Quest Engineering MPS 3 Operation Manual Download Page 1

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Quest Medical, Inc.

Summary of Contents for MPS 3

Page 2: ...MPS 3 System and MPS 3 sterile disposables are covered under one or more of the following U S Patents 7 842 003 and 8 475 138 Also covered by pending U S and International Patents and Patent applicati...

Page 3: ...gs 6 4 Warnings and Cautions 1 4 1 General Warnings and Precautions 1 4 2 Installation and Setup Cautions 4 4 3 System Warnings and Cautions 6 4 4 Disposable Circuit Priming and Delivery Cautions 8 4...

Page 4: ...y Pressure Settings 8 7 3 3 Time 11 7 3 4 Volume 13 7 3 5 Arrest Agent K 17 7 3 6 Additive 18 7 3 7 Blood Crystalloid 19 7 3 8 Temperature 21 7 4 Function Buttons 22 7 4 1 Vent 23 7 4 2 ECG 24 7 4 1 E...

Page 5: ...4 3 Device Info 16 9 4 4 File Transfer 17 9 4 5 Case History 19 9 4 6 Additive List 31 9 4 7 Crystalloid List 34 9 4 8 Component List 36 9 4 9 Personnel 37 9 4 10 Error Report 38 9 4 11 Trainer Mode 4...

Page 6: ...and Disinfection 2 12 1 2 Delivery and Vent Valve Cleaning 4 12 1 3 Water Circulation System Cleaning 5 12 1 4 System Controller Cleaning 10 12 2 Storage Instructions 11 12 3 Preventative Maintenance...

Page 7: ...ivery Increased functionality and flexibility will allow operators to improve patient care with individualized protocols with specific drug compositions and concentrations to provide optimum myocardia...

Page 8: ...trained to install service and troubleshoot this equipment Please read the Operations Manual prior to operating the MPS 3 System 1 2 Indication for Use The Quest Medical MPS 3 Myocardial Protection S...

Page 9: ...3 System Symbol Description Accompanying documents shall be consulted before use of equipment or accessories Please read before using this device symbol is used to alert you to potential Personal Inju...

Page 10: ...olume of priming solution remaining after air is purged from an initially sterile set prior to use System Pressure The pressure sensed in the bubble trap of the heat exchanger Delivery Pressure The pr...

Page 11: ...MPS 3 System Introduction TTBD Time to be Delivered Term Definition Description 5...

Page 12: ...MPS 3 System Introduction 6...

Page 13: ...emperature and delivery route of the cardioplegia solution delivered to the patient The MPS 3 System is a software controlled system with a touchscreen graphical user interface MPS 3 Controller The MP...

Page 14: ...hanger HEX 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...

Page 15: ...ting 15 Front Handle under mount Facilitate Transport Item Name Function 16 Circulation System Drain Port Drain Circulation System 17 Water Outlet Port Water Outlet to Cold Water Source 18 Water Inlet...

Page 16: ...er Comm Port Connect Console to Controller Cable 24 Medical Air Inlet Connect Medical Air to Console 25 Ground Equalization Plug Ground Console 26 Main Power Switch AC Mains Power Switch 27 Power Plug...

Page 17: ...PS 3 Controller The MPS 3 Controller interfaces with the MPS 3 Console through the Console to Controller Communicable Cable attached on the back of both modules Power is supplied to the MPS 3 Controll...

Page 18: ...troller Overview Item Name Function 30 MPS 3 Controller 31 Touchscreen Display Monitor Select Set Parameters 32 Set Knob Scroll Through Parameters 33 USB Port Connect USB Drive 34 Flow Control Knob St...

Page 19: ...USB Port Service Connection or Electronic Data Management System 37 Communication Cable Port Connect Console to Controller Communication Cable 38 Analog ECG Port Connect Analog ECG Cable 39 RS 232 Por...

Page 20: ...osables which consist of a blood crystalloid cassette heat exchanger blood crystalloid source lines delivery extension line and appropriate tubing and luer fittings to complete the cardioplegia circui...

Page 21: ...Additive 44 Additive Delivery Line Fill Refill Deliver Additive to HEX 45 Heat Exchanger HEX Regulate Temperature of Cardioplegia 46 Blood Source Line Connect Blood Source to MPS 3 Circuit 47 Vent Li...

Page 22: ...MPS 3 System System Overview 50 Arrest Agent Delivery Line Fill Refill Deliver Arrest Agent to HEX 51 Arrest Agent Cartridge Deliver Arrest Agent 10...

Page 23: ...heaters will be disabled Battery Overcurrent Protection Yes Protection from Electric Shock Console Physical Dimensions Length 16 1 2 Width 7 Height 18 1 2 Console Weight 37 25 lbs Operating Environme...

Page 24: ...r 10 ml whichever is greater Drug Volume Delivered 1 ml or 5 whichever is greater System Pressure 5 or 10mmHg whichever is greater Displayed Delivery Temperatures 1 C Hospital Air Pressure Range Max 5...

Page 25: ...cation ports Isolated USB Host port 2 Ports USB memory device access Isolated Device USB port 1 Port PC or Hospital EDMS connectivity Isolated RS 232 port 1 Port Legacy EDMS connectivity Isolated ECG...

Page 26: ...xchangers 5003103 1 4 6 35 mm 42 106 cm 72 183 cm 220 ml 190 ml Delivery Sets with 16 Core Heat Exchangers 5163100 1 4 6 35mm 72 183 cm 120 305 cm 240 ml 210 ml 5163102 1 4 6 35 mm 72 183 cm 120 305 c...

Page 27: ...Connection Port Medical Air Max 55 Psi External Medical Air Access Port Two way Data Connection Console to Controller Communication Power Cable Port Potential Equalization Terminal Connection Console...

Page 28: ...re for transport and storage Dispose all electrical and electronic equipment to a safe and responsible collection recycling and recovery agency All electrical and electronic components are RoHS II com...

Page 29: ...ge is damaged Do not resterilize Single use only Non pyrogenic May contain phthalates DEHP Caution Federal U S A law restricts this device to sale by or on the order of a physician Sterilized by Ethyl...

Page 30: ...stem System Specifications and Performance This page intentionally left blank 8...

Page 31: ...to inspect include the inner door latches for proper locking Controller display panel surface and control knobs the mechanism boot surface where cassettes are installed for tears and separation and t...

