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Technical Service Manual

1. DISTAL TUBING UNIVERSAL Figure 5 43 Distal Occlusion Test Setup This setup is used to run the Distal Occlusion test in Section 5 3 13 5 3 2 5 1 Equipment Required for the Distal Occlusion Test Setup Required equipment as listed for the Basic test setup in Section 5 3 2 1 Three way stopcock Digital Pressure Meter DPM Cloth or paper towel to catch drips Small amounts of water may be released from the stopcock during testing Technical Service Manual 5 39 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 2 5 2 Setup Procedure The three way stopcock has two ports that are opposite each other in addition to a third perpendicular port for attachment to the DPM as shown in Figure 5 44 MALE PORT WITH FEMALE PORT COVER ATTACHED FEMALE PORT WITH COVER ATTACHED CONTROL ARM Figure 5 44 Three Way Stopcock Ports 1 Remove the protective caps from the stopcock ports 2 Attach the pressure sensor connector on the DPM to a compatible port male or female on the three way stopcock see Figure 5 45 3 WAY STOPCOCK PORT DPM CONNECTOR Figure 5 45 Attaching the Three Way Stopcock to the DPM Plum A Infusion System 5 40 Technical Service Manual 5 3
2. 5 43 5 3 7 KEYPAD VERIFICATION FUNCTIONAL TEST 5 44 5 3 8 ALARM LOUDNESS TEST 5 45 5 3 9 KEYPAD LOCKOUT SWITCH TEST 5 46 5 3 10 PROXIMAL OCCLUSION TEST 5 47 5 3 11 PROXIMAL AIR IN LINE TEST 5 47 5 3 12 DISTAL AIR IN LINE TEST 5 48 5 3 13 DISTAL OCCLUSION TEST 5 48 5 3 14 DELIVERY ACCURACY TEST 5 51 5 3 15 NURSECALLTEST 5 54 5 3 16 ELECTRICAL SAFETY TEST 5 55 5 3 17 END OF THE PVT 5 56 Section 6 TROUBLESHOOTING 6 1 6 1 TECHNICAL ASSISTANCE 6 1 6 2 WARNING MESSAGES l 6 1 6 3 ALARM MESSAGES AND ERROR CODES 6 2 6 3 1 OPERATIONAL ALARM MESSAGES 6 2 6 3 2 ERROR CODES REQUIRING TECHNICAL SERVICE 67 6 4 TROUBLESHOOTING PROCEDURES 6 12 6 4 1 UNRESTRICTED FLOW 6 15 Section 7 REPLACEABLE PARTS AND REPAIRS 7 1 71 REPLACEABLEPARTS 7 1 7 2 REPLACEMENT PROCEDURES 7 1 7 2 1 SAFETY AND EQUIPMENT PRECAUTIONS 7 1 7 2 2 REQUIRED TOOLS AND MATERIALS 7 2 7 2 3 RUBBER FOOT PAD REPLACEMENT 7 2 724 BATTERY WIRE HARNESS DOOR AND DOOR PAD REPLACEMENT 7 4 725 AC POWER CORD RETAINER AND VELCRO STRAP REPLACEMENT 7 6 72 6 PERIPHERAL ASSEMBLY REPLACEMENT 7 8 72 7 PERIPHERAL ASSEMBLY COMPONENT REPLACEMENT 7 11 7 2 7 1 VOLUME CONTROL KNOB REPLACEMENT 7 12 7 2 7 2 PERIPHERAL COVER REPLACEMENT 7 13 7 2 8 SEPARATING THE FRONT ENCLOSURE REAR ENCLOSURE AND MAIN CHASSIS 7 14 Technical Service Manual v Plum A Infusion System CONTENTS 7 2 9 F
3. BATTERY WITH WIRE HARNESS ASSEMBLY BATTERY DOOR PAD 6 32 x 3 8 HEX HEAD SCREW Figure 7 2 Battery Assembly Technical Service Manual 7 5 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 5 AC POWER CORD RETAINER AND VELCRO STRAP REPLACEMENT Note The AC power cord and power cord retainer must be compatible based on part number pairings contact Hospira for compatible part numbers Recommended tools for this procedure are a 2 Phillips screwdriver and a 10 mm wrench The replacement parts for this procedure are Cordset AC Power Hospital Grade Detachable Retainer AC Power Cord Strap Velcro AC Power Cord Terminal Equipotential Screw 4 40 x 1 4 Pan Head Phillips Screw 6 32 x 5 8 Pan Head Phillips with Washer Screw Jack 4 40 x 7 16 Washer Flat 566 x 255 x 030 Thk Washer Lock 4 To replace the AC power cord power cord retainer or Velcro strap see Figure 7 3 then proceed as follows 1 Turn off the infuser and disconnect the device from AC power 2 Remove the battery as described in Section 7 2 4 3 Using the Phillips screwdriver remove the screws from the AC power cord retainer 4 Using the 10 mm wrench remove and inspect the equipotential terminal and replace if required 5 Unplug the power cord and slide the plug through the retainer 6 Remove the Velcro strap from the power cord Inspect the Velcro strap for wear and replace the strap if
4. Prox Occl B Air Peak proximal occlusion B delivery Proximal occlusion detected during delivery on line B Fix occlusion and restart line B or Stop all lines fix occlusion and restart the infuser Prox Occl A Air Plum A Infusion System Negative proximal occlusion A delivery Proximal occlusion detected during delivery on line A Fix occlusion and restart line A or Stop all lines fix occlusion and restart the infuser Technical Service Manual 6 3 ALARM MESSAGES AND ERROR CODES Table 6 2 Operational Alarm Messages and Corrective Actions Alarm Prox Occl A Air Description Peak proximal occlusion A delivery Possible Cause Proximal occlusion detected during delivery on line A Corrective Action Fix occlusion and restart line A or Stop all lines fix occlusion and restart the infuser Prox Air total Proximal air in line total 500 uL of air has entered the cassette Backprime the cassette and restart the infuser or Remove and manually reprime the cassette and restart the infuser Prox Air on B backprime Proximal air in line on line B 500 uL of air has entered the cassette on line B Backprime the cassette and restart line B or Remove and manually reprime the cassette and restart the infuser Prox Air on A Backprime Proximal air in line online A 500 uL of air has entered the casset
5. 4 Inspect the rear enclosure for the presence and tightness of the assembly screws Tighten any loose screws and replace any missing screws Note Newer versions of the Plum A infuser will have five assembly screws see Figure 7 4 5 Inspect the cassette door for cracks and chips Replace the door if it is damaged see Section 7 2 12 8 6 Inspect the door lever for cracks Replace the door lever if it is damaged see Section 7 2 12 9 To test the door lever proceed as follows 1 Move the door lever to the OPEN position Confirm that the door opens smoothly Ifthe door does not open smoothly check for debris or dried fluid buildup Clean the mechanism as described in Section 5 1 2 Move the door lever to the CLOSED position Confirm smooth operation as described in Step 1 Technical Service Manual 5 7 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS REAR ENCLOSURE FRONT ENCLOSURE Figure 5 3 Front Enclosure Rear Enclosure Cassette Door and Door Lever Plum A Infusion System 5 8 Technical Service Manual 5 2 PREVENTIVE MAINTENANCE 5 2 4 DOOR ROLLER INSPECTION AND TEST Inspect and test the door roller at least once every 12 months To inspect and test the door roller see Figure 5 4 and proceed as follows 1 Open the cassette door 2 Push the door release tab to the right to unlatch the door 3 Verify that the retaining ring that secures the roller wheel to the pin is seated
6. Technical Service Manual software failures Reset time and date if required see Section 1 8 3 If error codes recur contact Hospira Plum A Infusion System SECTION 6 TR Error Code OUBLESHOOTING Table 6 3 Malfunction Two SEEP CRC errors Error Codes Requiring Technical Service Possible Cause Corrective Action NVRAM data block corrupted Replace mechanism assembly see Section 7 2 12 6 NVRAM over capacity Replace CPU PWA Software trying to write into see Section 7 2 12 4 non existent NVRAM space Replace CPU driver cable see Section 7 2 12 6 Reset time and date if required see Section 1 8 3 Invalid device configuration Incorrect flash memory Turn power off then on to reset on peripheral PWA the infuser Replace peripheral assembly see Section 7 2 6 Invalid drug library A drug library install was started Attempt to reinstall but not completed successfully the drug library see the System Operating Manual Replace peripheral assembly see Section 7 2 6 Drug library corrupted CRC failure on drug library Reload the library see the System Operating Manual The following error codes are not generated in the biomed service mode E320 E321 E322 E323 E326 E324 E343 E325 E345 E346 E373 E376 E379 E431 E441 E371 E374 E377 E380 E432 E447 E372 E375 E378 E430 E433 Note Some error codes include sub ID codes These sub ID codes
7. Troubleshooting with the PVT Drawings oes ie IPB for the Infuser Guidance and Manufacturer s Declaration Blectromasu lic Hiniiasion Guidance and Manufacturer s Declaration Electromagnetic Immunity Guidance and Manufacturer s Declaration Electromagnetic Immunity for Life Supporting Equipment and Systems Recommended Separation Distances Between Portable wad Mobile RF Communications Equipment and the Infusion System 4 10 5 55 6 13 A 1 A 2 1 8 4 6 4 7 4 9 4 23 4 24 4 24 4 25 5 2 6 2 6 3 6 7 9 1 9 2 A 3 A 5 Technical Service Manual ix Plum A Infusion System CONTENTS This page intentionally left blank Plum A Infusion System x Technical Service Manual ms Section 1 INTRODUCTION The Plum A is an advanced medication management system designed to meet the fluid delivery requirements of today s evolving healthcare environments The infusion system features primary line secondary line and piggyback fluid delivery capabilities and is suited for a wide range of medical surgical and critical care applications Full compatibility with the LifeCare Plum Series administration sets and accessories makes the Plum A a convenient and cost effective infusion system 1 1 SCOPE This manual is organized into the following sections o Section 1 Introduction o Section 2 Warranty o Section 3 System Operating Manual o Section 4 Theory of Opera
8. Plum A Infusion System 7 34 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 7 2 12 5 PIEZO ALARM REPLACEMENT The recommended tool for this procedure is a medium size flat blade screwdriver The replacement parts for this procedure are Assembly Piezo Alarm Splashguard Screw 4 40 x 3 8 Hex Head Slotted with Washer To replace the piezo alarm see Figure 7 12 then proceed as follows l 2 3 Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 8 Remove the power supply PWA as described in Section 7 2 12 1 5 Remove the CPU PWA as described in Section 7 2 12 4 10 Using the flat blade screwdriver remove the screws that secure the splashguard and piezo alarm to the main chassis Note Note the alignment of the piezo alarm assembly connecting wires and verify the replacement assembly is aligned the same way Install the replacement piezo alarm assembly in the exact reverse order of removal Reassemble the keypad display assembly CPU PWA and power supply PWA Join the front enclosure rear enclosure and main chassis in the exact reverse order of separation Reinstall the battery and connect the infuser to AC power To verify successful piezo alarm assembly replacement perform the PVT in Section 5 3 Technical Service Manual 7
9. 16 Route the power cable toward the rear of the infusion mechanism see Figure 7 22 Figure 7 22 Power Cable Routed Toward Infusion Mechanism Plum A Infusion System 7 32 Technical Service Manual 17 18 19 20 21 22 23 7 2 REPLACEMENT PROCEDURES Route the CPU Driver cable and power cable over the top of the battery box and stow the excess ribbon cable in the recess above the battery box see Figure 7 23 Note Keep the cables away from the back end of the battery box Tuck the motor power cable underneath the CPU Driver cable Position the spiral wrap so that the top partially covers the bottom of the label on the motor power cable Replace the tie wrap around the power cable and battery cable Route the power cable with spiral wrap down the side of the infusion mechanism Battery box Power cable with spiral wrap Figure 7 23 Power Cable Battery Cable and Spiral Wrap Reinstall the CPU and connect the Piezo alarm cable Reinstall the power supply and display in the exact reverse order Reinstall the battery and connect the infuser to AC power Technical Service Manual 7 33 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS Perform the PVT in Section 5 3 to verify successful CPU PWA replacement MAIN CHASSIS 4 40 x 1 4 HEX HEAD SCREW 2 WITH WASHER CPU INSULATOR CPU PWA Figure 7 24 CPU PWA Replacement
10. Ae N Using the flat blade screwdriver remove the screws that secure the pole clamp backing plate to the pole clamp extrusion and remove the backing plate and pole clamp from the rear enclosure 5 Install the replacement backing plate and extrusion using the screws that were removed in step 4 6 Completely cover the pole clamp backing plate with insulation tape Press firmly to securely adhere the tape to the backing plate CAUTION Assure that the insulation tape covers the entire backing plate If the backing plate is exposed the power supply PWA may be damaged when power is applied to the infuser 7 Join the rear enclosure and main chassis in the exact reverse order of separation 8 Reinstall the battery and connect the infuser to AC power To verify successful pole clamp extrusion and backing plate replacement perform the PVT in Section 5 3 Plum A Infusion System 7 20 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 7 2 10 2 POLE CLAMP SHAFT KNOB ASSEMBLY AND SHAFT TIP REPLACEMENT The recommended tool for this procedure is wide head pliers The replacement parts for this procedure are Assembly Shaft Knob Pole Clamp Tip Shaft Pole Clamp To replace the pole clamp shaft knob assembly and the pole clamp shaft tip see Figure 7 9 then proceed as follows 1 Turn the pole clamp shaft knob assembly counterclockwise to remove it from the pole clamp extrusion and loosen the pole clamp shaft tip from t
11. Front Enclosure Assembly Rear Enclosure Assembly Peripheral Assembly Main Chassis Assembly 2 Sheets AC Power Cord Assembly and Battery Assembly CPU PWA and Main Chassis Mechanism Assembly Technical Service Manual 9 1 Plum A Infusion System SECTION 9 DRAWINGS Index Number Table 9 2 IPB for the Infuser Nomenclature Enclosure Front Replacement Procedure Section 7 2 9 Chassis Main Section 7 2 9 Enclosure Rear Section 7 2 9 Battery Section 7 2 4 Assembly Wire Harness Battery Section 7 2 4 PWA Power Supply Section 7 2 12 1 PWA CPU Section 7 2 12 4 Keypad Section 7 2 12 2 Gasket Keypad Ground Section 7 2 12 2 Assembly Display Section 7 2 12 3 Assembly Peripheral Section 7 2 6 Cover Peripheral Section 7 2 7 2 Assembly Mechanism Section 7 2 12 6 Assembly Fluid Shield Section 7 2 12 8 Assembly Cassette Door Section 7 2 12 8 Assembly Opener Handle Section 7 2 12 9 Foot Rubber Section 7 2 3 Plate Backing Pole Clamp Section 7 2 10 1 Tape Insulation Section 7 2 10 1 Assembly Shaft Knob Pole Clamp Section 7 2 10 2 Tip Shaft Pole Clamp Section 7 2 10 2 Extrusion Pole Clamp Section 7 2 10 1 Shoe Front Enclosure only available in older versions Section 7 2 9 Assembly Piezo Alarm Section 7 2 1
12. Note Wait for cassette test to finish before continuing to next step 8 Press START and verify that Line A is pumping again 9 Press B 10 11 12 13 14 15 16 17 18 Verify that PIGGYBACK is the displayed delivery mode If necessary change the delivery mode by pressing CHANGE MODE Enter a rate of 890 mL hr and VTBI of 2 1 mL Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES Verify that fluid is pumping the message PUMPING is displayed in the Line B status bar and the LED over Line B flashes After the display shows that Line B has pumped 2 mL verify that pumping has switched to Line A Use a hemostat to clamp IV tube on distal side of the cassette to produce an occlusion fault press SILENCE to silence the alarm and remove the hemostat Press OPTIONS VOL INF Highlight VOLUME INFUSED and press CHOOSE Use the UP ARROW button on the keypad to select Line A Press the CLEAR key on the keypad Verify that Line A volume is 0 mL and then press ENTER Plum A Infusion System 5 44 Technical Service Manual 5 3 8 5 3 PERFORMANCE VERIFICATION TEST ALARM LOUDNESS TEST To perform the alarm loudness test use the Basic test setup in Section 5 3 2 1 and proceed as follows l Ae N Press A to select Line A If the message CLEAR LINE A SETTINGS appears press YES Enter a rate of 400 mL h
13. Section 5 3 6 Display Test Section 5 3 7 Keypad Verification Functional Test Section 5 3 8 Alarm Loudness Test Section 5 3 9 Keypad Lockout Switch Test Section 5 3 10 Proximal Occlusion Test oMN AA BP WD Section 5 3 11 Proximal Air In Line Test Section 5 3 12 Distal Air In Line Test j Section 5 3 13 Distal Occlusion Test N Section 5 3 14 Delivery Accuracy Test wo Section 5 3 15 Nurse Call Test A Section 5 3 16 Electrical Safety Test ol Section 5 3 17 End of the PVT Technical Service Manual 5 23 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 1 PVT EQUIPMENT LIST To complete all the performance verification tests the following equipment and materials or equivalents are required e Two IV Bags containing sterile or tap water e IV pole or IV stand e Primary IV PlumSet with Clave port List Number 12538 28 or equivalent or Primary IV PlumSet with capped port List Number 14679 28 or equivalent e Secondary IV Set List Number 12182 65 or equivalent e Three Run in Cassettes List Number ORD45 04 01 e Collection container any type to catch fluid from the distal line e 18 Gauge Blunt Cannula List Number 11302 01 or equivalent e Graduated Cylinder 25 mL with 0 2 mL graduations Class A any brand e Nurse Call Test Cable Part Number 561 88416 001 e Three Way Stopcock latex free List Number 03233
14. The nurse call test requires the Basic test setup in Section 5 3 2 1 the nurse call test cable and the digital multimeter DMM To perform the nurse call test proceed as follows 1 Attach the 2 prong lead on the nurse call test cable to the ports on the DMM that are marked for measuring resistance 2 Attach the other lead to the nurse call jack on the back of the infuser see Figure 5 56 EEE 7HFH l A E J NURSE CALL JACK Figure 5 56 Nurse Call Jack 3 Turn on the DMM and set it to measure resistance 4 On the infuser press A to select Line A If a CLEAR SETTINGS or NEW PATIENT prompt appears press YES 5 Set the delivery rate to 400 mL hr and the VTBI to 1 mL 6 Press START and verify that the infuser is pumping 7 After KVO flashes and the LINE A VTBI COMPLETE message appears check for a short circuit on the DMM approximately 1 Q on a scale of O to 100 Q If the short circuit appears the test is successful 8 Press STOP and then turn off the infuser Plum A Infusion System 5 54 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST 5 3 16 ELECTRICAL SAFETY TEST The electrical safety test uses the safety analyzer specified in the equipment list in Section 5 3 1 Refer to the safety analyzer user s guide for specific instructions on how to set up and use the safety analyzer To perform the electrical safety test proceed as follows 1 Connect the safety ana
15. Clean valve pins Replace mechanism assembly see Section 7 2 12 6 Display Test Section 5 3 6 Defective display assembly Replace display assembly see Section 7 2 12 3 Keypad Verification Functional Test Section 5 3 7 Defective keypad Replace keypad see Section 7 2 12 2 Alarm Loudness Test Section 5 3 8 Keypad Lockout Switch Test Section 5 3 9 Defective CPU Replace CPU PWA see Section 7 2 12 4 Defective peripheral PWA Replace peripheral assembly see Section 7 2 6 Defective piezo alarm assembly Defective peripheral PWA Replace piezo alarm see Section 7 2 12 5 Replace peripheral assembly see Section 7 2 6 Proximal Occlusion Test Section 5 3 10 Closed proximal clamp Open clamp Cassette not properly primed Reprime cassette Defective cassette Replace cassette Dirty sensor pen Clean sensor pin Defective APP PWA Replace mechanism assembly see Section 7 2 12 6 Proximal Air in Line Test Section 5 3 11 Defective special cassette Replace special cassette Dirty sensors Clean sensors Defective APP PWA Replace mechanism assembly see Section 7 2 12 6 Technical Service Manual Plum A Infusion System SECTION 6 TROUBLESHOOTING Test Failure Probable Cause Table 6 4 Troubleshooting with the PVT Corrective Action Distal Air in Line Test Section 5 3 12 Defective
16. E440 Power hold stuck Power hold signal stuck see Section 1 8 3 Power cannot be turned off E443 LCD failure LCD bias is out of range Replace display assembly see Section 7 2 12 3 Reset time and date if required see Section 1 8 3 E444 CPU timebase CPU timer 2 and RTC measured Turn power off then on inaccurate times disagree to reset the infuser Replace CPU PWA see Section 7 2 12 4 Reset time and date if required see Section 1 8 3 E445 RTC memory Real time clock memory corrupt Turn power off then on failure to reset the infuser Reset time and date if required see Section 1 8 3 E446 CPU timer failure CPU timer 1 and timer 2 Replace CPU PWA measured times disagree see Section 7 2 12 4 Reset time and date if required E447 Battery ADC 16 consecutive readings see Section 1 8 3 reading failure have been either all zero or max value E448 SEEP write failure SEEP data write failed Replace mechanism assembly see Section 7 2 12 6 E449 SEEP calibration Calibration data block corrupted Replace CPU PWA data corrupted see Section 7 2 12 4 Replace CPU driver cable see Section 7 2 12 6 Reset time and date if required see Section 1 8 3 E450 MMIO port read I O port read write failure Replace CPU PWA write failure see Section 7 2 12 4 Reset time and date if required see Section 1 8 3 E451 Inaccurate delivery Over under delivery detected Turn power off then on to reset the infuser E452 Software failure Miscellaneous
17. Figures are rendered as graphic representations to approximate actual product Therefore figures may not exactly reflect the product 7 2 1 SAFETY AND EQUIPMENT PRECAUTIONS Before opening the front enclosure of the infuser take all necessary precautions for working on high voltage equipment WARNING EXPLOSION HAZARD EXISTS IF THE INFUSER IS SERVICED IN THE PRESENCE OF FLAMMABLE SUBSTANCES WARNING UNLESS OTHERWISE INDICATED DISCONNECT THE INFUSER FROM AC POWER BEFORE PERFORMING ADJUSTMENT OR REPLACEMENT PROCEDURES CAUTION Use proper ESD grounding techniques when handling components Wear an antistatic wrist strap and use an ESD protected workstation Store PWAs in antistatic bags before placing on any surface Technical Service Manual 7 1 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 2 REQUIRED TOOLS AND MATERIALS The following tools and materials or equivalents are required for the replacement procedures in this section In addition the beginning of each procedure lists tools and materials recommended for that specific procedure Set of flat blade screwdrivers Long needle nose pliers Set of Phillips screwdrivers Wide head pliers Set of standard and metric nutdrivers Diagonal cutters Set of Allen wrenches X acto knife Metric 10 mm wrench Mild solvent Battery cable connector tool P N 519 89318 001 Lint free cloth Custom nutdriver P N 519 95056 001 72
18. Proximal pressure sensor 2 Proximal pressure sensor failed while the infuser is off Proximal pressure sensor failed while the infuser is on Replace mechanism assembly see Section 7 2 12 6 Reset time and date if required see Section 1 8 3 RAM failure RAM failure Turn power off then on to reset the infuser Replace peripheral assembly see Section 7 2 6 Reset time and date if required see Section 1 8 3 RTC failure Real time clock failure Turn power off then on to reset the infuser Replace CPU PWA see Section 7 2 12 4 Reset time and date if required see Section 1 8 3 ROM failure ROM checksum failure Turn power off then on to reset the infuser Replace peripheral assembly see Section 7 2 6 Reset time and date if required see Section 1 8 3 Software failure Generic software failure Stack out of range failure Plum A Infusion System Stack out of range failure Turn power off then on to reset the infuser Replace CPU PWA see Section 7 2 12 4 Reset time and date if required see Section 1 8 3 Technical Service Manual 6 3 ALARM MESSAGES AND ERROR CODES Table 6 3 Error Codes Requiring Technical Service Error Code Malfunction Possible Cause Corrective Action E439 Stuck key A key is sensed as pressed Replace keypad for over two minutes see Section 7 2 12 2 Reset time and date if required
19. to select the desired dose units and press CHOOSE Verify the CONC UNITS FOR DRUG screen is displayed see Figure 1 8 6 Select the desired Drug Conc in Container and press CHOOSE Verify the DEFAULT UNITS DRUG screen is displayed 7 Press CANCEL BACK to return to the BIOMED SETTINGS screen or turn off the infuser Default Units Drug No Drug Selected Abciximab Acyclovir Albumin Aldesleukin Alfentanil Alprostadil Alteplase rt PA Select then Enter Page Page th Figure 1 6 Default Units Drug Technical Service Manual 1 11 Plum A Infusion System SECTION 1 INTRODUCTION Dose Units for Drug Abciximab mL hr grams hr mcg kg min ng kg min mcg kg hr units kg hr units min mcg hr units hr mg kg hr mUn min mg min mEQq hr mg hr Select then Choose kl P doe aa Figure 1 7 Dose Units for Drug Conc Units for Drug Abciximab Drug Conc in Container meg grams Select then Choose Gs Back Figure 1 8 Conc Units for Drug Plum A Infusion System 1 12 Technical Service Manual 1 8 BIOMED SETTINGS 1 8 13 MACRO IV PARAMETERS To review or change Macro IV Parameters see Figure 1 9 and proceed as follows 1 Access the BIOMED SETTINGS screen as described in Section 1 8 2 Access the IV PARAMETERS screen as described in Section 1 8 1 3 Select Macro IV Parameters press CHOOSE and verify the MACRO IV PARAMETERS screen is displayed 4 Select the parameter to be chang
20. where P is the maximum output power rating of the transmitter in watts VW according to the transmitter manufacturer Note These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structure objects and people At 80 MHz and 800 MHz the separation distance for the higher frequency range applies The ISM bands between 150 kHz and 80 MHz are 6 765 MHz to 6 695 MHz 13 553 MHz to 13 567 MHz 26 957 MHz to 27 283 MHz and 40 660 MHz to 40 700 MHz An additional factor of 10 3 is used in calculating the recommended separation distance for transmitters in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2 5 GHz to decrease the likelihood that mobile portable communications equipment could cause interference if it is inadvertently brought into patient areas V1 10 Vims V2 10 Vy ms and Ej 10 V meter Technical Service Manual Plum A Infusion System APPENDIX This page intentionally left blank Plum A Infusion System A 6 Technical Service Manual For technical assistance product return authorization and to order parts accessories or manuals within the United States contact Hospira 1 800 241 4002 For additional services and technical training courses visit the website www hospira com For technical assistance and services outside the United States contact the local Hospira sales office WARNING EXPLOSION HA
21. 1 CPU SUBSYSTEM The CPU subsystem contains the main microcontroller external communications and system management The CPU subsystem provides the following functions External memory devices access Control and monitor status signals LCD interfaces such as LEDs audible alarms volume control nurse call switch and lockout switch Real time clock generator interface System watchdog Serial communication with host Analog to digital and digital to analog computer DataPort converter interface Power supply subsystem interface Keypad interfaces Mechanism subsystem interface CPU The central processing unit is a Motorola MC68302 CPU The CPU has a closely coupled 16 bit data bus and 24 bit address bus MC68000 microprocessor core a system integration block for peripherals and an RISC communications processor The MC68302 is packaged in a 144 pin thin quad flat pack TQFP package and operates from a 3 3 Voc power supply The on chip peripheral devices are isolated from the system through the dual port RAM The 1152 byte dual port RAM has 576 bytes of system RAM and 576 bytes of parameter RAM that contains various peripheral registers parameters and the buffer descriptors for each of the three serial communication controller SCC channels and the serial communication port SCP channels The 24 bit address bus is capable of accessing up to 16 MB of data 4 2 1 2 SYSTEM MEMORY ADDRESS MAP The CPU has a 24 bit addres
22. 2 4 BATTERY WIRE HARNESS DOOR AND DOOR PAD REPLACEMENT Recommended tools for this procedure are Medium size flat blade screwdriver Long needle nose pliers X acto knife Battery cable connector tool P N 519 89318 001 or equivalent Mild solvent Lint free cloth The replacement parts for this procedure are Battery Assembly Wire Harness Battery Door Battery Pad Door Gasket Battery Screw 6 32 x 3 8 Hex Head Slotted with Washer To replace the battery battery door or door pad see Figure 7 2 then proceed as follows 1 Turn off the infuser and disconnect the device from AC power The AC LED indicator will turn off Note Wait five minutes for the microprocessor to save data and complete the turn off sequence before unplugging the battery Place the infuser on its side Using the flat blade screwdriver remove the screw that attaches the battery door to the infuser and remove the door Inspect the battery door and replace if required 5 If the battery door pad is defective remove it and clean the door with mild solvent Dry the battery door thoroughly and install the replacement pad on the door Inspect the gasket and replace if required Note The battery gasket may not be present on some versions of the device Disconnect the battery harness from the charger circuit cable Carefully pull the battery harness wires and connector outside the enclosure and remove th
23. 2 ELECTRONIC SUBSYSTEM OVERVIEW 4 2 3 4 AIR SENSORS The mechanism subsystem includes two air sensors used to detect air passage into proximal or out of distal the cassette Both sensors are piezoelectric crystal transmitter receiver pairs Liquid between the transmitter and receiver will conduct the ultrasonic signal while air will not see Figure 4 4 VSO VCO PLL CPU l A D l OUTPUT PEAK AMP DETECTOR Figure 4 4 Air Sensor Block Diagram 4 23 4 1 Transmitter Circuitry The transmitter circuitry consists of a voltage sweep oscillator a voltage controlled oscillator VCO and a transmitter amplifier and are located on the APP PWA The voltage sweep oscillator circuit oscillates at approximately 12 kHz at 50 percent duty cycle The output of the sweep oscillator is between 2 Vpc and 3 Vpc and is used to sweep the VCO The VCO sweeps through the sensor s peak coupling frequency that is between 3 MHz and 6 MHz A resistor and capacitor are used to configure the VCO center frequency The VCO is enabled when the CPU asserts either DIARE or PXARE control signals The transmitter amplifier consists of a push pull emitter follower complementary pair of transistors The transmitter amplifier drives both proximal and distal sensors simultaneously Technical Service Manual 4 19 Plum A Infusion System SECTION 4 THEORY OF OPERATION 42 342 Receiver Ci
