GH Plus Directions For Use
GH Plus Directions For Use
GH Plus Directions For Use
s
Contents
Page
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
About This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Quick Start Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Features of the Alaris® GH Syringe Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Controls and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Symbol Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Main Display Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Operating Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Basic Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
Alarms and Warnings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Configured Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Alaris® GH Syringe Pump Configured Options Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Compatible Syringes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Associated Products . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Compatible Extension Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Occlusion Pressure Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
IrDA, RS232 and Nurse Call Specification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Trumpet Curves and Start-up Curves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Spare Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Service Contacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
The Alaris® GH Syringe Pump is compatible with a wide range of standard, single-use, disposable Luer lock syringes. It accepts syringe sizes
from 5 ml to 50 ml. See the 'Compatible Syringes' section for a full list of compatible syringes.
Intended Purpose
The Alaris® GH Syringe Pump is intended for use by medical staff for purposes of controlling infusion rate and volume.
Conditions of Use
The Alaris® GH Syringe Pump should only be operated by a clinician competent in use of automated syringe pumps and post-placement
management of intravenous catheters.
A
CareFusion cannot guarantee the continued system accuracy with other manufacturer’s syringes as identified in the
‘Compatible Syringes’ table. Manufacturers may change syringe specification significant to system accuracy without
prior notification.
Indications
The Alaris® GH Syringe Pump is indicated for infusion of therapeutics including:
• analgesics
• antimicrobials
• blood products
• chemotherapy
• subcutaneous
• nutrition
Contraindications
The Alaris® GH Syringe Pumps is contraindicated for:
• enteral therapies
• epidural
All illustrations used in this manual show typical settings and values which may be used in setting up the functions of the pump. These
settings and values are for illustrative use only. Where stated, a minimum infusion rate refers to a nominal rate of 1.0ml/h, and an
intermediate infusion rate refers to a nominal rate of 5.0ml/h. The complete range of infusion rates, settings and values are shown in the
Specifications section.
A
It is important to ensure that you only refer to the most recent version of the Directions for Use and Technical Service
Manual for your CareFusion products. These documents are referenced on www.carefusion.com. Copies can be
obtained by contacting your local CareFusion representative.
3. Load syringe.
If the PURGE SYRINGE option has been enabled then the prompt to purge screen is displayed and the set can be purged as
required.
PURGE/BOLUS
MUTE
PRESSURE
OPTION
Finger
Grips
Release
lever for
Rotating
Cam
M e dic
a l D ev
ice Int
erface
(M D I )
Rotating Cam to
lock on to horizontal
rectangular bars IR Communications
port
Carrying Potential Folded Pole RS232 Extension set
Handle Equalisation Clamp Connector hook
(PE) connector (optional)
Symbol Description
a ON/OFF button - Press once to switch the pump ON. Press and hold down for 3
seconds to switch the pump OFF.
b RUN button - Press to start the infusion. The green LED will flash during infusion.
h HOLD button - Press to put the infusion on hold. The amber LED will be lit while on
hold.
c MUTE button - Press to silence alarm for 2 minutes (configurable). Press and hold
until 3 beeps are heard for 15 minutes silence.
PURGE/BOLUS button - Press to access PURGE or BOLUS soft keys. Press and hold
down soft key to operate.
PURGE the extension set during set up.
l Pump is on hold
i
l Extension set is not connected to the patient
l Volume Infused (VI) is not added
BOLUS - fluid or drug delivered at an accelerated rate.
l Pump is infusing
l Extension set is connected to the patient
l VI is added
e PRESSURE button - Use this button to display the pumping pressure and alarm
level.
g BLANK SOFTKEYS - Use in conjunction with the prompts shown on the display.
Indicators:
Symbol Description
j BATTERY indicator - When illuminated the pump is running on the internal battery.
When flashing the battery power is low with less than 30 minutes of use remaining.