Page 32: ...nt s physical condition observing the heart aorta and coronary sinus for indications of an overpressure condition inaccurate arrest agent or additive delivery Failure to maintain adequate arrest durin...

Page 33: ...dations in Section 12 1 3 The MPS 3 System has water circuits air water interface and circulating pumps Devices with these design features may have the potential to aerosolize To minimize the risk of...

Page 34: ...MPS 3 System o Connect the MPS 3 System into an outlet on a separate circuit from the receiving instrument s o If the above actions do not correct the problem call the Quest Medical Service Department...

Page 35: ...ality is maintained per heater cooler manufacturer recommendations DO NOT connect the MPS 3 Console to a heater cooler unit that has not been properly disinfected per the manufacturer recommendations...

Page 36: ...tem exhibiting electrical malfunctions such as intermittent power failure or circuit breaker shut off Call a Quest authorized service technician if the MPS 3 System is exhibiting electrical malfunctio...

Page 37: ...MPS 3 Controller If the buttons on the controller do not respond to operator s input it needs to be cleaned Clean the MPS 3 Controller screen as indicated in MPS 3 cleaning instructions If the problem...

Page 38: ...al bolus delivery during the onset flow FULLY INSERT the tubing through the air in line detector for proper MPS 3 System operation Confirm proper installation of the delivery set and accessories dispo...

Page 39: ...dical Inc Never open any connection while flow is established The operator should ensure that speaker volume is set to an adequate level before starting a new case USE ONLY WATER with no additives to...

Page 40: ...to stop During the venting operation the arrest and additive pumps are inactive and delivery stops however the delivery ratio is maintained at the setting displayed and temperature control is active...

Page 41: ...o not respond to input the display panel may need to be cleaned Clean the MPS 3 display panel as indicated in the cleaning section of this manual If the problem persists contact Quest Medical customer...

Page 42: ...MPS 3 System Warnings and Cautions This page intentionally left blank 12...

Page 43: ...he customer Upon the arrival of the MPS 3 System please visually inspect the outside of the shipping container for any damage If damage is detected please notify Quest Medical customer service and fil...

Page 44: ...ife or scissors too deep into the packaging 2 Before removing the contents inspect the device components for damage If the device is visibly damaged DO NOT unpack the device Contact Quest Medical Tech...

Page 45: ...roceed to step 3 2 Orient the box so THIS SIDE UP arrow is facing up Carefully open the box making sure not to insert the knife or scissors too deep into the packaging 3 Before removing the contents i...

Page 46: ...and set aside 10 Use care when transporting your MPS 3 System to its point of use 5 2 3 Unpacking the MPS 3 Disposables The MPS 3 Delivery Sets and optional accessories are packaged and shipped separa...

Page 47: ...Component P N Description Reference Image 5301000 5302000 MPS 3 Console 100 120V 50 60 Hz MPS 3 Console 200 240V 50 60 Hz 5303000 MPS 3 Controller MPS 3 Console to Controller Communication Cable 5303...

Page 48: ...Holder MPS 3 Power Cord 530NA16 North America MPS 3 Operator s Manual 5301010 EN English 5301010 FR French 5301035 EN MPS 3 and MPS 3 ND Troubleshooting Manual English 801285 MPS 3 USB Memory Stick w...

Page 49: ...er Cooler Hose Kit 5001110 MPS Water Circuit Adapter 5303010 MPS 3 Medical Air Adaptor Kit 5301023 MPS 3 Console Pole Mount 5301025 MPS 3 Console Adapter 513PWCC10 MPS 3 Console to Controller Communic...

Page 50: ...Installation 511800A MPS 3 Antegrade Aortic Root Transducer Interface Cable 511800R MPS 3 Retrograde Coronary Sinus Transducer Interface Cable 5301016 MPS 3 Blood Bypass Tubing Component P N Descripti...

Page 51: ...e Adapter is required consult the installation instructions for the adapter and install the adapter Before installing the MPS 3 Console consult the HLM Operations Manual User Manual to verify the MPS...

Page 52: ...h Handles 5 Carefully lower the MPS 3 Console on to the HLM base Verify that the console is secure in the installation location 6 Connect the Power Cord to the AC Connector on the back of the MPS 3 Co...

Page 53: ...the MPS 3 Console and replace it with the locking foot provided with the MPS 3 Pole Mount Adapter Choose a foot that will be in a convenient position for easy access once the Console is installed Rem...

Page 54: ...o the Pole Mount Adapter Ensure the rubber feet align with the cups on the Pole Mount Adapter and all four feet are securely in the cups Use the Locking Pin on the Pole Mount Adapter to secure the loc...

Page 55: ...onnector on the back of the MPS 3 Console The Power Cord should be inserted through the Strain Relief clamp by unscrewing the clamp and running the power cord through the clamp This will help prevent...

Page 56: ...pothermic Reservoir so that it may obstruct viewing angles for other equipment Do not install the Reservoir so that it may obstruct tubing routing for the cardiopulmonary bypass circuit The Reservoir...

Page 57: ...t the Reservoir must be positioned with the Reservoir outlet above the heat exchanger on the Console at a minimum to ensure proper priming and flow 3 To install the Reservoir Bracket loosen the pole c...

Page 58: ...nto Bracket 6 The position of the Reservoir may be adjusted using the lever handle on the top of the bracket Loosen the handle set the Reservoir to the proper position and tighten the handle to secure...

Page 59: ...rain valve is closed by pressing the button on the top of the drain valve 10 Measure and cut the inlet and outlet tubing to the desired length Ensure the tubing length is long enough to reach the cons...

Page 60: ...MPS 3 System System Installation 18...

Page 61: ...sen fittings to the Console Inlet and Outlet ports Connect the Reservoir Outlet tubing to the Console Inlet Connect the Reservoir Inlet tubing to the Console Outlet Figure 19 Connect Reservoir Tubing...

Page 62: ...M should be configured to best fit the MPS 3 Controller Prior to installation of the MPS 3 Controller clean and tidy the pole mast in which the Controller will be placed Ensure the pole is clean dry a...

Page 63: ...Telescoping Mounting Arm 3 To install the Telescoping Mounting Arm loosen the pole clamp by turning the handle counterclockwise so that it fits over the pole mast intended to be used for installation...

