Syringe pump 3,/27 - Frank's Hospital Workshop

1 OPERATOR S GUIDES yringe pump3,/27 $ IntroductionThe Pilot A2 has been designed and manufactured with the greatestcare. It introduces a new concept of control with easy reading of alarmsand safety configuration flexibility of the Pilot A2 provides overall improvementin the working conditions of medical teams, thus increasing patientsafety. A choice of easily accessible configurations ensures optimum useof functions according to the needs of each use of this material requires great care. The user must be able to handle the instrumentproperly and must know how to fully read the operator s guide carefully before putting the device into of contentsOperations for use.

2 2 Internal safety features .. 5 Technical characteristics .. 6 Configuration .. 8 Operating precautions .. 10 External power source .. 12 Operation with the internal 13 Disposable .. 13 Conditions of guarantee .. 14 Useful 16NU PIL A2 TD IS - 1342 rev 3 09/12/03- 2 -Operations for useInstallationThe Syringe pump can be used on mains , battery or attention should be paid to the stability of the devicebefore it is put into Connect the power supply cord to the mains source and to thesyringe pump. The mains power indicator lights up .Note: connect device to mains as often as possible to installation1. Connect the extension set to the Syringe according to Place Syringe in its cradle, the flanges correctly in the provided Turn the Syringe barrel clasp into the closed position and move thesyringe drive forward the Syringe plunger plunger headSyringe barrel clasp Syringe flanges cradle4.

3 Press the ON key to turn ON the : if &WU/ is displayed, preventive maintenance should beconsidered. Press to infusion1. Syringe brand selection:Drug name selection:(according to deviceconfiguration: 3$U&) capacity brand and type 10 ml Syringe list given as an example $GUH ( : ADRENALIN)2. Prime the line: 3XU* (continuous nd press)3. Connect infusion set to patient and check general Flowrate setting (ml/h):10 1 ( : flow rate ml/h)5. Starting the infusion: Important: flow rate may be programmed during infusion and must beconfirmed within 15 seconds following the change.

4 Proceed as describedabove to change the volumeConsulting the infused volume:Erasing the infused volume: (continuous press)Volume limitProgramming a volume limit (ml): 10 1 (double press)Programmed volume limit recall: (double press)Erasing programmed volume limit: (continuous press)Bolus functionAdministering a bolus (ml): EROX (continuous press)Changing bolus rate (ml/h): (continuous press)STOP and PauseStop (sound warning after oneminute):To resume infusion:Pause duration selection, from 1 minto 9 hrs 59 min: (double press)Ending Pause and resuminginfusion: Occlusion alarm threshold setting3 occlusion pressure limits available.

5 Selection is adjusted manuallyby a safety located on the rear of the Syringe limit Middle limit Upper limit OFFTo turn off the Pilot : (press for more than 2 seconds)NU PIL A2 TD IS - 1342 rev 3 09/12/03- 3 -Internal safety featuresThe Pilot device have a continuous inspection system whichfunctions as soon as the pump is in , the qualified personnel in your establishment or ourAfter-Sales Department should always be notified of any abnormalfunction where no specific cause can be case of single fault condition, an alarm is activated within the limitof 5% rate deviation. In addition, a secondary control featureactivates an alarm at 1 ml over infusion or 20% rate deviation,whichever is : the battery automatically takes over when the mains supply and alarms With visual and audible alarmActivationMessageBatteryPrealarmNOY ESlow battery Battery alarm + prealarm indicatorsAlarmYESYES (2 min) discharged battery Battery alarm + alarm indicatorsNote: memorisation of programmed parameters (10min).

6 Connect device to disconnectedE$W messsage to acknoledge this of infusion prealarmNOYES5 minutes before end ofinfusion alarm or 10% of totalsyringe capacity. Prealarm + end of infusion indicatorsNote: to use Empty Syringe mode press of infusion alarmYESYESS yringe empty (theory) Alarm + end of infusion indicatorsNote: to use Empty Syringe mode press syringeYESYEST otal Syringe empty Prealarm + end of infusion indicatorsVolumelimitPrealarmNOYES5 minutes before the volumelimit alarm or 10% of syringecapacity. Prealarm + flashing ml indicatorsAlarmKVO rateYES (2 min) Volume limit reached Alarm + KVO + ml indicatorsPressureOcclusion alarmYESYES (2 min) Programmed limit reached Flashing alarm + occlusion indicatorsSyringeinstalledSyringe barrel claspSyringe flanges insertionYESYES (2 min)

