VET-PRO
VIP 2000
Veterinary Infusion Pump
Operator's Manual
EDITION March 2013
Ref.: 100-090XV
Manufacturer:
Caesarea Medical Electronics Ltd.
23 Staufenburg st.
72805 Lichtenstein, Germany
T: +800-323-575-00
E: sales@cme-infusion.com
W: www.cme-infusion.com
VET-PRO operator’s manual
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LIMITED WARRANTY
The VET-PRO 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, spilled 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
VET-PRO operator’s manual
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Contents
LIMITED WARRANTY ............................................................................................ 2
INTRODUCTION ....................................................................................................... 5
GLOSSARY ................................................................................................................. 6
SAFETY PRECAUTIONS ......................................................................................... 7
SPECIFICATIONS ..................................................................................................... 9
TECHNICAL DESCRIPTION ................................................................................ 11
VET-PRO –WITH DOOR OPEN ........................................................................... 16
THE CHARGER ....................................................................................................... 17
UNPACKING ............................................................................................................ 18
LOADING THE ADMINISTRATION SET .......................................................... 18
FLUSH OPERATION .............................................................................................. 19
VET-PRO - OPERATION ....................................................................................... 20
PUMP OPERATION TEST ..................................................................................... 20
AIR IN LINE - ALARM TEST ................................................................................ 21
DOOR OPEN - ALARM TEST ............................................................................... 22
DOWN OCCLUSION - ALARM TEST ................................................................. 23
CHARGE INDICATOR TEST ................................................................................ 23
PROGRAMS .............................................................................................................. 24
CHANGING CURRENT PROGRAM .................................................................... 25
PRESSURE SETTING ............................................................................................. 27
BASIC OPERATION ............................................................................................... 28
CONTINUOUS PROGRAM .................................................................................... 29
25 STEPS PROTOCOL ............................................................................................ 32
TPN PROGRAM ....................................................................................................... 34
INTERMITTENT PROGRAM ............................................................................... 37
PCA PROGRAM – WITH PROTOCOLS ............................................................ 40
HISTORY .................................................................................................................. 46
INFO MODE ............................................................................................................. 47
PROGRAM DELAY ................................................................................................. 49
PROGRAM COMPLETED ..................................................................................... 50
CHANGING THE FLUID CONTAINER .............................................................. 51
LOCKING .................................................................................................................. 52
HOW TO LOCK ....................................................................................................... 53
BATTERY OPERATION ........................................................................................ 55
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LOW BATTERY ....................................................................................................... 55
END BATTERY ....................................................................................................... 55
CLEANING AND STORAGE ................................................................................. 56
ALARMS CONDITIONS ......................................................................................... 57
ALARMS .................................................................................................................... 57
TROUBLESHOOTING ............................................................................................ 58
SHOW SETTING ...................................................................................................... 60
ADJUST SETTING ................................................................................................... 62
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Introduction
This Manual Provides directions for the setup and operation of the VET-PRO
Pump
VET-PRO Features
Small, light and compact pump.
Multi Programs:
CONTINUOUS
Continuous program.
Infusion Rate: 0.1 to 1200 ml/hr.
Volume: 0.1 to 9999 ml.
User 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.
Rate Taper program, with programmable up
and down times
INTERMITTENT
A set Dose delivered in set intervals. Between
Intervals the pump will allow a base rate or
KVO.
PCA
Patient Control Analgesia, continuous delivery
plus /or programmed boluses.
Bolus Rate: 0.1-1000 ml/h
Highly accurate fluid delivery.
Operated with a customized safe administration set
Rechargeable internal battery
Can be latched into a Charger, which is mounted on an IV pole
A.B.S. Anti-Bolus System
Silent operation
25 STEPS
TPN
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Glossary
Terms used in manual:
Note:
Essential operating procedure or condition.
Caution:
A precaution which, if not followed, could result in extensive
damage to the equipment.
Warning
A precaution, which, if not followed, can result in personal
injury or loss of life.
VET-PRO operator’s manual
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Safety Precautions
Warning
To avoid possible personal injury or loss of life, observe the following:
Note: Read the entire Operation Manual before using the pump, since the
text includes important precautions.
Disconnect the Charger from the mains, prior to opening the casing.
Voltage present on internal components may cause severe shock or death
on contact. Only trained service personnel should open the pump cover.
Before servicing pumps connected to mains via the Charger - remove
rings, watches, and other jewelry, which may present a shock / burn
hazard.
To prevent 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).
The equipment is not suitable for use in the presence of flammable gases
– e.g. air/oxygen/nitrous oxide mixture.
Watch your fingers / nails when opening the pump door.
To avoid possible injury to patient, observe the following:
Warning
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. In order to disconnect from the mains, take the
charger cable out of the mains. In order to disconnect pump
from the mains, take it out of the charger.
Note:
To avoid battery damage do not leave the pump battery in a
temperature more than 500C
Make sure the pump is attached securely to the Charger, which is
connected snugly to an IV pole.
If the pump is dropped, return the pump for inspection by qualified
service personnel.
Before operation, verify that administration set tubing is not kinked or
occluded.
!
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This pump should be operated only with the IV set that the pump is
calibrated for.
Use of incorrect administration sets may impair the operation of the
pump and the accuracy of the infusion.
Warning:
The BodySet is not suitable to use with Taxol.
Note:
The maximum volume that may be infused under SINGLE FAULT
CONDITION is 0.1 ml
CAUTION
To avoid possible damage to the equipment, observe the
following:
Do not immerse the pump in liquids.
Clean solution spills on the pump immediately. Use a damp
cloth or sponge. A cleaning disinfectant may be used. Wipe
thoroughly with a dry cloth.
Do not clean pump with chemicals such as Xylene, Acetone or
similar solvents. These chemicals cause damage to plastic
components and paint.
Warning:
Any adjustments, maintenance, or repair of the uncovered
pump while connected to the power should be avoided. If
necessary, these repairs should be carried out by skilled
technicians who are aware of the hazards involved.
Warning:
The pump should be operated within a temperature range of
15C to 35C. and at up to 85% humidity
Do not operate the pump near high-energy radio-frequency
emitting equipment, such as electro-surgical cauterizing
equipment, and cellular telephones. False alarm signals may
occur.
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Specifications
Pumping Mechanism:
Piston Mechanism
Flow Rate:
PCA: 0 to 100 ml/hr in 0.1ml increments
All other programs: 0.1 to 1200 ml/hr in 0.1ml or
1 ml increments.
Total Infused Volume:
PCA: 0.1 to 1,000 ml.
Continuous, TPN, Intermittent: 0.1-9999 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:
± 5 %.
KVO rate:
0.1 to 5 ml/hr. (to be set)
Air Sensor:
Ultrasonic, adjustable air bubble size
Maximum Pressure:
0.7 bar or 10 psi Adjustable (high/normal/low)
Power Supply:
110-240 VAC, 50/60 Hz. 20 W
Battery:
Li-Ion 7.2V, 1800mA. (Rechargeable)
Battery Operation at 125 ml/hr
15 hours
Battery Charging:
Automatic when latched into the Charger
connected to an AC power source (4 hours)
Alarms:
End Program
Low & End Battery
Air in line
Down Occlusion
Door Open
Pump Unattended
Internal Malfunction
Locking state
Missing Key
Dimensions:
112 x 89 x 32mm. (L x w x h).
Symbol
Attention (Consult accompanying documents)
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Classification
Type CF Equipment
(degree of protection against electrical shock)
Housing:
ABS (fire retardant)
Weight
280 gr. without battery
390 gr. 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), UL 2601- 1 and CAN/CSA C22.2 No
601.1.
