IrDA, RS232 and Nurse call Specification ..................................................................32
Trumpet Curves and Start-up Curves ......................................................................33
Spare Parts ...............................................................................................34
Service Contacts .........................................................................................35
1000DF00329 Issue 41/36
Page 3
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.
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 42/36
f keys.
Page 4
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 43/36
RS232
Connector
(optional)
Extension set
hook
Page 5
Controls:
SymbolDescription
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:
SymbolDescription
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 44/36
Page 6
Labelling Symbols:
SymbolDescription
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 45/36
Page 7
Main Display Features
Pump
Status
Infusion
Rate
Screen Icons:
SymbolDescription
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 46/36
Page 8
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 47/36
Page 9
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 48/36
Page 10
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 Pumpl 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 49/36
Page 11
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.
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 411/36
Page 13
3. Insert the syringe ensuring that the barrel flange is located in the slots on the syringe flange
clamp.
To ensure the syringe is loaded correctly, place the barrel flange in the space
A
4. Lift the syringe clamp until it locks against the syringe barrel.
5. Squeeze the finger grips on the plunger holder and slide the mechanism to the left until it
6. Release the finger grips. Ensure that the plunger grippers are securing the plunger in place
between the syringe clamp and the syringe flange clamp. This is correct if the
syringe remains in position before the syringe clamp is closed.
reaches the plunger end.
and the finger grip returns to its original position.
7. Ensure that the syringe type and size match those displayed on the pump then press CONFIRM. If required, the make of syringe
can be changed by pressing the TYPE softkey.
ON HOLD
Note: If the PURGE SYRINGE option has been enabled then the prompt to purge screen is displayed and the extension set can be
purged as required, however ensure that the extension set is not connected to the patient during this process.
CareFusion recommends to limit the number of configured syringe types and sizes available for selection on the
A
pump.
Secure the extension set using the extension set hook at the rear of the pump. This provides protection against
accidental dislodging of the syringe from the pump.
Ensure that both plunger grippers are fully locked onto the plunger flange and the upper finger grip has returned to
its original position.
IVAC 50
CONFIRM
TYPE
1000DF00329 Issue 412/36
Page 14
Getting Started (Continued)
Starting the Pump
1. Connect the pump to an AC power supply using the AC power cable.
Press the
l The pump will run a short self-test. Ensure that two beeps are activated during this test.
l Check the display test pattern and ensure that no rows are missing.
l Check that the displayed time and date are correct.
Note: A warning - REPAIRING LOGS, may be displayed if event log information was not completely stored at the previous power down.
This is for information only, the pump will continue to power up as normal.
2. CLEAR SETUP? Answering NO will retain all previous rate and volume settings. YES will automatically reset the rate and volume
settings to zero.
3. LOAD SYRINGE - Load the syringe according to the procedure in this manual.
4. Insert the pressure disc into the pressure transducer.
a button.
PRESSURE TRANSDUCER - Detects if an infusion line with a pressure disc is fitted. The pressure transducer will
measure positive infusion line pressures.
A
5. CONFIRM SYRINGE - Check that the syringe type and size being used matches the display. If required, the make of syringe can be
changed by pressing the TYPE button. Press CONFIRM when the correct type and size are shown.
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 - Check the rate shown if old patient data has been retained and change the rate if necessary using the
keys.
7. PURGE (if required) - Press the
extension line is complete. Release the softkey. The volume used during purging will be displayed.
Warning - To remove or insert pressure disc from or into pressure transducer assembly, insert finger into the recess
in the pressure disc and pull forward or push back with care. DO NOT PULL THE EXTENSION SET TO REMOVE OR
TO INSERT THE PRESSURE DISC.
f
i button and then press and hold the PURGE softkey until fluid flows and the purging of the syringe
Purge extension set, massaging pressure disc to prevent ballooning and ensuring all air removal.
A
8. CONNECT TO PATIENT - Connect the extension set to the patient access device.
9. START - Press
START light to indicate that the pump is in operation.
b to commence operation. INFUSING will be displayed. The AMBER STOP light will be replaced by the flashing GREEN
10. STOP - Press
FULLY DEDICATED Alaris® CC Syringe Pump - to start an infusion a pressure disc must be fitted.
SEMI DEDICATED Alaris® CC Syringe Pump - to start an infusion with Drug and Dosing set a pressure disc must be fitted.
h to halt the operation. ON HOLD will be displayed. The amber light will replace the green light.
1000DF00329 Issue 413/36
Page 15
Basic Features
Purge
The i button allows the delivery of a limited volume of fluid in order to purge the extension set prior to being connected to a patient or
after changing a syringe.
1. Press the
2. Press and hold the PURGE softkey until fluid flows and the purging of the IV infusion set is complete. The volume used during purging
will be displayed, but it is not added to the volume infused.
3. When purging is complete release the PURGE softkey. Press the QUIT softkey to exit back to the main display.
i button when the pump is not infusing. Ensure that the extension set is not connected to the patient.
The pump will not purge if the rate lock has been enabled. During PURGE the pressure limit alarms are temporarily
increased to their maximum level.
A
Bolus Infusion
Bolus - Administering a controlled volume of uid or drug at an increased rate for diagnostic or therapeutic purposes. The pump should
always be infusing and always attached to the patient. (Drugs given by an IV bolus could achieve immediate and high drug
concentration levels.)
Bolus can be used at the start of an infusion or during an infusion.
The bolus feature can be congured to:
a) BOLUS Disabled
b) BOLUS Enabled i) Hands On only
ii) Hands On and Hands Free
BOLUS Disabled
If congured to Disabled, pressing the
A Hands On bolus and Hands Free bolus cannot be administered if the "RATE LOCK" is active.
During BOLUS the pressure limit alarm is temporarily increased to the maximum level.
i button will have no eect and the pump will continue to infuse at the set rate.
A
BOLUS Enabled - Hands On
In "Hands on" Bolus, press and hold the (ashing) BOLUS soft key to deliver the required bolus. The bolus rate can be adjusted. The bolus
volume is limited in the conguration.
1. During infusion press the
2. Use the
3. To deliver the bolus press and hold the BOLUS softkey. During the bolus, the volume being infused is displayed. When the desired bolus
volume has been delivered or the bolus volume limit is reached, release the softkey. The bolus volume is added to the total volume
infused.
