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Alaris-Signature-Ver.. - Integrated Medical Systems, Inc.

1. 3 Use numeric keypad to enter a new value gt To Clear Total Volume Infused During Loading Dose Infusion 4 Press Total VI to highlight value m Eatez 200 0 mileh Fri Rate Fri UTBI e Total VI ESMS L4 5 Press or O zero key to reset volume infused to 0 0 ml 6 Press to accept new value s Display will return to normal LOADING DOSE page after Six seconds 92 FEATURES AND OPTIONS Loading Dose Continued Resuming an Interrupted Loading Dose Program The channel will retain its place in the program up to six hours if the instrument is turned off After six hours the channel will restart in the primary mode Primary mode parameters may be different from those in the Loading Dose program 1 Press Power RTE e Return to Loading Dose page will appear e Mieres Leading B se 2 Press yes Pressing no will return to primary set up page i 6 A I NOTE Verify all parameters prior to resuming an infusion CF 3 Verify primary settings prior to resuming Loading Dose EE GENE prog ram e Ratez 200 8 mlehr G wets 580 0 m 4 Press R9 to resume infusion E Primary Settings
2. T Press oPrioNs A B M Hros e 1 1 M Reziztance Trend El Options page will appeal Q Monitoring Options 1 iti Dose Ri calculator Press ln page or page as necessary to view additional of Set Pressure Baseline selections el ee Vd C 2 Press Computer Link EE OPTIONS Computer Link page will appear Pus Wege Fi e Loading Dose Computer Link rus return psce b 4 4 3 Press Monitor or Control ATE options Computer Link E 4 Press ok eo pue Honi tor i Control e ak amp C RS 232 5 Connect an RS 232 cable from hospital computer to GB on instrument s back panel While instrument is waiting for a connection Control mode CTRL flashes Monitor mode MNTR appears at connection f communication is interrupted 14 0 IHE pg Control mode CTRL flashes until alarm is answered 1 2 3 4 hrs Monitor mode MNTR flashes for 60 seconds NOTE MNTR or CTRL will remain in the lower display once the mode is selected and communication with the computer has been established 94 FEATURES AND OPTIONS RS 232 Computer Link Continued To Disconnect from a Computer 1 Press oPtions iG Options page will appear
3. 2 Press page or page as necessary to view additional ol pet bressure Baseline selections oor page gt a Tomy 3 Press Computer Link AJB OPTIONS e Computer Link page will appear e gt ud lei Loading Dose v Compu jh Link cu return Gege i y 4 Press Off ATE OPTIONS Computer Link E 5 Press ok j Honi tor m et Control A ok E y y y CF S IEEE 1073 MIB RS 232 Computer Link Models 7132 and 7232 only e Nn The IEEE 1073 Medical Information Bus or MIB computer link MIB Connector feature allows a hospital computer to interact with the instrument The computer cannot start or stop the instrument set the rate or make any change in status This link allows the computer to receive information from the instrument and to send information to the instrument s display This information such as drug being infused will be displayed every five seconds There are no configurable options The communications cable may be connected or disconnected at any time without affecting instrument operation 4 m W PSC ex MNTR will remain in the lower display while the communication lv Fu link is active pump 12 3 4 hrs FEATURES AND OPTIONS 95 THIS PAGE INTENTIONALLY LEFT BLANK 96 FEATURES AND OPTIONS MAINTENANCE Specifications Specifications Administration
4. configurations through external RS 232 communications connection Panel lock helps Lo prevent H E ubi om D unauthorized bs d P VAC changes g p y E pm 5 D Learn Teach Optional remote nurse call Rotating pole clamp Configurable air in line detector nid 6 INTRODUCTION A B OPTIONS Features Continued Maintenance 13 1 Reminder Periodic E e g maintenance E l Dose Rate Joo aab reminder 5mcg kg min Calculator E xi Tem ag oge AU Loading Dose jen Primary Loading Dose Multi Dose g program g programming 2 e c 0 Time Time p gt T Dynamic Multi Step Monitoring programming System pressure T trend graph p Y a e e Baseline e return Dynamic Monitoring System manual pressure baseline A B E 4h return ex e el Hy
5. If Adjustable Pressure Option is Selected amp 8 7 Enos rd i T WP RKate 125 8 ml hre Pressure alarm limits may be adjusted using keys located 5 IT S below arrow symbols See Adjustable Pressure Alarm e pend el imite258 mmh L g NOTE Maximum pressure limit settings may be 4 E configured by qualified service personnel Pressure system accuracy can be enhanced by ensuring no occlusion or other pressure source exists in IV line when activating Hit Set Pressure Baseline option enhances pressure system and displays real time pressure readings f Resistance Option is Selected AG OPTIONS MP kates 125 8 mil he e 96 Resistance message is displayed below bar graph display Q 1702 12992 6 ml while infusing wn E Resistance alert limit may be adjusted using keys located GI SEX Resistance below arrow symbols 1 LU f High Resistance Option is Selected ATE oPTioNs High Resist message is displayed below bar graph display while infusing gt E m v o v e zZ 72 High Resistance alert limit may be adjusted using keys located below arrow symbols 9 Detection of Downstream Occlusions A very wide range of normal flow resistances may be encountered to meet diver
6. FEATURES AND OPTIONS 77 gt E m v o e zZ 72 Multi Step Program Continued To Enter a New Program Continued To Program by Volume and Time Continued 19 Press ok to approve STEP TOTALS page AJB STEF TOTALS 33 UTEI 138 8 ml Main hold page will be displayed Timez i hee 42 min e UI 8 8 ml merui ak ot a 20 Press or run to start Multi Step infusion program at ans Rate 23 8 ml hre El UTEI 5 8 ml e eye M B 8 ml Ter zetu Ep run m or Making Changes During Multi Step Program Select the desired channel as necessary The channel does not need to be on hold to clear the VI or to view the totals remaining To Clear Volume Infused 1 Press VI FE OPTIONS Rate 25 8 mir fl sus 4 4 ml mem 2 Press or 0 zero key 3 Press ENTER 78 FEATURES AND OPTIONS Multi Step Program Continued Making Changes During Multi Step Program Continued To View Totals Remaining in Multi Step Program Press K Time and VTBI remaining in Multi Step program will be displayed for a short interval 9 To View or Edit Multi Step Program The channel must be on hold to view or edit the steps in the program
7. 12 If dose unit is appropriate press ENTER OR Press and release VAN to scroll through units available Press when correct unit is displayed Concentration unit will be highlighted Repeat steps for other two dose unit segments NOTE Day is defined as continuous delivery for 24 hours per day A B e Dose in fp kacmin Conc in mg e Weight in kg el menu VA 1 o Q ion Dose Units mcg mg gm Un mUn or mEq kgorm min hr or day 13 If concentration unit is appropriate press enter OR Press and release VAN to scroll through units available Press when correct unit is displayed Weight or height unit selections will be displayed only if appropriate for dose unit selected FE Dose in megrkgrmin Qi Gone in eo Weight in kg el meri A 5 A Concentration mcg mg gm Un or mEq 64 FEATURES AND OPTIONS Drug Specific Dose Rate Calculator DRC Continued To Enter a New Program Continued 9 To Program DRC When Drug Name is Not Listed Continued 14 If weight or height unit is appropriate press ENTER OR Pre
8. 7 Use numeric keypad to enter number of doses Press ENTER AJB qM Rate 258 8 mire Dose frequency will be highlighted ecol ow Ha 1 4 Frequency hres ef eri b 4 4 8 Use numeric keypad to enter dose frequency time interval from start of one dose until start of next Press ENTER 9 Press ok to approve all information f Dose Complete Alert Option is enabled DOSE COMPLETE ALERT OPTION page will appear 10 Use soft keys to select On or Off ev DOSE COMPLETE Q ALERT OPTION e t n S merid 11 Press ok to advance to time until first dose page AJB ev DOSE COMPLETE El NOTE All doses must be programmed to start within e AERE TANET UGN 24 hours o EB el DES To start first dose immediately proceed to step 12 ne ok To delay start of first dose proceed to step 15 ey 84 FEATURES AND OPTIONS Multi Dose Program Continued To Enter a New Program Continued To Start First Dose Immediately After Programming 12 A displayed time of O hours O minutes identifies that first A B dose will start immediately after programming Oa Ba E min mA Until
9. 4 o A 4 FEATURES AND OPTIONS 51 gt E m v o v e zZ 7 Dynamic Monitoring System Continued Adjustable Pressure Alarm Continued f Pressure Exceeds Pressure Alarm Limit Instrument will notify clinician f AutoRestartPlus is active and restarts are available a visual and audio Checking Line alert will occur Refer to AutoRestartPlus description Otherwise an OCCLUSION DOWNSTREAM alarm occurs and channel stops infusing Pressure Monitoring using Automatic Baseline Calibration Each activation of will automatically establish a pressure baseline First activation of RY will set maximum baseline Subsequent activations of will allow baseline to decrease but not increase above maximum baseline Foran accurate pressure measurement ensure that prior to activation of oe pressure has not built up in IV line due to either occlusion or flow from other instruments through a common catheter When loading a set connected to a small diameter catheter wait at least five seconds after loading set before activating Hist This will allow pressure generated by loading process to dissipate and sensor to stabilize Very small PICC catheters such as 28 gauge 1 2 French may require 60 seconds or more for stabilization When multiple instruments are infusing through a common small diameter catheter pressure measurement accuracy ca
10. 4 Verify no pressure due to occlusion or other infusions through a common line are present in IV line at this time 58 FEATURES AND OPTIONS Dynamic Monitoring System Continued Pressure Baseline Continued gt To Manually Set Pressure Baseline While Operating in Adjustable Pressure Mode Continued 5 Press ok zt Cy c4 e el return EE OPTIONS Rate 125 8 ml hr Qo o8 569 8 ml s Ea seli ne amp 6 Press 4S to start infusion NOTE The auto pressure baseline calibration will remain in effect until the instrument is turned off the latch is opened the set is reloaded or the Pressure Baseline function is performed again Setting the manual baseline overrides the auto baseline until the instrument is turned off the latch is opened set is loaded or gt JI m ua Uu 9 a 2 another manual baseline is set n NOTE Setting a manual Pressure Baseline displays a real time bar graph and numeric pressure readings The vertical line on the pressure bar graph visually indicates the pressure limit Oepvter 108 FEATURES AND OPTIONS 59 Flow Sensor The optional Flow Sensor notifies users of empty containers and or upstream occlusions A handle cap
11. FEATURES AND OPTIONS 73 1 Press menu Drug Specific Dose Rate Calculator DRC Continued To Quit DRC Program Channel must be on hold Z mog koa mi amine of menu zetu p run m J t 9J 2 Press Quit Program to return to primary setup page This feature allows a sequential drug delivery program up to nine steps to be set delivering volumes of fluid at different rates during each step This allows the clinician to set up the instrument parameters once and deliver a step profile eliminating the need to change the rate and VTBI after each step of the infusion The infusion may be programmed in either Rate and Volume or Volume and Time At completion of the last programmed step the channel will switch to the preset KVO rate or remain at the current rate whichever is less Qualified service personnel can turn the Multi Step feature on or off Multi Step Program AIB OPTIONS ey DOSE RATE MENU e evi E e Enter Hew Program Quit Program amp amp amp AJB OPTIONS Rate 13 1 ml hr 1 UTBI 245 8 ml wn Primary 1 30X Resistance 74 FEATURES AND OPTIONS Multi Step Program Continued To Enter a New Program Select the desired channel as necessary The channel must b
12. i af PRI Terms and Symbols Alarm indicator Attention Refer to accompanying documentation Audio volume Battery fully charged Battery time remaining Consult operating instructions Explosion risk if used in presence of flammable anesthetics Flow sensor receptacle channel A Flow sensor receptacle channel B Infusing indicator Manufacturing Date Number adjacent to symbol indicates month and year of manufacture Nurse Call Panel lock Green plugged in Flashing amber battery power Primary Programmable feature RS 232 SEC Transition Tone C222 Risk No Class 125 C 2G INI Fs 2 rep VTBI RS 232 connector Secondary Silence Split screen dual channel instrument only A brief tone during transition from one mode to another Canadian Certification Mark Products bearing this mark have been tested and certified in accordance with applicable Canadian electrical safety and performance standards CSA C22 2 No 125 U S Certification Mark Products bearing this mark have been tested and certified in accordance with applicable U S electrical safety and performance standards UL 544 Volume infused Volume to be infused INTRODUCTION 13 zZ J fe J c CO d fe zZ THIS PAGE INTENTIONALLY LEFT BLANK 14 INTRODUCTION GETTING STARTED Operational Precautions C
13. e Dual channel instrument Trend Graphs will disappear after one minute and be replaced with a split screen display if both channels are infusing FEATURES AND OPTIONS 57 Dynamic Monitoring System Continued Pressure Baseline The Pressure Baseline feature increases the accuracy of the pressure display pressure trend graph OCCLUSION UPSTREAM and OCCLUSION DOWNSTREAM alarms and provides real time bar graph and numeric display of line pressure Qualified service personnel can turn this feature off or on gt To Manually Set Pressure Baseline While Operating in Adjustable Pressure Mode NOTE For dual channel instruments select the desired channel as necessary The pressure bar graph is not shown when the split screen display is active 1 Press channel s key to place channel on hold All infusions through line must be on hold 2 Press ortions Options screen will appear gt OPTIONS Boml B ml Primary 1 688 mmHg L m m 3 Press Set Pressure Baseline Set Pressure Baseline screen will appear NOTE To return to the normal screen without setting the baseline press return OPTIONS ezzsure Trend El ing Options a alculatar spe Bas amp return
14. Mode indicator in status bar will be lit Hodel T236 Medical Hold indicator in status bar will be flashing Su Eeu i ID Hao e 0913328 ALAR e 4 OPTIONS When self test is complete primary setup page is displayed Instrument is ready for programming NOTE Prerun prompts may appear if special operating modes were interrupted in the previous six hours Refer to the Alarms Alerts and Prompts section of this document to determine the appropriate action The screen display may differ from that shown based on the defaults selected 6 NOTE Operating parameters rate VTBI etc are retained in memory unless all power is lost no AC and a depleted battery A Program Lost message at power up indicates existing operating parameters have been erased GETTING STARTED 21 Primary Mode 1 Press to turn channel on e Primary setup page will appear Primary infusion rate will be highlighted If current primary infusion rate is appropriate press ENTER OR Use numeric keypad to enter a new infusion rate Press ENTER Primary VTBI volume to be infused will be highlighted OPTIONS If current primary VTBI is appropriate press ENTER OR Use numeric keypad to enter a new VTBI Press ENTER VI volume infused will b
15. RS 232 Computer Link Models 7100 7200 7130 and 7230 The optional Computer Link feature allows a hospital computer WARNING to interact with the instrument The computer cannot start or sect accessories oreablsselhar stop the instrument set the rate or make any change in status than those specified may result in If the feature is off the computer cannot communicate with the degraded electromagnetic instrument Available Computer Link options are compatibility performance of this Monitor mode which allows the computer to only receive device information from the instrument gt E m v o v e zZ 72 Control mode which allows the computer to send information to the instrument s display This information for example drug being infused will be displayed every five seconds NOTE To assure continued electromagnetic compatibility performance the communications cable attached to the instrument should be no longer than one meter have fully shielded connector housings and have a 10096 coverage braid foil shield attached to the connector housings around the signal conductors with the cable jacket Qualified service personnel can turn the Computer Link feature on or off FEATURES AND OPTIONS 93 RS 232 Computer Link Continued To Connect to a Computer
16. Dynamic Monitoring System resistance trend graph nid INTRODUCTION 7 zZ J fe J c CO d fe zZ Controls and Indicators Model 71XX Power Key Turns instrument on and off Power Indicator Green Plugged in and charging Flashing Amber Battery power Infusing Indicator Indicates instrument is infusing Alarm Indicator Indicates instrument is in alarm and has stopped infusing RUN HOLD Key Starts and stops infusion Lan OPTIONS Key Accesses additional features SECONDARY Key Selects secondary mode PRIMARY Key Selects primary mode ENTER Key Accepts value or selection entered SILENCE Key Silences audible alarm or alert for two minutes message remains on screen New alarm or alert will reinstate audible tone CLEAR Key Clears selected numeric value AUDIO VOLUME Key Sets audio volume for alarms and alerts Press key to adjust volume Numeric Keypad Enters changes values 8 INTRODUCTION Controls and Indicators Continued Model 72XX MEDIC RUN HOLD ml hr ml hr KVO OPT HLD PRI SEC PRI SEC HLD OPT KVO Channel Select Keys Indicators Select channel A or B Light to indicate which channel is selected Alarm Indicators Indicate a channel i
