Abbott GEMSTAR User Manual Download

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ABBOTT LABORATORIES, NORTH CHICAGO, IL 60064, USA

ABBOTT

For use with the

Abbott GemStar Pump

List 13000-36

System Operating Manual

430-600095-002 (Rev. 8/02)

Summary of Contents for GEMSTAR

Page 1: ...ABBOTT LABORATORIES NORTH CHICAGO IL 60064 USA ABBOTT TM For use with the Abbott GemStar Pump List 13000 36 System Operating Manual 430 600095 002 Rev 8 02 ...

Page 2: ...Pump This manual is designed for use by healthcare professionals caregivers and patients For consultation and technical support contact your local Abbott Laboratories sales office This manual is designed for use with Abbott GemStar Pumps used in the United Kingdom Australia and other English speaking countries Abbott GemStar Manual 430 600095 002 Rev 8 02 i ...

Page 3: ...Change History Part Number Description of Change Pages Changed 430 600095 001 Rev 3 00 Original Release N A 430 600095 002 Rev 8 02 Second Release N A ii Abbott GemStar Manual 430 600095 002 Rev 8 02 ...

Page 4: ...27 Basic Operation 29 Quick Start 29 Operating Tips 29 Powering On the Pump 30 Accessing the Programming Menu 30 Programming the Pump 31 Starting a New Container 32 Weight Dosed 33 Therapy Features and Specifications 33 Weight Dosed Programming 33 Auto KVO 34 Rate Titration 34 Changing a Weight Dosed Program 35 Weight Dosed Programming Worksheet 36 Pain Management 37 Therapy Features and Specifica...

Page 5: ...Programming 55 Changing a TPN Program 56 TPN Auto Taper Down 56 TPN Programming Worksheet 57 Continuous 59 Therapy Features and Specifications 59 Continuous Programming 59 Rate Titration 60 Piggybacking 60 Changing a Continuous Program 63 Continuous Programming Worksheet 64 Variable Time 65 Therapy Features and Specifications 65 Variable Time Programming 65 Variable Time Delivery Interruptions 66 ...

Page 6: ...infecting 99 Repair 101 Operation Test 103 Equipment Required 103 Test Setup 103 Performing the Operation Test 104 Printing Test Results 107 Operation Test Checklist 108 Optional System Components 109 Connecting the Bolus Cord 110 Recharging the Battery Pack 111 Using the Abbott GemStar Lockboxes 112 Using the Abbott Carrying Cases 114 Using the Abbott GemStar Docking Station 119 Pump Sets 121 Abb...

Page 7: ...vi Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 8: ...ention Use Example ALL CAPS Keys Press YES ENTER to continue ALL CAPS Display messages The pump displays END OF INFUSION 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 procedure or statement It contains information that could prevent irr...

Page 9: ...Abbott GemStar Pump Layout 2 Abbott GemStar Manual 430 600095 002 Rev 8 02 Introduction POWER ABBOTT 1 2 3 5 6 8 9 0 4 7 BACK UP CHANGE OPTIONS YES ENTER START SILENCE STOP NO HELP PURGE ...

Page 10: ...ng a programming step 9 OPTIONS Provides access to these menu items from the STOP or RUN mode 1 Review Program 2 Histories 3 Keypad Lock 4 Pump Settings 5 Set Clock 6 Print 7 Speed Protocol 8 Next Dose 10 Scrolls through display messages UP arrow enters a decimal point in numeric entries 11 YES ENTER Responds YES to display questions Accepts entries and advances to the next step 12 NO Responds NO ...

Page 11: ...te from the pump 4 Power Connector Use to connect AC mains adaptor to the pump 5 Data Port Connector Use to connect a printer or computer to the pump 6 Bolus Connector Use to connect a bolus cord to the pump 7 Tubing Channel Align pump set tubing in this channel 8 Cassette Pocket Load the cassette into this pocket 9 Battery Pack Connector Use to connect the Abbott GemStar Rechargeable Battery Pack...

Page 12: ... Critical care pediatrics Pain Management Administration of analgesics or anesthetics for patient controlled pain management PCA mL hr Only Simple rate programming Intermittent Interval based therapies such as antibiotics TPN Total Parenteral Nutrition fluid delivery Continuous Delivery of mg mcg or mL hr with a selectable KVO Keep Vein Open option Variable Time Chronotherapy Legend Available d No...

Page 13: ...epeats the current program without reprogramming the pump Refer to the Basic Operation section Piggybacking Allows delivery from a secondary container during a Continuous or mL hr Only program Refer to the appropriate therapy section Power on Self test Performs a self test each time the pump is powered on Refer to the Basic Operation section Operation Test Performs user assisted tests to verify th...

Page 14: ...py type to be programmed For example press 2 to select Pain Management Refer to the appropriate therapy section for instructions on entering a program Change Menu Press CHANGE to access the Change Menu 1 REVIEW RESUME 2 NEW CONTAINER 3 NEW PROGRAM 4 CHANGE PROGRAM 5 PIGGYBACKING Press the number key corresponding to the desired Change Menu function Note Piggybacking is only available in mL hr Only...

Page 15: ...ring certain alarm conditions the pump automatically enters the STOP mode Press STOP to enter the STOP mode at any time Abbott GemStar Pump Set The Abbott GemStar Pump must be operated with an Abbott GemStar Pump Set which is a sterile single use disposable pump set Fluid path and areas beneath undisturbed protective set covers are sterile and nonpyrogenic in the intact unit package Contact an Abb...

Page 16: ...s medications nutritional fluids and blood blood products The epidural route is recommended to provide anesthesia or administer analgesia for periods up to 96 hours d Note Epidural administration of anesthetics is recommended in the continuous mode only Epidural administration of analgesics may be delivered by continuous bolus or continuous with bolus For epidural use the administration of drugs i...

Page 17: ...nal stability to properly operate this pump Drugs not compatible with silicone rubber or PVC plastic or not stable under infusion conditions should not be used with this system Warnings and Cautions The following is a list of warnings and cautions that should be heeded when operating the Abbott GemStar Pump Elsewhere in this manual warnings and cautions that are relevant to the procedure being dis...

Page 18: ...fluid containers e g glass or rigid plastic unless suspended from a pole 6 Stop infusion if signs or symptoms of infiltration occur 6 In vitro studies have shown that infusing older units of additive solution packed red blood cells or frozen deglycerolized red blood cells at rates greater than 200 mL hr may produce some level of hemolysis that may be considered clinically unacceptable 6 Failure to...

Page 19: ...tage sensing equipment such as ECG EMG and EEG machines These artifacts vary at a rate that is associated with the infusion rate If the monitoring machine is not operating correctly or has loose or defective connections to its sensing electrodes these artifacts may be accentuated so as to simulate actual physiological signals To determine if the abnormality in the monitoring equipment is caused by...

