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Medfusion™ 3500Configuration Manual

1. M Enabling disabling moving the page break The Medfusion 3500 has one page break you can use to control how your SELECT THE MODE screen ap pears This page break is found in the SELECT DELIVERY MopE reconfiguration screens The page break feature works hand in hand with the move entries to give con trol of how and where information displays onscreen 40 5633 51A Medfusion 3500 Configuration Manual Rules for using page breaks Note Reordering the appearance of items on screen Below are the rules of thumb for working with page is a purely cosmetic customization and does not breaks effect function of an option or feature e You may have as many as 8 items on any menu screen e You may reorder them in any preference you wish e You have 1 page break you can place wherever you wish in the order of these items e Reordering items and the page break are purely cosmetic customizations e The system automatically inserts a page break after the 8th entry on every screen Steps for placing the page break 1 First rearrange the lines as you wish them to ap pear on the menu screen as shown on the previous page 2 Now use the or 4 buttons to move the marker gt to PAGE BREAK then press Select to highlight it PRESS gt DESELECT gt TO MOVE THE CURSOR lt gt MG KG HR ENABLED ML HR ENABLED RECALL LAST SETTINGS gt Nema ENABLED 3 Use the 1 or 4
2. Medfusion Model 3500 Syringe Infusion Pump Configuration Manual Software Version V3 0 6 This manual and its contents are valid for use with software version V3 0 6 smiths medtcal Medfusion 3500 Configuration Manual Technical Assistance If you have comments or questions concerning the operation of the Medfusion 3500 pump please call the appropriate number given below When calling please specify your pump s software version This information is located on the start up screen Our staff at Smiths Medical MD Inc is available to help clinicians 24 hours a day with the programming and operation of the Medfusion 3500 pump Smiths Medical MD Inc 1265 Grey Fox Road St Paul MN 55112 USA 1 800 848 1757 USA 1 651 633 2556 40 5633 51A Table of Contents OU 1 Finding relevant information seesssssssssssns 1 Custom configuring features amp options ee 2 Custom configuration OVErViEW Accessing the Custom Configuration mode Within the PUMP ee eeeeeeseeeeseseseneeeeeeeneneneeeeeeneees 2 Utilizing PharmGuard Toolbox to configure the PUN P ranra tes dobeevescuvsveevactzvastestesnsepesstes 3 Factory default 60 3 Three major sets GE 3 Enabling disabling and MOVIN 0 0 3 Table of custom configuration Options cceeeeee 4 Tableof library 6 Table of configuration cloning features 2 7 8 Using the custom configuration 48800606
3. 3500 Configuration Manual Set alates silence tie ins 26 Set Hear empty alarmi M 26 Set 27 19 lOudNES Sessies 27 Set test keyclick beep loudness ppp 27 Testing keyclick beep 1011011688 28 Working with libraries amp templates 29 Default amp other library settings ee 29 What are standard library templates ee 29 Enabling disabling standard library usage 29 What are E Plates library templates oes 30 Enabling disabling FP lates sissvcssieascnsinatertaasinns 31 Displaying Plates Options sissesissscssssevssisisecsnivisievenas 31 Create amp save a library entry template 31 Disable Save to Library before sending pump 106 eppi aaa n aias 32 Saving a new template entTy es 32 Revising templates 33 Libraries must be enabled before you can use nena 3 Libraries must follow standards amp practices 33 Enabling the 08 33 Clear library entry ot template ssisscssssccssusssscisetssavsvones 34 Cleat alll libraries a iasetissosiascacenlisastenssdsstentesdsavsasbsarinuatistaces 34 Configuration Cloning sessin aai aaa 35 What is configuration cloning sssssiscsssesssesssssisnoussonssse 35 Teaching and leasing 35 Preparing for configuration 60 35 Using the Teach Learn modes 5iisssissnisssscvssssssvesscsssesivenen 35 Troubleshooting the Learn Error Remote Not in Teach Mode error Message 07 37 Medfu
4. LMNOPQRSTUV WX Y 2 SPACE PRESS lt STOP gt TO 0 1 2 3 4 5 6 9 SAVE AND EXIT 4 5 Press to save your changes and exit to the MoDIFY SETTINGS screen Or press O to exit to the SAVE CHANGES YEs No screen Answer No to exit without saving changes SAVE CHANGES SS SSS SSS Saeed Pump naming convention Basically you can give any pump any name you wish The name simply identifies the pump for your use Use the naming convention established by your unit department organization or hospital The best ap proach is naming pumps so you can readily recognize contents and function e g by specific unit depart ment organization or hospital Below are naming guidelines e There is a 15 character limit on pump names e Use any combination of letters spaces sym bols and numbers available on the CHOOSE A CHARACTER Screen You can give the same name to any pump or group of pumps e You can give the same name to a template within a library Avoid this to avoid confusion e Pump ID is copied when cloning configuration from pump to pump Typing pump ID using the PC configuration clone If you are using the PC version of the custom configu ration you can type the letters by clicking on them with the mouse pointer 23 Medfusion 3500 Configuration Manual Setting occlusion limits There are 4 different levels of occlusion limits pro grammed into the Medfusion 3500 infus
5. buttons to move the PAGE BREAK to the place you want it to appear in the onscreen list PRESS gt DESELECT gt TO MOVE THE CURSOR gt gt gt PAGE BREAK ENABLED MG KG HR ENABLED ML HR ENABLED UNESENO RECALL LAST SETTINGS ENABLED 0433 4 Press Deselect The page break becomes fixed in this position when you save your changes and exit custom configuration 5 Press O to save your changes and exit to the MODIFY SETTINGS screen Or press O to exit to the SAVE CHANGES YEs No screen Answer No to exit without saving changes SAVE CHANGES E eed On 40 5633 51A 13 Medfusion 3500 Configuration Manual Select syringes The first choice on the MODIFY SETTINGS screen is 5 To Enable Disable a selection usually SELECT SYRINGES This selection is made by Press either Enable or Disable depending syringe model This is where you tell the pump which on what you are doing Notice how the screen syringes it can use changes Note When you enable a syringe model you PRESS gt DESELECT gt TO MOVE THE CURSOR gt gt gt l gt EXER ENABLED are telling the pump it can use those syringes SEL SSSI DISS Parameters and characteristics of those syringes are B D GLASS DISABLED PEE made available for use During set up of any infu BaD sion of medications or fluids only enabled syringes appear for selection and use To Move a selection Enable disable or mov
6. 24 2 You now see the ENTER MAX FLow RATE screen The infusion pump has a maximum flow rate range from 0 1 1130 mL hr ENTER MAXIMUM RATE PRESS ENTER TO CONTINUE MAX 0 a MIN 0 1 Sa CLEAR BACKSPACE ENTER 3 Use the number buttons to type the maximum flow rate you wish the pump to use When ready press Enter to set the new maximum flow rate limit Or press OD to exit without changing the maximum flow rate Set maximum bolus rates A bolus dose is an optional parameter of some delivery modes wherein you specify a bolus dose to be deliv ered in a specified time Set Maximum Bolus Rate allows you to set the maximum flow rate at which the bolus dose can be delivered The pump presets a default Bolus Delivery Time from this parameter The user may override this default time Below are the steps for setting the Maximum Bolus rates 1 Access the CUSTOM PROGRAM menu see page 8 and choose SET DEFAULT BOLUs RATE by press ing its number You may need to press More to find it PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE Ss Ss 2 You now see the Select Bolus Rate screen The op tions are e Syringe Size x 5 mL hr e Syringe Size x 10 mL hr e Syringe Size Max mL hr 3 Use the number buttons to move the hig
7. Disabled Custom Program Enabled 8 Enabled 6t Enabled 6 Biomed Enabled 9t Enabled 7 Enabled 7 10 40 5633 51A Medfusion 3500 Configuration Manual Program Options Program Options Anesthesia General Standby Enabled Enabled Enabled Loading Dose Enabled Disabled Disabled Bolus Dose Enabled Disabled Disabled Volume Limit Enabled Enabled Enabled KVO Disabled Disabled Disabled Toggle PVD PDD Disabled Disabled Disabled Save to Library Enabled Enabled Enabled Toggle Rapid Occlusion Enabled Enabled Enabled Detection Override Occlusion Limit Enabled Enabled Enabled Override Alarm Volume Disabled Disabled Disabled Toggle Empty Tone Disabled Disabled Disabled Toggle Near Empty Tone Disabled Disabled Disabled Delayed Start Disabled Disabled Disabled Auto Prompt Options Auto Prompt Options Anesthesia General Standby Disabled Disabled Disabled Bolus Dose Disabled Disabled Disabled Volume Limit Disabled Disabled Disabled KVO Disabled Disabled Disabled Other Default Options Other Default Options Anesthesia General E Plates Feature Enabled Disabled Disabled Pump ID Label Blank Blank Blank Occlusion Limit Normal Normal Normal Maximum Delivery Rate 1130 mL hr 300 mL hr 300 mL hr Maximum Bolus Rate Maximum 10x 5x Program Dose Display Enabled Disabled Disabled Alarm Type Medex Medex Medex Alarm Silence Interv
8. Medfusion 3500 infusion pump 1 Turn the pump on and allow it to complete it s startup routine PERFORMING SELF TEST MEDFUSION 3500 HOSPITAL VERSION 3 0 6 M01234 CONFIG ID 9A89 99 2002 MEDEX 648s D SECONDS REMAINING 2 At the SELECT THE MODE screen use the num ber buttons to select the CUSTOM PROGRAM op tion you may need to press More to find it PRESS THE NUMBER TO SELECT THE MODE 1 ML HR 2 VOLUME TIME 3 MICROGMS KG MINUTE 4 RECALL LAST SETTINGS 3 Use the number buttons to enter the passcode 3000 then press Enter ENTER CONFIG PASSCODE PRESS ENTER TO CONTINUE MIN 0 CLEAR BACKSPACE ENTER 4 The Mopiry SETTINGS screen appears Make your custom configurations by following any on screen prompts and directions PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE MORE 5 Save your changes by pressing or when you exit CUSTOM PROGRAM Restore amp use default con figuration settings This pump has 3 sets of default factory configuration files intended to meet the standard needs of most organizations or hospitals You may select restore and use any of these default settings at any time through custom configuration They are Anesthesia Default
9. PRESS THE NUMBER TO MODIFY SETTINGS 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE 2 SET ALARM SILENCE TIME 4 SET ALARM LOUDNESS 3 You now see the ENTER NEAR EMPTY TIME Screen There is a 0 60 minute range 2 You now see the alarm MODIFY SETTINGS screen Find SET ALARM SILENCE TIME and press its number in this case it is number 2 eI Ee ENTER NEAR EMPTY TIME PRESS ENTER TO CONTINUE 1 SET ALARM STYLE ENTER NEAR EMPTY TIME PRESS ENTER TO CONTINUE 2 SET ALARM SILENCE TIME MAX 60 5 CURRENT SETTING 3 SET NEAR EMPTY ALARM TIME 5 4 SET ALARM LOUDNESS MIN 0 bie MINUTES LT Te 3 You now see the ENTER ALARM SILENCE PERIOD 4 Use the number buttons to type the time in min screen There is a 2 60 minute range YP utes you want to alarm to sound before the syringe A e E 2 CURRENT SETTING A MAX 60 this alarm In this case only the empty alarm is MIN 2 MINUTES enabled CLER Backspace veg 5 When ready press Enter to set the new Near Empty Time status Or press to exit without changing the Near Empty Time alarm status 5 Use the number buttons to type the time in min utes you want to alarm to wait before resounding after someone presses a 6 When ready press Enter to set the new Alarm Silence Period Or press O to exit without changing the Alarm Silence Period stat