17. 2 Use numeric keypad to enter new value gt E m 92 o v e zZ 72 3 Press to accept new value s To View or Change Primary Settings During Loading Dose Infusion Select desired channel as necessary 1 Press Primary Settings le Primary rate Pri Rate primary volume to be infused Pri QN esser 200 0 sie VTBI and total volume infused Total VI will be re Pv nisi SM displayed H LOADING DOSE Display will return to normal Loading Dose page after six 4 seconds J FEATURES AND OPTIONS 91 Loading Dose Continued To View or Change Primary Settings During Loading Dose Infusion Continued Select desired channel as necessary Continued 2 Press Pri Rate Pri VTBI or Total VI to freeze display highlight value NOTE If the flow sensor option is being used VTBI can be turned off by selecting VTBI pressing and then ENTER OR Primary VTBI can be deleted from the primary mode setup page Programmable Features To Change Primary Rate During Loading Dose Infusion A B ex Rate 288 8 C SOM Pri Rates TET et ri vTer 1000 8 mi e Total UI 8 8 ml 4 To Change Primary VTBI During Loading Dose Infusion ma Eate 200 0 mil hre Q3 Pri katei Pri UTEI IERENE 01 C gt Total UI BB ml 4
18. v el return ok D mi J 7 d A B 108 58 oe ish RESISTANCE iu return clear time 54 FEATURES AND OPTIONS Dynamic Monitoring System Continued Resistance Trend Graphs Continued 9 To Return to Normal Operating Screen Press return Normal operating screen will appear NOTE Any of the following events will also turn off the trend graph Pressing dual channel instrument only Pressing 495 An alarm Dual channel instrument Trend Graphs will disappear after one minute and be replaced with a split screen display if both channels are infusing Pressure Trend Graphs In Pressure Monitoring mode a trend graph displays monitored pressure over time Trend graphs of 15 minutes 1 hour 4 hours and 12 hours are available during normal operation Qualified service personnel can turn this feature off or on Downstream Occlusions which occur in Pressure or Resistance modes will be indicated by a vertical tick mark at the top of the trend screen 9 To View Pressure Mode Trend Graphs NOTE For dual channel instruments select the desired channel as necessary The trend graph is not available while the split screen is displayed NOTE After the instrument has been off for more than six hours trend graphs are cleared and the time base is reset to 15 minut
19. Press MA I oprions Additional Dose Rate setup information will be displayed for a short interval ri um SI 18s Resistance 66 AlB OPTIONS e Rateziz 1 mlc hr n gmin mg SHG ml Wt TB kg el z 4 gt To Change Volumetric Rate or Dose Rate 1 Press Rate or Dose to highlight value Cay aie ziz i ml hr m 2 7 umm d 18 Resistance Q 6 E 9 Z 2 Use numeric keypad to enter new value Press ENTER ei 8 i New recalculated value takes effect as soon as is Voie ide M ressed UTE p e NOTE 11117 or LLL will appear in the dose field if rate aes titration causes the calculated dose value to be outside the display s range Recheck the entered parameters To Change VTBI 1 Press VTBI to highlight value ATS Rate 13 1 mlishe Doze 5 mearkami FEATURES AND OPTIONS 69 Drug Specific Dose Rate Calculator DRC Continued Making Changes During DRC Program Continued To Change VTBI Continued 2 Use numeric keypad to enter new value VI will temporarily disappear Press ENTER NOTE If the flow sensor option is being used D
20. 1 Press menu At Ratez 25 8 mil hre Q UTEI 4 8 ml own its 1 8 ml STEP Fx e n9 Press Quit Program to return to primary setup page EE OPTIONS NOTE Primary setup page parameters may be different from e Saison E the MULTI STEP MENU Verify all parameters prior to resuming Enter New Program infusion be Buit Program x 666 LATS Multi Dose Program This feature permits the clinician to preprogram 1 to 24 infusions with the same rate and volume over a period of up to 24 hours This feature also offers a delayed start option up to 8 hours and a Dose Complete Alert Option to alert the clinician of the completion of each dose delivered This program requires another infusing line to keep the vein open between programmed doses since there is no KVO infusion between doses or following program completion Qualified service personnel can turn the Multi Dose and Dose Complete Alert Option features on or off 82 FEATURES AND OPTIONS Multi Dose Program Continued To Enter a New Program Select the desired channel as necessary The channel must be on hold in the primary mode secondary mode or a Loading Dose program Ts Press ormons AJB Hros e Options page will appear exe a 2 P
21. FEATURES AND OPTIONS 49 gt E m v o v e zZ 72 Dynamic Monitoring System Continued AutoRestartPlus Continued The Checking Line message and tone are presented whenever a resistance or pressure measurement exceeds its alarm threshold n Resistance monitoring modes the Checking Line period is ETET forrions caused by a measured resistance of 100 or a pressure level Oe exceeding a configured threshold This pressure threshold is a separate from the Pressure mode threshold on am el Checking Line 46 If resistance measurements initiate the Checking Line FE erro condition the channel will continue infusing in order to a determine if the measured flow resistance has changed In 1 tetsis88 8 ml the Resistance monitoring mode if the measured flow el resistance falls to any value below 10096 the channel will e resume normal operating conditions automatically excluding 1 A 4 High Resistance monitoring mode In a Resistance monitoring mode pressure measurements initiate the Checking Line period when the pressure exceeds the configured limit If the pressure falls to less than one third of the configured limit within 40 seconds normal flow resumes n the Pressure monitoring
22. Options page will appear rp 2 e i E m e di 255 Resistance gt amp amp 4 S J U 2 Press Resistance Trend _ _ ete OPTIONS z e A trend graph will appear Cy i E Dose Rate Calculator Multi Step of return page gt 4 3 Press time to change graph time frame A 8 A dashed horizontal line represents current optional e go EE resistance alert level B e Gaps in graph may indicate noninfusing conditions such elc ui cx as turned off on hold in alarm etc 22 FEATURES AND OPTIONS 53 Dynamic Monitoring System Continued Resistance Trend Graphs Continued 9 To View Resistance Mode Trend Graphs Continued f channel has been placed in Pressure Monitoring mode for some portion of a trend graph window resistance data is not available and zero values are plotted e A bar at top of graph indicates an occlusion NOTE When viewing Resistance Trend Graphs in the High Resistance mode HI RESIST will be displayed under the graph 9 To Clear Resistance Trend Graphs 1 Press clear to clear graphed data HI IST Fi ee return clear time i2h RESISTANCE Fic return clear time V 2 Press ok All data will be cleared from graphs A B OPTIONS e All trend data will be cleared
23. Time to Alarm Time to Detect Monitoring Options Downstream Occlusion Pressure Resistance and minutes High Resistance 25 600 100 100 Threshold seting mmHg mmHg 25 mmHg 600 mmHg Maximum 1 2 75 1 2 7 1 ml hr l Typical 0 6 30 0 6 4 Maximum 0 3 25 0 3 3 25 ml h RUNE Demi 0 1 1 0 1 1 When the occlusion alarm pressure limit is set to the maximum threshold setting the maximum infusion pressure generated into a hard occlusion at 25 ml hr is 11 6 3 9 psi Bolus Volume Bolus Volume Released Monitoring Options upon Comecung Pressure Resistance and Downstream Occlusion High Resistance ml 25 600 10096 10096 Te Old Satinas mmHg mmHg 25 mmHg 600 mmHg Maximum 0 5 0 5 0 5 0 5 1 ml hr Typical 0 1 0 3 0 1 0 1 Maximum 0 5 0 5 0 5 0 5 SAURE De resi lt 0 1 0 3 lt 0 1 0 3 Testing performed using IV set model 72003 at 68 8 F 20 4 C Environmental Conditions Operating Storage Atmospheric Pressure 700 to 1060 hPa 500 to 1060 hPa Relative Humidity 20 to 9096 5 to 9596 Noncondensing Noncondensing Temperature Range 50 to 104 F 40 to 140 F 10 to 40 C 40 to 60 C Flow Rate Range 0 1 to 270 0 ml hr in 0 1 ml hr increments secondary mode 0 1 to 999 9 ml hr in 0 1 ml hr increments all other modes Ground Current Leakage Tested to UL 544 and CSA C22 2 No 125 for medical and dental equipment KVO Flow Range 0 1 to 20 0 ml
24. 0 02 Resistance Mode Trumpet Curve at 0 1 ml hr initial Resistance Mode Trumpet Curve at 1 ml hr initial 100 15 10 a Flow Rate Error Flow Rate Error a o zn o A a 0 5 10 15 20 25 30 0 5 10 15 20 25 30 Observation Interval min Observation Interval min Resistance Mode Trumpet Curve at 0 1 ml hr 48 hr Resistance Mode Trumpet Curve at 1 ml hr 48 hr a 100 o a Flow Rate Error a o Flow Rate Error 96 eo ids o ds a 0 5 10 15 20 25 30 0 5 10 15 20 25 30 Observation Interval min Observation Interval min Legend NOTE The plot range has been B Maximum rate error increased to 100 to allow Overall rate error visualization of the graph Minimum rate error 110 APPENDIX ml hr a o a Flow Rate Error a o 10 15 Flow Rate Error 96 S hh o a 8 a A I Trumpet and Start Up Curves Continued Resistance Mode Continued Resistance Mode Start Up at 25 ml hr initial 20 Resistance Mode Trumpet Curve at 25 ml hr initial 5 Resistance Mode Trumpet Curve at 25 ml hr 48 hr 5 40 60 80 Time min 10 15 20 Observation Interval min 10 15 20 Observation Interval min 100 25 25 120 30 30 Resistance Mode Start Up at 999 9 ml hr initial 2000 1800 1600 1400 1200 1000 800 600 400 200 ml hr 200 0 20 40 60 80 100 120 Time min Resi
25. 1 Press Primary Settings A E OPTIONS e Primary rate PriRate primary volume to be infused Pri ER Fate 108 8 ee VTBI and total volume infused TotalVI will be displayed Display will return to normal secondary page after six seconds t ty 2 Press Pri Rate Pri VTBI or Total VI to To Change Primary Infusion Rate freeze display highlight value 186 8 ml hre til hie 4 UTBI al e Total UI z 58 8 ml r 42 6 GETTING STARTED 27 Secondary Mode Continued To View or Change Primary Settings During Secondary Mode Continued To Change Primary VTBI NOTE If the flow sensor option is being used VTBI can be turned OFF by selecting VTBI pressing and then ENTER OR e Rate 188 8 ml hr f f Pri Raiesi25 8 mlzhr The primary VTBI can be deleted from the primary mode setup _ Sr pone a page Programmable Features CS pore UI 58 8 ml 3 Use numeric keypad to enter new value s 4 Press to accept new value s To Clear Volume Infused 1 Press VI soft key OPTIONS 1 1 i e Raie 186 8 mle Current value will be highlighted ru i C Fri UTBI G ml 2 Press or 0 zero key to reset volume infused Total UI ERE to 0 0 ml f 666 3 Press to accept new value Display will return to normal se
26. Excluding 10 bleach solution in water 102 MAINTENANCE Inspection Requirements To ensure the instrument remains in good operating condition WARNING both regular and periodic inspections are required Failure to perform these inspections may result in improper instrument operation Instruments are tested and calibrated before they are packaged for shipment To ensure proper operation after shipment it is recommended that an incoming inspection be performed by your facility before putting the instrument into use Regular inspections consist of a visual inspection for damage Regular Inspections and cleanliness and performing the procedure described in the PROCEDURE FREQUENCY Start Up Sequence section of this document before each usage be ta of the instrument Regular inspections are not covered under Cleaning As required any contract or agreement offered by ALARIS Medical Systems Inspect for Damage and must be performed by the user Case Each usage Communication Cable Each usage Power Cord Each usage Start Up Sequence Each usage Preventive maintenance inspections are recommended at the Preventive Maintenance Inspections indicated intervals PROCEDURE FREQUENCY The preventive maintenance inspections listed are recommended Battery Refresh Cycle 2 months in accordance with ALARIS Medical Systems requirements and Flow Stop Test 3 motis guidelines Customers within the United States and Canada Euretonal Test x mouths s
27. ALARM instrument or channel problem Xx infusion stops e icon illuminates alarm tone sounds rate LED display flashes message appears in Main Display UTBI 1886 8 ml 8 8 ml ALERT may indicate a change in infusion status channel continues to operate alert tone sounds message appears in Main Display PROMPT infusion status not changed Start up procedures were not completed or an invalid key was pressed Selected Channel NOTE When using the dual channel instrument some uite EUN messages will also display Channel A or Channel B to B B indicate which channel is affected Always verify the channel is selected before making any changes m n PRI ff SEC A B OPTIONS B omlzhr B ml u 8 8 ml Channel A Resistance Alert n 1 2 3 4 5 6 7 8 9 e 0 lcge P T Messages are listed alphabetically on the following pages with a probable cause and suggested remedy next to each one Use this section in conjunction with the appropriate clinical practice or hospital procedure 30 GETTING STARTED Alarms Alerts and Prompts Continued MESSAGE PROBABLE CAUSE REMEDY ACCUMULATED AIR IN LINE A Alarm hold soft key active ACCUMULATED AIR IN LINE A Alarm reset soft key active Air In Lin
28. Vesphene and Manu Klenz are registered trademarks of Calgon Vestal Laboratories Division of Calgon Corporation Subsidiary of Merk amp Co Inc U S Patent Nos 4 534 756 4 898 576 5 087 245 5 096 385 5 534 691 5 537 853 5 542 826 5 563 347 5 568 912 5 575 632 5 601 420 5 603 613 5 609 576 5 712 795 5 716 194 5 719 761 5 827 223 D367 527 D367 528 D371 194 Canada Patented Brevet 78 376 78 377 78 378 1 219 497 1 279 800 2 199 156 2 199 631 France Brevet Nos 121 931 248 632 387 724 431 310 612 004 951 426 951 427 951 428 Germany D B P Nos 612 004 M9 501 995 2 M9 501 996 0 M9 501 997 9 P3 482 620 3 P3 778 211 8 08 P69 004 833 5 08 P690 244 923 Great Britain Patent Nos 121 931 248 632 387 724 431 310 612 004 2 045 812 2 045 813 2 045 814 Hong Kong Nos HK1 006 005 HK1 006 006 HK1 006 041 Japan Patent No 585 X 5 amp 55 1 003 444 5 X 8 amp 58 1 003 445 amp BER 1 006 528 9 1 743 342 1 924 062 W F 82 553 557 F S 8T582 802 171 5 E RTS3 025 018 5 0 8F283 025 019 5 Switzerland 122 210 122 211 122 212 248 632 328 162 328 163 387 724 EP0 121 931 Other U S and Foreign Patents Issued and Pending 145828 100 Copyright 2002 ALARIS Medical Systems Inc All rights reserved
29. operate Turn channel off and then on If problem persists do not use channel Contact qualified service personnel Channel must be turned on to view or change settings AutoRestartPlus must be on for downstream occlusion alerts AutoRestartPlus not required for upstream occlusion alerts Check administration set for probable cause kinked tubing clogged filter etc Press to confirm entry or press twice to return to previous settings NOTE Channel will operate as previously programmed until is pressed Complete setup Press ok Reestablish or discontinue computer control mode as appropriate Check RS 232 connections Clearing this alarm automatically puts instrument in monitor mode Reestablish infusion 32 GETTING STARTED Alarms Alerts and Prompts Continued MESSAGE PROBABLE CAUSE REMEDY Dose Complete Alert Dose Out of Range Prompt Dose Rate Running Prompt Entry Invalid Prompt FLOW SENSOR UNPLUGGED A Alarm HOLD TIME EXCEEDED A Alarm INSTRUMENT MALFUNCTION A Alarm Instrument Self Check Is Due Please Eject the Set Prompt Invalid Entry Rate Out of Range Prompt KEY STUCK AQ Alarm A dose delivery has just been completed Multi Dose Alert feature is on nid Calculated dose is outside allowable range or was pressed while running in Dose Rate program An invalid value was entered during programming Flow sensor is unplugged fr
30. EA 74 MUETISDOSE PROGRAM rca E E e ueber e od esters 82 GADING DOSE isasas iret err e Coon i er ee PEE EX use ct dea EE e EAE Ee ER cies 89 gt RS 232 COMPUTER LINK Models 7100 7200 7130 and 7230 ss 93 z IEEE 1073 MIB COMPUTER LINK Models 7132 and 7232 only a a 95 m MAINTENANCE z SPECIFICATIONS o eet rne eee e a ene ea ken d a a ee ens 97 Ae PROGRAMMABLE FEATURES nus 100 WISIS S B IN E NRI E 101 STORAGE L 101 EZANIN octet antes narra LU UE EL e RB M i UE DELE e dE 102 INSPECTION REQUIREMENTS sssseeR Rene en eee eee n ans 103 gt SERVICE INFORMATION occu sc ccomaaccln cnlesdtereweias ese Eoo o be tha ea tee E Rae en attic 104 a WARRANTY esis ERRARE 105 Z APPENDIX 28 TRUMPEMAND STARTUP CURVES eiie act ih prete tr tit br n tt rte temm e e 107 THIS PAGE INTENTIONALLY LEFI BLANK INTRODUCTION EBENEN POUt the Instruments About the Instruments The Signature Edition Infusion System includes Model 71XX and Model 72XX Volumetric Infusion Pumps Model 71XX and Model 72XX Volumetric Infusion Pumps with MIB Capability Model 71XX and Model 72XX Volumetric Infusion Pumps with Adjustable Pressure Capability and AccuSlide Flow Regulator administration sets zZ J fe J c CO d fe z e The single channel Model 71XX provides a full range of features in a small easy to use linear peristaltic pump e The dual channel Model 72XX offers the same features while providing two independent
