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User Manual - Integrated Medical Systems, Inc.

1. Remote bolus access port Four pronged adapter plugs into access port on left side of pump as Locking Sleeve shown 2 To remove bolus cord pull back on locking sleeve and pull cord straight out of access port Figure 10 4 Remote Bolus Cord 163 salossel0y Data Interface Cable 340 2011 The data interface cable is used to download the history file of the pump into a PC with Windows 95 or greater using the Hyperterminal communications program of MS Windows An instruction booklet is shipped with the Interface Cable It is also used for communications between the Moog Curlin Infusion CMS pump and the PC running the CMS program Figure 10 5 Data Interface Cable Palm Adapter Cable 350 2006 The Palm Adapter cable is used to interface the Moog Curlin Infusion CMS Pump to a Palm PDA The Palm Adapter cable plugs into the pump data port and to the 9 pin D connector of the Serial HotSync cable for the specific type of Palm to be used The travel Palm Serial HotSync cable without a cradle is a good choice for interface with Moog Curlin Infusion CMS Pump although a Serial HotSync cable with a cradle will also work 1 MS Windows is a registered trademark of Microsoft Corporation 2 Palm is a trademark of Palm Inc 164 salossel0y Chapter Cleaning Environmental Conditions and Maintenance Following the guidelines for care listed below will assure the best appearanee and longest
2. Otherwise report error code to factory 159 Error LCD Displayed Probable Cause Corrective Action Code Message 161 Stuck ON OFF Key Stuck On Off Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 162 Stuck 0 Key Stuck 0 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 163 Stuck 1 Key Stuck 1 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 164 Stuck 2 Key Stuck 2 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 165 Stuck 3 Key Stuck 3 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 166 Stuck 4 Key Stuck 4 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 167 Stuck 5 Key Stuck 5 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 168 Stuck 6 Key Stuck 6 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 169 Stuck 7 Key Stuck 7 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 170 Stuck 8 Key Stuck 8
3. 158 Error LCD Displayed Probable Cause Corrective Action Code Message 34 Turn Pump OFF Audio Auxiliary Speaker High Report error code to factory Call Provider 35 History File History Log Erased Report error code to factory Turn pump OFF ON 36 Bad Cal Data Bad EEPROM Data CRC Report error code to factory Turn pump OFF value Call Provider 37 Turn Pump OFF Analog to Digital Converter did Report error code to factory Call Provider not Run 38 Turn Pump OFF Air In Line Circuit not Tested Report error code to factory Call Provider 39 Turn Pump OFF Bad EEPROM Data CRC 2 Report error code to factory Call Provider 40 Turn Pump OFF Bad EEPROM Data Header Report error code to factory Call Provider 41 Bad Cal Range Bad EEPROM Limit Report error code to factory Turn Pump OFF Call Provider 45 Turn pumpOFF ON Motor Control Loss Report error code to factory Call Provider 46 Turn pumpOFF ON Motor Control Loss Report error code to factory Call Provider 100 Turn pumpOFF ON Menu not found Report error code to factory Call Provider 101 Turn pumpOFF ON Mode not found Report error code to factory Call Provider 102 Turn pumpOFF ON Item not found Report error code to factory Call Provider 103 Turn pumpOFF ON Field not found Report error code to factory Call Provider 104 Turn pumpOFF ON Data mismatch Report error code to fact
4. 1 LOCK When the lock is set to OFF the clinician has access to all of the pump functions After the pump is completely programmed change the lock to meet the security needs of this therapy There are four choices OFF 1 2 or 3 Each level higher limits the available options To change the lock setting press the NO CHANGE key until the correct lock setting appears Then press YES ENTER key to accept the new lock selection Once the pump has been set into a locked condition any subsequent request to change the lock will require a clinician access code See Clinical Information and Access Code chapter for access code information lock setting table and available features for each lock setting 2 ClinDOSE Clinician Dose Allows an additional prescribed dose to be administered by a clinician at any time except during a Load Dose or Bolus Dose The Maximum Clinician Dose is determined by the administration route see Figure 5 1 Clinician Dose Menu CLINICIAN DOSE a Clin DOSE RE rol A ACCEPT YES NO AdeisuL WOd Note If a lock setting of 1 2 or 3 is selected an access code will be requested If you wish to give a clinician dose at this time change OFF to ON and press YES key Enter the amount of clinician dose to be delivered Press YES to accept the clinician dose menu The Clinician Dose will begin when the options screen is accepted and the pump is running The following Run Screen will appear unt
5. Resuming the Current Container 1 RESUME To resume the therapy in progress from where it left off press the YES ENTER key at this field The pump will return to the Run Options Screen and you can resume the therapy Note If you wish to hang a new container move the cursor to REPEAT Rx see following section Run Options Screen PRESS to START to REVIEM or Pe CE Press the RUN key to resume the therapy b Press the NO key to go back to the programming screen to make changes in the therapy program this feature may be blocked by a security lock thus not allowing changes to the program unless an access code is given Also remember that no changes are allowed in the first prescription menu if an infusion is in progress c Press the OPTIONS or PRIME keys if either of these functions is desired at this time Hanging a New Container 2 REPEAT Rx To repeat the present therapy and add another IV container with the same prescription press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen will list all preprogrammed therapies Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES ENTER key The pump will then display the program screen with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can stop the auto advan
6. TOTWOL 91 6 ml REMAIN 555 H mi The standard run screen displays the Mode Identifier the rate of pumping a graphical bar that indicates the progress of the infusion the volume already infused and the time remaining for the infusion No action is required on a run screen therefore no highlight bar appears In some therapies a field may toggle to give the operator more information i e the REMAIN field may change from HH MM time remaining to to tell you how much volume is remaining as well The information on the run screen will alternate between a four line display and a large font display of each line of information on the screen 5 User Notification Screens are messages displayed to the user for information Sample of User Notification Screen PRESS to START to REVIEM or Pe CME Words representing keys are displayed in reverse video shown in this manual as bold text The action requested by a notification screen is either to press a specified key or to resolve an alert alarm or error code For all events such as alerts alarms or error codes specific notification screens will also be displayed See chapter entitled Troubleshooting for specific alert alarm and error code messages and how to resolve them The audio alarm also beeps and the LEDs blink whenever an alarm or error code occurs In the event of an error code user directions will be displayed on the screen most often
7. There are two remaining selections to consider from the Run Options Screen NO to REVIEW and RUN to START Reviewing or Changing the Program To review or make any changes in the prescription programming press the NO CHANGE key at the Run Options screen and the prescription screens will reappear Changes may be inhibited by lock setting Changes to the prescription can be made before the start of the therapy however once a therapy has started no changes can be made to the Pre Prescription Screen It will appear only for review purposes Attempts to change the Pre Prescription Menu during a new program review will cause an alert screen to be displayed notifying the programmer that changes will require reprogramming of the prescription Starting the Infusion RUN When the programming is complete and the pump has been primed properly and connected to the access site press the RUN key at the Run Option screen to start the therapy The pump will begin infusing and except when a LOAD DOSE or CLIN DOSE is programmed the following screen will display data on the status of the therapy PCA Run Screen MEOLS DOSES D oe 20 0 mlhe L FRES 18 A TOT YOL 9 6 A TOT VOL 3 5 EOLUS of 1 REMAIN 30 5 ral This screen will continue to display as long as the infusion is running Notice the information on each field 1 The first field displays the RATE of the infusion toggled with the programmed Bolus Dose Amou
8. YES ENTER to the ON setting and the PCA med limitation menu will appear PCA Medlimit Screen BOLUS 5 8 EoLs INT 1 HIH PSF EOL She ACCEPT MaR Medlimit IEASL RATE Oe miht ri This screen allows you to change the basal rate and or the bolus parameters within the predefined prescription limits Whenever any value is changed using the Medlimit option the new value will appear on the prescription menu when it is reviewed If a delta time rate limitation was previously programmed the rate can be increased within those parameters up to 12 times during the delta time period If a 13 attempt is made an alert will display MAX CHANGES FOR PERIOD REACHED a f BASL RATE Use the numeric keys to enter the new desired rate When the correct rate has been entered press the YES ENTER key to accept the rate and move to the next field see Figure 5 1 BOLUS Use the numeric keys to enter the new bolus dose and when correct press YES ENTER to accept and move to the next field see Figure 5 1 BOLS INT Bolus Interval Use the numeric keys to enter the new bolus time interval and when correct press YES ENTER to accept and move to next field The range for this field is 0 to 60 BOLS hr number of boluses per hour Use the numeric keys to enter the new number of boluses per hour and when correct press YES ENTER to move to the final step in the Medlimitation menu The ran
9. a Time Format You have the option of selecting twelve hour or twenty four hour time format Press the NO key until the correct selection appears on the field and then press the YES ENTER key to accept the selection and move the cursor to the next field b AM PM The second field allows you to select AM or PM when the twelve hour time format is selected in the previous field If the twenty four hour format was selected this field will not appear Press the NO key until the correct selection appears on the field and then press the YES ENTER key to choose the selection and move the cursor to the next field c Time Use the numeric keys to enter the correct time and then press the YES ENTER key to accept and move the cursor to the next field d Using the numeric keys enter the correct mm dd yy using two digits for each e g if the month is January enter 01 if it is a single digit date use the number preceded by a 0 and then enter the last two digits of the year code 00 01 etc When the date is correct press the YES ENTER key to accept and move to the next field e A final prompt will be given to ACCEPT YES NO If any data needs to be corrected use the arrow keys to locate the correct field press NO to change the data enter the correction s and then press YES ENTER again to accept the correction Move the cursor back to the ACCEPT YES field and press YES E
10. ALERT SET NOT INSTALLED Set Not Installed Administration set is not properly installed 151 Buizooys jqnoIL Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution Install the appropriate Moog Curlin Infusion administration set for the desired therapy Use ONLY Moog Curlin Infusion administration sets See Chapter 1 figures 1 9 and 1 10 of the User s Manual for proper installation of the administration set ALERT SYSTEM CLOCK NOT SET System Clock Not Set The clock for the pump is not set Use the BIOMED SETUP menu Date and Time option to set the date and time ALERT THERAPY TIME INVALID Invalid therapy time calculated While programming or modifying an Intermittent therapy the combination of dose duration and dose frequency result in a prescription with a duration greater than 288 00 HH MM Recheck data entry The changes to the field must comply with the total time limit ALERT TIME LESS THAN RAMP TIME Unable to enter a TPN therapy time that is less than the ramp times Time value entered for TPN infusion is less than ramp times Recheck data entry TPN infusion time cannot be less than specified ramp times ALERT USING 2 0 ML DEFAULT PRESS YES TO OFF FOR OFF The air sensitivity currently being used by the pump i
11. Vislole User Manual for use with the 6000 CMS Ambulatory Infusion System 5000 CMS a A TOT Fig ms BEGIN H I HELP OPTIONS Moog Medical Devices Group tf 800 970 2337 ph 801 264 1001 fx 801 264 1051 www moog com medical gt Important Safety Note In a life sustaining situation it is recommended that your Curlin Infusion Pump use the AC Adapter and have a back up pump available Also provide an extra set of C cell batteries in addition to the batteries that are installed in the pumps Check pump between patient use per procedure see maintenance chapter Prior to Programming Load Dose refer to Important Information in the appropriate Therapy chapters CURLIN MELELE INFUSION User Manual for use with the 6000 CMS Ambulatory Infusion Systems Manufactured by geal ZEVEX Inc Medical Device amp QA Services 4314 ZEVEX Park Lane 76 Stockport Road Timperley Salt Lake City UT 84123 USA Cheshire WA15 7SN Phone 801 264 1001 United Kingdom 0123 Fax 801 264 1051 www moog com medical For 24 hour Clinical or Technical Support call toll free 1 800 970 2337 Covered by U S Patents 5 575 631 5 683 233 5 791 881 5 924 852 6 164 921 6 371 732 B1 Des 408 911 Des 437 547 S Other U S and Foreign Patents Pending Copyright 2000 2004 Moog Inc All Rights Reserved Revision D Reorder Number 360 9009 TABLE OF CONTENTS K PUR CUOR annenin 32 INTRODUCTION s
12. YES key and then the NO key at the Run Options screen The display will return to the Pre Prescription and Prescription screens to allow changes to be made When all fields are acceptable move the cursor to the DONE field and press the YES ENTER key to move on to the next screen Before the infusion is started it is important to consider a few LAE OR TAN remaining issues such as checking the administration set to be sure INFORMATION it was primed or purged of all air or perhaps the pump may need to be put into a security lock setting for additional safety The following screen offers four choices Run Options Screen PRESS to START to REVLEM or Pe CPE Note that you do not need to answer yes or no questions or enter data with the numeric keys as previously requested This screen requires only that you press the corresponding key on the keypad to begin the requested function The following explains each selection beginning with Prime 130 Adeisy LL ajqeue n Prime The IV bag and administration set should be inspected and be free of all air and air bubbles before they ate connected to the access site Priming may have been done by gravity when the administration set was first connected to the bag see Chapter 1 Preparing Medication for Infusion However if it was not done then or if there are any remaining air bubbles to be removed the pump s PRIME function will assist in this pro
13. YES ENTER key to accept the rate and move to the next field Note You may elect to skip the dose rate and enter the dose time first to let the pump automatically calculate the dose rate 4 DOSE Time Using the numeric keys enter the amount of time over which each dose is to be infused The range for this field is 0 01 to 99 59 HH MM When correct use the YES ENTER key to accept this field and to move on to the next Note If you have entered the dose amount and rate the pump will automatically calculate the dose time 5 DOSE Freq Dose Frequency Represents the time from the start of one dose to the start of the next e g every six hours Use the numeric keys to enter the dose frequency and when correct press the YES ENTER key to accept the cycle time and to move on to the next field The range for this field is 0 01 to 99 59 HH MM 6 KVO Rate Keep Vein Open Rate This field requires data entry using the numeric keys to set the rate at which fluid will be delivered in a Keep Open state The KVO Rate will be used between doses The pump can be set from 0 to 10 ml hour but cannot be set at a rate to exceed the therapy operating rate When the desired KVO rate has been entered press the YES ENTER key to accept and move the cursor to the next field When a KVO rate is programmed for the Intermittent Therapy the PORTANI patient is not disconnected between dosing The pump automatically cycles through
14. b TOTWOL 77 9 ml TOTYOL 75 9 ml MXTOOSE S242 HHIH MXTOOSE S241 HH MM This screen continues to display as long as the infusion is in progress Notice the information given in each field 1 The first field displays the RATE of the infusion in whichever units hour has been selected The dose number in progress of the total number of doses programmed toggles with the infusion rate 2 The second field is a graphic representation of the delivered amount of the dose in progress or that of the KVO cycle in progress In CMS enabled pumps the graphic bar will toggle with Line Pressure L Press which displays the current patient side downstream pressure in the administration set in millimeter of mercury mmHg units 3 The third field toggles to give Total Volume Infused Dose Infused and if units are mg or mcg the Total Amount Infused also 4 The fourth field gives the remaining time for the entire infusion all doses in this IV bag the remaining amount in mg or mcg the remaining volume and the time the next dose is due 5 In addition to the display screen accumulating information regarding the status of the infusion the green LED light blinks whenever the pump is infusing The information on the run screen will alternate between a four line display and a large font display of each individual line of information on the screen 120 Intermittent Information Screens Remain Tot Vol 30 6 mL 23 55 HH MM
15. 1 DONE YES 15JUN10 16 26 PCA medLIMITS SETUP Max Rate 100 mL hr Delta Rate 100 mL Delta Time 1 00 HH MM a The history download from the pump is complete The history log is ready for parsing into the database MaxBols 5 mb Minint 60 MIN Bolus hr 5 Accept YES NO 15JUN10 16 26 PCA PRE Ax Units mL Admin Route I Load Dose 0 mL NEXT VES 15JUN10 16 26 LIBRARY START 15JUN10 16 26 NEW PROGRAM 15JUN10 16 25 ON PUMP 15JUN10 16 25 OFF PUMP 15JUN10 16 25 ON OFF KEY 15JUN10 16 24 CLR PT HxFILE Patient Hx Log Used bytes 2725 of 61440 History download finished iii Q Download History Only How to view or print the download history Step 1 At the MS Start button right click select Explore Step 2 If the history file HAS NOT been parsed navigate to C Program Files MOOG Medical MOOG PLSS v2 Pump History Logs Address C Program Files MOOG MedicallMOOG PLSS v2 Pump History Logs EJ oo olders x Name Size Type Date Modified ome A E 216671_6162010 txt 12KB Text Document 6 16 2010 9 41 AM Step 2a If the history file HAS BEEN parsed navigate to C Program Files MOOG Medical MOOG PLSS v2 Pump History Logs Address Q C Program Files MOOG Medical MOOG PLSS v2 Archived History Logs hee olders X Name Size Type Date Modified E Archived History Loos A E 216671_6162010 txt 12 Text Document 6 16 2010 9 41 AM
16. 157 Huljooysajqnoiy ERROR CODES If a pump goes into an error code a numeric code will appear on the display screen If this has occurred turn the pump off and back on If the error code message does not reappear continue using the pump If the pump passes its start up diagnostic tests resume the therapy If an error code recurs turn the pump off replace it and report the error code to the healthcare provider Error LCD Displayed Probable Cause Corrective Action Code Message 10 Turn pump OFF ON or Replace Motor Control Loss Replace batteries Battery or Call Provider Connect AC Adaptor Turn power off on and resume 11 Turn pump Off On Keyboard Buffer Full Report error code to factory 12 Air Sensor Air In Line test circuit failure Report error code to factory Turn pump Off ON or Call provider 13 Pressure Sens DN Bad Down Strain Beam Replace set and Resume Check Admin Set turn pump Off On 14 Pressure Sens UP Check Admin Bad Up Strain Beam Replace set and Resume Set Turn pump Off On 15 Turn pump Off On or Call Bad Encoder Report error code to factory Provider 16 Turn pump Off On or call Bad Analog to Digital Report error code to factory Provider Conversion 17 Turn pump OFF Call Provider Bad Clock Report error code to factory 18 Call Provider Bad Air In Line comparator Report error code to factory register reading from FPGA 19
17. 166 Maintenance sissssiiassscsessicsavcvassoniaes 166 Limited Warranty cccccccessseees 166 Procedure for Checking Pumps Between Patients cccccceessees 168 TECHNICAL SPECIFICATIONG 00008 173 CLINICIAN INFORMATION AND ACCESS CODE ccccceseeeeee 182 TABLE OF CONTENTS Clinician Access Code ccccesceeee 182 Lock Setting Table see0 183 TABLE OF FIGURES FIGURE 1 1 MOOG CURLIN INFUSION FIGURE 10 3 DETACHABLE POLE CLAMP 163 AMBULATORY PUMP FRONT TOP AND LEFT VIEW recruit tan onni 11 FIGURE 10 4 REMOTE BOLUS CORD 163 FIGURE 1 2 MOOG CURLIN INFUSION FIGURE 10 5 DATA INTERFACE CABLE 164 AMBULATORY PUMP BACK BOTTOM AND RIGHT VIEW eseerssesersrsseersserersseresssee 12 FIGURE 1 3 SAMPLES OF CURLIN INFUSION ADMINISTRATION SETS eseeeesseseessereessse 13 FIGURE 1 4 SPIKING THE FLUID CONTAINER GRAVITY PRIMING THE SET AND USING THE SLIDE CLAMP TO CLOSE THE TUBING siicecestsssenscesssenscessscgeceodecteceodsoncceossetes 14 FIGURE 1 5 MOOG CURLIN INFUSION ADMINISTRATION SET INTEGRAL FLOW STOP WITH BREAKAWAY TAB 15 FIGURE 1 6 INTENTIONALLY OPENING THE INTEGRAL FLOW STOP 0 0 cccsceeseeeee 15 FIGURE 1 7 OPENING THE PUMP DOOR 16 FIGURE 1 8 CLOSING THE PUMP DOOR 16 FIGURE 1 9 PROPER INSTALLATION OF THE MOOG CURLIN INFUSION ADMINISTRATION SET INTO THE PUMP18 FIGURE 1 10 TOP CUTAWAY VIEW OF THE MOOG CURL
18. If the current clinician dose is to be continued change the Clin DOSE value back to the original value and accept the field and menu If the current clinician dose is to be terminated which will allow a new clinician dose to be programmed enter a value of 0 in the Clin DOSE field and accept the field and menu The next time that the Options menu is accessed a new Clin DOSE value can be entered ALERT AMT TBI GREATER THAN BAG VOLUME Value entered is greater than value in Bag Vol field Occurs when the amount the entered for the Amt TBP ot Vol TBI field is greater than the value in the bag volume field Recheck the data entry ALERT AMT TBI GREATER THAN Continue NO to Return BAG VOLUME YES to Insufficient volume Occurs when bag volume is less than amount to be infused Can occur when pump s priming feature is used as bag volume is depleted by the amount used in priming To modify the Bag Volume or Amt Vol TBI press NO to return to the Run Options screen The programming screens will then be accessible by pressing NO to Review on the Run Options screen 142 LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution Note Access to the programming screens is lock level restrictive If the actual
19. Medlimit OF HEXT YES These menu items allow you to customize the program to match each individual prescription The pump s default settings are listed in the left screen Each field is individually explained below Note Some of the lines are abbreviated to fit on the display screen the full descriptions appear below 1 UNITS Allows you to select from units of mg mcg or ml depending on how the prescription is written In the PCA therapy the pump will allow rates as defined in figure 5 1 therefore if mg or mcg is selected the concentration requested in the next field will determine the upper and lower programming limits for mg and mcg Use the NO CHANGE key until the desired units appears on the display and then press the YES ENTER key to accept and move to the next field 2 CONCEN Concentration This field is active whenever mg or mcg is selected in the units field and requires data entry of the concentration of mg or mcg per ml When the correct data is entered press YES ENTER to accept and move the cursor to the next field If ml is chosen in the units field this line will not display The range for this field is 0 1 to 999 82 AdeI yL WOd 3 ADMIN Rt Administration Route Allows a selection from three routes of administration the default setting of IV intravenous EPI epidural and SQ subcutaneous If Epidural is selected the Therapy Identifier bar in the Prescri
20. Prime Amt 2 ml 102 Adeidul Ndl 7 To continue priming press the PRIME key again If priming is complete press YES ENTER to exit and return to the Run Option screen The total amount of solution used in this priming session displays on the bottom field Note The amount of fluid used in the priming process will be deducted from the Bag Volume Total but will NOT be counted in the amount infused because this amount is not to be delivered to the patient The bag volume should still be equal to or greater than the Amount TBI before you can proceed with the infusion If it is not an alert will appear stating AMT TBI GREATER THAN BAG VOL You have the option to continue by pressing the YES ENTER key or return to the Run Options screen by pressing the NO key Options Once the prescription is programmed there are more customizing features available for each therapy Press the OPTIONS key from the Run Options screen to access these options The OPTIONS menu can also be accessed while the pump is running Note After the infusion has started any changes made through the OPTIONS menu involving e HRLY TOT and e CLR HRLY will return you directly to the ACCEPT OPT field The following screen displays the TPN Therapy Options available When you open this menu use the up and down arrows to move the highlight bar to the desired option Lock settings may require an access code befo
21. Therapy Screen The following display screen appears and requires you to enter information needed to program this therapy Prescription Menus Continuous Pre Prescription Menu Screen UNITS mL UNITS M UNITS mc DELAY OFF CONCEN ERE race ral CONCEN EERE rn cota Medlimit OFF DELAY ON DELAY ON MEST YES Medlimit OFF Medlimit DP HEXT YES HET YES These menu items allow you to customize the program to match each individual prescription The pump s default settings are displayed in the left screen Each field is individually explained below Note Some of the lines are abbreviated to fit on the display screen the full descriptions appear below 1 UNITS Allows you to select from units of ml mg or mcg to match the patient s prescription The pump will allow a volume range of 0 1 to 400 ml hr therefore if mg or meg is selected the concentration requested in the next field will determine the upper and lower programming limits for mg and mcg Use the NO CHANGE key until the desired units appears on the display and then press the YES ENTER key to accept and move to the next field 2 CONCEN Concentration This field is active whenever mg or mcg is selected in the units field and requires data entry of the concentration of mg or mcg per ml When the correct data is entered using the numeric keys press YES ENTER to accept and move the cursor to the next field If ml is chosen in the u
22. Use the down arrow or the YES ENTER key to move to the next field The range for this field is 0 01 to 288 00 HH MM 114 Note A DOSE is always followed by a KVO period Therefore after the last dose the KVO will run until the dose frequency time has expired 10 DONE If there are any changes to be made use the up or down arrow keys to locate the field to be changed use the numeric keys to enter the corrected information and press YES ENTER to accept the new data Remember that if a field is changed subsequent fields will need reconfirmation to verify accuracy If all the fields are acceptable move the cursor to the DONE field and press the YES ENTER key to move on to the next screen Before the infusion is started it is important to consider a few IMPORTANT remaining issues such as checking the administration set to be sure it was primed or purged of all air or perhaps the pump may need to be put into a security lock setting for additional safety INFORMATION The following screen offers four choices Run Options Screen PRESS to START to REVLIEM or Pe CPE Note that you do not need to answer yes or no questions or enter data with the numeric keys as previously requested This screen requires only that you press the corresponding key on the keypad to begin the requested function The following explains each selection beginning with Prime Prime The IV bag and administration set s
23. key to indicate that there is an air eliminating filter in use the Air In Line sensor will be completely disabled and the pump will start the infusion If you press the NO key to indicate a filter is not in use the Air In Line sensor will be set to detect the presence of any contiguous 2 milliliter air in the line The alert message below will then briefly appear on the screen If the alert occurred at the Run Options screen the pump will start the infusion Air In Line Sensor Set at 2 0mi Alert Screen ALERT ALF SENSOR HAS BEEN SET TO 2 8 ML 134 AdeisyL ajqeue n Also when the Air In Line sensor is completely disabled and the infusion goes to an Infusion Complete or Empty Bag status the Air Sensor setting will automatically change to 2 0 ml 6 AUDIO Audio Volume This feature allows you to adjust the audio volume of the pump s alarm setting You can enter a number from 9 the loudest setting to 1 the quietest setting When you select a number the pump will beep at that audio level Press the NO key and enter a new setting 1 9 Repeat until the desired setting appears on the display and then press YES ENTER to select it and move the cursor to the next field 7 PWR CK Power Check This feature allows you to periodically recheck the battery charge It will display the active power source of the pump whether batteries or external power If the active source is the batteries a grap
24. pump The Date and Time can then be changed If the therapy is to be terminated but the prescription preserved excluding Delayed Start go to the Pause menu select REPEAT Rx and press YES at the Rx in progress alert screen The pump can then be turned off and then on to access the Date Time change option in the Clinician Biomed menu Selecting NEW PROGRAM and the name for the therapy in progress instead of REPEAT Rx may also be used but this selection will erase the prescription for the therapy ALERT DATE TIME INVALID Unable to enter invalid date or time Date or time entry is not in a valid format Recheck data entry An invalid date or time will not be accepted ALERT DELAY START TIME NOT VALID Delay Start time not valid Delay start time entered is less than one minute or greater than 24 hours from the current system time Reset Delay Start Time to fall within pump limits To obtain the current date and time of the pump turn the pump off and then on and observe the time on the Welcome screen ALERT DOOR OPEN or SET NOT PROPERLY INSTALLED Door Open or Administration Set is not properly installed Door Latch is not completely closed or the Administration Set is not installed according to installation instructions Recheck the door latch assembly and securely close the door If the door was closed properly re install the set according to the installation instructions ALERT DOSE AMT IS
25. shift totals clinician dosing Patient controlled analgesia Pain control by continuous rate of infusion with options for patient controlled demand boluses Patient Person receiving infusion Prescription Written order for medication with instructions of how to administer as time dose amount limits and route Sensor Air in line sensor will detect the amount of air in the tubing Subcutaneous To give fluids or medication just below the skin also SC Volume Amount of fluid in intravenous bag medication reservoir or syringes Year To set date enter 2 digit year 10 uo1 npo1 u Pump Illustrations and Features Pump Door LED Status Pump Door Indicator Instruction Label _ f WY Display Screen Door Latch On Off Key Data Interface Bolus Cord Port Yes Enter Key Prime Bolus Key Up Arrow No Change Key Decimal Point Silence Key Numeric Keys Figure 1 1 Moog Curlin Infusion Ambulatory Pump Front top and left view 11 uo1 npo1 u Serial Number Label Battery Compartment Door with Caution Label External Power Jack Port 2 Pin Port Right View Pump Door Figure 1 2 Moog Curlin Infusion Ambulatory Pump Back bottom and right view 12 Disposable Administration Set Illustrations and Features i I Integral Flow Bag Spike Stop with Tubing Guide Male Luer Slide Clamp breakaw
26. the prescription will restart without the loading dose 5 Medlimit Allows the clinician to program Medlimitation limits into the prescription settings of the pump If there is no Medlimitation prescription select OFF and press YES ENTER to accept and move the cursor to the next field If a Medlimitation prescription has been written select ON press the YES ENTER key to accept and the following screen will appear to program the Medlimitation parameters PCA Medlimit Limits Screen Medlimit LIMITS i tdxRATe EACE rol he 4 lt RATE D A ral 2s TIME 00O HHIH MaxBoLs 2 8 ml i Min INT WIIN AHEOLS he ACCEPT a MxRATE Maximum Rate limits Use the numeric keys to enter the upper limits of the infusion rate When the correct maximum Medlimitation rate is entered press YES ENTER and the cursor will move to the next field The minimum rate is 0 and the maximum rate must be equal to or less than maximum Basal Rate listed in Figure 5 1 Administration Routes table b ARate Delta Rate Some prescriptions include incremental levels or de a limitations e g Do not raise the rate more than 1 ml in 12 hours If the prescription has these components use the ARate field and the A Time field to enter those limits Example Enter the incremental Medlimitation amount level of 1 ml on this field and press YES ENTER to move to the next field c ATime Delta Time Enter the incre
27. the start of the next dose If correct press the YES ENTER key to accept and move to the next field The range for this field is 0 00 to 24 00 HH MM Note If there is a dose currently in progress and the NXT DOSE feature is used the current 7 dose will be terminated and the cycle will continue at the KVO rate until the time for the new next dose AUDIO Audio Volume This feature allows you to adjust the audio volume of the pump s alarm setting You can enter a number from 9 the loudest setting to 1 the quietest setting When you select a number the pump will beep at that audio level Press the NO CHANGE key and enter a new setting 1 9 Repeat until the desired setting is reached and then press YES ENTER to select it and move the cursor to the next field PWR CK Power Check This feature allows the user to recheck the battery charge The display gives the active power source of the pump whether internal batteries or external power If the active source is the batteries a bar graph will indicate approximately how much charge remains in the batteries To access this information use the NO CHANGE key to change from the default setting of OFF to ON and press YES ENTER The Power Source Screen will display for five seconds and return to the Options Menu ACCEPT If the changes made in the Options Menu ate acceptable press the YES ENTER key If the changes are not accepta
28. will list all preprogrammed therapies Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES ENTER key The pump will then display the program screen with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescription manually by pressing the YES key at the remaining fields When the program is accepted the display returns to the above Run Options Screen If the current therapy is still in progress when the REPEAT Rx function is selected the following screen will appear ALERT Ex_in progress to Repeat to Return a This screen is a reminder that the infusion is not complete If the therapy is to be terminated and a new IV container added press YES ENTER to go to the programming screen confirm the program and proceed with the repeat infusion b If the incomplete therapy is to be continued press NO and the Pause Menu screen will be displayed then press YES and the Run Options screen will be displayed To resume the unfinished therapy press RUN Entering a New Program NEW PROGRAM To program an entirely new prescription or a different therapy press the YES ENTER key at this field the ability to change these parameters may be controlled by the lo
29. y4L Ndl Note Whatever Down Ramp time was accepted in the prescription menu will appear as the DN Ramp time on this screen This time can be changed using the numeric keys or accepted as already displayed When correct press the YES ENTER key When the new time is accepted the screen returns to the Options menu The Early Down Ramp phase begins when the Options menu is exited and the pump is running 5 DN Occlu Down Occlusion This feature allows the pump to sense an occlusion pressure in the line between the pump and the access site e g a kink in the tubing between the pump and the patient a blockage in the access site or a clamp left on the distal tubing There are two options for this field the Low setting default setting triggers the alarm when it detects in line pressures at 400 mmHg 150 8 3 psi pounds per square inch or the High setting alarms when it detects in line pressures at 900 mmHg 150 18 3 psi Press NO CHANGE to change the selection When the correct pressure setting appears press the YES ENTER key to accept it and move the cursor to the next field 6 AIR SENS Air In Line Sensor This feature allows you to select the amount of air the pump will detect in the administration set tubing before it goes into an alarm state The choices ate 0 1 ml 0 5 ml the default setting 2 0 ml and OFF Press the NO CHANGE key to change the options until the desired setting
30. 0 mL hr Remain Line Pres 425 5 mL 10 mmHg CMS pumps only Interrupting an Infusion The infusion can be paused at any time by pressing the PAUSE key The yellow Standby LED light blinks and the following screen displays Pause Menu Screen ENTER to Select REPEAT Rx MEH PROGRAM The screen offers you three options Resuming the Current Container 1 RESUME To resume the therapy in progress from where it left off press the YES ENTER key at this field The pump will return to the Run Options Screen and you can resume the therapy Note If you wish to hang a new container move the cursor to REPEAT Rx see following section Run Options Screen PRESS to START to REVIEM or kaiga Press the RUN key to resume the therapy b Press the NO key to go back to the programming screen to make changes in the therapy program this feature may be blocked by a security lock thus not allowing changes to the program unless an access code is given Also remember that no changes are allowed in the first prescription menu if an infusion is in progress c Press the OPTIONS or PRIME keys if either of these functions is desired at this time Hanging a New Container REPEAT Rx To repeat the present therapy and add another IV container with the same prescription press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen
31. Dose Dose Inf tof 4 37 5 mL Nxt Dose 5 51HH MM Remain 970 8 mL Rate 250 0 mL hr Line Pres 10 mmHg CMS pumps only Interrupting an Infusion The infusion can be paused at any time by pressing the PAUSE key The yellow Standby LED light blinks and the following screen displays Pause Menu Screen ENTER to Select REPEAT Rx NEW PROGRAM The screen offers the user three options Resuming the Current Container 1 RESUME To resume the therapy in progress from where it left off press the YES ENTER key at this field The pump will return to the Run Options Screen and you can resume the therapy Note If you wish to hang a new container move the cursor to REPEAT Rx see following section 121 Adeisay U9 1U119 uU Run Options Screen PRESS to START to REVLIEM or Pe CPE a Press the RUN key to resume the therapy b Press the NO key to go back to the programming screen to make changes in the therapy program this feature may be blocked by a security lock thus not allowing changes to the program unless an access code is given Also remember that no changes are allowed in the first prescription menu if an infusion is in progress c Press the OPTIONS or PRIME keys if either of these functions is desired at this time Hanging a New Container REPEAT Rx To repeat the present therapy and add another IV bag or reservoir with the same prescription
