2. Abbott
  3. PLUM A +

Abbott PLUM A + System Operating Manual

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5/01)
;g;h
Chicago, IL 60064
430-95226-001 (Rev.
Manuaf
For use with List 11971-04
Abbott Laboratories
System
Operating
To Purchase, Visit Avobus.com or call 1-800-674-3655
901)
.
111
430-95226-001
(Rev.
.
.
SE?TING
GRAVITY FLOW
...........................
.3-8
3.4
DISCONTINUING FLUID ADMINISTRATION
.................................................................................
3-8
&
3-
1
3.1
SETUP
.........................................................................................................................................
3-1
Unpacking
.............................................................................................................................
3-l
Tandem Carrier Instructions
.................................................................................................
3-2
3.2 ADMINISTRATION SETS
..............................................................................................................
3-2
Preparing the Administration Set
..........................................................................................
3-3
Priming the Administration Set
............................................................................................
3-4
Loading the Cassette
.............................................................................................................
3-5
Preparing the Secondary
Line
...............................................................................................
3-6
3.3
DISCONTINUING ELECTRONIC FLOW CONTROL
PlumSet Capabilities
..............................................................................................................
2-l
Air Management
...................................................................................................................
2-l
Battery
...................................................................................................................................
2-2
Biomedical
............................................................................................................................
2-2
Options
..................................................................................................................................
2-2
Other Features
.......................................................................................................................
2-2
USER QUALIFICATION
................................................................................................................
2-3
SYSTEM SELF-TESTS
..................................................................................................................
2-3
S
ECTION
3
INSTRUCTIONS FOR USE
........................................................................................................................
EATLJRES
...................................................................................................................................
2-l
Therapies
...............................................................................................................................
2-l
Line Programming Options
..................................................................................................
2-l
.....
2-l
2.1
2.2
2.3
.......
l-3
S
ECTION
2
DEVICE DESCRIPTION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...
l-2
Warnings, Cautions, and Notes
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
l-2
1.3 D
EFINITIONS
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
..*...............................................................
l-l
1.2
CONVENTIONS
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
-
1
1.1 PRODUCT OVERVIEW
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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S
ECTION
1
INTRODUCTION
. . . .
Contents
PumpYOl)
iv
Plum A+ Infusion
6-3
Line B Alarms
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-4
Malfunctions
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-4
430-95226-001 (Rev.
6-2
General Alarms
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-2
Line A Alarms
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
ME.SSAGE~
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-l
6.2 R
ESPONSE TO ALARMS
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
....................................................................................................
5-15
S
ECTION
6
ALARMS AND TROUBLESHOOTING
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6-l
6.1 W
ARNING
PROG~WX~MING
MULTISTEP
B)
..............................................................................
5-5
...........................
5.3 LOADING DOSE
..........................................................................................................................
5-9
5.4
(MG/HR
OS
(MCG/KC~MIN
ON A)
................................................................................................
5-l
5.2 D
OSE CALC
SETI-INGS
.............................................................................................
4-25
POSSIBLE NON-DELIVERY PROGRAMMED
.............................................................................
4-26
S
ECTION
5
THERAPIES (FOR ADVANCED USERS*)
...............................................................................................
5-l
5.1
DOSE CALC
BACKPRIMING
.........................................................................................................................
4-25
CLEARING PROGRAM
1
LINE PUMPING
.....................................................................
4-23
STOP AND START WITH BOTH LINES PUMPING
......................................................................
4-23
NURSE
CALLBACK
.................................................................................... 4-17
CONCURRENT DELIVERY
.......................................................................................................
.4-18
S
ELECT OPTION - VOLUMES INFUSED , PRESSURE /POST INFUSION RATE , AND LIGHTING /C•
.......
.4-20
S
TOP AND START WITH ONLY
RTFL4TION
................................................................................................................................
4-10
SIMPLE DELIVERY
USING
DRUG
LIST
.....................................................................................
