Hospira GemStar 13150 User manual [gb]

Front Cover Pain.fm Page i Wednesday, January 12, 2005 2:43 PM

430-00899-A02, C (Rev. 04/2007)

Infusion Pump

System Operating Manual

For use with the

®

Hospira GemStar Pain Management Pump

®

Hospira, Inc., Lake Forest, IL 60045

430-00899-A02 (Rev. 02/05)

List 13150-04-07/08

430-00899-002.book Page i Friday, November 19, 2004 9:43 AM

Hospira GemStar® Infusion Pump

System Operating Manual

Hospira GemStar Pain Management Pump

Read this entire manual before

using the Hospira GemStar Pump

For use with the

List 13150-04-07/08

PLEASE

This manual is designed for use by healthcare professionals, caregivers, and patients.
The Hospira Technical Support Operations hotline is available 24 hours a day (in the
USA) to provide consultation and technical assistance regarding the Hospira GemStar
Pump.

In the USA: Hospira Technical Support Operations

1-800-241-4002

Outside the USA: Contact your local Hospira

sales office

To order additional copies of this manual

(List 13981) call Hospira Customer Care:

1-877-9HOSPIRA

(1-877-946-7747)

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) i

Title.fm Page ii Wednesday, March 9, 2005 7:17 PM

Change History

Part Number Description of Change Pages Changed

430-00899-001
(Rev. 10/02)

430-00899-A01
(Rev. 03/03)

430-00899-002
(Rev. 11/04)

430-00899-A02
(Rev. 02/05)

Original Issue N/A

Replaced power LED illustration
Aligned pencil icons
Replaced sample trumpet curve

illustration
Updated trademark information

and copyright date; replaced
symbol of exclamation point
inside triangle

Second Release Inclusive

Updated Change History ii

Updated part number and revision
in footer

Corrected typographical error in
note

Updated copyright and CSA
information

Moved dashed line and scissor
icon away from binding edge

3, 16
95
122

back cover

ii, 73–76, 119, front and back
covers

126

back cover

73–76

Added UL/CSA information

119

Note: Change page manuals assembled by Hospira include a change page identifier



in the part number on the cover page and on the bottom of each changed page. This
change page manual is identified as 430-00899-A02.

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1. Introduction 1

GemStar Pump Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

GemStar Pump Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

GemStar Pump Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Menu System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Operating Modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Indications for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Contraindications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

2. Basic Operation 15

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Selecting a Power Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Connecting to the GemStar Docking Station. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

Powering On the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Accessing the Delivery Mode Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Programming the Pump. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Starting a New Container . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

GemStar Pump Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Loading the Cassette. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Releasing the Cassette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Priming a GemStar Pump Set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Contents

3. Pain Management 41

Therapy Features and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Pain Management Programming. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Bolus Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Loading Dose Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

Changing a Pain Management Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46

Pain Management Programming Worksheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

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Contents

4. Options Menu 49

Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Tips for Using the Options Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Review Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Histories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Keypad Lock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Change Pump Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Set Clock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Print. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61

Speed Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62

Connecting to the Data Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64

Transferring Data Using a Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

5. Clinician Instructions 73

Clinician Locking Sequence Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Program and Deliver a Clinician Activated Loading Dose. . . . . . . . . . . . . . . . . . . 75

Shift Totals and History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

6. Troubleshooting 77

Alarm Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Alert Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Other Display Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

7. Maintenance 89

Pump Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Cleaning and Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

8. Operation Test 93

Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Test Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Performing the Operation Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Printing Test Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Operation Test Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

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9. Optional System Components 103

Connecting the Bolus Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Using the GemStar Lockboxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Using the Hospira Carrying Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109

Using the GemStar Docking Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

10. Pump Sets 117

11. GemStar Pump Specifications 119

Occlusion Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122

12. Warranty/Technical Assistance 137

Index 139

Contents

IEC Symbols inside back cover

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Notes

vi Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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The GemStar® Pain Management Pump is a small and lightweight, single-channel
infusion device designed for use in the home, in the hospital, or anywhere electronic
infusion is required. The GemStar Pump can be powered by AC mains adaptor,
rechargeable battery pack, docking station, or two disposable AA alkaline or lithium
batteries. When powered by batteries, the GemStar Pump is ideal for ambulatory
patients.

The following conventions are used throughout this manual:

Convention Use Example

Chapter 1

Introduction

d
f
d

[ALL CAPS] Pump keys Press [YES/ENTER] to continue.

ALL CAPS

WARNING: A WARNING message contains special safety

CAUTION: A CAUTION contains information that could prevent

Note: A NOTE contains information or examples to help explain instructions.

Tip: A TIP contains information that makes the pu mp easier to use.

Note: Examples are pr ovided only to help explain a pump function and may not
be clinically relevant. Graphics are for illustrative purposes only and may not
reflect the actual product.

Display messages The pump displays:

ENTER TO CONFIRM.

information and must be observed at all times. Failure
to observe a warning message could be life
threatening.

irreversible product damage or hardware failure. Failure to
observe a caution could result in serious patient or user injury.

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1. Introduction

GemStar Pump Layout

Shown approximate size

2 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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DISPLAY

1
2

• Displays the pump’s status.

• Silences an alarm.

3 • Stops infusion.

4 • Starts infusion.

1. Introduction

5

• Lights continuously when the pump is powered by AC mains.

• Flashes when the pump is powered by exte rnal batteries (e.g., battery pack).

Power
Indicator

• Not lit when using disposable AA batteries.

6 • Powers the pump on or off. To power-off the pump, press and hold until the

display clears.

7 • Returns to previous steps during programming.

• Exits Help, Change, and Options menus.

8

• Displays the following menu items from the

STOP or RUN mode*:

New Container Change Program
New Program

• Resets a numeric value to zero.

9

• Displays the following Options Menu items from the

STOP or RUN mode*:

1 Review Program 5 Set Clock
2 Histories 6 Print
3 Keypad Lock 7 Speed Protocol
4 Pump Settings

10 • Scrolls through display messages.

• Toggles between AM and PM in time-based entries.

• UP arrow enters a decimal point in numeric entri es.

• DOWN arrow toggles between units of measure when entering concentrations.

11 • Responds “YES” to display questions.

• Accepts entries and goes to the next step.

12 • Responds “NO” to display questions.

13 • Displays information during programming steps and alarm conditions.

• Displays Shift Totals, except during programming steps and alarm conditions.

14

• Clears an

AIR-IN-LINE alarm.

• Primes a Gemstar Pump Set.

15 [0] - [9] • Selects menu items and enters numeri c values. If two numbers appe ar before a

menu item (e.g., 02), press both number keys to select that item.

* Not all menu items are available with all modes.

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1. Introduction

GemStar Pump Components

Bolus Button Press this button to start a

1

bolus delivery if available in
the current program.

Pole Clamp Track Use to connect to an

2

optional pole clamp.

Cassette Release

3

Button
Power Connector Use to connect the AC

4

Data Port

5

Connector
Bolus Connector Use to connect a bolus cord.

6

Tubing Channel Place the pump set tubing in

7

Cassette Pocket Load the cassette into this

8

I.V. Tubing Guide Use to hold the I.V. tubing.

9

Battery Pack

10

Connector
Battery Compartment Install two fresh, disposable

11

Push down on this button to
release the cassette.

mains adaptor.
Use to connect the GemSt ar

serial cable.

this channel.

pocket.

Use to connect the GemSt ar
Rechargeable Battery Pack.

AA batteries in this
compartment.

Top View

Bottom/Side View

4 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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GemStar Pump Features

Feature Description Reference Page

1. Introduction

• Adjustable
Settings

• Alerts and
Alarms

• Audible
Keypad
Response

•Keypad
Lock

•New
Container

• Power-on
Self-test

• Operation
Test

•Program
History

•Speed
Protocols

Adjusts the distal occlusion pressure limits,
air sensor sensitivity, real-time clock, and
audible alarm volume.

Signals audible and visual alarms when
attention is required.

Sounds a single beep when any key is
pressed. If an invalid key is pressed, the
pump sounds a flutter tone.

Restricts access to various options. Four
lock levels are available.

Repeats the current program without
reprogramming the pump.

Performs a self-test each time the pump is
powered on.

Performs user-assisted tests to verify the
pump is operating properly.

Maintains a history event log, with a date
and time stamp of each event for each
program. Review the history on the display,
or download it to a printer or computer.

Stores up to nine frequently used programs
in the pump’s memory for quick access.

Chapter 4 Options Menu

Chapter 6
Troubleshooting

Chapter 1 Introduction,

GemStar Pump Layout

Chapter 4 Options Menu
and Chapter 5 Clinician
Instructions

Chapter 2 Basic
Operation

Chapter 2 Basic
Operation

Chapter 8 Operation
Test

Chapter 4 Options Menu

Chapter 4 Options Menu

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1. Introduction

Menu System

The GemStar Pump uses a menu system that provides step-by-step instructions
through all of the pump’s functions. Refer to the following table for a list of functions
in each menu.

Use the keypad to select menu items, respond to display messages, and enter numeric
values. For example, press [

2] to select HISTORIES from the Options Menu.

d

f

Note: Menu items may vary depending on the pump’s configuration.

Tip: A menu item does not have to be on the display to be selected. For example,
when the Options Menu first displays, only the first four menu items are shown.
Instead of pressing the down arrow to see the other menu items, press [
directly to SET CLOCK.

To display
this menu:

Delivery Mode
Menu

Change Menu Press . 1 NEW CONTAINER

Options Menu Press .

Do this: Menu Items Available

1 Press to display

the Change menu.

2 Select

NEW PROGRAM.

1 CONTINUOUS
2 BOLUS
3 CONT + BOLUS

2 NEW PROGRAM
3 CHANGE PROGRAM

1 REVIEW PROGRAM
2 HISTORIES
3 KEYPAD LOCK
4 PUMP SETTINGS
5 SET CLOCK
6 PRINT
7 SPEED PROTOCOL

5] to go

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For more information on: Refer to the following pages:

Delivery Mode Menu Chapter 3 Pain Management, page 41.
Change Menu For menu item [1], refer to Starting a New Container

Options Menu Chapter 4 Options Menu, page 49.

Operating Modes

The GemStar Pump has four operating modes:

Mode Description

1. Introduction

in Chapter 2 Basic Operation, on page 27. For
menu items [2] and [3], refer to Chapter 3 Pain
Management, page 41.

Help Mode The pump enters the

programming or an alarm condition. The
additional information about the current condition.

Programming Mode The pump enters the

powered on or when is pressed.

Run Mode After is pressed, the pump enters the

when not infusing.

Stop Mode When programming is complete, the pump enters the

mode until is pressed.
When the programmed therapy is complete, and during certain

alarm conditions, the pump automatically enters the
Press to enter the

CHECK CASSETTE alarm.

HELP mode when is pressed during

HELP mode displays

PROGRAMMING mode after the pump is

RUN mode, even

STOP mode.

STOP mode at any time, except during a

STOP

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1. Introduction

Indications for Use

Physicians or certified, licensed healthcare professionals should always oversee
infusions. Healthcare professionals should always supervise pump users and instruct
users in pump operation and troubleshooting. Instruction should include how to
prevent intravenous (I.V.) related complications, including how to prevent accidental
infusion of air.

The pump is suitable for intravenous, arterial, subcutaneous, short-term epidural
infusion of general I.V. fluids and medications. The epidural route is recommended to
provide anesthesia or administer analgesia for periods up to 96 hours.

Note: Epidural administration of anesthetics is recommended in the continuous

d

mode only. Epidural administration of analgesics may be delivered by continuous,
bolus, or continuous with bolus.

For epidural use, the administration of drugs is restricted to those anesthetic and
analgesic drugs approved for continuous epidural administration: e.g., Chloroprocaine
Hydrochloride USP, Lidocaine Hydrochloride USP, and Morphine Sulfate Injection
USP (Preservative Free).

WARNING: Delayed respiratory depression following continuous

epidural administration of preservative-free morphine
sulfate has been reported.

For epidural administration, the following is recommended:

6 Nyl on or Teflon
6 Pump sets without Y-sites
6 Stickers for the tubing indicating ongoing administration

Note: Facilities practicing epidural anesthesia/analgesia must be staffed and

d

8 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

equipped to manage cardio-pulmonary resuscitation (CPR). Supplies should
include oxygen, naloxone, and other appropriate resuscitative drugs and
equipment. Monitor patients continuously (e.g., oximetry) during epidural
administration. Frequently observe patient for side effects (for up to 24 hours)
following completion of drug administration by the epidural route.

