Fresenius Orchestra Base Unit - User manual
Contents
1. Fresenius Vial recommends not to place the Modules higher than 1 3 meter above patient We recommend you partially or completely recharge the battery when you receive the devices or in the case of prolonged storage so as to prevent all risk of premature discharge To preserve the environment remove the battery from the device prior to destruction or at the end of the device life and as during normal maintenance replacement return it to a competent recycling organisation Proceed in the same way for the device itself electronic boards plastics Avoid short circuit and excessive temperature Anaesthetic substances the device must not be used in the presence of inflammable anaesthetic agents due to the risk of explosion It should always be used away from all risk areas Use only disposable proposed in the Module DPS and Module MVP Operator s Guide in accordance with local standard operating procedures and good clinical practices Using NO recommended disposable could lead to serious hazards such as free flow or pump degradation Fuses should be replaced by equivalent parts This should be done by a qualified technician Refer to the part list of the technical manual for full specification The Base Intensive may only be connected to the mains with the power cord supplied by the manufacturer Check that the supply voltage corresponds with the value indicated on the label placed underneath the device Do not exceed the permi2. 4000 V CL gt Rs 232 RS 232 1 RS 232 2 Yellow QO Flashing red Orange Red Ya VGA color Direct current Input voltage signal Output voltage signal Battery Fuse Functional earth Patient s hand set not used RS 232 connection insulated 4000 V Additional RS232 connection n 1 To connect one Base A or a device conform to the IEC 601 1 Standard Additional RS232 connection n 2 To connect the bar code reader 5 V voltage Nurse call connection To use the 3 RS232 and the nurse call connections please refer to the corresponding technical file to respect connections 1395 6_nu_base_int_v3_2_is_120606 doc Precautions to be taken The symbol AX visible on the condensed instruction guide of the devices recommends this Operator Guide should be completely read in accordance with the EN 60 601 1 standard Fresenius Vial will not be liable for any damages or claims medical or otherwise of any nature whatsoever whether direct or consequential caused by improper use of this device Special attention must be paid to the stability of Orchestra when several modules are used on Base Intensive From the 4th Module onwards Orchestra must be equipped with the Multifix accessory to ensure rigidity During transportation of Orchestra with Multifix accessory only install maximum 6 Modules on Base Intensive Use the device in horizontal position on a table or with the Multifix for use on a pole
3. 100 of capacity 16 hours Compliance Complies with Medical Device Directive 93 42 EEC CE mark CE 0459 Safety of Medical Electrical Equipment Complies with EN IEC 60601 1 and EN IEC 60601 2 24 IP34 Protection against splashing fluid 9 Protection against leakage current Type CF equipment m Protection against electric shocks Class II equipment Electromagnetic Compatibility Complies with EN IEC 60601 1 2 second edition and EN IEC 60601 2 24 Detailed information is given in paragraph Guidance and manufacturer s declaration on electromagnetic environment Emission compliance Radiated and Conducted RF CISPR 11 EN 55011 Group 1 Class B Harmonics EN IEC 61000 3 2 Class A Voltage Fluctuations Flickers EN IEC 61000 3 3 Immunity compliance Electrostatic Discharges ESD EN IEC 61000 4 2 Fast Transient Burst EN IEC 61000 4 4 Surges EN IEC 61000 4 5 Voltage dips variations EN IEC 61000 4 11 Magnetic Field EN IEC 61000 4 8 Conducted RF EN IEC 61000 4 6 Radiated RF EN IEC 61000 4 3 Device materials Polycarbonate with glass fiber Lower case Upper case ABS Locking bloc Polycarbonate with glass fiber Labels Polyester LCD glass PMMA 4c Dimensions Weight Dimensions Weight Width 32 cm Depth 30 cm Height 7 5 cm approx 2 6 Kg Indicators lights Mains power operation Mains disconnection alarm Pre alarm Alarm LCD screen Symbols IBS oli
4. 1200 ml h 0 1 ml h increment Time limit programmable for the loading dose and the bolus From 1 second to 60 minutes 1 second increment Volume limit programmable for the loading dose and the bolus From 1 ml to 65 ml 0 1 ml increment Flow rate accuracy Please refer to the Modules Operator s guides Volume variations during the relay setup Volumes variations A V average AV maxi Average setup time Syringe types in ml in ml in seconds 50 cc 0 100 0 200 125 20 cc 0 040 0 130 72 10 cc 0 016 0 034 45 5cc 0 018 0 030 34 Minimum volume is lower than 0 02 ml whatever the selected syringe type These values are equivalent to volume variations observed for a simple connection of an IV infusion line on the patient 1395 6_nu_base_int_v3_2_is_120606 doc Units and conversion formula Programmable dilution units are in mg ml ug ml ng ml U ml kU mI mg ug ng g U kU mol mmol Cal kCal Mass rate units are calculated from mass units ng ug mg g or Insulin U kU or mol mmol or cal kcal per time unit 24 h h min pondered or not by patient s weight kg Bolus dose or initial dose are calculated from mass units ng ug mg g or Insulin U KU or mol mmol or cal kcal pondered or not by patient s weight kg or in ml The used formulas are Q D P C with pondered weight Q D C without pondered weight V d P C if dosis is pondered by
5. 61000 4 2 IEC 60601 1 2 Compliance level obtained Immunity test IEC 60601 2 24 by the Electromagnetic environment guidance Test level device Electrostatic 8 kV contact 8kV contact Coatings of the floors out of wooden tilings and concrete with a relative humidity level at least 30 makes it possible to guarantee the level of necessary conformity If it is not possible to guarantee this environment of the additional precautions must be taken such as anti static material usage preliminary user discharge and the wearing of anti static clothing 50 60 Hz magnetic field IEC 61000 4 8 15 kV air 15kV air If the IEC 60417 5134 ESD symbol is adjacent to a connetor all the precautions of use must be taken before all handling std Electrical fast 2 kV for power 2 kV for power Mains power quality should be that of a typical domestic commercial or Transient burst supply lines supply lines hospital environment IEC 61000 4 4 1 kV for input 1 kV for input output lines output lines Surge 1 kV differential 1 kV differential Mains power quality should be that of a typical domestic commercial or IEC 61000 4 5 mode mode hospital environment For a very exposed establishments or building with the 2 kV common 2 kV common mode lightning a protection must be installed on mains power mode Voltage dips short lt 5 Ut lt 5 Ut Mains power quality should be that of a typical domestic commercial