10. Save to Library With the save to library feature enabled you may save any group of infusion delivery settings to any template in any of the four libraries It is recommended using this feature only as a configuration tool then disabling it before allowing user access to the pump If you allow unlimited access to this Save to Library feature then there is no security for the contents of any library or its templates Toggle PVD PDD With this feature enabled you have the option of toggling between displaying either the program volume delivered or the program dosage delivered The pump maintains the information for both based on the set infusion delivery so you can toggle be tween them without losing data Enabling this adds the option to every infusion setup Override Occl Limit With this feature enabled you have the option of overriding the default occlusion limit and setting a desired occlusion limit The default occlusion limit for a ImL syringe is Very High VH and cannot be overridden Toggle Rapid Occlusion Detection With this feature enabled you have the option during the current infusion of tog gling between enabling and disabling the Rapid Occlusion Detection feature Rapid Occlusion Detection recognizes an occlusion to flow much more rapidly then the conventional force sensing method Override Alarm With this feature enabled you have the option during the current infusion of setting Volume
11. To LIBRARY feature before you can cre ate a template in the Custom PROGRAM utility 1 At the SELECT THE MODE screen choose an infusion mode and set up the infu sion you wish to save as a template 2 At the BEGIN INFUSION screen press Options Select the SavE To LIBRARY op tion to store it as a template in your choice of the 4 libraries 3 Repeat steps 1 amp 2 for each template you create 4 When finished creating templates you may want to use the CUSTOM PROGRAM utility to disable the SAVE To LIBRARY feature Otherwise any user can make changes to the templates Once stored in a library these templates can be reused any time you need to start a standard infusion delivery If you are creating a library entry using PharmGuard Toolbox on a PC 1 Both the pump and PC must be On and connected via the Serial Port cable Follow the prompts in PharmGuard Toolbox for library entries 2 3 Save and check all entries 4 Download library entries to the pump 40 5633 51A Medfusion 3500 Configuration Manual Table of configuration cloning features Configuration cloning is the ability to create custom configuration settings in one pump and then transfer them to another pump Below is a table of Configuration Cloning features and their definitions What It Controls With this cloning feature the pump receives all custom configuration settings including Standard and E Plates Libraries This takes approxima
12. and testing the alarm volume Toggle Empty Tone With this feature enabled you have the option of disabling the empty tone during the current infusion Toggle Near Empty With this feature enabled you have the option of disabling the near empty tone for Tone the current infusion Delayed Start The delayed start option allows you to delay the start of the infusion for up to 6 hours 40 5633 51A Medfusion 3500 Configuration Manual Enable disable move program options Besides Syringes and Delivery Modes the Medfusion 3500 has program options you can enable disable and or move onscreen The process for doing this is identical for each 1 Access the CUSTOM PROGRAM menu see page 8 and choose SELECT PROGRAM OPTIONS by pressing its number in this case it is number 3 PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 2 SELECT DELIVERY MODES 3 SELECT PROGRAM OPTIONS 4 AUTO PROMPT 5S E PLATES LIBRARY D 6 SET PUMP ID LABEL 7 SET OCCLUSION LIMIT 8 SET MAX FLOW RATE ee ro MODE screen PRESS gt DESELECT gt TO MOVE THE CURSOR lt gt gt LOADING DOSE ENABLED BOLUS DOSE ENABLED VOLUME LIMIT ENABLED gt EE Press Deselect to remove the highlight PRESS lt SELECT gt TO ENABLE DISABLE MOVE ENTRIES LOADING DOSE ENABLED BOLUS DOSE ENABLED VOLUME LIMIT ENABLED STANDBY ENABLED 2 A list of the program options appears on
13. configuration cloning For the teaching process of Configuration Cloning you can use any Medfusion 3500 pump that has the settings you wish to transfer as long as both pumps are of the same software version This can be one you customize especially for the cloning Or one that al ready has the desired settings You can either take the teaching pump to the learning pumps or bring all the learning pumps to the teaching pump Configuration Cloning can be performed anywhere 40 5633 51A Medfusion 3500 Configuration Manual Using the Teach Learn modes The Teach Mode is the feature used to transfer config uration settings from one Medfusion 3500 infusion pump to another Note The Medfusion 3500 infusion pump can hold only one set of custom configuration settings at a time When you teach the configuration from one pump to another the incoming configuration set tings from the teaching pump completely overwrite the settings in the learning pump The steps for using the Teach Mode are given below Teacher Pump 1 Access the CUSTOM PROGRAM menu see page 8 and choose TEACH Mope by pressing its number you may need to press More to find it PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE The pump is now ready to clone its settings to the learning infus
14. do not wish to use The process for enabling or dis abling or moving these modes is identical 1 Access the CUSTOM PROGRAM menu see page 8 and choose SELECT DELIVERY Monpes by press ing its number in this case it is number 2 PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 2 SELECT DELIVERY MODES 3 SELECT PROGRAM OPTIONS 4 AUTO PROMPT 8 SET MAX FLOW RATE lt MORE 2 A list of the delivery modes appears onscreen To the right of list is either Enabled or Disabled ML HR DISABLED MICROGMS KG MINUTE ENABLED MICROGMS KG HR ENABLED MG KG MINUTE ENABLED SELECT 5 E PLATES LIBRARY D 6 SET PUMP ID LABEL 7 SET OCCLUSION LIMIT PRESS _ lt STOP gt TO SAVE EXIT PREVIEW 3 At the ENABLE DISABLE MOVE screen use the or buttons to move the gt marker to the deliv ery mode you wish to enable disable or move 4 Press Select to highlight the delivery mode you wish to enable disable or move PRESS lt DESELECT gt TO MOVE THE CURSOR lt gt gt gt 3 DISABLED MICROGMS KG MINUTE ENABLED MICROGMS KG HR ENABLED PRESS lt STOP gt MG KG MINUTE ENABLED TO SAVE EXIT 5 To Enable or Disable a selection Press Enable or Disable depending on what you are doing Note how the screen changes PRESS lt DESELECT gt TO MOVE THE CURSOR lt gt gt CITAN ENABLED MICROGMS KG MINUTE ENABLED MICROGMS KG HR ENABLED ee MG KG MINUTE ENABLE
15. or fluid per minute Units Hour This delivers a dosage based on units of medication or fluid per hour Units Minute This delivers a dosage based on units of medication or fluid per minute Recall Last Settings The recall last settings feature tells the pump to remember amp insert the last group of infusion settings used You may then reuse those settings as is to begin another infusion or modify as necessary the settings on different screens 40 5633 51A 15 Medfusion 3500 Configuration Manual Using Templates to Set What it Does Up Delivery E Plates Library D E plates is a library of fully automatic templates Shipped from factory with 16 empty templates May contain templates of presets you can reuse without having to type them each time When selected all preset values are inserted and pump progresses directly to the BEGIN INFUSION screen There you only have to press ga to begin the dosage If E Plates are disabled this becomes Standard template library D Library A Standard template library A Shipped from factory with 16 empty templates May contain templates of presets you can reuse without having to type them each time You must verify presets at each level by pressing Enter Library B Standard template library B Shipped from factory with 16 empty templates May contain templates of presets you can reuse without having to type them each time You must verify presets at each level b
16. template option is a housekeeping feature available through Custom PROGRAM Whenever a library template is no longer desired it is a good idea to delete or clear it e Clearing a template deletes or removes all its set tings from storage in pump memory This prevents its unintentional or unauthorized use for other patients The steps for clearing a template are given below 1 Access the CUSTOM PROGRAM menu see page 8 and choose CLEAR LIBRARY ENTRY by pressing its number you may need to press More to find it 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE MORE 2 At the SELECT THE LIBRARY screen press the number button for the library containing the tem plate you wish to delete 1 LIBRARY A 2 LIBRARY B 3 LIBRARY C 4 E PLATES 3 At the DELETE THE LIBRARY ENTRY screen only the list of active templates for the library appear PRESS THE NUMBER TO DELETE THE LIBRARY ENTRY 1 URDRUGS 1 2 DOX RX5 3 Anesthesia 1 IMPORTANT Be careful here When you press the number button for deleting the template there is no verify with Yes or No The template simply deletes as soon as you press its number You do not have any option for undeleting Once the template is deleted it is gone 4 Press the number button for the template you wish
17. the highlight on the loudness level you wish to test 2 Press Test The button beeps at the selected level 3 To test the other levels simply press their corre sponding number button then press Test again 4 Save your loudness level selection by pressing the Enter button to set the new Alarm Loudness setting Or press O to exit without changing the Alarm Loudness status 28 40 5633 51A Medfusion 3500 Configuration Manual Working with libraries amp templates The Medfusion 3500 has 4 libraries that come with 16 templates per library The pump is shipped with all these templates empty and nameless so which are used and what they are named depends on the pump s custom configuration A library is here defined as a group or set of templates A template is defined here as a user defined stored record of infusion settings which load from memory It is a computer file where configuration information is stored Templates allow delivering standard fluid or medica tion infusions without your having to type indi vidual dosage values each time you begin an infusion So they are a means of automating the pump setup process Think of them as a shortcut you can use for delivering standard infusions Program them once and use them whenever needed The pumps have two types of libraries e There is the E Plates Library This feature is enabled separately within customization
