BAXTER Colleague Infusion Pump Service Manual
Contents
1. Towel NES QA 1 Tudo npo u bae Shuts Pump down if outside 15 38 C Compensates occlusion reaction for changes in tube characteristics RESPOND RESTORE RENEW lox Tudo Josh ipo u bee Transmitter in fixed lower jaw Receiver in retracting upper jaw 4 5 MHz Ultrasonic signal Samples every 10 ul of the infusion Adds volume of air sensed over volume delivered RESPOND RESTORE RENEW PUMP HEAD MECHANISM Air Sensor Air in Line PCB AIL PCB Small Daughter PCB on PHM Conditions Tx and Rx analogue signals for further processing on PHM PCB RESPOND RESTORE RENEW PUMP HEAD MECHANISM Air Sensor Aur bubble Approximately setting 25 microliters of air in 0 83 mL delivered alarm 50 micraliters of airin 1 67 mL delivered thresholds OO microliters of air in 3 34 mL delivered 130 microliters of air in 3 0 mL delivered alarm sensitivity 15 a configurable option RESPOND RESTORE RENEW Accumulative Air Bubble Size Air setting to 25 microlitres a UNI Air bubble in any 830 microlitres D S Air setting to 50 microlitres TS Ti Air bubble in any 1 67 millilitres Air setting to 100 microlitres bubble in any 3 34 Air setting to 150 microlitres RESPOND RESTORE RENEW Accumulative Air Bubble Size A2. PHM Signal 24 PHM Power Opt Slit Det Gearbox Press Sens Tab must be fuly opento Shuttle Gross disengage Load Motor Position Sensor D Manual Distal Tube Proximal i Pressure i Pressure Release Sensor RRS Knob Valve Indicates sensory components that m Tubing Set Colleagu e Position are removed from contact with set Position 1 Temp 2 Temp Pump Head Module Sensor when tubing channel is opened by Sensor Sensor Sensor Simplified Overall Block the automatic tube load mechnism PHFLOWO3 ecw ALS July 01 PUMP HEAD MECHANISM RESPOND RESTORE RENEW s Tuda u boc Tuda po u boe RESPOND RESTORE RENEW PUMP HEAD MECHANISM Occlusion Sensors Temperature Sensors Air Sensors RESPOND RESTORE RENEW 2 10 16 1 Josh ipo u bae Occlusion Detection Cantilever beam strain gauge transducers Upstream and downstream transducers are Zeroed at the beginning of an infusion Three sensitivity levels for downstream occlusion Flow rate also influences downstream occlusion sensitivity RESPOND RESTORE RENEW
3. Port Power Cord e 4 Restroint Serial Number i i uzzer veni Label 4 7 IV Pole Clamp Knob Power Cord Lock Knob Wings Manual tube releose Bed End Plate Pumpheod pe Module PHM Feet RESPOND RESTORE it i Vin 5 B110589CT ial Number Format Year of Manufacture Month of 10 2000 9 1999 Manufacture 10040362CS Sequential Number See Table 1 1 Examples 8060517CS U S Colleague Pump manufactured June 1998 10025678TG German Colleague 3 Pump manufactured Feb 2000 11081234TE Spanish Colleague 3 Pump manufactured Aug 2001 RESPOND RESTORE RENEW Information line Rats Valrie Remaining 15 0 1000 Moin Display Area Prompt Line Softkey legend line RESPOND RESTORE RENEW Colleogue 1 Weight 10 7 Ibs 4 7kg Dimensions 254mm x 197mm x 187mm Voltage range 95 to 260 volts Battery back up 12V x 2 ampere hours lead acid Battery Life 7 hours to 2 5 hours dual battery 100ml hr Flowrate range Pri 0 1 1200ml hr Sec 0 1 500ml hr Volume limit up to 999 9m Shuttle technology Ultra sonic air detection 4 5MHz Settings 25 50 100 150 micro litres Cantilever beam strain gauge Upstream amp downstream occlusion Monitoring positive amp negative pressures Programmable KVO rate 0 1 5ml hr 17 5lbs 7 9kg 353mm x 197mm x 203mm os C1 os C1 3 hours to 2 hours x 3 channels
4. Occl Options Piggyback RESPOND RESTORE RENEW Alarm limit IV set base line pressure Colleogue Alarm limit IV set base line pressure T3 T4 TS T6 T7 T8 T9 TO to T2 IV set settling on sensor T2 Stort key pressed T2 to T6 pump running pressure rising T6 Occlusion alarm T6 to T7 equols 60 Seconds Pressure needs to fall 1 for the pump to stort 7 to T9 pump restarted Colleague Occlusion Pressure RESPOND RESTORE RENEW Arterial pressure approx 100mmHg Peripheral venous pressure 5 80 mmHg Veins have mono directional flow as the veins are lined with valves called cusps RESPOND RESTORE RENEW NORMAL INFUSION IV Set PRESSURE VENOUS PRESSURE Normal but slightly higher than the Normal venous pressure to overcome restriction about 1 SmmHg of catheter All pumps only generate pressure to overcome resistance to flow Therefore low resistance means low pressure To create flow IV set Therefore cannot pressure needs to be measure venous pressure greater than venous while the pump is pressure running RESPOND RESTORE RENEW IV SET KINKED Slight flow restriction partial occlusion IV Set PRESSURE 1 LINE PRESSURE 2 VENOUS PRESSURE High enough to overcome Normal but slightly higher Normol restriction of kink than venous pressure to overcome restriction of catheter Higher flow rates require h
5. Dislodgement of the distal tip of the cannula into the tissues surrounding the vein 2 Constriction of the blood flow distal to the cannula tip which increases venous pressure and allows fluid to leak from the hole in the vein made by the cannula 3 The nature of the drug administered A number of cytotoxic drugs are known to lead to extravasation therapy but other drugs which are hypertonic or that have extreme pH Clarke 1997 RESPOND RESTORE RENEW Effect on Patient Swelling around catheter entry Pain Redness around entry Tissue damage RESPOND RESTORE RENEW Selecting VIEW PERSONALITY SETTINGS allows review of the current personality feature set in the pump Options Menu Flow Check View en Settings Downstream Occlusion Values Moderate Battery Charge Level Configuration Service view Personality setings Dons Select Fermanent Settings Configuration Menu Intusion Modes and Features Infusion Limits Alerts and Alarms Label Library Setup Enabled view Modes and Features Dons Seleci RESPOND RESTORE RENEW There are three setting for Downstream Occlusion Minimum Moderate Maximum The occlusion pressure is rate dependant Options Menu Flow Check View Personality Settings Permanent Settings Downstream Occlusion Values Moderate Battery Charge Level
