This document and the subject matter disclosed herein are proprietary information.
Hospira retains all the exclusive rights of dissemination, reproduction, manufacture, and sale.
Any party using this document accepts it in confidence, and agrees not to duplicate it in whole
or in part nor disclose it to others without the written consent of Hospira.
430-95150-007 (Rev. 01/06)Plum A+® Infusion System
Page 3
Change History
Part NumberDescription of Change
430-95150-001
(Rev. 05/00)
430-95150-002
(Rev. 09/01)
430-95150-003
(Rev. 12/02)
Original issue
Second issue
Third issue
Updated biomed settings
in Section 1
Updated Theory of Operation
to include 220 V
supply in Section 4
Updated Specifications
to include international
and 220 V
in Section 8
Updated schematic drawings
to include latest revisions and
220 V
power supply
AC
AC
power supply
AC
power
Remove
and Destroy
Pages
Insert
Change
Pages
430-95150-A03
(Rev. 04/03)
430-95150-004
(Rev. 09/03)
430-95150-005
(Rev. 07/04)
Change Page Issue
Updated cover and copyright
pages
Updated change history
Updated Distal Occlusion
Test in Section 5
Updated back cover
Fourth Issue
Updated throughout
to include MedNet
Fifth Issue
Incorporated Hospira
name change
Added list number
Updated Section 5
Updated schematic drawings
Updated back page
cover
i to ii
5-11 to 5-12
back cover
cover
i to ii
5-11 to 5-12
back cover
Technical Service Manual430-95150-007 (Rev. 01/06)
Page 4
CHANGE HISTORY
Part NumberDescription of Change
430-95150-006
(Rev. 08/05)
Sixth Issue
Updated Section 1, Section 6,
and Section 8
Added IEC paragraph
Added battery warnings
Updated graphics throughout
Updated back page
Removed International
specifications
Removed MedNet references
430-95150-007
(Rev. 01/06)
Seventh Issue
Updated Section 1, Section 5,
Section 6, and Section 7
Technical Service Manual vii430-95150-007 (Rev. 01/06)
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CONTENTS
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Section 1
INTRODUCTION
The Hospira Plum A+® infusion system is an advanced medication management system
designed to meet the fluid delivery requirements of today’s evolving healthcare
environments. With its primary line, secondary line, and piggyback fluid delivery
capabilities, the Plum A+
applications. Full compatibility with LifeCare
accessories make the Plum A+
1.1
SCOPE
This manual is organized into the following sections:
❏ Section 1 Introduction
❏ Section 2 Warranty
❏ Section 3 System Operating Manual
❏ Section 4 Theory of Operation
❏ Section 5 Maintenance and Service Tests
❏ Section 6 Troubleshooting
❏ Section 7 Replaceable Parts and Repair
❏ Section 8 Specifications
❏ Section 9 Drawings
❏ Appendices
❏ Index
❏ Technical Service Bulletins
®
is suited for a wide range of medical, surgical, and critical care
®
a convenient and cost-effective infusion system.
®
Plum® Series administration sets and
If a problem in device operation cannot be resolved using the information in this manual,
contact Hospira (see Section 6.1).
Specific instructions for operating the device are contained in the Plum A+System Operating Manual. Provision is made for the inclusion of the system operating
manual in Section 3 of this manual.
®
and Plum A+®3
Note: The terms “infusion system”, “infuser”, and “device” are used interchangeably
throughout the manual.
Note: Figures are rendered as graphic representations to approximate actual product.
Therefore, figures may not exactly reflect the product.
Note: Screen representations are examples only, and do not necessarily reflect the
most current version.
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SECTION 1 INTRODUCTION
1.2
CONVENTIONS
The conventions listed in Table 1-1 are used throughout this manual.
Table 1-1. Conventions
ConventionApplicationExample
ItalicReference to a section, figure,
table, or publication
[ALL CAPS]In-text references to keys
and touchswitches
ALL CAPSScreen displaysCASSETTE TEST IN PROGRESS
BoldEmphasisCAUTION: Use proper ESD grounding
Throughout this manual, warnings, cautions, and notes are used to emphasize important
information as follows:
WARNING:
CAUTION: A CAUTION usually appears in front of a procedure or statement.
It contains information that could prevent hardware failure, irreversible damage
to equipment, or loss of data.
A WARNING CONTAINS SPECIAL SAFETY EMPHASIS AND MUST
BE OBSERVED AT ALL TIMES. FAILURE TO OBSERVE A WARNING
MAY RESULT IN PATIENT INJURY AND BE LIFE-THREATENING.
(see Section 6.1)
[START]
techniques when handling components.
Note: A note highlights information that helps explain a concept or procedure.
1.3
COMPONENT DESIGNATORS
Components are indicated by alpha-numeric designators, as follows:
BatteryBTDiodeDResistorR
CapacitorCFuseFSwitchSW
CrystalYIntegrated CircuitUTransistorQ
The number following the letter is a unique value for each type of component (e.g., R1, R2).
Note: Alpha-numeric designators may be followed with a dash (-) number that
indicates a pin number for that component. For example, U15-13 is pin 13 of the
encoder chip [U15] on the interface PWA.
®
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1.4 ACRONYMS AND ABBREVIATIONS
1.4
ACRONYMS AND ABBREVIATIONS
Acronyms and abbreviations used in this manual are as follows:
The infusion system is intended for use at the direction or under the supervision of licensed
physicians or certified healthcare professionals who are trained in the use of the infuser
and the administration of parenteral and enteral fluids and drugs, and whole blood or red
blood cell components. Training should emphasize preventing related IV complications,
including appropriate precautions to prevent accidental infusion of air. The epidural route
can be used to provide anesthesia or analgesia.
1.6
ARTIFACTS
Nonhazardous, low-level electrical potentials are commonly observed when fluids are
administered using infusion devices. These potentials are well within accepted safety
standards, but may create artifacts on voltage-sensing equipment such as ECG, EMG,
and EEG machines. These artifacts vary at a rate that is associated with the infusion rate.
If the monitoring machine is not operating correctly or has loose or defective connections
to its sensing electrodes, these artifacts may be accentuated so as to simulate actual
physiological signals. To determine if the abnormality in the monitoring equipment
is caused by the infuser instead of some other source in the environment, set the device
so that it is temporarily not delivering fluid. Disappearance of the abnormality indicates
that it was probably caused by electronic noise generated by the infuser. Proper setup and
maintenance of the monitoring equipment should eliminate the artifact. Refer to the
appropriate monitoring system documentation for setup and maintenance instructions.
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SECTION 1 INTRODUCTION
1.7
INSTRUMENT INSTALLATION
PROCEDURE
CAUTION: Infusion system damage may occur unless proper care is exercised
during product unpacking and installation. The battery may not be fully charged
upon receipt of the infuser. Do not place the infuser in service if it fails the self test.
CAUTION: Infusion system performance may be degraded by electromagnetic
interference (EMI) from devices such as electrosurgical units, cellular phones,
and two-way radios. Operation of the infusion system under such conditions should
be avoided.
Accessory equipment connected to the analog and digital interfaces must be certified
according to the respective IEC standards (e.g., IEC 60950 for data processing equipment,
and IEC 60601-1 for medical equipment). Furthermore, all configurations shall comply
with the system standard IEC 60601-1-1. Any person who connects additional equipment
to the signal input or output part configures a medical system, and is therefore responsible
for ensuring that the system complies with the requirements of IEC 60601-1-1. If in doubt,
contact Hospira Technical Support Operations (see Section 6.1).
The instrument installation procedure consists of unpacking, inspection, and self test.
1.7.1
UNPACKING
Inspect the shipping container as detailed in Section 1.7.2. Use care when unpacking the
infusion system. Retain the packing slip and save all packing material in the event it is
necessary to return the infuser to the factory. Verify the shipping container contains a copy
of the system operating manual.
1.7.2
INSPECTION
Inspect the shipping container for damage. Should any damage be found, contact the
delivering carrier immediately.
CAUTION: Inspect the infuser for evidence of damage. Do not use the device if it
appears to be damaged. Should damage be found, contact Hospira (see Section 6.1).
Inspect the infusion system periodically for signs of defects such as worn accessories,
broken connections, or damaged cable assemblies. Also inspect the infuser after repair
or during cleaning. Replace any damaged or defective external parts.
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1.7 INSTRUMENT INSTALLATION PROCEDURE
1.7.3
SELF TEST
CAUTION: Do not place the infuser in service if the self test fails.
Note: Do not place the infuser in service if the battery is not fully charged. To make
certain the battery is fully charged, connect the infuser to AC power for six hours
(see Section 8).
Note: If an alarm condition occurs during the self test, cycle the power and repeat the
self test. If the alarm condition recurs, note the message and take corrective action
(see Section 6). Repeat the self test. If the alarm condition continues to recur, remove
the infuser from service and contact Hospira.
To perform the self test, see Figure 1-1, and proceed as follows:
1. Connect the AC power cord to a grounded AC outlet. Verify the charge/line indicator
CHARGE illuminates and an alarm beep sounds.
2. Without a cassette installed, turn on the infuser.
3. The LCD screen briefly displays the SELF TEST screen (see Figure 1-1).
Note: If the SELF TEST screen does not appear, contact Hospira.
4. After the self test is complete, the message “INSERT PLUM SET CLOSE LEVER”
appears.
5. Verify the time and date. To set the time and date, see Section 1.8.3.
6. Open the cassette door and insert a primed cassette. Close the cassette door.
The cassette test is complete when the “CASSETTE TEST IN PROGRESS” message
disappears.
Note: The message “MECHANISM INITIALIZATION IN PROGRESS” may briefly
appear prior to the “CASSETTE TEST IN PROGRESS” message.
7. A “NEW PATIENT?” message may appear. Press [YES], then turn off the infuser.
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Page 18
SECTION 1 INTRODUCTION
LINE FLOW
INDICATORS
A B
HOSPIRA Plum A+
STATUS
REGION
MESSAGE
REGION
SOFTKEY
LABEL REGION
CHARGE/LINE
INDICATOR
Version X.XX MM/DD/YY
START
STOP
CHARGE
ON/OFF
Copyright Hospira Inc.
2005
System Self Test
In Progress
1
4
2
5
78
CLEAR
0
3
6
9
.
WORKING
REGION
SOFTKEYS
SELECT
KEYPAD
SILENCE
Figure 1-1. Display and Keypad
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1.8 BIOMED SETTINGS
1.8
BIOMED SETTINGS
The biomed settings screens contain the following options that can be changed or reviewed
by qualified personnel:
- IV parameters
-Alarms log
- Set time and date
All infusers (new or refurbished) are shipped with factory settings (see Table 1-2).
Note: Biomed screens do not time out for the Infuser Idle alarm or No Action alarm.
Note: The battery will not be detected in the biomed service mode.
Note: Upon entry to biomed mode, any drug library waiting for installation will be
installed, and the infuser will power off at completion.
To access the biomed settings, proceed as follows:
1. Open the door and turn on the device. The infusion system will perform a self test.
2. After the self test is complete, the message “INSERT PLUM SET CLOSE LEVER”
appears.
3. Press the decimal [.] key, then [START], and verify the BIOMED SETTINGS screen
is displayed (see Figure 1-2).
Note: The biomed settings screen will display the [CHANGE BATTERY] softkey
on Plum A+
appear on versions 11.3 and lower.
®
software versions 11.4 and higher. [CHANGE BATTERY] does not
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SECTION 1 INTRODUCTION
DataOptions RangeFactory Setting
Table 1-2. System Configuration Data
Maximum macro IV mode delivery rate0.1 - 99.9 mL/hr and
100 - 999 mL/hr
Macro distal occlusion alarm
(pressure level)
Deliver together enableConcurrent or PiggybackPiggyback
Delayed start/standby enableYes or NoYes
Continue rateRate or KVOKVO
Nurse callback defaultYes or NoNo
Time(24 hr) 00:00 - 23:59 in
Date1/1/2002 - 12/31/2098Factory date
1 to 15 psi6.0 psi
one minute increments
999 mL/hr
Factory time
BIOMED SETTINGS
IV Screen Parameters
Alarm Log
Set Time and Date
Select, then Choose
Change
Battery
Figure 1-2. Biomed Settings
Choose
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1.8.1
IV PARAMETERS
The IV parameters screen contains the following:
- Common IV parameters
- Default units/drug
- Macro IV parameters
To change the IV parameters, see Figure 1-3, then proceed as follows:
1. Access the biomed settings screen as described in Section 1.8.
2. Select IV Screen Parameters, and press [CHOOSE].
1.8 BIOMED SETTINGS
BIOMED SETTINGS
IV Parameters
Common IV Parameters
Default Units/Drug
Macro IV Parameters
Select, then Choose
Choose
Figure 1-3. IV Parameters
Back
02K03003
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SECTION 1 INTRODUCTION
1.8.1.1
COMMON IV PARAMETERS
To view common IV parameters, see Figure 1-4 or Figure 1-5, then proceed as follows:
1. Access the IV parameters screen as described in Section 1.8.1.
2. Select Common IV Parameters, and press [CHOOSE].
3. Verify the COMMON IV PARAMETERS screen is displayed.
4. Select the desired parameter to be changed.
5. Using the [CHANGE VALUE] softkey, select the desired value.
6. Repeat step 4 and step 5 for each parameter to be changed.
7. If there are no other changes to the common IV parameters, press the [CANCEL/
BACK] softkey.
8. Verify the IV PARAMETERS screen is displayed.
9. If there are no other changes, press the [BACK] softkey to return to the main biomed
settings screen, or turn off the infuser.
Continue Rate
Deliver Together
Enable Delay/Standby
Callback Default
KVO
Concurrent
Yes
No
Select using Change Value
Change
Value
Figure 1-5. Common IV Parameters (Version 11.3 - higher)
Enter
Cancel/
Back
02K03004
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SECTION 1 INTRODUCTION
1.8.1.2
DEFAULT UNITS/DRUG
Note: For default drug settings, see the system operating manual.
To review or change the default units/drug, see Figure 1-6, Figure 1-7, and Figure 1-8,
then proceed as follows:
1. Access the biomed settings screen as described in Section 1.8.
2. Access the IV parameters screen as described in Section 1.8.1.
3. Select Default Units/Drug, and press [CHOOSE].
4. Verify the DEFAULT UNITS/DRUG screen is displayed (see Figure 1-6).
5. Using the [PAGE UP] and [PAGE DOWN] softkeys, select the desired drug and press
[ENTER].
6. Verify the DOSE UNITS FOR DRUG screen is displayed (see Figure 1-7).
7. Using [PAGE UP] and [PAGE DOWN], select the desired dose units, and press
[CHOOSE].
8. Verify the CONC UNITS FOR DRUG screen is displayed (see Figure 1-8).
9. Select the desired Drug Conc in Container, and press [CHOOSE].
10. Verify the DEFAULT UNITS/DRUG screen is displayed.
11. Repeat step 6 through step 10 for each desired drug.
12. If there no other changes, press [CANCEL/BACK] to return to the main biomed
settings screen, or turn off the infuser.
Default Units/Drug
No Drug Selected
Abciximab
Acyclovir
Albumin
Aldesleukin
Alfentanil
Alprostadil
Alteplase (rt-PA)
Select, then Enter
Page
Up
Figure 1-6. Default Units/Drug
Page
Down
Enter
Cancel/
Back
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DoseUnitsforDrug
Dose Units for Drug
Abciximab
Abciximab
mL/hr grams/hr
mL/hr grams/hr
mcg/kg/minng/kg/min
mcg/kg/minng/kg/min
mcg/kg/hrunits/kg/hr
mcg/kg/hrunits/kg/hr
mcg/min units/min
mcg/min units/min
mcg/hrunits/hr
mcg/hrunits/hr
mg/kg/hrmUn/min
mg/kg/hrmUn/min
mg/minmEq/hr
mg/minmEq/hr
mg/hr
mg/hr
Select,thenChoose
Select, then Choose
Choose
Choose
Cancel/
Cancel/
Back
Back
02H03006
02H03006
1.8 BIOMED SETTINGS
Figure 1-7. Dose Units for Drug
ConcUnitsforDrug
Abciximab
Abciximab
Conc Units for Drug
DrugConcinContainer
mcg
Drug Conc in Container
mg
grams
Select,thenChoose
Select, then Choose
mcg
mg
grams
Choose
Choose
Cancel/
Back
Cancel/
02H03007
Back
02H03007
Figure 1-8. Conc Units for Drug
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Page 26
SECTION 1 INTRODUCTION
1.8.1.3
MACRO IV PARAMETERS
To review or change the macro IV parameters, see Figure 1-9, then proceed as follows:
1. Access the biomed settings screen as described in Section 1.8.
2. Access the IV parameters screen as described in Section 1.8.1.
3. Select Macro IV Parameters, and press [CHOOSE].
4. Verify the MACRO IV PARAMETERS screen is displayed (see Figure 1-9).
5. Select the parameter to be changed.
6. Enter the desired value for the parameter selected.
7. Repeat step 5 and step 6 for each parameter to be changed.
8. If there are no other changes, press [CANCEL/BACK] to return to the IV parameters
screen, or turn off the infuser.