Standards
Manufactured in accordance to ISO 9001:2000
and ISO 13485:2003
CE marked (In accordance with the Medical
Devices Directive 93/42/EEC)
EMC
The BodyGuard 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: +15oC to +45 oC
(+59 oF to + 113 oF)
Humidity: 20 % to 90% R.H. at +40 oC, noncondensing Air pressure: 70kPa to 110kPa
VET-PRO operator’s manual
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Technical Description
The following details outline the safety checks designed into the VET-PRO
infusion pump, to minimize the possibility of under / over infusions.
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 set 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 set line pressure through the in-line pressure detection system. This feature
prevents an inadvertent fluid bolus to the patient, which may occur upon the release
of an occlusion, caused by a downstream clamp.
Air-in-Line Accumulation
To improve the detection of air in the IV administration set, the VET-PRO
Infusion Pump utilizes an air-in-line accumulation detection system in addition to
the standard single bubble detection. This feature monitors the volume of air that
passes through the IV administration set by accumulating the volume of individual
bubbles over a moving 0.5 milliliter window. The limit is configurable. Although
an individual bubble may not exceed the pre-programmed threshold, the cumulative
volume of bubbles in a 0.5 milliliter volume may exceed that limit and initiate an
air-in-line alarm. 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
VET-PRO operator’s manual
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Trumpet and Flow Rate
In VET-PRO, 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, shortterm 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.
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 intravascular integration, the clinical effect
cannot be determined from the trumpet curves alone.
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 601-2-24 standard.
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Start-Up Graph at 1.0 ml/h (Initial Period)
Using BodySet
Time (minutes)
Trumpet Graph at 1.0 ml/h (Initial Period)
Using BodySet
Overall Mean Error = -0.1% Max Rate Error = 8%
Trumpet Graph at 1.0 ml/h (After 4 Hours)
Using BodySet
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Overall Mean Error = -1.1% Max Rate Error = 6%
VET-PRO Front View
No.
Description
Function
1.
Display
Displays: Selected Infusion Rate, Total Time,
Time Delay, Volume To Be Infused and
Volume Infused.
2.
START/ OK Key
START
OK
Starts pump operation and delivery.
Confirms selection and setting.
3.
STOP/NO key
STOP
NO
Silences an alarm condition and pauses
operation.
Zeroes the displayed value during setting
Press to return to previous screen
4.
Numeric Keyboard
Used to set the RATE, TIME limit and VTBI.
Dial the required number.
Pressing NO will erase the last digit.
Rate: 125 ml /h
Press OK for Volume
2
5
8
7
3
0
4
5
6 9 01
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5.
Arrow keys
2 0
Enable scrolling through options.
6.
Syringe key
Pressing Syringe key during data setting:
Enable Flushing procedure.
Flushing default volume: 4 ml.
Pressing Syringe key during PCA program
operation:
Enable bolus procedure.
7.
On / Off key
Turns the pump on and off.
To turn the pump on press until the
self- test screen appears
To turn the pump off press until the
OFF Graph is all black and a beep is
sounded.
8.
Operation LED
Green Indicator: Lights during system self-test
An intermittent green light indicates infusion
delivery.
Red Indicator: Indicates an alarm state with a
continuous red light Lights when the pump is
in a stand-by mode during programming.
9.
Door Latch
Opens the pump door.
Lift to open the door.
10.
Info key
i
Pressing Info key supplies information about
the pump and its programs (see info mode
chapter).
FLUSH 2 ml
0 4
B Volume, ml.
O
L
U
0 2.8 5
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VET-PRO –with door open
No.
Description Function
1.
Latch holder
Holds the door closed when latch is in vertical
position.
2.
Pressure sensor
Detects downstream tubing restriction and
occlusion. Alarm level can be adjusted to suit
patient needs.
3.
Tubing Guide
Guide the administration set
4.
Pressing Plate
Connected to the door by 2 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.
2 1 3 4 5
6
7
VET-PRO operator’s manual
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The Charger
IV Set Requirements
The VET-PRO pump should be operated only with the IV sets that the
pump has been calibrated for.
Warning:
Do not operate the pump with any administration set, other
than what it has been calibrated for as doing so will cause the
rate and flow measurements to be incorrect.
No.
Description
Function
1.
Display
Display infusion data
2.
Release Handle
Push to release the pump from the Charger.
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 it is used at home.
1
2
VET-PRO operator’s manual
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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 Infusion Pump
Charger
Battery Pack
Operator’s Manual
If any items are missing or damaged, contact your VET-PRO supplier.
Loading the Administration Set
Note:
Follow the Instructions supplied with the individual
administration set.
Use of any administration set, other than the IV set that the
pump is calibrated for, may impair the operation of the pump
and the accuracy of the Infusion.
1.
Lift the door latch to open the pump door.
2.
Insert the IV tubing into the tubing guide, following the direction flow label
located above the tubing slot. Insert the tubing from left to right, and avoid
stretching or pulling the tubing. Check key is located in correct position.
3.
Close the pump door. Press on the door to close firmly, ensure that the latch
is correctly applied.
Note:
Ensure that the tubing is inserted completely into the pumping
channel.
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Flush Function (Priming)
Flush Function is used:
1.
Before starting a program (see instruction below);
2.
After the air in line alarm, as follows:
Press STOP/NO key to mute the alarm. Disconnect IV tubing from
patient; press the SYRINGE key to push air bubbles through.
When flushing is completed press START/OK key to resume program.
Flush operation
1.
Switch on the pump using the ON/OFF key. (Press until the self-test screen
appears). After a short self-test, the pump will display the program setting and
status followed by the last setting rate.
2.
Press the SYRINGE key to flush the
administration set.
ENSURE THE SET IS NOT CONNECTED
TO THE PATIENT !!
FLUSH
Press OK to start
3.
Press the START/OK key to start flushing.
4.
The display will show a graph indicating the flush
operation.
FLUSH 2 ml
0 4
5.
Once the flushing is completed, the display will change back to the previous
screen the pump was in, before flushing.
5.
To stop flushing, press the STOP/NO key.
Note:
The flushing rate can be adjusted, in “adjust setting”
options, up to 1200 ml/h. The default is 600 ml/hr. During
flushing the air in line alarm is disabled.
Warning
Always disconnect IV tubing from patient before starting
flushing procedure.
VET-PRO operator’s manual
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VET-PRO - Operation
Before attaching the VET-PRO to a patient, run the following tests to verify that all
indicators and alarms work properly.
When an alarm is activated the following will occur:
1.
An alarm message will appear on the display.
2.
An audible alarm will be sounded.
3.
Infusion will cease.
Pump Operation Test
1.
Click the pump into a Charger connected to AC power.
Verify that the CHARGE indicator is on (on charger).
2.
Load an administration set in the pump (as described on page 21).
3.
Switch on the pump using the ON/OFF key (press until the
self-test screen appears).
4.
The pump will display "Self Test" followed by the program selected and its
status. During the self-test a long beep will be performed. This procedure
verifies that the pump’s acoustic and visual features are working properly.
After overview, the display will show the last rate setting.
5.
Press the SYRINGE key to flush the
administration set.
FLUSH
Press OK to start
6.
Press the START/OK key to start flushing.
7.
The display will show a graph indicating the
flushing operation.
FLUSH 2 ml
0 4
8.
When flushing is completed, wait without
pressing any key. Verify that when two
minutes have passed without any key being
pressed an audible alarm is activated and a
“Pump Unattended” message appears on the
display.
Pump Unattended
Press start key
9.
Press the START/OK key to silence the alarm.