®

catheter

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Contraindications for Use

Persons who do not have the mental and physical capability or the emotional stability
to properly use the GemStar Pump should not operate this pump.

DO NOT use the following with the Hospira GemStar Pump System:

6 Drugs not compatible with silicone rubber or PVC plastic
6 Drugs not stable under infusion conditions

Warnings and Cautions

Pay attention to the following warnings and cautions when operating the Hospira
GemStar Pump. These warnings and cautions are repeated in the manual when
relevant to the procedure being discussed. Pay attention to all alert messages.

General Warnings and Cautions

6 Federal (USA) law restricts this device to sale by or on the order of a physician or

other licensed practitioner.

6 Manual references to specific values are approximate only, unless indicated

otherwise. Air-in-line sensitivity values are approximate only.

6 When a Proximal Occlusion alarm activates, DO NOT power-off the pump.
6 Closely supervise patients who are likely to be adversely affected by unintended

operations and failures, including interrupted medication or fluid infusion. Ensure
provisions for immediate corrective action are available.

1. Introduction

Regarding Drugs Used, Pump Sets, and Containers

6 USE ONLY GemStar Pump Sets with the GemStar Pump. Use of unauthorized

sets may result in injury to the patient or damage to the pump.

6 NEVER use drugs that are incompatible with silicone rubber or PVC plastic.
6 To reduce the loss of potency for drugs known to be absorbed by PVC plastic and

silicone, begin infusion as soon as practical after priming the pump set. Use of
high flow rates during infusion will minimize drug absorption.

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1. Introduction

6 DO NOT use medications that are unstable under infusion conditions.
6 ALWAYS use connections with Luer Lock™ fittings.
6 To prevent contamination, use aseptic technique with all fluid-path connections.

Remove the protective coverings as assembly progresses.

6 ALWAYS place the flow stop in the closed position when the set is not in the

pump.

6 Make sure the cassette is properly installed. When properly installed, all four

cassette latches are visibly holding the cassette securely in the cassette pocket.

6 Ensure the tubing is behind the tubing guide (at the distal end).
6 Arrange tubing, cords, and cables to minimize the risk of patient strangulation or

entanglement.

6 NEVER use vented fluid containers (e.g., glass or rigid plastic) unless suspended

from a pole.

6 Stop infusion if signs or symptoms of infiltration occur.
6 GemStar Pump Sets contain an anti-siphon valve to reduce the potential for

gravity flow at a typical 36-inch head height.

6 Failure to use the anti-siphon valve may result in unrestricted flow.
6 ALWAYS close the slide clamps before removing the cassette from the pump.
6 When using pre-filled vials, the system may underdeliver at low flow rates.

Regarding Air-In-Line and Infusion

6 To reduce the risk of infusing air, use an air-eliminating filter when the air

sensitivity is set to OFF.

6 ALWAYS prime the pump set to remove all air from the cassette, tubing, and

injection site prior to connecting to the patient.

6 ALWAYS disconnect the pump set from the patient prior to priming or purging.

Regarding Pump Operation

6 If the pump does not perform as stated in this manual, remove the pump from

service IMMEDIATELY.

6 If the pump does not display the self-test or if beeps do not sound at power-on,

check all power connections and install two fresh, disposable AA batteries. If the
problem continues, contact Hospira Technical Support Operations before using
the pump.

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6 Ensure a cassette is installed in the pump before connecting to a printer or

computer. If the pump is connected to a patient: BEFORE connecting the pump
to a computer or printer, press [
cassette. Leave the pump set connected to the patient. Install another cassette in
the pump before connecting to a printer or computer.

6 Disconnect the pump from the patient BEFORE performing the Operation Test.
6 ALWAYS connect to a grounded AC mains power source when using AC mains

power. If the quality of the grounding source is in doubt, operate the pump only
with batteries.

6 USE ONLY the AC mains adaptors specifically labeled for use with the GemStar

Pump.

6 USE ONLY the AC mains adaptor specifically labeled for use with the GemStar

Pump to charge the battery pack.

6 The GemStar AC Mains Adaptor is for use with the GemStar Pump or GemStar

Rechargeable Battery Pack only. DO NOT
with other products.

6 During charging, the battery pack is warm. If the battery pack becomes hot to the

touch, IMMEDIATELY unplug the AC mains adaptor and contact Hospira
Technical Support Operations.

6 When removing the cord fro m the bottom of the pump, firmly grasp the connector

and pull straight out. DO NOT twist or bend the cord or connector.

6 To ensure proper pump operation, ALWAYS replace BOTH disposable batteries

with fresh, disposable AA batteries when a change is required.

6 ALWAYS fully close the battery door when using disposable batteries.
6 DO NOT use rechargeable batteries in the battery compartment.
6 Ensure two fresh, disposable AA batteries are installed for backup power when

using other power sources (e.g, docking station, battery pack). The pump will
continue to operate on backup power if the external power source fails.

6 ALWAYS avoid sources of high-intensity electromagnetic radiation (e.g., radio

transmitters, MRI scanners, microwave ovens, X-ray machines, and CAT
scanners).

6 Use of radio-frequency emitting devices, such as cellular telephones, 2-way

radios, and Electrical Surgical Devices (ESU), in close proximity to this device
may affect its operation.

1. Introduction

STOP], close the slide clamp, and eject the

use the GemStar AC mains adaptor

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1. Introduction

6 Possible explosion hazard exists if the pump is used in the presence of flammable

anesthetics. NEVER use the pump in the presence of flammable or explosive
vapors.

6 Non-hazardous, 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
infusion device instead of some other source in the environment, set the infusion
device so that it is temporarily not delivering fluid (if clinically acceptable).
Disappearance of the abnormality indicates that it was probably caused by
electronic noise generated by the infusion device. Proper setup and maintenance
of the monitoring equipment should eliminate the artifact. Refer to the appropriate
monitoring system documentation for setup and maintenance instructions.

6 Th e GemStar pump, when connected to the GemStar AC adaptor, has been tested

and found to comply with EMC/EMI limits in accordance with IEC/EN
60601-1-2 (2001). When connected to other power sources and/or optional system
components, the GemStar system complies with EMC/EMI limits in accordance
with IEC/EN 60601-1-2 (1993). These limits are designed to provide reasonable
protection against harmful interference in a typical medical installation. The
equipment generates, uses and can radiate radio frequency energy and, if not
installed and used in accordance with the instructions, may cause harmful
interference to other devices in the vicinity. However, there is no guarantee that
interference will not occur in a particular installation. If this equipment does cause
harmful interference with other devices, which can be determined by turning the
equipment off and on, the user is encouraged to try to correct the interference by
one or more of the following measures:

6 Reorient or relocate the receiving device
6 Increase the separation between the equipment
6 Connect the equipment to an outlet on a circuit different from that to which

the other device is connected

6 Consult the manufacturer or field service technician for help
6 Th e use of portable and mobile RF equipment may have an imp act on this and

other pieces of medical equipment

12 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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Regarding Handling and Maintenance

6 Use proper care during unpacking, installation, and operation of the pump. If the

pump is inadvertently mishandled, check connections and programmed data to
ensure there is no damage. Refer to Chapter 8 Operation Test for further
information.

6 ALWAYS avoid dropping or hitting the pump. If the pump is dropped or hit,

ALWAYS check connections and programmed data.

6 NEVER use sharp objects (e.g., fingernails, pens, pencils, or other probes) to

program or clean the pump.

6 Use care not to damage the silicone seals around the sensor bodies in the cassette

pocket.

6 To avoid mechanical or electronic damage, NEVER submerge pump in water or

other fluids and avoid fluid spills. If the pump becomes wet, dry it immediately
with a dry, lint-free cloth. Check connections and programmed data.

6 Some cleaning and sanitizing compounds may slowly degrade components made

from some plastic materials. DO NOT use compounds containing combinations of
isopropyl alcohol and dimethyl benzyl ammonium chloride (i.e., alcohol wipes).

6 DO NOT sterilize by heat, steam, ethylene oxide (ETO), or radiation. Apply

disinfectants to the outside surface of the pump only. DO NOT use abrasive
cleaners or materials on the pump. Using abrasive cleaners or cleaning solutions
not recommended by Hospira may result in product damage.

6 Please comply with local disposal and recycling regulations as appropriate for

disposable batteries, rechargeable battery packs, medical electronic components,
and pump sets.

1. Introduction

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Notes

14 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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The minimum elements required for using the GemStar Pump are:

 GemStar Pump
 Appropriate power source
 Appropriate GemStar Pump Set
 Appropriate fluid container
 Patient-access device

Overview

Chapter 2

Basic Operation

To start a therapy:

1 Determine the program settings. Refer to Chapter 3 Pain Management for a

worksheet that may be copied and used to record program settings.

2 Select a power source. Refer to Selecting a Power Source on page 16.
3 Prime the pump set. Refer to GemS tar Pump Set on page 27.
4 Load the cassette into the pump. Refer to Loading the Cassette on page 30.
5 Power-on the pump and go to the Delivery Mode Menu. Refer to Powering On

the Pump on page 22.

6 Select the appropriate optional system components, such as a bolus cord.
7 Select the delivery mode and enter a program. Refer to Chapter 3 Pain

Management, page 41 for detailed instructions.

8 Press [

START] to begin delivery.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 15

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2. Basic Operation

Selecting a Power Source

The GemStar Pump may be powered by one or more of the following:

Power Source Description Ambulatory Hospital Home

GemStar
AC Mains Adaptor
(USA)

GemStar
AC Mains Adaptor
(Universal)

GemStar Docking
Station

GemStar Battery
Pack

Disposable Batteries Two disposable AA alkaline or

Wall-mount adaptor plugs into a
1 10 VAC mains supply.

Tabletop adaptor plugs into a
100–240 VAC mains supply.

Plugs into a 100–240 VAC Volt
mains supply while mounted on an
I.V. pole. The docking station’s
internal batteries power the
GemStar Pump during periods of
transport.

The battery pack’s internal
batteries power the GemStar
Pump during periods of transport
or when use of AC power is not
desirable.

lithium batteries (available from
local sources)

••

••

•••

•••

•••

CAUTION: To ensure proper pump operation, ALWAYS replace BOTH

batteries with fresh, disposable AA batteries when a change is
required.

DO NOT use rechargeable batteries in the battery compartment.
Ensure two fresh, disposable AA batteries are installed for backup

power when using other power sources (e.g, docking station,
battery pack). The pump will continue to operate on backup power
if the external power source fails.

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Installing Disposable Batteries

1 Flip open the tab of the battery door on

the bottom of the pump.

2 With the pump keypad facing up, hold

onto the tab and turn the battery door to
the left (counterclockwise) until it is
released from the battery compartment.

3 Pull the door free and remove any

existing batteries.

4 Install two fresh, disposable AA

batteries into the battery compartment.
Ensure the batteries are inserted as
shown.

5 Return the battery door to the battery

compartment.

2. Basic Operation

6 Turn the battery door to the right

(clockwise). Ensure the battery door is
secured under the slot.

7 Flip closed the tab of the battery door to

lock in place.

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2. Basic Operation

Connecting the GemStar AC Mains Adaptor

1 Connect the cord of the AC mains adaptor to the connector labeled “3 VDC” on

the bottom of the pump.

2 Plug the AC mains adaptor into a standard wall outlet.

CAUTION: ALWAYS connect to a grounded AC mains power source when

using the AC mains adaptor. USE ONLY AC mains adaptors
specifically labeled for use with the GemStar Pump.

When removing the cord from the bottom of the pump, firmly
grasp the connector and pull straight out. DO NOT twist or bend
the cord or connector.

d

Note: The green LED on the pump remains lit when connected to AC mains
power.

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Using the GemStar Rechargeable Battery Pack

Use the GemStar AC Mains Adaptor (List 13026-01 [USA] or 13072-01 [Universal])
to recharge the GemStar Battery Pack.

CAUTION: ALWAYS connect to a grounded AC mains outlet when using AC

mains adaptor.
Use only AC mains adaptors specifically labeled for use with the

GemStar Pump to charge the battery pack.
During charging, the battery pack is warm. If the battery pack

becomes hot to the touch, IMMEDIATELY unplug AC mains
power and contact Hospira Technical Support Operations.

