Abbott Gemstar User manual
ABBOTT
TM
System Operating Manual
For use with the
Abbott GemStar Pump
List 13000-36
ABBOTT LABORATORIES, NORTH CHICAGO, IL 60064, USA
430-600095-002 (Rev. 8/02)
Abbott GemStar™Pump
System Operating Manual
For use with the
Abbott GemStar Pump
List 13000-36
PLEASE
Read this entire manual before
using the Abbott GemStar Pump
This manual is designed for use by healthcare professionals, caregivers, and
patients.
For consultation and technical support, contact your local Abbott
Laboratories sales office.
This manual is designed for use with Abbott GemStar Pumps used in the United
Kingdom, Australia, and other English-speaking countries.
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) i
Change History
Part Number Description of Change Pages Changed
430-600095-001
(Rev. 3/00)
430-600095-002
(Rev. 8/02)
Original Release N/A
Second Release N/A
ii Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Contents
Introduction 1
Abbott GemStar Pump Layout ......................... 2
Abbott GemStar Pump Components ...................... 4
Therapies .................................... 5
Abbott GemStar Pump Features ........................ 6
Menu System .................................. 7
Operating Modes ................................ 8
Abbott GemStar Pump Set ........................... 8
Indications for Use ............................... 9
Contraindications for Use ........................... 10
Warnings and Cautions ............................ 10
System Setup 15
Setup Overview ................................ 15
Selecting a Power Source ........................... 15
Priming an Abbott GemStar Pump Set .................... 18
Loading the Cassette ............................. 26
Releasing the Cassette ............................ 27
Basic Operation 29
Quick Start ................................... 29
Operating Tips ................................. 29
Powering On the Pump ............................ 30
Accessing the Programming Menu ...................... 30
Programming the Pump ............................ 31
Starting a New Container ........................... 32
Weight Dosed 33
Therapy Features and Specifications ..................... 33
Weight Dosed Programming .......................... 33
Auto KVO ................................... 34
Rate Titration ................................. 34
Changing a Weight Dosed Program ...................... 35
Weight Dosed Programming Worksheet .................... 36
Pain Management 37
Therapy Features and Specifications ..................... 37
Pain Management Programming ....................... 37
Bolus Delivery ................................. 38
Loading Dose Delivery ............................. 40
Changing a Pain Management Program .................... 41
Pain Management Programming Worksheet ................. 42
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) iii
mL/hr Only 43
Therapy Features and Specifications ..................... 43
mL/hr Only Programming ........................... 43
Auto KVO ................................... 43
Rate Titration ................................. 44
Piggybacking .................................. 44
Changing a mL/hr Only Program ....................... 47
mL/hr Only Programming Worksheet ..................... 48
Intermittent 49
Therapy Features and Specifications ..................... 49
Intermittent Programming ........................... 49
Intermittent Delivery Interruptions ....................... 51
Changing an Intermittent Program ....................... 53
Intermittent Programming Worksheet ..................... 54
Total Parenteral Nutrition (TPN) 55
Therapy Features and Specifications ..................... 55
TPN Programming ............................... 55
Changing a TPN Program ........................... 56
TPN Auto Taper Down ............................. 56
TPN Programming Worksheet ......................... 57
Continuous 59
Therapy Features and Specifications ..................... 59
Continuous Programming ........................... 59
Rate Titration ................................. 60
Piggybacking .................................. 60
Changing a Continuous Program ....................... 63
Continuous Programming Worksheet ..................... 64
Variable Time 65
Therapy Features and Specifications ..................... 65
Variable Time Programming .......................... 65
Variable Time Delivery Interruptions ..................... 66
Changing a Variable Time Program ...................... 66
Variable Time Programming Worksheet .................... 67
Options Menu 69
Overview .................................... 69
