sec05.fm Page 7 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems Because the Dose falls outside the soft limits, the infuser beeps three times (Invalid Key Warning), and generates the error message: “Dose > 8. Override?” A Program Dose Calc DOPamine Conc Weight 400 mg 70 kg Dose VTBI Duration Rate 10 250 09: 30 26.3 250 mL mcg/kg/min mL hr : min mL/hr Dose > 8. Override? Yes 13 Select No [Yes]. NOTE: A SOFT limit override will be recorded in the History Events Log.
sec05.fm Page 8 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software The Main Delivery screen appears displaying the information just entered. NOTE: The Program Type and Drug are displayed as well as the Dose Rate and Dose Units. A PUMPING STOPPED B DOPamine Dose Calculation 10 Rate mL/hr Vol Inf mL Dose mcg/kg/min MedSurg 26.3 0 A 5- 8 B 0 0 Options/ Vol Inf 430-95597-001 (Rev.
sec05.fm Page 9 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems Dose Calc (mg/min on B) DOSE CALCULATION- Allows programming Dose Rates in alternative units of measure. Dose Calculation can be used in Simple Delivery, Loading Dose, and Multistep. Clear ALL settings when changing patients or multiple programming parameters. 1 Select [B] at the Main Delivery Screen. A PUMPING STOPPED B DOPamine Dose Calculation 10 Rate mL/hr Vol Inf mL Dose mcg/kg/min MedSurg 26.
sec05.fm Page 10 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software The Drug List Screen appears, in mainly alphabetical order. NOTE: Default entry is “No Drug Selected”. B MedSurg No Drug Selected 25 grams/500 mL Albumin 5% 2.6 mg/50 mL Aldesleukin 10 mg/250 mL Alfentanil 50 mg/50 mL Alteplase 100 mg/100 mL Alteplase 100 mL Amikacin 150 mg/100 mL Amiodarone Select, then Enter Page Up 3 Use to highlight desired drug name.
sec05.fm Page 11 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems If selected drug has been programmed with established dosing units and concentration, skip to step 8. The Program Dose Calc screen appears. NOTE: Cursor defaults to package insert (or hospital) recommended dose units associated with the selected drug.
sec05.fm Page 12 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software The next page of the Program Dose Calc screen appears to provide for entry of delivery program parameters. 8 Program Dose Calc B Lidocaine Conc Mode Dose VTBI Duration Rate Use keypad to enter desired 2 grams 500 mL Piggyback 0 0 00: 00 0 mg/min mL hr : min mL/hr Enter value using keypad Program Options values. Once entered, use to highlight the next field.
sec05.fm Page 13 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems NOTE: The Duration field temporarily changes to dashes when the computed value is larger than what can be displayed. 11 Continue entering the RATE value, if desired. NOTE: As Rate is entered, the Duration and Dose are automatically adjusted as individual numbers are entered. NOTE: If the Duration value is changed, the Rate and Dose are automatically adjusted.
sec05.fm Page 14 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software Upon , the Main Delivery Screen shows delivery status for both A and B lines. NOTE: See Delivery Rate Range in Section 9. The ratio of concurrent rates has recommendations specified on page 1-7. 5- 14 A STOPPED PUMPING B DOPamine Dose Calculation Lidocaine Dose Calculation 26.3 Rate mL/hr 30 1 Vol Inf mL 0.1 mcg/kg/min 2 Dose MedSurg A B mg/min Options/ Vol Inf 430-95597-001 (Rev.
sec05.fm Page 15 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems Loading Dose LOADING DOSE- Allows programming of an initial infusion rate for a specific volume, followed automatically by a maintenance rate from the same container (e.g., a fluid challenge). If Dose Calc is used, the Loading Dose and Maintenance Dose are in the same unit of measure, over the same period of time (mcg/min), from the same container. Clear ALL settings when changing patients or multiple programming parameters.
sec05.fm Page 16 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software The selected Line (A or B) Programming screen appears. 2 Select A PROGRAM MedSurg [Drug List]. Rate 0 mL/hr VTBI 0 mL 00:00 Duration hr : min Enter Value using keypad Program Options The Drug List Screen appears, in mainly alphabetical order. NOTE: Default entry is “No Drug Selected”. This process will guide you through a “fluid challenge”, so “No Drug Selected” will be entered.