Labelling Symbols:
Symbol Description
r Alternating Current
T Date of Manufacture
t Manufacturer
A Important information
W Fuse Rating
ON HOLD IVAC 50
VOLUME
0.0ml
+ ADJUST - VOLUME VTBI
Screen Icons:
Symbol Description
l TIME REMAINING DISPLAY icon - Indicates time before syringe will require replacing.
N BATTERY icon - Indicates battery charge level to highlight when the battery will require recharging.
• Always clamp or otherwise isolate the patient line before unclamping or removing a syringe from the
pump. Failure to do so may result in unintended administration.
• This Alaris® GH 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.
• 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.
• 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.
• 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.
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 CareFusion 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.
M
This pump is protected against the effects of external interference, including high energy radio frequency
emissions, magnetic fields and electrostatic discharge (for example, as generated by electrosurgical and
cauterising equipment, large motors, portable radios, cellular telephones etc.) and is designed to remain
safe when unreasonable levels of interference are encountered.
• Therapeutic Radiation Equipment: Do not use the pump in the vicinity of any Therapeutic Radiation
Equipment. Levels of radiation generated by the radiation therapy equipment such as Linear Accelerator,
may severely affect functioning of the pump. Please consult manufacturer’s recommendations for
safe distance and other precautionary requirements. For further information, please contact your local
CareFusion representative.
• Magnetic Resonance Imaging (MRI): The pump contains ferromagnetic materials which are susceptible
to interference with magnetic field generated by the MRI devices. Therefore, the pump is not considered
an MRI compatible pump as such. If use of the pump within an MRI environment is unavoidable, then
CareFusion highly recommends securing the pump at a safe distance from the magnetic field outside
the identified ‘Controlled Access Area’ in order to evade any magnetic interference to the pump; or
MRI image distortion. This safe distance should be established in accordance with the manufacturers’
recommendations regarding electromagnetic interference (EMI). For further information, please refer to
the product technical service manual (TSM). Alternatively, contact your local CareFusion representative for
further guidance.
• Accessories: Do not use any non-recommended accessory with the pump. The pump is tested and
compliant with the relevant EMC claims only with the recommended accessories. Use of any accessory,
transducer or cable other than those specified by CareFusion may result in increased emissions or
decreased pump immunity.
• This pump is a CISPR 11 Group 1 Class A device and uses RF energy only for its internal function in the normal
product offering. Therefore, its RF emissions are very low and are not likely to cause any interference with
the nearby electronic equipment. However, this pump emits a certain level of electromagnetic radiation
which is within the levels specified by IEC/EN60601-1-2 and IEC/EN60601-2-24. If the pump interacts with
other equipment, measures should be taken to minimise the effects, for instance by repositioning or
relocation.
• In some circumstances the pump may be affected by an electrostatic discharge through air at levels close
to or above 15kv; or by radio frequency radiation close to or above 10v/m. If the pump is affected by
K
this external interference the pump will remain in a safe mode; the pump will duly stop the infusion and
alert the user by generating a combination of visual and audible alarms. Should any encountered alarm
condition persist even after user intervention, it is recommended to replace that particular pump and
quarantine the pump for the attention of appropriately trained technical personnel. (Consult Technical
Service Manual for further information).
Hazards
• An explosion hazard exists if the pump is used in the presence of flammable anaesthetics. Exercise care to
locate the pump away from any such hazardous sources.
A • Dangerous Voltage: An electrical shock hazard exists if the pump’s casing is opened or removed. Refer all
servicing to qualified service personnel.
• When connected to an external power source, a three-wire (Live, Neutral, Earth) supply must be used. If the
integrity of the external protective conductor in the installation or its arrangement is in doubt, the pump
should be operated from the battery.
• Do not open the RS232/Nurse Call protective covering when not in use. Electrostatic discharge
V (ESD) precautions are required when connecting RS232/Nurse Call. Touching the pins of the
connectors may result in ESD protection failure. It is recommended that all actions must be taken by
appropriately trained personnel.
