Smiths 3400 User manual
Graseby Instruction Manuals
This publication has been compiled and approved by Graseby
Medical Ltd for use with their respective products. It is supplied
in this format to permit users to access the text and illustrations
for their own use e.g. training and educational purposes.
Users of the equipment must ensure that they have read and
understood the contents of the complete manual including the
warnings and cautions and have been trained in the correct use
of the product.
Graseby Medical Ltd cannot be held responsible for the
accuracy and any resulting incident arising from information
that has been extracted from this manual and compiled into the
users documentation.
These manuals are subject to revision and it is the users
responsibility to ensure that the correct version of manual/
text/illustration is used in conjunction with the equipment.
Graseby 3400
Syringe Pump
Instruction Manual
Published by Graseby Medical Limited.
All possible care has been taken in the preparation of this publication, but Graseby Medical
Limited accepts no liability for any inaccuracies that may be found.
Graseby Medical reserves the right to make changes without notice both to this publication and
to the product which it describes.
Graseby Medical seek to constantly improve their products, therefore, the specification
of the 3400 pump is subject to change.
Copyright © 2002 Graseby Medical Limited.
No part of this publication may be reproduced, transmitted, transcribed, or stored in a retrieval
system or translated into any human or computer language in any form or by any means without
the prior permission of Graseby Medical Limited.
GRASEBY MEDICAL LIMITED,
Colonial Way,
Watford,
Hertfordshire,
United Kingdom,
WD24 4LG
TELEPHONE: (+44) (0)1923 246434
FAX: (+44) (0)1923 231595
www.graseby.co.uk
REGISTERED IN ENGLAND.
COMPANY No. 995550
Trademarks and acknowledgements:
“Graseby”; “Smiths”; and “Flo-Safer” are all trademarks of Smiths Group plc.
All other trademarks are acknowledged as the property of their respective owners.
Aneasthesia syringe pump
Warnings
Warnings tell you about dangerous conditions that could lead to death or serious injury to
the user or patient that can occur if you do not obey all of the instructions in this manual.
1. WARNING: To av oid over- or under- infusion, always verify that the brand and size of the
loaded syringe are the same as the brand and size displayed on the screen before starting
an infusion. Failure to do so may result in an inaccurate delivery of medication, resulting in
patient injury or death.
2. WARNING: To avoid incorrect or inappr opriate configuration of the pump, the
Configuration menu must only be selected by qualified persons or authorised personnel.
Incorrect pump configuration could lead to inappropriate infusion resulting in patient
injury or death.
3. WARNING: This equipment is not suitable for use in the presence of flammable
anaesthetics, oxygen-enriched or explosive atmospheres. The use of the de vice in such
atmospheres may lead to explosion or fire.
4. WARNING: To avoid possib le malfunction of the pump, do not expose the pump to X- rays,
gamma rays or ionizing radiation, or to the RF interference or strong electric/magnetic
fields emitted (for example) by diathermy equipment or mobile telephones. If the pump is
used in the presence of, or in combination with Magnetic Resonance Imaging (MRI)
machines it must be protected from the magnetic field emitted by such equipment.
Malfunction of the pump can cause incorrect infusion or loss of infusion resulting in
patient injury or death.
5. WARNING: Operation of the pump outside the temperature limits defined in the
specification may result in erroneous operation. Ensure that the temperature is within the
specified limits. Failure to do so ma y result in patient injury or user injury.
6. WARNING: In or der to ensure that the intended infusion is performed, data must be
entered correctly . Like wise before confirming any displa yed data the user should ensure
that it is correct. Failure to do so may result in compromised function of the product,
patient injury or user injury.
7. WARNING: F ailure to respond promptly to an alarm ma y result in patient injury or death.
8. WARNING: Failure to follo w the
may result in compromised function of the product and lead to patient injury or death.
9. WARNING: It is essential that clinical staff remain within visual and audible range of the
pump so that critical alarms can be seen or heard and responded to.
10.WARNING: The user should ensure that the performance offered by the pump is fit for the
intended purpose. Failure to do so may result in compromised function of the product,
patient injury or user injury.
11.WARNING: When the pump is carrying out an infusion, to ensure that electrical safety is
maintained only items of equipment that conform to EN60950 are to be connected to the
RS232 connector situated at the base of the pump, otherwise patient safety may be
compromised.
Service Manual’s
maintenance schedule recommendations
iGraseby 3400
Aneasthesia syringe pump
12.WARNING: Correct management of battery charging is essential to ensure that the pump
can operate on batteries for the time specified. Failure to do so may lead to impaired
functioning of the pump, resulting in patient injury or death.