6. DOUBLED TUBING SEGMENTS KEYED ON OFF CLAMP RESPOND RESTORE RENEW Functional Test Occlusion Pressure Testing T Distilled Water Overflow Vent Occl Point Pressure Measuring Instrument Approx 1 Meter N B Tubing Segment Fully Primed Tubing Segment Figure 10 4 Pressure Test Setup RESPOND RESTORE RENEW Channel Raw Sensor Data Channel Raw Sensor Data Pressure Sensors Upstream 172 Downstream 20 Valve Positions Upstream 146 Downstream Slide Clamps Forward 255 Rear 255 Temperature in degrees C Temp 1 25 0 Temp 2 24 Tube Present Upstream 1 Downstream Tube Misload Sensor Air In Line Sensor Shuttle Coarse Pos Sensor a fi Emergency Open RESPOND RESTORE RENEW Distilled Water Maintain 15 psig using syringe with Luer lock 35 minimum Pressure Gauge Conn Figure 10 2 Air In Line Test RESPOND RESTORE RENEW Delay Start Service personnel only Enabled or disabled via Infusion modes Used for Primary infusions only 24 hour format Operator selects through Change Modes Sets time and Date A rate and volume have to be selected Watch and Stop sign icons Once started options RESPOND RESTORE RENEW Delay Start Channel A Primary Rate V olume Programming Modes s Change mode General Modes Primary MV olume Time Primary delay start ry y Piggy
7. Conclusion The results indicate that the pressure transducer of the IVAC 565 is accurate at measuring in line pressure However there is no conclusive evidence of predictive changes in pressure which occur prior to infiltration and the measurement of in line resistance clinically is not feasible Reference S Smith M Hall and Pairaudeau A clinical and in vitro assessment of a variable pressure pump relating to neonatal infusions ITCM January February 1991 RESPOND RESTORE RENEW e Historically the nurse has been the sole monitor of the catheter site however nurse monitoring is usually limited to periodic visual assessments of the catheter insertion site or to assessment following an infusion device alarm While nursing assessment remains the gold standard in infiltration detection appearance of the clinical signs of infiltration i e local oedema induration inability to get a flashback etc often occur too late or are not prominent enough to prevent serious patient injury Although several types of infusion devices with some form of infiltration monitoring ability have been marketed there is no scientific evidence that any of the currently marketed infusion devices that use pressure to detect infiltration are capable of predicting or detecting infiltration in any patient population Reference http www abbotthosp com prod edds CME CME 10 html 18 03 99 RESPOND RESTORE RENEW Cause of Infiltration
8. RESPOND RESTORE RENEW Colleague 7 Technicul formation RESPOND RESTORE RENEW Welcome to Colleague Technical Troining The following slides are used for technical training purposes and should be used in conjunction with the current service manual RESPOND RESTORE RENEW Welcome to Colleague Technical Training Nigel Atkinson RESPOND RESTORE RENEW At the completion of this Technical Training course you will be Able to demonstrate a working knowledge of the Colleague as described in the Service Manual Familiar with the Mechanical Electrical and Operational features Able to perform Disassembly Re assembly tasks and Repairs to sub assembly level Able to perform Testing Preventative Maintenance and Troubleshooting Routines as described in the Service Manual Us 1 my A RESPOND RESTORE RENEW Training Course Format Logistics Registration Breaks Comfort Stops Lunch Dinner Parking Introductions Course objectives At the completion of this Technical Training course you will be expected to pass with at least 80 in an open book test Learning format Show Tell See amp Do Q A FAQ s Testing Course evaluation feedback RESPOND RESTORE RENEW Agenda Doy 1 Introductions Infusion Systems Colleague Volumetric Infusion Pump Video A look Inside Colleague 1 8 3 Overview Features and Controls Powering Up the
9. With the set loaded the pump is ready for the parameters to be keyed in From the Moin Screen by pressing Vol key and using the numeric keys enter the desired volume in millilitres e g 100ml If an error is made press the CLR key on the keypad and re enter the volume Press the RATE key and enter the desired rate e g 125ml hr Open the roller clamp on the set and press the green START key The infusion will commence The Stop sign will change to a drip icon The green running LED will illuminate Drips will appear in the drip chamber The Time Remaining and Volume to be Infused will count down The rate that the pump is running at will appear in the PHM display Fluid will be delivered to the potient Sen Wy ee i OCT 4 iw 3 RESPOND RESTORE RENEW i T lusi With the pump running pinch the tubing downstream of the pump The pump will stop and Downstream Occlusion will be displayed together with an audible alarm The RED LED on the PHM will illuminate Release the tubing and the pump will re start automatically i T With the pump running pinch the tubing above the pump The pump will stop and Upstream Occlusion will be displayed together with an audible alarm Release the tubing and the pump this time WILL NOT restort You must press the primary or rate key and start key to restart the pump 1estTina tne Alar RESPOND RESTORE RENEW _ 2 A
10. Contiguration Service hange Occlusion values Select Dons Options Menu Downstream Occlusion Values psig values Range In mLihr 21 21 200 5200 6 s ii mmm 15 Maximum we then Press Select No psig Changs mmHg Select RESPOND RESTORE RENEW The charge of the battery can be viewed from the Options screen by selection of the Battery Charge Level Battery Charge Level lala All 10 boxes filled in means the battery is fully charged 1 RESPOND RESTORE RENEW gt Sa Once selected you can view the software version in the pump To configure a Personality or use the Service Features a PASSCODE must be entered The passcode is not known by all users It is 8151 in both single and triple devices D 7 7 Options Menu Flaw Check View Personality Eerrings Permanent Settings Downstream Occlusion Values Moderate We will look at the Configuration Service Battery Charge Level Screens later Pressing the DONE key will return you to the MAIN screen The Manual Tube Release The manual tube release is not for use under normal circumstances It is for emergency use only That is if the pump is connected to a patient and total power failure occurs on the device it is not possible to unload the set from the pump The manual tube release allows the