• If this pump is dropped, subjected to excessive moisture, fluid spillage, humidity or high temperature, or
L
otherwise suspected to have been damaged, remove it from service for inspection by a qualified service
engineer. When transporting or storing the pump, use original packaging where possible, and adhere
to temperature, humidity and pressure ranges stated in the Specifications section and on the outer
packaging.
A
Before operating the pump read this Directions For Use manual carefully.
1. Check that the pump is complete, undamaged and that the voltage rating specified on the label is compatible with your AC power
supply.
2. Items supplied are:
l Alaris® GH Syringe Pump
l User Support CD (Directions For Use)
l AC Power Cable (as requested)
l Protective Packaging
3. Connect the pump to the AC power supply for at least 2½ 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 from the list displayed using the f keys.
3. Press the OK softkey to confirm your selection.
A
The pump will automatically operate from its internal battery if the pump is switched on without being connected
to the AC power supply.
Should the pump fail to perform correctly, replace in its original protective packaging, where possible and contact a
qualified service engineer for investigation.
A
Do not mount the pump with the AC power inlet or the syringe pointing upwards. This could affect the electrical
safety in the event of a fluid spill or lead to the infusion of air which may be in the syringe.
Recessed area
1. Pull the folded pole clamp towards you and unscrew the clamp to
leave enough room for the size of the pole.
2. Place pump around pole and tighten screw until the clamp is
secured to the pole.
A
Ensure the pole clamp is folded away and stored
within the recessed area at the rear of the * *
A
Prior to each use, check the pole clamp:
• does not show any signs of excessive wear,
• does not show any signs of excessively loose movement in the extended, mountable position.
If these signs are observed, the pumps should be taken out of service for examination by qualified service personnel.
Rotating cam
The rotating cam can be fitted to the rectangular bar on the Docking Station/Workstation* or the equipment rail measuring 10 by 25 mm.
1. Align the rotating cam on the rear of the pump with the rectangular bar on the Docking Station/Workstation* or the equipment rail.
2. Hold the pump horizontally, push the pump firmly onto the rectangular bar or equipment rail.
Ensure that the pump 'clicks' securely into position onto the bar.
3. To release, push the release lever and pull the pump forwards.
A
Warning: To securely load and confirm a syringe carefully follow the steps below. An incorrect loading of a syringe
may result in misidentification of the syringe type and size. If then confirmed, this may lead to significant inaccuracy
of the infusion rate and may also affect pump performance.
Only use a syringe of the type stated on the pump or in this manual. Using an incorrect syringe could adversely affect
the accuracy of the infusion rate and may also affect pump performance.
When drawing fluid into the syringe, draw enough to compensate for any 'dead space' volume in the extension set and
syringe at the end of infusion as this cannot be fully infused.
Finger
Grips
Plunger
Plunger Flange
Grippers Plunger Plunger
Holder
Syringe
Barrel
Barrel
Flange
Syringe
Clamp
A
To ensure the syringe is loaded correctly, place the barrel flange in the space
between the syringe clamp and the syringe flange clamp. This is correct if the
syringe remains in position before the syringe clamp is closed.
4. Lift the syringe clamp until it locks against the syringe barrel.
5. Squeeze the finger grips on the plunger holder and slide the mechanism to the left until it
reaches the plunger end.
6. Release the finger grips. Ensure that the plunger grippers are securing the plunger in place
and the finger grip returns to its original position.
7. Ensure that the syringe type and size match those displayed on the pump then press CONFIRM. If required, the make of syringe
can be changed by pressing the TYPE softkey.
ON HOLD IVAC 50
CONFIRM TYPE
Note: If the PURGE SYRINGE option has been enabled then the prompt to purge screen is displayed and the extension set can be
purged as required, however ensure that the extension set is not connected to the patient during this process.
A
CareFusion recommends to limit the number of configured syringe types and sizes available for selection on the
pump.