2. Basic Operation

d

Note: A charged battery pack will last approximately 24 hours when the pump is
infusing at rates less than 125 mL/hr.

To connect the battery pack:

1 Line up the connectors on the top of the battery

pack with the holes on the bottom of the pump.

2 Snap the battery pack into place.

1

To release the battery pack:

1 Press the release button on the battery pack.
2 Pull the battery pack straight out from the pump.

Note: When the pump is connected to the battery
pack, the pump’s green LED flashes and the

d

battery pack light is off.
When the pump is connected to the battery pack at

power-on, the pump displays

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 19

USING EXT BATT.

430-00899-002.book Page 20 Friday, November 19, 2004 9:43 AM

2. Basic Operation

To recharge the battery pack:

1 Plug the pin connector of the AC mains adaptor into the port on the bottom of the

battery pack.

2 Plug the AC mains adaptor into a standard wall outlet.
3 Leave the battery pack connected to the AC mains adaptor for at least 8 hours to

recharge the battery pack

CAUTION: When removing the cord from the bottom of the pump, firmly

grasp the connector and pull straight out. DO NOT twist or bend
the cord or connector.

d

Note: The battery pack light is yellow while the battery pack is charging. When the
battery pack is charged, the battery pack light is green.

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Connecting to the GemStar Docking Station

Connecting the Pump

1 Mount the docking station to the I.V. pole and tighten

the knob.

2 Line up the connectors on the bottom of the pump with

the connectors on the docking station.

3 Slide the pump into the docking station until it snaps

into place.

4 Connect the docking station to AC mains power.

2. Basic Operation

d

Note: The docking station light is yellow while the docking station is charging. When
the docking station is charged, the light is green.

Disconnecting the Pump

To remove the pump:

1 Press the release button on the top of the docking

station.

2 Slide the pump out.

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2. Basic Operation

Powering On the Pump

CAUTION: If the pump does not display the self-test or if beeps do not sound at

power-on, check all power connections and install two fresh,
disposable AA batteries. If the problem continues, contact Hospira
Technical Support Operations before using the pump.

d

d

Note: If a cassette is not properly loaded, the pump will alarm after the power -on test is
complete.

1 Press [

ON/OFF] to power-on the pump. The pump

completes a self-test and displays the time and date. No
response is required.

GEMSTAR 7

UNIT SELF-TEST

TIME IS 10:00 AM

FRI, JUN 11, 04

Note: The self-test takes approximately 30 seconds to complete. If the pump is
locked, lock symbols appear at the beginning and end of the second line:

UNIT SELF-TEST .

2 The pump checks for available power sources. Respond to the display message as

shown in the following table:

Display Message Power Source(s) User Response

No message displays AC power and

disposable batteries.

LOW BATTERIES

ENTER TO CONFIRM

NO INTERNAL BATT

NO POWER LOSS

ALARM AVAILABLE

ENTER TO CONFIRM

AC power and weak
(low voltage)
disposable batteries;
or weak disposable
batteries only.

No disposable
batteries or dead
disposable batteries;
and external power.

No response required, the pump goes
to the next step.

Press to confirm.
Power-off the pump and install two

fresh, disposable AA batteries as a
backup power source.

Press to confirm.
Power-off the pump and install two

fresh, disposable AA batteries as a
backup power source.

YES

ENTER

YES

ENTER

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Display Message Power Source(s) User Response

2. Basic Operation

d

USING BATTERIES

ENTER TO CONFIRM

USING EXT BATT

ENTER TO CONFIRM

Disposable batteries
only.

External batteries
(docking station
battery or battery
pack) and disposable
batteries.

Press to confirm.
If an external power source is in use,

ensure the connections are secure.
Press to confirm.

If an AC mains adaptor is in use,
ensure the connections are secure.

YES

ENTER

YES

ENTER

Note: To power-off the pump, press and hold until the display clears. The pump
cannot be powered off during a CHECK CASSETTE alarm (except during

PROGRAMMING mode). Refer to Chapter 6 Troubleshooting for information on

clearing a CHECK CASSETTE alarm.

For more information on: Refer to the following pages:



Setting the clock Set Clock in Chapter 4 Options Menu, on page 60.
Locking the keypad Keypad Lock in Chapter 4 Op tions Menu, on page 56.

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Basic_Operation.fm Page 24 Monday, November 22, 2004 1:07 PM

2. Basic Operation

Accessing the Delivery Mode Menu

After power-on, the pump checks its memory for a stored program. Respond to the
display message as shown in the following table:

Display Message Condition User Response

The pump displays the
Delivery Mode Menu.

1 RESUME PROGRAM
2 CLR PROG&SHIFT

3 CLR PROG,SHIFT

AND HISTORY

Pump memory
is clear.

A program is
currently stored
in pump
memory.

 To enter a new program: Select a delivery

mode from the Delivery Mode Menu and
enter a new program. Refer to Chapter 3
Pain Management for instructions.

 To continue the current program, press [1].
 To re set the current program:

1 Press [1].
2 Press [CHANGE] to display the Change

Menu and select

NEW CONTAINER.

 To enter a new program and clear shift

totals: Press [2]. The pump clears the
program and shift totals from memory and
enters PROGRAMMING mode.

 To enter a new program, clear shift totals,

and clear history: Press [3]. The pump
clears the program, shift totals, and history
from memory and enters PROGRAMMING
mode.

Tip: To enter a new program when the pump is already powered on:



1 Press [STOP] to place the pump in STOP mode.

2 Press [CHANGE] to display the Change Menu.

3 Select NEW PROGRAM. The pump clears the current program and

displays the Delivery Mode Menu.

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Programming the Pump

Programming Overview

The pump’s menu system provides step-by-step guidance through all of the
programming steps. Refer to Chapter 3 Pain Management for detailed programming
instructions.

A programming worksheet is available at the end of Chapter 3 that lists the minimum
and maximum value (program range) allowed for a Pain Management therapy. If a
number outside of the program range is entered, the pump displays the minimum or
maximum value allowed.

1 Select the desired delivery mode from the Delivery Mode Menu.
2 Respond to display messages and enter requested values.

Note: Program entries can be changed any time before the Program Review is

d

complete. Press [BACK-UP] to return to previous program displays and make
changes as desired.

2. Basic Operation

3 Review the program, if required. Press to begin review. Press [

when done.

4

SAVING PROGRAM displays. The pump stores the program in memory and then

STOP mode.

enters

Tip: If you enter an incorrect number during programming, press [CHANGE]

f

BEFORE pressing [
correct number.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 25

YES/ENTER] to reset the number to zero. Then enter the

YES/ENTER]

430-00899-002.book Page 26 Friday, November 19, 2004 9:43 AM

2. Basic Operation

Programming Tips

The following table explains how to use the keypad during programming:

Key Function

[0] - [9] Press the number keys to select menu items and to enter numeric values.

Press to accept entries or to continue when done viewing a display.

YES

ENTER

Press during programming and alarm conditions to display information
about the current condition.

Press or to scroll through display messages.

Press to insert a decimal point in a numeric value.

When entering a numeric value during programming, press before
pressing to reset the value to zero.

YES

ENTER

Press to return to a previous display, to exit the Options Menu, or to exit
the

HELP mode.

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Starting a New Container

2. Basic Operation

d

Note: The NEW CONTAINER function is not available when the pump is in FULL Lock.
Refer to Chapter 4 Options Menu, page 49 for more information on locking the keypad.

To repeat the current program with a new container:

1 From the
2 Select

CONTAINER

3 Review the program. Press to begin review.
4 Press [

STOP mode, press [CHANGE] to display the Change Menu.

NEW CONTAINER from the Change Menu. The pump displays NEW

START] to begin delivery.

GemStar Pump Set

The GemStar Pump Set is a sterile, single-use, disposable pump set. It is designed for
one-time use only and should be properly discarded after use.

Fluid path and areas beneath undisturbed protective set
covers are sterile and nonpyrogenic in the intact unit
package.

Contact a Hospira representative for more information on selecting the appropriate
pump set configuration. Additional disposable components, such as air-eliminating
filters and extension sets, may be added to the line as required. To use a GemStar
Pump Set, follow the instructions included with the set.

for several seconds and clears the amount infused from memory.

STERILE

2

Note: GemStar Pump Sets contain an anti-siphon valve to reduce the potential for

d

gravity flow at a typical 36-inch head height.

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2. Basic Operation

A typical GemStar Pump Set is shown below:

1 Piercing Pin 6 Tubing
2 P roximal End 7 Slide Clamp
3 Cassette 8 Secure Lock
4 Flow Stop (open / close ) 9 Anti-Siphon valve
5 Distal End

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WARNING: ALWAYS prime the pump set to remove air from the

cassette, tubing, and injection sites prior to connecting to
the patient. ALWAYS disconnect the pump set from the
patient prior to priming or purging. Arrange tubing, cords,
and cables to minimize the risk of patient strangulation or
entanglement.

Failure to use the anti-siphon valve may result in
unrestricted flow.

CAUTION: USE ONLY GemStar Pump Sets with the GemStar Pump. Use of

unauthorized sets may result in injury to the patient or damage to
the pump.

To prevent contamination, use aseptic technique with all fluid-path
connections. Remove protective coverings as assembly progresses.

2. Basic Operation

Opening the Pump Set

1 Open the GemStar Pump Set package and

remove the contents.

2 Remove the protective covers from the fluid

container administration port and the pump set.

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2. Basic Operation

Loading the Cassette

1 Identify the four black cassette latches inside the cassette pocket.

2 Line up the cassette as shown

(with the flow stop button facing
the pump).

3 Insert the cassette into the cassette

pocket by pushing firmly along the
entire cassette until it is firmly
seated.

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2. Basic Operation

4 Verify that all four cassette latches

are securely holding the cassette.

CAUTION: Ensure the cassette
is properly installed. When
properly installed, all four
cassette latches are visibly
holding the cassette securely in
the cassette pocket.

5 Place the tubing in the

tubing channel.

Releasing the Cassette

1 Close the slide clamp on the distal

line.

2 Push down on the cassette release

(large black button) on the top of
the pump.

3 Remove the cassette.

Note: When the cassette is

Note: Ensure the tubing is behind

d

d

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 31

the tubing guide (at the distal
end).

Note: The pump cannot be
powered off during a CHECK
CASSETTE alarm (except during

PROGRAMMING mode). Refer to

Chapter 6 Troubleshooting for
information on clearing a CHECK
CASSETTE alarm.

d

released from the pump, the
cassette flow stop automatically
closes, preventing free flow.

430-00899-002.book Page 32 Friday, November 19, 2004 9:43 AM

2. Basic Operation

Priming a GemSta r Pump Set

Priming Pump Sets WITHOUT a Drip Chamber

WARNING: Failure to use the anti-siphon valve may result in

unrestricted flow.

1 Push down on the flow stop to

close the cassette.

2 Hold the container with the

administration port toward the
ceiling and insert the piercing pin.

3 Push down on the flow stop to

open (priming position) the
cassette.

4 Invert the cassette approximately

45°.

5 While holding the rotated cassette,

squeeze or roll the container to
remove air from the container and
cassette.

6 Return the cassette to the upright

position. Continue priming until
fluid fills the tubing.

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2. Basic Operation

7 Push down on the flow stop to

close the cassette.

8 Load the cassette.

CAUTION: Ensure all four
cassette latches are clearly
visible after the cassette is
installed. Refer to Loading the
Cassette on page 30.

Note: Ensure the tubing is behind

d

the tubing guide (at the distal
end).

CAUTION: When priming is
complete, ensure no fluid flows
at the distal end of the pump set.
If flow is observed, DO NOT use
the pump set.

9 Connect the pump set to the

patient-access device.

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2. Basic Operation

Priming Pump Sets WITHOUT a Drip Chamber Using the PURGE Key

WARNING: Failure to use the anti-siphon valve may result in

unrestricted flow.

d

Note: The PURGE function is available only if there is a program in the pump.

1 Push down on the flow stop to

close the cassette.

2 Hold the container with the

administration port toward the
ceiling and insert the piercing pin.

d

3 Load the cassette.

CAUTION: Ensure all four
cassette latches are clearly
visible after the cassette is
installed. Refer to Loading the
Cassette on page 30.

Note: Ensure the tubing is behind
the tubing guide (at the distal
end).

