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Using the Compounder

Operator Manual for the Baxter ExactaMix 2400 Compounder

Page 86

53007410 Rev. C

Compounding the Solution
IMPORTANT!

This function requires Compounder permissions. For more information about

user groups and permissions, refer to Setting Up the Users on Page 123.

At the pump screen, tap

Run

Pump screen, ready to start compounding the solution

Содержание ExactaMix 2400 Compounder

Страница 1: ...on order of a physician Fuse TERMS IN THIS MANUAL WARNING Indicates a risk of personal injury or patient harm if the instructions are not followed CAUTION Indicates a risk of damage to equipment or da...

Страница 2: ......

Страница 3: ...vigation 8 Menu Screen 8 Pump Screen 9 Tutorials 12 FEATURES 13 Summary of Features 13 Order Entry 13 Formulary 13 Ingredient Groups 14 Universal Ingredient 14 Configuration 15 Barcode Verification 15...

Страница 4: ...Set 45 Preparing the New Ingredients 47 Attaching the New Ingredients and Inlets 48 Priming and Verifying 58 Verifying the Ingredient and Inlet Barcodes 59 Priming the Inlets and Verifying the Setup 6...

Страница 5: ...and Errors 100 MAINTAINING THE COMPOUNDER 101 Calibrating the Load Cell 101 Changing the Tube Set 101 CLEANING THE COMPOUNDER 101 Calibrating the Compounder 103 Shutting Down and Starting Up the Compo...

Страница 6: ...e Label 118 Setting Up the Security Options 119 General 119 Auto Logout 119 Password Expiration 120 Order Entry Serial Number 120 Barcode Reader 120 Default User 120 Cosignature 120 Solution Limit 121...

Страница 7: ...Editing a Product 143 Deleting a Product 145 Viewing a Product s Usage Information 146 USING THE INGREDIENT GROUP EDITOR 147 Adding or Editing an Ingredient Group 148 Deleting an Ingredient Group 149...

Страница 8: ...TING 193 Handling Interruptions and Errors 193 Issues with the Barcodes 193 Issues with the Formulas Ingredients and Configurations 197 Issues with the Calibration 201 Issues with the Weight and Load...

Страница 9: ...the compounder withdraws a specified volume of each ingredient from its source container in a specified sequence and pumps each ingredient into a patient bag The finished solution is delivered to pat...

Страница 10: ...3007410 Rev C COMPONENTS HARDWARE COMPONENTS The compounder consists of these main hardware components Hardware components NOTE The vial rack extension optional and the printer North America only are...

Страница 11: ...s paused the valve actuators automatically close The occlusion detector detects occlusions blockages in the tube between the source containers and the detector The bubble detector detects air bubbles...

Страница 12: ...d cell The display operates the compounder software and includes a touch screen for easy input The bottom of the display contains four USB ports which can be used to connect a barcode reader keyboard...

Страница 13: ...holders and syringe holders attach to the vial rack Vial rack The base plate is the common base on which the compounder s components sit Base plate The laser printer used for printing reports and labe...

Страница 14: ...refer to Inlets on Page 18 NOTE The valve set and inlets are collectively known as the tube set The destination bag is a sterile container that holds the fluid pumped from the source containers There...

Страница 15: ...by Baxter Installing any software not approved by Baxter may change the operating parameters adversely affect the operation and create unsafe conditions Installing this software voids the compounder...

Страница 16: ...8 53007410 Rev C Navigation On any screen or window that requires data entry tapping a field displays an on screen keyboard or number pad that allows you to enter characters On screen keyboard and nu...

Страница 17: ...a to compound and manage ingredients Tools menu to set up options related to the system users security directories used for saving certain files and software maintenance Reports menu to view print and...

Страница 18: ...the top of the screen Buttons appear on the left side of the screen Tapping Run starts the compounding process Tapping Menu displays the menu screen The total volume to be pumped for the order appears...

Страница 19: ...a red X indicating that they need to be verified The ordered volume of the ingredient A number indicating the ingredient s place in the compounding sequence A vertical bar showing how much of the ingr...

Страница 20: ...destination bag Horizontal marks across an inlet represent fluid indicating that this inlet has been primed Tutorials The compounder software includes step by step tutorials about setting up the comp...

Страница 21: ...or and occlusion detector Can be immediately stopped by lifting the pump door Can track ingredient lot numbers and ingredient expiration dates Generates a MixCheck Report for each finished solution Ca...

Страница 22: ...he common fluid pathway or within the patient bag in the absence of sufficient volume These ingredients are considered to be incompatible For example calcium and phosphate should not be mixed in their...

Страница 23: ...tifies the port to which the inlet is attached These barcode labels are packaged with the valve set The compounder software can also generate a report that makes these labels available for printing Mo...

Страница 24: ...s formula PRINTING OPTIONS The printer is used for printing reports and creating labels for inlets and source containers The printer can use standard 8 5 x 11 in 21 6 x 28 cm for reports and Avery lab...

Страница 25: ...PAT FRM files send print jobs and back up the database Baxter does not support network related equipment nor activities related to setting up or troubleshooting network connectivity for the compounde...

Страница 26: ...Large volume non vented containers that require a spike to vent air into the container 50 60 mL 25 30 mL Vented Micro Volume Inlet H938175 25 Small volume vials 5 6 mL 2 5 3 mL Micro Volume Inlet with...

