KORU FREEDOM60 User Manual

Instructions For Use
Introduction Indications for Use Caution
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FREEDOM60® Syringe Driver Diagram FREEDOM60® Product Line Syringes for Use with FREEDOM60®
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Testing FREEDOM60® Syringe Driver Selected Flow Rates vs Time Subcutaneous Infusion Instructions Intravenous Infusion Instructions Troubleshooting
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Care and Maintenance FREEDOM60® Flow Prole Technical Specications Selected Flow Rate Combinations Warranty Information Denition of Symbols
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Introduction:
The FREEDOM60® Syringe Infusion System is portable and easy to use, requiring no batteries or electricity. There are only two operating knobs and special precision tubing sets are used to control the ow rate.
The FREEDOM60® operates at a constant safe pressure. The constant pressure devel­oped in the FREEDOM60® automatically decreases the ow rate if there is an increase in resistance during the delivery. The system will nd equilibrium between the increasing resistance and ow rate. It provides constant ow which tends to inhibit clots, and holds full pressure after an infusion is complete to prevent blood or drug backow. The FREEDOM60® also eliminates concerns of a bolus, overow, overdose or runaway infusion.
Indications for Use:
The Freedom Integrated Syringe Infusion System, which includes the FREEDOM60® and FreedomEdge® syringe drivers, is indicated for the intravenous or subcutaneous infusion of medications and uids in the home, hospital, or ambulatory settings when administered according to the approved biologic or drug product labeling. The Freedom System is specically indicated for the subcutaneous infusion of the follow­ing human plasma-derived immunoglobulins when used according to the FDA approved biologic labeling: Hizentra, Immune Globulin Subcutaneous (Human) 20% Liquid (manufactured by CSL Behring); Gammagard Liquid, Immune Globulin Infusion (Human) 10% (manufactured by Takeda); and Cuvitru Immune Globulin Infusion (Human) 20% (manufactured by Takeda). The Freedom System is specically indicated for the intravenous infusion of the following antibiotics when used according to the FDA approved drug product labeling: meropenem, ertapenem, oxacillin, and tobramycin.
The FREEDOM60® Syringe Infusion System is indicated for use with the BD® 50 ml syringe (US Reference number 309653).
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Caution:
• Use the FREEDOM60® Syringe Infusion System only for the patient for whom the device is prescribed and only for its intended use.
• In order to achieve specic and repeatable ow rate performance with the Freedom Syringe
Infusion Systems’ unique constant force mechanism, use only Freedom System accessories manufactured by KORU Medical Systems. Directly connecting extension tubing or administration set (without the luer disc) will cause the syringe to eject from the syringe driver and eventually cause internal damage to it. Use of any other ow control accessory may also cause over delivery of uids or medication to the patient. For use with subcutaneous immune globulin products, use only KORU ow control devices and HIgH-Flo needle sets, as use of generic products may result in unknown ow rates and additional site complications such as pain, swelling and redness.
• Use only recommended BD® 50 ml syringes with the FREEDOM60®.
• Before use, carefully inspect the tubing set package. Do not use the tubing set if the package is
opened or damaged.
• Do not re-sterilize tubing sets.
Overuse of the slide clamp or storing tubing sets with the slide clamp engaged for long periods of
time* may damage the tubing and aect the infusion rate.
• The black tab that pushes on the syringe plunger operates under high force. Do not place ngers
on the black tab or inside the syringe shield at any time. Do not attempt to interfere with the movement of the black tab at any time.
• Carefully inspect the FREEDOM60® Syringe Driver before use. Discontinue use of a syringe driver
that has been damaged, exposed to severe impact, or which has failed to test properly.
• Do not attempt to open the syringe driver housing or remove the syringe shield. Do not operate if
the syringe shield has been removed.
• Do not attempt to remove the syringe or disconnect the tubing set without rst turning the
syringe driver OFF and fully winding the large knob clockwise until the black tab has reached the end of its track.
• The FREEDOM60® Syringe Infusion System does not have an alarm, therefore no alarm will sound
if an interruption to ow occurs. There is no display of infusion status. The syringe driver is not suitable for use with medication where delay or under-infusion could result in serious injury.
• Discontinue use of a syringe driver that has been submerged in uid. If any uid is allowed to
enter the syringe driver, it should be replaced immediately.
• Do not autoclave the FREEDOM60®. It will melt the ABS plastic and damage the syringe driver.
• Federal law (USA) restricts this device to sale by or on the order of a physician.
• Priming and shipping of tubing sets, packaged at temperatures below freezing, is not recommended. This may damage the tubing.
• The FREEDOM60® Syringe Infusion System is not intended for blood transfusions.
*Generally greater than 2 hours.