4 Program desired therapy.

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5 Press [PURGE].

2. Basic Operation

d

PURGE

6 The pump displays

SET?

Press [YES/ENTER].

HELP

PRIME THE

7 While holding the container with

the administration port toward the
ceiling, press and hold [

PURGE].

Note: Purge rate is 250 mL/hr.
The pump purges for up to 2
minutes each time you press
and hold [

Continue using the [

PURGE].

PURGE]

key until fluid fills the tubing.
Ensure all air is removed
from the container, cassette,
and tubing.

CAUTION: When priming is
complete, ensure no fluid
flows at the distal end of the
pump set. If flow is observed,
DO NOT use the pump set.

8 Connect the pump set to the

patient-access device.

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2. Basic Operation

Priming Pump Sets Using Pre-filled Vials

WARNING: Failure to use the anti-siphon valve may result in

unrestricted flow.

CAUTION: When using pre-filled vials, the system may underdeliver at low

flow rates.

1 If using a pump set with the

Y-extension, use the slide clamp to
close off the KVO (Keep Vein
Open) side of the tubing.

2 Open the upper and lower slide

clamps.

3 Push down on the flow stop to

close the cassette.

4 Connect the pump set to a Hospira

pre-filled vial and injector.

5 Push down on the flow stop to

open (priming position) the
cassette.

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2. Basic Operation

6 Hold the vial and set upright

(vertically) on a flat surface with
the pump set extending from the
top.

7 Slowly push down on the injector

until fluid flows at the distal end of
the tubing, which indicates that all
air is cleared from the vial,
injector, cassette, and tubing.

8 Push down on the flow stop to

close the cassette.

9 If the set includes a KVO

Y-extension, close the slide clamp
below the pre-filled vial and open
the slide clamp on the KVO side.
Prime the KVO Y-extension.

10 Load the cassette.

CAUTION: Ensure all four
cassette latches are clearly
visible after the cassette is
installed. Refer to Loading the
Cassette on page 30.

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2. Basic Operation

Note: Ensure the tubing is behind

d

the tubing guide (at the distal
end).

CAUTION: When priming is
complete, ensure no fluid flows
at the distal end of the pump set.
If flow is observed, DO NOT use
the pump set.

11 Connect the pump set to the

patient-access device.

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Priming Pump Sets with Extensions

WARNING: Failure to use the anti-siphon valve may result in

unrestricted flow.

2. Basic Operation

1 Push down on the flow stop to

close the cassette.

2 Hold the container with the

administrative port toward the
ceiling and insert the piercing pin.

3 Push down on the flow stop to

open (priming position) the
cassette.

4 Invert the cassette approximately

45°.

5 While holding the rotated cassette,

squeeze or roll the container to
remove air from the container and
cassette.

6 Return the cassette to the upright

position. Continue priming until
fluid fills the tubing.

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2. Basic Operation

7 Push down on the flow stop to

close the cassette.

8 Connect the extension set to the

pump set.

9 Load the cassette.

CAUTION: Ensure all four
cassette latches are clearly
visible after the cassette is
installed. Refer to Loading the
Cassette on page 30.

Note: Ensure the tubing is behind

d

d

the tubing guide (at the distal
end).

10 Program the desired therapy.
11 Press [

12 The pump displays

13 Press and hold [

PURGE].

PURGE

SET?

Press [YES/ENTER].

Note: Purge rate is 250 mL/hr.
The pump purges for up to 2
minutes each time you press and

PURGE].

hold [

Continue using the [
until fluid fills the tubing. Ensure
all air is removed from the
container, cassette, and tubing.

HELP

PRIME THE

PURGE].

PURGE] key

CAUTION: When priming is
complete, ensure no fluid flows
at the distal end of the pump set.
If flow is observed,
DO NOT use the pump set.

14 Connect the pump set to the

patient-access device.

40 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

430-00899-002.book Page 41 Friday, November 19, 2004 9:43 AM

Therapy Features and Specifications

This therapy allows programming of a continuous only , bolus only, or continuous with
bolus delivery .

6 In Continuo us + Bolus protoco ls, you can enter zero for either the continuous rate

or the bolus dose when entering or changing a program. The continuous rate and
bolus dose cannot be zero at the same time.

6 The default bolus delivery rate is 125 mL/hr.
6 A loading dose may be set during programming, which can be delivered after

programming and priming are complete. The default loading dose rate is 125
mL/hr.

6 Priming using [PURGE] is only allowed before [START] is pressed or after one of

the following events occur:

6 Complete Review of New Program
6 New Cont ain er
6 Air-in-Line Alarm

Chapter 3

Pain Management

CAUTION: When using pre-filled vials, the system may underdeliver at low

flow rates.

Note: New Container is allowed only when at least 1/2 of the container volume has

d

f

been infused or 1 hour has elapsed since starting the infusion.

The use of a lockbox is recommended with pain management protocols. Refer to
Chapter 9 Optional System Components, page 103, for instructions on using a
lockbox with the GemStar Pump.

Tip: The Programming W ork sheet at the e nd of this chap ter list s the min imum and
maximum values allowed for this protocol. Use copies of the programming
worksheet to record program values before programming the pump.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 41

PainMgmt.fm Page 42 Monday, November 22, 2004 12:47 PM

3. Pain Management

Pain Management Programming Tips

The following table explains how to use the keypad during pain management
programming:

Key Function Key Function

[0] - [9] Selects menu items and

enters numeric values.

Accepts entries or
continues when done
viewing a display.

Displays information
during programming and
alarm conditions.

Pain Management Programming.

1 Select the delivery mode from the Delivery Mode Menu.



Note: If Continuous + Bolus is selected, the continuous delivery rate or bolus dose
can be set to zero through the CHANGE menu without reprogramming the pump.

2 Select the unit of measure and concentration as required.

Scrolls through program
review and help
messages. The up arrow
inserts a decimal point in
a numeric value. The
down arrow toggles units
of measure when entering
concentrations.

Clears a numeric value
(resets to zero) during
programming.

Returns to a previous
display, exits the Options
Menu, and exits the

HELP mode.

42 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

PainMgmt.fm Page 43 Monday, November 22, 2004 12:37 PM

3 Set the continuous delivery rate.

Note: The pump only delivers in increments of 0.1 mL. Values entered in a Pain



Management therapy may be rounded to the nearest 0.1 mL. For example, at a
concentration of 15 mg/mL, a rate of 5 mg rounds to 4.5 mg.

5 mg = 0.333 mL

4.5 mg = 0.3 mL

When a value is rounded, the pump sounds four quick beeps, disp lays ROUNDING
for a few seconds, and then displays the rounded value. Press
accept the rounded value and continue to the next step.

4 Program a loading dose as required.
5 Program a bolus dose with lockout time and dose limit as required.

Regarding a 1-Hour or 4-Hour Dose Limit: The hour dose limit is the
maximum volume (continuous plus bolus or bolus only amount) that can be
delivered over the selected period. When the programmed dose limit is reached,
the continuous delivery stops and a new bolus is not allowed. As the oldest
delivery amounts age out of the 1-hour or 4-hour dose limit record, the pump
accepts bolus requests or resumes continuous delivery (if programmed).

3. Pain Management

[YES/ENTER] to

Note: If a 1-hour or 4-hour dose limit is programmed, a bolus in pr ogr ess will stop





WARNING: ALWAYS disconnect the pump set from the patient before

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 43

when the amount infused reaches the dose limit.
Loading doses are included in a 1-hour or 4-hour dose limit. A dose limit in effect

could prevent the delivery of a loading dose.

6 If programmed in units of mcg or mg, the line displaying the units flashes. Enter

the container size in proper unit measure.

Note: To enter the total in mL when programming a concentration, press to
move to the mL line. Enter the mL value when

7 Select the air sensitivity, if required.
8 Review the program. Press to begin review.
9 If using the PURGE key to prime the pump set, press [

priming or purging.

mL flashes on the display.

PURGE] now.

430-00899-002.book Page 44 Friday, November 19, 2004 9:43 AM

3. Pain Management

Bolus Delivery

Set bolus doses and delivery limits during programming. The default bolus dose
delivery rate in a pain management protocol is 125 mL/hr.

A bolus cord is available for patient bolus requests. Refer to Connecting the Bolus
Cord in Chapter 9 Optional System Components, on page 106, for more information.

Delivering a Bolus Dose

d

From the

RUN mode, press either the bolus button [+] on the top of the pump or the

button on the end of the bolus cord to begin bolus dose delivery. The pump flashes

BOLUS DELIVERY on the display and the amount infused accrues as the delivery

progresses.
When the bolus dose is complete, the pump does the following:

6 Records the bolus request and delivery amount to the event and bolus history logs
6 Adds the delivered boluses to the total bolus amount in the program amounts
6 Resets the bolus lockout time (if applicable) and ignores other bolus requests until

the lockout time has elapsed

6 Continues programmed infusion

Note: ALL bolus requests are recorded to the event and bolus history logs.

If the bolus delivery does not start, it could be locked out by one of the following
conditions:

6 Bolus lockout period
6 Loading dose delivery in progress
6 Bolus dose delivery in progress
6 Bolus per-hour limit
6 1-hour or 4-hour dose limit

44 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

430-00899-002.book Page 45 Friday, November 19, 2004 9:43 AM

Bolus Dose Interruptions

Bolus deliveries may be interrupted by:

6 Pressing [STOP]
6 An alarm condition

To continue bolus delivery after an interruption:

1 Press [START]. The pump displays COMPLETE BOLUS NOW?
2 Respond as follows:

To do this: Press this key: Bolus lockout time is set to:

3. Pain Management

Deliver the remaining
bolus amount

Clear the undelivered
bolus amount

Loading Dose Delivery

You can set a loading dose during programming, if desired. A loading dose can be
delivered after programming and priming are complete.

d

Note: Loading dose amounts are included in a 1-hour or 4-hour dose limit.

Delivering a Loading Dose

1 After priming and programming, press [
2 The pump displays

begin loading dose.

When the loading dose is complete, the pump does the following:

6 Automatically begins programmed infusion
6 Records the dose amount to the history log
6 Resets the bolus lockout time (if applicable) and ignores other bolus requests until

the lockout time has elapsed

The time of delivery completion

The time the bolus was
interrupted

START].

DELIVER THE LOADING DOSE NOW? Press [YES/ENTER] to

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 45

430-00899-002.book Page 46 Friday, November 19, 2004 9:43 AM

3. Pain Management

Loading Dose Interruptions

Loading dose deliveries can be interrupted by:

6 Pressing [STOP]
6 An alarm condition

To continue a loading dose:

1 Resolve the interruption.
2 Press [

START]. The pump displays COMPLETE THE LOADING DOSE?

3 Respond as follows:

To do this: Press this key:

Deliver the remaining loading dose amount

Clear the remaining loading dose amount

Changing a Pain Management Program

Can be changed at any time Cannot be changed

d

• Delivery rate

• Bolus

• Bolus lockout

Note: You cannot change a program when the pump is in FULL or CONTAINER
Lock. With a RATE CHANGE Lock, the continuous delivery rate and bolus amount
can be changed within the set ranges.

Although the delivery mode cannot be changed, if Continuous + Bolus is
programmed, the continuous rate or bolus amount can be changed to zero. The
minimum values set with a

• Container size

• Air sensitivity

• Dose limit amount

RATE CHANGE Lock could restrict this function.

• Delivery mode

• Unit of measure

• Concentration

• Dose limit type

46 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

430-00899-002.book Page 47 Friday, November 19, 2004 9:43 AM

To change a program:

1 From the

STOP mode, press [CHANGE] and select CHANGE PROGRAM.

3. Pain Management

2 As each message displays, make the desired changes or press [

accept the current setting.

3 Review the program. Press to begin review.
4 Press [

START] to begin delivery.