Page 20: ...ng abrasive cleaners or cleaning solutions not recommended by Abbott Laboratories may result in product damage 6 USE ONLY the AC mains adaptor specifically labeled for use with the Abbott GemStar Pump to charge the battery pack 6 The Abbott GemStar AC Mains Adaptor is for use with the Abbott GemStar Pump or Abbott GemStar Battery Pack only DO NOT use the Abbott GemStar AC mains adaptor with other ...

Page 21: ...14 Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 22: ...bbott Laboratories Representative for more information on selecting the appropriate pump set configuration Setup Overview 1 Select an appropriate power source 2 Prime the pump set 3 Load the cassette into the pump 4 Select the appropriate optional system components such as a bolus cord as required Selecting a Power Source The Abbott GemStar Pump may be powered by one or more of the following 6 Abb...

Page 23: ...e bottom of the pump 2 While holding onto the tab turn the battery door counterclockwise B until it is released from the battery compartment Pull the door free C and remove any existing batteries 3 Install two fresh disposable AA batteries into the battery compartment Ensure the negative and positive battery terminals are inserted according to the diagram at right 4 Return the battery door to the ...

Page 24: ... Remove the battery pack from the pump Connecting the Abbott GemStar AC Mains Adaptor 1 Connect the cord of the AC mains adaptor to the connector labeled 3VDC on the bottom of the pump 2 Plug the AC mains adaptor into a standard wall outlet CAUTION ALWAYS connect to a grounded AC mains power source when using the AC mains adaptor USE ONLY AC mains adaptors specifically labeled for use with the Abb...

Page 25: ...mStar Pump Use of unauthorized sets may result in injury to the patient or damage to the pump To prevent contamination use aseptic technique with all fluid path connections Remove protective coverings as assembly progresses d Note Refer to the appropriate instructions included with the pump set for more information False occlusion alarms and fluid delivery inconsistencies may occur when pumping vi...

Page 26: ...d toward the ceiling and insert the piercing pin 3 Open the slide clamp 4 Invert the cassette approximately 45 5 While holding the inverted cassette squeeze or roll the flexible fluid container to eliminate air from the container cassette and tubing 6 If necessary tap the cassette to eliminate any remaining air bubbles 7 Return the cassette to the upright position Continue priming until fluid fill...

Page 27: ...e administration port pointed toward the ceiling and insert the piercing pin 3 Insert the cassette into the cassette pocket Refer to Loading the Cassette on page 26 4 Press PURGE PRIME THE SET displays Press YES ENTER 5 While holding the flexible fluid container with the administration port pointing toward the ceiling press and hold PURGE d Note Purge rate is 250 mL hr The pump purges for up to 2 ...

Page 28: ...rip chambers 1 Push down on the flow stop to ensure the cassette is in the open priming position 2 Close the CAIR roller clamp 3 Insert the piercing pin into the container Suspend the container on an I V Pole 4 Squeeze the drip chamber until filled halfway 5 Invert the cassette approximately 45 6 Open the CAIR roller clamp System Setup Abbott GemStar Manual 430 600095 002 Rev 8 02 21 ...

Page 29: ...top to ensure the cassette is in the closed position 10 Insert the cassette into the cassette pocket Refer to Loading the Cassette on page 26 CAUTION When priming is complete ensure no fluid flows at the distal end of the pump set If flow is observed DO NOT use the pump set 11 Connect the pump set to the patient access device 22 Abbott GemStar Manual 430 600095 002 Rev 8 02 System Setup ...

Page 30: ...5 Open the CAIR roller clamp 6 Insert the cassette into the cassette pocket Refer to Loading the Cassette on page 26 7 Press PURGE PRIME THE SET displays Press YES ENTER 8 Press and hold PURGE d Note Purge rate is 250 mL hr The pump purges for up to 2 minutes each time you press and hold PURGE Continue using the PURGE key until fluid fills the tubing Ensure all air is removed from the container ca...

Page 31: ...oward the ceiling and insert the piercing pin 3 Open the slide clamp 4 Invert the cassette approximately 45 5 While holding the inverted cassette squeeze or roll the flexible fluid container to eliminate air from the container cassette and tubing 6 If necessary tap the cassette to eliminate any remaining air bubbles 7 Return the cassette to the upright position Continue priming until fluid fills t...

Page 32: ...isplays Press YES ENTER 12 Press and hold PURGE d Note Purge rate is 250 mL hr The pump purges for up to 2 minutes each time you press and hold PURGE Continue using the PURGE key until fluid fills the tubing Ensure all air is removed from the container cassette and tubing CAUTION When priming is complete ensure no fluid flows at the distal end of the pump set If flow is observed DO NOT use the pum...

Page 33: ...ess the cassette release button is pushed CAUTION Ensure the cassette is properly installed 4 Align the tubing in the tubing channel CAUTION Before connecting to the patient access device ensure no fluid flows at the distal end of the pump set while the pump is in the STOP mode If flow is observed DO NOT use the pump set 5 Connect the pump set to the patient access device 26 Abbott GemStar Manual ...

Page 34: ...2 Push down on the cassette release button on the top of the pump 3 Remove the cassette d Note When the cassette is released from the pump the cassette flow stop automatically reverts to the closed position preventing free flow System Setup Abbott GemStar Manual 430 600095 002 Rev 8 02 27 ...

Page 35: ...28 Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 36: ...and the pump displays the Programming Menu Operating Tips Many of the pump s functions advance to the next step automatically when the display prompt is answered Use the number keys to enter requested values then press YES ENTER to advance to the next step The following keys are useful during programming HELP During programming and alarm conditions press HELP to display information about the curre...

Page 37: ... low voltage disposable batteries only Press YES ENTER to confirm Power off the pump and install two fresh disposable AA batteries to ensure backup power source NO INTERNAL BATT NO POWER LOSS ALARM AVAILABLE ENTER TO CONFIRM No disposable batteries or dead disposable batteries and external power Press YES ENTER to confirm Power off the pump and install two fresh disposable AA batteries to ensure b...

Page 38: ...rogram Refer to the appropriate therapy section for instructions Programming the Pump The pump s menu system provides step by step guidance through the programming process Refer to the appropriate therapy section for more information on programming the pump 1 Select the desired therapy from the Programming Menu 2 Enter the requested parameters as prompted Refer to the appropriate therapy section f...

Page 39: ... keypad To repeat the current program with a new container 1 From the STOP mode press CHANGE to access the Change Menu 2 Select NEW CONTAINER from the Change Menu NEW CONTAINER displays for several seconds and the amount infused clears from the pump s memory 3 Review the program 4 Press START to begin delivery 32 Abbott GemStar Manual 430 600095 002 Rev 8 02 Basic Operation ...