32. VALUE LIMIT J t 84 OVERRIDE pamatil 64 10 11 Press to scroll down to the LIBRARY function Highlight LIBRARY and then press YES If Category Care Area is not already listed on the first screen select YES to answer Page Down This will bring up additional screen s with additional choices If Category Care Area is already listed on first screen press U to scroll down to choice you wish to select When the Category Care Area that you wish to choose is highlighted press YES to select that option If the Drug Therapy is not already listed on the first screen select YES to the right of Page Down This will bring up additional screen s with additional choices If the Drug Therapy is already listed on first screen press U to scroll down to choice you wish to select When the Drug Therapy that you wish to choose is highlighted press YES to select that option Press YES again to ACCEPT this Drug Therapy selection An optional ADVISORY lt message gt may appear Press YES to Continue or NO to return to main LIBRARY screen To use the drug Therapy as pre programmed in the pump select YES in each highlighted area to accept the information To change any of the preselected drug therapy options when highlighted press NO and enter correct information Note Some options may be hard locked so that changes cannot be made or there may be preset med limits that cannot be exceeded for safety Note YES mu
33. accepted Enable the therapy or therapies that are to be active for the pump ALERT NOT ALLOWED DOSE IN PROGRESS Change is not allowed while a dose is in progress 149 BHuljooysajqnois Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Modification to the current field is not allowed while the dose is in progress Wait until the dose in progress completes before modifying field ALERT NOT in PCA NO BOLUS ALLOWED Bolus requested when therapy is not PCA Remote Bolus button or BOLUS key is pressed when not in PCA therapy Remove the remote bolus cord from the pump if connected Refrain from pressing the BOLUS key ALERT NUMBER OF DOSES INVALID Number of doses entered exceeds maximum for therapy The number of doses per bag in Intermittent therapy exceeds the allowable maximum Recheck data entry The number of doses requested must be less than or equal to the maximum for the therapy ALERT PERFORM ROUTINE MAINTENANCE Maintenance Date displayed only if date has arrived when pump is turned on Current Date is beyond the Maintenance Date Return pump for routine maintenance ALERT RAMP INVALID FOR AMT RATE Ramp time entered is invalid for amt rate already programmed Ramp
34. alarm will sound the red LED light will blink and the infusion will stop If this situation occurs relieve the source of excessive pressure on the IV bag and when ready to begin infusing select RESUME and then press the RUN key Note The up stream occlusion detection is disabled during priming 19 Installing the Batteries and Using External Power The Moog Curlin Infusion pump can be powered solely with the use of two C size alkaline batteries installed into the pump as shown in Figure 1 11 C size batteries are readily available at most retail facilities that carry alkaline batteries A second alternative for power is the portable rechargeable Battery Pack The third alternative for power is to use the AC Adapter allowing the pump to be connected to any approved three prong electrical wall outlet The C size batteries will last approximately 30 hours at a rate of 125 ml hour and over 85 hours at tates of 2 ml hr or less Factors that influence battery life are the number of times the screen is illuminated with a key press the viscosity of the fluid being delivered the age and temperature at which the batteries have been stored To extend the life of the batteries patients can use the AC adapter whenever they ate stationary e g at night The pump has a low battery alert that beeps periodically with a message appearing to tell you when the power is low in the C size batteries This alert give
35. allows you to select from a predetermined list of values Sample of a Selection List Field m UNITS mL m meg The above example allows you to select which unit to use in programming e g Units ml mg or mcg Only one selection is displayed at a time When the cursor blinks it is indicating that no selection has yet been accepted The selection displayed on the screen changes each time you press the NO CHANGE key Pressing the YES ENTER key accepts the selection displayed and moves the cursor to the next field 39 Bulmweiboig soiseg 3 Data entry screens are used to specify prescription parameters Sample of a Data Entry Screen BAG Vol GOT ral AmtTEI 08 ral RATE 9 mlihr TIME 100 HHiHihi In the above example the cursor rests on a field requiring numeric data entry for specific prescription information e g the volume in the IV bag The operator enters the correct information using the numeric keys and decimal point key When the correct data is displayed and the YES ENTER key is pressed the pump accepts the selection if it is a valid entry value and moves the cursor down to the next field If the down arrow key is used to move to the next field the value reverts back to default or the last programmed value 4 Run screens display information to the operator about the progress of the specific infusion while the pump is running Sample of a Run Screen RATE HOG mlshe
36. amount in the source bag container is sufficient to complete the programmed infusion press YES to start the infusion Note If the infusion is continued without sufficient volume ait in line or up occlusion alarms may occur later in the infusion ALERT AMT TBI LESS THAN AMT INFUSED Unable to change amount to be infused to an amount less than what has already infused Occurs when user tries to change the Vol TBI Amt TBI field in the prescription menu to an amount lower that the amount which has already infused Recheck the data entry If alert recurs resume the infusion and observe the Vol Inf Amt Inf field on the run menu The value for data entry must be greater than the value displayed on the run menu ALERT BOLUS DOSE IS NON ZERO Unable to enter a bolus interval or of boluses hour of 0 Bolus interval or of boluses hour value entered is zero and bolus dose value is non zero When a bolus value is entered there must also be a value greater than 0 entered for bolus interval and of boluses hout Recheck data entered for the prescription ALERT BOLUS DOSE NOT ALLOWED A bolus dose is not allowed Bolus key or button pressed when no bolus dose is programmed If bolus doses are part of the prescription modify the Rx Medlimitation program to allow bolus doses ALERT BOLUS REQUESTED Not time for bolus Bolus button or key is pressed before the programmed time interval between bolus doses have elapsed A
37. an access code before the option can be changed Any new setting except CLEAR HOURLY screen acceptance becomes effective when the Options screen is exited by pressing YES ENTER at the ACCEPT OPT field Variable Options Menu OFTIONS Lock OFF Lock ie HRL ToT OFF LEHRLY OFF OM Occlu LOW HIGH AIR SENS 2 5 mil 2 8 OFF 4 AUDIO S me g FHR CK OFF On WaAccert oft YES NO Note The pump s default settings are indicated above in the left screen 132 Adeisy ajqeue n 1 LOCK When the lock is set to OFF the clinician has access to all of the pump functions After the pump is completely programmed change the lock to meet the security needs of this therapy There are four choices OFF 1 2 or 3 Each level higher limits the available options To change the lock setting press the NO CHANGE key until the correct lock setting appears Then press YES ENTER key to accept the new lock selection Once the pump has been set into a locked condition any subsequent request to change the lock will require a clinician access code See Clinical Information and Access Code chapter for access code information lock setting table and available features for each lock setting HRLY TOT Hourly Totals To view hourly infusion totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screen will appear Hourly Totals Screen The screen
38. and press the YES ENTER key when the selection states ON b To disable a therapy move the cursor to that therapy selection and press the NO CHANGE key The ON status will change to OFF Press the YES key to accept the OFF or disable status c When the ON OFF status of each therapy is satisfactory move the cursor to the last field ACCEPT and press the YES ENTER key to accept To abort the enable therapy process press the NO key to exit this menu and return to the BIOMED SETUP Menu d Atleast one therapy must remain enabled before you exit this screen Note Ifa therapy that has previously been programmed is disabled the program is cleared and the default settings are reestablished Patient History Log The patient history log is a cumulative record of the approximately last 6 000 events that have occurred in the pump Example When prescription information is saved using the YES ENTER key at the DONE or ACCEPT fields a copy of the information also gets date and time stamped and is recorded in the patient history log Alarms error codes certain alerts and certain key press events also get logged when they occur The patient history log can be printed using the Moog Curlin Infusion print package and by selecting the Print Pt Hx option Selecting the Clear Hx Log option will erase the patient history log When the history log is fu
39. appears on the display and then press YES ENTER to select and move the cursor to the next line IMPORTANT Whenever the Air In Line Sensor is set to OFF Moog recommends INFORMATION the use of an air eliminating filter When the Air In Line Sensor is set to OFF and the RUN key is pressed at the Run Option screen the alert message below will appear on the screen It will also appear if the Air In Line is changed from the OPTIONS menu when an infusion is in progress and the AIR SENS field is accepted Air In Line Sensor Off Message Screen ALF Sensor OFF Using In Line Air Filter PES MO This message alerts you to the Air In Line Sensor being set to OFF The message will require answering yes or no to whether the administration set being used has an air eliminating filter If you press the YES key to indicate that there is an air eliminating filter in use the Air In Line sensor will be completely disabled and the pump will start the infusion If you press the NO key to indicate a filter is not in use the Air In Line sensor will be set to detect the presence of any contiguous 2 milliliter air in the line The alert message below will then briefly appear on the screen If the alert occurred at the Run Options screen the pump will start the infusion Air In Line Sensor Set at 2 0mi Alert Screen ALERT ALF SENSOR HAS BEEN SET TO 2 8 ML 105 Also when the Air In Line se
40. below will appear on the screen It will also appear if the Air In Line is changed from the OPTIONS menu when an infusion is in progress and the AIR SENS field is accepted Air In Line Sensor Off Message Screen ALF Sensor OFF Using In Line Air Filter PES MD Adesay Ud 1U19 uU This message alerts you to the Air In Line Sensor being set to OFF The message will require answering yes or no to whether the administration set being used has an air eliminating filter If you press the YES key to indicate that there is an air eliminating filter in use the Air In Line sensor will be completely disabled and the pump will start the infusion If you press the NO key to indicate a filter is not in use the Air In Line sensor will be set to detect the presence of any contiguous 2 milliliter air in the line The alert message below will then briefly appear on the screen If the alert occurred at the Run Options screen the pump will start the infusion Air In Line Sensor Set at 2 0mI Alert Screen ALERT ALF SENSOR HAS BEEN SET TO 2 8 ML Also when the Air In Line sensor is completely disabled and the infusion goes to an Infusion Complete or Empty Bag status the Air Sensor setting will automatically change to 2 0 ml NXT DOSE Next Dose Allows the time of the next dose to be changed The current time remaining until the next dose is displayed Use the numeric keys to change the time for
41. communication and should not be used for any CMS function COMM TIMEOUT Communication Timeout occurred during Pump CMS communication The communication link between the pump and the P C running CMS was broken i e the cable between them was unplugged during a CMS upload to the pump Check the cable connection between the pump and the PDA or P C INFUSION COMPLETE Infusion Complete Programmed Amount to be Infused is depleted to 0 If the therapy is to be repeated press PAUSE add another IV bag or reservoir and select the REPEAT Rx function If the therapy will not be repeated press PAUSE key and turn the pump off by pressing the OFF key gt UPLOAD CHAR ERR While uploading a prescription to the pump a character was misinterpreted Faulty communications link between the pump and the P C running CMS Replace the communication cable between the pump and the PDA or PC If other programs are running on the PC that might with the operation of CMS PC close those programs 156 LCD Display Alarm Cause Resolution UPLOAD CkSum ERR CMS Upload experienced a Check Sum Error At the completion of an upload of a CMS script the Check Sum signature from the CMS system did not match the signature calculated by the pump A second attempt to upload the script should be made If the second attempt fails then a new script should be created for the desired prescription See CMS User s Manual
42. do not position the pump where it could accidentally be dropped into a container of fluid e g basin tub or toilet Avoid fluid contact with the power port and data port of the pump Do not try to insert foreign objects into any of the pump connectors as such objects may damage the pump Use only Moog Curlin Infusion external power sources to power the Moog Curlin Infusion pump Using other power sources may result in circuitry or microprocessor damage When using the AC Adapter connect the plug only into a grounded AC outlet Use only non rigid non vented IV fluid containers unless an air vent adapter is in place and the container is suspended from an IV pole Do not unduly stretch the tubing of the administration set or leave the tubing in the pump for more than twenty four hours when the pump is not running Use Moog Curlin Infusion administration sets with appropriate air in line filters any time the Air In Line Sensor of the pump is disabled If any signs or symptoms of infiltration or inflammation are noted at the infusion site stop the infusion and report it to the appropriate healthcare provider Always use the slide clamp on the administration set as an additional precaution to occlude the tubing before opening the door of the pump uo1 npo1 u NOTICES The Moog Curlin Infusion pump is not intended for the administration of blood or cellular blood products Dispose of all used administration sets in accordance wit
43. dosing and KVO A single beep alerts the user to the change between dosing and KVO If the KVO rate is set at 0 the pump can be off between doses The internal time clock of the pump continues to monitor the dosing cycle INFORMATION Note The next three fields are automatically calculated based on the information already programmed and are helpful in providing additional information for managing an intermittent therapy At each of these fields when the information is correct press the YES ENTER key to accept and move to the next field 7 DOSE BAG Displays the number of doses that can be delivered from the BAG Volume given You can change this number to a lower number of doses per bag but cannot change to a greater number When correct press the YES ENTER key to accept and move to the next field The range for this field is 1 to 200 8 REQ Vol Required Volume The volume needed for the programmed number of doses including the amount needed for KVO rates if a KVO rate is programmed The pump calculates this volume for you based on previously programmed information and you cannot change the data in this field Use the down arrow or the YES ENTER key to move to the next field The range for this field is 1 to 9999 9 TOT Time Total time Time required to deliver the number of doses programmed The pump calculates this time based on previously programmed information and you cannot change data in this field
44. for 11 seconds and it will allow the user to CLEAR or EXIT within the 11 seconds or the screen will revert to the RUN screen automatically 33 duing 6Buluie9 7 Info On Demand IOD Key Functions Designation and functionality of the ten numeric keys of the Info On Demand keyboard 1 Date and Time DateTime The Date and Time screen displays the current date and time according to the pump Changes to this screen are not allowed DATE AND TIME 2SJANOS 17 16 2 Power Check PowrChck The Power Check screen displays the active power source of the pump whether internal batteries or external If the active source is the C size batteries a bar graph will indicate the amount of power remaining in the batteries This graph is only an approximation of the charge left in the batteries and not intended to give specific representation of the battery life Furthermore the bar graph should NOT be used to check the state of the external NiMH Battery Pack because it will not provide with accurate results POWER SOURCE INTERNAL POWER 3 Option Info OptnInfo This screen provides information on selected options The information displayed here includes the status of the Lock Level Down Occlusion Air Sensors and the Audio Level Changes to this screen are not allowed OFTIONS LOCK OFF i DH occlu HIGH AIR SENS Ele AUDIO S 4 Hold Screen HoldScrn Pressing the Hold Scrn 4 key will hold the current Ru
45. format 12 hr AM PM or 24 hr Military selected in the BIOMED SETUP Menu will apply in this table and if Military was selected the AM PM field will not appear here If the entire delay start screen is to be aborted press the NO key at the ACCEPT field When the start time and date are entered and the data is accepted after the YES ENTER key is pressed the infusion is set to start at the programmed time The display then returns to the next field in the Pre Prescription Menu After the entire prescription program is accepted if the pump is turned OFF and back ON press YES at PROGRAM and YES to REPEAT Rx The cursor will automatically scroll through the program No changes will be allowed in the Pre Prescription Menu during this time thus maintaining the originally programmed Delay Start time To change the Delay Start time press the NO CHANGE key when the Run Options Screen is displayed Run Options Screen PRESS to START to REVIEW flee Pe CME This will allow the clinician to go back to review the program and at this point a change can be made to the delay start time Note If the pump is not connected to the patient s access site at this time the patient or caregiver should be taught proper techniques to access the infusion site before the scheduled start time When the RUN key is pressed the Green and Yellow LED lights will flash to indicate that the pump will automatically start when
46. i i Male Luer P Stop with Reservoir reakaway tab Lock Figure 1 3 Samples of Moog Curlin Infusion Administration Sets 13 Preparing Medication for Infusion Changing IV Bags When using an IV bag grasp the bag spike firmly in one hand and the IV bag spike port in the other and insert the spike completely into the port using aseptic technique Holding the bag with fill ports down allows fluid to fill tubing and displace the air in the line Be sure all air has been removed from the IV bag as well Air in the line moves down through the tubing as the fluid fills Notice the breakaway tab on the j Integral Flow Stop has been fj removed The set can be gravity i primed by intentionally squeezing OPEN CLOSED the Integral Flow Stop and thus releasing the clamping action See Figures 1 5 amp 1 6 In these illustrations the slide clamps are shown in their open and closed states Figure 1 4 Spiking the fluid container gravity priming the set and using the slide clamp to close the tubing 14 uo1 npo1 u Twist and remove breakaway tab from Integral Flow Stop Figure 1 5 Moog Curlin Infusion Administration set Integral Flow Stop with breakaway tab Squeeze Integral Flow Stop between thumb and forefinger as shown to allow fluid to flow through tubing after the breakaway tab
47. ie of the Moog Curlin Infiston pump Cleaning The Moog Curlin Infusion pumps are designed to be resistant to fluid spillage from any direction but are ot to be immersed in solutions Keep the pump and the pumping surfaces clean dry and free of fluid spillage at all times Do not use the pump in the shower sauna or steam bath and do not position the pump where it could accidentally be dropped into a container of fluid e g basin tub or toilet The pumping surfaces can be cleaned with a cloth dampened with any of the following solutions and dried with a soft cloth without harming the pump Clean the pump remote bolus cord AC adapter safety shells holster and battery pack with a soft cloth dampened in any of the following e Warm soapy water do not submerse e Isopropyl alcohol e Household bleach diluted 9 1 with water e Commercial disinfectant Do NOT spray the cleaning solution directly on the pump The following cleaning disinfecting methods are specifically ip ie gia ie prohibited INFORMATION e Do not use full strength bleach e Do not autoclave or use steam sterilization e Do not clean in a dishwasher e Do not use acetone lacquer thinner or any other solvents or abrasive cleansers to clean the pump With proper care the pump will retain its finish for many years of setvice 165 v ueu zuriew Buluesl9 Transport and Storage During transport or storage the batteries should be removed th
48. in use the Air In Line sensor will be set to detect the presence of any contiguous 2 milliliter air in the line The alert message below will then briefly appear on the screen If the alert occurred at the Run Options screen the pump will start the infusion Air In Line Sensor Set at 2 0mI Alert Screen ALERT ALF SENSOR HAS BEEN SET TO 2 8 ML Also when the Air In Line sensor is completely disabled and the infusion goes to an Infusion Complete or Empty Bag status the Air Sensor setting will automatically change to 2 0 ml AUDIO Audio Volume This feature allows you to adjust the audio volume of the pump s alarm setting You can enter a number from 9 the loudest setting to 1 the quietest setting When you select a number the pump will beep at that audio level Press the NO key and enter a new setting 1 9 Repeat until the desired setting is reached and then press YES ENTER to select it and move the cursor to the next field PWR CK Power Check This feature allows you to periodically recheck the battery charge It will display the active power source of the pump whether internal batteries or external power If the active source is the batteries a graph will indicate approximately how much charge remains in the batteries To access this information select ON and press YES ENTER The Power Source Screen will display for five seconds and return to the Options Menu ACCEPT OPT
49. instructions are provided with the cable Clearing the History Log 9 CLEAR Hx LOG This feature is used to clear the patient history log from the pump When you select YES ENTER the pump displays CLEAR Hx LOG YES CLEARS Pt Hx Loge Not Data ACCEFT When you select YES the history log is cleared and the display returns to the BIOMED SETUP Menu Selecting NO aborts the feature and also returns to the menu Clearing Patient Information 10 CLEAR Rx When this command is selected prescription information for all currently programmed therapies is cleared however the patient data is retained When you select YES ENTER the pump displays CLEAR Fx YES CLEARS ALL Rx Dota ACCEPT When you select YES all prescription programs are cleared and the display returns to the BIOMED SETUP Menu Selecting NO aborts the feature and also returns to the menu 47 Bulmwei6oig soiseg 11 CLEAR Pt DATA Selecting this feature clears all data programmed and resets the pump to its default settings The history log is NOT cleared All disabled therapies ate reenabled When you select YES ENTER at this field the following screen displays CLEAR Ft DATA YES CLEARS ALL Pt Data ACCEPT DSR When you select YES all patient data clears and the display returns to the BIOMED SETUP Menu Selecting NO aborts the feature and also returns to the menu 12 CHANGE CONTRAST The c
50. is needed with or without air eliminating filters etc there are several configurations from which to choose Follow the healthcare provider s protocols for preparing the medication and the administration set before loading the set into the pump remembering the following basic rules 1 Examine the packaging and the administration set before use to assure the package integrity Do not use the set if the protective caps are dislodged or if the package integrity is breached as fluid path sterility cannot be guaranteed under those circumstances 2 Notice that there is an instructional insert included in the administration set package This insert includes written and graphic instructions for proper installation of the administration set into the pump It also lists the fill volume of the administration set Allow for the amount of the fill volume when determining the final IV bag volume Gravity Priming Set and Filter 1 To gravity prime the administration set twist and remove the breakaway tab from the Integral Flow Stop then spike the IV bag Squeeze the Integral Flow Stop between your thumb and forefinger to allow fluid to flow through the tubing until all air is removed from the IV bag and administration set See figures 1 5 and 1 6 Release the Integral Flow Stop to automatically clamp the tubing To correctly prime a filtered set hold the filter in a vertical position with the flow downwards allowing the filter
51. limited by what time is remaining out of the maximum time of 288 hours The time calculated by the pump may be less than a minute however one minute is the minimum entry and display value 129 5 NEXT If there are any changes to be made use the arrow keys to locate the field to be changed use the numeric keys to enter the corrected information and press YES ENTER to accept the new data If all fields are acceptable move the cursor to the NEXT field and press the YES ENTER key to accept and move on to the next dose programming screen When the total number of doses is programmed the pump will display the Variable Summary screen The summary screen indicates the total number of doses programmed and the total time and volume required The fields on this screen cannot be modified Variable Summary Screen TOT DOSES ae 4 TOT Time OS OO HH REQ Yoi D S mil I DOHNE YES 1 TOT DOSES The field displays the total number of doses programmed If correct press the YES ENTER key to accept and move to the next field 2 TOT Time The pump calculates the total time required to deliver the total number of doses Press the YES ENTER key to accept and move to the next field 3 REQ VOL Required Volume The pump calculates the total volume required to deliver the doses Press the YES ENTER key to accept and move to the next field 4 DONE If any of the information is NOT acceptable press the
52. pa TOTVOL 2000 8 ml KVORATE ml he 124 This screen displays 1 INFUSION COMPLETE 2 A graphic representation completely filled in bar graph indicating infusion complete or the smaller dot configuration shown here if a KVO RATE is programmed 3 TOT Vol Total Volume If units are mg or mcg this field will also toggle to give the Total Infused 4 KVO Rate The preset KVO rate displays Infusion Complete is considered an alarm status and the audio alarm will beep periodically every 3 seconds if there is no KVO every 20 minutes if there is a KVO to alert the user to this condition Additionally the LED lights blink to alert you to the status of the pump The green light blinks when the KVO rate is infusing if one is programmed and the red light blinks to indicate that the Infusion Complete alarm exists Stopping the Infusion To halt the infusion at Infusion Complete press the PAUSE key and then choose to either 1 Turn off the pump by pressing the OFF key or 2 Select one of the options from the Pause screen Note Pause Menu Screen ENTER to Select MEH PROGRAM REPEAT Rx To repeat the present therapy and add another IV bag or reservoir with the same prescription press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen will list all preprogrammed therapies Select which therapy to repeat by movi
53. prime using the pump 1 Press and release the PRIME key at the Run Options screen 2 The following screen appears 71 Adeiay snonuiju09 Prime Direction Screen Disconnect Pt Release Clamps HOLO katulky Mae to EXIT 3 Disconnect the administration set from the patient s access site using aseptic protocols Priming with the set connected to the patient could result in overdose and may cause injury or even death to the patient 4 Release any clamps on the administration set Press and hold the PRIME key Fluid will be pumped at a rate of 300 ml hr through the administration set as long as the PRIME key is pressed or until 6 ml is pumped The pump will then beep once and require repressing and holding the PRIME key again until 6 more milliliters is deltvered Continue this process until all air has been purged from the IV bag and the administration set Note If the bag volume is depleted during priming a subsequent priming event cannot be initiated While the PRIME key is depressed the following screen appears PRIMING Release Sigma key to Stop Prime Amt 0 0 ml The amount used for the prime session is accumulated and displayed on the bottom field of this screen 6 When priming is complete release the PRIME key The following screen will display PRESS to Cont to EXIT Prim Amt 2 ml 7 To continue priming press the PRIME key again If priming is com
54. status lights will blink and the audio alarm will IMPORTANT sound The backlight feature will illuminate the screen during an alert INFORMATION or alarm If the batteries have been dislodged or are so low in power that they cannot operate the pump a solid tone may occur accompanied by a blank display screen and a constant red alarm light In this event replace the batteries ALERTS Alerts report conditions that require attention from the user but may not be safety issues When an alert occurs a message is displayed on the LCD screen and the audio alarm is sounded The message displays on the screen for three seconds if it is a user initiated alert such as a wrong key press If it is an automatic alert occurring while a therapy is infusing such as low battery the message displays for twenty seconds If it is an alert that requires a user response the alert remains displayed until the user presses one of the keys specified on the screen The following is a list of the alerts in alphabetical order LCD Display ALERT AIR SENS OFF Using In Line Filter Alert Air In Line Sensor Disabled Cause The Air In Line Sensor has been disabled and either the RUN key has been pressed to run an infusion or the AIR SENS setting has been set to OFF on the Options menu while the pump is running Resolution If an air eliminating filter is being used press YES The infusion will start resume and the Air In Line sensitivity will be disabled
55. the green LED light blinks whenever the pump is infusing The information on the run screen will alternate between a four line display and a large font display of each individual line of information on the screen Variable Information Screens Tot Vol Remain 142 2 mL 2 08 HH MM Dose Rate 1of 4 400 0 mL hr Dose Inf 152 3 mL Remain 849 7 mL Line Pres eae 136 Adessy ajqeue n Interrupting an Infusion The infusion can be paused at any time by pressing the PAUSE key The yellow Standby LED light blinks and the following screen displays Pause Menu Screen ENTER to Select REPEAT Fx MEH PROGRAM The screen offers the user three options Resuming the Current Container 1 RESUME To resume the therapy in progress from where it left off press the YES ENTER key at this field The pump will return to the Run Options Screen and you can resume the therapy Note If you wish to hang a new container move the cursor to REPEAT Rx see following section Run Options Screen PRESS to START to REVIEW or Pe CPE Press the RUN key to resume the therapy b Press the NO key to go back to the programming screen to make changes in the therapy program this feature may be blocked by a security lock thus not allowing changes to the program unless an access code is given Also remember that no changes are allowed in the first prescription menu if an infusion is in prog
56. the ON OFF button to turn off the auxiliary alarm Replace the battery in the battery compartment and turn on the pump Resume the therapy and confirm that the infusion continues where it stopped due to Auxiliary Alarm occurrence 5 SET BIOMED CLINICIAN MENU ITEMS a Turn the pump Off and back On While pump is performing Self Tests confirm that the pump is set to the correct Date and Time If date and time are not correct program the correct date and time from the Biomed Clinician menu Enter the Biomed Clinician Menu using the Clinician Code Set the Lock Level to OFF in the CHANGE LOCK menu Clear the Pt DATA from the pump Observe the Pump Maintenance Date top of the Biomed Clinician Menu to insure adequate time for the next use by patient Sign date and return the Check List to your record file Pumps that pass can be used for new patients Pumps that fail are to be returned for service 171 172 Chapter Technical Specifications The following specifications apply to the Moog Curlin Infusion Ambulatory Infusion Pump ITEM SPECIFICATION Pumping Mechanism Curvilinear peristaltic finger action Pump Size Height 5 inches Width 4 inches Depth 2 5 inches Weight 17 5 ounces UL rated flame retardant non toxic high impact plastic Operating Environment Operating Temperature 5 Accuracy 55 to 90 F 10 Accuracy 45 to 55 F 10 Accuracy 90 to 104 P 15 to 95 non condensing Storage En
57. the Run Options Screen is displayed Run Options Screen PRESS to START to REYIEH or Fe CME This will allow the clinician to go back to review the program and at this point a change can be made to the delay start time Note If the pump is not connected to the patient s access site at this time the patient or caregiver should be taught proper techniques to access the infusion site before the scheduled start time When the RUN key is pressed the Green and Yellow LED lights will flash to indicate that the pump will automatically start when the delay start countdown period is up During the delay start time the following screen appears T DELAYED START INFUSION STARTIN 520 HHihihi KVORATE 1 9 ml hr If the KVO rate is set to 0 the pump will beep ten minutes prior to the beginning of the therapy start time To stop the audible beep press the Silence key During the delay start period if the KVO rate is set to 0 no fluid is IMPORTANT infusing Be sure the access device is patent and has been flushed per facility policy to maintain patency during this time period Ifa KVO rate is programmed then that KVO rate will be used in the Delay Start period INFORMATION 2 NEXT gt If there are any changes to be made use the up or down arrow keys to locate the field to be changed use the numeric keys to enter the corrected information and press YES ENTER to accept the new data If all the fi
58. the therapy If a delayed start is programmed the Delay Start Count Down Screen will appear If no delay start is programmed or the delay has elapsed the pump will begin infusing and the following screen displays the status of the therapy Variable Run Screen 1 This information toggles with the following 135 Variable Run Screen 2 DOSE 1 of H L FRES 10 mmHg TOTVOL 99 2 ml REMAIN 2515 HHM This screen displays as long as the infusion is running Notice the information on each field 1 The first field displays the RATE of the infusion in whichever units hour has been selected This field toggles to also display the current dose of total doses programmed The second field is a graphic bar representing the percentage completed of the current dose In CMS enabled pumps the graphic bar will toggle with Line Pressure L Press which displays the current patient side downstream pressure in the administration set in millimeter of mercury mmHg units The third field displays Total Volume infused for entire therapy and toggles with the amount infused of the dose in progress and Total Infused if units are in mg or mcg The fourth field displays the remaining time to the completion of the total infusion and toggles with total remaining volume to be infused and total remaining amounts if units are in mg or mcg In addition to the display screen giving information regarding the status of the infusion
59. to START Reviewing or Changing the Program To review or make any changes in the prescription programming press the NO CHANGE key at the Run Options screen and the prescription screens will reappear Changes may be inhibited by lock setting Changes to the prescription can be made before the start of the therapy however once a therapy has started no changes can be made to the Pre Prescription Screen It will appear only for review purposes Attempts to change the Pre Prescription Menu during a new program review will cause an alert screen to be displayed notifying the programmer that changes will require reprogramming of the prescription Starting the Infusion RUN When all parameters are correct and the pump has been primed properly and connected to the access site press RUN at the Run Options screen to start the therapy If a delayed start is programmed the Delay Start Count Down Screen will appear If no delay start is programmed or the delay has elapsed the pump will begin infusing and the following screen displays the status of the therapy TPN Run Screen T RATE ZTS 0 mil he Yol TBI LOGG ml ma I L FRES 18 mmHA TOT VOL LL H ml REMAIN S00 6 ral REMAIN S216 HHihiti This screen will continue to display as long as the infusion is running Notice the information on each field 106 Adeidul Ndl 1 The first field displays the RATE of the infusion If the therapy is in a ramp up or down p
60. to completely fill with fluid Note Administration sets with integral anti siphon valves cannot be gravity primed 2 Close the slide clamp on the administration set before the door of the pump is opened This step along with the automatic clamping properties of the Integral Flow Stop prevents inadvertent fluid flow 3 Use an administration set with an air eliminating filter whenever the Air In Line Sensor is disabled or set to OFF 4 Follow CDC guidelines or Intravenous Nursing Standards of Practice Guidelines regarding the frequency of changing the administration sets 5 Use aseptic technique and universal precautions as directed by the policies of your healthcare facility or institution 6 Use only Moog Curlin Infusion administration sets with the Moog Curlin Infusion pump 7 Dispose of administration sets in accordance with all applicable regulatory and institutional policies and directions 17 Air Detector Note Open the _ slide clamp before closing the pump door Flow Stop ace won Figure 1 9 shows the pee Administration Set Curlin Medical pump LF ESS Receptacle O STANDBY O ALARM __ Tubing Guide Blue Tubing Guide a Receptacle JOP TONS PAUSE YES ENTER N 8 PRIME ISLENCE BOLUS k Note The Administra
61. until the empty bag alert occurs or infusion complete is reached No AIR IN LINE alarms will occur while the air sensitivity is disabled 141 BHuljooysajqnoiL LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution If no air eliminating filter is being used press NO The infusion will start resume and the Air In Line sensitivity will be set to 2 ml for the remainder of the infusion Note If the screen is not acknowledged with a YES or NO key press the Air In Line sensitivity will be set to 2 ml when the screen is cleared i e alarm occurs while screen is displayed ALERT AIR SENSOR HAS BEEN SET TO 2 0 ML Air in line sensitivity will be set to 2 0ml NO was pressed at the AIR SENS OFF Using In Line Filter alert screen The air in line sensitivity will be set to trigger an AIR IN LINE alarm if 2 0ml of air is detected If an air eliminating filter is being used press YES when the AIR SENS OFF Using In Line Filter screen is displayed This will disable air detection as indicated under AIR SENS OFF Using In Line Filter alert explanation ALERT AMT NOT 0 OR CURRENT DOSE AMT Unable to change clinician dose while clinician dose in progress A clinician dose is in progress and a new clinician dose value is entered that is not 0 or the current dose amount
