Bard INFUS O.R. Pump User manual

3ANRID

INFUS

OR

Pump

Bard?

INFUSO.

R.

“Pump

Bard

MedSystems

CR.

Bard,

87

Concord

North

Issue

WARNING:

Reading,

Date:

USER’S

Division

Inc.

Street

MA

01864

May

1989

AN

ISSUE
INSTRUCTIONS
FOR

THE

IN

THE

EVENT
ELAPSED
AND

PRODUCT

SHOULD
MEDSYSTEMS
ADDITIONAL
INFORMATION

MANUAL

DATE

USER’S

BETWEEN

CONTACT

FOR

IS

TWO

USE,

TO

PRODUCT

IS

THESE

INCLUDED

INFORMATION.

YEARS

THIS

THE

BARD

SEE

AVAILABLE,

HAVE

DATE

USER

IF

Caution:

Bard

INFUSO.R.

5371151

is a registered

Federal
sale

is a trademark

Rev.

by

P1

(USA)

or

law

on

the

order

trademark

of

C.R.

restricts

of

this

of a physician.

C.R.

Bard,

Bard,

Inc.

device

Inc.

to

CONTENTS

Subject Page

1.

IX.

ΠΠ.

IV.

У.

VI.

VII.

VIII.
IX.

X.

ΧΙ.

General

Principles

The

Description

Instructions

Instructions

Instructions

Warning
Flow

Routine

Specifications

Introduction

of

Operation

Bard

Smart

of

for

for

for

Indicators

Rates

Maintenance

Features

Label

Use - General

Use - System

Use - Pump

System

Setup

Operation

1

3

4

13

18

21

25

28
32

33

40

I.

General

The

Bard

INFUSO.R,

that

will

aid

in

the
agents
junction
vides
relaxants,
during
set
Bard
verts
tem
tions

cially

is
for a particular

The
Each
instructions
accepts
disposable
for
line.

changed
tions

where

thus
drug
ment

given

for

during

with

the

the

convenient

vasoactives

anesthesia.

of

drug

specific
INFUSO.R.
the

INFUSO.R.

for

the

indicated

and

delivery

coded Smart

automatically

changed

intravenous

Bard

INFUSO.R.

Smart

Label

and

B-D®

or

syringes

connection

Drug

using

are

to

delivery

front

made

appropriate,

eliminating

delivered

and

record

tedious

is

Introduction

Pump

is a syringe

administration

anesthetic

Bard

Smart

Label

delivery

and

other

The

Bard

Smart

labels

Pump.

units.

that

Each

Pump

drug

By

Label,

attach

Bard

into a specific

with

appropriate

simply

the

Bard

to a specific

agent.

Pump

is

clearly

the

required

Monoject®

which

the

choices

panel

directly

are

is

easy

marked

syringe

20

attach

patient’s

are

rotary

in

drug

related

to

calculations.

displayed

keeping

for

both

needs.

infusion

of

many

intravenous

procedures.

System,

of

narcotics,

drugs

routinely

Label

to

Smart

the

System
front
Label

delivery

rate

changing

INFUSO.R.

delivery

to

set

up

with

drug

size.

The

cc

and

60

cc

to

Bard

tubing

primary

easily

switches.

dosing

patient

intravenous

selected

The
units

body

Total

volume

patient

device

In

con-

it

pro-

muscle

given

is a

of

the

con-

sys-

selec-

the

spe-

Pump

system

and

use.

dilution

pump

plastic

sets

and

selec-

and,

weight,

of

manage-

This

lightweight

with a versatile

mounting

battery

~1-

operated
bracket

that

pump

securely

is

provided

fastens

the

pump

ing

use.

System
device
device
ing

with

to

anesthetic

and

provides

The

Bard

combine

the

convenience

meet

many

procedures.

good

INFUSO.R.

the

flexibility

intravenous

pump

Pump

accessibility

and

of a general

of a drug

specificinfusion

delivery

Smart

infusion

needs

dur-

Label

dur-

U.S.

Patent

B-D

isa

Monoject

No.

4,804,368

registered

is a registered

trademark

trademark

of

Becton-Dickinson

of

Sherwood

and

Medical,

Company.

Inc.

The

Bard

INFUSO.R.
vice that
controlled
inge
a

pusher

leadscrew

tor
puter
pump
The coded
rate
used
user,
then

drug
responds
position
refilling.
lights
delivered.
for a low

holds

manner. A plastic

barrel.

assembly.

which

that

is

controlled

system.

front

label

selections

with

the

select

performed

is

delivered

to

detector

The

and

alarms

The

power

II.

Principles

Pump

and

empties

The

syringe

plunger

The

is

rotated

and

Magnetically

panel

and

are

tells

the

available

pump.

the

Rotary

drug

delivery

by

the

as

indicated. A force

overpressure

determines

microcomputer

and

also

batteries

condition.

of

Operation

is a battery

disposable

holder

is

pusher

by a reliable, efficient

engages a threaded

monitored

coded

read

labels

by the

microcomputer

when

that

input

switches,

rate.

microcomputer

operated

syringes

accepts

held

and

moved

by a microcom-

attach

microcomputer.

the

specific

set

Calculations

so

that

sensing

in

the fluid

when

controls

displays

are

electronically

pathway

the

the

volume

syringe

the

indicator

monitored

de-

in

a

the

syr-

by

mo-

to

the

delivery

label

is

by

the
are
the

system

and

a

needs

of

drug

HI.

The

Bard

Smart

Label

System

The

convenience
INFUSO.R.
System.
clusively
allows
routinely
The
rotary

delivery

able.

switches
that
available.
tive
Smart

The
class
dard.

The

for

the

pump

administered

Smart

Label

input

rates

In

addition,

may

only

delivery

Your

can

provide

Labels.

