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Curlin PainSmart User Manual - Med-E

1. lt All A Pr ss Latch lever to release Align and slide the Lock Box over the Pole Clamp until the Latch is looked in place Figure 8 4 Pole Clamp and Safety Shell Installation Pump Holster 340 0111 This accessory is a simple slide pump in case with a pole clamp mounting bracket on the back allowing the pump to securely be mounted onto a pole and yet allow the user easy access to the display keypad controls battery compartment and connectors for external power or communications Curlin Medical Holster with pole mount to be attached to an IV pole The back of the holster slides onto the pole mount and locks securely in place Figure 8 5 Pump Holster Keypad Covers These accessories are hard plastic durable keypad covers that can optionally be used with the 340 0141 340 0141 01 and 340 0141 02 lockboxes to cover the keypad The keypad covers are available in four configurations e Type 0 340 0142 covers all the keys e Type I 340 0142 01 covers all the keys with the exception of the SILENCE and RUN PAUSE keys e Type II 340 0142 02 covers only the numerical and PRIME BOLUS keys e Type III 340 0142 03 covers all the keys with the e
2. Flow Rate 1 hour Curlin Pump delivering at 1 ml per hour with zero headheight Calculated Average 0 1011 ml per hr calculation window infusion time hrs Percent Error Percent Error Curlin Pump delivering successive shots of 1 ml at 25 ml per hr in Intermittent Mode 3 a ey nh IAI E L od te E af ale Ae f Ae AE a He Fa 1 i P i 3 Time hrs 130 Percent Error 8 6 4 2 0 2 4 Percentage Error Curlin Pump delivering successive boluses of 1 ml in PCA SQ mode Time hrs Percent Error 8 6 4 2 0 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 Percent Error 60 40 20 0 20 40 60 Percent Error Curlin Pump infusing at 1 ml hr w ith a negative headheight of 100 mm Hg Rate Calculation Window min Percent Error 10 5 0 5 10 Percent Error Curlin Pump infusing at 1 ml hr w ith a negative headheight of 100 mm Hg Detail Rate Calculation Window min 131 Percent Error 60 40 20 0 20 40 60 Percent Error Curlin Pump infusing at 1 ml hr zero headheight hour 2 Rate Calculation Window min Percent Error Percent Error Curlin Pump infusing at 1 m hr with zero headheight hou
3. HBOLS hr A RATE A TIME AMT AMT TBI BA BASL BG BOL INT CLIN CLRHRLY CONCEN dd DN Occlu EPI HH MM HX INF IV KVO LPRES MAX 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 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 eve
4. 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 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 full it will overwrite on a first in first out basis 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 on the following page 49 Bulmweijboig soiseg History Event Log SERIAL NUMBER MANUPACTURE DATE MAINTENANCE DUE DATE HISTORY EVENT LOG 22748N03 15 38 ml Vin
5. size batteries will last approximately 30 hours at a rate of 125 ml hour and over 85 hours at rates 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 are 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 gives you a window of time to be sure you have back up power e g extra batteries AC adapter or a recharged battery pack At a continuous infusion rate of 25 ml per hour you can expect at least a 30 minute warning before your pump can no longer operate due to empty batteries At higher infusion rates your advance warning will be less 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 inf
6. IOD Pump 2 Regulatory Agency Approvals 3 Warnings Cautions Notices 4 List of Abbreviations sccceeees 8 FEATURES OF THE PUMP AND ADMINISTRATION SEI Sanse 11 Pump Illustrations and Features 11 Disposable Administration Set Illustrations and Features 13 Preparing Medication for Infusion Changing IV Bags 14 Opening and Closing the Pump DOOL orne 16 Choosing and Installing the Curlin Medical Administration Gravity Priming Set and Filter 17 Steps in Installing Administration Set into Curlin Infusion Pumps 18 Up Stream Occlusion Alarm PIC ACUEC osonni EE 19 Installing the Batteries and Using External POWef iicecivescsesticossoxtseiesesss 20 Curlin Pump Battery Replacement icspcsoesssesssechavcsecensoassess 22 External Power Sources 0 25 Battery Pack vs ccesconsestscercietswssioatanees 25 AC Adapter Charget cc00 31 Bolus Cord Use niicclisuiiecnisuttertoriices 32 LEARNING PUMP FEATURES ciscicesecaitvcttoncwseniosess 33 Keypad Function scssi 34 Description of the Info On Demand IOD Feature of the Moog Curlin Infusion PainSmart IOD Pump 35 Info On Demand IOD Key Funcions earren ES 36 Description of the Custom FeatuteS eicecien eneen 39 Improved Pump Display 40 LED Light Indicators 04 41 Audio INGICALOL siesdsessissdeetscentseusseess 4
7. To preserve the prescription for the selected therapy press NO The Pause menu will be displayed ALERT SET NOT INSTALLED Set Not Installed Administration set is not properly installed Install the appropriate Curlin Infusion administration set for the desired therapy Use ONLY 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 104 Buizooys jqnolIL Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution 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
8. 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 Curlin Infusion pump you must have a PC running the Hyperterminal program within MS Windows and use the Curlin Infusion Data Interface Cable which is purchased separately Detailed user 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 Ae LOG YES CLEARS Pt Hx Loge Not Dota ACCEFT Fiala 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 LLEAF FEE YES CLEARS ALL Ex Data ACCEFT Peele 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 11 CLEAR Pt DATA RX Selecting this feature clears all data
9. Advise 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 96 Buizooys jqnolIL 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 medLIMITS 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
10. 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 procedure 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 various parameters are initialized Note Between patient testing is not required for 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 Curlin PainSmart IOD 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 highly recommends that the hospital conduct in between patient checks using the following procedure Should the hospital determine for whatever reason that the in between patient check is not practical Curlin Medical recommends performing volumetric accuracy checks at regular intervals to ensure the pump continues to meet specifications Required Equipment The following equipment is required for t
11. ccceeeee 72 EPI Pre Prescription Menu SCEE 6 REE EE Sn A Ree ET NP 72 Administration Routes 73 EPI medLIMITS Setup Screen 79 EPI Prescription Men sswasscsscenssute 80 Run Options Screen 81 Prie naaa 81 Prime Direction Screen ee 82 OPUONS ission 83 EPL Options Meissen 83 Clinician Dose Menu uuu 84 Clinician Dose Run Screen 84 Shift Totals SCLCENS vc wtreccnetiehessaaioat 84 Hourly Totals Screen sosesc 80 Clear Hourly Totals Screen 80 EPI Titrate MedLIMITS nb G Lo S APPARTE ey en PE EE E ne 81 Air In Line Sensor Off Message DCG o o EENE PERLEA AEE IEEE 82 Pump Will Sense 2ml Alert EER E E E EEA PE E E N 82 Reviewing or Changing the PLO OLAIN ssiseonesetasscevatnossls codecawnsnsaseaeas 88 TABLE OF CONTENTS Starting the Infusion 0c008 88 EPI Run Screen ccccscosesescoeeees 88 EPI Information Screens 08 89 Interrupting an Infusion 85 Pause Menu Screeni ccecccccssesccceeeees 90 Resuming the Current Container 90 Run Options Screen cesses 85 Hanging a New Container 90 Entering a New Program 91 Infusion Complete ccceeeeee 92 PCA Infusion Complete s es 92 Stopping the Infusion 006 92 Pause Menu Screen 92 TROUBLESHOOTING 90 Alerts Alarms and Error Codes 90 ACCESSORIE ccccecoesees 114 Detachable Pole Clamp 114
12. clean cloth dampened in any of the following 1 Warm soapy water do not submertse 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 requirements of the system standard EN 60601 1 If in doubt consult the technical services department or your local Moog representative e The 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 g
13. field this line will not display The range for this field is 0 1 to 999 77 Adeisul ida WOd 3 ADMIN Rt Administration Route Allows a selection from three routes of administration the default setting of EPI epidural IV intravenous and SQ subcutaneous If a route other than Epidural is selected the Therapy Identifier bar in the Prescription Menu will display PCA instead of EPI 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 900 or 400 18 or 8 9 5 9 Figure 6 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 6 1 above The amount of drug infused during the loading dose depends on the units chosen which may be in ml s mg or mcg A loading dose of 5 mg will infuse 50 ml if the concentration is 0 1 mg ml IMPORTANT INFORMATION Note The units will correspond to the choice previously selected The loading dose will be de
14. j CURLIN MEDICAL if nig Integral Flow Tubing Guide Medication Slide Clamp Stop with Reservoir Male Luet breakaway tab Lock Figure 2 3 Sample of Curlin Infusion Administration Sets 13 s INn e J z S S R dwnd Preparing Medication for Infusion Changing IV Bags OPEN CLOSED In these illustrations the slide clamps are shown in their open and closed states 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 Integral Flow Stop has been removed The set can be gravity ptimed by intentionally squeezing the Integral Flow Stop and thus releasing the clamping action See Figures 2 5 amp 2 6 Figure 2 4 Spiking the Fluid Container Gravity Priming the Set and Using the Slide Clamp to Close the Tubing 14 Twist and remove breakaway tab from ZY Integral Flow Stop yy Figure 2 5 Curlin Infu
15. 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 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 UPLOAD CHAR ERR 108 BuljOoousajqnoiL Alarm Cause Resolution LCD Display Alarm Cause Resolution 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 UPLOAD CkSum ERR CMS Upload experienc
16. 5 1 Administration Routes table MinINT Minimum Bolus Interval Use this field to set the minimum amount of time allowed between patient bolus doses When the correct time is entered press the YES ENTER key to accept and move to the next field BOLS hr Number of Boluses allowed per hour Use this field to enter the maximum patient bolus hr When correct press the YES ENTER key to accept and move to the next field 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 medLIMITS are now entered and the display returns to the Pre Prescription screen If the entire medLIMITS Setup Screen is to be aborted press NO to return to the Pre Prescription screen 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 62 AdejisulL Al WOd 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 add
17. Connect the up stream side of administration set to a water source 12 inches 2 inches above the pump c 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 d Program one of the following Infusions based on the default in the pump 123 Pre Rx Pre Rx UNITS ml UNITS me Admin Rt EPI CONC 1 mg ml Load Dose 0 0 ml Admin Rt IV MedLIMITS OFF Load Dose OFF NEXT YES MedLIMITS OFF NEXT YES Prescription Prescription BAG VOL 100 ml BAG VOL 100 ml RATE 0 ml hr RATE 0 me ml Pt Bolus 9 9 ml Pt Bolus 9 9 mg BOLS INT 1 min BOLS INT 1 min HBOLS hr 1 HBOLS hr 1 DONE YES DONE YES e Start the pump by pressing RUN button f Press the BOLUS key to start a bolus g When the 9 9 ml infusion is over observe the amount volume infused as measured on the measurement device Passing measurement is 9 4 g to 10 4 g 9 4 ml to 10 4 ml h When Infusion complete occurs verify that the Audio Alarm beeps and that the Green LED 1s flashing CHECK ALL SAFETY SYSTEMS Repeat the same Rx as above Start the infusion and press the BOLUS key to start a bolus dose a Low Down Stream Occlusion 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
18. If a change to the 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 cettain keys are allowed to be recorded as part of the prescription Whenever a prohibited key is pressed 1 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 If it is not necessary 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 pump The Date and Time can then be changed 97 LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resol
19. In Line Air Filter YES 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 ait eliminating filter If you press the YES key to indicate that there is an atr 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 Pump Will Sense 2m Alert Screen ALERT PUMP WILL SENSE ML OF ALF 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 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 87 Adeidul ida WOd 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 th
20. Lock Code 360 1300 E1 mi EPI 5 Yelow 360 1300 E2 m EPI 9 Yelow 360 1300 E3 m M 9 White 360 1300 E4 m EPI 9 White 360 1300 E5 mg V 5 White 360 1300 E6 mg v 9 White 360 1300 E7 m v 5 White 360 1300 E8 mg mw 9 Green _ 360 1300 E9 m EPI 5 White 360 1300 E10 mg MN 5 Green Pump has been factory configured to specifications indicated in the above columns Therefore all options indicated in the manual will not be available Pump will function according to set specifications 136 sisquinyn Goje e9 Weusuied
