Med Sys III Infusion pump
Contents
1. 21 20 21 01 02 01 20 21 01 01 21 01 01 01 20 6 Remarks Comment kmh1 Line underneath to separate FS Operator Crew SS Unit Maintenance or Depot Maintenance Maintenance Allocation Chart 6515 01 550 5669 Pump Intravenous Infusion Comment kmh1 Line underneath to separate 1 2 3 4 5 6 s 3 Tools Group REVEL Maintenance Maintenance and TMDE Remarks y P Function Level Code 12 Pump Latch Assembly Kit Inspect SS 01 21 Replace FS 13 Infusion Pump Rebuild D 01 11 20 21 oO Item Nomenclature Tool Kit Medical Equipment Maintenance Repairer Appendix E Tools and TMDE Code Listing for Maintenance Allocation Charts W45334 5180 00 611 7923 Individual GSA Item Tool Set Medical Equipment Maintenance Unit Level W45197 5180 01 483 1431 GSA oojo eals oO oa Shop Set Med Log Medical Equipment Maintenance X ray Calibration amp Verification System T24386 CO5856 6545 01 555 8683 6525 01 502 0504 Med Log Co UNFORS 710 L Q o Gas Flow Analyzer C61523 6515 01 541 2864 VT Plus A oO oj N Anesthetic Gas Analyzer A00098 6630 01 530 7959 6630 01 487 6987 Riken FI 21 Riken 1902D oO Analyzer NIBP A27104 6515 01 449 1423 Cufflink k M IV Pump Analyzer Defibrillator Analyzer TPA Tes2. Checks and Services 6515 01 550 5669 Pump Intravenous Infusion B Before Operation D During Operation A After Operation Q Quarterly and S Semiannually Item No Interval Item to be Inspected and Procedure Is Not Mission Capable If S Inspection a Conduct an inventory to ensure that the following items are in the storage shipping container Multi Channel Infusion Pump Administrative Set Mainstream Line Administrative Set Piggy Back Both Shipped in Separate Boxes Battery Pack Operator s manual b Check for signs of damage to the outside of the pump housing for example holes and scratches c Check the rotating latch and adjustable pole clamp for easy of movement and 360 degree rotation d Check display screen for scratches and Discoloration Functional Check out Procedures a Turn on Pump 1 Press the on off button Upon start up the instrument performs an automatic self test Listen for a beep this indicates that the audio alarm transducer is functioning The instrument information page is momentarily displayed The standard display page is displayed Missing components or accessories that would prevent the full operation of the pump Cracked display screen Clamp or latch will not move Clamp and latch are broken Screen is damaged A fault is indicated Operator s Preventive Maintenance Checks and Services 6515 01 550 5669 Pump Intravenous Inf
3. Relative humidity Not specified Dimensions L x W x H in 6x2 1x7 9 Weight Ib 5 1 J Design Interface The infusion pump will interface with the electrical distribution system at the using organization K Requisition Supply 1 The infusion pump is a non stocked centrally procured item The system will be provided during an initial fielding or sustainment fielding Or if requested from the unit procurement will be initiated only after receipt of a requisition 2 AAC Code J which denotes NOT STOCKED CENTRALLY PROCURED non stocked items IMM Service centrally managed but not stocked item Procurement will be initiated only after receipt of a requisition 3 ARC Code N which denotes Class VII items valued at 500 or more that retain their original identity and are not consumed in use and non maintenance significant medical furniture items valued at 1 000 or more 4 TIC Code C which denotes critical medical equipment requiring technical Inspection 5 Resupply items for this product are noted in the Supply Support and Support Equipment section Appendix A Market Analysis N A Appendix B Standardization Efforts In early 2008 Defense Medical Standardization Board developed and coordinated the following set of essential characteristics and system attributes for infusion pumps Infusion Pump Key Performance Parameters and Essential Characteristics Essential Characteristics
4. Support Maintenance The sustainment level repair for this item will be at MEDLOG Company which includes replacing subassemblies rebuilding and providing field support maintenance for medical units that do not have organic maintenance support Use of medical equipment standby equipment program MEDSTEP materiel will be utilized when non mission capable NMC days exceed 3 days or the unit s assets fall below 75 availability c Depot level Maintenance Depot level maintenance for the system will be used when the system requires overhaul refurbishment or a safety modification d OEM Level Maintenance Carefusion provides parts support for this pump but is discontinuing repair services as part of its end of sales 4 Inspection Procedures a This item has been assigned a type item code TIC C This means prior to being issued from an USAMMA Maintenance Operations Division this item will have a technical inspection to ensure it was received from the vendor according to the contract and that it functions within the guidelines set by the manufacturer and USAMMA b The system is to be inspected on a scheduled basis in accordance with the published 10 20 PMCS or the manufacturer s literature 5 Tools and TMDE required for inspection a Tool Kit Medical Equipment 5180 00 117 3414 IV Pump Analyzer 6515 01 536 2122 Oscilloscope DHH 6625 01 448 9577 Stop Watch 6645 01 106 4302 or other suitable Laptop Computer 70