sec05.fm Page 17 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems 4 5 Use to scroll down to Loading Dose. A PROGRAM Standard Program Loading Dose Select [Choose] to continue. Multistep Select, then Choose Choose The next page of the Program Loading Dose screen appears. 6 Select A Program Loading Dose mg/min mg/hr grams/hr ng/kg/min mmol/min mmol/hr mEq/hr mL/hr mcg/kg/min mcg/kg/hr mcg/min mcg/hr mg/kg/hr [Choose] to continue. Or, use to change the units to use in the delivery.
sec05.fm Page 18 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software 8 Enter value using keypad. A Program Loading Dose 1 2 Rate mL/hr 0 0 VTBI mL 250 0 Duration hr : min 00 : 00 00 : 00 Enter value using keypad Program Options 9 Use field. to highlight the next 10 Enter Duration using keypad. The Rate value is automatically calculated. To understand the Automatic Calculation feature, see Examples of Automatic Calculation on page 6-10.
sec05.fm Page 19 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems 12 Enter the set of desired values A Program Loading Dose for Step-2 of the program. 13 Select [Program Options] to select a Delayed Start or Standby. 1 2 Rate mL/hr 500 75 VTBI mL 250 750 Duration hr : min 00 : 30 10 : 00 Enter value using keypad Program Options Cancel/ Back NOTE: At this point, programming is complete unless [Program Options] are desired. See Section 6, Additional Features, for more information.
sec05.fm Page 20 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software NOTE: [Cancel/Back] returns the fields to their original value and displays the previous screen. 16 To start the delivery, press This will bring up the PROGRAM CONFIRMATION screen. CAUTION: VERIFY ALL BEFORE STARTING INFUSION. VALUES . Program Loading Dose A MedSurg Delivery will be: No Drug Selected 500 mL/hr 250 mL Drug Rate VTBI ! 17 If Drug and Rate appear correct, select program.
sec05.fm Page 21 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems After the Step-1 has completed, the Main Delivery Screen changes to the second step. Maintenance Dose NOTE: A flashing “Callback Line A” message and the audio alarm sound indicates activation of that option. N105 Callback Line A A PUMPING STOPPED B 75 Rate mL/hr 0 250 Vol Inf mL 0 MedSurg B A Options/ Vol Inf 18 The user should acknowledge the Callback message and stop the audio alarm by pressing .
sec05.fm Page 22 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software Multistep Programming MULTISTEP- Allows a sequential program to deliver up to 10 steps; fluid volumes and delivery rates may be programmed for each step. The program may be entered based on Rate and Volume or Volume and Time. If Dose Calc is used, the delivery steps are in the same unit of measure, over the same period of time, from the same container.
sec05.fm Page 23 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems The Line A Programming screen appears. 2 Select A PROGRAM MedSurg [Drug List]. Rate 0 mL/hr VTBI 0 mL 00:00 Duration hr : min Enter Value using keypad Program Options The Drug List Screen appears, in mainly alphabetical order. NOTE: Default entry is “No Drug Selected”. Drug List A Cancel/ Back MedSurg No Drug Selected 25 grams/500 mL Albumin 5% 2.
sec05.fm Page 24 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software The Select Program screen for Line A (or B) appears. A PROGRAM VinCRIStine Standard Program NOTE: This example shows line A being programmed. Loading Dose Multistep Select, then Choose Choose 5 6 Use to scroll down to Multistep. A Back PROGRAM VinCRIStine Standard Program Loading Dose Select [Choose] to continue.
sec05.fm Page 25 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems measure. The Multistep Programming screen appears. 9 Rate is the default field. Enter value using keypad. Program Multistep A VinCRIStine 1 2 3 4 Rate VTBI Duration mL/hr 50 0 0 0 mL 0 0 0 0 hr : min 00 : 00 00 : 00 00 : 00 00 : 00 Enter value using keypad Program Options 10 Use to highlight the Duration or VTBI field. NOTE: The VTBI value is automatically computed when the Duration value is entered.
