Alaris neXus_CC-S_DFU_BDDF00412_en LECTURES IN BIOMEDICAL ENGINEERING MEDICAL GASES OXYGEN CONCENTRATORS SUCTION PUMPS VENTILATORS 2020
Page 1
BD Alaris™ neXus CC Syringe Pump
Model: CCneXus1-S
en Directions For Use
Page 2
BD Alaris™ neXus CC Syringe Pumps
Contents
About This Manual ......................................................................5
Conventions Used in this Manual ................................................................... 5
Overview ...............................................................................6
Introduction ....................................................................................... 6
Intended Purpose .............................................................................. 6
Intended Users ................................................................................. 7
Clinical Benefits ................................................................................ 7
Conditions for Use .............................................................................. 7
Indications ..................................................................................... 7
Contraindications .............................................................................. 7
Undesirable Side-Eects ........................................................................7
Compatibility ...................................................................................8
Contents
Features of the Pump .............................................................................. 9
Controls .......................................................................................10
Indicators .....................................................................................10
Main Display Features .........................................................................11
Screen Icons ..................................................................................11
Labelling Symbols .............................................................................12
Getting Started ........................................................................13
Initial Set-up .....................................................................................13
Language Selection ...............................................................................13
Power Input ......................................................................................13
Wi-Fi Configuration ...............................................................................13
Pole Clamp Installation ...........................................................................14
Workstation or Equipment Rail Installation .........................................................15
Securing the Syringe with Optional Lock box ........................................................16
Operating Precautions ............................................................................18
Operation .............................................................................21
Syringe Loading ..................................................................................21
Prepare Syringe and Administration Set .........................................................21
Operating the Pump ..............................................................................24
Advanced Features .....................................................................27
Bolus Infusion ....................................................................................27
Purge ............................................................................................28
Volume to be Infused (VTBI) ......................................................................28
Clear Volume .....................................................................................28
Rate Lock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
BDDF00412 Issue 4 1/70
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BD Alaris™ neXus CC Syringe Pumps
Rate Titration .....................................................................................29
Dosing Summary .................................................................................29
Set VTBI over Time ...............................................................................29
24 Hour Log ......................................................................................30
Event Log ........................................................................................30
Data Set Details ..................................................................................30
Infusion Setup ....................................................................................30
Pump Details .....................................................................................30
Add Drug .........................................................................................31
Adjust Alarm Volume ..............................................................................31
Profile Filter .......................................................................................31
Standby ..........................................................................................31
Date and Time ....................................................................................31
Network Status ...................................................................................32
Contents
Wireless Connection ..............................................................................32
Pressure Monitoring Features ......................................................................33
Auto Set Pressure (If enabled) ..................................................................33
Pressure Level with Pressure Disc fitted ..........................................................33
Pressure Level without Pressure Disc fitted .......................................................33
Alarms and Warnings ...................................................................34
Original Alarms ...................................................................................34
Alarm Priority Level Indicators ..................................................................36
Third Edition Alarms ..............................................................................37
Alarm Priority Level Indicators ..................................................................38
Prompts ..........................................................................................39
Configuration ..........................................................................40
Configured Options ...............................................................................40
Alarm Presets .................................................................................40
Additional Configured Options Available ........................................................40
BD Alaris™ neXus Editor Software Profile Configuration ..............................................41
Dose Rate Units ..................................................................................43
BD Alaris™ neXus Editor Software Profile Drug library ................................................44
Profile Syringe Library .............................................................................45
Associated Products ....................................................................46
Recognised Syringes ..............................................................................46
Alaris™ Gateway Workstation v1.3.x or v1.6.x .......................................................48
BD Alaris™ MRI Capsule v1.3.x .....................................................................48
Compatible Extension Sets ........................................................................49
Standard Sets .................................................................................49
BDDF00412 Issue 4 2/70
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BD Alaris™ neXus CC Syringe Pumps
Blood Sets ....................................................................................49
TPN Sets ......................................................................................50
Light Protected Sets ...........................................................................50
NICU Sets .....................................................................................50
Low Sorbing Sets ..............................................................................51
Maintenance ..........................................................................52
Routine Maintenance Procedures ..................................................................52
Battery Operation ................................................................................52
Cleaning and Storage .............................................................................53
Disposal ..........................................................................................54
Technical Data .........................................................................55
Specifications .....................................................................................55
Infusion Specifications .........................................................................55
Bolus Specifications ............................................................................55
Contents
Bolus Volume Accuracy* ........................................................................56
Critical Volume ................................................................................56
Purge Specifications ...........................................................................56
Keep Vein Open (KVO) Rate ....................................................................56
End Of Syringe Rate ...........................................................................56
Volume To Be Infused (VTBI) ...................................................................56
VTBI Complete Rate ...........................................................................56
Near End Of Infusion Alarm ....................................................................56
End Of Infusion (EOI) Alarm ....................................................................56
Maximum Pumping Pressure Limit ..............................................................56
Occlusion Accuracy ............................................................................57
System Accuracy ..............................................................................57
Data Set Specification .........................................................................57
Electrical Classification .........................................................................57
Battery Specifications ..........................................................................57
Wi-Fi Specifications ............................................................................58
Radio Equipment Directive Declaration of Conformity Statement .................................58
Memory Retention .............................................................................58
Fuse Type .....................................................................................58
AC Power Supply ...............................................................................58
Dimensions ...................................................................................58
Weight ........................................................................................58
Protection against fluid ingress .................................................................58
Alarm Conditions ..............................................................................58
Environmental Specifications ...................................................................59
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BD Alaris™ neXus CC Syringe Pumps
Electrical/Mechanical Safety ...................................................................59
Potential Equalisation Conductor ...............................................................59
EMC ..........................................................................................59
Occlusion Pressure Limits ..........................................................................60
IrDA, RS232 and Nurse call Specification ...........................................................63
Trumpet Curves and Start-up Curves ...............................................................65
Products and Spare Parts ...............................................................68
Spare Parts and Accessories .......................................................................68
Software .........................................................................................68
Contact Us ............................................................................69
Customer Service Information .....................................................................69
Document History ......................................................................70
Contents
BDDF00412 Issue 4 4/70
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BD Alaris™ neXus CC Syringe Pumps
About This Manual
About This Manual
The user must be thoroughly familiar with the BD Alaris™ neXus CC Syringe Pump (hereinafter referred to as Pump)
described in this manual prior to use.
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.
• Keep this manual for future reference during the Pump’s operational life.
• 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 BD products. These documents are referenced on bd.com.
Paper copies of the Directions For Use can be obtained free of charge by contacting your local BD
representative. An estimated delivery time will be provided when the order is placed.
This document contains proprietary information of Becton, Dickinson and Company or one of its aliates, 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 Becton,
Dickinson and Company or one of its aliates is strictly forbidden.
Conventions Used in this Manual
Bold Used for Display names, software commands, controls and indicators referenced in this manual, for
example, Battery Indicator, PURGE, ON/OFF button.
‘Single quotes’ Used to indicate cross-references made to another section of this manual. For example, see
‘Recognised Syringes’ section.
Italics Used to refer to other documents or manuals. For example, Refer to the relevant Directions For Use
(DFU) for further information.
Also used to define custom terminology specific to a manual e.g. The BD Alaris™ neXus CC Syringe
Pump (hereinafter referred to as Pump).
Warning symbol. A warning is a statement that alerts the user to the possibility of injury, death, or
other serious adverse reactions associated with the use or misuse of a Pump.
Caution symbol. A caution is a statement that alerts the user to the possibility of a problem with
a Pump associated with its use or misuse. Such problems may include Pump malfunction, Pump
failure, damage to a Pump or damage to other property. The caution statement includes the
precaution(s) that should be taken to avoid the hazard.
Note: Notes contain supplementary information or emphasize a point or procedure.
BDDF00412 Issue 4 5/70
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BD Alaris™ neXus CC Syringe Pumps
Overview
Overview
Introduction
These Directions For Use can be used with the BD Alaris™ neXus CC Syringe Pump (Model: CCneXus1-S).
The BD Alaris™ neXus CC Syringe Pump is a small lightweight Pump that provides accurate and reliable infusions over a
range of rates.
If the model number is CCneXus1, then refer to the relevant Directions For Use for those Pumps.
Note: Any serious incident that occurs in relation to this Pump should be reported to the manufacturer, and to the
relevant local regulatory authority.
The BD Alaris™ neXus CC Syringe Pump functions with a wide range of standard, single-use, disposable Luer lock syringes
together with extension sets. The Pump accepts syringe sizes from 5ml to 50ml. A full list of recognised syringes can
be found in the ‘Recognised Syringes’ section. A list of recommended extension sets can be found in the ‘Compatible
Extension Sets’ section.
The BD Alaris™ neXus CC Syringe Pump can be programmed to deliver fluids utilising rate, volume over time, dose
rate calculation, and pre-programmed drug dosing protocols containing concentration values, and Guardrails™ dosing
safetylimits.
The BD Alaris™ neXus 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 Guardrails™ Soft and Hard Limits, based on clinical requirements. Soft limits may be overridden
during infusion programming and Hard Limits may not be overridden.
The BD Alaris™ neXus CC Syringe Pump with a data set loaded, provides automatic alerts when a dosing limit, bolus limit,
loading dose limit, age 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 Service Personnel, either manually using BD Alaris™ neXus Transfer Tool or automatically via BD
Alaris™ Communication Engine.
The BD Alaris™ neXus CC Syringe Pump can connect to the BD Alaris™ Communication Engine, if one is deployed at the
medical facility. Then connected, either by docking to a connected Alaris™ Gateway Workstation or via hospital Wi-Fi.
Pumps infusion data, logs and configuration information will be automatically detected.
The BD Alaris™ neXus CC Syringe Pump allows use of both extension sets with pressure disc for more precise pressure
monitoring or standard extension sets for occlusion detection. The BD Alaris™ neXus CC Syringe Pump features an in-line
pressure sensor technology, capable of highly accurate, real time pressure monitoring. This capability requires the use of
an extension set with a pressure disc to improve the early detection of occlusions, by reducing time to alarm, and reducing
the potential risk of post occlusion bolus.
Intended Purpose
The BD Alaris™ neXus CC Syringe Pumps are used within hospitals, healthcare facilities and during medical ambulance
ground transport to deliver either continuous or intermittent therapy through clinically acceptable routes of
administration. The BD Alaris™ neXus CC Syringe Pump is intended to be used for the purpose of controlling rate and
volume. The BD Alaris™ neXus CC Syringe Pump is indicated for use on adults, paediatrics and neonates.
BDDF00412 Issue 4 6/70
Page 8
BD Alaris™ neXus CC Syringe Pumps
Overview
Intended Users
The primary users of the BD Alaris™ neXus CC Syringe Pump are:
• Nurse
• Physician
• Biomedical Engineer/Technician
• Nurse Educator
Secondary users of the BD Alaris™ neXus CC Syringe Pump include:
• Pharmacist
• Materials Manager
Clinical Benefits
The BD Alaris™ neXus CC Syringe Pump provides continuous or intermittent infusion of parenteral fluids and or drugs to
treat a variety of medical conditions. Electronic infusion devices are used when the patient’s critical medical condition
dictates a more immediate, accurate and sustained impact from the fluids and medications than can be achieved with
oral therapies or other forms of intravenous administration (e.g. gravity administration or IV pushes). The fluids and drugs
being administered either sustain normal physiologic bodily functions or provide therapeutic eects to combat disease
or an unhealthy patient condition due to injury or other compromised status. The BD Alaris™ neXus CC Syringe Pump
incorporates an in-line pressure monitoring system which allows clinicians to monitor the pressure in the infusion set in
real time. In-line pressure monitoring significantly shortens the time to alarm in the event of an occlusion.
Conditions for Use
The BD Alaris™ neXus CC are restricted medical devices intended for use by qualified, trained personnel to deliver either
continuous or intermittent infusion therapy of:
• Fluids
• Medications
• Nutritional supplements
• Blood and blood products
BD cannot guarantee the continued system accuracy with other manufacturers’ syringes as identified in
the ‘Recognised Syringes’ table. Manufacturers may change syringe specification significant to system
accuracy without prior notification.
Indications
The BD Alaris™ neXus CC Syringe Pumps are indicated for delivery of therapies through the following clinically acceptable
routes:
• Intravenous (IV)
• Subcutaneous
• Irrigation of fluid spaces
Contraindications
The BD Alaris™ neXus CC Syringe Pump is contraindicated for:
• Enteral therapies
Undesirable Side-Effects
The BD Alaris™ neXus CC Syringe Pump has no undesirable side-eects associated with its use when used in accordance
with the Directions For Use.
BDDF00412 Issue 4 7/70
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BD Alaris™ neXus CC Syringe Pumps
Compatibility
The BD Alaris™ neXus CC Syringe Pump is compatible with the following:
• The Alaris™ Gateway Workstation v1.3.x and v1.6.x and the BD Alaris™ MRI Capsule v1.3.x – see ‘Associated
Products’
• Standard, single-use, disposable extension sets and syringes with Luer lock connectors – see ‘Compatible Extension
Sets’ and ‘Recognised Syringes’
• The Active RFID asset tag supplied by BD with this Pump
• The following software products are also compatible – see ‘Products and Spare Parts’
- BD Alaris™ neXus Editor v5.0
- BD Alaris™ neXus Transfer Tool v5.0
- BD Alaris™ Technical Utility v2.0
- BD Alaris™ Communication Engine v2.0
- BD Alaris™ CQI Event Reporter v4.4
Overview
BDDF00412 Issue 4 8/70
Page 10
Features of the Pump
ON / OFF
Pressure transducer
RUN
Display
BD Alaris™ neXus CC Syringe Pumps
Release lever for
rotating cam
High visibility
alarm indicator
PURGE / BOLUS
MUTE
Overview
PRESSURE
OPTIONS
Extension set
hook
Release
lever for
rotating
cam
HOLD
Rating plate (see ‘Labelling
Symbols’ for key to symbols)
Shelf for chevron
keys and softkeys
Syringe Clamp
Finger Grips
Positive Plunger
Grippers
Pressure transducer
Rotating cam to
lock on to horizontal
rectangular bars
Carrying
handle
IR communications
Potential
Equalisation (PE)
connector
BDDF00412 Issue 4 9/70
port
Folded pole
clamp
RS232
Connector
Extension set
hook
Page 11
Controls
Symbol Description
ON / OFF button – Press once to switch the Pump on. Press and hold down for three seconds
to switch the Pump o.
a
Note: Logs are maintained for power down events including when the Pump is powered
BD Alaris™ neXus CC Syringe Pumps
Overview
down or unexpected power loss.
b
h
R
i
d
e
f
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 two minutes. To re-enable the alarm audio press
the MUTE button a second time.
