CME VET-PRO VIP 2000 Operator's Manual

100-090XCVV Rev. 1.0
January 2015
Color Vision
Veterinary Infusion Pump System
Operator Manual
MedNet GmbH.
Borkstrasse 10 48163 Muenster Germany
T: +49 251 32266 0
Caesarea Medical Electronics Ltd.
16 Shacham street Industrial Park Caesarea North P.O.Box 4294 Caesarea 38900, Israel E: sales@cme-infusion.com
W: www.cme-infusion.com
0344
VET-PRO VIP 2000Color Vision Operator Manual
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NOTE: To assure proper use of the VET-PRO VIP 2000, Caesarea Medical Electronics
Ltd. urges all users to read this manual carefully, become familiar with the procedures and system functions and follow all recommendations.
Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary. Please contact your technician in order to enable the air sensor if disabled with no need.
U.S.A. federal law restricts this device to sale by or on the order of a physician.
VET-PRO VIP 2000Color Vision Operator Manual
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Table of Contents
1- Introduction .................................................................................................... 5
Overview ...................................................................................................... 5
Keypad Description and Functions ............................................................... 6
VET-PRO VIP 2000™ Pump with Open Door ............................................. 8
Pump Charger .............................................................................................. 9
System Safety Checks ............................................................................... 10
Pump Accuracy .......................................................................................... 11
2 – Symbols, Warnings and Cautions ............................................................ 15
System Symbols ........................................................................................ 15
Terms Used In Manual ............................................................................... 16
Intended Use .............................................................................................. 16
Warnings .................................................................................................... 16
Cautions ..................................................................................................... 18
3 – Installation and Set up ............................................................................... 19
Unpacking .................................................................................................. 19
Charging the Pump .................................................................................... 20
4 – Operation .................................................................................................... 21
Before Operating the Pump ....................................................................... 21
Pump Operation Test ................................................................................. 21
Air in Line – Alarm Test .............................................................................. 22
Down Occlusion – Alarm Test .................................................................... 23
Door Open – Alarm Test ............................................................................ 24
Battery Test ................................................................................................ 25
Charger Indicator Test ............................................................................... 26
Loading the Administration Set .................................................................. 27
Priming the Line ......................................................................................... 27
Prime – In Continuous, Intermittent, TPN , and 25 Steps Modes ............... 28
Prime – In PCA Mode ................................................................................ 28
Prime Operation – After Air In Line Alarm .................................................. 29
Manual Prime Operation ............................................................................ 30
Operation Steps ......................................................................................... 30
Pump Mounted on IV Pole ......................................................................... 31
Portable Connection ................................................................................... 31
Programming.............................................................................................. 32
Keep Vein Open Mode (KVO) .................................................................... 33
End Program .............................................................................................. 33
Changing Current Program – Using Level 1 Code ..................................... 33
Changing Current Program – Short Way ................................................... 34
Continuous Infusion ................................................................................... 35
Drug Library ............................................................................................... 40
Intermittent Infusion .................................................................................... 51
25 Steps Program ..................................................................................... 59
TPN Infusion .............................................................................................. 62
PCA Infusion .............................................................................................. 66
Using History Functions ............................................................................. 77
Events Log ................................................................................................. 78
Setting Pressure Default For Down Occlusion ........................................... 79
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Lock Mode ................................................................................................. 79
How To Lock .............................................................................................. 80
Info Mode ................................................................................................... 83
Program Lock ............................................................................................. 86
Review Set up ............................................................................................ 86
Change Set up ........................................................................................... 87
5 – Alarm Conditions and Troubleshooting ................................................... 90
Alarm Condition .......................................................................................... 90
Troubleshooting ......................................................................................... 90
6 – Specifications ............................................................................................. 94
7 – Service and Maintenance .......................................................................... 96
Cleaning ..................................................................................................... 96
Storage ...................................................................................................... 96
Periodic Maintenance ................................................................................. 96
Battery Operation ....................................................................................... 97
LIMITED WARRANTY ....................................................................................... 98
1 - Introduction
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1- Introduction
Overview
The VET-PRO VIP 2000 system provides the following features:
Small, light and compact pump.
Multiple Programs:
1.
Infusion Rate: 0.1 to 1200 ml/hr Volume: 0.1 to 99.9 ml in 0.1ml increments or 1 to 9999 ml in 1ml increments Secondary Infusion (Piggy) programmable with the same infusion rate and volume capabilities as the primary continuous infusion.
2.
Continuous program, as above, comprises 128 drug protocols based on patient data. Protocols have hard and soft limits for added patient safety.
3.
A set dose delivered in set intervals. Between Intervals the pump will keep vain open (KVO Mode).
4.
Total Parenteral Nutrition Rate Taper program with programmable up and down times.
5.
Patient Control Analgesia: Continuous delivery plus /or programmed boluses. Bolus Volume: 0-25.5 ml Clinician Bolus Volume: 0.1-100ml Bolus Rate: 0.1-1200 ml/h
6.
Operator can design a specific protocol for drug delivery which contains up to 25 steps. Infusion Rate: 0.1 to 1200 ml/hr Volume: up to 9999ml, for each step Accumulated Volume for all steps – up to 10 liters, or in volume over time mode.
Highly accurate fluid delivery
Operated with a custom safe administration set
Rechargeable internal lithium-Polymer battery or alkaline 2X9V batteries
Battery charged in a pole mount charging cradle or with an A/C adaptor
Quiet operation
AEA – Suitable to be used in ambulances.
Continuous
Intermittent
TPN
PCA
25 Steps
Drug Library
1 - Introduction
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Keypad Description and Functions
Front of VET-PRO VIP 2000 Infusion Pump
1. Display Screen
Displays pump and infusion status  Displays programming choices and instructions
2. STOP/NO
Stops infusionSilences an alarm conditionPause primingZeroes the displayed value during programming
3. START/ OK
Starts infusionConfirms selection and setting
10 5 6 7 8 2 1 3
4
9
VETPRO VIP 2000 Color Vision
Pump Serial Number: V123456 Production Date: 1-Jan-2000
Software Version
XXXXXXXX
1 - Introduction
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4. PRIME/BOLUS
Pressing Prime/Bolus key during data setting: Enables Priming
procedure. A graph appears on the display screen showing the priming volume with the current value increasing until reaching
the set volume.
Pressing Prime/Bolus key during Continuous program operation:
Enables bolus Infusion.
Pressing Prime/Bolus key during PCA program operation:
Enables bolus procedure.
5. Power ON/OFF
Turn the system ON by pressing and holding the button until the
Self-Test screen appears.
Turn the system OFF by pressing and holding the button until the
graph is red and a beep is generated.
6. Lock Operation Will lock keys to prevent settings changes.
7. INFO
Supplies information about the pump and its programs (see Info
Mode chapter).
8. Numeric Keys Enters numeric parameters during programming.
9. Arrows Scrolls up, down, right and left through options.
10. Operation LED
Green Indicator
Lights during system Self-TestAn intermittent green light indicates infusion delivery
Red Indicator
Indicates an alarm state with a continuous red light
1 - Introduction
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VET-PRO VIP 2000 Pump with Open Door
Area
Function
1.
Latch Holder
Holds the door closed when latch is in vertical position.
2.
Flow Direction
Shows direction of pump operation
3.
Pressure Sensor
Detects downstream tubing restriction and occlusion. Alarm level can be adjusted to suit patient needs.
4.
Pressing Plate
Connected to the door by two springs
5.
Pump Door
Covers the pressing plate
6.
Air sensor – Front
Ultrasonic air detector, which is mounted on the front housing.
7.
Air sensor - Door
Mounted on the door
7
6
1
2
3 4 5
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Pump Charger
Area
Function
1.
Charger Display
Displays major pump messages and operation values
2.
Release Handle
Push to release the pump from the charger
3.
Charger LED (orange)
Indicates connection to mains
4.
Pump Battery LED (red/green)
Indicates battery charge status
1
2
3
4
1 - Introduction
VET-PRO VIP 2000Color Vision Operator Manual
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System Safety Checks
The following details outline the safety checks designed into the VET-PRO VIP 2000 infusion system, to minimize the possibility of under or over infusions.
Free Flow Protection (Optional)
CME's customized IV lines are equipped with a check valve (BodyValve™) that prevents free flow towards the patient when the IV line is not attached to the pump. When the pump is attached to the IV line and delivering fluid, the pressure delivered by the pump opens the valve. The valve is also one way valve preventing fluid flow from the patient back to the administration line.
Air-in-Line Accumulation
To improve the detection of air in the IV line, the VET-PRO VIP 2000 Infusion system utilizes an air-in­line accumulation system in addition to the standard single bubble detection. This feature monitors the volume of air that passes through the IV line by accumulating the volume of individual bubbles over any 15 minutes period. This limit is not configurable. Although an individual bubble may not exceed the pre­programmed threshold, if the cumulative volume of smaller bubbles exceeds 1ml over a period of 15 minutes an air-in-line alarm is initiated. This accumulation feature is particularly useful with infusions for patients who are highly sensitive to air (i.e. infants, neonates, children) or when infusing products that create significant volumes of small air bubbles.
Anti-Bolus Function
The anti-bolus function is designed to reduce the bolus that may occur upon the release of an occlusion following a downstream occlusion alarm. Upon the detection of a downstream occlusion, the alarm is activated and the pump returns the IV line pressure to neutral within 15 seconds. Neutral line pressure is achieved by the reverse operation of the pumping mechanism, and measurement of the IV line pressure through the in-line pressure detection system.
1 - Introduction
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Pump Accuracy
The following graphs and curves were derived from testing described in IEC60601-2-24. Testing was performed under normal conditions at room temperature (720 F). Any deviations from normal conditions and room temperature may cause changes in the accuracy of the pump.
Start-up Curves
The Start-up curves represent continuous flow versus operating time for two hours 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 according to IEC 60601-2-24 standard.
Trumpet and Flow Rate
With the VET-PRO VIP 2000, as with all infusion systems, the action of the pumping mechanism and variations cause short term fluctuations in rate accuracy.
The following curves show typical performance of the system in two ways:
1. The accuracy of fluid delivery over various time periods is measured (trumpet curves).
2. The delay in onset of fluid flow when infusion commences (start up curves).
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 fluctuation has 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.
1 - Introduction
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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 shelf life of the drug being infused and the degree of inter-vascular integration. The clinical effect cannot be determined from the trumpet curves alone.
1 - Introduction
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1 - Introduction
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2 – Symbols, Warnings and Cautions
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System Symbols
The following symbols are used on the VET-PRO VIP 2000 infusion system and components. Labels on the system or statements in this manual proceeded by any of the following words and/or symbols are of special significance and are intended to help you to operate the pump in a safe and successful manner.
Attention, consult accompanying Instructions
Attention, refer to operating instructions
0344
CE mark indicates conformance to Medical Device Directive 93/42/EEC
Do not dispose of in municipal waste. Symbol indicates separate collection for electrical and electronic equipment. (WEEE Directive 2002/96/EEC). NOTE: Does not apply to the battery.
Do not dispose of battery in municipal waste. Symbol indicates separate collection for battery is required.
The use of single-use disposable components on more than one patient is a biological hazard. Do not reuse single-use disposable components.
Type CF applied part
Date of Manufacture
Serial Number
Expiry Date of disposable
Lot Number
Sterilized with Ethylene Oxide
LOT
STERILE EO
2 – Symbols, Warnings and Cautions
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Terms Used In Manual
Warning: Indicates that the information is a warning. Warnings advise you of
circumstances that could result in injury or death to the patient or operator. Read and understand this manual and all warnings completely before operating the VET-PRO
VIP 2000 infusion system.
Caution: Indicates that the information is a caution. Cautions advise you of circumstances
that could result in damage to the device. Read and understand this manual and all cautions completely before operating the VET-PRO VIP 2000™ infusion system.
NOTE: Indicates that the information that follows is additional important information or a tip
that will help you operating the VET-PRO VIP 2000 infusion system.
Intended Use
The VET-PRO VIP 2000 infusion pump system is designed for infusion of medications or fluids requiring continuous or intermittent delivery at precisely-controlled infusion rates through clinically acceptable routes of administration, including intravenous, subcutaneous, percutaneous, intra-arterial, epidural, enteral, in close proximity to nerves, and into an intraoperative site (soft tissue/body cavity/surgical wound site). The system is intended for patients who require maintenance medications, analgesics, PCA therapy, parenteral and enteral nutrition fluids, chemotherapeutic agents, blood or blood products infusion, and general fluids therapy in hospital and home care environments.
Warnings
To avoid possible personal injury or loss of life, observe the following:
Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary. Please contact your technician in order to enable the air sensor if disabled with no need.
Read the entire Operation Manual before using the pump, since the text includes important precautions.
The maximum volume that may be infused under SINGLE FAULT CONDITION is 0.1 ml
Voltage present on internal components may cause severe shock or death upon contact. Disconnect the Charger from the mains, prior to opening the casing. Only trained service personnel should open the pump cover.
Blown fuses could cause a fire hazard. Replace blown fuses on the Charger only with fuses of the same type and rating (see fuse values on the Charger PCB).
Boluses will be infused up to the full volume that is requested unless the user stops the bolus manually by pressing . This is true even when the volume infused is less than the specified
Hour Limit for Volume (e.g. 4 Hr Limit) at the beginning of a bolus and goes over the limit during the bolus (to complete it).
Make sure the pump is attached securely to the Charger, which is connected firmly to an IV pole.
2 – Symbols, Warnings and Cautions
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A kinked or occluded IV line may impair the operation of the pump and the accuracy of the infusion. Before operation, verify that the IV line is not kinked or occluded.
Drugs must not be administered to the epidural space unless the drugs are indicated for this
purpose and are administered in accordance with the indications included in the manufacture’s
package. Epidural administration of drugs other than those indicated for epidural use could result in serious injury to the patient. For epidural administration of drugs use MicroSet™ only.
Any adjustments, maintenance, or repair of the uncovered pump may impair the operation of the VET-PRO VIP 2000™ infusion system and/or the accuracy of the infusion. Any adjustments, maintenance, or repair of the uncovered pump or charger should be performed by authorized skilled technicians. Any adjustments, maintenance, or repair of the uncovered pump or charger while connected to the power should be avoided.
The VET-PRO VIP 2000 infusion system should be operated within a temperature range of 18C (59F) to 45C (113F) and up to 85% humidity. Operating the pump at temperatures
and/or humidity other than within that range may affect accuracy.
Unsafe operation may result from using improper accessories. Use only accessories and options designed for this system.
Disposables must be compatible with the medicine delivered.
Battery charging is enabled as long as the charger cord is connected to the mains and the pump is in the charger. Switching the pump off does not disconnect it from the mains. To disconnect from mains, remove the charger cord from mains. To disconnect pump from mains, remove it from the charger.
