Alaris SE User manual

Directions for Use

Alaris® SE Pump

Models 7130/7131 and 7230/7231

Supports Guardrails® Suite MX

June 2006

POWER

OPT PRI HLD SEC KVO

PRI

1

4

7

.

ml/hr

SEC

OPTIONS

23

56

9

8

Clear

0

RUN

HOLD

Enter

A

RUN

HOLD

A B

HLD PRI SECKVO OPT

POWER

ml/hr

PRI

POWER

PRI SEC HLD

SEC

RUN

HOLD

OPTION

ml/hr

OPT KVO

B

1

2

3

5

4

7

•

6

9

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0

Enter

Alaris® Products

For service contact your local Affiliate Office or Distributor.

AE

Cardinal Health,
PO Box 5527,
Dubai, United Arab Emirates.
Tel: [phone]
Fax: [phone]

DE

Cardinal Health,
Pascalstr. 2,
52499 Baesweiler,
Deutschland.
Tel: [phone]
Fax: [phone]

IT

Cardinal Health,
Via Ticino 4,
50019 Sesto Fiorentino,
Firenze, Italia.
Tél: [phone]
Fax: [phone]

US

Cardinal Health
10221 Wateridge Circle,
San Diego, CA 92121,
USA.
Tel: [phone]
Fax: [phone]

AU

Cardinal Health,
8/167 Prospect Highway,
Seven Hills, NSW 2147,
Australia.
Tel: [phone]
Fax: [phone]
Fax: [phone]

ES

Cardinal Health,
Avenida Valdeparra 27,
28108 - Alcobendas, Madrid,
España.
Tel: [phone]
Fax: [phone]

NL

Cardinal Health,
Kantorenpand “Hoefse Wing”,
Printerweg, 11,
3821 AP Amersfoort,
Nederland.
Tel: [phone]
Fax: [phone]

ZA

Cardinal Health,
Unit 2 Oude Molen Business
Park,
Oude Molen Road, Ndabeni,
Cape Town 7405, South Africa.
Tel: (27) (0) 860 597 572
Tel: [phone]
Fax: [phone]

BE

Cardinal Health,
Otto De Mentockplein 19,
1853 Strombeek - Bever,
Belgium.
Tel: [phone]
Fax: [phone]

FR

Cardinal Health,
Immeuble Antares - Technoparc,
2, rue Charles-Edouard Jeanneret.

78300 POISSY,
France.
Tél: [phone]
Fax: [phone]

NO

Cardinal Health
Solbråveien 10 A,
1383 ASKER,
Norge.
Tel: [phone]
Fax: [phone]

CA

Cardinal Health,
235 Shields Court,
Markham,
Ontario L3R 8V2,
Canada.
Tel: [phone]
Fax: [phone]

GB

Cardinal Health,
The Crescent, Jays Close,
Basingstoke,
Hampshire, RG22 4BS,
United Kingdom.
Tel: [phone]
Fax: [phone]

NZ

Cardinal Health,
14 George Bourke Drive
Mt Wellington, Auckland
PO Box 14234
Panmure, Auckland
Tel: [phone]
Freephone: 0508 422734
Fax: [phone]

CN

Cardinal Health,
Shanghai Representative Office,
Suite 9B,
Century Ba-Shi Building,
398 Huai Hai Rd(M.),
Shanghai 200020,
China.
Tel: [phone]
Tel: [phone]
Fax: [phone]

HU

Cardinal Health,
Döbrentei tér 1,
H-1013 Budapest,
Magyarország.
Tel: [phone]
Tel: [phone]
Fax: [phone]

SE

Cardinal Health,
Hammarbacken 4B,
191 46 Sollentuna,
Sverige.
Tel: [phone]
Fax: [phone]

General Contact Information

©200 6 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7320/7231

Table of Contents

GETTING STARTED

INTRODUCTION ................................................................................................................................................................................................ 1

UNPACKING ......................................................................................................................................................................................................... 3

CHECK-IN AND CONFIGURATION .......................................................................................................................................................... 4

Rate Accuracy Qualification Test ...................................................................................................................................................... 4

Alternative Rate Accuracy Qualification Test .............................................................................................................................. 8

Set Sensor Check / Pressure Calibration Verification
Functional Test

Flow Stop Test ........................................................................................................................................................................................... 13

Ground Current Leakage Test ............................................................................................................................................................ 13

Ground Resistance Test ....................................................................................................................................................................... 13

Instrument Configuration ...................................................................................................................................................................... 13

ADMINISTRATION SET INFORMATION ................................................................................................................................................ 14

General ......................................................................................................................................................................................................... 14

SmartSite® Infusion Set ......................................................................................................................................................................... 14

Preparing Solution Container and Set ............................................................................................................................................ 15

Loading Set ................................................................................................................................................................................................ 16

Removing Set ............................................................................................................................................................................................ 18

Changing Solution Container .............................................................................................................................................................. 18

.......................................................................................................................................................................................... 11

PROGRAMMING

PROGRAMMING AND NAVIGATION TIPS ........................................................................................................................................... 19

Soft Keys ..................................................................................................................................................................................................... 19

Entering Values ......................................................................................................................................................................................... 19

Menus - With Guardrails® Suite MX Protection .......................................................................................................................... 20

Menus - NO Guardrails® Suite MX Protection ............................................................................................................................. 21

Split Screen (Dual Channel Only) ..................................................................................................................................................... 21

Powering On and Off .............................................................................................................................................................................. 21

Responding to Maintenance Reminder .......................................................................................................................................... 23

Responding to Time Set Reminder .................................................................................................................................................. 23

GUARDRAILS® SUITE MX PROMPTS .................................................................................................................................................... 24

Soft Limits ................................................................................................................................................................................................... 24

Hard Limits .................................................................................................................................................................................................. 24

PRIMARY INFUSION - WITH GUARDRAILS® SUITE MX PROTECTION .............................................................................. 25

Selecting New Patient and Profile Options ................................................................................................................................... 25

Primary Infusion Introduction ............................................................................................................................................................. 27

Continuous Infusion ................................................................................................................................................................................ 27

Pausing and Restarting Infusion ....................................................................................................................................................... 31

Making Changes During Continuous Infusion ............................................................................................................................. 31

Resuming Interrupted Infusion ........................................................................................................................................................... 32

KVO Mode .................................................................................................................................................................................................. 33

Resuming Operation from KVO Mode ............................................................................................................................................ 34

Clearing Volume Infused ...................................................................................................................................................................... 34

Bolus Dose ................................................................................................................................................................................................. 34

Delivering a Bolus Dose Prior to Beginning Continuous Infusion ...................................................................................... 35

Delivering a Bolus Dose During a Continuous Infusion .......................................................................................................... 36

Bolus Only ................................................................................................................................................................................................... 37

Stopping Bolus Dose

Repeating a Bolus Dose

Intermittent Infusion ................................................................................................................................................................................ 40

Making Changes During Intermittent Infusion ............................................................................................................................. 43

IV Fluid Infusion ........................................................................................................................................................................................ 44

.............................................................................................................................................................................. 39

....................................................................................................................................................................... 39

............................................................................................................. 11

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Table of Contents

i

PROGRAMMING (Continued)

SECONDARY INFUSION - WITH GUARDRAILS® SUITE MX PROTECTION ...................................................................... 46

Introduction ................................................................................................................................................................................................. 46

Setup ............................................................................................................................................................................................................. 47

Secondary Intermittent Infusion ........................................................................................................................................................ 48

PRIMARY INFUSION - NO GUARDRAILS® SUITE MX PROTECTION ................................................................................... 52

Selecting New Patient Option-Profiles Feature Not Enabled (OFF) ................................................................................. 52

Basic Infusion ............................................................................................................................................................................................ 52

Promoting Basic Infusion to Guardrails® Suite MX Protection Infusion ........................................................................... 53

Promoting Basic Infusion to Guardrails® Drug Infusion .......................................................................................................... 53

Promoting Basic Infusion to Guardrails® IV Fluid Infusion ..................................................................................................... 55

Dose Rate Calculation- Drug? NO DOSE LIMIT-Profiles Feature Enabled (ON) ....................................................... 56

Dose Rate Calculation- Drug? NO DOSE LIMIT-Profiles Feature Not Enabled (OFF) ............................................ 58

LOADING DOSE ................................................................................................................................................................................................. 61

Programming ............................................................................................................................................................................................. 61

MULTI-DOSE ........................................................................................................................................................................................................ 63

Programming ............................................................................................................................................................................................. 63

Resuming an Interrupted Multi-Dose .............................................................................................................................................. 68

MULTI-STEP ......................................................................................................................................................................................................... 69

Programming ............................................................................................................................................................................................. 69

Making Changes During Multi-Step ................................................................................................................................................. 75

Resuming an Interrupted Multi-Step ............................................................................................................................................... 78

QUITTING MULTI-DOSE AND MULTI-STEP ....................................................................................................................................... 79

SECONDARY INFUSION - NO GUARDRAILS® SUITE MX PROTECTION ........................................................................... 80

Introduction ................................................................................................................................................................................................. 80

Basic Secondary Infusion-Profiles Feature Enabled (On) ..................................................................................................... 80

Basic Secondary Infusion-Profiles Feature Not Enabled (Off) ............................................................................................ 81

DYNAMIC MONITORING SYSTEM

MONITORING OPTIONS - GENERAL ..................................................................................................................................................... 83

Selecting Monitoring Option ................................................................................................................................................................ 84

MONITORING OPTIONS - RESISTANCE MODE .............................................................................................................................. 86

Detection of Downstream Occlusions ............................................................................................................................................. 86

Auto Restart Plus Feature .................................................................................................................................................................... 87

Resistance Alert ....................................................................................................................................................................................... 88

Resistance Trend Graphs .................................................................................................................................................................... 89

MONITORING OPTIONS - PRESSURE MODE .................................................................................................................................. 92

Detection of Downstream Occlusions ............................................................................................................................................. 92

Auto Restart Plus Feature .................................................................................................................................................................... 92

Adjustable Pressure Alarm .................................................................................................................................................................. 93

Pressure Baseline ................................................................................................................................................................................... 95

Pressure Trend Graphs ......................................................................................................................................................................... 97

UPSTREAM OCCLUSION DETECTION ................................................................................................................................................. 10 0

GENERAL SETUP AND OPERATION

AUDIO ADJUST .................................................................................................................................................................................................. 103

TAMPER RESIST ............................................................................................................................................................................................... 103

Locking and Unlocking Panel Lock .................................................................................................................................................. 103

ii

Table of Contents

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

GENERAL INFORMATION

WARNINGS AND CAUTIONS ...................................................................................................................................................................... 105

General ......................................................................................................................................................................................................... 105

Guardrails® Suite MX ............................................................................................................................................................................. 106

Administration Sets ................................................................................................................................................................................. 107

Epidural Administration ......................................................................................................................................................................... 107

Electromagnetic Compatibility ............................................................................................................................................................ 108

BATTERY MANAGEMENT SYSTEM ........................................................................................................................................................ 109

Battery Power Gauge and Indicator ................................................................................................................................................ 110

Battery Recharge ..................................................................................................................................................................................... 110

FLOW SENSOR .................................................................................................................................................................................................. 110

ALERTS COUNTER .......................................................................................................................................................................................... 112

Definitions ................................................................................................................................................................................................... 112

Viewing Alerts Counter ......................................................................................................................................................................... 113

NURSE CALL (7130/7230 ONLY) ............................................................................................................................................................... 114

Activating Nurse Call Feature ............................................................................................................................................................. 114

If an Alarm Occurs .................................................................................................................................................................................. 114

POLE CLAMP ...................................................................................................................................................................................................... 115

Changing Pole Clamp Orientation .................................................................................................................................................... 115

RS-232 COMPUTER LINK ............................................................................................................................................................................. 116

Connecting to a Computer .............................................................................................................................. ..................................... 116

Disconnecting from a Computer ....................................................................................................................................................... 117

FEATURES AND DISPLAYS ......................................................................................................................................................................... 118

Operating Features, Controls, Indicators ...................................................................................................................................... 118

Displays ........................................................................................................................................................................................................ 121

Feature Definitions .................................................................................................................................................................................. 122

CONFIGURABLE SETTINGS ...................................................................................................................................................................... 123

Configurable Option Definitions-General ...................................................................................................................................... 124

Configurable Option Definitions-Guardrails® Suite MX ........................................................................................................... 128

Configurable Options ............................................................................................................................................................................. 129

System Configurable Options ............................................................................................................................................................ 130

SPECIFICATIONS .............................................................................................................................................................................................. 130

SYMBOLS AND TERMS ................................................................................................................................................................................. 134

TRUMPET AND START-UP CURVES ..................................................................................................................................................... 137

Pressure Mode .......................................................................................................................................................................................... 138

Resistance Mode ..................................................................................................................................................................................... 140

High Resistance Mode .......................................................................................................................................................................... 142

TROUBLESHOOTING AND MAINTENANCE

GENERAL .............................................................................................................................................................................................................. 143

AIR IN LINE ASSEMBLY ................................................................................................................................................................................. 143

SINGLE OR ACCUMULATED AIR BUBBLE DETECTION (NO RESET FEATURE) .......................................................... 144

ALARMS, ALERTS, PROMPTS .................................................................................................................................................................. 145

Alarms ........................................................................................................................................................................................................... 146

Alerts ............................................................................................................................................................................................................. 15 0

Prompts ........................................................................................................................................................................................................ 151

INSPECTION REQUIREMENTS ................................................................................................................................................................. 156

CLEANING ............................................................................................................................................................................................................ 156

SERVICE INFORMATION .............................................................................................................................................................................. 158

Technical Support .................................................................................................................................................................................... 158

WARR ANTY ......................................................................................................................................................................................................... 159

Directions for Use

Table of Contents

Alaris® SE Pump

Models 7130/7131, 7230/7231

iii

REGULATIONS AND STANDARDS

COMPLIANCE ..................................................................................................................................................................................................... 161

Electromagnetic Environment ............................................................................................................................................................ 161

Standards .................................................................................................................................................................................................... 168

TRADEMARKS .................................................................................................................................................................................................... 168

DIRECTIONS FOR USE SUPPLEMENTS

SUPPLEMENTS................................................................................................................................................

169

iv

Table of Contents

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Introduction

Getting Started

This document provides directions for use for the SE Pump,
Models 7130/7131 and 7230/7231. It is used in conjunction
with:

®

Alaris

product administration set instructions
Drug product labeling
SE Pump Technical Service Manual
Ground test equipment instructions
ECG monitoring system instructions

The SE Pump is intended for use in professional healthcare
environments, including healthcare facilities, home care, and
medical transport, that utilize infusion pumps for the delivery of
fluids, medications, blood, and blood products. It is indicated
for continuous or intermittent delivery through clinically
acceptable routes of administration; such as, intravenous
(IV), intra-arterial (IA), subcutaneous, epidural, enteral, and
irrigation of fluid spaces.

The SE Pump is available as either a single or a dual channel
pump that supports the Guardrails

®

Suite MX. The SE Dual
Channel Pump is a two-channel device intended to deliver
multiple infusions to a single patient.

Guardrails

®

Suite MX for the SE Pump brings a new level
of medication error prevention to the point of patient care.
Guardrails

®

Suite MX features programming guidelines for
medication dosing, delivery rate, duration, bolus dose and
bolus dose administration rate, concentration and optional
initial programming values in up to 15 patient-specific care
areas referred to as profiles. Each profile contains a specific
Drug Library and an IV Fluid library as well as instrument
configurations appropriate for the care area. Optional drug­specific or fluid-specific clinical advisories provide visual
messages. Limits for each Guardrails

®

drug or fluid entry may
include Hard Limits that cannot be overridden during infusion
programming and/or Soft Limits that can be overridden, based
on clinical requirements.

WARNING

Read all instructions before using

the SE Pump.

CAUTION

A Data Set is developed and approved by the facility’s own
multi-disciplinary team using the Editor Software, the PC­based authoring tool. A Data Set is then transferred to the
SE Pump by qualified personnel. Approved Data Sets are
maintained by the Editor Software for future updates and
reference.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Getting Started

1

Introduction (Continued)

Information about a Guardrails® alert that occurs during use
is stored within the SE Pump, and can be accessed using the
CQI Reporter.

The SE Pump may be operated with or without the Guardrails
Suite MX protection. When an approved Data Set is
transferred to the SE Pump by qualified personnel and the
Profiles feature is enabled (ON) in instrument configuration,
then Guardrails

®

Suite MX protection is available. When
the Profiles feature is not enabled (Off), or when no Data
Set has been transferred to the SE Pump, Guardrails

®

Suite
MX protection is not available (see "Primary Infusion – NO
Guardrails

- NO Guardrails
navigation may differ when Guardrails

®

Suite MX Protection", and "Secondary Infusion

®

Suite MX Protection"). Programming and

®

Suite MX software is

not in use.

Documentation provided with this product may reference
product not present in your facility or not yet available for sale
in your area.

A superscript number (for example, À) identifies additional
information provided as a note at the end of the section.