.4-12
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
4.10
4.11
4.12
4.13
4.14
4.15
4.16
4.17
4.18
4.19
SIMPLE DELIVERY USING DELAYED START
............................................................................
4-14
PIGGYBACK DELIVERY
...........................................................................................................
4-15
PIGGYBACK WITH
CASECONTROLS
..............................................................................................................
4-5
POWER ON
..................................................................................................................................
4-7
SIMPLE DELIVERY
.......................................................................................................................
4-8
EXAMPLES OF AUTOMATIC CALCULATION
................................................................................
4-9
REAR
INDICATORS
................................................................................................................................
4-5
..‘~
..................................
4-3
OPERATING KEYS
............................................................................................
4-3
...........................
GETTING
STARTED
......................................................................................................................
4-l
System Self-Tests
...................................................................................................................
4-l
Data Retention ................................................................................
Contents
S
ECTION
4
BASIC OPERATION
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4-l
4.1
5/01)
Enteral
and High Viscosity Fluids
......................................................................................
10-l
Containers
............................................................................................................................
10-l
10.2 ACCESSORIES
...........................................................................................................................
10-l
System Operating Manual
430-95226-001 (Rev,
F~um
........................................................................................................
10-l
Administration Fluids
.........................................................................................................
10-l
ADMINISTRATION
CURVES
.............................................................................................................................
9-4
S
ECTION
10
SUPPLIES AND ACCESSORIES
.............................................................................................................
10-l
10.1
~~LJM~ET
BOLUS
VOLUME RELEASED AFTER DOWNSTREAM
OCCLUSIONS ARE CORRECTED
.........................
9-3
DELIVERY ACCURACY
.......................................................................................................................
9-4
DOWNSTREAM
OCCLUSIONS
.................................................................................
9-3
RATE
RANGE
...................................................................................................................
9-2
AIR-IN-LINE ALARM
.........................................................................................................................
9-2
OCCLUSION ALARM AND LIMITS
......................................................................................................
9-3
TIME TO DETECT
BACKPRIMING
.............................................................................................................................
8-5
8.8
GENERAL
....................................................................................................................................
8-5
S
ECTION
9
SPECIFICATIONS
.......................................................................................................................................
9-l
PHYSICAL
..........................................................................................................................................
9-l
E
LECTRICAL
......................................................................................................................................
9-l
VTBI R
ANGE
.....................................................................................................................................
9-l
E
NVIRONMENT
...................................................................................................................................
9-2
DELIVERY
ACCESSORIES
.............................................................................................................
8-4
8.7
BATTERY
OPERATION
................................................................................................................
8-4
8.6
SETS A ND
PROFESSIONALS
AND PATIENT RELATED
............................................................
8-1
8.3
CONCURRENT FLOW
...................................................................................................................
8-2
8.4
EPIDURAL
ADMINISTRATION
......................................................................................................
8-3
8.5
HEALTHCARE
ARTIFACTS
.................................................................................................................................
8-1
8.2
...................
8-l
8.1
Contents
S
ECTION
7
MAINTENANCE AND STORAGE
............................................................................................................
7-l
7.1 C
LEANING , MAINTENANCE , AND STORAGE
................................................................................
7-l
Cleaning
and Sanitizing
.........................................................................................................
7-l
Battery Maintenance
..............................................................................................................
7-2
Storage
..................................................................................................................................
7-2
Service
..................................................................................................................................
7-2
S
ECTION
8
PRECAUTIONS
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
To Purchase, Visit Avobus.com or call 1-800-674-3655
5/01)
l-
1
430-95226-001 (Rev.
Hkmodialysis
Oncology
Mobile Intensive Cure
Nutritional
OpDecovery
Pediatrics
Cardiac
Cath Lab
Neonatolgy
Emergency
Burn Unit
ICU/CCU
Post
ORfinesthesia
MedicallSurgical
Laborj3etiverylPost
Pattum
&
Barcode Directory.
A computer data port is also provided to interface with a host computer.