18. 40 5633 51A Medfusion 3500 Configuration Manual Auto prompts You have the option of enabling or disabling the auto prompts options and of moving each of these items to rearrange their order of appearance onscreen Enabling an auto prompt causes that feature to be automatically inserted into the user settings during each infusion setup Feature Standby Explanation Standby lets you set the pump for an infusion then delay starting delivery for as much as 24 hours This also delays triggering audible advisory alarms The pump does not automatically start an infusion at the end of the standby period At the end of the delay the pump triggers an alarm with prompts to tell you to either Start or Cancel the infusion Bolus Dose A bolus dose is an optional parameter of some delivery modes wherein you specify a bolus volume to be delivered in a specified time Volume Limit A volume limit is option available for most delivery modes except volume time and intermittent On reaching the preset volume limit the pump stops or changes to KVO if a keep vein open rate has been programmed Volume limit is based on the quantity of program volume delivered KVO The keep vein open option is used as a maintenance setting when delivering infu sions to patients to keep an infusion site patent between infusions Enable disable move auto prompts Enabling auto prompts tells the pump to ask the user to revi
19. 8 Restore amp use default configuration settings see 8 Why use default configuration settings ee 9 Restoring default settings sissies neni wearin 9 Default Settings for Anesthesia General and NICU 10 gd 10 0 10 Program OPO wswsssiseissisesicsesaiintscserecssisseetbercesstens eye 11 Auto Prompt 20 11 Other Detault 11 Controlling onscreen 06 12 Reordering features 0007 12 Enabling disabling moving the page break 12 Rules for using page breaks ssssisssesnssisisisiarsssrsaassousens 13 Steps for placing the page 168 13 Select 14 Enable disable or move syringes ee 14 Select delivery MITES ea 15 Delivery BIOS se cencccesaavisensscaceerivsersdasreansvtenstaertaxietoestesy 15 Enable disable or move delivery 110008 17 Custom Propra isesi i 17 17 PLO STAM 001005 sanssssnnraena annan 18 Programi OPTIONS aissis seissen 18 Enable disable move program 0010118 20 PAULO 0180 001 D1 K T TET ETR 21 Enable disable move auto 2108 21 Miscellan g s Settings ssnnasnenasannsnosiaieans 23 23 Namine the pump setassaisashniacsussessencarerranntcouesranerssbions 23 PUMP naming CONVENTION 23 Typing pump ID using the PC configuration a 23 Setting 24 Set maxim m flow 4 sessssiuniiisnieininss 24 Set maximum 24 Enable disable program dose 0180181 25 Set Lip amp test p mp 25 Setting Alarm 50 25 40 5633 51A Medfusion
20. D SR To Move a selection Press the 1 or buttons to move the delivery 40 5633 51A Medfusion 3500 Configuration Manual mode to a new location in the list Notice how it shifts relative to other items on the list Place it where you want it to appear on the SELECT THE MODE screen PRESS gt DESELECT gt TO MOVE THE CURSOR lt gt gt MICROGMS KG MINUTE ENABLED MI CROGMS KG HR ENABLED prepares gt Win DISABLED JpPRESS lt STOP gt MG KG MINUTE ENABLED SN D Press Deselect to remove the highlight PRESS lt SELECT gt TO ENABLE DISABLE MOVE ENTRIES gt MICROGMS KG MINUTE ENABLED MICROGMS KG HR ENABLED ML HR DISABLED MG KG MINUTE ENABLED TO SAVE EXIT SELECT 7 PREVIEW 7 To enable disable or move another delivery mode repeat steps 3 6 If you wish you may press Preview to see how this change will look Then press Continue to return to the ENABLE DISABLE MOVE screen 8 Press O to save your changes and exit to the MODIFY SETTINGS screen Or press O to exit to the SAVE CHANGES YEs No screen Answer No to exit without saving changes SAVE CHANGES E T Ss EU Custom Program Custom Program is what you use to configure and reconfigure the Medfusion 3500 infusion pump so while you can move it onscreen it cannot be disabled Biomed Even though Biomed is listed along with delivery modes it is not part of the pump op
21. DESELECT To Move a selection Press the or 4 buttons to move the auto prompt to its new list location Note how the screen changes LOADING DOSE ENABLED BOLUS DOSE ENABLED VOLUME LIMIT ENABLED gt Ene ENABLED 0 6 Press Deselect to remove the highlight PRESS lt SELECT gt TO ENABLE DISABLE MOVE ENTRIES LOADING DOSE ENABLED BOLUS DOSE ENABLED VOLUME LIMIT ENABLED lt STANDBY ENABLED 7 To enable disable or move another auto prompt repeat steps 3 6 If you wish you may press Preview to see how this change will look Then press Continue to return to the ENABLE DISABLE MOVE screen 8 Press to save your changes and exit to the MODIFY SETTINGS screen Or press O to exit to the SAVE CHANGES YEs No screen Answer No to exit without saving changes SAVE CHANGES ita pe ies sins 22 40 5633 51A Miscellaneous settings This chapter discusses various miscellaneous settings that you can modify These include pump ID occlu sion limits default bolus rate maximum flow rate etc Pump ID label This feature allows you to give each Medfusion 3500 infusion pump its own identification name and or number This can be useful for identifying not only the pump but also the pump s type of configuration setup To identify the pump give it a unique name con taining letters and or numbers To identify the configuration setting create a name f
22. ELECT THE ALARM STYLE 1 INTERNATIONAL STANDARD 2 MEDEX DEFINED SEs ae 4 When ready press the Enter button to set the new Alarm Style status Or press GS to exit without changing the Alarm Style status 25 Medfusion 3500 Configuration Manual Set alarm silence time delivery The alarm silence time is the interval for which the Below are the steps for setting between the Near alarm waits before resounding after someone presses Empty Alarm Time a 1 Access the CUSTOM PROGRAM menu see page 8 The alarm silence time has a range from 2 60 and choose ALARM SETUP by pressing its number minutes You may need to press More to find it The factory default setting is 2 minutes PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D Below are the steps for setting between the Alarm 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL Silence Time 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE 1 Access the CUSTOM PROGRAM menu see page 8 SSS EE aa and choose ALARM SETUP by pressing its number You may need to press More to find it PRESS THE NUMBER TO MODIFY SETTINGS 2 You now see the alarm MODIFY SETTINGS screen Find SET NEAR EMPTY TIME and press its num ber in this case it is number 3 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL
23. ET MAX FLOW RATE MORE 2 A list of the delivery modes appears onscreen To the right of list is either Enabled or Disabled PRESS lt SELECT gt TO ENABLE DISABLE MOVE ENTRIES ML HR DISABLED MICROGMS KG MINUTE ENABLED PRESS gt 5100 lt TO SAVE EXIT MICROGMS KG HR ENABLED MG KG MINUTE ENABLED 3 At the ENABLE DISABLE MOVE screen use the or buttons to move the gt marker to the library you wish to enable disable or move 4 Press Select to highlight the library you wish to en able disable or move PRESS gt DESELECT gt TO MOVE THE CURSOR gt gt gt gt ean DISABLED LIBRARY B DISABLED LIBRARY C DISABLED CUSTOM DILUTION DISABLED 5 To Enable or Disable a selection Press Enable or Disable depending on what you are doing Note how the screen changes PRESS gt DESELECT gt TO MOVE THE CURSOR lt gt gt MEZUA ENABLED LIBRARY B DISABLED LIBRARY C DISABLED CUSTOM DILUTION DISABLED To Move a selection DISABLE Press the or 4 buttons to move the library to a new location in the list Notice how it shifts relative to other items on the list Place it where you want it to appear on the SELECT THE MODE screen LIBRARY B DISABLED LIBRARY C DISABLED gt ER CUSTOM DILUTION DISABLED 30 6 Press Deselect to remove the highlight PRESS gt SELECT gt TO ENABLE DISABLE MOVE ENTRIES gt LIB
24. If the E Plate library feature is not needed it may be dis abled Disabling the E Plate library automatically enables Standard Library D The others are the 3 Standard Libraries A B and C and D if E Plates have been disabled They are part of the SELECT DELIVERY MODES customiza tion The E Plates Library and Standard Libraries function slightly differently and may be used differently Default amp other library settings The Medfusion 3500 infusion pump is shipped with all 16 templates completely empty in all 4 Libraries Ifyou save infusion settings to the templates and then restore default settings for Anesthesia General or NICU this does not overwrite your libraries These library templates are intended to provide each unit department organization or hospital with a means of automating the setup process So the tem plates are left blank when shipped to let everyone preset the libraries to meet their own needs 40 5633 51A What are standard library templates The standard libraries are an option available through configuring SELECT DELIVERY MopEs Standard libraries templates contain all the settings for running an infusion as a group of preset values e When you select amp use a library template the pump recalls all the infusion delivery presets for each level e g dosage rate patient weight However the pump does not automatically pro ceed to the BEGIN INFUSION screen The u
25. RARY B DISABLED LIBRARY C DISABLED LIBRARY A ENABLED CUSTOM DILUTION DISABLED 043 SELECT PREVIEW 7 To enable disable or move another delivery mode repeat steps 3 6 If you wish you may press Preview to see how this change will look Then press Continue to return to the ENABLE DIsABLE MOVE screen 8 Press to save your changes and exit to the MODIFY SETTINGS screen Or press O to exit to the SAVE CHANGES YEs No screen Answer No to exit without saving changes SAVE CHANGES Se ee ee Sa What are E Plates library templates The E Plates Library contains templates of stored settings including syringe size rate of dosage size of dosage patients weight and so on E Plates is an abbreviation for Electronic Templates It is different from a standard library template in the following way The Standard Library templates load the settings but the user must confirm each setting individu ally by pressing Enter The E Plates Library templates do not prompt users for verification at each level They automati cally load all infusion delivery settings including syringe size and model and pauses the pump at the BEGIN INFUSION screen So all you have to do is verify all the information on the screen is cor rect and press ea to begin delivery WARNING Confirm all settings Before starting ANY delivery confirm all programmed infusion set tings are corr
26. STYLE 2 SET ALARM SILENCE TIME 3 SET NEAR EMPTY ALARM TIME 4 SET ALARM LOUDNESS 3 You now see the SET ALARM LOUDNESS screen There are 5 levels of loudness to choose from LEVEL 1 being the softest and LEVEL 5 being the loudest ADUST LOUDNESS PRESS ENTER TO CONTINUE fhe 5 I 5 LEVEL 5 LEN Ee SEVERS 4 LEVEL 4 4 Use the number buttons to put the highlight on the loudness level you wish to test or use see the next column for testing instructions 40 5633 51A Medfusion 3500 Configuration Manual 5 When ready press the Enter button to set the new Alarm Loudness setting Or press SS to exit without changing the Alarm Loudness status Test alarm loudness If you are unfamiliar with the Medfusion 3500 infu sion pump then it is a good idea to test the sound levels before select one to use It is very simple to test the alarm loudness level Note You must be at Step 3 of the preceding list of steps 1 Put the highlight on the loudness level you wish to test Press Test The alarm sounds at the selected level To end the test press a To test the other alarm levels simply press their corresponding number button 5 Make your alarm level selection by pressing the Enter button to set the new Alarm Loudness setting Or press O to exit without changing the Alarm Loudness status Set amp test keyclick beep loudness The keyclick is the beeping
