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MedSystem III® Infusion Pump Model 2865

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1. E 5 3 5 Le WL 107 Min Rate Error 10 amp Min Rate Error Overall Rate Error Overall Rate Error Max Rate Error Max Rate Error 15 415 0 5 10 15 20 25 30 0 5 10 15 20 25 30 Observation Time minutes Observation Time minutes Trumpet 25 ml hr Initial Trumpet 25 ml hr 48 Hours 15 187 10 10 i 5 wh 5 E ee u eats wW o op i a ma o psg kip i i x z s z 5 o o re i IL 10 gt Min Rate Error 10 amp Min Rate Error Overall Rate Error Max Rate Error Overall Rate Error t Max Rate Error 45 t pe 15 0 5 10 15 20 25 30 5 20 25 30 Observation Time minutes MedSystem III Infusion Pump Model 2865 User Manual 10 15 Observation Time minutes 83 Appendix A Electromagnetic Environment Electromagnetic Environment FCC Notice This equipment has been tested and found to comply with limits for a Class B digital device pursuant to Part 18 of the FCC Rules e These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment e This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instruction manual may cause harmful interference to radio communications Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be requi
2. MedSystem III Infusion Pump Model 2865 User Manual 7 Chapter 1 Introduction Container Hook one hook on each side of the MedSystem III Rotating Latch allows clamp to spin 360 and position at every 90 Adjustable Pole Clamp jaw with clutch feature mounts pump to a pole or bedside NOTE The MedSystem Ill is designed to function in any orientation However the effectiveness of the administration set air trap is diminished when the MedSystem Ill is not in the vertical position Pole Clamp To attach pole clamp 1 Position the clamp jaw over mounting surface and turn the knob until the clamp is tightened and the pump feels secure 2 When knob is as tight as possible continued turning make the knob click and spin freely without over tightening When knob is as tight as possible continued turning makes the knob click and spin freely without over tightening 8 MedSystem III Infusion Pump Model 2865 User Manual Symbols Symbols have been tested and certified in accordance with applicable U S and Canadian and U S Certification Mark Products bearing this mark Cc us Canadian electrical safety and performance standards Protection against fluid ingress Drip Proof IPX1 Caution Refer to accompanying documentation an U S Certification Mark Products bearing this mark have been tested UL and certified in accordance with applicable U S electrical safety and performance standards UL54
3. 7 Slowly raise the tubing outlet to 3 8 96 52 cm above the cassette The CUT should sound an alarm within 10 seconds 8 After completing steps 1 7 for all three channels configure the MedSystem III in the General Purpose Device Type To perform the fluid side occlusion detector test This test verifies the proper functioning of the alarm which detects occlusion between the pump and the fluid container Repeat the following steps for each of the three channels A B and C 1 Install a primed set in the selected channel 2 Start the selected channel at 125 ml h Close the roller clamp between instrument and fluid container Occlusion should be detected within two minutes The Standard Display screen displays an alarm for the channel under test and the message Fluid Side Occluded The red LED in the key for the test channel flashes and a four beep alarm audibly sounds 4 Open the roller clamp and press to reset the alarm To perform the air in line test This test verifies the proper functioning of the alarm which detects air in a line Repeat the following procedure for each of the channels A B and C 1 Disconnect the drip chamber from the solution bottle or inject a large air bubble into the tubing via the upstream y site NOTE The injected air bubble size should be approximately twice the threshold value of the air detector plus one milliliter to fill the cassette air trap For example if the threshold is 500 mic
4. Chapter 3 Alarms Advisories and Prompts 58 Fault When the system experiences a fault a numeric message appears an audible siren sounds a rapid flashing red light appears and the infusion stops Fault Meaning Response Channel Out of Order Safety checks built into the software have detected a faulty channel CORRECTIVE ACTION for resumable faults only Press the affected channel CaS Fault Number Safety checks built into software have detected a fault condition Follow the instructions on channel s Alarm Information page Press RETRY to clear fault If the fault recurs press SERVICE and contact qualified service personnel Watchdog When the Watchdog feature is active the display present a blank screen a continuous audible tone sounds the red and green lights flash continuously and the infusion stops Watchdog Meaning Response Blank Screen Safety checks built into the software have detected a faulty channel Attempt to reset Instrument Turn instrument off then on again START Press to resume each channel that had been infusing If the Watchdog alarm recurs or the MedSystem III cannot be turned on replace the pump and notify qualified service personnel MedSystem III Infusion Pump Model 2865 User Manual Other Conditions Meaning Response Screen is too light or dark to read with instrument on Press Pr
5. 6 Verify the settings 7 Verify the solution flow from the Secondary container To set the rate of infusion from a time entry The infusion rate can be set with the volume remaining VR and time entry Press from the Standard Display Press Config at the bottom of the display Select Change Instrument Settings from the menu Press f or to change the Setup Line Option from NO to YES Return to the Standard Display and select a channel The display reads Setup Select VR and Rate 6 Select Set Select VR and Rate 7 Press Accept to set a time Coe woe e 34 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page To titrate or change Secondary Rate during infusion NOTE The channel display on the Standard Display appear in reversed highlight 1 Press C A9 C BIJor c 9 The Primary Programming page appears The Secondary Rate is highlighted 2 Press t Fast f or Fast to change the rate The selected value flashes Infusing Secondary Stop affects channelA ng e 3 Press Enter to confirm The new rate begins infusing immediately To review or change the primary value s during Secondary Infusion 1 Press CA9 C BIJor c 9 The Secondary Programming page is displayed 2 Press tons The 1 Pri and CalcOn softkeys appear 3 Press 1 Pri The Primary Programming page appears A Stopped A Primary Rate 100 ml h A Pri VolRem VR 500 ml A
6. Check the tubing between the container and the pump for a closed regulating clamp a closed vent with unvented container kinked tubing empty syringe or any restriction to flow Clear the occlusion START i i Press to resume infusion Verify that the fluid is flowing in the drip chamber 56 MedSystem III Infusion Pump Model 2865 User Manual Alarms Meaning Response Patient Side Downstream restriction to flow Check the tubing between the Occluded pump and the patient for kinks closed clamps closed stopcocks clogged filters site problems and so on Clear the occlusion or change the infusion site Press to resume infusion Verify that the fluid is flowing in drip chamber Pumping Pumping latch jaw located to right Using only your finger push down Latch Closed of air sensor is closed or broken on the pumping latch jaw until it snaps open If the pumping latch jaw is visibly broken contact the qualified service personnel os A T3 ial 7 a Incorrect A O sf al Air Sensor G D Je Pumping Latch Jaw Correct Corrective Action Correct Rate Vol Rates and or volumes are Re enter settings as required Settings incompatible with the newly Cleared selected Device Type Press to resume infusion MedSystem III Infusion Pump Model 2865 User Manual 57
7. If the condition continues try the cassette in a different channel Replace the administration set ifan alarm recurs Clean the lower assembly according to the cleaning instruction described in the Maintenance section of this document MedSystem III Infusion Pump Model 2865 User Manual 55 Chapter 3 Alarms Advisories and Prompts Alarms Meaning Response Cassette Removed The cassette is removed from holder while channel is infusing Reinstall the cassette and press START i i to resume infusion m or Press Cancel Check Fluid Side Faulty Cassette Possible upstream restrictions to flow The cassette may be damaged or inoperable A possible malfunction of cassette sensor located in holder Check the tubing between the container and the pump for a closed regulating clamp a closed vent with unvented container a kinked tubing empty syringe or any restriction to flow If NO occlusion is present press CONFIRM START i i Press to resume infusion Verify fluid is flowing in drip chamber A appears on standard display to indicate Confirm has been pressed Reinsert the cassette in another channel If the alarm recurs in the second channel replace the administration set If the alarm recurs with two cassettes in the same channel discontinue use and contact qualified service personnel Fluid Side Occluded Upstream restriction to flow
8. Inspection Requirements If the MedSystem II fails to respond as described in this document and the cause cannot be determined do not use the pump Contact qualified CareFusion service personnel If it is necessary to return the pump for service obtain a return authorization number prior to shipment Carefully package instrument preferably in the original packaging reference the return authorization information and return it to appropriate service or distribution center CareFusion does not assume any responsibility for loss of or damage to returned instruments while in transit Technical Support Technical support service information applications and manuals may be obtained by contacting a CareFusion representative When submitting any request for service include e Model number The MedSystem III serial number e A description of difficulty experienced Instrument settings e Administration set lot number e Solution s used e Message displayed at time of difficulty MedSystem III Infusion Pump Model 2865 User Manual 79 Chapter 4 Maintenance Warranty CareFusion warrants that A Each new Alaris System product is free from defects in material and workmanship under normal use and service for a period of one 1 year from the date of delivery by CareFusion to the original purchaser B The battery and each new accessory is free from defects in material and workmanship under normal use and service for a peri
9. Test solution Environmental Back pressure IV set 30 Distilled water Ambient temperature 18 gauge needle Model 28034 MedSystem III Infusion Pump Model 2865 User Manual AC Adapter Model 1565C AC Adapter Model 1565C The AC Adapter Model 1565C has only two connections to AC power is double insulated as a medical grade power adapter and does not require a connection to earth ground Model 1565C is compatible with all previously released MedSystem III Infusion Pumps The AC adapter Model 1565C 7 5VDC 1 7A includes a 10 foot cord A ground continuity test is excluded with Model 1565C The certification to the applicable standards for ElectroMagnetic Compatibility EMC has been validated by TUV America AC Adapter Model 1565C US version MedSystem III Infusion Pump Model 2865 User Manual 63 Chapter 4 Maintenance Check In This is a Quick Reference Procedure for check in and configuration of a new and recently serviced MedSystem III The following check in and configuration procedures are taken from the current service manual e Electrical Safety Test e Power Tests e Cassette and Sensor Test e Patient side Occlusion Detector Test e Fluid side Occlusion Detector Test e Air in Line Test e Volume Accuracy Test e Watchdog Audio Test References used in conjunction with this document The MedSystem III 2865 and 2866 Technical Service Manual Physical Inspection Before unpacking check the ship
10. dampened with the appropriate cleaning solution as specified above NOTE If dried residue is difficult to remove or the slide link or pump latch sticks spray the cleaning solution on the residue and allow it to soak until it can be more easily removed MedSystem III Infusion Pump Model 2865 User Manual 73 Chapter 4 Maintenance 74 5 After removing residue rinse with a lint free swab dampened with water Water may be sprayed on the cleaned surfaces to rinse areas that are difficult to reach with a swab Slide Link Assembly Pump Latch 6 Dry with a lint free swab or cloth or allow to air dry MedSystem III Infusion Pump Model 2865 User Manual Check In To clean the air sensor recess CAUTION Use of abrasives or abrasive cleaners on air sensor recess may cause false Air in Line or Check Air Sensor alarms NOTE Air in line alarms may occur when dried residue builds up in the air in line sensor tubing recess 1 Inspect the air in line sensor module to ensure that there is no separation or breakage of the glued seams NOTE Defective air in line sensor modules must be replaced before using MedSystem III 2 Place the pump in the upright position Clean the tubing recess using a downward motion with a lint free swab dampened with the appropriate cleaning solution as specified in Cleaning Solutions on page 72 4 Rinse with a lint free swab dampened with water Dry with a lint free swa
11. under infiltration conditions WARNING Hospital personnel must ensure compatibility of drugs as well as performance of each channel as part of the overall infusion Potential hazards include drug interactions inaccurate delivery rates inaccurate pressure alarms and nuisance alarms MedSystem III Infusion Pump Model 2865 User Manual WARNING Use only MedSystem III administration sets MS III administration sets are dedicated for use with the MedSystem Ill infusion pump The use of any other administration set may cause improper MedSystem Ill operation resulting in an inaccurate fluid delivery or other potential hazard WARNING The use of positive displacement infusion devices ported together with gravity flow infusion systems into a common IV site may impede the flow of common gravity only systems affecting their performance Hospital personnel must ensure performance of common IV site is satisfactory under these circumstances WARNING References in this document to specific drugs and drug doses are for example only Refer to specific drug product labeling for information concerning appropriate administration techniques and dosages WARNING Use of accessories or cables other than those specified may result in degraded electromagnetic compatibility performance of the MedSystem Ill WARNING Do not use the MedSystem III infusion pump near Magnetic Resonance Imaging MRI including Sterotaxis technology WARNING Do not use t