13.WARNING: Do not use a faulty pump. If the pump de velops a fault then an alarm will sound;
the display will indicate a F A UL T condition and the pump will fail to infuse. Incorrect
performance of the pump can cause complications resulting in patient injury or death.
If the pump develops a fault then it must be referred to a suitably qualified engineer or
returned to Graseby Medical in order to have the fault rectified.
14.WARNING: Failure to use the mains lead c lamp means that the pump may be accidentally or
erroneously disconnected from the mains. Although there is battery backup in case this
happens, the battery may not be sufficiently charged. Consequently there is a risk of the
pump not functioning, which could lead to patient injury or death.
15.WARNING: If an occlusion alarm occurs, immediately c lamp the line to eliminate the
possibility of a bolus being delivered to the patient. Then inspect the fluid pathwa y for kinks,
clogged catheter , etc. in order to remo ve the occlusion prior to restarting the infusion. An
unintentional bolus of medication can result in patient injury or death.
16.WARNING: Use only the syringes and administration sets listed in
end of this manual. F ailure to do so may result in an inaccurate delivery . Graseby Medical
does not guarantee performance of the pump if syringes other than those listed are used.
Incorrect function or performance of the pump can cause complications resulting in patient
injury or death.
17.WARNING: The volume of fluid contained in the connecting tubing is a residual amount and
will not be infused. Hence this extra volume of fluid must be allowed for when initially filling
the syringe and purging the system. Under-delivery of medication can cause complications
resulting in patient injury or death.
18.WARNING: To avoid patient embolism, ensure that the patient tubing is purged of all air
bubbles before administering an y medication. The pump provides a purge facility to assist
with this process. The presence of air within the medication can result in complications
leading to patient injury or death.
19.WARNING: To avoid syphoning of the syringe contents (free flo w), ensure that the syringe is
correctly loaded into the pump, that the syringe plunger is properl y engaged by the pump’ s
actuator and that the pump is placed not more than 80cm above the infusion site.
Syphoning can result in over-infusion leading to patient injury or death.
20.WARNING: To avoid o ver-infusion, do not purge the infusion line when the administration
set is connected to the patient. Over-infusion of medication can result in patient injury or
death.
21.WARNING: To avoid the pump becoming detac hed from an IV pole alwa ys make sure that
the pump is securely fixed to the pole. Always check the security and stability of the
assembly with the pump mounted.
If no IV pole is used make sure that the pump is completely stable on a horizontal surface.
Failure to observe this warning may cause damage to the 3400 Syringe pump and harm
the operator or the patient. As a result, the operator or patient may suffer direct injury, or
the 3400 Syringe pump may fail to operate correctly, leading to patient injury or death.
the Specification
at the
ii
Graseby 3400
Aneasthesia syringe pump
22.WARNING: Following a significant liquid spill onto the pump, it should be wiped dry and
inspected by service personnel before being returned to service. Failure to do so may
result in compromised functioning of the pump, leading to patient or user injury or death.
23.WARNING: When using a syringe smaller than 50/60 ml the occ lusion pressure will
increase as the diameter of the syringe decreases, i.e. the smaller the syringe the higher
the pressure
Cautions
U.S.A. and
Canada
Cautions tell you about dangerous conditions that can occur and cause damage to the pump
if you do not obey all of the instructions in this manual.
1. CAUTION: Ref er all service, repair and calibrations only to qualified technical personnel.
Unauthorised modifications to the pump must not be carried out.
2. CAUTION: When turning the pump on if screens similar to those illustrated are not
displayed, do not use the pump. Send the pump to a suitably qualified engineer or return it
to Graseby Medical in order to have the fault rectified.
3. CAUTION: Do not use c leaning and disinfecting agents other than the appr oved ones
specified here.
4. CAUTION: The pump must
solvents. Wipe off spills immediatel y , and do not allo w fluid or residues to remain on the
pump. Additionally , the pump is not designed to be autocla ved, steam-sterilised, ETOsterilised or subjected to temperatures in excess of 45° C (113° F). Failure to observe this
caution may cause serious damage to the pump.