62. 0 mm Hg Detail Percent Error Rate Calculation Window min Curlin pump inusing at 1 mi hr w ith zero headheight hour 2 oO E 2 o gt c 2 A 5 2 5 10 Rate Calculation Window hrs Curlin pump infusing at 1 ml hr w ith zero headheight hour 70 Infusion Volume ml 5 10 Rate Calculation Window hrs Curlin Pump delivering at 1 ml per hour with zero headheight Calculated Average 0 1011 ml per hr 2 an N e 0 09 Flow Rate 1 hour calculation window oO 0 08 infusion time hrs 177 Percent Error i o Lu oO EL Percent Error Percent Error Curlin Pump delivering successive shots of 1 mi at 25 ml per hr in Intermittent Percent Erro Curlin Pump delivering successive boluses of 1 ml in PCA IV mode 0 1 0 1 0 2 0 3 0 3 0 4 0 5 0 5 0 6 0 7 0 7 0 8 0 9 0 9 1 0 1 1 1 1 1 2 1 3 1 3 1 4 1 5 1 5 1 6 1 7 Time hrs 178 suonedsyioeds jeduyooL Percent Error Curlin Pump infusing at 1 ml hr with a negative headheight of 100 mm Hg Percent Error Rate Calculation Window min Percent Error Curlin Pump infusing at 1 m hr with a negative headheight of 100 mm Hg Detail i o ps x Lu oO a a Percent Error Rate Calculation Window min Percent Error Curlin Pump infusing at 1 ml hr w ith zero headheight hour 70 Percent Error Rate Calculation Window min 179 Curlin Infusion
63. 0601 1 CAN CSA C22 2 NO 601 1 70TK INTERNALLY POWERED OR FOR USE WITH AC ADAPTER 340 2022 360 2022 AND 340 2026 360 2026 DEFIBRILLATION PROOF TYPE CF APPLIED PARTS EQUIPMENT PROTECTED AGAINST DRIPPING WATER IPX1 EQUIPMENT NOT SUITABLE FOR USE IN THE PRESENCE OF A FLAMMABLE ANESTHETIC MIXTURE WITH AIR OR WITH OXYGEN OR NITROUS OXIDE MODE OF OPERATION CONTINUOUS WARNINGS e Ina life sustaining situation it is recommended that your Curlin Infusion pump use the AC Adapter and have a back up pump available Also provide an extra set of C cell batteries in addition to the batteries that are installed in the pumps e Use only Moog Curlin Infusion administration sets in your Moog Curlin Infusion pump Use of nonproptietary administration sets may alter accuracy in delivery of fluids and could result in over or under infusions leading to possible patient injury or death e Visually inspect the pump pumping chamber and administration set before use Do not use any pump or administration set that appears to be damaged or tampered with or if there is any indication of improper function NOTE Anti siphon Valve ASV administration sets can be used to provide additional free flow protection e Do not subject the pump to dropping or hitting against a hard surface If at any time the pump is dropped or hit the pump must be checked for volumetric accuracy prior to reuse The pump can only be brought back into service if the volumetric accuracy
64. 1 PRESS to Cont to EXIT Prime Amt 2 ml 7 To continue priming press the PRIME key again If priming is complete press YES ENTER to exit and return to the Run Options screen The total amount of solution used in this priming session displays on the bottom field Note The amount of fluid used in the priming process will be deducted from the Bag Volume Total but will NOT be counted in the amount infused because this amount is not to be delivered to the patient The bag volume should still be equal to or greater than the Amount TBI before you can proceed with the infusion If it is not an alert will appear stating AMT TBI GREATER THAN BAG VOL You have the option to continue by pressing the YES ENTER key or return to the Run Options screen by pressing the NO key Options Once the prescription is programmed there are more customizing features available for each therapy Press the OPTIONS key from the Run Options screen to access these options The OPTIONS menu can also be accessed while the pump is running Note After the infusion has started any changes made through the OPTIONS menu involving e HRLY TOT and e CLR HRLY will return you directly to the ACCEPT OPT field The following screen displays the Variable Therapy Options available When you open this menu use the up and down arrows to move the highlight bar to the desired option Lock settings may require
65. 4 1001 Notice to the Manufacturer must include date of purchase model and serial number and a description of the claimed defect in sufficient detail to allow the Manufacturer to determine and facilitate any repairs that may be necessary AUTHORIZATION MUST BE OBTAINED PRIOR TO RETURNING THE PUMP and confirmed with issuance of an RMA Return Materials Authorization number When authorized the Pump must be properly and carefully packaged and returned to the Manufacturer postage prepaid Any loss or damage during shipment is at the risk of the sender CONDITIONS OF WARRANTY The warranty is void if the pump has been 1 repaired by someone other than the Manufacturer or its authorized agent 2 altered so that its stability or reliability is affected 3 misused or 4 damaged by negligence or accident Misuse includes but not limited to use not in compliance with the Uset s Manual or use with non approved accessories The pump is a sealed unit and the fact that the seal has been broken will be considered conclusive evidence that the Pump has been altered or misused Removal or damage to the Pump s serial number will invalidate this warranty LIMITATIONS AND EXCLUSIONS Repair or replacement of the pump or any component part thereof is the EXCLUSIVE remedy offered by the Manufacturer The following and limitations shall apply a No agent representative or employee of the Manufacturer has authority to bind the Manufacturer to any represe
66. 60601 1 and CSA C22 2 No 601 1 for General Standards of Safety for Medical Equipment and found the Moog Curlin Infusion Pumps to be compliant e Underwriters Laboratories has evaluated the Moog Curlin Infusion Pumps with accessory equipments Battery Pack 350 9262 and the AC Adapters 360 2022 to IEC 60601 2 24 Particular requirements for safety of infusion pumps and controllers and they were found to be compliant e Underwriters Laboratories has evaluated the Moog Curlin Infusion Pumps and the AC Adapters 360 2022 for Electromagnetic Compatibility to regulations EN 60601 1 1 2 1993 and EN 60601 2 24 1994 and they were found to be compliant The indicator shown at the left appears throughout this manual to emphasize important information in the operation of the Moog Curlin Infusion Pump Please read these sections carefully IMPORTANT INFORMATION Warnings Cautions Notices EXPLANATION FOR SYMBOLS on the Moog Curlin Infusion Pump with the Classified UL 60601 1 and CSA C22 2 No 601 1 Label The meanings for the symbols on the pump are as follows I Attention consult ACCOMPANYING DOCUMENTS AG rpe Ce Bauement IPX1 Protected against dripping water Separate collection of electrical and electronic equipment and batteries accumulators Please do not dispose of this pump accumulator in the regular bin wile cus INFUSION PUMP WITH RESPECT TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL6
67. 79 Infusion Complete cssseeeeeee 80 Continuous Infusion Complete 80 Stopping the Infusion ssessssseeess 81 Pause Menu Screen ccccccccessscessseees 81 PCA THERAPY 000085 82 Prescription Menus ccceeeeeeee 82 PCA Pre Prescription Menu SCHOTT EEA EA 82 Administration Routes 83 PCA Medlimit Limits Screen 83 PCA Prescription Menu iain 85 Run Options Screen sesser 86 Prime aenescens inisenisi 86 Prime Direction Screen wc 86 OCP HONS 4 visiscconasaseonsvebceorveavevenseaheans 87 PCA Options Menu sessies 88 Clinician Dose Menu ecceeceeeeeeees 88 Clinician Dose Run Screen 89 Shift Totals Screens 89 Hourly Totals Screen ssec 90 Clear Hourly Totals Screen 90 PCA Medlimit Screen wc 91 TABLE OF CONTENTS Air In Line Sensor Off Message Sree eee aN PE ae a a aae 92 Air In Line Sensor at 2 0ml Alert SCTEEM E R 92 Reviewing or Changing the Program essssesssssessessseesesseeesssseesessee 93 Starting the Infusion eeee 93 PCA Run Screen essersi 93 PCA Information Screens ve 94 Interrupting an Infusion 94 Pause Menu Screen 94 Run Options Scheens tasowstiiss maint 95 Hanging a New Containet 95 Entering a New Program 96 Infusion Complete s000 96 PCA Infusion Complete sinuicasau 96 Stopping the Infusion 000 97 Pause Menu Sereett ot seccctigecani
68. AMT TBI GREATER THAN BAG VOL You have the option to continue by pressing the YES ENTER key or return to the Run Options screen by pressing the NO key Options Once the prescription is programmed there are more customizing features available for each therapy Press the OPTIONS key from the Run Options screen to access these options The OPTIONS menu can also be accessed while the pump is running 87 Note After the infusion has started any changes made through the OPTIONS menu involving e Clin DOSE e SHFT TOT e HRLY TOT and e CLR HRLY will return you directly to the ACCEPT OPT field The following screen displays the PCA Therapy Options available When you open this menu use the up and down arrows to move the highlight bar to the desired option Lock settings may require an access code before the option can be changed Any new setting except CLEAR HOURLY screen acceptance and SHIFT TOTAL clear screen acceptance becomes effective when the Options screen is exited by pressing YES ENTER at the ACCEPT OPT field PCA Options Menu OPTIONS Lock OFF 4 Lock lata 3 A Clin DOSE ZHFTT T HEL TOT LR HALY OFF Titr Rx DW occlu HIGH AIR SENS 3 5 ral i AUDIO S FHR CK ile ACCEPT OFT YES NO 2 8 OFF 1 i 3 On Note The pump s default settings are indicated above in the left screen
69. Allows the programmer to set Medlimitation limits into the prescription settings of the pump If there is no Medlimitation prescription select OFF and press YES ENTER to accept The cursor will move to the next field If a Medlimitation prescription has been written press the NO key to select ON and press the YES ENTER key to accept The following screen will appear to program the Medlimitation parameters Continuous Medlimitation Limit Screen Medlimit LIMITS tMRATE ral Ae ACCEPT YES NO a MaxRATE Maximum Rate limits Use the numeric keys to enter the upper limits of the infusion rate When the maximum Medlimitation rate is entered correctly press YES ENTER and the cursor moves to the next field The range for this field is from 0 1 to 400 ml hr b ACCEPT If there are any changes to be made use the up or down atrows to move to the desired field use the numeric keys to enter the corrected data and press YES ENTER to accept the new values Move the cursor back to the ACCEPT field and enter YES ENTER The Medlimitation Limit is now entered and the display returns to the Pre Prescription Screen If the entire Medlimitation Limit Screen is to be aborted press NO to return to the Pre Prescription Screen 5 NEXT If there are any changes to be made use the up or down arrow keys to locate the field to be changed use the numeric keys to enter the corrected information an
70. B PCA 4 pea ma iv WB PCA 4 12 WB PCA 5 pea meg iv WB PAC 5 Approved by 13 WB PCA 6 pea meg iv WB PCA 6 14 WB PCA pca ml epi WB PCA i space used 15 WB PCA 8 pca mg epi WEB PCA 8 E 16 WB PCA 9 pca mg epi WB PCA 9 Select Device Library Management Logged in as admin 2 00 0030 How to connect the device to be downloaded Step 1 Connect the data cable proper end to the device Step 2 Connect the RS232 end of the data cable to an available serial port on the PC Step 3 Turn the 6000CMS pump OFF 58 How to download a library to the connected device Step 1 Click on Protocol Library from the top navigation bar Step 2 Click on Protocol Management from the left navigation bar Step 3 Click on Open Project Symbol folder on the left with the arrow Select Device aAa Advisory Management Step 4 Select the desired project and Open Step 5 Click on Library Download from the left navigation bar Step 6 Select the proper serial communications port from the Comm Port drop down menu Step 7 Click on Download Library to start the download process third symbol from left side BE Comm Port COM2 v Step 8 Immediately turn on the device that is connected to the PC 59 Step 9 View the Download Status memo box to obtain the status of the download Download Status Power on device Connected to pump Preparing to program d
71. EST Refer to the picture below when executing the following instructions a S 3 Volumetric Delivery Test 169 Install a new primed Administration Set in the pump and latch the door Connect the up stream side of administration set to a water source 12 inches 2 inches above the pump Connect the downstream side of the administration set to a volumetric accuracy measurement device i e a calibrated scale or burette at the same level as the pump 2 inches Program the following CONTINUOUS Infusion Pre Rx UNITS DELAY Medlimit NEXT Prescription BAG VOL VOL TBI RATE TIME KVO Rate DONE Start the continuous therapy running by pressing RUN button When the 10 ml infusion is over observe the amount volume infused as measured on the measurement device Passing measurement is 9 5 g to 10 5 g 9 5ml to 10 5ml When Infusion complete occurs verify that the Audio Alarm is beeping and that the Green and Red LEDs ate flashing 4 CHECK ALL SAFETY SYSTEMS a Low Down Stream Occlusion Repeat the same Continuous Infusion as above Go to the Option screen and confirm that the Down Occlusion level is set to LOW Start the infusion and while the pump is running pinch off or close the down stream side of the administration set Confirm the pump goes into Down Occlusion alarm Open or clear the down stream occlusion and confirm the pump resumes infusion High Down Stream Occlusion Go to the Op
72. IN INFUSION PUMP WITH CURLIN INFUSION ADMINISTRATION SET IN PROPER INSTALLATION POSITION 3 iisscccccsensdeecetncdsecsasedeccsaccsvevssectocctons 19 FIGURE 1 11 MOOG CURLIN PUMP BATTERY REPLACEMENTERROR BOOKMARK NOT DEFINED FIGURE 1 12 BATTERY REPLACEMENT ALTERNATE BATTERY DOOR 21 FIGURE 1 13 UNIVERSAL AC ADAPTER 29 FIGURE 1 14 ATTACHING AND REMOVING THE REMOTE BOLUS CORD oaeee 30 FIGURE 2 2 SAMPLE OF DISPLAY SCREEN 38 FIGURE 3 1 HISTORY EVENT LOG 46 FIGURE 5 1 PCA ADMINISTRATION ROUTE DEFAULT SETTINGS ccccccscscessseeseeseees 83 VI Chapter Introduction The Moog Cuttin Infusion Pumps have been designed with the user in mind and have the latest in frends sinple to karn technology to allow fast and easy access to the features of these pumps With a kite introduction and training an operator will quuckby be abk to program and use these pumps to deliver the therapies presoribed Note Throughout this Manual the text will refer to the Moog Curlin Infusion pump All the features described here apply equally to the 6000 Plus and the 6000 CMS pumps unless specifically otherwise stated et s begin by introducing you to the Moog Curlin Infusion pump an easy to use ambulatory or pole mounted infusion device designed to meet the needs of the hospital or alternate site patient It operates accurately in any position has a low rate resolution of 2 microliters and its small compac
73. INT VAR Delay Start CON TPN INT VAR Change Units New Program CON PCA INT VAR Change Concentration New Program CON PCA INT VAR c A Program Medlimitation Limits ON PC Change Administration Route New Program PCA Program Loading Dose PCA PCA PCA Program Clinician Dose TPN INT Y X Y Y N N N Y N N N Y N N N N Y Yes No No No No No No No M Y Access Early Down Ramp TPN Change Next Dose Time INT E No No In older software versions i e 6R9B and earlier Lock Level 2 will allow priming without an access code However in software versions 6R9C and 6R9ID Lock Level 2 requires an access code in order to prime In software version 6R9E and Version 2 Protocol Library pump Lock Level 2 only requires an access code in the PCA mode unless otherwise dictated by the protocol es es es No es No No es No No o No No o No No o es No No o No No o No No o No No es No No o No No o No No o No No o No No es es es es No No 183 Note To determine the software version of the pump turn the pump on and review the screen that appears after the 6000 CMS screen and immediately before the POWER SOURCE INTERNAL POWER screen appears Whenever a Lock Level setting is placed in the pump it is retained unless 1 The setting is changed by using either the BIOMED SETUP function or the OPTIONS function Note Entering a New Program will N
74. Identifier bar with down arrow indicator ENTER to Select w INTERMITTENT VARIABLE Figure 2 2 Sample of display screen 38 Chapter Basics of Programming The Moog Curlin Infusion pump allows the operator to custonaze this device to meet the speafic infusion needs of cadh individual patent This chapter will explain the customazing features along with the programming steps rogramming the Moog Curlin Infusion pump requires initial orientation and training but the programming steps have been designed to be user friendly and self prompting to minimize training time Several different types of screens and fields may appear on the displays Each of the different types of screens is explained below Whenever you are required to interact with the pump a highlight bar or cursor will be present on the screen Types of Display Screens 1 An action field screen allows you to select a pump action from the menu Sample of an Action Field Screen MENTER to Select In this sample the highlight bar is resting on REPEAT Fx the RESUME field MEH PROGRAM To select a field other than the one highlighted use the arrow keys to move the cursor up or down to the desired field When the cursor is highlighting the correct field and you press the YES ENTER key the pump accepts the selection and executes that action In the example above the pump would proceed with steps to resume the therapy 2 A Selection List field
75. If the changes made in the Options Menu ate acceptable press the YES ENTER key If the changes are not acceptable use arrow keys to cursor up to any field for corrections or abort all changes made in this menu by pressing the NO key and return to the previous screen There are two remaining selections to consider from the Run Options Screen NO to REVIEW and RUN to START Reviewing or Changing the Program To review or make any changes in the prescription programming press the NO CHANGE key at the Run Options screen and the prescription screens will reappear Changes may be inhibited by lock setting Changes to the prescription can be made before the start of the therapy however once a therapy has started no changes can be made to the Pre Prescription Screen It will appear only for review purposes Attempts to change the Pre Prescription Menu 76 during a new program review will cause an alert screen to be displayed notifying the programmer that changes will require reprogramming of the prescription Starting the Infusion RUN When all parameters are correct and the pump has been primed properly and connected to the access site press RUN at the Run Options screen to start the therapy If a delayed start is programmed the Delay Start Count Down Screen will appear If no delay start is programmed or the delay has elapsed the pump will begin infusing and the following screen will display the statu
76. Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 171 Stuck 9 Key Stuck 9 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 172 Stuck UP Key Stuck Up Arrow Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 173 Stuck NO Key Stuck No Change Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 174 Stuck YES Key Stuck Yes Enter Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 175 Stuck DOWN Key Stuck Down Arrow Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 176 Stuck RUN Key Stuck Run Pause Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 177 Stuck HELP Key Stuck Help Options Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 178 Stuck PRIME Key Stuck Prime Bolus Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 179 Bolus Cord Stuck Remote Bolus Switch If Bolus Switch was pressed Unplug Cord release it Replace Bolus Turn pump OFF ON assembly Otherwise report error code to factory 180 Turn pump
77. LESS THAN DOSE INFUSED Dose amount entered is less than the amount already infused for the dose New dose value entered is less than the amount already infused for the dose Recheck data entry After the dose in progress finishes the dose amount may be changed to the lower value If the above is not suitable re program the prescription ALERT DOSE CANCELLED RESUME INFUSION THEN NEW DOSE 145 BHuljooysajqnois Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cancellation of a Clinician Dose is pending and can only be processed with the pump running Clinician Dose in progress is cancelled while the infusion is paused and the user attempts to enter a new Clinician Dose prior to resuming the infusion Resume the infusion and then program the desired Clinician Dose ALERT DOSE FREQ LESS THAN DOSE TIME Dose frequency time is less than the time required to infuse the programmed dose The dose frequency value entered is less than the time required to infuse the programmed dose amount Recheck data entry Dose frequency cannot be less than required time for dose to infuse ALERT EMPTY BAG Empty Bag Occurs when the volume infused for the prescription is equal to the Bag Vol Bag Vol may have been reduced due t
78. LRShft Two SHIFT TOTAL screens are displayed for 11 seconds when this key is pressed This key allows the user to view or CLEAR the SHIFT TOTALS this action does not interfere with the operation of the pump To CLEAR the SHIFT TOTAL information to zero press the CLRShft 9 IOD key and then press the YES ENTER button in response to the DONE CLEAR question and the pump will go back to the running screen Press the CLRShft 9 IOD key again to verify that the values are reset or cleared To EXIT the SHIFT TOTAL screens without clearing press NO CHANGE for the DONE CLEAR question and then YES ENTER for DONE EXIT and return to the running screen The pump will return to the running screen automatically after 11 seconds have elapsed since the pressing of the CLRShft 9 IOD key even if no key is pressed py Cleared 2SJAN z135 Bo IMF 3 5 ml MP eous O of O B DONE HEA Clin DOSE DONE ERE Check Maximum Infusion ChckMax The information displayed here is the maximum rate or amount that can be infused hypothetically given the prescription parameters This Maximum Infusion per Hour serves as a sanity check after the pump has begun infusing Changes to this screen are not allowed MAX INFUSIOM HF max 25 6 ml 36 LED Light Indicators This three light feature gives the user feed back on the current status of the pump 1 Green indicates a RUNNING status of the pump and bli
79. LY screen acceptance becomes effective when the Options screen is exited by pressing YES ENTER at the ACCEPT OPT field Continuous Options Menu OFTIONS Lock OFF Lock ied HRL TOT OFF LEHRLY OFF BOM occlu LOH HIGH MAIR SENS 5 2 0 OFF i RM AUDIO S i 3 FHR CE OFF ON WaACCEFT oFT YES NO Note The pump s default settings are indicated above in the left screen 1 LOCK When the lock is set to OFF the clinician has access to all of the pump functions After the pump is completely programmed change the lock to meet the security needs of this therapy There are four choices OFF 1 2 or 3 Each level higher limits the available options To change the lock setting press the NO CHANGE key until the correct lock setting appears Then press YES ENTER key to accept the new lock selection Once the pump has been set into a locked condition any subsequent request to change the lock will require a clinician access code See Clinical Information and Access Code chapter for access code information lock setting table and available features for each lock setting 2 HRLY TOT Hourly Totals To view hourly infusion totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screen will appear 73 Adeisy snonuiju09 Hourly Totals Screen AMT ms AMTME 9 The screen displays hourly infusion delivery for each hour 00 23 of
80. MPLETE TOTVOL 20 8 ml KMORATE 1 ralshe This screen displays 1 INFUSION COMPLETE 2 A graphic representation completely filled in bar graph indicating infusion complete or the smaller dot configuration shown here if a KVO RATE is programmed 3 TOT Vol Total Volume If units are mg or mcg this field will also toggle to give the Total Infused 4 KVO Rate The preset KVO rate displays Infusion Complete is considered an alarm status and the audio alarm will beep periodically every 3 seconds if there is no KVO every 20 minutes if there is a KVO to alert the user to this condition Additionally the LED lights blink to alert you to the status of the pump The green light blinks when the KVO rate is infusing if one is programmed and the red light blinks to indicate that the Infusion Complete alarm exists 80 Adeisay lL snonuiju09 Stopping the Infusion To halt the infusion at Infusion Complete press the PAUSE key and then choose to either 1 Turn off the pump by pressing the OFF key or 2 Select one of the options from the Pause screen Note Pause Menu Screen ENTER to Select MEH PROGRAM REPEAT Rx To repeat the present therapy and add another container with the same prescription press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen will list all preprogrammed therapies Select which thera
81. N RUN OPTION YES Options Lock Hourly Tot Clear Hrly Dn Occlu Air Sens Audio PWR CK Accept OPT CON Rx Bag Vol Amt TBI Rate Time KVO Rate Done CON PRE Rx Units Delay Medlimit Next REPEAT Rx 9900 9500 7400 0 2 23 45 ab YES Lock OFF OFF OFF OFF HIGH OFF R9 OFF YES NO m1 m1 ml hr HH MM ml hr Sml Z217AN03 2174N03 Patient 56 ON PUMP 33 OFF PUMP Log Used bytes 1693 of 61440 Figure 3 1 History Event Log 46 8 PRINT PATIENT HISTORY To print the patient history log connect the Data Interface Cable to the communication port on left side of the pump before selecting this command FEINT Pt Hx ACCEPT M R FOLLOW DIRECTIONS THAT ACCOMPANY THE DATA INTERFACE CABLE The pump will display When you select YES the display will read Printing Patient History Record When the printing is completed the pump display returns to the BIOMED SETUP Menu To abort the printing process press the NO CHANGE key on the pump s keypad and the display will return to the BIOMED SETUP Menu If the Patient History Log stops before all data is transferred exit and restart the Print Pt Hx command Note To utilize the print feature of the Moog Curlin Infusion pump you must have a PC running the Hyperterminal program within MS Windows and use the Moog Curlin Infusion Data Interface Cable which is purchased separately Detailed user
82. NTER This action enters the new time and date and moves to the next field in the BIOMED SETUP Menu Pressing the NO key on this field aborts the change date and time selection and returns to the BIOMED SETUP Menu IMPORTANT If a therapy is in progress the date and time changing functions will not be Pie eT accessible until the therapy is complete 14 When BIOMED SETUP is complete move the cursor to the DONE Field and press the YES ENTER key to return to the Program or Set Up Menu Screen Program Program BioMed Setup Menu ENTER to Select BIOMEO SETUP To select PROGRAM use the arrow keys to move the cursor to the PROGRAM field and press the YES ENTER key If no therapy is already programmed a Select Therapy Screen appears prompting you to select a therapy If a therapy has been programmed the following screen appears 49 Bulmwei6oig soiseg Resume Repeat Rx New Program Menu ENTER to Select REPEAT Rx MEH PROGRAM There are three different ways that you can start a therapy e RESUME Should be used if a therapy is interrupted The pump picks up where it left off and continues the therapy e REPEAT Rx Should be used to hang a new bag and repeat the same therapy over again The infusion history displayed is reset volume infused boluses requested boluses received etc Shift Totals and Hourly Totals continue to accrue e NEW PROGRAM Should be used to program a tota
83. Note For report generation details please reference the PLSS User Manual V2 P N 44560 63 Programming a Pump that has Downloaded Protocols in Place YES key is used to verify or enter NO key is used to change erase or leave screen Turn the Pump on watch self test and power source bar Set tubing must be installed for pump to run Press the ff and U keys to scroll through the menu and press the YES key to accept confirm a field entry and the NO key to reject change a field entry Note Library therapies may have soft limits set for various values For Continuous therapies Soft limit settings may be set for Max Weight Max Amt TBI Max Rate Min Rate Max Time and Min Time For Intermittent therapies Soft limit settings may be set for Max Dose Amt Max Dose Rate Min Dose Rate Max Dose Time Min Dose Time and Min Dose Frequency For PCA therapies Soft limit settings may be set for Max Load Dose Max Basal Rate Max Patient Bolus Amt and Min Bolus Interval For TPN therapies Soft limit settings may be set for Max Amt TBI and Max Infusion Rate For Variable therapies Soft limit settings may be set for Max Amt TBI Max Infusion Rate and Min Total Time Note A warning screen will display if a value is entered that is out of range of the soft limit setting s for a downloaded therapy The screen will ask the user to override the soft limit value Pressing YES will accept the new value Example below xxx OL ERT
84. OFF ON Invalid Key Report error code to factory Call Provider 200 Turn pump OFF ON Invalid system state Report error code to factory Call Provider 201 Turn pump OFF ON Bad power up test number Report error code to factory Call Provider 202 Turn pump OFF ON Bad power up state Report error code to factory Call Provider 160 Error LCD Displayed Probable Cause Corrective Action Code Message 203 Turn pump OFF ON Bad A to D Max address Report error code to factory Call Provider 204 Turn pump OFF ON Bad run state Report error code to factory Call Provider 205 Turn pump OFF ON Bad pump status Report error code to factory Call Provider 206 Turn pump OFF ON Bad volume type Report error code to factory Call Provider 207 Turn pump OFF ON Bad rate type Report error code to factory Call Provider 208 Turn pump OFF ON Bad motor test number Report error code to factory Call Provider 209 Turn pump OFF ON Bad hist type Report error code to factory Call Provider 210 Turn pump OFF ON Bad EEPROM Data ID Report error code to factory Call Provider 211 Turn pump OFF ON Bad run time CRC state Report error code to factory Call Provider 212 Turn pump OFF Bad EEPROM Write Report error code to factory Call Provider 213 Turn pump OFF Bad total volume Report error code to factory Call Provider 214 Turn pump OFF Bad total time Re
85. OT change the Lock Level from its current setting 2 The user selects a preprogrammed protocol from a Protocol Library Safety System enabled pump In this case the pump defaults to the Protocol and erases the Lock Level setting If a locked out function is requested such as PRIME in lock setting 3 a screen will appear requesting the entry of the access code When the correct code is entered the locked out function can be performed by the clinician Note In any function outside of the field to change the Lock Level entering the clinician access code will not change the Lock Level setting Once the pump recognizes the clinician access code it authorizes the function to be performed without the need to change the Lock Level setting 184
86. S ENTER key to accept the rate and move to the next field 4 TIME Displays the time required to complete the infusion When the pump is given the Amount To Be Infused and the RATE at which to infuse it will automatically calculate the Time and display it here If the time is not acceptable press the NO key to edit this field and enter the new TIME with the numeric keys Remember by changing the time of the 70 infusion a new RATE will be calculated and will have to be accepted before exiting this menu The Amount To Be Infused will remain constant When the TIME field is satisfactory press the YES ENTER key and move to the final field The range for this field is 0 01 to 288 00 HH MM Note The time calculated by the pump may be less than a minute however one minute is the minimum entry and display value 5 KVO Rate Keep Vein Open Rate This field requires data entry using the numeric keys to set the rate at which fluid will be delivered in a Keep Open state The pump defaults to a rate of 0 1 ml hour can be set from 0 to 10 ml hour but cannot be set at a rate to exceed the therapy operating rate When the desired KVO rate has been entered press the YES ENTER key to accept and move the cursor to the next field 6 DONE If any changes are to be made use the up or down arrow keys to locate the field to be changed use the numeric keys to enter the corrected information and press YES ENTER
87. SE BLO omg AMTDOSE O meg DOSERATE mlthe DOSERATE 0 mathe I0SERATE megh DOSE Time FOO HH MM DOSE Time 0 00 HHM DOSE Time MIG HAMM DOSEFFeq DDD HH MM AA ORATE D i 9 mis he DOSEIERIG 2 REQ Voi mi TOTTime DIDO HHH DONE YES 1 BAG Vol IV Bag Volume Using the numeric keys to enter the amount of fluid in the IV Bag or Medication Reservoir include the overfill volume Note The volume used for priming via the pump or for KVO is deducted from the Bag Volume Therefore Bag Volume should be equal to or greater than the Amount To Be Infused to start the infusion When the correct amount has been entered press the YES ENTER key to accept this field and move on to the next The range for this field is 1 to 9999 2 AMT DOSE Amount per Dose Using the numeric keys enter the actual amount per dose to be delivered The Units selected in the prescription menu will automatically appear in this field whether ml mg or mcg When the amount is correctly entered use the YES ENTER key to accept this field and to move to the next The range for this field is 0 1 to 999 3 DOSE RATE Rate at which each dose is to be delivered The Moog Curlin Infusion pump can deliver from 0 1 ml to 400 ml per hour Use the numeric keys to enter the prescribed rate again the units chosen in the pre infusion menu will appear here When the 113 Adeiady U9 1UW9 U correct rate displays use the
88. Step 4 Locate the file you want to view print Step 5 Use the WordPad application to view or print How to generate pump reports overview Step 1 Click on History icon 62 Protocol Library Safety System Protocol Library User Admin Step 2 Click on History Reports select pump file for report Download History Log Selection R Peron Available History Logs eea SelectAll Select None Available Report Types Alarms Line Pressures Bolus and Shift Totals ___History Reports Pump Serial Number Pump Model Pump Menu Level Pump Software Version Log Download Date Log Filename 216671 PainSmart EOBB 6017 F5 B0 6 15 2010 4 30 20 PM 216671_6152010 txt 216671 PainSmart EOBB 6017 F5 B0 6 15 2010 4 24 44 PM 216671_6152010 txt Filters Serial Numbers Models Menu Levels Software Versions 216671 PainSmart EOBB 6017 F5 B0 Define Report Details Step 3 Click on Define Report Details Download History Log Selection Report Definition Alarms Line Pressures Bolus Requests Soft Limit Alerts Shift Totals Parse History Logs Selected Logs Report Details O History Reports Pump Serial Number Beginning Date Time End Date Time 216671 6 15 2010 4 24 00 PM 6 15 2010 4 30 00 PM f Selected Logs Time Range Start Time 6 15 2010 4 24 00 PM End Time 6 15 2010 4 30 00 PM Refine Report Definition Use Entire Log Selection O Specify Time Range
89. T INFORMATION The following screen offers you four choices Run Options Screen PRESS to START to REVIEM or eal Note that you do not need to answer yes or no questions or enter data as previously requested This screen requires only that you press the corresponding key on the keypad to begin the requested function The following section explains each selection beginning with Prime Prime The IV bag or syringes and administration set should be inspected and be free of all air and air bubbles before they are connected to the access site Priming may have been done by gravity when the administration set was first connected to the bag However if it was not done then or if there are any remaining air bubbles to be removed the pump s PRIME function will assist in this process To prime the set by using the pump follow the directions below Note The lock setting may restrict the ability to prime using the pump 1 Press and release the PRIME key at the Run Options screen 2 The following screen appears Prime Direction Screen Disconnect Pt Release Clamps HOLO katulky HA to EXIT 3 Disconnect the administration set from the patient s access site using aseptic protocols 86 AdeI yL WOd IMPORTANT Priming with the set connected to the patient could result in overdose INFORMATION and may cause injury or even death to the patient 4 Release any clamps on the administration set 5 Press a
90. Turn Pump OFF Call Provider Bad Door Sensor Report error code to factory 20 Empty Lithium Battery Empty Lithium Battery Report error code to factory Call Provider 21 Turn pump Off Bad Tristate Pin Report error code to factory Call Provider 22 Turn Pump OFF Bad Test Pin Report error code to factory Call Provider 23 Turn Pump OFF Bad Reverence Voltage Report error code to factory Call Provider 24 Turn Pump OFF Bad Motor Supply Report error code to factory Call Provider 25 Stalled Pump Broken Motor Shaft Turn power off on and resume Turn pump OFF ON Call Provider 26 Turn Pump OFF Bad Motor Inhibit Report error code to factory Call Provider 27 Turn Pump OFF Bad Motor Supply Enable Report error code to factory Call Provider 28 Turn Pump OFF Bad Motor Logic Enable Report error code to factory Call Provider 29 Low Alarm Batt Low Auxiliary Battery Connect pump to AC Battery Connect AC Adapt Eliminator and turn power off on to Turn pump OFF ON pump May require turning pump off on a few times 30 Turn Pump OFF Bad Auxiliary Battery Report error code to factory Call Provider 31 Turn Pump OFF Audio Main Speaker Low Report error code to factory Call Provider 32 Turn Pump OFF Audio Main Speaker High Check replace D31 Replace PCB Call Provider 33 Low Alarm Audio Audio Auxiliary Speaker Low Connect pump to AC Battery Connect AC Adapt Eliminator and turn power off on to Turn pump OFF ON pump May require turning pump off on a few times
91. Unable to program a field with a value that exceeds the maximum limit Value entered is greater than the allowable limit Recheck data entry A value entered cannot exceed the field limit ALERT GREATER THAN WHAT BOLS INT ALLOWS Unable to enter a of boluses hr that exceeds the possible number allowed given the bolus interval Boluses hr value exceeds the possible number given the bolus interval BOLS INT programmed Recheck data entry The of boluses hr cannot be set for higher than the number allowed using the given bolus interval ALERT INFUSION NOT IN PROGRESS Infusion not in progress Modification attempted to Next Dose or Early Down Ramp field without an infusion in progress Wait until infusion is in progress before modifying or modify original Rx programmed ALERT INSUFFICIENT VOLUME MAX DOSES Bag Volume value is insufficient to deliver the remaining Occurs whenever the prescription is changed so that Bag Volume is now less than Amount Required for the entire therapy based on volume already infused plus volume required to deliver the remaining doses Recheck data entry If the source container contains sufficient volume to complete the remaining dose cycles dose volume KVO volume increase the Bag Vol If the volume is insufficient decrease the DOSE BAG such that the therapy can continue with the new modified prescription Note If either Bag Vol or DOSE BAG is modified and
92. YES ENTER key If a prescription has previously been entered for the therapy mode you wish to program the following screen will appear ALERT Ex Programmed to Erase Rx to Return c If you want to save the current prescription press the NO CHANGE key to return to the Pause Menu screen If you wish to erase the current prescription and enter a new program press the YES ENTER key to proceed All previous prescription values will be erased Note Selecting NEW PROGRAM will also reset the OPTIONS selected to their default settings except for the LOCK and AUDIO settings which must be changed manually 123 Adeisay U9 1U119 uU Timing Rules when Interrupting Intermittent Therapies IMPORTANT Remember this therapy is time dependent and the following rules INFORMATION apply for interruptions in the therapy For the Intermittent Therapy the pump automatically cycles through dosing and KVO A single beep alerts the user to the change in the cycle If the KVO rate is set at 0 the pump can be off between those doses When the pump is idle or OFF the internal time clock of the pump continues to monitor the dosing cycle and the following time considerations apply 1 IMPORTANT INFORMATION When the infusion is resumed thirty minutes or less past the scheduled Next Dose Time the dose is ready for immediate delivery and no changes will be made in the original scheduling except to sho
