired press NO and go to Step 7 Note In epidural mode a default one hour limit of 25 mL is set or equivalent in mg or ug If NO is pressed to bypass the limit option this default remains active This default limit can be raised or lowered by answering YES to set a limit Note A bolus in progress will not be stopped until the individual bolus volume has been delivered therefore a bolus delivery initiated before the programmed limit has been reached may exceed the limit at the completion of the bolus Note Loading doses are not included in the limit volume and a limit in effect does not prevent a delivery of a loading dose 3 6 1 HOUR LIMIT 4 HOUR LIMIT SET x HOUR LIMIT X XX X XX CONTAINER SIZE AIR SENSITIVITY 1 HI 2 LOW 3 OFF CAUTION To reduce the risk of infusing air use an air eliminating
10. Patient PATIENT ID Identification and Medication DRUG ADMINISTERED Information PM 03 36 AUG 03 95 EPIDURAL MODE Current Program CONTINUOUS BOLUS SETTINGS DRUG CONCENTRATION 1 0 MG ML DELIVERY RATE 5 0 MG HR LOADING DOSE 1 0 MG BOLUS DOSE 0 5 MG BOLUS LOCKOUT 005 MINUTES 4 HOUR LIMIT 30 0 MG CONTAINER SIZE 500 0 MG AIR ALARM ON HIGH SHIFT CLEARED 03 11PM AUG 03 Shift Information BOLUS DELIVERED 0000 BOLUS DEMANDS 0000 BOLUS TOTAL 0 0 MG LOADING DOSE 0 0 MG SHIFT TOTAL 2 0 MG PROGRAM CLEARED 03 10PM AUG 03 Container Information BOLUS DELIVERED 0000 BOLUS DEMANDS 0000 BOLUS TOTAL 0 0 MG LOADING DOSE 0 0 MG VOLUME INFUSED 2 0 MG VTBI 498 0 MG HISTORY CLEARED 3 10PM AUG 03 EVENT LOG Event Log PM 03 36 PRINT PM 03 12 START INFUSION PM 03 11 SHIFT CLEARED PM 03 10 NEW CONTAINER PM 03 10 HISTORY CLEARED X x x x k x X X x eK X X KK KR KK VERIFIED BY X x x kxk kk kk k k X X X X X KK KK Xoxo x ko k kkk ko X X X X ko kxk RK END OF EVENT LOG X koko x X X X X X X X X X X X KK KK 430 600032 001 Rev 6 95 APM II Program History 5 3 U Displaying the History Event Log In run or stop mode press HISTORY 1 REVIEW HISTORY Press 1 2 VOLUME INFO HISTORY CLEARED Press HISTORY or A to scroll through the 9 40 PM AUG 3 log press V to scroll back Press any other key to stop the review U Displaying the Amounts Delivered In run or stop mode press HISTORY 1 REVIEW HISTORY
11. Pump is programmed but has not been placed in run mode Press SILENCE to mute alarm for three minutes Press RUN STOP to start pump O 1and 4 Hour Limit Alert No audible alarm x HOUR LIMIT Message flashes The 1 or 4 hour limit has been exceeded No action required 430 600032 001 Rev 6 95 APM II Alerts amp Alarms gt 7 3 Oe r r nn O Almost Empty Alert Intermittent beeping ALMOST EMPTY Message flashes Delivery will complete in less than 30 minutes for rates above 1 mL hr For rates below 1 mL hr less than 1 mL remains to be delivered For bolus or PCA only delivery delivery will complete during the next bolus delivery Press SILENCE to silence alarm for 10 minute interval Press RUN STOP to stop pump and clear the message O Empty Alert Intermittent beeping EMPTY Message flashes Pump has completed delivery Press SILENCE to mute alarm for two minutes Press RUN STOP to stop pump and clear the message O Check Printer Alarm Intermittent beeping CHECK PRINTER Message flashes If no printer is attached this alarm occurs when the print key has been pressed accidentally If a printer is attached the printer is not responding Press SILENCE to mute alarm for two minutes Check connections press PRINT to clear the alarm then press PRINT again to begin printing Refer to printer manual as required 430 600032 001 Rev 6 95 7 4 System Operating Manual EE O Check
12. determined by the current setting After a selection is made the new setting displays briefly then the pump returns to the stop mode LESS SENSITIVE ALARM YES OR NO TURN OFF AIR ALARM YES OR NO MORE SENSITIVE ALARM YES OR NO TURN OFF AIR ALARM YES OR NO HIGH SENSITIVITY LOW SENSITIVITY ALARM YES OR NO bh z 2 8 ie 3 K F tj U amp o Ss gt O If current setting is HIGH sensitivity Press VES to select LOW Press NO to select OFF If NO is pressed this screen appears Press YES to select OFF or NO to retain HIGH If current setting is LOW sensitivity Press YES to select HIGH Press NO to select OFF If NO is pressed this screen appears Press YES to select OFF or NO to retain LOW If current setting is OFF no sensitivity Press YES to select HIGH Press NO to select LOW If NO is pressed this screen appears Press YES to select LOW or NO to retain OFF 4 8 System Operating Manual U Locking the Keypad Locking the keypad restricts access to programming purging clearing the event history log and setting the clock For convenience two types of keypad lock are available gt Keypad Lock Allows the keypad to be locked and unlocked on an as needed basis gt Automatic Keypad Lock Requires the user to lock the keypad each time the pump is placed in the run mode With this feature activated the pump will not run unlocked The a
13. history event log Using the Lockbox The lockbox secures the pump with the cartridge and fluid reservoir in place A key locks the lockbox door A pole clamp attaches the lockbox to a vertical round or square IV pole 0 5 1 5 inches 1 3 3 8 cm in diameter The lockbox provides access to the remote bolus port the AC power port and the printer port The lockbox cannot secure the pump while the rechargeable battery pack is installed To secure the pump in the lockbox complete the following steps e Open the lockbox door with the key e Place the fluid bag or syringe in the back of the lockbox Note Confirm the piercing pin and the tubing between the bag syringe and the pump are not kinked The pump signals an occlusion only if the kink is between the pump and the patient e Slide the pump with the installed cartridge from right to left in the front of the lockbox Confirm that the tubing and cords emerge from the lockbox through the appropriate openings e Close the lockbox door and lock with the key e Secure the lockbox to the IV pole with the pole clamp Confirm that the lockbox is secure on the IV pole when the door is opened 430 600032 001 Rev 6 95 2 10 System Operating Manual O Using the Pole Clamp If a lockbox is not used the pump can be secured to an IV pole by using the pole clamp package To attach the pump to the pole clamp screw one half of the two piece pole clamp package into the large hole o
