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Hospira GemStar System Operating Manual

Chapter 3

Total Parenteral Nutrition (TPN)

- Not Applicable to List 13088

Therapy Features and Specifications

This therapy allows programming of Total Parenteral Nutrition (TPN) protocols.

Taper Up and Taper Down may be programmed to gradually increase and

decrease the infusion rate at the beginning and end of a therapy. If Taper Down is

selected during programming, the pump allows auto tapering if the continuous

delivery is stopped before the programmed volume has been infused.

Set an optional KVO (Keep Vein Open) during programming.

TPN Programming Tips

The following table explains how to use the keypad during TPN programming:

Tip: The Programming Worksheet at the end of this chapter lists the minimum and

maximum values allowed for this protocol. Use copies of the programming

worksheet to record program values before programming the pump.

Key

Function

Key

Function

[

] - [

]

Selects menu items and
enters numeric values.

The DOWN arrow toggles
between units of measure
when entering concentrations.
Scrolls through program review
and help messages.

Accepts entries or continues
when done viewing a display.

The UP arrow inserts a decimal
point in a numeric value.

Displays information during
programming and alarm
conditions.

Returns to a previous display,
exits the Options Menu, and
exits the

HELP

mode.

Clears a numeric value (resets
to zero) during programming.

Summary of Contents for GemStar Series

Page 1: ...rth Field Drive Lake Forest IL 60045 USA TM Infusion System System Operating Manual Hospira Sector 2 Finisklin Business and Technology Park Finisklin Sligo Ireland For use with the Hospira GemStar Pump List 13086 04 List 13087 04 List 13088 04 ...

Page 2: ...igned 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 L...

Page 3: ...Cover Deleted trademark and updated copyright statements and moved Caution and Warning to bottom of page Page vii Updated trademark symbols for Hospira products Throughout Updated and added IEC symbols moved table of symbols and Caution and Warning to front Page vii Update Sterile R and Do Not Reuse symbols Pages 32 and 181 Added a statement in the Warning not to prime the set using the PURGE key ...

Page 4: ...s 11 2 Basic Operation 19 Overview 19 Selecting a Power Source 20 Powering On the Pump 27 Accessing the Programming Menu 29 Programming the Pump 30 Starting a New Container 32 GemStar Pump Set 32 Loading the Cassette 35 Releasing the Cassette 36 Priming a GemStar Pump Set 37 3 Total Parenteral Nutrition TPN Not Applicable to List 13088 53 Therapy Features and Specifications 53 TPN Programming 54 C...

Page 5: ...amming Worksheet 77 6 Continuous Not Applicable to List 13088 79 Therapy Features and Specifications 79 Continuous Programming 80 Rate Titration 81 Piggybacking 81 Changing a Continuous Program 84 Continuous Programming Worksheet 85 7 Weight Dosed Not Applicable to List 13088 87 Therapy Features and Specifications 87 Weight Dosed Programming 88 Auto KVO 89 Rate Titration 89 VTBI Titration 90 Chang...

Page 6: ...rogramming 104 Variable Time Delivery Interruptions 105 Changing a Variable Time Program 106 GemStar Variable Time Programming Worksheet 107 10 Options Menu 109 Overview 109 Tips for Using the Options Menu 109 Review Program 111 Histories 111 Keypad Lock 116 Change Pump Settings 118 Set Clock 120 Print 121 Speed Protocol 122 Next Dose Not available for List 13088 123 Connecting to the Data Port 12...

Page 7: ...eration Test 158 Printing Test Results 163 GemStar 165 Operation Test Checklist 165 15 Optional System Components 167 Connecting the Bolus Cord 170 Using the GemStar Lockboxes 170 Using the Hospira Carrying Cases 173 Using the GemStar Docking Station 179 16 Pump Sets 181 17 GemStar Pump Specifications 185 Occlusion Information 188 18 Warranty Technical Assistance 201 A Electrical Potentials 203 Gu...

Page 8: ...U S Standards Per IEC 60601 1 F Type Applied Part complying with the highest degree of protection against electric shock Type CF Applied Parts are those parts suitable for direct cardiac application Attention Consult accompanying documents Indicates compliance of this device to the Medical Device Directive 93 42 EEC Do Not Reuse Authorized Representative Hospira Sector 2 Finisklin Business and Tec...

Page 9: ...Notes viii Hospira GemStar System Operating Manual ...

Page 10: ...prevent irreversible 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 Display messages The pump displays ENTER TO CONFIRM WARNING A WARNING message contains special safety information and must be observed at all times Failure to observe a warning message coul...

Page 11: ...Chapter 1 Introduction 2 Hospira GemStar System Operating Manual GemStar Pump Layout Shown approximate size ...

Page 12: ... Menu items from the STOP or RUN mode 1 Review Program 4 Pump Settings 7 Speed Protocol 2 Histories 5 Set Clock 8 Next Dose 3 Keypad Lock 6 Print Scrolls through program review and help messages Toggles between AM and PM in time based entries DOWN arrow toggles between units of measure when entering concentrations 10 Toggles between AM and PM in time based entries UP arrow enters a decimal point i...

Page 13: ...sette 4 Power Connector Use to 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 Cassette Pocket Load the cassette into this pocket 9 I V Tubing Guide Use to hold the I V tubing 10 Battery Pack Connector Use to connect the GemStar Rechargeable Battery ...

Page 14: ...t controlled pain management PCA epidural infusion and parenteral administration of general I V fluids Intermittent Interval based therapies such as antibiotics Continuous Infusion of mg mcg or mL hr with a selectable KVO Keep Vein Open option Weight Dosed Critical care pediatrics mL hr Only Simple rate programming Variable Time Chronotherapy Available d Note pain management is the only therapy av...

Page 15: ... and Chapter 11 Clinician Instructions New Container Repeats the current program without reprogramming the pump Chapter 2 Basic Operation Piggybacking Allows delivery from a secondary container during a Continuous or mL hr Only program Chapter 6 Continuous Not Applicable to List 13088 and Chapter 8 mL hr Only Not Applicable to List 13088 Power on Self test Performs a self test each time the pump i...

Page 16: ...ct menu items respond to display messages and enter numeric values For example press 2 to select PAIN MANAGEMENT from the Programming Menu d Note Menu items may vary depending on the pump s configuration f Tip A menu item does not have to be on the display to be selected For example when the Programming Menu first displays only the first four therapies are shown Instead of pressing the down arrow ...

Page 17: ...p memory at power on the Programming Menu automatically displays after the self test Change Menu Press 1 NEW CONTAINER 2 NEW PROGRAM 3 CHANGE PROGRAM 4 PIGGYBACKING Note If the current therapy is Weight Dosed or mL hr Only and the pump is in RUN mode 3 TITRATE VTBI will replace 3 CHANGE PROGRAM on the menu display Note Piggybacking is available only in mL hr Only and Continuous therapies Note Menu...

Page 18: ... Description Help Mode The pump enters the HELP mode when is pressed during programming or an alarm condition The HELP mode displays additional information about the current condition Programming 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 is comple...

Page 19: ...al analgesia combined spinal epidural analgesia short term epidural infusion intraspinal within the spinal canal intrathecal within the subarachnoid or subdural space intraoperative sites soft tissue body cavity or surgical wounds intraarticular within a joint intraperitoneal within the peritoneal cavity and intracerebroventricular infusions The indications for use include hospital homecare and am...

Page 20: ...s General Warnings and Cautions 6 Federal USA law restricts this device to sale by or on the order of a physician or other licensed practitioner 6 Manual references to specific values are approximate only unless indicated otherwise Air in line sensitivity values are approximate only 6 When a proximal occlusion alarm activates DO NOT power off the pump 6 Closely supervise patients who are likely to...

Page 21: ...nted syringes the system may underdeliver System delivery accuracy could be reduced by as much as 5 6 When using PCA vials except in a lockbox with a spring assist mechanism the system may underdeliver System delivery accuracy could be reduced by as much as 5 6 When using viscous fluids the system may underdeliver System delivery accuracy could be reduced by as much as 5 6 Variations in filling he...

Page 22: ...ALWAYS use an air eliminating filter OR set the air sensitivity to either ON or 2 mL 6 Stop infusion if signs or symptoms of infiltration occur 6 GemStar Pump Sets contain a pressure activated anti siphon valve to reduce the potential for gravity flow at a typical 36 inch head height 6 Failure to use the pressure activated anti siphon valve may result in unrestricted flow if the cassette is not pr...