sec05.fm Page 26 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software NOTE: When Step-4 is programmed, using [SELECT] to advance will highlight another item on this screen. 13 When Step-4 is programmed, select [More Steps] to program up to 10 Steps.
sec05.fm Page 27 Wednesday, June 8, 2005 8:31 AM Plum A+® Infusion Systems The Main Delivery Screen displays Step-1 in the upperleft corner. A PUMPING STOPPED B VinCRIStine Step 1 NOTE: In units other than mL/hr, the Dose rate and units also will be displayed. 50 Rate mL/hr 0 27.5 Vol Inf mL 0 Example of Multistep Screen Pumping on Step-2. A PUMPING STOPPED B VinCRIStine Step 2 16 To change a program 100 Rate mL/hr 0 652 Vol Inf mL 0 parameter while pumping, select [A].
sec05.fm Page 28 Wednesday, June 8, 2005 8:31 AM For Systems With Hospira MedNetTM Software If Rate value is changed, the Duration will automatically change. Program Multistep A VinCRIStine d NOTE: Only the current delivering step and future steps can be changed.
sec06.fm Page 1 Wednesday, June 8, 2005 8:35 AM Plum A+® Infusion Systems SECTION 6 Additional Features Simple Delivery Using Delayed Start 1 Before or after entering the simple delivery program, select [Program Options]. NOTE: To program a Delayed Start using an advanced program (i.e., Dose Calc) you must first select which line you want (A or B), next select [Drug List], and then [Program Options]. If you program the Delayed Start first, it will be cleared upon entry into Select Program mode.
sec06.fm Page 2 Wednesday, June 8, 2005 8:35 AM For Systems With Hospira MedNetTM Software 2 Enter values for desired hours and/or minutes. Program Options B Delay Start for 01:00 hr:min 3 Select [Enter] to confirm delayed start. Callback No Enter Value using keypad CAUTION: VERIFY ALL VALUES BEFORE STARTING INFUSION. 4 Standby Enter Cancel/ Back Press to confirm programming. Line B is delayed for the time entered. NOTE: Delayed line drip indicator is solid, not flashing.
sec06.fm Page 3 Wednesday, June 8, 2005 8:35 AM Plum A+® Infusion Systems The default screen for Program Options appears. Program Options B Delay Start for 00:00 hr:min Use to highlight “Callback” field and select [Yes/No], if necessary to obtain “Yes”, then select [Enter]. Callback Yes Change using Yes/No Yes/No Enter Cancel/ Back NOTE: Callback default of Yes or No is a biomedical setting and must be configured using the Hospira MedNet accessory.
sec06.fm Page 4 Wednesday, June 8, 2005 8:35 AM For Systems With Hospira MedNetTM Software Possible Non-Delivery Programmed NOTE: Whenever a valid [START] key is pressed, the device checks the delivery program(s) for non-delivery conditions (such as Line B Piggyback without Line A or delayed start) that could permit a period of non-delivery. If so, the display presents this warning screen. B PROGRAM Attention: Line A is stopped or delayed. Line B in piggyback mode gives no KVO or alarm at dose end.
sec06.fm Page 5 Wednesday, June 8, 2005 8:35 AM Plum A+® Infusion Systems 4 Confirm the information displayed is correct, then select [Yes] to place program on Standby mode. NOTE: This example screen shows a Dose Calculation Program with a Standby. It looks similar to the Program Confirmation screen with the substitution of “Put delivery in Standby” replacing “Confirm Program”. Selecting [Yes] confirms both the Program and the Standby. 5 Press to remove Standby and start the infusion.
sec06.fm Page 6 Wednesday, June 8, 2005 8:35 AM For Systems With Hospira MedNetTM Software Select Option- Volumes Infused, Pressure/Post Infusion Rate, and Lighting/Contrast 1 To select Options Screen, select [Options/Vol Inf]. A PUMPING STOPPED B DOPamine Dose Calculation 5.5 Rate mL/hr 0 393 Vol Inf mL 0 MedSurg B Options/ Vol Inf OPTIONS B A 2 Use 3 Select [Choose] to select the Volumes Infused screen. to highlight an option. A Release 13.