6. AMMONIA AMMONIUM CHLORIDE CHLORINE and AROMATIC HYDROCARBON ETHYLENE DICHLORIDE METHYLENE CHLORIDE CETONE These aggressive agents could damage the plastic parts and cause device malfunction m Take care also with ALCOHOL BASED SPRAYS 20 40 alcohol They lead to tarnishing of and small cracks in the plastic and do not provide the necessary cleaning prior to disinfecting Disinfecting SPRAYS may be used in accordance with the manufacturer recommendation from a distance of 30 cm of the device avoid the accumulation of the product in liquid form Please contact the appropriate service responsible for cleaning and disinfecting products in your establishment for further details Environmental conditions The device should be stored in a dry and cool place In case of prolonged storage the battery should be disconnected via the battery access flap situated underneath the device This should be done by a qualified technician E Storage conditions and carrying Temperature 10 C to 60 C Pressure 500 hPa to 1060 hPa Humidity 10 to 90 no condensation m Use conditions Temperature 5 C to 40 C Pressure 700 hPa to 1060 hPa Humidity 20 to 90 no condensation an Quality control Upon the hospital request a control check of the device is recommended every 12 months A regular control check not included in the guarantee consists of various inspection operations listed in the Technical manual These
7. control checks must be performed by an experienced technician and are not covered by any contract or agreement provided by Fresenius Vial Preventive maintenance To ensure normal performance of the device it is recommended that preventive maintenance is performed every 3 years This includes battery replacement and it should be performed by a qualified technician The qualified technicians in your establishment or our After Sales Service should be informed if the device is dropped or if any of malfunctions occurs In this case the device must not be used Caution Failure to comply with these maintenance procedures can damage the device and lead to a functional failure Internal inspection of the device requires the respect of particular procedures to void damages to the pump or user Servicing For further information concerning the device servicing or use please contact our After Sales Service or our Customer service If a device is returned to our After Sales Department it is essential to clean and disinfect it then pack it very carefully if possible in its original packaging before sending it Fresenius Vial is not liable for loss or damage to the device during transport to our After Sales Department At the end of the device life return it to an organization competent in the treatment of the electrical and electronic equipment waste Remove the battery from the device and return it to a competent recycling organizatio
8. desired administration 4 Start infusion pressing the key of the Module DPS Note The symbol and START O alternatively reminds the user that infusion start is made pressing the key of the Module DPS 1395 6_nu_base_int_v3_2_is_120606 doc Flow rate modifications and information during infusion The infusion rate in the selected unit can be modified from the Base Intensive Rate in ml h can be modified from the Module keyboard Information about rate is automatically updated on Base Intensive i DOPAMINE 5 00 mg ml DOPAMINE 250 mg 50 m 5 00 mg ml SAHI g kg min 4 2 mith 71kg 1 Fresenius Injectomat 50 cc 300 tel a Gia Flow rate program To modify the infusion rate from the Base Intensive 1 Select the channel pressing the key 2 Press the key or the rotary knob 3 Adjust flow rate value with the rotary knob 4 Press the key or the rotary knob to confirm the modification 5 Press the Module s key to confirm the new flow rate has been done During a rate modification on the Base Intensive pressing the key will revert back to the initial value Notes At syringe change the name and concentration of the last selected drug are proposed per default if the selected drug name is not modified then the total infused volume is cumulated in the programming screen of the selected channel 1395 6_nu_base_int_v3_2_is_120606 doc Infusion press
9. or interruptions and gt 95 dip in Ut gt 95 dip in Ut hospital environment voltage variations on for 0 5 cycle for 0 5 cycle power supply input For a short and long interruptions lt than battery autonomy of power mains lines 40 Ut 40 Ut the internal battery provide the continuity of service 60 dip in Ut 60 dip in Ut IEC 61000 4 11 for 5 cycles for 5 cycles For a very long gt than battery autonomy interruptions of power mains the Base Intensive must be powered from an external uninterruptible power 70 Ut 70 Ut supply UPS 30 dip in Ut 30 dip in Ut for 25 cycles for 25 cycles lt 5 Ut lt 5 Ut gt 95 dip in Ut gt 95 dip in Ut for5s for 5s Power frequency 400 A m 400 A m If necessary the power magnetic field should be measured in the intended installation location to assure that it is lower than compliance level If the measured field in the location in which the Base Intensive is used exceeds the applicable magnetic field compliance level above the Base Intensive should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or re locating the Base Intensive or install magnetic shielding Note Ut is the a c mains voltage prior to application of the test level 10 1395 6_nu_base_int_v3_2_is_120606 doc Guidance and manufacturer s declaration electromagnetic immuni
10. risk of premature discharge Special attention must be paid to the stability of the Base Intensive when several Modules are used From the 4th Module onwards the Base must be equipped with a Multifix to ensure rigidity see accessories page 21 The Base Intensive can be used on mains E or battery 2 red indication because looks like an alarm normal functioning of Base Intensive is on mains Note connect device to mains as soon as possible to recharge Base and Modules batteries 1 Connect the power supply cord to the Base Intensive and to the mains source The mains power indicator lights up E 2 Install the Modules on the Base Intensive or on another Module already installed and turn the locking handle to locked position i Locking handle Locked position i Unlocked position Ex Module DPS and Module MVP 3 Quick check see protocol page 14 This test is recommended before use or when the device has not been used for a long time This test allows a complete alarms and safety features check Use of keyboard and rotary knob Parameter selection and modification Parameter selections and modifications are done with the rotary knob and the keyboard selection keys To move from an item to another use the rotary knob To select an item press the rotary knob or the key To modify a value of the selected item use the rotary knob To confirm the modification press the rotar
11. screen is displayed owen gg et G 250 0 ml h 2 2 mith 2 20 Uth 2 3 mith 121 mg h eE A emh Tar mum E 48mh Tar Sr QTE 426 mih Tar mons HE Simh Tar Saami NE EE S S i mith TT 4 Select the channel s where the weight must be modified pressing the key of each channel This these channel s is are identified with symbol 49 The following screen is displayed gt DOPAMINE 5 00 DOPAMINE DOPAMINE 5 00 mg ml PATIENT WEIGHT CHANGE Previous weight le Weight modified 71 kg 70 kg PRIORITY 5 10 mish gt 6 07 pg kgimin Keep the volumic flow rate 5 0 mih In this example the priority 5 10 ml h field activation will generate the recalculation of the mass rate necessary to respect the current flow rate in ml h the priority 5 99 jg kg min field activation will generate the recalculation of the flow rate necessary to respect the current mass rate in g kg min Display left volume and time Activation disactivation of display of the volume to be infused and time Supervisor mode Unique visualisation of the summary screen Enable Base A connexion This function allows to connect one Base A to one Base Intensive and to monitor up to 8 additionnal Modules To go from the Base Intensive summary screen to the one of the Base A press the bt key Drugs infused from Base A are integrated into Base Intensive history Note Module flow rate adjustment from Base A is performed di