The Plum A+ is designed
to
be used in most areas of patient care, including, but not limited to:
General Floor
identification
by scanning a provided list of drug names
located on the Flash Tips
from
multiple fluid container types.
The
system includes a pumping module (hereafter called the pump) and an assortment of disposable IV sets
(hereafter called a set), optional accessories, and this operator’s manual.
The optional Barcode Reader allows drug name
enteral
or epidural infusions over a broad range of
infusion rates
parenteral
and
05
concurrent delivery. Therapy
modes include:
. Standard Infusions
l Multistep Programming
l Loading Dose
l Dose Calculation
The Plum A+ is designed to deliver
A+TM
Volumetric Infusion System is designed to meet the fluid delivery requirements of today’s
evolving healthcare environments. The Plum A+ is a cassette based, two lines in and one line out, multi-
function infusion pump. The pump can be used for standard, piggyback.
8.
1 .l
Product Overview
The
Plum
SECTION 1
Introduction
l-
2
Plum A+ Infusion Pump
5/01)
.
Note:
Figures are rendered as graphic representations to approximate the actual product. Therefore,
figures may not exactly reflect the product.
430-95226-001 (Rev.
1
This symbol directs the user to consult accompanying documents.
a
M
SERIOUS PATIENT OR USER INJURY.
Note:
A Note highlights information that helps explain a concept or procedure.
RESULT
FAXLXJRE
TO OBSERVE A CAUTION COULD
PRBVENT IRREVERSIBLE PRODUCT DAMAGE OR RARDWARE FAILURE. TRAT COULD
INF-ORMATION
IT
CONTAINS
PROCEDURE
OR STATEMENT.
..sets
are supplied
Sterile
and are for....
WARNINGS.
CAUTIONS, AND NOTES
Alert messages used throughout this manual are described below. Pay particular attention to these
messages.
WARNING
A WARNING MESSAGE CONTAINS SPECIAL SAFETY EMPHASIS AND MUST BE OBSERVED AT ALL
TIMES. FAILURE TO OBSERVE A WARNING MESSAGE IS POTENTIALLY LIFE THREATENING.
CAUTION:
A CAUTION USUALLY APPEARS IN FRONT OF A
I
Emphasis
.
I
Bold
A
[Choose]
Screen displays and device labels (as Therapy
appropriate)
Dose Calculation
Softkey
Options
A
[Italic]
Initial Caps lowercase
3-
1, Priming Cassette)
Function or mode specific instructions
Primary On/y: Attach an empty
container.
[ALL CAPS]
Keys or touchswitches on the device
are described all caps in brackets
[START]
‘.
Reference to a section, figure, or table
(See Figure
Introduction
1.2 Conventions
This section describes the conventions used throughout this manual, as follows:
Convention
Italic
Application
Example
5101)
l-
3
430-95226-001 (Rev.
Warnfnq.
System Operating Manual
Keu
c)
That a function has been initiated
in
the proper manner such as a Valid
b)
That an attempt has been made to use a function in the wrong sequence,
with the wrong values, or at the wrong time such as an Invalid Key Warn-
ing.
-
The amount offlufd remaining to be delivered to the
vatfent.
Warning
An indication to advise the operator:
a) Of a possibly hazardous condition such as a Low-Battery warning.
VTBI
Volume To Be Infused
Dfs-
Infusion
Rate
tal Pressure Limit. It is also used to view Distal Pressure in real-time.
Units
A predetermined delivery quantity adopted as a standard of measure.
mode
is used to set KVO Rate and
Inflt
this
[OptfonslVol
A
PressurelPost
Selected using
Open)
catheter.
Line A
Cassette Inlet line on the top center of the cassette when looking at the cas-
sette from the front of the Device.
Line B
Cassette Inlet line on the top right of the cassette when looking at the cas-
sette from the front of the Device.
Malfunction
Failure of the device to pass internal integrity or performance tests.
Pfgg ybac k
The mode where line B delivers first, followed by line A.
fluid
at a slow rate in or&r to prevent occluding the patient
fluidflow.