sec06.fm Page 7 Wednesday, June 8, 2005 8:35 AM Plum A+® Infusion Systems 5 To reset Line A (or B) Volume A B OPTIONS DOPamine Dose Calculation Infused,use and press to highlight . 6 To restore the cleared quantity, select [Cancel/Back]. 7 To reset all volumes, use to highlight Total Vol, then press . 8 To restore all quantities, select [Cancel/Back] softkey. 430-95597-001 (Rev.
sec06.fm Page 8 Wednesday, June 8, 2005 8:35 AM For Systems With Hospira MedNetTM Software 9 When clearing of quantities is completed, select [Enter] to return to the Main Delivery screen. 10 Select [Options/Vol Inf] from the Main Delivery screen to return to the Options screen. A B OPTIONS Release 13.x - xx/xx/xx Volumes Infused Pressure/Post Infusion Rate Lighting/Contrast 11 Use to highlight the Pressure/Post Infusion Rate option.
sec06.fm Page 9 Wednesday, June 8, 2005 8:35 AM Plum A+® Infusion Systems enter value between 0.1 and 15 psi. 16 Select [Enter] to keep changes and return to the Main Delivery screen, or [Cancel/Back] to restore original values and return to the Options screen. NOTE: Continue Rate default of KVO or Rate must be configured using the Hospira MedNet software. 17 Select [Options/Vol Inf] from the Main Delivery screen to return to the Options screen. A B OPTIONS Release 13.
sec06.fm Page 10 Wednesday, June 8, 2005 8:35 AM For Systems With Hospira MedNetTM Software Variable Rate Cap NOTE: Variable Rate Cap is used to set the maximum rate values to be accepted by the device. The clinician cannot change it once it has been programmed. It must be configured using the Hospira MedNet software.
sec06.fm Page 11 Wednesday, June 8, 2005 8:35 AM Plum A+® Infusion Systems NOTE: VTBI will not be re-calculated if the Rate and Duration are changed. VTBI must be cleared and then the new VTBI reentered. The new VTBI will automatically calculate a new Rate.
sec06.fm Page 12 Wednesday, June 8, 2005 8:35 AM For Systems With Hospira MedNetTM Software Changing CCA While Infusing 1 Select [Options/Vol Inf] from the Main Delivery screen. A PUMPING STOPPED B DOPamine Dose Calculation 26.3 Rate mL/hr 0 0.2 0 10 Vol Inf mL Dose mcg/kg/min ER B Options/ Vol Inf OPTIONS B A 2 Select [Change CCA]. A Release 13.
sec06.fm Page 13 Wednesday, June 8, 2005 8:35 AM Plum A+® Infusion Systems The message bar informs the user of the changed CCA. A PUMPING STOPPED B DOPamine Dose Calculation 26.3 Rate mL/hr 0 0.3 0 10 Vol Inf mL Dose mcg/kg/min ICU Line A using prior CCA A When VTBI reaches zero (infusion is competed), VTBI may no longer be incremented. To program, the user must first select [Back], then press the A B Options/ Vol Inf PROGRAM Press Back, then press STOP key.
sec06.fm Page 14 Wednesday, June 8, 2005 8:35 AM For Systems With Hospira MedNetTM Software NOTE: It is important that biomed personnel ensure that the barcode identification label affixed to each infuser corresponds to the correct Connectivity Engine Identification Number. This way the correct order will be sent to the appropriate infuser. NOTE: The wireless icon will not appear if an Ethernet cable is used to connect to the BPOC system. 1 2 Power On the pump as described in Section 4.2.
sec06.fm Page 15 Wednesday, June 8, 2005 8:35 AM Plum A+® Infusion Systems displayed on the pump and “No Drug Selected” will be seen on the subsequent Confirmation and Main Delivery Screens. 7 8 9 Programming screen is autofilled. Verify ALL parameters. If changes are desired, the infusion parameters can be manually changed using the keypad on the pump. Press Program Dose Calc Conc Weight 400 mg 70 kg Dose VTBI Duration Rate 10 250 09: 30 26.