21. Remote Bolus Cord 350 2026 115 Lockable Safety Shells 116 Pump Holster 340 0111 117 Keypad Covers sssisiisssessisssiosssisss 118 CLEANING ENVIRONMENTAL CONDITIONS AND MAINTENANCE 4 119 CIC ANID oes 119 Transport and Storage 006 120 Operating Environment 120 Maintenance ssssciis sicecseseawareesnioavace 120 Limited Warranty sccccssceseees 120 Procedure for Checking Pumps Between Patients s cisiccscseiscsseendseee 122 TECHNICAL SPECIFICATIONG 126 CLINICIAN INFORMATION AND ACCESS CODE 134 Clinician Access Code 134 Lock Setting Table 000 135 PAINSMART IOD CATALOG NUMBERG 136 TABLE OF FIGURES Figure 2 1 Curlin Infusion Ambulatory Pump Front Top and Left View 11 Figure 2 2 Curlin Infusion Ambulatory Pump Back Bottom and Right View12 Figure 2 3 Sample of Curlin Infusion Administration Sets ccccccsscscseseeeees 13 Figure 2 4 Spiking the Fluid Container Gravity Priming the Set and Using the Slide Clamp to Close the Tubing 14 Figure 2 5 Curlin Infusion Administration Set Integral Flow Stop with Breakaway Dap wcwsscccsvusiwssoweisosesentinvaces 15 Figure 2 6 Intentionally Opening the Integral FlOW StOp cssscsceseeseceeee 15 Figure 2 7 Opening the Pump Door 16 Figure 2 8 Cl
22. 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 IMPORTANT prescription pause the pump and select REPEAT Rx When the cc 99 T K iNEORMATUON RUN key is pressed the prescription will restart without the loading dose 5 medLMTS Setup 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 select OFF and press YES ENTER to accept the factory defaults see Figure 5 1 If a specific medication limit is requested or mandated press YES ENTER to turn ON the medLIMITS and the following screen will appear Enter the appropriate soft limits for each field 61 PCA medLIMITS Setup Screen amedLIMLTS SETUP l fMsRATE ee el rr 4 RATE 0 lt s TIME D 00 HH MhM idexEOLs O28 rl I Min IMT MIH A mT HEOLS
23. actual 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 air 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 hour 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 ate part of the prescription modify the Rx medLIMITS 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
24. available features for each lock setting 2 ClnDOSE 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 6 1 83 Adeisul ida WOd Clinician Dose Menu E CLINICIAN OOSE z Clin bose EAE rl I ACCEPT YES NO Note Ifa 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 until it is completed Clinician Dose Run Screen E CLINICIAN OOSE CLINICIAN OOSE i O L FRES 10 mmHA OOSEIMF 1 4 mil REMAIN G 101 HHibiri The graphic bar now depicts the clinician dose in progress and when this dose is complete reverts back to reflecting the container in progress 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
25. batteries can be removed Other wise follow the instructions below If it does NOT contain a plastic tab between the batteries use a penny or dime to pry the top edge of each battery out Do not use a screwdriver or other sharp object to pry batteries out of the pump To check battery levels while the pump is running Press the Help Options keys Scroll down to PWR Ck Press no to change to ON Press yes to view battery level Press Yes to Accept OPT to ext the Options menu 21 22 Battery Replacement Alternate Battery Door To check battery levels while the pump is running Press the Help Options keys Scroll down to PWR Ck Press no to change to ON Press yes to view battery level Press Yes to Accept OPT to exit options 23 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 Do not use a screwdriver or other sharp objects to open battery compartment door 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 Using the small coin Penny pry up and out on the top edge of the battery to cause the battery to pop out Use the same technique on the second battery Do not use a screwdriver or other sharp objects to pry batteries o
26. 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 PCA Infusion Complete IHF USION COMPLETE ET aTOTWOL 20 8 ml PLEGLUS 1 of i 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 three 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 75 a Note ENTER to Select MEH PROGFEAM REPEAT Rx To repeat the present therapy and add another IV container with the same prescription press the YES ENTER key at this field The following screen will then appear asking whether or not you wish to maintain the current Bolus or MedLIMITS schedule Haint Current Bolus 7medLMAMTs Schedule 7 OF Press YES ENTER to maintain the current schedules and continue wi
27. clear the current schedules and continue with the programming of the pump Pressing NO CHANGE will return you to the prior screen 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 Pre Prescription Screen If the current container has not completely infused the following screen will appear a ALERT Fe Ln Progress Mew 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 91 Adeidul ida WOd 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 Ifyou 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 se
28. correction by the user and 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 adminis
29. 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 64 AdejisulL Al WOd Prime Direction Screen Disconnect Pt Release Clamps HOLO aioe key to EXIT IMPORTANT INFORMATION 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 ot 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 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 Felease siege key to Stop Prime Amt ml The amount used for the prime session i
30. 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 43 Bulmwesboig soiseg 3 Data entry screens are used to specify prescription parameters Sample of a Data Entry Screen BAG Wo Oe ml EAEL RATE D 0 oo omlshe RIPLEOLUS 2 8 ral EOL INT py MIN 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 x RATE 5 0 9 rol he REMAIN 2S 4 ral 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
31. 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 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 10 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 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 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 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 c
32. 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 representation 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 are 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 121 v ueu zurie w Hbuluesl 9 Procedure for Checking Pumps Between Patients
33. 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 60 AdeisulL Al 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 Prescription 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 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 The amount of drug infused during the loading dose depends on the units chosen which may be in ml s mg or mcg A loading dose INFORMATION of 5 mg will infuse 50 ml if the concentration is 0 1 mg ml IMPORTANT Note
34. power the 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 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 onpo1 u NOTICES The Curlin Infusion pump is not intended for the administration of blood or cellular blood products Dispose of all used administration sets in accordance with 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 medication
35. proper installation of administration set 107 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 LCD Display 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 prime 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 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
36. running infusion e Remove all air from the administration set and IV bag or reservoir before connecting it to a patient s access site 4 NOTE Anti siphon Valve ASV administration sets can be used to provide additional free flow protection 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 U S 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 Itis 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 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 Curlin Infusion external power sources to
37. 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 Option 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 ot 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 PROPERLY INSTALLED Press Pause and then YES to RESUME on the Pause Menu Set Sensor Remove the administration set from the pump and reinstall it so that the flow stop and tubing guide are not in the pumping chamber Close the door latch and start an infusion by pressing the RUN key Observe ALERT DOOR OPEN 124 ot SET NOT PROPERLY INSTALLED will occur Ait 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
38. w ith a negative headheight of 100 mm Hg Percent Eror Rate caluclation Window min Percent Error Curlin Pump infusing at 25 ml hr w ith a positive headheight of 100 mm Hg 10 7 8 6 4 2 0 Percent Error 2 5 11 19 31 Rate Calculation Window min 128 SsuOoI eDIIONdS jevruy2 L Percent Error Percent Error Curlin Pump infusing at 25 mi hr w ith zero Headheight 3 5 3 0 2 5 2 0 1 5 1 0 0 0 5 1 1 5 2 2 5 3 3 5 4 Time hrs 4 5 Percent Error Percent Error Curlin Pump infusing at 1 ml hr w ith zero headheight hour 2 detail 10 5 0 5 Rate Calculation Window min Percent Error Percent Error Curlin Pump infusing at 1 ml hr with a positive headheight of 100 mm Hg 60 40 20 0 20 40 60 Rate Calculation Window min Percent Error Percent Error Curlin Pump infusing at 1 m hr with a positive headheight of 100 mm Hg Detail 15 10 5 0 5 Rate Calculation Window min 129 Curlin pump inusing at 1 ml hr w ith zero headheight hour 2 E 011 0 105 g 01 Cc 2 0 095 V lt 0 09 1 3 5 10 15 20 Rate Calculation Window hrs Curlin pump infusing at 1 ml hr with zero headheight hour 70 011 0 105 o4 2 0 095 z 0 09 E 0 085 lt 0 08 1 3 5 10 15 20 Rate Calculation Window hrs
39. 0ss ccenvienseaarerns Sanveriinereenpeoansess 55 Programming PainSmart pump with Protocol Library Safety DY SUE M1 esen siasaredsuesess 55 PCA IV THERAPY 60 Prescription Menus cceeeccees 60 PCA IV Pre Prescription Menu DLS 1 6 8 Oe ne nee Ree re 60 Administration Routes cccccceccceeee 61 PCA medLIMITS Setup Screen 62 PCA Prescription Menu eee 63 Run Options Screen eesse 64 Pienemann aa 64 Prime Direction Screen 65 OPHONS sorire i 60 PCA Options Menu esseere 60 Clinician Dose Menu eeeesssssec 61 Clinician Dose Run Screen 61 Shift Totals Screens niwisriiiosissini 61 Hourly Totals Screen 62 Clear Hourly Totals Screen 69 PCA Titrate medLIMITS SCEE AA E 69 Air In Line Sensor Off Message SEE E e AA 64 Pump Will Sense 2ml Alert SCEO NA ROTOR 70 Reviewing or Changing the Prosta ioi A 71 Starting the Infusion e sesseeseeseees 71 PCA Run Screen 71 PCA Information Screens T2 Interrupting an Infusion 72 Pause Menu Screen ccsscccesseceeees 73 Resuming the Current Container 73 Run Options Screen eee 73 Hanging a New Container 73 Entering a New Program 74 Infusion Complete cceeeee 75 PCA Infusion Complete T9 Stopping the Infusion 068 75 Pause Menu Screen a sncssescscaisesre estes T5 PCA EPIDURAL THERAPY 72 Prescription Menus
40. 1 Display SClCON encensncscsavsiseessssneseassee 41 BASICS OF PROGRAMMING 43 Types of Display Screens 43 Sample of an Action Field Screen 43 Sample of a Selection List Field 43 Sample of a Data Entry Screen 44 Sample of a Run Screen 44 Sample of User Notification Screen esssesssssseresesseresssserrsssseressserssseee 44 Using Help rrroiiisin srn 45 Starting the PUmMPesraisninseana 45 Welcome Screen cccccccccssssecceseees 45 Power Status Screeni ccceccccccsesseeeees 46 Preventive Maintenance Screen 46 Select Program or Bio Med Setup SCRE E a AN CE TA EEA S E 46 Access Code secssssssssssssssssssssooe 47 Clinician Access Code Screen 47 BioMed Setup sessicessiessisesesedsrenctaaaee 47 Bio Med Setup Menu eee 47 Enable Therapy Menu eee 49 Patient History Log ceeeee 49 History EVeneOe sisccesiocawsentarieees 50 TABLE OF CONTENTS Clearing the History Log 51 Clearing Patient Information 51 Changing Date and Time 52 Change Date and Time Screen 52 Prosta oein devsdsaaesesvebeieuseans 53 Program BioMed Setup Menu 53 Resume Repeat Rx New Program Menu 03 taadaasstnadanctsndeopoacadhdsce 53 Resuming a Therapy ccccee00 54 Repeating a Pre Programmed TREAD oeren nis 54 How to Go to New Program 55 Entering or Changing Data PIC GS ys
41. 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 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 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 PROGRAMMER ID numb
42. ANGE 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 Curlin Infusion pump requires you to actively change a selection The Up arrow ot 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 Curlin Infusion 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 0 9 Numeric keys Used for data entry and the disp
43. 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 when a 0 basal rate and bolus only is 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 T7oubleshooting 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 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 onif connected to an AC outlet e lit for 15 seconds if using batteries or durin
44. CEPT MEERE 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 6 medLMTS Medication Limits If this feature was not selected in the Pre Prescription Menu it will not appear on the Options menu If medLIMITS parameters were programmed previously this field will appear and if you want to titrate now select ON and press the YES ENTER key to go to the PCA Titrate medLIMITS menu PCA Titrate medLIMITS Screen TLITEATE m dlLhitTs SEASL RATE oe mol Ae RIPLEOLUS 5 8 ml E0LS INT L0 MIM ple E ACCEPT MaE 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 medLIMITS 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 BASL RATE Use the numeric keys to enter the new desired rate When
45. D status lights will blink and the audio alarm will IMPORTANT sound The backlight feature will iluminate 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 uset 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
