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Hospira GEMSTAR 13088-04-01, Руководство по эксплуатации системы

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Hospira GemStar Manual 430-10984-001 (Rev. 03/06)

145

Chapter 12

Warranty/Technical Assistance

The GemStar® Pump has been carefully manufactured using high-quality 

components. It is warranted to be free from defects in material and workmanship for a 

period of one year from the date of purchase under normal use and service. The 

warranty on the optional battery pack and other accessories is limited to 90 days.

On return to Hospira, the pump will be repaired or replaced within the terms of this 

warranty. Material returned to Hospira must be properly packaged and sent freight 

prepaid.

This warranty shall not apply if the pump has been repaired by anyone other than 

Hospira qualified service personnel; or altered in any way which, in Hospira’s 

judgment, affects its stability or reliability; or if the serial number has been altered, 

effaced, or removed.

THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR 

IMPLIED.

430-10984-001.book  Page 145  Friday, March 31, 2006  4:49 PM

Содержание GEMSTAR 13088-04-01

Страница 1: ...mp For use with the Hospira GemStar Pain Management Pump List 13088 04 01 02 Hospira Inc Lake Forest IL 60045 430 10984 001 Rev 01 06 System Operating Manual 430 10984 001 book Page i Friday March 31...

Страница 2: ...rofessionals caregivers and patients The Hospira Technical Support Operations hotline is available 24 hours a day in the USA to provide consultation and technical assistance regarding the Hospira GemS...

Страница 3: ...pira GemStar Manual 430 10984 001 Rev 03 06 Change History Part Number Description of Change Pages Changed 430 10984 001 Rev 03 06 Original Issue N A 430 10984 001 book Page ii Friday March 31 2006 4...

Страница 4: ...ing On the Pump 25 Accessing the Delivery Mode Menu 27 Programming the Pump 28 Starting a New Container 30 GemStar Pump Set 30 Loading the Cassette 33 Releasing the Cassette 34 Priming a GemStar Pump...

Страница 5: ...se 79 Shift Totals and History 79 6 Troubleshooting 81 Alarm Messages 82 Alert Messages 91 Other Display Messages 94 7 Maintenance 95 Pump Storage 95 Cleaning and Disinfecting 95 Repair 97 8 Operation...

Страница 6: ...pecifications 127 Occlusion Information 130 12 Warranty Technical Assistance 145 A Electrical Potentials 147 Guidance on EMC Compatibility 147 Information Regarding Electrostatic Discharge ESD 148 Ind...

Страница 7: ...Notes vi Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page vi Friday March 31 2006 4 49 PM...

Страница 8: ...ersible product damage or hardware failure Failure to observe a caution could result in serious patient or user injury Convention Use Example ALL CAPS Pump keys Press YES ENTER to continue ALL CAPS Di...

Страница 9: ...1 Introduction 2 Hospira GemStar Manual 430 10984 001 Rev 03 06 GemStar Pump Layout Shown approximate size 430 10984 001 book Page 2 Friday March 31 2006 4 49 PM...

Страница 10: ...eview Program 4 Pump Settings 7 Speed Protocol 2 Histories 5 Set Clock 3 Keypad Lock 6 Print Scrolls through program review and help messages Toggles between AM and PM in time based entries DOWN arrow...

Страница 11: ...o connect the AC mains adaptor 5 Data Port Connector Use to connect the GemStar serial cable 6 Bolus Connector Use to connect a bolus cord 7 Tubing Channel Place the pump set tubing in this channel 8...

Страница 12: ...ous options Four lock levels are available Chapter 4 Options Menu and Chapter 5 Clinician Instructions New Container Repeats the current program without reprogramming the pump Chapter 2 Basic Operatio...

Страница 13: ...espond to display messages and enter numeric values For example press 2 to select HISTORIES from the Options Menu G Note Menu items may vary depending on the pump s configuration I Tip A menu item doe...

Страница 14: ...Note Piggybacking is available only in mL hr Only and Continuous therapies Note Menu items change depending on when Change Menu is viewed Options Menu Press 1 REVIEW PROGRAM 2 HISTORIES 3 KEYPAD LOCK...

Страница 15: ...ing Mode The pump enters the PROGRAMMING mode after the pump is powered on or when is pressed Run Mode After is pressed the pump enters the RUN mode even when not infusing Stop Mode When programming i...