31. Minimum rate error 108 APPENDIX Trumpet and Start Up Curves Continued Pressure Mode Continued ml hr Pressure Mode Start Up at 25 ml hr initial Pressure Mode Start Up at 999 9 ml hr initial 50 2000 45 1800 40 1600 35 1400 30 1200 25 E 1000 20 E 800 18 600 10 400 5 200 0 0 5 200 0 20 40 60 80 100 120 0 20 40 60 80 100 120 Time min Time min Pressure Mode Trumpet Curve at 25 ml hr initial Pressure Mode Trumpet Curve at 999 9 ml hr initial 15 15 10 10 a a Flow Rate Error o Flow Rate Error 96 eo 5 5 10 10 15 15 0 5 10 15 20 25 30 0 5 10 15 20 25 30 Observation Interval min Observation Interval min Pressure Mode Trumpet Curve at 25 ml hr 48 hr Pressure Mode Trumpet Curve at 999 9 ml hr 24 hr 15 15 eo A o a 2 f a i Flow Rate Error 96 eo Flow Rate Error 96 o A o A o 15 15 0 5 10 15 20 25 30 0 5 10 15 20 25 30 Observation Interval min Observation Interval min gt ze U rri zZ Legend s x lt WB Maximum rate error Overall rate error Minimum rate error APPENDIX 109 Trumpet and Start Up Curves Continued Resistance Mode Resistance Mode Start Up at 0 1 ml hr initial Resistance Mode Start Up at 1 ml hr initial 0 20 0 18 0 16 0 14 0 12 0 10 il 0 20 100 120 0 20 40 60 80 100 120 Time m Time min ml hr ml hr 0 08 0 06 0 04 0 02 0 00
32. Off 1 52 wks 0 1 999 9 ml hr On Off Flow Sensor use Default On 100 mcL Off On Low Med Hi 9600 Off None 3 On Pressure Adjustable On 600 mmHg On 10096 On 600 mmHg On 000000000 IVAC 5 0 ml hr English 52 wks On On On Off Off Off On 12 weeks 999 9 ml hr On 100 MAINTENANCE Unpacking 1 Remove instrument from its carton 2 Plug instrument into an AC outlet a minimum of 24 hours prior to use Maximum battery capacity as well as gauge accuracy is reached after several charge discharge recharge cycles For best results fully charge discharge and recharge battery two or three times before putting instrument into service 3 Perform Periodic Inspections as indicated in Inspection Requirements section of this document See the Programmable Features section of this document for a list of the configurable features Complete programming instructions are in the Technical Service Manual Plug the instrument into an AC outlet during storage to ensure a fully charged battery when needed e AC indicator light will be green whenever instrument is plugged in Close the latch es whenever the instrument is not in use re inp 2 3 4 hrs lt 2 Z E m
33. Program Continued 4 Press a soft key to select a step for editing E 8 peritis i RATE UTEI TIME Step setup page will be displayed BH 9 cs P z B 235 8 BGhZm Coe 106 0 166 8 ih am NM nena ok b 4 5 Press a soft key to select value for editing ANB i em ga 6 Use numeric keypad to enter new value Press ENTER C gt LOT Timez EB hee Z8 min el meri nk amp 6 7 Press ok when programming is complete to return to AJB review page s e STEP 2 a Fate mishe m UTEI mi Timez i hrs BE min merid ok A 8 Press ok to approve review page s and STEP TOTALS page A 8 oPTioNs OY ii RATE UTEI TIME Bl 6 H 25 6 5 5 um oo z 8 25 80 heen 166 8 186 8 ih Bm eru ok A 9 Press or run to resume infusion SE Rate 23 8 mlehr Os WEI 4 0 ml of lil 1 8 ml el menu setup run 80 FEATURES AND OPTIONS Multi Step Program Continued Resuming an Interrupted Program The channel will retain its place in the program up to six hours if the instrument is turned off The program can be restarted from STEP 1 or resumed where
34. Regulator thumb clamp down Thumb Clamp until an audible click verifies it is in fully closed position a m a a e v 2 A m O Ns AccuSlide Flow Regulator e Spike solution container e Fill drip chamber to 2 3 full NOTE Open the vent cap on the spike if the container requires venting e Invert the AccuSlide Flow Regulator e Slide the AccuSlide Flow Regulator thumb clamp up to open position to prime set e Close the AccuSlide Flow Regulator clamp when priming is complete Verify no fluid is flowing e A gravity flow rate may be adjusted with the AccuSlide Flow Regulator thumb clamp if desired CLOSED GETTING STARTED 19 Preparing an Infusion Continued Loading Primary Administration Set 1 Slide the AccuSlide Flow Regulator thumb clamp down until an audible click verifies it is in fully closed position Thumb Clamp Y AccuSlide Flow Regulator 2 Using both hands press top and bottom of the AccuSlide Flow Regulator into instrument until it snaps into place Verify the three gray fingers clamp arms on each side of pumping mechanism have engaged the AccuSlide Flow Regulator Let go of set A properly loaded set should stay in instrument 3 Press firmly just below blue thumb clamp on the AccuSlide Flow Regu
35. Sets Use only ALARIS IVAC 72 Series administration sets Alarms Accumulated Air In Line Key Stuck Air In Line Latch Open Battery Depleted No Upstream Flow Detected Channel Malfunction Occlusion Downstream Computer Link Failure Occlusion Upstream Flow Sensor Unplugged Primary Flow Detected During Secondary Hold Time Exceeded Set Out Instrument Malfunction Set Up Time Exceeded Battery Rechargeable nickel cadmium A single channel instrument will operate for 4 hours nominal and a dual channel instrument will operate for 3 hours nominal under the following conditions new fully charged battery e ambient room temperature 74 3 F 23x 2 C resistance monitoring modes rate 100 ml hr sum of channels or at the Intermediate rate of 25 ml hr each channel Battery run time is affected by operating mode rate monitoring options and back pressure See Battery Management System section of this document Case Impact and flame resistant plastic Critical Volume Maximum incremental volume in case of single point failure will not exceed 1 0 ml at 999 9 ml hr Dimensions Nominal 71XX 72XX Depth 5 0 in 12 7 cm 5 0 in 12 7 cm Height 8 6 in 21 8 cm 8 6 in 21 8 cm Power Cord 10 fU3 m 10 fU3 m Weight 6 6 Ib 3 0 kg 8 4 b 3 8 kg Width 7 6 in 19 3 cm 10 7 in 26 7 cm Without pole clamp Without power cord lt 2 Z E m z gt Q m MAINTENANCE 97 Specifications Continued Downstream Occlusion
36. To Turn Panel Lock Feature On Press and hold 9 until appears in lower display gt Dual channel instrument only za EE and 8 keys can be used to view settings e Panel Locked appears in Main Display if any other key is pressed AI B OPTIONS eX Rate 125 8 mishe B sTEI iGGBS R8 ml UI A G ml 9 Fane Locked To Turn Panel Lock Feature Off Press and hold until in lower display disappears l NOTE To make changes or respond to an alarm the panel lock must be turned off gt E m v o v e zZ 7 1m 0 IVA E ponaga ponam FEATURES AND OPTIONS 41 KICKE The uniquely designed pole clamp adapts to a wide variety of surfaces such as poles bed rails to provide greater versatility and to simplify transports It features 360 rotation in 90 increments ergonomically designed knob accommodates diameters from 15 to 35 millimeters no restrictions for pole mounting except physical space NOTE When using multiple instruments care should be taken to evenly distribute the instruments to ensure stability To Change Pole Clamp Orientation 1 Press and hold rotation lever To ensure proper occlusion detection DO NOT operate the instrument tilted back more than 45 from the upright
37. accessory is available for storing the flow sensor when not in use NOTE If a flow sensor is not connected to the instrument ensure protective plugs are installed at the connector site to prevent entry of foreign material 1 Plug a Model 180 Flow Sensor into applicable channel Flow Sensor Connectors connector on back of instrument 2 Attach flow sensor to upper portion of drip chamber MN When using flow sensor correct placement is essential for proper operation Drip chambers of some administration sets have a flange at top to which flow sensor can be attached Attachment on flange will ensure proper placement Upper surface of flow sensor should be slightly below drop forming orifice but above level of fluid in drip chamber Ensure fluid level in drip chamber is at fill line and sensor optics are clean Fluid level in drip chamber must be checked re established after each empty container condition When using flow sensor option while ambulating or transporting a patient from one area to another use care to avoid excessive swinging of solution container s 3 Attach flow sensor to instrument handle when not in use 60 FEATURES AND OPTIONS Flow Sensor Continued NOTE The flow sensor should be routinely cleaned with warm CAUTION water while actuating the slider then dried thoroughly Do not use solvents or cleaning agents Damage to plastic parts of the
38. highlighted 19 Use numeric keypad to enter weight and or height Press emen Instrument will automatically calculate and display volumetric infusion rate in ml hr NOTE 11111 or WWW will appear if a calculated value is outside the display s range Use soft key to highlight value you want to change Use numeric keypad to enter value Press to accept change Proceed to step 24 To Calculate Dose Rate 20 Press Rate to move highlight to volumetric rate Use numeric keypad to enter rate Press ENTER Concentration will be highlighted meri FE OPTIONS Da C gt N Ra io EN mieke El e i Lee eg A B Rateziz i ml hre El CA Da mogekgemin F mM Ceo md Bg mi Bibimz kg e Tur 66 FEATURES AND OPTIONS Drug Specific Dose Rate Calculator DRC Continued To Enter a New Program Continued To Calculate Dose Rate Continued 21 Use numeric keypad to enter concentration Press ENTER ET pres i A OM RKateziZ l mishe e Diluent volume will be
39. infusion pumps in one instrument ALARIS Medical Systems Infusion Pumps are intended for use in today s growing professional healthcare environment including healthcare facilities home care and medical transport that utilize infusion pumps for the delivery of fluids medications blood and blood products The ALARIS Medical Systems Infusion Pumps covered in this document are indicated for continuous or intermittent delivery through clinically acceptable routes of administration such as intravenous IV intra arterial IA subcutaneous epidural enteral and irrigation of fluid spaces The Signature Edition Infusion System uses a wide variety of AccuSlide9 Flow Regulator administration sets The ALARIS IVAC 72 Series sets are designed for use with the instruments as well as for gravity flow stand alone use The unique patented Accuslide Flow Regulator has an integral flow control device that minimizes accidental free flow when the set is removed from the instrument and provides accurate rate control during gravity administration The Signature Edition Infusion System incorporates the Dynamic Monitoring System a versatile Intravenous Site Monitoring System for detection of both full and partial occlusions of the fluid pathway This system includes both precision pressure sensing and continuously computed Flow Resistance Flow Resistance measurement dramatically improves the clinician s ability to detect partial and full occl
40. it left off After six hours the channel will restart in the primary mode 1 Press Power e e Return to Multi Step page will appear ae Multi Step 2 Press yes zl Pressing no will return to primary setup page i 6 9 I NOTE Verify all settings prior to resuming an infusion CF 3 Press Review Resume AJB forrions STEP In Progress page will appear el MULTI STEP MENU a gt j 4 S 4 Press Continue Program to resume program from point of AB OPTIONS m interruption e E G OR See Contin 3 Press Restart Program to restart program at beginning of OR E e STEP 1 aa enu V2 i 6 Review page s will appear OPTIONS 5 Press ok to approve review page s and STEP TOTALS page 9 E RATE UTBI TIME Ia 25 8 5 8 GBhi2m z B 25 8 heen z 166 0 1880 8 ih Om eje menu ok E 6 Press or run to continue or restart program Rate 25 8 mil hr Q wWEI su o uic i 8 ml STEF i of 3 FEATURES AND OPTIONS 81 Multi Step Program Continued To Quit Multi Step Program The channel must be on hold
41. pressure baseline Pressure Baseline feature is on Instrument detected flow from primary container during secondary infusion NOTE Alarm can only occur when using optional flow sensor or was pressed while channel was running in primary mode Instrument detected a memory or power failure Existing operating parameters have been erased Calculated rate is outside allowable range Arrows point up or down depending on whether over or under rate range Place instrument on hold before performing manual SET PRESSURE BASELINE operation Press and hold until display turns off Reduce or temporarily remove sources of variation while performing manual baseline setting operation Verify Flow sensor is on primary line Primary set has check valve Secondary infusion is complete underfilled solution container Secondary set fluid path is not blocked Secondary settings are correct Press run to restart infusion Channel must be on hold to change modes Press continue and reenter all infusion settings NOTE Programmable features are not affected Verify and reenter settings 36 GETTING STARTED Alarms Alerts and Prompts Continued MESSAGE PROBABLE CAUSE REMEDY Resistance Alert Alert Return To Dose Rate Prompt Return To Loading Dose Prompt Return To Multi Dose Prompt Return To Multi Step Prompt Return to Secondary Prompt Secondary Compl
42. z gt Q m MAINTENANCE 101 1 Unplug power cord from AC outlet before cleaning CAUTION DO NOT SPRAY onto or immerse the instrument in fluids Cleaning solutions should be applied to the instrument with a soft cloth 2 Verify RS 232 connector is covered Do not spray fluid directly into any connector 3 Usea soft cloth dampened with warm water and a mild nonabrasive cleaning solution Asoft bristled brush may be used to clean narrow areas Use light pressure when cleaning pressure transducer and air in line detector areas of pumping channels Acceptable cleaning solutions use per manufacturers instructions Warm water Vesphene Manu Klenz cleaning only 10 Bleach Solution 1part bleach to 9 parts water 4 Flow sensor should be routinely cleaned by running warm CAUTION water over it while actuating slider and then thoroughly Do not use solvents or cleaning dried agents Damage to plastic parts of the flow sensor could occur DO NOT use solutions containing aromatic solvents naphtha paint thinner etc chlorinated solvents Trichloroethane MEK Toluene etc alcohol or phosphoric acid DO NOT use hard or pointed objects or pressurized sprays to clean any part of instrument DO NOT steam autoclave EtO sterilize or immerse instrument DO NOT use pressurized sprays on instrument
43. 1 Press to place channel on hold ATS OPTIONS OS ee El UTEI 25 8 ml e UI 5 8 ml 9 STEP Tof Z L 18 Resistance j ETE OPTIONS i am UTEI 23 8 ml e Totals Remaining PS UTBI 125 8 ml ime i hr Z8 min ty 2 Press setup to return to review page s ATS ornows A AE ON i 5 0 nir El A tick mark I next to a step on review page s indicates ado ew it has not started e Qon e Only steps having a lj can be edited el setup run e Completed steps or a step in progress will not have a W i 9j Z e A step number in progress will be highlighted C ATB OPTIONS E RATE WTBI TIME e z 38 8 25 8 Bhzbm 2 188 8 188 80 ih am ol MENA ok amp amp 3 Press ok if desired to advance through review page s of mz ae program i RATE UTE TIME fl QA 25 0 5 8 BGhlzm e z 38 8 B BhAGm a z 168 8 1880 80 ih am Teri FEATURES AND OPTIONS 79 gt E m 92 o v e zZ 72 Multi Step Program Continued Making Changes During Multi Step Program Continued gt To View or Edit Multi Step
44. AUTION Federal U S A law restricts this device to sale by or on the order of a physician CAUTION Prior to use ALARIS Medical Systems recommends that users become familiar with the instrument the administration sets and any accessories that may be used This instrument is designed to stop fluid flow under alarm conditions Periodic patient monitoring must be performed to ensure the infusion is proceeding as expected This instrument is a positive pressure delivery system capable of developing positive fluid pressures to overcome widely varying resistances to flow encountered in practice including resistances to flow imposed by small gauge catheters filters and intra arterial infusions It is neither designed nor intended to detect infiltrations and will not alarm under infiltration conditions KZGNITB Hospital personnel must ensure the compatibility of the drugs as well as the performance of each instrument as part of the overall infusion Potential hazards include drug interactions inaccurate delivery rates inaccurate pressure alarms and nuisance alarms VARNI NG 5 5 h A The use of positive displacement infusion devices ported together with gravity flow infusion systems into a common IV site may impede the flow of common gravity only systems affecting their performance hospital personnel must ensure the performance of the common IV site is satisfactory under these circumstances GUN Each ti
45. Canada information or assistance may be obtained by calling one of the following toll free numbers In United States 800 482 4822 In Canada Eastern 800 908 9918 Western 800 908 9919 Outside the United States and Canada service information applications and manuals may be obtained by contacting your local ALARIS Medical Systems Service Department or distribution center When submitting any request for service include e a description of difficulty experienced instrument settings administration set lot number solution s used message displayed at time of difficulty If it is necessary to return the instrument for service obtain a return authorization number prior to shipment Carefully package the instrument preferably in the original packaging reference the return authorization information and return it to the appropriate service or distribution center ALARIS Medical Systems does not assume any responsibility for loss of or damage to returned instruments while in transit Dispose of instruments as appropriate per national and local environmental regulations or contact ALARIS Medical Systems 104 MAINTENANCE WARRANTY ALARIS Medical Systems Inc hereinafter referred to as ALARIS Medical Systems warrants that A Each new ALARIS Medical Systems Signature Edition instrument excluding the battery is free from defects in material and workmanship under normal use and service for a period of t
