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Hospira GEMSTAR 13088-04-01, System Operating Manual

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Hospira GemStar Manual 430-10984-001 (Rev. 03/06)

i

Hospira GemStar® Infusion Pump 

System Operating Manual

For use with the 

Hospira GemStar® Pain Management Pump

List 13088-04-01/02

PLEASE

Read this entire manual before 

using the Hospira GemStar® Pump

This manual is designed for use by healthcare professionals, caregivers, and patients. 

The Hospira Technical Support Operations hotline is available 24 hours a day (in the 

USA) to provide consultation and technical assistance regarding the Hospira 

GemStar® Pump.

In the USA:

Hospira Technical Support Operations
1-800-241-4002

Outside the USA:

Contact your local Hospira
sales office

To order additional copies of this manual 

(List 13088) call Hospira Customer Care:

1-877-9HOSPIRA

(1-877-946-7747)

430-10984-001.book  Page i  Friday, March 31, 2006  4:49 PM

Summary of Contents for GEMSTAR 13088-04-01

Page 1: ...mp For use with the Hospira GemStar Pain Management Pump List 13088 04 01 02 Hospira Inc Lake Forest IL 60045 430 10984 001 Rev 01 06 System Operating Manual 430 10984 001 book Page i Friday March 31...

Page 2: ...rofessionals caregivers and patients The Hospira Technical Support Operations hotline is available 24 hours a day in the USA to provide consultation and technical assistance regarding the Hospira GemS...

Page 3: ...pira GemStar Manual 430 10984 001 Rev 03 06 Change History Part Number Description of Change Pages Changed 430 10984 001 Rev 03 06 Original Issue N A 430 10984 001 book Page ii Friday March 31 2006 4...

Page 4: ...ing On the Pump 25 Accessing the Delivery Mode Menu 27 Programming the Pump 28 Starting a New Container 30 GemStar Pump Set 30 Loading the Cassette 33 Releasing the Cassette 34 Priming a GemStar Pump...

Page 5: ...se 79 Shift Totals and History 79 6 Troubleshooting 81 Alarm Messages 82 Alert Messages 91 Other Display Messages 94 7 Maintenance 95 Pump Storage 95 Cleaning and Disinfecting 95 Repair 97 8 Operation...

Page 6: ...pecifications 127 Occlusion Information 130 12 Warranty Technical Assistance 145 A Electrical Potentials 147 Guidance on EMC Compatibility 147 Information Regarding Electrostatic Discharge ESD 148 Ind...

Page 7: ...Notes vi Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page vi Friday March 31 2006 4 49 PM...

Page 8: ...ersible product damage or hardware failure Failure to observe a caution could result in serious patient or user injury Convention Use Example ALL CAPS Pump keys Press YES ENTER to continue ALL CAPS Di...

Page 9: ...1 Introduction 2 Hospira GemStar Manual 430 10984 001 Rev 03 06 GemStar Pump Layout Shown approximate size 430 10984 001 book Page 2 Friday March 31 2006 4 49 PM...

Page 10: ...eview Program 4 Pump Settings 7 Speed Protocol 2 Histories 5 Set Clock 3 Keypad Lock 6 Print Scrolls through program review and help messages Toggles between AM and PM in time based entries DOWN arrow...

Page 11: ...o connect the AC mains adaptor 5 Data Port Connector Use to connect the GemStar serial cable 6 Bolus Connector Use to connect a bolus cord 7 Tubing Channel Place the pump set tubing in this channel 8...

Page 12: ...ous options Four lock levels are available Chapter 4 Options Menu and Chapter 5 Clinician Instructions New Container Repeats the current program without reprogramming the pump Chapter 2 Basic Operatio...

Page 13: ...espond to display messages and enter numeric values For example press 2 to select HISTORIES from the Options Menu G Note Menu items may vary depending on the pump s configuration I Tip A menu item doe...

Page 14: ...Note Piggybacking is available only in mL hr Only and Continuous therapies Note Menu items change depending on when Change Menu is viewed Options Menu Press 1 REVIEW PROGRAM 2 HISTORIES 3 KEYPAD LOCK...

Page 15: ...ing Mode The pump enters the PROGRAMMING mode after the pump is powered on or when is pressed Run Mode After is pressed the pump enters the RUN mode even when not infusing Stop Mode When programming i...