12. 4 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people MedSystem III Infusion Pump Model 2865 User Manual 89 Appendix A Standards Standards The MedSystem II Infusion System has been assessed and complies with the following standards IEC EN 60601 1 including amendments Al and A2 IEC EN 60601 2 24 CISPR 11 Group 1 Class B Emissions IEC EN 60601 1 2 UL 60601 1 CAN CSA No 601 1 M90 90 MedSystem III Infusion Pump Model 2865 User Manual Glossary 1 Pri Primary infusion 2 Sec Secondary infusion am AAMI American Association of Medical Instrumentation ABS acrylonitrile butadiene styrene AC alternating current electrical power BatLog Battery History Log Calc Calculator MedSystem III Infusion Pump Model 2865 User Manual 91 92 CalcOff Calculator Off CalcOn Calculator On ClrAir Clear Air cm centimeter Cntrst Contrast COMM Communications Port Conc Concentration Config Configuration CP Controller Pressure CSA Canadian Standards Association DemoWD Demonstrate Watchdog DI Dose Infused ECG Electrocardiogram ES Electrostatic FMS Field Maintenance Software Gm gram GP General Purpose MedSystem III Infusion Pump Model 2865 User Manual GP Il General Purpose II hour Hz Hertz inch I D identification IEC I
13. 888 876 4287 E mail customerfeedback carefusion com Technical Support North America Maintenance and service information support troubleshooting Phone United States 888 876 4287 Phone Canada 800 387 8309 E mail DL US INF TECH SUPPORT carefusion com Customer Order Management North America Product return service assistance and order placement Phone United States 800 482 4822 Phone Canada 800 387 8309 E mail custcareinfusion carefusion com Contents Chapter 1 Introduction About the MedSystem III Infusion Pump ccccecccecsseesseeteceeeeeeeeeeeeeseeseneeees 1 Contain Cations e nea a avageskdsSeget ag ae ae a Select tented cancunas teens 3 Features sos sede x cc aues sud cued nee eeacednept eda ee ce canes vudackt cada celscule ores cea un EN EEE adhe ctunelstbecepsteaes 3 Multi channel Fluid Delivery System scccsscscsssscsessscecssscessseseseees 3 Lightweight portable csccccscscsssccecssscessseecscccsccesesesssceesssssssesssseseese 3 Unique rotating pole clamp c ccccecceeseessesteceecnecseecseeeeseeesseeseenseenseenneeesees 3 Dose Rate Calculator DRC cccccccesesscescessecssecseceseeeseeesecsaecnseseeeeneeeneeeaaes 4 Drug List Editor DLE J nasrni ru goseti ten beset Saaga tee R E candace ise 4 Six Device Types available cccccccceccessseesecseceteeeeeeseeessenseceseceeeseeeeaeeaeees 4 Pree flow Protect OM ssepe sues use antens suaes eis saab eae a AE E ES 4 Mo
14. Dose 5 0 mcg kg min A Rate 13 1 ml h A VR 250 ml Vol Rem A VI 0 mi DI 0 0 mg Press Select to choose line 2 Press Enter when desired drug name is highlighted The weight Wt value is highlighted To program weight 1 Enter the patient s weight in kilograms using the f Fast f and Fast softkeys MedSystem III Infusion Pump Model 2865 User Manual 37 Chapter 2 Getting Started 2 Press Enter when desired weight is displayed The concentration Conc selection is highlighted To program concentration 1 From the Dose Rate Calculator Programming page select the concentration using the f Fast t and Fast softkeys 2 Press Enter when the desired concentration is displayed The value for the diluent volume is highlighted 3 Select the diluent volume using the arrow softkeys 4 Press Enter when the desired volume is displayed The VR is automatically set when the diluent volume value is entered It can be changed if desired The Dose selection is highlighted NOTE The calculated rates for infusion are fractional and are displayed as a fraction on the Standard Display even if the Device Type is set for whole numbers To program dose NOTE In Neonatal Device type the concentration will always start at a numeric value of 0 1 1 Select the dose using the f Fast t or Fast softkeys 2 Press Enter when desired dose is displayed The volumetric rate is automatically calculated Th
15. Dose Rate Calculator set up the system returns the highlight to the selection at the top of the page The Dose Rate Calculator programming using a specific drug name calculates a volumetric or dose rate based on values entered for patient weight drug concentration drug amount and diluent volume and dosing parameters If a dose is entered the volumetric rate is calculated If a volumetric rate is entered the dose is calculated 36 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page l Press 6 a9 8 Gore c 9 The Primary Programming page appears A Stopped Wt KG 0 0 LB mg ml mcg kg min ml h ml Vol Rem 0 mi DI 0 0 mg Press Select to choose line 2 If infusing press to stop infusion 3 Press ctRGhs J The 2 Sec and CalcOn softkeys appear 4 Press CalcOn The Dose Rate Calculator Programming page appears The DRUG value is highlighted To program a drug NOTE When you change a drug name the previous values are cleared and the drug concentration and dose rate parameters are changed to parameters appropriate for the selected drug 1 Use the arrow softkeys to scroll through the alphabetized abbreviated drug list o moves A to Z o f moves Z to A o Fast and Fast moves alphabetically through the drug name list By default Fast goes to the next letter of the alphabet A Stopped DOP ANINS Wt 70 0 KG 154 3LB A Conc 400 mg 250 ml A
16. III Infusion Pump Model 2865 User Manual 5 Chapter 1 Introduction System Components Front Panel Display Screen Softkey Pads Channel Indicator Lights Channel Select Keys Lower Assembly 3 Cassette Holders Air in Line Sensor Pump Latch Mechanism Cassette Tubing Collar Recess Portion of administration set inserts into cassette holder Pressure Dome Slide Clamp Tubing Collar Channel Indicators Lights Green e Steady AC power e Flashing battery power Channel Indicators Lights Red e Slow flashing Advisory e Rapid Flashing Alert 6 MedSystem III Infusion Pump Model 2865 User Manual System Components Lower Assembly Air in Line Sensor detects bubbles of air during infusion Tubing Collar Recess holds tubing collar in place Pump Latch Mechanism drives the casette piston to move fluid through the tubing Connector Panel CAUTION When inserting or removing the connectors into or from the receptacles avoid excessive force or twisting To remove the AC adapter from the pump first remove the clip that is on the connector Pi AC Adapter Power l External ee E Plug om fio COMM Container Hook Rotating Latch Adjustable Pole Clamp External Power external power receptacle connects with the power cord Plug Symbol green light on indicates AC power is connected batteries are charging COMM communications line receptacle connects with RS 232
17. Programming page appears The Drug value appears in highlight A Stopped Wt KG 0 0 LB mg ml mcg kg min ml h ml Vol Rem 0 mi DI 0 0 mg Press Select to choose line 5 Press Select The Wt value appears in highlight To program weight 1 From the Dose Rate Calculator Programming page select the patient s weight in kilogram using the Fast t and Fast softkeys 2 Press Enter when desired weight is displayed The Conc value appears in highlight 40 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page To program concentration NOTE In Neonatal Device type the concentration will always start at a numeric value of 0 1 1 From the Dose Rate Calculator Programming page select the concentration using the f Fast t and Fast softkeys 2 Press Enter when the desired concentration is displayed The concentration parameters selection is highlighted Drug Concentration Parameters Gm mg mcg mMol mEq mUn Un 3 Select the desired concentration parameters using the Fastt and Fast softkeys 4 Press Enter when the desired parameter is displayed The value for diluent volume appears in highlight 5 Select the diluent volume value using the f Fast T and Fast softkeys 6 Press Enter when the desired volume is displayed The VR is automatically set when the diluent volume is entered It can be changed if desired The Dose parameters value appears highl
18. RF 150 kHz to 80 NOTE 3 communications equipment should MHz be used no closer to any part of the MedSystem III including cables IEC 61000 4 3 3 V m 10 V m than the recommended separation Radiated RF 80 MHz to 2 5 NOTE 3 distance calculated from the equation GHz applicable to the frequency of the transmitter Recommended Separation Distance 12 d VP Vo 12 d VP 80 MHz to 800 MHz E 12 d VP 80 MHz to 2 5 GHz Ei where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol gt NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people NOTE 3 Compliance levels raised by IEC 60601 2 24 MedSystem III Infusion Pump Model 2865 User Manual 87 Appendix A EMC Tables 88 Table 3 Guidance and Manufacturer s Declaration Electromagnetic Immunity Life Support Equipment The MedSystem III is intended for use in the electromagn
19. Rate appears highlighted but cannot be changed if Volume Time option is active Time remaining selection appears highlighted but cannot be changed if Rate Volume option is active KVO Status When a channel is infusing at KVO rate e The green light on channel key remains on The red light on channel key flashes e A two toned advisory alert sounds KVO 100 Infusion Complete VR 0 Alarm Info Press A __ QUIET MedSystem III Infusion Pump Model 2865 User Manual The Programming Page To resume infusion when VR 0 KVO 1 Press appropriate channel a 9 B 9 or 9 twice The VR selection appears highlighted A KVO 3 0 ml h A Primary Rate 100 ml h A Pri VolRem VR n A Pri Time TR A Pri Vollnf VI 100 ml since 12 37p 01 Feb 02 Press Select to choose line 2 Press REPEAT to recall previous VR or Press f Fast f or Fast to change VR The selected value flashes 3 Press Enter to confirm 4 Press to resume infusion and stop KVO rate NOTE If the current infusion rate is set below KVO rate the channel infuses at the lower rate MedSystem III Infusion Pump Model 2865 User Manual 31 Chapter 2 Getting Started Secondary Mode The Secondary Mode option allows two different rates of infusion to be administered sequentially When the Secondary volume remaining reaches zero the primary infusion resumes automatically To avoid the possibi
20. Start Up Curves cccecccecsccssecseceseeseeeesecaeeseeeeeseeeeseecssesaeeneeeaeeesees 81 Flow Characteristics under Varying Delivery Conditions cceeseeee 82 Effects of Pressure Variations ccccccccesscesscesseeseceeceteeseeeeeeeseeeneens 82 Effects of Negative Solution Container Heights ceceeeeceeeeeees 82 Pressure M Ode iiss mennina ionis e e eie a a E E E a E 82 Electromagnetic Environment cccecccecscesscesseesseeseceeceseeeseeeseesaecnseceeeseeeenseesaes 84 FCC NOt Ces e a ce caces e aea aea ova aa a a E EE E E E sous 84 Canadian Notice Avis Canadien cccccccccsscssscesseeseeeseceeeeeeseneeeeesseenseeaes 84 EMC Table Siea a ae eaa ae ie teas soe sts E E a ae E eaa a E E A 85 SATS TE a RIESE EEA RE ae leas eae 8 el ae e oa 90 IGIOS SONY E teases cate A A A A A 91 MedSystem III Infusion Pump Model 2865 User Manual v Contents Notes vi MedSystem III Infusion Pump Model 2865 User Manual Chapter 1 Introduction About the MedSystem Ille Infusion Pump The MedSystem II infusion pump with Drug List Editor is intended for use in today s growing professional healthcare environment including healthcare facilities and home care for use on adults pediatrics and neonates The MedSystem III is intended for facilities that utilize infusion pumps for the delivery of fluids medications blood and blood products using continuous or intermittent delivery through clinically acc
21. UT Mains power quality should be Voltage Dips 1 gt 95 dip in UT that of a typical commercial or Short gt 95 dip in UT for 0 5 cycle hospital environment Interruptions and for 0 5 cycle If the user of the MedSystem III Voltage Variations requires continued operation NOTE 3 40 UT 40 UT during power mains interruptions 60 dip in UT 60 dip in UT it is recommended that the for 5 cycles for 5 cycles MedSystem III be powered from an uninterruptible power supply 70 UT 70 UT or a battery 30 dip in UT 30 dip in UT The MedSystem III does employ for 25 cycles for 25 cycles an internal short duration battery lt 5 UT lt 5 UT gt 95 dip in UT gt 95 dip in UT for 5 sec for 5 sec NOTE 1 UT is the AC mains voltage prior to application of the test level NOTE 2 Compliance levels raised by IEC 60601 2 24 NOTE 3 Performed at the Minimum and Maximum Rated Input Voltage MedSystem III Infusion Pump Model 2865 User Manual EMC Tables Table 3 Guidance and Manufacturer s Declaration Electromagnetic Immunity Life Support Equipment The MedSystem III is intended for use in the electromagnetic environment specified below Customer or user of MedSystem III should assure that it is used in such an environment IEC 60601 1 2 Compliance Electromagnetic Immunity Test Test Level Level Environment Guidance IEC 61000 4 6 3 V rms 10 V rms Portable and mobile RF Conducted
22. User Manual 61 Chapter 4 Maintenance 62 Rate Accuracy Administration Sets Power Consumption Batteries Battery Charge AC Adapter amp Cord Length 1 0 999 ml hr 5 with a standard deviation of 1 96 under specified conditions 0 1 0 9 ml hr 10 with a standard deviation of 1 96 Use only MedSystem II Administration Sets 6 watts AC power Use only Instrument AC Adapter Model 1555 1565 1560A ordered as part number 2861089 Main Rechargeable NiCd Battery Pack Memory Back up Non rechargeable Lithium NOTE Use only approved CareFusion Battery packs A fully charged battery has a minimum of 6 hours running time with all channels running at 125 milliliters per hour and backlight usage of 2 minutes per hour The main battery retains 80 of its capacity after 500 charging cycles and retains 90 of its capacity after 3 months of continuous AC charging NOTE Replacement of both the main and memory backup batteries must be performed by qualified service technicians Model 1555 7 5 Vde 1 Amp with 10 ft cord Model 1560A 7 5 Vde 1 65 Amp with 10 5 ft cord Model 1565C 7 5Vdc 1 7Amp with a 10 ft cord AC Power Requirements Voltage 90 VAC to 132 VAC Fuses Ground Continuity Leakage Current Frequency 47 Hz to 63 Hz 3 amp fast blow internal Maximum 0 9 ohm Maximum 100 microamps Long term accuracy specified per IEC 60601 2 24 under the following conditions Head height
