Abbott PLUM A + User Manual Download

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Summary of Contents for PLUM A +

Page 1: ...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 ...

Page 2: ...reparing 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 SECTION 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 SECTION 2 DEVICE DESCRIPTION l 2 Warnings Cautions and Notes l 2 1 3 D E...

Page 3: ...AM 1 LINE PUMPING 4 23 STOP AND START WITH BOTH LINES PUMPING 4 23 NURSE CALLBACK 4 17 CONCURRENT DELIVERY 4 18 SELECT OPTION VOLUMES INFUSED PRESSURE POST INFUSION R ATE AND LIGHTING C 4 20 STOP 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...

Page 4: ...ION ALARM AND LIMITS 9 3 TIME TO DETECT BACKPRIMING 8 5 8 8 GENERAL 8 5 SECTION 9 SPECIFICATIONS 9 l PHYSICAL 9 l ELECTRICAL 9 l VTBI RANGE 9 l ENVIRONMENT 9 2 DELIVERY ACCESSORIES 8 4 8 7 BATTERY O PERATION 8 4 8 6 SETS A ND PROFESSIONALS AND PATIENT R ELATED 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 SECTION 7 MAINTENANCE AND STO...

Page 5: ...des 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 Calcu...

Page 6: ...hout 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 O...

Page 7: ...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 D...

Page 8: ...nfusion system THERAPIES l Dose Calculation l Loading Dose l Multistep Programming LINE PROGRAMMIN G 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 cap...

Page 9: ... 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 ...

Page 10: ... 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 i...

Page 11: ...g 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 th...

Page 12: ...2276 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...

Page 13: ...ing 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 co...

Page 14: ...tration 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 ...

Page 15: ...w 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 ...

Page 16: ...ial 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 ...

Page 17: ...apter 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 ...

Page 18: ... 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 PREVEN...

Page 19: ...E 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 Reg...

Page 20: ...ct 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 gr...

Page 21: ... during actions to correct its cause System Operating Manual confirm proper shutdown of pump do not unplug until double beep is heard approximately 5 seconds Operating Keys DATA RETENTION Delivery program settings and programming option selections are retained in non volatile memory If the Plum A has been turned off for longer than four hours all delivery settings are cleared and programming optio...

Page 22: ...ic Operation The SELECT key is used to move the highlighting cursor between the programming fields The numeric keys are used to enter values for any highlighted field requiring numeric data The CLEAR key will cause a highlighted numeric field to be cleared in preparation for data entry The DECIMAL POINT key is used to manually enter numbers other than whole numbers i e 1 2 To Purchase Visit Avobus...

Page 23: ...ttery is currently charging Note If the device is plugged into AC power with a battery installed and the Charge Indicator is not illuminated contact technical support The fluid drop symbol when flashing indicates an active infusion on Line A and or Line B Battery Capacity Symbol located on right side of message region on display indicates relative charge with number of white boxes from left to rig...

Page 24: ...d list It plugs into the Barcode Wand Port located in the back of the pump 430 95226 001 Rev DataPort is used to interface with a host computer Note Do not operate The RS 232 0 The connector located below the lockout switch is the Nurse Call Relay Connector for providing remote notification of a nurse call event 0 ...

Page 25: ...OPERATION 2 To set up the Plum A insert selected Plum Set and close cassette holder door lever Note If cassette is already inserted this screen is skipped Example of Clear Settings Screen 3 The on screen message Clear Settings may appear Press A THB DATAPORT MAY NOT OPERATE PROPERLY After self testing successfully completes the display will proceed to the next screen Note If battery is missing or ...

Page 26: ...lly computed If the computed value is greater than VTBI field Note Upon entry to this screen and to all lower screens from here on the Barcode Reader BCR is enabled as indicated by Wand Active when attached to the Plum A To use the BCR swipe tip of BCR wand across entire barcode from dot to dot on the Abbott supplied drug list card The drug name also can be selected using A Program Options 4 To en...

Page 27: ...nge VTBI 1 Keep W W WHILE RUNNING TITRATION 1 st Action 2nd Action AUTOCALC Change RATE I PATE Enter RATE Enter DURATION VTBI Enter DURATION 1 DURATION Enter VTBI 1 Enter AUTO UC Enter RATE 1st Action 2nd Action A 4 7 Examples of Automatic Calculation AT STARTUP L z A A A A B jusf after being programmed and started Note The Line A Fluid Flow Indicator also will flash to indicate pumping A AND DURA...