VET-PRO operator’s manual
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Air in Line - Alarm Test
1.
Lift the door latch to open the pump door. Insert the proper IV tubing into the
guide of the pump (as described in page 21). Make sure direction of flow is
correct.
2.
Close the door. Press the door until a click is heard.
3.
Set the infusion rate at 500ml/hr, using the
Numeric keyboard.
Rate 500 ml/h
Press OK for Volume
4.
Set Volume at 20 ml.
Volume 20 ml
Press OK to start
5.
Press the START/OK key to start operation. Turn the drip chamber
(applicable to BodySet only) upside down, to allow an air bubble greater than
5 mm to enter into the administration set.
6.
AIR alarm will be activated as soon as the air
bubble enters the set segment located behind
the pump door.
Air in Line
Clean air
7.
Press the STOP/NO key to turn the alarm off.
8.
STOP appears on the display.
STOP
2 min
Press OK to start
VET-PRO operator’s manual
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Door Open - Alarm Test
1.
Insert an administration set into the pump (as described in page 21) and flush
it.
2.
Set the infusion rate at 500ml/hr, using the
numeric keyboard.
Rate 500 ml/h
Press OK for Volume
3.
Set Volume at 20 ml.
Volume 20 ml
Press OK to start
3.
Press the START/OK key to start operation.
4.
Open the pump door.
5
Door Open alarm will be activated at once.
Door Open
Close door
6.
Close the door.
7.
STOP appears on the display.
STOP
2 min
Press OK to start
VET-PRO operator’s manual
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Down Occlusion - Alarm Test
1.
Insert an administration set into the pump and flush it.
2.
Set the infusion rate at 500ml/hr.
Rate 500 ml/h
Press OK for Volume
3.
Set Volume at 20 ml using the numeric
keyboard.
Volume 20 ml
Press OK to start
4.
Occlude the administration set (between the pump and the patient).
5.
After 10 seconds Down Occlusion alarm will be
activated (At a rate of 60 ml/hr the Down
Occlusion alarm will occur after 60 sec. at a rate
of 1 ml/hr after 13 min.)
Down Occlusion
Press STOP to mute
6.
Press STOP/NO key to silence the alarm.
7.
STOP appears on the display.
STOP
2 min
Press OK to start
Note:
The pressure threshold can be changed to suit patient need
Charge Indicator Test
1.
Click the pump into the Charger, connect the Charger to the mains and check
on the Charger that the pump's battery is being charged (red led for charging
and green led if the battery is full). 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 on the Charger is on.
VET-PRO operator’s manual
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Programs
The VET-PRO infusion pump features 5 different programs.
Following are the specifications for each program:
CONTINUOUS program
Rate: 0.1 to 1200 ml/hr
Total volume to be infused: 0.1 to 9999 ml.
25 STEPS program
User can design a specific protocol, for drug delivery,
which contains up to 25 steps.
Infusion Rate: 0.1 to 1200 ml/hr.
Volume: 9999 ml. For each step.
Accumulated volume for all steps- up to 10 liters.
TPN program
To be used for Total Parenteral Nutrition
The 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
maximal rate for verification.
INTERMITENT program
To be used for setting a Dose regiment, at set intervals.
PCA program
To be used for Pain Relief.
The PCA program combines basil rate and pre-programmed
Boluses.
Rate: 0 to 100 ml/hr.
Total volume to be infused: up to 1000 ml
VET-PRO operator’s manual
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Changing Current Program
1.
Switch the pump on by pressing ON/OFF key.
2.
When the screen of Rate appears, press info key twice.
3.
Use ARROW keys to scroll to "Adjust Setting"
option.
Volume Infused
Show Setting
=> Adjust Setting
4.
Choose "Adjust Setting" with START/OK key.
5.
Use ARROW keys (2↑, 0↓) to scroll to "More".
Buzzer level
=> More …
Show Setting
6.
Confirm with START/OK key.
7.
Set technician Code (Code 901), using the
numeric keyboard and confirm with
START/OK key.
Technician
901
Code
8.
Scroll through the presetting parameters, using
the ARROW keys (2↑, 0↓), until the "Select
Program " option. Confirm with START/OK
key.
Pressure Default
=> Select Program
Flushing Volume
9.
Choose the required program, using the
ARROW keys, and confirm with the
START/OK key.
Select program:
=> CONTINUOUS
TPN
10.
Choose “Restart Pump” Option and confirm
with the START/OK key.
History
=> Restart Pump
Pressure Default
Note:
The selected program will remain in the pump’s memory until
changed by the user.
VET-PRO operator’s manual
26
Note:
User may change programs using the Short Cut:
1.
When switching the pump on, after a short Self
Test, the pump will display the last selected
program for 5 seconds. During this time, press
the STOP/NO key for 2 sec. (Pressing any other
key will elapse the pump to the Rate screen).
C
O
N
T
CONTINUOUS
PROGRAM
Press NO to change
2.
The screen will show the “Select Program”
menu.
Select program:
=> CONTINUOUS
TPN
3.
Choose the required program, using the ARROW keys,
and confirm with the START/OK key.
Note:
If the current selected program is PCA, the Short Cut option is not
available.
VET-PRO operator’s manual
27
Down Occlusion Setting:
1.
Switch the pump on, by pressing ON/OFF key
2.
When the screen of Rate appears, press info key twice.
3.
Use ARROW keys (2↑, 0↓) to scroll to "Adjust
Setting" option.
Volume Infused
Show Setting
=> Adjust Setting
4.
Choose "Adjust Setting" with START/ OK key.
5.
The option selected is “pressure level”.
Adjust setting:
=> Pressure Level
Buzzer Level
6.
Confirm with START/OK key.
7.
Choose the desired pressure level, using the
arrow keys (2↑, 0↓).
Pressure setting
High
10 psi
Adjust ↑↓ & press OK
8.
Press the START/OK key to store the parameter in the pump’s memory.
Note:
The following pressure parameters can be set:
Low = 5 psi (0.3 bar)
Normal = 7.5 psi (0.5 bar)
High = 10 psi (0.7 bar)
Note:
The selected pressure setting will remain in the pump’s memory
only until turning off (and then return to the default - HIGH).
Note:
In the event a down occlusion situation occurs, the patient is
protected by an anti-bolus feature, which prevents bolus delivery
to the patient when the downstream occlusion is released.
VET-PRO operator’s manual
28
Basic Operation
The VET-PRO pump was designed for the Veterinary market.
Connection of Pump to IV Pole
1.
Connect the IV set to the medication bag. Mount 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 insert the administration set into the pump’s
tubing guide .
5.
Switch the pump ON using the ON/OFF key
(press until the self-test screen appears).
6.
The program and status will appear on the
display followed by the last rate setting.
C
O
N
T
CONTINUOUS
PROGRAM
Press NO to change
7.
Flush the administration set by pressing the SYRINGE key, and confirm
with START/OK.
8.
Set the required program and continue as described for every program setting.
9.
Verify that infusion proceeds normally before leaving the pump unattended.
Portable Connection:
1.
Connect the IV set to the medication bag.
2.
Open the door of the pump and insert the administration set into the
pump’s tubing guide .
3.
Switch the pump ON using the ON/OFF key (press until the self-test screen
appears).
4.
Flush the administration set by pressing the SYRINGE key, and confirm
with START/OK.
5.
Set the required program and continue as described for every program setting.
6.
Verify that infusion is proceeding normally and insert the bag and pump into
the carrying bag.
VET-PRO operator’s manual
29
Continuous Program
Switch the pump ON using the ON/OFF key.
Pump displays program name and status. The
status is either "Lock out" or "program" .
