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07-19-B3-430

Auto Syringe AS50 Infusion Pump Operator’s Manual

Page 57

Additional Functions and Operations

2.

Press

EDIT

, then use the

▲

,

▼

or digit keys as necessary to program the bolus size.

When a bolus is fully programmed, the pump displays

BOLUS READY

.

3.

Press

START

to begin bolus delivery immediately or press

CONFIRM

to save the bolus

data and return to the normal display.

Bolus Programming Notes

For mL/min mode, the bolus rate is displayed in mL/min. For all other modes it is
displayed in mL/hr.

Pressing

BOLUS

during the

BOLUS READY

or

PRESS EDIT TO SET BOLUS SIZE

display

cancels bolus programming and restores the normal display immediately.

A bolus can be programmed and delivered from Standby state, even when the infusion
has not been fully programmed. The minimum program data required for bolus operation
are: Syringe manufacturer and size, body weight (if applicable), and drug concentration (if
applicable). In addition, for CUSTOM DILUTION mode, all remaining fields must be
programmed.

Bolus Delivery

During bolus delivery, the text display reads

BOLUS RUNNING

and all three RUN lights

flash simultaneously.

1.

To halt bolus delivery before the full bolus amount has been delivered, press

STOP

.

The normal display and operating state resumes. The text field reads

BOLUS

STOPPED

for a few seconds.

2.

If the pump is allowed to deliver the full bolus amount, the normal display and
operating state are automatically restored. The text field reads

BOLUS COMPLETE

for

a few seconds. In addition, if the

BOLUS COMPLETE

alert is enabled, the pump

sounds two beeps and flashes the ALERT light.

Bolus Delivery Notes

During bolus delivery, the display shows the amount of the bolus that has been infused.

If bolus delivery is started during an infusion, the infusion resumes automatically once the
bolus delivery ends. If the bolus delivery is stopped prematurely by pressing

STOP

, the

pump displays

DOSE RESUMES

for a few seconds.

The bolus volume is added to the

TOTAL ML

display after the bolus operation stops.

Bolus Review

Press

BOLUS

to review the Bolus display. The bolus information will be displayed for

about 10 seconds, or the normal display can be restored immediately by pressing

BOLUS

or

CONFIRM

.

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Содержание Auto Syringe AS50

Страница 1: ...Operator s Manual Auto Syringe AS50 Model AS50 Infusion Pump...

Страница 2: ...ual and any information contained within may not be reproduced distributed or transmitted in any form or by any means for any purpose without the express written permission of Baxter To order addition...

Страница 3: ...16 The Keypad 18 The Status Panel 19 Operating States 20 Standby State 20 Run State 20 Data Display and Entry 20 Protocol Library Feature 21 Bypassing the Protocol Library Feature 22 Serial Communica...

Страница 4: ...51 Additional Functions and Operations 53 Purge Function 53 Purge Procedure 53 Purge Delivery Table 54 Bolus Function 55 Bolus Units 55 Bolus Size Limits 55 Bolus Rate 56 Bolus Programming 56 Bolus Pr...

Страница 5: ...Protocol Libraries 68 Pump Maintenance 69 Charging the Battery 69 IV Pole Clamp 70 IV Pole Loop 71 Cleaning 71 Routine Cleaning and Disinfection Techniques 71 Conditions Requiring Service Cleaning 73...

Страница 6: ...Page iv Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 This page is intentionally blank...

Страница 7: ...isplay For example ML HR is the text that appears on the bottom line of the status display when selecting the mL hr infusion mode BOLD TEXT Denotes the keys on the pump s keypad For example the text p...

Страница 8: ...About This Manual Page 2 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 This page is intentionally blank...

Страница 9: ...y to use During programming the status display prompts the user to enter data about the syringe and the infusion While the pump is running the status display shows information about the infusion Safet...

Страница 10: ...lso be operated while attached to a 900 Series battery charger model number CAS40 01 900 or to a Multi Charger product code 1M8563 The pump is supplied with a pole clamp and a built in IV pole loop Th...

Страница 11: ...lication The Protocol Library feature is a configuration option developed to facilitate infusion programming Before using a protocol for any specific drug refer to the full prescribing information sup...

Страница 12: ...usion Pump routine checks and maintenance procedures must be performed so that patients receiving infusions can be assured of trouble free operation Caution must be exercised in the selection of drugs...

