Abbott Omni-Flow 4000 User manual
IV Medication Management System
For use with list 40051-04
System
Operating
Manual
Abbott
Laboratories
North Chicago, IL 60064
USA
430-0637
1 -CO4 (Rev.
8/W
VERSION
1.11
SERIES
Section 1
INTRODUCTION
Contents
1
- 1
.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
IV
1.1 FEATURES OF THE
1.2
SAFETYFEATURES
1.3
WARNINGS,CAUTIONS,ANDNOTES
MEDICATION MANAGEMENT SYSTEM
................................
......................
1.4 INSTRUMENT INSTALLATION PROCEDURES
1.4.1 UNPACKING INSTRUCTIONS
1.4.2 INSPECTION
...............................
1.4.3 40OOPLUSSELFTEST
1.4.4 PRINTERSETUP
.............................
.......................
..........................
Section 2
EQUIPMENT DESCRIPTION
2.1 BACKLITDISPLAYSCREEN
2.2 ESCAPEFUNCTION
2.3 BASESCREEN
..................................
...........................
...............................
2.4 PROGRAMMING INPUT INDICATOR (CURSOR)
2.5 LED STATUS INDICATORS
2.6 NOTATIONAREAS
2.7 PRINTER
.....................................
................................
............................
Section 3
SETUP . . . . . . . . . . . . . . . . . . . .
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3.1 SETUPPROCEDURES
3.1.1 RESTOREPREVIOUSPROGRAMMING
3.1.2 INITIATE NEW PROGRAMMING
3.1.3
RESPONSETOLOWBAlITERYCONDI’TION
3.2 PRIMING PROCEDURES: PRIMARY ADMINISTRATION SET
3.2.1 CASSE’ITEPRIMINGMODES
CASSETTEPOWERPRIME(LINEA).
GRAVITYPRIME
3.2.2
3.2.1.1
3.2.1.2
PRIMINGTHECASSETI’E
3.2.3 PATIENTLINEPRIMINGMODES
3.2.3.1
PATlENTLINEPOWERPRIME
3.2.3.2 PATIENTLINEGRAVITYPRIME
3.2.4 PRIMINGTHEPATIENTLINE.
3.2.5
CASSE-ITE~ST
3.2.5.1
3.2.5.2
CASSE’lTETESTFAILED
CASSE’ITETEST
..............................
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.............................
SATISFACTORY
..................
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3.3 PRIMING PROCEDURES: PRIMARY ADMINISTRATION SET
WITHGRAVITYFLGWPREVENTIONVALVE
3.4 PRIMING PROCEDURES: SECONDARY ADMINISTRATION SET
3.5 CONNECTINGASYRINGETOTHECASSE-ITE
3.6 CONNECTING A SYRINGE AND SYRINGE ADAPTOR TO THE CASSETTE
3.7 REMOVINGTHE CASSETTE
FROMTHE DEVICE
...................
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................
...
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3
3
3
3
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3-2
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9
Omni-Flow 4000 Plus
IV
Medication Management System
iii
430-06371-004 (Rev.
4/!33)
Contents
Section
PROGRAMMING
4
4.1 MAINTENANCE INFUSIONS
4.2 CONTINUOUS INFUSIONS
4.2.1
ML/HRINFUSIONS.
4.2.1.1 PROGRAMMING OR CHANGING AN
4.2.1.2 CHANGING AN
UNITOFMEASUREINFUSION
4.2.2 ALTERNATE UNITS OFMEASURE
4.2.2.1
PROGRAMMING A NEW ALTERNATE UNIT OF
MEASURE INFUSION
4.2.2.2 CHANGING
AN
4.2.2.3 CHANGING AN ALTERNATE UNIT OF MEASURE
INFUSIONTOML/HRINFUSION
4.2.3 CHANGINGTHEGLOBALBODYWEIGHT
4.2.4 CONCURRENTFLOW..
4.3 INTERMITTENT INFUSIONS
Section 5
ADDITIONAL OPERATING FEATURES
TOSTOPANYOFTHELINES
5.1
HOLDANDRESUMEFUNCTIONS
5.2
...........................
5.2.1 HOLDINDMDUALLINESORALLLINES
5.2.2 RESUMEINFUSIONSAFTERHOLD
LINESIJATUSFUNCTION
5.3
SPECLAL
5.4
5.4.1
AUTOMATIC AIR DETECTION AND ELIMINATION
5.5
EMPTYINGTHECOLLECTIONBAG
5.6
BA?TERY
5.7
ACCESSING HISTORY REPORTS
5.8
5.8.1
FUNCTIONS.
DESCRB?-I’ION
OPERATION
ACCESSING HISTORY REPORTS WITHOUT A PRINTER
.............................
..............................
OF SPECIAL FUNCTIONS
.............................
5.8.2 ACCESSING HISTORY REPORTS
5.8.2.1
5.8.2.2
DEVICESTATUSREPORT.