Page 64: ...MPS 3 System System Installation Figure 21 Tighten Pole Clamp to Secure Mounting Arm 22...

Page 65: ...ace when properly secure The quick release lever should be positioned vertically after the Controller is secured to Telescoping Mounting Arm Figure 22 Connect Controller to Arm using Quick Release Ada...

Page 66: ...hex driver to the desired setting Note that the screw is left hand threaded so turning the screw counterclockwise will tighten the mechanism Figure 23 Loosen Telescoping Clamp to Extend Arm 8 Connect...

Page 67: ...MPS 3 Controller to ensure the Controller can be safely installed 2 Once a placement location has been identified clean and tidy the area and install the MPS 3 Controller Articulating Mounting Arm 3 T...

Page 68: ...f the Controller with the mating connector on the Articulating Mounting Arm Carefully slide the Controller onto the Articulating Mounting Arm The quick release adapter should click into place when pro...

Page 69: ...the viewing angle adjustment mechanisms needs to be tightened or loosened simply adjust the hex nut on the mechanism with a 3 16 hex driver to the desired setting Figure 27 Loosen Telescoping Clamp t...

Page 70: ...s while connecting the HCU and tubing connections Water quality must be maintained per heater cooler manufacturer recommendations DO NOT connect the MPS 3 Console to a heater cooler unit that has not...

Page 71: ...the Inlet and Outlet connectors on the HCU 3 Measure and cut the tubing to the desired length so that it can easily attach to the MPS 3 Console Ensure the tubing length is long enough to reach the con...

Page 72: ...he Hansen fittings to the Console Inlet and Outlet ports Connect the HCU Outlet tubing to the Console Inlet Connect the HCU Inlet tubing to the Console Outlet Figure 29 Connect Reservoir Tubing to Con...

Page 73: ...following the steps outlined in Section 5 5 3 2 Verify that the hypothermic reservoir is positioned so that the Outlet of the hypothermic reservoir is located ABOVE the heat exchanger to ensure proper...

Page 74: ...ogen Peroxide to the hypothermic reservoir to inhibit microbial growth in the system 10 If water flow is not established there may be an airlock present in the circulation pump To MANUALLY PURGE the s...

Page 75: ...re connected the HCU flow may be started If the HCU has variable speed settings ensure it is set to tis maximum flow mode The pressure and flow from the HCU should automatically purge the air from the...

Page 76: ...t This can be used to attach a Medical Air Supply to the inlet to bypass the internal compressors for quieter operation or in the event of compressor failure Before connecting the Medical Air Supply t...

Page 77: ...fy that the Medical Air Hose Kit provided has the correct connections for your Medical Air Supply 3 Connect the Medical Air Supply Outlet fitting to the Medical Air Supply 4 Connect the Medical Air Su...

Page 78: ...tem 3 Connect the EDMS Cable to the appropriate port on the EDMS system 4 Remove the supplied cover from the USB or RS 232 port depending on the cable required Retain the cover for use if the cable is...

Page 79: ...Connect the ECG Cable to the appropriate port on the ECG system 4 Remove the supplied cover from the ECG port Retain the cover for use if the cable is to be removed 5 Connect the ECG Cable to the anal...

Page 80: ...re in the Aortic Root or Coronary Sinus to be displayed on the MPS 3 Controller display The sterile single use Pressure Transducers can be purchased as optional disposable accessories This section wil...

Page 81: ...e in the Retrograde Pressure Connector The Retrograde Pressure Cable and Pressure Connector are color coded blue to help guide proper connections Be sure to align the guide tabs on the Cable connector...

Page 82: ...how to start up the MPS 3 System in a Console or Controller emergency change out scenario 6 1 System Power On When the MPS 3 System is powered on the system will emit an audible beep and begin to exe...

Page 83: ...e ON position between uses To charge the MPS 3 Battery the main power switch must be in the ON position Figure 37 Main Power Switch 2 Press and hold the push button switch on the front of the MPS 3 Co...

Page 84: ...on and System Diagnostics is being performed Alarm messages will be displayed on the startup screen should an error be encountered during System Diagnostics Only the Protocol Manager is accessible du...

Page 85: ...e System Diagnostics has completed successfully the selection screen will illuminate the following options RESUME CASE Section 9 2 NEW CASE Section 9 1 PROTOCOL MANAGER Section 9 3 MENU Section 9 4 Fi...

Page 86: ...desired preference The following parameters may be changed in the Settings menu Delivery Line Type Audio Level Key Clicks Audible Button Presses Flow Knob Sensitivity Language Arrest Agent Unit LCD Br...

Page 87: ...ngle or double 4 To change Audio Level select the Audio Level selection button and set the desired level 1 5 5 Loudest 5 To change Key Clicks Audible Button Presses select the selection button and cho...

Page 88: ...To select the LCD Brightness level select the selection button and set the desired level 30 100 100 Brightest 11 Once the settings on page 2 are configured select the right arrow to move to page 3 of...

Page 89: ...MPS 3 System Startup 14 Once the desired settings are configured select DONE to return to the Selection Screen 15 Select the back arrow in the lower left corner to exit the settings menu at any time 8...

Page 90: ...MPS 3 System Startup This page intentionally left blank 9...

Page 91: ...parameters start stop cardioplegia delivery and monitor delivery parameters The interface is intuitive in operation but this section will detail the layout of the interface for further clarification...

Page 92: ...t during Auto Mode Target Pressure 5 increment and decrement buttons can be used to raise or lower the target pressure during auto mode 6 Protocol The Protocol 6 button displays the protocol name if s...

Page 93: ...mode as Active Inactive The Vent 14 button is active only when Flow is set to zero 15 Graft The Graft 15 button indicates and toggles the Graft mode as Active Inactive 16 Delivery Route Options Antegr...

Page 94: ...he counter reaches 0 24 Flow Knob The Flow Knob 24 is used to adjust the flow rate 25 Stop Flow Auto Start The Stop Flow 25 button displayed only when flow is greater than zero may be used to immediat...

Page 95: ...patient These parameters can be set and monitored by the operator at any time during the case The screens listed below are available through the Home Screen selection options Chart View Flow Pressure...

Page 96: ...a cyclic pulsatile profile The Amplitude Duty Cycle and Frequency parameters can be adjusted to obtain the desired profile The Cyclic mode icon and the calculated pulsatile pressure are displayed in C...