Страница 13: ...for short term anesthetic epidural drug delivery Epidural administration of analgesics is limited to use with indwelling catheters specifically indicated for either short or long term analgesic epidur...

Страница 14: ...Precautions Page 8 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 This page is intentionally blank...

Страница 15: ...ghout the operating instructions also Bottom View Back View 2 5 6 7 14 11 12 10 15 4 3 1 Front View 8 Top T T View 9 13 restr by CA 1 Status Display 2 Plunger Assembly Finger Grip Plunger Clamp Plunge...

Страница 16: ...p 6 firmly against the syringe barrel Pull out the plunger driver 2 slide it down to capture the top of the syringe plunger and push in firmly to capture syringe plunger 3 Slide the ON OFF switch 14 t...

Страница 17: ...as necessary and complete the data entry by pressing CONFIRM For use of the Size Override feature see Size Override on page 64 3 Enter the remaining program data as required The current field is the o...

Страница 18: ...ose in Units hr Units min mUnits hr or mUnits min Enter dose in mcg hr mcg min mg hr or mg min Enter dose in mcg kg hr mcg kg min mg kg hr or mg kg min Enter target dose in mcg kg min 6 Enter final vo...

Страница 19: ...utes hh mm OVER field Enter dose duration in hours and minutes hh mm OVER field Enter dose duration in hours and minutes hh mm 4 EVERY field Enter dose Interval in hours and minutes hh mm EVERY field...

Страница 20: ...Simplified Instructions Page 14 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 This page is intentionally blank...

Страница 21: ...ange 0 01 mL hr to 438 mL hr depending on the syringe Deliverable Volume Full syringe volume for 1 60 mL syringes Data Display Self prompting multi field LCD Liquid Crystal Display Status Display Nine...

Страница 22: ...sequence or to display a message about the infusion After the infusion mode has been selected the pump automatically displays the necessary fields to be programmed When the pump needs information it...

Страница 23: ...mcg min mcg hr mg min mg hr mcg kg min mcg kg hr mg kg min mg kg hr mU min mU hr U min or U hr or bolus size mg mcg kg mg kg or Units Field 6 displays total delivered mL mcg mg or grams volume limit m...

Страница 24: ...ays the next item in a list The down arrow key decreases a number selects a different field or displays the previous item in a list Digit Keys The digit keys are used to enter numeric values directly...

Страница 25: ...ing an alert or alarm The status display and remaining status lights may display additional information BATTERY When flashing the red BATTERY light indicates that the battery charge is low If the batt...

Страница 26: ...Entry Numeric Data Numbers are displayed in a right justified format A leading zero appears before decimal values when the field size permits For example the value 12 is displayed as 0 12 Time Data Fi...

Страница 27: ...ault selections at some of the data entry steps For instructions on selecting a protocol see Using Protocols on page 32 The Protocol Library feature is enabled or disabled through the pump configurati...

Страница 28: ...ximum rate which is defined in terms of dosage such as mcg kg min Bypassing the Protocol Library Feature Note The NONE selection may not be available depending upon configuration Selecting NONE at the...

Страница 29: ...r and mcg Min The drug concentration is entered in mg mL and the dose is entered in mg hr mg min mcg hr or mcg min depending on the mode selected The pump automatically displays the effective rate in...

Страница 30: ...specified intervals The dose is entered in mL and the time period and interval are entered in hours and minutes The pump alerts the operator when a dose is due to start The operator must then press S...

Страница 31: ...41 366 0 001 0 001 0 001 0 002 0 002 0 002 0 002 0 183 0 633 1 233 1 783 3 13 4 01 6 1 Monoject 1 3 6 12 20 35 60 0 01 0 02 0 03 0 1 0 1 0 1 0 1 11 41 83 126 208 285 366 0 001 0 001 0 001 0 002 0 002...

Страница 32: ...sed with the pump The limits shown apply to bolus volume limit single dose and scheduled dose deliveries Syringe Manufacturer Syringe Size mL Minimum Volume mL Maximum Volume mL B D Plastic 1 3 5 10 2...

Страница 33: ...sary for example if using CUSTOM DILUTION mode 1 Attach a Baxter 2N series or equivalent extension set to the syringe and manually purge the air from the filled syringe and tubing 2 Mount the syringe...

Страница 34: ...set to the filled syringe 2 Remove the sterile cap from the end of the tubing 3 Manually purge until a drop of fluid is visible at the end of the tubing 4 Replace the sterile cap on the end of the tub...