46. DOWNSTREAM alarm A B OPTIONS e e CJ Ratez 125 8 mlehr UTE MIz UTEI 1 mi uja 8 8 ml Checking Line amp amp ee AJB OPTIONS OCCLUS TOM Fi DOWHSTREAM run 4 4 Resistance and High Resistance Monitoring ere OPTIONS OCCLUS TO fi DOWNSTREAM 688 mmHg ik 4 Pressure Monitoring 48 FEATURES AND OPTIONS Dynamic Monitoring System Continued Monitoring Options Continued gt Detection of Upstream Occlusions If the flow pathway between the fluid container and the AccuSlide9 Flow Regulator is obstructed due to kinked tubing a closed clamp or an improperly installed set then an UPSTREAM OCCLUSION condition exists Depending on where the upstream path is occluded flow may continue for a fraction of a ml before the UPSTREAM OCCLUSION alarm is produced At high infusion rates the instrument will take relatively little time to alarm At low infusion rates a longer time will elapse before the instrument detects the condition and alarms In either case some flow continues from the instrument during the time prior to the alarm due to the elastic behavior of the tubing between the occlusio
47. E 99 Programmable Features The following features can be customized by qualified service personnel Feature Air in Line Air in Line Accumulator Air in Line Alarm Threshold Air in Line Reset Feature Audio Transition Tone Volumes Options On Off 50 100 200 or 500 mcL On Off On Off Low Med Hi Med Hi Hi Computer Link RS 232 Configuration Only Baud Rate Mode Parity NOTE Models 7132 7232 have only 9600 Baud Rate Monitor mode and None Parity as options and defaults Dynamic Monitoring AutoRestartPlus Manual Pressure Baseline Monitoring Options Pressure Alarm Pressure Display Pressure Limit Initial Configuration Mode Def Alarm Resistance Alert Resistance Alert Level Resistance Display Resistance Pressure Setting Trends Instrument ID Instrument Label KVO Rate Languages Maintenance Maintenance Interval Maintenance Reminder Optional Modes Dose Rate Calculator Loading Dose Multi Dose Multi Dose Alert Multi Step Panel Lock Pressure Sensor Self Check Interval Rate Maximum VTBI 300 600 1200 1800 2400 4800 9600 Control Monitor Off Monitor Off Off Even Odd None 0 Off 1 to 9 On Off Resistance High Resistance Pressure Adjustable Fixed On Off 25 600 mmHg On Off 0 100 On Off 1 600 mmHg On Off 9 digits 4 alpha numeric 0 1 20 0 ml hr English Canadian French 1 52 wks On Off On Off On Off On Off On Off On Off On
48. First Dose 13 Press ok to approve and advance to main hold page 14 Press or run to start infusion AJB O 9 To Delay Start of First Dose 15 Use numeric keypad to enter number of hours until first A B dose Press ENTER BER Q E min Number of minutes will be highlighted af Until First Dose l B E ml Teri SNOILdO S3H11V33 16 Use numeric keypad to enter number of minutes 0 to 59 A B until first dose Press tres hes Qn EB sin e Until First Dose Ui 8 8 ml el her start timer i 4 FEATURES AND OPTIONS 85 Multi Dose Program Continued To Enter a New Program Continued To Delay Start of First Dose Continued 17 Press start timer to advance to timer hold page Hourglass icon will flash to indicate timer is counting down to start of dose Dose will automatically start its infusion when timer reaches 0 hours 0 minutes 18 Press A to see Multi Dose programmed information Making Changes During Multi Dose Program Select the desired channel as necessary The channel does not need to be on hold to view more information To View More Information on Multi Dose Setup Press W Additional Multi Dose setup information will be displayed f
49. KVO Options KVO OPT HLD PRI SEC Hold Primary or Secondary Lower Display The lower LCD display is backlit for easy viewing The display dims when operating on battery power as an energy saving feature Panel Lock Indicator Displayed if panel lock is on Audio Volume Indicator Indicates audio volume for alarms and alerts N 14 0 o Computer Mode Indicator TACI o Displayed if instrument is in computer monitor mode LV vu Ce ppm 1 2 3 4 hrs Instrument ID Label Characters are entered by qualified service personnel to identify configuration ownership location etc Battery Power Gauge Indicates battery time remaining in 15 minute increments l NOTE The instrument label and battery gauge are always displayed even when the instrument is turned off INTRODUCTION 11 Around the Instruments Panel Lock Key Handle RS 232 Connector Cover Flow Sensor Receptacle RS 232 Connector Pole Clamp Pole Clamp Knob Pole Clamp Rotation lever Battery Door Power Cord Latch Flow Control Actuator Clamp Arms Pumping Mechanism Loading Guides Pressure Transducer Air in Line Detector Air in Line Arm 12 INTRODUCTION Ce ppm hi 1234 hrs Cep 1234 hs
50. Signature Edition VOLUMETRIC INFUSION PUMPS Model 7100 and 7200 Adjustable Pressure capability Models 7130 and 7230 Models 7132 and 7232 MIB capability ofoflo n T DIRECTIONS FOR USE TABLE OF CONTENTS INTRODUCTION ABOBT THE INSTRUMENTS is insetti rte EEE 1 FEATURES suus 4 CONTROLS AND INDICATORS eR ns 8 e DISPLAYS e a a bene tte 10 a AROUND THE INSTRUMENTS 25 22 pe erbe be rat oo eate pete beo ce aar en 12 2 TERMS AND SYMBOLS L 13 9 GETTING STARTED OPERATIONAL PRECAUTIONS a eee nee eee en en e e e en nnns 15 PREPARING AN INFUSION cerei baise tr ren ci e teh e shane viaeidlentsYiaveusnucaicaverse 19 Ex START UP SEQUENCE ssssss sns ne n uus 21 m PRIMARY MODE L 22 S102 161b NINE td ERREUR 24 a SECONDARY MODE L 25 v CHANGING PRIMARY SOLUTION CONTAINER L 28 2s UNLOADING SET RTT TTu 29 m POWERING OFF Ar te oborta e nat er Eae e dete eae opp da 29 S ALARMS ALERTS AND PROMPTS sssssees ee eene ener e ne ene ln ns 30 FEATURES AND OPTIONS m BATTERY MANAGEMENT SYSTEM L 39 PUI Se Me as LL ieu pM E euueitedte 40 5 PANEL LOCK 0c 41 d POE CULAR E 42 Oo AIR IN LINE AND ACCUMULATED AIR IN LINE se eee 43 Ej DYNAMIC MONITORING SYSTEM 2 2 22 L 44 9 FLOW SENSOR L 60 7 DRUG SPECIFIC DOSE RATE CALCULATOR DRC se uus 61 IE MISI areis E EEE
51. air per hospital protocol l NOTE Opening the latch or turning the channel off will clear air memory 3 Reinstall set and then press to resume infusion FEATURES AND OPTIONS 43 m gt E m v o e zZ 72 Air in Line and Accumulated Air in Line Continued Single or Accumulated Air Bubble Detection Reset Feature Available If air volume is clinically insignificant press reset soft key or key followed by run soft key or key to resume infusion A new bubble will again trigger alarm ey e A HIR IH LIME C A AIF IH LIME el el e oe Q A ACCUMULATED A ACCUMULATED AIR IH LIHE AIR IH LIHE e reset rur mm Dynamic Monitoring System The Dynamic Monitoring System provides the clinician the ability to monitor downstream pressure or resistance allowing rapid detection of full and partial occlusions Resistance monitoring eliminates the impact of patient elevation and flow rate to provide the most direct assessment of patency Components of this system are e Monitoring Options to select IV line site monitoring modes of resistance high resistance and adjustable or fixed pressure e AutoRestartPlus feature allows instrument to automatically resume operation when
52. approve all displayed information OR Press VAN to view available unit selections 34 GETTING STARTED Alarms Alerts and Prompts Continued MESSAGE PROBABLE CAUSE REMEDY NO UPSTREAM FLOW DETECTED A Alarm OCCLUSION DOWNSTREAM A Alarm No pressure reading displayed OCCLUSION DOWNSTREAM A Alarm Pressure reading displayed Occlusion Downstream Prompt OCCLUSION UPSTREAM A Alarm Ok Entry Prompt Panel Locked Prompt Place on Hold to Change Prompt Flow has been obstructed between container and instrument when using a flow sensor Check to see if container is empty flow sensor is mispositioned or clouded tubing is kinked or air vent is closed Verify correct set connections and open fluid path Press run to restart infusion NOTE Infusing fluids which form smaller drops through a 60 drops ml set at high rates may result in a No Upstream Flow Detected alarm This is because the small rapidly falling drops form a continuous stream which does not trigger the flow sensor In this event unplug the flow sensor from the instrument Flow has been obstructed between instrument and patient Pressure in IV line has exceeded Adjustable Pressure Limit due to elevated resistance in delivery path A very high pressure exists in fluid line while baseline is being set Pressure Baseline feature is on Flow has been obstructed between fluid container and instrument User has at
53. ary setup page Channel will automatically switch to primary infusion settings Channel must be on hold to change modes Press or and then continue with editing Load the AccuSlide Flow Regulator segment in selected channel Repeat manual pressure baseline setting GETTING STARTED 37 a m l a e v 2 A m iw Alarms Alerts and Prompts Continued MESSAGE PROBABLE CAUSE REMEDY Set Out Prompt SET OUT A Alarm Set Pressure Baseline Prompt Set Pri VTBI Prompt Set Pri VTBI gt Loading Dose VTBI Prompt SETUP TIME EXCEEDED A Alarm Stop Timer to Change Prompt Time Out of Range Prompt Timer Running Prompt VTBI 0 Alert The AccuSlide Flow Regulator segment is not installed correctly Set has been removed during an infusion Set Pressure Baseline has been selected in options mode A primary VTBI was not programmed Loading Dose VTBI entered is greater than primary VTBI Instrument has been turned on but no keys have been pressed for ten minutes An invalid key was pressed while timer was running in Multi Dose program Programmed step time exceeds 24 hours and 59 minutes or is less than one minute or was pressed while timer was running in Multi Dose program VTBI has counted down to zero Channel is in KVO mode Reinstall the AccuSlide Flow Regulator segment Reinstall set Press run Press ok to set Pressure Baseline or pre
54. ccuracy The following graphs show typical performance of the system for both Pressure and Resistance Modes in two ways 1 the accuracy during various time periods over which fluid delivery is measured trumpet curves and 2 the delay in onset of fluid flow when infusion commences start up curves Product operation is not affected by the selection of Resistance or High Resistance at 0 1 1 0 and 25 ml hr therefore High Resistance graphs are not included Trumpet curves are named for their characteristic shape They display discrete accuracy data averaged over particular time periods or observation windows not continuous data versus operating time Over long observation windows short term fluctuations have little effect on accuracy as represented by the flat part of the curve As the observation window is reduced short term fluctuations have greater effect as represented by the mouth of the trumpet Knowledge of system accuracy over various observation windows may be of interest when certain drugs are being administered Because the clinical impact of short term fluctuations on rate accuracy depends on the half life of the drug being infused and on the degree of intravascular integration the clinical effect cannot be determined from the trumpet curves alone Knowledge of the start up characteristics should also be considered The start up curves represent continuous flow rate versus operating time for two hours from t
55. condary page after six seconds Changing Primary Solution Container 1 Place channel on hold 2 Remove empty solution container 3 Spike new container Ensure drip chamber is filled to 2 3 full ag 4 Press VTBI soft key 5 Use numeric keypad to enter a new VTBI Press ENTER 6 Press channel s RYN to restart infusion 28 GETTING STARTED Unloading Set 1 Place channel on hold 2 Open latch The AccuSlide Flow Regulator will automatically close to prevent accidental free flow 3 Press lightly against open latch Set will be ejected from instrument EZB q To prevent free flow verify the AccuSlide Flow Regulator is closed when the set is removed from the instrument a m a a e v 2 A m O 4 Close latch es whenever instrument is not in use 5 Turn off power as necessary Powering Off Press and hold channel s until display turns off Current monitoring mode resistance alert and or pressure alarm limit will be retained in memory for six hours GETTING STARTED 29 Alarms Alerts and Prompts There are three types of displayed messages m e p a
56. container The primary medication prior to the start of a VTBI and VI include the Loading Dose volumes When the continuous infusion or delivering fluid Loading Dose VTBI reaches zero a transition tone will sound challenges This feature is for delivery if the transition tone feature is enabled Load Dose Complete from primary containers only Using message will be displayed for a few seconds and the primary this feature with two separate settings will automatically take effect containers may result in unintended gt E m n o v e Zz n ie l l flow rates Qualified service personnel can turn the Loading Dose feature on or off l NOTE Verify the primary mode parameters prior to accessing the Loading Dose option Entering a New Program Select the desired channel as necessary The channel must be on hold in the primary or secondary mode Jm Press oPmows eu B M Hros TM kates 25 8 mihe Eg Options page will appear rui ad de uic i 8 ml of PRIMARY 668 FEATURES AND OPTIONS 89 Loading Dose Continued Entering a New Program Continued 2 Press e page or page as necessary to view additional EE OPTIONS selections La Resistance Trend El Q Honitoring Options eZ Dose Fate Calculato
57. dural administration of analgesic drugs Use indwelling catheters specifically indicated for either short term or long term analgesic epidural drug delivery Parallel Infusions There are no contraindications regarding the use of the Signature Edition Infusion Pump with any other positive displacement infusion device when ported together into a common IV site location Radio Frequency Interference Operating the instrument near equipment which radiates high energy radio frequencies electrosurgical cauterizing equipment portable radios cellular telephones etc may cause false alarm conditions If this happens reposition the instrument away from the source of interference or turn off the instrument and manually regulate the flow with the AccuSlide Flow Regulator regulating clamp The Model 180 flow sensor was designed for use at a standard head height of 24 inches With the dual channel instrument use of the 180 flow sensor at a greater distance from the instrument may result in radio frequency emissions exceeding the CISPR 11 standard If this is a concern either bring the 180 flow sensor to within 24 inches of the instrument or discontinue flow sensor use VARNING Epidural administration of drugs other than those indicated for epidural use could result in serious injury to the patient WARNING It is strongly recommended that the infusion instrument source container and administration set used for epidural dru
58. e Prompt AIR IN LINE A Alarm hold soft key active AIR IN LINE A Alarm reset soft key active BATTERY DEPLETED Plug In A Alarm Battery Low Alert Air detector has detected multiple small bubbles Air in Line Reset feature is off Air detector has detected multiple small bubbles Air in Line Reset feature is on Air detector has detected air prior to starting infusion or is in poor contact with set Air detector has detected an air bubble larger than configured threshold tolerance 1 Air in Line Reset feature is off Air detector has detected an air bubble larger than configured threshold tolerance p Air in Line Reset feature is on Battery is too low to operate instrument Battery has 30 minutes or less of charge remaining Press hold Open latch to remove set Clear air per hospital protocol Reinstall set Press Ea to resume infusion Evaluate air in set Remove air OR If air bubbles are clinically insignificant you may press reset then press run to resume infusion Verify set is loaded correctly Prime and reload set or remove air Reshape tubing to ensure optimum contact with sensor Press hold Open latch to remove set Clear air per hospital protocol Reinstall set Press RYN to resume infusion At flow rates of 1 0 ml hr and below check for upstream occlusion Evaluate air in set Remov
59. e on hold in the primary mode secondary mode or a Loading Dose program 1 Press ormows ETE pem eX Resistance Trend El Options page will appear Monitoring Options M S e Dose Rate Calculator 2 Press Multi Step Mul ti Step MULTI STEP MENU will cat retan page gt will appear BP amp 4 3 Press Enter New Program Tel OPTIONS ey MULTI STEP MEHU ea ReuieulRezume el Enter Hew Program Quit Program a Y zt 4 Press a soft key to select setup method AJE Ru FROGRANMIHG OPTIOMZ en If Rate andVolume is selected instrument will calculate me kie and Gola 5 step infusion time Proceed to step 5 OR Volume and Time Un T f Volume and Time is selected instrument will calculate COS TT e Es rate Proceed to step 10 P 4 a gt To Program by Rate and Volume 5 Press Rate and Volume AJB PROGRAMMING OPTIONS e m Rate and Volume o fr Unlume and Time Ci b amp 4 STEP 1 of infusion profile will be displayed AE Rate will be highlighted 2 5 UM amp 4 FEATURES AND OPTIONS 75 Multi Step Program Conti