Note: Attention alarm only: when not in alarm press and hold until four audible beeps are
heard for 15 minutes silence.
PURGE / BOLUS button – Press to access PURGE or BOLUS soft keys. Press and hold down
soft key to operate.
PURGE – primes the extension set with fluid or drug during initial set up.
• Pump is on hold
• Extension set must not be connected to the patient
• Volume Infused (VI) is not added
BOLUS – fluid or drug delivered at an accelerated rate.
• Pump is infusing
• Extension set should be connected to the patient
• VI is added
OPTIONS button – Press to access additional feature options.
PRESSURE button – Use this button to display the pumping pressure and alarm level. This
button will also display the pressure trend display.
CHEVRON keys – Double or single for faster/slower increase or decrease of values shown on
display.
g
BLANK SOFTKEYS – Use in conjunction with the prompts shown on the display.
Indicators
Symbol Description
BATTERY indicator – When illuminated the Pump is running on the internal battery. When
j
S
flashing the battery power is low with less than 30 minutes of use remaining.
AC POWER indicator – When illuminated the Pump is connected to an AC power supply and
the battery is being charged.
BDDF00412 Issue 4 10/70
Page 12
Main Display Features
Pump Status
Syringe type fitted /
Profile / Drug name
BD Alaris™ neXus CC Syringe Pumps
Overview
Pressure Information
(pressure disc fitted)
Infusion Rate Volume Infused
Note: If using a standard extension set without a pressure disc then the pressure information will be as below.
Volume Infused
Option
Pressure
Information
VTBI Option
Screen Icons
Symbol Description
l
N
INFUSING
INFUSING
Time remaining display icon – Indicates time before syringe will require replacement.
BATTERY icon – Indicates battery charge level to highlight when the battery will require
recharging or re-connection to AC power supply.
Note: This can be enabled/disabled with the BD Alaris™ neXus Editor software
Guardrails Soft Alert icons – Indicates the Pump is running at a rate or dose above (pointing up)
or below (pointing down) a Guardrails™ Soft Alert.
WiFi
WiFi
Hard Limit Warning icon – Indicates the setting entered is not permitted as it is over or under a
Guardrails™ Hard Limit, as defined in the data set. The warning cannot be overridden.
Indicates when the Pump is connected, via Wi-Fi, to the BD Alaris™ Communication Engine (ACE).
Indicates when the Pump is not connected via Wi-Fi to ACE.
BDDF00412 Issue 4 11/70
Page 13
Labelling Symbols
0°C
Symbol Description
Consult accompanying documents
Potential Equalisation (PE) Connector
RS232/Nurse call Connector
y
Defibrillation-proof type CF applied part (Degree of protection against electrical shock)
Protected against direct sprays of water up to 15° from vertical and protected against solid objects
IP32
greater than 2.5mm.
Note: IP33 applies if AC power cable retainer kit, part number 1000SP01294, is fitted.
Alternating Current
BD Alaris™ neXus CC Syringe Pumps
Overview
W
+40°C
Device complies with the requirements of Council Directive 93/42/EEC as amended by 2007/47/EC
Date of Manufacture
Manufacturer
Do not dispose of battery in municipal waste. Separate collection for battery is required.
Not for Municipal Waste
Fuse Rating
Operating Temperature Range – Pump can be used between 0 and 40 degrees centigrade
Pump is able to communicate with BD Alaris™ Communication Engine via Wi-Fi
Medical Device
BDDF00412 Issue 4 12/70
Page 14
BD Alaris™ neXus CC Syringe Pumps
Getting Started
Getting Started
Initial Set-up
Before operating the Pump read this Directions For Use manual carefully.
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:
• BD Alaris™ neXus CC Syringe Pump
• User Support CD (Directions For Use)
• AC Power Cable (as requested)
• Protective Packaging
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
S is lit).
Language Selection
1. On initial start-up the Pump will display the Select Language screen.
2. Select the required language from the list displayed using the
3. Press the OK softkey to confirm your selection.
• The Pump will require a data set to be uploaded and activated prior to using the Pump. Any data
set created for installation must be approved by an appropriately qualified person with clinical
authority in accordance with hospital protocol prior to upload and activation.
• The Pump will automatically operate from its internal battery if the Pump is switched on without
being connected to the AC power supply.
• Should the Pump fail to perform correctly, replace in its original protective packaging, where
possible and contact Qualified Service Personnel for investigation.
f keys.
Power Input
The Pump is powered from the AC Power supply through a standard IEC AC Power connector or the Alaris™ Gateway
Workstation (Workstation) when docked. When connected to the AC Power supply the AC Power indicator is illuminated.
• To isolate the Pump from AC Power supply remove the AC Power connector from the source socket.
• The Pump should be positioned to allow access for disconnecting the AC Power connector.
Wi-Fi Configuration
The Pump is able to utilize a hospital Wi-Fi network to connect to the BD Alaris™ Communication Engine if one is deployed
at the facility. A Wi-Fi Configuration Package must be first created and transferred to the Pump using the BD Alaris™
Technical Utility (ATU) by Qualified Service Personnel.
BDDF00412 Issue 4 13/70
Page 15
Do not mount the Pump with the AC power inlet or the syringe pointing upwards. This could affect the
***
*
electrical safety in the event of a fluid spill or lead to the infusion of air which may be in the syringe.
Pole Clamp Installation
BD Alaris™ neXus CC Syringe Pumps
Getting Started
The pole clamp is fitted to the rear of the Pump and will provide secure
fixing to vertical IV poles of a diameter between 15 and 40mm.
Pull the folded pole clamp towards you and unscrew the clamp to leave
enough room for the size of the pole.
Place Pump around pole and tighten screw until the clamp is secured to
the pole.
Ensure the pole clamp is folded away and stored
within the recessed area at the rear of the Pump
before connecting to an Alaris™ Gateway Workstation
(Workstation) or when not in use.
Never mount the Pump such that the IV infusion stand
becomes top heavy or unstable.
Prior to each use, check that the pole clamp:
• Does not show any signs of excessive wear, and
• Does not show any signs of excessively loose movement in the extended, mountable position.
If these signs are observed, the Pump should be taken out of service for examination by Qualified
Service Personnel.
Recessed area
*
*
BDDF00412 Issue 4 14/70
Page 16
BD Alaris™ neXus CC Syringe Pumps
Getting Started
Workstation or Equipment Rail Installation
The rotating cam can be fitted to the rectangular bar on the Workstation or the equipment rail measuring 10 by 25mm.
1. Align the rotating cam on the rear of the Pump with the rectangular bar on the Workstation or the equipment rail.
2. Hold the Pump horizontally, push the Pump firmly onto the rectangular bar or equipment rail.
3. The Pump should click into position when fitted to the bar.
4. Ensure that the Pump is positioned securely. Verify Pump is secure by gently pulling the Pump away from the
Workstation without using the release lever. When the Pump is securely attached, it should not come o the
Workstation.
5. To release, push the release lever and pull the Pump forwards.
Note: The Pump will stop communicating over Wi-Fi once docked to a Workstation and will disable its internal wireless
module. The Pump will instead use the Workstation as a conduit for connecting to BD Alaris™ Communication
Engine, as long as the Workstation is powered on and is functional.
Pump may fall off the Workstation if not properly mounted which could result in user and/or
patientharm.
Rectangular bar
Release lever (push to release)
Rotating cam
BDDF00412 Issue 4 15/70
Page 17
BD Alaris™ neXus CC Syringe Pumps
Securing the Syringe with Optional Lock box
Lock box operation
The optional lock box is a available in two configurations:
Getting Started
• Rate Unlocked lock box – is designed to allow the
user to adjust rate whilst infusing.
When mounting a Pump with lock box ensure that there is sufficient clearance for the cover to be fully
opened. A gap of 130mm minimum below the Pump is recommended.
Open Lock box
1. Insert the key into the lock and turn key either way to
unlock.
• Rate Locked lock box – is designed to prevent rate
change whilst infusing. If using this lock box users
would need to put the Pump on hold and open the
lock box to change the rate.
2. Lock box will move to the right and can then be
opened.
BDDF00412 Issue 4 16/70
Page 18
BD Alaris™ neXus CC Syringe Pumps
Getting Started
Close Lock box
1. Load the syringe according to the instructions in the ‘Loading and Confirming a Syringe’ section.
2. Ensure the extension set is connected to the syringe and threaded through the lock box.
Note: The pressure disc must be fitted prior to closing the lock box.
3. Set up the Pump according to the instructions in the ‘Starting the Pump’ section prior to closing the lock box for the
Rate Locked version only.
4. Close the cover until it makes contact with the Pump
case.
6. Remove the key.
• Pumps with a lock box fitted should only be used when fitted to an Alaris™ Gateway Workstation
or an IV Pole.
• When transporting the Pump with lock box fitted it is recommended that two hands are used when
holding or carrying the Pump.
• If lock or lock box appears to be damaged, remove the Pump from service for examination by
Qualified Service Personnel.
• When the Pump is not in use ensure the lock box is locked.
• Lock box keys should be stored separately. Take care not to lock keys inside lock box.
• Refer to the ‘Routine Maintenance Procedures’ section for instructions on lockbox cleaning and
maintenance.
5. Push the lock box from right to left until a click is heard.
BDDF00412 Issue 4 17/70
Page 19
Operating Precautions
Disposable Syringes and Extension Sets
The Pump has been calibrated for use with single-use disposable syringes. To best ensure correct
and accurate operation, only use three piece Luer lock versions of the syringe brand specified on
m
n
Mounting the Pump
the Pump or described in this manual. Use of non-specified syringes or extension sets may impair
the operation of the Pump and the accuracy of the infusion.
Uncontrolled flow or syphoning may result if the syringe is located incorrectly in the Pump, or if it
is removed from the Pump before the extension set is properly isolated from the patient. Isolation
may include closing a tap in the patient line or activating a flow stop clamp.
The user must be thoroughly familiar with instructions in these Directions For Use and understand
how to load and confirm the syringe on the Pump. Incorrect syringe loading may result in
misidentification of the syringe type and size leading to significant under or over infusion.
Secure the extension set to the Pump using the extension set hook at the rear of the Pump. This
provides protection against accidental dislodging of the syringe from the Pump.
When combining several apparatus and/or instruments with extension sets and other tubing,
for example via a 3-way tap, the performance of the Pump may be impacted and should be
monitored closely.
Always clamp or otherwise isolate the patient line before unclamping or removing a syringe from
the Pump. Failure to do so may result in unintended administration.
When more than one Pump is being used on a patient, those containing high risk, critical
medications must be positioned as close to the patient’s heart level as possible to avoid the risk
of variations in flow or siphoning.
BD Alaris™ neXus CC Syringe Pumps
Getting Started
Raising a Pump whilst infusing may result in a bolus of the infusate, whereas lowering a Pump
whilst infusing may result in a delay in the infusion (an underinfusion).
Do not mount the Pump in a vertical position with the syringe pointing upwards as this could
lead to an infusion of air which may be in the syringe. To protect against the introduction of air
I
Operating Environment
the user should regularly monitor the progress of the infusion, syringe, extension line and patient
connections and follow the priming procedure specified herein.
Intended environments include general wards, critical and intensive care, operating rooms,
accident and emergency rooms. The Pump may be used in an ambulance environment. Ensure
that the Pump is appropriately attached using the provided pole clamp. The Pump is designed
to withstand possible bumps and vibrations whilst being used in an ambulance, complying with
the standard EN1789. If the Pump is dropped or experiences any severe physical disturbances,
arrange a thorough inspection by appropriately trained technical personnel as soon as is
practically possible.
When using any infusion pump in conjunction with other pumps or devices requiring vascular
access, extra care is necessary. Adverse delivery of medication or fluids can be caused by the
substantial variation in pressures created within the infusion system by such pumps. Typical
examples of those pumps are used during dialysis, bypass or cardiac assist applications.
The Pump is suitable for use in hospital and clinical environments other than domestic
establishments that have access to single phase AC power supply.
The Pump is not intended to be used in the presence of a flammable anaesthetic mixture with air
or oxygen or nitrous oxide.
BDDF00412 Issue 4 18/70
Page 20
Operating Pressure
Alarm Conditions
J
Hazards
BD Alaris™ neXus CC Syringe Pumps
Getting Started
This is a positive pressure Pump designed to achieve very accurate fluid administration by
automatically compensating for resistance encountered in the infusion system.
The pumping pressure alarm system is not designed to provide protection against, or detection of,
IV complications which can occur.
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.
Alarm tone settings are preserved in the case of power loss, however some system faults will
result in loss of alarm settings. The new alarm tone settings will be stored when powering down
from tech mode after a change. The settings will be lost if a cold-start is performed, but should be
saved for faults that do not require a cold start.
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.
L
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 in the installation or its arrangement is
in doubt, the Pump should be operated from the battery.
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 the 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 Qualified Service Personnel. 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.
BD Alaris™ neXus CC Syringe Pump should not be modified or altered in any way, except where
explicitly directed or authorised by BD. Any use of BD Alaris™ neXus CC Syringe Pumps which
have been altered or modified otherwise than in strict application of directions provided by BD,
is at your sole risk, and BD does not provide any warranty for or endorsement on any BD Alaris™
neXus CC Syringe Pump that has been so modified or altered. BD product warranty shall not apply
in the event the BD Alaris™ neXus CC Syringe Pump has suered damage or premature wear,
or malfunctions or otherwise operates incorrectly, as a result of unauthorised modification or
alteration of the BD Alaris™ neXus CC Syringe Pump.
Care must be taken when removing covers or handling moving mechanisms.
All Pumps in a single care area should be configured with the same alarm tones to avoid user
confusion.