Page 97: ...MPS 3 System Graphical User Interface GUI Overview Target pressure is reached Auto Start is disabled for Ante External Pressure Retro Simulgrade and Graft mode 7...

Page 98: ...per and lower pressure limits are always displayed To adjust either pressure limit select the limit and edit the value To set the pressure limits 1 Select the Pressure display on the Home Screen The P...

Page 99: ...MPS 3 System Graphical User Interface GUI Overview Figure 51 Retro Pressure Settings Figure 52 Graft Only Pressure Settings 9...

Page 100: ...pressure limit maximum will be limited to 20mmHg less than the current upper pressure limit setting The target pressure maximum will be limited to 20mmHg less than the current upper pressure limit An...

Page 101: ...topwatch Timer will be displayed in the On Time display if it is activated Figure 53 Time display Select the Off Time Time It displays an Add button as shown below Figure 54 Add Button If the Add butt...

Page 102: ...screen displays Figure 55 Timer Settings 2 Use the Numeric keypad to set the Initial and Repeat timer values in minutes Use the On and Off buttons to turn the Ischemic Timer On or Off 3 The Initial a...

Page 103: ...ure 56 Incremental Volume 7 3 4 1 Set VTBD TTBD The VTBD button is used to set a specific volume to be delivered and the TTBD button is used to set a specific duration to deliver the cardioplegia to t...

Page 104: ...Delivers the set volume for a single dose Delivers for the set duration for a single dose Always Delivers the set volume for every dose until the operator cancels the VTBD mode Delivers for the set du...

Page 105: ...est Additive Antegrade Retrograde Simulgrade and Graft Only volume counters shall be tracked and dynamically displayed to the operator Use the Reset Volumes button to reset all the counters to zero Wh...

Page 106: ...sum of Crystalloid Arrest Agent Additive Volume delivered Next the total Potassium delivered to the patient is displayed This includes the Potassium delivered by the Arrest pump as well as the Potassi...

Page 107: ...o set Arrest Agent settings select on the Home Screen The Arrest Agent Setting screen is displayed The display has the solid yellow look and the yellow LED on the Arrest pump is turned on to indicate...

Page 108: ...dditive and to set the delivery concentration The Additive concentration range is between 0 ml L to 50 ml L 1 To set Additive settings select on the Home Screen The Additive Setting screen is displaye...

Page 109: ...lity to deliver blood and crystalloid in various ratios The available options are All crystalloid Cryst Blood Crystalloid Ratios of 1 9 to 1 1 and 2 1 to 66 1 All blood Blood When the remaining crysta...

Page 110: ...the Blood Cryst Ratio value A numeric keypad with commonly used ratios is displayed to set the ratio Use the set knob for access to the full range of blood crystalloid ratio settings 3 Select the Crys...

Page 111: ...t path are displayed The display shows the various circulation system conditions such as circulation system off priming heater diagnostics heater disabled and temperature sensor error 1 To set Tempera...

Page 112: ...healthy A flashing gray icon is displayed if the water flow is suboptimal 7 4 Function Buttons The Operator can select the following function buttons from the Home Screen Vent ECG Hold Volume Graft Me...

Page 113: ...rature but does not deliver Arrest or Additive drugs in Vent mode Figure 65 Vent Button During normal delivery the vent valve will automatically open when air is detected in the bubble trap The vent v...

Page 114: ...figuration Refer to Section 5 6 3 for connection instructions to the MPS 3 Controller This option allows the operator to view the ECG strip chart To view the ECG chart select the ECG button in the Hom...

Page 115: ...me can be started by selecting the XC ON button Select the Arrested button to freeze and record the Time to Arrest value The Arrest Time counter then starts counting and the Ischemic counter starts to...

Page 116: ...Graphical User Interface GUI Overview Figure 68 Hot Shot Detection Confirmation Screen Figure 69 Heart Restart Method Selection Screen Figure 70 Cross Clamp left Arrested center and Rhythm right Butto...

Page 117: ...Select the Graft icon button to activate Graft mode and to display the Graft settings screen The Route label for the dose will change to Ante Graft Retro Graft or Simul Graft Figure 72 Graft Selection...

Page 118: ...aft Only Screen Select the Graft Only button to exit Graft Only Mode and to change the route label and pressure limits to Ante Graft Retro Graft or Simul Graft Select the Graft icon button to exit Ant...

Page 119: ...rator can select and adjust the parameters in Settings H2O Circ Device Info Additive Crystalloid Personnel Error Report Case History or File Transfer sub menu options Long press the Menu button to dir...

Page 120: ...n modified from the original saved Protocol when launched Operator can modify the protocol parameters by selecting the protocol name or they can select a new protocol from the existing protocol list S...

Page 121: ...Confirm the warning When in Simulgrade mode both the Ante and Retro buttons are highlighted and the Retrograde pressure limits are activated To exit Simulgrade delivery short press either the Ante or...

Page 122: ...rate to maintain the Target pressure To activate the Auto Start mode first ensure that the mode is enabled in the Flow Settings screen Press and hold the Auto Start button on the Home Screen when flow...

Page 123: ...MPS 3 System Graphical User Interface GUI Overview Figure 80 Auto Mode Screen 33...

Page 124: ...Extension Line Arrest Agent Cartridge Additive Cartridge Only genuine Quest disposable components including delivery sets and extension lines can be used with the MPS System to ensure the intended sys...

Page 125: ...artridges and drug lines and set aside 5 With one hand grasp the heat exchanger bubble trap and remove the heat exchanger and blood crystalloid cassette from the tray 6 To ensure proper installation w...

Page 126: ...kwise to lock the heat exchanger in position Once the knob is locked the water port seals and bubble trap sensor interface will automatically engage with the MPS 3 Console Figure 82 MPS 3 Locking Knob...

Page 127: ...position convex Cycle the power to reset the pistons If the pistons do not retract STOP THE MPS 3 CONSOLE and call for service If the pump pistons are not fully retracted there may be unintentional d...

Page 128: ...alloid inlet tubing and route the tubing along the top of the MPS 3 Console using the tubing clamps on the Console 8 1 3 Connecting the Delivery Set to the Extracorporeal Circuit 1 Connect the blood s...

Page 129: ...ton and hold while inserting the tubing see step 8 from section 8 1 1 Figure 86 MPS 3 Air in Line Sensor Engagement 4 Uncoil the vent line and attach the luer connector to the non pressurized luer por...