46. INE2 test joe TEST MCG TEST MCG AGAIN TEST ML AGAIN TEST ML YET AGAIN TEST SETTINGS TESTING v 9 Create New Protocol 56 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 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 57 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
47. LIME 3 5 pl Hf ELLS of E DJNESHA ELAPSED 1 12 HHH uol INF 3 5 mi i Clin DOSE 0 COME CRA 10 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 MAS INFUSION HF mil 38 Description of the Custom Features A customized Curlin Infusion PainSmart IOD pump may have Maximum Basal Rate Limit and Maximum Bolus and Dose Limits values that are different from previous default maximum values for all administrative routes IV EPI and SQ and a different Lock Level other than the default value OFF These values once programmed at the factory can not be changed unless the pump is initialized or a new setting is programmed both of which must be performed by Curlin or factory trained biomedical professionals 1 Customized Maximum Basal Rate Limit A customized Curlin Infusion PainSmart IOD pump may come with a Maximum Basal Rate Limit value set in the factory that is different from the default maximum value An alert will be displayed if a value greater than the factory set Maximum Basal Rate Limit value is entered in BASL RATE MedLMTS Mx Rate and MedLMTS Delta Rate For example while programming a PCA IV therapy in a customized Curlin Infusion Pain
48. OR AMT RATE Ramp time entered is invalid for amt rate already programmed Ramp 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 medLIMITS ALERT RUNNING PAUSE PUMP BEFORE OFF Pause Infusion before turning off 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 103 Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert 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
49. 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 6 Holding the yellow Integral Flow Stop by the handle see Figure 2 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 down 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 Push the tubing slightly into the black Air Detector slot 8 Open the slide clamp on the administration set 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 BON Re UI 18 1 Insert blue Tubing Guide on right side of pump with tubing in front of the door The Blue arrow on the Air Detector background surface of the pump head Flow Stop Slo
50. Smart IOD pump where the Maximum Basal Rate Limit is factory set to be 9 9 for IV administration route if you enter 21 for BASL RATE an alert message will appear GREATER THAN MAX FIELD LIMIT MAX 9 9 The values you are allowed to enter in this example for BASL RATE are between 0 1 and 9 9 with an increment of 0 1 Same limit will apply to MedLMTS Mx Rate and MedLMTS Delta Rate also if the therapy calls for them 39 dung 6Buluied 2 Customized Maximum Bolus and Dose Limits A customized Curlin Infusion PainSmart IOD pump may come with a Maximum Bolus and Dose Limits value set in the factory An alert will be displayed if a value greater than the factory set value is entered in Load Dose Clinician Dose Pt Bolus and MedLMTS Pt Bolus For example while programming a PCA EPI therapy in a customized Curlin Infusion PainSmart IOD pump where the Maximum Bolus Dose Limit is factory set to be 9 9 for EPI administration route if you enter 10 for LOAD DOSE an alert message will appear GREATER THAN MAX FIELD LIMIT MAX 9 9 The values you are allowed to enter in this example for LOAD DOSE are between 0 1 and 9 9 with an increment of 0 1 Same limit will apply to Clinician Dose Pt Bolus and MedLMTS Pt Bolus also if the therapy calls for them 3 Customized Lock Level setting A customized Curlin Infusion PainSmart OD pump may have a certain Lock Level value set in the factory which is not t
51. The air sensitivity currently being used by the pump is 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 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 105 ALARMS Alarms are conditions that require
52. Using In Line Air Filter YES 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 ait eliminating filter If you press the YES key to indicate that there is an atr 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 1s 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 Pump Will Sense 2mIi Alert Screen ALERT PUMP WILL SENSE 2 ML OF ALF AdeisulL Al WOd 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 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 fi
53. Vol or DOSE BAG is modified and 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 Enter data that falls within the limits of the program Refer to the specific therapy section in the User s Manual 100 Buizooys jqnolIL LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution 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 medLIMITS programmed Recheck data entry A value entered cannot be less than the field s minimum limit ALERT LOW C BATTERIES Alert 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 only to C siz
54. W c f 1 o 7 Integral Flow ies Spike a Stop with Tubing Guide Slide Clamp breakaway tab 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 2 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 Male Luer Lock CAUTION USE ONLY CURLIN INFUSION ADMINISTRATION SETS WITH THIS PUMP
55. administration set from the IV container to the pump for potential causes of the occlusion Ifa 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 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 sainje34 39S R dung Installing the Batteries and Using External Power The Curlin Infusion pump can be powered solely with the use of two C size alkaline batteries installed into the pump as shown in Figure 2 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
56. al IV bag volume Gravity Priming Set and Filter 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 2 5 and 2 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 to completely fill with fluid Note Administration sets with integral anti siphon valves cannot be gravity primed 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 Use an administration set with an air eliminating filter whenever the Air In Line Sensor is disabled or set to OFE Follow CDC guidelines or Intravenous Nursing Standards of Practice Guidelines regarding the frequency of changing the administration sets Use aseptic technique and universal precautions as directed by the policies of your healthcare facility or institution Use only Curlin Infusion administration sets with the Curlin Infusion pump Dispose of administration sets in accordance with all applicable regulatory and institutional pol
57. al power source when plugged directly into the Curlin Infusion 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 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 Figure 2 13 AC Adapters 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 from the battery pack or pump s port Sipa 1S a af bs IO i 5 mo i m Z mr Fo ka International AC Adapter Figure 2 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 To remove pull back on the locking sleeve 31 Bolus Cord Use When the PCA therapy is used patient bolus dosing ca
58. an be used for intravenous epidural or subcutaneous therapies If Epidural is selected the Therapy Identifier bar in the Prescription Menu will display EPI instead of PCA It can be used to deliver medications from the specially designed Curlin Infusion medication reservoir syringes or from IV bags A physician or a certified licensed healthcare practitioner must oversee any therapy Patients and caregivers using the 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 l Some syringes are not qualified for use Please call Moog for details 1 uo1 9Nnpo i U Special Features of the PainSmart IOD Pump Small accurate ambulatory volumetric infusion pump that provides reliable and safe delivery of infusion therapies The Info On Demand feature of the Curlin Infusion PainSmart IOD pump safely provides additional information to the user when the pump is in the RUN mode Customized Maximum Basal Rate Limit Customized Maximum Bolus and Dose Limits Customized Lock Level setting Large screen with Tallman Lettering Larger font single information display Patient side downstream Line Pressure displayed medLIMITS features PCA dose and medLIMITS schedules that can be maintained on Repeat Pump will not permit the user to enter any programming value that is outside of its predetermined default range or fur
59. and CSA C22 2 No 601 1 Label The meanings for the symbols on the pump are as follows M Attention consult ACCOMPANYING DOCUMENTS 9 Type CF Equipment IPX1 Protected against dripping water SSIF ay i C INFUSION PUMP WITH RESPECT TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL60601 1 CAN CSA C22 2 NO 601 1 7OTK INTERNALLY POWERED OR FOR USE WITH AC ADAPTER 340 2022 360 2022 and 340 2026 360 2026 DEFIBRILLIATION 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 Prevent direct exposure to radiations Secure an essential infusion pump outside of the radiation field using extension tubing if required e Use only Curlin Infusion administration sets in your Curlin Infusion pump Use of nonproprietary 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 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
60. 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 73 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 a ALERT Ex in Progress to Fepedt to Return This screen is a reminder that the infusion is not complete If the incomplete therapy is to be continued press NO CHANGE and the Pause Menu screen will be displayed then press YES ENTER and the Run Options screen will be displayed To resume the unfinished therapy press RUN If the therapy is to be terminated and a new IV container added press YES ENTER to repeat the infusion The following screen will then appear asking whether or not you wish to maintain the current Bolus or MedLIMITS schedule Maintain Current Eolus medLhTs Schedule H or M Press YES ENTER to maintain the current schedules and continue with the programming of the pump Press NO CHANGE to start a new schedule The following screen will then appear asking you to confirm the clearing of the schedules Clear Eolus medLMTS Schedule HH or M Press YES ENTER to clear the curren
61. any previous Programmer ID Patient ID Rx Number Invoice Number Lock Level setting and prescriptions using the Clear Pt Data Rx Menu 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 125 Chapter Technical Specifications The following specifications apply to the Curlin Infusion Ambulatory Infusion Pump Note Flow rates and bolus dose limits may be less than indicated in these tables based on specific customizations ITEM SPECIFICATION Pumping Mechanism Curvilinear peristaltic finger action Pump Size Height 5 inches Width 4 inches Depth 2 5 inches Weight 18 1 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 F 15 to 95 non condensing Storage Environment Storage Temperature Range 20 to 140 F Storage Relative Humidity 5 to 95 non condensing 126 SsuOoI eDIIOedS jevriuy2 L Power Requirements 2 C size Single Use Batteries AC Power ITEM SPECIFICATION Operating Time with Full Charge Nominal 85 hours at a rate of 2 ml hr Batteries Internal ae Battery 5 a l life field Volume Accuracy 5 for volume del
62. apy 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 Bolus Data Port on Left ees side of Pump Pie a LO ONIN YA A Pg ee Bolus Data Remote bolus Kt U ee Port Unique access port OY yo x pE Keyhole E ia a f P of Unique Key LA me A Dy SS 467 RS Br BRA Ry RS Ge et 3 Four pronged adapter Re pod Le re Le fp Be Pimi ra a Pa l L lt with unique key plugs SIS 2 ZL DB into access port on left RIS Ga ew a 1 ta anf Oo a side of pump as shown SESS gl Le a is T Aa 7 atl pr To remove bolus cord pull back on locking sleeve and pull cord straight out of access port Figure 8 2 Remote Bolus Cord 115 Lockable Safety Shells These accessories are hard plastic durable cases that are lockable with a key The 250 ml safety shell 360 0018 will secure medication bags of up to 250 ml administration set and the pump and yet allow access to the pump s keypad controls communication connectors and battery compartment door The 250 ml safety shells will also secure syringes and is available in light blue All security shells can be pole mounted with the detachable pole clamp set on a stable flat surface or carried in a soft carry pack Figure 8 3 Safety Shells 116 sali0ossa20y Additional graphics below show how to install the Pole Clamp on the Lock Box
63. ar z 4 Sia Se Beer Aa TE an I A 2 1 f 8 RIS MWAN Al Mias i oe a A Pa a iS SS ere A ig Es PSs LY ae SSS Ly tle Figure 2 8 Closing the Pump Door 16 Choosing and Installing the Curlin Infusion Administration Set A number of distinctively designed Curlin Infusion administration sets are available to deliver each prescription accurately See Curlin Infusion Product Catalog 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 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 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 fin
64. ature 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 to all pump functions Each level higher limits the options available to the patient or 48 categiver see each lock option screen in the individual therapy sections and or the lock level table in the chapter entitled Chnazan 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 7 ENABLE THERAPY This field is used to customize the 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 PCA and disable all other therapies Enable Therapy Menu ENABLE THERAPY OFF COH FCA TFH INT OFF WAR OFF ACCEFT You will not be allowed to change the default setting If you attempt to enable a therapy the following prompt will appear of this fact ALERT MODOLFICAT IONS HOT ALLOWED Patient History Log The patient history log is a cumulative record of the approximately last 6 000 events that have occutred in the pump Example When prescription information is saved using the YES ENTER