Bard

Smart

according

The

class

Pump

Bard
use

with

is

provided

Smart

to

System

switches

appropriate

also

be

modes

Bard

you

Labels

to

the

and

color

and

flexibility

by

the

Label

the

deliver

during

has

of

the

System

Bard

INFUSO.R.

many

anesthetic

the

ability

JVFUSO.R.

intravenous

to a given

the

delivery

redefined

by

the

applicable

MedSystems

Sales

with a complete

are

each

color

ASTM

Drug

Label

designations

of

the

Bard

Smart

is

designed

Pump

procedures.

to

redefine

Pump

agent

functions

are

Smari

io

the

agent

Representa-

list

of

available

coded

Color

are

as

Bard

Label

ex-

and

agents

the

so

that

avail-

of

the

Label

so

are

by

drug

Stan-

follows:

Narcotics

Muscle

Relaxants

Vasopressors

Hypotensive
Induction
Other

Agents

Agents

Agents

Light
Fluorescent

Blue

Red
Violet
Violet/White

Stripes
Yellow
White

The

Smart

operating
switches
These

depending

three

Label

System

provides

configurations

on

the

operating

©

Bolus

©

Infusion

©

Infusion
body

configurations

and

infusion
delivery
delivery

weight

of

for

the

front

drug

being

delivery
without
that

three

are:

is

not

different

panel

input

delivered.

bolus

based

on

Bolus and

For

agents

bolus

panel
lects
The

middle
scaling
lus

settings

in

units

configuration

Infusion

that

and a continuous

appears

the

as

pump

switch

the

infusion

that

of

mcg/kg.

are:

1,

Alfentanil

2.

Atracurium

3.

Vecuronium

4.

Esmolol

are

given

shown

in

infusion

provides
rate.

are

also

Examples

as a loading

infusion,

Figure

rate

in

Body

The

third

scaled

1.

units

by

of

Smart

the

The

Weight

switch

body

500

10

πιορ/παῖ,

1

mg/mL

10

mg/mL

or

supplemental

Smart

top

switch

of

mcg/kg/min.

input

selects

weight,

Labels

meg/mL

Label

se-

for

Bo-

given

in

this

BARD

INFUS

OR.

Infusion

©

ὤ

enni

É

meg/kg/min

Body

Weight

κα

Bolus

megikg

Figure

1

Infusion

For
sion,
ure
mcg/kg/min.
for

Low
fusion

switch
alarm

configuration

Delivery

agents

the

2.

scaling

Infusion

Smart

The

rate

that are

top

the

must

will

sound.

1.

2.

3.

4.

switch

The

Rate.

switch

be

are:

Dopamine.
Dobutamine
Nitroprusside
Nitroglycerin

without

given

Label

pane!

selects

middle

infusion

set

In

is

active

to

the

rate.

this

Examples

Bolus

solely

switch

zero

as a continuous

appears

the

High

as

Infusion

selects

The

third

configuration,

at

any

time.

position

of

Smart

4006

5000

1000
1000

Labels

mcg/mL
meg/mL
mcg/mL
meg/mL

infu-

shown

in

Fig-

Rate

in

Body Weight

switch

selects

only one

The

other

in-

or a warning

in

this

/

INFUS

OR.

High

Infusion

Rate

meg/ko/min

Body

Weight

Low
Infusion
Rate

Figure

meg/kg/mín

2

Infusion

For

based
as

shown
sion
labelled
delivery.

Delivery

agents

on

body

in

Rates

“Not

The

Examples

not

that

are

given

weight,

Figure

usually

3.

The

in

mcg/min.

Active”

third

switch

of

Smart

1.

Epinephrine

2.

Isoproterenol

3.

General

Labels

Based

on

Body

as a continuous

the

Smart

top

Label

switch

The

and

has

no

effect

selects

in

Low

this

configuration

20
20
mL/hr

Weight

infusion

panel

selects

middle

on

Infusion

mcg/mL
mcg/mL

appears

High

switch

pump

Rates.

not

Infu-

is

rate

are:

出

AWARD

RSS

INFUS

OR.

High

Infusion
Hale

meg/min

O

|

Low

Infusion
Rate

megimin

Drug

Each
in
tions
structions
In

Label

Concentration

Smart

the

INFUSO.R.

for

obtaining

are

addition,

is

also

Label

printed

the

syringe

listed

and

Syringe

lists

the

drug

Pump

this

along

concentration.

on

the

back

size

to

on

the

label.

Size

concentration

with

dilution

The

dilution

of

the

Smart

be

used

with

the

for

use

instruc-

in-

Label.

Smart

WARNING:

Refer
vided
inge

switch
Instruction
tion

Label

to

the

with

each

size

information.

position

Sheet.

Sheet

for

section

ence.

THE

PROPER
CONCENTRATION
SIZE
SMART

DOSING

Bard

MUST

Smart

Smart

LABEL

WILL

Label

Label

The

are

also

discussed

It

is

recommended

each

Smart

of

this

Manual

DRUG

BE

USED
OR

OCCUR.

Instruction

for

the

rate

settings

Label

be

for

AND

SYRINGE

FOR

EACH

INACCURATE

Sheet

dilution

for

each

in

the

Smart

that

the

kept

in

the

convenient

pro-

and

syr-

input

Label

Instruc-

Smart

refer-

-11-

TRAM

μμ

___._\

INFUS

OR.

AUT

Lo

INFUSION RATE

meg / kg / min

Ng

π

s

4

+

125

1

puro

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я

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150

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пиву

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=

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то

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induce

Volume

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ml.

TTT

PUSHER

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WEIGHT

NOT

ACTIVE

BOLUS

FUNCTION

7

SYRINGE

BLOCK

OR

OR

LOW

INFUSION | -.

SWITCH

INDICATOR

FIGURE

-

12-

4

IV.

Description

of

Features

Smart

The
ic,

bolus
for
a
ate
Smart
for

Function

The

erating

“OFF”,
MEMORY

pump

milliliters/minute
tively.

lease,

STOP/CONFIRM
initiated
memory

pump

Rate

Label

Smart

muscle

volume,

each drug

unique

identification

drug

concentration

Label

pump

Function

states.

ALL

will

The

the

bolus

will

switch.