KVO (Keep Vein
Delivery of
VTBI
at a delivery rate set by the operator.
Error
A condition resulting when an operator attempts a nonacceptable input,
such as an invalid key press.
Flow Rate
The resulting rate of
fndependentjlow
rates.
Delivery
Delfvery
Delivery option which allows lines A and B to deliver concurrently.
Together
Delivery Rate The Delivery rate set by the operator.
Duration
The time period used to deliver a
jlufd
delivered in a discrete
period of time.
A recognized cassette type installed with the door closed.
Concurrent
Simultaneous delivery of twofluids at
Nofluid
is delivered distal to the cassette during backpriming.
A single uninterrupted discrete volume of
orfluid
from the proximal line and cassette air trap.
condf-
tions will cause both audible and visible alarm indicators. Confirmation of
the condition is usuallu reauired.
Backprime
Bolus
Cassette
Installed
Removal of air
operator.attentfon.
These
Definitions (General and Clinical)
1.3
Definitions (General and Clinical)
Alarms
Any condition of the pump that requires
To Purchase, Visit Avobus.com or call 1-800-674-3655
5/01)
2-
1
430-95226-001 (Rev.
Removal/Backpriming
l
Air Detection-Proximal
l
Air Detection-Distal
PLUMSET
CAPABILITIES
l
Anti Free-Flow Protection
l
Direct Connection for syringe delivery
AIR MANAGEMENT
l Air Trap
l Air
flow
rate range for both lines
l
Automated Secondary drug delivery (Piggyback)
mL
increments)
mL/hr
(in 1 loo-999
mL
increments) flow rate range for both lines
l
Macro
mL/hr
(in 0.1
LifeShield@
needleless protection systems makes the Plum A+ a convenient and cost-effective
infusion system.
THERAPIES
l Dose Calculation
l
Loading Dose
l Multistep Programming
LINE PROGRAMMING OPTIONS
. Therapy Selection
l
Nurse Call Back
l
Delayed Start Setting
l
Drug Label Library
. Concurrent delivery
l Titration
l
Micro 0.1-99.9
LifeCare
Plum Series administration sets and accessories
and the
healthcare.
standardization. With its primary line, secondary line,
and piggyback fluid delivery capability, the Plum A+ is suited for a wide range of medical/surgical and
critical care applications. Full compatibility with
hospital-
wide, as well as alternate site and home
SECTION 2
2.1 Features
The Plum A+
is a dual-line volumetric infusion system designed to meet the growing demand for
2-
2
Plum A+ Infusion Pump
5/01)
ml/hr
or less depending on delivery rate) or Continue Rate (CR) to
continue at the current rate
l
Variable Distal Pressure Settings
OTHER FEATURES
Nonpulsatile volumetric accuracy
Microprocessor control
Large liquid crystal display (LCD) screen
Panel back illumination on mains power
Lockout switch
Standard fullfill, partfill, syringe and vial use
Parenteral and nonparenteral (enteral) fluid delivery
Blood and blood products delivery
Wide range of Standard and Specialty administration sets
430-95226-001 (Rev.
1
l
Plug-in Bar Code Reader for drug identification (Optional)
l
Nurse Call Relay Connector
OPTIONS
l
Volumes Infused (A, B, Total Volume)
l
KVO at dose end (1.0
tempprary
portable operation
BIOMEDICAL
l
Serial Communication
l
Upgradability (Field)
l
Variable Rate Cap
. Alarm History
Six
Hour Battery Recharge Time
l
Long battery life (6 hours) for emergency backup and
Device Description
BATTERY
l
Battery Gauge
l
5/01)
2-
3
430-95226-001 (Rev.
con.fii
readiness for use.
Failure during the Self-Tests is reported as a Malfunction Condition.
System Operating Manual
The
pump performs a suite of System Self-Tests when power is applied to
APPROVEiD
LABELING). EPIDURAL
ADMINISTRATION OF DRUGS OTHER THAN THOSE INDICATED FOR EPIDURAL USE COULD
RESULT IN SERIOUS INJURY TO THE PATIENT.
