Home

Abbott Plum A+ Op Manual

1. 4 20 4 15 STOP AND START WITH ONLY 1 LINE PUMPING senenn nenen 4 23 4 16 STOP AND START WITH BOTH LINES PUMPING seene enen 4 23 4 17 BACKPRIMING e eree eere EE tassa e sese eese m ss Dass bassa tasa sea Iia a sean S 4 25 4 18 CLEARING PROGRAM SETTINGS seene 4 25 4 19 POSSIBLE NON DELIVERY PROGRAMMED eene netten nnne etnnneesnns nest ne nenne nennen nnn 4 26 SECTION 5 THERAPIES FOR ADVANCED USERS Y esee nne netnen enne then nnne tnnt nn enne tnnt 5 1 5 1 DOSE CALC MCG KG MIN ON get sees ereenn o 5 1 5 2 DOSE CALC MG HR ON B seene 5 5 5 3 LOADING DOSE EE 5 9 5 4 MULTISTEP PROGRAMMING ou ccccsscceceecessssnnecscececccccccecececeaceaeeeeeeeeeeeseasaeaaseussenseeeseemsesenennnenies 5 15 SECTION 6 ALARMS AND TROUBLESHOOTING sese ennenen ennan enen 6 1 6 1 WARNING MESSAGES ccccsscscsccssscccssssecsseccesseececcecececccceeesceseccesssnsasesanaacsueeeceeessaasansnenenesenanees 6 1 6 2 RESPONSE TO ALARMS wcccccccosccececcsccccscsssccccesseneneastedensesssaccnscecescscacccocccersccossadesessesesnsnesaansevcosanoses 6 2 General Alarms niit a cte aio vae Ide eee po Ne ue EES dE rogos 6 2 RE e EE 6 3 Er EE E 6 4 1 C EE 6 4 TT ES A A 430 95226 001 Rev 5 01 iv Plum A Infusion Pump eg Contents gg SECTION 7 MAINTENANCE AND STORAGE ennenen 7 1 7 1 CLEANING MAINTENANCE AND STORA
2. Program Drug List Wand Active No Drug Selected SEU Acyclovir Aldesleukin Alfentanil Alprostadil Alteplase rt PA ikacin Select then Enter Cyclosporin Cytarabine Dexmetatomidine Dittiazem Diuretic Dobutamine Docetaxel Select then Enter U Page Up Delay Start for OO hr min Callback No Enter value using keypad CD mL hr Vol Inf ou Qo Simple Delivery using Drug List The Drug List Screen appears in mainly alphabetical order Note Default entry is No Drug Selected This selection may be used later to remove an incorrect or unwanted drug name from the display keeps TE 6 Use SELECT to highlight desired drug name E 7 When list does not contain desired generic drug name or group name press Page Down or A Page Up until it shows then use SELECT to highlight choice 8 Press A Enter to indicate selection and return to the Program Options screen Or press A Cancel Back if no choice is acceptable Drug name is now visible in the upper left corner 9 Press A Enter or A Cancel Back to return to the Line Programming screen CAUTION VERIFY RATE VTBI AND DURATION BEFORE PRESSING START 10 Press START to confirm the programming begin the delivery and return to the Main delivery screen Notice the drug name remains in the upper left corner System Operating Manual 4 13 430 95226 001 Rev 5 01 Basic Operation 4 10 Simple Delive
3. over the same period of time from the same container DEG EID 0 0 Rate mL hr 0 0 Vol Inf mL Clear ALL settings when changing patients or multiple programming parameters Use A Clear Program when changing ONLY Line A or B 1 Select A A at the Main Delivery screen The Line A Programming screen appears Rate RIR mur 2 Press A Therapy VTBI 0 0 mL Duration 00 00 hr min Enter value using keypad uin The Select Therapy screen appears Dose Calculation Loading Dose Multistep Select then Choose CITED Choose ajajaja 3 Use SELECT to scroll down to Multistep 4 Press A Choose to continue Dose Calculation Loading Dose Multistep System Operating Manual 5 15 430 95226 001 Rev 5 01 Therapies For Advanced Users The Program Multistep screen appears Program Multistep Note Screen defaults to the mL hr option or the previously selected option 5 Use SELECT to highlight the desired setting This example is using mcg hr 6 Press A Choose to go to the second page of the Program Multistep screen Select then Choose DUU Choose The Container Concentration Selection screen appears whenever the selected Dose Units are gram based e g grams mg mcg or ng otherwise this screen is skipped Note Default choice for possible gram based Container Concentration Unit is mg or the previously selected op
4. pump sets without Y sites and epidural stickers indicating ongoing epidural administration are recommended Administration of drugs via the epidural route should be limited to personnel familiar with associated techniques and patient management problems Proper epidural placement of the catheter is essential since ee ss HH System Operating Manual 8 3 430 95226 001 Rev 5 01 hn vw H J X nn Uin mt i Precautions catheter migration could result in intravascular or intrathecal administration Facilities practicing epidural administration must be equipped with resuscitative equipment oxygen naloxone and other resuscitative drugs Adequate monitoring equipment e g Oximetry is recommended for continuous monitoring of the patient during epidural administration Patients must be observed frequently for side effects in a fully equipped and staffed environment for at least 24 hours following completion of drug administration by the epidural route DELAYED RESPIRATORY DEPRESSION FOLLOWING CONTINUOUS EPIDURAL ADMINISTRATION OF PRESERVATIVE FREE MORPHINE SULFATE HAS BEEN REPORTED The epidural space has 58 openings through which fluid can exit Pressure buildup during administration is transient However if a large volume of fluid is administered over a short time period the pressure will take longer to
5. 0 393 on 0 0 DO tions 2 Use SELECT to highlight an option 3 Press A Choose to select the Volumes Infused screen Pressure Post Infusion Rate Lighting Contrast This will bring up the Volumes Infused screen which defaults to Total Volume Volumes Infused Line A 393 mL Line B 0 0 mL Total Vol mL mii Cancel 4 Use SELECT to scroll to Line A or B Press CLEAR to clear value 5 To reset Line A or B Volume Infused use SELECT to highlight and press CLEAR Volumes Infused Une A RD m 6 To restore the cleared quantity press A Cancel Back Line B 0 0 mL Total Vol 393 mL Press CLEAR to clear value MM 430 95226 001 Rev 5 01 4 20 Plum A4 Infusion Pump BEE Select Option Volumes Infused Pressure Post infusion Rate and Lighting Contrast 7 To reset all volumes use SELECT to highlight Total Vol then press CLEAR Volumes Infused LineA 0 0 mL Line B 0 0 mL Total Vol GR mL tun Cancel Back ajajaja 8 To restore all quantities press A Cancel Back softkey 9 When clearing of quantities is completed press A Enter to return to the Main Delivery screen Press CLEAR to clear value 10 Select A Options Vol Inf from the Main Delivery screen to return to the Options screen Volumes Infused Pressure Post Infusion Rate Lighting Contrast 11 Use SELECT to highlight the Pre
6. HELPS CONFIRM PROPER OPERATION CAUTION IF THE LOW BATTERY ALARM SOUNDS CONNECT THE PLUM A TO MAINS POWER IMMEDIATELY The Plum A is battery powered for emergency backup and temporary portable operation A fully charged new battery provides six hours of operation at 125 ml hr or 500 ml total volume delivered whichever occurs first Note Foroptimum battery life the Plum A4 should be operated on battery power for six continuous hours at least once every six months and then charged for a minimum of six hours The battery charges whenever the Plum A is connected to mains power If the Plum A is switched off recharge takes approximately six hours Recharge takes longer if the Plum A is turned on As a general rule the more often the battery is partially discharged and recharged the sooner it will need to be replaced Consult a qualified biomedical technician for battery replacement if necessary To maintain maximum battery charge and to prolong battery life connect the Plum A to mains power whenever possible STORAGE To prolong the life of the Plum A observe the following storage precautions e Store the Plum A away from excessive heat cold and humidity e Store the Plum A connected to mains power e Switch the Plum A off using the ON OFF key SERVICE All servicing or adjustments to the Plum A should be referred to qualified technical personnel A technical service manual may be ordered from the local Abbott Laborato
7. Line A is infusing 3 Press A Choose to continue The Program Dose Calc screen appears Note Screen defaults to the mcg kg min option or the previously selected option 4 Use SELECT key to highlight the units to use in the delivery 5 Press A Choose to continue Note Previously selected Drug Names and Delayed Start entries will be cleared if entered prior to Therapy selection To reselect press A Program Options after selecting desired Therapy and Units The Container Concentration Selection screen appears whenever the selected Dose Units are gram based e g grams mg mcg or ng otherwise this screen is skipped Note Default choice for possible gram based Container Concentration Unit is mg or the previously selected option 6 Use SELECT key to highlight the Container Concentration units to use in the delivery 7 Press A Choose to continue The next page of the Program Dose Calc screen appears to provide for entry of delivery program parameters 8 Use keypad to enter desired values Once each value is entered use SELECT to highlight the next programming field Note The Concentration elements and weight value must be entered before the SELECT key allows access to remaining fields 5 2 Plum A Infusion Pump Program Dose Calc Dopamine Wand Active Conc 400 mg 250 mL Weight 70 0 kg Dose VTBI Duration Rate Conc Weight 70 0 kg Dose 3 00 mcg kg min VI mL Dur
8. Mode Concurrent Enter value using keypad Dose Calc mg hr on B 10 Continue entering desired values using the keypad Use SELECT to advance to the next field Note When entering the RATE with a VTBI value entered the DOSE and DURATION fields are automatically updated To understand the Automatic Calculation feature see Section 4 7 Examples of Automatic Calculation Note The Duration field temporarily changes to dashes when the computed value is larger than what can be displayed 11 Continue entering the RATE value if desired Note As Rate is entered the Duration and Dose are automatically adjusted as individual numbers are entered Note Ifthe Duration value is changed the Rate and Dose are automatically adjusted CAUTION VERIFY DOSE RATE VTBI AND DURATION BEFORE PRESSING START 12 To start the delivery press START Note To select Delayed Start press A Program Options Upon START the Main Delivery Screen shows delivery status for both A and B lines Note See Delivery Rate Range in Section 9 The ratio of concurrent rates has recommendations specified in Section 8 3 13 Select A B 14 To update and identify the infusing drug enter the drug name by using either the BCR or via A Program Options then A Drug List with an entry for a selection The drug name will appear in the upper right corner Note If a drug name was previously entered and confirmed by Ge dei H press
9. Operation 2 Press A Stop AL A Stop Bj or A Stop All Gaessen 25 0 Re 50 0 Note If A A or A B is pressed prior to STOP the display will show the programming screen Press 4 Cancel Back to return to the 3 0 Vi 20 4 Main Delivery screen Choose line s to stop Example of stopped infusion Note This is an example using A Stop All 25 0 hw 90 0 p S 3 0 Yat 204 HU CAUTION VERIFY RATE VTBI AND DURATION BEFORE PRESSING START A STOPPED STOPPED B 250 Jee 50 0 3 0 Np 204 3 To resume infusion press START 4 Select A Start A A Start B or A Start All Or to discontinue infusion press ON OFF Choose line s to start HIL Start B 5 Clamp secondary tubing if connected 6 Open door remove set and close door gg 430 95226 001 Rev 5 01 4 24 Plum A Infusion Pump Backpriming 4 17 Backpriming BACKPRIMING Removal of air or fluid from the proximal line and cassette airtrap Al STOPRED STOPPED BI Rate mL hr 0 0 1 To initiate a backprime press A Back Prime 89 Dn 0 0 Note Backpriming is available only when all delivery is stopped Secondary container is necessary to receive the air 2 Press and hold A Back Prime until fluid pumped from line A to line B has expelled the air from cassette air trap into Secondary container Rate mL hr gg Vent mL Not
10. dual line volumetric infusion system designed to meet the growing demand for hospital wide as well as alternate site and home healthcare standardization With its primary line secondary line and piggyback fluid delivery capability the Plum A is suited for a wide range of medical surgical and critical care applications Full compatibility with LifeCare Plum Series administration sets and accessories and the LifeShield needleless protection systems makes the Plum A a convenient and cost effective infusion system THERAPIES e Dose Calculation Loading Dose Multistep Programming LINE PROGRAMMING OPTIONS Therapy Selection e Nurse Call Back Delayed Start Setting Drug Label Library e Concurrent delivery e Titration Micro 0 1 99 9 mL hr in 0 1 mL increments flow rate range for both lines e Macro 100 999 mL hr in 1 mL increments flow rate range for both lines Automated Secondary drug delivery Piggyback PLUMSET CAPABILITIES e Anti Free Flow Protection Direct Connection for syringe delivery AIR MANAGEMENT e Air Trap es Air Removal Backpriming Air Detection Proximal s Air Detection Distal 2 1 430 95226 001 Rev 5 01 eg Device Description BATTERY e Battery Gauge e Six Hour Battery Recharge Time e Long battery life 6 hours for emergency backup and temporary portable operation BIOMEDICAL e Serial Communication e Upgradability Field e Variable Rate Cap e Alarm History e Plug in B