27. al 2 minutes 2 Minutes 2 Minutes Near Empty Alarm Interval 5 minutes 5 Minutes 5 Minutes Alarm Volume Loudness 2 4 3 Key Click Volume 2 2 2 Syringe Model and Type BD Monoject Terumo BD Monoject Terumo BD Monoject Terumo 40 5633 51A 11 Medfusion 3500 Configuration Manual Controlling onscreen appearance There are two features of custom programming which allow controlling how your menu screens look These are e Moving or reordering entries e Enabling disabling moving a page break Reordering features onscreen The Medfusion 3500 infusion pump is shipped with the General defaults delivery modes enabled You can rearrange the order of precedence of items onscreen through custom configuration Their order on the SELECT DELIVERY MODES configuration screens determines where they appear on the SELECT THE MODE or PROGRAM OPTIONS screens when enabled It has no effect on how they work All you are doing is moving items around onscreen 1 Access the CUSTOM PROGRAM menu see page 8 and choose SELECT DELIVERY Monpes by press ing its number in this case it is number 2 PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 2 SELECT DELIVERY MODES 3 SELECT PROGRAM OPTIONS 4 AUTO PROMPT 5S E PLATES LIBRARY D 6 SET PUMP ID LABEL 7 SET OCCLUSION LIMIT 8 SET MAX FLOW RATE MORE 2 At the ENABLE DISABLE MOVE screen use the T or 4 buttons to move the to the line you wis
28. ard Toolbox program must be installed and running before beginning this procedure 1 Turn the pump on and allow it to complete it s startup routine 2 Connect the PC and pump via the IR RS232 adapter 3 Follow prompts in PharmGuard Toolbox to select and confirm program options 4 Review complete program and download to the pump 5 Save and print selected program options save to electronic file for future reference Factory default configuration The Medfusion 3500 infusion pump comes with the General Defaults as its active settings These defaults create a basic group of features including syringes delivery modes program options libraries and their templates occlusion settings flow rates and alarms Such standard features provide a foundation for cus tomizing the pump to meet your needs Three major sets of defaults The Medfusion 3500 infusion pump software has three sets of factory default configurations they are e Anesthesia e General e NICU These can be used to restore configuration to fac tory settings after a pump has been customized Their settings can also be used as a foundation for cus tomizing a pump to meet the specific needs of a unit department organization or hospital These major groups of presets can be used to undo all customizations that have been made to a pump and restore it to a more standard usage For information on restoring and or using Default Configur
29. as you wish before you exit Accessing the Custom Configuration mode within the pump 1 Turn the pump on and allow it to complete it s startup routine PERFORMING SELF TEST HOSPITAL MEDFUSION 3500 VERSION 3 0 6 M01234 CONFIG ID 9A89 99 2002 64 D SECONDS REMAINING MEDEX 2 At the SELECT THE MODE screen find and select CusTOM PROGRAM Depending on the current setup for your pump you usually have to press More and search for it on alternative screens PRESS THE NUMBER TO SELECT THE MODE 1 ML HR 2 VOLUME TIME 3 MICROGMS KG MINUTE 4 RECALL LAST SETTINGS ee ee 3 Use the number buttons to specify the passcode 3000 then press Enter ENTER CONFIG PASSCODE PRESS ENTER TO CONTINUE CLEAR BACKSPACE ENTER MAX 9999 MIN 0 4 Find the option or feature you wish to customize enable or disable Make your changes Usually you must press to save changes and exit In other cases your changes are saved when you exit a feature or option You can always revise any changes you have made before exiting the configu ration utility 6 Once you exit custom configuration whatever changes you made to pump configuration are now permanent until the next time you enter the custom configuration and change them Here permanent means at least 10 years 40 5633 51A Utilizing PharmGuard Toolbox to configure the pump The PharmGu
30. ations see the chapter titled Restore amp Use Default Configuration 40 5633 51A Medfusion 3500 Configuration Manual Enabling disabling and moving The most common capability of custom configuration is allowing you to simply enable or disable individual features and options You can also move an enabled feature to reorder its appearance onscreen When feature or option is enabled you can use it All its settings or options are available to select from on applicable screens e When a feature or option is disabled you cannot use it None of its settings or options are available to select from on any screen e The same holds true for enabling and disabling syringes for use with the pump The parameters for correctly using the syringes become available or unavailable In other words you are simply toggling a feature on or off The feature you toggle becomes available or unavailable until the next time you decide to change its status Note For more information on this feature see the chapters titled Enabling Disabling Moving Syringes Enabling Disabling Moving Delivery Modes and Enabling Disabling Moving Program Options Medfusion 3500 Configuration Manual Table of custom configuration options The following table lists the features and options avail able for customization to meet the specific needs of your unit department organization or hospital Feature or Opt
31. create a new template or modify an old one If you leave SAVE To LIBRARY enabled when the pump goes to its work site then anyone who uses the pump can change any and all the settings in any and all of the templates stored in the pump In fact anyone with physical access to the pump can change these set tings The way to prevent unauthorized changes is to disable the feature used for making those changes Saving a new template entry The steps for saving a new library template are given below and presume you have Save To Library en abled 1 Set up any type of infusion you want used as a standard delivery method Any group of settings can be saved to a template Progress all the way to the BEGIN INFUSION screen Press Options to open the OPTIONS menu PRESS gt START gt TO BEGIN INFUSION CONC 1 2 MG ML PVD 0 000 ML WE IGHT 50 KG DOSE 2 5 MCG KG MIN RATE 6 25 ML HR E PLATES CHG DOSE OPTIONS CLEAR TOTALS 32 2 Use the number buttons to select the SAVE TO LIBRARY option You may have to press More until it appears onscreen PRESS THE NUMBER TO SELECT THE OPTION 1 STANDBY 5 SAVE TO LIBRARY 2 LOADING DOSE 3 BOLUS DOSE 4 VOLUME LIMIT 3 Use the number buttons to select the Library you want to use save the template to PRESS THE NUMBER TO SELECT THE LIBRARY 1 LIBRARY A 2 LIBRARY B 3 LIBRARY C 4 E PLATES 4 Use the number button
32. e syringes Press the T or buttons to move the syringe aa model to a new location in the list Notice how it The Medfusion 3500 infusion pump is engineered shifts relative to other items on the list to work precisely within the physical parameters of specific syringe models For this reason it comes with a database of syringes that are available for use with the pump 6 Press Deselect to let go of the selection Repeat steps 3 5 if you wish to enable disable or move another syringe LA 6 7 8 O to save your changes and exit to j Des ne CUSTOM PROGEAM TENU 26E Paps the MODIFY SETTINGS screen Or press 8 and choose SELECT SYRINGES by pressing its to exit to the Save CHANGES YEs No screen Answer No to exit without saving changes 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE Le 2 A list of syringes by model appears onscreen To the right of list is either Enabled or Disabled WARNING Disabling syringes Once you disable a syringe selection its settings are no longer available during infusion set up Inform personnel using this PRESS gt SELECT gt TO ENABLE DISABLE MOVE ENTRIES gt B BRAUN OMNIFIX DISABLED B BRAUN PERFUSOR DISABLED pyar pump they should never use a syringe whose set B D GLASS DISABLED UNASESIN 2 tings are
33. ect When using the E Plates both the Medfusion 3500 automatically apply preset values Never use an E Plate without knowing or reviewing its settings 40 5633 51A Enabling disabling E Plates Depending on your pump s configuration the E Plates Library may or may not be readily available Smiths Medical ships the pumps with E Plates disabled and with all its 16 templates empty If you cannot find it as an option of your pumps operation then you must enable it through custom configuration All such standard dosage templates must be set up ac cording to the standards amp practices of your hospital unit or organization Below are the steps for enabling or disabling the E Plates library for use with the pump 1 Access the CUSTOM PROGRAM menu see page 8 and choose E PLATES FEATURE by pressing its number you may need to press More to find it PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE SSS SS SSS IS 2 You now see the ENABLE DISABLE E PLATES screen PRESS THE NUMBER TO ENABLE DISABLE E PLATES 1 ENABLE E PLATES DISABLE LIBRARY D 2 DISABLE E PLATES ENABLE LIBRARY D II 3 Use the number buttons to select either enable or disable E Plates 4 When ready press Enter to set the new E Plates Feature sta
34. ection FlowSentry Allows activation of a feature that will detect an occlusion to flow much more quickly then is possible by the conventional force sensor method FlowSentry may be enabled or disabled 1 mL Syringe Support Allows 1mL syringes to be enabled disabled Teach Mode The teach mode is the option which allows one pump to transmit its custom con figuration to another pump Learn Mode The learn mode is the option which allows one pump to receive custom configura tion transmitted from another pump The pump may learn configuration only libraries only or all 40 5633 51A 5 Medfusion 3500 Configuration Manual Table of library features The following is a table of features for E Plates and Standard libraries These can be enabled disabled and customized to meet the needs of your unit department organization or hospital What It Controls Feature or Option E Plates Library Templates The E Plates Library contains 16 blank or used templates for storing settings Such presets include syringe size rate of dosage size of dosage patients weight and so on Each template can be given an easily recognized name After you select a template for use its name appears on the delivery screen so you can verify correct settings by verifying the name E Plates is an abbreviation for Electronic Templates When you use an E Plate all its presets load at once without s
35. en finished naming the new template press to save and exit The new template is now stored permanently in the designated library and appears on the SELECT THE LIBRARY menu PRESS THE NUMBER TO SELECT THE LIBRARY ENTRY 1 URDRUGS 1 5 UNUSED 2 DOX RX5 6 UNUSED 3 Anesthesia 1 7 UNUSED 4 UNUSED 8 UNUSED 7 Ifthe library is enabled it appears on the SELECT THE MODE screen You may have to press the More key to find it The template you just saved can be found on the SELECT THE LIBRARY ENTRY screen PRESS THE NUMBER TO SELECT THE LIBRARY ENTRY 1 URDRUGS 1 2 DOX 5 3 Anesthesia 1 Reusing templates When creating and saving groups of presets to tem plates you always have the choice of finding an un used template or reusing any existing template The template is simply a file you can fill with preset infu sion values You can always e Rename it e Clear or Delete it e Reuse it If you reuse a template the new settings simply over write the old settings To avoid confusion it is recom mended using a different name for the new template 40 5633 51A Medfusion 3500 Configuration Manual Libraries must be enabled before you can use them It is possible to save infusion settings to any of the 16 templates in any of the 4 libraries whether they en abled or disabled But the libraries must be enabled before you use them to setup an infusion The Medfusion 3500 inf
