Cardinal Health Alaris PK Directions For Use Manual Download Page 18

1000DF00005 Iss. 2

17/44

Getting Started (Continued)

  TIVA Mode (with or without prediction)

1.  A list of available drugs and models will be displayed. Use the 

f

 keys to select the required drug and press the 

OK

 softkey.  

If the drug has an associated model, an 

INFO

 softkey will be displayed. Pressing the 

INFO

 softkey will show more information on the 

selection. The ml/h option allows infusions without doserate calculation.

2. 

CONCENTRATION

 - 

a.  Select  Concentration required and 

OK

 to confirm (Only required if more than one concentration is available).

b. Press 

the 

OK

 softkey to confirm  Concentration or press the 

MODIFY

 softkey to change  Drug amount and diluent volume. 

3. 

WEIGHT

 - adjust the patient weight using the 

f

 keys, press the 

OK

 softkey to confirm.

4.  The remaining patient parameters for the selected drug must be entered using the 

f

 keys and press the 

OK

 softkey to 

confirm. The required parameters may include the following depending on the model:
• 

AGE

• 

HEIGHT

• 

GENDER

• 

LBM and BMI 

(Lean Body Mass and Body Mass Index. This is for information only and is not an adjustable parameter)

5. The 

CONFIRM

 drug setup screen shows the initial infusion parameters for the drug. Press the 

OK

 softkey to accept or 

MODIFY

 to  

change the drug setup.

6. 

INDUCTION

 - Using the 

f

 keys, enter the induction dose amount per kg of patient weight (if required for dosing). Press 

the 

OK

 softkey to enter. The Induction feature may be disabled reducing the dose to zero until 

OFF

 is displayed and press 

OK

 softkey 

to confirm.

7. 

TIME

 - Enter the induction time in seconds over which the induction dose will be delivered. Press the 

OK

 softkey to enter.

8. 

MAINTENANCE

 - Set the maintenance dose rate in the drug protocol units. Press the 

OK

 softkey to enter.

A

Prime the extension set.

9.  Load Syringe - Load the syringe according to the procedure in this manual.

10.  Confirm Syringe - Check that the syringe type and size being used matches the display. If required, the make of syringe can be 

changed by pressing the 

TYPE

 button. Press 

CONFIRM

 when the correct type and size are shown.

11.  Purge (if required) - Press the 

i

 

button and then press and hold the 

PURGE

 softkey until the fluid flows and the purging of the 

extension set is complete. Release the softkey. The volume used during purging will be displayed.

12.  Connect To Patient - Connect the extension set to the patient access device.

13.  Start - Press the 

b

  button  to  commence  operation.  INFUSING will  be  displayed.  The  amber  stop light  will  be  replaced  by  the 

flashing green start light to indicate that the pump is in operation. If the infusion rate exceeds the Soft Alerts then check infusion 
setting, to continue with infusion at set target press the 

b

 button and then confirm 

OVERRIDE LIMIT 

by pressing the 

YES 

softkey. 

If 

OVERRIDE LIMIT

 is not required press the 

NO

 softkey and adjust target concentration to be within the Soft Alerts.

A

If a model has been selected, the VOLUME softkey will be replaced by a Ce/Cp softkey. This will allow the user 
access to screens showing predicted target concentrations. In this mode of operation the volume may never be 
cleared.

14. Stop - Press the 

h

 button to halt the operation. ON HOLD will be displayed. The AMBER STOP light will replace the 

GREEN START light.

1.  Connect the pump to an AC power supply using the AC power cable.  Press the 

a

 button.

•  The pump will run a short self-test. Ensure that two beeps are activated during this test. 
•  Check the display test pattern and ensure that no coloured rows are missing.
•  Finally check that the displayed time and date are correct.

Note:   A warning - REPAIRING LOGS, may be displayed if event log information was not completely stored at the previous power 

down. This is for information only, the pump will continue to power up as normal.

2. 

CONFIRM PROFILE?

 - Answering 

NO

 will display 

SELECT PROFILE

 screen, select profile and press the 

OK

 softkey.  

YES

 will display 

the  

TCI MODE

  screen.

3. The 

 

TCI MODE

 selection is displayed - Answering 

YES

 selects the  TCI Mode, 

NO

 will enter  

TIVA MODE

.

The Alaris® PK Syringe Pump allows the user to select a  TCI or  TIVA mode of operation. The user may, at any time, switch mode by stopping 
the infusion and selecting the appropriate mode from the options menu. When in  TIVA mode, if a drug with an associated model has 
been selected, the current plasma and effect site concentration will be displayed. This will demonstrate to the user unfamiliar with  TCI, the 
Pharmacokinetics and Pharmacodynamics of the drug while still using  TIVA mode.

