System Operating Manual ® For Use With List 20709 430-04685-001 (Rev.
Change History Title Description of Change Pages Affected 430-04685-001 (Rev. 6/05) This draft was reviewed by Ken Hsu, JoAnn Fujii, May 20, 2005. All 430-04685-001 (Rev. 7/05) • • The tables in Chapter 10 were revised. The IEC 60601-1 reference added. • • Print Event History Log revised. UpdatingDrugLibrary (Sect.6-3) added. 430-04685-001 (Rev.
i TABLE OF CONTENTS Page SECTION 1 DESCRIPTIVE INFORMATION . . . . . . . . . . . . . . . . . . 1-1 1.1 PRODUCT DESCRIPTION . . . . . . . . . . . . . . . . . . . 1-2 1.2 INDICATIONS FOR USE . . . . . . . . . . . . . . . . . . . . . 1-3 patient selection . . . . . . . . . . . . . . . . . . . . . . . . 1-3 user qualifications . . . . . . . . . . . . . . . . . . . . . . . 1-3 1.3 CONTRAINDICATIONS FOR USE . . . . . . . . . . . . . . 1-4 1.4 CONVENTIONS . . . . . . . . . . . . . . . . . . . . . . . . . .
ii Table of Contents programming . . . . . . . . . . . . . . . . . . . . . . . . . . . battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . biomedical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . other features . . . . . . . . . . . . . . . . . . . . . . . . . . 2.2 ADMINISTRATION EQUIPMENT . . . . . . . . . . . . . . . 2-4 2-4 2-4 2-4 2-4 2-5 SECTION 3 EQUIPMENT DESCRIPTION . . . . . . . . . . . . . . .
LifeCare PCA Infusion System iii SECTION 5 SELECT MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1 5.1 MODES OF DELIVERY . . . . . . . . . . . . . . . . . . . . . 5-2 protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2 pca only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2 continuous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3 pca+continuous . . . . . . . . . . . . . . . . . . . . . . . . . 5-3 5.2 PCA ONLY MODE . . . . . .
iv Table of Contents SECTION 6 ADVANCED PROGRAMMING WITH HOSPIRA MEDNETTM SOFTWARE . . . . . . . . . 6-1 6.1 GUIDED START-UP USING HOSPIRA MEDNET TM SOFTWARE . . . . . . . . . . . 6-2 6.2 SELECT CCA . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8 6.3 UPDATING THE DRUG LIBRARY . . . . . . . . . . . . . . 6-9 6.4 SOFT LIMIT OVERRIDE . . . . . . . . . . . . . . . . . . . 6-11 6.5 HARD LIMIT VIOLATION . . . . . . . . . . . . . . . . . . . 6-11 6.6 IMPORTANT SYMBOLS . . . . . . . . . . . . . . . . .
LifeCare PCA Infusion System v SECTION 10 PRESCRIPTION DELIVERY LIMITS . . . . . . . . . . . . . 10-1 APPENDIX A GENERATING BAR CODE LABELS (HOSPIRA MEDNETTM SOFTWARE ENABLED) . . . . A-1 example of label layout & sample . . . . . . . . . . . a-3 label diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . a-4 APPENDIX B NETWORK PRINTER SETUP. . . . . . . . . . . . . . . . . . . . B-1 printing event history log . . . . . . . . . . . . . . . . . . b-2 downloading logs to a pc . . . . . . . . . . . .
vi 430-04685-001 (Rev.
LifeCare PCA Infusion System 1- 1 Section 1 Descriptive Information The latest patient controlled analgesia (PCA) offered by Hospira, LifeCare PCA® Infusion System with Hospira MedNetTM Software, allows clinicians to administer, or patients to selfadminister analgesia, safely and effectively within clinician programmed limits.
1- 2 Descriptive Information 1.1 Product Description The primary features of the PCA Infuser device are Hospira MedNetTM Software and the bar code reader that are designed to enhance patient safety and automate drug identification. Other enhancements include new programming features and the ability to read pharmacy-generated bar codes.
LifeCare PCA Infusion System 1- 3 1.2 Indications for Use The LifeCare PCA® Infusion System with Hospira MedNetTM Software is intended for accurate, volumetric, infusion of analgesic drugs by continuous or patient demanded intravenous administration. It is intended for short-term continuous (less than 96 hours) epidural administration of analgesic drugs.
1- 4 Descriptive Information emphasize the assessment and monitoring of patients receiving potent analgesic medications, and the appropriate treatment for possible adverse reactions. 1.3 Contraindications For Use The PCA Infuser should not be used for patient controlled analgesia by patients who do not have the cognitive ability to understand the use of self-administered pain medication, nor have the physical capacity to operate the patient pendant, if required.
LifeCare PCA Infusion System 1- 5 1.4 Conventions This section describes the conventions used throughout this manual: Convention Application Example ITALIC REFERENCE TO A SECTION, FIGURE, OR TABLE. (See Front Panel on page 3-2..) [BRACKETED ALLCAPS] KEYS OR BUTTONS ON THE DEVICE ARE DISPLAYED IN [ON/OFF] [BRACKETED ALLCAPS] OR WITH A GRAPHIC.
1- 6 Descriptive Information WARNINGS, CAUTIONS, AND NOTES Alert Messages used throughout this manual are described below. Pay particular attention to these messages. WARNING A Warning Message contains special safety emphasis and must be observed at all times. Failure to observe a Warning Message is potentially life threatening. CAUTION: A CAUTION usually appears in front of a procedure or statement. It contains information that could prevent irreversible product damage or hardware failure.
LifeCare PCA Infusion System 1- 7 1.5 Definitions (General and Clinical) TERMS DEFINITIONS Accuracy The degree to which the instrument is capable of delivering the volume of analgesic drug that is displayed or targeted to be delivered. Accuracy shall be specified as the maximum allowable delivery error from a targeted or displayed value (see Section 9 Specifications on page 9- 1).
1- 8 Descriptive Information TERMS DEFINITIONS Custom Syringe or Vial A bar coded Hospira/Abbott sterile empty vial that is custom-filled by a pharmacy. Default Drug Library (DDL) A pre-programmed drug library embedded in the infuser software. The infuser uses the DDL until a User-defined Drug Library is installed and supersedes the DDL.
LifeCare PCA Infusion System TERMS 1- 9 DEFINITIONS Infusing The infuser is ON and a DELIVERY SCREEN is displayed. The infusing mechanism may or may not be actually infusing at any given time. LCD Liquid Crystal Display LED Light Emitting Diode Loading Dose An optional dose programmed during Setup before entering the program. The loading dose can be administered at any time by the clinician during the programmed therapy. For more information see Loading Dose on page 4- 32.
1- 10 Descriptive Information TERMS DEFINITIONS On The infuser is turned on using either A/C or battery power. The infuser is not necessarily pumping when ON. Patient Pendant A hand held pendant connected to the infuser that allows the patient to request a PCA dose (bolus) by pressing a button. PCA Mode Infusion therapy characterized by bolus doses administered on patient demand subject to a lockout interval and, optionally, a dose limit. PCA Set Tubing connecting the PCA Vial to the patient.
LifeCare PCA Infusion System TERMS 1- 11 DEFINITIONS Rx Settings The current programmed therapy. Includes PCA Dose, PCA Lockout Interval, Continuous Rate, Loading Dose and Dose Limit amount. Soft Keys The five keys to the right of the device’s LCD display. Each key’s function is dependent on the screen displayed data. Stored Protocols Frequently used therapy settings stored in the infuser's memory.
