Alaris 1000DF00546 Alaris GO Guardrails Volumetric Pump (with Plus Software) Directions for Use

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Alaris™ GP (Guardrails™) Volumetric Pump

(with Plus Software)

Directions For Use

Alaris™ GP (Guardrails™) Volumetric Pump

Contents

Introduction ..............................................................................................2

About This Manual ........................................................................................2

Creating a Data Set ........................................................................................3

Features of the Volumetric Pump ..........................................................................4

Controls and Indicators ...................................................................................5

Symbol Definitions ........................................................................................6

Main Display Features .....................................................................................7

Operating Precautions ....................................................................................8

Getting Started ..........................................................................................11

Basic Features ............................................................................................16

Secondary (Piggyback) Infusions ..........................................................................23

Service Configuration Mode ..............................................................................24

Pump Configuration available via the Alaris Editor Software ...............................................25

Drug Library available via the Alaris Editor Software ......................................................27

Alarms ..................................................................................................28

Warnings ................................................................................................30

Prompts .................................................................................................31

Advisories ................................................................................................32

Restarting an Infusion following an Air-in-Line Alarm ......................................................33

Flow Sensor Operation (Optional) .........................................................................34

Infusion Sets .............................................................................................35

Associated Products ......................................................................................38

Maintenance .............................................................................................39

Cleaning and Storage ....................................................................................40

Specifications ............................................................................................42

IrDA, RS232 and Nursecall Specification ...................................................................44

Infusion Specifications ...................................................................................45

Trumpet and Flow Rate Curves ...........................................................................47

Products and Spare Parts .................................................................................49

Service Contacts .........................................................................................50

Page

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Alaris™ GP (Guardrails™) Volumetric Pump

Introduction

The Alaris™ GP Volumetric Pump and Alaris GP Guardrails™ Volumetric Pump (hereinafter referred to as 'Pump') are small lightweight volumetric infusion pumps that provide accurate and reliable infusions over a range of rates.

The Alaris Editor software is a medical device accessory, which allows the hospital to develop a best-practice data set of IV medication dosing guidelines for patient-specific care areas referred to as profiles. Each profile contains a specific library of drugs, as well as an appropriate pump configuration.

A profile also contains hard limits that cannot be overridden during infusion programming.

For the Alaris GP Guardrails Volumetric Pump only, Guardrails soft limits are available and can be overridden, based on clinical requirements.

The Alaris GP Guardrails Volumetric Pump with a data set loaded, provides automatic alerts when a dosing limit, bolus limit, concentration limit, or weight limit has been exceeded. These safety alerts are provided without the need for the pump to be connected to a PC or network.

The hospital defined data set is developed and approved through pharmacy and clinical input, and then transferred into the pump by qualified technical personnel.

Intended Purpose

The Alaris GP Volumetric Pump and Alaris GP Guardrails Volumetric Pump are intended for use by medical staff for the purpose of controlling infusion rate and volume.

Conditions for Use

The Alaris GP Volumetric Pump and Alaris GP Guardrails Volumetric Pump should only be operated by medical staff competent in the use of automated volumetric pumps and in the management of infusion therapy. Medical staff should determine the suitability of the device in their care area for its intended purpose.

Indications

The Alaris GP Volumetric Pump and Alaris GP Guardrails Volumetric Pump are indicated for the infusion of fluids, medications, parenteral nutrition, blood and blood products through clinically acceptable routes of administration; such as intravenous (IV), subcutaneous or irrigation of fluid spaces. The Alaris GP Volumetric Pump and Alaris GP Guardrails Volumetric Pump are indicated for use on adults and paediatrics.

Contraindications

The Alaris GP Volumetric Pump and Alaris GP Guardrails Volumetric Pump are contraindicated for enteral or epidural therapies.

About This Manual

The user must be thoroughly familiar with the pump described in this manual prior to use.

The pump has minor functionality differences to the Alaris GH/CC Guardrails Syringe Pumps.

All illustrations used in this manual show typical settings and values which may be used in setting up the functions of the pump.

These settings and values are for illustrative use only. The complete range of settings and values are detailed in the specifications section.

It is important to ensure that you only refer to the most recent version of the Directions for Use and Technical Service

Conventions used in this manual

BOLD Used for Display names, software commands, controls and indicators referenced in this manual, for

'Single quotes' Used to indicate cross-references made to another section of this manual.

Italics Used to refer to other documents or manuals and also used for emphasis.

Manual for your CareFusion products. These documents are referenced on www.carefusion.com. Copies can be obtained by contacting your local CareFusion representative.

example, Battery Indicator, PURGE, ON/OFF button.

Important Information: Wherever this symbol is shown an Important note is found. These notes highlight an aspect of use that is important for the user to be aware of when operating the pump.

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Alaris™ GP (Guardrails™) Volumetric Pump

Creating a Data Set

To create a data set for the pump, first the hospital will need to develop, review, approve, upload according to the following process. Refer to the Alaris Editor help file for further details and operating precautions.

1. Create care area data set (Using the Alaris Editor)

Data Set There are two types of data set which can be created;

1. Non-Guardrails Data Set - Creates a new Non-Guardrails data set for the Alaris Infusion Pumps to be edited in the application.

2. Guardrails Data Set - Creates a new Guardrails data set for the Alaris GP Guardrails Infusion Pumps to be edited in the application. A Guardrails Data Set provides additional safety features.

Profile A unique set of configurations and best-practice guidelines for a specific

population, patient type or care area.

Each profile consists of: Pump Configuration / Drug Library

Up to 30 profiles can be defined for each Data Set for the pump.

Pump Configuration Pump configuration settings and units for dosing only.

Drug Library Drug names and concentrations for a data set with default value and maximum

limits.

Up to 100 unique drug protocol set-ups.

2. Master List (Using the Alaris Editor)

Master Drug List A CareFusion defined drug is a usability aid to pre populate drug names for the

Master Drug Lists. Alternate drug names and concentrations can be created.

3. Review, approve and export data set

Review and Approve Entire data set report to be printed, reviewed and signed as proof of approval

by an authorised person, according to hospital protocol. Signed printout to be kept safe by hospital. Data set status to be set to Approved (Password is required).

Export Export data set for use by the Alaris Transfer Tool or to back up a data set, or to

move the data set to another PC.

4. Upload data set to the pump (Using Alaris Transfer Tool)

Note: One profile selection will be required when uploading the data set to the Alaris GP Volumetric Pump.

5. Verify that the correct data set is loaded into the pump and accept it.

6. Switch the pump off.

7. Switch the pump on and verify that the software version screen displays the correct data set version. The pump is now ready to use.

Data set transfers should only be performed by qualified technical personnel.

The pump serial number and the hospital name are stored in the event log, they can also be obtained via the PUMP DETAILS option, refer to 'Pump Details' section. Drug parameters have to be in accordance with local regulation and prescribed information.

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Features of the Volumetric Pump

Alarm indicator

Display

Alaris™ GP (Guardrails™) Volumetric Pump

Features of the Volumetric Pump

Alaris®

Guardrails®

Door

Softkeys

Chevrons

Run

Bolus

Hold

Options

AC power indicator

Release lever for rotating cam

Rotating cam to lock onto horizontal rectangular bars.

Mute

Pressure

Battery indicator On/Off

Door Lever

Handle

Flow sensor connector

RS232/Nursecall connector (cover removed for clarity)

Folded pole clamp

Mains fuses cover

Mains inlet

IR communications port

Potential Equalisation (PE) Connector

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Medical device interface (MDI)

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Controls and Indicators

Controls:

Symbol Description

ON/OFF button - Press once to switch the pump on. Press and hold down for approximately three

seconds to switch the pump off.

Alaris™ GP (Guardrails™) Volumetric Pump

Controls and Indicators

b h

RUN button - Press to start the infusion. The green LED will flash during infusion.

HOLD button - Press to put the infusion on hold. The amber LED will be lit while on hold.

MUTE button - Press to silence alarm for (approximately) two minutes (configurable). The alarm will

resound after this time. Press and hold until three beeps are heard for 15 minutes silence (If enabled via the Alaris Editor).

PRIME/BOLUS button - Press to access PRIME or BOLUS softkey. Press and hold down softkey to operate.

PRIME - primes the infusion set with fluid when setting up an infusion for the first time.

• Pump is on hold.

• Infusion set is not connected to a patient.

• Volume infused (VI) is not added to the total volume infused displayed.

BOLUS - fluid or drug delivered at an accelerated rate.

• Pump is infusing

• Infusion set is connected to patient.

• Volume infused (VI) is added to the total volume infused displayed.

OPTION button - Press to access optional features.

PRESSURE button - Use this button to display the pumping pressure and adjust the alarm limit.

CHEVRON keys - Double or single for faster / slower increase / decrease of values shown on display.

BLANK SOFTKEYS - Use in conjunction with the prompts shown on the display.

Indicators:

Symbol Description

AC POWER indicator - When illuminated the pump is connected to an AC power supply and the

battery is being charged.

BATTERY indicator - When illuminated the pump is running on the internal battery. When flashing the battery power is low with less than 30 minutes of use remaining.

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Symbol Definitions

Labelling Symbols:

Symbol Description

Alaris™ GP (Guardrails™) Volumetric Pump

Symbol Definitions

IPX3

s T

Attention (Consult accompanying document)

Potential Equalisation (PE) Connector

RS232/Nursecall Connector.

Defibrillation-proof type CF applied part (Degree of protection against electrical shock).

Protected against direct sprays up to 60° from the vertical.

Alternating Current

Device complies with the requirements of Council Directive 93/42/EEC as amended by 2007/47/EC.

Date of Manufacture

EC REP

Manufacturer

Connector for Flow Sensor

Not for Municipal Waste

Fuse rating

Authorised representative in the European Community

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Main Display Features

ON HOLD

RATE

SET RATE WITH

ON HOLD

RATE

SET RATE WITH

ON HOLD

RATE

RATE TOO LOW

Main Display - If VTBI has not been set (flow sensor must be used)

Infusion Status /

Drug Name / Profile Name / Primary or Secondary (Only if secondary is enabled in the data set)

Infusion Rate

Volume Infused

Softkey Identifiers

Softkeys

Clear Volume Infused

Main Display - If VTBI is set

Infusion Status / Drug Name / Profile Name /Primary or Secondary (Only if secondary is enabled in the data set)

Infusion Rate

Dose Rate

ON HOLD

RATE

50.0

VTBI

ml/h

25.0

VOLUME

Set VTBI Option

ADRENALINE

RATE

25.0

16.7

ml/h

µg/kg/24h

Alaris™ GP (Guardrails™) Volumetric Pump

Main Display Features

ON HOLD

SET RATE WITH RATE

If the rate has not been set and is showing at 0.0ml/h, then message a) will be displayed.

ON HOLD

RATE TOO LOW

RATE

If programmed rate is between 0.0ml/h and 0.1ml/h exclusive in drug protocol, message b) will be shown.

ON HOLD

RATE TOO HIGH

RATE

If programmed rate is greater than the INFUSION RATE MAX in drug protocol, message c) will be shown.

Screen Icons

Symbol Description

Volume to be Infused

Volume Infused

Time remaining

Softkey Identifiers

VTBI

VOLUME

1h 48m 00s

VOLUME

Softkeys

Clear Volume Infused

Time remaining display icon - Indicates time remaining before VTBI will be completed. If the time is greater than 24 hours then 24+ will be displayed.

Battery icon - Indicates battery charge level to highlight when the battery will require recharging.

Pressure Information icon - Shows the pressure from level 0 being the first bar to level 8. Alarm limits: level 0 - 8.

Indicates that the value entered is outside of the Guardrails soft limits. The warning can be overridden (Indicates Guardrails safety protocol is in use).

Indicates that the value entered is outside of the hard limits. The warning can NOT be overridden. This symbol is also used to prompt the user to set the rate.

Indicates that the pump is running at a rate below (pointing down) a Guardrails Soft Limit.

Indicates that the pump is running at a rate above (pointing up) a Guardrails Soft Limit.

45.0

50.0

VTBI

Set VTBI Option

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Operating Precautions

Infusion Sets

• To ensure correct and accurate operation, only use CareFusion single use infusion sets described in this Directions For Use.

• It is recommended that infusion sets are changed according to the instructions in the 'Changing the Infusion Set' section. Carefully read the Directions For Use supplied with the infusion set prior to use.

• Use of non-specified infusion sets may impair the operation of the pump and the accuracy of the infusion.

• When combining several apparatus and/or instruments with infusion sets and other tubing, for example via a 3-way tap or multiple infusion, the performance of the pump may be affected and should be monitored closely.

• Uncontrolled flow may result if the infusion set is not properly isolated from the patient i.e. closing a tap in the set or activating an in-line clamp / roller clamp.

• CareFusion infusion sets are fitted with an in-line clamp, which can be used to occlude tubing in case it is required to stop fluid flow.

• The pump is a positive pressure pump, which should use infusion sets fitted with Luer lock fittings or equivalent locking connectors.

• To infuse from a burette, close the roller clamp above the burette and open the clamp on the vent on top of the burette.

