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Hospira Micro Macro plum XL, Руководство по эксплуатации системы

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24

Plum  

XL  

Micro/Macro

 Turn the control dial to SET

RATE.

Press the [PRI-SEC] key to select
the secondary line.

Press the 

or 

key, or the

[QUICKSET] key to set the
secondary rate.

 Turn the control dial to SET VTBI.

Press the 

or 

key to set the

 volume to be delivered.

PIGGYBACK displays on the
screen when the volume to be
delivered is entered.

OFF

CHARGE

SET RATE

SET VTBI

RUN

HOLD/RESET

CLEAR

VOL

OFF

CHARGE

SET RATE

SET VTBI

RUN

HOLD/RESET

CLEAR

VOL

Содержание Micro Macro plum XL

Страница 1: ...System System Operating Operating Manual Manual For use with list 11846 04 For use with list 11846 04 I IN NF FU US SI IO ON N S SY YS ST TE EM M T TM M 430 05910 003 430 05910 003 Rev Rev 09 10 09 10...

Страница 2: ...s s 5 56 6 430 05910 C01 430 05910 C01 Rev 3 97 Rev 3 97 Updated Updated Front Front and and Back Back Cover Cover Cover Cover Back Back U Up pd da at te ed d C Ch ha an ng ge e H Hi is st to or ry y...

Страница 3: ...s s 5 56 6 430 05910 C01 430 05910 C01 Rev 3 97 Rev 3 97 Updated Updated Front Front and and Back Back Cover Cover Cover Cover Back Back U Up pd da at te ed d C Ch ha an ng ge e H Hi is st to or ry y...

Страница 4: ...ION ONS S FO FOR R US USE E 12 12 5 5 1 1 S Se etu tup p 1 12 2 5 5 2 2 C Ca ass sse ett tte es s 1 12 2 5 5 2 2 1 1 P Pre repa paring ring the the Ca Cassette ssette 1 13 3 5 5 2 2 2 2 P Priming rimi...

Страница 5: ...ng 4 41 1 9 9 2 2 Ba Batt tte ery ry M Ma ain inte tena nanc nce e 4 43 3 9 9 3 3 S Sto tora rage ge 4 43 3 9 9 4 4 S Se erv rvic ice e 4 44 4 10 10 0 0 SY SYST STEM EM ACCES ACCESSO SORI RIES ES 45 4...

Страница 6: ...i iv v P Pl lu um m X XL L M Mi ic cr ro o M Ma ac cr ro o NOTES NOTES...

Страница 7: ...MUST BE OBSERVED AT ALL TIMES FAILURE TO OBSERVE A WARNING MESSAGE IS POTENTIALLY LIFE THREATENING Convention Application Example Italic Reference to a section figure or table Function or mode specifi...

Страница 8: ...ation that helps explain a concept or procedure This symbol directs the user to consult accompanying documents Figures are rendered as graphic representations to approximate the actual product therefo...

Страница 9: ...ries and the LifeShield needleless protection systems makes the Plum XL a convenient and cost effective infusion system The following features are included in the Plum XL o Nonpulsatile volumetric acc...

Страница 10: ...about using and troubleshooting this device This instruction should emphasize preventing related IV complications including appropriate precautions to prevent accidental infusion of air The epidural r...

Страница 11: ...d has to be returned to the manufacturer Inspect the Plum XL thoroughly for damage 3 2 Self Test When plugging the device into an AC power outlet grasp the AC power cord plug and use a forward motion...

Страница 12: ...strations at the left If the display does not match the illustrations remove the Plum XL from service and contact the hospital repair facility or Hospira Technical Support Operations After the Plum XL...

Страница 13: ...ed below PRI SEC TITRATE SILENCE SET RATE SET VTBI RUN BACK PRIME HOLD RESET CLEAR VOL OFF CHARGE QUICKS ET Door Handle Cassette Door LCD Screen Control Dial Pump Operating Indicator Pole Clamp Audio...

Страница 14: ...ICKSET key to quickly raise the rate to the next higher entry in this sequence 0 5 0 25 0 50 0 75 0 100 125 150 200 500 999 SET VTBI sets the volume to be infused delivered VTBI from the primary or se...