24. 3 RUBBER FOOT PAD REPLACEMENT Recommended tools for this procedure are an X acto knife mild solvent and lint free cloth The replacement part for this procedure is Pad Rubber Foot To replace a rubber foot pad see Figure 7 1 then proceed as follows 1 2 3 6 Turn off the infuser and disconnect the device from AC power Place the infuser on its side Using the X acto knife remove the rubber foot pad and scrape the enclosure recess to remove adhesive residue Note Each adhesive backed rubber foot pad is bonded in its recess Do not damage the recess Using mild solvent and a lint free cloth clean any adhesive residue from the enclosure recess Remove the protective backing from the self adhesive surface of the replacement foot pad and press the pad in place After approximately five minutes verify the foot pad is secure Replacement of a rubber foot pad is routine maintenance and no verification procedure is normally required However if the infuser may have been damaged during these procedures perform the PVT in Section 5 3 Plum A Infusion System 7 2 Technical Service Manual 7 2 REPLACEMENT PROCEDURES BATTERY DOOR COVER DOOR PIVOT CAP FLEX TABS FLEX TABS FRONT REAR RUBBER FOOT PAD 5 HEX HEAD SCREW Figure 7 1 Bottom View Technical Service Manual 7 3 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7
25. 3 Follow the instructions for priming a run in cassette assembly in Section 5 3 2 4 Technical Service Manual 5 35 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 2 4 PRIMING A RUN IN CASSETTE ASSEMBLY Primed run in cassettes are required for Proximal Air in Line and Distal Air in Line tests The run in cassette has tubing that is arranged so that fluid is pumped in a continuous loop as shown in Figure 5 39 CAP TOP PROXIMAL DRIP CHAMBER TUBING FLOW REGULATOR FINGER GRIP PUMPING CHAMBER DISTAL TUBING LOOP BACK OF PUMPING CHAMBER Figure 5 39 Parts of a Run In Cassette The proximal and distal portions of the run in cassette must be primed separately using two different procedures The following sections describe the priming process 5 3 2 4 1 Priming the Run In Cassette and Proximal Tubing This section describes how to prime the cassette and proximal tubing parts of the run in cassette assembly using the Backprime feature of the infuser During backpriming the white cap is off to allow air to escape as fluid fills the cassette and tubing To prime the cassette and proximal tubing of a run in cassette assembly proceed as follows 1 Remove the top from the run in cassette fill the drip chamber about 2 3 full and then put the top back on Note Do not fill the drip chamber any more than 2 3 full or water may spill out the top of the cassette during backp
26. 35 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 12 6 MECHANISM ASSEMBLY REPLACEMENT Note Replacing the mechanism changes the Biomed settings to those stored in the replacement mechanism assembly The recommended tools for this procedure are a medium size flat blade screwdriver No 2 Phillips screwdriver and diagonal cutters The replacement parts for this procedure are Assembly Mechanism Bumper Mechanism Chassis Tie Cable Screw 4 24 x 1 4 Pan Head Phillips Screw 6 32 x 3 8 Hex Head Slotted with Washer To replace the mechanism assembly see Figure 7 25 then proceed as follows l 2 3 Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 8 Using diagonal cutters cut the cable ties that secure the cables 5 Using the flat blade screwdriver remove the screw that secures the mechanism 10 11 assembly to the main chassis Remove and inspect the mechanism chassis bumpers and replace if required Slide the mechanism assembly away from the main chassis Unlock and disconnect the cables from the mechanism assembly and remove the mechanism assembly Install the replacement mechanism assembly in the exact reverse order of removal and replace the cable ties Join the front enclosure rear enclosure an
27. 5 25 Figure 5 19 Closing the Flow Regulator 0 ccc ccc cece ccc cece cece eect ee eees 5 26 Figure 5 20 Filter Vent Cove r vssspsessstasdednsrkste Se OOS Sie OO OTT Oe i 5 27 Figure 5 21 Inserting the Piercing Pin ccc ccc ce cece cere reece eee eee ees 5 27 Figure 5 22 Squeezing the Drip Chamber 0 cee cece cee cece eee e eee e eee eens 5 27 Figure 5 23 Secondary Porto orooro eae ce bee Se Sake here 5 28 Figure 5 24 Opening the Flow Regulator 0 cece cece cece reece cece ee eees 5 28 Figure 5 25 Removing Air from the Administration Set cece cece eee ee eee 5 28 Figure 5 26 Closing the Flow Regulator 0 ccc cece cee ce cee ee cee eee ee eees 5 28 Figure 5 27 Opening the Cassette Door ccc ccc cece ce cee cece eect eee e eee 5 29 Figure 5 28 Cassette Finger Grip ccc ccc cece cee cece cee ee eect eee e eens 5 29 Figure 5 29 Cassette and Door Guide cece ccc cece cece reece eee eeeeeeaes 5 30 Figure 5 30 Inserting the Piercing Pin 0 cece ccc cece ce cere eect ete e ees 5 31 Figure 5 31 Squeezing the Drip Chamber 0 ccc cece cece reece cece eee eees 5 31 Figure 5 32 Opening the Roller Clamp cc cece cece cece rece eee e eee eens 5 31 Figure 5 33 Closing the Roller Clamp 0 ccc cece cece cece cece cece eee eens 5 32 Figure 5 34 Option Lok Collar and Clave Secondary Port 0c cee eee e neces 5 32 Figure 5 35
28. A Infusion System Preventive Maintenance Checklist Note The Preventive Maintenance process must be performed at least once every 12 months to ensure proper performance of the Plum infuser Circle PASS or FAIL in the respective box after each inspection or test is performed Enter the device model and serial number in the space provided Sign and date this form in the space provided Item Inspection Labels Inspection PASS FAIL AC Power Cord and Retainer and Velcro Strap Inspection PASS FAIL Front Enclosure Rear Enclosure Cassette Door and Door Lever Inspection and Test Door Roller Inspection and Test PASS FAIL PASS FAIL Fluid Shield Inspection PASS FAIL Distal Pressure Pin Inspection PASS FAIL PASS FAIL PASS FAIL Proximal Pressure Pin Inspection PASS FAIL Rubber Foot Pad Inspection PASS FAIL Pole Clamp Inspection and Test PASS FAIL PASS FAIL Battery Inspection and Replacement indicate battery replacement below PASS FAIL Keypad Inspection PASS FAIL Display and Indicators Inspection PASS FAIL Keypad Lockout Switch Inspection PASS FAIL Self Test PASS FAIL Cassette Alarm Test PASS FAIL Unrestricted Flow Test PASS FAIL Display Test PASS FAIL Keypad Verification Functional Test PASS FAIL Alarm Loudness Test PASS FAIL Keypad Lockout Switch Test PASS FAIL Proximal Occlusion Test PASS FAIL Proximal Air in Line Test PASS FAIL Distal Air in Line Test P
29. CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES Verify that fluid is pumping the message PUMPING is displayed in the Line A status bar and the LED over Line A flashes Press B to select Line B Verify that Piggyback delivery mode is selected If necessary press CHANGE MODE to change the delivery mode Enter a rate of 200 mL hr and a VTBI of 10 mL Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES Verify that fluid is pumping the message PUMPING is displayed in the Line B status bar and the LED over Line B flashes Note Line A will be stopped DELAYED while Line B is pumping and will resume pumping when Line B delivery is complete When total delivery is complete on Line A verify that the KVO message flashes on the display and an audible alarm sounds Press STOP and verify that the volume delivered into the graduated cylinder is 20 mL 1 mL Note The pumping chamber in a test cassette can become fatigued after repeated tests are run If an infuser fails the delivery accuracy test run the test again with a new primary administration set to ensure that the issue is with the infuser not the test setup Technical Service Manual 5 53 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 15 NURSE CALL TEST Bypass this test if the nurse call function is not used
30. Drip Chamber Technical Service Manual 5 27 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 8 Invert the cassette so that the secondary port is pointing down see Figure 5 23 Figure 5 23 Secondary Port 9 Slowly open the flow regulator by turning it counter clockwise see Figure 5 24 When the first drop appears in the pumping chamber turn the cassette upright Figure 5 24 Opening the Flow Regulator 10 Tap and clear air from the cassette Y site and tubing to remove all air from the remainder of the administration set see Figure 5 25 tim Figure 5 25 Removing Air from the Administration Set 11 Push in the flow regulator to close it see Figure 5 26 Check the distal end of the tubing to confirm that there is no flow Figure 5 26 Closing the Flow Regulator Plum A Infusion System 5 28 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST NOTE If there is flow or leaks close all clamps and replace the administration set 12 Close all clamps on the proximal and distal lines 5 3 2 1 3 Loading the Cassette To load the primed cassette into the infuser proceed as follows 1 Lift the lever to open the cassette door see Figure 5 27 Figure 5 27 Opening the Cassette Door 2 Grasp the cassette by the finger grip see Figure 5 28 FINGER Figu
31. PANEL KEYPAD MATRIX A5 x5 membrane switch keypad matrix is located on the front panel The keypad column lines COL4 0 are driven by open collector type memory mapped input ports while the keypad row lines ROW4 0 are read by memory mapped input ports see Table 4 2 The keypad strobing scanning and switch de bouncing is accomplished by software The keypad interface is designed with ESD protection Table 4 2 Keypad Map Softkey 1 COL 1 Softkey 2 COL 2 Softkey 3 Softkey 4 START 1 2 3 a STOP 5 6 SELECT CHARGE Line Indicator v ON OFF SILENCE 4 2 1 14 FRONT PANEL ON OFF KEY The ON OFF key on the front panel provides a start up STRTUP signal to wake up the power supply when the system is shutdown When activated during normal operation the ON OFF key interrupts STRUPD the CPU signaling a request for shutdown 4 2 1 15 FRONT PANEL LED INDICATORS The CPU drives the three light emitting diode LED indicators embedded in the front panel Two memory mapped I O signals activate the two LED lights used to indicate which channel is in delivery mode LEDAE LEDBE The AC power on LED indicates the status of AC power LEDAC and that the system is in the battery charge mode A buffered AC on signal BACON drives the LED and is active only when AC power is present 4 2 1 16 KEYPAD LOCKOUT INTERFACE A lockout switch SW1 on the peripheral
32. clear the distal occlusion alarm Press NO at the CLEAR SETTINGS or NEW PATIENT prompt 19 Press OPTIONS VOL INF to select the OPTIONS screen 20 Select Pressure Post Infusion Rate and press CHOOSE 21 Select Distal Pressure Limit Enter 10 psi and press ENTER 22 Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES 23 Verify that fluid is pumping from the open port on the stopcock the message PUMPING is displayed in the Line A status bar and the LED above Line A flashes Plum A Infusion System 5 50 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST 24 Set the three way stopcock to measure pressure by positioning the control arm over the open port see Figure 5 54 CONTROL ARM DPM CONNECTOR Figure 5 54 Positioning the Control Arm to Measure Pressure 25 Verify that the distal occlusion audible alarm occurs at 10 psi 3 psi Confirm that the DISTAL OCCLUSION message is flashing on the screen and that pumping is stopped 26 Turn off the Infuser 27 Remove the distal tubing from the three way stopcock and turn off the DPM 5 3 14 DELIVERY ACCURACY TEST The Delivery Accuracy Test uses the Basic test setup in Section 5 3 2 1 with the following changes a blunt cannula is attached to the end of the distal tubing anda 25 mL graduated cylinder is used in place of the collectio
33. container as detailed in Section 1 7 2 Use care when unpacking the infusion system Retain the packing slip and save all packing material in the event it is necessary to return the infuser to the factory Verify the shipping container contains as copy of the system operating manual 1 7 2 INSPECTION Inspect the shipping container for damage Should any damage be found contact the delivering carrier immediately CAUTION Inspect the infuser for evidence of damage Do not use the device if it appears to be damaged Should damage be found contact Hospira Inspect the infusion system periodically for signs of defects such as worn accessories broken connections or damaged cable assemblies Also inspect the infuser after repair or during cleaning Replace any damaged or defective external parts 1 7 3 SELF TEST IN CAUTION Do not place the infuser in service if the self test fails If an alarm condition occurs during the self test cycle the power and repeat the self test If the alarm condition recurs note the message and take corrective action see Section 6 Repeat the self test If the alarm condition continues to recur remove the infuser from service and contact Hospira Note Do not place the infuser in service if the battery is not fully charged To make certain the battery is fully charged connect the infuser to AC power for six hours Note When plugging the device into an AC power outlet grasp the AC power cord pl
34. delivery while lockout switch is locked Unlock the lockout switch Lockout violation Soft lockout violation The use of the STOP key or an attempt to open the door while lockout switch is locked Unlock the software lockout switch Lockout enabled Soft lockout enabled Any action not resulting in stopping of delivery while lockout switch is locked Unlock the software lockout switch No alarm Plum A Infusion System Unrestricted flow If the regulator closer is disengaged and the door opens unrestricted flow may occur 1 Remove mechanism 2 Remove flow shield 3 Visually inspect regulator closer 4 Verify regulator closer is completely engaged 5 Test If unrestricted flow persists replace the mechanism Technical Service Manual 6 3 ALARM MESSAGES AND ERROR CODES 6 3 2 ERROR CODES REQUIRING TECHNICAL SERVICE Table 6 3 lists infuser error codes that require technical service Also listed in Table 6 3 are malfunction descriptions possible causes and corrective actions A Note Perform corrective actions in the order listed in the Corrective Action Column CAUTION CE module replacement should be performed only after receiving approval from Hospira Table 6 3 Error Codes Requiring Technical Service Error Code Malfunction Possible Cause Corrective Action ADC failure Analog to digital converter failure Replace CPU PWA see Section 7 2 12 4
35. described in Section 7 2 12 6 and Section 7 2 12 8 2 Visually inspect the regulator closer and verify the regulator closer is completely seated 3 If the regulator closer is not completely seated discontinue use and contact Hospira If the regulator closer is completely seated reassemble the device and perform the PVT in Section 5 3 Regulator closer seated correctly Regulator closer not seated correctly Figure 6 1 Regulator Closer Technical Service Manual 6 15 Plum A Infusion System SECTION 6 TROUBLESHOOTING This page intentionally left blank Plum A Infusion System 6 16 Technical Service Manual Section 7 REPLACEABLE PARTS AND REPAIRS This section itemizes all parts and subassemblies of the infusion system that are repairable within the scope of this manual In addition this section details replacement procedures for all listed parts 7 1 REPLACEABLE PARTS Replaceable parts for the infusion system are itemized in the Illustrated Parts Breakdown IPB and are identified in Figure 9 1 Table 9 2 identifies each part by an index number that correlates to Figure 9 1 To view the online parts replacement list visit the website at www hospiraparts com 72 REPLACEMENT PROCEDURES This section contains safety and equipment precautions required tools and materials and step by step procedures for replacing parts in the infuser Unless otherwise stated always perform the PVT after a replacement procedure
36. exposing a flat head screw 5 Using the flat blade screwdriver remove the screw that secures the knob 7 8 9 Using long needle nose pliers remove the knob nut cover and spacer Note The nylon spacer may not be present in some volume control knob assemblies Install the replacement volume control knob in the exact reverse order of removal Replace the peripheral assembly in the exact reverse order of removal Reinstall the battery and connect the infuser to AC power Replacement of the volume control knob is routine maintenance and no verification procedure is normally required However if the infuser may have been damaged during these procedures perform the PVT in Section 5 3 Plum A Infusion System 7 12 Technical Service Manual 7 2 7 2 7 2 REPLACEMENT PROCEDURES PERIPHERAL COVER REPLACEMENT Recommended tools for this procedure are a set of nutdrivers long needle nose pliers 2 Phillips screwdriver and custom nutdriver The replacement parts for this procedure are Cover Peripheral Cover DataPort Connector Seal Rectangle Seal Round Screw 4 40 x 3 8 Hex Head Nylon Screw 4 40 x 3 8 Pan Head Phillips with Washer Washer Flat 128 Dia Nylon Nut Hex Nurse Call Jack Nut Hex 4 40 To replace the peripheral cover see Figure 7 6 and proceed as follows 1 Q a F U N Turn off the infuser and disconnect the device from AC power Remove the battery as described in Sectio
37. pressure level Deliver Together enable Concurrent or Piggyback Piggyback Delayed Start Standby enable Yes or No Yes Continue Rate Rate or KVO KVO Nurse Callback default Yes or No No Time 24 hr 00 00 23 59 Factory time in one minute increments Date 1 1 2002 12 31 2098 Factory date Plum A Infusion System 1 8 Technical Service Manual 1 8 BIOMED SETTINGS BIOMED SETTINGS IV Screen Parameters Alarms Log Set Time and Date Select then Choose Change Pee ome Figure 1 2 Biomed Settings 1 8 1 IV PARAMETERS The IV PARAMETERS screen contains Common IV Parameters Default Units Drug and Macro IV Parameters To change the IV parameters see Figure 1 3 and proceed as follows 1 Access the BIOMED SETTINGS screen as described in Section 1 8 2 Select IV Screen Parameters and press CHOOSE BIOMED SETTINGS IV Parameters Common IV Parameters Default Units Drug Macro IV Parameters Select then Choose ccs Figure 1 3 IV Parameters Technical Service Manual 1 9 Plum A Infusion System SECTION 1 INTRODUCTION 1 8 1 1 COMMON IV PARAMETERS To view Common IV Parameters see Figure 1 4 or Figure 1 5 and proceed as follows 1 2 Access the IV PARAMETERS screen as described in Section 1 8 1 Select Common IV Parameters and press CHOOSE Verify the COMMON IV PARAMETERS screen is displayed Select the parameter to be changed Using the CHANGE V
38. procedure is a medium size flat blade screwdriver The replacement parts for this procedure are PWA Power Supply Assembly Cable Power Supply Battery Assembly Cable Motor Power Wrap Spiral To replace the power supply PWA proceed as follows 1 Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Separate the rear enclosure from the main chassis as described in Section 7 2 8 Ae QD Note the location and position of the cables then disconnect the cables from the power supply PWA ol Remove the power supply PWA by sliding the board away from the CPU PWA 6 Replace or install the spiral wrap around the motor power cable Note Position the spiral wrap so the top partially covers the bottom of the label on the motor power cable 7 Install the replacement power supply PWA in the exact reverse order of removal Note Verify the replacement power supply PWA connects to the CPU PWA correctly to avoid misalignment 8 Join the rear enclosure and main chassis in the exact reverse order of separation 9 Reinstall the battery and connect the infuser to AC power To verify successful power supply PWA replacement perform the PVT in Section 5 3 Technical Service Manual 7 25 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 12 2 KEYPAD AND GROUND GASKET REPLACEMENT Note Devices with shielded cases require the keypad ground
39. receptacle Board to board connection to CPU PWA 15 pin D sub DataPort 9 pin D sub Barcode reader connection 3 pin phone jack Nurse call jack 4 3 3 CPU PWA The CPU PWA contains most of the CPU subsystem functions with the exception of main memory and communications ports that are located on the peripheral PWA The CPU PWA also accommodates system interconnect Technical Service Manual 4 23 Plum A Infusion System SECTION 4 THEORY OF OPERATION The CPU PWA is an eight layer board with the following one ground plane one power plane and six signal layers The CPU PWA primarily contains SMT components Most of the components are on the top side while the bottom side holds wave solder compatible SMT resistors and capacitors See Table 4 7 for CPU PWA interface connections Table 4 7 CPU PWA Interface Connections Connector Type 96 pin header Interface Connection to peripheral PWA CPU bus rear panel I O communication ports 30 pin header Connection to power supply PWA 50 pin SMT Ribbon cable connection to driver PWA mechanism 21 pin header Front panel connector keypad LEDs ON OFF switch 14 pin SMT 4 pin header Flat flex cable to LCD panel Lockbox connector 4 pin header CCFT backlight connector 2 pin header Main audible alarm connector 4 3 4 DRIVER PWA The driver PWA contains the mechanism subsystem s motor drive circuitry
40. removal 6 Join the front enclosure rear enclosure and main chassis in the exact reverse order of separation 7 Reinstall the battery and connect the infuser to AC power To verify successful shoe gasket replacement perform the PVT in Section 5 3 7 2 9 2 FRONT REAR ENCLOSURE GASKET REPLACEMENT The recommended tool for this procedure is needle nose pliers The replacement part for this procedure is Gasket Front Rear Enclosure To replace the front rear enclosure gaskets see Figure 7 11 then proceed as follows 1 Turn off the infuser and disconnect the device from AC power 2 Remove the battery as described in Section 7 2 4 3 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 8 4 Using the needle nose pliers remove the front rear gasket from the front enclosure 5 Install the replacement front rear gasket in the exact reverse order of removal 6 Join the front enclosure rear enclosure and main chassis in the exact reverse order of separation 7 Reinstall the battery and connect the infuser to AC power To verify successful front rear enclosure gasket replacement perform the PVT in Section 5 3 Technical Service Manual 7 17 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS FRONT REAR SHOE GASKET 2 ENCLOSURE GASKET Figure 7 8 Front Enclosure Gaskets Plum A Infusion System 7 18 Technical Servic
41. special cassette Replace special cassette Dirty sensors Clean sensors Defective APP PWA Replace mechanism assembly see Section 7 2 12 6 Distal Occlusion Test Section 5 2 13 Cassette not properly primed Reprime cassette Defective cassette Replace cassette Dirty sensor pin Clean sensor pin Defective APP PWA Replace mechanism assembly see Section 7 2 12 6 Delivery Accuracy Test Section 5 2 14 Set not properly primed Reprime cassette Damaged or faulty cassette Replace cassette Defective mechanism assembly Replace mechanism assembly see Section 7 2 12 6 Electrical Safety Test Section 5 3 16 Plum A Infusion System Defective AC power cord Replace AC power cord see Section 7 2 5 Technical Service Manual 6 4 TROUBLESHOOTING PROCEDURES 6 4 1 UNRESTRICTED FLOW A WARNING UNRESTRICTED FLOW MAY BE LIFE THREATENING CAUTION Prevent unrestricted flow by ensuring that the regulator closer is properly seated If unable to ensure this discontinue use and contact Hospira Unrestricted flow may occur if the infuser s regulator closer is not seated correctly and the cassette is removed from the device without ensuring that the roller clamp or slide clamp on the administration set is in the closed position To prevent an unrestricted flow event see Section 6 4 1 and proceed as follows 1 Remove the mechanism and fluid shield as
42. the CPU s ITGRST signal The battery management algorithm periodically calibrates the op amp integrator Plum A Infusion System 4 14 Technical Service Manual 4 2 ELECTRONIC SUBSYSTEM OVERVIEW 4 2 2 8 BATTERY CHARGER The software battery management algorithm controls the battery charger The charging scheme is a current limit two stage voltage limit charger The charge current is limited to 1 3 A and the voltage is limited to either 6 9 Vpc or 7 5 Voc The source of the charge current is power MOSFET transistor Q7 operating in the linear mode Charge current passes through a current sense resistor R57 where it develops a feedback signal for the charger control amplifier consisting of U7 Q6 and associated parts The feedback signal is compared against a 2 5 Vpc voltage reference U8 A 0 5 A fuse F4 protects against damage due to a short circuit The battery management algorithm maintains on off control of the charger by the charger enable signal CHG When set high CHG activates a comparator U7 that overrides the feedback signal and disables the charger Excessive voltage on the BATNEG terminal indicates there is a shorted battery cell and will disable the charger through the same comparator 4 2 2 9 BATTERY The battery employed by the Plum infuser is a sealed lead acid SLA type rated at 6 volts DC and a current capacity of at least 4 0 ampere hours The infusion system is intended to operate on battery power on an exception b
43. the Line A tubing proximal to the cassette T 8 5 3 11 Verify that the PROXOCCL A AIR message flashes and the alarm sounds before three pumping cycles are completed Press SILENCE and verify that the alarm stops while the message on the display continues to flash Unclamp the proximal line and press START Verify that pumping resumes Press STOP Open the cassette door and remove the cassette PROXIMAL AIR IN LINE TEST The Proximal Air in Line test uses the Proximal Air in Line test setup in Section 5 3 2 2 and the programming from the Proximal Occlusion test in Section 5 3 10 N Note If performing this section as a standalone test insert the test cassette prepared in Section 5 3 2 2 select Line A and enter a rate of 400 mL hr and a VTBI of 50 mL Go to Step 4 Insert the proximal test cassette into the infuser and close the cassette door Ifa NEW PATIENT or CLEAR SETTINGS message appears press NO Make a note of the Volume Infused Vol Inf mL displayed on the Main Delivery screen for Line A You will need this value for Step 6 Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES Verify that fluid is pumping the message PUMPING is displayed in the Line A status bar and the LED above Line A flashes Before 1 mL of fluid is delivered verify that pumping stops the alarm sounds and the N232 PROX AIR A B
44. the Switch PWA from being exposed to fluid ingress The required tool for this procedure is the Hospira alignment fixture P N 519 97225 001 The replacement part for this procedure is Tape Gasket To install the gasket tape on the mechanism chassis see Figure 7 26 and proceed as follows 1 Ae QD ol Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Remove the mechanism assembly as described in Section 7 2 12 6 Clean and dry the location on the mechanism chassis surface where the gasket tape will be installed Place the alignment fixture on the mechanism chassis Remove the small liner from the gasket tape 7 Hold the alignment fixture in place and align the two edges of the gasket tape against 9 the fixture then partially attach the gasket tape to the chassis Remove the fixture from the chassis remove the large liner from the gasket tape and attach the gasket tape Ensure the gasket tape is secure and that it does not protrude beyond the chassis Reinstall the mechanism To verify successful mechanism chassis gasket tape installation perform the PVT in Section 5 3 ALIGNMENT FIXTURE GASKET ALIGNMENT GASKET TAPE LOCATION Figure 7 26 Installing the Mechanism Chassis Gasket Tape Plum A Infusion System 7 38 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 7 2 12 8 CASSETTE DOOR AND FLUID SHIELD REPLA
45. the fluid shield assembly in place may A unseat the regulator closer which may result in unrestricted flow Do not attempt to fix the fluid shield tab Replace the entire fluid shield assembly NORMAL Figure 7 27 Fluid Shield Tab 14 Align the mechanism assembly pins then install the replacement fluid shield in the exact reverse order of removal CAUTION Ifthe fluid shield assembly is misaligned snapping the fluid shield assembly in place may unseat the regulator closer which may result in unrestricted flow CAUTION Use extreme caution when aligning the mechanism assembly pins and installing the replacement fluid shield 15 Ensure that the fluid shield tab is aligned during installation of the fluid shield assembly Figure 7 28 shows the fluid shield tab that can be seen before the fluid shield is fully seated left and once the assembly is seated right Plum A Infusion System 7 40 Technical Service Manual 7 2 REPLACEMENT PROCEDURES Figure 7 28 Normal Fluid Shield Tab Before and After Assembly is Seated 16 Once the fluid shield assembly is installed the aligned fluid shield tab is visible from the open corner of the mechanism assembly see Figure 7 29 Continue replacement of the cassette door 17 Ifthe fluid shield tab is not visible from the open corner of the mechanism assembly or if the fluid shield tab appears bent see Figure 7 29 then the fluid shield tab may be bent or damaged and the regulat
46. 0 Plum A Infusion System 7 2 REPLACEMENT PROCEDURES 727 PERIPHERAL ASSEMBLY COMPONENT REPLACEMENT Peripheral assembly component replacement includes the replacement of the volume control knob and peripheral cover To replace peripheral assembly components see Figure 7 6 and proceed as described in the following sections VOLUME CONTROL KNOB CAP KNOB NUT COVER 4 40 HEX NUT 2 4 40 x 3 8 PAN HEAD SCREW 2 WITH WASHER PERIPHERAL PWA RECTANGLE SEAL NURSE CALL JACK NUT et DATAPORT CONNECTOR X COVER E NYLON SCREW 2 NYLON WASHER 2 OUND SEAL 2 PERIPHERAL COVER Figure 7 6 Peripheral Assembly Components Technical Service Manual 7 11 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 7 1 VOLUME CONTROL KNOB REPLACEMENT Recommended tools for this procedure are an X acto knife a medium size flat blade screwdriver and long needle nose pliers The replacement parts for this procedure are Assembly Volume Control Knob Cover Knob Cover Nut Spacer Nylon To replace the volume control knob see Figure 7 4 and Figure 7 6 and proceed as follows 1 Ae QD Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Remove the peripheral assembly as described in Section 7 2 6 Using the X acto knife lift the volume control knob end cap away from the knob
47. 01 or equivalent e Digital Pressure Meter DPM O to 50 psi Fluke Biomedical DPM3 or equivalent e Safety Analyzer Fluke Biomedical LT544DLite or equivalent e Digital Multimeter DMM Fluke 187 or equivalent e X Acto knife or equivalent e Permanent marker any brand Disposable equipment used during testing should be replaced on the following schedule e Primary IV PlumSets must be destroyed and discarded at the end of each business day e Run in cassettes and secondary IV sets must be destroyed and discarded quarterly unless there are signs of leakage wear or damage Run in cassettes and secondary IV sets should be labeled and dated as appropriate prior to use 5 3 2 TEST SETUPS The following sections describe the test setups required to complete the PVT including a single Basic Test Setup that can be used for most tests in the PVT a Proximal Air in Line Test Setup that is used only for the Proximal Air in Line test a Distal Air in Line Test Setup that is used only for the Distal Air in Line test and a Distal Occlusion Test Setup which is a modification of the Basic test setup Plum A Infusion System 5 24 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST 5 3 2 1 BASIC TEST SETUP The Basic test setup consists of primed primary and secondary lines attached to fluid bags The cassette is inserted into the infuser and the distal patient end of the tubing is placed in a collection container The