Administration Sets: Reference “General Information” for
specific “Administration Set Information”.

Alarms, Alerts, Prompts: Reference “Troubleshooting and
Maintenance” for specific alarms, alerts and prompts.

®

Electromagnetic Environment: Reference “Regulations and
Standards”, "Compliance”.

Contraindications: None known.

Warnings and Cautions:

Warnings and cautions provide information needed to safely and
effectively use the SE Pump. Reference "General Information",
"Warnings and Cautions".

A

DANGER

is an alert to an imminent hazard which
could result in serious personal injury and/or product damage
if proper procedures are not followed.

WARNING

A

is an alert to a potential hazard which could
result in serious personal injury and/or product damage if
proper procedures are not followed.

2

Getting Started

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Introduction (Continued)

Warnings and Cautions: (Continued)

A

CAUTION

is an alert to a potential hazard which could
result in minor personal injury and/or product damage if proper
procedures are not followed.

DEFINED TERMS:

The following table identifies the defined terms used
throughout this document for certain products and product
features.

Product Name Defined Term

AccuSlide® flow regulator Flow Regulator
Alaris® SE pump SE Pump
Guardrails
Guardrails® CQI Reporter CQI Reporter
Guardrails® data set Data Set
Guardrails® drug library Drug Library
Guardrails® Editor Editor Software
Guardrails® hard limit Hard Limit
Guardrails® IV fluid IV Fluid
Guardrails® soft limit Soft Limit
SmartSite® needle-free valve Needle-Free Valve
SmartSite® positive bolus needle-free valve Needle-Free Valve

®

clinical advisory Clinical Advisory

Unpacking

1. Remove instrument from carton.

2. Important: Plug instrument into an AC outlet a minimum

of 24 hours prior to use.

Maximum battery capacity, as well as gauge accuracy, is
reached after several charge/discharge/recharge cycles,
in the refresh process. Cardinal Health recommends that
the battery be fully charged/discharged/recharged, using
the refresh cycle, before placing the instrument in use.

3. Perform Periodic Inspections (reference "Troubleshooting

and Maintenance", “Inspection Requirements”).

See "General Information", "Configurable Settings" for a list of
the configurable features.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

AC

WARNING

Failure to properly charge the
battery results in an instrument

malfunction. Biomedical personnel
in the facility are responsible for
unpacking the instrument and
ensuring the battery is fully charged
before placing the instrument in use.

Getting Started

3

Check-In and Configuration

This is a quick reference procedure for check-in and
configuration of new and recently serviced instruments.

Rate Accuracy Qualification Test

This procedure is to be used only for the testing of an
instrument during New Instrument Check-In or when just
received from the Service Depot Center. This test is to verify
that damage or changes to the instrument did not occur during
shipment and handling.

WARNING

Instruments returned from the
service depot may be set to

factory defaults and not have a
hospital-defined Data Set loaded.
Biomedical personnel in the facility
are responsible for checking-in the
instrument and ensuring the current
hospital-approved Data Set is
loaded.

CAUTION

Charge the battery for a minimum

of 24 hours prior to performing
the check-in and configuration
procedures. Batteries without
a full charge on initial use may
become damaged and/or cause a
malfunction.

Rate accuracy should be tested using a Model 80VCS
Calibration Set. The system is designed to produce overall
accuracy of ±5% for rates greater than 1 mL/h and up to

999.9 mL/h, and ±6.5% for rates equal to or less than 1 mL/h,
95% of the time with 95% confidence (reference "General
Information", "Trumpet and Start-Up Curves" for additional
information). The system performance with a calibration
set produces a smaller variability. In order to ensure overall
accuracy is achieved, new instruments are tested to an
accuracy of ±3% with the Model 80VCS set during New
Instrument Check-In.

Due to the dynamic monitoring feature, the rate is varied during
operation. For this reason, automatic testers should not be
used to check rate accuracy. Generally, these devices collect
small samples and may cause the results to be incorrect, even
though the instrument is accurate.

4

Getting Started

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Check-In and Configuration (Continued)

Rate Accuracy Qualification Test (Continued)

Do not use the Model 80VCS Calibration Set for more than
30 rate verification runs (15 rate calibration number changes).
Keep track of the number of times the set is used by recording
each use on the 80VCS insert or on a separate record.

Test Setup

Burette (50 ml)

Burette Clamp

Equipment Stand

ableor Bench

Water Source

30 ±1 in

76.2 cm±2.5

Table or Bench

IV Tubing

Three-Way

Stopcock

Used Fluid Receptacle

1. Fill solution container with clean tap water. Close Flow

Regulator clamp on 80VCS set and then insert spike into
solution container.

2. Open Flow Regulator clamp and prime set. Ensure all air

is expelled from set. Close Flow Regulator clamp.

3. Connect output of set to one side of three-way stopcock.

4. Load set into instrument.

80VCS Calibration Set

Instrument Stand

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Getting Started

5

Check-In and Configuration (Continued)

Rate Accuracy Qualification Test (Continued)

5. Close latch.

6. Verify no fluid flow or drops falling in drip chamber.

7. Plug instrument into a properly grounded AC outlet.

8. Set stopcock to output into a class A or B burette.

9. Press POWER key to turn channel on.

10. Set primary infusion rate to 400 mL/h.

11. Set VTBI to 20 mL.

12. Ensure instrument (both channels if dual channel) is set to

Pressure mode.

À

13. Press RUN/HOLD key to start primary infusion. Infuse

until tubing and burette are fully primed (approximately 1
minute).

14. Press RUN/HOLD key to stop infusion.

15. Adjust height of instrument and/or fluid container to attain

a head height of 30 ±1 inches / 76.2 ±2.5 centimeters
between middle of pumping mechanism and fluid level in:

Á

• bag or vented bottle (vent closed on administration set)

OR

• drip chamber (unvented bottle with vent open on
administration set).

16. Adjust fluid level in burette until meniscus is level with zero
mark on burette.

Â

17. Verify primary infusion rate is 400 mL/h.

18. Reset VTBI to 40 mL and clear volume infused.

19. Press RUN/HOLD key to start primary infusion.

20. Instrument will run approximately 360 seconds (6 minutes)
to complete delivery and then go into KVO mode. Stop
instrument within 1 second of its entering KVO mode.

21. Make a note of volume collected in burette.

22. Note expected volume, as identified on 80VCS set insert.

23. Do not remove 80VCS set from instrument until one of
following conclusions is determined:

6

Getting Started

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Check-In and Configuration (Continued)

Rate Accuracy Qualification Test (Continued)

• Instrument passes rate verification and calibration is

not needed.

• Rate calibration number was changed and instrument

now passes verification.

• Mechanism replacement is required.

24. Calculate volume accuracy, as follows:

Volumetric Volume Accuracy Error Computation

Vcollected = volume in burette in milliliters
Vexpected = characterized volume printed on 80VCS set

insert

Step 1: A = Vcollected ÷ Vexpected
Step 2: B = A x 100
Step 3: % Error (round % Error to nearest tenth of a percent)

= B – 100

25. Result should be 0.0±3%.

26. If volume accuracy does not fall within required range of
±3% from expected volume and test results were:

• inside a range of -5.5% to +7.0% from expected

volume,

perform rate calibration (reference Technical Service
Manual). Set rate calibration number to 0.0% before
running rate test, to determine a new calibration
number.

• outside a range of -5.5% to +7.0% from expected

volume,

return instrument to Cardinal Health for repair or
replace mechanism.

27. Set stopcock to drain fluid in burette to zero level, in
preparation for next test.

NOTES:

À The factory default for the Monitoring Options mode is

Pressure.

Á A 30-inch head height was used in the initial qualification of

this process and is the recommended head height for the
Check-In Rate Accuracy Test. Based on observed field use, a
24-inch head height was also tested and verified for the Rate
Accuracy Specification.

 The instrument may need to be run to prime the line to the

zero level of the burette (step 13).

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Getting Started

7

Check-In and Configuration (Continued)

Alternative Rate Accuracy Qualification Test

This procedure is to be used only for the testing of an
instrument during New Instrument Check-In or when just
received from the Service Depot Center. This test is to verify
that damage or changes to the instrument did not occur during
shipment and handling.

Make the following changes to Test Setup:

• Burette and equipment stand have been replaced by digital

scale, Acculab Vic-212 or equivalent and 50 or 100 mL
flask (plastic or glass).

• Three-way stopcock and used fluid receptacle are no

longer needed.

Due to the dynamic monitoring feature, the rate is varied
during operation. For this reason, Cardinal Health does not
recommend using automatic testers to check rate accuracy.
Generally, these devices collect small samples and may cause
the results to be incorrect, even though the instrument is
accurate.

Do not use the Model 80VCS set for more than 30 rate
verification runs (15 rate calibration number changes). Keep
track of the number of times the set is used by recording each
use on the 80VCS insert or on a separate record.

1. Fill solution container with clean tap water. Close Flow
Regulator clamp on 80VCS Calibration Set and then insert
spike into solution container.

2. Open Flow Regulator clamp and prime set. Ensure all air
is expelled from set. Close Flow Regulator clamp.

3. Place flask in middle of scale.

4. Load set into instrument.

5. Close latch.

6. Verify no fluid flow or drops falling in drip chamber.

7. Plug instrument into a properly grounded AC outlet.

8. Place output of set so it drips into flask. (Do not let set rest
on flask.)

9. Press channel’s POWER switch to turn channel on.

10. Set primary infusion rate to 400 mL/h.

8

Getting Started

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Check-In and Configuration (Continued)

Alternative Rate Accuracy Qualification Test (Continued)

11. Set VTBI to 20 mL.

12. Ensure instrument (both channels if dual channel) is set to
Pressure mode.

À

13. Press RUN/HOLD key to start primary infusion. Infuse
until tubing is fully primed (approximately 1 minute).

14. Press RUN/HOLD key to stop infusion.

15. Adjust height of instrument and/or fluid container to attain
a head height of 30 ±1 inches between middle of pumping
mechanism and fluid level in:

• bag or vented bottle (vent closed on administration set)

OR

• drip chamber (unvented bottle with vent open on

administration set).

16. Zero reading on scale.

17. Verify primary infusion rate is 400 mL/h.

18. Reset VTBI to 40 mL and clear volume infused.

19. Press RUN/HOLD key to start primary infusion.

20. Instrument will run approximately 360 seconds (6 minutes)
to complete delivery and then go into KVO mode. Stop
instrument within 1 second of entering KVO mode.

21. Make a note of scale reading in grams.

22. Note expected volume, as identified on 80VCS set insert.

23. Do not remove 80VCS set from instrument until one of
following conclusions is determined:

• Instrument passes rate verification and calibration is

not needed.

• Rate calibration number was changed and instrument

now passes verification.

• Mechanism replacement is required.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Getting Started

9

Check-In and Configuration (Continued)

Alternative Rate Accuracy Qualification Test (Continued)

24. Calculate gravimetric accuracy as follows:

Gravimetric Volume Accuracy Error Computation

Vcollected = volume in flask in grams

Vexpected = characterized volume printed on 80VCS set

insert

Step 1: A = Vcollected / Vexpected
Step 2: B = A x 100
Step 3: % Error (Round % Error to nearest tenth of a

percent.) = B – 100

25. Result should be 0.0 ±3%.

26. If volume accuracy does not fall within required range of
±3.0% from expected volume and test results were:

• inside a range of -5.5% to +7.0% from expected

volume,

perform rate calibration (reference Technical Service
Manual). Set rate calibration number to 0.0% before
running rate test, to determine a new calibration
number.

• outside a range of -5.5% to +7.0% from expected

volume,

return instrument to Cardinal Health for repair or
replace mechanism.

27. Empty flask and reset scale to zero, in preparation for next
test.

NOTE:

À The factory default for the Monitoring Options mode is

Pressure.

10

Getting Started

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Check-In and Configuration (Continued)

Set Sensor Check / Pressure Calibration Verification

1. Access DIAGNOSTICS MODE by pressing and holding
upper left soft key on power-up. Reference Technical
Service Manual, “Troubleshooting” chapter, for details or
contact Cardinal Health Technical Support.

À

2. Advance to D6 page and choose Cal Pressure (both
Channel A and Channel B for dual channel instruments).

3. Verify both 0 mmHg and 500 mmHg readings indicate
Pass.

4. Install a standard set and close latch. Verify reading is
over 170, to confirm set sensor operation.

5. Remove standard set and verify Sensor = reading is in

-80 to +30 mmHg range without set installed, to verify
pressure calibration.

NOTES:

À “08.XX” in the illustrated display represents the current

software revision.

Á If the reading is out of range, reference the Technical Service

Manual, “Pressure Calibration” section, or contact Cardinal
Health Technical Support for assistance.

Á

AB

DIAGNOSTICS MODE

ID No. : 000000000
SW Rev.: 08.XX
PM Due : 52 weeks

page

OPTIONS

D

1

Functional Test

1. Turn instrument on without set installed. Verify it beeps
and red alarm light flashes but does not stay lit.

2. Set infusion rate to 460 mL/h and VTBI to 100 mL.

3. With latch closed, press RUN/HOLD key and rate and
VTBI ≠ 0 to cause Set Out and Air In Line messages.

4. Open latch.

5. Install primed administration set with latch open.

6. Verify instrument displays Air In Line and Latch Open
messages.

7. Close latch and verify display returns to setup page.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Getting Started

11

Check-In and Configuration (Continued)

Functional Test (Continued)

8. Perform Upstream Occlusion Test, as follows:

a. Verify infusion rate is set to 460 mL/h.

b. With instrument on hold, or at start-up, verify primary

VTBI is set to greater than 100 mL.

c. Press RUN/HOLD key to begin infusion.

d. Clamp off IV line just above instrument (about

2 inches) to simulate an upstream occlusion.

e. Verify instrument stops running, alarms, and displays

OCCLUSION UPSTREAM within 60 seconds.

f. Press RUN/HOLD key to silence alarm and put

instrument on hold.

g. Release or open clamp and remove from tubing.

h. Press RUN/HOLD key to resume infusion. Alarm

should not reoccur.

9. Perform Downstream Occlusion Test, as follows:

a. Continue infusing (from step 8h).

b. Verify rate is set to 460 mL/h.

c. Clamp off IV line just below instrument (about

2 inches) to simulate a downstream occlusion.

d. Allow instrument to run until it alarms OCCLUSION

DOWNSTREAM. Verify this occurs within 60
seconds.

e. Press RUN/HOLD key to silence alarm and put

instrument on hold.

f. Release or open clamp and remove from tubing.

g. Press RUN/HOLD key to resume infusion. Alarm

should not reoccur.

h. Press RUN/HOLD key to stop infusion.

12

Getting Started

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Check-In and Configuration (Continued)

Flow Stop Test

1. With an administration set primed and loaded in
instrument, turn power off.

2. With all tubing clamps open and fluid container 2 or more
feet above instrument, verify no fluid flows through set.

3. Open latch and remove set. Verify no fluid flows through
set.

Ground Current Leakage Test

Use a DNI Nevada Model 232D (or equivalent) to measure
the ground leakage current. Refer to the test equipment’s
operation manual for the proper setup and measurement
technique. Leakage current must be ≤100μA for normal and
reversed line polarity.

Ground Resistance Test

Use a DNI Nevada Model 232D (or equivalent) to measure the
ground resistance. Measure resistance from the AC power
plug ground pin to the screw for the power cord strap, or to
the screw for the battery cover on the chassis. Refer to the
test equipment’s operation manual for the proper setup and
measurement technique. Resistance must be ≤0.10Ω.

Instrument Configuration

Instrument Configuration for the SE Pump with the Guardrails®
Suite MX is set for each profile using the Editor Software, the
PC-based authoring tool. The Data Set is then transferred to
the SE Pump by qualified personnel.

The SE Pump may be operated with or without the Guardrails
Suite MX protection. When an approved Data Set is
transferred to the SE Pump by qualified personnel and the
Profiles feature is enabled (ON) in instrument configuration,
then Guardrails

®

Suite MX protection is available.

Instrument configuration is set by qualified personnel in the
Data Set or Configuration and Diagnostics modes. When
the Profiles feature is not enabled (Off), or when no Data
Set has been transferred to the SE Pump, Guardrails

®

Suite

MX protection is not available (see "Primary Infusion – NO

®

Guardrails

- NO Guardrails

Suite MX Protection" and "Secondary Infusion

®

Suite MX Protection").

CAUTION

Do not connect the ground

resistance probe to the pressure
transducer.

®

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Getting Started

13

Administration Set Information

General

The SE Pump uses a wide variety of Flow Regulator
administration sets. The sets dedicated for use with the SE
Pump are designed for use with the instruments as well as
for gravity-flow stand-alone use. The unique, patented Flow
Regulator has an integral flow control device that minimizes
the risk of unintended flow when the set is removed from the
instrument, and provides accurate rate control during gravity
administration.

• For specific administration set instructions, reference
directions for use provided with set.

• Use aseptic technique when handling sets and syringes.

• Administration sets are supplied with a sterile and non­pyrogenic fluid path for one time use. Do not re-sterilize
or re-use.