Страница 27: ...3000 mL H938741 50 ExactaMix Empty EVA Container 4000 mL H938142 50 ExactaMix Empty EVA Container 5000 mL H938143 50 ExactaMix Empty EVA Container dual chamber 1500 mL H938901 42 ExactaMix Empty EVA C...

Страница 28: ...un EVA TPN Bag 1000 mL 5 pack EVA 1000 40 Lg Bore B Braun E1320 OV 5 B Braun EVA TPN Bag 2000 mL 5 pack EVA 2000 35 Lg Bore B Braun E1330 OV 5 B Braun EVA TPN Bag 3000 mL 5 pack EVA 3000 35 Lg Bore B...

Страница 29: ...s have a large bore threaded fill port connector or a luer lock fill port connector VALVE SETS The following valve sets are available in North America Product Order Number Quantity Case Notes EM2400 V...

Страница 30: ...rvices is available 24 hours day 7 days week at 1 800 678 2292 or COtechsupport baxter com Before you call for technical support 1 At the menu screen tap Help About The About window appears It provide...

Страница 31: ...and inspect them to make sure that they are not damaged WARNING Do not use sharp objects to open the packaging Personal injury could result The compounder should be placed on a level and stable surfa...

Страница 32: ...onnect or disconnect the display and load cell The power cord must be positioned so that the plug is easily accessible 6 Under the main module connect the following cord and cables Reach under the mai...

Страница 33: ...t the main module rests fully on the base plate 8 Route the cables through the two routing holes pushing any excess length of the cables through the holes Routing a cable 9 Install the load cell a Pla...

Страница 34: ...alling the display NOTE You can remove the display by pulling the locking pin out to the unlocked position then rotating the pin 90 degrees to keep it in this position while lifting the display 11 Ins...

Страница 35: ...ble from the barcode reader to a USB port on the bottom of the display 13 If desired Connect the USB cable from the printer to a USB port on the display Connect an Ethernet cable to the Ethernet port...

Страница 36: ...isplay forward or backward c Lock the lever by rotating it backward Lever on the right 15 Move the display to the desired position a Unlock the lever on the left by rotating it backward NOTE Pulling t...

Страница 37: ...he bolt on the main module Installing the vial rack 19 Install the vial holders in the desired locations on the vial rack 20 Adjust the position of each top and bottom vial holder a Rotate the cam up...

Страница 38: ...luminates Power light and power button 2 If the software does not start automatically double tap the Exacta Mix 2400 icon on the Windows desktop Tip Baxter recommends setting the software to start aut...

Страница 39: ...age 120 When the software starts it performs self checks and briefly displays the following messages Other messages may also appear Do not cancel these operations Messages that appear at startup Next...

Страница 40: ...ps before compounding LOGGING OUT When you have finished using the compounder or another user needs to log in you can log out of the software without shutting down the compounder At the menu screen ta...

Страница 41: ...these options Shutdown the computer to shut down the software and turn off the compounder Reboot the computer to shut down the software turn off the compounder and restart the compounder Log on as a d...

Страница 42: ...used only to turn the power on CAUTION You can reboot the display by pressing and holding the Reset button on the side of the display You can shut down the compounder main module and display by press...

Страница 43: ...ways Tap Yes at the Confirm screen if it appears during startup Tap Compound Setup Wizard at the menu screen to access the Setup Wizard at any time NOTE The Compound menu also includes options that a...

Страница 44: ...brating the load cell 2 Select Configuration allows you to select a configuration to use 3 Change Tube Set guides you through installing a new tube set and new ingredients for the selected configurati...

Страница 45: ...n the calibration expires Using a 2 000 g weight that Baxter provides Tip Baxter recommends Using gloves to handle the weight to minimize the accumulation of oils and dust Storing the weight in its st...

Страница 46: ...uch the load cell during the calibration the calibration will not be accurate 2 Make sure that There is no weight on the load cell There is nothing touching any part of the load cell for example there...

Страница 47: ...eight message tap OK This message appears and then disappears Message When calibration is finished one of these results occurs If you accessed the calibration procedure from the Setup Wizard screen yo...

Страница 48: ...want to use a configuration that is different from the last one that was used The software automatically selects the last configuration that was used and a check mark appears next to Select Configura...

Страница 49: ...axter ExactaMix 2400 Compounder 53007410 Rev C Page 41 2 In the Name list select the desired configuration 3 Tap OK Select Configuration screen NOTE When you select a different configuration you may n...

Страница 50: ...WARNING To maintain delivery accuracy the tube set must be replaced after it has delivered 150 L of fluid or been installed for 24 hours whichever comes first Check that the materials of the inlets va...

Страница 51: ...d be changed Tube set statistics and recommendations 2 Tap one of these options Tap Tube Set will be changed then continue with Removing the Expired Tube Set and Expired Ingredients on Page 44 NOTE Se...

Страница 52: ...tainer from the vial rack or hanger and turn the container right side up 3 Lower the container below the height of the valve set and allow the fluid in the inlet to flow back into the source container...

Страница 53: ...o Getting Help on Page 22 2 Remove the valve set from the packaging NOTE Always use aseptic technique when installing the valve set IMPORTANT Check the expiration date on the valve set before installi...