Labels

allow

relaxant,

body

are

noted

must

be

operation

Switch

switch

WHEN

POWER

IS

LOST.

deliver

at
with a 20

position

switch

is

retained.

infuse

returns

is

permanently

at

and

weight,

is

the

the

delivery

vasoactive

on

code

and

attached

to

commence.

is

used

THE

IS

OFF

When

approximately

of a variety

and

infusion

the

label.

and

defines

syringe

to

the

to

choose

SWITCH

AND

held

ος

or

60

drugs.

size

three
cc

“momentary”

to

OFF.

infusion

is

suspended

terminated.

In

the

INFUSE

rate

indicated

Applicable

rate

Each

label

the

to

be

face

of

among

IS

MOVED

ALL

INTERNAL

in

PURGE,

(3)

syringe,

so

that,

When

Total

position,

by

the

of

narcot-

settings

bears

appropri-

used.

A

the

pump

five

op-

TO

the

or

six

(6)

respec-

upon

re-

moved

and

to

any

dose

the

Infusion

If

moved

one

to

second, a short

which a bolus
BOLUS

the

START

switch

will

the

BOLUS

is

delivered

position

return

START

audible

at

is

to

INFUSE

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position

tone

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the

appropriate

also

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when

and

be

heard

rate.

released.

held

after

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and

for

Once

the

Bolus

initiated,

the

switch

bolus

is

changed

selected

will

to a different

be

given

selection.

even

if

Infusion

The

Infusion
crograms
the

Function

are

identified

infused.
Body

Weight

The

Body
factor

bolus

55, 60,
drugs
the

Bolus

The
when
Smart
are
fined
switch.
to

in

kilograms

calculations.

65,

that

Smart

Switch

Bolus

initiated.

Label

not

indicated

by

This

the

Infusion

Rate Switch

Rate

switch

per

kilogram
switch

on

Switch

Weight

is

the

or

switch

used

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70, 80,

are not

Label

or

switch

90

given

defines

Low

selects

Available

for the

the

Low

Smart

drug

for

bolus

Infusion

Rate

sets

the

per

minute

in

INFUSE.

Smart

Label

Not

Active

selects

for

both

choices

and

100

the

as a function
this

switch

Infusion

the

Rate

bolus

settings

to

be

infused.

delivery,

Label

as a Low

Rate

switch

switch.

infusion

to

be

infused

Available

for

the

weight

the

infusion

are

30, 35,

kilograms

of

body

as

NOT

Switch

that

will

are

identified

For drugs

this

switch

Infusion

works

rate

in

mi-

when

settings

drug

to

be

adjustment

rate

and

40,

45,

50,

(kg).

For

weight,

ACTIVE.

be

infused

on

the

that

is

rede-

Rate

similarly

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The

other
INFUSE.

Light

Infusing

than

This

occurring.

Light

“0”

will

is

chosen

light

indicates

flash
and

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when

the

an

infusion

Function

that a normal

rate

switch

is

infusion

in

is

Bolusing

The

Bolusing

bolus

is

Light

being

Light

will

flash

delivered.

during

the

time

that

a

Attention

The
dition
tery,
Digital

Digital

The
about

tion

play
plied
progress
increments
fusion,
mL

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Display.

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occurs.

end

of

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Display

Digital

the

INFUSO.R.

switch

shows

Smart

upward

the

delivered

the

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attention

syringe,

will

Display

is

first

set

the

label

Label.

from

as

the

delivery

Display

Function

gives

since

will

flash

when

conditions

occlusion,

show

gives

pump's

to

identification

When

zero

the

pump

switch

and

which

condition

important

status.

STOP/CONFIRM,

bolusing,
to

the

selected

occurs.

the

total

was

to

OFF

an

attention

are

internal

When

code

the

During
amount

last

clears

fault.

exists.

information

the

for

Display

bolusin

normal

of

turned

the

con-

low

bat-
The

Func-

the

Dis-

the ap-

will

mL

in-

drug

in

“on”.

Digital

NOTE:

When
all

power

lost.

the

function
is

off

-15-

switch

and

is

all

internal

moved

memory

to

OFF,

is

During
which

condition

an

attention

condition,

exists

as

shown

the

Display

below.

will

show

Display

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BA
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occ

Refer
these

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identify

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Audio
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lus
Smart

to

attention

Manufacturer

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use

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are

initiation,

Label.

Condition

Low

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End

of

Syringe

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Section

occlusion,

VIII

conditions.

Manufacturer

of

either

signify

improper

Description

for

additional

Selector

B-D

end

of

switch

Switch

Selector

or

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several

syringe,

position,

information

switch

pump

internal

is

syringes.

conditions.

fault,

and

on

set to

bo-

missing

Both
identical
are
curs
path
structions.
proximately
existing
Digital
alarm
simultaneously. A single

the

Occlusion

pulsating

independently

when

the

pump

resistance

condition

Display.

and

An

one

all

such

End

lights

milliliter

can

An

and

End

audible

sensed.

cannot
as

closed

of

Syringe

be

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to

come

-

16-

of

Syringe

beeps.

An

overcome

remains
determined

short

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stopcocks

alarm

Fault

occurs

in

the

causes

on

continuously

audible

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excessive

or

other

when

syringe.

by

reading

the

audio

beep

occurs

are

they

oc-

flow

ob-

ap-

The

the

and

upon

each

successful
improperly
short

audible

of

this

Manual

audible

alarm

placed

beeps

between

will

for

additional

condition.

bolus

occur.

initiation.

active

Refer

If

positions,

to

information

any

switch

three

Section

on

is

VIII

each

Mounting

The

pump

assembled

this

plate
Bracket,
safety,
to

most

also

and

IV

Bracket

is

supplied

to

the

rear

be

used

in

supplied,

security.

poles.

with a mounting

face.

It is

conjunction

for

maximum

The

Mounting

plate

recommended

with

the

Mounting

convenience,

Bracket

will

pre-

that

attach

-17-

V.

INSTRUCTIONS

FOR

USE - GENERAL

Accepted
should
and

tem

ery

fully

vidual

these

both

use

be

bolus

should

regimens.

determined

response

instructions

the

with

WARNING:

principles

followed

selections

allow

convenient,

Actual

by

of

and

Pump

and

patients.