Page 23: ...se with the GemStar Pump 6 USE ONLY the AC mains adaptor specifically labeled for use with the GemStar Pump to charge the battery pack 6 The GemStar AC mains adaptor is for use with the GemStar Pump or GemStar Rechargeable Battery Pack only DO NOT use the GemStar AC mains adaptor with other products 6 During charging the battery pack is warm If the rechargeable battery pack becomes hot to the touc...

Page 24: ...roximity to this device may affect its operation 6 Possible explosion hazard exists if the pump is used in the presence of flammable anesthetics NEVER use the pump in the presence of flammable or explosive vapors 6 Non hazardous low level electrical potentials are commonly observed when fluids are administered using infusion devices These potentials are well within accepted safety standards but ma...

Page 25: ...he separation between the equipment 6 Connect the equipment to an outlet on a circuit different from that to which the other device is connected 6 Consult the manufacturer or field service technician for help 6 The use of portable and mobile RF equipment may have an impact on this and other pieces of medical equipment 6 Prior to using the GemStar Pump and optional system components refer to Append...

Page 26: ...ntaining combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride i e alcohol wipes 6 DO NOT sterilize by heat steam ethylene oxide ETO or radiation Apply disinfectants to the outside surface of the pump only 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 6 Please comply with...

Page 27: ...Notes 18 Hospira GemStar System Operating Manual ...

Page 28: ...o record program settings 2 Select a power source Refer to Selecting a Power Source on page 20 3 Prime the pump set Refer to GemStar Pump Set on page 32 4 Load the cassette into the pump Refer to Loading the Cassette on page 35 5 Power on the pump and go to the Programming Menu Refer to Powering On the Pump on page 27 6 Select the appropriate optional system components such as a bolus cord 7 Selec...

Page 29: ...aution regarding Power Loss on page 15 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 into a 100 240 VAC mains supply GemStar AC Mains Adaptor Universal Tabletop adaptor plugs into a 100 240 VAC mains supply GemStar Docking Station Plugs into a 100 240 VA...

Page 30: ...s 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 compartment Ensure the batteries are inserted as shown 5 Return the battery door to the battery compartment 6 Turn the battery door to the right clockwise Ensure the battery door is secured under the slot 7 Flip closed the tab of the battery do...

Page 31: ...ains adaptors specifically labeled 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 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 ba...

Page 32: ... if the external power source fails Refer to the caution regarding Power Loss on page 15 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 connector Regarding the GemStar Li Ion Battery Pack The LED indicator on the GemStar Li Ion Battery Pack flashes green yellow when an error condition has occurred or when...

Page 33: ... of the battery pack 2 Plug the AC mains adaptor into a standard wall outlet 3 Leave the battery pack connected to the AC mains adaptor for at least 12 hours to charge the battery pack d Note When the pump is connected to the battery pack the pump s green LED flashes and the battery pack light is off When the pump is connected to the battery pack at power on the pump displays USING EXT BATT d Note...

Page 34: ...rces e g AC mains adaptor docking station battery pack The pump will continue to operate on backup power if the external power source fails Refer to the caution regarding Power Loss on page 15 To connect to the Pump 1 Mount the docking station to the I V pole and tighten the knob 2 Line up the connectors on the bottom of the pump with the connectors on the docking station 3 Slide the pump into the...

Page 35: ...to the AC mains power 2 Leave the Li Ion Docking Station connected to AC mains power for at least 6 hours when not in use or to recharge the docking station d Note The Li Ion docking station List 13075 03 light is yellow while the docking station is charging When the docking station is charged or not charging the light is green The Li Ion docking station cannot be charged when the room temperature...

Page 36: ...wer on test is complete d Note 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 Response No message displays AC power and disposable batteries No response required the pump goes to the next step LOW BATTERIES ENTER TO CONFIRM AC power and weak low voltage...

Page 37: ...ctions are secure USING EXT 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 d Note To power off the pump press and hold until the display clears The pump cannot be powered off during a CHECK CASSETTE alarm except during PROGRAMMING mode Refer to Chapter 12 T...

Page 38: ...RY A program is currently 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 shift totals Press 2 The pump clears the program and shift totals from memory and enters PROGRAMMING mode To enter a new program clear shift totals and clear history Press 3...

Page 39: ... SAVING PROGRAM displays The pump stores the program in memory and then enters STOP mode d Note For Continuous Intermittent and Variable time therapies the pump only delivers in increments of 0 1 mL These therapies are rounded to the nearest 0 1 mL For example at a concentration of 15 mg mL a rate of 5 mg rounds to 4 5 mg 5 mg 0 333 mL 4 5 mg 0 3 mL When a value is rounded the pump sounds four qui...

Page 40: ...splay as 01 mcg kg mg 02 mcg kg hr 03 mcg kg min 04 mg kg min To select mg kg min press 0 4 Press to accept entries or to continue when done viewing a display Press during programming and alarm conditions to display information about the current condition The DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and help messages The UP arrow inser...

Page 41: ...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 and extension sets may be added to the line as required To use a GemStar Pump Set follow the instructions included with the set d Note The NEW CONTAINER function is not available when the pump is in FULL Lock ...

Page 42: ...g Manual 33 Chapter 2 Basic Operation 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 End ...

Page 43: ...tar Pump Set package and remove 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 prior to connecting to the patient ALWAYS disconnect the pump set from the patient prior to priming or purging Arrange tubing cords and cables to minimize the risk of pa...

Page 44: ...ck cassette latches inside the 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 cassette pocket by pushing firmly along the entire cassette until it is firmly seated ...

Page 45: ...asing the Cassette 1 Close the CAIR roller clamp or 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 d Note Ensure the tubing is behind the tubing guide at the distal end d Note The pump cannot be powered off during a CHECK CASSETTE alarm except during PROGRAMMING mode Refer to Chapter 12 Troubleshooting for informat...

Page 46: ...piercing pin 3 Push down on the 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 cassette 6 Return the cassette to the upright position Continue priming until fluid fills the tubing WARNING Failure to use the pressure activated anti siphon valve may result i...

Page 47: ...to Loading the Cassette on page 35 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 Priming using PURGE is only allowed before START is pressed or after one of the following events occur when using Pain Management therapy 6 Complete Review of New Program 6 New Co...

Page 48: ...lamp is open prior to inserting cassette 4 Load the cassette WARNING Failure to use the pressure activated anti siphon valve may result in unrestricted flow if the cassette is not properly installed in the pump Do not prime the set using the PURGE key if an intermittent infusion is being programmed with a delayed start time Infusion parameters may change if the pump will be turned off for an exten...

Page 49: ...inistration port toward the ceiling press and hold PURGE Continue using the PURGE key until fluid fills 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 the pump set 9 Connect the pump set to the patient access device d Note Ensure the tubing is behind ...

Page 50: ...amber until filled halfway 4 Push down on the flow stop to open priming position the cassette 5 Ensure the CAIR roller clamp is open prior to inserting cassette 6 Invert the cassette approximately 45 WARNING Failure to use the pressure activated anti siphon valve may result in unrestricted flow if the cassette is not properly installed in the pump When using a vented chamber ALWAYS use an air elim...

Page 51: ...urn the cassette to the upright position Continue priming until fluid fills the tubing 9 Push down on the flow stop to close the cassette 10 Ensure lower CAIR clamp is open prior to inserting cassette 11 Load the cassette CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 35 ...

Page 52: ...eration 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 the pump set to the patient access device d Note Ensure the tubing is behind the tubing guide at the distal end ...

Page 53: ...on the cassette WARNING Failure to use the pressure activated anti siphon valve may result in unrestricted flow if the cassette is not properly installed in the pump When using a vented set ALWAYS use an air eliminating filter OR set the air sensitivity to either ON or 2 mL Do not prime the set using the PURGE key if an intermittent infusion is being programmed with a delayed start time Infusion p...

Page 54: ...er clamp is open prior to inserting cassette 6 Load the cassette CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 35 7 Program the desired therapy d Note Ensure the tubing is behind the tubing guide at the distal end ...

Page 55: ...ey until fluid fills 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 the pump set 11 Connect the pump set to the patient access device d Note Purge rate is 250 mL hr The pump purges for up to 2 minutes each time you press and hold PURGE ...