12. the second syringe is installed later the user will preprogram a prealarm relay not ready to be informed from 5 minutes to 1 hour before the end of infusion of the first syringe in order to complete the relay Recommendations to operate a 2 channel relay The respect of these recommendations is mandatory when infusing hemodynamically unstable patients Orchestra Infusion Workstation 2 channel relay syringe installation installation Up to 24 hours before the infusion starts Place Base Intensive at the same level or lower than the patient Always check that the selected syringe corresponds to the installed syringe Use Module DPS from position 1 to position 6 only Make sure that the infusion line is not connected to the patient when priming H Prime till a drop appears at the end of the infusion line Syringes to be used ae Adapt syringe size to the selected flow rate Patient con nection flow rate lt 0 5 ml h 5 and 10 cc syringes 0 5 ml h lt flow rate lt 1 ml h 5 10 and 20 cc syringes Use catheters with low priming volume and reduced compliance flow rate gt 1 ml h any syringe size i e 5 10 20 50 60 cc Unidirectional valves are authorised while anti siphon valves are not the Please refer to Module DPS syringe list open pressure can generate infusion delay Carefully respect the cautions applying to continuous infusion of vaso active drugs dedicated access route avoid discontinuous in
13. to be printed is done according to the screen you are consulting The printer is connected to the isolated serial port identified by the q gt symbol According to the Base Intensive versions you can have access to these options or not 49 Safety features The Base Intensive has a continuous inspection system which functions as soon as the pump is in use Any internal failure or anomaly detected will be immediately displayed Nevertheless the qualified personnel in your establishment or our After Sales Department should always be notified of any abnormal function where no specific cause can be found Connection disconnection The flow rate value limits of the drug selected in the library are stored when the Module is disconnected from its Base It is impossible to program a flow rate out of the drug limits When you change a syringe on a disconnected Module the default drug name is the one previously used Please make sure that the drug concentration in the new syringe is the same as the previous one before confirming the drug name and its concentration If the drug name or concentration is different select NO at the drug selection The programmed limits for the previous drug are cancelled Alarms pre alarms and warnings All Base Intensive alarms pre alarms and warnings are displayed and or are indicated with an audible signal Mains disconnection pre alarm Low battery pre alarm and alarm Burned 2 channel re
14. to detect occlusions on the patient side and could result in accumulation of the drug being infused in the gravity line which could later be infused in an uncontrolled manner when the occlusion is released Place the connection between the gravity line and the pump driver line as near to the start of the set as possible in order to minimise the dead space and consequently the impact of any change in flow rate on the gravity line il One way e r valve For Y connections used in 2 channel relay it is recommended to prime the lines particularly in case of concentration changes where dead volumes of the sets may generate a risk of under or over dosage infusion pump This device can be disturbed by environmental pressure or pressure variations mechanical shocks heat ignition sources etc A non medical electric device connected to the RS232 interface must be in conformity with the suitable IEC EN standard e g IEC EN 60950 In all cases the IEC EN 60601 1 1 international standard must be taken into account Both installation and use of Base Intensive via an RS 232 link must comply with the accompanying document RS 232 protocol for Base Intensive This document is available from our After Sales Department Fresenius Vial will not be responsible whatsoever for use of any interface communication between the Base Intensive and computer system Opening the pump must only be carried out by the qualified personnel i
15. weight V d C if dosis is not pondered by weight Q Volumic rate in ml pondered by time unit 24h h min V Bolus volume de bolus in ml D Mass rate d Bolus dose C Drug concentration S p xT 0 007184 unit in m Calculated body surface of the patient Weight in kg 4 uN Height in cm or m 100 BMI Body Mass Index P T Weight in kg U T Height in m Adjustment range accuracy displayed values Dose rate and concentration adjustment range Inferior to 1 0 01 increment Between 1 and 10 0 05 increment Between 10 and 100 0 5 increment Between 100 and 1000 5 increment Superior to 1000 50 increment Flow rate is calculated according to formula and units described in paragraph Units and conversion formula The flow rate order sent to the Module DPS are rounded off and taken into account at 1 1000 of ml h The flow rate value displayed on the Base and on the Module is at 1 10 of ml h Base Intensive Technical characteristics External power supply Voltage From 95 to 240 Vac Frequency 50 60 Hz Max consumption 1500 mA Max power consumption 125 VA Protective fuse T 1600 mA 250 V IEC 127 Output voltage 7 35 V mini 7 15 V Output current 7A Battery Characteristics 6 V 1 2 to 1 3 Ah Sealed lead battery Battery life min 1 hour Battery recharging Partial 70 of capacity 8 hours Total
16. 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 these guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 1395 6_nu_base_int_v3_2_is_120606 doc 1A Maintenance recommendations Cleaning and disinfecting The Base Intensive is part of the patients immediate environment It is advisable to clean and disinfect the device s external surfaces on a daily basis in order to protect patient and staff m Disconnect the base from its main supply before cleaning m Do not place in an AUTOCLAVE nor IMMERSE the device Do not let liquids enter the device s casing E f the device is placed in a high contamination risk unit it is advisable to leave it in the room during disinfecting after having disinfected it with a moist cloth m Use a cloth soaked in DETERGENT DISINFECTANT previously diluted with water if required to destroy micro organisms Avoid abrasive scrubbing which could scratch the casing Do not rinse or wipe surfaces m Do not use TRICHLOROETHYLENE DICHLOROETHYLENE