Page 28: ...urate to Options V01 A PRESSING START 3 After any change press START to initiate new Rate and return to the Main Delivery Screen Note Volume Infused is an incrementing value which is cleared in AND DURATION BEFORE VTBI To understand the Automatic Calculation feature see Section 4 7 Examples of Automatic Calculation CAUTION VERIFY RATE VTBI BJ at the Main Delivery Screen 2 Enter the desired Rate us...

Page 29: ...RATION and display returns to Main Delivery Screen EXAMPLE OF CHANGED DURATION FIELD 8 Use SELECT to highlight the Duration field then use the keypad to change it s value Note When DURATION is changed RATE is automatically recomputed using the current Examples of Automatic Calculation Note with respect to the current Rate To understand the Automatic Calculation feature see Section 4 7 VTBI is chan...

Page 30: ...l be cleared upon entry in Therapy mode The Line A Programming Screen appears 2 Enter a RATE using the keypad 3 Use SELECT to highlight the Calc you must first select which line you want A or B next select A f3j at the Main Delivery Screen Note To select a Drug Name using a Therapy i e Dose hcmin Callback No 1 Select Line A A or A lO0 Start for wud aivl Delay 1 Program Options hrmin A WmL Duration...

Page 31: ...then use SELECT to highlight choice 8 Press A desired drug name 7 When list does not contain desired generic drug name or group name press A Page Down or A Page VZ 0 0 The Drug List Screen appears in mainly alphabetical order Note Default entry is No Drug Selected This selection may be used later to remove an incorrect or unwanted drug name from the display 6 Use SELECT to highlight 6 0 0 1 r k Dc...

Page 32: ...me entered Note Delayed line drip indicator is solid not flashing It will begin flashing when actually pumping 430 95226 001 Rev Therapy and then A B next select A Calc you must first select which line you want A or Note To program a Delayed Start using a Therapy i e Dose j Vd nf 0 0 1 Before or after entering the simple delivery program press A Program Options mL O O O O mt r 1 5 0 I B I STOPPED ...

Page 33: ...o all lower screens from here the Barcode Reader BCR is enabled as indicated by Wand Active when attached to the 1 The Delivery Mode field is highlighted Note If an entry was previously programmed RATE is highlighted If no previous entries MODE is highlighted 2 If field reads Concurrent press A Change Bl t rogram a Piggyback delivery press A will stop Line A and infuse Line B until VTBI completes ...

Page 34: ... result in other parameters automatically being computed CAUTION V E RI FY RATE VTBI AND DURATION BEFO RE PRESSING START 9 Press START to begin infusion Note If Line A has a Delay Start remaining a message will appear warning of a possible non delivery see section 99 59 dashes VTBI amount use keypad Note While the VTBI is being entered the duration is automatically computed If the computed value i...

Page 35: ...s A Enter Note Callback default Note To set a nurse callback the pump must be stopped This function can be selected either before or after entering the Piggyback delivery program The default screen for Program Options appears 2 Use SELECT to highlight Callback field and press A Yes No if necessary to obtain hcmin 1 Press A Program Options 00 30 mL Duration m VT31 mL hr wmdA0 r m Mode Piggyback Rat...

Page 36: ...E is highlighted 2 If field reads Piggyback press A Change ceitain alarm conditions one line may stop while the other line may continue to deliver 1 With pumping started on line A to program a Concurrent delivery rate press A DELJVER Y RATE RANGES Note In concurrent mode with FOR 9 SEE SECTION FLOW 8 FOR INF O R M A TION ON C ONC URRENT DELIVERY MODES S EE S ECTION PIGGYRACK LABEL G TO CONFIRM DRU...

Page 37: ...tomatically computed While the computed value is greater than VTBI field 6 To enter VTBI amount use keypad Note While START is pressed 5 Use SELECT key to move down to the keypress sound will occur when VTBI Complete The device will not start and an invalid Note Concurrency violation may not be displayed if unit is displaying deliwry rate ranges valid hnmin 4 To enter delivery rate use numeric key...