sec06.fm Page 16 Wednesday, June 8, 2005 8:35 AM For Systems With Hospira MedNetTM Software NOTES 6- 16 430-95597-001 (Rev.
sec07.fm Page 1 Wednesday, June 15, 2005 8:05 AM Plum A+® Infusion Systems SECTION 7 Alarms and Troubleshooting Warning Messages CORRECTIVE ACTION MESSAGE POSSIBLE CAUSE Stop delivery then turn off Attempting to turn the infuser off while a delivery is in progress. Stop all lines, then turn infuser off. Warning: Replace Battery The battery current charge is greater than 200 mA/hr. Replace battery.
sec07.fm Page 2 Wednesday, June 15, 2005 8:05 AM For Systems With Hospira MedNetTM Software problem. All such messages will be cleared or replaced by another message upon the next valid input key press. Response to Alarms 1 Disable Lockout by confirming back switch is in the down position or press the decimal key followed by 9, 6, & 3 on the keypad. 2 Press [SILENCE] key. 3 Identify/Observe Alarm condition. 4 Correct Alarm condition (see following tables). 5 Press [START] to resume infusion.
sec07.fm Page 3 Wednesday, June 15, 2005 8:05 AM Plum A+® Infusion Systems General Alarms CODE MESSAGE POSSIBLE CAUSE CORRECTIVE ACTION N100 Unrecognized cassette Attempting to use unrecognized cassette. Turn off or insert recognized cassette. N101 No Action Alarm Pump programming incomplete. Press [START] or continue programming. N102 Infuser Idle 2 Minutes Pump is ON without operator input. Begin programming or turn infuser OFF. Standby time has elapsed. Re-enter all programmed data.
sec07.fm Page 4 Wednesday, June 15, 2005 8:05 AM For Systems With Hospira MedNetTM Software CODE MESSAGE POSSIBLE CAUSE CORRECTIVE ACTION N250 Door open while pumping Pump door opened while operating. Close door with cassette inserted. N251 Cassette Test Failure Faulty cassette, proximal or distal occlusion or air in cassette detected at start up. Check clamps, manually reprime set, close door. Backprime into line B tubing or syringe if appropriate. If alarm recurs on retest, replace set.
sec07.fm Page 5 Wednesday, June 15, 2005 8:05 AM Plum A+® Infusion Systems Line A Alarms CORRECTIVE ACTION CODE MESSAGE POSSIBLE CAUSE N105 Callback Line A Alarm programmed by user. Change in delivery for Loading Dose to Maintenance Step or for any step in “Multistep” program provided the step is not the last step. Press [SILENCE]. N161 Line A VTBI complete VTBI complete on line A. Program new VTBI.
sec07.fm Page 6 Wednesday, June 15, 2005 8:05 AM For Systems With Hospira MedNetTM Software CORRECTIVE ACTION CODE MESSAGE POSSIBLE CAUSE N184, N190, N191 Prox Occl A / Air Proximal line obstructed, line A container disconnect or obstruction. Examine line A for kinks, closed clamps, or air in cassette. N232 Prox Air A, Backprime When proximal air detected exceeds the limit for the line. Check for clamps, or empty container. Correct as necessary. Backprime into line B tubing or syringe.
sec07.fm Page 7 Wednesday, June 15, 2005 8:05 AM Plum A+® Infusion Systems Line B Alarms CORRECTIVE ACTION CODE MESSAGE POSSIBLE CAUSE N104 Callback Line B Alarm programmed by user. Change in delivery for piggyback delivery, Loading Dose to Maintenance Step, or for any step in “Multistep” program provided the step is not the last step. Press [SILENCE]. N160 Line B VTBI complete VTBI complete on line B. Program new VTBI.
sec07.fm Page 8 Wednesday, June 15, 2005 8:05 AM For Systems With Hospira MedNetTM Software CORRECTIVE ACTION CODE MESSAGE POSSIBLE CAUSE N182, N188, N189 Prox Occl B / Air Proximal line obstructed, line B container disconnected or obstructed. Examine line B for kinks, closed clamps, or air in cassette. When proximal air detected exceeds the limit for the line. Check for clamps, or empty container. Correct as necessary. Backprime into line B tubing or syringe.