36. eration nor part of standard configuration It is a special maintenance utility intended for use only by trained service techni cians It is a part of the Maintenance and Calibration service on the Medfusion 3500 infusion pump While you can move Biomed onscreen it cannot be disabled Medfusion 3500 Configuration Manual Program options The Medfusion 3500 infusion pump has several specif ic options you can enable or disable which can be used to modify infusion deliveries Program options Below is a table of these program options and a defini tion of what each controls What it Controls Standby is an option that allows setting the pump for an infusion then delaying advi sory alarms for a programmed interval of time Option Standby e The pump does not automatically start an infusion at the end of the standby e Instead the pump triggers an alarm at the end of the standby period to tell you to either Start or Cancel the infusion Enabling Standby adds the option to every infusion setup Enabling the loading dose is a specified volume or dose of drug infused as a one time only bolus prior to the start of normal delivery You may also configure loading dose to be automatically prompted or asked for in the programming steps Loading Dose Enabling loading dose adds the option to every infusion setup Bolus Dose A bolus dose is an optional parameter of some delivery modes wherein you spec
37. ess No to cancel and return to the previous screen Press O to cancel and return to the previous screen LEARN CONFIGURATION AND LIBRARIES E E Sas See The pump is now ready to receive settings from the teaching pump When complete turn off the learning pump Repeat this process for each learning pump 36 40 5633 51A Medfusion 3500 Configuration Manual Troubleshooting the Learn Error Remote Not in Teach Mode error message If you start a learning session and there is no pump setup ready and aligned for teaching its configuration the learning pump displays the following message LEARN ERROR REMOTE NOT IN TEACH MODE You can clear this message by pressing the Exit button and then setup a pump for teaching its configuration set tings But if you do have a pump setup for teaching using the steps given in this chapter it may mean you have a problem with either of the pumps This may be one of the following Type of Problem Alignment Alignment The two pumps may not be back to back Make them so Alignment You may not have properly aligned the infrared data transfer ports Try readjusting their alignment If you have the optional Smiths Medical Cloning Block try using it here Incorrect Teaching The teaching pump may be incorrectly set up Cancel its teaching setup and try again Setup Incorrect Learning The learning pump may be incorrectly set up Cancel its lear
38. ew settings for each option enabled This adds additional steps to the normal delivery programming sequence 1 Access the CUSTOM PROGRAM menu see page 8 and choose AUTO PROMPT by pressing its number in this case it is number 4 PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE MORE 2 A list of the Auto Prompt features appears onscreen To the right of list is either Enabled or Disabled PRESS lt SELECT gt TO ENABLE DISABLE MOVE ENTRIES STANDBY DISABLED LOADING DOSE ENABLED BOLUS DOSE ENABLED PRESS lt STOP gt VOLUME LIMIT ENABLED TO SAVE EXIT 3 Use the 1 or buttons to move the gt marker to the program option you wish to enable disable move 40 5633 51A 21 Medfusion 3500 Configuration Manual 4 Press Select to highlight auto prompt you wish to enable disable or move PRESS gt DESELECT gt TO MOVE THE CURSOR lt gt gt BILNID S DISABLED LOADING DOSE ENABLED BOLUS DOSE ENABLED VOLUME LIMIT ENABLED 5 To Enable Disable a selection Press Enable or Disable depending on what you are doing Note how the screen changes PRESS gt DESELECT gt TO MOVE THE CURSOR lt gt BEEN ENABLED LOADING DOSE ENABLED BOLUS DOSE ENABLED VOLUME LIMIT ENABLED
39. h to move PRESS gt SELECT gt TO ENABLE DISABLE MOVE ENTRIES MICROGMS KG MINUTE ENABLED MICROGMS KG HR ENABLED PRESS lt STOP gt ENABLED MOUE MG KG MINUTE ENABLED MG KG HR SELECT 3 Press Select to choose the line and put the high light on it PRESS lt DESELECT gt TO MOVE THE CURSOR lt gt gt gt M1 CROGMS KG MINUTE fig ENABLED MICROGMS KG HR ENABLED MG KG MINUTE MG KG HR ENABLED 9041303 4 Use the 1 or buttons to reposition the selected line to the order you want it to appear onscreen PRESS gt DESELECT gt TO MOVE THE CURSOR lt gt gt MICROGMS KG HR ENABLED MG KG MINUTE ENABLED MG KG HR ENABLED LASSES gt M1 CROGMS KG MINUTE fall ENABLED 1O_SAVE EXIT 5 Press Deselect This fixes the selection where you placed it 6 You may now press Preview to check the appear ance of the actual screen Then press Continue to return PRESS lt SELECT gt TO ENABLE DISABLE MOVE ENTRIES MICROGMS KG HR ENABLED MG KG MINUTE ENABLED MG KG HR ENABLED lt MICROGMS KG MINUTE 7 Repeat steps 2 6 as necessary if you have other se lections to move These changes do not take effect until you save them 8 Press to save your changes and exit to the MODIFY SETTINGS screen Or press O to exit to the SAVE CHANGES YEs No screen Answer No to exit without saving changes SAVE CHANGES
40. hlight to the Bolus rate you wish the pump to use PRESS THE NUMBER TO SELECT BOLUS RATE 1 SYRINGE SIZE x 5 ML HR 2 SYRINGE SIZE x 10 ML HR 3 SYRINGE SIZE MAX ML HR 40 5633 51A 4 When ready press the Enter button to set the new Bolus rate limit Or press O to exit without changing the Bolus rate Enable disable program dose display The pump has the option of displaying during infu sion the program volume delivered or program dosage delivered While running an infusion delivery the pump stores and displays the program volume deliv ered When this option is enabled the pump displays the program dose delivered instead Below are the steps for enabling disabling the pro gram dose or volume display 1 Access the CUSTOM PROGRAM menu see page 8 and choose PROGRAM Dose DISPLAY by press ing its number You may need to press More to find it PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5S E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE You now see the ENABLE DISABLE PDD screen PRESS THe NUMBER TO ENABLE DISABLE PDD 1 ENABLE PROGRAM DOSE DISPLAY 2 DISABLE PROGRAM DOSE DISPLAY N SSS SSS S sans 3 Use the number buttons to put the highlight on either ENABLE or DISABLE 4 When ready press Enter to set the new Pr
41. ify a bolus volume to be delivered in a specified time You may also configure bolus dose to be automatically prompted or asked for in the programming steps Enabling bolus dose adds the option to every infusion setup Volume Limit A volume limit is an option available for most delivery modes except volume time and intermittent On reaching the preset volume limit the pump stops or changes to KVO if a keep vein open rate has been programmed Volume limit is based on the quantity of program volume delivered Before you can start a new volume limit the old PVD program volume delivered or PDD program dose delivered is automatically cleared Enabling volume limit adds the option to every infusion setup where it applies KVO The keep vein open KVO rate is an option available for most delivery modes except volume time and intermittent volume time e You must have a volume limit programmed for KVO to work After a volume limit is reached a low rate KVO is set to maintain patency of the infusion site e The range of rates available appears on the Enter KVO Rate screen KVO rates are calculated by syringe size and its minimum flow rate The programmed KVO rate must be less than the normal delivery rate and greater than or equal to minimum flow rate for the syringe Enabling this adds the option to every infusion setup 18 A0 5633 51A Medfusion 3500 Configuration Manual What it Controls
42. ion What It Controls Select Syringes Select Delivery Modes The Medfusion 3500 infusion pump is engineered to work precisely within the physical parameters of specific syringe models from specific manufacturers For this reason it comes with a database of syringe models that are available for use with the pump The pump comes with numerous standard delivery modes enabled Plus there are several other delivery modes you can set up All these delivery modes can be either enabled or disabled for use with your infusion pump Select Program Options The pump also has various options you can use to modify delivery or infusion set tings They are e Standby e Toggle PVD PDD e Loading Dose gt Override Occl Limit e Bolus Dose e Override Alarm Volume e Volume Limit e Toggle Empty Tone KVO e Toggle Near Empty Tone e SavetoLibrary Delayed Start Toggle Rapid Occlusion Detection Auto Prompts E Plates Library D The auto prompts automatically prompt the user to enter or verify the enabled Program Options every time an infusion is programmed The Program Options that may be auto prompted include e Standby e Volume Limit e Bolus Dose e KVO You have the option to enable or disable E Plates If E plates are enabled then Library D will not be available If E plates are disabled then Library D is available Pump ID Label Allows giving each Medfusion 3500 infusion pump its own identification name a
43. ion pump They are e Very Low e Low e Normal e High Below are the steps for setting the Occlusion Limits 1 Access the CUSTOM PROGRAM menu see page 8 and choose SET OCCLUSION LIMIT by pressing its number in this case it is number 7 PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5S E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE MORE 2 You now see the SELECT OCCLUSION LIMIT screen The choices are Very Low Low NORMAL and HIGH Press the number button for the occlu sion limit you wish this pump to use This puts the highlight on your choice 1 VERY LOW 2 LOW 4 HIGH eS SSS Ss Es 3 When ready press Enter to select this occlusion limit Or press 6 Back to exit with out changing the Occlusion Limit Set maximum flow rate The maximum flow rate is the fastest infusion flow of medication or fluid you wish the pump to be able to deliver Below are the steps for setting the Maximum Flow Rate 1 Access the CUSTOM PROGRAM menu see page 8 and choose SET MAX FLow RATE by pressing its number in this case it is number 8 PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE MORE