17. 0 ml 0h00 Fresenius Injectornat 50 cc ey 900 0 mmHg Enter to access drug library 1 Selecting the drug enables access to the programmed drug library 2 Select the drug name from the alphabetical list or from the family name It is possible at any time to recall the drug preprogrammed values from the library pressing the key LB1118 1 ge date 26 05 2004 10 42 5 Cardiac HSH S00 EGE moi EGG S00 A po kg min superior limits mg usual values inferior limits Concentration Massic Flowrate Favorite Dose unit Important The Base Intensive integrates a drug library as example Prior to any use the authorized personnel must check that usual drug values correspond to the protocols used Prior to any use of the Base Intensive it is necessary to carefully read Drug Lib Operator s Guide to modify or confirm the drugs parameters Parameters adjustment and infusion start Values indicated per default are the usual values defined in the drug library DOPAMINE 00 mg m oH DOPAMINE 250 E mi 5 00 mg ml SSD oiicsnin 4 2 mh 7kg 50 ml i Fresenius Injectomat 50 cc gt N 900 0 T mmHg Enter the dose of drug 1 Check that the drug name is the one contained in the syringe of the selected channel 2 Confirm or adjust if necessary the drug dilution value contained in the syringe 3 Confirm or adjust if necessary the dose rate value according to the
18. BD Plastipak 50cc B Continuous 14 ERN Continuous 14 pee Enter the dose of the drug Flow rate programmation Activated option Disactivated option 1395 6_nu_base_int_v3_2_is_120606 doc Enable display mass flow for 1 ml h This function allows to display in the drug program screen the correspondance between a 1 ml h flow rate and the corresponding mass rate in chosen unit Automatic period history This function allows to display automatically the doses and volumes infused during predefined times 4h 8h 12h and 24h since the hour of the last fluid balance memorisation Example case of a balance every 8 hours The fluid balance is stored at 8 h 00 The history reading is done at 16 h 30 doses and volumes displayed correspond to doses and volumes infused from 8 h 00 to 16 h 00 RELAY OPTIONS This option is protected and accessible only after the 00123 code has been entered with the rotary knob According to your department practices this one allows you to activate or disactivate the hereunder functions Relay configuration i Channel relay authorized Manual relay authorized OK EXIT Enable or disable the channel relay The PRINTING menu This menu allows the detailed or summarised print out of the history data Doses Total volumes 1 hour Flow rate graphs Drugs list It is also possible to print the drug parameters of the library The choice of data
19. IGURATION AUTHORIZE ACTIVATE J On module confirmation EI Display left volume D Supervisor mode O Base A connevion E Barcode reader E Dose vol dilution E 1 mith mass flow Display E Automatic period historic C Zoom ser on syringe chge Enables the programmed bolus mode Programmed bolus mode authorized Activation disactivation of the programmed bolus function Loading dose mode authorized Activation disactivation of the loading dose mode function On Module confirmation If this function is disactivated any flow rate changes validation will be done pressing the Base Intensive rotary knob Patient weight change authorized For specific administration protocols the physician may have to take into account the patient weight variations to adjust either infused flow rates ml h or the administration depending on the new weight setup example g kg min without stopping the infusion This function concern only drugs selected from the Base Intensive with an administration that takes into account the patient s weight How to change the patient weight during the infusion 1 Return to the patient identification display WARD NAME PATIENT TM PATIENT CODE h BED NUMBER wB Imll 4 81 m S 1 886 m BMI 21 6 CREATION 15 09 2004 14h02 15 09 2004 15 h 38 Click to enter patient weight 2 Change patient weight with the rotary knob 3 Confirm pressing the key The following
20. Important make sure that the patient is not connected to the syringe during the priming phase DOPAMINE 71 kg lt 10 min 5 00 mg ml 5 00 mg ml 42 mih NOT READY 0 2 ml 3 Fresenius Injectornat 50 cc no XT mmHg O mmHg Flowrate modification Fresenius 50 cc d Confirm the drug name pressing the key of the Module DPS If necessary adjust concentration e At the end of the 2 channel relay program the Module DPS displays the drug name alternatively with the RELAY message Once the 2 channel relay is programmed the flow rate may be modified at any time TH 2 DOPAMINE DOPAMINE 5 00 pg kg min 71 kg 5 00 mg ml 5 00 mg ml 4 2 mih 4 2 mih 14 min Before Relay 48 ml 44 ml i DOPAMINE 0 2 ml 0h04 Fresenius Injectomat 50 cc Fresenius Injectorat 50 cc rok 900 CON 1000 no Si mmHg PeLAY MENU AI mmH g Fiowrate modification The 2 channel relay is now set Prealarm will occur at set time to warn of imminent relay Relay will occur automatically 1395 6_nu_base_int_v3_2_is_120606 doc Two channel relay menu By activating this field with the rotary knob you have access to this menu The following screen displays DOPAMINE lt i DOPAMINE START RELAY PAANAN RERAN Authorized 14 min before relay Start the relay channel immediatly START RELAY By activating this field with the rotary knob you start the channel relay and simultaneously the fir
21. OPERATOR S GUIDE Infusion Workstation rehestra Base Intensive C vase nt rod uct i on Table of contents Operations for USE iaieiiea 2 Base Intensive Orchestra offers a unique solution in CCU ICU and anaesthesia INFUSION MOCES ceeeceeeeeeeeeneeeeseeeeeeeneeeneeeeeeeeneeeeseeeseenseeeenes 6 The Base Intensive Orchestra TWO Channel relay scsecseessesseesseessseesseesseeeneeessnesseeeneess 7 Brings additional performances HISTOTY ficesscesacccecccdieeticececcsedcsccccedevaeetedetsn c edediedticedecetdesecccitetees 10 off a ilitatos an Sechres drug programming OPTIONS men seaccsscsssecccsseveccccsssccevecsvsceseccscssvesenccavsssvecssoresees 11 Uses a multi channel infusion pump potentialities Safety features cccecssssesesssssseesesssseeseesesesseseesesenseesneensensee 14 Summarises the infusion data at patient bed Communicates via a unique serial cable parameters to a centralised system of Base Intensive Performan ces sscsssseesseseesseseeeees 15 PDMS Patient Data Management System User interface is underlined by the color screen and an ergonomic command for more safeties and user friendliness Precautions to be taken cessscssssssrstensesseesnensessenenseses 17 Base Intensive Technical characteristics 0 10008 16 According to the number of intravenous infusions needed at any combination from 1 to Guidance and manufacturer s decl
22. aration on electromagnetic 8 Module MVP or Module MVP or Module DPS or Module DPS Visio or Module environment sssssssssssssssscssssseessssesssesssseesecessseesesesseeessenseeseees 18 DPS up to 14 or 16 Modules if Base Intensive is connected to Base A can be fitted onto the Base Intensive Orchestra Maintenance recommendations cseceecceseseeeeeeeeseeneeee 20 Function with the internal battery sscscesseeeeees 21 The use of this material requires great care The user must be able to handle the instrument properly and must ACCESSOLICS ssscesssseeeeeeesenseeeeeeesenseeseeenseeseeeesenseeseeeesenseeseeensnses 21 know how to fully operate isase reade perator s Guide Galdtully before punting tig dames into use Conditions Of QUaraNte ceeeeeeeeeeneeeeeeeteeteeeeeeneentee 22 Prior to any use of Modules with the Base Intensive Orchestra please refer to the Module DPS Module Useful addresses ssssssssssssssesssesssseessseesseessseessneessseessneersnss 24 DPS Visio Module DPS Module MVP and Module MVP Orchestra Operator s Guides A company of Fresenius Vv Fresenius Vial Kabi Infusion Technology Operations for use Installation of Modules module DPS Module DPS Visio Module DPS Module MVP Module MVP Orchestra ON the Base Intensive We recommend you partially or completely recharge the battery when you receive the devices or in the case of prolonged storage so as to prevent all
