Cardinal Health Alaris PK Скачать руководство пользователя страница 13

1000DF00005 Iss. 2

12/44

 Operating  Precautions

Disposable Syringes and  Extension Sets

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  This Alaris® PK Syringe Pump has been calibrated for use with single-use disposable syringes. To ensure 

correct and accurate operation, only use 3 piece Luer-Lock versions of the syringe make specified on 
the pump or described in this manual. Use of non-specified syringes or extension sets may impair the 
operation of the pump and the accuracy of the infusion.

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  Uncontrolled flow or syphoning may result if the syringe is located incorrectly in the pump, or if it is 

removed from the pump before the extension set is properly isolated from the patient.  Isolation may 
include closing a tap in the patient line or activating a flow stop clamp.

o

  Secure the extension set to the pump using the extension set hook at the rear of the pump. This provides 

protection against accidental dislodging of the syringe from the pump.

G

  When combining several apparatus and/or instruments with extension sets and other tubing, for example 

via a 3-way tap, the performance of the pump may be impacted and should be monitored closely.

Mounting the Pump

H

  The pump must be mounted within 1.0m above or below the patient’s heart. The most accurate pressure 

monitoring in the extension set is achieved when the pump is positioned close to the patients heart 
level. 

I

  Do not  mount the pump in a vertical position with the syringe pointing upwards as this could lead to 

an infusion of air which may be in the syringe. To protect against the introduction of air the user should 
regularly monitor the progress of the infusion, syringe, extension line and patient connections and follow 
the priming procedure specified herein. 

Operating Environment

  When using any infusion pump in conjunction with other pumps or devices requiring vascular access, 

extra care is advised. Adverse delivery of medication or fluids can be caused by the substantial variation in 
pressures created within the local vascular system by such pumps.  Typical examples of those pumps are 
used during dialysis, bypass or cardiac assist applications.

  This pump is suitable for use in 

Hospital and clinical environments 

other than domestic establishments 

and those directly connected to the public single phase AC mains power supply network that supplies 
buildings used for domestic purposes. However, it may be used in domestic establishments 

under 

the supervision of Medical professionals

 with additional necessary appropriate measures. (Consult 

Technical Service Manual, appropriately trained technical personnel or Cardinal Health for further 
information).

  This pump is not intended to be used in the presence of a flammable anaesthetic mixture with air or 

oxygen or nitrous oxide.

Operating Pressure

  This is a positive pressure pump designed to achieve very accurate fluid administration by automatically 

compensating for resistance encountered in the infusion system.

  The pumping pressure alarm system is not designed to provide protection against, or detection of, IV 

complications which can occur.

Alarm Conditions

J

  Several alarm conditions detected by this pump will stop the infusion and generate visual and audible 

alarms. Users must perform regular checks to ensure that the infusion is progressing correctly and no 
alarms are operating.

Содержание Alaris PK

Страница 1: ...Directions For Use English Alaris PK Syringe Pump...

Страница 2: ...tting Started 14 Basic Features 19 Operations During Use 21 Alarms and Warnings 23 Prompts 24 Configured Options 25 Specifications 29 Compatible Syringes 30 Associated Products 30 Compatible Extension...

Страница 3: ...escribed information for rate and dosing limits Pharmacokinetic and Pharmacodynamic Interactions among anaesthetic drugs are known but are not taken into account in the calculation of the plasma and e...

Страница 4: ...ation based on clinical judgement When a concentration in the plasma compartment is targeted this is called open loop plasma targeted TCI When a certain concentration at the effect compartment is targ...

Страница 5: ...l science Edited by Breimer DD Crommelin DJA Midha KK Noordwijk Amsterdam Med Press BV 1989 pp 573 586 2 Kruger Theimer E Continuous intravenous infusion and multicompartment accumulation Eur J Pharma...

Страница 6: ...Vc 5 1 0 0201 x age 40 0 072 x lbm 55 V2 9 82 0 0811 x age 40 0 108 x lbm 55 V3 5 42 CL1 2 6 0 0162 x age 40 0 0191 x lbm 55 CL2 2 05 0 0301 x age 40 CL3 0 076 0 00113 x age 40 k10 Cl1 Vc k12 Cl2 Vc k...

