BD Alaris™ Syringe Quick start guide

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Alaris™ GH Syringe Pump
Alaris™ GH Guardrails™ Syringe Pump
Alaris™ CC Syringe Pump
Alaris™ CC Guardrails™ Syringe Pump
(with Plus Software)
Models: 8002TIG03, 8003TIG03, 8002TIG03-G,
8003TIG03-G
Quick Reference Guide – en
0000CF04465 Iss. 1 2/16
Controls
This guide supports the following Alaris
Syringe Pumps with Plus
software, hereinafter referred to as the pump:
Alaris™ GH Syringe Pump
Alaris™ GH Guardrails
Syringe Pump
Alaris™ CC Syringe Pump
Alaris™ CC Guardrails Syringe Pump
This guide is not intended to be comprehensive instructions for the set-up
and operation of the pump.
For complete pump information, refer to the Directions For Use.
All persons operating the pump should consult the Directions For Use.
ON/OFF
button
RUN
button
HOLD button
OPTION button
PURGE/BOLUS
button
MUTE
button
CHEVRON
keys
Softkeys
PRESSURE
button
BATTERY
indicator
AC POWER
indicator
0000CF04465 Iss. 1 3/16
1. Open syringe clamp.
a
b
2. Securely place barrel flange (a)
in between the two parts of the
syringe flange clamp (b). Ensure
syringe can remain in position with
syringe clamp open.
3. Close syringe clamp.
e
d
c
4. Ensure that both plunger grippers
(c) are fully locked on to the plunger
flange (d) and the upper finger
grip (e) has returned to its original
position.
Loading a Syringe
0000CF04465 Iss. 1 4/16
YES
NO
CLEAR
SETUP
?
DRUG : adrenaline
RATE : 0.10ml/h
VOLUME : 4.79ml
ICU
1. Switch the pump on a.
2. When CLEAR SETUP? screen is shown:
Select YES to clear previous setup
Select NO to retain previous setup goto step 6.
YES
NO
CONFIRM
PROFILE
?
Data Set : Data set name
Version : 1
Released: 11 AUG 2009 13:02:52
Guardrails
ICU
3. When CONFIRM PROFILE screen is shown:
Select NO to change profile and then follow on screen prompts
Select YES to retain current profile
Note: The CONFIRM PROFILE screen is only shown if more than one profile
is available in the data set.
SELECT
DRUG
ml/h
DOSING ONLY
DRUGS A B C D E
F G H I J
K L M N O
OK
4. When Select Infusion Setup screen is shown select using the f keys:
ml/h
DOSING ONLY
DRUGS (A-Z)
5. Press OK to confirm and follow the prompts as required.
6. Clear Volume Infused, if required, by selecting VOLUME softkey and then press
YES softkey.
7. Load the syringe according to the procedure in this guide.
8. Ensure extension set is attached to syringe, but disconnected from patient.
Insert pressure disc into pressure transducer, as required.
Starting the Infusion
0000CF04465 Iss. 1 5/16
CONFIRM
IVAC 50
TYPE
+ ADJUST -
ON HOLD
3.15ml/h
3.00µg/kg/min
9. Ensure that the syringe type and size match those displayed on the pump then
press CONFIRM. If required, the make of syringe can be changed by pressing
the TYPE softkey.
PURGE QUIT
HOLD KEY BELOW
ENSURE INFUSION SET IS
DISCONNECTED FROM PATIENT
PURGE
200ml/h
10. Press i button to enter the purge screen. Then press and hold the PURGE
softkey to purge the extension set.
11. Enter or adjust the rate using the f keys, if required.
12. Press b button to start the infusion. INFUSING will be displayed.
Starting the Infusion continued
0000CF04465 Iss. 1 6/16
Hands-On Bolus Only
BOLUS
1.5ml
200ml/h
+ ADJUST -
HOLD KEY BELOW
VOLUME
BOLUS
QUIT
1. During infusion press the i button once to display the BOLUS MODE screen.
2. Use the f keys to adjust the bolus rate if required.
3. To deliver the bolus press and hold the BOLUS softkey. When the desired bolus
volume has been delivered or the bolus volume limit is reached, release the
softkey.
If the VTBI is reached during a bolus, the VTBI complete alarm
will sound.
Hands-On and Hands-Free Bolus
1. Press the i button once to display the BOLUS MODE screen.
2. Press the YES softkey to go to the HANDSFREE bolus screen or press HANDSON
softkey.
3. Use the f keys to adjust the bolus DOSE if required. If necessary press
the RATE softkey to adjust the bolus delivery rate.