44. ion pump until you press Exit Learning Pump 1 Access the CUSTOM PROGRAM menu see page 8 and choose LEARN MODE by pressing its number you may need to press More to find it PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 2 SELECT DELIVERY MODES 3 SELECT PROGRAM OPTIONS 4 AUTO PROMPT 5 E PLATES LIBRARY D 6 SET PUMP ID LABEL 7 SET OCCLUSION LIMIT 8 SET MAX FLOW RATE MORE 2 Place the pump back to back with the Teacher pump so that the infrared outlets are aligned facing each other Or use the Smiths Medical Cloning Block 3 The pump is now ready to receive configuration settings from the Teaching infusion pump Use the number buttons to select the configuration mode you wish it to learn PRESS THE NUMBER TO SELECT THE MODE 1 LEARN EVERYTHING 2 LEARN CONFIG ONLY 3 LEARN LIBRARIES ONLY 35 Medfusion 3500 Configuration Manual a b c Learn Everything the pump receives ALL cus tom configuration settings including Standard and E Plates Libraries This takes approximately one minute depending on the size of the librar jes Learn Config Only The pump receives ONLY the custom configuration settings This takes ap proximately two seconds Learn Libraries Only The pump receives only the library settings This takes approximately one minute 4 At the confirmation screen you can a b c Press Yes to verify your choice Pr
45. ithout deleting the li braries In either case you return to the MODIFY SETTINGS screen CLEAR ALL LIBRARIES Lvs ee 40 5633 51A Configuration cloning This chapter defines what Smiths Medical calls Configuration Cloning and describes how you can use it to transfer configuration settings from one pump to another What is configuration cloning Configuration Cloning is nothing more than the abil ity to custom configurations one Medfusion 3500 in fusion pump and then transfer those settings entirely to another Medfusion 3500 This cloning transfers the complete settings of the teaching pump including all libraries and templates The pump that learns thereafter functions identically with the teaching pump This is especially useful when you have many groups of pumps that must be customized for various units and departments within your organization or hospital All you have to do is configure one pump from each unit or department and then clone its settings to all the other pumps of those respective units or depart ments Teaching and learning Configuration cloning involves a teaching and learning process One pump is configured through Custom PROGRAM to function according to the needs of a specific unit department organization or hospital This pump is the Teacher Any other Medfusion 3500 can be taught the custom settings and or libraries by this pump Preparing for
46. n any Medfusion 3500 in fusion pump has depends entirely on whatever its current settings may be If you don t know what the current settings are you should review them before changing them You should also learn who last set up the pump and whether you are authorized to change the settings for a particular pump The only people who should be authorized to set up amp monitor any infusion are nurses physicians or other healthcare professionals with training to practice infu sion therapy and operate the Medfusion 3500 syringe pump Custom configuration overview What follows is a basic overview of the configuration utility what it is intended for and how to use it There are two 2 methods available for custom configuration of the Medfusion 3500 syringe pump The first method is to access the custom configura tion mode within the pump and make all appro priate setting changes The second is to utilize the PharmGuard Toolbox Medication Safety Software in a PC and once properly connected to the Medfusion 3500 download the settings Some options such as upper and lower dose limits PharmGuard Toolbox and naming libraries can only be accessed through PharmGuard Toolbox Note While the following steps describe making a single configuration change it is not necessary to exit customization before making additional chang es Once you have started using the configuration utility you can make as many changes
47. nd or number This can be useful for identifying not only the pump but also the type of configuration setup used by the pump Occlusion Limit Allows selecting and setting from 4 different levels of occlusion limits pro grammed into the infusion pumps They are Very Low Low Normal High Maximum Flow Rate Allows limiting maximum flow rate settings for normal delivery of medication or fluids Maximum Bolus Rate Allows setting the maximum bolus delivery rate used as a standard for pump op erations Program Dose or Program Volume Display You have the option of displaying onscreen during any infusion the program vol ume delivered or program dosage delivered If there is no concentration set then the display is the program volume delivered 40 5633 51A Medfusion 3500 Configuration Manual Feature or Option What It Controls Alarm Setup The alarms are the warnings or cautions the pump sounds to let you know some thing is happening or about to happen There are four major options for alarm setup e Alarm Style Choose International or Medex defined alarms Alarm Silence Time Set the interval the pump remains silent after you press e Near Empty Alarm Time Set the time before the syringe is empty when the pump sounds an alarm This alarm may be disabled e Alarm Loudness Choose alarm volume levels from very soft to very loud Keyclick beep Loudness The ke
48. ning setup and try again Setup Damaged Pump One or the other of the pumps may be damaged or malfunctioning You can deter mine which if you e Select and set up another pump for Learning and try again If this succeeds the first learning pump is malfunctioning Have it inspected by a trained biomedical technician e Select and set up another pump for Teaching and try again If this succeeds the first teaching pump is malfunctioning Have it inspected by a biomedical techni cian 40 5633 51A 37 Medfusion 3500 Configuration Manual 38 40 5633 51A Smiths Medical MD Inc St Paul MN 55112 USA 1 800 848 1757 USA 1 651 633 2556 www smiths medical com Ec REP Authorized Representative in the European Community Smiths Medical International Ltd WD24 4LG UK Tel 44 0 1923 246434 Australian Representative ave REP Smiths Medical Australasia Pty Ltd 61 Brandl Street Eight Mile Plains QLD 4113 Australia Tel 61 0 7 3340 1300 Medfusion PharmGuard FlowSentry and the Smiths Medical design mark are trademarks of the Smiths Medical family of companies The symbol indicates the trademark is registered in the U S Patent and Trademark Office and certain other countries All other marks are trademarks of their respective owners Other U S and foreign patents pending 2008 Smiths Medical family of companies All rights reserved 2008 03 40 5633 51A smiths medtcal
49. not available during setup The result could B D be over infusion or under infusion with injury or death to patient 3 Use the or buttons to move the gt marker to the syringe and manufacture you wish to enable disable or move 4 Press Select to highlight the model PRESS gt DESELECT gt TO MOVE THE CURSOR lt gt gt B BRAUN OMNIFIX DISABLED B BRAUN PERFUSOR DISABLED B D GLASS DISABLED B D ENABLED 14 A0 5633 51A Medfusion 3500 Configuration Manual Select delivery modes The Medfusion 3500 infusion pump comes with 17 different delivery modes plus 7 options for further cus tomizing infusion setup Delivery modes Below and on the following page is an alphabetized table of the delivery modes and their features amp op tions What it Does Custom dilution is a form of body weight delivery where you program a tar get delivery rate and the pump calculates the drug dilution to meet your tar get The settings required are initial undiluted drug concentration patient s weight target dose rate target total volume drug plus diluting fluid Delivery Mode Custom Dilution Volume Time During volume time delivery the pump delivers a specific volume per speci fied time The screen indicates the effective delivery rate and time remaining to complete the infusion Intermittent Volume A combination of intermittent dosing and volume time dosing where
50. ogram Dose Display status Or press to exit without changing the Program Dose Display status Set up amp test pump alarms The alarms are the warnings or cautions the pump sounds to let you know something is happening or about to happening Alarm setup has four major op tions Alarm Style e Alarm Silence Time e Near Empty Alarm Time e Alarm Loudness 40 5633 51A Medfusion 3500 Configuration Manual Setting alarm style The Medfusion 3500 infusion pump has two different alarm styles They are e International Standard Alarms e Medex Defined Alarms The pump is shipped with the Medex Defined Alarms enabled Below are the steps for selecting between these two alarm style settings 1 Access the CUSTOM PROGRAM menu see page 8 and choose ALARM SETUP by pressing its number You may need to press More to find it PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE 2 You now see the alarm MODIFY SETTINGS screen Find SET ALARM STYLE and press its number in this case it is number 1 PRESS THE NUMBER TO MODIFY SETTINGS 1 SET ALARM STYLE 2 SET ALARM SILENCE TIME 3 SET NEAR EMPTY ALARM TIME 4 SET ALARM LOUDNESS 3 Use the number buttons to put the highlight on either INTERNATIONAL STANDARD or MEDEX DEFINED PRESS TH NUMBER TO S
51. or each type of configuration setup you are using in various departments units or organiza tions You should not use the ID as physical security for the pump Use an engraving tool or security tag for physically identifying the pump Anyone with the configuration password can change the software ID Naming the pump When you configure the pump ID you are simply Naming the Pump 1 Access the CUSTOM PROGRAM menu see page 8 and choose SET Pump ID LABEL by pressing its number in this case it is number 6 PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 2 SELECT DELIVERY MODES 3 SELECT PROGRAM OPTIONS 4 AUTO PROMPT 5S E PLATES LIBRARY D 6 SET PUMP ID LABEL 7 SET OCCLUSION LIMIT 8 SET MAX FLOW RATE MORE 2 You now see the CHOOSE A CHARACTER screen This is an alphanumeric keypad where you name the pump USE ARROW KEYS THEN ENTER TO CHOOSE A CHARACTER BYBcDEFGHIUJK aa LMNOPORSTUV WX Y 2 amp SPACE PRESS lt STOP gt TO 0123456789 SAVE AND EXIT 3 Press the 1 or 4 buttons to move the highlight to the letter numeral or character you wish to type When ready press Enter to set this letter numeral or character onscreen 40 5633 51A Medfusion 3500 Configuration Manual 4 Repeat steps 2 amp 3 until you have typed all the let ters and or numerals you need to name the pump USE ARROW KEYS THEN ENTER TO CHOOSE A CHARACTER ABCDEFGHIJK
52. ries All you have to do is a Use CUSTOM PROGRAM to enable the SAVE To LIBRARY feature in the SELECT PROGRAM OPTIONS menu see page 18 Exit Custom PROGRAM b Set up ANY infusion delivery you want to save for use on a regular basis Be sure to precisely follow the standards amp practices of your unit depart ment organization or hospital c Then use the SAvE To LIBRARY option to store those settings as a template in your choice of the 4 libraries Once stored in a library these templates can be reused any time you need to start a stan dard infusion delivery 3 Medfusion 3500 Configuration Manual Disable Save to Library before sending pump to workplace Creating templates is a configuration function that takes place outside the CUSTOM PROGRAM configu ration feature You must have the SAVE To LIBRARY feature enabled before you can use it to save a group of presets to a library template It is enabled through CUSTOM CONFIGURATION gt PROGRAM OPTIONS o But SAvE To LIBRARY is used outside of custom configuration by pressing Options from the BEGIN INFUSION screen after programming infu sion values It is very important to control access to creating saving and or modifying all library templates It is strongly recommended you always disable the SAVE To LIBRARY feature as soon as you are finished creat ing and saving the stored templates It should be a rare occasion when it is necessary to