60. e air OR If air bubbles are clinically insignificant you may press reset then press run to resume infusion At flow rates of 1 0 ml hr and below check for upstream occlusion Plug power cord into an AC outlet immediately Press run or to resume infusion Plug power cord into an AC outlet as soon as possible GETTING STARTED 31 a m a a e v 2 A x m iw Alarms Alerts and Prompts Continued MESSAGE PROBABLE CAUSE REMEDY Both A amp B Not Running Prompt Dual channel instrument only CHANNEL MALFUNCTION A Alarm Dual channel instrument only Channel Not On Prompt Dual channel instrument only Checking Line Alert Complete Entry Alert Complete or OK Setup Prompt Computer Control Released Alert COMPUTER LINK FAILURE A Alarm Lale was pressed but both channels are not infusing Channel malfunction Channel s or was pressed but channel is not on Flow has been obstructed AutoRestartPlus feature is on was not pressed to accept a new value oto Was pressed before setup was completed or okayed Control of instrument has been released from host computer RS 232 configuration only Computer Link feature is in control mode RS 232 connection to computer was disrupted Computer Link feature is in monitor mode Both channels must be infusing for split screen feature to
61. e highlighted NOTE If the flow sensor option is being used VTBI can be turned OFF by selecting VTBI pressing and then ENTER OR The primary VTBI can be deleted from the primary mode setup page Programmable Features To clear VI press or O zero key Press ENTER e Volume infused will be reset to 0 0 ml OPTIONS M Rate 125 8 mieher Verify programming parameters and then press channel s to start primary infusion e Channel s infusing indicators will light Verify flow from IV container after starting infusion NOTE Prerun prompts may appear if the start up procedures were not completed Refer to the Alarms Alerts and Prompts section of this document to determine the appropriate action OPTIONS ey Eatez 125 8 ml hre a UTBI 1668 8 ml MI 8 8 ml PRIMARY el 616 6 22 GETTING STARTED Primary Mode Continued Making Changes During Primary Mode Select the desired channel A B as necessary The channel does not need to be on hold to change or clear the settings for Rate VTBI or VI 1 Press soft key for parameter you want to change Current value will be highlighted NOTE If the flow sensor option is being used VTBI can be turned OFF by selecting VTBI pressing and then ENTER OR The primary VTBI can be deleted from the primary mode setup page Progra
62. e of the Pressure Mode at rates of 1 0 ml hr or above is recommended NOTE Tests conducted in accordance with IEC 60601 2 24 Particular requirements for safety of infusion pumps and controllers and AAMI ID26 1998 Medical electrical equipment Part 2 Particular requirements for the safety of infusion pumps and controllers using AccuSlide Model 72003 Administration Sets APPENDIX 107 gt 5 az m zZ z x lt Trumpet and Start Up Curves Continued Pressure Mode Pressure Mode Start Up at 0 1 ml hr initial AUAM WM ml hr 0 08 0 06 0 04 0 02 0 00 0 02 0 20 40 60 80 100 120 Pressure Mode Trumpet Curve at 0 1 ml hr initial 0 5 10 15 20 25 30 Observation Interval min Pressure Mode Trumpet Curve at 0 1 ml hr 48 hr 100 oo oo005 Flow Rate Error 96 eo 0 5 10 15 20 25 30 Observation Interval min NOTE The plot range has been increased to 100 to allow visualization of the graph Pressure Mode Start Up at 1 ml hr initial ml hr 0 20 40 60 80 100 120 Time min Pressure Mode Trumpet Curve at 1 ml hr initial 15 10 Flow Rate Error 96 i o a A o a a 0 5 10 15 20 25 30 Observation Interval min Pressure Mode Trumpet Curve at 1 ml hr 48 hr eo a a Flow Rate Error a o A o d a 0 5 10 15 20 25 30 Observation Interval min Legend WB Maximum rate error Overall rate error
63. eric value by 596 If Flow Resistance Exceeds Alert Level Marker The instrument will notify the clinician with a Resistance Alert message and alert tone The channel will continue to infuse and the message and tone will continue until one of the following occurs Resistance of IV line site falls below Alert level marker Resistance Alert level marker is increased above current measured resistance value Resistance rises to 10096 initiating a Checking Line or OCCLUSION DOWNSTREAM condition Adjustable Pressure Alarm In the Adjustable Pressure monitoring mode the pressure alarm limit may be varied from 25 mmHg to 600 mmHg in 25 mmHg increments Qualified service personnel can turn the adjustment feature on or off and set a default alarm level 9 To Set Alarm Limit Marker Press either or P soft key to numerically display present alarm limit Each additional press of either arrow key will change alarm limit by 25 mmHg in corresponding direction OPTIONS B ml e HI Alert TB 5 zx 9 5 es ae OR C5 ma OPTIONS BUTBI 1688 8 ml B UlI B E ml e Eatez 125 80 ml hr el Resistance Aler t 6 OPTIONS A B amp y 125 8 miler 9 Te1 1998 8 ml Wi A A ml eJ Primary 6 Limit 428 mmHg
64. es 1 Press ortions Options page will appear A B 188 C 58 V i2h RESISTANCE nio return clear time p J f ATB OPTIONS t Primary Le 12h return lt 5 e g el m ATB ortos MW Rate 125 8 ml hr 9 718 1999 8 m e UIs el 1 ZBB8 mmHg FEATURES AND OPTIONS 55 SNOILdO S3H11V33 Dynamic Monitoring System Continued Pressure Trend Graphs Continued 9 To View Pressure Mode Trend Graphs Continued 2 Press Pressure Trend RN A B OPTIONS e A trend ra h will a ear C gt N Fressure Trend El grap pp Qo Monitoring Options te Calculator f Set Pressure Basel ine return page gt 4 amp Dose 3 Press time to change graph time frame A 8 A solid horizontal line represents current pressure alarm e c limit level g el 12h PRESSURE rou Gapsin graph may indicate noninfusing conditions such B GU ee 11 as turned off on hold in alar
65. ess ok B mishe BH mi 6 ml i 8 ml 1 00 0 ml DOSE 1 COMPLETE e Frequency 6 hrs menu n C ak i a 7 Edit time to delivery of next dose as necessary 8 Press start timer to begin timer s countdown to delivery of next dose A B OPTIONS ei H min Until Dose Z of 4 UI 186 8 ml Ter start timer 88 FEATURES AND OPTIONS Multi Dose Program Continued To Quit Multi Dose Program The channel must be on hold or the last dose complete 1 Press menu rel OPTIONS Rates258 8 nl W Q sug ic0 8 ml own l 8 8 ml DOSE 1 of 4 s 2 Press Quit Program to return to primary setup page Ina OPTIONS MULTI DOSE MEHU NOTE Primary setup page parameters may be different from at Revicw Resume those of the Multi Dose program Verify all settings prior to e ee Program E Quit Program resuming an infusion s Loading Dose This feature allows the clinician to set up an initial infusion rate WARNING for a specific volume automatically followed by a maintenance This mode is useful for loading a rate primary settings from the same
66. ete Alert Sec Running Prompt Select Channel Prompt Dual channel instrument only Set Must Be Loaded Prompt IV line resistance has reached preset alert level Resistance Alert feature is on Channel was turned off during a Dose Rate program within last six hours Channel was turned off during a Loading Dose program within last six hours Channel was turned off during a Multi Dose program within last six hours Channel was turned off during a Multi Step program within last six hours Channel was turned off during secondary infusion within last six hours Secondary delivery has just been completed or was pressed while channel was running in secondary mode A key was pressed but no channel has been selected The AccuSlide Flow Regulator segment is not loaded in selected channel during a manual pressure baseline setting operation Pressure Baseline feature is on Check downstream line and site Raise resistance alert level if appropriate Press yes to return to Dose Rate program or press no to return to primary setup page Press yes to return to Loading Dose program or press no to return to primary setup page Press yes to return to Multi Dose program or press no to return to primary setup page Press yes to return to Multi Step program or press no to return to primary setup page Press yes to return to secondary mode or press no to return to prim
67. flow sensor could occur NOTE See the Radio Frequency Interference information in the Precautions Section NOTE Infusing fluids which form smaller drops through a 60 drops ml set at high rates may result in a No Upstream Flow Detected alarm This is because the small rapidly falling drops form a continuous stream which does not trigger the flow sensor In this event unplug the flow sensor from the instrument Drug Specific Dose Rate Calculator DRC This feature allows the clinician to select a drug name to calculate a volumetric rate or a dose rate for continuous drug infusions and is based on parameters such as drug dosage patient weight concentration etc Once calculated the instrument will display the drug name selected on the infusion screen Generic calculation Drug is provided for drugs not available on the drug list When the DRC VTBI has counted down to 0 0 ml the channel Will switch to the preset KVO rate or remain at the current rate whichever is less Qualified service personnel can turn the Dose Rate Calculator feature on or off and limit the list of drug names available m gt E m v o e zZ 72 Facts About DRC The patient weight drug concentration and diluent volume WARNING cannot be changed while infusing Changes to any of these Ensure the correct entry of all drug items while on hold will recalculate the volumetric rate to calculation infusion
68. g delivery be clearly differentiated from those used for other types of administration WARNING Use of accessories or cables other than those specified may result in degraded electromagnetic compatibility performance of this device GETTING STARTED 17 a m a a e v 2 A x m Oo Operational Precautions Continued User Precautions To ensure proper performance of the instrument and to reduce potential injury to the operator observe the following precautions The power cord must be connected to a properly grounded three wire receptacle Hospital Grade Not for use in the presence of flammable anesthetics lt DANGER Explosion risk if used in the presence of flammable anesthetics Do not open the instrument case There are no user serviceable parts inside The case should only be opened by qualified service personnel using proper grounding techniques When the case is opened an electrical shock hazard exists which can result in serious injury to persons and instrument component damage 18 GETTING STARTED Preparing an Infusion Preparing Primary Solution Container Prepare the primary solution container in accordance with the manufacturer s directions for use Preparing Primary Administration Set Use only an ALARIS IVAC 72 Series administration set Slide the AccuSlide Flow
69. he start of the infusion They exhibit the delay in onset of delivery due to mechanical compliance and provide a visual representation of uniformity Trumpet curves are derived from the second hour of this data FLOW CHARACTERISTICS UNDER VARYING DELIVERY CONDITIONS Effects of Pressure Variations Under conditions of 100 mmHg pressure the Signature Edition Infusion System typically exhibits a long term accuracy offset of approximately 1 496 from mean values Under conditions of 300 mmHg pressure the Signature Edition Infusion System typically exhibits a long term accuracy offset of approximately 1 596 from mean values Under conditions of 100 mmHg pressure the Signature Edition Infusion System typically exhibits a long term accuracy offset of approximately 0 8 from mean values Resulting trumpet observation points typically track those of accuracy therefore no significant change in short term variations result under these pressure conditions Effects of Negative Solution Container Heights With a negative head height of 0 5 meters the Signature Edition Infusion System typically exhibits a long term accuracy offset of approximately 5 8 from mean values Resulting trumpet observation points typically track those of accuracy therefore no significant change in short term variations result under negative head height conditions Effects of Rate For applications where flow uniformity is a concern us
70. highlighted Q ZUM re ConccsB8 mom el eh lltiz ey 6 22 Use numeric keypad to enter diluent volume Press ENTER SE e f applicable patient weight and or height will be ef m highlighted 23 Use numeric keypad to enter weight and or height Press Ewe Instrument will automatically calculate and display dose rate Ten NOTE 111117 or WW will appear if a calculated value is PY outside the display s range Use soft key to highlight value you want to change gt E m v o e zZ 72 Use numeric keypad to enter value Press to accept change Proceed to step 24 24 Verify all values and units Press ok to approve all calculated ATS and displayed information Rate 13 1 mihe M AE mg 366 ml NOTE If the channel is running in the primary mode while e Nip setting up the calculation proceed to step 28 e m 4 TP Next setup page will appear AE e VTBI will be highlighted Dopamine UTBI nl I 16 8 ml ef UI EE m Ci mend FEATURES AND OPTIONS 67 To Enter a New Program Continued To Calculate Dose Rate Continued 25 Use numeric keypad to enter VTBI value P
71. hould note that these inspections are also intended to Ground Current complement the intent of the Joint Commission on the Leakage Test 2 months Accreditation of Healthcare Organizations requirements Ground Resistance Test 2 months For detailed instructions on performing preventive maintenance Pressure Calibration 2 months z inspections and maintenance refer to the Technical Service Rate Accuracy Calibration 12 months E Manual and supplemental service bulletins A service agreement Regular Inspection 2 months may be obtained from ALARIS Medical Systems for the Reset Time 2 months A m performance of all required periodic inspections For more information see the Service Information section of this document or contact ALARIS Medical Systems Customer Service at 800 482 4822 MAINTENANCE 103 Service Information NOTE Ifthe instrument shows evidence of damage in transit notify the carrier s agent immediately Do not return damaged equipment to the factory before the carrier s agent has authorized repairs If the instrument fails to respond as described in this document and the cause cannot be determined do not use the instrument Contact qualified service personnel Within the United States application and service information may be obtained by writing to ALARIS Medical Systems at ALARIS Medical Systems Inc 9190 Activity Road San Diego California 92126 ATTN Instrument Service Within the United States and
72. hr in 0 1 ml hr increments Mode of Operation Continuous Power Requirements 100 240 V 50 60 HZ 40 watts 3 wire grounded system Class 1 with Internal Power Source 98 MAINTENANCE Specifications Continued Rate Accuracy For rates greater than 1 ml hr up to 999 9 ml hr 3 596 95 of the time with 95 confidence under the conditions listed below For rates equal to or less than 1 ml hr 6 5 95 of the time with 95 confidence under the conditions listed below Rate Accuracy Test Conditions Infusion rate range 0 1 to 999 9 ml hr Head height 24 inches Test solution distilled water Environment temperature 68 8 F 20 4 C Back pressure O psi Needle 18 gauge Set Model 72003 Minimum collection volume 6 ml CAUTION Variations of head height back pressure time monitoring mode option pump tilt or any combination of these may affect rate accuracy Factors that can influence head height and back pressure are IV set configuration IV solution viscosity and IV solution temperature Back pressure may also be affected by catheter type Refer to Appendix Trumpet and Start up Curves for data on how certain factors influence rate accuracy Volume Infused Range 0 0 to 9999 9 ml in 0 1 ml increments Volume To Be Infused Range 0 1 to 9999 9 ml in 0 1 ml increments primary and dose rate modes 0 1 to 999 9 ml in 0 1 ml increments all other modes lt 2 Z E m z gt Q m MAINTENANC
73. ill be highlighted 3 Use numeric keypad to enter a new VTBI 4 Press to accept new value ERE 9 mlhr KVO OPT HLD PRI SEC OPTIONS ey Eatez 125 8 mil hre UTE T 8 8 ml HI 1688 8 ml Channel A el WEL 6 66 A B OPTIONS amp 5 Press channel s to resume primary infusion OPTIONS 24 GETTING STARTED Secondary Mode This mode is designed to support automatic secondary infusions piggybacking in the same instrument channel It can be used where a second independent volume to be infused with an automatic rate change is useful When the secondary VTBI reaches zero a transition tone will sound if the transition tone feature is enabled Secondary Complete message will be displayed for a few seconds and the primary settings will automatically take effect Both channels of a dual channel instrument can be programmed for primary and secondary operation When the device is programmed and delivering in the secondary mode the primary infusion is temporarily stopped and fluid is drawn from the secondary container Delivery from the primary container resumes when the fluid level in the secondary line is level with the fluid in the primary container NOTE Prepare the secondary container and set Lower the WARNING primary container using the hanger included with the seco