1- 12 Descriptive Information 1.6 Precautions and Warnings UNPACKING Product damage may occur unless proper care is exercised during the unpacking and setup process. The battery may not be fully charged upon receipt. 430-04685-001 (Rev.
LifeCare PCA Infusion System 1- 13 GENERAL This section addresses general safety and operational procedures. • Possible explosion hazard exists if used in the presence of flammable anesthetics. WARNING Possible explosion hazard exists if the infuser is used in the presence of flammable anesthetics. • Potent analgesic medications are used with this device. Refer to drug package insert for precautions and possible adverse reactions.
1- 14 Descriptive Information PROGRAMMING This section presents known infuser programming cautions. WARNING For custom syringes, confirm that the displayed concentration (mg/mL) or (mcg/mL) exactly matches the concentration value and drug name on the syringe. If they do not match, under/overdosage may result.
LifeCare PCA Infusion System 1- 15 OPERATION This section presents operational information and cautions. • Perform close assessment and monitoring of patients receiving potent analgesic medication for possible adverse reactions. • The PCA Infuser is not intended to be used for frequent, longterm portable operation. Keep plugged into a properly grounded AC receptacle whenever possible, and reserve battery power for temporary portable operation and emergency backup.
1- 16 Descriptive Information MAINTENANCE This section addresses infuser maintenance. • Always confirm that the bar code reader window is clean. Blood, fingerprints, condensation, and other elements may obstruct the view of the bar code reader. Elements on the window (other than scratches) can be cleaned by using one of the recommended cleaning solutions. See Section 8 Maintenance on page 8-1. • Window scratches cannot be wiped clean and will probably lead to window replacement.
LifeCare PCA Infusion System 1- 17 ALARMS This section presents alarm information. • If the MALFUNCTION Alarm Message is seen and sounds, press the [ON/OFF] key to turn the infuser off. Then turn the infuser back on. If the malfunction alarm repeats, remove the infuser from service. EPIDURAL ADMINISTRATION This section contains epidural administration information. • Recommended use of the epidural route is to provide anesthesia or analgesia for periods up to 96 hours.
1- 18 Descriptive Information CAUTION: Delayed respiratory depression following continuous epidural administration of preservativefree morphine sulfate has been reported. • The epidural space has 58 openings through which fluid can exit. Pressure buildup during administration is transient. However, if a large volume of fluid is administered over a short time period, the pressure will take longer to return to normal.
LifeCare PCA Infusion System 1- 19 SETS AND ACCESSORIES Use Hospira/Abbott LifeCare PCA® Set List 6517 whenever the infuser is in CONTINUOUS or PCA+CONTINUOUS Modes. • When using PCA or PCA+CONTINUOUS Mode, another fluid line may be attached to the distal backcheck Y site. Use Hospira/Abbott LifeCare PCA® Infuser set, List 3559, 6516, or a combination of List 6514 and 6517.
1- 20 Descriptive Information ELECTRICAL ARTIFACTS This section addresses electrical artifacts and their remedies. • Nonhazardous, low-level electrical potentials are commonly observed when fluids are administered using infusion devices. These potentials are well within accepted safety standards, but may create artifacts on voltage-sensing equipment such as ECG, EMG, and EEG machines. These artifacts vary at a rate that is associated with the infusion rate.
LifeCare PCA Infusion System 1- 21 encouraged to try to correct the interference by one or more of the following measures: •Reorient or relocate the receiving device •Increase the separation between the equipment •Connect the equipment into an outlet on a circuit different from that to which the other device(s) is connected •Consult the manufacturer or field service technician for help • Portable and mobile RF communications equipment, such as cellular telephones, 2-way radios, Bluetooth devices, micro
1- 22 Descriptive Information INTERCONNECTING OF MEDICAL EQUIPMENT Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC Standards (e.g. IEC 60950 for data processing equipment and IEC 60601-1 for Medical Equipment). Furthermore, all configurations shall comply with the system standard IEC 606011-1.
LifeCare PCA Infusion System 1- 23 • Devices should not be used adjacent to or stacked with other equipment. If the device must be used adjacent to or stacked with other equipment, monitor the devices to verify normal operation. • USE ONLY components specifically labeled for use with the PCA Infusion System to help ensure the device operates as intended.
1- 24 Descriptive Information which can be determined by turning the equipment off and on, the user is encouraged to try and correct the interference by one or more of the following measures: •Reorient or relocate the receiving antenna. •Increase the distance between the equipment and the receiver. •Connect the equipment to an outlet on a circuit different from that to which the receiver is connected. •Consult the dealer or an experienced radio/TV technician for help.
LifeCare PCA Infusion System 2- 1 Section 2 Principles of Operation The PCA Infuser is a portable infusion pump that allows a patient to self-administer analgesia within programmed limits as well as providing continuous infusion of a desired drug.
2- 2 Principles of Operation The PCA Infuser may be programmed to deliver the following: • • • PCA doses (PCA Mode) Continuous background infusion with no PCA doses permitted (CONTINUOUS Mode). Continuous rate and PCA doses (PCA+CONTINUOUS Mode). Analgesic drugs may be delivered through the PCA Infuser intravenously by any of the three modes cited above.
LifeCare PCA Infusion System 2- 3 2.1 Features The following features are addressed in this section: • • • • • • • Drug Recognition Modes Of Delivery Programming Battery Biomedical Options Other Features DRUG RECOGNITION • Bar code reader identifies drug name and concentration in the vial (prefilled Hospira/Abbott vials only).
2- 4 Principles of Operation PROGRAMMING • • Keypad with large numbers, decimal point & icons for easy use Prompting alphanumeric display BATTERY • • 8 V Battery Battery for emergency backup and temporary portable operation (approx. 2.5 hrs.
LifeCare PCA Infusion System 2- 5 2.2 Administration Equipment The following sets may be used in any delivery mode. The following sets are supplied sterile and are for single use only administration sets: List 3559: PCA Set, Mini-Bore with Integral Anti-Siphon Valve-SL 170 cm. Approximate priming volume 2.3 mL. For use in PCA mode via intravenous route. List 6514: PCA Extension Set with Backcheck Valve-SL 25 cm. Approximate priming volume 1.1 mL.
2- 6 430-04685-001 (Rev.
LifeCare PCA Infusion System 3-1 Section 3 Equipment Description The following subjects are addressed in this section: • Front Panel • Vial Cradle Assemble • Rear Panel • Operating Buttons & Keys 430-04685-001 (Rev.
3-2 Equipment Description 3.1 Security Door Front Panel Vial Cradle Release Mechanism (Holder) LED Display Vial Cradle Clips LCD Display Softkeys Door Lock Keypad Buttons AC Power Indicator PCA Bar code Reader Window Injector 430-04685-001 (Rev.
LifeCare PCA Infusion System 3-3 3.2 Vial Cradle Assemble Cradle Release Mechanism Wireless Antenna Upper Vial Retainer Vial Base Bar code Reader Window (vial bar code must face toward window) Vial Stopper Vial Lip Injector Injector Flange (Vial Plunger) Luer-Lock Fitment Vial Cradle Clips Vial Sensor Switch (Top Vial Cradle Clip) Lower Vial Retainer (Middle Bracket) Injector Flange Retainer Injector Sensor Switch (back of retainer) 430-04685-001 (Rev.