BOLUS Enabled - Hands On and Hands Free
The "Hands Free" Bolus is delivered with a single press of the (ashing) BOLUS soft key. On intial use the bolus rate and bolus volume are
at default values and can be changed. On subsequent uses, the bolus rate and bolus volume will remain as per previously set and can be
changed as required. Following CLEAR SETUP, the default bolus rate is determined via the conguration and the default bolus volume is
0.1ml.
1. During infusion press the
2. Press the YES softkey to go to "Hands Free" selection bolus screen, press the HANDS ON softkey for "Hands On" bolus (see section
above).
3. Use the
(150/300/600/900/1200ml/h). Note: Rate may be restricted by the syringe size and the CAP BOLUS RATE.
4. Press the ashing BOLUS softkey once to begin the delivery of the preset bolus. The display will show the bolus being delivered, the
bolus counting down and revert to main infusion display upon completion of the bolus.
5. To terminate a bolus being delivered press STOP softkey. This will stop the bolus and continue infusing at the set rate. Press the
button to stop the bolus delivery and place the pump on hold.
6. If the bolus volume reaches the set bolus volume limit the bolus will stop and the pump will revert to infuse at the set infusion rate and
continue infusing.
A
f keys to adjust the bolus rate if required.
f keys to set the bolus volume/dose required; If necessary press the RAT E softkey to adjust the bolus delivery rate
If the "Hands Free" bolus option is active, then this feature will be cancelled following any interruption in delivery,
e.g. occlusion, even if the bolus delivery is incomplete.
If the volume to be infused (VTBI) is reached during a bolus, the VTBI complete alarm will sound. Press c to silence
the alarm or CANCEL to acknowledge the alarm. See 'VTBI' section for more details on VTBI operation.
i button once to display the bolus screen.
i button to display the "Hands Free" bolus selection screen.
h
Manual Bolus
The "Manual Bolus" is delivered by moving the plunger drive mechanism forward while the pump is infusing. This method of delivering a
bolus is not recommended as best clinical practice.
The syringe must be conrmed and the plunger mechanism has to move from an engaged position to disengage and then re-engage
position.
A minimum travel of 1mm (leadscrew pitch) must be detected to register.
1000DF00329 Issue 414/36
Page 16
Basic Features (Continued)
Auto Set Pressure (If enabled)
If the Auto Set Pressure Option is enabled then the pump AUTOMATICALLY adjusts the pressure occlusion limit.
l After 15 minutes of infusion the pump AUTOMATICALLY adjusts the occlusion pressure limit to X mmHg (the AUTO OFFSET value, 15-
100mmHg), above the average infusion pressure since the start of the infusion.
Pressure Level with pressure set fitted
1. To check and adjust the pressure level press the e button. The display will change to show a 20 minute pressure trend graph displaying
the pressure alarm level and the current pressure level.
2. Press the f keys to increase or decrease the pressure alarm level. The new level will be indicated on the display.
3. The AUTO Pressure feature may be used when a stable pressure has been achieved over a short period of infusion. If AUTO Pressure
has been enabled the automatic pressure alarm level is calculated and set by pressing the AUTO softkey.
4. Press the TREND softkey to view the pressure trend of the previous 12 hours. The pressure trend can be viewed at 15 minute intervals
by using the +/- softkeys. The pressure trend graph displays the pressure at a given time.
5. Press the OK softkey to exit the pressure screen.
20mmHg
07:45
_
+
OK
Pressure Level without pressure set fitted
(not applicable when FULLY DEDICATED)
1. To check and adjust the pressure level press the e button. A bar graph will be displayed showing the pressure alarm level and the
current pressure level.
2. Press the
3. Press OK to exit the screen.
f keys to increase or decrease the alarm level. The new level will be indicated on the display.
The interpretation of pressure readings and occlusion alarms are the responsibility of the clinician depending on the
specific application.
A
Rate Lock
If Rate Lock is enabled, when the infusion rate has been set and the infusion started (or following a bolus infusion) the rate lock prompt
will appear on the main display.
To select the rate lock function press the YES softkey. Press the NO softkey if the rate lock is not required.
When rate lock is enabled, the following are unavailable:
l Changing the infusion rate / titration
l Bolus / purge
l Switching the pump off
l VTBI over time infusions.
To disable the rate lock if selected:
1. Press the
2. Select the UNLOCK RATE option using the
To enable the rate lock if not selected:
1. Press the
2. Select RATE LOCK and press the OK softkey.
d button to access the options menu.
f keys and press the OK softkey.
d button to access the options menu.
1000DF00329 Issue 415/36
Page 17
Basic Features (Continued)
Drugs and Dosing
The following options enable the pump to be set-up for use with a specific drug and/or dosing protocol. Drugs are pre-configured in a drug
library (see Configured Options) to enable rapid selection of the drug name, dosing units and default rate. For increased security using a
configured drug, maximum and minimum safety limits are programmable for concentration and dose rates.
Note: The dose infused display is the product of the volume infused and the confirmed concentration. If dosing is confirmed while the
volume infused is greater than 0.0ml or a drug was previously selected the dose could be inaccurate. If the dose displayed could be
inaccurate the digits will flash on screen. To reset the flashing, the volume needs to be cleared.
To access the Drugs and Dosing menu:
1. Press the
2. Select DRUGS AND DOSING from the list using the
3. Press the OK softkey to confirm the selection.
Dosing Only:
1. Select DOSING ONLY from the list and press OK.
2. Enter the dosing information as prompted on the display.
3. Press the OK softkey to confirm the dosing information.
4. The BACK softkey may be used at any time to return to the previous screen.
See note below *.
Drug Name Only: (available if Drugs are configured)
1. Select a drug name from the list and press the OK softkey.
2. If no protocol is required press the NO softkey.
3. If no dosing is required press the NO softkey.
d button to first access the options menu.
f keys.
Pre-configured drug dosing protocol: (available if Drugs are configured)
1. Select the drug name from the list displayed using the
2. Press the YES softkey to select PROTOCOL. This will select the pre-defined protocol for the selected drug.
3. Enter the dosing information prompted on the display for the selected drug using the OK softkey.
See note below *.
User-programmed drug dosing: (available if Drugs are configured)
1. Select the drug name from the list displayed using the
2. Press the NO softkey to avoid selecting PROTOCOL.
3. Press the YES softkey to select DOSING. This now enables user-programmed information to be entered.
4. Enter the required dosing information as prompted on the display, using the
See note below *.
