How it Works
CareFusion
Loading...
Alaris CC
User Manual
38 pgs3.18 Mb0

CareFusion Alaris CC, Alaris GH User Manual

Download
Alaris® CC Syringe Pump
Directions For Use
en
s
Contents
Page
Introduction ..............................................................................................2
Features of the Alaris® CC Syringe Pump ...................................................................3
Controls and Indicators ....................................................................................4
Symbol Definitions ........................................................................................5
Basic Features ............................................................................................14
Alarms and Warnings .....................................................................................18
Specifications ............................................................................................24
Associated Products ......................................................................................25
Compatible Extension Sets ...............................................................................26
Maintenance .............................................................................................29
Occlusion Pressure Limits .................................................................................31
IrDA, RS232 and Nurse call Specification ..................................................................32
Trumpet Curves and Start-up Curves ......................................................................33
Spare Parts ...............................................................................................34
1000DF00329 Issue 4 1/36
Introduction
The Alaris® CC Syringe Pump (herein after referred to as "pump") is a fully featured high end variable pressure syringe pump suitable for critical care applications.
The Alaris® CC Syringe Pump functions with a wide range of standard, single-use, disposable Luer lock syringes. It accepts syringe sizes from 5ml to 50ml. See the 'Compatible Syringes' section for a full list of compatible syringes.
Intended Purpose
The Alaris® CC Syringe Pump is intended for use by medical staff for purposes of controlling infusion rate and volume.
Conditions of Use
The Alaris® CC Syringe Pump should only be operated by a clinician competent in use of automated syringe pumps and post-placement management of intravenous catheters.
CareFusion cannot guarantee the continued system accuracy with other manufacturer’s syringes as identified in the
A
Indications
The Alaris® CC Syringe Pump is indicated for infusion of therapeutics including:
‘Compatible Syringes’ table. Manufacturers may change syringe specification significant to system accuracy without prior notification.
• analgesics
• antimicrobials
• blood products
• chemotherapy
• nutrition
• subcutaneous
• epidural
Contraindications
The Alaris® CC Syringe Pumps is contraindicated for:
• enteral therapies
About This Manual
The user must be thoroughly familiar with the Alaris® CC Syringe Pump described in this manual prior to use.
All illustrations used in this manual show typical settings and values which may be used in setting up the functions of the pump. These settings and values are for illustrative use only. Where stated, a minimum infusion rate refers to a nominal rate of 1.0ml/h, and an intermediate infusion rate refers to a nominal rate of 5.0ml/h. The complete range of infusion rates, settings and values are shown in the Specifications section.
It is important to ensure that you only refer to the most recent version of the Directions for Use and Technical Service
A
Manual for your CareFusion products. These documents are referenced on www.carefusion.com. Copies can be obtained by contacting your local CareFusion representative.
Quick Start Guide
1. Press the a button to turn the pump on.
2. CLEAR SETUP? - NO retains previous data. YES clears previous data.
3. Load syringe.
4. Confirm correct size and brand of syringe.
5. Ensure extension set is attached to syringe, but disconnected from patient. Insert pressure disc into pressure transducer.
If the PURGE SYRINGE option has been enabled then the prompt to purge screen is displayed and the set can be purged as required.
6. INFUSION RATE - Change rate if necessary using the
7. PURGE - Press the
8. Connect extension set to the patient access device.
9. Press the
b button to start the infusion.
i button followed by the PURGE softkey.
1000DF00329 Issue 4 2/36
f keys.
Features of the Alaris® CC Syringe Pump
Pressure
transducer
ON/OFF
RUN
Display
Release lever for
Rotating Cam
High visibility
Alarm Indicator
PURGE/BOLUS
MUTE
PRESSURE
OPTION
Finger
Grips
Extension set
hook
Rating Plate (see Symbol Definitions for
an explanation of the symbols used)
Release
lever for
Rotating
Cam
HOLD
Shelf for chevron
keys and softkeys
Syringe Clamp
Positive Plunger
Grippers
Pressure
transducer
M
e
d
i
c
a
l
D
e
v
i
c
e
I
n
t
e
r
f
a
c
e
(
M
D
I
)
Rotating Cam to
lock on to horizontal
rectangular bars
Carrying
Handle
IR Communications
Potential
Equalisation
(PE) connector
port
Folded Pole
Clamp
1000DF00329 Issue 4 3/36
RS232
Connector
(optional)
Extension set
hook
Controls:
Symbol Description
ON/OFF button - Press once to switch the pump ON. Press and hold down for
approximately 3 seconds to switch the pump OFF.
a
RUN button - Press to start the infusion. The green LED will flash during infusion.
b
HOLD button - Press to put the infusion on hold. The amber LED will be lit while on hold.
h
MUTE button - Press to silence alarm for 2 minutes (configurable). The alarm will resound after this time. Press and hold until 3 beeps are heard for 15 minutes
c
silence.