3-4 Equipment Description 3.3 Rear Panel Patient Pendant Nurse Call Jack Jack Ground Test Point Patient Pendant Patient Pendant Cable Fastener Patient Pendant (blue handle) Ethernet Jack/ Printer Connecto Universa l IV Pole Clamp with Dual LockTM NOTE: Pole Clamp is locked when security door is closed and locked. Unit cannot be removed from IV pole without key. Battery and Fuse Access Door AC Cord Connector 430-04685-001 (Rev.
LifeCare PCA Infusion System 3-5 3.4 Operating Buttons & Keys The [ON/OFF] Button controls the power of the PCA Infuser. The [CLEAR] Button is used to clear an entry. The [ENTER] Button is used to select and accept various screen options. The [EXIT] Button is used to return to the main display from non-programming screens.
3-6 Equipment Description The [START/PAUSE] Button is used to start or pause a continuous infusion or PCA bolus. The [HISTORY] Button is used to display parameter settings, dose history, review Rx, and review the event log. It also provides access to the Print History Softkey (Hospira MednetTM Software not enabled). The numeric Buttons are used to enter values for any field requiring numeric data. The [DECIMAL POINT] Button is used for entering numbers with a decimal point. An example would be 10.5 mg.
LifeCare PCA Infusion System 3-7 Keys (or Softkeys) are touchkeys which are located to the right of the main display. They perform a variety of functions correlating to the description displayed on the screen. An example of a softkey in this manual is PCA ONLY>. Battery indicator illuminates continuously when infuser is running on battery power. AC (mains) power indicator illuminates when infuser is plugged into AC power. LED displays the dose delivered.
3-8 Equipment Description PCA Patient Pendant is used by the patient to deliver the drug upon the press of the button. WARNING PATIENT PENDANT IS ONLY TO BE PRESSED BY THE PATIENT. If the Patient Pendant is partially pressed, a Pendant Fault Message will appear. This can be corrected by releasing the button. A PCA bolus will not be delivered during a Pendant Fault condition. The Ethernet port connects to a local area network. The Nurse Call Jack provides remote notification of an alarm event.
LifeCare PCA Infusion System Section 4 4- 1 Basic Operation The following subjects are addressed in this section: • • • • • • • • • Guided Start up for Prefilled Vials Guided Start up for Custom Vials Getting Started Operating the PCA Infuser Loading a Vial Adjusting Settings New Patient Purging the System Loading Dose 430-04685-001 (Rev.
4- 2 Basic Operation 4.1 Guided Start up for Prefilled Vials LIFECARE PCA SELF TEST 1. Press BUTTON, or load drug vial into cradle, to power on the infuser. See Loading a Vial on page 4-21. Upon initial start-up, the self-test begins. It may take several seconds for the Hospira logo to appear on the screen. This screen is followed by another screen displaying self-test information that includes the following: time, date, software version and copyright data.
LifeCare PCA Infusion System The NEW PATIENT SCREEN appears if the infuser has been off for 4 hours or less. Select YES> or NO>. 3. If NO> is selected, the History and Rx settings are kept. 4- 3 New Patient? Yes No 4. If the YES> option is selected, the History and Rx settings are cleared. Select CONFIRM> to confirm choice and continue. HISTORY AND RX SETTINGS CLEARED A screen appears to confirm that History was cleared. 5.
4- 4 Basic Operation MORPHINE PF 1 mg/mL PURGE? PURGING RECOMENDED 6. Select either YES> or NO> to purge the system. See Purging the System on page 4-30 for more information. YES NO MORPHINE PF 1 mg/mL DISCONNECT SET FROM PATIENT PRESS AND HOLD PURGE KEY 7. If YES> is selected, disconnect the set from the patient, and press and hold the PURGE> Softkey. While purging is occurring, the word PURGING is displayed.
LifeCare PCA Infusion System 10. Set Loading Dose (if desired) by selecting YES>. See Loading Dose on page 4-32 for more information. 4- 5 MORPHINE PF 1 mg/mL SET LOADING DOSE? YES NO 11. Enter a Loading Dose within the displayed range. Then press ENTER . MORPHINE PF 1 mg/mL ENTER LOADING DOSE THEN PRESS ENTER BUTTON 0.1 - 10 mg 2 mg milligrams PREVIOUS 12. The DELIVER LOADING DOSE NOW SCREEN allows the option of delivering the loading dose now or after the programming is complete.
4- 6 Basic Operation MORPHINE PF 1 mg/mL PRESS START BUTTON TO INFUSE 1 mg LOADING DOSE 13. If YES> was selected, press BUTTON to infuse the the programmed Loading Dose. NOTE: The loading dose mode is the only mode that the infuser will deliver with the door unlocked. PREVIOUS WARNING Always monitor the infuser when delivering medication with the door unlocked. 14. If the DELIVER LATER option is selected, the screen advances to the SELECT DELIVERY MODE SCREEN.
LifeCare PCA Infusion System 16. The SELECT MODE SCREEN appears. See Modes of Delivery on page 5-2 for more information. 4- 7 MORPHINE PF 1 mg/mL SELECT DELIVERY MODE PCA ONLY PCA + CONT. CONTINUOUS PROTOCOLS PREVIOUS 430-04685-001 (Rev.
4- 8 Basic Operation 4.2 Guided Start up for Custom Vials LIFECARE PCA SELF TEST NOTE: Custom vials without pharmacy-generated bar codes can only be used with the default drug library. Press BUTTON, or load drug vial into cradle, to power on the infuser. See Loading a Vial on page 4-21. Upon initial start-up, the self-test begins. It may take several seconds for the Hospira logo to appear on the screen.
LifeCare PCA Infusion System 1. 2. The NEW PATIENT SCREEN appears if the infuser has been off for 4 hours or less. Select YES> or NO>. If NO> is selected, the History and Rx settings are kept. 4- 9 New Patient? Yes No 3. If the YES> option is selected, the History and Rx settings are cleared. Select CONFIRM> to confirm choice and continue. HISTORY AND RX SETTINGS CLEARED A screen appears to confirm that History was cleared.
4- 10 Basic Operation ALPHA VIAL CONFIRM CUSTOM VIAL TO RX REMOVE VIAL IF NOT CORRECT 4. Select CONFIRM> to accept the inserted drug, or remove the vial if it is not correct. CONFIRM ALPHA VIAL PURGE? PURGING RECOMMENDED 5. Select either YES> or NO> to purge the system. See Purging the System on page 4-30 for more information. YES NO ALPHA VIAL DISCONNECT SET FROM PATIENT PRESS AND HOLD PURGE KEY 6. If YES> is selected, disconnect the set from the patient, and press and hold the PURGE> Softkey.
LifeCare PCA Infusion System Upon release of the PURGE> Softkey, the display asks if the purge is complete. 7. Select YES> to continue, or select NO> to purge again until complete. 8. After purging is complete, reconnect set to patient. 9. 4- 11 ALPHA VIAL PURGE COMPLETE? YES NO Select desired units of measure. For the demonstration purposes Micrograms is selected. ALPHA VIAL SELECT UNITS OF MEASURE MILLIGRAMS (mg) MICROGRAMS (mcg) 430-04685-001 (Rev.
4- 12 Basic Operation ALPHA VIAL ENTER DRUG CONCENTRATION THEN PRESS ENTER BUTTON 1-100 mcg/mL mcg 10 mL micrograms PREVIOUS 10. Enter desired drug concentration within the displayed range. NOTE: Only whole numbers may be entered when using micrograms (mcg). If a decimal entry is attempted, the display will inform the user that the decimal point is not allowed. Press [CLEAR] to zero the value. Then enter a whole value within the displayed range. 11. Then press ENTER ALPHA VIAL 10 mcg/mL . 12.