Tips for Using the Options Menu ....................... 69
Review Program ................................ 70
Histories .................................... 71
Keypad Lock .................................. 73
Change Pump Settings ............................ 75
Set Clock .................................... 77
iv Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Print ...................................... 77
Speed Protocol ................................ 78
Next Dose ................................... 79
Connecting to the Data Port .......................... 80
Clinician Instructions 85
Clinician Locking Sequence Instructions ................... 85
Program and Deliver a Clinician Activated Loading Dose ........... 86
Display Shift Totals .............................. 87
Troubleshooting 89
Alarm Messages ................................ 89
Alert Messages ................................ 94
Other Display Messages ............................ 97
Maintenance 99
Pump Storage ................................. 99
Cleaning and Disinfecting ........................... 99
Repair .................................... 101
Operation Test 103
Equipment Required ............................. 103
Test Setup .................................. 103
Performing the Operation Test ........................ 104
Printing Test Results ............................. 107
Operation Test Checklist ........................... 108
Optional System Components 109
Connecting the Bolus Cord .......................... 110
Recharging the Battery Pack ......................... 111
Using the Abbott GemStar Lockboxes .................... 112
Using the Abbott Carrying Cases ....................... 114
Using the Abbott GemStar Docking Station ................. 119
Pump Sets 121
Abbott GemStar Pump Specifications 123
Occlusion Information ............................ 126
Warranty 137
IEC Symbols inside back cover
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) v
Notes
vi Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Introduction
The Abbott GemStar™ Pump is a small and lightweight, single-channel infusion device
that can be powered by AC mains adaptor, rechargeable battery pack, two disposable AA
batteries, or the Abbott GemStar Docking Station. The Abbott GemStar Pump is designed
for use in the home, in the hospital, or anywhere electronic infusion is required. When
powered by batteries, the Abbott GemStar Pump is ideal for ambulatory patients.
The following conventions are used throughout this manual:
Convention Use Example
d
f
[ALL CAPS]
ALL CAPS Display messages The pump displays END OF
WARNING: A WARNING message contains special safety emphasis and
must be observed at all times. Failure to observe a warning
message is potentially life threatening.
CAUTION: A CAUTION usually appears in front of a procedure or statement. It
contains information that could prevent irreversible product damage or
hardware failure. Neglecting to pay attention to a caution could result in
serious patient or user injury.
Note: A NOTE provides information to help clarify a procedure or statement.
Tip: A TIP emphasizes a procedure or statement that makes the pump easier to
use.
Keys
Press [YES/ENTER] to continue.
INFUSION.
Introduction
Abbott GemStar Pump Layout
SILENCE
ABBOTT
1
4
7
PURGE
STOP
2
5
START
3
6
89
0
HELP
NO
POWER
BACK-UP
CHANGE
OPTIONS
YES
ENTER
2 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Introduction
1 DISPLAY
2 SILENCE
3 STOP
4 START
5 POWER INDICATOR
6
7 BACK-UP
8 CHANGE
9 OPTIONS
10
11 YES/ENTER
12 NO
13 HELP
14 PURGE
ON/OFF
Four-line display indicates the pump’s status.
•
Temporarily silences alarm.
•
Stops infusion.
•
Starts infusion.
•
Indicates the pump is powered by AC mains when lit continuously.
•
Indicates the pump is powered by external batteries when flashing.
•
Powers the pump on or off.
•
Provides access to previous steps during programming.
•
Exits Help, Change, and Options menus.
•
Provides access to these menu items from the STOP or RUN
•
mode*:
1 Review/Resume
2 New Container
3 New Program
• Corrects an entry during a programming step.
• Provides access to these menu items from the STOP or RUN
mode*:
1 Review Program
2 Histories
3 Keypad Lock
4 Pump Settings
•
Scrolls through display messages.
•
UP arrow enters a decimal point in numeric entries.
•
Responds “YES” to display questions.
•
Accepts entries and advances to the next step.
•
Responds “NO” to display questions.
•
Provides context-sensitive information during programming steps
and alarm conditions.
•
Otherwise displays Shift Totals.
•
Clears an AIR-IN-LINE alarm.
•
Primes an Abbott GemStar Pump Set.
