BD Alaris™ neXus GP Volumetric Pump Operating instructions
- Type
- Operating instructions
BD Alaris
™
neXus GP
Volumetric Pump
Model: GPneXus1
en Directions For Use
BD Alaris™ neXus GP Volumetric Pump
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Contents
Page
About This Manual ..........................................................................4
Conventions used in this manual ....................................................................4
Overview ....................................................................................5
Introduction ....................................................................................... 5
Intended Purpose ..................................................................................5
Intended Users ....................................................................................5
Patient Target Groups .............................................................................. 5
Clinical Benefits ....................................................................................5
Conditions for Use ................................................................................. 6
Indications ........................................................................................6
Contraindications .................................................................................. 6
Undesirable Side-Eects ............................................................................ 6
Compatibility ......................................................................................6
Features of the Volumetric Pump ................................................................... 7
Controls ........................................................................................... 8
Indicators .........................................................................................8
Main Display Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Screen Icons ......................................................................................10
Labelling Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Getting Started .............................................................................12
Initial Set Up .....................................................................................12
Power Input ......................................................................................12
Wi-Fi Configuration ...............................................................................12
Factory Default Data Set ..........................................................................13
Pole Clamp Installation ...........................................................................14
Workstation or Equipment Rail Installation .........................................................15
Alaris™ Safety Clamp ..............................................................................16
Operating Precautions ............................................................................17
Operation ..................................................................................21
Loading an Infusion Set ...........................................................................21
Flow Sensor Operation (Optional) ..................................................................24
Starting the Infusion ..............................................................................25
Changing the Infusion Set .........................................................................27
Changing the Fluid Container ...................................................................... 27
Advanced Features .........................................................................28
Drugs and Dosing .................................................................................28
Selecting the INFUSION SETUP ...................................................................28
Clear Volume Infused .............................................................................29
Setting a VTBI ....................................................................................29
KVO (Keep Vein Open) Rate .......................................................................30
Pressure ..........................................................................................30
Priming the Infusion Set ..........................................................................30
Bolus Infusions ...................................................................................31
Bolus Mode – Disabled ............................................................................31
Bolus Mode Enabled – HANDSON and HANDSON and HANDSFREE ..................................31
Rate Titration .....................................................................................32
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Rate Lock (If enabled) .............................................................................33
Adjusting Existing Dosing or Protocol Infusions .....................................................33
Selecting the SET BY ML/H Option .................................................................33
Selecting the SET BY DOSERATE Option ............................................................33
Dosing Summary .................................................................................33
Add Drug (Only available when infusing) ...........................................................33
Infusion Setup ....................................................................................34
Primary Setup ....................................................................................34
Secondary Setup ..................................................................................34
Setting VTBI over Time ............................................................................34
Adjust Alarm Volume ..............................................................................34
Event Log ........................................................................................34
Pump Details .....................................................................................34
Profile Filter .......................................................................................35
Standby ..........................................................................................35
Date and Time ....................................................................................35
Network Status ...................................................................................35
Wireless Connection ..............................................................................35
SmartSite™ Needle-Free System Instructions .......................................................36
Secondary (Piggyback) Infusions ..................................................................37
Alarms .....................................................................................39
ORIGINAL ALARMS ...............................................................................39
3RD EDITION ALARMS ............................................................................44
Prompts ..........................................................................................48
Advisories ........................................................................................48
Restarting an Infusion following an Air-in-Line Alarm ................................................49
Configuration ..............................................................................50
Configured Options ...............................................................................50
BD Alaris™ neXus Editor Software Profile Configuration ..............................................51
Drug Library available via the BD Alaris™ neXus Editor Software .....................................53
Display of Units. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Associated Products ........................................................................54
Alaris™ Gateway Workstation v1.3.x or v1.6.x .......................................................54
Infusion Sets .....................................................................................55
Maintenance ...............................................................................59
Routine Maintenance Procedures ..................................................................59
Battery Operation ................................................................................59
Cleaning and Storage .............................................................................60
Disposal ..........................................................................................61
Technical Data .............................................................................62
Specifications .....................................................................................62
IrDA, RS232 and Nursecall Specification ............................................................65
Infusion Specifications ............................................................................66
Trumpet and Flow Rate Curves .....................................................................68
Products and Spare Parts ....................................................................70
Spare Parts .......................................................................................70
Software .........................................................................................70
Document History ..........................................................................71
BD Alaris™ neXus GP Volumetric Pump
About This Manual
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About This Manual
The User must be thoroughly familiar with the BD Alaris™ neXus GP Volumetric Pump (hereinafter referred to as Pump)
described in this manual prior to use.