Страница 16: ...ydrochloride USP and Morphine Sulfate Injection USP Preservative Free For epidural administration the following is recommended Nylon or Teflon catheter Pump sets without Y sites Stickers for the tubin...

Страница 17: ...roximal occlusion alarm activates DO NOT power off the pump Closely supervise patients who are likely to be adversely affected by unintended operations and failures including interrupted medication or...

Страница 18: ...on as practical after priming the pump set Use of high flow rates during infusion will minimize drug absorption DO NOT use medications that are unstable under infusion conditions ALWAYS use connection...

Страница 19: ...pump from service IMMEDIATELY If the pump does not display the self test or if beeps do not sound at power on check all power connections and install two fresh disposable AA batteries If the problem c...

Страница 20: ...ector and pull straight out DO NOT twist or bend the cord or connector To ensure proper pump operation ALWAYS replace BOTH disposable batteries with fresh disposable AA batteries when a change is requ...

Страница 21: ...mply with EMC EMI limits in accordance with IEC EN 60601 1 2 2001 when using two AA disposable batteries or when connected to the GemStar AC Adaptor IEC EN 60601 1 2 2001 ESD exemption when using Li I...

Страница 22: ...person who connects additional equipment to the signal input or output part configures a medical system and is therefore responsible for ensuring that the system complies with the requirements of IEC...

Страница 23: ...ly DO NOT use abrasive cleaners or materials on the pump Using abrasive cleaners or cleaning solutions not recommended by Hospira may result in product damage Please comply with local disposal and rec...

Страница 24: ...to record program settings 2 Select a power source Refer to Selecting a Power Source on page 18 3 Prime the pump set Refer to GemStar Pump Set on page 30 4 Load the cassette into the pump Refer to Loa...

Страница 25: ...page 13 Power Source Description Ambulatory Hospital Home GemStar AC Mains Adaptor USA Wall mount adaptor plugs into a 110 VAC mains supply GemStar AC Mains Adaptor Universal Wall mount adaptor plugs...

Страница 26: ...he left counterclockwise until it is released from the battery compartment 3 Pull the door free and remove any existing batteries 4 Install two fresh disposable AA batteries into the battery compartme...

Страница 27: ...eled for use with the GemStar Pump When removing the cord from the bottom of the pump firmly grasp the connector and pull straight out DO NOT twist or bend the cord or connector Ensure two fresh dispo...

Страница 28: ...efer to the caution regarding Power Loss on page 13 When removing the cord from the bottom of the battery pack firmly grasp the connector and pull straight out DO NOT twist or bend the cord or connect...

Страница 29: ...y pack into place To release the battery pack 1 Press the release button on the battery pack 2 Pull the battery pack straight out from the pump G Note When the pump is connected to the battery pack th...

Страница 30: ...at least 12 hours to charge the battery pack CAUTION When removing the cord from the battery pack firmly grasp the connector and pull straight out DO NOT twist or bend the cord or connector G Note Th...

Страница 31: ...ntil it snaps into place 4 Connect the docking station to AC mains power To remove the pump 1 Press the release button on the top of the docking station 2 Slide the pump out To charge docking station...

Страница 32: ...e The self test takes approximately 30 seconds to complete If the pump is locked lock symbols appear at the beginning and end of the second line UNIT SELF TEST Display Message Power Source s User Resp...

Страница 33: ...BATT ENTER TO CONFIRM External batteries docking station battery or battery pack and disposable batteries Press to confirm If an AC mains adaptor is in use ensure the connections are secure G Note To...

Страница 34: ...stored in pump memory To continue the current program press 1 To reset the current program 1 PRESS 1 2 PRESS CHANGE TO DISPLAY THE CHANGE MENU AND SELECT NEW CONTAINER To enter a new program and clear...

Страница 35: ...minimum or maximum value allowed 1 Select the desired delivery mode from the Delivery Mode Menu 2 Respond to display messages and enter requested values 3 Review the program if required Press to begi...

Страница 36: ...y Press during programming and alarm conditions to display information about the current condition Press to toggle between units of measure when entering concentrations Scrolls through program review...

Страница 37: ...in the intact unit package Contact a Hospira representative for more information on selecting the appropriate pump set configuration Additional disposable components such as air eliminating filters an...