Page 130: ...an arrest agent concentration of 2 mEq ml Using an arrest agent concentration other than 2 mEq ml will result in inaccurate delivery concentrations and may cause patient injury DO NOT OVERFILL OR OVE...

Page 131: ...ign the two flanges on the Arrest Cartridge with the matching features on the Arrest Pump on the MPS 3 Console Figure 89 Align the Cartridge 4 Insert the Arrest Cartridge into the Arrest Pump and turn...

Page 132: ...h the non standard luer fitting attaching to the Arrest cartridge and the check valve fitting to the heat exchanger Figure 91 Arrest Delivery Line Connections 6 Connect the filling syringe to the fill...

Page 133: ...ling 8 For best results ensure that the Arrest Cartridge is free of air by aspirating with the filling syringe 9 Disconnect the filling syringe from the stopcock and turn the stopcock handle to the de...

Page 134: ...align the two flanges on the Additive Cartridge with the matching features on the Additive Pump on the MPS 3 Console DO NOT OVERFILL OR OVER PRESSURIZE arrest agent or additive cartridges The normal...

Page 135: ...MPS 3 System Disposable Installation Figure 96 Align the Additive Cartridge 12...

Page 136: ...Cartridge to Console 5 Connect the green stopcock Additive Cartridge Delivery Line with the standard luer fitting attaching to the Additive cartridge and the check valve fitting to the heat exchanger...

Page 137: ...itive Cartridge is free of air by aspirating with the filling syringe 9 Disconnect the filling syringe from the stopcock and turn the stopcock handle to the delivery position 10 The coupler for the ad...

Page 138: ...ery line At the completion of the auto priming sequence the manual recirculation mode screen displays Prior to starting the priming process the Arrest Agent and Additive cartridges must be filled If a...

Page 139: ...o Prime Sequence Initiated During the Auto Prime process the following operations are performed Source line fill Bubble trap prime Air expulsion Blood side leak test Arrest agent prime Additive prime...

Page 140: ...cause biological contamination of the cardioplegia delivery fluid and blood hemolysis If a leak is observed DO NOT USE the delivery set Promptly return the delivery set to Quest Medical Inc During Re...

Page 141: ...idge and turn the stopcock to the delivery position Refer to Section 8 1 4 Installing and Filling the Arrest Agent 6 Select Done button and the MPS 3 System determines and updates the arrest agent car...

Page 142: ...ition and withdraw sufficient fluid to ensure the cartridge is free of air Fill the cartridge and turn the stopcock to the delivery position Refer to Section 8 1 5 Installing and Filling the Additive...

Page 143: ...he Disable button on the corresponding K or Additive button on the Home Screen depending on which pump is disabled A message window to enable the pump will be displayed Figure 103 Arrest Agent and Add...

Page 144: ...stalloid bag select Cryst Vol Remaining button and set the Cryst Vol Remaining to new volume available 3 Adjust the flow rate knob to resume delivery If crystalloid is being used for cardioplegia deli...

Page 145: ...xchanger knob counterclockwise Remove the heat exchanger 9 Remove the delivery set from the MPS 3 System 10 Close the console outer door Always clamp all input and delivery lines BEFORE OPENING the MP...

Page 146: ...MPS 3 System Disposable Installation Figure 104 Delivery Set Removed from the MPS 3 Console This page intentionally left blank 23...

Page 147: ...New Case Setup screen allows the operator to select case parameters to be used in setting up the new case To enter the New Case Setup menu select the New Case button on the Selection Screen Once a pro...

Page 148: ...mory and displayed for editing or conformation during the setup sequence In the New Case Setup screen select Defaults to select default values The operator can then customize the parameters in setting...

Page 149: ...MPS 3 System Functional Use Figure 108 New Case Parameters Page 2 Figure 109 New Case Parameters Page 3 3...

Page 150: ...MPS 3 System Functional Use Figure 110 New Case Parameters Page 4 Figure 111 New Case Parameters Page 5 4...

Page 151: ...MPS 3 System Functional Use Figure 112 New Case Parameters Page 6 Figure 113 New Case Parameters Page 7 5...

Page 152: ...MPS 3 System Functional Use Figure 114 New Case Setup Parameters Page 8 6...

Page 153: ...itive solution NA NA Additive 4 Additive Concentration ml L Additive Concentration 0 50 8 5 Blood Cryst Ratio Blood to crystalloid ratio Blood 66 1 49 1 39 1 32 1 27 1 24 1 21 2 1 1 1 1 2 9 Cryst Bloo...

Page 154: ...essure source for Retro External System System 17 Retro Ext Upper Limit Retro Ext Pressure upper limit 20 250 50 Retro Sys Upper Limit Retro Sys Pressure upper limit 20 750 200 18 Retro Ext Lower Limi...

Page 155: ...ng After Prime Antegrade Retrograde Simulgrade Antegrade 29 Del Line Type Delivery Line Type Single Double Single 30 Initial Arrest Mode Initial Arrest Mode Setting After Prime High Low High 31 Flow M...

Page 156: ...orten set up time The operator can customize the protocol in setting up the current case To create a new protocol refer to Section 9 3 of this operations manual To utilize an existing protocol select...

Page 157: ...hange the parameters from the Home Screen if the last parameters used are not desirable 9 3 Using MPS 3 Protocol Manager The Protocol Manager allows the operator to recall and edit an existing protoco...

Page 158: ...MPS 3 System Functional Use Figure 118 Create Protocol Screen 3 Select an option and the Protocol Name screen displays where the new protocol name may be entered Figure 119 Protocol Naming Screen 12...

Page 159: ...ximum character length for the protocol name is 14 alpha numeric characters All parameters can be reviewed and edited Figure 120 Save Protocol Screen 5 The operator can restore Factory Defaults by pre...

Page 160: ...s For details regarding the Settings menu refer to Section 6 2 9 4 2 H2O Circ The H2O Prime and H2O Clean options are available within the Menu H2O Circ Menu option The Start button may be used to pri...

Page 161: ...tdown timer is displayed during the process The process can be stopped and resumed Figure 123 H2O Prime Sequence To run the H2O Cleaning Cycle select the H2O Clean tab and select Start See Section 12...