C
O
N
T
CONTINUOUS
PROGRAM
Press NO to change
C
O
N
T
CONTINUOUS
LOCK OUT
Program Setting
Note:
Whenever you decide to set a new program, follow
instructions at the bottom of screen.
Rate over Volume
Rate 500 ml/h
The pump will display the last set rate.
Use the numeric keys to change or
press START/OK to confirm.
1.
Press OK for Volume
Rate: 500 ml/h
During operation the pump allows
rate titration, by pressing a
numeric or digital point key.
Note:
Adjust & press OK
The rate on the display will change during titration, however
operation rate will change only if the START/OK key is
pressed within 10 seconds confirming the rate change. If the
rate change is not confirmed within 10 seconds, the pump
will continue operation on the original rate, and the display
will return to the previous rate set.
VET-PRO operator’s manual
31
From the STOP mode, the user may return to the Rate screen
by pressing twice on one of the numeric keys.
Note:
During stop or data setting mode, use the STOP/NO key to
return one step backwards: First press will erase the last digit
displayed, once all the digits are erased, pressing the
STOP/NO key will display the previous screen .
Note:
Volume 456 ml
When the Rate is confirmed, the
pump will display the last set volume
(if the time option is set off). Use the
numeric keys to change the Volume
or press START/OK to confirm and
start the program operation.
2.
Press OK to start
Rate
250 ml/h
During program operation, the pump
will display the rate in which the
program is operating.
3.
-If one of the values is changed during the programming
mode, the pump will not store the new value, unless changes
are confirmed by pressing the START/OK key.
-If the flush key is activated during data setting, the pump
will return to the original (previous) screen, once flushing is
completed.
Note:
Resume Press OK
C
O
N
T
In the event the program is in lock mode or if
the time option is on and the previous program
has been interrupted the pump will display the
Repeat/Resume screen.
Repeat Press NO
To continue the previous program (from where it stopped) press the
START/OK key.
To repeat the previous program from the beginning, or start a new
program (if pump is not in lock mode) press the STOP/NO key.
VET-PRO operator’s manual
30
Volume over Time
Volume 456 ml
C
O
N
T
If time option is on (adjust setting –
see p. 71) after displaying program
name and status, pump will display
last set volume, set or confirm the
displayed number by pressing the
START/OK key.
1.
Press OK key
C
O
N
T
The display will show the time
screen, set the time, for a volume
over time program, and press
START/OK to start operation.
2.
Press OK key
Time setting options:
A.setting 4 digits: 2 first digits will represent hours and the other 2 will
represent minutes
B.setting 2 digits for full hours
C.setting 1 digit for hours and using the digital point to set minutes.
D.using the digital point to set only minutes.
Rate
250 ml/h
During program operation, the pump
will display the rate in which program
is operating.
3.
-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 the START/OK key.
-If the flush key is activated during data setting, the pump
will return to the original (previous) screen, once flushing is
completed.
Note:
VET-PRO operator’s manual
32
25 Steps Protocol
In the 25 steps program, the user can set up to twenty-five different
steps.Each step has its own rate and volume.The steps accumulation is
limited to a Volume of 10 liters. Protocol steps are delivered one after
another, sequentially, until all steps are completed.
Switch the pump ON using the ON/OFF key.
Pump displays program name and status. The
status is either "Lock out" or "program".
S
T
E
P
25 - Steps
PROGRAM
Press NO to change
S
T
E
P
25 - Steps
LOCK OUT
Program Setting
Note:
Whenever you decide to set a new program, follow the
instructions at the bottom of the screen.
-If one of the values is changed during the programming
mode, the pump will not store the new value, unless changes
are confirmed by pressing the START/OK key.
-If the flush key is activated during data setting, the pump
will return to the original (previous) screen, once flushing is
completed.
Note:
1.
The pump will display the previous rate for the
first step. Set a new rate, using numeric keys,
or confirm pressing START/OK.
Step 1 Rate
100 ml/h
Press OK for Volume
2.
Pump will display the previous volume for first
step. Set a new volume, or confirm pressing
START/OK key.
Step 1 Volume
1000 ml
Press OK to continue
3.
Pump will display the rate for step 2. Repeat directions as for step 1 and
repeat through all the steps required, up to 25.
VET-PRO operator’s manual
33
4.
After last required step, set rate to zero. This
indicates that all data required for the protocol
has been set. All protocols following the last
set protocol, will be automatically zeroed
.Press START/OK to confirm.
Step 11 Rate
0 ml/h
Press OK for Volume
5.
After last step rate was set to zero or after 25
steps are completed, the pump will display the
accumulated data setting, to enable comparison
and verification. Press START/OK to start the
program or STOP/NO to scroll through all the
protocol settings again.
Total Steps 10
Total Volume 5000ml
Press OK to start
6.
During the program operation, the display
updates the user on which step the pump is
running.
S
T
E
p
Rate Step 1 of 10
100 ml/h
Pressing the STOP/NO key shall erase the last digit. Once
no digit is displayed, pressing the STOP/NO key will
change the screen to show the previous display.
Note:
VET-PRO operator’s manual
34
TPN Program
Total Parenteral Nutrition - This mode delivers an infusion while
automatically tapering up and down. The pattern of the program is a
trapezoid.
Rate
Time
On a TPN Program the user 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. The pump displays the maximal rate, as calculated, from the set
parameters. The maximal rate display is used to verify that the setting
corresponds to the requested data, and to ensure that the maximal rate is
suitable to the patient.
Up and down time can be set to zero. A TPN program with up and down
time set to zero, is a continuous program.
Switch the pump ON using the ON/OFF key.
Pump displays program name and status. The
status is either "Lock out" or "program".
T
P
N
TPN
PROGRAM
Press NO to change
T
P
N
TPN
LOCK OUT
T1 T2 T3
Max Rate
T1 = Time UP
T2= Time FLAT
T3= Time DOWN
VET-PRO operator’s manual
35
In the event a TPN program was interrupted
and was not completed, the pump will display
the Resume/Repeat screen.
To continue the interrupted program, press the
START/OK key.
To repeat the previous program or start a new
program, press the STOP/NO key.
T
P
N
Resume Press OK
Repeat Press NO
If you choose to complete an interrupted
program, the pump will display interrupted
program data. Scroll with the ARROW keys to
check program data. Pressing the START/OK
key will start the program operation.
T
P
N
Volume 1256 ml
Max Rate: 234 ml/h
Press OK to start
Program Setting
Note:
Whenever you decide to set a new program, follow the
instructions at the bottom of the screen.
-If one of the values is changed during the programing mode,
the pump will not store the new value, unless the change is
confirmed by pressing the START/OK key.
-If the flush key is activated during data setting, the pump
will return to the original (previous) screen, once flushing
has been completed.
Note:
Volume 1256 ml
T
P
N
The first parameter to set is the volume of the
TPN bag.
1.
Press OK key
Total Time 12:30
T
P
N
Set the total time for the program to run:
Options are:
a. Setting 4 digits - 2 first digits will represent
hours and the other 2 will represent minutes
b. Setting 2 digits for full hours
c. Setting 1 digit for hours and using the digital
point to set minutes.
d. Using the digital point to set only minutes.
2.
Press OK key
VET-PRO operator’s manual
36
Up Time: 0:30
T
P
N
Set the time for the rate to taper up
(up to 4:15 h).
3.
Press OK key
Down Time: 0:30
T
P
N
Set the time for the rate to taper down
(up to 4:15 h).
4.
Press OK key
Volume 1256 ml
T
P
N
The pump will calculate all the set data and
display the Maximal rate for the program (to
be infused during Flat period). Press the
START/OK key to start the program.