sec07.fm Page 9 Wednesday, June 15, 2005 8:05 AM Plum A+® Infusion Systems General Messages CORRECTIVE ACTION MESSAGE POSSIBLE CAUSE Cannot Standby in Piggyback Selection of [Standby] when Line B is in Piggyback Mode. Cannot Standby with Delay Selection of [Standby] when Delay time was entered for program. Changing CCA clears program Displays when other than last-used Care Area is highlighted.
sec07.fm Page 10 Wednesday, June 15, 2005 8:05 AM For Systems With Hospira MedNetTM Software CORRECTIVE ACTION MESSAGE POSSIBLE CAUSE Concurrency alert Attempt to start a multistep or loading dose delivery whose later steps would exceed concurrent delivery limit if delivery proceeds. User can enter new values using number keypad, or use [SELECT] arrows to move to another field to change the entry. User can also press [CLEAR].
sec07.fm Page 11 Wednesday, June 15, 2005 8:05 AM Plum A+® Infusion Systems CORRECTIVE ACTION MESSAGE POSSIBLE CAUSE Dose > [X.xx]. Override? Attempt to start program with parameter that has caused the Dose (or Rate, if mL/hr program) to be greater than the upper soft limit [uuuuuuuu] for the selected drug and CCA. Also includes placing program in Standby, and re-starting a stopped program. May be overridden by selecting [Yes]. Cleared by pressing of [NUMERIC KEYS], [.
sec07.fm Page 12 Wednesday, June 15, 2005 8:05 AM For Systems With Hospira MedNetTM Software CORRECTIVE ACTION MESSAGE POSSIBLE CAUSE Input digits > max allowed Attempt to input digit that would exceed the number of decimal places allowed for defined value except Dose and Rate. Press [CLEAR] hardkey. Input value > max allowed Attempt to input number that would cause field to exceed its defined limit.
sec07.fm Page 13 Wednesday, June 15, 2005 8:05 AM Plum A+® Infusion Systems CORRECTIVE ACTION MESSAGE POSSIBLE CAUSE Soft Lockout Enabled While the Soft Lockout is enabled and no Alarm is active, either 1) any key besides Stop is pressed during delivery, or 2) any key is pressed while stopped. Disable the Soft Lockout. (See Section 3) VTBI must be > 0 Delivery attempt when rate is non-zero but VTBI is zero. Use number keypad to enter a value.
sec07.fm Page 14 Wednesday, June 15, 2005 8:05 AM For Systems With Hospira MedNetTM Software CORRECTIVE ACTION MESSAGE POSSIBLE CAUSE Minimum Rate X mL/hr Attempt to start mL/hr program with Rate less than lower hard Dose limit nn.n. Use number keypad to enter a value. Maximum Rate X mL/hr Attempt to start mL/hr program with Rate greater than the upper Hard Limit or CCA Maximum Volumetric Rate n. The Software will display ‘---‘, and the user must press the [CLEAR] hard key and input a valid value.
sec08.fm Page 1 Wednesday, June 8, 2005 8:38 AM Plum A+® Infusion Systems SECTION 8 Cleaning, Maintenance, and Storage The cleaning, maintenance, and storage of the Plum A+ are described in this section. CLEANING AND SANITIZING For proper maintenance of the Plum A+, observe the following cleaning and sanitizing guidelines. Establish a routine weekly schedule for cleaning the infuser.