93. ade use the up or down arrow keys to locate the field to be changed enter the corrected information and press YES ENTER to accept the new data If all the fields are acceptable at the DONE prompt press YES ENTER to move to the next screen Before the infusion is started it is important to consider a few IMPORTANT remaining issues such as checking the administration set to be sure it was primed or purged of all air or perhaps the pump may need to be put into a security lock setting for additional safety INFORMATION The next screen that appears when the programming is complete offers four choices Run Options Screen PRESS to START to REVIEW or Pe CME Note that you do not need to answer yes or no questions or enter data with the numeric keys as previously requested This screen requires you to press the corresponding key on the keypad to begin the requested function The following section explains each selection beginning with Prime Prime The IV bag and administration set should be inspected and be free of all air and air bubbles 101 before they are connected to the access site Priming may have been done by gravity when the administration set was first connected to the bag see Chapter 1 Preparing Medication for Infusion However if it was not done then or if there are any remaining air bubbles to be removed the pump s PRIME function will assist in this process To pri
94. ause Menu screen will be displayed then press YES and the Run Options screen will be displayed To resume the unfinished therapy press RUN Entering a New Program NEW PROGRAM To program an entirely new prescription or different therapy press the YES ENTER key at this field The ability to change these parameters may be controlled by the lock setting The display will return to the Select Therapy Screen if more than one therapy mode is enabled or to the Pre Prescription Screen of the single therapy mode If the current container has not completely infused the following screen will appear ALERT Ex_in progress to Repeat to Return a This screen is a reminder that the infusion is not complete If you want to return to the cutrent container and finish infusing it press the NO CHANGE key to return to the Pause Menu screen b To abort the current container and enter a new program press the YES ENTER key If a prescription has previously been entered for the therapy mode you wish to program the following screen will appear ALERT Ex Programmed to Erase Fx to Return c If you want to save the current prescription press the NO CHANGE key to return to the Pause Menu screen If you wish to erase the current prescription and enter a new program press the YES ENTER key to proceed All previous prescription values will be erased 138 AdeisyL ajqeue n Note Select
95. ay tab Lock These drawings are NOT to scale Note An important feature of the Curlin Medical administration set is the unique design of the set based Integral Flow Stop When the set is new the Integral Flow Stop has a breakaway tab that keeps the Integral Flow Stop open and allows the tubing to be gravity primed When you are ready to load the administration set into the pump remove this tab and the Integral Flow Stop will automatically clamp the tubing The Curlin Medical Integral Flow Stop prevents inadvertent flow of medication to the patient whenever the door of the pump is opened because the Integral Flow Stop automatically reacts to clamp the tubing The Integral Flow Stop can however be opened after the tab is broken away by intentionally squeezing down on the movable spring action section of the Integral Flow Stop See Figure 1 6 for an illustration of how to intentionally open the Integral Flow Stop For a complete listing of all available administration sets see the Curlin Medical Product Catalog Note Administration sets with anti siphon valve protection can also be used for additional free flow protection CAUTION USE ONLY MOOG CURLIN INFUSION ADMINISTRATION SETS WITH THIS PUMP CURLIN MEDICAL i E hy N Integral Flow Tubing Guide Medication Slide Clam
96. bar How to connect the device to be downloaded Step 1 Connect the data cable proper end to the device Step 2 Connect the RS232 end of the data cable to an available serial port on the desired PC How to download a library to the connected device Step 1 Select the desired managed device from the Managed Device drop down Step 2 Select the proper comm port from the Managed Device Comm Port drop down menu Step 3 Select the desired library to download Step 4 Click on Download Library to start the download process Step 5 Immediately turn on the device that is connected to the PC Step 6 View the Download Status memo box to obtain the status of the download How to view or print the download history Step 1 Click on View Download Log in order to view the download log Step 2 Optional Click on Print Download Log to print the log to the desired printer Step 3 Click on Close Download Library to revert to original screen 54 Programming a Pump that has Downloaded Protocols in Place YES key is used to verify or enter NO key is used to change erase or leave screen Turn the Pump on watch self test and power source bar Sets must be installed for pump to run Press the ff and U keys to scroll through the menu and press the YES key to accept confirm a field entry and the NO key to reject change a field entry I 23 10 Press to scroll down to the LIBRARY function High
97. batteries not to the rechargeable battery pack PAUSE the therapy in progress turn the pump OFF and then replace the batteries See chapter 1 of the User s Manual for instructions on battery change ALERT MAX CHANGES FOR PERIOD REACHED The maximum number of changes for the current delta time window has been reached The maximum number of pump rate changes for the current delta time window has been reached This occurs when the rate has been changed more than 12 times during any delta time window Allow more time to elapse before attempting to change the rate or reprogram the therapy with Medlimitation limits and prescription basal and bolus ranges that will reduce the number of times that the rate will have to be adjusted ALERT MODIFICATION NOT ALLOWED Modification Not Allowed The selection cannot be modified at this time or the programmed lock setting does not permit modifications to this selection 148 Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Review the User s Manual for program restrictions or if lock level restricted change lock setting to access area you wish to modify ALERT NEW DOSE IS LESS THAN CURRENT DOSE Unable to program a lower number of doses than number of doses already infused While the Va
98. ble use the arrow keys to cursor up to any field for corrections or abort all changes made in this menu by pressing the NO key and return to the previous screen There are two remaining selections to consider from the Run Options Screen NO to REVIEW and RUN to START 119 Adeisay Ud 1U119 uU Reviewing or Changing the Program To review or make any changes in the prescription programming press the NO CHANGE key at the Run Options screen and the prescription screens will reappear Changes may be inhibited by lock setting Changes to the prescription can be made before the start of the therapy however once a therapy has started no changes can be made to the Pre Prescription Screen It will appear only for review purposes Attempts to change the Pre Prescription Menu during a new program review will cause an alert screen to be displayed notifying the programmer that changes will require reprogramming of the prescription Starting the Infusion RUN When all parameters are correct and the pump has been primed properly and connected to the access site press RUN on the Run Options screen to start the therapy If a delayed start is programmed the Delay Start Count Down Screen will appear If no delay start is programmed or the delay has elapsed the pump will begin infusing and the following screen displays the status of the therapy Intermittent Run Screen RATE 250 0 mlhe pose 1 of 4 I L FRES 18 mm
99. ce Screen 42 Set into Moog Curlin Infusion Select Program or Bio Med Setup eaea T 18 DCLECHS E rhe restose ent iacddetes 42 Up Stream Occlusion Alarm ACCESS COde ccccesccesccesccescoescees 42 Feature se Ascsasseasdicssecdcoanvasdesauttibeaens 19 Clinician Access Code Screen 42 Installing the Batteries and Using BioMed SEP seca eesti 43 External Powet i sssssssssesssessseees 20 Bio Med Setup Ment 43 Enable Therapy Menu 45 Battery Replacement Alternate battery doof seeseesseseeeseeeseeeeeeees 21 Patient History L0g seceeecese 45 History Event Log 46 External Power Sources 0005 23 Clearing the History Log 47 AC Adapter Charget csceeee 29 Clearing Patient Information 47 Bolus Cord Use lt ccsicuisccencisecscaceiciess 30 Changing Date and Time 48 LEARNING PUMP Change Date and Time Screen 48 FEATURES uneni 31 Program esessssseeseesseesrssseesssseeesssseees 49 Figure 2 1 Key Pad Keypad Program BioMed Setup Menu 49 PUA CHON sa sevssariacncderedersdvnavensicosdentees 31 TABLE OF CONTENTS Resume Repeat Rx New Program Menu diss ys oicriaveotvtanatatanees 50 Resuming a therapy cccceeseeee 50 Repeating a Pre Programmed GLA Y es divecendeireaeatiavenenctiywveadonspiee 50 How to go to New Program 51 Selecting a Therapy cescceeeeee 51 Select Therapy Screen 51 Entering or Changing Data Fieldsi
100. ce function by pressing any key except ON OFF and then complete the confirmation of the prescription manually by pressing the YES key at the remaining fields When the program is accepted the display returns to the above Run Options Screen If the current therapy is still in progress when the REPEAT Rx function is selected the following screen will appear ALERT Ex in progress to Repeat to Return a This screen is a reminder that the infusion is not complete If the therapy is to be terminated and a new IV container added press YES ENTER to go to the programming screen confirm the program and proceed with the repeat infusion b If the incomplete therapy is to be continued press NO and the Pause Menu screen will 108 AdessyuL Ndl be displayed then press YES and the Run Options screen will be displayed To resume the unfinished therapy press RUN Entering a New Program 3 NEW PROGRAM To program an entirely new prescription or different therapy press the YES ENTER key at this field the ability to change these parameters may be controlled by the lock setting The display will return to the Select Therapy Screen if more than one therapy mode is enabled or to the Pre Prescription Screen of the single therapy mode If the current container has not completely infused the following screen will appear ALERT Ex in progress Hew Program to Return a T
101. censed healthcare practitioner must oversee any therapy Patients and caregivers using the Moog Curlin Infusion pump should be instructed in its use by a qualified clinician and demonstrate an adequate level of proficiency in the use of the pump Special Features of the 6000 Series Pump e The Info On Demand feature safely provides additional information to the user when the pump is in the RUN mode e Shift Totals that can be greater than 24 hours e Hourly Totals in all therapies e Customized Maximum Basal Rate Limit e Customized Maximum Bolus and Dose Limits e Customized Lock Level setting e Large screen with Tallman Lettering e Larger font single information display e medLIMITS features e PCA dose and medLIMITS schedules that can be maintained on Repeat e Pump will not permit the user to enter any programming value that is outside of its predetermined default range or further restricted through medLIMITS e Automatic quick repeat function e Small accurate ambulatory volumetric infusion pump that provides reliable and safe delivery of infusion therapies e Cost effective safe and easy to load disposable Moog Curlin Infusion administration sets featuring a unique spring activated self clamping set based Integral Flow Stop device that automatically clamps the tubing when the door of the pump is opened and prevents inadvertent fluid flow e User friendly easy to teach programming that
102. cess To prime the set by using the pump follow the directions below Note The lock setting may restrict the ability to prime using the pump 1 Press and release the PRIME key at the Run Options screen 2 The following screen appears Prime Direction Screen Disconnect Pt Release Clamps HOLO eegulakey Mae to EXIT 3 Disconnect the administration set from the access site using aseptic protocols Moe o ANS Priming with the set connected to the patient could result in overdose and may cause injury or even death to the patient INFORMATION 4 Release any clamps on the administration set 5 Press and hold the PRIME key Fluid will be pumped at a rate of 300 ml hr through the administration set as long as the PRIME key is pressed or until 6 ml is pumped The pump will then beep once and require repressing and holding the PRIME key again until 6 more milliliters is delivered Continue this process until all air has been purged from the IV bag and the administration set Note If the bag volume is depleted during priming a subsequent priming event cannot be initiated While the PRIME key is depressed the following screen appears PRIMING Release Artiga key to Stop Prime Amt 8 ml The amount used for the prime session is accumulated and displayed on the bottom field of this screen 6 When priming is complete release the PRIME key The following screen will display 13
103. ck setting The display will return to the Select Therapy Screen if more than one therapy mode is enabled or to the Pre Prescription Screen of the single therapy mode If the current container has not completely infused the following screen will appear ALERT Ex in progress Hew Program to Return a This screen is a reminder that the infusion is not complete If you want to return to the current container and finish infusing it press the NO CHANGE key to return to the Pause Menu screen b To abort the current container and enter a new program press the YES ENTER key If a prescription has previously been entered for the therapy mode you wish to program the following screen will appear ALERT Rx Programmed to Erase Rx to Return c If you want to save the current prescription press the NO CHANGE key to return to the Pause Menu screen If you wish to erase the current prescription and enter a new program press the YES ENTER key to proceed All previous prescription values will be erased Note Selecting NEW PROGRAM will also reset the OPTIONS selected to their default settings except for the LOCK and AUDIO settings which must be changed manually Infusion Complete When the infusion is complete the audio alarm will beep and the following screen will display Note To temporarily silence the alarm press the Silence key Continuous Infusion Complete INFUSION CO
104. creens mcleared ZHJAN 21855 ELAPSED 212 HH MM i ol INF 3 5 ml i ol INF 3 5 ml EOLUS of Clin DOSE DOME DONE ee a Cleared ELAPSED This field displays the date and time the shift total was last cleared It toggles with the amount of time elapsed since that clearing b Vol INF Amt INF Volume Amount Infused This field displays the volume ml and amount mg or mcg infused since the shift total was cleared c BOLUS Clin DOSE Clinician Dose This field displays the number of clinician doses given since the total was cleared It toggles with the number of patient activated boluses received of those requested 89 d To exit the shift total feature without clearing the totals press the YES key at the highlighted EXIT field To clear the Shift Totals press the NO key at the EXIT field The field will change to read CLEAR press the YES key now to clear A lock level 3 will require an access code entry before allowing the user to clear the Shift Totals 4 HRLY TOT Hourly Totals To view hourly infusion totals press the NO CHANGE key to change OFF to ON and then press YES ENTER Either of the following two screens will appear Hourly Totals Screen HE AMT mg BG BA HE AMTmes BG BA 28 28 The screen displays hourly infusion delivery for each hour 00 23 of the last 24 hours of therapy in the unit selected c d e The highlighted field has a marker lt i
105. cssssesssssees 1 Gianna i Description of the Info On Delivery Modes ssccccssssescsseees 1 Demand IOD Feature ween 33 Indications for Use ssecccseeseeees 2 Info On Demand IOD Key Special Features of the 6000 PUNCUONS ccccccsicscscssecsesestecsesectedses 34 Series Pump ecssssisccssersecvascizncesus inves 2 LED Light Indicators 37 Regulatory Agency Approvals 4 Audio Indicator c sssesessseesseeesseeen 37 Warnings Cautions Notices 4 Display Screen ceseeessesseeeseeee 37 List of Abbreviations 00008 9 BASICS OF Pump Illustrations and Features 11 PROGRAMMING 39 Disposable Administration Set Types of Display Screens 39 Illustrations and Features 13 Sample of an Action Field Screen 39 Preparing Medication for Sample of a Selection List Field 39 Infusion Changing IV Bags MEA 14 Sample of a Data Entry Screen 40 Sample of a Run Screen 40 Opening and Closing the Pump Sample of User Notification DOOF sesssssssssssereessessssereesteeeeeeeeessseens 16 Sereen a E aateeaiteS 40 Choosing and installing the Using Help cccccssssessecsesesseeseeeees 41 Moog Curlin Infusion Administration Set ssssssseee 17 arane he Prep aaee H Welcome Screen ssa jcastironiih niet 41 Gravity Priming Set and Filter 17 Power Status Street nsau ied aune 42 Steps in Installing Administration Preventive Maintenan
106. d may be a safety issue but are not system errors of the pump All alarm conditions stop the infusion The only exception to this rule is at the Infusion Complete alarm which allows the KVO rate when programmed to continue infusing When an alarm occurs a message is displayed on the screen the audio alarm is sounded and the red LED light flashes The message stays on the screen until the pause key is pressed The Silence key can be pressed to disable the audio alarm for one minute intervals The cause of the alarm must be resolved or the alarm will recur when the infusion is restarted To exit an alarm screen press the PAUSE key resolve the alarm condition and then resume the therapy by selecting RESUME from the Pause Menu The following is a selected and alphabetical list of the alarms conditions that cause the alarms messages displayed on the screen and actions necessary to resolve them LCD Display ALARM AIR IN LINE Alarm Air In Line Cause Pump has detected air in the administration set during an infusion Resolution Check air settings and remove air from administration set and IV bag or reservoir per protocol Disconnect from patient s access site before using prime function LCD Display ALARM DOOR OPEN or SET NOT PROPERLY INSTALLED Alarm Door is opened or administration set is not properly installed while the pump is running Cause Door is opened or administration set is not properly installed w
107. d press YES ENTER to accept the new data If all the fields are acceptable move the cursor to the NEXT field and press the YES ENTER key to move on to the next screen At the following screen the prescription information is entered to complete the programming of the pump for a Continuous Therapy Note that the Screen Identifier at the left side of the display gives the abbreviation CON for Continuous Therapy and has a down arrow configuration which indicates that there are more than four fields of text or lines of information to be considered 69 Adeisy snonuiju09 Continuous Prescription Menu BAG Vol GE ral BAG Vol GEG ral BAG ol GE ral AmtTeI 8 ml AmtTeI 8 mg AmtTeI 8 meg RATE ml he RATE 0 mathe RATE 0 megsh TIME O0 HH MtM TIME O0 HH hMt TIME QQ HH hMt EMORATE 20 9 ml he DONE YES 1 BAG Vol IV Bag Volume Use the numeric keys to enter the amount of fluid in the IV Bag ot Medication Reservoir include the overfill volume Note The volume used for priming via the pump or for KVO is deducted from the Bag Volume Therefore Bag Volume should be equal to or greater than the Amount To Be Infused to start the infusion When the correct amount has been entered press the YES ENTER key to accept this field and move on to the next The range for this field is 1 to 9999 1a Weight Patient Weight in Kilograms This field is active whenever mg kg or mcg ke is se
108. dicate which dose is currently being programmed The total number of doses is also displayed and the pump will only prompt programming screens for the number of doses indicated on the initial programming screen 2 Amt TBI Use the numeric keys to enter the amount to be delivered in this dose The Units selected in the prescription menu will automatically appear in this field whether ml mg or mcg The amount to be infused is limited to the bag volume total and each time a dose is programmed the new amount to be infused is limited to the remaining bag volume total When the amount is correctly entered press the YES ENTER key to accept and move to the next field The range for this field is 1 to 9999 or the remaining bag volume amount 3 RATE The Moog Curlin Infusion pump can deliver from 0 1 ml to 400 ml per hour Use the numeric keys to enter the prescribed rate for this dose When this field is correct press the YES ENTER key to accept and move to the next field 4 TIME calculated by pump Displays the time required to complete this dose If the time is not acceptable press the NO key to edit this field and enter the new TIME Remember when you change the time a new RATE will be calculated and will have to be accepted before you exit this menu When the time is correct press YES ENTER to accept and move to the next field The range for this field is 0 01 to 288 00 HH MM Note The time entered is
109. displays hourly infusion delivery for each hour 00 23 of the last 24 hours of therapy in the unit selected a The highlighted field has a marker lt indicating the current hour in progress b Use the up arrow key to scroll back through the last 24 hours c If the infusion was not running a series of will appear for that hour d To exit this screen press the NO CHANGE key CLR HRLY Clear Hourly Totals To clear Hourly Totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screen will appear Clear Hourly Totals Screen Clear Hourly Totals MOH ACCEPT a To clear the Hourly Totals press the YES ENTER key All Hourly Totals will be cleared and the cursor will return to the Options menu b To maintain the Hourly Totals press the NO CHANGE key Hourly Totals will be maintained and the cursor will return to the Options menu c A lock level of 2 or 3 will require an access code entry before allowing Hourly Totals reset 133 4 DN Occlu Down Occlusion This feature allows the pump to sense an occlusion pressure in the line between the pump and the access site e g a kink in the tubing between the pump and the patient a blockage in the access site a clamp left on the distal tubing There are two options for this field the Low setting default setting triggers the alarm when it detects in line pressures at 400 mmHg 150 8 3 psi p
110. dvise patient of time limits between bolus doses per agency protocols ALERT CALCULATED AMT OUT OF RANGE Invalid calculated amount for infusion The calculated amount for the infusion based on the values entered for Rate and Time exceeds either the pump limit or the value entered for bag volume Recheck data entry for Rx 143 HuljooysajqnoiLs LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution ALERT CALCULATED RATE OUT OF RANGE Invalid calculated rate of infusion The calculated rate for the infusion based on the values entered for Volume Amount and Time exceeds either the minimum or maximum rate limit of the pump or the maximum rate programmed in Medlimitation limits Recheck data entry for Rx ALERT CALCULATED TIME OUT OF RANGE Invalid calculated time The calculated time for the therapy based on the values entered for Volume Amount and Rate exceeds the therapy time limit of 288 00 HHMM 167 59 HHMM Software Versions below R37C Recheck data entry The time calculated by the pump cannot exceed the pump range ALERT CHANGES REQUIRE REPROGRAMMING YES to Continue NO to Return Changes to the data will require re entry of prescription Attempted to change the Pre Prescription Screen prior to start of infusion If a change to t
111. e PAUSE key must be used to stop the infusion first and then the OFF key can be pressed to turn the pump off This requirement prevents the interruption of an infusion by a single accidental press of the OFF key RUN PAUSE Used to start or pause the motor of the pump which in turn starts or pauses fluid delivery When the pump is running pressing this key will pause the pump When the pump is paused pressing this key during the Run Options menu will start the pump This key is also used to terminate a pump alarm Note If the cause of the alarm is not resolved when the pump is Resumed the alarm will recut ft Up arrow Used to scroll the highlight bar or field cursor up on the display screen Note The Up arrow will not accept a selection which must be made with a YES ENTER ot NO CHANGE key U Down arrow Used to scroll the highlight bar or field cursor down on the display screen Note The Down arrow will not accept a selection which must be made with a YES ENTER or NO CHANGE key NO CHANGE Used to respond NO to data or questions presented or to reject or to change highlighted data Note The Moog Curlin Infusion pump requires you to actively change a selection The Up arrow or Down arrow will not change a selection YES ENTER Used to respond YES ENTER to data or questions presented or to accept highlighted data when prompted to press enter key Note The Moog Curlin In
112. e P N 44560 6000 CMS Ambulatory Infusion System Software with Protocol Library Safety System Note Electrostatic Sensitive Devices observe handling precautions 57 Download Protocols from the Protocol Library Safety System Software into the Protocol Library enabled 6000 CMS pump Protocol Library Safety System Protocol Library Safety System Reaister PLSS a Protocol Library History User Admin ini FZ Re Advisory Management Viewing Protocols in Project 6000 2 Therapy_Types_Project plp Display Name Protocol Name INT 1 Intermittent 1 VA 1 Library A i INT 2 Intermittent 2 VA 2 Sary PPE ove CONT 3 Continuous 3 VA 3 gt CONT 4 Continuous 4 vVA 4 Library Download TPN 5 TPNwRamping 5 VAS TPN 6 TPNwRamping 6 VA 6 VAR 7 Variable 7 VA CONT 8 Continuous 8 VA 8 CONT 3 Continuous 3 VA 9 CONT 10 Continuous 10 VA 10 CONT 11 Continuous 11 VA T1 CONT 12 Continuous 12 VA 12 PCA 13 V Pt CtLAnalgesia VA 13 PCA 14 EPI Pt CtLAnalgesia VA 14 PCA4 15 SO Pt CtlAnalgesia VA 15 CONT 16 mg kg Weight Based Do CONT 16 O1 WB CONT 1 Soft Limits WB CONT 1 10 WB PCA 3 pea mg iv WB PCA 3 es 02 WB PCA 1 Soft Limits WEB PCA 1 Project Summary 03 WB TPN 1 Soft Limits WB TPN 1 04 WB INT 1 Soft Limits WB INT 1 Sidien O5 WB VAR 1 VAR SoftLimits WB VAR 1 Daa 06 WB CONT 2 Cont ML WB CONT 2 Total Protocols O7 WB CONT 3 Cont mg kg WB CONT 3 33 08 WB CONT 4 CONT mea kg WB CONT 4 Submitted by OS WB PCA 2 miv WB PCA 2 11 W
113. e been compromised continue if error recurs return for service 317 Turn pump OFF ON Configuration settings may Try to turn off pump then on If OK Call Provider have been compromised continue if error recurs return for service 161 BHuljooysajqnois Chapter Accessories There are a number of helpful acessones for use nith the Moog Curlin Infusion pumps and their descriptions and diagrams for use are induded in this chapter Soft Carry Packs Moog has some recommended carry packs that come in four sizes and are designed to provide user comfort and convenience Please refer to our website at www moog com medical to review the latest of these carry packs 162 salosse20y Detachable Pole Clamps The pole clamps attach to the Lockable Safety Shells or the Pump Holster and can accommodate a pole of 75 to 1 25 inch diameter There is a Standard Pole Clamp 340 0104 as well as a Lockable Pole Clamp 340 0125 available Figure 10 3 Detachable Pole Clamp Remote Bolus Cord 340 2005 This five foot flexible cable offers a remote push button switch for the patient s use in administering bolus dosing in the PCA therapy This accessory cannot be used in any therapy except PCA and if it is left connected for any other therapy an alert message will display on the pump screen instructing the operator to remove this cable WE A Bolus Data Port on Left side of Pump
114. e dosing schedule This screen is displayed only if the previous INT infusion was terminated prior to the completion of the infusion 122 Intermittent Dosing Schedule HExXT DOSE DUE TH BHHEEN HH trir DONE YES The dosing schedule of the previous container is retained and displayed on this screen In Lock setting 0 and 1 you can change the time In lock 2 or 3 the next dose time is displayed but requires an access code before allowing a change When the next dose time is correct press the YES ENTER key The cursor will move to the DONE field press the YES ENTER key again and the Run Options screen will display Entering a New Program NEW PROGRAM To program an entirely new prescription or a different therapy press the YES ENTER key at this field the ability to change these parameters may be controlled by the lock setting The display will return to the Select Therapy Screen if more than one therapy mode is enabled or to the Pre Prescription Screen of the single therapy mode If the current container has not completely infused the following screen will appear ALERT Rx in progress Hew Program to Return a This screen is a reminder that the infusion is not complete If you want to return to the current container and finish infusing it press the NO CHANGE key to return to the Pause Menu screen b To abort the current container and enter a new program press the
115. e pump should be cleaned and kept in its hard shell packing case The environmental conditions should be within the range of e An ambient temperature 20 F to 140 F e A relative humidity range of 10 to 95 e Anatmospheric pressure range of 500 Hpa to 1060 Hpa All accessories should be stored in their original packing containers to ensure the longest service Operating Environment The following conditions of ambient temperature range and relative humidity are recommended for the fluid delivered accuracy of e Temperature 5 Accuracy 55 to 90 F 10 Accuracy 45 to 55 F 10 Accuracy 90 to 104 F e Relative Humidity 15 to 95 Non condensing Maintenance Yearly preventive maintenance checks are recommended and will be prompted in the Set Up menu and on the display when the date occurs This date accrues from the date of factory release and is reset when each annual maintenance check is completed Any time an error code message occurs repeatedly or any time a pump appears to be tampered with or shows any indication of not performing to standards the pump should be returned to the healthcare provider dispensing the pump At no time should unauthorized personnel open the hard case of the pump Limited Warranty ZEVEX Inc the Manufacturet warrants to the Original Purchaser that the infusion pump the Pump not including accessories shall be free from defects in material and workmanship under norma
116. each field until the RUN TO START screen appears after selecting done In the RUN TO START screen you have three options RUN TO START to begin the infusion NO TO REVIEW to check orders and make changes PRIME to prime the tubing via the pump 12 In the RUN TO START screen choose NO to review to validate therapy with another clinician Press YES at each highlighted field to confirm choices NO to change Note this should be done prior to priming tubing on the pump 13 When you reach the RUN TO START screen for the second time you can now prime the tubing To prime the tubing via the pump Press the PRIME button at the bottom of the pump follow on screen instructions and hold the prime key down Keep the button depressed until you are finished priming Release the prime button to stop and press YES TO EXIT to return to the RUN screen 14 You can now Begin your infusion by pressing RUN TO START 56 Programming a 6000 CMS pump with Protocol Library Safety System PLSS Version 2 program The information in this section deserbes how to program a pump with a drug protocol from the Protocol Library Safety Syston of a Moog Contin Infusion 6000 CMS Infusion Pump that has this program REQUIRED EQUIPMENT The following equipments are required to service the pump Data Interface Cable for PC P N 340 2011 Personal Computer with Microsoft Windows 2000 XP Vista Windows 7 Protocol Library Safety System Softwar
117. eat the present therapy and add another IV bag with the same prescription press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen will list all preprogrammed therapies Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES ENTER key 139 The pump will then display the program screens with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescription manually by pressing the YES key at the remaining fields 4 NEW PROGRAM To program an entirely new prescription or a different therapy press the YES ENTER key at this field and the display will return to the Select Therapy Screen The ability to change these parameters may be controlled by the lock setting Note The therapy is complete therefore RESUME is not an option at this time and is not displayed 140 Adessy ajqeue n Chapter Troubleshooting This secton assists in identifing and resolving alert and alarm conditions that may occur during the use of the Moog Cuttin Infusion pump Alerts Alarms and Error Codes Alerts Alarms and Error Codes are classes of events that are relayed to the user and logged into the history file The screen will display ns MESSAgES the LED
118. ed for security purposes as 92649 The clinician enters a four digit personal identification number followed by the five digit access code If the five digit code is valid the display will automatically move to the requested screen or field The four digit personal identification number appears on the screen but the access code numbers are displayed as five asterisks The personal identification number is recorded in the history file for the purpose of providing an audit trail If an invalid access code is accidentally entered a message displays Invalid Code and the clinician can reenter the correct code Note After entering the access code DO NOT press the YES ENTER key The pump will automatically recognize the correct code and give you access to the secured section Entering the clinician access code does not change the lock setting of the pump but does allow the clinician to perform the locked out function 182 uO BULIOJU ueniu Lock Setting Table The following table illustrates which features are controlled under which lock settings No indicates that the correct access code must be entered in order to perform the pump operation Pump Operation Active Lock Lock Lock Lock Therapy OFF 1 2 3 Change Lock Settings All settings with correct access code Change Air in Line Setting Yes Yes _ Yes Yes Yes Yes _ Yes Yes Yes No No No No es Change KVO Rate CON TPN Yes
119. efault setting 2 0 ml and OFF Press the NO CHANGE key to change the options until the desired setting appears on the display and then press YES ENTER to select and move the cursor to the next line IMPORTANT Whenever the Air In Line Sensor is set to OFF Moog recommends INFORMATION the use of an air eliminating filter When the Air In Line Sensor is set to OFF and the RUN key is pressed at the Run Option screen the alert message below will appear on the screen It will also appear if the Air In Line is changed from the OPTIONS menu when an infusion is in progress and the AIR SENS field is accepted Air In Line Sensor Off Message Screen ALF Sensor OFF Using In Line Air Filter PES NO This message alerts you to the Air In Line Sensor being set to OFF The message will require answering yes or no to whether the administration set being used has an air eliminating filter If you press the YES key to indicate that there is an air eliminating filter in use the Air In Line sensor will be completely disabled and the pump will start the infusion If you press the NO key to indicate a filter is not in use the Air In Line sensor will be set to detect the presence of any contiguous 2 milliliter air in the line The alert message below will then briefly appear on the screen If the alert occurred at the Run Options screen the pump will start the infusion Air In Line Sensor a
120. elds are acceptable move the cursor to the NEXT field and press the YES ENTER key to move on to the next screen 99 At the following screen the prescription information is entered to complete the programming of the pump TPN Prescription Screen BAG Vol GE ml A VolTBI 2 8 mi INFRATE o ml he UF Ramp 2G HHM ON Ramp 00 TOT Time Ose KMVORATE 1 DONE YES F Note that the screen identifier gives the abbreviation TPN for Total Parenteral Nutrition and has a down arrow configuration which indicates that there are more than four fields of text or information to be considered 1 BAG Vol IV Bag Volume Use the numeric keys to enter the amount of fluid in the IV Bag ot Medication Reservoir include the overfill volume Note The volume used for priming via the pump or for KVO is deducted from the Bag Volume Therefore Bag Volume should be equal to or greater than the Amount To Be Infused to start the infusion When the correct amount has been entered press the YES ENTER key to accept this field and move on to the next The range for this field is 1 to 9999 2 VOL TBI Volume To Be Infused Use the numeric keys to enter the actual volume of infusion to be delivered excluding any KVO amounts When the amount is correctly entered use the YES ENTER key to accept this field and to move to the next If VOL TBI entered is greater than Bag Volume the pump will beep once An alert m
121. erena cv aseseacsosaes 52 PROGRAMMING A 6000 CMS PUMP WITH PROTOCOL LIBRARY SAFETY SYSTEM PLSS VERSION 1 PROGRAM 53 Programming a Pump that has Downloaded Protocols in Place 55 PROGRAMMING A 6000 CMS PUMP WITH PROTOCOL LIBRARY SAFETY SYSTEM PLSS VERSION 2 PROGRAM 57 Programming a Pump that has Downloaded Protocols in Place 64 CONTINUOUS THERAPY 67 Prescription Menus cccceeeees 67 Continuous Pre Prescription Menu Sercem a o ah 67 Continuous Delay Start Setting 68 Run Options Screen 6 Continuous Medlimitation Limit DCLCEM 5 52 38 esas bata A eee 69 Continuous Prescription Menu 70 Run Options Sereeniz ic asanvncicn 71 PimMm rsuen naea enoia 71 Prime Direction Screen eee 72 OPUONS yas canvnayisaniicaanencmepooaye 73 Continuous Options Menu 73 Hourly Totals Screen essees 74 Clear Hourly Totals Screen 74 Continuous Medlimitation Menu 74 Air In Line Sensor Off Message AS 0 a ol 6 AEAEE AA ak RE SRC a SSS 75 Air In Line Sensor Set at 2 0ml Allert Screen uA NAAR eias 76 Reviewing or Changing the Program esessssssessssseesrssseessssoeessseeees 76 Starting the Infusion 0000 77 Continuous Run Screen 77 Continuous Information Screens 78 Interrupting an Infusion 78 Pause Menu S CREED traiianteariicossints 78 Run Options Screen s s s 78 Hanging a New Containet 79 Entering a New Program
122. es are programmed in individual dose screens from one up to twenty four Before information about each individual dose is entered the bag volume and number of total doses per bag are entered on the initial programming screen Once the total number of doses is entered and accepted the pump will subsequently display a screen for each dose to program the specific dose amount rate and time Variable Prescription Menut1 BAG ol RE ral KMVORATE 1 9 mlhe I MEST YES 1 BAG Vol IV Bag Volume Use the numeric keys to enter the amount of fluid in the IV Bag ot Medication Reservoir include the overfill volume Note The volume used for priming via the pump or for KVO is deducted from the Bag Volume Therefore Bag Volume should be equal to or greater than the Amount To Be Infused to start the infusion When the correct amount has been entered press the YES ENTER key to accept this field and move on to the next The range for this field is 1 to 9999 2 Doses The Variable Therapy can be programmed to deliver from one to twenty four individual programs or doses Enter the total number of doses to be delivered from the previously entered bag volume This number dictates the number of dose programming screens that will subsequently display When the correct number of doses has been entered press the YES ENTER key to accept this field and move on to the next 3 KVO RATE This field requires data entry using the numer
123. escribed bolus patient demand dose and when correct press the YES ENTER key to accept and move on to the next field see Figure 5 1 Note If a bolus dose entered falls out of the range of the pump the above Greater than Max Field Limit or Less than Min Field Limit alert will also appear and display the limit 4 BOLS INT Bolus Interval This field allows the clinician to enter the minimum amount of time from 0 to 60 min prescribed between patient activated bolus dosing Enter the time using the numeric keys and when correct press the YES ENTER key to accept and move 85 the cursor to the next field 5 BOLS hr Number of Bolus Doses per hour Using the numeric keys enter the number 0 to 15 of boluses allowed per hour and when correct press the YES ENTER key to accept and move to the last field 6 DONE If the programming is not done use the up or down arrow keys to locate the field to be changed use the numeric keys to enter the corrected information and press YES ENTER to accept the new data If all the fields are acceptable at the DONE prompt press the YES ENTER key to move on to the next screen Before the infusion is started it is important to consider a few remaining issues such as checking the administration set to be sure it was primed or purged of all air or perhaps the pump may need to be put into a security lock setting for additional safety IMPORTAN
124. essage of AMT TBI GREATER THAN BAG VOL will appear to remind you to recheck and change the number before the YES ENTER key will accept the value and move to the next field The range for this field is 1 to 9999 3 Inf RATE Infusion Rate or rate of the level infusion The Moog Curlin Infusion pump can deliver from 0 1 ml to 400 ml per hour Use the numeric keys to enter the prescribed rate When this field is correct use the YES ENTER key to accept the rate and move to the next field You may choose to let the pump calculate the rate by skipping this field and entering the up ramp time down ramp and total time 4 UP Ramp This optional feature allows the beginning of the infusion to be gradually tapered up to the level infusion rate over a specified period of time Enter the up ramp time period using the numeric keys and when correct press the YES ENTER key to accept this field and move to the next Since this field is optional 0 may be entered and accepted The range for this field is 0 00 to 9 00 HH MM 5 DN Ramp Down Ramp This optional feature allows the infusion to be gradually tapered down over a specified period of time at the end of the level infusion Enter the down ramp 100 Ade1 yL Nd Ll time period using the numeric keys and when correct press the YES ENTER key to accept and move the cursor to the next field Since this field is optional 0 may be entered and accepted The range
125. evice Pump Serial Number 216671 Upgraded 6000 series pump detected Build No 017 No advisories found Creating page 24 records Creating page 25 records Creating page 26 records Creating page 27 records Downloading records Download complete Device restarting Communications re established Page CRC s verified and match Download Completed Succestully 60 How to download a pump history file with PLSS Step 1 Click on History from the top navigation bar Protocol Library Safety System Protocol Library User Admin Step 2 Select Download History from the left navigation bar Protocol Library Safety System Protocol Library Safety System Healer Piss Select Device 6000 zJ Protocol Library history _ User Admin Parse History Logs 1 Splect a CUM port com2 s 5 2 Select an action History Download Options Log File Naming Options History Reports Download History Only Name Files Automatically Download History and Clear from Pump Let me name the File Clear Pump History 3 Perform the selected action Perform Selected Action Download History Only Cancel Download Logged in as admin 2 00 0030 Step 3 Select Download History Only option Step 4 Select communications port to use Step 5 Turn the pump ON 61 Step 6 Select Download History Only at the bottom of the screen Perform Selected Action Bolus Int 60 MIN Bolus hr
126. f the entire Medlimitation Limit Screen is to be aborted press NO to return to the Pre Prescription screen 6 NEXT If any field is not satisfactory use the arrow keys to locate the field to be changed enter the changes press the YES ENTER key to accept the new values and then go back to the NEXT field When all fields are satisfied with correct settings press the YES ENTER key to exit this screen and move on to the next PCA Programming Menu At the following screen the patient s prescription information is entered to complete the programming of the pump for a PCA Therapy Remember that there may be additional limits to rates and doses based on limits for the route of administration selected See Figure 5 1 Note that the screen Identifier gives the abbreviation PCA for Patient Controlled Analgesic Therapy or EPI if Epidural route is selected and has a down arrow configuration which indicates that there ate more than four fields of text or information to be considered 84 AdeisuL WOd PCA Prescription Menu BAG Vol EAEE ml BAG ol EAEE ml BAG ol EAEE ml SEASLRATE omlfhe eASLRATE malhk easLRaATeE megh BOLUS 0 8 ral BOLUS 3 8 mg BOLUS 0 8 meg EOL INT HIH E L INT HIH EB0LS INT HIH A HE0LShe A DONE YES Note The PCA therapy can be programmed for Basal Rate continuous infusion only for Bolus patient demand dose only or for both At least one of these sett
127. for this field is 0 00 to 9 00 HH MM 6 TotTime Total Time This field displays the entire time period over which the infusion will be delivered including up and down ramp times When the pump is given the Volume To Be Infused the RATE at which to infuse and the up and down ramp times it will automatically calculate the Total Time and display it here Or you may choose to program the Total Volume To Be Infused Total Time and ramp times and let the pump calculate the level rate of infusion If so the cursor will go back to the Inf RATE field display the rate and require the operator to accept it by pressing the YES ENTER key If the time is not acceptable enter the new TIME with the numeric keys When the TIME field is satisfactory press the YES ENTER key and move to the final field The range for this field is 0 01 to 288 00 HH MM Note The time calculated by the pump may be less than a minute however one minute is the minimum entry and display value 7 KVO Rate Keep Vein Open Rate This field requires data entry using the numeric keys to set the rate at which fluid will be delivered in a Keep Open state The pump defaults to a rate of 0 1 ml hour can be set from 0 to 10 ml hour but cannot be set at a rate to exceed the therapy operating rate When the desired KVO rate has been entered press the YES ENTER key to accept and move the cursor to the next field 8 DONE If there are any changes to be m
128. fusion pump requires you to affirmatively accept a selection The Up arrow or Down arrow will not accept a selection HELP OPTIONS Used to request a help screen when the pump is paused or is at the Infusion Complete Screen It is also used to access the options screen when the pump is running When the options screen is displayed help is again available with this key When in a help screen use the arrow keys to scroll through the help message and then press the help key again to exit help SILENCE Used as a decimal point when programming numeric data Used also to temporarily silence the alarm for one minute intervals PRIME BOLUS Used to prime fluid through the tubing to clear it of air or to administer a patient demand bolus dose of medication in PCA therapy 10 0 9 Numeric keys Used for data entry 32 Description of the Info On Demand IOD Feature RUN H gt STANDBY ALARM m fe l All E Los oO gt la AE wn CHANGE N 6EHB Ok ZA O E aU Figure 3 2 IOD Keypad with Info On Demand Feature To view any of the Info On Demand screens on the pump display press the related key while the pump is in the RUN mode i e running a therapy The information requested will be displayed for 6 seconds and then the display will return to the previous infusion screen Exception is the CLRShft 9 key The information for the CLRShft 9 key will be displayed
129. ge for this field is 0 to 15 ACCEPT YES NO If necessary use the arrow keys to move to any field and change the data entered To abort this screen entirely press NO at this prompt Any data entered on this display will be aborted and the display will return to the options menu If the parameters entered are correct press the YES ENTER key and the new rate or rates will be accepted The display returns to the Options menu when this screen is exited New values will be in effect when the Options menu is accepted DN Occlu Down Occlusion This feature allows the pump to sense an occlusion pressure in the line between the pump and the access site e g a kink in the tubing between the pump 91 and the patient a blockage in the access site or a clamp left on the distal tubing There are two options for this field the Low setting triggers the alarm when it detects in line pressures at 400 mmHg 150 8 3 psi pounds per square inch or the High setting default setting alarms when it detects in line pressures at 900 mmHg 150 18 3 psi Press NO to change the selection When the correct pressure setting appears press the YES ENTER key to accept it and move the cursor to the next field 8 AIR SENS Air In Line Sensor This feature allows you to select the amount of air the pump will detect in the administration set tubing before it goes into an alarm state The choices ate 0 1 ml 0 5 ml the d
130. grammed the pre Rx menu for the therapy will be displayed When the therapy to repeat is chosen the last prescription data programmed will appear in the menu excluding Delayed Start and Load Dose if therapy was previously started When the infusion is started the entire therapy will be repeated To continue the current therapy in progress press NO The Pause menu will be displayed ALERT Rx IN PROGRESS YES New Program NO to Return NEW PROGRAM was selected while a therapy is already in progress NEW PROGRAM was selected and there is a therapy currently in progress To terminate the current therapy in progress press YES Resume will no longer be available The Select Therapy menu will be displayed if only one therapy is in programmed an alert screen informing that the Rx will be erased will be displayed When the therapy for the new program is chosen entry of a new prescription will be required To continue the current therapy in progress press NO The Pause menu will be displayed ALERT Rx Programmed YES to Erase NO to Return NEW PROGRAM was selected for a therapy that has an existing prescription NEW PROGRAM was selected for a therapy that has an existing prescription To erase the prescription for the selected therapy press YES The pre Rx menu will be displayed and entry of a new prescription will be required To preserve the prescription for the selected therapy press NO The Pause menu will be displayed
131. h all applicable regulatory and institutional policies Teach users to check all tubing sites for proper aseptic connections and to check the administration sets for air leaks before and during the infusion To minimize the potential hazard of air bubble formation or out gassing administer all medications at the proper temperatures and remove medications from refrigerators as specified by the healthcare provider or pharmaceutical manufacturer Shield from radiation or intense magnetic exposure Follow local governing ordinances and recycling plans regarding disposal or recycling of device components When the C size batteries are to be discarded do not incinerate them Dispose of all used administration sets in accordance with all applicable regulatory and institutional policies and directions Adhere to any warnings precautions or recommendations stated by drug manufacturers regarding the use of infusion pumps and disposable administration sets in the administration of their specific products Administer all drugs selected for epidural administration in accordance with the indications included in the manufacturer s package insert accompanying the drugs Note that the administration of medications into the epidural space is limited to delivery via specially designed indwelling catheters inserted by a qualified physician Any patients receiving epidural infusions should be managed and monitored by medical professionals familia
132. h the prescription The pump will allow a volume range of 0 1 to 400 ml hr therefore if mg or mcg is selected the concentration requested in the next field will determine the upper and lower programming limits for mg and mcg Use the NO CHANGE key until the desired units appears on the display and then press the YES ENTER key to accept and move to the next field 2 CONCEN Concentration This field is active whenever mg or mcg is selected in the units field and requires data entry of the concentration of mg or mcg per ml When the correct data is entered press YES ENTER to accept and move the cursor to the next field If ml is chosen in the units field this line will not display The range for this field is 0 1 to 999 3 DELAY This field allows you to delay the start of the infusion from one minute up to twenty four hours If the infusion is NOT to be delayed accept the default setting of OFF by pressing the YES ENTER key and the cursor will move to the next field If the infusion IS to be delayed until a later time press the NO CHANGE key The delay start will change to ON Now when you press the YES ENTER to accept the following 111 Adesay Ud 1U119 uU screen will appear Intermittent Delay Start Setting DELAY START DELAY START TIME ETO HH AMF EE DATE MMdd yy a TIME GG HH titi ACCEPT YES NO DATE mmddyy H Accert YES NO The time
133. h will indicate approximately how much charge remains in the batteries To access this information select ON and press YES ENTER The Power Source Screen will display for five seconds and return to the Options Menu 8 ACCEPT OPT If the changes made in the Options Menu are acceptable press the YES ENTER key If the changes are not acceptable use arrow keys to cursor up to any field for corrections or abort all changes made in this menu by pressing the NO key and return to the previous screen There are two remaining selections to consider from the Run Options Screen NO to REVIEW and RUN to START Reviewing or Changing the Program To review or make any changes in the prescription programming press the NO CHANGE key at the Run Options screen and the prescription screens will reappear Changes may be inhibited by lock setting Changes to the prescription can be made before the start of the therapy however once a therapy has started no changes can be made to the Pre Prescription Screen It will appear only for review purposes Attempts to change the Pre Prescription Menu during a new program review will cause an alert screen to be displayed notifying the programmer that changes will require reprogramming of the prescription Starting the Infusion RUN When all parameters are correct and the pump has been primed properly and connected to the access site press RUN at the Run Options screen to start
134. has been removed Figure 1 6 Intentionally Opening the Integral Flow Stop 15 Opening and Closing the Pump Door The pump door located on the top of the Moog Curlin Infusion pump has a sturdy over center latching mechanism which assists in securely closing the door Review the following illustrations Push down Door Latch 5 Lift to open O Q Q Latch Hook o a gt san oh V Latch Pins To open the pump door 1 Pull the door latch up releasing the latch hooks from the latch pins 2 Grasp the door latch and pull upwards and to the right to open the entire door mechanism Full range access is now available for installing the Curlin Medical Administration set See figures 1 9 and 1 10 To close the pump door properly move the entire door assembly to the left and push downward until it is in its closed position Then push the door latch down until it locks The over center latching mechanism assures that the door closes easily and securely Yas Figure 1 8 Closing the pump door 16 Choosing and installing the Moog Curlin Infusion Administration Set A number of distinctively designed Moog Curlin Infusion administration sets are available to deliver each prescription accurately Each set is designed to meet the requirements of specific therapies therefore if a basic bag spike set or a set with a medication reservoir
135. has been set into a locked condition any subsequent request to change the lock will require a clinician access code See Clinical Information and Access Code chapter for access code information lock setting table and available features for each lock setting 2 HRLY TOT Hourly Totals To view hourly infusion totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screen will appear Hourly Totals Screen The screen displays hourly infusion delivery for each hour 00 23 of the last 24 hours of therapy in the unit selected 117 a The highlighted field has a marker lt indicating the current hour in progress b Use the up arrow key to scroll back through the last 24 hours c If the infusion was not running a series of will appear for that hour d To exit this screen press the NO CHANGE key 3 CLR HRLY Clear Hourly Totals To clear Hourly Totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screen will appear Clear Hourly Totals Screen Clear Hourly Totals NOW ACCEPT I H T a To clear the Hourly Totals press the YES ENTER key All Hourly Totals will be cleared and the cursor will return to the Options menu b To maintain the Hourly Totals press the NO CHANGE key Hourly Totals will be maintained and the cursor will return to the Options menu c A lock level of 2 or 3 will require an acce
136. hase the rate will change accordingly to reflect the gradual increase or decrease in rate The Rate toggles with the Volume to Be Infused 2 The second field is a graphic bar representing the percentage of the completed infusion It also depicts the up or down ramping phase with gradually taller or shorter lines on the bar graph In CMS enabled pumps the graphic bar will toggle with Line Pressure L Press which displays the current patient side downstream pressure in the administration set in millimeter of mercury mmHg units 3 The third field displays total volume infused 4 The fourth field displays the remaining time to the completion of the infusion This toggles with the remaining volume 5 In addition to the display screen accumulating information regarding the status of the infusion the green LED light blinks whenever the pump is infusing The information on the run screen will alternate between a four line display and a large font display of each individual line of information on the screen TPN Information Screens Tot Vol 107 2 mL Vol TBI Remain 1000 mL 882 3 mL Rate Line Pres 2 5 0 mL hr 10 mmHg CMS pumps only Interrupting an Infusion The infusion can be paused at any time by pressing the PAUSE key The yellow Standby LED light blinks and the following screen displays Pause Menu Screen ENTER to Select REPEAT Fx MEH PROGRAM 107 The screen offers the user three options
137. he programmed prescription is required press YES Note Selecting YES will clear the entire prescription and require re entry the prescription If no change is required press NO to preserve the current prescription and return back to the Pre Prescription screen ALERT CMS LEARN MODE ACTIVE KEY NOT ACCEPTED The pump is performing a CMS Create Prescription function and the key pressed is not valid for this mode While using the pump with CMS PC in order to create a prescription only certain keys are allowed to be recorded as part of the prescription Whenever a prohibited key is pressed i e RUN key this alert will occur and the key will not be recorded Do not press the key causing the alert during a CMS Create Prescription function ALERT DATE TIME CHANGE NOT ALLOWED Not allowed to change date or time Attempt made to modify system clock while a therapy delay is in progress If the therapy in progress is to be continued wait until the infusion is complete and then change the Date and Time 144 LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display If it is not necessaty to preserve the therapy in progress or any other programmed therapy use the CLEAR Rx feature of the Clinician Biomed menu This feature will erase all programmed therapies in the
138. here e The charge LED will illuminate yellow if the battery needs to be recharged See below e Charge the battery pack for 15 hours or until the LED turns Green indicating the battery is fully charged 26 e Disconnect the battery from the AC adaptor Note If there is a fault detected while charging the battery the LED will either flash yellow or not illuminate Most faults are due to either the AC adapter becoming unplugged from the power outlet or the battery pack being at a location where the temperature is not between 5 and 40 degrees Centigrade If the fault condition persists then the battery pack should be returned to Moog Medical Devices Group for replacement of the battery Using the Battery Pack to Power the Pump e Make sure fully charged C cell batteries are loaded in the pump e Connect the battery pack to the AC adapter port on the pump Connect Battery Pack here e Operate the pump in the desired infusion mode e Do not use the pump s display see cautions to predict external battery life 27 e When the external battery pack is nearly depleted the red LED indicator will be illuminated es Part Number 360 2030 e The pump may continue to be used until the disposable C cells are depleted e Disconnect battery pack from pump prior to recharging the battery pack Maintenance There is no need to fully discharge the batteries periodically since Li Ion batteries do not have a memor
139. hile the pump is running Resolution Check the door latch assembly and securely close the door If the door was closed properly re install the set according to the installation instructions See Figure 1 8 for instructions on closing door LCD Display ALARM DOWN OCCLUSION Alarm Occlusion between pump and patient access site Cause Pump has detected excessive pressure in the administration set between the pump and the patient s access site Resolution Check administration set from pump to patient access site for potential causes of occlusion If tubing is kinked straighten it If filter is blocked replace administration set If patient access is obstructed check it according to protocol Consider changing the down occlusion pressure setting from Low to High If the occlusion is cleared without the need to open the pump door the pump automatically resumes its operation Note If the door of the pump is opened to clear the occlusion e g replacing the set you must press the pause key select Resume and then press the RUN key to restart the infusion 154 LCD Display Alarm Cause Resolution LCD Display Alarm Cause Resolution LCD Display Alarm Cause Resolution LCD Display Alarm Cause Resolution LCD Display Alarm Cause Resolution ALARM EMPTY BATTERY Empty Battery The C cell battery no longer has sufficient power to run the pump Alarm wi
140. his screen is a reminder that the infusion is not complete If you want to return to the current container and finish infusing it press the NO CHANGE key to return to the Pause Menu screen b To abort the current container and enter a new program press the YES ENTER key If a prescription has previously been entered for the therapy mode you wish to program the following screen will appear ALERT Ex Programmed to Erase Rx to Return c If you want to save the current prescription press the NO CHANGE key to return to the Pause Menu screen If you wish to erase the current prescription and enter a new program press the YES ENTER key to proceed All previous prescription values will be erased Note Selecting NEW PROGRAM will also reset the OPTIONS selected to their default settings except for the LOCK and AUDIO settings which must be changed manually Infusion Complete When the infusion is complete the audio alarm will beep and the following screen will display Note To temporarily silence the alarm press the Silence key TPN Infusion Complete INFUSION COMPLETE z TOT VOL 2000 8 ml EVORATE 1 mlshe This screen displays 109 1 INFUSION COMPLETE 2 A graphic representation completely filled in bar graph indicating infusion complete or the smaller dot configuration shown here if a KVO RATE is programmed 3 TOT Vol Total Volume Displays the total vol
141. hould be inspected and be free of all air and air bubbles before they are connected to the access site Priming may have been done by gravity when the administration set was first connected to the bag see Chapter 1 Preparing Medication for Infusion However if it was not done then or if there are any remaining air bubbles to be removed the pump s PRIME function will assist in this process To prime the set by using the pump follow the directions below Note The lock setting may restrict the ability to prime using the pump 1 Press and release the PRIME key at the Run Options screen 2 The following screen appears Prime Direction Screen Disconnect Pt Release Clamps HOLO katulky Mae to EXIT 3 Disconnect the administration set from the access site using aseptic protocols IMPORTANT INFORMATION 115 Adeisay Ud 1U119 uU Priming with the set connected to the patient could result in overdose and may cause injury or even death to the patient 4 Release any clamps on the administration set 5 Press and hold the PRIME key Fluid will be pumped at a rate of 300 ml hr through the administration set as long as the PRIME key is pressed or until 6 ml is pumped The pump will then beep once and require repressing and holding the PRIME key again until 6 more milliliters is delivered Continue this process until all air has been purged from the IV bag and the administration set N
142. ic keys to set the rate at which fluid will be delivered in a Keep Open state The pump defaults to a rate of 0 1 ml hour can be set from 0 to 10 ml hour All dose rates ml hr must be greater than the KVO rate When the desired KVO rate has been entered press the YES ENTER key to accept and move the cursor to the next field 4 NEXT If there are any changes to be made use the up or down arrow keys to locate the field to be changed use the numeric keys to enter the corrected information and press 128 Adessy LL ajqeue n YES ENTER to accept the new data If all the fields are acceptable move the cursor to the NEXT field and press the YES ENTER key to move on to the next screen At the following screens the dose information is entered to complete the programming of the pump for a Variable Therapy Each variable dose will have its own prescription screen Variable Prescription Menu 2 pose 12 of FY pose 2 of zH i of zH a Ant TET EAEE rol Amt TEI EACE o RE acs RATE 8 9 mlvhe RATE mathe D D megh TIME Q100 HHititi TIME 00G HH MM 0 00 HHihiti W WExXT YES Note One dose per screen is entered Variable Prescription Menu 3 pose Ss af FY cose Ss of FY 2 oF zH 4 Arnot TET EACE rol Amt TEI SO na RE rac RATE 8 9 mlhe RATE 8 mathe 2 8 megh TIME 100 HHihiti TIME 100 HHiMiti 000 HHM W HET YES 1 DOSE The dose number on the first field changes to in
143. il it is completed Clinician Dose Run Screen CLINICIAN DOSE CLINICIAN DOSE i i L PRES 10 mmHS A ol INF 1 4 fa DOSEINF 1 4 ral REMAIN 3 5 REMAIN 0i HH The graphic bar now depicts the clinician dose in progress and when this dose is complete reverts back to reflecting the container in progress In CMS enabled pumps the graphic bar will toggle with Line Pressure L Press which displays the current patient side downstream pressure in the administration set in millimeter of mercury mmHg units The Volume Infused will toggle with Dose Infused if mg or mcg are the selected unit Remaining dose time will toggle with remaining dose volume to infuse When the clinician dose is complete the pump will beep return to the IMPORTANT previous running rate and resume the PCA therapy The lockout INFORMATION time for bolus dosing will restart at the end of the clinician dose to prevent a bolus from being delivered too quickly after a clinician dose Once the clinician dose is given the clinician dose field returns to its default of 0 and any subsequent clinician doses will need to be reentered 3 SHFT TOT Shift Totals This feature allows the clinician to track the infusion for a selected period of time such as an 8 or 12 hour shift To access Shift Totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screens will appear alternately Shift Totals S
144. ing NEW PROGRAM will also reset the OPTIONS selected to their default settings except for the LOCK and AUDIO settings which must be changed manually Infusion Complete When the infusion is complete the following screen will display Variable Infusion Complete INFUSION COMPLETE TOTVOL 208 0 ral KMORATE 1 9 mlhe This screen displays 1 INFUSION COMPLETE 2 A graphic representation completely filled in bar graph indicating infusion complete or the smaller dot configuration shown here if a KVO RATE is programmed 3 TOT Vol Total Volume If units are mg or mcg this field will also toggle to give the Total Infused 4 KVO Rate The preset KVO rate displays 5 Infusion Complete is considered an alarm status and the audio alarm will beep periodically every 3 seconds if there is no KVO every 20 minutes if there is a KVO to alert the user to this condition Additionally the LED lights blink to alert you to the status of the pump The green light blinks when the KVO rate is infusing if one is programmed and the red light blinks to indicate that the Infusion Complete alarm exists Stopping the Infusion To halt the infusion at Infusion Complete press the PAUSE key and then choose to either 1 Turn off the pump by pressing the OFF key or 2 Select one of the options from the Pause screen Pause Menu Screen ENTER to Select MEH PROGRAM 3 REPEAT Rx To rep
145. ings must be entered though before this menu can be accepted at the DONE prompt 1 BAG Vol IV Bag Volume Using the numeric keys enter the amount of fluid in the IV Bag ot Medication Reservoir include the overfill volume Note The volume used for priming via the pump is deducted from the Bag Volume Therefore Bag Volume should be equal to or greater than the Amount To Be Infused to start the infusion When the correct amount has been entered press the YES ENTER key to accept this field and move on to the next The range for this field is 1 to 9999 2 BASL RATE Basal Rate The Moog Curlin Infusion pump in PCA Therapy can be set for a continuous basal infusion of 0 to 50 ml per hour or the highest limit allowed for the administration route selected see Figure 5 1 Use the numeric keys to enter the prescribed rate the units chosen in the Pre Prescription Menu will appear here Note If the rate falls out of the range of the pump depending on the administration route selected a beep will sound and one of the following alert messages will appear ALERT ALERT GREATER THAN MAX LESS THAN MIM FIELD LIMIT FIELD LIMIT HAXSKX X MINSK x This field will not be accepted with the YES ENTER key until the rate is adjusted to fall within pump s range When the rate is correct use the YES ENTER key to accept and move to the next field 3 BOLUS Bolus Dose Use the numeric keys to enter the pr
146. is the amount of milligrams or micrograms per milliliter of solution Day To set date enter 2 digit day Down Occlusion Occlusion pressure in the line between the pump and the patient access site as a kink in tubing blockage in access site infiltration or clamp on Epidural To inject anesthetic into the spinal canal Hours and Minutes To set time enter Military 24 hour or AM PM 12 hour History The patient history log is a cumulative record of the last 6 000 events that have occurred in the pump Infusion Fluid or medication pumping into the patient via intravenous subcutaneous or epidural routes Intravenous To give fluids or medication directly into the venous circulation via peripheral or central circulation Keep vein open To infuse a very small amount of fluid to keep vein patent Line Pressure In CMS enabled pumps shows downstream pressure to patient in millimeter of mercury Maximum Microgram Sets soft limits for medication being infused Milligram Minimum Minimum amount of time between patient boluses Milliliter A unit of liquid measure 1 1000 of a liter 9 OPT PCA SENS SQ VOL Month To set date enter 2 digit month Maximum Upper limit of a bolus or patient demand dose or infusion rate Options Once prescription is programmed this key provides customizing features as locking programs from changes alarm volume battery level amount of air detection adjust occlusion alarm hourly totals
147. ive Maintenance Screen ALERT PERFORM ROUTINE MALTATENANCE The above alert screen will appear after the Welcome Screen only when the Maintenance Due date has arrived and will continue to appear until the date has been reset during the actual maintenance performance The pump may continue to be used after the maintenance due date but should be returned for its routine maintenance at the earliest opportunity Select Program or Bio Med Setup Screen ENTER to Select PROGRAM BIOMEO SETUP This screen is the first requiring you to act It gives two selections from which to choose PROGRAM or BIOMED SETUP Using the up or down arrows move the cursor to the desired field and then press the ENTER key Selecting PROGRAM allows you to proceed with choosing features and entering data required for the pump to deliver a prescribed therapy Selecting BIOMED SETUP allows the pump to be programmed and customized by the clinician to perform a number of special functions including setting the system clock See BIOMED SETUP Accessing BIOMED SETUP requires you to enter a clinician access code Refer to the chapter entitled Chnician Information and Access Code of this manual Access Code Clinician Access Code Screen 42 ENTER CODE p p p P Dt id _ INVALID CODE EXIT YES The clinician enters a four digit personal identification number followed by the five digit access code and if the code i
148. kpack will accommodate pump AC Adapter and up to four liter IV bag Retained memory features that allow the pump to easily resume a therapy exactly from where it left off when it is interrupted before completion or to repeat a therapy using the same programmed prescription Compact lockable safety shells that provide additional security when needed and that are designed to be free standing pole mounted or placed in the convenient soft carry case Backlit illumination for display screen Backlight remains on continuously if AC Adapter is in use Pump will not permit the user to enter any programming value that is outside of its predetermined range Integral Up as well as Down Occlusion alarms to notify user if an occlusion is present on either side of the pumping chamber Integral High Upstream pressure alarm to notify user of excessive upstream pressute Integral Air In Line alarm to notify user of presence of air in the tubing Adjustable Down Occlusion settings of High and Low to customize the pump s down pressure requirements Patient side downstream Line Pressure displayed on CMS enabled pumps uo1 npo1 u Regulatory Agency Approvals SSIE ane C Gus INFUSION PUMP WITH RESPECT TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL60601 1 CAN CSA C22 2 NO 601 1 70TK e Underwriters Laboratories has evaluated the Moog Curlin Infusion Pumps with AC Adapter 360 2022 to UL
149. l use if used in accordance with this User s Manual for a period of one year from the actual date of sale to the Original Purchaser THERE ARE NO OTHER WARRANTIES The warranty does not cover normal wear and tear and maintenance items and specifically excludes batteries administration sets extension sets or any other accessory items or equipment used with the Pump Subject to the conditions of and upon compliance with this Limited Warranty the Manufacturer will repair or replace at its option without charge except for a minimal charge for postage and handling any Pump not including accessories which is defective if a claim is made during such one year period The following conditions procedures and limitations apply to the Manufacturer s obligation under this warranty 166 1 PARTIES COVERED BY THIS WARRANTY This warranty extends only to the Original Purchaser of the Pump This warranty does not extend to subsequent purchasers The Original Purchaser may be a patient medical personnel or a medical facility that purchases the Pump for treatment of patients The Original Purchaser should retain the invoice or sales receipt as proof as to the actual date of purchase WARRANTY PERFORMANCE PROCEDURE Notice of the claimed defect must be made in writing or by telephone to the Manufacturer as follows Customer Service Department Customer Service Department ZEVEX Inc 4314 ZEVEX Park Lane Salt Lake City UT 84123 801 26
150. ld and the number will be stored in the pump history log 6 CHANGE LOCK This selection allows the clinician to change the lock setting of the pump This feature is also available under the OPTIONS menu of each therapy There are four choices in this field OFF 1 2 or 3 When the lock is set to OFF the clinician has access gt J gt 44 to all pump functions Each level higher limits the options available to the patient or caregiver see each lock option screen in the individual therapy sections and or the lock level table in the chapter entitled Clinician Information and Access Code If the desired lock does not appear on the display press the NO CHANGE key until the correct lock does appear Then press the YES ENTER key to accept and move the cursor to the next field ENABLE THERAPY This field is used to customize the Moog Curlin Infusion pump to the specific therapy ordered for the patient When you select this function by pressing the YES ENTER key the menu below appears listing all five of the possible therapies The pump s default setting is to enable all therapies You can choose however to enable or disable any of the therapies listed Once a therapy is disabled no further prompts will appear in programming for that therapy Enable Therapy Menu ENABLE THERAPY com OFF FCA TFH INT OFF YAR OFF ACCEFT Pema a To enable a therapy move the cursor to that therapy selection
151. lected in the units field and requires entry of the patient weight Use the numeric keys to enter the weight of the patient in kilograms When the correct weight has been entered press the YES ENTER key to accept this field and move on to the next NOTE If ml mg or mcg is chosen in the units field this line will not display The range for this field is 1 0 to 300 The following parameters are also affected when using the weight based dosing mode Amt TBI units are mg kg or meg kg Rate units are mg ke hr or mcg kg hr 2 Amt TBI Amount To Be Infused Use the numeric keys to enter the actual amount of infusion to be delivered excluding any KVO amounts The Units selected in the prescription menu will automatically appear in this field whether ml mg or mcg When the amount is correctly entered use the YES ENTER key to accept this field and to move to the next If the Amt TBI entered is greater than Bag Volume the pump will beep once A message of AMT TBI GREATER THAN BAG VOL will appear to remind you to recheck and change the number before the YES ENTER key will accept the value and move to the next field The range for this field is 1 to 9999 3 RATE The Moog Curlin Infusion pump can deliver from 0 1 ml to 400 ml per hour Use the numeric keys to enter the prescribed rate If the time of the infusion is entered first the pump will automatically calculate the rate When this field is correct use the YE
152. light LIBRARY and then press YES If Category Care Area is not already listed on the first screen select YES to the right of Page Down This will bring up additional screen s with additional choices If Category Care Area is already listed on first screen press U to scroll down to choice you wish to select When the Category Care Area that you wish to choose is highlighted press YES to select that option If the Drug Therapy is not already listed on the first screen select YES to the right of Page Down This will bring up additional screen s with additional choices If the Drug Therapy is already listed on first screen press U to scroll down to choice you wish to select When the Drug Therapy that you wish to choose is highlighted press YES to select that option Press YES again to ACCEPT this Drug Therapy selection To use the drug Therapy as pre programmed in the pump select YES in each highlighted area to accept the information To change any of the preselected drug therapy options when highlighted press NO and enter correct information Note Some options may be hard locked so that changes cannot be made or there may be preset med limits that cannot be exceeded for safety 55 11 Note YES must be selected after each field when flashing to be accepted if YES is not pressed after each field the pump will say ALERT FIELD NOT ACCEPTED and will not allow you to continue programming Continue through
153. ll it will overwrite on a first in first out basis 45 Bulmwei6oig soiseg Note The patient history log should be printed before clearing occurs if a hard copy record is required The history log when printed lists the most recent event first Clearing the history log does not affect the saved patient information When printed the patient history log includes a heading at its beginning and a footer at its end The heading includes the pump serial number the patient history log title and revision number information of the software and hardware of the pump The footer contains information about how much of the history log has been used The information is printed with the most recent event first and organized for easy transfer to a spreadsheet for sorting and reporting A partial sample of a history log is given below History Event Log SERIAL NUMBER MANUFACTURE DATE MAINTENANCE DUE DATE HISTORY EVENT LOG 22J7ANO3 15 38 ml Vin mmH BV 227ANO3 15 18 ml Vin mmH BY 227AN03 14 58 ml Vin mmH BV YAYWIYIYPPJ Y 94 YP9 III IDI 101293 10AuGc00 167AN04 9070 6 2 2 8 0 76 8937 3 2 2 10 0 76 8803 9 2 2 10 0 76 pbbNG 217AN03 Z217AN03 217AN03 217AN03 Z217AN03 Z217AN03 217AN03 Z217A4N03 Z217AN03 217AN03 Ee 16 16 16 16 16 i 57 De fai 57 57 rea et 8 ml Vin mmH BV 2 1 3 1 0 0 78 ml Vex mmH BY 0 0 6 7 0 0 78 START PUMP 0 0 ml START THERAPY AIR FILTER RUN PAUSE KEY CO
154. ll not be displayed when external battery pack is depleted Turn the pump off Replace both of the C size batteries Recharge or replace the battery pack if applicable ALARM HIGH UP PRESSURE High positive pressure between the pump and IV reservoir The pump has detected excessive positive pressure between the pump and the IV Source Press Pause to clear alarm screen Check for excessive pressure on the IV bag and relieve it When ready to begin infusion select RESUME ALARM REPLACE SET Replace Set The pump has detected that the disposable administration set must be replaced Replace the disposable administration set prime the set if necessary and when ready to begin infusing select RESUME to continue the infusion ALARM SET NOT INSTALLED Administration Set Not Installed The administration set has not been installed or has been installed improperly Install appropriate Moog Curlin Infusion Administration set for desired therapy Use ONLY Moog Curlin Infusion Administration sets If the blue tubing guide on the administration set has been damaged in any way replace the entire administration set See Chapter entitled Introduction Figures 1 9 and 1 10 for proper installation of administration set ALARM UNATTENDED PUMP No key presses have occurred while the pump was paused When a therapy is in progress and a pump is placed in a paused state and left unattended for more than two minutes this alarm will sound If the p
155. lly Infusion Complete When the infusion is complete the audio alarm will beep and the following screen will display Note To temporarily silence the alarm press the Silence key PCA Infusion Complete INFUSION COMPLETE i TOTWOL 20 8 ml BOLUS of i 96 AdeisyuL WOd This screen displays 1 INFUSION COMPLETE 2 A completely filled in bar graph indicating infusion complete 3 TOT Vol Total Volume If units are mg or mcg this field will also toggle to give the Total Infused 4 Infusion Complete is considered an alarm status and the audio alarm will beep periodically every 3 seconds to alert the user to this condition Additionally the red LED light blinks to indicate that the Infusion Complete alarm exists Stopping the Infusion At Infusion Complete press the PAUSE key and then choose to either 1 Turn off the pump by pressing the OFF key or 2 Select one of the options from the Pause screen Pause Menu Screen ENTER to Select NEW PROGRAM a REPEAT Rx To repeat the present therapy and add another IV container with the same prescription press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen will list all preprogrammed therapies Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES ENTER key The pump will then display the program screen
156. lly new Rx All the therapy parameters in the pump are set to factory default and must be re entered by the clinician The judicious choice of the option can help speed up programming This screen gives you all three options Resuming a therapy 1 RESUME TIf a therapy is interrupted and the pump is turned off or paused before completion of the infusion you may select RESUME by moving the cursor to this field and pressing the YES ENTER key A notification screen displays and a prompt is given to run the pump At this time you can continue to infuse the prescription from the exact point at which it was interrupted Note Patients should be taught proper time frames or limitations for leaving their IV bags or medication reservoirs hanging during an interrupted state and if indicated to change to a new bag according to the healthcare provider s policies and drug manufacturet s instructions Repeating a Pre Programmed Therapy 2 REPEAT Rx Use this feature if an infusion is complete and you wish to repeat the same prescription over again or if a therapy is programmed and the pump is turned off before the infusion is started Select this field by moving the cursor to REPEAT Rx and press the YES ENTER key If the pump has been programmed for more than one therapy and you wish to select a therapy at this time move the cursor to REPEAT Rx and press the YES ENTER key This action will take you
157. m the battery pack or pump s port w Morro F Q inano inani 7300 NOILLN3LLY NOLLNVS oo Figure 1 13 Universal AC Adapter Two Pin Adapter plugs into port on bottom of the pump for AC power or can be used to recharge the battery pack by plugging into the recharging port on the battery pack see Figure 1 13 To remove null back on the locking sleeve 29 Bolus Cord Use When the PCA therapy is used patient bolus dosing can be programmed To facilitate ease of patient self dosing the patient can use the Bolus key or the Remote Bolus Access Cord When a bolus dose is requested two beeps will sound to indicate that the dose has started If a bolus dose is requested and denied one beep will sound When a bolus dose is completed no beep will occur The cord is five feet long and has a patient access button at the top of the remote cord The four pin adapter plugs into the four hole port on the left side of the pump see Figure 1 14 below This port may be covered with a plastic plug If so remove the plug to access the port To correctly connect the bolus cord align the red dot and the connector s keyed notch with the red dot and notch in the port on the left side of the pump When the cord is plugged into the pump it is locked in place by the locking sleeve To remove the cord pull back on the soft green locking sleeve and disengage the cord from the pump by pulling it straight ou
158. mation on the run screen will alternate between a four line display and a large font display of each individual line of information on the screen PCA Information Screens Bolus Dose Bolus 1of 1 5 0 mL Tot Yol Rate 10 4 mL 20 0 mL hr Line Pres 10 mmHg Interrupting an Infusion The infusion can be paused at any time by pressing the PAUSE key The yellow Standby LED light blinks and the following screen displays Pause Menu Screen ENTER to Select REPEAT Rx MEH PROGRAM AdeI yL WOd The screen offers the user three options Resuming the Current Container 1 RESUME To resume the therapy in progress from where it left off press the YES ENTER key at this field The pump will return to the Run Options Screen and you can resume the therapy Note If you wish to hang a new container move the cursor to REPEAT Rx see following section Run Options Screen PRESS to START to REVIEM fo a Fe CME Press the RUN key to resume the therapy b Press the NO key to go back to the programming screen to make changes in the therapy program this feature may be blocked by a security lock thus not allowing changes to the program unless an access code is given Also remember that no changes are allowed in the first prescription menu if an infusion is in progress c Press the OPTIONS or PRIME keys if either of these functions is desired at this time Hanging a Ne
159. me the set by using the pump follow the directions below Note The lock setting may restrict the ability to prime using the pump 1 Press and release the PRIME key at the Run Options screen 2 The following screen appears Prime Direction Screen Disconnect Pt Release Clamps HOLD eile k ey to EXIT 3 Disconnect the administration set from the access site using aseptic protocols oe Priming with the set connected to the patient could result in overdose INFORMATION and may cause injury or even death to the patient 4 Release any clamps on the administration set 5 Press and hold the PRIME key Fluid will be pumped at a rate of 300 ml hr through the administration set as long as the PRIME key is pressed or until 6 ml is pumped The pump will then beep once and require repressing and holding the PRIME key again until 6 more milliliters is deltvered Continue this process until all air has been purged from the IV bag and the administration set Note If the bag volume is depleted during priming a subsequent priming event cannot be initiated While the PRIME key is depressed the following screen appears PRIMING Release igadole key to Stop Prime Amt 8 ml The amount used for the prime session is accumulated and displayed on the bottom field of this screen 6 When priming is complete release the PRIME key The following screen will display PRESS als to Cont to EXIT
160. mental or delta time limit Example Enter 12 00 hours If there are no incremental or delta level components to the prescription leave these fields ARate and ATime set at their default settings of 0 and press YES ENTER to move to the next field d Max BOLS Maximum Bolus Dose Use this field to set the upper limit of the Bolus or Patient Demand dose If there is no bolus dose enter 0 If a value is given for the Bolus Dose use the numeric keys to enter it on this field press the YES ENTER key to accept and move to the next field The value entered for this field must be equal to or less than maximum Bolus Dose listed in Figure 5 1 Administration Routes table e MinINT Minimum Bolus Interval Use this field to set the minimum amount of time allowed between bolus doses When the correct time is entered press the YES ENTER key to accept and move to the next field f BOLS hr Number of Boluses allowed per hour Use this field to enter the maximum bolus hr When correct press the YES ENTER key to accept and move to the next field g ACCEPT If there are any changes to be made use the up or down arrows to move to that field use the numeric keys to enter the corrected data and press YES ENTER to accept the new values Move the cursor back to the ACCEPT field and press YES ENTER The Medlimitation Limits are now entered and the display returns to the Pre Prescription screen I
161. move the cursor to the next field 6 AIR SENS Air In Line Sensor This feature allows you to select the amount of air the pump will detect in the administration set tubing before it goes into an alarm state The choices ate 0 1 ml 0 5 ml the default setting 2 0 ml and OFF Press the NO CHANGE key to change the options until the desired setting appears on the display and then press YES ENTER to select and move the cursor to the next line IMPORTANT Whenever the Air In Line Sensor is set to OFF Moog Curlin Infusion INFORMATION recommends the use of an air eliminating filter When the Air In Line Sensor is set to OFF and the RUN key is pressed at the Run Options screen the alert message below will appear on the screen It will also appear if the Air In Line is changed from the OPTIONS menu when an infusion is in progress and the AIR SENS field is accepted Air In Line Sensor Off Message Screen ALF Sensor OFF Using In Line Air Filter PES MO Ade1 yL snonuiju09 This message alerts you to the Air In Line Sensor being set to OFF The message will require answering yes or no to whether the administration set being used has an air eliminating filter If you press the YES key to indicate that there is an air eliminating filter in use the Air In Line sensor will be completely disabled and the pump will start the infusion If you press the NO key to indicate a filter is not
162. n ON Now when you press the YES ENTER to accept the following screen will appear Variable Delay Start Setting DELAY START DELAY START TIME HEEM HH hata AM F h EE DATE Mmmedd yy TIME 1 00 HHtik ACCEPT YES ZMO DATE mmddyy W AccErFT YES NO The time format 12 hr AM PM or 24 hr Military selected in the BIOMED SETUP Menu will apply in this table and if Military was selected the AM PM field will not appear here If the entire delay start screen is to be aborted press the NO key at the ACCEPT field When the start time and date are entered and the data is accepted after the YES ENTER key is pressed the infusion is set to start at the programmed time The display then returns to the next field in the Pre Prescription Menu After the entire prescription program is accepted if the pump is turned OFF and back ON press YES at PROGRAM and YES to REPEAT Rx The cursor will automatically scroll through the program No changes will be allowed in the Pre Prescription Menu during this time thus maintaining the originally programmed Delay Start time To change the Delay Start time press the NO CHANGE key when the Run Options Screen is displayed Run Options Screen PRESS to START to REWLIEM fo a Pe CME This will allow the clinician to go back to review the program and at this point a change can be made to the delay start time Note If the pump is not connected t
163. n screen information for an additional six seconds and then the pump will return to the normal running screen Changes to this screen are not allowed BOLS bose 5 0 L PRES 10 E TOTVOL 9 6 WPLEOLUS 1 of i 34 5 Hourly Total HrlyTot The information displayed here includes the hourly Volume amount Infused the number of Bolus Given and the number of Bolus Asked Within the allocated 6 seconds the user can scroll up or down the screen Changes to this screen are not allowed HF VOL mlL BG BA 5 0 8 3 6 Therapy Information Thrpylnfo The information displayed in this screen is from the pre prescription menu and includes Units Concentration Administration Route and Load Dose Changes to this screen are not allowed PCONCEN 0 marl ag ADMINAt Ll B LOAD DOSED O mg 7 Rx Information RxInfo This screen provides prescription menu information such as Basal Rate Patient Bolus Bolus Interval and Number of Bolus per Hour Changes to this screen are not allowed A EASLRATE S a PE EOLUS 5 T EOLS INT amp E0LS hr Re 35 duing 6Buluie937y 8 10 Percent Bolus Bols This screen provides Bolus Volume as percentage of Total Volume TBOL is the total volume infused through bolus TVOL is the total volume infused and BOLS is the percentage of TBOL over TVOL Changes to this screen are not allowed PERCENT BOLUS ATBOL 25 0 ml TYOL 65 2 ml Z BOLS 38 Clear Shift Total C
164. n digits If this option is not to be used it can be left blank and skipped using the down arrow to scroll to the next field When the PROGRAMMER ID number is satisfactory press the YES ENTER key at the ACCEPT YES NO field and the number will be stored in the pump history log 3 PATIENT ID This feature gives the programmer the option to use the numeric keypad to enter a patient ID number up to ten digits If this option is not to be used it can be left blank and skipped using the down arrow to scroll to the next field When the PATIENT ID number is satisfactory press the YES ENTER key at the ACCEPT YES NO field and the number will be stored in the pump history log 4 Rx NUMBER This feature gives the programmer the option to use the numeric keypad to enter a prescription number up to ten digits If this option is not to be used it can be left blank and skipped using the down arrow to scroll to the next field When the Rx NUMBER is satisfactory press the YES ENTER key at the ACCEPT YES NO field and the number will be stored in the pump history log 5 INVOICE NUMBER This feature gives the programmer the option to use the numeric keypad to enter an invoice number up to ten digits If this option is not to be used it can be left blank and skipped using the down arrow to scroll to the next field When the INVOICE NUMBER is satisfactory press the YES ENTER key at the ACCEPT YES NO fie
165. n on the top of the Integral Flow Stop when inserting it into the receptacle This action could inadvertently open the Integral Flow Stop and allow fluid to flow through the tubing 7 Open the slide clamp on the administration set 8 Push the tubing slightly into the black Air Detector slot 9 Fully close the door of the pump and latch it securely 10 If the set is not primed prime the set according to prime section in the relevant therapy chapter 11 Attach the primed set to the patient s venous access device per agency protocols 12 Dispose of used administration sets in accordance with all applicable regulatory and institutional policies and directions BRON FP Oo 18 1 Insert blue Tubing Guide on right side of pump with tubing in front of the door The Blue arrow on the background surface of the pump head indicates direction and location for the blue Tubing Guide 2 Important Center the tubing horizontally over the pumping fingers covering the yellow dot 3 Insert yellow Integral Flow Stop on the left side of the pump The yellow arrow on the background surface of the pump head indicates the Air Detector Flow Stop handle direction and location for the Integral Flow Stop CAUTION Hold the Flow Stop by the small handle DO NOT Aas press down on the top of the ig Integral Flow Stop when A 8 P inserting it into the receptacle 6
166. n siisadanuiess 130 PME sccsueosiisccrcsisesrediiesreosiri serina 131 Prime Direction Screen 6 131 OP ONS srisecsisrsvsciveananesencveesvevavansis 132 Variable Options Menu 132 Hourly Totals Screen 133 Clear Hourly Totals Screen 133 Air In Line Sensor Off Message E o S EEE TE AE E 134 Air In Line Sensor Set at 2 0ml Alert SCLEEN Sieh nnn 134 Reviewing or Changing the Program seksanicdinaascesisnnyeerinenteanicass 135 Starting the Infusion 0000 135 Variable Run Screen 1 0 0 135 Variable Run Screen 2 0 136 Variable Information Screens 136 Interrupting an Infusion 137 Pause Menu Screen wees 137 Run Options Screen s s s 137 Hanging a New Containert 137 Entering a New Program 138 Infusion Complete ccccceseeeee 139 Variable Infusion Complete 139 Stopping the Infusion 00 139 Pause Menu Screen sti siieaciesls 139 TROUBLESHOOTING 141 Alerts Alarms and Error Codes 141 ACCESSORIES sssssssceeees 162 Soft Carry Packs cccccccsssessooes 162 Detachable Pole Clamps 163 Remote Bolus Cord 340 2005 163 Data Interface Cable 340 2011 164 Palm Adapter Cable 350 2006 164 CLEANING ENVIRONMENTAL CONDITIONS AND MAINTENANCE cc0000 165 CTC ANINIS periere pesipesi 165 Transport and Storage s0 166 Operating Environment
167. n the pump is crucial to ensure an adequate low battery warning period and to ensure infusion continuity if the battery pack is accidently disconnected The Red Low Battery LED on the battery pack will illuminate prior to the external battery running out of power The pump will provide at least 30 minutes of audible and visual warning prior to the internal C cell batteries running out power The battery pack is recharged by connecting it to an AC adaptor Fully recharging the battery takes approximately 15 hours While charging the LED indicator will be yellow When the battery is fully charged the LED will be green If a fault is encountered in the battery pack the LED will either flash yellow or not illuminate Warnings e The external battery pack should be used with new C cell batteries in the pump to avoid interruption of the infusion if the cord between the pump and battery pack becomes disconnected and to ensure proper operation of the pump s low battery alarm e Do not use this battery pack with the POWDEC AC Adaptor WM10 6 9V Moog Curlin p n 340 2022 as the combination may exceed the allowable limits for emitted electromagnetic interference e Battery pack cable utilizes an attached cable This can be a tripping or choking hazard avoid use that may lead to entanglement around the neck or feet Cautions e This battery pack is fluid resistant but it is not designed to be water tight Care should be taken to avoid any unnecessary con
168. nd hold the PRIME key Fluid will be pumped at a rate of 300 ml hr through the administration set as long as the PRIME key is pressed or until 6 ml is pumped The pump will then beep once and require repressing and holding the PRIME key again until 6 more milliliters is delivered Continue this process until all air has been purged from the IV bag and the administration set Note If the bag volume is depleted during priming a subsequent priming event cannot be initiated While the PRIME key is depressed the following screen appears PRIMING Release Artiga key to Stop Prime Amt 0 0 ml The amount used for the prime session is accumulated and displayed on the bottom field of this screen 6 When priming is complete release the PRIME key The following screen will display PRESS els to Cont to EXIT Prime Amt 2 ml 7 To continue priming press the PRIME key again If priming is complete press YES ENTER to exit and return to the Run Option screen The total amount of solution used in this priming session displays on the bottom field Note The amount of fluid used in the priming process will be deducted from the Bag Volume Total but will NOT be counted in the amount infused because this amount is not to be delivered to the patient The bag volume should still be equal to or greater than the Amount TBI before you can proceed with the infusion If it is not an alert will appear stating
169. ndicating the current hour in progress Volume or Amount will show in the first column BG Bolus Given in the second column and BA Bolus Attempted in the third column Use the up arrow key to scroll back through the last 24 hours If the infusion was not running a series of will appear for that hour To exit this screen press the NO CHANGE key 5 CLR HRLY Clear Hourly Totals To clear Hourly Totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screen will appear Clear Hourly Totals Screen Clear Hourly Totals NOW i ACCEPT MEAE To clear the Hourly Totals press the YES ENTER key All Hourly Totals will be cleared and the cursor will return to the Options menu To maintain the Hourly Totals press the NO CHANGE key Hourly Totals will be maintained and the cursor will return to the Options menu 90 AdeI yL WOd A lock level of 2 or 3 will require an access code entry before allowing Hourly Totals reset medLMTS Medication Limitations Prescription Allows the clinician to setup soft clinician or institutional limits on any medication that is being infused with the pump If there is no request or mandate to set soft limits press YES ENTER to select the OFF setting and accept the factory defaults If a specific medication limit is requested or mandated press NO CHANGE to change the OFF setting to ON Press
170. nens 97 TPN THERAPY WITH AUTOMATIC RAMPING 98 Prescription Menus cccceeeees 98 TPN Pre Prescription Menu SOLES niania i a A 98 TPN Delay Start Setting itedsnc 98 Run Options Screen ss sssssessesseeressess 99 TPN Prescription Screen 100 Run Options Screen iasisaiucsasad 101 Pime eien eii E EEE 101 Prime Direction Screen 102 OP LON snessssisescerersvensvanscesssinsvctsnane 103 TPN Options Menu sesser 103 Hourly Totals Screen 104 Clear Hourly Totals Screen 104 Air In Line Sensor Off Message OCPSCE a Naaien ati na anatase 105 Air In Line Sensor Set at 2 0ml FICE SCREEH ii dared ig dniegtenes 105 Reviewing or Changing the PRO STAIN yaccaxsnseeniaenetens ses notsu 106 Starting the Infusion 0000 106 TPN Run Screen 106 TPN Information Screens 107 Interrupting an Infusion 107 Pause Menu Screen ceccceccceseceseees 107 Run Options Screen s s s 108 Hanging a New Containet 108 Entering a New Program 109 Infusion Complete 00 109 TPN Infusion Complete 109 Stopping the Infusion 006 110 Pause Menu Screen ccccceccceeeceseeee 110 INTERMITTENT THERAPY nAi 111 Prescription Menus sssesssesssseeeeeee 111 Intermittent Pre Prescription Menu Screeti ccccccesccvesscseseresosssvoeees 111 Intermittent Delay Start Setting 112 Run Options Screen s s s 112 Intermittent Prescripti
171. ng the cursor to the therapy of choice and pressing the YES ENTER key The pump will then display the program screens with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescription manually by pressing the YES key at the remaining fields NEW PROGRAM To program an entirely new prescription or a different therapy press the YES ENTER key at this field and the display will return to the Select Therapy Screen The lock setting can control access to this function The therapy is complete therefore RESUME is not an option at this time and is not displayed 125 Adeisay Ud 1U119 uU CHAPTER Variable Therapy This therapy is designed to allow trenty four specxfed programs of varying amounts rates and tunes of delivery Screen The following display screen will appear requiring you to enter information egin programming a Variable Therapy by selecting Variable from the Select Therapy B needed to program this therapy Prescription Menus Variable Pre Prescription Menu Screen UNITS fe UNITS ma UNITS meg DELAY OFF CONCEN 0 matml CONcEN 0 HEXT YES DELAY OFF DELAY OFF HEXT YES NEXT YES These menu items allow you to customize the program to match each individual prescription The pum
172. nits field this line will not display The range for this field is 0 1 to 999 3 DELAY Start This field allows you to delay the start of the infusion from one minute up to twenty four hours If the infusion is NOT to be delayed accept the OFF setting by pressing the YES ENTER key The cursor will move to the next field If the infusion IS to 67 Adeisy snonuiju09 be delayed until a later time press the NO CHANGE key The delay start will change from OFF to ON Press the YES ENTER to accept and the following screen will appear Continuous Delay Start Setting DELAY START DELAY START TIME EST HH mm AMF ER DATE mmddyy TIME 00 HH MM ACCEPT YES NO DATE MmMmedd 44 WW AccErT YES No The time format 12 hr AM PM or 24 hr Military selected in the BIOMED SETUP Menu will apply in this table and if Military was selected the AM PM field will not appear here If the entire delay start screen is to be aborted press the NO key at the ACCEPT field When the start time and date are entered and the data is accepted after the YES ENTER key is pressed the infusion is set to start at the programmed time The display then returns to the next field in the Pre Prescription Menu After the entire prescription program is accepted if the pump is turned OFF and back ON press YES at PROGRAM and YES to REPEAT Rx The cursor will automatically scroll through the prog
173. nks approximately once every three seconds when a therapy is in progress Yellow indicates a STANDBY status of the pump and blinks while the pump is paused 3 Red indicates a STOPPED or ALARM status of the pump and blinks whenever an alarm status exists 4 Green and Red indicates an Infusion Complete Alarm status with KVO or a Down Occlusion Alarm with automatic restart 5 Yellow and Green indicates a Standby status with automatic start This occurs during any delay start with a 0 KVO programmed or in PCA during a 0 basal rate and bolus only programmed Audio Indicator An audible alarm or beep is used to alert you to a change in the status of the pump or a situation requiring user action or notification A message will appear on the display screen describing the situation The rate number of beeps and volume further specify status This pump offers nine different volume levels from which to select for the audio feature however the beep cannot be totally disabled The audio beep can be silenced for one minute intervals by pressing the SILENCE key except during an Error Code at which time the alarm continues and the pump must be turned off The chapter of this manual entitled Troubleshooting includes tables with the alerts alarms and error codes the conditions causing them the message displayed on the screen and the actions required for resolution If an alert or alarm occurs please
174. nsor is completely disabled and the infusion goes to an Infusion Complete or Empty Bag status the Air Sensor setting will automatically change to 2 0 ml 7 AUDIO Audio Volume This feature allows you to adjust the audio volume of the pump s alarm setting You can enter a number from 9 the loudest setting to 1 the quietest setting When you select a number the pump will beep at that audio level Press the NO key and enter a new setting 1 9 Repeat until the desired setting is reached and then press YES ENTER to select it and move the cursor to the next field 8 PWR CK Power Check This feature allows you to periodically recheck the battery charge It will display the active power source of the pump whether internal batteries or external power If the active source is the batteries a graph will indicate approximately how much charge remains in the batteries To access this information select ON and press YES ENTER The Power Source Screen will display for five seconds and return to the Options Menu 9 ACCEPT OPT If the changes made in the Options Menu are acceptable press the YES ENTER key If the changes are not acceptable use arrow keys to cursor up to any field for corrections or abort all changes made in this menu by pressing the NO key and return to the previous screen There are two remaining selections to consider from the Run Options Screen NO to REVIEW and RUN
175. nt This field also displays BOLUS xx mg ml mceg whenever a bolus dose is being delivered The programmed bolus amount displays and the BOLUS text flashes when the 93 pump is delivering a bolus dose The second field is a graphic bar representing the percentage of the completed infusion In CMS enabled pumps the graphic bar will toggle with Line Pressure L Press which displays the current patient side downstream pressure in the administration set in millimeter of mercury mmHg units The third line displays the total volume TOT Vol infused and if mg or mcg is the selected unit this field will toggle to display the total mg or mcg infused TOT INP as well The fourth line displays the number of boluses delivered and number of boluses attempted per bag volume If the patient attempts a bolus before the allowed amount of time set between boluses an alert message will display Bolus Requested and only the second number will increase Also toggling with number of boluses delivered requested is the remaining volume left in the bag In addition to the display screen information on the status of the infusion is provided by the three LED lights The green LED light blinks whenever the pump is infusing If the Basal rate is set at 0 the yellow LED light will blink along with the green light until the bolus is actually being delivered While the bolus is infusing only the green light will blink The infor
176. nt is required for this procedure e ANEW Administration Set old or used sets are not suitable for the volumetric delivery and pressure measurements tests e Volumetric measurement device i e calibrated weight scale burette or syringes 168 e Beaker with clean fresh water or I V container Note If the administration set contains a filter sterile saline or sterile water should be used Maintenance Between Patients This procedure does not replace the recommended preventive maintenance The pump should receive preventive maintenance by a qualified technician annually 1 CLEAN AND INSPECT PUMP FOR DAMAGE a Clean the pump with a soft cloth dampened with a designated antiseptic disinfectant solution or a solution of household bleach diluted 9 1 with water Be sure to clean all surfaces including the pumping chamber b Inspect pump for damage Check all case surfaces for cracks Open the pumping chamber door Examine the finger seal to confirm that no cuts or tears exist Confirm that the door is well aligned by closing it with no unreasonable interference Verify that the Power and Bolus Data connectors are securely mounted on the case no loose nuts Verify that all labels are legible and in good condition Check that Keypad is securely attached to case and that no corners are pealing up Verify that the Battery Door is in place and that the Battery Contacts in the Battery Compartment are not deformed 2 VOLUMETRIC DELIVERY T
177. ntation or warranty expressed or implied b THERE IS NO WARRANTY OF MERCHANTABILITY OR FITNESS OR USE OF THE PUMP FOR ANY PARTICULAR PURPOSE c The pump can only be used under the supervision of medical personnel whose skill and judgment determine the suitability of the Pump for any particular medical treatment d All recommendations information and descriptive literature supplied by the Manufacturer or its agents ate believed to be accurate and reliable but do not constitute warranties The Manufacturer disclaims responsibility for the suitability of the pump for any particular medical treatment or for any medical complications resulting from the use of the Pump The Manufacturer shall not be responsible for any incidental damages or consequential damages to property loss of profits or loss of use caused by any defect or malfunction of the pump This warranty gives the Original Purchaser specific legal rights and the Original Purchaser may have other legal rights which may vary from state to state 167 v ueu zurew Buluesl9 Procedure for Checking Pumps Between Patients Purpose This procedure is provided for use by caregivers to ensure pumps meet all critical performance specifications prior to use of the product on new patients This procedute is for use by technicians to inspect test and prepare a pump for use by a new patient The test checks for volumetric accuracy and all pump safety systems Also vari
178. o priming Verify that the volume remaining in the source container is sufficient to complete the current therapy If the volume is insufficient add another source container or stop the infusion ALERT EXCEEDS POSSIBLE DOSES PER HR Unable to enter of boluses hr that would be possible given the programmed bolus amount Boluses hr value exceeds the possible given the bolus amount Recheck data entered The of boluses per hour cannot exceed the time required to deliver the bolus amount programmed ALERT EXTERNAL POWER DISCONNECTED External power source disconnected External power source is disconnected or external battery pack power is completely depleted during pump operation Reestablish external power source or let pump continue to operate on batteries Note The battery level should be checked after the external source is disconnected to gage if additional batteries will be required before an external power source is available again ALERT FIELD NOT ACCEPTED Field Not Accepted 146 Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause The field indicated by the flashing cursor has not been accepted Recheck the field and accept it by pressing the YES ENTER key ALERT GREATER THAN MAX FIELD LIMIT MAX
179. o the patient s access site at this time the patient or caregiver should be taught proper techniques to access the infusion site before the scheduled start time When the RUN key is pressed the Green and Yellow LED lights will flash to indicate that the pump will automatically start when the delay start count down period is up During the delay start time the following screen appears DELAYED START INFUSION STARTIN LZ 113 HHihiM BEMORATE i ml he If the KVO rate is set to 0 the pump will beep ten minutes prior to the beginning of the Continuous Therapy start time To stop the audible beep press the Silence key 127 During the delay start period if the KVO rate is set to 0 no fluid is IMPORTANT infusing Be sure the access device is patent and has been flushed per facility policy to maintain patency during this time period If a KVO rate is programmed then that KVO rate will be used in the Delay Start period INFORMATION 4 NEXT If there are any changes to be made use the up or down arrow keys to locate the field to be changed use the numeric keys to enter the corrected information and press YES ENTER to accept the new data If all the fields are acceptable move the cursor to the NEXT field and press the YES ENTER key to move on to the next screen At the following screens the prescription information is entered to complete the programming of the therapy Variable Therapi
180. ogram 3 NEW PROGRAM If the cursor is moved to this field and the YES ENTER key is pressed the display changes to allow you to select which therapy you wish to program Selecting a Therapy Select Therapy Screen ENTER to Select PCA TPH INTERMITTENT WARLABLE This screen displays only those therapies enabled from the BIOMED SETUP Menu Move the cursor to the appropriate therapy and select it by pressing the YES ENTER key If 51 Bulmwesboi1g soiseg only one therapy is enabled this screen will not display and the pump will automatically move to the first screen for specific therapy programming Entering or Changing Data Fields When prescription data fields appear use the numeric keys to enter specific patient prescription information and when correct press the YES ENTER key to accept If a field on the menu is not accepted by the program a context sensitive Alert prompt will appear and the cursor returns you back to the fields that require the change to help you resolve the problem The following screen is the general alert prompt ALERT INVALID ENTRY Each individual therapy will now be considered separately in this manual and will have its own chapter heading 52 Programming a 6000 CMS pump with Protocol Library Safety System PLSS Version 1 program The information in this addendum desribes how to program a pump with a drug protocol from the Protocol Library Safety S
181. on Menu 113 Run Options Screen swiss cssevssessnessaee 115 PMen nadn a 115 Prime Direction Screen wc 115 Option Sines a ii 116 Intermittent Options Menu 117 Hourly Totals Screen wees 117 Clear Hourly Totals Screen 118 Air In Line Sensor Off Message SCHECH EE E 118 Air In Line Sensor Set at 2 0ml Alert Screen arcara 119 Reviewing or Changing the Program esesessseesssssessssseeerssseesesseeee 120 Starting the Infusion 00008 120 Intermittent Run Screen 120 Intermittent Information Screens 121 TABLE OF CONTENTS Interrupting an Infusion 121 Pause Menu Screen 121 Resuming the Current Container 121 Run Options Sctecninisnwicnias 122 Hanging a New Container 122 Intermittent Dosing Schedule 123 Entering a New Program 123 Timing Rules when Interrupting Intermittent Therapies 124 Infusion Complete cccceeseeee 124 Intermittent Infusion Complete 124 Stopping the Infusion 00 125 Pause Menu Screen 125 VARIABLE THERAPY 126 Prescription Menus ccceeeees 126 Variable Pre Prescription Menu See Ean n nAi 126 Variable Delay Start Setting 127 Run Options Screen sccusssdecnssdiats 127 Variable Prescription Menu1 128 Variable Prescription Menu 2 129 Variable Prescription Menu 3 129 Variable Summary Screen 130 Run Options Scree
182. on manually by pressing the YES key at the remaining fields NEW PROGRAM To progtam an entirely new prescription or different therapy press the YES ENTER key at this field and the display will return to the Select Therapy Screen The lock setting can control access to this function The therapy is complete therefore RESUME is not an option at this time and is not displayed 110 AdessyuL Nd Ll Chapter Intermittent Therapy Intermattent Therapy is designed to deliver progrananed intervals and rates of specited amounts of infusates and to optionally cehver small amounts of the infusate between doses to keeb the access site patent egin programming an Intermittent Therapy by selecting Intermittent from the Select Therapy Screen The following display screen will appear requiring you to enter information needed to program this therapy Prescription Menus Intermittent Pre Prescription Menu Screen UNITS fe UNITS ma UNITS meg DELAY OFF COMCEN 3 0 ma m CONCcEN 0 HEXT YES DELAY OFF DELAY OFF NEXT YES HEXT YES These menu items allow you to customize the program to match each individual prescription The pump s default settings are displayed in the left screen Each field is individually explained below Note Some of the lines are abbreviated to fit on the display screen the full descriptions appear below 1 UNITS Allows you to select from units of ml mg or mcg to matc