 Starting the Pump

Summary of Contents for Alaris PK

Page 1: ...Directions For Use English Alaris PK Syringe Pump...

Page 2: ...tting Started 14 Basic Features 19 Operations During Use 21 Alarms and Warnings 23 Prompts 24 Configured Options 25 Specifications 29 Compatible Syringes 30 Associated Products 30 Compatible Extension...

Page 3: ...escribed information for rate and dosing limits Pharmacokinetic and Pharmacodynamic Interactions among anaesthetic drugs are known but are not taken into account in the calculation of the plasma and e...

Page 4: ...ation based on clinical judgement When a concentration in the plasma compartment is targeted this is called open loop plasma targeted TCI When a certain concentration at the effect compartment is targ...

Page 5: ...l science Edited by Breimer DD Crommelin DJA Midha KK Noordwijk Amsterdam Med Press BV 1989 pp 573 586 2 Kruger Theimer E Continuous intravenous infusion and multicompartment accumulation Eur J Pharma...

Page 6: ...Vc 5 1 0 0201 x age 40 0 072 x lbm 55 V2 9 82 0 0811 x age 40 0 108 x lbm 55 V3 5 42 CL1 2 6 0 0162 x age 40 0 0191 x lbm 55 CL2 2 05 0 0301 x age 40 CL3 0 076 0 00113 x age 40 k10 Cl1 Vc k12 Cl2 Vc k...

Page 7: ...be printed reviewed and signed as proof of approval by an authorised person according to Hospital protocol Signed printout to be kept safe for use during verification procedure Release Data Set status...

Page 8: ...ON OFF RUN HOLD PURGE BOLUS MUTE PRESSURE OPTION Extension set hook Finger Grips Extension set hook Release lever for Rotating Cam Carrying Handle IR Communications port RS232 Connector Folded Pole C...

Page 9: ...key to operate PURGE the extension set during set up Pump is on hold Extension set is not connected to the patient Volume Infused VI is not added BOLUS fluid or drug delivered at an accelerated rate P...

Page 10: ...onnector Optional Defibrillation proof type CF applied part Degree of protection against electrical shock O Protected against vertically falling drops of water r Alternating Current s Device complies...

Page 11: ...Selecting the MORE softkey will display the following additional information Patient Parameters Time to End of Infusion at Current Rate Volume and Dose Infused Elapsed Time Drug Name and Model Press...

Page 12: ...played on protocol confirmation screen E Duration of Hands Free Bolus Displayed in bolus set up screen F Maintenance Phase Dose Rate Displayed on protocol confirmation screen SOFT ALERT Indicates the...

Page 13: ...ould regularly monitor the progress of the infusion syringe extension line and patient connections and follow the priming procedure specified herein Operating Environment When using any infusion pump...

Page 14: ...trained technical personnel Consult Technical Service Manual for further information Hazards B An explosion hazard exists if the pump is used in the presence of flammable anaesthetics Exercise care t...

Page 15: ...hours to ensure that the internal battery is charged verify that the S is lit Language Selection 1 On initial start up the pump will display the Select Language screen 2 Select the required language f...

Page 16: ...cking Station Asena IDS Docking Station and Alaris Gateway Workstation Docking Station Workstation or Equipment Rail Installation Rectangular bar Rotating cam Release lever push to release Getting Sta...

Page 17: ...the syringe clamp and the syringe flange clamp This is correct if the syringe remains in position before the syringe clamp is closed 2 Insert the syringe ensuring that the barrel flange is located in...

Page 18: ...luid flows and the purging of the extension set is complete Release the softkey The volume used during purging will be displayed 12 Connect To Patient Connect the extension set to the patient access d...

Page 19: ...e cap rate will be cleared when first titration occurs 11 Target Concentration Cpt or Cet Adjust the Target Concentration if necessary using the f keys Confirm the Target Concentration and Initial Inf...

Page 20: ...ted The bolus volume is limited in the con guration 1 During infusion press the i button once to display the bolus screen 2 Use the f keys to adjust the bolus rate if required 3 To deliver the bolus p...

Page 21: ...nfusing at the new rate If Rate Titration is disabled the rate can only be adjusted whilst on hold 1 Press the h button to put the pump on hold 2 Select the new rate using the f keys 3 Press the b but...

Page 22: ...e initial doserate will be set to zero TREND SIZE The user is able to select the Trend Size of the Concentration Prediction graph 1 Press the d button to access the options menu 2 Using the f keys sel...

Page 23: ...softkey indicated on the screen A confirmation screen will be displayed DATA SET DETAILS To review the currently selected Data Set information 1 Press the d button to access the options menu 2 Select...