All illustrations used in this manual show typical settings and values which may be used in setting up the functions of
thePump.
These settings and values are for illustrative use only. The complete range of settings and values are detailed in the
specifications section.
Keep this Manual for future reference during the Pump’s operational life.
It is important to ensure that you only refer to the most recent version of the Directions For Use
(DFU) and Technical Service Manual for your BD products. These documents are referenced on bd.com.
Paper copies of the Directions For Use can be obtained free of charge by contacting your local BD
representative. An estimated delivery time will be provided when the order is placed.
Conventions used in this manual
Bold Used for Display names, software commands, controls and indicators referenced in this manual,
for example, Battery Indicator, PURGE, ON/OFF button.
‘Single quotes’ Used to indicate cross-references made to another section of this manual. For example, see
‘Flow Sensor Operation’.
Italics Used to refer to other documents or manuals. For example, refer to the relevant Directions For
Use for further information.
Also used to define custom terminology specific to a manual e.g. The BD Alaris™ neXus GP
Volumetric Pump (hereinafter referred to as Pump)…
Warning symbol. A warning is a statement that alerts the User to the possibility of injury, death,
or other serious adverse reactions associated with the use or misuse of the Pump.
Caution symbol. A caution is a statement that alerts the User to the possibility of a problem
with the Pump associated with its use or misuse. Such problems may include Pump malfunction,
Pump failure, damage to the Pump or damage to other property. The caution statement
includes the precaution(s) that should be taken to avoid the hazard.
Note: Notes contain supplementary information or emphasize a point or procedure.
User Trained and qualified users who interact with the device. See ‘Intended Users’.
Qualified Service
Personnel
Trained and qualified personnel who perform service and repair activities, and upload and
download data to the product.
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Overview
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Overview
Introduction
The BD Alaris™ neXus GP Volumetric Pump is a small lightweight volumetric infusion pump that provides accurate and
reliable infusions over a range of rates.
The BD Alaris™ neXus GP Volumetric Pump can be programmed to deliver fluids utilising rate, volume over time, dose rate
calculation, and pre-programmed drug dosing protocols containing drug concentration values, and Guardrails™ dosing
safety limits.
The BD Alaris™ neXus Editor software is a medical device accessory which allows the hospital to develop a best-practice
data set of IV medication dosing guidelines for patients-specific care areas referred to as profiles. Each profile contains a
specific library of drugs, as well as an appropriate Pump configuration.
A profile also contains Guardrails™ Soft and Hard Limits, based on clinical requirements. Soft Limits may be overridden
during infusion programming and Hard Limits may not be overridden.
The BD Alaris™ neXus GP Volumetric Pump with a data set loaded, provides automatic alerts when a dosing limit, bolus
limit or weight limit has been exceeded. These safety alerts are provided without the need for the Pump to be connected
to a PC or network.
The hospital defined data set is developed and approved through pharmacy and clinical input, and then transferred into
the Pump by Qualified Service Personnel, either manually using BD Alaris™ neXus Transfer Tool or automatically via BD
Alaris™ Communication Engine.
The BD Alaris™ neXus GP Volumetric Pump can connect to the BD Alaris™ Communication Engine, if one is deployed at
the medical facility. When connected, either by docking to a connected Alaris™ Gateway Workstation or via hospital Wi-Fi,
Pump infusion data, logs and configuration information will be automatically collected.
Note: Any serious incident that occurs in relation to this Pump should be reported to the manufacturer, and to the
relevant local regulatory authority.
Intended Purpose
The BD Alaris™ neXus GP Volumetric Pumps are used within hospitals, healthcare facilities and during medical
ambulance ground transport to deliver either continuous or intermittent therapy through clinically acceptable routes of
administration. The BD Alaris™ neXus GP Volumetric Pump is intended to be used for the purpose of controlling rate and
volume. The BD Alaris™ neXus GP Volumetric Pump is indicated for use on adults and paediatrics.