IVHISTORYREPORT
ML/HR
INFUSION TO AN ALTERNATE
ALTERNATE
........................
......................
........................
WITH
.....................
.
4
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ML/HR
INFUSION
(MCG/KG/MIN)
INFUSIONS
. . . . . . . . . . _ . . . . . . . . . . . . . . . .
.
. . . . . . . . . . . . . . . . . . . . . . . . . .
UNITOF MEASURE INFUSION
................
...................
.................
...............
........
A PRINTER
..................
..........
.
4
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4
4-2
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4
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4
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4-5
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14
Section 6
ALARMCONDITIONSANDDISPLAYS
6.1
FLUIDDELIVERYALARMS
6.2 PUMPING
6.3 WARNINGALARMS
Section
7
ALARMS..
............................
................................
TROUBLESHOOTING
7.1 TROUBLESHOOTING GUIDE
Section 8
CLEANING AND DISINFECTING
430-06371-804 (Rev.
7195)
.
............................
iv
.
6-l
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6-2
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7
System Operating Manual
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-
1
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8
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section 9
WARNINGS, CAUTIONS AND PRECAUTIONS
.....................
Contents
9-l
9.1 WARNINGS.
9.2 CAUTIONS
9.3 PRECAUTIONS
.................................
..................................
................................
Section 10
SERVICE AND PERFORMANCE INFORMATION . . . . . . . . . . . . . . . . . . . .
Section 11
4oooPLussETs
IVADMINISTRATIONSETS
11.1
11.2ACCESSORY
...................................
..........................
SETS
..............................
Section 12
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section 13
KEYPAD
DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9-l
9-2
9-3
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1
Section 14
-
1
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Copyright 1996 Abbott Laboratories
All Rights Reserved
14
This document and the subject matter disclosed herein are proprietary information. Abbott Laboratories
retains all the exclusive rights of dissemination, reproduction, manufacture and sale. Any party using
this document accepts it in confidence, and agrees not to duplicate it in whole or in part nor disclose it to
others without the written consent of Abbott Laboratories.
Omni-Flow 4000 Plus IV Medication Management System
(Rev.
8/96)
V
430-06371
-CO4
Section 1
INTRODUCTION
The Omni-Flow 4000
Omni-Flow 4000, with added data communications capability and new data entry screens which
incorporate automatic calculation, plus programming from alternate units of measure entry.
Plus IV Medication Management System incorporates all the features of the
1.1
FEATURES OF THE IV MEDICATION
MANAGEMENT SYSTEM
Incorporating microprocessor electronic design and safety features, the 4000 Plus represents a
major advance in instrumentation for the delivery and management of intravenous therapy.
The 4000 Plus includes the following capabilities of the Omni-Flow 4000:
Four-channel medication delivery through a single patient line
Programmable
Multi-dose containers
Programmable automatic in-line dilution
Programmable automatic flushing between incompatible medications
Any combination of both continuous and intermittent infusions
Real-time clock
irom
Infuses
Automatic air detection and elimination
Needleless connections
combinations of bags, bottles. and syringes
Additional capabilities of the 4000 Plus include:
ail
0
Programmable in
Q
RS-232 communication (for printers)
CI
Date/time stamp (optional) of blood chemistry, hematology, vital signs, and other medication
administration
Q
Detailed documentation, through the following printed reports (on demand):
-
Device Status Report:
Line status A, B, C, and D (ON, OFF, PGM, HLD, INF,
Dilution and flush data
Current infusion regimen details
Time and volume remaining in dose
-
IV Flow Sheet
Omni-Flow 4000 Plus IV Medication Management System
Mcg/Kg/Min
on
channels
l-l
DLY)
430-06371-004 (Rev.
4/93)
Section 1 INTRODUCTION
-
IV History Report:
Line mode changes: off, on, intermittent infusion, hold, dilute, delay, flush, KVO,
programmed
Records details of infusion: as programmed, actual delivered, regimen changed
Records non-infusion event documentation: blood, hematology, blood chemistry,
vital signs
All events date/time stamped
P
Programming and
Selective hold for each medication
0
Advanced programming to preprogram all lines and place lines on hold
0
Automatic power prime of Line A for minimum solution waste
0
Prioritized alarms stacked and presented sequentially for resolution
CI
Additional alarms: full collection bag, transfer to battery, external communications fault
CI
User selected power-up defaults:
memory
retention following power OFF
IineD
until
needed
- Time: 12-hour AM/PM or 24-hour military format
-
KVO:
to 99.9
mL/hr,l.O
-
1 to 12 psi (in 1 psi increments)- Patient line occlusion alarm
- Units of temperature: degrees Centigrade or Fahrenheit
Callbacks-
0
Local display of IV History Report on LCD Display
1.2 SAFETY FEATURES
The 4000 Plus
maximiz
The device automatically performs a
when the [ON/CHARGE] switch is placed in the ON position
ION/CHARGEl
If the
most recent
during power up (see Section 3.