7 Syringe incorrectly positioned Alarm + Syringe barrel claspindicatorsPlunger head positionAnti-siphon systemsYESYESS yringe incorrectly positioned Alarm + plunger head positionindicatorsDisengaged mechanismYESYESD rive systems not engaged Alarm + disengaged mechanismindicatorsOthersalarmsUnconfirm ed program orflow rate = ml/hr---NONo confirm > 15 secondsl Flashing confirm indicatorNo Syringe selectionYESYESno Syringe selection > 1 minl Flashing confirm signal + flashing capacity andbrand Syringe indicatorsKey disabledNONOP ressing an unauthorisedkeyAudible signal onlyProgrammed end ofpauseYESNOP rogrammed end of pauseAlternating displays of flow rate value and 6W23NU PIL A2 TD IS - 1342 rev 3 09/12/03- 4 -ChecksInfusionStopSilence alarmActivationMessageMalfunction alarmYESYESD evice cannot check theinfusion Technical malfunction + alarm indicatorsError message : (U (U YESYESM otor rotation controlanomaly(U-- Error message + technicalmalfunction + alarm indicatorsPress STOP to resume the device normal operationError messages : (U (U ; ; ; ; ; ; ; ; , YESYESE lectronic control anomaly(U-- Error message + technicalmalfunction + alarm indicatorsError message : (U (U YESNOK eyboard anomaly(U-- Error message + technicalmalfunction + alarm indicatorsError messages : (U (U.)))))))))))

8 YESYES1 ml deviation/ volume to beinfused(U-- Error message + technicalmalfunction + alarm indicatorsPreventive maintenance warningNO---Date of maintenancereached (3$UE)&WU/ message only displayed when the device isturned on).Press CONFIRM to : check the device as soon as : in case of malfunction alarm, note the error message ((U ) and stop the device by pressing the OFF key (5 - 10 seconds can be necessary). Ifthe alarm persists when the device is switched on again, without use on patient, contact the qualified technicians in your establishment or our After-Sales sound level can be set by rotating the shutter placed underneath the device .NU PIL A2 TD IS - 1342 rev 3 09/12/03- 5 -PerformancesFlow ratesThe values given in the table below correspond to ml20 mlInfusion flow rate (ml/h)from to to rate (ml/h)from to to rate (ml/h) ml/h limitVolume limit (ml)from 1 to ml, ml incrementfrom 100 to 999 ml, 1 ml incrementKVO rate (Keep Vein Open): 1 ml/h or flow rate originally selected if thisis less than 1 rate accuracy 3 % with pre-programmed syringesDevice accuracy 1% Syringe accuracy 2%Pause durationFrom 1 minute to 9 hours 59 minutes, 1 min.)

9 Type listThe Pilot A2 recognises the size of the installed Syringe . The lastsyringe brand used is proposed when the device is turned and types50/60 ml20 mlB-D PLASTIPAK FRESENIUS INJECTOMAT BRAUN OMNIFIX BRAUN PERFUSOR PIC INDOLOR TERUMO Different Syringe lists are available. For further information, pleasecontact our Customer Service. Fresenius Vial cannot accept any responsibility for errors in flow due tomodifications of the specifications of the syringes introduced by themanufacturer. Display of the name of the drug According to configuration (3$U&). It is possible to display periodically during infusion the name of the drugused. 15 names of drugs may be programmed by configuration (3$U*).

10 Pressure limit Pilot A2 proposes a choice of 3 occlusion alarm thresholds. syringes 50/60 ml 20 ml Threshold value lower zz 300 600 (mmHg) middle zzzz 500 1000 upper zzzzzz 900 1700 Values given for B-D Plastipak Luer Lok syringes . Note : 1 bar = 750 mmHg = 1000 alarm response timeversus infusion flow rate These values are representative of syringes used during trials with anPilot A2 and serve as an indication only of the pump s overallperformance. Threshold values Flow rate lower zz middle zzzz upperzzzzzz Syringe 1 ml/h 40 60 120 50/60 ml 5 ml/h 8 12 20 120 ml/h 25 35 50 Syringe used: B-D Plastipak Luer Lok (B-D Plastipak and Luer Lok are registered trademarksof Becton Dickinson).