65. 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 service 119 v ueu zurie w Hbuluesl 9 Transport and Storage During transport or storage the batteries should be removed the 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 R e A relative humidity range of 10 to 95 e An atmospheric 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 t
66. available The Select Therapy menu will be displayed if only one therapy is in programmed 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
67. 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 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 Clnician Information and Access Code of this manual 46 Access Code Clinician Access Code Screen ENTER CODE ENTER CODE SEE SEE SSSR i i a INVALID CODE INVALID CODE EXIT YES EXIT YES Depending on the configuration of your pump the clinician enters a five digit access code or a four digit personal identification number followed by the five digit access code and if the 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 do not instead five asteri
68. d d To exit the shift total feature without clearing the totals press the YES key at the highlighted EXIT field e 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 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 HA VoOoL ml Gi BA is HE AMT m3 BG BA HA AMHTmea EG BA 2 o The screen displays hourly infusion delivery for each hour 00 23 of the last 24 hours of therapy in the unit selected The highlighted field has a marker lt 4 indicating the current hour in progress b Volume or Amount will show in the first column BG Bolus Given in the second column and BA Bolus Attempted in the third column c Use the up arrow key to scroll back through the last 24 hours d Ifthe infusion was not running a series of will appear for that hour e To exit this screen press the NO CHANGE key 68 AdeisulL Al WOd 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 MOH AC
69. d continue with the programming of the pump Answering NO will display the following screen asking you to confirm the clearing of the schedules Clear Bolus 7 medLMHTS Schedule OF Pressing YES will clear the current schedules and continue with the programming of the pump Answering NO will return you to the prior screen How to Go to New Program NEW PROGRAM TIf the cursor is moved to this field and the YES ENTER key is pressed the display will automatically move to the first screen for a new programming ENTER to Select FESUME FEPERT Fx 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 55 Programming a PainSmart pump with Protocol Library Safety System program The information in this addendum describes how to program a pump with a drag protocol from the Protocol Library Safety System of a Curtin Infuston PainSmart PCA onby Infusion Pump that has this program REQUIRED EQUIPMENT The following equipment is required to service the pum
70. der factory 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 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 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 Stuck 5 Key Stuck 5 Key If key was pressed release it Turn pump OFF ON or Call a OO Otherwise report error code to Provider factory Stuck 6 Key Stuck 6 Key If key was pressed release it Turn pump OFF ON or Call en Otherwise report error code to Provider factory Stuck 7 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory Stuck 8 Key Stuck 8 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 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 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 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 Stuck YES Key Stuck Yes Enter Key If key was pressed release it Turn pump OFF ON or Call e Otherwise report error code to Provider fact
71. displays Pause Menu Screen ENTER to Select REPEAT Fx MEH PROGFEAM 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 FEVIEM ee LE 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 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 valu
72. 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 Screens eqcleared S4JAN 1 35 ELAPSED eis HA MM ol INF 3 5 mil S ol INF 3 5 ral APLEOLUS of ii Clin DOSE DOME DONE SFF 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 84 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 To exit the shift total feature wit
73. e The Rechargeable Battery Pack DFU is a supplement to the Moog Medical Devices Group Pump User s Manual All other applicable WARNINGS CAUTIONS and NOTICES are found in the User s Manual and should be referred to when using this DFU 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 Curlin 360 2022 Globtek GTM41076 0609 1 5 Curlin 340 2022 Globtek GTM41076 0609 1 5 Curlin 360 2026 Globtek GIT M341 7 5 800 or Curlin 340 2026 Globtek GIM341 7 5 800 AC adapters can be used to recharge the battery A fully discharged battery will recharge in less than 15 hours If connected disconnect the battery pack from the pump Connect the AC adapter to the power port of the battery pack 27 Connect AC adaptor here The charge LED will illuminate yellow if the battery needs to be recharged See below Charge the battery pack for 15 hours or until the LED turns Green indicating the battery is fully charged 28 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 tempe
74. e batteries not to the rechargeable battery pack Battery source power is low 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 medLIMITS 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 Review the User s Manual for program restrictions or if lock level restricted change lock setting to access area you wish to modify 101 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 NEW DOSE IS LESS THAN CURRENT DOSE Unable to program a lower number of doses than number o
75. e 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 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 c
76. e pump 86 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 43 pst 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 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 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
77. e 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 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 pst 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 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 Whenever the Air In Line Sensor is set to OFF Curlin Infusion recommends the use of an air eliminating filter INFORMATION 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 IMPORTANT ALF Sensor OFF
78. e with the programming of the pump Press NO CHANGE to start a new schedule The following screen will then appear asking you to confirm the clearing of the schedules Clear Eolus medLMHTS Schedule DF Press YES ENTER to clear the current schedules and continue with the programming of the pump Pressing NO CHANGE will return you to the prior screen 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 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 93 Adeisul ida WOd Chapter Troubleshooting This sechon assists in identifying and resohing alert and alarm conditions that may occur duning the use of the 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 m Messages the LE
79. each individual patent This chapter will expla the custonazing features along with the progranmang steps rogrammine the Curlin Infusion pump requires initial orientation and training but the pP 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 ENTER to Select In this sample highlight bar is resting on REPEAT Fx the RESUME field MEH PROGEAM 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 lt A Selection List field allows you to select from a predetermined list of values Sample of a Selection List Field W UNITS mL ia mog 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
80. ed See Figure 6 1 Note that the screen Identifier gives the abbreviation EPI for Epidural or PCA for Patient Controlled Analgesic Therapy if a route other than epidural is selected and has a down arrow configuration which indicates that there are more than four fields of text or information to be considered EPI Prescription Menu BAG Vol OMEA ml BAG Vol OMEA ml BAG Vol OMEA ml SEASLRATE 0 ml heta EASLRATE mathe easLRaATe 8 mecoh Pt EOLUS D D ml ig PL EOLUS D D mo Pt EOLUS D W mo EOL IMT 0 Ft HIH EuLS IHT 5 HIH ELS IHT 0 HIH T peat T 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 settings 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 Curlin Infusion pump in PCA Epidural Therapy can be set for a continuous basal infusio
81. ed press the YES ENTER key to accept the rate and move to the next field The range for this field is 0 to 25 b Pt BOLUS Use the numeric keys to enter the new patient bolus dose and when correct press YES ENTER to accept and move to the next field The range for this field is 0 to 25 c BOLS INT Patient 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 d BOLS hr number of patient boluses per hour Use the numeric keys to enter the new number of patient boluses per hour and when correct press YES ENTER to move to the final step in the medLIMITS Setup menu The range for this field is 0 to 15 e 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 f New values will be in effect when the Options menu is accepted 7 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 th
82. ed 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 109 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 Turn pump Off On Keyboard Buffer Full Report error code to factory Report error code to factory 12 Air Sensor Air In Line test circuit failure Report error code to factory or Call provider Pressure Sens DN Replace set and Resume Check Admin Set turn pump Off On Pressure Sens UP Check Admin Replace set and Resume Set Turn pump Off On Turn pump Off On or Call Bad Encoder Report error code to factory Provider Turn pump Off On or call Bad Analog to Digital Rep
83. egral Air In Line alarm to notify user of presence of air in the tubing e Adjustable Down Occlusion settings of High and Low to customize the pump s down pressure requirements Regulatory Agency Approvals whe C INFUSION PUMP WITH RESPECT TO ELECTRIC SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL60601 1 CAN CSA C22 2 NO 601 1 7OTK e Underwriters Laboratories has evaluated the Curlin Infusion Pump with International AC Adapters 360 2022KTT to UL 60601 1 and CSA C22 2 No 601 1 for General Standards of Safety for Medical Equipment and found the Curlin Infusion Pump to be compliant e Underwriters Laboratories has evaluated the Curlin Infusion Pumps with accessory equipments Battery Pack 350 9262 and the International AC Adapters 360 2022KTT 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 Curlin Infusion Pump and the AC Adapter 360 2022KIT for Electromagnetic Compatibility to regulations EN 60601 1 1 2 1993 and 3 uo1 9npo i U EN 60601 2 24 1994 and both were found to be compliant The indicator shown at the left appears throughout this manual to emphasize important information in the operation of the Curlin Infusion Pump Please read these sections carefully Warnings Cautions Notices EXPLANATION FOR SYMBOLS on the Curlin Infusion Pump with the Classified UL 60601 1
84. eld 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 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 cha
85. eld The following screen displays the EPI 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 EPI Options Menu OFTION Lock OFF Lock fia 2 5 Clin tote OFF SHFT TOT OFF HALY ToT OFF LR HRLY OFF medLets OFF OM Qeclu HIGH AIR SENS 3 5 mil AUDIO S i FHR CK lal ACCEFT 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
86. enerates 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 1s 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 Note For information regarding the clinician access code read the chapter entitled Clinician Information and Access Code When entered correctly the access code allows 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 INFORMATION 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 uo1 9npo i U
87. er 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 field 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 fe
88. erapy is in progress the date and time changing functions will not be accessible until the therapy is complete INFORMATION 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 appeats prompting you to select a therapy If a therapy has been programmed the following screen appeats Resume Repeat Rx New Program Menu ENTER to Select REPEAT Fx MEH PROGRAM There are three different ways that you can start a therapy RESUME Should be used if a therapy is interrupted The pump picks up where it left off and continues the therapy 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 NEW PROGRAM Should be used to program a totally 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 53 Buimmweiboig soiseg Resum
89. ercury mmHg units 3 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 INF as well 4 The fourth line displays the number of patient 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 5 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 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 EPI Information Screens Bolus Bolus Dose Oof 0 10 0 mL Tot Yol Rate 16 9 mL 10 0 mL hr Line Pres 10 mmH 89 Adeisul ida WOd 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
90. ery no longer has sufficient power to run the pump Alarm will 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 Soutce 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 3 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 REPLACE SET 4 Replace Set The pump has detected excessive pressure in the disposable administration set Make sure that all the IV clamps are open Relieve pressure open and close pump door ALARM SET NOT INSTALLED Administration Set Not Installed The administration set has not been installed or has been installed improperly Install appropriate Curlin Infusion Administration set for desired therapy Use ONLY 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
91. es 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 90 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 a ALERT Ex in Progress to Fepedt to Return This screen is a reminder that the infusion is not complete If the incomplete therapy is to be continued press NO CHANGE and the Pause Menu screen will be displayed then press YES ENTER and the Run Options screen will be displayed To resume the unfinished therapy press RUN If the therapy is to be terminated and a new container added press YES ENTER to repeat the infusion The following screen will then appear asking whether or not you wish to maintain the current Bolus or MedLIMITS schedule Pointain Current Bolus med LATS Schedule F Press YES ENTER to maintain the current schedules and continue with the programming of the pump Press NO CHANGE to start a new schedule The following screen will then appear asking you to confirm the clearing of the schedules Clear Bolus medLMHTS Schedule D F Press YES ENTER to
92. esentation 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 FHER 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 OPTIONS Lock OFF OH occlu HIGH AIR SEH ge AUDIO S 4 Hold Screen HoldScrn Pressing the Hold Scrn 4 key will hold the current Run 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 p EOL DOSES L FRES 1 E TOTWOL S 6 a PELUS of i 36 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 ml Gi BA 9 8 A 6 Therapy Information ThrpyInfo 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 UNITS el M CONCEN G ma ml ADMIN Rt Cl LOAD DOSE omg 7 Rx Information RxInfo This screen provides p
93. et in millimeter of mercury mmHg units 3 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 INF as well 4 The fourth line displays the number of patient 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 5 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 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 PCA Information Screens Bolus Bolus Dose Tot Vol Rate 16 9 mL 10 0 mL hr Remain Line Pres Interrupting an Infusion AdeisulL Al WOd The infusion can be paused at any time by pressing the PAUSE key The yellow Standby LED light blinks and the following screen displays Pa
94. f doses already infused While the Variable 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
95. g any key press sequences e on with alert alarm messages When no keys are pressed for 15 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 41 dwing 6Buluied 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 Identifier bar with down atrow indicator Text field with highlight LLAIT mL bar or cursor appearing on ADMIN Rt EFI first field A LOAD DOSE O mil Titrate OFF Figure 3 3 Sample of Display Screen 42 Chapter Basics of Programming The Curlin Infusion pump alloys the operator to custonaze this device to meet the specatic infusion needs of
96. hanges 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 EPI Run Screen E0LS00cE 5 0 E RATE 20 8 ml he L FRES 10 TOTMOL 9 6 PLEOLUS 1 of 1 REMAIN 20 5 ml eS The amount of drug infused during the loading dose depends IMPORTANT on the units chosen which may be in ml s mg or mcg A loading dose of 5 mg will infuse 50 ml if the concentration is 0 1 mg ml INFORMATION 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 Patient 88 Bolus Dose Amount This field also displays BOLUS xx mg ml mcg whenever a bolus dose is being delivered The programmed bolus amount displays and the BOLUS text flashes when the pump is delivering a patient bolus dose 2 The second field is a graphic bar representing the percentage of the completed infusion 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 m
97. hanges cannot be made or there may be preset med limits that cannot be exceeded for safety 58 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 each field until the RUN TO START screen appears after selecting done 11 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 59 Chapter PCA IV Therapy PCA or Patent Controlled Anakesa is designed for therapies requiring a continuous rate of infusion patent controled demand boluses or both This chapter covers Curti
98. he YES ENTER key All Hourly Totals will be cleared and the cursor will return to the Options menu 85 Adeisul ida WOd 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 6 medLMTS Medication Limits If this feature was not selected in the Pre Prescription Menu it will not appear on the Options menu If medLIMITS parameters were programmed previously this field will appear and if you want to titrate now select ON and press the YES ENTER key to go to the PCA Titrate medLIMITS menu EPI Titrate MedLIMITS Screen E TITEATE med LMT EASL RATE EGAGA mol Ae PLEGLUS 5 8 mil E0LS INT 1 HIH HEOLSIRE G ACCEPT M 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 medLIMITS 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 patameters 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 BASL RATE Use the numeric keys to enter the new desired rate When the correct rate has been enter
99. he default OFF It can be any one of these values Lock Level 1 Lock Level 2 or Lock Level 3 The pump user is not allowed to change the customized factory programmed Lock Level setting If you attempt to change the customized Lock Level the pump will display an alert MODIFICATIONS NOT ALLOWED improved Pump Display In addition to the above custom features Tallman Lettering is implemented in this new version of the PainSmart IOD pump for better safety The PainSmart IOD pump displays smaller numerical fonts to the right of the decimal in the PCA therapy programming menus and in the RUN screen menus where the data is displayed Trailing zeros are dropped i e if a decimal value is 0 then the 0 after the decimal is not displayed Also the unit for milliliters is displayed as mL instead of ml For example the value ten milliliters is displayed as 10 mL not 10 0 ml and the value 10 2 milliliters is displayed as 10 2 mL not 10 2 ml 40 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 blinks 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
100. he 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 Low Kk OFF Lock fie 1 4 Clin DOSE OFF on SHFT TOT OFF On HRL Y ToT OFF ON LRHRLY OFF ON melts OFF On OM Occu HIGH LOH BAIR SENS D S ml 2 8 OFF 1 I AuoTo S i J FHR CK MA 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 has been set into a locked condition any subsequent request to change the lock will 66 AdeisulL Al WOd require a clinician access code See Clinical Information and Access C
101. he 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 Manufacturer warrants to the Original Purchaser that the infusion pump the Pump not including accessories shall be free from defects in material and workmanship under normal 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 120 2 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 patient
102. hen the correct maximum medLIMIT 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 6 1 Administration Route Default Settings table 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 medLIMITS amount level of 1 ml on this field and press YES ENTER to move to the next field ATime Delta Time Enter the incremental 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 O and press YES ENTER to move to the next field Max BOLS Maximum Bolus Dose Use this field to set the upper limit of the Patient 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 6 1 Administration Route Default Setings table MinINT Minimum Bolus Interval Use this field to se
103. his procedure e A NEW 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 syringe 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 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 122 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 EPI IV the Battery Door is in place and that the Battery Contacts in the Battery Compartment are not deformed Refer to the picture below when executing the following instructions 2 Volumetric Delivery Test a Install a new primed Administration Set in the pump and latch the door b
104. hout 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 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 m3 BG BA HE AMTmog BG BA Poa a The screen displays hourly infusion delivery for each hour 00 23 of the last 24 hours of therapy in the unit selected a b d C The highlighted field has a marker lt 4 indicating the current hour in progress Volume or Amount will show in the first column BG Patient Bolus Given in the second column and BA Patient 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 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 a Clear Hourly Totals Screen z Clear Hourly E Totals MOH i ACCEPT Meee OTe To clear the Hourly Totals press t
105. hr W AICCEFT MxRATE Maximum Rate limits Use the numeric keys to enter the upper limits of the infusion rate When the correct maximum medLIMIT 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 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 medLIMIT amount level of 1 ml on this field and press YES ENTER to move to the next field ATime Delta Time Enter the incremental 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 O and press YES ENTER to move to the next field Max BOLS Maximum Bolus Dose Use this field to set the upper limit of the Patient 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
106. icies and directions 17 sainje34 39S R dung Flow Stop orien ere Figure 1 9 shows the ministration Set Curlin Medical pump a Tubing with a cut away of the Air Detector g Guide RE display screen allowing you to visualize the Note Open the Nl eal receptacles for the slide clamp N J NG small blue Tubing before closing An P ino Fi IN Guide on the right the pump door T aa side of the pump and the larger yellow Integral Flow Stop Tubing Guide on the left side of the Receptacle pump The arrows in corresponding colors mee Flow Stop Receptacle OHD are visible on the background surface of A the pump head and p Sion Leet a o E proper x irection for placing ap NO YE IE ina Yi these locators into their ies ls LZ _ receptacles Also note that the breakaway tab 2 Note The has been removed from D Administration the Integral Flow 2 Sprong la Stop allowing the aT always placed in administration set to be 2 Q Sl T BOLUS front of the door place A aanta h pump i hinge i correctly 2 Figure 2 9 Proper Installation of the Curlin Infusion Administration Set into the Pump Steps in Installing Administration Set into Curlin Infusion
107. ier nothin oo Corvonero Call Provider 3 Turn Pump OFF Bad EEPROM Data CRC 2 Call Provider Call Provider 4 4 4 Bad Cal Range Bad EEPROM Limit Report error code to factory Call Provider carever a eer Call Provider ole aS Call Provider Call Provider Call Provider Call Provider Call Provider 10 Turn pumpOFF ON Count out of range Call Provider Call Provider o e e Call Provider S Call Provider Call Provider MO a Call Provider Call Provider Call Provider Call Provider Call Provider 14 Turn pumpOFF ON Report error code to factory Call Provider r 6 60 Stuck PERIOD Key Stuck Period Silence Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provider factory 1 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 11 7 8 9 0 r 5 6 0 1 2 3 4 5 6 7 8 9 10 11 12 0 1 2 3 4 5 6 1 z Error Code 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 200 201 202 03 2 LCD Displayed Probable Cause Corrective Action Message Stuck 0 Key Stuck 0 Key If key was pressed release it Turn pump OFF ON or Call ee Otherwise report error code to Provider factory Stuck 1 Key Stuck 1 Key If key was pressed release it Turn pump OFF ON or Call Otherwise report error code to Provi
108. iew Pca Repeat Therapy ra Yes Pime Pump ra Change AudioLevel ra Change Rx screen information Pca Change Rx screen at No to Review Pca Access New Progam Pa Change Air in Line Seting Pea Change Down Pressure roa Change Units New Program Pca Change Concentration New Program PCA Utilize medLIMITS Option Pca Program medt Mrrs ra Change Administration Route New Progam PCA Program LoadingDose ra Program Clinician Doss Paa ea BCREC es Ses Den Yes __ es hem em a Yes es Yes es es Yes es Yes Yes Nees es Yes es es es No No No No No es No No No No Whenever a lock setting is placed in the pump it is retained unless changed by using either the BIOMED SETUP function or the OPTIONS function to change the 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 The lock setting remains the same but the pump recognizes the access code and authorizes the function to be performed without the need to change the lock setting with software revision of 6R9 and higher Prime Pump is Lock Level 2 protected 135 Chapter PainSmart IOD Catalog Numbers PAINSMART IOD CATALOG NUMBERS Catalog Number Default Route
109. ing a Therapy 1 RESUME If 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 providers 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 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 wi