23. VR O ml A Sec Time TR A Pri Volinf V1 200 ml since 12 37p 01 Feb 02 Start Switches to Secondary 3 Press Enter to confirm The Secondary time remaining TR is calculated automatically based on VR and Rate Once the Secondary Volume Remaining is confirmed the Secondary Volume Infused VI value appears highlighted To clear Secondary Volume Infused VI 1 Press Select if current VI is desired or 5 Press Clear to reset volume infused to zero The date and time are cleared The Clear softkey toggles to Recall 2 Enter to confirm or Press Recall to recall the previous VI value date and time MedSystem III Infusion Pump Model 2865 User Manual 33 Chapter 2 Getting Started To set the Secondary Rate 1 Press Enter to confirm 2 Press Select if the current rate is desired or Press f Fast f or Fast to change Rate The selected value flashes A Infusing Secondary A Secondary Rate 100 ml h A Sec VolRem VR ml A Sec Time TR A Pri Vollnf V1 200 ml since 12 37p 01 Feb 02 Stop affects Secondary Press Enter to confirm 4 Open the regulating clamp on the Secondary administration set 5 Press to begin infusion Four audible tones sound if a primary infusion is in progress The MedSystem III starts infusing at the Secondary rate The current date and time are displayed NOTE The display reverts to the Standard Display page after one minute unless you press ON OFF
24. of this manual NOTE Upon completion of the Check In tests reset the following Volume Remaining Time and Rate Electrical Safety Test Equipment required Name Manufacturer Model Number Electrical Safety Tester Dale Technology Corporation LT544D or equivalent This checks the ground continuity and leakage current of the AC adapter and the pump and can only be performed with the AC adapter connected to the pump NOTE The pole clamp is isolated from the internal electronics and therefore is not grounded It should not be used while performing the electrical safety test To perform an electrical safety test 1 Refer to the operation manual for the electrical safety tester for the proper setup and measurement technique 2 Connect the AC adapter to the MedSystem III infusion pump Plug the AC adapter into the electrical safety tester 4 Measure the ground continuity and leakage current Any point of an instrument with an aluminum chassis can be used for testing A black coated MedSystem III Infusion Pump Model 2865 User Manual 65 Chapter 4 Maintenance 66 chassis can only be tested at the uncoated test point located toward the back of the chassis under the lower housing Test Point black coated chassis only Chassis Verify the following Ground continuity not to exceed 0 1 ohm Leakage current not to exceed 100A Power Tests Charge the MedSystem III for at least one ho
25. page press Select to select the value to change The selected value is highlighted 2 Scroll through the values using either f Fastt or Fast o f and Fastt increases the highlighted values in single or multiple increments o and Fast decreases the highlighted values in single or multiple increments o Press or to change direction of the Fastt or Fast The highlighted value remains flashing until you press Enter If you do not press Enter an entry incomplete advisory alarm is sounded 3 Press Enter to accept the new value If the channel status is Stopped or Standby the next programmable value is highlighted If the status is infusing the selected value remains highlighted 4 Press to recall a previous value after a new value is introduced but not entered The Recall Softkey appears 5 Press Recall The number returns to the previous value 6 Press The infusion starts or stops immediately unless the channel s programming is incomplete or if an advisory alarm or fault condition exists on the selected channel ALARM is displayed in the affected channel status line An alarm condition is displayed on the Standard Display of the affected channel 24 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page Access Alarm Information To access alarm information Press the affected Channel Select key either C a 9 C B Jor c9 The alarm information page appears for the aff
26. that the green LEDs for each channel key f a 9 B Jor c Jare steadily illuminated If they are flashing the MedSystem III is not recognizing that AC power is connected To perform the cassette and sensor test The cassette and sensor test is used to verify the proper functioning of the cassette and latch sensors as well as the latching mechanisms Repeat the following procedures for all three channels A B and C 1 2 3 With the pump turned off remove any cassettes that are installed Turn on the pump Verify that the pump latch mechanism of each channel returns to the home position at the top of the stroke nearest to the chassis Press the channel select key A B or Press An audible two tone advisory sounds and the highlighted message appears Install Cassette Install a primed cassette into the appropriate channel A B or C but do not push the cassette slide clamp into place CIE Cassette Slide Clamp Tubing Collar _ Slide Clamp Out of Position Ensure that there are no air bubbles Press the again A two tone audible advisory sounds and the message appears Push Slide Clamp In MedSystem III Infusion Pump Model 2865 User Manual 67 Chapter 4 Maintenance 68 9 Push the cassette slide clamp in and seat the tubing collar in the recess below the cassette estat Slide Clamp in Place Three beeps sound to indicate the correct cassette installation and t
27. titrate or change Primary Rate during infusion 1 Press a Bor c 4 The Programming page appears and the Primary Rate is highlighted 2 Press t Fast f or Fast to change the rate The Primary Rate value flashes 3 Press Enter to confirm The new rate begins infusing immediately To change Volume Remaining during infusion 1 PressC a 5 0 Bore c9 The Programming page appears and the Primary Rate is highlighted 2 Press Select to highlight VR Press f Fast f or Fast to change the VR The Volume Remaining value flashes 4 Press Enter to confirm The infusion continues with the new volume remaining To clear Volume Infused during infusion 1 Press a4 C B orl c9 The Programming Page appears and the Primary Rate is highlighted 2 Press Select to highlight VI Press Clear then Enter to reset volume infused to zero The Date and time are cleared The Clear softkey toggles to Recall NOTE When the channel VI is cleared that volume is not subtracted from the volume on the TotVol page 4 Press Enter to confirm The infusion continues with the volume infused reset to zero The current date and time are displayed 5 Press Recall to recall the previous VI value date and time MedSystem III Infusion Pump Model 2865 User Manual 27 Chapter 2 Getting Started 28 Making Changes While Infusing To simultaneously clear Total Volume Infused for all channels 1 Pre
28. 0cc Syringe i ae Test Equipment Setup Fluid level at end of test NOTE Start and end fluid levels should be at a half full level at the start to the test and read from the bottom of the meniscus Install the cassette to the channel to begin the test To perform the new instrument volume accuracy test 1 Oe Sy ee we S eS Ww N O Power up the Unit Under Test UUT Press EI Press CONFIG Press SELECT twice to highlight the Setup line option Press the f arrow soft key to toggle setting to Yes Press ENTER to accept the setting Set the meniscus level to 0 in the burette Press A to select Channel A Press SELECT 4 times to highlight Setup option Press the arrow soft key to toggle setting to Select VR and Time Press ENTER to accept setting Press SELECT to highlight Pri VolRem VR Press the arrow soft key until the VR is set to 18 ml MedSystem III Infusion Pump Model 2865 User Manual 20 21 22 23 Check In Press ENTER to accept setting Press SELECT to highlight Pri Time TR Press the arrow soft key until the TR is set to 00h 03m Press ENTER to accept setting Press CLEAR to set the Pri Vol Inf VI to Oml Press ENTER to accept setting The Primary Rate should read 360 ml h Press START to start Channel A STOP Channel A will run for 3 minutes Press within 1 second
29. 4 Manufacturing Date Number adjacent to symbol indicates month and year of manufacture MM YYYY BG Explosion risk if used in presence of flammable anesthetics R 0 Caution Federal U S A law restricts this device to sale by or on nly order of a physician Consult operating instructions sinse Single Use Do not reuse DEHP in fluid pathway No DEHP in fluid pathway Product is latex free Product incorporates SmartSite Needle Free Valve ports and should not be accessed by a needle 6 MedSystem III Infusion Pump Model 2865 User Manual Chapter 1 Introduction FE xx mi Approximate administration set priming volume Drops per milliliter specification for product will be identified on drop symbol Expiration date for product will be identified near hour glass symbol MedSystem III Infusion Pump Model 2865 User Manual Chapter 2 Getting Started NOTE Although the MedSystem III is built and tested to exacting specifications it is not intended to replace the supervision of IV infusions by medical personnel The user should become thoroughly familiar with the features and operation of the MedSystem III and exercise vigilance in its use Warnings and Cautions WARNING A Warning is an alert to a potential hazard which could result in serious personal injury and or product damage if the proper procedures are not followed CAUTION A Caution is an alert to a potent
30. MedSystem I11 Infusion Pump Model 2865 With Advanced Dose Rate Calculation and Drug List User Manual November 2012 Material Number 12275767 carefusion com CareFusion MedSystem II and the CareFusion logo are trademarks or registered trademarks of CareFusion Corporation or one of its subsidiaries All other trademarks are the property of their respective owners CareFusion Corporation San Diego CA United States 800 367 9947 carefusion com 2012 CareFusion Corporation or one of its subsidiaries All rights reserved MedSystem IlII Infusion Pump Model 2865 Changes in equipment software or procedures occur periodically information describing these changes will be included in future editions of the guide The information in this document is subject to change and does not represent a commitment on the part of CareFusion to provide additional services or enhancements Documentation provided with this product might reference product not present in your facility or not yet available for sale in your area This manual provides information on current Standards for Electromagnetic Compatibility by IEC EN 60601 1 2 2002 a Collateral Standard for Electromagnetic Compatibility information found in the applicable User Manual for each MedSystem III infusion system Also hyperbaric chamber operations cautions are provided Customer Advocacy North America Clinical and technical feedback Phone
31. Pri Time TR 05h 00m A Pri Vollnf V1 1 ml since 02 16p 01 Jul 02 Press Select to choose line 4 Press Select to highlight value s to change 5 Press Fast t or Fast to change value s 6 Press Enter to confirm MedSystem III Infusion Pump Model 2865 User Manual 35 Chapter 2 Getting Started To start the primary infusion before Secondary completes WARNING Pressing results in the remaining secondary medication being delivered at the primary rate if the regulating clamp on the secondary set was not closed 1 Close the regulating clamp on the secondary infusion set 2 Press A4 C Bore c9 The Secondary Programming page appears 3 Press ES The 1 Pri and CalcOn softkeys appear 4 Press 1 Pri The Primary Programming page is displayed 5 Press to begin the primary infusion and stop the Secondary infusion The system sounds four audible tones and the infusion starts at the primary rate Dose Rate Calculator programming using a specific drug name WARNING Ensure the correct entry of all drug calculation infusion parameters Consult the drug manufacturer s labeling for information concerning the appropriate administration guidelines and dosages NOTE The Dose Rate Programming page does not display if a channel is infusing If infusing in the Secondary mode switch to the primary mode and stop infusion before proceeding If you press a 9 B Jor c 9 at any time during
32. Rate 100 ml h A Pri VolRem VR jm A Pri Time TR 05h 00m A Pri Vollnf VI 1 ml since 12 37p 01 Feb 02 Press Select to choose line 2 Press Enter to confirm The primary time remaining TR is calculated automatically based on VR and rate Once the Volume Remaining is confirmed the Volume Infused VI value appears highlighted To clear Primary Volume Infused VI 1 Press Select if the current VI is desired A Stopped A Primary Rate 100 ml h A Pri VolRem VR 500 ml A Pri Time TR 05h 00m A Pri Vollnf V1 Em since 12 37p 01 Feb 02 Press Select to choose line Er E ee or 5 Press Clear to reset volume infused to zero The date and time are cleared The Clear softkey toggles to Recall 2 Press Enter to confirm i or sie Press Recall to recall previous VI date and time A Stopped A Primary Rate 100 ml h A Pri VolRem VR 500 ml A Pri Time TR 05h 00m A Pri Volinf v idm Press Enter or Recall Eri E ee E 3 Open the regulating clamp on administration set 4 Press SAR to begin infusion The channel starts infusing The current date and time are displayed The green infusion light on channel key remains illuminated 26 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page 5 Press Display reverts to Standard Display page after one minute 6 Verify the VI settings 7 Verify the solution flow from the primary container To
33. after the channel goes into KVO alarm The volume collect will be between 17 1 ml and 18 9 ml Repeat steps 7 21 for Channels B and C After testing all three channels repeat steps 1 6 with the exception in step 5 to toggle setting to No To perform the watchdog audio test 1 From the Standard Display press two times A softkey labeled Demo WD appears Press the Demo WD soft key and follow the directions on the screen for completing the watchdog test MedSystem III Infusion Pump Model 2865 User Manual 71 Chapter 4 Maintenance 72 Cleaning WARNING Turn off the MedSystem Ill and disconnect the power cord from the AC power source before cleaning Do not spray fluids directly onto the rear case of the Instrument Do not steam autoclave EtO sterilize immerse the MedSystem III or allow fluids to enter the pump case Failure to follow these instructions may result in an electrical hazard CAUTION Do not invert instrument during cleaning or rinsing e Do not clean instrument without first inspecting the condition of the housings for damage e Do not use pressurized air to dry instrument as the force may move fluid past the moisture seals e Do not use organic solvents ammonia ammonium based agents and or abrasive cleansers e Donot damage valve actuators e Do not use sharp or metallic tools to remove residue Clean the MedSystem III regularly to maintain the proper working order and optimum performanc