Страница 38: ...peration A typical GemStar Pump Set is shown below 1 Piercing Pin 6 Tubing 2 Proximal End 7 Slide Clamp 3 Cassette 8 Secure Lock 4 Flow Stop open close 9 Pressure activated Anti Siphon Valve 5 Distal...

Страница 39: ...e the contents 2 Remove the protective covers from the fluid container administration port and the pump set WARNING ALWAYS prime the pump set to remove air from the cassette tubing and injection sites...

Страница 40: ...e cassette pocket 2 Ensure slide clamp or lower CAIR clamp is open prior to inserting cassette 3 Line up the cassette as shown with the flow stop button facing the pump 4 Insert the cassette into the...

Страница 41: ...1 Close the slide clamp on the distal line 2 Push down on the cassette release large black button on the top of the pump 3 Remove the cassette G Note Ensure the tubing is behind the tubing guide at t...

Страница 42: ...he flow stop to open priming position the cassette 4 Invert the cassette approximately 45 5 While holding the rotated cassette squeeze or roll the container to remove air from the container and casset...

Страница 43: ...page 33 CAUTION When priming is complete ensure no fluid flows at the distal end of the pump set If flow is observed DO NOT use the pump set 10 Connect the pump set to the patient access device Primi...

Страница 44: ...slide clamp is open prior to inserting cassette 4 Load the cassette CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 3...

Страница 45: ...s the tubing Ensure all air is removed from the container cassette and tubing CAUTION When priming is complete ensure no fluid flows at the distal end of the pump set If flow is observed DO NOT use th...

Страница 46: ...lide clamp to close off the KVO Keep Vein Open side of the tubing 2 Open the upper and lower slide clamps WARNING Failure to use the pressure activated anti siphon valve may result in unrestricted flo...

Страница 47: ...set extending from the top 7 Slowly push down on the injector until fluid flows at the distal end of the tubing which indicates that all air is cleared from the vial injector cassette and tubing 8 Pus...

Страница 48: ...e is installed Refer to Loading the Cassette on page 33 CAUTION When priming is complete ensure no fluid flows at the distal end of the pump set If flow is observed DO NOT use the pump set 12 Connect...

Страница 49: ...pen priming position the cassette 4 Invert the cassette approximately 45 5 While holding the rotated cassette squeeze or roll the container to remove air from the container and cassette 6 Return the c...

Страница 50: ...le after the cassette is installed Refer to Loading the Cassette on page 33 11 Program the desired therapy 12 Press PURGE 13 The pump displays PRIME THE SET Press YES ENTER 14 Press and hold PURGE Con...

Страница 51: ...m the container cassette and tubing CAUTION When priming is complete ensure no fluid flows at the distal end of the pump set If flow is observed DO NOT use the pump set 15 Connect the pump set to the...

Страница 52: ...te bolus dose concentration can be programmed in increments of 0 01 Priming using PURGE is only allowed before START is pressed or after one of the following events occur Complete Review of New Progra...

Страница 53: ...ramming the pump Key Function Key Function 0 9 Selects menu items and enters numeric values DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and...

Страница 54: ...grammed 6 If programmed in units of mcg or mg the line displaying the units flashes Enter the container size in proper unit measure 7 Select the air sensitivity if required 8 Review the program Press...

Страница 55: ...splay and the amount infused accrues as the delivery progresses When the bolus dose is complete the pump does the following Records the bolus request and delivery amount to the event and bolus history...

Страница 56: ...rate to 2 5 mL hr 2 NEW RATE displays with the new value Press YES ENTER within 10 seconds to accept the change and begin delivery at the new rate Press NO to continue delivery at the previously prog...

Страница 57: ...ing dose is complete the pump does the following Automatically begins programmed infusion Records the dose amount to the history log Resets the bolus lockout time if applicable and ignores other bolus...

Страница 58: ...ng loading dose amount Can be changed at any time Cannot be changed Delivery rate Bolus Bolus lockout Container size Air sensitivity Dose limit amount Delivery mode Unit of measure Concentration Dose...

Страница 59: ...Rate 0 1 2500 mg hr 1 25000 mcg hr 0 1 25 0 mL hr Loading Dose No Yes Amount 0 1 2500 mg 1 25000 mcg 0 1 25 0 mL Bolus Dose 0 2500 mg 0 25000 mcg 0 25 0 mL Bolus Lockout minutes 1 999 min Optional Dos...