48. 1 of 1 Plum A Infusion System SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 14 Technical Service Manual HOSPIRA INC Figure 9 6 ssis Assembly Main Cha Sheet 1 of 2 DRAWING NO NOT APPLICABLE Plum A Infusion System Technical Service Manual SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 16 Technical Service Manual D f X A 77 I ke 4 S G 7i N A DN SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 18 Technical Service Manual SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 20 Technical Service Manual SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 22 Technical Service Manual va XI CZ J N I YYY ARS PNS 4 M Ve LU A v 4 i RIG RGT SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 24 Technical Service Manual APPENDIX USE OF THE INFUSION SYSTEM IN ELECTROMAGNETIC ENVIRONMENTS EN 2 The Plum A infusion system is intended for use in the electromagnetic environment specified in Table A 1
49. 2 5 Pad Door Section 7 2 4 Door Battery Section 7 2 4 Gasket Battery Door Section 7 2 4 Splashguard Plum A Infusion System 9 2 Section 7 2 12 5 Technical Service Manual Index Number Table 9 2 IPB for the Infuser Nomenclature Assembly Minipole A Hanger Bag B Housing Clutch C Clip Hairpin D Spring Clutch Replacement Procedure Section 7 2 11 Strap Velcro Section 7 2 5 Retainer AC Power Cord Section 7 2 5 Cordset AC Power Detachable Section 7 2 5 Terminal Equipotential Section 7 2 5 Gasket Handle Section 7 2 10 3 Gasket Shoe Section 7 2 9 1 Insulator CPU Section 7 2 12 4 Gasket Front Rear Enclosure Section 7 2 9 2 Gasket Rear Enclosure Section 7 2 10 3 Assembly Cable CPU Driver Section 7 2 12 4 Assembly Cable Power Supply Battery Section 7 2 12 1 Assembly Cable Motor Power Section 7 2 12 1 Assembly Volume Control Knob Section 7 2 7 1 Cover Knob Section 7 2 7 1 Cap Knob Section 7 2 7 1 Cap Door Pivot Section 7 2 12 8 Bumper Mechanism Section 7 2 12 6 Seal Round Section 7 2 7 2 Seal Rectangle Section 7 2 7 2 Cover DataPort Connector Section 7 2 7 2 Spring Extension Door Section 7 2 12 9 Gasket Fluid Shield 72 in Section 7 2 12 8 Gasket Fluid Shield 1 09 in Se
50. 5 Vpc threshold of U12 The duty cycle of U12 is reduced until the excessive load is removed 4 2 2 2 MAIN REGULATOR FAULT DETECTION If the switching regulator s main loop fails the secondary voltage limit loop takes over However the battery charger and motors must be disabled and an alarm must be generated A comparator is used to monitor the raw DC BUSS for overvoltage A 3 3 Vpc logic signal OVRVLT is provided to the CPU subsystem 4 2 2 3 SYSTEM POWER Along with the unregulated VMOT supply a secondary switching regulator provides system power The secondary switching regulator includes IC U4 transformer T1 and transistors Q4 and Q5 The regulator is a triple output wide supply range fly back converter that provides regulated 3 3 Vpc 5 Vpc and 12 Vpc outputs from the five winding transformer T1 The regulator operates over an input range of 4 Vpc to 10 Vpc and provides output current limit as well as voltage overshoot limit Primary feedback is metered through a bias arrangement on transistor Q3 A Schottky rectifier diode CR4 provides feedback in the event of V3 3 or V12_0 failure and transistor Q10 provides feedback in the event of V5_0 failure The positive terminal of the battery provides the raw DC voltage VMOT for the motors and backlight of the display 4 2 2 4 AUXILIARY SUPPLIES The power supply subsystem provides full time 5 Vpc and 2 7 Vpc supplies that are active when battery or AC voltage is present T
51. ACKPRIME message is flashing on the display Open the cassette door and remove the test cassette Technical Service Manual 5 47 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 12 DISTAL AIR IN LINE TEST The Distal Air in Line test uses the Distal Air in Line test setup in Section 5 3 2 3 and the programming from the Proximal Air in Line test in Section 5 3 11 7 5 3 13 N Note If performing this section as a standalone test insert the test cassette prepared in Section 5 3 2 3 select Line A and enter a rate of 400 mL hr and a VTBI of 50 mL Go to Step 4 Insert the distal test cassette into the infuser and close the cassette door Ifa NEW PATIENT or CLEAR SETTINGS message appears press NO Make a note of the Volume Infused Vol Inf mL displayed on the Main Delivery screen for Line A You will need this value for Step 6 Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES Verify that fluid is pumping the message PUMPING is displayed in the Line A status bar and the LED above Line A flashes Before 1 mL of fluid is delivered verify that pumping stops the alarm sounds and the N234 DISTAL AIR message is flashing on the display Note Older versions of the Plum A may display the E234 DISTAL AIR message Open the cassette door and remove the test cassette DISTAL OCCLUSION TEST For the distal oc
52. ALUE softkey select the desired value and press ENTER Repeat this step for each parameter to be changed If there are no other changes press CANCEL BACK and verify the IV PARAMETERS screen is displayed Press BACK to return to the BIOMED SETTINGS screen or turn off the infuser BIOMED SETTINGS Common IV Parameters Continue Rate KVO Deliver Together Concurrent Enable Delay Start Yes Callback Default Yes Select using Change Value Change a re gr Figure 1 4 Common IV Parameters Version 10 3 BIOMED SETTINGS Common IV Parameters Continue Rate KVO Deliver Together Concurrent Enable Delay Standby Yes Callback Default Select using Change Value far ler far Value Back Figure 1 5 Common IV Parameters Version 11 3 or Higher Plum A Infusion System 1 10 Technical Service Manual 1 8 BIOMED SETTINGS 1 8 1 2 DEFAULT UNITS DRUG For default drug settings see the System Operating Manual To review or change Default Units Drug proceed as follows 1 Access the BIOMED SETTINGS screen as described in Section 1 8 2 Access the IV PARAMETERS screen as described in Section 1 8 1 3 Select Default Units Drug and press CHOOSE Verify the DEFAULT UNITS DRUG screen is displayed see Figure 1 6 4 Using the PAGE UP and PAGE DOWN softkeys select the desired drug and press ENTER Verify the DOSE UNITS FOR DRUG screen is displayed see Figure 1 7 5 Use PAGE UP and PAGE DOWN
53. ARM MESSAGES AND ERROR CODES Table 6 3 Error Codes Requiring Technical Service Malfunction Battery disconnected while the infuser is on or battery voltage is too low Possible Cause Connectors not seated properly on battery terminals Conductor caught or pinched in frame and pulled from battery Corrosion on terminals Defective battery cable Defective or worn out battery Corrective Action Check for loose battery connections Check for battery conductors caught in enclosure Check for corrosion on battery terminals Check continuity of battery cable Replace battery see Section 7 2 4 Reset time and date if required see Section 1 8 3 Critical instruction failure Power up CPU register test failed no malfunction message displayed Replace CPU PWA see Section 7 2 12 4 Reset time and date if required see Section 1 8 3 Critical data memory failure Critical data memory failure Replace mechanism assembly see Section 7 2 12 6 Reset time and date if required see Section 1 8 3 Display failure Defective display Replace display assembly see Section 7 2 12 3 Reset time and date if required see Section 1 8 3 Distal air sensor failure 1 With the cassette removed the distal air sensor self test detects liquid Distal air sensor failure 2 With the cassette inserted the distal air sensor self test detects sensor out of range Distal pressure
54. ASS FAIL Distal Occlusion Test PASS FAIL Delivery Accuracy Test PASS FAIL Nurse Call Test PASS FAIL Electrical Safety Test PASS FAIL YES NO TECHNICIAN INFUSER Signature Model Date 77 Serial Number Plum A Infusion System 5 22 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST 5 3 PERFORMANCE VERIFICATION TEST The Performance Verification Test PVT consists of the tests described in this Section Use the PVT for the following e Preventive maintenance Perform the PVT at least once every 12 months as part of Preventive Maintenance which also includes the visual inspections in Section 5 2 This ensures that the infusion system is operating properly If an infuser fails any part of the test troubleshoot using the instructions in Section 6 e Troubleshooting For diagnostic purposes during troubleshooting perform the PVT as directed in Section 6 e Performance verification Before placing an infuser back in service after repair perform the PVT as directed in Section 7 WARNING A PATIENT SHOULD NEVER BE CONNECTED TO THE INFUSER DURING DEVICE TESTING For preventive maintenance and performance verification the following sequence is suggested When necessary individual tests may be performed out of sequence 1 Section 5 3 3 Self Test Section 5 3 4 Cassette Alarm Test Section 5 3 5 Unrestricted Flow Test
55. After the pumping chamber is filled the inlet and outlet valves are reversed the A and B valves are closed and the cycle repeats The cassette contains two chambers an upper air trap chamber and a pumping chamber The two chambers are separated by an inlet valve and operate together to detect air The air trap chamber receives fluid from the intravenous IV container through either the A or B valve The air trap chamber collects air bubbles from the IV line and container to prevent them from entering the pumping chamber and can collect a substantial amount of air A proximal air in line sensor bubble detector is located between the A B valves and the upper air trap chamber The proximal air in line sensor detects air entering the upper air trap chamber and initiates an audible alarm if the predetermined air collection threshold is exceeded Similarly a second air in line sensor located distal to the pumping chamber initiates an audible alarm if a predetermined amount of air is detected Plum A Infusion System 4 26 Technical Service Manual 4 5 MECHANICAL OVERVIEW The pumping chamber receives fluid from the upper air trap chamber through an inlet valve A pressure sensor located in the upper air trap chamber monitors pressure on the proximal side of the cassette When the diaphragm covering the pumping chamber is deflected by the plunger the pumping chamber expels fluid through an outlet valve A pressure sensor located distal to the pumpi
56. Basic test setup is shown in Figure 5 18 O DQ DRIP CHAMBER i cance Figure 5 18 Basic Test Setup The following tests can be performed using one Basic test setup Not all tests will use every part of the setup Section 5 3 3 Self Test Section 5 3 5 Unrestricted Flow Test Section 5 3 6 Display Test Section 5 3 7 Keypad Verification Functional Test Section 5 3 8 Alarm Loudness Test Section 5 3 9 Keypad Lockout Switch Test Section 5 3 10 Proximal Occlusion Test Section 5 3 13 Distal Occlusion Test Section 5 3 14 Delivery Accuracy Test Technical Service Manual 5 25 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 2 1 1 Equipment Required for This Setup The Basic test setup uses the following equipment from the list in Section 5 3 1 e Two IV Bags or glass IV containers containing sterile or tap water e IV pole or IV stand Primary IV PlumSet e Secondary IV Set e Collection container For the Delivery Accuracy Test in Section 5 3 14 add the 18 gauge blunt cannula and the graduated cylinder For the Nurse Call Test in Section 5 3 15 add the nurse call test cable The setup for the Distal Occlusion test in Se
57. CEMENT A WARNING UNRESTRICTED FLOW MAY BE LIFE THREATENING CAUTION To ensure that the fluid shield tab does not obstruct or unseat the regulator closer the fluid shield tab must be visually inspected If the fluid shield tab is bent contact Hospira for a fluid shield assembly replacement Recommended tools for this procedure are a medium size flat blade screwdriver and long needle nose pliers Replacement parts for this procedure are Assembly Cassette Door Assembly Fluid Shield Cap Door Pivot Gasket 72 in Gasket 1 09 in Spring Extension Screw 4 40 x 3 8 Hex Head Slotted with Washer To replace a cassette door and fluid shield see Figure 7 30 and Figure 7 31 then proceed as follows 1 2 3 Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 6 Remove the mechanism assembly as described in Section 7 2 12 6 5 Using the flat blade screwdriver remove the screw that secures the door pivot cap 10 11 to the mechanism assembly Disengage the cassette door from the opener handle assembly and remove the door Disengage the clips on the back side of the fluid shield that retain the upper portion of the fluid shield to the mechanism assembly Lift the locking pins to release the fluid shield driver flex connector and disconnect t
58. Cable Routed Through Main Chassis CPU Drive Cable Routed Through Main Chassis Female Cable Connector on the CPU Driver Cable Male Receptacle Header Socket on the CPU PWA Board 565 Female Cable Connector on the CPU Driver Cable Connected to the Male Receptacle Header Socket on the CPU PWA Side View of the CPU Driver Cable Female Connector Firmly Seated and Locked to the CPU PWA Male Connector 0 cece eee e cence J11 Connector on the Infusion Mechanism Driver PWA CPU Driver Cable Connected to the Infusion Mechanism Driver PWA CPU Driver Cable and Infusion Mechanism in Main Chassis Power Cable Routed Toward Infusion Mechanism 0 0 eee eee Power Cable Battery Cable and Spiral Wrap 0 ce cee eee eens CPU PWA Replacement 0 ccc cece cece ee ce eee teen eee ee eens Mechanism Assembly Replacement cece cee ee cece c cere ceeees Installing the Mechanism Chassis Gasket Tape 0 0 cc eec cece ees Fluid Shield Tab sanse esta TA Normal Fluid Shield Tab Before and After Assembly is Seated Close up Views of Normal left and Bent right Fluid Shield Tab Fluid Shield Replacement 0 ccc ce cee cece cee ee tere eee eee Cassette Door and Opener Handle Replacement 000 eee eeees Technical Service Manual Figure 9 1 Figure 9 2 Figure 9 3 Figure 9 4 Figure 9 5 Figure 9 6 Figure 9 7 Figu
59. Capped Secondary Port ccc cc ccc cee eee cere eee e eee e ee eees 5 32 Figure 5 36 Complete Basic Test Setup 0 cc cece cece eee ee reece eee e eens 5 33 Technical Service Manual vii Plum A Infusion System CONTENTS Figure 5 37 Figure 5 38 Figure 5 39 Figure 5 40 Figure 5 41 Figure 5 42 Figure 5 43 Figure 5 44 Figure 5 45 Figure 5 46 Figure 5 47 Figure 5 48 Figure 5 49 Figure 5 50 Figure 5 51 Figure 5 52 Figure 5 53 Figure 5 54 Figure 5 55 Figure 5 56 Figure 6 1 Figure 7 1 Figure 7 2 Figure 7 3 Figure 7 4 Figure 7 5 Figure 7 6 Figure 7 7 Figure 7 8 Figure 7 9 Figure 7 10 Figure 7 11 Figure 7 12 Figure 7 13 Figure 7 14 Figure 7 15 Figure 7 16 Figure 7 17 Figure 7 18 Figure 7 19 Figure 7 20 Figure 7 21 Figure 7 22 Figure 7 23 Figure 7 24 Figure 7 25 Figure 7 26 Figure 7 27 Figure 7 28 Figure 7 29 Figure 7 30 Figure 7 31 Plum A Infusion System viii Preparing the Proximal Run In Cassette Preparing the Distal Run In Cassette Parts of a Run In Cassette Pulling Out the Flow Regulator 2 0 0 ccc cee cece eee cee ee ee eee eee Pressing the Pumping Chamber ccc cece cece cece e eee ec eeees Preventing Air from Returning to the Pumping Chamber Distal Occlusion Test Setup cc ccc cece cece eee ee eee eee eeeeees Three Way Stopcock Ports cc ccc cece cece e cere rece eee eeees Attaching the Three Way Stopcock to the DPM Securin
60. Cassette for the Proximal Air in Line Test 1 Using the X Acto knife remove the proximal bubble sensor bulb tips as shown in Figure 5 37 Keep the knife parallel with the plastic to avoid cutting too far into the sensor bulb which may cause leakage Figure 5 37 Preparing the Proximal Run In Cassette 2 Using the permanent marker write Proximal and the date on the drip chamber 3 Follow the instructions for priming a run in cassette assembly in Section 5 3 2 4 Plum A Infusion System 5 34 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST 5 3 2 3 DISTAL AIR IN LINE TEST SETUP This section describes the steps for the Distal Air in Line test setup including modifying a run in cassette priming it and loading the cassette into the infuser This setup is used for the Distal Air in Line test in Section 5 3 12 5 3 2 3 1 Equipment Required for the Distal Air in Line Test Setup e Run in Cassette e Sterile or tap water e X Acto knife or equivalent e Permanent marker 53 232 Preparing the Run in Cassette for the Distal Air in Line Test 1 Using the X Acto knife remove the distal bubble sensor bulb tips as shown in Figure 5 38 Keep the knife parallel with the plastic to avoid cutting too far into the sensor bulb which may cause leakage Figure 5 38 Preparing the Distal Run In Cassette 2 Using the permanent marker write Distal and the date on the drip chamber
61. EAD SCREW 2 6 32 x 1 2 PAN HEAD SCREW lt gt HI a eae PAN HEAD SCREW 6 LOCK WASHER 4 PERIPHERAL ASSEMBLY REAR ENCLOSURE POWER SUPPLY PWA MAIN CHASS FRONT ENCLOSURE ASSEMBLY IS Figure 7 7 Separating the Front Enclosure Main Chassis and Rear Enclosure Technical Service Manual 7 15 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 9 FRONT ENCLOSURE REAR ENCLOSURE OR MAIN CHASSIS REPLACEMENT Recommended tools for this procedure are a 2 Phillips screwdriver medium size flat blade screwdriver and 3 16 nutdriver The replacement parts for this procedure are Enclosure Front Enclosure Rear Assembly Main Chassis Shoe Front Enclosure Screw 6 32 x 1 2 Pan Head Phillips Screw 6 32 x 2 1 2 Pan Head Phillips Screw 6 32 x 3 1 4 Pan Head Phillips Washer Lock Helical 6 Note Older versions of the Plum A include a separate shoe that attaches to the front enclosure To replace the front enclosure rear enclosure or main chassis see Figure 7 7 then proceed as follows i 2 3 9 Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 8 To replace the front enclosure remove the gaskets described in Section 7 2 9 1 and Section 7 2 9 2 To replace the rear enclosure
62. Flat 128 Dia Nylon As applicable Washer Lock Split 4 As applicable Washer Lock Helical 6 As applicable Gasket Tape Plum A Infusion System 9 4 Section 7 2 12 7 Technical Service Manual j 290 Q Q Sy ap gt es HOSPIRA INC D D w Figure 9 1 Illustrated Parts Breakdown DRAWING NO Rev MA NOT APPLICABLE Technical Service Manual 9 5 Plum A Infusion System SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 6 Technical Service Manual System Plum A Infusion Technical Service Manual SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 8 Technical Service Manual Plum A Infusion System Technical Service Manual SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 10 Technical Service Manual SECTION 9 DRAWINGS This page intentionally left blank Plum A Infusion System 9 12 Technical Service Manual Technical Service Manual HOSPIRA INC Figure 9 5 Peripheral Assembly DRAWING NO NOT APPLICABLE Rev N A Sheet
63. N START 1 2 3 A SOFT KEYS 2D 4 5 6 KEYPAD DOY CHARGE ve LINE INDICATOR Figure 1 1 Display and Keypad Technical Service Manual 1 7 Plum A Infusion System SECTION 1 INTRODUCTION 1 8 BIOMED SETTINGS The BIOMED SETTINGS screens contain the following options that can be changed or reviewed by qualified personnel IV Parameters Alarms Log Set Time and Date All infusers new or refurbished are shipped with factory settings see Table 1 2 Upon entry to Biomed mode any drug library waiting for installation will be installed and the infuser will power off at completion Biomed screens do not time out for the Infuser Idle alarm or No Action alarm The battery will not be detected in Biomed mode To access Biomed settings proceed as follows 1 Open the door and turn on the device The infusion system will perform a self test 2 After the self test is complete the message INSERT PLUM SET CLOSE LEVER appears 3 Press the decimal key then START and verify the BIOMED SETTINGS screen is displayed see Figure 1 2 AS Note The BIOMED SETTINGS screen will display CHANGE BATTERY on Plum A software versions 11 4 and higher CHANGE BATTERY does not appear on versions 11 3 and lower Table 1 2 System Configuration Data Options Range Factory Setting Maximum macro IV mode delivery rate 0 1 99 9 mL hr and 100 999 mL hr 999 mL hr Macro Distal Occlusion alarm 1 to 15 psi 6 psi
64. NANCE AND SERVICE TESTS 5 1 CLEANING AND SANITIZING 5 2 PREVENTIVE MAINTENANCE 5 2 1 LABELS INSPECTION 522 AC POWER CORD RETAINER AND VELCRO STRAP INSPECTION 5 2 3 FRONT ENCLOSURE REAR ENCLOSURE CASSETTE DOOR AND DOOR LEVER INSPECTION AND TEST 5 2 4 DOOR ROLLER INSPECTION AND TEST 5 2 5 FLUID SHIELD INSPECTION 5 2 6 DISTAL PRESSURE PIN INSPECTION 5 2 7 PROXIMAL PRESSURE PIN INSPECTION 5 2 8 RUBBER FOOT PAD INSPECTION 5 2 9 POLE CLAMP INSPECTION AND TEST 5 2 10 BATTERY INSPECTION AND REPLACEMENT 5 2 11 KEYPAD INSPECTION 5 2 12 DISPLAY AND INDICATORS INSPECTION 4 10 4 12 4 12 4 13 4 13 4 13 4 13 4 14 4 14 4 15 4 15 4 16 4 16 4 17 4 18 4 19 4 20 4 22 4 22 4 22 4 22 4 22 4 23 4 23 4 24 4 25 4 25 4 25 4 25 4 26 4 26 4 26 4 28 4 28 4 29 4 29 4 29 5 1 5 1 5 4 5 6 Plum A Infusion System iv Technical Service Manual CONTENTS 5 2 13 KEYPAD LOCKOUT SWITCH INSPECTION 5 20 5 2 14 PREVENTIVE MAINTENANCE CHECKLIST 5 22 5 3 PERFORMANCE VERIFICATION TEST 5 23 5 3 1 PVT EQUIPMENT LIST 5 24 5 3 2 TESTSETUPS 5 24 5 3 21 BASICTESTSETUP 5 25 53 22 PROXIMAL AIR IN LINE TEST SETUP 5 34 5 3 2 3 DISTAL AIR IN LINE TEST SETUP 5 35 5 3 2 4 PRIMING A RUN IN CASSETTE ASSEMBLY 5 36 5 3 2 5 DISTAL OCCLUSION TEST SETUP 5 39 5 3 3 SELFTEST 5 42 5 34 CASSETTE ALARM TEST 5 42 5 3 5 UNRESTRICTED FLOW TEST 5 43 5 3 6 DISPLAY TEST
65. NG ASSEMBLIES The power supply PWA is a four layer board with primarily surface mount technology SMT components The board is fully testable from the bottom side Insulating tape covers the back of the power supply PWA Open system troubleshooting should be done under battery power If connection to the AC line is required an isolation transformer should be used since AC line potentials are present on the power supply PWA See Table 4 5 for power supply PWA interface connections Table 4 5 Power Supply PWA Interface Connections Connector Type Interface 30 pin receptacle Board to board connection to CPU PWA 4 pin header Motor power connection to driver PWA 3 pin receptacle AC power cord connection 2 pin header Battery cable connection 4 3 2 PERIPHERAL PWA The peripheral PWA contains part of the CPU subsystem circuitry including system program and data memories PROM and SRAM external communication interface circuits and rear instrument user controls The peripheral PWA is designed to be field replaceable to facilitate software upgrades or additional external interfaces The peripheral PWA is a four layer board with the following one ground plane one power plane and two signal layers In its initial configuration all of the components are mounted on the top side See Table 4 6 for peripheral PWA interface connections Table 4 6 Peripheral PWA Interface Connections Connector Type Interface 96 pin
66. PERFORMANCE VERIFICATION TEST 3 Insert the distal tubing on the Basic test setup into a female port on the three way stopcock and turn the Option Lok connector clockwise to secure the tubing to the port see Figure 5 46 Figure 5 46 Securing the Distal Tubing to the Three Way Stopcock 4 Place the DPM connector at a height of 0 12 inches from the midline of the pumping chamber on the cassette see Figure 5 47 UNIVERSAL PRESSUREMETER UNIVERSAL PRESSUREMETER 66 Figure 5 47 DPM Connector Height Technical Service Manual 5 41 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 3 SELF TEST The self test procedure uses the Basic test setup in Section 5 3 2 1 CAUTION Do not place the infuser in service if the self test fails To perform the self test l 7 Plug the power cord into a grounded AC outlet Verify that the charge line indicator is lit and an alarm sounds Without a cassette installed press ON OFF to turn on the infuser The LCD screen briefly displays the SELF TEST screen Note Ifthe SELF TEST screen does not appear contact Hospira If MedNet is installed an Area Selection or CCA Selection scree
67. PUMPING is displayed in the Line A status bar and the LED above Line A flashes 14 Set the three way stopcock to measure pressure by positioning the control arm over the open port see Figure 5 51 As the infuser pumps pressure will build up on the distal line OPEN PORT ON STOPCOCK gt CONTROL ARM A DISTAL TUBING pt DPM CONNECTOR Figure 5 51 Positioning the Control Arm to Measure Pressure 15 Verify that the distal occlusion audible alarm occurs at 6 psi 3 psi on the DPM Confirm that the DISTAL OCCLUSION message is flashing on the screen Technical Service Manual 5 49 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 16 Open the three way stopcock to air by positioning the control arm over the distal tubing see Figure 5 52 This releases the pressure that was built up during the test a s 3 FB OT TAN CONTROL ARM gt J sa DISTAL TUBING y KL DPM CONNECTOR Figure 5 52 Opening the Three Way Stopcock to Air 17 Position the control arm of the three way stopcock over the DPM connector see Figure 5 53 CONTROL ARM DISTAL TUBING SM i II Wan DPM CONNECTOR Figure 5 53 Positioning the Control Arm Over the DPM Connector 18 Open and close the cassette door to
68. PWA indicates the front panel keypad is locked A memory mapped input port LOTSW reads the switch The switch serves as a lockout request and software performs the lockout Technical Service Manual 4 7 Plum A Infusion System SECTION 4 THEORY OF OPERATION 4 2 1 17 NURSE CALL INTERFACE A nurse call relay switch on the peripheral interface PWA indicates alarm conditions to a remote operator A memory mapped output signal NURSE activates the relay during alarm conditions The relay has both normally open and normally closed contacts Ajumper on the peripheral interface board selects the contact type The factory setting is normally open 4 2 1 18 AUDIBLE INDICATORS There are two audible indicators on the CPU subsystem A loud main audible indicator is mounted on the main chassis This main alarm is used to alert the operator to alarm conditions A keypad beeper with lower power and a distinctly different tone is used to provide audible feedback to the operator The keypad beeper is driven by a memory mapped output KEYALM It is used to indicate keypad activation and confirmation to the operator The main alarm has an adjustable volume control on the peripheral PWA mounted on the rear of the device The main alarm can be activated by either a memory mapped control MAINALM the reset pulse s or by a power failure alarm latch The main alarm will sound a chirp for every reset pulse sent by the watchdog timer IC Continuous chirpi
69. RFACE 4 2 1 21 POWER SUPPLY INTERFACE Technical Service Manual iii 1 1 1 1 1 2 1 3 1 5 1 5 1 6 1 6 1 8 1 9 1 10 1 11 1 13 1 14 1 15 3 1 4 1 4 1 4 2 4 2 4 2 4 2 4 3 4 3 4 3 4 3 4 4 4 4 4 4 4 5 4 5 4 7 4 7 4 7 4 7 4 7 4 8 4 8 4 8 4 8 4 9 Plum A Infusion System CONTENTS 4 2 1 22 MECHANISM INTERFACE 4 2 2 POWER SUPPLY SUBSYSTEM 4 2 2 1 MAIN SWITCHING REGULATOR sa aha 4 2 2 2 MAIN REGULATOR FAULT DETECTION 4 2 2 3 SYSTEM POWER 4 2 2 4 AUXILIARY SUPPLIES 4 2 2 5 POWERCONTROL 4 2 2 6 BATTERY VOLTAGE MEASUREMENT EE 4 2 2 7 BATTERY CHARGE DISCHARGE CURRENT MEASUREMENT 4 2 2 8 BATTERY CHARGER 4 2 2 9 BATTERY 423 MECHANISM SUBSYSTEM ae 42 31 MOTORS MOTOR DRIVE pr 4 2 3 2 MOTOR POSITION SENSORS 4 2 3 3 V2_5 REFERENCE VOLTAGE 4 2 3 4 AIRSENSORS 4 2 3 5 PRESSURE SENSORS 4 2 3 6 PRESSURE SENSOR CALIBRATION 4 2 3 7 CASSETTE PRESENCE SELECTION 4 2 3 8 SERIAL EEPROM 4 3 PRINTED WIRING ASSEMBLIES 4 3 1 POWER SUPPLY PWA 4 3 2 PERIPHERAL PWA 433 CPUPWA 43 4 DRIVERPWA 4 3 5 SWITCH PWA 4 3 6 APPPWA 44 REMOTE MOUNTED PERIPHERALS 441 LCD 442 BARCODE READER WAND 45 MECHANICAL OVERVIEW 4 5 1 CASSETTE 452 MECHANISM ASSEMBLY be foe s 4 5 2 1 MOTOR AND VALVE ASSEMBLIES 4 5 2 2 A B VALVE SUBSYSTEM 4 5 2 3 INLET OUTLET VALVE SUBSYSTEM 4 5 2 4 PLUNGER DRIVE SUBSYSTEM Section 5 MAINTE
70. RONT ENCLOSURE REAR ENCLOSURE OR MAIN CHASSIS REPLACEMENT 7 16 7 2 9 1 SHOE GASKET REPLACEMENT 7 17 7 2 9 2 FRONT REAR ENCLOSURE GASKET REPLACEMENT 7 17 7 2 10 REAR ENCLOSURE COMPONENT REPLACEMENT 7 19 7 2 10 1 POLE CLAMP EXTRUSION AND BACKING PLATE REPLACEMENT 7 20 7 2 10 2 POLE CLAMP SHAFT KNOB ASSEMBLY AND SHAFT TIP REPLACEMENT 7 21 7 2 103 REAR ENCLOSURE GASKET AND HANDLE GASKET REPLACEMENT 7 22 7 2 11 MINIPOLE ASSEMBLY REPLACEMENT eb 7 22 7 2 12 MAIN CHASSIS ASSEMBLY COMPONENT REPLACEMENT 7 24 7 2 12 1 POWER SUPPLY PWA REPLACEMENT 7 25 7 2 12 2 KEYPAD AND GROUND GASKET REPLACEMENT 7 26 7 2 12 3 DISPLAY REPLACEMENT 7 27 7 2 12 4 CPU PWA REPLACEMENT 7 29 7 2 12 PIEZO ALARM REPLACEMENT 7 35 7 2 12 6 MECHANISM ASSEMBLY REPLACEMENT BL 7 36 7 2 12 7 MECHANISM CHASSIS GASKET TAPE INSTALLATION 7 38 7 2 12 88 CASSETTE DOOR AND FLUID SHIELD REPLACEMENT 7 39 7 2 12 9 OPENER HANDLE ASSEMBLY REPLACEMENT 7 44 Section 8 SPECIFICATIONS 8 1 Section 9 DRAWINGS 9 1 APPENDIX A 1 Plum A Infusion System vi Technical Service Manual CONTENTS FIGURES Figure 1 1 Display and Keypad ccc cece cee ce cee cece reece cere eee e ee eeeee 1 7 Figure 1 2 Biomed Settings seirer enn ee eek sees hed sie Reese STE 1 9 Figure 1 3 IV Parameters sieve scs ciey 5s ne Geo 05 cae e oils a6 i506 te sakke knea SEN wile ose 1 9 Figure 1 4 Common IV Parameters Version 10 3 c
71. Reset time and date if required see Section 1 8 3 Audio alarm failure Piezo is off but sensed on Turn power off then on to reset or the infuser Piezo is on but sensed off Replace piezo alarm see Section 7 2 12 5 Replace CPU PWA see Section 7 2 12 4 Reset time and date if required see Section 1 8 3 Backlight failure Backlight CCFT tube is not Turn power off then on to reset at the expected range the infuser Replace display assembly see Section 7 2 12 3 Reset time and date if required see Section 1 8 3 Battery charge Current limiting circuitry in power Replace power supply PWA discharge current supply board has failed see Section 7 2 12 1 out ot range Other hardware failure causing Replace CPU PWA excessive current draw see Section 7 2 12 4 Replace mechanism assembly see Section 7 2 12 6 Reset time and date if required see Section 1 8 3 Technical Service Manual 6 7 Plum A Infusion System SECTION 6 TROUBLESHOOTING Table 6 3 Error Codes Requiring Technical Service Error Code Malfunction Possible Cause E321 Failure of charging Defective or worn out battery current to drop below end of charge current threshold within eight hours of charging or below one ampere within six hours of charging E322 Battery current Defective charge current calibration value measurement circuitry out of range E323 Battery trickle Defective or worn out battery charge current S