11. Eight users definable Personalities which can be created in the pump Once set into a pump the Personality Set can be transferred to other devices The configuration defines the criteria for Infusion Modes amp Features Channel Display selection Piggyback enable disable Infusion limits amp alarms Label Library Prime enable disable RESTORE RENEW Infusion Modes amp Features Rate Volume Volume Time Dose Mode Dose Patient Weight Channel Disploy selection Rote Volume Infused Time Remaining Lobel Fermanent Settings Configuration Menu Piggyback enable disable Infusion Limits Alerts and Alarms Allows the delivery of primary and secondary Label Library Setup Enabled medication Infusion limits amp alarms Allows limits to be tailored hence reducing the risk to the patient Label Library 64 defined labels 32 user definable labels view Modes and Features ALWAYS START WITH THE CUSTOM LABEL LIST Prime enable disable Dons Select A A A A To create a Pump Personality you must first name it and then go through the above settings Create YOUR New Purnp Personality RESPOND RESTORE RENEW Transferring Personality from one device to another In the Configuration Service menu select Device Configuration Transfer Connect the two pumps using the configuration transfer cable Press Send on the Source Pump th
12. Routine Maintenance Chapter 6 3 Cleaning Exterior Tubing Channel Refer to Manual chopter 7 addendum for tested cleaning materials Chapter 6 4 Battery Maintenance Chapter 6 8 Storage Refer to new service bulletins RESPOND RESTORE RENEW Service Bulletins Colleague On Off Key cover Preventative Maintenance Keypad Insulator Battery Connector Harness Technical Service Bulletins will be sent to all the Boxter approved Colleague Service Centers RESPOND RESTORE RENEW Troubleshooting Operational Context Methods Alerts Alarms Failure messages displays Symptoms Event History Reset able Failure Codes Failure with no Keypad Response Note Always Troubleshoot with a fully charged battery RESPOND RESTORE RENEW 37 Troubleshooting cont Code ranges 0 196 Internal Software 198 Memory chip incompatibility 199 Memory battery 200 to 399 hardware diagnostic UIM or soft 400 499 Slave related reported by master Software 500 699 Slave related reported by slave Software 700 799 Communication problems with PHM 800 899 PHM failures reported by PHM RESPOND RESTORE RENEW cr og NM mU OF 4 2 gt P B 2 Removal and Replacement Refer to Chapter 8 of the service manual Tools 8 2 Torque 8 4 Post Repair Testing and Inspection 8 7 If any calibration is required refer to Chopte
13. Status Channel Raw Sensor Post Processed Data Channel Calibration 5 Load a fluid filled tubing segment into the pump and wait for the pump to display STOPPED Immediately observe and record the lowest Air in Line sensor value Verify that the value is gt 187 and lt 243 Select Channel Raw Sensor Data 3 Load an air filled tubing segment into the pump and wait for the display to show STOPPED Record the highest Air in Line sensor value on the data sheet It should be 128 Power pump OFF t Configuration Service Menu Device Configuration Transfer Time and Date Power pump OFF to exit amp save changes Service Features From this screen you can view Device Service Data Battery and Pump History Keypad Test Channel Service Data Voltage Sensor Data Channel Status Post Processed Data Channel Calibration Constants Power pump OFF to exit Channel Raw Sensor Data Pressure Sensors Upstream 79 Downstream 45 Valve Positions Upstream 184 Downstream 187 Slide Clamps ZOO Temperature in degrees C Temp 1 31 1 Temp 2 30 3 Tube Present Upstream 0 Downstream 0 Tube Misload Sensor 200 Air in Line Sensor 98 Shuttle Coarse Pos Sensor 176 Press Done to Exit Done Emergency Open 15015 sues CAS CLAU Colleogue does not automatically set Doy Light Savings Time Date and Time do not transfer over Routine mainte Chapter 6 1
14. 10 05 SOFTKEY 1 press 03 03 10 05 Bottom Event 15 03 03 98 10 05 53 Use Soft Keys to Scroll Most Recent Done Page Down Configuration Service Menu Personality Configuration Device Transfer Power pump OFF to exit amp save changes Service Features From this screen you can view Device Service Data Channel Service Data Voltage Sensor Data Channel Status Channel Raw Sensor Data Past Processed Data Channel Calibration Constants renee pump OFF to zu BATTERY VOLTAGE HIGH RANGE This is the voltage that induces Battery Low alerts and alarms FULL CHARGE A Battery Current Low Range of less than 0 025 amps indicates that the battery is fully charged Battery and Pump History y charg All time in Hours Minutes Amp Hours Left 1459 Battery Voltage High Range 13 768 Battery Current Low Range 0 021 Time On Battery 1 04 Time Device Powered On 108 47 Time Pumping 97 28 Time Pumping On Battery 0 14 of Charge Discharge 3 Discharges Alrm Thrshld 1 Battery Installed 010797 23 02 TIME ON BATTERY POWER The amount of time that the battery has powered the pump is indicated in hours minutes BATTERY CYCLING Replace the battery if the number of charge discharge cycles is greater than 100 TY Full Press Done to Exit Cal Cal New High Low Ballery POTENTIAL DAMAGE Perfor
15. 100ml hr 05 05 05 05 05 05 05 RESPOND RESTORE RENEW C1 amp C3 combined Global Service Manual Pt No 0719H2646 Organization Chapter 1 Introduction General Safety Advice Chapter 2 Description amp Technical Specification Chapter 3 Preparation for Use Chapter 4 Accessories Chapter 5 Configuration amp Service Features Chapter 6 Routine Maintenance Chapter 7 Troubleshooting Chapter 8 Removal Replacement Procedures Chapter 9 Calibration Chapter 10 Operational Checkout Chapter 11 Illustrated Parts Breakdown Chapter 12 Theory of Operation Chapter 13 Diagrams RESPOND RESTORE RENEW Colleague Alarms amp Alerts An alarm con be reported to the user while the pump is in the ON stote whether in stopped or running mode During stop mode it will usually report an internal device error During running mode an alarm will report a device internal error or a Situation which requires user intervention Alarms STOP the infusion to the patient An alert will inform the user that attention is required such os in stopped mode low battery infusion complete amp pump in KVO mode Some alerts such as low battery if not attended to may become alarms The Colleogue pump monitors for safe administration of solutions to the potient It has self loading mechanism which makes it simpler for the set to be loaded into the device It automatically unlocks and locks the b