11. increments 100 to 9999 mL in 1 mL increments geg 430 95226 001 Rev 5 01 eg Specifications ENVIRONMENT Operating Temperature Storage Temperature Atmospheric Pressure Relative Humidity DELIVERY RATE RANGE Lines A and B Concurrent Delivery PlumSet KVO AIR IN LINE ALARM PlumSet Distal PiumSet Proximal 5 to 40 C 20 to 60 C 0 10 000 feet 0 3 000m or equivalent pressure 10 90 40 C Max a 0 1 99 9 mL hr in 0 1 mL increments 100 999 mL hr in 1 mL increments 0 5 mL hr minimum for each line 500 mL hr cumulative A B maximum 1 0 mL hr or the last primary delivery rate whichever is less Bolus 0 1 mL or larger Cumulative 0 26 mL out of 2 5 mL Bolus at 0 5 mL Total 1 0 mL gg 430 95226 001 Rev 5 01 Plum A Infusion Pump Augen Specifications OCCLUSION ALARM AND LIMITS Distal Occlusion The DISTAL OCCLUSION alarm sounds after the distal set tubing or set outlet fitting becomes occluded Proximal Occlusion The PROXIMAL OCCLUSION alarm sounds if the tubing proximal to the cassette becomes occluded Distal Pressure Limit 1 to 15 psig The maximum pressure is user selectable without alarm Factory default setting is 6 psig E Maximum Infusion Pressure 20 psig EE TIME TO DETECT DOWNSTREAM OCCLUSIONS Rate Occlusion Alarm Typical Time to Alarm Maximum Time to Alarm Pressure Setting Macro Macro 25 mL hr 6 psig 38 seconds 47 seconds
12. line e When using a syringe adapter retract the plunger to draw approximately 1 mL of fluid into the syringe to clear air from the adapter filter To prepare the secondary line use aseptic technique and proceed as follows With cassette door closed Loosen and remove white cap then ke discard Add secondary tubing or syringe Open all proximal clamps before pressing START Set up pump per operating instructions See Sections 4 and 5 of this manual 430 95226 001 Rev 5 01 3 6 Plum A Infusion Pump Administration Sets Vial or Syringe Secure the container to the cassette door using the lt a optional container support arm List 12095 04 01 Vial Attach the vial adapter to the secondary port Backprime the air from the vial adapter into the vial if necessary Se AP E TAER EEEE E O E a S E EE EEEE System Operating Manual 3 7 430 95226 001 Rev 5 01 gg Instructions for Use m E I UTERE MERE MERCED 33 DISCONTINUING ELECTRONIC FLOW CONTROL amp SETTING GRAVITY FLOW CAUTION BEFORE OPENING DOOR CLOSE CLAMP ON PRIMARY OR SECONDARY SET OR REMOVE SECONDARY CONTAINER FROM SECONDARY PORT TO PREVENT MIXING OF PRIMARY AND SECONDARY FLUIDS If electronic flow needs to be stopped the precision flow regulator on the cassette can be used to manually set and maintain fluid flow in a gravity mode see the following graphics l PRESS STOP EE SET GRAVITY RATE BY TURNING FLOW REGULATOR COUNTE
13. return to normal If overdelivery occurs during administration observe the patient closely for signs of spinal cord compression disorientation headache transient neuralgias and drug overdose 8 5 Battery Operation CAUTION Do NOT OPERATE THE PLUM A ON PATIENTS WITH THE BATTERY REMOVED USE OF A PROPERLY MAINTAINED AND CHARGED BATTERY HELPS CONFIRM PROPER OPERATION The battery may not be fully charged upon receipt Connect the Plum A to AC power for at least six hours Use AC power whenever possible Connect the Plum A to AC power during storage to ensure a fully charged battery for emergencies If quality earth grounding source is in doubt use battery power If the low battery alarm sounds connect the Plum A to AC power immediately 8 6 Sets and Accessories Only compatible LifeCare Plum Sets can be used with the Plum A See individual set instructions for additional information Administration sets should be changed per CDC guidelines or healthcare provider policy Discard after use LifeCare IV infusion sets with integral nonblood filters are not for use in the administration of blood blood products emulsions suspensions or any medications not totally soluble in the solution being administered These medications may be administered through the lower Y injection site below the filter When infusing at low delivery rates 5 0 mL hr or less the use of thick walled microbore Plum sets is recommended This will reduce the amoun
14. threshold and charge level is higher than the low charge threshold The charging circuitry is not Silence key is pressed behaving as expected charge voltage is not changing and can reduce battery life Warning Low Pump not plugged in to AC Plug into AC power only about 15 Battery power minutes of battery life remains Note Other error and warning messages will occur when appropriate for the current selection context For instance when a change to a required parameter would result in clearing some delivery settings the warning message will appear when that field is selected When an input error has just been made the three quick beeps of an Invalid Key Warning will sound and an appropriate warning et will be shown to explain the problem All such messages will be cleared or replaced by another message upon the next valid input key press Warning Charger Service ep I PS I SS 6 1 430 95226 001 Rev 5 01 A L 2 Alarms and Troubleshooting 6 2 Response to Alarms Disable Lockout by confirming back switch is in the down position Press SILENCE key Identify Observe Alarm condition Correct Alarm condition see chart below Press START to resume infusion ao fF C Re a Note Alarm messages begin with an alphanumeric code for tracking purposes only If troubleshooting does not correct the problem record the code number and contact technical support d GE
15. 0 1 ADMINISTRATION FLUIDS ceeeeeeeeee eene eR aane i aaeain aa a aeisi siiis anasaini earras aiies 10 1 Administration T EE 10 1 Enteral and High Viscosity Fluids scccsssccssssesssescessestsnesnsseeacerseesesssensseessenssessoneoeses 10 1 eT 10 1 IO 2 e e 10 1 System Operating Manual Y 430 95226 001 Rev 5 01 SECTION 1 Introduction 1 1 Product Overview The Plum A volumetric Infusion System is designed to meet the fluid delivery requirements of today s evolving healthcare environments The Plum A is a cassette based two lines in and one line out multi function infusion pump The pump can be used for standard piggyback or concurrent delivery Therapy modes include e Standard Infusions e Multistep Programming e Loading Dose e Dose Calculation The Plum A is designed to deliver parenteral and enteral or epidural infusions over a broad range of infusion rates from multiple fluid container types The system includes a pumping module hereafter called the pump and an assortment of disposable IV sets hereafter called a set optional accessories and this operator s manual The optional Barcode Reader allows drug name identification by scanning a provided list of drug names located on the Flash Tips amp Barcode Directory A computer data port is also provided to interface with a host computer The Plum A is designed to be used in most areas of patient care including but not
16. 15 psig 98 seconds 106 seconds 1 mL hr 6 psig 17 minutes 22 minutes 15 psig 45 minutes 49 minutes Baseline backpressure is 0 psig BOLUS VOLUME RELEASED AFTER DOWNSTREAM OCCLUSIONS ARE CORRECTED Rate Occlusion Alarm Typical Bolus Volume Maximum Bolus Volume Pressure Setting Macro Macro 25 mL hr 6 psig 0 23 mL 0 28 mL 15 psig 0 55 mL 0 63 mL 1 mL hr 6 psig 0 24 mL 0 30 mL 15 psig 0 59 mL 0 70 mL Baseline backpressure is 0 psig nest en A ar System Operating Manual 9 3 430 95226 001 Rev 5 01 eg Specifications DELIVERY ACCURACY The Plum A Infusion pump was designed and manufactured to maintain a volumetric delivery rate error of the total fluid delivered of less than or equal to 5 over the course of 48 hours at a programmed rate of 1 to 999 mL hr during normal operating conditions For use of the device at rates below 1 mL hr the delivery rate error is less than or equal to 10 wee s Backpressure Effect Positive backpressure on the distal line may affect delivery accuracy by no more than 0 5 per psig 2 per psig for rates between 0 1 and 0 9 mL hr for backpressures up to 15 psig A typical deviation under these conditions is 0 3 Negative backpressure may affect delivery accuracy no more than 2 for pressures up to 2 psig 56 inches of water A typical deviation under these conditions is 0 3 Filling Head Effect Variations in filling head such as container height may affect delivery accuracy by n
17. 3 2 Plum A Infusion Pump Administration Sets PREPARING THE ADMINISTRATION SET Note For detailed instructions see administration set packaging Use the aseptic technique to prepare the administration set for priming then proceed as follows Make sure flow regulator is closed Insert piercing pin into container outlet with a twisting motion Fill drip chamber to about 1 2 full or to score mark Do not completely fill Cf Nc Note To avoid getting Distal Air Alarms confirm that the fluid bag is positioned higher than the pump This should be set up prior to priming the cassette MM A M Y n n n System Operating Manual 3 3 430 95226 001 Rev 5 01 instructions for Use PRIMING THE ADMINISTRATION SET To prime the administration set proceed as follows Invert the cassette Turn the flow regulator counter clockwise until a drop of fluid is seen in the pumping chamber Turn the cassette upright then prime the remainder of the administration set Push in the flow regulator to close Confirm there is no flow E 430 95226 001 Rev 5 01 3 4 Plum A Infusion Pump ememr Administration Sets LOADING THE CASSETTE To load the primed cassette into the Plum A proceed as follows Open the cassette door by lifting up the handle Insert cassette into door guides Close the cassette door Confi
18. B appears Note This example shows line A being programmed Dose Calculation Loading Dose Multistep Select then Choose UI 3 Use SELECT to scroll down to Loading Dose Dose Calculation 4 Press A Choose to continue Multistep System Operating Manual 5 9 430 95226 001 Rev 5 01 eege Therapies For Advanced Users The Program Loading Dose screen appears Program Loading Dose Note The screen defaults to the mL hr option or the previously selected option 5 Press A Choose to continue or use SELECT to highlight another option CUT Select then Choose 6 When desired field is highlighted press A Choose The next page of the Program Loading Dose screen appears Enter value using keypad aN Program Options 7 Enter a rate using the keypad from 0 1 to 999 mL hr depending on delivery mode Enter value using keypad LEITET 8 After the desired value has been entered use SELECT to highlight the next field Enter value using keypad oem i 430 95226 001 Rev 5 01 5 10 Plum A Infusion Pump Loading Dose 9 Enter Volume To Be Infused VTBI from 0 1 to 9999 mL using the keypad Program Loading Dose Note After a Rate and VTBI value are entered the Duration is automatically computed Manually changing the Duration field will automatically recompute the Rate To understand the Automatic Calculation feature see Section 4 7 Exam
19. Clear ALL settings when changing patients or multiple programming parameters Yes clears ALL settings ajaja Use A Clear Program when changing ONLY Line A or B Note This clears all delivery parameters such as Rate and VTBI on both lines as well as setting items such as the KVO and Nurse Callback options to their default values Note Ifno settings currently exist or all settings are zero this screen will be bypassed System Operating Manual 4 7 430 95226 001 Rev 5 01 Basic Operation 4 6 Simple Delivery A STOPPED STOPPED B Rate mL hr 0 0 0 0 Vol Inf Qo a 0 0 DDT Rate MEE munr VTBI 0 0 mL Duration 00 00 hrmin Enter value using keypad ITI Rate 5 5 mU hr vri BEER Duration 00 00 hr min Enter value using kcypad UI Hate 5 5 mUhr VTBI 0 5 mL Duration 9 05 hr min Enter value using kcypad LUN Program Come Options Back ajajaja 430 95226 001 Rev 5 01 Example of Main Delivery Screen with cleared settings Note For clarity whole number font sizes will appear larger than partial number font sizes numbers on the right side of the decimal 1 To Program a delivery rate press A A 2 To enter delivery rate use numeric keypad 3 Use SELECT key to move down to the VTBI field Note Upon entry to this screen and to all lower screens from here on the Barcode Reader BCR is enabled as indicated by Wand Active when a