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FREEDOM60® Syringe Driver Diagram:
Product
Part #
F10050
F10090
SYRINGE SHIELD
DRIVER NOSE
LARGE KNOB (WIND UP KNOB)
LUER DISC END OF FLOW RATE TUBING
Patent No. D398,053
END OF TRACK
(TRACK END)
SLIDE CLAMP
ON/OFF SWITCH
MALE END OF FLOW RATE TUBING
SYRINGE
PLUNGER
BLACK TAB
FREEDOM60® Product Line:
Each FREEDOM60® Syringe Infusion System includes a travel pouch and user manual.
FREEDOM60® Syringe Driver Replacement Travel Pouch - black Zebra Print Travel Pouch - pattern F10080
Syringes for use with the FREEDOM60®:
• Becton Dickinson & Co. BD® Luer-Lok® 50 ml (US Reference #309653; EU Reference #300865)
For Smaller Volume Infusions:
The FREEDOM60® is designed to accommodate BD® 50 ml syringes. For smaller volumes, the FreedomEdge® accommodates both 20 ml and 30 ml syringes.
Part #: F10020
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5
5 hrs.
2 hrs. 30 min.
10 min.
6 min. 42 sec.
5 min.
2 min. 30 sec.
10
10 hrs.
5 hrs.
20 min.
13 min. 18 sec.
10 min.
5 min.
15
15 hrs.
7 hrs. 30 min.
30 min.
20 min.
15 min.
7 min. 30 sec.
20
20 hrs.
10 hrs.
40 min.
26 min. 42 sec.
20 min.
10 min.
25
25 hrs.
12 hrs. 30 min.
50 min.
33 min. 18 sec.
25 min.
12 min. 30 sec.
30
30 hrs.
15 hrs.
60 min.
40 min.
30 min.
15 min.
35
35 hrs.
17 hrs. 30 min.
70 min.
46 min. 42 sec.
35 min.
17 min. 30 sec.
40
40 hrs.
20 hrs.
80 min.
53 min. 18 sec.
40 min.
20 min.
50
50 hrs.
25 hrs.
100 min.
66 min. 42 sec.
50 min.
25 min.
55
55 hrs.
27 hrs. 30 min.
110 min.
73 min. 18 sec.
55 min.
27 min. 30 sec.
60
60 hrs.
30 hrs.
120 min.
80 min.
60 min.
30 min.
Testing the FREEDOM60® Syringe Driver:
1. Examine the inside of the syringe shield and ensure it is free of debris or
contamination.
2. Make sure that the syringe driver’s on/o switch is in the OFF position and
that the black tab within the syringe shield is at the end of its track. If the black tab is not at the end of its track, fully wind the large knob clockwise.
3. Turn the syringe driver ON (–) and watch that the tab moves smoothly
along the full length of its track; listen for the following sounds:
• a ‘click’ as the driver is turned ON (–)
• a ‘whirring’ sound as the black tab moves forward
• a ‘click’ as the tab reaches the end of its travel
4. Test to make sure the syringe tension tab (the one-inch long tab located at
the entry of the syringe shield) operates freely by adjusting it up and down with your nger.
Selected Flow Rates vs Time:
Note: For assistance in determining which ow rate tubing set to use, please contact
KORU Medical Systems at 800-624-9600.
Flow Rate vs Time Chart
Syringe Volume
1ml/hr 2ml/hr 30ml/hr 45ml/hr 60ml/hr 120ml/hr
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For Subcutaneous Infusions, Follow These Instructions:
Prepare the FREEDOM60® Syringe Driver:
1 Wash Hands
2 Fill Syringe 3 Verify Tubing & Needles
Gather supplies. Wash your hands thoroughly and, if required, put on disposable gloves.
Be sure the product is at room temperature before you begin lling the BD® 50 ml syringe with your required dose. Refer to the manufacturer's instructions or ask your provider for more detailed lling instructions.
Verify that you are using the correct tubing and needle sets recommended by your health­care provider and prescribed by your doctor.
4 Attach Tubing 6 Insert Syringe5 Check Black Tab
1. Remove sterile cap from the
luer disc end of the Precision tubing set and connect to syringe.
2. Remove sterile caps from opposite end of tubing set and HIgH·Flo needle set and connect, using care not to contaminate ends.
Make sure the syringe driver is o and the black tab inside the clear syringe shield is at the end of its track. If the black tab is not at the end of its track, wind the large knob clockwise.
Note: You will never need to use force to load or remove
a syringe. If you’re having trouble, stop and make sure the black tab is at the end of its track.
With syringe gradations facing up:
1.
load the syringe and its
tubing into the syringe driver.
2.
Make sure the luer disc is
fully seated in the driver’s nose.
Prime Tubing:
7 Turn ON 8 Turn OFF 9 Wind Back
1. Turn the
syringe driver’s ON/OFF switch to the ON position to prime (ll) the tubing.
2. Try to stop the ow about 2” short of the needle(s).
To stop ow to needle(s), turn the syringe driver’s ON/OFF switch to the OFF position.
Wind the large knob clockwise until the black tab is clearly not touching the syringe. This will release pressure on the plunger and stop the ow.
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