* Note: Rate values will flash if either the rate (ml/h) or dose rate are outside the permitted range; and confirmation will not be possible.
Clear drugs and/or dosing: (available if a drug is selected)
1. Select CLEAR DRUGS AND DOSING or CLEAR DRUG NAME (displayed if a name only is selected) using the
OK softkey to confirm the selection.
f keys. Press the OK softkey to confirm the selection.
f keys. Press the OK softkey to confirm the selection.
f keys and the OK softkey.
f keys. Press the
Volume to be Infused (VTBI)
This option allows a specific volume to be infused to be set. Rate at the end of this VTBI can also be set, selecting from stop, KVO, or
continuous infusion at the set rate.
1. Press the VTBI softkey to select the volume to be infused option.
2. Enter the volume to be infused using the
3. Select the rate at the end of the VTBI using the
4. Press the OK softkey to enter the rate and exit the VTBI menu.
f keys and press the OK softkey.
f keys to scroll through the on-screen choices. The default is stop.
Clear Volume
This option enables the volume infused to be cleared.
1. Press the VOLUME softkey to display the CLEAR VOLUME option.
2. Press the YES softkey to clear the volume. Press the NO softkey to retain the volume.
Selecting YES resets the volume infused in the 24H LOG option.
1000DF00329 Issue 416/36
Page 18
Basic Features (Continued)
Rate Titration
If Rate Titration is enabled the rate can be adjusted while infusing:
1. Select the new rate using the
The message < START TO CONFIRM > will flash on screen and pump continues to infuse at the original rate.
2. Press the
If Rate Titration is disabled the rate can only be adjusted whilst on hold:
1. Press the
2. Select the new rate using the
3. Press the
To review currently selected dosing information:
1. Press the
2. Select DOSING SUMMARY.
3. Review the information and then press the QUIT softkey.
This option allows a specific VTBI and delivery time to be set. The rate necessary to deliver the required volume within the specified time
is calculated and displayed.
1. Stop the infusion. Press the
2. Select the SET VTBI OVER TIME option using the
3. Adjust the volume to be infused using the
4. Enter the time over which the volume is to be infused. The infusion rate will automatically be calculated. Press the OK softkey to enter
the value.
5. Select the rate at VTBI end from the list using the
b buttonto confirm the new infusion rate and start infusing at the new rate.
h
button to put the pump on hold.
b button to start infusing at the new rate.
d button to access the options menu.
f keys.
f keys.
? Dosing Summary
? Set VTBI over Time
d button to access the options menu.
f keys and press the OK softkey.
f keys. When the desired volume has been reached press the OK softkey.
f keys and press the OK softkey. The default is STOP.
? 24 Hour Log
This option allows the 24 hour log of volume infused to be reviewed.
1. Press the
2. Select the 24H LOG option using the
The display shows the hourly volume infused. The volume infused shown in brackets is the total volume infused since the volume was
last cleared. See example below:
This option allows the event log to be reviewed. It can be enabled/disabled.
1. Press the
2. Select the EVENT LOG option using the
3. Scroll through the log using the
d button to access the options menu.
f keys and press the OK softkey.
f keys. Press the QUIT softkey to exit the log.
? Drug Name
To display selected drug name:
1. Press the
2. Select DRUG NAME.
3. Press the OK softkey to confirm the drug name or press the QUIT softkey to exit the option.
d button to access the options menu.
1000DF00329 Issue 417/36
Page 19
Alarms and Warnings
Alarms are indicated by a combination of an audible alarm, flashing alarm indicator and a descriptive message in the display.
1. First press the
to cancel the alarm message.
2. If the infusion has stopped, rectify the cause of the alarm then press the
A
c button to silence the alarm for a maximum of 2 minutes*, then check the display for an alarm message. Press CANCEL
b button to resume the infusion.
If the pump initiates a safety processor alarm condition (an audible high pitched continuous shrill accompanied with a red
alarm indicator) and there is no error message displayed on the pump, remove the pump from service for examination by
a qualified service engineer.
DisplayDescription and Troubleshooting Guide
DRIVE DISENGAGED
OCCLUSION
LINE OCCLUSION
CHECK SYRINGE
PRESSURE DISC OUT
BATTERY LOW
BATTERY EMPTY
NEAR END OF INFUSION
END OF INFUSION
The drive system has been disengaged during operation. Check the finger grips and the position
of the syringe.
Excessive pressure measured at the syringe plunger exceeding the alarm limit. Identify and
remove the cause of the blockage in the drive, syringe, or administration system before restarting
the infusion.
Excessive pressure measured in the extension set at the pressure sensing disc exceeding the
alarm limit. Identify and remove the cause of the blockage in the drive, syringe, patient access
site, or administration system before restarting the infusion.
Incorrect size of syringe has been fitted, the syringe has not been positioned correctly or has
been disturbed during operation. Check the syringe location and the position.
The pressure disc has been removed from the pressure transducer during the infusion. The
infusion will stop. Replace the pressure disc then restart the infusion.
Battery charge low with 30 minutes operation remaining. Battery indicator will flash and after 30
minutes a continuous audible alarm will indicate that the battery is exhausted. Reconnect to the
AC power supply to continue operation and charge the internal battery.
The internal battery is exhausted. Connect the pump to the AC power supply.
The pump is nearing the end of the infusion.This value can be configured.
The pump has reached the end of the infusion. A pre-set volume will remain in the syringe to
minimise the risk of the infusion of air bubbles into the set. This value can be configured.
TITRATION NOT CONFIRMEDThe infusion rate has been changed, but has not been confirmed and 2 minutes* has
expired without any operation. Press the c button to silence the alarm, then press the CANCEL
softkey to clear this message and silence the alarm. Check infusion rate and confirm by pressing
the
b button or press the h button to revert to the previous rate. Press the b button to start
infusion. (This alarm only occurs if rate titration is enabled).
VTBI DONE
AC POWER FAIL
Error Code and Message
ATTENTION (with “3 Beeps”)
Alarm Indicator ColourAlarms indicated
*Configurable option.
AMBER
RED
The pre-set Volume To Be Infused is complete.
AC Power has been disconnected and the pump is operating on battery power, if this occurs
when the pump is infusing the message "INFUSION CONTINUES" will be displayed. Reconnect
AC power supply or press the
The alarm will automatically cancel if the AC power supply is reconnected.