5. on usage of consumables only 4 Mainstream 4 95 each and 4 piggyback lines 1 03 each per day pump used 70 of days during product life cycle Maintenance cost The maintainer will estimate the yearly maintenance cost Total life cycle cost not including purchase Add both the operational cost and the maintenance cost per year basis Multiply this number by the estimated operational life per TBMED7 This is the total life cycle cost Calculations Consumable usage per year 4 5 98 365 0 7 6111 Cost of consumables per year 6111 Maintenance cost per year 1125 TBMED7 8 years Total cost 57 888
6. 10 01 502 5490 moaos 6 10 20 Standards and MAC See Appendix D 7 MEDSTEP Tool Set Medical Equipment Maintenance Unit 5180 01 483 1431 a MEDSTEP will be maintained at the MEDLOG Company or at one of the USAMMA Maintenance Operations Divisions b MEDSTEP requirements will be based on two each per three CSHs in the support area That number may be subject to validation based on the condition of the equipment c MEDSTEP requirements will be reevaluated on an annual basis The support MEDLOG must be in possession of MEDSTEP in order to affect quick turnaround 8 Repair Parts Spare Parts Listing Repair parts were determined using OEM and or maintenance historical data Spare parts can be obtained from existing stock or vendors Spare parts packages will not be included with each system Recommended spare parts include but are not limited to Item No Part or Accessory Part or Accessory Basic Opera tor Repairer Description Number Issue 1 Battery 93 0415 P 0 0 0 2 Motor Kit 2860760 0 0 0 X Operator or Repairer can use this part to fix the system 9 Annual Man hour Requirements a Field Support 1 Repair 5 0 hours 2 PM 1 4 hours 3 Safety 6 0 hours 4 Calibration 3 0 hours 5 TOTAL 15 4 hours b Sustainment Support Repair 5 5 hours 10 Warranty Control Procedures The infusion pump comes with a year manufacturer s warranty The warranty includ
7. Acquisition Support Strategy for the Pump Intravenous Infusion NSN 6515 01 550 5669 Manufacturer Carefusion formerly Cardinal Alaris Model Medsystem III with DLE 2865B Power 6 Watts Voltage 110 VAC 20 Volts 60 Hz Package Weight 35 lbs 16 kg Package 5 8 cubic feet LIN P16161 Prepared by Acute Care Division PMO Medical Devices USAMMA May 2010 Supersedes May 2007 Version Acquisition Strategy The infusion pump is a commercial off the shelf COTS used for the automatic delivery of precise and controlled amounts of intravenous fluids both blood and crystalloids to the sick and wounded The PIV is not considered mission critical since there are alternative methods of administering intravenous fluids Therefore its loss may degrade but will not prohibit medical mission accomplishment by the using organizations The infusion pump is authorized in the Combat Support Hospital CSH N301 Forward Surgical Team FST 267B Patient Holding Squad PHS N308 Air Ambulance AA 257A X Ray Radiographic Fluoroscopic N307 Army Special Forces SOF 512A Veterinary Animal Med Surgical 912B and Veterinary Small Animal Units 905B The acquisition strategy is to purchase 12 for the N309 set 8 for N308 4 for 905B N310 and 267B 2 for N301 and 261A and 1 for 257A 912B 512A and N307 The infusion pump is provisioned with all the necessary accessories and supplies The system is purchased through Fed
8. D by going to the USAMMA website http www usamma army mil med_equip_lit_cdroms cfm and following the instructions or by calling DSN 343 4379 or commercial 301 619 4379 This manual is supplemented by Service Bulletins located on the USAMMA CDs and on the Carefusion web site A password to the Carefusion site may be obtained by calling Carefusion See section A 2 Operator s Manuals Medsystem III Infusion System with Dose Rate Calculation and Drug List Editor Directions for Use P N 10551005 G Computer Resources Support No computer resources are required for use of the system in day to day operation A computer and interface cable are used by the medical equipment repairer to download drug dose software from a CD to prepare the pump for first use H Facilities There are no unique facilities shelter or environmental compliance requirements Warehouse storage is required prior to deployment to a unit I Packaging Handling Storage and Transportation The infusion pump is packaged in a fiberboard container It will be transported by vehicles organic to using organizations or by other transportation assets within the theater There are no strategic lift constraints associated with this system When transported per MIL STD 1472 the system may be carried by one person All support items are non deteriorative INFUSION PUMP CHARACTERISTICS Storage temperature 4 F to 131 F Operating temperature 50 F to 104 F