Intended Users
The primary users of the BD Alaris™ neXus GP Volumetric Pump are:
• Nurse
• Physician
• Biomedical Engineer/Technician
• Nurse Educator
Secondary users of the BD Alaris™ neXus GP Volumetric Pump include:
• Pharmacist
• Materials Manager
Patient Target Groups
The BD Alaris™ neXus GP Volumetric Pumps will be used on paediatric and adult patients, with a variety of medical or
surgical conditions. The Pumps will be used on patients weighing up to, and in excess of 250Kg.
Clinical Benefits
The BD Alaris™ neXus GP Volumetric Pump provides continuous or intermittent infusion of parenteral fluids and or drugs
to treat a variety of medical conditions. Electronic infusion devices are used when the patient’s critical medical condition
dictates a more immediate, accurate and sustained impact from the fluids and medications than can be achieved with
oral therapies or other forms of intravenous administration (e.g. gravity administration or IV pushes). The fluids and drugs
being administered either sustain normal physiologic bodily functions or provide therapeutic eects to combat disease or
an unhealthy patient condition due to injury or other compromised status.
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Overview
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Conditions for Use
The BD Alaris™ neXus GP Volumetric Pumps are restricted medical devices intended for use by qualified, trained personnel
to deliver either continuous or intermittent infusion therapy of:
• Fluids
• Medications
• Nutritional supplements
• Blood and blood products
Indications
The BD Alaris™ neXus GP Volumetric Pumps are indicated for delivery of therapies through the following clinically
acceptable routes
• Intravenous (IV)
• Subcutaneous
• Irrigation of fluid spaces
Contraindications
The BD Alaris™ neXus GP Volumetric Pump is contraindicated for enteral or epidural therapies.
Undesirable Side-Effects
The BD Alaris™ neXus GP Volumetric Pump has no undesirable side-eects associated with its use when used in
accordance with the Directions for Use.
Compatibility
The BD Alaris™ neXus GP Volumetric Pump is compatible with the following:
• The Alaris™ Gateway Workstation v1.3.x and v1.6.x – see ‘Associated Products’
• Standard, single-use, disposable infusion sets – see ‘Infusion Sets’
• The Active RFID asset tag supplied by BD with this Pump
• The following minimum versions of software products are also compatible – see ‘Products and Spare Parts’
- BD Alaris™ neXus Editor v5.0
- BD Alaris™ neXus Transfer Tool v5.0
- BD Alaris™ Technical Utility v2.0
- BD Alaris™ Communication Engine v 2.0
- BD Alaris™ CQI Event Reporter V4.4
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Overview
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Features of the Volumetric Pump
Alarm indicator
Display
Softkeys
Chevrons
Door
Door lever
Control keys and indicators
(See overleaf)
Flow sensor connector
RS232/Nursecall connector
(cover removed for clarity)
Release lever
for rotating cam
Folded pole clamp
Rotating cam to lock on to
horizontal rectangular bars
AC Power fuses cover
AC Power inlet
IR communications port
Potential Equalisation
(PE) connector
Handle
Medical Device Interface
(MDI)
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Overview
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Controls
Symbol Description
a
ON/OFF button – Press once to switch the Pump on. Press and hold down for
approximately three seconds to switch the Pump o.
Note: Logs are maintained for power down events including when the Pump is powered
down or unexpected power loss.
b
RUN button – Press to start the infusion. The green LED will flash during infusion.
h
HOLD button – Press to put the infusion on hold. The amber LED will be lit while on hold.
R
MUTE button – Press to silence alarm for two minutes. The alarm will resound after this
time. To re-enable the alarm audio press the MUTE button a second time.
Note: Attention alarm only: when not in alarm press and hold until four audible beeps
are heard to extend the silence period to 15 minutes.
i
PRIME/BOLUS button – Press to access PRIME or BOLUS softkey. Press and hold down
softkey to operate.
PRIME – primes the infusion set with fluid when setting up an infusion for the first time.
• Pump is on hold.
• Infusion set is not connected to a patient.
• Volume infused (VI) is not added to the total volume infused displayed.
BOLUS – fluid or drug delivered at an accelerated rate.
• Pump is infusing
• Infusion set is connected to patient.
• Volume infused (VI) is added to the total volume infused displayed.
d
OPTION button – Press to access optional features.
e
PRESSURE button – Use this button to display the pumping pressure and adjust the alarm
limit.
f
CHEVRON keys – Double or single for faster / slower increase / decrease of values shown
on display.
g
BLANK SOFTKEYS – Use in conjunction with the prompts shown on the display.