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sec08.fm Page 3 Wednesday, June 8, 2005 8:38 AM Plum A+® Infusion Systems To unlatch the cassette door from its handle, tilt the device back, open the cassette door, then push the door release tab to open the door fully. CAUTION: TO AVOID MECHANICAL OR ELECTRONIC DAMAGE, DO NOT IMMERSE THE P LUM A+ IN ANY FLUIDS OR CLEANING SOLUTIONS. CAUTION: DO NOT SPRAY CLEANING SOLUTIONS TOWARD ANY OPENING IN THE INSTRUMENT.
sec08.fm Page 4 Wednesday, June 8, 2005 8:38 AM For Systems With Hospira MedNetTM Software NOTE: For optimum battery life, the Plum A+ should be operated on battery power for three continuous hours at least once every six months and then charged for a minimum of six hours. The battery charges whenever connected to AC (mains) power. If the infuser is switched OFF, recharge takes approximately six hours. Recharge takes longer if the infuser is turned ON.
sec09.fm Page 1 Wednesday, June 8, 2005 8:39 AM Plum A+® Infusion Systems SECTION 9 Specifications NOTE: Specification information applies to both systems (Plum A+ & Plum A+3) unless otherwise noted. Physical Dimensions: Plum A+- Approximately 8” X 8” X 6”, excluding pole clamp protrusion and power cord storage. Plum A+3- Approximately 19” X 15” X 14”, including pole clamp, barcode wand holder, and power cord. Weight: Plum A+- Approximately 9.5 lbs. with battery. Plum A+3- Approximately 28 ibs.
sec09.fm Page 2 Wednesday, June 8, 2005 8:39 AM For Systems With Hospira MedNetTM Software Battery Life: With a new fully charged battery, the infuser operates for a minimum of three hours at 125 mL/ hr or less, or delivers 250 mL if > 126 mL/hr. (Time is measured from initial pumping to Depleted Battery Alarm) Recharge: The battery charges whenever the infuser is connected to AC power. The recharge time is approximately six hours with the device operating at 125 mL/hr on one line.
sec09.fm Page 3 Wednesday, June 8, 2005 8:39 AM Plum A+® Infusion Systems FREQUENCY RANGE IEEE802.11b Channels: Transmit Power: Antenna: Certifications: 2412 - 2462 MHz 1-11 (FCC) 100mW (+20dBm) max Integrated surface mount antenna FCC Part 15.247 IC RSS-210, RSS-102 FCC ID: STJ-20677 IC: 5627A-20677 VTBI Range VTBI Range: 0.1 to 99.9 mL (in 0.
sec09.fm Page 4 Wednesday, June 8, 2005 8:39 AM For Systems With Hospira MedNetTM Software KVO: 1.0 mL/hr or the last primary delivery rate, whichever is less Air-in-Line Alarm PlumSet (Distal): Bolus 0.1 mL (100 microliters) or larger for delivery rates less than 500 mL/hr. Bolus 0.5 mL (500 microliters) or larger for delivery rates equal to or greater than 500 mL/ hr. Cumulative 0.25 mL out of 2.6 mL for delivery rates less than 500 mL/hr. Cumulative 0.50 mL out of 5.
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sec09.fm Page 6 Wednesday, June 8, 2005 8:39 AM For Systems With Hospira MedNetTM Software Delivery Accuracy The Plum A+ Infuser was designed and manufactured to maintain a volumetric delivery rate error of the total fluid delivered of less than or equal to ± 5% over the course of 48 hours at a programmed rate of 1 to 999 mL/hr during normal operating conditions. For use of the device at rates below 1 mL/hr, the delivery rate error is less than or equal to ± 10%.
sec09.fm Page 7 Wednesday, June 8, 2005 8:39 AM Plum A+® Infusion Systems suspended air in the solution, and using an Hospira Plum enteral set. ENTERAL/HIGH VISCOSITY FLUIDS Dextrose 20% to 50% concentration Isomil Powder Similac Powder Ensure Plus HN Twocal HN Jevity Trumpet Curves The Trumpet Curve Graphs following the Example show representative maximum and minimum percent flow rate deviation from the programmed rate over time.
sec09.fm Page 8 Wednesday, June 8, 2005 8:39 AM For Systems With Hospira MedNetTM Software the nominal rate. The average delivery rate error over the entire 2nd hour was +1.6% (D). For other time intervals look at other points at the horizontal axis and determine corresponding limits as above. 25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP A PERCENT ERROR (%) 15.0% 10.0% B Max Positive Error over 5 Minute Interval = +2.8% 5.0% + + 0.0% + + + C Max Negative Error over 5 Minute Interval = -0.5% -5.
