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Plum A+

® 

Infusion Systems

System Operating Manual

13

C

ONCURRENT

 F

LOW

G

UIDELINES

When delivering short half-life critical drugs (see Critical Drugs, 
this section
) using the Plum A+ in the Concurrent mode, the 
following delivery rate guidelines should be observed:

• If the critical drug (with half-life less than 6 minutes) is to be 

infused at less than 2 mL/hr, the other infusion should be no 
faster than 5 times the critical drug’s rate. Dopamine, for 
example, delivered at 1.5 mL/hr should not be accompanied 
by an infusion programmed any faster than 7.5 mL/hr.

• If the critical drug (with half-life less than 6 minutes) is to be 

infused at 2 - 5 mL/hr the other infusion should be no faster 
than ten times the critical drug’s rate. Dopamine, for example, 
delivered at 3.5 ml/hr should not be accompanied by an 
infusion programmed any faster than 35 mL/hr.

• If the critical drug (with half-life less than 6 minutes) is to be 

infused at 5.1 mL/hr or greater, the other infusion can be 
programmed at any desired rate.

NOTE: The total of the primary rate plus the secondary rate 
cannot exceed 500 mL/hr.

These guidelines apply only when infusing short half-life critical 
drugs
 in Concurrent mode. Individual patient responses may 
vary requiring adjustment of delivery rates.

D

ELIVERY

 R

ATE

 G

UIDELINES

S

HORT

 H

ALF

-

LIFE

 (

LESS

 

THAN

 

MINUTES

) C

RITICAL

 D

RUG

 

I

NFUSION

 R

ATE

M

AXIMUM

 R

ATE

 

OF

 

A

CCOMPANYING

 I

NFUSION

0.5 - 1.9 mL/hr

5 Times the Critical Drug Rate

2 - 5  mL/hr

10 Times the Critical Drug Rate

5.1 or Greater

Any Desired Ratio

430-95597-004.book  Page 13  Friday, March 9, 2007  8:30 AM

Summary of Contents for 20678-04

Page 1: ...430 95597 004 B Rev 04 2007 HOSPIRA INC LAKE FOREST IL 60045 USA ...

Page 2: ... apply to both the Plum A Infuser and Plum A 3 Infuser unless otherwise noted Plum A Infuser List 20679 20792 04 NOTE This operating manual may also be used with Device List 12391 04 11971 04 when used with Module List 20677 04 Plum A 3 Infuser List 20678 04 CAUTION TH I S DEVICE IS TO BE USED WITH AN IV POLE WITH A 6 WHEEL BASE AND A SHELF ...

Page 3: ...be used in most areas of patient care including but not limited to Product Description Each system includes a pumping module hereafter called the infuser and an assortment of disposable IV sets hereafter called a set optional accessories and this operator s manual The Plum A host device contains a Connectivity Engine peripheral module that provides wired Ethernet and wireless 802 11 a b g local ar...

Page 4: ...r your local representative Indications for Use USER QUALIFICATION The Plum A is intended for use at the direction or under the supervision of licensed physicians or certified healthcare professionals who are trained in the use of the infuser and the administration of parenteral enteral and epidural fluids and drugs and whole blood or red blood cell components The training should emphasize prevent...

Page 5: ...SERVED AT ALL TIMES FAILURE TO OBSERVE A WARNING MESSAGE IS POTENTIALLY LIFE THREATENING CONVENTION APPLICATION EXAMPLE Italic Reference to a section figure or table Function or mode specific instructions See Figure 3 1 Priming Cassette Primary Only Attach an empty container BRACKETED ALL CAPS Keys or buttons on the device are displayed in BRACKETED ALL CAPS or with a graphic START or Italic Softk...

Page 6: ... Therefore figures may not exactly reflect the product Precautions The Plum A has been designed and manufactured to be safe reliable and easy to use This section details precautions and possible hazards For safe operation of the Plum A observe the following precautions and hazards HEALTHCARE PROFESSIONALS AND PATIENT RELATED In vitro studies have suggested that packed red blood cells with unusuall...