BIOMED SETTINGS
Macro IV Parameters
Default Distal Press
Max Rate
EnterValue using keypad
Enter
Figure 1-9. Macro IV Parameters
6.0 psi
999 mL/hr
Cancel/
Back
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1.8 BIOMED SETTINGS
1.8.2
ALARMS LOG
Note: The alarms log will retain the latest 40 alarm and malfunction codes, listed
in order from the most current to the oldest.
To view the alarms log, see Figure 1-10, then proceed as follows:
1. Access the biomed settings screen as described in Section 1.8.
2. Select Alarms Log, and press [CHOOSE].
3. Use the [PAGE UP] and [PAGE DOWN] softkeys to view the alarms log.
4. Press [BACK] to exit the alarms log and return to the main biomed settings screen.
ALARMS LOG
6/23/05 11:43:01 E437 S/W Failure # 202
6/23/05 09:18:10 N190 Neg. Prox. Occl. A
6/22/05 23:44:11 N102 Infuser Idle 2 minutes
6/22/05 21:43:14 N161 Line A VTBI complete
6/22/05 11:44:20 N106 Distal occlusion
6/22/05 09:43:07 N161 Line A VTBI complete
6/22/05 06:23:20 N160 Line B VTBI complete
6/22/05 03:40:13 N101 No action alarm
Page
Up
Figure 1-10. Alarms Log
Page
Down
Back
05K03008
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SECTION 1 INTRODUCTION
1.8.3
SETTING THE TIME AND DATE
Note: The infuser will automatically display February 29 on leap years.
Note: Daylight savings and time zone changes must be made manually.
To set the time and date, see Figure 1-11, then proceed as follows:
1. Access the biomed settings screen as described in Section 1.8.
2. Select Set Time and Date, and press [CHOOSE].
3. Select the parameter to be changed.
4. Enter the desired value.
5. Repeat step 3 and step 4 for each parameter to be changed.
6. Verify the time and date are correct, then press [ENTER] to return to the biomed
settings screen.
7. If there are no other changes to the biomed settings, turn off the infuser.
BIOMED SETTINGS
Set Time and Date
Time : 22 hr:min
Year 2005
Month 02
Day 14
Enter value using keypad
Figure 1-11. Setting the Time and Date
14
Enter
Cancel/
Back
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Section 2
WARRANTY
Subject to the terms and conditions herein, Hospira, Inc., herein referred to as Hospira,
warrants that (a) the product shall conform to Hospira's standard specifications and be
free from defects in material and workmanship under normal use and service for a period
of one year after purchase, and (b) the replaceable battery shall be free from defects in
material and workmanship under normal use and service for a period of 90 days after
purchase. Hospira makes no other warranties, express or implied, as to merchantability,
fitness for a particular purpose, or any other matter.
Purchaser's exclusive remedy shall be, at Hospira's option, the repair or replacement
of the product. In no event shall Hospira's liability arising out of any cause whatsoever
(whether such cause be based in contract, negligence, strict liability, other tort,
or otherwise) exceed the price of such product, and in no event shall Hospira be liable for
incidental, consequential, or special damages or losses or for lost business, revenues,
or profits. Warranty product returned to Hospira must be properly packaged and sent
freight prepaid.
The foregoing warranty shall be void in the event the product has been misused, damaged,
altered, or used other than in accordance with product manuals so as, in Hospira's
judgment, to affect its stability or reliability, or in the event the serial or lot number has
been altered, effaced, or removed.
The foregoing warranty shall also be void in the event any person, including the Purchaser,
performs or attempts to perform any major repair or other service on the product without
having been trained by an authorized representative of Hospira and using Hospira
documentation and approved spare parts. For purposes of the preceding sentence, "major
repair or other service" means any repair or service other than the replacement of accessory
items such as batteries, flow detectors, detachable AC power cords, and patient pendants.
In providing any parts for repair or service of the product, Hospira shall have no
responsibility or liability for the actions or inactions of the person performing such repair
or service, regardless of whether such person has been trained to perform such repair
or service. It is understood and acknowledged that any person other than a Hospira
representative performing repair or service is not an authorized agent of Hospira.
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SECTION 2 WARRANTY
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Section 3
SYSTEM OPERATING MANUAL
A copy of the system operating manual is included with every Plum A+® infusion system.
Insert a copy here for convenient reference. If a copy of the system operating manual
is not available, contact Hospira Technical Support Operations (see Section 6.1).
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SECTION 3 SYSTEM OPERATING MANUAL
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Section 4
THEORY OF OPERATION
This section describes the Plum A+
the general description, electronic subsystem overview, printed wiring assemblies,
remote mounted peripherals, and mechanical overview of the infuser. Related drawings
are provided in Section 9.
4.1
GENERAL DESCRIPTION
The infusion system includes the following features:
®
theory of operation.The theory of operation details
- Dose calculation
- Loading dose
-Multi-step programming
- Therapy selection
-Nurse call
- Delayed start setting
- Standby mode
- Drug label library
- Piggyback and concurrent
delivery modes
-Titration
- 0.1-99.9 mL/hr flow rate
range for both lines
(in 0.1 mL/hr increments)
- 100-999 mL/hr flow rate
range for both lines
(in 1 mL/hr increments)
- Anti free-flow protection
- Air removal/backpriming
- Air detection (proximal and distal)
- Serial communication
-Alarm history
- Volumes infused
(A, B, total volumes)
- KVO at dose end (1 mL/hr
or less depending on delivery rate)
or continue rate to continue
- Variable distal pressure setting
- Nonpulsatile volumetric accuracy
- Microprocessor control
-Large display
- Panel back illumination
on mains power
- Lockout switch
- Standard fullfill, partfill, syringe,
and vial use
- Enteral and parenteral fluid delivery
- Blood and blood product delivery
- Battery gauge
Technical Service Manual4 - 1430-95150-007 (Rev. 01/06)
- Wide range of standard and specialty
administration sets
Page 34
SECTION 4 THEORY OF OPERATION
Alarms include the following:
- Distal occlusion
- Proximal occlusion
- Proximal air-in-line
- Distal air-in-line
-Low battery
- Door open while pumping
- Lockout violation
-VTBI complete
- Valve/cassette test failure
-Nurse call
- No action alarm
- Infuser idle for two minutes
4.2
ELECTRONIC SUBSYSTEM OVERVIEW
This section describes the function and electronic circuitry of three main subsystems
in the infuser: CPU subsystem, power supply subsystem, and mechanism subsystem.
Schematic diagrams of subsystem PWAs are in Section 9.
Note: An asterisk (*) denotes an active low or negative true logic signal.
4.2.1
CPU SUBSYSTEM
The CPU subsystem contains the main microcontroller, which is responsible for controlling
the display/keypad interface, external communications interfaces, and system
management.
The CPU subsystem provides the following functions:
- External memory devices access
-LCD interfaces
-Real-time clock generator interface
-System watchdog
- Analog-to-digital and digital-to-analog converter interface
- Keypad interfaces
- Control and monitor status signals, such as LEDs, audible alarms,
volume control, nurse call switch, and lockout switch
- Serial communication with host computer (DataPort)
- Power supply subsystem interface
- Mechanism subsystem interface
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
4.2.1.1
CPU
The central processing unit (CPU) is a Motorola MC68302. The CPU has a closely coupled
16 bit data bus and 24 bit address bus; MC68000 microprocessor core; a system
integration block for peripherals; and an RISC communications processor. The MC68302
is packaged in a 144 pin thin quad flat pack (TQFP) package and operates from a 3.3 V
power supply. The on-chip peripheral devices are isolated from the system through the
dual port RAM. The 1152 byte dual port RAM has 576 bytes of system RAM and 576 bytes
of parameter RAM, which contains various peripheral registers, parameters, and the buffer
descriptors for each of the three serial communication controller (SCC) channels and the
serial communication port (SCP) channels. The 24 bit address bus is capable of accessing
up to 16 MB of data.
4.2.1.2
DC
SYSTEM MEMORY ADDRESS MAP
The CPU has a 24 bit address bus when combined with UDS*/A0. The address bus
is a bi-directional, three state bus capable of addressing 16 MB of data that is configured
as 16 bits per word (including the IMP internal address space). Each of the four
programmable chip-select lines has two registers that define the starting address
of a particular address space and the block size.
4.2.1.3
PROGRAMMABLE READ-ONLY MEMORY
The CPU subsystem has two 512 K x 8 bit programmable read-only memory (PROM)
memory devices, which provide a total of 1024 KB. The PROM space is expandable up
to 2 MB. The PROM memory devices operate off the 3.3 V
0 pin (CS0*), is connected to the PROM chip-enable (CE*) pin (signal CSROM*). This special
chip-select signal can support bootstrap operation after reset. The interface to the CPU
is the 16 bit data bus, and a 19 bit address bus. The address bus is connected to the
ADDR<19:1> lines, and the data bus is connected to the DATA<15:0> lines.
4.2.1.4
supply. The CPU chip-select
DC
STATIC RANDOM ACCESS MEMORY
There are two 512 K x 8 bit CMOS static random access memory (SRAM) devices, which
provide a total of 1024 KB of data memory. During an SRAM read or write cycle, the
chip-enable (CE*) is controlled by the CPU chip-select pin 1 (CS1*, signal name (CSRAM*)).
The SRAM space is expandable up to 2 MB. The SRAM operates off the 3.3 V
The CPU subsystem includes the additional SRAM for video buffer and real-time clock.
4.2.1.5
supply.
DC
CONTROL LOGIC
The CPU PWA uses field programmable gate arrays (FPGA), which are high density,
high speed, I/O intensive general purpose devices. They are used to implement all the
digital control functions, including: memory-map address decoding; memory read-write
enable; direct memory access (DMA) request; I/O status signals; chip-select control; motor
control; sensor select; and power up/system reset control.
Technical Service Manual4 - 3430-95150-007 (Rev. 01/06)
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SECTION 4 THEORY OF OPERATION
4.2.1.6
LCD CONTROLLER
The liquid crystal display (LCD) controller is used to interface the LCD to the CPU.
The device displays layered text and graphics, scrolls the display in any direction,
and partitions the display into multiple screens. It stores bit-mapped graphic data in
external frame buffer memory. The display controller functions include: transferring data
from the controlling microprocessor to the buffer memory, reading memory data,
converting data to display pixels, and generating timing signals for the buffer memory and
LCD panel. The LCD controller accesses 32 KB of frame buffer SRAM (video) via the
controller’s video address and data busses (VA<14:0> and VD<7:0>). The LCD controller
external clock frequency is 8 MHz. The LCD controller and the display memory are operated
off the 3.3 V
interface with the 5 V
supply. The output signal levels are shifted up to 5 VDC by buffers for
DC
LCD panel.
DC
The interface to the CPU is through the lower 8 bits of the data bus, which is connected
to DATA<7:0> lines, address line A1, and LCD chip-select signal CSLCD* (CS2*).
This controller is also configured as 8080 family compatible interface device with all the
control signals, such as WRLCD* (WR*) and RDLCD* (RD*), generated by the FPGA logic.
4.2.1.7
LCD BACKLIGHT CONTROL
The LCD panel is backlit by a cold cathode fluorescent tube (CCFT) lamp. The CCFT lamp
requires 300 V
to operate; a current controlled DC-to-AC voltage inverter circuit is used
rms
to deliver a current regulated sine wave to the lamp. A switching regulator regulates the
CCFT current by monitoring feedback pin 3, and varies its output duty cycle to drive a
DC/AC inverter. Intensity control is achieved by superimposing a DC control signal with
the feedback signal. The DC control signal is sourced by a voltage divider consisting of
a digitally controlled non-volatile potentiometer and three series diodes.
The CPU can adjust LCD backlight intensity by selecting the digitally controlled
non-volatile potentiometer and controlling TUBU/D and TUBINC* signals.
The potentiometer has a five bit up/down counter with non-volatile memory. It is used to
store one of 31 settings of the potentiometer. Each count represents 323 Ω with a range
of 323 to 10 KΩ. The current counter value is stored in non-volatile memory after CSTUB*
is returned high while the TUBINC* input is also high. The current counter value is not
stored if CSTUB* is returned high and TUBINC* is low. The CCFT intensity is directly
proportional to the CCFT current, where 0 mA
is minimum intensity and 5 mA
rms
rms
is maximum intensity. The CCFT current is inversely proportional to the counter value.
4.2.1.8
LCD CONTRAST CONTROL
A digitally adjustable LCD bias supply is used to control the LCD contrast over a range
of -24 to -8 V
converter (DAC). The CPU provides two signals, LCDADJ (ADJ) and LCDCTL (CTL),
to interface with this device. On power up or after a reset, the counter sets the DAC output
to the mid-range value. Each rising edge of LCDADJ increments the DAC output.
When incremented beyond full scale, the counter rolls over and sets the DAC to the
minimum value. Therefore, a single pulse applied to LCDADJ increases the DAC set point
by one step, and 63 pulses decrease the set point by one step.
. It is digitally adjustable in 64 equal steps by an internal digital-to-analog
DC
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®
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
4.2.1.9
REAL-TIME CLOCK
The watchdog timekeeper chip includes a complete real-time clock/calendar (RTC),
watchdog timer, alarm, and interval timer. The time/date information includes
hundredths of seconds, seconds, minutes, hours, date, month, and year. The date at the
end of the month is automatically adjusted for months with less than 31 days, including
correction for leap year. The watchdog timekeeper operates in either 24-hour or 12-hour
format with an AM/PM indicator. The device can be programmed to set up an interval
timer, and it can generate an alarm every day, hour, or minute. These alarm functions
ma y be used to sch edule real-time related activities. A parallel resonant 32,768 Hz crystal
oscillator drives the internal time base.
The external interface is a separate (non-multiplexed) 8 bit data bus and 6 bit address
bus, with a contiguous address space of 64 bytes. When system power is turned off,
a battery voltage input is available, which makes the RTC data non-volatile. The address
bus is connected to the ADDR<6:1> lines, and the data bus is connected to DATA<7:0>
lines. Since the CPU accesses are 16 bits wide, the RTC data is on the lower byte of the
word. The RTC chip-enable pin (CE*) is active low enabled for read and write operations.
It is driven by the FPGA control logic, chip-select RTC signal (CSRTC*), which involves
address decoding circuitry.
4.2.1.10
VOLTAGE MONITOR WATCHDOG TIMER
It is important to protect the system during power transitions, and the CPU is reset after
the V
automatic reset output during power up, power down, or brownout conditions. When the
V
CC
and holds the microprocessor in reset for approximately 200 ms after V
the threshold. The supervisory circuit includes a chip-select inhibit circuit, which is used
to disable access to the real-time clock’s non-volatile SRAM during power transitions and
power down mode.
This device also provides a watchdog timer function to monitor the activity of the
microprocessor. To service the watchdog timer immediately after reset, the device has
a longer time-out period (1.6 second minimum) right after a reset. The normal time-out
period (70 ms minimum) is effective after the first transition of watchdog input (WDI) after
RESET* is inactive. If the microprocessor does not toggle WDI within the time-out period,
both RESET* and watchdog out (WDO*) outputs are asserted low. The RESET* remains
active low for a minimum of 140 ms and it resets the CPU. The WDO* remains low as long
as the WDI remains either high or low for longer than the watchdog time-out period.
