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DIRECTIONS FOR USE

B

C

A

START

STOP

MORE

OPTIONS

STANDARD

DISPLAY

O N / O F F

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DLE

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MedSystem III

®

®

Infusion System

with Advanced Dose Rate Calculation

and Drug List Editor

Summary of Contents for MedSystem III

Page 1: ...DIRECTIONS FOR USE B C A START STOP MORE OPTIONS STANDARD DISPLAY O N O F F DLE MedSystem III Infusion System with Advanced Dose Rate Calculation and Drug List Editor...

Page 2: ...INFUSING 17 PROGRAMMING OPTION 19 KVO STATUS 20 SECONDARY MODE 21 DOSE RATE CALCULATOR DRC USING A SPECIFIC DRUG NAME 24 DOSE RATE CALCULATOR PROGRAMMING WITH DRUG 27 DEVICE 30 CONFIG 32 NOTE 33 BATL...

Page 3: ...ates 800 854 7128 Ext 6003 Toll Free within Canada 800 227 7215 Eastern OR 800 667 2335 Western For more detailed information refer to the Service Information section of this document GENERAL CONTACT...

Page 4: ...blood and blood products using continuous or intermittent delivery through clinically acceptable routes of administration such as intravenous IV intra arterial IA subcutaneous epidural enteral or irri...

Page 5: ...ce Types available Six available Device Types with configurable parameters maximum and minimum rates maximum volumes baseline and maximum pressures and air in line thresholds to achieve specific clini...

Page 6: ...ccommodate specialized clinical applications The Device Type parameters occlusion limit and air in line threshold can be configured with the FMS software Secondary Mode Allows the user to program two...

Page 7: ...p Latch Mechanism Drives the cassette piston to move fluid through the tubing Air in Line Sensor Detects bubbles of air during infusion Tubing Collar Recess Holds tubing collar in place FRONT PANEL In...

Page 8: ...edSystem III instrument is designed to function in any orientation However the effectiveness of the administration set air trap is diminished when the instrument is in other than vertical position Att...

Page 9: ...adjacent to symbol indicates the month and year of manufacture Consult operating instructions Explosion risk if used in presence of flammable anesthetics Caution Federal U S A law restricts this devi...

Page 10: ...n of anesthetic and analgesic drugs This application is only appropriate when using analgesics and anesthetics labeled for continuous epidural administration and catheters intended specifically for ep...

Page 11: ...site may impede the flow of common gravity only systems affecting their performance Hospital personnel must ensure the performance of the common IV site is satisfactory under these circumstances WARNI...

Page 12: ...or IV push medication put instrument on hold clamp tubing above the port Flush port s per facility protocol Discard administration set per facility protocol Artifacts It is normal for an infusion devi...

Page 13: ...ition the device away from the source of interference or turn off the device and manually regulate the flow with the clamp and or monitor the vital parameters using an appropriate clinical alternative...

Page 14: ...out in the closed position prior to loading 3 Press to turn pump on 4 With tubing down use a 45 degree upward motion to insert cassette into channel 5 Push on clear portion of cassette until completel...

Page 15: ...pressed indicates full name of selected Device Type on the prompt line NOTE Additional softkey prompts are displayed by pressing Softkey Pads 4 12 GETTING STARTED Front Panel Overview Instrument Contr...

Page 16: ...rompt the user to make programming choices and or take appropriate action Softkey Prompts Displays function of specific softkey Select Moves highlight bar through the programmable infusion parameters...

Page 17: ...ay page displayed 1 Press once T To ot tV Vo ol l D De ev vi ic ce e C Co on nf fi ig g and N No ot te e softkeys appear 2 Press again B Ba at tl lo og g and D De em mo oW WD D softkeys appear Press o...

Page 18: ...ss R Re ec ca al ll l Number returns to previous value 6 Press Infusion starts or stops immediately unless the channel s programming is incomplete or if an advisory alarm or fault condition exists on...

Page 19: ...g clamp on administration set 6 Press to begin infusion Channel starts infusing Current date and time are entered 7 Press OR Display reverts to Standard Display page after one minute 8 Verify settings...

Page 20: ...irm Infusion continues with new volume remaining 1 Press or Programming Page is displayed Rate is highlighted 2 Press S Se el le ec ct t to highlight VI 3 Press C Cl le ea ar r then E En nt te er r to...

Page 21: ...ess to start infusion 18 GETTING STARTED Making Changes While Infusing continued To simultaneously clear Total Volume Infused for all channels NOTE When a channel is Stopped for two minutes with a cas...