Page 7: ...efore disconnecting a syringe from the cassette pull up the plunger slightly to avoid spilling the fluid For rigid containers close the upper slide clamp open the cassette door then remove and invert the cassette ports down Air bubbles may form distal to the cassette as result of normal outgassing of dissolved air in the fluid This may occur if chilled solution is in use if the infuser is mounted ...

Page 8: ...r infusion should be no faster than ten times the critical drug s rate Dopamine for example delivered at 3 5 ml hr should not be accompanied by an infusion programmed any faster than 35 mL hr If the critical drug with half life less than 6 minutes is to be infused at 5 1 mL hr or greater the other infusion can be programmed at any desired rate NOTE The total of the primary rate plus the secondary ...

Page 9: ...de anesthesia or analgesia for periods up to 96 hours This device can be used to administer only those anesthetics analgesics approved for epidural administration as indicated or allowed 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 Hospira catheter...

Page 10: ...volume of fluid is administered over a short time period the pressure will take longer to return to normal If overdelivery occurs during administration observe the patient closely for signs of spinal cord compression disorientation headache transient neuralgias and drug overdose BATTERY OPERATION When the battery is removed from the Plum A do not operate on patients Use of a properly maintained an...

Page 11: ...c Use syringe adapter List 11986 48 when using syringes smaller than 10 cc Some 10 cc syringes may require use of a syringe adapter Syringes larger than 10 cc may be attached directly to the secondary port of the cassette Use of a syringe adapter may decrease the occurrence of proximal occlusion alarms Use a 19 gauge or larger needle or catheter at the venipuncture site for viscous fluids if opera...

Page 12: ...wly degrade components made from some plastic materials Using abrasive cleaners or cleaning solutions not recommended by Hospira may result in product damage Do not use compounds containing combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride Never use sharp objects such as fingernails paper clips or needles to clean any part of the infuser Do not sterilize by heat steam ethylen...

Page 13: ...d 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 the infusion device instead of some othe...

Page 14: ...ular installation If this equipment does cause harmful interference with other devices which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures Reorient or relocate the receiving device Increase the separation between the equipment Connect the equipment into an outlet on a circuit different from t...

Page 15: ...ith the system standard IEC 60601 1 1 Any person who connects additional equipment to the signal input or output part configures a medical system and is therefore responsible for ensuring that the system complies with the requirements of the system Standard IEC 60601 1 1 If in doubt consult the technical service department or your local representative Guidance on EMC Compatibility There is a share...

Page 16: ... adjacent to or stacked with other equipment monitor the devices to verify normal operation USE ONLY components specifically labeled for use with the Plum A Infusion System to help ensure the device operates as intended If you suspect external RF sources or other equipment are influencing device operation contact the biomedical engineering department for additional guidelines concerning electromag...

Page 17: ...nerates uses and can radiate radio frequency energy If not installed and used in accordance with the instructions it may cause harmful interference to radio communications However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to radio or television reception which can be determined by turning the equipment off ...

Page 18: ...sional September 1999 The radiated output power of this Wireless LAN device is far below the FCC radio frequency exposure limits The Wireless LAN device for both Plum A and Plum A 3 has been evaluated with 0 2 inches separation of human body from the antenna and found to be compliant with FCC RF exposure limits WIRELESS DEVICE PRECAUTION The wireless 801 11a b g device usage in the 5150 5250 MHz b...

Page 19: ...le clamp barcode wand holder and power cord Weight Plum A Approximately 9 5 lbs with battery Plum A 3 Approximately 28 lbs with 3 batteries Casing High impact plastic Power Requirements Plum A 120 V 50 60 Hz 35 VA Meets UL 60601 1 Plum A 3 120 V 50 60 Hz 120 VA Fuses F1 F2 250V 0 5 A internal Power Cord Hospital grade AC cord 10 ft long with transparent plug and retainer plate Battery Plum A One s...

Page 20: ...IEC 60601 1 standard Medical Electronic Equipment Part 1 General Requirements for Safety NURSE CALL System Circuitry Ratings NURSE CALL alarm is factory set for Normally Open NO Contact the Technical Services Center to make an internal adjustment to change the device from Normally Open NO to Normally Closed NC system Voltage 30 VDC Max Current 0 25 Amps Max Contact Rating 3 Watts Max Device Name H...

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