• For administration set replacement interval, refer to facility
protocol and/or government standards (such as: CDC
guidelines in the United States) and see "SmartSite
Infusion Set" section of this Directions for Use (DFU).

®

• Discard administration set per facility protocol.

• For IV push medication (put instrument on hold), occlude
tubing above injection port during administration.

• Flush port(s) per facility protocol.

• Place a sterile replacement cap on open end of tubing
connector when not in use. Discard tubing when integrity
has been compromised.

SmartSite® Infusion Set

The Needle-Free Valve is designed to permit injection and
aspiration of fluids without the use of needles.

1. Use proper hand-hygiene procedures. Wash hands with
conventional antiseptic-containing soap and water or
disinfect with waterless alcohol-based gels or foams.

2. Prepare Needle-Free Valve.

• Always swab top of valve port, prior to every access,

with sterile 70% isopropyl alcohol wipe and allow to

À

dry.

14

-- Continued Next Page --

Getting Started

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Administration Set Information (Continued)

SmartSite® Infusion Set (Continued)

• Replace every 72 hours or 100 activations, whichever

comes first.

NOTES:

À For multiple syringes, swab prior to each syringe access.

Á For infusions of blood, blood products or lipid emulsions

replace every 24 hours.

Á

Preparing Solution Container and Set

Prepare the primary solution container in accordance with the
manufacturer’s directions for use.

Use only sets dedicated for use with SE Pump.

WARNINGS

• Use only sets dedicated for

use with the SE Pump. The
use of any other set may cause
improper instrument operation,
resulting in an inaccurate fluid
delivery or other potential
hazard.

• Discard if packaging is not intact

or protector caps are unattached.

1. Slide Flow Regulator thumb clamp down until an audible
click verifies it is in fully closed position.

2. Spike solution container.

3. Fill drip chamber to 2/3 full.

À

4. Invert Flow Regulator.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Flow Regulator

Thumb Clamp

Click

Getting Started

15

Administration Set Information (Continued)

Preparing Solution Container and Set (Continued)

5. Slide Flow Regulator thumb clamp to open position to
slowly prime set.

6. Close Flow Regulator clamp when priming is complete, as
in Step 1. Verify no fluid is flowing.

7. A gravity flow rate may be adjusted with Flow Regulator
thumb clamp, if desired.

NOTE:

À Open the vent cap on the spike if the container requires

venting.

Loading Set

1. Slide Flow Regulator thumb clamp down until an audible
click verifies it is in fully closed position.

Slide up to open
for priming.

Slide down to
close for loading.

Thumb Clamp

Click

2. Using both hands, press top and bottom of Flow Regulator
into instrument until it snaps into place.

a. Verify 3 gray fingers (clamp arms) on each side of

pumping mechanism have engaged Flow Regulator.

b. Let go of set. A properly loaded set should stay in

instrument.

16

Getting Started

Flow Regulator

AC

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Administration Set Information (Continued)

Loading Set (Continued)

3. Press firmly just below blue thumb clamp on Flow
Regulator with one hand while using other hand to close
latch fully to left.

• If resistance is met while closing latch, remove set,

verify Flow Regulator is fully closed and then reinstall
set.

• Verify thumb clamp has moved to open (up) position

prior to starting infusion.

WARNING

After set installation, verify no fluid

is flowing through the administration
set’s drip chamber, to avoid free­flow.

CAUTION

Before operating instrument, verify
that administration set is free from
kinks and installed correctly in
instrument.

4. Attach set to patient’s vascular access device.

5. Verify flow from IV container after starting infusion.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Getting Started

17

Administration Set Information (Continued)

Removing Set

1. Place channel on hold.

2. Open latch.

• Flow Regulator automatically closes to prevent

accidental unintended flow.

3. Press latch fully to right.

• Set is ejected from instrument.

IV

Changing Solution Container

1. Place channel on hold.

2. Remove empty solution container.

3. Spike new container.

4. Ensure drip chamber is filled to 2/3 full.

WARNING

Even though the instrument
automatically closes the Flow
Regulator, verify the Flow
Regulator is closed when the set
is removed from the instrument to
prevent unintended flow.

CAUTION

Do not attempt to force the set

from the instrument. Send the
instrument to qualified service
personnel.

18

Getting Started

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

References throughout this procedure to specific drugs and
drug doses are for illustration purposes only. Refer to specific
drug product labeling for information concerning appropriate
administration techniques and dosages.

Programming and Navigation Tips

Soft Keys

Soft Keys are the keys located on the left side and the bottom
of the main LCD display. They serve a variety of functions, as
indicated by the text in the display at the time. A soft key is
active if there is a tick mark (y) next to the key.

If there is no tick mark next to the key, then it is not active
and cannot be selected. [In the illustrated example Conc
(concentration) is not active.] Pressing an inactive key results
in an invalid keypress tone.

Active Soft Keys

Programming

AB

Rate = 56.0 mL/h
Dose= 0.8 mg/kg/h
Conc= 100 mg/ 100 mL
Wt= 70 kg

menu

OPTIONS

ok

A

Entering Values

To enter programming values, select the desired parameter by
pressing the corresponding soft key. The field is highlighted.
To enter desired value, use the numeric keys then press the
ENTER key.

A value must be highlighted to be changed.

A flashing highlight indicates that the entry is incomplete.
Complete the entry and press the ENTER key.

To clear an existing value, press the CLEAR key. If the existing
value should not be cleared, pressing the CLEAR key a
second time (before pressing the ENTER key) restores that
value.

When all parameters required on a programming setup screen
have been entered, the ok soft key is used to confirm all
entries and continue programming.

Active Soft Keys

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

19

Programming and Navigation Tips (Continued)

Menus - With Guardrails® Suite MX Protection

MENU screens provide access to the Profile drug libraries and
to basic programming in both the primary and the secondary
mode:

• MENU (Primary Main Menu)

• BOLUS MENU

• SECONDARY MENU

À

Press menu soft key while in primary programming mode to
display

MENU.

Press menu soft key while in bolus programming mode to
display

BOLUS MENU.

Press menu soft key while in secondary programming mode to
display

SECONDARY MENU.

AB

New Guardrails Drug
New Guardrails Fluid
Basic Infusion

MENU

AB

BOLUS MENU

Repeat Last Bolus
New Bolus
Quit Bolus

AB

Guardrails SEC Drug
Basic SEC
Return to PRI

OPTIONS

A

OPTIONS

A

OPTIONS

A

NOTE:

À When the Profiles feature is not enabled (Off), or when no

Data Set has been transferred to the SE Pump, Guardrails
Suite MX protection is not available and these menus do not
appear.

20

Programming

SECONDARY MENU

®

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming and Navigation Tips (Continued)

K

Menus - NO Guardrails® Suite MX Protection

MENU screens for optional modes can be accessed using the
OPTIONS key:

• MULTI-STEP MENU

• MULTI-DOSE MENU

• DOSE RATE MENU

Split Screen (Dual Channel Only)

When both channels are infusing, a split screen showing
programmed information for both channels displays
automatically after one minute.

Press

Press

A B

key to switch immediately to split screen.

A

O

B

O

or

key to stop split screen.

Powering On and Off

1. To turn channel on, press channel's POWER key.

CAUTION

Guardrails® Suite MX protection is

not available within the MULTI-STEP,
MULTI-DOSE OR DOSE-RATE
MENU options.

AB

Fluid

Rate = 75.0

0.9% NS

VI = 40.9

A

5
mcg/kg/min

DOPamine

VI = 0.5

OPTIONS

B

• Instrument performs a self test when first channel is

powered on.

• All indicators and displays momentarily light.

• An audio tone sounds.

• Hold indicator flashes.

-- Continued Next Page --

A

RUN

HOLD

HLD PRI SECKVO OPT

A B

POWER

ml/hr

PRI

PRI SEC HLD

POWER

SEC

RUN

HOLD

OPTIONS

OPT

WARNING

Each time the instrument is
turned on verify and/or set the

monitoring mode, resistance alert
and/or pressure alarm limit. If the
monitoring mode, resistance alert
and/or pressure alarm limit are not
verified, the instrument may not be
operating with the desired occlusion
detection parameter(s).

ml

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

21

Programming and Navigation Tips (Continued)

Powering On and Off (Continued)

• System startup page displays briefly (08.XX in

example display represents current software
revision; ID No. is instrument serial number).

CAUTIONS

• Appearance of lines and/or dots

that remain on constantly when
the instrument is powered on may
indicate improper functioning of
the Main Display. Although the
instrument is functioning, return it
to qualified service personnel.

• Inspect LCD for anomalies
(improperly lit/unlit pixels).

AB

© 2002, 2006
Cardinal Health
SW Rev. : 08.xx

ID No. : - - - - - - - - -

OPTIONS

• When self test completes, if Guardrails® Suite MX
protection is available, current profile screen appears.

• If Profiles feature is not enabled, then NEW PATIENT?
screen appears.

2. To power off, press and hold POWER key until display

turns off.

AB

Hospital Name

DataSet ID 123456789

Current Profile Is

Adult ICU

Accept Change

AB

NEW PATIENT ?

"Yes" Clears Previous

Patient Data

no

yes

OPTIONS

OPTIONS

A

22

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming and Navigation Tips (Continued)

Responding to Maintenance Reminder

If the Preventive Maintenance Reminder option is enabled and
the device is due for preventive maintenance a Maintenance
Reminder message appears at power up.

1. Notify appropriate facility personnel if a Maintenance
Reminder message appears.

2. If necessary, press continue soft key to temporarily
bypass reminder.

Responding to Time Set Reminder

Following certain battery depleted conditions it is necessary to
re-set the internal clock so that CQI Reporter data integrity is
maintained. In such cases, a Verify Time reminder message
appears at power up.

AB

AB

Accept

Maintenace

Reminder

continue

Verify Date / Time

Feb 28 2006

16:43

Skip

OPTIONS

A

OPTIONS

Change

1. Press Change soft key.

• Time set screen displays.

2. Press soft key next to parameter to be changed.

• Current value is highlighted.

3. To enter a new value, use numeric keypad, then press
ENTER key.

4. Verify that all fields are correct then press ok soft key to
continue programming.

AB

Month
Day

Year
Time

02
28

2006
16h 43min

ok

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

23

Guardrails® Suite MX Prompts

Guardrails® Suite MX software allows the facility to create
Soft and/or Hard Limits for Guardrails
Concentration, Guardrails
Administration Rate, Guardrails

®

Bolus Dose, Bolus Dose

®

®

continuous dose,

intermittent total dose,

Intermittent Time, and IV Fluid Rate.

Within each profile the facility may also pre-define the following
Hard Limits: maximum patient weight (kg), maximum patient
body surface area (m

2

) and maximum rate (mL/h).

Additional prompts are provided if Time or VTBI are edited
resulting in a rate change, or if a VTBI significantly larger or
smaller than the bag volume is entered.

Soft Limits

If programmed parameter is outside Soft Limit for that care area,
a prompt appears before programming can continue.

1. If it is inappropriate to override Soft Limit, press no soft key.

• Drug set up page displays.

2. Use numeric keys to enter a new value, then press ENTER
key.

WARNING

Prior to overriding a Soft Limit

prompt, confirm the infusion
parameters are correct.

AB

OPTIONS

OR

3. If it is clinically appropriate and necessary to override
Soft Limit, press yes soft key.

• Programming may continue.

When a maximum dose limit is exceeded,

↑↑↑ precedes the drug

or fluid name. This indicates that the drug is infusing at a rate
exceeding the defined maximum limit for that profile.

When a minimum dose limit is exceeded,

↓↓↓ precedes the drug

or fluid name. This indicates that the drug is infusing at a rate
less than the defined minimum limit for that profile.

Hard Limits

If programmed parameter is outside the Hard Limit for that care
area, a prompt appears indicating a value within range must be
entered before programming can continue.

Use numeric keys to enter a new value, then press ENTER
key.

alteplase

Exceeds Soft Limit:

0.81 mg/kg/h

Override Dose Limit?

no

AB

Rate = 600.0 mL/h

override?

DOPAmine

Exceeds Hard Limit:

50 mcg/kg/min
REPROGRAM

yes

OPTIONS

24

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection

Selecting New Patient and Profile Options

Previous programming parameters may either be cleared or
preserved.

Cleared, if:

• Profile is changed.

• Profile is accepted but New Patient? - yes is selected.

Preserved, only if:

• Current Profile is accepted and New Patient? - no is

selected.

Changing Profile

1. To change Profile, press change soft key.

• Profile selection menu displays.

2. To view additional Profile selections, press page soft key.

3. Press soft key next to desired new Profile.

• Confirm Profile screen appears.

AB

Hospital Name

DataSet ID 123456789

OPTIONS

Current Profile Is

Oncology

Accept Change

AB

Adult ICU

OPTIONS

A

Cardiac Care Unit
Labor and Delivery
Medical / Surgical

page

CAUTION

If the correct profile is not
selected, the instrument may not

operate within the appropriate dosing
limits and operating parameters.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

25

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Selecting New Patient and Profile Options (Continued)

Changing Profile (Continued)

4. To confirm Profile selection, press ok soft key.

OR

To select another Profile, press return soft key.

Once confirmed:

• Abbreviated Profile name appears in lower display.

• All previous programming parameters are cleared.

• MENU screen displays.

Accepting Profile

To retain currently active Profile, press Accept soft key.

• NEW PATIENT? screen displays.

A

B

Confirm Profile

Adult ICU

return

AB

ok

New Guardrails Drug
New Guardrails Fluid
Basic Infusion

MENU

AB

Hospital Name

DataSet ID 123456789

Current Profile Is

Oncology

Accept Change

OPTIONS

A

OPTIONS

A

OPTIONS

Selecting New Patient Option

To indicate programming is for a new patient and clear all
stored patient parameters from memory, press yes soft key.

• All previous patient data clears and there is no option to

Resume Previous Drug or Resume Previous Fluid.

• MENU screen displays.

OR

-- Continued Next Page --

26

Programming

AB

OPTIONS

NEW PATIENT?

“Yes” Clears Previous

Patient Data

no

yes

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection

Selecting New Patient and Profile Options (Continued)

Selecting New Patient Option (Continued)

To confirm programming is for same patient and retain all
stored patient parameters, press no soft key.

• All previous patient data is maintained.

• MENU screen displays.

• If last infusion on that channel was a Drug Library

entry, Resume Previous Drug appears as a MENU
selection.

• If last infusion on that channel was an IV Fluid,

Resume Previous Fluid appears as a MENU
selection.

• If last infusion on that channel was an optional mode

or a Basic Infusion, Return to ….? appears as a
MENU selection.

Primary Infusion Introduction

The following procedures are to be used only when the drug
to be infused is listed in the Drug Library. To access the Drug
Library, a hospital-defined best-practice Data Set must be
transferred using the Editor Software and the Profiles feature
must be enabled.

Continuous Infusion

When using a drug listed in the Drug Library, the drug
parameters are automatically calculated based on:

• drug and concentration selected

• weight entry (if required)

• rate or dose entry

1. Press New Guardrails Drug soft key.

• If 15 or less drugs are available in selected profile, a

list of drug names displays; otherwise, an alphabetic
preselection menu displays.

AB

New Guardrails Drug
New Guardrails Fluid
Basic Infusion

MENU

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

27

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Continuous Infusion (Continued)

2. To use pre-selection menu press soft key corresponding
to first letter of desired drug.

3. Press soft key next to desired drug name to select it.

• page soft key(s) may be used to view additional

selections.

• If applicable, an optional hospital-defined therapy

or clinical indication for delivery of this infusion may
appear (as in illustrated example, which reflects use
of alteplase). Different limits can be defined for same
drug with different therapeutic indications.

AB

Select Drug A - F
Select DrugG-M
Select DrugN-S
Select Drug T - Z

menu

AB

acyclovir
albumin 25%
albumin 5%
alteplase

menu

A

B

alteplase
MI
Stroke

OPTIONS

A

OPTIONS

A

page

OPTIONS

A

• If applicable, a weight-based or non-weight-based
option for delivery of this infusion may appear (as in
illustrated example which reflects use of heparin).

• If applicable, multiple concentration listings for delivery
of this infusion may appear (as in illustrated example
which reflects use of dopamine).

return

AB

Dose in?

Un/h
Un/kg/h

return

AB

DOPamine

400 mg / 250 mL
800 mg / 250 mL

- - - - mg / - - - - mL

return

OPTIONS

A

OPTIONS

A

28

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Continuous Infusion (Continued)

4. Press soft key next to desired selection.

5. To confirm selection and continue programming, press ok

soft key.

• If a different selection is desired, press return soft
key to return to the drug list or press menu soft key
to return to MENU screen, then navigate to desired
selection and press ok soft key.

6. If facility has defined a Clinical Advisory for selected drug,
a message appears. To indicate that information has
been noted and continue programming, press ok soft key.

• Infusion setup page displays.

7. An optional hospital-defined and editable starting value for
continuous infusion dose may already be entered.

OR

To enter a value, use numeric data entry keys then press

ENTER key.