USE
20CC
DISPOSABLE
INDICATED
LABEL,

SYRINGES
SYRINGE

INACCURATE

and

for

all

on

the

dose

the

physician

each

thorough

the

drug

ONLY

OR

60CC

USE

practices

of

IV

administrations.

Pump’s

Smart

appropriate

requirements

patient.

must

based

on

Careful

familiarization

is

recommended

B-D

OR

MONOJECT

PLASTIC

SYRINGES

ON

THE

SMART

OF

OTHER

OR

THE

WRONG

WILL

RESULT

DOSING.

therapy

The

rate

Label

drug

Sys-

deliv-

be care-

the indi-

review

with

before

AS

SIZE

IN

of

-

18

-

WARNING:

WARNING:

THE

BARD
DESIGNED
ROOM
PARENTERAL

CONSTANT

INDIVIDUALS

INFUSO.R,

FOR

DELIVERY

FLUIDS

SURVEILLANCE

TRAINED

THE

ADMINISTRATION
AGENTS.
DIVISION
RECOMMEND
PUMP
NOT

ALL
PRECAUTIONS,

BARD

DOES

WHEN

CONTINUAL.

DRUG

WARNINGS,

MEDSYSTEMS

NOT

THE

SURVEILLANCE

AND
CONTRAINDICATIONS
BE

CONSIDERED

THIS

PUMP.

PUMP
OPERATING

OF

UNDER

OF

THESE

USE

SHOULD

WHEN

IS

IN

THE

OF

THIS

USING

BY

IS

WARNING:

USE

OF

THE

BARD
PUMP
MAGNETIC
RADIATION
GICAL
RESONANCE
MACHINES,
NOT

MAY

NEAR

ELECTRIC

FIELDS,

(E.G.

UNITS,

MAGNETIC

IMAGING

X-RAY

RECOMMENDED.

RESULT

IN

MALFUNCTION.

INFUSO.R.

PUMP
ESD/EMI/EMISSION
TEST

SPECIFICATION

#MDS - 201 — 0004

-

19-

INFUSO.R.

FIELDS,

OR

ELECTROSUR-

MACHINES)

SUCH

DEVICE

THE

BARD

HAS

PASSED

TESTING

OF

THE

U.S.

IS

USE

PER

DEPARTMENT
HUMAN
PERFORMED
DURING
YOUR

DIVISION
TIVE
INFORMATION

SERVICES.

ESU

BARD

SALES

IF

ADDITIONAL

OF

HEALTH

IT

SATISFACTORALLY

TESTING.

MEDSYSTEMS

REPRESENTA-

IS

REQUIRED,

AND

HAS

ALSO

CONTACT

-20-

VI.

INSTRUCTIONS

FOR

USE - SYSTEM

SETUP

When
(refer

1.

setting

to

Install
Set the
position.
code

code

the

upper

WARNING:

Fill a 20cc

2.

the

amount

be

used

per

section

for

the

tion

information.

of

the

noted

up

Figure

the

Smart

Function

Confirm

shown

on

the

section

IF
CODE
NOT
SMART
OPERATE

or

of

for

each

of the

specific

infusate

on

the

the

Bard

4)

Label

switch

on

the

Smart

of

THE

ON

MATCH

60cc

Monoject

drug

Smart

label.

Smart

Confirm

matches

Smart

JNFUSO.R.

for

the

to

the

that

the

Digital

Label.

LABEL

LABEL,

required.

Label.

the

Smart

THE

THE

Label

See

Label

The

IDENTIFICATION

DISPLAY

THE

PUMP.

that

the

Pump:

drug

to

be

STOP/CONFIRM

label

Display

DO

or

the

for

drug

identification

matches

code

is

located

Label.

DOES

CODE

NOT

B-D

The

is

shown
Instruction

proper

the

ON

syringe

syringe

on

drug
concentration
concentration

infused.

the

in

THE

with

size

to

the

up-

Sheet

dilu-

WARNING:

CONCENTRATION
INFUSATE
DRUG
ON

THE
INACCURATE
RESULT.

MUST

CONCENTRATION

SMART

-21-

OF

MATCH

LABEL

DOSING

THE

THE
NOTED

OR

WILL

3.

Attach
syringe.

an

appropriate

Bard

infusion

set

to

the

WARNING:

4,

Attach a port

of

the

5.

Eliminate

NOTE:

6.

Refer

Reset

moving
the

Release

USING
RECOMMENDED
MEDSYSTEMS
RESULT.

OR

REQUIRE

VOLUME.

COULD
EFFECTS
CHANGES
MANIPULATIONS.

puncturing

set,

if

required.

all

air

from

to

Figure 5 for

the

Pusher

the

Pusher

block

Lever

SETS

IN.

THIS

CAUSE

DURING

OR

the

block
with

OTHER

BY

DIVISION

NUISANCE

EXCESS

EXCESS
SIGNIFICANT

SYRINGE

OTHER

needle

fluid

path.

steps

to

the

pump’s

upward

thumb

and

THAN

THOSE

BARD

MAY

ALARMS

PRIMING

VOLUME

to

the

distal

6-8.

top

while

squeezing

forefinger.

end

end

by

NOTE:

7,

Place
Holder.

Squeeze
movement

the

syringe

the

for

Release

barrel

Lever

smoothest

into

-22-

fully

prior

operation.

the

Syringe

to

Barrel

WARNING:

ASSURE
FLANGE
INTO

UNCONTROLLED
MAY

THE

IS

THE

HOLDER’S

OCCUR,

FIGURE

PROPERLY

SYRINGE

EMPTYING

5

BARREL
INSERTED

NOTCH

OR

8.

Move

syringe
Anti-Siphon

flange.

the

Pusher

plunger,

Latch

downward

then

release

engages

until

the

Lever

the

syringe

it

touches

so

the

that

the

plunger

WARNING:

9.

While

switch

WARNING:

10.

Connect
IV

line

WARNING:

IF

THE

PROPERLY.

ANTI-SIPHON

UNCONTROLLED

EMPTYING

observing

to

PURGE

DO

NOT
WHILE
PATIENT.

the

fluid

or

catheter.