72. Table A 2 Table A 3 and Table A 4 The user of the infusion system should assure that it is used only in the appropriate environment ELECTROMAGNETIC EMISSIONS Table A 1 details electromagnetic emissions compliance and guidance Table A 1 Guidance and Manufacturer s Declaration Electromagnetic Emissions Emissions Test Compliance Electromagnetic Enforcement Guidance RF Emissions Class B The infuser is suitable for use in all establishments CISPR11 including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic Emissions Class B IEC 61000 3 2 Voltage Fluctuations Complies Flicker Emissions IEC 61000 3 3 Technical Service Manual A 1 Plum A Infusion System APPENDIX ELECTROMAGNETIC IMMUNITY Table A 2 details guidance for the electromagnetic environment Immunity Test Electrostatic Discharge ESD IEC 61000 4 2 Table A 2 Guidance and Manufacturer s Declaration Electromagnetic Immunity IEC 60601 Test Level 6 kV Contact 8 kV Air Compliance Level 8 kV Contact 15 kV Air Electromagnetic Environment Guidance Floors should be wood concrete or ceramic tile If floors are covered with synthetic material relative humidity should be at least 30 Electrical Fast Transient Burst 2 kV for power supply lines 1 kV for input output lines 2 kV fo
73. Velcro Strap cece eee cece cree e reece 5 6 Figure 5 3 Front Enclosure Rear Enclosure Cassette Door and Door Lever 5 8 Figure 5 4 Door Roller Inspection 0c cc cece eee cee cece eect cece ee eeeees 5 9 Figure 5 5 Releasing the Cassette Door cc ccc ccc ccc ccc e rece eee e teen ees 5 10 Figure 5 6 Inspecting the Fluid Shield with Feeler Gauge 0c cece cece ees 5 10 Figure 5 7 Mechanism Valve Pins and Cassette Presence Detector 020005 5 11 Figure 5 8 Distal Pressure Pin 2 0 0 cece ccc cc ccc ce cee ee ee eee eee ee teens 5 12 Figure 5 9 Proximal Pressure Pin 0 cece cc cece cee cere recent ee eens 5 13 Figure 5 10 Rubber Foot Pads ccc ccc cc cc ccc ce cece cere reece eee esas 5 14 Figure 5 11 Pole Clamp and Extrusion 0 cc cece cece cece rece eee ee ee eeees 5 15 Figure 5 12 Pole Clamp Assembly cc cece cece cree cece reece eee ee ee eeees 5 15 Figure 5 13 Battery DOO bs esi erie eG aie ape seede whe Oe Wiens Sin arose eae ge eine oie 5 17 Figure 5 14 Removing the Battery 0 cece ccc cece ce cee eee rece eee ee tenes 5 17 Figure 5 15 Keypadnusesssdd sel Gr see 5 18 Figure 5 16 Display and Indicators svuvuvneununnenenennnnenuenenenenenenenenee 5 20 Figure 5 17 Keypad Lockout Switch 2 0 0 0 0 ccc ccc ccc cece cere reece eee teenies 5 21 Figure 5 18 Basic Test SetuP iss axe sk 6550s stave ness dess ske ee seins 64 608
74. ZARD EXISTS IF THE INFUSION SYSTEM IS USED IN THE PRESENCE OF FLAMMABLE SUBSTANCES CAUTION Federal USA law restricts this infuser to sale by or on the order of a physician or other licensed practitioner Class 1 tt vi Type CF Cc US UL 60601 1 CSA 601 1 MCN 160992 Technical Service Manual Caution or P Attention consult accompanying documents Mains supply equipment using protective earth Fragile Handle with Care This Way Up EN 2 Keep dry Protection against vertically falling water drops Temperature limitation Compliant to IEC EN 60601 1 2 2001 Per IEC 60601 1 F Type Applied Part complying with the highest degree of protection against electronic shock Type CF Applied Parts are those parts suitable for direct cardiac application The C and US indicators adjacent to the CSA Mark signify that the product has been evaluated to the applicable CSA and ANSI UL Standards for use in Canada and the U S respectively This US indicator includes products eligible to bear the NRTL indicator NRTL National Recognized Testing Laboratory is a designation granted by the U S Occupational Safety and Health Administration OSHA to laboratories which have been recognized to perform certification to U S Standards 430 95150 013 END
75. ad flat pack Volt Volts AC Collector supply voltage Voltage controlled oscillator Volts DC 5 Voc supply circuitry Voltage sweep oscillator Volume to be infused Watchdog input Technical Service Manual 1 5 USER QUALIFICATION 15 USER QUALIFICATION The infusion system is intended for use at the direction of or under the supervision of licensed physicians or certified healthcare professionals who are trained in the use of the infuser and the administration of parenteral and enteral fluids and drugs and whole blood or red blood cell components Training should emphasize preventing related IV complications including appropriate precautions to prevent accidental infusion of air The epidural route can be used to provide anesthesia or analgesia 1 6 ARTIFACTS Nonhazardous low level electrical potentials are commonly observed when fluids are administered using infusion devices These potentials are well within accepted safety standards but may create artifacts on voltage sensing equipment such as ECG EMG and EEG machines These artifacts vary at a rate that is associated with the infusion rate If the monitoring machine is not operating correctly or has loose or defective connections to its sensing electrodes these artifacts may be accentuated so as to simulate actual physiological signals To determine if the abnormality in the monitoring equipment is caused by the infuser instead of some other source in the environment set th
76. ain better access to the white cap first close all clamps on the primary and secondary lines to avoid spilling fluid when the cap is removed and then lift the lever to open the cassette door see Figure 5 27 Remove and discard the cap attach the secondary line close the cassette door and then open all clamps 8 Arrange the fluid container so that the score mark on the drip chamber is 12 to 24 inches higher than the cassette Note The secondary container does not need to be higher than the primary container for accurate delivery of a piggyback infusion The test setup is complete as shown in Figure 5 36 Figure 5 36 Complete Basic Test Setup Technical Service Manual 5 33 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 2 2 PROXIMAL AIR IN LINE TEST SETUP This section describes the steps for the proximal air in line test setup including modifying a run in cassette priming it and loading the cassette into the infuser This setup is used for the proximal air in line test in Section 5 3 11 5 3 2 2 1 Equipment Required for the Proximal Air in Line Test Setup Run in cassette Sterile or tap water X Acto knife or equivalent Permanent marker 5 3 2 2 2 Preparing the Run in
77. ana TM T INFUSION SYSTEM For use with the following list numbers 11971 11973 12391 60529 Technical Service Manual Hospira Inc 275 North Field Drive Lake Forest IL 60045 USA 430 95150 013 A 2015 03 Hospira This page intentionally left blank Plum A Infusion System Technical Service Manual Part Number 430 95150 012 A 2014 08 430 95150 013 A 2015 03 Technical Service Manual Change History Description of Change Twelfth Issue Update front and back covers table of contents and lists of figures and tables Make various clerical corrections Section 5 Add instruction to Section 5 2 4 Door Roller Inspection and Test Update Section 5 3 5 Unrestricted Flow Test Add new step to Section 5 3 9 Keypad Lockout Switch Test Relocate Figure 5 53 and step in Section 5 3 13 Distal Occlusion Test Section 7 Add replacement procedure including eleven new figures for CPU driver cable assembly to Section 7 2 12 4 CPU PWA Replacement 9 Add new procedure Section 7 2 12 6 1 Enter the serial number Add Note regarding gasket tape in Section 7 2 12 8 Cassette Door and Fluid Shield Replacement Section 8 Update Proximal Occlusion Alarm specification Back Cover Remove All Rights Reserved Remove Printed in USA for consistency with other Plum technical service manuals Thirteenth Issue Section 7 Add Cautions about regulator closer inspection and revise flu
78. are intended for Hospira internal use only and should be included when contacting Hospira 6 4 TROUBLESHOOTING PROCEDURES This section details recommended procedures for problems not associated with malfunction alarms AY Note See Section 6 4 1 for unrestricted flow Before performing any troubleshooting procedure turn the infuser off then on Allow the self test to complete then proceed as follows 1 If a malfunction exists carefully inspect the infuser for damage as described in Section 5 3 2 2 Ifan infuser inspection has not disclosed a malfunction perform the PVT in Section 5 3 See Table 6 4 for section reference probable cause and corrective actions 3 If after completing steps 1 and 2 a malfunction has not been located or if the infuser persistently fails contact Hospira Plum A Infusion System 6 12 Technical Service Manual Test Failure Self Test Section 5 3 3 6 4 TROUBLESHOOTING PROCEDURES Probable Cause Cassette not properly installed Table 6 4 Troubleshooting with the PVT Corrective Action Reseat cassette Defective CPU PWA Replace CPU PWA see Section 7 2 12 4 Cassette Alarm Test Section 5 3 4 Cassette not properly seated Reseat cassette Defective cassette Replace cassette Unrestricted Flow Test Section 5 3 5 Cassette not properly seated Reseat cassette Defective cassette Replace cassette Defective or dirty valve pins
79. are used to emphasize important information as follows WARNING A WARNING CONTAINS SPECIAL SAFETY EMPHASIS AND MUST BE OBSERVED AT ALL TIMES FAILURE TO OBSERVE A WARNING MAY RESULT IN PATIENT INJURY AND BE LIFE THREATENING CAUTION A CAUTION usually appears in front of a procedure or statement It contains information that could prevent hardware failure irreversible damage to equipment or loss of data Note A note highlights information that helps explain a concept or procedure 1 3 COMPONENT DESIGNATORS Components are indicated by alpha numeric designators as follows Battery BT Diode D Resistor R Capacitor Cc Fuse F Switch SW Crystal Y Integrated Circuit U Transistor Q The number following the letter is a unique value for each type of component e g R1 R2 Note Alpha numeric designators may be followed with a dash number that indicates a pin number for that component For example U15 13 is pin 13 of the encoder chip U15 on the interface PWA Plum A Infusion System 1 2 Technical Service Manual 1 4 1 4 ACRONYMS AND ABBREVIATIONS ACRONYMS AND ABBREVIATIONS Acronyms and abbreviations used in this manual are as follows A AC A D ADC APP BCR CCFT CMOS CPU DAC DC DIP DMA DMM DPM ECG EEG EEPROM EMG EMI ESD ETO FPGA FSR hr Hz ID I O IPB IV Kg kHz KVO Ibs Technical Service Manual Ampere Alternating current Analog to digital Analog to digital converter Ai
80. asis only such as emergency backup or temporary portable operation Examples of emergency backup include AC power failure and inadvertent disconnection of the AC power cord An instance of temporary portable operation includes patient transfer from one location to another The device infuser should be connected to AC power whenever possible to allow the battery to remain fully charged The line power indicator turns off when the infuser is operating on battery power After five minutes of operation on battery power the infuser switches its display backlight intensity to a low intensity mode to conserve battery power When the battery discharges below the acceptable level while the infuser is operating the audio indicator is activated and the WARNING LOW BATTERY message displays Although it is not recommended to continue operating the infuser on battery power at this point the battery continues providing power until it is depleted When the battery is depleted delivery stops a continuous alarm tone sounds and after three minutes the infuser automatically turns off When the infuser detects that the battery has reduced capacity it will register a Replace Battery condition For the first two occurrences of a Replace Battery condition the WARNING LOW BATTERY message will appear and the audio indicator will activate The message and audio indicator can be cleared only when the device is plugged in or turned off For the third and subsequent o
81. ccurrences the WARNING REPLACE BATTERY message will appear and the audio indicator will activate and persist over power cycles The message and audio indicator are cleared by replacing the battery accessing the Biomed Settings screen and pressing the CHANGE BATTERY softkey Recharging can occur any time the infuser is connected to AC power It is recommended that the infuser be connected to AC power whenever practical to maximize available battery charge during transport or ambulation The infuser does not have to be on for the battery to recharge Technical Service Manual 4 15 Plum A Infusion System SECTION 4 THEORY OF OPERATION 4 2 3 MECHANISM SUBSYSTEM The mechanism subsystem includes the electronics and electromechanical components that interface with the pumping mechanism The mechanism subsystem provides the following functions Chopper motor drive for three stepper motors plunger L S valve I O valve Four motor position sensors flag detectors Precision voltage reference Two air sensors distal proximal Two pressure sensors distal proximal Cassette presence detection Serial electrically erasable PROM EEPROM See Table 4 4 for mechanism interface signals 4 2 3 1 MOTORS MOTOR DRIVE The infuser uses three stepper motors for pumping one for fluid displacement and two for cassette valve actuation The stepper motors are driven under step by step control from software by a unipolar chop
82. chnical Service Manual 5 11 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 4 To replace the pin if it is damaged or broken contact Hospira UNDAMAGED DISTAL PRESSURE PIN af 9 Figure 5 8 Distal Pressure Pin Plum A Infusion System 5 12 Technical Service Manual 5 2 PREVENTIVE MAINTENANCE 5 2 7 PROXIMAL PRESSURE PIN INSPECTION Visually inspect the proximal pressure pin at least once every 12 months and each time the infuser is serviced Note The proximal pressure pin is the white pin see Figure 5 9 To inspect the proximal pressure pin proceed as follows 1 Place the infuser on a flat stable surface 2 Release the door so that it lays flat Press the door release tab to the right and open the cassette door all the way see Figure 5 5 3 Inspect the pin to determine that it is not damaged or broken 4 To replace the pin if it is damaged or broken contact Hospira pS ge PROXIMAL PRESSURE ae PIN af 9 Figure 5 9 Proximal Pressure Pin Technical Service Manual 5 13 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 2 8 RUBBER FOOT PAD INSPECTION Perform a visual inspection of the rubber foot pads at least once every 12 months Note Some versions of the Plum A do not have rubber foot pads To inspect the rubber foot pads see Figure 5 10 and proceed as follows I 5 2 9 Inspect for missing or loose rubber foot pads and rubb
83. cludes the additional SRAM for video buffer and real time clock 4 2 1 5 CONTROL LOGIC The CPU PWA uses field programmable gate arrays FPGA that are high density high speed I O intensive general purpose devices They are used to implement all of the digital control functions including memory map address decoding memory read write enable direct memory access DMA request I O status signals chip select control motor control sensor select and power up system reset control 4 2 1 6 LCD CONTROLLER The liquid crystal display LCD controller is used to interface the LCD to the CPU The device displays layered text and graphics scrolls the display in any direction and partitions the display into multiple screens It stores bit mapped graphic data in external frame buffer memory The display controller functions include transferring data from the controlling microprocessor to the buffer memory reading memory data converting data to display pixels and generating timing signals for the buffer memory and LCD panel The LCD controller accesses 32 KB of frame buffer SRAM video via the controller s video address and data busses VA lt 14 0 gt and VD lt 7 0 gt The LCD controller external clock frequency is 8 MHz The LCD controller and the display memory are operated off the 3 3 Vpc supply The output signal levels are shifted up to 5 Vpc by buffers for interface with the 5 Vpc LCD panel The interface to the CPU is through the lowe
84. clusion test proceed as follows l Insert the cassette from the Basic test setup into the infuser and close the cassette door The infuser will proceed with the cassette test Attach the stopcock and DPM to the distal end of the tubing as shown in the Distal Occlusion test setup in Section 5 3 2 5 Position the collection container beneath the stopcock to catch water that is released during the test 3 Turn the DPM on When the CLEAR SETTINGS or NEW PATIENT message appears on the infuser display press YES 5 Press OPTIONS VOL INF to select the Options screen 10 Select Pressure Post Infusion Rate and press CHOOSE Verify that the distal pressure limit is set at 6 psi If the pressure limit is not 6 psi highlight the Distal Pressure Limit and enter 6 Press ENTER Press A to select Line A Enter a rate of 40 mL hr and a VTBI of 50 mL Plum A Infusion System 5 48 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST 11 Position the control arm of the three way stopcock over the DPM connector see Figure 5 50 CONTROL ARM DPM CONNECTOR Figure 5 50 Positioning the Control Arm Over the DPM Connector 12 Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES 13 Verify that fluid is pumping from the open port on the stopcock the message
85. completely fill the drip chamber ee a S MAC Figure 5 31 Squeezing the Drip Chamber 5 Slowly open the roller clamp to allow fluid to flow into the secondary tubing see Figure 5 32 TO OPEN OPEN CAIR CLAMP POSITION ROLLER gt ROLLER Figure 5 32 Opening the Roller Clamp Technical Service Manual 5 31 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 6 After all air is removed close the roller clamp see Figure 5 33 TO CLOSE CLOSED CAIR CLAMP POSITION ROLLER ROLLER Mite Figure 5 33 Closing the Roller Clamp 7 Attach the line to the secondary port on the cassette as follows e If the cassette has a Clave secondary port Insert the end of the secondary line into the Clave Move the Option Lok collar over the Clave and twist clockwise to secure the line to the port see Figure 5 34 S N a ne COLLAR CLAVE SECONDARY PORT F Figure 5 34 Option Lok Collar and Clave Secondary Port e If the cassette has a capped secondary port Confirm that the cassette door is closed and then loosen and remove the white cap Discard the cap Insert the end of the secondary line into the port and twist clockwise to secure the line to the port see Figure 5 35 Ww Figure 5 35 Capped Secondary Port Plum A Infusion System 5 32 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST Note To open the cassette door to g
86. confirmation message when the CHANGE BATTERY softkey is pressed Plum A Infusion System 5 16 Technical Service Manual 5 2 PREVENTIVE MAINTENANCE 14 Verify that the battery charge level indicator on the LCD display shows at least one but not more than three white bars If the indicator shows more than three bars press the CHANGE BATTERY softkey again If the indicator still shows more than three bars or shows zero bars repeat the steps in this section 15 Press ON OFF to turn off the infuser BATTERY DOOR COVER bak Lh Oo SLOTTED HEX HEAD SCREW pr Figure 5 13 Battery Door BATTERY WITH WIRE HARNESS ASSEMBLY r BATTERY DOOR PAD a BATTERY GASKET BATTERY DOOR aA KE HEX HEAD SCREW Figure 5 14 Removing the Battery Technical Service Manual 5 17 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 2 11 KEYPAD INSPECTION Visually inspect the keypad at least once every 12 months To inspect the keypad see Figure 5 15 and proceed as follows 1 2 Place the infuser on a flat stable surface Inspect the keypad for tears cracks or edges lifting away from the infuser If damage is observed replace the keypad see Section 7 2 12 2 Inspect the keypad for
87. ct plastic 10 years 120 Vac 50 60 Hz 35 W Hospital grade AC cord 10 feet with transparent plug and retainer 0 5 A 250 Vac Sealed lead acid 6 V internal rechargeable A fully charged new battery provides approximately three hours of operation at 125 mL hr or delivers 250 mL if gt 126 mL hr Operation time is measured from initial pumping to the Depleted Battery alarm The battery charges whenever the infuser is connected to AC power If the infuser is operating at 125 mL hr on one line a full recharge takes less than six hours 50 of charge is retained for a minimum of one month when the infuser is not connected to AC power or is not operating Default Normally open NO Contact Hospira to make an internal adjustment to change the device from normally open to normally closed NC For only Plum A infusion systems manufactured after August 1 2013 8 1 Plum A Infusion System SECTION 8 SPECIFICATIONS ENVIRONMENT Operating Transporting and Storage Atmospheric Pressure Relative Humidity DELIVERY RATE RANGE Lines A and B Concurrent Delivery PlumSet KVO VTBI Range OCCLUSION ALARM AND LIMITS Distal Proximal Distal Pressure Limit Without Alarm Maximum Infusion Pressure AIR IN LINE ALARM PlumSet Distal PlumSet Proximal Plum A Infusion System 41 to 104 F 5 to 40 C 10 to 90 relative humidity 4 to 140 F 20 to 60 C 10 to 90
88. ctant with Bleach The Clorox Company Per manufacturer s recommendation Precise Hospital Foam ee The Clorox Company Per manufacturer s recommendation Cleaner Disinfectant Sani Cloth HB Wipe Professional Disposables Inc Per manufacturer s recommendation Sani Cloth Bleach Wipe Professional Disposables Inc Per manufacturer s recommendation Sporicidin Sporicidin International Per manufacturer s recommendation Per hospital procedures Household Bleach Various do not exceed one part bleach in ten parts water Note At the time of printing Hospira recommends only the cleaning solutions in Table 5 1 For updated listings of approved cleaners visit www hospiraparts com Plum A Infusion System 5 2 Technical Service Manual 5 2 5 2 PREVENTIVE MAINTENANCE PREVENTIVE MAINTENANCE Hospira requires that preventive maintenance be performed at least once every 12 months Replace components as required by visual inspection and test results Complete the Preventive Maintenance Checklist in Section 5 2 14 KS N N Note Perform the Performance Verification Test along with the visual Inspections as part of the preventive maintenance process at least once every 12 months Note The distal and proximal pressure pins must be inspected at least once every 12 months and each time the infuser is serviced Note The sealed lead acid battery must be replaced at least once every 12 months Perform
89. ction 5 3 13 adds a three way stopcock and DPM to the end of the distal tubing of the Basic test setup as described in Section 5 3 2 5 5 3 2 1 2 Preparing the Primary Line To prepare the primary line proceed as follows to fill the cassette and tubing on the primary PlumSet with liquid that is prime it eliminating all air and then load the cassette into the infuser 1 Place the infuser on a bench or attach it to an IV pole 2 Press the cassette flow regulator in to make ensure it is closed see Figure 5 19 Figure 5 19 Closing the Flow Regulator 3 If using a glass IV container open the filter vent cover above the drip chamber If using a plastic IV container ensure that the filter vent cover is closed see Figure 5 20 Plum A Infusion System 5 26 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST OPEN CLOSED Figure 5 20 Filter Vent Cover 4 Using a twisting motion insert the piercing pin into the outlet on a water container see Figure 5 21 Note Do not position the container above the infuser while inserting the piercing pin Figure 5 21 Inserting the Piercing Pin 5 Suspend the container on an IV pole 6 Check for leaks If any part of the container is leaking replace it 7 Squeeze the drip chamber to fill it about 1 2 full or to the score mark see Figure 5 22 Do not completely fill the drip chamber eee ART Figure 5 22 Squeezing the
90. ction 7 2 12 8 Wrap Spiral Section 7 2 12 1 Tie Cable Spacer Section 7 2 12 6 Section 7 2 12 2 Ring Retaining Technical Service Manual 9 3 Section 7 2 12 9 Plum A Infusion System SECTION 9 DRAWINGS Table 9 2 IPB for the Infuser Index Number Replacement Nomenclature Procedure Link Door Section 7 2 12 9 Screw 4 24 x 1 4 Pan Head Phillips As applicable Screw 4 40 x 1 4 Pan Head Phillips As applicable Screw 4 40 x 1 4 Hex Head Slotted w Washer As applicable Screw 4 40 x 3 16 Hex Head Slotted w Washer As applicable Screw 4 40 x 3 8 Pan Head Phillips w Washer As applicable Screw 4 40 x 3 8 Hex Head Nylon As applicable Screw 4 40 x 3 8 Hex Head Slotted w Washer As applicable Screw 4 40 x 1 2 Pan Head Square Cone Phillips As applicable Screw Jack 4 40 x 7 16 Section 7 2 5 Screw 6 32 x 3 8 Hex Head Slotted w Washer As applicable Screw 6 32 x 1 2 Pan Head Phillips As applicable Screw 6 32 x 5 8 Pan Head Phillips w Washer As applicable Screw 6 32 x 2 1 2 Pan Head Phillips As applicable Screw 6 32 x 3 1 4 Pan Head Phillips As applicable Screw 10 32 x 1 2 Hex Head Slotted w Washer As applicable Nut Hex Nurse Call Jack Section 7 2 7 2 Nut Hex 4 40 As applicable Washer Flat 4 As applicable Washer
91. d restart all lines Plum A Infusion System SECTION 6 TROUBLESHOOTING Table 6 2 Operational Alarm Messages and Corrective Actions Alarm Occl B Air Occl B Description Peak proximal occlusion B non delivery Possible Cause Proximal occlusion detected on line B during non delivery Corrective Action Backprime the cassette and restart line B or Stop all lines backprime the cassette and restart all lines Occl A Air Occl A Negative proximal occlusion A non delivery Proximal occlusion detected on line A during non delivery Backprime the cassette and restart line A or Stop all lines backprime the cassette and restart all lines Occl A Air Occl A Peak proximal occlusion A non delivery Proximal occlusion detected on line A during non delivery Backprime the cassette and restart line A or Stop all lines backprime the cassette and restart all lines Distal Occl Distal Occl Prox Occl B Air Peak distal occlusion delivery Negative distal occlusion delivery Negative proximal occlusion B delivery Distal occlusion detected during delivery Distal occlusion detected during delivery Proximal occlusion detected during delivery on line B Fix occlusion and restart the infuser Fix occlusion and restart the infuser Fix occlusion and restart line B or Stop all lines fix occlusion and restart the infuser
92. d in the exact reverse order of removal 11 Install the keypad and display assembly in the exact reverse order of removal 12 Join the front enclosure rear enclosure and main chassis in the exact reverse order of separation 13 Reinstall the battery and connect the infuser to AC power To verify successful keypad and ground gasket replacement perform the PVT in Section 5 3 Plum A Infusion System 7 26 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 7 2 12 3 DISPLAY REPLACEMENT The recommended tools for this procedure are a 2 Phillips screwdriver and a medium size flat blade screwdriver The replacement parts for this procedure are Assembly Display Screw 4 40 x 3 16 Hex Head Slotted with Washer To replace the display assembly see Figure 7 12 then proceed as follows 1 2 3 Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 8 Remove the keypad and gasket as described in Section 7 2 12 2 then remove the display 5 Install the replacement display assembly in the exact reverse order of removal 8 Install the keypad and gasket in the exact reverse order of removal Join the front enclosure rear enclosure and main chassis in the exact reverse order of separation Reinstall the battery and connect the infuser to AC power To ve
93. d main chassis in the exact reverse order of separation Reinstall the battery and connect the infuser to AC power To verify successful mechanism assembly replacement perform the PVT in Section 5 3 Plum A Infusion System 7 36 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 4 24 x 1 4 AZ MAIN CHASSIS PAN HEAD NG SCREW MECHANISM CHASSIS BUMPER Wi 6 32 x 3 8 CABLE HEX HEAD SCREW MECHANISM ASSEMBLY ESHER Figure 7 25 Mechanism Assembly Replacement 7 2 12 6 1 ENTER THE SERIAL NUMBER After the mechanism assembly has been replaced the device serial number must be entered To enter the serial number 1 Press the ON OFF key to turn on the device and view the setup screen and prompt for the device serial number 2 In the SETUP screen enter the serial number of the infuser The serial number is found on the Product Identification Label see Figure 5 1 Press ENTER 3 Turn off the device After the device is completely turned off turn it back on 4 Go to the BIOMED SETTINGS screen and verify that the correct serial number has been entered Technical Service Manual 7 37 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 12 7 MECHANISM CHASSIS GASKET TAPE INSTALLATION Note Installation of gasket tape to cover the opening on the mechanism chassis helps protect
94. d with one of the cleaning solutions recommended in Table 5 1 or with a mild solution of soapy water Remove soap residue with clear water Use a small non abrasive brush to aid in cleaning the cassette door WARNING DISCONNECT THE INFUSER FROM AC POWER PRIOR TO CLEANING THE DEVICE FAILURE TO COMPLY WITH THIS WARNING COULD RESULT IN ELECTRICAL SHOCK CAUTION To avoid mechanical or electronic damage do not immerse the infuser in fluids or cleaning solutions Do not spray cleaning solutions toward any openings in the device or directly on the device CAUTION Use only recommended cleaning solutions and follow manufacturers recommendations Using cleaning solutions not recommended by Hospira may result in product damage Do not use compounds containing combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride CAUTION Never use sharp objects such as fingernails paper clips or needles to clean any part of the infuser Use only soft cloths or sponges Do not sterilize by heat steam ethylene oxide ETO or radiation Technical Service Manual 5 1 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS Note Disinfecting properties of cleaning solutions vary and not all cleaning solutions are sanitizers Check product labeling or consult the manufacturer for specific information Table 5 1 Cleaning Solutions Cleaning Solution Manufacturer Preparation Dispatch Hospital Cleaner Disinfe