16. E 0 1a FILL EHO 1st FILL 2nd DELIVERY PROE FAAL tr VALVE E 13 eey SHOTTLE F END 2nd DELIVERY 2nd FILL END 2ncdFILL BHLITTLE RESPOND RESTORE RENEW Colleague Technical Information Shuttle Technology Benefits Maintain accurate delivery over 72 Hrs Micro Mocro Flow Rates 0 1ml Hr 1200ml Hr Uses inexpensive pump compatible gravity giving sets RESPOND RESTORE RENEW The Pump Head Module PHM Pump Module The Pump Module is located below the Main Body TUBING CHANNEL PUMP MODULE DISPLAY SLOT FOR KEYED ON OFF CLAMP STATUS LEDS OPEN KEY STOP KEY Select N Channel le Processor EEPROM MC68HC11 Safety Valve Override Emergency Open LEGEND AIL Brd S dL e Shuttle em Motor Motor Pwr Hue Position Manual Encoder Tube H Bridge Release Drive DS U P Flex Switch ee 5 Shuttle Motor Shuttle Temperature Keypad Coax Motor Sensor Y Ind A wem H Bridge Load Shuttle Index Drive Motor Position Sensor Gearbox Sec Devices
17. RE RENEW Check Software Revision Enter the Posscode A Channel Stopped Passcode Entry Configuration Service Passcode Entry Passcode e 8151 Software Versions Master 4 00 02 1 C3 Peripheral 100 01 01 or and Channel 100 01 03 Channel B 100 01 035 Channel C 100 01 03 It is recommended not release this code for SUBE UU ral circulation in ne the interests of device A programming integrity confiquration serelce Menu MM Traun P rer pinap OPP B ree chareqesj RESPOND Set Time and Date Service Features Personality Configuration Fenn thus enum pou Personality List Device Data Battery ond Pump History Choose Power On Default Par sored lea Feature Set Kay pad Test Ente Personal bye Feature Channa Data Change view re nama Personali Faalure Voltage Bansor Data Copy a named Personals Foalure Set Cnannel Status Hame amp a new Personal bye Feature Sal Channel Aaw Exrisor Data Posi D gia 1 Channa Calbralon Constants Crake How Personals Name Configuration Menu SOS you cuu Korb giu Infusion Modes and Features Infusion Limits Marts ari Arms Label Library Egiup Poser pamp CFT kc exili Label Librarg Setup FERME His Label Libr
18. The Rate of delivery In the simplest form these given in Millilitres ml and Millilitres per hour ml hr but may be prescribed and programmed differently into the pump The volume and rate are keyed into the pump and the pump is started Under normal circumstances the infusion will start and run for the duration of the infusion For example Volume 1000ml Rate 125ml hr The infusion will run for 8 hours MOVTE RESPOND RESTORE RENEW Colleague Movie RESPOND RESTORE RENEW DIN 10 Movie Quiz What kind of sets are used in the Colleague infusion Pump What is the core technology in the Colleague What is the basis of the Shuttle How many parts are 1ml of fluid resolved into What is unique about the loading of the administration set What safety feature exists on all Colleague admin sets How many displays are there on Colleague What are they What is the purpose of Pump Personalities How many events are recorded in Event History RESPOND RESTORE RENEW 1 g gt e x N 10 What kind of sets are used in the Colleague infusion Pump What is the core technology in the Colleague What is the basis of the Shuttle How many parts are Iml of fluid resolved into What is unique about the loading of the administration set What safety feature exists on all Colleague admin Sets How rnany displays are there on Colleague What are they What is the pur
19. arm Typical Time to Maximum Time to Rate Occlusion Alarm Typical Bolus Maximum Bolus Pressure Setting Alarm Activation Alarm Activation Pressure Setting Volume Volume Minimum 103 mmHg 4 min 6 sec 7 min 59 sec Minimum 103 mmHg 0 057ml 0 16ml 1 ml h Moderate 252 mmHg 7 min 24 sec 13 min 44 sec 1 ml h Moderate 252 mmHg 0 110ml 0 20ml Maximum 465 mmHg 13 min 48 26 min 58 sec Maximum 465 mmHg 0 177ml 0 26ml Minimum 206 mmHg 0 min 17 sec 0 min 27 sec Minimum 206 mmHg 0 079 0 20 25 Moderate 413 mmHg 0 min 32 sec 0 min 52 sec 25 ml h Moderate 413 mmHg 0 178ml 0 55ml Maximum 620 mmHg 0 min 47 sec 1 min 12 sec Maximum 620 mmHg 0 245ml 0 72ml RESPONDE EX 9 Colleague Time to Occlusion 15 MIN o MOD 3 10 MAX E 5 E 0 1 2 5 5 7 5 10 25 Flowrate RESPOND RESTORE RENEW Settings System Pressure Approximate in line resistance to flow mm Hg Flow Rate 21 200ml hr Minimum 25 75 103 Moderate 64 128 O 192 258 O Maximum 106 212 H 318 H 465 H Settings System Pressure Approximate in line resistance to flow mm Hg Minimum 52 103 155 207 Moderate 103 206 309 414 u 155 H 310 H 465 H 620 H Flow Rate 200ml hr amp above Settings Minimum Moderate Maximum System Pressure Approximate in line resistance to flow mm Hg Strain Beam Techno
20. ary sabis Individual Labels User Defined Label uso MOTE Each of tha pumps Personally Settings can be configured Indopandoniy of the others Ealings can be copied from ona Personal ye Fadiure Gal tn Infusion Limits Alerts and Alarms Form Hs et Rate Limit Velum bo be Infusad KWO Rala AlrBubbk Setting z5uL Bl uL 1 D uL 15D uL Downstream Occlusion values Minimum Wicker ke Mix iri am Occlusion Override sabla Aula citer dowmsiraam occlusion count back Callback satia AI Off Inkerwal Alarm CHmIntereai Aula Lock Infusion Modes and Features Finem Eris som jou eun Enabled inis kon wolums Time Dom muks urabiari sabia Dose Formulas T the Foll min lisi app mgr enabled isabl a meg Pr uniis tr emab ad la an megk gmin arabiad sabia meg nmr enabladisabl a Channel Display Piggyback Mode on abisi sabis Prime arabiad satia Flow Chock Display onablald sahla RESPOND RESTORE RENEW IA AI 1 ta att E gt B 2 a benefits of Pump Personalities is discussed in the movie allow the pump to be configured to match care areas within the Mn Send There is one Permanent Settings Personality
21. back Rate Volume Piggyback Volume Time Select Dose Modes General mg min mcg hr Mo Channe Delay start cont Set or verify correct time in 24hr format Volume history will be cleared Soft key set Press done Set Time and Date Month January Day 30 Year 2003 Dane increase Decrease Delay start cont Programmed delayed start Stop sign icon Start time 16 30 Current time 14 12 Press Start to confirm Primary Delay Start mL hr mL 11 15 24 hour format Antibiotic urrent Time Change Label Delay Start cont Awaiting start Press start a second time Time mL hr Remaining 3 START AT 12 00 Standby Standby RESPOND RESTORE RENEW Guardian Installation Refer to Installation Guide Error code 198 after replacing software at next Power On Verification after installation of the Guardian software Global Guardian Software Version 5 04 Authorized personnel configure limits Authorized personnel enoble or disable labels independently for each personality Can be overridden if error found or therapy dictates Available for Primary infusion only Mortar and Pestle icon Guordian Cont Rate Volume mL hr Remaining A 12 0 10 0 Abciximab 12 0mg hr Guardian running eee Standby Mortar amp Pestle Guardian con