Dropping the VET-PRO VIP 2000 infusion system could cause damage to components. If the pump is dropped, return the pump for inspection by qualified service personnel.
Use aseptic technique. Patient infection may result from the use of non-sterile components. Maintain sterility of all disposable components and do not re-use single use IV sets.
Watch your fingers and nails when opening the pump door.
When operating the pump on PCA program with a rate of 0.0 ml/h there is a hazard of blood clot forming. Connect saline infusion in parallel to avoid this problem.
When operating the pump on PCA program, the program will not enter KVO, even if the limit volume is acceded. The program will complete the bolus and then enter KVO.
Do not operate the pump near high-energy radio-frequency emitting equipment, such as electro­surgical cauterizing equipment. False alarm signals may occur.
Do not let the pump operate when battery is fully depleted. Pump may turn off during operation on fully depleted battery without alarm.
Never operate the pump without performing the battery test as described in chapter 4 in this manual.
Pump should be stored with the battery connected, otherwise the internal rechargeable battery may lose track of actual time.
2 – Symbols, Warnings and Cautions
VET-PRO VIP 2000Color Vision Operator Manual
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Do not use the VET-PRO VIP 2000 for infusion of Insulin. Infusion of blood or blood products should be restricted to maximum rate of 600ml/h.
Cautions
To avoid possible damage to the equipment, observe the following:
Leaving the battery in a depleted state for a long period of time may damage the battery. Connect the pump to the mains via the Charger whenever possible to recharge the battery.
Do not store the pump with the battery fully depleted.
Xylene, Acetone or similar solvents could cause damage to components. Do not clean the pump with these chemicals. Clean solution spills on the pump immediately. Use a damp cloth or sponge. A mild detergent may be used. Wipe thoroughly with a dry cloth.
Immersing the VET-PRO VIP 2000 infusion pump into liquid could cause damage to components. Do not immerse the pump into any type of liquid.
Battery damage could occur if left in a temperature warmer than 500C (122F).
3 – Installation and Set Up
VET-PRO VIP 2000Color Vision Operator Manual
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3 – Installation and Set up
Unpacking
1.
Carefully remove the pump and Charger from the box.
2.
Make sure no items were damaged during shipment
3.
Make sure you have the following items:
VET-PRO VIP 2000 infusion pump
Charging Cradle with Power Cord or Battery Charging Cable
Rechargeable Battery Pack 1800mAh
Operation Manual
PCA bolus cable (optional)
9V Alkaline Battery compartment (optional)
Disposable Battery Pack (optional)
External charger (optional)
Extended life battery Li- Polymer 3600 mAh (optional)
If any items are missing or damaged, contact your VET-PRO VIP 2000 supplier.
3 – Installation and Set Up
VET-PRO VIP 2000Color Vision Operator Manual
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Charging the Pump
NOTE: The pump is protected against overcharging. In order to keep your battery fully
charged, connect the pump to the mains via the Charger whenever possible. Be sure that the battery is fully charged at all times.
Warning: If the battery is removed during operation while pump is not connected to a
charger connected to mains, the pump will turn off.
1.
Connect the charger unit to AC power and verify that the AC indicator is lit.
2.
Put the pump into the charger (top first) until it clicks into place.
3.
The battery is charging when the red battery LED on the front of the charger is lit. The battery is fully charged when the battery LED symbol turns green. If the LED does not light or does not turn green after more than 8 hours, pls. replace battery.
4.
Remove the pump from the charger by pressing the release button (located next to the LED indicators on the charger) and lift the pump out of the charger bottom first.
Caution: Leaving the battery fully depleted for a long period of time may damage the
battery.
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
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4 – Operation
Before Operating the Pump
Before attaching the system to a patient, run the following tests to verify that all indicators and alarms
work properly.
When an alarm is activated the following occurs:
Infusion ceases
An audible alarm sounds
An alarm message appears on the display
The LED changes from green to red
NOTE: All tests should be performed in the Continuous program.
Pump Operation Test
1.
Click the pump into a Charger connected to AC power. Verify that the CHARGE indicator is on, Red or Green light (on charger).
2.
Insert an administration set and close the door. Press the door until a click is heard.
NOTE: For instructions on how to load and prime an administration set refer to sections
“Loading the Administration Set” & “Priming the Line”.
3.
Press until the Self-Test screen appears. If air sensor is off, press to confirm.
4.
The program selected and its status are displayed. During the Self-Test a long beep will be
heard. This procedure verifies that the pump’s acoustic and visual features are working properly.
After self test is completed, the display will show the last rate setting.
5.
Press to prime the IV line.
Warning: Ensure the set is not connected to a
patient!
Continuous 10:00 - 80% ██
Prime
Warning !
Disconnect Patient Press key to Start
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
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6.
Enter the Volume of fluid required to prime the set and press to begin priming procedure. You may stop priming at any time by pressing .
7.
The display screen will show a graph indicating the prime operation.
8.
When priming is completed, wait two minutes without pressing any key. After two minutes the screen displays “Pump Unattended” and an alarm will sound.
Press to silence the alarm again or to exit alarm condition.
Air in Line – Alarm Test
1.
Insert an administration set and close the pump door. Press the door until a click is heard.
NOTE: For instructions on how to load and prime an administration set refer to sections
“Loading the Administration Set” & “Priming the Line”.
2.
Press until the Self-Test Screen appears. If air sensor is off, press to confirm. Please contact your technician in order to enable the air sensor if disabled with no need.
3.
The pump displays the program selected and its status. The display will automatically change to display the last rate setting.
4.
Change the infusion mode to Continuous (See “Change Set up” Section for instructions). Set the infusion rate at
500ml/hr, using the Numeric keypad and press to confirm setting.
Continuous 10:00 - 80% ██
Prime Volume
5 mL
Press key to Start
Continuous 10:00 - 80% ██
Priming
██████████████
1 5mL
Continuous 10:00 - 80% ██
Pump Paused Too Long
Press key
Continuous 10:00 - 80% ██
Rate
500 mL/hr
Adjust and press Key
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
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5.
Set Volume at 20 ml and press to start operation.
6.
Insert air into the IV line to allow an air bubble greater than 10 mm to enter into the administration set.
7.
Air in line alarm will be activated as soon as the air bubble enters the set segment located behind the pump door.
Press to turn the alarm off.
Down Occlusion – Alarm Test
1.
Insert an administration set into the pump and close the door. Press the door until a click is heard.
2.
Make sure room temperature is 21-23
o
C
NOTE: For instructions on how to load and prime an administration set refer to sections
“Loading the Administration Set” & “Priming the Line”.
3.
Press until the Self-Test screen appears. If air sensor is off, press to confirm. Please contact your technician in order to enable the air sensor if disabled with no need.
4.
The pump displays the program selected and its status. The display will automatically change to display the last rate setting.
5.
Change the infusion mode to Continuous (See “Change Set up” Section for instructions). Set the infusion rate at
500 ml/hr using the Numeric keypad and press .
6.
Set Volume at 20 ml and press to start operation.
Continuous 10:00 - 80% ██
Rate
500 mL/hr
Adjust and press Key
Continuous 10:00 - 80% ██
Volume
20 mL
Adjust and press Key
Continuous 10:00 - 80% ██
Volume
20 mL
Adjust and press Key
Continuous 10:00 - 80% ██
Air/Up
Occlusion
Press key to mute
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
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7.
Wait 5 minutes and then connect a pressure gauge at a distance of 1 meter from the exit of the pump. Place both the pump and the pressure gauge at the same level (on a table)
8.
Wait another 5 minutes and occlude the IV line downstream of the pump (between the pump and the pressure gauge).
9.
The Down Occlusion alarm occurs at the time and rates listed below (time is measured from actual occlusion time to alarm, with accuracy of +30% -20%):
500 ml/h up to 20 seconds 60 ml/hr up to 1 minute 1 ml/hr up to 80 minutes 0.1 ml/hr up to 11 hours
NOTE: The pressure threshold can be changed to suit patient need (refer to section on
changing the current default Pressure Limit).
10.
Depending upon the set flow rate and pressure threshold, the Down Occlusion alarm will be activated.
11.
Press to mute the alarm.
Door Open – Alarm Test
1.
Insert an administration set in the pump and close the door. Press the door until a click is heard.
NOTE: For instructions on how to load and prime an administration set refer to sections
“Loading the Administration Set” & “Priming the Line”.
2.
Press until the Self-Test screen appears. If air sensor is off, press to confirm. Please contact your technician in order to enable the air sensor if disabled with no need.
3.
The pump displays the program selected and its status. The display will automatically change to display the last rate setting.
4.
Change the infusion mode to Continuous (See “Change Set up” Section for instructions). Set the infusion rate at
500ml/hr using the Numeric keypad and press .
5.
Set Volume at 20 ml press to start operation.
Continuous 10:00 - 80% ██
Down Occlusion
Check Line Press key to mute
Continuous 10:00 - 80% ██
Rate
500 mL/hr
Adjust and press Key
Continuous 10:00 - 80% ██
Volume
20 mL
Adjust and press Key
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
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6.
Open the pump door.
7.
Door Open alarm will be activated at once.
8.
Close the door and press .
Battery Test
1.
Insert an administration set in the pump and close the door. Press the door until a click is heard.
NOTE: For instructions on how to load and prime an administration set refer to sections
“Loading the Administration Set” & “Priming the Line”.
2.
Take the pump out of the charger.
3.
Press until the Self-Test screen appears. If air sensor is off, press to confirm. Please contact your technician in order to enable the air sensor if disabled with no need.
4.
The pump displays the program selected and its status. The display will automatically change to display the last rate setting.
5.
Change the infusion mode to Continuous (See “Change Set up” Section for instructions). Set the infusion rate at
1200 ml/hr using the Numeric keypad and press .
6.
Set Volume at 9999 ml and press to start operation.
Continuous 10:00 - 80% ██
Door Open
Close door
Continuous 10:00 - 80% ██
Rate
1200 mL/hr
Adjust and press Key
Continuous 10:00 - 80% ██
Volume
9999 mL
Adjust and press Key
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
26
7.
Wait untill pump displays “low battery” message
8.
Press to turn the pump off.
9.
Connect the pump to a charger.
10.
Verify the red icon of battery is lit (on the charger).
11.
Verify the red battery turns green after a minimum of 2 hours.
Warning: Do not let the pump operate when battery is fully depleted. Pump may turn off
during operation on fully depleted battery without alarm.
Charger Indicator Test
1.
Click the pump into the IV pole charger and connect the Charger to mains. Disconnect the power cord from the AC power outlet.
2.
Verify that the CHARGE indicator is OFF.
3.
Connect the power cord to the AC power outlet. Verify that the CHARGE indicator is ON.
Continuous 10:00 - 10% ██
Low Battery
Connect to Charger
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
27
Loading the Administration Set
NOTE: Follow the instructions supplied with the individual administration set.
Warning: Use of low quality administration set may impair the operation of the pump and
the accuracy of the Infusion.
1.
Lift the door latch (on the right side of the door) to open the VET-PRO VIP 2000 pump door and remove the administration set from the sterile packaging leaving the end caps on the line until the moment of connection.
2.
Connect the administration set to the medication bag.
3.
Hold the section of tubing that you intend to load and make sure the flow direction is in line with the flow direction arrows inside the pump door.
4.
Insert the IV tubing into the canal designed for it as shown by the arrow in diagram 1. Insert the tubing from left to right with the shorter end connected to the medication bag on the left, and avoid stretching or pulling the tubing.
5.
Close the pump door until the catch clicks.
NOTE: Ensure that the tubing is inserted completely into the pumping canal.
Warning: Use aseptic technique. Patient infection may result from the use of non-sterile
components. Maintain sterility of all disposable components and use only once single use consumables marked .
Priming the Line
Prime function is used:
1.
Before starting a program
2.
After air in line alarm
Warning: Always disconnect IV tubing from patient before starting priming procedure.
NOTE: The default priming flow rate is 600 ml/hr. During priming, the air in line alarm is
disabled.
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
28
Prime – In Continuous, Intermittent, TPN , and 25 Steps Modes
NOTE: Access to the priming procedure in PCA mode is different from all other programs. For
detailed instructions, refer to PCA Operation section.
1.
Turn on the VET-PRO VIP 2000 pump, by pressing until the Self-Test screen appears. If air sensor is off, press to confirm.
2.
When the display screen shows the existing programmed rate press once.
Warning: Ensure the set is not connected to the patient!
3.
Enter the Volume of fluid required to prime the set and press to begin priming procedure. You may stop
priming at any time by pressing.
4.
The display screen will show a graph indicating the prime operation.
5.
Once the priming is completed, the display will change back to the previous screen the pump was in before priming. If more priming is needed, repeat procedure.
Make sure that all air is removed from the IV line before connecting to the patient.
Prime – In PCA Mode
1.
Turn on the VET-PRO VIP 2000 pump, by pressing until the Self-Test screen appears. If air sensor is off, press to confirm.
Continuous 10:00 - 80% ██
Prime
Warning !
Disconnect Patient Press key to Start
Continuous 10:00 - 80% ██
Prime Volume
5 mL
Press key to Start
Continuous 10:00 - 80% ██
Priming
██████████████
1 5mL
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29
2.
After entering the PCA code, the PCA menu displays, select “Prime” and press to confirm.
3.
Press OK to program priming procedure.
Warning: Ensure the set is not connected to the patient!
4.
Enter the volume to prime the set and press to begin priming procedure. You may stop priming at any
time by pressing .
5.
The display screen will show a graph indicating the prime operation.
6.
Once the priming is completed, the display will change back to the previous screen the pump was in before priming. If more priming is needed, repeat procedure.
Make sure that all air is removed from the IV line before connecting to the patient.
Prime Operation – After Air In Line Alarm
1.
Press to mute the alarm.
2.
Disconnect IV tubing from patient.
PCA 10:00 - 80% ██
Prime
Program Infusion Clinician Bolus Patient History Review Set up Change Set up
Select , and press
PCA 10:00 - 80% ██
Prime
Warning !
Disconnect Patient Press key to Start
PCA 10:00 - 80% ██
Prime Volume
5 mL
Press key to Start
PCA 10:00 - 80% ██
Priming
██████████████
0 5mL
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VET-PRO VIP 2000Color Vision Operator Manual
30
3.
Press once.
Warning: Ensure the set is not connected to the patient!
4. Enter the volume to prime the set and press to begin priming procedure. You may stop priming at any
time by pressing .
5.
The display screen will show a graph indicating the prime operation.
6.
When priming is completed make certain that all air is removed from the IV line.
7.
Connect IV line to the patient and press to resume program.