23. g the STOP key of the Module DPS or with the STOP icon of the Base Intensive It can be reused selecting the START icon At the end of the loading dose infusion the Module DPS infuses at the programmed maintenance flow rate In case you use a drug that does not require any administration adjustment if minimum dilution is the same as the maximum dilution and the typical dilution the Base Intensive displays automatically the loading dose screen Note Access to CONTINUOUS BOLUS LOADING DOSE CONTINUOUS modes can be locked or unlocked by user with a code to be accessed from the summary screen 1395 6_nu_base_int_v3_2_is_120606 doc Two channel relay The use of the 2 channel relay is particularly recommended to avoid any infusion discontinuity for example in case of infusion of cardio vascular or short half life anaesthetic drugs Principle The 2 channel relay consists in associating two channels that will infuse either one after the other a same drug at the same administration In case of different concentrations for the same drug the flow rate in ml h calculation will be done automatically to respect the prescribed dose Installation of the two syringes can be done simultaneously only if the syringe of the second channel in relay has been validated after the activation of the 2 channel relay Pressing the PRIME BOLUS amp key is mandatory for the channel in relay so as to improve the two channel relay performances In case
24. hs from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To access the electromagnetic environment due to the fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Base Intensive is used exceeds the applicable RF compliance level above the Base Intensive should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or re locating the Base Intensive or install magnetic shielding Recommended separation distances between portable and mobile RF communication equipment and the Base Intensive TABLE 206 The Base Intensive is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The user of the Base Intensive can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Base Intensive as recommended below according to the maximum output power of the communication equipment Rated maximum output power Separation distance according to frequency of transmitter in metres m of transmitter 150 KHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz W d 1 2VP d 1 2VP d 2 3VP 0 01
25. ith a 30 characters code Bed room number Bed room identification with a 30 characters code TT Patient weight The weight must be entered when you select a new patient This value is used when flow rate units and volume are calculated by weight From 250 g to 1 kg 10 g increment From 1 to 10 kg 100 g increment From 10 to 250 kg 1 kg increment Patient age Adjustment from 1 to 24 months 1 month increment Adjustment from 2 to 150 years 1 year increment Patient sex Male Female h hulhul Patients height from 0 20 to 2 50 m 1 cm increment S Calculated body surface Body Mass Index Note the hour and date adjustment is possible only when you select a new patient ex summer or winter time change 1395 6_nu_base_int_v3_2_is_120606 doc Module DPS switching on When Base Intensive is connected to the mains Module DPS can be switched on from their own respective keyboards by pressing the 6 key or from the Base Intensive by pressing the key When Base Intensive is working on its battery Module DPS can be switched on only from their own keyboards by pressing the key 8 SRSERERSE Symbols Module DPS Orchestra switching on conditions rr Module can be switched on from the Base Intensive Orchestra or from its keyboard when the Base Intensive is connected to the mains Module can be switched on only from its own ke
26. jection 1395 6_nu_base_int_v3_2_is_120606 doc 7 Two channel relay program 1 Program a drug from the library on a channel Adjust if necessary the infusion parameters and start infusion 2 Press the key to reach the screen for selection of the channel to be associated DOPAMINE lt n OFF g Eaei E E x it H sh st 50 mi Z 4 0 1 ml roses Lede or ors er cl es aU 1 3 Power on the channel to be associated either from the Base Intensive with the key or directly on the Module DPS and select the number of the channel to be associated with the key 4 Syringe installation on the channel relay a Install the syringe containing the same drug as the one programmed during the relay b Select then confirm the syringe type i DOPAMINE iH DOPAMINE 5 00 pg kg min 71 kg 5 00 mg ml 5 00 mg ml 42 mih RIOTIREAD YIN 10 min 43 ml 0 2 ml Fisen sea 50 ce Pon E Flowrate modification c PRIME Check patient is not connected to the syringe message displays on the Base Intensive On the Module DPS the PF it message displays alternatively with the drug name Press the PRIME BOLUS key of the Module DPS to be in prime mode Pr if amp message displays on the Module DPS Press a second time and maintain pressed the PRIME BOLUS key to make the purge Prime till a drop appears at the end of the infusion line
27. lay pre alarm When you press the Base Intensive SILENCE ALARM key x the message is recalled Quick check protocol This test is mandatory when the pump is used in anaesthesia It allows a complete alarm and safety features check of the Base Intensive no patient connected Serial numbers ID N Base Intensive Module Date Section Name E 1 Power supply lead not connected install at least one Module on Base Intensive Then switch the YES O NO O Base on pressing the K key Check that battery indicator illuminates and the information screen displays 2 Check indicators functionality during auto test YES O NO O 3 Check audible alarms work YES ONO O 4 Check LCD integrality YES O NO O 5 Connect the device to the mains source check mains indicator illuminates YES ONO O 6 Switch the first Module on and check its position number on the summary screen YES O NO O Note quick check is OK if answers are yes for all items YES O NO O For the Orchestra Module s quick check please refer to their Operator s Guides 4A 1395 6_nu_base_int_v3_2_is_120606 doc Base Intensive Performances This Operator s Guide describes the programming of a Module DPS from the Base Intensive For the use of functions available from the Module s keyboard please refer to its Operator s Guide Flow rate range available from the Base Intensive keyboard for a Module DPS From 0 1 to