The device maintains duplicate programming memory.
information does not match, the device alarms
A two-step procedure is required to remove the cassette from the device
To change pumping instructions (rates, volume, stopping lines), two keys must be pressed
in order
A comprehensive self test
cassette, and interface. This 36-second cassette test is activated every time the [PRIME
PATIENT LINE) (ENTER) key sequence is pressed
progr
es
safety and reliability with the following features:
self
test of its electrical and mechanical components
switch is turned to CHARGE during infusion, the device retains the
amming
and infusion data in a nonvolatile memory. The data is reinstated
procedures)
Setup
I,
If the duplicate programming
identiiies
a variety of potential malfunctions within the device,
Note: The user can bypass the cassette test; however, Abbott Laboratories recommends the routine
use of this test.
430-06371-004 (Rev.
4/93)
l-2
System Operating Manual
1.3 WARNINGS, CAUTIONS, AND NOTES
1.3
WARNINGS, CAUTIONS, AND NOTES
Throughout this manual, three types of alert messages are used: warnings, cautions, and notes,
as described below. Pay attention to all alert messages.
WARNING
A WARNING CONTAINS SPECIAL SAFETY EMPHASIS AND MUST BE OBSERVED AT ALL
TIMES.
FAILURE TO OBSERVE A WARNING IS POTENTIALLY LIFE THREATENING.
CAUTION: A CAUTION
information that could prevent irreversible damage or hardware failure. Neglecting to pay
attention to a CAUTION could result in serious injury.
.
Note:
A Note highlights information that helps explain a concept or procedure.
usuaIly
appears in front of a procedure or statement. It contains
1.4 INSTRUMENT INSTALLATION PROCEDURES
utilize
In order to fully
the System Operating Manual prior to use.
PRODUCT DAMAGE MAY OCCUR UNLESS PROPER CARE IS EXERCISED DURING THE
UNPACKING AND INSTALLATION PROCESS. THE BATTERY PACK MAY NOT BE FULLY
CHARGED UPON RECEIPT.
TEST.
Note:
Instrument
4000 Plus capabilities. it is important to become thoroughly familiar with
WARNING
lT
FAILS THE SELF
instahation
should be performed by qualified personnel only.
DO NOT PLACE THE DEVICE IN SERVICE IF
1.4.1
UNPACKING INSTRUCTIONS
Each shipping carton should contain the following items:
0
Omni-Flow 4000 Plus IV Medication Management System with attached power cord
Omni-Fiow
c3
Carefully remove the device from the shipping carton. The carton should be retained in the event
the device needs to be shipped.
Omni-Flow 4000 Plus IV Medication Management System
4000 Plus System Operating Manual
-
3
1
430-06371-004 (Rev.
4193)
1
Section
INTRODUCTION
1.4.2
INSPECTION
Inspect the packing container for visible shipping damage.
the delivering carrier immediately.
Freight claims or insurance claims must be
Should any damage be found, contact
filed
within seven
days.
Inspect the device for damage.
Do not use the device if it appears to be damaged; contact the
Abbott Laboratories Technical Service Center.
CAUTION: If device appears to be damaged, do not operate: return for service.
Plug the power cord into a 1
lO/
120 volt AC outlet. The device is ready for immediate AC use.
Do
not operate the device on battery power until it has been plugged into an electrical outlet for at
least 24 hours.
Locate the [ON/CHARGE] switch on the back of the device and toggle the switch to the ON position.
Unlock the cassette locking lever and remove the shipping cassette.
Cassettefrom
fhe Device, for additional information on removing a cassette. Discard the shipping
See Section 3.5,
Removing
the
cassette: do not use.
1.4.3
4000
Do not place the 4000 Plus in service until the
Procech.ues,
PLUS SELF TEST
self test has been conducted. See Section 3.1, Setup
for detailed information on the device self test.
1.4.4
PRINTER SETUP
The 4000 Plus allows the user to print history report information.
serial printers. The user should become thoroughly familiar with the system operating manual
which is included with the printer.
The following DIP switch configuration is for the Seiko DPU-4 11
printer. The printer operating manual should detail the printer DIP switch locations.
To set up the Seiko DPU-411 printer for use with the 4000 Plus, proceed as follows:
1.
Set the printer DIP switch configuration as shown in the following display:
DIP01
Note:
DIP01 switches set input data format, number of columns, and characters.
The device works with several
430-0637
l-004
(Rev.
4193)
l-4
System Operating Manual
DIP02
1.4 INSTRUMENT INSTALLATION PROCEDURES
_iii!??I
Note:
DIP02 switches are set for serial input.
serial
2.
Connect the printer cable to the
3.