5.
Max Rate: 108 ml/h
Press OK to start
During the stop or data setting mode, use the STOP/NO key to
return one step backwards: First press will erase the last digit
displayed, once all the digits are erased pressing the STOP/NO
key will display the previous screen .
Note:
Rate
U
P
During the TPN program operation, the pump
will display the actual rate and program
direction (Up/Flat/ Down).
Program operation will start from 2 ml/h and
will increase to the maximal rate.
6.
2 ml/h
Rate
F
L
A
T
During the Flat session the rate will not change
and the pump will show the following message:
7.
108 ml/h
Rate
D
O
W
N
During the last part of the program (T3), the
program will start to decrease the infusion rate
according to the set taper down time.
8.
25 ml/h
Taper Down: 0:30
Press OK key
T
P
N
If the program must be interrupted
early, and the planned taper down
time must commence immediately
press the STOP/NO key continually
(2 sec) to stop the pump operation
and display Taper Down screen.
Note:
Set a new time or confirm the default setting. Press the START/OK
key to start the taper down process immediately.
VET-PRO operator’s manual
37
Intermittent Program
This is a special program, which enables the design of a Dose delivery
protocol at set intervals. Each Dose will be given at a set time. Between
Doses the pump will Keep the Vein Open. The infusion program
continues until the total infusion bag is infused.
This “Launch and Forget” program enables the Home care company to
program medication treatment for long treatments. For treatments like, IV
Antibiotics, giving every 4 hours a dose of 100 ml, the intermittent
program is saving 5 administration sets, during 24 hours, and essential
time of the home care company.
Example: Programs setting
Program
Rate
Volume
Time
Period-1
100 ml/hr
100 ml.
1:00
Period-2 - KVO
5 ml/hr.
20 ml.
4:00
Period-3
100 ml/hr
100 ml.
1:00
Period-4 - KVO
5 ml/hr.
20 ml.
4:00
Period-5
100 ml/hr
100 ml.
1:00
Period-6 - KVO
5 ml/hr.
20 ml.
4:00
Switch the pump ON using the ON/OFF key.
Pump displays the program name and status.
The status is either "Lock out" or "program".
I
N
T
R
Intermittent
PROGRAM
Press NO to change
I
N
T
R
Intermittent
LOCK OUT
VET-PRO operator’s manual
38
Program Setting
Note:
Whenever you decide to set a new program, follow the
instructions at the bottom of the screen.
-If one of the values is changed during the programing mode,
the pump will not store the new value, unless the change is
confirmed by pressing the START/OK key.
-If the flush key is activated during data setting, the pump
will return to the original (previous) screen, once flushing
has been completed.
Note:
1.
The pump will display the last set rate. Change
or press START/OK to confirm.
Rate 4 ml/h
Press OK for Volume
2.
The pump will display the last set Dose
Volume. Change or press START/OK to
confirm
Dose Vol: 100 ml
Press OK to continue
3.
Adjust the time pause between Doses (up to
20:00 hours), or confirm the last setting by
pressing the START/OK key.
Pause 04:00
Press OK to continue
4.
The pump will display the last set Volume
(total volume to be infused). Use the numeric
keys to change or press START/OK to
confirm and start program operation.
Volume 1000 ml
Press OK to start
5.
During the intermittent program the display
will show continually the actual rate of
infusion.
Rate
5 ml/h
6.
During a pause between the doses, the display
will show the KVO screen.
Delay 4:00
KVO 5 ml/h
VET-PRO operator’s manual
39
Rate: 500 ml/h
During operation the pump allows
rate titration, by pressing a
numeric or digital point key.
Note:
Adjust & press OK
The rate on the display will change during titration, however
the operation rate will change only if the START/OK key is
pressed within 10 seconds confirming the rate change. If the
rate change is not confirmed within 10 seconds, the pump will
continue operation on the original rate, and the display will
return to the previous rate setting.
During stop or data setting mode, use the STOP/NO key to
return one step backwards: First press will erase the last
digit displayed, once all the digits are errsed pressing the
STOP/NO key will display the previous screen .
Note:
Note:
Delay Before start option is cancelled in the Intermittent
program.
VET-PRO operator’s manual
41
PCA Program – With protocols
Patient Control Analgesia is a program used in subcutaneous, IV or
epidural pain relief. 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 Home Care Company can read these statistics and adjust the settings
as required.
It is possible to set and store up to 5 different protocols for PCA,
including names of drugs.
Switch the pump ON using the ON/OFF key.
The PCA program operates only in a lock
mode.
Program mode will be displayed if no protocol
has been locked.
PCA lock mode will be displayed if a protocol
has been locked and Epidural mode is Off.
P
C
A
PCA
PROGRAM
P
C
A
PCA
LOCK OUT
VET-PRO operator’s manual
40
Program Setting
Note:
Whenever you decide to set a new program, follow
instructions at the bottom of the screen.
1.
To enter PCA menu, pump will require a code.
Use numeric keys to set code 007 and confirm
with START/OK key.
P
C
A
Enter Code
007
Press OK key
2.
Pump will display the PCA menu. Use the
arrow keys to scroll through the different
options, and select the required option, using
the START/OK key. Selecting the “More..”
option will display the Adjust Setting second
selection menu.
P
C
A
=> Flush
MD Bolus
History
3.
Flushing is disabled during operation, therfore, always flush the set
before starting a program.
Selecting the flush option from the PCA menu, will display the flush
previous screen. Pressing the START/OK key will activate the flush
procedure. If no key will be pressed within 10 sec. the pump will return to the
PCA menu screen.
When the flush is completed the pump will go back to the PCA menu screen.
Note:
The flushing rate can be adjusted, in adjust setting options,
up to 1200 ml/h. The default is 600 ml/hr. During flushing
the air in line alarm is disabled.
Warning
Always disconnect IV tubing from patient before starting
flushing procedure.
4.
Select the “Modify Program” option and press
the START/OK key.
P
C
A
Select Program
=> Modify Program
More
5.
Use the numeric key to set the code 008 and
press the START/OK key.
P
C
A
Enter Code
008
Press OK key
VET-PRO operator’s manual
42
6.
Press the START/OK key to start new bag and
clear previous program data. Pump will display
bag volume screen - continue to step 7.
Pressing the STOP/NO key will display
program accumulation screen. Press
START/OK key from accumulation screen to
the VTBI left from previous program as total
vtbi for the new program. continue to step 8.
P
C
A
Clear History &
Start New Bag
7.
Pump will display the Bag Volume screen
(with total volume of previous program). Use
the numeric keys to set a new value or approve
the previous value, using the START/OK key.
P
C
A
Bag Vol: 500 ml
Press OK key
8.
Pump will display the list of 5 protocols with
drug names. Use the arrow keys to scroll
through the options. Pressing the START/OK
key will display the rate screen of the chosen
protocol. Pressing the STOP/NO key twice
will enable the user to change the drug name.
A:MORPHINE
B: METHADONE
C: PETHIDINE
Use the STOP/NO key to erase the displayed drug name.Use the arrow keys
and keys of 4 and 6 to move between letters. Select the letters using the
START/OK key. Once the protocol name is completed, return the select key
to the empty space, before the letter A and repeatedly press the START/OK
key until the display returns to the Protocol List.
9.
Pump will display the rate screen (the chosen
protocol will be displayed on the left column of
the screen). Use the numeric keys to set a new
value (up to 100 ml/hr) or approve the previous
value, using the START/OK key. Rate can be
displayed in mg/ml, as well. Using this option
– go to step 10, if not, continue to step 11.
P
A
Rate 50 ml/h
Adjust & press OK
10.
From the rate screen press the STOP/NO key 3
times to display the concentration screen. Use
numeric keys to set concentration and approve
by pressing the START/OK. Pump will go
back to the protocols list.
To return from mg to ml, press STOP/NO key
twice, from rate screen, enter a concentration of
0 mg/ml, and press the START/OK key for
approval.
P
C
A
Concentration
0.5 mg/ml
VET-PRO operator’s manual
43
11.
Pump will display the Bolus screen. Use the
numeric keys to set a new value or approve the
previous value, using the START/OK key.
P
A
BOLUS 5 ml
Adjust & press OK
12.
Lock time is the minimal time between
boluses. When a bolus is required during the
lock time, a beep will be sounded but no bolus
will be given. Use the numeric keys to set a
new value or approve the previous value, using
the START/OK key.
P
A
LockTime 60 Min
Adjust & press OK
13.
4 H Limit is the maximum volume to be given in 4
hours. Once this volume will be infused the pump will
operate in the KVO mode, to complete the 4 hours.
Use the numeric keys to set a new value or approve the
previous value, using START/OK key.
P
A
4 H Limit 10 ml
Adjust & press OK
14.
PCA program operates only in a lock mode.
Press the START/OK to lock the program or
STOP/NO to go back to protocols list and
scroll again through the data.
P
C
A
Lock:Press OK
Scroll:Press NO
15.
The pump will display the protocol
accumultion screen. Use the arrow keys to
scroll through the data. Press the START/OK
to start the program operation. Pressing the
STOP/NO twice will go back to menu screen.
P
A
Bag Vol: 500 ml
Volume Left 500
Infused 0
Press OK to start
-If one of the values is changed during the programing mode,
the pump will not store the new value, unless the change is
confirmed by pressing the START/OK key.
Note:
16.
During the PCA program the display will show
the selected protocol, the name of the drug, the
rate of operating and the bolus volume.
P
A
MORPHINE
Rate 50 ml/h
BOLUS 5 ml
17.
Pressing the Syringe key and approving with
START/OK key will activate the Bolus
Operation. When the Bolus is given, the pump
will display the progress of the procedure.
A bolus can also be given by pressing twice
on the bolus cable.
B
O
L
U
Volume 5 ml
0 2.1 5
VET-PRO operator’s manual
44
18.
After a program has been locked, whenever the
pump will be turn on, resume-menu screen will
be displayed. Pressing START/OK key will
display accumulation screen, with Volume to
be infused, as volume left from previous
program. User can only continue previous
program by pressing again START/OK key.
Pressing STOP/NO key, will display code
setting screen. Set code 007, to enter the PCA
menu.
P
C
A
Resume:Press OK
Menu:Press NO
Start new bag
1.
Selecting “Start new Bag”, from the PCA
menu, will display another screen for approval.
P
C
A
History
=> Start New Bag
Select Program
2.
Pressing the START/OK key will start a new
bag (Set total bag as Volume to be infused with
no regards to previous Volume Infused). All
other parameters are locked and can not be
changed. Pressing the STOP/NO key will go
back to the menu.
Start New Bag
Resume – Press OK
3.
Data includes previous Volume Infused.
Pressing the START/OK key, from
accumulation screen, will start program
operation. Pressing the STOP/NO key will go
back to display resume-menu screen.
P
C
A
Bag Vol: 100ml
Volume Left 100
Infused 5
Press OK to Start
Note:
After end program, user can start a new bag without a code.
Pump will display the option to start a new bag or going
back to menu. Pressing START/OK key will display
program accumulation screen. Approving with START/OK
will start the program.
VET-PRO operator’s manual
45
Selecting a Program
1.
Selecting “Select Program”, from the PCA
menu, will display 2 options – to start new bag
or to continue with previous bag.
P
C
A
Start New Bag
=> Select Program
Modify Program
2.
Pressing the START/OK key will clear the
volume infused history and start a new bag.
Pressing the STOP/NO key will continue the
program with previous Volume Infused. In
both cases pump will continue to display
accumulation screen.
P
C
A
Clear History &
Start New Bag
3.
Pressing the START/OK key will display the
protocols list. Pressing the STOP/NO key will
display again PCA main menu.
P
C
A
Bag Vol: 500ml
Volume Left 500
Infused 0
Resume - Press OK
4.
Use the arrow keys to scroll through different
protocols and select with the START/OK key.
A:MORPHINE
B: METHADONE
C: PETHIDINE
5.
Pump will display the protocol accumulation
screen. If Epidural mode was set to OFF,
pressing START/OK key will start program
operation.
P
A
Rate 50 ml/h
BOLUS 5 ML
LockTime 60 Min
4 H Limit 100 ml
MD Bolus
Selecting the MD Bolus, from PCA menu, will
display the MD Bolus setting screen. If no key
is pressed within 30 sec. the pump will go back
to the code screen.
Use the numeric keys to set the Bolus Volume,
up to 25.5 ml.
When the Bolus is completed the pump will
display the Resume/Menu screen. Press the
STOP/NO key to go back to the menu code
screen or the START/OK key to display the
program accumulation screen.
P
C
A
Flush
=> MD Bolus
History
P
C
A
MD Bolus
Volume 2 ml
Press OK to start
VET-PRO operator’s manual
46
History
Selecting “History“ will display the PCA
operation history for the last 24 hours or last
program, if started within the last 24 hours.
Pump will display: Volume Infused, Bolus
Given and Bolus attempted. Use the
ARROW keys to scroll through data.
P
C
A
MD Bolus
=> History
Select Program
H
2
4
From 12.01.02 11:10
To 13.01.02 11:10
Given: 200 ml
Bol. Given: 4
Use the down ARROW key to scroll to the
information regarding the last 8 hours. Use
the ARROW keys to scroll through the data.
H
8
From 03.10.12 13:01
To 13.01.02 11:10
Given: 80 ml
Bol. Given: 2
Press the info key for details per hour. Use the
ARROW keys to scroll through the data.
Press the info key once more to display the
Boluses given and attempted for the last 24
hours or last program, in a graphic way.
Every column in the graph represents 1 hour.
The black areas in each column are the
boluses given and the white areas are the
patient attempts for boluses.
Boluses Last 24 Hr
24 . . . 12 . . . 0
Press the info key once more to display the
Volume infused for the last 24 hours or last
program, in a graphic way.
Every column in the graph represents 1 hour.
Volume Last 24 Hr
24 . . . 12 . . . 0
Note:
History can also be displayed during operation, by
pressing the STOP/NO key and then the info key.
VET-PRO operator’s manual
47
Info Mode
Infused
Pressing on the info key during operation will
display the total Volume To Be Infused and the
Infused Volume. The screen will be displayed
for 7 seconds.
Battery Level
Pressing twice on the info key during operation
will display the battery status.The screen will be
displayed for 7 seconds.
t + 25c
Pressing 3 times on the info key during
operation will display the administration set
temperature.The screen will be displayed for 7
seconds.
This option is not available in the 25 steps
program.
B o l u s e s
P
C
A
Pressing 3 times on the info key, during PCA
program, will display Boluses History, from
beginning of the program operation.
Attempted: 3
Given: 1
Delay 60Min
Time Left
0:59
Pressing 4 times on the info key during
operation will display the time left until the end
of the program. This Option is not available in
the 25 steps program and in the PCA program.
Time
Pressing 4 times on the info key during TPN
operation will display the program status using a
graph. The performed part of the trapeze will be
painted black. The screen will be displayed for 7
seconds.
Rate: 50 ml/h
P
A
Pressing 4 times on the info key during PCA
operation will display the data of the present
protocol operating.