28. light change Example DAYLIGHT SAVING TIME CHANGE Date amp hour when the change occured 5 09 2004 03h00 Previous time New time Time when the change occured 1395 6_nu_base_int_v3_2_is_120606 doc The options from this screen give access to the following information autonomy maintenance time change customisation screen printing detailed printing CUSTOMISATION menu This field gives access to the customisation of the Base Intensive different configurations Password for advanced configuration INTERFACE CONFIGURATION This field gives access to USER INTERFACE CONFIGURATION IV Display hospital screen Displays the welcome screen at startup This option allows to define the Base Intensive first welcome screen and to display the flow rate alternating with the drug name on the Module DPS CONTRAST This field gives access to CONTRAST TUNING Use the rotary knob to adjust the contrast OK to validate EXIT to cancel SAMPLE TEXTE 1 SAMPLE TEXTE 2 SAMPLE TEXTE 3 SAMPLE TEXTE 4 SAMPLE TEXTE 6 This option allows to tune the contrast of the Base Intensive screen 44 ADVANCED CONFIGURATION This option is protected You only have access to this menu after entering the 00123 code with the rotary knob If necessary consult our Maintenance Service for the code modification According to your department practice this field gives access to ADVANCED CONF
29. n z 1395 6_nu_base_int_v3_2_is_120606 doc Function with the internal battery The Base Intensive has an internal battery which automatically takes over when the mains supply is disconnected and ensures normal function with no loss of the programmed data Operation from the battery is visualized by the indicator mains disconnection alarm Recharging the battery Recommendations To recharge battery just connect the Modules to the Base Intensive and he battery should be replaced every three years or according your local then to the mains power supply Recharging of the battery is visualised by the main indicator EF Accessories Fresenius Vial recommends the use of Orchestra range accessories Multifix 4 Cat 073804 Multifix 6 Cat 073809 Multifix 8 Cat 073805 This system simplifies transport and fastens safety of Orchestra fitted with 4 6 or 8 Modules It can be installed on the Rolling Stand 180 on the Orchestra Mobile Stand on a pole or on two horizontal rails Warning from the 4 Module onwards Orchestra must be equipped with the Multifix accessory to ensure rigidity eg Multifix 4 When the Base is used with one or several Modules Fresenius Vial recommends the transport be done with the Multifix accessory by the handle During transportation of Orchestra with Multifix accessory only install maximum 6 Modules on the Base Mobile hooks for Multifix for Multifix ca
30. n your establishment and taking all the necessary technical precautions We recommend you follow the maintenance procedures defined in the Technical Manual To obtain a copy of this document please contact our After Sales Department specifying the identification number of the device Non respect of these procedures is dangerous to the personnel and may damage the pump 417 Guidance and manufacturer s declaration on electromagnetic environment The Base Intensive has been tested and found to comply with the applicable standards for electromagnetic Compatibility for Medical Devices These standards are designed to provide adequate immunity to prevent undesirable operation of the Base Intensive as well as a limitation of emissions from the device that may cause undesirable interference to other equipment If the Base Intensive is operating in the vicinity of other equipment which causes high levels of interference e g HF surgical equipment X rays equipment nuclear spin tomography units mobile telephones wireless access points etc maintain the recommended protective distances see Table 206 re orienting or re locating the Base Intensive The following tables specify the suitable electromagnetic environment for using the device and provide guidance to assure that it is used in such an environment Guidance and manufacturer s declaration electromagnetic emissions TABLE 201 The Base Intensive is intended for use in the elect
31. ndow 579m DOPAMINE duration mi lucose 15 6 64 ml HEPARINE es E Pressing the keys gives access to information dedicated to each drug Cumulated doses and volumes history Horodated events list PATIENT 15 09 2004 16h15 PATIENT uth 1520972004 16h15 Previous events pem 15 03 2004 15h00 00 DOPAMINE Next events FLOWRATE 3 ml h 4 17 ml Flowrate reminder ih iih teh DOPAMINE Date and time window end From the summary screen for infused volumes and doses activating the fluid balance option gives access to the summary screen for inputs and outputs Each segment represents 1 hour The value displayed on the last segment is the one of the observation time PATIENT wih 1570972004 16h15 Flow rates history ET PATIENT 3 mih 1570972004 16h15 From 15 09 2004 14h02 Date of beginning Iuluil 1 81 m S 1834 m2 Date of end Total displayed 296mg 59 2 ml INPUT OUTPUT a SASN Access to events list Total DPS 91 9 ml Total MYP 198 ml Additional Urine Om IV infusions A insensible loss Om Enteral feeding D Secretion 0 001 er Others OCGA Others 0 00 mi TOTAL 290 mi BALANCE 290 mi TOTAL 0 00 mi a Cj C Select end date DOPAMINE 15 09 2004 16h00 i eae ECEE It is possible to store 24 balances ex memorisation of a balance every 4 hours during 96 hours The fluid balance storage allows resetting the dose and infusing
32. ng to the instructions in this Operator s Guide E The device must not have been damaged when in storage at the time of repair or show signs of improper handling E The device must not have been altered or repaired by non qualified personnel E The serial number ID N must not have been altered changed or erased E In case of non respect of these conditions Fresenius Vial will prepare an estimate for repair covering the parts and labor required m When return and repair of a device is necessary please contact Fresenius Vial Customer or After Sales Department nn 1395 6_nu_base_int_v3_2_is_120606 doc Notes 1395 6_nu_base_int_v3_2_is_120606 doc nn Useful addresses All requests for information or documentation technical files tubing sets catalogue or brochures must be sent to CUSTOMER SERVICE AFTER SALES SERVICE Fresenius Vial Le Grand Chemin F 38590 BREZINS France Tel 33 0 4 76 67 10 10 Fax 33 0 4 76 67 11 34 E mail customers vial fresenius hemocare com Consult our Web site www fresenius vial fr This document may contain inaccuracies or typographical errors Modifications may thus be made and will be included in later editions As standards and equipment change from time to time the features shown and described in this document must be confirmed by our departments This document may not be reproduced in whole or in part without the written consent of Fresenius Vial Orchestra is a
33. rectly on the Module Connection of Base A to Base Intensive is performed through RS232 port No 1 using the adequate RS232 cable 2 Be a i G Q gt RS232 port No 1 Drug library edition authorized It is possible to modify drug library directly from the Base Intensive to modify the adjustment range 1 Drug selection Drug library LB1118 1 Author Fresenius Cardiac C 4 00 GES momi 5 00 SON pg ko min Bol 0 10 ml 2 Different items modification Drug library LB1118 1 Author Fresenius Cardiac Mo 4 00 mg ml GG so A okomi m oo A mi Note that the access to this function is possible only if no patient is selected and if the infusions are stopped 1395 6_nu_base_int_v3_2_is_120606 doc Enable barcode reader The selection of the drug name and administration can be done directly from labels stuck on the syringe and with a barcode reader The labels printing is made from the Drug Bar software Please refer to this software operator s guide Enable dilution according to dose volume This function allows to fill in the dilution indicating the drug dose and the administration volume MODULE DPS2 H MODULE DPS2 4 H ADRENALINE 2000 mg 5Oml 0 40mg m ADRENALINE 0 40me m1 0 25 ue ke min 2 6 ml h 70 kg 0 25 g kg min 2 6 ml h 70 kg 1 ml h gt 0 095 pg kg min 4 ml h gt 0 095 pg kg min 36 ml 36 ml 6 9 ml Ga 0 0 ml 0h00 OhOO BD Plastipak 50cc