Page 38: ...n which defaults to Total Volume 4 Use SELECT to scroll to Line A or B 5 To reset Line A or B Volume Infused use SELECT to highlight and press CLEAR 6 To restore A OptionsNol mL 1 To select Options Screen press m mL Total Vol mL tine B 0 0 LineA 393 IBl Volumes Infused IAl OPTIONS Lighting Con rast Basic Operation 4 14 Select Option Volumes Infused Pressure Post Infusion Rate and Lighting Contrast...

Page 39: ...to continue Note Prior to changing Pressure Post Infusion Rate pump must be stopped 13 Use SELECT to highlight Continue Rate or Distal Pressure Limit field 14 Continue Rate allows a choice when VTBI is completed Press A t he Main Delivery screen to return to the Options screen 11 Use SELECT to highlight the Pressure Post Infusion Rate option 12 Press A lng from Options l o softkey 9 When clearing ...

Page 40: ...r desired effect press either A Increase Setting or A Decrease Setting to change level 22 Press A Cighting Contrast Option 19 Press A Choose to continue 20 Press SELECT key to from the Main Delivery screen to return to the Options screen 18 Use SELECT key to highlight lnfl Options Vo m 17 Select A Al OPTIONS Lighting Contrast Display Contrast IB Volumes Infused Pressure Post Infusion Rate I OPTION...

Page 41: ...Stop and Start with Both Lines Pumping 1 Press STOP at the Main Delivery Screen System Operating Manual 430 95226 001 Rev amming screen Press A lSTOP the line is stopped the display will show the progr BJ is pressed prior to A A or A If A A A A 1 Press STOP at the Main Delivery Screen Note Ini Vol Options B v 0 0 A a 0 0 8 5 1 B 100 PUMPING1 STOPPED Stop and Start with only 1 Line Pumping 4 15 Sto...

Page 42: ...G START 3 To resume infusion press START 4 Select A Note This is an example using A Stop AU CAUTION VERIFY RATE VTBI AND DURATION BEFORE BJJ is pressed prior to STOP the display will show the programming screen Press A Cancel Back to return to the Main Delivery screen Example of stopped infusion 20 4 2 Press A Stop A A Stop B or A Stop All Note If A A or A y my 50 0 3 0 rAISX PPED 25 0 Basic Opera...

Page 43: ...rate possible 3 Upon release of A Back Prime the cassette test is performed to confirm readiness for pumping Pressing START will resume programmed delivery 4 18 Clearing Program Settings A Back Prime Note Backpriming is available only when all delivery is stopped Secondary container is necessary to receive the air 2 Press and hold A airtrap 1 To initiate a backprime press A BACKPRIMING Removal of ...

Page 44: ...ible Non Delivery Programmed Programlwhen changing ONLY Line A or B Example screen of Cleared Program 5 Press A hnmin 2 Select Line A or B if active from the stopped Main Delivery Screen 3 Select A C ear Program Note If Line A or B is programmed with a Therapy i e Dose Calculation Rate VTBI and Duration will not display values The values to be cleared may be viewed in applicable programming screen...

Page 45: ...ame container Allows a sequential program to deliver up to 10 steps fluid volumes and delivery rates may be programmed for each step The program may be entered based on Rate and Volume or Volume and Time If Dose Calc is used the Loading Dose and Maintenance Dose are in the same unit of measure over the same period of time Multistep Allows programming Dose Rates in alternative units of measure Dose...

Page 46: ...tainer Concentration Unit is mg or the previously selected option 6 Use SELECT key to highlight the Container Concentration units to use in the delivery 7 Press A mcg kg min option or the previously selected option 4 Use SELECT key to highlight the units to use in the delivery 5 Press A Choose to continue Note Previously selected Drug Names and Delayed Start entries will be cleared if entered prio...

Page 47: ... A Program Options path to setting Delayed Start or VTBI using the keypad Note As the I E 11 Enter a value for VTBI field Autom atic Calculation feature see Section 4 7 Examples of Automatic Calculation 10 Use SELECT to scroll down to the bs 9 Continue to enter values using the keypad and advancing to the next field using SELECT Note As the Dose value is entered the Rate is automatically calculate...

Page 48: ...ev mql phnin Dose The Main Delivery Screen appears to display the information just entered Note The Therapy Type is displayed as well as the Dose Rate and Dose Units 1M Vi 0 0 z 0 0 0 1 ZZL4 C4 7 9 1 STOPPED 1 PUMPING Therapies For Advanced Users 4 ...