4 Change Program
5 Piggybacking
5 Set Clock
6 Print
7 Speed Protocol
8 Next Dose
*
Not all menu items are available with all modes. Refer to the appropriate section for more information.
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 3
Introduction
Abbott GemStar Pump Components
1 Bolus Button Press this button to initiate a bolus
2 Pole Clamp Track Use to connect to an optional pole
3 Cassette Release
Button
4 Power Connector Use to connect AC mains adaptor to
5 Data Port
Connector
6 Bolus Connector Use to connect a bolus cord to the
7 Tubing Channel Align pump set tubing in this channel.
8 Cassette Pocket Load the cassette into this pocket.
9 Battery Pack
Connector
10 Battery
Compartment
delivery if available in the current
program.
clamp.
Push down on this button to release
the cassette from the pump.
the pump.
Use to connect a printer or computer
to the pump.
pump.
Use to connect the Abbott GemStar
Rechargeable Battery Pack to the
pump.
Install two fresh, disposable AA
batteries in this compartment for
battery power.
Top View
4 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Therapies
Seven types of therapy are available for delivery of medications and fluids. The following
table lists available features and possible applications of each therapy.
Therapy Possible Applications
AUTO KVO
TITRATION
PIGGY-
BACKING
Introduction
BOLUS
DOSE
LOADING
TAPER UP /
DOWN
d
Weight Dosed Critical care, pediatrics
Pain Management Administration of
analgesics or anesthetics
for patient-controlled pain
management (PCA)
mL/hr Only Simple rate programming
Intermittent Interval-based therapies
such as antibiotics
TPN Total Parenteral Nutrition
fluid delivery
Continuous Delivery of mg, mcg, or
mL/hr with a selectable
KVO (Keep Vein Open)
option
Variable Time Chronotherapy
Legend: • = Available
Note: Menu items may vary depending on the pump’s configuration.
··
···
··
·
··
·
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 5
Introduction
Abbott GemStar Pump Features
Adjustable
•
Settings
Alerts and
•
Alarms
Audible Keypad
•
Response
Keypad Lock
•
New Container
•
Piggybacking
•
Power-on
•
Self-test
Adjusts the distal occlusion pressure limits,
air sensor sensitivity, real-time clock, and
audible alarm volume.
Signals audible and visual alarms when
attention is required.
Sounds a single beep when any key is
pressed. If an invalid key is pressed, the
pump sounds a flutter tone.
Restricts access to various options. Four lock
levels are available.
Repeats the current program without
reprogramming the pump.
Allows delivery from a secondary container
during a Continuous or mL/hr Only program.
Performs a self-test each time the pump is
powered on.
Refer to the “Options Menu”
section.
Refer to the “Troubleshooting”
section.
Refer to Abbott GemStar Pump
Layout in this section for keypad
information.
Refer to the “Options Menu” and
“Clinician Instructions” sections.
Refer to the “Basic Operation”
section.
Refer to the appropriate therapy
section.
Refer to the “Basic Operation”
section.
•
Operation Test
•
Program
History
•
Speed Protocols
Performs user-assisted tests to verify the
pump is functioning properly.
Maintains a history event log, with a date
and time stamp of each event for each
program. Review the history on the display,
or download it to a printer or computer.
Stores up to nine frequently used programs
in the pump’s memory for quick access.
Refer to the “Operation Test”
section.
Refer to the “Options Menu”
section.
Refer to the “Options Menu”
section.
6 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Menu System
The Abbott GemStar Pump uses a menu system that provides step-by-step guidance
through all of the pump’s functions. Refer to the following table for a list of functions
within each menu. Use the keypad to select menu items, answer display prompts, and
enter numeric values as required.
Introduction
d
f
Note: Menu items may vary depending on the pump’s configuration.
Tip: A menu item does not have to be on the display to be selected.