WHEN

LINE

VOLUME

PORT
EFFECTS”
EFFECTS”
USE

SITE
MINIMIZE

PLUNGER

the

fluid

until

USE

CONNECTED

outlet

INFUSING

PORTS,

DOWNSTREAM

MAY

AND
IN

THE

PORT

NEAREST

ENGAGED

LATCH,

MAY

RESULT.

outlet,

fluid

flow

PURGE

to

the

THE

CAUSE

“BOLUS

DRUG

OR

THE

THESE

FLANGE

BY

SYRINGE

turn

the

occurs.

POSITION

TO

THE

patient’s

INTO

PRIMARY

PRIMING

“DELAY

DELIVERY.

FLASHBALL

PATIENT

EFFECTS,

IS

NOT

THE

Function

primary

OF

THE

TO

-24-

VII.

The

Bard

Pump

tings

for
pared,
Sheet
is

Set
proper
tal

and

operated

the

display.

INSTRUCTIONS

Smart

input

each

as

outlined

Section

Syringe

selection.

Label

switch

switch.

as

described

Manufacturer

FOR

OPERATION

System

configuration

Once

by

VI

The

the

the

Smart

of

these

below.

switch

is

USE - PUMP

defines

system

instrucrions,

Selector

located

and

Label

the

INFUSO.R.

the

specific

is

properly

Instruction

the

switch

below

the

set-

pre-

Pump

to

the

digi-

WARNING:

NOTE:

Changing
switch
pump
to

DUE

TO

SYRINGE
VOLUME
BY

CHOOSING
MONOJECT
DIFFERENCE
PRONOUNCED
USING
NEGLIGIBLE
SYRINGES.
DELIVERY,

SWITCH

the

during

to

alarm.

clear

the

DIFFERENCES

DIAMETERS,

DELIVERY

SYRINGES.

IS

20

CC

SYRINGES

WITH
FOR
ASSURE

POSITION.

Syringe
pump

The

alarm.

Manufacturer

operation

pump

IS

EITHER

MOST

(13%)

60

PROPER

CORRECT

must

IN

THE

AFFECTED

B-D

THIS

WHEN

AND

CC

will

cause

be

turned

OR

IS

Selector

the

off

-25-

Smart

If

not
code
code

shown

Label

already

on

the

display

below

Verification

confirmed,

verify

matches

the

Smart

that

the

label

Label

the

identification
identification

drug

name.

WARNING:

IF
CODE
NOT
IDENTIFICATION
USE

Body

Weight

For drugs
weight,
Pump’s
Body
tient’s

Weight

weight.

Infusion Rate

To

deliver a constant
Infusion
Function
will

flash

The

digital

ters

the

simply

rotate

Selection

that

select

computer

switch

Selection

Rate

switch
switch
to

show

display

amount

the

THE

LABEL IDENTIFICATION

ON

MATCH

THE

PUMP.

are

delivered

the

body

for

dosage
to

the

infusion

to

the

to

INFUSE.

that a normal

will

begin

of

drug

delivered.

infusion

THE

DISPLAY

THE

SMART

CODE,

as a function

weight

to

be

calculations.

value

desired

of

The

closest

the

rate

green

infusion

incrementing

To

change

rate

switch

to a new

DOES

LABEL

DO

used

Rotate

to

drug

rotate

and

move

infusion

is

occurring.

in

NOT

of

body

by

the
the

the pa-

the
the

light

millili-

the rate,

setting.

For

Smart

ting

and a Low
setting
fusion
be

set

is
Rate
to

Labels

Infusion

allowed

is

set,

zero

or

that

at

the

the

any

High

pump

have a High

Rate

time.

setting,

Therefore,
Infusion
will

give a warning

-26-

Infusion

Rate

only

if a Low

Rate

switch

one

must

alarm.

set-

rate

In-

The

same

applies

ting a High

sion,

turn

function

switch

to

Infusion

the

active

to

the

Low

Rate

delivery.

rate

switch

the

STOP/CONFIRM

Infusion

To

to

“0”,

Rate

when

stop

or

position.

set-

an infu-

turn

the

Loading

To

choose

tate

tion.

Function
ful
dicate
begin
ered

To

the

nently

itiated,
ting

will

lected.
not

or

Supplemental

administer a loading

the

desired

the

Function

When a short

bolus

normal

switch.

initiation.

The

bolus

incrementing

to

show

the

stop a bolus

delivery,

STOP/CONFIRM

terminate

the

in

anticipation

be

unaffected

Changes

the

Bolus

to

affect a bolus

or

dose

switch

to

audible

audible

The

bolusing

delivery.

in

milliliters

status

of

rotate

position.

current

switch

and

in

may

of

future
will

the

Body

progress.

Bolus

Administration

supplemental

on

the

Bolus

the

BOLUS

beep

is

heard,

beep

indicates

light

The

digital

as

the

the

present

the

Function

This

bolus.

by

need.

be

Once a bolus

changed

The

delivered

Weight

bolus

switch

and

START

release

success-

will

flash

display

bolus

is

bolus.

switch

will

perma-

to a newset-

current

as

initially

switch

will

dose,

ro-

posi-

the

to

in-

will

deliv-

to

is

in-

bolus

se-

also

For drugs

tal

boluses,

switch

venting

as a Low

bolus
Function
have

no

affect
agents.

that

are

the

delivery

switch

on

not

given

Smart

Infusion

of

to

the

BOLUS

pump

operation

-27-

as

loading

Label

Rate

redefines

switch,

these agents.

START

for

delivery

or

supplemen-

the

Bolus

therefore

Rotating

position

of

pre-

the

will

these

The

following

warnings

1.

End

A

delivery
dicated
tention

by a pulsating

light,

exists.

If

the

display

and

must

Function

tubing

set.

VII.

actions

occur.

of

Syringe

system

The

reads

be

refilled

switch

WARNING

should

or

Occlusion

occlusion

audible

display

te

STOP/CONFIRM,

will

EOS,

or

replaced.

the

INDICATORS

be

taken

or

an

empty

alarm

indicate

syringe

To

and

which

is

do

then

when

audible

syringe

flashing

condition

nearly

so,

turn

clamp

is

in-
at-

empty

the

the

WARNING:

Remove

removing

nect

the
properly
steps

for

set,

then

sume

the

ASSURE
SET

IS
DISCONNECTING
IF

THE
CLAMPED,
TUBING
INTO
THIS

THE

COULD

SIGNIFICANT

the

syringe

the

syringe

syringe

prepared
reinserting

return

by

from

syringe.

the

the

Function

infusion.