Page 40: ...med VTBI Volume To Be Infused has completed 6 The rate can be titrated while the pump is infusing WARNING ALWAYS set the Air Sensitivity to either ON or 2mL when using vented drip chambers Weight Dosed Programming 1 Select WEIGHT DOSED from the Programming Menu 2 Select the unit of measure 3 Enter the patient weight if required d Note Total concentration is ALWAYS entered as mg in mL even if mcg i...

Page 41: ...the pump is infusing 1 In the RUN mode press the numeric keys corresponding to the new rate The rate flashes on the display Press YES ENTER For example if the current rate is 4 0 mg kg hr press 5 YES ENTER to change the rate to 5 0 mg kg hr Press to enter the rate in mL When using units other than mL the pump automatically adjusts the mL hr value You have approximately five seconds after pressing ...

Page 42: ... VTBI Patient weight Unit of measure Concentration amount of drug To change a program 1 From the STOP mode press CHANGE and select 4 CHANGE PROGRAM 2 As each program parameter displays make the desired changes or press YES ENTER to accept the current setting 3 Review the program 4 Press START to begin delivery Weight Dosed Abbott GemStar Manual 430 600095 002 Rev 8 02 35 ...

Page 43: ...EPT mL hr mg in mL 0 1 9999000 mg 0 1 9999 mL Rate see below VTBI Volume To Be Infused 0 1 9999 mL Programmable Ranges for Rate 0 1 8333 mg kg min 0 1 500000 mg kg hr 0 1 16666 mg min 0 01 166666 mcg kg min 0 01 9999999 mcg kg hr 0 01 166666 mcg min 0 1 1000 mL hr CAUTION When infusing short half life drugs i e those dosed with units of mcg kg min at very low rates 0 8 mL hr or less the rate may b...

Page 44: ...rotocols Refer to Using the Abbott GemStar Lockboxes on page 106 for instructions on using a lockbox with the Abbott GemStar Pump Pain Management Programming 1 Select PAIN MANAGEMENT from the Programming Menu 2 Select the delivery mode d Note If you select Continuous Bolus you can change the continuous delivery rate or bolus amount to zero through the CHANGE menu without reprogramming the pump 3 S...

Page 45: ...are not included in the hour dose limit volume and a dose limit in effect does not prevent the delivery of a loading dose 7 If programmed in units of mcg or mg the line displaying the units flashes Enter the container size in proper unit measure or see the note below d Note In order to enter the total in mL when programming a concentration press to move to the mL line Enter the mL value when mL fl...

Page 46: ...med infusion continues d Note ALL bolus requests are recorded to the Event and Bolus History logs If the bolus delivery does not start it may be locked out by one of the following conditions 6 Bolus lockout period 6 Loading dose delivery in progress 6 Bolus dose delivery in progress 6 Bolus per hour limit 6 1 hour or 4 hour dose limit Bolus Dose Interruptions Bolus deliveries may be interrupted by...

Page 47: ...on begins automatically 6 The dose amount is recorded to the history log 6 The bolus lockout time is reset if applicable and subsequent bolus requests are ignored until the lockout time has elapsed Loading Dose Interruptions Loading dose deliveries may be interrupted by pressing STOP or by an alarm condition When the interruption is resolved press START COMPLETE THE LOADING DOSE displays Refer to ...

Page 48: ...re Concentration Dose limit type d Note Although the delivery mode cannot be changed if a Continuous Bolus therapy is programmed the continuous rate or bolus amount can be changed to zero This function may be restricted by the minimum values set with a RATE CHANGE Lock To change a program 1 From the STOP mode press CHANGE and select 4 CHANGE PROGRAM 2 As each program parameter displays make the de...

Page 49: ...1 2500 mg 1 25000 mcg 0 1 25 0 mL Bolus Dose 0 2500 mg 0 25000 mcg 0 25 0 mL Bolus Lockout minutes 5 999 min Optional Dose Limit q 4 hour limit Amount q 1 hour limit Amount q boluses hour Number q No dose limit 4X rate 400 mL 40000 mg 400000 mcg Rate 100 mL 10000 mg 100000 mcg 1 12 For continuous plus bolus delivery Note For Bolus Only the 1 or 4 hour limit minimum is 1 bolus dose Container Size 0...

Page 50: ...e To Be Infused is complete 6 The rate can be titrated while the pump is infusing 6 An optional secondary container can be piggybacked on the primary container during regular delivery using an Abbott GemStar Piggyback Pump Set Refer to Piggybacking in this section for more information 6 A program review is not required and is only available through the Change or Options Menu WARNING ALWAYS set the...

Page 51: ...ive seconds the rate does not change and the delivery continues as programmed 2 NEW RATE displays with the new value Press YES ENTER within 10 seconds to accept the change and begin delivery at the new rate Press NO to continue delivery at the programmed rate Piggybacking Piggybacking with the Abbott GemStar Pump requires the use of an Abbott GemStar Primary Piggyback Pump Set with a proximal Y si...

Page 52: ...ed with the set 4 Attach a needle or blunt cannula if appropriate and prime the secondary pump set 5 Suspend the secondary container from the I V pole d Note When using a secondary container of 500 mL or greater ensure the bottom of the secondary container is at least 7 inches 17 8 cm above the fluid level in the primary container Use additional extension hooks if necessary 6 Connect the secondary...

Page 53: ...ow automatically resumes Any remaining secondary fluid will be delivered at the primary rate The maximum piggyback rate is 300 mL hr For secondary rates above 300 mL hr flow may occur from the primary container Changing a Piggyback Delivery 1 Press CHANGE and select 5 PIGGYBACKING from the Change Menu 2 Press CHANGE to reset the dose amount to zero 3 Enter the new piggyback dose amount and press Y...

Page 54: ... To change a program 1 From the STOP mode press CHANGE and select 4 CHANGE PROGRAM 2 As each program parameter displays make the desired changes or press YES ENTER to accept the current setting 3 Press START to begin delivery d Note A program review is not required and is only available through the Change or Options Menu mL hr Only Abbott GemStar Manual 430 600095 002 Rev 8 02 47 ...

Page 55: ...ramming Worksheet GIVE Parameter Selections and or Values to be Entered Programmable Ranges Therapy mL hr Only N A Rate 0 1 1000 mL hr VTBI Volume To Be Infused 0 1 9999 mL 48 Abbott GemStar Manual 430 600095 002 Rev 8 02 mL hr Only ...