The alarm system has detected an internal malfunction. Note the malfunction code. Remove
pump from service for examination by a qualified service engineer.
Three beeps will sound if the pump has been left ON for more than 2 minutes* (referred to as
CALLBACK in the log) without starting the operation. Press the
for a further 2 minutes*. Alternatively press and hold down the
in succession, this will put the warning alarm on standby for 15 minutes.
AC POWER FAIL; NEAR END OF INFUSION; VTBI DONE (KVO or CONTINUE), ATTENTION; TITRATION
NOT CONFIRMED; BATTERY LOW.
All others.
1000DF00329 Issue 418/36
c button to silence the alarm and continue with battery operation.
c button to silence the alarm
c button and wait for 3 beeps
Page 20
Configured Options
This menu comprises a list of options which are configurable by the user.
1. Turn the pump OFF.
2. Whilst holding down the
3. The main display will show 000. Enter the access code for Configured Options using the
the digits. A full list of access codes can be found in the Technical Service Manual.
4. When the complete code shows on screen, press OK to enter. The Configured Options menu will be displayed.
1. Select GENERAL OPTIONS from the menu using the
2. Select the option you wish to enable/disable or adjust and press the MODIFY softkey.
3. When all the desired modifications have been carried out press the QUIT softkey.
4. Either select the next configuration option from the menu or turn the pump OFF, returning it to operation as required.
Enter the pump-specific information for your records on a copy of this page.
1.9.x and
2.3.x and above
* For software versions 1.9.x and 2.3.x and above
Syringes Enabled
MakeSize(s)MakeSize(s)
Hospital NameSerial No.Software Version
Approved byCongured by
DateDate
1000DF00329 Issue 420/36
Page 22
Configured Options (Continued)
Drug library
1. Select the DRUG LIBRARY option from the Configured Options
menu and press the OK softkey.
2. To enter a new drug in the library press the NEW softkey.
3. To enter the name of the new drug use the
through the alphabet. To select a letter press the NEXT softkey. On
completion press the OK softkey.
4. Follow the flow chart, using the
Use OK to enter selected values and move on to the next stage. The
BACK softkey may be used at any time to return to the previous
screen of the drug library set-up procedure.
Dosing Conversion:
1.0 µg = 1000 ng
1.0 mg/h = 24.0 mg/24 h
1.0 mg/min = 60.0 mg/h
1.0 mg = 1000 µg
The availability of drug dose units is dependent on the software
version of the pump.
f keys to select values.
f keys to scroll
5. Review the drug set-up data on the display, then press the OK
softkey to confirm.
6. To delete a drug from the drug library, select the drug using the
f keys. Press MODIFY then select YES twice to delete the
drug from the list.
Note: to set a FIXED PROTOCOL set the:-
Max Doserate = Default Doserate = Min Doserate;
Max Conc. = Default Conc. = Min Conc.
Note: use of a protocol in which the Max Bolus is set OFF will prevent
bolus delivery.
1000DF00329 Issue 421/36
Page 23
Configured Options (Continued)
Clock Set
1. Select CLOCK SET from the Configured Options menu using the f keys and press the OK softkey.
2. Use the
3. When the correct time and date are displayed press the OK softkey to return to the Configured Options menu.
This option allows the user to programme in the name of the hospital, ward or department. This will appear during the power-up display
sequence.
1. Select HOSPITAL NAME from the Configured Options menu using the
2. Use the keys to adjust the character displayed, pressing NEXT to access the next position.
3. When the correct name is displayed press OK to return to the Configured Options menu.
This option is used to pre-configure the type and size of syringe permitted for use on the pump. Select all possible syringes which may be
used and disable any that should not be used.
1. Select ENABLE SYRINGES from the Configured Options menu using the
2. Use the
within the brand.
3. When all modifications are complete press QUIT to return to the Configured Options menu.
f keys to adjust the date displayed, pressing the NEXT softkey to access the next field.
Hospital Name
f keys and press the OK softkey.
Enable Syringes
f keys and press the OK softkey.
f keys to scroll through the list of syringes, pressing MODIFY to enable/disable a syringe brand and individual models
Language
This option is used to set the language of messages shown on the pump display.
1. Select LANGUAGE from the Configured Options menu using the
2. Use the
3. When the desired language has been selected press SELECT softkey to return to the Configured Options menu.
f keys to select the language.
f keys and press the OK softkey.
Contrast
This option is used to set the contrast on the pump display.
1. Select CONTRAST from the Configured Options menu using the
2. Use the
3. When the desired value has been reached press the OK softkey to return to the Configured Options menu.
f keys to select a contrast ratio value. The contrast of the display will change when scrolling through the numbers.
f keys and press the OK softkey.
Enable Units
This option is used to pre-configure the type of units permitted for use on the pump. Select all possible units which may be used and disable
any that should not be used.
1. Select ENABLE UNITS from the Configured Options menu using the
2. Use the
3. When all modifications are complete press OK to return to the Configured Options menu.
f keys to scroll through the list of units, pressing MODIFY to enable/disable a unit.
f keys and press the OK softkey.
1000DF00329 Issue 422/36
Page 24
Drug Protocol Record
Alarm
Pressure
Rate
(ml/h)
* - 100 drug names with a maximum
of 17 characters are available for
V2.3.x software and above.
(ml)
Max
Alaris® CC Syringe Pump Drug Protocol Setup
HospitalWard/Unit
Dose RateConcentrationBolus
Dose UnitsMaxDefaultMinUnitsMinDefaultMax
Drug Name
(12 Chars max*)
No.
(1-50*)
1000DF00329 Issue 423/36
Serial NumberSoftware Version
Approved byCongured by
DateDate
Page 25
Specifications
Infusion Specifications -
Maximum infusion rate can be set as part of the configuration.
0.1ml/h - 150ml/h 5ml syringes
0.1ml/h - 300ml/h 10ml syringes
0.1ml/h - 600ml/h 20ml syringes
0.1ml/h - 900ml/h 30ml syringes
0.1ml/h - 1200ml/h 50ml syringes
The Volume Infused range is 0.0ml - 9990ml.
Bolus Specifications -
Maximum Bolus rates can be set as part of the configuration. Bolus
rates are user adjustable, in increments of 10ml/h.