Secure the extension set using the extension set hook at the rear of the pump. This provides protection against
accidental dislodging of the syringe from the pump.
Ensure that both plunger grippers are fully locked onto the plunger flange and the upper finger grip has returned to
its original position.
2. CLEAR SETUP? - Answering NO will retain all previous rate and volume settings. YES will automatically reset the rate and volume
settings to zero.
3. LOAD SYRINGE - Load the syringe according to the procedure in this manual.
4. CONFIRM SYRINGE - Check that the syringe type and size being used matches the display. If required, the make of syringe can be
changed by pressing the TYPE button. Press CONFIRM when the correct type and size are shown.
If the PURGE SYRINGE option has been enabled then the prompt to purge screen is displayed and the set can be purged as
required.
5. INFUSION RATE - Check the rate shown if old patient data has been retained and change the rate if necessary using the f
keys.
6. PURGE (if required) - Press the i button and then press and hold the PURGE softkey until fluid flows and the purging of the syringe
extension line is complete. Release the softkey. The volume used during purging will be displayed.
7. CONNECT TO PATIENT - Connect the extension set to the patient access device.
8. START - Press b to commence operation. INFUSING will be displayed. The AMBER STOP light will be replaced by the flashing GREEN
START light to indicate that the pump is in operation.
9. STOP - Press h to halt the operation. ON HOLD will be displayed. The amber light will replace the green light.
Purge
The i button allows the delivery of a limited volume of fluid in order to purge the extension set prior to being connected to a patient or
after changing a syringe.
1. Press the i button when the pump is not infusing. Ensure that the extension set is not connected to the patient.
2. Press and hold the PURGE softkey until fluid flows and the purging of the IV infusion set is complete. The volume used during purging
will be displayed, but it is not added to the volume infused.
3. When purging is complete release the PURGE softkey. Press the QUIT softkey to exit back to the main display.
A
The pump will not purge if the rate lock has been enabled. During PURGE the pressure limit alarms are temporarily
increased to their maximum level.
Bolus Infusion
Bolus - Administering a controlled volume of fluid or drug at an increased rate for diagnostic or therapeutic purposes. The pump should
always be infusing and always attached to the patient. (Drugs given by an IV bolus could achieve immediate and high drug
concentration levels.)
Bolus can be used at the start of an infusion or during an infusion.
The bolus feature can be configured to:
a) BOLUS Disabled
b) BOLUS Enabled i) Hands On only
ii) Hands On and Hands Free
BOLUS Disabled
If configured to Disabled, pressing the i button will have no effect and the pump will continue to infuse at the set rate.
A
A Hands On bolus and Hands Free bolus cannot be administered if the "RATE LOCK" is active.
During BOLUS the pressure limit alarm is temporarily increased to the maximum level.
A
If the "Hands Free" bolus option is active, then this feature will be cancelled following any interruption in delivery, e.g.
occlusion, even if the bolus delivery is incomplete.
If the volume to be infused (VTBI) is reached during a bolus, the VTBI complete alarm will sound. Press c to silence the
alarm or CANCEL to acknowledge the alarm. See 'VTBI' section for more details on VTBI operation.
Manual Bolus
The "Manual Bolus" is delivered by moving the plunger drive mechanism forward while the pump is infusing. This method of delivering a
bolus is not recommended as best clinical practice.
The syringe must be confirmed and the plunger mechanism has to move from an engaged position to disengage and then re-engage
position.
A minimum travel of 1mm (leadscrew pitch) must be detected to register.
1000DF00328 Issue 4 14/32
Basic Features (Continued)
Pressure Level
1. To check and adjust the pressure level press the e button. A bar graph will be displayed showing the pressure alarm level and the
current pressure level.
2. Press the f keys to increase or decrease the alarm level. The new level will be indicated on the display.
3. Press OK to exit the screen.
A
The interpretation of pressure readings and occlusion alarms are the responsibility of the clinician depending on the
specific application.