2.3 System Self-Tests
enteral,
and epidural fluids and drugs and whole blood or red blood cell components. The training should
emphasize preventing related IV complications, including appropriate precautions to prevent accidental
infusion of air. The epidural route can be used to provide anesthesia or analgesia.
WARNING
ADMINISTER ONLY ANESTHETICS/ANALGESICS APPROVED FOR EPIDURAL ADMINISTRATION
(AS INDICATED OR ALLOWED BY THE DRUGS’ FDA
User Qualification
2.2 User Qualification
The Plum A+ is intended for use at the direction or under the supervision of licensed physicians or certified
healthcare professionals who are trained in the use of the pump and the administration of parenteral,
To Purchase, Visit Avobus.com or call 1-800-674-3655
5/01)
3-
1
430-95226-001 (Rev.
SROULD
BE AVOIDED.
PUMP UND ER THESE CON DITIONS
THE
MICROCOMPUTER
MIGHT BE D ISR UPT ED . O PE RA TION OF
2-WAY
RADIOS, IT IS POSSIBLE THAT THE NORMAL OPERATION OF A SENSOR
OR
m
TRE EVENT OF EXTREME
LEVELS OF INTERFERENCE, SUCH AS ENCOUNTERED NEXT To AN ELECTROSURGICAL GENERATOR.
CELLULAR TELEPHONES, OR
(EMI) CONDITIONS.
TRB
PRESENCE OF MOST
ENCOUNTERED ELECTROMAGNETIC INTERFERENCE
JN
ABBOTT -ORATORIES.
To
set
up the Plum A+, connect the mains cord to a properly earthed mains receptacle, unless temporary
battery operation is desired.
Note:
Use mains power whenever possible. Store the Plum A+ connected to mains to confirm a fully
charged battery for emergencies.
Note:
If the quality of earth grounding source is in doubt, use battery power.
CAUTION:
THE PLUM A+ SYSTEM IS DESIGNED TO OPERATE NORMALLY
PLUM
A+ APPEARS TO BE DAMAGED, CONTACT
T=
IF
TRE
BATTERY MAY
NOT BE CRARGED UPON RECEIPT.
Inspect the Plum A+ packaging for possible shipping damage. If damage is found, contact the delivery
company immediately.
Use care when unpacking the Plum A+. Retain the packing slip and save all packing material in case the
Plum A+ is damaged or fails the pump self-test and has to be returned to Abbott Laboratories.
Inspect the Plum A+ thoroughly for damage.
CAUTION:
IF
IT APPEARS DAMAGED IN ANY WAY.
PLJJM
A+
TRE
UNPACXING
AND INSTALLATION.
Do
NOT USE
DURING
EXBRCISED
UNLESS
PROPER CARE IS MAY OCCUR
‘.
This section explains the Plum A+ setup and administration set use.
3.1 Setup
WARNING
ARRANGE TUBING, CORDS, AND CABLES TO MINIMIZE THE RISK OF PATIENT STRANGULATION
OR ENTANGLEMENT.
UNPACKING
CAUTION:
PR ODUCT D A MAGE
hstructions
for Use
SECTION
3
-~
Plum A+ Infusion Pump
3-
2
5/01)
=Ei
Finger Grip
Pumping Chamber
430-95226-001 (Rev.
87
IK!B
Flow Regulator
4
Line-
Pnrnaty
LifeCare
Plum series administration sets. Become familiar
with the set components before preparing the administration set.
(List#
12276-O 1) to the pole before
attaching the pump(s) to the tandem carrier.
Make sure tandem carrier clamp is attached firmly to pole.
Make sure pumps are firmly attached to tandem carrier.
3.2 Administration Sets
The Plum A+ is compatible with the wide range of
TANDEM
CARRIER
INSTRUCTIONS
The Plum A+ may be safely and conveniently mounted on an IV stand or on a tandem carrier mounted on an
IV stand.