4. Press the flashing BOLUS softkey once to begin the delivery of the preset bolus.
5. To terminate a bolus being delivered press STOP softkey. This will stop the bolus
and continue infusing at the set rate. Press the h button to stop the bolus
delivery and place the pump on hold.
NOTE: If the bolus volume reaches the set bolus volume limit the bolus will
stop and the pump will revert to infuse at the set infusion rate.
Bolus Infusions
0000CF04465 Iss. 1 7/16
Rate Titration
If Rate Titration is enabled:
1. Select the new rate using the f keys.
2. The message <START TO CONFIRM> will flash on screen and the pump continues
to infuse at the original rate.
3. Press the b button to start infusing at the new rate.
If Rate Titration is disabled:
1. Press the h
button to put the pump on hold.
2. Select the new rate using the f keys.
3. Press the b button to start infusing at the new rate.
Rate Titration
0000CF04465 Iss. 1 8/16
Volume To Be Infused (VTBI)
1. Press the VTBI softkey on main display to enter the volume to be infused screen.
2. Enter the volume to be infused using the f keys and press OK to confirm.
3. Set the END RATE using the f keys. Press OK to confirm.
Setting VTBI over Time
This option allows a specific VTBI and delivery time to be set.
1. Stop the infusion. Press d button to access the options menu.
2. Select the SET VTBI OVER TIME option using the f keys and press the
OK softkey.
3. Adjust the volume to be infused using the f keys.
4. Press the OK softkey to confirm.
5. Enter the time over which the volume is to be infused using the f keys .
The infusion rate will automatically be calculated.
6. Press OK softkey to enter the value or BACK to return to the VTBI.
7. Set the END RATE using the f keys. Press OK to confirm.
VTBI
0000CF04465 Iss. 1 9/16
Pressure options with a pressure disc fitted is only applicable to the
Alaris™ CC Syringe Pump and the Alaris™ CC Guardrails Syringe Pump.
Auto Set Pressure (If enabled)
If the Auto Set Pressure Option is enabled then the pump automatically adjusts the
pressure occlusion limit.
After 15 minutes of infusion the pump automatically adjusts the occlusion pressure
limit to X mmHg above the average infusion pressure, taken from the average of the last
five minutes of infusion.
The pressure adjusted, X, which takes the AUTO OFFSET value configured and scales it
dependent on the average infusion pressure.
At pressures up to 100mmHg the AUTO OFFSET value is added. From this pressure to
above, the alarm level is set to whatever the AUTO OFFSET value is as a percentage
above the average infusion pressure up to the maximum pressure of 1000mmHg.
Pressure Level
+ ADJUST -
AUTOTREND
07:50
59mmHg
LINE PRESSURE
89mmHg
OK
08:10
Current in-line
pressure.
Pressure alarm limit.
20 minute trend
graph.
Adjusts pressure
alarm level.
1. To check and adjust the pressure level, press the e button.
2. Press the f keys to increase or decrease the alarm limit. The new limit
will be indicated on the display.
3. The AUTO Pressure feature may be used when a stable pressure has been
achieved over a short period of infusion. The automatic pressure alarm level is
set by pressing the AUTO softkey.
4. Press the TREND softkey to view the pressure trend of the previous 12 hours. The
pressure trend can be viewed at 15 minute intervals by using the +/- softkeys.
5. Press OK to confirm the new limit and exit the screen.
Pressure with a pressure disc fitted
0000CF04465 Iss. 1 10/16
Pressure Level
+ ADJUST -
L1
PUMPING PRESSURE
L5
OK
Current pumping
pressure
Pressure alarm
limit
Adjusts pressure
alarm level
1. To check and adjust the pressure level, press the e button.
2. Press the f keys to increase or decrease the alarm limit. The new limit
will be indicated on the display.
3. Press OK to confirm the new limit and exit the screen.
Pressure without a pressure disc fitted
0000CF04465 Iss. 1 11/16
Alarm Action
DRIVE DISENGAGED
The drive system has been
disengaged during operation.
Check the finger grips and the position of
the syringe.
OCCLUSION
Excessive pressure measured at
the syringe plunger exceeding the
alarm limit.
Identify and remove the cause of
the blockage in the drive, syringe, or
administration system before restarting
the infusion.
LINE OCCLUSION*
Excessive pressure measured
in the extension set at the pressure
sensing disc exceeding the
alarm limit.
Identify and remove the cause of the
blockage in the patient access site, or
administration system before restarting
the infusion.
CHECK SYRINGE
Incorrect size of syringe has been
fitted, the syringe has not been
positioned correctly or has been
disturbed during operation.
Check the syringe location and the position.