Page 49: ...The Select Therapy screen for Line B appears The screen defaults to Dose Calculation or the previously selected option Note Dose Calculation is the only available therapy while Line B is running 3 Press A 1 1 Press A Programlwhen changing ONLY Line A or B C ear Clear ALL settings when changing patients or multiple programming parameters Use A Allows programming Dose Rates in alternative units of m...

Page 50: ...centration Choose to continue The next page of the Program Dose _ The Container Concentration Selection screen appears whenever the selected Dose Units are gram based e g grams mg mcg or ng otherwise this screen is skipped Note Default choice for possible gram based Container Concentration Unit is mg or the previously selected option 6 Use SELECT key to highlight the Container Concentration units ...

Page 51: ...very press START Note To select Delayed Start press A Program isplayed 11 Continue entering the RATE value if desired Note As Hate is entered the Duration and Dose are automatically adjusted as individual numbers are entered Note If the Duration value is changed the Rate and Dose are automatically adjusted CAUTION VERIFY DOSE RATE VTBI than es to dashes when the computed value is larger than what ...

Page 52: ...SING START 15 Press START to confirm entries and return to the Main Delivery screen s CAUTION VERIFY DOSE BATE VTBI Dose mL Inl 0 2 5 0 Vd mL1 hr c c z 1 0 Rate 0 5 D o 1 E 1 PUMPING 1 PUMPING 4 Therapies For Advanced Users To Purchase Visit Avobus com or call 1 800 674 3655 ...

Page 53: ...mcg min from the same container Clear ALL settings when changing patients or multiple programming parameters Use A C ear Calc is used the Loading Dose and Maintenance Dose are in the same unit of measure over the same period of time by a maintenance rate from the same container e g a fluid challenge If Dose AIIOWS programming of an initial infusion rate for a specific volume followed automatically...

Page 54: ...esired field is highlighted press A Choose The next page of the Program Loading Dose screen appears 7 Enter a rate using the keypad from 0 1 to 999 dr Choose to continue mL hr option or the previously selected option 5 Press A WE00 The Program Loading Dose screen appears Note The screen defaults to the 0o m 2 0 0 0 0 0 0 mm 1 mL pgp 2 k AA AA Chmse Back 1 1 Proaram Loadina Dose Therapies For Advan...

Page 55: ...CT to highlight the next programming field mL using the keypad Note After a Rate and VTBI value are entered the Duration is automatically computed Manually changing the Duration field will automatically recompute the Rate To understand the Automatic Calculation feature see Section 4 7 w w 9 Enter Volume To Be Infused VTBI from 0 1 to 9999 C X 2 1 h mL miAw v ml Rate 1 Loadzdse Al Program w oo m 0 ...

Page 56: ... keypad Note Not available if a delivery is taking place on the line 16 After selecting a desired value use SELECT to highlight the callback feature 430 95226 001 Rev VTBI values are selected the Duration is automatically updated 14 Press A Program Options to enable setting a Delayed Start or to enable the Nurse hcmin 13 Enter the desired VTBI using the keypad Note After the desired Rate and OOa l...

Page 57: ...d System Operating Manual 430 95226 001 Rev VThI RATE 0 0 17 Select using A Yes No Callback changes from NO to YES Note Nurse Callback cannot be changed while a delivery is taking place on the line 18 Press A Enter to accept the changes Note A Cancel Back returns the fields to their original value and displays the previous screen CAUTION VERIFY DOSE mL hr 0 5 Iwe 0 0 Do 500 I I B I PUMPING STOPPED...

Page 58: ... rate and Pumping mode changes to Therapies For Advanced Users After the first step has completed the Main Delivery Screen changes to the second step Note A flashing Callback Line A message and the audio alarm sound indicates activation of that option 20 The user should acknowledge the Callback message and stop the audio alarm by pressing SILENCE Upon completion of delivery the screen shows a flas...

Page 59: ...sure over the same period of time from the same container Clear ALL settings when changing patients or multiple programming parameters Use A ndVolume or Volume and Time If Dose Rrogrammed for each step The program may be entered based on Rate MULTISTEP Allows a sequential program to deliver up to 10 steps fluid volumes and delivery rates may be I Dose Calculation Loading Dose WMdAC Va Al PROGRAM w...