BDDF00412 Issue 4 19/70
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Electromagnetic Compatibility and Interference
Medical Electrical Equipment requires additional precautions regarding EMC. Commissioning,
installation and use should be in accordance with the EMC information provided within this
Directions For Use and the Technical Service Manual.
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 aect functioning of the Pump. Please consult manufacturer’s
recommendations for safe distance and other precautionary requirements. For further
information, please contact your local BD 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
MR
environment is unavoidable, then BD 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 (EMI). For further information, please refer to the product Technical Service
Manual (TSM). Alternatively, contact your local BD representative for further guidance.
The Pump is compatible with HF surgical equipment provided the Pump is located at distance
greater than 15cm (6 inches) from the active component of the HF surgical device. Direct contact
between HF surgical equipment and the Pump and or associated accessories and cabling must be
avoided.
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 BD may result in increased emissions
or decreased Pump immunity.
The emissions characteristics of this equipment make it suitable for use in industrial areas and
hospitals (CISPR 11 class A). If it used in a residential environment (for which CISPR 11 class B
is normally required) this equipment might not oer adequate protection to radio-frequency
communication services. The user might need to take mitigation measures, such as relocating or
repositioning the Pump. This Pump emits a certain level of electromagnetic radiation, which is
within the levels specified by EN/IEC60601-2-24 and EN/IEC60601-1-2.
The Class B digital Device limits are designed to provide reasonable protection against harmful
interference when the device is operated as intended. The device generates, uses and can
radiate radio frequency energy. If it is not installed and used in accordance with the applicable
Directions For Use, it might cause harmful interference to radio communications. Operation of
this device in a residential area is likely to cause harmful interference, in which case the user is
required to correct the interference at their own expense. There is, however, no guarantee that the
interference will not occur in a particular installation.
Approval of the wireless module excludes co-location with any other transmitter.
The Pump should not be used adjacent to or stacked with other equipment outside of the Alaris™
Gateway Workstation or the BD Alaris™ MRI Capsule; however, if adjacent or stacked use is
necessary, the Pump should be observed to verify normal operation in the configuration in which it
will be used.
Portable RF Communications equipment (including peripherals such as antenna cables and
external antennas) should be used no closer than 30cm (12 inches) to any part of the Pump
including cables specified by the manufacturer. Otherwise, degradation of the performance of this
equipment could result.
In some circumstances the Pump may be aected by an electrostatic discharge through air
at levels close to or above 15kV; or by radio frequency close to or above 10V/m. If the Pump is
aected 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
personnel (Consult Technical Service Manual for further information).
BD Alaris™ neXus CC Syringe Pumps
Getting Started
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BD Alaris™ neXus CC Syringe Pumps
Operation
Operation
Syringe Loading
Prepare Syringe and Administration Set
To decrease potential start-up delays, delivery inaccuracies and delayed generation of occlusion alarms each time a new
syringe is loaded:
• Use smallest syringe size possible, for example, if infusing 9ml of fluid, use a 10ml syringe.
• Use the PURGE function on the Pump to decrease the delay in the start of the infusion. See ‘Operating the Pump’
section.
Use the smallest compatible syringe size necessary to deliver the fluid or medication; this is especially
important when infusing high risk or life-sustaining medications at low infusion rates, especially flow
rates <0.5ml/h.
Purge the Pump system before starting an infusion or after replacing a near-empty syringe with a
replacement syringe. When Purging ensure that the extension set is not connected to the patient.
Practice Recommendations:
• Tubing internal diameter: Smallbore or microbore tubing is recommended when infusing at low rates
• Filters: Internal volume, dead space, of in-line filters should be minimized
• Connection sites: Critical drugs should be connected as close to the vascular access site as possible
Positioning of Pump
Ensure that the Pump is as close to level of
patient’s heart as possible.
Patient’s heart level should be in line with the
pressure disc holder.
Adjusting the Pump’s height relative to the patient’s heart level can lead to temporary increases or
decreases in fluid delivery.
If using multiple syringe Pumps and it is not clinically feasible to have all Pumps level with the patient’s
heart, place the high risk or life-sustaining medications as close to the patient’s heart level as possible.
When infusing multiple high risk or life-sustaining medications, consider placing the Pumps infusing at
the lowest rates as close to the level of the patient’s heart as possible.
BDDF00412 Issue 4 21/70
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Loading and Confirming a Syringe
• To securely load and confirm a syringe carefully follow the steps below. An incorrect loading of a
syringe may result in misidentification of the syringe type and size. If then confirmed, this may
lead to significant inaccuracy of the infusion rate and may also affect Pump performance.
• Only use a syringe of the type stated on the Pump or in this manual. Using an incorrect syringe
could adversely affect the accuracy of the infusion rate and may also affect Pump performance.
• When drawing fluid into the syringe, draw enough to compensate for any dead space volume in
the extension set and syringe at the end of infusion as this cannot be fully infused.
BD Alaris™ neXus CC Syringe Pumps
Operation
Syringe
Barrel
Barrel Flange
Syringe
Clamp
Plunger
Grippers
Plunger
Flange
Plunger
Finger Grips
Plunger
Holder
Syringe Flange Clamp
Place the Pump on a stable horizontal surface or secure as described previously.
Prepare, load and prime the single-use disposable syringe and extension set using standard aseptic techniques.
1. Squeeze the finger grips together on the plunger holder and slide the mechanism to
the right.
2. Pull the syringe clamp forward and down.
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BD Alaris™ neXus CC Syringe Pumps
3. Insert the syringe ensuring that the barrel flange is located in the slots on the syringe
flange clamp.
To ensure the syringe is loaded correctly, place the barrel flange in the
space between the syringe clamp and the syringe flange clamp. This
is correct if the syringe remains in position before the syringe clamp
isclosed.
4. Lift the syringe clamp until it locks against the syringe barrel.
5. Squeeze the finger grips on the plunger holder and slide the mechanism to the left
until it reaches the plunger end.
6. Release the finger grips. Ensure that the plunger grippers are securing the plunger in
place and the finger grip returns to its original position.
Operation
7. Ensure that the syringe type and size match those displayed on the Pump then press CONFIRM. If required, the
make of syringe can be changed by pressing the TYPE softkey.
ON HOLD
BD PLASTIPAK 50
CONFIRM
TYPE
Note: If the PURGE SYRINGE option has been enabled in the data set via BD Alaris™ neXus Editor then the prompt to
purge screen is displayed and the extension set can be purged as required, however ensure that the extension
set is not connected to the patient during this process.
• BD recommends limiting the number of configured syringe types and sizes available for selection
on the Pump in the data set via the BD Alaris™ neXus Editor.
• Secure the extension set using the extension set hook at the rear of the Pump. This provides
protection against accidental dislodging of the syringe from the Pump.
• Ensure that both plunger grippers are fully locked onto the plunger flange and the upper finger
grip has returned to its original position.
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BD Alaris™ neXus CC Syringe Pumps
Operation
Operating the Pump
When operating the Pump, the user should position themselves at a distance of 0.5 metres from the
display.
1. Connect the Pump to an AC power supply using the AC power cable.
2. Press the
• The Pump will run a short self-test.
• Check the display test pattern and ensure that no lines are missing.
• Check that the displayed time and date are correct.
• As the Pump starts up, check that display shows the data set name, version number and data set ID.
Note: A warning – REPAIRING LOGS, may be displayed if event log information was not completely stored at the
3. CLEAR SETUP?
• Selecting NO will retain all previous rate and volume settings. Go to step 9.
• Selecting YES will automatically reset the rate and volume settings to zero. If a new (pending) data set was
a button.
Two beeps are activated during this self-test and the red alarm beacon illuminates and then clears. No
action is required during this self-test.
previous power down. This is for information only, and the Pump will continue to power up as normal.
uploaded to the Pump, it will be automatically activated and DATA SET screen will be displayed. Go to step 4.
Otherwise, the CONFIRM PROFILE? screen will be displayed. Go to step 5.
The CLEAR SETUP? screen will only be displayed if a previous setup was used.
4. DATA SET – A new (pending) data set has been activated.
a) Confirm the details shown on the screen for data set name, release date and time, version, and ID code by selecting
OK softkey.
b) PROFILE screen will be displayed (if more than one is available in the data set). Select the desired profile using
f keys and press OK softkey. If only one profile is available, go to step 6.
5. CONFIRM PROFILE?
Note: The CONFIRM PROFILE screen will not be displayed if there is only one profile available in the data set.
a) NO will display select profile screen
- Select profile from list, if required press ALL to update the list displayed to include all the profiles within the data
set.
- Press OK to confirm.
The ALL softkey will only be displayed if there are some profiles in the data set not being displayed,
since their selectable status is disabled.
b) YES will display drug select screen or clear setup screen.
6. DRUG SELECT? – Select one of the following:
Note: The DRUG SELECT screen will not be displayed if there are no drugs setup in the profile.
• ml/h – allows infusions to be given inml/h only, after selecting OK to confirm. Go to step 8.
• DOSING ONLY – enables the Pump to be set-up with a dosing protocol, after selecting OK to confirm. Go to step 6.
No concentration or dose rate limits are used when ml/h or DOSING ONLY modes are selected.
• DRUGS – select a drug name from profile’s drug library, after selecting OK to confirm. Go to step 7.
Note: Drugs are listed in alphabetical groups as follows: A–E, F–J, K–O, P–T and U–Z. Select group containing the drug
name required and then the required drug and all other drugs can be seen.
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BD Alaris™ neXus CC Syringe Pumps
7. DOSING ONLY –
a) Select Dosing unit and OK to confirm.
b) Select Concentration Amount and OK to confirm. Use UNITS softkey to change concentration unit, if required.
c) Select Total Volume to be used and OK to confirm.
d) Adjust Weight and OK to confirm, if required.
e) Press OK to confirm dosing information. Go to step 8.
8. DRUGS –
a) Select Concentration required, press OK to confirm Concentration or MODIFY to change Drug amount and total
volume to be used. If the dose amount and total volume are not defined in the data set then they will need to be set
as follows:
- Adjust dose amount and OK to confirm. Use UNITS softkey to change concentration unit, if required.
- Adjust Total Volume and OK to confirm
b) Adjust Weight and OK to confirm, if required.
c) Press OK to confirm setup. Go to step 8.
Steps for Drugs setup may vary, depending on how the profile is configured in the data set via the BD
Alaris™ neXus Editor.
Operation
9. Load the syringe according to the procedure in this manual. See ‘Syringe Loading’ section.
10. Insert the pressure disc into the pressure transducer, if required.
• Pressure Transducer – Detects if an extension set with a
pressure disc is fitted. The pressure transducer will measure
positive pressures within the extension set.
• To remove or insert pressure disc from or into pressure
transducer assembly, insert finger into the recess in the
pressure disc and pull forward or push back with care.
Do not pull the extension set to remove or to insert the
pressure disc.
11. Ensure that the syringe type and size match those displayed on the Pump then press CONFIRM. If required, the brand
of syringe can be changed by pressing the TYPE softkey.
Note: If the PURGE SYRINGE option has been enabled then the prompt to purge screen is displayed and the extension
set can be purged as required, however ensure that the extension set is not connected to the patient during this
process.
Note: If the Drug Confirmation after Syringe Change option has been enabled in the profile, then review the information
on the screen and press CONFIRM.
12. Purge (if required) – Press the
of the extension set is complete. Release the softkey. The volume used during purging will be displayed.
Purge extension set, if using an extension set with pressure disc massage pressure disc to prevent
ballooning and ensuring all air removal.
i button and then press and hold the PURGE softkey until fluid flows and the purging
13. Check the rate shown if set and change the rate if necessary using the
14. Connect the extension set to the patient access device.
15. Press
b to commence operation.
• The amber stop light will be replaced by the flashing green start light to indicate that the Pump is in operation.
INFUSING will be displayed.
Note: If infusion rate exceeds the Guardrails™ Hard Limit then the Pump will not start and the display will show DOSE
NOT PERMITTED.
• If the infusion settings are within the Guardrails™ Soft Limits then the amber stop light will be replaced by the
flashing green start light to indicate that the Pump is in operation. INFUSING will be displayed.
BDDF00412 Issue 4 25/70
f keys.
Page 27
BD Alaris™ neXus CC Syringe Pumps
Operation
Note: If infusion rate exceeds or is under the Guardrails™ Soft Limits then check infusion setting, to continue with
infusion at set rate press b and then confirm OVERRIDE LIMIT by pressing YES. If OVERRIDE LIMIT is not
required press NO and adjust rate to be within the Guardrails™ Soft Limits.
Note: Fast Start is a Pump feature to automatically reduce the mechanical slack between the plunger mechanism and
syringe at the start of an infusion.
If infusion rate running exceeds or is under the Guardrails™ Soft Limits then the display will show
INFUSING with either Up or Down arrows on both sides.
16. Press
h to halt the operation. ON HOLD will be displayed. The amber stop light will replace the green start light.
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BD Alaris™ neXus CC Syringe Pumps
Advanced Features
Advanced Features
Bolus Infusion
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 to:
a) BOLUS Disabled
b) BOLUS Enabled
- Hands-On
- Hands-Free and Hands-On
BOLUS Disabled
If configured to Disabled, pressing the i button will have no eect and the Pump will continue to infuse at the set rate.
A Hands-On bolus and Hands-Free bolus cannot be administered if the rate lock is active or if the
feature is disabled for the selected Profile or specific drug. During BOLUS the pressure limit alarm is
temporarily increased to the maximum level.
BOLUS Enabled – Hands-On
In Hands-On 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 data set via BD Alaris™ neXus 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.
f keys to adjust the bolus rate if required.
i button once to display the bolus screen.
BOLUS Enabled – Hands-Free and Hands-On
The Hands-Free Bolus is delivered with a single press of the (flashing) BOLUS softkey. The default rate, default and
maximum bolus volume are set by drug profile in the data set and can be changed within limits set by the data set.
1. During infusion press the
2. Press the YES softkey to go to Hands-Free selection bolus screen, press the HANDS ON softkey for Hands-On bolus (see
section above).
3. Use the
keys to adjust the bolus delivery rate.
Note: Rate may be restricted by the syringe size and the CAP BOLUS RATE.