Страница 35: ...he barrel clamp to slide all the way open 4 Place the syringe in the CRADLE 5 Be sure the syringe is centered in the V of the cradle and that the flange of the syringe fits into the FLANGE SLOT 6 5 Pu...

Страница 36: ...nd Off The ON OFF switch is on the left side of the pump near the bottom Turn the pump on by sliding the switch up to the ON position Note If the syringe is improperly mounted the pump displays one of...

Страница 37: ...ely during the Lamp Test press and hold STOP while the status display characters are all visible The Lamp Test will complete when STOP is released If CONFIRM is pressed during the Lamp Test the batter...

Страница 38: ...ed the pump display alternates the prompts SELECT LIBRARY and SELECT PROTOCOL Selecting a Protocol Library If SELECT LIBRARY is displayed use the and keys as necessary to display the name of the desir...

Страница 39: ...ar automatically 1 At the SELECT MODE prompt use or to display the available infusion mode selections Press CONFIRM to select the desired infusion mode 2 Use or and CONFIRM as required to select the s...

Страница 40: ...ress EDIT then use the digit keys to set the bolus size in mL 3 Press CONFIRM to store the bolus size and return to the normal display The bolus infusion rate is automatically set See Bolus Function o...

Страница 41: ...t enter the drug concentration CONC in Units mL Press CONFIRM to complete the data entry Note If a protocol has been selected a default dose may appear automatically Use and or the digit keys to modif...

Страница 42: ...has been selected the infusion mode may have been selected auto matically 1 At the SELECT MODE prompt use or to display the available infusion mode selections Press CONFIRM to select the desired infus...

Страница 43: ...started 3 Pressing CONFIRM during delivery briefly displays additional program data 4 A bolus can only be programmed edited or delivered after the drug concentration CONC has been programmed Programm...

Страница 44: ...mg kg min modes bolus size is entered in mg kg In mcg kg hr and mcg kg min the bolus size is entered in mcg kg The pump automatically calculates the equivalent bolus size in mL and displays both valu...

Страница 45: ...the data entry 4 Enter the patient body weight BODY WT in kg Press CONFIRM to complete the data entry 5 Enter the initial drug concentration CONC in mg mL Press CONFIRM to complete the data entry 6 En...

Страница 46: ...e for editing until an infusion or bolus is started At that point the pump replaces the original drug concentration CONC with the final drug concentration and clears the fields containing the final vo...

Страница 47: ...mmed in terms of dose volume and dose duration 1 At the SELECT MODE prompt use or to display the available infusion mode selections Press CONFIRM to select the desired infusion mode 2 Use or and CONFI...

Страница 48: ...vals The infusion is programmed in terms of dose volume and dose duration and the time from the start of one dose to the start of the next Each dose delivery must be manually initiated MANUAL SCHEDULE...

Страница 49: ...Note START must be pressed to begin infusing each dose The NEXT DOSE IN field shows the time remaining until the next dose is due to be delivered When this time counts down to 0 00 the pump signals th...

Страница 50: ...turn off the STANDBY light begins flashing and the TOTAL ML field stops counting up Press START to continue the infusion program Note Pressing STOP affects the NEXT DOSE IN time field in two different...

Страница 51: ...infusion mode selections Press CONFIRM to select the desired infusion mode 2 Use or and CONFIRM as required to select the syringe manufacturer and size 3 Enter the dose volume INFUSE in mL Press CONF...

Страница 52: ...ld stops counting up Press START to continue the infusion program 3 Pressing STOP affects the NEXT DOSE IN time field in two different ways depending on the pump s infusion status at the time If STOP...

Страница 53: ...y mode Example Program the pump to infuse 5 mL over 5 minutes using a B D 30 mL syringe Stop the infusion when the TOTAL ML field shows that about 2 mL have been delivered Now edit the OVER field to 6...

Страница 54: ...eld Press EDIT to open the currently selected field for editing When a field is opened for editing the annunciators stop flashing and the value itself begins flashing Editing in Standby State All mode...

Страница 55: ...as necessary to enter the new value Press CONFIRM to complete the change 4 Use and to return to the FINAL VOL field 5 Press EDIT Use and the digit keys as necessary to enter the final volume Press CON...

Страница 56: ...cleared while the infusion is running The TOTAL ML field is a data display and cannot be edited Edit Cancellation If a field has been opened for editing pressing EDIT again restores the previous value...