Programming Menu Select NEW PROGRAM from the Change Menu to access
1 WEIGHT DOSED
2 PAIN MANAGEMENT
3 ML/HR ONLY
4 INTERMITTENT
5 TPN
6 CONTINUOUS
7 VARIABLE TIME
Change Menu
1 REVIEW/RESUME
2 NEW CONTAINER
3 NEW PROGRAM
4 CHANGE PROGRAM
5 PIGGYBACKING
the Programming Menu. Refer to the “Basic
Operation” section for more information on accessing
the Programming Menu.
Press the number key
corresponding to the
therapy type to be
programmed. For example,
press [2] to select Pain
Management.
Press [CHANGE] to access the Change Menu.
Press the number key
corresponding to the
desired Change Menu
function.
Note: Piggybacking is only
available in mL/hr Only and
Continuous therapies.
Refer to the appropriate therapy
section for instructions on
entering a program.
For menu item [2], refer to
Starting a New Container in the
“Basic Operation” section for
instructions.
For menu items [3], [4], and [5],
refer to the appropriate therapy
section for instructions.
Options Menu
1 REVIEW PROGRAM
2 HISTORIES
3 KEYPAD LOCK
4 PUMP SETTINGS
5 SET CLOCK
6 PRINT
7 SPEED PROTOCOL
8 NEXT DOSE
Press [OPTIONS] to access the Options Menu.
Press the number key
corresponding to the
desired Option Menu
function.
Refer to the “Options Menu”
section for instructions.
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 7
Introduction
Operating Modes
The Abbott GemStar Pump has four operating modes:
Help Mode
•
Programming Mode
•
Run Mode
•
Stop Mode
•
The pump enters the HELP mode when [HELP] is pressed while
programming or during an alarm condition. The HELP mode displays
additional information.
The pump enters the PROGRAMMING mode after the pump is
powered on or when [CHANGE] is pressed.
After [START] is pressed, the pump enters the RUN mode, even
during periods of non-delivery.
When programming is complete, the pump enters the STOP mode
until [START] is pressed to begin the programmed therapy.
When the programmed therapy is complete, and during certain alarm
conditions, the pump automatically enters the STOP mode.
Press [STOP] to enter the STOP mode at any time.
Abbott GemStar Pump Set
The Abbott GemStar Pump must be operated with an Abbott
GemStar Pump Set, which is a sterile, single-use, disposable
pump set.
STERILE
2
Fluid path and areas beneath undisturbed protective set covers are sterile and
nonpyrogenic in the intact unit package.
Contact an Abbott Laboratories Representative for more information on selecting the
appropriate pump set configuration.
Additional disposable components, such as air-eliminating filters and extension sets, may
be added to the line as required by the therapy. To use an Abbott GemStar Pump Set,
follow the instructions included with the set.
8 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
The basic components of the Abbott GemStar Pump Set are shown below:
Indications for Use
Physicians or certified, licensed healthcare professionals should always oversee infusions.
Pump users should be under the supervision of a healthcare professional and should be
instructed in using and troubleshooting the pump. Instruction should emphasize
preventing intravenous (I.V.) related complications, including appropriate precautions to
prevent accidental infusion of air.
Introduction
1 Piercing Pin
2 Proximal End
3 Cassette
4 Distal End
5 Tubing
6 Slide Clamp
7 Flow Stop
8 Secure Lock
9 Anti-Siphon
Valve
The pump is suitable for intravenous, arterial, subcutaneous, short-term epidural
infusion and parenteral administration of general I.V. fluids, medications, nutritional
fluids, and blood/blood products. The epidural route is recommended to provide
anesthesia or administer analgesia for periods up to 96 hours.
d
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 9
Note: Epidural administration of anesthetics is recommended in the continuous mode only.
Epidural administration of analgesics may be delivered by continuous, bolus, or continuous
with bolus.
For epidural use, the administration of drugs is restricted to those anesthetic and
analgesic drugs approved for continuous epidural administration: e.g., Chloroprocaine
Hydrochloride USP, Lidocaine Hydrochloride USP, and Morphine Sulfate Injection USP
(Preservative Free).