34. registered trademark in the name of Fresenius Vial Fresenius Vial Le Grand Chemin F 38590 BREZINS FRANCE A company of Fresenius a Fresenius Vial Kabi Infusion Technology
35. rogramming and activation are possible when a channel is in continuous infusion or after the injection of a loading dose 1 Select the channel pressing the key 2 Press the ee key to have access to the Modes selection screen 3 Select the Bolus mode 4 Adjust the bolus dose value to be infused as well as the duration The volume to be infused as well as the infusion flow rate in ml h of the Module DPS are automatically recalculated 5 Check bolus parameters 6 Start bolus infusion selecting the START icon and confirm on the Module DPS In case of a pre program select the STORE icon to confirm parameters storage When bolus has been delivered the Module DPS returns to its initial status stop or infusion bolus programming parameters are stored when there is a new programming Loading dose continuous mode Loading dose programming and starting followed by a continuous flow rate are possible after a drug selection and before starting the infusion 1 Select the channel and the drug Press the ee key to have access to the Modes selection screen 3 Select the Loading dose Continuous Mode I 4 Adjust the loading dose value as well as its duration The Module DPS volume to be infused and infusion flow rate in ml h are automatically recalculated 5 Adjust the maintenance flow rate value 6 Start the loading dose infusion selecting the START icon You can stop the loading dose infusion at any time pressin
36. romagnetic environment specified below The user of Base Intensive should make sure it is used in such an environment Emissions test Compliance obtained by the device Electromagnetic environment guidance RF emissions Group 1 The Base Intensive uses RF energy only for its internal function Therefore its RF emissions are very low CISPR 11 and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The Base Intensive is suitable for use in all establishments including domestic and hospital CISPR 11 establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions Complies The Base Intensive complies by default with Harmonic emissions because input power is lower than the IEC 61000 3 2 Class A minimum input power specified in the IEC 61000 3 2 Voltage fluctuations Flicker emissions IEC 61000 3 3 Not applicable Voltage fluctuations flicker emission are not applicable because the Base Intensive cannot generate a significant voltage fluctuations and flicker emissions according to IEC 61000 3 3 Guidance and manufacturer s declaration electromagnetic immunity TABLE 202 The Base Intensive is intended for use in the electromagnetic environment specified below The user of Base Intensive should make sure it is used in such an environment Discharge ESD IEC
37. st channel stops CANCEL RELAY This function allows to cancel the relay mode for the channel in relay ACCESS TO MANUAL RELAY By using this function you command simultaneously the two channels in relay You have access to this function only when the warning before relay has been selected Example MODULE DPS1 lt H MODULE DPS2 DOPAMINE 5 00 g kg min 70 kg 7 50 mg ml 7 50 mg ml 2 8 mlh 2 8 ml h lt on 24 min before relay 48 ml 17h00 Injectomat 50cc Injectomat 50cc Warning before relay In this example the manual relay is authorized with a warning before relay at 1 0 ml before the end of infusion that is to say 21 minutes before the relay at a flow rate of 2 8 ml h Activating the manual relay from the rotary knob the following screen displays DOPAMINE H DOPAMINE DOPAMINE 71 ko 500 pg kg min O2 pgkg min 4 2 mih 2 ml h 5 00 mg ml 5 00 mg ml 15 ml 45 ml 48 3 ml 48 2 ml 0h05 0h05 Fresenius Injectomat 50 cc 0h20 900 3 T mmHg Fresenius Injectornat 50 ccc 1000 5 mmHg Start infusion From the Base Intensive keyboard user decides to start to stop or to set the flow rate for each two channels in relay 1395 6_nu_base_int_v3_2_is_120606 doc The manual relay switching off is made stopping one of the two channels and pressing the S key The following screen is displayed END OF MANUAL RELAY Select YES with the rotar
38. t 073804 809 805 Cat 073800 RS 232 cord Cat 073413 9m 9f Cat 073414 9m 25 Otherwise please use a lead whose length is 3 meters maximum Mainy Mod Cat 073807 European plug Cat 073810 British plug External power source 1395 6_nu_base_int_v3_2_is_120606 doc servicing recommendations In order to preserve the pump s memory it is recommended to recharge battery at least one time per month even if the pump has never been powered on Orchestra Mobile Stand Whatever maybe the architecture of your department Orchestra Mobile Stand provides the choice of customized accessories Orchestra Rolling stand Cat 073076 Fixing part handle for mobile hooks and mobile arm Cat 073079 Working table Cat 073077 I V pole 4 hooks d E 6 Cat 073078 Mobile arm support for IV pressure measurement Cat 073081 Multichannel stop cock support Cat 073080 Accessories to be used with the Fixing part accessory cat 073079 4 Conditions of guarantee Fresenius Vial guarantee that this product is free from defects in material and workmanship during the period defined by the conditions of sale accepted except for the batteries and accessories To benefit from the materials and workmanship guarantee from our After Sales Service or agent authorized by Fresenius Vial the following conditions must be respected m The device must have been used accordi
39. tted voltage whether the supply is from the mains an external source or via the different external connections Standard precautions should be taken to prevent contamination or injuries while discarding the associate disposable e g syringes extension sets needles etc Only use Luer Lock connection to prevent disconnection due to infusion pressure 1395 6_nu_base_int_v3_2_is_120606 doc Check that all equipment connected to Orchestra resist to a pressure of 2000 HPa Do not use in conjunction with positive pressure infusion devices that could generate back pressure higher than 1 500 Hpa susceptible to damage infusion disposable and the device While in use negative pressure variation may occur in the syringe by the relative height from the device to the injection site or by combined infusion devices such as blood pump alternative clamp etc Pressure variation may generate flow discontinuity mainly noticeable at low flow rates When the container is placed higher than the injection site please pay attention to correctly manipulate the infusion set only when the extension set is clamped or disconnected from patient side Make sure that infusion line does not hinder moving parts of other devices Fresenius Vial recommends the use of one way valves or positive pressure infusion devices for multi line infusions If there is no one way valve on a gravity infusion line during a multi line infusion this will make it impossible