20. GE sees 7 1 Cleaning KE 7 1 Battery Maintenance essere sese 7 2 Storage NE C RH MR 7 2 KE EE 7 2 SECTION 8 jede NON dE ERU H MD 8 1 SD ARTIEACTS eec Pe eee EE va set s ra ive ei E REIR enu eee edi edu ee van gebe Dee LESEN ERN EIU QN 8 1 8 2 HEALTHCARE PROFESSIONALS AND PATIENT RELATED sees 8 1 8 3 CONCURRENT PLOW EE 8 2 8 4 EPIDURAL ADMINISTRATION cccccccccccccceccsececcceecesssseccecssreaseeceseeersncceeaeneeeessseseeeeuecsssesseeeeseesananes 8 3 8 5 BATTERY OPERATION isccs ciscectcecccceevavedeencveceadsvacuvdsscsvensesseseguesosocaedcoodeseesetecodbsdecaesadesedestsesessaseess 8 4 8 6 SETS AND Ee e e 8 4 87 S Nel qu a ENTER REEL 8 5 Lead EE 8 5 SECTION 9 SPECIFICATIONS estet teeie tee ent E EE eodeni cec e suse et EEN EE Pare aA egeee eege dese 9 IER e RNC 9 1 S Tay 3 Le ERROR 9 1 VTBLERANGE ueteri AEE dota co eerie ovde Poe Paese E EE E 9 1 ENVIRONMENT WEE 9 2 DELIVERY RATE RANGE eere dere dee nebst eo estre v inea i ssamei a an eae Paa Aaea densacsastaesanscety sate 9 2 AJRZN LINE ALARM deed ee ee Ee Seed ctetaastets 9 2 OCCLUSION ALARM AND LIMITS p aeaa aa aera tea eaa aes S AE SINES ea aS RE EASi Tanen 9 3 TIME TO DETECT DOWNSTREAM OCCLUSIONS neee 9 3 BOLUS VOLUME RELEASED AFTER DOWNSTREAM OCCLUSIONS ARE CORRECTED 9 3 DELIVERY ACCURACY EE 9 4 RRE NEIE 9 4 SECTION 10 SUPPLIES AND ACCESSORIES neacsas e 10 1 1
21. HAT COULD PREVENT IRREVERSIBLE PRODUCT DAMAGE OR HARDWARE FAILURE FAILURE TO OBSERVE A CAUTION COULD RESULT IN SERIOUS PATIENT OR USER INJURY Note A Note highlights information that helps explain a concept or procedure This symbol directs the user to consult accompanying documents Note Figures are rendered as graphic representations to approximate the actual product Therefore figures may not exactly reflect the product H 430 95226 001 Rev 5 01 1 2 Plum A Infusion Pump Definitions General and Clinical 1 3 Definitions General and Clinical MEANING Any condition of the pump that requires operator attention These condi tions will cause both audible and visible alarm indicators Confirmation of the condition is usually required Backprime Removal of air or fluid from the proximal line and cassette air trap No fluid is delivered distal to the cassette during backpriming Bolus A single uninterrupted discrete volume of fluid delivered in a discrete period of time Cassette A recognized cassette type installed with the door closed Installed Concurrent Simultaneous delivery of two fluids at independent flow rates Delivery Delivery Delivery option which allows lines A and B to deliver concurrently Together Delivery Rate The Delivery rate set by the operator Duration The time period used to deliver a VTBI at a delivery rate set by the operator Error A condition resulting when an oper
22. IDURAL ADMINISTRATION OF DRUGS OTHER THAN THOSE INDICATED FOR EPIDURAL USE COULD RESULT IN SERIOUS INJURY TO THE PATIENT 2 3 System Self Tests The pump performs a suite of System Self Tests when power is applied to confirm readiness for use Failure during the Self Tests is reported as a Malfunction Condition mente ce D System Operating Manual 2 3 430 95226 001 Rev 5 01 SECTION 3 Instructions for Use This section explains the Plum A setup and administration set use MM 3 1 Setup WARNING ARRANGE TUBING CORDS AND CABLES TO MINIMIZE THE RISK OF PATIENT STRANGULATION OR ENTANGLEMENT UNPACKING CAUTION PRODUCT DAMAGE MAY OCCUR UNLESS PROPER CARE IS EXERCISED DURING UNPACKING AND INSTALLATION DO NOT USE THE PLUM A IF IT APPEARS DAMAGED IN ANY WAY THE BATTERY MAY NOT BE CHARGED UPON RECEIPT Inspect the Plum A packaging for possible shipping damage If damage is found contact the delivery company immediately Use care when unpacking the Plum A Retain the packing slip and save all packing material in case the Plum A is damaged or fails the pump self test and has to be returned to Abbott Laboratories Inspect the Plum A thoroughly for damage CAUTION IF THE PLUM A APPEARS TO BE DAMAGED CONTACT ABBOTT LABORATORIES To set up the Plum A connect the mains cord to a properly earthed mains receptacle unless temporary battery operation is de
23. NERAL ALARMS CoDE MESSAGE POSSIBLE CAUSE CORRECTIVE ACTION E100 Unrecognized Attempting to use unrecognized Turn off or insert recognized cassette cassette cassette E101 No Action Alarm Pump programming Press START or continue incomplete programming E102 Infuser Idle 2 Pump is ON without operator Begin programming or turn pump Minutes input OFF E103 Memory Failure The pump did not accept the Re enter all programmed data previous programmed data E230 Prox Air When the total proximal air Check for clamps or empty Backprime detected exceeds the limit containers on line A or B Correct Distal Occlusion as necessary Backprime into line B tubing or syringe Check distal tubing check IV site reset pressure limit Note See Section 8 8 for detailed instructions for avoiding a bolus following a distal occlusion E187 Neg Distal Pump too high above patient or Lower pump or replace set Occlusion defective set E183 Prox Occl At Proximal line obstructed line A Examine line A or B for kinks or E185 Startup or B container disconnected or closed clamps Open and close clamp Continue programming Distal line kinked IV site clotted or positional pressure limit set too low obstructed during non delivery door then immediately open Replace set if problem persists startup Note If clamps are not opened prior to complet
24. Programmed Note Whenever a valid START key is pressed the device checks the delivery program s for non delivery conditions such as Line B Piggyback without Line A or delayed start that could permit a period of non delivery If so the display presents this warning screen PROGRAM B Wand Active Attention Line A is stopped or delayed Line B in piggyback mode gives no KVO or alarm at dose end 1 Press A Yes to continue with delivery Or press A No to cancel Continue anyway fa 430 95226 001 Rev 5 01 4 26 Plum A Infusion Pump SECTION 5 Ther apies For Advanced Users Advanced users are those who have received additional training on programming and use of functions Allows programming Dose Rates in alternative units of measure Dose Calculation can be used in Simple Delivery Loading Dose and Multistep Dose Calculation Loading Dose Allows programming of an initial infusion rate for a specific volume followed automatically by a maintenance rate from the same container e g a fluid challenge If Dose Calc is used the Loading Dose and Maintenance Dose are in the same unit of measure over the same period of time mcg min from the same container Allows a sequential program to deliver up to 10 steps fluid volumes and delivery rates may be programmed for each step The program may be entered based on Rate and Volume or Volume and Time If Dose Ca
25. R CLOCKWISE G OPEN DOOR amp REMOVE CASSETTE NOTE CASSETTE SHOULD BE NOTE FLOW REGULATOR CLOSES AUTOMATICALLY WHEN DOOR IS OPENED IN UPRIGHT POSITION TO PREVENT ACCIDENTAL FREE FLOW NOTE IF DOOR OPEN ALARM OCCURS TURN PUMP OFF 3 4 DISCONTINUING FLUID ADMINISTRATION PRESS STOP DISCARD SET AND FLUID EL nee CONTAINER PER HOSPITAL OPEN DOOR REMOVE CASSETTE PROCEDURE 430 95226 001 Rev 5 01 3 8 Plum A Infusion Pump SECTION 4 Basic Operation Line A Flow Indicator Line B Flow Indicator a A A A Status Region J Status Region MORINA Regione ge Working Region lt LCD _ Softkeys Numeric Keys Start and Stop Keys DA 3 F N UP LEFT ee ED 4 5 6 L gn Selection Key GET Dk aur D 9 yw DOWN RIGHT ON OFF Key 23 e O amp Silence Key ha ENS Decimal Point Key Numeric Field Clear Key Basic Layout of Front Panel Display and Keypad 41 GETTING STARTED This section details the Plum A instrument setup procedures SYSTEM SELF TESTS CAUTION Do NOT PLACE THE PLUM A IN SERVICE IF IT FAILS THE SYSTEM SELF TESTS Connect the mains cord to mains power then confirm that the Charging Line indicator illuminates above the ON OFF key on the front panel gg 4 1 430 95226 001 Rev 5 01 eg Basic Operation A systematic self testing of the processing delivery and safety systems is performed whenever the Plum A is turned o
26. START to initiate new Rate and return to the Main Delivery Screen Note Volume Infused is an incrementing value which is cleared in A Options Vol Inf THE FOLLOWING 3 SCREENS ARE EXAMPLES OF CHANGED VALUES EXAMPLE OF CHANGED RATE 4 From the Main Delivery Screen press A A 5 Use keypad to change the RATE value Note The display time is only accurate to one minute As shown in this example the delivery shows 3 hours and 20 minutes not 3 minutes and 20 seconds Note START accepts the change Delivery is changed to the new RATE and DURATION and display returns to Main Delivery Screen 4 10 Plum A Infusion Pump Hate 15 0 mL hr VTBI mL Duration 06 40 hr min Enter value using Keypad TTE Cancel Back Rate 150 mUhr VTBI 100 mL Duration 002g rmn System Operating Manual Titration EXAMPLE OF CHANGED VTBI VALUE 6 Use SELECT key to highlight the VTBI field 7 Use the keypad to change the VTBI value Note When the VTBI is changed the Duration is recomputed with respect to the current Rate To understand the Automatic Calculation feature see Section 4 7 Examples of Automatic Calculation Note START accepts the change Delivery is changed to the new VTBI and DURATION and display returns to Main Delivery Screen EXAMPLE OF CHANGED DURATION FIELD 8 Use SELECT to highlight the Duration field then use the keypad to change it s value Note When DURATION is chan
27. SToPPED S Rate 55 m 0 0 01 wm 0 0 mL Wand Active Mode Rate 0 0 muhr VTBI 0 0 mL Duration 00 00 hr min Change using Change Modo Program Change Therap Carcel Mode ajajaja L PROGRAM Te Loading Dose Multistep Select then Choose Select then Choose Oi Choose DOSE CALCULATION Allows programming Dose Rates in alternative units of measure Dose Calculation can be used in Simple Delivery Loading Dose and Multistep Clear ALL settings when changing patients or multiple programming parameters Use A Clear Program when changing ONLY Line A or B 1 Press A B at the Main Delivery screen The Line B Programming screen appears 2 Press A Therapy The Select Therapy screen for Line B appears The screen defaults to Dose Calculation or the previously selected option Note Dose Calculation is the only available therapy while Line B is running 3 Press A Choose to continue The Program Dose Calc screen appears Note The screen defaults to the mcg kg min option or the previously selected option Note Previously selected Drug Names and Delayed Start entries will be cleared if programmed prior to Therapy selection To reselect press A Program Options after selecting desired Therapy and Units System Operating Manual 5 5 430 95226 001 Rev 5 01 Therapies For Advanced Users 4 Continue to scroll using SELECT key until de
28. System 4 Operating f ABBOTT TM Manual For use with List 11971 04 15 0 fae 50 0 41 6 in 20 0 Abbott Laboratories North Chicago IL 60064 USA 430 95226 001 Rev 5 01 Contents SECTION 1 INTRODUCTION eissor Sa cela tices Sd dd us caren A pace one aan tere Re das ese A LESE UE 1 1 af PRODUCT A EE 1 1 1 2 CONVENTIONS 555 eresgeuedtet ett eee eae dee EEN Eege ECTS 1 2 Warnings Cautions and NOIBS denote isisisi sionin esiisa rassen eead 1 2 1 3 DEFINIDHIONS T 1 3 SECTION 2 DEVICE DESCRIPTION distet gege Eeer EE 2 1 DE FEATURES RU 2 1 Therapi s NER RET PR EE 2 1 Line Programming Opa ons stuet egene 2 1 PlumsSet Capabilities e eo eere nien UL ord eege 2 1 P Vidt i ur Tr MM E Sea sine eens saatudicea venctnstpuedelaneeisesaneaiow 2 1 TE E 2 2 Biom dical TT T 2 2 8 2 2 Other POAC ERROREM M EE ee AEA ERESSE 2 2 2 2 USER aiT et e 2 3 23 SYSTEM SELESTESTS EE 2 3 SECTION 3 INSTRUCTIONS FOR BE 3 1 Bl SETUP E 3 1 UPA TT 3 1 Tandem Carrier Instructions c sccccsesecesssccessceceaseceseseneessccesssncesssesonsensovenassosaeonsrsasate 3 2 3 2 ADMINISTRATION SETS EE 3 2 Preparing the Administration Set sees ona teen dr a ed pe S NOU I OE AM TRE A IH DES 3 3 Priming the Administration Set E 3 4 Loading the Cassette 25 disi peces de ier iaaiaee daens a EAAS deeg 3 5 Preparing the Secondary Lane Seeerei 3 6 3 3 DISCONTINUING ELEC