Page 56: ...the dose amount 3 Enter the infusion time for each dose For example press 2 0 if each dose is to deliver for 20 minutes 4 Enter the frequency of dose deliveries For example press 2 0 0 to start a dose every two hours 5 Enter the total number of doses in the container To determine the number of doses in the container divide the volume in the container by the dose amount 6 Enter the KVO rate KVO del...

Page 57: ...not want to set the call back alarm d Note The call back alarm works only when the pump is powered on AND in the STOP mode DO NOT power off the pump while it is disconnected from the patient if you have set the call back alarm 10 Confirm the displayed time is correct Press OPTIONS to change the clock if required 11 The current time and START NOW displays Press YES ENTER to begin delivery when the ...

Page 58: ...ts the delayed start time for 10 30 PM and then powers off the pump The user does not power on the pump until 10 40 PM which is 10 minutes AFTER the scheduled start time The pump does not begin delivery until 10 30 PM the FOLLOWING day Dose Interruptions To understand how interruptions are resolved compare the normal Intermittent delivery diagram below for a 1 hour dose every four hours to the int...

Page 59: ...fted if necessary For example in the following diagram an intermittent dose was stared at 2 00 It was interrupted during the current delivery cycle at 2 30 but was not started again until after the current delivery cycle at 6 45 Dose Delivered Dose Interrupted 6 When the dose is complete the start time for the Next Dose displays To change the start time refer to the Options Menu section 6 Any miss...

Page 60: ...essed Dose parameters KVO rate Container size Air sensitivity Call back alarm Next dose start time Current time To change a program 1 From the STOP mode press CHANGE and select 4 CHANGE PROGRAM 2 As each program parameter displays make the desired changes or press YES ENTER to accept the current setting 3 Review the program 4 Press START to begin delivery Intermittent Abbott GemStar Manual 430 600...

Page 61: ...ivity q On Alarms at approx 0 5 mL of air q 2 mL Alarms at approx 2 mL of air q Off No alarm N A Call Back Alarm q No q Yes Alarm hrs min before start 1 min time between doses Start Time q Start immediately after programming q Start time Specify AM or PM if not 24 hour clock 12 00 AM 11 59 PM or 00 00 23 59 The pump automatically calculates the minimum container size required to deliver the number...

Page 62: ...during programming TPN Programming 1 Select TPN from the Programming Menu 2 Select the TPN delivery mode 3 Enter the total VTBI Volume To Be Infused Maximum VTBI is 9600 mL minus any taper amount 4 Enter the Taper Up and Taper Down times if applicable d Note Time is entered in hours minutes For one hour press 1 0 0 not 6 0 5 Enter the total time to infuse 6 Enter the KVO rate If no KVO is desired ...

Page 63: ...tered during programming Auto Taper Down may be activated when the continuous delivery portion of a TPN with Taper Down protocol is stopped Auto Taper Down is not available while the pump is in an alarm condition 1 Press STOP during TPN delivery DO YOU WANT AUTO TAPERING displays Press NO to return to the STOP mode and then if desired press START to resume therapy Press YES ENTER to set Auto Taper...

Page 64: ... min 1 min 3 hrs Total Time to Infuse hrs min 1 min 24 hrs KVO Keep Vein Open q No KVO Rate 0 0 q Yes KVO Rate 1 0 5 0 mL hr Container Size VTBI KVO mL 9999 mL max Air Sensitivity q On Alarms at approx 0 5 mL of air q 2 mL Alarms at approx 2 mL of air q Off No alarm N A Maximum VTBI is 9600 mL minus any taper amount Programmable ranges for taper down are 1 minute to 3 hours OR 2 times the remainin...

Page 65: ...58 Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 66: ...1 Select CONTINUOUS from the Programming Menu 2 Select the unit of measure and concentration as required 3 Enter the rate 4 Enter the VTBI 5 Enter the KVO rate if desired KVO runs after the programmed VTBI until the total container is infused If no KVO is desired press YES ENTER while the value displayed is zero 6 Enter the container size VTBI KVO VTBI is the default value on the CONTAINER display...

Page 67: ... NO to continue delivery at the programmed rate Piggybacking Piggybacking with the Abbott GemStar Pump requires the use of an Abbott GemStar Primary Piggyback Pump Set with a proximal Y site backcheck valve and a secondary piggyback set with an extension hook The secondary container must be higher than the primary container Refer to the instructions included with the piggyback pump set for more in...

Page 68: ... with the set 4 Attach a needle or blunt cannula if appropriate and prime the secondary pump set 5 Suspend the secondary container from the I V pole d Note When using a secondary container of 500 mL or greater ensure the bottom of the secondary container is at least 7 inches 17 8 cm above the fluid level in the primary container Use additional extension hooks if necessary 6 Connect the secondary p...

Page 69: ...ow automatically resumes Any remaining secondary fluid will be delivered at the primary rate The maximum piggyback rate is 300 mL hr For secondary rates above 300 mL hr flow may occur from the primary container Changing a Piggyback Delivery 1 Press CHANGE and select 5 PIGGYBACKING from the Change Menu 2 Press CHANGE to reset the dose amount to zero 3 Enter the new piggyback dose amount and press Y...

Page 70: ...ate Container size Air sensitivity Piggybacking Unit of measure Concentration To change a program 1 From the STOP mode press CHANGE and select 4 CHANGE PROGRAM 2 As each program parameter displays make the desired changes or press YES ENTER to accept the current setting 3 Review the program 4 Press START to begin delivery Continuous Abbott GemStar Manual 430 600095 002 Rev 8 02 63 ...

Page 71: ... 1 1000 mcg mL Rate 0 1 9999 mg hr 1 999900 mcg hr 0 1 1000 mL hr VTBI Volume To Be Infused 0 1 99999 mg 1 9999000 mcg 0 1 9999 mL KVO Keep Vein Open q No KVO Rate 0 0 q Yes KVO Rate 0 1 5 0 mL hr Container Size VTBI KVO 0 1 99999 mg 1 9999000 mcg 0 1 9999 mL Air Sensitivity q On Alarms at approx 0 5 mL of air q 2 mL Alarms at approx 2 mL of air q Off No alarm N A 64 Abbott GemStar Manual 430 6000...

Page 72: ...gramming in Rates or Doses go to step 7 If programming in Percentages set the daily amount 7 Enter the phase information for each phase Up to 24 phases can be programmed d Note If programming in percentages the total daily amount of all phases programmed must equal 100 8 Enter the optional bolus dose and its lockout 9 Enter the optional KVO 10 Enter the container size The pump calculates the minim...

Page 73: ...ed because of a program interruption or a missed program start The pump immediately begins delivery of the current phase at its current time based point Changing a Variable Time Program d Note You cannot change a program when the pump is in FULL or NEW CONTAINER Lock Can be changed at any time Can ONLY be changed before START is pressed Cannot be changed KVO rate Container size Air sensitivity Bol...