9. THRESHOLD OBJECTIVE Infusion Pump Fluid Delivery System Attributes Priority On a Scale Attribute of 1 to 4 Threshold Objective Portable lt current Alaris MedSystem IIl Height 7 9 inches Width 6 inches Depth 2 1 inches Weight 5 1 Ibs 1 Yes T 0 Battery Life Meets or Exceeds 6 Hours 1 Yes T 0 Battery is Rechargeable 1 Yes T 0 Meets Airworthiness Certification 1 Yes T 0 AC Power 110 Volt Compatible 1 Yes T 0 Frequency 50 60Hz or Higher 1 Yes T O Free Flow Protection 1 Yes T O Audible and visual alarms present for the following categories Air in line flow error low battery occlusion infusion complete change bag 1 Yes T 0 Piggybacking 1 Yes T 0 Durability Able to pass Drop Testing 1 Yes T 0 Needleless Infusion Capability 1 Yes T O Readability present utilizing Night Vision Goggles 1 Yes T O Total Infusion Volume Meets or Exceeds 1 9999mL 1 Yes T 0 Infusion Rate Meets or Exceeds 0 1 999mL hr 1 Yes T 0 Vented Bubble Detector Present 1 Yes T 0 Capable of centralized monitoring via USB Port 1 Yes T O Cleaned via Standard Procedure Without Degradation 1 Yes T 0 Simple to Operate Machine prompts are clear concise and simple to change from each mode of operation 1 Yes T 0 Software Upgrades Available from Manufacturer 1 Yes Teo Flow Error at or below 5 1 Yes T 0 Labels and Markings Permanently Displayed on Device 2 Yes T Record Patient
10. eral Supply Schedule FSS vendor Carefusion part number MSIIISYS SS It has an item cost of 4 250 41 provisioned with necessary supplies 3 899 91 for the pump alone This item is OPA funded The life expectancy for the infusion pump is 8 years TB MED 7 Operating costs are 6 116 per year and maintenance costs are approximately 1 125 per year therefore the life cycle costs are calculated to be approximately 57 888 not including initial purchase costs NOTES 1 These pumps may exist in Army inventory under NSN 6515 01 486 4310 The newer NSN cited in this document was obtained to include the bundled consumable administration supplies cited under the Supply Support section below 2 On 20 January 2010 Carefusion announced the end of sales of this Medsystem III Infusion Pump to U S customers outside of the U S Government as of 1 March 2010 The cause is cited as an irreversible parts shortage While Government sales continue at present USAMMA is initiating action to find a replacement for this pump Clinical Application The infusion pump is used by healthcare personnel to infuse fluid medication and nutrients into the circulatory system It provides three independent infusion channels for the delivery of a wide range of fluids from various containers including syringes The device also provides a secondary delivery of intermittent medications fluid challenges or loading doses from each channel Each line can deliver a
11. es parts and labor When warranty service is needed Carefusion may be contacted at 3750 Torrey View Court San Diego CA 92130 Telephone 858 617 2000 11 It is recommended that this item be designated DA 2406 readiness reportable 12 SPECIAL NOTE The PIV tubing contains a cassette that provides protection from free flow conditions B Training and Training Support 1 Maintainer No additional training is required above the standard training received by the 68A at the biomedical maintenance course at the DOD Biomedical Equipment Training School 2 Operator All training requirements will be IAW the system training plan that was approved 6 June 2003 New Equipment Training NET may be required as well as instructor and key personnel training during any testing and fielding phases of development As a minimum NET will be required for the instructor staffs at operator and maintainer MOS producing courses C Manpower and Personnel The fielding of the infusion pump will have no impact upon manpower or personnel structure Operator and maintainer actions will be performed by the same soldiers currently performing similar functions The total number of authorized operators or maintainers will neither increase nor decrease in the manpower force structure area The operator MOS 66N Registered Nurse MOS 60N Anesthesiologist 66F Nurse Anesthetist 68W Health Care Specialist 68T Animal Care Specialist or 68W2F Flight Medic