Connect the other end of the printer cable to the nine-pin serial port labeled IRS-232 on the
rear of the 4000 Plus. See Figure
4.
Connect the AC power plug to the printer and the AC adapter to an AC outlet.
Note:
If necessary, the Seiko DPU-4 11 printer can be operated on battery power.
port labeled RS-232 on the printer.
1
-I, 4000 Plus,
Rear
DIP@2
view.
5. Tum the printer switch to the ON position. The LED power-on light is on, and the printer
LED reads OFF-LINE. Press the printer [ON-LINE] switch, and
con&m
the ON-LINE LED
is on.
POLE
CLAMP
KNOB
ON/CHARGE
SWITCH
SERIAL RS-232 OB-9
COMMUNICATION
PORT
COLLECTION
BAG
HANGER
RS-232 OB-25
(SOME MODELS)
NOTE:
CONNECTOR
NOT ACTIVE
Figure
l-l. 4000
ALARM
VOLUME
KNOB
EQUIPOTENTIAL
POST (SOME MODELS)
POWER CORD
NURSE CALL
WARNING LABEL
Plus, Rear View
Omni-Flow 4000 Plus IV Medication Management System
1-5
430-06371-004 (Rev.
4/93)
Section 2
EQUIPMENT
The 4000 Plus incorporates a number of prog
the device. While performing setup or progr
Ikypad
13,
Note:
keypad may be in lowercase letters.
Note: Figures are
figures may not reflect the product exactly.
Description
In-text references to device keypad are shown in uppercase letters; corresponding text on
Figure
rendered as graphic representations to approximate actual product; therefore,
DESCRIPTION
’
g aids to simplify the setup and operation
13-1,400O
amming
Plus,
functions it may be helpful to refer to Section
View, details the keypad.
Front
of
2.1
BACKLIT DISPLAY SCREEN
8O-character
The
on and stays on for two minutes when any key on the keypad is pressed. The display screen
provides prompting messages, prog
messages to aid in the setup and use of the device.
display screen is
back& to aid visibility in dim or dark areas.
*
g information, infusion status information, and alarm
The light comes
2.2
ESCAPE FUNCTION
The (ESCAPE] key can be utilized any time the user is unsure of the next step or is unable to exit
a particular display screen.
restart a programming sequence.
Press the [ESCAPE] key to return the display to the base screen and
2.3
BASE SCREEN
The base screen appears during the normal device operation and shows which lines are ON, OFF,
(PGM);
or programmed to start in the future
cumulative infusion rate at that time.
A:OFF B:OFF C:OFF
0 0 0
the current infusion rates of each line; and the
D:OFF
0 0
TOTAL
12:30PM
ML/HR
Omni-Flow 4000 Plus IV Medication Management System
2-l
430-06371-004 (Rev.
4/93)
Section 2 EQUIPMENT DESCRIPTION
The base screen is the device status screen. During programming or operation, an intermittent
beeping tone alerts the user that the device is not in the base screen. The beeping tone is a reminder
ramming sequence is not complete. This reminder tone ceases upon return
to the user that a
prog
to the base screen.
The base screen
utilizes
each individual line:
ON
Indicates the line is currently running in the
Indicates the line is infusing an
running in the maintenance mode of operation.
DIL
LineAis
Indicates that Line A is
Indicates that Line A
intermittent infusion.
PGM
Indicates that an intermittent line is programmed to deliver a dose of medication
sometime in the future,
AND/OR
line
A is running in maintenance mode while another
if
MD
intermittent
Indicates that line operation is suspended either due to an
dose.
the user placing it on hold.
DLY
Indicates a programmed intermittent infusion
preceding intermittent infusion, being on hold (HLD), or due to a
the following indicators to assist in determining the pumping status of
diluting
is_flushing
a drug on another line.
the cassette and patient line after or before an
intenniftent
dose to the patient. Also appears if
coRtiRuous
(PGM)
mode of operation.
line
is delivering an
alarm
condition or
is being delayed due to a
flush
OFF
Indicates the line has been stopped and is OFF.
2.4
PROGRAMMING INPUT INDICATOR (CURSOR)
A flashing programming input indicator (cursor) automatically appears on the display screen at
the first information entry point.
Press the [NEXT] key to move the cursor forward.
[LAST] key to move the cursor backwards. To clear any entry where the cursor is flashing, press
the [CLEAR
Note: Several
ENTRYI
key.
programming screens do not allow an advance to the next screen if all the necessary
programming information has not been entered on that screen (i.e.,
total volume on a continuous infusion, the screen cannot be advanced).
automaticahy
moves to the entry point which is missing the required programming information.
The cursor must be moved to the next entry point on the screen.
To move to a previous entry point, press the
a
rate is entered, but not a
if
In these cases, the cursor
430-06371-004 (Rev.