95. e Manual 7 2 REPLACEMENT PROCEDURES 7 2 10 REAR ENCLOSURE COMPONENT REPLACEMENT Rear enclosure component replacement includes the replacement of the following Pole clamp extrusion backing plate and insulator Pole clamp shaft knob assembly and shaft tip Rear enclosure and handle gaskets To replace the rear enclosure components see Figure 7 9 then proceed as described in the following sections SHAFT KNOB ASSEMBLY oN SHAFT TIP Z e eee b D a POLE CLAMP BACKING PLATE I HANDLE GASKET EXTRUSION ENCLOSURE 10 32 x 1 2 HEX HEAD SCREW WITH WASHER 2 SPEND TARE REAR ENCLOSURE GASKET Figure 7 9 Rear Enclosure Components Technical Service Manual 7 19 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 10 1 POLE CLAMP EXTRUSION AND BACKING PLATE REPLACEMENT Recommended tools for this procedure are a medium size flat blade screwdriver and mild solvent The replacement parts for this procedure are Extrusion Pole Clamp Plate Backing Pole Clamp Tape Insulation Screw 10 32 x 1 2 Hex Head Slotted with Washer To replace the pole clamp extrusion and backing plate see Figure 7 9 then proceed as follows 1 Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Separate the rear enclosure from the main chassis as described in Section 7 2 8
96. e battery Using the needle nose pliers remove the wire harness connectors from the battery terminals Plum A Infusion System 7 4 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 9 Using the battery cable connector tool install the wire harness connectors onto the terminals of the replacement battery Confirm the red wire is installed on the positive terminal next to the red marker on top of the battery and the black wire is installed on the negative terminal UN CAUTION Do not allow the terminals to come into contact with each other 10 Connect the replacement battery harness to the charger circuit cable and insert the replacement battery into the enclosure The cable connectors are keyed so that cables cannot be connected incorrectly Note Confirm the battery harness is not pinched between the battery and the enclosure 11 Replace the battery door using the screw that was removed in step 3 12 Press ON OFF with the infuser disconnected from AC power and verify the front panel battery symbol illuminates 13 Access the BIOMED SETTINGS screen and press CHANGE BATTERY Note The CHANGE BATTERY softkey will not appear on earlier versions of the Plum A Replacement of the battery door pad and gasket is routine maintenance and no verification procedure is normally required However if the infuser may have been damaged during these procedures perform the PVT in Section 5 3
97. e device so that it is temporarily not delivering fluid Disappearance of the abnormality indicates that it was probably caused by electronic noise generated by the infuser Proper setup and maintenance of the monitoring equipment should eliminate the artifact Refer to the appropriate monitoring system documentation for setup and maintenance instructions 1 7 INSTRUMENT INSTALLATION PROCEDURE CAUTION Infusion system damage may occur unless proper care is exercised during product unpacking and installation CAUTION Infusion system performance may be degraded by electromagnetic interference EMI from devices such as electrosurgical units cellular phones and two way radios Operation of the infusion system under such conditions should be avoided Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards e g IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the system standard IEC 60601 1 1 Any person who connects additional equipment to the signal input or output part is configuring a medical system and is therefore responsible for ensuring that the system complies with the requirements of IEC 60601 1 1 If in doubt contact Hospira Infusion system installation consists of unpacking inspection and self test Technical Service Manual 1 5 Plum A Infusion System SECTION 1 INTRODUCTION 1 7 1 UNPACKING Inspect the shipping
98. eating of the regulator closer A pump with an unseated regulator closer may pass the Unrestricted Flow Test MECHANISM ASSEMBLY GASKET 72 IN 2 FLUID SHIELD GASKET 1 09 IN CASSETTE DOOR Figure 7 30 Fluid Shield Replacement Plum A Infusion System 7 42 Technical Service Manual 7 2 REPLACEMENT PROCEDURES FLEX CONNECTOR RETAINING RING MECHANISM ASSEMBLY CASSETTE DOOR OPENER HANDLE 4 40 x 3 8 HEX HEAD vn ae SCREW oe 3 32 PUSH ON WITH e g RETAINING RING Figure 7 31 Cassette Door and Opener Handle Replacement DOOR PIVOT CAP Technical Service Manual 7 43 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 12 9 OPENER HANDLE ASSEMBLY REPLACEMENT The recommended tool for this procedure is a medium size flat blade screwdriver The replacement parts for this procedure are Assembly Opener Handle Link Door Ring Retaining Push On To replace the opener handle assembly see Figure 7 31 then proceed as follows 1 2 3 Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 8 4 Remove the mechanism assembly as descr
99. ece ee eee cree cree e eee 1 10 Figure 1 5 Common IV Parameters Version 11 3 or Higher cece eee eee 1 10 Figure 1 6 Default Units Drug evuvnununuenenennenenenennnnunnnnnnenunnener 1 11 Figure 1 7 Dose Units for Drug 0 cece ccc ce cece eee ee eee terete tenes 1 12 Figure 1 8 Conc Units for Drug niee ccc cc ce cece eee reece eect eect eens 1 12 Figure 1 9 Macro IV Parameters 0 cece cece eee cece rete teen eee eeees 1 13 Figure 1 10 Alarms DOG se ves ois Ses a eb sat teie See 1 14 Figure 1 11 Setting the Time and Date 0 ccc ccc cc cece cee eect eens 1 15 Figure 4 1 Serial Interface to ADC 20 ccc ccc ccc ce ce cee ce ee eee eect eee ee eens 4 6 Figure 4 2 System Startup and Shutdown Timing Battery Powered 065 4 14 Figure 4 3 Stepper Motor Coils ccc ccc cc cece eee rece eect eee e ee S 4 17 Figure 4 4 Air Sensor Block Diagram 0 cc cece cece cece cree eee eeees 4 19 Figure 4 5 Pressure Sensor Excitation and Amplifier Block Diagram 4 21 Figure 4 6 Major Elements of the Dual Channel Cassette 0 cece eee ee eee 4 27 Figure 4 7 Fluid Path in the Cassette 2 0 0 ccc cece ce cece eee rere eee eeees 4 28 Figure 4 8 Mechanism Valve Pins and Sensor Locations 0c cee ee cece ces 4 29 Figure 5 1 Infus r Labels sasssserstiassisesapeasarees tree hg eS eee eee Pen Siow serawial enk 5 5 Figure 5 2 Power Cord Retainer and
100. ed then enter the desired value for the parameter selected 5 Press CANCEL BACK to return to the IV PARAMETERS screen or turn off the infuser BIOMED SETTINGS Macro IV Parameters Default Distal Press JH psi Max Rate 999 mL hr Enter Value using keypad Enter Cancel Back Figure 1 9 Macro IV Parameters Technical Service Manual 1 13 Plum A Infusion System SECTION 1 INTRODUCTION 1 8 2 ALARMS LOG The Alarms Log retains the latest 40 alarm and malfunction codes listed in order from the most current to the oldest To view the Alarms Log see Figure 1 10 and proceed as follows 1 Access the BIOMED SETTINGS screen as described in Section 1 8 2 Select Alarms Log and press CHOOSE Use PAGE UP and PAGE DOWN to view the Alarms Log 3 Press BACK to exit the Alarms Log and return to the main BIOMED SETTINGS screen ALARMS LOG 6 23 11 01 43 01 E437 S W Failure 202 6 23 11 09 18 10 N190 Neg Prox Occl A 6 22 11 23 44 11 N102 Infuser Idle 2 minutes 6 22 11 21 43 14 N161 Line A VTBI complete 6 22 11 11 44 20 N106 Distal occlusion 6 22 11 09 43 07 N161 Line A VTBI complete 6 22 11 06 23 20 N160 Line B VTBI complete 6 22 11 03 40 13 N101 No action alarm Page Page Fae bate Ba Figure 1 10 Alarms Log Plum A Infusion System 1 14 Technical Service Manual 1 8 BIOMED SETTINGS 1 8 3 SETTING THE TIME AND DATE Note The infuser will automatically display February 29 on leap year
101. ed in Section 7 2 4 Separate the rear enclosure from the main chassis as described in Section 7 2 8 2 3 4 Remove the rear enclosure gasket and handle gasket from the rear enclosure 5 Install the replacement gaskets in the exact reverse order of removal 6 Join the rear enclosure and main chassis in the exact reverse order of separation 7 Reinstall the battery and connect the infuser to AC power To verify successful rear enclosure gasket and handle gasket replacement perform the PVT in Section 5 3 7 2 11 MINIPOLE ASSEMBLY REPLACEMENT The minipole assembly is an accessory List Number 12096 04 0 that attaches to the infuser through two holes in the pole clamp extrusion and is held in place by a hairpin clip The clip passes through a hole near the end of the longer of the two vertical rods on the bag hanger and prevents the removal of the minipole from the holes in the pole clamp There are no recommended tools for this procedure The replacement parts for this procedure are Assembly Minipole Clip Hairpin To replace the minipole assembly see Figure 7 10 then proceed as follows 1 Turn off the infuser and disconnect the device from AC power Place the infuser face down on a soft surface Grasp the hairpin clip with thumb and finger and remove the clip from the rod hole Ae QD Remove the bag hanger from the pole clamp rod holes and remove the minipole 5 Install the replacement minipole assembly in t
102. educed capacity it will register a Replace Battery condition For the first two occurrences of a Replace Battery condition the WARNING LOW BATTERY message will appear and the audio indicator will activate The message and audio indicator can be cleared only when the device is plugged in or turned off For the third and subsequent occurrences the WARNING REPLACE BATTERY message will appear and the audio indicator will activate and persist over power cycles The message and audio indicator are cleared by replacing the battery accessing the biomed settings screen and pressing the CHANGE BATTERY softkey Ka Note If the device is not plugged in and turned on with a previously depleted battery the infuser will display a DEPLETED BATTERY message for 12 seconds 3 seconds then power off Technical Service Manual 6 1 Plum A Infusion System SECTION 6 TROUBLESHOOTING Table 6 1 Warning Messages Message Possible Cause Corrective Action Stop delivery then turn off Attempting to turn off the infuser Stop all lines then turn while a delivery is in progress off the infuser Warning Low Battery Battery is discharged so that Plug into AC power only approximately 30 minutes of battery life remain Warning Replace Battery Battery service needed Replace the battery Battery voltage is less than see Section 7 2 4 the depleted threshold and the charge level is higher than the low charge threshold Warning Charger Service A
103. eld the fluid shield must be cleaned or replaced see Section 7 2 12 8 4 Inspect the sensor and control pins for damage and built up contamination around each pin see Figure 5 7 If any pins are broken or chipped contact Hospira for repair If there is accumulation of dried fluids around any pins clean the area around the pin following the guidelines of Section 5 1 5 Inspect the cassette presence detector boot for damage see Figure 5 7 If the boot is torn cracked or missing contact Hospira for repair Figure 5 5 Releasing the Cassette Door Figure 5 6 Inspecting the Fluid Shield with Feeler Gauge Plum A Infusion System 5 10 Technical Service Manual 5 2 PREVENTIVE MAINTENANCE A VALVE PIN B VALVE PIN LL CASSETTE PRESENCE DETECTOR INLET VALVE OUTLET VALVE Figure 5 7 Mechanism Valve Pins and Cassette Presence Detector 5 2 6 DISTAL PRESSURE PIN INSPECTION Visually inspect the distal pressure pin at least once every 12 months and each time the infuser is serviced Note The distal pressure pin is the black pin see Figure 5 8 To inspect the distal pressure pin proceed as follows 1 Place the infuser on a flat stable surface 2 Release the door so that it lays flat Press the door release tab to the right and open the cassette door all the way see Figure 5 5 3 Inspect the distal pressure pin to determine that it is not damaged or broken Te
104. elines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people At 80 MHz and 800 MHz the higher frequency range applies Technical Service Manual A 3 Plum A Infusion System APPENDIX a The industrial scientific and medical ISM bands between 150 kHz and 80 MHz are 6 765 MHz to 6 795 MHz 13 553 MHz to 13 567 MHz 26 957 MHz to 27 283 MHz and 40 660 MHz to 40 700 MHz gt The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2 5 GHz are intended to decrease the likelihood that mobile portable communications equipment could cause interference ifit is inadvertently brought into patient areas For this reason an additional factor of 10 3 is used in calculating the recommended separation distance for transmitters in these frequency ranges Field strengths from fixed transmitters such as base stations for radio cellular and or cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the infuser is used exceeds the applicable RF compliance level above the infuser should be observed to verify normal operation If abnormal perfor
105. ensi ircuit defecti out of range ensing circuit defective E324 Supply overvoltage Defective charging circuit E325 Battery overvoltage Battery is wrong voltage Plum A Infusion System Defective sensing circuit Corrective Action Turn power off then on to clear the error on the device and remove the infuser from service While the infuser is out of service discharge the battery until the battery charge indicator on the display shows five or fewer bars then complete an eight hour charging cycle by plugging the device into AC power and placing it into Standby mode see the Plum A System Operating Manual If the E321 error code does not reappear after the charging cycle the infuser may be returned to service If the E321 error code reappears after the charging cycle replace the battery see Section 7 2 4 Reset time and date if required see Section 1 8 3 Replace power supply PWA see Section 7 2 12 1 Reset time and date if required see Section 1 8 3 Replace battery see Section 7 2 4 Replace power supply PWA see Section 7 2 12 1 Reset time and date if required see Section 1 8 3 Replace power supply PWA see Section 7 2 12 1 Reset time and date if required see Section 1 8 3 Replace battery see Section 7 2 4 Replace power supply PWA see Section 7 2 12 1 Reset time and date if required see Section 1 8 3 Technical Service Manual Error Code 6 3 AL
106. eplacement CPU PWA and insulator in the exact reverse order of removal Route the CPU Driver cable through the opening of the main chassis see Figure 7 13 and Figure 7 14 Note Verify that the cable is free of damage on the insulation and that none of the wires are exposed Note The cable s black or red edge pin 1 should be pointed up Figure 7 13 Front and Rear View of CPU Driver Cable Routed Through Main Chassis Technical Service Manual 7 29 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS CPU driver Figure 7 14 CPU Drive Cable Routed Through Main Chassis 11 Connect the CPU Driver cable to its matching connector on the CPU PWA Ensure the female connector on the CPU Driver cable mates completely to the male connector on the CPU PWA board see Figure 7 15 and Figure 7 16 Note Verify that the locking pins on the female cable connector are not damaged or bent Locking pin hig ts Wh aie or 0 00 oh oh kt A A r a Receptacle pins av i MODOD VEEE ME o Figure 7 16 Male Receptacle Header Socket on the CPU PWA Board Note Verify that the pins inside the male receptacle socket housing on the CPU PWA are not damaged or bent Plum A Infusion System 7 30 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 12 After the female connector on the CPU Driver cable is plugged into the male connector on the CPU PWA verify that the connector is properly seated and the locki
107. er foot pads that are starting to peel away from the enclosure Replace or install as described in Section 7 2 3 j Ga H aa o ada RUBBER FOOT PAD 0 Figure 5 10 Rubber Foot Pads POLE CLAMP INSPECTION AND TEST Visually inspect and test the pole clamp at least once every 12 months To inspect the pole clamp see Figure 5 11 and Figure 5 12 and proceed as follows 1 2 Place the infuser on a flat stable surface Confirm that the pole clamp assembly is securely attached to the rear of the enclosure Tighten the assembly if it is loose see Section 7 2 10 1 Confirm that the rubber pad wireless devices only is present on the inside surface of the pole clamp extrusion If the pad is missing replace the extrusion see Section 7 2 10 1 Note Rubber pads are not present on non wireless Plum A infusers Confirm that the plastic shaft tip is present at the end of the threaded pole clamp shaft Install a replacement tip if it is damaged or missing see Section 7 2 10 2 Tighten and loosen the threaded pole clamp shaft so that it moves through the entire length of the threads Confirm that the shaft moves smoothly and does not bind along its length Replace the shaft knob assembly if it binds or is di
108. evice It has three inputs and a three state output chip select I O clock address input and data out that provide a direct four wire interface to the serial communication port of the CPU The ADC is designed to be used in conjunction with multiple serial devices on a common bus consequently the data out pin is driven only when the chip select CS pin is asserted Figure 4 1 illustrates the serial interface between the ADC and the CPU In addition to a high speed ADC and versatile control capability this device has an on chip 14 channel multiplexer that can select any one of 11 analog inputs or any one of three internal self test voltages The sample and hold function is automatic The end of conversion EOC output goes high to indicate that conversion is complete The CPU polls the EOC signal Channel selection and conversion results are transferred through the SCP pins A serial transfer synchronizing clock SPCLK must be fed into the I O clock input pin when the CS pin is driven low The address to be converted is serially transmitted into the address pin and the conversion results are serially shifted out the data out pin Typical access time is 21 usec The APP PWA is the source of the 2 5 Vpc reference voltage The analog inputs are selected by the channel multiplexer according to the input address see Table 4 1 The input multiplexer is a break before make type to reduce input to input noise injection resulting from channel switch
109. fferential pre amplifier followed by a second stage non inverting amplifier with low gain A trimming potentiometer is adjusted to minimize any offset in the impedance of the bridge A two pole filter is used to filter the pressure signals The first pole is formed by a capacitor multiplied by 230 due to Miller effect and a Thevenin resistance The second pole is the RC filter at the ADC input that is located on the CPU PWA These output signals to the A D converter in the CPU PWA are PXPRS proximal pressure signal DIPRS distal pressure signal Technical Service Manual 4 21 Plum A Infusion System SECTION 4 THEORY OF OPERATION 4 2 3 6 PRESSURE SENSOR CALIBRATION Pressure sensors are calibrated for offset and gain during mechanism calibration A trimming potentiometer is used to adjust the initial zero pressure offset The proximal and distal pressure sensors have independent offset adjustments The final system gain cassette pressure to corrected amplifier output is adjusted in software During mechanism calibration each channel s gain amplifier output cassette pressure will be measured and stored in the serial EEPROM on the driver PWA 4 2 3 7 CASSETTE PRESENCE SELECTION The mechanism subsystem includes one force sensing resistor FSR switch that is coupled to the cassette and is used for cassette presence detection The FSR is a polymer thick film device that exhibits a decrease in resistance with any increase in fo
110. fficult to tighten If it continues to bind after replacement replace the extrusion Plum A Infusion System 5 14 Technical Service Manual 5 2 PREVENTIVE MAINTENANCE 6 Mount the infuser on an IV pole and fully tighten the clamp Ensure that the infuser is held firmly and does not slide on the IV pole If the clamp cannot hold the infuser securely replace the clamp Check for secure attachment Figure 5 11 Pole Clamp and Extrusion THREADED INTERFACE Figure 5 12 Pole Clamp Assembly Technical Service Manual 5 15 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 2 10 BATTERY INSPECTION AND REPLACEMENT Note The sealed lead acid battery must be replaced at least once every 12 months The recommended tool for this procedure is a medium size flat blade screwdriver To inspect and replace the battery see Figure 5 13 and Figure 5 14 and proceed as follows I 10 11 12 13 Turn off the infuser and disconnect the device from AC power The Charge Line indicator LED on the keypad will turn off Note Wait five minutes for the microprocessor to save data and complete the turn off sequence before unplugging the battery Place the infuser on its side Using the flat blade screwdriver remove the screw that attaches the battery door to the infuser and remove the door Carefully pull the battery and wire harness assembly out of the enclosure and disconnect i
111. fuser and disconnect the device from AC power 2 Remove the battery as described in Section 7 2 4 3 Carefully set the infuser face down 4 Using the Phillips screwdriver remove the screws from the peripheral assembly 5 Carefully pull the peripheral assembly away from the infuser Note When removing the peripheral assembly note the placement guides where the peripheral interface PWA rests 6 Install the replacement peripheral assembly in the exact reverse order of removal Note Verify the peripheral assembly is placed properly between the guides and fits correctly into the CPU PWA 7 Reinstall the battery and connect the infuser to AC power 8 Turn on the infuser and verify completion of the self test To verify successful peripheral assembly replacement perform the PVT in Section 5 3 Plum A Infusion System 7 8 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 4 40 x 1 2 PAN HEAD SCREW 2 6 32 x 2 1 2 PAN HEAD SCREW VOLUME CONTROL KNOB LOCKOUT SWITCH EQUIPOTENTIAL TERMINAL NURSE CALL JACK POLE CLAMP ASSEMBLY RECTANGLE SEAL DATAPORT CONNECTOR ROUND AC 6 32 x 3 1 4 SEAL 2 POWER CORD PAN HEAD SCREW Figure 7 4 Rear View Technical Service Manual 7 9 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS o N x o Y PAN HEAD SCREW 2 PERIPHERAL ASSEMBLY 5 Peripheral Assembly Figure 7 Technical Service Manual 1
112. g the Distal Tubing to the Three Way Stopcock 006 DPM Connector Height 0 ccc ccc ccc ce cece ee eee eee eeees Volume Control Knob su sss gt 0sse ag sek is Rae Ole bei Sie ocd E Se how ETE Keypad Lockout Switch Positioning the Control Arm Over the DPM Connector Positioning the Control Arm to Measure Pressure eeeeeeeees Opening the Three Way Stopcock to Air Positioning the Control Arm Over the DPM Connector Positioning the Control Arm to Measure Pressure eeeeeeeees Delivery Accuracy Test Setup cece niput mene reece crete cece eens Nurse Call Jack Regulator Closer Bottom VIEW Sus SEES Battery Assembly 0 ccc cece cece cece eee cece eter e a AC Power Cord Assembly 0 0 c cece cece cece cece cere eee E Rear VieW snarer ie aap E Sets Cald o s Gib s ols Gow E be oe wails Peripheral Assembly sirce sinees cece cece cece eee e cece e rece eee eeees Peripheral Assembly Components 00 e cece eee e cece e cee eeees Separating the Front Enclosure Main Chassis and Rear Enclosure Front Enclosure Gaskets 1 0 2 0 cece cece cere rere ee eee rere eee e teens Rear Enclosure Components Minipole Assembly 0c cece ccc c ccc e eee e cece cree e eee ee eens Main Chassis Assembly Components 0 0 ce cee ee cere cece ec ecees Keypad Display CPU PWA and Piezo Alarm Front and Rear View of CPU Driver
113. gasket Devices without shielded cases do not require the keypad ground gasket The recommended tools for this procedure are a 2 Phillips screwdriver medium size flat blade screwdriver and an X acto knife The replacement parts for this procedure are Keypad Gasket Ground Spacer Screw 4 24 x 1 4 Pan Head Phillips Screw 4 40 x 3 16 Hex Head Slotted with Washer To replace the keypad and gasket see Figure 7 12 then proceed as follows 1 Turn off the infuser and disconnect the device from AC power 2 Remove the battery as described in Section 7 2 4 3 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 8 4 Disconnect the flex ribbon cable assembly from the CPU PWA 5 Using the X acto knife lift the white insulation tape that secures the grounding tab to the main chassis 6 Using the Phillips screwdriver remove the screw that secures the keypad and display assembly to the main chassis see Figure 7 25 7 Carefully disconnect the flex ribbon cable assembly from the display assembly by pushing the connector locking tabs down 8 Using the flat blade screwdriver separate the keypad gasket and display by removing the screws and spacers that secure the keypad to the display assembly 9 Inspect the keypad ground gasket and replace if required Note The keypad ground gasket will not be present on earlier versions of the Plum A 10 Install the replacement keypa
114. hardware problem with Press SILENCE the battery charging circuit is detected Charging circuitry is not behaving as expected 6 3 ALARM MESSAGES AND ERROR CODES Under most alarm conditions the infuser ceases normal operation generates an audible alarm and displays an alarm message or error code on the LCD screen There are two types of alarm conditions alarm codes that can be cleared by the operator error codes that require qualified service personnel 6 3 1 OPERATIONAL ALARM MESSAGES Table 6 2 lists infuser alarm codes that can be cleared by the operator Also listed in Table 6 2 are the alarm messages descriptions possible causes and corrective actions Note Operational alarm messages are displayed on the LCD screen Associated error codes are displayed in the alarms log see Section 1 8 2 Plum A Infusion System 6 2 Technical Service Manual 6 3 ALARM MESSAGES AND ERROR CODES Table 6 2 Operational Alarm Messages and Corrective Actions Alarm Unrecognizable cassette Description Incorrect cassette type Possible Cause An incorrect cassette is inserted Corrective Action Insert proper cassette No action No operator action and no delivery for two minutes during delivery parameters entry Interruption or a partial change to a program Complete programming Infuser idle 2 minutes Infuser in reset or idle for over two minutes Programming set without sta
115. he cassette diaphragm is engaged The stepper motor rotates approximately 1 2 3 revolutions per pump cycle to permit a 0 33 mL fluid displacement every pump cycle The stepper motor then reverses and the plunger returns to HOME position This cycle repeats for the duration of fluid administration Technical Service Manual 4 29 Plum A Infusion System SECTION 4 THEORY OF OPERATION The screw coupler assembly links the motor and the plunger This assembly includes a flag that passes through an interrupter module This screw coupler flag interrupter module combination is used in conjunction with predetermined factory calibration data to determine the plunger position During operation if the screw coupler flag passes through the interrupter module at the incorrect time sequence a motor phase loss is detected Plum A Infusion System 4 30 Technical Service Manual Section 5 MAINTENANCE AND SERVICE TESTS A complete maintenance program promotes infusion system longevity and trouble free operation Such a program should include routine maintenance periodic maintenance inspection and the Performance Verification Test PVT 5 1 CLEANING AND SANITIZING Practice the cleaning and sanitizing guidelines in this section Follow hospital protocol for establishing the infuser cleaning schedule Before cleaning turn off the infuser and disconnect from AC power Clean the exposed surfaces of the infuser with a soft lint free cloth moistene
116. he exact reverse order of removal Replacement of the minipole assembly is routine maintenance and no verification procedure is normally required However if the infuser may have been damaged during the procedure perform the PVT as described in Section 5 3 Plum A Infusion System 7 22 Technical Service Manual 7 2 REPLACEMENT PROCEDURES CLUTCH HOUSING Hp SPRING ra HANGER POLE CLAMP EXTRUSION al CLIP DPD 0 06 OOOO 0000 OTD 0000 Figure 7 10 Minipole Assembly Technical Service Manual 7 23 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 12 MAIN CHASSIS ASSEMBLY COMPONENT REPLACEMENT Main chassis assembly component replacement includes the replacement of the following Power supply PWA CPU PWA Cassette door Keypad Piezo alarm assembly Fluid shield Display assembly Mechanism assembly Opener handle assembly To replace the main chassis assembly components see Figure 7 11 then proceed as detailed in the following sections MECHANISM ASSEMBLY MAIN CHASSIS TS Tr SUPPLY PWA FC DISPLAY FC Q OPENER HANDLE CPU PWA KEYPAD Figure 7 11 Main Chassis Assembly Components Plum A Infusion System 7 24 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 7 2 12 1 POWER SUPPLY PWA REPLACEMENT The recommended tool for this
117. he flex connector from the driver PWA Pull the shield away from the top of the mechanism assembly at an approximate 15 degree angle Pull the shield up and away clearing the mechanism assembly pins and plunger Note the location of the gaskets see Figure 7 30 Inspect and replace the fluid shield gaskets if required Note If gasket tape is not present it must be installed before replacing the fluid shield see Figure 7 26 Note Fluid shield gaskets may not be present in older versions of the Plum A If the feeler gauge test fails during the preventive maintenance inspection see Section 5 2 5 clean and reinstall the fluid shield and retest with the feeler gauge Replace the fluid shield if the retest fails Technical Service Manual 7 39 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 12 Ensure that the regulator closer is seated properly see Section 6 4 1 If the fluid shield tab is bent or damaged the regulator closer cannot be seated properly and may cause unrestricted flow see Section 6 4 1 When this occurs replace the fluid shield assembly If the regulator closer is disengaged or not seated properly discontinue use and contact Hospira 13 Inspect the fluid shield tab and ensure that it is not bent or damaged see Figure 7 27 If the fluid shield tab is bent or damaged see Figure 7 27 replace the fluid shield assembly CAUTION Ifthe fluid shield tab is damaged snapping
118. he full time 5 Vpc supply VSC uses a linear low dropout voltage regulator U6 whose power source is directly from the battery and is backed up by a 0 1 F capacitor VSC is used for the ON OFF key and a power failure alarm latch The full time 2 7 Vpc supply V2_7 is derived from VSC and is used to supply the ultra low current needed to power the real time clock and non volatile SRAM during shutdown 4 2 2 5 POWER CONTROL The infuser will operate in one of three modes normal standby or shutdown During normal operation the user interface is active and either on battery or AC line power During standby mode the user interface is inactive while the CPU is still operating servicing the battery management and waiting for a startup interrupt Shutdown mode is when system power is off Shutdown mode only occurs during battery operation otherwise BUSS holds the system power on Technical Service Manual 4 13 Plum A Infusion System SECTION 4 THEORY OF OPERATION The infuser is activated when the ON OFF key is pressed or the AC line is plugged in The ON OFF key activates the STRTUP signal triggering a three second one shot circuit that will temporarily turn the system power on This three second one shot period allows the CPU enough time to power up initialize and turn on the PWRHLD signal The CPU monitors the STRTUP signal via interrupt to signal a user request for turning off the infuser Figure 4 2 illustrates the system sta
