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1. page 21 SECTION 7 Working instructions 22 Pump activation eee 23 SECTION 8 0 2 25 01 05 TABLE OF CONTENTS SECTION 9 Switching on the device page 27 Priming the infusion page 27 End of Infusion use eset Ka Ee os page 28 Stoning data u us ae page 28 ci EEUU page 28 Reading the number of infusions page 28 Re setting the number page 29 Reversal of pump piston page 30 Piston page 30 Infusion set occlusion 30 Tamper resistant feature 31 SECTION 10 Low battery 33 Battery replacement page 33 SECTION 11 ua rn e FC RR aeg E a dd ce page 35 Maintenance and cleaning page 36 DIODOS xiu exec cara dues a page 36 SECTION 12 User Assistance information page 37 Manufacturer s
2. page 37 SECTION 13 Alarm page 39 Summary of functions and buttons page 40 SECTION 14 Pump icon page 41 Syringe blister icon page 42 SECTION 15 A glossary of terms 44 SECTION 16 Index page 46 MAN 01 C 05 SECTION 1 FOREWORD CAUTION US Federal law restricts this device for sale by or on order of a physician This manual is written with the aim of informing the user of this pump The instructions and details given here are fundamental for the correct and safe use of this device Please take time to read all the information before using the pump and moreover keep this guide in a safe place for future reference The manufacturer only considers itself responsible for the safety and relia ble working of this pump provided that it is used in accordance with the current instructions for use The manufacturer declines all responsibility towards the purchaser and any third party for any damage to the pump caused by tampering impro per use modifications and or reparations by unauthorised personnel INTENDED USE The ambulatory infusion pump Crono has been designed for subcuta neous drug infusions Can S r l declines all responsibility fo
3. Crono TABLE OF CONTENTS SECTION 1 woo PEDEM 7 ss ede a ek saa 7 Intended 22 1 7 User assistance information page 7 SECTION 2 Pump 8 Factory 08 8 Technical features page 9 SECTION 3 Standard equipment supplied page 10 Optional page 11 SECTION 4 How to use standard equipment supplied page 12 How to wear the pump page 13 SECTION 5 Pump parts users are et page 14 Liquid Crystal page 15 Main screen page 16 SECTION 6 Syri ge parts xke bx eR EE a page 17 Luer Lock Cap 17 Infusion Set ex Pace 18 Infusion set parts 18 Infusion Sites i e ee m an page 19 Infusion 19 Syringe 20 Connection of the syringe to the
4. seconds 20 4 Will appear on the screen 20 5 Without releasing the button press the button 6 10 0 will appear on the screen L od 7 Press button and Lo 1 appear n 8 If you wish to leave the pump locked simply stop pushing buttons 31 MAN 01 C 05 9 The pump will resume operation in lock mode 10 THE SYRINGE SIZE NUMBER WILL NOW FLASH ON THE SCREEN TO REMIND YOU THAT THE PUMP IS LOCKED TO UN LOCK THE PUMP This procedure is similar to locking the pump 1 Press the button for about 7 seconds 2 Will appear on the screen 3 Without releasing the button press the button 4 Lo 1 will appear on the screen 5 55 button L0 0 appear Lo 6 The syringe size will now show a normal steady number MAN 01 05 SECTION 10 LOW BATTERY ALERT The LOW BATTERY warning will appear on the screen to indi cate that battery level is low It is time to change the battery as Soon as possible If the battery is not replaced soon after the screen warning a subsequent infusion could be interrupted If the battery is allowed to fail completely the screen will show 577 133 the message BATTERY DISCHARGED In such a situation the pump has stopped The battery must be replaced imme diately It is advisable to change the battery as soon as the LOW BAT 2 TERY symbol appears BA
5. DELIVERY TIME PRIME BUTTONS Decreasing or increasing of the delivery time 5 8 and Delivery time storing depress simultaneously Prime 0 2 ml k 4 PUMP and Pump piston return partial a depress simultaneously PUMP OFF Dan Pump switches OFF depress simultaneously SCREEN END OF INFUSION 8 End of infusion a End 5 Piston automatic reversing Eales 2 Automatic switch MAN 01 C 05 40 SECTION 14 PUMP ICON TABLE Pump serial number Drip proof instrument It can withstand occasional liquid dripping or splashing It must not be immersed in liquid Electromedical equipment BF type Warning see instructions for use Dispose of used electric and electronic devi ces in an environmentally safe manner using the appropriate containers and according to any regulations that may apply MAN 01 C 05 SYRINGE BLISTER PACKAGE ICON TABLE Read the instructions C 0123 mark Recycle Do not re use this device Pyrogen free Protection against moisture Do not expose to direct sunlight Expiration date MAN 01 C 05 SECTION 15 GLOSSARY OF TERMS Alarm An alarm is a condition that warrants the user s attention and is critical enough that it requires that the pump be shut down or reset When an alarm occurs an alarm beep