PURGE/BOLUS button - Press to access PURGE or BOLUS soft keys. Press and hold down soft key to operate.
PURGE the extension set during set up.
l Pump is on hold
l Extension set is not connected to the patient
l Volume Infused (VI) is not added
i
BOLUS -
l Pump is infusing
l Extension set is connected to the patient
l VI is added
Controls and Indicators
uid or drug delivered at an accelerated rate.
OPTION button - Press to access optional features (see Basic Features).
d
PRESSURE button - Use this button to display the pumping pressure trend display and
alarm level.
e
CHEVRON keys - Double or single for faster/slower increase or decrease of values
f
shown on display.
BLANK SOFTKEYS - Use in conjunction with the prompts shown on the display.
g
Indicators:
Symbol Description
BATTERY indicator - When illuminated the pump is running on the internal battery.
When flashing the battery power is low with less than 30 minutes of use remaining.
j
AC POWER indicator - When illuminated the pump is connected to an AC power supply and the battery is being charged.
S
1000DF00329 Issue 4 4/36
Labelling Symbols:
Symbol Description
Attention (Consult accompanying documents)
w
Potential Equalisation (PE) Connector
x
RS232/Nurse call Connector (Optional)
y
Defibrillation-proof type CF applied part (Degree of protection against electrical shock)
l
Symbol Definitions
O
r
s T
t
U
A
Protected against vertically falling drops of water
Alternating Current
Device complies with the requirements of Council Directive 93/42/EEC as amended by 2007/47/EC.
Date of Manufacture
Manufacturer
Not for Municipal Waste
Important information
W
EC REP
Fuse Rating
Authorised representative in the European Community
1000DF00329 Issue 4 5/36
Main Display Features
Pump
Status
Infusion
Rate
Screen Icons:
Symbol Description
TIME REMAINING DISPLAY icon - Indicates time before syringe will require replacing.
l
N
BATTERY icon - Indicates battery charge level to highlight when the battery will require recharging.
Syringe type fitted /
Drug name
Volume Infused
Volume Infused
Option
Pressure
Information
VTBI
Option
1000DF00329 Issue 4 6/36
H
Operating Precautions
Disposable Syringes and Extension Sets
• Always clamp or otherwise isolate the patient line before unclamping or removing a syringe from the
pump. Failure to do so may result in unintended administration.
• This Alaris® CC Syringe Pump has been calibrated for use with single-use disposable syringes. To ensure
correct and accurate operation, only use 3 piece Luer lock versions of the syringe make specified on the pump or described in this manual. Use of non-specified syringes or extension sets may impair the operation of the pump and the accuracy of the infusion.
• Uncontrolled flow or syphoning may result if the syringe is located incorrectly in the pump, or if it is
removed from the pump before the extension set is properly isolated from the patient. Isolation may include closing a tap in the patient line or activating a flow stop clamp.
• Secure the extension set to the pump using the extension set hook at the rear of the pump. This provides
protection against accidental dislodging of the syringe from the pump.
• When combining several apparatus and/or instruments with extension sets and other tubing, for example
via a 3-way tap, the performance of the pump may be impacted and should be monitored closely.
Mounting the Pump
• The pump must be mounted within 1.0m above or below the patient’s heart. The most accurate pressure
monitoring in the extension set is achieved when the pump is positioned close to the patients heart level.
I
• Do not mount the pump in a vertical position with the syringe pointing upwards as this could lead to
an infusion of air which may be in the syringe. To protect against the introduction of air the user should regularly monitor the progress of the infusion, syringe, extension line and patient connections and follow the priming procedure specified herein.
Operating Environment
• When using any infusion pump in conjunction with other pumps or devices requiring vascular access,
extra care is advised. Adverse delivery of medication or fluids can be caused by the substantial variation in pressures created within the local vascular system by such pumps. Typical examples of those pumps are used during dialysis, bypass or cardiac assist applications.