5. CAUTION: If the pump is used in c lose pr oximity to a fluid ba g(s), it should where possible,
not be mounted directly underneath the fluid bag(s). This is to minimise the possible risk of
damage to the pump from fluid ingress should the bag rupture or leak during use.
not be immersed in any liquids or exposed to str ong organic
Federal law in the U.S.A. and Canada restricts this device to sale b y or on the order of a
licensed Medical Practioner.
iiiGraseby 3400
Aneasthesia syringe pump
iv
Graseby 3400
Anaesthesia Syringe pump
Contents
Page
Introduction........................................................................................2
Features ..............................................................................................3
1. Switching on............................................................................. 4
2. Loading the syringe.................................................................. 5
3. Setting the infusion rate........................................................... 7
4. Giving a bolus infusion............................................................ 9
5. Setting the hands-free bolus preset ........................................ 9
6. Starting the infusion................................................................. 9
7. Using the totaliser .................................................................. 10
8. Stopping the Infusion............................................................. 10
9 Switching off........................................................................... 10
10. Alarms ..................................................................................... 11
11. Battery operation .................................................................... 19
12. Positioning the pump............................................................. 20
13. Cleaning and maintenance..................................................... 20
Graseby 3400
14. Standards ................................................................................ 22
15. Specification ........................................................................... 24
Page 1
Anaesthesia Syringe pump
Introduction
Thank you for choosing a Graseby 3400 Anaesthesia syringe pump. This Instruction
Manual contains important information on operating and looking after your pump. So that
you are completely familiar with all of the pump’s features, please take the time to read
this manual before switching on the pump. It is important that all users of the 3400 have
been trained in how to use the pump.
The pump is a micro-computer controlled device developed by Graseby Medical for the
administration of sterile liquids. This compact, robust pump is designed to sit on a table
top or to be pole mounted.
It can be configured to work with one of a range of brands of syringe, and the the brand
that the pump is presently Configured for is displayed.
The pump caters for syringe sizes of 5, 10, 20, 30, 35, 50 and 60 ml, the size is
automatically sensed and displayed.
The pump can be set to dispense liquids at maintenance rates of 0.1 to 400 ml/hr in steps
of 0.1 ml/hr. The rate is entered via a numeric keypad and can be adjusted whilst the
pump is infusing. Similarly the bolus infusion rate can be adjusted from 0.1 to 1200 ml/hr
in steps of 0.1 ml/hr.
A dose rate calculation is also possible, allowing the infusion rate to be programmed in a
range of units, including ml/hr, mg/kg/hr, mg/kg/min, mg/kg/hr, mg/kg/min, mg/hr and mg/
hr.
A handsfree preset bolus allows a predetermined bolus to be set and delivered, allowing
the user to concentrate on the patient's response to the medication during the bolus
infusion.
Page 2
The pump keeps a running total of the volume of liquid infused, even when an infusion is
stopped and restarted.
Safety features have been built into the pump and its software. The pump carries out self
testing routines every time it is switched on. Users are warned of such incidents as
occlusion or power failure by both visible and audible alarms.
The pump can be run from AC mains power (recommended) or from internal rechargeable
batteries which give more than ten hours of use. All the controls are clear and easy to
use. The pump incorporates a graphic liquid crystal display that provides the user with a
constant indication of the pump’s operation.
Graseby 3400
Anaesthesia Syringe pump
Features
Designed in consultation with users, the main features of the pump are:
• 0.1 to 1200.0ml/hr infusion rate.
• Dose rate calculator.
• "Hands-Free" bolus/induction preset.
• Accepts 5 to 60ml syringes, from all major brands.
• RS232 Serial link for remote monitoring and control of infusion.
• AC mains and battery powered.
• More than 10 hours' battery life.
• Simple menu-driven operation.
• Comprehensive safety self check, with clear alarm messages.
• Drip-proof.
Graseby 3400
Figure 1 Front view of the pump
Page 3
Anaesthesia Syringe pump
1. Switching on
Connect to AC power. (For battery operation refer to Section 11). Insert
the AC power lead into the rear of the pump. Secure the mains lead with
the clamp as shown in Figure 2, to prevent it from being accidentally pulled
out of the pump.
Figure 2 Mains Lead Clamp
The AC power indicator lamp will illuminate when connected to AC power.
Press the ON key to switch on the pump. A brief self-test procedure will
then be performed, during which a bleep will be heard. The pump is now in
its ‘set-up’ mode, ready for an infusion rate to be set.
WARNING: Do not use a faulty pump. If the pump develops a fault then an
alarm will sound; the display will indicate a FAUL T condition and the pump
will fail to infuse. Incorrect performance of the pump can cause
complications resulting in patient injury or death.
If the pump develops a fault then it must be referred to a suitably qualified
engineer or returned to Graseby Medical in order to have the fault rectified.
WARNING: Failure to use the mains lead clamp means that the pump may be
accidentally or erroneously disconnected from the mains. Although there is
battery backup in case this happens, the battery may not be sufficiently
charged. Consequently there is a risk of the pump not functioning, which
could lead to patient injury or death.
Page 4
Graseby 3400
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