Page 16: ...ydrochloride USP and Morphine Sulfate Injection USP Preservative Free For epidural administration the following is recommended Nylon or Teflon catheter Pump sets without Y sites Stickers for the tubin...

Page 17: ...roximal occlusion alarm activates DO NOT power off the pump Closely supervise patients who are likely to be adversely affected by unintended operations and failures including interrupted medication or...

Page 18: ...on as practical after priming the pump set Use of high flow rates during infusion will minimize drug absorption DO NOT use medications that are unstable under infusion conditions ALWAYS use connection...

Page 19: ...pump from service IMMEDIATELY If the pump does not display the self test or if beeps do not sound at power on check all power connections and install two fresh disposable AA batteries If the problem c...

Page 20: ...ector and pull straight out DO NOT twist or bend the cord or connector To ensure proper pump operation ALWAYS replace BOTH disposable batteries with fresh disposable AA batteries when a change is requ...

Page 21: ...mply with EMC EMI limits in accordance with IEC EN 60601 1 2 2001 when using two AA disposable batteries or when connected to the GemStar AC Adaptor IEC EN 60601 1 2 2001 ESD exemption when using Li I...

Page 22: ...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 IEC...

Page 23: ...ly DO NOT use abrasive cleaners or materials on the pump Using abrasive cleaners or cleaning solutions not recommended by Hospira may result in product damage Please comply with local disposal and rec...

Page 24: ...to record program settings 2 Select a power source Refer to Selecting a Power Source on page 18 3 Prime the pump set Refer to GemStar Pump Set on page 30 4 Load the cassette into the pump Refer to Loa...

Page 25: ...page 13 Power Source Description Ambulatory Hospital Home GemStar AC Mains Adaptor USA Wall mount adaptor plugs into a 110 VAC mains supply GemStar AC Mains Adaptor Universal Wall mount adaptor plugs...

Page 26: ...he left counterclockwise until it is released from the battery compartment 3 Pull the door free and remove any existing batteries 4 Install two fresh disposable AA batteries into the battery compartme...

Page 27: ...eled for use with the GemStar Pump When removing the cord from the bottom of the pump firmly grasp the connector and pull straight out DO NOT twist or bend the cord or connector Ensure two fresh dispo...

Page 28: ...efer to the caution regarding Power Loss on page 13 When removing the cord from the bottom of the battery pack firmly grasp the connector and pull straight out DO NOT twist or bend the cord or connect...

Page 29: ...y pack into place To release the battery pack 1 Press the release button on the battery pack 2 Pull the battery pack straight out from the pump G Note When the pump is connected to the battery pack th...

Page 30: ...at least 12 hours to charge the battery pack CAUTION When removing the cord from the battery pack firmly grasp the connector and pull straight out DO NOT twist or bend the cord or connector G Note Th...

Page 31: ...ntil it snaps into place 4 Connect the docking station to AC mains power To remove the pump 1 Press the release button on the top of the docking station 2 Slide the pump out To charge docking station...

Page 32: ...e The self test takes approximately 30 seconds to complete If the pump is locked lock symbols appear at the beginning and end of the second line UNIT SELF TEST Display Message Power Source s User Resp...

Page 33: ...BATT ENTER TO CONFIRM External batteries docking station battery or battery pack and disposable batteries Press to confirm If an AC mains adaptor is in use ensure the connections are secure G Note To...

Page 34: ...stored in pump memory To continue the current program press 1 To reset the current program 1 PRESS 1 2 PRESS CHANGE TO DISPLAY THE CHANGE MENU AND SELECT NEW CONTAINER To enter a new program and clear...

Page 35: ...minimum or maximum value allowed 1 Select the desired delivery mode from the Delivery Mode Menu 2 Respond to display messages and enter requested values 3 Review the program if required Press to begi...

Page 36: ...y Press during programming and alarm conditions to display information about the current condition Press to toggle between units of measure when entering concentrations Scrolls through program review...

Page 37: ...in the intact unit package Contact a Hospira representative for more information on selecting the appropriate pump set configuration Additional disposable components such as air eliminating filters an...

Page 38: ...peration A typical GemStar Pump Set is shown below 1 Piercing Pin 6 Tubing 2 Proximal End 7 Slide Clamp 3 Cassette 8 Secure Lock 4 Flow Stop open close 9 Pressure activated Anti Siphon Valve 5 Distal...

Page 39: ...e the contents 2 Remove the protective covers from the fluid container administration port and the pump set WARNING ALWAYS prime the pump set to remove air from the cassette tubing and injection sites...

Page 40: ...e cassette pocket 2 Ensure slide clamp or lower CAIR clamp is open prior to inserting cassette 3 Line up the cassette as shown with the flow stop button facing the pump 4 Insert the cassette into the...

Page 41: ...1 Close the slide clamp on the distal line 2 Push down on the cassette release large black button on the top of the pump 3 Remove the cassette G Note Ensure the tubing is behind the tubing guide at t...

Page 42: ...he flow stop to open priming position the cassette 4 Invert the cassette approximately 45 5 While holding the rotated cassette squeeze or roll the container to remove air from the container and casset...

Page 43: ...page 33 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 10 Connect the pump set to the patient access device Primi...

Page 44: ...slide clamp is open prior to inserting cassette 4 Load the cassette CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 3...

Page 45: ...s 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 th...

Page 46: ...lide clamp to close off the KVO Keep Vein Open side of the tubing 2 Open the upper and lower slide clamps WARNING Failure to use the pressure activated anti siphon valve may result in unrestricted flo...

Page 47: ...set extending from the top 7 Slowly push down on the injector until fluid flows at the distal end of the tubing which indicates that all air is cleared from the vial injector cassette and tubing 8 Pus...

Page 48: ...e is installed Refer to Loading the Cassette on page 33 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 12 Connect...

Page 49: ...pen priming position the cassette 4 Invert the cassette approximately 45 5 While holding the rotated cassette squeeze or roll the container to remove air from the container and cassette 6 Return the c...

Page 50: ...le after the cassette is installed Refer to Loading the Cassette on page 33 11 Program the desired therapy 12 Press PURGE 13 The pump displays PRIME THE SET Press YES ENTER 14 Press and hold PURGE Con...

Page 51: ...m 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 pump set 15 Connect the pump set to the...

Page 52: ...te bolus dose concentration can be programmed in increments of 0 01 Priming using PURGE is only allowed before START is pressed or after one of the following events occur Complete Review of New Progra...

Page 53: ...ramming the pump Key Function Key Function 0 9 Selects menu items and enters numeric values DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and...

Page 54: ...grammed 6 If programmed in units of mcg or mg the line displaying the units flashes Enter the container size in proper unit measure 7 Select the air sensitivity if required 8 Review the program Press...

Page 55: ...splay and the amount infused accrues as the delivery progresses When the bolus dose is complete the pump does the following Records the bolus request and delivery amount to the event and bolus history...

Page 56: ...rate to 2 5 mL hr 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 previously prog...

Page 57: ...ing dose is complete the pump does the following Automatically begins programmed infusion Records the dose amount to the history log Resets the bolus lockout time if applicable and ignores other bolus...

Page 58: ...ng loading dose amount Can be changed at any time Cannot be changed Delivery rate Bolus Bolus lockout Container size Air sensitivity Dose limit amount Delivery mode Unit of measure Concentration Dose...

Page 59: ...Rate 0 1 2500 mg hr 1 25000 mcg hr 0 1 25 0 mL hr Loading Dose No Yes Amount 0 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 1 999 min Optional Dos...

Page 60: ...ensitivity may not show in all setting configurations Air Sensitivity On Alarms at approx 0 5 mL of air 2 mL Alarms at approx 2 mL of air Off No alarm N A G Note Titrating VTBI does not change initial...

Page 61: ...Notes 54 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 54 Friday March 31 2006 4 49 PM...

Page 62: ...Key Function Key Function 0 7 Selects menu items and enters numeric values DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and help messages Ac...

Page 63: ...power if the external power source fails Refer to the caution regarding Power Loss on page 13 KEYPAD LOCK Lock and unlock the keypad to prevent unauthorized changes to the program The lock levels allo...

Page 64: ...to exit OPTIONS Histories 1 Press OPTIONS and select HISTORIES 2 Select the number key for the desired function 3 Complete the appropriate steps for the selected function 1 REVIEW PROGRAM 2 HISTORIES...

Page 65: ...als Time and date when shift was cleared Volume infused in the shift Any relevant program specific information VOLUME TOTALS Display volume totals Amount infused VTBI Any relevant program specific inf...

Page 66: ...for displaying shift totals 2 At the end of the shift totals the pump displays CLEAR TOTALS YES OR NO Press YES ENTER to clear the shift totals Press NO to exit OPTIONS without clearing the shift tot...

Page 67: ...lume totals Press NO to exit OPTIONS without clearing the volume totals Configuration To display the pump configuration 1 Press OPTIONS and select HISTORIES 2 Select CONFIGURATION from the Histories M...

Page 68: ...ly Refer to Chapter 8 Operation Test on page 99 for instructions G Note Bolus History is only available if the current program has a bolus programmed or had a bolus programmed at one time The Bolus Hi...

Page 69: ...d 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 Clini...

Page 70: ...Deliver a Bolus If programmed Silence an Alarm Select a New Container Purge Change a Program Under Rate Change Lock only the delivery rate or bolus dose volume can be changed and must be within the pr...

Page 71: ...is selected Note The pump setting is inactivated if custom configured by your facility to ON or 2mL The air alarm can also be set during programming if the current therapy allows it OCCL SENSOR Chang...

Page 72: ...gs Menu 3 Select the desired setting 4 The pump displays MAKE XXXXX DEFAULT Press NO to temporarily change the distal occlusion setting The new setting will be in effect until a new program is entered...

Page 73: ...and month 4 Use the number keys to enter the current day year and time 5 Press YES ENTER to confirm G Note The alarm cannot be turned off completely The alarm automatically reverts to the maximum vol...

Page 74: ...sure the printer is connected to the pump BEFORE selecting a print function Refer to Connecting to the Seiko Printer on page 73 for more information Select this item from the Print Menu To do this fun...

Page 75: ...enu 3 Select 1 9 to assign to the new protocol If the selected speed protocol is already assigned the pump displays REPLACE PROTOCOL ASSIGNMENT Press YES ENTER to replace the protocol The pump display...

Page 76: ...m Press to begin review 5 Press YES ENTER If in the STOP mode press 1 to recall the protocol or press 2 to review another protocol If in the RUN mode the pump exits OPTIONS Delete 1 Press OPTIONS and...

Page 77: ...NG Ensure a cassette is installed in the pump before connecting to a printer or computer If the pump is connected to a patient BEFORE connecting the pump to a computer or printer press STOP close the...

Page 78: ...the list of the current settings start printing release the ONLINE button 3 Set the switches according to the following table Press the ONLINE button to continue setting switches Press ONLINE to set s...

Page 79: ...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 Charac...

Page 80: ...nu WARNING Ensure a cassette is installed in the pump before connecting to a printer or computer If the pump is connected to a patient BEFORE connecting the pump to a computer or printer press STOP cl...

Page 81: ...a cassette is installed in the pump before connecting to a printer or computer If the pump is connected to a patient BEFORE connecting the pump to a computer or printer press STOP close the slide cla...

Page 82: ...ck NO 3 Enter a name for the new connection e g GemStar Print Files and choose an icon 4 Click OK 5 From the Connect drop down menu select the appropriate COM port 6 Click OK 7 Verify that the followi...

Page 83: ...re Text 8 Type the path and file name where the printout should be saved Ensure the file extension is txt The default path is c windows accessories hyperterminal 9 Click Start 10 Select the desired pr...

Page 84: ...you can enter the key combinations shown in this table Function Quick Access Key Combination Unlock Keypad Place the pump in STOP mode and then enter the lock sequence to unlock a Full Container or Ra...

Page 85: ...mum value MAX flashes on the display Enter the maximum value 5 Press YES ENTER when done 6 Repeat steps 4 and 5 for a bolus dose if available in the current program 7 Enter the lock sequence number 1...

Page 86: ...imary infusion To deliver the loading dose later press NO The pump returns to the stop mode The next time START is pressed the pump again displays DELIVER LOADING DOSE NOW Press YES ENTER to deliver t...

Page 87: ...key combinations to access information or activate an activity which is not listed on the screen I Tip Press HELP to display shift totals when the pump is not in PROGRAMMING mode or an alarm conditio...

Page 88: ...he Hospira Technical Support Operations hotline available 24 hours a day To return the pump for service first contact Hospira Customer Support between 7 00 AM and 4 00 PM Pacific time Have the pump se...

Page 89: ...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 Not...

Page 90: ...Ensure two fresh disposable AA batteries are installed for backup power when using other power sources e g AC Mains adaptor docking station battery pack The pump will continue to operate on backup po...

Page 91: ...ure the tubing is behind the tubing guide at the distal end Refer to Loading the Cassette on page 33 5 Press START to begin infusion Note The pump cannot be powered off during a CHECK CASSETTE alarm e...

Page 92: ...art the pump 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 Kinked tubing below the pump Clamped patient access...

Page 93: ...ess STOP to place the pump in the STOP mode 3 Connect the pump to AC mains adaptor rechargeable battery pack or press the On Off key to turn off the pump and replace both disposable batteries with fre...

Page 94: ...AA batteries 2 Power on the pump and resume the current program Refer to Accessing the Program Menu in Section 2 for more information Review the program if required 3 Press START to begin infusion CA...

Page 95: ...Closed clamps above pump Empty container High torque syringe Other obstructions 4 Remove obstructions 5 Press START to begin delivery 6 If the problem continues ensure slide clamp or lower CAIR clamp...

Page 96: ...o confirm disposable batteries are the only power source When switching from AC Mains power Press SILENCE to clear the alarm CAUTION Ensure two fresh disposable AA batteries are installed for backup p...

Page 97: ...s YES ENTER to confirm external battery power source When switching from AC Mains power Press SILENCE to clear the alarm CAUTION Ensure two fresh disposable AA batteries are installed for backup power...

Page 98: ...additional alarms sound Note This alert is avail able only with Pain Man agement therapy CHECK PRINTER Y A V The printer has not responded to commands from the pump The printer is not properly connect...

Page 99: ...ction to repeat the current program Refer to Starting a New Container in Chapter 2 Basic Operation Note Titration is allowed at this time FLASHING DISPLAY Line four of the display flashes N A V A Non...

Page 100: ...external power source fails Refer to the caution regarding Power Loss on page 13 PROGRAMMING INCOMPLETE N A V Programming has not been completed and no keys have been pressed within three minutes 1 P...

Page 101: ...accept the rounded value and continue to the next step DOSE IN PROGRESS NEW CONTAINER NOT ALLOWED User has attempted to access NEW CONTAINER function when it is not allowed 1 Press STOP 2 Increase the...

Page 102: ...de 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 A...

Page 103: ...p surface with a water moistened lint free cloth 5 Use a dry lint free cloth to dry the pump after cleaning Cleaning Solution Manufacturer Preparation Vesphene II se Calgon Vestal Laboratories Per man...

Page 104: ...ump has no user serviceable components with the exception of disposable batteries If the display clock stops working contact Hospira Technical Support Operations to arrange for internal battery replac...

Page 105: ...Notes 98 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 98 Friday March 31 2006 4 49 PM...

Page 106: ...es to complete The pump provides step by step instructions through each section of the test Equipment Required GemStar Pump Two GemStar Microbore Pump Sets without a filter Reservoir with at least 50...

Page 107: ...Case Inspection 1 Visually inspect the case and keypad for damage Check the case for missing screws or labels 2 Enter the results If the pump is free of damage and all the screws and labels are in pl...

Page 108: ...ed 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 casset...

Page 109: ...each key including the Bolus Button Press YES ENTER last 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 YE...

Page 110: ...ace the proximal end in the reservoir of water Press 3 Place the distal end in a 20 mL graduated cylinder Press 4 Press START 5 Enter the results If the pump delivers between 19 0 to 21 0 mL press YES...

Page 111: ...rm failure Proximal Occlusion Test The occlusion should occur within approximately 30 seconds to pass this test 1 Clamp the pump set above the cassette 2 Press START 3 The test result displays Press I...

Page 112: ...If desired follow the steps below to print the test results An example of the printed test results is shown 1 Connect the serial printer cable to the pump Refer to Connecting to the Seiko Printer in C...

Page 113: ...8 Operation Test 106 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 106 Friday March 31 2006 4 49 PM...

Page 114: ...ass Fail Case Inspection Cassette Pocket and Latch Inspection Power Check Keypad Check Display Test LED Test Volume Accuracy Test Distal Occlusion Test Proximal Occlusion Test Air in line Test Printed...

Page 115: ...Notes 108 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 108 Friday March 31 2006 4 49 PM...

Page 116: ...s supply to power the GemStar Pump GemStar Bolus Cord 13027 01 Allows bolus requests to be made up to 6 feet 1 8 m from the pump GemStar Pole Clamp 13076 01 Attaches the GemStar Pump to an I V pole Th...

Page 117: ...le separately Hospira Carrying Case 250 mL 13594 01 Soft sided carrying case can be worn around the waist to hold the GemStar Pump and up to a 250 mL flexible container Hospira Carrying Case 500 mL 13...

Page 118: ...nnect Clinician Kit 13048 01 Allows remote access from a clinician s computer to a GemStar Pump The Kit includes a modem phone cable serial cable and GemStar Connect software GemStar Connect Patient K...

Page 119: ...mp is secured in the lockbox the user has access to the AC mains connector data and bolus ports keypad and bolus button WARNING DO NOT touch connector ports Refer to caution on page 15 WARNING When re...

Page 120: ...Connect the pump set to the vial and prime 7 Place the vial inside the lockbox D 8 Load the cassette E CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Ref...

Page 121: ...the bag and prime 7 Place the flexible container inside the lockbox with the administrative port down D 8 Hang the bag on the hook inside the lockbox E 9 Ensure slide clamp is open prior to inserting...

Page 122: ...the administration set is fully primed and the cassette is properly loaded before placing the pump in the carrying case Refer to Chapter 2 Basic Operation for more information Refer to Loading the Ca...

Page 123: ...5 Close the zipper 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 7 Adjust the belt f...

Page 124: ...d bag on the backside of the compartment F 4 Secure the bag with flaps G and H 5 Secure the bag spike with strap I Ensure the fluid flow is not restricted 6 Use a figure 8 pattern to wrap the tubing S...

Page 125: ...Carrying Case 3 Liter List 13593 01 This soft sided carrying case can be worn around the waist or as a backpack It is designed to hold the GemStar Pump with batteries or a battery pack and up to a 3...

Page 126: ...shown and secure 8 Place the pump with the keypad facing upward inside the pocket J on the flap The pump s display should be visible through the opening on the front of the pocket 9 Secure the pump wi...

Page 127: ...9 Optional System Components 120 Hospira GemStar Manual 430 10984 001 Rev 03 06 A B D C I H G F E J N M K L 430 10984 001 book Page 120 Friday March 31 2006 4 49 PM...

Page 128: ...the connectors on the docking station 3 Slide the pump into the docking station until it snaps into place 4 Connect the docking station to AC mains power To charge docking station 1 Connect the dockin...

Page 129: ...e button on the top of the docking station 2 Slide the pump out WARNING Ensure a cassette is installed in the pump before connecting to a printer or computer If the pump is connected to a patient BEFO...

Page 130: ...r Refer to individual set labels for specific instructions and operating conditions The system may underdeliver and the system delivery accuracy may be reduced by as much as 5 when using the following...

Page 131: ...inch segment clear PVC tubing Pre Attached Pressure Activated Anti Siphon Valve Secure Lock Nonvented Microbore tubing 96 inch 244 cm 20634 GemStar Pump Set with orange polyethylene Lined Light Resis...

Page 132: ...it anti siphon valve 279 cm 20704 Latex Free GemStar Pump Set with Injector 2 Integral Pressure Activated Anti Siphon Valves Secure Lock Microbore Tubing 99 inch 251 cm 20705 Latex Free GemStar Pump S...

Page 133: ...Notes 126 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 126 Friday March 31 2006 4 49 PM...

Page 134: ...ironment Ambient Temperatures 41 F to 104 F 5 C to 40 C Power Sources AC Mains List 13026 01 USA complies with UL544 Wall mount AC mains adaptor 6 ft 1 8 m cord molded plug Input 110 VAC Output 3 0 VD...

Page 135: ...ing Controls One 23 key keypad bolus data port and AC mains jacks bolus button External Power LED Green LED marked with plug icon lights continuously when pump is connected to AC mains power Green LED...

Page 136: ...F Alarm is not activated Recommend using air eliminating filter when Air Sensitivity is set to OFF Occlusion Sensitivity Distal Occlusion Alarms when pump detects distal pressure within a selectable r...

Page 137: ...Infusion After Occlusion 1 Press STOP 2 Close the distal slide clamp or lower CAIR roller clamp 3 Press the cassette release button to eject the cassette from the pump 4 Press down on to open the flow...

Page 138: ...mp is open prior to inserting cassette 8 Load the cassette CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 33 G Note...

Page 139: ...ost 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 A single faul...