LifeCare PCA Infusion System 14. Enter a Loading Dose within the displayed range.Then press ENTER . 4- 13 ALPHA VIAL 10 mcg/mL ENTER LOADING DOSE THEN PRESS ENTER BUTTON 1 - 100 mcg 20 mcg micrograms PREVIOUS 15. The DELIVER LOADING DOSE NOW SCREEN allows the option of delivering the loading dose now or after the programming is complete. ALPHA VIAL 10 mcg/mL DELIVER LOADING DOSE NOW? YES DELIVER LATER 16. If YES> was selected, press the BUTTON to infuse the programmed Loading Dose.
4- 14 Basic Operation WARNING Always monitor the infuser when delivering medication with the door unlocked. 17. If the DELIVER LATER option is selected, the screen advances to the SELECT DELIVERY MODE SCREEN. ALPHA VIAL 10 mcg/mL PRESS PAUSE BUTTON TO STOP 15 mcg micrograms INFUSING LOADING DOSE ALPHA VIAL 10 mcg/mL SELECT DELIVERY MODE 18. The screen displays the amount of analgesic delivered as it infuses. The bottom of the screen displays text confirming that the Loading Dose is being delivered.
LifeCare PCA Infusion System 4- 15 4.3 Getting Started This section details the PCA Infuser setup procedures. UNPACKING Inspect the PCA Infuser packaging for possible shipping damage. If damage is found, contact the delivery company immediately. Unpack the PCA Infuser carefully, and inspect the PCA Infuser thoroughly for damage. Retain the packing slip and save all packing material in case the PCA Infuser is damaged or fails the infuser self-test and has to be returned to Hospira.
4- 16 Basic Operation CONNECTING THE PATIENT PENDANT The Patient Pendant should be plugged into the unit prior to programming. 1. Connect Patient Pendant plug into the back of unit opening labeled Patient Pendant. 2. Tighten connector ring snugly to confirm proper attachment. SYSTEM SELF-TESTS Connect the AC power (mains) cord to an AC power receptacle, then confirm that the power plug icon is illuminated on the front of the infuser.
LifeCare PCA Infusion System 4- 17 complete. If a vial was not previously inserted and the self-test was successful, put a vial (with a fully primed set) into the infuser. NOTE: When operating on battery power, a LOW BATTERY Message displays to prompt for an AC power connection. CAUTION: Do not operate the PCA Infuser with the battery removed. Use of a properly maintained and charged battery helps ensure proper operation.
4- 18 Basic Operation 4.4 Operating the PCA Infuser The following topics are addressed in this section: • • Intravenous PCA Infuser Administration Epidural PCA Infuser Administration INTRAVENOUS PCA INFUSER ADMINISTRATION 1. Connect the syringe to the set and manually prime set. 2. Attach primary IV set line to recommended PCA Infuser set, list #’s 3559, 6516, or 6517 attached to list 6514 via backcheck valve port. 3.
LifeCare PCA Infusion System 4- 19 EPIDURAL PCA INFUSER ADMINISTRATION NOTE: The administration of drugs is restricted to those analgesic drugs approved for continuous epidural administration. Recommended use of the epidural route is for labor and delivery, acute pain control, or post-operative analgesia for periods up to 96 hours. WARNING It is strongly recommended that the epidural infusion system be prominently identified as epidural.
4- 20 Basic Operation other resuscitative drugs. Adequate monitoring equipment is re commended for c ontinuous monitoring of the patient during epidural administration. Patients must be observed for sideeffects frequently in a fully equipped and staffed environment for at least 24 hours following completion of epidural drug administration. CAUTION: Delayed respiratory depression following continuous epidural administration of preservativefree morphine sulfate has been reported.
LifeCare PCA Infusion System 4- 21 4.5 Loading a Vial WARNING Failure to use compatible Hospira/Abbott vial/injector and Hospira/Abbott PCA Infuser sets with integral antisiphon valve may cause an inaccurate dose delivery to the patient. 1. Squeeze Cradle Release Mechanism together at the top of the holder and move to the uppermost position. NOTE: Always verify that the bar code reader window is clean before inserting vial. 1 1 1 DRUG NAME 4 3 5 2 2.
4- 22 Basic Operation CAUTION: Vial and injector must be securely locked into the infuser before beginning delivery. WARNING Cracked vials may not show evidence of leakage until delivery pressure is applied. NOTE: If the device is OFF, improper loading of syringe will turn the device ON and activate a non-silenceable CHECK SYRINGE alarm within 30 seconds after CONTINUE> is selected. Proper loading (engaging injector flange) silences the alarm. 430-04685-001 (Rev.
LifeCare PCA Infusion System 4- 23 4.6 Adjusting Settings 1. Press BUTTON to power on the infuser. Upon initial start-up, the self-test begins. It may take several seconds for the Hospira logo to appear on the screen. 2. Select SYSTEM SETTINGS> to view the Change Settings Menu. NOTE: Date and time may also be configured using the Hospira MedNetTM Software (if enabled). LifeCare PCA SELF TEST LifeCare PCA SELF TEST COMPLETE RAM . . . . . OK FLASH . . . OK CPU ID . . . OK CPU . . . . . OK TIMER . . . .
4- 24 Basic Operation CHANGING ALARM VOLUME 1. Select VOLUME>. SELECT SETTING TO CHANGE VOLUME CONTRAST TIME/DATE CONTINUE SELECT ALARM VOLUME HIGH 2. Select desired volume, then SAVE & EXIT>. The current setting flashes at this screen. MEDIUM LOW CANCEL SAVE & EXIT 430-04685-001 (Rev.
LifeCare PCA Infusion System 4- 25 CHANGING CONTRAST OF MAIN DISPLAY 1. Select CONTRAST>. SELECT SETTING TO CHANGE VOLUME CONTRAST TIME/DATE CONTINUE 2. 3. Select desired adjustment softkey repeatedly until contrast is optimized for viewing. Select SAVE & EXIT>. ADJUST LCD CONTRAST TO DESIRED LEVEL LIGHTER DARKER CANCEL SAVE & EXIT 430-04685-001 (Rev.
4- 26 Basic Operation CHANGING OR CONFIRMING TIME AND DATE WARNING Changing the date or time will clear all totals. The current program will remain intact when the time/date function is accessed. Lockouts or limits in place when the time/date is changed will remain in effect. SELECT SETTING TO CHANGE 1. Select TIME/DATE>.After selecting TIME/DATE>, a warning screen appears to indicate that changing the date or time will clear all totals.
LifeCare PCA Infusion System 4. Select AM/PM> to alternate between AM and PM. NOTE: Time may be displayed using the 12 or 24 hour clock. The default setting is the 12 hour clock. The clock selection option is available in the Biomed Mode. 5. After changing the time, select NEXT> to change the date. 6. To change the date, set the date with the Numbers Buttons. 4- 27 SET TIME WITH NUMBERS BUTTONS TOGGLE AM/PM 10:43 PM AM/PM NEXT SET DATE WITH NUMBERS BUTTONS The current setting for Date will flash.
4- 28 CONFIRM CURRENT TIME AND DATE SETTINGS 9:21 PM 01/15/01 CONFIRM CHANGE CANCEL Basic Operation 7. Select NEXT> again after changing to the desired date. The CONFIRMATION SCREEN appears. Select CONFIRM> to verify the changed settings. 8. Then select CONTINUE> to exit the Change System Settings Menu and display the VIAL CONFIRMATION SCREEN (if the vial is loaded properly). 430-04685-001 (Rev.