A

B

alteplase

stroke

100 mg/100 mL

Dose in mg/kg/h

menu return ok

AB

OPTIONS

OPTIONS

This Dosing Is For

Acute Ischemic

STROKE

ADVISORY

AB

Rate = - - - - - mL/h
Dose= - - - - - mg/kg/h
Conc= 100 mg/ 100 mL
Wt= - - - - - kg

menu

BolusOnly

ok

OPTIONS

A

A

• Dose field is highlighted for first entry, but soft keys

can be used to highlight other parameters for entry
prior to dose. To automatically calculate dose
instead of rate, press Rate soft key and enter a rate
value. Once all entries have been completed, dose is
automatically calculated.

• If a drug with a defined standard concentration was

selected, Conc (concentration values, drug amount
and diluent volume) are automatically entered. (Notice
that these values are not editable).

• If a drug with -- / -- mL was selected, Conc

(concentration values of drug amount and diluent
volume), needs to be entered.

-- Continued Next Page --

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

29

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Continuous Infusion (Continued)

• If selected drug is weight-based, Wt (patient weight in

kg) needs to be entered.

• If selected drug is not weight-based, Wt field does not

appear.

8. Verify that all parameters are correct and press ok soft
key to confirm.

• VTBI and VI setup page displays.

• VTBI field is highlighted.

9. To enter desired VTBI, use numeric keys then press
ENTER key.

• VI field is highlighted.

AB

OPTIONS

Rate = 56.0mL/h
Dose= 0.8 mg/kg/h
Conc= 100 mg/ 100 mL
Wt= 70 kg

menu

AB

alteplase

ok

OPTIONS

VTBI= 0.0 mL
VI= 0.0 mL

menu

AB

Bolus

alteplase

ok

OPTIONS

VTBI= 100.0 mL
VI=

mL0.0

A

A

A

10. If there is a VI value that needs to be cleared, press
CLEAR key or press 0 (zero) key then press ENTER key.

11. To continue programming, press ok soft key.

• RUN/HOLD page displays.

30

Programming

menu

Bolus

ok

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Continuous Infusion (Continued)

12. Verify that all parameters are correct, then press run soft
key or RUN/HOLD key to start infusion

13. To briefly view setup parameters (therapy, concentration,
patient weight, current profile) from RUN/HOLD page or
during a running infusion, press

4

soft key.

Pausing and Restarting Infusion

1. An infusion may be paused temporarily by pressing
channel RUN/HOLD key.

• Rate LED flashes while infusion is on hold.

• After 2 minutes, “Hold Time Exceeded” visual and

audio prompts begin. An additional 2 minute period
may be initiated by pressing either hold soft key or
channel RUN/HOLD key.

AB

Rate = 56.0 mL/h
Dose = 0.8 mg/kg/h
VTBI = 100.0 VI = 0.0

alteplase

menu

AB

Rate = 56.0 mL/h

Conc = 100 mg/100 mL
Wt = 70 kg
Adult ICU

setup

Stroke

OPTIONS

A

run

OPTIONS

A

2. To restart infusion while on hold, press channel RUN/
HOLD key.

Making Changes During Continuous Infusion

Making Changes to Rate, Dose or VTBI

Continuous infusion parameters (Rate, Dose or VTBI) may be
changed without pausing the infusion and VI may be cleared.

A

B

O

1. Select

O

or

key, as necessary.

2. Press soft key next to parameter to be edited.

• Current value is highlighted.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

31

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Making Changes During Continuous Infusion (Continued)

Making Changes to Rate, Dose or VTBI
(Continued)

3. Make changes:

a. To enter a new value, use numeric keypad.

b. To reset Volume Infused to 0.0 mL, press CLEAR or

0 (zero) key.

4. To accept new value, press ENTER key.

Making Changes to Concentration or
Patient Weight

Infusion must be paused before making changes. If a drug
with a defined standard concentration was selected, Conc
(concentration) values are not editable.

1. To pause infusion, press channel's RUN/HOLD key.

2. Press set up soft key.

3. Press soft key next to parameter to be edited.

• Current value is highlighted.

4. To enter a new value, use numeric keypad then press
ENTER key.

Resuming Interrupted Infusion

If a channel has been powered off during an infusion, previous
programming may be resumed if:

• One channel of a dual channel device remained on.

• Current profile is accepted and New Patient? – no is

selected during start up (see "Selecting New Patient and
Profile Options").

1. Select desired channel as necessary.

32

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Resuming Interrupted Infusion (Continued)

2. Press Resume Previous Drug soft key.

• Previous drug review screen displays.

3. Press ok soft key to confirm drug, therapy, concentration
and dosing units.

4. If facility has defined a Clinical Advisory for selected drug,
a message appears. To indicate that information has
been noted and continue programming, press ok soft key.

• Previous infusion setup page appears.

5. Verify parameters are correct. If a change is required, see
“Making Changes During Continuous Infusion”.

6. Press ok soft key to continue.

• RUN/HOLD page displays.

7. Verify that all parameters are correct, then press run soft
key or RUN/HOLD key to start infusion.

AB

New Guardrails Drug
New Guardrails Fluid

Resume Previous Drug

Basic Infusion

MENU

OPTIONS

A

KVO Mode

When the primary VTBI reaches 0.0mL, the instrument
automatically switches to the configured KVO (keep vein open)
rate, or remains at the current infusion rate, whichever is less.

• KVO rate flashes in rate LED display.

• Programmed infusion rate continues to display in Main

Display.

• KVO flashes in infusion status bar.

• KVO alert tone sounds (may be silenced for 2 minutes

using Silence key).

• VTBI = 0 (INFUSION IN KVO in Models 7131/7231)

message flashes in Main Display.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

AB

Rate = 56.0 mL/h
Dose = 0.8 mg/kg/h

VTBI = 0.0 VI = 100.0

Channel A

VTBI = 0

Programming

OPTIONS

A

33

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Resuming Operation from KVO Mode

1. To place channel on hold, press RUN/HOLD key.

2. Press VTBI soft key.

• VTBI is highlighted.

3. To enter desired VTBI, use numeric keys then press
ENTER key.

4. To resume infusion, press run soft key or RUN/HOLD key.

Clearing Volume Infused

The volume infused counter increments as fl uids are infused
through a given channel. All fl uids infused in primary mode,
including boluses, all fl uids infused in secondary mode and all
fl uids infused in KVO mode are counted.

1. To reset volume infused counter to 0.0mL, press VI soft
key.

• VI field is highlighted.

2. Press CLEAR key or press 0 (zero) key then press
ENTER key.

Bolus Dose

A Bolus Dose can be programmed at the beginning of, or
during a continuous infusion. The drug being programmed
must be a bolusable drug selected from the Drug Library, as
described in the following procedures.

Bolus volume must be at least 1 mL and not more than

999.9 mL. Programming a bolus dose that calculates a bolus

volume outside that range results in a message, "Bolus
VTBI Less than 1 mL Not Allowed" or "Bolus VTBI More than

999.9 mL Not Allowed".

Bolus dose parameters may not be edited during bolus
infusion. If new parameters are desired, select New Bolus
Dose from the Bolus menu.

34

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Delivering a Bolus Dose Prior to Beginning

Continuous Infusion

1. Set up infusion as described in “Continuous Infusion”
procedure, steps 1 - 10. Do not start infusion.

2. On VTBI and VI setup page, press Bolus soft key.

• Bolus programming page displays.

• Bolus field is highlighted.

3. An optional hospital-defined and editable starting value for
bolus dose may already be entered.

OR

To enter a value, use numeric data entry keys then press
ENTER key.

• If bolus is weight-based and weight has already been

programmed in same channel, Wt (patient weight in
kg) is automatically entered.

• If bolus is weight-based and weight has not yet been

programmed in same channel, Wt (patient weight in
kg) needs to be entered.

• If bolus is not weight-based, Not Used displays in Wt

field.

AB

alteplase

VTBI= 100.0 mL
VI= 0.0 mL

menu

AB

Bolus = - - - - mg/kg
Wt = - - kg

Time = - - min

menu

Bolus

Alteplase Bolus

OPTIONS

A

ok

OPTIONS

A

4. An optional hospital-defined bolus dose administration
rate may have been used to calculate an editable Time in
minutes (1-99) to deliver programmed bolus dose.

OR

To enter a Time value, use numeric data entry keys then
press ENTER key.

5. Verify parameters are correct and press ok soft key (see
"Guardrails

®

Suite MX Prompts").

• Bolus RUN/HOLD page displays.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

AB

Bolus = 0.09 mg/kg
Wt = 70 kg

Time = 1 min

Alteplase Bolus

menu

Programming

OPTIONS

A

ok

35

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Delivering a Bolus Dose Prior to Beginning

Continuous Infusion (Continued)

6. Verify that all parameters are correct, then press run soft
key or RUN/HOLD key to start infusion.

• When bolus dose completes, an audio tone sounds

and “Bolus Dose Complete” briefly displays, and
infusion automatically transitions to continuous rate.

Delivering a Bolus Dose During a Continuous Infusion

1. Press OPTIONS key.

2. Press Bolus soft key.

• BOLUS MENU displays.

3. Press New Bolus soft key.

OR

To repeat a previous bolus, press Repeat Last Bolus soft

key.

• Bolus Programming page displays.

• Bolus field is highlighted.

AB

Bolus = 0.09 mg/kg
Wt = 70 kg

Time Left = 1 min

Alteplase Bolus

menu

AB

BOLUS MENU

Repeat Last Bolus
New Bolus
Quit Bolus

OPTIONS

A

run

OPTIONS

A

4. An optional hospital-defined and editable starting value for
bolus dose may already be entered.

OR

To enter a value, use numeric data entry keys then press
ENTER key.

• If bolus is weight-based and weight has already been

programmed in same channel, Wt (patient weight in
kg) is automatically entered.

• If bolus is weight-based and weight has not yet been

programmed in same channel, Wt (patient weight in
kg) needs to be entered.

• If bolus is not weight-based, Not Used displays in Wt

field.

36

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Delivering a Bolus Dose During a Continuous Infusion

(Continued)

5. An optional hospital-defined bolus dose administration
rate may have been used to calculate an editable Time in
minutes to deliver programmed bolus dose.

OR

To enter a value, use numeric data entry keys then press
ENTER key.

6. Verify parameters are correct and press ok soft key
to transition from continuous to bolus infusion (see
"Guardrails

®

Suite MX Prompts").

• When bolus dose completes, an audio tone sounds

and Bolus Dose Complete briefly displays, and
infusion automatically transitions back to continuous
rate.

Bolus Only

The Bolus Only feature is used to deliver single boluses from
a fluid container without delivering a continuous infusion. The
feature is not available once a continuous dose or rate has
been entered, or if an initial value for continuous infusion dose
has been entered in the Data Set.

1. Follow steps 1 - 6 in "Continuous Infusion". DO NOT enter
a dose or rate.

2. Press BolusOnly soft key.

• Bolus Programming page displays.

• Bolus field is highlighted.

3. An optional hospital-defined and editable starting value for
bolus dose may already be entered.

AB

Rate = 50.0 mL/h
Dose = 0.9 mg/kg/h

Channel A

Bolus Dose Complete

AB

Rate = - - - - - mL/h
Dose= - - - - - mg/kg/h
Conc= 100 mg/ 100 mL
Wt= - - - - - kg

menu

BolusOnly

OPTIONS

OPTIONS

A

A

OR

-- Continued Next Page --

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

37

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Bolus Only (Continued)

To enter a value, use numeric data entry keys then press
ENTER key.

• If bolus is weight-based and weight has already been

programmed in same channel, Wt (patient weight in
kg) is automatically entered.

• If bolus is weight-based and weight has not yet been

programmed in same channel, Wt (patient weight in
kg) needs to be entered.

• If bolus is not weight-based, Not Used displays in Wt

field.

4. An optional hospital-defined bolus dose administration
rate may have been used to calculate an editable Time in
minutes (1-99) to deliver programmed bolus dose.

OR

To enter a time value, use numeric data entry keys then
press ENTER key.

5. Verify parameters are correct and press ok soft key (see
"Guardrails

®

Suite MX Prompts").

• Bolus Only bag volume confirmation page displays.

6. Verify that bag contains an adequate volume to deliver
programmed dose as specified and press ok soft key.

• Bolus RUN/HOLD page displays.

7. Verify that all parameters are correct and press run soft
key or RUN/HOLD key to start infusion.

• When bolus dose completes, an audio tone sounds

and Bolus Dose Complete displays until user takes
action.

• No continuous infusion or KVO rate occurs.

• Dashes “----“ appear in Rate LED display.

• No alarm occurs.

AB

Bolus Only

Make Sure Bag

Contains At Least

6.3 mL

return

AB

Bolus Dose Complete

menu

OPTIONS

ok

OPTIONS

A

8. Press menu key to return to Bolus Menu.

38

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Stopping Bolus Dose

1. To place channel on hold, press channel RUN/HOLD key.

2. Press menu soft key.

• Bolus Menu displays.

3. Press Quit Bolus soft key.

4. To start continuous infusion, if one was programmed,
verify parameters are correct and then press run soft key
or channel RUN/HOLD key.

Repeating a Bolus Dose

A bolus dose that has completed may be repeated. If a bolus
dose was stopped prior to completion the Repeat Bolus Dose
soft key becomes inactive.

1. Press Options key.

2. Press Bolus soft key.

• Bolus Menu displays.

3. Press Repeat Last Bolus soft key.

• Bolus Programming page displays.

4. To accept current bolus dose and time values and begin
bolus delivery, press ok soft key.

AB

BOLUS MENU

Repeat Last Bolus
New Bolus
Quit Bolus

AB

BOLUS MENU

Repeat Last Bolus
New Bolus
Quit Bolus

OPTIONS

A

OPTIONS

A

OR

To edit bolus or time, select desired field, use numeric
data entry keys to enter a new value, then press ENTER
key and press ok soft key to begin bolus delivery.

• When bolus dose completes, an audio tone sounds,

Bolus Dose Complete briefly displays, and infusion
automatically transitions to continuous rate if one was
programmed.

• If no continuous rate or dose was programmed an

audio tone sounds and Bolus Dose Complete
displays until user takes action (see "Bolus Only").

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

39

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Intermittent Infusion

When using a drug listed in the Drug Library, the drug
parameters are automatically calculated based on:

• drug amount

• weight entry or BSA entry (if required)

• VTBI entry

• time or rate entry

1. Press New Guardrails Drug soft key.

• If 15 or less drugs are available in selected profile, a

list of drug names displays; otherwise, an alphabetic
pre-selection menu displays.

2. To use pre-selection menu press soft key corresponding
to first letter of desired drug.

3. Press soft key next to desired drug name to select it.

• page soft key(s) may be used to view additional

selections.

AB

New Guardrails Drug
New Guardrails Fluid
Basic Infusion

MENU

AB

Select Drug A - F
Select DrugG-M
Select DrugN-S
Select Drug T - Z

menu

AB

OPTIONS

OPTIONS

octreotide
paclitaxel

pentostatin
potassium CHLORIDE

menu

page

A

A

OPTIONS

A

• If applicable, an optional hospital-defined therapy

or clinical indication for delivery of this infusion may
appear (as in illustrated example, which reflects use
of paclitaxel). Different limits can be defined for same
drug with different therapeutic indications.

40

Programming

A

B

paclitaxel

OPTIONS

A

every three weeks
weekly

return

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Intermittent Infusion (Continued)

• If applicable, a weight-based, non-weight-based or

BSA-based option for delivery of this infusion may
appear.

• If applicable, multiple concentration listings for delivery

of this infusion may appear (as in illustrated example
which reflects use of vancomycin).

4. Press soft key next to desired selection.

AB

1000 mg / 200 mL
1000 mg / 250 mL

- - - - mg / - - - - mL

return

VANCOmycin

OPTIONS

A

5. To confirm selection and continue programming, press ok
soft key.

• If a different selection is desired, press return soft key

to return to drug list or press menu soft key to return to
MENU screen, then navigate to desired selection and
press ok soft key.

6. If facility has defined a Clinical Advisory for selected drug,
a message appears. To indicate that information has
been noted and continue programming, press ok soft key.

• Intermittent infusion setup page displays.

7. Enter parameters as needed.

• If a drug with a defined standard concentration was

selected, Conc (concentration values, drug amount
and diluent volume) are automatically entered. (Note
that these values are not editable).

A

B

paclitaxel

every three weeks

Dose in mg/m

menu

AB

Steroid Premeds

Non-PVC tubing

Filter Required

ADVISORY

OPTIONS

A

2

okreturn

OPTIONS

ok

-- Continued Next Page --

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

41

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Intermittent Infusion (Continued)

• If a drug with -- / -- mL was selected, Conc

(concentration values, drug amount and diluent
volume), need to be entered. Drug amount is total
dose of drug in fluid container. Diluent Volume is total
volume of fluid container.

• If selected drug is weight-based, Wt (patient weight in

kg) needs to be entered.

• If selected drug is BSA-based, BSA (body surface

area in meters squared) needs to be entered.