183. ons by using the down arrow to move the cursor to only the desired selection When the desired selection is highlighted press the YES ENTER key A secondary screen will be displayed When all BIOMED SETUP functions are completed move the cursor to the last field DONE YES and press the YES ENTER key to exit this menu IMPORTANT INFORMATION 1 PREVENTIVE MAINTENANCE DATE The first field displays the date the pump requires its annual routine preventive maintenance check Note You cannot change this date it is changed only when a factory technician performs the routine pump maintenance The clinician that initially programs the pump for a patient should note the maintenance date Once this date arrives a Perform Routine Maintenance message will briefly appear after the welcome screen If the Maintenance Due date will occur during the time the patient will be on service the clinician may wish to select another Moog Curlin Infusion pump for this patient This action will avoid any undue concern on the patient s part at the notice of maintenance due and eliminate the need to recall a pump in service for maintenance The pump however can continue to be used without disrupting service when this message appears but should be returned for service as quickly as possible 2 PROGRAMMER ID This feature gives the programmer the option to use the numeric keypad to enter his or her assigned ID number up to te
184. ontrast on the display screen can be adjusted To do so press the YES ENTER key at this field and the following screen appears CHANGE CONTRAST Lewel ls ACCEPT YES NO The level can be adjusted from 0 lightest screen to 100 darkest screen The pump is set to an optimized setting when shipped from the factory To change the setting enter any number between 0 and 100 and press the YES ENTER key to see the change in the screen If this level of contrast is not satisfactory move the cursor back to the LEVEL field and enter another number and press the YES ENTER key When the contrast is satisfactory move the cursor to the ACCEPT field and press the YES ENTER key To abort the entire selection and return to the previous contrast setting press the NO CHANGE key at this field and return to the BIOMED SETUP Menu Changing Date and Time 13 CHANGE DATE AND TIME When this field is selected the screen on the left appears Change Date and Time Screen DATE ANOD TIME DATE ANOD TIME CLOCK CLOCK iZhr TIME 17216 HH MM AMSFM APM DATE 23 JAN S TIME 17216 HH MM ACCEPT YES NO DATE 23 JAN S ACCEPT YES NWO This screen is used to set the system Real Time Clock in the pump and will change the date and time displayed on the Welcome screen Note The time must be reset to accommodate Daylight Savings Time changes and also at any time the pump is moved into a different time zone 48
185. orty W This action could inadvertently XN on Bs A open the Integral Flow Stop and WN at p A p allow fluid to flow through the 4 tubing gt w z DA A 4 Press the tubing into the air detector A A 8 Z 1 A slot gently with index finger AVA A WZ LZ Figure 1 10 Top cutaway view of the Moog Curlin Infusion pump with Moog Curlin Infusion Administration set in proper installation position Up Stream Occlusion Alarm Feature The Moog Curlin Infusion pump has an Up Stream Occlusion alarm feature e g it detects low up stream pressure This feature notifies you if an occlusion is present between the IV container and the pump If this alarm occurs the display will read ALARM UP OCCLUSION the alarm will sound the red LED light will blink and the infusion will stop This situation requires that you press the Pause key examine the administration set from the IV container to the pump for potential causes of the occlusion If a clamp is in place open or remove it if the administration set is kinked straighten it If indicated close the slide clamp on the administration set and open the door of the pump to verify that the set is correctly placed Close the pump s door and reopen the slide clamp When ready to begin infusing select RESUME and then press the RUN key The pump also detects excessive up stream pressure pressure on the IV bag The display will read ALARM HIGH UP PRESSURE the
186. ory Call Provider 105 Turn pumpOFF ON No menu pointer Report error code to factory Call Provider 106 Turn pumpOFF ON Count out of range Report error code to factory Call Provider 107 Turn pumpOFF ON Display task queue overflow Report error code to factory Call Provider 108 Turn pumpOFF ON Divide by zero Report error code to factory Call Provider 109 Turn pumpOFF ON Concentration zero value Report error code to factory Call Provider 110 Turn pumpOFF ON Invalid occurrence Report error code to factory Call Provider 111 Turn pumpOFF ON Multiple param struct access Report error code to factory Call Provider 112 Turn pumpOFF ON Multiple status struct access Report error code to factory Call Provider 140 Turn pumpOFF ON Infusion volume out of range Report error code to factory Call Provider 141 Turn pumpOFF ON Infusion rate out of range Report error code to factory Call Provider 142 Turn pumpOFF ON Infusion time out of range Report error code to factory Call Provider 143 Turn pumpOFF ON Volume conversion error Report error code to factory Call Provider 144 Turn pumpOFF ON Rate conversion error Report error code to factory Call Provider 145 Turn pumpOFF ON Time conversion error Report error code to factory Call Provider 146 Turn pumpOFF ON Bad PCA dose ratio Report error code to factory Call Provider 160 Stuck PERIOD Key Stuck Period Silence Key If key was pressed release it Turn pump OFF ON or Call Provider
187. ote If the bag volume is depleted during priming a subsequent priming event cannot be initiated While the PRIME key is depressed the following screen appears PRIMING Release simula key to Stop Prime Amt 8 ml The amount used for the prime session is accumulated and displayed on the bottom field of this screen 6 When priming is complete release the PRIME key The following screen will display PRESS to Cont to EXIT Prime Amt 2 ml 7 To continue priming press the PRIME key again To continue priming press the PRIME key again If priming is complete press YES ENTER to exit and return to the Run Options screen The total amount of solution used in this priming session displays on the bottom field Note The amount of fluid used in the priming process will be deducted from the Bag Volume Total but will NOT be counted in the amount infused because this amount is not to be delivered to the patient The bag volume should still be equal to or greater than the Amount TBI before you can proceed with the infusion If it is not an alert will appear stating AMT TBI GREATER THAN BAG VOL You have the option to continue by pressing the YES ENTER key or return to the Run Options screen by pressing the NO key Options Once the prescription is programmed there are more customizing features available for each therapy Press the OPTIONS key from the Run Options screen to access
188. ounds per square inch or the High setting alarms when it detects in line pressures at 900 mmHg 150 18 3 psi Press NO CHANGE to change the selection When the correct pressure setting appears press the YES ENTER key to accept it and move the cursor to the next field 5 AIR SENS Air In Line Sensor This feature allows you to select the amount of air the pump will detect in the administration set tubing before it goes into an alarm state The choices are 0 1 ml 0 5 ml the default setting and OFF Press the NO CHANGE key to change the options until the desired setting appears on the display and then press YES ENTER to select and move the cursor to the next line IMPORTANT Whenever the Air In Line Sensor is set to OFF Moog recommends WES Ratko the use of an air eliminating filter When the Air In Line Sensor is set to OFF and the RUN key is pressed at the Run Options screen the alert message below will appear on the screen It will also appear if the Air In Line is changed from the OPTIONS menu when an infusion is in progress and the ATR SENS field is accepted Air In Line Sensor Off Message Screen AIR Sensor OFF Using In Line Air Filter PES MD This message alerts you to the Air In Line Sensor being set to OFF The message will require answering yes or no to whether the administration set being used has an air eliminating filter If you press the YES
189. ous parameters are initialized Note Between patient testing is not required for Moog Curlin Infusion pumps when anti siphon valve administration sets are being used This procedure is intended to be used by technicians familiar with operation of the Moog Curlin 6000 series infusion pump Note This procedure does not replace the recommended Annual Preventive Maintenance The pump should receive preventive maintenance by a qualified technician at least annually Outpatient Home Care Alternate Care Site Environment If the pump is used in an outpatient Home Care or Alternate Care setting the pump must be checked between patients using the following procedure Inpatient Hospital Environment Moog Medical offers delivery sets with an anti siphon valve for use in clinical situations where in between patient checks may not be practical Note Between patient testing is not required for Moog Curlin Infusion pumps when integral anti siphon valve administration sets are being used Moog Medical highly recommends that the hospital conduct in between patient checks using the following procedure if integral anti siphon valve administration sets are not being used Should the hospital determine for whatever reason that the in between patient check is not practical Moog Medical recommends performing volumetric accuracy checks at regular intervals to ensure the pump continues to meet specifications Required Equipment The following equipme
190. ows a user to change the lock settings of the pump and thereby change the settings of the pump Because the chapter entitled Clinician Information and Access IMPORTANT Code contains access code information the entire chapter should be removed before initial patient teaching and should not be left in the manual while in the patient setting Doing so could jeopardize the security levels intended only for clinician use and access INFORMATION uo1 npo1 u BOLS hr A RATE A TIME AMT AMT TBI BA BASL BG BOL INT CLIN CLRHRLY CONCEN dd DN Occlu EPI HH MM HX INF LPRES MCG medLMTS MG MIN ML List of Abbreviations Number of Bolus Doses per hour In Patient controlled analgesia the number of boluses allowed per hour 0 15 Amount rate may be changed Interval until rate may be changed Amount Amount to be infused Bolus attempted Options hourly screen shows amount of bolus doses attempted Basal Basal rate or continuous basal infusion maximum varies by route of infusion intravenous epidural or subcutaneous Bolus given Options hourly screen shows amount of bolus doses infused Bolus Interval Allows clinician to enter RX amount of time 0 60 min between patient activated bolus dosing for pain management Clinician Clinician dose is the option to give an additional prescribed dose by a clinician Clear hourly Option to clear hourly totals of amount infused Concentration Concentration
191. p s default settings are displayed in the left screen Each field is individually explained on following pages Note Some of the lines are abbreviated to fit on the display screen the full descriptions appear below 1 UNITS Allows you to select from units of ml mg or mcg to match the prescription The pump will allow a volume range of 0 1 to 400 ml hr therefore if mg or mcg is selected the concentration requested in the next field will determine the upper and lower programming limits for mg and mcg Use the NO CHANGE key until the desired units appears on the display and then press the YES ENTER key to accept and move to the next field 2 CONCEN Concentration This field is active whenever mg or mcg is selected in the units field and requires data entry of the concentration of mg or mcg per ml When the correct data is entered using the numeric keys press YES ENTER to accept and move the cursor to the next field If ml is chosen in the units field this line will not display The range for this field is 0 1 to 999 3 DELAY Start This field allows you to delay the start of the infusion from one minute up to twenty four _hours If the infusion is NOT to be delayed select OFF and press YES ENTER to enter The cursor will move to the next field If the infusion IS to be delayed until a later time press the NO CHANGE key The delay start will change to 126 Adessy LL ajqeue
192. plete press YES ENTER to exit and return to the Run Options screen The total amount of solution used in this priming session displays on the bottom field Note The amount of fluid used in the priming process will be IMPORTANT deducted from the Bag Volume Total but will NOT be counted in the amount infused because this amount is not to be delivered to the patient The bag volume should still be equal to or greater than the Amount TBI before you can proceed with the infusion If it is not an alert will appear stating AMT INFORMATION 72 TBI GREATER THAN BAG VOL You have the option to continue by pressing the YES ENTER key or return to the Run Options screen by pressing the NO key Options Once the prescription is programmed there are more customizing features available for each therapy Press the OPTIONS key from the Run Options screen to access these options The OPTIONS menu can also be accessed while the pump is running Note After the infusion has started any changes made through the OPTIONS menu involving e HRLY TOT and e CLR HRLY will return you directly to the ACCEPT OPT field The following screen displays the Continuous Therapy Options available When you open this menu use the up and down arrows to move the highlight bar to the desired option Lock settings may require an access code before the option can be changed Any new setting except CLEAR HOUR
193. port error code to factory Call Provider 300 Turn pump OFF Stack Overflow Report error code to factory Call Provider 301 Turn pump OFF Bad Flash Report error code to factory Call Provider 302 Turn pump OFF Bad Run Time Flash Report error code to factory Call Provider 303 Turn pump OFF Bad Ram Report error code to factory Call Provider 304 Turn pump OFF Bad output data Report error code to factory Call Provider 305 Turn pump OFF Bad active data Report error code to factory Call Provider 306 Turn pump OFF Bad overflow count Report error code to factory Call Provider 307 Turn pump OFF Therapy data CRC failure Report error code to factory Call Provider 308 Watch Dog Bad Watch Dog Test Report error code to factory Call Provider 309 Turn pump OFF Stopped Motor Motion Count Report error code to factory Call Provider 310 Turn pump OFF Stopped Motor Motion Volt Report error code to factory Call Provider 311 Turn pump OFF Bad Active Flags Report error code to factory Call Provider 312 Turn pump OFF Bad Active Flags 2 Report error code to factory Call Provider 313 Turn pump OFF Negative Motor Motion Report error code to factory Call Provider 314 Turn pump OFF Therapy params write violate Report error code to factory Call Provider 315 Turn pump OFF Therapy status write violate Report error code to factory Call Provider 316 Turn pump OFF ON Configuration settings may Try to turn off pump then on If OK Call Provider hav
194. press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen will list all preprogrammed therapies Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES ENTER key The pump will then display the program screen with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescription manually by pressing the YES key at the remaining fields When the program is accepted the display returns to the above Run Options Screen If the current therapy is still in progress when the REPEAT Rx function is selected the following screen will appear ALERT Rx in progress to Repeat to Return a This screen is a reminder that the infusion is not complete If the therapy is to be terminated and a new IV container added press YES ENTER to go to the programming screen confirm the program and proceed with the repeat infusion b If the incomplete therapy is to be continued press NO and the Pause Menu screen will be displayed then press YES and the Run Options screen will be displayed To resume the unfinished therapy press RUN Following the confirmation and acceptance of the prescription screens a screen will appear to confirm th
195. ption Menu will display EPI instead of PCA Each of the routes has defined settings as illustrated in the following table Administration Routes Administration Occlusion Setting Maximum Rate During Maximum Maximum Route mmHg psi Basal Rate ml hr Figure 5 1 PCA Administration Route Default Settings 4 Load Dose Loading Dose Allows the clinician to program in a pre infusion loading dose if it is prescribed If a loading dose is not ordered select the default setting of 0 by pressing YES ENTER If it is ordered enter the dose in this field and press the YES ENTER key to accept and move to the next field The maximum load dose is determined by the administration route refer to Figure 5 1 above Note The units will correspond to the choice previously selected The loading dose will be delivered at the fixed bolus delivery rate when the RUN key is pressed to start the PCA infusion The amount of the loading dose is included in the displayed amount infused and is logged into the history file The bolus lockout time is set from the end of the loading dose Because the loading dose is only used on initial start up of an infusion it will revert to a value of 0 whenever the REPEAT Rx function is selected To terminate a loading dose in progress but save the rest of the MMP O ETANG prescription pause the pump and select REPEAT Rx When the INFORMATION RUN key is pressed
196. pump delivering in TPN mode at 25 mi hr with 1 hour ramp up and 1 hour ramp down 2 S lt 2 v 5 2 Percent Error Curlin Pump infusing at 1 m hr no headhight hour 70 detail Percent Error Rate Calculation Window Curlin Pump delivering at 1 ml per hour with zero headheight detail Calculated Average 0 1011 ml per hr 0 12 0 115 0 11 4 0 105 fA 0 1 0 095 0 09 Flow Rate 1 hour calculation window 10 10 5 11 11 5 12 12 5 13 13 5 14 14 5 15 infusion time hrs 180 Curlin pump infusing at 1 ml hr with zero headheight hour 2 infusion error Rate Calculation Window hrs Curlin pump infusing at 1 ml hr with zero headheight hour 70 Infusion error Rate Calculation Window hrs 181 Chapter Clinician Information and Access Code This chapter should be removed before initial patent taming and instruction on the Moog Curlin Infusion pump so the intended locked fundzons or secured functions of the pump cannot be accessed except by a trained dinidan Remora of this chapter will assist in patient safehy henever it is necessary for the clinician to unlock a secured lock setting the following screen will appear Clinician Access Code ENTER CODE BORG ARR _ INVALID CODE EXIT YES The access code for the Moog Curlin Infusion pump is given below Clinician Access Code 94629 this number is located on the address label on the back of the pump revers
197. py to repeat by moving the cursor to the therapy of choice and pressing the YES ENTER key The pump will then display the program screen with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescription manually by pressing the YES key at the remaining fields NEW PROGRAM To program an entirely new prescription or different therapy press the YES ENTER key when this field is highlighted and the display will return to the Select Therapy Screen The lock setting can control access to this function The therapy is complete therefore RESUME is not an option at this time and is not displayed 81 PCA Therapy Chapter PCA or Patent Controlled Anakesia ts designed for therapies requiring a continuous rate of infusion patient controlled demand boluses or both egin programming a PCA Therapy by selecting PCA from the Select Therapy Screen The following display screen will appear requiring you to enter information needed to program this therapy Prescription Menus PCA Pre Prescription Menu Screen UNITS fed UNITS mcd CONCEN CONCEN A ADMIN Rt IU ADMIN At EPL LOAD DOSE LOAD DOSE f Medlimit OFF Medlimit OFF NEXT YES NEXT YES UNITS mL ADMIN Rt SQ LoADDOsE oral
198. r a list of error notices and how to resolve them The error notice will include a numeric code At any error notice the only user option is to turn the pump OFF IMPORTANT If at any time there is indication of pump damage error code or messages requiting the pump to be turned off call the healthcare INFORMATION 1 se agency or facility as directed to report the condition Note If an error notice appears turn the pump off and back on again If the pump passes its start up diagnostics tests you can safely resume the therapy If the error notice recurs however turn the pump off and notify the healthcare agency responsible for monitoring the pump Some error notices may reset the pump back to it s default settings and therefore will require reprogramming When the Moog Curlin Infusion pump successfully passes it s self test a brief message of System OK appears and the display moves to the next screen 41 Bulmwei6oig soiseg Power Status Screen POWER SOURCE INTERNAL POWER This screen displays the active power source of the pump whether internal batteries or external power If the active source is the C size batteries a bar graph will indicate the amount of power remaining in the batteries This graph is only an approximation of the charge left and is not intended to give a specific representation of battery life The display will again automatically move to the next screen Prevent
199. r with epidural administrations and their clinical management Moog offers administration sets specifically designed for epidural infusions with 0 22 micron filters no injection ports and yellow striping to clearly identify the set for epidural use Any administration set being used for epidural infusions should be clearly labeled as such Clean the pump remote bolus cord AC adapter and battery pack with a soft clean cloth dampened in any of the following 1 Warm soapy water do not submetse 2 Isopropyl alcohol 3 Household bleach diluted 9 1 with water 4 Commercial disinfectant When clean dry pump and other items with a soft clean dry cloth The soft carry packs are intended for single patient use They may be cleaned in the gentle cycle of a washing machine using cold water no chlorine bleach and line dried They cannot be dried in a clothes dryer e The Bolus Data connector is to be used by the patient only for the connection of the bolus cord with remote switch Other accessory equipment connected to this digital interface must be certified to the respective IEC EN standards i e IEC 950 for data processing equipment and EN 60601 1 for medical equipment Furthermore all configurations shall comply with the system standard EN 60601 1 Anyone who connects additional equipment to the signal input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirement
200. ram No changes will be allowed in the Pre Prescription Menu during this time thus maintaining the originally programmed Delay Start time To change the Delay Start time press the NO CHANGE key when the Run Options Screen is displayed Run Options Screen PRESS to START to REWLIEM or Pe CME This will allow the clinician to go back to review the program and at this point a change can be made to the delay start time Note If the pump is not connected to the patient s access site at this time the patient or caregiver should be taught proper techniques to access the infusion site before the scheduled start time When the RUN key is pressed the Green and Yellow LED lights will flash to indicate that the pump will automatically start when the delay start countdown period is up During the delay start time the following screen appears DELAYED START INFUSION STARTIN 225 HH MhM KMORATE 12 9 mlshe 68 If the KVO rate is set to 0 the pump will beep ten minutes prior to the beginning of the Continuous Therapy start time To stop the audible beep press the Silence key During the delay start period if the KVO rate is set to 0 no fluid is infusing Be sure the patients access device is patent and has been gee e S flushed per facility policy to maintain patency during this time period eee Ned aed If a KVO rate is programmed then that KVO rate will be used in the Delay Start period 4 MEDLIMIT
201. re the option can be changed Any new setting except CLEAR HOURLY screen acceptance becomes effective when the Options screen is exited by pressing YES ENTER at the ACCEPT OPT field TPN Options Menu OPTIONS Lock OFF Lock HEL ToT OF F LA HRL OFF T DH Ramp OFF fay OM Occu LOH MAIR SENS O S ml AUDIO 3 N FHR CK OFF ACCEPT OFT YES NO 2 8 OFF 1 i 2 On Note The pump s default settings are indicated above in the left screen 1 LOCK When the lock is set to OFF the clinician has access to all of the pump functions After the pump is completely programmed change the lock to meet the security needs of this therapy There are four choices OFF 1 2 or 3 Each level higher limits the available options To change the lock setting press the NO CHANGE key until the correct lock setting appears Then press YES ENTER key to accept the new lock selection Once the 103 pump has been set into a locked condition any subsequent request to change the lock will require a clinician access code See Clinical Information and Access Code chapter for access code information lock setting table and available features for each lock setting HRLY TOT Hourly Totals To view hourly infusion totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screen will appear Hourly Totals Screen a The screen display
202. refer to these tables Display Screen The display screen provides a maximum of four lines of text or fields at any one time for feedback regarding the pump status and data entry It notifies the user with prompts or messages when necessary The screen has backlighting that remains e onif connected to an AC outlet e lit for 15 seconds if using batteries or during any key press sequences e on with alert alarm messages When no keys are pressed for fifteen seconds the light goes off to conserve battery power Backlighting is resumed with any key press In most displays a Therapy Identifier Bar appears at the far left of the screen indicating which therapy is running or which programming screen is being considered This identifier also has another function and that is to alert you when more text exists either above the top line or below the bottom line on the display screen The identifier bar will have an arrow configuration either pointing up or down or both whenever there is more text or it will appear as a squared off block if no further text exists The screen also has a cursor or highlight bar to tell you which field is being considered Use the up and down arrow keys to move the cursor When the pump is running a specially designed running screen appears to provide information regarding the status of that particular infusion In the following chapters each display screen will be explained 37 duing 6Buluie937
203. ress c Press the OPTIONS or PRIME keys if either of these functions is desired at this time Hanging a New Container 2 REPEAT Rx To repeat the present therapy and add another IV bag or reservoir with the same prescription press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen will list all preprogrammed therapies Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES ENTER key The pump will then display the program screen with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can 137 stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescription manually by pressing the YES key at the remaining fields When the program is accepted the display returns to the above Run Options Screen If the current therapy is still in progress when the REPEAT Rx function is selected the following screen will appear ALERT Ex in progress to Repeat to Return a This screen is a reminder that the infusion is not complete If the therapy is to be terminated and a new IV container added press YES ENTER to go to the programming screen confirm the program and proceed with the repeat infusion b If the incomplete therapy is to be continued press NO and the P
204. riable or Intermittent therapy is in progress a lower number of doses to be delivered is entered than the number already infused Wait until current therapy in progress is complete or PAUSE pump and using the REPEAT Rx function modify the number of doses Note Selecting to repeat the therapy in progress will terminate the current therapy ALERT NO BOLUS DOSE DEFINED Unable to enter bolus interval or of bolus hr because no bolus value has been programmed Entry of a value other than zero for the Bolus Interval or Bolus per hour field when no bolus value has been programmed Enter bolus value before entering bolus interval or of boluses hr ALERT NO KEYPAD ACTIVITY No Keypad Activity The pump has been displaying a non running screen for two minutes without any keys being pressed The alert will recur every 2 minutes as long as there are no key presses Complete the activity for the displayed menu The pump may also be turned off however all programming that was not complete will be discarded If the pump was running and the Options menu displayed when the alert occurred the run screen for the therapy will be displayed when the alert is cleared Any changes to the Options menu are discarded and will have to be re entered ALERT NO THERAPY ENABLED No Therapy Enabled Attempting to accept the Enable Therapy menu with all therapies set to OFF At least one therapy must be enabled or ON for menu to be
205. rime menus are left unattended for one minute this alarm will sound Press the PAUSE key to clear the alarm screen If required return to the screen displayed at the time of the alarm and complete the activity that was in progress or resume the infusion or turn the pump off 155 BHuljooysajqnoiy LCD Display Alarm Cause Resolution LCD Display Alarm Cause Resolution LCD Display Alarm Cause Resolution LCD Display Alarm Cause Resolution LCD Display Alarm Cause Resolution ALARM UP OCCLUSION Negative pressure detected between the pump and IV reservoir Pump has detected excessive negative pressure in the administration set between the medication reservoir or IV bag up stream and the pump Pause the pump Check administration set from IV bag to pump for potential causes of occlusion Open the door of the pump and remove the administration set from the pumping chamber If an area of the tubing is flattened massage that area to a more rounded shape If a clamp is in place open it if tubing is kinked straighten it Replace administration set back in the pump When ready to begin infusing select RESUME If the alarm continues use a new administration set or if the IV bag is almost empty replace it CMS NOT ENABLED Pump is not CMS capable A CMS system had attempted to communicate with this pump which was not CMS capable This pump is not capable of CMS
206. ription limits a RATE Using the numeric keys enter the new desired rate When the new rate has been entered press the YES ENTER key to move to the next field If the Medlimitation option is used to change the rate the new rate will then appear on the run screen and on the prescription menu whenever it is reviewed b ACCEPT YES NO Use the up down atrows to move to a field and change the data entered at this time To abort this screen entirely press NO at this prompt and the display will return to the options menu If the rate is correct press the YES ENTER key and the new rate will automatically be accepted The display returns to the Options menu when this screen is exited c New values will be in effect when the Options Menu is exited 5 DN Occlu Down Occlusion This feature allows the pump to sense an occlusion pressure in the line between the pump and the access site e g a kink in the tubing between the pump and the patient a blockage in the access site a clamp left on the distal tubing There are two options for this field the Low setting default setting triggers the alarm when it detects in line pressures at 400 mmHg 150 8 3 psi pounds per square inch or the High setting alarms when it detects in line pressures at 900 mmHg 150 18 3 psi Press NO CHANGE to change the selection When the correct pressure setting appears press the YES ENTER key to accept it and
207. rten the next KVO time between doses to comply with the dosing cycle When the infusion is resumed more than thirty minutes past the scheduled Next Dose Time the next dose will be ready for delivery when the pump is turned on All subsequent dosing will be shifted to keep the dosing cycle consistent unless the NXT DOSE Option is used to change subsequent dose times If a dose in progress is interrupted for thirty minutes or less and the infusion is resumed the dose in progress will resume and the only adjustment made will be to shorten the next KVO time between doses If a dose in progress is interrupted for more than thirty minutes and the infusion is resumed the dose in progress will be terminated If necessary use the NXT DOSE Option to reset the next dose delivery time If the KVO cycle is interrupted before reaching the time for next dose no changes occur in dosing time cycles If it is necessary to change the batteries during the delivery of an intermittent dose be sure to press the PAUSE key and then turn the pump off before removing the batteries If the pump is delivering a dose and the batteries are removed without first pausing the pump the dose in progress will be aborted Infusion Complete When the infusion is complete all doses of this IV bag are administered and the last KVO cycle is complete the following screen displays Intermittent Infusion Complete I INFUSION COMPLETE H
208. s 2 0ml YES was pressed at the ACCEPT field on the Options menu and the displayed setting in Options for the AIR SENS field is OFF however the pump is using a setting of 2 0ml This occurs when YES was not pressed when the AIR SENS OFF Using In Line Filter alert screen was last displayed and the down scroll arrow was used instead of the YES key to pass the AIR SENS field on the Options menu Alert is only displayed when Options is displayed and pump is running The cursor will be on the AIR SENS field when the alert is cleared Press YES to display the AIR SENS OFF Using In Line Filter screen Press YES if an air eliminating filter is being used Press NO if no air eliminating filter is being used ALERT VALUE PREVENTS A SUBSEQUENT DOSE Value entered will prevent the ability to program any more doses The value entered for the Variable Dose Amt or Time field will cause no remaining amount or time for a subsequent Recheck data entry 152 If this is a new program reprogramming of the therapy will be required if the error is in a previously programmed dose If the therapy is in progress or this is a repeat program that has not started and the error is in a previously programmed dose turn the pump off and then on Choosing to resume or repeat the therapy will display the last prescription that was completely programmed 153 BHuljooysajqnois ALARMS Alarms are conditions that require correction by the user an
209. s hourly infusion delivery for each hour 00 23 of the last 24 hours of therapy in the unit selected a The highlighted field has a marker lt indicating the current hour in progress b Use the up arrow key to scroll back through the last 24 hours c If the infusion was not running a series of will appear for that hour d To exit this screen press the NO CHANGE key CLR HRLY Clear Hourly Totals To clear Hourly Totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screen will appear Clear Hourly Totals Screen Clear Hourly 5 Totals NOH a ACCEPT a To clear the Hourly Totals press the YES ENTER key All Hourly Totals will be cleared and the cursor will return to the Options menu b To maintain the Hourly Totals press the NO CHANGE key Hourly Totals will be maintained and the cursor will return to the Options menu c A lock level of 2 or 3 will require an access code entry before allowing Hourly Totals reset DN Ramp Early Down Ramp During a TPN infusion it may be necessary or desirable to stop the level rate of infusion and begin an early down ramp process The range for this field is 0 00 to 9 00 HH MM Selecting early ramp down by selecting ON and pressing the YES ENTER key when the highlight bar is on this field brings a second screen as seen below EARLY RAMP MOH i DH Ramp CHEE HH W ACCEFT YES NO 104 Ade1
210. s of the system standard EN 60601 1 If in doubt consult the technical services department or your local Moog representative e The Moog Curlin Infusion pump has been tested and found to comply with the European Standard EN 60601 1 2 1993 and EN 60601 2 24 1994 These limits are designed to provide reasonable protection against harmful interference in a typical medical installation e This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to other devices in the vicinity However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to other devices which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one of more of the following measures 1 Reorient or relocate the receiving device 2 Increase the separation between the equipment 3 Connect the equipment into an outlet on a circuit different from that to which the other device s are connected 4 Consult the manufacturer or field service technician for help e Prior to programming Load Dose refer to Important Information in the appropriate Therapy chapters Note For information regarding the clinician access code read the chapter entitled Clinician Information and Access Code When entered correctly the access code all
211. s of the therapy Continuous Run Screen RATE HGG ml he Amt TEI SOG ml L FRES 10 mmHg TOTYOL 63 2 ml TOTVOL 66 5 ral REMAIN 436 5 ml REMAIN LOH HH MbM This screen displays as long as the infusion is running Notice the information on each field 1 The first line displays the rate of the infusion in whichever units hour has been selected This information toggles with the programmed Amount To Be Infused 2 The second line displays a graphic bar representing the percentage of the completed infusion In CMS enabled pumps the graphic bar will toggle with Line Pressure L Press which displays the current patient side downstream pressure in the administration set in millimeter of mercury mmHg units 3 The third line displays the total volume infused and if mg or mcg is the selected unit this field will toggle to display the total mg or mcg infused as well 4 The last line displays the remaining time to the completion of the infusion toggled with the remaining amount to be infused 5 In addition to the display screen giving information regarding the status of the infusion the green LED light blinks whenever the pump is infusing 77 Ade1 yL snonuiju09 The information on the run screen will alternate between a four line display and a large font display of each line of information on the screen Continuous Information Screens Amt TBI Remain 500 0 mL 1 14 HH MM Tot Vol Rate 74 5 mL 400
212. s valid the display will automatically move to the requested screen or field The four digit personal identification number appears on the screen but the access code numbers do not instead five asterisks appear The personal identification number is recorded in the history file for the purpose of providing an audit trail If an invalid code is accidentally entered a message displays Invalid Code and the clinician can reenter the correct code Note After entering the access code DO NOT press the YES ENTER key The pump will automatically recognize the correct code and give you access to the secured section IMPORTANT INFORMATION If an access code screen displays and the access code is not known use the down arrow to move the cursor to the EXIT field Press the YES ENTER key at this field to return to the previous screen and make another selection Also remember that the HELP key is available when the pump is paused Look first at the BIOMED SETUP menu and its special customization features BioMed Setup Bio Med Setup Menu ENTER to Select MAINT OS TANG4Y PROGRAMMER ID PATIENT ID Rx NUMBER INVOICE NUMBER CHANGE LOCK ENABLE THERAPY PRINT Pt Hx CLEAR Hx LOG CLEAR Fx CLEAR Pt DATA CHANGE CONTRAST DATE TIME DOME The BIOMED SETUP menu lists special optional customization and performance functions of the pump 43 Bulmwei6oig soiseg You may skip any of these functi
213. s with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescription manually by pressing the YES key at the remaining fields b NEW PROGRAM To program an entirely new prescription or different therapy press the YES ENTER key when this field is highlighted and the display will return to the Select Therapy Screen The lock setting can control access to this function Note The therapy is complete therefore RESUME is not an option at this time and is not displayed 97 Chapter TPN Therapy with Automatic Ramping This therapy is designed to allo a level rate of infusion of parenteral nutritional products with the option of tapering at the beginning end or both of the infusion It also has an early ramp down feature egin programming a TPN Therapy by selecting TPN from the Select Therapy Screen The following display screen will appear requiring you to enter information needed to program this therapy Prescription Menus TPN Pre Prescription Menu Screen DELAY ee HEST YES P H This menu item allows you to customize the program to match each individual prescription The pump s default setting is displayed in the left screen Each field is individually explained below 1 DELAY Delay Start This field allow