40. ty TABLE 204 The Base Intensive is intended for use in the electromagnetic environment specified below The user of Base Intensive should make sure it is used in such an environment IEC 60601 1 2 Compliance level Immunity test IEC 60601 2 24 obtained by the Electromagnetic environment guidance Test level device Conducted RF 3 Vrms 10 Vrms Portable and mobile RF communications equipment should be used no closer to IEC 61000 4 6 150 KHz to 80 MHz any part of the Base Intensive including cables than the recommended separation distance calculated from the equation applicable to the frequency of transmitter Radiated RF 10V m 10 V m Recommended separation distance IEC 61000 4 3 80 MHz to 2 5 GHz m D 1 2VP fora frequency of 150 KHz to 80 MHz m D 1 2VP fora frequency of 80 MHz to 800 MHz m D 2 31P fora frequency of 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and D is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey a should be less than compliance level Interference may occur in the vicinity of equipment marked with the Ko following symbol A NOTE 1 these guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengt
41. ure adjustment and display Pressure limit value programming and drops in pressure activation are made directly from the Base Intensive for a Module DPS only For the use of these functions on the Modules please refer to the Module Operator s Guides To adjust pressure parameters from the Base Intensive 1 Select the channel pressing the key PA 2 Press the key to have access to the adjustment screen i DOPAMINE 5 00 mg ml DOPAMINE pa A 5 00 pgfkgimin no D 1 00 4 2 mith Be wrt Time scale adjustment 300 mmHg 450 mmHg 0 00 mmHg 13h30 13h45 14h00 Limit pressure It is also possible to modify the pressure alarm threshold either in 3 pre set threshold mode or one variable threshold mode depending on the Module DPS configuration Infusion stop To stop infusion press the o key from the Module Turning off the Modules When no Module is infusing turning off the Modules can be done by pressing YX the key from the Base Intensive or by pressing the key from the Module When a Module is infusing on the Base Intensive turning off the Modules is done by pressing the key from the Module for more than 2 seconds Turning off the Base Intensive A Turning off the Base Intensive is done by pressing the key Some information messages may be displayed when turning off Infusion modes Continuous mode Continuous mode is the default mode run by the Base Intensive Bolus mode Bolus p
42. volume values per drug It is then possible to evaluate the quantities of infused drugs on periods of time corresponding to fluid balance period Note the hour of beginning and hour of end of liquid balance must be entire ex 16 h 00 41n 1395 6_nu_base_int_v3_2_is_120606 doc OPTIONS menu Press the key to have access to the following display Screen printing AUTONOMY menu This field gives access to the Modules and Base Intensive battery autonomy Example Base Intensive 081290 18632600 YV 031E 56min MAINTENANCE menu This field gives access to the serial numbers and next maintenance dates for Modules and Base Intensive Example C ee om 2 aa Base Intensive at 081290 18692600 V 031E 1470272004 ares AT i a TIME CHANGE menu This field gives access to the day
43. y knob History Base Intensive stores in real time infusion data during 96 hours During this period user can define an observation window from 1 to 96 hours with one hour increment choose the date and hour of this observation window Data are updated each ten seconds or each time you use the function Access to different information regarding doses infused volumes and flow rates of each drug as well as the fluid balance display allow if you think it is necessary for example during personnel turnover to rapidly know the main information about the infusions administered to the patient Notes If several Modules example 2 channel relay infuse the same drug the Base Intensive will automatically update the drug history According to the patient treatment duration and the number of Modules installed on the Base Intensive it may be possible to have access to the last 4 patients history if no infusions are running Pressing the key you have access to the selection menu of the different histories Please note that when one or several Modules are disconnected from the Base Intensive while they were previously programmed their history log will be restored when they are reconnected to the Base Intensive Access to history data When you press the key you have access to the summary screen for volumes and doses infused per drug in the selected period PATIENT uih 15 09 2004 16h14 Modification of the observation wi
44. y knob or the key Symbols Parameter selection and modification OK Confirm parameters and go to next screen EXIT Exit from an item or a screen without saving the modifications Other functions Selection of particular Module DPS infusion modes functions Confirm a selection or a value under modification Base Intensive power on and off Access to the 2 channel relay program with Module DPS C Access to infusion pressure information and authorized parameters adjustment 8 Allows locking of Base Intensive keyboard j ni Access to history data ort Access to OPTIONS menu hiji Access to the visualisation of drug library parameters h Silence alarm Welcome screen When Base Intensive is put into use for the first time complete the following items 081290 18692600X Fresenius Vial Infus 1 Technology Free items Ex Hospital department 15 09 2004 14 02 A Confirm parameters next screen If necessary select language with the rotary knob 1395 6_nu_base_int_v3_2_is_120606 doc Patient screen i aian 7 iG Tar D db a2 WEJ hull ET S 1 898 m BMI 21 9 a 0 a 4 h02 Store parameters next screen Note It is recommended to use codes to identify the patient since the Base Intensive memorizes the patient infusion history This allows to guarantee patient anonymity according to the law in force Hl Hl Patient code Patient identification w
45. yboard OFF when the Base Intensive is connected to the mains Summary screen 2588 mith _ 2 G onm oun SOR g 3 ml h 54 1 mg h G 4 4 mih 12 5 Ulkgih 2 8 mh 0 20 pg kg h ft 42 6 mith 6 00 mg kg h EF S 1 mh 5 99 pg kg min 29 S i mh 5 99 pg kg min ag When a Module is switched on without any drug program the message DRUG is displayed This message means that no drugs have been programmed via the Base Intensive or that this drug is not identified at the new connection Symbols Modules type Module DPS Module MVP Ci mi Symbols Modules status H Infusion S88 Pause En Alarm Module DPS awaiting for a 2 channel relay See page 8 Drug programming and infusion start To program a drug 1 Select the channel number with the keys 2 Select or confirm the installed syringe 3 Select or confirm the drug 4 Adjust infusion parameters 5 Start the infusion Note in order to improve infusion start it is recommended to prime the infusion line until a drip appears Syringe selection To reach the syringe programming screen rath kg a D 1 Install a syringe 2 Select and confirm syringe on the Module DPS Please refer to the Module DPS Operator s Guide page 2 A Note The flashing symbol g reminds the user that syringe selection and confirmation must be done from the Module DPS keyboard Drug programming Gn 71kg 49 ml 0
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