YES/ENTER] to

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 47

430-00899-002.book Page 48 Friday, November 19, 2004 9:43 AM

3. Pain Management

GemStar

®

Pain Management Programming Worksheet

GIVE:

Parameters Selections and/or Values to be

Entered

Therapy Pain Management N/A
Delivery Mode

Unit of
Measure

Continuous
Rate

Loading Dose

Bolus Dose 0 - 2500 mg

Bolus Lockout

Optional Dose
Limit

 Continuous
 Bolus Only
 Continuous + Bolus

 Concentration: mg/mL
 Concentration: mcg/mL

 mL

 No
 Y es Amount:

minutes 5 - 999 min

 4-hour limit Amount:

Programmable Ranges

N/A

0.1 - 100 mg/mL
1 - 1000 mcg/mL

0.1 - 2500 mg/hr
1 - 25000 mcg/hr

0.1 - 25.0 mL/hr

0.1 - 2500 mg
1 - 25000 mcg

0.1 - 25.0 mL

0 - 25000 mcg
0 - 25.0 mL

4X rate - 400 mL, 40000 mg,
400000 mcg*

 1-hour limit Amount:

 # boluses/hourNumber:
 No dose limit

Rate - 100 mL, 10000
mg, 100000 mcg*

1 - 12
*For continuous plus bolus delivery.

Note: For Bolus Only, the 1-hour or 4-hour dose limit minimum is 1 bolus dose.

Container Size 0.1 - 99999 mg

1 - 9999000 mcg

0.1 - 9999 mL

Air Sensitivity

48 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

 On Alarms at approx. 0.5 mL of air
 2 mL Alarms at approx. 2 mL of air
 Off No alarm

N/A

430-00899-002.book Page 49 Friday, November 19, 2004 9:43 AM

Chapter 4

Options Menu

Overview

1 Press [OPTIONS] from RUN or STOP mode
2 Select the number key for the desired function.
3 Follow the display messages for the selected

function. Refer to the appropriate description in this
chapter for more information.

Note: Menu selections may vary depending on the

d

configuration of the pump.

When the pump exits
mode it was in when [

OPTIONS, the pump returns to the

OPTIONS] was pressed.

Tips for Using the Options Menu

The following keys are helpful when using the Options Menu:

Keys Functions

[1] - [7] Press the corresponding number key to select a menu function.

Press to accept changes or to continue when done viewing a
display.

Press the up or down arrow to scroll through long display messages or to
toggle AM and PM in time-based entries.

1 REVIEW PROGRAM
2 HISTORIES
3 KEYPAD LOCK
4 PUMP SETTINGS
5 SET CLOCK
6 PRINT
7 SPEED PROTOCOL

Press to return to a previous display or to exit

Tip: A menu item does no t have to be on the display to be selected. For examp le, only

f

items 1 through 4 are shown when the Options Menu is first displayed. To select the
Print Menu without scrolling the display, press [

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 49

6].

OPTIONS.

430-00899-002.book Page 50 Friday, November 19, 2004 9:43 AM

4. Options Menu

Select this item
from the Options
Menu:

REVIEW
PROGRAM

HISTORIES

KEYPAD LOCK

PUMP SETTINGS

SET CLOCK

PRINT

SPEED
PROTOCOLS

T o do this function: Comments:

Display the current program
settings.

Display the history for the latest
400 events, shift or volume totals,
bolus history (if available), or
current configuration settings.
Clear the history. Display the
Operation Test.

Lock and unlock the keypad to
prevent unauthorized changes to
the program.

Change the air sensor, occlusion
sensor, and sound level settings.

Set the clock. The clock can be displayed in

Print the history event log, bolus
history (if available), current
program settings, and speed
protocols.

Assign, review/recall, and delete
the stored protocols.

N/A

N/A

The lock levels allow the clinician
to restrict access to various levels
of pump operation.

N/A

12-hour or 24-hour format.
Files may be downloaded to a

printer or personal computer.

Allows up to 9 speed protocols to
be saved in pump memory.

50 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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4. Options Menu

Review Program

1 Press [OPTIONS] and select REVIEW PROGRAM. The

pump displays

PROGRAM REVIEW.

2 Press to begin review.
3 Press [

YES/ENTER] or [BACK-UP] when done to exit

OPTIONS

.

Histories

1 Press [OPTIONS] and select HISTORIES.
2 Select the number key for the desired function.
3 Complete the appropriate steps for the selected

function.

1 REVIEW PROGRAM

2 HISTORIES
3 KEYPAD LOCK
4 PUMP SETTINGS
5 SET CLOCK
6 PRINT
7 SPEED PROTOCOL

1 REVIEW PROGRAM

2 HISTORIES

3 KEYPAD LOCK
4 PUMP SETTINGS
5 SET CLOCK
6 PRINT
7 SPEED PROTOCOL

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 51

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4. Options Menu

Select this item
from the Histories
Menu:

HISTORY

SHIFT TOTALS

VOLUME TOTALS

CONFIGURATION

CLEAR HISTORY

BOLUS HISTORY

OPERATION TEST

To do this
function:

Display history
event log of the
latest 400 events.

Display or clear
shift totals.

Display volume
totals.

Display pump
configuration.

Clear history event
log and bolus
history.

Display bolus
history in hourly
increments for the
last 48 hours.

Perform
user-assisted
Operation Test.

Display includes:

• Current date and time

• Date and time the program was cleared, a new
container was selected, or a speed protocol was
recalled

• History event log of the latest 400 events

• Time and date when shift was cleared

• Volume infused in the shift

• Any relevant program-specific information

• Amount infused

•VTBI

• Any relevant program-specific information

• Dependent upon pump configuration

CLEARING HISTORY displays for 3 to 4

•
seconds

• Current date and time

• Number of boluses delivered

• Number of bolus demands

• Amount delivered through bolus delivery

• Messages that guide the user through each
section of the test

d

f

pump.

Tip: Press and HOLD or to scroll through the history displays faster.

52 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

Note: Some menu items may not be available depending on the configuration of the

430-00899-002.book Page 53 Friday, November 19, 2004 9:43 AM

4. Options Menu

History

To display the history event log:

1 Press [
2 Select

OPTIONS] and select HISTORIES.

HISTORY from the Histories Menu.

3 Press or to scroll the display.
4 Press [

BACK-UP] when done to exit OPTIONS.

Shift Totals

To display the shift totals:

1 Press [

2 Select

OPTIONS] and select

HISTORIES

.

SHIFT TOTALS from the Histories Menu.

3 The shift totals display. Press or to scroll

the display.

To clear the shift totals:

1 Follow the steps for displaying shift totals.
2 At the end of the shift totals, the pump displays

CLEAR TOTALS? YES OR NO:

• P ress [YES/ENTER] to clear
the shift totals.

• P ress [

NO] to exit OPTIONS

without clearing the shift totals.

VERSION N.NNN

S/N XXXXXXXX

TIME IS 09:00 AM

FRI, JUN 11, 04

NEW CONTAINER

08:15AM JUN 11

HISTORY CLEARED

11:00PM JUN 10

EVENT LOG

PM11:18 SET ON

AIR SENSITIVITY

PM11:18 SET CONT

SIZE 100 mL

PM11:18 SET RATE

1.0 mL/hr

PM11:18 SHIFT

CLEARED

END OF EVENT LOG

Sample History Event Log

END OF

SHIFT TOTALS

CLEAR TOTALS?

YES OR NO

f

Tip: Press [HELP] to display shift totals when the pump is not in PROGRAMMING
mode or an alarm condition.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 53

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4. Options Menu

Volume Totals

To display the volume totals:

1 Press [
2 Select
3 Press [

OPTIONS] and select HISTORIES.

VOLUME TOTALS from the Histories Menu.

BACK-UP] when done to exit OPTIONS.

To clear the volume totals:

1 Follow the steps for displaying volume totals.
2 At the end of the volume totals, the pump displays

CLEAR TOTALS? YES OR NO:

• P ress [YES/ENTER] to clear
the volume totals.

• P ress [

NO] to exit OPTIONS

without clearing the volume totals.

Configuration

To display the pump configuration:
1 Press [

OPTIONS] and select HISTORIES.

2 Select CONFIGURATION from the His tories Menu.
3 Press [

BACK-UP] when done to exit OPTIONS.

Clear History

END OF
VOLUME TOTALS
CLEAR TOTALS?

YES OR NO

To clear the history event log and bolus history:
1 Press [

OPTIONS] and select HISTORIES.

2 Select CLEAR HISTORY from the Histories Menu.
3 The pump display

OPTIONS.

f

Tip: Press [BACK-UP] to exit OPTIONS immediately.

54 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

CLEARING HISTORY for 3–4 seconds before exiting

430-00899-002.book Page 55 Friday, November 19, 2004 9:43 AM

Bolus History

To display the bolus history:

4. Options Menu

d

1 Press [
2 Select

OPTIONS] and select HISTORIES.

BOLUS HISTORY from the

Histories Menu.

3 Press [

BACK-UP] when done to exit OPTIONS.

TIME IS 09:15 AM

FRI, JUN 11, 04

BOL DEL 30
BOL DEM 37

BOL AMT 30.0 mL

06:10A TO 09:14A

Sample Bolus History

Note: Bolus History is only available if the current
program has a bolus programmed, or had a bolus
programmed at one time. The Bolus History is

maintained in hourly increments for the latest 48 hours.
The Bolus History is cleared when a new program is
entered, a Speed Protocol is recalled, or the History is
cleared.

Operation Test

The Operation Test checks several pump functions to ensure the GemStar Pump is
working properly. Refer to Chapter 8 Operation Test on page 93 for instructions.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 55

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4. Options Menu

Keypad Lock

1 Press [OPTIONS] and select KEYPAD LOCK from

the Options Menu.

2 Select the desired lock level.

The following lock levels, listed from lowest to highest

1 REVIEW PROGRAM
2 HISTORIES

3 KEYPAD LOCK

4 PUMP SETTINGS
5 SET CLOCK
6 PRINT
7 SPEED PROTOCOL

restrictions, are available:

Lock Level Abbreviation

Rate Change
Lock

Container Lock C
Full Lock F

R

1 RATE CHANGE
2 CONTAINER

3 FULL LOCK

When the pump is locked under a particular level, a small lock symbol ( ) appears
next to the applied lock level as shown above. When the pump is in

RUN or STOP

mode, the lock symbol appears in the lower left corner of the display and the lock
level abbreviation appears in the lower right corner.

R

Clinicians: refer to Chapter 5 Clinician Instructions on page 73 for detailed
instructions.

56 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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4. Options Menu

GemStar

U = Unlock
R = Rate Change Lock

®

Keypad Lock Level Functions

C = Container Lock
F = Full Lock

• = Function is Available

Function U R C F Comments

Lock/Unlock Keypad
Power Pump On or Off
Start or Stop Infusion
Access Display, Help, Print, and

Program Review Functions
Deliver a Bolus

Silence an Alarm
Select a New Container
Purge
Change a Program

Review/Recall Speed Protocol
Assign or Delete Speed Protocol
Set Air Sensitivity, Distal

Occlusion Level, Sound Level,
and Clock

Clear Shift Totals
Program and Deliver a Loading

Dose (Outside of Programming
Mode)

Enter a New Program
Operation Test
Clear History

• • • •

• • • •

• • • •

• • • •

• • • •

• • • •

• • •

• • •

• •

•

•

•

• • •

•

•

•

•

If programmed.

Under Rate Change Lock, only the deli very
rate or bolus dose volume can be changed
and must be within the preset values.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 57

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4. Options Menu

Change Pump Settings

1 Press [OPTIONS] and select PUMP SETTINGS.
2 Press the number key for the desired pump setting.
3 Follow the display messages. Refer to the

instructions of the desired pump setting for more
information.

Select this item from
the Pump Settings
Menu:

AIR SENSOR

OCCL SENSOR

SOUND LEVEL

To do this
function:

Change the air
sensor sensitivity.

Change the distal
occlusion sensor
sensitivity .

Adjust the audible
alarm level.

Comments:

The pump alarms when it detects an air
bubble of approximately 0.5 mL when ON;
or at approximately 2 mL when 2 mL is
selected. The air alarm does not sound if
OFF is selected.

The air alarm can also be set during
programming if the current therapy allows
it.

Default Setting: High
The pump alarms when distal pressure is

greater than the selected occlusion
sensor limit.

Default Setting: Maximum

1 REVIEW PROGRAM
2 HISTORIES
3 KEYPAD LOCK

4 PUMP SETTINGS

5 SET CLOCK
6 PRINT
7 SPEED PROTOCOL

d

Note: The current setting flashes on the display.

58 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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Air Sensitivity

WARNING: To reduce the risk of infusing air, use an air-eliminating

filter when the air sensitivity is set to OFF.

4. Options Menu

d

1 Press [

OPTIONS] and select AIR SENSITIVITY. The current air sensitivity

flashes on the display.