• This pump is suitable for use in Hospital and clinical environments other than domestic establishments
and those directly connected to the public single phase AC mains power supply network that supplies buildings used for domestic purposes. However, it may be used in domestic establishments under the supervision of Medical professionals with additional necessary appropriate measures. (Consult Technical Service Manual, appropriately trained technical personnel or CareFusion for further information).
• This pump is not intended to be used in the presence of a flammable anaesthetic mixture with air or
oxygen or nitrous oxide.
Operating Pressure
• This is a positive pressure pump designed to achieve very accurate fluid administration by automatically
compensating for resistance encountered in the infusion system.
• The pumping pressure alarm system is not designed to provide protection against, or detection of, IV
complications which can occur.
J
Alarm Conditions
• Several alarm conditions detected by this pump will stop the infusion and generate visual and audible
alarms. Users must perform regular checks to ensure that the infusion is progressing correctly and no alarms are operating.
1000DF00329 Issue 4 7/36
M
K
Operating Precautions (continued)
Electromagnetic Compatibility and Interference
• This pump is protected against the effects of external interference, including high energy radio frequency emissions, magnetic fields and electrostatic discharge (for example, as generated by electrosurgical and cauterising equipment, large motors, portable radios, cellular telephones etc.) and is designed to remain safe when unreasonable levels of interference are encountered.
• Therapeutic Radiation Equipment: Do not use the pump in the vicinity of any Therapeutic Radiation Equipment. Levels of radiation generated by the radiation therapy equipment such as Linear Accelerator, may severely affect functioning of the pump. Please consult manufacturer’s recommendations for safe distance and other precautionary requirements. For further information, please contact your local CareFusion representative.
• Magnetic Resonance Imaging (MRI): The pump contains ferromagnetic materials which are susceptible to interference with magnetic field generated by the MRI devices. Therefore, the pump is not considered an MRI compatible pump as such. If use of the pump within an MRI environment is unavoidable, then CareFusion highly recommends securing the pump at a safe distance from the magnetic field outside the identified ‘Controlled Access Area’ in order to evade any magnetic interference to the pump; or MRI image distortion. This safe distance should be established in accordance with the manufacturers’ recommendations regarding electromagnetic interference (EMI). For further information, please refer to the product technical service manual (TSM). Alternatively, contact your local CareFusion representative for further guidance.
• Accessories: Do not use any non-recommended accessory with the pump. The pump is tested and compliant with the relevant EMC claims only with the recommended accessories. Use of any accessory, transducer or cable other than those specified by CareFusion may result in increased emissions or decreased pump immunity.
• This pump is a CISPR 11 Group 1 Class A device and uses RF energy only for its internal function in the normal product offering. Therefore, its RF emissions are very low and are not likely to cause any interference with the nearby electronic equipment. However, this pump emits a certain level of electromagnetic radiation which is within the levels specified by IEC/EN60601-1-2 and IEC/EN60601-2-24. If the pump interacts with other equipment, measures should be taken to minimise the effects, for instance by repositioning or relocation.
• In some circumstances the pump may be affected by an electrostatic discharge through air at levels close to or above 15kv; or by radio frequency radiation close to or above 10v/m. If the pump is affected by this external interference the pump will remain in a safe mode; the pump will duly stop the infusion and alert the user by generating a combination of visual and audible alarms. Should any encountered alarm condition persist even after user intervention, it is recommended to replace that particular pump and quarantine the pump for the attention of appropriately trained technical personnel. (Consult Technical Service Manual for further information).
A
V
L
Hazards
• An explosion hazard exists if the pump is used in the presence of flammable anaesthetics. Exercise care to locate the pump away from any such hazardous sources.
• Dangerous Voltage: An electrical shock hazard exists if the pump’s casing is opened or removed. Refer all servicing to qualified service personnel.
• When connected to an external power source, a three-wire (Live, Neutral, Earth) supply must be used. If the integrity of the external protective conductor in the installation or its arrangement is in doubt, the pump should be operated from the battery.
• Do not open the RS232/Nurse Call protective covering when not in use. Electrostatic discharge (ESD) precautions are required when connecting RS232/Nurse Call. Touching the pins of the connectors may result in ESD protection failure. It is recommended that all actions must be taken by appropriately trained personnel.