Manual Prime Operation
1.
In any case (before operation or after air in line alarm) a prime operation is needed, the user can prime the set manually by using the manual priming valve, if assembled in the administration set in use at that moment.
2.
Disconnect IV tubing from patient.
3.
Hold the tubing in a vertical position to maintain gravitation pressure. Press the priming valve button continuously until all trapped air is primed. Release the priming valve button to continue the anti free flow protection while infusing.
Operation Steps
The following are the steps for starting the infusion procedure. For detailed instructions regarding each step, refer to the relevant sections in the Operation chapter.
Continuous 10:00 - 80% ██
Prime
Warning !
Disconnect Patient Press key to Start
Continuous 10:00 - 80% ██
Prime Volume
5 mL
Press key to Start
Continuous 10:00 - 80% ██
Priming
██████████████
1 5mL
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Pump Mounted on IV Pole
1.
Connect the administration set to the medication bag. Hang the bag on an IV pole.
2.
Click the pump into the Charger. Mount the Charger on an IV pole.
3.
Connect the Charger via a standard power cord to a grounded AC outlet.
4.
Open the door of the pump and load the administration set into the pump’s tubing channel.
5.
Turn on the VET-PRO VIP 2000 pump, by pressing until the Self-Test screen appears.
Warning: If air sensor is OFF, please contact your technician in order to enable the air
sensor. Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary.
6.
The program and status will appear on the display followed by the last rate setting.
7.
Prime the administration set.
Warning: Make sure patient is not connected to the pump during priming!
8.
Set the required program and continue as described for every program setting.
Warning: Verify that infusion is proceeding normally before leaving the pump unattended.
Portable Connection
1.
Connect the administration set to the medication bag.
2.
Open the door of the pump and load the administration set into the pump’s tubing guide.
3.
Turn on the VET-PRO VIP 2000 pump, by pressing until the Self-Test screen appears.
Warning: If air sensor is OFF, please contact your technician in order to enable the air
sensor. Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary.
4.
Prime the administration set.
Warning: Make sure patient is not connected to the pump during priming!
5.
Set the required program and continue as described for every program setting.
Warning: Verify that infusion is proceeding normally before inserting the bag and pump into
the carrying bag.
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Programming
The VET-PRO VIP 2000 infusion system features five different programming options:
Continuous Program
Rate: 0.1 to 100 ml/hr in 0.1 ml increments, and 100 to 1200 ml/hr in 1 ml increments Total Volume to be Infused: 0.1 to 9999 ml Program as Rate Over Volume or Volume Over Time Secondary Infusion (Piggy) Rate: 0.1 to 100 ml/hr in 0.1 ml increments, and 100 to 1200 ml/hr in 1
ml increments
Secondary Infusion (Piggy) Volume: 0.1 to 9999 ml
Drug Library Program
Continuous program 128 drug protocols based on patient data Allocation of protocols to up to 24 departments Utilizes hard and soft limits
Intermittent Program
Used for setting a dose protocol at set intervals from 0.1 to 100 ml/hr in 0.1 ml increments, and 100
to 1200 ml/hr in 1 ml increments
Volume: 0.1 to 9999 ml Interval Time: 0:01 minute to 20:00 hours
25 Steps Program
Used for setting specific protocol that contains up to 25 stepsRate: 0.1 to 100 ml/hr in 0.1 ml increments, and 100 to 1200 ml/hr in 1 ml incrementsVolume: 0.1 to 9999 ml for each stepAccumulated volume for all steps is up to ten liters
TPN Program
Used for Total Parenteral NutritionVolume: 1 to 9999 mlThe program has a taper up/taper down pattern. The parameters to be set are: Total Volume, Time
Up, Time Down and Total Time. The pump will calculate the ramping infusion rates.
PCA Program
Used for PCA applications. Combines basal rate and pre-programmed bolusRate: 0.0 to 100 ml/hr in 0.1 ml incrementsVolume: 0.1 to 1000 mlBolus Volume: 0 to 100 mlBolus Rate: 0.1 to 100 ml/hr in 0.1 ml increments, and 100 to 1200 ml/hr in 1 ml increments
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Keep Vein Open Mode (KVO)
The VET-PRO VIP 2000 infusion system uses a Keep Vein Open (KVO) mode that can run at the end of every program, if desired. KVO also runs during a delay before start program and during Interval Time in the Intermittent program. The KVO rate can be set from 0.1 to 5 ml/hr. If the programmed infusion rate is lower than the KVO rate, the KVO will run at the programmed infusion rate. KVO during End Program is limited to a volume of 5 ml.
NOTE: To use the automatic KVO at the end of a protocol, make sure that the IV bag
contains overfill beyond the volume to be infused.
End Program
When a protocol has completed, an audible alarm will beep 4 times. To stop the alarm and enter a new program, press . If the stop key is not pressed before the 4 beep have concluded, KVO will begin when it
is programmed to do so.
Changing Current Program – Using Level 1 Code
1.
Turn on the VET-PRO VIP 2000 pump, by pressing until the Self-Test screen appears. If air sensor is OFF, please contact your technician in order to enable the air sensor. Using the
Pump with air in line detector off may cause an embolism resulting death or paralysis. Switching The air detector off is not recommended and should be used only when absolutely necessary.
2.
When a programming screen or infusion summary is displayed, press twice.
3.
Scroll to "Change Set up" option. Press .
4.
Scroll to "More " and press .
Change Set up:
Pressure Level Buzzer Level
More …
Select , and press
Volume Infused Program Lock Review Set up
Change Set up
History
Select , and press
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VET-PRO VIP 2000Color Vision Operator Manual
34
5.
Enter Change Set up Level 1 code, using the numeric keyboard and press .
6.
Scroll down to "Select Program" option and press .
7.
Scroll to the required program and press .
8.
Press to restart the pump.
NOTE: The selected program will remain in the pump’s memory until changed by the operator.
Changing Current Program – Short Way
1.
Turn on the VET-PRO VIP 2000 pump by pressing until the Self-Test screen appears. If air sensor is OFF, press to confirm.
2.
Once the Self-Test is completed, immediately press and hold for two seconds. The Program selection mode will be displayed.
3.
Scroll to the required program and press .
Technician Code
Press key
Change Set up:
Pressure Default
Select Program
Priming Rate Maximum Bolus Volume Titration Bolus Bolus Rate Maximal Rate
Select , and press
Select Program:
Continuous
Select , and press
Change Set up:
Time Option WiFi module Caregiver Delay Language Set Time & Date History
Restart Pump Select , and press
Select Program:
Continuous
Select , and press
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VET-PRO VIP 2000Color Vision Operator Manual
35
NOTE: If the current selected program is PCA or Drug Library, the Short Way option is not
available.
Continuous Infusion
Rate Over Volume
1.
Turn the pump ON by pressing and holding the until the Self-Test screen appears. If air sensor is OFF, please contact your technician in order to enable the air sensor if disabled.
Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary.
2.
Pump displays program name and status. The status is either "Program" or "Locked" (for instruction regarding locking and unlocking the pump – refer to Lock Mode section).
When unlocked, press . Wait for the Concentration screen to display.
"Program" option
"Locked" option
NOTE: When pump is in Program mode, all parameters can be adjusted. When pump is in
lock out mode, parameters can be viewed, but cannot be changed.
NOTE: If pump is not in Continuous Program, refer to changing program section for
instructions.
NOTE: Whenever you decide to set a new program, follow instructions at the bottom of
screen.
NOTE: The screen will be blank upon initial setup. When returning to a program, the screen
will display the last set program.
3.
Concentration screen
Default concentration is mL/hr.
Press key to set mg/mL concentration.  Press 2X key to set mcg/mL concentration.
Set concentration and press Key to move to rate screen.
Continuous 10:00 - 80% ██
Continuous
Program
Hold to change
Continuous 10:00 - 80% ██
Continuous
Locked
Continuous 10:00 - 80% ██
mL/hr
Press Key to Continue Press Key for Concentration
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VET-PRO VIP 2000Color Vision Operator Manual
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4.
Rate Screen
Do one of the following:
Press to confirm the existing parameters. Enter the desired Rate and press .
NOTE: Rate units can be mg/hr or mcg/hr depends on the concentration setting.
5.
Volume Screen
Do one of the following:
Press to confirm the existing parameters. Enter the desired Volume and press .
6.
Accumulation Screen
Do one of the following: Press to confirm the existing parameters and
start infusion.
Press to go back to Concentration screen.
7.
Press to Start Infusion.
8.
During program operation, the pump displays the rate in which the program is operating.
NOTE: If one of the values is changed during the programming mode, the pump will not recall
the new value unless changes are confirmed by pressing .
NOTE: If prime procedure is activated during data setting, the pump will return to the original
(previous) screen once priming is completed.
Rate Titration
The pump allows rate titration during the default Rate Over Volume Program.
Continuous 10:00 - 80% ██
Rate
125 mL/hr
Program Volume
1000 mL
Volume Left
1000 mL
Volume Infused
0 mL
Air Sensor
0.3 mL
Pressure
730 mmHg
Press Key to Continue
Continuous 10:00 - 80% ██
Start Infusion ?
Press key to Start
Continuous 10:00 - 80% ██
Rate
10.5 mL/hr
████████████████████████████
mmHg 80 730
Continuous 10:00 - 80% ██
Rate
125 mL/hr
Adjust and press Key
Continuous 10:00 - 80% ██
Volume
1000 mL
Adjust and press Key
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To change the rate during the infusion:
1.
Use numeric keypad to enter the new desired rate during operation and press within five seconds.
The pump will briefly alarm and the infusion will resume at the adjusted rate.
NOTE: If the rate change is not confirmed within ten seconds, the pump will continue
operation at the original rate and the display will return to the previous setting.
2.
To stop the infusion press .
To change the rate while in Stop mode:
1.
Press any number on the keypad twice to return to the rate screen.
2.
Adjust the rate and press .
3.
Adjust the volume and press three times to restart infusion.
NOTE: During programming you may backspace by using :
Pressing once clears the last entered digit. Pressing again clears the next number. Pressing when the value is empty displays the original value or the previous screen.
Volume Over Time
NOTE: Before operating the pump in Volume Over Time, make sure that you are in the
Continuous Program and that the IV bag contains an additional 5 ml of volume to be infused.
This ensures adequate volume for KVO during End Program.
To set Volume Over Time, enable the time function by following the steps below:
1.
Press twice.
2.
Scroll to "Change Set up" option. Press .
Continuous 10:00 - 80% ██
Rate
10.5 mL/hr
████████████████████████████
mmHg 80 730
Volume Infused Program Lock Review Set up
Change Set up
History
Select , and press
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38
3.
Scroll to "More …" and press .
4.
Enter Change Set up Level 1 code, using the numeric keyboard and press .
5.
Scroll to "Time Option" option. Press .
6.
Press or , to turn Time Option ON.
7.
Press twice.
8.
Volume Screen Do one of the following:
Press to confirm the existing parameters. Enter the desired volume using the numeric keypad and
press .
NOTE: The screen will be blank upon initial setup.
9.
Infusion Time Screen
Enter the desired total time using the numeric keypad
(for example enter 0-2-0-0 for two hours) and press
.
NOTE: First two digits represent hours and last two digits represent minutes.
Continuous 10:00 - 80% ██
Bag Volume
30 mL
Adjust and press Key
Continuous 10:00 - 80% ██
Total Time
(HH:mm)
02:00
Adjust and press Key
Change Set up:
Pressure Level Buzzer Level
More …
Select , and press
Technician Code
Press key
Change Set up:
Air Bubble Size Store Last Program Keystroke beep
Time Option
WiFi module Caregiver Delay Language
Select , and press
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VET-PRO VIP 2000Color Vision Operator Manual
39
10.
Rate Screen
The pump calculates the rate based on the time and volume entered, and displays the rate on the screen. Do one of the following:
Press to confirm the existing parameters. Press to go back to volume setting screen.
11.
During program operation, pump displays the rate at which the program is operating.
NOTE: If one of the values is changed during the programming mode, the pump will not recall
the new value unless changes are confirmed by pressing .
NOTE: If prime procedure is activated during data setting, the pump will return to the original
(previous) screen once priming is completed.
NOTE: When required to stop infusion, press . Stop will be displayed on the screen. Stop
mode is limited for two minutes. After two minutes, alarm will sound. Press to mute or to continue.
Resume or Repeat Infusion
Unlocked
When the pump is restarted in Continuous mode and is not locked, the pump will allow the user to confirm each of the parameters of the infusion. The Volume will be adjusted for the amount infused prior
to turning off the pump. To reset the volume, use the numeric keypad to enter new volume.
Locked
1.
When the pump is turned OFF in the middle of an infusion, this screen will appear when the pump is turned back ON.
2.
Do one of the following: Resume: To resume this program exactly where it stopped, press . The accumulation
screen is displayed. The volume remaining will be infused.
Repeat: To restart the program at the beginning and or to set new parameters, press
and follow the instructions on the pump
Continuous 10:00 - 80% ██
Rate
40 mL/hr
Adjust and press Key
Continuous 10:00 - 80% ██
Rate
125 mL/hr
Program Volume
1000 mL
Volume Left
1000 mL
Volume Infused
0 mL
Air Sensor
0.3 mL
Pressure
730 mmHg
Press Key to Continue
Continuous 10:00 - 80% ██
Resume – Press Repeat – Press
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Bolus Infusion During Continuous Operation
To perform a secondary infusion during Continuous operation, complete the following steps.
1.
Press once.
2.
Enter Secondary Infusion Rate and press .
3.
Enter Secondary Infusion Volume and press .
4.
Pump will beep once and resume the Primary Infusion when the Secondary Infusion is completed.
NOTE: User can stop the Secondary Infusion at any time by pressing and turning the
pump off. When the pump is turned back on, the pump will resume the Primary Infusion.
Drug Library
Drug Error Reduction System
The pump has 128 drugs referred to as protocols. Each protocol represents a drug including all of its infusion parameters. The different protocols are allocated to one department or more of the 24 available departments. Each department will be able to view ONLY the protocols allocated to that department for ease of use.
Protocols can be created using Macro Creator PC software. Once the protocols have been verified by the medical personnel, they are loaded to the pump using BodyComm (vr. 94 and upwards); a communication dedicated software.
Each protocol contains the following data:
Drug name Departments list Patient weight lower & upper soft limits Concentration units (mg/ml, mcg/ml, U/ml, mU/ml) Concentration Weight & non-weight dose rate units (mcg/kg/min, mcg/kg/hr, mg/kg/min, mg/kg/hr, mU/kg/min,
mU/kg/hr, U/kg/min, U/kg/hr, mcg/min, mcg/hr, mg/min, mg/hr, mU/min, mU/hr, U/min, U/hr)
Dose default rate
Continuous 10:00 - 80% ██
Secondary Infusion
Bolus Rate
60 mL/hr
Adjust and press Key
Continuous 10:00 - 80% ██
Secondary Infusion
Bolus Volume
12 mL
Adjust and press Key
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Dose rate lower/upper soft/hard limits. Bolus program (weight,volume) Bolus dose Bolus time units (NOTIME, HH:MM, MM, SS) Bolus time Bolus rate Bolus dose lower/upper soft/hard limits.
NOTE: Each protocol parameters are unique to that protocol.
NOTE: You can use protocols to set up several commonly used treatment regimes in your
service i.e. same bag, drug name, basal rate but different bolus volumes or lockout times.
NOTE: After setting up your most common regimes as a protocol set up the next or last
protocol letter as a ‘Tailored’ or one off regime that you can modify for individual patients who don’t fall within the pre-set protocols. Once the infusion has been administered for a
particular patient you can go back in and change this for another patient.
Create/Modify Protocols
Creating and/or modifying protocols can be done only by Macro Creator PC software. Below are the steps to create a full protocols drug library:
1.
Open Macro Creator PC software. On the home screen choose your pump software.
2.
Create a new drug library by clicking new or edit an existing drug library by selecting one from the list and clicking open.
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VET-PRO VIP 2000Color Vision Operator Manual
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3.
To associate drugs to departments, enter up to 24 departments and press OK.
4.
After the department list is updated press Next to continue.
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5.
Add drug to the library with the following details:
Drug name  Departments list  Patient weight lower & upper soft limits  Concentration units (mg/ml, mcg/ml, U/ml, mU/ml) Concentration  Dose rate unit (mcg/kg/min, mcg/kg/hr, mg/kg/min, mg/kg/hr, mU/kg/min, mU/kg/hr,
U/kg/min, U/kg/hr, mcg/min, mcg/hr, mg/min, mg/hr, mU/min, mU/hr, U/min, U/hr)
Dose rate default value (initial value)  Dose rate lower/upper soft/hard limits  Bolus program (weight, volume)  Bolus default dose (initial value)  Bolus time units (NOTIME, HH:MM, MM, SS) Bolus time (disabled when time units is set to NOTIME)  Bolus rate (disabled when time units is set to HH:MM, MM, SS)  Bolus dose lower/upper soft/hard limits.
On the right you can add the drug to the relevant departments. To confirm and validate drug data click OK. In case of a data entering error or conflict, an error message will appear on the bottom part of the screen. Once you complete the drug data correctly, you can click on Next Drug to add another drug to library or click Next to continue.
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6.
Add macro name and click Save. The created macro file is the drug library containing the different drug protocols.
Loading Drug Library to pump
Loading the drug library is done with PC communication software, BodyComm (vr. 94 and upwards). To allow pump – PC communication use a VET-PRO VIP 2000 pole mount charger with RS232 adaptor and RS232 cable.
1.
Plug pump to charger. Make sure pump is turned off.
2.
Connect the RS232 adaptor on the charger rear part to the RS232 cable. Connect the cable to the PC RS232 port.
3.
Open BodyComm PC software. The message bellow will pop up:
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VET-PRO VIP 2000Color Vision Operator Manual
45
4.
Power up the pump and wait for the next screen (bellow) to show. Click Protocol.
5.
Select a drug library to upload (the macro file created in the previous section) and click Send To Pump. When drug library is transmitted to pump a blue light will indicate the progress.
6.
After transmission has ended, exit software and disconnect charger and pump.
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46
Select Drug Departments
1.
From stop mode, press twice.
2.
Scroll to "Change Set up" option. Press .
3.
Scroll to "More …" and press .
4.
Enter Change Set up Level 1 code, using the numeric keyboard and press .
5.
Scroll to "Select Program" option. Press .
6.
Scroll to "Drug Library" Program. Press .
Volume Infused Program Lock Review Set up
Change Set up
History
Select , and press
Change Set up:
Pressure Level Buzzer Level
More …
Select , and press
Technician Code
Press key
Change Set up:
Pressure Default
Select Program
Priming Rate Maximum Bolus Volume Titration Bolus Bolus Rate Maximal Rate
Select , and press
Select Program:
Drug Library
Select , and press
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VET-PRO VIP 2000Color Vision Operator Manual
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7.
Scroll between departments, select using & keys. Press .
8.
Press again to restart the pump.
Drug Library Infusion
9.
Turn the pump ON by pressing and holding the until the Self-Test screen appears. If air sensor is OFF, please contact your technician in order to enable the disabled air sensor.
Using the pump with air in line detector off may cause an air embolism resulting in death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary.
10.
Pump displays program name and status. The status is either "Program" or "Locked" (for instruction regarding locking and unlocking the pump – refer to Lock Mode section).
When unlocked, press . Wait for the rate screen to display.
"Program" option
"Locked" option
NOTE: When pump is in Program mode, all parameters can be adjusted. When pump is in
lock out mode, parameters can be viewed, but cannot be changed.
NOTE: If pump is not in Drug Library Program, refer to Changing Program section for
instructions.
NOTE: Whenever you decide to set a new program, follow the instructions at the bottom of
the screen.
NOTE: The screen will be blank upon initial setup. When returning to a program, the screen
will display the last set program.
Drug Library 10:00 - 80% ██
Drug Library
Program
Library Demo Department DEP1
Drug Library 10:00 - 80% ██
Drug Library
Locked
Library Demo Department DEP1
Department
DEP1
DEP2 DEP3 DEP4 DEP5 DEP6 DEP7
Select , and press
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11.
Select Drug Screen
Use or to scroll through drugs.
12.
Patient Weight Screen
Do one of the following:
Press to confirm the existing parameters. Enter the patient weight and press .
13.
Dose Screen
Do one of the following:
Press to confirm the existing parameters. Enter a different dose and press .
NOTE: dose rate units can be change only during drug protocol creation
14.
Exceeds Hard Limit Screens
When exceeding the lower or upper hard limit, the prgoram can not proceed. Press to adjust the data.
15.
Exceeds Soft Limit Screens
When exceeding the soft limits, the operator can choose to press and adjust the data or press to
override and proceed.
16.
Volume Screen
Do one of the following:
Press to confirm the existing parameters. Enter a different volume and press .
Drug Library 10:00 - 80% ██
DEP1
Select Drug:
HEPARIN
Concentration 40.0U/mL
Select , and press
Drug Library 10:00 - 80% ██
Patient Weight
100 kg
Adjust and press Key
Drug Library 10:00 - 80% ██
HEPARIN
Dose
50.0 mg/kg/min
Adjust and press Key
Drug Library 10:00 - 80% ██
Volume
100 mL
Adjust and press Key
Drug Library 10:00 - 80% ██
Dose 50.0 U/kg/hr
Exceeds Hard Limit!
Minimum 5.0 U/kg/hr Maximum 35.0 U/kg/hr
Press to Change
Drug Library 10:00 - 80% ██
Dose 6.0 U/kg/hr
Exceeds Soft Limit!
Minimum 10.0 U/kg/hr Maximum 30.0 U/kg/hr
Press to Change Press to Override
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17.
Accumulation Screen
Do one of the following: Press to confirm the existing parameters and
proceed.
Press to go back to volume screen.
18. Press to Start Infusion.
19.
During program operation, the pump displays the rate in which the program is operating.
NOTE: If one of the values is changed during the programming mode, the pump will not recall
the new value unless changes are confirmed by pressing .
NOTE: If prime procedure is activated during data setting, the pump will return to the original
(previous) screen once priming is completed.
Drug Library Bolus
Bolus operation can be in two modes: weight or volume. The drug bolus mode is configured during drug protocol creation.
Bolus Weight
1.
During infusion, press key.
2.
Bolus Weight per Body weight Screen Do one of the following:
Press to confirm the existing parameters. Enter a different bolus weight per body weight and press
.
Drug Library 10:00 - 80% ██
DEP1
Concentration
5 mg/mL
Patient Weight
100 kg
Dose
50.0 mg/kg/min
Bag Volume
100 mL
Volume Left
100 mL
Rate
60 mL/hr
Press Key to Continue
Drug Library 10:00 - 80% ██
Start Infusion ?
Press key to Start
Drug Library 10:00 - 80% ██
HEPARIN
Dose 50.0 mg/kg/min
Rate 60 mL/hr
████████████████████████████
mmHg 0 730
Drug Library 10:00 - 80% ██
HEPARIN
Bolus Weight
Per Body Weight
20.0 U/kg
Adjust and press Key
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3.
Bolus Duration Screen Do one of the following:
Press to confirm the existing parameters. Enter a different bolus duration and press .
NOTE: Bolus time units can be changed only during drug protocol creation.
4.
Bolus Accumulation Screen
Do one of the following: Press to confirm the existing parameters and
start bolus.
Press to go back to volume screen
5.
Blousing Screen
The display screen will show a graph indicating the bolus is being infused. The grap bar displays the amount of the bolus to be infused (clear) and the amount infused (blue).
Bolus Volume
1.
During infusion, press key.
2.
Bolus Volume Screen Do one of the following:
Press to confirm the existing parameters. Enter a different volume and press .
3.
Accumulation Screen
Do one of the following: Press to confirm the existing parameters and
start bolus.
Press to go back to volume screen.
Drug Library 10:00 - 80% ██
HEPARIN
Bolus duration
10:00 HH:MM
Adjust and press Key
Drug Library 10:00 - 80% ██
HEPARIN
Bolus weight 20.0 U/kg Bolus Volume 40mL Bolus duration 10:00:00 Bolus Rate 4mL/hr
Press Key to Start Bolus
Drug Library 10:00 - 80% ██
Bolusing
██████████████
1.6 40 mL
Drug Library 10:00 - 80% ██
HEPARIN
Bolus Volume
2.0 mL
Adjust and press Key
Drug Library 10:00 - 80% ██
HEPARIN
Bolus Volume 2 mL Bolus duration 00:00:14 Bolus Rate 500mL/hr
Press Key to Start Bolus
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VET-PRO VIP 2000Color Vision Operator Manual
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4.
Blousing Screen
The display screen will show a graph indicating the bolus is being infused. The graphical bar displays the amount of the bolus to be infused (clear) and the amount infused (blue).
Intermittent Infusion
The Intermittent Infusion program is a special program which enables the design of a dose delivery protocol at set intervals. Each dose is given at a set time. The pump will Keep Vein Open between the doses. The infusion program continues until the total volume to be infused is delivered.
Rate Over Volume
1.
Turn the pump ON by pressing and holding the until the Self-Test screen appears. If air sensor is OFF, please contact your technician in order to enable the air sensor if disabled.
Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary.
2.
Pump displays program name and status. The status is either "Program" or "Locked" (for instruction regarding locking and unlocking the pump – refer to lock mode section).
If pump is unocked, the Bag Volume screen will display after 2 seconds.
"Program" option
"Locked" option
NOTE: When pump is in Program mode all parameters can be adjusted; When pump is in lock
out mode, parameters can be viewed, but cannot be changed.
NOTE: If pump is not already in Intermittent Program, refer to Changing Program section for
instructions.
NOTE: Whenever you decide to set a new program, follow instructions at the bottom of screen.
NOTE: When returning to a program, the screen will display the last set program.
Intermittent 10:00 - 80% ██
Intermittent
Program
Press & Hold to change
Intermittent 10:00 - 80% ██
Intermittent
Locked
Drug Library 10:00 - 80% ██
Bolusing
██████████████
0.2 2 mL
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VET-PRO VIP 2000Color Vision Operator Manual
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3.
Bag Volume Screen
Do one of the following:
Press to confirm the existing parameters. Enter the Bag Volume and press .
4.
Dose Volume Screen
Do one of the following:
Press to confirm the existing parameters. Enter the Dose Volume and press .
5.
Minimum Number Of Doses
Do one of the following:
Press to confirm the existing parameters Enter the minimum doses and press .
6.
Dose Rate Screen
Do one of the following:
Press to confirm the existing parameters Enter the Dose Rate and press .
7.
Interval Time Screen
Do one of the following:
Press to confirm the existing parameters Enter the time between the start of each dose and press
.
NOTE: Interval time is counted from starting time of one bolus until starting time of the following bolus.
8.
KVO Rate Screen
Do one of the following:
Press to confirm the existing parameters Enter the desired KVO rate (from 0.1 to 5 ml/h) and press
.
Intermittent 10:00 - 80% ██
Number of Doses Minimum
2
Adjust and press Key
Intermittent 10:00 - 80% ██
Bag Volume
6 mL
Adjust and press Key
Intermittent 10:00 - 80% ██
Dose Volume
3 mL
Adjust and press Key
Intermittent 10:00 - 80% ██
Dose Rate
50 mL/hr
Adjust and press Key
Intermittent 10:00 - 80% ██
Interval Time
(HH:mm)
00:04
Adjust and press Key
Intermittent 10:00 - 80% ██
KVO Rate
5 mL/hr
Adjust and press Key
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VET-PRO VIP 2000Color Vision Operator Manual
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9.
Accumulation Screen
Do one of the following: Press to confirm the existing parameters and start
infusion.
Press to go back and adjust program parameters.
NOTE: If pump is in Delay Mode, enter Start Time (24 Hour Clock) and Start Date. For further
information regarding the Delay Option, refer to Delay Program section.
10.
Press to Start Infusion.
11. During program operation, the pump displays the rate in which the program is operating.
NOTE: If one of the values is changed during the programming mode, the pump will not recall
the new value unless changes are confirmed by pressing .
NOTE: If prime procedure is activated during data setting, the pump will return to the original
(previous) screen once priming is completed.
NOTE: Whenever required to stop infusion, press . Stop displays on the screen. Stop
mode is limited for two minutes. After two minutes an audible alarm is sounded. Press
again to mute the alarm.
Rate Titration
The pump allows rate titration during the Intermittent Program.
To change the rate during the infusion:
1.
Use numeric keypad to enter the new desired rate during operation and press within five seconds. The pump will briefly alarm and the infusion will resume at the adjusted rate.
NOTE: If pump is LOCKED, the Level 2 code must be entered to unlock the program and
change the rate.
NOTE: Rate titration is allowed only during dose delivery and not during KVO between doses.
Intermittent 10:00 - 80% ██
Dose Rate
50 mL/hr
Dose Volume
3mL
Interval Time
0:04
Bag Volume
6 mL
Volume Left
6 mL
KVO Rate
5 mL/hr
Air Sensor
0.3 mL
Pressure
730 mmHg
Press Key to Continue
Intermittent 10:00 - 80% ██
Start Infusion ?