Page 22: ...s or to change setup choice Choice flashes 11 Press E En nt te er r to accept Highight moves to top of page Enter desired settings Programming Option To set up an infusion by Rate Volume or Volume Tim...

Page 23: ...F Fa as st t to change VR Value flashes 4 Press E En nt te er r to confirm 5 Press to resume infusion and stop KVO rate NOTE If current infusion rate is set below KVO rate channel will infuse at the...

Page 24: ...delivery of intermittent medications set up the administration set as recommended below B C A START STOP MORE OPTIONS STANDARD DISPLAY O N O F F DLE 8 For Needle Free sets attach secondary to upper pr...

Page 25: ...st t or F Fa as st t to change VR Value flashes 4 Press E En nt te er r to confirm Secondary time remaining TR is calculated automatically based on VR and Rate Highlight moves to secondary volume inf...

Page 26: ...programming page is displayed Rate is highlighted 2 Press F Fa as st t or F Fa as st t to change rate Value flashes 3 Press E En nt te er r to confirm New rate begins infusing immediately 1 Press or S...

Page 27: ...ming page is displayed D DR RU UG G is highlighted Secondary Mode Continued Pressing will result in the remaining secondary medication being delivered at the primary rate if the regulating clamp on th...

Page 28: ...diluent volume using the arrow softkeys 4 Press E En nt te er r when desired volume is displayed VR is automatically set when the diluent volume value is entered but can be changed if desired Highligh...

Page 29: ...Display page after one minute DRC parameters are displayed 6 Verify settings 7 Verify solution flow from solution container 1 Press or Dose Rate Calculator programming page is displayed Dose value is...

Page 30: ...proceeding The D DR RU UG G selection can be used to calculate a drug not listed in the pump or for an alternative dosing regimen 1 Press or Primary programming page is displayed 2 Press if channel i...

Page 31: ...st t softkeys 2 Press E En nt te er r when each desired dose parameter is displayed Highlight moves to next parameter each time E En nt te er r is pressed Highlight moves to D Do os se e when E En nt...

Page 32: ...tration cannot be changed while infusing Changes to patient weight or concentration will recalculate volumetric rate but maintain dose rate Drug names may be abbreviated if the name contains more than...

Page 33: ...hted If preset values are compatible with the newly selected device type an asterisk appears next to the device name If channel is not infusing when device type is changed and preset values are not co...

Page 34: ...g Baseline 5 psi Baseline 3 psi 3 ft H2O Baseline 5 psi Baseline 5 psi Baseline 5 psi Default General Neonatal Controller Operating General Operating Parameter Purpose Pressure Room Purpose II Room II...

Page 35: ...io o V Vo ol lu um me e l lo ow w m me ed di iu um m h hi ig gh h h hi ig gh he es st t S Se ec c C Co om mp pl le et te e A Ad dv vi is so or ry y Y Ye es s N No o S Se et tu up p L Li in ne e O Op...

Page 36: ...ne The BatLog softkey accesses the Battery History Log page This page is provided for the Biomedical Engineering staff to review and record battery history data 1 Press 2 Press twice B Ba at tL Lo og...

Page 37: ...34 GETTING STARTED T H I S PA G E I N T E N T I O N A L LY L E F T B L A N K...

Page 38: ...message Alarm Response Keys silences Advisories Alarms and Faults for two minutes Softkey is accessible during alarm status clears alarm and advisory messages and stops tone Use when alarm or advisor...

Page 39: ...stopped Verify tubing collar is fully seated in air sensor recess Verify tubing in air sensor recess is not damaged twisted or dirty Press C Cl lr rA Ai ir r on channel s Alarm Information page Three...

Page 40: ...ificant air is present clean air sensor recess as directed in cleaning instructions Set up pump at or slightly below IV site to minimize formation of micro bubbles Press to resume infusion Alarm Meani...

Page 41: ...is lost if pump battery is totally depleted Drug List can be reloaded into the pump with FMS software only Insufficient battery power The pump will shut down in 5 minutes Cassette Jammed Remove casse...

Page 42: ...a closed regulating clamp closed vent with unvented container kinked tubing empty syringe or any restriction to flow If NO occlusion is present press CONFIRM Press to resume infusion Verify fluid is...

Page 43: ...filters site problems etc Clear occlusion or change infusion site Press to resume infusion Verify fluid is flowing in drip chamber Pumping Latch Closed INCORRECT Rate Vol Settings Cleared Re enter set...