214. s you a window of time to be sure you have back up power e g extra batteries AC adapter or a recharged battery pack If you are infusing at high rates you will have approximately one hour of warning if you are infusing at low tates below 10 ml hr you will have a significantly longer time interval before the batteries are completely empty The user should be taught that whenever the low battery alert appears to pause the therapy turn the pump off and to replace both C size batteries Then turn the pump back on select resume to continue the therapy When the empty battery alarm occurs the pump will go into an alarm state and the infusion will stop If this occurs turn the pump off replace both of the C size batteries turn the pump on and go to the Resume function to continue the therapy All programming information is retained If the C size batteries are empty and you want to connect the AC adapter to power the pump turn the pump off first plug in the AC adapter and then turn the pump back on Note If you are operating the pump solely on the battery pack or the AC Adapter no C size batteries installed and the power source is disconnected from the pump the alarm will sound the infusion will stop and the display screen will be blank Turn the pump off reconnect the power source turn the pump on and resume the therapy All programmed information is retained However as there is no lo
215. s you to delay the start of the infusion from one minute up to twenty four hours If the infusion is NOT to be delayed select OFF and press the YES ENTER to enter The cursor will move to the next field If the infusion IS to be delayed until a later time select ON and press YES ENTER to accept The following screen will appear TPN Delay Start Setting T DELAY START DELAY START I o o Ttime GET HH l Akr EE DATE mmddyy AM TIME OD HH MM ACCEPT YES MNO DATE mmddyy WW accerT eee The time format 12 hr AM PM or 24 hr Military selected in the BIOMED SETUP Menu 98 AdesauL Nd Ll will apply in this table and if Military was selected the AM PM field will not appear here If the entire delay start screen is to be aborted press the NO key at the ACCEPT field When the start time and date are entered and the data is accepted after the YES ENTER key is pressed the infusion is set to start at the programmed time The display then returns to the next field in the Pre Prescription Menu After the entire prescription program is accepted if the pump is turned OFF and back ON press YES at PROGRAM and YES to REPEAT Rx The cursor will automatically scroll through the program No changes will be allowed in the Pre Prescription Menu during this time thus maintaining the originally programmed Delay Start time To change the Delay Start time press the NO CHANGE key when
216. shortens staff inservice time and patient teaching time e Helpful help screens and display messages e Three tamper resistant lock settings to assist in maintaining patient compliance and safety e Patient and therapy specific programming features via the Moog Curlin Infusion BIOMED SETUP and Options Menus when not limited by the institution e Ability at the institution level to configure the pump for specific Administration Route or Units of Measure 0 Units Factory ml mg mcg ml fixed mg fixed or mcg fixed Route Intravenous Epidural Subcutaneous Intravenous fixed Epidural fixed or 1 i Moog cannot guarantee the 5 accuracy claim when using syringes 2 Subcutaneous fixed Retention of programmed infusion settings until cleared by the clinician thus eliminating the need to reprogram before each use Mandatory requirement of two independent key press actions before a running pump can be turned off thus minimizing the accidental interruption of a therapy in progress Powered by two readily available cost effective C size alkaline batteries Attractive yet robust design that is impact resistant and water resistant Audio alarms that can be adjusted from 1 very quiet to 9 loudest to meet specific patient and clinical setting needs but that cannot be totally disabled Four sizes of convenient carry packs to assist the ambulatory patient in maintaining independence of lifestyle Bac
217. ss code entry before allowing Hourly Totals reset 4 DN Occlu Down Occlusion This feature allows the pump to sense an occlusion pressure in the line between the pump and the access site e g a kink in the tubing between the pump and the patient a blockage in the access site or a clamp left on the distal tubing There are two options for this field the Low setting default setting triggers the alarm when it detects in line pressures at 400 mmHg 150 8 3 psi pounds per square inch or the High setting alarms when it detects in line pressures at 900 mmHg 150 18 3 psi Press NO CHANGE to change the selection When the correct pressure setting appears press the YES ENTER key to accept it and move the cursor to the next field 5 AIR SENS Air In Line Sensor This feature allows you to select the amount of air the pump will detect in the administration set tubing before it goes into an alarm state The choices ate 0 1 ml 0 5 ml the default setting 2 0 ml and OFF Press the NO CHANGE key to change the options until the desired setting appears on the display and then press YES ENTER to select and move the cursor to the next line IMPORTANT Whenever the Air In Line Sensor is set to OFF Moog recommends HES RMAT LON the use of an air eliminating filter When the Air In Line Sensor is set to OFF and the RUN key is pressed at the Run Option screen the alert message
218. st be selected after each field when flashing to be accepted if YES is not pressed after each field the pump will say ALERT FIELD NOT ACCEPTED and will not allow you to continue programming Continue through each field until the RUN to START screen appears after selecting done 65 11 12 In the RUN to START screen you have four options RUN to START to begin the infusion NO to REVIEW to check orders and make changes OPTIONS to access additional features such as air sensor down occlusion setting audio PRIME to prime the set tubing via the pump In the RUN to START screen choose NO to review to validate therapy with another clinician Press YES at each highlighted field to confirm choices NO to change Note this should be done prior to priming the set tubing on the pump 13 When you reach the RUN to START screen for the second time you can now prime the set tubing To prime the set tubing via the pump Press the PRIME button at the bottom of the pump follow on screen instructions and hold the prime key down Keep the button depressed until you are finished priming Release the prime button to stop and press YES to EXIT to return to the RUN screen 14 You can now Begin your infusion by pressing RUN to START 66 Chapter Continuous Therapy Continuous Therapy is designed to allay a constant programmed rate of infusion egin programming a Continuous Therapy by selecting Continuous from the Select
219. t lightweight design allows mobility for ambulatory patients The Moog Curlin Infusion pump can be carried in any of the four convenient carryall soft packs pole mounted placed into the locked safety shells or set on a suitable surface for use Delivery Modes The pump features five therapy delivery modes 1 Continuous Infusion Designed to allow a constant programmed rate of infusion 2 PCA or Patient Controlled Analgesia Designed for therapies that require a continuous rate of infusion patient controlled demand boluses or both 3 TPN with Automatic Ramping Designed to allow a level rate of infusion of parenteral nutritional products with the option of tapering at the beginning end or both beginning and end of the infusion This mode also has an early ramp down feature 4 Intermittent Delivery Designed to deliver programmed intervals and rates of specified amounts of infusates and to optionally deliver small amounts of the infusate between doses to keep the patient s access site patent 5 Variable Program Designed to allow varying amounts rates and times of delivery of infusions up to twenty four specified programs uo1 npo1 u Indications for Use The Moog Curlin Infusion pump can be used for intravenous epidural or subcutaneous therapies It can be used to deliver medications from the specially designed Moog Curlin Infusion medication reservoir syringes or from IV bags A physician or a certified li
220. t 2 0mi Alert Screen ALERT ALF SENSOR HAS BEEN SET TO 2 8 ML Also when the Air In Line sensor is completely disabled and the infusion goes to an Infusion Complete or Empty Bag status the Air Sensor setting will automatically change to 2 0 ml 9 AUDIO Audio Volume This feature allows you to adjust the audio volume of the pump s 92 AdeI yL WOd alarm setting You can enter a number from 9 the loudest setting to 1 the quietest setting When you select a number the pump will beep at that audio level Press the NO key and enter a new setting 1 9 Repeat until the desired setting is reached and then press YES ENTER to select and move the cursor to the next field 10 PWR CK Power Check This feature allows you to periodically recheck the battery charge It will display the active power source of the pump whether internal batteries or external power If the active source is the batteries a graph will indicate approximately how much charge remains in the batteries To access this information select ON and press YES ENTER The Power Source Screen will display for five seconds and return to the Options Menu 11 ACCEPT OPT If the changes made in the Options Menu are acceptable press the YES ENTER key If the changes are not acceptable cursor up to any field for corrections ot abort all changes made in this menu by pressing the NO key and return to the previous screen
221. t of the access port Because bolus dosing is applicable only in PCA therapy if the cord is left in place and the button is pushed while any other therapy is infusing an alert message will appear on the display screen stating Not in PCA No Bolus Allowed Bolus Data Port on Left side of Pump Remote bolus access port Four pronged adapter plugs into access port on left side of pump as shown EL Vi Jy th Locking Sleeve To remove bolus cord pull back on locking sleeve and pull cord straight out of access port Figure 1 14 Attaching and removing the remote Bolus Cord 30 uo1 npo1 u Chapter Learning Pump Features Learning to operate the Moog Curlin Infiision pump requires a fev basic points of understanding that remain constant in every therapy It may be helpful to read through these steps first and then go back and use them to operate the Moog Curlin Infusion pump keys especially the dual function keys work will allow you to give commands to the F irst examine the key pad and the functions of the individual keys Knowing how the pump Display rap E Bee eee Screen f a Figure 2 1 Key Pad 31 duing uruIea7 Keypad Function ON OFF Used to turn the pump on and off When the pump is running however th
222. t the battery at a slight angle Slide the battery door compartment back to its closed position until the recessed pin locks into place 21 e Press no to change to ON e Press yes to view battery level e Press Yes to Accept OPT to exit options menu To check battery levels while CAUTION If batteries are removed from the bottom the pump is running end first damage to the springs e Press the Help Options keys in the bottom of the battery case can occur Damaged e Stroll down to PWR Ck springs can create a situation in which the battery overheats If the battery or the pump becomes excessively warm to the touch do not attempt to remove the batteries Set the pump aside and contact your home infusion pharmacy It is recommended to use Duracell Procell Batteries in Moog Curlin Pumps C cell batteries only this function will not check external battery pump power levels IMPORTANT INFORMATION Whenever an external source is powering the pump it is still important to always install the two C size batteries In the event of a power failure or accidental power cord disconnection the batteries will power the pump without interrupting the therapy in progress If the batteries are in place when the power cord is disconnected the display will say External Power Disconnected the alert beep will sound the batteries will take over powering the pump and the therap
223. tact with water or other fluids Do not use the battery pack where it might fall into water e The power gauge located on the pump screen pictured below does not reflect the remaining charge in the battery pack The displayed capacity on the pump will always show empty when a battery pack with remaining capacity is attached see image below POWER SOURCE EXTERNAL coe 24 e Refer to the LED indicators on the pump to determine if the battery pack has been fully charged or is in a low battery condition e The battery pack should be unplugged from the pump when recharging The AC adaptor cannot simultaneously power the pump and charge the battery pack If AC operation is desired connect the adaptor directly to the pump Environmental Storage Temperature 20 C to 65 C Atmospheric pressure 500hPa to 1060hPa Humidity 10 to 90 Operational Temperature 5 C to 40 C Atmospheric pressure 650hPa to 1020hPa Humidity 10 to 90 Directions for Use Charging the Battery Pack The Moog Curlin 360 2022 Globtek GTM41076 0609 1 5 Moog Curlin 340 2022 Globtek GITM41076 0609 1 5 Moog Curlin 360 2026 Globtek GTM341 7 5 800 or Moog Curlin 340 2026 Globtek GTM341 7 5 800 AC adapters can be used to recharge the battery A fully discharged battery will recharge in less than 15 hours e If connected disconnect the battery pack from the pump e Connect the AC adapter to the power port of the battery pack 25 Connect AC adaptor
224. test passes per the user manual If the pump fails volumetric accuracy it must be returned to Moog Medical Devices Group for evaluation Note This procedure does not replace the recommended Annual Preventive Maintenance The pump should receive preventive maintenance by a qualified technician at least annually e Do not use this pump with a pressure cuff applied to the IV bag or medication reservoir bag and do not unduly squeeze or compress the bag during a running infusion 5 Remove all air from the administration set and IV bag or reservoir before connecting it to a patient s access site Do NOT prime the administration set while it is connected to the patient s access device Doing so could result in overdosing the patient and could cause injury or death Do not attempt to open the pump s housing All service problems should be referred to an appropriate service technician Danger Risk of explosion if used in the presence of flammable anesthetic or explosive gasses CAUTIONS US federal law restricts this device to sale by or on the order of a physician or other licensed practitioner Keep the pumping surfaces clean dry and free of fluid spillage at all times This pump is fluid resistant and can withstand fluid spillage It is not however designed for total submersion as moisture buildup within the case could cause damage to the operating components Do not use the pump in the shower sauna or steam bath and
225. the delay start countdown period is up During the delay start time the following screen appears DELAYED START INFUSION STARTIM LZ 113 HH KMORATE D i ml he If the KVO rate is set to 0 the pump will beep ten minutes prior to the beginning of the therapy start time To stop the audible beep press the Silence key 112 os Duting the delay start period if the KVO rate is set to 0 no fluid is IMPORTANT infusing Be sure the access device is patent and has been flushed INFORMATION per facility policy to maintain patency during this time period Ifa KVO tate is programmed then that KVO rate will be used in the Delay Start period 4 NEXT If there are any changes to be made use the up or down arrow keys to locate the field to be changed use the numeric keys to enter the corrected information and press YES ENTER to accept the new data If all the fields are acceptable move the cursor to the NEXT field and press the YES ENTER key to move on to the next screen At the following screen the prescription information is entered to complete the programming of the pump Note that the screen Identifier gives you the abbreviation INT for Intermittent Therapy and has a down arrow configuration which indicates that there are more than four fields of text or information to be considered Intermittent Prescription Menu BAG ol REE ral BAG ol RE ral BAG ol RE ral AMT DDE 0 0 ral AMTDO
226. the last 24 hours of therapy in the unit selected a The highlighted field has a marker lt indicating the current hour in progress b Use the up arrow key to scroll back through the last 24 hours c If the infusion was not running a series of will appear for that hour d To exit this screen press the NO CHANGE key CLR HRLY Clear Hourly Totals To clear Hourly Totals press the NO CHANGE key to change OFF to ON and then press YES ENTER The following screen will appear Clear Hourly Totals Screen Clear Hourly Totals NOH ACCEFT a To clear the Hourly Totals press the YES ENTER key All Hourly Totals will be cleared and the cursor will return to the Options Menu b To maintain the Hourly Totals press the NO CHANGE key Hourly Totals will be maintained and the cursor will return to the Options Menu c A lock level 2 or 3 will require an access code entry before allowing hourly total reset TitrRx Medlimit Prescription If this feature was not selected in the Pre Prescription Menu it will not appear on the Options Menu If a Medlimit prescription was programmed and if the therapy is to be Medlimitd now select ON and then press the YES ENTER key to accept and to go to the Continuous Medlimitation menu Continuous Medlimitation Menu 74 Medlimit RATE DACE rol Ae ACCEPT YES NO This screen allows the within the predefined user to change the rate presc
227. the therapy is repeated these fields will have to be verified against the source container volume and prescribed prescription and changed accordingly ALERT INVALID ENTRY Invalid Entry Data entered does not fall within the defined limits of the program 147 BHuljooysajqnois Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Enter data that falls within the limits of the program Refer to the specific therapy section in the User s Manual ALERT KVO RATE IS GREATER THAN INF RATE Unable to enter KVO rate that is greater than infusion rate Occurs when user enters a KVO rate that is greater than infusion rate Recheck data entry calculated infusion rate KVO rate must be less than programmed or ALERT LESS THAN MIN FIELD LIMIT MIN Unable to program a field with a value that is less than the minimum limit Value entered is less than the minimum limit for the pump or Medlimitation limit programmed Recheck data entry A value entered cannot be less than the field s minimum limit ALERT LOW C BATTERIES Battery source power is low The batteries that are powering the pump have reached levels that may prevent the continued operation of the pump beyond 1 hour actual time is rate dependent Alert applies to only C size
228. these options The OPTIONS menu can also be accessed while the pump is running 116 Note After the infusion has started any changes made through the OPTIONS menu involving e HRLY TOT and e CLR HRLY will return you directly to the ACCEPT OPT field The following screen displays the Intermittent Therapy Options available When you open this menu use the up and down arrows to move the highlight bar to the desired option Lock settings may require an access code before the option can be changed Any new setting except CLEAR HOURLY screen acceptance becomes effective when the Options screen is exited by pressing YES ENTER at the ACCEPT OPT field Intermittent Options Menu OFTIONS Lock OFF Lock ie HRL Y ToT OFF LEHRL Y OFF DH Occlu LOW HIGH MAIR SENS 5 ral OFF 4 MXTOOSE 2 Q HHMH AUDIO 9 ea g FHR CK OFF on ACCEPT OFT YES NO Note The pump s default settings are indicated above in the left screen 1 LOCK When the lock is set to OFF the clinician has access to all of the pump functions After the pump is completely programmed change the lock to meet the security needs of this therapy There are four choices OFF 1 2 or 3 Each level higher limits the available options To change the lock setting press the NO CHANGE key until the correct lock setting appears Then press YES ENTER key to accept the new lock selection Once the pump
229. this will require turning the pump off and back on again 40 Using Help Help screens are available for data entry selection screens during action field screens and at the infusion complete screen To access help press the HELP key Use the arrow keys to scroll through the help message and then press the HELP key again to exit help When a help screen is displayed and there is more text to read which is not currently on the screen a small up al or down arrow indicator will appear to let you know you can scroll up or down to read the complete help message Starting the Pump Start the pump by pushing the blue ON key The following screen displays Welcome Screen HELC OME zTJAN J 171ZH Rev RSH FH 6E Self Test The above Welcome screen gives the date time and a message that the pump is performing a self diagnostic test If the numbers on the date field are displayed as zeros the system clock will need to be set using the BIOMED Set Up See BIOMED SETUP section The display also lists the software revision number for this pump During this test you will hear three beeps as each of the LED indicators blink If any one of the green yellow or red LED lights fails to light or to blink return the pump for service If the self test fails the alarm will sound and a new screen will appear stating ERROR CODE or SYSTEM ERR See Troubleshooting chapter fo
230. tion Set tubing is always placed in front of the door a j hinge with a cut away of the display screen allowing you to visualize the receptacles for the small blue Tubing Guide on the right side of the pump and the larger yellow Integral Flow Stop on the left side of the pump The arrows in corresponding colors ate visible on the background surface of the pump head and indicate the proper direction for placing these locators into their receptacles Also note that the breakaway tab has been removed from the Integral Flow Stop allowing the administration set to be placed into the pump correctly uo1 npo1 u Figure 1 9 Proper installation of the Moog Curlin Infusion Administration set into the pump Steps in Installing Administration Set into Moog Curlin Infusion Pumps Fully open the door of the pump Close the slide clamp on the administration set Activate the Integral Flow Stop by twisting and removing the breakaway tab Insert the blue tubing guide into the receptacle on right side of pump in the direction of the blue arrow positioning the tubing in front of the door hinge Center the tubing in the middle of the pumping fingers covering the yellow dot 6 Holding the yellow Integral Flow Stop by the handle see Figure 1 9 insert it on an angle into the receptacle on the left side of the pump in the direction of the yellow arrow CAUTION Do not press dow
231. tion screen and change the Down Occlusion level to HIGH Again pinch off or close the clamp on the down stream side of the administration set Confirm the pump goes into Down Occlusion Open or clear the down stream occlusion and confirm the pump resumes infusion Up Stream Occlusion Resume the infusion pumping then pinch off or close the up stream side of the administration set Confirm that the pump goes into an Up Occlusion alarm Open or clear the up stream occlusion press Pause then Resume the infusion Door Sensor With infusion in progress open the door latch and observe ALARM DOOR OPEN OR SET NOT INSTALLED 170 e f Air In Line Sensor Reinstall the administration set properly and resume the infusion From the Options menu set the AIL SENS AIR IN LINE sensitivity to 0 1ml With the pump running introduce an Air Bolus of approximately 0 5ml into the fluid path at the input side of the pump Once approximately 0 1ml of air has past the AIL detector an ALARM AIR IN LINE will occur Pause and Prime the air bolus past the AIL sensor then resume the infusion Auxiliary Alarm With the pump running observe the Vol INF volume infused on the run screen and disconnect the pump from all power sources unplug the AC Adapter eliminator and remove one C Cell battery Observe that the Auxiliary Alarm System is activated with the Red LED and Beeper on constant not intermittently beeping With the battery still out of the pump press
232. to accept the new data If all the fields are acceptable move the cursor to the DONE field and press the YES ENTER key to move on to the next screen Before the infusion is started it is important to consider a few IMPORTANT remaining issues such as checking the administration set to be sure it was primed or purged of all air or perhaps the pump may need to be put into a security lock setting for additional safety INFORMATION The next screen that appears when the programming is complete offers four choices Run Options Screen PRESS to START to REVIEM or Pe CME Note that you do not need to answer yes or no questions or enter data with the numeric keys as previously requested This screen requires only that you press the corresponding key on the keypad to begin the requested function The following explains each selection beginning with Prime Prime The IV bag and administration set should be inspected and be free of all air and air bubbles before they are connected to the patient s access site Priming may have been done by gravity when the administration set was first connected to the bag see Chapter 1 Preparing Medication for Infusion However if it was not done then or if there are any remaining air bubbles to be removed the pump s PRIME function will assist in this process To prime the set by using the pump follow the directions below Note The lock setting may restrict the ability to
233. to the Select Therapy Screen and allow you to choose which of the programs you now wish to repeat Note If you are choosing a therapy that is different than the last one selected Shift Totals and Hourly Totals will be cleared 50 If only one therapy is programmed and REPEAT Rx is selected the cursor will automatically advance through the prescription menus You can stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescription by pressing the YES key at the remaining fields Note REPEAT Rx does not allow any changes to the Pre Prescription Menu If changes need to be made in Pre Prescription selections units concentration etc select New Program and reenter the entire prescription The lock settings affect the use of REPEAT Rx Lock 1 allows REPEAT with changes to the prescription screen only Lock 2 allows REPEAT but does NOT allow the user to make changes in the prescription Lock 3 does not allow REPEAT See lock setting table If a therapy has not completed and the REPEAT Rx function is selected the following screen will display ALERT Rx in progress to Repeat to Return If the current infusion is to be discontinued and a new IV bag started press YES ENTER to repeat If the current infusion is to continue press NO and you will be prompted to resume the P A y promp therapy How to go to New Pr
234. ubing with occlusion 0 1 ml hr lt 20 minutes below spike 1 ml hr lt 4 minutes 10 ml hr lt 20 seconds 50 ml hr lt 10 seconds 174 ITEM SPECIFICATION Down Occlusion Detection Time Rate Low Pressure Microbore tubing with occlusion at 0 1 ml hr lt 45 min distal Luer 1 ml hr lt 5 min 10 ml hr lt 20 seconds 50 ml hr lt 5 seconds 125 ml hr lt 3 seconds Programmable Time HH MM Continuous 00 01 to 288 00 HH MM TPN 00 01 to 288 00 HH MM Intermittent 00 01 to 288 00 HH MM Variable 00 01 to 288 00 HH MM PCA No time limit Bolus Volumes Microbore tubing with occlusion at Low Pressure lt 0 1 ml distal Luer High Pressure lt 0 1 ml High Pressure lt 1 hr 30 min lt 7 min lt 45 seconds lt 15 seconds lt 5 seconds Percent Error Curlin Pump infusing at 25 ml hr with a negative headheight of 100 mm Hg Percent Eror Rate caluclation Window min 175 suonedsyioeds jeduyooL Percent Error Curlin Pump infusing at 25 mi hr with a positive headheight of 100 mm Hg Percent Error 11 Rate Calculation Window min Percent Error Curlin Pump infusing at 25 mV hr with zero Headheight Percent Error t o fad Lu p oO a Rate Calculation Window min Percent Error Curlin Pump infusing at 1 ml hr w ith a positive headheight of 100 mm Hg Percent Error Rate Calculation Window min 176 Percent Error Curlin Pump infusing at 1 m hr with a positive headheight of 10
235. ume infused 4 KVO Rate The preset KVO rate displays 5 Infusion Complete is considered an alarm status and the audio alarm will beep periodically every 3 seconds if there is no KVO every 20 minutes if there is a KVO to alert the user to this condition Additionally the LED lights blink to alert you to the status of the pump The green light blinks when the KVO rate is infusing if one is programmed and the red light blinks to indicate that the Infusion Complete alarm exists Stopping the Infusion To halt the infusion at Infusion Complete press the PAUSE key and then choose to either 1 Turn off the pump by pressing the OFF key or 2 Select one of the options from the Pause screen a Note Pause Menu Screen ENTER to Select MEH PROGRAM REPEAT Rx To repeat the present therapy and add another IV container with the same prescription press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen will list all preprogrammed therapies Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES ENTER key The pump will then display the program screens with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescripti
236. value entered for TPN is unacceptable given the desired rate and amount programmed Recheck all data entered for prescription If programming a new TPN therapy NEW PROGRAM selected and the ramp time is a requirement enter the ramp time s and total time first followed by the next governing parameter rate or volume to be infused ALERT RATE EXCEEDS DELTA RATE DELTA TIME Rate entered exceeds the delta time limits The rate entered falls outside of the allowable range for the delta rate delta time limits programmed Recheck data entry or wait more time elapses then attempt to change the rate Rate selected cannot exceed the range placed on Medlimitation ALERT RUNNING PAUSE PUMP BEFORE OFF Pause Infusion before turning off 150 Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause The OFF key was pressed while the pump was infusing or a running screen displayed Press PAUSE key before pressing OFF key to stop an infusion ALERT Rx IN PROGRESS YES to Repeat NO to Return REPEAT Rx selected while a therapy is already in progress REPEAT Rx was selected and there is a therapy currently in progress To terminate the current therapy in progress press YES Resume will no longer be available The Select Therapy menu will be displayed if only one therapy is in pro
237. vironment Storage Temperature Range 20 to 140 F Storage Relative Humidity 5 to 95 non condensing 173 suo esyioeds jesiuyoaL Power Requirements 2 C size Single Use Batteries AC Power ITEM SPECIFICATION Operating Time with Full Charge Nominal 10 hours at a rate of 400 ml hr Batteries Nominal 30 hours at a rate of 125 ml hr Nominal 85 hours at a rate of 2 ml hr Internal Memory Battery 5 years life Display Graphic LCD 4 text fields 16 characters per field Flow Rates 0 1 to 400 ml hr KVO Rates 0 to 10 ml hr Can be set at 0 in Continuous TPN Variable and Intermittent Therapies Volume Accuracy 5 for volume delivery gt 1 ml under the following conditions e Temperature 55 to 90 F e Back pressure to 300 mmHg 5 8 PSI 10 for volume delivery gt 1 ml under the following conditions e Temperature 45 to 55 F e Temperature 90 to 104 F e Back pressure to 750 mmHg 14 5 PSI The maximum volume that may be infused under Single Fault Conditions is 0 8 ml Recommended administration set usage not to exceed 72 hours follow standards of practice for set changes Administration Sets Proprietary Moog Curlin Infusion non DEHP PVC administration sets available in different configurations Fill Volume for Administration Sets Nonfiltered microbore sets 4 ml See individual administration set label for specific fill volume Up Occlusion Detection Time Rate Time to Alarm Microbore t
238. w Container 2 REPEAT Rx To repeat the present therapy and add another IV container with the same prescription press the YES ENTER key at this field If more than one therapy is programmed a Select Therapy Screen will list all preprogrammed therapies Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES ENTER key The pump will then display the program screen with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus You can stop the auto advance function by pressing any key except ON OFF and then complete the confirmation of the prescription manually by pressing the YES key at the remaining fields When the program is accepted the display returns to the above Run Options Screen If the current therapy is still in progress when the REPEAT Rx function is selected the following screen will appear ALERT Ex_in progress to Repeat to Return a This screen is a reminder that the infusion is not complete If the therapy is to be terminated and a new IV container added press YES ENTER to go to the programming screen confirm the program and proceed with the repeat infusion 95 b If the incomplete therapy is to be continued press NO and the Pause Menu screen will be displayed then press YES and the Run Options screen will be displayed To resume the unfinished therap
239. w battery alarm for the external battery pack the external battery pack should always be used with charged C cell batteriesww When replacing batteries pause any infusion in progress by pressing the PAUSE key and then turn the pump off Replace the batteries and when the pump is turned back on select RESUME to continue the therapy from the point at which it was interrupted 20 uo1 npo1 u Battery Replacement Alternate battery door Figure 1 12 The battery door compartment is located on the back of the pump To open the door depress the recessed release pin Use a small coin such as a penny to depress the pin e Do not use a screwdriver or other sharp objects to open battery compartment door le Slide the battery door down and remove it from the pump If your pump contains a plastic tab between the batteries pull up on the tab until the batteries can be removed Otherwise e Using the small coin Penny pry up and out on the top edge of the battery to cause the battery to pop out le Use the same technique on the second battery e Do not use a screwdriver or other sharp objects to pry batteries out of the pump Install two new C size batteries by depressing the coil spring with bottom end of the battery and sliding the top of the battery into place le Please note Both positive poles are at the top of the battery compartment To depress the coil spring inser
240. y press RUN Entering a New Program NEW PROGRAM To program an entirely new prescription or different therapy press the YES ENTER key at this field the ability to change these parameters may be controlled by the lock setting The display will return to the Select Therapy Screen if more than one therapy mode is enabled or to the Pre Prescription Screen of the single therapy mode If the current container has not completely infused the following screen will appear 3 a b Note ALERT Ex in progress Hew Program to Return This screen is a reminder that the infusion is not complete If you want to return to the current container and finish infusing it press the NO CHANGE key to return to the Pause Menu screen To abort the current container and enter a new program press the YES ENTER key If a prescription has previously been entered for the therapy mode you wish to program the following screen will appear ALERT Rx Programmed to Erase Rx to Return If you want to save the current prescription press the NO CHANGE key to return to the Pause Menu screen If you wish to erase the current prescription and enter a new program press the YES ENTER key to proceed All previous prescription values will be erased Selecting NEW PROGRAM will also reset the OPTIONS selected to their default settings except for the LOCK and AUDIO settings which must be changed manua
241. y effect The battery pack enclosure may be cleaned with a mild soap or disinfectant End of Life Determination The battery in the battery pack degrades with charge cycles and time since manufacture When the batteries are no longer holding their charge for a sufficient length of time the battery pack should be replaced 28 AC Adapter Charger This accessory becomes the external power source when plugged directly into the Moog Curlin Infusion pump see Figure 1 2 for external power port location on the bottom of the pump The AC Adapter can also be used to recharge the portable battery pack by plugging the connecting cable into the recharging port on the battery pack see Figure 1 13 There are two AC Adapters e The US Domestic AC Adapter P N 360 2026 has a three prong plug to be plugged into a standard three prong grounded wall receptacle and a six foot cable which plugs into the power outlet on the bottom of the pump The two pin connector plugs into the receptacle by aligning the red dots on each e The International AC Adapter P N 360 2022Kit available for international use The two pin connector plugs into the receptacle by aligning the key on the connector Note Pause the pump and then turn it off before connecting the AC Adapter Note The connector is keyed with a notch at this red dot location to guide alignment To remove pull back on the locking sleeve to unlock and then pull gently to remove the connector fro
242. y will continue infusing Handling and Storage Store at room temperature Avoid mechanical or electrical abuse Do not short charge or install incorrectly Do not mix with other battery types as alkaline manganese dioxide with carbon zinc Replace both batteries at the same time Do not store batteries loose Refer to battery manufacturer s material safety data sheet for specific product recommendations and precautions Duracell and Procell are registered trademarks of Proctor amp Gamble 22 External Power Sources Rechargeable Lithium lon Li lon Battery Pack 360 2030 Overview The Li Ion Battery Pack pictured below is designed to be used with 2 fully charged C cell batteries to power a model 2000 4000 6000 or PainSmart infusion pump for an extended period of time without being connected to a power outlet The battery pack allows the user to operate the pump for a minimum of 24 hours at 125ml hr in addition to the run time supplied by the disposable C cells in the pump To ensure an adequate low battery warning period the battery pack should always be used with 2 fully charged C cell batteries installed in the pump 23 The battery pack provides 5 2V with a capacity of 6000 mA hrs It is connected to the same port connector that the AC adaptor uses to power the pump When the battery pack power is fully exhausted the pump will automatically revert to the internal C batteries Having new C cell batteries i
243. ystem of a Curtin Infusion 6000 CMS Infusion Pump that has this program REQUIRED EQUIPMENT The following equipments are required to service the pump Data Interface Cable for PC Curlin P N 340 2011 Personal Computer with Microsoft Windows 2000 XP or Vista Protocol Library Safety System Software Curlin P N 360 7039 6000 CMS Ambulatory Infusion System with Protocol Library Safety System Note Electrostatic Sensitive Devices observe handling precautions Download Protocols from the Protocol Library Safety System Software into the Protocol Library enabled 6000 CMS pump 53 Protocol Library Safety System DER see TE Protocol Library Safety System ral eee Register PLSS r History User Admin M Devices i lanaged Settings Geen i Select 9 View Download Log Category Management S C PainSmart 10D v Protocol Management Step 2 Managed Device Library Management Comm Port Library Approval Sam s Step 4 Connect Pump to PC Do not power on the pump Step 5 Press the Download button ee Sinans Pare The download status indicates if the download was successfull List of Libraries General Hospital Therapies Download Status Morphine 1 mg ml Fentanyl 4 mcg ml 23 Download Library L Clear Pump Library a _ How to navigate to the Download Management screen Step 1 Click on Protocol Library from the top navigation bar Step 2 Click on Download Management from the left navigation

User Manual - Integrated Medical Systems, Inc.

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