Press key to Start
Intermittent 10:00 \ 80% ██
Rate
50 mL/hr
████████████████████████████
mmHg 20 730
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VET-PRO VIP 2000Color Vision Operator Manual
54
NOTE: If the rate change is not confirmed within ten seconds, the pump will continue operation
at the original rate and the display will return to the previous setting.
2.
To stop the infusion press .
NOTE: During programming, you may backspace by using .
Pressing once clears the last entered digit. Pressing again clears the next number. Pressing when the value is empty displays the original value or the previous screen.
Volume Over Time
To program using Time over Volume instead of Rate over Volume, enable the Time Option function by following the steps below:
1.
Press twice.
2.
Scroll to "Change Set up" option. Press .
3.
Scroll to "More …" and press .
4.
Enter Change Set up Level 1 code, using the numeric keyboard and press .
Volume Infused Program Lock Review Set up
Change Set up
History
Select , and press
Change Set up:
Pressure Level Buzzer Level
More …
Select , and press
Technician Code
Press key
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
55
5.
Scroll to "Time Option" option. Press .
6.
Press or , to turn Time Option ON.
7.
Press twice.
8.
Bag Volume Screen
Do one of the following:
Press to confirm the existing parameters. Enter the Bag Volume and press .
9.
Dose Volume Screen
Do one of the following:
Press to confirm the existing parameters. Enter the Dose Volume and press .
10.
Minimum Number Of Doses
Do one of the following:
Press to confirm the existing parameters. Enter the minimum doses and press .
11.
Dose Duration Screen
Do one of the following:
Press to confirm the existing parameters. Enter the time of a single dose and press .
Change Set up:
Air Bubble Size Store Last Program Keystroke beep
Time Option
WiFi module Caregiver Delay Language
Select , and press
Intermittent 10:00 - 80% ██
Number of Doses Minimum
2
Adjust and press Key
Intermittent 10:00 - 80% ██
Bag Volume
6 mL
Adjust and press Key
Intermittent 10:00 - 80% ██
Dose Volume
3 mL
Adjust and press Key
Intermittent 10:00 - 80% ██
Dose Duration
(HH:mm)
00:04
Adjust and press Key
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VET-PRO VIP 2000Color Vision Operator Manual
56
12.
Interval Time Screen
Do one of the following:
Press to confirm the existing parameters. Enter the time between the start of each dose and
press .
13.
KVO Rate Screen
Do one of the following:
Press to confirm the existing parameters. Enter the KVO Rate (from 0.1 to 5 ml/h) and press .
14.
Accumulation Screen
Do one of the following: Press to confirm the existing parameters and start
infusion. Press to go back and adjust program parameters.
NOTE: If pump is in Delay Mode, enter Start Time (24 Hour Clock) and Start Date. For further
information regarding the Delay Option, refer to Delay Program section.
15.
Press to Start Infusion.
16.
During program operation, the pump displays the rate in which the program is operating.
Resume Infusion, Start New Bag, or Restart Infusion
When an Intermittent infusion is unlocked , stopped and the pump is re-started, the user has the following options:
(1) Resume: Resume the original infusion exactly where it left off (2) New Bag: Resume the original infusion with a new bag (3) Repeat: Repeat or re-program the infusion
Intermittent 10:00 - 80% ██
Interval Time
(HH:mm)
00:04
Adjust and press Key
Intermittent 10:00 - 80% ██
KVO Rate
5 mL/hr
Adjust and press Key
Intermittent 10:00 - 80% ██
Dose Rate
50 mL/hr
Dose Volume
3mL
Interval Time
0:04
Bag Volume
6 mL
Volume Left
6 mL
KVO Rate
5 mL/hr
Air Sensor
0.3 mL
Pressure
730 mmHg
Press Key to Continue
Intermittent 10:00 - 80% ██
Start Infusion ?
Press key to Start
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VET-PRO VIP 2000Color Vision Operator Manual
57
1.
Intermittent Restart Screen
Press or to scroll to the appropriate selection and press .
NOTE: If pump is Locked, the user will only have the “Resume” and “New Bag” options
available.
2.
Resume – New Bag – Restart Screen
Display shows a summary of the current infusion to be started. Press to start infusion.
Program Delay Turning the Delay Option ON
1.
Press twice from STOP or setting mode.
Warning: If air sensor is off, please contact your technician in order to enable the air sensor if disabled. Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary.
2.
Scroll to "Change Set up" option and press .
3.
Scroll to "More …" and press .
Intermittent 10:00 - 80% ██
Resume New Bag
Repeat
Select , and press
Intermittent 10:00 - 80% ██
Dose Rate
50 mL/hr
Dose Volume
3mL
Interval Time
0:04
Bag Volume
6 mL
Volume Left
6 mL
KVO Rate
5 mL/hr
Air Sensor
0.3 mL
Pressure
730 mmHg
Press Key to Continue
Change Set up:
Pressure Level Buzzer Level
More …
Select , and press
Volume Infused Program Lock Review Set up
Change Set up
History
Select , and press
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VET-PRO VIP 2000Color Vision Operator Manual
58
4.
Enter Change Set up level 1 code, using the numeric keyboard and press .
5.
Scroll to "Caregiver Delay" option and press .
6.
Turn delay option ON by pressing or .
7.
Press and the screen displays Restart Pump
8.
Press to continue.
Setting Delay Before Start
After entering the program data, the pump enables delay setting (when Delay Before Start is turned ON).
NOTE: The delay time is set according to a 24 hour clock. This means that hours are viewed
as follows 10:00, 11:00, 12:00, 13:00, 14:00, 15:00 etc.
NOTE: The pump automatically displays the current time and date. To start pump
immediately, press to confirm the existing time and date and start infusion.
NOTE: If the time and/or date automatically displayed by the pump are not correct, go to the
Settings Menu and select “Set Time & Date” to reset the clock in the pump.
1.
Start Time Screen
To change the Start Time, type the desired start time using the numeric keypad and press . To start
pump immediately, do not change the time and press
.
NOTE: To start pump at 9:30 AM, enter 0-9-3-0. To start the pump at 9:30 PM, enter 2-1-3-0.
Intermittent 10:00 - 80% ██
01-Jan-2000 10:00
Caregiver Delay Start Time
(HH : mm)
22:00
Adjust and press Key
Technician Code
Press key
Change Set up:
Keystroke beep Time Option WiFi module
Caregiver Delay
Language Set Time & Date History
Select , and press
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VET-PRO VIP 2000Color Vision Operator Manual
59
2.
Start Date Screen
To change the Start Date, type the desired start date using the numeric keypad and press . To start
pump on the same day, do not change the date and press
.
3.
KVO During Delay Screen
During delay time, pump will operate in KVO mode. Time left will count down until 00:00 and will then automatically start the progrmamed infusion. During the delay, this screen will be displayed showing when the infusion will start.
NOTE: After delay time, pump will beep once and infusion will start automatically.
NOTE: KVO rate is configured in 'change set-up' menu.
Turning Pump Off in the Middle of an Intermittent Infusion
When the pump is turned OFF during an intermittent infusion, the internal clock in the pump will continue to monitor the timing of the infusion.
If the pump is stopped during a dose, the user will be able to resume the dose if the infusion is resumed before one third of the interval time has elapsed. For example, if the interval is 4 hours, then the user can restart the infusion within 1 hour and 20 minutes of the interval time to receive the remainder of the dose. In this case, the pump will still resume the following dose at the scheduled time. If the user restarts the infusion after one third of the interval time has elapsed, then the user will not be receive the remainder of the dose. The pump will resume in the middle of the interval and receive KVO until the next dose is due. The purpose of this “One Third” rule is to allow the user to turn their pump off during a dose without changing the scheduled dose times.
If the pump is turned off during a dose and not restarted until after the next scheduled dose was scheduled, then the pump will start the next dose immediately followed by a complete interval. For
example, if the patient restarts the infusion an hour past the scheduled dose time, then will receive a complete dose followed by a complete interval.
If the pump is turned off during the interval period, the patient can restart the pump anytime before the next scheduled dose without impacting the timing of the delivery of the next dose. If the pump is not restarted until after the next scheduled does was scheduled, then the pump will start the next dose immediately followed by a complete interval.
25 Steps Program
This program permits programming of up to twenty-five different steps. Each step has its own rate and volume. Step accumulation is limited to a Volume of ten (10) liters. Protocol steps are delivered sequentially until all steps are completed.
NOTE: Before operating the pump in 25 Steps Program, make sure that the IV bag contains an
additional 5 ml of total volume to be infused. This ensures adequate volume for KVO during End Program. If Delay Before Start is set, you must include enough volume for the delay period, in addition to the 5 ml KVO volume.
Intermittent 10:00 - 80% ██
Caregiver Delay
Rate
2.5 mL/hr
01-Jan-2000 22:00
Start Time 22:02 Start Date 01-Jan-2000
Intermittent 10:00 - 80% ██
01-Jan-2000 10:00
Caregiver Delay Start Date
(DD-MM-YYYY)
01-Jan-2000
Adjust and press Key
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VET-PRO VIP 2000Color Vision Operator Manual
60
1.
Turn the pump on by pressing and holding the until the Self-Test screen appears.
Warning: If air sensor is OFF, please contact your technician in order to enable the air
sensor if disabled. Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary.
2.
Pump displays program name and status. The status is either "Lock out" or "program" (for instruction regarding locking and unlocking the pump, refer to locking section).
When the pump is unlocked, press to continue.
"Program" option
"Lock out" option
NOTE: When pump is in Program mode, all parameters can be adjusted; When pump is in lock
out mode, parameters can be viewed, but cannot be changed.
NOTE: If pump is not already in 25 Steps Protocol, refer to changing program section for
instructions.
NOTE: Whenever you decide to set a new program, follow instructions at the bottom of screen.
NOTE: The screen will be blank upon initial setup.
3.
Rate Screen – Step 1
Do one of the following:
Press to confirm the existing parameters.
Enter the desired rate and press .
4.
Volume Screen – Step 1
Do one of the following:
Press to confirm the existing parameters. Enter the desired volume and press .
25 - Steps 10:00 - 80% ██
Step 1 Volume
1234 mL
Adjust and press Key
25 - Steps 10:00 - 80% ██
25 - Steps
Program
Press & Hold to change
25 - Steps 10:00 - 80% ██
25 - Steps
Locked
25 - Steps 10:00 - 80% ██
Rate
Step 1
35 mL/hr
Adjust and press Key
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5.
Rate Screen – Step 2
Pump displays the rate for step 2. Repeat directions as for step 1 and repeat until the required number of steps have been entered.
6. After entering the last required step, press without entering a rate.
This indicates that all data required for the protocol has been set. All programs following the last set program will be automatically cleared.
NOTE: If pump is in Delay Mode, enter KVO rate.
7.
Accumulation Screen
Do one of the following:
Press to confirm the existing parameters. Press to go back to rate setting screen.
NOTE: If pump is in Delay Mode, enter Start Time (24 Hour Clock) and Start Date. For further
information regarding the Delay Option, refer to Delay Program section.
8. Press to Start Infusion.
9.
During program operation, the display identifies which step is currently running, and the rate.
NOTE: If one of the values is changed during the programming mode, the pump will not recall
the new value unless changes are confirmed by pressing . If prime procedure is activated during data setting, the pump will return to the original (previous)
screen once priming is completed.
NOTE: Whenever required to stop infusion, press . Stop displays on the screen. Stop
mode is limited for two minutes. After two minutes an audible alarm is sounded. Press again to mute the alarm.
25 - Steps 10:00 - 80% ██
Total Steps
6
Total Volume
50.7 mL
Total Time
0:24Hours
Air Sensor
0.3 mL
Pressure
730 mmHg
Press Key to Continue
25 - Steps 10:00 - 80% ██
Rate
Step 2
35 mL/hr
Adjust and press Key
25 - Steps 10:00 - 80% ██
Rate
Step 20
x mL/hr
Adjust and press Key
25 - Steps 10:00 - 80% ██
Start Infusion ?
Press key to Start
4 – Operation
VET-PRO VIP 2000Color Vision Operator Manual
62
NOTE: During programming you may backspace by using .
Pressing once clears the last entered digit. Pressing again clears the next number. Pressing when the value is empty displays the original value or the previous screen.
TPN Infusion
Total Parenteral Nutrition - This mode delivers an infusion while automatically tapering up and down.
The pattern of the program is a trapezoid.
TPN Trapezoid Program
Rate
Time
On a TPN Program the operator may set the total volume which corresponds to the size of the bag to be infused, the total time, and the up and down time. Program operation will start from 2 ml/h and will increase to the maximal rate. During the flat session (T2) the rate will not change. During the last part of the program (T3), the program will start to decrease the infusion rate according to the set taper down time.
Up and down time can be set to zero. A TPN program with up and down time set to zero, is a continuous program.
NOTE: Before operating the pump in TPN program, make sure that the IV bag contains an
additional 5 ml of total volume to be infused. This ensures adequate volume for KVO during End Program. If Delay Before Start is set, you must include enough volume for the delay period in addition to the 5 ml KVO volume.
1.
Turn the pump on by pressing and holding the until the Self-Test screen appears.
Warning: If air sensor is off, please contact your technician in order to enable the air sensor
if disabled. Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when absolutely necessary.
Max Rate
T1 T2 T3
T1 = Time UP T2= Time FLAT T3= Time DOWN
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2.
Pump displays program name and status. The status is either "Lock Out" or "Program" (for instruction regarding locking and unlocking the pump – refer to Lock Out section).
When pump unlocked, press to continue.
"Program" option
"Lock Out" option
NOTE: When pump is in Program mode, all parameters can be adjusted; When pump is in lock
out mode parameters can be viewed, but cannot be changed.
NOTE: If pump is not already in TPN Program, refer to changing program section for
instructions.
NOTE: Whenever you decide to set a new program, follow instructions at the bottom of screen.
3.
Bag Volume Screen Do one of the following:
Press to confirm the existing parameters. Enter the desired volume and press .
4.
Volume To Be Infused (TBI) Screen Do one of the following:
Press to confirm the existing parameters. Enter the desired volume and press .
5.
Total Time Screen
The screen displays the last set time (total time for the program to run). Press to confirm the existing parameters or enter the desired time and press .
TPN 10:00 - 80% ██
Bag Volume
1000 mL
Adjust and press Key
TPN 10:00 - 80% ██
TPN
Program
Press & Hold to change
TPN 10:00 - 80% ██
TPN
Locked
TPN 10:00 - 80% ██
Volume VTBI
950 mL
Adjust and press Key
TPN 10:00 - 80% ██
Total Time
(HH:mm)
10:00
Adjust and press Key
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64
NOTE: First two digits represent hours and last two digits represent minutes (for example,
enter 0-2-0-0 for 2 hours.). Use a point to move from hours to minutes.