sec09.fm Page 9 Wednesday, June 8, 2005 8:39 AM Plum A+® Infusion Systems 25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP (Typical) 50 45 Rate (ml/hr) 40 35 30 25 20 15 10 5 0 -5 -10 0 10 20 30 40 50 60 70 80 90 100 110 120 Time (minutes) Actual Rate Programmed Rate 25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP (Typical) Percent Error (%) 15.0% 10.0% 5.0% 0.0% -5.0% -10.0% -15.
sec09.fm Page 10 Wednesday, June 8, 2005 8:39 AM For Systems With Hospira MedNetTM Software 25 ML/HR, 0 mm Hg DELIVERY HEAD , 96 HOURS (Typical) 50 45 Rate (ml/hr) 40 35 30 25 20 15 10 5 0 0 10 20 30 40 50 Time (minutes) Actual Rate Programmed Rate 25 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS (Typical) Percent Error (%) 15.0% 10.0% 5.0% 0.0% -5.0% -10.0% -15.
sec09.fm Page 11 Wednesday, June 8, 2005 8:39 AM Plum A+® Infusion Systems Rate (ml/hr) 1 ML/HR, 0 mm Hg DELIVERY HEAD, START UP (Typical) 2.0 1.8 1.6 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0 -0.2 -0.4 0 10 20 30 40 50 60 70 80 90 100 110 120 Time (minutes) Actual Rate Programmed Rate 1 ML/HR, 0 mm Hg DELIVERY HEAD, START UP (Typical) Percent Error (%) 15.0% 10.0% 5.0% 0.0% -5.0% -10.0% -15.
sec09.fm Page 12 Wednesday, June 8, 2005 8:39 AM For Systems With Hospira MedNetTM Software Rate (ml/hr) 1 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS (Typical) 2.0 1.8 1.6 1.4 1.2 1.0 0.8 0.6 0.4 0.2 0.0 0 10 20 30 40 50 Time (minutes) Actual Rate Programmed Rate 1 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS (Typical) Percent Error (%) 15.0% 10.0% 5.0% 0.0% -5.0% -10.0% -15.
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sec11.fm Page 1 Wednesday, June 8, 2005 8:41 AM Plum A+® Infusion Systems SECTION 11 Warranty Subject to the terms and conditions herein, Hospira, Inc.
sec11.fm Page 2 Wednesday, June 8, 2005 8:41 AM For Systems With Hospira MedNetTM Software replacement of accessory items such as batteries and detachable mains power cords. In providing 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 such person has been trained to perform such repair or service.
sec12.fm Page 1 Wednesday, June 8, 2005 8:45 AM Plum A+® Infusion Systems SECTION 12 Default Drug Library (DDL) NOTE: This list is only accurate if no custom drug library has been developed using the Hospira MedNet accessory. Once a custom drug library has been developed, this list will no longer be accessable. Only Hospira personnel can re-install the DDL. Use drug manufacturer recommendations for IV administration when using the Plum A+ infusion infuser.
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back.fm Page 1 Wednesday, June 8, 2005 8:49 AM Plum A+® Infusion Systems For customer service within the United States, contact: 1-877-9-HOSPIRA (1-877-946-7747) For technical assistance, product return authorization, and to order parts, accessories, or manuals within the United States, contact Hospira, Inc. Technical Support Operations: 1-800-241-4002 To order parts using the online eCatalog, download technical publications, technical training courses, and additional services, visit the website at: www.
back.fm Page 2 Wednesday, June 8, 2005 8:49 AM For Systems With Hospira MedNetTM Software CAUTION: FEDERAL (USA) LAW RESTRICTS THIS INFUSER TO SALE BY OR ON THE ORDER OF A PHYSICIAN OR OTHER LICENSED PRACTITIONER. WARNING POSSIBLE EXPLOSION HAZARD EXISTS IF THE INFUSER IS USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS. Plum A+ Infusion Pump is a registered trademark of Hospira, Inc. Hospira MedNet, LifeShield, and E.L.I. are trademarks of Hospira Incorporated.