6. EX OF ILLUSTRATIONS Figure 1 Standard equipment supplied Figure 2 Optional accessories Figure 3 How to attach collar strap to the pump and the fabric holder Figure 4 How to use elastic belt with pump and the fabric holder Figure 5 Wearing the pump around the neck Figure 6 Wearing the pump at the waist Figure 7 Pump parts Figure 8 Syringe parts Figure 9 Luer lock cap Figure 10 Infusion set parts Figure 11 Infusion sites Figure 12 Syringe preparation Figure 13 Connection of the syringe to the pump Figure 14 Working instructions Figure 15 Selecting the syringe size Figure 16 Battery replacement MAN 01 C 05
7. Instructions on how to retrieve this information is on page 28 However there are some situations in which it is helpful to be able to re set the number of infusions back to the factory setting of 0000 infusions 1 With the pump switched OFF press the button until the number of infusions appear on the screen 2 Without releasing the button press the button 3 The number of infusions will flash on the screen 4 Release the button 5 In sequence press the button the button and finally the button for about 2 seconds each If the audio alarm is activated there will be a ticking sound during each of these 2 second periods When this sound stops the button can be released 6 The screen will show 0000 infusions if the procedure is done correctly The screen will show UNDO if the procedure is done incorrectly 01 05 REVERSAL OF PUMP PISTON 1 Total reversal It is possible to interrupt the infusion already in progress and make the pump piston return to its starting position Proceed in the following way a Switch off the pump by pressing the and buttons simultaneously b Press the buttons simultaneously The display End will show END c The pump piston will return to its starting position 2 Automatic reversal of pump piston at the END of infusion End When infusion ends y
8. QUIPMENT SUPPLIED Ambulatory infusion pump Pump case Elastic belt Collar strap Fabric holder 2 batteries one already inserted in the pump Battery tool User guide Q N 01 6 05 OPTIONAL ACCESSORIES Optional accessories are available upon request 1 Upright leather holder similar to a mobile telephone holder 2 Horizontal leather holder similar to a spectacle case MAN 01 C 05 SECTION 4 HOW USE THE STANDARD EQUIPMENT SUPPLIED The following illustrations show how the pump and its accessories can be set up How to attach collar strap to the pump and the fabric holder How to use elastic belt with pump and fabric holder MAN 01 C 05 22 HOW WEAR THE PUMP The following pictures show the different ways the pump can be worn WEARING THE PUMP AROUND THE NECK Wearing the pump around the neck with collar strap and fabric holder WEARING THE PUMP AT THE WAIST Wearing the pump at the waist with elastic belt and fabric holder MAN 01 C 05 SECTION 5 PUMP PARTS Syringe fin hook Collar strap locking rings Battery compartment Pump piston Brief instructions Tj 6 Yu yr OP Le b a wd G mere Sa 4 zY t i m a MAN 01 C 05 LIQUID CRYSTAL DISPLAY This is a screen on the front of the pump disp
9. TTERY REPLACEMENT 1 Open the battery compartment using the battery tool or a paper clip 2 Pull out the cover 3 Use the small ribbon strap which lies under the battery to facilitate the removal of the battery 4 Remove the discharged battery and discard it properly 5 Insert the new battery checking that it is correctly placed in accordance with polarity and that the ribbon strap is under the battery 6 After having installed the battery close the cover If the battery cannot be removed by pulling the strap do not try to lever with an object or tool Take the pump firmly in one hand and as gently as possible shake the battery out onto your other hand MAN 01 C 05 BATTERY REPLACEMENT CAUTIONS Use only a lithium 3 Volt CR 123 A battery Batteries other than this type may cause the pump to malfunction Batteries of the above mentioned type are readily available in camera stores and most pharmacies Under average operating conditions each battery should last about 150 infusions Keep a spare battery in a convenient place If the pump is not used for long periods of time it highly recommended to remove the battery from the pump Remove the pump before taking a bath or shower the pump may be damaged upon contact with water Should the pump accidentally come into contact with any liquid drug solution sweat bed wetting the pump must be checked by the manufacturer