34. ate and or dose rate calculations e With DRC activated the MedSystem HI displays infusion status for rate dosing regimen and drug name e Communications Protocol allows clinical monitoring MedSystem III configuration and maintenance e Field Maintenance Software FMS available for Biomed to configure service and troubleshoot the MedSystem III 2 MedSystem III Infusion Pump Model 2865 User Manual Contraindications Contraindications None known Features Multi channel Fluid Delivery System Combines three independent infusion channels in an unparalleled small size Lightweight portable The MedSystem III with pole clamp weighs just over 5 pounds 2 3kg and is easy to transport STANDARD MORE START OIS DISPLAY OPTIONS STOP Unique rotating pole clamp Can be attached to a variety of surfaces MedSystem III Infusion Pump Model 2865 User Manual 3 Chapter 1 Introduction Dose Rate Calculator DRC Calculates a volumetric or dose rate based on values entered for patient weight drug concentration drug amount and diluent volume and dosing parameters A Stopped Wt KG 0 0 LB mg ml mcg kg min ml h ml Vol Rem 0 m DI 0 0 mg Press Select to choose line Drug List Editor DLE Drug list can be customized using Drug List Editor software Six Device Types available Six available Device Types with configurable parameters maximum and minimum rates maximum volumes base
35. b or allow to air dry MedSystem III Infusion Pump Model 2865 User Manual 75 Chapter 4 Maintenance To clean the Optomodule CAUTION Do not use isopropyl alcohol on the optomodule 1 Place the pump in the upright position 2 Gently clean the optomodule using a lint free swab dampened with the appropriate cleaning solution as specified in Cleaning Solutions on page 72 NOTE You can spray cleaning solution on difficult to remove residue to help wet and soften the residue for easier removal 3 After removing residue gently rinse with a lint free swab dampened with water NOTE You can spray water on the cleaned surfaces to rinse areas that are difficult to reach with a swab 4 Gently dry with a lint free swab or allow to air dry To clean the Valve Actuator WARNING Use extreme care when cleaning the area around the valve actuators to avoid damage and breakage of the valve actuator tips Damage or breakage of the valve actuator tips could cause an uncontrolled flow condition CAUTION Do not use isopropyl alcohol to clean the valve actuators 1 Place the pump in the upright position 76 MedSystem III Infusion Pump Model 2865 User Manual Check In 2 Gently clean the valve actuator and actuator seal using a lint free swab dampened with the appropriate cleaning solution as specified in Cleaning Solutions on page 72 Valve Actuator NOTE The cleaning solution may be sprayed on diff
36. d If no information has been programmed on the NOTE page there is a two tone audible advisory and the message There is no Special Note appears on the prompt line Infusing 100 ml h VR 450 VI 50 There is no Special Note BatLog Battery History Log The BatLog softkey accesses the Battery History Log page This page is provided for the Biomedical Engineering staff to review and record battery history data To access the Battery History Log 1 Press Far 48 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page 2 Press two times The BatLog and DemoWD softkeys appear Infusing 100 ml h VR 450 VI 50 Stop affects channel A a i 3 Press BatLog The Battery History page is displayed 4 Press to exit Battery History page If you do not press ON OFF the display reverts to the Standard Display page after 1 minute MedSystem III Infusion Pump Model 2865 User Manual 49 Chapter 2 Getting Started 50 MedSystem III Infusion Pump Model 2865 User Manual Chapter 3 Alarms Advisories and Prompts Use this troubleshooting information in conjunction with the appropriate hospital procedures To respond to an advisory alarm or fault message 1 Press QUIET The audio tone stops and the red light flashes on the affected channel Press the affected channel f a 9 B or c9 The Alarm Information page is displayed Take the appropriate acti
37. during infusion Cntrst Contrast Brightens or dims the display e GP Indicates the full name of the selected Device Type on the prompt line when selected NOTE Additional softkey prompts are displayed by pressing the MORE OPTIONS key MedSystem III Infusion Pump Model 2865 User Manual 21 Chapter 2 Getting Started Programming Page STANDARD MORE START Selected since 12 37p 01 Feb 02 Press Select to choose line Date Time Status Line i A Stopped Infusion Rate A Primary Rate Ba mi h Volume Remaining A Pri VolRem VR 250ml Time Remaining A Pri Time TR 10h 00m Volume Infused A Pri Volinf VI 10 ml Softkey Prompts Selected Channel indicated by the letter displayed at the beginning of the first five lines Status Line displays the infusion status for the selected channel Date Time displays the time and date when volume infused was last cleared and infusion began Softkey Prompts e Select moves the highlight bar through programmable infusion parameters e t increases highlighted value e decreases highlighted value increases highlighted value at greater increments EY decreases highlighted value at greater increments 22 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page The Programming Page The programming page is used to view infusion settings for all active channels activate additional standard dis
38. e NOTE If the power cord is permanently attached to instrument ensure cleaning solution does not enter the connector To prepare the MedSystem IlI for cleaning 1 Unplug the AC adapter power cord from the wall outlet 2 Disconnect the power cord from the external power connector on the side of instrument 3 Inspect the pump s outer surfaces for damage CAUTION Take special care to observe any cracks or punctures in the pump s outer surface that may allow fluid to enter Cleaning Solutions You can use any of the following cleaning solutions to clean the MedSystem III e Use solutions of non abrasive non staining detergent such as commercially available alcohol free dish washing liquid well diluted with warm water e Use either Cavicide or 10 chlorine bleach and water for disinfecting e Rinse with distilled or deionized water e Use soft non abrasive cloths soft bristled brushes and or non abrasive lint free swabs MedSystem III Infusion Pump Model 2865 User Manual Check In To clean the MedSystem IIl s lower housing slide link and latch 1 Wipe the pump s exterior using a cloth dampened with cleaning solution 2 Remove the lower housing to access the lower assembly by pressing all four black release tabs simultaneously while pulling straight down 3 Set the pump upright 4 Clean the slide link and instrument latch mechanism using a small soft bristled brush or lint free swab
39. e 1 for a complete listing of preset parameters Refer to the Config softkey section for programmable and configurable parameters These parameters can be modified to meet your institution s specific requirements using FMS software To change the device type 1 Press Ea 2 Press EER The TotVol Device Config and Note softkeys appear 3 Press Device The currently selected Device Type appears with an asterisk and is highlighted Infusing 100 ml h VR 450 VI 50 Stop affects channel A Fovo 4 Press Select to move the highlight through the list 44 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page 5 Press Enter when the desired device is highlighted If preset values are compatible with the newly selected device type an asterisk appears next to the device type name Change Device Type General Purpose Neonatal Controller Pressure Operating Room General Purpose __ Operating Room II Press Stnd Display to Exit ET E If channel is not infusing when device type is changed and preset values are not compatible with the newly selected device type the display switches to a notification screen the incompatible channel s is indicated A choice is given to continue 6 Select Yes The incompatible values are cleared the display reverts to Standard Display page and the new Device Type becomes active or Select No The display reverts to Change Device Typ
40. e Rate selection appears highlighted To change the Volumetric Rate 1 Select the rate value using the Fast f or Fast softkeys if the dose rate is not as desired 2 Press Enter when desired volumetric rate is displayed Infusing 131 ml h 5 0 mcg k mn DOPAMINE Stop affects channel A eee When rate is changed dose value is automatically calculated The VR selection appears in highlight To change the Volume Remaining 1 Change the VR value using the f Fast f or Fast softkeys 38 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page Press Enter when the desired VR is displayed The VI selection appears in highlight To clear the Volume Infused VI and Dose Infused DI 1 Press Clear and then Enter to reset volume infused to zero The DI selection appears in highlight Press Clear then Enter to reset dose infused to zero Open the regulating clamp Press to begin infusion The channel starts infusing Press NOTE The display reverts to the Standard Display page after one minute and the Dose Rate Calculator parameters are displayed Verify the settings Verify the solution flow from solution container NOTE You must stop the infusion to make changes to the drug name weight or concentration To change Dose Rate Calculator values while infusing 1 Press C a 9 C B Jorf c9 The Dose Rate Calculator Programming page appears The dose val
41. e page If channel is infusing when device type is changed and preset values are not compatible with the newly selected device type the display switches to the notification screen and the incompatible channel s is indicated A choice is given to continue 7 Select No The display reverts to Change Device Type page for user to select another device type or Select Yes Rate Vol Settings Cleared Alarm Info Press channel A u o a EW The pump will alarm infusion will stop on affected channel s and the display reverts to Standard Display with Alarm indicated for affected channel 8 Press affected channel f a 9 B orl c9 MedSystem III Infusion Pump Model 2865 User Manual 45 Chapter 2 Getting Started 46 9 Follow instructions displayed NOTE The values shown in table can be modified to meet your facility s requirements using FMS software To review actual default parameters on a Instrument DLE Select a Device Type and refer to Instrument Settings pages 2 through 5 An asterisk appears beside settings which are not a factory default Default General Controller Operating General Operating Parameter Purpose Neonatal Pressure Room Purpose ll Room Il Occlusion Baseline Baseline Absolute Baseline Baseline Baseline Detection Threshold Method Occlusion Baseline Baseline 3ft H2O Baseline 5 Baseline 5 Baseline 5 Alarm 5 psi 3 psi ps
42. e results in a rate outside the rate ranges a prompt message is displayed Rate too High re enter value or Rate too Low reenter the value If a recalculated rate results in a dose outside the dose range the channel infuses at the entered rate but the dose displays the minimum or maximum allowable limit such as lt 0 1 or gt 999k The Secondary option cannot be used when the Dose Rate Calculator is enabled If the MedSystem III is off for more than five minutes the Dose Rate Calculator mode reverts to the primary mode Device NOTE The Device Type programming selection affects all three channels It is not possible to independently program different Device Types for a channel There are six Device Types with preset parameters that accommodate specific clinical applications e e e e General Purpose Neonatal Controller Pressure Operating Room General Purpose II Operating Room II When setting up the pump select the device type that best suits your clinical needs The abbreviated name of the Device Type appears as a softkey on the MedSystem III Infusion Pump Model 2865 User Manual 43 Chapter 2 Getting Started Standard Display page Pressing the softkey displays the device type in non abbreviated form on the prompt line Stopped 100 ml h VR 450 VI 50 Device General Purpose BS Maximum rate maximum volume pressure and air in line threshold are configured at the factory See Tabl
43. ected channel See the Alarms Advisories and Prompts section of this manual for more alarm information on the use of the Dose Rate Calculator function Activate Additional Softkeys To activate additional programming page softkeys 1 From the Programming page press orbens 2 Press 2 Sec to access the Secondary page or Press CalcON to access the Dose Rate calculation page 3 Press fm 4 Press CalcOff to discontinue the use of the Dose Rate calculator See the Getting Started section of this manual for information on the use of the Dose Rate Calculator function Program Primary Functions To set Primary Rate 1 PressC a9 Bor c 4 The Programming page appears and the Primary Rate is highlighted A Stopped A Primary Rate Amih A Pri VolRem VR 500 ml A Pri Time TR 05h 00m A Pri Vollnf VI 1 ml since 12 37p 01 Feb 02 Press Select to choose line 2 Press Select if the current rate is desired or Press f Fast f or Fast to change the rate The Primary Rate value flashes 3 Press Enter to confirm Once the Primary Rate is confirmed the Volume Remaining VR value appears highlighted MedSystem III Infusion Pump Model 2865 User Manual 25 Chapter 2 Getting Started To set Primary Volume Remaining 1 Press Select if the current VR is desired or Press f Fast f or Fast to change VR The Primary Volume Remaining value flashes A Stopped A Primary
44. ed specifically for epidural use Use only a MedSystem HI administration set without a Y connector or injection port for epidural infusions e Epidural administration of anesthetic drugs Use indwelling catheters specifically indicated for short term 96 hours or less anesthetic epidural drug delivery e Epidural administration of analgesic drugs Use indwelling catheters specifically indicated for either short term or long term analgesic epidural drug delivery Parallel Infusions There are no contraindications regarding the use of a MedSystem III with any other positive displacement infusion device when ported together into a common IV site location To ensure proper MedSystem III performance and to reduce potential injury to the operator observe the following precautions e Disconnect from mains AC and battery power when performing maintenance To disconnect AC power unplug power cord from back of the MedSystem II e Do not open the MedSystem III case There are no user serviceable parts inside The case should only be opened by qualified service personnel using proper grounding techniques When the case is opened an electrical shock MedSystem III Infusion Pump Model 2865 User Manual hazard exists which can result in serious injury to persons and MedSystem III component damage Administration Sets e A list of approved IV sets recommended by CareFusion for use with the MedSystem III is listed on the Set Co