Rate Titration
If Rate Titration is enabled the rate can be adjusted while infusing:
1. Select the new rate using the f keys.
The message < START TO CONFIRM > will flash on screen and pump continues to infuse at the original rate.
2. Press the b button to confirm the new infusion rate and start infusing 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 button to start infusing at the new rate.
Clear Volume
This option enables the volume infused to be cleared.
1. Press the VOLUME softkey to display the CLEAR VOLUME option.
2. Press the YES softkey to clear the volume. Press the NO softkey to retain the volume.
Selecting YES resets the volume infused in the 24H LOG option.
Rate Lock
If Rate Lock is enabled, when the infusion rate has been set and the infusion started (or following a bolus infusion) the rate lock prompt
will appear on the main display.
To select the rate lock function press the YES softkey. Press the NO softkey if the rate lock is not required.
When rate lock is enabled, the following are unavailable:
l Changing the infusion rate / titration
l Bolus / purge
l Switching the pump off
l VTBI over time infusions.
To disable the rate lock if selected:
1. Press the d button to access the options menu.
2. Select the UNLOCK RATE option using the f keys and press the OK softkey.
To enable the rate lock if not selected:
1. Press the d button to access the options menu.
2. Select RATE LOCK and press the OK softkey.
? 24 Hour Log
This option allows the 24 hour log of volume infused to be reviewed.
1. Press the d button to access the options menu.
2. Select the 24H LOG option using the f keys and press the OK softkey.
The display shows the hourly volume infused. The volume infused shown in brackets is the total volume infused since the volume was
last cleared. See example below:
07:48 - 08:00 4.34ml (4.34ml)
08:00 - 09:00 2.10ml (6.44ml)
09:00 - 10:00 2.10ml (8.54ml)
VOLUME CLEARED
3. Press the QUIT softkey to exit the log.
? Event Log
This option allows the event log to be reviewed. It can be enabled/disabled.
1. Press the d button to access the options menu.
2. Select the EVENT LOG option using the f keys and press the OK softkey.
3. Scroll through the log using the f keys. Press the QUIT softkey to exit the log.
? Drug Name
This option enables the selection of a drug from the drug names set up in configuration.
1. Press the d button to access the options menu.
2. Select DRUG NAME. Note: Selecting CLEAR DRUG NAME will clear the drug name.
3. Press the OK softkey to confirm the drug name or press the QUIT softkey to exit the option.
A
If the pump initiates a safety processor alarm condition (an audible high pitched continuous shrill accompanied with a red
alarm indicator) and there is no error message displayed on the pump, remove the pump from service for examination by
a qualified service engineer.
OCCLUSION Excessive pressure measured at the syringe plunger exceeding the alarm limit. Identify and
remove the cause of the blockage in the drive, syringe, or administration system before restarting
the infusion.
CHECK SYRINGE Incorrect size of syringe has been fitted, the syringe has not been positioned correctly or has
been disturbed during operation. Check the syringe location and the position.
BATTERY LOW Battery charge low with 30 minutes operation remaining. Battery indicator will flash and after 30
minutes a continuous audible alarm will indicate that the battery is exhausted. Reconnect to the
AC power supply to continue operation and charge the internal battery.
BATTERY EMPTY The internal battery is exhausted. Connect the pump to the AC power supply.
NEAR END OF INFUSION The pump is nearing the end of the infusion.This value can be configured.
END OF 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.
TITRATION NOT CONFIRMED The infusion rate has been changed, but has not been confirmed and 2 minutes* has
expired without any operation. Press the c button to silence the alarm, then press the CANCEL
softkey to clear this message and silence the alarm. Check infusion rate and confirm by pressing
the b button or press the h button to revert to the previous rate. Press the b button to start
infusion. (This alarm only occurs if rate titration is enabled).
AC POWER FAIL AC Power has been disconnected and the pump is operating on battery power, if this occurs
when the pump is infusing the message "INFUSION CONTINUES" will be displayed. Reconnect
AC power supply or press the c button to silence the alarm and continue with battery operation.