22. ck overinfused Valve or under infused RESPOND RESTORE RENEW Primary Piggyback secondary What s wrong with this picture What will happen RESPOND RESTORE RENEW This is the End of the Technical In ha cui 79 N 4 plete your f Y 5 V 7 Conplete a purse feedback Questionnaire formation RESPOND RESTORE RENEW
23. e device with the personalities to be transferred and Receive on the Target Pump Press Confirm on both pumps and Transfer will commence It will count from O 100 as the transfer runs All Personalities existing in the Target pump will be over written Device Configuration Transfer 1 Connect cable to source and target device 2 Press receive on the target device 3 Press send on the source device 4 Wait for transfer to complete Source Target Press Done to Exit Send Done Receive RESPOND RESTORE RENEW Colleogue contains an event recorder which records detoils of infusions the pumps actions all key strokes infusion alarms and alerts and internal alarms This is helpful in identifying Situations which lead to difficulty for the user 1000 events are recorded Each event is date amp time stamped Events cannot be erased from memory Event History Detailed Top Event 1 03 02 98 14 03 38 SOFTKEY 4 press 03 02 14 03 ARROW DOWN press 03 02 14 03 ARROW DOWN press 03 02 14 03 SOFTKEY 4 press 03 02 14 03 SOFTKEY 4 press 03 02 14 03 Battery charging stop 03 02 14 03 Battery charging start 03 02 14 04 OFF press 03 02 16 47 Channel module power off 03 02 16 47 Base unit power off 03 02 16 47 Five Hour Memory AutoClear 03 03 10 05 Base unit power on 03 03 10 05 Personality Selected 1 03 03 10 05 A Channel module power on 03 03
24. eam 45 Valve Positions Upstream 184 Downstream 187 Slide Clamps Forward 255 Rear 255 Temperature in degrees C Device Configuration Transfer 1 31 1 2 30 3 Tube Present Upstream 0 Downstream 0 Tube Misload Sensor Power pump OFF to exit amp save changes Air in Line Sensor Shuttle Coarse Pos Sensor Time and Date Service Features From this screen you can view Device Service Data Press Done to Exit Battery and Pump History Done Emergency Keypad Test Channel Service Data Voltage Sensor Data Channel Status Channel Raw Sensor Data ost Processed Data Channel Calibration Constants Power pump OFF to exit Service Features Configuration Service Menu Chan Raw Bansor Data Pressure Sensors Upstream 79 Downstream 45 Valve Positions Upstream 184 Downstream 187 Slide Clamps Forward 255 Rear 255 Temperature in degrees C Temp 1 31 1 Temp 2 30 3 Tube Present Upstream 0 Downstream 0 Tube Misload Sensor 00 Air in Line Sensor C gt Shuttle Coarse Pos Sensor Personality Configuration Event History Service Features Device Configuration Transfer Time and Date Power pump OFF to exit amp save changes Access the Service Features screen From this screen you can Device Service Data Battery and Pump His Keypad Test Channel Service Data Voltage Sensor Data Channel
25. ff charge Key cover 07 27 01 671 Prevents an operator from turning on or of f the pump inadvertently Revised Battery Connector Horness miana 42 Preventive Maintenance Document 17 32 11 050 Sets the standards to accomplish an Post repair functional test and verification Technical Data Sheet to document and record test Data for the post Repair procedure miana Z 42 Preventive Maintenance Document 07 27 49 378 Standard Operating Procedures recent recall Action Provides a Technical Data Sheet to document Upgrade events and Functional Testing E AN NN RESPOND RESTORE RENEW Voltage Sensor Data Nurses Call Miniature 9 Pin D 12345 Molded Male Conn 6789 and Un Shilded Cable w o Locking Screws Pin side view GRN or BLU NES Shift RED probe RED or RED 11 o o BLK or WHT Connect Black probe and leave connected Nurse Call Relay Test Cable Jig RESPOND RESTORE RENEW Functional Test AIL Pressure Test Distilled Water Maintain 15 psig using syringe with Luer lock 35 minimum Pressure Gauge Figure 10 2 Air In Line Test RESPOND RESTORE RENEW Functional Test Tube Mis load Test INSERT BOTH THICKNESSES OF TUBING INTO CHANNEL
26. gain with the pump running press the rate key followed by 500 on the numeric keypad The pump will alert with the message New Rate The delivery rate will not change until the start key is pressed With the pump running at the new rote invert the drip chamber so air is pumped down the giving set When an oir bubble approximately 25mm in length is visible in the set below the drip chamber return the drip chamber to its normol position Allow the pump to run until an Air Detected alarm occurs Press the Alarm Silence key and the audible alarm will be muted for two minutes RESPOND RESTORE RENEW Dealing with an Air Alarm The screen will display DO YOU WANT TO ADVANCE THE AIR TO VIEW THE AIR BUBBLE Press the YES key up arrow soft key Press and hold the Advance Air soft key The pump will run at the programmed rate and the air bubble will travel along the tubing exiting the pump channel This allows the user to view the air bubble size and make a clinical decision regarding the air alarm The advance air key will allow no more than 400ul microlitres to be advanced Once the air bubble has finished advancing the pump will display FLUID where it had previously displayed oir The pump will be ready to start This time the start key need only be pressed to resume the infusion RESPOND RESTORE RENEW The ALERT is a single tone then a long space repeatedly The moin alerts on the device are 2 minu
27. ible signals Colleague Infusion Pump All Sore ens 2000 Baxter Healthearz power status icons Mains or battery The battery status The user can view the charge on the battery and if powered via battery ensure no low battery alert or flat battery alarms The visual messages The main display look for any error messages Fersnal The chonnel display channel status LED s RED AMBER GREEN The audible tones Three tones in total Two from back up speaker one from main speaker Pump Personality MONITOR icon COMPUTER CONTROL icon Battery icon RESPOND RESTORE RENEW At the end of the self test if no alerts or alarms hove occurred the pump is reody to use To lood the set simply press the channel open button The channel will open This will take approximately 3 seconds While the channel is open an arrow will indicate direction of flow to the patient Using a primed administration set with the blue safety slide clamp in the closed position introduce the tubing and slide clamp into the channel Load it straight into the tubing channel Hold the tubing firmly but not tightly to the rear of the channel The channel will close automatically Again this process will take about 3 seconds and a message LOADING with be displayed If a tube misload occurs remove the tubing and try again Keying in the Infusion Paramete