14. patient closely for compression on the spinal cord disorientation headache transient neuralgias and drug overdose Epidural administration of anesthetics is limited to the continuous mode only Epidural administration of analgesics may be delivered by continuous bolus or continuous bolus Regarding Pump Operation If the pump does not perform as stated in this manual remove from service immediately Always connect to grounded AC outlet when using the AC power supply Do not use non Abbott AC power supplies with the APM II as this may result in damage to the pump s circuitry Pump performance may vary with use of batteries other than 9 volt Duracell alkaline batteries Installing batteries is recommended regardless of the power source used to provide continuing operation if AC power fails Always replace both batteries with new batteries when a change is required Always avoid sources of high intensity electromagnetic radiation e g radio transmitters MRI scanners microwave ovens X ray machines and CAT scanners Possible explosion hazard exists if used in the presence of flammable anesthetics Never use the pump in the presence of flammable or explosive vapors Nonhazardous low level electrical potentials are commonly observed when fluids are administered using infusion devices These potentials are well within accepted safety standards but may create artifacts on voltage sensing equipment such as ECG EMG
15. stop using it immediately U Customer Support The healthcare professional should contact either an authorized Abbott representative or the Abbott Clinical Customer Support hotline available 24 hours a day for consultation and technical assistance To return a pump for service first contact Abbott Clinical Customer Support to receive a Returned Goods Authorization RGA number then return the pump to Abbott AIS Technical Service Abbott Clinical Customer Support 1 800 338 7867 Abbott AIS Technical Service 15330 Avenue of Science Suite 100 San Diego CA 92128 OD Displaying Software Version The software version can be displayed from the stop mode by pressing and releasing ENTER then pressing and holding 5 VERSION X XXX Continue to hold 5 to retain the display ERR X The stop mode display returns when 5 is released _ 430 600032 001 Rev 6 95 N 2 System Operating Manual U Guide to Alerts and Alarms O Amount Too Large Alert Message displays briefly after pressing AMOUNT TOO LARGE ENTER when programming a value Program value has been requested that pump cannot deliver Pump displays zero O Amount Too Small Alert Message displays briefly after pressing AMOUNT TOO SMALL ENTER when programming a value Program value has been requested that pump cannot deliver Pump displays zero O Call Back or Start Alert START Intermittent beeping Message alternates with PRESS RUN STOP
16. the cartridge is locked into place 2 8 System Operating Manual O Purging the Complete Set Purge the complete set container cartridge set and anti siphon valve extension set before an infusion or between changes in medication bags PRESS RUN STOP TO INFUSE PURGE NOW YES OR NO DISCONNECT FROM PATIENT NOW TO PURGE PRESS AND HOLD PURGE PURGING 0 0 MG WARNING Remove air from the tubing before connecting the set to the patient In the stop mode press PURGE Press YES This message displays briefly No response required Press and hold PURGE Note The purge overuse alarm will activate if PURGE is held for four minutes Press ENTER A A to silence alarm and return to stop mode If purging will take more than four minutes to complete release PURGE before alarm occurs press YES to indicate purge is complete then press PURGE again and follow the steps above This message flashes while purging is in process Unit displayed mL mg or ug is based on program entered 430 600032 001 Rev 6 95 APM II Setup 2 9 PURGE COMPLETE When PURGE is released this display YES OR NO appears To continue purging press NO If purging is finished press YES to return the pump to the stop mode The purged amount is limited to the amount delivered in four minutes Note The volume purged is not added to the volume infused count but is stored in the
17. this device Physicians or certified licensed healthcare professionals should always oversee therapy Drugs not compatible 430 600032 001 Rev 6 95 APM II Introduction 1 5 with silicone rubber or PVC plastic or not stable under infusion conditions should not be used with this system The drug reservoir should preferably be a nonvented collapsible container or syringe Ifa vented fluid container is used it should be suspended from an IV pole and used with a Universal Adapter Pin List 17015 48 Warnings and Cautions The following is a list of warnings and cautions that should be heeded when operating the APM II Attention should be given to all alert messages General e Federal USA law restricts this device to sale by or on the order of a physician or other licensed practitioner e Manual references to specific values are approximate only unless indicated otherwise Air in line sensitivity values are approximate only e For those patients who are likely to be adversely affected by unintended operations and failures including interrupted medication orfluid delivery from the device close supervision and provision for immediate corrective action should be provided Regarding Drugs Used Cartridge Sets and Containers e Never use drugs that are incompatible with silicone rubber or PVC plastic e To reduce loss of potency for drugs known to be absorbed by plastic and silicone begin infusion as soon as practical afte
18. unit of delivery Press YES if programming in mg mL Press NO to scroll to next screen Press YES if programming in g mL Press NO to scroll to next screen Press YES if programming in mL Press NO to scroll back to mg mL screen The unit selected carries through the remaining steps automatically For continuous mL programming go to Step 4 for bolus only mL go to Step 5 GO 4 System Operating Manual CONCENTRATION Select the concentration of mg mL or ug mL x xG ML Press ENTER For bolus only programming go to Step 5 Step 4 Set continuous delivery rate SET RATE Select the rate Press ENTER x xx HR Step 5 Program loading dose LOADING DOSE Press YES or NO to indicate if a loading YES OR NO dose is desired If NO is pressed go to Step 6 for bolus or PCA programming or Step 7 for continuous programming SET LOAD DOSE Select the loading dose Press ENTER x XX DEL LOAD DOSE Press YES to begin loading dose YES OR NO immediately Press NO to hold the loading dose for later delivery Note The PRIME key can be used to prime the set before YES is pressed to deliver the loading dose TO INFUSE PRESS If YES is pressed this display appears LOADING DOSE Press LOADING DOSE to begin delivery DEL LOAD DOSE The amount infused displays while delivery xX XX is in progress 430 600032 A01 Rev 2 96 APM il Programming SET BOLUS DOSE X XX BOLUS