• Discard infusion set if the packaging is not intact or the protector cap is detached. Ensure sets are not kinked as this may occlude the tubing.

Using Collapsible bags, Glass Bottles & Semi Rigid containers

• It is recommended that the air vent be opened on the pump sets if using glass bottles or semi-rigid containers, to reduce the partial vacuum formed as the fluid is infused from the container. This action will ensure the pump can maintain volumetric accuracy whilst the container empties. The action of opening the air vent for semi-rigid containers should take place after the spiking of the container and priming of the drip chamber.

Steps for the Collapsible bags

Follow steps 1 to 3 as shown for the semi-rigid containers, however do not open vent as in step 4, but prime the set as per step 5. Ensure the bag outlet is fully pierced before filling the drip chamber.

Alaris™ GP (Guardrails™) Volumetric Pump

Operating Precautions

Steps for Semi-rigid containers

Spike the container

Fill drip chamber to fill line

Open the air vent to allow pressure equalisation - ready for infusion

Close the roller clamp

Prime the set by opening / closing the roller clamp

Operating Environment

• When using any infusion pump in conjunction with other pumps or devices requiring vascular access, extra care is advised. Adverse delivery of medication or fluids can be caused by the substantial variation in pressures created within the fluid channels of such pumps. Typical examples of those pumps are used during dialysis, bypass or cardiac assist applications.

• The pump is suitable for use in all establishments, including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes.

• This pump is not intended to be used in the presence of a flammable anaesthetic mixture with air or oxygen or nitrous oxide.

Operating Pressure

• The pumping pressure alarm system is not designed to provide protection against, or detection of extravasation or tissuing, complications which can occur.

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Alaris®

Alaris™ GP (Guardrails™) Volumetric Pump

Operating Precautions

Alarm Conditions

• Several alarm conditions detected by this pump will stop the infusion and generate visual and audible alarms. Users must perform regular checks to ensure that the infusion is progressing correctly and no alarms are operating.

Electromagnetic Compatibility and Interference

• This pump is protected against the effects of external interference, including high energy radio frequency emissions, magnetic fields and electrostatic discharge (for example, as generated by electrosurgical and cauterising equipment, large motors, portable radios, cellular telephones etc.) and is designed to remain safe when unreasonable levels of interference are encountered.

• Therapeutic Radiation Equipment: Do not use the pump in the vicinity of any Therapeutic Radiation Equipment. Levels of radiation generated by the radiation therapy equipment such as Linear Accelerator, may severely affect functioning of the pump. Please consult manufacturer’s recommendations for safe distance and other precautionary requirements. For further information, please contact your local CareFusion representative.

• Magnetic Resonance Imaging (MRI): The pump contains ferromagnetic materials which are susceptible to interference with magnetic field generated by the MRI devices. Therefore, the pump is not considered an MRI compatible pump as such. If use of the pump within an MRI environment is unavoidable, then CareFusion highly recommends securing the pump at a safe distance from the magnetic field outside the identified ‘Controlled Access Area’ in order to evade any magnetic interference to the pump; or MRI image distortion. This safe distance should be established in accordance with the manufacturers’ recommendations regarding electromagnetic interference (EMI). For further information, please refer to the product technical service manual (TSM). Alternatively, contact your local CareFusion representative for further guidance.

• Accessories: Do not use any non-recommended accessory with the pump. The pump is tested and compliant with the relevant EMC claims only with the recommended accessories. Use of any accessory, transducer or cable other than those specified by CareFusion may result in increased emissions or decreased pump immunity.

• In some circumstances the pump may be affected by an electrostatic discharge through air at levels close to or above 15kv; or by radio frequency radiation close to or above 10v/m. If the pump is affected by this external interference the pump will remain in a safe mode; the pump will duly stop the infusion and alert the user by generating a combination of visual and audible alarms. Should any encountered alarm condition persist even after user intervention, it is recommended to replace that particular pump and quarantine the pump for the attention of appropriately trained technical personnel.

• This pump is a CISPR 11 Group 1 Class B device and uses RF energy only for its internal function in the normal product offering. Therefore, its RF emissions are very low and are not likely to cause any interference with the nearby electronic equipment. However, this pump emits a certain level of electromagnetic radiation which is within the levels specified by IEC/EN60601-2-24 and IEC/EN606011-2. If the pump interacts with other equipment, measures should be taken to minimise the effects, for instance by repositioning or relocation.

Earth Conductor

• The pump is a Class I device, therefore must be earthed when connected to an AC power supply.

• This pump also has an internal power source.

• When connected to an external power source, a three-wire (Live, Neutral, Earth) supply must be used. If the integrity of the external protective conductor on the AC power cable has been compromised, the pump should be disconnected from the AC power source and operated utilising the internal battery.

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Alaris®

Alaris™ GP (Guardrails™) Volumetric Pump

Operating Precautions

Hazards

• An explosion hazard exists if the pump is used in the presence of flammable anaesthetics. Exercise care to locate the pump away from any such hazardous sources.

• Dangerous Voltage: An electrical shock hazard exists if the pump’s casing is opened or removed. Refer all servicing to qualified service personnel.

• Do not open the RS232/Nurse Call protective covering when not in use. Electrostatic discharge (ESD) precautions are required when connecting RS232/Nurse Call. Touching the pins of the connectors may result in ESD protection failure. It is recommended that all actions must be taken by appropriately trained personnel.

• If this pump is dropped, subjected to excessive moisture, fluid spillage, humidity or high temperature, or otherwise suspected to have been damaged, remove it from service for inspection by a qualified service engineer. When transporting or storing the pump, use original packaging where possible, and adhere to temperature, humidity and pressure ranges stated in the Specifications section and on the outer packaging.

• If this pump behaves abnormally, remove from service and contact a qualified service engineer.

• Care should be taken to ensure power leads and RS232 cables do not present a trip hazard.

• Care should be taken in the placement of power leads and RS232 cables to prevent accidental tugging.

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Getting Started

Alaris™ GP (Guardrails™) Volumetric Pump

Getting Started

Before operating the pump read this Directions For Use (DFU) manual carefully.

Initial Set Up

1. Check that the pump is complete, undamaged and that the voltage rating specified on the label is compatible with your AC power supply.

2. Items supplied are :

• Alaris GP or Alaris GP Guardrails Volumetric Pump

• Directions For Use (CD)

• AC Power Cable (as requested)

• Protective Packaging

• Alaris Editor Software and/or Alaris Transfer Tool - per hospital

3. Connect the pump to the AC power supply for at least 2½ hours to ensure that the internal battery is charged (verify that the lit).

• The Alaris Editor software can be used to create an approved data set that can be uploaded into the pump.

However, a default data set is already installed in the pump (See details below).

• The pump will automatically operate from its internal battery if the pump is switched on without being connected to the power supply.

• Should the pump fail to perform correctly, replace in its original protective packaging, where possible and contact a qualified service engineer for investigation.

S is

Factory Default Data Set

The pump is supplied with the following factory default data set:

Parameter Factory Default Setting Default Units Enabled for Dosing

Only:

AC Fail Warning Enabled µg/min

Audio Volume Medium µg/24h

Alarm Volume Adjustable Disabled mg/24h

Occlusion Alarm Pressure L5 unit/24h

Pressure Max L8 mmol/24h

Rate Titration Disabled ml/kg/min

Infusion Rate Max 1200ml/h ng/kg/h

Rate Lock Disabled µg/kg/min

Bolus Mode Hands-On Only µg/kg/h

Bolus Rate Default

Bolus Rate Max 1200ml/h mg/kg/h

Bolus Volume Max 5ml g/kg/min

Weight Default 1kg unit/kg/min

Weight Soft Min* 1kg mmol/kg/min

Weight Soft Max* 150kg mmol/kg/h

AIL Limit 100µl

Primary VTBI Max 9999ml

Secondary Infusion Disabled

500ml/h

mg/kg/min

• Refer to 'Display of Units' section of this DFU for configurable units.

* Only available on the Alaris GP Guardrails Volumetric Pump.

• The default data set does not have drug related Guardrails limits. To set the limits use the Alaris Editor software. Care should be taken when specifying the Guardrails limits.

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Alaris™ GP (Guardrails™) Volumetric Pump

Ala

is®

Getting Started

Pole Clamp Installation

The pole clamp is fitted to the rear of the pump and will provide secure fixing to vertical I.V. poles of a diameter between 15 and 40 mm.

1. Pull the folded pole clamp towards you and unscrew the clamp to leave enough room for the size of the pole.

2. Place pump around pole and tighten screw until the clamp is secured to the pole.

Recessed area

Never mount the pump such that the I.V. infusion stand becomes top heavy or unstable. Ensure the pole clamp is folded away and stored within the recessed area at the rear of the pump before connecting to a Docking Station/Workstation* or when not in use.

Docking Station / Workstation* or Equipment Rail Installation

The rotating cam can be fitted to the rectangular bar on the Docking Station/Workstation* or equipment rails measuring 10mm by 25mm.

1. Align the rotating cam on the rear of the pump with the rectangular bar on the Docking Station/Workstation* or the equipment rail.

2. Push the pump firmly onto the rectangular bar or equipment rail.

3. Ensure that the Pump is positioned securely. Verify Pump is secure by gently pulling the Pump away from the Docking Station/Workstation* without using the release lever. When the Pump is securely attached, it should not come off the Docking Station/Workstation*.

4. To release, push the release lever and pull the pump forwards.

Rectangular bar Release lever (push

to release)

Rotating cam

Warning: Pump may fall off the Docking Station/Workstation* if not properly mounted which could result in user and/or

patient harm.

* Alaris DS Docking Station and Alaris Gateway Workstation.

It is recommended that infusion bags be located on a hanger directly above the pump with which they are being

used. This minimises the potential for confusion of infusion sets when multiple volumetric pumps are used. Pump can only be mounted on the horizontal section of the docking stations listed above.

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Alaris™ GP (Guardrails™) Volumetric Pump

The Alaris Safety Clamp

Alaris Safety Clamp*: Safety Clamp In Non Occluded Position:

When a new infusion set is removed from packaging the Safety Clamp will be in this position**:

Clamp in NON OCCLUDED

Safety Clamp Frame

Safety Clamp Tab

FLOW ENABLED

Safety Clamp Slider

POSITION

Getting Started

Safety Clamp In Occluded Position: Manually Operating The Safety Clamp

After infusion set is loaded into the pump, opening the door activates door hooks which will pull the Safety Clamp slider out, as shown:

Clamp is in OCCLUDED POSITION

To move the slider into the non occluded position manually, push up Safety Clamp Tab and push Safety Clamp Slider completely into Frame:

NO FLOW

1. Push up

2. Push

• Pushing on the Safety Clamp Slider enables full set flow to the patient. Therefore it is recommended to always

close the roller clamp as well.

• However, if gravity infusion is required, push up Safety Clamp Tab and push orange Safety Clamp Slider completely into Frame to enable flow. The gravity infusion can be regulated using the roller clamp on the set.

* Hereinafter referred to as to as 'Safety Clamp'. ** This is necessary to avoid tube damage during storage and to ensure correct sterilisation and allows immediate priming.

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Alaris™ GP (Guardrails™) Volumetric Pump

Loading an Infusion Set

Loading an Infusion Set: Alaris Safety Clamp in the NON OCCLUDED position - FLOW ENABLED:

• Ensure the appropriate infusion set for the fluid / drug to be infused has been selected.

• Follow the instructions supplied with the individual infusion set.

• Only use Alaris GP and Alaris GP Guardrails Volumetric Pump infusion sets, (Refer to 'Infusion Sets' section of the DFU)

• Position the fluid container to avoid spillage onto the pump.

• Ensure that the tubing is inserted completely into the top set retainer through to the tubing guide avoiding any slack.

Getting Started

Adaptor on infusion set (Blue)

Top set retainer

(Blue)

Pressure sensor UPSTREAM

Pumping mechanism

Pressure sensor

- DOWNSTREAM

Alaris Safety Clamp (Orange)

Safety Clamp retainer (Orange)

Air-in-line sensor

Tubing guide

1. Remove infusion set from package and close roller clamp.

2. Insert the bag spike into the fluid container and hang appropriately at a minimum height of 300 mm above the pump.

3. Fill the drip chamber to the fill line if shown (Approximately half full). Refer to operating precaution section 'Using Collapsable bags, Glass Bottles & Semi-Rigid containers'.

4. Open roller clamp and prime set slowly (to prevent air bubbles) ensuring all air is removed. To use the pump to prime refer to 'Priming the Infusion Set' section.

5. Close roller clamp.

6. Switch the pump on. Open door and load infusion set as follows:

• Fit blue adaptor of infusion set into blue top set retainer.

• Insert orange safety clamp into orange retainer.

7. Ensure infusion set is fully inserted into tubing guide.

8. Close door and open roller clamp. Ensure no drops are falling in the drip chamber.

9. Ensure all air is removed from the set. Connect the infusion set to the patient access device.

Loading an Infusion Set: Alaris Safety Clamp in the OCCLUDED position - NO FLOW:

1. Follow steps 1 to 4 as above where necessary.

2. Ensure roller clamp is closed.

3. Switch the pump on. Open door and load infusion set as follows:

• Fit blue adaptor of infusion set into blue top set retainer.