119. he shaft knob assembly Note The pole clamp shaft tip has a long shaft that is pressed into the threaded pole clamp shaft knob assembly 2 Turn the pole clamp shaft knob assembly back into the pole clamp extrusion Using the wide head pliers remove and inspect the pole clamp shaft tip and replace the tip if required 3 Install the replacement pole clamp shaft knob assembly into the pole clamp extrusion by turning the shaft knob assembly clockwise into the extrusion until the threaded portion is visible 4 Press the pole clamp shaft tip into the screw hole recess on the shaft knob assembly and turn the shaft knob assembly clockwise until the shaft tip is secure against the pole clamp extrusion Replacement of the pole clamp shaft knob assembly and the pole clamp shaft tip is routine maintenance and no verification procedure is normally required However if the infuser may have been damaged during the procedure perform the PVT in Section 5 3 Technical Service Manual 7 21 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 10 3 REAR ENCLOSURE GASKET AND HANDLE GASKET REPLACEMENT There are no recommended tools for this procedure The replacement parts for this procedure are Gasket Rear Enclosure Gasket Handle To replace the rear enclosure gasket and handle gasket see Figure 7 9 then proceed as follows 1 Turn off the infuser and disconnect the device from AC power Remove the battery as describ
120. ibed in Section 7 2 12 6 ol Oo ON Q 10 11 12 13 Open the cassette door Disengage and fully open the cassette door from the opener handle assembly Close the opener handle assembly Remove and inspect the retaining ring and replace if required Remove and inspect the door link and replace if required Insert the flat blade screwdriver between the opener handle assembly and the mechanism assembly and carefully pry the assemblies apart Install the replacement opener handle assembly in the exact reverse order of removal Confirm the opener handle is aligned properly Replace the mechanism assembly in the exact reverse order of removal Join the front enclosure rear enclosure and main chassis in the exact reverse order of separation Reinstall the battery and connect the infuser to AC power To verify successful opener handle assembly replacement perform the PVT in Section 5 3 Plum A Infusion System 7 44 Technical Service Manual men Section 8 SPECIFICATIONS The following specifications apply to the Plum A infusion system PHYSICAL Dimensions Weight Casing Expected Service Life ELECTRICAL Power Requirements Power Cord Fuse Battery Battery Operation Recharge Self Discharge Nurse Call System Technical Service Manual Approximately 8 H x 8 W x 6 D inches excluding pole clamp and power cord storage Approximately 9 5 Ibs with battery High impa
121. ic power GDIG Digital ground VANA 5 V supply for analog power GANA Analog ground VMOT GMOT Motor power is directly from power supply PWA V2_5 Reference voltage for ADC and DAC Legend P Power A Analog D Digital I Input O Output Technical Service Manual 4 11 Plum A Infusion System SECTION 4 THEORY OF OPERATION 4 2 2 POWER SUPPLY SUBSYSTEM The power supply subsystem provides DC power to system circuits and interface software controlled power and battery management The power supply subsystem provides for the following functions Main switching regulator AC power detection Main regulator fault detection System power secondary regulators Auxiliary supplies Power control Battery charging circuitry Battery terminal voltage measurement Battery charge discharge current measurement 4 2 2 1 MAIN SWITCHING REGULATOR The main source of power for the infuser is the AC line The main switching regulator is a pulse width modulated AC to DC converter that provides the system an isolated DC voltage of 6 9 Vpc or 7 5 Vpc in battery charger boost mode The main regulator is preceded by line fuses F1 and F2 surge suppressor VR1 and a line filter The bridge rectifier U14 and capacitors C52 and C53 provide the DC voltage required for the switching circuit Voltage regulator U13 provides the pulse width modulator PWM device U12 startup supply voltage After startup supp
122. id shield replacement instructions Plum A Infusion System CHANGE HISTORY This page intentionally left blank Plum A Infusion System Technical Service Manual Contents Section 1 INTRODUCTION 1 1 1 2 1 3 SCOPE CONVENTIONS COMPONENT DESIGNATORS ACRONYMS AND ABBREVIATIONS 1 4 1 5 USER QUALIFICATION 16 ARTIFACTS 17 INSTRUMENT INSTALLATION PROCEDURE 1 7 1 UNPACKING 1 7 2 INSPECTION 1 7 3 SELF TEST 18 BIOMED SETTINGS 181 IVPARAMETERS 1811 COMMON IV PARAMETERS 1 8 1 2 DEFAULT UNITS DRUG 1 8 1 3 MACRO IV PARAMETERS 182 ALARMSLOG 18 3 SETTING THE TIME AND DATE Section 2 WARRANTY Section 3 SYSTEM OPERATING MANUAL Section 4 THEORY OF OPERATION 4 1 4 2 GENERAL DESCRIPTION ELECTRONIC SUBSYSTEM OVERVIEW 4 2 1 CPU SUBSYSTEM 42 11 CPU 42 12 SYSTEM MEMORY ADDRESS MAP eee 42 13 PROGRAMMABLE READ ONLY MEMORY 42 14 STATIC RANDOM ACCESS MEMORY 42 15 CONTROL LOGIC 4 2 1 6 LCD CONTROLLER 4 2 1 7 LCD BACKLIGHT CONTROL 4 2 1 8 LCD CONTRAST CONTROL 42 19 REAL TIME CLOCK 4 2 1 10 VOLTAGE MONITOR WATCHDOG TIMER 42 111 ANALOG TO DIGITAL CONVERTER 42 112 DIGITAL TO ANALOG CONVERTER 4 2 1 13 FRONT PANEL KEYPAD MATRIX 42 114 FRONT PANEL ON OFF KEY 4 2 1 15 FRONT PANEL LED INDICATORS 42 116 KEYPAD LOCKOUT INTERFACE 4 2 1 17 NURSE CALL INTERFACE 4 2 1 18 AUDIBLE INDICATORS 4 2 1 19 BARCODE READER INTERFACE 4 2 1 20 DATAPORT INTE
123. imately 200 ms after Vgc rises above the threshold The supervisory circuit includes a chip select inhibit circuit that is used to disable access to the real time clock s non volatile SRAM during power transitions and power down mode This device also provides a watchdog timer function to monitor the activity of the microprocessor To service the watchdog timer immediately after reset the device has a longer timeout period 1 6 second minimum right after a reset The normal timeout period 70 ms minimum is effective after the first transition of watchdog input WDI after RESET F is inactive If the microprocessor does not toggle WDI within the timeout period both RESET and watchdog out WDO outputs are asserted low The RESET remains active low for a minimum of 140 ms and it resets the CPU The WDO remains low as long as the WDI remains either high or low for longer than the watchdog timeout period After a reset the software reads this memory mapped bit to determine if the latest reset was a watchdog timeout 4 2 1 11 ANALOG TO DIGITAL CONVERTER The analog to digital converter ADC monitors the proximal pressure sensor distal pressure sensor proximal air sensor distal air sensor battery charge discharge current battery voltage buzzer test signal LCD contrast voltage CCFT test signal and two chopper motor drive reference voltages The ADC is an advanced 10 bit accurate 11 channel switched capacitor successive approximation d
124. ing Technical Service Manual 4 5 Plum A Infusion System SECTION 4 THEORY OF OPERATION U4 CPU gt AO CS i I O gt Al VOCLOCK e SPCLK a ADDRESS SPTXD gt SCP A3 bl A4 DATA OUT SPRXD ANALOG INPUTS gt A5 EOC gt 1 0 ae OR INTERRUPT a7 pag REF 25V A9 REF gt A10 GND VV GANA GDIG Figure 4 1 Serial Interface to ADC Signal Name Table 4 1 Analog Input Analog Inputs Address hex Description Proximal pressure sensor Distal pressure sensor Proximal air sensor IBATT Distal air sensor Battery current VBATT Battery voltage BUZTST Buzzer test voltage LCDTST TUBTST LCD contrast test voltage CCFT intensity test voltage MI STA Motor current A control Motor current B control Vret Vret 2 Plum A Infusion System Technical Service Manual 4 2 ELECTRONIC SUBSYSTEM OVERVIEW 4 2 1 12 DIGITAL TO ANALOG CONVERTER The dual 8 bit digital to analog converter DAC generates two analog signals to control the phase A and phase B motor coil currents The interface between the DAC device and the CPU is the 8 bit data bus that is connected to DATA15 8 All the control signals for this DAC are generated by FPGA logic devices Buffer amplifier ground compensation circuits condition the DAC outputs 4 2 1 13 FRONT
125. itness for a particular purpose Purchaser s exclusive remedy shall be at Hospira s option the repair or replacement of the product In no event shall Hospira s liability arising out of any cause whatsoever whether such cause be based in contract negligence strict liability other tort or otherwise exceed the price of such product and in no event shall Hospira be liable for incidental consequential or special damages or losses or for lost business revenues or profits Warranty product returned to Hospira must be properly packaged and sent freight prepaid The foregoing warranty shall be void in the event the product has been misused damaged altered or used other than in accordance with product manuals so as in Hospira s judgment to affect its stability or reliability or in the event the serial or lot number has been altered effaced or removed The foregoing warranty shall also be void in the event any person including the Purchaser performs or attempts to perform any major repair or other service on the product without having been trained by an authorized representative of Hospira and using Hospira documentation and approved spare parts For purposes of the preceding sentence major repair or other service means any repair or service other than the replacement of accessory items such as batteries and detachable AC power cords In providing any parts for repair or service of the product Hospira shall have no responsibility o
126. ize flat blade screwdriver and 3 16 nutdriver To separate the front enclosure rear enclosure and main chassis see Figure 7 7 and proceed as follows l 2 3 Turn off the infuser and disconnect the device from AC power Remove the battery as described in Section 7 2 4 Using the Phillips screwdriver remove the screws from the peripheral assembly and carefully pull the assembly away from the infuser see Section 7 2 6 Remove the AC power cord and retainer and the equipotential terminal as described in Section 7 2 5 5 Using the 3 16 nutdriver remove the jack screw and lock washer see Figure 7 3 10 Using the Phillips screwdriver remove the remaining screws from the upper right corner and lower center of the rear enclosure Carefully place the infuser face down Using the flat blade screwdriver press the flex tabs see Figure 7 1 while lifting up the front enclosure and remove the enclosure Using the Phillips screwdriver remove the screws in the infuser handle and remove the shoe from the front enclosure Note Older versions of the Plum A include a separate shoe that attaches to the front enclosure see Table 9 2 Using the flat blade screwdriver press the flex tabs see Figure 7 1 while lifting up the front enclosure and remove the enclosure Plum A Infusion System 7 14 Technical Service Manual 7 2 REPLACEMENT PROCEDURES x 2 1 PAN HEAD SCREW 2 4 40 x 1 2 PAN H
127. le the TUBINC input is also high The current counter value is not stored if CSTUB is returned high and TUBINC is low The CCFT intensity is directly proportional to the CCFT current where 0 MA ms is minimum intensity and 5 MA ms is maximum intensity The CCFT current is inversely proportional to the counter value 4 2 1 8 LCD CONTRAST CONTROL A digitally adjustable LCD bias supply is used to control the LCD contrast over a range of 24 to 8 Vpc It is digitally adjustable in 64 equal steps by an internal digital to analog converter DAC The CPU provides two signals LCDADJ ADJ and LCDCTL CTU to interface with this device On power up or after a reset the counter sets the DAC output to the mid range value Each rising edge of LCDADJ increments the DAC output When incremented beyond full scale the counter rolls over and sets the DAC to the minimum value Therefore a single pulse applied to LCDADJ increases the DAC set point by one step and 63 pulses decrease the set point by one step 4 2 1 9 REAL TIME CLOCK The watchdog timekeeper chip includes a complete real time clock calendar RTC watchdog timer alarm and interval timer The time date information includes hundredths of seconds seconds minutes hours date month and year The date at the end of the month is automatically adjusted for months with less than 31 days including correction for leap year The watchdog timekeeper operates in either 24 hour or 12 hour format
128. ly voltage for U12 is supplied by half wave rectifier circuitry CR14 R76 and C51 The PWM oscillation frequency is approximately 40 kHz determined by external resistor R72 and capacitor C45 U12 controls the power delivered by varying the duty cycle of MOSFET Q9 that drives T2 A half wave rectifier rectifies the transformer s secondary voltage that provides the raw DC voltage for the battery charger and system power There are three feedback mechanisms that maintain control a main loop for normal control a secondary loop for overvoltage protection and a current limit loop 4 2 2 1 1 Main Loop The main loop uses an optical feedback path to regulate the charger voltage BATPOS at 6 9 Vpc except during boost charge when the limit is raised to 7 5 Vpc by software control of the VFLOAT line A shunt regulator and opto isolator provide feedback to the PWM error amplifier 42 212 Secondary Loop Diode CR10 and opto isolator U10 provide overvoltage protection CR10 conducts and activates U10 when secondary voltage exceeds approximately 10 Vpc The duty cycle of U12 is reduced until the excessive voltage is removed Plum A Infusion System 4 12 Technical Service Manual 4 2 ELECTRONIC SUBSYSTEM OVERVIEW 4 2 2 1 3 Current Limit Loop The current limit loop is activated when the primary current sensed by R71 exceeds 3 A Resistor R70 and capacitor C46 filter the voltage across R71 and feed it back to the current sense input 1
129. lyzer to a power source 2 Unplug the infuser s power cord from the outlet and connect it to the safety analyzer 3 Connect the safety analyzer ground lead to the ground test point screw post located on the back of the infuser The infuser has a label that points to the location of the ground test screw Note If the infuser does not have a ground test screw post connect the analyzer ground lead to one of the screws that secures the power cord retainer 4 Check the leakage current with the safety analyzer Leakage current must not exceed the specifications in Table 5 2 5 Measure the resistance of the AC mains connector ground lug with the safety analyzer Resistance should not exceed the specifications in Table 5 2 6 Connect the infuser to AC power and ensure that the AC indicator is lit Table 5 2 Electrical Safety Measurements Measurement Not to Exceed Enclosure leakage current NC ground intact Enclosure leakage current SFC open neutral or open ground Earth leakage current NC open ground Earth leakage current SFC open ground and open neutral Chassis ground resistance with cord connected NC NORMAL CONDITION SFC SINGLE FAULT CONDITION Technical Service Manual 5 55 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 17 END OF THE PVT If any tests fail see Section 6 or contact Hospira If the infuser passed all performance verification tests f
130. mance is observed additional measures may be necessary such as re orienting or relocating the infuser 4 Over the frequency range 150 kHz to 80 MHz field strengths should be less than Vi V m Plum A Infusion System A 4 Technical Service Manual APPENDIX RECOMMENDED SEPARATION DISTANCES FOR COMMUNICATIONS EQUIPMENT The infusion system is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The recommendations provided in Table A 4 help the user of the infusion system to prevent electromagnetic interference by maintaining aminimum distance between portable and mobile RF communications equipment transmitters and the infuser according to the maximum output power of the communications equipment Table A 4 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Infusion System Rated Maximum Output Power of Transmitter Watts Separation Distance According to Frequency of Transmitter Meters 150 kHz to 80 MHZ outside ISM bands d Kale 150 kHz to 80 MHz in ISM bands d ve 80 Mhz to 800 MHz 800 MHz to 2 5 GHz 0 035 0 12 0 11 0 35 1 2 1 1 3 8 7 3 100 3 5 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be determined using the equation applicable to the frequency of the transmitter
131. mechanism interface signals Table 4 4 CPU Mechanism Interface Signals Signal Name Type Description Motor current set for phase A Motor current set for phase B Ground signal from chopper for compensation Motor phase A M_PHB Motor phase B M_SEL1 M_SELO Motor select bits FLCAME I O and L S cam flag sensors enable FLPINE L S pin motion detectors enable FLPLE Plunger motor sensor pair enable FLLS_C Flag L S valve cam sensor FLIO_C Flag I O valve cam sensor FLLS_A Flag L S valve A pin detector FLLS_B Flag L S valve B pin detector FLPLRO Flag plunger rotation sensor FLPLTR Flag plunger translation sensor PXPRE Proximal pressure sensor enable Plum A Infusion System 4 10 Technical Service Manual 4 2 ELECTRONIC SUBSYSTEM OVERVIEW Table 4 4 CPU Mechanism Interface Signals Signal Name Type Description PXPRS Proximal pressure sensor DIPRE Distal pressure sensor enable DIPRS Distal pressure sensor PXARE Proximal air sensor enable PXAIR Proximal air sensor DIARE Distal air sensor enable DIAIR Distal air sensor CASPR Cassette present CASS2 CASS1 CASSO Cassette type coding Macro 111 Micro 010 all others are invalid SPCLK SCP clock output SPRXD SCP receive data SPTXD SCP transmit data CSSEP Chip select EEPROM V5_0 5 V supply for interface power V3_3 3 3 V supply for log
132. motor position sensors and serial EEPROM The driver PWA is mounted in the mechanism sub chassis The driver PWA is a four layer board with the following one ground plane one power plane and two signal layers The driver PWA primarily uses SMT components Most of the components are located on the top side of the board while the bottom side holds wave solder compatible resistors and capacitors See Table 4 8 for driver PWA interface connections Table 4 8 Driver PWA Interface Connections Connector Type Interface 6 pin header Plunger motor 6 pin header Input output motor 6 pin header Line select motor 20 pin SMT Flat flex cable to APP PWA 50 pin header Ribbon cable to CPU PWA 6 pin SMT FSR flex circuit 4 pin header Motor power from power supply PWA 8 pin SMT Flat flex cable to switch PWA Plum A Infusion System 4 24 Technical Service Manual 4 4 REMOTE MOUNTED PERIPHERALS 4 3 5 SWITCH PWA The switch PWA contains the plunger translation position sensor that is one of six position sensors in the system The switch PWA is located at the side of the mechanism sub chassis and connects to the driver PWA 4 3 6 APP PWA The APP PWA is mounted in the mechanism sub chassis and contains the following mechanism subsystem circuitry Proximal and distal air sensors and circuitry Proximal and distal pressure sensor amplifiers and excitation V2_5 precision voltage reference Pin detec
133. n 7 2 4 Carefully set the infuser face down Remove the peripheral assembly as described in Section 7 2 6 Remove the volume control knob as described in Section 7 2 7 1 Using a 5 16 nutdriver remove the nut that secures the potentiometer to the peripheral cover Using the needle nose pliers remove the lock washer Using the custom nutdriver remove the hex nut that secures the nurse call jack to the peripheral cover 8 Remove and inspect the DataPort connector cover and replace if required 9 Inspect the seals and replace if required 10 11 12 13 14 15 16 Using the Phillips screwdriver remove the screws that secure the peripheral PWA to the cover Note the position of the two hex nuts installed in the PWA mounting brackets located on the peripheral cover Retain the nuts for reassembly Install the replacement peripheral cover in the exact reverse order of removal Install the volume control knob and nurse call jack nut in the exact reverse order of removal Install the peripheral assembly as described in Section 7 2 6 Reinstall the battery and connect the infuser to AC power Turn on the infuser and verify completion of the self test Technical Service Manual 7 13 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 8 SEPARATING THE FRONT ENCLOSURE REAR ENCLOSURE AND MAIN CHASSIS Recommended tools for this procedure are a 2 Phillips screwdriver medium s
134. n a daisy chain configuration using junction boxes that provide a 5 bit hard ID via DIP switches on the junction box The DIP switches are buffered and read by the CPU via the memory mapped input output MMIO port Plum A Infusion System 4 8 Technical Service Manual 4 2 ELECTRONIC SUBSYSTEM OVERVIEW The DataPort system conforms to the EIA 232 D standard with the following exceptions DataPort uses non standard DB 15 and 6 pin modular connectors in addition to the standard DB 25 and DB 9 connectors With DataPort more than one infuser is allowed on the line The minimum line impedance is 2 KQO EIA 232 D standard 3 KQ min The maximum line impedance is 30 KQ EIA 232 D standard 7 KQ max The maximum line capacitance is 13 nF EIA 232 D standard 2 500 pF The communications default is 1200 BAUD no parity 8 data bits and 1 stop bit The BAUD rate is selectable 1200 2400 4800 and 9600 The data format on the serial port is a 10 bit frame with asynchronous start and stop The CTS line is held high and the RTS line is disconnected The DataPort is isolated from the main system by an optical data path on the peripheral PWA and an isolated power supply 4 2 1 21 POWER SUPPLY INTERFACE The CPU subsystem interfaces the power supply subsystem by providing the MMIO signals needed for power control and battery management Additionally the CPU subsystem measures the battery terminal voltage and charge discharge current via
135. n appears Choose a care area and press ENTER If MedNet is not installed skip this step After the self test is complete the message INSERT PLUM SET CLOSE LEVER appears Open the cassette door and insert the primed cassette from the Basic test setup in Section 5 3 2 1 Close the cassette door The infuser will begin a cassette test If a NEW PATIENT or CLEAR SETTINGS message appears press YES When the CASSETTE TEST IN PROGRESS message disappears from the DELIVERY screen the self test is complete Open the door and remove the cassette Proceed to the Cassette Alarm test in Section 5 3 4 If an alarm condition occurs during the self test cycle the power and repeat the self test If the alarm condition recurs note the message and take corrective action see Section 6 Repeat the self test If the alarm condition continues to recur remove the infuser from service and contact Hospira 5 3 4 CASSETTE ALARM TEST To perform the Cassette Alarm test use an empty not primed run in cassette and proceed as follows 1 If the infuser is not on press ON OFF to turn it on If an Area Selection or CCA Selection screen appears choose a care area and press ENTER Insert the empty run in cassette and close the cassette door The CASSETTE TEST IN PROGRESS message appears After the cassette test is complete verify that CASSETTE TEST FAILURE is flashing on the display and that the alarm sounds O
136. n container Note Accuracy testing is for verification purposes only If there is any concern as to infuser accuracy contact Hospira To perform the delivery accuracy test proceed as follows 1 Attach the 18 gauge blunt cannula to the distal end of the tubing and place the cannula into the graduated cylinder Make sure the score marks on the Line A and Line B drip chambers are 12 to 24 inches above the cassette and that all lines are unclamped see Figure 5 55 Technical Service Manual 5 51 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS bi H DRIP CHAMBER Y 12 24 A gt TO esde le ee a a fajfa START T 2 3 ful S SSE ar DOG 5 GRADUATED OOO CYLINDER H Figure 5 55 Delivery Accuracy Test Setup Plum A Infusion System 5 52 Technical Service Manual 89 N Aa gt 10 11 12 13 14 15 5 3 PERFORMANCE VERIFICATION TEST Turn on the infuser Ifan Area Selection or CCA Selection screen appears choose a care area and press ENTER Press YES at the CLEAR SETTINGS or NEW PATIENT prompt Press A to select Line A Enter a rate of 200 mL hr and VTBI of 10 mL Press START If a
137. n opens the A valve while the B valve remains closed Counterclockwise rotation opens the B valve while the A valve remains closed see Figure 4 8 The A B valve subsystem consists of a stepper motor with attached cam and integral cam flag A and B rockers and valve pins and a pin detector assembly The cam flag passes through an interrupter module as it rotates with the cam Valve home position is determined by this cam flag interrupter module combination through predetermined factory calibration data During operation if the cam flag passes through the interrupter module at the incorrect time sequence a motor phase loss is detected The rocker is the connecting link between the cam and the valve pin AVALVE B VALVE REGULATOR ACTUATOR AIR IN LINE SENSOR DISTAL AIR IN LINE SENSOR 0 PROXIMAL PRESSURE SENSOR II DISTAL CASSETTE LOCATOR PRESSURE SENSOR PROXIMAL a FORCE SENSING OUTLET VALVE RESISTOR PLUNGER INLET VALVE Figure 4 8 Mechanism Valve Pins and Sensor Locations 4 5 2 3 INLET OUTLET VALVE SUBSYSTEM The inlet outlet valve subsystem is similar in function and build to the A B valve subsystem see Section 4 5 2 2 4 5 2 4 PLUNGER DRIVE SUBSYSTEM The following are the main components of the plunger drive subsystem plunger lead screw and coupler and stepper motor When the infuser is turned on the plunger moves from the retracted PARK position to the HOME position T
138. ng indicates a stuck processor The alarm is activated continuously during power failure If the control software does not shut down power in a proper sequence a latch on the CPU PWA powered by a backup supply 0 1 F supercap will activate a continuous alarm This continuous alarm sounds until either the backup supply is discharged or the user resets the latch by pressing the ON OFF key Reliable operation of the main alarm is assured by software monitoring of a buzzer test signal FBUZTST via the ADC 4 2 1 19 BARCODE READER INTERFACE Note The barcode reader feature will not be present on later versions of the Plum A The CPU communicates with a barcode wand that is connected to the peripheral PWA from the rear of the infuser The barcode wand reads and decodes a Code 128 barcode symbology and outputs the barcode data via an RS 232 port using an asynchronous serial ASCII format The software controls power to the barcode reader and to the interface circuits via memory mapped outputs BARPWR and COMPWR The barcode reader is isolated from the main system by an optical data path on the peripheral PWA and an isolated power supply 4 2 1 20 DATAPORT INTERFACE The CPU communicates with an external computer by way of a DataPort interface The DataPort interface provides for remote monitoring of up to four infusers using a host computer with a modified RS 232 D serial interface Infusers are either connected directly to the host or i
139. ng chamber monitors pressure on the distal side of the cassette A flow regulator is incorporated into the cassette distal end This flow regulator is used to manually control flow when the cassette is not inserted in the infuser When the cassette is properly inserted into the infuser and the door is closed a mechanism opens the flow regulator to allow the infuser to control fluid flow When the door is opened the same mechanism closes the flow regulator to disable fluid flow SECONDARY PORT FROM PRIMARY PRECISION GRAVITY Y RESEAL OR CONTAINER FLOW REGULATOR LOCKING CAP CONTROL NOT SHOWN FINGER GRIP B VALVE A VALVE AIR IN LINE SENSOR DISTAL AIR IN LINE SENSOR PROXIMAL PRESSURE SENSOR PRESSURE SENSOR PROXIMAL DISTAL OUTLET AIR TRAP OUTLET VALVE TO CHAMBER PATIENT INLET VALVE PUMPING CHAMBER RIGHT VIEW REAR VIEW LEFT VIEW Figure 4 6 Major Elements of the Dual Channel Cassette Technical Service Manual 4 27 Plum A Infusion System SECTION 4 THEORY OF OPERATION LINEA A VALVE LINE B AIR TRAP CHAMBER C AIR IN LINE SENSOR PROXIMAL INLET VALVE PRESSURE SENSOR PROXIMAL R OUTLET VALVE L P eo OG PRESSURE SENSOR DISTAL AIR IN LINE SENSOR DISTAL KR PRECISION GRAVITY FLOW REGULATOR AND SHUT OFF Figure 4 7 Fluid Path in the Cassette PUMPING CHAMBER 4 5 2 MECHANISM ASSEMBLY The mechanism assembly is a fully self contained unit consisting of the mo
140. ng infusion mechanism on the female connector is completely locked to the male receptacle socket housing see Figure 7 17 and Figure 7 18 Note There can be no gap between the male and female connectors emale cable connector ale receptacle socket housing Figure 7 17 Female Cable Connector on the CPU Driver Cable Connected to the Male Receptacle Header Socket on the CPU PWA Female connector locking pin firmly seated in male connector Figure 7 18 Side View of the CPU Driver Cable Female Connector Firmly Seated and Locked to the CPU PWA Male Connector 13 Connect the other end of the CPU Driver cable to the J11 cable connector on the infusion mechanism PWA see Figure 7 19 and Figure 7 20 Note Verify the male receptacle is not damaged and the pins are not bent J11 connector on the infusion mechanism Figure 7 19 J11 Connector on the Infusion Mechanism Driver PWA Technical Service Manual 7 31 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS Connector Locking pin is seated is firmly locked and straight in place Infusion mechanism Figure 7 20 CPU Driver Cable Connected to the Infusion Mechanism Driver PWA 14 Route the CPU Driver cable through the opening in the main chassis 15 Slide the infusion mechanism onto the main chassis rails and into the main chassis see Figure 7 21 CPU Driver Figure 7 21 CPU Driver Cable and Infusion Mechanism in Main Chassis