6.
Up Time Screen
The screen displays the time for rate to taper up. Press
to confirm the existing parameters or enter the
desired value (from 00:00 to 04:15 hours). Press .
7.
Down Time Screen
The screen displays the time for rate to taper down. Press
to confirm the existing parameters or enter the
desired value (from 00:00 to 04:15 hours). Press .
8.
KVO Rate Screen
Do one of the following:
Press to confirm the existing parameters Enter the desired Interval Time and press .
9.
Accumulation Screen
The pump calculates the set data and displays the accumulation screen with the maximal rate for the program (to be infused during flat period). Do one of the following:
Press to confirm parameters and start infusion or
enter delay time, if applicable. For further information regarding delay option, refer to delay program section.
Press to go back to volume setting screen.
10.
Press to start infusion.
11.
During program operation, pump displays the rate in which the program is operating and program direction (Up/Flat/Down).
TPN 10:00 - 80% ██
Up Time
(HH:mm)
1:23
Adjust and press Key
TPN 10:00 - 80% ██
Down Time
(HH:mm)
1:23
Adjust and press Key
TPN 10:00 - 80% ██
KVO Rate
2.5 mL/hr
Adjust and press Key
TPN 10:00 - 80% ██
Start Infusion ?
Press key to Start
TPN 10:00 - 80% ██
Volume TBI
950 mL
Maximum Rate
109.9 mL/hr
Total Time
10:00
Up Time
1:23
Down Time
1:23
KVO Rate
2.5 mL/hr
Bag Volume
1000 mL
Volume Left
1000 mL
Volume Infused
0 mL
Air Sensor
0.3 mL
Pressure
730 mmHg
Press Key to Continue
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Early Taper Down
If the program must be interrupted early and the planned taper down time must commence immediately, do as follows:
1.
Press continually (2 seconds) to stop the pump operation and display Taper Down screen.
2.
Do one of the following:
Press to start the taper down process immediately with the existing parameters. Enter time for taper down, using the numeric keys, and press to start the taper down
process. Taper down time should be lower than the ongoing taper down time.
NOTE: If one of the values is changed during the programming mode, the pump will not recall
the new value unless changes are confirmed by pressing .
NOTE: If prime procedure is activated during data setting, the pump will return to the original
(previous) screen once priming is completed.
NOTE: Whenever required to stop infusion, press . Stop displays on the screen. Stop
mode is limited for two minutes. After two minutes, an audible alarm is sounded. Press again to mute the alarm.
NOTE: During programming you may backspace by using .
Pressing once clears the last entered digit. Pressing again clears the next number. Pressing when the value is empty displays the original value or the previous screen.
Resume or Repeat Infusion
1.
When the pump is turned OFF during infusion, this screen will appear when the pump is turned back ON.
TPN 10:00 - 80% ██
Early Taper Down
Down Time
(HH:mm)
1:23
Adjust and press Key
TPN 10:00 - 80% ██
Resume – Press Repeat – Press
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VET-PRO VIP 2000Color Vision Operator Manual
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2.
Do one of the following: Resume: To resume this program exactly where it stopped, press . The accumulation
screen is displayed. The volume remaining will be infused.
Repeat: To restart the program at the beginning and or to set new parameters, press and
follow the instructions on the pump
PCA Infusion
Patient Control Analgesia is a program used for patients who require IV pain management or epidural analgesia. Pain management is undertaken by delivering a continuous basal rate, in combination with pre-programmed boluses. The pump will deliver only the boluses corresponding to the preset time intervals. All attempts to obtain a bolus are stored in the pump memory. The physician can read these statistics and adjust the settings as required.
Warning: When operating the pump on PCA program with a rate of 0.0 ml/h there is a hazard
of blood clot forming. Connect saline infusion in parallel to avoid this problem.
PCA Menu
Due to the sensitive nature of PCA infusions, the VET-PRO VIP 2000 has a specific menu to enhance the user experience while programming PCA infusions. The menu organizes the infusion information
centrally while maintaining the same programming format as the other infusion modes on the pump.
1.
Turn the pump on by pressing the until the Self-Test screen appears.
Warning: If air sensor is OFF, please contact your technician in order to enable the air
sensor. Using the pump with air in line detector off may cause an embolism resulting death or paralysis. Switching the air detector off is not recommended and should be used only when
absolutely necessary.
2.
Pump displays program name and status. The status is either "PROGRAM" or "LOCKED" (for instruction regarding locking and unlocking the pump – refer to Unlocking PCA section).
Press . If the pump is unlocked, the PCA Menu will display. If the pump is locked, the PCA Restart Menu will
display (See Restart Infusion section if pump is locked)
"Program" option
"Locked" option
NOTE: The PCA program automatically locks upon completion of programming.
PCA 10:00 - 80% ██
PCA
Program
PCA 10:00 - 80% ██
PCA
Locked
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NOTE: If pump is not already in PCA Program refer to Changing Program section for instructions.
NOTE: Whenever you decide to set a new program, follow instructions at the bottom of screen.
3.
PCA Menu Screen
The user interface in PCA centers around the PCA menu. From the PCA menu, the user can select:
i. Prime – Prime Administration Set ii. Program Infusion – Enter infusion details iii. Clinician Bolus – Infuse extra bolus iv. Patient History – View infusion history of patient v. Review Set up – View pump settings vi. Change Set up – Enables user to change pump
settings and switch to other infusion modes.
Use or to scroll through options. Select the
required option by pressing .
Priming
NOTE: Priming is disabled during PCA operation. Always prime the set before starting a
program.
Warning: Always disconnect IV tubing from patient before starting priming procedure.
1.
Selecting the Prime option from the PCA menu, the screen will show the priming screen.
2.
Press OK to program priming procedure.
Warning: Ensure the set is not connected to the patient!
3. Enter the volume to prime the set and press to begin priming procedure. You may stop priming at any time by
pressing .
PCA 10:00 - 80% ██
Prime
Program Infusion Clinician Bolus Patient History Review Set up Change Set up
Select , and press
PCA 10:00 - 80% ██
Prime
Warning !
Disconnect Patient Press key to Start
PCA 10:00 - 80% ██
Prime Volume
5 mL
Press key to Start
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4.
The display screen will show a graph indicating the prime operation.
5.
Once the priming is completed, the display will change back to the previous screen the pump was in before priming. If more priming is needed, repeat procedure.
Program Infusion
1.
PCA Menu Screen
Select Program Infusion and press .
2.
New Patient Screen If programming a protocol for a new patient, select New
Patient by pressing . If the protocol is not for a new patient, press Pressing will clear the volume
that has been infused to the current patient.
3.
Rate/Concentration Selection Screen To program Rate in Milliliters per Hour (ml/hr), press
.
To program Concentration in Milligrams per Milliliter
(mg/ml), press once.
To program Concentration in Micrograms per Milliliter
(mµ/ml), press twice.
PCA 10:00 - 80% ██
New Patient?
Press or
PCA 10:00 - 80% ██
mL/hr
Press Key to continue Press Key for concentration
PCA 10:00 - 80% ██
Priming
██████████████
0 5mL
PCA 10:00 - 80% ██
Prime
Program Infusion
Clinician Bolus Patient History Review Set up Change Set up
Select , and press
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4.
Rate or Concentration Screen Do one of the following:
Press to confirm the existing parameters. Enter the desired rate or concentration and press .
Rate (ml/hr)
Concentration (mg/ml)
Concentration (mcg/ml)
NOTE: To change from Concentration back to Rate, enter 0 (zero) for Concentration and press
.
5.
Concentration Rate Screen
(Only When Programming by Concentration)
Do one of the following:
Press to confirm the existing parameters. Enter the desired rate or concentration and press .
6.
Rate Titration Limit Screen Enter the maximum rate of titration that can be used in the
current protocol and press . Rate can be ml/hr, mg/hr or mcg/hr depending on program selected.
PCA 10:00 - 80% ██
Basal Rate
5 mL/hr
Adjust and press Key
PCA 10:00 - 80% ██
Concentration
2 mg/ml
Adjust and press Key
PCA 10:00 - 80% ██
Concentration
1500 mcg/ml
Adjust and press Key
PCA 10:00 - 80% ██
Basal Rate
1000 mcg/hr
Adjust and press Key
PCA 10:00 - 80% ██
Maximum Titration Rate
2000 mcg/hr
Adjust and press Key
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7.
Bolus Screen
Do one of the following (Bolus can be ml, mg, or mcg depending on the program selected):
Press to confirm the existing parameters. Enter the desired bolus dose and press .
8.
Bolus Titration Limit Screen
Enter the maximum bolus dose that can be used in the current protocol and press . Bolus dose can be ml, mg
or mcg depending on program selected.
NOTE: If the “Maximum Bolus Dose screen does not appear on the pump during programming,
go to the “Change Set up” menu to activate “Titration Bolus”
9.
Lock Time Screen
The lock time is the amount of time between patient boluses. Do one of the following:
Press to confirm the existing parameters. Enter the desired lock time in minutes and press .
10.
Hour Limit Screen #1
As an additional safety precaution, user can program a volume limit over a certain amount of hours. User can set this limit for any amount of time between 1 (One) and 24 (Twenty-Four) hours, or can continue without setting a limit. The default setting is OFF, meaning there is no limit. Do one of the following:
Press to confirm the existing parameters. Enter the desired hours for the limit and press .
11.
Hour Limit Screen #2
If an hour limit is entered in previous step, the next step will propt user to enter the maximum amount of volume to be infused over that timeframe. In the screen to the right, 4 (four) was entered in the previous step for the hour limit.
Do one of the following (Limit can be ml, mg, or mcg depending on the program selected):
Press to confirm the existing parameters. Enter the desired hours for the limit and press .
PCA 10:00 - 80% ██
24 Hour Limit
9999 mcg
Adjust and press Key
PCA 10:00 - 80% ██
Bolus Dose
3000 mcg
Adjust and press Key
PCA 10:00 - 80% ██
Maximum Bolus Dose
4000 mcg
Adjust and press Key
PCA 10:00 - 80% ██
Lock out Time
5 Minutes
Adjust and press Key
PCA 10:00 - 80% ██
Program Limits
Disabled
Adjust and press Key
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12.
Bag Volume Screen
Do one of the following:
Press to confirm the existing parameters. Enter the desired bolus volume and press .
13.
Locking Screen
The pump automatically locks before a PCA infusion program can be completed. Do one of the following:
Press to lock the PCA program and proceed. Press to scroll through the programming again and
review or adjust the program.
14.
Accumulation Screen
The pump displays the accumulation screen with a summary the program entered..
Do one of the following:
Press to confirm parameters and proceed. Press to go back and adjust parameters.
15.
Press to start infusion.
NOTE: To access the PCA menu during operation, press once and then hold for 3
seconds.
NOTE: The VET-PRO VIP 2000 is capable of continuous infusion (basal) rates of up to 100
ml/h. However you may use the pump for the delivery of only one drug protocol and the maximum safe ceiling for this regime could be, for example, 30mlh. Users can fix a maximum
rate that the pump can be set to in ‘Change Set Up’ using the Technician Access Code to ensure
other users cannot accidentally program the pump to deliver above this safe ceiling. See later
section for ‘Change Set Up’.
NOTE: The VET-PRO VIP 2000 is capable of delivering the bolus dose at up to 1000ml/h.
The default setting is 600ml/h designed to deliver any bolus as quickly as possible. Users can adjust this if they want the bolus to be delivered over a longer period in ‘Change Set Up’ using the Technician Access code.
PCA 10:00 - 80% ██
Lock: Press Review: Press
PCA 10:00 - 80% ██
Bag Volume
100 mL
Adjust and press Key
PCA 10:00 - 80% ██
Start Infusion?
Press key to Start
PCA 10:00 - 80% ██
Concentration
1500 mcg/mL
Rate
1500 mcg/mL
Maximum Rate
2000 mcg/hr
Bolus
3000 mcg
Max. Bolus Volume
4000 mcg
Lock out Time
5 Minutes
24 Hour Limit
9999 mcg
Bag Volume
100 mL
Volume Left
100 mL
Volume Infused
0 mL
Air Sensor
0.3 mL
Pressure
730 mmHg
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Interpreting the Display Screen During PCA Infusion
Infusion Mode
The first line of the display indicates that the pump is in the PCA infusion mode.
Infusion Rate
The second line of the display shows the current infusion rate. Depending on whether the user programmed the current protocol in mls or mgs, this will display the rate in either ml/h, mg/h or mcg/h.
Bolus Volume
The third line of the display shows the bolus volume for the current protocol. As with infusion rate, this will be displayed in ml, mg or mcg depending on how the current program is set up.
Battery Status
The battery symbol user can check the charge level by monitoring the green fill inside the symbol (i.e. completely green symbol indicates a fully charged battery).
Infusion Status
Infusion status indicator moving in circles when the pump is in operation.
Patient Activated Bolus
A PCA infusion can be programmed - much like for humans - to allow the caregiver to deliver boluses of a specified volume within predetermined time intervals for the patient. The caregiver can deliver the bolus using the keypad:
Using Keypad
Press the button on the keypad.
NOTE: User can stop bolus at any time by pressing
NOTE: If caregiver attempts to deliver more boluses than are allowed, the pump will display
“Bolus Locked” and will track the amount of boluses have been requested. The bolus history can
be reviewed by scrolling the Info Menu. See “Using History Functions” section of the manual
Clinician Activated Bolus
A Clinician Activated Bolus can be performed before starting the PCA infusion or during the PCA infusion.
Infusion Mode
Programmed Infusion
Rate (ml/hr or mg/ml)
Patient Controlled
Bolus Volume
Infusion Status Indicator
Battery Status Indicator
PCA 10:00 / 80% ██
Rate
5 mL/hr
Pt Bolus 2 mL
████████████████████████████
mmHg 360 730
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To infuse a Clinician Activated Bolus before starting the PCA infusion, perform the following steps:
1.
Selecting the Prime option from the PCA menu, the screen will show the priming screen. Select Clinician bolus option.
2.
Enter Level 2 code and press .
3.
Enter the volume of the Clinician Bolus and press to begin priming procedure. You may stop the bolus at any
time by pressing . The Volume for the Bolus will be in ml, mg or µg depending
on the settings of the existing protocol entered for the PCA infusion. To change, go to Program Infusion in the PCA menu and follow the steps until the selection can be made for ml, mg or µg.
Volume in ml
Volume in mg
Volume in mcg
PCA 10:00 - 80% ██
Clinician Bolus – Enter Code
Press key
PCA 10:00 - 80% ██
Clinician Bolus Volume
3 mL
Press Key to start
PCA 10:00 - 80% ██
Prime Program Infusion
Clinician Bolus
Patient History Review Set up Change Set up
Select , and press
PCA 10:00 - 80% ██
Clinician Bolus Volume
50 mg
Press Key to start
PCA 10:00 - 80% ██
Clinician Bolus Volume
1500 mcg
Press Key to start
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4.