Page 56: ...with the Y extension use the slide 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 flow if the cassette is not properly installed in the pump A cracked vial might not show evidence of leakage until delivery pressure is applied When using the GemStar Spring...

Page 57: ...a flat surface with the pump 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 pre filled vial injector cassette and tubing 8 Push down on the flow stop to close the cassette 9 If the set includes a KVO Y extension close the slide clamp below the pre filled vial and open the slide clamp o...

Page 58: ...rly visible after the cassette is installed Refer to Loading the Cassette on page 35 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 the pump set to the patient access device d Note Ensure the tubing is behind the tubing guide at the distal end ...

Page 59: ...sh down on the 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 cassette 6 Return the cassette to the upright position Continue priming until fluid fills the tubing WARNING Failure to use the pressure activated anti siphon valve may result in unrestricted fl...

Page 60: ...sion set to the pump set 9 Ensure the slide clamp is open prior to inserting cassette 10 Load the cassette CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 35 11 Program the desired therapy d Note Ensure the tubing is behind the tubing guide at the distal end ...

Page 61: ...key until fluid fills 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 the pump set 15 Connect the pump set to the patient access device d Note Purge rate is 250 mL hr The pump purges for up to 2 minutes each time you press and hold PURGE ...

Page 62: ...The following table explains how to use the keypad during TPN programming f Tip The Programming Worksheet at the end of this chapter lists the minimum and maximum values allowed for this protocol Use copies of the programming worksheet to record program values before programming the pump Key Function Key Function 0 9 Selects menu items and enters numeric values The DOWN arrow toggles between units...

Page 63: ...is zero 7 Enter the container size VTBI KVO 8 Select the air sensitivity if required 9 Review the program Press to begin review 10 If using the PURGE key to prime the pump set press PURGE now d Note Maximum VTBI is 9600 mL minus any taper amount d Note Time is entered in hours minutes 00 00 For one hour thirty minutes press 1 3 0 not 9 0 d Note KVO runs after Taper Down until the total container i...

Page 64: ...ays make the desired changes or press YES ENTER to accept the current setting 3 Review the program Press to begin review 4 Press START to begin infusion Can be changed before is pressed Can be changed at any time Cannot be changed VTBI Taper times Total TPN time KVO rate Increase container size only Air sensitivity Delivery mode d Note You cannot change a program when the pump is in FULL or CONTAI...

Page 65: ... alarm condition 1 Press STOP during TPN delivery The pump displays DO YOU WANT AUTO TAPERING Press NO to return to the STOP mode Then press START to continue therapy Press YES ENTER to set Auto Taper Down 2 Enter the Auto Taper Down time The maximum Auto Taper Down time is three hours or two times the remaining volume divided by the continuous infusion rate whichever is less 3 Press YES ENTER to ...

Page 66: ...g configurations Parameters Selections and or Values to be Entered Programmable Ranges Therapy TPN N A Delivery Mode Continuous Continuous Taper Down Continuous Taper Up Continuous Taper Up and Down N A VTBI Volume To Be Infused mL 1 9600 mL Taper Up No Yes hrs min 1 min 3 hrs Taper Down No Yes hrs min 1 min 3 hrs Total Time to Infuse hrs min 1 min 24 hrs KVO Keep Vein Open No KVO Rate 0 0 Yes KVO...

Page 67: ...Notes 58 Hospira GemStar System Operating Manual ...

Page 68: ...ximum continuous delivery rate is 25 mL hr 6 A loading dose may be set during programming which can be delivered after programming and priming are complete The default loading dose rate is 125 mL hr Rate bolus dose concentration can be programmed in increments of 0 01 6 Priming using PURGE is only allowed before START is pressed or after one of the following events occur 6 Complete Review of New P...

Page 69: ...ip The Programming Worksheet at the end of this chapter lists the minimum and maximum values allowed for this therapy Use copies of the programming worksheet to record program values before programming the pump Key Function Key Function 0 9 Selects menu items and enters numeric values The DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and he...

Page 70: ...ontinuous delivery if programmed 7 If programmed in units of mcg or mg the line displaying the units flashes Enter the container size in proper unit measure 8 Select the air sensitivity if required 9 Review the program Press to begin review 10 If using the PURGE key to prime the pump set press PURGE now d Note If Continuous Bolus is selected the continuous delivery rate or bolus dose can be set to...

Page 71: ...US DELIVERY on the display and the amount infused accrues as the delivery progresses When the bolus dose is complete the pump does the following 6 Records the bolus request and delivery amount to the event and bolus history logs 6 Adds the delivered boluses to the total bolus amount in the program amounts 6 Resets the bolus lockout time if applicable and ignores other bolus requests until the lock...

Page 72: ...ing STOP 6 An alarm condition To continue bolus delivery after an interruption 1 Press START The pump displays COMPLETE BOLUS NOW 2 Respond as follows To do this Press this key Bolus lockout time is set to Deliver the remaining bolus amount The time of delivery completion Clear the undelivered bolus amount The time the bolus was interrupted ...

Page 73: ...ading dose When the loading dose is complete the pump does the following 6 Automatically begins programmed infusion 6 Records the dose amount to the history log 6 Resets the bolus lockout time if applicable and ignores other bolus requests until the lockout time has elapsed Loading Dose Interruptions Loading dose deliveries can be interrupted by 6 Pressing STOP 6 An alarm condition To continue a l...

Page 74: ...dose amount Clear the remaining 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 limit type d Note You cannot change a program when the pump is in FULL or CONTAINER Lock With a RATE CHANGE Lock the continuous delivery rate and bolus amount can be chang...

Page 75: ... mL 1 1000 mcg mL Continuous 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 Dose Limit 4 hour limit Amount 1 hour limit Amount boluses hour Number No dose limit 4X rate 400 mL 40000 mg 400000 mcg Rate 100 mL 10000 mg 100000 mcg 1 12 For continuous pl...

Page 76: ...ered in increments of 01 Air Sensitivity may not show in all setting configurations Air Sensitivity On Alarms at approx 0 5 mL of air 2 mLAlarms at approx 2 mL of air Off No alarm N A d Note Titrating VTBI does not change initial container volume Parameters Selections and or Values to be Entered Programmable Ranges ...

Page 77: ...Notes 68 Hospira GemStar System Operating Manual ...

Page 78: ...ay Intermittent Programming Tips The following table explains how to use the keypad during intermittent programming f Tip The Programming Worksheet at the end of this chapter lists the minimum and maximum values allowed for this protocol Use copies of the programming worksheet to record program values before programming the pump Key Function Key Function 0 9 Selects menu items and enters numeric v...

Page 79: ...O is desired press YES ENTER while the value displayed is zero 7 Enter the container size The pump automatically calculates the minimum container size required to deliver the number of programmed doses and KVO between doses 8 Select the air sensitivity if required 9 The pump displays SET CALL BACK ALARM FOR NEXT DOSE Press NO if you do not want to set the call back alarm Press YES ENTER to set the...

Page 80: ... Press to begin review 13 If using the PURGE key to prime the pump set press PURGE now d Note When programming the call back alarm be sure to allow enough time for the patient or caregiver to reconnect the pump to the patient and to press START BEFORE the scheduled dose start time d Note When entering the time in 12 hour format press or to toggle between AM and PM WARNING ALWAYS disconnect the pum...

Page 81: ...cted from the patient if you have set the call back alarm When the alarm sounds press SILENCE to silence the alarm for three minutes Then reconnect the pump to the patient f Tip To use a delayed start without specifying a start time 1 Press YES ENTER 2 Complete the program review 3 Power off the pump 4 When the pump is powered on again complete the program review then press START to begin delivery...

Page 82: ...ump The user does not power on the pump until 10 40 PM which is 10 minutes AFTER the scheduled start time The pump does not begin delivery until 10 30 PM the FOLLOWING day Reprogramming Start Time 1 Press OPTIONS and select NEXT DOSE 2 Use the number keys to enter the start time for the next dose Press YES ENTER to accept the change and exit OPTIONS d Note The clock cannot be changed while an Inte...

Page 83: ...ttent dose is interrupted and the pump is placed in the RUN mode during the on or off cycle of the current dose the dose continues delivery from the point where it was interrupted and all remaining doses are shifted For example in the following diagram an intermittent dose was started at 2 00 The dose was interrupted during the current dose cycle and was started again before the end of the current...