19. 001 Original Issue Rev 6 95 430 600032 A01 Correct bolus cord list number add Rev 2 96 note regarding priming before starting loading dose add notes regarding delivery of bolus and loading doses with hour limit set add Section 9 Installation Test add CE Mark Pages Changed Cover v vi 1 3 3 4 to 3 6 Section 9 back cover 430 600032 A01 Rev 2 96 Introduction The Abbott Pain Manager II APM 11 is a single channel infusion pump that delivers analgesia to patients in the hospital in outpatient treatment centers and in the home The pump is designed for pain management protocols e g epidural Patient Controlled Analgesia PCA and can also be used for other therapies that reguire infusion delivery schedules of continuous rates at or below 25 milliliters per hour mL hr continuous with bolus or bolus only Three programming options are available e Continuous e Bolus or PCA Only e Both Continuous and Bolus or PCA The APM II infuses in three units of delivery milliliters mL milligrams mg or micrograms ug A loading dose may be set for delivery during programming when programming is complete or after the pump is started Programmed bolus or PCA doses are delivered using the bolus cord Akeypad lock option is available to control access to pump functions Safety features include built in alarms for an improperly installed cartridge air or occlusion in the line low power and
20. Abbott Pain Manager Il System Operating Manual For use with List 13965 04 This manual is designed for use by healthcare professionals caregivers and patients The Abbott Clinical Customer Support hotline is available 24 hours a day to provide consultation and technical assistance regarding the APM II Abbott Clinical Customer Support 1 800 338 7867 To order additional copies of this manual List No 13254 01 call 1 800 ABBOTT3 430 600032 001 Rev 6 95 Contents Warranty s o a LI Bee ear em o AA li ChangeHistory vi introduction 1 1 The Abbott Quick Load Pump Set 1 3 APM Accessories 0008 eae 1 3 Indications for Use 14 Contraindications for Use 1 4 Warnings and Cautions 1 5 SUD AA esl ab ee A A eal eek aa 2 1 Power Source s and Bolus Cord Setup 2 1 Installing Disposable Batteries 2 1 Installing the Battery Pack 2 2 Connecting the AC Power Supply 2 3 Connecting the Bolus Cord 2 3 Cartridge Set and Container Setup 2 4 Preparing the Cartridge Set and Container 2 4 Gravity Priming the Set 2 5 Attaching the Anti Siphon Valve Extension Set 2 6 Loading the Cartridge 2 7 Purging the Complete Set 2 8 USING the Lockbox
21. Cartridge Alarm Intermittent beeping CHECK CARTRIDGE Message flashes Improperly installed cartridge Press SILENCE to mute the alarm for one minute Press RUN STOP to stop pump and clear the alarm Check cartridge for proper installation e Open pump latch e Remove cartridge and tubing e Align dot in red circle of cartridge e Reinsert cartridge in pump Press RUN STOP If message reappears change the cartridge O Occlusion Alarm Continuous alarm OCCLUSION Message flashes Pump detects distal line ocelusion Press SILENCE to mute alarm for one minute Press RUN STOP to stop pump To clear the alarm check for source of ocelusion e Closed slide clamp e Kinked tubing e Clamped patient access device e Clogged IV filter e Other obstructions e Check cartridge as described above in Check Cartridge Alarm Correct problem to clear alarm message then press RU N STOP to resume therapy 430 600032 001 Rev 6 95 APM II Alerts amp Alarms 7 5 AA AA I O Air in Line Alarm Intermittent beeping AIR IN LINE Message flashes Air is detected in tubing Press SILENCE to mute the alarm for one minute Press RUN STOP to stop pump and clear the alarm Disconnect administration set from the patient Purge pump to eliminate air Note To reduce the risk of infusing air use an air eliminating filter when air in line alarm is off O Power Alarms Three beeps once a minute LOW BATTERY Message
22. PM li v Maintenance 6 1 Cleaning and Disinfection 6 1 Cleaning the Optics 6 2 BatteryPackRecharging 6 3 Storage and Memory Protection 6 3 Functional Testing 6 4 RADAlU so ko we KA b A RO ES 6 4 Alerts 8 Alarms 7 1 Customer Support 7 1 Displaying Software Version 7 1 Guide to Alerts and Alarms 7 2 AmountTooLargeAlert 7 2 Amount Too Small Alert 7 2 Call Back or Start Alet 7 2 1 and 4 Hour Limit Alert 7 2 Almost Empty Alet 7 3 Empty Alet 7 3 Check Printer Alarm 7 3 Check Cartridge Alarm 7 4 Occlusion Alarm 7 4 Air in Line Alarm 7 5 Power Alarms td A o 7 5 Purge Overuse Alarm 7 6 Malfunction Alarm 7 6 System Alarm 7 8 Specifications 8 1 installation Test 9 1 Physicalinspection 9 1 Operation Verification 9 2 Abbott Pain Manager II APM Il Installation Test Record 9 9 430 600032 A01 Rev 2 96 vi System Operating Manual D Change History Part Number Description of Change 430 600032
23. SS RUN STOP The pump enters the stop mode TO INFUSE 430 600032 001 Rev 6 95 2 System Operating Manual O Delivering a Loading Dose If a loading dose is set during programming and not delivered at that time it can be delivered at the start of the program or delayed for delivery during infusion PRESS RUN STOP In the stop mode press RUN STOP If a TO INFUSE loading dose is available the following message appears automatically DEL LOAD DOSE Press YES to begin loading dose YES OR NO Press NO to hold the loading dose for delayed delivery see instructions below TO INFUSE PRESS Press LOADING DOSE to begin delivery LOADING DOSE DEL LOAD DOSE The amount infused displays while delivery X XX is in progress TOTAL x xx When the loading dose is complete the RATE x xx HR pump automatically enters the run mode The dose amount is logged to the history and the bolus lockout time is set if applicable Subsequent bolus requests are ignored until the lockout time has elapsed gt Delayed Loading Dose Delivery If a loading dose is held for delivery during infusion the user will not be prompted again to deliver the loading dose To deliver the delayed loading dose place the pump in the stop mode press LOADING DOSE and follow the steps above After the loading dose completes press RUN STOP to begin delivery again restart of infusion is not automatic if the loading dose is de