Page 74: ... 59 PM or 00 00 23 59 0 1 400 mL hr Total Daily Amount for All Phases __________ required only when programming in percentages SEE ATTACHED WORKSHEET Bolus Dose 0 1 mL 25 0 mL 0 1 mg 2500 mg 1 mcg 25000 mcg Bolus Lockout minutes 5 999 min KVO Keep Vein Open q No KVO Rate 0 0 q Yes KVO Rate 0 0 5 0 mL hr Container Size Total Daily Amount X Number of Days of Therapy 0 1 99999 mg 1 9999000 mcg 0 1 99...

Page 75: ...e Percentage Rate Dose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 TOTAL Note The sum of all phases must equal 100 when programmed in percentages 68 Abbott GemStar Manual 430 600095 002 Rev 8 02 Variable Time ...

Page 76: ...y to select a menu function YES ENTER Press YES ENTER to accept changes or to continue when done viewing a display Press the up or down arrow to scroll through long display messages BACK UP Press BACK UP to return to a previous display or to exit OPTIONS f Tip A menu item does not have to be on the display to be selected For example only items 1 through 4 display when the Options Menu is first acc...

Page 77: ... history if available current program settings and speed protocols Files may be downloaded to a printer or personal computer SPEED PROTOCOLS Assign review recall and delete the stored protocols Allows up to 9 speed protocols to be saved in pump memory Removing power has no effect on the Speed Protocol settings NEXT DOSE Change the start time of the next dose when an interruption has caused a misse...

Page 78: ...splay volume totals Amount infused VTBI Any relevant program specific information CONFIGURATION Display pump configuration Dependent upon pump configuration CLEAR HISTORY Clear history event log and bolus history CLEARING HISTORY displays for 3 to 4 seconds BOLUS HISTORY Display bolus history in hourly increments for the last 48 hours Bolus History is available only when a bolus is programmed or h...

Page 79: ...Menu 2 Press BACK UP when done to exit OPTIONS d Note Bolus History is only available if the current program has a bolus programmed or had a bolus programmed at one time The Bolus History is maintained in hourly increments for the latest 48 hours The Bolus History is cleared when a new program is entered a Speed Protocol is recalled or the History is cleared Operation Test This function allows the...

Page 80: ...level a small lock symbol appears next to the applied lock level as shown above When the pump is in RUN or STOP mode the lock symbol appears in the lower left corner of the display and the lock level abbreviation appears in the lower right corner The table on the following page lists the functions available for each lock level Refer to Clinician Instructions on page 85 for detailed instructions Op...

Page 81: ...k only the delivery rate or bolus dose volume can be changed and must be within the preset values Review Recall Speed Protocol Under Therapy Lock the recalled protocol must be the same type that was programmed when the pump was locked Assign or Delete Speed Protocol Set Air Sensitivity Distal Occlusion Level Sound Level and Clock Clear Shift Totals Program and Deliver a Loading Dose Outside of Pro...

Page 82: ... when ON or at approximately 2 mL when 2 mL is selected The air alarm does not sound if OFF is selected The air alarm may also be set during programming if the current therapy allows it Removing power has no effect on the air alarm setting OCCL SENSOR Change the distal occlusion sensor sensitivity Default Setting High The pump alarms when distal pressure is greater than the selected occlusion sens...

Page 83: ...AKE XXXXX DEFAULT displays Select YES ENTER or NO If NO is selected the distal occlusion setting is temporarily in effect until a new program is entered or the pump has been off for more than 24 hours If YES ENTER is selected the distal occlusion setting is permanent until the setting is changed again Sound Level 1 When the Sound Level function is accessed the pump sounds intermittent beeps at the...

Page 84: ...nnecting the pump to a printer or computer d Note Ensure the printer is connected to the pump BEFORE selecting a print function Refer to Connecting to a Printer in this section for more information 1 Select PRINT from the Options Menu 2 Select the number key that corresponds to the desired print function 3 When the print transmission is complete the pump exits OPTIONS Options Menu Abbott GemStar M...

Page 85: ...t one time STOP PRINT Cancel the print function This function is only available if you have selected one of the print functions above Speed Protocol 1 Select SPEED PROTOCOL from the Options Menu 2 Select the number key that corresponds to the desired protocol function 3 Follow the display prompts Refer to the appropriate Speed Protocol functions for more information Select this item from the Speed...

Page 86: ...ew another protocol If in the RUN mode the pump exits OPTIONS Delete 1 Select DELETE from the Speed Protocol Menu 2 Select the desired protocol to delete 3 Press YES ENTER to confirm deletion or NO to exit OPTIONS without deleting Next Dose This function is only available when the current therapy is Intermittent and the pump is not delivering a dose To set the time for the next dose 1 Select NEXT ...

Page 87: ...ct to Printer Connect to Computer Abbott GemStar Pump Abbott Serial Printer Cable List 13078 01 Seiko DPU 414 or Compatible Serial Printer Serial DB9 Female to Female Gender Changer Null Modem Computer Available from local sources Configuration Settings Refer to the printer or computer documentation for information on configuration settings The printer or computer must be configured as follows to ...

Page 88: ...on CR and LF On ONLINE SW1 5 DIP SW setting command Enabled On ONLINE SW1 6 Printing density 100 Off FEED SW1 7 Printing density 100 On ONLINE SW1 8 Printing density 100 On ONLINE SW2 1 Print Mode 40 columns On ONLINE SW2 2 User defined char On On ONLINE SW2 3 Ordinary Characters On On ONLINE SW2 4 Zero Font No slash On ONLINE SW2 5 Character Set American On ONLINE SW2 6 Character Set American On ...

Page 89: ...mp should be operated on AC mains when connected to a printer or computer 1 Connect the serial printer cable to the printer and to the data port on the bottom of the pump 2 Ensure the printer is ONLINE and ready to receive data Refer to printer documentation for more information 3 Ensure paper is loaded in the printer 4 Select the desired print function from the pump menu 82 Abbott GemStar Manual ...

Page 90: ...modem A 2 Connect the null modem to the serial gender changer B 3 Connect the serial gender changer to the serial port of the computer C 4 Connect the serial printer cable to the data port D on the bottom of the pump 5 Configure the communications software on the computer Refer to Configuration Settings on page 80 f Tip After the data transfer is complete the file may be viewed or printed using an...

Page 91: ...84 Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 92: ...nformation 3 Select the desired lock level For THERAPY NEW CONTAINER and FULL Lock go to step 5 4 For RATE CHANGE Lock set the minimum and maximum programmable ranges for the continuous delivery rate and bolus dose in a Pain Management program f Tip Press to toggle between the MIN and MAX values MIN flashes on the display Enter the minimum value MAX flashes on the display Enter the maximum value P...