Страница 15: ...red To avoid unintentional erasure of volumes an alert sounds to allow the user to change the setting before the volumes are cleared see Section 6 7 Clear Volume 4 2 Operating Keys program Press the P...

Страница 16: ...00 1000 2000 3000 4000 9999 accumulated in the cassette Press the BACKPRIME key when the control dial is in HOLD RESET to pump fluid from the primary line and expel the air into the secondary line Bac...

Страница 17: ...Operating Manual 11 4 3 Additional Features located on the rear panel has two sound level settings high and low located on the rear panel may be used to prevent unauthorized changes to the Plum XL se...

Страница 18: ...et unless temporary battery operation is desired Use AC power whenever possible Store the Plum XL connected to AC power to ensure a fully charged battery for emergency use Set the audio switch to the...

Страница 19: ...ic technique to prepare the cassette for priming then proceed as follows Close the upper clamp on the administration set Push in the flow regulator to close it Flow Regulator Pumping Chamber Primary L...

Страница 20: ...14 Plum XL Micro Macro Expose the outlet of the IV container then insert the piercing pin into the outlet with a twisting motion Fill the drip chamber to the score mark Open the upper clamp...

Страница 21: ...ssette proceed as follows Invert the cassette Turn the flow regulator until a drop of fluid is seen in the pumping chamber Turn the cassette upright then prime the remainder of the administration set...

Страница 22: ...in the door Close the cassette door Confirm that there is no flow 5 2 4 PREPARING THE SECONDARY LINE The Plum XL features a secondary or piggyback delivery mode when patient infusion therapy requires...

Страница 23: ...18 or 19 gauge 1 1 4 inch or shorter needle blunt cannula or male adapter o Syringes Attach the syringe adapter to syringes 10 cc or smaller syringes must be larger than 3 cc o Vials Attach the vial...

Страница 24: ...ft prepierced port on the right Syringe When using a 3 to 5 cc syringe retract the plunger to draw approximately 1 mL of air into the syringe to clear fluid from the adapter filter Vial or Syringe Sec...

Страница 25: ...condary line and no settings are entered for the primary line the Plum XL delivers secondary only When a rate and a VTBI are entered for the primary and secondary lines piggyback delivery the Plum XL...

Страница 26: ...ress the PRI SEC key to select the primary line if it is not already selected Press the or key or the QUICKSET key to set the primary rate Turn the control dial to SET VTBI Press the or key or the QUI...

Страница 27: ...tion 6 8 Lockout 6 2 Secondary Only Delivery To program the Plum XL for secondary only delivery proceed as follows Confirm that the primary rate and the VTBI are set to 0 zero before programming secon...

Страница 28: ...VTBI Press the or key or the QUICKSET key to set the volume to be delivered Turn the control dial to RUN Secondary only delivery begins Optional Set the panel lockout switch to locked to prevent unau...

Страница 29: ...ess the PRI SEC key to select the primary line if it is not already selected Press the or key or the QUICKSET key to set the primary rate Turn the control dial to SET VTBI Press the or key or the QUIC...

Страница 30: ...key or the QUICKSET key to set the secondary rate Turn the control dial to SET VTBI Press the or key to set the volume to be delivered PIGGYBACK displays on the screen when the volume to be delivered...

Страница 31: ...d air from the cassette or to clear air from the secondary line without disconnecting the administration set from the patient AIR IN LINE and BACKPRIMING display on the screen and an alarm sounds when...

Страница 32: ...k Press and hold the BACKPRIME key until enough fluid from the primary line expels the trapped air into the secondary line syringe or container The fluid backprimed from the primary line is not added...

Страница 33: ...iner If opening the cassette door close the primary and secondary clamps before removing containers to prevent mixing Turn the control dial to SET VTBI then set the volume to be delivered To resume de...

Страница 34: ...e patient To clear the total volume turn the control dial to CLEAR VOL Four beeps sound before the total volume is cleared To cancel the clear total volume function turn the control dial away from the...

Страница 35: ...o categories alarms and malfunctions 7 1 Alarms During an alarm condition associated with one of the pumping units the screen backlight and the alarm message flash while an alarm sounds To clear an al...