28. igher pressures fo overcome resistance to flow When resistence to flow partial Downstream of the partial occlusion occurs the pumping action occlusion pressure in the IV set creates pressure to push fluid past is as before just enough to the restriction The pump will not overcome the Catheter alarm unless pressure in the IV set exceeds a pre set limit RESPOND RESTORE RENEW IV SET BLOCKED Total occlusion IV Set PRESSURE 1 IV Set PRESSURE 2 VENOUS PRESSURE High and rising Normal Normal Will eventually cause alarm High resistance to flow occlusion Downstream of the occlusion causes an occlusion alarm pumping IV set pressure venous pressure exceeds preset limit pressure no flow to patient upstream of the occlusion miana Im How Does the Colleague pressure system work The Colleague Downstream occlusion pressure sensor is a mechanical beam that flexes when the tube shape changes The flex of the beam is measure by a strain beam this generates a signal that the microprocessors convert into a pressure When pressure is applied to the tube the tube expands the amount of raap is proportional to the pressure in the line This is demonstrated in igure 1 When the IV set is loaded into the ume head the sensor is pushed bock this a peak the signal output Figure 2 1 The sensor then settles to the IV set The moment the user presses the star
29. ir setting to 25 microlitres LL AIR ALEARM Air bubble in any 830 microlitres RESPOND RESTORE RENEW RESPOND RESTORE RENEW E QV ou sS gt os S os RI N S XY E mH e 4 4 p Jois p NO TT 2 Tudo Josh ipo ubge Tuda Lob 1000092 Upstream and Downstream Tube Sensing Levers Tube Looding Levers Failure Codes related to Prism 803 07 865 XX 896 01 pad 4 Nn oc o A RESPOND RESTORE RENEW The Colleague Pump sections Main Body User Interface I Module UIM l Pump Head J Module PHM RESPOND RESTORE RENEW The Triple Channel Colleague ue User Interface Module UIM Pump Head Module PHM Channel A NEE ale PHM Channel B Te gt Pump Head Module PHM Channel C Device Description Front face Fixed function keys Scrollbar softkeys Numeric keys Rote Volume amp Graphic Display Start keys Status indicator Vacuum Florescent On off display key Stop Open keys Keyed safety side clamp PHM LEDS Tubing channel Device Description Rear Handle Controst Control Speaker Vent Volume Control y Panel Lock Key Mains Fuses ps
30. logy Compensated for Temperature Colleague 1 and 3 pressure systems are identical IV Set No pressure Figure 1 IV Set with line pressure e 0 to T2 IV set settling on sensor Fi u re 2 e 2 Start key pressed e T2to T6 pump running pressure rising T6 Occlusion alarm T6to T7 equals 60 Seconds pressure needs to fall 50 for the pump to start In this case the pump will not start because the pressure has not fallen to 50 of the alarm limit In this example that equals 4 The pump will stop and allow No Start the user to press start The pump will restart if the pressure has fallen by 1 If you select the next occlusion alarm limit the pump will restart see figure 4 Alarm limit IV set base line pressure Colleague Alarm limit 50 IV set base line pressure TO T1 T2 T3 T4 T5 T6 T7 gt Represents Triangles on Colleague flow check display 9 67 TO to T2 IV set settling on sensor e T2 Start key pressed e T2to T6 pump running pressure rising Alarm limit IV set base line pressure Colleague Alarm limit 6 Occlusion alarm e T6 to T7 equals 60 Seconds Pressure IV set base line pressure needs to fall 50 for the pump to start T7to T9 pump restarted TO T1 T2 T3 T4 T5 T6 T7 T8 T9 Figure 3 RESPOND RESTORE RENEW NOT i hd Parallel Infusions are the practice of using a multi port device
31. lue anti free flow slide clamp when the set is loaded and unloaded During the infusion the pump monitors for blockoges upstream and downstream of the pump occlusions During the infusion the pump monitors for air being delivered to the patient At the end of an infusion the pump will deliver at a pre programmed KVO Keep Open rate to the patient If attention is required before or during the infusion the user will be notified by an Alert or Alarm from the pump Alerts and Alarms are both visual and audible A secondary audible back up alarms exists should the main audio circuit foil RESPOND RESTORE RENEW Switching on the Colleague Controls and Operating the Colleague RESPOND RESTORE RENEW Switching on the Colleague self test process checks internal systems When Test Passes device prepares itself for user input Opening the channel Loading the set Inputting infusion information Starting the infusion The self test is important as the device reports any Errors encountered during Self Test Allows the user the opportunity to check the audible alert and alarm tones the displays and the chorge status of the battery Self Test often ignored by users detected during this phase must be addressed to prevent any complications ater RESPOND RESTORE RENEW When the device is turned on as well os the internal checks the user should be aware of the visual and aud
32. luids Soline solution together with added drugs such os antibiotics Nutritional products Solution may be either from a fluid bag bottle or a syringe or similar container A line connecting the container to the patient often described as a giving set or administration set Sets in different forms with different elements as part of the set such as Speciol particle filters Injection ports Burette containers A needle or needless system to make the connection to the patients vein or entry site A pump to control the flow of the solution to the patient over time RESPOND RESTORE RENEW The Administration Set The basic administration set used in the Colleague Pump is the standard PVC set incorporating A spike to open the container A drip chamber with filter to view the drips A blue safety slide clamp a secondary patient safety device A roller clamp for controlling the flow when running on gravity An injection port for admin of drugs A Luer lock connection for connection to a venflon needle The blue safety clamp closes automatically when the set is removed from the pump This clamp is unique to Baxter devices and must be in place before the device will operate It is keyed so it will only insert in the correct direction RESPOND RESTORE RENEW Infusion Parameters The key parameters for an infusion The Volume of solution to be delivered to the patient