45. eeseeeeeeneees 48 Chapter 3 Alarms Advisories and Prompts Alarm Response Keys pertoer taeniata an a aea e doustendeeeseads 52 Advis ESen ae rae e e e E e e a ea aee e EE E t 53 AS a a E A aeateds 54 Fault cerre i E a e a a e 58 Weal aTa o1 EEE E E asian Marti dtedeeee dont 58 Chapter 4 Maintenance Specifications cccccccccecssesseessceeecececssecseceeeseeeeseecseeeseceeeeeseeesecsaeceseseeeseneeaeenaeens 6l AC Adapter Model 1565C mre eie eT e e A E 63 A e a A EEE EEE TE A ee ese 64 Physical Inspection esnie a eoe E E i a E E 64 F ncti nal Test hesiari cnan an nE A E ERETTE N 64 Check In Testset nt enn a a E e ae a a e i aa 65 Electrical Safety Testiniirorneinae naa a a ESE 65 Power VOSt icsisicceciahscaccaesecasas a a aE aaa a a ae eat 66 MedSystem III Infusion Pump Model 2865 User Manual Contents New Instrument Volume Accuracy Test cccsccescesssectecsteceteeeeeeeeeneeeneens 69 Clearing a a a S20 jus a a dav ghee dae daaeyaseanie sedated aod ost AoA 72 Cleaning Solutions cccccccccecsseesseeseceeceeceeeeeesecscecaseseecseeeeseeesaecsecsaeeneenaes 72 Inspection Requirements cccccsceescesssesecseceeceeeceseecseeessenseceecsseeeseeeaeeneeeneeenes 78 Service Intormatio mss sa dscc vases salesetsabeses e aa TEE Raa tea lesnssadeass NA teens 78 Technical SUpport ennei cos cose fee ee E oa de ied a eset onde antes 79 Waranty sugarii an Shs as ada gu ass E cash ad AA O anoeds dang aE 80 Trumpet and
46. eptable routes of administration such as intravenous IV intra arterial IA subcutaneous epidural enteral or irrigation of fluid spaces The MedSystem III is a multi channel infusion pump intended to deliver multiple infusions to a single patient MedSystem III Infusion Pump Model 2865 User Manual 1 Chapter 1 Introduction MedSystem III with Drug List Editor features Three independent fluid delivery systems in the space of one e Compact size o reduces bedside clutter o simplifies patient transport e Easy to Setup and use yet provides advanced features e Accommodates assorted container types e Multiple delivery methods o Intravenous Intra arterial Subcutaneous Epidural e Accurate delivery of a variety of fluids e Uses administration sets that provide free flow protection e Six available Device Types with configurable parameters maximum and minimum rates maximum volumes baseline and maximum pressures and air in line thresholds to achieve specific clinical applications o General Purpose o Neonatal o Controller Pressure o Operating Room o General Purpose II o Operating Room II e Display infusion status for rate volume remaining and volume infused e Infusions can be programmed to deliver at a specified rate or over a specified period of time e Secondary mode allows fluids and medications to be delivered at two different rates sequentially e Dose Rate Calculator DRC feature performs volumetric r
47. ers and the MedSystem III as recommended below according to the maximum output power of the communications equipment Separation Distance According to Frequency of Transmitter m Rated Maximum 150 kHz to 80 150 kHz to 80 80 MHz to 800 MHz to Output MHz Outside MHz 800 MHz 2 5 GHz Power of ISM bands In ISM bands Transmitter 3 5 12 12 23 d VP d VP d VP d VP W Vi Vo E1 E 10 1 11 3 80 3 80 7 30 100 3 50 12 00 12 00 23 0 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be determined using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 The ISM Industrial Scientific and Medical bands between 150 kHz and 80 MHz are 6 765 MHz to 6 795 MHz 13 553 MHz to 13 567 MHz 26 957 MHz to 27 283 MHz and 40 66 MHz to 40 70 MHz NOTE 3 An additional factor of 10 3 is used in calculating the recommended separation distance for transmitters in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2 5 GHz to decrease the likelihood that mobile portable communications equipment could cause interference if it is inadvertently brought into patient areas NOTE
48. ess the Cntrst softkey to change the screen contrast Instrument Shut Off Low Power Connect the AC adapter cord to the MedSystem III and plug it into the wall outlet Instrument shut down after a Battery Depleted alarm had not been corrected The ed next to external power receptacle is lit in green when the AC power is properly applied MedSystem III Infusion Pump Model 2865 User Manual 59 Chapter 3 Alarms Advisories and Prompts Notes 60 MedSystem III Infusion Pump Model 2865 User Manual Chapter 4 Maintenance Specifications Standards Case Material Dimensions Weight Air in Line Default Occlusion Pressure Default Operating Temperature Transport Storage Temperature Rate Range Volume Range KVO Rate Range UL 544 CSA C22 2 No 125 Impact resistant poly carbonate ABS alloy Height 7 875 inches 20 00 centimeters Width 6 inches 15 24 centimeters Depth 2 10 inches 5 33 centimeters Approximately 5 1 pounds 2 3 kilograms including pole clamp 500 ul except for Neonatal device type which is 501 15 psi except for Controller Pressure device type which is 3 ft H 0 50 104 Fahrenheit 10 40 Celsius 4 to 131 Fahrenheit 20 to 55 C lt 95 F or 35 C for optimum battery life 0 1 999 milliliter per hour each channel 0 1 9999 milliliter each channel 0 1 20 0 milliliter per hour MedSystem III Infusion Pump Model 2865
49. etic environment specified below Customer or user of MedSystem III should assure that it is used in such an environment IEC 60601 1 2 Compliance Electromagnetic Immunity Test Test Level Level Environment Guidance c Over the frequency range 150 kHz to 80 MHz field strengths should be less than 10 V m a The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2 5 GHz are intended to decrease the likelihood that mobile portable communications equipment could cause interference if it is inadvertently brought into patient areas For this reason an additional factor of 10 3 is used in calculating the recommended separation distance for transmitters in these frequency ranges b Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the MedSystem III is used exceeds the applicable RF compliance level above the MedSystem III should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the MedSystem III Table 4 Recommended Separat
50. ey infusion continues Advisory Meaning Response Check Air Sensor At installation of cassette a air is detected in tubing b tubing collar is not properly seated Or c air sensor is dirty or damaged Verify that the tubing collar is fully seated in air sensor recess Verify tubing in air sensor recess is not damaged twisted or dirty Press ClrAir on channel s Alarm Information page Three beeps indicate that an air bubble is no longer in front of the air sensor If air is still present remove the cassette and manually clear the air according to hospital policy If no air is present clean the air sensor recess as directed in the cleaning instructions Infusion Complete VR 0 VR has counted down to zero Channel is infusing at KVO rate Enter new VR or if same volume is desired press REPEAT Press Enter START Press to resume the primary infusion rate Verify the fluid flow Low Battery Channel Not in Use A minimum of 30 minutes of battery power remaining Two minutes have elapsed since cassette was installed or infusion was stopped Connect AC adapter power cord to instrument Plug into wall outlet Press STNDBY to place channel on Standby or START i i Press to start infusion or Remove the cassette MedSystem III Infusion Pump Model 2865 User Manual 53 Chapter 3 Alarms Advisories and Prompts Alarms The a
51. fter one minute and the Dose Rate Calculator parameters are displayed Verify the settings Verify the flow To edit a drug List Use the Drug List Editor to edit customize a drug list See the User Manual for Drug List Editor DLE To discontinue the Dose Rate Calculator option 1 Press CA C B Jor c9 The Dose Rate Calculator Programming page appears Press to stop infusing Press Ear Press CalcOff The Primary Programming page appears The Volumetric Rate volume remaining and volume infused from Dose Rate Calculator are displayed Facts about Dose Rate Calculator e Drug name patient weight or drug concentration cannot be changed while infusing Changes to patient weight or concentration recalculates the volumetric rate but maintains the dose rate Drug names may be abbreviated if the name contains more than eight letters MedSystem III Infusion Pump Model 2865 User Manual The Programming Page Weight can only be entered in Kg s but is displayed in Kg s and Lbs Weight units can be switched to grams by pressing to value of Kg then press again A two tone advisory sounds If dose measurement parameters and concentration measurement parameters are unrelated a volumetric rate will not calculate Attempts to start display a prompt message Verify all dose settings When a drug amount is 10 000 or greater a K is used to replace 000th such as 10 000 10K 12 000 12K If a recalculated dos
52. hat fluid is present in the sensor pathway The cassette should latch easily and smoothly If the air in line sensor detects air when a cassette is installed a Check Air Sensor advisory appears 10 Press F The message Infusing appears on the channel status line 11 While the channel is pumping pull out the cassette slide clamp A repeating four beep audible alarm sounds and the red LEDs flashes continuously Infusion stops and the display indicates a Cassette Not Latched alarm 12 Remove the cassette The alarm display reads Cassette Removed 13 Reset the alarm by pressing the channel select keys C a 9 C B or 9 for the channel in use and press CANCEL To perform the patient side occlusion detector test The patient side occlusion detector test is used to verify the proper functioning of the alarm which detects occlusion between the Instrument and the patient Repeat the following steps for each of the three channels A B and C 1 Configure the MedSystem III in the Controller Pressure Device Type 2 Prime a set which contains no filters or check valves and has macrobore tubing on the patient side Install the primed set into the Channel Under Test CUT Set the infusion rate for 1 ml h for the CUT Press to start infusion NM e p Raise the patient side tubing 2 2 66 04 cm above the cassette The CUT should not sound an alarm MedSystem III Infusion Pump Model 2865 User Manual Check In
53. he Enter and NextPg softkey changes to Recall when a setting is changed 7 Press Enter to accept new setting or Press Recall to recall previous setting 8 Press to exit the Instrument Settings page Option Selection Description Audio Volume low An audible tone accompanies each level to aid in medium determining the volume selection If an alarm is high ignored the volume ramps to the highest audio highest unless disabled by the FMS The factory default is highest Sec Complete Advisory Yes Pump sounds two tones and displays an advisory No when the Secondary VR 0 The factory default is No Setup Line Option No Enables an infusion to be setup as rate volume or Yes volume time Stop the infusion before modifying this line option The factory default is No Time 24 hr Allows the pump to be set with a 12 or 24 hour am pm clock The factory default is am pm Hours Minutes 0000 2359 Day 1 31 Each item can be adjusted when highlighted Month Jan Dec Years 00 99 MedSystem III Infusion Pump Model 2865 User Manual 47 Chapter 2 Getting Started Note Softkey The Note soft key accesses the Special Note Message page When a Note is programmed it appears when the pump is turned on To access NOTE s 1 Press eae 2 Press E35 The TotVol Device Config and Note softkeys appear Infusing 100 ml h VR 450 VI 50 Stop affects channel A Tovor 3 Press NOTE The note information is displaye
54. he MedSystem III infusion pump near Magnetic Resonance Imaging MRI including Sterotaxis technology WARNING Do not use the MedSystem III infusion pump near Therapeutic Radiation equipment such as Linear Accelerators WARNING Use of any accessory transducer or cable other that those specified may result in increased emissions or decreased MedSystem III immunity MedSystem III Infusion Pump Model 2865 User Manual 13 Chapter 2 Getting Started WARNING Read all instructions before using the MedSystem Ill infusion system CAUTION e Hyperbaric Chamber Operation The MedSystem III Infusion System is not certified for use in oxygen enriched environments Your healthcare facility s hyperbaric safety director is responsible for all equipment used in the hyperbaric chamber environment e A dropped or severely jarred device or accessory should be immediately taken out of use and inspected by qualified service personnel to ensure its proper function prior to reuse e Ifthe MedSystem Ill appears damaged contact CareFusion for authorization to return it for repair To ensure proper performance of the MedSystem III and to reduce potential injury observe the following precautions Epidural Administration The MedSystem III can be used for epidural administration of anesthetic and analgesic drugs This application is only appropriate when using analgesics and anesthetics labeled for continuous epidural administration and catheters intend
55. i psi psi Setting Maximum 15 psi 15 psi 3ft H O 15 psi 15 psi 15 psi Pressure Air in Line 500 pl 50 ul 500 ul 500 ul 500 ul 500 ul Alarm Threshold KVO Rate 3 ml h 1 0ml h 3 ml h 3 ml h 3 0 ml h 3 0 ml h Rate Range 1 999 0 1 99 9 1 299 ml h 1 999 ml h 0 1 999 0 1 999 ml h ml h ml h Maximum 9999ml1 9999ml 9999 ml 9999 ml 9999 ml 9999 ml VR Setting Pump Not in Yes Yes Yes No Yes No Use Advisory All Setting N A N A N A Option N A Option for VR The channel infuses at the KVO rate shown in the table or at the current infusion rate whichever is lower MedSystem III Infusion Pump Model 2865 User Manual The Programming Page Config Configuration The Config option allows the user to view and or change some Instrument settings There are five pages in this option Items shown on page of the Config option can be changed by the user see the table below Pages 2 5 of the Config option can only be changed by qualified personnel using FMS software To access instrument setting information 1 2 Press MORE Press cenons The TotVol Device Config and Note softkeys appear Press Config The first of five Instrument Settings pages appears An asterisk indicates options that have changed from factory settings 4 Press Select to advance through the list Press f to change a highlighted setting 6 Select softkey changes to t