Страница 54: ...the outlet tube into channel 1 around the pump rotor and into channels 2 and 3 as shown Move the pump rotor counterclockwise only Do not pull or stretch the outlet tube Routing the outlet tube a Make...

Страница 55: ...ommends using only sterile BD 60 mL Luer syringes If you plan to use a different type contact Baxter Technical Services Refer to Getting Help on Page 22 1 Gather all the new ingredients Tip Baxter rec...

Страница 56: ...nds working from left to right in the sequence of the port numbers 1 2 3 and so on You might find it helpful to remember the main steps of this process covered in more detail on the upcoming pages by...

Страница 57: ...10 Rev C Page 49 Hang Source Containers screen no ingredients attached The ingredient detail window appears IMPORTANT Always view the ingredient detail window It includes details not visible on the in...

Страница 58: ...ts of the complete part number For a list of complete part numbers refer to Inlets on Page 18 The complete part number also appears on the packaging materials for the inlet d Check that the Remainder...

Страница 59: ...volumes resulting in patient harm After attaching the inlets visually check that the tubes are not kinked or plugged c Check that the inlet is not kinked or plugged d On the valve set locate the port...

Страница 60: ...rt facing down NOTE This step helps to reduce the possibility of air bubbles entering the inlet tube Turning WARNING Failure to insert the spike completely into the bag port may restrict flow and caus...

Страница 61: ...E This step helps to reduce the possibility of air bubbles entering the inlet tube Turning b Locate the shoulder of the spike Shoulder c Insert the spike fully into the bottle up to the shoulder of th...

Страница 62: ...es entering the inlet tube Turning b Insert the spike fully into the vial Inserting c Push the bottom of the vial now facing up against the top holder Make sure that the vent faces you NOTE If the ven...

Страница 63: ...inge on the vial rack by snapping the syringe flanges into the syringe holder Hanging 6 Label the inlet with the appropriate numbered inlet barcode label that was packaged with the valve set Attach th...

Страница 64: ...ExactaMix 2400 Compounder Page 56 53007410 Rev C At the Hang Source Containers screen the color of the ingredient button becomes teal to indicate that the ingredient is attached and waiting to be prim...

Страница 65: ...steps for all the ingredients you want to attach When all the ingredient buttons are teal you are finished changing the tube set 10 Tap OK Hang Source Containers screen all ingredients attached If you...

Страница 66: ...up 1 At the Setup Wizard screen tap Prime and Verify Setup Wizard screen priming and verifying NOTE To prime and verify without using the Setup Wizard you can tap Compound Prime and Verify at the menu...

Страница 67: ...efer to Attaching the New Ingredients and Inlets on Page 48 IMPORTANT This procedure requires barcode scanning to be enabled To enable barcode scanning and if desired to require it for verification re...

Страница 68: ...p Baxter strongly recommends scanning from left to right or from right to left to prevent skipping any ports 1 Scan the barcode label on an inlet 2 Scan the barcode label on the corresponding source c...

Страница 69: ...ct is not the specific product identified in the configuration but is the same ingredient a Warning message appears Tap Yes if you want to use the scanned product Message 3 Repeat the previous steps u...

Страница 70: ...et to the correct port Incorrect setup could result in patient harm IMPORTANT The cosignature option requires Verification permissions For more information about user groups and permissions refer to S...

Страница 71: ...f these ingredients can cause a precipitate which may block the common fluid pathway and require a replacement of the tube set If the configuration includes a lipid you should prime the Universal Ingr...

Страница 72: ...tion in the title bar of the window is correct b Check that the Port Number is correct c Check that the Ingredient description matches the source container to be used d Check that the Remainder mL mat...

Страница 73: ...heck that the product attached to the inlet matches the information on the screen c At the ingredient detail window tap Prime d Check that a calibration bag is attached e At the Priming pump message t...

Страница 74: ...k that the inlet is attached to the correct port and prime it again After the inlet has been primed the ingredient detail window includes a Verify button and the Prime button becomes a Re Prime button...

Страница 75: ...e ingredient has been primed On the ingredient button the red X becomes a green check mark indicating that the ingredient has been verified PRIME AND VERIFY screen one inlet primed and verified 11 Rep...

Страница 76: ...Fluid path will be flushed with UI message tap OK Message The compounder flushes the common fluid pathway with the Universal Ingredient and tests for proper function of the occlusion detector If the t...

Страница 77: ...the Setup Wizard screen a check mark now appears next to Prime and Verify at the Setup Wizard screen CALIBRATING THE COMPOUNDER This procedure calibrates the compounder s pump to ensure that it deliv...

Страница 78: ...rrently on the load cell does not appear to be empty on Page 203 If the bag contains fluid continue with the next step 5 Check whether the bag has space for an additional 200 mL of fluid If the bag do...

Страница 79: ...he type of bag you are using b Tap OK Select Bag Type window sample North American version IMPORTANT If any items touch the load cell during the calibration the calibration will not be accurate 7 Make...

Страница 80: ...ion is something other than water the compounder automatically flushes the common fluid pathway with the identified UI This message appears and disappears Message 8 At the Pump calibration completed s...

Страница 81: ...ing the tube 2 Attach the bag to the load cell Place the holes in the corners of the bag over the guide pins on the load cell 3 Route the bag s fill port through the load cell s fill port holder 4 Mak...