4. Press the flashing BOLUS softkey once to begin the delivery of the preset bolus. The display will show the bolus being
delivered, the bolus counting down and revert to main infusion 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
6. If the bolus volume reaches the set bolus volume the bolus will stop and the Pump will revert to infuse at the set
infusion rate and continue infusing.
f keys to set the bolus volume/dose required; If necessary use the RATE softkey and the f
h button to stop the bolus delivery and place the Pump on hold.
i button to display the Hands-Free bolus selection screen.
• If the Hands-Free bolus option is active, then this feature will be cancelled following any
interruption in delivery, e.g. occlusion, even if the bolus delivery is incomplete.
• If the volume to be infused (VTBI) is reached during a bolus, the VTBI complete alarm will sound.
Press
R to silence the alarm or CANCEL to acknowledge the alarm. See ‘Volume To Be Infused
(VTBI)’ section for more details on VTBI operation.
• Any Hands-Free Bolus dose setting which exceeds or is under a Guardrails™ Soft Limit must be
confirmed before operation can be continued.
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BD Alaris™ neXus CC Syringe Pumps
Advanced Features
Manual Bolus
The Manual Bolus is delivered by moving the plunger drive mechanism forward while the Pump is infusing. This method of
delivering a bolus is not recommended as best clinical practice.
The syringe must be confirmed and the plunger mechanism has to move from an engaged position to disengage and then
re-engage position. A minimum travel of 1mm (leadscrew pitch) must be detected to register.
Delivering a bolus via Manual Bolus may lead to inconsistencies in the volume infused display and
Volume To Be Infused (VTBI) calculation, compared to the actual volume contained in the syringe.
Purge
The i button allows the delivery of a limited volume of fluid in order to purge the extension set prior to being connected
to a patient or after changing a syringe.
1. Press the
2. Press and hold the PURGE softkey until fluid flows and the purging of the extension set is complete. The volume used
during purging will be displayed, but it is not added to the volume infused.
3. When purging is complete release the PURGE softkey. Press the QUIT softkey to exit back to the main display.
i button when the Pump is not infusing. Ensure that the extension set is not connected to the patient.
The Pump will not purge if the RATE LOCK has been enabled. During PURGE the pressure limit alarms
are temporarily increased to their maximum level.
Volume to be Infused (VTBI)
This feature allows a specific volume to be infused to be set. Rate at the end of this VTBI can also be set, selecting from
stop, KVO, or continuous infusion at the set rate.
1. Press the VTBI softkey to select the volume to be infused option.
2. Enter the volume to be infused using the
3. Select the rate at the end of the VTBI using the
stop.
4. Press the OK softkey to confirm and exit the VTBI menu.
Note: When current VTBI has finished, no other infusion will be allowed unless a new VTBI is set or current VTBI is
cleared.
f keys and press the OK softkey.
f keys to scroll through the on-screen choices. The default is
Clear Volume
This feature enables the volume infused to be cleared. The Dose Infused for a drug is displayed if the Volume Infused is
attributable to a single drug setup. Clearing the volume will display the Dose Infused.
1. Press the VOLUME softkey to display the CLEAR VOLUME option.
2. Press the YES softkey to clear the volume. Press the NO softkey to retain the volume.
Note: Selecting YES resets the volume infused in the 24H LOG option.
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BD Alaris™ neXus CC Syringe Pumps
Advanced Features
Rate Lock
If Rate Lock is enabled, when the infusion rate has been set and the infusion started, the rate lock prompt will appear on
the display following any rate titrations, bolus infusions and loading dose infusions.
To select the rate lock function press the YES softkey to confirm. 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 / purge
• Switching the Pump o
• VTBI over time infusions.
To disable the rate lock if selected:
1. Press the
2. Select the UNLOCK RATE option using the
To enable the rate lock if not selected:
1. Press the
2. Select RATE LOCK option using the
d button to access the options menu.
f keys and press the OK softkey.
d button to access the OPTIONS menu.
f keys and press the OK softkey.
Rate Titration
If Rate Titration is enabled the rate can be adjusted while infusing:
1. Select the new rate using the
2. The message < START TO CONFIRM > will flash on screen and Pump continues to infuse at the original rate.
3. Press the
Note: Press the QUIT softkey to exit titration and return to original rate.
Note: If the new infusion rate setting exceeds or is under a Guardrails™ Soft Alert confirmation is required before
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
b button to confirm the new infusion rate and start infusing at the new rate.
infusion can start infusing at the new rate.
h button to put the Pump on hold.
b button to start infusing at the new rate.
f keys.
f keys.
Dosing Summary
To review currently selected dosing information:
1. Press the
2. Select DOSING SUMMARY.
3. Review the information and then press the QUIT softkey.
d button to first access the OPTIONS menu.
Set VTBI over Time
This option allows a VTBI and delivery time to be specified. The rate necessary to deliver the required volume within the
specified time is calculated and displayed.
1. Stop the infusion. Press the
2. Select the SET VTBI OVER TIME option using the
3. Adjust the volume to be infused using the
softkey.
4. Enter the time over which the volume is to be infused. The infusion rate will automatically be calculated. Press the OK
softkey to enter the value.
5. Select the rate at VTBI end from the list using the
d button to access the OPTIONS menu.
f keys and press the OK softkey.
f keys. When the desired volume has been reached press the OK
f keys and press the OK softkey. The default is STOP.
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BD Alaris™ neXus CC Syringe Pumps
Advanced Features
24 Hour Log
This option allows the 24 hour log of volume infused to be reviewed.
1. Press the
2. Select the 24H LOG option using the
The display shows the hourly volume infused. The volume infused shown in brackets is the total volume infused since the
volume was last cleared. See example below:
07:48 – 08:00 4.34ml (4.34ml)
08:00 – 09:00 2.10ml (6.44ml)
09:00 – 10:00 2.10ml (8.54ml)
VOLUME CLEARED
3. Press the QUIT softkey to exit the log.
d button to access the OPTIONS menu.
f keys and press the OK softkey.
Event Log
This option allows the event log to be reviewed, if enabled.
1. Press the
2. Select the EVENT LOG option using the
3. Scroll through the log using the
Note: When the event log reaches full capacity, the oldest events will be overwritten by the most recent events.
d button to access the OPTIONS menu.
f keys and press the OK softkey.
f keys. Press the QUIT softkey to exit the log.
Data Set Details
To review currently selected data set information:
1. Press the
2. Select DATA SET DETAILS.
3. Review the information and then press the QUIT softkey.
d button to access the OPTIONS menu.
Infusion Setup
To change Infusion Setup
1. Stop the infusion. Press the
2. Select INFUSION SETUP.
3. Select Infusion Setup required and press the OK softkey.
d button to access the OPTIONS menu.
Pump Details
To review Pump information.
1. Press the
2. Select PUMP DETAILS.
3. Review the information and then press the QUIT softkey.
Note: The following information will be displayed:
• UNIT REFERENCE An identifier configured in Technician Mode by Qualified Service Personnel.
• SN The Serial Number of the Pump
• S/W Software version of the Pump
d button to access the OPTIONS menu.
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BD Alaris™ neXus CC Syringe Pumps
Add Drug
This option allows the user to add a drug whilst the Pump is running a ml/h infusion.
1. Press the
2. Select ADD DRUG option using the
3. Select the Drug from the displayed list using the
d button to access the OPTIONS menu.
f keys and press the OK softkey.
f keys, press OK to confirm.
Drugs are configured via BD Alaris™ neXus Editor software based on the units available (time / weight
based):
• Gram base: ng, mcg/μg, mg and g
• Unit base: mU/mUnits, U/Units and kU/kUnits
• mmol base: mmol, mEq
• Energy base: kcal
• Volume base: ml
Advanced Features
4. Select concentration using the
5. Select patient weight using the
6. Confirm drug, overriding Guardrails™ soft limits, as appropriate.
f keys, press OK to confirm, if applicable.
f keys, press OK to confirm, if applicable.
Adjust Alarm Volume
To change the alarm volume, if enabled.
1. Press the
2. Select ADJUST ALARM VOLUME.
Note: The Pump will beep at the selected alarm volume setting. The user must assess whether the alarm volume setting
3. Select alarm volume required and press the OK softkey.
d button to access the OPTIONS menu.
is loud enough for the intended operating environment, and adjust appropriately.
Profile Filter
Configure the profiles to be enabled or disabled in the list of selectable profiles, if enabled.
1. Stop the infusion. Press the
2. Select PROFILE FILTER.
3. Select Profile(s) required to change and press the MODIFY softkey.
4. Press the OK softkey to confirm.
d button to access the OPTIONS menu.
Standby
This option allows the Pump to be placed on standby mode, if enabled.
1. Stop the infusion. 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.
Date and Time
This option shows the Pump’s current date and time. This can be updated via Pump’s Service mode by Qualified Service
Personnel or will automatically update when the Pump connects to the BD Alaris™ Communication Engine, if one is
deployed at the facility.
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BD Alaris™ neXus CC Syringe Pumps
Advanced Features
Network Status
This option allows information about the wireless network connection status to be viewed by Qualified Service Personnel.
Refer to the Technical Service Manual for the description of network data displayed on these screens.
1. Press the
2. Select Network Status using the
3. Enter password to see the Network Status information.
4. Navigate through the pages using the softkeys.
5. Select Quit to return to the main display.
Note: For information on Network Status codes, please refer to the Technical Service Manual.
d button to access the OPTIONS menu.
f keys. Press OK to confirm.
Access code to display NETWORK STATUS menus should only be entered by Qualified Service Personnel.
Wireless Connection
The Pump disables wireless communication when docked to a Workstation, and will automatically attempt to re-connect
if enabled, and removed from the Workstation. This option allows for wireless communication to be enabled/disabled
manually.
Note: It may take up to five minutes for the Pump to reconnect to a Wi-Fi network if connection was disabled manually.
Note: If Wi-Fi is disabled manually, that setting will remain through power cycles.
1. Press the
2. Select Wireless Connection using the
3. To toggle the Wireless Connection status between enabled and disabled press MODIFY.
4. Press OK to confirm. Press QUIT to disregard changes and return to the main display.
d button to access the OPTIONS menu.
f keys. Press OK to confirm.
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BD Alaris™ neXus CC Syringe Pumps
_
+
OK
20mmHg
07:45
_
+
OK
20mmHg
07:45
Advanced Features
Pressure Monitoring Features
The precision of pressure monitoring will be determined by the extension set being used. The pressure transducer will
detect if an extension set with pressure disc is fitted.
Auto Set Pressure (If enabled)
If the Auto Set Pressure Option is enabled then the Pump automatically adjusts the pressure occlusion limit.
After 15 minutes of infusion the Pump automatically adjusts the occlusion pressure limit to xx mmHg above the average
infusion pressure, taken from the average of the last five minutes of infusion.
Note: xx is the AUTO OFFSET pressure and is determined by the user. This adjustment, AUTO OFFSET value 15–
100mmHg, is configurable by profile within the data set via BD Alaris™ neXus Editor. At pressures up to 100mmHg
the AUTO OFFSET value is added. For pressures above 100mmHg the alarm level is set to whatever the AUTO
OFFSET value is as a percentage above the average infusion pressure up to the maximum pressure defined
within the data set.
Pressure Level with Pressure Disc fitted
1. To check and adjust the pressure level press the e button. The display will change to show a 20 minute pressure
trend graph displaying the pressure alarm level and the current pressure level.
2. Press the f keys to increase or decrease the pressure alarm level. The new level will be indicated on the display.
3. The AUTO Pressure feature may be used when a stable pressure has been achieved over a short period of infusion.
If AUTO Pressure has been enabled the automatic pressure alarm level is calculated and set by pressing the AUTO
softkey.
4. Press the TREND softkey to view the pressure trend of the previous 12 hours. The pressure trend can be viewed at 15
minute intervals by using the − and + softkeys. The pressure trend graph displays the pressure at a given time.
5. Press the OK softkey to exit the pressure screen.
Pressure Level without Pressure Disc fitted
1. To check and adjust the pressure level press the e button. A bar graph will be displayed showing the pressure alarm
level and the current pressure level.
2. Press the
3. Press OK to exit the screen.
f keys to increase or decrease the alarm level. The new level will be indicated on the display.
The interpretation of the pressure readings and occlusion alarms are the responsibility of the clinician
and should include the clinical context in which the Pump is being used.
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BD Alaris™ neXus CC Syringe Pumps
Alarms and Warnings
Alarms and Warnings
Alarms are indicated by a combination of an audible alarm, flashing alarm indicator and a descriptive message in the
display.
1. First press the
CANCEL to cancel the alarm message.
2. If the infusion has stopped, rectify the cause of the alarm then press the
R button to silence the alarm for two minutes, then check the display for an alarm message. Press
b button to resume the infusion.
If the Pump initiates a safety processor alarm condition (an audible high pitched continuous shrill
accompanied with a red alarm indicator) and there is no error message displayed on the Pump, remove
the Pump from service for examination by Qualified Service Personnel.
Infusion will stop for all high priority alarms.
The default alarm system is ORIGINAL ALARMS (IEC60601-1-8 Second Edition alarms). THIRD
EDITION ALARMS (IEC60601-1-8 Third Edition alarms) are also installed. To change the Pump alarm
system from ORIGINAL ALARMS to THIRD EDITION ALARMS please refer to the Technical Service
Manual. Please note that this change should only be performed by Qualified Service Personnel.
Original Alarms
Display Alarm Priority Description and Troubleshooting Guide
<Error Code and Message> High The alarm system has detected an internal malfunction. Note the
malfunction code. Remove Pump from service for examination by
Qualified Service Personnel.
DRIVE DISENGAGED High The drive system has been disengaged during operation. Check the
finger grips and the position of the syringe.
OCCLUSION High Excessive pressure measured at the syringe plunger exceeding
the alarm limit. Identify and remove the cause of the blockage in
the drive, syringe, or administration system before restarting the
infusion.
LINE OCCLUSION High Excessive pressure measured in the extension set at the pressure
sensing disc exceeding the alarm limit. Identify and remove the
cause of the blockage in the drive, syringe, patient access site, or
administration system before restarting the infusion.
CHECK SYRINGE High Incorrect size of syringe has been fitted, the syringe has not been
positioned correctly or has been disturbed during operation. Check
the syringe location and the position.