56. ial hazard which could result in minor personal injury loss of data and or product damage if the proper procedures are not followed MedSystem III Infusion Pump Model 2865 User Manual 11 Chapter 2 Getting Started WARNING The use of any accessory transducer or cable with the MedSystem III other than those specified may result in increased emissions or decreased immunity or electromagnetic compatibility performance of the MedSystem Ill WARNING Only connect equipment approved to IEC EN 60601 1 or UL 1069 approved medical or hospital signaling equipment WARNING Epidural administration of drugs other than those indicated for epidural use could result in serious injury to the patient WARNING The MedSystem Ill source container and Administration Set used for epidural drug delivery must be clearly differentiated from those used for other types of administration WARNING The MedSystem Ill is designed to stop fluid flow under alarm conditions other than Low Battery and KVO Periodic patient monitoring must be performed to ensure the infusion is proceeding as expected WARNING The MedSystem Ill is a positive pressure delivery system capable of developing positive fluid pressures to overcome widely varying resistances to flow encountered in practice including resistances to flow imposed by small gauge catheters filters and intra arterial infusion It is neither designed nor intended to detect infiltrations and will not alarm
57. icult to remove residue to help wet and soften the residue for easier removal 3 After removing residue gently rinse with a lint free swab dampened with water NOTE You can spray water on the cleaned surfaces to rinse areas that are difficult to reach with a swab 4 Gently dry the area with a lint free swab or allow to air dry Once dry inspect the exposed tips of the valve actuators NOTE A broken valve actuator tip might be supported by the actuator seal and not appear defective Lightly push the valve actuators tips from side to side with a dry lint free swab If a valve actuator tip is not rigid it is broken and must be replaced before using the pump MedSystem III Infusion Pump Model 2865 User Manual 77 Chapter 4 Maintenance 78 Inspection Requirements WARNING Failure to perform the recommended inspections may result in improper pump operation To ensure that the MedSystem III remains in good operating condition both regular and periodic inspections are required Any MedSystem III that does not meet listed specifications should be serviced Regular inspections consist of performing the procedures described in the Basic Operation and Cleaning sections of this manual before use of MedSystem III Regular inspections are not covered under any contract or agreement offered by CareFusion and must be performed by the user When programming infusions verify that the display Is complete and not blurred e Reads
58. ighted To program dose 1 From the Dose Rate Calculator Programming page select the dose parameters measure weight time using the f Fast and Fast softkeys Dose Parameters measure Gm mg mcg ng mMol mEq mUn Un weight kg time min h or day Press Enter when each desired dose parameter is displayed The Dose value appears highlighted Select the dose using the ft Fast t and Fast softkeys Press Enter The Rate parameters value appears highlighted To change the Volumetric Rate 1 From the Dose Rate Calculator Programming page select volumetric rate using the arrow softkeys if dose calculation is not desired Press Enter when the desired rate is displayed The dose is automatically calculated when the rate is changed The VR value appears in highlight To change the Volumetric Remaining MedSystem III Infusion Pump Model 2865 User Manual 41 Chapter 2 Getting Started 42 From the Dose Rate Calculator Programming page select the VR using the arrow softkeys Press Enter when the desired VR is displayed The VI value appears highlighted To clear the Volume Infused VI or Dose Infused DI 1 Press Clear and then Enter to change VI value to 0 The DI value appears highlighted Press Clear then Enter to change DI value to 0 Open the regulating clamp Press to begin infusion The channel starts infusing Press oer NOTE The display reverts to the Standard Display page a
59. ion Distances For LIFE SUPPORT Equipment between portable and mobile RF communications equipment and the MedSystem Ill The MedSystem III is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled Customer or user of the MedSystem III can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the MedSystem III as recommended below according to the maximum output power of the communications equipment Separation Distance According to Frequency of Transmitter m Rated Maximum 150 kHz to 80 150 kHz to 80 80 MHz to 800 MHz to Output MHz Outside MHz 800 MHz 2 5 GHz Power of ISM bands In ISM bands Transmitter 3 5 12 12 23 d VP d VP d VP d VP Ww Vi Vo Ey Ey 0 01 0 04 0 12 0 12 0 23 0 1 0 11 0 38 0 38 0 73 1 0 35 1 20 1 20 2 30 MedSystem III Infusion Pump Model 2865 User Manual EMC Tables Recommended Separation Distances For LIFE SUPPORT Equipment between portable and mobile RF communications equipment and the MedSystem Ill Table 4 The MedSystem III is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled Customer or user of the MedSystem III can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitt
60. isocisicsvericcssecdecestebeced sceuacd sucess aaa an i aiie oa ai 22 The Programming Pagerceni iesene aeii ei E EEr E a S 23 Turn th Pump Onand Offcam nnmn ana a E a 23 View Infusion Settings for All Active Channels s ssssessesesesesseresesesrsesse 23 Activate Additional Standard Display Softkey Prompts cccceseeeee 23 Select Channel and Display ccccccccccccscceseceseeeseeeeesneeeseceseceteeeeeeeeeetseetees 24 Program an Infusions snan iiini iieii e i e ia 24 Access Alarm Information sseesesesseseseesesetesssssesessestssststesessssestseesesssesesss 25 Activate Additional Softkeys cccccccccsccessessecseesteeeeceeeceeeeeecsecseenteeenees 25 Program Primary FUNCtiONS ccccccescessceeseeseeseceeeceseecseecseceseseeeeeeeeaeesaeens 25 Making Changes While Infusing cccccccccescesececesseeseeeseeeeeeeeeeeseeeseeeneens 28 Programming Options ccccscecsscescessceeceececseeseceeeceseecseecseceeeeeeseaeesseenaeens 29 KVOIS tansy fit a A Me i ane cence dei 30 Secondary Modes arera nirien eee erR E sete geendeniutte 32 Dose Rate Calculator Programming with DRUG ssssessesesesseeeesseesssseree 40 Facts about Dose Rate Calculator c ccccccccsessceecetseeteceteeeteeeeeesees 42 DEVICE aree aeren achateossbate T Eaa a P 43 Config Configuration istir t eia unae anit ieat lanii 47 INCERT o DI A A AE A E E T 48 BatLog Battery History Log cccceeccceseeseeseeteceneeeeeeesecaecnseeee
61. ittle effect on accuracy as represented by the flat part of the curve As the observation window is reduced short term fluctuations have greater effect as represented by the mouth of the trumpet Knowledge of system accuracy over various observation windows may be of interest when certain drugs are being administered Because the clinical impact of short term fluctuations on rate accuracy depends on the half life of the drug being infused and on the degree of intravascular integration the clinical effect cannot be determined from the trumpet curves alone Knowledge of the start up characteristics should also be considered MedSystem III Infusion Pump Model 2865 User Manual 81 Appendix A Trumpet and Start Up Curves The start up curves represent continuous flow rate versus operating time for two hours from the start of the infusion They exhibit the delay in onset of delivery due to mechanical compliance and provide a visual representation of uniformity Trumpet curves are derived from the second hour of this data Long term accuracy of the MedSystem III in combination with the specified administration set is considered to be within 5 Flow Characteristics under Varying Delivery Conditions Effects of Pressure Variations Under conditions of 100mmHg pressure the MedSystem III typically exhibits a long term accuracy offset of approximately 0 4 Under conditions of 100mmHg pressure the MedSystem III typically exhibits no significa
62. larm sounds with four rapid beeps the infusion stops and the channel key flashes red Alarms Meaning Response Air In Line Air detected in fluid pathway during infusion or the air sensor is dirty Verify that the tubing collar is fully seated in air sensor recess Verify that the tubing in air sensor recess is not damaged twisted or dirty Press ClrAir softkey on channel s Alarm Information page Three beeps indicate that an air bubble is no longer in front of air sensor NOTE Each press of the ClrAir softkey displaces approximately 0 2 ml of air fluid and updates channel s VR and VI values If air is still present remove cassette and manually clear air according to hospital policy If no significant air is present clean air sensor recess as directed in the cleaning instructions Setup the pump at or slightly below IV site to minimize formation of micro bubbles START 4 4 Press to resume infusion Air In Lower Tubing Air bubbles detected in fluid pathway with a total volume exceeding the air in line threshold setting Possible outgassing and or leaks in the administration set Check the administration set for leaks Check the lower tubing for multiple small air bubbles Press ClrAir softkey on the channel s Alarm Information page Three beeps indicate that an air bubble is no longer in front of air sensor NOTE Each press of the ClrAir softkey displaces approxi
63. line and maximum pressures and air in line thresholds to achieve specific clinical applications General Purpose Neonatal Controller Pressure Operating Room General Purpose II Operating Room II Free flow Protection Administration Sets contain a cassette that provides protection from free flow conditions Upon removal of the cassette from the MedSystem III the cassette s slide clamp is pulled to full extension occluding the tubing and preventing fluid from flowing 4 MedSystem III Infusion Pump Model 2865 User Manual Features Monitoring System The monitoring system can continuously monitor the MedSystem III conditions and alerts with adjustable audio tones and visual messages Field Maintenance Software FMS Can be modified to accommodate specialized clinical applications The Device Type parameters occlusion limit and air in line threshold can be configured with the FMS software Secondary Mode Allows user to program two different rates of infusion to run sequentially A Infusing Secondary A Secondary Rate 100 ml h A Sec VolRem VR ml A Sec Time TR 1 hr A Sec Vollnf V1 1 ml since 12 37p 01 Feb 02 Stop Affects Secondary Syringe Delivery Accommodates 20cc to 60cc syringes Full Range of Delivery Rates Rates from 0 1 to 999 milliliters per hour Battery Capacity A new fully charged battery provides 6 hours of operating time with rates at 125 ml h per channel MedSystem
64. lity of concurrent flow during Secondary delivery of intermittent medications setup the administration set as recommended below WARNING Do not set the Secondary rate over 275 mi h Doing so might result in a concurrent flow with the primary container To prepare the Administration Set and Container 1 For Needle Free sets attach the Secondary to the upper primary Y site below a check valve 2 Prepare the Secondary IV container according to your institution s policy Suspend Secondary solution container at least 8 inches 20 cm above primary solution container I U 4 Press C a C B orl c 9 to select channel 32 MedSystem III Infusion Pump Model 2865 User Manual The Programming Page To program a Secondary infusion 1 Press 6 a4 Bore 4 The Primary Programming page appears 2 Press cts The following screen appears A Infusing Primary A Primary Rate 50 ml h A Pri VolRem VR KRAMI A Pri Time TR 09h 00m A Pri Vollnf V1 50 ml since 12 37p 01 Feb 02 Press desired function Me PS Ee Ce 3 Press 2 Sec The Secondary Programming page appears in reverse highlight To set Secondary Volume Remaining VR Press Select to highlight Secondary VR if necessary 2 Press REPEAT to enter the last VR selected a or i Press f Fast f or Fast to change VR The selected value flashes A Infusing Primary A Secondary Rate 100 ml h A Sec VolRem
65. mately 0 2 ml of air fluid and updates channel s VR and VI values If air is present clear air according to the hospital policy Setup the pump at or slightly below the IV site to minimize the formation of micro bubbles If no significant air is present press to resume the infusion 54 MedSystem III Infusion Pump Model 2865 User Manual Alarms Meaning Response Battery Depleted Insufficient battery power A minimum of 5 minutes of battery power remaining Connect AC adapter power cord to instrument and plug into wall outlet START Press to resume infusion s NOTE If the lithium battery is depleted the Drug List is lost and can only be reloaded into the pump using the Field Maintenance Software Cassette Jammed The cassette piston is difficult to move or the piston sleeve is loose Correct Remove the cassette check placement of soft plastic piston sleeve and reposition if necessary If condition continues try cassette in a different channel Replace administration set if alarm recurs or if piston does not move freely If alarm recurs with several cassettes channel may need service Piston Sleeve Incorrect Cassette Not Latched Cassette is partially disengaged or latching mechanism is dirty Push the cassette completely in Ensure that the slide clamp is flush with the entire cassette START i i Press to resume infusion
66. mpatibility Card The use of any other set may cause improper MedSystem III operation resulting in inaccurate fluid delivery Before operating the MedSystem III verify that the administration set is free from kinks and installed correctly The MedSystem II administration sets are disposable have a sterile fluid path and are intended only for one time use Do not re sterilize Always power on the MedSystem III before inserting the set Do not insert a cassette into a channel with a SERVICE prompt Remove any cassettes from channel s requiring service Ensure the cassette is properly installed before starting infusions For set replacement interval refer to facility protocol and or government standards such as CDC guidelines in the United States For IV push medication put Instrument on hold clamp tubing above the port Flush port s per facility protocol Discard administration set per facility protocol MedSystem III Infusion Pump Model 2865 User Manual 15 Chapter 2 Getting Started Artifacts It is normal for an infusion device to produce nonhazardous currents when infusing electrolytes These currents vary proportional to the infusion device flow rate When the ECG monitoring system is not functioning under optimal conditions these currents may appear as artifacts simulating actual ECG readings To determine if ECG abnormalities are caused by patient condition or the ECG equipment place the infusion device on h