Страница 60: ...ensitivity may not show in all setting configurations Air Sensitivity On Alarms at approx 0 5 mL of air 2 mL Alarms at approx 2 mL of air Off No alarm N A G Note Titrating VTBI does not change initial...

Страница 61: ...Notes 54 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 54 Friday March 31 2006 4 49 PM...

Страница 62: ...Key Function Key Function 0 7 Selects menu items and enters numeric values DOWN arrow toggles between units of measure when entering concentrations Scrolls through program review and help messages Ac...

Страница 63: ...power if the external power source fails Refer to the caution regarding Power Loss on page 13 KEYPAD LOCK Lock and unlock the keypad to prevent unauthorized changes to the program The lock levels allo...

Страница 64: ...to exit OPTIONS Histories 1 Press OPTIONS and select HISTORIES 2 Select the number key for the desired function 3 Complete the appropriate steps for the selected function 1 REVIEW PROGRAM 2 HISTORIES...

Страница 65: ...als Time and date when shift was cleared Volume infused in the shift Any relevant program specific information VOLUME TOTALS Display volume totals Amount infused VTBI Any relevant program specific inf...

Страница 66: ...for displaying shift totals 2 At the end of the shift totals the pump displays CLEAR TOTALS YES OR NO Press YES ENTER to clear the shift totals Press NO to exit OPTIONS without clearing the shift tot...

Страница 67: ...lume totals Press NO to exit OPTIONS without clearing the volume totals Configuration To display the pump configuration 1 Press OPTIONS and select HISTORIES 2 Select CONFIGURATION from the Histories M...

Страница 68: ...ly Refer to Chapter 8 Operation Test on page 99 for instructions G Note Bolus History is only available if the current program has a bolus programmed or had a bolus programmed at one time The Bolus Hi...

Страница 69: ...d lock level as shown above When the pump is in RUN or STOP mode the lock symbol appears in the lower left corner of the display and the lock level abbreviation appears in the lower right corner Clini...

Страница 70: ...Deliver a Bolus If programmed Silence an Alarm Select a New Container Purge Change a Program Under Rate Change Lock only the delivery rate or bolus dose volume can be changed and must be within the pr...

Страница 71: ...is selected Note The pump setting is inactivated if custom configured by your facility to ON or 2mL The air alarm can also be set during programming if the current therapy allows it OCCL SENSOR Chang...

Страница 72: ...gs Menu 3 Select the desired setting 4 The pump displays MAKE XXXXX DEFAULT Press NO to temporarily change the distal occlusion setting The new setting will be in effect until a new program is entered...

Страница 73: ...and month 4 Use the number keys to enter the current day year and time 5 Press YES ENTER to confirm G Note The alarm cannot be turned off completely The alarm automatically reverts to the maximum vol...

Страница 74: ...sure the printer is connected to the pump BEFORE selecting a print function Refer to Connecting to the Seiko Printer on page 73 for more information Select this item from the Print Menu To do this fun...

Страница 75: ...enu 3 Select 1 9 to assign to the new protocol If the selected speed protocol is already assigned the pump displays REPLACE PROTOCOL ASSIGNMENT Press YES ENTER to replace the protocol The pump display...

Страница 76: ...m Press to begin review 5 Press YES ENTER If in the STOP mode press 1 to recall the protocol or press 2 to review another protocol If in the RUN mode the pump exits OPTIONS Delete 1 Press OPTIONS and...

Страница 77: ...NG Ensure a cassette is installed in the pump before connecting to a printer or computer If the pump is connected to a patient BEFORE connecting the pump to a computer or printer press STOP close the...

Страница 78: ...the list of the current settings start printing release the ONLINE button 3 Set the switches according to the following table Press the ONLINE button to continue setting switches Press ONLINE to set s...

Страница 79: ...SW2 1 Print Mode 40 columns On ONLINE SW2 2 User defined char On On ONLINE SW2 3 Ordinary Characters On On ONLINE SW2 4 Zero Font No slash On ONLINE SW2 5 Character Set American On ONLINE SW2 6 Charac...

Страница 80: ...nu WARNING Ensure a cassette is installed in the pump before connecting to a printer or computer If the pump is connected to a patient BEFORE connecting the pump to a computer or printer press STOP cl...