THAT

CLAMPED

EXTENSION

THE

SET

MAY

PATIENT

RESULT

ADVERSE

first

resetting

barre!

the

from

tubing

Repeat

syringe.

switch

~

28

-

THE

EXTENSION

BEFORE

THE

VOLUME

BE

the

set

the

Unclamp

to

SYRINGE.

SET

IS

NOT

IN

THE

DELIVERED

BY

GRAVITY.

IN

EFFECTS.

the

Pusher
Holder.
and

Discon-

reconnect

system set-up

the

tubing

INFUSE

to

then

a

re-

If

the

display

system

exists.
CONFIRM,
the

occlusion,

reads

Turn

then

OCC,

the

Function

an

determine

occlusion

switch

the

cause

and

in

the

to

location

delivery

STOP/

of

WARNING:

Correct

to

NOTE:

the

INFUSE

Ifan
curs

permanently

complete
display
switch

the

the

TO

REDUCE
STORED
AFTER
THE

PRESSURE
RELIEVED
THE

OCCLUSION.

RESETTING

AND/OR

SYSTEM
OCCLUSION.

occlusion,

to

resume

Occlusion

while

bolusing,

the

setting

to

STOP/CONFIRM.

alarm

balance

condition,

of

THE

RISK

FLUID

AN

OCCLUSION

BEING

MUST

PRIOR

TO

DO

THE

PUSHER
DISCONNECTING
ABOVE

then

the

or

THE

return

the

infusion.

End

of

the

bolus

terminated.

current

before

the

bolus,

turning

initiate a new

dose.

OF
INFUSED

OCCURS,

BE

FREEING

THIS BY

Function

Syringe

delivery

To

resume

note

the

the

After

THE

switch

alarm

oc-

will

be

and

digital

Function

rectifying

bolus

for

2.

Low

Battery

Tf

the

attention

light
then a low battery
for

LO

BA

to

verify

flashes

condition

this

without

exists.

condition,

-29-

an

audible

Check

then

alarm,

the

display

replace

the

batteries
next
ally

several

with four

procedure.

be

safely

hours

C-size

The

present

completed

after

the

alkaline

administration

since

the

batteries

alarm

is

first

cells

before

may

should

indicated.

the

usu-

last

NOTE:

NOTE:

When
memory

Battery

bolus

audible

3.

Internal

An

Internal Fault
alarm,
pumping

three

Selector

internal
exists

taken.

If
changed

OFF,

all

different

switch

electronic

must

the

Syringe

during

set

the

operation

operation.

the

batteries

is

lost.

life

will

are

be

significantly

duration,backpressure

alarm

duration.

Fault

alarm

lights

coming

conditions:

moved,

failure.

be

determined

is

on

stops.

Smart

Which

and

signified

continuously,

This

Syringe

the

Manufacturer

operation,

switch

to

its

proper

turn

the

removed,

affected

required,

by the

alarm

is

Manufacturer

Label

of

removed,

these

appropriate

Selector

switch

Function

position

and

all

internal

by

and

audible
and

all

caused

by

or

conditions

action

was

switch

to

resume

Should

turn

and

If

pump

the

resume

the

cause

should

the

repair.

Smart

Function

operation.

of

the

be

taken

Label

switch

alarm

out

-30-

become

to

OFF,

cannot

of

service

detached

reattach

be

determined,

and

returned

during

the

label

use,

the

for

NOTE:

The
before

nal

fault

4.

Improper

If

any

switch

tual

selections

will

alarm

will

continue

with

Reposition
nate

the

alarm.

5.

Missing

In

order

Label

not

fault
pump

for the

must

attached

will

occur.

use,:an

pump

resuming

memory

alarm

Switch

is

left

in

for

three short

to

infuse

the

switch

Smart

INFUSO.R.

be

attached

and

the

Also,

internal

should

operation

to

clear.

may

occur.

Position

or

held

over

one-half

at

to

the

Label

to

pump

if

the

fault

be

left

off for a few

to

Otherwise,

in a position

second,

audible

the

proper

Pump

the

is

turned

label

alarm

beeps.

previously

location

to

pump

is

will

seconds

allow

all

inter-

the

internal

between

the

The

chosen

pump
pump

to

termi-

ac-

rate.

operate, a Smart

face.

If a

label

is

“on",

an

removed

internal

during

occur.

6.

Two

For

Smart

Low

Infusion

set.

The

If

two

infusion

ery

and

return
pump

will

Infusion Rates

Labels

other

that

Rate

must

rates

sound

the

an

audible

undesired

then

begin

Set

have

High

switches,

remain

are

in

set,

the

alarm.

infusion

delivery

-31-

Infusion

only

one

switch

the

zero position.

pump

rate

at

will

To

clear

setting

the

set

Rate

can

stop

the

to

zero.

rate.

and

be

deliv-

alarm,

The

The

following

the

relationship

weight,

and

Pump:

IX.

equations

among

infusion

Flow

Rates

may

be

volumetric

rate

in

the

used

flow

Bard

to

determine

rate,

INFUSO.R.

body

Infusion

To

flow

(mL/min)

determine

settings, use

Total

Bolus

Volume

To

determine

use

the

following:

Bolus

duration

Infusion

=

total

volume

the

following:

(mL)

bolus

(min) = Bolus

Bolus

=

duration

Rate

Drug

Concentration

(in

mL)

Dose

Drug

concentration

(in

Bolus

Delivery

(meg/kg/mio) x Body

(meg/mL)

for

bolus

(meg/kg) x Body

Weight

(meg/mL)

minutes),

dose

(mcg/kg)

Rate

for

Drug

(mcg/kg/min)

Weight

(Kg)

(kg)

-32-

X.