After a reset, the software reads this memory-mapped bit to determine if the latest reset
was a watchdog time-out.
power supply is applied. The microprocessor supervisory circuit generates an
CC
falls below the reset threshold voltage of 2.9 VDC, the reset signal (RESET*) goes low
rises above
CC
Technical Service Manual4 - 5430-95150-007 (Rev. 01/06)
Page 38
SECTION 4 THEORY OF OPERATION
4.2.1.11
ANALOG-TO-DIGITAL CONVERTER
The analog-to-digital converter (ADC) monitors the proximal pressure sensor, distal
pressure sensor, proximal air sensor, distal air sensor, battery charge/discharge current,
battery voltage, buzzer test signal, LCD contrast voltage, CCFT test signal, and two chopper
motor drive reference voltages. The ADC is an advanced 10 bit accurate, 11 channel,
switched-capacitor, successive-approximation device. It has three inputs and a three-state
output (chip-select, I/O clock, address input, and data out) that provide a direct four-wire
interface to the serial communication port of the CPU. The ADC is designed to be used in
conjunction with multiple serial devices on a common bus; consequently, the data-out
pin is driven only when the chip-select (CS*) pin is asserted. Figure 4-1 illustrates the
serial interface between the ADC and the CPU.
In addition to a high-speed ADC and versatile control capability, this device has an on-chip
14 channel multiplexer that can select any one of 11 analog inputs or any one of three
internal self test voltages. The sample-and-hold function is automatic.
The end-of-conversion (EOC) output goes high to indicate that conversion is complete.
The CPU polls the EOC signal.
Channel selection and conversion results are transferred through the SCP pins. A serial
transfer synchronizing clock (SPCLK) must be fed into the I/O clock input pin when the
CS* pin is driven low. The address to be converted is serially transmitted into the address
pin, and the conversion results are serially shifted out the data-out pin. Typical access
time is 21 microseconds. The APP PWA is the source of the 2.5 V
The analog inputs are selected by the channel multiplexer according to the input address
(see Table 4-1). The input multiplexer is a break-before-make type to reduce input-to-input
noise injection resulting from channel switching.
reference voltage.
DC
430-95150-007 (Rev. 01/06)4 - 6Plum A+
®
Infusion System
Page 39
4.2 ELECTRONIC SUBSYSTEM OVERVIEW
ANALOG
INPUTS
U4
A0
A1
A2
A3
A4
A5
A6
A7
A8
A9
A10
GND
CS*
I/O CLOCK
ADDRESS
DATA OUT
EOC
REF+
REF-
GDIG
Figure 4-1. Serial Interface to ADC
CPU
I/O
SPCLK
SPTXDSCP
SPRXD
I/O
(OR INTERRUPT)
2.5V
GANA
98K01022
Table 4-1. Analog Inputs
Signal NameAnalog InputAddress (hex)Description
PRPRSA0$00Proximal pressure sensor
DIPRSA1$01Distal pressure sensor
PXAIRA2$02Proximal air sensor
DIAIRA3$03Distal air sensor
IBATTA4$04Battery current
VBATTA5$05Battery voltage
BUZTSTA6$06Buzzer test voltage
LCDTSTA7$07LCD contrast test voltage
TUBTSTA8$08CCFT intensity test voltage
MI_STAA9$09Motor current A control
MI_STBA10$0AMotor current B control
$0B(V
$0CV
ref(+)
ref(-)
- V
ref(-)
) / 2
$0DV
Technical Service Manual4 - 7430-95150-007 (Rev. 01/06)
ref(+)
Page 40
SECTION 4 THEORY OF OPERATION
4.2.1.12
DIGITAL-TO-ANALOG CONVERTER
The dual 8 bit digital-to-analog converter (DAC) generates two analog signals to control
the phase A and phase B motor coil currents. The interface between the DAC device and
the CPU is the 8 bit data bus, which is connected to DATA15:8. All the control signals for
this DAC are generated by FPGA logic devices. Buffer amplifier/ground compensation
circuits condition the DAC outputs.
4.2.1.13
FRONT PANEL KEYPAD MATRIX
A 5 x 5 membrane switch keypad matrix is located on the front panel. The keypad column
lines (COL4:0) are driven by open collector type memory mapped input ports, while the
keypad row lines (ROW4:0), are read by memory mapped input ports (see Table 4-2).
The keypad strobing, scanning, and switch de-bouncing is accomplished by software.
The keypad interface is designed with ESD protection.
Table 4-2. Keypad Map
COL 0COL1COL 2COL 3COL 4
Row 4Softkey 1Softkey 2Softkey 3Softkey 4
Row 3START123[
Row 2STOP456
Row 1Charge/Line Indicator789[
Row 0ON/OFFCLEAR0.SILENCE
4.2.1.14
]
]
FRONT PANEL [ON/OFF] KEY
The [ON/OFF] key on the front panel provides a start up (STRTUP) signal to wake up the
power supply when the system is shutdown. When activated during normal operation,
the [ON/OFF] key interrupts (STRUPD*) the CPU, signaling a request for shutdown.
4.2.1.15
FRONT PANEL LED INDICATORS
The CPU drives the three light emitting diode (LED) indicators embedded in the front panel.
Two memory mapped I/O signals activate the two LED lights used to indicate which
channel is in delivery mode (LEDAE*, LEDBE*). The AC power on LED indicates the status
of AC power (LEDAC) and that the system is in the battery charge mode. A buffered AC
on signal (BACON) drives the LED and is active only when AC power is present.
430-95150-007 (Rev. 01/06)4 - 8Plum A+
®
Infusion System
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
4.2.1.16
KEYPAD LOCKOUT INTERFACE
A lockout switch (SW1) on the peripheral PWA indicates the front panel keypad is locked.
A memory mapped input port (LOTSW*) reads the switch. The switch serves as a lockout
request and software performs the lockout.
4.2.1.17
NURSE CALL INTERFACE
A nurse call relay switch on the peripheral PWA indicates alarm conditions to a remote
operator. A memory-mapped output signal (NURSE) activates the relay during alarm
conditions. The relay has both normally open and normally closed contacts. A jumper on
the peripheral board selects the contact type. The factory setting is normally open.
4.2.1.18
AUDIBLE INDICATORS
There are two audible indicators on the CPU subsystem. A loud, main audible indicator
is mounted on the main chassis. This main alarm is used for alerting the operator to alarm
conditions. A keypad beeper (LS1), with lower power and a distinctly different tone, is used
to provide audible feedback to the operator. The keypad beeper is driven by
a memory-mapped output (KEYALM). It is used to indicate keypad activation,
and confirmation to the operator.
The main alarm has an adjustable volume control on the peripheral PWA, mounted on the
rear of the device. The main alarm can be activated by either a memory-mapped control
(MAINALM), the reset pulse(s), or by a power failure alarm latch. The main alarm will sound
a chirp for every reset pulse sent by the watchdog timer IC. Continuous chirping indicates
a stuck processor.
The alarm is activated continuously during power failure. If the control software does not
shut down power in a proper sequence, a latch on the CPU PWA, powered by a backup
supply (0.1 F supercap), will activate a continuous alarm. This continuous alarm sounds
until either the backup supply is discharged or the user resets the latch by pressing the
front panel [ON/OFF] key. Reliable operation of the main alarm is assured by software
monitoring of a buzzer test signal (FBUZTST) via the ADC.
4.2.1.19
BARCODE READER INTERFACE
Note: The barcode reader feature will not be present on later versions of the Plum A+
The CPU communicates with a barcode wand that is connected to the peripheral PWA
from the rear of the infuser. The barcode wand reads and decodes a Code 128 barcode
symbology and outputs the barcode data via an RS-232 port using an asynchronous, serial
ASCII format. The software controls power to the barcode reader and to the interface
circuits via memory-mapped outputs BARPWR and COMPWR*. The barcode reader is
isolated from the main system by an optical data path on the peripheral PWA and an
isolated power supply.
®
.
Technical Service Manual4 - 9430-95150-007 (Rev. 01/06)
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SECTION 4 THEORY OF OPERATION
4.2.1.20
DATAPORT INTERFACE
The CPU communicates with an external computer by way of a DataPort interface.
The DataPort interface provides for remote monitoring of up to 15 infusers using a host
computer with a modified RS-232-D serial interface. Infusers are either connected directly
to the host or in a daisy chain configuration using junction boxes that provide a 5 bit hard
ID via DIP switches on the junction box. The DIP switches are buffered (peripheral PWA
U8) and read by the CPU via the memory-mapped input/output (MMIO) port.
The DataPort system conforms to the EIA-232-D standard, with the following exceptions:
- DataPort uses non-standard DB-15 and 6 pin modular connectors in addition
to the standard DB-25 and DB-9 connectors
- With DataPort, more than one infuser is allowed on the line
- The minimum line impedance is 2 KΩ (EIA-232-D standard: 3 KΩ min.)
- The maximum line impedance is 30 KΩ (EIA-232-D standard: 7 KΩ max.)
- The maximum line capacitance is 13 nF (EIA-232-D standard: 2,500 pF)
The communications default is 1200 BAUD, no parity, 8 data bits and 1 stop bit. The BAUD
rate is selectable (1200, 2400, 4800, and 9600). The data format on the serial port is a 10
bit frame with asynchronous start and stop. The CTS line is held high and the RTS line
is disconnected.
The DataPort is isolated from the main system by an optical data path on the peripheral
PWA and an isolated power supply.
4.2.1.21
POWER SUPPLY INTERFACE
The CPU subsystem interfaces the power supply subsystem by providing the MMIO signals
needed for power control and battery management. Additionally, the CPU subsystem
measures the battery terminal voltage and charge/discharge current via the ADC.
See Table 4-3 for CPU-power supply interface signals.
Table 4-3. CPU-Power Supply Interface
Signal NameTypeDescription
PWRHLDD, OHolds system power on
STRTUPA, IStartup pulse from the [ON/OFF] key
STRUPD*D, IDigital startup pulse, used as interrupt to the CPU
V3_3P3.3 V system power
V5_0/VANAP5 V analog and interface power
VMOTPRaw, unregulated charger voltage or battery voltage
V2_7P2.7 V backup power for RTC and non-volatile SRAM
VSCPFull time 5 V supply, backed up by supercap
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
Table 4-3. CPU-Power Supply Interface
Signal NameTypeDescription
V12_0P12 V, low current supply for audio alarm
OVRVLT*D, ISignal that indicates overvoltage, regulation problem
on the power supply main regulator
BACOND, IBuffered AC on signal
IBATTA, IVoltage proportional to integration of battery
charge/discharge current
VBATTA, IDivided battery terminal voltage
CHG*D, OBattery charger enable
VFLOAT*D, OSet the main regulator voltage to battery float charge level
ITGRSTD, OReset the charge current integrator
Legend: P = Power; A = Analog; D = Digital; I = Input; O = Output
4.2.1.22
MECHANISM INTERFACE
The CPU subsystem provides the MMIO ports for interface to the mechanism subsystem,
in addition to the analog interface mentioned in Section 4.2.1.11 and Section 4.2.1.12.
See Table 4-4for CPU-mechanism interface signals.
Table 4-4. CPU-Mechanism Interface Signals
Signal NameTypeDescription
MI_STAA, OMotor current set for phase A
MI_STBA, OMotor current set for phase B
GDACA, OGround signal from chopper (for compensation)
M_PHAD, OMotor phase A
M_PHBD, OMotor phase B
M_SEL1, M_SEL0D, OMotor select bits
FLCAMED, OI/O and L/S cam flag sensors enable
FLPINED, OL/S pin motion detectors enable
FLPLED, OPlunger motor sensor pair enable
FLLS_CD, IFlag, L/S valve cam sensor
FLIO_CD, IFlag, I/O valve cam sensor
FLLS_AD, IFlag, L/S valve A pin detector
FLLS_BD, IFlag, L/S valve B pin detector
Technical Service Manual4 - 11430-95150-007 (Rev. 01/06)
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SECTION 4 THEORY OF OPERATION
Table 4-4. CPU-Mechanism Interface Signals
Signal NameTypeDescription
FLPLROD, IFlag, plunger rotation sensor
FLPLTRD, IFlag, plunger translation sensor
PXPRED,OProximal pressure sensor enable
PXPRSA, IProximal pressure sensor
DIPRED, ODistal pressure sensor enable
DIPRSD, ODistal pressure sensor
PXARED, OProximal air sensor enable
PXAIRA, IProximal air sensor
DIARED, ODistal air sensor enable
DIAIRA, IDistal air sensor
CASPR*D, ICassette present
CASS2*, CASS1*, CASSO*D, ICassette type coding:
Macro (111), Micro (010);
all others are invalid
SPCLKD, OSCP clock output
SPRXDD, ISCP receive data
SPTXDD, OSCP transmit data
CSSEP*D, OChip select, EEPROM
V5_0P5 V supply for interface power
V3_3P3.3 V supply for logic power
GDIGPDigital ground
VANAP5 V supply for analog power
GANAPAnalog ground
VMOT, GMOTPMotor power is directly from power supply PWA
V2_5A, IReference voltage for ADC and DAC
Legend: P = Power; A = Analog; D = Digital; I = Input; O = Output
430-95150-007 (Rev. 01/06)4 - 12Plum A+
®
Infusion System
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
4.2.2
POWER SUPPLY SUBSYSTEM
The power supply subsystem provides DC power to system circuits and interface software
controlled power and battery management.
The power supply subsystem provides for the following functions:
- Main switching regulator
-AC power detection
- Main regulator fault detection
- System power (secondary regulators)
- Auxiliary supplies
-Power control
- Battery charging circuitry
- Battery terminal voltage measurement
- Battery charge/discharge current measurement
4.2.2.1
MAIN SWITCHING REGULATOR
The main source of power for the infuser is the AC line. The main switching regulator is
a pulse width modulated, AC-to-DC converter which provides the system an isolated DC
voltage of 6.74 V
preceded by: line fuses F1 and F2, surge suppressor VR1, and a line filter. The bridge
rectifier U14 and capacitors C52 and C53 provide the DC voltage required for the switching
circuit. Voltage regulator U13 provides the pulse width modulator (PWM) device U12
startup supply voltage. After startup, supply voltage for U12 is supplied by half wave
rectifier circuitry CR14, R76, and C51.
The PWM oscillation frequency is approximately 40 kHz, determined by external resistor
R72 and capacitor C45. U12 controls the power delivered by varying the duty cycle of the
power metal-oxide-semiconductor field-effect transistor (MOSFET) Q9, which drives T2.
A half-wave rectifier rectifies the transformer’s secondary voltage, which provides the raw
DC voltage for the battery charger and system power. There are three feedback
mechanisms that maintain control: a main loop for normal control, a secondary loop for
overvoltage protection, and a current limit loop.
4.2.2.1.1
(or 7.35 VDC in battery charger boost mode). The main regulator is
DC
Main Loop
The main loop uses an optical feedback path to regulate the charger voltage (BATPOS)
at 6.9 V
control of the VFLOAT* line). A shunt regulator and opto-isolator provide feedback to the
PWM error amplifier.
Technical Service Manual4 - 13430-95150-007 (Rev. 01/06)
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DC
Page 46
SECTION 4 THEORY OF OPERATION
4.2.2.1.2
Secondary Loop
Diode CR10 and opto-isolator U10 provide overvoltage protection. CR10 conducts and
activates U10 when secondary voltage exceeds approximately 10 V
. The duty cycle of
DC
U12 is reduced until the excessive voltage is removed.
4.2.2.1.3
Current Limit Loop
The current limit loop is activated when the primary current, sensed by R71, exceeds 3 A.
Resistor R70 and capacitor C46 filter the voltage across R71 and feed it back to the current
sense input (1.5 V
threshold) of U12. The duty cycle of U12 is reduced until the excessive
DC
load is removed.
4.2.2.2
MAIN REGULATOR FAULT DETECTION
If the switching regulator’s main loop fails, the secondary voltage limit loop takes over.
However, the battery charger and motors must be disabled, and an alarm must be
generated. A comparator is used to monitor the raw DC (+BUSS) for overvoltage. A 3.3 V
logic signal (OVRVLT*) is provided to the CPU subsystem.
DC
4.2.2.3
SYSTEM POWER
Along with the unregulated VMOT supply, a secondary switching regulator provides
system power. The secondary switching regulator includes IC U4, transformer T1,
and transistors Q4 and Q5. The regulator is a triple output, wide supply range, fly-back
converter that provides regulated 3.3 V
transformer T1. The regulator operates over an input range of 4 to 10 V
, 5 VDC, and 12 VDC outputs from the five winding
DC
and provides
DC
output current limit as well as voltage overshoot limit. Primary feedback is metered
through a bias arrangement on transistor Q3. A Schottky rectifier diode CR4 provides
feedback in the event of V3_3 or V12_0 failure, and transistor Q10 provides feedback in
the event of V5_0 failure. The positive terminal of the battery provides the raw DC voltage,
VMOT, for the motors and backlight of the display.