24. STOP In the stop mode press ENTER then 8 TO INFUSE ACTIVATE AUTO Press YES KEYPAD LOCK Y N If NO is pressed the pump returns to the stop mode 1 2 FULL LOCK Press 1 or 2 to choose the type of lock CONTAINER LOCK 430 600032 001 Rev 6 95 System Operating Manual FULL KEYPAD LOCK Type of lock chosen displays briefly then ACTIVATED the pump returns to the stop mode LOCK KEYPAD NOW When RUN STOP is pressed this message YES OR NO appears Press YES to lock the keypad and start delivery If NO is pressed the pump returns to the stop mode and does not begin delivery FULL KEYPAD LOCK This message appears briefly as the pump IN EFFECT enters the run mode no response required PRESS RUN STOP To access restricted functions without TO INFUSE deactivating the automatic lock place the pump in the stop mode then press the following keys about one per second to unlock the keypad A ENTER A A O Deactivating the Automatic Keypad Lock PRESS RUN STOP In the stop mode press ENTER then 8 TO INFUSE DEACTIVATE AUTO Press YES KEYPAD LOCK Y N AUTO KEYPAD LOCK No response required The pump returns to DEACTIVATED the stop mode 430 600032 001 Rev 6 95 Program History U History Review Tips and Information The pump maintains a history event log that registers the type of event bolus reguest start delivery etc time of event and action
25. UNT TOO SMALL AMOUNT TOO LARGE ROUNDING CONCENTRATION X XG ML 430 600032 001 Rev 6 95 Use the number keys to make value selections and press ENTER to accept e g press 2 0 ENTER to enter 20 Press A to place a decimal point in a numeric value Press RESET before pressing ENTER to return an incorrect numeric value to zero About 5 seconds after selecting a numeric value you will be reminded to press ENTER to confirm that value If a value entered is too small this message flashes the pump defaults to zero If a value entered is too large this message flashes the pump defaults to zero Volumes in mg or ug may be rounded down to the nearest 0 1 mL equivalent The pump makes the calculation then displays the rounded value for confirmation Variable characters are shown in this manual as x The actual displays you will see depend upon choices you make during programming ww 2 System Operating Manual O Turning On the APM II UNIT SELF TEST IN PROGRESS PCA MODE CONTINUOUS ONLY TIME IS 9 20 AM THU AUG 3 95 CLEAR HIST amp Rx YES OR NO CLEARING HISTORY AND Rx HISTORY AND Rx CLEARED KEYPAD LOCKED Press ON OFF to power on the pump The pump begins a self test No response reguired The current program mode displays if it was not cleared before power off The current time and date display for several seconds after the self test If the time
26. amage the internal electronic components of the device which may cause a malfunction of the device O Connecting the Bolus Cord To connect the bolus cord insert the pin connector into the port on the pump 430 600032 001 Rev 6 95 2 4 System Operating Manual OJ Cartridge Set and Container Setup Before programming the pump prepare the cartridge set and container for delivery gravity prime the set attach the anti siphon valve extension set if reguired and load the cartridge in the pump CAUTION To prevent contamination use aseptic technigue with all fluid path connections Remove protective coverings as assembly progresses O Preparing the Cartridge Set and Container e Open the delivery set package and remove the contents If using a cartridge set with an anti siphon valve extension separate the cartridge set and extension set and return the extension set to the package e Loosen but do not remove the protective cover from the distal male adapter e Confirm that the cartridge is in the open position with the dot inside the parallel lines The cartridge must be open to allow fluid to flow through the tubing 430 600032 001 Rev 6 95 APM li Setup 2 5 O Gravity Priming the Set The set should be gravity primed before loading into the pump to eliminate air from the tubing e Remove the protective covers from the fluid container administration port and the cartridge set piercing p
27. and EEG machines These artifacts vary at a rate that is associated with the infusion rate If the monitoring machine is not operating correctly or has loose or defective connections to its 430 600032 001 Rev 6 95 1 8 System Operating Manual sensing electrodes these artifacts may be accentuated so as to simulate actual physiological signals To determine if the abnormality in the monitoring eguipment is caused by the infusion device instead of some other source in the environment set the infusion device so that it is temporarily not delivering fluid Disappearance of the abnormality indicates that it was probably caused by electronic noise generated by the infusion device Proper setup and maintenance of the monitoring eguipment should eliminate the artifact Refer to the appropriate monitoring system documentation for setup and maintenance instructions Regarding Handling and Maintenance Product damage may occur if proper care is not exercised during unpacking installation and use Should the pump inadvertently be subjected to mishandling check connections and programmed data to confirm no damage has occurred Always avoid dropping or hitting the pump If the pump is dropped or hit always verify programmed data Never use sharp objects e g fingernails pens pencils or other probes to program or clean the pump To avoid mechanical or electronic damage never submerge pump in water or other fluids and avoid fluid spills
28. device malfunction For a complete list of alerts and alarms go to Section 7 Alerts and Alarms The pump maintains a timed history of each event for example bolus requests made and delivered and any alarms that may occur that can be reviewed on the screen or printed The APM II has three power source options two disposable 9 V batteries an AC power adapter or a rechargeable snap in battery pack A lockbox pole clamp and carrying case are available as accessories to allow the pump to be mounted on an IV pole or carried over a shoulder or around the waist The figure on the next page shows the APM ITs operating controls 430 600032 001 Rev 6 95 1 2 System Operating Manual SILENCE e Silences various alarms RUN STOP Starts or stops delivery HISTORY e Accesses program shift and container information PRINT e Prints program shift and container information RESET e Resets the shift volumes or the current program to repeat the protocol e Clears numeric entries during programming REVIEW I print REVIEW CHANGE e Reviews and changes program PURGE e Press and hold to purge the pump LOADING DOSE e Enters and delivers a loading dose UP and DOWN arrows e Scroll through history log e Up arrow enters decimal point in numeric values ENTER e Accepts values entered during programming e Access various operating features YES and NO e Respond to questions during programming ON OFF e Turn