10 ml/h - 150ml/h 5ml syringes
10 ml/h - 300ml/h 10ml syringes
10 ml/h - 600ml/h 20ml syringes
10 ml/h - 900ml/h 30ml syringes
10 ml/h - 1200ml/h 50ml syringes
The bolus volume limit can be set as part of the configuration.
Minimum: 0.5ml (0.1ml - v2.3.x and above or v1.9.x)
Maximum 25.0ml
Increments of 0.1ml; default 5.0ml
During BOLUS the pressure limit alarms are temporarily increased to
their maximum level.
Critical Volume -
The bolus which can occur in the event of a single internal fault
condition with a 50 ml syringe is :
Maximum Overinfusion - 0.5ml
Purge Specifications -
The purge rate is limited to the maximum rate for the syringe and can
be set as part of the configuration.
100ml/h - 500ml/h.
The purge volume range is 0.5ml - 5ml.
During PURGE the pressure limit alarms are temporarily increased to
their maximum level.
Keep Vein Open (KVO) Rate -
0.1 ml/h - 2.5ml/h.
End Of Syringe Rate -
Stop, KVO (0.1ml/h to 2.5ml/h), or set rate if lower than KVO.
Volume To Be Infused (VTBI) -
0.1ml - 100ml (0.1ml - 1000ml - v2.3.x and above or v1.9.x),
1min - 24h
VTBI Complete Rate -
Stop, KVO (0.1ml/h to 2.5ml/h), set rate if lower than KVO or continue
at set rate.
Near End Of Infusion Alarm -
1min - 15min to end of infusion, or 10% of syringe volume, whichever
is smaller.
End Of Infusion (EOI) Alarm -
0.1% - 5% of syringe volume
Maximum Pumping Pressure Limit -
Highest alarm level 1000mmHg (nominal at L-10)
Occlusion Accuracy without pressure set (% of full scale)* -
Pressure mmHg
Temp.
23°C
L-0
approx.
50 mmHg
L-3
approx.
300 mmHg
±18%±21%±23%±28%
L-5
approx.
500 mmHg
L-10
approx.
1000 mmHg
Occlusion Accuracy with pressure set (% of full scale)* -
Pressure mmHg
0255001000
Temp. 23°C
Temp. 5 °C - 40 °C
* - Using most common 50ml syringes under normal conditions
(95% confidence / 95% of pumps).
±2%±4%±5%±6%
±4%±7%±7%±10%
Electrical Classification -
Class I product. Continuous Mode Operation, Transportable
System Accuracy -
Volumetric Mean +/- 2% (nominal).
Derating -
Temperature +/- 0.5% (5 - 40ºC)
High Rates +/-2.0% (rates > syringe volume/h eg.
>50ml/h in a 50ml syringe.)
Important: System accuracy is +/-2% typical by volume as measured
using the trumpet curve test method defined in IEC/EN60601-2-24 at
rates of 1.0ml/h (23ºC) and above when the pump is used with the
recommended syringes. Caution: Infusion volume accuracy may be
compromised at rates below 1.0ml/h. Differences in factors such as
size and plunger force in compatible syringes can cause variations
in accuracy and trumpet curves. See also trumpet curves section in
this manual.
Drug Specification -
A maximum of 50 drugs with a maximum of 12 characters are available
with V1.9.x and below software.
A maximum of 100 drugs with a maximum of 17 characters are available
with V2.3.x and above software.
Battery Specifications -
Rechargeable sealed NiMH. Automatically charges when the pump is
connected to AC power.
Mean Time To Battery Empty from fully charged @ 5ml/h and 20°C
under normal conditions is 6 hours*
*95% lower confidence interval of 5 hours 50 minutes
Charging takes 2½ hours from discharge to 90% charge.
Memory Retention -
The electronic memory of the pump will be retained for more than 6
months when not powered up.
Fuse Type -
2 x T 1.25A, slow blowing.
AC Power Supply -
115 - 230VAC, 50 - 60Hz, 20VA (nominal).
Dimensions -
335 mm (w) x 121 mm (h) x 200 mm (d). Weight: 2.7 kg (excluding
power cable).
Protection against fluid ingress -
IPX1 - Protected against vertically falling drops of water.
Alarm Conditions -
Drive Disengaged Occlusion
Check Syringe Battery Low / Battery Empty
Near End Of Infusion End of Infusion
VTBI Done AC Power Fail
Internal Malfunction Attention (Nurse Callback)
Pressure Disc Out Titration not confirmed
Line Occlusion
Environmental Specifications -
Operating Temperature +5°C - +40°C
Operating Relative Humidity 20% - 90%
Operating Atmospheric Pressure 700hPa - 1060hPa
Transport and Storage Temperature -30°C - +50°C
Transport and Storage Relative Humidity 10% - 95%
Transport and Storage Atmospheric Pressure 500hPa - 1060hPa
Electrical/Mechanical Safety -
Complies with IEC/EN60601-1 and IEC/EN60601-2-24.
EMC -
Complies with IEC/EN60601-1-2
and IEC/EN60601-2-24.
1000DF00329 Issue 424/36
Page 26
Compatible Syringes
The pump is calibrated and labelled for use with single-use disposable Luer lock syringes. Only use the size and type of syringe specified on
the pump display. The full list of permitted syringe models is dependent on the software version of the pump.
* - The Rapiject 50ml syringe is a specialised syringe with a large diameter barrel. To provide protection against accidental dislodging always
ensure the infusion line is secured using the infusion set hook - see Loading a Syringe section.
** - TYCO / Healthcare KENDALL - MONOJECT.
üüüüü
üü
üüüüü
üü
üüüü
üü
üüüüü
üüüü
üüüüü
ü
ü
ü
ü
ü
The Alaris® DS Docking Station
Associated Products
The Alaris® Gateway Workstation
1000DF00329 Issue 425/36
Page 27
Compatible Extension Sets
The pump uses standard, single-use, disposable extension sets and syringes with Luer lock connectors. The user is responsible for verifying
the suitability of a product used, if it is not recommended by CareFusion.
Standard Sets
G40015Standard PVC Syringe Extension Set (150 cm).
Priming Volume: 2.6ml
G40020BStandard PVC Syringe Extension Set (200 cm).
For availability please contact your local CareFusion representative because new sets are continuously being
developed for our customers.
It is recommended that extension sets are changed in accordance with the Directions for Use.
Carefully read the Directions For Use supplied with the extension set prior to use.