4.2.2.4
AUXILIARY SUPPLIES
The power supply subsystem provides full time 5 VDC and 2.7 VDC supplies, which are
active when battery or AC voltage is present. The full time 5 V
low dropout voltage regulator U6, whose power source is directly from the battery and is
backed up by a 0.1 F capacitor. VSC is used for the ON/OFF switch and a power failure
alarm latch. The full time 2.7 V
supply (V2_7) is derived from VSC and is used to supply
DC
the ultra-low current needed to power the real-time clock and non-volatile SRAM during
shutdown.
supply (VSC) uses a linear
DC
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
4.2.2.5
POWER CONTROL
The infuser will operate in one of three modes: normal, standby, or shutdown. During
normal operation, the user interface is active and either on battery or AC line power.
During standby mode the user interface is inactive while the CPU is still operating,
servicing the battery management and waiting for a startup interrupt. Shutdown mode
iswhen system power is off. Shutdown mode only occurs during battery operation;
otherwise, +BUSS holds the system power on.
The infuser is activated when the [ON/OFF] key is pressed or the AC line is plugged in.
The [ON/OFF] key activates the STRTUP signal, triggering a three second one-shot circuit
(C3, R10, CR1, and Q1) that will temporarily turn the system power on. This three second
one-shot period allows the CPU enough time to power up, initialize, and turn on the
PWRHLD signal. The CPU monitors the STRTUP signal, via interrupt, to signal a user
request for turning off the infuser.
Figure 4-2 illustrates the system startup/shutdown sequence while battery powered.
System power is always on while AC powered.
STRTUP
ONE-SHOT
V3_3, V5_0, V12V
PWRHLD
Figure 4-2. System Startup and Shutdown Timing, Battery Powered
3 SEC
98K01021
Technical Service Manual4 - 15430-95150-007 (Rev. 01/06)
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SECTION 4 THEORY OF OPERATION
4.2.2.6
BATTERY VOLTAGE MEASUREMENT
The battery terminal voltage (BATPOS - BATNEG) is measured with a differential amplifier
consisting of U1, R1, R2, R4, R7, and R8. It has a gain of 0.317 to generate a single ended
VBATT signal. The VBATT signal is then provided to the CPU A/D converter as input for
the battery management algorithms.
4.2.2.7
BATTERY CHARGE/DISCHARGE CURRENT MEASUREMENT
The battery management algorithms measure battery charge/discharge current for battery
capacity estimation and charger control. The charge/discharge current is measured by
integrating the voltage across current sense resistor R57. An operational amplifier
(op-amp) integrator circuit, consisting of U2, C5, R12, R13, R19, and R20, provides
a voltage proportional to the integration of battery current (IBATT) over a CPU controlled
measurement period. The IBATT signal is fed to the CPU A/D converter, where it is sampled
at the end of the measurement period. The battery management algorithm further
accumulates the charge/discharge current for battery capacity estimation. The op-amp
integrator is reset by the CPU system at the beginning of each measurement period by
parallel analog switches U3, controlled by the CPU’s ITGRST signal. The battery
management algorithm periodically calibrates the op-amp integrator.
4.2.2.8
BATTERY CHARGER
The software battery management algorithm controls the battery charger. The charging
scheme is a current limit/two stage voltage limit charger. The charge current is limited to
1.3 A and the voltage is limited to either 6.74 V
The source of the charge current is power MOSFET transistor Q7 operating in the linear
mode. Charge current passes through a current sense resistor R57, where it develops a
feedback signal for the charger control amplifier consisting of U7, Q6, and associated
parts. The feedback signal is compared against a 2.5 V
protects against damage due to a short circuit. The battery management algorithm
maintains on/off control of the charger by the charger enable signal CHG*. When set high,
CHG* activates a comparator, which overrides the feedback signal and disables the
charger. Excessive voltage on the BATNEG terminal indicates that there is a shorted
battery cell, and will disable the charger through the same comparator.
or 7.35 VDC.
DC
DC
voltage reference U8. A 0.5 A fuse
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
4.2.3
MECHANISM SUBSYSTEM
The mechanism subsystem includes the electronics and electromechanical components
that interface with the infuser pumping mechanism.
The mechanism subsystem provides the following functions:
- Chopper motor drive for three stepper motors (plunger, L/S valve, I/O valve)
- Four motor position sensors (flag detectors)
- Precision voltage reference
- Two air sensors (distal, proximal)
- Two pressure sensors (distal, proximal)
- Cassette presence and type detection
- Serial electrically erasable PROM (EEPROM)
See Table 4-4 for mechanism interface signals.
4.2.3.1
MOTORS/MOTOR DRIVE
The infuser uses three stepper motors for pumping: one for fluid displacement and two
for cassette valve actuation. The stepper motors are driven, under step-by-step control
from software, by a unipolar chopper drive.
4.2.3.1.1
Stepper Motors
Each motor is named by its function, as follows:
- Plunger motor for driving the plunger screw
- I/O valve motor for moving the input-output valve pins
- L/S valve motor for moving the line select valve pins A and B
All three motors are four phase stepper types. One electrical revolution is accomplished
after four motor steps (phases) are completed. The step-angle (the number of steps per
shaft revolution) resolutions are 3.6
and 7.5
The unipolar motor windings have a center tap connected on each of the two coils as shown
in Figure 4-3. Unidirectional current enters the center tap and is steered to one end of the
coil or the other end by the driver electronics, creating positive or negative flux lines in
the motor coil. With two coils each with a choice of flux polarity, four electrical
combinations or phases are possible.
° /step (48 steps/rev) for the I/O and L/S valve motors.
° /step (100 steps/rev) for the plunger motor,
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SECTION 4 THEORY OF OPERATION
A
ACOM
A
BCOM
B B
98K01020
Figure 4-3. Stepper Motor Coils
4.2.3.1.2
Chopper Motor Drive
The infuser stepper motor drive is a chopper drive, which is a pulse width modulation
of the coil current in each motor winding. Current is switched on and off to maintain
a predetermined coil current independent of supply voltage and motor speed. The motor
winding inductance acts as a filter to smooth out the switching currents, slowing the
current rise when turned on and storing a decaying current when turned off. Each motor
coil is modulated independently, allowing different coil currents in the two motor windings.
The coil current is sensed and compared to a reference input for each winding. Modulation
circuits correct for any error between the sensed current and the reference. This reference
input can be changed to set a different coil current.
4.2.3.2
MOTOR POSITION SENSORS
Motor position is estimated by counting the motor steps, relative to a position reference.
Optical switches and flags serve as position references, which are used to find the motor
home positions and to verify proper motion. Flag positions are anticipated by software.
Optical switch flag sensors are used for tracking the following:
- Plunger motor rotational position (coupler flag)
- Plunger translational (linear) position
- I/O valve motor rotational position (cam flag)
- L/S valve motor rotational position (cam flag)
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
Each optical switch consists of an infrared LED, which shines through a rectangular
aperture, across a slot, to illuminate a photo-transistor. The photo-transistor is activated
as long as the beam is on and not blocked (by a flag in the slot). The optical switches are
distributed throughout the mechanism, near their associated flags. The motor rotational
optical switches are mounted on the driver PWA along with the control circuitry.
The plunger translational optical switch is mounted remotely on the switch PWA.
The switches are used intermittently to save power.
There are two control signals that enable associated switch pairs, as follows:
- FLCAMEflag valve motor cam sensor enable
- FLPLEflag plunger motor rotation and translation sensors enable
Each of these control signals enables a constant current source which turns on the
associated switch’s infrared LEDs. The photo transistor states are sensed by Schmidt
trigger inverters on the driver PWA, which provide a 3.3 V logic high when the optical path
is blocked or a logic low when the optical path is clear. The Schmidt trigger output is high
when the sensor is disabled.
The following output signals are provided to the CPU subsystem:
- FLIO_Cflag I/O valve motor cam sensor
- FLLS_Cflag L/S valve motor cam sensor
- FLPLROflag plunger motor rotation sensor
- FLPLTRflag plunger motor transition sensor
4.2.3.3
V2_5 REFERENCE VOLTAGE
A precision 2.5 VDC reference voltage is generated on the APP PWA for use by the pressure
sensor excitation circuits, the air sensor amplifier circuits, and the ADC and DAC reference
voltage. The precision 2.5 V
is V2_5.
4.2.3.4
reference is buffered by a voltage follower. The signal name
DC
AIR SENSORS
The mechanism subsystem includes two air sensors, used to detect air passage into
(proximal) or out of (distal) the cassette. Both sensors are piezoelectric crystal transmitter
receiver pairs. Liquid between the transmitter and receiver will conduct the ultrasonic
signal, while air will not(see Figure 4-4).
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SECTION 4 THEORY OF OPERATION
VSO
CPU
VCO/PLL
Figure 4-4. Air Sensor Block Diagram
4.2.3.4.1
Transmitter Circuitry
A/D
G_TX
OUTPUT
AMP
XTL
TX
XTL
RX
G_RX
PEAK
DETECTOR
98K01019
The transmitter circuitry consists of a voltage sweep oscillator (VSO), a voltage-controlled
oscillator (VCO), and a transmitter amplifier, and are located on the APP PWA.
The voltage sweep oscillator circuit oscillates at approximately 12 kHz at 50 percent duty
cycle. The output of the sweep oscillator is between +2 V
and +3 VDC, and is used to
DC
sweep the VCO. The VCO sweeps through the sensor’s peak coupling frequency, which is
between 3 MHz and 6 MHz. A resistor and capacitor are used to configure the VCO center
frequency. The VCO is enabled when the CPU asserts either DIARE or PXARE control
signals.
The transmitter amplifier consists of a push-pull, emitter-follower, complementary pair
of transistors. The transmitter amplifier drives both proximal and distal sensors
simultaneously.
®
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
4.2.3.4.2
Receiver Circuitry
When the cassette’s test port is filled with fluid, the transmitted signal will be coupled to
an identical piezoelectric crystal, where it is amplified and detected by the receiver
circuitry. The receiver circuitry consists of an amplifier, a peak detector, and an adjustable
gain buffer stage. There is a separate, symmetrical receiver circuit for each channel
(proximal and distal). Component references (called out in this design description) will be
made to the distal channel only.
The first amplifier includes two, directly coupled common emitter stages, biased from the
V2_5 supply. DIARE and PXARE are used to enable the distal and proximal sensors,
respectively. The detector stage consists of an emitter follower, charging a 400 µsec time
constant, refreshed every 40 microseconds (twice per VCO sweep).
The peak detector output is buffered by an op-amp configured as a basic non-inverting
amplifier with a trimming potentiometer for gain adjustment. Each sensor has an
independent gain adjustment. The two air sensor, gain-trimming potentiometers are
accessible for calibration in an assembled mechanism.
The following final signals are read by the CPU subsystem via the ADC:
- PXAIRproximal air sensor output
- DIAIRdistal air sensor output
4.2.3.5
PRESSURE SENSORS
The mechanism subsection contains two strain gauge-type pressure sensors, one at the
proximal and the other at the distal cassette ports. Electrically, the strain gauge is a
Wheatstone bridge made of four strain gauge resistors. When the bridge is electrically
excited, the bridge will output a millivolt level signal proportional to the applied pressure.
The output signal is amplified and offset adjusted before being read by the ADC.
Each pressure sensor circuit includes an excitation voltage supply, sensor amplifiers,
and a low pass filter.
The pressure sensor circuitry is on the APP PWA. Each of the two channels has an identical
topology, but different gain and filter response. A block diagram of this circuit is shown
in Figure 4-5.
Note: Component references are made to the distal channel only.
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SECTION 4 THEORY OF OPERATION
PRESSURE
SENSOR
ENABLE
(FROM CPU)
BRIDGE
EXCITATION
3.75 V
REFERENCE
2.5 V
WHEATSTONE
BRIDGE
DIFFERENTIAL
AMPLIFIER
AND OFFSET
ADJUST
OUTPUT
AMPLIFIER
AND FILTER
PRESSURE
SIGNAL OUTPUT
(TO CPU)
05K01018
Figure 4-5. Pressure Sensor Excitation and Amplifier Block Diagram
4.2.3.5.1
Bridge Excitation Supply
The bridge excitation voltage is 3.75 VDC, and is derived from the 2.5 VDC reference signal
(V2_5), gained 1.5 times by an amplifier. The CPU subsystem may independently enable
power to each pressure sensor bridge.
The following enable signals are active high 3.3 V logic level inputs:
- PXPREproximal pressure sensor enable
- DIPREdistal pressure sensor enable
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4.2 ELECTRONIC SUBSYSTEM OVERVIEW
4.2.3.5.2
Amplifier and Low Pass Filter
The pressure sensor amplifiers include a high gain differential pre-amplifier, followed by
a second stage non-inverting amplifier with low gain. A trimming potentiometer is adjusted
to minimize any offset in the impedance of the bridge.
A two-pole filter is used to filter the pressure signals. The first pole is formed by a capacitor
(multiplied by 230 due to Miller effect) and a Thevenin resistance. The second pole is the
RC filter at the ADC input, which is located on the CPU PWA.
The output signals to the A/D converter in the CPU PWA are, as follows:
- PXPRSproximal pressure signal
- DIPRSdistal pressure signal
4.2.3.6
PRESSURE SENSOR CALIBRATION
Pressure sensors are calibrated for offset and gain during mechanism calibration.
A trimming potentiometer is used to adjust the initial, zero pressure offset. The proximal
and distal pressure sensors have independent offset adjustments. The final system gain
(cassette pressure to corrected amplifier output) is adjusted in software. During
mechanism calibration, each channel’s gain (amplifier output/cassette pressure) will be
measured, and stored in the serial EEPROM on the driver PWA.
4.2.3.7
CASSETTE TYPE/PRESENCE SELECTION
The mechanism subsystem includes one force sensing resistor (FSR) switch, which is
coupled to the cassette and is used for cassette present detection. The FSR is a polymer
thick film device, which exhibits a decrease in resistance with any increase in force applied
to the active surface. The FSR is arranged in a voltage divider configuration with a fixed
resistor, followed by a comparator with hysteresis. The comparator circuits are located on
the CPU PWA. The comparators are designed to trip as the FSR’s resistance falls below
120 KΩ.
4.2.3.8
SERIAL EEPROM
The driver PWA holds the 8 K x 8 bit, serial EEPROM, which is used to store event, alarm,
malfunction, and calibration data specific to the pumping mechanism. It is accessed
through a serial peripheral interface (SPI) compatible interface, which is a high-speed serial
interface to the CPU. The CPU PWA accesses this device through its SCP serial interface.
This interface is a subset of the SPI, and consists of clock (SPCLK), data in (SPRXD),
and data out (SPTXD) pins. This device is in the driver PWA to allow the calibration data
to stay with the mechanism.
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SECTION 4 THEORY OF OPERATION
4.3
PRINTED WIRING ASSEMBLIES
Infusion system electronics are packaged into six printed wiring assemblies (PWA) and
several remote mounted peripherals (see Section 4.4). The following sections provide a brief
description of the functional interfaces of each PWA.
4.3.1
POWER SUPPLY PWA
The power supply PWA (see Figure 9-10)contains the following functions of the power
supply subsystem:
- Main switching regulator
-AC power detection
- Main regulator fault detection
-System power
The power supply PWA is a four layer board, with primarily surface mount technology
(SMT) components. The board is fully testable from the bottom side. Insulating tape covers
the back of the power supply PWA. Open system troubleshooting should be done under
battery power. If connection to the AC line is required, an isolation transformer should be
used since AC line potentials are present on the power supply PWA.
See Section 4.2.2 for a functional description, and see Table 4-5 for power supply PWA
interface connections.
Table 4-5. Power Supply PWA Interface Connections
ConnectorTypeInterface
P230 pin receptacleBoard-to-board connection to CPU PWA
J164 pin headerMotor power connection to driver PWA
J213 pin receptacleAC power cord connection
- Auxiliary supplies
-Power control
- Battery management
J222 pin headerBattery cable connection
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4.3 PRINTED WIRING ASSEMBLIES
4.3.2
PERIPHERAL PWA
The peripheral PWA (see Figure 9-11)contains part of the CPU subsystem circuitry,
including system program and data memories (PROM and SRAM), external communication
interface circuits, and rear instrument user controls. The peripheral PWA is designed to be
field replaceable, to facilitate software upgrades or additional external interfaces.
