IVAC Medsystem III MultiChannel Infusion Pump

Procedure Guidelines

9.17 IVAC MEDSYSTEM III MULTI CHANNEL INFUSION PUMP

OPERATIONS GUIDELINES

TO TURN PUMP ON:

• Press ON/OFF.

TO LOAD CASSETTE:

• Pull cassette slide clamp out to completely occlude tubing.
• With tubing down, use a 45°, upward motion to insert cassette into channel A, B, or C.
• Push until cassette snaps into holder. Ensure slide clamp is flush with entire cassette.
• Pull down gently on tubing collar, then press with thumb to seat tubing collar into recess beneath cassette.

NOTE: Three beeps sound when cassette and tubing collar are inserted properly.

• Open regulating clamp.

TO SET UP AN INFUSION:

• Press A, B, or C.
• Set Rate.
• Set Volume Remaining (VR).
• Clear Volume Infused (VI).
• Start infusion.

NOTE: To display infusion information for all channels, press STANDARD DISPLAY.

TO SET RATE:

• Press A, B, or C.-
• Rate is highlighted.
• Press  or  to set a rate.
• Verify rate and press Accept to confirm.

TO CHANGE RATEWHILE INFUSING:

• Press A, B, or C.

Rate is highlighted.

• Press  or  to set a new rate.
• Verify rate and press Accept to confirm.

The new rate begins infusing immediately.

TO SET VOLUME REMAINING:

• Press A, B, or C.
• Press Select to highlight VR.
• Press  or  to set volume remaining.
• Press Accept to confirm

TO CLEAR VOLUME INFUSED:

• Press A, B, or C.
• Press Select to highlight VI.
• Press Clear to reset to zero.
• Press Accept to confirm.

TO START OR STOP AN INFUSION:

• Press A, B, or C.
• Press START/STOP.

NOTE: When a channel is stopped for two minutes with a cassette in place, a Pump Not In Use advisory sounds.

TO PLACE CHANNEL ON STANDBY:

When channel is infusing:

• Press A, B, or C.
• Press START/STOP to stop infusion.
• Press STANDARD DISPLAY.
• Press STNDBY.

When channel is stopped:

• Press STNDBY.

NOTE: When a channel is placed on Standby, a Pump Not In Use does not sound.

TO PLACE CHANNEL IN DUAL RATE MODE:

• Press A, B, or C.
• Press MORE OPTIONS.
• Press Mode.
• Press Select to highlight Dual Rate (IVPB).
• Press Accept to confirm.

TROUBLESHOOTING

TO RESPOND TO AN ADVISORY, ALARM OR FAULT MESSAGE:

• Press QUIET.
• Press the affected channel key: A, B, or C.
• Follow instructions on channel’s Alarm Information page.
• Press START/STOP to resume infusion.

ADVISORIES:

Check Air Sensor: Air is detected in tubing, tubing collar is not properly seated, or air sensor is dirty.

Corrective Action:

• Verify tubing collar is fully seated in air sensor recess.
• Verify tubing in air sensor recess is not damaged, twisted or dirty.
• Press ClrAir on channel’s Alarm Information page. Three beeps indicate air bubble has moved past air sensor.
• If no air is present, clean air sensor recess with isopropyl alcohol and let dry.

Pump Not In Use: Two minutes have elapsed without infusion being started after installing cassette or stopping infusion.

Corrective Action:

• Press START/STOP to begin infusion or press STNDBY.

Infusion Complete VR=0: VR has counted down to zero. Pump is infusing at KVO rate.

Corrective Action:

• Select a new VR, or if same volume is desired, press REPEAT.

ALARMS:

Four sharp beeps; flashing red light; infusion stopped.

Air In Line:

While channel is infusing, air is detected in tubing, or air sensor is dirty.

Corrective Action:

• Refer to Check Air Sensor Corrective Action.
• Maintain pump at or slightly below IV site to minimize formation of micro bubbles.

Air In Lower Tubing: While channel is infusing, air bubbles are detected in tubing. Possible causes are out gassing and leaks in administration set. SEMINOLE COUNTY EMERGENCY MEDICAL SERVICES PRACTICE PARAMETERS 2009 Page 4 of 6 Procedure Guidelines 9.17 IVAC MEDSYSTEM III MULTI CHANNEL INFUSION PUMP Corrective Action:  Check administration set for any leaks.  Check lower tubing for multiple small air bubbles.  If air present, clear air.  If no significant air is present, press START/STOP to resume infusion.  Maintain pump at or slightly below IV site to minimize formation of micro bubbles. Cassette Jammed: Piston difficult to move, or loose piston sleeve. Corrective Action:  Remove cassette, check placement of soft, plastic piston sleeve and reposition, if necessary.  Verify piston moves freely. If tight, replace administration set.  If condition continues, try cassette in a different channel.  If alarm recurs, replace administration set. Cassette Not Latched: Cassette is partially disengaged or latching mechanism is dirty. Corrective Action:  Push cassette completely in. Ensure slide clamp is flush with entire cassette. Press START/STOP to resume infusion.  If condition continues, try cassette in a different channel.  If alarm recurs, replace administration set. Cassette Removed: Cassette is removed from holder while channel is infusing. Corrective Action:  Reinstall cassette, then press START/STOP to resume infusion. Check Fluid Side: Possible upstream restrictions to flow. SEMINOLE COUNTY EMERGENCY MEDICAL SERVICES PRACTICE PARAMETERS 2009 Page 5 of 6 Procedure Guidelines 9.17 IVAC MEDSYSTEM III MULTI CHANNEL INFUSION PUMP Corrective Action:  Check upstream tubing for a closed regulating clamp, closed vent with unvented container, kinked tubing, empty syringe, or any restriction to flow.  If NO occlusion is present, press CONFIRM, and press START/STOP to resume infusion.  Verify fluid flow in drip chamber. Faulty Cassette: Cassette is dirty or inoperative. Possible dysfunction of cassette sensor located in holder. Corrective Action:  Reinsert cassette, or replace administration set.  If alarm recurs with several cassettes, disable channel for use. Fluid-Side Occluded: Upstream restriction to flow. Corrective Action:  Check upstream tubing for a closed regulating clamp, closed vent with unvented container, kinked tubing, empty syringe, or any restriction to flow.  Clear occlusion and press START/STOP to resume infusion. Patient-Side Occluded: Downstream restriction to flow. Corrective Action:  Check downstream line for kinks, closed clamps, closed stopcocks, clogged filters, site problems, etc.  Clear occlusion and press START/STOP to resume infusion. Pump Latch Closed: Small jaws located to right of air sensor are closed. Corrective Action:  Using finger, press down the closed pumping latch jaw until it snaps open.  NOTE: DO NOT PRESS THE SERVICE SOFTKEY. The Service Softkey should only be utilized when the pumping latch jaw is visibly broken. If the Service Softkey is activated, the pump will lock into SERVICE MODE, which can only be cleared by a factory professional. SEMINOLE COUNTY EMERGENCY MEDICAL SERVICES PRACTICE PARAMETERS 2009 Page 6 of 6 Procedure Guidelines 9.17 IVAC MEDSYSTEM III MULTI CHANNEL INFUSION PUMP FAULTS: Siren sound; flashing red light; infusion stopped.  Press A, B, or C.  Follow instructions on channel’s Alarm Information page.  Press RETRY to clear Fault.  If Fault alarm recurs, CONTACT SUPPORT SERVICES. WATCHDOGS: Continuous tone with blank screen; red and green lights are lit; infusion stopped. Safety checks built into software have detected an instrument fault condition. Attempt to reset pump:  Turn pump off, then on again. Resume infusion.  If Watchdog alarm recurs or pump cannot be turned on, submit pump for servicing. TROUBLESHOOTING RESPONSE KEYS: QUIET silences Advisories, Alarms, and Faults. This key is accessible on Standard Display page and Alarm Information page. CANCEL clears Advisories and Alarms. ClrAir pushes air bubbles past air sensor. Each push clears 0.2 ml of air. ClrAir may be pressed 5 times. NOTE: Three beeps indicate air bubble has moved past air sensor. CONFIRM allows infusion to continue if no occlusion is present and fluid is flowing in drip chamber. NOTE: A √ icon appears on Standard Display page to indicate CONFIRM has been pressed. RETRY clears a fault. Use when attempting to re-establish normal operation of a channel. SERVICE or BIOMED disables use of selected channel, “SERVICE” appears on status line. NOTE: Servicing of instrument is required before channel will function.