Страница 36: ...ly loaded Cassetteimproperly primed Cassette failed valve leak test Turn to OFF CHARGE reload cassette then restart Turn to OFF CHARGE reprime cassette then restart Turn to OFF CHARGE open and close c...

Страница 37: ...e When the battery discharges pumping stops and the alarm sounds continuously for one minute before the device shuts down completely OCCLUSION Clamp closed Tubing kinked Possible clotted catheter Open...

Страница 38: ...malfunction recurs remove the Plum XL from service VTBI COMPLETE Secondary Only or Primary Only Programmed VTBI completed Piggyback Primary VTBI completed Note KVO also displays on the screen indicati...

Страница 39: ...ts accessories or manuals contact Hospira Technical Support Operations The telephone number for Technical Support Operations is 1 800 241 4002 Do not return the Plum XL without prior approval from Hos...

Страница 40: ...may be accentuated so as to simulate actual physiological signals To determine if the abnormality in the monitoring equipment is caused by the infusion device instead of some other source in the envi...

Страница 41: ...t of the container In vitro studies have suggested that packed red blood cells with unusually high hematocrit be diluted with blood compatible fluids such as 0 9 Sodium Chloride Injection USP to decre...

Страница 42: ...iques and patient management problems Proper epidural placement of the catheter is essential since catheter migration could result in intravascular or intrathecal administration Facilities practicing...

Страница 43: ...s should be changed in accordance with current recognized guidelines of IV therapy Discard sets per hospital procedures LifeCare IV infusion sets with integral nonblood filters are not for use in the...

Страница 44: ...the presence of flammable anesthetics Product damage may occur unless proper care is exercised during unpacking and installation Do not use the Plum XL if it appears damaged in any way Do not place P...

Страница 45: ...a may result in product damage Do not use compounds containing combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride Never use sharp objects such as fingernails paper clips or needle...

Страница 46: ...INTENANCE AND STORAGE The cleaning maintenance and storage of the Plum XL Micro Macro are described in this section 9 1 Cleaning and Sanitizing For proper maintenance of the Plum XL observe the follow...

Страница 47: ...follows Turn the control dial to OFF CHARGE then disconnect the Plum XL from AC power The exposed surfaces of the Plum XL may be cleaned with a lint free cloth dampened with one of the recommended cle...

Страница 48: ...open the cassette door then push the door release tab to open the door fully Cleaning Solution Manufacturer Preparation Super Edisonite S M Edison Co Per manufacturer s recommendation Vesphene II se C...

Страница 49: ...Plum XL pumping units are turned to OFF CHARGE recharge takes approximately eight hours Recharge takes longer if the pumping units are turned on As a general rule the more often the battery is partial...

Страница 50: ...XL Micro Macro 9 4 Service All servicing or adjustments to the Plum XL should be referred to qualified technical personnel A Technical Service Manual may be ordered from Hospira Technical Support Ope...

Страница 51: ...ual 45 10 0 SYSTEM ACCESSORIES Plum XL Micro Macro is compatible with all Plum accessories and all PlumSets administration sets Accessories are updated without notice Contact a Hospira representative...

Страница 52: ...w Blowing Sealed lead acid rechargeable 8 V battery internal to device Accessible for ease of field replacement with leads and polarized connector A fully charged new battery will provide approximatel...

Страница 53: ...t hours Recharge takes longer if the device is turned on 10 to 40 C 10 to 90 relative humidity 20 to 60 C 10 to 90 0 10 000 feet 0 3 000m or equivalent pressure 0 1 to 99 9 mL hr in 0 1 mL increments...

Страница 54: ...48 Plum XL Micro Macro NOTES...

Страница 55: ...whatsoever whether such cause be based in contract negligence strict liability other tort or otherwise exceed the price of such product and in no event shall Hospira be liable for incidental conseque...

Страница 56: ...any parts for repair or service of the product Hospira shall have no responsibility or liability for the actions or inactions of the person performing such repair or service regardless of whether suc...

Страница 57: ...System Operating Manual 51 NOTES...

Страница 58: ...ANESTHETICS Patents Pending Plum PlumSets LifeShield and LifeCare are registered trademarks of Hospira Inc Plum XL and Quickset are trademarks of Hospira Inc Teflon Formula C Manu Klenz Vesphene II s...

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