Page 84: ...wing diagram an intermittent dose was started at 2 00 It was interrupted during the current delivery cycle at 2 30 but was not started again until after the current delivery cycle at 6 45 Dose Delivered Dose Interrupted 6 When the dose is complete the start time for the Next Dose displays To change the start time refer to Chapter 10 Options Menu page 109 6 Any missed Intermittent doses except the ...

Page 85: ...ed changes or press YES ENTER to accept the current setting 3 Review the program Press to begin review 4 Press START to begin delivery Can be changed at any time Can be changed if no dose is in progress Cannot be changed after is pressed Dose parameters KVO rate Container size Air sensitivity Call back alarm Next dose start time Current time d Note You cannot change a program when the pump is in F...

Page 86: ...nd or Values to be Entered Programmable Ranges Therapy Intermittent N A Dose Amount 0 1 9600 mL Infusion Time Per Dose hrs min 1 min 24 hrs Dose Frequency hrs min Infusion time per dose 1 min to 96 hrs Number of Doses Per Container 1 999 KVO Keep Vein Open No KVO Rate 0 0 Yes KVO Rate 0 1 5 0 mL hr Container Size 0 1 9999 mL Air Sensitivity On Alarms at approx 0 5 mL of air 2 mL Alarms at approx 2...

Page 87: ...Notes 78 Hospira GemStar System Operating Manual ...

Page 88: ... the keypad during continuous programming f Tip The Programming Worksheet at the end of this chapter lists the minimum and maximum values allowed for this protocol Use copies of the programming worksheet to record program values before programming the pump Key Function Key Function 0 9 Selects menu items and enters numeric values The DOWN arrow toggles between units of measure when entering concen...

Page 89: ...YES ENTER while the value displayed is zero 6 Enter the container size VTBI KVO VTBI is the default value on the CONTAINER display 7 Select the air sensitivity if required 8 Review the program Press to begin review 9 If using the PURGE key to prime the pump set press PURGE now d Note If KVO is programmed increase the container size to include the KVO delivery To enter the total in mL when programm...

Page 90: ...heck valve and a secondary piggyback set with an extension hook The secondary container must be higher than the primary container Refer to the instructions included with the piggyback pump set for more information The piggyback rate and piggyback VTBI display until the secondary container has been delivered Then the primary infusion continues d Note You have approximately five seconds after pressi...

Page 91: ...epare the secondary set according to the instructions included with the set 4 Attach a needle or blunt cannula if appropriate and prime the secondary set 5 Suspend the secondary container from the I V pole 6 Connect the secondary set to the proximal Y site or proximal luer port d Note When using a secondary container of 500 mL or greater ensure the bottom of the secondary container is at least 7 i...

Page 92: ...ondary container 5 Press YES ENTER to begin piggyback delivery d Note To distinguish the piggyback delivery from the primary delivery PIGGYBACK displays and the piggyback VTBI counts down to completion For example a piggyback rate of 250 mL hr with a remaining VTBI of 218 5 mL will display as 219 mL PIGGYBACK RATE 250 mL hr VTBI 219 mL f Tip Prepare and set up containers BEFORE programming the pum...

Page 93: ...6 Proximal Occlusion If an alarm occurs during the programming sequence piggyback dose programming is completed Changing a Continuous Program To change a program 1 From the STOP mode press CHANGE and select CHANGE PROGRAM 2 As each message displays make the desired changes or press YES ENTER to accept the current setting 3 Review the program Press to begin review 4 Press START to begin delivery Ca...

Page 94: ... mcg mL mL 0 1 1000 mg mL 1 1000 mcg mL Rate 0 1 9999 mg hr 1 999900 mcg hr 0 1 1000 mL hr VTBI Volume To Be Infused 0 1 99999 mg 1 9999000 mcg 0 1 9999 mL KVO Keep Vein Open No KVO Rate 0 0 Yes KVO Rate 0 1 5 0 mL hr Container Size VTBI KVO 0 1 99999 mg 1 9999000 mcg 0 1 9999 mL 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 Piggyback Dose Amo...

Page 95: ...Notes 86 Hospira GemStar System Operating Manual ...

Page 96: ... Volume To Be Infused has completed 6 The rate can be titrated while the pump is infusing 6 VTBI can be titrated CAUTION When infusing short half life drugs i e those dosed with units of mcg kg min at very low rates 0 8 mL hr or less the rate may be too slow for that drug Consider using a lower drug concentration with these drugs so a pump rate above 0 8 mL hr can be used f Tip The Programming Wor...

Page 97: ...unction 0 9 Selects menu items and enters numeric values The DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and help messages Accepts entries or continues when done viewing a display The UP arrow inserts a decimal point in a numeric value Displays information during programming and alarm conditions Returns to a previous display exits the Opt...

Page 98: ... 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 programmed rate WARNING ALWAYS disconnect the pump set from the patient before priming or purging d Note Auto KVO delivers even while the empty container alarm sounds Press SILENCE to quiet the alarm for 2 minutes If the weight dosed rate is Auto KVO ...

Page 99: ...gram 1 From the STOP mode press CHANGE and select CHANGE PROGRAM 2 As each message displays make the desired changes or press YES ENTER to accept the current setting 3 Review the program Press to begin review 4 Press START to begin delivery d Note You have approximately five seconds after pressing a key to press another numeric key the decimal key or YES ENTER If no key is pressed within five seco...

Page 100: ...re mcg kg min mcg kg hr mcg min mg kg min mg kg hr mg min mL hr mg hr mcg hr grams hr ng kg min U kg hr U min U hr mUn min mEq hr N A Patient Weight When programming in kg min or kg hr 2 0 200 0 kg Concentration 2 entries are required Use to toggle For all units of measure EXCEPT mL hr mg U mEq in in in mL mL mL 0 1 9999000 mg 0 1 99999999 U 0 1 9999 mEq 0 1 9999 mL Rate see below VTBI Volume To B...

Page 101: ...ation 6 Enter the unit of measure for the value flashing on the display 6 Use the key to toggle between the values and then press YES ENTER 6 Enter the rate and then press YES ENTER 7 Enter the VTBI in mL and then press YES ENTER 8 The pump displays PROGRAM A LOADING DOSE Press YES ENTER to program a loading dose or NO to review the program 9 If programming a loading dose specify a dose time and r...

Page 102: ...s are required Use to toggle between fields mcg in mL 1 0 1000 0 1 1000 Rate mcg kg hr mL hr is automatically calculated 0 1 1000 VTBI Volume To Be Infused mL 0 1 9999 mL Loading Dose 2 entries are required Use to toggle between mg and mL entry points No Yes Dose mcg kg Time 0 1 0 Package Insert recommends 0 2 to 0 7 mcg kg hr The delivery rate is programmable and is delivered in increments of 01 ...

Page 103: ...Notes 94 Hospira GemStar System Operating Manual ...

Page 104: ...d is complete 6 The rate can be titrated while the pump is infusing 6 An optional secondary container can be piggybacked onto the primary container during regular delivery using a GemStar Piggyback Pump Set Refer to Piggybacking in this chapter for more information 6 A program review is not required and is available only through the Options Menu 6 VTBI can be titrated f Tip The Programming Workshe...

Page 105: ...ric values The DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and help messages Accepts entries or continues when done viewing a display The UP arrow inserts a decimal point in a numeric value Displays information during programming and alarm conditions Returns to a previous display exits the Options Menu and exits the HELP mode Clears a num...

Page 106: ...he 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 programmed rate d Note Auto KVO delivers even while the empty container alarm sounds Press SILENCE to quiet the alarm for 2 minutes If the weight dosed rate is Auto KVO delivers at Greater than or equal to 1 mL hr 1 mL hr Less than 1 mL hr The progr...

Page 107: ...back set with an extension hook The secondary container must be higher than the primary container Refer to the instructions included with the piggyback pump set for more information The piggyback rate and piggyback VTBI display until the secondary container has been delivered Then the primary infusion continues d Note You have approximately five seconds after pressing a key to press another numeri...

Page 108: ...et according to the instructions included with the set 4 Attach a needle or blunt cannula if appropriate and prime the secondary pump set 5 Suspend the secondary container from the I V pole 6 Connect the secondary set to the proximal Y site or proximal luer port 7 Program a secondary delivery d Note When using a secondary container of 500 mL or greater ensure the bottom of the secondary container ...