The peripheral PWA is a four layer board, including one ground plane, one power plane,
and two signal layers. In its initial configuration, all of the components are mounted on
the top side.
See Section 4.2.1 for a functional description, and see Table 4-6 for peripheral PWA
interface connections.
Table 4-6. Peripheral PWA Interface Connections
ConnectorTypeInterface
P196 pin receptacleBoard-to-board connection to CPU PWA
J2615 pin D-subDataPort
J279 pin D-subBarcode reader connection
J283 pin phone jackNurse call jack
4.3.3
CPU PWA
The CPU PWA (see Figure 9-12) contains most of the CPU subsystem functions, with the
exception of main memory and communications ports, which are located on the peripheral
PWA. The CPU PWA also accommodates system interconnect.
The CPU PWA is an eight layer board, with one ground plane, one power plane, and six
signal layers. The CPU PWA primarily contains SMT components. Most of the components
are on the top side, while the bottom side holds wave-solder compatible SMT resistors and
capacitors.
See Section 4.2.1 for a functional description, and see Table 4-7 for CPU PWA interface
connections.
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SECTION 4 THEORY OF OPERATION
Table 4-7. CPU PWA Interface Connections
ConnectorTypeInterface
J796 pin headerConnection to peripheral PWA
(CPU bus; rear panel I/O; communication ports)
J230 pin headerConnection to power supply PWA
J350 pin SMTRibbon cable connection to driver PWA (mechanism)
The driver PWA (see Figure 9-13)contains the mechanism subsystem’s motor drive
circuitry, motor position sensors, and serial EEPROM. The driver PWA is mounted in the
mechanism sub-chassis.
The driver PWA is a four layer board, with one ground plane, one power plane and two
signal layers. The driver PWA primarily uses SMT components. Most of the components
are located on the top side of the board, while the bottom side holds wave-solder compatible
resistors and capacitors.
See Section 4.2.3 for a functional description, and see Table 4-8for driver PWA interface
connections.
Table 4-8. Driver PWA Interface Connections
ConnectorTyp eInterface
J76 pin headerPlunger motor
J86 pin headerInput/output motor
J96 pin headerLine select motor
J1020 pin SMTFlat flex cable to APP PWA
J1150 pin headerRibbon cable to CPU PWA
J126 pin SMTFSR flex circuit
J134 pin headerMotor power from power supply PWA
J148 pin SMTFlat flex cable to switch PWA
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4.4 REMOTE MOUNTED PERIPHERALS
4.3.5
SWITCH PWA
The switch PWA (see Figure 9-14)contains the plunger translation position sensor, which
is one of six position sensors in the system. The switch PWA is located at the side of the
mechanism sub-chassis, and connects to the driver PWA.
4.3.6
APP PWA
The APP (air, pressure, and pin) PWA (see Figure 9-15)is mounted in the mechanism
sub-chassis. The APP PWA contains the following mechanism subsystem circuitry:
- Proximal and distal air sensors and circuitry
- Proximal and distal pressure sensor amplifiers and excitation
- V2_5 precision voltage reference
- Pin detector optical switch module
The APP PWA is a four layer board, with one ground plane, one power plane and two signal
layers. The APP PWA uses SMT components, mounted on both sides of the board. The air
sensors and the pin detector module are board mounted.
See Section 4.2.3 for a functional description, and see Table 4-9 for APP PWA interface
connections.
Table 4-9. APP PWA Interface Connections
ConnectorTyp eInterface
J1520 pin SMTFlat flex cable to driver PWA
J1110 pin SMTPressure sensor connector
4.4
REMOTE MOUNTED PERIPHERALS
The following sections describe the major remote mounted peripherals.
4.4.1
LCD
The infuser uses a graphic LCD module with a CCFT. The CCFT provides a backlight
source for the LCD. The LCD requires a nominal -16 V
is controlled by the CPU. The infuser’s graphic display data is shifted out to the LCD by
the CPU LCD controller, which interfaces directly with the CPU (see Section 4.2.1.6).
The display is configured as a 240 x 240 dot matrix with a viewing angle
of approximately 60
° .
supply for contrast control, which
DC
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SECTION 4 THEORY OF OPERATION
4.4.2
SEALED LEAD ACID BATTERY
The infuser uses a nominal 6 VDC rechargeable sealed lead acid battery with a 4 amp-hour
capacity.
4.4.3
BARCODE READER WAND
Note: The barcode reader feature will not be present on later versions of the Plum A+
The barcode reader wand connects to the BCR port on the peripheral PWA
(see Figure 9-11). The BCR wand interfaces through the infuser’s optically isolated, TTL
logic level, asynchronous interface. The BCR wand is also capable of interfacing at RS-232
levels. The infuser provides an isolated +5 V
LED at the tip of the BCR wand is swiped across a barcode label, the reflected light is
scanned and processed. After a successful scan, the data is sent over the communication
interface to the CPU.
regulator to power the BCR wand. When the
DC
®
4.5
MECHANICAL OVERVIEW
The principal mechanical elements of the infuser include the cassette and the mechanism
assembly. When a cassette is locked into the operating position and the [ON/OFF] switch
is pressed, the infuser performs a self test to verify the integrity of the internal systems.
The operation of the mechanism assembly moves a plunger, causing a pumping action.
A valve motor selects the A or B valve, depending on the command. An additional valve
motor alternately opens and closes an inlet valve and outlet valve to control fluid flow
through the cassette pumping chamber.
The following sections detail the cassette and the mechanism assembly.
.
4.5.1
CASSETTE
The cassette operates on a fluid displacement principle to volumetrically deliver fluid
(see Figure 4-6 and Figure 4-7). See the system operating manual for a description of the
major cassette functions.
The pumping cycle begins when the outlet valve is opened and the inlet valve is closed.
The plunger extends to deflect the cassette diaphragm and expel fluid. At the end of the
pumping stroke, the outlet valve is closed, the inlet opens, the appropriate A or B valve
opens, and the plunger retracts to allow fluid to refill the pumping chamber. After the
pumping chamber is filled, the inlet and outlet valves are reversed, the A and B valves are
closed, and the cycle repeats.
The cassette contains two chambers: an upper air trap chamber and a pumping chamber.
The two chambers are separated by an inlet valve and operate together to detect air. The air
trap chamber receives fluid from the intravenous (IV) container through either the A or B
valve. The air trap chamber collects air bubbles from the IV line and container to prevent
them from entering the pumping chamber and can collect a substantial amount of air.
®
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4.5 MECHANICAL OVERVIEW
A proximal air-in-line sensor (bubble detector) is located between the A/B valves and the
upper air-trap chamber. The proximal air-in-line sensor detects air entering the upper
air-trap chamber and initiates an audible alarm if the predetermined air collection
threshold is exceeded. Similarly, a second air-in-line sensor located distal to the pumping
chamber initiates an audible alarm if a predetermined amount of air is detected.
The pumping chamber receives fluid from the upper air-trap chamber through an inlet
valve. A pressure sensor located in the upper air-trap chamber monitors pressure on the
proximal side of the cassette. When the diaphragm covering the pumping chamber is
deflected by the plunger, the pumping chamber expels fluid through an outlet valve.
A pressure sensor located distal to the pumping chamber monitors pressure on the distal
side of the cassette.
A flow regulator is incorporated into the cassette distal end. This flow regulator is used to
manually control flow when the cassette is not inserted in the infuser. When the cassette
is properly inserted into the infuser and the door is closed, a mechanism opens the flow
regulator to allow the infuser to control fluid flow. When the door is opened, the same
mechanism closes the flow regulator to disable fluid flow.
SECONDARY PORT
PRESSURE SENSOR
RIGHT VIEW
(Y-RESEAL OR
LOCKING CAP)
B VALVE
AIR-IN-LINE
SENSOR
(PROXIMAL)
(PROXIMAL)
AIR TRAP
CHAMBER
INLET VALVE
FROM PRIMARY
CONTAINER
REAR VIEW
PRECISION GRAVITY
(CONTROL NOT SHOWN)
A VALV E
AIR-IN-LINE
SENSOR
(DISTAL)
PRESSURE SENSOR
(DISTAL)
OUTLET VALVE
PUMPING CHAMBER
FLOW REGULATOR
FINGER
GRIP
OUTLET
TO
PATIENT
LEFT VIEW
98G01017
Figure 4-6. Major Elements of the Dual-Channel Cassette
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SECTION 4 THEORY OF OPERATION
LINE A
A VALV E
AIR TRAP CHAMBER
INLET VALVE
OUTLET VALVE
LINE B
B VALVE
AIR-IN-LINE SENSOR (PROXIMAL)
PRESSURE SENSOR (PROXIMAL)
PUMPING CHAMBER
PRESSURE SENSOR (DISTAL)
AIR-IN-LINE SENSOR (DISTAL)
PRECISION GRAVITY
FLOW REGULATOR (AND SHUT OFF)
98G01001
Figure 4-7. Fluid Path in the Cassette
4.5.2
MECHANISM ASSEMBLY
The mechanism assembly is a fully self-contained unit consisting of the motor and valve
assemblies, A/B valve subsystem, inlet/outlet valve subsystem, plunger drive subsystem,
air bubble (ultrasonic) sensor assemblies, cassette door, and pressure sensor assemblies.
The motor and valve assemblies, A/B valve subsystem, inlet/outlet valve subsystem,
and plunger drive subsystem are detailed in the following sections.
During infuser operation, the mechanism assembly plunger motor drives a lead screw that
is coupled to the plunger. The motor action and lead screw move the plunger forward
to cause the delivery of approximately 0.33 mL of fluid per cycle. The plunger motion
is synchronized to the valve motors to provide controlled fluid delivery.
4.5.2.1
MOTOR AND VALVE ASSEMBLIES
The mechanism assembly pumping action is controlled by three stepper motors. The first
stepper motor, in conjunction with an associated valve assembly, activates the A valve or
B valve of the cassette, depending on the command. The second stepper motor alternately
opens and closes the inlet and outlet valve to control fluid delivery through the cassette
pumping chamber. A third stepper motor controls plunger movement.
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4.5 MECHANICAL OVERVIEW
4.5.2.2
A/B VALVE SUBSYSTEM
The A/B valve subsystem includes a motor designed to rotate a cam. When the cam is
positioned at top-dead-center (home position), both valves are closed. Clockwise rotation
(when viewed from the motor side) from the home position opens the A valve, while the
B valve remains closed. Counterclockwise rotation opens the B valve, while the A valve
remains closed (see Figure 4-8).
The A/B valve subsystem consists of a stepper motor with attached cam and integral cam
flag, A and B rockers and valve pins, and a pin detector assembly. The cam flag passes
through an interrupter module as it rotates with the cam. Valve home position is
determined by this cam flag/interrupter module combination through predetermined
factory calibration data. During operation, if the cam flag passes through the interrupter
module at the incorrect time sequence, a motor phase loss is detected. The rocker is the
connecting link between the cam and the valve pin.
A VALV E
REGULATOR ACTUATOR
AIR-IN-LINE SENSOR
(DISTAL)
PRESSURE SENSOR
(DISTAL)
CASSETTE LOCATOR
OUTLET VALVE
Figure 4-8. Mechanism Valve Pins and Sensor Locations
PLUNGER
INLET VALVE
B VALVE
AIR-IN-LINE SENSOR
(PROXIMAL)
PRESSURE SENSOR
(PROXIMAL)
FORCE SENSING
RESISTOR
02K01023
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SECTION 4 THEORY OF OPERATION
4.5.2.3
INLET/OUTLET VALVE SUBSYSTEM
The inlet/outlet valve subsystem is similar in function and build to the A/B valve
subsystem (see Section 4.5.2.2).
4.5.2.4
PLUNGER DRIVE SUBSYSTEM
The main components of the plunger drive subsystem are: plunger, lead screw and coupler,
and stepper motor. When the infuser is turned on, the plunger moves from the retracted,
PARK position to the HOME position. The cassette diaphragm is engaged. The stepper
motor rotates approximately 1 2/3 revolutions per pump cycle to permit a 0.33 mL fluid
displacement every pump cycle. The stepper motor then reverses and the plunger returns
to HOME position. This cycle repeats for the duration of fluid administration.
The screw/coupler assembly links the motor and the plunger. This assembly includes
a flag that passes through an interrupter module. This screw/coupler, flag/interrupter
module combination is used in conjunction with predetermined factory calibration data
to determine the plunger position. During operation, if the screw/coupler flag passes
through the interrupter module at the incorrect time sequence, a motor phase loss
is detected.
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®
Infusion System
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Section 5
MAINTENANCE AND SERVICE
TESTS
A complete maintenance program promotes infusion system longevity and trouble-free
operation. Such a program should include routine maintenance, periodic maintenance
inspection, and following any repair procedure, performance verification testing.
5.1
ROUTINE MAINTENANCE
Routine maintenance consists of basic inspection and cleaning procedures. As a minimum
requirement, inspect and clean the infuser after each use. In addition, establish a regular
cleaning schedule for the device.
5.1.1
CLEANING
Accumulation of dust or spilled fluids on the cassette door and housing can affect proper
operation. The following cleaning procedures are designed to sustain longevity and
promote trouble-free operation.
Follow hospital protocol for establishing the infuser cleaning schedule.
WARNING:
CAUTION: Do not immerse the infuser in liquids. Immersion could damage the
device. Do not allow liquids to enter the electronics compartment. Do not spray
cleaning solutions toward any openings in the device.
CAUTION: Certain cleaning and sanitizing compounds may slowly degrade
components made from some plastic materials. Using abrasive cleaners or cleaning
solutions not recommended by Hospira may result in product damage and,
potentially, void the product warranty. Do not use compounds containing
combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride. Do not
use solvents that are harmful to plastic.
CAUTION: To avoid damage to the device, cleaning solutions should be used only
as directed in Table 5-1. The disinfecting properties of cleaning solutions vary;
consult the manufacturer for specific information.
DISCONNECT THE INFUSER FROM AC POWER PRIOR TO
CLEANING THE DEVICE. FAILURE TO COMPLY WITH THIS
WARNING COULD RESULT IN ELECTRICAL SHOCK.
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SECTION 5 MAINTENANCE AND SERVICE TESTS
Table 5-1. Cleaning Solutions
Cleaning SolutionManufacturerPreparation
Coverage
Dispatch
Manu-Klenz
Precise
Sporicidin
Household bleachVarious
1. Clean the exposed surfaces of the infusion system with a soft, lint-free cloth
2. Remove soap residue with clear water.
TM
HBSteris Corporation
TM
®
TM
®
dampened with one of the cleaning solutions listed in Table 5-1, or a mild solution
of soapy water.
Caltech Industries
Steris Corporation
Caltech Industries
Sporicidin International
Per manufacturer's
recommendation
Per manufacturer's
recommendation
Per manufacturer's
recommendation
Per manufacturer's
recommendation
Per manufacturer’s
recommendation
Per hospital procedures;
do not exceed one part
bleach in ten parts water
5.1.2
SANITIZING
Sanitize the external surfaces of the infuser using a cleaning solution listed in Table 5-1.
Note: Not all cleaning solutions are sanitizers. Check product labeling.
CAUTION: Do not sterilize the infuser using heat, steam, ethylene oxide (ETO),
or radiation. These methods may cause the device to malfunction.
5.2
PERFORMANCE VERIFICATION TEST
The performance verification test (PVT) consists of the tests described in the following
sections. The PVT can be used for diagnostic purposes during the troubleshooting
of a malfunctioning infuser. The PVT should be used for performance verification before
an infuser is placed back in service after repair. If any malfunction is detected as a result
of the PVT, see Table 6-3.
Note: Perform the PVT exactly as described in this manual to assure effective
and reliable product evaluation information.
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5.2 PERFORMANCE VERIFICATION TEST
5.2.1
EQUIPMENT REQUIRED
The PVT requires the following equipment and materials, or equivalents:
- Graduated cylinder, 25 mL, with 0.2 mL graduations (Type A)
- Sterile water or tap water in an IV bag/container
- Digital pressure meter (DPM), 0 to 50 psi (Fluke
- Nurse call test cable (P/N 561-88416-001) (optional)
5.2.2
INSPECTION
Inspect the infusion system periodically for signs of defects such as worn accessories,
broken connections, or damaged cables. In addition, inspect the infuser after repair
or during cleaning. Replace any damaged or defective external parts.