110. ining 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 Screens 67 Bicleared ZHJAN 215355 ELAFSED 842 HHiHir Sol INF 3 5 mil I uol INF 3 5 ml RIPLEOLUS of i clin Dose DINE COME gt F 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 requeste
111. installation instructions ALERT DOSE AMT IS 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 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 98 Buizooys jqnolIL 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 Cause Resolution 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 vo
112. itional 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 are more than four fields of text or information to be considered PCA Prescription Menu BAG Vol TT r BAG Vol OT rl BAG Vol GAEM rl EASL RATE D 0 omlvhe EASLRATE 0 m alhk EASLRATE D 0 megh fa Pt EOLUS re mil Pt EOLUS D 0 mg PLEOLUE D 0 meg ELS IMT 5 Ft HIH ELS IHT HIH ELS IMT HIH HEGLS hE DINE YES Note The PCA therapy can be programmed for Basal Rate continuous infusion only for Patient Bolus patient demand dose only or for both At least one of these settings 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 Curlin Infusion pu
113. ivery gt 1 ml under the following conditions e Temperature 55 to 90 F e Back pressure to 300 mmHg 5 8 PSD 10 for volume delivery gt 1 ml under the following conditions e Temperature 45 to 55 F e Temperature 90 to 104 R 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 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 tubing 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 127 Down Occlusion Detection Time Rate Low Pressure High Pressure Microbore tubing with occlusion at 9 1 ml hr lt 45 min lt 1 hr 30 min distal Luer 1 ml hr lt 5 min lt 7 min 10 ml hr lt 20 seconds lt 45 seconds 50 ml hr lt 5 seconds lt 15 seconds 125 ml hr lt 3 seconds lt 5 seconds ITEM SPECIFICATION Programmable Time 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 Percent Error Curlin Pump infusing at 25 ml hr
114. l Provider Turn pump OFF Therapy params write violate Report error code to factory Call Provider Turn pump OFF Report error code to factory Call Provider 16 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 3 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 Error Code Error Code 205 206 207 208 209 210 211 212 213 214 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 3 17 m 13 Chapter Accessories There are a number of hefptul aceessones jor use with the Curlin Infusion pumps Some of the most common accessones are desorbed in this chapier For a complete and updated ist reer to the Mog website wvrmoog corn medical 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 a Figure 8 1 Detachable Pole Clamp 114 sali0ssa20y 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 ther
115. lay of Info On Demand functions when the pump is in the RUN mode 34 Description of the Info On Demand IOD Feature of the Curlin Infusion PainSmart IOD Pump Figure 3 2 PainSmart 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 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 35 dwing 6Buluied 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 ANO TIME SJAMAS 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 repr
116. ld 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 52 Ci IMPORTANT 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 ENTER 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 If a th
117. livered 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 IMPORTANT prescription pause the pump and select REPEAT Rx When the cc 9 e sn ie INEGEMATION RUN key is pressed the prescription will restart without the loading dose 5 medLIMITS Setup 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 select OFF and press YES ENTER to accept the factory defaults see Figure 6 1 If a specific medication limit is requested or mandated press YES ENTER to turn ON the medLIMITS and the following screen will appear Enter the appropriate soft limits for each field 78 EPI medLIMITS Setup Screen medLIMLTs SETUP MM RATE OE rol he lt S RATE D m lt 3 TIME D 00 MaxBols Da ml 7 Min INT HIH HEOLS hk A ACERT MxRATE Maximum Rate limits Use the numeric keys to enter the upper limits of the infusion rate W
118. ll be cleared 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 Fx in Progress to Repeat to Return If the current infusion is to continue press NO and you will be prompted to resume the P 5 y p p 54 Bulmweiboig soiseg therapy If the current infusion is to be discontinued and a new IV bag started press YES ENTER to repeat The following screen will then appear asking whether or not you wish to maintain the current Bolus or MedLIMITS schedule Haitari Current Bolus medLhTs Schedule DF Pressing YES will maintain the current schedules an
119. lume infused for the prescription is equal to the Bag Vol Bag Vol may have been reduced due to 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 soutce is available again ALERT FIELD NOT ACCEPTED Field Not Accepted 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 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 cann
120. mmH BY 9070 6 2 2 8 0 76 227AN03 15 18 m1l Vin mmH BY 8937 3 2 2 10 0 76 227AN03 14 58 m1l Vain mmH BY 86803 9 2 2 10 0 76 PPO L SG ae AAA ANANN SINSINNIN NINI 201293 OAUGOO 16JAN04 2 LJAN0G 2 LJAN0G LJAN0G 2 LJAN0G 2lJAN03 2174AN0 3 2 LJAN0G 16 16 16 16 16 I7 aF a7 ai a7 ml Vin mmH BV 2 1 3 1 0 0 78 ml Vex mmH BV 0 076 77070 78 START PUMP O 0 ml START THERAPY AIR FILTER RUN PAUSE KEY CON RUN OPTION 2 YES Options Lock Hourly Tot Clear Hrly Dn Ocelu Alr Sens udio PWE CE Accept OPT Lock OFF OFF OFF OFF HIGH OFF a OFF YES NO 2lJANOS CON Ror 2900 mL 3500 ral 400 0 ml hr 235 45 HH MM URR mli hre YES Bag Vol mt TRI Rate Time EYO Rate Done CON PRE Rox Units r Delay Titrate Next 4 tJANOS 57 REPEAT Bo 2 1tJANO 3 56 ON PUMP 42 1tfJAN0 3 33 OFF PUMP Patient Log Used bytes 2lTANOS 1693 of 61440 Figure 4 1 History Event Log 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 FOLLOW DIRECTIONS THAT ACCOMPANY THE DATA INTERFACE CABLE The pump will display PRINT Pt Hx ACCEPT 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 50
121. mount of fluid in intravenous bag medication reservoir or syringe Year To set date enter 2 digit year uo1 onpo1 u 10 Chapter Features of the Pump and Administration Sets The Curlin Infusion PanSmart TOD Pumps have been designed with the user in mind and have the latest in friendly sinpple to learn technology to allay fast and easy access to the features of these pumps With a ittie introduction and traning an operator will quickly be able to program and use these pumps to deliver the therapies prescribed Pump Illustrations and Features Pump Door LED Status Indicator Display Screen Pump Door Instruction Label Door Latch Run Pause Key On Off Key i l Help Option Key Data Intertface Bolus Cord Port Down Arrow Yes Enter Key Data Bolus Port Unique Keyhole Prime Bolus Key Up Arrow No Change Key s Decimal Point ISELIN Ae Silence Key s Se Numeric Keys i L Figure 2 1 Curlin Infusion Ambulatory Pump Front Top and Left View 11 sainje34 39S R dung Battery Compartment Door with Caution Label Serial Number Label Recessed release Pin for Battery Door External Power Jack Port 2 Pin Port Power Jack s Unique Keyhole Right View Pump Door Ilew ight Vi Bottom and R Back Figure 2 2 Curlin Infusion Ambulatory Pump 12 Disposable Administration Set Illustrations and Features
122. mp in PCA Intravenous Therapy can be set for a continuous basal infusion 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 MIN FIELO LIMIT FIELO LIMIT MASSA eee 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 63 3 Pt BOLUS Patient Bolus Dose Use the numeric keys to enter the prescribed 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 Ifa 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 Patient 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 the cursor to the next field 5 BOLS hr Number of Patient Bolus Doses per hou
123. n Infusion pumps speafically programmed for PCA Intravenous therapies appear requiring you to enter information needed to program this therapy WW you begin programming a PCA IV Therapy the following display screen will Prescription Menus PCA IV Pre Prescription Menu Screen UMIT fied UNITS mcg UNITE mL SCONCEN 2 8 mam CONCEN D 0 ADMIN Rt IL ADHIH Rt IU ADHIH Rt IL LOAD DOSE T a U mil LOAD DOE D A omg LOADOOSES meg medLMts OFF medLrt s OFF medLMt OFF HEXT YES HEST YES HEST 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 IV 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
124. n 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 one beep will sound to indicate that the dose has started If a bolus dose is requested and denied two beeps 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 with the unique key plugs into the four hole port with the matching keyhole on the left side of the pump see Figure 2 14 below This port may be covered with a plastic plug If so remove the plug to access the port To remove the cord pull back on the soft green locking sleeve and disengage the cord from the pump by pulling it straight out of the access port Bolus Data Port on Left side of Pump Bolus Data ee Port Unique Oa Keyhole Gii A A Unique Key Four pronged adapter SS fem in with unique key plugs SIS AZ Gl into access port on left RSS Gl Be Le a A Er side of pump as shown mS TR 1 Be a ae T j i t a To remove bolus cord pull back on locking sleeve and pull cord straight out of access pott Figure 2 15 Attaching and Removing the Remote Bolus Cord 32 sainje94 39S R dung Chapter Learning Pump Features Learning to operate the Curlin Infusion pump requires a fev basic points of understanding that remain constant in every therap
125. n of 0 to 25 ml per hour see Figure 6 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 MIN FIELO LIMIT FIELO LIMIT MASSA X MINSK X 80 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 Pt BOLUS Patient Bolus Dose Use the numeric keys to enter the prescribed bolus patient demand dose and when correct press the YES ENTER key to accept and move on to the next field The Patient Bolus Dose can be set for 0 to 25 ml Note Ifa 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 Patient 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 the cursor to the next field 5 BOLS hr Number of Patient Bolus Doses per hour Using the n
126. ned off call the healthcare INFORMATION 1 i ae 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 its default settings and therefore will require reprogramming 45 Bulmwesboig soiseg When the Curlin Infusion pump successfully passes it s self test a brief message of System OR appears and the display moves to the next screen 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 Preventive Maintenance Screen ALERT PERFORM FOUTINE MHAINTENANG E 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
127. nges 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 EOLSO05E 5 08 ral oo role A I L FRED 18 Ue ATOTWOL 9 6 ml ATOTWOL 3 5 PLEGQLUS 1 of i REMAIN 90 5 ral 71 The amount of drug infused during the loading dose IMPORTANT depends on the units chosen which may be in ml s mg or mcg A loading dose of 5 mg will infuse 50 ml if the INFORMATION eect concentration is 0 1 mg ml 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 Patient Bolus Dose Amount This field also displays BOLUS xx mg ml mcg whenever a bolus dose is being delivered The programmed bolus amount displays and the BOLUS text flashes when the pump is delivering a patient bolus dose 2 The second field is a graphic bar representing the percentage of the completed infusion The graphic bar will toggle with Line Pressure L Press which displays the current patient side downstream pressure in the administration s
128. ntil cleared by the clinician thus eliminating the 2 need to reprogram before each use e 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 e Powered by two readily available cost effective C size alkaline batteries e Attractive yet robust design that is impact resistant and water resistant IMPORTANT e Audio alarms that can be adjusted from 1 very quiet to 9 loudest to INFORMATION i ee meet specific patient and clinical setting needs but that cannot be totally disabled e Four sizes of convenient carry packs to assist the ambulatory patient in maintaining independence of lifestyle e 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 e 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 e Backlit illumination for display screen Backlight remains on continuously if AC Adapter is in use e Integral Up as well as Down Occlusion alarms to notify user if an occlusion is present on either side of the pumping chamber e Integral High Upstream pressure alarm to notify user of excessive upstream pressure e Int
129. nts 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 Millioram Minimum Minimum amount of time between patient boluses Milliliter 8 uo1 onpo1 u MX OPT PCA PT SENS SQ VOL A unit of liquid measure 1 1000 of a liter 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 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 A
130. o MOO C gt recs User Manual for use with the PainSmart IOD Ambulatory Infusion System Moog Medical Devices Group tt 800 970 2337 ph 801 264 1001 fx 801 264 1051 www moog com medical Important Safety Note gt When using a Curlin Infusion Pump in a life sustaining situation use AC Adapter and provide an extra set of C cell batteries in addition to the batteries that are installed in the pump gt Check pump between patient use per procedure see maintenance chapter gt Prior to Programming Load Dose refer to Important Information in the appropriate Therapy chapters User Manual for use with the PainSmart IOD Ambulatory Infusion System Manufactured by Medical Device amp QA Services ZEVEX Inc 76 Stockport Road Timperley C 4314 ZEVEX Park Lane Cheshire WA15 7SN Salt Lake City UT 84123 USA United Kingdom a Phone 801 264 1001 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 547S Other U S and Foreign Patents Pending Copyright 2000 2004 Moog Inc All Rights Reserved Revision C Reorder Number 360 9043 TABLE OF CONTENTS INTRODUCTION 1 Delivery Mode and Routes 1 Indications for Use ceseeeeeeeeee 1 Special Features of the PainSmart