Page 109: ...ontainer 5 Press YES ENTER to begin piggyback delivery d Note To distinguish the piggyback delivery from the primary delivery PIGGYBACK displays and the piggyback VTBI counts down to completion For example a piggyback rate of 250 mL hr with a remaining VTBI of 218 5 mL will display as 218 5 mL PIGGYBACK RATE 250 0 mL hr VTBI 218 5 mL f Tip Prepare and set up containers BEFORE programming the pump ...

Page 110: ...Program To change a program 1 From the STOP mode press CHANGE and select CHANGE PROGRAM 2 As each message displays make the desired changes or press YES ENTER to accept the current setting 3 Press START to begin delivery Can be changed at any time Delivery rate Container size Piggybacking VTBI d Note You cannot change a program when the pump is in FULL or CONTAINER Lock d Note A program review is ...

Page 111: ...orksheet GIVE Parameter Selections and or Values to be Entered Programmable Ranges Therapy mL hr Only N A Rate 0 1 1000 mL hr VTBI Volume To Be Infused 0 1 9999 mL Piggyback Dose Amount 1 7200 mL Piggyback Infusion Time hrs min 1 min or dose amount 300 mL hr to 24 hrs or dose amount 0 1 mL hr ...

Page 112: ...s chapter lists the minimum and maximum values allowed for this protocol Use copies of the programming worksheet to record program values before programming the pump Key Function Key Function 0 9 Selects menu items and enters numeric values The DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and help messages Accepts entries or continues when...

Page 113: ... Up to 24 phases can be programmed 8 Enter the optional bolus dose and its lockout 9 Enter the optional KVO 10 Enter the container size The pump calculates the minimum container size required to deliver the phases base rate and KVO for one day or in a 24 hour period If delivering the protocol for more than one day multiply this amount by the number of days of therapy 11 Select the air sensitivity ...

Page 114: ...N mode in the middle of Phase 2 it starts delivery according to the program parameters from the middle of Phase 2 If a phase is interrupted and the pump is placed in the RUN mode Then Before the end of the phase The phase runs to its scheduled stop time After the end of the phase but before the beginning of the next start time The next phase begins delivery at the scheduled start time All applicab...

Page 115: ... Current time Base rate Daily amount Phase parameters Unit of measure Concentration Phase type d Note You cannot change a program when the pump is in FULL or CONTAINER Lock d Note The clock cannot be changed while a Variable Time Program is in progress If START has already been pressed in a Pain Management program when the SET CLOCK function is selected from Stop Mode the following message shall d...

Page 116: ...art time Stop time Rate 12 00 AM 11 59 PM or 00 00 23 59 0 1 400 mL hr Total Daily Amount for All Phases required only when programming in percentages SEE ATTACHED WORKSHEET Bolus Dose 0 1 mL 25 0 mL 0 1 mg 2500 mg 1 mcg 25000 mcg Bolus Lockout minutes 5 999 min KVO Keep Vein Open No KVO Rate 0 0 Yes KVO Rate 0 0 5 0 mL hr Container Size Total Daily Amount X Number of Days of Therapy 0 1 99999 mg ...

Page 117: ...Hospira GemStar System Operating Manual Phase Start Time Stop Time Percentage Rate Dose 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 TOTAL Note The sum of all phases must equal 100 when programmed in percentages ...

Page 118: ...ample NEXT DOSE is only available when an Intermittent therapy is programmed When the pump exits OPTIONS the pump returns to the mode it was in when OPTIONS was pressed Key Function Key Function 0 8 Selects menu items and enters numeric values The DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and help messages Accepts entries or continues w...

Page 119: ... if the external power source fails Refer to the caution regarding Power Loss on page 15 KEYPAD LOCK Lock and unlock the keypad to prevent unauthorized changes to the program The lock levels allow the clinician to restrict access to various levels of pump operation PUMP SETTINGS Change the air sensor occlusion sensor and sound level settings N A SET CLOCK Set the clock The clock can be displayed i...

Page 120: ...BACK UP when done 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 3 KEYPAD LOCK 4 PUMP SETTINGS 5 SET CLOCK 6 PRINT 7 SPEED PROTOCOL 8 NEXT DOSE 1 REVIEW PROGRAM 2 HISTORIES 3 KEYPAD LOCK 4 PUMP SETTINGS 5 SET CLOCK 6 PRINT 7 SPEED PROTOCOL 8 NEXT ...

Page 121: ...ding Power Loss on page 15 SHIFT TOTALS Display or clear shift totals 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 information CONFIGURATION Display pump configuration Dependent upon pump configuration CLEAR HISTORY Clear history event log and bolus hi...

Page 122: ... 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 totals f Tip Press and HOLD or to scroll through the history displays faster f Tip Press HELP to display shift totals when the pump is not in PROGRAMMING mode or an alarm condition VERSION N NNN S N XXXXXXXX...

Page 123: ...ress YES ENTER to clear the volume 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 Menu 3 Press BACK UP when done to exit OPTIONS Clear History To clear the history event log and bolus history 1 Press OPTIONS and select HISTORIES 2 Select CLEAR HISTORY f...

Page 124: ...GemStar Pump is working properly Refer to Chapter 14 Operation Test on page 157 for instructions d Note Bolus History is only available if the current program has a bolus programmed or had a bolus programmed at one time The Bolus History is maintained in hourly increments for the latest 48 hours The Bolus History is cleared when a new program is entered a Speed Protocol is recalled or the History ...

Page 125: ... following page lists the functions available for each lock level When the pump is locked under a particular level a small lock symbol appears next to the applied 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 Clinicians refer to Chapter 11 Clinician Ins...

Page 126: ...ntainer Purge Change a Program Under Rate Change Lock only the delivery rate or bolus dose volume can be changed and must be within the preset values Review Recall Speed Protocol Under Therapy Lock the recalled protocol must be the same type that was programmed when the pump was locked Assign or Delete Speed Protocol Set Air Sensitivity Distal Occlusion Level Sound Level and Clock Clear Shift Tota...

Page 127: ...not sound if OFF is selected Note The air sensor is not accessible for configuration if pre 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 Change the distal occlusion sensor sensitivity Default Setting High The pump alarms when distal pressure is greater than the selected occlusion sensor limit SOUND LEVEL Adju...

Page 128: ...OCCLUSION from the Pump Settings 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 or the pump has been off for more than 24 hours Press YES ENTER to permanently change the distal occlusion setting The new setting will remain in effect until the settin...

Page 129: ... keys to set the weekday and month 4 Use the number keys to enter the current day year and time 5 Press YES ENTER to confirm d Note The alarm cannot be turned off completely The alarm automatically reverts to the maximum volume if the user does not respond within one minute d Note When entering the time in 12 Hour format press or to toggle between AM and PM d Note The clock cannot be changed while...

Page 130: ...er or computer d Note Ensure the printer is connected to the pump BEFORE selecting a print function Refer to Connecting to the Seiko Printer on page 127 for more information Select this item from the Print Menu To do this function PRINT HISTORY Print the current program shift and volume totals and history event log 400 events PRINT PROGRAM Print the current program PRINT PROTOCOL Print a specified...

Page 131: ...PROTOCOL ASSIGNMENT Press YES ENTER to replace the protocol The pump displays the new speed protocol and exits OPTIONS Press NO to keep the existing protocol and exit OPTIONS d Note Up to nine speed protocols are stored at one time The speed protocols stay in memory even when the pump is powered down until they are deleted Select this item from the Speed Protocol Menu To do this function ASSIGN St...

Page 132: ...TE from the Speed Protocol Menu 3 Select the desired protocol to delete 4 Press YES ENTER to confirm deletion or NO to exit OPTIONS without deleting Next Dose Not available for List 13088 This function is only available when the current therapy is Intermittent and the pump is not delivering a dose To set the time for the next dose 1 Press OPTIONS and select NEXT DOSE 2 Use the number keys to enter...

Page 133: ...computer Equipment Needed 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 close the slide clamp and eject the cassette Leave the pump set connected to the patient Install another cassette in the pump before connecting to a printer or computer Connect to...

Page 134: ...the POWER switch to ON 2 When 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 switch ON Press FEED to set switch OFF 4 Continue setting switches until Dip SW setting complete is printed Baud Rate 2400 Data Bits 8 Stop Bits 1 Parity None Carriage Ret...

Page 135: ...Printing density 100 On ONLINE 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 Character Set American On ONLINE SW2 7 Character Set American On ONLINE SW2 8 Character Set American Off FEED SW3 1 Data bit length 8 bits On ONLINE SW3 2 Parity No parity On ...

Page 136: ...rint function from the pump menu 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 close the slide clamp and eject the cassette Leave the pump set connected to the patient Install another cassette in the pump before connecting to a printer or computer Ref...

Page 137: ...ings on page 125 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 close the slide clamp and eject the cassette Leave the pump set connected to the patient Install another cassette in the pump before connecting to a computer or printer Refer to the comput...

Page 138: ... connection click 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 following settings are correct 8 Click OK 9 Select the Properties icon 10 Select the Settings tab 11 Select the ASCII setup button 12 Ensure Append line feeds to incoming line ends is checked ...

Page 139: ...ansfer Capture 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 print function from the pump Refer to the table of printing functions on page 121 11 Wait for the transmission to complete 12 From the menu select Transfer Capture Text Stop 13 Exit HyperTer...

Page 140: ...u 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 Rate Lock You cannot use quick access keys to unlock a Therapy Lock Displays Shift Totals Place the pump in STOP mode and then press HELP to display Shift Totals Display Clock Place the pump in STOP mode ...

Page 141: ... MIN flashes on the display Enter the minimum 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 Asterisks display as the numbers are entered For THERAPY Lock enter 0 0 0 3 1 For UNLOCKED FULL CONTAINER and RATE CHANGE lock levels enter 1 3 0 0 0 d Note If ...

Page 142: ...ter the minimum 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 Asterisks display as the numbers are entered For THERAPY Lock enter 0 0 0 3 1 For UNLOCKED FULL CONTAINER and RATE CHANGE lock levels enter 1 3 0 0 0 f Tip Press to toggle between the MIN an...

Page 143: ...125 mL hr 1 From the STOP mode press YES ENTER 0 2 The pump displays PROGRAM A LOADING DOSE Press YES ENTER 3 Enter the loading dose Press YES ENTER 4 The pump displays DELIVER THE LOADING DOSE NOW To deliver the loading dose immediately press YES ENTER Primary infusion DOES NOT begin automatically when the clinician activated loading dose is complete Press START to continue primary infusion To de...

Page 144: ...ft Totals 1 Press OPTIONS and select HISTORIES 2 Select SHIFT TOTALS from the Histories Menu 3 The shift totals display Press and to scroll the display When done 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 totals Clear History Event Log and Bolus History 1 Press OPTIONS and select HISTORIES 2 Select CLEAR HI...

Page 145: ...ss information or activate an activity which is not listed on the screen Screen and or Situation Press Results If a loading dose has been programmed but not delivered displays the DELIVER LOADING DOSE NOW screen YES ENTER 0 Displays the PROGRAM A LOADING DOSE screen CURRENT DATE AND TIME displaying YES ENTER 1 Displays the real time clock as long as 1 is held down ...

Page 146: ...l support contact either an authorized Hospira representative or the 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 serial number available In the USA Hospira Technical Support Operations 1 800 241 4002 Outside the USA Contact your local Hospira sales ...

Page 147: ...volume of air has been detected 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 Note Purge rate is 250 mL hr The pump purges for up to 2 minutes each time you press and hold PURGE Purge volume may be limited in a Pain Management program 5 Reconnect the...

Page 148: ...ies as soon as possible CAUTION 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 power if the external power source fails Refer to the caution regarding Power Loss on page 15 2 After power on resume the current program Refer to Accessing the Programmin...

Page 149: ...cassette is installed Note Ensure the tubing is behind the tubing guide at the distal end Refer to Loading the Cassette on page 35 5 Press START to begin infusion Note The pump cannot be powered off during a CHECK CASSETTE alarm except during PROGRAMMING mode CALL 1 800 XXX XXXX CODE NN MMM TTT SERVICE ALARM N A V The pump has detected a condition that may require service 1 Write down the telephon...

Page 150: ...he program 10 Press START to start 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 device Clogged I V filter Other obstructions 4 If the problem continues remove and reinstall the cassette CAUTION Ensure all four cassette latches are clearly visible a...

Page 151: ...iet the alarm for 15 minutes 2 Press 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 fresh AA batteries CAUTION In the event that the internal batteries are removed while the pump is operating the power loss event may not be logged in the history the prog...

Page 152: ...isposable batteries with fresh 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 CAUTION 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 wi...

Page 153: ... the container and in the spike 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 is open Power off the pump Reinstall the cassette Turn on the pump Note Ensure the tubing is behind the tubing guides at the distal end CAUTION Ensure all four cassette...

Page 154: ... on the pump Press YES ENTER to 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 power when using other power sources e g AC mains adaptor docking station battery pack The pump will continue to operate on backup power if the external power source fails...

Page 155: ...When powering on the pump Press 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 when using other power sources e g AC mains adaptor docking station battery pack The pump will continue to operate on backup power if the external power source fails Ref...

Page 156: ...SILENCE to quiet the alarm No additional alarms sound Note This alert is available only with Pain Management ther apy CHECK PRINTER Y A V The printer has not responded to commands from the pump The printer is not properly connected to the pump 1 Press SILENCE to quiet the alarm for 2 minutes 2 Ensure the printer is properly connected to the pump by checking the following Printer is powered on and ...

Page 157: ...rrent program Refer to Starting a New Container in Chapter 2 Basic Operation Note Titration is allowed at this time END OF INFUSION The pump delivers KVO if selected N A V The pump has delivered the entire programmed protocol If no KVO is selected 1 Press SILENCE to quiet the alarm for 2 minutes 2 Press STOP to place the pump in the STOP mode and clear the alarm If KVO is selected 1 The pump sound...

Page 158: ...FIRM N A V No disposable batteries or dead disposable batteries AND external power 1 Press YES ENTER to confirm 2 Power off the pump and install two fresh disposable AA batteries as a backup power source CAUTION 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 o...

Page 159: ...gram entries START START flashes on the display Other parts of the display are not affected N A V A Stop Mode Callback has occurred because the programmed pump has remained in the STOP mode for more than three minutes 1 Press SILENCE to quiet the alarm for 3 minutes 2 Follow the instructions on the display to clear the alarm Alert Display Message Is the pump infusing Alarm Cause Condition Remedy Y...

Page 160: ...NEW CONTAINER function when it is not allowed 1 Press STOP 2 Increase the container size to complete the dose 3 Set NEW CONTAINER through the Change Menu INFUSED XXXX X mL NO START DELAY PRESS START TO INFUSE The pump has not delivered any doses and there is no start delay Programmed delayed start time has been erased If START is pressed the infusion will begin immediately Press start to infuse do...

Page 161: ...AVAILABLE WHILE PROGRAMMING THE PUMP User has attempted to access a function that is not available from the first programming display 1 Press YES ENTER to return to the first programming display 2 Complete programming 3 Access desired function Other Display Message Cause Condition Remedy ...

Page 162: ...compounds may slowly degrade 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 Apply disinfectants to the outside surface of the pump only DO NOT use abrasive cleaners or materials on the pump Using abrasive cleaners or cleaning solutions not recommended...

Page 163: ... Wipe the solution from the pump 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 manufacturer s recommendation Manu Klenz Calgon Vestal Laboratories Per manufacturer s recommendation Formula C Diversey Corp Per manufacturer s recommendation Household bl...

Page 164: ...bris Repair 6 The GemStar Pump has no user serviceable components with the exception of disposable batteries 6 If the display clock stops working contact Hospira Technical Support Operations to arrange for internal battery replacement 6 Homecare Customers Call your healthcare professional or homecare company regarding any required service or repairs DO NOT attempt to repair the pump for any reason...

Page 165: ...Notes 156 Hospira GemStar System Operating Manual ...

Page 166: ...proximately 15 minutes to complete The pump provides step by step instructions through each section of the test Equipment Required 6 GemStar Pump 6 Two GemStar Microbore Pump Sets without a filter 6 Reservoir with at least 50 mL of water 6 20 mL or larger graduated cylinder graduated in 0 1 mL 6 Two fresh disposable AA batteries 6 Appropriate GemStar AC mains adaptor or other Hospira approved exte...

Page 167: ...y Performing the Operation Test 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 place press YES ENTER If damage is found on the case or keypad or any screws or labels are missing press NO d Note The pump clears any program and shift totals stored in p...