• Insert orange safety clamp (leaving slider extended) in

the occluded position into orange retainer.

Alaris Safety Clamp (Orange) in occluded position (See previous page)

Tubing guide

1000DF00546 Issue 5

4. Ensure infusion set is fully inserted into tubing guide.

5. Close door and open roller clamp. Ensure no drops are falling in the drip chamber.

6. Ensure all air is removed from the set. Connect the infusion set to the patient access device.

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Pushing on the Safety Clamp Slider may lead to uncontrolled flow to the patient. Therefore, always close the roller clamp before pushing on the safety clamp slider.

Alaris™ GP (Guardrails™) Volumetric Pump

PROFILE NAME RATE 300ml/h VTBI 46.5ml

VOLUME 3.5ml

YES

CLEAR SETUP?

VIEW WITH

CLEAR SETUP?

PROFILE NAME CONCENTRATION

0.50mg/50ml =0.01mg/ml RATE 150ml/h =0.00mg/kg/min VTBI 100ml =1.00mg

YES

VIEW WITH

CLEAR SETUP?

PROFILE NAME PRIMARY SETUP RATE 300 ml/h VTBI 50.0 ml

SECONDARY SETUP RATE 150 ml/h VTBI 95.0 ml

YES

VIEW WITH

SELECT

ml/h

DOSING ONLY DRUGS A B C D E

F G H I J K L M N O P Q R S T U V W X Y Z

SELECT WITH

Getting Started

Starting the Infusion

Prime and load the set (Refer to 'Priming the Infusion Set' and 'Loading an Infusion Set')

1. Ensure the pump is connected to an AC power supply (also operates from battery).

2. Connect flow sensor, if required (See 'Flow Sensor Operation' section).

3. Press the

The pump will run a short self-test. Check two beeps are activated during this test.

Check the displayed date and time are correct. Check display shows the data set name and version number.

NOTE: The pump starts up and displays previous settings.

4. CLEAR SETUP? - Selecting NO will retain all previous rate and volume settings, go to step 7. Selecting YES will automatically reset the rate and volume settings to zero and the CONFIRM PROFILE? screen will be displayed.

• ml/h • Drug Protocol • Primary/Secondary

a key.

• Dosing Only • Drug Protocol

5. CONFIRM PROFILE? screen will show the data set name, version number and profile name: a) Press YES softkey to confirm current profile and go to step 6. b) Selecting NO will display the profile selection screen, select correct profile using

confirm. Confirm profile screen will display again, press YES softkey and SELECT screen will be displayed, go to step 6.

NOTE: The CONFIRM PROFILE screen is only shown if more than one profile (For Alaris GP Guardrails Volumetric Pump only) is

available in the data set. If a profile has been filtered, then the option to select ALL will be displayed in the profile selection screen. Selecting ALL will show the filtered profiles (If enabled).

6. Select either ml/h, DOSING ONLY or DRUGS AZ and press OK to confirm. Then follow the

prompts as required (Refer to 'Basic Features -Drugs and Dosing' section).

7. Clear VOLUME infused , if required (Refer to 'Clear Volume Infused' section, this is

recommended for a new patient or when a new infusion is set-up).

8. Enter VTBI (if required) by selecting VTBI softkey on main display.

Set VTBI by using the BAGS option and/or to 'Setting a VTBI' or 'Setting VTBI over Time' section).

9. Enter or adjust the RATE (if necessary) using the

10. Press

NOTE: The green run LED will flash to show that the pump is infusing.

If the infusion requires to be stopped immediately, the following actions may be applied:

• by pressing the h key (recommended action)

• by closing the roller clamp

• by opening the door

b key to start the infusion. INFUSING will be displayed.

f keys and press OK softkey to

f keys and press OK to confirm (Refer

f keys.

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Alaris™ GP (Guardrails™) Volumetric Pump

SELECT

OK QUIT

ml/h

DOSING ONLY DRUGS A B C D E

F G H I J K L M N O P Q R S T U V W X Y Z

SELECT WITH

SELECT

ml/h

DOSING ONLY

DRUGS A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

SELECT WITH

QUIT

SELECT

ml/h DOSING ONLY

DRUGS A B C D E

F G H I J K L M N O P Q R S T U V W X Y Z

SELECT WITH

QUIT

Basic Features

Drugs and Dosing

The following options enable the pump to be set-up for use with a specific drug protocol. Drugs are pre-configured in the Alaris Editor to enable rapid selection of the drug protocol, dosing units and default rate. For increased security when using a configured drug, maximum and minimum safety limits can be set for concentrations and dose rates via the Alaris Editor.

When adjusting an infusion using the dose rate, the display may not show any corresponding changes to the

Selecting the INFUSION SETUP

1. Press the d button to first access the options menu.

2. Drugs and dosing set-up options are available by selecting INFUSION SETUP from the list using the

3. Select from the list of the options (ml/h, DOSING ONLY or DRUGS) as detailed below and press the OK softkey to confirm the

selection.

ml/h

infusion rate in ml/h. This does not affect the accuracy of the infusion.

f keys.

1. Select ml/h from the list using the f keys (if necessary).

2. Press OK to confirm.

3. Enter the ml/h rate as prompted on the display in the next screen.

Dosing Only

Drugs

1. Select DOSING ONLY from the list using the f keys.

2. Press OK to confirm.

3. Select the dosing units from the list using the

4. Enter DRUG AMOUNT using the UNITS which will scroll through the units available. Press OK to confirm selection.

5. Use the

6. Enter WEIGHT

7. A summary of the DOSING ONLY information is displayed, to CONFIRM? all details shown press OK. The BACK softkey may be used at any time to return to the previous screen.

Only displayed if weight based units are used.

Total Volume = Drug Volume + Diluent Volume i.e. Total Volume of fluid in the fluid container

after a drug is added.

1. Select the required DRUGS alphabetical row from the list using the f keys.

2. Press OK to confirm.

3. Select the drug from the displayed list using the

4. Enter DRUG AMOUNT using the

5. Use the

6. Enter WEIGHT

7. A summary of the DRUG information is displayed, to CONFIRM? all details shown press OK. The BACK softkey may be used at any time to return to the previous screen.

fkeys to select the TOTAL VOLUME

using the fkeys, press OK to confirm.

fkeys to enter the TOTAL VOLUME

using the fkeys, press OK to confirm.

f keys and if units need to be changed, select

f keys, press OK to confirm selection.

fkeys, press OK to confirm.

, press OK to confirm.

fkeys, press OK to confirm.

, press OK to confirm.

Only displayed if weight based units are used.

Total Volume = Drug Volume + Diluent Volume i.e. Total Volume of fluid in the fluid container

after a drug is added.

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Clear Volume Infused

VOLUME

CLEAR

QUIT

374

VOLUME INFUSED

VTBI

BACK

SELECT WITH

1500ml 1000ml

500ml

250ml 200ml 100ml

50ml

0ml

(OFF)

KVO

RATE

VTBI

VOLUME

VOLUME VTBI

ml/h

0 h 00 m 00 s

When a new drug or a new concentration has been setup and the previous volume infused has not been cleared,

then the message DOSE INFUSED HAS BEEN CLEARED will be displayed.

Setting a VTBI

KVO (Keep Vein Open) Rate

Alaris™ GP (Guardrails™) Volumetric Pump

Basic Features

This option enables the volume infused to be cleared.

1. Press the VOLUME softkey on main display to show the clear VOLUME INFUSED option.

2. Press the CLEAR softkey to clear the volume infused. Press the QUIT softkey to retain the

volume.

This feature allows a specific volume to be infused to be set. The rate at the end (END RATE) of this VTBI can also be set, selecting from STOP, KVO or CONTINUE for continuous infusion at the set rate.

1. Using the

a) Press the VTBI softkey on main display to enter the volume to be infused screen. b) Enter the volume to be infused using the c) Select the END RATE using the d) Press the OK softkey to confirm and exit the END RATE menu.

2. Using the BAGS softkey: a) Press the VTBI softkey on main display to enter the volume to be infused screen. b) Select the BAGS softkey, select the required bag volume using the

c) Press OK to confirm again, or adjust the VTBI using the d) Select the END RATE using the e) Press the OK softkey to confirm and exit the END RATE menu.

At the end of VTBI, the pump will first display VTBI DONE/INFUSING KVO. Press CANCEL to display KVO screen.

The pump continues to infuse at a very low (Default) rate. KVO is used to keep the patients vein open, in order to prevent blood clots and catheter occlusions.

NOTE: If the KVO rate (Default 5ml/h) is greater than the set infusion parameters then the

The pump will beep every 5 seconds while in KVO mode.

f keys:

f keys and press OK to confirm.

f keys to scroll through the on-screen choices.

f keys and

press OK to confirm the selection.

f keys and press OK.

f keys to scroll through the on-screen choices.

pump will continue to infuse at the set infusion rate. The KVO rate will flash on screen to indicate this is not the usual infusion rate.

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Pressure

PRIME

RATE

PRIME

QUIT

ml/h

VOLUME

HOLD KEY BELOW

25.0

PRESSURE

PUMPING PRESSURE

ALARM LIMIT

ADJUST WITH

Priming the Infusion Set

• Ensure the infusion set is not connected to a patient before priming the set.

• The prime rate and prime volume limit are configured in the data set via the Alaris Editor.

• The pump will not prime if rate lock has been activated. During PRIME the pressure alarm limit is temporarily increased to the maximum level (L8).

Alaris™ GP (Guardrails™) Volumetric Pump

Basic Features

To check and adjust the pressure level, press the e button. The display will change to show the current pumping pressure level and the pressure alarm limit. The default pressure alarm limit can be set via the Alaris Editor.

1. Press the be indicated on the display.

2. Press OK to exit the screen.

The i button allows the delivery of a limited volume of fluid in order to prime the infusion set prior to being connected to a patient.

f keys to increase or decrease the alarm limit (L0 to L8). The new limit will

• Higher rates generate higher pumping pressures. To avoid nuisance alarms, L0 and L1 levels should not be used for rates above 200ml/h.

• The interpretation of pressure readings and occlusion alarms are the responsibility of the clinician depending on the specific application.

• Occlusion levels for the pump are configured in the Alaris Editor by profile and by drug.

1. Press

2. Load the infusion set. Refer to 'Loading an infusion set' section.

3. Follow the 'Starting the Infusion' section, but do NOT connect the infusion set to the patient

4. Open the roller clamp.

5. Press

6. Press and hold the (flashing) PRIME softkey until the fluid flows and the priming of the

7. When priming is complete release the PRIME softkey.

a key to switch the pump on.

until the set has been primed.

i button to display the PRIME screen.

infusion set is complete. The volume used during priming will be displayed, but it is not added to the volume infused.

Bolus Infusions

Bolus - Administering a controlled volume of fluid or drug at an increased rate for diagnostic or therapeutic purposes. The pump should always be infusing and always attached to the patient (Drugs given by an IV bolus could achieve immediate and high drug concentration levels).

Bolus can be used at the start of an infusion or during an infusion.

The bolus feature can be configured via the Alaris Editor to:

a) Bolus Mode - Disabled b) Bolus Mode - Enabled

i) HANDSON only ii) HANDSON and HANDSFREE

Bolus Mode - Disabled

If configured to Disabled, pressing the i button will have no effect and the pump will continue to infuse at the set rate.

A Bolus cannot be administered if the feature is disabled for the selected data set or specific drug. During BOLUS

the pressure limit alarm is temporarily increased to the maximum level (L8).

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Bolus Mode Enabled - HANDSON and HANDS ON and HANDSFREE

RATE SET WITH

BOLUS

QUIT

VOLUME

HOLD KEY BELOW

ml/h

BOLUS

HANDSFREE?

YES

HANDSONQUIT

BOLUS MODE

TITRATE

RATE

PRESS TO CONFIRM

VTBI

VOLUME

QUIT

ml/h

16.

µg/kg/24h

1 h 48 m 00 s

BOLUS Enabled - HANDSON Only

In HANDSON bolus, press and hold the (flashing) Bolus softkey to deliver the required bolus. The bolus rate can be adjusted. The bolus volume is limited in the configuration via Alaris Editor.

1. During infusion press the

2. Use the

3. To deliver the bolus press and hold the BOLUS softkey. During the bolus, the volume being

infused is displayed. When the desired bolus volume has been delivered or the bolus volume limit is reached, release the softkey. The bolus volume is added to the total volume infused displayed.

BOLUS Enabled - HANDSON and HANDSFREE

The HANDSFREE bolus is delivered with a single press of the (flashing) BOLUS softkey. Bolus rate and bolus volume are at default values and can be changed. The default bolus volume is 0.1ml.

1. During infusion press the

2. Press the YES softkey to go to the HANDSFREE bolus screen or press HANDSON softkey to

go to the HANDSON bolus (see section above)

3. Use the softkey to adjust the bolus delivery rate.

4. Press the flashing BOLUS softkey once to begin the delivery of the preset bolus. The display will show the bolus being delivered by the bolus counting down and will revert to the main display upon completion of the bolus.