• If this pump is dropped, subjected to excessive moisture, fluid spillage, humidity or high temperature, or otherwise suspected to have been damaged, remove it from service for inspection by a qualified service engineer. When transporting or storing the pump, use original packaging where possible, and adhere to temperature, humidity and pressure ranges stated in the Specifications section and on the outer packaging.
1000DF00329 Issue 4 8/36
Getting Started
Initial Set-up
Before operating the pump read this Directions For Use manual carefully.
A
1. Check that the pump is complete, undamaged and that the voltage rating specified on the label is compatible with your AC power supply.
2. Items supplied are:
l Alaris® CC Syringe Pump l User Support CD (Directions For Use) l AC Power Cable (as requested) l Protective Packaging
3. Connect the pump to the AC power supply for at least 2½ hours to ensure that the internal battery is charged (verify that the S is lit).
Language Selection
1. On initial start-up the pump will display the Select Language screen.
2. Select the required language from the list displayed using the
3. Press the OK softkey to confirm your selection.
f keys.
A
The pump will automatically operate from its internal battery if the pump is switched on without being connected to the AC power supply.
Should the pump fail to perform correctly, replace in its original protective packaging, where possible and contact a qualified service engineer for investigation.
1000DF00329 Issue 4 9/36
Getting Started (continued)
Do not mount the pump with the AC power inlet or the syringe pointing upwards. This could affect the electrical safety in the event of a fluid spill or lead to the infusion of air which may be in the syringe.
A
Pole Clamp Installation
The pole clamp is fitted to the rear of the pump and will provide secure fixing to vertical I.V. poles of a diameter between 15 and 40 mm.
1. Pull the folded pole clamp towards you and unscrew the clamp to
leave enough room for the size of the pole.
2. Place pump around pole and tighten screw until the clamp is
secured to the pole.
Ensure the pole clamp is folded away and stored within the recessed area at the rear
A
A
of the pump before connecting to a Docking Station/Workstation* or when not in use.
Never mount the pump such that the IV infusion stand becomes top heavy or unstable.
Prior to each use, check the pole clamp:
• does not show any signs of excessive wear,
• does not show any signs of excessively loose movement in the extended, mountable position.
If these signs are observed, the pumps should be taken out of service for examination by qualified service personnel.
Docking Station/Workstation* or Equipment Rail Installation
Recessed area
*
*
Rectangular bar
The rotating cam can be fitted to the rectangular bar on the Docking Station/Workstation* or the equipment rail measuring 10 by 25 mm.
1. Align the rotating cam on the rear of the pump with the rectangular bar on the Docking Station/Workstation* or the equipment rail.
2. Hold the pump horizontally, push the pump firmly onto the rectangular bar or equipment rail.
Ensure that the pump 'clicks' securely into position onto the bar.
3. To release, push the release lever and pull the pump forwards.
Release lever (push to release)
Rotating cam
*Alaris® DS Docking Station, Asena® IDS Docking Station, and Alaris® Gateway Workstation.
1000DF00329 Issue 4 10/36
A
Getting Started (continued)
Loading and Confirming a Syringe
Warning: To securely load and confirm a syringe carefully follow the steps below. An incorrect loading of a syringe may result in misidentification of the syringe type and size. If then confirmed, this may lead to significant inaccuracy of the infusion rate and may also affect pump performance.
Only use a syringe of the type stated on the pump or in this manual. Using an incorrect syringe could adversely affect the accuracy of the infusion rate and may also affect pump performance.
When drawing fluid into the syringe, draw enough to compensate for any 'dead space' volume in the extension set and syringe at the end of infusion as this cannot be fully infused.
Syringe Barrel
Barrel Flange
Plunger Grippers
Syringe Clamp
Plunger Flange
Plunger
Finger Grips
Plunger Holder
Syringe Flange Clamp
Place the pump on a stable horizontal surface or secure as described previously.
Prepare, load and prime the single-use disposable syringe and extension set using standard aseptic techniques.
1. Squeeze the finger grips together on the plunger holder and slide the mechanism to the right.
2. Pull the syringe clamp forward and down.
1000DF00329 Issue 4 11/36
Loading...
+ 26 hidden pages
Buy Points How it Works FAQ Contact Us Questions and Suggestions Privacy Policy Cookie Policy Terms of Use