Indicators
Symbol Description
S
AC POWER indicator – When illuminated the Pump is connected to an AC power supply
and the battery is being charged.
j
BATTERY indicator – When illuminated the Pump is running on the internal battery. When
flashing the battery power is low with less than 30 minutes of use remaining.
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Overview
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Main Display Features
Main Display – If VTBI has not been set (flow sensor must be used)
ON HOLD
RATE
VOLUME
VTBI
ml/h
VOLUME
ml
25.0
50.0
WiFi
Infusion Status /
Drug Name /
Profile Name /
Primary or Secondary
(Only if secondary is
enabled in the data set)
Infusion Rate
Volume Infused
Softkeys
Softkey Identifiers
Clear Volume Infused Set VTBI Option
a)
ON HOLD
RATE
SET RATE WITH
ON HOLD
RATE
RATE TOO LOW
ON HOLD
RATE
RATE TOO HIGH
If the rate has not been set and is
showing at 0.0ml/h, then message
a) will be displayed.
b)
ON HOLD
RATE
SET RATE WITH
ON HOLD
RATE
RATE TOO LOW
ON HOLD
RATE
RATE TOO HIGH
If programmed rate is between
0.0ml/h and 0.1ml/h exclusive in
drug protocol, message b) will be
shown.
Main Display – If VTBI is set
Dose Rate
Volume to be Infused
Volume Infused
Time remaining
ADRENALINE
RATE
VOLUME
VTBI
25.0
ml/h
µg/kg/24h
16.7
1h 48m 00s
VTBI
VOLUME
ml
ml
45.0
50.0
WiFi
Infusion Status /
Drug Name /
Profile Name /
Primary or Secondary
(Only if secondary is
enabled in the data set)
Infusion Rate
Softkeys
Softkey Identifiers
Clear Volume Infused Set VTBI Option
c)
ON HOLD
RATE
SET RATE WITH
ON HOLD
RATE
RATE TOO LOW
ON HOLD
RATE
RATE TOO HIGH
If programmed rate is greater than
the INFUSION RATE MAX in drug
protocol, message c) will be shown.
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Overview
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Screen Icons
Symbol Description
Time remaining display icon – Indicates time remaining before VTBI will be completed. If the time is
greater than 24 hours then 24+ will be displayed.
N
Battery icon – Indicates battery charge level to highlight when the battery will require recharging.
Pressure Information icon – Shows the pressure from level 0 being the first bar to level 8. Alarm limits:
level 0 – 8.
?
Indicates that the value entered is outside of the Soft Limits, as defined in the data set. The warning
can be overridden (Indicates Guardrails™ safety protocol is in use).
!
Indicates that the value entered is outside of the Guardrails™ Hard Limits, as defined in the data set.
The warning cannot be overridden. This symbol is also used to prompt the User to set the rate.
Indicates that the Pump is running at a rate below (pointing down) a Guardrails™ Soft Limit.
Indicates that the Pump is running at a rate above (pointing up) a Guardrails™ Soft Limit.
WiFi
Indicates when the Pump is connected, via Wi-Fi, to the BD Alaris™ Communication Engine (ACE).
WiFi
Indicates when the Pump is not connected to ACE via Wi-Fi.
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Labelling Symbols
Symbol Description
Attention (Consult accompanying document)
Potential Equalisation (PE) Connector
RS232/Nursecall Connector
Defibrillation-proof type CF applied part (Degree of protection against electrical shock)
IP33
Protected from solid objects greater than 2.5mm.
Protected against direct sprays up to 60° from the vertical.
Alternating Current
Device complies with the requirements of Council Directive 93/42/EEC as amended by
2007/47/EC.
Date of Manufacture
Manufacturer
Connector for Flow Sensor
U
Not for Municipal Waste
W
Fuse rating
Operating Temperature Range – Pump can be used between 0 and 40 degrees centigrade.
Pump is able to communicate via Wi-Fi.
Medical Device.
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Getting Started
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Getting Started
Before operating the Pump read this Directions For Use (DFU) manual carefully.
Initial Set Up
1. Check that the Pump is complete, undamaged and that the voltage rating specified on the label is compatible with
your AC power supply.