33. m the Battery Test if the battery has had one or more discharges below the alarm threshold onfiguration Service Menu Service Features Power pump OFF to exit amp save changes Service Features From this screen you can view Device Service Data Battery and Pump History Keypad Test Channel Service Data annel Status Channel Raw Sensor Data Past Processed Data Channel Calibration Constants Power pump OFF to exit C eatures V Voltage Sensor Data Channel Supply Voltage 12 224 Vkey Voltage 5 038 Vmas Voltage 5 001 Lithium Battery Voltage 7 449 Vslv Voltage 5 052 Coarse Voltage 12 087 Vaudio Voltage 3 665 Press Done to Exit Done Test Tone Buzzer Nurse On On Call On onfiguration Service Menu Service Features Power pump OFF to exit 8 save changes Service Feature From this screen you can view Device Service Data Battery and Pump History Keypad Test Channel Service Data Channel Status Channel Raw Sensor Data Past Processed Data Channel Calibration Constants C Service F Voltage Sensor Data Channel Supply Voltage 12 224 Vkey Voltage 5 038 Vmas Voltage 5 001 Lithium Battery Voltage 7 449 Vslv Voltage 5 052 Coarse Voltage 12 087 Vaudio Voltage 3 665 Channel Supply Configuration Service Menu Chan Raw Bansor Data Pressure Sensors Upstream 79 Downstr
34. nother It is primarily designed os an Moins Powered device and should be connected to mains power at all times whether in use or not The design is such that no damoge will occur to the battery if kept plugged in to moins all the time A fully charged new battery will last up to 7 hours but a battery perhaps up to a year old may run for 2 hours This is because batteries is a semi consumoble part of the Device and will wear with normal usage Therefore it makes good sense to keep the battery in charged state RESPOND RESTORE RENEW The Lithium battery provides back up for the volatile memory with the device While the main battery powers the infusion the Lithium battery mointains the memory in the device such as Pump Personolities and Event History It is a dual Lithium pack consisting of 2 x 3 6 volt cells Typically the life of the Lithium is 4 to 5 yeors however under certain circumstances this can be compromised RESPOND RESTORE RENEW Te NT ut Mt From the MAIN SCREEN select Option softkey 1 and select Configuration Service We will now review these option GENERAL FLODA Options Menu Rate Volume mL hr Remaining 125 498 Flaw Check View Personality Permanent Sektings Time Downstream Gcclusion Values Remaining 3 59 hr min Moderate Battery Charge Level Sonfiguration Service Press Primary ar Piggy tack RESPOND RESTO
35. pose of Pump Personalities How many events are recorded in Event History 2422 10 Standard grovity set The Shuttle Two V blocks 3 414 parts It is automatic The blue ON OFF safety clamp Two Large graphic amp Vacuum fluorescent Means of customizing the pump Up to 1000 events PUMP HEAD MECHANISM Why the Shuttle Rotary amp Linear Peristaltic Mechanisms 22 Administration set Fingers move Rotor turns allowing sequentially each roller to push massaging the the fluid along the tubing tubing Fluid flow Rotary Mechanism Linear Mechanism Colleague Shuttle Acti RESPOND RESTORE RENEW The Shuttle Mechanism RESPOND RESTORE RENEW The Shuttle Mechanism RESPOND RESTORE RENEW The Shuttle Mechanism RESPOND RESTORE RENEW The Shuttle Mechanism RESPOND RESTORE RENEW The Shuttle Mechanism RESPOND RESTORE RENEW The Shuttle Mechanism RESPOND RESTORE RENEW The Shuttle Mechanism A STOP The Shuttle Mechanism Inlet Valve Outlet Valve Two V Blocks lx fixed x moving The Shuttle Mechanism Inlet Valve Outlet Valve Two V Blocks lx fixed 1x moving The Shuttle Mechanism Inlet Valve Outlet Valve Two V Blocks lx fixed 1x moving START 1st DELIVERY EHO 15T DELIVERY am M vALY VALVE MAN E cidem SHUTTL
36. pump Pump Operation The Menu Tree Pump Personalities Pump History The Shuttle Mechanism Overview Practical Session Dismantle and review PHM Troubleshooting a failure Free discussion FAQ s RESPOND RESTORE RENEW Agenda Doy 2 _ bay 1 review Personalities Personality data transfer Event History Download Colleague Upgrades Battery harness Keypad Harness Insulator Power Supply PHM Resin Joints Pump strip down PHM UTIM PSU Re build test amp calibration Configuration and Service Screens Preventive Maintenance Repair Test 4 Inspection Keypad Insulator Installation Calibration Review of Day 2 Course test RESPOND RESTORE RENEW Welcome to Colleague Technical Training Introductions RESPOND RESTORE RENEW Australian Product Support eCall 1800 063 093 Spare parts Marco Noelene RESPOND RESTORE RENEW Device Description Baxter Colleague Volumetric Infusion pump is designed to accurately control and monitor the flow of solutions to the patient The device is rated for high risk amp neonatal use at for General Drug Administration Epidural Procedures Blood Transfusions Chemotherapy TPN Total Parenteral Nutrition RESPOND RESTORE RENEW An Infusion System An infusion system is usually made up of A solution required to be delivered to a patient Saline solution to balance patients f
37. r 9 RESPOND RESTORE RENEW Removal and replacement of Alternate UIM LCD 8 16 LCD longer Controst Harness required Critical Issues when upgrading Wire routing Display placement ge PU m AN Ap rt AC Cord Retainer 8 30 part of power cord replocement Slotted bottom Hole to allow easier removal of AC power cord Must use screw part number 4009330115 for lower screw CONDOR PSU gt AS For Single ahd triple A NF Condor PSU in later C1 and all 5 Aztec PSU in early C1 s Power Supply cont Aztec PSU is Obsolete When upgrading from Aztec PSU the Shield will also requiring Changing Y ut PSU Shield Single PSU Shield F069120526 AR i 4 P Pump Modules 8 60 Shuttle motor 8 69 Tube loading motor inspection and tightening to investigate 803 02 803 03 and 803 09 8 78 AIL 8 89 Slide clamp prisms 8 94 to oe 03 07 865 01 865 19 or RESPOND RESTORE RENEW Shuttle Gear Box Workshop Replacement Only Cleaning Testing Requirements Baxter Approved Service Center 2 710733590 e RESPOND RESTORE RENEW Colleague Pump Assembly Drawings Colleague Pump Assembly Drawings RESPOND RESTORE RENEW Syringe Holder Syringe Set On O