29. equired settings Sample default printout Required Current Printer Settings Settings 1 Emulation SP Command Set Epson FX 85 2 Page Length 11 inches 11 inches 3 Perforation Skip Off On 4 Character Set USA USA 5 Character Default Roman8 changes to Set 1 6 Carriage Retum CR CR LF 7 Line Feed LF CR LF 8 Graphic Print Dir Unidirectional Unidirectional 9 LF Graphic Pitch Mode Normal Normal 10 Protocol RDY BUSY RDY BUSY 11 Parity None None 12 Data Length 8 bits 8 bits 13 Baud Rates Stop Bits 9600 1 2400 1 430 600032 001 Rev 6 95 Maintenance CAUTION To avoid mechanical or electronic damage do not immerse pump in any fluids or cleaning solutions Some cleaning and sanitizing compounds may slowly degrade components made from some plastic materials Do not use compounds containing combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride Do not sterilize by heat steam ETO or radiation Apply disinfectants to the outside surface of the pump only Do not use abrasive cleaners or materials on the pump Using abrasive cleaners or cleaning solutions not recommended by Abbott Laboratories may result in product damage To avoid pump damage cleaning solutions should be used only as directed in the table on the following page The disinfecting properties of cleaning solutions vary consult the manufacturer for specific information
30. erating Manual e Lockbox List 13955 Secures the pump and 250 mL or smaller container of solution or 30 mL Abbott prefilled syringe Access is provided for connection of bolus cord AC Power Supply and printer e Lockbox Key List 13387 Replacement key for Lockbox e Pole Clamp List 13230 Attaches the pump to an IV pole e Pole Clamp Adapter List 13728 e Printer Cables Lists 13007 and 13008 13007 for Seiko DPU411 printer 13008 for Kodak Diconix 150 amp 180si printers Allows the event history log to be printed O Indications for Use The pump is suitable for intravenous central line or peripheral access arterial subcutaneous and epidural infusion Pump users should be under the supervision of a healthcare professional and should be instructed in using and troubleshooting the pump Instruction should emphasize preventing related TV complications including appropriate precautions to prevent accidental infusion of air The epidural route can be used to provide anesthesia or analgesia Approved anesthetic drugs e g Chloroprocaine Hydrochloride USP Lidocaine Hydrochloride USP and analgesic drugs e g Morphine Sulfate Injection Preservative Free USP can be administered epidurally through recommended device sets without Y injection sites O Contraindications for Use The pump should not be used by patients who do not have the mental and physical capability or emotional stability to receive infusion therapy with
31. flashes Battery voltage is dropping Press SILENCE to mute alarm for two minutes Change batteries or battery pack as soon as possible or connect pump to AC power CHANGE Intermittent beeping changing to continuous BATTERIES alarm as voltage drops System cannot meet delivery cycle or has detected battery voltage below minimum Replace battery pack connect AC power or change disposable batteries Three beeps in one minute ON BATTERIES Message flashes Pump has lost AC power and is now running on batteries Press SILENCE or RUN STOP to clear audible and visual alarm Restore AC power 430 600032 001 Rev 6 95 7 6 System Operating Manual O Purge Overuse Alarm PURGE Continuous alarm OVERUSE PURGE has been pressed for more than four minutes Press ENTER A A to silence the alarm and clear the message O Malfunction Alarm 13 01 INTERNAL Continuous alarm MALFUNCTION XX The system detects a mechanical or computer problem The alarm cannot be muted Note Codes 1 8 9 10 and 15 cannot be cleared by the user If these codes appear call Abbott Clinical Customer Support at 1 800 338 7867 All other internal malfunction codes can usually be cleared by the user To clear an internal malfunction code complete the following steps e Press ON OFF to turn the pump off e Disconnect AC power and or remove batteries For code 19 only Verify that an Abbott approved power supply is in use All
32. in Turn the flexible fluid container so port is toward the ceiling and insert the piercing pin e Confirm that the slide clamp is open and allows fluid to flow through the tubing e Roll or squeeze the end of the fluid container to force fluid through the tubing and out of the distal patient end of the cartridge set 430 600032 001 Rev 6 95 2 6 System Operating Manual e Turn the control knob on the cartridge to the closed position Confirm the dot is inside of the red circle e Close the slide clamp O Attaching the Anti Siphon Valve Extension Set e Remove anti siphon valve extension set from packaging Distal male Anti siphon Remove protective covers from adapter valve the male connector on the cartridge set and_ the anti siphon valve extension set then aseptically connect two sets e Confirm that the slide clamp on anti siphon valve extension set is open 430 600032 001 Rev 6 95 APM II Setup O Loading the Cartridge 430 600032 001 Rev 6 95 Open the pump latch by sliding the latch down then out Confirm the cartridge is closed dot is inside the red circle Align the cartridge to fit the shape of the cartridge channel The tab labeled DO NOT REMOVE should be to the left and the rotor should be positioned over the motor shaft Push cartridge into cartridge channel until firmly seated Close the pump latch by sliding the latch down in and up Confirm that