74. isplayed information and advance to main hold page 6 Press 48 or run to resume infusion Tur zetu Ep run m 72 FEATURES AND OPTIONS Drug Specific Dose Rate Calculator DRC Continued Resuming an Interrupted DRC Program The channel will retain its place in the program up to six hours if the instrument is turned off After six hours the channel will restart at the primary mode setup page 1 Press power ATE Return to Dose Rate page will appear Oo Return To e Dose Rate 2 Press yes e e yes Pressing no will return to primary setup page Verify i 6 settings prior to resuming an infusion CA 3 Press Review Resume to access setup parameters ma aE eV OSE RATE MEHU 294 Review Resume e Enter Program ol Quit Program 4 gt 4 Press ok to verify drug being infused and advance through EE c Dose Rate setup pages La m G j e D an a pi ne S S el Then r 9 5 Press or run to resume infusion from main hold page AJB Eateziz i ml hr El Q Dios mcgzkgezmin e UTBI UI 2 8 f end Pe menu zetun run m
75. lator with one hand while using other hand to close latch fully to left NOTE If resistance is met while closing the latch remove the set verify the AccuSlide Flow Regulator is fully closed and then reinstall the set NOTE Verify that the thumb clamp has moved to the open up position prior to starting the infusion After set installation verify no fluid is flowing through the administration set s drip chamber to avoid free flow 4 Attach set to patient s vascular access device 5 Verify flow from IV container after starting infusion 20 GETTING STARTED Start Up Sequence Press to turn the channel on WARNING Instrument will perform a self test Each time the instrument is turned on verify and or set the monitoring mode resistance alert and or Instrument will beep pressure alarm limit If the monitoring mode resistance alert and or pressure alarm limit are not verified the instrument may not be operating with the desired occlusion detection parameter s CAUTION Appearance of lines and or dots that remain on constantly when the device is powered on may indicate improper functioning of the Main Display Although the instrument is functioning properly return it to qualified service personnel All indicators and displays will light momentarily a m a a e v 2 A x m iw System start up page will be displayed A B OPTIONS
76. lert Load Dose Running Prompt Maintenance Reminder Prompt Multi Dose Running Prompt Multi Step Complete Alert Multi Step Running Prompt New Baseline Set Prompt No Numeric Entries Prompt Latch was opened during an infusion Latch is open prior to starting an infusion Loading Dose program has just been completed or was pressed while running in Loading Dose program Periodic maintenance interval has elapsed P Maintenance Reminder feature is on PRI Or was pressed while running in Multi Dose program Multi Step program has just been completed or was pressed while running in Multi Step program A new Manual Pressure Baseline has successfully been set Manual Pressure Baseline feature is on A numeric key was pressed during nonnumeric selection Check for proper set installation Close latch Press run Close latch fully to left Channel will automatically switch to primary infusion Channel must be on hold to change modes Notify your Biomedical Engineering department If desired press continue to temporarily bypass reminder Channel must be on hold to change modes Channel will automatically switch to KVO infusion Channel must be on hold to change modes Baseline will remain set until a new manual baseline is set instrument is turned off or latch has been opened Wait several seconds for popup to finish Press ok to
77. m etc A ZB f channel has been placed in a Resistance Monitoring mode for some portion of a trend graph window pressure data is not available and zero values are A B8 plotted ON I e 4 zh PRESSURE nou el return clear time J 9 To Clear Pressure Trend Graphs 1 Press clear to clear graphed data AJB e fumme H e el izh PRESSURE Fic return clear time CA 56 FEATURES AND OPTIONS Dynamic Monitoring System Continued Pressure Trend Graphs Continued To Clear Pressure Trend Graphs Continued 2 Press ok JE All trend data e rv will be cleared return ok s All data will be cleared from graphs ATS eo el i9h PRESSURE riu return clear time 9 To Return to Normal Operating Screen n Press return FE m e ES 53 H m g 17 izh PRESSURE NOW return clear time E zi Z 7 LN FE OPTIONS e Normal operating screen will appear Rate 125 8 mlehr NOTE Any of the following events will also turn off the trend Qo teI 1000 8 mi B ml h e Ws grapn Primary Pressing dual channel instrument only e 286 mmHg p Pressing 495 t5 J An alarm
78. m AG OPTIONS based on a fixed pressure limit as ie T Q3 TEI 1808 5 ml Precision Flow in fixed and adjustable pressure modes the e unns Signature Edition System provides enhanced flow continuity el d minimizing hemodynamic changes for a large volume 3 458 mmHg infusion instrument at rates below 50 ml hr only m j NOTE The pressure limit may be reduced clipped if the pressure Monitoring pressure in the line is high or changing This results in the pressure limit being lowered from the selected setting If this occurs first try to remove or reduce the downstream pressure Following that try to reload the set wait 15 to 30 seconds and then perform a Set Pressure Baseline operation The pressure baseline may need to be set a second time after the pressure readings have stabilized If this does not work the set could be the cause of this clipping gt E m v o v e Zz n NOTE For dual channel instruments select the desired channel as necessary The bar graph and numeric displays are not available when the split screen is displayed To Select One of Three Options is Press oPTioNs AJB Hros s av Ratez 125 8 ml hre Options page will appear rums B ef Us el imit 258 mmHg iih FEATURES AND OPTIONS 45 Dynamic Monitoring System Continued Monitoring Options Con
79. mary rate Both channels of the dual channel instrument can be programmed for primary and secondary operation The panel lock feature helps prevent tampering A panel lock symbol 8 is shown in the lower display when the panel lock is on and no changes can be made from the front panel The panel lock key is readily accessible yet not obvious to unauthorized users Optional modes are easily accessed with the press of one key The Drug Specific Dose Rate Calculator allows the clinician to select a drug name and calculate a volumetric or dose rate for continuous infusion Once calculated the instruments will display the drug name on the screen A generic calculator is also provided for drug names not on the drug list The Multi Step program allows a sequential program to deliver up to nine steps Fluid volumes and delivery rates may be programmed for each step The program may be entered based on Rate and Volume or Volume and Time The Multi Dose program allows the clinician to preprogram multiple infusions over a period of up to 24 hours The fluid volume and delivery rate is repeated for each delivery A delayed start feature may be programmed The Loading Dose feature allows the clinician to set up an initial infusion rate for a specific volume automatically followed by a maintenance rate from the same container 2 INTRODUCTION About the Instruments Continued The optional flow sensor kit allows the clinician to be no
80. me and Time Continued 12 Use numeric keypad to enter hours Press ENTER eir EFE Time minutes will be highlighted a in E m i e UTEI 5 8 mi Time amp hres EE min Hier 13 Use numeric keypad to enter minutes 0 59 if desired AJB Press ENTER STEF 1 eo du 25 6 mlvhr Instrument will automatically calculate and display wee wow o volumetric rate P Due al 14 Press ok to approve all displayed information and advance to STEP 2 of infusion profile tS pe m 15 Repeat steps 10 through 13 to set up each additional step of infusion profile then proceed to step 16 16 When all steps have been entered and ok d press done Ale OPTIONS Review page s will display three profile steps at a time ail M E UTEIS ml e Times hrs min mer done V4 17 Press ok to approve and advance through review page s A 8 OPTIONS ii RATE UTEI TIME Bl i 25 8 5 8 Ghizm E 33 8 Bhzbm o z3 166 0 1880 8 ih Bm ok co Meri 18 Press or 0 zero key to clear VI if desired Press ENTER AJE OPTIONS STEP TOTALS 3 El UTEI 136 8 ml e e Times h 47 min 25 uin 42 min menu ak
81. me the instrument is turned on verify and or set the monitoring mode resistance alert and or pressure alarm limit If the monitoring mode resistance alert and or pressure alarm limit are not verified the instrument may not be operating with the desired occlusion detection parameter s a m l a e v 2 A x m Oo GETTING STARTED 15 Operational Precautions Continued Patient Precautions To avoid possible injury to the patient observe the following precautions Administration Sets e Use only ALARIS IVAC 72 Series administration sets Use of any other set may cause improper instrument operation resulting in inaccurate fluid delivery A list of approved administration sets recommended by ALARIS Medical systems for use with the Signature Edition Volumetric Infusion Pump is provided on the Set Compatibility Card e Before operating the instrument verify that the administration set is free from kinks and is installed correctly in the instrument e ALARIS IVAC 72 Series administration sets are supplied with a sterile fluid path for one time use only Do not resterilize Artifacts It is normal for infusion devices to produce nonhazardous currents when infusing electrolytes These currents vary in proportion to the infusion device flow rate When the ECG monitoring system is not functioning under optimal conditions these currents may appear as artifacts simulating actual ECG readings To de
82. mmable Features OPTIONS cn 3 8 ml 3 8 ml zu m ra H fee ORE er m oh n E mlechr 4 To Change Primary Infusion Rate OPTIONS a fahe RR el he ty ty ry To Change Primary VTBI A B OPTIONS 9 Rate 125 8 mlehe 2 Use numeric keypad to enter a new value 3 Press to accept new value To Clear Volume Infused 1 Press VI soft key Current value will be highlighted 2 Press or 0 key to reset volume infused to 0 0 ml 3 Press to accept new value OPTIONS GETTING STARTED 23 a m a a e v 2 A x m iw KVO Mode The KVO keep vein open mode automatically occurs when the primary VTBI has counted down to 0 0 ml The channel switches to the preset KVO rate or remains at the current rate whichever is less The KVO rate is displayed in the rate LED display The Main Display will continue to show the programmed infusion rate e KVO flashes in the infusion status bar The KVO alert tone sounds The VTBI 0 message and alert tone will continue until the channel is placed on hold To Resume Primary Operation from KVO Select the desired channel as necessary Press channel s to place channel on hold 2 Press VTBI soft key Primary VTBI w
83. mode the Checking Line period is EE reme caused by pressure exceeding the alarm limit If the pressure OS falls to less than one third of the alarm limit within 40 9191 1009 mi seconds normal flow resumes The Adjustable Pressure 94 Earm mode allows the operator to control the pressure alarm limit e HA mmHg Qualified service personnel can turn off this feature or 1 LU program from 1 to 9 restarts In the High Resistance monitoring mode restarts do not occur for resistance measurements After the programmed number of restarts has occurred the channel will immediately alarm OCCLUSION DOWNSTREAM when pressure or flow resistance conditions indicate an occlusion The programmed number of restarts become available again when or the soft key labeled run is pressed 50 FEATURES AND OPTIONS Dynamic Monitoring System Continued Resistance Alert The Resistance Alert provides an early warning of increasing flow resistance of the IV line site The Resistance Alert marker can be set from 0 to 100 of scale in 596 increments Qualified service personnel can turn this Alert feature on or off and set a power on default alert level To Set Alert Marker Press either or P soft key to numerically display present alert level marker Vertical line on resistance bar graph visually indicates alert level Each additional press of either arrow soft key will increase or decrease alert level marker and num
84. n be optimized by temporarily stopping all infusions then restarting all instruments beginning with instrument delivering at lowest rate For additional measurement accuracy and real time pressure display pressure baseline may be manually set See Pressure Baseline description 52 FEATURES AND OPTIONS Dynamic Monitoring System Continued Resistance Trend Graphs In Resistance and High Resistance monitoring modes a trend ETE graph displays flow resistance over time Trend graphs of CY 15 minutes 1 hour 4 hours and 12 hours are available during e normal operation Qualified service personnel can turn this E a i2h RESISTRHCE return clear time riu feature off or on Downstream Occlusions which occur in Pressure or Resistance i j modes will be indicated by a vertical tick mark at the top of the trend screen To View Resistance Mode Trend Graphs NOTE For dual channel instruments select the desired channel as necessary The trend graph is not available while the split screen is displayed l NOTE After the instrument has been off for more than six hours trend graphs are cleared and the time base is reset to 15 minutes 1 Press options A B orPTIONs rri
85. n site and the pumping mechanism If an UPSTREAM OCCLUSION alarm does occur investigate and remedy the cause Ensure that the upstream flow path tubing etc is free of obstructions that any clamp is open and that the blue flow control on the AccuSlide Flow Regulator is in the open up position before resuming the infusion When the instrument detects an Upstream Occlusion condition it will present the message UPSTREAM OCCLUSION sound the audio alarm and stop infusion In certain conditions the upstream alarm system may briefly pause the instrument and present the Checking Line message for ten seconds to confirm or rule out the presence of an occlusion If the occlusion condition is determined not to exist flow will resume and no alarm is produced AutoRestartPlus The AutoRestartPlus feature provides the ability to automatically continue an infusion if downstream resistance or pressure measurements indicate that an occlusion condition has cleared within a 40 second Checking Line period excluding High Resistance monitoring mode If the condition is not cleared the OCCLUSION DOWNSTREAM alarm occurs and infusion is stopped until manually restarted NOTE In the High Resistance monitoring mode the Checking Line alert may result in an OCCLUSION DOWNSTREAM a arm even if the occlusion has been cleared AJB OPTIONS OCCLUSION DOWHSTREAM Cy eo e el run
86. ndary Secondary applications require the set If a flow sensor is being used it must be placed on the se ot a check valve set primary line e m a a e v 2 A m iw The secondary solution container must be higher than the primary solution container The secondary VTBI settings require consideration of such variables as factory overfill medication additions etc Underestimating the volume will cause the remaining secondary solution to be infused at the primary rate overestimating will result in the primary solution being infused at the secondary rate Multiple doses from a single container are not possible The clamp on the secondary set must be opened If the clamp is not opened the fluid will be delivered from the primary container The secondary set must be primed prior to beginning the secondary infusion GETTING STARTED 25 Secondary Mode Continued 1 Press channel s to turn channel on Primary setup page will appear Verify primary settings are appropriate ATB OPTIONS Ratie ERM nl he UTEI 956 8 ml m dix 58 8 ml PRIMARY el n NOTE If programming a secondary from a running primary place the channel on hold and then proceed 2 Press sec Secondary setup page will appear Secondary infusion rate will be highlighted 3 If current secondary infusion rate is approp
87. ntinued Automatic Keep Dual rate for 234 mmHg 4 System Adjustable Pressure Mode E NC T nuu ogo mmm LHODr C Iz EL cep 1 2 3 4 hrs Vein Open KVO secondary mode delivery t m p gt i F A B OPTIONS A B OPTIONS Rate eue mieher Dynamic 23 a 25 8 air S ae Monitoring as AutoRestartPlus e Primary System Resistance CA operation e T a ae Mode Dynamic mean Automatic quick Monitoring recharge of battery 4 hours to 95 charge 16 0m Tica LW HL E puppi Battery status is continuously displayed in 15 minute increments Adjustable audio volume E INTRODUCTION 5 zZ J fe J c CO d fe zZ Temporary alarm and alert silence key Features Continued praua 4 m Hell epp 20 0 STE CE pupa Customizable instrument ID label nod
88. nued To Enter a New Program Continued 9 To Program by Rate and Volume Continued 6 Use numeric keypad to enter rate Press ENTER e VTBI will be highlighted A B OPTIONS 7 Use numeric keypad to enter VTBI Press Enter AJE e Instrument will automatically calculate and display time eo at 25 6 aon in hours and minutes e vius 8 Press ok to approve all displayed information and advance ira I to STEP 2 of infusion profile mE a 9 Repeat steps 6 through 8 to set up each additional step of infusion profile then proceed to step 16 gt To Program by Volume and Time 10 Press Volume and Time T8 PROGRAMMING OPTIONS ei Rate and Uo lume rs zl Unlume and Time menu STEP 1 of infusion profile will be displayed AE VTBI will be highlighted 9e uu V M i 4 11 Use numeric keypad to enter VTBI Press ENTER ATS Time hours will be highlighted STEP 1 Rates mle Time EE hrs min e e UTE 5 8 ml of 76 FEATURES AND OPTIONS Multi Step Program Continued To Enter a New Program Continued 9 To Program by Volu
