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Alaris™ VP Plus Guardrails™ Volumetric Pump

Pressure Features

1000DF00660 Issue 9

19/48

Pressure Features

A

•  The interpretation of in-line pressure readings and occlusion alarms is the responsibility of the clinician and is 

dependent on the specific application.

•   Default downstream occlusion alarm limits for the Pump are configured in the Alaris Editor by profile and by 

drug.

In-Line Pressure Monitoring

The infusion set pressure sensing disc enables the measurement of in-line pressure and in conjunction with trending graphs, can 
support early clinical assessment and intervention which may assist in reducing the risk of IV complications . 
The downstream occlusion alarm limit set through the Auto Pressure or manual functions can assist in optimizing  the time to alarm .

A

Despite the benefits provided by early detection of occlusions and reduced time to alarm, the Pump is not designed 
to provide protection from or detection of extravasation nor infiltration. Therefore, the clinician, while  monitoring 
the pressure trend graphs, must also check the infusion site on a regular basis and  follow hospital protocols when 
IV complications occur.

Pressure Occlusion Alarm Options

PRESSURE

28

 mmHg

60

 mmHg

TREND

AUTO

OK

ADJUST WITH 

17:40 

18:00 

To check and adjust the downstream occlusion alarm limit press the 

e

 button . The display 

will change to show a 20 minute pressure trend graph displaying the current patient in-line 
pressure and the downstream occlusion alarm limit .
The downstream occlusion alarm limit can be adjusted either manually or automatically .

Manual

The downstream occlusion alarm limit can be set manually by pressing the 

f

 keys to increase or 

decrease the pressure alarm limits followed by the 

OK

 softkey . The new limit will be indicated numerically on the 

display screen .

Auto Pressure

The Auto Pressure feature may be used when a stable line pressure has been achieved over a short period of 
infusion . If Auto Pressure has been enabled in the editor, the Auto Offset value (XX)mmHg set in the profile will 
be used to calculate a new downstream occlusion alarm limit by pressing the 

AUTO

 softkey followed by the 

OK

 

softkey . 

Auto Set Pressure

If the Auto Set Pressure option is enabled, in the editor, the Pump automatically adjusts the downstream 
occlusion alarm limit . This occurs once, 15 minutes after the start of the infusion . The Pump automatically adjusts 
the downstream occlusion alarm limit to the Auto Set Value (XX) mmHg above the average infusion pressure, 
taken from the average of the last 5 minutes of the infusion .

Note: 

  XX is the 

AUTO OFFSET

 pressure and is determined by the user . This adjustment, 

AUTO OFFSET

 value 15-100mmHg, is 

configurable by profile within the data set . At pressures up to 100mmHg the 

AUTO OFFSET

 value is added . For pressures 

above 100mmHg the downstream occlusion alarm limit is set to whatever the 

AUTO OFFSET

 value is as a percentage above 

the average infusion line pressure up to the maximum occlusion alarm limit defined within the profile .

Pressure Trend

TREND

71

 mmHg

+

BACK

17:15

0

1 .  To check the pressure trend graph press the 

e

 button . 

2 .  Press the 

TREND

 softkey to view the pressure trend of the previous 12 .5 hours of clock 

time . The pressure trend can be viewed at 15 minute intervals by using the 

+/-

 softkeys . 

The pressure trend is updated every 15 minutes and can be viewed with greater 
resolution . The pressure trend graph displays the line pressure at a given time .

3 .  Press the 

OK

 softkey to exit the pressure trend screen .

Содержание Alaris VP Plus Guardrails

Страница 1: ...s Alaris VP Plus Guardrails Volumetric Pump Directions For Use en...

Страница 2: ...igid Containers 9 Operating Environment 9 Alarm Conditions 10 Mounting the Pump 10 Electromagnetic Compatibility and Interference 10 Earth Conductor 10 Hazards 11 Getting Started 12 Initial Set Up 12...

Страница 3: ...uctions 23 Secondary Piggyback Infusions 24 Typical Secondary infusions 24 Setting up a secondary infusion 24 Service Configuration Mode 25 Date and Time 25 Pump Reference 25 Language 25 Backlight and...

Страница 4: ...eaning and Storage 42 Cleaning the Pump 42 Cleaning the Door 42 Cleaning the Flow Sensor 42 Storing the Pump 43 Disposal 43 Information on Disposal for Users of Waste Electrical and Electronic Equipme...

Страница 5: ...nd in the management of infusion therapy Clinical staff should determine the suitability of the device in their care area for its intended purpose References to user within this manual are intended to...

Страница 6: ...or Softkeys Chevrons Mute Pressure Battery indicator On Off Door Door Lever Flow sensor interface RS232 Nursecall connector cover removed for clarity Release lever for rotating cam Folded pole clamp R...