29. TRONIC FLOW CONTROL amp SETTING GRAVITY FLOW asees sese 3 8 3 4 DISCONTINUING FLUID ADMINISTRATION EEN 3 8 iii 430 95226 001 Rev 5 01 nnn Contents gegen SECTION 4 BASIC OPERA LION EE 4 1 4 1 GETTING STARTED TTT 4 1 System Self Tests sss saa sash don taie eee 4 1 Data Retention erre ener ennn nane nonne sente os op sess as sse t ota Fg e ane eter assent nasse 4 3 49 OPERATING KEYS olrnn e oaae a ienaa iS SEA 4 3 43 INDICATORS een iveececeote trace eti erbe eruca uuo Sniavosdesdes dousberaGecebcavenssecdustbtssvodeeseseenststueeedensuueteeeauazds 4 5 44 REAR CASE CONTROES i Decret rte een erae repe pe ve Vea chen aee eese erai oap Sees ps Re URP e KSE EE auae ages 4 5 4 5 POWER ON aeree Edge euet teeud teute ages ede Ee ees 4 7 4 6 SIMPLE DELIVERY sese 4 8 4 7 EXAMPLES OF AUTOMATIC CALCULATION eeseeeeeee nente e entes nenne nennen nnn nune been nenn nennen 4 0 AER hen ei 4 10 4 9 SIMPLE DELIVERY USING DRUG LIST sse seene 4 12 4 10 SIMPLE DELIVERY USING DELAYED START sees 4 14 4 11 PIGGYBACK DELIVERY cscsscsscsscscssssssssssseesccccccccceesecceesosscecesenssesssnecsssaccensscaeessseesnsoeoesess 4 15 4 12 PIGGYBACK WITH NURSE CALLBACK enee 4 17 4 13 CONCURRENT DELIVERY ccccccsssscssssssscsssscsscescescceccessscescccsenssesessnenessesescasseccensceseseaeenseesenaeesens 4 18 4 14 SELECT OPTION VOLUMES INFUSED PRESSURE POST INFUSION RATE AND LIGHTING CONTRAST
30. The screen displays the VTBI volume to be infused in integers when value is above 99 9 Any fraction of a milliliter delivered is not displayed but is retained in memory 8 3 Concurrent Flow DELIVERY RATE When delivering short half life critical drugs See Critical Drugs this section using the Plum A in the Concurrent mode the following delivery rate guidelines should be observed If the critical drug with half life less than 6 minutes is to be infused at less than 2 0 mL hr the other infusion should be no faster than 5 times the critical drug s rate Dopamine for example delivered at 1 5 mL hr should not be SE by an infusion programmed any faster than 7 5 mL hr If the critical drug with half life less than 6 minutes is to be infused at 2 0 to 5 0 mL hr the other infusion should be no faster than ten times the critical drug s rate Dopamine for example delivered at 3 5 ml hr should not be accompanied by an infusion programmed any faster than 35 mL hr Ifthe critical drug with half life less than 6 minutes is to be infused at 5 1 mL hr or greater the other infusion can be programmed at any desired rate Note The total of the primary rate plus the secondary rate cannot exceed 500 mL hr 430 95226 001 Rev 5 01 8 2 Plum A Infusion Pump Lee Epidural Administration ged Note These guidelines apply only when infusing short half life critical drugs in Concurrent mode Individual patient responses may vary requi
31. UU 1 0 Rae 0 0 mL hr 455 ant 0 0 mma 5 wm Vol Inf Ra 1o Fae 0 0 455 Yam 0 0 430 95226 001 Rev 5 01 herapies For Advanced Users After the first step has completed the Main Delivery Screen changes to the second step Note A flashing Callback Line A message and the audio alarm sound indicates activation of that option 20 The user should acknowledge the Callback message and stop the audio alarm by pressing SILENCE Upon completion of delivery the screen shows a flashing Line A VTBI complete message and the audible alarm sounds Note The KVO rate will change to the rate of 1 0 mL hr or less depending on delivery rate and Pumping mode changes to KVO If Continue Rate option was selected pumping continues at original rate 21 Press SILENCE to stop alarm sound Note Warning message continues to flash and audio alarm will return after a two minute period of silence unless delivery is stopped or VTBI of last line is changed 5 14 Plum A Infusion Pump eegene Multistep Programming 5 4 Multistep Programming MULTISTEP Allows a sequential program to deliver up to 10 steps fluid volumes and delivery rates may be programmed for each step The program may be entered based on Rate and Volume or Volume and Time If Dose Calc is used the delivery steps are in the same unit of measure
32. Use SELECT to highlight Callback field and press A Yes No if necessary to obtain Yes then press A Enter Delay Start for 00 00 hr min Callback Note Callback default of Yes or No is a biomedical setting and must Sms be configured as described in the Technical Service Manual Drug Cancel List Yes No Enter Back Change using Yes No CAUTION VERIFY RATE VTBI AND DURATION BEFORE PRESSING START PROGRAM 8 Wand Active Mode Piggyback Rate 200 mr VTBI mL Duration 00 30 hr min Enter value using keypad 3 Press START to confirm program setting and return to Main Delivery screen At end of Piggyback delivery with Callback enabled for the line Callback alarm is issued 5 5 Rae 100 mL hr 4 Press SILENCE to clear alarm 0 3 vant 50 0 System Operating Manual 4 17 430 95226 001 Rev 5 01 ee Basic Operation 4 13 Concurrent Delivery A PumPinc sToPPeD B Rate 5 5 mL hr 01 win 0 0 mL CONCURRENT DELIVERY Simultaneous delivery of two fluids at independent flow rates d CAUTION CONSULT DRUG LABELING TO CONFIRM DRUG COMPATIBILITY CONCENTRATION DELIVERY RATES AND VOLUME ARE ALL SUITABLE FOR CONCURRENT AND PIGGYBACK DELIVERY MODES SEE SECTION 8 FOR INFORMATION ON CONCURRENT FLOW SEE SECTION 9 FOR DELIVERY RATE RANGES Note In concurrent mode with certain alarm conditions one line may stop while the ot
33. amon 00 00 st Action 2ndAction AUTOCALC 1stAction 2nd Action AUTOCALC 1st Action 2nd Action AUTOCALC Enter RATE Enter VTBI DURATION Change RATE Keep VTB DURATION Enter VTBI Keep RATE DURATION AT STARTUP Enter Enter Enter VTBI DURATION RATE Change RATE Change VTB DURATION DURATION Keep RATE VTBI Enter RATE xU ON VTBI Change VTBI Keep RATE DURATION Change RATE Enter VTBI DURATION Change Enter DURATION Keep VTBI RATE DURATION Enter VTBI DURATION Change Enter Change VTBI DURATION RATE Enter VTBI DURATION RATE System Operating Manual 4 9 430 95226 001 Rev 5 01 Basic Operation 4 8 Titration A PUMPING PUMPING B 25 0 Rae 50 0 mL hr 41 0 al 20 0 REE munr VTBI 50 0 mL Duration 03 20 hrmin Enter value using keypad ITT A PUMPING PUMPING 8 15 0 Rate 50 0 mL hr 41 6 V 200 Rate mUhr VTBI Duration 03 20 hrmin 50 0 mL Enter value using keypad fan 430 95226 001 Rev 5 01 1 Select Line A A or A B at the Main Delivery Screen 2 Enter the desired Rate using the keypad Note When Rate is changed the duration is automatically recomputed using the current VTBI To understand the Automatic Calculation feature see Section 4 7 Examples of Automatic Calculation CAUTION VERIFY RATE VTBI AND DURATION BEFORE PRESSING START 3 After any change press
34. ar Code Reader for drug identification Optional e Nurse Call Relay Connector OPTIONS e Volumes Infused A B Total Volume e KVO at dose end 1 0 ml hr or less depending on delivery rate or Continue Rate CR to continue at the current rate e Variable Distal Pressure Settings OTHER FEATURES e Nonpulsatile volumetric accuracy e Microprocessor control Large liquid crystal display LCD screen Panel back illumination on mains power e Lockout switch e Standard fullfill partfill syringe and vial use e Parenteral and nonparenteral enteral fluid delivery e Blood and blood products delivery e Wide range of Standard and Specialty administration sets H 1 430 95226 001 Rev 5 01 2 2 Plum A Infusion Pump User Qualification 2 2 User Qualification The Plum A is intended for use at the direction or under the supervision of licensed physicians or certified healthcare professionals who are trained in the use of the pump and the administration of parenteral enteral and epidural fluids and drugs and whole blood or red blood cell components The training should emphasize preventing related IV complications including appropriate precautions to prevent accidental infusion of air The epidural route can be used to provide anesthesia or analgesia WARNING ADMINISTER ONLY ANESTHETICS ANALGESICS APPROVED FOR EPIDURAL ADMINISTRATION AS INDICATED OR ALLOWED BY THE DRUGS FDA APPROVED LABELING EP
35. ation 00 00 hrmin Rate Enter value using keypad DUU Program Enter value using keypad Lit Program Cancel Back Options Dose Calc mcg kg min on A 9 Continue to enter values using the keypad and advancing to the next field using SELECT Note As the Dose value is entered the Rate is automatically calculated To understand the Automatic Calculation feature see Section 4 7 Examples of Automatic Calculation 10 Use SELECT to scroll down to the VTBI field 11 Enter a value for VTBI using the keypad Note As the VTBI value is entered or changes Duration is automatically updated Note The A Program Options path to setting Delayed Start or assigning a drug name from the internal list functions exactly as described in Basic Operation for the Simple Delivery in Section 4 CAUTION VERIFY DOSE RATE VTBI AND DURATION BEFORE PRESSING START 12 After entering the desired VTBI value and any desired A Program Options press START to begin infusion System Operating Manual 5 3 430 95226 001 Rev 5 01 Therapies For Advanced Users The Main Delivery Screen appears to display the information just entered POMPING STOPPED amine Rate mL hr Note The Therapy Type is displayed as well as the Dose Rate and Dose Units H Vol inf mL 430 95226 001 Rev 5 01 5 4 Plum A Infusion Pump Dose Calc mg hr on B 5 2 Dose Calc mg hr on B A PUMPING
36. ator attempts a non acceptable input such as an invalid key press Flow Rate The resulting rate of fluid flow KVO Keep Vein Delivery of fluid at a slow rate in order to prevent occluding the patient Open catheter Line A Cassette Inlet line on the top center of the cassette when looking at the cas sette from the front of the Device Line B Cassette Inlet line on the top right of the cassette when looking at the cas sette from the front of the Device Malfunction Failure of the device to pass internal integrity or performance tests Piggyback The mode where line B delivers first followed by line A Pressure Post Selected using A Options Vol Inf this mode is used to set KVO Rate and Dis Infusion Rate tal Pressure Limit It is also used to view Distal Pressure in real time Units A pre determined delivery quantity adopted as a standard of measure VTBI Volume To Be Infused The amount of fluid remaining to be delivered to the patient Warning An indication to advise the operator a Of a possibly hazardous condition such as a Low Battery warning b That an attempt has been made to use a function in the wrong sequence with the wrong values or at the wrong time such as an Invalid Key Warn ing c That a function has been initiated in the proper manner such as a Valid Key Warning System Operating Manual 1 3 430 95226 001 Rev 5 01 SECTION 2 Device Description E 2 1 Features The Plum A is a
37. ay Connector for providing remote notification of a nurse call event The RS 232 DataPort is used to interface with a host computer Note Do not operate while infusing Barcode Wand optional is used to scan desired drug names from provided list It plugs into the Barcode Wand Port located in the back of the pump a een 430 95226 001 Rev 5 01 4 6 Plum A Infusion Pump Power On 4 5 Power On 1 Press ON OFF to turn on the Plum A and you will see the System Self Tests screen ABBOTT Plum A Version X XX Copyright Abbott Laboratories 2001 CAUTION THE PUMP MUST BE INITIALLY STARTED ON AC POWER OTHERWISE THE DATAPORT MAY NOT OPERATE PROPERLY System Self Test P After self testing successfully completes the display will proceed to the next screen Note If battery is missing or defective a Battery not installed message with a Continue without battery prompt will appear AC power only CAUTION DO NOT OPERATE THE PLUM A ON PATIENTS WITH THE BATTERY REMOVED USE OF A PROPERLY MAINTAINED AND CHARGED BATTERY HELPS CONFIRM PROPER OPERATION 2 To set up the Plum A insert selected Plum Set and close cassette holder door lever SETUP insert PLUM Set Note If cassette is already inserted this screen is skipped Example of Clear Settings Screen 3 The on screen message Clear Settings may appear Press A Yes to clear all settings
38. de Reader Available as a Field Installed Infuser Option List 1 1972 04 01 e Tandem Carrier List 12270 01 BENED UUMMUMMAMM M ng OCHOMEBSEEEMESEEESUDUSDNUGNHSUSDUSECEEEECELELLELELTLIEEIELLEITETIITTITEELTECTIISCCELL E E T LE 10 1 430 95226 001 Rev 5 01
39. e pump a MO DBA OO UD MDEGESESMGEGOUGBBEGSUs XEBE ELTEECEZEEIETL CIC CECELETECF T TETLCEELLEEELLLEZLTE E T ZZ 430 95226 001 Rev 5 01 6 4 Plum A Infusion Pump SECTION 7 Maintenance and Storage 7 1 Cleaning Maintenance and Storage The cleaning maintenance and storage of the Plum A are described in this section CLEANING AND SANITIZING For proper maintenance of the Plum A observe the following cleaning and sanitizing guidelines Establish a routine weekly schedule for cleaning the Plum A To clean the Plum A proceed as follows Turn the Plum A off with the ON OFF switch then disconnect the Plum A from mains power The exposed surfaces of the Plum A may be cleaned with a lint free cloth dampened by one of the recommended cleaning solutions in the following list or mild nonabrasive soapy water CLEANING SOLUTION MANUFACTURER PREPARATION Super Edisonite S M Edison Co Per manufacturer s recommendation Vesphene II se Calgon Vestal Laboratories Per manufacturer s recommendation Manu Klenz Calgon Vestal Laboratories Per manufacturer s recommendation Formula C Diversey Corporation Per manufacturer s recommendation Coverage MHBV Steris Corporation A division Per manufacturer s of Calgon Vestal Laboratories recommendation Sporicidin Sporicidin International Per manufacturer s recommendation Household bleach Various Per hospital procedures do not exceed on