5. To terminate a bolus being delivered press STOP softkey. This will stop the bolus and continue infusing at the set rate. Press the the pump on hold.

NOTE: If the bolus volume reaches the set bolus volume limit the bolus will stop and the

NOTE: Rate may be restricted by the BOLUS RATE MAX which is configured in the Alaris

NOTE: If the BOLUS exceeds the soft (Alaris GP Guardrails Volumetric Pump only) or hard

NOTE: The bolus rate will be automatically set to the current infusion rate, when the default

NOTE: When more than one bolus is programmed without clearing the infusion setup, the

f keys to adjust the bolus rate if required.

If the volume to be infused (VTBI) is reached during a bolus, the VTBI complete alarm will sound. Press c to silence the alarm or CANCEL to acknowledge the alarm. See VTBI section for more details on VTBI operation. When using infusion set 63280NY the maximum infusion rate is 150ml/h.

f keys to adjust the bolus DOSE if required. If necessary press the RATE

pump will revert to infuse at the set infusion rate and continue infusing.

Editor.

limits, a prompt will display.

bolus rate is lower than the current infusion rate. A bolus rate cannot be configured lower than the current infusion rate.

bolus rate will be set to the previous bolus rate for all subsequent bolus infusions.

i button once to display the BOLUS MODE screen.

Rate Titration

If Rate Titration is enabled (via the Alaris Editor) the infusion rate or dose rate (if available) can be adjusted while infusing.

1. Select the new rate using the CONFIRM> will flash on screen and the pump continues to infuse at the original rate.

2. Press the

b button to confirm the new infusion rate and start infusing at the new rate.

f keys. The message <TITRATE PRESSbTO

Alaris™ GP (Guardrails™) Volumetric Pump

Basic Features

h button to stop the bolus delivery and place

If Rate Titration is disabled the rate can only be adjusted whilst ON HOLD:

1. Press the

2. Select the new rate using the

3. Press the

1000DF00546 Issue 5

h button to put the pump ON HOLD.

f keys.

b button to start infusing at the new rate.

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Alaris™ GP (Guardrails™) Volumetric Pump

Basic Features

Rate Lock (If enabled)

If Rate Lock is enabled, when the infusion rate has been set and the infusion started (or following a bolus infusion) the rate lock prompt will appear on the main display.

To select the rate lock function press the YES softkey. Press the NO softkey if the rate lock is not required.

When rate lock is enabled, the following are unavailable:

• Changing the infusion rate / titration

• Bolus / Prime

• Switching the pump off

• VTBI over time infusions.

• Secondary infusions (if enabled)

To turn rate lock off:

1. Press the

2. Select UNLOCK RATE and press the OK softkey. To turn rate lock on:

1. Press the

2. Select RATE LOCK and press the OK softkey.

Adjusting Existing Dosing or Protocol Infusions - Set By ml/h / Set by Doserate

To set doserate or flowrate in precise increments it may be necessary to switch between the rate adjust options SET BY DOSERATE and SET BY ml/h. An arrow to the left of the rate display shows the rate changed when the

the infusion rate.

To set a doserate precisely the arrow must be pointing to the doserate (for example: mg/kg/h); the flowrate will be calculated from the doserate.

To precisely set a flowrate the arrow must be pointing to flowrate (ml/h); the doserate will be calculated from the flowrate.

d button to access the options menu.

f keys are used to increase/decrease

Selecting the SET BY ml/h Option

1. Press the d button to access the options menu.

2. Select the SET BY ml/h option using the

flowrate option, the arrow on the display will automatically select the flowrate, the flowrate can be adjusted if necessary.

f keys and press the OK softkey indicated on the screen. This will select the set by

Selecting the SET BY DOSERATE Option

1. Press the d button to access the options menu.

2. Select the SET BY DOSERATE option using the

the set by doserate option, the arrow on the display will automatically select the doserate, the doserate can be adjusted if necessary.

f keys and press the OK softkey indicated on the screen. This will select

Dosing Summary

To review currently selected dosing information:

1. Press the

2. Select DOSING SUMMARY option using the

3. Review the information and then press the QUIT softkey.

d button to first access the options menu.

fkeys and press the OK softkey.

Add Drug (Only available when infusing)

1. Press the d button to access the options menu.

2. Select ADD DRUG option using the

3. Select from DRUGS AZ from the displayed list using the

4. Select drug name using the

fkeys, press OK to confirm and then follow the on screen prompts as required.

fkeys and press the OK softkey.

fkeys, press OK to confirm.

Infusion Setup

To change the Infusion Setup, refer to 'Basic Features - Drugs and Dosing, Selecting the INFUSION SETUP' section.

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Alaris™ GP (Guardrails™) Volumetric Pump

Basic Features

Primary Setup

If a secondary infusion has already been setup (See 'Secondary (Piggyback) Infusions' section), then access to the primary infusion setup is as follows:

1. Press

2. Press the

3. Select PRIMARY SETUP and press the OK softkey to confirm. Make changes to the primary setup as necessary.

Secondary Setup

To setup a secondary infusion refer to 'Secondary (Piggyback) Infusions' section

Setting VTBI over Time

This option allows a specific VTBI and delivery time (Maximum of 24 hours) to be set. The rate necessary to deliver the required volume within the specified time is calculated and displayed.

1. Stop the infusion. Press

2. Select the SET VTBI OVER TIME option using the

3. Adjust the volume to be infused using the

4. Enter the time over which the volume is to be infused using the

5. Press OK softkey to enter the value or BACK to return to the VTBI.

h to put the pump ON HOLD.

d button to access the options menu.

dbutton to access the options menu.

fkeys and press the OK softkey.

fkeys (Or select BAGS softkey to set the VTBI). When the desired volume has

been reached press the OK softkey.

fkeys . The infusion rate will automatically be calculated.

Adjust Alarm Volume

This option allows adjustment of the volume if enabled.

1. Press the

2. Select ADJUST ALARM VOLUME using the fkeys and press OK softkey to confirm.

3. Select HIGH, MEDIUM or LOW using the fkeys.

4. Press OK softkey to confirm or QUIT to exit screen.

d button to access the options menu.

Event Log

This option allows the event log to be reviewed.

1. Press the

2. Select EVENT LOG using the fkeys and press OK softkey to confirm.

3. View the events using the

4. Select BACK to return to the previous screen, if required.

d button to access the options menu.

f keys.

Pump Details

To review pump information:

1. Press the

2. Select PUMP DETAILS using the fkeys and press OK softkey to confirm.

3. Review the information and then press the QUIT softkey.

d button to access the options menu.

Profile Filter (Only available on the Alaris GP Guardrails Volumetric Pump)

This option allows selected profiles to be filtered from view. It can be enabled/disabled via the Alaris Editor.

1. Press the

2. Select PROFILE FILTER using the

3. Select profile that requires filtering using the

4. Press MODIFY to disable profile and press OK to confirm or QUIT to return to main display. Note: If only one profile is available and all others are disabled in this option, the CONFIRM PROFILE screen will not display upon

d button to access the options menu.

f keys, press the OK softkey to confirm.

f keys.

start up.

Standby

This option allows the pump to be placed on standby mode. It can be enabled/disabled via the Alaris Editor.

1. Press the

2. Select STANDBY using the

3. Select CANCEL to return to main display.

d button to access the options menu.

f keys, press the OK softkey to confirm.

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Alaris™ GP (Guardrails™) Volumetric Pump

Basic Features

Changing the Infusion Set

1. Press h

2. Close in-line clamp and ensure the access to the patient is isolated.

3. Disconnect the infusion set from the patient.

4. Open pump door and remove infusion set from the pump and discard the set and fluid container according to hospital protocol.

5. Prepare the new infusion set, load infusion set into pump and close the door, see 'Loading the Infusion Set'.

6. Restart infusion, see 'Getting Started'.

Changing the Fluid Container

1. Press h to put the pump ON HOLD.

2. Remove bag spike on infusion set from empty / used container. Discard empty / used container according to hospital protocol.

3. Insert spike into new container.

4. Squeeze the drip chamber approximately half full or up to fill line (if the drip chamber is marked) with fluid.

5. Restart infusion, see "Getting Started".

to put the pump ON HOLD.

When changing the infusion set or the fluid container use aseptic technique according to hospital protocol. It is recommended that infusion sets are changed in accordance with the Directions For Use. Carefully read the Directions For Use supplied with the infusion set prior to use. The set change interval is generally 72 hours with the following exceptions;

• Transfusion (Blood) Sets

• 60953 Alaris GP Low Sorbing Infusion Set

• 60033E Alaris GP Low Sorbing Infusion Set

• 60950E Alaris GP Oncology Infusion Set

SmartSite® Needle-Free System Instructions

SmartSite® Needle-Free Valve is designed to permit safe gravity flow and automated flow, injection and aspiration of fluids without the use of needles by utilising Luer lock and luer slip connectors.

Precautions:

DIRECTIONS - Use Aseptic Technique

1. Prior to every access, swab top of Needle-Free Valve port with 70% Isopropyl alcohol (1-2 seconds) and allow to dry (approximately

NOTE: Dry time is dependent on temperature, humidity, ventilation of the area.

2. Prime valve port. If applicable, attach syringe to Needle-Free Valve port and aspirate minuscule air bubbles.

3. When used with administration sets always refer to individual set directions for use as change interval may vary according to clinical

NOTE: During use of Needle-Free Valve port, fluid may be observed between the housing and blue piston. This fluid does not enter

NOTE: For product questions or needle-free valve educational materials, contact your CareFusion representative. Consult facility

Discard if packaging is not intact or protector caps are unattached. If Needle-Free Valve is accessed by a needle in an emergency the valve will be damaged causing leakage. Replace Needle-Free Valve immediately. Needle-Free Valve contraindicated for blunt cannula system. DO NOT leave slip luer syringes unattended.

30 seconds).

application (e.g. infusions of blood, blood products, and lipid emulsions).

the fluid path and requires no action.

protocols. Consult other organizations that publish guidelines useful in developing facility protocols.

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Alaris™ GP (Guardrails™) Volumetric Pump

Secondary (Piggyback) Infusions

Secondary (or piggyback) Infusion mode is only available if it has been configured.

The application of secondary infusions should be limited to the intermittent therapy of medications which are not sensitive to the total time required to complete an infusion.

• Typically antibiotics may be infused using a secondary infusion, where the primary infusion is limited to

Setting up a secondary infusion

maintenance fluid. If intending to use the secondary infusion facility, the primary infusion should be a maintenance fluid only and is not indicated for drug therapy.

• The application of secondary infusions for delivery of critical drugs, particularly those with a short half life, is NOT indicated for use. These drugs should be administered through a dedicated pump channel.

• Dependent upon factors such as fluid viscosity, the secondary infusion rate, head height between the secondary and primary fluid containers and the use of clamps, flow may occur from the primary fluid container during a secondary infusion. This could result in drug remaining in the container at the end of the secondary infusion, delaying its delivery for a period of time which is dependent upon the primary infusion rate. For example, a secondary infusion of 250ml at 300ml/h could result in approximately 33ml remaining, requiring up to 25 minutes additional time to complete the delivery, assuming a primary infusion rate of 80ml/h (and the use of a 72213N-0006 secondary infusion set and its supplied extension hook). Therefore it is recommended that flow sensors (if used) are disconnected from the pump during secondary infusions.

• Regular monitoring for unexpected primary flow is recommended. If flow from the primary fluid container is not desired during secondary infusion and/or the patient is sensitive to fluid balance, the clamp on the primary infusion set should be closed. Check that no drops fall in the primary drip chamber.

• On completion of the primary infusion the pump will continue at Keep Vein Open rate (KVO) rate.

1. Ensure Primary infusion has been setup in ml/h (rate > 0ml/h).

2. Press

3. Press

4. Select SECONDARY SETUP, press OK to confirm.

5. Select either ml/h or DRUGS AZ. Press OK to confirm either

6. Enter the secondary RATE using the

7. Press OK to confirm.

8. Set VTBI using the

9. Press OK to confirm.

10. Review PRIMARY/SECONDARY setup summary.

h to put the pump ON HOLD. d to access the OPTIONS screen.

selection.

f keys.

f keys (Refer to 'Setting a VTBI'

section).

Typical Secondary infusions

IV Pole Extension Hook (approx.26cm)

Normally included with the secondary Infusion set. Primary fluid container must hang lower to allow the secondary infusion to run and primary infusion to restart on completion of the secondary infusion.

Primary Fluid Container

Primary Infusion set

e.g. 63420E with an upper Y-Site (SmartSite® Needle-Free Valve).

In-line Clamp Check Valve

Prevents secondary infusions from flowing back up the primary Infusion set instead of to the patient.

11. If correct, press OK to continue, or BACK to adjust VTBI or RATE of the SECONDARY mode.

12. Press

13. Press OK to start infusing at the displayed rate.

b to start the infusion in secondary mode. An

ADVISORY screen will be displayed - ENSURE SECONDARY INFUSION SET OPEN.