12. measurements and interventions Cumulative total fluid 1 Yes T 0 received infused and net volumes Date Time Stamp Patient measurements and interventions electronic record Using needleless standard safety 1 Yes T 0 Free flow protection 1 Yes T 0 Industry standard alarms auditory and visual Low battery alarms 1 Yes T 0 Priority On a Scale Attribute of 1 to 4 Threshold Objective Control Decision assist algorithm based on provider input parameters 3 Yes T 0 PCA system compatibility and capable on at least one channel with 3 Yes TsO remote PCA Control Rate and volume of crystalloids colloids and blood products 4 Yes T 0 Closed loop algorithms control infusion rate and volume based on endpoint blood pressure UOP hemoglobin or other measure s TBD Epidural administration of anesthetic and analgesic drugs capability 3 Yes T 0 Incorporate a Syringe Holder up to three 20 60ml syringes 4 Yes Teo simultaneous use capability for use as the container for IV fluid to be infused for pediatrics Appendix C Testing and Airworthiness The MedSystem III is fully authorized for operation in the following helicopters UH 60A UH 60L UH 60Q and HH 60L Reference Airworthiness Release AWR for MEDEVAC H 60 Helicopters Equipped with Patient Movement Items PMI AWR 1330 8 September 2006 Appendix D 10 20 Standards and MAC Chart 10 20 Standards Operator s Preventive Maintenance
13. ng items are in the storage shipping container Multi Channel Infusion Pump Administrative Set Main Stream Line Shipped Separately Battery Pack Operator s manual Service manual b Perform the operator s PMCS inspection as prescribed in the 10 procedure Cleaning Procedure Note do not use organic solvents ammonia or ammonium based agents for cleaning a Clean the exterior surface of the instrument using a damp warm water cloth with a mild nonabrasive standard hospital disinfectant or a detergent b Clean the lower housing and pump assembly by removing the lower plastic housing by depressing the four black release tabs in the upper corners Next pull straight down Use a soft bristled brush to clean the pump latch mechanism and linkage c Clean the air in line sensor tubing by wiping the tubing recess with a nonabrasive cloth pad or swab moistened with isopropyl alcohol Missing components or accessories that would prevent the full operation of the pump Cracked display screen Repairer s Preventive Maintenance Checks and Services 6515 01 550 5669 Pump Intravenous Infusion M Monthly Q Quarterly S Semiannually and A Annually Item No Interval Item to be Inspected and Procedure Is Not Mission Capable If d Clean the valve actuators with a inonabrasive lint free cloth and mild non staining disinfectant or detergent being careful not to bend the valve or tear the lact
14. separate drug helping to eliminate incompatibility and drug sequencing concerns Consumable Supplies only Integrated Logistics Support ILS A Maintenance Planning 1 Purpose To provide a description of the requirements and tasks to be accomplished for achieving restoring or maintaining the operational capability of a system or equipment It covers the functions of preventive maintenance checks and services PMCS and associated schedule periodic performance verifications and calibrations and addresses the test measurement and diagnostic equipment TMDE used to care for the end item Lastly it addresses the maintenance levels of operations and those responsibilities of maintenance personnel therein Responsibilities Biomedical and support maintenance can be performed by personnel holding the military occupational specialty 68 A original equipment manufacturer OEM or OEM trained civilian technicians Reference material to be used by the maintenance personnel includes but is not limited to manufacturers operators and or service literature Maintenance Procedures a Field Support Maintenance This item has been assigned a maintenance recoverability code MRC O The system can be repaired and disposed of at the unit level There are no special tools or procedures indicated that would hinder the unit maintainer from completely repairing the unit See inspection procedures below Section 4b b Sustainment