Inspect the following areas for missing or damaged parts:
-Labels
- AC power cord, retainer, and strap
- Rubber foot pads
- Door assembly and handle
- Keypad and display
- External screws
- Pole clamp assembly
- Front and rear enclosures
- Battery door
- Peripheral assembly and components
-LEDs
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SECTION 5 MAINTENANCE AND SERVICE TESTS
5.2.3
TEST SETUP
WARNING:
To set up the infuser for the PVT, proceed as follows:
1. Confirm the infuser and appropriate accessories are assembled.
2. Hang two sterile water containers at a height of 18 inches ± 6 inches above the
pumping chamber of the infuser.
3. Connect the infuser to AC power, and press [ON/OFF] to turn on the device.
4. Verify the infuser is in the unlocked mode. Toggling the [LOCKOUT] switch
alternates between unlocked [DOWN] and locked [UP] modes.
5. Turn off the infuser.
A PATIENT SHOULD NEVER BE CONNECTED TO THE INFUSER
DURING TESTING.
5.2.4
SELF TEST
CAUTION: Do not place the infuser in service if the self test fails.
Note: Conduct all tests with the infuser connected to AC power unless otherwise
specified.
Note: If an alarm condition occurs during the self test, cycle the power and repeat the
self test. If the alarm condition recurs, note the message and take corrective action
(see Section 6). Repeat the self test. If the alarm condition continues to recur, remove
the infuser from service and contact Hospira.
To perform the self test, see Figure 5-1, then proceed as follows:
1. Connect the AC power cord to a grounded AC outlet. Verify the charge/line indicator
CHARGE illuminates and an alarm beep sounds.
2. Without a cassette installed, turn on the infuser.
3. The LCD screen briefly displays the SELF TEST screen (see Figure 5-1).
Note: If the SELF TEST screen does not appear, contact Hospira.
4. After the self test is complete, the message “INSERT PLUM SET CLOSE LEVER”
appears.
5. Verify the time and date. To set the time and date, seeSection 1.8.3.
6. Open the cassette door and insert a primed cassette. Close the cassette door.
The cassette test is complete when the “CASSETTE TEST IN PROGRESS” message
disappears.
Note: The message “MECHANISM INITIALIZATION IN PROGRESS” may briefly
appear prior to the “CASSETTE TEST IN PROGRESS” message.
7. A “NEW PATIENT?” message may appear. Press [YES], then turn off the infuser.
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®
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5.2 PERFORMANCE VERIFICATION TEST
ON/OFF
LINE FLOW
INDICATORS
A B
HOSPIRA Plum A+
STATUS
REGION
MESSAGE
REGION
SOFTKEY
LABEL REGION
CHARGE/LINE
INDICATOR
Version X.XX MM/DD/YY
START
STOP
CHARGE
ON/OFF
Copyright Hospira Inc.
2005
System Self Test
In Progress
1
4
2
5
78
CLEAR
0
3
6
9
.
WORKING
REGION
SOFTKEYS
SELECT
KEYPAD
SILENCE
05K01002
Figure 5-1. Display and Keypad
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SECTION 5 MAINTENANCE AND SERVICE TESTS
5.2.5
CASSETTE ALARM TEST
To perform the cassette alarm test, proceed as follows:
1. Verify the infuser is on. Insert an empty cassette and close the door.
Note: The infuser may display a CCA screen. Choose an area and press
[ENTER].
2. Verify the “CASSETTE TEST FAIL” message is flashing on the display and the alarm
sounds after the cassette test is complete.
3. Open the door and remove the cassette.
4. Turn off the infuser.
5.2.6
FREE FLOW TEST
To perform the free flow test, proceed as follows:
1. With a primed cassette installed, press [ON/OFF] to turn on the infuser.
Note: The infuser may display a CCA screen. Choose an area and press
[ENTER].
2. A “NEW PATIENT?” message may appear. Press [YES].
3. Place the distal end of tubing into a collection container a minimum of 36 inches
below the cassette.
4. With the cassette door closed, check the distal end of the tubing for fluid flow.
Verify a minimal flow of fluid occurs (a few drops maximum).
5. Open the cassette door and check the distal end of the tubing for fluid flow.
Verify a minimal flow of fluid occurs (a few drops maximum).
Note: A small amount of fluid may be expelled from the cassette when opening
or closing the door.
6. Close the cassette door.
5.2.7
DISPLAY TEST
To perform the display test, see Figure 5-1, then proceed as follows:
1. Verify the LCD backlight is illuminated and the display is clearly legible at eye level
from approximately 18 inches.
2. With the infuser in the DELIVERY screen, press the [OPTIONS/VOL INF] softkey
to select the OPTIONS screen.
3. Select Lighting/Contrast, and press [CHOOSE].
4. Press the [DECREASE SETTING] and [INCREASE SETTING] softkeys to change
backlight intensity. Verify backlight intensity decreases and increases.
5. Select Display Contrast.
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5.2 PERFORMANCE VERIFICATION TEST
6. Press [DECREASE SETTING] and [INCREASE SETTING] to change display contrast.
Verify the display contrast decreases and increases.
7. Press the [CANCEL] softkey to return to the OPTIONS screen.
8. Press the [BACK] softkey to return to the DELIVERY screen.
5.2.8
KEYPAD VERIFICATION/FUNCTIONAL TEST
To perform the keypad verification/functional test, see Figure 5-1, then proceed as follows:
1. With the infuser in the DELIVERY screen, press the [A] softkey to select line A.
2. Verify the PROGRAM screen is displayed.
3. Enter a rate of 123 mL/hr and VTBI of 4567.
4. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
5. Verify fluid is pumping, the message “PUMPING” is displayed in the line A status
bar, and the line A LED flashes.
6. Press [STOP], then press and hold the [BACKPRIME] softkey.
7. Verify the “BACKPRIMING” and “RELEASE BACKPRIME TO STOP” messages
are displayed, and verify the infuser is actually backpriming.
8. Release the [BACKPRIME] softkey, press [START], and verify normal pumping
operation.
9. Press the [B] softkey.
10. Verify PIGGYBACK is the displayed delivery mode. If necessary, change the delivery
mode by pressing the [CHANGE MODE] softkey.
11. Enter a rate of 890 mL/hr and VTBI of 2 mL.
12. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
13. Verify fluid is pumping. Verify the message “PUMPING” is displayed in the line B
status bar, and the line B LED flashes.
14. After 20 seconds, verify pumping has switched to line A.
15. Press [STOP].
16. Press [OPTIONS/VOL INF]. Select Volume Infused and press [CHOOSE].
17. Select line A.
18. Press [CLEAR]. Verify the line A volume is 0 mL and press [ENTER].
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SECTION 5 MAINTENANCE AND SERVICE TESTS
5.2.9
ALARM LOUDNESS TEST
To perform the alarm loudness test, proceed as follows:
1. Press the [A] softkey to select line A.
2. Enter a rate of 400 mL/hr and VTBI of 1 mL.
3. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
4. Verify fluid is pumping, the message “PUMPING” is displayed in the line A status
bar, and the line A LED flashes.
5. Verify the alarm sounds when the dose has been delivered.
6. Turn the volume control knob between HIGH and LOW (see Figure 5-2). Verify the
alarm loudness changes.
7. Press the [SILENCE] key, and verify the alarm is silenced.
8. Press [STOP].
4-40 x 1/2
PAN HEAD
SCREW (2)
VOLUME
CONTROL
KNOB
LOCKOUT
SWITCH
NURSE
CALL
JACK
RECTANGLE
SEAL
EQUIPOTENTIAL
TERMINAL
DATAPORT
CONNECTOR
ROUND SEAL (2)
6-32 x 2 1/2
PAN HEAD
SCREW
POLE CLAMP
ASSEMBLY
AC POWER CORD
6-32 x 3 1/4
PAN HEAD
SCREW
Figure 5-2. Rear View
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05K01038
®
Infusion System
Page 73
5.2 PERFORMANCE VERIFICATION TEST
5.2.10
LOCKOUT SWITCH TEST
To perform the lockout switch test, proceed as follows:
1. Press the [A] softkey to select line A.
2. Enter a rate of 400 mL/hr and VTBI of 50 mL.
3. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
4. Verify fluid is pumping, the message “PUMPING” is displayed in the line A status
bar, and the line A LED flashes.
5. Toggle the lockout alarm switch up (ON) to engage the alarm (see Figure 5-2).
6. Press any key except [STOP], and verify an alarm sounds and the “HARD LOCKOUT
ENABLED” message is displayed. Verify the infuser continues to operate until
[STOP] is pressed.
7. Press [STOP] and verify the “HARD LOCKOUT VIOLATION” message appears.
8. Toggle the lockout alarm switch down (OFF). Verify the “HARD LOCKOUT
VIOLATION” message disappears and the alarm stops.
9. Press [START].
10. Open the door and verify the “DOOR OPEN WHILE PUMPING” message is displayed
and the audio alarm activates.
11. Close the cassette door.
12. Press [NO] at the “NEW PATIENT?” prompt.
5.2.11
PROXIMAL OCCLUSION TEST
To perform the proximal occlusion test, proceed as follows:
1. Press the [A] softkey to select line A.
2. Enter a rate of 400 mL/hr and VTBI of 50 mL.
3. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
4. Verify fluid is pumping, the message “PUMPING” is displayed in the line A status
bar, and the line A LED flashes.
5. After several pumping cycles, clamp line A tubing proximal to the cassette.
Verify the “PROX OCCL A/AIR” message flashes and the alarm sounds before three
pumping cycles are completed.
6. Press [SILENCE] and verify the alarm stops while the message on the display
continues to flash.
7. Unclamp the proximal line and press [START]. Verify pumping resumes.
8. Press [STOP].
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SECTION 5 MAINTENANCE AND SERVICE TESTS
5.2.12
PROXIMAL AIR-IN-LINE TEST
To perform the proximal air-in-line test, see Figure 5-3, then proceed as follows:
1. Install the special cassette marked proximal, and close the cassette door.
Note: Confirm the special cassette proximal bubble sensor tips are removed.
2. A “NEW PATIENT?” message may appear. Press [YES].
3. Press the [A] softkey to select line A.
4. Enter a rate of 400 mL/hr and VTBI of 50 mL.
5. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
6. Verify fluid is pumping, the message “PUMPING” is displayed in the line A status
bar, and the line A LED flashes.
7. Before 1 mL of fluid is delivered, verify the alarm sounds and the “PROX AIR
A. BACKPRIME” message is flashing on the display.
8. Open the door and remove the special cassette.
5.2.13
DISTAL AIR-IN-LINE TEST
To perform the distal air-in-line test, see Figure 5-3, then proceed as follows:
1. Install the special cassette marked distal, and close the cassette door.
Note: Confirm the special cassette distal bubble sensor tips are removed.
2. A “NEW PATIENT?” message may appear. Press [YES].
3. Press the [A] softkey to select line A.
4. Enter a rate of 400 mL/hr and VTBI of 50 mL.
5. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
6. Verify fluid is pumping, the message “PUMPING” is displayed in the line A status
bar, and the line A LED flashes.
7. Before 1 mL of fluid is delivered, verify the alarm sounds and the “DISTAL AIR
A. BACKPRIME” message is flashing on the display.
8. Open the door and remove the special cassette.
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®
Infusion System
Page 75
PROXIMAL BUBBLE SENSOR BULB TIPS
(REMOVED FOR PROXIMAL-AIR-IN-LINE ALARM TEST)
5.2 PERFORMANCE VERIFICATION TEST
(REMOVED FOR DISTAL-AIR-IN-LINE ALARM TEST)
DISTAL BUBBLE SENSOR BULB TIPS
CASSETTE CENTERING DEVICE
98G01024
Figure 5-3. Special Cassettes with Bubble Sensor Tips Removed
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SECTION 5 MAINTENANCE AND SERVICE TESTS
5.2.14
DISTAL OCCLUSION TEST
To perform the distal occlusion test, see Figure 5-4, then proceed as follows:
1. Install the cassette and connect the distal tubing to the DPM through a three-way
stopcock as illustrated in Figure 5-4. Close the cassette door.
Note: A reflux valve may be attached between the stopcock and the DPM
to keep moisture out of the DPM.
Note: The height of the DPM must be 0 ± 12 inches from the midline of the
pumping chamber.
2. Turn on the infuser.
3. A “NEW PATIENT?” message may appear. Press [YES].
4. Press [OPTIONS/VOL INF] to select the OPTIONS screen.
5. Select Pressure/Post Infusion Rate, and press [CHOOSE].
6. Verify the distal pressure limit is set at 6 psi. If the pressure limit is not 6 psi,
enter 6, and press [ENTER].
7. Press the [A] softkey to select line A.
8. Enter a rate of 40 mL/hr and VTBI of 50 mL.
9. Open the three-way stopcock to air.
10. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
11. Verify fluid is pumping, the message “PUMPING” is displayed in the line A status
bar, and the line A LED flashes.
12. Set the three-way stopcock to measure pressure.
13. Verify the distal occlusion audible alarm occurs at 6 psi ± 3 psi. Verify the DISTALOCCLUSION message is flashing on the screen.
14. Open the three-way stopcock to air.
15. Open and close the door. Press [NO] at the “NEW PATIENT?” prompt.
16. Press [OPTIONS/VOL INF] to select the OPTIONS screen.
17. Select Pressure/Post Infusion Rate and press [CHOOSE].
18. Select Distal Pressure Limit. Enter 10 psi, and press [ENTER].
19. Set the three-way stopcock to measure pressure, then press [START].
20. Verify the distal occlusion audible alarm occurs at 10 psi ± 3 psi. Verify the DISTALOCCLUSION message is flashing on the screen.
21. Open the door and remove the cassette.
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®
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FROM FLUID
CONTAINERS
5.2 PERFORMANCE VERIFICATION TEST
THREE-WAY
STOPCOCK
Figure 5-4. Distal Occlusion Test Setup
UNIVERSAL
PRESSURE METER
0.00
cm OF H O
2
mmHg
OFF
PRESSURE INPUT
INCHES OF H O
-13.5 TO 15
-13.5 TO 75
98K01041
DPM
2
PSI
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SECTION 5 MAINTENANCE AND SERVICE TESTS
5.2.15
DELIVERY ACCURACY TEST
Note: Accuracy testing is for informational purposes only, and is not to be used
as a re-release test. If there is any concern as to infuser accuracy, contact Hospira.
CAUTION: Do not remove the protective cover from the 21-gauge needle.
To perform the delivery accuracy test, proceed as follows:
1. Open the cassette door and insert a primed cassette. Close the cassette door.
2. A “NEW PATIENT?” message may appear. Press [YES].
3. Install an 18-gauge blunt cannula or a 21-gauge needle to the distal end of the
tubing. Verify the fluid container is 18 to 24 inches above the pumping chamber.
Verify all lines are unclamped.
4. Place the distal output end of tubing into the graduated cylinder.
5. Press the [A] softkey to select line A.
6. Enter a rate of 200 mL/hr and VTBI of 10 mL.
7. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
8. Verify fluid is pumping, the message “PUMPING” is displayed in the line A status
bar, and the line A LED flashes.
9. Press the [B] softkey to select line B.
10. Verify the infuser is in the PIGGYBACK delivery mode. If necessary, press
[CHANGE MODE] to change the delivery mode.
11. Enter a rate of 200 mL/hr and VTBI of 10 mL.
12. Press [START] and verify the “CONFIRM PROGRAM?” message is displayed. If rate
and VTBI are correct, press [YES].
13. Verify fluid is pumping, the message “PUMPING” is displayed in the line B status
bar, and the line B LED flashes.
14. Verify the “KVO” message flashes on the display and an audible alarm sounds when
total delivery is complete on line A.
15. Press [STOP] and verify the volume delivered is 20 mL ± 1 mL.
5.2.16
NURSE CALL TEST
Note: The nurse call test may be bypassed if the nurse call function is not used.
To perform the nurse call test, attach the nurse call test cable and proceed as follows:
1. Set the primary delivery rate to 400 mL/hr, and the primary dose limit to 1 mL.
2. Connect a DMM to the nurse call test cable.
3. Press [START] and verify pumping action.
4. After “DOSE END” and “KVO” appear on the display, observe a short circuit on the
DMM (approximately 1 Ω on a scale of 0 to 100 Ω).