Setting up a subsequent secondary infusion:

On completion of the secondary VTBI, the pump will automatically transition to the primary infusion, an audible 'BEEP' will be heard.

1. Press

2. Follow instructions 3 to 13 of 'Setting up a secondary infusion'.

h to place the primary infusion ON HOLD.

Secondary Fluid Container

Usually a smaller container e.g. 50ml, 100ml, 200ml or 250ml.

Secondary Infusion Set

e.g. 72213N-0006. Usually shorter tubing to reach the Y-site on the primary Infusion set.

In-line Clamp e.g. roller clamp.

Upper Y-Site (SmartSite® Needle-Free Valve) on Primary Infusion Set.

Ensure primary set has a backcheck valve upstream from the Y-site.

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The secondary set connects to the upper Y-connection on the primary Infusion set.

Alaris™ GP (Guardrails™) Volumetric Pump

Service Configuration Mode

This section comprises of a list of options which can be configured. Some can be entered via the pump SERVICE menu (available in Technician Mode) and others through the Alaris Editor Software.

Enter the access code on the pump for SERVICE mode, then select CONFIGURATION, see the Technical Service Manual for details.

Use Alaris Editor to configure the pump configuration, drug library and units enabled for each data set.

Access codes should only be entered by qualified technical personnel.

Date & Time

1. Select DATE & TIME from the CONFIGURATION menu using the f keys and press the OK softkey.

2. Press the OK softkey to confirm.

3. Use the

4. When the correct date and time are displayed press the OK softkey to return to the CONFIGURATION menu.

5. Press the QUIT softkey to return to the SERVICE menu and press

Pump Reference

This option is used to add reference text to be shown on the pump start up display.

1. Select PUMP REFERENCE from the CONFIGURATION menu using the

2. Use the

3. When the desired text has been selected press OK softkey to return to the CONFIGURATION menu.

4. Press QUIT to exit back to the main SERVICE menu and press

f keys to adjust the date displayed, pressing the NEXT softkey to access the next field.

ato exit and power down.

f keys and press the OK softkey.

f keys to enter the text and NEXT to move to the next character.

a to exit and power down.

Language

This option is used to set the language of messages shown on the pump display.

1. Select LANGUAGE from the CONFIGURATION menu using the

2. Use the

3. When the desired language has been selected press OK softkey to return to the CONFIGURATION menu.

4. Press QUIT to exit back to the main SERVICE menu and press

f keys to select the language.

f keys and press the OK softkey.

a to exit and power down.

Backlight & Contrast

This option is used to set the backlight and contrast on the pump display.

1. Select BACKLIGHT & CONTRAST from the CONFIGURATION menu using the

2. Use the

3. When the desired value has been reached press the OK softkey, then QUIT to get back to the SERVICE menu and press

f keys to adjust BACKLIGHT, CONTRAST and DIMMING. The contrast of the display will change when scrolling

through the numbers. (Use PARAM to scroll between each option)

and power down.

f keys and press the OK softkey.

a to exit

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Alaris™ GP (Guardrails™) Volumetric Pump

Pump Configuration available via the Alaris Editor Software

The following options are only configurable via the Alaris Editor Software (PC based), see Alaris Editor help files for further details.

Data Set Configuration Settings

PROFILE FILTERING Controls whether the user is able to filter which profiles will be available on the pump.

UNIT DISPLAY The text used to display units.

General Pump Configuration Settings

AC FAIL WARNING Controls whether, when main power has been disconnected, a warning is generated to inform the

user that the pump is operating solely on battery power.

AUDIO VOLUME Controls the audio volume used for alarms and warnings.

AUDIO VOLUME ADJUSTABLE Controls whether the user is able to adjust the audio volume setting.

AUTO NIGHT MODE Controls whether, between defined times, the pump makes changes consistent with usage at

night (e.g. dimmed backlight).

AUTO SAVE Controls whether, when the pump is powered down, the active infusion settings are preserved for

restoration at the next power-up.

BATTERY ICON Controls whether or not the battery icon (which indicates state of charge) is displayed.

CALLBACK TIME The time that is allowed to elapse between the user’s last recorded interaction with the pump and

generation of a callback alarm.

DRUG OVERRIDE MODE Always  Any changes made to the dose rate that are outside of the Guardrails Soft Alerts will

require confirmation before starting infusion. Smart – Confirmation of setting will be required on first dose rate set outside of the Guardrails Soft Alert. Any subsequent changes will not require confirmation until after the dose rate has been confirmed inside the Guardrails Soft Alert limits.

EVENT LOG Controls whether or not it is possible for the user to inspect the contents of the event log using

the pump’s display and keypad.

PRESSURE DISPLAY Controls whether or not the bar graph indication of downstream pressure is displayed.

QUIET MODE Controls whether or not the pump operates in a mode whereby generation of sound is minimised.

RATE LOCK Controls whether the Rate Lock feature is available for use.

RATE TITRATION Allows the adjustment of the infusion rate while the pump is infusing, without putting the pump

on hold.

STANDBY MODE Controls whether or not standby mode is available on the pump.

VTBI CLEAR RATE Controls whether or not the pump forces the user to deﬁne a new rate following completion of

delivery of a previous VTBI.

WEIGHT DEFAULT The default patient weight.

WEIGHT SOFT MIN (For Alaris GP Guardrails Volumetric Pump only) The minimum patient weight for weight-based

drug dosing calculations before alerting the user.

WEIGHT SOFT MAX (For Alaris GP Guardrails Volumetric Pump only) The maximum patient weight for weight-based

drug dosing calculations before alerting the user.

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Alaris™ GP (Guardrails™) Volumetric Pump

Pump Configuration available via the Alaris Editor Software

Large Volume Pump Configuration Settings

AIL LIMIT The single bubble Air-in-line alarm setting.

BOLUS MODE Controls whether or not the pump allows bolus delivery method.

BOLUS RATE DEFAULT The default value for bolus rates.

BOLUS RATE MAX The maximum permissible bolus rate.

BOLUS VOLUME MAX The maximum permissible bolus volume.

OCCLUSION ALARM PRESSURE The default occlusion limit.

PRESSURE MAX The maximum permitted occlusion limit.

INFUSION RATE MAX The maximum permissible infusion rate.

KVO RATE The maximum infusion rate when performing KVO delivery.

NEAR END OF INFUSION POINT The point defined in terms of remaining time at which the infusion is deemed to be Near end i.e.

nearly complete.

PRIMARY VTBI MAX The maximum VTBI for primary infusions.

PRIME RATE The rate at which priming is performed.

PRIME VOLUME MAX Determines the maximum volume that can be purged as part of a given prime operation.

SECONDARY INFUSION Allows the use of a secondary infusion (Piggyback) in the same channel.

SEC. INFUSION RATE MAX The maximum permissible infusion rate for secondary infusions.

SEC. VTBI MAX The maximum permissible setting for the Volume To Be Infused for secondary infusions.

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Alaris™ GP (Guardrails™) Volumetric Pump

Drug Library available via the Alaris Editor Software

The following drug parameters are only configurable via the Alaris Editor Software (PC based), see Alaris Editor help files for further details.

Concentration Settings

CONCENTRATION UNITS The unit for concentration parameters.

CONCENTRATION MIN The weakest permissible concentration for this drug.

CONCENTRATION MAX The strongest permissible concentration for this drug.

Dose Rate Settings

DOSE RATE UNITS The unit for dose rate parameters.

WEIGHT BASED UNITS Controls whether weight based units are enabled or disabled for use.

DOSE RATE DEFAULT The default dose rate for infusing this drug.

DOSE RATE SOFT MIN (For Alaris GP Guardrails Volumetric Pump only) The minimum permissible dose rate which does

not generate an alert on the pump.

DOSE RATE SOFT MAX (For Alaris GP Guardrails Volumetric Pump only) The maximum permissible dose rate which does

not generate an alert on the pump.

DOSE RATE HARD MAX The maximum permissible dose rate for infusing this drug.

Bolus Settings

BOLUS MODE Controls bolus delivery method. These settings override the pump configuration settings in the

profile.

BOLUS DOSE UNITS The unit for bolus dose parameters. Applies to Hands-on and Hands-free bolus.

WEIGHT BASED UNITS Controls whether weight based units are enabled or disabled for use.

BOLUS DOSE DEFAULT The default bolus dose for this drug. Applies to Hands-free bolus.

BOLUS DOSE SOFT MIN (For Alaris GP Guardrails Volumetric Pump only) The minimum bolus dose that the pump allows

before the user is required to confirm the selected bolus dose in response to a warning of the possibility of under-infusion. Applies to Hands-free bolus.

BOLUS DOSE SOFT MAX (For Alaris GP Guardrails Volumetric Pump only) The maximum bolus dose that the pump allows

before the user is required to confirm the selected bolus dose in response to a warning of the possibility of over-infusion. Applies to Hands-free bolus.

BOLUS DOSE HARD MAX The maximum permissible bolus dose for this drug. Applies to Hands-on and Hands-free bolus.

BOLUS RATE DEFAULT The default bolus rate for this drug.

Pressure Settings

OCCLUSION ALARM LEVEL The occlusion alarm level can be set from L0-L8.

Display of Units

Units are selected via the Alaris Editor.

Micrograms can be displayed as mcg or µg depending upon the configuration in the Alaris Editor.

Units can be displayed as U or units depending upon the configuration in the Alaris Editor.

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Alaris™ GP (Guardrails™) Volumetric Pump

Alarms

Alarms stop the infusion and are indicated by a combination of an audible sound, flashing red alarm indicator and a message on the display.

1. Check the display for an alarm message and review table below for cause and action. Press

CANCEL to clear the message.

2. When the cause of the alarm has been rectified, press the

BATTERY EMPTY)

b key to resume the infusion. (Exceptions are DO NOT USE and

c to silence the sound for 2 minutes,

Display

Infusion Status

AIR IN LINE Infusion stopped

AIR IN LINE

DOOR OPEN Infusion stopped

Infusion stopped

Cause Action

• Assess the amount of air detected by air in line detector.

• Opening the door may cause an air bubble to rise in the set. Check set for

Single air bubble exceeds alarm limit. Set not fitted correctly into air in line detector.

Accumulated air bubbles exceeds alarm limit. (Multiple bubbles smaller than the single bubble alarm limit, which has been detected over a 15 min. window and >1ml.)

Door was opened during an infusion.

air.

• Remove air according to hospital policy.

• Ensure set is fitted correctly in the air in line detector.

• Check level of fluid in container.

• Check enough fluid left in drip chamber.

• Restart infusion.

• Review infusion set for air bubbles and take appropriate action.

• Check level of fluid in container.

• Check enough fluid left in drip chamber.

• Restart infusion.

• Close door or clamp infusion set using roller clamp.

• Restart infusion.

DOWNSTREAM OCCLUSION Infusion stopped

UPSTREAM OCCLUSION Infusion stopped

NO FLOW Infusion stopped

A blockage has occurred downstream.

A blockage has occurred upstream. Possible container empty.

Flow sensor detects no flow.

• Check fluid path between pump and patient for clamps, connectors, kinks or blockages.

• Examine access site for signs of complications (redness, swelling, pain, heat).

• Check set above the pump.

• Check all clamps above pump.

• Check fluid level in container.

• Ensure drip chamber is half filled.

• Ensure that the bag spike is inserted correctly.

• Ensure air vent on drip chamber is open on all glass and semi rigid containers.

• Check flow sensor.

• Check fluid level in container.

• Ensure all clamps above pump are open.

• Ensure drip chamber is half filled.

• Ensure that the bag spike is inserted correctly.

• Check flow sensor is clean.

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Alaris™ GP (Guardrails™) Volumetric Pump

Alarms

Display

Infusion Status

FLOW ERROR Infusion stopped

FLOW ERROR (In secondary infusion mode only)

FREE FLOW Infusion stopped

BATTERY EMPTY Infusion stopped

SAFETY CLAMP Pump on hold

Infusion stopped

Cause Action

Gross difference between detected drops and expected amount of drops.

Unexpected drops detected.

Uncontrolled flow possible.

The internal battery is exhausted. The pump will automatically switch off in the immediate future.

Safety clamp broken or missing.

• Clamp infusion set using roller clamp.

• Check flow sensor.

• Check fluid level in drip chamber.

• Hang secondary container above primary.

• Check drops are from secondary container when infusing.

• Flow sensor disconnection is recommended.

• Clamp infusion set using roller clamp.

• Remove pump from use.

• Connect to power supply immediately or switch pump off.

• Clamp infusion set using roller clamp.

• Replace infusion set.

• Investigate and correct set loading.

SET MISLOAD Pump on hold Set loaded incorrectly.

FLOW SENSOR DISCONNECT Infusion stopped

WRONG SET Pump on hold

DOOR CLOSE INCOMPLETE Pump on hold

DO NOT USE

LEVER OPEN Infusion stopped Door lever is open

Pump on hold / infusion stopped

Flow sensor unplugged during infusion.