67. netic environment specified below Customer or user of MedSystem III should assure that it is used in such an environment IEC 60601 1 2 Compliance Electromagnetic Immunity Test Test Level Level Environment Guidance IEC 61000 4 2 6 kV contact 8 kV contact The floors should be wood Electro Static 8 kV air NOTE2 concrete or ceramic tile If the Discharge ESD 15 kV air floors are covered with synthetic NOTE2 material the relative humidity should be at least 30 If connector testing exemption is used the following symbol for ESD sensitivity appears adjacent to each connector Caution Do Not Touch A Ated IEC 61000 4 4 2 kV for power 2 kV for power Mains power quality should be Electrical Fast supply lines supply lines that of a typical commercial or Transient Burst 1 kV forinput 1 kV for input hospital environment EFT NOTE 3 output lines output lines IEC 61000 4 5 1 kV differential 1 kV differential Mains power quality should be Power Line Surge mode mode that of a typical commercial or NOTE 3 t2 kV common mode 2 kV common mode hospital environment IEC 61000 4 8 3 A m 400 A m 50 Hz Power frequency magnetic fields Power Frequency NOTE2 should be at levels characteristic Magnetic Field 400 A m 60 Hz ofa typical location in a typical 50 60 Hz NOTE2 commercial or hospital environment IEC 61000 4 11 lt 5 UT NOTE lt 5
68. ng equipment portable radios cellular telephones and so on may cause false alarm conditions If this happens reposition the device away from the source of interference or turn off the device and manually regulate the flow with the clamp and or monitor the vital parameters using an appropriate clinical alternative Other Precautions e The AC adapter must be connected to a properly grounded 3 wire receptacle Hospital Use or Hospital Grade e Avoid excessive force or twisting of detachable power cords when inserting or removing connector terminals e Use AC adapter indoors only Instruments should not be used adjacent to or stacked with other equipment if adjacent or stacked use is necessary instrument should be observed to verify normal operation in the configuration used MedSystem III Infusion Pump Model 2865 User Manual 17 Chapter 2 Getting Started Prepare for Infusion Prepare solution container in accordance with the manufacturer s instructions e A syringe can be used as the container for the IV fluid to be infused Syringe sizes from 20cc to 60cc such as the B D and Monoject brands can be used To prepare infusion 1 Connect the container to the IV set 2 Prime the MedSystem III administration set in accordance with the Administration Set User Manual Pressure Dome Slide Clamp Tubing Collar a Clear portion of cassette WARNING It is important to prime the set properly to eliminate ai
69. nitoring Syste iesen a sevaeva dvaees eeaeedaseowds atat 5 Field Maintenance Software FMS ccccccessesssecseceeeeeeeeeeeceeeecneenseeeneeesees 5 Secondary MOde iis ici eoir chet sas E aE E Er Ea E E E 5 Syringe Delivery cccccccssecsecsseceseseceeecceseecseceecseecseeeesaecsseseeseeeeseeeseeeeenseees 5 Full Range of Delivery Rates 2 0 ccccceecccescesseesseeeceteeeeeeeeeeseecseneeeeseneeesees 5 Battery Cy aee AEE sotve tecevar dd odie A dae ae 5 System Component nienie ein ineen rari eisenii ieies 6 Front Paneleisnemon oenen aa Eae shale ERE OTA EER TEn Ta oles 6 Lower Ass O e e e aa t aa e Eaa EE 7 Connector Paneline a a a a e a O E aE 7 Pole Clamp renna E E A E aie avi A 8 SVIMBOIS 2 2 a e e a e a ates Cae des tes 9 MedSystem III Infusion Pump Model 2865 User Manual iii Contents Chapter 2 Getting Started Warnings and Cautions cccccsccessecssesseceseceeceeceeesecseecsecseeeseeeaeeneceeenseeaes 11 Prepare for Infusion miae eet ani e aran Tans edad aa naO AEE aK SEa ANE 18 To prepare infusion ceecccccesccesseeseeceeeceeceeeeeesecsaeceseeeeeeeeeeaeestees 18 Prepare the Administration Set cccccccscccssestsceneeeseessecsseceteeseeeeeeeseeeeesseenes 18 To prepare the Administration Set ccccesccesseeseetecsteceteeeeeeeeensees 18 Load the Setsaas es a e a a oe a A 19 PO lad AEE E E EEEE 19 Bront Pamel OVenviewi vesscerveoreseesshbieeachvasen g an a A ARAA RO RO A E a a 21 Programming Page
70. nt offset in long term accuracy Resulting Trumpet observation points typically track that of accuracy Therefore no significant change in short term variations result under negative solution container height conditions Effects of Negative Solution Container Heights With a negative head height of 0 5 meters the MedSystem III typically exhibits a long term accuracy offset of approximately 0 4 Resulting Trumpet observation points typically track that of accuracy Therefore no significant change in short term variations result under back pressure conditions Pressure Mode The following graphs represent tests performed per IEC FDIS 60601 2 24 Particular Requirements for Safety of the Instruments and Controllers using the MedSystem III with Model 28034 IV sets 76cm of head height and no back pressure 82 MedSystem III Infusion Pump Model 2865 User Manual Trumpet and Start Up Curves Start up 1mV hr Start up 25 mi hr 2 0 l 50 1 8 45 40 3 E 30 A dela th the Mt h o 2 PAANAN AA AAAA AAAA any NAAA UF CHEN I AA y y V EN 20 z 15 L 10 0 2 5 0 0 0 Os E E T So 2 a 100 120 0 20 40 60 80 100 120 Time minutes Time minutes Trumpet 1ml hr Initial Trumpet 1ml hr 48 Hours 15 15 7 10 10 A x S fw 5 5f g m S E p w wi ee a pia T E aaae ia E piba T nan x x Li pices a Ss Ss
71. nternational Electrotechnical Commission Inf infused IV intravenous JCAHO Joint Commission on the Accreditation of Health Care Organizations 1 000 for numbers 10 000 or greater KG kg kilogram KVO keep vein open LB Ib pound mcg microgram mEq milliequivalent mg milligram min mn minute MedSystem III Infusion Pump Model 2865 User Manual 94 ml milliliter mMol millimole mUn milliunit Hl microliter N A not applicable Neontl Neonatal NextPg Next Page Ng Nanogram NiCd nickel cadmium OR Operating Room OR Il Operating Room II pm Pri Primary psi pounds per square inch Sec Secondary Stnd Disp Standard Display STNDBY Standby MedSystem III Infusion Pump Model 2865 User Manual TotVol Total Volume TR time remaining UL Underwriters Laboratories Inc Un unit Vv Volts Vi volume infused Vol volume VolRem volume remaining VR volume remaining Wt weight MedSystem III Infusion Pump Model 2865 User Manual 95 96 Notes MedSystem III Infusion Pump Model 2865 User Manual
72. od of ninety 90 days from the date of delivery by CareFusion to the original purchaser If any product requires service during the applicable warranty period the purchaser should communicate directly with CareFusion to determine the appropriate repair facility Except as provided otherwise in this warranty repair or replacement will be carried out at CareFusion s expense The product requiring service should be returned promptly properly packaged and postage prepaid by purchaser Loss or damage in return shipment to the repair facility shall be at purchaser s risk In no event shall CareFusion be liable for any incidental indirect or consequential damages in connection with the purchase or use of any Alaris System product This warranty shall apply solely to the original purchaser This warranty shall not apply to any subsequent owner or holder of the product Furthermore this warranty shall not apply to and CareFusion shall not be responsible for any loss or damage arising in connection with the purchase or use of any Alaris System product which has been 1 repaired by anyone other than an authorized CareFusion Service Representative 2 altered in any way so as to affect in CareFusion s judgment the product s stability or reliability 3 subjected to misuse or negligence or accident or which has had the product s serial or lot number altered effaced or removed or 4 improperly maintained or used in any manner other
73. old If the ECG readings become normal the ECG equipment requires attention Proper setup of the ECG equipment should eliminate these artifacts Reference the appropriate ECG monitoring system documentation for instructions on setup and maintenance Dropping Jarring Should an instrument be dropped or severely jarred it should be immediately taken out of use and inspected by qualified service personnel to ensure its proper function prior to reuse Operating Environment Do not use the MedSystem III in the presence of flammable anesthetics DANGER EXPLOSION HAZARD MedSystem III Infusion Pump Model 2865 User Manual Radio Frequency Interference e This equipment system is intended for use by healthcare professionals only This is a CISPR 11 Class B Group 2 Medical equipment system In a domestic environment this equipment or system may cause radio interference in which case it may be necessary to take adequate mitigation measures such as re orienting relocating or shielding instrument or filtering the connection to the public mains network e Medical Electrical Equipment needs special precautions regarding EMC and needs to be installed put into service and used according to the EMC information provided in the accompanying documents e Portable and Mobile RF communications can affect Medical Electrical Equipment e Operating the system near equipment which radiates high energy radio frequencies electrosurgical cauterizi
74. on s indicated on the display Press to resume infusion The channel starts infusing Press NOTE The display reverts to the Standard Display page after one minute Verify the settings MedSystem III Infusion Pump Model 2865 User Manual 51 Chapter 3 Alarms Advisories and Prompts 52 7 Verify the flow Alarm Response Keys NOTE The channel s VR and VI values are updated with each press of ClrAir softkey A appears on Standard Display page to indicate that CONFIRM has been pressed Silences Advisories Alarms and Faults for two minutes Softkey is QUIET accessible during alarm status Clears alarm and advisory messages and stops tone Use when alarm 07 tN 0HE oor advisory condition cannot be corrected or user chooses not to correct 3 Moves air bubbles past air in line sensor Each press of the ClrAir softkey displaces approximately 0 2 ml of air fluid Three beeps indicate when air bubble is no longer in front of the air in line sensor Is present during Check Fluid Side alarms Allows infusion to FOIE continue if no upstream occlusion is found Resets resumable fault conditions Used when attempting to RETRY reestablish normal operation of a channel Disables use of affected channel Once pressed servicing of SSA 01598 instrument is required before channel can be used MedSystem III Infusion Pump Model 2865 User Manual Advisories Two beeps slow flashing red light on infusing channel s channel k
75. ping container for damage that may have affected contents Report any shipping damage to Customer Service Check to insure that all accessories are included in the package Check for any physical damage to the MedSystem III or accessories If any is found report it to Customer Service Functional Test Refer to your institutions policies for specific requirements regarding inspection and testing of incoming equipment before use Recommended functional tests are given in the following pages As a minimum the following steps should be performed before use e Charge battery for 14 hours e Perform electrical safety checks Turn Instrument on to verify normal power up and operation of LEDS display and audio 64 MedSystem III Infusion Pump Model 2865 User Manual Check In Check In Tests WARNING For proper grounding the AC adapter must always be connected to a three wire outlet Never operate the MedSystem Ill from a two wire ungrounded outlet WARNING Do not perform any of the following tests while instrument is in use ona patient Review all precautions in the User Manual before performing these tests Check In tests are recommended prior to clinical use When a test requires a primed cassette it is recommended that clean tap water be used for such tests If any of the functions are not as described in the check procedures then the pump requires service Refer to general contact information preceding the introduction
76. play softkey prompts select channel and display the Programming Page program an infusion access alarm information and to activate additional Programming Page softkeys Turn the Pump On and Off To turn the pump on 1 From the front panel press owore The MedSystem III performs an automatic self test on start up 2 Listen for a beep to ensure that the audio alarm transducer functions properly The information page appears momentarily 3 Hold down to continue displaying the information page When the ON OFF key is released the Standard Display page appears To turn the pump off Press and hold oworF The display disappears and the pump is turned off View Infusion Settings for All Active Channels To view infusion settings for all active channels Press ERN The Standard Display page appears Activate Additional Standard Display Softkey Prompts To activate additional Standard Display softkey prompts With the Standard Display page displayed press once The TotVol Device Config and Note softkeys appear MedSystem III Infusion Pump Model 2865 User Manual 23 Chapter 2 Getting Started Select Channel and Display To select Channel and Display Programming pages 1 Press Es again The Batlog and DemoWD softkeys appear 2 Press a Channel Select key either C a 4 Bore c9 The programming page for the selected channel appears Program an Infusion To program infusion 1 From the programming