Introduction
WARNING: Delayed respiratory depression following continuous epidural
For epidural administration, the following is recommended:
administration of preservative-free morphine sulfate has been
reported.
6
Nylon or Teflon® catheter
6
Pump sets without Y-sites
6
Stickers for the tubing indicating ongoing administration
d
Note: Facilities practicing epidural anesthesia/analgesia must be staffed and equipped to
manage cardio-pulmonary resuscitation. Supplies should include oxygen, naloxone, and other
appropriate resuscitative drugs and equipment. Continuous monitoring (e.g., oximetry) is
recommended for the patient during epidural administration, as well as frequent patient
observation for side effects (for up to 24 hours) following completion of drug administration by
the epidural route.
Contraindications for Use
The Abbott GemStar Pump should not be operated by persons who do not have the
mental and physical capability or the emotional stability to properly operate this pump.
Drugs not compatible with silicone rubber or PVC plastic, or not stable under infusion
conditions, should not be used with this system.
Warnings and Cautions
The following is a list of warnings and cautions that should be heeded when operating
the Abbott GemStar Pump. Elsewhere in this manual, warnings and cautions that are
relevant to the procedure being discussed are repeated. Pay attention to all alert
messages.
General Cautions
6
Federal (USA) law restricts this device to sale by or on the order of a physician or other
licensed practitioner.
6
Manual references to specific values are approximate only, unless indicated otherwise.
Air-in-line sensitivity values are approximate only.
6
Disconnect the pump from the patient BEFORE connecting the pump to a computer or
printer.
6
For those patients who are likely to be adversely affected by unintended operations
and failures, including interrupted medication or fluid delivery from the device, close
supervision and provision for immediate corrective action should be provided.
10 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Regarding Drugs Used, Pump Sets, and Containers
USE ONLY Abbott GemStar Pump Sets with the Abbott GemStar Pump. Use of
6
unauthorized sets may result in injury to the patient or damage to the pump.
NEVER use drugs that are incompatible with silicone rubber or PVC plastic.
6
To reduce the loss of potency for drugs known to be absorbed by PVC plastic and
6
silicone, begin infusion as soon as practical after priming the pump set. Use of high
flow rates during infusion will minimize drug absorption.
DO NOT use medications which are unstable under infusion conditions.
6
ALWAYS use connections with Luer Lock™ fittings.
6
Use aseptic technique with all fluid-path connections. Remove the protective
6
coverings as assembly progresses.
ALWAYS close the slide clamps before removing the cassette from the pump.
6
Ensure the cassette is properly installed before using the pump.
6
Arrange tubing, cords, and cables to minimize the risk of patient strangulation or
6
entanglement.
When using the pump for secondary delivery (piggybacking), ensure the fluids being
6
administered are chemically and physically compatible.
NEVER use vented fluid containers (e.g., glass or rigid plastic) unless suspended from a
6
pole.
Stop infusion if signs or symptoms of infiltration occur.
6
6
In vitro studies have shown that infusing older units of additive solution packed red
blood cells or frozen deglycerolized red blood cells at rates greater than 200 mL/hr
may produce some level of hemolysis that may be considered clinically unacceptable.
6
Failure to use the anti-siphon valve may result in unrestricted flow.
6
When infusing short-half-life drugs (i.e. those dosed with units of mcg/kg/min) at very
low rates (0.8 mL/hr or less) the rate may be too slow for that drug. Consider using a
lower drug concentration with these drugs so a pump rate above 0.8 mL/hr can be
used.
6
If the cassette is removed from the pump, ALWAYS disconnect the pump set from the
patient and purge the line before restarting therapy.
Introduction
Regarding Air-In-Line and Infusion
6
To reduce the risk of infusing air, use an air-eliminating filter when the air sensitivity
is set to OFF.
6
ALWAYS remove all air from the cassette, tubing, and injection site prior to
connecting to the patient. ALWAYS disconnect the pump set from the patient prior to
priming or purging.