Safety clamp not detected.

Safety clamp in nonoccluded position with door open or obstructed.

Internal error has occurred.

• Clamp infusion set using roller clamp.

• Investigate and correct set loading.

• Check / replace flow sensor or set VTBI.

• Clamp infusion set using roller clamp.

• Check set and close door.

• Replace infusion set (If necessary).

• Clamp infusion set using roller clamp.

• Investigate and correct set loading.

• Close door.

• Remove pump from use.

• Check door lever.

• Check lever hooks.

• Check lever is not obstructed, if so, free obstruction.

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Alaris™ GP (Guardrails™) Volumetric Pump

Warnings

Warnings alert the user but may not stop the infusion and are indicated by an audible sound, a flashing amber warning indicator and a message on the display.

1. Check the display for a warning message. Press

2. Rectify the cause of the warning or proceed with caution.

c to silence the sound for 2 minutes, CANCEL to clear the message.

Display

Cause Action

Status

Infusion

BATTERY LOW Infusion continues

AC POWER FAIL Infusion continues*

VTBI DONE Infusing KVO Intended VTBI completed. • Set new VTBI or clear VTBI.

AIRINLINE Pump on hold

SET CLOCK Pump on hold Date / time not set.

Less than 30 minutes of battery life remaining.

AC power disconnected or failed.

Air detected in infusion set at the start of infusion.

Set not fitted correctly into air in line detector.

• Connect to power supply.

• Check power cable.

• Reconnect to power supply.

• Ensure set is fitted correctly in the air in line detector.

• Assess air in infusion set.

• Check fluid level in drip chamber.

• Check level of fluid in container.

• A qualified service engineer must set date / time.

• Press cancel softkey to continue.

TITRATION Infusion continues Rate titration not confirmed. • Confirm or cancel new rate.

RATE LOCK Infusion continues Rate lock not confirmed. • Select YES or NO as required.

LOG FAILURE Pump on hold Unable to update event log.

SET SERIAL NUMBER Pump on hold Serial number not set.

Less than XX (Configurable)

NEAR END OF INFUSION Infusion continues

* If pump was on hold the alarm will still be activated but this message will not be displayed.

minutes of infusion remaining.

• A qualified service engineer may need to service the pump.

• Contact a qualified service engineer to set the serial number.

• Set new VTBI.

• Prepare new fluid container (Refer to 'Changing the Fluid Container' section)

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Alaris™ GP (Guardrails™) Volumetric Pump

Prompts

Prompts alert the user but may not stop the infusion and are indicated by an audible sound, a flashing amber warning indicator and a message on the display.

1. Check the display for a prompt message. Press

2. Rectify the cause of the prompt or proceed with caution.

c to silence the sound for 2 minutes, CANCEL to clear the message.

Display

Cause Action

Status

Infusion

Pump left on hold for 2

ATTENTION Pump on hold

SET VTBI Pump on hold No VTBI / flow sensor. • Set VTBI or fit flow sensor.

SET NOT FITTED Pump on hold No infusion set fitted. • Fit infusion set.

LOCKED Infusion continues

ADD DRUG Infusion continues Drug selection required.

minutes without starting the infusion.

Rate change attempted whilst locked.

• Review pump setup.

• Start infusion or turn off pump.

• Unlock rate to adjust infusion settings.

dto access options menu.

• Press

• Select DRUGS AZ using the

fkeys.

• Press OK to confirm.

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Advisories

Alaris™ GP (Guardrails™) Volumetric Pump

Advisories

Display

Infusion Status

Pump on hold (If

DOSE WOULD EXCEED

DOSE UNDER

DOSE NOT PERMITTED

RATE NOT PERMITTED

CONCENTRATION NOT

PERMITTED

WEIGHT ABOVE LIMIT Pump on hold

WEIGHT BELOW LIMIT Pump on hold

BOLUS DOSE NOT PERMITTED Infusion continues

titration is disabled)

Infusion continues (If titrating)

Pump on hold (If titration is disabled)

Infusion continues (If titrating)

Pump on hold (If titration is disabled)

Infusion continues (If titrating)

Pump on hold (If titration is disabled)

Infusion continues (If titrating)

Pump on hold

Cause Action

• Check infusion setting.

Infusion rate set exceeds a Guardrails soft limit.

Infusion rate/dose rate set is under a Guardrails soft limit.

Dose rate entered is greater than the dose rate hard maximum set.

Infusion rate set exceeds a hard limit.

Concentration set exceeds hard max limit, or is under hard minimum limit.

Patient weight set exceeds a Guardrails soft limit.

Patient weight set is under a Guardrails soft limit.

Bolus dose rate entered is greater than the bolus dose rate hard maximum limit.

• To confirm CONFIRM DRUG? press YES.

• To deny CONFIRM DRUG? press NO.

• Check infusion setting.

• To confirm CONFIRM DRUG? press YES.

• To deny CONFIRM DRUG? press NO.

• Check infusion setting and adjust to appropriate required rate.

• Check concentration and adjust to a more appropriate amount.

• Check weight setting.

• To confirm CONFIRM? press YES.

• To deny CONFIRM? press NO.

• Check weight setting.

• To confirm CONFIRM? press YES.

• To deny CONFIRM? press NO.

• Check the bolus setting and adjust to a more appropriate dose.

BOLUS DOSE WOULD EXCEED Infusion continues

BOLUS DOSE UNDER Infusion continues

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Bolus dose rate set exceeds a Guardrails soft limit.

Bolus dose rate set is under a Guardrails soft limit.

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• Check the bolus setting.

• To confirm OVERRIDE LIMIT? press YES.

• To deny OVERRIDE LIMIT? press NO.

• Check the bolus setting.

• To confirm OVERRIDE LIMIT? press YES.

• To deny OVERRIDE LIMIT? press NO.

Alaris™ GP (Guardrails™) Volumetric Pump

Restarting an Infusion following an Air-in-Line Alarm

The pump may be restarted by opening the door, assessing and removing any air from the tubing guide area and in

Air ingress and bubble formation within the administration set is a known risk of infusion therapy.

This risk is multiplied when (a) multiple infusions are being administered simultaneously, and (b) where drugs or fluids which are known to have a tendency to degas, are being infused, with a potential consequence of an increase of air accumulation within a patient’s circulation.

At an elevated risk of suffering potential consequences of air ingress are patient groups with Atrial Septal Defects. It is therefore recommended for this group that in addition to the existing air in line detection mechanism of the pump, an air venting filter is used on the infusion set.

We advise you to also consider using an air venting filter:

Where air venting filters cannot be used consider using anti siphon valves.

the infusion set on the patient side of the pump (if required) according to hospital policy. Close the door and cancel the air-in-line alarm. Restarting the infusion will reactivate the air-in-line system and will alarm if the preset air-inline limit is exceeded.

a) for other patient groups known to be at an elevated risk of suffering potential consequences of air ingress, such as neonates and b) for situations presenting a multiplied risk of air ingress, such as can be found in critical care areas (multiple parallel infusions) or

where drugs or fluids which are known to have a tendency to de-gas are being infused.

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Flow Sensor Operation (Optional)

Alaris®

Guardrails

The flow sensor automatically monitors the infusion flow rate through the drip chamber. The flow sensor will

IVAC® Model 180 Flow Sensor

cause the pump to alarm if a significant deviation from the infusion rate occurs. The flow sensor will also be able to detect empty containers. For this reason we recommend use of a flow sensor wherever possible excluding secondary infusions.

Pull back handles

Flow sensor interface

Handles

Alaris™ GP (Guardrails™) Volumetric Pump

Flow Sensor Operation (Optional)

Flanges

Drip chamber

1. Plug the flow sensor into the flow sensor interface located on the top rear part of the pump.

2. Attach the IVAC® Model 180 Flow Sensor to the drip chamber of the infusion set, by pulling back the handles. Refer to the illustration above.

3. Proceed with load, priming, and set-up instructions as described in section 'Getting Started'.

NOTE: Ensure drip chamber is half full and upright.

Always attach the flow sensor before you start an infusion .

Avoid using the flow sensor in direct sunlight. Always ensure lens is clean.

Flow Sensor Interface Cover

Always replace the flow sensor interface cover when the flow sensor is disconnected.

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Alaris™ GP (Guardrails™) Volumetric Pump

Infusion Sets

The pump uses standard, single-use, disposable infusion sets. The user is responsible for verifying the suitability of a product used, if it is not recommended by CareFusion.

• New sets are continuously being developed for our customers. Please contact your local CareFusion representative

for availability.

• Check infusion set materials and drug compatibility before selecting an infusion set.

Alaris GP standard infusion sets

60093E • 2 SmartSite

• 15 Micron Filter

• 1 Backcheck Valve

• Length: 270cm

60123E • 2 SmartSite® Needle-Free Valve Ports

• 1.2 & 15 Micron Filter

• Length: 275cm

60293E • 2 SmartSite® Needle-Free Valve Ports

• 1 Backcheck Valve

• No Filter

• Length: 270cm

Needle-Free Valve Ports

60693 • 1 Injection Port

• 15 Micron Filter

• Length: 255cm

60693E • 1 SmartSite® Needle-Free Valve Port

• 15 Micron Filter

• Length: 255cm

60793 • 2 Injection Ports

• 15 Micron Filter

• Length: 255cm

60793E • 2 SmartSite® Needle-Free Valve Ports

• 15 Micron Filter

• Length: 255cm

60903 • 15 Micron Filter

• Length: 265cm

60593 • 15 Micron Filter

• Length: 265cm

60173E • 1 SmartSite® Needle-Free Valve Port

• No Filter

• Length: 265cm

63120V • 2 Split Septum Injection Ports

• 1 Backcheck Valve

• No Filter

• Length: 305cm

Please note these drawings are not to scale

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63200NY • No Filter

• Length: 260cm

Alaris™ GP (Guardrails™) Volumetric Pump

Infusion Sets

Alaris GP standard infusion sets

63110V

63401E

63402BE

63420E

63423BE

60393E

• 2 Split Septum Injection Ports

• No Filter

• Length: 290cm

• 1 SmartSite® Needle-Free Valve Port

• No Filter

• Length: 275cm

• 1 SmartSite® Needle-Free Valve Port

• 1 Backcheck Valve

• No Filter

• Length: 265cm

• 2 SmartSite® Needle-Free Valve Ports

• 1 Backcheck Valve

• No Filter

• Length: 295cm

• 3 SmartSite® Needle-Free Valve Ports

• 1 Backcheck Valve

• No Filter

• Length: 285cm

Alaris GP blood infusion sets

• 2 SmartSite

• 200 Micron Filter

• Length: 275cm

Needle-Free Valve Ports

60895 • 200 Micron Filter

• Length: 270cm

60894

60980

63477E

60643 • 15 Micron Filter

• 1 Injection Port

• 200 Micron Filter

• Length: 295cm

• Twin Spike

• 1 Injection Port

• 200 Micron Filter

• Length: 295cm

• 2 Non- Vented Spikes

• 180 Micron Filter

• Length: 305cm

• 1 SmartSite® Needle-Free Valve Port

Alaris GP light resistant infusion sets

• Length: 250cm

Please note these drawings are not to scale

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Alaris GP burette infusion sets

Alaris™ GP (Guardrails™) Volumetric Pump

Infusion Sets

60103E

63441E

60953

63260NY

60033E

• 2 SmartSite

• 1 Burette (150ml)

• Length: 275cm

• 4 SmartSite® Needle-Free Valve Port

• 1 Burette (150ml)

• Length: 330cm

• 15 Micron Filter

• Polyethylene lined PVC tubing

• Length: 270cm

• Polyethylene lined PVC tubing

• No Filter

• Length: 295cm

• 2 SmartSite® Needle-Free Valve Ports

• 0.2 Micron Filter

• Length: 265cm

Needle-Free Valve Port

Alaris GP low sorbing infusion sets

100

Alaris GP syringe adapter infusion sets

63280NY

• Length: 270cm

Restricted to maximum infusion rate of 150ml/h

Alaris GP oncology infusion sets

60950E

60951E

60952E

72213N-0006 • Male luer and hanger

• 5 SmartSite

• 15 Micron Filter

• Length: 260cm

• 3 SmartSite® Needle-Free Valve Ports

• 15 Micron Filter

• Length: 260cm

• 5 SmartSite

• 15 Micron Filter

• Light Resistant

• Length: 260cm

• Length: 76cm

Needle-Free Valve Ports

Alaris GP secondary infusion set

• 1 SmartSite

72951NE (For use with 60950E)

• Male luer with Backcheck Valve

• Length: 35cm

Please note these drawings are not to scale

1000DF00546 Issue 5

Needle-Free Valve Port

Do not use with pump in secondary infusion mode when infusing critical drugs.

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Associated Products

• The Alaris DS Docking Station

• The Alaris Gateway Workstation

Alaris™ GP (Guardrails™) Volumetric Pump

Associated Products

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Alaris™ GP (Guardrails™) Volumetric Pump

Maintenance

Routine Maintenance Procedures

To ensure that this pump remains in good operating condition, it is important to keep it clean and carry out the routine maintenance procedures described below.