Please note these drawings are not to scale
1000DF00329 Issue 426/36
Page 28
Compatible Extension Sets (Continued)
The pump uses standard, single-use, disposable extension sets and syringes with Luer lock connectors. The user is responsible for verifying
the suitability of a product used, if it is not recommended by CareFusion.
For availability please contact your local CareFusion representative because new sets are continuously being
developed for our customers.
A
Light Protected Sets
G40215Amber PE Syringe Extension Set (150 cm).
Priming Volume: 1.2ml
G40320White PVC Syringe Extension Set (200 cm).
Priming Volume: 3.6ml
G30653MOpaque White PVC Syringe Extension Set with occlusion sensing disc. (200 cm).
Priming Volume: 1.5ml
Low Sorbing Sets
G40615Polyethylene Syringe Extension Set (150 cm).
Priming Volume: 1.5ml
G40620Polyethylene Syringe Extension Set (200 cm).
Priming Volume: 2ml
G30303MPolyethylene Syringe Extension Set with occlusion sensing disc. (200 cm).
Priming Volume: 1.5ml
G30453MOpaque White PVC low sorbing Syringe Extension Set with occlusion sensing disc. (200 cm).
Priming Volume: 1.5ml
G30302MPolyethylene Lined Syringe Extension Set with occlusion sensing disc and clamp. (200 cm).
Priming Volume: 1.6ml
G40720Polyethylene Lined Syringe Extension Set with clamp. (200 cm).
Priming Volume: 1.5ml
04105010509Polyethylene Syringe Extension Set (100 cm).
Priming Volume: 1ml
It is recommended that extension sets are changed in accordance with the Directions for Use.
Carefully read the Directions For Use supplied with the extension set prior to use.
Please note these drawings are not to scale
1000DF00329 Issue 427/36
Page 29
Compatible Extension Sets (Continued)
The pump uses standard, single-use, disposable extension sets and syringes with Luer lock connectors. The user is responsible for verifying
the suitability of a product used, if it is not recommended by CareFusion.
For availability please contact your local CareFusion representative because new sets are continuously being
developed for our customers.
A
Patient Controlled Analgesia (PCA) Sets
30822PVC Syringe Extension Set with clamp (152 cm).
Priming Volume: 0.5ml
30832PVC ‘Y’ Syringe Extension Set with back check valve and 2 clamps (178 cm).
Priming Volume: 1.5ml
30842EPVC Syringe Extension Set with back check valve, SmartSite® Needle-Free Valve Port and clamp (30 cm).
Priming Volume: 1.4ml
30852PVC ‘Y’ Syringe Extension Set with anti-siphon valve, back check valve and 2 clamps (183 cm).
Priming Volume: 1.8ml
30862PVC Syringe Extension Set with anti-siphon valve and clamp (156 cm).
Priming Volume: 0.6ml
04102215162PVC Syringe Extension Set with rotating luer. (150 cm).
Priming Volume: 2.9ml
04100010162PVC Syringe Extension Set (105 cm).
Priming Volume: 7.2ml
It is recommended that extension sets are changed in accordance with the Directions for Use.
Carefully read the Directions For Use supplied with the extension set prior to use.
Please note these drawings are not to scale
1000DF00329 Issue 428/36
Page 30
Maintenance
Routine Maintenance Procedures
To ensure that this pump remains in good operating condition, it is important to keep it clean and carry out the routine maintenance
procedures described below.
IntervalRoutine Maintenance Procedure
As per Hospital PolicyThoroughly clean external surfaces of the pump before and after prolonged period of storage.
Each usage1. Inspect AC power supply plug and cable for
2. Inspect case, keypad and plunger for damage.
3. Check Start up self test operation is correct.
Before the transfer of the pump to a
new patient and as required
If the pump is dropped, damaged, subjected to excessive moisture or high temperature, immediately take it out of
service for examination by a qualified service engineer.
A
All preventative and corrective maintenance and all such activities shall be performed at a compliant work place in
accordance with the information supplied. CareFusion will not be responsible should any of these actions be
performed outside the instructions or information supplied by CareFusion. For Preventative and Corrective
Maintenance instructions please refer to the Technical Service Manual (TSM).
All servicing should only be performed by a qualified service engineer with reference to the TSM.
Clean the pump by wiping over with a lint-free cloth lightly dampened with warm water and a
standard disinfectant / detergent solution.
damage.
Please refer to Technical Service Manual for calibration procedures. The units of measurement used in the
calibration procedure are standard SI (The International System of Units) units.
A
Battery Operation
The internal rechargeable battery allows continued operation when the AC power is unavailable, for example during patient transfer or AC
power failure. Mean Time To Battery Empty from fully charged @ 5ml/h and 20°C under normal conditions is 6 hours*. From the battery low
alarm it will take about 2½ hours to 90% charge when reconnected to the AC power supply, whether the pump is in use or not.
The battery is maintenance free, sealed Nickel Metal Hydride and requires no routine servicing. However, to achieve optimum operation,
ensure that the battery is fully recharged after full discharge, before storage, and at regular 3 month intervals during storage.
Charge retention will eventually degrade. Where retention is critical the internal battery should be replaced every 3 years.
It is recommended that only a qualified service engineer replaces the battery. For further information regarding the replacement of
batteries refer to the Technical Service Manual.
The battery pack used in this Alaris® Syringe Pump is manufactured by CareFusion and includes a proprietary PCB (printed circuit board)
designed specifically for the Alaris® Syringe Pump, and in conjunction with Alaris® Syringe Pump software, controls battery use, charge
and temperature. Any use of battery packs that are not manufactured by CareFusion in the Alaris® Syringe Pump is at your sole risk, and
CareFusion does not provide any warranty for or endorsement on any battery packs that are not manufactured by CareFusion. CareFusion’s
product warranty shall not apply in the event the Alaris® Syringe Pump has suffered damage or premature wear, or malfunctions or
otherwise operates incorrectly, as a result of use with a battery pack that is not manufactured by CareFusion.
*95% lower confidence interval of 5 hours 50 minutes
1000DF00329 Issue 429/36
Page 31
Maintenance (continued)
Cleaning and Storage
Before the transfer of the pump to a new patient and periodically during the use, clean the pump by wiping over with a lint-free cloth lightly
dampened with warm water and a standard disinfectant / detergent solution.