A Check Syringe alarm may indicate the incorrect size of syringe
has been fitted; the syringe has not been positioned correctly, or
has been disturbed during operation, for example, the user opens
the syringe clamp, or If the syringe plunger loses contact with the
plunger button.
If there is no identifiable cause for the Check Syringe alarm(s) then
the Pump should be removed from clinical use and examined by
Qualified Service Personnel in accordance with the Technical Service
Manual.
PRESSURE DISC OUT High The pressure disc has been removed from the pressure transducer
during the infusion. Replace the pressure disc then restart the
infusion.
BATTERY EMPTY High The internal battery is too low to operate the Pump. Immediately
connect the Pump to the AC power supply and cycle the power to
resume operation.
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Alarms and Warnings
Display Alarm Priority Description and Troubleshooting Guide
VTBI DONE (STOP) High The pre-set Volume To Be Infused is complete and the Pump has
stopped infusing.
END OF INFUSION High The Pump has reached the end of the infusion and the Pump has
stopped infusing. A pre-set volume will remain in the syringe to
minimise the risk of the infusion of air bubbles into the set. This value
can be configured.
END OF INFUSION Medium The Pump has reached the end of the infusion and the Pump
continues to infuse at KVO or set rate if lower.
BATTERY LOW Medium Battery charge low with 30 minutes operation remaining. Reconnect
to the AC power supply to charge the internal battery and continue
operation. If action is not taken the battery indicator will flash for 30
minutes followed by a continuous audible alarm, red alarm indicator
and message BATTERY EMPTY displayed, indicating that the
battery is too low to operate the Pump. Optional* reminder signals
may sound, they are auditory signals that have four beeps that occur
every ten minutes once the Low Battery alarm is cancelled.
TITRATION NOT CONFIRMED Medium The infusion rate has been changed, but has not been confirmed
after five seconds of no activity the user will be notified by an
auditory cue. The infusion has not been confirmed and two minutes
has expired without any operation, a medium priority alarm will be
generated. Press the
CANCEL softkey to clear this message and silence the alarm. Check
infusion rate and confirm by pressing the b button or press the h
button to revert to the previous rate. (This alarm only occurs if rate
titration is enabled). Pressing QUIT will cancel the titration and keep
the originalrate.
VTBI DONE
(KVO/CONTINUE)
AC POWER FAIL Medium AC Power has been disconnected and the Pump is operating on
NEAR END OF INFUSION Medium The Pump is nearing the end of the infusion. This value can be
ADD DRUG NOT COMPLETE Medium The ADD DRUG operation has not been completed after five seconds
ATTENTION LOADING DOSE
COMPLETE
ATTENTION Low If the Pump has been left on for more than two minutes* (referred
Medium The pre-set Volume To Be Infused is complete and the Pump
continues to infuse at set rate or at KVO rate.
battery power, if this occurs when the Pump is infusing the message
INFUSION CONTINUES will be displayed. Reconnect AC power
supply or press the
with battery operation. The alarm will automatically cancel if the AC
power supply is reconnected.
configured. Optional* reminder signals may sound, they are auditory
signals that have four beeps that occur every ten minutes once
the NEOI alarm is cancelled. This reminder signal will not occur for
a continuous infusion in which the NEOI alarm is set for less than
tenminutes.
the user will be notified by an auditory cue. After two minutes have
expired and the ADD DRUG operation has not been completed, a
low priority alarm is generated. Press CANCEL softkey and complete
ADD DRUG operation.
Medium If Pause After Loading Dose has been configured in the data set,
then a low priority alarm will be generated when the loading dose
hascompleted.
to as ATTENTION in the log) without starting the operation, a low
priority alarm will be generated. Press the
alarm for a further two minutes. For extended Attention Timeout
press and hold down the R button and wait for four beeps in
succession, this will put the Pump on standby for 15 minutes.
R button to silence the alarm, then press the
R button to silence the alarm and continue
R button to silence the
*Configurable option.
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BD Alaris™ neXus CC Syringe Pumps
Alarms and Warnings
Note: The audio sound pressure level is at least 45dB depending on configuration of the alarm sound level.
Setting the alarm sound pressure level lower than the ambient sound pressure level can impede user
recognition of alarm conditions.
Alarm Priority Level Indicators
Priority Audio Indicator Visual Indicator (Beacon)
High One urgent tone pulse followed by one second pause Flashing Red
Medium One warning tone pulse followed by one second pause Flashing Amber
Low Three attention tone pulse followed by a three second pause Flashing Amber
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BD Alaris™ neXus CC Syringe Pumps
Alarms and Warnings
Third Edition Alarms
Display Alarm Priority Description and Troubleshooting Guide
<Error Code and Message> High The alarm system has detected an internal malfunction. Note the
malfunction code. Remove Pump from service for examination by
Qualified Service Personnel.
DRIVE DISENGAGED High The drive system has been disengaged during operation. Check the
finger grips and the position of the syringe.
OCCLUSION High Excessive pressure measured at the syringe plunger exceeding
the alarm limit. Identify and remove the cause of the blockage
in the drive, syringe, or administration system before restarting
theinfusion.
LINE OCCLUSION High Excessive pressure measured in the extension set at the pressure
sensing disc exceeding the alarm limit. Identify and remove the
cause of the blockage in the drive, syringe, patient access site, or
administration system before restarting the infusion.
CHECK SYRINGE High Incorrect size of syringe has been fitted, the syringe has not been
positioned correctly or has been disturbed during operation. Check
the syringe location and the position.
A Check Syringe alarm may indicate the incorrect size of syringe
has been fitted; the syringe has not been positioned correctly, or
has been disturbed during operation, for example, the user opens
the syringe clamp, or If the syringe plunger loses contact with the
plunger button.
If there is no identifiable cause for the Check Syringe alarm(s)
then the Pump should be removed from clinical use and examined
by Qualified Service Personnel in accordance with the Technical
ServiceManual.
PRESSURE DISC OUT High The pressure disc has been removed from the pressure transducer
during the infusion. Replace the pressure disc then restart
theinfusion.
BATTERY EMPTY High The internal battery is too low to operate the Pump. Immediately
connect the Pump to the AC power supply and cycle the power to
resume operation.
VTBI DONE (STOP) High The pre-set Volume To Be Infused is complete and the Pump has
stopped infusing.
END OF INFUSION High The Pump has reached the end of the infusion and the Pump has
stopped infusing. A pre-set volume will remain in the syringe to
minimise the risk of the infusion of air bubbles into the set. This value
can be configured.
END OF INFUSION Medium The Pump has reached the end of the infusion and the Pump
continues to infuse at KVO or set rate if lower.
BATTERY LOW Medium Battery charge low with 30 minutes operation remaining. Reconnect
to the AC power supply to charge the internal battery and continue
operation. If action is not taken the battery indicator will flash for 30
minutes followed by a continuous audible alarm, red alarm indicator
and message BATTERY EMPTY displayed, indicating that the
battery is too low to operate the Pump. Optional* reminder signals
may sound, they are auditory signals that have four beeps that occur
every ten minutes once the Low Battery alarm is cancelled.
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BD Alaris™ neXus CC Syringe Pumps
Alarms and Warnings
Display Alarm Priority Description and Troubleshooting Guide
TITRATION NOT CONFIRMED Medium The infusion rate has been changed, but has not been confirmed
after five seconds of no activity the user will be notified by an
auditory cue. The infusion has not been confirmed and two minutes
has expired without any operation, a medium priority alarm will be
generated. Press the
CANCEL softkey to clear this message and silence the alarm. Check
infusion rate and confirm by pressing the b button or press the h
button to revert to the previous rate. (This alarm only occurs if rate
titration is enabled). Pressing QUIT will cancel the titration and keep
the original rate.
VTBI DONE
(KVO/CONTINUE)
ATTENTION LOADING DOSE
COMPLETE
AC POWER FAIL Low AC Power has been disconnected and the Pump is operating on
NEAR END OF INFUSION Low The Pump is nearing the end of the infusion. This value can be
ADD DRUG NOT COMPLETE Low The ADD DRUG operation has not been completed after five seconds
ATTENTION Low If the Pump has been left on for more than two minutes* (referred
Medium The pre-set Volume To Be Infused is complete and the Pump
continues to infuse at set rate or at KVO rate.
Low If Pause After Loading Dose has been configured in the data set,
then a low priority alarm will be generated when the loading dose
has completed.
battery power, if this occurs when the Pump is infusing the message
INFUSION CONTINUES will be displayed. Reconnect AC power
supply or press the
with battery operation. The alarm will automatically cancel if the AC
power supply is reconnected.
configured. Optional* reminder signals may sound, they are auditory
signals that have four beeps that occur every ten minutes once
the NEOI alarm is cancelled. This reminder signal will not occur for
a continuous infusion in which the NEOI alarm is set for less than
tenminutes.
the user will be notified by an auditory cue. After two minutes have
expired and the ADD DRUG operation has not been completed, a
low priority alarm is generated. Press CANCEL softkey and complete
ADD DRUG operation.
to as ATTENTION in the log) without starting the operation, a low
priority alarm will be generated. Press the
alarm for a further two minutes. For extended Attention Timeout
press and hold down the R button and wait for four beeps in
succession, this will put the Pump on standby for 15 minutes.
R button to silence the alarm, then press the
R button to silence the alarm and continue
R button to silence the
*Configurable option.
Note: The audio sound pressure level is at least 45dB depending on configuration of the alarm sound level.
Setting the alarm sound pressure level lower than the ambient sound pressure level can impede user
recognition of alarm conditions.
Alarm Priority Level Indicators
Priority Audio Indicator Visual Indicator (Beacon)
High Ten beep sequence followed by a three second pause Flashing Red
Medium Three consecutive beeps followed by a four second pause Flashing Amber
Low Three consecutive beeps followed by a sixteen second pause Solid Amber
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BD Alaris™ neXus CC Syringe Pumps
Alarms and Warnings
Prompts
Prompts are indicated by an audible alarm and message. They cannot be silenced and do not have a visual indicator.
Display Icon Description and Troubleshooting Guide
DOSE WOULD EXCEED
DOSE UNDER
DOSE NOT PERMITTED
BOLUS DOSE OVER
BOLUS DOSE UNDER
BOLUS DOSE NOT PERMITTED
CONCENTRATION NOT PERMITTED
WEIGHT OUTSIDE LIMIT
RATE NOT PERMITTED
LOADING DOSE ABOVE MAXIMUM
LOADING DOSE WOULD EXCEED
LOADING DOSE UNDER
The dose rate has been set to a value which exceeds a Guardrails™
Soft Limit. Check infusion setting, to continue with infusion at set rate
confirm OVERRIDE LIMIT by pressing the YES softkey. If OVERRIDE
LIMIT is not required press the NO softkey and adjust rate below
Guardrails™ Soft Limit.
The dose rate has been set to a value which is under a Guardrails™
Soft Limit. Check infusion setting, to continue with infusion at set rate
confirm OVERRIDE LIMIT by pressing the YES softkey. If OVERRIDE
LIMIT is not required press the NO softkey and adjust rate above
Guardrails™ Soft Limit.
The dose rate has been set above a Hard Limit. Check infusion setting
and adjust rate to appropriate required rate.
The bolus dose has been set to a value which exceeds a Guardrails™
Soft Limit. Check the bolus setting, to continue with the bolus confirm
OVERRIDE LIMIT by pressing the YES softkey. If OVERRIDE LIMIT is
not required press the NO softkey and adjust dose below Guardrails™
Soft Limit.
The bolus dose has been set to a value which is under a Guardrails™
Soft Limit. Check the bolus setting, to continue with the bolus confirm
OVERRIDE LIMIT by pressing the YES softkey. If OVERRIDE LIMIT is
not required press the NO softkey and adjust dose above Guardrails™
Soft Limit.
The bolus dose has been set above a Guardrails™ Hard Limit. Check
bolus setting and adjust to appropriate required dose.
The drug concentration has been set above or below a Guardrails™
Hard Limit. Check the amount and total volume and adjust to give the
appropriate required concentration.
The patient weight has been set to a value which exceeds or is under
a Guardrails™ Soft Limit. Check the weight setting, to continue confirm
OVERRIDE LIMIT by pressing the YES softkey. If OVERRIDE LIMIT is
not required press the NO softkey and adjust the value within the limits.
The infusion rate has been set above a Hard Limit. Check infusion
setting and adjust to appropriate required rate.
The loading dose has been set to a value which exceeds a Guardrails™
Hard Limit. Check infusion settings and adjust to appropriate loading
dose.
The loading dose has been set to a value which exceeds a Guardrails™
Soft Limit. Check the loading dose setting. To continue with the
loading dose confirm OVERRIDE LIMIT by pressing the YES softkey.
If OVERRIDE LIMIT is not required press the NO softkey and adjust
loading dose below Guardrails™ Soft Limit.
The loading dose has been set to a value which is under a Guardrails™
Soft Limit. Check the loading dose setting. To continue with the
loading dose confirm OVERRIDE LIMIT by pressing the YES softkey.
If OVERRIDE LIMIT is not required, press the NO softkey and adjust
loading dose above Guardrails™ Soft Limit.
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BD Alaris™ neXus CC Syringe Pumps
Configuration
Configuration
Configured Options
This section comprises of a list of options which are configurable. Some can be entered via the Pump configurations
(available in Technician Mode) and others through the data set via BD Alaris™ neXus Editor Software.
Access codes should only be entered by Qualified Service Personnel.
Use BD Alaris™ neXus Editor to configure general options, drug library and units enabled for each profile and to configure
Syringe Brands and Models to be enabled.
Enter the access code on the Pump for Configured Options. (Refer to Technical Service Manual for details.)
Alarm Presets
Pumps have two alarm tones to choose from during configuration:
• ORIGINAL ALARMS: Low, medium and high priority alarm tones that sound similar to legacy Alaris™ Infusion
Pumps.
• 3RD EDITION ALARMS: Low, medium and high priority alarm tones in accordance with IEC60601-1-8:2012 and
IEC60601-2-24:2012
Enter the access code on the Pump for Alarm Presets, see the Technical Service Manual or Information Notice for details.
1. Use the
2. When the desired alarm tone has been selected press OK softkey.
3. When all modifications have been carried out press QUIT softkey.
f keys to select alternative alarm tones.