Page 140: ...ollowing page The graphs following the Example plot flow rates at 30 second intervals for the first 2 hours and for the 96th hour of delivery The graph plots mean delivery rate error Average of 3 pump...

Page 141: ...sed consider the maximum and minimum deviations at the 5 minute average interval The upper curve provides the maximum expected delivery rate error over a 5 minute interval the lower curve provides the...

Page 142: ...0 1 mL 0mm Hg Delivery Head Start Up Time minutes Actual Rate Programmed Rate Rate mL hr PERCENT ERROR 0 1 mL 0 mm Hg Delivery Head Start Up Observation Interval minutes Observation Interval minutes...

Page 143: ...E 0 1 mL 0mm Hg Delivery Head Hour 96 Time minutes Actual Rate Programmed Rate Rate mL hr PERCENT ERROR 0 1 mL 0 mm Hg Delivery Head Hour 96 Observation Interval minutes Observation Interval minutes M...

Page 144: ...ate Programmed Rate Rate mL hr 0 4 0 2 0 0 0 2 0 4 0 6 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 PERCENT ERROR 1 mL 0 mm Hg Delivery Head Start Up Observation Interval minut...

Page 145: ...tes Actual Rate Programmed Rate Rate mL hr 0 4 0 2 0 0 0 2 0 4 0 6 0 8 1 0 1 2 1 4 1 6 1 8 2 0 0 10 20 30 40 50 PERCENT ERROR 1 mL 0 mm Hg Delivery Head Hour 96 Observation Interval minutes Max Min Me...

Page 146: ...Programmed Rate Rate mL hr 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 PERCENT ERROR 25 mL 0 mm Hg Delivery Head Start Up Observation Interva...

Page 147: ...Actual Rate Programmed Rate Rate mL hr 10 0 5 0 0 0 5 0 10 0 15 0 20 0 25 0 30 0 35 0 40 0 45 0 50 0 0 10 20 30 40 50 PERCENT ERROR 25 mL 0 mm Hg Delivery Head 96 Hour Observation Interval minutes Max...

Page 148: ...Programmed Rate Rate mL hr 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 PERCENT ERROR 25 mL 100 mm Hg Delivery Head Start Up Observation Inter...

Page 149: ...Programmed Rate Rate mL hr 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 PERCENT ERROR 25 mL 100 mm Hg Delivery Head Start Up Observation Inter...

Page 150: ...Programmed Rate Rate mL hr 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 PERCENT ERROR 25 mL 0 mm Hg Delivery Head 20 in H20 Filling Head Start...

Page 151: ...Notes 144 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 144 Friday March 31 2006 4 49 PM...

Page 152: ...is limited to 90 days On return to Hospira the pump will be repaired or replaced within the terms of this warranty Material returned to Hospira must be properly packaged and sent freight prepaid This...

Page 153: ...ntact 1 800 241 4002 For additional technical assistance including Technical Service Bulletins technical training and product information visit the Web site at www hospiraparts com After authorization...

Page 154: ...agnetic environment to permit the device to perform as intended without disturbing other equipment Separate the device from all other electronic equipment If the device must be used near other electri...

Page 155: ...f should read and adhere to the precautionary procedures below Precautionary Procedures One of the most common causes of electrostatic damage to electronic devices is the direct transfer of electrosta...

Page 156: ...nance 95 power check 102 specifications 127 using the rechargeable battery pack 21 warnings and cautions 12 13 16 baud rate 129 configuration settings for the data port 71 75 switch settings for Seiko...

Page 157: ...shooting 85 docking station 111 charge 24 connecting the bolus cord and printer cable 122 connecting the pump 121 to charge 121 to remove the pump 122 dose limit 47 E electrical potentials 147 EMC com...

Page 158: ...occlusion Operating Modes Help Programming Run Stop 8 operation test 99 107 air in line test 105 cassette pocket and latch inspection 101 display test 102 distal occlusion test 104 equipment required...

Page 159: ...mponents 4 pump features 5 See also pump settings pump layout 2 3 pump set 12 16 123 124 pump settings 3 56 air sensitivity 65 change pump settings 64 occlusion sensor 65 sound level 66 pump specifica...

Page 160: ...rd exists if used in the presence of flammable anesthetics Authorized Representative Hospira Donegal Town Co Donegal Ireland The C and US indicators adjacent to the CSA Mark signify that the product h...

Page 161: ...Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 156 Friday March 31 2006 4 49 PM...

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