Always mount the tandem carrier
Instructions for Use
5101)
3-
3
430-95226-001 (Rev.
E
System Operating Manual
l/2
full or to score mark. Do not
Note:
To avoid getting Distal Air Alarms, confirm that the fluid bag is positioned higher than the
pump. This should be set up prior to priming the cassette.
th$n
proceed as follows:
Make sure flow regulator is closed.
Insert piercing pin into container outlet with a twisting motion.
Fill drip chamber
completely fill.
to about
Administration Sets
PREPARING THE ADMINISTRATION SET
Note:
For detailed instructions, see administration set packaging.
Use the aseptic technique to prepare the administration set for priming,
To Purchase, Visit Avobus.com or call 1-800-674-3655
3-
4
Plum A+ Infusion Pump
5/01)
Instructions for Use
PRIMING THE ADMINISTRATION SET
To prime the administration set, proceed as follows:
1
Invert the cassette.
Turn the flow regulator counter-clockwise until a drop of fluid is
seen
in the pumping chamber.
Turn
the cassette upright, then prime the remainder of the
administration set.
Push in the flow regulator to close. Confirm there is no flow.
430-95226-001 (Rev.
5101)
3-
5
430-95226-001 (Rev.
.T,.
Open the cassette door by lifting up the handle.
Insert cassette into door guides. Close the cassette door. Confirm
there is no flow and no kinks appear in tubing.
Note:
If flow
is observed, close the tubing clamps and replace the administration set.
Note:
The administration set should be changed per CDC guidelines or healthcare provider policy.
Discard after use.
System Operating Manual
.
k
Administration Sets
LOADING THE CASSETTE
To load the primed cassette into the Plum A+, proceed as follows:
3-
6
Plum A+ Infusion Pump
5/01)
5
of
this manual.)
430-95226-001 (Rev.
4
and
Se&ions
mL of fluid
into the syringe to clear air from the adapter filter.
To prepare the secondary line, use aseptic technique and proceed as follows:
With cassette door closed: loosen and remove white cap, then
discard. Add secondary tubing or syringe.
Open all proximal
clamps before pressing [START].
Set up pump per operating instructions. (See
vial
cap when using vials on the secondary
line
l When using a syringe adapter, retract the plunger to draw approximately 1
1198648)
to syringes smaller than 10 cc. (Syringes 10 cc or
larger can be attached directly to the secondary port of the cassette.)
l Syringes smaller than 3 cc should not be used.
l Attach a vial adapter (List 1188448) to the
19-
gauge, 31 mm (or shorter) needle, if
the cassette secondary inlet port has a piercing reseal
l Attach syringe adapter (List
18- or
’
Before preparing the secondary line, observe the following guidelines:
l Review the backpriming function
l Attach the secondary container using an
,
The Plum A+ features concurrent or piggyback delivery modes when therapy requires administering more
than one fluid.
In addition to standard containers, the Plum A+ can use syringes or vials on the secondary port. The
secondary line can be prepared without removing or repriming the cassette.
COEXPATIBILITP,
CONCE NTRA TION ,
DELIVERY RATES, AND VOLUMES ARE ALL SUITABLE FOR CONCURRENT DELIVERY OR PIGGYBACK DELIVERY
(SECONDARY FOLLOWED AUTOMATICALLY BY PRIMARY) MODES.
THE DRUG LABELING TO CO N F IR M DRUG
Instructions for Use
PREPARING THE SECONDARY LINE
CAUTION:
C ONS UL T
To Purchase, Visit Avobus.com or call 1-800-674-3655
E
5/01)
3-
7
430-95226-001 (Rev.
Vial:
Attach the vial adapter to the secondary
adapter into the vial, if necessary.
port.
Backprime the air from the vial
System Operating Manual
Administration Sets
Vial or Syringe:
Secure the container to the cassette door using the
optional
container support arm (List 12095-04-01).
3-
8 Plum A+
Infusion
Pump
5/01)
@
CLOSE DOOR
CASSETTE
DISCARD SET AND FLUID
CONTAINER PER HOSPITAL
PROCEDURE
430-95226-001 (Rev.