38. so that more that one infusion can enter the patient through a single line The infusions can be a combination of gravity syringe pump and volumetric pump In addition it may also include a bolus delivered manually by a syringe In order for all the infusions to correctly operate the background pressure will rise in order for flow to take place If another infusion or manually delivered bolus is introduced after a period of time this may cause some infusion products to alarm Occlusion 1 2 XU Parallel Infusion gg es RESPOND RESTORE RENEW Slow time to Alarm Fast time to Alarm Flowrate 60ml h Flowrate 60ml h Time to alarm for Time to alarm for occlusion 10 minutes occlusion 5 minutes Fluid volume not Fluid volume not delivered during 10 delivered during 5 minutes equals 10ml minutes equals 5ml Accuracy error 16 Accuracy error 8 pump error pump error Always remember the clinically accuracy of a volumetric infusion pump improves with faster alarm response times Monitoring of in line pressure is not useful for predicting or detecting infiltration of peripheral catheter sites in infants The method lacks sensitivity is too specific and has poor predictive and detective ability Reference Phelps S J Inability of inline pressure monitoring to predict or detect infiltration of peripheral intravenous catheters in infants Clinical Pharmacy 1990 RESPOND RESTORE RENEW
39. t Drug selected and programmed in the service screens by authorized personnel Configuration Service Menu Configure Colleague Guardian Configure Colleague Guardian Abciximab Dose Mode mg hr Drug Amount 10 00 Diluent Volume 10 0 Concentration 1 0000 mg hr Dose Dose Limits 25 000 ge to Change Charige Mare Gnontirr Guardian cont c Channel A Primary mg hr D Drug Amount 10 00 mg Operator ose 10000 fL Programming EU Volume 9 3 Change mode Change med Units Label Abciximab Change Change Made Mer RESPOND RESTORE RENEW Guardian limit warning Channel A Primary mg hr Limits Accept Warning Dose 1000 High ma hr Limits 1 000 25 000 Can be overridden Accept Dose to Override Guardian cont mL hr Remaining An infusion that NC NN Abciximab has been 152244 overridden Limits ore in _ yellow highlight Volume Remaininr Baxter IV Systems Continuum of Care Collegue and Gu of r nal Inc Baxter Internatio In RESPOND RESTORE RENEW Piggyback secondary 3 Things to Remember Primary which bag is hung higher is infused first has a check valve RESPOND RESTORE RENEW Primary Piggyback What s missing What will happen RESPOND RESTORE RENEW Piggyback secondary Primary The pump will appear to have No Che
40. t button the Pump takes 4 pressure These 4 readings are averaged to set the bose line pressure Figure What is the base line pressure Figure 2 blue line The bose line pressure is the pressure created in the IV set by the surrounding infusion conditions The pump treats this base line as he pump will then alarm at the alarm threshold above the line I e Flowrate 10ml h pressure set at minimum alarms at 103mmHg above IV set base line e Colle k Why is it important that the roller clamp is open BEFORE pressing the start button The roller clamp needs to be open before start is pressed so the pump uses the true system pressure to set the bose line The true System pressure can include pressures generated by the following Sources Multi way stopcocks Micro bore tubing Vein pressure Other infusion products dis Mns infusion as an occlusion occurs the triangles on the flow check will turn block this can be seen in Figure 2 When all 5 triangles are black the pump alarms Occlusion What happens next depends on whether the auto restart option is configured and the reoson for the occlusion alarm Occlusion Pressure gt Clinical Importance of Occlusion pressure alarms Inform the user of non delivery of the prescription The two factors that are Clinically important gt Time to Alarm Post Occlusion Bolus Time to Detect Downstream Occlusion Bolus Volume After Downstream Occlusion Rate Occlusion Al
41. te stopped mode KVO mode Low bottery An alert message indicates that the pump requires attention Program the pump to deliver 2mls at a rate of 500ml hr Start the pump After the 2mls has been delivered the pump will enter KVO mode the alert LED will illuminate and the KVO rate will be displayed on the pump The cause of an alert message should be investigated by the user For example if a battery low alert is ignored it will become an alarm RESPOND RESTORE RENEW From the main screen select the Options Softkey Permanent Settings Volume Remaining 248 Maintenance Line Time Remaining 1 59 uic Press Primary or Piggyback Options Piggy back Options Menu Flow Check View Settings Downstream Occlusion Values Moderate Battery Charge Level Configuration Service View Personality Senings Done Select RESPOND RESTORE RENEW Selecting FLOW CHECK gives a graphical representation of how close the pump is running to the downstream occlusion level selected Options Menu Flow Check View Personality Settings Permanent Settings Downstream Occlusion Values Moderate Battery Charge Level Contiguration Service isplay Flow Resistance Done Select Permanent Settings Volume Rate Remaining mL hr mL 125 242 Remaining 1 59 hoursiminutes Flow Check gt gt 7 gt gt
42. user to remove the tubing from the pump without power so the infusion may be continued with another pump Historically many of the issues revolve around the inadvertent use of the MTR If the pump will not turn on for example RESET the MTR RESPOND RESTORE RENEW RESET the MTR HOME Position for MTR RESPOND RESTORE RENEW 2 7 2 With the pump switched OFF open the flop on the MTR Rotate the knob counter clockwise This will open the jaws that encapsulate the set and allow the set to be withdrawn Note the blue safety slide clamp anti free flow device will close automaticolly on the tubing This prevents inadvertent delivery of fluid to the potient RESPOND RESTORE RENEW To reset the Manual Tube Release Follow the instructions on the screen Return the MTR to its HOME position and press the DONE softkey once complete The pump will automatically return to the OFF stote REMEMBER IF THE PUMP WILL NOT TURN ON CHECK THE MTR Done shows here Reset Manual Tube Release Primary Rate Volume The Manual Tube Release must be reset Ensure the tubing channel 15 empty Turn the release tab clockwise until it stops and push the tab inta its sockel Press the Done soft key to clear this alarm The pump is equipped with internal batteries to power the pump during interruptions to mains power or if the patient and pumps is being transported from one area to a
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