Page 162: ...9 4 3 Device Info Device Info contains MPS 3 System information required for service personnel Figure 125 Device Info Screen Pressing the Save button will save the device information to an external U...

Page 163: ...loid and Personnel is created on the USB memory Select Menu File Transfer Copy from Master to replace all the Protocols Additive Crystalloid and Personnel data on the MPS 3 System with that from the M...

Page 164: ...cases and use the delete button to delete them Select 1 case and use the View button to view the Case details Copying cases from the external USB memory to the Quest Internal memory is not allowed Se...

Page 165: ...nal storage device is plugged in a case record can be copied to the memory The Dose records all Pressure Flow Temperature data and Case Report data associated with that case are saved as part of Case...

Page 166: ...e Shows the time corresponding to the start of the record and the duration If a note was previously entered for this record the Note icon is displayed Avg Flow Shows the average flow rate during the d...

Page 167: ...MPS 3 System Functional Use Figure 130 Dose History Screen 21...

Page 168: ...or may label or re label a Dose by selecting from two different lists to label the Graft one selection from the Conduit list and one or more selections from the Distal list and then pressing Label If...

Page 169: ...A single dose is limited to a maximum of four hours looped data The data corresponding to the dose is displayed Figure 132 Dose Record View Operator can zoom in or out using the slider bars The Save...

Page 170: ...increments Procedure This field displays the selected Procedure if a single Procedure was previously selected or Combo if multiple procedures are selected The procedure screen has 2 levels to allow y...

Page 171: ...MPS 3 System Functional Use Figure 133 Case Report 1 of 4 Figure 134 Case Report Procedure View 25...

Page 172: ...very routes Time to Arrest mm ss This field displays the Time to Arrest It is the time elapsed between the start of the dose and when the Arrested button is selected It will match the value displayed...

Page 173: ...field reflects the Rhythm selection made in the ECG Settings screen when the Rhythm button was selected Pump Time min Use this field to record the Pump Time in minutes Cardioplegia Type Use this fiel...

Page 174: ...n CPB Final K post CPB IntraOp mmol L Use this field to record the final K concentration after CPB Assist Device Pre Op Use this field to record whether an Assist Device was used Pre Op Assist Devices...

Page 175: ...MPS 3 System Functional Use Figure 136 Case Report 2 of 4 29...

Page 176: ...Enter PRBC Packed Red Blood Cells given with range 0 9 Units FFP Enter FFP Fresh Frozen Plasma given with range 0 9 Units Cryoprecipitate Enter Cryoprecipitate given with range 0 9 Units Platelets En...

Page 177: ...contains a list of Additives created by the operator Items in the list can be added deleted or edited To add an item to the Additive list 1 In Selection Screen select Menu Additives The Additive List...

Page 178: ...MPS 3 System Functional Use 32...

Page 179: ...a maximum of up to 8 characters Figure 141 Additive Template Selection 3 All the fields in the Additive Template have to be filled to match the Additive solution being used The per L cdpg quantity of...

Page 180: ...e Crystalloid list 1 In Selection Screen select Menu Crystalloid The Crystalloid List screen is displayed Figure 143 Menu 2 Select a Crystalloid name to edit an existing Crystalloid or select Create N...

Page 181: ...ed to match the Crystalloid solution being used The per L cdpg and Crystalloid Volume fields are calculated by the MPS 3 based on the provided information A component can be deleted by selecting the c...

Page 182: ...NaHCO3 Mannit 25 and Insulin To add or delete a custom component to the Component list 1 In Additive or Crystalloid screen select the Components tab The Component List screen is displayed 2 Select Cre...

Page 183: ...abetically based on the first letter of the name as entered This list is accessible from the Case report screen and is used to keep track of personnel involved in each case To add or delete a custom m...

Page 184: ...0 Error Report The Error Report menu option lists all the Errors on the device in Chronological order along with time stamp and Error code This list helps Service personnel to identify and troubleshoo...

Page 185: ...MPS 3 System Functional Use Figure 149 Error Report 39...

Page 186: ...to commands from the Controller To exit Trainer Mode restart the System with the push button switch and confirm the orange border is no longer displayed after System Diagnostics is completed While in...

Page 187: ...MPS 3 System Functional Use Figure 150 Entering Simulator Mode Warning Figure 151 Simulator Mode 41...

Page 188: ...to the OFF position To restart the MPS 3 System from Standby mode select and hold the push button switch on the front of the MPS 3 Console until the indicator light turns blue The backup battery only...

Page 189: ...ice Reports authorized Service personnel only Storage Media for data transfer must be a Quest Medical approved USB external storage device with a Quest signature file loaded Contact your customer serv...

Page 190: ...gh and Medium Priority Alarm screens When the AUDIO PAUSE button is selected the audible alarm tone will be silenced for 30 seconds 10 1 High Priority Alarms High priority alarms halt fluid delivery a...

Page 191: ...or has the option to pause the audible alarm tone for 30 seconds The operator may acknowledge the alarm by selecting an option in the error message window Figure 156 Home Screen with Medium Priority A...

Page 192: ...ystem functioning properly 11 2 MPS 3 Blood Bypass Tubing The MPS 3 Blood Bypass Tubing REF 5301016 is only for use as a back up with the MPS 3 System to continue fluid delivery in the event of comple...

Page 193: ...ter multiple occurrences 2 System Data Error SHUTDOWN RESTART Restart System Call service after multiple alarms 3 4 System Error SHUTDOWN RESTART Restart System Call service after multiple occurrences...

Page 194: ...d diagnostics RESTART CONFIRM Restart System Call service after multiple occurrences 14 Left Pump failed diagnostics RESTART CONFIRM Restart System Call service after multiple occurrences 15 Right Pum...

Page 195: ...er multiple occurrences 22 Left Pump failed diagnostics RESTART CONFIRM Restart System Call service after multiple occurrences 23 Right Pump failed diagnostics RESTART CONFIRM Restart System Call serv...

Page 196: ...Is there fluid in the bubble trap RETEST YES If fluid is present select YES OR If fluid is not present restart and repeat the priming process contact service after multiple occurrences 33 Is there flu...

Page 197: ...Check fluid source pressure and circuit RETEST Check the lines for clamps ensure there is adequate blood source pressure reprime the circuit 38 Unable to Prime Check fluid source pressure and circuit...

Page 198: ...e stopcock position at the sensor Try to reestablish zero by re zeroing sensor If it is believed sensor is faulty replace sensor and try again Contact service after multiple occurrences 44 Max externa...

Page 199: ...ple occurrences 50 Low delivery line pressure Check delivery line connections Check Vent pump CONFIRM Check heat exchanger to ensure it is secured properly with the locking knob Check location of deli...

Page 200: ...pect delivery line for air moving forward 57 Vent Valve Is Open Check for Air in the bubble trap Ensure the heat exchanger is locked CONFIRM Check heat exchanger to ensure it is secured tightly with t...

Page 201: ...ce lines and pressures If problem persists restart system Call service after multiple occurrences 66 67 System Error SHUTDOWN RESTART Restart System Call service after multiple occurrences 68 69 Syste...

Page 202: ...tting 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 Mechanism valve...

Page 203: ...cartridge is empty or absent Arrest pump is Off REFILL CONFIRM Choose CONFIRM if Arrest delivery is no longer needed for procedure OR Select REFILL and refill Arrest Cartridge 103 Arrest occlusion de...

Page 204: ...ESTART CONFIRM Restart System Call service after multiple occurrences 109 Additive cartridge is empty or absent Fill Additive cartridge press RETEST DISABLE RETEST Choose DISABLE if Additive delivery...

Page 205: ...ry line restart console and try again Contact service after multiple alarms 114 Additive over delivery detected Additive has been turned off RETEST CONFIRM Select CONFIRM to turn Additive pump off and...

Page 206: ...rocedure OR Select RETEST to turn Additive pump on and continue procedure 120 Additive pump failed Proceed without Additive pump CONFIRM Restart System and resume case Call service after multiple occu...

Page 207: ...delivery temperature Restart System Contact service after multiple occurrences 126 Temperature exceeded allowed limit Ensure that cold water is available H2O Circ turned OFF CONFIRM Check cold water...

Page 208: ...y and not reversed Increase head height of Hypothermic Reservoir Increase water pressure and flow mode settings in heater cooler unit if possible If a bypass loop is being used in conjunction with the...

Page 209: ...f check valve in line will increase flow into the MPS 3 H2O Circulation System Try to prime re prime circulation system If system will still not prime properly remove heat exchanger and manually burp...

Page 210: ...o medical air Contact service following procedure 141 Pneumatic over pressure 55 psi Check medical air source SHUTDOWN RETRY Disconnect from medical air and retry 142 Pneumatic leak or internal compre...

Page 211: ...sensor is not essential for operation Call service after multiple occurrences 151 H2O temperature sensor error H2O temperature will not be displayed Heaters Disabled CONFIRM Continue without temperatu...

Page 212: ...ternal temperature Error detected Check for obstructed air flow Unable to proceed Call for Service SHUTDOWN Check fans and air inlets for obstructions Restart System Contact service after multiple occ...

Page 213: ...le occurrences 170 Internal temperature Error detected Check for obstructed air flow Unable to proceed Call for Service SHUTDOWN Check fans and air inlets for obstructions Restart System Contact servi...

Page 214: ...he rear panel Unable to proceed Call for Service Check fans and air inlets for obstructions Restart System Contact service after multiple occurrences 180 181 Battery Charge Error Battery backup unavai...

Page 215: ...ade pressure Check 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 fau...

Page 216: ...T Check Arrest Cartridge to verify it is properly installed and fully secured to the Arrest pump If the cartridge was secure try stopping and restarting cardioplegia flow If error still persists resta...

Page 217: ...e 203 Additive under delivery detected Check cartridge and circuit CONFIRM RETEST Select CONFIRM to suspend monitoring until next dose OR Select RETEST to continue monitoring 204 Internal H2O temperat...

Page 218: ...If the cartridge was secure try stopping and restarting cardioplegia flow If error still persists restart system and try again Contact service after multiple occurrences 225 Additive pump error Addit...

Page 219: ...START Restart system Call service after multiple alarms 238 Secondary Comm channel Error SHUTDOWN RESTART Restart system Call service after multiple alarms 244 System Data Error Defaults loaded CONFIR...

Page 220: ...70 System Error SHUTDOWN RESTART Restart System Call service after multiple occurrences 271 System Communication Error Manual Restart Required Manually restart system Call service after multiple occur...

Page 221: ...and resume case Call service after multiple occurrences 280 281 282 283 Internal ECG Error ECG cannot be displayed CONFIRM Continue as normal Internal ECG is not essential to operation Call service af...

Page 222: ...ormal Check Protocols in Protocol Manager Call service after multiple occurrences 291 Memory Access Failure SHUTDOWN RESTART Restart system Call service after multiple alarms 292 System Exception Erro...

Page 223: ...le detected Please insert media with compatible file CONFIRM Master file may be corrupted Re download Master File Call service after multiple occurrences 300 Customized data corrupted All customized d...

Page 224: ...Volume low 50 ml REPLACE CONFIRM Stop flow to replace Crystalloid bag and enter new volume 311 Flow set to zero Crystalloid Source Empty REPLACE CONFIRM Stop flow to replace Crystalloid bag and enter...

Page 225: ...elect SWAP to continue OR Select SHUTDOWN to power off system and re connect original pair 315 Resume case allowed ONLY if Same Controller is present DIFF CNTLR SAME CNTLR Select DIFF CNTLR if Control...

Page 226: ...Swap Out 11 4 3 Bubble Trap Errors If unexpected Venting occurs check for Micro bubbles around the fluid level detector in the heat exchanger If present stop flow and tap on the face of the heat excha...

Page 227: ...ater lines to ensure they are not kinked or blocked o Try to prime the circulation system using the H2O Prime function If using Heater Cooler o Ensure the heater cooler unit is properly filled with wa...

Page 228: ...MPS 3 System Troubleshooting Verify that the locking knob is in the correct orientation to secure the 10 convolution or 16 convolution heat exchanger Refer to section 8 1 1 1 for full details 37...

Page 229: ...plugged in and the main power switch is in the ON position The orange indicator light on the soft switch should be illuminated 11 4 12 Air in Delivery Line If Air in Line alarms are repeatedly encount...

Page 230: ...es 9 Turn on Console with Rear Switch and Standby Switch After System Diagnostics is completed select SWAP on Alarm 314 10 Select SAME CNTLR on Alarm 315 11 Select RESUME CASE for all previous case pa...