The display screen will show a graph indicating the Bolus is being infused. The graphical bar displays the amount of the bolus to be infused (clear) and the amount infused (dark).
NOTE: Once the bolus is completed, the display will change back to the PCA menu.
NOTE: User can stop bolus at any time by pressing
NOTE: when the volume infused is less than the specified Hour Limit for Volume (e.g. 4 Hr
Limit) the bolus will automatically stop at the volume of the total hour limit.
Warning: Boluses will be infused up to the full volume that is requested unless the user
stops the bolus manually by pressing .
To infuse a Clinician Activated Bolus during a PCA infusion, perform the following steps:
1.
During operation, press and then press to stop the current infusion and initiate the Clinician Bolus.
2.
Enter Level 2 code and press .
PCA 10:00 - 80% ██
Bolusing
██████████████
0.7 3mL
PCA 10:00 - 80% ██
Clinician Bolus – Enter Code
Press key
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3.
Enter the volume of the Clinician Bolus and press to begin priming procedure. You may stop the bolus at any
time by pressing . The Volume for the Bolus will be in ml, mg or µg depending
on the settings of the existing protocol entered for the PCA infusion.
Volume in ml
Volume in mg
Volume in mcg
4.
The display screen will show a graph indicating the Bolus is being infused. The graphical bar displays the amount of the bolus to be infused (clear) and the amount infused (dark).
NOTE: Once the bolus is completed, the pump will resume the original PCA infusion.
NOTE: User can stop bolus at any time by pressing
End of Infusion, Restart Infusion, or Bag Change
1.
End Infusion Screen
Once the infusion had reached an end (pre-set volume was infused), an alarm sounds and display will show:
PCA 10:00 - 80% ██
End of infusion
Press Key to renew
PCA 10:00 - 80% ██
Clinician Bolus Volume
3 mL
Press Key to start
PCA 10:00 - 80% ██
Clinician Bolus Volume
50 mg
Press Key to start
PCA 10:00 - 80% ██
Clinician Bolus Volume
1500 mcg
Press Key to start
PCA 10:00 - 80% ██
Bolusing
██████████████
0 50mg
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2.
KVO Display The alarm will stop after 4 beeps. The pump will show the pre-set KVO rat. The alarm will sound again every 4 minutes until the user changes the bag or stops the pump.
3.
PCA Restart Menu This screen displays when: (1) The pump is turned OFF and back ON in PCA mode.
(2) Infusion is stopped by pressing and holding . User can scroll through the following options by pressing
or .
Restart Starts infusion exactly where it left off
previously.
New Bag Restarts infusion exactly where it left
off previously and updates bag volume to be equal to the bag volume originally programmed.
Menu Brings user back to the PCA Menu.When
asked for a code, enter the Unlock (L2) Code.
NOTE: If using an infusion set with drip chamber, change to a new infusion bag, but make sure
that the drip chamber is half filled and there is no air in the administration set. If using an ambulatory IV, PCA or Epidural set without a drip chamber, priming the line may be needed. Disconnect the set from patient before priming.
Return to PCA Menu
1.
PCA Restart Menu Scroll to “Menu” using and press .
2.
Enter Level 1 Technician Code and press .
PCA 10:00 - 80% ██
Resume
New Bag Menu
Select , and press
PCA 10:00 - 80% ██
End of infusion
Keep Vein Open
Rate 1 mL/hr
Press Key to renew
PCA 10:00 - 80% ██
Resume New Bag
Menu
Select , and press
PCA 10:00 - 80% ██
Enter Code
Adjust and press Key
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Titrating Basal Rate During The Infusion
To change Rate during the infusion, enter the new rate using the keypad and confirm the new rate by entering the Level 1 Code. The Rate can be increased up to the “Max Titration Rate” programmed into the specific infusion.
Titrating Bolus During The Infusion
To change the Bolus during the infusion, press the INFO button seven times until you reach a screen showing the currently programmed Bolus in ml or mg. Use the keypad to enter the new Bolus and confirm the new Bolus by entering the Level 1 Code. The Bolus can be increased up to the Maximum Bolus
Dose” programmed into the specific infusion.
Changing Lock Out Time During The Infusion
1. Stop the infusion by pressing .
2. Then press and hold until the screen appears allowing you to access the PCA Menu.
3. Select “Menu” and enter the Level 2 code.
4. Once in the PCA Menu, select “Program Infusion” and follow the programming instructions to adjust
the program. Be sure to tell the pump that there is NOT a New Patient and the Bag Volume should NOT be reset.
Using History Functions
The VET-PRO VIP 2000 keeps a rolling 24 hour history of the current patient’s infusion delivery. This section addresses how this can be used. There is also a 2000 event history log keeping track of the last 2000 user actions in a date and time stamped record.
While the pump is delivering medication, pressing the button repeatedly will scroll through:
Volume Infused vs. Volume to be Infused  Battery Level  Boluses Attempted, Boluses Given & Lock Time Review for the duration of the current delivery  Program Review Screen - Allows user to check current program parameters without having to
stop the infusion
Date & Time  Actual Pressure
Press to stop infusion delivery and then press the button repeatedly to scroll through:
Volume and Boluses Given in the Last 24 hours  Bolus Attempts, Given and Volume Infused Hour-by-Hour for the Last 24 Hours (use the arrow
keys to navigate through the hours)
Chart of Bolus Delivery During the Last 24 Hours, Hour-by-Hour  Chart of Volume (Including Boluses) Delivered During the Last 24 Hours, Hour-by-Hour
NOTE: Press to resume infusion when you return to the ‘STOP’ screen.
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Events Log
To access the history of events, you need to access Change Set Up using the Level 1 Technician Access Code. The events history carries the last 2000 user events (i.e. changes to programs, pump started/ stopped, etc) and the status of the pump (i.e. battery charge, pressure levels, etc). It is not patient specific (i.e. the 2000 events are likely to span multiple patients recently treated with that particular pump).
To access the events history:
1.
From the main menu scroll to “Change Set up” and press .
2.
From the main menu scroll to “More …” and press .
3.
Enter the Level 1 Technician Access Code and press .
4.
Scroll down to “History” and press .
5.
The screen will now show the most current user event, date, time, etc. For example:
NOTE: Each event is assigned a new number and the pump stores the last 2000 in
memory. After some time, the first event to appear when you enter the events history may be number 754. This means there have been 754 events in this pumps life and events 255-754 are stored in this history. The pump deletes the oldest event in the log each time a new event occurs.
6.
Press and to scroll through events. When you find one of interest, press to display further data relevant to this event on the status of the program and pump at the time of this event. The user can scroll through the information shown here to check what the pump was set up for, whether it was operating on battery or mains, whether it was locked out and what the pressure settings and readings were at that time.
Event Number: 12345
01-Jan-2000 10:00
Program Starts
Press or Details
Rate
416.6 mL/hr
Volume Left
100 mL
Volume Infused
0 mL
Select Program
Continuous
Operation
Battery
Battery Level
Normal
Lock Status
Keypad and Program
Volume Calibration
576
Pressure Baseline
84
Pressure Actual
84
ID Code
0
Given
1.79 mL
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Setting Pressure Default For Down Occlusion
1.
Turn the pump on by pressing and holding the until the Self-Test screen appears. If air sensor is OFF, press to confirm.
2.
Pump displays program name and status. Press . Wait for the Rate screen to display.
3.
Press twice.
4.
Scroll to "Change set up" and press .
5.
Scroll to "Pressure Default" and press .
6. Set default pressure value between 100 mmHg to 1500 mmHg.
7.
Press to store the parameter in memory.
NOTE:
The selected pressure level will remain in memory until it is changed. The actual pressure can be viewed at any time by scrolling with the info button during
operation.
After a downstream occlusion, infusion will restart from the stop point.
Lock Mode
The VET-PRO VIP 2000 provides three different level of locking:
Level A Keypad Locking
During operation, all keys are disabled excluding the and key.
Pressure Level
730 mmHg
Adjust and press Key
PCA 10:00 - 80% ██
Prime Program Infusion Clinician Bolus Patient History Review Set up
Change Set up Select , and press
Change Set up:
Pressure Default
Select Program Priming Rate Maximum Bolus Volume Bolus Titration Bolus Rate Maximal Rate
Select , and press
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Level B Program Locking
This feature enables the operator to lock out the setting keys, so that entered parameters and set programs cannot be changed once they are set. This option is important, for example, with children as users, when there is a danger that the child might play with the pump and unknowingly change the program; or for home-care patients who repeat the same program every day. Locking the program prevents mistakes in setting.
Level C Maximal Rate Locking
This feature enables the operator to set a maximal rate for the pump to accept. The program rate then can be adjusted only up to a preset limit.
How To Lock
A – Keypad Locking
To Lock Keypad
Press and hold until the entire graph is black and a beep is heard. The beep indicates that the locking program is turned ON.
NOTE: The keys are locked in memory until they are unlocked or until entering Change setup
mode.
To Unlock Keypad
Press and hold until the entire graph is clear and a beep is heard. The beep indicates that the locking program is turned OFF.
B – Program Locking
1.
Press twice from STOP or setting mode.
2.
Scroll to "Program Lock" option. Press .
Continuous 10:00 - 80% ██
Keypad Lock Mode
████████████████
OFF ON
Continuous 10:00 - 80% ██
Keypad Lock Mode
████████████████
OFF ON
Volume Infused
Program Lock
Review Set up Change Set up History
Select , and press
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3.
Enter Change Set up Level 2 code, using the numeric keyboard and press .
4.
Press or to change from OFF to ON and press to approve.
NOTE: The default setting is OFF.
NOTE: Unlock using the same procedure.
C – Maximal Rate locking
1.
Press twice from STOP or setting mode.
2.
Scroll to "Change Set up" option. Press .
3.
Scroll to "More …" and press .
4.
Enter Change Set up Level 1 code, using the numeric keyboard and press .
Enter Code
Press key
Program Lock
OFF
Select , and press
Volume Infused Program Lock Review Set up
Change Set up
History
Select , and press
Change Set up:
Pressure Level Buzzer Level
More …
Select , and press
Technician Code
Press key
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5. Scroll to "Maximal Rate" option and press .
6. Use numeric keys to set desired rate and press .
Change Set up:
Maximum Bolus Volume Bolus Titration Bolus Rate
Maximum Rate
KVO Rate Flow Control Set Loading Test
Select , and press
Maximum Rate
1200 mL/hr
Adjust and press Key
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Info Mode
Access the info mode by pressing during operation, data setting or while in the Stop mode.
Pressing during program operation will display the following:
Number of
Button Presses
Infusion Mode
Information
Screen
One
All programs
Infused Volume Total Volume to Be
Infused
Two
All programs
Battery Status
Three
Continuous, Intermittent,
Time left
Three
PCA
Boluses History for current program
Three
TPN
Program Status in a graphic way
Continuous 10:00 - 80% ██
Battery Level
██████████
Empty Full
Continuous 10:00 \ 80% ██
Time Left
(HH:mm)
16:48
PCA 10:00 \ 80% ██
Boluses
Attempted: 3 Given: 1 Lock out Time 10 Minutes Time to next Bolus 5 Minutes
Continuous 10:00 / 80% ██
Volume Infused 50.1 mL ████████████████████████ Volume Left 500.7 mL
UP 10:00 \ 80% ██
Time
0:30 1:30
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Number of
Button Presses
Infusion Mode
Information
Screen
Four
All programs
Time and Date
five
All programs
Actual Pressure
Six
PCA
Data of current protocol
PCA 10:00 / 80% ██
Rate 25 mL/hr Bolus Dose 1 mL Lock out Time 15 Minutes Program Limits Disabled
Continuous 10:00 \ 80% ██
Time
10:00
Date
01-Jan-2000
Continuous 10:00 - 80% ██
Actual Pressure
████████████████████████
mmHg 100 730
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Pressing during data setting or in the stop mode, will display the following:
Number of
button presses
Information
Screen
One
Infused Volume Volume Left
Pressing will clear Volume Infused.
Two
Option Selection Screen
To change parameters, select Change setup, press
and follow instructions in the Change setup
section. To view current pump settings, select Review setup, press and follow instruction in Review setup
section.
NOTE:
If no selection is made within ten seconds after pressing , the screen will exit the
information mode and display the previous screen.
To exit the information mode after making a selection in Review Set up, press once to
return to the original screen.
To exit the information mode after making a selection in Change Set up, press .
Continuous 10:00 / 80% ██
Volume Infused 50.1 mL ████████████████████████ Volume Left 500.7 mL
Volume Infused Program Lock Review Set up
Change Set up
History
Select , and press
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Program Lock
To Adjust Lock Out Option
1.
Press twice.
2.
Scroll to "Program Lock" and press .
3.
Enter Level 2 Code, using the numeric keyboard and press .
4.
Press or to change from OFF to ON and press to approve.
Review Set up
The Review Set up feature is designed to allow you to view the programmable options and other important information about the pump. In Review Set up, settings can be viewed, but not changed.
1.
Press twice.
2.
Press to scroll to "Review Set up" option. Press
and the current settings are displayed.
3.
To view the setting for a particular option, select the desired option and press .
Volume Infused Program Lock
Review Set up
Change Set up History
Select , and press
Volume Infused
Program Lock
Review Set up Change Set up History
Select , and press
Enter Code
Press key
Program Lock
OFF
Select , and press
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Screen No.
Screen Display
Information
1
Battery Level
Current Battery Level (Empty >>> Full)
2
Program Lock
Option Currently ON or OFF
3
Time, Date
Time and Date
4
Buzzer Level
Current Buzzer Volume Setting
5
Pressure Level
Current Pressure Level Setting
6
Pressure Default
Current Pressure Default Setting
7
Select Program
Current Selected Program
8
Priming Rate
Current Priming Rate Setting
9
Maximal Bolus Volume
Maximal Bolus Volume
10
Bolus Rate
Current Bolus Rate Setting
11
Maximum Rate
Current Maximal Rate Setting
12
KVO Rate
Current KVO Rate Setting
13
Flow Control
Flow Control
14
Air Bubble Size
Current Air Bubble Size Setting
15
Store Last Program
Option Currently ON or OFF
16
Keystroke beep
Option Currently ON or OFF
17
Time Option
Option Currently ON or OFF
18
WiFi module
Option Currently ON or OFF
19
Caregiver Delay
Option Currently ON or OFF
20
Language
Current Pump Messages Language
21
Serial Number
Pump Serial Number
22
Production Date
Pump Production Date
23
Operation Time
Hours Since Last Service Calibration
24
Software Version
Pump Software Version
25
Volume Calibration
Volumetric Calibration Value
26
Pressure Delta
Pressure Calibration – Delta Value
27
Pressure CAP
Pressure Calibration – Cap Value
28
History
History of last events
29
Exit
Exit 'Review Set up' menu
Change Set up
The Change setup mode allows you to make changes to the adjustable parameters.