Page 60: ...n appears whenever the selected Dose Units are gram based e g grams mg mcg or ng otherwise this screen is skipped Note Default choice for possible gram based Container Concentration Unit is mg or the previously selected option 7 Press A mcg hr 6 Press A mL hr option or the previously selected option 5 Use SELECT to highlight the desired setting This example is using 0 0 0 00 0 0 0 0 0 The Program ...

Page 61: ...ulatfon ofAutomatic Exa npZes Diluent Amount 11 Enter value using keypad 12 13 Use SELECT to highlight the next field Enter Dose using keypad Note The Rate value is automatically computed To understand the Automatic Calculation feature see Section 4 7 mL 10 Use SELECT to highlight the next programming field 500 mg caw 50 0 WMd ruvs I Program Multistep rnL A so0 mg ceix 50 0 v a MM I Program Multis...

Page 62: ...ough 4 20 To see the previous steps press A Prev Steps 21 To program a Delay Start Time or set up a Nurse Callback for this program press A Program Options 22 Enter a value using the keypad You can choose Drug Name Callback or Delay Start as previously shown 23 Press A additionaf Step Note When Step 4 is Step 2 Dose field 17 Enter the set of desired values for Step 2 of the program Continue proces...

Page 63: ...eted step 26 Enter a value i A Note The Pumeing on Step 3 25 To change a program parameter while pumping press A mL hr the Dose rate and units also will be displayed Example of Multistep Screen _ Note In units other than DURATION BEFORE PRESSING START 24 Press START to begin the delivery The Main Delivery Screen displays Step l in the upper left corner AND VERIFY DOSE RATE VTBI mL CAUTION 5X mg co...

Page 64: ...reverts to KVO when last Step completes The last step can be restarted by entering anew Deljvery Screen DOSE RATE VTBI AND DURATION BEFORE PRESSING START 27 Press START to begin infusion with the changed program and return to the Main Therapies For Advanced Users CAUTION VERIFY To Purchase Visit Avobus com or call 1 800 674 3655 ...

Page 65: ... an Invalid Key Warning will sound and an appropriate mAjw The battery voltage is less than the depleted threshold and charge level is higher than the low charge threshold Warning Charger Service Warning Low Battery The charging circuitry is not behaving as expected charge voltage is not changing and can reduce battery life Pump not plugged in to AC power Silence key is pressed Plug into sectfon4 ...

Page 66: ...tely open clamp Continue programming Replace set if problem persists Note If clamps are not opened prior to completion of cassette test peak proximal occlusion may recur Remove and bolus following a distal occlusion Lower pump or replace set Examine line A or B for kinks or closed clamps Open and close lineA or B Correct as necessary Backprime into line B tubing or syringe Check distal tubing chec...

Page 67: ...Loading Dose to Maintenance Step El61 El 84 El 90 PressfngofanykeyexceptlSTOP Unlock lockout switch durfngdelfverywhfleanyalarmfs active and lockout is enabled LINE A ALARMS lockout is enabled E254 Lockout Enabled lfvery oropenfngthedoor whfle Resnonse to Alarms Failure distal occlusion or air in cassette detected at start up set close door Backprime into line B tubing or syringe if appropffate If...

Page 68: ...ner backprime into line B tubing Examine line B for kinks or or syringe closed clamps When proximal air detected exceeds the limit for the line Check for clamps or empty container Correct as necessary Backprime into line B tubing or VTBI complete on line B Change in delivery for piggyback delivery Loading Proximal line obstructed a MALFUNCTIONS Alarm programmed by user 13 L h ox Air B Backprime El...

Page 69: ...nufacturer s recommendation Manu Klenz Calgon Vestal Laboratories Per manufacturer s recommendation Formula C se Calgon Vestal Laboratories Per manufacturer s recommendation Edfsonite S M Edison Co Per manufacturer s recommendation Vesphene II in the following list or mild nonabrasive soapy water Super Turn the Plum A off with the ON OFF switch then disconnect the Plum A from mains power The expos...

Page 70: ...cal technician for battery replacement if necessary To maintain fully charged new battery provides six hours of operation at 125 b AINS POWER IMMEDIATELY The Plum A is battery powered for emergency backup and temporary portable operation A PLUM A TO TRE SOUNDS CONNECT USE OF A PROPERLY MAINTAINED AND CHARGED BATTERY HELPS CONFIRM PROPER OPERATION CAUTION IF THE LOW BATTERY ALARM THE BATTERY REMOVE...