40. e Fluid flow is at maximum rate possible 3 Upon release of A Back Prime the cassette test is performed to confirm readiness for pumping Pressing START will resume programmed delivery 4 18 Clearing Program Settings A PUMPING STOPPED B 1 Press STOP at the Main Delivery Screen R 5 5 miT br 0 0 Clear ALL settings when changing patients or multiple programming parameters 0 1 Vol Inf 0 0 mL Use A Clear Program when changing ONLY Line A or B Kee System Operating Manual 4 25 430 95226 001 Rev 5 01 Basic Operation 2 Select Line A or B if active from the stopped Main Delivery Screen Rate mL hr VTBI 22 0 mL Duration 03 20 hr min 3 Select A Clear Program Note IfLine A or B is programmed with a Therapy i e Dose Calculation Rate VTBI and Duration will not display values The values to be cleared may be viewed in applicable programming screen under A Therapy Enter value using keypad 4 Select A Yes Clear ALL settings when changing patients or multiple programming parameters Use A Clear Program when changing ONLY Line A Yes clears ALL settings LITE or B Example screen of Cleared Program 5 Press Cancel Back to return to the Main Delivery screen or program new settings Duration 00 00 hr min Enter value using keypad LILLIT Program Cancel Options Back 4 19 Possible Non Delivery
41. e part bleach in ten parts water On a routine basis clean all of the elements behind the cassette door using cotton tipped swabs saturated with cleaning solution The cassette door may be unlatched from the door handle to facilitate cleaning To unlatch the cassette door from its handle tilt the device back open the cassette door then push the door release tab to open the door fully e 7 1 430 95226 001 Rev 5 01 EE Maintenance and Storage CAUTION To AVOID MECHANICAL OR ELECTRONIC DAMAGE DO NOT IMMERSE THE PLUM A IN ANY FLUIDS OR CLEANING SOLUTIONS CAUTION CERTAIN CLEANING AND SANITIZING SOLUTIONS MAY SLOWLY DEGRADE COMPONENTS MADE FROM SOME PLASTIC MATERIALS USING ABRASIVE CLEANERS OR CLEANING SOLUTIONS NOT RECOMMENDED BY ABBOTT LABORATORIES MAY RESULT IN PRODUCT DAMAGE Do NOT USE COMPOUNDS CONTAINING COMBINATIONS OF ISOPROPYL ALCOHOL AND DIMETHYL BENZYL AMMONIUM CHLORIDE CAUTION NEVER USE SHARP OBJECTS SUCH AS FINGERNAILS PAPER CLIPS OR NEEDLES TO CLEAN ANY PART OF THE PLUM A CAUTION DO NOT STERILIZE BY HEAT STEAM ETHYLENE OXIDE ETO OR RADIATION CAUTION TO AVOID PUMP DAMAGE CLEANING SOLUTIONS SHOULD ONLY BE USED AS DIRECTED THE DISINFECTING PROPERTIES OF CLEANING SOLUTIONS VARY CONSULT THE MANUFACTURER FOR SPECIFIC INFORMATION BATTERY MAINTENANCE CAUTION DO NOT OPERATE THE PLUM A ON PATIENTS WITH THE BATTERY REMOVED USE OF A PROPERLY MAINTAINED AND CHARGED BATTERY
42. e set of desired values for Step 2 of the program Continue process for each additional Step Note When Step 4 is programmed using SELECT to advance will highlight another item on this screen 18 When Step 4 is programmed press A More Steps to program up to 10 Steps Note Using SELECT will not advance you to the additional steps 19 To set up Steps 5 through 10 enter desired values as for Steps 1 through 4 20 To see the previous steps press A Prev Steps 21 To program a Delay Start Time or set up a Nurse Callback for this program press A Program Options 22 Enter a value using the keypad You can choose Drug Name Callback or Delay Start as previously shown 23 Press A Enter to accept the changes gg 430 95226 001 Rev 5 01 5 18 Plum A Infusion Pump DENARNA Rat 20 Pn 0 0 Vol Int mL Step 3 Rate 2 5 mL hr 875 wan Qo Multistep Programming CAUTION VERIFY DOSE RATE VTBI AND DURATION BEFORE PRESSING START 24 Press START to begin the delivery The Main Delivery Screen displays Step 1 in the upper left corner Note In units other than mL hr the Dose rate and units also will be displayed Example of Multistep Screen Pumping on Step 3 25 To change a program parameter while pumping press A A Note The ina Step number field indicates the step is delivering or d indicates each completed step 26 Enter a value using the ke
43. e the cassette door Open all clamps and resume infusion System Operating Manual 8 5 430 95226 001 Rev 5 01 SECTION 9 Specifications PHYSICAL Dimensions Weight Casing ELECTRICAL Power Requirements Fuses Power Cord Battery Battery Life Recharge Electrical Leakage NURSE CALL System Circuitry Ratings VTBI RANGE VTBI Range Approximately 8 X 8 X 6 excluding pole clamp protrusion and power cord storage Approximately 9 5 Ibs with battery High impact plastic 120 V 50 60 Hz 35 VA F1 F2 250V 0 5 A internal Hospital grade AC cord 10 ft long with transparent plug and retainer plate One sealed lead acid rechargeable 6 V battery internal to device With a new fully charged battery the infuser shall operate for a minimum of six hours at 125 mL hr or less or deliver 500 mL at 126 mL hr or greater on one line The battery charges whenever the Plum A is connected to AC power The recharge time is approximately six hours with the device operating at 125 mL hr on one line Risk current limits meet AAMI ANSI SCL ungrounded 12 78 standard NURSE CALL alarm is factory set for Normally Open NO Note Contact the Technical Services Center to make an internal adjustment to change the device from Normally Open NO to Normally Closed NC system Voltage 30 VDC Max Current 0 25 Amps Max Contact Rating 3 Watts Max 0 1 to 99 9 mL in 0 1 mL
44. ed and programming option selections are restored to their default selections for next use 4 2 Operating Keys The ON OFF key is used to control the power of the E Plum A 0 N l 1 EE Note All deliveries must be stopped in order to turn the power off Note To confirm proper shutdown of pump do not unplug until double beep is heard approximately 5 seconds If double beep is not heard the pump will turn itself back on thinking the AC power was lost and revert to battery back up power The START key is used to begin infusion and as final confirmation of programming The STOP key is used to stop the current delivery on one line used in conjunction with soft keys to stop delivery on both lines The SILENCE key is used to silence an audible alarm during actions to correct its cause SILENCE System Operating Manual 4 3 430 95226 001 Rev 5 01 Basic Operation The SELECT key is used to move the highlighting cursor between the programming fields The numeric keys are used to enter values for any highlighted field requiring numeric data The CLEAR key will cause a highlighted numeric field to be cleared in preparation for data entry The DECIMAL POINT key is used to manually enter numbers other than whole numbers i e 1 2 mL Softkeys are located at the bottom of the main display and serve a variety of functions What each key does is indicated by the text in the displa
45. ervation Interval minutes 1 ML HR 0 mm Hg DELIVERY HEAD 96 HOURS Composite of 3 Pumps 15 0 i l gt 10 0 i SCH SC 5 50 1 5 Ul 0 0 i H 5 D 5 0 4 l I i o i A 10 0 4 i i i 46 0 S D 5 10 15 20 25 30 Observation Interval minutes Max Min Mean E System Operating Manual 9 9 430 95226 001 Rev 5 01 SECTION 10 Supplies and Accessories 10 1 Administration Fluids ADMINISTRATION FLUIDS e All parenteral fluids e Whole Blood e Blood fractions ENTERAL AND HIGH VISCOSITY FLUIDS e Dextrose 2096 to 5096 concentration e Isomil Powder e Similac Powder e Ensure plus HN e TwoCal HN Packed red cells CONTAINERS e Dual Chamber Parenteral flexible container Nutrimix Large Volume Parenteral flexible plastic containers including premixed e Large Volume Parenteral glass containers including premixed and nutritional e Part Fill Parenteral flexible plastic containers including ADD Vantage e Part Fill Parenteral glass containers e Small Volume Parenterals e Syringes vials includes part fills may require special adapters e Top Filled Enteral bags e Ready to hang Enteral solution containers 10 2 Accessories e Syringe Adaptor List 11986 48 e Vial Adaptor List 11884 48 e Mini Pole List 12096 04 01 e Secondary Container Support List 12095 04 01 K e Bar Co
46. ged RATE is automatically recomputed using the current VTBI value To understand the Automatic Calculation feature see Section 4 7 Examples of Automatic Calculation Note START accepts the change Delivery is changed to the new DURATION and RATE and display returns to Main Delivery Screen CAUTION VERIFY RATE VTBI AND DURATION BEFORE PRESSING START 4 11 430 95226 001 Rev 5 01 Basic Operation 4 9 Simple Delivery using Drug List A STOPPED STOPPED B 1 Select Line A A or A B at the Main Delivery Screen 0 0 fe 0 0 mL hr 0 0 Note To select a Drug Name using a Therapy i e Dose Calc you must first select which line you want A or B next select A Therapy and then A Program Options If you select a Drug Name first it will be cleared upon entry in Therapy mode Vol Inf mL The Line A Programming Screen appears Rate EDD mur 2 Enter a RATE using the keypad VTBI 0 0 mL m Duration 00 00 hrmin 3 Use SELECT to highlight the VTBI field and enter a value The Duration will be automatically calculated Enter value using keypad HIH 4 Before or after entering the simple delivery program press A Program Options 5 0 mL hr VTBI mL Duration 50 00 hr min The Default screen for Program Options appears 5 Press A Drug List Delay Start for 00 hrmin Callback No Enter value using keypad ITU 430 95226 001 Rev 5 01 4 12 Plum A Infusion Pump
47. her line may continue to deliver 1 With pumping started on line A to program a Concurrent delivery rate press A B The Delivery Mode field is highlighted Note Ifanentry was previously programmed RATE is highlighted If no previous entries MODE is highlighted Mode REMES Hate 0 0 muhr VTBI Dome 2 If field reads Piggyback press A Change Mode to switch to Concurrent Duration 00 00 hr min Change using Change Mode OT Change Therapy Cancel Mode EM Back Note Upon entry to this screen and to all lower screens from here the Barcode Reader BCR is enabled as indicated by Wand Active when attached to the Plum A To use the BCR swipe tip of BCRwand across entire barcode from dot to dot on the Abbott supplied drug rs SE The drug name also can be selected using A Program tions Verify change to Concurrent mode Mode 3 Use SELECT to highlight Rate field Rate 0 0 mL hr VTBI 0 0 mL Duration 00 00 hrmin Change using Change Mode LU Program Change Cancel SE re M 430 95226 001 Rev 5 01 4 18 Plum A Infusion Pump rr Concurrent Delivery 4 To enter delivery rate use numeric keypad PROGRAM B Wand Active Mode Concurrent Note When Rate for Line A plus Rate for Line B is greater than valid Hate RD mn rate ranges a Concurrency violation message will explain why VTBI 0 0 mL second line did not start See Sectio
48. ing START it cannot be changed while line is infusing The line must be stopped and the Dose Calc screen entered before it can EX EX EX be changed System Operating Manual 5 7 430 95226 001 Rev 5 01 Therapies For Advanced Users CAUTION Verry DOSE RATE VTBI AND DURATION BEFORE PRESSING START ATPOMPING PUMPING Dose GE Rat 10 Dee 0 5 15 Press START to confirm entries and return to the Main Vol int Delivery screen v mL 5 0 3 4 A4A5 4 R R AA M 2 SD TO 430 95226 001 Rev 5 01 5 8 Plum A Infusion Pump Loading Dose 5 3 Loading Dose LOADING DOSE Allows programming of an initial infusion rate for a specific volume followed automatically by a maintenance rate from the same container e g a fluid challenge If Dose Calc is used the Loading Dose and Maintenance Dose are in the same unit of measure over the same period of time mcg min from the same container a STOPPED STOPPED B Rate mL hr 0 0 SO Clear ALL settings when changing patients or multiple programming parameters Use A Clear Program when changing ONLY Line A or B 1 Select A A or A B at the Main Delivery screen The selected Line A or B Programming screen appears Rate RIR mur 2 Press A Therapy VTBI 0 0 mL Duration 00 00 hr min The Select Therapy screen for Line A or