To Access Change Set up
1.
Press twice.
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2.
Scroll to "Change Set up" option. Press .
To Adjust Pressure Level or Buzzer Level
1.
Press or to select an option and press .
'Pressure Level' option
'Buzzer Level' option
2.
Make adjustment by pressing or and press .
To Adjust Other Parameters
1.
Scroll to "More …" and press .
2.
Enter Level 1 Technician Code, using the numeric keyboard and press .
Volume Infused Program Lock Review Set up
Change Set up
History
Select , and press
Change Set up:
Pressure Level
Buzzer Level More …
Select , and press
Change Set up:
Pressure Level
Buzzer Level
More …
Select , and press
Change Set up:
Pressure Level Buzzer Level
More …
Select , and press
Technician Code
Press key
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3.
Press or to select an option and press .
4.
Adjust the parameter by pressing or , or by using the numeric keypad.
5.
Press to confirm selection and the screen displays Restart Pump.
6.
Press to continue.
The table below indicates the adjustable parameters:
Screen Information
Action
1
Restart pump
Restart pump
2
Pressure Default
Adjusting pressure level 100mmHg up to 1500mmHg.
3
Select Program
Select the infusion program
4
Priming Rate
Fixed value 1200mL/hr
5
Max. Bolus Volume
Set the Max. bolus volume from 0-100 ml.
6
Bolus Titration
Turn option ON/OFF
7
Bolus Rate
Set the bolus rate from 0-1200 ml/hr
8
Maximum Rate
Set the max rate from 0.1-1200 ml/hr
9
KVO rate
Set the KVO rate from 0-5 ml/hr
10
Flow Control
0-20 drops per ml
11
Set Loading Test
Turn option ON/OFF
12
Air bubble size
Set detectable size from 0.1 - 2.0 ml
13
Store last program
Turn on to clear all program parameters upon system shut-off. Turn off to save all program parameters upon system shut-off.
14
Keystroke beep
Turn option ON/OFF
15
Time option
Turn time option ON/OFF. While time option is ON, Continuous, Intermittent and 25 Steps program will be set to Volume over Time.
16
WiFi module
Turn option ON/OFF
17
Caregiver Delay
Turn option ON/OFF
18
Language
Enable changing the language of pump messages (only for models in which the software includes more than one language).
19
Set Time & Date
Set actual time and date
20
History
Indicates injection history
NOTE: While the pump is in programmable mode, all parameters can be set, and parameters
used in last program can be confirmed. The memory retention capability is available for the life of the internal battery.
Change Set up:
Air Bubble Size Store Last Program Keystroke beep
Time Option
WiFi module Caregiver Delay Language
Select , and press
5 – Alarm Conditions and Troubleshooting
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5 – Alarm Conditions and Troubleshooting
Alarm Condition
When the infusion pump detects a problem, four things occur:
The infusion stops  An audible alarm is activated  A message appears on the display screen indicating the cause of the alarm, and  The LED indicator will change from green to red
NOTE: Pressing during an alarm mutes the alarm for two minutes.
Troubleshooting
Description
Result
Possible Cause
Required Action
Air in Line
Infusion stops and an alarm is activated Air is present in dministration Set.
Disconnect line from patient, press . Remove the air,
as described on priming section.
The roller or clip on the administration set is closed upstream of the pump.
Open clamp/clip.
The line was not loaded correctly.
Re-load the IV line.
Down Occlusion
Infusion stops and an alarm is activated
The roller or clip on the administration set is closed downstream of the pump.
Open clamp/clip.
Administration set is kinked.
Straighten the set.
Cannula is blocked.
Change the Cannula.
Administration set loaded incorrectly.
Re-load the IV line.
NOTE: Operator may change pressure setting.
Refer to “Setting Down Occlusion” section.
TPN 10:00 - 80% ██
Down
Occlusion
Check Line Press key to mute
TPN 10:00 - 80% ██
Air/Up
Occlusion
Press key to mute
5 – Alarm Conditions and Troubleshooting
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Description
Result
Possible Cause
Required Action
Pump Unattended
An alarm is activated
Two minutes has elapsed without a button press during programming.
Press to resume.
Door Open
Infusion stops and an alarm is activated
The door of the pump was not closed prior to operation.
Close the door of the pump.
The door has accidentally opened during operation.
Send the pump for service.
Low Battery
Pump will only run for another 30 minutes if it is not connected to mains.
30 Minutes of battery life are remaining.
Place the pump in charger and connect to mains.
End Battery
Pump operation stops. The pump cannot be used before being connected to mains.
Battery is depleted
Place the pump in charger and connect to mains. Wait 2 minutes before operating.
TPN 10:00 - 80% ██
Door Open
Close door
TPN 10:00 - 80% ██
Pump Paused Too Long
Press key
TPN 10:00 - 10% ██
Low Battery
Connect to Charger
TPN 10:00 - 2% ██
End Battery
Connect to Charger
5 – Alarm Conditions and Troubleshooting
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Description
Result
Possible Cause
Required Action
Fatal Error
Infusion stops
Fatal internal error has occurred
Restart the pump. If the alarm does not stop pack the pump properly, in its original packaging, and send it for service.
End Program
Program ends, pump will turn to KVO mode
Current infusion program has been completed.
Press to restart a new program or turn the pump OFF.
Missing Key
Pump will not start
Administration set loaded incorrectly (the key was not located in its place correctly).
Reload the set into the pump as per the instructions.
The administration set was not loaded or has been loaded incorrectly.
Change the set and load it according to instructions.
Program Lock Out
Setting cannot be changed
Lock Out mode is turned on.
No action required. If changing program is required, unlock the pump and refer to lock section for further instructions.
TPN 10:00 - 80% ██
Restart Pump
Switch off & on
ERROR XX
TPN 10:00 - 80% ██
End of infusion
Press Key to renew
TPN 10:00 - 80% ██
Missing Set Key
Load Set Key & Close Door
TPN 10:00 - 80% ██
TPN
Locked
5 – Alarm Conditions and Troubleshooting
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Description
Result
Possible Cause
Required Action
Keypad Lock Mode
Setting keys do not function
Lock Out mode is turned on.
No action required. If changing parameters is required, unlock the keys and refer to lock section for further instructions.
Wrong TPN data
Program will not start operating
The set parameters are impossible to perform. Volume or time parameters are incorrect
Check data and change accordingly.
TPN 10:00 - 80% ██
Keypad Lock Mode
████████████████
OFF ON
TPN 10:00 - 80% ██
Wrong Program Data Check Data
6 – Specifications
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6 – Specifications
Pumping Mechanism:
Piston Pump
Flow Rate:
PCA: 0 to 100 ml/hr in 0.1ml increments All other programs: 0.1 to 100 ml/hr in 0.1ml, 100 to 1200 ml/hr in 1 ml increments.
Priming Rate:
1200 ml/hr
Total Infused Volume:
PCA: 0.1 to 1,000 ml. Continuous, TPN, Intermittent: 0.1 to 9999 ml 25 Steps: 0.1 to 9999 ml for each step Accumulated volume for all steps: up to 10 liters
Total Time Setting:
100 hours
Accuracy:
±3% after 15 minutes of operation. Accuracy for first 15 minutes less than ±7.5%.
KVO rate:
0 to 5 ml/hr
Air Sensor:
Ultrasonic, adjustable air bubble size OFF – 2.0 ml
Maximum Pressure:
Adjustable 100mHg to 1500mmHg (in 10mmHg increments)
Time to alarm for maximum occlusion pressure:
Power Supply:
1h and 45 min at a rate of 0.1ml/h; 30 min at a rate of 1ml/h
100-240 VAC, 50/60 Hz. 0.3A max.
Battery:
Rechargeable, Li-Polymer 7.4V, 1800mAh (Typical)
Battery Operation at 125 ml/hr:
15 hours (Rechargeable)
Battery Charging:
Automatic when clicked into the Charger that is connected to an AC power source. Six hours needed to charge a fully-depleted battery.
Alarms:
When a problem is detected, the VET-PRO VIP 2000 displays the following alarms:
Air in line  Down Occlusion  Pump Unattended  End Program  Low Battery  End Battery  Door Open  Fatal Error  Lock Mode  Lock Out Mode  Missing Key
NOTE: When this symbol is seen, consult accompanying documents.
VET-PRO VIP 2000 Dimensions:
112 x 89 x 40mm. (L x W x H).
Hardware Connectivity
RS232 Serial Port (Optional)  802.11 WiFi (Optional)
6 – Specifications
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Software Connectivity
BodyCommTM (Optional) Remote Monitoring System (Optional)
Classification:
Type CF Equipment (degree of protection against electrical shock), Class II
Moisture Protection
IPX3
Housing:
PC/ABS (fire retardant)
Weight:
280 grams without battery 390 grams with battery
Electrical Safety:
Complies with: EN 60601-1 (Medical Electrical Equipment Safety), IEC 60601-2-24 (Infusion pumps and controllers), IEC 60601-1-4 (Programmable Electrical Medical System)
Standards:
Manufactured in accordance to ISO 9001:2008 and ISO 13485:2003 CE marked (In accordance with the Medical Devices Directive 93/42/EEC)
EMC:
The VET-PRO VIP 2000 infusion system is designed to be in compliance with EN 60601-1 (safety) and IEC 601-1-2 (EMC).
Environmental Specifications:
Non Operating Conditions (Transportation and Storage): Temperature: -25oC to 50 oC (-13 oF to + 122 oF) Humidity: 5 % to 100% R.H., non-condensing Air pressure: 48kPa to 110kPa
Operating Conditions:
(The system may not meet all performance specifications if operated outside of the following conditions)
Temperature: +18oC to +45 oC (+59 oF to + 113 oF) Humidity: 20 % to 90% R.H. at +40 oC, non-condensing Air pressure: 70kPa to 110kPa
IV Administration set
PVC Tubing 3x4.1mm (IDOD), shore 65 +5
7 – Service and Maintenance
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7 – Service and Maintenance
Cleaning
Before connecting the pump to a patient, and periodically during use, clean the unit using a lint-free cloth lightly dampened with warm water and a mild detergent or disinfectant.
Warning: Always turn the pump off and remove the battery before cleaning.
Warning: Always unplug the charger from AC power before cleaning.
Caution: Do not clean the pump or charger with chemicals such as Xylene, Acetone or
similar solvents. These chemicals can cause damage to plastic components and paint. Use a lint-free cloth dampened with warm water and a mild detergent or disinfectant.
Caution: Do not soak or immerse any part of the pump or charger in water.
Storage
If the pump is to be stored for an extended period, it should be cleaned and the battery fully charged. Store in a clean, dry atmosphere at room temperature and, if available, employ the original packaging for protection.
Perform functional tests and ensure that battery is fully charged once every three months.
Periodic Maintenance
Periodic maintenance (PM) is recommended every 1 year. The PM is designed to assure the pump's accuracy and detect and repair any potential pump inconsistencies prior to their occurrence in the field. During the PM, a biomedical engineer or trained technician should perform the following procedures:
Clean the pump thoroughly Visually inspect the pump to verify its structural integrity Perform all the manual tests in the Change Set Up menu Perform calibration procedures as per the Service Manual Run the pump for several hours to make sure no abnormalities occur during infusion such as
alarms, inaccurate infusion, and battery inconsistencies.
NOTE: All operations should be performed by a certified CME technician.
NOTE: It is in the technician's responsibility to repair any faults found during the PM.
7 – Service and Maintenance
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Battery Operation
The VET-PRO VIP 2000 pump can operate on battery power which enables operation when the patient is being moved or during electrical power failure. When the pump operates on battery power, the AC icon is off. At full charge, the standard battery provides up to 15 hours of operation at an infusion rate of 125 ml/hr.
Warning: Do not operate the pump on AC power if the battery is not loaded in the pump
for back up.
NOTE: When the pump is not in use, click the pump into the Charger and plug the system
into an AC wall outlet (if possible) to charge battery.
NOTE: After the End Battery“ signal has been activated or following long periods of storage,
wait 2 minutes after the pump has been connected to an AC power supply before operating.
Caution: Leaving the battery in an uncharged state for a long period of time may damage
the battery.
NOTE: Whenever possible, use the pump connected to an AC power supply via the charging
unit. This preserves the battery power supply for emergency use or for situations where the AC power is not available.
NOTE: Replace the battery once every two years.
NOTE: Hours of battery operation may vary depending on pump usage and/or the battery's
condition.
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LIMITED WARRANTY
The VET-PRO VIP 2000 infusion pump has been carefully manufactured from the highest quality components.
Caesarea Medical Electronics Ltd. (CME) guarantees the pump against defects in material and workmanship for twelve (12) months from date of purchase by the original purchaser.
CME’s obligation, or that of its designated representative under this Limited Warranty, shall be limited, at CME’s option, or that of its designated representative, to repairing or replacing
pumps, which upon examination, are found to be defective in material or workmanship. The repair or replacement of any product under this Limited Warranty shall not extend the above­mentioned Warranty period.
All repairs under this Limited Warranty should be undertaken only by qualified, trained service personnel. In the event that a pump is found to be defective during the warranty period, the purchaser shall notify CME or its designated representative within thirty (30) days after such defect is discovered.
The defective pump should be sent immediately to CME or its designated representative for
inspection, repair or replacement. Shipping costs are the purchaser’s responsibility.
Material returned to CME or its designated representative should be properly packaged using CME shipping cartons and inserts. Inadequate packaging may result in severe pump damage.
This Limited Warranty shall not apply to defects or damage caused, wholly or in part, by negligence, spilt fluids, dropping of the pump, misuse, abuse, improper installation or alteration by anyone other than qualified, trained personnel; or to damage resulting from inadequate packaging in shipping the pump to CME or its designated representative.
If, after inspection, CME or its designated representative is unable to identify a problem, CME or its designated representative reserves the right to invoice purchaser for such inspection.
This Limited Warranty is the sole and entire warranty pertaining to CME’s products and is in lieu of and excludes all other warranties of any nature whatsoever, whether stated, or implied or arising by operation of law, trade, usage or course of dealing, including but not limited to, warranties of merchantability and warranties of fitness for a particular purpose. Purchaser
expressly agrees that the remedies granted to it under this limited warranty are purchaser’s sole
and exclusive remedies with respect to any claim of purchaser arising under this Limited Warranty.
Managing Director
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