Страница 82: ...ation Report button becomes active at the Setup Wizard screen At the Setup Wizard screen tap Authorization Report Setup Wizard screen viewing the Authorization Report NOTE You can view the Authorizati...

Страница 83: ...by Scanning a Barcode Most facilities use this method IMPORTANT This method requires Order entry software on a separate computer This software must be able to produce both a PAT FRM file and a corres...

Страница 84: ...C WARNING The code number for each product in the formula must exactly match the code number for that product in the compounder s formulary If a code number is assigned to one product in the order ent...

Страница 85: ...with a unique ID but it does not create a 2D Formula Barcode PAT FRM file or a corresponding label with a barcode WARNING Formulas entered directly into the compounder should be checked by a pharmacis...

Страница 86: ...nder Page 78 53007410 Rev C The pump screen appears The text DIRECT ENTRY appears on the left side Pump screen during direct entry 2 Obtain the formula from the pharmacist Refer to your facility s pro...

Страница 87: ...Check its description concentration and so on b Enter the Ordered Volume of the ingredient to be delivered c Tap Save or tap Next to view the next ingredient detail window The Run button becomes avai...

Страница 88: ...g Automatic Unloading of Formulas on Page 84 1 Attach the patient bag Refer to Attaching the Patient Bag on Page 85 2 At the pump screen tap Run 3 At the Formula Information window a Enter a Formula N...

Страница 89: ...Compounder Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev C Page 81 Saving a Direct Entry Formula to Use Later 1 At the pump screen tap Menu 2 At the Information message tap OK...

Страница 90: ...7410 Rev C 3 At the Formula Information window a Enter a Formula Name b If desired enter a new Serial Number Tip Baxter recommends not changing the serial number c Tap OK Formula Information window 4...

Страница 91: ...lect Formula window 2 At the Select Formula window tap one of these filter options Show All Formulas to view all the formulas that are stored Show Unpumped Formulas to view all the formulas that have...

Страница 92: ...he only exception is that the software does not unload the formula when you perform an auto addition Message The software usually unloads the formula when compounding is finished regardless of the out...

Страница 93: ...ter recommends connecting the bag to the outlet tube before attaching it to the load cell to prevent twisting or straining the tube 2 Attach the bag to the load cell Place the holes in the corners of...

Страница 94: ...ge 86 53007410 Rev C Compounding the Solution IMPORTANT This function requires Compounder permissions For more information about user groups and permissions refer to Setting Up the Users on Page 123 1...

Страница 95: ...e 73 d Attach an empty bag Refer to Attaching the Patient Bag on Page 85 e Return to Step 1 Message WARNING If you tap Yes the compounder will reset the measured weight to zero despite the fact that t...

Страница 96: ...a Select the size of the bag you attached b Tap OK Select Bag Type window sample North American version At the pump screen the Run button becomes a Pause button The compounder pumps each ingredient o...

Страница 97: ...t before or during the compounding process refer to Fulfilling the Order Additional Steps on Page 91 If you need to stop compounding temporarily you can perform either of the following actions The Mix...

Страница 98: ...ent Bag Always use aseptic technique when removing the bag 1 Remove the bag s fill port from the load cell s fill port holder 2 Remove the bag from the load cell 3 Clamp the bag s fill port 4 Disconne...

Страница 99: ...auto addition allows you to add an ingredient to the existing configuration temporarily to fulfill the current order instead of selecting a new configuration which would require you to prime and veri...

Страница 100: ...e it Refer to Removing the Patient Bag on Page 90 6 Attach a calibration bag Refer to Attaching the Calibration Bag on Page 73 7 Prime and verify the new inlet and ingredient Refer to Priming and Veri...

Страница 101: ...is less than the 0 2 mL minimum required for use on the compounder If a formula loaded by scanning a barcode includes an ingredient that must be added manually A Manual Add button appears on the left...

Страница 102: ...source container is appropriately depleted WARNING If there is a large amount of fluid remaining in the source container or if the container has emptied completely and forced air into the inlet there...

Страница 103: ...a different container may require you to change and prime the inlet Refer to Attaching the New Ingredients and Inlets on Page 48 and Priming and Verifying on Page 58 Tap Stop filling and throw bag aw...

Страница 104: ...mine the volume of fluid displaced b If more than one bubble is present evaluate each bubble and add the values together to determine the total volume of fluid displaced c Identify all the ingredients...

Страница 105: ...ev C Page 97 7 At the Really abort the current solution message tap Yes Message The software unloads the formula 8 At the Operation Cancelled message tap OK Message 9 At the Fluid path will be flushed...

Страница 106: ...ation on Page 132 Clean the channel over the bubble detector Refer to CLEANING THE COMPOUNDER on Page 101 Make sure that the outlet tube is in the proper position It should be at the bottom of the cha...

Страница 107: ...Baxter ExactaMix 2400 Compounder 53007410 Rev C Page 99 Message 3 At the pump screen tap Stop 4 At the Really abort the current solution message tap Yes Message The software unloads the formula 5 At t...

Страница 108: ...g the Tube Set on Page 42 The occlusion detector is not damaged or dirty The outlet tube is straight and flat on the occlusion detector 7 At the Fluid path will be flushed with UI message tap OK Messa...