• If selected drug is not weight-based or BSA-based, Wt

or BSA field does not appear.

• Once all required parameters have been entered, total

calculated dose displays. This value is not editable.

8. Verify that all parameters are correct and press ok soft
key to confirm (see "Guardrails

®

Suite MX Prompts”).

AB

paclitaxel

Conc = - - - - mg/ - - - - mL

BSA = - - - - m

Dose = - - - - - mg/m

menu

AB

Conc = 280 mg/ 500 mL

BSA = 1.6 m

Dose =175 mg/m

menu

2

paclitaxel

2

OPTIONS

A

2

OPTIONS

A

2

ok

• Rate/VTBI/Time page displays.

• VTBI value is highlighted.

• An editable value derived from diluent volume is

automatically entered.

9. To accept value, press ENTER key.

OR

To enter another value, use numeric data entry keys then
press ENTER key.

• The VI field is highlighted.

10. If there is a VI value that needs to be cleared, press
CLEAR key or press 0 (zero) key then press ENTER key.

42

Programming

A

B

Rate = 166.7 mL/h

VTBI= VI = 0.0 mL500.0 mL

Time=3h0min

paclitaxel

menu

rate - time

OPTIONS

A

ok

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

Intermittent Infusion (Continued)

11. An optional hospital-defined and editable starting value for
time may already be entered.

OR

To enter a value, use numeric data entry keys to enter
hours (0-99), then minutes (0-59). Press ENTER key to
accept each entry.

• Time can be entered to calculate rate or if rate entry

is desired, press rate -

- time, indicating that rate may be entered.

rate

soft key. It changes to

time

12. Verify that all parameters are correct and press ok soft
key (see "Guardrails

®

Suite MX Prompts”).

• RUN/HOLD page displays.

13. Verify that all parameters are correct and press run soft
key or RUN/HOLD key to start infusion.

14. To briefly view setup parameters (therapy, total dose,
concentration, patient weight or BSA, current profile) from
RUN/HOLD page or during a running infusion, press

4

soft key.

AB

Rate = 166.7 mL/h

VTBI = 500.0 mL VI = 0.0 mL

Time = 3 h 0 min

paclitaxel

menu

rate - time

OPTIONS

run

A

Making Changes During Intermittent Infusion

Intermittent infusions must be paused to change parameters
(Rate, VTBI or Time) or to clear VI.

1. Press RUN/HOLD key for desired channel.

2. Press soft key next to parameter to be edited.

• Current value is highlighted.

3. Make changes:

a. To enter a new value, use numeric keypad.

b. To reset volume infused to 0.0 mL, press CLEAR or 0

(zero) key.

4. To accept new value, press ENTER key.

• Rate can be entered to calculate time or if time entry

is desired, press
rate -

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

, indicating that time may be entered.

time

- time soft key. It changes to

rate

Programming

43

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

IV Fluid Infusion

1. Press New Guardrails Fluid soft key.

• If 15 or less fluids are available in selected profile, a

list of fluid names displays; otherwise, an alphabetic
pre-selection menu displays.

2. To use pre-selection menu press soft key corresponding
to first letter of desired fluid.

3. Press soft key next to desired fluid name to select it.

• page soft key(s) may be used to view additional

selections.

• If applicable, an optional hospital-defined therapy

or clinical indication for delivery of this infusion may
appear. Different rate limits can be defined for same
fluid with different therapeutic indications.

AB

New Guardrails Drug
New Guardrails Fluid
Basic Infusion

MENU

AB

Select Fluid A - F
Select Fluid G-M
Select Fluid N-S
Select Fluid T - Z

menu

AB

TPN

menu

page

OPTIONS

A

OPTIONS

A

OPTIONS

A

4. Press soft key next to desired selection.

5. To confirm selection and continue programming, press ok
soft key.

• If a different selection is desired, press return soft key

to return to fluid list or press menu soft key to return to
MENU screen, then navigate to desired selection and
press ok soft key.

44

Programming

A

menu

B

Confirm fluid

TPN

OPTIONS

A

ok return

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - With Guardrails® Suite MX Protection (Continued)

IV Fluid Infusion (Continued)

6. If a Clinical Advisory has been defined for selected fluid, a
message appears. To indicate that information has been
noted and continue programming, press ok soft key.

• IV Fluid setup page displays.

• Rate field is highlighted.

7. To enter a value, use numeric data entry keys then press
ENTER key (see "Guardrails

®

Suite MX Prompts”).

• VTBI field is highlighted.

8. To enter a VTBI value, use numeric data entry keys then
press ENTER key.

AB

0.22 micron filter
Dedicated Line

ADVISORY

AB

Rate = - - - - - mL/h

VTBI = 0.0 mL
VI = 0.0 mL

TPN

menu

OPTIONS

ok

OPTIONS

A

• VI field is highlighted.

9. If there is a VI value that needs to be cleared, press

CLEAR key or press 0 (zero) key then press ENTER key.

10. Verify that all parameters are correct and press run soft
key or RUN/HOLD key to start infusion.

11. To briefly view current profile from RUN/HOLD page or
during a running infusion, press

4

soft key.

AB

Rate = 83.3 mL/h
VTBI = 2000.0 mL

VI = 0.0 mL

TPN

menu

OPTIONS

A

run

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

45

Secondary Infusion - With Guardrails® Suite MX Protection

Introduction

This mode is designed to support automatic secondary
infusions (“piggybacking”) in the same channel. A secondary
infusion can be programmed as a Basic SEC or Guardrails
SEC drug. When the secondary VTBI reaches zero, an audio
tone sounds (if enabled), Secondary Complete message
displays briefly, and the primary infusion rate automatically
resumes.

When the instrument is programmed and delivering in the
secondary mode, the primary infusion is temporarily stopped
and fluid is drawn from the secondary container. Delivery
from the primary container resumes when the fluid level in the
secondary line is level with the fluid in the primary container.

Primary infusion must be on hold to program secondary
infusion.

A secondary infusion may be programmed only after a primary
IV Fluid (that supports secondary mode) or a primary Basic
Infusion has been programmed.

A list of IV Fluid entries is created in the Data Set that is
developed and approved by the facility’s own multidisciplinary
team using the Editor Software, the PC-based authoring tool.
Each entry is determined to be either appropriate to support
secondary infusions or not. The secondary key is unavailable
for selections that have been designated as inappropriate for
secondary delivery. Pressing the SEC key after programming
a fluid that does not support secondary infusions results in a
message, “Secondary not allowed with this fluid”.

The maximum rate for a secondary infusion is 600 mL/h.
For information regarding flow sensor use with secondary
infusions, see "General Information", "Flow Sensor".

WARNINGS

• Secondary applications require

the use of a check valve set on
the primary IV line.

• The secondary solution
container must be higher than
the primary solution container.

• The secondary VTBI settings
require consideration of
variables; such as, factory
overfill, medication additions.
Underestimating the volume
causes the remaining secondary
solution to be infused at the
primary rate; overestimating
results in the primary solution
being infused at the secondary
rate. Multiple doses from a
single container are not possible.

• The clamp on the secondary
administration set must be
opened. If the clamp is not
opened, the fluid is delivered
from the primary container.

• The secondary administration
set must be primed prior
to beginning the secondary
infusion.

• Ensure proper setup of
secondary systems to make sure
of proper flow.

46

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Secondary Infusion - With Guardrails® Suite MX Protection (Continued)

Setup

1. Open secondary administration set package, remove set
and close clamp.

2. Insert administration set spike into prepared fluid container
and hang secondary container, following accepted
hospital/facility procedure.

3. Fill drip chamber to 2/3 full.

4. Open secondary administration set clamp and prime set.
Close clamp.

5. Attach secondary administration set to upper injection site
on primary set.

6. Using hanger(s) provided with secondary administration
sets, lower primary fluid container until bottom of
secondary container is at least 9½” above fluid level in
primary container.

Hanger

at least 9½”

Primary Container

Secondary Container

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

47

Secondary Infusion - With Guardrails® Suite MX Protection (Continued)

Secondary Intermittent Infusion

When using a secondary intermittent drug listed in the Drug
Library, the drug parameters are automatically calculated
based on:

• drug amount

• weight entry or BSA entry (if required)

• VTBI entry

• time or rate entry

Primary infusion must be on hold to program secondary
infusion.

1. Press SEC key.

• Secondary Menu displays.

2. Press Guardrails SEC Drug soft key.

• If 15 or less drugs are available in secondary library

of selected profile, a list of drug names displays;
otherwise, an alphabetic pre-selection menu displays.

3. To use pre-selection menu press soft key corresponding
to first letter of desired drug.

4. Press soft key next to desired drug name to select it.

AB

Guardrails SEC Drug
Basic SEC
Return to PRI

SECONDARY MENU

AB

Select Drug A - F
Select DrugG-M

Select DrugN-S
Select Drug T - Z

menu

AB

Tobramycin
TOPOtecan

Trastuzumab
VANCOmycin

menu

OPTIONS

A

OPTIONS

A

OPTIONS

A

48

-- Continued Next Page --

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Secondary Infusion - With Guardrails® Suite MX Protection (Continued)

Secondary Intermittent Infusion (Continued)

• If applicable, an optional hospital-defined therapy

or clinical indication for delivery of this infusion may
appear (as in illustrated example, which reflects use of
vancomycin). Different limits can be defined for same
drug with different therapeutic indications.

• If applicable, a weight-based, non-weight-based or

BSA-based option for delivery of this infusion may
appear (as in illustrated example, which reflects use of
acyclovir).

• If applicable, multiple concentration listings for delivery

of this infusion may appear (as in illustrated example
which reflects use of vancomycin).

A

B

VANCOmycin
Central
Peripheral

return

A

B

acyclovir

mg/kg

2

mg/m

return

AB

VANCOmycin

500 mg / 100 mL
1000 mg / 200 mL

- - - - mg / - - - - mL

return

OPTIONS

A

OPTIONS

A

OPTIONS

A

5. Press soft key next to desired selection.

6. To confirm selection and continue programming, press ok

soft key.

• If a different selection is desired, press return soft key
to return to drug list or press menu soft key to return to
MENU screen, then navigate to desired selection and
press ok soft key.

7. If a Clinical Advisory has been defined for selected drug, a
message appears. To indicate that information has been
noted and continue programming, press ok soft key.

• Intermittent infusion setup page displays.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

49

Secondary Infusion - With Guardrails® Suite MX Protection (Continued)

Secondary Intermittent Infusion (Continued)

8. Enter parameters as needed.

• If a drug with a defined standard concentration was

selected, Conc (concentration values, drug amount
and diluent volume) are automatically entered. (Note
that these values are not editable).

• If a drug with -- / -- mL was selected, Conc

(concentration values, drug amount and diluent
volume), needs to be entered. Drug amount is total
dose of drug in fluid container. Diluent volume is total
volume of fluid container.

• If selected drug is weight-based, Wt (patient weight in

kg) needs to be entered.

• If selected drug is BSA-based, BSA (body surface

area in meters squared) needs to be entered.

• If selected drug is not weight-based or BSA-based, Wt

or BSA field does not appear.

• Once all required parameters have been entered, total

calculated dose displays. This value is not editable.

9. Verify that all parameters are correct and press ok soft
key to confirm (see "Guardrails

®

Suite MX Prompts”).

• Rate/VTBI/Time page displays.

• VTBI field is highlighted.

• An editable value derived from diluent volume is

automatically entered.

10. To accept value, press ENTER key.

OR

To enter another value, use numeric data entry keys then
press ENTER key.

• VI field is highlighted.

11. If there is a VI value that needs to be cleared, press
CLEAR key or press 0 (zero) key then press ENTER key.
(This VI value includes all fluids infused on this channel in
Primary and Secondary mode since last cleared.)

50

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Secondary Infusion - With Guardrails® Suite MX Protection (Continued)

Secondary Intermittent Infusion (Continued)

12. An optional hospital-defined and editable starting time for
Time may already be entered.

OR

To enter a value, use numeric data entry keys to enter
hours (0-99), then minutes (0-59). Press ENTER key to
accept each entry.

• Time can be entered to calculate rate or if rate entry

is desired, press rate -

- time, indicating that rate may be entered.

rate

soft key. It changes to

time

13. Verify that all parameters are correct and press ok soft
key (see "Guardrails

®

Suite MX Prompts”).

• A Secondary Clamp reminder message displays.

14. Verify that secondary clamp is open before proceeding,
then press yes soft key.

• RUN/HOLD page displays.

15. Verify that all parameters are correct and press run soft
key or RUN/HOLD key to start infusion.

16. To briefly view setup parameters (therapy, total dose,
concentration, patient weight or BSA and current profile)
from RUN/HOLD page or during a running infusion, press

4

soft key.

• When secondary VTBI reaches 0.0mL:

© An audio tone sounds (if enabled).

© Channel _ Secondary Complete briefly displays.

© Infusion automatically transitions to primary rate.

AB

IS SECONDARY

OPTIONS

CLAMP OPEN?

yes

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

51

Primary Infusion - NO Guardrails® Suite MX Protection

The following procedures should be used only when the
drug to be infused is not listed in the Drug Library or when
the Profile feature is set to OFF in the instrument system
configuration.

Selecting New Patient Option - Profiles Feature Not

Enabled (OFF)

To indicate programming is for a new patient and clear all
stored patient parameters from memory, press yes soft key.

• All previous patient data clears.

OR

To confirm programming is for same patient and retain all
stored patient parameters, press no soft key.

Basic Infusion

If Guardrails® Suite MX protection is available and Basic
Infusion is desired, it can be accessed through the MENU.

If the Profile feature is set to OFF in the instrument
configuration, or no Data Set is loaded, the Basic Infusion
page displays by default.

1. Press Basic Infusion soft key.

• Basic Infusion RUN/HOLD page displays.

• Rate field is highlighted.

AB

NEW PATIENT?

“Yes” Clears Previous

Patient Data

no

OPTIONS

yes

2. To accept current value, press ENTER key.

OR

To enter desired value, use numeric data entry keys then
press ENTER key.

• VTBI field is highlighted.

3. To accept value, press ENTER key.

OR

To enter another VTBI value, use numeric data entry keys
then press ENTER key.

• VI field is highlighted.

52

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - NO Guardrails® Suite MX Protection (Continued)

Basic Infusion (Continued)

4. If there is a VI value that needs to be cleared, press
CLEAR key or press 0 (zero) key then press ENTER key.

5. Verify that all parameters are correct and press run soft
key or RUN/HOLD key to start infusion.

6. To briefly view current profile from RUN/HOLD page or
during a running infusion, press

Promoting Basic Infusion to

Guardrails® Suite MX Protection Infusion

4

soft key.

When the Profiles feature is set to OFF or when no Data Set
has been transferred to the SE Pump, Guardrails

®

Suite MX

protection is not available and this section does not apply.

A basic infusion may be promoted to a continuous drug
infusion or a fluid infusion with Guardrails

®

Suite MX protection

while infusing.

A basic infusion may not be promoted to an intermittent drug.
If an intermittent drug is selected a Pri Running message is
displayed.

Promoting Basic Infusion to

Guardrails® Drug Infusion

Infusion must be running in the Basic Primary Mode.

1. Select desired channel as necessary.

2. Press Options key.

3. Press Guardrails Menu soft key.

4. Press New Guardrails Drug soft key.

5. To use pre-selection menu press soft key corresponding
to first letter of desired drug.

AB

Select Drug A - F
Select DrugG-M
Select DrugN-S
Select Drug T - Z

menu

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

53

Primary Infusion - NO Guardrails® Suite MX Protection (Continued)

Promoting Basic Infusion to

Guardrails® Drug Infusion (Continued)

6. Press soft key next to desired drug name to select it.

• page soft key(s) may be used to view additional

selections.

7. To confirm selection and continue programming, press ok
soft key.

• If a different selection is desired, press return soft key

to return to drug list or press menu soft key to return to
MENU screen, then navigate to desired selection and
press ok soft key.

8. If a Clinical Advisory has been defined for selected drug, a
message appears. To indicate that information has been
noted and continue programming, press ok soft key.

• Dose field is highlighted.

9. An optional hospital-defined and editable starting value for
continuous infusion dose may already be entered.

AB

Alprostadil
Bretylium
Bumetanide
Diltiazem

menu

OPTIONS

A

page

OR

To enter a value, use numeric data entry keys then press
ENTER key.

• Dose field is highlighted for first entry, but soft keys

can be used to highlight other parameters for entry
prior to dose. To automatically calculate dose
instead of rate, press rate soft key and enter a rate
value. Once all entries have been completed, dose is
automatically calculated.

• If a drug with a defined standard concentration was

selected, Conc (concentration values, drug amount
and diluent volume) is automatically entered. (Note
that these values are not editable).

• If a drug with -- / -- mL was selected, Conc

(concentration values, drug amount and diluent
volume), needs to be entered.

-- Continued Next Page --

54

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - NO Guardrails® Suite MX Protection (Continued)

Promoting Basic Infusion to

Guardrails® Drug Infusion (Continued)

• If selected drug is weight-based, Wt (patient weight in

kg) needs to be entered.

• If selected drug is not weight-based, Wt (patient

weight) field does not appear.

10. Verify that all parameters are correct and press ok soft
key to confirm.

Promoting Basic Infusion to

Guardrails® IV Fluid Infusion

Infusion must be running in the Basic Primary Mode.

1. Select desired channel as necessary.

2. Press Options key.

3. Press Guardrails Menu soft key.

4. Press New Guardrails Fluid soft key.

5. To use pre-selection menu press soft key corresponding
to first letter of desired fluid.

6. Press soft key next to desired fluid name to select it.

• page soft key(s) may be used to view additional

selections.

7. To confirm selection and continue programming, press ok
soft key.

• If a different selection is desired, press return soft key

to return to fluid list or press menu soft key to return to
MENU screen, then navigate to desired selection and
press ok soft key.

AB

Select Fluid A - F
Select Fluid G-M
Select Fluid N-S
Select Fluid T - Z

menu

AB

1/2 NS

Blood (RBCs)
D5 1/2 NS
D5 1/2 NS+KCL 10mEq/L

return

page

OPTIONS

A

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

55

Primary Infusion - NO Guardrails® Suite MX Protection (Continued)

Promoting Basic Infusion to

Guardrails® IV Fluid Infusion (Continued)

8. If a Clinical Advisory has been defined for selected fluid, a
message appears. To indicate that information has been
noted and continue programming, press ok soft key.

• IV Fluid setup page displays.

• Rate field is highlighted and flashing indicating that

current value must be either approved or edited.

9. To accept current rate press ENTER key.

OR

To enter a value, use numeric data entry keys then press
ENTER key.

Dose Rate Calculation-Drug? NO DOSE LIMIT - Profiles

Feature Enabled (ON)

The following procedures are to be used only when the drug to
be infused is NOT listed in the Drug Library.

When using Drug? – NO DOSE LIMIT, drug parameters are
automatically calculated based on:

• concentration

• weight entry (if required)

• rate or dose entry

1. Press New Guardrails Drug soft key.

• If 15 or less drugs are available in selected profile, a

list of drug names displays; otherwise, an alphabetic
pre-selection menu displays.

2. To use pre-selection menu press T – Z soft key, press

page soft key to go to end of drug list, then press Drug?
– NO DOSE LIMIT soft key.

OR

-- Continued Next Page --

AB

MENU

Primary Infusion
New Guardrails Drug
Resume Previous Drug

AB

Select Drug A - F
Select DrugG-M
Select DrugN-S
Select Drug T - Z

menu

OPTIONS

OPTIONS

A

A

56

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - NO Guardrails® Suite MX Protection (Continued)

Dose Rate Calculation-Drug? NO DOSE LIMIT - Profiles

Feature Enabled (ON) (Continued)

Press 0 (zero) numeric key then press Drug? – NO DOSE
LIMIT soft key.

• Dosing unit in dose/weight/time displays with dose

segment highlighted.

3. To scroll through units available, press and release
soft key. When correct unit is displayed, press ENTER
key.

• If weight-based dosing is desired, press ENTER to

advance to time segment

OR

If non-weight-based dosing is desired, press

soft

key to clear segment, then press ENTER (weight field
disappears).

• If time unit is appropriate, press ENTER to advance to

concentration field.

OR

Press soft key to scroll through available time unit

choices. Press ENTER when correct unit displays.

• If concentration unit is appropriate, press ENTER to

advance.

OR

Press

soft key to scroll through available

concentration unit choices. Press ENTER when
correct unit displays.

AB

Drug? NO DOSE LIMIT

menu

AB

Dose in /kg/minmcg
Conc in mg/mL
Weight in kg

m e n u

A B

Dose in mcg/kg/min
Conc in mg/mL
Weight in kg

menu

page

OPTIONS

A

OPTIONS

A

o k

OPTIONS

A

ok

• If weight field appears and weight entry in kg

(kilograms) is desired, press ok soft key to advance to
programming page.

OR

If weight entry in lb (pounds) is desired, press soft

then press ENTER. Press ok soft key to advance to
programming page. Patient weight in pounds is used
to automatically calculate dose per kilogram per time.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

A B

Dose in mcg/kg/min
Conc in mg/mL
Weight in kg

menu

Programming

OPTIONS

A

ok

57

Primary Infusion - NO Guardrails® Suite MX Protection (Continued)

Dose Rate Calculation-Drug? NO DOSE LIMIT - Profiles

Feature Enabled (ON) (Continued)

4. Enter parameters as needed.

• Dose field is highlighted for first entry but soft keys can

be used to highlight other parameters for entry prior to
dose. To automatically calculate dose instead of rate,
press rate soft key and enter a rate value. Once all
entries have been completed dose is automatically
calculated.

5. Verify that all parameters are correct and press ok soft
key to confirm.

• VTBI and VI setup page displays.

• VTBI field is highlighted.

6. To enter a VTBI value, use numeric data entry keys then
press ENTER key.

• VI field is highlighted.

7. If there is a VI value that needs to be cleared, press
CLEAR key or press 0 (zero) key then press ENTER key.

8. To continue programming, press ok soft key.

• RUN/HOLD page displays.

AB

Rate = - - - - - mL/h
Dose= - - - - - mg/kg/h
Conc= - - - - - mL/h
Wt= - - - - - kg

menu

BolusOnly

OPTIONS

A

9. Verify that all parameters are correct and press run soft
key or RUN/HOLD key to start infusion.

10. To briefly view current setup parameters (concentration,
patient weight, current profile) from RUN/HOLD page or
during a running infusion, press

4

soft key.

Dose Rate Calculation-Profiles Feature Not Enabled (OFF)

This feature allows the clinician to select a drug name from
a pre-set list or to select a generic calculation feature by
selecting “Drug?” to calculate drug parameters for drugs
not on the list. If the preset list is disabled in the instrument
configuration settings, then only generic calculation is
available. Parameters are calculated automatically based on:

• concentration

• weight entry (if required)

• rate or dose entry

58

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Primary Infusion - NO Guardrails® Suite MX Protection (Continued)

Dose Rate Calculation-Profiles Feature Not Enabled (OFF)

(Continued)

1. Press OPTIONS soft key.

• Options page appears.

2. Press Dose Rate Calculator soft key.

AB

Resistance Trend
Monitoring Options

Dose Rate Calculator
Set Pressure Baseline

return

page

OPTIONS

A

3. Press Enter New Program soft key.

• An alphabetic pre-selection menu is displayed.

4. To use pre-selection menu press soft key corresponding
to first letter of desired drug.

5. Press soft key next to desired drug name to select it.

• page soft key(s) may be used to view additional

selections.

• If desired drug name is not listed, see “Drug? NO

DOSE LIMIT-Profiles Feature Enabled (On)”.

6. To approve all displayed information and advance to setup
page press ok soft key

OR

To change concentration or weight units press soft key
next to parameter to be changed.

•

• To scroll through available selections, press

soft key appears.

soft

key. When desired unit displays, press ENTER key,
then press ok soft key to continue programming.

AB

DOSE RATE MENU

Review/Resume
Enter New Program
Quit Program

A B

Dose in mcg/kg/min
Conc in mg/mL
Weight in kg

menu

OPTIONS

A

OPTIONS

A

ok

7. Pr e s s ok soft key to confirm selection and dosing units.

• Infusion setup page displays.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

59

Primary Infusion - NO Guardrails® Suite MX Protection (Continued)

Dose Rate Calculation-Drug? NO DOSE LIMIT - Profiles

Feature Not Enabled (OFF) (Continued)

8. To enter desired values, use numeric keys then press
ENTER key.

• Dose field is highlighted for first entry, but soft keys

can be used to highlight other parameters for entry
prior to dose. To automatically calculate dose
instead of rate, press Rate soft key and enter a rate
value. Once all entries have been competed, dose is
automatically calculated.

• Conc (concentration values of drug amount and

diluent volume) needs to be entered.

• If drug is weight-based, Wt (patient weight) needs to

be entered.

• If drug is not weight-based, Wt field does not appear.

9. When all fields have been completed, verify that all
parameters are correct and press ok soft key to confirm

• VTBI and VI setup page displays.

• VTBI field is highlighted.

10. To enter a VTBI value, use numeric data entry keys then
press ENTER key.

• VI field is highlighted.

11. If there is a VI value that needs to be cleared, press
CLEAR key or press 0 (zero) key then press ENTER key.

12. To continue programming, press ok soft key.

• RUN/HOLD page displays.

13. Verify that all parameters are correct and press run soft
key or RUN/HOLD key to start infusion.

14. To briefly view current dose rate setup parameters
(concentration, patient weight) from RUN/HOLD page or
during a running infusion, press

4

soft key.

60

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Loading Dose

This feature allows an initial infusion rate to be set up for a
specific volume, automatically followed by a maintenance
rate (primary settings) from the same container. If delivering
a bolus dose of medication to load prior to the start of a
continuous infusion, see "Primary Infusion - With Guardrails

®

Suite MX Protection", "Bolus Dose". The primary VTBI and
VI include the loading dose volumes. When the loading dose
VTBI reaches zero, a transition tone sounds (if transition tone
feature is enabled), Load Dose Complete message displays
briefly, and the primary settings automatically take effect.

Verify the primary mode parameters prior to accessing the
Loading Dose option.

Programming

1. Select desired channel, as necessary. Channel must be
on hold in primary mode.

WARNING

This mode is useful for delivering
fluid challenges. This feature is for
delivery from primary containers
only. Using this feature with 2
separate containers may result in
unintended flow rates.

CAUTION

Guardrails® drug dosing limits
are available only within the

New Guardrails Drug or New
Guardrails IV Fluids option.

Dosing limits do not apply when
using Loading Dose programming.
Profile configurable options, as
defined in the Data Set, do apply.

A

B

Rate= 25.0 mL/h
VTBI= 10000 mL
VI=

1.0

mL

PRIMARY

OPTIONS

A

2. Press OPTIONS key.

3. Press Loading Dose soft key.

• Loading Dose infusion rate is highlighted.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

AB

Multi-Step
Multi-Dose
Loading Dose
View Curr. Settings

return

page

Programming

OPTIONS

A

61

Loading Dose (Continued)

OPTIONS

AB

A

LOADING DOSE

Primary Settings

Rate= mL/h200.0

VTBI= mL500.0

Programming (Continued)

4. If current value is appropriate, press ENTER key.

OR

To enter a new infusion rate, use numeric keypad and
press ENTER key.

• Loading Dose VTBI is highlighted.

5. If current value is appropriate, press ENTER key.

OR

To enter a new VTBI, use numeric keypad and press
ENTER key.

À

6. To start loading dose infusion, press RUN/HOLD key.

7. To briefly view current profile press

4

soft key.

8. To briefly view primary settings (Pri Rate, Pri VTBI, Total
VI) during loading dose infusion, press Primary Settings
soft key.

9. To change Primary Settings during a loading dose
infusion, press Primary Settings soft key.

AB

Rate= mL/h200.0

VTBI= mL500.0
Primary Settings

LOADING DOSE

OPTIONS

A

10. Press soft key next to parameter to be edited.

• Current value is highlighted.

11. M a ke c hanges:

a. To enter a new value, use numeric keypad.

b. To reset volume infused to 0.0 mL, press CLEAR or 0

(zero) key.

12. To accept new value, press ENTER key.

13. When complete:

• Loading Dose Complete is displayed.

• Pump returns to Primary Infusion.

NOTE:

À The Loading Dose VTBI must be less than the primary VTBI.

62

Programming

AB

Rate= mL/h200.0

VTBI= 500.0 mL
Primary Settings

LOADING DOSE

10% Resistance

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Multi-Dose

This feature allows 1 to 24 infusions to be preprogrammed with
the same rate and volume, to be delivered at equally spaced
intervals, over a period of up to 24 hours. It also offers a
delayed start option up to 8 hours and a Dose Complete Alert
Option. These features can be turned on or off.

This program requires another infusing line to keep the vein
open between programmed doses since there is no KVO
infusion between doses or following program completion.

Programming

1. Select desired channel, as necessary. Channel must be
on hold in primary mode.

CAUTION

Guardrails® drug dosing limits
are available only within the

New Guardrails Drug or New
Guardrails IV Fluids option.

Dosing limits do not apply when
using Multi-Dose programming.
Profile configurable options, as
defined in the Data Set, do apply.

AB

Rate= 25.0 mL/h
VTBI= 4.0 mL
VI= 0.0 mL

Primary

OPTIONS

A

2. Press OPTIONS key.

3. Press Multi-Dose soft key.

4. Press Enter New Program soft key.

-- Continued Next Page --

AB

Multi-Step
Multi-Dose
Loading Dose
View Curr. Settings

return

A B

MULTI-DOSE MENU
Review/Resume
Enter New Program
Quit Program

page

OPTIONS

A

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

63

Multi-Dose (Continued)

Programming (Continued)

• Setup page appears with infusion rate highlighted.

5. To enter infusion rate, use numeric keypad. Press ENTER
key.

6. To enter VTBI/Dose, use numeric keypad. Press ENTER
key.

A B

Rate= ----- mL/h
VTBI/Dose= ----- mL
No. Doses= -­Frequency= -- h

menu

A B

Rate=250.0 mL/h
VTBI/Dose= ----- mL
No. Doses= -­Frequency= -- h

menu

A B

Rate=250.0 mL/h
VTBI/Dose=100.0 mL
No. Doses= --
Frequency= -- h

menu

OPTIONS

A

OPTIONS

A

OPTIONS

A

7. To enter number of doses, use numeric keypad. Press
ENTER key.

8. To enter dose frequency (time interval from start of one
dose until start of next), use numeric keypad. Press
ENTER key.

64

Programming

A B

Rate=250.0 mL/h
VTBI/Dose=100.0 mL
No. Doses= 4
Frequency= -- h

menu

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Multi-Dose (Continued)

Programming (Continued)

9. Verify that all parameters are correct then press ok soft
key.

• If Dose Complete Alert Option is enabled, DOSE

COMPLETE ALERT OPTION page appears.

10. To select On or Off, use soft keys.

11. To continue programming, press ok soft key.

À

• To start first dose immediately, see “Starting First

Dose Immediately After Programming”.

• To delay start of first dose, see “Delaying Start of First

Dose”.

A B

Rate=250.0 mL/h
VTBI/Dose=100.0 mL
No. Doses= 4
Frequency= 6 h

menu

A B

DOSE COMPLETE

ALERT OPTION

On

Off

menu

A B

DOSE COMPLETE

ALERT OPTION

On

Off

menu

OPTIONS

A

ok

OPTIONS

A

ok

OPTIONS

A

ok

NOTE:

À All doses must be programmed to start within 24 hours.

Starting First Dose Immediately After
Programming

1. A displayed time of 0 hours, 0 minutes identifies that first
dose starts immediately after programming.

2. To approve and advance to main hold page, press ok soft
key.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

A B

0 h

0 min
Until First Dose
VI= 0.0 mL

menu

Programming

OPTIONS

A

ok

65

Multi-Dose (Continued)

Programming (Continued)

Starting First Dose Immediately After
Programming (Continued)

3. To start infusion, press RUN/HOLD key or run soft key.

Delaying Start of First Dose

A B

Rate=250.0 mL/h
VTBI=100.0 mL
VI= 0.0 mL

Dose 1 of 4

menu

OPTIONS

A

run

1. To enter number of hours until first dose, use numeric
keypad. Press ENTER key.

2. To enter number of minutes (0 to 59) until first dose, use
numeric keypad. Press ENTER key.

3. To advance to timer hold page, press start timer soft key.

A B

0 h

0 min
Until First Dose
VI= 0.0 mL

menu

A B

3 h

0 min

Until First Dose
VI= 0.0 mL

menu

A B

3 h
12 min
Until First Dose
VI= 0.0 mL

menu

OPTIONS

A

ok

OPTIONS

A

start timer

OPTIONS

A

start timer

66

-- Continued Next Page --

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Multi-Dose (Continued)

Programming (Continued)

Delaying Start of First Dose (Continued)

• Hourglass icon flashes to indicate timer is counting

down to start of dose.

• Dose automatically starts its infusion when timer

reaches 0 hours, 0 minutes.

4. To briefly view Multi-Dose programmed information, press

4

soft key.

Changing Time Interval Until Next Dose

1. Press stop timer soft key.

AB

3h
12 min
Until First Dose

stop timer

AB

Rate=250.0 mL/h
VTBI=100.0 mL

100.0mL @ 250.0mL/h
Q6

h x 4 VI=100.0

Adult ICU

AB

3h
12 min
Until Dose 2 of 4

OPTIONS

A

OPTIONS

A

OPTIONS

A

2. To select a value for editing, press a soft key.

3. To enter new value, use numeric keypad. Press ENTER
key.

4. When editing is complete, press start timer soft key.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

A B

3 h
12 min
Until Dose 2 of 4
VI= 100.0 mL

menu

A B

2 h
12 min
Until Dose 2 of 4
VI= 100.0 mL

menu

stop timer

OPTIONS

A

start timer

OPTIONS

A

start timer

Programming

67

Multi-Dose (Continued)

Resuming an Interrupted Multi-Dose

1. Select desired channel, as necessary.

2. Select New Patient and Profile Options, as necessary.

• Return To Multi-Dose? page appears.

À

3. Press yes soft key.

• Pressing no soft key returns screen to primary setup

page.

4. To access setup parameters, press Review/Resume soft
key.

• If infusion was in progress when interrupted, see "If

Infusion Was In Progress When Interrupted”.

• If infusion was not in progress when interrupted, see “If

Infusion Was Not In Progress When Interrupted”.

NOTE:

À Previous programming parameters will be preserved only

if current profile is accepted and NEW PATIENT?-NO is
selected.

If Infusion Was in Progress When
Interrupted

A B

Return To

Multi-Dose?

no

A B

MULTI-DOSE MENU
Review/Resume
Enter New Program
Quit Program

OPTIONS

A

yes

OPTIONS

A

1. To approve and advance to main hold page, press ok soft
key.

2. To resume infusion, press RUN/HOLD key or run soft key.

68

Programming

A B

Rate=250.0 mL/h
VTBI/Dose=100.0 mL
Frequency= 6 h
DOSE 1 INCOMPLETE

menu

A B

Rate=250.0 mL/h
VTBI=80.0 mL
VI= 20.0 mL

DOSE 1 of 4

menu

OPTIONS

A

ok

OPTIONS

A

run

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Multi-Dose (Continued)

Resuming an Interrupted Multi-Dose (Continued)

If Infusion Was Not in Progress When
Interrupted

1. Press ok soft key.

2. Edit time to delivery of next dose, as necessary.

3. To begin timer’s countdown to delivery of next dose, press
start timer soft key.

4. When final dose is complete:

• Dose _ of _ Complete displays until user takes

action.

• No Continuous Infusion or KVO Rate occurs.

Multi-Step

A B

Rate=250.0 mL/h
VTBI/Dose=100.0 mL
Frequency= 6 h
DOSE 1 COMPLETE

menu

A B

2 h

4 min
Until Dose 2 of 4
VI= 100.0 mL

menu

OPTIONS

A

ok

OPTIONS

A

start timer

The Multi-Step feature allows a sequential drug delivery
program (up to 9 steps) to be set, delivering volumes of fluid
at different rates during each step. This allows the instrument
parameters to be set up once and to deliver a sequence
eliminating the need to change the rate and VTBI after each
infusion step.

The infusion may be programmed in either rate and volume or
volume and time. At completion of the last programmed step,
the channel switches to the preset KVO rate or remains at the
current rate, whichever is less.

Programming

1. Select desired channel, as necessary. Channel must be
on hold in primary mode.

2. Press OPTIONS key.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

CAUTION

Guardrails® drug dosing limits
are available only within the

New Guardrails Drug or New
Guardrails IV Fluid option. Dosing

limits do not apply when using
Multi-Step programming. Profile
configurable options, as defined in
the Data Set, do apply.

Programming

69

Multi-Step (Continued)

Programming (Continued)

3. Press Multi-Step soft key.

4. Press Enter New Program soft key.

5. Determine setup method:

• Rate and Volume: Instrument calculates step

infusion time. Proceed to "Programming by Rate and
Volume".

• Volume and Time: Instrument calculates rate.

"Proceed to Programming by Volume and Time".

AB

Multi-Step
Multi-Dose
LoadingDose
View Curr. Settings

return

A B

MULTI-STEP MENU
Review/Resume
Enter New Program
Quit Program

A B

PROGRAMMING OPTIONS

Rate and Volume

Volume and Time

menu

page

OPTIONS

A

OPTIONS

A

OPTIONS

A

Programming by Rate and Volume

1. Press Rate and Volume soft key.

• Step 1 of infusion sequence displays.

70

Programming

A B

PROGRAMMING OPTIONS

Rate and Volume
Volume and Time

menu

A B

STEP 1
Rate= -------- mL/h
VTBI= ----- mL
Time= -- h -- min

menu

OPTIONS

A

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Multi-Step (Continued)

Programming (Continued)

Programming by Rate and Volume
(Continued)

2. To enter a rate, use numeric keypad. Press ENTER key.

3. To enter VTBI, use numeric keypad. Press ENTER key.

• Time in hours and minutes is automatically calculated

and displayed.

4. To approve all displayed information and advance to step
2 of infusion sequence, press ok soft key.

5. To set up each additional step of infusion sequence,
repeat steps 2 through 4.

A B

STEP 1
Rate= 25.0 mL/h
VTBI= ----- mL
Time= -- h -- min

menu

A B

STEP 1
Rate= 25.0 mL/h
VTBI= 5.0 mL
Time= 0 h 12 min

menu

OPTIONS

A

OPTIONS

A

ok

6. When all steps have been entered and accepted, press
done soft key.

• Review page(s) display 3 sequence steps at a time.

7. To approve and advance through review page(s), press ok
soft key.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

A B

STEP 4
Rate= ----- mL/h
VTBI= ----- mL
Time= -- h -- min

menu

AB

# RATE VTBI TIME
1 25.0 5.0 0h12m
2 50.0 25.0 0h30m
3 100.0 100.0 1h 0m

Programming

OPTIONS

A

done

OPTIONS

A

okmenu

71

Multi-Step (Continued)

Programming (Continued)

Programming by Rate and Volume
(Continued)

8. To clear VI, if desired, press CLEAR or 0 (zero) key.
Press ENTER key.

9. To accept STEP TOTALS page, press ok soft key.

10. To start Multi-Step infusion program, press run soft key or
RUN/HOLD key.

A B

STEP TOTALS (3)
VTBI= 130.0 mL
Time= 1 h 42 min
VI 25.0 mL

menu

A B

STEP TOTALS (3)
VTBI= 130.0 mL
Time= 1 h 42 min
VI 0.0 mL

menu

A B

Rate= 25.0 mL/h
VTBI= 5.0 mL
VI= 0.0 mL

STEP 1 of 3

menu

OPTIONS

A

ok

OPTIONS

A

ok

OPTIONS

A

runsetup

Programming by Volume and Time

1. Press Volume and Time soft key

72

Programming

A B

PROGRAMMING OPTIONS

Rate and Volume

Volume and Time

menu

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Multi-Step (Continued)

Programming (Continued)

Programming by Volume and Time

• Step 1 of infusion profile displays.

• VTBI is highlighted.

2. To enter VTBI, use numeric keypad. Press ENTER key.

• Time (hours) is highlighted.

3. To enter hours, use numeric keypad. Press ENTER key.

• Time (minutes) is highlighted.

A B

STEP 1
Rate= ----- mL/h
VTBI= ----- mL
Time= -- h -- min

menu

A B

STEP 1
Rate= ----- mL/h
VTBI= 5.0 mL
Time= -- h -- min

menu

AB

STEP 1
Rate= ----- mL/h
VTBI= 5.0 mL
Time= 0 h -- min

m e nu

OPTIONS

A

OPTIONS

A

OPTIONS

A

4. To enter minutes (0-59), if desired, use numeric keypad.

Press ENTER key.

• Volumetric rate is automatically calculated and
displayed.

5. To approve all displayed information and advance to STEP

2 of infusion profile, press ok soft key.

6. To set up each additional step of infusion profile, repeat
steps 1 through 4.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

A B

STEP 1
Rate= 25.0 mL/h
VTBI= 5.0 mL
Time= 0 h 12 min

menu

Programming

OPTIONS

A

ok

73

Multi-Step (Continued)

Programming (Continued)

Programming by Volume and Time

(Continued)

7. When all steps have been entered and accepted, press
done soft key.

• Review page(s) display 3 profile steps at a time.

8. To approve and advance through review page(s), press ok
soft key.

9. To clear VI, if desired, press CLEAR or 0 (zero) key.
Press ENTER key.

A B

STEP 4
Rate= ----- mL/h
VTBI= ----- mL
Time= -- h -- min

menu

AB

# RATE VTBI TIME
1 25.0 5.0 0h12m
2 50.0 25.0 0h30m
3 100.0 100.0 1h 0m

A B

STEP TOTALS (3)
VTBI= 130.0 mL
Time= 1 h 42 min
VI 25.0 mL

menu

OPTIONS

A

done

OPTIONS

A

okmenu

OPTIONS

A

ok

10. To approve STEP TOTALS page, press ok soft key.

74

Programming

A B

STEP TOTALS (3)
VTBI= 130.0 mL
Time= 1 h 42 min
VI 0.0 mL

menu

OPTIONS

A

ok

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Multi-Step (Continued)

Programming (Continued)

Programming by Volume and Time

(Continued)

11. To start Multi-Step infusion program, press RUN/HOLD
key or run soft key.

Making Changes During Multi-Step

Select the desired channel, as necessary. The channel does
not need to be on hold to clear the VI or to view the totals
remaining.

Clearing Volume Infused

1. Press VI soft key.

A B

Rate= 25.0 mL/h
VTBI= 5.0 mL
VI= 0.0 mL

STEP 1 of 3

menu

A B

Rate= 25.0 mL/h
VTBI= 4.0 mL
VI= 1.0 mL

setup

STEP 1 of 3

10% Resistance

OPTIONS

A

run

OPTIONS

A

2. Press CLEAR or 0 (zero) key.

3. Press ENTER key.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

75

Multi-Step (Continued)

Making Changes During Multi-Step (Continued)

Viewing Totals Remaining

Press 4 soft key.

• Time and VTBI remaining in Multi-Step program display for

a short interval.

Viewing or Editing

The channel must be on hold to view or edit the steps in the
program.

A B

Rate= 50.0 mL/h
VTBI= 25.0 mL
VI= 5.0 mL

STEP 2 of 3

10% Resistance

AB

Rate= 50.0 mL/h
VTBI= 25.0 mL

Totals Remaining

VTBI= 125.0 mL

Time= 1 h 30 min

Adult ICU

OPTIONS

A

OPTIONS

A

1. To place channel on hold, press RUN/HOLD key.

2. To return to review page(s), press setup soft key.

• A tick mark (y) next to a step on review page(s)

indicates it has not started.

• Only steps having a (y) can be edited.

• Completed steps, or a step in progress, do not have

a (y).

• A step number in progress is highlighted.

3. To advance through review page(s) of program, press ok
soft key.

76

Programming

A B

Rate= 25.0 mL/h
VTBI= 4.0 mL
VI= 1.0 mL

STEP 1 of 3

menu

A B

# RATE VTBI TIME

1 25.0 5.0 0h12m

2 50.0 25.0 0h30m
3 100.0 100.0 1h 0m

menu

OPTIONS

A

runsetup

OPTIONS

A

ok

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Multi-Step (Continued)

Making Changes During Multi-Step (Continued)

Viewing or Editing (Continued)

4. To select a step for editing, press a soft key.

5. To select value for editing, press a soft key.

6. To enter new value, use numeric keypad. Press ENTER
key.

7. To return to review page(s) when programming is
complete, press ok soft key.

8. To approve review page(s) and STEP TOTALS page,
press ok soft key.

A B

STEP 2
Rate= 50.0 mL/h
VTBI= 25.0 mL
Time= 0 h 30 min

menu

A B

STEP 2
Rate= 25.0 mL/h
VTBI= 25.0 mL
Time= 1 h 00 min

menu

A B

# RATE VTBI TIME

1 25.0 5.0 0h12m

2 25.0 25.0 1h00m
3 100.0 100.0 1h 0m

menu

OPTIONS

A

ok

OPTIONS

A

ok

OPTIONS

A

ok

9. To resume infusion, press RUN/HOLD key or run soft key.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

A B

Rate= 25.0 mL/h
VTBI= 4.0 mL
VI= 1.0 mL

STEP 1 of 3

menu

setup

Programming

OPTIONS

A

run

77

Multi-Step (Continued)

Resuming an Interrupted Multi-Step

The channel retains its place in the program if the instrument
is turned off. The program can be restarted from step 1 or
resumed where it left off.

1. Select desired channel, as necessary.

2. Select New Patient and Profile Options, as necessary.

• Return To Multi-Step? page appears.

Á

À

3. Press yes soft key.

• Pressing no soft key returns screen to primary setup

page.

4. Press Review/Resume soft key.

5. To resume program from point of interruption, press
Continue Program soft key.

OR

To restart program at beginning of step 1, press Restart
Program soft key.

A B

Return To

Multi-Step?

no

A B

MULTI-STEP MENU
Review/Resume
Enter New Program
Quit Program

A B

STEP 1 of 3

In Progess
Continue Program
Restart Program

menu

OPTIONS

A

yes

OPTIONS

A

OPTIONS

A

6 Verify all settings are correct. If a change is required, see

“Making Changes During Multi-Step”.

78

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Multi-Step (Continued)

Resuming an Interrupted Multi-Step (Continued)

7. To approve review page(s) and STEP TOTALS page,

press ok soft key.

8. To continue or restart program, press RUN/HOLD key or

run soft key.

NOTES:

À Previous programming parameters will be preserved only

if current profile is accepted and NEW PATIENT?-NO is
selected.

Á If resuming an infusion on a dual channel instrument with an

infusion currently running, display goes directly to Return To
Multi-Step? during startup.

A B

# RATE VTBI TIME

1 25.0 5.0 0h12m

2 25.0 25.0 1h00m
3 100.0 100.0 1h 0m

menu

A B

Rate= 25.0 mL/h
VTBI= 4.0 mL
VI= 1.0 mL

STEP 1 of 3

menu

setup

OPTIONS

A

ok

OPTIONS

A

run

Quitting Multi-Dose and Multi-Step

The channel must be on hold or the last dose complete.

1. Press menu soft key.

2. To return to primary setup page, press Quit Program soft

À

key.

NOTE:

À Primary setup page parameters may be different from those of

the Multi-Dose or Multi-Step program. Verify all settings prior
to resuming an infusion.

A B

Rate= 25.0 mL/h
VTBI= 4.0 mL
VI= 1.0 mL

STEP 1 of 3

menu

A B

MULTI-STEP MENU
Review/Resume
Enter New Program
Quit Program

setup

OPTIONS

A

run

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

79

Secondary Infusion - NO Guardrails® Suite MX Protection

Introduction

See “Secondary Infusion With Guardrails

®

Suite MX

Protection, Introduction and Setup".

Basic Secondary Infusion- Profiles Feature Enabled (On)

Primary infusion must be on hold to program secondary
infusion.

Secondary mode must be set to ON in the instrument system
configuration settings. If secondary mode is OFF an invalid
keypress tone sounds and "Secondary Not Allowed" displays
when the SEC key is pressed.

1. Press SEC key

• Secondary Menu displays

2. Press Basic SEC soft key

• Basic secondary programming page displays.

• VTBI field is highlighted.

3. To enter desired VTBI, use numeric keys then press

ENTER key.

• VI field is highlighted.

4. If there is a VI value that needs to be cleared, press

CLEAR key or press 0 (zero) key then press ENTER key.

• Time is highlighted.

5. To enter a value, use numeric data entry keys to enter

hours (0-99), then minutes (0-59). Press the ENTER key
to accept each entry.

• Time can be entered to calculate rate or if rate entry

is desired, press rate -

- time, indicating that rate may be entered.

rate

soft key. It changes to

time

6. To continue programming press ok soft key.

• A Secondary Clamp reminder message displays.

80

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Secondary Infusion - NO Guardrails® Suite MX Protection (Continued)

Basic Secondary Infusion- Profiles Feature Enabled (On)

(Continued)

7. Verify that secondary clamp is open before proceeding,

then press yes soft key.

• Basic secondary RUN/HOLD page displays.

8. Verify that all parameters are correct and press run soft
key or RUN/HOLD key to start infusion.

9. To briefly view primary parameters (Pri rate, Pri VTBI) and
current profile from RUN/HOLD page or during a running
infusion, press

4

soft key.

10. When secondary infusion is complete:

• An audio tone sounds (if enabled).

• Channel _ Secondary Complete briefly displays.

• Infusion automatically transitions to primary rate.

Basic Secondary Infusion- Profiles Feature

Not Enabled (Off)

AB

IS SECONDARY CLAMP

OPEN?

OPTIONS

yes

1. Press SEC key

• Secondary setup page displays.

• Secondary rate is highlighted.

2. If current secondary infusion rate is appropriate, press
ENTER key.

OR

To enter a new rate, use numeric keypad then press
ENTER key.

• Maximum rate for secondary infusion is 600 mL/h.

• Secondary VTBI is highlighted.

3. If Secondary VTBI is appropriate, press ENTER key.

OR

To enter a new VTBI, use numeric keypad then press
ENTER key.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Programming

81

Secondary Infusion - NO Guardrails® Suite MX Protection (Continued)

Basic Secondary Infusion- Profiles Feature

Not Enabled (Off) (Continued)

4. To start secondary infusion, press RUN/HOLD key.

• Secondary clamp reminder message displays.

5. Verify that secondary clamp is open before proceeding,
then press yes soft key.

6. To briefly view primary settings during secondary infusion
press Primary Settings soft key.

• Primary rate (PriRate), primary volume to be infused

(PriVTBI) and total volume infused (ToalVI) are
displayed.

• Display returns to normal secondary page after 6

seconds.

7. To change Primary settings, press soft key for Pri Rate,
Pri VTBI or Total V I to freeze display and highlight
desired value, then edit as usual (see "Primary Infusion

- With Guardrails
During Continuous Infusion").

®

Suite MX Protection", "Making Changes

8. When secondary infusion is complete:

• An audio tone sounds (if enabled).

• Channel _ Secondary Complete briefly displays.

• Infusion automatically transitions to primary rate.

82

Programming

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Dynamic Monitoring System

All features and options in this section are shown enabled.
Options are enabled through the hospital Data Set profile
configuration settings, or through the instrument configuration
settings if the Profiles feature is not enabled (OFF).

The Dynamic Monitoring System provides the ability to monitor
downstream pressure or resistance, allowing rapid detection of
full and partial occlusions. Resistance monitoring eliminates
the impact of patient elevation and flow rate to provide the
most direct assessment of patency. Components of this
system are:

• Monitoring Options: to select IV line/site monitoring

modes of resistance, high resistance, and adjustable or
fixed pressure.

• Auto Restart Plus Feature: allows instrument to

automatically resume operation when specific instrument
operating conditions are met.

• Adjustable Resistance Alert: to provide an early

warning of increases in downstream flow resistance.

WARNINGS

• The SE Pump is designed to

stop fluid flow under alarm
conditions. Periodic patient

monitoring must be performed to
ensure the infusion is proceeding
as expected. It is a positive
displacement delivery system,
capable of developing positive
fluid pressures to overcome
widely varying resistances to
flow encountered in practice,
including resistances to flow
imposed by small gauge
catheters, filters and intra-arterial
infusion. It is neither designed
nor intended to detect infiltrations
and will not alarm under
infiltration conditions.

• Adjustable Pressure Alarm: to provide an early warning

of increases in downstream pressure.

• Tren d Graph: to display downstream pressure or flow

resistance over time.

• Pressure Baseline: to provide a starting point from which

to measure changes in system pressure.

Monitoring Options - General

IV lines, catheters, and applications create various levels of
resistance to flow. Monitoring mode options are available to
meet each clinical need.

• Resistance: designed to monitor IV line/site resistance

providing optimum sensitivity for most IV applications.

• High Resistance: designed to monitor IV line/site

resistance with optimum sensitivity where higher resistance
catheters are used.

• Before each use, verify the

pressure or resistance alarm
limits are appropriate for the

patient.

AB

Rate= 125.0 mL/h
VTBI=1000.0 mL
VI= 0.0 mL

Primary

50% Resistance

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Resistance Monitoring

Dynamic Monitoring System

83

Monitoring Options - General (Continued)

• Adjustable Pressure: designed to monitor IV line/

site pressure and provide user-adjustable pressure
alarm limits. Used for Precision Flow mode or for high
resistance systems; such as, infusion through transducers,
into dialysis systems and through highest resistance
catheters.

• Pressure: designed to monitor IV line/site pressure and

alarm based on a fixed pressure limit.

NOTE:

À Precision Flow: in fixed and adjustable pressure modes, the

SE Pump provides enhanced flow continuity at rates below
50 mL/h.

For dual channel instruments, select the desired channel
as necessary. The bar graph and numeric displays are not
available when the split screen is displayed.

À

À

Selecting Monitoring Option

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

450 mmHg

Pressure Monitoring

OPTIONS

A

1. Press OPTIONS key.

2. Press Monitoring Options soft key.

AB

Rate= 125.0 mL/h
VTBI=1000.0 mL
VI= 0.0 mL

AB

Primary

Limit=250 mmHg

Resistance
Monitoring Options
Guardrails Library
Set Pressure Baseline

return

Trend

®

page

OPTIONS

A

OPTIONS

A

84

Dynamic Monitoring System

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Monitoring Options - General (Continued)

Selecting Monitoring Option (Continued)

3. Press soft key for Resistance, High Resistance or
Adjustable Pressure.

À

4. Press ok soft key. Display automatically returns to normal
operating screen.

Á

a. If Resistance option is selected, % Resistance

displays below bar graph while infusing.

Â

A B

Monitoring Options

Resistance
High Resistance

Adjustable Pressure

OPTIONS

A

ok

WARNING

Each time the instrument is
turned on, verify and/or set the

monitoring mode, resistance alert
and/or pressure alarm limit. If the
monitoring mode, resistance alert
and/or pressure alarm limit are not
verified, the instrument may not be
operating with the desired occlusion
detection parameter(s).

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

OPTIONS

A

b. If High Resistance option is selected, % Hi Resist.

displays below bar graph while infusing.

Ã

-- Continued Next Page --

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

50% Resistance

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

50% Hi Resist.

OPTIONS

Dynamic Monitoring System

A

85

Monitoring Options - General (Continued)

Selecting Monitoring Option (Continued)

c. If Adjustable Pressure option is selected, pressure

system accuracy can be enhanced by ensuring no
occlusion or other pressure source exists in IV line
when activating RUN/HOLD.

NOTES:

À If pressure limit adjustment is available, selection reads

Adjustable Pressure; otherwise, it reads Pressure.

Á While the channel is on, the selected option, resistance alert

and pressure alarm thresholds remain in effect until changed
by the operator.

 Resistance alert limit may be adjusted using the soft keys

located below the arrow symbols (see "Monitoring Options

- Resistance Mode", “Resistance Alert”).

à High Resistance alert limit may be adjusted using the soft

keys located below the arrow symbols.

Ä Pressure alarm limits may be adjusted when operating in

Adjustable Pressure mode using the soft keys located below
the arrow symbols (see "Monitoring Options - Pressure Mode",
“Adjustable Pressure Alarm”).

Å Maximum pressure limit settings may be configured by

qualified service personnel.

Ä Å

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

Limit=250 mmHg

OPTIONS

A

Monitoring Options - Resistance Mode

Detection of Downstream Occlusions

In the Resistance or High Resistance monitoring mode, a
RESISTANCE ALERT condition occurs when the measured
resistance reaches the alert limit.

86

Dynamic Monitoring System

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Resistance Alert

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Monitoring Options - Resistance Mode (Continued)

Detection of Downstream Occlusions (Continued)

An OCCLUSION DOWNSTREAM condition is detected when
the measured resistance reaches 100% of scale. For the
Resistance mode, 100% results from a resistance producing
2 mmHg per mL/h of flow. For the High Resistance mode,
100% results from a resistance producing 6 mmHg per mL/h
flow.

An OCCLUSION DOWNSTREAM condition is also detected
when the configured pressure limit is exceeded. This limit
may be set, by qualified service personnel, from 1 mmHg to
600 mmHg ( Pressure Limit, Maximum).

When a Downstream Occlusion is detected, one of the
following responses occur:

• If Auto Restart Plus feature is on, Checking Line message

displays and audible tone sounds.

• If Auto Restart Plus feature is off, OCCLUSION

DOWNSTREAM alarm occurs.

Auto Restart Plus Feature

The Auto Restart Plus feature provides the ability to
automatically continue an infusion if downstream resistance or
pressure measurements indicate that an occlusion condition
has cleared within a 40-second Checking Line period
(excluding High Resistance Monitoring mode).

The Checking Line message and tone are presented when
a resistance measurement exceeds the alarm threshold of
100%.

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Checking Line

A B

OCCLUSION

DOWNSTREAM

run

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Checking Line

OPTIONS

A

OPTIONS

A

OPTIONS

A

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Dynamic Monitoring System

87

Monitoring Options - Resistance Mode (Continued)

Auto Restart Plus Feature (Continued)

If resistance measurements initiate the Checking Line
condition, the channel continues infusing in order to
determine if the measured flow resistance has changed. If
the measured flow resistance falls to any value below 100%
within 40 seconds, the channel automatically resumes normal
operating conditions (excluding High Resistance Monitoring
mode).

Pressure measurements initiate the Checking Line period
when the pressure exceeds the configured limit. If the
pressure falls to less than one-third of the configured limit
within 40 seconds, normal flow resumes. If the condition is not
cleared, the OCCLUSION DOWNSTREAM alarm occurs and
infusion stops until manually restarted.

This feature can be configured through the hospital Data
Set to allow from 1 to 9 Checking Line restarts. After the
programmed number of restarts has occurred or the 40­second Checking Line period has been exceeded, the
channel immediately alarms OCCLUSION DOWNSTREAM
when resistance or pressure conditions indicate an occlusion.

Resistance Alert

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

90% Resistance

A B

OCCLUSION

DOWNSTREAM

run

OPTIONS

A

OPTIONS

A

The Resistance Alert provides an early warning of increasing
flow resistance. The Resistance Alert marker can be set from
0% to 100% of scale in 5% increments. This feature can be
enabled or disabled and a power-on default alert level is set
through the hospital Data Set.

To optimize the alert feature, it is advisable to set the alert level
20-30% higher than the initial displayed resistance. Read the
resistance approximately 2 minutes after starting an infusion.

Setting Alert Marker

To numerically display present alert level marker, press either

or soft key. Vertical line on resistance bar graph visually

indicates alert level.

Each additional press of either arrow soft key increases or
decreases alert level marker and numeric value by 5%.

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

Alert = 70%

OPTIONS

A

88

Dynamic Monitoring System

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Monitoring Options - Resistance Mode (Continued)

Resistance Alert

If Flow Resistance Exceeds Alert Level
Marker

If flow resistance exceeds the alert level marker, a Resistance
Alert message displays and an alert tone sounds. The

channel continues to infuse, and the message and tone
continue until one of the following resistance levels occurs:

• IV line/site resistance falls below alert level marker.

• Resistance alert level marker increases above current

measured resistance value.

• Resistance rises to 100%, initiating a Checking Line or

OCCLUSION DOWNSTREAM condition.

Resistance Trend Graphs

In Resistance and High Resistance monitoring modes, a trend
graph displays flow resistance over time. Trend graphs of
15 minutes, 1 hour, 4 hours and 12 hours are available during
normal operation when enabled through the hospital Data Set.

Downstream Occlusions are indicated by a tick mark (y) at the
top of the trend screen.

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Resistance Alert

A B

100%

50

0

RESISTANCE

-12h

return

clear

OPTIONS

A

OPTIONS

A

now

time

Viewing Graphs

For dual channel instruments, select the desired channel, as
necessary. The trend graph is not available while the split
screen is displayed.

1. Press OPTIONS key.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

25% Resistance

OPTIONS

Dynamic Monitoring System

A

89

Monitoring Options - Resistance Mode (Continued)

Resistance Trend Graphs (Continued)

Viewing Graphs (Continued)

2. Press Resistance Trend soft key.

3. To change graph time frame, press time soft key.

• A dashed horizontal line represents current resistance

alert level.

• Gaps in graph may indicate noninfusing conditions;

such as, turned off, on hold, in alarm.

• If channel has been placed in Pressure Monitoring

mode for some portion of a trend graph window,
resistance data is not available and zero values are
plotted.

• A tick mark (y) at top of graph indicates an occlusion.

• When viewing Resistance Trend Graphs in High

Resistance mode, HI RESIST displays under graph.

AB

Resistance Trend
Monitoring Options

Guardrails Library

Set Pressure Baseline

return

A B

100%

50

0

-12h

return

AB

100

%

50

®

page

RESISTANCE

clear

OPTIONS

A

OPTIONS

A

now

time

OPTIONS

A

Clearing Graphs

1. To clear graphed data, press clear soft key.

90

Dynamic Monitoring System

return

AB

100

50

return

0

%

0

HI RESIST

clear

RESISTANCE

clear

now-12h

time

OPTIONS

A

now-12h

time

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Monitoring Options - Resistance Mode (Continued)

Resistance Trend Graphs (Continued)

Clearing Graphs (Continued)

2. Press ok soft key.

• All data is cleared from graphs.

Returning to Normal Operating Screen

Press return soft key.

AB

return

AB

100

%

50

0

return

AB

All trend data

will be cleared

RESISTANCE

clear

OPTIONS

ok

OPTIONS

A

now-12h

time

OPTIONS

• Normal operating screen appears.

Following events also turn off trend graph:

• Pressing RUN/HOLD key.

• An alarm.

• Dual channel instrument: pressing

A B

.

• Dual channel instrument: replaced with a split screen

display after 1 minute if both channels are infusing.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

100

%

50

return

AB

0

RESISTANCE

clear

now-12 h

time

OPTIONS

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

33% Resistance

Dynamic Monitoring System

A

A

91

Monitoring Options - Pressure Mode

Detection of Downstream Occlusions

When using the Adjustable Pressure monitoring mode, a
pressure alarm limit may be selected, in 25 mmHg increments,
from 25 mmHg to the maximum configured pressure limit.
When measured pressure exceeds this level, an OCCLUSION
DOWNSTREAM condition occurs.

When a Downstream Occlusion is detected, one of following
responses occurs:

• If Auto Restart Plus feature is on, a Checking Line

message appears, along with an audible tone. (Reference
“Auto Restart Plus Feature” for further details.)

• If Auto Restart Plus feature is off, an OCCLUSION

DOWNSTREAM alarm occurs.

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

500 mmHg

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Checking Line

A B

OCCLUSION

DOWNSTREAM

OPTIONS

A

OPTIONS

A

OPTIONS

A

Auto Restart Plus Feature

The Auto Restart Plus feature provides the ability to
automatically continue an infusion if downstream pressure
measurements indicate that an occlusion condition has cleared
within a 40-second Checking Line period (excluding High
Resistance Monitoring mode).

600 mmHg

run

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Checking Line

OPTIONS

A

92

Dynamic Monitoring System

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

Monitoring Options - Pressure Mode (Continued)

Auto Restart Plus Feature (Continued)

The Checking Line message and tone occur whenever a
pressure measurement exceeds the selected alarm threshold.
If the pressure falls to less than one-third of the alarm limit
within 40 seconds, normal flow resumes. The Adjustable
Pressure mode allows control of the pressure alarm limit. If
the condition is not cleared, the OCCLUSION DOWNSTREAM
alarm occurs and infusion stops until manually restarted.

This feature can be configured through the hospital Data
Set to allow from 1 to 9 Checking Line restarts. After the
programmed number of restarts has occurred or the 40­second Checking Line period has been exceeded, the
channel immediately alarms OCCLUSION DOWNSTREAM
when resistance or pressure conditions indicate an occlusion.

Adjustable Pressure Alarm

In the Adjustable Pressure monitoring mode, the pressure
alarm limit may be varied from 25 mmHg to the maximum
configured pressure limit, in 25 mmHg increments. A default
alarm level and a maximum pressure limit are set through the
hospital Data Set profile configuration settings or through the
instrument confirmation settings if the Profiles feature is not
enabled (OFF).

A B

DOWNSTREAM

run

OCCLUSION

OPTIONS

A

Setting Alarm Limit Marker

Pressing either arrow ( or ) soft key changes alarm limit by
25 mmHg in corresponding direction. It is advisable to select
an alarm limit appropriate for flow rate. At lower flow rates,
alarm limit should be set lower, to shorten time to alarm.

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231

AB

Rate= 125.0 mL/h
VTBI= 1000.0 mL
VI= 0.0 mL

Primary

Limit = 450mmHg

Dynamic Monitoring System

OPTIONS

A

93

Monitoring Options - Pressure Mode (Continued)

Adjustable Pressure Alarm

Pressure Monitoring Using Automatic
Baseline Calibration

The auto pressure baseline calibration remains in effect until
the instrument is turned off, the latch is opened, the set is
reloaded, or the Set Pressure Baseline function is performed.

• First activation of RUN/HOLD for a new infusion

automatically establishes a pressure baseline based
on current system pressure. An optimal baseline is
maintained upon subsequent activations of RUN/HOLD, as
follows:

- If current system pressure is same or higher than
original baseline, pressure baseline does not change.

- If current system pressure is less than original baseline,
system automatically resets to new system pressure
value.

• Pressure measurement can be optimized, particularly
at low flow rates (less than 3 mL/h), by pausing and
restarting at least once every 2 hours (for example, when
reprogramming VTBI). This allows pressure baseline to
calibrate based on current system pressure.

• Prior to activation, ensure that pressure has not built
up in IV line due to either occlusion or flow from other
instruments through a common catheter. This will result in
a more accurate pressure measurement.

• When loading a set connected to a small diameter catheter,
wait at least 5 seconds after loading set before activating
RUN/HOLD. This allows pressure generated by loading
process to dissipate and sensor to stabilize. (Very small
PICC catheters; such as, 28 gauge/1.2 French, may require
60 seconds or more for stabilization.)

• When multiple instruments are infusing through a common
small diameter catheter, pressure measurement accuracy
can be optimized by temporarily stopping all infusions,
then restarting all instruments beginning with instrument
delivering at lowest rate.

94

Dynamic Monitoring System

Directions for Use

Alaris® SE Pump

Models 7130/7131, 7230/7231