Страница 81: ...a cassette is installed in the pump before connecting to a printer or computer If the pump is connected to a patient BEFORE connecting the pump to a computer or printer press STOP close the slide cla...

Страница 82: ...ck NO 3 Enter a name for the new connection e g GemStar Print Files and choose an icon 4 Click OK 5 From the Connect drop down menu select the appropriate COM port 6 Click OK 7 Verify that the followi...

Страница 83: ...re Text 8 Type the path and file name where the printout should be saved Ensure the file extension is txt The default path is c windows accessories hyperterminal 9 Click Start 10 Select the desired pr...

Страница 84: ...you can enter the key combinations shown in this table Function Quick Access Key Combination Unlock Keypad Place the pump in STOP mode and then enter the lock sequence to unlock a Full Container or Ra...

Страница 85: ...mum value MAX flashes on the display Enter the maximum value 5 Press YES ENTER when done 6 Repeat steps 4 and 5 for a bolus dose if available in the current program 7 Enter the lock sequence number 1...

Страница 86: ...imary infusion To deliver the loading dose later press NO The pump returns to the stop mode The next time START is pressed the pump again displays DELIVER LOADING DOSE NOW Press YES ENTER to deliver t...

Страница 87: ...key combinations to access information or activate an activity which is not listed on the screen I Tip Press HELP to display shift totals when the pump is not in PROGRAMMING mode or an alarm conditio...

Страница 88: ...he Hospira Technical Support Operations hotline available 24 hours a day To return the pump for service first contact Hospira Customer Support between 7 00 AM and 4 00 PM Pacific time Have the pump se...

Страница 89: ...in the line distal to the cassette while infusing 1 Press SILENCE to quiet the alarm for 1 minute 2 Press STOP to clear the alarm 3 Disconnect the patient from the pump set 4 Press and hold PURGE Not...

Страница 90: ...Ensure two fresh disposable AA batteries are installed for backup power when using other power sources e g AC Mains adaptor docking station battery pack The pump will continue to operate on backup po...

Страница 91: ...ure the tubing is behind the tubing guide at the distal end Refer to Loading the Cassette on page 33 5 Press START to begin infusion Note The pump cannot be powered off during a CHECK CASSETTE alarm e...

Страница 92: ...art the pump 1 Press SILENCE to quiet the alarm for 1 minute 2 Press STOP to place the pump in the stop mode 3 Check for sources of distal occlusion Kinked tubing below the pump Clamped patient access...

Страница 93: ...ess STOP to place the pump in the STOP mode 3 Connect the pump to AC mains adaptor rechargeable battery pack or press the On Off key to turn off the pump and replace both disposable batteries with fre...

Страница 94: ...AA batteries 2 Power on the pump and resume the current program Refer to Accessing the Program Menu in Section 2 for more information Review the program if required 3 Press START to begin infusion CA...

Страница 95: ...Closed clamps above pump Empty container High torque syringe Other obstructions 4 Remove obstructions 5 Press START to begin delivery 6 If the problem continues ensure slide clamp or lower CAIR clamp...

Страница 96: ...o confirm disposable batteries are the only power source When switching from AC Mains power Press SILENCE to clear the alarm CAUTION Ensure two fresh disposable AA batteries are installed for backup p...

Страница 97: ...s YES ENTER to confirm external battery power source When switching from AC Mains power Press SILENCE to clear the alarm CAUTION Ensure two fresh disposable AA batteries are installed for backup power...

Страница 98: ...additional alarms sound Note This alert is avail able only with Pain Man agement therapy CHECK PRINTER Y A V The printer has not responded to commands from the pump The printer is not properly connect...

Страница 99: ...ction to repeat the current program Refer to Starting a New Container in Chapter 2 Basic Operation Note Titration is allowed at this time FLASHING DISPLAY Line four of the display flashes N A V A Non...

Страница 100: ...external power source fails Refer to the caution regarding Power Loss on page 13 PROGRAMMING INCOMPLETE N A V Programming has not been completed and no keys have been pressed within three minutes 1 P...

Страница 101: ...accept the rounded value and continue to the next step DOSE IN PROGRESS NEW CONTAINER NOT ALLOWED User has attempted to access NEW CONTAINER function when it is not allowed 1 Press STOP 2 Increase the...