BOLUS 1 ml
Lock Time 60Min
4 H Limit 200 ml
0111 ml 715
Empty Full
0 6:30 12
VET-PRO operator’s manual
48
Time 8:30
Date 24.03.02
Pressing 5 times on the info key during PCA
operation will display the time and date.
Infused
To clear the volume infused (VI): press the info
key to display the volume infused (from stop or
setting mode) and then the STOP/NO key. The
screen will change to show volume infused zero.
Pressing the STOP/NO key after the program is completed , will erased the
VI. The option to erase the volume infused through info, is used in case the
last program was not completed.
Note:
Exit from the info mode is automatic after 10 sec, or can
be achieved by pressing the info key.
0111 ml 1
VET-PRO operator’s manual
49
Program Delay
Delay of the program before the start is enabled in the Continuous
program (both in rate over volume and in volume over time), TPN and
the 25 steps program.
Volume 250ml
Press OK for Delay
C
O
N
T
To enable delay before start option, set delay
before start to on, as described on page 66
(Adjust Setting). After setting the program data
the pump will enable the delay setting.
Rate 25 ml/h
Volume 250ml
Time 10:00
Press OK for Delay
C
O
N
T
Time Delay 15:00
Press OK to start
Use the numeric keys to set the time delay (up
to 20 hours).
At this stage, if no value was set, pressing the
START/OK key wil start the program
operation with no delay.
Delay 12:20
During the time delay, the KVO session will
run. Time left will count down, until 00:00. At
this stage the set program will automatically
start operation.
KVO 5 ml/h
VET-PRO operator’s manual
51
Program Completed
End PROGRAM
When the program is completed, the following
message will appear on the display: press the
STOP/NO key to mute the alarm.
Press STOP to mute
KVO 5 ml/h
The pump will automatically turn to a KVO
mode when the program is completed. Press
the STOP/NO key to reset the pump and set a
new program.
Press STOP to renew
If the main program rate is higher than the KVO rate, set in the technician
mode, the rate will remain as set in the technician mode. If the main
program rate is lower than the KVO set rate in the technician mode, the
pump will operate at the program rate. KVO volume is limited to 5 ml.
Note:
Before operating the pump, make sure the IV bag contains 5
mls more than the VTBI– for the KVO (and delay time, if
applicable)
When the program is completed a special sound algorithm will be
performed: 4 single beeps followed by a 4 minute pause, then again 4
beeps, another 4 minute pause and a continuous alarm is activated.
When the audible alarm is activated, the display shows the “end program”
screen. Between the beeps and alarm pause the display shows the KVO
screen.
STOP
2 min
Press the STOP/NO key to stop the pump.
This ceases the pump operation and the
display shows STOP.
Press OK to start
Stop mode is limited to 2 min. After 2 min. an audiable alarm is sounded.
Press the STOP/NO key again, to mute the alarm.
OFF
WAIT FOR BEEP
From STOP mode, switch the pump off by
pressing the ON/OFF key (continuously
until a beep is sounded).
Note:
The pump cannot be switched off during operation.
VET-PRO operator’s manual
50
Changing The Fluid Container
1. Ensure that the pump is not infusing by placing the pump in STOP mode or
turning the pump OFF.
2. Remove the bag spike on the IV set from the empty / used container. Discard
the empty/used container/bag.
3. Prepare a new container/bag and insert the spike into the new container.
4. Squeeze the drip chamber (if applicable) to fill approximately halfway with
fluid.
5. Restart infusion.
VET-PRO operator’s manual
52
Locking
The VET-PRO enables the user to lock the programs, on three different
levels.
Level 1 (keys locking)
Level 2 (lock out program)
Level 3 (presetting maximal rates)
Level 1 – key locking
The VET-PRO keys locking function disables all but the info key,
START/OK (during setting mode) and STOP/NO (during operation mode)
keys.
Level 2 – program locking
The VET-PRO has a unique option, which enables the user to lock out the
numeric keys, so that entered parameters, or set programs cannot be changed
once they are set.
Level 3 – maximal rate locking
The VET-PRO provides the option of setting a maximal rate in the technician
mode. The program rate can be adjusted up to a preset limit. For home patient
(mainly for TPN or PCA treatments), who must repeat the same program
daily, the option of adjusting the delivery regiment is very important.
VET-PRO operator’s manual
53
How to Lock
Level 1 – key locking
LOCK Mode
Pressing continuously on the info key, untill the
graph is all black and a beep is sounded will lock
the program.
OFF ON
“1” will be shown on the right side of the display, indicating that the
program is first level locked.
LOCK Mode
Pressing continuously on the info key, untill the
graph is all empty and a beep is sounded will
unlock the program.
OFF ON
Level 2 – program locking
Press info key twice, from stop or setting mode.
Use ARROW keys to scroll to "Adjust Setting"
option.
Volume Infused
Show Setting
=> Adjust Setting
Choose "Adjust Setting" with START/OK key.
Use ARROW keys to scroll to "More" and
confirm with START/OK key.
Buzzer level
=> More …
Show Setting
Set technician Code (Code 902), and confirm
with START/OK key.
Technician
902
Code
Use one of ARROW keys to change from OFF
to ON. Confirm with START/OK key.
Lock Out
ON
Adjust ↑↓ & press OK
The default setting is “Lock Out - NO”.
Unlock in the same procedure.
“2” will be shown on the right side of the display, indicating that the
program is second level locked.
VET-PRO operator’s manual
54
Level 3 – maximal rate locking
The home-care company can adjust the Maximal rate acceptable according to
patient needs:
Press info key twice.
Use ARROW keys to scroll to "Adjust Setting"
option.
Volume Infused
Show Setting
=> Adjust Setting
Enter "Adjust Setting" pressing START/OK key.
Use ARROW keys to scroll to "More".
Buzzer level
=> More …
Adjust Setting
Confirm selection with START/OK key.
Set technician Code (Code 901), using the
numeric keys, and confirm with START/OK
key.
Technician
901
Code
Scroll through the setting parameters, using the
ARROW keys, until the "Maximal Rate "
option. Confirm with START/OK key.
Bolus Rate
=> Maximal Rate
KVO Rate
Set the maximal rate, using the ARROW keys
and confirm with START/OK key.
Maximal Rate
500 ml/h
Adjust & press OK
Note:
The default setting for a maximal rate is 500 ml/h. “3” will
be shown on the right side of the display, indicating that the
program is in the third lock level only when the max. rate
will be set to a rate different than 500 ml/h.
Note:
The selected Locking Option will remain in the
pump’s memory until changed by the user.
Whenever the pump is in more than one locking
level, the higher level will be displayed on the right
side of the screen.
VET-PRO operator’s manual
55
Battery Operation
The VET-PRO can operate on battery power, enabling operation when the
patient is being moved or during electrical power failure. When the pump runs
on the battery power, the AC icon is off. At full charge, the battery provides
15 hours of operation at an infusion rate of 125ml/hr.
Warning
Don’t operate the pump on AC power if the battery is not
loaded in the pump for back up.
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.
Note:
There are two battery alarm conditions:
1.
The pump will warn that the battery is low a
minimum of 30 minutes before the “end
battery” alarm activates (when the battery
power reaches less than 7.1v).
Low Battery
Connect to charger
2.
After the “battery low” warnings, when the
battery power reaches less than 6.05v, the
pump will cease operation and the "end
battery" alarm will be activated.
End Battery
Connect to charger
If the battery runs out, End Battery appears on the display. The pump stops
the infusion.
From the "end battery" state the user cannot restart the pump, until it has
been connected to mains.