33. k Power Capacity 430 600032 001 Rev 6 95 Specifications 0 1 mL hr 25 0 mL hr 125 mL hr 0 1 mL or 0 1 mg or 1 pg 1000 mL or equivalent in mg or ug range 0 1 to 9999 9 mg or 1 0 to 999999 ug 0 1 mL or 0 1 mg or 1 pg 25 0 mL equivalent mg or ug range 0 1 to 9999 9 mg or 1 0 to 999999 ug 5 to 999 minutes 0 1 mL or 0 1 mg or 1 1g 25 0 mL or equivalent mg or ug 6 75H x 4 0W x 2 3D in 17 1 x 10 2 x 5 8 cm Approximately two pounds 1 0 kg Wall plug in AC power supply List 13036 with 12 foot 3 6 meters cord and molded plug Input 115 VAC 60 Hz 0 18A Output 12 VDC 400 mA Two 9 V Duracell batteries Rechargeable using Battery Charger List 13888 Two 9 V Duracell batteries provide at least 6 0 mL hr for four days The battery pack provides at least 6 0 mL hr for five days Environmental Conditions Operating Transportation 8 Storage Pump Mechanism Memory Protection Operating Controls Display Air Sensitivity HIGH LOW OFF Real Time Clock Printer Port and Interface Alerts and Alarms System Operating Manual 10 to 440 C 10 to 90 relative humidity 20 to 60 C 10 to 90 relative humidity Microprocessor controlled eccentric rotor peristaltic motor At least one year when power is removed from the pump The keypad consists of 20 soft keys The bolus jack is located on the side of the pump The AC power port is located on the bottom of the pump
34. livered after the start of the program 430 600032 001 Rev 6 95 APM I Operation 4 3 O Delivering a Bolus or PCA Dose To start a bolus delivery press the button on the end of the bolus cord The pump sounds three beeps and delivery begins The amount infused accrues as the delivery progresses If the bolus delivery does not start it may be locked out by one of the following conditions e Bolus lockout period is in effect e One hour or four hour amount limit is in effect e Loading or bolus dose delivery already is in progress After a bolus is delivered the amount is added to the totals in the shift volumes and program volumes in the event history log and the bolus delivered count is incremented When a bolus is requested the demand count is incremented O Clearing Amounts at Start of Shift PRESS RUN STOP In the stop mode press RESET TO INFUSE 1 NEW SHIFT TOTL Press 1 2 NEW CONTAINER SHIFT RESET No response required The pump returns to the stop mode Note When new shift totals are cleared the Shift Information in the History Event Log is reset to zero the program amounts continue to accumulate Refer to page 5 2 for an example of the History Event Log 430 600032 001 Rev 6 95 Bb 4 System Operating Manual O Reviewing the Program Press REVIEW CHANGE from the run or stop mode to review the current program 1 REVIEW Press 1 2 CHANGE PROGRAM REVIEW Press A or HISTORY to sc
35. ming mode YES OR NO For instructions Go to page 3 3 Programming 430 600032 001 Rev 6 95 4 6 System Operating Manual O Displaying the Date and Time PRESS RUN STOP Inthe stop mode press ENTER then press TO INFUSE and hold 1 TIME IS 9 40 PM The display will remain active as long as 1 THU AUG 3 95 ispressed C Changing the Clock The clock operates up to one year with the power off or with the batteries removed The clock however needs adjusting for time zones or for daylight saving time changes PRESS RUN STOP In the stop mode press ENTER then 2 TO INFUSE 12 HOUR CLOCK Press YES for the 12 hour clock or NO if YES OR NO a 24 hour clock is desired 24 HOUR CLOCK Press YES for the 24 hour clock or NO to YES OR NO return to the 12 hour display SET MONTH arws Use the arrows keys to select the month AUG 3 95 9 40P Press ENTER Screens appear for the day year hour minute AM or PM for the 12 hour clock only and day of the week Use the number or arrow keys as indicated to make changes Press ENTER to accept each screen TIME IS 9 40 PM The changed time and date briefly display THU AUG 3 95 then the pump returns to the stop mode 430 600032 001 Rev 6 95 APM Il Operation U Changing the Air Sensitivity To change the sensitivity setting complete the following steps Place the pump in the stop mode Press ENTER then 7 Follow the steps below
36. n the top left side of the back of the pump then slide the pump onto the pole clamp OC Using the Carrying Case The pump and the fluid bag can be placed in the carrying case for transportation The carrying case strap can be adjusted to carry the case over a shoulder or around the waist Note Confirm that the tubing between the fluid bag and the pump is not kinked The pump signals an occlusion only if the kink is between the pump and the patient To use the carrying case proceed as follows e Unzip the top of the case and release all Velcro straps e Place the pump and installed cartridge in the lid so the back of the pump faces up and the display screen is visible through the clear window of the case e Secure the wide straps across the width of the pump and secure the long black strap across the length of the pump e Release the black retaining straps e Open the Velcro pocket flap in the bottom of the case e Insert the fluid container with the spike connection on the open side of the pocket e Secure the Velcro pocket flap and secure the black retaining straps over the pocket flap and the tubing in the Velcro tubing guides e Verify the patient side of the tubing and the remote bolus cord if connected emerges through the carrying case from the zipper gap then zip the case closed 430 600032 001 Rev 6 95 Programming U Programming Tips and Information ana x gt ENTER IF DONE AMO
37. or date are incorrect program the pump then change the setting For instructions go to page 4 6 Changing the Clock Press YES to clear and enter a new program and history or NO to keep the current program and history If NO is pressed the pump enters the stop mode Press RUN STOP to begin delivery To retain history and enter a new program refer to page 4 5 Entering a New Program If YES is pressed this message appears indicating the pump is clearing the program and history no response required The previous program and history are cleared The pump automatically advances to the first programming screen If the keypad is locked and YES is pressed to clear the history this message displays briefly The pump automatically advances to the stop mode For information refer to page 4 8 Locking the Keypad 430 600032 001 Rev 6 95 APM II Programming O Programming the Pump EPIDURAL MODE YES OR NO PCA MODE YES OR NO 1 CONT 3 BOTH 2 BOLUS ONLY SELECT MG ML YES OR NO SELECT UG ML YES OR NO SELECT ML ONLY YES OR NO 430 600032 001 Rev 6 95 Step 1 Choose delivery mode Press YES to program in the epidural mode Press NO to advance to the PCA mode display screen Press YES to program in the PCA mode Step 2 Choose type of delivery Press 1 2 or 3 to select type of delivery If PCA mode has been selected the second line will display 2 PCA ONLY Step 3 Choose