ROUTINE

The

Bard

INFUSO.R.

many

years

of
maintenance.
pump
more

also

ing

should

frequently

be

cleaned

on

frequency

MAINTENANCE

pump

is

designed
reliable service with only
A periodic
be

made

depending

and

of

functional

at

least

every

on

use.

disinfected,

use

and

as

hospital

inspection

six

The

required,

protocol.

to

minor

months,

pump

provide

routine

of

the

or

should

depend-

Functional

To

assure

should

1.

proper

be

checked:

Pusher
pusher
pusher
the

lever

biock

assembly.

Syringe
ing ability

cc

60

holder

and

check
captures
siphoning.

End

of

occurs

the

syringe.

with

the

the

pump.

Inspection

Block

block

over

and

pump

and

the

check

operation,

--

Squeeze

check

complete

for

Holder - Check

of

the

syringe

20cc

plastic

and

are

retained

that

the

anti-siphon

the

Syringe
when

plunger

syringe

Alarm - The

approximately 1 mL

To

check

located

Initiate

an

the

following

the

release

for

free

travel

engagement

the

condition

holder.

syringes

by

the

barrel

latch

plunger

End

the

alarm,

at

approximately 3 mLin

infusion

and

lever

movement

range.

of

the

Assure

sit

firmly

notch.

of

the

to

of

syringe

is

remaining

place a syringe

check

items

of

of

Release

pusher

and

hold-

that

in

Aiso,

pusher

prevent

Alarm

for:

the
the

the

in

~33

~

~

Flashing

menting

-

Audible

The

pumping
Attention
should

ー

Tura

the

The

alarm

pump

Infusion

in

milliliters.

Alarm

operation

light

flash

EOS.

pump

condition

is

set

to

Light

when End

should

OFF,

INFUSE.

flash.

then

should

with

the

of

Syringe

should

The

back

resume

LCD

occurs.

cease

display

to

INFUSE.

when

incre-

and

the

the

Occlusion

4.

when

check
ward
required).

-

Audible

with

display

5.

Input

should
tion.

~

The

through
rectly
setting

—

Rotate

positions.

tary
location

Alarm - The

the

pusher

the

alarm,

while

Check

Alarm

pumping

should

Switches - The

be

checked

Check

three

from

should

the

and

encounters 8 +1

move

the

pump

for:

and

operation

also

for

as

follows:

input

12

The

should

upon

switches

discrete

the

highest

not

Function

two end

return

release.

Occlusion

the

syringe

is

infusing

flashing

Attention

discontinued.

flash

OCC.

front

occur.

panel

proper

positions.

switch

rotation

should

to

the

through 5 discrete

positions

to

the

Alarm

lbs,

of

force.

holder

(8

+1

lbs.

input

Rotation

lowest

previous

switches

and

rotate

switch

are

momen-

occurs

To

down-

force

Light

The

func-

di-

switch

-34-

6.

Syringe
Syringe
assure
the

pump
Function
Manufacturer
infusing.
when

7.

Flow
and

Infusion

ery

accuracy
rates,
of

the

rates

pump.

Manufacturer

Selector

proper

function.

to

any

switch

Selector

An

internal

the

switch

Rates

and

Rates

within

the

following

pusher

span

for

the

dynamic

Selector

switch

To
infusion
to

INFUSE.

rate

switch

fault

is

changed.

Delivery

should

£3%.

table

provides

different

operating

Switch — The

should

be

check

setting

Change

while

alarm

checked

the

switch,

and

the

the

should

Volumes - The

be

checked

For

checking

Smart

for

the

linear

Labels.

range

to

set

turn

the

Syringe

pump

is

occur

Bolus

deliv-

infusion

rate

These

of

the

NOTE:

Label $ Infusion

1

2

3
4
5
6
7 2
8
9

10
For

vides

When

Syringe
be

in

Bard

0.25

meg/kg/min

300

meg/kg/min

8°

meg/kgmin

12.

meg/kg/min

14

meg/kg/min

1

meg/kg/min

meg/min

160

meg/kg/min

3

meg/kgimin

0.8

meg/kg/min

checking

the

linear

measuring

Manufacturer

the

INFUSO.R.

Rate

Bolus

travel

B-D

position,

Infusion

Body

Weight

30

kg

100

kg

40

kg

50

kg

60

kg

70

kg

80

kg

90

kg

50

kg

distances,

of

the

pusher

-35-

these

Selector

the

following

linear

rates,

switch

MUST

Rates

Linear

0.063 + 0.002
1266

+ 0.38

0.262 + 0.008

0.492 + 0.015

0.711 + 002

0.074 + 0.002

0.418 + 0.013

5.39 +

0.16in/hr

1.140 + 0,034

0.109 0.003

table

block

for

different

the

Rate

in/hr
infar
шли

infbr

inhr
in/br
intr

in/hr
in/br

pro-

Smart
ating

Labels.

range

of

These

the

pump.

distances

span

the

dynamic

oper-

NOTE:

When

Syringe
be

in

Bard

LabelZ

1

15
3000

2
3

200

4

100

8

2000
15

O

8.

Batteries — The
checked

lows:

-

Turn

the

the

Attention

-

If

the

Attention
shows
ies

with

measuring

Manufacturer

the

Monoject

INFUSO.R.

Bolus

Body

meğkg
megkg

1005
megkg
megkg

(o
megkg
mcgkg

for a low

400 — 0.146

battery

Function

light

light

LO

BA

then

four

alkaline

Bolus

Weight

30
506

70kg
90

—

pump

switch

and

replace

the

Bolus

Selector

position.

Travel

Linear

Travel

(0,063

40.002

2.115

0.063

0.121

H0.004in

0.850

20.025

1.269

40.038

40.004

batteries

condition.

to

INFUSE.

digital

flashes

display.

and

the

C-cells.

travel,

switch

in
in

в
in

in

should

Check

the

pump

the

MUST

be

as

fol-

Check

display

batter-

Cleaning

The

may
a

mild

may

and

exterior
be

cleaned

detergent,

be

used

recommends

Disinfecting

surfaces

using a cloth

of

then

the

pump

dampened

wiped

dry. A mild

as a disinfectant.