2. Items supplied are:
• AC Power Cable (as requested) • Electronic Instructions For Use Insert
• BD Alaris™ neXus GP Volumetric Pump • Protective Packaging
• Directions For Use (CD)
3. Connect the Pump to the AC power supply for at least 2½ hours to ensure that the internal battery is charged (verify
that the
S is lit).
• The Pump will automatically operate from its internal battery if the Pump is switched on without being
connected to the power supply.
• Should the Pump fail to perform correctly, replace in its original protective packaging, where possible
and contact Qualified Service Personnel for investigation.
Power Input
The Pump is powered from the AC Power supply through a standard IEC AC Power connector or the Alaris™ Gateway
Workstation (Workstation) when docked. When connected to the AC Power supply the AC Power indicator is illuminated.
• To isolate the Pump from AC Power supply remove the AC Power connector from the source socket.
• The Pump should be positioned to allow access for disconnecting the AC Power connector.
Wi-Fi Configuration
The Pump is able to utilize a hospital Wi-Fi network to connect to the BD Alaris™ Communication Engine if one is deployed
at the facility. A Wi-Fi Configuration Package must be first created and transferred to the Pump using the BD Alaris™
Technical Utility (ATU) by Qualified Service Personnel.
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Getting Started
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Factory Default Data Set
The Pump is supplied with the following factory default data set:
Parameter Factory Default Setting Default Units Enabled for Dosing Only
AC Fail Warning Enabled ml/h
Audio Volume Medium ng/kg/min
Alarm Volume Adjustable Disabled µg/min
Occlusion Alarm Pressure L5 µg/h
Pressure Max L8 µg/kg/min
Rate Titration Disabled µg/kg/h
Infusion Rate Max 1200ml/h mg/h
Rate Lock Disabled mg/kg/min
Bolus Mode Hands-On Only mg/kg/h
Bolus Rate Default 500ml/h g/h
Bolus Rate Max 1200ml/h U/h
Bolus Volume Max 5ml U/kg/h
Weight Default 1kg mmol/h
Weight Soft Min 1kg mmol/kg/min
Weight Soft Max 150kg mmol/kg/h
AIL Limit 100µL
Primary VTBI Max 9999ml
Secondary Infusion Disabled
Prime Rate 200ml/h
Prime Volume Max 20ml
Near End of Infusion 5 minutes
KVO 5ml/h
• Refer to ‘Display of Units’ section of this DFU for configurable units.
• The default data set does not have drug-specific Guardrails™ limits. To set the limits use the BD
Alaris™ neXus Editor software to create a custom data set. Care should be taken when specifying the
Guardrails™ limits.
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Getting Started
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Pole Clamp Installation
Mount the Pump on the pole or Workstation as close to patient heart level as possible.
Prior to each use, check the pole clamp:
• does not show any signs of excessive wear,
• does not show any signs of excessively loose movement in the extended, mountable position.
If these signs are observed, the Pump should be taken out of service for examination by Qualified
Service Personnel.
The pole clamp is fitted to the rear of the Pump and will provide
secure fixing to vertical IV poles of a diameter between 15 and
40mm.
1. Pull the folded pole clamp towards you and unscrew the
clamp to leave enough room for the size of the pole.
2. Place Pump around pole and tighten screw until the clamp is
secured to the pole.
*
*
Recessed area
Never mount the Pump such that the IV infusion stand becomes top heavy or unstable.
Ensure the pole clamp is folded away and stored within the recessed area at the rear of the Pump before
connecting to a Workstation or when not in use.
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Getting Started
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Workstation or Equipment Rail Installation
The rotating cam can be fitted to the rectangular bar on the Workstation or equipment rails measuring 10mm by 25mm.
1. Align the rotating cam on the rear of the Pump
with the rectangular bar on the Workstation or the
equipment rail.
2. Push the Pump firmly onto the rectangular bar or
equipment rail.
3. Ensure that the Pump is positioned securely. Verify
Pump is secure by gently pulling the Pump away
from the Workstation without using the release
lever. When the Pump is securely attached, it should
not come o the Workstation.
4. To release, push the release lever and pull the Pump
forwards.
Note: The Pump will stop communicating over Wi-Fi
once docked to a Workstation and will disable
its internal wireless module. The Pump will
instead use the Workstation as a conduit for
connecting to BD Alaris™ Communication
Engine, as long as the Workstation is powered
on and is functional.
Alaris®
GP
Rectangular bar
Release lever
(push to release)
Rotating cam
Pump may fall off the Workstation if not properly mounted which could result in User and/or
patientharm.