15. ter Defibrillator J24245 A83433 6515 01 449 2331 6515 01 479 2355 6515 01 575 2825 6515 01 449 1420 IPT 1 IDA4P 3 Depot Only Impulse 7000 Impulse 4000 Counter Electronic Digital C19266 6515 01 406 7390 AN USM 459A a o AJ 15 Simulator Medical Function Simulator Medical Function 56720 6515 01 548 3352 6625 01 298 3830 MPS450 Army Medical Kit 215M Signal Generator 548323 6625 01 276 9421 SG 1288 G Computer Laptop N A 7010 01 502 5490 Various 17 18 Foot Candle Meter Multimeter AN PSM 45A Multimeter AN USM 486 M38443 M60449 M23954 6695 01 574 8935 12421 6685 01 292 7873 51 Il Single Channel 6625 01 265 6000 6625 01 145 2430 27 FM 8050A_ CTA Oscilloscope Digital Medical Oscilloscope Meter Ultrasound Therapy Wattmeter P43667 R95994 6625 01 560 1673 6625 01 513 7811 6695 01 575 6270 199B 199C Power Simulator Pulse Oximetry Tachometer Digital Medical Equipment 57953 707421 6515 01 541 0432 6625 01 550 3339 INDEX 2XLFE Test Set Electrosurgical T90883 6515 01 564 8554 QA ES II Tester Current Leakage T61791 6625 01 577 6744 6625 01 207 8270 ESA612 232D 20 21 22 24 25 26 27 28 29 31 Tester Ventilator T05633 6515 01 449 1421 Pneuview 360001 Appendix F Reference N A Appendix G Cost Analysis Operational Cost Based
16. uator seal A Annual Maintenance Retrieve the Event Log by following the steps in the maintenance manual 4 2 c Checking Memory Backup Battery by following the steps in the maintenance manual section 4 2 d Verify proper Software Version serial number and customized setting by following the steps in the maintenance manual section 4 2 e S Calibration Perform the calibration procedure as outlined in Chapter 5 of the maintenance manual for the following test Patient side occlusion Fluid side occlusion Rate Failed any of the tests Cassette latch sensor Maintenance Allocation Chart FS Operator Crew SS Unit Maintenance or Depot Maintenance 6515 01 550 5669 Pump Intravenous Infusion 1 Group 10 11 2 Assembly Group Infusion Pump Battery Pack Assembly Audio Connector PCBA Kit Main Electronics Assembly Kit Display Module Power PCBA Kit Universal Pole Clamp Drive Module Kit Housing Componets Sensor Components Memory Backup Battery Kit 3 Maintenance Function Calibration Test Service Inspect Replace Replace Replace Repair or Replace Inspect Replace Inspect Inspect Replace Inspect Replace Inspect Replace Inspect 4 Maintenance Level FS FS FS SS FS SS SS SS SS FS FS SS FS FS FS 5 Tools and TMDE Code 01 11 21 20 20 20
17. usion B Before Operation D During Operation A After Operation Q Quarterly and S Semiannually Item No Interval Item to be Inspected and Procedure Is Not Mission Capable If 2 Check audio and keypad operation by ensuring there is a soft beep for each key pressed 3 Press any key and ensure the LCD backlight turns on b AC Power test 1 Turn on the instrument without the AC adapter attached Install a primed cassette in each pump channel Start all channels Verify the green LED on each channel blinks during operation Attach the AC adapter to the pump Verify that the instrument beeps three times when the connector is properly installed Verify that the green plug shaped light on the side connector panel is lit c Check to ensure that the four soft keys are working by selecting a function that is controlled by that key for example adjusting the flow rate or setting the contrast of the display d Push the on off instrument key to off The LED on any channel does not light The plug shaped light does not flicker when the connector is wiggled Repairer s Preventive Maintenance Checks and Services 6515 01 550 5669 Pump Intravenous Infusion M Monthly Q Quarterly S Semiannually and A Annually Item No Interval Item to be Inspected and Procedure Is Not Mission Capable If S Inspection a Conduct an inventory to ensure that the followi
18. will perform operator checks and services Field level maintenance will be performed by Medical Equipment Repairers MOS 68A assigned to the divisional medical companies and combat support hospitals Sustainment level maintenance will be performed by the MOS 68A or civilian assigned to the Medical Logistics Companies D Supply Support Specific COTS support equipment and consumable items are required for the operation of the infusion pump These are available through standard supply sources which are predominantly commercial manufacturers vendors and distributors cataloged in the Medical Supply Information Logistics System MEDSILS and available via the DSCP ECAT system It is the responsibility of the Services to order these items via established logistics channels within DOD supply system E Support Equipment This infusion pump can be supported with supplies which can be ordered from Carefusion via the DSCP ECAT system see table and pictures Support NSN Mfg Part Support Nomenclature Long 6515 01 452 3445 28034E Administration Set Main Stream 6515 01 416 4032 72213N Administration Set Piggyback Administrative Set Main Stream Administrative Set Piggy Back Line 28034E 72213N NSN 6515 01 452 3445 50 PG NSN 6515 01 416 4032 100 PG F Technical Data 1 Service Manual MedSystem III Multi Channel Infusion Pump Service Manual May 1995 P N 2863012 This is available in PDF or IETM via C
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