The alarm will automatically cancel if the AC power supply is reconnected.
Error Code and Message The alarm system has detected an internal malfunction. Note the malfunction code. Remove
pump from service for examination by a qualified service engineer.
ATTENTION (with “3 Beeps”) Three beeps will sound if the pump has been left ON for more than 2 minutes* (referred to as
CALLBACK in the log) without starting the operation. Press the c button to silence the alarm
for a further 2 minutes*. Alternatively press and hold down the c button and wait for 3 beeps
in succession, this will put the warning alarm on standby for 15 minutes.
*Configurable option.
General Options
1. Select GENERAL OPTIONS from the menu using the f keys and press the OK softkey.
2. Select the option you wish to enable/disable or adjust and press the MODIFY softkey.
3. When all the desired modifications have been carried out press the QUIT softkey.
4. Either select the next configuration option from the menu or turn the pump OFF, returning it to operation as required.
Clock Set
1. Select CLOCK SET from the Configured Options menu using the f keys and press the OK softkey.
2. Use the f keys to adjust the date displayed, pressing the NEXT softkey to access the next field.
3. When the correct time and date are displayed press the OK softkey to return to the Configured Options menu.
Hospital Name
This option allows the user to programme in the name of the hospital, ward or department. This will appear during the power-up display
sequence.
1. Select HOSPITAL NAME from the Configured Options menu using the f keys and press the OK softkey.
2. Use the keys to adjust the character displayed, pressing NEXT to access the next position.
3. When the correct name is displayed press OK to return to the Configured Options menu.
Enable Syringes
This option is used to pre-configure the type and size of syringe permitted for use on the pump. Select all possible syringes which may be
used and disable any that should not be used.
1. Select ENABLE SYRINGES from the Configured Options menu using the f keys and press the OK softkey.
2. Use the f keys to scroll through the list of syringes, pressing MODIFY to enable/disable a syringe brand and individual models
within the brand.
3. When all modifications are complete press QUIT to return to the Configured Options menu.
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 to select the language.
3. When the desired language has been selected press SELECT softkey to return to the Configured Options menu.
Contrast
This option is used to set the contrast on the pump display.
1. Select CONTRAST from the Configured Options menu using the f keys and press the OK softkey.
2. Use the f keys to select a contrast ratio value. The contrast of the display will change when scrolling through the numbers.
3. When the desired value has been reached press the OK softkey to return to the Configured Options menu.
Make Size(s) 1 7
2 8
3 9
4 10
5 11
6 12
The pump is calibrated and labelled for use with single-use disposable Luer lock syringes. Only use the size and type of syringe specified on
the pump display. The full list of permitted syringe models is dependent on the software version of the pump.
* - The Rapiject 50ml syringe is a specialised 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 / Healthcare KENDALL - MONOJECT.
Associated Products
The pump uses standard, single-use, disposable extension sets and syringes with Luer lock connectors. The user is responsible for verifying
the suitability of a product used, if it is not recommended by CareFusion.
Standard Sets
G40015 Standard PVC Syringe Extension Set (150 cm).
Priming Volume: 2.6ml
G402EP Extension set, Luer lock connectors. Kink resistant DEHP free PVC yellow striped tubing. Bore 1mm. Length 200cm.
Priming volume 1.6ml.
G40720 Polyethylene Lined Syringe Extension Set with clamp. (200 cm).
Priming Volume: 1.5ml
A
For availability please contact your local CareFusion, Alaris® Product representative because new sets are continuously being
developed for our customers.
It is recommended that extension sets are changed in accordance with the Directions for Use.
Carefully read the Directions For Use supplied with the extension set prior to use.
The pump uses standard, single-use, disposable extension sets and syringes with Luer lock connectors. The user is responsible for verifying
the suitability of a product used, if it is not recommended by CareFusion.