Page 24: ...F INFUSION The pump has reached the end of the infusion A pre set volume will remain in the syringe to minimise the risk of the infusion of air bubbles into the set This value can be configured TITRAT...

Page 25: ...OVERRIDE LIMIT is not required press the NO softkey and adjust rate below Soft Alert BOLUS DOSE OVER The bolus dose has been set to a value which exceeds a Soft Alert Check the bolus setting to conti...

Page 26: ...u Language This option is used to set the language of messages shown on the pump display 1 Select LANGUAGE from the Configured Options menu using the f keys and press the OK softkey 2 Use the f keys t...

Page 27: ...splay Purge Rate The rate used during purge operation Purge Volume Max The maximum permissible purge volume Purge Syringe Prompt Feature which prompts the user to purge the extension set prior to the...

Page 28: ...meters Induction ON OFF Enables Disables induction stage of TIVA protocol Dosing Units The induction dose units This can be based on patient weight Default Dose The default induction dose offered Defa...

Page 29: ...Maintenance Hard Max 20mg kg h 20mg kg h 2 g kg min 2 g kg min 2 g kg h Default Bolus Rate 1200ml h 600ml h 600ml h 600ml h 1200ml h Default Bolus 1 0mg kg 1 0mg kg 1 0 g kg 1 0 g kg 0 15 g kg Bolus S...

Page 30: ...ump is connected to AC power Battery life is typically 4h from fully charged 5 0ml h 20 C under normal conditions Charging takes 2 hours from discharge to 90 charge In TCI mode a fully charged battery...

Page 31: ...sed syringe with a large diameter barrel To provide protection against accidental dislodging always ensure the infusion line is secured using the infusion set hook see Loading a Syringe section TYCO H...

Page 32: ...lve low priming volume 209cm MFX 2291 2 way set with anti syphon valve and backcheck valve low priming volume 209cm MFX 2284 3 way tap blue with extension 100cm MFX 2280E 3 way tap with extension and...

Page 33: ...in accordance with the information supplied Cardinal Health will not be responsible should any of these actions be performed outside the instructions or information supplied by Cardinal Health Refer...

Page 34: ...ensure that the internal battery is fully charged A Before cleaning always switch OFF and disconnect from the AC power supply Never allow liquid to enter the casing and avoid excess fluid build up on...

Page 35: ...ssure Time to alarm following occlusion is achieved in less than 30 minutes at rates of 1 ml h and higher by the appropriate selection of occlusion levels The following graphs show the typical values...

Page 36: ...nddigitalcomponents are required to meet IEC EN60950 for data processingandIEC EN60601formedicaldevices Anyone connecting additional devices to the signal input or output is a system configurator and...

Page 37: ...e As the observation window is reduced short term fluctuations have greater effects as represented by the mouth of the trumpet Knowledge of system accuracy over various observation windows may be of i...

Page 38: ...than 5 2 By measuring the volume from the flow rate profile delivered from the Alaris PK Syringe Pump and then introducing this into a reverse pharmacokinetic model the predicted plasma or effect con...

Page 39: ...umetric Accuracy 0 4 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 0 5 10 15 20 25 30 35 40 45 50 55 60 0 0 0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 0 5 10 1...

Page 40: ...lasma Concentration ng ml Ideal Plasma Concentration g ml 0 0 0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0 0 5 10 15 20 25 30 35 40 45 50 55 60 0 0 0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0 Patient Age 75 Yrs Patient Weight...

Page 41: ...n the Alaris Infusion System product family are 1 are also available without an RS232 option fitted contact local customer services representative to obtain part number details 2 For Docking Stations...

Page 42: ...Ndabeni Cape Town 7405 South Africa Tel 27 0 860 597 572 Tel 27 21 510 7562 Fax 27 21 5107567 BE Cardinal Health Otto De Mentockplein 19 1853 Strombeek Bever Belgium Tel 32 2 267 38 99 Fax 32 2 267 99...

Page 43: ...d promptly properly packaged and postage prepaid by purchaser Loss or damage in return shipment to Cardinal Health shall be at purchaser s risk In no event shall Cardinal Health be liable for any inci...

Page 44: ...31 F Fuses 32 G General Options 25 H Hands Free 19 Hands On 19 I Indicators AC POWER 8 BATTERY 8 Installation 15 Introduction 2 IrDA 35 L Labelling Symbols 9 Language 14 25 Loading a Syringe 16 M Mai...

Page 45: ...1000DF00005 Iss 2 44 44 Page Intentionally Left Blank...

Page 46: ...ment contains proprietary information of Cardinal Health Inc or one of its subsidiaries and its receipt or possession does not convey any rights to reproduce its contents or to manufacture or sell any...

Reviews: