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MPS 3 and MPS 3 ND Troubleshooting Manual – Troubleshooting

5301016

MPS® 3 Blood Bypass Tubing

on 

The MPS® 3 Blood Bypass Tubing contains the following component: 

1.

MPS

®

 3 Blood Bypass Tubing 

on For Use 

The MPS 3 Blood Bypass Tubing is only for use as a back-up with the 
Quest  MPS  3  Console  to  conZnue  fluid  delivery  in  the  event  of 
complete  ba1ery  depleZon  or  if  the  MPS  3  Console  becomes 
unusable.  The  Blood  Bypass  Tubing,  when  used  in  conjuncZon  with 
the MPS Console and Delivery Set, is intended for use by perfusionists 
and  surgeons  trained  in  the  delivery  of  cardioplegia  soluZons  to  the 
myocardium  during  open  heart  surgery.  This  is  a  sterile  single  use 
product. 

Contron 

This  device  is  designed  for  use  with  only  the  Quest  MPS  3  Console. 
Use with other systems is contraindicated.  This device is not designed, 
sold or intended for use except as indicated. 

Warnings and Cau+ons 

1.

Read and understand the informaZon in these instrucZons 
prior  to  operaZng  the  MPS  3  Console.  See  MPS  3 
OperaZons Manual for a complete lisZng of Warnings and 
CauZons and Storage CondiZons. The a1ending clinician is 
solely  responsible  for  the  setup  and  use  of  the  MPS  3 
Console, Delivery Set, and Blood Bypass Tubing. 

2.

Observe  all  addiZonal  warnings  and  cauZons  contained  in  this 
InstrucZon for Use.  

3.

Examine  sterile  package  carefully  before  opening  to  confirm 
package  integrity  and  verify  that  the  expiraZon  date  has  not 
passed. The device is supplied in a sterile, single use package and is 
non-pyrogenic.  DO  NOT  USE  Blood  Bypass  Tubing  with  damaged 
packaging or if the expiraZon date has passed.   DO NOT resterilize 
or reprocess. 

4.

Observe  asepZc  technique  with  all  tubing  connecZons.  Do  not 
overZghten rigid connecZons.  

5.

The main door must be closed to operate the MPS 3 Console with 
the Blood Bypass Tubing.  

6.

Dispose  of  this  device  according  to  hospital  procedure  for 
contaminated material. 

Installing the Blood Bypass Tubing 

1.

Using sterile technique, remove the Blood Bypass Tubing from the 
sterile pouch. 

2.

Ensure  the  clamp  on  the  Blood  Bypass  Tubing  is  closed  prior  to 
installaZon. 

3.

Stop flow and ensure both delivery valves are closed. 

4.

Clamp  both  Blood  and  Crystalloid  inlet  lines  leading  to  main 
pumping casse1e above the large bore luer connectors. 

5.

Vent  heat  exchanger  by  manually  depressing  the  vent  valve  to 
reduce the system pressure to zero. 

6.

Disconnect  and  cap  blood  source  line  from  disposable  casse1e 
using female cap on Blood Bypass Tubing.  

7.

A1ach  Blood  Bypass  Tubing  large  bore  luer  connector  to  blood 
source line. 

8.

Connect Blood Bypass Tubing standard male luer connector to the 
auxiliary luer port of 16 convoluZon heat exchanger or disconnect 
addiZve check valve 

and connect Blood Bypass Tubing onto lej port of 10 convoluZon 
heat exchanger.  

9.

Unclamp Blood Bypass Tubing and blood source line.  

10.

Manually  depress  vent  valve  to  prime  Blood  Bypass  Tubing  and 
heat exchanger of air. 

11.

Once primed, clamp Blood Bypass Tubing and release vent valve 

12.

As  protocols  requires,  unclamp  Blood  Bypass  Tubing  and  then 
iniZate flow by manually depressing delivery valve. 

13.

If  Controller  is  unresponsive,  monitor  pressure  from  Arterial 
Monitor. 

14.

Monitor heat exchanger and delivery line for air bubbles and vent 
heat exchanger as needed. 

Arrest  Agent  and  Addi+ve  Delivery  with  16  on  Heat 
Exchanger 

1.

Ensure  delivery  valves  are  closed  and  Blood  Bypass  Tubing  is 
clamped. 

2.

Manually vent heat exchanger to reduce the system pressure to 
zero. 

3.

Connect syringes to arrest agent and addiZve stopcocks. 

4.

Place arrest agent and addiZve stopcocks in the refill posiZon and 
evacuate cartridge content. 

5.

Turn  and  break  arrest  agent  and  addiZve  stopcocks  towards 
cartridges. 

6.

As protocol requires, inject arrest agent and/or addiZve cartridge 
content into drug delivery lines.  

7.

Unclamp Blood Bypass Tubing and iniZate flow with drug bolus by 
pressing down on delivery valve. 

Arrest  Agent  and  Addi+ve  Delivery  with  10  on  Heat 
Exchanger 

1.

Ensure  delivery  valves  are  closed  and  Blood  Bypass  Tubing  is 
clamped. 

2.

Manually  vent  heat  exchanger  to  reduce  the  system  pressure  to 
zero. 

3.

Connect syringes to arrest agent and addiZve stopcocks. 

4.

Place arrest agent and addiZve stopcocks in the refill posiZon and 
evacuate cartridge content.  

5.

Turn and break arrest agent stopcock towards cartridge. 

6.

Disconnect and connect arrest agent or addiZve syringe to yellow 
arrest stopcock as protocol requires. 

7.

Inject arrest agent or addiZve cartridge content into drug delivery 
line as protocol requires. 

8.

Unclamp Blood Bypass Tubing and iniZate flow and drug bolus by 
pressing down on delivery valve. 

Opera+ng ons 

1.

The  MPS  3  Delivery  Set  should  not  be  used  if  there  is 
any visible damage.  

2.

User should first clamp both inlet lines before disconnecZng from 
pump casse1e.  

3.

User  is  responsible  for  pressure  monitoring  as  indicated  by 
hospital protocol. 

4.

User is responsible for delivering proper arrest agent and addiZve 
concentraZons by hospital protocol. 

5.

User is responsible for purging air from the system as indicated by 
hospital protocol.

3

Summary of Contents for MPS 3

Page 1: ......

Page 2: ...ical be responsible for failures errors or other liabilities resulting from customer s noncompliance with the procedures and precautions outlined herein The MPS 3 sterile disposables are covered under...

Page 3: ...ressure Alarms 41 4 4 2 Arrest Additive Alarms 41 4 4 3 Bubble Trap Errors 41 4 4 4 System and Internal Error Alarms Non Recoverable Alarms 42 4 4 5 Delivery temperature reads more than 5 above water...

Page 4: ...This page intentionally blank...

Page 5: ...t is also intended for biomedical technicians and staff who are specially trained to perform the more detailed troubleshooting of this equipment Keep this manual with the system at all times so it can...

Page 6: ...This page intentionally blank...

Page 7: ...Locking Knob Secure Heat Exchanger 5 Temperature Sensors Monitor Delivery Temperature 6 Pressure Transducer Monitor System Pressure 7 Fluid Level Sensor Monitor Air in Heat Exchanger 8 Vent Valve Con...

Page 8: ...16 Circula ti on System Drain Port Drain Circula ti on System non ND only 17 Water Outlet Port Water Outlet to Cold Water Source non ND only 18 Water Inlet Port Water Inlet from Cold Water Source non...

Page 9: ...Main Power Switch AC Mains Power Switch 27 Power Plug Socket Connect AC Mains Power Plug 28 Power Cable Strain Relief Secure Power Cable 29 Drip Pan Drain Port under mount Drain Drip Pan Item Name Fu...

Page 10: ...MPS 3 and MPS 3 ND Troubleshooting Manual System Overview Quest Medical Inc 904678 Rev B 04 2023 4...

Page 11: ...Type B USB Port Service Connec ti on 37 Communica ti on Cable Port Connect Console to Controller Communica ti on Cable 38 Analog ECG Port Connect Analog ECG Cable 39 RS 232 Input Port Connect Electron...

Page 12: ...idge Deliver Addi ti ve 44 Addi ti ve Delivery Line Fill Re fi ll Deliver Addi ti ve to HEX 45 Heat Exchanger HEX Regulate Temperature of Cardioplegia 46 Blood Source Line Connect Blood Source to MPS...

Page 13: ...This page intentionally blank 50 Arrest Agent Delivery Line Fill Re fi ll Deliver Arrest Agent to HEX 51 Arrest Agent Cartridge Deliver Arrest Agent 7...

Page 14: ......

Page 15: ...ng total loss of power events The oldest alarms in the report are discarded in the event of the Alarm Report memory becoming full 3 1 High Priority Alarms High priority alarms halt fluid delivery and...

Page 16: ...the flow knob and all buttons remain active The operator may acknowledge the alarm by selecting an option in the error message window Figure 7 Home Screen with Medium Priority Alarm 3 3 Informational...

Page 17: ...s a result of use conditions environment handling and storage Annual Preventive Maintenance helps to ensure that the system will function properly during its use Even so this troubleshooting manual ma...

Page 18: ...lamp both Blood Crystalloid lines leading to the pumping cassette above the large bore Luer connectors 5 Vent heat exchanger by manually depressing the vent valve to reduce the system pressure to zero...

Page 19: ...le cap on Blood Bypass Tubing 7 A tt ach Blood Bypass Tubing large bore luer connector to blood source line 8 Connect Blood Bypass Tubing standard male luer connector to the auxiliary luer port of 16...

Page 20: ...Call service after multiple occurrences 2 System Data Error SHUTDOWN RESTART Restart System Call service after multiple occurrences 3 4 System Error SHUTDOWN RESTART Restart System Call service after...

Page 21: ...ight pump failed diagnostics RESTART CONFIRM Restart System Call service after multiple occurrences 14 Left pump failed diagnostics RESTART CONFIRM Restart System Call service after multiple occurrenc...

Page 22: ...sure sensor zeroing failure Check Vent line for clamps SHUTDOWN RESTART Check line for clamps kinks or occlusions Restart System Call service after multiple occurrences 22 Left Pump failed diagnostics...

Page 23: ...ing procedure 31 Air In Line Sensor test failure Air detection may be compromised Proceed with caution RESTART CONFIRM Continue with case while manually monitoring for air in delivery line Contact ser...

Page 24: ...ly actuate the delivery and vent valves Reprime the circuit Check lines for clamps kinks and occlusions 36 Heat Exchanger pressure test failed Replace delivery set REPRIME Check heat exchanger to ensu...

Page 25: ...observed disconnect the cable and try again Contact service after multiple occurrences 41 External Retrograde sensor not detected USE SYSTEM RETEST Select USE SYSTEM OR Retest and if multiple failures...

Page 26: ...circuit CONFIRM Check the lines for clamps kinks or occlusions Check the stopcock position at the sensor Try to reestablish zero by re zeroing sensor If it is believed sensor is faulty replace sensor...

Page 27: ...e after multiple occurrences 50 Low delivery line pressure Check delivery line connections Check Vent pump CONFIRM Check heat exchanger to ensure it is properly secured with locking knob Check locatio...

Page 28: ...ed in delivery line Continue to Flush CONFIRM Check delivery line to ensure it is fully inserted in sensor If sensor is ignored manually inspect delivery line for air moving forward 57 Vent Valve is O...

Page 29: ...clamps kinks or occlusions Increase the blood inlet source pressure 65 Inadequate Fill Check Source CONFIRM Check blood crystalloid source lines and pressures If problem persists restart system Call s...

Page 30: ...ain flow rate setting Check circuit CONFIRM Check blood crystalloid source lines and pressures Stop flow and restart flow If problem persists restart system Call service after multiple occurrences 94...

Page 31: ...ting it If error still persists restart console and try again Contact service after multiple attempts 101 Arrest occlusion during prime Check Arrest line and stopcock CONFIRM RETEST Check arrest deliv...

Page 32: ...Select CONFIRM to turn Arrest pump off and continue procedure OR Select RETEST to turn Arrest pump on and continue procedure 105 Arrest under delivery detected Check cartridge and circuit CONFIRM Chec...

Page 33: ...ting it If error still persists restart console and try again Contact service after multiple attempts 111 Additive occlusion during prime Check Additive line and stopcock CONFIRM RETEST Check additive...

Page 34: ...ditive over delivery detected Additive has been turned Off RETEST CONFIRM Select CONFIRM to turn Additive pump off and continue procedure OR Select RETEST to turn Additive pump on and continue procedu...

Page 35: ...cartridge restart console and try again Contact service after multiple occurrences 117 Arrest pump error Arrest pump is Off CONFIRM RETEST Select COFIRM to turn Arrest pump off and continue procedure...

Page 36: ...Contact service after multiple occurrences 124 H2O temperature sensor error H2O temperature will not be displayed Heaters Disabled CONFIRM Continue without temperature control OR Restart and resume c...

Page 37: ...er source has adequate water level and flow rate Check water lines to ensure they are connected properly and not reversed Increase head height of Hypothermic Reservoir Increase water pressure and flow...

Page 38: ...e and flow mode settings in heater cooler unit if possible If a bypass loop is being used in conjunction with the heater cooler unit than partially clamping reducing the tubing size or installing pres...

Page 39: ...ted May take up to 100 seconds CONFIRM Wait for heater diagnostics to complete 138 Pneumatic pressure sensor error Service required SHUTDOWN RESTART Restart System Call service after multiple occurren...

Page 40: ...ervice required SHUTDOWN CONFIRM Connect to medical air Call service following procedure 146 System Communication Error Manual Restart Required Manually Restart System Call service after multiple occu...

Page 41: ...n Contact service after multiple occurrences 151 H2O temperature sensor error H2O temperature will not be displayed Heaters Disabled CONFIRM Continue without temperature control OR Restart and resume...

Page 42: ...ple occurrences 160 Elevated internal temperature detected Check for obstructed air flow Maintenance required CONFIRM Check fans and air inlets for obstructions Restart System Contact service after mu...

Page 43: ...fans and air inlets for obstructions Restart System Contact service after multiple occurrences 166 Internal temperature Error detected Check for obstructed air flow Unable to proceed Call for Service...

Page 44: ...lable CONFIRM If power loss did not occur check power cord outlet or circuit breaker Contact service after multiple occurrences 174 AC power detected Previous functionality restored CONFIRM No action...

Page 45: ...or Consult service after this case CONFIRM Call service after multiple occurrences 184 Air detected in delivery Line IGNORE CONFIRM Check delivery line to ensure it is fully inserted in sensor If sens...

Page 46: ...Attempt to re zero the sensor If it is believed sensor is fault replace sensor and try again Contact service after multiple occurrences 189 Max external Retrograde pressure Check circuit CONFIRM Chec...

Page 47: ...rdioplegia flow If error still persists restart console and try again Contact service after multiple occurrences 197 Arrest pump piston sensor error Verify Arrest cartridge installation CONFIRM RETEST...

Page 48: ...perly installed and fully secured to the pump If the cartridge was secure try removing cartridge and reinserting it If the cartridge was secure try stopping and restarting cardioplegia flow If error s...

Page 49: ...proper Cold water source Call Service after this Case CONFIRM Continue as normal OR Restart and resume case Call service after multiple occurrences 205 Temperature exceeded allowed limit Ensure that c...

Page 50: ...s normal Contact service after multiple alarms 224 Arrest pump error Arrest pump is Off CONFIRM Check Arrest Cartridge to verify it is properly installed and fully secured to the pump If the cartridge...

Page 51: ...emperature sensor error Ensure proper Cold water source Call Service after this Case CONFIRM Continue as normal OR Restart and resume case Call service after multiple occurrences 228 Battery Error Con...

Page 52: ...e after multiple occurrences 274 Startup Diagnostics failed RESTART CONTINUE Restart System Call service after multiple occurrences 275 System Error SHUTDOWN RESTART Restart System Call service after...

Page 53: ...ols Copy or re create the protocols if needed CONFIRM Continue as normal Check Protocols in Protocol Manager Re download Master File Call service after multiple occurrences 287 File Access Failure CON...

Page 54: ...r file Unavailable Please insert media with Master File CONFIRM Master file may be corrupt Re download Master File Call service after multiple occurrences 299 Incompatible Master file detected Please...

Page 55: ...Flow set to zero Crystalloid Source Empty REPLACE CONFIRM Stop flow to replace Crystalloid bag and enter new volume 312 Flow range is limited in Low Vol mode Shift to NORMAL flow for full range NORMA...

Page 56: ...Resume case allowed ONLY if Same Controller is present DIFF CNTLR SAME CNTLR Select DIFF CNTLR if Controller is swapped Resume Case is disabled OR Select SAME CNTLR if Console is swapped Resume Case...

Page 57: ...ed as disabled the pumps may be primed by selecting the component and confirming the prompt on the Controller to enable drug pump functionality If one of the drug pumps is behaving abnormally with no...

Page 58: ...with water and a soft cloth If wiping the sensor does not fix the issue ensure that there is not a heat source pointed at the heat exchanger or making contact with it 4 4 6 Delivery Vent Valve Errors...

Page 59: ...When delivering in Recirc or Vent modes always ensure there is a positive pressure seen in the heat exchanger If the cardiotomy reservoir is below the vent a siphon effect can occur and empty the pump...

Page 60: ...ar and Standby switches After system diagnostics is complete select SWAP on Alarm 314 10 Select SAME CNTLR on Alarm 315 11 Select RESUME CASE to recall all previous case parameters 12 If using a Hypot...

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