4193)
2-2
System Operating Manual
2.5 LED STATUS INDICATORS
2.5
LED STATUS INDICATORS
The front panel LED indicators located next to the alphabetical line designations (A, B, C. D),
indicate their status as follows:
D
Off when the line is off
D
Flashing when the line is infusing medication
tJ
On steadily when the line is programmed to start at a future time or the infusion of a line is
suspended (on hold).
The LED indicators located on the left side of the front panel indicate their status as follows:
-
P
AC POWER
BATTERY
LI
Q
ALARM-ill
Ij’igure
See
illuminated (green) when the device is operating on AC power.
-
illuminated (yellow) when the device is operating on battery power.
13-1,
uminated
4000
(red) when the device is in an alarm condition.
l+ont View, for location of the LED indicators.
Plus,
2.6
NOTATION AREAS
D)
The white area next to the alphabetical line designations (A, B, C,
making notations about the medication or the programming on that line.
pen or pencil should be used for these notations.
or a soft eraser.
This area can be cleaned with an alcohol swab
on the front panel are for
Anon-permanent felt-tip
Omni-Flow 4000 Plus IV Medication Management System
2-3
430-06371-004 (Rev.
4193)
Section 2 EQUIPMENT DESCRIPTION
2.7
PRINTER
A printer (optional) can be attached to the 4000 Plus and used to print history report information.
See Figure
to Section
58.2,
DPU-41
2-I, Seiko
I
printer
(Optima&
Accessing History Reports with a Printer.
s
gg
-
For more information on using the printer, refer
m
OFF LINE/PAPER END
1
DPUJl
Figure 2-1. Seiko
THERMAL PRINTER
DPU-411
6216H602
Printer (Optional)
Note: The Seiko DPU411 printer illustrated in Figure 2-I is one of several printers which can be
used with the
4000
Plus.
430-06371-004 (Rev.
4/93) 2-4
System Operating Manual
Section
3
SETUP
The following sections detail setup and priming procedures for the 4000 Plus.
Intmniuction,
1,
Keypad Description,
Plus,
4000
Note:
to AC power for at least 24 hours.
Rear Viw, for overview illustrations of the device.
Prior to placing the 4000 Plus in service, fully recharge the battery by connecting the device
me
13-1,400O
Plus,
Front View and Section
See Section
3.1
SETUP PROCEDURES
WARNING
ARRANGE TUBING, CORDS, AND CABLES TO MINIMIZE THE RISK OF PATIENT
STRANGULATION OR ENTANGLEMENT.
CAUTIOlt
audible.
the back of the device.
Abbott Laboratories
To set up the 4000 Plus, proceed as follows:
When
If the
programming
co&rmatory beep is inaudible, adjust the
Tech&al
the device, the confirmatory response beep should be clearly
ALARM
If after adjustment the beep is still inaudible, contact
Support Operations.
VOLUME knob located on
Figure
13,
l-l,
1.
Use the pole clamp to attach the device to an IV pole.
2.
Connect the power cord to a properly grounded 1
3. Toggle the (ON/CHARGE] switch to the ON position.
Note:
the cassette holster. If the service code appears, remove the cassette and cycle the power to
the device (power the device off, then on by toggling the
then
Confkm
4.
lights are off.
At power on, the device performs its self-test diagnostics.
seconds during which time the screen displays the following message:
Upon successful completion of the self test, the Restore Previous Programming screen displays the
following setup questions:
A service code may be displayed if the device is turned on with a cassette locked in
ON). The service code is cleared.
that the green AC POWER indicator is illuminated and that all other LED indicator
>>>>>>>> SELF TEST IN PROGRESS
ABBOTT 4000 PLUS
RESTORE PREVIOUS PROGRAMMING
CLEAR IV HISTORY
YIN? NO
lo/120 volt AC outlet.
]ON/CHARGE)
The self test lasts approximately six
<<<<<<<(
Y/N?
[ENTE:;
switch to CHARGE,
Omni-Flow 4000 Plus IV Medication Management System 3-l
430-06371-804 (Rev.
7/95)
Section 3 SETUP
Note: The
Restore Previous Programming screen displays two setup questions. Select YES or NO
to each query before pressing the [ENTER] key. The [ENTER] key enters all setup instructions
into device memory.
3.1.1
RESTORE PREVIOUS PROGRAMMING
progr
To restore previous
Select YES to Restore Previous Programming Y/IV?. Previous programming is restored to
1.
the device.
When YES is selected to Restore
0
IV Flow Sheet
Q
Line Progr
Select NO to Clear
2.
Note:
Select YES
amming
amming:
N
to
at the Restore Previous Programming screen, proceed as follows:
Preuious
Programming Y/IV?, the following data is restored:
Any lines that were not OFF are put on HLD
Histo
y Y/N?. Previous IV history is retained.
IV
Clear
History Y/N? to remove previous patient IV history.
Press the [ENTER] key to enter all setup instructions into device memory.
3.