Страница 7: ...utton Press to access PRIME or BOLUS softkey Press and hold down softkey to operate PRIME primes the infusion set with fluid when setting up an infusion for the first time Pump is on hold Infusion set...

Страница 8: ...onnector RS232 Nursecall Connector l Defibrillation proof type CF applied part Degree of protection against electrical shock IPX3 Protected against direct sprays up to 60 from the vertical r Alternati...

Страница 9: ...24 will be displayed Also indicates pressure sample time on the Pressure Trend screen N Battery icon Indicates battery charge level to highlight when the battery will require recharging Line Pressure...

Страница 10: ...le Bags Glass Bottles and Semi Rigid Containers It is recommended that the air vent be opened on the Pump sets if using glass bottles or semi rigid containers to reduce the partial vacuum formed as th...

Страница 11: ...etic fields generated by MRI devices therefore the Pump is not an MRI compatible Pump If use of the Pump within an MRI environment is unavoidable then CareFusion highly recommends securing the Pump at...

Страница 12: ...nnel Care should be taken to ensure power cables and RS232 cables do not present a trip hazard Care should be taken in the placement of power cables and RS232 cables to prevent accidental tugging Warn...

Страница 13: ...e as requested Protective Packaging 3 Connect the Pump to the AC power supply for at least 2 hours to ensure that the internal battery is charged verify that the S is lit A A default data set is alrea...

Страница 14: ...measuring 10mm by 25mm 1 Align the rotating cam on the rear of the Pump with the rectangular bar on the Docking Station Workstation or the equipment rail Rectangular bar Release lever push to release...

Страница 15: ...essure Disc No Flow Clamp Is In Occluded Position Flow Clamp In Non occluded Position Manually Operating the Safety Clamp To move the slider into the non occluded position manually push up Safety Clam...

Страница 16: ...Pump 3 Fill the drip chamber approximately half full 4 Open roller clamp and prime set slowly inverting the pumping segment Massage the pressure disc in the direction of the fluid flow to ensure air r...

Страница 17: ...QUIT ml h DOSING ONLY DRUGS A B C D E F G H I J K L M N O P Q R S T U V W X Y Z SELECT WITH 1 Select ml h from the list using the f keys 2 Press OK to confirm 3 Enter the ml h rate as prompted on the...

Страница 18: ...been activated During PRIME the downstream occlusion alarm limit is temporarily increased to its maximum The i button allows the delivery of a limited volume of fluid in order to prime the infusion s...

Страница 19: ...I complete alarm or warning will sound Press c to silence the alarm or warning Press CANCEL to acknowledge the alert See VTBI section for more details on VTBI operation BOLUS Enabled HANDSON and HANDS...

Страница 20: ...keys to increase or decrease the pressure alarm limits followed by the OK softkey The new limit will be indicated numerically on the display screen Auto Pressure The Auto Pressure feature may be used...

Страница 21: ...f keys to scroll through the on screen choices e Press the OK softkey to confirm and exit the END RATE menu KVO Keep Vein Open Rate At the end of VTBI the Pump will first display VTBI DONE INFUSING K...

Страница 22: ...alculated from the flow rate Set By ml h 1 Press the d button to access the options menu 2 Select the SET BY ml h option using the f keys and press the OK softkey indicated on the screen This will sel...

Страница 23: ...led disabled via the Alaris Editor Event Log This option allows the event log to be reviewed 1 Press the d button to access the options menu 2 Select EVENT LOG using the f keys and press OK softkey to...

Страница 24: ...ir vent be opened on the Pump sets if using glass bottles or semi rigid containers see Operating Precautions for more details Always read the Directions For Use supplied with the infusion set prior to...

Страница 25: ...the primary infusion set should be closed Check that no drops fall in the primary drip chamber On completion of the primary infusion the Pump will continue at Keep Vein Open KVO rate Typical Secondary...

Страница 26: ...ference text to be shown on the Pump start up display 1 Select PUMP REFERENCE from the CONFIGURATION menu using the f keys and press the OK softkey 2 Use the f keys to enter the text and NEXT to move...

Страница 27: ...ser s last recorded interaction with the Pump and generation of an ATTENTION prompt Drug Override Mode Always Any changes made to the dose rate that are outside of the Guardrails Soft Alerts will requ...

Страница 28: ...rt of a given prime operation Secondary Infusion Allows the use of a secondary infusion in the same channel Sec Infusion Rate Max Set the maximum permissible infusion rate for secondary infusions Sec...

Страница 29: ...These settings override the Pump configuration settings in the profile Bolus Dose Units The unit for bolus dose parameters Applies to Hands on and Hands free bolus Weight based units Controls whether...