10. ed Service Stations or Dealers or the customer himself Accidental events dropping liquid infiltration Natural calamity fraudulent or premeditated action Once the warranty period has expired Can S r l will provide the service debiting the costs of components being replaced expenses of labour charges and freight charges MAN 01 C 05 SECTION 13 ALARM MESSAGE OPERATION NOT POSSIBLE ACTION RE CHECK MANUAL UNCORRECTED RESET RE START DEVICE CRITICAL CONDITION OF THE PRESS BUTTON SECURITY SYSTEM mi gt ru IRREGULARITY OF THE PRESS BUTTON MOTOR CIRCUIT MECHANICAL BLOCK DURING END 1 REMOVE THE CAUSE PHASE CAUSED BY FOREIGN MATTER 2 RE START DEVICE OBSTRUCTING THE PISTON S REVERSAL m lt IRREGULARITY OF THE PUMP PRESS BUTTON PISTON S ADVANCEMENT OCCLUSION PRESS BUTTON READING MEMORY ERROR EEPROM m D EX 22 ra ra RE START DEVICE ERROR WITHIN THE MOTOR PILOTING CIRCUIT RE START DEVICE Mi Lo Alarm messages are accompanied by audible signals To re start the device following an alarm message remove the battery and wait least 15 seconds before re inserting Please note if your pump shows Err8 and you subsequently re start it the programmed settings will revert to the factory settings see page 8 Therefore whenever this condition take
11. eed 10 or 20 ml capacity 3 Unscrew the plunger with a brisk counter clockwiser rotation 4 Put the subcutaneous tubing on the syringe with a clockwise rotation 5 Insert the syringe into the instrument with a 90 rotation making sure to detect a click which indicates the syringes is locked into the pump MAN 01 C 05 SYRINGE PREPARATION 00 e ul M 8a ee MAN 01 C 05 7 WORKING INSTRUCTIONS Press the buttons with your finger tips only do not use sharp or poin ted objects Time controlled buttons keep buttons pressed for a few seconds to activate commands Button activation is confirmed by a ticking sound except in the phase of battery insertion Command execution is confirmed by a brief audible signal Before starting the infusion check that the 10 ml or 20 ml syringe setting has been selected correctly The pump is supplied with a battery already inserted MAN 01 C 05 PUMP ACTIVATION During the device activation phase it is possible to select the fol lowing parameters Syringe size 10 ml or 20 ml End of infusion audible signal ON or OFF The
12. el 866 211 7867 Fax 630 845 2768 Email info intrapump com MANUFACTURER S GUARANTEE With this consumer guarantee Can S r l guarantees that this product is free from defects in materials and workmanship for a period of 2 TWO YEARS beginning from the date of purchase If during this period of guarantee the product proves defective due to improper materials or workmanship Can S r l will without charge for labour or parts repair or replace the defective parts upon the terms and conditions set out below Can S r l reserves the right to modify the characteristics or the model of the pump and accessories without obligation to make similar modifi cations to pumps and accessories previously manufactured or sold Conditions 1 This guarantee will be granted only if the defect is brought to the attention of Can S r l 2 This guarantee will not be in effect if the pump and accessories have 37 MAN 01 C 05 been damaged as a result of modifications or adjustments made without prior written consent from S r l 3 4 This guarantee will not apply if the type or serial number on the product has been altered deleted removed or made illegible This guarantee does not cover any of the following Periodic maintenance Damage resulting from misuse including but not limited to Failure to use the product for its normal purpose or in accordan ce with this user s guide Repair done by non authoriz
13. ger Needle s cap Luer lock cap Plunger Rod LUER LOCK CAP FUNCTIONS Can be used after the syringe has been filled in order to unscrew the plunger rod from the plunger with ease To protect the drug in the syringe if infusion is not imminent Luer Lock cap Q MAN 01 C 05 INFUSION SET It is advisable to use infusion sets which have the following specification Tube with internal diameter of limited dimensions optimum 0 36 mm maximum 0 6 mm Length of the tube not exceeding 90 cm Tube with dead space lower than 0 5 ml Anti kink tube INFUSION SET PARTS Female Luer lock MAN 01 C 05 INFUSION SITES Infusion sites can be any of the following Fig 11 Anterior aspects of upper arm Anterior abdominal wall Anterior aspect of thighs It is advisable to change infusion site after each drug administration in order to avoid skin irrita tion INFUSION PREPARATION Before preparing the equipment for infu sion it is advisable to follow these pre cautions 1 Wash your hands 2 Prepare a clean working area 19 01 05 SYRINGE PREPARATION 1 Put the supplied needle on the syringe with a clockwise rotation 2 Fill up the syringe aspirating the drug slowly to avoid disconnection be tween the rubber plunger and plunger rod Verify the drug inside does not ex