6
ALWAYS set the Air Sensitivity to either ON or 2mL when using vented drip chambers.
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 11
Introduction
Regarding Pump Operation
If the pump does not perform as stated in this manual, remove the pump from service
6
IMMEDIATELY.
ALWAYS connect to a grounded AC mains power source when using AC mains power.
6
If the quality of the grounding source is in doubt, operate the pump only with
batteries.
USE ONLY the AC mains adaptors specifically labeled for use with the Abbott GemStar
6
Pump.
Installing disposable batteries is recommended, regardless of the power source used,
6
to provide continuing operation if the external power source fails. ALWAYS replace
BOTH batteries with new batteries when a change is required.
The use of rechargeable batteries in the battery compartment is NOT recommended.
6
ALWAYS avoid sources of high-intensity electromagnetic radiation (e.g., radio
6
transmitters, MRI scanners, microwave ovens, X-ray machines, and CAT scanners).
Use of radio-frequency emitting devices, such as cellular telephones, 2-way radios,
6
and Electrical Surgical Devices (ESU), in close proximity to this device may affect its
operation.
Possible explosion hazard exists if the pump is used in the presence of flammable
6
anesthetics. NEVER use the pump in the presence of flammable or explosive vapors.
Non-hazardous, low-level electrical potentials are commonly observed when fluids are
6
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 infusion device instead of some other source
in the environment, set the infusion 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 infusion device. Proper setup and maintenance of
the monitoring equipment should eliminate the artifact. Refer to the appropriate
monitoring system documentation for setup and maintenance instructions.
Regarding Handling and Maintenance
6
Product damage may occur if proper care is not exercised during unpacking,
installation, and use. Should the pump inadvertently be subjected to mishandling,
check connections and programmed data to confirm no damage has occurred. Refer to
the “Operation Test” section for further information.
6
ALWAYS fully close the battery door when using disposable batteries.
6
ALWAYS avoid dropping or hitting the pump. If the pump is dropped or hit, ALWAYS
verify programmed data.
6
NEVER use sharp objects (e.g., fingernails, pens, pencils, or other probes) to program
or clean the pump.
6
Use care not to damage the silicone seals around the sensor bodies in the cassette
pocket.
12 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Introduction
To avoid mechanical or electronic damage, NEVER submerge pump in water or other
6
fluids and avoid fluid spills. If pump becomes wet, dry it immediately with a dry,
lint-free cloth. Check connections and programmed data.
Some cleaning and sanitizing compounds may slowly degrade components made from
6
some plastic materials. DO NOT use compounds containing combinations of isopropyl
alcohol and dimethyl benzyl ammonium chloride.
DO NOT sterilize by heat, steam, ethylene oxide (ETO), or radiation. Apply
6
disinfectants to the outside surface of the pump only. DO NOT use abrasive cleaners or
materials on the pump. Using abrasive cleaners or cleaning solutions not
recommended by Abbott Laboratories may result in product damage.
USE ONLY the AC mains adaptor specifically labeled for use with the Abbott GemStar
6
Pump to charge the battery pack.
The Abbott GemStar AC Mains Adaptor is for use with the Abbott GemStar Pump or
6
Abbott GemStar Battery Pack only. DO NOT use the Abbott GemStar AC mains adaptor
with other products.
During charging, the battery pack is warm. If the battery pack becomes hot to the
6
touch, IMMEDIATELY unplug the AC mains adaptor and contact Abbott Customer
Support.
Please comply with local disposal and recycling regulations as appropriate for
6
disposable batteries, rechargeable battery packs, medical electronic components, and
pump sets.
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 13
Notes
14 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
System Setup
The minimum elements required for using the Abbott GemStar Pump are:
6
Abbott GemStar Pump
6
Appropriate power source
6
Appropriate Abbott GemStar Pump Set
6
Appropriate fluid container
6
Patient access device
Air-eliminating filters and extension sets may be added to the line as required by the
therapy.
d
Note: Contact an Abbott Laboratories Representative for more information on selecting the
appropriate pump set configuration.