Страница 109: ...y setup For instructions refer to Changing the Tube Set on Page 42 CLEANING THE COMPOUNDER Clean the compounder when indicated by your facility s protocol Use only these approved materials Non abrasiv...

Страница 110: ...thumbscrew and washer used to attach the rotor Removing the thumbscrew 5 Remove the pump rotor from the spindle Removing the pump rotor 6 Using the approved materials clean the a Pump rotor making sur...

Страница 111: ...re records important device activity in a Blackbox log which Baxter can access through the Blackbox Report when needed The compounder stores this data for a specified time period To set up the storage...

Страница 112: ...se Backup All 2 At the Backup Database Location window a If desired change the location of the backup by tapping the button to the right of the current location not recommended b If you want to Replac...

Страница 113: ...s Database Backup Blackbox 2 At the Backup Blackbox Location window a If desired change the location of the backup by tapping the button to the right of the current location not recommended b If you w...

Страница 114: ...or the Baxter ExactaMix 2400 Compounder Page 106 53007410 Rev C 3 At the Backup succeeded message tap OK Message Compacting the Database 1 At the menu screen tap Tools Database Maintenance 2 At the Do...

Страница 115: ...user groups and permissions refer to Setting Up the Users on Page 123 To change the Universal Ingredient for the most recently used configuration when you are not in the process of compounding a solut...

Страница 116: ...ersal Ingredients refer to Using the Formulary Editor on Page 139 2 At the Change Universal window a Select the Universal Ingredient you want to use b Tap OK Change Universal window The compounder req...

Страница 117: ...esent the actual volume remaining in the source container Change a remainder value only when you know the precise amount remaining in the source container Incorrect remainder values can lead to bubble...

Страница 118: ...Performing Advanced Tasks Operator Manual for the Baxter ExactaMix 2400 Compounder Page 110 53007410 Rev C Edit Source Remainders window...

Страница 119: ...to Setting Up the Users on Page 123 NOTE At any tab of the Options window Tapping OK saves the changes made on all the tabs and requires you to exit the software Tapping Cancel closes the window witho...

Страница 120: ...uthorization if you want to require a qualified user to log in with a password to approve each MixCheck Report on the screen Select Enable Auto Display if you want the MixCheck Report to appear automa...

Страница 121: ...hat the bag on the load cell may not be empty Tip Baxter recommends selecting Check for empty bag Track Product Expiration Date and Lot Number Select Enabled if you want to track the expiration date a...

Страница 122: ...than the specified storage period is purged when the software starts up You can increase or decrease these settings For Solution Storage Days enter the number of days that used formulas are available...

Страница 123: ...hnical Services Refer to Getting Help on Page 22 Select Enable if you want the compounder to display a message when the tube set has been used longer than recommended For Max Hours to Use Tube Set ent...

Страница 124: ...inuation of the System tab To access the continued system options 1 At the menu screen tap Tools Options 2 At the Options window tap the System Cont tab Options window System Cont tab Database Compact...

Страница 125: ...recommends entering 5 for the Final Solution and 5 for the Individual Ingredient Manual Add For Max manual add volume enter the maximum volume allowed for a manual addition If the volume of the formul...

Страница 126: ...Page 118 53007410 Rev C Options window System Cont tab MixCheck Signature Label Enter text that you want to include at the bottom of the MixCheck Report Authorization Report Signature Label Enter text...

Страница 127: ...General Select Use Security if you want each user to sign in with a user ID and password Select Remember last login if you want the login box to populate automatically with the user ID of the last us...

Страница 128: ...ding formulas If you select this check box these options become available Select Use barcode verification if you want to require the use of a barcode reader for scanning labels during verification of...

Страница 129: ...number of times a specific formula can be used for compounding For Max enter the maximum of times an individual formula can be used Tip Baxter recommends entering 1 for the Max SETTING UP THE DIRECTOR...

Страница 130: ...on changes the locations of the directories from their current settings 4 If you want to change the locations of the directories a Tap Browse for Formula Files Reports or Backups b Select the location...

Страница 131: ...ns to perform the required tasks WORKING WITH GROUPS Adding or Editing a Group IMPORTANT These functions require Administration permissions 1 At the menu screen tap Tools Users Edit Users and Groups E...

Страница 132: ...v C Edit Group name window 3 At the Add Group window or Edit Group name window select the permissions for the group IMPORTANT These permissions will apply to an entire group of users You cannot assign...

Страница 133: ...dient Change the Universal Ingredient without changing the configuration Administrator Pharmacist and Technician Verification Perform cosignature authorization of the priming and verifying steps durin...

Страница 134: ...n requires Administration permissions 1 At the menu screen tap Tools Users Edit Users and Groups 2 At the Edit Users and Groups window in the top half a Select the group you want to delete from the Na...

Страница 135: ...e menu screen tap Tools Users Edit Users and Groups The Edit Users and Groups window appears Edit Users and Groups window 2 At the Edit Users and Groups window a In the top half select the group from...

Страница 136: ...gin Name b Enter the User Name Tip Baxter recommends using a short Login Name and full User Name c Select the Group to which the user is assigned d Tap Save 4 At the Edit Users and Groups window tap O...

Страница 137: ...delete from the Login Name list then tap Delete 3 At the Delete user name message tap Yes to delete the user Message 4 At the Edit Users and Groups window tap OK Changing a Password 1 At the menu scr...