2 Select the desired Air Sensitivity level.

Note: If OFF is selected, the pump displays:

AIR ELIMINATING

FILTER IS RECOMMENDED.

ENTER TO CONFIRM

You must press [YES/ENTER] to confirm.

3 After selecting the desired Air Sensitivity, the

pump displays:

XXXX TO XXXX

• P ress [

CHANGE AIR ALARM FROM

:

NO] to keep the current air sensitivity.

The current air alarm status displays and the
pump exits

• Press [
and the pump exits

OPTIONS.

YES/ENTER] to accept the new setting. The new air alarm status displays

OPTIONS.

Occlusion Sensor

1 Press [
2 Select

OPTIONS] and select PUMP SETTINGS.

DISTAL OCCLUSION from

the Pump Settings Menu.

3 Select the desired setting.
4 The pump displays

MAKE XXXXX DEFAULT?

• P ress [NO] to temporarily change the distal
occlusion setting. The new setting will be in effect
until a new program is entered or the pump has been off for more than 24
hours.

• P ress [

YES/ENTER] to permanently change the distal occlusion setting. The

new setting will remain in effect until the setting is changed again through the
Options Menu.

AIR SENSITIVITY
1 ON
2 2 mL
3 OFF

CHANGE AIR ALARM

FROM: XXXX

TO: XXXX

YES OR NO

DISTAL OCCLUSION
1 HIGH
2 MEDIUM
3 LOW

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4. Options Menu

Sound Level

1 Press [
2 Select

OPTIONS] and select PUMP SETTINGS.

SOUND LEVEL from the Pump Settings Menu.

3 When the pump displays the Sound Level function, it

sounds intermittent beeps at the current sound level.
The blocks on the top line of the display indicate the
current sound level.

• Press to increase the sound level.

• Press to decrease the sound level.

• Press

[CHANGE] to restore the sound level to the default setting.

4 Press [YES/ENTER] when done.

Set Clock

1 Press [OPTIONS] and select SET CLOCK.
2 Select 12-Hour or 24-Hour format (24-Hour format is

shown in example).

3 Use the arrow keys to set the weekday and month.
4 Use the number keys to enter the current day, year,

and time.

-  +

USE TO ADJUST
THE SOUND LEVEL
ENTER WHEN DONE

1 REVIEW PROGRAM
2 HISTORIES
3 KEYPAD LOCK
4 PUMP SETTINGS

5 SET CLOCK

6 PRINT
7 SPEED PROTOCOL

d

f

60 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

press or to toggle between AM and PM.

5 Press [

Tip: To view the clock from the RUN or STOP mode,
press [
[

1]. The clock displays until [1] is released.

YES/ENTER] to confirm.

YES/ENTER], then immediately press and HOLD

SET CLOCK TYPE
1 SELECT 12 HOUR
2 SELECT 24 HOUR

TIME IS 20:35

MON, JUL 26, 04

ENTER TO CONFIRM

Note: When entering the time in 12-Hour format,

430-00899-002.book Page 61 Friday, November 19, 2004 9:43 AM

Print

WARNING: Ensure a cassette is installed in the pump before

connecting to a printer or computer.
If the pump is connected to a patient: BEFORE

connecting the pump to a computer or printer, press

STOP], close the slide clamp, and eject the cassette.

[
Leave the pump set connected to the patient. Install
another cassette in the pump before connecting to a
printer or computer.

Note: Ensure the printer is connected to the pump BEFORE selecting a print
function. Refer to Connecting to the Seiko Printer on page 67 for more

d

information.

4. Options Menu

1 Press [OPTIONS] and select PRINT.
2 Press the number key for the desired print function.
3 When printing is complete, the pump exits

Select this item from
the Print Menu:

PRINT HISTORY

PRINT PROGRAM
PRINT PROTOCOL

PRINT BOLUS Hx

STOP PRINT

To do this function:

Print the current program, shift and volume totals, and history
event log.

Print the current program.
Print a specified speed protocol or a complete list of all speed

protocols.
Print the current program, shift and volume totals, and the

bolus history (Hx) for the latest 48 hours.
Cancel printing. This function is only available if the pump is

printing.

OPTIONS.

1 REVIEW PROGRAM
2 HISTORIES
3 KEYPAD LOCK
4 PUMP SETTINGS
5 SET CLOCK

6 PRINT

7 SPEED PROTOCOL

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 61

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4. Options Menu

Speed Protocol

1 Press [OPTIONS] and select SPEED PROTOCOL.
2 Press the number key for the desired protocol

function.

3 Follow the display messages. Refer to the

instructions for Speed Protocol functions for more
information.

Select this item from
the Speed Protocol Menu:

ASSIGN
REVIEW/RECALL

DELETE

Assign

1 Press [
2 Select

OPTIONS] and select SPEED PROTOCOL.

ASSIGN from the Speed Protocol menu.

T o do this function:

Store a program in pump memory for later use.
Review assigned protocols from the RUN or

STOP mode. Recall an assigned protocol from

STOP mode.

the
Delete protocols from pump memory.

1 REVIEW PROGRAM
2 HISTORIES
3 KEYPAD LOCK
4 PUMP SETTINGS
5 SET CLOCK
6 PRINT

7 SPEED PROTOCOL

3 Select [

If the selected speed protocol is already assigned, the pump displays

PROTOCOL ASSIGNMENT?

1]–[9] to assign to the new protocol.

REPLACE

• P ress [YES/ENTER] to replace the protocol. The pump displays the new speed

protocol and exits OPTIONS.

• P ress [

62 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

NO] to keep the existing protocol and exit OPTIONS.

430-00899-002.book Page 63 Friday, November 19, 2004 9:43 AM

Review/Recall

1 Press [

OPTIONS] and select SPEED PROTOCOL.

4. Options Menu

2 Select

REVIEW/RECALL from the Speed Protocol menu.

3 Select the desired protocol to review/recall.
4 Review the program. Press to begin review.
5 Press [

YES/ENTER]:

• If in the

STOP mode, press [1] to recall the protocol; or press [2] to review

another protocol.

• If in the

RUN mode, the pump exits OPTIONS.

Delete

1 Press [
2 Select

OPTIONS] and select SPEED PROTOCOL.

DELETE from the Speed Protocol Menu.

3 Select the desired protocol to delete.
4 Press [

YES/ENTER] to confirm deletion or [NO] to exit OPTIONS without deleting.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 63

430-00899-002.book Page 64 Monday, November 22, 2004 10:43 AM

4. Options Menu

Connecting to the Data Port

Use the data port to connect the GemStar Pump to a Seiko® DPU 414 or compatible
serial printer to print the Operation Test results or the files available from the Print
Menu. Using communication software included with most computer operating
systems (or available from local sources), these files can also be transferred to a
computer.

WARNING: Ensure a cassette is installed in the pump before

connecting to a printer or computer.
If the pump is connected to a patient: BEFORE

connecting the pump to a computer or printer, press

STOP], close the slide clamp, and eject the cassette.

[
Leave the pump set connected to the patient. Install
another cassette in the pump before connecting to a
printer or computer.

Equipment Needed

Connect to Printer Connect to Computer

GemStar Pump
Hospira Serial Printer Cable List

13078-01
Seiko DPU 414 or Compatible

Serial Printer
Serial DB9 Female-to-Female

Gender Changer*
Null Modem*

Computer*

*Available from local sources.

64 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

••

••

•

•

•

•

430-00899-002.book Page 65 Monday, November 22, 2004 10:43 AM

Configuration Settings

Refer to the printer or computer documentation for information on configuration
settings. Configure the printer or computer as follows to use the data port:

4. Options Menu

d

Baud Rate

Data Bits
Stop Bits

Parity

Carriage Return (+Line Feed)

Flow Control =

Note: When using the Seiko DPU 414 printer, the switch settings MUST be configured
to work with the GemStar Pump.

To configure the switch settings on the Seiko DPU 414:

1 Press and hold the ONLINE button while sliding the POWER switch to ON.
2 When the list of the current settings start printing, release the ONLINE button.
3 Set the switches according to the following table.

Press the ONLINE button to continue setting switches.

• Press ONLINE to set switch ON.

• Press FEED to set switch OFF.

4 Continue setting switches until “Dip SW setting complete!!” is printed.

= 2400
=8
=1
= None
= CR+LF

None

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 65

430-00899-002.book Page 66 Friday, November 19, 2004 9:43 AM

4. Options Menu

Switch Settings for Seiko DPU-414 Printer

Switch Function Setting Button to Press

SW1-1 Input Method: Serial Off FEED
SW1-2 Prin ting Speed: High On ONLINE
SW1-3 Auto Loading: On On ONLINE
SW1-4 CR function: CR and LF On ONLINE
SW1-5 DIP SW setting

command:
SW1-6 Prin ting density: 100% Off FEED
SW1-7 Prin ti ng density: 100% On ONLINE
SW1-8 Prin ti ng density: 100% On ONLINE
SW2-1 Print Mode : 40 columns On ONLINE
SW2-2 User defined char: On On ONLINE
SW2-3 Ordinary

Characters:
SW2-4 Zero Font: No slash On ONLINE
SW2-5 Character Set: American On ONLINE
SW2-6 Character Set: American On ONLINE
SW2-7 Character Set: American On ONLINE
SW2-8 Character Set: American Off FEED
SW3-1 Data bit length: 8 bits On ONLINE
SW3-2 Parity: No parity On ONLINE
SW3-3 Pa rity condition: Odd On ONLINE
SW3-4 Flow control: H/S busy On ONLINE
SW3-5 Ba ud rate: 2400 bps On ONLINE
SW3-6 Ba ud rate: 2400 bps Off FEED
SW3-7 Baud rate: 2400 bps Off FEED
SW3-8 Baud rate: 2400 bps On ONLINE

Enabled On ONLINE

On On ONLINE

66 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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Connecting to the Seiko Printer

WARNING: Ensure a cassette is installed in the pump before

connecting to a printer or computer.
If the pump is connected to a patient: BEFORE

connecting the pump to a computer or printer, press

STOP], close the slide clamp, and eject the cassette.

[
Leave the pump set connected to the patient. Install
another cassette in the pump before connecting to a
printer or computer.

CAUTION: Do not connect the GemStar AC Mains Adaptor to a printer.

4. Options Menu

d

Note: For maximum battery life, operate the pump on AC mains when connected to a
printer or computer.

1 Install a cassette into the pump.
2 Connect the GemStar serial cable to the printer and to the data port on the bottom

of the pump.

3 Ensure the printer is ONLINE and ready to receive data. Refer to printer

documentation for more information.

4 Ensure paper is loaded in the printer.
5 Select the desired print function from the pump menu.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 67

430-00899-002.book Page 68 Friday, November 19, 2004 9:43 AM

4. Options Menu

Connecting to a Computer

WARNING: Ensure a cassette is installed in the pump before

connecting to a printer or computer.
If the pump is connected to a patient: BEFORE

connecting the pump to a computer or printer, press
[

STOP], close the slide clamp, and eject the cassette.

Leave the pump set connected to the patient. Install
another cassette in the pump before connecting to a
computer or printer.

d

f

Note: For maximum battery life, operate the pump on AC mains when connected to a
printer or computer.

1 Install a cassette into the pump.
2 Connect the GemStar serial cable to the null modem.
3 Connect the null modem to the serial gender changer.
4 Connect the serial gender changer to the serial port of the computer.
5 Connect the GemStar serial cable to the data port on the bottom of the pump.
6 Configure the communication software on the computer. Refer to Configuration

Settings on page 65.

Tip: After the data transfer is complete, use any text editor to view or print the file.

68 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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4. Options Menu

Transferring Data Using a Computer

The GemStar Pump can be connected to a Windows®-compatible computer. The
following instructions apply to computers using Microsoft
Windows

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 69

®

98, or Windows NT® 4.0 or higher.

®

Windows® 95,

430-00899-002.book Page 70 Friday, November 19, 2004 9:43 AM

4. Options Menu

Creating a New Connection

d

Note: The following procedure is only needed to create a “New Connection” the first
time the pump is connected to the computer.

To create a new connection:

1 Follow steps 1–4 in Using an Existing Connection on the following page.
2 If a message appears asking if a modem is necessary for a connection, click NO.
3 Enter a name for the new connection (e.g., GemStar Print Files) and choose an

icon.