Page 93: ...ocked separately Unlocking one level has no effect on the other level For example if both THERAPY and RATE CHANGE lock levels are applied the clinician must unlock both the RATE CHANGE and THERAPY locks 3 The pump displays the current lock levels Press YES ENTER to return to the mode the pump was in when the Options Menu was selected Program and Deliver a Clinician Activated Loading Dose This feat...

Page 94: ...NO to return to the STOP mode Press START to resume infusion Display Shift Totals 1 Press OPTIONS and select HISTORIES 2 Select SHIFT TOTALS from the Histories Menu 3 The shift totals display Use the and to scroll the display When done the pump displays CLEAR TOTALS YES OR NO 4 Press YES ENTER to clear the shift totals or press NO to exit OPTIONS without clearing the shift totals f Tip Press HELP ...

Page 95: ...88 Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 96: ... Is the pump infusing Alarm Cause Condition Remedy Y Yes N No A Audible alarm V Visual alarm AIR IN LINE Pump automatically enters STOP mode N A V The specified volume of air has been detected in the line distal to the cassette while infusing 1 Press SILENCE to quiet the alarm for 1 minute 2 Press STOP to clear the alarm 3 Disconnect the patient from the pump set 4 Press and hold PURGE Note Purge ...

Page 97: ...e Basic Operation section for more information CHECK CASSETTE X N A V The cassette is improperly installed or not installed X indicates where to look for the cause of the alarm A Air Sensor D Distal P Proximal 1 Press SILENCE to quiet the alarm for 1 minute 2 Press STOP to place the pump in the STOP mode 3 Reinstall the cassette 4 Press START to begin delivery CALL 1 800 XXX XXXX CODE NN MMM TTT N...

Page 98: ...o page 126 1 Press SILENCE to quiet the alarm for 1 minute 2 Press STOP to place the pump in the stop mode 3 Check for sources of distal occlusion Þ Kinked tubing below the pump Þ Clamped patient access device Þ Clogged I V filter Þ Other obstructions 4 If the problem persists remove and reinstall the cassette Refer to Loading the Cassette in the System Setup section 5 Press START to begin deliver...

Page 99: ...and those same batteries are still in the pump this interval may be different 1 Press SILENCE to quiet the alarm for 15 minutes 2 Press STOP to place the pump in the STOP mode 3 Connect the pump to AC mains adaptor rechargeable battery pack OR replace both disposable batteries with fresh AA batteries 4 Press START to begin delivery POWER LOSS N A V The pump has detected a power failure due to one ...

Page 100: ...nd reinstall the cassette Refer to Loading the Cassette in the System Setup section If the alarm still persists power off the pump Clamp the distal line then power on the pump 5 Press START to begin delivery USING BATTERIES Y V This is a normal response when The pump has been powered on with only disposable batteries as a power source or The pump has switched to internal power disposable batteries...

Page 101: ...ies When powering on the pump Press YES ENTER to confirm external battery power source When switching from AC mains Press SILENCE to clear the alarm Alert Messages Alert Display Message Is the pump infusing Alarm Cause Condition Remedy Y Yes N No A Audible alarm V Visual alarm ALMOST EMPTY Y A V Delivery will complete in 30 minutes or less For bolus only program delivery will complete during the n...

Page 102: ...number and printer settings are correct 3 If the problem continues select STOP PRINT from the Print Menu to cancel all print jobs EMPTY CONTAINER The pump does not infuse unless Auto KVO is delivering in a mL hr Only or Weight Dosed programs N A V The pump has delivered the programmed container size or the pump has delivered the VTBI programmed AND Auto KVO is delivering 1 Press SILENCE to quiet t...

Page 103: ...ming Callback has occurred because the pump has been waiting for more than three minutes for a keypress on a non programming input or a confirmation display Follow the instructions on the display to clear the alarm PROGRAMMING INCOMPLETE N A V Programming has not been completed and no keys have been pressed within three minutes 1 Press any key to clear the alarm 2 Complete the program entries STAR...

Page 104: ...NEW CONTAINER function when it is not allowed Press STOP to stop delivery then access NEW CONTAINER through the Change Menu CANNOT CHANGE CLOCK WHILE TIME BASED DELIVERY IS IN PROGRESS User has attempted to change the clock during a time based delivery 1 Press STOP 2 Clear the program through the Change Menu 3 Change the clock through the Options Menu 4 Reprogram the pump PROGRAM EXCEEDS MAX CONTA...

Page 105: ...98 Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 106: ...egrade components made from some plastic materials Do not use compounds containing combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride Do not sterilize by heat steam ETO or radiation Apply disinfectants to the outside surface of the pump only Do not use abrasive cleaners or materials on the pump Using abrasive cleaners or cleaning solutions not recommended by Abbott Laboratorie...

Page 107: ...aboratories Per manufacturer s recommendation Formula C Diversey Corp Per manufacturer s recommendation Household bleach Various Per healthcare facility procedures DO NOT exceed one part bleach in ten parts water Cleaning the Pump Case 1 Power off the pump 2 Disconnect the pump from AC mains power 3 Clean the exposed surfaces of the pump with a soft lint free cloth dampened with the appropriate cl...

Page 108: ...able components with the exception of disposable batteries 6 If the display clock stops working contact Abbott Laboratories Customer Support to arrange for lithium battery replacement 6 Homecare Customers Call your healthcare professional or homecare company regarding any required service or repairs DO NOT attempt to repair the pump for any reason 6 The Abbott GemStar Pump is covered by a manufact...

Page 109: ...102 Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 110: ...ation Test Equipment Required 6 Abbott GemStar Pump 6 Two Abbott GemStar Microbore Pump Sets without a filter 6 Reservoir with at least 50 mL of water 6 20 mL or larger graduated cylinder graduated in 0 1 mL 6 Two fresh disposable AA batteries 6 Appropriate Abbott GemStar AC Mains Adaptor or other Abbott approved external power source Test Setup d Note The pump clears any program and shift totals ...

Page 111: ...erify that they are free of dirt and residue 2 Verify that the four cassette latches B are present Verify that they open and close when the cassette release button is pressed 3 Verify that the plunger seal C and sensor seals D are present and intact 4 Verify that the plunger E is not scraped or damaged 5 Verify that the sensor pins F are not damaged 6 Install the cassette Verify that the cassette ...

Page 112: ...st 2 Enter the results If each key makes an audible tone press YES ENTER If any key does not make an audible tone press NO Display Test 1 Press YES ENTER when prompted The display fills with solid boxes for approximately 10 seconds To view the solid boxes for another 10 seconds after the display times out press 2 Enter the results If the display fills with solid boxes press YES ENTER If the displa...