14. infu sed come out of the needle WARNING Make sure the infusion set is not connected to the patient during priming 27 01 05 END OF INFUSION If the acoustic signal is activated 10 minutes prior to the end of infusion the device will emit a two second lasting intermittent signal The same signal will be repeated twice 5 minutes before the infusion ends At the end of infusion a continuous acoustic alert lasting a few Erd seconds will be emitted The screen will display the message f END The pump piston will automatically return to its starting posi tion The screen will read OFF OFF The pump piston reversal time is about 5 minutes for 10 ml syringes 10 minutes for 20 ml syringes STORING DATA Information regarding syringe size delivery time and number of infusions already administered will be automatically stored in the memory Stored data are not lost even when battery is removed SWITCH OFF Press the buttons simultaneously to switch off the pump during the infusion The display will show OFF READING THE NUMBER OF INFUSIONS Keep the button pressed for 8 seconds in OFF condition the display will show the number of infusions already admini stered MAN 01 05 28 ma o 3 RE SETTING THE NUMBER OF INFUSIONS As each infusion is finished a record of this is automatically kept by the pump even if the battery is removed
15. is sounded and a descriptive mes sage appears on the display screen Display screen The pump s liquid crystal display screen is located on the front panel of the pump providing the information about the functioning of the pump Infusion pump for ambulatory use Pump intended to be carried continuously by the patient Infusion set An infusion set consists of a length of thin plastic tubing with a luer lock connector at one end At the other end there is a very small needle that is placed under the skin The infusion set is connected to the pump and used to deliver drugs in fluid form to the body Infusion site The infusion site is the place on the body where the infusion set needle is inserted under the skin Luer lock connector A luer lock connector is a special threaded fitting used to connect the infu sion set to the syringe Occlusion Occlusion means blockage The pump is designed to be able to sense when delivery of the drug is being blocked for some reason The pump will automatically stop delivering drug and sound an alarm to alert you to clear the occlusion and restart the pump MAN 01 C 05 Subcutaneous Subcutaneous means beneath the skin The infusion set needle is pla ced subcutaneously Syringe pump Pump intended for controlled infusion of liquids into the patient by a syringe and in which the delivery time is set by the operator MAN 01 C 05 SECTION 16 IND
16. l volume PROGRAMMING THE DELIVERY TIME Delivery time can be programmed at the following rate 10 ml syringe from 30 min to 99 hours with 15 minutes steps 20 ml syringe from 1 to 99 hours with 15 minutes steps Program the delivery time proceeding as follows 1 Switch on the pump by briefly pressing the button 2 The adjustment of delivery time hours and minutes either up or down from what is shown on the screen is accomplished by first pressing until the current delivery time starts to flash If you wish to increase the delivery time you continue to press until the desired time shows on the screen If you wish to decrease the delivery time press until the desired delivery time appears the screen Continuous button pressure causes a rapid change of the delivery time When buttons are not pushed for a five second period the time is set and the display stops flashing n un YY 3 To store the delivery time press the buttons simultaneously the device issues a sound signal and the indication on the screen disappears for a short while this to confirm that data have been successfully stored MAN 01 C 05 PROGRAMMING PARTIAL SYRINGE VOLUME If the therapy requires the use of a partially filled syringe the infusion starting point of the pump piston can be stored into the pump s memory Proceed as follows 1 Press the button the pump piston will advance up to
17. laying symbols which inform the patient of operations in progress as well as showing warnings and alarm messages 10 EP 20 a Battery symbol appears when the battery is nearly expired see the related paragraph page 30 Drip symbol flashes when the device is on it alternates with indication of hours and minutes 10 symbol indicates the device has been programmed to use 10 ml CRN 10 syringe 20 ml symbol indicates the device has been programmed to use 20 ml CRN 20 syringe MAN 01 C 05 SECTION 6 MAIN SCREEN INDICATIONS DELIVERY TIME c PARTIAL VOLUME 20 OFF INDICATION 20 0 20 ML SYRINGE SELECTED AL END OF INFUSION AUDIBLE SIGNAL ON Err ERROR MESSAGE OCEL occlusion a ieee BACKWARDS FORWARDS MOVEMENTS OF THE PUMP PISTON End END OF INFUSION LOW BATTERY 2 za BATTERY DISCHARGED a 0209 DISPLAYING THE NUMBER OF INFUSIONS KEY PAD UNLOCKED Lo KEY PAD LOCKED LEVEL 1 Ex KEYPADLOCK SETTING MAN 01 C 05 SYRINGE PARTS The Crono pump uses dedicated syringes which are available in two sizes CRN 10 ml CRONO Syringe CRN 20 ml CRONOS Syringe The syringes are Single use only To be used only if packaging is not damaged Pyrogen free ed Needle Syringe structure Plun