141. ns of electrical arcing burn marks or heat scorching or melting If any damage is observed replace the power cord Inspect the plug end of the power cord for bent blades or a bent or missing ground pin If any damage is observed replace the power cord Inspect the Velcro strap for damage If any damage is observed replace the strap 7 When inspections are completed reassemble the power cord to the infuser as described in Section 7 2 5 Connect the infuser to AC power and confirm the AC indicator is lit 4 40 x 1 4 PAN HEAD SCREW VELCRO STRAP 6 32 x 5 8 PAN HEAD SCREW AG POWER CORD RETAINER AC POWER CORD Figure 5 2 Power Cord Retainer and Velcro Strap Plum A Infusion System 5 6 Technical Service Manual 5 2 PREVENTIVE MAINTENANCE 5 2 3 FRONT ENCLOSURE REAR ENCLOSURE CASSETTE DOOR AND DOOR LEVER INSPECTION AND TEST Visually inspect and test the front and rear enclosures at least once every 12 months To inspect the enclosures cassette door and door lever see Figure 5 3 and proceed as follows 1 Place the infuser on a flat stable surface 2 Inspect the front and rear enclosures for cracks chips and gouges If an enclosure is cracked or has a significant chip or gouge replace the damaged part see Section 7 2 8 and Section 7 2 9 3 Inspect the enclosures for stains and discolorations If the stain or discoloration is significant replace the damaged part see Section 7 2 9
142. ollow these instructions to clear all programming and prepare the device to be put back into service l 2 Q a A O Turn on the infuser If an Area Selection or CCA Selection screen appears choose a care area and press ENTER In response to the NEW PATIENT or CLEAR SETTINGS prompt press YES Remove the cassette and close the cassette door Turn off the infuser Make sure the keypad lockout switch on the back of the infuser is in the DOWN position lockout disabled Return the infuser to service Plum A Infusion System 5 56 Technical Service Manual Section 6 TROUBLESHOOTING This section contains information on technical assistance warning messages alarm messages and error codes and troubleshooting procedures 6 1 TECHNICAL ASSISTANCE For technical assistance product return authorization and to order parts accessories or manuals within the United States contact Hospira 1 800 241 4002 For additional technical assistance technical training and product information visit the website at www hospira com For technical assistance product return authorization and to order parts accessories or manuals from outside the United States contact the nearest Hospira sales office 6 2 WARNING MESSAGES Table 6 1 lists warning messages possible causes and corrective actions These warning messages are captured in the Error Log Note When the infuser detects that the battery has r
143. op 3 Check the run in cassette for leaks especially around the sensor bulbs that were cut If there is any leakage replace the run in cassette 4 Keeping the cassette upright remove the white cap 5 Pull out the flow regulator see Figure 5 40 Figure 5 40 Pulling Out the Flow Regulator Technical Service Manual 5 37 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 6 Press in firmly on the pumping chamber to pump air out of the chamber see Figure 5 41 Figure 5 41 Pressing the Pumping Chamber 7 Continue to press on the pumping chamber as you use your other hand to push the flow regulator closed see Figure 5 42 This prevents the air from returning to the pumping chamber Figure 5 42 Preventing Air from Returning to the Pumping Chamber 8 Release the pumping chamber and flow regulator 9 Repeat Steps 6 through 8 until all distal air is pumped out of the tubing 10 Replace the cap The run in cassette is now ready for use 11 Remove the cassette from the infuser Plum A Infusion System 5 38 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST 5 3 2 5 DISTAL OCCLUSION TEST SETUP This section describes the distal occlusion test setup including adding a stopcock and Digital Pressure Meter DPM to the distal tubing on the Basic test setup The distal occlusion test setup is shown in Figure 5 43 SE CONTROL ARM
144. or closer may be unseated CAUTION This inspection of the fluid shield tab is an indirect method to verify that the Z regulator closer has not become unseated during installation of the fluid shield assembly The only way to fully verify that the regulator closer is seated correctly is by direct visual inspection of the regulator closer see Section 6 4 1 Remove the fluid shield assembly and inspect the fluid shield tab Inspect the regulator closer see Section 6 4 1 to ensure that it is seated properly If the regulator closer is seated properly and if fluid shield tab is damaged replace the fluid shield assembly If the regulator closer is not seated properly discontinue use and contact Hospira Normal Tab Bent Tab Figure 7 29 Close up Views of Normal left and Bent right Fluid Shield Tab 18 Install the replacement cassette door in the exact reverse order of removal 19 Replace the mechanism assembly in the exact reverse order of removal Technical Service Manual 7 41 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 20 Join the front enclosure rear enclosure and main chassis assembly in the exact reverse order of separation 21 Reinstall the battery and connect the infuser to AC power To verify correct cassette door and fluid shield replacement perform the PVT in Section 5 3 CAUTION The Unrestricted Flow Test in Section 5 3 5 of the PVT is not a direct method to verify correct s
145. ounds one at the beginning of the self test and one at the end of the self test If the audible sounds do not occur replace the piezo alarm assembly see Section 7 2 12 5 Observe the display area Confirm that the display is clear and readable If any of the LEDs are not operating replace the keypad see Section 7 2 12 2 If the display is not clear or pixels appear to be damaged replace the display see Section 7 2 12 3 Technical Service Manual 5 19 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS LINE FLOW LEDs Options Vol Inf SELECT CHARGE LED v SILENCE Figure 5 16 Display and Indicators 5 2 13 KEYPAD LOCKOUT SWITCH INSPECTION Inspect the keypad lockout switch at least once every 12 months The keypad lockout switch is located on the CE module on the rear of the infuser To inspect the keypad lockout switch see Figure 5 17 and proceed as follows 1 Inspect for the presence of the keypad lockout switch and ensure the switch is not broken Plum A Infusion System 5 20 Technical Service Manual 5 2 PREVENTIVE MAINTENANCE 2 Inspect for a loose or dislodged switch If the switch is loose or not in place replace the CE module or contact Hospira KEYPAD LOCKOUT SWITCH Figure 5 17 Keypad Lockout Switch Technical Service Manual 5 21 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 2 14 PREVENTIVE MAINTENANCE CHECKLIST Hospira Plum
146. pen the door and remove the cassette Plum A Infusion System 5 42 Technical Service Manual 5 3 5 5 3 PERFORMANCE VERIFICATION TEST UNRESTRICTED FLOW TEST To perform the unrestricted flow test use the Basic test setup in Section 5 3 2 1 and proceed as follows l 2 5 5 3 6 Insert the primed cassette into the infuser and close the cassette door If an Area Selection or CCA Selection screen appears choose a care area and press ENTER Otherwise skip this step With the cassette door closed check the distal end of the tubing for fluid flow Verify that no fluid is flowing or that fluid stops after a few drops maximum are released from the end of the distal tubing Clamp the secondary line and open the cassette door and check the distal end of the tubing for fluid flow Verify that no fluid is flowing or that fluid stops after a few drops maximum are released from the end of the distal tubing Close the cassette door DISPLAY TEST To perform the display test use the Basic test setup in Section 5 3 2 1 and proceed as follows 1 Verify that the LCD backlight is illuminated and the display is clearly legible at eye level from approximately 18 inches On the DELIVERY screen press OPTIONS VOL INF to select the OPTIONS screen 3 Select LIGHTING CONTRAST and press CHOOSE Use the DECREASE SETTING and INCREASE SETTING softkeys to change BACKLIGHT INTENSITY Verify that the backligh
147. per drive 4 2 3 1 1 Stepper Motors Each motor is named by its function Plunger motor for driving the plunger screw I O valve motor for moving the input output valve pins L S valve motor for moving the line select valve pins A and B All three motors are four phase stepper types One electrical revolution is accomplished after four motor steps phases are completed The step angle the number of steps per shaft revolution resolutions are 3 6 step 100 steps rev for the plunger motor and 7 5 step 48 steps rev for the I O and L S valve motors Plum A Infusion System 4 16 Technical Service Manual 4 2 ELECTRONIC SUBSYSTEM OVERVIEW The unipolar motor windings have a center tap connected on each of the two coils see Figure 4 3 Unidirectional current enters the center tap and is steered to one end of the coil or the other end by the driver electronics creating positive or negative flux lines in the motor coil With two coils each with a choice of flux polarity four electrical combinations or phases are possible A O A N ACOM OT I Sl 3 SS EP TIN PE oe J JD B BCOM B gt O Na Figure 4 3 Stepper Motor Coils 4 2 3 1 2 Chopper Motor Drive The infuser stepper motor drive is a chopper drive that is a pulse width modulation of the coil current in each motor winding Current is switched on and off to maintain a predetermined coil current independent of supply
148. properly and the pin is not bent 4 Ensure the door roller spins smoothly with a finger touch If the roller does not spin smoothly replace the door as described in Section 7 2 12 8 Door Release Tab Door Roller Unlatch the cassette door by Ensure that the door roller spins up on the lever pushing the door release tab smoothly with a finger touch and pulling the door down Figure 5 4 Door Roller Inspection 5 2 5 FLUID SHIELD INSPECTION Visually inspect the Plum fluid shield at least once every 12 months Equipment required for the fluid shield inspection is a 0 025 inch 0 65 mm feeler gauge plastic or metal To inspect the fluid shield see Figure 5 5 Figure 5 6 and Figure 5 7 and proceed as follows 1 Place the infuser on a flat stable surface 2 Release the door so that it lays flat Press the door release tab to the right and open the cassette door all the way see Figure 5 5 3 Attempt to insert the feeler gauge held perpendicular to the fluid shield into both gaps between the mechanism assembly and the fluid shield see Figure 5 6 e If you are not able to insert the feeler gauge into the gaps between the mechanism assembly and the fluid shield the fluid shield is in an acceptable condition Technical Service Manual 5 9 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS e If you are able to insert the gauge into the gaps between the mechanism assembly and the fluid shi
149. r pressure and pin Barcode reader Cold cathode fluorescent tube Complementary metal oxide semiconductor Central processing unit Digital to analog converter Direct current Dual in line package Direct memory access Digital multimeter Digital pressure meter Electrocardiogram Electroencephalogram Electrically erasable programmable read only memory Electromyogram Electromagnetic interference Electrostatic discharge Ethylene oxide Field programmable gate array Force sensing resistor Hour Hertz Identification Input output Illustrated parts breakdown Intravenous Kilobyte Kilogram Kilohertz Keep vein open Pounds Plum A Infusion System SECTION 1 INTRODUCTION LCD LED L S mA MB mcg MHz min mL MMIO MOSFET ms nF ng pF PROM PVT PWA PWM RAM rms RTC SCC SCP SLA SMT SPI VTBI WDI Plum A Infusion System Liquid crystal display Light emitting diode Line select Milliampere Megabyte Microgram Megahertz Minute Milliliter Memory mapped input output Metal oxide semiconductor field effect transistor Millisecond Nanofarad Nanogram picofarad Programmable read only memory Performance verification test Printed wiring assembly Pulse width modulator Random access memory Root mean square Real time clock Serial communication controller Serial communication port Sealed lead acid Surface mount technology Serial peripheral interface Static random access memory Thin qu
150. r 8 bits of the data bus that is connected to DATA lt 7 0 gt lines address line Al and LCD chip select signal CSLCD CS2 This controller is also configured as 8080 family compatible interface device with all of the control signals such as WRLCD WR and RDLCD RD generated by the FPGA logic Technical Service Manual 4 3 Plum A Infusion System SECTION 4 THEORY OF OPERATION 4 2 1 7 LCD BACKLIGHT CONTROL The LCD panel is backlit by a cold cathode fluorescent tube CCFT lamp The CCFT lamp requires 300 V to operate A current controlled DC to AC voltage inverter circuit is used to deliver a current regulated sine wave to the lamp A switching regulator regulates the CCFT current by monitoring feedback pin 3 and varies its output duty cycle to drive a DC AC inverter Intensity control is achieved by superimposing a DC control signal with the feedback signal The DC control signal is sourced by a voltage divider consisting of a digitally controlled non volatile potentiometer and three series diodes The CPU can adjust LCD backlight intensity by selecting the digitally controlled non volatile potentiometer and controlling TUBU D and TUBINC signals The potentiometer has a five bit up down counter with non volatile memory It is used to store one of 31 settings of the potentiometer Each count represents 323 with a range of 323 to 10 KQ The current counter value is stored in non volatile memory after CSTUB is returned high whi
151. r and VTBI of 1 mL Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES Verify that fluid is pumping the message PUMPING is displayed in the Line A status bar and the LED above Line A flashes Verify that the alarm sounds and the message LINE A VTBI COMPLETE appears when the dose has been delivered Turn the volume control knob on the back of the infuser clockwise and counterclockwise see Figure 5 48 Verify that the alarm loudness changes EE ug TT lnnonooooo _ 3 VOLUME CONTROL KNOB Figure 5 48 Volume Control Knob 8 Press the SILENCE key and verify that the alarm is paused 9 Press STOP Technical Service Manual 5 45 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 9 KEYPAD LOCKOUT SWITCH TEST To perform the keypad lockout switch test use the Basic test setup in Section 5 3 2 1 and proceed as follows 1 10 11 12 LOCKOUT SWITCH Press A to select Line A If the message CLEAR LINE A SETTINGS appears press YES Enter a rate of 400 mL hr and VTBI of 50 mL Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES Verify that fluid is pumping the message PUMPING is displayed in the Line A status bar and the LED above Line A flashes Move the keypad lockout switch on the back of the infuser
152. r liability for the actions or inactions of the person performing such repair or service regardless of whether such person has been trained to perform such repair or service It is understood and acknowledged that any person other than a Hospira representative performing repair or service is not an authorized agent of Hospira Technical Service Manual 2 1 Plum A Infusion System SECTION 2 WARRANTY This page intentionally left blank Plum A Infusion System 2 2 Technical Service Manual Section 3 SYSTEM OPERATING MANUAL A copy of the System Operating Manual is included with every Plum A infusion system If a copy is not available contact Hospira see Section 6 1 Technical Service Manual 3 1 Plum A Infusion System SECTION 3 SYSTEM OPERATING MANUAL This page intentionally left blank Plum A Infusion System 3 2 Technical Service Manual Section 4 THEORY OF OPERATION This section describes the Plum A theory of operation The theory of operation details the general description electronic subsystem overview printed wiring assemblies remote mounted peripherals LCD and mechanical overview of the infusion system Related drawings are provided in Section 9 4 1 GENERAL DESCRIPTION The infusion system includes the following features Dose calculation Loading dose Multi step programming Therapy selection Nurse call Delayed start setting Standby mode Drug label library Piggyback and Concurrent deli
153. r power supply lines 1 kV for input output lines Mains power quality should be that of a IEC 61000 4 4 typical commercial or hospital Surge 1 kV differential mode 1 kV differential mode environment IEC 61000 4 5 2 kV common mode 2 kV common mode Voltage Dips lt 5 U gt 95 dip in U lt 5 U gt 95 dip in U Mains power quality Short Interruptions for 0 5 cycle for 0 5 cycle should be that of a and Voltage ror P typical commercial Variations on pie Ur ar dip in Ur ae ee dip in Ur or hospital Power Supply Or ag OF GYMS environment Input Lines 70 U 30 dip in U 70 U 30 dip in U IEC 61000 4 11 for 25 cycles 5 U gt 95 dip in U for 5 seconds for 25 cycles 5 U gt 95 dip in U for 5 seconds If the user of the infusion system requires continued operation during power mains interruptions it is recommended that the infuser be powered from an uninterruptible AC mains power supply or the battery Power Frequency 50 60 Hz Magnetic Field IEC 61000 4 8 3 A m 400 A m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment U is the AC Mains voltage prior to application of the test level Compliance levels are tested to IEC 60601 2 24 requirements which are more stringent than IEC 61000 4 2 and IEC 61000 4 8 Plum A Infusion System Technical Ser
154. rce applied to the active surface The FSR is arranged in a voltage divider configuration with a fixed resistor followed by a comparator with hysteresis The comparator circuits are located on the CPU PWA The comparators are designed to trip as the FSR s resistance falls below 120 KQ 4 2 3 8 SERIAL EEPROM The driver PWA holds the 8 K x 8 bit serial EEPROM that is used to store event alarm malfunction and calibration data specific to the pumping mechanism It is accessed through a serial peripheral interface SPI compatible interface that is a high speed serial interface to the CPU The CPU PWA accesses this device through its SCP serial interface This interface is a subset of the SPI and consists of clock SPCLK data in SPRXD and data out SPTXD pins This device is in the driver PWA to allow the calibration data to stay with the mechanism 4 3 PRINTED WIRING ASSEMBLIES Infusion system electronics are packaged into printed wiring assemblies PWA and remote mounted peripherals see Section 4 4 The following sections provide a brief description of the functional interfaces of each PWA 4 3 1 POWER SUPPLY PWA The power supply PWA contains the following functions of the power supply subsystem Main switching regulator Auxiliary supplies AC power detection Power control Main regulator fault detection Battery management System power Plum A Infusion System 4 22 Technical Service Manual 4 3 PRINTED WIRI
155. rcuitry When the cassette s test port is filled with fluid the transmitted signal will be coupled to an identical piezoelectric crystal where it is amplified and detected by the receiver circuitry The receiver circuitry consists of an amplifier a peak detector and an adjustable gain buffer stage There is a separate symmetrical receiver circuit for each channel proximal and distal Component references are made to the distal channel only The first amplifier includes two directly coupled common emitter stages biased from the V2_5 supply DIARE and PXARE are used to enable the distal and proximal sensors respectively The detector stage consists of an emitter follower charging a 400 psec time constant refreshed every 40 microseconds twice per VCO sweep The peak detector output is buffered by an op amp configured as a basic non inverting amplifier with a trimming potentiometer R31 for gain adjustment Each sensor has an independent gain adjustment The two air sensor gain trimming potentiometers are accessible for calibration in an assembled mechanism These final signals are read by the CPU subsystem via the ADC PXAIR proximal air sensor output DIAIR distal air sensor output 4 2 3 5 PRESSURE SENSORS The mechanism subsection contains two strain gauge type pressure sensors one at the proximal and the other at the distal cassette ports Electrically the strain gauge is a Wheatstone bridge made of four strain gauge re
156. re 5 28 Cassette Finger Grip Technical Service Manual 5 29 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 3 Slide the cassette into the door guide see Figure 5 29 Figure 5 29 Cassette and Door Guide 4 Press the lever down to close the cassette door 5 Open all clamps 6 Check the distal end of the tubing to confirm that there is no flow and that no kinks appear in the tubing Note If there is flow or leaks close all clamps and replace the administration set 7 Ensure that the score mark on the drip chamber is 12 to 24 inches higher than the cassette 8 Place the distal end of the tubing in the collection container Go to Section 5 3 2 1 4 to attach and prime the secondary line 5 3 2 1 4 Preparing the Secondary Line To prepare the secondary line proceed as follows to prime the line and attach it to the cassette 1 Insert the piercing pin into the secondary container outlet using a twisting motion see Figure 5 30 Plum A Infusion System 5 30 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST Note Do not position the container above the infuser while inserting the piercing pin Figure 5 30 Inserting the Piercing Pin 2 Suspend the container on an IV pole 3 Check the secondary container for leaks If any part of the container is leaking replace it 4 Squeeze the drip chamber to fill it about 1 2 full or to the score mark see Figure 5 31 Do not
157. re 9 8 Figure 9 9 Table 1 1 Table 1 2 Table 4 1 Table 4 2 Table 4 3 Table 4 4 Table 4 5 Table 4 6 Table 4 7 Table 4 8 Table 4 9 Table 5 1 Table 5 2 Table 6 1 Table 6 2 Table 6 3 Table 6 4 Table 9 1 Table 9 2 Table A 1 Table A 2 Table A 3 Table A 4 CONTENTS Illustrated Parts Breakdown cc cece cee ce cece eee e eee e ee eees Front Enclosure Rear Enclosure and Main Chassis eeee00 Front Enclosure Assembly ccc cece ccc e cece e reece eee ee eens Rear Enclosure Assembly 0 cece cere reece cere cence eee ee eens Peripheral Assembly 0 ccc cee cece cece eee e eter e reece eee eeees Main Chassis Assembly 0 ccc cece cece cree e cece e reece eee ee eee AC Power Cord Assembly and Battery Assembly 00eeeeeeeee CPU PWA and Main Chassis 0 ccc cece ccc c eee c ee ee eee eens Mechanism Assembly 0 0 c cece cece cece cece eect eee cere eee E TABLES Conventions i System Configuration Data x Analog Inputs Keypad Map CPU Power Supply Titeriace CPU Mechanism Interface Signals Power Supply PWA Interface Connections Peripheral PWA Interface Connections CPU PWA Interface Connections Driver PWA Interface Connections APP PWA Interface Connections Cleaning Solutions Electrical Safety Meavarements Warning Messages Operational Alarm Messages and C rr eiive Actions Error Codes Requiring Technical Service
158. regulator to power the BCR wand When the LED at the tip of the BCR wand is swiped across a barcode label the reflected light is scanned and processed After a successful scan the data is sent over the communication interface to the CPU 4 5 MECHANICAL OVERVIEW The principal mechanical elements of the infuser include the cassette and the mechanism assembly When a cassette is locked into the operating position and the ON OFF switch is pressed the infuser performs a self test to verify the integrity of the internal systems The operation of the mechanism assembly moves a plunger causing a pumping action A valve motor selects the A or B valve depending on the command An additional valve motor alternately opens and closes an inlet valve and outlet valve to control fluid flow through the cassette pumping chamber The following sections detail the cassette and the mechanism assembly 4 5 1 CASSETTE The cassette operates on a fluid displacement principle to volumetrically deliver fluid see Figure 4 6 and Figure 4 7 See the System Operating Manual for a description of the major cassette functions The pumping cycle begins when the outlet valve is opened and the inlet valve is closed The plunger extends to deflect the cassette diaphragm and expel fluid At the end of the pumping stroke the outlet valve is closed the inlet opens the appropriate A or B valve opens and the plunger retracts to allow fluid to refill the pumping chamber
159. relative humidity O 10 000 feet 0 3000 meters or equivalent atmospheric pressure 10 90 104 F max 0 1 to 99 9 mL hr in 0 1 mL hr increments 100 to 999 mL hr in 1 mL hr increments 0 5 mL hr minimum for each line 500 mL hr cumulative A B maximum 1 mL hr or the last primary delivery rate whichever is less 0 1 to 99 9 mL in 0 1 mL hr increments 100 to 9999 mL in 1 mL hr increments The distal occlusion alarm sounds after the distal tubing or set outlet fitting becomes occluded The proximal occlusion alarm sounds within three pumping cycles when the tubing proximal to the cassette becomes occluded 1 to 15 psi maximum pressure limit is user selectable factory setting is 6 psi 20 psi Bolus 0 1 mL of air or larger Cumulative 0 25 mL of air out of 4 9 mL of fluid Bolus at 0 5 mL total 1 mL 0 5 mL concurrent 8 2 Technical Service Manual Section 9 DRAWINGS Figure 9 1 through Figure 9 9 show the Illustrated Parts Breakdown IPB and assembly drawings Table 9 1 lists drawings by figure number and title Table 9 2 identifies parts by index numbers which correlate to Figure 9 1 Drawings in this section are provided as information only and may not exactly reflect current product configuration Note PWA schematic drawings are available from Hospira upon request Table 9 1 Drawings Figure Number Title Illustrated Parts Breakdown Front Enclosure Rear Enclosure and Main Chassis
160. remove the specific components described in Section 7 2 10 To replace the main chassis remove the specific components described in Section 7 2 12 Reassemble the front enclosure rear enclosure and or main chassis components Note Assure that the CPU driver cable is positioned completely above and to the side of the battery enclosure prior to joining the rear enclosure to the main chassis Join the front enclosure rear enclosure and main chassis in the exact reverse order of separation Reinstall the battery and connect the infuser to AC power To verify successful front enclosure rear enclosure or main chassis replacement perform the PVT in Section 5 3 Plum A Infusion System 7 16 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 7 2 9 1 SHOE GASKET REPLACEMENT Note Shoe gaskets will not be present on newer versions of the device The recommended tool for this procedure is needle nose pliers The replacement part for this procedure is Gasket Shoe To replace the shoe gaskets see Figure 7 8 then proceed as follows 1 Turn off the infuser and disconnect the device from AC power 2 Remove the battery as described in Section 7 2 4 3 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 8 4 Remove the shoe gaskets from the front and back of the front enclosure as shown in Figure 7 8 5 Install the replacement shoe gaskets in the exact reverse order of
161. required Attach the strap to the replacement power cord 7 Install the replacement AC power cord in the exact reverse order of removal 8 Reinstall the battery and connect the infuser to AC power 9 Press ON OFF and verify the infuser powers on Replacement of the AC power cord retainer and Velcro strap is routine maintenance and no verification procedure is normally required However if the infuser may have been damaged during the procedure perform the PVT in Section 5 3 Plum A Infusion System 7 6 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 4 LOCK WASHER FLAT WASHER 4 40 x 1 4 PAN HEAD SCRE EQUIPOTENTIAL TERMINAL VELCRO STRAP 4 40 x 7 16 JACK SCREW 6 32 x 5 8 PAN HEAD SCREW AC POWER CORD RETAINER AC POWER CORD Figure 7 3 AC Power Cord Assembly Technical Service Manual 7 7 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS 7 2 6 PERIPHERAL ASSEMBLY REPLACEMENT CAUTION Peripheral assembly replacement should only be performed after receiving approval from Hospira Note Replacing the peripheral assembly does not change the existing Biomed settings The recommended tool for this procedure is a 2 Phillips screwdriver The replacement parts for this procedure are Assembly Peripheral Screw 4 40 x 1 2 Pan Head Square Cone Phillips To replace the peripheral assembly see Figure 7 4 and Figure 7 5 then proceed as follows 1 Turn off the in
162. rify successful display assembly replacement perform the PVT in Section 5 3 Technical Service Manual 7 27 Plum A Infusion System SECTION 7 REPLACEABLE PARTS AND REPAIRS PIEZO ALARM ASSEMBLY 4 40 x 3 8 4 40 x 3 16 SCREW 2 SCREW 4 SPACER 4 DE RK SPLASHGUARD CPU PWA DISPLAY KEYPAD GASKET KEYPAD Figure 7 12 Keypad Display CPU PWA and Piezo Alarm Plum A Infusion System 7 28 Technical Service Manual 7 2 REPLACEMENT PROCEDURES 7 2 12 4 CPU PWA REPLACEMENT The recommended tool for this procedure is a medium size flat blade screwdriver The replacement parts for this procedure are PWA CPU Insulator CPU Assembly Cable CPU Driver Screw 4 40 x 1 4 Hex Head Slotted with Washer To replace the CPU PWA proceed as follows 1 Turn off the infuser and disconnect the device from AC power 2 3 Remove the battery as described in Section 7 2 4 Separate the front enclosure rear enclosure and main chassis as described in Section 7 2 8 Remove the power supply PWA as described in Section 7 2 12 1 5 Remove the keypad and display assembly as described in Section 7 2 12 2 and Section 7 2 12 3 Remove and inspect the CPU Driver cable assembly and replace if required 7 Using the flat blade screwdriver remove the screws that secure the CPU PWA and insulator to the main chassis 8 Inspect the insulator and replace if required 10 Install the r
163. riming in Step 5 2 Insert the run in cassette into the infuser and close the door 3 Remove the white cap on the run in cassette taking care not to spill any water into the infuser The run in cassette is now installed in the infuser with the white cap off 4 Turn on the infuser During the self test the infuser will issue a cassette test failure alarm 5 Press and hold BACKPRIME to pump water from the drip chamber into the proximal lines and cassette Plum A Infusion System 5 36 Technical Service Manual 5 3 PERFORMANCE VERIFICATION TEST 6 When bubbles are no longer being pushed into the drip chamber release the BACKPRIME key The cassette test will proceed 7 If the cassette test fails again repeat Steps 5 and 6 8 When the cassette test completes with no alarms replace the white cap 5 3 2 4 2 Priming the Distal Tubing Loop After the cassette and proximal tubing are primed the cassette test will succeed A distal air alarm may occur the first time a test infusion is run however because Backprime only affects tubing that is proximal to the cassette The following procedure describes how to manually pump air out of the distal tubing To prime the distal tubing of a run in cassette proceed as follows 1 Open the cassette door and remove the run in cassette Close the cassette door 2 Remove the top of the run in cassette and add water to bring the level in the drip chamber to about 2 3 full Replace the t