Страница 102: ...de components made from some plastic materials Do not use compounds containing combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride Do not sterilize by heat steam ETO or radiation A...

Страница 103: ...p surface with a water moistened lint free cloth 5 Use a dry lint free cloth to dry the pump after cleaning Cleaning Solution Manufacturer Preparation Vesphene II se Calgon Vestal Laboratories Per man...

Страница 104: ...ump has no user serviceable components with the exception of disposable batteries If the display clock stops working contact Hospira Technical Support Operations to arrange for internal battery replac...

Страница 105: ...Notes 98 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 98 Friday March 31 2006 4 49 PM...

Страница 106: ...es to complete The pump provides step by step instructions through each section of the test Equipment Required GemStar Pump Two GemStar Microbore Pump Sets without a filter Reservoir with at least 50...

Страница 107: ...Case Inspection 1 Visually inspect the case and keypad for damage Check the case for missing screws or labels 2 Enter the results If the pump is free of damage and all the screws and labels are in pl...

Страница 108: ...ed 3 Verify that the plunger seal C and sensor seals D are present and intact 4 Verify that the plunger E is not scraped or damaged 5 Verify that the sensor pins F are not damaged 6 Install the casset...

Страница 109: ...each key including the Bolus Button Press YES ENTER last 2 Enter the results If each key makes an audible tone press YES ENTER If any key does not make an audible tone press NO Display Test 1 Press YE...

Страница 110: ...ace the proximal end in the reservoir of water Press 3 Place the distal end in a 20 mL graduated cylinder Press 4 Press START 5 Enter the results If the pump delivers between 19 0 to 21 0 mL press YES...

Страница 111: ...rm failure Proximal Occlusion Test The occlusion should occur within approximately 30 seconds to pass this test 1 Clamp the pump set above the cassette 2 Press START 3 The test result displays Press I...

Страница 112: ...If desired follow the steps below to print the test results An example of the printed test results is shown 1 Connect the serial printer cable to the pump Refer to Connecting to the Seiko Printer in C...

Страница 113: ...8 Operation Test 106 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 106 Friday March 31 2006 4 49 PM...

Страница 114: ...ass Fail Case Inspection Cassette Pocket and Latch Inspection Power Check Keypad Check Display Test LED Test Volume Accuracy Test Distal Occlusion Test Proximal Occlusion Test Air in line Test Printed...

Страница 115: ...Notes 108 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 108 Friday March 31 2006 4 49 PM...

Страница 116: ...s supply to power the GemStar Pump GemStar Bolus Cord 13027 01 Allows bolus requests to be made up to 6 feet 1 8 m from the pump GemStar Pole Clamp 13076 01 Attaches the GemStar Pump to an I V pole Th...

Страница 117: ...le separately Hospira Carrying Case 250 mL 13594 01 Soft sided carrying case can be worn around the waist to hold the GemStar Pump and up to a 250 mL flexible container Hospira Carrying Case 500 mL 13...

Страница 118: ...nnect Clinician Kit 13048 01 Allows remote access from a clinician s computer to a GemStar Pump The Kit includes a modem phone cable serial cable and GemStar Connect software GemStar Connect Patient K...

Страница 119: ...mp is secured in the lockbox the user has access to the AC mains connector data and bolus ports keypad and bolus button WARNING DO NOT touch connector ports Refer to caution on page 15 WARNING When re...

Страница 120: ...Connect the pump set to the vial and prime 7 Place the vial inside the lockbox D 8 Load the cassette E CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Ref...

Страница 121: ...the bag and prime 7 Place the flexible container inside the lockbox with the administrative port down D 8 Hang the bag on the hook inside the lockbox E 9 Ensure slide clamp is open prior to inserting...

Страница 122: ...the administration set is fully primed and the cassette is properly loaded before placing the pump in the carrying case Refer to Chapter 2 Basic Operation for more information Refer to Loading the Ca...

Страница 123: ...5 Close the zipper Ensure the tubing exits the side of the case near the zipper tab when the zipper is closed E 6 Place the case around the waist Snap the buckle together to secure 7 Adjust the belt f...

Страница 124: ...d bag on the backside of the compartment F 4 Secure the bag with flaps G and H 5 Secure the bag spike with strap I Ensure the fluid flow is not restricted 6 Use a figure 8 pattern to wrap the tubing S...