Setup Overview
1 Select an appropriate power source.
2 Prime the pump set.
3 Load the cassette into the pump.
4 Select the appropriate optional system components, such as a bolus cord, as
required.
Selecting a Power Source
The Abbott GemStar Pump may be powered by one or more of the following:
6
Abbott GemStar AC Mains Adaptor
6
Abbott GemStar Battery Pack
6
Two disposable AA batteries
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 15
System Setup
CAUTION: To ensure proper pump operation, ALWAYS replace BOTH batteries with
fresh, disposable AA batteries when a change is required.
Use of rechargeable batteries in the battery compartment is NOT
recommended.
Installing disposable batteries is recommended, regardless of the power
source used, to provide continuing operation if the external power
source fails.
Installing Disposable Batteries
1 Flip up the tab of the battery
door (A) on the bottom of the
pump.
2 While holding onto the tab,
turn the battery door
counterclockwise (B) until it is
released from the battery
compartment. Pull the door
free (C) and remove any
existing batteries.
3 Install two fresh, disposable
AA batteries into the battery
compartment. Ensure the
negative and positive battery
terminals are inserted
according to the diagram at
right.
A
B
C
4 Return the battery door to the
battery compartment (D).
5 Turn the battery door
clockwise (E). Ensure the
battery door is secured under
the slot. Snap the tab down to
lock the battery door in place
(F).
F
E
D
16 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Connecting the Rechargeable
Battery Pack
To connect the battery pack:
1 Align the connectors on the top
of the battery pack (A) with the
connectors on the bottom of the
pump (B).
2 Snap the battery pack into place.
System Setup
To release the battery pack:
1 Press the release button (C) on
the battery pack.
2 Remove the battery pack from
the pump.
Connecting the Abbott GemStar AC
Mains Adaptor
1 Connect the cord of the AC mains
adaptor to the connector labeled
“3VDC” on the bottom of the
pump.
2 Plug the AC mains adaptor into a
standard wall outlet.
CAUTION: ALWAYS connect to a
grounded AC mains
power source when
using the AC mains
adaptor. USE ONLY AC
mains adaptors
specifically labeled for
use with the Abbott
GemStar Pump.
B
A
C
B
A
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 17
System Setup
Priming an Abbott GemStar Pump Set
The Abbott GemStar Pump Set must be primed to eliminate air from the cassette and
tubing before loading into the pump.
WARNING:
CAUTION: USE ONLY Abbott GemStar Pump Sets with the Abbott GemStar Pump. Use
d
d
Note: Refer to the appropriate instructions included with the pump set for more information.
False occlusion alarms and fluid delivery inconsistencies may occur when pumping viscous
fluids in microbore tubing at rates greater than 500 mL/hr.
Opening the Pump Set
1 Open the Abbott GemStar Pump Set package and
remove the contents.
Note: Packaging may differ from the diagram shown.
2 Remove the protective covers from the fluid container
administration port and the pump set.
ALWAYS remove air from the cassette, tubing, and injection
site prior to connecting to the patient. ALWAYS disconnect the
pump set from the patient prior to priming or purging. Arrange
tubing, cords, and cables to minimize the risk of patient
strangulation or entanglement.
Failure to use the anti-siphon valve may result in unrestricted
flow.
of unauthorized sets may result in injury to the patient or damage to the
pump.
To prevent contamination, use aseptic technique with all fluid-path
connections. Remove protective coverings as assembly progresses.
18 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Priming Pump Sets WITHOUT a Drip Chamber
System Setup
WARNING:
Failure to use the anti-siphon valve may result in unrestricted
flow.
1 Push down on the flow stop to ensure the cassette
is in the open (priming) position.
2 Hold the flexible fluid container with the administration
port pointed toward the ceiling and insert the piercing
pin.
3 Open the slide clamp.
4 Invert the cassette approximately 45°.
5 While holding the inverted cassette, squeeze or roll the
flexible fluid container to eliminate air from the
container, cassette, and tubing.