Страница 138: ...ounder Page 130 53007410 Rev C Change Password window Logging in as a Different User 1 At the menu screen select Tools Users Change User 2 At the Login window a Enter a different Login name b Enter th...

Страница 139: ...nd permissions refer to Setting Up the Users on Page 123 Before making any changes in the Configuration Editor contact Baxter Technical Services Refer to Getting Help on Page 22 IMPORTANT The Configur...

Страница 140: ...placed into service Installers support services are available for reviewing and approving all new and updated configurations Refer to Getting Help on Page 22 for additional instruction 1 At the Edit...

Страница 141: ...nfiguration Editor Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev C Page 133 Add Configuration window 2 Enter the Name of the configuration 3 Tap a port The Edit Port number win...

Страница 142: ...is used during setup of the compounder This volume must be set for each product that is in each configuration Auto addition ingredients are always primed with the standard volume c If the selected pro...

Страница 143: ...ow with products 6 At the configuration window a Select the Universal Ingredient NOTE For the Universal Ingredient to appear in the list it must first be in the configuration Universal Ingredients mus...

Страница 144: ...formulary Refer to Using the Formulary Editor on Page 139 Selecting auto additions 7 To select auto additions a Select the check box for each desired ingredient b To select a specific product or add...

Страница 145: ...wn in the sequence b When you are finished tap Return to Products 10 At the configuration window tap OK 11 At the Edit Configurations window tap Close WARNING A Baxter pharmacist must approve every ne...

Страница 146: ...ons window a Select one or more configurations you want to delete b Tap Delete 2 At the Delete configuration name message tap Yes to delete the configuration Yes to All to delete all configurations se...

Страница 147: ...gredients and products in the formulary IMPORTANT These functions require Formulary permissions For more information about user groups and permissions refer to Setting Up the Users on Page 123 Before...

Страница 148: ...ars The top list identifies the ingredients that can be included in a formula The bottom list identifies each Product Name with its Drug ID that can be used for each ingredient type Tapping the Inlets...

Страница 149: ...e Add Ingredient window or Edit Ingredient name window a Enter the Name b Enter the Abbr abbreviation NOTE The information entered in the Abbr field will appear on the Ingredient Abbreviation preview...

Страница 150: ...Tap Delete 2 At the Delete ingredient name message tap Yes to delete the ingredient Yes to All to delete all ingredients selected in the Formulary Editor window NOTE If only one ingredient is selected...

Страница 151: ...echnical Services Refer to Getting Help on Page 22 Viewing the Calibration Ingredient 1 At the Formulary Editor window in the top half tap Show Cal Ingredient The calibration ingredient is highlighted...

Страница 152: ...NING It is important to select the correct inlet type for the container Selecting the incorrect inlet type can lead to occlusions and incorrect volume delivery resulting in patient harm b Select the a...

Страница 153: ...e attached to the compounder The compounder displays a message if the product remains attached longer than the specified time g Select the product s Container Type h If you want to change the Name tap...

Страница 154: ...ditor window a In the top half select the ingredient from the Name list b In the bottom half select the product you want to view from the Product Name list then tap Contained In A message with the pro...

Страница 155: ...alcium members group and any phosphate containing products must be assigned to the phosphate members group to ensure the software will warn users about formulas that may cause a precipitate in the tub...

Страница 156: ...edit or delete ingredient groups Calcium and Phosphate groups are created automatically Ingredients Groups window ADDING OR EDITING AN INGREDIENT GROUP 1 At the Ingredient Groups window do one of thes...

Страница 157: ...t that is not listed as incompatible c Tap to move the group to the Incompatible Groups list To make another group compatible with this group a Select the other group in the Incompatible Groups list b...

Страница 158: ...olumes for all the inlets IMPORTANT These functions require Administration permissions For more information about user groups and permissions refer to Setting Up the Users on Page 123 Before making an...

Страница 159: ...OTE Use of this function is not recommended without Baxter instruction WARNING Modifying these settings without contacting Baxter Technical Services could result in ingredients over or under deliverin...

Страница 160: ...Tap Delete 2 At the Delete inlet name message tap Yes to delete the inlet Yes to All to delete all inlets selected in the Inlet Editor window NOTE If only one inlet is selected only one will be delete...

Страница 161: ...ical Services for adding updating flow factors IMPORTANT These settings affect the delivery volume so they must be accurate Do not make any changes unless directed by Baxter Technical Services Baxter...

Страница 162: ...Compounder Page 154 53007410 Rev C 1 At the Inlet Editor window a Select an inlet b Tap Speeds Flow Factors 2 At the Speeds for Inlet name window follow the instructions of Baxter Technical Services...

Страница 163: ...xter Technical Services Refer to Getting Help on Page 22 IMPORTANT These functions require Administration permissions For more information about user groups and permissions refer to Setting Up the Use...

Страница 164: ...ntory Editor Operator Manual for the Baxter ExactaMix 2400 Compounder Page 156 53007410 Rev C The Bag Inventory window appears It lists the available bags and allows you to add edit or delete bags Bag...

Страница 165: ...se options Tap Add to add a new bag The Add Bag window appears Select the bag you want to edit then tap Edit The Edit Bag name window appears Add Bag window 2 At the Add Bag window or Edit Bag name wi...