Interval Routine Maintenance Procedure

As per Hospital Policy Thoroughly clean external surfaces of the pump before and after prolonged period of

storage.

Each usage 1. Inspect AC power supply plug and cable for damage.

2. Inspect case, keypad and mechanism for damage.

3. Check Start up self test operation is correct.

Before the transfer of the pump to a new patient and as required

If the pump is dropped, damaged, subjected to excessive moisture or high temperature, immediately take it out of

service for examination by a qualified service engineer. All preventative and corrective maintenance and all such activities shall be performed at a compliant work place in accordance with the information supplied. CareFusion will not be responsible should any of these actions be performed outside the instructions or information supplied by CareFusion. For Preventative and Corrective Maintenance instructions please refer to the Technical Service Manual (TSM). All servicing should only be performed by a qualified service engineer with reference to the TSM.

Clean the pump by wiping over with a lint-free cloth lightly dampened with warm water and a standard disinfectant / detergent solution.

It is important to ensure that you only refer to the most recent version of the Directions for Use and Technical Service

Manual for your CareFusion products. These documents are referenced on www.carefusion.com. Copies can be obtained by contacting your local CareFusion representative.

Please refer to Technical Service Manual for calibration procedures. The units of measurement used in the calibration procedure are standard SI (The International System of Units) units.

Battery Operation

The internal rechargeable battery allows continued operation when the AC power is unavailable, for example during patient transfer or AC power failure. Mean Time To Battery Empty from fully charged is a minimum of 6 hours. When connected to the AC power supply for 4 hours, (whether the pump is in use or not) a new battery pack will be fully charged.

The battery is maintenance free, sealed Nickel Metal Hydride and requires no routine servicing. However, to achieve optimum operation, ensure that the battery is fully recharged after full discharge, before storage, and at regular 3 month intervals during storage.

Charge retention will eventually degrade. Where retention is critical the internal battery should be replaced every 3 years.

It is recommended that only a qualified service engineer replaces the battery. For further information regarding the replacement of batteries refer to the Technical Service Manual.

The battery pack used in this Alaris Volumetric Pump is manufactured by CareFusion and includes a proprietary PCB (printed circuit board) designed specifically for the Alaris Volumetric Pump, and in conjunction with Alaris Volumetric Pump software, controls battery use, charge and temperature. Any use of battery packs that are not manufactured by CareFusion in the Alaris Volumetric Pump is at your sole risk, and CareFusion does not provide any warranty for or endorsement on any battery packs that are not manufactured by CareFusion. CareFusion’s product warranty shall not apply in the event the Alaris Volumetric Pump has suffered damage or premature wear, or malfunctions or otherwise operates incorrectly, as a result of use with a battery pack that is not manufactured by CareFusion.

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Alaris™ GP (Guardrails™) Volumetric Pump

Cleaning and Storage

Cleaning the pump

Before the transfer of the pump to a new patient and periodically during the use, clean the pump by wiping over with a lint-free cloth lightly dampened with warm water and a standard disinfectant / detergent solution.

Recommended cleaners are:

Brand Concentration

Hibiscrub 20% (v/v)

Virkon 1% (w/v)

Do not use the following disinfectant types:

• Disinfectants which are known to be corrosive to metals must not be used, which include:

• NaDcc (such as Presept),

• Hypochlorites (such as Chlorasol),

• Aldehydes (such as Cidex),

• Cationic Surfactants (such as Benzalkonium Chloride).

• Use of Iodine (such as Betadine) will cause surface discoloration.

• Concentrated Isopropyl alcohol based cleaners will degrade plastic parts.

Cleaning the door

Refer to the Technical Service Manual for information for removing the door to facilitate cleaning of the fluid path, the use of a screwdriver (torx) is required and should only be carried out by a qualified service engineer.

Cleaning and storing the infusion set

The infusion set is a disposable single use item and should be discarded after use according to hospital protocol.

Cleaning the Flow Sensor

Before the transfer of the flow sensor to a new infusion set and periodically during use, clean the flow sensor by wiping over with a lint-free cloth lightly dampened with warm water and a standard disinfectant / detergent solution. Ensure the connector does not get wet. Dry flow sensor before use.

To aid cleaning of flow sensors which have been heavily soiled, contaminated or if the handle operation is not free moving, then the flow sensor may be immersed and soaked in clean soapy water. The inside of the spring mechanism can be cleaned by activating it whilst submerged in the water.

After cleaning, the sensor should be allowed to dry fully prior to use.

Before cleaning always switch off and disconnect from the AC power supply. Never allow liquid to enter the casing

and avoid excess fluid build up on the pump. Do not use aggressive cleaning agents as these may damage the exterior surface of the pump. Do not steam autoclave, ethylene oxide sterilise or immerse this pump in any fluid. Please ensure the membrane covering the pumping mechanism is intact prior to cleaning. If faulty, remove from use and contact a qualified service engineer. The plug of the flow sensor must not be immersed in water as damage will occur.

Storing the pump

If the pump is to be stored for an extended period it should be first cleaned and the internal battery fully charged. Store in a clean, dry atmosphere at room temperature and, if available, employ the original packaging for protection.

Once every 3 months during storage, carry out functional tests as described in the Technical Service Manual and ensure that the internal battery is fully charged.

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Alaris™ GP (Guardrails™) Volumetric Pump

Specifications

Disposal

Information on Disposal for Users of Waste Electrical & Electronic Equipment

U symbol on the product and/or accompanying documents means that used electrical and electronic products should not be

This mixed with household waste.

If you wish to discard electrical and electronic equipment, please contact your CareFusion affiliate office or distributor for further information.

Disposing of this product correctly will help to save valuable resources and prevent any potential negative effects on human health and the environment which could otherwise arise from inappropriate waste handling.

Information on Disposal in Countries outside the European Union

This symbol is only valid in the European Union. The product should be disposed of taking environmental factors into consideration. To ensure no risk or hazard, remove the internal rechargeable battery and the Nickel Metal Hydride battery from the control board and dispose of as outlined by the local country regulations. All other components can be safely disposed of as per local regulations.

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Alaris™ GP (Guardrails™) Volumetric Pump

Specifications

Electrical Protection

Class I, Type CF (Defibrillation-proof)

Electrical/Mechanical Safety

Complies with IEC/EN60601-1 and IEC/EN60601-2-24.

Electro Magnetic Compatibility (EMC)

Complies with IEC/EN60601-1-2 and IEC/EN60601-2-24.

Electrical Safety

Typical earth leakage current 78µA.

Typical Enclosure Leakage Current (Normal Condition) = 0µA

Typical Protective Earth Resistance = 32mOhms

The above measurements are for guidance only, IEC/EN60601-1 limits are defined below:

Earth Leakage Current (Normal Condition) <= 500µA

Enclosure Leakage Current (Normal Condition) <= 100µA

Protective Earth Resistance <= 200mOhms

Specifications

Classification

Continuous mode of operation, Portable Equipment

AC Power Supply

100 - 230 VAC, 50 - 60Hz, 60VA (Maximum).

Fuse Type

2 X T 1.25 A, slow blowing.

Dimensions

148mm (w) x 225mm (h) x 148mm (d). Weight: approx. 2.5kg (excluding power cable).

Protection against fluid ingress

IPX3 - Protected against direct sprays up to 60° from the vertical.

Environmental Specifications

Condition Operating Transport & Storage

Temperature +5°C - +40°C -20°C - +50°C

Humidity 20% - 90%* 15% - 95%*

Atmospheric Pressure 700hPa - 1060 hPa 500hPa - 1060hPa

*Non condensing.

Battery Specifications

Rechargeable NiMH (Nickel Metal Hydride). Automatically charges when the pump is connected to AC power.

• Battery Life - For a 24 hour battery charge time, the pump at 25ml/h will have a Mean Time To Battery Empty of 6 hours.

• Battery Charging - 2.5 hours to 95%.

Memory Retention

The electronic memory of the pump will be retained for more than 2 years with normal use.

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Alaris™ GP (Guardrails™) Volumetric Pump

Specifications

Alarm Conditions

Alarms Warnings Prompts Advisories

AIR IN LINE (SINGLE BUBBLE) AC POWER FAIL ATTENTION DOSE WOULD EXCEED

AIR IN LINE (ACCUMULATED) VTBI DONE SET VTBI DOSE UNDER

DOOR OPEN BATTERY LOW SET NOT FITTED DOSE NOT PERMITTED

DOWNSTREAM OCCLUSION AIR-IN-LINE LOCKED RATE NOT PERMITTED

UPSTREAM OCCLUSION TITRATION

NO FLOW SET CLOCK WEIGHT BELOW LIMIT

FLOW ERROR RATE LOCK

FREE FLOW LOG FAILURE BOLUS DOSE NOT PERMITTED

BATTERY EMPTY SET SERIAL NUMBER BOLUS DOSE WOULD EXCEED

SAFETY CLAMP

SET MISLOAD

FLOW SENSOR DISCONNECTED

WRONG SET

DOOR CLOSE INCOMPLETE

DO NOT USE

LEVER OPEN

NEAR END OF INFUSION BOLUS DOSE UNDER

ADD DRUG

WEIGHT ABOVE LIMIT

CONCENTRATION NOT PERMITTED

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Alaris™ GP (Guardrails™) Volumetric Pump

IrDA, RS232 and Nursecall Specification

IrDA / RS232 / Nursecall Feature

The IrDA (or RS232 / Nursecall optional feature) is a feature that allows the pump to be connected to an external device for the purpose of data communication.

The nursecall interface provides a remote backup to the internal audible alarm. It should not be relied upon to

RS232 / Nursecall Connection Data

Nursecall Specification:

Connector D Type - 9 Pin

TXD/RXD EIA RS232-C Standard

Baud Rate 115k Baud

Start Bits 1 Start Bit

Data Bits 8 Data Bits

Parity No Parity

Stop Bits 1 Stop Bit

Nurse Call Relay Contacts

replace monitoring of the internal alarm. Refer to the Technical Service Manual for further information regarding the RS232 interface. The assessment for the suitability of any software used in the clinical environment to control receive data from the pump lies with the user of the equipment. This software should include detection of the disconnection or other failure of the RS232 cable. Any connected analogue and digital components are required to meet IEC/EN60950 for data processing and IEC/ EN60601 for medical devices. Anyone connecting additional devices to the signal input or output is a system configurator and responsible for meeting the requirements of the system standard IEC/EN60601-1-1. To connect to the RS232 port use spare part 1000SP01183 - RS232 cable.

Pins 1, 8 + 9, 30V dc, 1A rating

Typical Connection Data:

1. Nursecall (Relay) Normally Closed

2. Transmit Data (TXD) Output

3. Received Data (RXD) Input

4. DTR ª DSR (6)

5. Ground (GND)

6. DSR ª DTR (4)

7. Not used

8. Nursecall (Relay) Normally Open

9. Nursecall (Relay) Common

IrDA

Baud Rate 115k Baud

Start Bits 1 Start Bit

Data Bits 8 Data Bits

Parity No Parity

Stop Bits 1 Stop Bit

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Infusion Specifications

System Accuracy:

Rate Accuracy is ±5%, achieved under nominal conditions

Rate Accuracy is ±10%, achieved under low flow conditions

Occlusion Alarm Limits

Achieved under nominal conditions

Level L2 L5 L8

Pressure (mmHg)

approx.

250 519 811

Maximum Occlusion Alarm Pressure:

1038 mmHg

1a,4

Alaris™ GP (Guardrails™) Volumetric Pump

Infusion Specifications

1a,2

1b,2

Post Occlusion Bolus:

Bolus volume generated at 25 ml/h when the minimum occlusion alarm threshold is reached <0.16 ml

Bolus volume generated at 25 ml/h when the maximum occlusion alarm threshold is reached <0.95 ml

Bolus Volume Accuracy:

Typical: -4.1%, Max: -3.2%, Min: -5.5% 1ml @ 10ml/h

Typical: -1.3%, Max: -0.9%, Min: -1.6% 100ml @ 1200ml/h

Maximum time for activation of occlusion alarm:

At Maximum Pressure, time to alarm at 0.1ml/h is nominally 735 [±50] minutes (Maximum <883 min)

At Minimum Pressure, time to alarm at 0.1ml/h is nominally 82 [±35] minutes (Maximum <112 min)

At Maximum Pressure, time to alarm at 1.0ml/h is nominally 65 [±4] minutes (Maximum <95 min)

At Minimum Pressure, time to alarm at 1.0ml/h is nominally 5 [+6-2] minutes (Maximum <10 min)

At Maximum Pressure, time to alarm at 25ml/h is nominally 119 [±7] seconds (Maximum <3 min)

At Minimum Pressure, time to alarm at 25ml/h is nominally 10 [+8.5-6.5] seconds (Maximum <18.5 sec)

Administering a Bolus

Parameter Range

Bolus Rate 10 - 1200ml/h in steps of 10ml/h

Bolus Volume Displayed

0.0ml - 100.0ml in steps of 0.1ml

Starting the Infusion / Set-up

Infusion Parameter Range

0.1 - 99.9ml/h in steps of 0.1ml/h &

Infusion Rate

VTBI Primary (0 - OFF), 1 - 9999ml

VI (Total) 0.1 - 9999ml

100 - 999ml/h in steps of 1ml/h

1000 - 1200ml/h in steps of 10ml/h

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Alaris™ GP (Guardrails™) Volumetric Pump

Infusion Specifications

Air Sensor:

Integral Ultrasonic Sensor.