Страница 7: ...be printed reviewed and signed as proof of approval by an authorised person according to Hospital protocol Signed printout to be kept safe for use during verification procedure Release Data Set status...

Страница 8: ...ON OFF RUN HOLD PURGE BOLUS MUTE PRESSURE OPTION Extension set hook Finger Grips Extension set hook Release lever for Rotating Cam Carrying Handle IR Communications port RS232 Connector Folded Pole C...

Страница 9: ...key to operate PURGE the extension set during set up Pump is on hold Extension set is not connected to the patient Volume Infused VI is not added BOLUS fluid or drug delivered at an accelerated rate P...

Страница 10: ...onnector Optional Defibrillation proof type CF applied part Degree of protection against electrical shock O Protected against vertically falling drops of water r Alternating Current s Device complies...

Страница 11: ...Selecting the MORE softkey will display the following additional information Patient Parameters Time to End of Infusion at Current Rate Volume and Dose Infused Elapsed Time Drug Name and Model Press...

Страница 12: ...played on protocol confirmation screen E Duration of Hands Free Bolus Displayed in bolus set up screen F Maintenance Phase Dose Rate Displayed on protocol confirmation screen SOFT ALERT Indicates the...

Страница 13: ...ould regularly monitor the progress of the infusion syringe extension line and patient connections and follow the priming procedure specified herein Operating Environment When using any infusion pump...

Страница 14: ...trained technical personnel Consult Technical Service Manual for further information Hazards B An explosion hazard exists if the pump is used in the presence of flammable anaesthetics Exercise care t...

Страница 15: ...hours to ensure that the internal battery is charged verify that the S is lit Language Selection 1 On initial start up the pump will display the Select Language screen 2 Select the required language f...

Страница 16: ...cking Station Asena IDS Docking Station and Alaris Gateway Workstation Docking Station Workstation or Equipment Rail Installation Rectangular bar Rotating cam Release lever push to release Getting Sta...

Страница 17: ...the syringe clamp and the syringe flange clamp This is correct if the syringe remains in position before the syringe clamp is closed 2 Insert the syringe ensuring that the barrel flange is located in...

Страница 18: ...luid flows and the purging of the extension set is complete Release the softkey The volume used during purging will be displayed 12 Connect To Patient Connect the extension set to the patient access d...

Страница 19: ...e cap rate will be cleared when first titration occurs 11 Target Concentration Cpt or Cet Adjust the Target Concentration if necessary using the f keys Confirm the Target Concentration and Initial Inf...

Страница 20: ...ted The bolus volume is limited in the con guration 1 During infusion press the i button once to display the bolus screen 2 Use the f keys to adjust the bolus rate if required 3 To deliver the bolus p...

Страница 21: ...nfusing at the new rate If Rate Titration is disabled the rate can only be adjusted whilst on hold 1 Press the h button to put the pump on hold 2 Select the new rate using the f keys 3 Press the b but...

Страница 22: ...e initial doserate will be set to zero TREND SIZE The user is able to select the Trend Size of the Concentration Prediction graph 1 Press the d button to access the options menu 2 Using the f keys sel...

Страница 23: ...softkey indicated on the screen A confirmation screen will be displayed DATA SET DETAILS To review the currently selected Data Set information 1 Press the d button to access the options menu 2 Select...

Страница 24: ...F INFUSION The pump has reached the end of the infusion A pre set volume will remain in the syringe to minimise the risk of the infusion of air bubbles into the set This value can be configured TITRAT...

Страница 25: ...OVERRIDE LIMIT is not required press the NO softkey and adjust rate below Soft Alert BOLUS DOSE OVER The bolus dose has been set to a value which exceeds a Soft Alert Check the bolus setting to conti...

Страница 26: ...u Language This option is used to set the language of messages shown on the pump display 1 Select LANGUAGE from the Configured Options menu using the f keys and press the OK softkey 2 Use the f keys t...

Страница 27: ...splay Purge Rate The rate used during purge operation Purge Volume Max The maximum permissible purge volume Purge Syringe Prompt Feature which prompts the user to purge the extension set prior to the...