Страница 166: ...BAG 1 At the Bag Inventory window a Select one or more bags you want to delete b Tap Delete 2 At the Delete bag name message tap Yes to delete the bag Yes to All to delete all bags selected in the Bag...

Страница 167: ...8 cm paper or on A4 paper size of 70X25 4 mm or comparable paper NOTE For using A4 paper refer to Printing Options on Page 16 IMPORTANT Viewing printing and exporting reports requires Report permissio...

Страница 168: ...and or the bottom The top of the report screen may include these navigation options o The print icon allows you to send the report to the specified printer o The export icon allows you to save the rep...

Страница 169: ...Report To make this report display and or print automatically after compounding and or allow on screen authorization refer to MixCheck Report on Page 112 To require a cosigner to authorize the MixChec...

Страница 170: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder Page 162 53007410 Rev C Sample MixCheck Report...

Страница 171: ...on the patient bag and or the original formula 2 Add these ingredients to the solution manually 3 Place your initials in the Added column Evaluate the information in the Details section to verify tha...

Страница 172: ...he Measured Weight of the solution to the Expected Weight Verify that the Difference is within acceptable limits per your facility s protocol Verify that each ingredient and its Ordered Volume match t...

Страница 173: ...v C Page 165 If the Serial Number of the formula file contains more than 36 characters then the MixCheck Report prints up to 36 characters followed by Sample MixCheck Report If the Serial Number of th...

Страница 174: ...rts 1 At the menu screen tap Reports MixCheck Old MixCheck Data 2 At the Solutions window a Select a formula b Tap one of these buttons View MixCheck to view the report on the screen Print MixCheck to...

Страница 175: ...be set up to populate these columns automatically The ingredient name port and inlet used during setup The following options are available for customizing the Authorization Report To require a cosigne...

Страница 176: ...ific formula To view the Formula Report 1 At the menu screen tap Reports Standard Formula 2 At the Select Formula window a Select Show All Formulas or select another filter to reduce the number of for...

Страница 177: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev C Page 169 Sample Formula Report...

Страница 178: ...3007410 Rev C If the Serial Number of the formula file contains more than 50 characters then the Formula Report prints up to 50 characters followed by Sample Formula Report If the Serial Number of the...

Страница 179: ...Page 171 LOG REPORT The Log Report is a summary of the formulas that were used for compounding on a specific day To view the Log Report 1 At the menu screen tap Reports Standard Log 2 At the Select Re...

Страница 180: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder Page 172 53007410 Rev C Sample Log Report...

Страница 181: ...10 Rev C Page 173 If the Serial Number of the formula file contains more than 80 characters then the Log Report prints up to 80 characters followed by Sample Log Report If the Serial Number of the for...

Страница 182: ...v C CONFIGURATION REPORT The Configuration Report provides information about a specific configuration To view the Configuration Report 1 At the menu screen tap Reports Standard Configuration 2 At the...

Страница 183: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev C Page 175 Sample Configuration Report...

Страница 184: ...53007410 Rev C FORMULARY REPORT The Formulary Report lists the ingredients that are included in the formulary Only ingredients that may actually be mounted on the compounder should be in the formulary...

Страница 185: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev C Page 177 Sample Formulary Report...

Страница 186: ...ort displays the barcodes for products that are in the formulary You can print the report onto labels for use with products that do not have a manufacturer s barcode To view the Product Barcodes Repor...

Страница 187: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev C Page 179 Sample Product Barcodes Report...

Страница 188: ...RCODES REPORT The Inlet Barcodes Report displays the barcodes for the inlets You can print the report onto labels in case you make a mistake during setup and need an extra barcode label To view the In...

Страница 189: ...ist of all important system activity for a specific period of time If necessary Baxter may use this information for troubleshooting To view the Blackbox Report 1 At the menu screen select Reports Stan...

Страница 190: ...s Operator Manual for the Baxter ExactaMix 2400 Compounder Page 182 53007410 Rev C For assistance with reading this report contact Baxter Technical Services Refer to Getting Help on Page 22 Sample Bla...

Страница 191: ...eriod of time It also distinguishes between automatic and manual calibrations To view the Calibration Summary Report 1 At the menu screen tap Reports Standard Calibration Summary 2 At the Select Repor...

Страница 192: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder Page 184 53007410 Rev C Sample Calibration Summary Report...

Страница 193: ...f time To view the Formula Precision Report 1 At the menu screen tap Reports Standard Formula Precision 2 At the Select Report Dates window a Enter the First date and Last dates for the report NOTE Th...

Страница 194: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder Page 186 53007410 Rev C Sample Formula Precision Report...

Страница 195: ...187 If the Serial Number of the formula file contains more than 36 characters then the Formula Precision Report prints up to 36 characters followed by Sample Formula Precision Report If the Serial Num...

Страница 196: ...Usage Report summarizes the ingredient usage during a specific period of time This report is used to manage inventory To view the Ingredient Usage Report 1 At the menu screen select Reports Standard I...

Страница 197: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev C Page 189 Sample Ingredient Usage Report...

Страница 198: ...Bag Usage Report summarizes the bag usage during a specific period of time This report is used to manage inventory To view the Bag Usage Report 1 At the menu screen tap Reports Standard Bag Usage 2 A...