89. olumetric rate will be displayed es c eo jd B mgz mBE ml 5 Press ok to approve all displayed information and advance to main hold page 6 Press R9 or run to resume infusion a T f nine e menu setup run i E gt E m n T o e zZ 72 FEATURES AND OPTIONS 71 Making Changes During DRC Program Continued To Change Concentration l NOTE Any change to the drug amount or diluent volume will recalculate the volumetric rate to maintain dose rate 1 Press to place channel on hold Drug Specific Dose Rate Calculator DRC Continued 2 Press setup to return to setup page OPTIONS Rateziz 1 mlc hr lo UTE 5 mog kgemin Tr zetu al rur 3 Press Conc once to select concentration value Press Conc twice to move highlight to diluent value or press Conc and then enter OPTIONS Co Hi T kg menu 4 Use numeric keypad to enter new value Press ENTER e Recalculated volumetric rate will be displayed AJB OPTIONS Rate 13 1 ml hre Wis FA k g menu 5 Press ok to approve all d
90. om back of instrument Channel has been on hold for two minutes and no keys have been pressed on either channel if dual channel Instrument malfunction Fora dual channel instrument neither channel is functional Instrument channel has not performed self check within programmed interval Instrument has calculated a rate less than 0 1 ml hr A key is stuck or was held down too long Channel will automatically switch to timer amp If Dose Complete Alert Option is activated press cancel alert to silence audio signal Verify and reenter settings Channel must be on hold to change modes Press or 0 key to clear entry Enter appropriate value Plug flow sensor into flow sensor receptacle Press hold to return to hold mode Turn instrument off and then on If problem persists do not use instrument Contact qualified service personnel If set is loaded Eject set wait five seconds and then reload set If no set is loaded Load and then eject set Wait five seconds and then reload set Verify and reenter settings Release key Turn instrument off both channels if dual channel instrument and then on If problem persists do not use instrument Contact qualified service personnel GETTING STARTED 33 a m a a e v 2 A x m iw Alarms Alerts and Prompts Continued MESSAGE PROBABLE CAUSE REMEDY LATCH OPEN A Alarm LATCH OPEN Prompt Load Dose Complete A
91. oning properly return the instrument to qualified service personnel Channel Indicator dual channel only Indicates which channel is currently selected Highlight Indicates value is selected Values must be highlighted to be changed Soft Keys The keys on the side and bottom of the Main Display serve a variety of functions What each key does is indicated by the text in the display at the time Active Soft Keys Indicated by a TICK I mark next to the key 1 Press an active key to highlight desired area in display 2 Enter a value using numeric keypad 3 Press to accept value highlighted Inactive Soft Keys Indicated by having no TICK marks at the left and bottom edges of the display Split Screen dual channel only When both channels are infusing the split screen showing programmed information is displayed after one minute Pressing shows the split screen immediately 10 INTRODUCTION Displays Continued Rate Display s The LED rate display is easily viewed from a distance Rate Display s Indicates current infusion rate s in ml hr Flashes to indicate hold or alarm condition i Model 71XX Status Bar Indicates which mode the instrument is in Options J 1 lj E 5 Primary Hold Secondary or KVO zZ J fe J c CO d fe zZ Model 72XX Status Bars js m n Indicate which mode each channel is in
92. or a short interval hrs 2 min Until First Dose UI B 8 ml Teri start timer E oe Cy of i hrs Dall z min Until First Dose start timer 6b AJB OPTIONS m oma 3 8 mishe AA ml 8G 8m1 ab 256 Aml ehr Beh x 4 UIl i88 8 T 6 6 86 FEATURES AND OPTIONS Multi Dose Program Continued Making Changes During Multi Dose Program Continued gt To Change Time Interval Until Next Dose 1 Press stop timer AJB NM 3 hes ee Z min X e Until Dose 2 of 4 f O start timer CF 2 Press a soft key to select a value for editing T AT8 OPTIONS C gt N X hra El 4 2 min e Until Dose z of 4 Ul 100 0 ml el meria start timer 6 i 3 Use numeric keypad to enter new value Press ENTER AJB OPTIONS La 2 hrs Fi 4 Press start timer when editing is complete ea egt dus Unti ose z of 4 e UIS 188 8 ml ef eri start timer ry t CF gt E m v o e zZ 72 Resuming an Interrupted Multi D
93. ose Program The channel will retain its place in the program up to six hours if the instrument is turned off and the program can be resumed where it left off After six hours the channel will restart in the primary mode Primary mode settings may be different from those in the previous Multi Dose program 1 Press Power Tel Return to Multi Dose page will appear e e Return To 2 Press yes G dein Pressing no will return to primary setup page r I NOTE Verify all settings prior to resuming an infusion A FEATURES AND OPTIONS 87 Multi Dose Program Continued Resuming an Interrupted Multi Dose Program Continued 3 Press Review Resume to access setup parameters e f infusion was in progress when interrupted proceed to step 4 e f infusion was not in progress when interrupted proceed to step 6 If Infusion was in Progress When Interrupted 4 Press ok to approve and advance to main hold page e Enter Hew Program ol Quit Program ATB OPTIONS i MULTI DOSE MEHU Reuieu ame Ta a A B OPTIONS Rate 258 8 mlehr UTEI i c 8 ml DOSE 1 INCOMPLETE C e Frenquencu 6 hrs Tier ok 5 Press 9N or run to resume infusion If Infusion Was Not in Progress When Interrupted 6 Pr
94. ose Rate VTBI can be turned off by selecting VIBI and then pressing coo OR Dose Rate VTBI can be deleted from VTBI VI screen and main hold page Programmable Features To Clear VI 1 Press VTBI soft key twice to move highlight to VI fa OR Rate 12 1 ml hr Press VTBI soft key and then press ENTER 2 Press or O zero key AIS prions VTBI will temporarily disappear and VI will be ee a as highlighted mm T m Press ENTER J E ix Resistance gt To Change Weight or Height l NOTE Any change to the weight or height will recalculate the volumetric rate to maintain dose rate 1 Press to place channel on hold 2 Press setup to return to setup page A B Rateziz 1 mlc hr Hoses 5 mog et UTE e menu 70 FEATURES AND OPTIONS Drug Specific Dose Rate Calculator DRC Continued Making Changes During DRC Program Continued To Change Weight or Height Continued 3 Press Wt or Ht AJB OPTIONS x d mehr E mcgzkgezmin amp mgz mEB m a eo 4 Use numeric keypad to enter new value Press ENTER Rateziz 3 9 ml Fire c mi e Recalculated v
95. parameters maintain the dose rate Consult the drug manufacturer s All drug names are generic and when necessary they are labeling for information concerning abbreviated Dual channel instrument only Drug names appropriate administration longer than ten letters are abbreviated if displayed on the techniques and dosages split screen The Drug selection can be used for calculating when a particular drug name is not available on the drug list When a drug amount is greater than 10 000 units Un a K is used to indicate a value multiplied by 1 000 for example 1 000 000 1 000K DRC cannot be used in conjunction with secondary or other operating modes FEATURES AND OPTIONS 61 To Enter a New Program Select the desired channel as necessary The channel must be infusing in the primary mode or on hold in the primary mode secondary mode or a Loading Dose program 1 Press ortions Options page will appear Drug Specific Dose Rate Calculator DRC Continued ATB 7 m OPTIONS Ce Eatez 25 8 ml hre d UTEI 43 8 ml eo u 1 8 ml Primary ss 28 Resistance 666 2 Press Dose Rate Calculator DOSE RATE MENU will appear faa Resistance Trend ring Options ate Calculator Em Dose I Mul ti Step return page gt 3 Press Enter New Program e A list of drug name
96. position 2 Reposition clamp 3 Release lever at desired position 42 FEATURES AND OPTIONS Air in Line and Accumulated Air in Line The Air in Line Detection System provides clinicians the ability to detect inappropriate amounts of air in the IV line The instrument is configurable to allow single bubble plus accumulated air detection Accumulated air detection is based on measurement of the average percentage produced by small air bubbles passing the detector Air is detected by a pair of sensors located just below the AccuSlide9 Flow Regulator One of these is located in an arm which rotates into position as the latch is closed Qualified biomedical personnel may configure one of four possible sensitivity levels The instrument is also configurable to permit the operator to clear reset any air registered in the instrument s memory NOTE Ensure that the tubing is properly inserted into the air detector to avoid false alarms The tubing may be reshaped to ensure optimum contact with the sensors will not start infusion if any air Is detected by the sensor Single or Accumulated Air Bubble Detection NO Reset Feature 1 Press hold to place channel on hold ec B OPTIONS I E A AIR IM LIME 4 Ci hold e eee A B ey e aum e hold rc 2 Remove
97. r Set Pressure Baseline ef return page UE 3 Press Loading Dose EE OPTIONS n i 2 Multi Step E Loading Dose infusion rate will be highlighted Eu of Loading Dose i Computer Link el return Gage 4 4 4 If current value is appropriate press ENTER OR Use numeric keypad to enter a new infusion rate and press emen Loading Dose VTBI will be highlighted e Primary Se n L RDIHG DOSE 4 4 5 If current value is appropriate press ENTER OR Use numeric keypad to enter a new VTBI and press ENTER l NOTE The Loading Dose VTBI must be less than the primary VTBI 6 Press to start Loading Dose infusion AJB OPTIONS ey Rate 250 8 ml hr 90 FEATURES AND OPTIONS Loading Dose Continued Making Changes During Loading Dose Program Select the desired channel as necessary The channel does not need to be on hold to change settings for Loading Dose Rate or VTBI 1 Press soft key for value you want to change To Change Loading Dose Infusion Rate Current value will be highlighted OPTIONS L RDIHMG DOSE To Change Loading Dose Volume To Be Infused A B OPTIONS ex Rate 288 8 ml hr UTE ti EM tings naosE
98. ress e page or page as necessary to view additional AJE selections e Reziztance Trend El e Han ng Options fe Calculator eo Dose R Set Pressure Baseline ef return pagese n m s 3 Press Multi Dose El e JI e MULTI DOSE MENU page will appear EE Mul ti Step y C gt A Multi Doze e Loading Dose el Computer Link S return page ro is E 4 Press Enter New Program A B prese E MULTI DOSE MEHU s Setup page will appea r ei Review Resume Infusion rate will be highlighted E neis vini A of Buit Program 64 4 A B OPTIONS e Rste mmmmm uino dal 2 FEATURES AND OPTIONS 83 Multi Dose Program Continued To Enter a New Program Continued 5 Use numeric keypad to enter infusion rate Press ENTER ATE ERR e VTBl Dose volume to be infused per dose will be Ca Rate 250 0 mivhr W ei UTET i BH Ha e requency hrs i J highlighted 6 Use numeric keypad to enter VTBl Dose Press ENTER Number of doses to be given will be highlighted iB 8 ml
99. ress ENTR NOTE If the flow sensor option is being used Dose Rate VTBI can be turned off by selecting VTBI then pressing CLEAR J OR Dose Rate VTBI can be deleted from VTBI VI screen and main hold page Programmable Features VI will be highlighted Drug Specific Dose Rate Calculator DRC Continued e UTEI Dopamine ml MENA n 26 To clear VI press or O zero key Press ENTER 2 Press ok to approve all displayed information and advance to main hold page ez OPTIONS t TEI eo UIs Dopamine El 258 8 ml 8 8 ml Ci Tur ES 28 Press 4S or run to start infusion Making Changes During DRC Program Select the desired channel as necessary The channel does not need to be on hold to change volumetric rate dose rate or VTBI to clear the VI or to view more information NOTE The instrument will recalculate the program values if the volumetric or dose rate drug amount diluent volume weight or height are changed O Che ncgakgz mimn eo UT UI 8 8 Ca manu setup run i 53J 68 FEATURES AND OPTIONS Drug Specific Dose Rate Calculator DRC Continued Making Changes During DRC Program Continued gt To View More Information on Dose Rate Setup
100. riate press ENTER OR Use numeric keypad to enter a new infusion rate Press Ewe Secondary VTBI volume to be infused will be highlighted WARNING 1 Do not access the secondary key until first confirming the primary program OPTIONS 6 6 6 4 If current secondary VTBI is appropriate press ENTER OR Use numeric keypad to enter a new VTBI Press ENTER 5 Press channel s to start secondary infusion e Channel s infusing indicators will light When secondary infusion is complete instrument automatically switches to primary infusion parameters A B OPTIONS 26 GETTING STARTED Secondary Mode Continued Making Changes During Secondary Mode Select the desired channel as necessary The channel does not need to be on hold to change the settings for Rate or VTBI 1 Press soft key for value you want to change To Change Secondary Infusion Rate OPTIONS Current value will be highlighted 4 To Change Secondary VTBI a m a a e v 2 A x m iw 2 Use numeric keypad to a enter new value 3 Press to accept new value To View or Change Primary Settings During Secondary Mode Select desired channel as necessary
101. s in alarm and has stopped infusing Infusing Indicators Indicate a channel is infusing RUN HOLD Keys Start and stop infusion on selected channel To restart channel must be selected Power Indicator Green Plugged in and charging Fashing Amber Battery power Power Keys Turn channels on and off OPTIONS Key Accesses additional s features SECONDARY Key Selects secondary mode channel must be selected PRIMARY Key Selects primary mode channel must be selected SPLIT SCREEN Key Displays information for both channels when both channels are infusing uo 0 ENTER Key Accepts value or selection entered SILENCE Key Silences audible alarm or alert for two minutes message remains on screen New alarm or alert will reinstate audible tone CLEAR Key Clears selected numeric value AUDIO VOLUME Key Sets audio volume for alarms and alerts Press key to adjust volume Numeric Keypad Enters changes values INTRODUCTION 9 zZ J fe J c CO d fe zZ IBIETe EYES Main Display The Main Display is backlit for easy viewing The backlight dims CAUTION when operating on battery power as an energy saving feature Appearance of lines and or dots that Pressing any key automatically turns the backlight up again ii remain on constantly when the device is powered on may indicate improper functioning of the Main Display Although the instrument is functi
102. s service representative b altered in any way so as to affect in ALARIS Medical Systems judgment the product s stability or reliability c subjected to misuse or negligence or accident or which has had the product s serial or lot number altered effaced or removed or d improperly maintained or used in any manner other than in accordance with the written instructions furnished by ALARIS Medical Systems This warranty is in lieu of all other warranties express or implied and of all other obligations or liabilities of ALARIS Medical Systems and ALARIS Medical Systems does not give or grant directly or indirectly the authority to any representative or other person to assume on behalf of ALARIS Medical Systems any other liability in connection with the sale or use of ALARIS Medical Systems products ALARIS MEDICAL SYSTEMS DISCLAIMS ALL OTHER WARRANTIES EXPRESS OR IMPLIED INCLUDING ANY WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR PURPOSE OR APPLICATION See packing inserts for international warranty if applicable lt 2 Z Es m Z gt Q m MAINTENANCE 105 THIS PAGE INTENTIONALLY LEFT BLANK 106 MAINTENANCE APPENDIX Trumpet and Start Up Curves DESCRIPTION AND EXPLANATION OF TRUMPET AND START UP CURVES In this instrument as with all infusion systems the action of the pumping mechanism and variations in individual administration sets cause short term fluctuations in rate a
103. s will be displayed mms DOSE RATE MENU El ea Revieuw Resume Enter Hew Program gt Quit Program amp 4 4 Press page or page to view additional drug name selections A B e Dobutamine 0 panine e Esmolol Heparin e i 5 Press GO TO EXTENDED LIST if shown to view full list of drug names f desired drug name is listed proceed to step 6 f desired drug name is not listed proceed to step 11 A B Horphine Q Hitropruzzide e Drug GO TO EXTENDED LIST menu E EE 4 62 FEATURES AND OPTIONS To Enter a New Program Continued gt To Program DRC With a Listed Drug Name 6 Press soft key next to a drug name to select it Appropriate dose units for selected drug will be displayed Dose units cannot be changed Drug Specific Dose Rate Calculator DRC Continued i lal Heparin e Tier s 7 Press ok to approve all displayed information and advance to first setup page step 16 OR step 8 A B OPTIONS Dose in mogekg min Ia Conc in mgm ey e Weight in kg menu ak 8 To change concentration height or weight units press soft ke