131. o 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 a or down F 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 HELG OHE 2 JANGS Pree kev OK1 FH E 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 for 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 tur
132. o 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 p i T prm i primi pack E artery i pi ar o a r fe pantu as pi chl gam Y i iF ARANE ouo A 1 wes a OA OO 25 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 in 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 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 The e
133. ode chapter for access code information lock setting table and available features for each lock setting 2 ClnDOSE 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 OOSE i Clin DOSE mil A ACCEFT YES ZNO Note Ifa 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 until it is completed Clinician Dose Run Screen CLINICIAN OOSE CLINICIAN OOSE a L FRES L mmH4 Lol INF 1 4 s DOSEINF 1 4 mil REMAIN 3 5 REMAIN i 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 This 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 rema
134. ogramming a PCA EPI Therapy the following display screen will Prescription Menus EPI Pre Prescription Menu Screen units OE UMIT ml UMITS meg CONCERN D A ma ml AMINRT EPL COMCEN 2 8 megil ADMIN et EPL LOAD DoE D ral ADMIN Rt EPL LOAD DOSE OL mg medLeits OFF LOADOOSE LG meg E medLnts OFF HEXT YES medLMtTs OFF HEXT YES 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 EPI 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
135. on 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 D Z 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 82 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 Clin DOSE e SHFT TOT e HRLY TOT and e CLR HRLY will return you directly to the ACCEPT OPT fi
136. ormation 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 low battery alarm for the external battery pack the external battery pack should always be used with charged C cell batteries should batteries 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 Figure 2 11 Curlin Pump Battery Replacement STEP 1 The battery door com partment is located on the back of the pump To open the door move the dark gray slider located at the bottom of the door to the right Unlock position until you hear a click STEP 2 Slide the battery door down and remove it from the pump STEP 3 If your pump contains a plastic tab between the two batteries pull up on this tab until
137. ort error code to factory Provider Conversion Report error code to factory Call Provider Bad Air In Line comparator Report error code to factory register reading from FPGA 19 Turn Pump OFF Call Provider Bad Door Sensor Report error code to factory k O Call Provider Call Provider Call Provider Call Provider Turn Pump OFF Report error code to factory Call Provider Stalled Pump Broken Motor Shaft Turn power off on and resume Turn pump OFF ON Call Provider Bad Motor Inhibit Report error code to factory Call Provider Call Provider Turn Pump OFF Report error code to factory Call Provider 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 Call Provider Call Provider Turn Pump OFF Check replace D31 Replace PCB Call Provider Low Alarm Audio Audio Auxiliary Speaker Low Connect pump to AC Battery Connect AC Adapt Eliminator and turn power off on to r 2 22 23 4 2 9 1 5 2 26 217 28 9 2 30 31 2 3 33 Turn pump OFF ON pump May require turning pump off on a few times 110 Buizooys jqnolIL Error LCD Displayed Probable Cause Corrective Action Code Message Call Provider Turn pump OFF ON 36 Bad Cal Data Bad EEPROM Data CRC Report error code to factory Call Provider 3 Turn Pump OFF Analog to Digital Converter did Tl Garprow
138. ory Stuck DOWN Key Stuck Down Arrow Key If key was pressed release it Turn pump OFF ON or Call ee Otherwise report error code to Provider factory 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 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 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 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 Call Provider Call Provider Call Provider Call Provider Call Provider 112 Call Provider Turn pump OFF ON Bad pump status ese ee e Call Provider Turn pump OFF ON Bad rate type er E Turn pump OFF ON Bad motor test number Report error code to factory a a a oe Z9 caper o Turn pump OFF ON Bad EEPROM Data ID o aa ES a aN canere o Turn pump OFF Bad EEPROM Write e ae O 2S eatPronder O O Turn pump OFF Bad total time a pe ene Call Provider re Call Provider Call Provider LCD Displayed Probable Cause Corrective Action Message Call Provider Call Provider Call Provider Call Provider Call Provider Call Provider Call Provider Call Provider Call Provider Cal
139. osing the Pump Doof 16 Figure 2 9 Proper Installation of the Curlin Infusion Administration Set into the Figure 2 10 Top Cutaway View of the Curlin Infusion Pump with Curlin Infusion Administration Set in Proper Installation POsition cccccssesceees 19 Figure 2 11 Curlin Pump Battery Replacement s scccssciccstectedicscasscsstaqadasive 21 Figure 2 15 Attaching and Removing the Remote Bolus Cotd cccccesessseeees 32 Figure 3 1 Curlin Pump Features 33 Figure 3 2 6000 CMS PainSmart IOD Keypad with Info On Demand Featitoneoneiornea vente 33 Figure 3 3 Sample of Display Screen 42 Figure 4 1 History Event Log 50 IV Figure 5 1 PCA Administration Route Default SOLAN Ss xs chess cacveindisecavenenesieeseds 57 Figure 6 1 PCA Administration Route Default SCtun gS sorsun rsrs 74 Figure 8 1 Detachable Pole Clamp 109 Figure 8 2 Remote Bolus Cotd 110 Figure 8 3 Safety Shells eissc wc sscsiccceaseseocsane 111 Figure 8 4 Pole Clamp and Safety Shell POS CANA oMr esn 112 Figure 8 5 Pump Holstet sscceeee 112 Figure 8 6 Keypad Covers ssscceseseees 113 Chapter Introduction Let us fst review the delivery modes and routes indications for use speaal features regulatory agency approvals and warnings cautions and notwes relating to the Curtin Infusion Pumps ets begin by introducing y
140. ot exceed the field limit 99 LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution 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
141. ou to the 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 compact lightweight design allows mobility for ambulatory patients The 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 Mode and Routes PainSmart IOD is a PCA or Patient Controlled Analgesia pump designed for therapies that require a continuous rate of infusion patient controlled demand boluses or both Three Administration Routes namely intravenous IV epidural EPI and subcutaneous SQ and three Units of delivery namely milligrams mg micrograms mcg and milliliters ml are available With the help of a software program purchased from Moog an institution can configure the Administration Route to be fixed as IV EPI or SQ If any Administration Route is selected as Fixed it is the only Route available to the user other Routes will not be displayed and cannot be re enabled in the Biomed Setup menu Similarly the Units of delivery can be fixed as mg mcg or ml If any Unit of delivery is selected as Fixed it cannot be modified by the clinician user in the Biomed Setup menu Indications for Use The Curlin Infusion pump c
142. p 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 PainSmart OD 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 Painsmart pump 4 Moog Device Management System Version 1 00 0016 Moog Device Management System Loggedin as admin Protocol Library History User Admin Managed Devices Settings Step 1 Select a managed Step 4 Add edit rename delete device protocols coe Managemen PainSmart IOD List of Filtered Protocols 5 5 1 12 days test 5 Library Management Step 2 Select one of the editable libraries below Library Approval Download Management Import Export Libraries Step 3 Select drug or category filters optional 7 1 Parl Drug Filter Copy of 5 6 1 36 Par t 2 Drug Names lt none selected Y Copy of Copy of Copy of Ther apy 57_0 Copy of Copy of Copy of Ther Categories Filters Copy of Copy of Ther apy 1 Line 1 JEP Copy of Copy of Therapy 2 Location lt none selected gt v Copy of Copy of Ther apy 57 Copy of TEST ML Copy of Therapy 1 Line 1 JEP Therapy 1 Li Copy of Therapy 2 apy 1 Line 1 JEP herapy 57 Copy of Therapy 9 THIS IS L
143. programmed and resets the pump to its default settings The history log is NOT cleared When you select YES ENTER at this field the following screen displays CLEAR Pt OATA EX YES CLEARS ALL Pt Data amp E s ACCEFT 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 contrast on the display screen is automatically optimized and is no longer changeable with this option 51 Burwweibold soiseg CHANGE CONTRAST Level Hn ACCEFT YES NO 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 AND TIME DATE ANO TIME CLOCK CLock LFF TIME Lf 16 HHiMt AMP AP DATE Z3SJANGS TIME ir 16 HHHH ACCEFT YES NO DATE Z3JANGS ACCEFT YES N 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 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 fie
144. r 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 IMPORTANT remaining issues such as checking the administration set to be sure it was ptimed 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 you four choices Run Options Screen PRESS to START to EEMIEH ae LME 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 syringe 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 see Chapter 2 However if it was not
145. r 70 Rate Calculation Window min Infusion rate Curlin Infusion pump delivering in TPN mode at 25 mV hr with 1 hour ramp up and 1 hour ramp dow n Time hrs Percent Error 0 1 0 05 0 05 0 1 Percent Error Curlin Pump infusing at 1 ml hr no headhight hour 70 detail Rate Calculation Window 132 Curlin Pump delivering at 1 ml per hour with zero headheight detail Calculated Average 0 1011 ml per hr 0 12 3 0 115 lt g cS 0 11 5 0 105 am gt 3 0 1 Tas 0 095 0 09 10 10 5 11 11 5 12 12 5 13 13 5 14 14 5 15 infusion time hrs Curlin pump infusing at 1 ml hr w ith zero headheight hour 2 7 2 D 5 2 op 3 o 8 Rate Calculation Window hrs Curlin pump infusing at 1 ml hr w ith zero headheight hour 70 10 O 5 lt 0 2 op 5 3s 10 15 Rate Calculation Window hrs 133 Lock Setting Table The following table illustrates which features are controlled under which lock settings Pump Operation Active Lock Lock Lock Lock Therapy OFF 1 2 3 Change Lock Settings All settings with correct access code Turn Pump O O ra e es Ves Yes Pause Run Therapy ra Yes Yes Access Help Options PCA Yes Yes Yes Yes Check PowerSource rca e Wes Yes Yes Resume Therapy rca es Wes Yes Yes View Rx Screens at Noto Rev
146. r 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 81 Adejidul ida WOd 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 aioe key Mee to EXIT 3 Disconnect the administration set from the patient s access site using aseptic protocols p g asepuc p Priming with the set connected to the patient could result in O RENT 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 Aelease siege key to Stop Prime Amt 8 ml The amount used for the prime sessi
147. rature 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 29 e Do not use the pump s display see cautions to predict external battery life e When the external battery pack is nearly depleted the red LED indicator will be illuminated 1 j j iy c oe ee 2 J ci i m mai i fa 1 LS l E r K a Neal Le te T CALS Ie Rees OD Bi a a rt To om Sed oe wu BF battery hg 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 e There is no need to fully discharge the batteries periodically since Li Ion batteries do not have a memory 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 30 AC Adapter Charger This accessory becomes the extern
148. rescription menu information such as Basal Rate Patient Bolus Bolus Interval and Number of Bolus per Hour Changes to this screen are not allowed EASL RATE 3 p Pt EOLUS Da 0 EJL INT amp EiLzihr ko 37 dwing 6Buluied 4 8 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 M TEOL 25 0 mil TWOL 65 2 ml 7 BOLS 38 9 Clear Shift Total CLRShft 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 rey Cleaned CSUJAN Fisch mM S
149. s 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 ZEVEX Inc 4314 ZEVEX Park Lane Salt Lake City UT 84123 801 264 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 User 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
150. s 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 D Z 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 65 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 Clin DOSE e SHFT TOT e HRLY TOT and e CLR HRLY will return you directly to the ACCEPT OPT field T
151. s from refrigerators as specified by the healthcare provider or pharmaceutical manufacturer 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 familiar 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