Recommended cleaners are:
Brand Concentration
Hibiscrub 20% (v/v)
Virkon 1% (w/v)
Do not use the following disinfectant types:
• Disinfectants which are known to be corrosive to metals must not be used, which include:
• NaDcc (such as Presept),
• Hypochlorites (such as Chlorasol),
• Aldehydes (such as Cidex),
• Cationic Surfactants (such as Benzalkonium Chloride).
• Use of Iodine (such as Betadine) will cause surface discoloration.
• Concentrated Isopropyl alcohol based cleaners will degrade plastic parts.
The syringe and extension sets are disposable single use items and should be discarded after use according to their manufacturers’
instructions.
If the pump is to be stored for an extended period it should be first cleaned and the internal battery fully charged. Store in a clean, dry
atmosphere at room temperature and, if available, employ the original packaging for protection.
Once every 3 months during storage, carry out functional tests as described in the Technical Service Manual and ensure that the internal
battery is fully charged.
Before cleaning always switch OFF and disconnect from the AC power supply. Never allow liquid to enter the
casing and avoid excess fluid build up on the pump. Do not use aggressive cleaning agents as these may damage
A
Information on Disposal for Users of Waste Electrical and Electronic Equipment
U symbol on the product and/or accompanying documents means that used electrical and electronic products should
This
not be mixed with household waste.
If you wish to discard electrical and electronic equipment, please contact your CareFusion affiliate office or distributor for
further information.
Disposing of this product correctly will help to save valuable resources and prevent any potential negative effects on human
health and the environment which could otherwise arise from inappropriate waste handling.
Information on Disposal in Countries outside the European Union
This symbol is only valid in the European Union. The product should be disposed of taking environmental factors into
consideration. To ensure no risk or hazard, remove the internal rechargeable battery and the Nickel Metal Hydride battery
from the control board and dispose of as outlined by the local country regulations. All other components can be safely
disposed of as per local regulations.
the exterior surface of the pump. Do not steam autoclave, ethylene oxide sterilise or immerse this pump in any
fluid.
Ensure the pressure transducer is free from residues, which may prevent correct operation of the disc detector.
Disposal
1000DF00329 Issue 430/36
Page 32
Occlusion Pressure Limits
Time to alarm following occlusion is achieved in less than 30 minutes at rates of 1 ml/h and higher by the appropriate selection of occlusion
levels.
Use of the dedicated pressure set is recommended. Its use permits the occlusion alarm pressure (mmHg) to be set accurately, with a small
operating margin between the alarm and normal infusion pressures. When using infusion pumps without a pressure set, line pressures are
estimated from pumping force. For this reason the occlusion alarm needs to be set with an operating margin of at least one level between
the alarm and normal infusion levels. The ability to set a small operating margin permits short time to alarm and small potential bolus
volumes to be achieved. Bolus volumes can be minimised as described in the Alarms and Warnings - Occlusion or by enabling the back
off general option.
l Occlusion level on Alaris® GH Syringe Pump or other pumps with occlusion
levels: L2 (approx. 200 mmHg).
l Auto pressure setting on Alaris® CC Syringe Pump: (e.g. 55 mmHg).
l T1 << T2.
Alaris® GH Syringe Pump
Auto Setting :
Alaris® CC Syringe Pump
Alaris® CC Syringe Pump
With Pressure Set fitted, G30402M - (Standard disposable extension set)
The following graphs show the typical values for time to alarm and bolus volume that can be expected in the event of an occlusion when
the BD Plastipak 50 ml syringe is selected with a G30402M extension set with occlusion sensing disc.
Without Pressure Set fitted, G40020B - (Standard disposable extension set)
The following graphs show the typical values for time to alarm and bolus volume that can be expected in the event of an occlusion when
the BD Plastipak 50 ml syringe is selected with a G40020B standard extension set.
No Pressure Set
Time To Alarm - 1.0 ml/h
hr:min:sec
typical
No Pressure Set
Time To Alarm - 5.0 ml/h
hr:min:sec
typical
No Pressure Set
Bolus Volume without back off
ml
typical
ml
No Pressure Set
Bolus Volume with back off
typical
Occlusion Level
Tests at low alarm levels may alarm immediately - the force at these levels is commonly less than the friction in the syringe (with no additional fluid pressure).
The result is that the pressure relating to the low forces will be less than the nominal quoted occlusion pressure.
Bolus volume following occlusion will be minimised by the back off feature if enabled. The back off will reduce the line pressure by removing the volume
stored in the occluded line and deduct this volume from the volume infused. Back off will terminate if the pressure reaches the level recorded by the
pump when the infusion was last started, or a maximum back off volume has been withdrawn from the infusion line. It will also terminate if the volume
infused reaches 0.0ml, or a VTBI reaches the value at which it was set.
Occlusion Level
Occlusion Level
Occlusion Level
1000DF00329 Issue 431/36
Page 33
IrDA, RS232 and Nurse call Specification
IrDA / RS232 / Nurse call Feature
The RS232 / Nurse call feature is an optional feature on Alaris®
Syringe Pumps. It allows the pump to be monitored remotely
and/or controlled via a suitable central monitoring or computer
system.
When the pump is started by a command from the serial interface,
communication must take place over the serial interface, a
communication must take place every 15 seconds or the pump
will alarm, display communications failure and stop infusing. This
failure protects against failure of the communications, including
the removal of the RS232 cable.
The nurse call interface provides a remote
backup to the internal audible alarm. It should
A
not be relied upon to replace monitoring of
the internal alarm.
Refer to the Technical Service Manual for
further information regarding the RS232
interface. Since it is possible to control the
syringe pump using the RS232 interface at
some distance from the pump and hence
remote from the patient, responsibility for the
control of the pump is vested in the software
run on the computer control system.
The assessment for the suitability of any
software used in the clinical environment to
control or receive data from the pump lies
with the user of the equipment. This software
should include detection of the disconnection
or other failure of the RS232 cable. The protocol
is detailed in the Technical Service Manual and
is for general information only.
Any connected analogue and digital
components are required to meet IEC/EN60950
for data processing and IEC/EN60601 for
medical devices. Anyone connecting additional
devices to the signal input or output is a system
configurator and responsible for meeting the
requirements of the system standard IEC/
EN60601-1-1.