LifeCare PCA Infusion System 4- 29 4.7 New Patient 1. The NEW PATIENT SCREEN appears if the infuser has been off for 4 hours or less. Select YES> or NO>. NOTE: If the infuser has been off for 4 hours or less, the History and Rx settings are automatically cleared and the NEW PATIENT SCREEN is not shown. 2. New Patient? Yes No If YES> is selected, the History and Rx settings are cleared.
4- 30 Basic Operation 4.8 Purging the System WARNING The patient must be disconnected from the PCA Infuser set before the purge cycle. After the infuser is turned on and the self-tests are complete, the purge system prompt appears. Confirm that the PCA Infuser set is disconnected from the patient’s IV line before pressing YES> to initiate the purge cycle. To remove system slack when a new syringe is installed, we recommend purging the infuser before beginning operation. Press and hold the PURGE> key.
LifeCare PCA Infusion System 4- 31 not normally delivered to the patient during the compliance step, under some conditions up to 0.3 mL of fluid may be delivered. If 0.3 mL of fluid represents a hazard to the patient, disconnect the set during this operation. 1. If YES> is selected, disconnect the set from the patient, and press and hold the PURGE> Softkey. NOTE: While purging is occurring, the word PURGING will be displayed. NOTE: Purging is recommended to remove system slack when a new vial is inserted.
4- 32 Basic Operation 4.9 Loading Dose After the drug concentration has been confirmed, an optional loading dose may be programmed to provide an immediate bolus to the patient. MORPHINE PF 1 mg/mL SET LOADING DOSE? YES 1. Set Loading Dose (if desired) by selecting YES>. If NO> is selected, the screen advances to the SELECT MODE SCREEN. See Modes of Delivery on page 5-2 for information on modes.
LifeCare PCA Infusion System 4. 5. 4- 33 The next screen offers the options of infusing the loading dose now or later (after programming is complete). If DELIVER LOADING DOSE NOW ? is desired, press the YES> Softkey to infuse the programmed Loading Dose. MORPHINE PF 1 mg/mL If the DELIVER LATER option is desired, the screen advances to the SELECT DELIVERY MODE SCREEN. DELIVER LATER DELIVER LOADING DOSE NOW? YES See Modes of Delivery on page 5-2 for more information. 6.
4- 34 430-04685-001 (Rev.
LifeCare PCA Infusion System Section 5 5-1 Select Mode This section addresses these topics: • • • • • • • • • • • • • • • Modes of Delivery PCA Only Mode Continuous Mode PCA+Continuous Mode Protocols Dose Limit Clearing the History and/or Rx Settings Using Review/Confirmation Screens Changing Settings During Setup Making Changes After Setup Clearing Shift Totals Changing a Vial Adding a Supplemental Loading Dose Checking History & Settings History and Event Log 430-04685-001 (Rev.
5-2 Select Mode 5.1 Modes of Delivery The PCA Infuser delivers analgesia in one of three modes: • PCA ONLY • CONTINUOUS • PCA+CONTINUOUS PROTOCOLS Protocols for Hospira/Abbott prefilled drug vials and sterile empty vials are created in the Biomed Mode or through the Hospira MedNetTM Software. There are 10 stored protocols available (without Hospira MedNetTM Software enabled) or 90 stored protocols (5 per CCA) available (with Hospira MedNetTM Software enabled).
LifeCare PCA Infusion System 5-3 CONTINUOUS A programmed Continuous infusion is started by pressing the [START/PAUSE] Button after the door is closed and locked. The patient pendant is disabled in CONTINUOUS Mode. Upon reaching the DOSE LIMIT, if entered, the infuser stops drug delivery, and the designated HR LIMIT REACHED Message is displayed. NOTE: Dose Limit periods are specified as 1 and 4 hours on an infuser with the Default Drug Library.
5-4 Select Mode 5.2 PCA Only Mode For detailed startup information including vial insertion, clearing settings, purging, and setting a Loading Dose, see Loading a Vial on page 4 - 20. For information on adjusting system settings such as contrast and volume see Adjusting Settings on page 4 - 22. LifeCare PCA SELF TEST 1. Unlock door and press Button, or load drug vial into cradle, to power on the infuser. Upon initial start-up the self-test begins.
LifeCare PCA Infusion System 5-5 9. Set Loading Dose (if desired) by selecting YES>. See Loading Dose on page 4-31 for more information. 10. Enter a Loading Dose within the displayed range. 11. Then press ENTER . Select YES> to infuse the programmed Loading Dose. Select Deliver Later> to delay loading dose delivery. MORPHINE PF 1 mg/mL DELIVER LOADING DOSE NOW? YES DELIVER LATER 12. From the Select Delivery Mode SCREEN, select PCA ONLY>.
5-6 Select Mode MORPHINE PF 1 mg/mL ENTER PCA DOSE THEN PRESS ENTER BUTTON 0.1 - 5 mg 13. Enter the desired PCA dose using the numeric keypad. If the value is entered incorrectly, press change value. C L R to 14. Then press ENTER . 2 mg milligrams PREVIOUS MORPHINE PF 1 mg/mL ENTER LOCKOUT INTERVAL THEN PRESS ENTER BUTTON 5-120 min 10 min minutes If programming changes need to be made, select PREVIOUS> to return to the preceding screen. 15. Enter a lockout Interval value.
LifeCare PCA Infusion System 5-7 NOTE: See Dose Limit on page 5-21 (1 or 4 hour) for complete information about this feature. 18. Select CONFIRM> to verify the NO DOSE LIMIT selection. Select PREVIOUS> to return to the preceding screen. MORPHINE PF 1 mg/mL CONFIRM NO DOSE LIMIT? CONFIRM PREVIOUS 19. Select CONFIRM> to verify settings. Or, select PREVIOUS> to return to the preceding screen. 20. Close and lock door. Place key in a secure location.
5-8 Select Mode MORPHINE PF 1 mg/mL PCA ONLY PCA LOCKOUT NO 4 HR LIMIT 7.5 mg Approximately 10 seconds after the door is locked, the DOOR LOCKED Message disappears. After delivering the PCA dose, the PCA LOCKOUT Message appears indicating the PCA Infuser is locked out. milligrams TOTAL DELIVERED PCA DOSE = 2 mg If the Patient Pendant is partially pressed, a Pendant Fault Message appears. This is corrected by releasing the button.
LifeCare PCA Infusion System 5-9 5.3 Continuous Mode For detailed startup information including vial insertion, clearing settings, purging, and setting a Loading Dose, see Loading a Vial on page 4 - 20. For information on adjusting system settings such as contrast and volume see Adjusting Settings on page 4 - 22. 1. Unlock door and press Button, or load drug vial into cradle, to power on the infuser. Upon initial start-up the self-test begins.
5 - 10 Select Mode 8. After purging, reconnect set to patient. 9. Set Loading Dose (if desired) by selecting YES>. See Loading Dose on page 4-31 for more information. Enter a Loading Dose within the displayed range. 10. Then press ENTER . MORPHINE PF 1 mg/mL DELIVER LOADING DOSE NOW? YES Select YES> to infuse the programmed Loading Dose. Select Deliver Later> to delay loading dose delivery. DELIVER LATER MORPHINE PF 1 mg/mL SELECT DELIVERY MODE 11.