Note:
power is down.
During a power shut down, programmed start times for lines are delayed for as long as the
Upon power up and restoring previous programming, the user should review the
programmed information before pressing the [RESUME] key to begin programmed infusions.
Note;
conditions occur, the Restore Previous Programming
To reduce the likelihood of restoring corrupted line programming after Service Code
option is not available after the occurrence
of certain Service Code alarms. In this case, the following screen is displayed after turning power
on:
INSERT CASSETTE AND LOCK IN PLACE
4-JUN-92
PRESS [ENTER]
11:05
AM
3.1.2
INITIATE NEW PROGRAMMING
To initiate new progr
1.
Select NO to Restore Previous Programming Y/N?. Previous programming is removed from
the device.
2.
Press the [ENTER] key. The Insert Cassette and Lock In
amming
at the Restore
Preuims Programming screen, proceed as follows:
Place
screen is displayed:
INSERT CASSETTE AND LOCK IN PLACE.
11:30
ZO-MAR-92 PRESS [ENTER]
AM
Confirm the correct date and time are displayed on the Insert Cassette and Lock In
If the date and time are correct, press the [ENTER] key.
Proceed to Section 3.2, Priming Procedures:
Primay Administration Set
430-0637 1 -A04 (Rev.
4194)
3-2
System Operating Manual
Place
screen.
If the date and time are incorrect on the Insert Cassette and
(ESCAPE] key. The Bypass Cassette Test screen is displayed:
BYPASS CASSETTE TEST? NO
PRESS [ENTER]
3.1 SETUP PROCEDURES
Lack
In Place screen, press the
Press the
Refer to Section 5.4, Special
to set date, time, and display format.
toggling the ION/CHARGE] switch to CHARGE, then ON.
the
SelfTest
(YES/NO] key to change NO to YES. Press the [ENTER] key. The base screen is displayed:
A:OFF B:OFF C:OFF
I
0 0 0
~&ions,
D:OFF
TOTAL
0
0
for detailed instructions on using [SPECIAL
12:3OPM
When date and time are correct, cycle the device power by
Cycling the power returns the device to
screen, followed by the Restore Previous Programming screen.
Repeat Steps 1 and 2 as follows:
1.
Select NO to Restore
Previous
Programming Y/N?.
Previous programming is removed from
the device.
Insert
2.
Press the (ENTER] key.
The
Cassette and Lock In Place screen is displayed.
the correct date and time are displayed on the screen.
Proceed to Section 3.2, Priming Procedures:
3.
Note:
Do not bypass the cassette test.
Primay Administration Set.
3.1.3
RESPONSE TO LOW BATTERY CONDITION
ML/HR
I
FUNCTIONI(
1
I
Coniirm
If
a low battery condition is detected by the device self test, the Current
HR
11:35
CURRENT TIME
DATE
(DD-MM-W) :
1.
Confii
2.
If the date and time are incorrect, use the (NEXT] key and
the correct date and time are displayed on the Current
PM 24
30-MAR-92
TIME Y/N? NO
[ENTERI
[LAST]
as appropriate. Overwrite the old data with the new data.
Note:
Refer to Section 5.4, Special Functions, for more detailed information on setting date
and time.
3.
Upon data entry completion, press the [ENTER] key. The KVO Rate screen is displayed:
KVO RATE:
MAX OCCLUSION:
I
4.
Confirm
5.
If the default
that the correct information displays on the KVO Rate screen.
cursor as appropriate.
l.OML/HR
lOPSI
values
are to be changed, use the [NEXT] and [LAST] keys to position the
[ENTER1
Enter values for KVO and Maximum Patient Line Occlusion
Pressure. The values entered become the default settings for the device.
Note: Default settings remain in device memory when the device is turned off or on.
Time
screen is displayed:
Time
screen.
key to position the cursor
I
Omni-Flow 4000 Plus IV Medication Management System
3-3
430-06371
-A04
(Rev.
4/94)
Section 3 SETUP
6. Press the
(ENTER] key to accept the default values. The
Enable
Callbacks
AU
displayed:
ENABLE ALL CALLBACKS Y/N?
TEMPERATURE UNITS
7.
Determine if the default settings shown on the
C:NO
F:YES
Enable
[ENT:]
AU Callbacks screen are appropriate.
8. To change the Callbacks or Temperature Units option, use the [NEXT] and
position the cursor as appropriate.
9.
Press the [ENTER] key. The Insert Cassette and Lock in
INSERT CASSETTE AND LOCK IN PLACE.
30-OCT-92
pmss [E NTER]
Press the
(YES/NO1
key to toggle to the desired setting.
11:30
Place
screen is displayed:
AM
3.2
PRIMING PROCEDURES:
PRIMARY ADMINISTRATION SET
screen is
(LAS?1
keys to
To prime the 4000 Plus with a primary administration set, proceed as follows:
1.