Страница 125: ...Carrying Case 3 Liter List 13593 01 This soft sided carrying case can be worn around the waist or as a backpack It is designed to hold the GemStar Pump with batteries or a battery pack and up to a 3...

Страница 126: ...shown and secure 8 Place the pump with the keypad facing upward inside the pocket J on the flap The pump s display should be visible through the opening on the front of the pocket 9 Secure the pump wi...

Страница 127: ...9 Optional System Components 120 Hospira GemStar Manual 430 10984 001 Rev 03 06 A B D C I H G F E J N M K L 430 10984 001 book Page 120 Friday March 31 2006 4 49 PM...

Страница 128: ...the connectors on the docking station 3 Slide the pump into the docking station until it snaps into place 4 Connect the docking station to AC mains power To charge docking station 1 Connect the dockin...

Страница 129: ...e button on the top of the docking station 2 Slide the pump out WARNING Ensure a cassette is installed in the pump before connecting to a printer or computer If the pump is connected to a patient BEFO...

Страница 130: ...r Refer to individual set labels for specific instructions and operating conditions The system may underdeliver and the system delivery accuracy may be reduced by as much as 5 when using the following...

Страница 131: ...inch segment clear PVC tubing Pre Attached Pressure Activated Anti Siphon Valve Secure Lock Nonvented Microbore tubing 96 inch 244 cm 20634 GemStar Pump Set with orange polyethylene Lined Light Resis...

Страница 132: ...it anti siphon valve 279 cm 20704 Latex Free GemStar Pump Set with Injector 2 Integral Pressure Activated Anti Siphon Valves Secure Lock Microbore Tubing 99 inch 251 cm 20705 Latex Free GemStar Pump S...

Страница 133: ...Notes 126 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 126 Friday March 31 2006 4 49 PM...

Страница 134: ...ironment Ambient Temperatures 41 F to 104 F 5 C to 40 C Power Sources AC Mains List 13026 01 USA complies with UL544 Wall mount AC mains adaptor 6 ft 1 8 m cord molded plug Input 110 VAC Output 3 0 VD...

Страница 135: ...ing Controls One 23 key keypad bolus data port and AC mains jacks bolus button External Power LED Green LED marked with plug icon lights continuously when pump is connected to AC mains power Green LED...

Страница 136: ...F Alarm is not activated Recommend using air eliminating filter when Air Sensitivity is set to OFF Occlusion Sensitivity Distal Occlusion Alarms when pump detects distal pressure within a selectable r...

Страница 137: ...Infusion After Occlusion 1 Press STOP 2 Close the distal slide clamp or lower CAIR roller clamp 3 Press the cassette release button to eject the cassette from the pump 4 Press down on to open the flow...

Страница 138: ...mp is open prior to inserting cassette 8 Load the cassette CAUTION Ensure all four cassette latches are clearly visible after the cassette is installed Refer to Loading the Cassette on page 33 G Note...

Страница 139: ...ost conditions after a period of normalization It is recommended that the medical professional refer to the following curves when making decisions regarding drug and fluid administration A single faul...

Страница 140: ...ollowing page The graphs following the Example plot flow rates at 30 second intervals for the first 2 hours and for the 96th hour of delivery The graph plots mean delivery rate error Average of 3 pump...

Страница 141: ...sed consider the maximum and minimum deviations at the 5 minute average interval The upper curve provides the maximum expected delivery rate error over a 5 minute interval the lower curve provides the...

Страница 142: ...0 1 mL 0mm Hg Delivery Head Start Up Time minutes Actual Rate Programmed Rate Rate mL hr PERCENT ERROR 0 1 mL 0 mm Hg Delivery Head Start Up Observation Interval minutes Observation Interval minutes...

Страница 143: ...E 0 1 mL 0mm Hg Delivery Head Hour 96 Time minutes Actual Rate Programmed Rate Rate mL hr PERCENT ERROR 0 1 mL 0 mm Hg Delivery Head Hour 96 Observation Interval minutes Observation Interval minutes M...

Страница 144: ...ate Programmed Rate Rate mL hr 0 4 0 2 0 0 0 2 0 4 0 6 0 8 1 0 1 2 1 4 1 6 1 8 2 0 0 10 20 30 40 50 60 70 80 90 100 110 120 PERCENT ERROR 1 mL 0 mm Hg Delivery Head Start Up Observation Interval minut...