• All Pumps in a single care area should be configured with the same alarm tones to avoid user
confusion.
• The Hospital/Facility is responsible for selecting and configuring the desired alarm scheme.
• Alaris™ Gateway Workstation (Workstation) with software versions 1.1.3, 1.1.3 MR, 1.1.5, 1.1.6, 1.2,
1.5 or 1.6.0 do not support the new Pump low priority visual alarms scheme defined in IEC606011-8:2012.
• Low priority alarms (Near End of Infusion, AC Power Fail, Add Drug Not Complete, and Attention)
will display as medium visual priority alarms on the Workstation beacon and a low priority alarm
on the Pump. For certain Information signals, e.g. those associated with Add Drug Not Complete
and Titration Not Confirmed, the Workstation beacon will illuminate while the beacon on the Pump
will not. The user should refer to the alarm on the Pump for the correct priority.
Additional Configured Options Available
• Clock Set
• Language
• Contrast
• General Options
- NURSE CALL FITTED
- NURSE CALL INVERT
- RS232 SELECTED
- DOUBLE DECIMAL ML/H
- REMINDER SIGNAL
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BD Alaris™ neXus CC Syringe Pumps
Configuration
BD Alaris™ neXus Editor Software Profile Configuration
The following options are only configurable via the BD Alaris™ neXus Editor Software (PC based). See BD Alaris™ neXus
Editor Directions For Use for details on how to configure Profile Configurations.
Data Set Configuration Settings
Setting Description
Hospital Name Configure the name of the facility to be displayed on the Pump.
Profile Filter Controls whether the user is able to filter which profiles will be available on the Pump.
Unit Display – Microgram The text used to display micrograms: either mcg or µg.
Unit Display – Unit The text used to display Units, either mU, U and kU or mUnit, Unit and kUnit
General Pump Configurations
Setting Description
AC Fail The AC Power Failure Alarm can be set to sound or be silent if the AC power is removed.
Audio Volume The audio alarm volume of the Pump (High, Medium or Low).
Audio Volume Adjustable Sets whether the user is able to adjust the audio volume setting.
Auto Night Mode Main Display (Backlight) dims between hours 21:00 and 06:00.
Auto Save Feature to retain previous settings when Pump is switched on.
Battery Icon Indicator displaying the remaining estimated battery capacity.
Callback Time Adjusts the length of time before the Pump sounds the Attention alarm.
Drug Override Mode • Always – Confirmation of setting will be required for any changes made to the dose
rate that are outside of the Guardrails™ Soft Limits.
• Smart – Confirmation of setting will be required on first dose rate set outside of
the Guardrails™ Soft Limit. Any subsequent changes will not require confirmation
until after the dose rate has been confirmed inside the Guardrails™ Soft Limits.
Additionally any changes in dose rate from above a Soft Limit Max to below a Soft
Limit Min or from below a Soft Limit Min to above a Soft Limit Max will also need
to be confirmed.
Event Log The event log can be set to be displayed or not on the main display. Regardless of the
display setting, events are always recorded in the log.
Pressure Display Sets whether Pressure Information is available on the display.
Quiet Mode Mode to silence key press tones and power down sequence.
Rate Titration Feature to adjust the infusion rate while the Pump is infusing, without putting the Pump
on hold.
Rate Lock Anti-tamper feature which prevents rate changes, bolus operations and powering Pump
down.
Standby Mode Sets whether the Standby Mode is available on the Pump.
VTBI Clear Rate Infusion rate will be set to zero when VTBI has been completed.
Weight Default The default patient weight in kg.
Weight Soft Minimum The minimum patient weight in kg. This is a Guardrails™ Soft Limit and can be overridden.
Weight Soft Maximum The maximum patient weight in kg. This is a Guardrails™ Soft Limit and can be
overridden.
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BD Alaris™ neXus CC Syringe Pumps
Configuration
General Syringe Pump Configurations
Setting Description
Back O An automatic feature which is activated following an occlusion. The Pump action reverses
and pumps backwards to release the pressure which has built up in the infusion system,
this minimises the post occlusion bolus.
Display Syringe Brand Sets whether the syringe brand and size is shown while Pump is infusing.
Manual Bolus Bolus delivered by manually moving the plunger mechanism during an infusion or while
on hold. Volume infused displayed will be increased accordingly.
Bolus Mode Bolus feature can be set to one of the following options:
• Disabled
• Hands-On Only
• Hands-Free and Hands-On
Bolus Rate Default The default value for bolus rates.
Bolus Rate Max The maximum value for bolus rate.
Bolus Volume Max The maximum permissible bolus volume.
Infusion Rate Max The maximum value for infusion rate.
Near End of Infusion Point Sets the Near End Of Infusion (NEOI) warning time, as time left to End Of Infusion (EOI).
End of Infusion Sets the End Of Infusion point, as a percentage of syringe volume.
KVO at EOI Sets whether the Keep Vein Open (KVO) at End Of Infusion is available.
KVO Rate Sets the Keep Vein Open rate at which the Pump will operate when End of Infusion
isreached.
Purge Syringe Feature which prompts the user to purge the extension set prior to the start of the
infusion.
Purge Rate The rate used during purge operation.
Purge Volume Max The maximum permissible purge volume.
VTBI Max The maximum value for Volume To Be Infused (VTBI).
Pressure Maximum The maximum occlusion pressure alarm value that can be selected during an infusion.
Occlusion Alarm Pressure The default occlusion pressure alarm value that can be selected during an infusion.
Auto Pressure Feature to set the occlusion pressure alarm level to an amount (mmHg) above the current
in-line pressure, using a single key press.
Auto Set Pressure Automatic feature to set the occlusion pressure alarm level to an amount (mmHg) above
the current in-line pressure, 15 minutes after starting the infusion.
Auto Oset The automatic oset value in mmHg used by auto pressure and auto set pressure.
Drug Confirmation After
Syringe Change
This feature, when enabled, specifies if an additional confirmation screen displays current
drug setup on syringe change.
The approved data set contains configurable option values per profile.
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BD Alaris™ neXus CC Syringe Pumps
Configuration
Dose Rate Units
All of the following dose rate units can be used when defining the Guardrails™ dose rate settings. The following dose rate
units can be configured for use in Dosing Only mode. Checking the ALL checkbox will select all of the listed units.
Amount
ng ng/min ng/h ng/24h ng/kg/min ng/kg/h ng/kg/24h
µg µg/min µg/h µg /24h µg/kg/min µg/kg/h µg/kg/24h
mg mg/min mg/h mg/24h mg/kg/min mg/kg/h mg/kg/24h
g g/min g/h g/24h g/kg/min g/kg/h g/kg/24h
mU mU/min mU/h mU/24h mU/kg/min mU/kg/h mU/kg/24h
U U/min U/h U/24h U/kg/min U/kg/h U/kg/24h
kU kU/min kU/h kU/24h kU/kg/min kU/kg/h kU/kg/24h
mmol mmol/min mmol/h mmol/24h mmol/kg/min mmol/kg/h mmol/kg/24h
ml ml/min ml/h ml/24h ml/kg/min ml/kg/h ml/kg/24h
mEq mEq/min mEq/h mEq/24h mEq/kg/min mEq/kg/h mEq/kg/24h
kcal kcal/min kcal/h kcal/24h kcal/kg/min kcal/kg/h kcal/kg/24h
Non Patient Weight Based Patient Weight Based
minute hour 24 hours minute hour 24 hours
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BD Alaris™ neXus CC Syringe Pumps
Configuration
BD Alaris™ neXus Editor Software Profile Drug library
The following drug parameters are only configurable via the BD Alaris™ neXus Editor Software. See BD Alaris™ neXus
Editor Directions For Use for details on how to configure Profile Drug Library. These parameters are used when the Pump is
operated with a drug name selected.
Item Description
Concentration Units The unit for concentration parameters.
Concentration Limits
(Min and Max)
Loading Dose Units The loading dose units. Can be based on patient weight.
Soft Min The loading dose value, below which override confirmation is
Default The default loading dose oered when the drug is selected.
Soft Max The loading dose value above which override confirmation is
Hard Max The maximum allowed loading dose.
Default Duration The default duration over which the loading dose will be delivered.
Pause After
Loading Dose
Dose Rate Settings Units The dose rate units. Can be based on patient weight.
Soft Min The dose rate value below which override confirmation is required.
Default The default dose rate oered when the drug is selected.
Soft Max The dose rate value above which override confirmation is required.
Hard Max The maximum allowed dose rate.
Bolus Mode Bolus feature can be set to one of the following options:
Bolus Dose Units The bolus dose units. Can be based on patient weight.
Soft Min
(Hands-Free only)
Default
(Hands-Free only)
Soft Max
(Hands-Free only)
Hard Max The maximum allowed bolus dose.
Bolus Rate Default The default value for bolus rate in ml/h.
Occlusion Alarm Pressure The default occlusion alarm pressure.
These define the range over which the drug concentration can be
modified during programming of the Pump.
required.
required.
If Pause After Loading Dose is enabled, then a low priority alarm will
be generated when the loading dose has completed.
• Disabled
• Hands-On Only
• Hands-Free and Hands-On
The bolus dose value below which override confirmation is required.
The default bolus dose oered.
The bolus dose value above which override confirmation is required.
BDDF00412 Issue 4 44/70
Page 46
BD Alaris™ neXus CC Syringe Pumps
Configuration
Profile Syringe Library
The Profile Syringe Library is created from the predefined Master Syringe Library.
Check the boxes of the syringes to be included in the profile. Checking the All Syringes checkbox under Operations selects
all the syringes.
For syringe brands and sizes available see ‘Recognised Syringes’ section.
Note: It is recommended that only syringe types and sizes used in the care area are selected.
BDDF00412 Issue 4 45/70
Page 47
BD Alaris™ neXus CC Syringe Pumps
Associated Products
Associated Products
Recognised Syringes
The Pump is calibrated and labelled for use with single-use disposable Luer lock syringes. Only use the size and type of
syringe specified on the Pump display.
Manufacturer Model Part Number Alternative Part Numbers
BD Plastipak 5ml 309649 302553 302135 309646
10ml 300912 — — —
20ml 301189 300629 302562 —
30ml 301229 302832 — —
50ml 300865 309653 — —
BD Precise 20ml 300141 — — —
50ml 300144 — — —
Braun Omnifix* 5ml 4617053V — — —
10ml 4617100V — — —
20ml 4617207V — — —
30ml 4617304F — — —
50ml 4617509F — — —
Braun Perfusor* 20ml 8728615 — — —
50ml 8728844F-06 8728844F-04 8728844F-20 —
Codan Perfusion* 50ml 62.8455 — — —
Fresenius Injectomat* 50ml 9000711 — — —
Monoject* 5ml 1180600777 — — —
10ml 1181200777 — — —
20ml 1182000777 — — —
30ml 1183500777 — — —
50ml 1186000777 — — —
Pentaferte* 5ml 002022520F — — —
10ml 002022620F — — —
20ml 002022720F — — —
50ml 002022970F 002022920AF
(amber)
Terumo* 5ml SS-05L SS*05LE1 — —
10ml SS-10L SS*10LE1 — —
20ml SS-20L2 — — —
30ml SS*30LE1 — — —
50ml SS*50LE — — —
— —
To minimise the risk of incorrect confirmation of the syringe type it is recommended that only syringe
types available in the hospital are configured on the Pump.
BDDF00412 Issue 4 46/70
Page 48
BD Alaris™ neXus CC Syringe Pumps
Associated Products
• BD has characterized a range of syringes as identified in the ‘Recognised Syringes’ table. BD cannot
guarantee the continued system accuracy of these recognised syringes* as the manufacturer may
change syringe specification significant to system accuracy without prior notification.
• Subject to the above, BD branded Luer lock syringes can be confirmed as BD Plastipak syringes due
to there being no significant variance in dimensions.
• In no event shall BD be liable for any damages of any kind or nature, including without limitation,
direct or indirect, special, consequential, or incidental damages arising from, or in connection with
the use of syringes not listed in the ‘Recognised Syringes’ table.
BDDF00412 Issue 4 47/70
Page 49
BD Alaris™ neXus CC Syringe Pumps
Alaris™ Gateway Workstation v1.3.x or v1.6.x
Product SKU 80300UNSy-xx or 80223UNSy-xx
Supply Voltage 115–230V AC, ~50–60Hz
Electrical Rating 460VA (Maximum)
Protection Against Electrical Shock Class 1
Classification Continuous Operation
Supply to Pump 115–230V, ~50–60Hz, 60VA
y = Connectivity option – 1, 2 or 3
xx = Configuration
Associated Products
BD Alaris™ MRI Capsule v1.3.x
Product SKU 80300MRI01-33
BDDF00412 Issue 4 48/70
Page 50
BD Alaris™ neXus CC Syringe Pumps
Associated Products
Compatible Extension Sets
The Pump uses standard, single-use, disposable extension sets and syringes with Luer lock connectors. The user is
responsible for verifying the suitability of a product used, if it is not recommended by BD.
• New sets are continuously being developed for our customers. Contact your local BD representative
for availability.
• It is recommended that extension sets are changed in accordance with the Directions For Use.
Carefully read the Directions For Use supplied with the extension set prior to use.
Please note these drawings are not to scale.
Standard Sets
G30402M Standard PVC Syringe Extension Set with occlusion sensing disc. (200cm).
Priming Volume: 1.5ml
04103215162 Standard PVC Syringe Extension Set (155 cm).
Priming Volume: 1.4ml
G40020B Standard PVC Syringe Extension Set (200 cm).
Priming Volume: 1.5ml
Blood Sets
MFX2207E Neonatal closed blood set with occlusion sensing disc. (320cm).
Priming Volume: 15ml
MFX2213 Blood extension set with occlusion sensing disc. (200cm).
Priming Volume: 0.8ml
BDDF00412 Issue 4 49/70
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BD Alaris™ neXus CC Syringe Pumps
Associated Products
TPN Sets
MFX2206E Dedicated Neonatal TPN system light resistant extension set with occlusion sensing disc. (115cm).
Priming Volume: 15ml
MFX2211 Dedicated TPN system light resistant extension set with occlusion sensing disc. (200cm).