Page 113: ...elease the clamp and press If the test is passed the pump advances to the next test If the test is failed clean the sensors and press to rerun the test or press YES ENTER to confirm failure d Note Clean the sensor pins before repeating the distal occlusion test Refer to the Maintenance section for instructions Proximal Occlusion Test The occlusion should occur within approximately 30 seconds to pa...

Page 114: ...wn d Note For maximum battery life the pump should be operated on AC mains when connected to a printer or computer 1 Connect the serial printer cable List 13078 01 to the pump Refer to Connecting to a Printer in the Options Menu section for more information 2 Press YES ENTER to print the test results 3 After the results have been transmitted to the printer or if NO is pressed the pump automaticall...

Page 115: ...Inspection q q Power Check q q Keypad Check q q Display Test q q LED Test q q Volume Accuracy Test q q Distal Occlusion Test q q Proximal Occlusion Test q q Air in line Test q q Printed Test Results q q Serial Number Verified By Date 108 Abbott GemStar Manual 430 600095 002 Rev 8 02 Operation Test ...

Page 116: ...71 01 Locks the Abbott GemStar Pump and a 60 mL Abbott PCA syringe in a plastic enclosure The lockbox can be attached to an I V pole using the Abbott GemStar Pole Clamp available separately Abbott GemStar Lockbox 250 mL 13024 01 Locks the Abbott GemStar Pump and up to a 250 mL flexible I V container in a plastic enclosure The lockbox can be attached to an I V pole using the Abbott GemStar Pole Cla...

Page 117: ...y pack powers the pump for up to 16 hours at a rate of 125 mL hr or less When the AC mains supply is attached the internal batteries are recharged in 4 to 6 hours Abbott GemStar Serial Printer Cable 13078 01 Connects the Abbott GemStar Pump to a compatible serial printer or computer to download the event history program or speed protocol information Connecting the Bolus Cord List 13027 01 Connect ...

Page 118: ...AC mains power and contact Abbott Customer Support The battery pack light illuminates yellow while the battery pack is charging When the battery pack is fully charged the light illuminates green d Note Refer to the instructions included with the Abbott GemStar Battery Pack for more information 1 Plug the pin connector of the AC mains adaptor List 13026 01 USA or 13072 01 Universal into the port on...

Page 119: ...x List 13071 01 1 Open the lockbox A 2 Flip the top door up B 3 Align the pump with the lockbox C 4 Slide the pump down into the lockbox until fully seated 5 Flip the top door down 6 Connect the pump set to the syringe and prime 7 Place the syringe inside the lockbox D 8 Insert the cassette into the pump E 9 Ensure the tubing will not be pinched when closing the lockbox 10 Close and lock the lockb...

Page 120: ...ort down D 8 Hang the bag on the hook inside the lockbox E 9 Insert the cassette into the pump F 10 Ensure the tubing will not be pinched when closing the lockbox 11 Close and lock the lockbox 12 Remove the key Removing the Lockbox 1 Remove the lockbox from the pole 2 Unlock the lockbox 3 Open the lockbox and flip the top door up 4 Press the cassette release button to remove the cassette 5 Lift th...

Page 121: ...oft sided carrying case may be worn around the waist It is designed to hold the Abbott GemStar Pump and up to a 250 mL flexible fluid bag 1 Place the fluid bag in the zippered compartment A on the backside of the case Ensure the bag spike is positioned so that the fluid flow is not restricted 2 Place the pump inside the front compartment B of the case 114 Abbott GemStar Manual 430 600095 002 Rev 8...

Page 122: ...de of the case to secure the tubing on the outside of the case 5 Ensure the tubing exits the side of the case near the zipper tab when the zipper is closed E 6 Place the case around the waist Snap the buckle together to secure Adjust the belt for a snug comfortable fit Optional System Components Abbott GemStar Manual 430 600095 002 Rev 8 02 115 E C D ...

Page 123: ... to a 500 mL List 13079 01 or a 1000 mL List 13980 01 flexible fluid bag 1 Place the pump on the inside front window A Ensure the keypad is facing the window 2 Secure the pump with the large side straps B and C Then secure the top D and bottom E straps 3 Place the fluid bag on the backside of the compartment F 116 Abbott GemStar Manual 430 600095 002 Rev 8 02 Optional System Components D E F B C A...

Page 124: ...batteries or a battery pack and up to a 3 liter flexible fluid bag d Note This carrying case includes an interior support Abbott 3 Liter Carrier List 13590 01 that may be removed from the case and used separately 1 Unzip the carrying case and release all Velcro straps and flaps 2 Place the fluid bag on the carrying case as shown A 3 Hook top strap B through the hole in the top of the fluid bag and...

Page 125: ...e case closed 13 If desired route the tubing through the loops on the bottom of the carrying case Ensure the tubing is not kinked 14 Adjust the shoulder straps and waist belt for a snug comfortable fit f Tip When not using the waist belt secure it under the large flap on the back of the case 118 Abbott GemStar Manual 430 600095 002 Rev 8 02 Optional System Components ...

Page 126: ...cking station light illuminates yellow while the docking station is charging When the docking station is fully charged the light illuminates green Connecting the Bolus Cord and Printer Cable WARNING Disconnect the pump from the patient BEFORE connecting the pump to a printer or computer 1 Plug the bolus cord B into the bolus port on the rear right side of the docking station 2 Plug the printer cab...

Page 127: ...isconnecting the Pump To remove the pump press the release button D on the top of the docking station and slide the pump out 120 Abbott GemStar Manual 430 600095 002 Rev 8 02 Optional System Components D ...

Page 128: ...only CAUTION USE ONLY Abbott GemStar Pump Sets with the Abbott GemStar Pump Use of unauthorized sets may result in injury to the patient or damage to the pump Fluid path and areas beneath undisturbed protective set covers are sterile and nonpyrogenic in the intact unit package d Note The disposable pump sets should be changed per the Centers for Disease Control CDC guidelines or health care provid...

Page 129: ...e Piercing Pin Macrobore Tubing Pressure Activated Anti Siphon Valve Latex Free 110 in 279 cm Pain Management Sets 13261 GemStar Pump Set Secure Lock Non Vented Microbore Tubing Yellow Striped Split Set with Integral Pressure Activated Anti Siphon Valve on Extension Set Latex Free 110 in 279 cm 13262 GemStar Pump Set with PCA Extension Secure Lock Non Vented Microbore Tubing Split Set with Integra...

Page 130: ...mains adaptor molded plug Input 100 240 VAC Output 3 0 VDC Battery Two disposable AA batteries Battery Pack Rechargeable using Abbott GemStar AC Mains Adaptor Power Capacity Using two fresh disposable AA batteries or a charged battery pack at room temperature the pump is capable of delivering approximately 96 hours at rates below 5 mL hr 48 hours at rates at or above 5 mL hr but below 25 mL hr 24 ...