49. ion of cassette test peak proximal occlusion may recur Remove and reprime cassette E233 Distal Air When air is detected at the E234 distal sensor and exceeds the using standard technique limit Door open while Pump door opened while Close door with cassette pumping operating inserted 430 95226 001 Rev 5 01 6 2 Plum A Infusion Pump CopE MESSAGE PossIBLE CAUSE Cassette Test Faulty cassette proximal or Failure distal occlusion or air in cassette detected at start up E252 Depleted Battery Too much time on battery power Response to Alarms CORRECTIVE ACTION Check clamps manually reprime set close door Backprime into line B tubing or syringe if appropriate If alarm recurs on retest r place set If alarm repeats replace pump Plug into AC power E253 Lockout Violation The use of the STOP keyduring Unlock lockout switch delivery oropeningthedoor while lockout is enabled E254 Lockout Enabled Pressing ofanykey except STOP duringdeliverywhileanyalarmis active and lockout is enabled LINE A ALARMS CopE MESSAGE POSSIBLE CAUSE E105 Callback Line A Alarm programmed by user Change in delivery for Loading Dose to Maintenance Step or for any step in Multistep therapy provided the step is not the last step E161 Line A VTBI VTBI complete on line A complete Prox Occl A Proximal line obstructed line A Examine line A for kinks or container disco
50. lc is used the delivery steps are in the same unit of measure over the same period of time from the same container Multistep 5 1 Dose Calc mcg kg min on A DOSE CALCULATION Allows programming Dose Rates in alternative units of measure Dose Calculation can be used in Simple Delivery Loading Dose and Multistep A STOPPED STOPPED 8 R Oo Do 0 0 Vol Inf Qo on Qo Clear ALL settings when changing patients or multiple programming parameters Use A Clear Program when changing ONLY Line A or B l 1 Press A A at the Main Delivery Screen The Line A Programming screen appears Wand Active Hate BEN mnr VIR 0 0 mL 2 Press A Therapy Duration 00 00 hr min Enter value using keypad 5 1 430 95226 001 Rev 5 01 Therapies For Advanced Users Wand Active Dose Calculation Loading Dose Multistep Select then Choose Select then Choose OM Choose Program Dose Calc Drug Conc in Container meg Select then Choose UI Choose Back Program Dose Calc Wand Active 250 mL Conc 400 mg Weight RES kg Dose 0 000 mcg kg min VIR 0 0 mL Duration 00 00 Armin Rate 0 0 mLhr Enter value using keypad Program Options FE Cancel Back 430 95226 001 Rev 5 01 The Select Therapy screen for Line A appears Note Dose Calculation is the only available option if
51. limited to General Floor Labor Delivery Post Partum Burn Unit Medical Surgical OR Anesthesia Hemodialysis ICU CCU Post Op Recovery Oncology Pediatrics Cardiac Cath Lab Mobile Intensive Care Neonatolgy Emergency Nutritional M D m uem r rtHsssss 1 1 430 95226 001 Rev 5 01 mg Introduction EE 1 2 Conventions This section describes the conventions used throughout this manual as follows Convention Application Example Italic Reference to a section figure or table See Figure 3 1 Priming Cassette Function or mode specific instructions Primary Only Attach an empty container ALL CAPS Keys or touchswitches on the device START are described all caps in brackets j A italic Softkey Options A Choose Initial Caps lowercase Screen displays and device labels as Therapy appropriate ppropriate Dose Calculation Bold Emphasis O O Sets are supplied Sterile and are for WARNINGS CAUTIONS AND NOTES Alert messages used throughout this manual are described below Pay particular attention to these messages WARNING A WARNING MESSAGE CONTAINS SPECIAL SAFETY EMPHASIS AND MUST BE OBSERVED AT ALL TIMES FAILURE TO OBSERVE A WARNING MESSAGE IS POTENTIALLY LIFE THREATENING CAUTION A CAUTION USUALLY APPEARS IN FRONT OF A PROCEDURE OR STATEMENT IT CONTAINS INFORMATION T
52. mm Hg DELIVERY HEAD 96 HOURS Composite of 3 Pumps 45 0 m 10 0 x te 5 0 o SSS SS m UI 0 0 EE S 9 5 0 a 10 0 15 0 JE D 5 10 15 20 25 30 Observation Interval minutes Ae System Operating Manual 9 7 430 95226 001 Rev 5 01 rc EE Specifications ML HR 0 mm Hg DELIVERY HEAD START UP Typical Rate ml hr 10 15 096 cg 10 09 9 K 5 0 0 0 5 0 Percent Erro 10 0 15 0 0 15 0 10 0 5 0 0 0 5 0 Ze SC he o c ui c o o Li o a 10 0 15 0 eeng 1 20 30 40 50 60 70 80 90 100 110 120 Time minutes Actual Rate Programmed Rate 1 ML HR 0 mm Hg DELIVERY HEAD START UP Typical 10 15 20 Observation Interval minutes 1 ML HR 0 mm Hg DELIVERY HEAD STARTUP Composite of 3 Pumps 0 10 15 20 Observation Interval minutes NNNM D DM LLL n s n nnn c 430 95226 001 Rev 5 01 Plum A Infusion Pump eg Specifications 1 ML HR 0 mm Hg DELIVERY HEAD 96 HOURS Typical Rate ml hr Time minutes Actual Rate Programmed Rate 1 MUHR 0 mm Hg DELIVERY HEAD 96 HOURS Typical 15 0 SS 10 0 5 5 0 c W 0 0 qe o a d e 10 0 15 0 0 5 10 15 20 25 30 Obs
53. n to verify readiness for operation Note Ifthe quality of earth grounding source is in doubt use battery power Press the ON OFF key to turn the power on Check screen display and listen for a beep to indicate the audio is working Wait for the self tests to complete If successful put a fully primed macro cassette into the cassette door and close the door See Loading Cassette in Section 3 for details of correct procedure When the Charging Line indicator is off and the battery symbol on the display is flashing this indicates that the Plum A is operating on low battery power and should be recharged CAUTION Do NOT OPERATE THE PLUM A ON PATIENTS WITH THE BATTERY REMOVED UsE OF A PROPERLY MAINTAINED AND CHARGED BATTERY HELPS CONFIRM PROPER OPERATION To confirm battery is fully charged connect the Plum A to AC power for a minimum of six hours while in the OFF mode If an alarm occurs during the power on self test identify the alarm message then take corrective action see Section 6 Alarms and Troubleshooting Start pump If the self test alarm recurs remove the Plum A from service and contact the local Abbott Laboratories representative meng 430 95226 001 Rev 5 01 4 2 Plum A Infusion Pump Operating Keys DATA RETENTION Delivery program settings and programming option selections are retained in non volatile memory If the Plum A has been turned off for longer than four hours all delivery settings are clear
54. n 9 for valid delivery rate ranges Note Concurrency violation may not be displayed if unit is displaying VTBI Complete The device will not start and an invalid keypress sound will occur when START is pressed Duration 00 00 hr min Enter value using keypad Program 5 Use SELECT key to move down to the VTBI field 6 To enter VTBI amount use keypad Note While the VTBlis being entered the duration is automatically computed While the computed value is greater than 99 59 dashes appear in place of hours To understand the Automatic Calculation feature see Section 4 7 Examples of Automatic Calculation Mode Concurrent Rate 10 0 mL hr VTBI 100 mL Duration MSL OO nr min Enter value using keypad 7 Use SELECT key to move down to the DURATION field 8 Optional Enter values for desired hours and minutes Note When Duration is entered Rate is automatically computed CAUTION VERIFY RATE VTBI AND DURATION BEFORE PRESSING START 9 Press START to begin infusion and return to the Main Delivery screen Example of a concurrent delivery A PUMPING PUMPING B 5 5 Rae 10 0 mL hr 20 4 YA 10 e E System Operating Manual 4 19 430 95226 001 Rev 5 01 eg Basic Operation 4 14 Select Option Volumes Infused Pressure Post Infusion Rate and Lighting Contrast 1 To select Options Screen press A Options Vol Inf A Pumpin STOPPED 8 R 55 MA 0
55. ng started on Line A to program a Piggyback delivery press A B The Delivery Mode field is highlighted Note Ifanentry was previously programmed RATE is highlighted If no previous entries MODE is highlighted Mode Rate 0 0 mL hr VTBI 0 0 mL Duration 00 00 hr min Chanae using Change Mode 2 If field reads Concurrent press 4 Change Mode to switch to Piggyback 3 Press SELECT to highlight the RATE field Note Upon entry to this screen and to all lower screens from here the Barcode Reader BCR is enabled as indicated by Wand Active when attached to the Plum A To use the BCR swipe tip of BCR wand across entire barcode from dot to dot on the Abbott supplied drug list card The drug name also can be selected using A Program Options 4 To enter delivery rate use numeric keypad PROGRAM B Wand Active Mode Rete 0 0 mL hr VTBI 0 0 mL Duration 00 00 hr min 5 Use SELECT key to move down to the VTBI field Change using Change Mode LUC Program Change Therapy Cancel Mode Back K eg System Operating Manual 4 15 430 95226 001 Rev 5 01 Aen Basic Operation 6 To enter VIBI amount use keypad PROGRAM Wand Active Note While the VTBI is being entered the duration is automatically computed If the computed value is greater than 99 59 dashes appear in place of hours To understand the Automatic Calculati
56. nnect or obstruction Prox Air A When proximal air detected Backprime exceeds the limit for the line Unlock lockout switch CORRECTIVE ACTION Press SILENCE PN Program new VTBI closed clamps Check for clamps or empty container Correct as necessary Backprime into line B tubing or syringe System Operating Manual 430 95226 001 Rev 5 01 Alarms and Troubleshooting LINE B ALARMS CopE MESSAGE PossiBLE CAUSE CORRECTIVE ACTION E104 Callback Line B Alarm programmed by user Press SILENCE Change in delivery for k i piggyback delivery Loading Dose to Maintenance Step or for any step in Multistep therapy provided the step is not the last step E160 Line B VTBI VTBI complete on line B Program new VTBI complete E182 Prox Occl B Proximal line obstructed line B Examine line B for kinks or E188 container disconnected or closed clamps E189 obstructed Note Occlusion caused by empty container backprime into line B tubing or syringe Prox Air B When proximal air detected Check for clamps or empty Backprime exceeds the limit for the line container Correct as necessary Backprime into line B tubing or syringe a MALFUNCTIONS CODE MESSAGE POSSIBLE CAUSE CORRECTIVE ACTION E300or Malfunction A failure has occurred in the Record Malfunction error code higher pump s internal systems Pump must be turned OFF to clear malfunction If alarm malfunction repeats replac
57. ntervals of 2 5 11 19 and 31 minutes Trumpet Curve HOW to read a rumpe M Ee 430 95226 001 Rev 5 01 9 4 Plum A Infusion Pump SSS EE Specifications EXAMPLE From the Trumpet Curve Graph sample that follows find the 5 minute interval A at the horizontal axis and read the corresponding points B and C on the vertical axis The values are approximately 2 8 and 0 5 This means that at the rate of 25 mL hr the average maximum flow rate fluctuation for any 5 minute time interval dur ing the 2nd hour of operation was within the limits of 2 8 and 0 5 from the nominal rate The average delivery rate error over the entire 2nd hour was 1 6 D For other time intervals look at other points at the horizontal axis and determine corresponding limits as above 25 MUHR 0 mm Hg DELIVERY HEAD START UP 15 0 g b Max Positive Error over 5 RA Maay Minute Interval 2 8 T 5 0 CG 0 0 e 5 0 Max Negative Error over 5 e l Minute Interval 0 5 H 10 0 Average Delivery Rate Error 1 6 15 0 H 0 5 10 15 20 25 30 Observation Interval minutes enee i m Max Min Mean A trained professional can use the resulting graphs to select a pump with the appropriate startup and flow characteristics to suit the clinical application Note As an example of how the trumpet curves can be used consider the maximum and minimum deviations at the 5 minute average interval The uppe
58. o more than 2 for variations in the range 15 to 28 inches A typical deviation under these conditions is 0 5 Concurrent Delivery Effect When both lines A amp B are delivering the ratio of delivery for the fluid with the lowest rate may be affected by as much as 5 for ratios up to 9 to 1 For higher ratios the absolute per centage of delivery for the lowest rate may be affected by no more than 0 5 When air is present in the bub ble trap the absolute percentage of delivery for the lowest rate may be affected by up to 2 0 When variations in container height are present the absolute percentage of delivery for the lowest rate may be affected by up to 2 5 for up to 24 inches of container height differences TRUMPET CURVES The Trumpet Curve Graphs following the Example show representative maximum and minimum percent flow rate deviation from the programmed rate over time This information was developed in accordance with IEC 60601 2 24 1998 Sub Clause 50 102 Refer to this standard for detailed information Lal irve Graph Refer to example on the following page The graphs following the Example plot flow rates at 30 second intervals for the first 2 hours and for the 96th hour of delivery The graph plots mean delivery rate error Average of 3 pumps for the 2nd hour and the 96th hour as a straight line The graph also presents maximum and minimum average delivery rate error for this interval plotted by averaging delivery errors over i