Page 168: ...ssette release button is pressed 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 cassette Verify that the cassette fits smoothly and securely 7 Enter the results If the cassette pocket area and latches are free of damage and ALL of the above steps are verif...

Page 169: ...rm failure Keypad Test 1 Press 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 YES ENTER when prompted The display fills with solid boxes for approximately 10 seconds To view the solid boxes for another 10 seconds after the display times out press 2 ...

Page 170: ... cassette 2 Load a primed pump set into the pump Press 3 Place the proximal end in the reservoir of water Press 4 Place the distal end in a 20 mL graduated cylinder Press 5 Press START 6 Enter the results If the pump delivers between 19 0 to 21 0 mL press YES ENTER If the pump does not deliver between 19 0 to 21 0 mL press NO f Tip Use two microbore pump sets to save time during the next four test...

Page 171: ...t or press YES ENTER to confirm 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 If the test is passed the pump advances to the next test If the test is failed clean the sensors and press to rerun the test or press YES ENTER to confirm failure d Note Cl...

Page 172: ...option to print the test results 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 Chapter 10 Options Menu on page 127 2 Press YES ENTER to print the test results 3 The pump displays the Programming Menu when the results have finished transmitting or ...

Page 173: ...Chapter 14 Operation Test 164 Hospira GemStar System Operating Manual ...

Page 174: ...Star Operation Test Checklist Pass 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 Test Results Serial Number Verified By Date ...

Page 175: ...Notes 166 Hospira GemStar System Operating Manual ...

Page 176: ...ugs into a 100 240 VAC mains 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 The clamp is mounted to the track on the back of the pump Press the release button to remove the pump GemStar Locking Pole Clamp 20207 01 GemStar locking pole clamp GemStar Ba...

Page 177: ...ng the GemStar Pole Clamp available 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 13079 01 Soft sided carrying case can be worn around the waist or over the shoulder to hold the GemStar Pump and up to a 500 mL flexible container Hospira Carrying Case ...

Page 178: ...rotocol information GemStar Connect 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 Kit 13049 01 Use with the GemStar Connect Clinician Kit to allow remote access to a GemStar Pump The Patient Kit includes a modem phone cable and remote pump cable GemStar...

Page 179: ...s ports keypad and bolus button WARNING Before connecting the Bolus Cord to the pump check the condition of the cord for damage and confirm that the 3 pin connectors are not bent see figure 1 Do not touch the connector ports see figure 2 for they may be susceptible to electrostatic discharge ESD damage When removing the cord from the bottom of the pump firmly grasp the connector and pull straight ...

Page 180: ...the top door down 6 Connect the pump set to the pre filled vial and prime 7 Place the pre filled vial inside the lockbox D 8 Load the cassette E CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 35 9 Ensure the tubing will not be pinched when closing the lockbox 10 Close and lock the lockbox 11 Remove the key A B C D ...

Page 181: ... 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 cassette 10 Load the cassette F CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 35 11 Ensure the tubing will not be pinc...

Page 182: ...pira Carrying Cases Ensure the administration set is fully primed and the cassette is properly loaded before placing the pump in the carrying case Refer to Loading the Cassette on page 35 for more information Carrying Case 250 mL List 13594 01 This soft sided carrying case can be worn around the waist It is designed to hold the GemStar Pump and up to a 250 mL flexible fluid bag 1 Place the fluid b...

Page 183: ...ng on the outside of the case 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 for a snug comfortable fit Carrying Case 500 mL List 13079 01 or 1000 mL List 13980 01 These soft sided carrying cases can be worn around the waist or over the shoulder Th...

Page 184: ...ttom E straps 3 Place the fluid 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 Secure the tubing to the inside of the case with tabs J and K Ensure the tubing is not kinked 7 Zip the case closed Ensure the tubing exits through one of the sides near t...

Page 185: ...belt for a snug comfortable fit 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 liter flexible fluid bag d Note This carrying case includes an interior support Hospira 3 Liter Carrier List 13590 01 that may be removed from the case and used separate...

Page 186: ...ld large flaps H and I over as 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 with straps K and L 10 Secure the tubing with strap M 11 Place the secured pump N inside the large zipper case or other carrying case 12 Zip the large case closed 13 If de...

Page 187: ...Chapter 15 Optional System Components 178 Hospira GemStar System Operating Manual A B D C I H G F E J N M K L ...

Page 188: ...the connectors on the bottom of the pump with 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 docking station to the AC mains power 2 Leave the Li Ion Docking Station connected to AC mains power for at least 6 hours when not in use or to recharge the doc...

Page 189: ...ove the pump 1 Press the release 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 BEFORE connecting the pump to a computer or printer press STOP close the slide clamp and eject the cassette Leave the pump set connected to the patient Install another casse...

Page 190: ...ates 4 9 mL hr 350 mL hr 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 6 viscous fluids 6 nonvented syringes 6 PCA vials except in a lockbox with a spring assist mechanism Delivery accuracy may be impacted when there is air present in the cassette...

Page 191: ...ylene lined light resistant tubing 3 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 Resistant Tubing 3 inch Segment of Clear PVC Tubing 0 2 micron filter CLAVE Port SL Attached Pressure Activated Anti Siphon Valve Nonvented 96 inch Pain Management Sets ...

Page 192: ...cm General Infusion Sets 13244 Latex Free GemStar HEMA II Y Type Blood Set 210 Micron Filter Lower CLAVE Connector Macrobore Tubing 110 in 279 cm 13267 Latex Free LifeShield GemStar Primary Piggyback Pump Set Secure Lock Convertible Macrobore Tubing Piercing Pin 2 CLAVE Connectors Pre Attached Pressure Activated Anti Siphon Valve Macrobore Tubing 110 in 279 cm 13272 Latex Free LifeShield GemStar 1...

Page 193: ...Notes 184 Hospira GemStar System Operating Manual ...

Page 194: ...pressure Operating Environment 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 VDC List 13026 03 Universal complies with CSA 22 2 N0 601 1 and IEC UL 60601 1 Wall mount AC mains adaptor 6 ft 1 8 m cord molded plug Input 100 240 VAC Output 3 0 VDC List 13072 0...

Page 195: ... after power is removed Operating 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 flashes when pump is connected to external batteries Alarm LED Red LED marked with alarm icon lights during alarm conditions Audible Alarm The audible alarm is user adju...

Page 196: ...L of total volume delivered OFF 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 range Low 7 psi 48 kPa 5 psi 34 kPa Medium 12 psi 83 kPa 8 psi 55 kPa High 26 psi 179 kPa 14 psi 96 kPa Proximal Occlusion Alarms when pump detects proximal pressure less ...

Page 197: ...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 stop 5 Wait 10 seconds 6 Press down on to close the flow stop 7 Ensure slide clamp or lower CAIR clamp is open prior to inserting cassette ...

Page 198: ...the cassette CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 35 9 Review the program Press to begin review 10 Press START to start the pump d Note Ensure the tubing is behind the tubing guide at the distal end ...

Page 199: ...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 fault condition occurs when a single means for protection against a safety hazard in equipment is defective or a single external abnormal condition is present The maximum over infusion volume from a single fault condition is ba...

Page 200: ...xample 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 pumps for the 2nd hour and the 96th hour as a straight line The graph also presents maximum and minimum average delivery rate error for this interval plotted by averaging delivery errors over intervals of 2 5 11 19 and 31 minutes Trumpet Curve ...

Page 201: ...ow the trumpet curves can be used 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 minimum expected delivery rate error over a 5 minute interval An example would be Dopamine administered at 5 mcg kg min At 5 minutes the average drug delivery error woul...

Page 202: ... Pump Specifications FLOW RATE 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 Max Min Mean Flow Rate Variability ...

Page 203: ...0 0 0 0 2 0 2 0 4 0 4 0 6 0 6 0 8 0 8 1 0 1 0 1 2 1 2 1 4 1 4 1 6 1 6 1 8 1 8 2 0 2 0 0 1 0 10 2 0 20 3 0 30 4 0 40 5 0 50 6 0 60 7 0 70 8 0 80 9 0 90 1 0 100 00 11 110 1 0 120 20 PERCENT ERROR 1 mL 0 mm Hg Delivery Head Start Up Observation Interval minutes Max Min Mean Flow Rate Variability 30 0 30 0 20 0 20 0 10 0 10 0 0 0 0 0 10 0 10 0 20 0 20 0 30 0 30 0 0 5 0 5 10 10 15 15 20 20 25 25 30 30 ...