30832 PVC ‘Y’ Syringe Extension Set with back check valve and 2 clamps (178 cm).
Priming Volume: 1.5ml
30842E PVC Syringe Extension Set with back check valve, SmartSite® Needle-Free Valve Port and clamp (30 cm).
Priming Volume: 1.4ml
30852 PVC ‘Y’ Syringe Extension Set with anti-siphon valve, back check valve and 2 clamps (183 cm).
Priming Volume: 1.8ml
30862 PVC Syringe Extension Set with anti-siphon valve and clamp (156 cm).
Priming Volume: 0.6ml
04102215162 PVC Syringe Extension Set with rotating luer. (150 cm).
Priming Volume: 2.9ml
A
For availability please contact your local CareFusion, Alaris® Product representative because new sets are continuously being
developed for our customers.
It is recommended that extension sets are changed in accordance with the Directions for Use.
Carefully read the Directions For Use supplied with the extension set prior to use.
To ensure that this pump remains in good operating condition, it is important to keep it clean and carry out the routine maintenance
procedures described below.
A
If the pump is dropped, damaged, subjected to excessive moisture or high temperature, immediately take it out
of service for examination by a qualified service engineer.
All preventative and corrective maintenance and all such activities shall be performed at a compliant work place in
accordance with the information supplied. CareFusion will not be responsible should any of these actions be
performed outside the instructions or information supplied by CareFusion. For Preventative and Corrective
Maintenance instructions please refer to the Technical Service Manual (TSM).
All servicing should only be performed by a qualified service engineer with reference to the TSM.
A
Please refer to Technical Service Manual for calibration procedures. The units of measurement used in the
calibration procedure are standard SI (The International System of Units) units.
Battery Operation
The internal rechargeable battery allows continued operation when the AC power is unavailable, for example during patient transfer or AC
power failure. Mean Time To Battery Empty from fully charged @ 5ml/h and 20°C under normal conditions is 6 hours*. From the battery low
alarm it will take about 2½ hours to 90% charge when reconnected to the AC power supply, whether the pump is in use or not.
The battery is maintenance free, sealed Nickel Metal Hydride and requires no routine servicing. However, to achieve optimum operation,
ensure that the battery is fully recharged after full discharge, before storage, and at regular 3 month intervals during storage.
It is recommended that only a qualified service engineer replaces the battery. For further information regarding the replacement of
batteries refer to the Technical Service Manual.
The battery pack used in this Alaris® Syringe Pump is manufactured by CareFusion and includes a proprietary PCB (printed circuit board)
designed specifically for the Alaris® Syringe Pump, and in conjunction with Alaris® Syringe Pump software, controls battery use, charge
and temperature. Any use of battery packs that are not manufactured by CareFusion in the Alaris® Syringe Pump is at your sole risk, and
CareFusion does not provide any warranty for or endorsement on any battery packs that are not manufactured by CareFusion. CareFusion’s
product warranty shall not apply in the event the Alaris® Syringe Pump has suffered damage or premature wear, or malfunctions or
otherwise operates incorrectly, as a result of use with a battery pack that is not manufactured by CareFusion.
*95% lower confidence interval of 5 hours 50 minutes
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 the pump. Do not use aggressive cleaning agents as these may damage
the exterior surface of the pump. Do not steam autoclave, ethylene oxide sterilise or immerse this pump in any
fluid.
Disposal
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 for time to alarm and bolus volume that can be expected in the event of an occlusion when
the BD Plastipak 50 ml syringe is selected with a G40020B standard extension set.
hr:min:sec
hr:min:sec
Bolus Volume without back off Bolus Volume with back off
typical typical
ml
ml
Tests at low alarm levels may alarm immediately - the force at these levels is commonly less than the friction in the syringe (with no
additional fluid pressure). The result is that the pressure relating to the low forces will be less than the nominal quoted occlusion pressure.