152. sion Administration Set Integral Flow Stop with Breakaway Tab 4 Squeeze Integral Flow Stop we between thumb and forefinger a ie as shown to allow fluid to flow lp through tubing after the breakaway tab has been removed A5 t Figure 2 6 Intentionally Opening the Integral Flow Stop 15 s IN ze J z S R dwnd Opening and Closing the Pump Door The pump door located on the top of the Curlin Infusion pump has a sturdy over center latching mechanism which assists in securely closing the door Review the following illustrations Door Latch Lift to open Latch Hook 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 2 9 and 2 10 gt i TASS AENA SR WADA oe a To close the pump door properly move the entire door assembly to the JA J left and push downward until it is in its closed position Then push the Et if door latch down until it locks The Fee a over center latching mechanism ho ee ot cn AIS ig A H I assures that the door closes easily and ae z p f NISS Bae al pe a i mT E a i A I Ms so
153. sks appear If the four five configuration is selected 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 If an access code screen displays and the access code is not known pO aR use the down attow to move the cursor to the EXIT field Press INFORMATION 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 ENTERA to Select MAINT _ OSJANOE PROGRAMMER IDC PATIENT ID kx MUMEEF INVOICE NUMBER CHANGE LOCK FNAGBLE THERAPY PRINT Pt Hx CLEAR Hx LOG CLEAR FX CLEAR Pt DATA E CHANGE CONTRAST DATE TIME DOME The BIOMED SETUP menu lists special optional customization and performance functions of the pump 47 Bulmweiboig soiseg You may skip any of these functions 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
154. t 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 TBI or Vol TBI field is greater than the value in the bag volume field Recheck the data entry ALERT AMT TBI GREATER THAN BAG VOLUME YES to Continue NO to Return Insufficient volume Occurs when bag volume is less than amount to be infused Can also occur when pump s priming feature is used and 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 95 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
155. t indicates direction and location for the handle blue Tubing Guide eae J 2 Important Center the tubing T S horizontally over the pumping fingers EP 7 covering the yellow dot NAN SY A y 3 Insert yellow Integral Flow Stop yellow arrow on the background surface of the pump head indicates the direction and location for the Integral Flow Stop T J on the left side of the pump The f y AR a k CAUTION Hold the Flow Stop et by the small handle DO NOT E press down on the top of the a l Integral Flow Stop when NC pA inserting it into the receptacle DA This action could inadvertently ee 2 open the Integral Flow Stop and 2 7 allow fluid to flow through the tubing b A 4 Press the tubing into the air detector P 6 slot gently with index finger 0 E es Figure 2 10 Top Cutaway View of the Curlin Infusion Pump with Curlin Infusion Administration Set in Proper Installation Position Up Stream Occlusion Alarm Feature The 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
156. t schedules and continue with the programming of the pump Pressing NO CHANGE will return you to the prior screen 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 Pre Prescription Screen If the current container has not completely infused the following screen will appear a ALERT Fe Ln Progress Mew 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 74 AdeisulL Al WOd 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 Ifyou 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
157. t the minimum amount of time allowed between patient bolus doses When the correct time is entered press the YES ENTER key to accept and move to the next field BOLS hr Number of Boluses allowed per hour Use this field to enter the maximum patient bolus hr When correct press the YES ENTER key to accept and move to the next field 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 medLIMITS are now entered and the display returns to the Pre Prescription screen If the entire medLIMITS Setup Screen is to be aborted press NO to return to the Pre Prescription screen 79 Adeidul ida WOd 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 select
158. th the programming of the pump Press NO CHANGE to start a new schedule The following screen will then appear asking you to confirm the clearing of the schedules Clear Bolus medLhTsS Schedule DF Press YES ENTER to clear the current schedules and continue with the programming of the pump Pressing NO CHANGE will return you to the prior screen 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 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 76 AdejisulL Al WOd Chapter PCA Epidural Therapy PCA or Patent Controlled Anakesa is designed for therapies requiring a continuous rate of infusion patient controled demand boluses or both This chapter covers Curlin Infusion pumps speafuall programmed for PCA Epidural therapies appear requiring you to enter information needed to program this therapy WW you begin pr
159. 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 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 4 SET BIOMED CLINICIAN MENU ITEMS a Note 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 Setting of the Date and Time is not allowed if RESUME infusion is still active is available on the Pause menu Use the CLEAR Pt Data Rx option on the Biomed Clinician menu to clear the prescriptions and end the infusion The Date and Time can then be programmed From the Program Biomed Setup Menu select Biomed Setup At the Enter Code Menu enter the Clinician Code Optional Erase the patient history file using the Clear Hx Log Menu Erase
160. 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 b Pt BOLUS Use the numeric keys to enter the new patient bolus dose and when correct press YES ENTER to accept and move to the next field see Figure 5 1 c BOLS INT Patient Bolus Interval Use the numeric keys to enter the new patient 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 d BOLS hr number of patient boluses per hour Use the numeric keys to enter the new number of patient boluses per hour and when correct press YES ENTER to move to the final step in the medLIMITS menu The range for this field is 0 to 15 69 e 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 f New values will be in effect when the Options menu is accepted 7 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 th
161. ther restricted through medLIMITS Ability at the institution level to configure the pump for specific Administration Route or Units of Measure Units Factory ml mg mcg ml fixed mg fixed or mcg fixed Route Intravenous Epidural Subcutaneous Intravenous fixed Epidural fixed or Subcutaneous fixed Patient and therapy specific programming features via the Curlin Infusion BIOMED SETUP and Options Menus when not limited by the institution Selection by user from three units of delivery milliliters milligrams and micrograms when not limited by the institution Choice of five or nine digits Clinician Access Code Maintenance Due Date that is automatically set the first time after 12 hours of use Shift Totals that can be greater than 24 hours Hourly Totals Automatic scrolling of the programmed prescription with quick repeat function Cost effective safe and easy to load disposable Curlin Infusion administration sets featuring a unique sprine 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 User friendly easy to teach programming that shortens staff inservice time and patient teaching time Helpful help screens and display messages Three tamper resistant lock settings to assist in maintaining patient compliance and safety Retention of programmed infusion settings u
162. therapy must be enabled or ON for menu to be 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 Modification to the current field is not allowed while the dose is in progress Wait until the dose in progress completes before modifying field 102 Buizooys jqnolIL 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 Cause Resolution LCD Display 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 F
163. 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 FEVIEM ae F F LME 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 44 displayed on the screen most often this will require turning the pump off and back on again Using Help Help screens ate 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 t
164. tration set is not properly installed while 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 doot 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 106 Buizooys jqnolIL 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 batt
165. ttings 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 PCA Infusion Complete E INFUSION COMPLETE E m TOTWOL 20 8 ral PLEOLUS 1 of i 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 three 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 92 a Note ENTER to Select MEH PROGEAM REPEAT Rx To repeat the present therapy and add another container with the same prescription press the YES ENTER key at this field The following screen will then appear asking whether or not you wish to maintain the current Bolus or MedLIMITS schedule Haint Current Bolus7medLMTs Schedule 7 OF Press YES ENTER to maintain the current schedules and continu
166. umeric 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 IMPORTANT remaining issues such as checking the administration set to be sure it was ptimed 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 you four choices Run Options Screen PRESS to START to EEMIEH ee F F LME 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 syringe 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 see Chapter 2 However if it was not done then o
167. until the empty bag alert occurs or infusion complete is reached No AIR IN LINE alarms will occur while the air sensitivity is disabled If no air eliminating filter is being used press NO The infusion will 94 Buizooys jqnolIL LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution LCD Display Alert Cause Resolution 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 amoun
168. use Menu Screen FHTER fo 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 FEVIEM ee LE 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 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
169. ut 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 Please note Both positive poles are at the top of the battery compartment To depress the coil spring insert the battery at a slight angle Slide the battery door compartment back to its closed position until the recessed pin locks into place CAUTION If batteries are removed from the bottom end first damage to the springs in the bottom of the battery case can occur Damaged springs can create a situation in which the battery overheats If the battery or the 91n e34 39S Fy dung menu It is recommended to use Duracell Procell Batt C cell batteries only this function will not che 1 Duracell and Procell are registered trademarks of Proctor amp Gamble 24 pump becomes excessively warm to the touch do not attempt to remove the batteries Set the pump aside and contact your home infusion pharmacy eries in Curlin Pumps ck external battery pump power levels External Power Sources Rechargeable Lithium Ion 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 t
170. ution LCD Display Alert Cause Resolution LCD Display Alert Cause 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
171. xception of the SILENCE key Keypad Cover Type 0 Keypad Cover Type I 340 0142 340 0142 02 Keypad Cover Type IM Keypad Cover Type M YP 340 014202 eee Figure 8 6 Keypad Covers 118 sali0ssa20y Chapter Cleaning Environmental Conditions and Maintenance Following the guclelnes for care ksted below will assure the best appearance and longest le of the Curlin Infusion Peep Cleaning The Curlin Infusion pumps are designed to be resistant to fluid spillage from any direction but are not 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 submetse 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 prohibited IMPORTANT INFORMATION e Do not use full strength bleach e Do not
172. xternal 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 Do not use this battery pack with the POWDEC AC Adaptor WM10 6 9V Curlin p n 340 2022 as the combination may exceed the allowable limits for emitted electromagnetic interference Battery pack cable utilizes an attached cable This can be a tripping or chocking hazard avoid use that may lead to entanglement around the neck or feet Cautions This battery pack is fluid resistant but it is not designed to be water tight Care should be taken to avoid any unnecessary contact with water or other fluids Do not use the battery pack where it might fall into water 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 26 POHER SOURCE ES TERMAL reat 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 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 1s desired connect the adaptor directly to the pump Notic
173. y It may be helpful to read through these steps fast and then go back and use them to operate the Curlin Infusion pump irst examine the key pad and the functions of the individual keys Knowing how the keys especially the dual function keys work will allow you to give commands to the pump Display Screen Data Interface _ Ps ll Bolus Cord Port SS Data Bolus Por Unique Keyhole External Power Jack Port External Power Jack Unique Keyhole Figure 3 1 Curlin Pump Features 33 dwing 6Buluieda 10 Keypad Function ON OFF Used to turn the pump on and off When the pump is running however the 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 recur ff Up arrow Used to scroll the highlight bar or field cursor p on the display screen Note The Up atrow will not accept a selection which must be made with a YES ENTER ot NO CH

Curlin PainSmart User Manual - Med-E

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