Страница 57: ...the nearest acceptable value Press CONFIRM to accept the value or program a new value Data Test Whenever a data field is edited the pump tests the remaining program data fields for range limits If th...

Страница 58: ...Detailed Instructions Page 52 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 This page is intentionally blank...

Страница 59: ...e excess fluid allowance when filling the syringe Purge operation is allowed only when the pump is in Standby state Purge Procedure Precaution To prevent unintended delivery to the patient the IV exte...

Страница 60: ...ic 1 3 5 10 20 30 60 0 02 0 08 0 15 0 22 0 39 0 50 0 75 11 38 74 107 188 241 366 0 19 0 63 1 2 1 7 3 1 4 0 6 1 Monoject 1 3 6 12 20 35 60 0 02 0 09 0 17 0 26 0 43 0 59 0 75 11 41 83 126 208 285 366 0...

Страница 61: ...lume where applicable Bolus Units Bolus Size Limits The minimum programmable bolus size is approximately the same as the minimum deliverable volume see Syringe Data Tables on page 25 The maximum progr...

Страница 62: ...entry 1 Press BOLUS The status display changes to the Bolus display If there is no programmed bolus size the pump displays PRESS EDIT TO SET BOLUS SIZE Proceed to step 2 If a bolus size has been progr...

Страница 63: ...s Delivery During bolus delivery the text display reads BOLUS RUNNING and all three RUN lights flash simultaneously 1 To halt bolus delivery before the full bolus amount has been delivered press STOP...

Страница 64: ...to display the bolus size 2 Review the bolus program data 3 Press START Changing the Syringe To continue an infusion when a syringe becomes empty or to flush a line the syringe may be replaced when th...

Страница 65: ...the Lock function is active Note The pump will not allow the Lock function to be active during a LINE OCCLUDED alarm condition The Auto Lock feature can be enabled through pump configuration During a...

Страница 66: ...ress CONFIRM again to restore the normal display immediately If no key is pressed the normal display automatically resumes in a few seconds Backlight Feature The status display backlight is lit whenev...

Страница 67: ...me and date display the software and configuration version numbers are briefly displayed The first line of the text display indicates the pump software version The second line is divided into two fiel...

Страница 68: ...ons are not shown in Configuration Review mode Configuration Review Table To review the Modes group the initial prompt is VIEW MODES Answering Y the default response opens up that group for review Ans...

Страница 69: ...n the text field for example MG KG HR and concentration dose and rate default values if any are shown in their usual fields Press CONFIRM to view the default bolus size BOLUS SIZE is displayed in the...

Страница 70: ...cellaneous options that are enabled The Miscellaneous group options are Remote Control Protocol Library Size Override Occlusion Sensitivity Audio Range Rate Range Auto Lock Backlight and Enable DB9 Po...

Страница 71: ...page 25 The minimum delivery rate is as shown in the table regardless of the Rate Range setting Auto Lock If an infusion has been programmed and the pump is in the Run state the Auto Lock feature auto...

Страница 72: ...number of minutes remain before an EMPTY or VOL LIMIT alarm is due to occur For example if the NEAR END alert is configured for 10 minutes and 9 min utes remains before the volume limit is reached no...

Страница 73: ...bility for a particular clinical application the operator and healthcare professionals should verify that the settings are appropriate While no special tools are needed the configuration should be cha...

Страница 74: ...o ANES HYP Propofol PROPOFOL mcg kg min 10 No Yes CARDIO Dobutamine DOBUTAMI mcg kg min 5 No Yes Dopamine DOPAMINE mcg kg min 3 2 No Isoproterenol ISOPROTE mcg min 0 004 No Nitroglycerine NITROGLY mcg...

Страница 75: ...ayed by pressing CONFIRM briefly during the Lamp Test or by pressing CONFIRM after the pump has been programmed Note Battery voltage display is only an approximate indication of the battery s remainin...

Страница 76: ...e pole clamp to the pump first slide the clamp in place so that the MOUNTING PIN CUTOUTS 1 on the clamp engage the MOUNTING PINS 5 built into the rear of the pump Tighten the MOUNTING SCREW 4 into the...

Страница 77: ...lage onto external surfaces occurs clean the surfaces immediately by the method described below Routine Cleaning and Disinfection Techniques Clean or disinfect the exterior of the device with a soft c...