Priming Volume: 1.3ml
Light Protected Sets
G30653V Opaque White PVC Syringe Extension Set with occlusion sensing disc. (200cm).
Priming Volume: 1.5ml
MFX2294 Opaque White PVC Syringe Extension Set with occlusion sensing disc. (200cm).
Priming Volume: 1.5ml
G40215K Amber PE Syringe Extension Set (150 cm).
Priming Volume: 1.2ml
G40320V White PVC Syringe Extension Set (200 cm).
Priming Volume: 3.6ml
NICU Sets
MFX2210 Syringe Extension Set with occlusion sensing disc. (200cm).
Priming Volume: 1.6ml
BDDF00412 Issue 4 50/70
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BD Alaris™ neXus CC Syringe Pumps
Associated Products
Low Sorbing Sets
G30453V Opaque White PVC low sorbing Syringe Extension Set with occlusion sensing disc. (200cm).
Priming Volume: 1.5ml
G30302M Polyethylene Lined Syringe Extension Set with occlusion sensing disc and clamp. (200cm).
Priming Volume: 1.6ml
MFX2299E Polyethylene Lined Syringe Extension Set with occlusion sensing disc and clamp. (205cm).
Priming Volume: 1ml
MFX2214 Amber Polyethylene Lined Syringe Extension Set with occlusion sensing disc and clamp. (30cm).
Priming Volume: 0.3ml
G40615K Polyethylene Syringe Extension Set (150 cm).
Priming Volume: 1.5ml
G40620K Polyethylene Syringe Extension Set (200 cm).
Priming Volume: 2ml
PB-G40720 Polyethylene Lined Syringe Extension Set with clamp. (200 cm).
Priming Volume: 1.5ml
04105010509K Polyethylene Syringe Extension Set (100 cm).
Priming Volume: 1ml
BDDF00412 Issue 4 51/70
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BD Alaris™ neXus CC Syringe Pumps
Maintenance
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 plunger 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 Qualified Service Personnel.
• All preventative and corrective maintenance and all such activities shall be performed at a
compliant work place in accordance with the information supplied. BD will not be responsible
should any of these actions be performed outside the instructions or information supplied by BD.
For Preventative and Corrective Maintenance instructions refer to the Technical Service Manual
(TSM).
• All preventative and corrective maintenance and all such activities should be performed by
Qualified Service Personnel only, 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.
Refer to Technical Service Manual for calibration procedures. The units of measurement used in the
calibration procedure are standard SI 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.
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 three
month intervals during storage.
It is recommended that only Qualified Service Personnel replaces the battery, only use BD recommended battery. For
further information regarding the replacement of batteries refer to the Technical Service Manual.
The battery pack used in this BD Alaris™ neXus CC Syringe Pump is manufactured by BD and includes a proprietary
PCB (printed circuit board) designed for the BD Alaris™ neXus CC Syringe Pump, and in conjunction with BD Alaris™
neXus CC Syringe Pump software, controls battery use, charge and temperature. Any use of battery packs that are not
manufactured by BD in the BD Alaris™ neXus CC Syringe Pump is at your sole risk, and BD does not provide any warranty
for or endorsement on any battery packs that are not manufactured by BD. BD product warranty shall not apply in the
event the BD Alaris™ neXus CC Syringe Pump has suered damage or premature wear, or malfunctions or otherwise
operates incorrectly, as a result of use with a battery pack that is not manufactured by BD.
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BD Alaris™ neXus CC Syringe Pumps
Maintenance
Cleaning and Storage
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:
• Hibiscrub 20% (v/v)
• Virkon Disinfectant 1% (w/v)
The following products were tested and are acceptable for use on the Pump if used in accordance with the specified
manufacturer’s guidelines.
• Warm soapy water
• Mild detergent in water (e.g. Young’s Hospec)
• 40% isopropyl alcohol in water
• Chlor-Clean
• Clinell Universal Wipes
• Reynard
• TriGene Advance
• Tristel Fuse sachets
• Tristel Trio wipes system
• Tue 5 wipe
• Tue Disinfectant
Do not use the following disinfectant types:
• Disinfectants which are known to be corrosive to metals must not be used. These include:
- NaDcc (such as Presept)
- Hypochlorites (such as Chlorasol)
- Aldehydes (such as Cidex)
• Cationic surfactants >1% (such as benzalkonium chloride)
• Mixture of alcohol and chemicals with cationic surfactants >1% chlorohydrocarbons (such as Amberclens)
• Use of iodine (such as Betadine) will cause surface discoloration.
• Concentrated isopropyl alcohol based cleaners will degrade plastic parts.
• 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.
• If the Pump has visible cracks or damage to the case do not clean and immediately take it out of
service for examination by Qualified Service Personnel.
• Ensure the pressure transducer is free from residues, which may prevent correct operation of the
disc detector.
The syringe and extension sets are disposable single use items and should be discarded after use according to their
manufacturers’ instructions.
The lock box can be removed for cleaning. This should be performed by Qualified Service Personnel only, with reference to
the TSM.
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 three months during storage, carry out functional tests as described in the Technical Service Manual and
ensure that the internal battery is fully charged.
BDDF00412 Issue 4 53/70
Page 55
BD Alaris™ neXus CC Syringe Pumps
Maintenance
Disposal
Information on Disposal for Users of Waste Electrical and Electronic Equipment
This symbol on the product and/or accompanying documents means that used electrical and electronic products should
not be mixed with household waste.
If you wish to discard electrical and electronic equipment, please contact your BD aliate oce or distributor for further
information.
Disposing of this product correctly will help to save valuable resources and prevent any potential negative eects 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.
BDDF00412 Issue 4 54/70
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BD Alaris™ neXus CC Syringe Pumps
Technical Data
Technical Data
Specifications
Infusion Specifications
Maximum infusion rate can be set as part of the configuration in the data set via BD Alaris™ neXus Editor.
Infusion Rate Syringe Size
0.1ml/h to 150ml/h 5ml syringes
0.1ml/h to 300ml/h 10ml syringes
0.1ml/h to 600ml/h 20ml syringes
0.1ml/h to 900ml/h 30ml syringes
0.1ml/h to 1200ml/h 50ml syringes
Infusion Rate Increments:
Rate Range (ml/h) Single Chevron Key Increments (ml/h) Double Chevron Key Increments (ml/h)
0.10 to 9.99 0.01 0.10
10.0 to 99.9 0.1 1.0**
100 to 999 1 10
1000 to 1200 10 100
0.1 to 9.9** 0.1 1
** – Infusion rate increment changes when the double decimal option is disabled in the General Options.
The Volume Infused range is 0.0ml to 9990ml.
Bolus Specifications
Maximum Bolus rates can be set as part of the configuration. Bolus rates are user adjustable, in increments of 10ml/h.
Bolus Rate Syringe Size
10ml/h to 150ml/h 5ml syringes
10ml/h to 300ml/h 10ml syringes
10ml/h to 600ml/h 20ml syringes
10ml/h to 900ml/h 30ml syringes
10ml/h to 1200ml/h 50ml syringes
The bolus volume limit can be set as part of the configuration.
• Minimum: 0.1ml; maximum 25.0ml
• Increments of 0.1ml; default 5.0ml
During BOLUS the pressure limit alarms are temporarily increased to their maximum level.
BDDF00412 Issue 4 55/70
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BD Alaris™ neXus CC Syringe Pumps
Bolus Volume Accuracy*
With pressure disc
Bolus Volume Typical Typical Maximum Typical Minimum Pump Specification
0.1ml 1.7% 5.1% −2.5% ±10%
25ml 0.1% 0.5% −0.6% ±5%
Without pressure disc
Bolus Volume Typical Typical Maximum Typical Minimum Pump Specification
0.1ml 1.9% 6.2% −7.3% ±10%
25ml 0.2% 0.5% −0.1% ±5%
* – Using BD Plastipak 50ml syringe at 5ml/h under normal conditions (95% confidence / 95% of Pumps).
Critical Volume
The bolus which can occur in the event of a single internal fault condition with a 50ml syringe is:
Maximum overinfusion is 0.87ml.
Technical Data
Purge Specifications
The purge rate is limited to the maximum rate for the syringe and can be set as part of the configuration.
100 to 500ml/h.
The purge volume range is 0.5 to 5ml.
During PURGE the pressure limit alarms are temporarily increased to their maximum level.
Keep Vein Open (KVO) Rate
0.1 to 2.5ml/h.
End Of Syringe Rate
Stop, KVO (0.1 to 2.5ml/h), or set rate if lower than KVO.
Volume To Be Infused (VTBI)
0.10 to 1000ml, 1 minute to 24 hours.
VTBI Complete Rate
Stop, KVO (0.1 to 2.5ml/h), set rate if lower than KVO or continue at set rate.
Near End Of Infusion Alarm
1 to 15 minutes to end of infusion, or 10% of syringe volume, whichever is smaller.
End Of Infusion (EOI) Alarm
0.1 to 5% of syringe volume.
Maximum Pumping Pressure Limit
Highest alarm level 1000mmHg (nominal at L10).
BDDF00412 Issue 4 56/70
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BD Alaris™ neXus CC Syringe Pumps
Occlusion Accuracy
Without pressure disc (% of full scale)*
Pressure
L0
approx. 50mmHg
Temp. 23°C ±18% ±21% ±23% ±28%
With pressure disc (% of full scale)*
0mmHg 25mmHg 500mmHg 1000mmHg
Temp. 23°C ±2% ±4% ±5% ±6%
Temp. 5°C to 40°C ±4% ±7% ±7% ±10%
* Using most common 50ml syringes under normal conditions (95% confidence / 95% of Pumps).
approx. 300mmHg
L3
approx. 500mmHg
Pressure
L5
approx. 1000mmHg
System Accuracy
Rate Typical Pump Specification
<1ml/h ±2% ±10%
≥1ml/h ±2% ±2%
Technical Data
L10
• Derating – Temperature ±0.5% (5 to 40ºC), High Rates ±2.0% (rates > syringe volume/h e.g. >50ml/h in a 50ml
syringe.)
• System accuracy is ±2% typical by volume as measured using the trumpet curve test method
defined in EN/IEC60601-2-24 at rates of 1.0ml/h (23ºC) and above when the Pump is used with
the recommended syringes.
• Infusion volume accuracy may be compromised at rates below 1.0ml/h. Differences in factors such
as size and plunger force in recognised syringes can cause variations in accuracy and trumpet
curves. See also ‘Trumpet Curves and Start-Up Curves’ section in this manual.
Data Set Specification
A maximum of 30 profiles can be set, with a total number of 3000 drugs per data set. See BD Alaris™ neXus Editor
Software Directions For Use for more details.
Electrical Classification
Class I product. Continuous Mode Operation, Transportable
Battery Specifications
Rechargeable sealed NiMH. Automatically charges when the Pump is connected to AC power.
Mean Time To Power Down from fully charged at 5ml/h and 23 ± 2°C under normal conditions is 6 hours.*
Mean Time To Power Down from fully charged at 5ml/h and 23 ± 2°C, Wi-Fi ON, is 4 hours.
*95% lower confidence interval of 5 hours 50 minutes.
Charging takes 2½ hours from discharge to 90% charge.
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BD Alaris™ neXus CC Syringe Pumps
Technical Data
Wi-Fi Specifications
The Pump’s wireless module contains a radio frequency, wireless, local-area network interface (RF) card. The wireless
module supports Wi-Fi communication between Pump and BD Alaris™ Communication Engine (if deployed at the facility).
The wireless module is compliant with the rules and regulations in the locations where the Pump is sold. Network settings
are programmed by Qualified Service Personnel using BD Alaris™ Technical Utility.
Wi-Fi network standards: 802.11a (Wi-Fi 2), 802.11b (Wi-Fi 1), 802.11g (Wi-Fi 3) and 802.11n (Wi-Fi 4).
Frequency band of operation: 2400–2483.5MHz for 2.4GHz, eective radiated power 18dBm;
5150–5350MHz and 5470–5725MHz for 5GHz, eective radiated power 18dBm.
Interconnected data communications systems must be certified to IEC60950 (data processing
equipment) or IEC60601-1 (electromedical equipment).
Radio Equipment Directive Declaration of Conformity Statement
Hereby, BD Switzerland Sàrl, declares that the radio equipment type ‘BD Alaris™ neXus CC’ is in compliance with Directive
2014/53/EU. The full text of the EU declaration of conformity is available at the following internet address:
https://www.bd.com/en-uk/Infusion/Conformity-Declaration-CC-neXus
Memory Retention
The electronic memory of the Pump will be retained for at least six months when not powered up.
Fuse Type
2 × T 1.25H, 250V
AC Power Supply
115–230V AC, 50–60Hz, 30VA (under maximum charging conditions) 10VA (nominal).
Dimensions
335mm (w) × 121mm (h) × 200mm (d)
Weight
2.4kg (excluding power cable)
Protection against fluid ingress
IP32 – Protected against direct sprays of water up to 15° from vertical and protected against solid objects greater than
2.5mm.
Note: IP33 applies if mains retainer kit, part number 1000SP01294, is fitted.
Alarm Conditions
Drive Disengaged Occlusion Attention (Nurse Callback)
Check Syringe Battery Low Titration Not Confirmed
Line Occlusion Battery Empty VTBI Done
Near End Of Infusion End of Infusion AC Power Fail
Internal Malfunction Pressure Disc Out Dose Under
Dose Would Exceed Dose Not Permitted Bolus Dose Not Permitted
Bolus Dose Under Bolus Dose Over Rate Not Permitted
Concentration Not Permitted Weight Outside Limit Add Drug Not Complete
Loading Dose Above Maximum Loading Dose Under Loading Dose Would Exceed
Loading Dose Complete
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BD Alaris™ neXus CC Syringe Pumps
Technical Data
Environmental Specifications
Condition Acceptable Range
Operating Temperature 0°C to +40°C
Operating Relative Humidity 20% to 90% non-condensing
Operating Atmospheric Pressure 70kPa to 106kPa
Transport and Storage Temperature −30°C to +50°C
Transport and Storage Relative Humidity 10% to 90% non-condensing
Transport and Storage Atmospheric Pressure 50kPa to 106kPa
Electrical/Mechanical Safety
Complies with EN/IEC60601-1 and EN/IEC60601-2-24.