18. or a qualified personnel authorised by the manufacturer f you suspect that liquid has penetrated into the pump a leakage or Spill please contact the appropriate person within your specialist health care team or your authorized distributor for advice The pump must be kept away from heating devices radiators oven rings stoves direct sunlight high electromagnetic fields magnets loud speakers portable radio devices cell phones radiations supersonant devices magnetic resonance devices MRI The pump does not need to be sterilized Syringes infusion set needles and all material used during the infusion process must be discarded properly MAN 01 C 05 MAINTENANCE AND CLEANING The Crono pump requires no particular maintenance operation owing to its technical features To clean the instrument use a soft cloth slightly moistened with a mild detergent Avoid the risk of liquid penetration into the instrument In the event the instrument becomes wet absorb the liquid with blotting paper STORAGE If the pump is not going to be used for a long period of time more than 1 or 2 months it is advisable to remove the battery put it inside the device case and store it in a dry place MAN 01 C 05 12 USER ASSISTANCE INFORMATION UNITED STATES INTRA PUMP INFUSION SYSTEMS 920 Minters Chapel Road Suite 200 Grapevine Texas 76051 T
19. ou will read END on the display a DFF The pump piston will automatically return to its starting position and the display will show OFF PISTON MOVEMENTS When the pump piston has to move either backwards or for wards you will read symbol on the display indicating this INFUSION SET OCCLUSION When the infusion set occludes Crono indicates the status of occlusion by emitting an audible acoustic alarm and a message on the display Every two minutes the device attempts to advan ce the pump piston When the occlusion is cleared and the MAN 01 C 05 pump resumes regular delivery the screen will alternate the occlusion warning message with the information regarding the delivery time TAMPER RESISTANT FEATURE The tamper resistant feature allows the pump to be locked by disabling the buttons Putting the pump in the tamper resistant mode does not alter or impede any of the normal functions or alarms of the pump lt is designed to reduce the risk of inappropiate button pressing IT IS RECOMMENDED THAT SMALL CHILDREN BE INSTRUCTED TO NOT TOUCH BUTTONS REGARDLESS OF WHETHER THIS FEATURE IS ACTIVATED OR NOT First of all Lo O message on the screen means that the pump is in normal unlocked mode Lo 1 means that the pump is locked TO LOCK THE PUMP 1 Turn the pump on and set the delivery time 2 When you are satisfied that the pump is working properly 3 Press the button for about 7
20. r the admini stration of drugs and solutions and or methods of drug infusions other than those described in this manual USER ASSISTANCE INFORMATION UNITED STATES INTRA PUMP INFUSION SYSTEMS 920 Minters Chapel Road Suite 200 Grapevine Texas 76051 Tel 866 211 7867 Fax 630 845 2768 Email info intrapump com MAN 01 C 05 SECTION 2 PUMP DESCRIPTION Can S rl a company specialized in the production of ambulatory pumps since 1972 has developed a new generation of compact pumps Crono which is a perfect combination of high technology and innovative design Infusion pumps using normal commercial syringes are bulky and cumber some and thus difficult to use in the true sense of ambulatory This can have a negative impact on patient compliance and treatment goals A special syringe an integral part of Crono provides an efficient reduction of overall pump size Whether day or night infusion is required Crono offers more conveniences and advantages than other bulkier heavier pumps Patients who have been following subcutaneous infusion therapy for a long time often experience difficulties in absorbing the drug subcuta neously This may lead to catheter occlusion with infusion interruption Crono has a unique mechanism which responds to occlusion and provi des an infusion thrust up to three times higher than conventional pumps Normal infusion is resumed when catheter occlusion has been eliminated In o