Vestal®

LPH®

-36-

or

and

Smart

with

water

germicide

Bard

MedSystems

equivalent.

Labels

or

CAUTION:

Lubrication

The

leadscrew
months
grease.
grease,
of
nozzle
ing

using

Using

squeeze a small

the

leadscrew.

straight

the

rubber

The

Bard

INFUSO.R.

Smart

should

getting

permanent
not use
Sterilization
should

should

General

the

Labels

not
liquids

alcohol

not

be

Electric

nozzle

be

damage

be

lubricated

applicator

amount

Do

this

into

the

case

seal.

Use

care

pump

are

not

immersed.

inside

may

for

cleaning.

via

eto,

steam,

attempted.

Versilube

supplied

onto

by

carefully

channel

to

avoid

and

waterproof

Avoid

the

pump

result.

etc.,

at

least

every

G-322L

with

the

entire

inserting

thereby

spread-

damage.

and

or

Do

six

the

length

the

CAUTION:

Use
A
permanent

Vestal
Laboratories,

Versilube
tric

and

Co.

LPH

Inc., a subsidiary

is a registered

only

the

recommended

substitute

lubricant

damage.

are

registered

trademark

-37-

lubricant.

may

cause

trademarks

of

Chemed

of

General

of

Vestal

Corp.

Elec-

Technical

Since
mechanisms
ommended
factory
pump

-

Proper

-

Proper

—

Dead

-

Proper

-

Proper

”

rear

debris.

Maintenance

specialized

for

appear

switch

battery

battery

Pusher

attachment

surface

equipment

and

electronics

that a defective

troubleshooting

to

be

malfunctioning,

location

orientation

or

batteries

location

of a Smart

of

Smart

is

inside

unit

(i.e.,

Label

necessary

the

be

returned

and

repair.

check

(i.e.,

negative

not

at

Label

is

clean

to

adjust

pump,

Should

for:

end

of

and

and

the

it

is

rec-

to

the
the

end

first)

syringe)

that

free

of

Before
MedSystems
return

Storage

When
extended

removed.

returning

authorization.

the

pump

periods,

the

sales

representative

is

placed

the

four

pump,

in

storage

C-cell

contact

for

information

or

is

not

batteries

your

in

use

should

Bard

on

for

be

-38-

BARD

MEDSYSTEMS

LIMITED

DIVISION

WARRANTY

Bard
purchaser
free

period

ment

chaser.

chaser
pair
returns

with

found
Bard
ranty

product

ized

THIS
LIEU
WHETHER

ING

TABILITY,

PARTICULAR

MedSystems

that

from

defects

of

ninety

from

If

this

may

or

replacement,

must

the

Bard

in

its
MedSystems
does

or

Bard

MedSystems

LIMITED

OF

ANY

Division

this

Bard

in

material

(90)

Bard

MedSystems

product

return

be

then

not
its

SUITABILITY

same

at

authorized

MedSystems

current

under

extend

repair

EXPRESS

by

PRODUCT

ALL

WARRANTY

PURPOSE.

warrants

MedSystems

and

workmanship

days

from

the

date

to

the

proves

Bard

to

anyone

representative.

OTHER

to

be

to

Bard

MedSystems

MedSystems’

in

advance

Returned

Price

any

OR

this

abuse

IMPLIED

OR

List.

limited

other

WARRANTY

OF

so

or

than

WARRANTIES,

FITNESS

to

the

original

product

original pur-

defective,

in

Goods

The

product

misuse

MERCHAN-

will

for

of

its

ship-

pur-

for

option.

accordance

Policy

liability

war-

of

an

author-

IS

INCLUD-

FOR

be

a

re-

All

of

this

IN

A

THE
THIS

SOLE
AND
FOR
TRACT,

OR

OTHERWISE,
WILL
ANY
DAMAGE
AND

USE.

LIABILITY

PRODUCT

LIABILITY

REMEDY

THIS

NOT

INCIDENTAL

PRODUCT,

TORT

BE

ARISING

AND
WARRANTY

AVAILABLE

(INCLUDING

LIABLE

OF

AND

OUT

-39-

REMEDY

BARD

TO

OR

STATED

WILL

MEDSYSTEMS

TO

PURCHASER

WHETHER

NEGLIGENCE)

BARD

OF

MEDSYSTEMS

PURCHASER

CONSEQUENTIAL

ITS

BE

THE

IN

CON-

FOR

HANDLING

IN

SPECIFICATIONS

Device

Accuracy

Battery

Batteries

Operating

Voltage

Operating
Current

Low

Voltage

Flow

Flow

Name

Life

Battery

Rates

Profile

Bard

INFUSO.R.

Infusion:

Bolus:

Typical
At

Low

Use:

Four

“C”~size

(NEDA

4.5 - 7

20mAses

4.75

0

Bolus:

Infusion:

to

Volts

Volts

600

Use:

Battery

14A)

mL/hr

Pump

Linear

Linear

150

4

Alkaline

Continuous
Pulsed

Rate

Displacement+3%

hours

and

Typical

hours

Celis

intermittently

13%

Occlusion

Maximum
Occlusion
Pressure

Occlusion
Detection
(inversely

Volume

on

+

Stored

Ocelusion*

Using a Bard

Force

Time*
related

Microbore

8+ 1 109.

11

psi

w/ 60

20

psi

w/

120

seconds

to

flow

rate)

1.1

mL

Approximate

Anesthesia

-40-

20

ce

syringe

cc

syringe

at

36

mL/hr

Set

and a 6@

cc

syringe.

Back

on

Accuracy

Pressure

Effect

None

to

Occlusion

Pressure

Size

Weight

Syringes

$

Ř

Drip

proof
Product
pose

to

Type

BF

with

an

9.2 x 4.5 x 2.0

2

Ibs.

with

Monoject®
Monoject®

equipment:

is

not

watertight,

possible

splash

Eguipment:

isolated

(floating)

Batteries

or

B-D®

or

B-D®

prevents

do not

or

sprayed

internal

power

applied

60

cc

20

cc

entry

immerse

liquids.

source

part.

of

falling

in

liquid

liquids.

or ex-

(batteries)

-

41-