LifeCare PCA Infusion System 12. Enter a continuous rate using the keypad. The value range is displayed on the screen. If value is entered incorrectly, press to change value. C L R 13. Then press ENTER . If programming changes need to be made, select PREVIOUS> to return to the preceding screen. 14. Set a specific dose limit by selecting YES> and advancing to the Dose Limit Enter Value SCREEN. Select NO> to choose No Dose Limit. No Dose Limit will be selected for this example.
5 - 12 Select Mode MORPHINE PF 1 mg/mL CONFIRM NO DOSE LIMIT? 15. Select CONFIRM> to verify No Dose Limit selection. Select PREVIOUS> to return to the preceding screen. CONFIRM PREVIOUS MORPHINE PF 1 mg/mL CONTINUOUS 16. Select CONFIRM> to verify settings. Or, select PREVIOUS> to return to the preceding screen. P CONT. RATE 2 mg/hr 4 HOUR LIMIT 17. Close and lock door. Place key in a secure location. NO CONFIRM PREVIOUS MORPHINE PF 1 mg/mL CONTINUOUS 18. Press to begin therapy.
LifeCare PCA Infusion System 5 - 13 5.4 PCA+Continuous Mode For detailed startup information including vial insertion, clearing settings, purging, and setting a Loading Dose, see Loading a Vial on page 4 - 20. For information on adjusting system settings such as contrast and volume see Adjusting Settings on page 4 - 22. 1. Unlock door and press Button, or load drug vial into cradle, to power on the infuser. Upon initial start-up the self-test begins.
5 - 14 9. Select Mode Set Loading Dose (if desired) by selecting YES>. See Loading Dose on page 4-31 for more information. 10. Enter a Loading Dose within the displayed range. 11. Then press ENTER . MORPHINE PF 1 mg/mL DELIVER LOADING DOSE NOW? YES 12. Select YES> to infuse the programmed Loading Dose. Select Deliver Later> to delay loading dose delivery. DELIVER LATER MORPHINE PF 1 mg/mL SELECT ENTER DELIVERY PCA DOSEMODE THEN PRESS ENTER PCABUTTON ONLY 0.1+- CONT. 5 mg PCA 13.
LifeCare PCA Infusion System 14. Enter PCA dose value using the keypad. The value range is displayed on the screen. If value is entered incorrectly, press to change value. C L R If programming changes need to be made, select PREVIOUS> to return to the preceding screen. 16. Enter a Lockout Interval value. (Value range is displayed on the screen.) If the value is entered incorrectly, press to change the value. 18. Enter a Continuous Rate. The value range is displayed on screen.
5 - 16 Select Mode If programming changes need to be made, select PREVIOUS> to return to the preceding screen. MORPHINE PF 1 mg/mL SET A DOSE LIMIT? 20. Set a specific dose limit by selecting YES> and advancing to the DOSE LIMIT ENTER VALUE SCREEN. Or select NO> to choose NO DOSE LIMIT. YES NO PREVIOUS Setting a specific Dose Limit will be selected for this example.
LifeCare PCA Infusion System 23. Select CONFIRM> to verify settings. Or, select PREVIOUS> to return to the preceding screen. 24. Close and lock door. Place key in a secure location. After locking the door the PCA bolus is available for infusion. The patient presses pendant to initiate PCA dose. 25. Press to begin therapy. Approximately 10 seconds after door is locked and 5 - 17 MORPHINE PF 1 mg/mL PCA+CONT PCA DOSE 2 mg LOCKOUT 10 min CONT.
5 - 18 Select Mode 5.5 Protocols For detailed startup information including vial insertion, clearing settings, purging, and setting a Loading Dose, see Loading a Vial on page 4 - 20. For information on adjusting system settings such as contrast and volume see Adjusting Settings on page 4 - 22. NOTE: Protocols may be established by the hospital via Hospira MedNetTM Software or via Biomed Mode. Hospira MedNetTM Software enabled devices allow for protocol programming from the Rx Rules application.
LifeCare PCA Infusion System 5 - 19 6. If YES> is selected, disconnect the set from the patient, and press and hold the PURGE>. 7. Select YES> to continue, or select NO> to purge again until complete. 8. After purging, reconnect set to patient. 9. Set Loading Dose (if desired) by selecting YES>. For more information see Loading Dose on page 4 - 31. 10. Enter a Loading Dose in the displayed range. 11. Then press ENTER . 12. Press to infuse programmed Loading Dose.
5 - 20 Select Mode MORPHINE PF 1 mg/mL PCA+CONT PCA DOSE 2 mg LOCKOUT 10 min CONT. RATE 2 mg/hr 4 HOUR LIMIT 40 mg CONFIRM PREVIOUS 14. Select CONFIRM> to accept the chosen protocol settings. Or press PREVIOUS> to return to the preceding screen. 15. Close and the lock door. Place key in a secure location. 16. Press to begin therapy. Approximately 10 seconds after door is locked and is pressed, the DOOR LOCKED MESSAGE disappears. 430-04685-001 (Rev.
LifeCare PCA Infusion System 5 - 21 5.6 Dose Limit The dose limit is a physician prescribed value that serves to limit the total dosage delivered in any 4 hour (or 1 hour) period. This optional feature provides added safety that limits the total drug delivered in all delivery modes.
5 - 22 Select Mode PROGRAMMING THE 4 (OR 1) HOUR DOSE LIMIT The opportunity to program this feature is presented in two entry screens. The first screen prompts the clinician to choose whether or not to set a Dose Limit. Selecting NO> brings up the CONFIRM NO DOSE LIMIT SCREEN. Selecting YES> brings up the DOSE LIMIT ENTER VALUE SCREEN. This requires that the clinician enter a value within the displayed range.
LifeCare PCA Infusion System 4. Select CONFIRM> to accept the chosen protocol settings. Or press PREVIOUS> to return to the preceding screen. 5. Close and lock the door. Place key in a secure location. 6. Press to begin therapy. Approximately 10 seconds after door is locked and 5 - 23 MORPHINE PF 1 mg/mL PCA+CONT PCA DOSE 2 mg LOCKOUT 10 min CONT. RATE 2 mg/hr 4 HOUR LIMIT 40 mg CONFIRM PREVIOUS is pressed, the DOOR LOCKED MESSAGE disappears. 430-04685-001 (Rev.
5 - 24 Select Mode PROGRAMMING NO DOSE LIMIT MORPHINE PF 1 mg/mL SET A DOSE LIMIT? YES 1. Select NO> at the DOSE LIMIT SELECTION SCREEN. The display advances to the Confirm NO DOSE LIMIT SCREEN. NO PREVIOUS MORPHINE PF 1 mg/mL CONFIRM NO DOSE LIMIT? CONFIRM 2. Select CONFIRM> to verify the selection of the No Dose limit. NOTE: When NO LIMIT has been programmed, the message NO 4 HR LIMIT will be displayed after the door has been locked.
LifeCare PCA Infusion System 5 - 25 CLEARING OR CHANGING A DOSE LIMIT 1. Unlock door to stop the infuser. 2. Select CHANGE RX>. NOTE: CHANGE CCA> will only display if Hospira MedNetTM Software has been enabled. 3. Select NEXT> to display more change options. MORPHINE PF 1 mg/mL PAUSED PCA+CONT LOCK DOOR TO BEGIN LOADING DOSE CHANGE RX CLEAR SHIFT CHANGE CCA MORPHINE PF 1 mg/mL SELECT SETTINGTO CHANGE MODE PCA DOSE CONT. RATE NEXT SAVE & EXIT 430-04685-001 (Rev.