38. ow one minute to elapse before reconnecting power supply to allow the fuse to reset e Reconnect power source s e Press ON OFF to turn the pump on If pump completes its self test the malfunction alarm is cleared Verify program Press RUN STOP to resume therapy If problem persists remove pump from service record malfunction code number and software version and call Abbott Clinical Customer Support at 1 800 338 7867 430 600032 001 Rev 6 95 APM II Alerts amp Alarms 7 7 Possible Cause of Malfunction Alarm Read Only Memory ROM or circular redundancy check CRC error The program or the instructions are not functioning properly Random Access Memory RAM test error The memory storage area is not functioning properly Stack overflow The program is not executing properly Keypad active key held down or pressed when batteries were installed Motor runaway before power up test Motor appears to be tuming during power on when it should be off Code ig i ROM check did not complete 7 RAM check did not complete Non Volatile Random Access Memory NVRAM CRC error in program NVRAM CRC error in run time parameters 10 NVRAM CRC error NVRAM CRC error history Motor runaway Motor appears to be turning during infusion when it should be off Voltage present on motor when it should be off Motor appears to be on when it should be off Error writing to internal NVRAM 7
39. r priming the set Use of high flow rates during infusion will minimize drug absorption e Do not use medications which are unstable under infusion conditions e Always use connections with luer lock fittings e Use aseptic technique with all fluid path connections Remove the protective coverings as assembly progresses e Always close the slide clamps before removing the cartridge from the pump 430 600032 001 Rev 6 95 1 6 System Operating Manual e Arrange tubing cords and cables to minimize the risk of patient strangulation or entanglement e Never use vented fluid containers e g glass or rigid plastic unless suspended from a pole and a Universal Adapter Pin List No 17015 48 is in place Regarding Air In Line and Infusion e Stop infusion if signs or symptoms of infiltration occur e To reduce the risk of infusing air use an air eliminating filter when the air in line alarm is off e Always remove all air from the cartridge tubing and injection site Always disconnect the set from the patient prior to priming Regarding Epidural Administration e The epidural route is recommended to provide anesthesia or administer analgesia for periods up to 96 hours e Forepidural use the administration of drugs is restricted to those anesthetic and analgesic drugs approved for continuous epidural administration Chloroprocaine Hydrochloride USP Lidocaine Hydrochloride USP and Morphine Sulfate Injection USP Prese
40. roll through the Tt TO VIEW program parameters Press V to scroll back to the previous screen REVIEW COMPLETED To end review press any key other than 4 TO VIEW A V or HISTORY The pump returns to the mode it was in when the review was reguested O Changing the Program PRESS RUN STOP Inthe stop mode press REVIEW CHANGE TO INFUSE 1 REVIEW Press 2 2 CHANGE 1 CHANGE PROGRAM Press 1 A screen listing the mode and type 2 NEW PROGRAM of delivery displays briefly followed by the first program parameter screen For each program parameter the current entry displays or flashes Press ENTER or indicated key e g YES to accept parameter as shown or change entries as desired Every parameter must be confirmed to complete the change program function After the air sensitivity setting is confirmed the pump enters the stop mode 430 600032 001 Rev 6 95 APM II Operation 4 5 U Repeating the Program PRESS RUN STOP In the stop mode press RESET TO INFUSE 1 NEW SHIFT TOTL Press 2 2 NEW CONTAINER NEW CONTAINER No response required The pump returns to the stop mode Entering a New Program PRESS RUN STOP Inthe stop mode press REVIEW CHANGE TO INFUSE 1 REVIEW Press 2 2 CHANGE 1 CHANGE PROGRAM Press 2 2 NEW PROGRAM CLEAR HISTORY Press YES to clear the history or press YES OR NO NO to clear only the current program EPIDURAL MODE The pump enters the program
41. rvative Free e For epidural administration the following is recommended Nylon or Teflon catheter Pump sets without Y sites Epidural stickers for the pump indicating ongoing epidural administration e Epidural administration of drugs should be limited to medical professionals familiar with associated techniques and patient management problems Proper epidural placement of the catheter is essential since catheter migration could result in intravascular or intrathecal administration Facilities practicing epidural administration must be equipped with resuscitative equipment oxygen naloxone and other resuscitative drugs Adequate monitoring equipment e g Oximetry is recommended for continuous monitoring of the patient during epidural administration Patients must be observed for side effects frequently in a fully equipped and staffed environment for at least 24 hours following completion of drug administration by the epidural route j 430 600032 001 Rev 6 95 APM li introduction 1 7 WARNING Delayed respiratory depression following continuous epidural administration of preservative free morphine sulfate has been reported The epidural space has 58 openings through which fluid can exit Pressure buildup during administration is transient However if a large volume of fluid is administered over a short time period the pressure takes longer to return to normal If over delivery occurs during administration observe the