Page 131: ...baud rate of 2400 isolated circuit Printers Seiko DPU 414 or compatible serial printer System Accuracy 10 for rates of 0 1 to less than 5 mL hr 5 for rates of 5 to 1000 mL hr Air Sensitivity ON Pump alarms at approximately 0 5 mL of air Alarms for any bubble greater than 500 microliters with a tolerance of 200 microliters 2 mL Pump alarms at approximately 2 mL of air Alarms when pump detects 2 0 1...

Page 132: ... including motor speed and air detection monitoring is repeated continuously while the pump is powered on Error and alarm conditions are indicated by both audible and visual alarms delivery in progress is stopped if appropriate refer to the Troubleshooting section Abbott GemStar Pump Specifications Abbott GemStar Manual 430 600095 002 Rev 8 02 125 ...

Page 133: ...tton to remove the cassette from the pump 4 Press down on to open the flow stop 5 Wait 10 seconds 6 Press down on to close the flow stop 7 Load the cassette into the pump 8 Open the distal clamp 9 Review the program 10 Press START to start the pump 126 Abbott GemStar Manual 430 600095 002 Rev 8 02 Abbott GemStar Pump Specifications ...

Page 134: ... curves the medical professional may determine if the device can be expected to perform in a manner suitable for the drug or fluid to be infused The typical accuracy for this device is 5 of the set rate for most conditions after a period of normalization It is recommended that the medical professional refer to the following curves when making decisions regarding drug and fluid administration The m...

Page 135: ...pecifications 1 1 1 0 0 9 0 7 0 6 0 5 0 4 0 3 0 1 0 0 0 1 FLOW RATE 0 1 mL 0 mm Hg Delivery Head Start Up Actual Rate Programmed Rate Time minutes Rate mL hr PERCENT ERROR 0 1 mL 0 mm Hg Delivery Head Start Up Max Min Mean Observation Interval minutes Flow Rate Variability ...

Page 136: ...0 8 1 0 1 2 1 4 1 6 1 8 2 0 0 10 20 30 40 50 60 70 80 90 100 110 120 FLOW RATE 1 mL 0 mm Hg Delivery Head Start Up Actual Rate Programmed Rate Time minutes Rate mL hr 30 0 20 0 10 0 0 0 10 0 20 0 30 0 0 5 10 15 20 25 30 PERCENT ERROR 1 mL 0 mm Hg Delivery Head Start Up Max Min Mean Observation Interval minutes ...

Page 137: ... 8 1 6 1 4 1 2 1 0 0 8 0 6 0 4 0 2 0 0 0 2 0 4 FLOW RATE 1 mL 0 mm Hg Delivery Head Hour 96 30 0 20 0 10 0 0 0 10 0 20 0 30 0 0 5 10 15 20 25 30 PERCENT ERROR 1 mL 0 mm Hg Delivery Head Hour 96 Actual Rate Programmed Rate Time minutes Rate mL hr Flow Rate Variability Max Min Mean Observation Interval minutes ...

Page 138: ... 50 0 45 0 40 0 35 0 30 0 25 0 20 0 15 0 10 0 5 0 0 0 5 0 10 0 FLOW RATE 25 mL 0 mm Hg Delivery Head Start Up Actual Rate Programmed Rate Time minutes Rate mL hr 0 5 10 15 20 25 30 15 0 10 0 5 0 0 0 5 0 10 0 15 0 PERCENT ERROR 25 mL 0 mm Hg Delivery Head Start Up Flow Rate Variability Max Min Mean Observation Interval minutes ...

Page 139: ... 20 25 30 35 40 45 50 0 10 20 30 40 50 FLOW RATE 25 mL 0 mm Hg Delivery Head 96 Hour 0 5 10 15 20 25 30 15 0 10 0 5 0 0 0 5 0 10 0 15 0 PERCENT ERROR 25 mL 0 mm Hg Delivery Head 96 Hour Actual Rate Programmed Rate Time minutes Rate mL hr Flow Rate Variability Max Min Mean Observation Interval minutes ...

Page 140: ...0 0 45 0 40 0 35 0 30 0 25 0 20 0 15 0 10 0 5 0 0 0 5 0 10 0 FLOW RATE 25 mL 100 mm Hg Delivery Head Start Up 15 0 10 0 5 0 0 0 5 0 10 0 15 0 0 5 10 15 20 25 30 PERCENT ERROR 25 mL 100 mm Hg Delivery Head Start Up Actual Rate Programmed Rate Time minutes Rate mL hr Flow Rate Variability Max Min Mean Observation Interval minutes ...

Page 141: ...0 0 15 0 PERCENT ERROR 25 mL 100 mm Hg Delivery Head Start Up 0 10 20 30 40 50 60 70 80 90 100 110 120 50 0 45 0 40 0 35 0 30 0 25 0 20 0 15 0 10 0 5 0 0 0 5 0 10 0 FLOW RATE 25 mL 100 mm Hg Delivery Head Start Up Rate mL hr Flow Rate Variability Actual Rate Programmed Rate Time minutes Max Min Mean Observation Interval minutes ...

Page 142: ... 0 25 0 20 0 15 0 10 0 5 0 0 0 5 0 10 0 FLOW RATE 25 mL 0 mm Hg Delivery Head 20 in H2O Filling Head Start Up Actual Rate Programmed Rate Time minutes Rate mL hr 0 5 10 15 20 25 30 15 0 10 0 5 0 0 0 5 0 10 0 15 0 PERCENT ERROR 25 mL 0 mm Hg Delivery Head 20 in H2O Filling Head Start Up Flow Rate Variability Max Min Mean Observation Interval minutes ...

Page 143: ...136 Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 144: ...e pump will be repaired or replaced within the terms of this warranty Material returned to Abbott Laboratories must be properly packaged and sent freight prepaid This warranty shall not apply if the pump has been repaired by anyone other than Abbott Laboratories qualified service personnel or altered in any way which in Abbott Laboratories judgment affects its stability or reliability or if the se...

Page 145: ...138 Abbott GemStar Manual 430 600095 002 Rev 8 02 Notes ...

Page 146: ...nts Abbott GemStar and Luer Lock are trademarks of Abbott Laboratories Inc CAIR and LifeShield are registered trademarks of Abbott Laboratories Inc Super Edisonite is a registered trademark of S M Edison Chemical Company Seiko is a registered trademark of Seiko Instruments Inc Vesphene II se and Manu Klenz are registered trademarks of Calgon Vestal Laboratories Formula C is a trademark of Diversey...

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