164. roduct ID Label Module Battery Label Internal Switchport Label Caution Label 3 Inspect the labels for legibility and peeling To replace a label contact Hospira Plum A Infusion System 5 4 Technical Service Manual 5 2 PREVENTIVE MAINTENANCE CLOSE LEVER CLOSE LEVER REAR CAUTION BATTERY LABEL LABEL w ARROW LABEL INTERNAL LEVER DOOR OPEN LABEL Ke Ss 000000000 er 9 b CAUTION LABEL SWITCHPORT SERVICE LABEL REVISION LEVEL LABEL DRIVER PRODUCT I D PUSH LABEL LABEL MODULE WIRELESS PRODUCT I D 2 MAC ADDRESS LABEL DRIVER LABELS WIRELESS SIDE LABELS Figure 5 1 Infuser Labels Technical Service Manual 5 5 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 2 2 AC POWER CORD RETAINER AND VELCRO STRAP INSPECTION Inspect the power cord power cord retainer and Velcro strap at least once every 12 months To inspect the power cord and retainer see Figure 5 2 and proceed as follows 1 2 3 Turn off the infuser and disconnect the device from AC power Remove the retainer and power cord as described in Section 7 2 5 Inspect the retainer for cracks breaks or missing parts of the retainer body If any damage is found replace the retainer Inspect both ends of the power cord for any sig
165. rt for two minutes Press START NV RAM lost thrpy data Therapy data is lost Infuser did not complete the previous non volatile memory write successfully Re enter all programmed data Nurse callback B Delivery line B has changed if alarm is enabled End of delivery step online B other than VTBI complete while callback is enabled Press SILENCE Nurse callback A Delivery line A has changed if alarm is enabled End of delivery step online A other than VTBI complete while callback is enabled Press SILENCE Line B VTBI complete Programmed VTBI completed on line B VTBI complete on line B Press SILENCE replace IV bag and restart line B Line A VTBI complete Programmed VTBI completed on line A VTBI complete on line A Press SILENCE replace IV bag and restart line A Distal Occl Peak distal occlusion non delivery Distal occlusion detected during non delivery Backprime the cassette and restart the infuser Distal Occl Negative distal occlusion non delivery Distal occlusion detected during non delivery Backprime the cassette and restart the infuser Prox Occl B Air or Prox Occl B Technical Service Manual Negative proximal occlusion B non delivery Proximal occlusion detected on line B during non delivery Backprime the cassette and restart line B or Stop all lines backprime the cassette an
166. rtup shutdown sequence while battery powered System power is always on while AC powered STRTUP 3 SEC lt ONE SHOT V3 3 V5 0 V12V PWRHLD Figure 4 2 System Startup and Shutdown Timing Battery Powered 4 2 2 6 BATTERY VOLTAGE MEASUREMENT The battery terminal voltage BATPOS BATNEG is measured with a differential amplifier consisting of Ul R1 R2 R4 R7 and R8 It has a gain of 0 317 to generate a single ended VBATT signal The VBATT signal is then provided to the CPU A D converter as input for the battery management algorithms 4 2 2 7 BATTERY CHARGE DISCHARGE CURRENT MEASUREMENT The battery management algorithms measure battery charge discharge current for battery capacity estimation and charger control The charge discharge current is measured by integrating the voltage across current sense resistor R57 An operational amplifier op amp integrator circuit consisting of U2 C5 R12 R13 R19 and R20 provides a voltage proportional to the integration of battery current IBATT over a CPU controlled measurement period The IBATT signal is fed to the CPU A D converter where it is sampled at the end of the measurement period The battery management algorithm further accumulates the charge discharge current for battery capacity estimation The op amp integrator is reset by the CPU system at the beginning of each measurement period by parallel analog switches U3 controlled by
167. s Note Daylight savings and time zone changes must be made manually To set the time and date see Figure 1 11 and proceed as follows 1 Access the BIOMED SETTINGS screen as described in Section 1 8 Select Set Time and Date and press CHOOSE Select the parameter to be changed then enter the desired value Ae N Verify the time and date are correct then press ENTER to return to the BIOMED SETTINGS screen 5 If there are no further changes turn off the infuser BIOMED SETTINGS Set Time and Date Time K 22 hr min Year 2011 Month 10 Day 14 Enter value using keypad cae Ent Pee ee Figure 1 11 Setting the Time and Date Technical Service Manual 1 15 Plum A Infusion System SECTION 1 INTRODUCTION This page intentionally left blank Plum A Infusion System 1 16 Technical Service Manual m 3 Section 2 WARRANTY Subject to the terms and conditions herein Hospira Inc hereinafter referred to as Hospira warrants that a the product shall conform to Hospira s standard specifications and be free from defects in material and workmanship under normal use and service for a period of one year after purchase and b the replaceable battery shall be free from defects in material and workmanship under normal use and service for a period of 90 days after purchase Hospira makes no other warranties express or implied and specifically disclaims the implied warranties of merchantability and f
168. s bus when combined with UDS AO The address bus is a bi directional three state bus capable of addressing 16 MB of data that is configured as 16 bits per word including the IMP internal address space Each of the four programmable chip select lines has two registers that define the starting address of a particular address space and the block size Plum A Infusion System 4 2 Technical Service Manual 4 2 ELECTRONIC SUBSYSTEM OVERVIEW 4 2 13 PROGRAMMABLE READ ONLY MEMORY The CPU subsystem has two 512 K x 8 bit programmable read only memory PROM memory devices that provide a total of 1024 KB The PROM space is expandable up to 2 MB The PROM memory devices operate off the 3 3 Vpc supply The CPU chip select 0 pin CS0 is connected to the PROM chip enable CE pin signal CSROM This special chip select signal can support bootstrap operation after reset The interface to the CPU is the 16 bit data bus and a 19 bit address bus The address bus is connected to the ADDR lt 19 1 gt lines and the data bus is connected to the DATA lt 15 0 gt lines 4 2 1 4 STATIC RANDOM ACCESS MEMORY There are two 512 K x 8 bit CMOS static random access memory SRAM devices that provide a total of 1024 KB of data memory During an SRAM read or write cycle the chip enable CE is controlled by the CPU chip select pin 1 CS1 signal name CSRAM The SRAM space is expandable up to 2 MB The SRAM operates off the 3 3 Vpc supply The CPU subsystem in
169. sensor failure 1 Distal pressure sensor failed while the infuser is off Distal pressure sensor failure 2 Distal pressure sensor failed while the infuser is on Replace mechanism assembly see Section 7 2 12 6 Reset time and date if required see Section 1 8 3 Hardware watchdog failure Hardware watchdog failure Replace CPU PWA see Section 7 2 12 4 Reset time and date if required see Section 1 8 3 I O valve phase loss Technical Service Manual Generic I O valve failure Turn power off then on to reset the infuser Replace CPU PWA see Section 7 2 12 4 Replace mechanism assembly see Section 7 2 12 6 Reset time and date if required see Section 1 8 3 Plum A Infusion System SECTION 6 TROUBLESHOOTING Error Code Table 6 3 Error Codes Requiring Technical Service Malfunction L S valve phase loss Possible Cause Generic L S valve failure Plunger motor phase loss Generic plunger motor failure Corrective Action Turn power off then on to reset the infuser Replace CPU PWA see Section 7 2 12 4 Replace mechanism assembly see Section 7 2 12 6 Reset time and date if required see Section 1 8 3 Proximal air sensor failure 1 Proximal air sensor ongoing test detects liquid with cassette removed Proximal air sensor failure 2 Proximal air sensor self test detects liquid with cassette removed Proximal pressure sensor 1
170. sistors When the bridge is electrically excited the bridge will output a millivolt level signal proportional to the applied pressure The output signal is amplified and offset adjusted before being read by the ADC Each pressure sensor circuit includes an excitation voltage supply sensor amplifiers and a low pass filter The pressure sensor circuitry is on the APP PWA Each of the two channels has an identical topology but different gain and filter response A block diagram of this circuit is shown in Figure 4 5 Component references are made to the distal channel only Plum A Infusion System 4 20 Technical Service Manual 4 2 ELECTRONIC SUBSYSTEM OVERVIEW Be hs BRIDGE Ge EXCITATION FROM CPU STAN WHEATSTONE BRIDGE REFERENCE 25V DIFFERENTIAL AMPLIFIER AND OFFSET ADJUST OUTPUT PRESSURE AMPLIFIER SIGNAL OUTPUT AND FILTER TO CPU Figure 4 5 Pressure Sensor Excitation and Amplifier Block Diagram 4 2 3 5 1 Bridge Excitation Supply The bridge excitation voltage is 3 75 Vpc and is derived from the 2 5 Vpc reference signal V2 5 gained 1 5 times by an amplifier The CPU subsystem may independently enable power to each pressure sensor bridge These enable signals are active high 3 3 V logic level inputs PXPRE proximal pressure sensor enable DIPRE distal pressure sensor enable 4 2 3 5 2 Amplifier and Low Pass Filter The pressure sensor amplifiers include a high gain di
171. t from the infuser s internal wiring at the inline connector Inspect the battery compartment for any debris If debris is present wipe or brush the debris out of the compartment Inspect the battery door and replace if damaged or cracked Inspect the battery door pad on the battery door to ensure the pad is attached and is not damaged If the pad is damaged replace either the pad or the complete battery door assembly Inspect the battery door gasket on the battery door to ensure that the gasket is attached and is not damaged Note The battery gasket may not be present on some versions of the infuser Connect the replacement battery and wire harness assembly to the infuser s internal wiring harness at the inline connector The inline connector is keyed so that the cables cannot be incorrectly connected Note Use only Hospira approved replacement batteries Carefully insert the battery and wire harness assembly into its compartment with the terminals facing upward Note Confirm the battery harness is not pinched between the battery and the enclosure Reinstall the battery door using the screw that was removed in Step 3 and return the infuser to its upright position Connect the device to AC power and verify that the Charge Line indicator LED on the keypad is lit Access the BIOMED SETTINGS screen see Section 1 8 and press the CHANGE BATTERY softkey Note The infuser does not provide a
172. t intensity decreases and increases 5 Select DISPLAY CONTRAST Press DECREASE SETTING and INCREASE SETTING to change display contrast Verify that the display contrast decreases and increases Press CANCEL BACK to return to the OPTIONS screen Press BACK to return to the DELIVERY screen Technical Service Manual 5 43 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 3 7 KEYPAD VERIFICATION FUNCTIONAL TEST To perform the keypad verification functional test use the Basic test setup in Section 5 3 2 1 and proceed as follows I 2 While the infuser displays the DELIVERY screen press A to select Line A Verify that the PROGRAM screen is displayed Enter a rate of 123 mL hr and VTBI of 4567 Note If MedNet is installed the infuser may display override messages or hard limit restrictions depending on the current CCA selected Select a different CCA if necessary to complete the keypad verification functional test Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES Verify that fluid is pumping the message PUMPING is displayed in the Line A status bar and the LED over Line A flashes Press STOP Press and hold BACKPRIME Verify that the BACKPRIMING and RELEASE BACKPRIME TO STOP messages are displayed and confirm that the infuser is actually backpriming Release the BACKPRIME softkey
173. t the mechanism near their associated flags The motor rotational optical switches are mounted on the driver PWA along with the control circuitry The plunger translational optical switch is mounted remotely on the switch PWA The switches are used intermittently to save power There are two control signals that enable associated switch pairs as follows FLCAME flag valve motor cam sensor enable FLPLE flag plunger motor rotation and translation sensors enable Each of these control signals enables a constant current source that turns on the associated switch s infrared LEDs The photo transistor states are sensed by Schmidt trigger inverters U11 on driver PWA that provide a 3 3 V logic high when the optical path is blocked or a logic low when the optical path is clear The Schmidt trigger output is high when the sensor is disabled The following output signals are provided to the CPU subsystem FLIO C flag I O valve motor cam sensor FLLS_C flag L S valve motor cam sensor FLPLRO flag plunger motor rotation sensor FLPLTR flag plunger motor transition sensor 4 2 3 3 V2_5 REFERENCE VOLTAGE A precision 2 5 Vpc reference voltage is generated on the APP PWA for use by the pressure sensor excitation circuits the air sensor amplifier circuits and the ADC and DAC reference voltage The precision 2 5 Vpc reference is buffered by a voltage follower The signal name is V2_5 Plum A Infusion System 4 18 Technical Service Manual 4
174. te on line A Backprime the cassette and restart line A or Remove and manually reprime the cassette and restart the infuser Distal air cumulative Distal air cumulative 500 uL of air detected in the last 5 3 mL of fluid delivered Remove and manually reprime the cassette and restart the infuser Distal air bolus Distal air bolus 100 uL bolus of air detected at distal sensor Remove and manually reprime the cassette and restart the infuser Door opened while pumping Door opened while pumping Door opened while pumping Turn off the infuser or Insert the cassette and close the door Valve cass test fail Technical Service Manual Valve cassette test failure Valve cassette fails the leak test Backprime and retest or Replace the cassette and retest or Replace the mechanism Plum A Infusion System SECTION 6 TROUBLESHOOTING Table 6 2 Operational Alarm Messages and Corrective Actions Alarm Depleted battery Description Low battery Possible Cause Battery terminal voltage is less than 5 45 V Corrective Action Connect the infuser to AC power or Recharge or replace the battery Lockout Violation Hard lockout violation The use of the STOP key or an attemptto open the door while lockout switch is locked Unlock the lockout switch Lockout Enabled Keypad locked Any action not resulting in stopping of
175. the ADC See Table 4 3 for CPU power supply interface signals Table 4 3 CPU Power Supply Interface Signal Name Description PWRHLD D O Holds system power on STRTUP A I Startup pulse from the ON OFF key STRUPD D I Digital startup pulse used as interrupt to the CPU V3_3 P 3 3 V system power V5_0 VANA P 5 V analog and interface power VMOT P Raw unregulated charger voltage or battery voltage V2_7 P 2 7 V backup power for RTC and non volatile SRAM VSC P Full time 5 V supply backed up by supercap v1i2 0 P 12 V low current supply for audio alarm OVRVLT D I Signal that indicates overvoltage regulation problem on the power supply main regulator BACON D I Buffered AC on signal Technical Service Manual 4 9 Plum A Infusion System SECTION 4 THEORY OF OPERATION Table 4 3 CPU Power Supply Interface Signal Name Description IBATT Voltage proportional to integration of battery charge discharge current VBATT Divided battery terminal voltage CHG Battery charger enable VFLOAT Set the main regulator voltage to battery float charge level ITGRST Reset the charge current integrator Legend P Power A Analog D Digital I Input O Output 4 2 1 22 MECHANISM INTERFACE The CPU subsystem provides the MMIO ports for interface to the mechanism subsystem in addition to the analog interface mentioned in Section 4 2 1 11 and Section 4 2 1 12 See Table 4 4 for CPU
176. the preventive maintenance inspections and tests in the following sequence 1 2 3 O MON OO OT PS 10 12 13 14 Section 5 2 1 Labels Inspection Section 5 2 2 AC Power Cord Retainer and Velcro Strap Inspection Section 5 2 3 Front Enclosure Rear enclosure Cassette Door and Door Lever Inspection and Test Section 5 2 4 Door Roller Inspection and Test Section 5 2 5 Fluid Shield Inspection Section 5 2 6 Distal Pressure Pin Inspection Section 5 2 7 Proximal Pressure Pin Inspection Section 5 2 8 Rubber Foot Pad Inspection Section 5 2 9 Pole Clamp Inspection and Test Section 5 2 10 Battery Inspection and Replacement Section 5 2 11 Keypad Inspection Section 5 2 12 Display and Indicators Inspection Section 5 2 13 Keypad Lockout Switch Inspection Section 5 2 14 Preventive Maintenance Checklist Technical Service Manual 5 3 Plum A Infusion System SECTION 5 MAINTENANCE AND SERVICE TESTS 5 2 1 LABELS INSPECTION Visually inspect the infuser labels at least once every 12 months To inspect the labels see Figure 5 1 and proceed as follows 1 Place the infuser on a flat stable surface 2 Confirm that the following labels are present Close Lever Label Logo Label 2 MAC Address Labels Lever Deor Open Service Revision Level Label Wireless Close Lever Driver Push Label Wireless w Arrow Label Product I D Label Driver Side Labels Rear Caution Label P
177. tion o Section 5 Maintenance and Service Tests o Section 6 Troubleshooting o Section 7 Replaceable Parts and Repairs o Section 8 Specifications o Section 9 Drawings o Appendix o Technical Service Bulletins If a problem in device operation cannot be resolved using the information in this manual contact Hospira see Section 6 1 Specific instructions for operating the device are contained in the Plum A and Plum A 3 System Operating Manual o be The terms infusion system infuser and device are used interchangeably throughout the manual Figures are rendered as graphic representations to approximate actual product Therefore figures may not exactly reflect the product Screen representations are examples only and do not necessarily reflect the most current software version Technical Service Manual 1 1 Plum A Infusion System SECTION 1 INTRODUCTION 1 2 CONVENTIONS The conventions listed in Table 1 1 are used throughout this manual Table 1 1 Conventions Convention Application Example Italic Reference to a section figure see Section 6 1 table website or publication ALL CAPS In text references to keys START touchswitches and display ALL CAPS messages CASSETTE TEST IN PROGRESS Bold Emphasis CAUTION Use proper ESD grounding techniques when handling components Screen displays Select Set Time and Date Throughout this manual warnings cautions and notes
178. to the up ON position to disable the keypad see Figure 5 49 eg hug lnoonoooon Figure 5 49 Keypad Lockout Switch Press any key except STOP and verify that an invalid key press audio alert is generated and the HARD LOCKOUT ENABLED message is displayed Confirm that the infuser continues to operate Press STOP Verify that an alarm sounds the HARD LOCKOUT VIOLATION message appears and pumping stops Move the keypad lockout switch to the down OFF position Verify that the HARD LOCKOUT VIOLATION message disappears and the alarm stops Press START Open the cassette door and verify that an alarm sounds and the DOOR OPEN WHILE PUMPING message is displayed Close the cassette door Press NO at the NEW PATIENT or CLEAR SETTINGS prompt Plum A Infusion System 5 46 Technical Service Manual 5 3 10 5 3 PERFORMANCE VERIFICATION TEST PROXIMAL OCCLUSION TEST To perform the proximal occlusion test use the Basic test setup in Section 5 3 2 1 and the programming from the Keypad Lockout Switch test in Section 5 3 9 and proceed as follows N Note If performing this section as a standalone test select Line A and enter a rate of 400 mL hr and a VTBI of 50 mL Go to Step 1 Press START If a CONFIRM PROGRAM message appears confirm that the rate and VTBI are correct and then press YES Verify that the LED above Line A flashes 3 After several pumping cycles clamp
179. tor and valve assemblies A B valve subsystem inlet outlet valve subsystem plunger drive subsystem air bubble ultrasonic sensor assemblies cassette door and pressure sensor assemblies The motor and valve assemblies A B valve subsystem inlet outlet valve subsystem and plunger drive subsystem are detailed in the following sections During infuser operation the mechanism assembly plunger motor drives a lead screw that is coupled to the plunger The motor action and lead screw move the plunger forward to cause the delivery of approximately 0 33 mL of fluid per cycle The plunger motion is synchronized to the valve motors to provide controlled fluid delivery 4 5 2 1 MOTOR AND VALVE ASSEMBLIES The mechanism assembly pumping action is controlled by three stepper motors The first stepper motor in conjunction with an associated valve assembly activates the A or the B valve of the cassette depending on the command The second stepper motor alternately opens and closes the inlet and outlet valve to control fluid delivery through the cassette pumping chamber A third stepper motor controls plunger movement Plum A Infusion System 4 28 Technical Service Manual 4 5 MECHANICAL OVERVIEW 4 5 2 2 A B VALVE SUBSYSTEM The A B valve subsystem includes a motor designed to rotate a cam When the cam is positioned at top dead center home position both valves are closed Clockwise rotation when viewed from the motor side from the home positio
180. tor optical switch module The APP PWA is a four layer board with the following one ground plane one power plane and two signal layers The APP PWA uses SMT components mounted on both sides of the board The air sensors and the pin detector module are board mounted See Table 4 9 for APP PWA interface connections Table 4 9 APP PWA Interface Connections 20 pin SMT Flat flex cable to driver PWA 4 4 REMOTE MOUNTED PERIPHERALS The remote mounted peripherals are the LCD and barcode reader wand 4 4 1 LCD The infuser uses a graphic LCD module with a CCFT The CCFT provides a backlight source for the LCD The LCD requires a nominal 16 Vpc supply for contrast control that is controlled by the CPU The infuser s graphic display data is shifted out to the LCD by the CPU LCD controller that interfaces directly with the CPU see Section 4 2 1 6 The display is configured as a 240 x 240 dot matrix with a viewing angle of approximately 60 degrees Technical Service Manual 4 25 Plum A Infusion System SECTION 4 THEORY OF OPERATION 4 4 2 BARCODE READER WAND Note The barcode reader feature will not be present on later versions of the Plum A The barcode reader BCR wand connects to the BCR port on the peripheral PWA The BCR wand interfaces through the infuser s optically isolated TTL logic level asynchronous interface The BCR wand is also capable of interfacing at RS 232 levels The infuser provides an isolated 5 Vpc
181. ug and use a forward motion into the socket Do not use a sideways motion When unplugging the device grasp the AC power cord plug and pull straight out Do not pull out using the power cord cable and do not pull out at an angle To perform the self test see Figure 1 1 and proceed as follows 1 Connect the AC power cord to a grounded AC outlet Verify the Charge Line indicator CHARGE illuminates and an alarm tone sounds 2 Without a cassette installed press ON OFF to turn on the infuser 3 The infuser briefly displays the SELF TEST screen see Figure 1 1 Note If the SELF TEST screen does not appear contact Hospira 4 After the self test is complete the message INSERT PLUM SET CLOSE LEVER appears 5 Verify the time and date To set the time and date see Section 1 8 3 Plum A Infusion System 1 6 Technical Service Manual 1 7 INSTRUMENT INSTALLATION PROCEDURE 6 Open the cassette door and insert a primed cassette Close the cassette door The cassette test is complete when the CASSETTE TEST IN PROGRESS message disappears N Note The message MECHANISM INITIALIZATION IN PROGRESS may briefly appear prior to the CASSETTE TEST IN PROGRESS message 7 A NEW PATIENT message may appear Press YES 8 Press ON OFF to turn off the infuser LINE FLOW INDICATORS HOSPIRA Plum A Version X XX MM DD YY STATUS REGION 2011 System Self Test In Progress WORKING REGION MESSAGE REGION SOFTKEY LABEL REGIO
182. very modes Titration 0 1 99 9 mL hr flow rate range for both lines in 0 1 mL hr increments 100 999 mL hr flow rate range for both lines in 1 mL hr increments Anti free flow protection Air removal backpriming Battery gauge Alarms include the following Air detection proximal and distal Serial communication Alarm history Volumes infused A B total volumes KVO at dose end 1 mL hr or less depending on delivery rate or Continue Rate Variable distal pressure setting Nonpulsatile volumetric accuracy Microprocessor control Large LCD Panel back illumination on mains power Lockout switch Standard fullfill partfill syringe and vial use Enteral and parenteral fluid delivery Blood and blood product delivery Wide range of standard and specialty administration sets Distal occlusion Low battery Valve cassette test failure Proximal occlusion Door open while pumping Nurse call Distal air in line Lockout violation No action alarm Proximal air in line VTBI complete Infuser idle for two minutes Technical Service Manual 4 1 Plum A Infusion System SECTION 4 THEORY OF OPERATION 4 2 ELECTRONIC SUBSYSTEM OVERVIEW This section describes the function and electronic circuitry of three main subsystems in the infuser CPU subsystem power supply subsystem and mechanism subsystem Note An asterisk denotes an active low or negative true logic signal 4 2
183. vice Manual APPENDIX ELECTROMAGNETIC IMMUNITY FOR LIFE SUPPORTING EQUIPMENT AND SYSTEMS Table A 3 provides guidance for use of the infusion system near communications equipment Table A 3 Guidance and Manufacturer s Declaration Electromagnetic Immunity for Life Supporting Equipment and Systems Immunity IEC 60601 Compliance Electromagnetic Test Test Level Level Immunity Guidance Portable and mobile RF communications equipment should be used no closer to any part of the infusion system including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Conducted RF 3 Vims Recommended separation distance IEC 61000 4 6 450 kHz to 80 MHz 3 5 outside ISM bands d WP 1 Vines 150 kHz to 80 MHz in ISM bands d Ferg Vo Radiated RF 10 V m E1 V m Recommended separation distance IEC 61000 4 3 80 MHZ to 2 5 GHz d F 5 80 MHz to 800 MHz 1 d Fag 800 MHz to 2 5 GHz Ei Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency ranged Interference may occur in the vicinity of equipment marked with the following symbol C Note These guid
184. voltage and motor speed The motor winding inductance acts as a filter to smooth out the switching currents slowing the current rise when turned on and storing a decaying current when turned off Each motor coil is modulated independently allowing different coil currents in the two motor windings The coil current is sensed and compared to a reference input for each winding Modulation circuits correct for any error between the sensed current and the reference This reference input can be changed to set a different coil current 4 2 3 2 MOTOR POSITION SENSORS Motor position is estimated by counting the motor steps relative to a position reference Optical switches and flags serve as position references that are used to find the motor home positions and to verify proper motion Flag positions are anticipated by software Optical switch flag sensors are used for tracking the following Plunger motor rotational position coupler flag Plunger translational linear position I O valve motor rotational position cam flag L S valve motor rotational position cam flag Technical Service Manual 4 17 Plum A Infusion System SECTION 4 THEORY OF OPERATION Each optical switch consists of an infrared LED that shines through a rectangular aperture across a slot to illuminate a photo transistor The photo transistor is activated as long as the beam is on and not blocked by a flag in the slot The optical switches are distributed throughou
185. with an AM PM indicator The device can be programmed to set up an interval timer and it can generate an alarm every day hour or minute These alarm functions may be used to schedule real time related activities A parallel resonant 32 768 kHz crystal oscillator drives the internal time base The external interface is a separate non multiplexed 8 bit data bus and 6 bit address bus with a contiguous address space of 64 bytes When system power is turned off a battery voltage input is available that makes the RTC data non volatile The address bus is connected to the ADDR lt 6 1 gt lines and the data bus is connected to DATA lt 7 0 gt lines Since the CPU accesses are 16 bits wide the RTC data is on the lower byte of the word The RTC chip enable pin CE is active low enabled for read and write operations It is driven by the FPGA control logic chip select RTC signal CSRTC that involves address decoding circuitry Plum A Infusion System 4 4 Technical Service Manual 4 2 ELECTRONIC SUBSYSTEM OVERVIEW 4 2 1 10 VOLTAGE MONITOR WATCHDOG TIMER It is important to protect the system during power transitions and the CPU is reset after the Vcc power supply is applied The microprocessor supervisory circuit generates an automatic reset output during power up power down or brownout conditions When the Vec falls below the reset threshold voltage of 2 9 Vpc the reset signal RESET goes low and holds the microprocessor in reset for approx
186. worn or illegible numbers or letters If letters or numbers are not readable replace the keypad Inspect the keypad domes by pressing each number word and symbol to confirm that the domes have mechanical strength and provide tactile feedback If any domes are weak or fatigued replace the keypad Confirm that the green START button red STOP button and yellow ON OFF button have retained their color If any of the buttons have faded or worn color replace the keypad Options Vol Inf EYPAD DOMES SELECT KEYPAD COLORS Vv SILENCE Figure 5 15 Keypad Plum A Infusion System 5 18 Technical Service Manual 5 2 12 5 2 PREVENTIVE MAINTENANCE DISPLAY AND INDICATORS INSPECTION Visually inspect the display and indicators at least once every 12 months To inspect the display and indicators see Figure 5 16 and proceed as follows l Q a A OO N 10 11 Place the infuser on a flat stable surface Connect the power cord to the mains supply and confirm that the CHARGE LED is lit Rotate the infuser so that the rear of the device is facing to the front Confirm that the keypad lockout switch is in the OFF down position Rotate the infuser back to its original position so that the display is facing forward Press the ON OFF key to power on the infuser and observe the infuser as it performs its self test Confirm that the two line flow LEDs flash and that there are two audible s

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