Select the desired Omni-Flow Primary Set.
A,
for Line
CAUTION:
and confirm that all luer lock connections on cassette are secure.
Use only Abbott Omni-Flow Primary Sets on the device. Refer to the
Remove set
from
package, close the upper clamp
administration package insert for complete instructions.
2.
Prepare IV
container: close all clamps, remove spike protector, insert spike through outlet
hole in container, and squeeze drip chamber to adjust fluid level until approximately half
full. Hang the container.
3.
Confii fluid level is correct.
Grasp cassette so that the collection bag and patient line are
at the top and the luer lock connectors are pointing to the right.
4.
Confii
that the (ON/CHARGE] switch is ON, and the cassette lever is in the unlocked
position. Insert cassette into holster located along the right side of device (see
Inserting
the Cassette). Slowly turn the cassette locking lever to the locked position. The
cassette is locked in place. To secure, press down on the cassette lever (see
in
Locking the Cassette
Place).
l?gure
Figure
3-1,
3-2,
430-0637
-A04 (Rev.
1
4194)
3-4
System Operating Manual
CAUTION:
Turn
the
cassette
3.2 PRIMING PROCEDURES: PRIMARY ADMINISTRATION SET
locking lever slowly to lock cassette in place.
Note:
Con&m
the cassette
locking lever is in the locked position. The cassette lever must
be locked in place and properly secured before any operation can continue.
Open all clamps on the set and confirm no fluid is flowing in drip chamber. Attach collection
5.
bag to hanger located on the bottom right comer of the device (see Figure l-l, 4000 Plus,
Rear View).
CASSETTE
HOLDER
COLLECTION
BAG
Figure 3-1. Inserting the Cassette.
CASSETTE
~8
UNLOCKED
OPEN
<
Figure 3-2. Locking the Cassette in Place.
9307AOO2
_
9216H02-4
Omni-Flow 4000 Plus IV Medication Management System
3-5
430-06371-004 (Rev.
4193)
Section 3 SETUP
3.2.1
CASSETTE PRIMING MODES
The 4000 Plus has two priming modes: cassette power prime and cassette gravity prime.
Line A
can be primed using either mode.
When priming the cassette, the fluid goes into the collection bag.
<A>
HOLD
DOWN [C AS SETTE ] KEY
INTO COLLECTION BAG.
0~
TO PRI ME
PRESS [ENTER]
3.2.1.1
CASSETTE POWER PRIME (LINE A)
When the prime cassette screen is displayed and the [PRIME CASSETTE] key is pressed and
Ainto
released, the pumping action of the system pulls fluid from Line
the cassette.
stroke, the system measures cassette pressure; when cassette pressure is above threshold, it is
fully primed. A device stroke limit of 25 is set in the event there is a cassette leak.
3.2.1.2
GRAVITYPRIME
When the prime cassette screen is displayed and the (PRIME CASSETTE1 key is pressed and held,
the system reverts to gravity prime.
Gravity pulls fluid into the cassette until the (PRIME
CASSETTE] key is released.
At each device
Note: See
regarding priming secondary administration sets
Section 3.3, Priming Procedures: Secondary Administration Sets, for information
Tom
the device.
3.2.2
PRIMING THE CASSETTE
The cassette is primed from lines B, C, and D by gravity flow as follows:
1. Press and hold the [PRIME CASSETTE] key on lines B, C, or D until solution enters the
collection bag.
~0
PRIME
DowN
HOLD
INTO COLLECTION BAG. PRESS
2.
Press the [ENTER] key when priming is complete.
[CASSETT E] KEY ON
<B>
[E:;T]
4193)
3-6
System Operating Manual430-06371-004 (Rev.
3.2
PRIMING PROCEDURES: PRIMARY ADMINISTRATION SET
3.2.3
PATIENT LINE PRIMING MODES
The patient (distal) line may be primed either by power prime or by gravity prime.
WARNING
DO NOT CONNECT LINE TO PATIENT WHILE PRIMING PATIENT LINE.
Note: Priming the
patient line can only occur when ALL lines are OFF.
3.2.3.1
PATIENT LINE POWER PRIME
prime
When the
then released, the pumping action of the system pulls fluid from Line A into the cassette. At each
device stroke, the system measures cassette pressure; when cassette pressure is above threshold,
it is fully primed. After reaching the pressure threshold, the patient line is opened and an additional
13 strokes are pumped, corresponding to 3
microbore 60 inch patient line.
Note:
When using power prime,
to patient.
Note:
In the event of an occlusion alarm, use the appropriate aseptic techniques to remove the
filter cap at the distal end of the patient line
3.2.3.2
PATIENT LINE GRAVITY PRIME
When the [PRIME PATIENT LINE] key is pressed and held, the system reverts to gravity prime.
Gravity pulls fluid into the cassette until the [PRIME PATIENT LINE] key is released.