59. o 24 hours using Note Not available if a delivery is taking place on the line the callback feature 16 After selecting a desired value use SELECT to highlight 430 95226 001 Rev 5 01 5 12 Plum A Infusion Pump Program Options Wand Active Delay Start for 00 05 hr min Callback Change using Yes No Orug List Rate VTBI mLhr mu 1 500 55 0 2 20 0 Enter vatue using keypad Loading Dose 500 Jee 0 0 mL hr Vol Inf Qo Vr DO 50 0 Rate mL hr Vol inf 0 5 va Loading Dose 17 Select using A Yes No Callback changes from NO to YES Note Nurse Callback cannot be changed while a delivery is taking place on the line 18 Press A Enter to accept the changes Note A Cancel Back returns the fields to their original value and displays the previous screen CAUTION VERIFY DOSE RATE VTBI AND DURATION BEFORE PRESSING START 19 Press START to begin delivery The Main Delivery Screen appears Note The words DELAYED and Loading Dose appear in the upper dt corner These indicate the options which have been selected After the programmed delay period has expired the Plum A starts Pumping This is indicated where Delayed previously was displayed System Operating Manual 5 13 430 95226 001 Rey 5 01 T Maintenance Dose 20 0 BM 0 0 55 0 YAm 0 0 20 0 Fae 0 0 mL hr 55 0 V9 0 0 Callback Line A D
60. on Mode Piggyback Rate 200 mL hr VTBI mL feature see Section 4 7 Examples of Automatic Calculation Duration 00 30 hrmin Enter value using keypad DO EE 7 Use SELECT key to move down to the DURATION field Program Options 8 Optional Use keypad to change duration Wand Active Mode Piggyback When all parameters are displayed changing any one Rate 133 mir parameter will result in other parameters automatically VTBI 100 mL being computed Duration 00253 hr mi ration ERT CAUTION VERIFY RATE VTBI AND DURATION BEFORE Enter value using keypad D PRESSING START 9 Press START to begin infusion Note If Line A has a Delay Start remaining a message will appear warning of a possible non delivery see section 4 18 10 Press A Yes to continue Example of Main Delivery Screen just after being programmed and started A DELAYED PUMPING B 5 5 Jm 133 20 0 m een 430 95226 001 Rev 5 01 4 16 Plum A Infusion Pump eeneg Piggyback with Nurse Callback 4 12 Piggyback with Nurse Callback 1 Press A Program Options Wand Active Mode Piggyback Note To set a nurse callback the pump must be stopped This Rate 200 mL hr function can be selected either before or after entering the Piggyback VTBI mL delivery program Duration 00 30 hr min Program Options B The default screen for Program Options appears Wand Active 2
61. perate normally in the presence of most encountered electromagnetic interference EMI conditions In the event of extreme levels of interference such as encountered next to an electrosurgical generator it is possible that the normal operation of a sensor or microcomputer might be disrupted Even in this event the outcome would likely be a false alarm or detected system malfunction and would not result in a hazard to patient or operator Use of radio frequency emitting devices such as cellular telephones and 2 way radios in close proximity of this device may affect its operation E A A 8 2 Healthcare Professionals and Patient Related In vitro studies have suggested that packed red blood cells with unusually high hematocrit be diluted with blood compatible fluids such as 0 9 sodium chloride injection to decrease hemolysis and increase flow rate Setting the primary rate greater than the secondary rate will result in a more rapid infusion of any residual secondary drug remaining in the line and the cassette Consult drug labeling to confirm drug compatibility concentration delivery rates and volumes are all suitable for secondary concurrent and piggyback delivery modes eege 8 1 430 95226 001 Rev 5 01 Precautions Connecting more than one pump into one patient line may significantly affect the infusion rate of at least one of the pumps Arrange tubing cords and cables to minimize the risk of patient strangulation or en
62. ples of Automatic Calculation 10 After the values for the loading dose Step 1 are entered Weg use SELECT to highlight the maintenance dose Step 2 Note The loading dose therapy has two steps The first is the loading dose followed by the maintenance dose These words will appear on the Main Screen as each step is delivered 11 Enter the Rate using the keypad 12 Use SELECT to highlight the next programming field VTBI mL 55 0 System Operating Manual 5 11 430 95226 001 Rev 5 01 Therapies For Advanced Users Program Loading Dose Delay Start for Bo hr min Callback No Enter value using keypad HIE Delay Start for 001 hr min Callback No Enter value using keypad HILD Drug Cancel List Back ajajaja Wand Acii Delay Start for 00 05 hr min Callback Change using Yes No Drug List Yes No Cancel 13 Enter the desired VTBI using the keypad Note After the desired Rate and VTBI values are selected the Duration is automatically updated 14 Press A Program Options to enable setting a Delayed Start or to enable the Nurse Callback option Note Nurse Callback enables an alarm when a change in the delivery on a line occurs such as completing Step 1 and starting Step 2 Or on line B a piggyback delivery is completed and line A is starting its delivery the keypad 15 Enter a delay time less than or equal t
63. r curve provides the maximum expected delivery rate error over a 5 minute interval the lower curve provides the minimum expected delivery rate error over a 5 minute interval An example would be Dopemine administered at 5 pgm kg min At 5 minutes the average drug delivery error would be within the range of 2 8 and 0 5 of the expected nominal rate meneame SS SOMMMNNENENDEEEEXMESNEIILI IL DIEDCLELEELELTLICEED E LLLL CI D System Operating Manual 9 5 430 95226 001 Rev 5 01 re a D Specifications a 25 ML HR 0 mm Hg DELIVERY HEAD START UP Typical Rate ml hr 8 0 10 20 30 40 50 60 70 80 90 100 110 120 Time minutes Actual Rate _ Programmed Rate 25 ML HR 0 mm Hg DELIVERY HEAD START UP Typical 45 0 gt 10 0 5 0 0 0 5 0 Percent Error 10 0 Observation interval minutes 15 0 10 0 5 0 0 0 5 0 Percent Error 10 0 15 0 Observation Interval minutes gg 430 95226 001 Rev 5 01 9 6 Plum A Infusion Pump eg Specifications 25 ML HR 0 mm Hg DELIVERY HEAD 96 HOURS Typical Rate ml hr Time minutes Actual Rate Programmed Rate 25 ML HR 0 mm Hg DELIVERY HEAD 96 HOURS m Typical 9 10 0 5 0 g o UI 0 0 c F o Z 5 0 o Q 10 0 4 15 0 0 5 10 15 20 25 30 Observation Interval minutes 25 ML HR 0
64. ries sales office mg 430 95226 001 Rev 5 01 7 2 Plum A Infusion Pump SECTION 8 Precautions The Plum A has been designed and manufactured to be safe reliable and easy to use This section details precautions and possible hazards For safe operation of the Plum A observe the following precautions and hazards 8 1 Artifacts Nonhazardous low level electrical potentials are commonly observed when fluids are administered using infusion devices These potentials are well within accepted safety standards but may create artifacts on voltage sensing equipment such as ECG EMG and EEG machines These artifacts vary at a rate that is associated with the infusion rate If the monitoring machine is not operating correctly or has loose or defective connections to its sensing electrodes these artifacts may be accentuated so as to simulate actual physiological signals To determine if the abnormality in the monitoring equipment is caused by the infusion device instead of some other source in the environment set the infusion device so that it is temporarily not delivering fluid Disappearance of the abnormality indicates that it was probably caused by the electronic noise generated by the infusion device Proper setup and maintenance of the monitoring equipment should eliminate the artifact Refer to the appropriate monitoring equipment system documentation for setup and maintenance instructions The Plum A system is designed to o
65. ring adjustment of delivery rates Short Half life less than 6 minutes Critical Drug Infusion Rate MN 7 05 19mb Simes the Critical Drug Rate CRITICAL DRUGS Examples of drugs with a short half life approximately 6 minutes or less when given IV include Dobutamine eNitroglycerin Dopamine eNitroprusside Epinephrine eNorepinephrine Esmolol eOxytocin eIsoproterenol eProcainamide Lidocaine Trimethaphan For these drugs the concurrent flow guidelines should be followed when the infusion rate of the drug will be 5 mL hr or less Note This list of critical drugs is not intended to be all inclusive of critical drugs or drugs with a sbort half life The clinician should become familiar with the pharmacodynamics of any critical drug before administration This information is presented to inform clinicians of a rare situation that could be misinterpreted if they are unfamiliar with this phenomenon 8 4 Epidural Administration Recommended use of the epidural route is to provide anesthesia or analgesia for periods up to 96 hours This device can be used to administer only those anesthetics analgesics approved for epidural administration as indicated or allowed by the drugs FDA approved labeling Epidural administration of drugs other than those indicated for epidural use could result in serious injury to the patient For epidural administration the use of Abbott Laboratories catheter List No 1193 or List No 6947
66. rm there is no flow and no kinks appear in tubing Note If flow is observed close the tubing clamps and replace the administration set Note The administration set should be changed per CDC guidelines or healthcare provider policy Discard after use gg System Operating Manual 3 5 430 95226 001 Rev 5 01 eege instructions for Use PREPARING THE SECONDARY LINE CAUTION CONSULT THE DRUG LABELING TO CONFIRM DRUG COMPATIBILITY CONCENTRATION DELIVERY RATES AND VOLUMES ARE ALL SUITABLE FOR CONCURRENT DELIVERY OR PIGGYBACK DELIVERY SECONDARY FOLLOWED AUTOMATICALLY BY PRIMARY MODES The Plum A features concurrent or piggyback delivery modes when therapy requires administering more than one fluid In addition to standard containers the Plum A can use syringes or vials on the secondary port The secondary line can be prepared without removing or repriming the cassette Before preparing the secondary line observe the following guidelines e Review the backpriming function e Attach the secondary container using an 18 or 19 gauge 31 mm or shorter needle if the cassette secondary inlet port has a piercing reseal e Attach syringe adapter List 11986 48 to syringes smaller than 10 cc Syringes 10 cc or larger can be attached directly to the secondary port of the cassette e Syringes smaller than 3 cc should not be used e Attach a vial adapter List 11884 48 to the vial cap when using vials on the secondary
67. ry Using Delayed Start Wand Active 5 0 mL hr Rate VTBI mL Duration 50 00 hr min Enter value using keypad Program Options Wand Active Delay Start for Bo hr min Callback No Enter value using keypad FHE EJ uu ajajaja Delay Start for 00 hr min Enter value using keypad Drug Rate mL hr Val int mL 430 95226 001 Rev 5 01 1 Before or after entering the simple delivery program press A Program Options z Note To program a Delayed Start using a Therapy He Dose Calc you must first select which line you want A or B next select A Therapy and then A Program Options If you program the Delayed Start first it will be cleared upon entry into Therapy mode The Default screen for Program Options appears 2 Enter values for desired hours and or minutes 3 Press A Enter to confirm delayed start CAUTION VERIFY RATE VTBI AND DURATION BEFORE PRESSING START 4 Press START to confirm programming Line A is delayed for the time entered Note Delayed line drip indicator is solid not flashing It will begin flashing when actually pumping 4 14 Plum A Infusion Pump Piggyback Delivery 4 11 Piggyback Delivery PIGGYBACK DELIVERY Infusion will stop Line A and infuse Line B until VIBI completes Line A will automatically restart A PumPiNG STOPPED gl Ral bs M 0 0 Vol Inf mL 1 With pumpi
68. sired Note Use mains power whenever possible Store the Plum A connected to mains to confirm a fully charged battery for emergencies Note If the quality of earth grounding source is in doubt use battery power CAUTION THE PLUM A SYSTEM IS DESIGNED TO OPERATE NORMALLY IN THE PRESENCE OF MOST ENCOUNTERED ELECTROMAGNETIC INTERFERENCE EMI CONDITIONS IN THE EVENT OF EXTREME LEVELS OF INTERFERENCE SUCH AS ENCOUNTERED NEXT TO AN ELECTROSURGICAL GENERATOR CELLULAR TELEPHONES OR 2 WAY RADIOS IT IS POSSIBLE THAT THE NORMAL OPERATION OF A SENSOR OR MICROCOMPUTER MIGHT BE DISRUPTED OPERATION OF THE PUMP UNDER THESE CONDITIONS SHOULD BE AVOIDED gg 3 1 430 95226 001 Rev 5 01 Instructions for Use TANDEM CARRIER INSTRUCTIONS The Plum A may be safely and conveniently mounted on an IV stand or on a tandem carrier mounted on an IV stand Always mount the tandem carrier List 12270 0 1 to the pole before attaching the pump s to the tandem carrier Make sure tandem carrier clamp is attached firmly to pole Make sure pumps are firmly attached to tandem carrier 3 2 Administration Sets The Plum A is compatible with the wide range of LifeCare Plum series administration sets Become familiar with the set components before preparing the administration set Pnmary Line Secondary Inlet Port Capped Finger Grip Flow Regulator Patient Line Pumping Chamber Air Trap ee Sn 430 95226 001 Rev 5 01