21. rder to provide steady infusion and continuous drug absorption Crono infuses the fluid volume to be administered in pulses of 022 ml These pulses are spread evenly over the time set for completing the infusion FACTORY SETTINGS The following features were set at the factory but can be re programmed Syringe size 20 ml Audible signal for end infusion AL O Non active Delivery time 10 hours Key pad lock level Lo 0 key pad unlocked Number of infusions 0 MAN 01 C 05 TECHNICAL FEATURES Dimensions Weight Battery Syringes Volume administration Delivery time Accuracy Available occlusion pressure Data storage Safety circuits Tamper resistant feature Operating conditions Storage conditions 77 48 29 mm 3x1 9x1 1 inch 115 battery included 3 Volt type 123 A lithium battery Dedicated with 10 or 20 ml capacity Drug volume can be programmed from 1 to 20 ml Programmable from 30 minutes to 99 hours in 15 minutes steps 296 4 5 bar 1 Programmable data are automati cally stored in the pump s memory the data are not lost when the bat tery is removed To control the regular working of the device alarming in the event of ano maly and displaying error message Allows the pump to be locked by disambling the buttons 10 45 C 30 75 RH 700 hPa 1060 hPa 10 C 60 C 10 100 RH 500 hPa 1060 hPa MAN 01 C 05 SECTION 3 STANDARD E
22. s place you must re program the settings assigned by your doctor or PD nurse If the device will not re start contact your authorized distributor MAN 01 C 05 SUMMARY OF FUNCTIONS AND BUTTONS The follow brief instructions are by no means an alternative to reading the information supplied in this manual The following tables are both a concise and quick reference with regard to pump use and its buttons Time control buttons the buttons must be pressed for a few seconds if a command is to be carried out This ensures that if the patient accidentally touches a button no commands will be activiated BUTTONS SCREEN PUMP ACTIVATION SYRINGE SIZES AND END INFUSION SIGNAL The syringe sizes and the end infusion signal can only be selec ted and or changed immediately following the battery insertion The screen will show all symbols 088 8 E Syringes Size setting 10 20 ml C A 0 0 2 Setting the acoustic signal of end infusion AL ALL E Piston self adjust ELLAS Pump switches OFF 2 depress simultaneously PUMP SWITCH OFF STORING OF PARTIAL SYRINGE VOLUME Reversing of the pump piston to the start position 8 and Storing of the partial syringe volume depress simultaneously PUMP OFF Reading of no of infusions delivered le 00 5 depressed for 8 seconds ES PUMP ON Pump switches ON PROGRAMMING THE
23. syringe size and the end of infusion signal can only be selected and or changed immediately after battery insertion Device activation 1 Remove and then re insert the battery 2 The pump will carry out a self test during which the display will show all readable symbols and emit audible signals s La ra 3 While syringe size symbol is flashing the numbers 10 or 20 you may select syringe sizes Use the or buttons to make your selection If for example the number 10 is flashing press the but ton and keep it pressed for a few seconds until the number 20 appears 20 10 ml syringe 4 22 20 ml syringe i gt Oot The information regarding the syringe size will always be shown on the display 4 After syringe size selection you may activate deactivate RL an audible signal for end of infusion While the display blinks you may select to either have the audible signal or not by pressing the or buttons MAN 01 C 05 RL 1 Audible signal ON a ALO Audible signal OFF 5 After a few seconds the pump automatically returns the pump piston to its starting position then the screen displays OFF The selected data are automatically stored in memory crn o 1 lad 20 ml syringe 10 ml syringe MAN 01 C 05 SECTION 8 Delivery time Partia
24. the position corresponding to the volume of drug to be infused 20 2 Switch off the pump by pressing the buttons The screen will display OFF 3 Press the buttons simultaneously The device will issue an audible signal and the screen will display the stored volume 4 Atthe end of the infusion the pump piston will return to the stored position 5 The stored position can be changed by repeating the pro cedure above 6 Any time the pump is switched on the screen will display the cc stored volume 7 Such setting will be maintained until the battery is remo ved MAN 01 C 05 SECTION 9 SWITCHING ON THE DEVICE By pressing button the screen will swiftly display the follo wing order of sequence e n n Stored syringe volume given in cc appears only if formerly stored The instrument will emit a brief sound and show the delivery time hours and minutes with the blinking drip symbol separating hours from minutes The infusion time on the display decreases every 15 minutes PRIMING THE INFUSION SET Before beginning the infusion you must check whether the pump piston is in contact with the plunger If this is not the case move the piston forward by pressing button e Any time you press this button the pump piston moves forward with increments of 0 45 mm corresponding to 0 2 ml Continue this process until a few drops of the fluid to be

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