104. se clinical applications The appropriate monitoring mode should be selected to optimally monitor the IV site When using the Adjustable Pressure monitoring mode a ATS OPTIONS pressure alarm limit may be selected in 25 mmHg increments On CATET from 25 mmHg to the maximum configured pressure limit When measured pressure exceeds this level an OCCLUSION DOWNSTREAM condition exists el SEE mmHg E FEATURES AND OPTIONS 47 Dynamic Monitoring System Continued Monitoring Options Continued Detection of Downstream Occlusions Continued When using the Resistance or High Resistance monitoring mode an OCCLUSION DOWNSTREAM condition is detected when the measured resistance reaches 100 of scale For the Resistance mode 10096 results from a resistance producing 2 mmHg per ml hr of flow For the High Resistance mode 10096 results from a resistance producing 6 mmHg per ml hr flow An OCCLUSION DOWNSTREAM condition will also be detected when a fixed pressure limit is exceeded This limit may be set by qualified service personnel from 1 mmHg to 600 mmHg In either case one of the following will occur f AutoRestartPlus feature is on instrument will notify clinician with a Checking Line message and audible tone See AutoRestartPlus section for further details f AutoRestartPlus feature is off instrument will notify clinician with an OCCLUSION
105. specific instrument operating conditions are met e Adjustable Pressure Alarm to provide an early warning of increases in downstream pressure e Adjustable Resistance Alert to provide an early warning of increases in downstream flow resistance e Trend Graph to display downstream pressure or flow resistance over time e Pressure Baseline to increase accuracy of pressure measurements 44 FEATURES AND OPTIONS Dynamic Monitoring System Continued Monitoring Options IV lines catheters and applications create various levels of resistance to flow Monitoring mode options are available to meet each clinical need Resistance designed to monitor IV line site resistance are OPTIONS providing optimum sensitivity Used for larger catheter sizes EN kates 125 0 mlzhr i Qaa TEI 1808 5 ml High Resistance designed to monitor IV line site resistance e unis with optimum sensitivity where higher resistance catheters are used 3 Gerp e Adjustable Pressure designed to monitor IV line site pressure and provide user adjustable pressure alarm limits Resistance Monitoring Used for Precision Flow mode or for high resistance systems such as infusion through transducers into dialysis systems and through highest resistance catheters Pressure designed to monitor IV line site pressure and alar
106. ss and release VAN to scroll through units available ALB oPTions Press when correct unit is displayed sy Dose in mcg kg min El Conc in mgeml e Weight in E el menu EA ak ihmi d Weight kg or Ib Height cm or inches 15 Press ok to approve all displayed information and advance A 8 penis to first setup page ev Dose in mcg kgzmin El aq QA Gone in soni gt To calculate volumetric rate proceed to step 16 e riot in va c JI To calculate dose rate proceed to step 20 el menu ok D ji lt C E z 9 To Calculate Volumetric Rate i 16 Use numeric keypad to enter dose rate Press ENTER EE ae Concentration will be highlighted Ni um B Q h Do e Hts kg i l J EE wegekgemin sass fetid ev Ratez lhe 5 mcgzkgzomin p Conc ER mg mi eit 5 i FEATURES AND OPTIONS 65 To Enter a New Program Continued To Calculate Volumetric Rate Continued 17 Use numeric keypad to enter concentration Press ENTER Diluent volume will be highlighted Drug Specific Dose Rate Calculator DRC Continued OPTIONS ta Les mishe El Qe Che 5 mog kgemin of Conc SBB8 mo bbs mee k g o menu n 18 Use numeric keypad to enter diluent volume Press enter f applicable patient weight and or height will be
107. ss return to go to Primary Setup page Enter a primary VTBI Raise primary VTBI or lower Loading Dose VTBI as appropriate Press hold to return to hold mode Instrument will turn off if left in alarm more than five minutes If an audio alarm remains on turn instrument on and then off Wait several seconds for popup to finish Press stop timer to make changes Verify and reenter settings Wait several seconds for popup to finish Press stop timer to make changes Put channel on hold to reenter a primary VTBI Change solution container if necessary OR Terminate infusion 38 GETTING STARTED FEATURES AND OPTIONS NOTE All features and options are shown enabled in this section The optional features illustrated may not have been enabled on your instrument Battery Management System The Battery Management System incorporates features which enhance battery maintenance in order to maximize the life of the battery reduce associated costs and increase instrument availability The system provides POWER __ POWER ll Agreen that lights when instrument is plugged in e An amber that flashes when instrument is operating on battery power Automatic battery power if instrument is unplugged or in the event of a power failure Alow battery alert indicating battery depletion is imminent beginning at least 30 minutes prior to a BATTERY DEPLETED alarm Maximum bat
108. stance Mode Trumpet Curve at 999 9 ml hr initial 15 10 Flow Rate Error 96 a o 10 15 0 5 10 15 20 25 30 Observation Interval min Resistance Mode Trumpet Curve at 999 9 ml hr 24 hr 15 o a Flow Rate Error a o A o A a 0 5 10 15 20 25 30 Observation Interval min Legend WB Maximum rate error Overall rate error Minimum rate error APPENDIX 111 gt a as m zZ 9 x lt Trumpet and Start Up Curves Continued High Resistance Mode High Resistance Mode Start Up at 999 9 ml hr initial ml hr 0 20 40 60 80 100 120 Time min High Resistance Mode Trumpet Curve at 999 9 ml hr initial o a a Flow Rate Error a o A o iy a 0 5 10 15 20 25 30 Observation Interval min High Resistance Mode Trumpet Curve at 999 9 ml hr 24 hr o a a Flow Rate Error i o ay o ay a 0 5 10 15 20 25 30 Observation Interval min Legend WB Maximum rate error Overall rate error Minimum rate error 112 APPENDIX MEDICAL SYSTEMS t ALARIS Y ALARIS Medical Systems Inc 10221 Wateridge Circle San Diego California 92121 U S A 800 854 7128 Mail P O Box 85335 San Diego California 92186 5335 U S A ALARIS ALARIS Medical Systems AccuSlide Dynamic Monitoring IVAC and Signature Edition are trademarks and registered trademarks of ALARIS Medical Systems Inc
109. tempted to go to another page before pressing ok A key was pressed T Panel lock feature is on A key was pressed during KVO Check administration set for probable cause kinked tubing clogged filter etc Press run to restart infusion Check administration set for probable cause kinked tubing closed stopcock high resistance catheter etc Press run to restart infusion Remove source of high pressure and repeat setting of pressure baseline Check administration set for probable cause kinked tubing closed clamp etc Press run to restart infusion Verify selection and press ok Turn panel lock off to access panel controls Panel lock key is located behind handle Channel must be on hold to make changes GETTING STARTED 35 e m a a e v 2 A x m iw Alarms Alerts and Prompts Continued MESSAGE PROBABLE CAUSE REMEDY Place on Hold to Set Pressure Baseline Prompt Press and Hold Key to Turn Off Prompt Pressure Unstable Cannot Set Baseline Prompt PRIMARY FLOW DETECTED DURING SECONDARY Alarm Pri Running Prompt Program Lost Re Enter Settings Prompt Rate Out of Range Prompt SET PRESSURE BASELINE function has been selected while running P Pressure Baseline feature is on POWER was pressed Excessive variation in pressure due to motion flow from other instruments or blood pressure prevents accurate setting of
110. termine if ECG abnormalities are caused by patient condition or the ECG equipment place the infusion device on hold If the ECG readings become normal the ECG equipment requires attention Proper setup of the ECG equipment should eliminate these artifacts Reference the appropriate ECG monitoring system documentation for instructions on setup and maintenance Contraindications None known Dropping Jarring Should an instrument be dropped or severely jarred it should be immediately taken out of service and inspected by qualified service personnel to ensure its proper function prior to reuse 16 GETTING STARTED Operational Precautions Continued Patient Precautions Continued Epidural Administration The instrument can be used for epidural administration of anesthetic and analgesic drugs This application is only appropriate when using analgesics and anesthetics labeled for continuous epidural administration and catheters intended specifically for epidural use Use only an ALARISS IVAC9 72 Series set without a Y connector or injection port for epidural infusions The instrument s secondary features must not be used when the instrument is being used for epidural administration of anesthetic and analgesic drugs Epidural administration of anesthetic drugs Use indwelling catheters specifically indicated for short term 96 hours or less anesthetic epidural drug delivery Epi
111. tery capacity as well as gauge accuracy is reached after several charge discharge recharge cycles For best results fully charge discharge and recharge the battery before putting the instrument into service Battery run time may be affected by the operating mode rate monitoring options and back pressure Battery Power Gauge The gauge indicates approximate battery run time remaining in gt E m n 2 v e Zz 72 15 minute increments under current operating conditions It is a m m located in the lower display and is always on Always check the T F remaining battery run time after starting an infusion The gauge ux am mm updates for each program change while infusing mmi NOTE The gauge accuracy is based on the last refresh cycle and is affected by the number of charge discharge recharge cycles Battery Recharge The battery recharges whenever the instrument is plugged into an AC outlet Qualified service personnel can replace the battery when charging capacity gets too low NOTE All batteries gradually lose their capacity to hold a Ie charge over time and use Ce pmpepmgg 1 2 3 4 hrs FEATURES AND OPTIONS 39 Nurse Call If your instrument is equipped with the optional nurse call feature not available with MIB configuration alarms and some aler
112. tified of empty fluid container s and or if upstream occlusions are present The Model 7132 and Model 7232 instruments replace the RS 232 communications interface with the IEEE 1073 Medical Information Bus or MIB communications interface Qualified service personnel can configure many features of the instrument to meet specialized needs The symbol is used throughout this document to indicate the programmable features See the Specifications section of this document for a list of the programmable features and the default settings Refer to the Technical Service Manual for the procedure to set selected configuration parameters INTRODUCTION 3 zZ J fe J c CO d fe z Features Simple two step loading Lightweight and portable 9 mihr KVO OPT HLD PRI SEC Rates from 0 1 to 999 9 ml hr Delivery from Easy gravity multiple prime set for contai ers hospital wide l standardization OPEN f Set based AccuSlide Flow anti free flow Regulator protection CLOSED 4 INTRODUCTION Features Co
113. tinued To Select One of Three Options Continued 2 Press Monitoring Options Monitoring Options page will appear AIB OPTIONS INA Resistance Trend Fi r 3 4 Monitoring Options 4 of Diaz fate Calculator Multi Step ol return pages b t y 3 Press Resistance High Resistance or Adjustable Pressure rel OPTIONS s donitoring Options e If pressure limit adjustment is available selection will e 2 ring errare a read Adjustable Pressure otherwise it reads Pressure i 4 Press ok Display will automatically return to normal operating page NOTE While the channel is on the selected option resistance alert and pressure alarm thresholds will remain in effect until changed by the operator After the instrument has been off for more than six hours the channel will return to the default option and thresholds which were set by a qualified service personnel WARNING Each time the instrument is turned on verify and or set the monitoring mode resistance alert and or pressure alarm limit If the monitoring mode resistance alert and or pressure alarm limit are not verified the instrument may not be operating with the desired occlusion detection parameter s 46 FEATURES AND OPTIONS Dynamic Monitoring System Continued Monitoring Options Continued
114. ts from the instrument will be relayed to the hospital s existing nurse call system No operating features of the instrument are changed The instrument will alarm with or without the nurse call installed To Activate the Nurse Call Feature RS 232 Plug nurse call cable into on instrument back panel NOTE A false remote alarm may occur if the nurse call plug is not properly inserted 2 Press channel s Power Instrument will beep briefly to signal proper operation 3 Plug nurse call cable into nurse call system 4 Operate instrument as described in this document All alarms and some alerts will activate nurse call system Following alerts will not activate nurse call system Checking Line Load Dose Complete Secondary Complete If an Alarm Occurs 1 Go to instrument 2 Use Alarms Alerts and Prompts section of this document to determine cause and appropriate corrective action ps Reset your nurse call system as required NOTE Disconnecting the nurse call cable from the wall or turning off the instrument will activate the nurse call system Disconnecting the nurse call cable from the instrument will not activate the nurse call system L 29 40 FEATURES AND OPTIONS Panel Lock The panel lock feature helps prevent unauthorized changes of any instrument settings including turning the instrument off The panel lock key 6 is located behind the handle
115. usions particularly at low flow rates Both Pressure and Flow Resistance monitoring modes feature numeric and bar graph displays of current values plus easily selectable trend graphs displaying up to twelve hours of monitored values The Pressure Mode provides 1 mmHg display resolution either manual or auto baseline setting and a user adjustable alarm limit The INTRODUCTION 1 About the Instruments Continued Resistance Mode provides two ranges and user alert limit adjustment to meet needs from neonatal to adult patients Pressure mode and resistance monitoring modes excluding High Resistance Monitoring mode include AutoRestartPlus operation to automatically continue the infusion if an occlusion is resolved during a 40 second self check time Many monitoring features and functions are configurable by qualified personnel to allow customization to meet specific needs The instruments are equipped with a unique battery display that provides the clinician continuous monitoring of battery time available indicated in 15 minute increments This information is displayed whether the instrument is turned on or not A dual rate feature allows the instruments to administer both primary and secondary solutions at separate flow rates and volumes Using this feature the clinician can select and start a program for secondary piggyback medication Upon completion of the secondary dose the instruments will automatically switch over to a pri
116. wo 2 years from the date of delivery by ALARIS Medical Systems to the original purchaser B The battery and each new accessory are free from defects in material and workmanship under normal use and service for a period of ninety 90 days from the date of delivery by ALARIS Medical Systems to the original purchaser If any product requires service during the applicable warranty period the purchaser should communicate directly with ALARIS Medical Systems headquarters San Diego CA to determine the appropriate repair facility Except as provided otherwise in this warranty repair or replacement will be carried out at ALARIS Medical Systems expense The product requiring service should be returned promptly properly packaged and postage prepaid by purchaser Loss or damage in return shipment to the repair facility shall be at purchaser s risk In no event shall ALARIS Medical Systems be liable for any incidental indirect or consequential damages in connection with the purchase or use of any ALARIS Medical Systems product This warranty shall apply solely to the original purchaser This warranty shall not apply to any subsequent owner or holder of the product Furthermore this warranty shall not apply to and ALARIS Medical Systems shall not be responsible for any loss or damage arising in connection with the purchase or use of any ALARIS Medical Systems product which has been a repaired by anyone other than an authorized ALARIS Medical System
117. y next to a unit to select it Weight or height unit selections will be displayed only if appropriate for drug selected e VAN soft key will appear 9 Press and release VAN to scroll through units available Press when correct unit is displayed ATB OPTIONS Dose in mcg kgeomin El Qn Conc in Eg e Weight in kg el menu E ok T i C Concentration mcg mg gm Un mUn or mEq Weight kg or Ib Height cm or inches 10 Press ok to approve all displayed information and advance to first setup page step 16 To calculate volumetric rate proceed to step 16 To calculate dose rate proceed to step 20 A I B OPTIONS eV Dose in mcg kgz min Ia Qa Conc in mgm e Weight in kg menu ak b FEATURES AND OPTIONS 63 m gt E m v o v e zZ 72 To Enter a New Program Continued gt To Program DRC When Drug Name is Not Listed 11 Press Drug to use generic dose calculation feature Dose units will be displayed First segment will be highlighted Press ok at any time to approve all displayed information and advance to first setup page Drug Specific Dose Rate Calculator DRC Continued ATB OPTIONS Horphine El Hi troprusside EXTEHMDED LIST A SE 4 4 4

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