Air in line detection:

Single Bubble (configurable): 50µl, 100µl, 250µl & 500µl.

Bubble accumulation: 1ml over a 15 minute window.

Critical Volume

The maximum volume infused following a single fault condition is for rates < 10ml/h: +/- 0.25 ml, rates < 100ml/h: +/- 0.5ml, rates ≥100ml/h: +/- 2 ml

The Alaris Safety Clamp

Set based, pump activated Safety Clamp Device to prevent free flow

Notes

1a. Nominal conditions are defined as:

Set Rate: 1 to 1200 ml/h;

Recommended disposable: 60593;

Needle: 18 gauge x 40 mm;

Solution Type: De-ionized & Degassed Water;

Temperature: 23°C ± 2°C

Fluid Head Height: +300 ± 30 mm;

Back Pressure: 0 ± 10 mmHg.

1b. Low flow conditions are defined as:

Set Rate: less than 1.0ml/h

Recommended disposable: 60593;

Needle: 18 gauge x 40 mm;

Solution Type: De-ionized & Degassed Water;

Temperature: 23°C ± 2°C

Fluid Head Height: +300 ± 30 mm;

Back Pressure: 0 ± 10 mmHg.

2. The system accuracy will change by the following percentages:

Temperature: nominally -5.7 (±1.5)% at 5 °C and nominally +0.3 (±1.7)% at 40 °C

Fluid Head Height: nominally -3.4 (±1.3)% at -0.5 m and 0.0 (±1.1)% at +0.5 m

Duration: nominally -1.1 [±0.2] % over 24 hours of continuous use

Back Pressure: nominally +2.0 (±1.3)% at -100 mmHg, -13.4 (±1.8)% at +800 mmHg respectively

Atmospheric pressure: ± 5% at 25ml/h at 700hPa

3. Tested using Distilled water, 20% lipid, 50% glucose, 0.9% Normal Saline and 5% Alcohol solutions.

4. The occlusion pressure accuracy will change by the following:

Temperature: Low setting nominally 7 (±12) mmHg at 5 °C and

-24 (±17) mmHg at 40 °C respectively

Normal setting nominally 4 (±16) mmHg at 5 °C and -41 (±18) mmHg at 40 °C respectively

High Pressure nominally 4 (±14) mmHg at 5 °C and -38 (±21)

mmHg at 40 °C respectively

The specified accuracy may not be maintained if the above conditions are not met, see notes 1 to 4.

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Alaris™ GP (Guardrails™) Volumetric Pump

-0.1

-0.0

0102030405060708090100 110120

-150.0

-150

-100

150

0510 15 20 25 30 35

150.0

-0

Trumpet and Flow Rate Curves

In this pump, as with all infusion systems, the action of the pumping mechanism and variations cause short-term fluctuations in rate accuracy.

The following curves show typical performance of the system in two ways: 1) the accuracy of fluid delivery over various time periods is measured (trumpet curves), and 2) the delay in onset of fluid flow when infusion commences (start-up curves).

Trumpet curves are named for their characteristic shape. They display discrete data averaged over particular time periods or 'observation windows', not continuous data versus operating time. Over long observation windows, short term fluctuations have little effect on accuracy as represented by the flat part of the curve. As the observation window is reduced, short term fluctuations have greater effects as represented by the "mouth" of the trumpet.

Knowledge of system accuracy over various observation windows may be of interest when certain drugs are being administered. Short term fluctuations in rate accuracy may have clinical impact depending on the half-life of the drug being infused and the degree of inter vascular integration, the clinical effect cannot be determined from the trumpet curves alone.

The start-up curves represent continuous flow versus operating time for two hours from the start of the infusion. They exhibit the delay in onset of delivery due to mechanical compliance and provide a visual representation of uniformity. Trumpet curves are derived from the second hour of this data. Tests performed per IEC/EN60601-2-24 standard.

Start-up Graph at 0.1ml/h (Initial Period) Trumpet Graph at 0.1ml/h (After 24 Hours)

150.00

0.40

0.35

0.30

0.25

0.20

0.15

0.10

0.05

0.00

Flow Rate (ml/h)

0.00

Error (%)

0510 15 20 25 30 35

Time (minutes) Observation Window (minutes)

Maximum Error Minimum Error Overall Mean = -5.0%

Trumpet Graph at 0.1ml/h (Initial Period) Trumpet Graph at 0.1ml/h (After 72 Hours)

100

-50

Error (%)

0.0

Error (%)

-150.0

0 5 10 15 20 25 30 35

Observation Window (minutes) Observation Window (minutes)

Maximum Error Minimum Error Overall Mean = -6.0% Maximum Error Minimum Error Overall Mean = 4.0%

Start-up Graph at 1.0ml/h (Initial Period) Trumpet Graph at 1.0ml/h (After 24 Hours)

2.0

1.8

1.6

1.4

1.2

1.0

0.8

0.6

0.4

0.2

Flow Rate (ml/h)

0.0

0102030405060708090 100 110 120

-10

Error (%)

-20

-30

0510 15 20 25 30 35

Time (minutes) Observation Window (minutes)

Note: The typical flow rate and trumpet curves are achieved using a recommended infusion set.

The plot range has been increased to ± 150%, to allow visualization of the graph.

1000DF00546 Issue 5

Maximum Error Minimum Error Overall Mean = 0.7%

47/50

Alaris™ GP (Guardrails™) Volumetric Pump

-3

-2

-1

0510 15 20 25 30 35

30.0

0510 15 20 25 30 35

15.0

Trumpet and Flow Rate Curves

Trumpet Graph at 1.0ml/h (Initial Period) Trumpet Graph at 1.0ml/h (After 72 Hours)

Error (%)

20.0

10.0

0.0

-10.0

Error (%)

-20.0

-30.0

0 5 10 15 20 25 30 35

Observation Window (minutes) Observation Window (minutes)

Maximum Error Minimum Error Overall Mean = 0.7% Maximum Error Minimum Error Overall Mean = 1.0%

Start-up Graph at 25.0ml/h (Initial Period) Trumpet Graph at 25.0ml/h (After 24 Hours)

Flow Rate (ml/h)

-5

0102030405060708090 100 110 120

-5

Error (%)

-10

-15

0510 15 20 25 30 35

Time (minutes) Observation Window (minutes)

Maximum Error Minimum Error Overall Mean = -0.4%

Trumpet Graph at 25.0ml/h (Initial Period) Trumpet Graph at 25.0ml/h (After 72 Hours)

Error (%)

-5

-10

-15

10.0

5.0

0.0

-5.0

Error (%)

-10.0

-15.0

0 5 10 15 20 25 30 35

Observation Window (minutes) Observation Window (minutes)

Maximum Error Minimum Error Overall Mean = 0.6% Maximum Error Minimum Error Overall Mean = -0.7%

Note: The typical flow rate and trumpet curves are achieved using a recommended infusion set.

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Alaris™ GP (Guardrails™) Volumetric Pump

Products and Spare Parts

Spare Parts

A comprehensive list of spare parts for this pump is included within the Technical Service Manual.

The Technical Service Manual (1000SM00013) is now available in electronic format on the World Wide Web at :-

www.carefusion.co.uk/alaris-technical/

A username and password are required to access our manuals. Please contact a local customer services representative to obtain login details.

Part Number Description

1000SP00487 Internal Battery Pack

1000SP01183 RS232 Cable

1001FAOPT91 AC Power Lead - UK

1001FAOPT92 AC Power Lead - European

Alaris Editor Software

Part Number Description

1000SP01462 Alaris Editor and Alaris Transfer Tool Software Kit

1000SP01463 Alaris Transfer Tool Software Kit

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Alaris™ GP (Guardrails™) Volumetric Pump

Service Contacts

For service contact your local Affiliate Office or Distributor:

AE DE HU PT

CareFusion, PO Box 5527, Dubai, United Arab Emirates.

Tel: (971) 4 28 22 842 Tel: (49) 6221 305 0 Tel: (36) 1 488 0232

Fax: (971) 4 28 22 914 Fax: (49) 6221 305 216 Fax: (36) 1 201 5987 Fax: +351 219 152 598

AU DK IT SE

CareFusion, 3/167 Prospect Highway, PO Box 355 Seven Hills, NSW 2147, Australia.

Tel: (61) 1800 833 372 Tlf. (45)70 20 30 74 Tél: (39) 055 30 33 93 00 Tel: (46) 8 544 43 200

Fax: (61) 1800 833 518 Fax. (45)70 20 30 98 Fax: (39) 055 34 00 24 Fax: (46) 8 544 43 225

BE ES NL US

CareFusion, Erembodegem-Dorp 86 B-9320 Erembodegem Belgium.

Tel: +32 (0) 2 267 38 99 Tel: (34) 902 555 660 Tel: +31 (0)30 2289 711 Tel: (1) 800 854 7128

Fax: +32 (0) 2 267 99 21 Fax: (34) 902 555 661 Fax: +31 (0)30 2289 713 Fax: (1) 858 458 6179

CA FR NO ZA

CareFusion, 235 Shields Court, Markham, Ontario L3R 8V2, Canada.

Tel: (1) 905-752-3333 Tél: (33) 01 30 02 81 41 Tel: (47) 64 00 99 00 Tel: (27) (0) 860 597 572

Fax: (1) 905-752-3343 Fax: (33) 01 30 02 81 31 Fax: (27) 21 5107567

CH FI NZ

CareFusion, A-One Business Centre Zone d’activitiés Vers-la-Pièce n° 10 1180 Rolle / Switzerland

Ph.: 0848 244 433 Tel: +358 207871 090 Tel: 09 270 2420

Fax: 0848 244 100 Fax: 09 270 6285

CN GB PL

康尔福盛（上海）商贸有限公司地址：上海市浦东新区张杨路 500号24楼E.F.G.H单元

电话： +86-21-60369369  4008788885

传真： +86-21-60369399

CareFusion, Tullastr. 8-12 69126 Heidelberg, Deutschland.

CareFusion, Firskovvej 25 B, 2800 Lyngby, Danmark.

CareFusion, Edificio Veganova, Avenida de La Vega, nº1, Bloque 1 - Planta 1, 28108 Alcobendas, Madrid, España.

CareFusion, Parc d’affaire le Val Saint Quentin 2, rue René Caudron 78960 Voisins le Bretonneux France

CareFusion, Kuortaneenkatu 2, 00510 Helsinki

CareFusion, The Crescent, Jays Close, Basingstoke, Hampshire, RG22 4BS, United Kingdom.

Tel: (44) 0800 917 8776 Tel: (48) 22 377 11 00

Fax: (44) 1256 330860 Fax: (48) 22 377 11 01 Rev. O

CareFusion, Döbrentei tér 1, H-1013 Budapest, Magyarország.

Tel: (36) 1 488 0233

CareFusion, Via Ticino 4, 50019 Sesto Fiorentino, Firenze, Italia.

CareFusion, De Molen 8-10, 3994 DB Houten, Nederland.

CareFusion, Fjordveien 3 1363 HØVIK Norge.

CareFusion, 14B George Bourke Drive, Mt Wellington 1060, PO Box 14-518, Panmure 1741, Auckland, New Zealand

Freephone: 0508 422734

Becton Dickinson Polska Sp. z o.o. ul. Osmańska 14 02-823 Warszawa Polska.

CareFusion, Avda. São Miguel, 296 Atelier 14 2775-751 Carcavelos, Lisboa Portugal

Tel: +351 219 152 593

CareFusion, Hammarbacken 4B, 191 46 Sollentuna, Sverige.

CareFusion, 10020 Pacific Mesa Blvd., San Diego, CA 92121, USA.

CareFusion, Unit 2 Oude Molen Business Park, Oude Molen Road, Ndabeni, Cape Town 7405, South Africa.

Tel: (27) 21 510 7562

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This document contains proprietary information of CareFusion Corporation or one of its aﬃliates, and its receipt or possession does not convey any rights to reproduce its contents, or to manufacture or sell any product described. Reproduction, disclosure, or use other than for the intended purpose without speciﬁc written authorization of CareFusion Corporation or one of its aﬃliates is strictly forbidden.

CareFusion Switzerland 317 Sarl, A-One Business Centre, Z.A Vers –La-

Pièce n° 10, CH-1180, Rolle

CareFusion UK 305 Ltd., The Crescent,

EC REP

Jays Close, Basingstoke, Hampshire, RG22 4BS, UK

1000DF00546 Issue 5

carefusion.com

Alaris 1000DF00546 Alaris GO Guardrails Volumetric Pump (with Plus Software) Directions for Use

Specifications and Main Features

Frequently Asked Questions

User Manual