Potential Equalisation Conductor
The function of the Potential Equalisation Connector (Conductor) is to provide a direct connection between the Pump and
the potential equalisation busbar of the electrical installation. To use the Potential Equalisation Connector, connect the
Potential Equalisation Connector on the Pump to the potential equalisation busbar of the electrical installation.
EMC
Complies with EN/IEC60601-1-2 and EN/IEC60601-2-24.
BDDF00412 Issue 4 59/70
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BD Alaris™ neXus CC Syringe Pumps
Technical Data
Occlusion Pressure Limits
Time to alarm following occlusion is achieved in less than 30 minutes at rates of 1ml/h and higher by the appropriate
selection of occlusion levels.
Use of the dedicated pressure disc permits the occlusion alarm pressure (mmHg) to be set accurately, with a small
operating margin between the alarm and normal infusion pressures. When using the Pump without a pressure set,
pressures are estimated from pumping force. For this reason the occlusion alarm needs to be set with an operating margin
of at least one level between the alarm and normal infusion levels. The ability to set a small operating margin permits
short time to alarm and small potential bolus volumes to be achieved. Bolus volumes can be minimised as described in the
Alarms and Warnings – Occlusion or by enabling the back o general option.
Pressure
Auto Setting
Typical running
pressure 25mmHg
Occlusion
• Occlusion level without a pressure disc fitted with occlusion levels:
L2 (approx. 200 mmHg).
• Auto pressure setting with pressure disc fitted: (e.g. 55 mmHg).
• T1 << T2.
Alarm: without a pressure disc fitted
Alarm: with a
pressure disc fitted
Time
BDDF00412 Issue 4 60/70
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BD Alaris™ neXus CC Syringe Pumps
19:12
0 200 400 600 800 1000
1.20
10 200 500 600 800 1000
0.35
0 50 100 200 300 400 500 600 700 800 900 1000
Technical Data
With a Pressure Extension Set fitted, G30402M – Standard disposable extension set
The following graphs show the typical values for time to alarm and bolus volume that can be expected in the event of an
occlusion when the BD Plastipak 50ml syringe is selected with a G30402M extension set with occlusion sensing disc.
Time to alarm at 0.1ml/h
— typical
16:48
15:45
14:24
12:00
9:36
7:12
hr:min
4:48
2:24
0:00
mmHg
Time to alarm at 1.0ml/h Time to alarm at 5.0ml/h
— typical
— typical
hr:min:sec
1.00
0.80
0.60
ml
0.40
0.20
0.00
mmHg mmHg
Unintended bolus volume at 5.0ml/h
back o disabled
mmHg mmHg
— typical
hr:min:sec
0.30
0.25
0.20
ml
0.15
0.10
0.05
0.00
Unintended bolus volume at 5.0ml/h
back o enabled
— typical
— 0.3ml
threshold
BDDF00412 Issue 4 61/70
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BD Alaris™ neXus CC Syringe Pumps
19:12
1.40
0 2 5 8 10
0.35
0 2 4 6 8 10
Technical Data
Without a Pressure Extension Set fitted, G40020B – Standard disposable extension set
The following graphs show the typical values for time to alarm and bolus volume that can be expected in the event of an
occlusion when the BD Plastipak 50 ml syringe is selected with a G40020B standard extension set.
Time to alarm at 0.1ml/h
— typical
16:48
14:24
12:00
09:36
07:12
hr:min
04:48
02:24
00:00
Occlusion Level
Time to alarm at 1.0 ml/h Time to alarm at 5.0 ml/h
— typical
— typical
hr:min
hr:min
Occlusion Level Occlusion Level
ml
Unintended bolus volume at 5.0ml/h
back o disabled
1.20
1.00
0.80
0.60
0.40
0.20
0.00
— typical
ml
Unintended bolus volume at 5.0ml/h
back o enabled
0.30
0.25
0.20
0.15
0.10
0.05
0.00
— typical
– – 0.3ml
threshold
Occlusion Level Occlusion Level
Tests at low alarm levels may alarm immediately – the force at these levels is commonly less than the friction in the
syringe (with no additional fluid pressure). The result is that the pressure relating to the low forces will be less than the
nominal quoted occlusion pressure.
Bolus volume following occlusion will be minimised by the back o feature if enabled. The back o will reduce the line
pressure by removing the volume stored in the occluded line and deduct this volume from the volume infused. Back o will
terminate if the pressure reaches the level recorded by the Pump when the infusion was last started, or a maximum back
o volume has been withdrawn from the extension set. It will also terminate if the volume infused reaches 0.0ml, or a
VTBI reaches the value at which it was set.
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BD Alaris™ neXus CC Syringe Pumps
Technical Data
IrDA, RS232 and Nurse call Specification
IrDA / RS232 / Nurse call Feature
The IrDA or RS232 / Nurse call is a feature on the Pump that allows connection to a PC or another BD Alaris™ neXus CC
Syringe Pump. This allows data to be transferred between the Pump and a PC or another BD Alaris™ neXus CC Syringe
Pump, (e.g. data sets to be uploaded to the Pump, Event Reports to be downloaded from the Pump and the Pump to be
monitored remotely via a suitable central monitoring or computer system).
• The nurse call interface provides a remote backup to the internal audible alarm. It should not be
relied upon to replace monitoring of the internal alarm.
• The signal leaves the IrDA port and the RS232 for Nurse call within one second after the alarm
condition is detected.
• 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 or
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. The protocol is detailed in the
BD Alaris™ neXus CC Syringe Pump Communications Protocol and is for general information only.
• Any connected analogue and digital components are required to meet EN/IEC60950 for data
processing and EN/IEC60601 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 EN/IEC60601-1-1.
IrDA
Item Value
Baud Rate 115.2kBaud
Start Bits 1 start bit
Data Bits 8 data bits
Parity No parity
Stop Bits 1 stop bit
BDDF00412 Issue 4 63/70
Page 65
RS232 / Nurse call Connection Data
RS232 / Nurse call Specification
Item Description
Connector D Type – 9 Pin
TXD/RXD EIA RS232-C Standard
TXD Output Voltage Range Minimum: −5V (mark), +5V (space)
Typical: −7V (mark), +7V (space) with 3kΩ load to ground
RXD Input Voltage Range −30V to +30V max.
RXD Input Thresholds Low: 0.6V minimum
High: 3.0V maximum
RXD Input Resistance 3kΩ minimum
Enable Active, low: −7V to 12V
Active, high: +7V to +12V
Inactive: Floating/open circuit – allows isolated RS232 circuitry to power down.
Isolation Socket/Pump 1.5kV (DC, or AC peak)
Baud Rate 115.2kBaud
Start Bits 1 start bit
Data Bits 8 data bits
Parity No parity
Stop Bits 1 stop bit
Nurse Call Relay Contacts Pins 1, 8 + 9, 30V DC, 1A rating
BD Alaris™ neXus CC Syringe Pumps
Technical Data
– powers up the isolated RS232 circuitry.
Typical Connection Data
1. Nurse call (Relay) Normally Closed (NC C)
2. Transmit Data (TXD) Output
3. Received Data (RXD) Input
4. Power Input (DSR)
5. Ground (GND)
6. Not used
7. Power Input (CTS)
8. Nurse call (Relay) Normally open (NC O)
9. Nurse call (Relay) Common (NC COM)
BDDF00412 Issue 4 64/70
Page 66
BD Alaris™ neXus CC Syringe Pumps
Technical Data
Trumpet Curves and Start-up Curves
In this Pump, as with all infusion systems, the action of the pumping mechanism and variations in individual syringes
cause short-term fluctuations in rate accuracy.
The following curves show typical performance of the system in two ways:
1. The delay in onset of fluid flow when infusion commences (start-up curves), and
2. The accuracy of fluid delivery over various time periods is measured (trumpet curves).
The start-up curves represent continuous flow versus operating time 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 EN/IEC60601-2-24 standard.
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 eect on accuracy as represented by the flat part of the curve. As the observation window is
reduced, short term fluctuations have greater eects 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, therefore the clinical eect cannot be determined from the trumpet curves alone.
• Start-up and trumpet curves may not be indicative of operation under negative pressure.
• Differences in factors such as size and plunger force in recognised syringes produced by other
manufacturers can cause variations in accuracy and trumpet curves as compared to those
represented. Additional curves for recognised syringes are available upon written request.
• For applications where flow uniformity is a concern, rates of 1.0ml/h or above are recommended.
BDDF00412 Issue 4 65/70
Page 67
BD Alaris™ neXus CC Syringe Pumps
0 5 10 15 20 25 30 35
With a Pressure Extension Set fitted, G30402M – Standard disposable extension set
Start-up trend. BD Plastipak 5ml at 0.1ml/h Trumpet curve. BD Plastipak 5ml at 0.1ml/h
0.2
0.1
Rate (ml/h)
0.0
0 20 40 60 80 100 120
Time (mins) Observation Window (mins)
Start-up trend. BD Plastipak 50ml at 1.0ml/h Trumpet curve. BD Plastipak 50ml at 1.0ml/h
30.0
20.0
10.0
0.0
-10.0
Error (%)
-20.0
-30.0
Maximum
Error
Minimum
Error
Technical Data
Linear Mean
= −4.0%
Rate (ml/h)
Error (%)
Time (mins) Observation Window (mins)
Maximum
Error
Minimum
Error
Start-up trend. BD Plastipak 50ml at 5.0ml/h Trumpet curve. BD Plastipak 50ml at 5.0ml/h
Rate (ml/h)
Error (%)
Time (mins) Observation Window (mins)
Maximum
Error
Minimum
Error
Linear Mean
= −1.8%
Linear Mean
= −0.1%
BDDF00412 Issue 4 66/70
Page 68
BD Alaris™ neXus CC Syringe Pumps
30.0
Without a Pressure Extension Set fitted, G40020B – Standard disposable extension set
Start-up Trend. BD Plastipak 5ml at 0.1ml/h Trumpet Curve. BD Plastipak 5ml at 0.1ml/h
0.2
20.0
10.0
0.1
Rate (ml/h)
0.0
0 20 40 6 0 80 10 0 120
Time (mins) Observation Window (mins)
Start-up Trend. BD Plastipak 50 ml at 1.0 ml/h Trumpet Curve. BD Plastipak 50 ml at 1.0 ml/h
0.0
-10.0
Error (%)
-20.0
-30.0
0 5 10 1 5 20 25 3 0 35
Maximum
Error
Minimum
Error
Technical Data
Linear Mean
= −2.5%
Rate (ml/h)
Error (%)
Time (mins) Observation Window (mins)
Maximum
Error
Minimum
Error
Start-up Trend. BD Plastipak 50 ml at 5.0 ml/h Trumpet Curve. BD Plastipak 50 ml at 5.0 ml/h
Rate (ml/h)
Error (%)
Time (mins) Observation Window (mins)
Maximum
Error
Minimum
Error
Linear Mean
= −1.8%
Linear Mean
= +0.2%
BDDF00412 Issue 4 67/70
Page 69
BD Alaris™ neXus CC Syringe Pumps
Products and Spare Parts
Products and Spare Parts
Spare Parts and Accessories
A comprehensive list of spare parts for this Pump is included within the Technical Service Manual.
The Technical Service Manual (BDTM00010) is now available in electronic format on the World Wide Web at
bd.com/int-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
1001FAOPT91 AC Power Lead – UK
1001FAOPT92 AC Power Lead – European
1000SP01798 Internal Battery Pack
1000SP01884 Lock box Accessory (Rate Un-Locked)
1000SP01885 Lock box Accessory (Rate Locked)
Software
Part Number Description
1000SP02156 BD Alaris Communication Engine v2.0
1000SP02157 BD Alaris CQI Event Reporter v4.4
1000SP02158 BD Alaris Technical Utility v2.0
1000SP02159 BD Alaris neXus Editor v5.0
BDDF00412 Issue 4 68/70
Page 70
BD Alaris™ neXus CC Syringe Pumps
Contact Us
For full contact information please refer to bd.com.
Customer Service Information
Country Telephone Email
Australia Freephone: 1 800 656 100 bd_anz@bd.com
België +32(0)53 720 556 info.benelux@bd.com
Canada +1 800 387 8309 CanadaCapital@carefusion.com
Danmark +45 43 43 45 66 bddenmark@bd.com
Deutschland +49 6221 305 558 GMB-DE-CustService-Alaris@bd.com
España +34 902271727 Info.Spain@bd.com
France +33 (0) 1 30 02 81 41 mms_infusion@bd.com
Italia +39 02 48 24 01 customer.service-italy@bd.com
Magyarország (36) 1 488 0233 orders.cee@bd.com
Nederland +31(0)20 582 94 20 info.benelux@bd.com
New Zealand Freephone: 0800 572 468 NZ_customerservice@bd.com
Norge +47 64 00 99 00 bdnorge@bd.com
Polska +48 22 377 11 00 Info_Poland@bd.com
Portugal +351 219 152 593 dl-pt-geral@carefusion.com
Россия и страны СНГ +7-495-775-85-82 mms_support_cis@bd.com
South Africa Freephone: 0860 597 572
+27 11 603 2620
Suomi +358-9-8870 780 bdsuomi@bd.com
Sverige +46 8-7755160 bdsweden@bd.com
Switzerland +41 61 485 22 66 Customer_Care_Switzerland@bd.com
United Kingdom Freephone: 0800 917 8776 BDUK_CustomerService@bd.com
United States of America Freephone: 800 482 4822 CustCareInfusion@carefusion.com
中国
400 878 8885 serviceclientbdf@bd.com
bdsa_customer_centre@bd.com
Contact Us
BDDF00412 Issue 4 69/70
Page 71
Document History
Issue Date Software Version Description
1 April 2020 5.0.x Initial release
2 September 2020 5.0.x Specifications
3 October 2020 5.0.x Recognised Syringes
4 February 2021 5.0.x Recognised Syringes
BD Alaris™ neXus CC Syringe Pumps
Document History
BDDF00412 Issue 4 70/70
Page 72
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Batiment A4, 1262 Eysins, Switzerland
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BD, the BD Logo, Alaris and Guardrails are trademarks of Becton, Dickinson and Company or its affiliates.
© 2021 BD. All rights reserved.
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