®
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5.3 PERIODIC MAINTENANCE INSPECTION
5.2.17
ELECTRICAL SAFETY TEST
To perform the electrical safety test, proceed as follows:
1. Connect the AC power cord to a safety analyzer.
2. Connect the safety analyzer ground lead to the ground test-point located on the
rear of the infuser.
3. Check the leakage current with the safety analyzer. Leakage current (both open
and closed ground) must not exceed 100 microamperes AC
4. Measure the resistance of the AC connector ground lug with the safety analyzer.
Resistance should not exceed 0.1 Ω.
rms
.
5.2.18
END OF THE PVT
If all performance verification tests have been successful, proceed as follows:
1. Press [OPTIONS/VOL INF]. Select Volume Infused and press [CHOOSE].
2. Press [CLEAR] to clear the volume infused.
3. Press [ENTER].
4. Press the [A] softkey.
5. Press the [CLEAR PROGRAM] softkey.
6. Press [YES] at the “CLEAR LINE A SETTINGS?” prompt.
7. Press the [CANCEL/BACK] softkey to return to the delivery screen.
8. Press the [B] softkey.
9. Press the [CLEAR PROGRAM] softkey.
10. Press [YES] at the “CLEAR LINE B SETTINGS?” prompt.
11. Reset the infuser to the original configuration.
12. Turn off the infuser and return the device to service.
Note: If any tests fail, see Section 6, or contact Hospira.
5.3
PERIODIC MAINTENANCE INSPECTION
Periodic maintenance inspections should be performed per hospital procedures for
compliance to accreditation requirements. It is recommended that JCAHO and/or hospital
protocol be followed for establishing a periodic maintenance inspection schedule. Product
specifications for this inspection are listed in Section 8.
To perform the periodic maintenance inspection, complete the PVT in Section 5.2.
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SECTION 5 MAINTENANCE AND SERVICE TESTS
5.4
BATTERY OPERATION OVERVIEW
The infusion system is intended to operate on battery power on an exception basis only,
such as emergency backup or temporary portable operation. Examples of emergency
backup include AC power failure or inadvertent disconnection of the AC power cord.
An instance of temporary portable operation includes patient transfer from one location
to another.
The device should be connected to AC power whenever possible to allow the battery
to remain fully charged. The line power indicator turns off when the infuser is operating
on battery power. After five minutes of operation on battery power, the infuser switches
its display backlight intensity to a low intensity mode.
Factors that most commonly affect battery life are the depth and frequency of discharge
and the length of the recharge period. As a general rule, the more often the battery
is discharged and recharged, the sooner it will need replacement. The primary cause
of damage is leaving the battery in a less than fully charged state for any period of time.
Battery damage can occur in a matter of hours and cause a permanent loss of battery
capacity. The amount of lost capacity depends on the degree of discharge, the storage
temperature, and the length of time the battery was stored in a discharged state.
Note: A permanently damaged battery cannot be recharged to full capacity.
When the battery discharges below the acceptable level while the infuser is operating,
the audio indicator is activated and the “WARNING: LOW BATTERY” message displays.
Although it is not recommended to continue operating the infuser on battery power at this
point, the battery continues providing power until it is depleted. When the battery is
depleted, delivery stops, a continuous alarm tone sounds, and, after three minutes,
the infuser automatically turns off.
CAUTION: As soon as the low battery alarm occurs, connect the infuser
to AC power.
When the infuser detects that the battery has reduced capacity, it will register a Replace
Battery condition. For the first two occurrences of a Replace Battery condition, the
“WARNING: LOW BATTERY” message will appear and the audio indicator will activate.
The message and audio indicator can be cleared only when the device is plugged in or
turned off. For the third and subsequent occurrences, the “WARNING: REPLACE
BATTERY” message will appear, and the audio indicator will activate and persist over
power cycles. The message and audio indicator are cleared by replacing the battery,
accessing the biomed settings screen, and pressing the [CHANGE BATTERY] softkey.
Recharging can occur any time the infuser is connected to AC power. It is recommended
that the infuser be connected to AC power whenever practical to maximize available battery
charge during transport or ambulation. The infuser does not have to be on for the battery
to recharge.
Note: The infuser should be operated on battery power for three continuous hours
at least once every six months for optimum battery performance and life.
®
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Infusion System
Page 81
Section 6
TROUBLESHOOTING
This section contains information on technical assistance, warning messages,
alarm messages and error codes, and troubleshooting procedures for the Plum A+
infusion system.
6.1
TECHNICAL ASSISTANCE
For technical assistance, product return authorization, and to order parts, accessories,
or manuals within the United States, contact Hospira Technical Support Operations.
1-800-241-4002
For additional technical assistance, technical training, and product information, visit the
website at www.hospira.com.
Send all authorized, prepaid returns within the United States to the following address:
Hospira, Inc.
Technical Support Operations
755 Jarvis Drive
Morgan Hill, California 95037
For technical assistance, product return authorization, and to order parts, accessories,
or manuals from outside the United States, contact the nearest Hospira sales office.
®
6.2
WARNING MESSAGES
Table 6-1 lists warning messages, possible causes, and corrective actions. These warning
messages are captured in the Error Log.
Note: When the infuser detects that the battery has reduced capacity, it will register
a Replace Battery condition. For the first two occurrences of a Replace Battery
condition, the “WARNING: LOW BATTERY” message will appear and the audio
indicator will activate. The message and audio indicator can be cleared only when the
device is plugged in or turned off. For the third and subsequent occurrences,
the “WARNING: REPLACE BATTERY” message will appear, and the audio indicator will
activate and persist over power cycles. The message and audio indicator are cleared
by replacing the battery, accessing the biomed settings screen, and pressing the
[CHANGE BATTERY] softkey.
Note: If the device is not plugged in, and turned on with a previously depleted battery,
the infuser will display a “DEPLETED BATTERY” message for 16 seconds,
then power off.
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SECTION 6 TROUBLESHOOTING
MessagePossible CauseCorrective Action
Table 6-1. Warning Messages
Stop delivery, then turn offAttempting to turn off the
infuser while a delivery
is in progress
Warning: Low BatteryBattery is discharged so
that only approximately
30 minutes of battery life
remains
Warning: Replace BatteryBattery service needed
Battery voltage is less than
the depleted threshold and
the charge level is higher
than the low charge
threshold
Warning: Charger ServiceA hardware problem with
the battery charging circuit
is detected
Charging circuitry
is not behaving
as expected
6.3
Stop all lines, then
turn off the infuser
Plug into AC power
Replace the battery
Press [SILENCE]
ALARM MESSAGES AND ERROR CODES
Under most alarm conditions the infuser ceases normal operation, generates an audible
alarm, and displays an alarm message or error code on the LCD screen.
There are two types of alarm conditions:
- alarm codes that can be cleared by the operator
- error codes that require qualified service personnel
6.3.1
OPERATIONAL ALARM MESSAGES
Table 6-2 lists infuser alarm codes that can be cleared by the operator. Also listed in
Table 6-2 are the alarm messages, descriptions, possible causes, and corrective actions.
Note: Operational alarm messages are displayed on the LCD screen. Associated error
codes are displayed in the alarms log (see Section 1.8.2).
430-95150-007 (Rev. 01/06)6 - 2Plum A+
®
Infusion System
Page 83
6.3 ALARM MESSAGES AND ERROR CODES
Table 6-2. Operational Alarm Messages and Corrective Actions
Alarm
Code
N100
(URC)
N101
(NAA)
N102
(RL)
N103
(SEEP
CRC)
N104
(NC2)
AlarmDescriptionPossible Cause
Unrecognizable
cassette
Incorrect cassette
type
An incorrect
cassette is
inserted
No actionNo operator action
and no delivery for
two minutes during
Interruption or a
partial change to
a program
delivery parameters
entry
Infuser idle
2 minutes
NV RAM lost
therapy data
Infuser in reset
or idle for over
two minutes
Programming set
without start for
two minutes
Therapy data is lostInfuser did not
complete the
previous
non-volatile
memory write
successfully
Nurse callback BDelivery line B
has changed
(if alarm is enabled)
End of delivery
step on line B
other than VTBI
complete while
callback is
enabled
Corrective
Action
Insert proper
cassette
Complete
programming
of the infuser
Press [START]
Re-enter all
programmed
data
Press [SILENCE]
N105
(NC1)
N160
or
E160
(VTB2)
N161
or
E161
(VTB1)
N180
or
E180
(OD1)
N181
or
E181
(OD1)
Nurse callback ADelivery line A
has changed
(if alarm is enabled)
Line B VTBI
complete
Programmed
volume to be
infused completed
on line B
Line A VTBI
complete
Programmed
volume to be
infused completed
on line A
Distal OcclPeak distal
occlusion,
non-delivery
Distal OcclNegative distal
occlusion,
non-delivery
End of delivery
step on line A
other than VTBI
complete while
callback is
enabled
VTBI is complete
on line B
VTBI is complete
on line A
Distal occlusion
detected during
non-delivery
Distal occlusion
detected during
non-delivery
Press [SILENCE]
Press [SILENCE]
and replace
IV bag, and
restart line B
Press [SILENCE]
and replace
IV bag, and
restart line A
Backprime the
cassette and
restart the infuser
Backprime the
cassette and
restart the infuser
Technical Service Manual6 - 3430-95150-007 (Rev. 01/06)
Page 84
SECTION 6 TROUBLESHOOTING
Table 6-2. Operational Alarm Messages and Corrective Actions
Alarm
Code
N182
or
E182
(OP2)
N183
or
E183
(OP2)
N184
or
E184
(OP1)
AlarmDescriptionPossible Cause
Prox. Occl B, Air
or
Prox. Occl B
Negative proximal
occlusion B,
non-delivery
Proximal
occlusion
detected on
line B during
non-delivery
Prox. Occl B, Air
or
Prox. Occl B
Peak proximal
occlusion B,
non-delivery
Proximal
occlusion
detected on
line B during
non-delivery
Prox. Occl A, Air
or
Prox. Occl A
Negative proximal
occlusion A,
non-delivery
Proximal
occlusion
detected on
line A during
non-delivery
Corrective
Action
Backprime the
cassette and
restart line B
or
Stop all lines,
backprime the
cassette, and
restart all lines
Backprime the
cassette and
restart line B
or
Stop all lines,
backprime the
cassette, and
restart all lines
Backprime the
cassette and
restart line A
or
Stop all lines,
backprime the
cassette, and
restart all lines
N185
or
E185
(OP1)
N186
or
E186
(OD1)
N187
or
E187
(OD1)
N188
or
E188
(OP2)
Prox. Occl A, Air
or
Prox. Occl A
Peak proximal
occlusion A,
non-delivery
Distal OcclPeak distal
occlusion,
delivery
Distal OcclNegative distal
occlusion,
delivery
Prox. Occl B, AirNegative proximal
occlusion B,
delivery
Proximal
occlusion
detected on
line A during
non-delivery
Distal occlusion
detected during
delivery
Distal occlusion
detected during
delivery
Proximal
occlusion
detected during
delivery on line B
Backprime the
cassette and
restart line A
or
Stop all lines,
backprime the
cassette, and
restart all lines
Fix occlusion,
and restart
the infuser
Fix occlusion,
and restart
the infuser
Fix occlusion,
and restart line B
or
Stop all lines,
fix occlusion,
and restart
the infuser
430-95150-007 (Rev. 01/06)6 - 4Plum A+
®
Infusion System
Page 85
6.3 ALARM MESSAGES AND ERROR CODES
Table 6-2. Operational Alarm Messages and Corrective Actions
Alarm
Code
N189
or
E189
(OP2)
N190
or
E190
(OP1)
N191
or
E191
(OP1)
AlarmDescriptionPossible Cause
Prox. Occl B, AirPeak proximal
occlusion B,
delivery
Proximal
occlusion
detected during
delivery on line B
Prox. Occl A, AirNegative proximal
occlusion A,
delivery
Proximal
occlusion
detected during
delivery on line A
Prox. Occl A, AirPeak proximal
occlusion A,
delivery
Proximal
occlusion
detected during
delivery on line A
Corrective
Action
Fix occlusion,
and restart line B
or
Stop all lines,
fix occlusion,
and restart
the infuser
Fix occlusion
and restart line A
or
Stop all lines,
fix occlusion,
and restart
the infuser
Fix occlusion
and restart line A
or
Stop all lines,
fix occlusion,
and restart
the infuser
N230
or
E230
(APT)
N231
or
E231
(APB)
N232
or
E232
(APA)
Prox. Air TotalProximal
air-in-line
total
Prox. Air on B,
Backprime
Proximal
air-in-line
on line B
Prox. Air on A,
Backprime
Proximal
air-in-line
on line A
500 µL of air
has entered
the cassette
500 µL of air
has entered
the cassette
on line B
500 µL of air
has entered
the cassette
on line A
Backprime
the cassette
and restart
the infuser
or
Remove and
manually reprime
the cassette
and restart
the infuser
Backprime
the cassette
and restart line B
or
Remove and
manually reprime
the cassette
and restart
the infuser
Backprime
the cassette
and restart line A
or
Remove and
manually reprime
the cassette
and restart
the infuser
Technical Service Manual6 - 5430-95150-007 (Rev. 01/06)
Page 86
SECTION 6 TROUBLESHOOTING
Table 6-2. Operational Alarm Messages and Corrective Actions
Alarm
Code
N233
or
E233
(ADC)
N234
or
E234
(ADB)
N250
or
E250
(DCO1)
N251
or
E251
(CS1)
AlarmDescriptionPossible Cause
Distal air
cumulative
Distal air
cumulative
500 µL of air
detected in
the last 5.3 mL
of fluid delivered
Distal air bolusDistal air bolus100 µL bolus
of air detected
at distal sensor
Door opened
while pumping
Valve/cass
test fail
Door opened
while pumping
Valve/cassette
test failure
Door opened
while pumping
Valve/cassette
fails the leak test
Corrective
Action
Remove and
manually reprime
the cassette
and restart
the infuser
Remove and
manually reprime
the cassette
and restart
the infuser
Turn off
the infuser
or
Insert the
cassette and
close the door
Replace cassette
and retest
or
Backprime
and retest
N252
or
E252
(BDP)
N253
or
E253
(LOV)
N254
or
E254
(FPL)
Depleted batteryLow batteryThe battery
terminal voltage
is less than 5.45 V
Lockout violationHard lockout
violation
The use of the
[STOP] key or an
attempt to open
the door while
the lockout
switch is locked
Lockout enabledKeypad lockedAny action not
resulting in
stopping of
delivery while
the lockout
switch is locked
Connect the
infuser to
AC power
or
Recharge
or replace
the battery
Unlock the
lockout switch
Unlock the
lockout switch
430-95150-007 (Rev. 01/06)6 - 6Plum A+
®
Infusion System
Page 87
6.3 ALARM MESSAGES AND ERROR CODES
Table 6-2. Operational Alarm Messages and Corrective Actions
Alarm
Code
N255
(SLV)
N256
(SLV)
AlarmDescriptionPossible Cause
Lockout violationSoft lockout
violation
Lockout enabledSoft lockout
enabled
The use of the
[STOP] key or an
attempt to open
the door while the
lockout switch
is locked
Any action not
resulting in
stopping of
delivery while
the lockout
switch is locked
Corrective
Action
Unlock the
software
lockout
switch
Unlock the
software
lockout
switch
6.3.2
ERROR CODES REQUIRING TECHNICAL SERVICE
Table 6-3 lists infuser error codes that require technical service. Also listed in Table 6-3
are malfunction descriptions, possible causes, and corrective actions.