4 Click OK.
5 From the Connect drop-down menu, select the appropriate COM port.
6 Click OK.
7 Verify that the following settings are correct:

Baud Rate = 2400

Data Bits =8

Stop Bits =1

Parity = None

Flow Control = None

8 Click OK.
9 Select the Properties icon.
10 Select the Settings tab.
11 Select the ASCII setup button.
12 Ensure ‘Append line feeds to incoming line ends’ is checked.
13 Click OK in the ASCII setup window.
14 Click OK in the Properties window.
15 From the menu, select File > Save.
16 Exit HyperTerminal.

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Using an Existing Connection

To transfer data from the GemStar Pump to a computer:

®

1 From the Windows
2 Select Programs.
3 Select Accessories.
4 Select HyperTerminal.
5 Double click on the icon with the name entered in step 3, To create a new

connection, on page 70.

6 From the menu, select Call > Connect.
7 From the menu, select Transfer > Capture Text.
8 Type the path and file name where the printout should be saved.

Ensure the file extension is “.txt”.

The default path is: c:\windows\accessories\hyperterminal.

desktop, select the Start Menu.

4. Options Menu

Note: If the file name already exists, the new printout will be added to the end of

d

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 71

the existing file. For example, use a patient’s name or id number as the file name.
Then select that file for all of that patient’s printouts.

9 Click Start.
10 Select the desired print function from the pump. Refer to the table of printing

functions on page 61.

11 Wait for the transmission to complete.
12 From the menu, select Transfer > Capture Text > Stop.
13 Exit HyperTerminal.
14 Use any text editor to view or print the file.

430-00899-002.book Page 72 Friday, November 19, 2004 9:43 AM

Notes

72 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

Clinician.fm Page 73 Wednesday, February 16, 2005 11:21 AM

The instructions in this section apply to special features available to clinicians.

Remove this section from the manual to prevent unauthorized access to these
features.

The GemStar pump provides quick access to commonly used functions. Instead of
accessing these functions by navigating through the menu system, you can enter the
key combinations shown in this table:

Function Quick Access Key Combination

Unlock Keypad Place the pump in STOP mode and then enter the lock

sequence to unlock a Full Container or Rate Lock.

Displays Shift Totals Place the pump in STOP mode and then press [HELP] to

display Shift Totals.

Chapter 5

Clinician Instructions

Display Clock Place the pump in STOP mode, press [YES], and then press

and hold [1]. The clock displays until you release [1].

Program a Loading
Dose

Hospira GemStar Manual 430-00899-A02 (Rev. 02/05) 73

From the Pain Management STOP MODE, press
[YES/ENTER], and then press [0] to program a Loading
Dose.

Clinician.fm Page 74 Wednesday, February 16, 2005 11:21 AM

5. Clinician Instructions

Clinician Locking Sequence Instructions

Locking the Pump



To lock the pump from the

1 Press [

2 Select

3 Select the desired lock level. For

4 For

5 Press [

6 Repeat steps 4 and 5 for a bolus dose if available in the current program.

7 Enter the lock sequence number [



OPTIONS] to display the Options Menu.

KEYPAD LOCK from the Options Menu.

RATE CHANGE Lock, set the minimum and maximum programmable ranges

for the continuous delivery rate and bolus dose in a Pain Management program.

Tip: Press to toggle between the MIN and MAX values.

•

MIN flashes on the display. Enter the minimum value.

•

MAX flashes on the display. Enter the maximum value.

YES/ENTER] when done.

are entered.

Note: Default lock sequence numbers are shown.

RUN or STOP mode:

CONTAINER and FULL Lock, go to step 5.

1][3][0][0][0]. Asterisks display as the numbers

74 Hospira GemStar Manual 430-00899-A02 (Rev. 02/05)

Clinician.fm Page 75 Wednesday, February 16, 2005 11:21 AM

Unlocking the Pump

5. Clinician Instructions

1 Press [

2 Select

OPTIONS] to display the Options Menu.

KEYPAD LOCK from the Options Menu.

3 Select the lock level to be unlocked.

4 Enter the lock sequence number for that level.

5 The pump displays the current lock level. Press [

mode the pump was in when [

OPTIONS] was pressed.

YES/ENTER] to return to the

Program and Deliver a Clinician Activated Loading Dose

This feature is available only when the keypad is UNLOCKED. The default
loading dose rate is 125 mL/hr.

1 From the stop mode, press [

2 The pump displays:

PROGRAM A LOADING DOSE?

Press [YES/ENTER].

3 Enter the loading dose. Press [

4 The pump displays:

DELIVER THE LOADING DOSE NOW?

To deliver the loading dose immediately, press [YES/ENTER].

Primary infusion DOES NOT begin automatically when the clinician activated
loading dose is complete. Press [

YES/ENTER] [0].

YES/ENTER].

START] to continue primary infusion.

To deliver the loading dose later, press [

The pump returns to the stop mode. The next time [

NO].

START] is pressed, the pump

again displays: DELIVER LOADING DOSE NOW?

• Press [

YES/ENTER] to deliver the loading dose. Primary infusion continues

automatically when the loading dose is complete.

• Press [

Hospira GemStar Manual 430-00899-A02 (Rev. 02/05) 75

NO] to cancel the loading dose and continue primary infusion.

Clinician.fm Page 76 Wednesday, February 16, 2005 11:21 AM

5. Clinician Instructions

Shift Totals and History

Shift Totals



1 Press [

2 Select

3 The shift totals display. Press

OPTIONS] and select HISTORIES.

SHIFT TOTALS from the Histories Menu.

and to scroll the display. When done, the

pump displays

CLEAR TOTALS? YES OR NO.

END OF

SHIFT TOTALS

CLEAR TOTALS?

YES OR NO

• Press [YES/ENTER] to clear the shift totals.

• Press [

NO] to exit OPTIONS without clearing

the shift totals.

Tip: Press [HELP] to display shift totals when the pump is not in PROGRAMMING
mode or an alarm condition.

Clear History Event Log and Bolus History

1 Press [

2 Select

3

OPTIONS] and select HISTORIES.

CLEAR HISTORY.

CLEARING HISTORY displays and the pump exits OPTIONS.

76 Hospira GemStar Manual 430-00899-A02 (Rev. 02/05)

430-00899-002.book Page 77 Friday, November 19, 2004 9:43 AM

This section contains information on audible and visual alarms that may occur with
the GemStar Pump.

CAUTION: If the pump does not perform as stated in this manual, stop using it

IMMEDIATELY.

For consultation and technical support contact either an authorized Hospira
representative or the Hospira Technical Support Operations hotline (available 24
hours a day).

To return the pump for service, first contact Hospira Customer Support between 7:00
AM and 4:00 PM Pacific time. Have the pump serial number available.

Chapter 6

Troubleshooting

In the USA

Outside the USA:

f

Tip: Press [HELP] for additional information during programming and alarm conditions.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 77

Hospira Technical Support Operations
1-800-241-4002

Hospira, Inc.
Technical Support Operations
755 Jarvis Drive
Morgan Hill, CA 95037

Contact your local Hospira sales
office.

430-00899-002.book Page 78 Friday, November 19, 2004 9:43 AM

6. Troubleshooting

Alarm Messages

Alarm Display
Message

Y = Yes
N = No

AIR IN LINE

• Pump automatically
enters

STOP mode.

CHANGE BATTERIES N A/V The pump has

Is the
pump
infusing?

N A/V The specified volume

Alarm Cause/

Condition

A = Audible alarm
V = Visual alarm

of air has been
detected in the line
distal to the cassette
while infusing.

entered the
mode due to battery
voltage below
acceptable levels.

STOP

Remedy

1 Press [SILENCE] to quiet

the alarm for 1 minute.

2 Press [STOP] to clear the

alarm.

3 Disconnect the patient

from the pump set.

4 Press and hold [PURGE].

Note: Purge rate is 250
mL/hr. The pump purges for
up to 2 minutes each time
you press and hold

[

PURGE]. Purge volume

may be limited in a Pain
Management program.

5 Reconnect the pump set to

the patient-access device.

6 Press [START] to begin

infusion.

1 Replace both disposable

batteries with fresh AA
batteries and press to
restart the pump; OR
connect the pump to the
AC mains adaptor and the
pump will automatically
restart. Replace both
batteries as soon as
possible.

2 After power-on, resume the

current program. Refer to

Accessing the Delivery
Mode Menu in Chapter 2

Basic Operation for more
information.

78 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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6. Troubleshooting

Alarm Display
Message

Y = Yes
N = No

CHECK CASSETTE-X N A/V The cassette is

Is the
pump
infusing?

Alarm Cause/

Condition

A = Audible alarm
V = Visual alarm

improperly installed
or not installed.

X indicates where to
look for the cause of
the alarm:

A = Air Sensor
D = Distal
P = Proximal

Remedy

1 Press [SILENCE] to quiet

the alarm for 1 minute.

2 Press [STOP] to place the

pump in the

3 Reinstall the cassette.

STOP mode.

CAUTION: Ensure all
four cassette latches
are clearly visible after
the cassette is
installed.

Note: Ensure the tubing is
behind the tubing guide (at the
distal end). Refer to Loading
the Cassette on page 30

4 Press [START] to begin

infusion.

.

Note: The pump cannot be
powered off during a
CHECK CASSETTE alarm
(except during

PROGRAMMING mode).

CALL

1.800.XXX.XXXX

CODE: NN/MMM/TTT

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 79

N A/V The pump has

detected a condition
that may require
service.

1 Write down the telephone

number and code.

2 Power-off the pump. If the

pump does not power-off,
disconnect external power
and remove the batteries.

3 Call the telephone number

shown on the display
message.

430-00899-002.book Page 80 Friday, November 19, 2004 2:21 PM

6. Troubleshooting

Alarm Display
Message

Y = Yes
N = No

DIST. OCCLUSION N A/V The pump has

Is the
pump
infusing?

Alarm Cause/

Condition

A = Audible alarm
V = Visual alarm

detected sustained
distal pressure over
the user-selected
limit.

To avoid a bolus
infusion after an
occlusion, complete
the following steps:

1 Press [STOP].
2 Close the distal

clamp.

3 Press the

cassette release
button to remove
the cassette from
the pump.

4 Open the flow

stop.
5 Wait 10 seconds.
6 Close the flow

stop.
7 Load the

cassette into the

pump.
8 Open the distal

clamp.
9Review the

program.
10 Press [START]

to start the

pump.

Remedy

1 Press [SILENCE] to quiet

the alarm for 1 minute.

2 Press [STOP] to place the

pump in the stop mode.

3 Check for sources of distal

occlusion:
` Kinked tubing below the

pump

` Clamped patient-

access device

` Clogged I.V. filter
` Other obstructions

4 If the problem continues,

remove and reinstall the
cassette.

CAUTION: Ensure all
four cassette latches
are clearly visible after
the cassette is
installed.

Note: Ensure the tubing is
behind the tubing guide (at the
distal end). Refer to Loading

the Cassette on page 30

5 Press [START] to begin

infusion.

.

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6. Troubleshooting

Alarm Display
Message

Y = Yes
N = No

LOW BATTERIES Y A/V The pump has

Is the
pump
infusing?

Alarm Cause/

Condition

A = Audible alarm
V = Visual alarm

detected battery
voltage below
acceptable levels and
the batteries are the
primary power
source.

Note: The pump

allows the user to
clear the

TERIES

the condition has not
been corrected after
15 minutes, the alarm
continues.

If the pump is infusing
and a

LOW BAT-

TERIES alarm

occurs, the pump con­tinues for approxi­mately 30 minutes*
before it can no longer
deliver due to insuffi­cient power.

LOW BAT-

alarm. If

Remedy

1 Press [SILENCE] to quiet

the alarm for 15 minutes.

2 Press [STOP] to place the

pump in the

3 Connect the pump to AC

mains adaptor,
rechargeable battery pack,
OR replace both
disposable batteries with
fresh AA batteries.

4 Press [START] to begin

infusion.

STOP mode.

*If an external power
source is used, the
rate is changed, or the
pump is powered-on
after a

LOW BAT-

TERIES

alarm and
those same batteries
are still in the pump,
this interval may be
different.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 81

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6. Troubleshooting

Alarm Display
Message

Y = Yes
N = No

POWER LOSS N A/V The pump has

Is the
pump
infusing?