53. s General Defaults e NICU Defaults These default settings are a permanent part of the soft ware used to run the Medfusion 3500 infusion pump The default settings are simply a resource you can use to restore factory settings Your customizations are saved to the configuration file that tells the pump how to use the features and options you have configured Note The Medfusion 3500 infusion pump is shipped with the General Defaults configuration settings selected 40 5633 51A Why use default configuration settings If you are reconfiguring a Medfusion 3500 infusion pump that has been customized repeatedly you may find the default configurations provide a common starting point for new customization So you may find it convenient to simply restore one of the above three default configuration settings Then just begin making your customization from there You will have removed all customizations made by other units or departments 40 5633 51A Medfusion 3500 Configuration Manual Restoring default settings Below are the steps for restoring the default settings for the Medfusion 3500 infusion pump 1 From the SELECT THE MODE screen select CusTOM PROGRAM you may need to press More until you locate it PRESS THE NUMBER TO SELECT THE MODE 1 ML HR 2 VOLUME TIME 3 MICROGMS KG MINUTE 4 RECALL LAST SETTINGS ee 2 Use the number buttons to enter the passcode then pre
54. s to select an unused tem plate you want to use You may save to either a used or unused template The new template writes over the old one PRESS THE NUMBER TO SELECT THE LIBRARY ENTRY 1 URDRUGS 1 5 UNUSED 2 DOX RX5 3 UNUSED 4 UNUSED 6 UNUSED 7 UNUSED 8 UNUSED 5 The CHOOSE A CHARACTER screen is where you name the template Use the 4 and buttons to put the highlight on the character or symbol you wish to use then press Enter to place the character onto the screen Press Backspace to make cor rections Repeat until you have named the new template USE ARROW KEYS THEN ENTER TO CHOOSE A CHARACTER PNB CDEFGHIUJK ES LMNOPQRSTUV WXYZ SPACE PRESS lt STOP gt TO 0123456789 SAVE AND EXIT USE ARROW KEYS THEN ENTER TO CHOOSE A CHARACTER ABCDEFGHIJK LMNOPQRSTUV WXYZ SPACE PRESS lt STOP gt TO 0 2 3 45 6 7 9 SAVE AND EXIT 40 5633 51A Naming templates You can name a template any thing you wish Smiths Medical recommends that you name templates in a way that readily identifies their content and function There is a 15 character limit to template names You can use any combina tion of letters spaces symbols and numbers It is possible to give the same name to two or more tem plates within any library avoid confusion by not doing this With E plates it would be helpful to in clude syringe size like 30mL as part of the library name 6 Wh
55. sabled Disabled B D Enabled Enabled Monoject Enabled Enabled Enabled Terumo Enabled Enabled Enabled AstraZeneca Disabled Disabled Disabled Delivery Modes Default Delivery Modes Anesthesia w Order General w Order NICU w Order Micrograms kg Minute Enabled 1st Enabled 314 Disabled Micrograms kg Hour Enabled 274 Disabled Disabled Milligrams kg Minute Enabled 314 Disabled Disabled Milligrams kg Hour Enabled 4 Disabled Disabled Milliliter Hour Enabled 5 Enabled 1st Enabled 1st Recall Last Setting Enabled 6 Enabled 4 Enabled 314 Page Break Enabled 7 Enabled 5 Enabled 4 Volume Time Disabled Enabled 2n4 Enabled 24 Micrograms Hour Disabled Disabled Disabled Micrograms Minute Disabled Disabled Disabled Milligrams Hour Disabled Disabled Disabled Milligrams Minute Disabled Disabled Disabled Milliunits Hour Disabled Disabled Disabled Milliunits Minute Disabled Disabled Disabled Units Hour Disabled Disabled Disabled Units Minute Disabled Disabled Disabled Units kg Hour Disabled Disabled Disabled Library A Disabled Disabled Disabled Library B Disabled Disabled Disabled Library C Disabled Disabled Disabled Library D Disabled Disabled Disabled Custom Dilution Disabled Disabled Disabled Intermittent Volume Time Disabled Disabled
56. screen To the right of list is either Enabled or Disabled STANDBY ENABLED LOADING DOSE ENABLED BOLUS DOSE ENABLED VOLUME LIMIT ENABLED 0 To enable disable or move another program option repeat steps 3 6 If you wish you may press Preview to see how this change will look Then press Continue to return to the ENABLE DIsABLE MOVE screen Press O to save your changes and exit to the MoDIFY SETTINGS screen Or press O to exit to the SAVE CHANGES YEs No screen Answer No to exit without saving changes 3 Use the 1 or buttons to move the marker gt to the program option you wish to enable disable or move Press Select to highlight program option you wish to enable disable or move PRESS gt DESELECT gt TO MOVE THE CURSOR lt gt Buen ENABLED LOADING DOSE ENABLED BOLUS DOSE ENABLED VOLUME LIMIT ENABLED 5 To Enable Disable a selection Press Enable or Disable depending on what you are doing Note how the screen changes PRESS gt DESELECT gt TO MOVE THE CURSOR gt gt gt ENABLED LOADING DOSE ENABLED BOLUS DOSE ENABLED VOLUME LIMIT ENABLED To Move a selection Press the or buttons to move the program option to a new location in the list Notice how it shifts relative to other items on the list Place it where you want it to appear on the SELECT THE 20 Lvs L Lo SAVE CHANGES
57. ser must confirm each setting individually by pressing Enter This means the user has to step through and review each setting before accepting it e The pump also does not automatically select sy ringe model and size These standard libraries also allow modifying set tings while stepping through preset values Enabling disabling standard library usage Depending on your pump s configuration standard li braries may or may not be available for immediate use If you cannot find them as a feature of your pump then they must be enabled through custom configura tion They are part of the SELECT DELIVERY MODES customization Note If you have authorization you may use custom configuration to enable or disable standard libraries If not ask the person responsible for custom con figuration to make this change for you All such standard dosage templates must be set up ac cording to the standards amp practices of your hospital unit or organization 29 Medfusion 3500 Configuration Manual Below are the steps for enabling or disabling standard libraries for use with the pump 1 Access the CUSTOM PROGRAM menu see page 8 and choose SELECT DELIVERY Monpes by press ing its number in this case it is number 2 PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 S
58. sion 3500 Configuration Manual iv 40 5633 51A Medfusion 3500 Configuration Manual Introduction This manual is designed to teach you the customiz ing process for the Medfusion 3500 infusion pump Through customization you make the pump meet the specific needs and purposes of your unit organiza tion department or hospital You must be thoroughly familiar with the contents of the Operation Manual as well as this manual before customizing the features and options of the Medfusion 3500 pump This manual presumes you have read the Operation Manual and are fully competent with using the pump Note This manual and its contents are valid for use with software version 3 0 6 Finding relevant information Refer to the Medfusion 3500 Infusion Pump Operation Manual for the following important infor mation e Important Operation Notices e Correct Use of This Pump Intended Use e Features amp Controls Technical Specifications amp Definitions e Syringe Models amp Standard e Operation Warnings amp Cautions Guidelines For Enhanced Pump Performance 40 5633 51A 1 Medfusion 3500 Configuration Manual Custom configuring fea tures amp options This chapter contains definitions and a require ments overview for customizing the operations of the Medfusion 3500 infusion pump This includes custom selection enabling or disabling and setting pump features The actual configuratio
59. sound the pump makes when you press a button The Medfusion 3500 infu sion pump has five levels of keyclick loudness rang ing from Off to Very Loud Set loudness to whatever level seems appropriate for the patient care environ ment where the pump is used The steps for setting the Keyclick Loudness are given below 1 Access the CUSTOM PROGRAM menu see page 8 and choose ALARM SETUP by pressing its number You may need to press More to find it PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE 27 Medfusion 3500 Configuration Manual 2 You now see the ADJUST LOUDNESS screen There are 5 levels of loudness to choose from onscreen ADUST LOUDNESS PRESS ENTER TO CONTINUE ORK D gt LEVELS Bo 2 SEVES 4 LEVEL 4 3 Use the number buttons to put the highlight on the loudness level you wish to test or use see below for testing instructions 4 When ready press Enter to set the new Keyclick Loudness status Or press O to exit without changing the Keyclick Loudness status Testing keyclick beep loudness If you are unfamiliar with the Medfusion 3500 then you ll probably need to test the beep loudness before setting it Note You must be at Step 2 of the preceding list of steps 1 Put
60. ss Enter ENTER CONFIG PASSCODE PRESS ENTER TO CONTINUE MIN 0 e CLEAR BACKSPACE ENTER 3 The Mopiry SETTINGS screen appears Select RESTORE DEFAULT CONFIGURATION you may need to press More until you locate it PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE MORE 4 The SELECT DEFAULT CONFIGURATION Screen appears The previously selected set of defaults is highlighted Select the default configuration you wish to reinstate Your choices are e Anesthesia Defaults e General Defaults e NICU Defaults 5 Pressing the number button for the selection puts the highlight on the set of defaults you intend to use When ready press Enter 6 The selected default settings have replaced all changes made to the pump configuration See the following tables to review those default settings Medfusion 3500 Configuration Manual Default Settings for Anesthesia General and NICU This section contains a series of tables containing de fault setting information for Anesthesia General and NICU Syringe Model Syringe Model B Braun Omnifix Anesthesia Disabled General Disabled Disabled B Braun Perfusor Disabled Disabled Disabled B D Glass Disabled Di
61. tely one minute Feature or Option Learn Everything Learn Config Only With this cloning feature the pump receives only the custom configuration set tings This takes approximately two seconds Learn Libraries Only With this cloning feature the pump receives only the library settings This takes approximately one minute 40 5633 51A 7 Medfusion 3500 Configuration Manual Passcode protection Access to custom configuration is controlled by a security code It is recommended that you not give this password to all users Only persons authorized to reconfigure the pump s operations should hold this passcode The custom configuration passcode is 3000 Never tell this security setup control code to unau thorized personnel in your unit department organi zation or hospital It is recommended your unit department organiza tion or hospital establish a regulated protocol for determining who is responsible for configuring and reconfiguring the Medfusion 3500 infusion pump Only properly trained personnel should ever be au thorized to set up this pump for use with patients WARNING Unauthorized configuration Unauthorized changes to pump configuration may cause confusion among users which can create a hazard for use and can result in serious injury or death Using the custom configuration passcode Below are the steps for accessing the custom program ming or configuration mode of the