Страница 30: ...air bubbles and take appropriate action Remove air according to hospital policy Check fluid level in container Check fluid level in drip chamber Restart infusion DOOR OPEN Door was opened during an i...

Страница 31: ...loaded incorrectly Clamp infusion set using roller clamp Investigate and correct set loading FLOW SENSOR DISCONNECT Flow sensor unplugged during infusion Check replace flow sensor or set VTBI WRONG S...

Страница 32: ...w VTBI or clear VTBI AIR IN LINE Air detected in infusion set at the start of infusion Set not fitted correctly into air in line detector Ensure set is fitted correctly in the air in line detector Ass...

Страница 33: ...clear the message 2 Rectify the cause of the prompt or proceed with caution Display Cause Action ATTENTION Pump left on hold for 2 minutes without starting the infusion Review Pump setup Start infusio...

Страница 34: ...ired rate CONCENTRATION NOT PERMITTED Concentration set exceeds hard max limit or is under hard minimum limit Check concentration and adjust to a more appropriate amount WEIGHT ABOVE LIMIT Patient wei...

Страница 35: ...mber Flanges Pull back handles 1 Remove the Flow Sensor Interface Cover and store for future use 2 Plug the flow sensor into the flow sensor interface located on the top rear part of the Pump 3 Attach...

Страница 36: ...surements are for guidance only IEC EN60601 1 limits are defined below Earth Leakage Current Normal Condition 500 A Enclosure Leakage Current Normal Condition 100 A Protective Earth Resistance 200mOhm...

Страница 37: ...5 C 4 7 7 10 40 C 4 7 7 10 Note The Pump does not display negative pressure values Maximum Pumping Pressure 880mmHg Post Downstream Occlusion Bolus Bolus volume generated at 25ml h when the minimum d...

Страница 38: ...fined as Set Rate less than 1 0ml h Recommended infusion set 70593 Needle 18gauge x 40mm Solution Type De ionized and Degassed Water Temperature 23 C 2 C Fluid Head Height 300 10mm Back Pressure 0 10m...

Страница 39: ...60VA Maximum Protection Against Electrical Shock Class 1 Classification Continuous Operation Supply to Pump 115 230V 50 60Hz 60VA The Alaris DS Docking Station Product SKU 80283UNS00 xx Supply Voltage...

Страница 40: ...ength 300cm 70693E SmartSite Needle Free Valve Port 15 Micron Filter Length 265cm 70793E 2 SmartSite Needle Free Valve Ports Length 265cm 70123E 2 SmartSite Needle Free Valve Ports Light protected Inl...

Страница 41: ...2946NE 1 SmartSite Needle Free Valve Port Length 30cm 72948NE 1 SmartSite Needle Free Valve Port Male Luer with Backcheck Valve Inline 0 2 micron Filter Length 50cm 72951NE 1 SmartSite Needle Free Val...

Страница 42: ...are referenced on www carefusion com Copies can be obtained by contacting your local CareFusion representative A Please refer toTechnical Service Manual for calibration procedures The units of measur...

Страница 43: ...ce discoloration Concentrated Isopropyl alcohol based cleaners will degrade plastic parts Aromatic Hydrocarbons such as chlorohydrocarbons e g Anti static foam cleaner Recommended cleaners are Brand C...

Страница 44: ...ectronic products should not be mixed with household waste If you wish to discard electrical and electronic equipment please contact your CareFusion affiliate office or distributor for further informa...

Страница 45: ...e of the RS232 cable Any connected analogue and digital components are required to meet IEC EN60950 for data processing and IEC EN60601 for medical devices Anyone connecting additional devices to the...

Страница 46: ...tered Short term fluctuations in rate accuracy may have clinical impact depending on the half life of the drug being infused and the degree of inter vascular integration the therapeutic effect cannot...

Страница 47: ...5 30 35 Time minutes Observation Window minutes Maximum Error Minimum Error Overall Mean 1 0 Trumpet Graph at 25 0ml h Initial Period Trumpet Graph at 25 0ml h After 72 Hours Error 10 8 6 4 2 0 2 4 6...

Страница 48: ...on the World Wide Web at www carefusion co uk alaris technical A username and password are required to access our manuals Please contact a local customer services representative to obtain login detail...

Страница 49: ...e Molen 8 10 3994 DB Houten Nederland CareFusion 10020 Pacific Mesa Blvd San Diego CA 92121 USA Tel 32 0 2 267 38 99 Tel 34 902 555 660 Tel 31 0 30 2289 711 Tel 1 800 854 7128 Fax 32 0 2 267 99 21 Fax...

Страница 50: ...ntains proprietary information of CareFusion Corporation or one of its affiliates and its receipt or possession does not convey any rights to reproduce its contents or to manufacture or sell any produ...

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