42. s the power on or off 430 600032 001 Rev 6 95 APM II Introduction 1 3 U The Abbott Quick Load Pump Set The APM II can be operated with an Abbott Quick Load set e g List No 13580 which is a sterile single use disposable set Contact an Abbott Laboratories representative for appropriate set configuration The minimum elements required for use with the APM II pump include one of each of the following e Non vented collapsible fluid container e Abbott Quick Load pump set e Patient access device Accessories such as air eliminating filters and extension sets may be added to the line as required by the therapy To use an Abbott Quick Load set follow directions included with the set LJ APM Accessories These accessories are available for use with the APM II e AC Power Supply List 13036 Powers the APM II Do not use the power supply with other products e Battery Pack System List 13886 Two rechargeable Battery Packs and the Battery Charger e Battery Pack List 13887 Powers the APM II pump during periods of ambulation or when use of AC power is not desirable e Battery Charger List 13888 Charges the Battery Pack e Bolus Cord List 13701 Allows bolus requests to be made up to 6 feet away from the pump e Carrying Case List 13959 Carries a 250 mL or smaller container of solution and the APM II pump with batteries or battery pack installed 430 600032 A01 Rev 2 96 1 4 System Op
43. tergent film the pump s ability to detect air in the tubing or occlusion in the tubing between the pump and the patient may be impaired To clean the pump optics e Remove the cartridge if installed e Use a moist cotton swab to clean the pump optics and cartridge channel e Dry the pump optics and cartridge channel after cleaning Assure that the optics surfaces are free of detergent film 430 600032 001 Rev 6 95 APM II Maintenance 6 3 ooo r nn O Battery Pack Recharging Use the battery charger to recharge the battery pack Abattery pack will fully recharge in four to six hours Unused battery packs should be charged on a monthly basis to ensure adeguate charge for patient use Note The battery charger is designed for use with the Abbott List 13887 only Do not use the battery charger with other battery packs CAUTION Use only the AC power supply delivered with the APM II to charge the battery pack To recharge the battery pack complete the following steps e Plug the battery recharger into an AC power outlet e Insert the battery pack into the charger cup Do not force the battery pack into the charger cup The battery pack will fit into the charger cup one way only e When the battery pack is inserted the chargers vellow light illuminates When the battery pack is fully charged the charger s green light illuminates e During charging the battery pack is warm If the battery pack becomes hot to
44. the touch remove it immediately and unplug the battery charger Contact Abbott Clinical Support for assistance O Storage and Memory Protection Store the APM II in a cool dry place Remove the disposable batteries or the battery pack before storing the pump Program and event history are protected in the software memory for at least one year when power is removed from the pump 430 600032 001 Rev 6 95 6 4 System Operating Manual O Functional Testing Abbott Laboratories recommends performing the tests outlined in the APM II Installation Test Guide List No 13965 04 65 every 12 months to verify that the pump is functioning properly C Repair The APM II has no user serviceable components with the exception of disposable batteries Homecare Customers Call your healthcare professional or homecare company regarding any reguired service or repairs Do not attempt to repair the pump for any reason The APM II is covered by a manufacturer s warranty for one year after purchase refer to page v During this time opening the pump case for any reason voids this warranty Refer all service to qualified and trained personnel only An APM II Technical Service Manual is available to qualified service personnel 430 600032 001 Rev 6 95 Alerts Alarms This section contains information on audible and visual alarms that may occur with the APM II CAUTION If the pump does not perform as stated in this manual
45. utomatic lock may be a Full Lock or Container Lock which allows the container and shift to be reset To access restricted functions the user can unlock the keypad but must reactivate the keypad lock before the pump will run Deactivating the automatic lock is a separate step from unlocking the keypad The following functions are available when the keypad is locked e Turning the pump on or off e Starting or stopping the pump e Delivering a bolus if available e Silencing an alarm e Displaying the date and time e Displaying software version and system error status e Displaying and printing the shift information container information or history event log e Unlocking the keypad e With Container Lock only all of the above plus resetting the container and shift totals 430 600032 001 Rev 6 95 APM II Operation 4 9 Remove this page to secure the keypad lock O Locking the Keypad PRESS RUN STOP In the stop mode press the following keys TO INFUSE about one per second to lock the keypad ENTER V v V PRESS RUN STOP Confirmation message appears briefly on KEYPAD LOCKED the second line O Unlocking the Keypad PRESS RUN STOP In the stop mode press the following keys TO INFUSE about one per second to unlock the keypad ENTER A A PRESS RUN STOP Confirmation message appears briefly on KEYPAD UNLOCKED the second line O Activating the Automatic Keypad Lock PRESS RUN
46. ve battery terminals are placed according to the diagram in the battery compartment e Replace the battery door Battery compartment Two 2 9 Volt Batteries 430 600032 001 Rev 6 95 2 2 System Operating Manual CAUTION To assure proper pump operation always replace both batteries with fresh alkaline batteries when a change is required Installing batteries is recommended regardless of the power source used to provide continuing operation if AC power fails O Installing the Battery Pack To install the battery pack complete the following steps e Remove the battery compartment door e Remove the disposable batteries if installed Slide the battery pack into the battery compartment e While pressing the battery pack in place rotate its knob clockwise to lock it into position To remove the pack rotate its knob counter clockwise and slide the pack out For charging instructions go to page 6 3 Battery Pack Recharging Battery pack Open and lock knob 430 600032 001 Rev 6 95 APM li Setup 2 3 O Connecting the AC Power Supply To connect the AC power supply complete the following steps e Insert the pin connector into the port on the bottom of the pump e Plug the AC power supply into a standard wall outlet grounded 110 volt CAUTION Always connect to grounded AC outlet when using the AC power supply WARNING Use of power adapters other than Abbott approved power adapter could d
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