62. tep by step verification and the pump pauses at the BEGIN INFUSION screen Fill in any blank fields verify all parameters on the screen and then press to begin infusion If E Plates are not desired a toggle can be used to disable E Plates and enable standard Library D in it s place Standard Libraries Templates The pump has 3 standard libraries 4 if Library D is enabled containing 16 blank or used templates per library These are user programmable sets of standard values used for administering standard fluids or medications without having to set up indi vidual dosage each time Each template can be given an easily recognized name with as many as 15 charac ters After you select a template for use its name appears on the delivery screen You can then verify the correct template has been selected by verifying the name Always confirm that all settings are correct prior to beginning the infusion Always set up standard dosages according to the standards amp practices of your hospi tal unit or organization Create amp Save Entries to the pump Templates It is very easy to save a new template to any of the 4 libraries This should be a care fully controlled aspect of configuration as it takes place outside the Custom Program utility or using PharmGuard Toolbox on a PC If you are creating a library entry using the SAvE To LIBRARY feature from the OPTIONS menu You must enable the SAVE
63. the Time pump delivers a specific volume per specified time then pauses a set time then delivers another dosage etcetera Micrograms kg Hour This delivers a dosage based on micrograms of medication or fluid per kilo gram of body weight per hour Micrograms Kg Minute This delivers a dosage based on micrograms of medication or fluid per kilo gram of body weight per minute Milligrams Kg Hour This delivers a dosage based on milligrams of medication or fluid per kilo gram of body weight per hour Milligrams Kg Minute This delivers a dosage based on milligrams of medication or fluid per kilo gram of body weight per minute Units Kg Hour This delivers a dosage based on Units of medication or fluid per kilogram of body weight per hour Micrograms Hour This delivers a dosage based on micrograms of medication or fluid per hour Micrograms Minute This delivers a dosage based on micrograms of medication or fluid per minute Milligrams Hour This delivers a dosage based on milligrams of medication or fluid per hour Milligrams Minute This delivers a dosage based on milligrams of medication or fluid per minute Milliliter Hour This delivers a dosage based on milliliters of medication or fluid per hour Milliunits Hour This delivers a dosage based on milliunits of medication or fluid per hour Milliunits Minute This delivers a dosage based on milliunits of medication
64. to delete This erases the library template as soon as you press the button 5 When finished deleting or clearing a library tem plates press OD to exit 34 Clear all libraries The Clear All Libraries feature is a housekeeping option available through Custom PRoGRAM The settings of any given library are usually intended for use by a specific unit department organization or hospital Whenever your entire library contents are no longer desired it is a good idea to delete or clear it Clearing ALL libraries deletes or removes ALL templates settings stored inside ALL libraries IMPORTANT Never clear ALL libraries unless you want ALL their presets removed permanently from the pump When you clear all libraries you are per manently erasing them from the pumps memory The steps for deleting all the libraries are given below 1 Access the CUSTOM PROGRAM menu see page 8 and choose CLEAR ALL LIBRARIES by pressing its number you may need to press More to find it Remember you are about to clear the contents of ALL templates inside ALL libraries and the dele tion is permanent PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE 3 Atthe CLEAR ALL LIBRARIES screen press Yes to erase the contents of all libraries Press No or OD to exit w
65. tus Or press O to exit without saving changes Displaying E Plates options Even though you may enable the E Plates and Standard Libraries the pump display does not offer E Plates and or Standard Libraries until you actually store a template inside a library When you have enabled E Plates and have a saved template in the library the pump lets you know by changing the SELECT THE MODE screen and other applicable screens by showing the word E Plates on 40 5633 51A Medfusion 3500 Configuration Manual the lower left corner of the screen See the following illustration PRESS THE NUMBER TO SELECT THE MODE 1 MICROGMS KG MINUTE 5 ML HR 2 MICROGMS KG HR 6 RECALL LAST SETTINGS 3 MG KG MINUTE 4 MG KG HR woE If you press E Plates the pump displays the templates in the E Plates library and the button is now labeled Main Menu PRESS THE NUMBER TO SELECT THE LIBRARY ENTRY 1 URDRUG 1 2 DOX RXD 3 MEDIC8 If you press Main Menu you return to the SELECT THE MODE screen Create amp save a library entry template With the Medfusion 3500 infusion pump it is pos sible to set up a standard infusion and then save it to a library as a template of preset values Creating templates is a configuration function that takes place outside configuration through the SAVE To LIBRARY feature It is very easy to save a new template to any of the 4 libra
66. us Set near empty alarm time The near empty alarm time is the interval before which the syringe is empty and the pump sounds a warning alarm The pump calculates near emptiness based on the size of the syringe divided by the amount of dosage or fluid inside the syringe times the rate of 26 40 5633 51A Set alarm loudness The Medfusion 3500 infusion pump has five levels of alarm loudness you can choose from These range from soft to very loud Set alarm loudness to whatever level seems appropriate for the patient care environ ment where the pump is used Test the alarm loudness and select a volume appropriate for your needs Level Loudness Suggested Area of Use 1 Very Soft ICU CCU NICU 2 Soft Geriatric Chronically Ill 3 Normal Normal 4 Loud Pediatric 5 Very Loud Emergency Room Below are the steps for setting the Alarm Loudness 1 Access the CUSTOM PROGRAM menu see page 8 and choose ALARM SETUP by pressing its number You may need to press More to find it PRESS THE NUMBER TO MODIFY SETTINGS 1 SELECT SYRINGES 5 E PLATES LIBRARY D 2 SELECT DELIVERY MODES 6 SET PUMP ID LABEL 3 SELECT PROGRAM OPTIONS 7 SET OCCLUSION LIMIT 4 AUTO PROMPT 8 SET MAX FLOW RATE SS ESS SES Sa ES 2 You now see the alarm MODIFY SETTINGS screen Find Ser ALARM LOUDNESS and press its num ber in this case it is number 4 PRESS THE NUMBER TO MODIFY SETTINGS 1 SET ALARM
67. usion pump is shipped with all the templates empty in all the libraries and with all 4 libraries disabled Before you can use an enabled library it must have infusion presets stored inside at least one template in the library Libraries must follow standards amp practices Whenever you create a template or group of templates of presets within a library the standard dosages used must always be set up according to the standards amp practices of your hospital unit or organization and must ensure correct use of all medications and fluids SAVE TO LIBRARY is a configuration setting that should never be available while operating the pump When saving a new template you must be especially careful to always verify your settings are correct before creating a new template WARNING Verify settings before using An in correctly set up library template can cause over infusion or under infusion with resulting potential serious injury or death Enabling the libraries The Medfusion 3500 infusion pump is shipped with the libraries disabled and their templates empty Each library must be enabled individually before you can use the presets from a library template The steps for enabling libraries are explained in Enabling disabling standard libraries page 29 and Enabling disabling E Plates page 31 33 Medfusion 3500 Configuration Manual Clear library entry or template The Clear Library Entry or
68. y pressing Enter Library C Standard template library C Shipped from factory with 16 empty templates May contain templates of presets you can reuse without having to type them each time You must verify presets at each level by pressing Enter What it Does Page Break The page break feature is found in the SELECT DELIVERY Mope feature as a part of the Custom PROGRAM configuration utility It works hand in hand with the move entries option to help you control how and where feature titles display onscreen Custom Program Custom Program is what you use to customize the settings of the Medfusion 3500 infusion pump It is always available and may never be disabled Your only option for changing CUSTOM PROGRAM is to rearrange its position onscreen Biomed Biomed is used to perform diagnosis troubleshoot and calibrate the Medfusion 3500 infusion pump It is always available and may never be disabled Your only option for changing Biomed is to rearrange its position onscreen Specific information about the Biomed option can be found in the Medfusion 3000 Series Technical Service Manual 16 40 5633 51A Enable disable or move delivery modes The Medfusion 3500 infusion pump has delivery modes you can enable disable or customize for infu sion deliveries The pump is shipped with the General Defaults settings for all these modes This means not all features are enabled and some may be enabled you
69. yclick is the beeping sound the buttons make when you press them You can set this range from off to very loud Clear Library Entry Template This is a housekeeping utility that allows erasing or deleting the contents of a single template in an E Plates or Standard library Clear All Libraries This is a housekeeping utility that allows erasing or deleting the contents of ALL templates in ALL E Plate and Standard libraries Default Configuration Restore amp Use This pump comes with three major sets of configuration defaults intended to provide a baseline for meeting the needs of a unit department organization or hospital They are e Anesthesia Defaults e General Defaults e NICU Defaults The term default is here defined as values or groups of values that are arbitrarily used as standard settings But with this pump standard settings are whatever values are defined as standard by any specific unit department organization or hospital You may opt to restore these defaults at any time through custom configuration Tables of settings for all three groups are in the chapter titled Restore Use Default Configuration Set Unlock Passcode Allows activation of a numeric pass code of the your choice from 1 to 9999 Once activated the pass code must be entered to unlock a locked user interface This feature helps to increase the security of the infusion parameters Rapid Occlusion Det

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Medfusion™ 3500Configuration Manual