Страница 28: ...meters Induction ON OFF Enables Disables induction stage of TIVA protocol Dosing Units The induction dose units This can be based on patient weight Default Dose The default induction dose offered Defa...

Страница 29: ...Maintenance Hard Max 20mg kg h 20mg kg h 2 g kg min 2 g kg min 2 g kg h Default Bolus Rate 1200ml h 600ml h 600ml h 600ml h 1200ml h Default Bolus 1 0mg kg 1 0mg kg 1 0 g kg 1 0 g kg 0 15 g kg Bolus S...

Страница 30: ...ump is connected to AC power Battery life is typically 4h from fully charged 5 0ml h 20 C under normal conditions Charging takes 2 hours from discharge to 90 charge In TCI mode a fully charged battery...

Страница 31: ...sed syringe with a large diameter barrel To provide protection against accidental dislodging always ensure the infusion line is secured using the infusion set hook see Loading a Syringe section TYCO H...

Страница 32: ...lve low priming volume 209cm MFX 2291 2 way set with anti syphon valve and backcheck valve low priming volume 209cm MFX 2284 3 way tap blue with extension 100cm MFX 2280E 3 way tap with extension and...

Страница 33: ...in accordance with the information supplied Cardinal Health will not be responsible should any of these actions be performed outside the instructions or information supplied by Cardinal Health Refer...

Страница 34: ...ensure that the internal battery is fully charged A Before cleaning always switch OFF and disconnect from the AC power supply Never allow liquid to enter the casing and avoid excess fluid build up on...

Страница 35: ...ssure Time to alarm following occlusion is achieved in less than 30 minutes at rates of 1 ml h and higher by the appropriate selection of occlusion levels The following graphs show the typical values...

Страница 36: ...nddigitalcomponents are required to meet IEC EN60950 for data processingandIEC EN60601formedicaldevices Anyone connecting additional devices to the signal input or output is a system configurator and...

Страница 37: ...e As the observation window is reduced short term fluctuations have greater effects as represented by the mouth of the trumpet Knowledge of system accuracy over various observation windows may be of i...

Страница 38: ...than 5 2 By measuring the volume from the flow rate profile delivered from the Alaris PK Syringe Pump and then introducing this into a reverse pharmacokinetic model the predicted plasma or effect con...

Страница 39: ...umetric Accuracy 0 4 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 0 5 10 15 20 25 30 35 40 45 50 55 60 0 0 0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0 0 5 10 15 20 25 30 35 40 45 50 55 60 65 70 75 80 0 5 10 1...

Страница 40: ...lasma Concentration ng ml Ideal Plasma Concentration g ml 0 0 0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0 0 5 10 15 20 25 30 35 40 45 50 55 60 0 0 0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0 Patient Age 75 Yrs Patient Weight...

Страница 41: ...n the Alaris Infusion System product family are 1 are also available without an RS232 option fitted contact local customer services representative to obtain part number details 2 For Docking Stations...

Страница 42: ...Ndabeni Cape Town 7405 South Africa Tel 27 0 860 597 572 Tel 27 21 510 7562 Fax 27 21 5107567 BE Cardinal Health Otto De Mentockplein 19 1853 Strombeek Bever Belgium Tel 32 2 267 38 99 Fax 32 2 267 99...

Страница 43: ...d promptly properly packaged and postage prepaid by purchaser Loss or damage in return shipment to Cardinal Health shall be at purchaser s risk In no event shall Cardinal Health be liable for any inci...

Страница 44: ...31 F Fuses 32 G General Options 25 H Hands Free 19 Hands On 19 I Indicators AC POWER 8 BATTERY 8 Installation 15 Introduction 2 IrDA 35 L Labelling Symbols 9 Language 14 25 Loading a Syringe 16 M Mai...

Страница 45: ...1000DF00005 Iss 2 44 44 Page Intentionally Left Blank...

Страница 46: ...ment contains proprietary information of Cardinal Health Inc or one of its subsidiaries and its receipt or possession does not convey any rights to reproduce its contents or to manufacture or sell any...

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