Страница 199: ...Using Reports Operator Manual for the Baxter ExactaMix 2400 Compounder 53007410 Rev C Page 191 Sample Bag Usage Report...

Страница 200: ...ted by Baxter Technical Services Sample Flow Factors Report Flow Factors Configuration TPN TEST Date 1 8 2020 Time 4 18 50PM Port Seq Product Name Min Vol mL Max Vol mL Flow Factor 6 1 Baxter K Chlori...

Страница 201: ...e reader does not indicate that it is operational 1 Check that the green LED on the barcode reader illuminates when you scan a barcode If the LED does not illuminate check that the cable for the barco...

Страница 202: ...s not meet the Order entry specification 1 Correct the serial number of the 2D Formula Barcode then print and scan the new 2D Formula Barcode Text The following formula name or data is not supported C...

Страница 203: ...Barcode X cannot be loaded 1 Following manual Ingredient Name s exceeds the maximum characters 25 s You must correct the manual Ingredient Name s then load the formula The 2D Formula Barcode contains...

Страница 204: ...arcode Text Barcode reader X barcode contains an invalid Code 39 character The barcodes for formulas must use the Code39 symbology which has a restricted character set 1 Reprint the barcode 2 Scan the...

Страница 205: ...add volume of max manual add volume mL The ordered volume of the product exceeds the maximum volume for manual additions 1 Tap Cancel 2 Check that the Drug ID is correct and that it matches the code n...

Страница 206: ...rn it right side up to prevent fluid from flowing 2 Remove the inlet from the incorrect port and attach it to the correct port 3 Return the source container to the vial rack or hanger Text Flushing wi...

Страница 207: ...ormation about user groups and permissions refer to Setting Up the Users on Page 123 Tap one of these options Tap Change UI To to change the Universal Ingredient to one that has the minimum volume req...

Страница 208: ...product and associated Inlets Contact Baxter Technical Services for help All ingredients need flow factors prior to compounding 1 Click Ok on the error message 2 Contact Baxter Technical Services for...

Страница 209: ...his operation must be completed prior to pumping a solution Would you like to calibrate the pump now The pump is not calibrated 1 Tap Yes 2 Calibrate the pump Refer to Calibrating the Compounder on Pa...

Страница 210: ...s out of range After the compounder delivers an ingredient the weight of the patient bag differs from the expected weight by more than the acceptable difference The compounder checks the weight after...

Страница 211: ...cts that the destination bag is not attached If the bag is not attached attach the appropriate bag to the load cell Refer to Attaching the Patient Bag on Page 85 Attaching the Calibration Bag on Page...

Страница 212: ...t and then exit the PRIME AND VERIFY screen The Occlusion Detector Test failed Pump door open Select OK to Retry Select Cancel to Exit The test did not finish because the pump door was opened during t...

Страница 213: ...label for the patient bag cannot be printed Contact Baxter Technical Services Refer to Getting Help on Page 22 The MixCheck Report does not print The printer is disconnected or turned off Check that t...

Страница 214: ...A software error occurred Reconnect the cord and cables Refer to Step 6 on Page 24 Text No Valve Device Assigned A software error occurred Reconnect the cord and cables Refer to Step 6 on Page 24 Tex...

Страница 215: ...g Help on Page 22 USB drive NOTE Be sure that the USB drive is free of viruses Barcode reader at the compounder In the order entry software the pharmacist creates an order which creates a barcode and...

Страница 216: ...xactly match the code number for that product in the compounder s formulary If a code number is assigned to one product in the order entry software and that number is assigned to a different product i...

Страница 217: ...to backup message if you Want to back up the current database before restoring tap Yes and continue with the next step Do not want to back up the current database before restoring tap No and skip to s...

Страница 218: ...t the Backup succeeded message tap OK Message 5 At the Restore Database Location window a If desired change the location of the backup you want to restore by tapping the button to the right of it b Ta...

Страница 219: ...the compounder s components sit Blackbox data The logged activities of the compounder mainly based on the communication between software firmware and user actions cardioplegia A specific combination...

Страница 220: ...ainer types or manufacturers final flush A delivery of fluid that is pumped to clear all delivered ingredients from the common fluid pathway to ensure that these ingredients are fully present in the f...

Страница 221: ...creen window or other text that provides information or instructions but does not allow you to enter information Pay attention to the text because some messages may include critical information micro...

Страница 222: ...port a patient s nutritional needs tube set The valve set and inlets Universal Ingredient UI The ingredient that is used to flush the common fluid pathway This ingredient must be contained in the conf...

Страница 223: ...supporting USB 1 1 2 0 The display supports the connection and use of a USB 1 1 keyboard and mouse Dimensions Main module Length 24 in 61 cm Width 10 in 25 4 cm Height 10 in 25 4 cm Display Length 11...

Страница 224: ...47 F 0 64 C Maximum relative humidity 10 80 Maximum altitude Not to exceed 3 000 m Main supply voltage fluctuation Not to exceed 10 Sound pressure level Not to exceed 85 dBA For Indoor Use Only ISO Cl...

Страница 225: ...equipment is under warranty Baxter will replace the defective equipment Equipment that is not under warranty can also be replaced however the customer is responsible for the cost of repairs and shipp...

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