Alarm Cause/

Condition

A = Audible alarm
V = Visual alarm

detected a power
failure due to one of
the following:

• Batteries have

• External power

• Pump has been

been removed
while the pump
was on battery
source.

has failed or has
been
disconnected and
no batteries are
installed.

powered on with
insufficient power
source.

Remedy

1 Connect the pump to AC

mains adaptor,
rechargeable battery pack,
OR replace both
disposable batteries with
fresh AA batteries.

2 Power-on the pump.

Review the program if
required.

3 Press [START] to begin

infusion.

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6. Troubleshooting

Alarm Display
Message

Y = Yes
N = No

PROX. OCCLUSION N A/V The pump has

Is the
pump
infusing?

Alarm Cause/

Condition

A = Audible alarm
V = Visual alarm

detected sustained
negative pressure on
its proximal side.

Remedy

1 Press [SILENCE] to quiet

the alarm for 1 minute.

2 Press [STOP] to place the

pump in the stop mode.

WARNING: When a
Proximal Occlusion alarm
activates, DO NOT
power-off the pump.

3 Check for sources of

proximal occlusion:
` Kinked tubing above

pump

` Blockage in the

container and in the
spike

` Closed clamps above

pump

` Empty container
` High torque syringe
` Other obstructions

4 Remove obstructions.
5 Press [START] to begin

infusion.

6 If the problem continues,

power-off the pump. Install
a new primed set and begin
infusion.

CAUTION: Ensure all
four cassette latches
are clearly visible after
the cassette is
installed.

Note: Ensure the tubing is
behind the tubing guides (at
the distal end). Refer to

Loading the Cassette on
page 30

.

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 83

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6. Troubleshooting

Alarm Display
Message

Y = Yes
N = No

USING BATTERIES Y V Thi s is a normal

USING EXT BATT Y V This is a normal

Is the
pump
infusing?

Alarm Cause/

Condition

A = Audible alarm
V = Visual alarm

response when:

• The pump has
been powered on
with only
disposable
batteries as a
power source; or

• The pump has
switched to
internal power
(disposable
batteries) due to a
loss of external
power or a
reduction in
external power
below acceptable
levels.

response when:

• The pump has
been powered on
with external
batteries as a
power source; or

• The pump has
switched to
external battery
power due to a
loss of AC mains
power; or

• The pump has
switched to
external battery
power while
running on
internal batteries.

Remedy

When powering on the pump:

• Press [YES/ENTER] to
confirm disposable batteries
are the only power source.

When switching from AC mains
power:

• Press [SILENCE] to clear
the alarm.

When powering on the pump:

• Press [YES/ENTER] to
confirm external battery
power source.

When switching from AC mains
power:

• Press [SILENCE] to clear
the alarm.

84 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

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Alert Messages

6. Troubleshooting

Alert Display Message Is the

pump
infusing?

Y = Yes
N = No

ALMOST EMPTY Y A/V Delivery will complete in

CHECK PRINTER Y A/V • The printer has not

AlarmCause/Condition Remedy

A = Audible alarm
V = Visual alarm

30 minutes or less.
For bolus only program,

delivery will complete
during the next bolus
delivery.

responded to
commands from the
pump.

• The printer is not
properly connected to
the pump.

• Press [SILENCE] to
quiet the alarm for 10
minutes.

Note: This alert is
available only with
Pain Management
protocols.

1 Press [SILENCE] to

quiet the alarm for 2
minutes.

2 Ensure the printer is

properly connected
to the pump by
checking the
following:

` Printer is powered

on and in ONLINE
mode.

` Cable is plugged

in to both the
pump and the
printer.

` Cable part

number and
printer settings
are correct.

3 If the problem

continues, select

STOP PRINT

the Print Menu to
cancel all print jobs.

from

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 85

430-00899-002.book Page 86 Friday, November 19, 2004 9:43 AM

6. Troubleshooting

Alert Display Message Is the

pump
infusing?

Y = Yes
N = No

EMPTY CONTAINER N A/V The pump has delivered

FLASHING DISPLAY

• Line four of the
display flashes.

AlarmCause/Condition Remedy

A = Audible alarm
V = Visual alarm

the programmed
container size or the
pump has delivered the
programmed VTBI; AND
Auto KVO is delivering
(if available in current
program).

N A/V A Non-programming

Callback has occurred
because the pump has
been waiting for more
than three minutes for a
keypress on a non­programming input or a
confirmation display.

1 Press [SILENCE] to

quiet the alarm for 2
minutes.

2 Press [STOP] to

place the pump in the

STOP mode and

clear the alarm.

3Use the NEW

CONTAINER

function to repeat the
current program.
Refer to Starting a
New Container in
Chapter 2 Basic
Operation.

Follow the instructions on
the display to clear the
alarm.

NO INTERNAL BATT

NO POWER LOSS

ALARM AVAILABLE

ENTER TO CONFIRM

PROGRAMMING

INCOMPLETE

86 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

N A/V No disposable batteries

or dead disposable
batteries; AND external
power.

N A/V Programming has not

been completed and no
keys have been pressed
within three minutes.

1 Press [YES/ENTER]

to confirm.

2 Power-off the pump

and install two fresh,
disposable AA
batteries as a backup
power source.

1 Press any key to

clear the alarm.

2 Complete the

program entries.

430-00899-002.book Page 87 Friday, November 19, 2004 9:43 AM

6. Troubleshooting

Alert Display Message Is the

pump
infusing?

Y = Yes
N = No

START

• START flashes on
the display. Other
parts of the display
are not affected.

N A/V A Stop Mode Callback

AlarmCause/Condition Remedy

A = Audible alarm
V = Visual alarm

1 Press [SILENCE] to
has occurred because the
programmed pump has
remained in the STOP
mode for more than three
minutes.

quiet the alarm for 3
minutes.

2 Follow the

instructions on the
display to clear the
alarm.

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430-00899-002.book Page 88 Friday, November 19, 2004 2:21 PM

6. Troubleshooting

Other Display Messages

Other Display
Message

KEYPAD LOCKED User has attempted to

NOT ALLOWED

DURING INFUSION

PRESS STOP TO
HALT DELIVERY

ROUNDING

• The pump sounds
four quick beeps
and displays the
rounded number.

DOSE IN PROGRESS

NEW CONTAINER

NOT ALLOWED

CANNOT CHANGE

CLOCK WHILE TIME

BASED DELIVERY
IS IN PROGRESS

Cause/Condition Remedy

perform a function that has
been locked out.

User has attempted to
perform a function that is
not available in

The pump has rounded a
number that was entered
during programming.

User has attempted to
access NEW CONTAINER
function when it is not
allowed.

User has attempted to
change the clock during a
time-based delivery.

RUN mode.

Unlock the keypad to access the
desired function.

• Press [STOP] to access the
desired function.

• Press [YES/ENTER] to return to
the

RUN mode display.

Press [YES/ENTER] to accept the
rounded value and continue to the
next step.

1 Press [STOP].
2 Increase the container size to

complete the dose.

3Set

1 Press [STOP].
2 Clear the program through the

3 Change the clock through the

4 Reprogram the pump.

NEW CONTAINER

through the Change Menu.

Change Menu.

Options Menu.

THIS OPTION NOT
AVAILABLE WHILE
PROGRAMMING THE

PUMP

88 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

User has attempted to
access a function that is not
available from the first
programming display.

1 Press [YES/ENTER] to return to

the first programming display.
2 Complete programming.
3 Access desired function.

430-00899-002.book Page 89 Friday, November 19, 2004 9:43 AM

Pump Storage

Store the GemStar Pump in a cool, dry place. Remove the disposable batteries and
the battery pack before storing the pump.

Program and event history are protected in the software memory for at least one year
when power is removed from the pump.

Cleaning and Disinfecting

Establish a routine schedule for cleaning the pump to keep the case exterior, cassette
pocket, and tubing channel free of contamination.

Chapter 7

Maintenance

CAUTION: To avoid mechanical or electronic damage, do not immerse pump in

any fluids or cleaning solutions.
Some cleaning and sanitizing compounds may slowly degrade

components made from some plastic materials. Do not use
compounds containing combinations of isopropyl alcohol and
dimethyl benzyl ammonium chloride.

Do not sterilize by heat, steam, ETO, or radiation. Apply
disinfectants to the outside surface of the pump only. Do not use
abrasive cleaners or materials on the pump. Using abrasive
cleaners or cleaning solutions not recommended by Hospira may
result in product damage.

To avoid pump damage, cleaning solutions should be used only as
directed in the table on the following page. The disinfecting
properties of cleaning solutions vary; consult the manufacturer for
specific information.

Never use sharp objects (such as pens, pencils, fingernails, paper
clips, needles, etc.) to clean the pump.

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430-00899-002.book Page 90 Friday, November 19, 2004 9:43 AM

7. Maintenance

Recommended Cleaning Solutions

The pump is not adversely affected by the recommended cleaning solutions in the
table below:

Cleaning Solution Manufacturer Preparation

d

Super Edisonite® S. M. Edison

Chemical Co.

Vesphene II se® Calgon Vestal

Laboratories

Manu-Klenz® Calgon Vestal

Laboratories
Formula C™ Diversey Corp. Per manufacturer’s recommendation
Household bleach

(5.25% sodium
hypochlorite)

Various Per healthcare facility procedures;

Per manufacturer’s recommendation

Per manufacturer’s recommendation

Per manufacturer’s recommendation

DO NOT exceed one part bleach in
ten parts water

Note: NOT all cleaning solutions are disinfectants. Check product labeling.

Cleaning the Pump Case

1 Power-off the pump.
2 Disconnect the pump from AC mains power.
3 Clean the exposed surfaces of the pump with a soft, lint-free cloth dampened with

the appropriate cleaning solution.

4 Wipe the solution from the pump surface with a water-moistened, lint-free cloth.
5 Use a dry, lint-free cloth to dry the pump after cleaning.

90 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

430-00899-002.book Page 91 Friday, November 19, 2004 9:43 AM

Cleaning the Cassette Pocket and Tubing Channel

The area containing the ultrasonic sensors, located in the cassette pocket, should be
cleaned on a regular basis.

CAUTION: Use care not to damage the silicone seals around the sensor bodies.

1 Remove the cassette, if installed.
2 Use a cotton swab, moistened with an

approved cleaning solution, to clean the
sensor faces (
plunger tip (

A), tubing channel (B),

C), and sensor pins (D).

3 Dry the sensor faces and tubing channel

and ensure the sensor faces are free of
detergent film and/or debris.

7. Maintenance

D

A

C

B

Repair

6 The GemStar Pump has no user-serviceable components, with the exception of

disposable batteries.

6 If the display clock stops working, contact Hospira Technical Support Operations

to arrange for internal lithium battery replacement.

6 Homecare Customers: Call your healthcare professional or homecare company

regarding any required service or repairs. DO NOT attempt to repair the pump for
any reason.

6 The GemStar Pump is covered by a manufacturer’s warranty for one year after

purchase. During this time, opening the pump case for any reason voids this
warranty. Refer to Chapter 12 Warranty/Technical Assistance, page 137 for
details.

6 Refer all service to Hospira certified technicians only. A GemStar T echnical Field

Service Manual is available to Hospira certified technicians.

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430-00899-002.book Page 92 Friday, November 19, 2004 9:43 AM

Notes

92 Hospira GemStar Manual 430-00899-002 (Rev. 11/04)

430-00899-002.book Page 93 Friday, November 19, 2004 9:43 AM

This test is designed to ensure the GemStar Pump is operating properly. Hospira
recommends performing this test a minimum of once every 12 month s. Refer to
facility requirements to determine additional testing needs.

Chapter 8

Operation Test

The test can be performed when the pump is in the
approximately 15 minutes to complete. The pump provides step-by-step instructions
through each section of the test.

d

Note: This test is available only when the pump is UNLOCKED.

WARNING: Disconnect the pump from the patient BEFORE

performing the Operation Test.

Equipment Required

6 GemStar Pump
6 Two GemStar Microbore Pump Sets without a filter
6 Reservoir with at least 50 mL of water
6 20+ mL or larger graduated cylinder (graduated in 0.1 mL)
6 Two fresh, disposable AA batteries
6 Appropriate GemStar AC Mains Adaptor or other Hospira approved external

power source

STOP mode and requires

Hospira GemStar Manual 430-00899-002 (Rev. 11/04) 93