Bolus volume following occlusion will be minimised by the back off feature if enabled. The back off will reduce the line pressure by removing
the volume stored in the occluded line and deducting this volume from the volume infused.
IrDA / RS232 / Nurse Call Feature RS232 / Nurse Call Connection Data
The RS232 / Nurse call feature is an optional feature on Alaris® Nurse call Specification -
Syringe Pumps. It allows the pump to be monitored remotely
Connector D Type - 9 Pin
and/or controlled via a suitable central monitoring or computer
system. TXD/RXD EIA RS232-C Standard
When the pump is started by a command from the serial interface, TXD Output Voltage Range Minimum: -5V (mark), +5V
communication must take place over the serial interface, a (space)
communication must take place every 15 seconds or the pump Typical: -7V (mark), +7V (space)
will alarm, display communications failure and stop infusing. This with 3kΩ load to ground
failure protects against failure of the communications, including
the removal of the RS232 cable. RXD Input Voltage Range -30V - +30V max.
RXD Input Thresholds Low: 0.6V minimum / High: 3.0V
maximum
A
The nurse call interface provides a remote
backup to the internal audible alarm. It should RXD Input Resistance 3kΩ minimum
not be relied upon to replace monitoring of Enable Active, Low:-7V to -12V
the internal alarm. Active, High:+7V to +12V,
Refer to the Technical Service Manual for powers up the isolated RS232
further information regarding the RS232 circuitry
interface. Since it is possible to control the Inactive: Floating/open circuit,
syringe pump using the RS232 interface at allows isolated RS232 circuitry
some distance from the pump and hence to power down.
remote from the patient, responsibility for the
Isolation Socket/Pump 1.5kV (dc, or ac peak)
control of the pump is vested in the software
run on the computer control system. Baud Rate 38.4 kBaud
The assessment for the suitability of any Start Bits 1 Start Bit
software used in the clinical environment to
Data Bits 8 Data Bits
control or receive data from the pump lies
with the user of the equipment. This software Parity No Parity
should include detection of the disconnection Stop Bits 1 stop bit
or other failure of the RS232 cable. The protocol
is detailed in the Technical Service Manual and Nurse Call Relay Contacts Pins 1, 8 + 9, 30V dc, 1A rating
is for general information only.
Any connected analogue and digital Typical Connection Data -
components are required to meet IEC/EN60950
1 Nurse call (Relay) Normally Closed (NC C)
for data processing and IEC/EN60601 for
medical devices. Anyone connecting additional 2 Transmit Data (TXD) Output
devices to the signal input or output is a system 3 Received Data (RXD) Input
configurator and responsible for meeting the
requirements of the system standard IEC/ 4 Power Input (DSR)
EN60601-1-1. 5 Ground (GND)
6 Not used
7 Power Input (CTS)
IrDA
8 Nurse call (Relay) Normally open (NC O)
Baud Rate 38.4 kBaud 9 Nurse call (Relay) Common (NC COM)
Start Bits 1 Start Bit
Data Bits 8 Data Bits
Parity No Parity
Stop Bits 1 stop bit
A
Start-up and trumpet curves may not be indicative of operation under negative pressure.
Differences in factors such as size and plunger force in compatible syringes produced by other manufacturers can cause
variations in accuracy and trumpet curves as compared to those represented. Additional curves for compatible syringes
are available upon written request.
For applications where flow uniformity is a concern, rates of 1.0 ml/h or above are recommended.
Start-up Trend. BD Plastipak 50ml @ 0.1ml/h Trumpet Curve. BD Plastipak 50ml @ 0.1ml/h
Rate (ml/h)
Error (%)
Error (%)
Error (%)
A comprehensive list of spare parts for this pump is included within the Technical Service Manual.
The Technical Service Manual (1000SM00001) is now available in electronic format on the World Wide Web at :-
www.carefusion.co.uk/alaris-technical/
A username and password are required to access our manuals. Please contact local customer services representative to obtain login details.
AE DE HU PT
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