Страница 145: ...tes Actual Rate Programmed Rate Rate mL hr 0 4 0 2 0 0 0 2 0 4 0 6 0 8 1 0 1 2 1 4 1 6 1 8 2 0 0 10 20 30 40 50 PERCENT ERROR 1 mL 0 mm Hg Delivery Head Hour 96 Observation Interval minutes Max Min Me...

Страница 146: ...Programmed Rate Rate mL hr 0 10 20 30 40 50 60 70 80 90 100 110 120 50 0 45 0 40 0 35 0 30 0 25 0 20 0 15 0 10 0 5 0 0 0 5 0 10 0 PERCENT ERROR 25 mL 0 mm Hg Delivery Head Start Up Observation Interva...

Страница 147: ...Actual Rate Programmed Rate Rate mL hr 10 0 5 0 0 0 5 0 10 0 15 0 20 0 25 0 30 0 35 0 40 0 45 0 50 0 0 10 20 30 40 50 PERCENT ERROR 25 mL 0 mm Hg Delivery Head 96 Hour Observation Interval minutes Max...

Страница 148: ...Programmed Rate Rate mL hr 0 10 20 30 40 50 60 70 80 90 100 110 120 50 0 45 0 40 0 35 0 30 0 25 0 20 0 15 0 10 0 5 0 0 0 5 0 10 0 PERCENT ERROR 25 mL 100 mm Hg Delivery Head Start Up Observation Inter...

Страница 149: ...Programmed Rate Rate mL hr 0 10 20 30 40 50 60 70 80 90 100 110 120 50 0 45 0 40 0 35 0 30 0 25 0 20 0 15 0 10 0 5 0 0 0 5 0 10 0 PERCENT ERROR 25 mL 100 mm Hg Delivery Head Start Up Observation Inter...

Страница 150: ...Programmed Rate Rate mL hr 0 10 20 30 40 50 60 70 80 90 100 110 120 50 0 45 0 40 0 35 0 30 0 25 0 20 0 15 0 10 0 5 0 0 0 5 0 10 0 PERCENT ERROR 25 mL 0 mm Hg Delivery Head 20 in H20 Filling Head Start...

Страница 151: ...Notes 144 Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 144 Friday March 31 2006 4 49 PM...

Страница 152: ...is limited to 90 days On return to Hospira the pump will be repaired or replaced within the terms of this warranty Material returned to Hospira must be properly packaged and sent freight prepaid This...

Страница 153: ...ntact 1 800 241 4002 For additional technical assistance including Technical Service Bulletins technical training and product information visit the Web site at www hospiraparts com After authorization...

Страница 154: ...agnetic environment to permit the device to perform as intended without disturbing other equipment Separate the device from all other electronic equipment If the device must be used near other electri...

Страница 155: ...f should read and adhere to the precautionary procedures below Precautionary Procedures One of the most common causes of electrostatic damage to electronic devices is the direct transfer of electrosta...

Страница 156: ...nance 95 power check 102 specifications 127 using the rechargeable battery pack 21 warnings and cautions 12 13 16 baud rate 129 configuration settings for the data port 71 75 switch settings for Seiko...

Страница 157: ...shooting 85 docking station 111 charge 24 connecting the bolus cord and printer cable 122 connecting the pump 121 to charge 121 to remove the pump 122 dose limit 47 E electrical potentials 147 EMC com...

Страница 158: ...occlusion Operating Modes Help Programming Run Stop 8 operation test 99 107 air in line test 105 cassette pocket and latch inspection 101 display test 102 distal occlusion test 104 equipment required...

Страница 159: ...mponents 4 pump features 5 See also pump settings pump layout 2 3 pump set 12 16 123 124 pump settings 3 56 air sensitivity 65 change pump settings 64 occlusion sensor 65 sound level 66 pump specifica...

Страница 160: ...rd exists if used in the presence of flammable anesthetics Authorized Representative Hospira Donegal Town Co Donegal Ireland The C and US indicators adjacent to the CSA Mark signify that the product h...

Страница 161: ...Hospira GemStar Manual 430 10984 001 Rev 03 06 430 10984 001 book Page 156 Friday March 31 2006 4 49 PM...

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