IrDA
Baud Rate 38.4 kBaud
Start Bits 1 Start Bit
Data Bits 8 Data Bits
Parity No Parity
Stop Bits 1 stop bit
RS232 / Nurse call Connection Data
Nurse call Specification -
Connector D Type - 9 Pin
TXD/RXD EIA RS232-C Standard
TXD Output Voltage Range Minimum: -5V (mark), +5V
(space)
Typical: -7V (mark), +7V (space)
with 3kΩ load to ground
In this pump, as with all infusion systems, the action of the pumping mechanism and variations in individual syringes cause short-term fluctuations
in rate accuracy.
The following curves show typical performance of the system in two ways: 1) the delay in onset of fluid flow when infusion commences (start-up
curves), and 2) the accuracy of fluid delivery over various time periods is measured (trumpet curves).
The start-up curves represent continuous flow versus operating time from the start of the infusion. They exhibit the delay in onset of delivery due
to mechanical compliance and provide a visual representation of uniformity. Trumpet curves are derived from the second hour of this data. Tests
performed per IEC/EN60601-2-24 standard.
Trumpet curves are named for their characteristic shape. They display discrete data averaged over particular time periods or 'observation windows',
not continuous data versus operating time. Over long observation windows, short term fluctuations have little effect on accuracy as represented
by the flat part of the curve. As the observation window is reduced, short term fluctuations have greater effects as represented by the "mouth" of
the trumpet.
Knowledge of system accuracy over various observation windows may be of interest when certain drugs are being administered. Short term
fluctuations in rate accuracy may have clinical impact depending on the half-life of the drug being infused, therefore the clinical effect cannot be
determined from the trumpet curves alone.
Start-up and trumpet curves may not be indicative of operation under negative pressure.
Differences in factors such as size and plunger force in compatible syringes produced by other manufacturers
A
can cause variations in accuracy and trumpet curves as compared to those represented. Additional curves for
compatible syringes are available upon written request.
For applications where flow uniformity is a concern, rates of 1.0ml/h or above are recommended.
Trumpet Curve. BD Plastipak 50ml @ 0.1ml/h
Start-up Trend. BD Plastipak 50ml @ 0.1ml/h
Rate (ml/h)
Rate (ml/h)
Time (mins)
Start-up Trend. BD Plastipak 50ml @ 1.0ml/h
Time (mins)
Start-up Trend. BD Plastipak 50ml @ 5.0ml/h
Error (%)
Observation Window (mins)
Trumpet Curve. BD Plastipak 50ml @ 1.0ml/h
Error (%)
Observation Window (mins)
Trumpet Curve. BD Plastipak 50ml @ 5.0ml/h
Rate (ml/h)
Time (mins)
Error (%)
Observation Window (mins)
1000DF00329 Issue 433/36
Page 35
Spare Parts
A comprehensive list of spare parts for this pump is included within the Technical Service Manual.
The Technical Service Manual (1000SM00001) is now available in electronic format on the World Wide Web at :-
www.carefusion.co.uk/alaris-technical/
A username and password are required to access our manuals. Please contact local customer services representative to obtain login details.
Part NumberDescription
1000SP01122
1001FAOPT91
1001FAOPT92
Internal Battery Pack
AC Power Lead - UK
AC Power Lead - European
1000DF00329 Issue 434/36
Page 36
Service Contacts
For service contact your local Affiliate Office or Distributor.
AEDEHUPT
CareFusion,
PO Box 5527,
Dubai, United Arab Emirates.
CareFusion,
Firskovvej 25 B,
2800 Lyngby,
Danmark.
CareFusion,
Edificio Veganova,
Avenida de La Vega, nº1,
Bloque 1 - Planta 1,
28108 Alcobendas, Madrid,
España.
CareFusion,
Parc d’affaire le Val Saint Quentin
2, rue René Caudron
78960 Voisins le Bretonneux
France
CareFusion,
Kuortaneenkatu 2,
00510 Helsinki
CareFusion,
The Crescent, Jays Close,
Basingstoke,
Hampshire, RG22 4BS,
United Kingdom.
Tel: (44) 0800 917 8776Tel: (48) 225480069
Fax: (44) 1256 330860Fax: (48) 225480001Rev. L
CareFusion,
Döbrentei tér 1,
H-1013 Budapest,
Magyarország.
Tel: (36) 1 488 0233
CareFusion,
Via Ticino 4,
50019 Sesto Fiorentino,
Firenze, Italia.
CareFusion,
De Molen 8-10,
3994 DB Houten,
Nederland.
CareFusion,
Fjordveien 3
1363 HØVIK
Norge.
CareFusion,
14B George Bourke Drive,
Mt Wellington 1060,
PO Box 14-518,
Panmure 1741, Auckland,
New Zealand
Freephone: 0508 422734
CareFusion,
ul. Rzymowskiego 53,
02-697 Warszawa,
Polska.
CareFusion,
Avda. São Miguel, 296 Atelier 14
2775-751 Carcavelos, Lisboa
Portugal
Tel: +351 219 152 593
CareFusion,
Hammarbacken 4B,
191 46 Sollentuna,
Sverige.
CareFusion,
10020 Pacific Mesa Blvd.,
San Diego, CA 92121,
USA.
CareFusion,
Unit 2 Oude Molen Business Park,
Oude Molen Road, Ndabeni,
Cape Town 7405, South Africa.
Tel: (27) 21 510 7562
1000DF00329 Issue 435/36
Page 37
Page Intentionally Left Blank
1000DF00329 Issue 436/36
Page 38
Alaris, Guardrails, IVAC and Asena are registered
trademarks of CareFusion Corporation or one of its
aliates. All rights reserved.
All other trademarks are property of their
respective owners.
This document contains proprietary information
of CareFusion Corporation or one of its aliates,
and its receipt or possession does not convey any
rights to reproduce its contents, or to manufacture
or sell any product described. Reproduction,
disclosure, or use other than for the intended
purpose without specic written authorization of
CareFusion Corporation or one of its aliates is
strictly forbidden.
CareFusion Switzerland 317 Sarl,
A-One Business Centre, Z.A Vers –La-
t
Pièce n° 10, CH-1180, Rolle
CareFusion UK 305 Ltd., The Crescent,
EC REP
Jays Close, Basingstoke, Hampshire,
RG22 4BS, UK
1000DF00329 Issue 4
carefusion.com
Loading...
+ hidden pages
You need points to download manuals.
1 point = 1 manual.
You can buy points or you can get point for every manual you upload.