5 - 26 Select Mode MORPHINE PF 1 mg/mL 4. Select DOSE LIMIT>. SELECT SETTING TO CHANGE LOCKOUT DOSE LIMIT NEXT SAVE & EXIT MORPHINE PF 1 mg/mL SET A DOSE LIMIT? YES NO PREVIOUS MORPHINE PF 1 mg/mL CONFIRM NO DOSE LIMIT? 5. Set a specific dose limit by selecting YES> then advance to the DOSE LIMIT ENTER VALUE SCREEN. Or, select NO> to choose NO DOSE LIMIT. No Dose Limit will be selected for this example. 6. Select CONFIRM> to verify the NO DOSE LIMIT selection.
LifeCare PCA Infusion System 7. Press SAVE & EXIT> at the next screen. This will bring up the REVIEW/CONFIRMATION SCREEN. 5 - 27 MORPHINE PF 1 mg/mL SELECT SETTINGTO CHANGE LOCKOUT DOSE LIMIT NEXT SAVE & EXIT 8. Press CONFIRM> to accept a new program. MORPHINEPF 1 mg/mL PCA ONLY PCA DOSE LOCKOUT 2 mg 10 min 4HOUR LIMIT NO CONFIRM PREVIOUS 430-04685-001 (Rev.
5 - 28 Select Mode 5.7 Clearing the History and/or Rx Settings New Patient? Yes No MORPHINE PF 1 mg/mL CONFIRM 1 mg/mL MORPHINE PF TO RX REMOVE VIAL IF NOT CORRECT 1. To clear the HISTORY AND RX settings turn the infuser [OFF] and [ON] again to get to the NEW PATIENT Screen. 2. Press Yes> and HISTORY AND RX settings are cleared. NOTE: The NEW PATIENT SCREEN appears if the infuser has been off for 4 hours or less. HISTORY AND RX are automatically cleared and the NEW PATIENT SCREEN is not displayed.
LifeCare PCA Infusion System 5 - 29 5.8 Using Review/Confirmation Screens Prior to locking the infuser and removing the key, a REVIEW/ CONFIRMATION SCREEN appears as shown below. As determined by the programmed mode of delivery, the screen displays the current settings for the applicable parameters (including PCA Dose, Lockout Interval, Continuous Rate, and Dose Limit). MORPHINE PF 1 mg/mL PCA+CONT PCA DOSE 2 mg LOCKOUT 10 min CONT.
5 - 30 Select Mode 5.9 Changing Settings During Setup During setup, select PREVIOUS> to return to the preceding display and enter the desired setting. Each time PREVIOUS> is selected, the message display reverts to the previous setting, until the first setting is displayed. STOPPING INFUSION 1. Close slide clamp on the PCA Infuser administration set. WARNING Always close slide clamp on the PCA administration set before removing or replacing the syringe, and before discontinuing infusion. 2. Unlock door.
LifeCare PCA Infusion System 5 - 31 5.10 Making Changes After Setup REVIEWING THE CURRENT SETTINGS Settings may be reviewed while the infuser is running or stopped. 1. Press HISTORY Button twice. 2. Press EXIT to return to main menu. Or, select PREVIOUS> to return to the preceding display. CHANGING SETTINGS 1. Unlock the door while the infuser is running. The infuser will be paused. 2. Select CHANGE RX> to change individual settings.
5 - 32 Select Mode MORPHINE PF 1 mg/mL ENTER PCA DOSE THEN PRESS ENTER BUTTON 4. Enter the desired PCA dose using the numeric keypad. (The value range is displayed on the screen.) If the value is entered incorrectly, press 0.1 - 5 mg 1 mg C L R to change value. 5. Then press ENTER . milligrams PREVIOUS MORPHINE 1 mg/mL SELECT SETTING TO CHANGE MODE If programming changes need to be made, select PREVIOUS> to return to the preceding screen. 6.
LifeCare PCA Infusion System 5 - 33 CHANGING THE CCA 1. Unlock the door while the infuser is running. The infuser will pause. 2. Select CHANGE CCA> to change the setting. NOTE: CHANGE CCA> will only display if Hospira MedNetTM Software has been enabled. MORPHINE PF 1 mg/mL CARDIOLOGY PAUSED PCA+CONT LOCK DOOR TO BEGIN LOADING DOSE CHANGE RX CLEAR SHIFT CHANGE CCA WARNING Changing the CCA clears the RX settings. 3. At the WARNING SCREEN select CONTINUE>.
5 - 34 Select Mode 5.11 Clearing Shift Totals 1. Review & record shift totals using HISTORY BUTTON before clearing the shift totals. the 2. Unlock the door while the infuser is running. The infuser will be paused. MORPHINE PF 1 mg/mL PAUSED PCA+CONT LOCK DOOR TO BEGIN LOADING DOSE CHANGE RX CLEAR SHIFT CHANGE CCA 3. Select CLEAR SHIFT> to display the option to clear the total dose delivered. NOTE: CHANGE CCA> will only display if Hospira MedNetTM Software was enabled. 4.
LifeCare PCA Infusion System 5 - 35 5.12 Changing a Vial 1. The alarm message EMPTY SYRINGE appears along with the statement REPLACE SYRINGE. 2. Close the slide clamp on the PCA administration set. NOTE: The screen displays that the infuser is PAUSED. 3. Remove the old vial by firmly grasping the glass vial on both sides and pulling straight out. 4. Load the new vial as shown before. (See Loading a Vial on page 4 - 20.
5 - 36 Select Mode c. Select & hold the PURGE> key until fluid is seen at the end of the set and no air remains inside the set. NOTE: Purging is recommended to remove slack when a new vial is inserted. The system must be primed before purging. The maximum volume delivered during a purge is 3 mL. NOTE: The drug delivered during the purge cycle is NOT stored in system memory and will not be displayed.
LifeCare PCA Infusion System 5 - 37 5.13 Adding a Supplemental Loading Dose 1. Unlock the door the infuser will pause. 2. Select LOADING DOSE>. MORPHINE PF 1 mg/mL PAUSED PCA+CONT LOCK DOOR TO BEGIN NOTE: CHANGE CCA> will only display if Hospira MedNetTM Software has been enabled. LOADING DOSE 3. Enter a Loading Dose within the displayed range. MORPHINE PF 1 mg/mL CHANGE RX CLEAR SHIFT CHANGE CCA ENTER LOADING DOSE THEN PRESS ENTER BUTTON 0.1 - 10 mg 4. Then press ENTER . 2.
5 - 38 Select Mode 5.14 Checking History & Settings NOTE: Program may be reviewed at any time by pressing the HISTORY BUTTON . 1. To Check History or settings, press PRESS HISTORY OR ENTER BUTTON TO SCROLL THROUGH HISTORY PRINT HISTORY MORPHINE PF 1 mg/mL PCA+CONT PCA DOSE LOCKOUT 0.5 mg 5 min CONT. RATE 10 mg/hr 4 HOUR LIMIT NO MORE... PREVIOUS BUTTON at any time. 2. Press or ENTER BUTTON to scroll through history. Or select PRINT HISTORY> to print (if connected to printer).
LifeCare PCA Infusion System 4. Continue to press or ENTER BUTTON for more information such as: 5 - 39 TIME : 8:04 PM DATE : 01/15/01 S/N:12920191 DELIVERED: LOADING DOSE 2 mg 4 HOUR DOSE 2 mg TOTAL DEL. 2 mg MORE... • Last one hour information if configured • Last 24-Hour information if configured • Current settings • Total drug delivered toward the dose limit • Event Log PREVIOUS The Event Log shows all events since the last Clear History. Up to 400 events are shown. 5.