69. sired field is Program Dose Cac 8 highlighted 5 When desired field mg hr in this oe is highlighted press A Choose Select then Choose IRE Eee CHUD The Container Concentration Sel ction screen appears whenever the selected Dose Units are gram based e g grams mg mcg or ng otherwise this screen is skipped Note Default choice for possible gram based Container Concentration Unit is mg or the previously selected option 6 Use SELECT key to highlight the Container Concentration units to use in the delivery 7 Press A Choose to continue The next page of the Program Dose Calc screen appears The screen defaults to Concentration Conc and a value must be entered to continue 8 Use keypad to enter desired values Once entered use SELECT to highlight the next field 9 To override the Piggyback Delivery Mode default scroll down to Mode using SELECT then press A Change Model Note Delivery Mode Option is available on Line B its default is Piggyback and the Weight field is gone p AAEUbCOULILAL LPAA A A 1u 430 95226 001 Rev 5 01 5 6 Plum A Infusion Pump Program Dose Calc D 100 mL 200 mg Concurrent 100 mghr 200 mg 100 mL Mode Concurrent Change using Change Mode DOT Dose Calculation Rate mL hr 0 5 Vol Inf 0 2 Morphine Conc mg
70. ssure Post Infusion Rate option Select then Choose TT OPTIONS B Pressure Post Infusion Rate 12 Press A Choose to continue Note Prior to changing Pressure Post Infusion Rate pump must be stopped 13 Use SELECT to highlight Continue Rate or Distal Pressure Limit field Continue Rate 8 d Distal Pressure Limit 50 psi 14 Continue Rate allows a choice when VTBI is completed Distal Pressure 0 0 psi Press A KVO Rate e KVO The pump will revert to a fixed KVO of 1 mL hr or the last pro grammed Rate whichever is less e Rate The pump will continue at the Rate programmed Note Option will be for both line A and line B selections Change using KVO Rate OO KVO Cancel Rate Back 15 To change Distal Pressure Limit when highlighted enter value between 1 0 and 15 0 psi 16 Press A Enter to keep changes and return to the Main Delivery screen or A Cancel Back to restore original values Options screen Note Continue Rate default of KVO or Rate is a biomedical setting and must be configured as described in the Technical Service Manual LL System Operating Manual 4 21 430 95226 001 Rev 5 01 eg Basic Operation 17 Select A Options Vol Inf from the Main Delivery screen to return to the Options screen Volumes Infused Pressure Post Infusion Rate Lighting Contrast Select then Choose 18 Use SELECT key to highlight Lighting Contras
71. t Option 19 Press A Choose to continue 20 Press SELECT key to highlight Backlight Intensity or Display Contrast OPTIONS Lighting Contrast Backlight Intensity g TTT Display Contrast MLL 21 While viewing display for desired effect press either A Increase Setting or A Decrease Setting to change level Pre 22 Press A Enter to keep change s and return to the EN Main Delivery screen or A Cancel Back to restore RAR ies previous settings and return to the Options screen LLL aaaea 430 95226 001 Rev 5 01 4 22 Plum A Infusion Pump AE Stop and Start with only 1 Line Pumping 4 15 Stop and Start with only I Line Pumping 1 Press STOP at the Main Delivery Screen 100 Fate 0 0 mL hr 8 5 Vol int 0 0 mL Note If A A or A B is pressed prior to STOP the line is stopped the display will show the programming screen Press 4 Cancel Back to return to the Main Delivery screen Example of STOPPED delivery 400 P 0 0 2 To discontinue infusion press ON OFF mL hr D 0 3 Clamp secondary tubing if connected 4 Open door remove set and close door Or press START to resume infusion 4 16 Stop and Start with Both Lines Pumping PUMPING PUMPING B 1 Press STOP at the Main Delivery Screen 25 0 Tex 50 0 mL hr Vol Inf 3 0 vs 20 4 System Operating Manual 4 23 430 95226 001 Rev 5 01 Basic
72. t of the fluid bolus that may be delivered when a distal line occlusion is released Use List 11986 48 syringe adapter when using syringes 10 cc or smaller on the secondary line Syringes must be larger than 3 cc Use a 19 gauge or larger needle or catheter at the venipuncture site for viscous fluids if operating at rates greater than 500 ml hr l See Section 10 for information on sets and accessories eege 430 95226 001 Rev 5 01 8 4 Plum A Infusion Pump Backpriming 8 7 Backpriming Backpriming is not recommended for reconstituting secondary containers containing dry powders To avoid pressurization when backpriming into a syringe or a vial the user must confirm that these containers have sufficient empty space to accept the backprimed fluid 8 8 General Possible explosion hazard exists if used in the presence of flammable anesthetics Do not place Plum A in service if it fails the self test Do not operate the Plum A with the case opened Keep the cassette door securely closed while the Plum A is not in use to avoid cassette door damage Use the following procedure to avoid the administration of a bolus following a distal occlusion If a secondary container is in use clamp proximal tubing before opening cassette door Open cassette door and remove the cassette Open the flow regulator briefly to dissipate the pressure and then close it Eliminate the source of occlusion Reinsert the cassette and clos
73. tanglement Before opening the door close clamp on the primary line or remove the secondary container from the secondary port to prevent mixing of primary and secondary fluids Although unlikely failure of certain robust mechanical components such as the anti free flow mechanism or valve control springs could cause fluid delivery limited to the contents of the fluid container Single fault failure of certain electronic motor control components would result in no more than 5 mL of unexpected fluid delivery A small amount of fluid is expelled from the set less than 0 05 ml each time the door is opened or closed with a set installed If potent drugs are being used take appropriate action to guard against overmedication of the patient Before disconnecting a syringe from the cassette pull up the plunger slightly to avoid spilling the fluid For rigid containers for example vials close the upper slide clamp open the cassette door then remove and invert the cassette ports down Air bubbles may form distal to the cassette as result of normal out gassing of dissolved air in the fluid This may occur if chilled solution is in use if the pump is mounted significantly above the patient or when using certain fluids known to routinely outgas In these cases an air eliminating filter may be used Repeated opening and closing of the door may defeat the proximal air in line alarm and may cause a distal air in line alarm requiring repriming
74. tion Select then Choose min 7 Press A Choose to continue or use SELECT to highlight another option 8 When desired field is highlighted press A Choose 9 The default field is the concentration field Conc Enter value using keypad Note The user must enter the concentration drug amount and diluent volume before any other entries 430 95226 001 Rev 5 01 5 16 Plum A Infusien Pump Program Multistep E BEN m Enter value using keypad Program Options Multistep Programming 10 Use SELECT to highlight the next programming field Diluent Amount 11 Enter value using keypad 12 Use SELECT to highlight the next field 13 Enter Dose using keypad Note The Rate value is automatically computed To understand the Automatic Calculation feature see Section 4 7 Examples of Automatic Calculation E 14 Use SELECT to highlight the Duration or VTBI field Note The VTBI value is automatically computed when the Duration value is entered If VTBI is entered the Duration value is automatically computed 15 Use SELECT to highlight the Rate field Note If Rate is changed Dose and Duration or VTBI are automatically re computed depending on the programming order System Operating Manual 5 17 430 95226 001 Rev 5 01 Therapies For Advanced Users 16 Use SELECT to scroll past the Rate The cursor will drop down to Step 2 Dose field 17 Enter th
75. ttached to the Plum A To use the BCR swipe tip of BCR wand across entire barcode from dot to dot on the Abbott supplied drug list card The drug name also can be selected using A Program Options 4 To enter VTBI amount use keypad Note Whilethe VTBl is being entered the duration is automatically computed If the computed value is greater than 99 59 dashes appear in place of hours 5 Use SELECT key to move down to the DURATION field 6 Use keypad to change the hours part of duration if desired Note When all parameters are displayed changing any one parameter will result in other parameters automatically being computed To understand the Automatic Calculation feature see Section 4 7 Examples of Automatic Calculation 7 Use SELECT to change from hours to minutes Note The maximum hours allowed is 99 and the maximum minutes is 59 8 Use keypad to change minutes 4 8 Plum A Infusion Pump Examples of Automatic Calculation CAUTION VERIFY RATE VTBI AND DURATION BEFORE PRESSING START A PuMeiNG STOPPED B Rate mL hr 5 5 0 0 9 Press START to begin infusion Vol inf mL Example of Main Delivery Screen just after being Ge programmed and started Note The Line A Fluid Flow Indicator also will flash to indicate pumping 4 7 Examples of Automatic Calculation Examples of Automatic Calculation WHILE RUNNING o ATKV 2s ou TITRATION VTBI 0 0 Dur
76. y above the actual softkey gd 430 95226 001 Rev 5 01 4 4 Plum A Infusion Pump Indicators 4 3 Indicators The Charge Line Indicator is illuminated to indicate the battery is currently charging Note Ifthe device is plugged into AC power with a battery installed and the Charge Indicator is not illuminated contact technical support The fluid drop symbol when flashing indicates an active infusion on Line A and or Line B Battery Capacity Symbol located on right side of message region on display indicates relative charge with number of white boxes from left to right This example indicates the battery is about two thirds full 4 4 Rear Case Controls The audio level rotary knob located on the back adjusts the alarm audio level The toggle switch located below the audio level control activates the lockout function when the lever Locked is placed in the up position disabling all front panel keys except STOP Note Pressing of a key while lockout is active results in the Unlocked display of the lockout enabled message This action is recommended to confirm each lockout activation Note Ifthe lockout switch is put in the Locked position while the pump is off the ON OFF key allows the unit to turn on U System Operating Manual 4 5 430 95226 001 Rev 5 01 Basic Operation The connector located below the lockout switch is the Nurse Call Rel
77. ypad Note The Concentration drug amount or Diluent volume cannot be changed while a delivery is in progress If Dose value is changed the Duration and Rate will automatically change Note Only the current delivering step and future steps can be changed System Operating Manual 5 19 430 95226 001 Rev 5 01 eg Therapies For Advanced Users CAUTION VeEriry DOSE RATE VTBI AND DURATION BEFORE PRESSING START JA Fue STOPPED BI Step 3 Rat 3 3 fe 0 0 27 Press START to begin infusion with the changed program and return to the Main Delivery Screen 40 1 vait 0 0 Note The Values are now updated on the Main Delivery Screen The pump reverts to KVO when last Step completes The last step can be restarted by entering a new VTBI value k eg 430 95226 001 Rev 5 01 5 20 Plum A Infusion Pump sectione Alarms and Troubleshooting 6 1 Warning Messages MESSAGE POSSIBLE CAUSE CORRECTIVE ACTION Stop delivery then Attempting to turn the pump off Stop all lines Then turn pump off turn off while a delivery is in progress Lockout Enabled Pressinganykeywhiledelivering PlaceLockoutswitchindisabledposition see exceptSTOP whenLockoutswitch section4 4RearCaseControls thenreturnto is enabled enabled position Battery Service Replace battery Warning The battery capacity is greater than 200 mA nr The battery voltage is less than the depleted

Abbott Plum A+ Op Manual

Contents

Download Pdf Manuals

Related Search

Related Contents