Page 204: ...Rate mL hr 0 4 0 4 0 2 0 2 0 0 0 0 0 2 0 2 0 4 0 4 0 6 0 6 0 8 0 8 1 0 1 0 1 2 1 2 1 4 1 4 1 6 1 6 1 8 1 8 2 0 2 0 0 1 0 10 2 0 20 3 0 30 4 0 40 5 0 50 PERCENT ERROR 1 mL 0 mm Hg Delivery Head Hour 96 Observation Interval minutes Max Min Mean Flow Rate Variability 30 0 30 0 20 0 20 0 10 0 10 0 0 0 0 0 10 0 10 0 20 0 20 0 30 0 30 0 0 5 0 5 10 10 15 15 20 20 25 25 30 30 ...

Page 205: ...0 20 3 0 30 4 0 40 5 0 50 6 0 60 7 0 70 8 0 80 9 0 90 1 0 100 00 11 110 120 120 50 50 0 45 45 0 40 40 0 35 35 0 30 30 0 25 25 0 20 20 0 15 15 0 10 10 0 5 5 0 0 0 0 5 5 0 10 10 0 PERCENT ERROR 25 mL 0 mm Hg Delivery Head Start Up Observation Interval minutes Max Min Mean Flow Rate Variability 0 5 0 5 10 10 15 15 20 20 25 25 30 30 15 0 15 0 10 0 10 0 5 0 5 0 0 0 0 0 5 0 5 0 10 0 10 0 15 0 15 0 ...

Page 206: ...ate Rate mL hr 10 10 0 5 0 5 0 0 0 0 5 5 0 10 10 0 15 15 0 20 20 0 25 25 0 30 30 0 35 35 0 40 40 0 45 45 0 50 50 0 0 1 0 10 2 0 20 3 0 30 4 0 40 5 0 50 PERCENT ERROR 25 mL 0 mm Hg Delivery Head 96 Hour Observation Interval minutes Max Min Mean Flow Rate Variability 0 5 0 5 10 10 15 15 20 20 25 25 30 30 15 0 15 0 10 0 10 0 5 0 5 0 0 0 0 0 5 0 5 0 10 0 10 0 15 0 15 0 ...

Page 207: ...4 0 40 5 0 50 6 0 60 7 0 70 8 0 80 9 0 90 100 100 11 110 120 120 50 0 50 0 45 0 45 0 40 0 40 0 35 0 35 0 30 0 30 0 25 0 25 0 20 0 20 0 15 0 15 0 10 0 10 0 5 0 5 0 0 0 0 0 5 0 5 0 10 0 10 0 PERCENT ERROR 25 mL 100 mm Hg Delivery Head Start Up Observation Interval minutes Max Min Mean Flow Rate Variability 15 0 15 0 10 0 10 0 5 0 5 0 0 0 0 0 5 0 5 0 10 0 10 0 15 0 15 0 0 5 0 5 10 10 15 15 20 20 25 2...

Page 208: ...4 0 40 5 0 50 6 0 60 7 0 70 8 0 80 9 0 90 100 100 11 110 120 120 50 0 50 0 45 0 45 0 40 0 40 0 35 0 35 0 30 0 30 0 25 0 25 0 20 0 20 0 15 0 15 0 10 0 10 0 5 0 5 0 0 0 0 0 5 0 5 0 10 0 10 0 PERCENT ERROR 25 mL 100 mm Hg Delivery Head Start Up Observation Interval minutes Max Min Mean Flow Rate Variability 0 5 0 5 10 10 15 15 20 20 25 25 30 30 15 0 15 0 10 0 10 0 5 0 5 0 0 0 0 0 5 0 5 0 10 0 10 0 15...

Page 209: ...4 0 40 5 0 50 6 0 60 7 0 70 8 0 80 9 0 90 100 100 11 110 120 120 50 0 50 0 45 0 45 0 40 0 40 0 35 0 35 0 30 0 30 0 25 0 25 0 20 0 20 0 15 0 15 0 10 0 10 0 5 0 5 0 0 0 0 0 5 0 5 0 10 0 10 0 PERCENT ERROR 25 mL 0 mm Hg Delivery Head 20 in H20 Filling Head Start Up Observation Interval minutes Max Min Mean Flow Rate Variability 0 5 0 5 10 10 15 15 20 20 25 25 30 30 15 0 15 0 10 0 10 0 5 0 5 0 0 0 0 0...

Page 210: ...ack and other accessories 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 warranty shall not apply if the pump has been repaired by anyone other than Hospira qualified service personnel or altered in any way which in Hospira s judgment affects its ...

Page 211: ...SPIRA 1 877 946 7747 For technical assistance and product return authorization within the United States contact 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 d Note Outside the U S contact your local Hospira sales office ...

Page 212: ...onment 6 Manage the electromagnetic 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 electrical equipment monitor the equipment to ensure there is no electromagnetic interference Devices should not be used adjacent to or stacked with other equipment If the device ...

Page 213: ...ring and healthcare staff 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 electrostatic energy from the human body to the electrostatic discharge sensitive electronic equipment 6 DO NOT touch any connectors with fingers or any hand held metal object unless pro...

Page 214: ...d therapy 89 Auto Taper Down in TPN therapy 56 See also taper down taper up auto tapering See Auto Taper Down taper down taper up B backcheck valve 81 82 98 99 BACK UP key 3 31 114 base rate 104 105 106 Basic Operation 19 batteries 127 alarm messages 139 146 battery compartment 4 battery pack connector 4 installing disposable batteries 21 maintenance 153 power check 160 specifications 185 using th...

Page 215: ...us cord 170 connecting the GemStar AC mains adaptor 22 connecting to a computer 128 See also Data Port connecting to the Seiko printer 127 See also Data Port continuous delivery in Pain Management therapy 59 65 in TPN therapy 53 56 Continuous therapy 5 79 85 changing a Continuous Program 84 Clinician instructions 132 133 features and specifications 79 piggybacking in Continuous therapy 81 84 progr...

Page 216: ...ttent therapy 5 69 77 changing an Intermittent therapy 76 changing the start time 110 delivery interruptions 73 75 features and specifications 69 Next Dose function 123 programmable ranges 77 programming of 70 72 Programming Worksheet 77 reprogramming start time 73 K Keep Vein Open See KVO Auto KVO KVO 5 in Continuous therapy 79 in Intermittent therapy 69 77 in mL hr Only therapy 97 in TPN therapy...

Page 217: ...occlusion 118 changing the occlusion sensor settings 119 occlusion information 188 190 occlusion sensitivity 187 See also distal occlusion proximal occlusion occlusion sensor changing the occlusion sensor settings 119 See also occlusion distal occlusion proximal occlusion Operating Modes Help Programming Run Stop 9 operation test 157 165 air in line test 163 cassette pocket and latch inspection 15...

Page 218: ... 34 priming 12 priming extension sets 50 priming pump sets using pre filled vials 47 priming pump sets with a drip chamber 41 priming pump sets with a drip chamber using the PURGE Key 44 priming pump sets without a drip chamber using the PURGE Key 39 pump sets without a drip chamber 37 See also prime purge Print 121 programmable ranges in Continuous therapy 85 in Intermittent therapy 77 in mL hr O...

Page 219: ...e pump 26 RUN mode 9 S shift totals and history 135 SILENCE key 3 specifications pump 185 Speed Protocols 6 110 121 assign review recall delete 122 123 START key 3 starting a new container 32 STOP key 3 STOP mode 9 T taper down 53 54 56 taper up 53 technical assistance 202 Therapies 5 Continuous 79 85 Intermittent 69 77 mL hr Only 95 102 Pain Management 59 66 Precedex 92 Total Parenteral Nutrition...

Page 220: ...ngs and cautions 11 air in line 13 handling and maintenance 16 pump operation 14 Weight Dosed therapy 5 87 Auto KVO 89 changing a Weight Dosed program 90 features and specifications 87 Precedex programming worksheet 93 programmable ranges 91 93 programming of 88 programming worksheet 91 rate titration 64 89 VTBI Titration 90 worksheet Continuous Programming 85 Intermittent Programming 77 mL hr Onl...

Page 221: ...Notes 212 Hospira GemStar System Operating Manual ...

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