Page 71: ...rtifacts Nonhazardous low level electrical potentials are commonly observed when fluids are administered using infusion devices These potentials are well within accepted safety standards but may create artifacts on voltage 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 ...

Page 72: ...9 9 Any fraction of a milliliter delivered is not displayed but is retained in memory 8 3 Concurrent Flow mL of unexpected fluid delivery A small amount of fluid is expelled from the set less than 0 05 ml each time the door is opened or closed with a set installed If potent drugs are being used take appropriate action to guard against overmedication of the patient Before disconnecting a syringe fr...

Page 73: ...lowed by the drugs FDA approved labeling Epidural administration of drugs other than those Indicated for epidural use could result in serious Injury to the patient For epidural administration the use of Abbott Laboratories catheter List No 1193 or List No 6947 pump sets without Y sites and IV Include l Dobutamine l Nitroglycerin l Dopamine l Nitroprusside l Epinephrine l Norepinephrine l Esmolol l...

Page 74: ... AC power during storage to ensure a fully charged battery for emergencies If quality earth grounding source is in doubt use battery power If the low battery alarm sounds connect the Plum A to AC power immediately 8 6 Sets and Accessories Only compatible WITEI THE BATTERY REMOVED USE OF A PROPERLY MAINTAINED AND CHARGED BATTERY PLUM A ON PATIENTS fully equipped and staffed environment for at least...

Page 75: ... A in service if it fails the self test Do not operate the Plum A with the case opened Keep the cassette door securely closed while the Plum A is not in use to avoid cassette door damage Use the following procedure to avoid the administration of a bolus following a distal occlusion If a secondary container is in use clamp proximal tubing before opening cassette door Open cassette door and remove t...

Page 76: ...recharge time is approximately six hours with the device operating at 125 mL at 126 mIJhr or less or deliver 500 F2 25OV 0 5 A internal Hospital grade AC cord 10 ft long with transparent plug and retainer plate One sealed lead acid rechargeable 6 V battery internal to device With a new fully charged battery the infuser shall operate for a minimum of six hours at 125 Fl 6 excluding pole clamp protr...

Page 77: ...s less AIR IN LINE ALARM mLfhr cumulative A B maximum KVO 1 0 PlumSet 500 Muir minimum for each line increraents Concurrent Delivery 0 5 mL mL hr in 1 999 mL increments 100 mIJhr in 0 1 99 9 90 40 C Max DELIVERY RATE RANGE Lines A and B 0 1 equivalent pressure Relative Humidity 10 3 000m or 10 000 feet 0 60 C Atmospheric Pressure 0 20 to 40 C Storage Temperature 5 to Specifications ENVIRONMENT Ope...

Page 78: ...s Volume Maximum Bolus Volume Pressure Setting Macro Macro 25 mIfhr 6 psig 38 seconds 15 psig 98 seconds k user selectable without alarm Factory default setting is 6 psig Maximum Infusion Pressure 20 psig TIME TO DETECT DOWNSTREAM OCCLUSIONS Rate Occlusion Alarm Typical Time to Alarm Pressure Setting Macro 25 occluded Distal Pressure Limit 1 to 15 psig The maximum pressure alamr sounds after the d...

Page 79: ... lowest rate may be affected by up to 2 5 for up to 24 inches of container height differences B are delivering the ratio of delivery for the fluid with the lowest rate may be affected by as much as 5 for ratios up to 9 to 28 inches A typical deviation under these conditions is 0 5 Concurrent Delivery Effect When both lines A majr affect delivery accuracy by no more than 2 for variations in the ran...

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Page 82: ...To Purchase Visit Avobus com or call 1 800 674 3655 ...

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Page 85: ...ontainers including premixed and nutritional Part Fill Parenteral flexible plastic containers including ADD Vantage Part Fill Parenteral glass containers Small Volume Parenterals Syringes vials includes part fills may require special adapters Top Filled TwoCal HN l Packed red cells CONTAINERS Dual Chamber Parenteral flexible container Similac Powder l Ensure plus HN l ENTERAL AND HIGH VISCOSITY FL...

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Abbott PLUM A +, System Operating Manual

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