Patient Line screen is displayed and the (PRIME PATIENT LINE] key is pressed,
mL
of fluid. This volume is
sufficient
to prime the entire
con&m the patient line is fully cleared of all air before connecting
Additional gravity priming may be required to fully clear air from the line.
3.2.4
PRIMING THE PATIENT LINE
i?om
T
O
prime the
1.
Press
patient line
and hold the [PRIME PATIENT LINE] key until all air is cleared from the patient line.
DO'~~N
HOLD
PRIME PATIENT LINE.
2. When priming is complete, press the (ENTER] key.
Note:
When using the
gravity
Administration Set With
1V
Omni-Flow 4000 Plus
Medication Management System 3-7
lines B, C, or D, proceed as follows:
[PATIENT
flow
Grauity
LINE ] KEY ON
PRESS
prevention valve set, see Section 3.3, Priming
Plow Prevention Value.
<B>
TO
[ ENTER ]
Procedures:
430-0637 l-004 (Rev.
Primary
4193)
Section 3 SETUP
3.2.5
CASSETTE TEST
The device performs a cassette test for approximately 36 seconds.
CAUTIONz
It is extremely important to always perform the cassette test when inserting a
new cassette.
CASSETTE TEST IN PROGRESS
ABBOTT 4000 PLUS
When the cassette test is completed, one of two screens is displayed: Possible Faulty Cassette
?&~pe
screen, or Select Infusion
screen.
3.2.5.1
CASSETTE TEST FAILED
If
the cassette
fails the cassette test, the device alarms and the Possible Faulty Cassette screen is
displayed:
+
-POSSIBLE FAULTY
REPRIME OR REPLACE CASSETTE
CASSETTE-
[MUTE1
If the cassette fails the cassette test, proceed as follows:
1.
Silence the alarm by pressing the (MUTE] key. To clear the alarm, press the (MUTE1 key
again. Check for air bubbles, and
2.
Prime the cassette as described in Section 3.2.2. Prime the patient line as described in
reprime
if necessary.
Section 3.2.4.
3.
Ifit
fails the cassette test again, replace cassette. Prime new cassette as described in Section
3.2.2.
Prime the patient line as described in Section 3.2.4. If two cassettes fail in a row,
send the device to clinical engineering.
430-06371-004 (Rev.
4193)
3-8
System Operating Manual
3.3 PRIMING PROCEDURES: PRIMARY ADMINISTRATION SET WITH GRAVITY FLOW PREVENTION VALVE
3.2.5.2
CASSETTE TEST SATISFACTORY
If the cassette test is satisfactorily completed, the following screen is displayed:
SELECT INFUSION TYPE
PRESS [CONTINUOUS] OR [INTERMITTENT]
To prepare for connecting IV containers or syringes to the remaining three lines, press the
[ESCAPE] key. The base screen is displayed.
THE DEVICE IS NOW READY FOR CONNECTING
REMAINING THREE LINES.
lV CONTAINERS OR SYRINGES TO THE
3.3
PRIMING PROCEDURES:
PRIMARY ADMINISTRATION SET WITH GRAVITY
FLOW PREVENTION VALVE
from
CAUTIONS:
cassette is removed from the device without closing the clamps. The gravity flow prevention
valve does not prevent mixing of drug lines. Close all clamps before removing cassette.
The gravity flow prevention valve requires pressure to open (1.5 to 5.0 psi). The device
occlusion pressure setting may require adjustment to prevent nuisance occlusion alarms.
Note:
insert of the administration set. These instructions apply to the 4000 Plus only.
To prime the
valve,
These
proceed as follows:
The gravity flow prevention valve protects the patient
instructions offer an alternative priming procedure to those found on the package
4000
Plus with a primary administration set containing the gravity flow prevention
free flow if the
1.
Remove the primary set from package, close the upper clamp for Line A, and
all luer lock connections on the cassette are secure.
CAUTION:
administration package insert for complete instructions.
2.
Prepare IV container: close all clamps, remove spike protector, insert spike
hole in container, and squeeze drip chamber to adjust fluid level until approximately half
full. Hang the container.
3.
Confirm fluid level is correct. Grasp cassette so that the collection bag and patient line are
at the top and the luer lock connectors are pointing to the right.
4.
Confii
position. Insert cassette into holster located along the right side of device (see Figure
Inserting
cassette is locked
Locking
Omni-Flow 4000 Plus IV Medication Management System
Use only Abbott Omni-Flow
that the (ON/CHARGE] switch is ON, and the cassette lever is in the unlocked
the
Cassette). Slowly turn the cassette locking lever to the locked position. The
in
place.
the Cassette in Place).
To secure, press down on the cassette lever (see Figure 3-2,
primary
3-9
confii
Sets on the device. Refer to the
throu$
430-06371 -A04 (Rev.
that
outlet
3-l.
4/94)
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