It is recommended that infusion bags be located on a hanger directly above the Pump with which they
are being used. This minimises the potential for confusion of infusion sets when multiple volumetric
pumps are used.
Pump can only be mounted on the horizontal section of the Workstations.
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Getting Started
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Alaris™ Safety Clamp
Alaris™ Safety Clamp*: Safety Clamp In Non Occluded Position:
When a new infusion set is removed from packaging the
Safety Clamp will be in this position**:
Safety Clamp Slider
Safety Clamp FrameSafety Clamp Tab
FLOW ENABLED
Clamp in NON OCCLUDED
POSITION
Safety Clamp In Occluded Position: Manually Operating The Safety Clamp
After infusion set is loaded into the Pump, opening the
door activates door hooks which will pull the Safety
Clamp slider out, as shown:
To move the slider into the non occluded position
manually, push up Safety Clamp Tab and push Safety
Clamp Slider completely into Frame:
NO FLOW
Clamp is in
OCCLUDED POSITION
Æ
Ê
1. Push up
2. Push
• Pushing on the Safety Clamp Slider enables full set flow to the patient. Therefore it is recommended
to always close the roller clamp as well.
• However, if gravity infusion is required, push up Safety Clamp Tab and push orange Safety Clamp Slider
completely into Frame to enable flow. The gravity infusion can be regulated using the roller clamp on
the set.
* Hereinafter referred to as Safety Clamp.
** This is necessary to avoid tube damage during storage and to ensure correct sterilisation and allows immediate priming.
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Getting Started
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Operating Precautions
Infusion Sets
• To ensure correct and accurate operation, only use BD single use infusion sets described in
this Directions For Use.
• It is recommended that infusion sets are changed according to the instructions in the
‘Changing the Infusion Set’ section. Carefully read the Directions For Use supplied with the
infusion set prior to use.
• Use of non-specified infusion sets may impair the operation of the Pump and the accuracy of
the infusion.
• When combining several apparatus and/or instruments with infusion sets and other tubing,
for example via a 3-way tap or multiple infusion, the performance of the Pump may be
aected and should be monitored closely.
• Uncontrolled flow may result if the infusion set is not properly isolated from the patient i.e.
closing a tap in the set or activating an in-line clamp / roller clamp.
• BD infusion sets are fitted with an in-line clamp, which can be used to occlude tubing in case
it is required to stop fluid flow.
• The Pump is a positive pressure pump, which should use infusion sets fitted with Luer lock
fittings or equivalent locking connectors.
• To infuse from a burette, close the roller clamp above the burette and open the clamp on the
vent on top of the burette.
• Discard infusion set if the packaging is not intact or the protector cap is detached. Ensure
sets are not kinked as this may occlude the tubing.
Using Collapsible bags, Glass bottles and Semi-rigid containers
• It is recommended that the air vent be opened on the Pump sets if using glass bottles or
semi-rigid containers, to reduce the partial vacuum formed as the fluid is infused from the
container. This action will ensure the Pump can maintain volumetric accuracy whilst the
container empties. The action of opening the air vent for semi-rigid containers should take
place after the spiking of the container and priming of the drip chamber.
Steps for Collapsible bags
Follow steps 1 to 3 as shown for the semi-
rigid containers, however do not open
vent as in step 4, but prime the set as
per step 5. Ensure the bag outlet is fully
pierced before filling the drip chamber.
Note: Ensure that the air vent is
closed prior to filling the drip
chamber.
Steps for Semi-rigid containers
4.
5.
3.2.
Spike the
container
Fill drip
chamber
to fill line
Prime the set by
opening / closing the
roller clamp
1.
Close the
roller clamp
Open the air vent
to allow pressure
equalisation – ready
for infusion
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Getting Started
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Operating Environment
• Intended environments include general wards, critical and intensive care, operating rooms,
accident and emergency rooms. The Pump may be used in an ambulance environment.
Ensure that the Pump is appropriately attached using the provided pole clamp. The Pump
is designed to withstand possible bumps and vibrations whilst being used in an ambulance,
complying with the standard EN 1789. If the Pump is dropped or experiences any severe
physical disturbances, arrange a thorough inspection by Qualified Service Personnel as soon
as is practically possible.