Page 44: ...k screen continuous tone red and green lights continuous all infusions stop Watchdog Other Conditions Blank Screen Attempt to reset pump Turn pump off then on again Press to resume each channel that h...

Page 45: ...T H I S PA G E I N T E N T I O N A L LY L E F T B L A N K 42 ALARMS ADVISORIES AND PROMPTS...

Page 46: ...r hour each channel 0 1 9999 milliliter each channel 0 1 20 0 milliliter per hour 1 0 999 ml hr 5 with a standard deviation of 1 96 under specified conditions 0 1 0 9 ml hr 10 with a standard deviatio...

Page 47: ...EA AK KA AG GE E C CU UR RR RE EN NT T 3 amp fast blow internal Maximum 0 1 ohm Maximum 100 microamps Long term accuracy specified per IEC 60601 2 24 under the following conditions Head height 30 Tes...

Page 48: ...inimum the following steps should be performed before use Charge battery for 14 hours Perform electrical safety checks Turn instrument on to verify normal power up and operation of LEDS display and au...

Page 49: ...the operation manual for the electrical safety tester for the proper setup and measurement technique 2 Connect the AC adapter to the instrument 3 Plug the AC adapter into the electrical safety tester...

Page 50: ...channels and that channel put in standby mode otherwise the instrument will automatically shut off after five minutes of inactivity B AC Power Test 1 Turn on the instrument without the AC adapter att...

Page 51: ...ng collar in the recess below the cassette Three beeps will sound to indicate correct cassette installation and fluid in the sensor pathway The cassette should latch easily and smoothly If the air in...

Page 52: ...alarm within 10 seconds 8 After completing steps 1 7 for all three channels configure the instrument in the General Purpose Device Type This test verifies the proper functioning of the alarm which de...

Page 53: ...threshold value of the air detector plus one milliliter to fill the cassette air trap For example if the threshold is 500 microliters then inject a 2 milliliter air bubble To determine the threshold...

Page 54: ...at least half full Prime the set and eliminate all air 2 Connect the apparatus as shown in Test Equipment Setup below Use a volumetric burette marked in 0 1 milliliter increments class A glassware 3 I...

Page 55: ...m V VR R 13 Press the arrow soft key until the VR is set to 18 ml 14 Press the ENTER soft key to accept setting 15 Press the SELECT soft key to highlight P Pr ri i T Ti im me e T TR R 16 Press the arr...

Page 56: ...tallic tools to remove residue Note If the power cord is permanently attached to the pump ensure cleaning solution does not enter the connector 1 Unplug the AC adapter power cord from the wall outlet...

Page 57: ...nt free swab or cloth or allow to air dry Air Sensor Recess NOTE Air in line alarms may occur when dries residue builds up in the air in line sensor tubing recess 1 Inspect the air in line sensor modu...

Page 58: ...r Water may be sprayed on the cleaned surfaces to rinse areas that are difficult to reach with a swab 4 Gently dry with a lint free swab or allow to air dry 5 After cleaning inspect the exposed tips o...

Page 59: ...the intended function for that key press NOTE Detailed instructions for performing periodic inspections and maintenance can be found in the Technical Service Manual for the MedSystem III Multi Channe...

Page 60: ...the United States and Canada Corporate Technical Support can be contacted by calling the following toll free number Outside the United States and Canada service information applications and manuals ma...

Page 61: ...58 MAINTENANCE T H I S PA G E I N T E N T I O N A L LY L E F T B L A N K...

Page 62: ...ems product This warranty shall apply solely to the original purchaser This warranty shall not apply to any subsequent owner or holder of the product Furthermore this warranty shall not apply to and A...

Page 63: ...T H I S PA G E I N T E N T I O N A L LY L E F T B L A N K 60 MAINTENANCE...

Page 64: ...on CP Controller Pressure CSA Canadian Standards Association DemoWD Demonstrate Watchdog DI Dose Infused ECG Electro cardiogram ES Electro static FMS Field Maintenance Software Gm gram GP General Purp...

Page 65: ...Pg Next Page Ng Nanogram NiCd nickel cadmium OR Operating Room OR II Operating Room II p pm Pri Primary psi pounds per square inch Sec Secondary Stnd Disp Standard Display STNDBY Standby TotVol Total...

Page 66: ...2 232 5 616 124 5 772 635 D309 662 D381 622 Italy Patent Nos 247 824 0 346 548 319 277 319 268 416 911 419 094 Canada Patented Brevet 1 297 531 1 317 582 1 319 069 1 329 896 1319 066 1 319 065 1 319 0...

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