Table 6-3. Error Codes Requiring Technical Service
Error
CodeMalfunctionPossible CauseCorrective Action
E300ADC failureAnalog to digital
converter failure
E301Audio alarm
failure
E302Backlight failureBacklight (CCFT tube) is
Piezo is off but sensed on
or
Piezo is on but sensed off
not at the expected range
Replace CPU PWA
(see Section 7.2.12.4)
Reset time and date,
if required
(see Section 1.8.3)
Turn power off, then on,
to reset the infuser
Replace piezo alarm
(see Section 7.2.12.5)
Replace CPU PWA
(see Section 7.2.12.4)
Reset time and date,
if required
(see Section 1.8.3)
Turn power off, then on,
to reset the infuser
Replace display
(see Section 7.2.12.3)
Reset time and date,
if required
(see Section 1.8.3)
Technical Service Manual6 - 7430-95150-007 (Rev. 01/06)
Page 88
SECTION 6 TROUBLESHOOTING
Table 6-3. Error Codes Requiring Technical Service
Error
Code
MalfunctionPossible CauseCorrective Action
E320Battery charge
current out
of range
E321Battery not
charging
E322Battery current
calibration value
out of range
E323Battery trickle
charge current
out of range
E324Supply
overvoltage
E325Battery
overvoltage
Battery charge current is
out of range after 8 hours
Battery charging timed out
Complete battery discharge
has occurred
Battery integrator calibration
value is out of range
Battery trickle charge
current is out of range
An overvoltage condition
is detected in the charging
circuit
An overvoltage condition
is detected in the battery
Replace battery
(see Section 7.2.4)
Replace power supply PWA
(see Section 7.2.12.1)
Reset time and date,
if required
(see Section 1.8.3)
Charge battery for
additional 8 hours
Replace battery
(see Section 7.2.4)
Replace power supply PWA
(see Section 7.2.12.1)
Reset time and date,
if required
(see Section 1.8.3)
E326Battery
disconnected
E327Brownout
condition
E340Critical
instruction
failure
E341Critical data
memory failure
Battery disconnected
while the infuser is on
Check for loose battery
connections
Replace battery
(see Section 7.2.4)
Reset time and date,
if required
(see Section 1.8.3)
Brownout condition detectedReplace power supply PWA
(see Section 7.2.12.1)
Reset time and date,
if required
(see Section 1.8.3)
Power-up CPU
register test failed
(no malfunction
message displayed)
Replace CPU PWA
(see Section 7.2.12.4)
Reset time and date,
if required
(see Section 1.8.3)
Critical data memory failureReplace mechanism
assembly
(see Section 7.2.12.6)
Reset time and date,
if required
(see Section 1.8.3)
430-95150-007 (Rev. 01/06)6 - 8Plum A+
®
Infusion System
Page 89
6.3 ALARM MESSAGES AND ERROR CODES
Table 6-3. Error Codes Requiring Technical Service
With the cassette removed,
the distal air sensor self test
detects liquid
With the cassette inserted,
the distal air sensor self test
detects sensor out of range
Replace mechanism
assembly
(see Section 7.2.12.6)
Reset time and date,
if required
(see Section 1.8.3)
Distal pressure sensor
failed while the infuser
is off
Distal pressure sensor
failed while the infuser
is on
Hardware watchdog failureReplace CPU PWA
(see Section 7.2.12.4)
Reset time and date,
if required
(see Section 1.8.3)
Generic I/O valve failureTurn power off, then on,
to reset the infuser
Replace mechanism
assembly
(see Section 7.2.12.6)
Reset time and date,
if required
(see Section 1.8.3)
E379L/S valve
phase loss
E380Plunger motor
phase loss
Generic L/S valve failureTurn power off, then on,
to reset the infuser
Generic plunger motor failure
Replace mechanism
assembly
(see Section 7.2.12.6)
Reset time and date,
if required
(see Section 1.8.3)
Technical Service Manual6 - 9430-95150-007 (Rev. 01/06)
Page 90
SECTION 6 TROUBLESHOOTING
Table 6-3. Error Codes Requiring Technical Service
Error
Code
MalfunctionPossible CauseCorrective Action
E430Proximal
air sensor
failure 1
E431Proximal
air sensor
failure 2
E432Proximal
pressure
Proximal air sensor ongoing
test detects liquid with
cassette removed
Proximal air sensor self test
detects liquid with cassette
removed
Proximal pressure sensor
failed while the infuser is off
Replace mechanism
assembly
(see Section 7.2.12.6)
Reset time and date,
if required
(see Section 1.8.3)
sensor 1
E433Proximal
pressure
Proximal pressure sensor
failed while the infuser is on
sensor 2
E434RAM failureRAM failureTurn power off, then on,
to reset the infuser
Replace peripheral
assembly
(see Section 7.2.6)
Reset time and date,
if required
(see Section 1.8.3)
E435RTC failureReal-time clock failureTurn power off, then on,
to reset the infuser
Replace CPU PWA
(see Section 7.2.12.4)
Reset time and date,
if required
(see Section 1.8.3)
E436ROM failureROM checksum failureTurn power off, then on,
to reset the infuser
Replace peripheral
assembly
(see Section 7.2.6)
Reset time and date,
if required
(see Section 1.8.3)
E437Software failureGeneric software failureTurn power off, then on,
to reset the infuser
E438Stack
out-of-range
failure
Stack out-of-range failure
Replace CPU PWA
(see Section 7.2.12.4)
Reset time and date,
if required
(see Section 1.8.3)
430-95150-007 (Rev. 01/06)6 - 10Plum A+
®
Infusion System
Page 91
Error
Code
6.3 ALARM MESSAGES AND ERROR CODES
Table 6-3. Error Codes Requiring Technical Service
MalfunctionPossible CauseCorrective Action
E439Stuck keyA key is sensed as pressed
for over two minutes
E440Power hold stuckPower hold signal stuck
Power cannot be turned off
Replace keypad
(see Section 7.2.12.2)
Reset time and date,
if required
(see Section 1.8.3)
E443LCD failureLCD bias is out of rangeReplace display assembly
(see Section 7.2.12.3)
Reset time and date,
if required
(see Section 1.8.3)
E444CPU timebase
inaccurate
CPU timer 2 and RTC
measured times disagree
Turn power off, then on,
to reset the infuser
Replace CPU PWA
(see Section 7.2.12.4)
Reset time and date,
if required
(see Section 1.8.3)
E445RTC memory
failure
Real-time clock
memory is corrupt
Turn power off, then on,
to reset the infuser
Reset time and date,
if required
(see Section 1.8.3)
E446CPU timer failureCPU timer 1 and timer 2
measured times disagree
E447Battery ADC
reading failure
16 consecutive readings
have been either all zero
or the max value
E448SEEP write
SEEP data write failedReplace mechanism
failure
E449SEEP calibration
data corrupted
E450MMIO port
Calibration data block
corrupted
I/O port read/write failureReplace CPU PWA
read/write
failure
Replace CPU PWA
(see Section 7.2.12.4)
Reset time and date,
if required
(see Section 1.8.3)
assembly
(see Section 7.2.12.6)
Replace CPU PWA
(see Section 7.2.12.4)
Replace CPU/driver cable
(see Section 7.2.12.6)
Reset time and date,
if required
(see Section 1.8.3)
(see Section 7.2.12.4)
Reset time and date,
if required
(see Section 1.8.3)
Technical Service Manual6 - 11430-95150-007 (Rev. 01/06)
Page 92
SECTION 6 TROUBLESHOOTING
Table 6-3. Error Codes Requiring Technical Service
Error
Code
MalfunctionPossible CauseCorrective Action
E451Inaccurate
delivery
E452Software failureMiscellaneous
E453Two SEEP
CRC errors
E454NVRAM over
capacity
E455Invalid device
configuration
Over/under delivery detectedTurn power off, then on,
software failures
NVRAM data block corruptedReplace mechanism
Software trying to write into
non-existent NVRAM space
Incorrect flash memory
on peripheral PWA
to reset the infuser
Reset time and date,
if required
(see Section 1.8.3)
If error codes recur,
contact Hospira
assembly
(see Section 7.2.12.6)
Replace CPU PWA
(see Section 7.2.12.4)
Replace CPU/driver cable
(see Section 7.2.12.6)
Reset time and date,
if required
(see Section 1.8.3)
Turn power off, then on,
to reset the infuser
Replace peripheral
assembly
(see Section 7.2.6)
E456Invalid drug
library
E457Drug library
corrupted
A drug library install was
started but not completed
successfully
CRC failure on drug libraryReload the library
Attempt to reinstall
the drug library
(see the system
operating manual)
Replace peripheral
assembly
(see Section 7.2.6)
(see the system
operating manual)
Note: The following error codes are not generated in the biomed service mode:
E320
E321
E322
E323
E324
E325
E326
E343
E345
E346
E371
E372
E373
E374
E375
E376
E377
E378
E379
E380
E430
E431
E432
E433
E441
E447
Note: Some error codes include sub-ID codes. These sub-ID codes are intended for
Hospira internal use only, and should be included when contacting Hospira Technical
Support Operations (see Section 6.1).
430-95150-007 (Rev. 01/06)6 - 12Plum A+
®
Infusion System
Page 93
6.4 TROUBLESHOOTING PROCEDURES
6.4
TROUBLESHOOTING PROCEDURES
This section details recommended procedures for problems not associated with
malfunction alarms. Before performing any troubleshooting procedure, turn the infuser
off, then on.
Allow the self test to complete and proceed as follows:
1. If a malfunction exists, carefully inspect the infuser for damage as described
in Section 5.2.2.
2. If an infuser inspection has not disclosed a malfunction, perform the PVT
in Section 5.2. See Table 6-4 for section reference, probable cause, and corrective
actions.
3. If, after completing step 1 and step 2, a malfunction has not been located, or if the
infuser persistently fails, contact Hospira (see Section 6.1).
Defective special cassetteReplace special cassette
Dirty sensorsClean sensors
Defective APP PWAReplace mechanism assembly
(see Section 7.2.12.6)
Defective special cassetteReplace special cassette
Dirty sensorsClean sensors
Defective APP PWAReplace mechanism assembly
(see Section 7.2.12.6)
Distal occlusion test
Section 5.2.14
Delivery accuracy test
Section 5.2.15
Electrical safety test
Section 5.2.17
Cassette not
Re-prime cassette
properly primed
Defective cassetteReplace cassette
Dirty sensor pinClean sensor pin
Defective APP PWAReplace mechanism assembly
(see Section 7.2.12.6)
Set not properly primedRe-prime cassette
Damaged or faulty cassetteReplace cassette
Defective mechanism
assembly
Replace mechanism assembly
(see Section 7.2.12.6)
Defective AC power cordReplace AC power cord
(see Section 7.2.5)
430-95150-007 (Rev. 01/06)6 - 14Plum A+
®
Infusion System
Page 95
Section 7
REPLACEABLE PARTS AND
REPAIRS
This section itemizes all parts and subassemblies of the infusion system that are repairable
within the scope of this manual. In addition, this section details replacement procedures
for all listed parts.
7.1
REPLACEABLE PARTS
Replaceable parts for the infuser are itemized in the spare parts price list and are identified
in Figure 9-1. Table 9-2 identifies each part by an index number that correlates
to Figure 9-1.
To request a copy of the current spare parts price list, contact Hospira Technical Support
Operations (see Section 6.1), or to view the catalog online, visit the website at:
www.hospiraparts.com
For convenient reference, insert a copy of the spare parts price list here.
Technical Service Manual7 - 1430-95150-007 (Rev. 01/06)
Page 96
SECTION 7 REPLACEABLE PARTS AND REPAIRS
This page intentionally left blank.
430-95150-007 (Rev. 01/06)7 - 2Plum A+
®
Infusion System
Page 97
7.2 REPLACEMENT PROCEDURES
7.2
REPLACEMENT PROCEDURES
This section contains safety and equipment precautions, required tools and materials,
and step-by-step procedures for replacing parts in the infuser. Unless otherwise stated,
always perform the PVT after a replacement procedure.
7.2.1
SAFETY AND EQUIPMENT PRECAUTIONS
Before opening the front enclosure of the infuser, take all necessary precautions for
working on high-voltage equipment.
WARNING:POSSIBLE EXPLOSION HAZARD EXISTS IF THE INFUSER
WARNING:UNLESS OTHERWISE INDICATED, DISCONNECT THE INFUSER
CAUTION: Use proper ESD grounding techniques when handling components.
Wear an antistatic wrist strap and use an ESD-protected workstation. Store PWAs
in antistatic bags before placing them on any surface.
IS SERVICED IN THE PRESENCE OF FLAMMABLE ANESTHETICS.
FROM AC POWER BEFORE PERFORMING ADJUSTMENTS
OR REPLACEMENT PROCEDURES.
7.2.2
REQUIRED TOOLS AND MATERIALS
The following tools and materials, or equivalents, are required for the replacement
procedures in this section. In addition, the beginning of each procedure lists tools and
materials recommended for that specific procedure.
- Set of flat blade screwdrivers
- Set of Phillips
- Set of standard and metric nutdrivers
®
screwdrivers
- Wide-head pliers
- Diagonal cutters
®
-X-acto
knife
- Metric 10 mm wrench
- Custom nutdriver (P/N 519-95056-001)
- Long needle nose pliers
Technical Service Manual7 - 3430-95150-007 (Rev. 01/06)
- Mild solvent
- Lint-free cloth
Page 98
SECTION 7 REPLACEABLE PARTS AND REPAIRS
7.2.3
RUBBER FOOT PAD REPLACEMENT
Recommended tools for this procedure are an X-acto knife, mild solvent, and lint-free cloth.
The replacement part for this procedure is:
Pad, Rubber Foot
To replace the rubber foot pad, see Figure 7-1, then proceed as follows:
1. Turn off the infuser, and disconnect the device from AC power.
2. Place the infuser on its side.
3. Using the X-acto knife, remove the rubber foot pad and scrape the enclosure recess
to remove adhesive residue.
Note: Each adhesive-backed rubber foot pad is bonded in its recess.
Do not damage the recess.
4. Using mild solvent and a lint-free cloth, clean any adhesive residue from the
enclosure recess.
5. Remove the protective backing from the self-adhesive surface of the replacement
foot pad and press the pad in place.
6. After approximately five minutes, verify the foot pad is secure.
Replacement of a rubber foot pad is routine maintenance and no verification procedure
is normally required. However, if the infuser may have been damaged during a rubber foot
pad replacement, perform the PVT in Section 5.2.
430-95150-007 (Rev. 01/06)7 - 4Plum A+
®
Infusion System
Page 99
BATTERY
DOOR COVER
7.2 REPLACEMENT PROCEDURES
FLEX TABS
(REAR)
RUBBER FOOT
PAD (5)
DOOR PIVOT
CAP
FLEX TABS
(FRONT)
HEX HEAD
SCREW
05K01026
Figure 7-1. Bottom View
Technical Service Manual7 - 5430-95150-007 (Rev. 01/06)
Page 100
SECTION 7 REPLACEABLE PARTS AND REPAIRS
7.2.4
BATTERY, BATTERY DOOR, AND DOOR PAD
REPLACEMENT
Recommended tools for this procedure are a medium size flat blade screwdriver,
mild solvent, and a lint-free cloth.
The replacement parts for this procedure are:
Assembly, Battery, with Wire Harness
Door, Battery
Pad, Door
Gasket, Battery
Screw, 6-32 x 3/8, Hex Head, Slotted, with Washer
To replace the battery, battery door, and door pad, see Figure 7-2, then proceed as follows:
1. Turn off the infuser, and disconnect the device from AC power.
2. Place the infuser on its side.
3. Using the flat blade screwdriver, remove the screw that attaches the battery door
to the infuser, and remove the door.
4. Inspect the battery door, gasket, and door pad for damage. Replace the door,
if required.
5. If the door pad is defective, remove it and clean the door with mild solvent.
Dry the battery door thoroughly, and install the replacement pad onto the door.
6. Remove and inspect the gasket from the battery door. Remove the adhesive from
the replacement gasket and install the gasket in the battery door.
Note: The gasket may not be present on earlier versions of the Plum A+
7. Disconnect the battery harness from the charger circuit cable. Carefully pull the
battery harness wires and connector outside the enclosure, and remove the battery.
8. Connect the replacement battery harness to the charger circuit cable, and insert
the replacement battery into the enclosure.
®
.
Note: The cable connectors are keyed so that cables cannot be connected
incorrectly.
Note: Confirm the battery harness is not pinched between the battery and the
enclosure.
9. Replace the battery door using the screw that was removed in step 3.
10. Press [ON/OFF] with the infuser disconnected from AC power, and verify the front
panel battery symbol illuminates.
11. Access the BIOMED SETTINGS screen and press [CHANGE BATTERY].
Note: The [CHANGE BATTERY] softkey will not appear on earlier versions
of the Plum A+
Replacement of the battery, battery door, and door pad is routine maintenance and no
verification procedure is normally required. However, if the infuser may have been
damaged during these procedures, perform the PVT in Section 5.2.
®
.
430-95150-007 (Rev. 01/06)7 - 6Plum A+
®
Infusion System
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