• The Pump may also be used outside the ambulance as long as the temperature is within the
specified range as stated in the ‘Specifications’ section and on the Pump label.
• When using any infusion pump in conjunction with other pumps or devices requiring vascular
access, extra care is advised. Adverse delivery of medication or fluids can be caused by the
substantial variation in pressures created within the fluid channels of such pumps. Typical
examples of those pumps are used during dialysis, bypass or cardiac assist applications.
• The Pump is suitable for use in hospital and clinical environments other than domestic
establishments that have access to single phase AC power supply.
• This Pump is not intended to be used in the presence of a flammable anaesthetic mixture
with air or oxygen or nitrous oxide.
Operating Pressure
• The pumping pressure alarm system is not designed to provide protection against, or
detection of extravasation or tissuing, complications which can occur.
Alarm Conditions
Alaris®
GP
• Several alarm conditions detected by this Pump will stop the infusion and generate visual
and audible alarms. Users must perform regular checks to ensure that the infusion is
progressing correctly and no alarms are operating.
• Alarm tone settings are preserved in the case of a power loss, however some system faults
will result in loss of alarm settings. The new alarm tone settings will be stored when powering
down from tech mode after a change. The settings will be lost if a cold-start is performed, but
should be saved for faults that don’t require a cold start.
BD Alaris™ neXus GP Volumetric Pump
Getting Started
BDDF00558 Issue 4
19/72
Electromagnetic Compatibility and Interference
M
• Medical Electrical Equipment requires additional precautions regarding EMC. Commissioning,
installation and use should be in accordance with the EMC information provided within this
Directions For Use and the Technical Service Manual.
• This Pump has been evaluated against the EMC-limits according to IEC/EN 60601-1-2 and
IEC/EN 60601-2-24.
• Therapeutic Radiation Equipment: Do not use the Pump in the vicinity of any Therapeutic
Radiation Equipment. Levels of radiation generated by the radiation therapy equipment
such as Linear Accelerator, may severely aect functioning of the Pump. Please consult
manufacturer’s recommendations for safe distance and other precautionary requirements.
For further information, please contact your local BD representative.
• Magnetic Resonance Imaging (MRI): The Pump contains ferromagnetic materials which
are susceptible to interference with magnetic field generated by the MRI devices. Therefore,
the Pump is not considered an MRI compatible Pump as such. If use of the Pump within an
MRI environment is unavoidable, then BD highly recommends securing the Pump at a safe
distance from the magnetic field outside the identified ‘Controlled Access Area’ in order to
evade any magnetic interference to the Pump; or MRI image distortion. This safe distance
should be established in accordance with the manufacturers’ recommendations regarding
electromagnetic interference (EMI). For further information, please refer to the product
Technical Service Manual (TSM). Alternatively, contact your local BD representative for
further guidance.
• The Pump is compatible with HF surgical equipment provided the Pump is located at
distance greater than 15cm (6 inches) from the active component of the HF surgical device.
Direct contact between HF surgical equipment and the Pump and or associated accessories
and cabling must be avoided.
• Accessories: Do not use any non-recommended accessory with the Pump. The Pump is tested
and compliant with the relevant EMC claims only with the recommended accessories. Use of
any accessory, transducer or cable other than those specified by BD may result in increased
emissions or decreased Pump immunity.
Alaris®
GP
• The emissions characteristics of this equipment make it suitable for use in industrial areas
and hospitals (CISPR 11 class A). If it is used in a residential environment (for which CISPR 11
class B is normally required) this equipment might not oer adequate protection to radio-
frequency communication services. The User might need to take mitigation measures, such
as relocating or repositioning the Pump. This Pump emits a certain level of electromagnetic
radiation, which is within the levels specified by IEC/EN 60601-2-24 and IEC/EN 60601-1-2.
• Approval of the wireless module excludes co-location with any other transmitter.
• The Pump should not be used adjacent to or stacked with other equipment outside of the
Alaris™ Gateway Workstation; however, if adjacent or stacked use is necessary, the Pump
should be observed to verify normal operation in the configuration in which it will be used.
• Portable RF Communications equipment (including peripherals such as antenna cables and
external antennas) should be used no closer than 30cm (12 inches) to any part of the Pump
including cables specified by the manufacturer. Otherwise, degradation of the performance
of this equipment could result.
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BD Alaris™ neXus GP Volumetric Pump Operating instructions
- Type
- Operating instructions
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