0
OPEN DOOR, REMOVE
@
PRESS STOP
TO
PREVENT ACCIDENTAL FREE FLOW
NOTE: IF DOOR OPEN ALARM OCCURS, TURN PUMP OFF
3.4 DISCONTINUING FLUID ADMINISTRATION
CASSElTE
SHOULD BE
IN UPRIGHT POSITION
REGUIATOR
COUNTER-CLOCKWISE
NOTE:
GRAVITY
RATE BY
TURNING FLOW
@
SET
&
REMOVE CASSETTE
NOTE: FLOW REGULATOR CLOSES
AUTOMATICALLY
WHEN DOOR IS OPENED
@
OPEN DOOR
Op_PRIBlARY
AND SECONDARY
FLUIDS.
If electronic flow needs to be stopped, the precision flow regulator on the cassette can be used to manually
set and maintain fluid flow in a gravity mode (see the
following graphics).
S~ONDARY
SET OR R EMOVE
SECONDARY CONTAINER FROM SECONDARY PORT TO PREVENT MIXING
PRIMARY
OR
CLAMP
ON
Instructions for Use
3.3
DISCONTINUING ELECTRONIC FLOW CONTROL &
SETTING GRAVITY FLOW
CAUTION: B EFORE OPE N IN G DOOR , CLOSE
5101)
4-
1
430-95226-001 (Rev.
+
Silence Key
e
Selection Key
DOWN/RIGHT
UP/LEFT
-
Numeric Keys
Softkeys
+
LCD
THE
SYSTEM SELF -TES TS.
Connect the mains cord to mains power, then confirm that the Charging/Line indicator illuminates (above
the [ON/OFF] key on the front panel).
tine B Flow Indicator
FAILS
PLUM A+ IN SER VICE IF IT TRE
-
Decimal Point Key
Basic Layout of Front Panel Display and Keypad
4.1 GETTING STARTED
This section details the Plum A+ instrument setup procedures.
SYSTEM SELF-TESTS
CAUTION:
Do NOT P LACE
Y
___)
Numeric Field Clear Key
k
ON/OFF Key
moom
Charging/Line
Indicator
-
Irlr
Start and Stop Keys
I
ge
Region
xk
AA
Messa!
j
Status Region
Working Region
Softkeys
Label Region
e-b
_I_)
Message Region
____)
Working Region
SECTION 4
Basic Operation
Line A Flow Indicator
Status Region
To Purchase, Visit Avobus.com or call 1-800-674-3655
4-
2
Plum A+ Infusion Pump
5/01)
and
Troubleshooting).
Start pump. If the self-test alarm recurs, remove the Plum A+ from service and contact the local Abbott
Laboratories representative.
430-95226-001 (Rev.
Alarms
Section
6,
MAINTAINBD AND CHARGED BATTERY HELPS CONFIRM PROPER OPERATION.
To confirm battery is fully charged, connect the Plum A+ to AC power for a minimum of six hours while in
the OFF mode.
If an alarm occurs during the power on self-test, identify the alarm message, then take corrective action
(see
A
PROPERLY
L.oaciing
Cassette in Section 3 for details of correct procedure.
When the Charging/Line indicator is off and the battery symbol on the display is flashing, this indicates
that the Plum A+ is operating on low battery power and should be recharged.
CAUTION:
Do NOT OPERATE THE PLUM A+ ON PATIENTS WITH THE -BATTERY REMOVED. USE OF A
q
safeiy systems is performed whenever the Plum A+
is turned on, to verify readiness for operation.
Note:
If the quality of earth grounding source is in doubt, use battery power.
Press the [ON/OFF] key to turn the power on. Check screen display and listen for a beep to indicate the
audio is working. Wait for the self-tests to complete. If successful, put a fully primed macro cassette into the
cassette door and close the door. See
Basic Operation
A systematic self-testing of the processing, delivery, and
/