Caution:
Leaving the battery in a discharged 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.
VET-PRO operator’s manual
56
Cleaning and Storage
Before the transfer of a pump to a new patient and periodically during use, clean
the pump by wiping over with a lint-free cloth lightly dampened with warm water
and a standard disinfectant / detergent solution.
Warning:
Before cleaning always switch off and disconnect from the AC
power supply.
CAUTION
Do not clean pump with chemicals such as Xylene, Acetone or
similar solvents. These chemicals cause damage to plastic
components and paint.
If the pump is to be stored for an extended period it should be first cleaned and
the battery fully charged. Store in a clean, dry atmosphere at room temperature
and, if available, employ the original packaging for protection.
Once every 3 months during storage, carry out functional tests and ensure that the
battery is fully charged.
VET-PRO operator’s manual
57
Alarms Conditions
At any time, when the pump detects a problem, an alarm is activated and the
following will occur:
An alarm message appears on the display, stating the cause of the alarm and
indicates instructions for continued use.
An audible alarm sounds.
The infusion stops.
Alarms
Air in Line
Door Open
Down Occlusion
Pump Unattended
Low Battery
End Battery
Internal Malfunction
End Program
Missing Key
The “Troubleshooting Table” (on the next pages) describes the pump’s alarm
conditions and remedies.
VET-PRO operator’s manual
58
Troubleshooting
Description
Result
Possible Cause
Remedy
Air in Line
Infusion
ceases
Air is present in
administration set
Disconnect patient,
press the STOP/NO
key and remove the air
from Administration
set, as described on
page 23. After flushing,
press the START/OK
key to resume the
program.
Air in Line
Clean air
The roller clamp above the
Pump is closed.
Open Roler clamp
Door Open
Infusion
ceases
The door of the pump was
not closed prior to operation
Close Door
Door Open
Close door
The door has accidentally
opened during operation.
Down stream occlusion
Infusion
ceases
Roller clamp closed
Open the Roller clamp
Down Occlusion
Press STOP to mute
Set kinked
Straight out the set
Administration set loaded
incorrectly
Reload administration
set, as described on
page 21
Cannula blocked
Change Cannula
**User may change
pressure setting
Adjust pressure setting,
as described on page 31
No key has been pressed
for 2 minutes, during
setting
Pump
operation
has been
stopped
No key was pressed for 2
minutes.
Press the START/OK
key
Pump Unattended
Press start key
VET-PRO operator’s manual
59
Troubleshooting
Description
Result
Possible Cause
Remedy
Message displayed
showing 30 minutes
left of battery operation
If pump
won’t be
connected
to mains,
battery will
be depleted
Message will be displayed as
long as the internal battery
voltage is less than 7.1v.
Connect to Mains
Low Battery
Connect to charger
End Battery
Infusion
ceases
Battery is depleted.
The pump cannot be used
before being connected to
mains.
Connect to Mains and
wait 2 minutes before
operating.
End Battery
Connect to charger
Message displayed in the
TPN programs, that the
parameters entered are
incorrect and cannot be
calculated by the pump
Program
will not
start
operating
The set parameters are
impossible to perform.
Volume or time parameters
are incorrect
Check data and change
accordingly.
Wrong TPN Date
Check Data
Pump is in lock-mode
Program
parameters
can not be
changed
The program is set in
second-level locking, which
enables daily operation of
the set program, without the
ability to change parameters.
No action required.
Lock out
A fatal error is detected
Infusion
ceases
The pump will advise the
user to send the pump for
service.
Restart the pump. If the
alarm does not stop
pack the pump
properly, in its original
packaging, and send it
for service.
Error XXX
Send for Service
VET-PRO operator’s manual
61
Troubleshooting
Description
Result
Possible Cause
Remedy
Program completed
Pump
will turn
to KVO
mode
The program was completed
Press the STOP/NO
key to restart
End PROGRAM
Press STOP to mute
KVO 5 ml/h
Press STOP to renew
KVO (Keep Vein Open)
program starts.
Show Setting
The program was designed to disable unauthourised user access to
technician settings. Access to show setting mode, enable the user to
inspect all settings, but not change them.
Press info key twice.
Choose "Show Setting" to display all software
adjustable parameters.
Volume Infused
=>Show Setting
Adjust setting
Scroll down the followung parameters on the
Show Setting mode:
Show Setting:
=>Battery Level
Lock Out
VET-PRO operator’s manual
60
Show Setting Options
Screen
Setting
Screen no.
Battery Level
Battery Level (Empty ↔ Full)
1
Lock Out
Lock Out Option (ON/OFF)
2
Time, Date
Time & Date display
3
Tube Temperature
Tube Temperature
4
Buzzer Level
Buzzer Level
5
Pressure level
Pressure level
(High/Normal/Low)
6
Pressure Default
Pressure Default
7
Select Program
Select Program
8
Flushing Volume
Display Flushing Volume (4 ml.
Is the default- up to 20 ml)
9
Flushing Rate
Showing Flushing Rate
(up to 1200 ml/hr)
10
Bolus Rate
Display BOLUS rate
11
Maximal Rate
Maximal Rate setting
02
KVO Rate
Display KVO rate
03
Air Size
Air bubbles size
04
Store last Program
Store last program
05
Operation Led
Operation led option (on/off)
06
Time Option
Time option (on/off)
07
Delay Before Start
Delay before start option (on/off)
18
Language
Language
19
Serial Number
Pump Serial Number
20
Production Date
Production Date
21
Operation Time
Operation time from service
(hours)
22
Software Version
Software Version
23
Volume Calibration
Volume Calibration
24
Pressure Delta
Pressure calibration - delta
25
Pressure CAP
Pressure calibration CAP
26
EXIT
EXIT
27
VET-PRO operator’s manual
62
Adjust Setting
Press info key twice.
Choose "Adjust Setting" to display all software
adjustable parameters.
Volume Infused
Show Setting
=>Adjust Setting
Confirm with START/OK key.
See list of parameters that can be set on "Adjust
Setting" selection on the next page.
Adjust Setting:
=> Pressure Level
Buzzer Level
The first 2 parameters, Pressure level and Buzzer level, can be adjusted using
the arrow keys- no secret code required.
Access to “More…” will required a code.
Use ARROW keys to scroll to "More".
Buzzer level
=> More …
Show Setting
Confirm with START/OK key.
Set technician Code (Code 910), using the
numeric keys and confirm with START/OK
key.
Technician
910
Code
** For program locking (lock level 2) – set code 902
Scroll through the setting parameters, using the ARROW keys and change
them if necessary.
VET-PRO operator’s manual
63
Adjust Setting Options
Screen
Adjust
Screen no.
Lock Out
Lock Out Option (Code 902 )
A
Buzzer Level (1 to 7)
Buzzer Level (no code required)
B
Pressure level (high,
normal, low)
Pressure level (no code required)
C
Use code 901 to enter
Restart Pump
Restart Pump
1
Pressure Default
Pressure Default
2
Select Program
Select Program
3
Flushing Volume
Setting Flushing volume
(up to 20 ml)
4
Flushing Rate
Setting Flushing Rate
(up to 1200 ml/hr)
5
Bolus Rate
Setting BOLUS rate (different
from default)
6
Maximal Rate
Maximal Rate setting
7
KVO Rate
Setting KVO rate
8
Air Size
Air bubbles size
9
Store Last Program
Store last program
11
Operation Led
Setting Operation led (on/off)
02
Time Option
Time Option On/ Off
03
Delay Before Start
Time Delay Option On/Off
04
Language
Language
05
Set Time & Date
SetTime & Date
16
History
View History Events
07
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