6 If necessary, tap the cassette to eliminate any remaining
air bubbles.
7 Return the cassette to the upright position. Continue
priming until fluid fills the tubing.
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 19
System Setup
8 Push down on the flow stop to ensure the cassette
is in the closed position.
9 Insert the cassette into the cassette pocket. Refer to
“Loading the Cassette” on page 26.
CAUTION: When priming is complete, ensure no fluid flows at the distal end of
the pump set. If flow is observed, DO NOT use the pump set.
10 Connect the pump set to the patient-access device.
Priming Pump Sets WITHOUT a Drip Chamber Using the PURGE Key
d
WARNING:
Failure to use the anti-siphon valve may result in unrestricted
flow.
1 Push down on the flow stop to ensure the cassette
is in the closed position.
2 Hold the flexible fluid container with the administration
port pointed toward the ceiling and insert the piercing
pin.
3 Insert the cassette into the cassette pocket. Refer to “Loading the Cassette” on
page 26.
4 Press [PURGE]. PRIME THE SET? displays. Press [YES/ENTER].
5 While holding the flexible fluid container with the administration port pointing
toward the ceiling, press and hold [
Note: Purge rate is 250 mL/hr. The pump purges for up to 2 minutes each time you press
and hold [
PURGE].
PURGE].
Continue using the PURGE key until fluid fills the tubing. Ensure all air is removed
from the container, cassette, and tubing.
CAUTION: When priming is complete, ensure no fluid flows at the distal end of
the pump set. If flow is observed, DO NOT use the pump set.
6 Connect the pump set to the patient-access device.
20 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Priming Pump Sets WITH a Drip Chamber
System Setup
WARNING:
Failure to use the anti-siphon valve may result in unrestricted
flow.
ALWAYS set the Air Sensitivity to either ON or 2mL when
using vented drip chambers.
1 Push down on the flow stop to ensure the cassette
is in the open (priming) position.
2 Close the CAIR® (roller) clamp.
3 Insert the piercing pin into the container. Suspend the
container on an I.V. Pole.
4 Squeeze the drip chamber until filled halfway.
5 Invert the cassette approximately 45°.
6 Open the CAIR® (roller) clamp.
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 21
System Setup
7 If necessary, tap the cassette to eliminate any remaining
air bubbles.
8 Return the cassette to the upright position. Continue
priming until fluid fills the tubing.
9 Push down on the flow stop to ensure the cassette
is in the closed position.
10 Insert the cassette into the cassette pocket. Refer to
“Loading the Cassette” on page 26.
CAUTION: When priming is complete, ensure no fluid flows at the distal end of
11 Connect the pump set to the patient-access device.
the pump set. If flow is observed, DO NOT use the pump set.
22 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Priming Pump Sets WITH a Drip Chamber Using the PURGE Key
System Setup
WARNING:
Failure to use the anti-siphon valve may result in unrestricted
flow.
ALWAYS set the Air Sensitivity to either ON or 2mL when
using vented drip chambers.
1 Push down on the flow stop to ensure the cassette
is in the open (priming) position.
2 Close the CAIR® (roller) clamp.
3 Insert the piercing pin into the container. Suspend the
container on an I.V. Pole.
4 Squeeze the drip chamber until filled halfway.
5 Open the CAIR
®
(roller) clamp.
6 Insert the cassette into the cassette pocket. Refer to
“Loading the Cassette” on page 26.
7 Press [PURGE]. PRIME THE SET? displays. Press
[
YES/ENTER].
8 Press and hold [PURGE].
d
Note: Purge rate is 250 mL/hr. The pump purges for up to 2 minutes each time you press
and hold [
Continue using the PURGE key until fluid fills the tubing. Ensure all air is removed
from the container, cassette, and tubing.
CAUTION: When priming is complete, ensure no fluid flows at the distal end of the
PURGE].
pump set. If flow is observed, DO NOT use the pump set.
9 Connect the pump set to the patient-access device
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 23
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