PRESSURE DISC OUT*
The pressure disc has been removed
from the pressure transducer during
the infusion.
Replace the pressure disc then restart
the infusion.
BATTERY LOW
Battery charge low with 30 minutes
operation remaining.
Reconnect to the AC power supply to charge
the internal battery and continue operation.
BATTERY EMPTY
The internal battery is too low to
operate the pump.
Immediately connect the pump to the
AC power supply and cycle the power to
resume operation.
NEAR END OF INFUSION
The pump is nearing the end of
the infusion.
Prepare next infusion, if required.
END OF INFUSION
The pump has reached the end of
the infusion.
Prepare next infusion, if required.
Alarms
0000CF04465 Iss. 1 12/16
Alarm Action
TITRATION NOT CONFIRMED
The infusion rate has been
changed, but has not been
confirmed and 2 minutes has
expired without any operation.
Press the c button to silence the alarm,
then press the CANCEL softkey to clear
this message.
Check infusion rate and confirm by pressing
the b button or press the h button to
revert to the previous rate.
Pressing QUIT will cancel the titration and
keep the original rate..
VTBI DONE
The pre-set Volume To Be Infused
is complete.
Prepare next infusion, if required.
AC POWER FAIL
AC Power has been disconnected
and the pump is operating on
battery power.
Reconnect AC power supply or press the c
button to silence the alarm and continue
with battery operation.
The alarm will automatically cancel if the AC
power supply is reconnected.
ADD DRUG NOT COMPLETE
The ADD DRUG operation has not
been completed.
Press CANCEL softkey and complete ADD
DRUG option.
Error Code and Message
The alarm system has detected an
internal malfunction.
Note the malfunction code.
Remove pump from service for examination
by a qualified service engineer.
ATTENTION (with “3 Beeps”)
Pump left on hold for 2 minutes
without starting operation.
Review pump setup.
Start infusion or turn o pump.
*Alaris™ CC Syringe Pump and the Alaris™ CC Guardrails Syringe Pump only
Display Action
DOSE WOULD EXCEED
Infusion rate entered exceeds a Guardrails
soft limit.
Check the infusion setting.
To confirm OVERRIDE LIMIT?
press YES.
To deny OVERRIDE LIMIT?
press NO.
DOSE UNDER
Infusion rate entered is under a Guardrails
soft limit.
Alarms continued
0000CF04465 Iss. 1 13/16
Display Action
DOSE NOT PERMITTED
Dose rate entered exceeds the hard
maximum limit.
Check the infusion setting
and adjust to appropriate
required rate.
RATE NOT PERMITTED
Infusion rate entered exceeds the hard
maximum limit.
CONCENTRATION NOT PERMITTED
Concentration entered exceeds the hard
maximum limit, or is under the hard
minimum limit.
BOLUS DOSE NOT PERMITTED
Bolus dose entered exceeds the hard
maximum limit.
WEIGHT OUTSIDE LIMIT
Patient weight entered exceeds or is under a
Guardrails soft limit.
Check the weight setting.
To confirm OVERRIDE LIMIT?
press YES.
To deny OVERRIDE LIMIT?
press NO.
BOLUS DOSE OVER
Bolus dose entered exceeds a Guardrails
soft limit.
Check the bolus setting.
To confirm OVERRIDE LIMIT?
press YES.
To deny OVERRIDE LIMIT?
press NO.
BOLUS DOSE UNDER
Bolus dose entered is under a Guardrails
soft limit.
Prompts
0000CF04465 Iss. 1 14/16
Pole Clamp Installation
ü
Top edge
Recess
Ensure the pole clamp is not protruding
above the top edge of the pump and is
not bent. If bent or damaged contact your
local BD representative for
a replacement part, if required.
Check the pole clamp is in the
folded position and is stored
in the recess, beneath the top
edge of the pump, when the pole
clamp is not in use.
The pole clamp is fitted to the rear of the pump and will provide secure fixing to
vertical I.V. poles of a diameter between 15 and 40 mm.
*
*
1. Pull the folded pole clamp down 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.
Mounting/Removing Pumps
0000CF04465 Iss. 1 15/16
Mounting Pumps
1. Align the rotating cam on the rear
of the pump with the rectangular
bar.
2. Hold the pump horizontally,
push the pump firmly onto the
rectangular bar or equipment rail.
3. The pump should click into position
when fitted to the bar.
4. Ensure that the pump is positioned
securely. Check pump is secure by
rocking pump from side to side with
both hands before leaving pump
in place.
Removing Pumps
To remove pump, push the release lever
inwards (as shown) and at the same time
pull the pump forwards with both hands.
Mounting/Removing Pumps continued
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