77. r bubbles NOTE The Model 8631A Syringe Holder is available as an accessory that provides a convenient place to hold syringes while they are being used as containers for IV fluid The Syringe Holder is designed to be easily installed and removed from the top of the pump and to support up to three syringes Do not use the Syringe Holder as a handle to carry the pump Prepare the Administration Set To prepare the Administration Set 1 Ensure that the cassette slide clamp is pushed in completely so that the tubing is not occluded 2 Invert the cassette so tubing is up Slowly open the regulating clamp and establish fluid flow to fully prime the set Gently tap the cassette and Y sites as necessary to remove all air 4 Gently massage the pressure dome to ensure no air bubbles are trapped MedSystem III Infusion Pump Model 2865 User Manual Close the regulating clamp before inserting and removing the cassette to reduce the risk of free flow WARNING An open regulating clamp and slide clamp can cause a free flow condition and might result in serious injury to the patient Load the Set To load the set 1 Ensure that the cassette slide clamp is pulled out and in the closed position prior to loading Press to turn the pump on With the tubing down use a 45 degree upward motion to insert the cassette into the channel Push on the clear portion of cassette until completely seated Push in slide clamp flush with en
78. red to correct the interference at users own expense The authority to operate this equipment is conditioned by the requirement that no modifications will be made to the equipment unless the changes or modifications are expressly approved by CareFusion Canadian Notice Avis Canadien This Class B digital apparatus meets all requirements of the Canadian Interference Causing Equipment Regulations Cet appareil numerique de la Classe B respecte toutes les exigences du Reglement sur le materiel brouilleur du Canada CAUTION Any changes or modifications not expressly approved by the party responsible for compliance could void the user s authority to operate the equipment 84 MedSystem III Infusion Pump Model 2865 User Manual EMC Tables The following information is to be provided to the User as directed by IEC 60601 1 2 2001 a Collateral Standard for Electromagnetic Compatibility The information provided herein provide certain Warnings and Caution text that must be included in the User Manual and the attached Tables of informative information as to the emission and immunity levels of the testing performed EMC Tables Table 1 Guidance and Manufacturer s Declaration Electromagnetic Emissions The MedSystem III is intended for use in the electromagnetic environment specified below Customer or user of MedSystem III should assure that it is used in such an environment Emissions Test Compliance Electromagnetic En
79. roliters then inject a 2 milliliter air bubble To determine the threshold value check the Clinical Configuration settings in MedSystem III 2 Press on the selected cassette When the bubble is pumped through the cassette the Standard Display should show an alarm for the channel under test with the message Air In Line An audible four beep alarm sounds and the red LEDs flash New Instrument Volume Accuracy Test Accuracy of fluid delivery is determined by measuring the volume of fluid delivered over a known time period and comparing this to the expected value To ensure accurate measurements during the test a volumetric glass burette class A must be used to collect the fluid The infusion time interval must be 180 seconds or greater to minimize measurement errors During a 180 second test a one second error by the operator results in an error of 0 6 MedSystem III Infusion Pump Model 2865 User Manual 69 Chapter 4 Maintenance 70 To setup the test equipment 1 4 Obtain a new administration set and connect it to a 500 milliliter container that is at least half full Prime the set and eliminate all air Connect the apparatus as shown in Test Equipment Setup below Use a volumetric burette marked in 0 1 milliliter increments class A glassware Solution in 500 ml container half __ full at the beginning of the test Fluid level at start of test aa Head height from the drip chamber so 6
80. ss aa The standard display page appears 2 Press En The TotVol Device Config and Note softkeys appear 3 Press TotVol The Total Volume page appears The VI for each channel and total pump VI values are highlighted Stopped Stopped Stopped TotVI A TotVl B TotVI C Pri 20 Pri 20 Pri 20 Sec 0 Sec 0 Sec 0 Total VI ay m since 03 25p 10 Feb 02 Press ClrTot to clear TotVI a ee Kelas 4 Press ClrTot to reset volume infused to zero The date and time are cleared in the display Stopped Stopped Stopped TotVI A TotVl B TotVI C Pri 0 Pri 0 Pri 0 Sec 0 Sec 0 Sec 0 0 Press Enter or Recall EH E ee e 5 Press Enter to accept clearing of all values or Press Recall to recall the previous total VI date and time To place a channel on standby during infusion CAUTION The infusing channel should always be stopped prior to removing a cassette NOTE When a channel is Stopped for two minutes with a cassette in place a Channel Not In Use advisory alert sounds When a channel is on Standby the advisory does not sound 1 Press appropriate channel C a 4 B orl c9 2 Press to stop the infusion MedSystem III Infusion Pump Model 2865 User Manual The Programming Page 3 Press ae The Standard Display page appears 100 ml h VR 450 Vi 50 Start affects channel A STNDBY Mica m 4 Press STNDBY To start an infusion from standby sta
81. than in accordance with the written instructions furnished by CareFusion This warranty is in lieu of all other warranties express or implied and of all other obligations or liabilities of CareFusion and CareFusion does not give or grant directly or indirectly the authority to any representative or other person to assume on behalf of CareFusion any other liability in connection with the sale or use of Alaris System products CAREFUSION DISCLAIMS ALL OTHER WARRANTIES EXPRESS OR IMPLIED INCLUDING ANY WARRANTY OF MERCHANTABILITY OR OF FITNESS FOR A PARTICULAR PURPOSE OR APPLICATION See packing inserts for international warranty if applicable 80 MedSystem III Infusion Pump Model 2865 User Manual Appendix A Trumpet and Start Up Curves In the MedSystem III as with all infusion systems the action of the pumping mechanism and variations in individual administration sets cause short term fluctuations in rate accuracy The following curves show typical performance of the system in two ways e the accuracy during various time periods over which fluid delivery is measured trumpet curves and e the delay in onset of fluid flow when infusion commences start up curves Trumpet curves are named for their characteristic shape They display discrete accuracy data averaged over particular time periods or observation windows not continuous data versus operating time Over long observation windows short term fluctuations have l
82. the same as described in this manual e Responds with the intended function for that key press NOTE Detailed instructions for performing periodic inspections and maintenance can be found in the MedSystem III Technical Service Manual and in supplemental service bulletins Periodic inspections must be performed every 12 months A service agreement may be obtained from CareFusion for the performance of all required periodic inspections The periodic inspections must be performed in accordance with CareFusion requirements and guidelines Customers within the United States and Canada should note that these inspections are also intended to complement the intent of Joint Commission on the Accreditation of Healthcare Organizations requirements Service Information WARNING The MedSystem Ill case should only be opened by qualified personnel using proper grounding techniques Prior to performing maintenance disconnect from AC power WARNING During servicing the instruments configuration settings might be reset to the factory defaults Qualified hospital facility personnel are responsible for checking in the MedSystem Ill and ensuring the current hospital configurations and or Drug List If a MedSystem III shows evidence of damage in transit notify the carrier s agent immediately Do not return damaged equipment to the factory before the carrier s agent has authorized repairs MedSystem III Infusion Pump Model 2865 User Manual
83. tire cassette MedSystem III Infusion Pump Model 2865 User Manual Chapter 2 Getting Started 6 Pull down gently on tubing collar Press with thumb to seat tubing collar in recess beneath cassette NOTE Three beeps sound when the set is properly loaded 20 MedSystem III Infusion Pump Model 2865 User Manual Front Panel Overview Front Panel Overview STANDARD MORE START Instrument Control a ae Status Line Stopped Standby EAN Infusion Rate 1 25 5 5 ml h ml h ml h Volume Remaining ml 7 VR 996 2 VR 138 8 VR 93 2 Volume Infused ml VI 12 8 VI 26 9 VI 16 8 Prompt Line Softkey Prompts Start affects channel C Softkey Pads 4 Channel Select Keys onorF turns the pump on and off sasay allows you to display the Standard Display page to view infusion settings for all channels ornans allows you to display additional softkey functions START starts or stops infusion on selected channels Status Line displays the infusion status for each channel either Infusion Stopped Standby KVO ALARM FAULT or SERVICE When the status line is selected the channel appears highlighted Prompt Line displays messages that prompt you to make programming choices and or take appropriate actions Softkey Prompts displays function of specific softkey STDNBY appears in the softkey information line when START STOP is pressed
84. tus 1 Press appropriate channel a 9 B Jor f c9 2 Press to start the infusion Programming Options To setup an infusion by Rate Volume or Volume Time 1 Press if the channel is infusing 2 Press if the Standard Display page not already displayed 3 Press cts The TotVol Device Config and Note softkeys appear 4 Press Config The first of five Instrument Settings pages appears Instrument Settings 1 of 5 Audio Volume highest Sec Complete Advisory No Setup Line Option Time am pm 02 16p 01 Jul 02 Press Stnd Display to Exit Press Select to select the Setup Line Option Press f or to select Yes The f and symbols are not displayed if the pump is infusing 7 Press Enter to enable programming option 8 Press channel a 9 B Jor c9 MedSystem III Infusion Pump Model 2865 User Manual 29 Chapter 2 Getting Started 30 9 Press Select to select Setup Select VR and Time or Setup Select VR and Rate A Stopped A Primary Rate 100 ml h A Pri VolRem VR 500 ml A Pri Time TR 05h 00m A Pri Vollnf VI 1 ml since 02 16p 01 Jul 02 Setup Seana late Maat Press Select to choose line Eat ee ee ee NOTE If the selection highlighted is not desired press t or to change setup selection The current selection flashes 10 Press Enter to accept The selection indicator moves to top of page 11 Enter the desired settings NOTE The
85. ue appears in highlight Press Select to scroll through values that can be changed When the value to be changed is highlighted Dose Rate VR VI DI use the t Fast T or Fast softkeys until the desired value is displayed When the dose is changed the rate is automatically recalculated When the rate is changed the dose is automatically recalculated When the value for VI or DI is highlighted the Clear softkey becomes active Pressing the Clear softkey changes the value to 0 0 Press Enter after each value change to accept the new value The new rate begins infusing immediately Press NOTE The display reverts to Standard Display page after one minute Verify the settings MedSystem III Infusion Pump Model 2865 User Manual 39 Chapter 2 Getting Started 7 Verify the solution flow from the solution container Dose Rate Calculator Programming with DRUG To program the Dose Rate Calculator with DRUG NOTE The Dose Rate Programming Page does not display if a channel is infusing If infusing in the Secondary mode switch to the primary mode and stop infusion before proceeding The DRUG selection can be used to calculate a drug not listed in the pump or for an alternative dosing regimen l Press Pas C sores 4 The Primary Programming Page is displayed 2 Press if a channel is infusing 3 Press ctRGks J The 2 Sec and CalcOn softkeys appear 4 Press CalcOn The Dose Rate Calculator
86. ur prior to performing a power test To perform a Power Up test 1 2 Disconnect the AC adapter from the pump Remove any cassettes installed in the pump Turn the pump on and verify proper power up The MedSystem III performs an initial self test during power up If any problems are detected a fault is indicated Check the audio and keypad operation by ensuring there is a soft beep for each key pressed Press any key and ensure the LCD backlight turns on NOTE For acomplete memory self test instrument should be turned on for a minimum of 18 minutes for the Models 2865 or 2866 It is not necessary for the unit to be pumping to perform this test If operating on battery power a cassette must be installed in at least one of the channels and that channel put in standby mode otherwise instrument will automatically shut off after five minutes of inactivity To perform an AC power test OP we NN Turn on the pump without the AC adapter attached Install a primed cassette in each of the three channels Start all channels at any rate Verify that the green LED on each channel flashes during operation Attach the AC adapter to the MedSystem III MedSystem III Infusion Pump Model 2865 User Manual Check In Verify that the pump beeps three times when the connector is installed Verify that the green plug shaped light on the side connector panel is lit and does not flash if the connector is touched or moved Verify
87. vironment Guidance CISPR 11 RF Emissions Group 1 The MedSystem III uses RF energy only for its internal function in the normal product offering An option is available for a low power wireless network card If the following icon appears on the product it has a low power RF transmitter installed refer to the User Manual for guidance C RF emissions are very low and are not likely to cause any interference in nearby electronic equipment CAUTION The MedSystem III Infusion System is intended for use under the supervision of healthcare professionals only In a domestic environment this system may cause radio interference Reorienting relocating or shielding the system or filtering the connection to the public mains network are examples of steps that can be taken to reduce or eliminate interference Voltage Fluctuations Flicker Emissions CISPR 11 Class B The MedSystem III is suitable for use in all RF Emissions establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes IEC 61000 3 2 Class A Harmonic Emissions IEC 61000 3 2 Complies MedSystem III Infusion Pump Model 2865 User Manual 85 Appendix A EMC Tables Table 2 Guidance and Manufacturer s Declaration Electromagnetic Immunity The MedSystem III is intended for use in the electromag

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