Page 231: ...MPS 3 System Troubleshooting 40...

Page 232: ...MPS 3 System Troubleshooting Figure 157 Alarm 314 Figure 158 Alarm 315 41...

Page 233: ...MPS 3 System Troubleshooting This page intentionally left blank 42...

Page 234: ...MPS 3 System Troubleshooting 43...

Page 235: ...nd operators should attempt to perform maintenance on the MPS 3 System Any and all maintenance procedures must be performed as outlined in these instructions DO NOT attempt to disassemble or dismantle...

Page 236: ...of visible soil Wring any excess solution from the cloth prior to wiping the console 6 Wring excess solution from CaviWipes and gently wipe the external surfaces of the MPS 3 System until all surfaces...

Page 237: ...llow the steps outlined below Approved disinfectants CaviCide Spray CaviWipes Wipes 1 Wring excess solution from CaviWipes and gently wipe the external surfaces of the MPS 3 System until all surfaces...

Page 238: ...sible remove large debris prior to cleaning the valve mechanism 2 Fill 60cc syringe with warm water 3 Wrap a towel around the valve to collect the spillage and saturate the inside and outside of the v...

Page 239: ...the water hoses which may indicate bacterial growth Consult hospital infection control for further action Replace hoses that connect to external devices annually at a minimum to minimize biofilm forma...

Page 240: ...panel and drain the internal reservoir Figure 8 1 into a wastewater container 4 Open the Drain Shutoff valve of the Hypothermic Reservoir and drain 5 Remove the ice grate from the Hypothermic Reservoi...

Page 241: ...omes out Section 5 5 5 4 Ensure the locking knob is in the 10 convolution position and install the water circuit adapter REF 5001110 to the console using the locking knob Figure 161 Console and Hypoth...

Page 242: ...4 for the re rinse cycle 6 To minimize water spillage the Drain Hx is automatically performed after the final rinse cycle 7 Drain the system after completion of the re rinse cycle 12 1 3 4 Refilling H...

Page 243: ...nce 2 Fill the hypothermic reservoir with 3 liters of sterile water or tap water filtered with a 0 22 micron filter Place hypothermic reservoir lid on the reservoir 3 Manually purge the circulation sy...

Page 244: ...ing a peroxide test strip The MPS 3 disinfection procedure was validated using Indigo Instruments High Level Peroxide Test Strip 33815 P400 Refer to test strip Manufacturer s IFU for instruction on us...

Page 245: ...n be returned to Quest for PM or PM serviced in the field Prior to any PM a determination of ownership is made to establish if the MPS 3 system is Quest owned customer owned or under Service contract...

Page 246: ...to view the Service screen Figure 163 Service Passcode Screen 3 Select the Data Logs button to view all the log files available in the system The operator can select just one or last 10 or last 20 or...

Page 247: ...MPS 3 System System Maintenance Figure 165 Data Logs Screen 13...

Page 248: ...ion of diagnostics the test result can be copied to the memory Figure 166 Self Diagnostics Screen 5 Select System Maintenance to view the maintenance screen The next scheduled Maintenance due date is...

Page 249: ...ONE ALLENTOWN PARKWAY ALLEN TX 75002 4211 USA Or a Quest Medical authorized repair facility THIS WARRANTY CONTAINS THE SOLE EXPRESSED WARRANTY MADE BY QUEST MEDICAL IN CONNECTION WITH ITS MPS SYSTEM...

Page 250: ...e service is provided upon request Loaner devices are available upon request Rental fees may apply For MPS 3 Systems that are out of warranty a variety of Service Contracts and MPS technical training...

Page 251: ...MPS 3 System Service incident occurred To report serious incidents to Quest Medical send an email to custserv questmedical com or call 1 800 627 0226 3...

Page 252: ...MPS 3 System Service 4...

Page 253: ...Articulating Controller Mounting Arm 5303008 MPS 3 Telescoping Controller Mounting Arm 5301023 MPS 3 Console Pole Mount Adapter 5301025 MPS 3 Console HLM Adapter 511800A Cable Antegrade Aortic Root Tr...

Page 254: ...MPS 3 System Part Numbers and Accessories 15 1 1 Power Cords Part Number REF Country Region Wall Receptacle Connection 530NA16 North America NEMA 5 15 HG 2...

Page 255: ...d Source Line Length Extension Line Length Drug Cartridges Included 5003103 1 4 6 35 mm 42 106 cm 72 183 cm 7003101 3 16 4 76 mm 72 183 cm N A Part Number REF Blood Source Line ID Blood Source Line Le...

Page 256: ...MPS 3 System Part Numbers and Accessories 4...

Page 257: ...Agent Delivery Line 5053107 Additive Delivery Line 5001106 3 16 x 10 ft 120 Extension Line 5001108 Antegrade Retrograde Y Set 5051101 Retrograde Extension Pressure Line with Transducer 5051102 Retrogr...

Page 258: ...MPS 3 System Part Numbers and Accessories 6...

Page 259: ...MPS 3 System Part Numbers and Accessories 7...

Page 260: ......

Page 261: ...e used no closer than 30 cm 12 inches to any part of the MPS 3 System including cables specified by Quest Medical in this Operations Manual otherwise degradation of the performance of the MPS 3 System...

Page 262: ...supplies buildings used for domestic purpose Harmonic emissions IEC 61000 3 2 Class A Voltage fluctuations Flicker emissions IEC 61000 3 3 Complies Guidance and Manufacturer s Declaration Electromagn...

Page 263: ...ency range Interference is possible in the vicinity of equipment bearing the following graphic symbol Radiated RF IEC 61000 4 3 3 V m 80 MHz to 2 7 GHz 3 V m 80 MHz to 2 7 GHz Magnetic field of power...

Page 264: ...dcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the...

Page 265: ...s W Separation distance according to the frequency of transmitter in meter m 150 kHz to 80 MHz d 1 2 P 80 MHz to 800 MHz d 1 2 P 800 MHz to 2 5 GHz d 2 3 P 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2...

Page 266: ...nd use of this device Use cable to interface disposable pressure transducer with the MPS 3 console The transducer will not accurately measure pressures above 300 mmHg CAUTIONS Federal U S A law restri...

Page 267: ...female cap on Blood Bypass Tubing 7 Attach 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 1...

Page 268: ...MPS 3 System Appendix This page intentionally left blank 8...

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