Страница 78: ...e Service Cleaning methods are described in the Auto Syringe AS50 Infusion Pump Service Manual Attempts to clean or disinfect internal parts autoclaving or sterilization by ethylene oxide gas will dam...

Страница 79: ...Instructions for service cleaning may be found in the Auto Syringe AS50 Infusion Pump Service Manual Conditions which require service cleaning include Spillage into the pumping mechanism or into the...

Страница 80: ...ens freely to its full travel and returns to a fully closed position without assistance If connecting the charger make sure that the charger plug and socket are clean and fully engaged and that the ON...

Страница 81: ...ck on again If the error message is repeated remove the pump from service Keypad Check 1 After the pump completes the power up Lamp Test press every key except and CONFIRM in any order one key at a ti...

Страница 82: ...prevent proper fluid flow Problems associated with a particular syringe size or manufacturer are likely to be caused by variations in syringe dimensions Typical symptoms are an inability to completely...

Страница 83: ...sion The ALERT light flashes The pump beeps The front panel and status lights may display additional information Failsafe Alarm A malfunction has occurred that could affect the safe operation of the d...

Страница 84: ...Remove the syringe and remount it Make sure the syringe is centered in the barrel clamp cradle and that the syringe flange is in the barrel clamp flange slot To ensure proper seating use the heel of...

Страница 85: ...bolus feature is required PUMP IS IDLE 15 beeps and ALERT light flashes The pump has been in Standby state for at least 2 minutes Also occurs if there is no keypress within 15 seconds after the infus...

Страница 86: ...x MIN VOLUME LIMIT or xx MIN protocol configurable number of beeps ALERT light flashes until syringe is empty or volume limit is reached At the present rate of infusion approximately xx minutes remain...

Страница 87: ...el clamp firmly against the syringe Motor movement is not allowed until the syringe is properly mounted CHECK PLUNGER continuous beeps and flashing ALERT light During motor movement the pump has detec...

Страница 88: ...onstriction or other condition that causes excess plunger force The alarm automatically stops the pump Pressing any key silences the audio portion of the alarm Check for empty syringe kinked tubing cl...

Страница 89: ...onditions prior to the error Take the pump out of service Note In some cases there may not be a legible error code display CHARGE DEPLETED continuous two tone audio SYSTEM and BATTERY lights on The ba...

Страница 90: ...Alerts and Alarms Page 84 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 This page is intentionally blank...

Страница 91: ...ND THE DESCRIPTION OF THE PRODUCT AND THOSE EXPRESSLY SET FORTH IN ITS LABELING In no event shall Baxter be responsible for incidental consequential or exemplary damages Modification alteration recali...

Страница 92: ...Warranty and Service Information Page 86 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 This page is intentionally blank...

Страница 93: ...me 15 replacement 74 voltage check 76 B D Plastic deliverable volumes 26 purge delivery 54 rate ranges 25 beeps 66 bolus complete alert 66 CUSTOM DILUTION mode 40 default size 22 delivery 57 descripti...

Страница 94: ...drug concentration selection 17 E EDIT key 20 editing cancellation 50 in run state 50 in standby state 48 EDITING alarm 82 EMPTY protocol alarm 82 EMPTY alarm 82 EMPTY LIBRARY error 78 enable DB9 port...

Страница 95: ...rotocol 68 NO LIBRARY error 79 NO LIBRARY IS ENABLED error 79 NOREPINE protocol 68 NOT ALLOWED error 79 number out of range 51 O occlusion sensitivity 65 on charge light 19 ON OFF switch 30 illustrati...

Страница 96: ...9 state 20 editing in 48 status display description 16 status panel description 19 illustration 9 SUCCINYL protocol 68 SUFENTAN protocol 68 syringe changing 58 data tables 25 factory standard configur...

Страница 97: ...roup selection 62 VIEW DFAULTS details 64 group selection 62 VIEW LIBRARY details 63 group selection 62 VIEW MFRS details 63 group selection 62 VIEW MISC details 64 group selection 62 VIEW MODES detai...

Страница 98: ...Index 6 Auto Syringe AS50 Infusion Pump Operator s Manual 07 19 B3 430 This page is intentionally blank...

Страница 99: ......

Страница 100: ...Baxter Healthcare Corporation Medication Delivery Division Deerfield IL 60015 USA 07 19 B3 430 Copyright 1999 2002 Baxter Healthcare Corporation All Rights Reserved Revision B May 2002 0719B3430_...

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