5 - 40 Select Mode 5.15 History and Event Log The infuser stores data on therapy settings, quantity and/or number of doses delivered, and has the capacity of recording up to 20,000 events. The PCA Infuser displays a chronological record of 400 of the most recent events occurring during infusion by pressing the [HISTORY] Button.
LifeCare PCA Infusion System 5 - 41 Note: Events occurring while printing is in progress are stored in memory, but not included in the current printout. Note: If the lithium battery, the micro-controller unit, or the electronics assembly have been replaced, the serial number will NOT display on printouts. See the following pages for a sample history printout (in the PCA+CONTINUOUS Mode). 430-04685-001 (Rev.
5 - 42 430-04685-001 (Rev.
LifeCare PCA Infusion System 5 - 43 430-04685-001 (Rev.
5 - 44 430-04685-001 (Rev.
LifeCare PCA Infusion System 5 - 45 430-04685-001 (Rev.
5 - 46 430-04685-001 (Rev.
LifeCare PCA Infusion System 6-1 Section 6 Advanced Programming with Hospira MedNetTM Software The following topics are addressed in this section: • • • • • • Guided Start-up Using Hospira MedNet TM Software Select CCA Soft Limit Override Hard Limit Violation Important Symbols Autoprogramming 430-04685-001 (Rev.
6-2 Advanced Programming with Hospira MedNetTMSoftware 6.1 Guided Start-up Using Hospira MedNet TM Software User Defined Drug Libraries are developed by hospital personnel in conjunction with the pharmacy using Hospira MedNetTM Software. User Defined Drug Libraries allow hospitals to customize drugs in the library with preselected upper and lower delivery limits to ensure patient safety.
LifeCare PCA Infusion System 2. Select CONTINUE> to advance to the next screen. 6-3 LifeCare PCA SELF TEST COMPLETE RAM . . . . . OK FLASH . . . OK CPU ID . . . OK CPU . . . . . OK TIMER . . . .OK SYSTEM SETTINGS CONTINUE 3. The NEW PATIENT SCREEN appears if the infuser has been off for 4 hours or less. Select YES> or NO>. 4. If NO> is selected, the History and Rx settings are kept. If YES> is selected, the History and Rx settings are cleared. New Patient? Yes No 5.
6-4 Advanced Programming with Hospira MedNetTMSoftware SELECT CCA PACU ONCOLOGY ER PEDIATRIC NEXT MORPHINE PF 1 mg/mL PURGE? PURGING RECOMENDED 6. Select the softkey next to the desired CCA. (example PACU) If only one CCA has been created, that CCA becomes the default CCA, and this screen is skipped. If the desired CCA is not displayed, select NEXT> to view more options. 7. Select either YES> or NO> to purge the system. See Purging the System on page 4- 30 for more information.
LifeCare PCA Infusion System Upon release of the PURGE> Softkey, the display asks if the purge is complete. 9. Select YES> to continue, or select NO> to purge again until complete. 10. After purging is complete, reconnect set to patient. 6-5 MORPHINE PF 1 mg/mL PURGE COMPLETE? YES NO 11. Set Loading Dose (if desired) by selecting YES>. See Loading Dose on page 4- 32 MORPHINE PF 1 mg/mL PACU SET LOADING DOSE? for more information. YES NO Enter a Loading Dose within the displayed range. 12.
6-6 Advanced Programming with Hospira MedNetTMSoftware MORPHINE PF 1 mg/mL PACU DELIVER LOADING DOSE NOW? YES 13. The DELIVER LOADING DOSE NOW SCREEN allows the option of delivering the loading dose now or after the programming is complete. DELIVER LATER MORPHINE PF 1 mg/mL PACU PRESS START BUTTON TO INFUSE 2 mg LOADING DOSE PREVIOUS 14. If YES> was selected, press to infuse the programmed Loading Dose.
LifeCare PCA Infusion System 16. The screen displays the amount of analgesic delivered as it infuses. The bottom of the screen displays text confirming that the Loading Dose is being delivered. Upon completion, the red LED (above the LCD) displays the amount delivered. 17. The SELECT MODE SCREEN appears. See Modes of Delivery on page 5- 2 for more information.
6-8 Advanced Programming with Hospira MedNetTMSoftware 6.2 Select CCA SELECT CCA The SELECT CCA SCREEN displays if a user-defined drug library is installed with more than one CCA. Select the option appropriate for the patient. PACU MEDSURG PEDIATRICS ER NEXT If there is only one CCA, this screen will not display. NOTE: The prior CCA flashes. NOTE: If the wrong CCA is unintentionally chosen, turn the Infuser off, then on, and select the correct CCA.
LifeCare PCA Infusion System 6-9 6.3 Updating the Drug Library When the user presses OFF to shut the Infuser down, if a new user-defined drug library is available for installation the infuser will display the NEW DRUG LIBRARY AVAILABLE SCREEN. Select [No] to skip the installation and continue using the current library. The infuser will power off. NEW DRUG LIBRARY AVAILABLE INSTALL NOW? YES NO or Select [Yes] to begin the installing the new drug library.
6 - 10 Advanced Programming with Hospira MedNetTMSoftware DRUGLIBRARY INSTALL SUCCESSFUL SHUTTING DOWN UNABLE TO INSTALL DRUG LIBRARY The infuser displays the DRUG LIBRARY INSTALL SUCCESSFUL SCREEN after the libray has been installed successfully. The infuser will power off automatically. If the Drug Library is not installed within 15 minutes or if it fails to install, the Infuser displays the UNABLE TO INSTALL DRUG LIBRARY SCREEN, and the infuser will power off automatically.
LifeCare PCA Infusion System 6 - 11 6.4 Soft Limit Override When entering parameters, if a soft limit is exceeded, a soft limit override screen is displayed. 1. Review display for the exceeded parameter. 2. Select CONFIRM> to override the programmed soft limit, or select change to correct the parameter.
6 - 12 Advanced Programming with Hospira MedNetTMSoftware 6.6 Important Symbols NO RULE SETS 1 1 The Cautionary Symbol is displayed on the infusion screen to advise the user to program with caution because the established rule set does not have any soft or hard safety limits. SOFT LIMIT OVERRIDE The upper and lower Soft Limit Override symbols are displayed on the infusion screen to inform the user that one or more soft limits have been overridden. 430-04685-001 (Rev.
LifeCare PCA Infusion System 6 - 13 WIRELESS The Wireless symbol is displayed to inform the user that the PCA Infuser has an active connection to the wireless network. PACU WAITING FOR AUTO PROGRAM The wireless icon is only displayed on the Waiting for Autoprogram SCREEN. MANUAL PROGRAM This symbol indicates that the PCA Infuser is connected to the wireless network. It does not indicate if data is currently being sent or received. The Waiting for Autoprogram Message will flash on the screen.
6 - 14 Advanced Programming with Hospira MedNetTMSoftware 6.7 Autoprogramming Autoprogramming is a new feature for Hospira PCA infusion pumps. It can only be used if the feature has been installed in conjunction with your Hospital Information System (HIS) and Bar code Point-of-Care (BPOC) Unit. It works by scanning bar code labels for the patient and infuser using a BPOC hand-held unit. This information is then transferred to the infuser utilizing either its wireless antenna or RJ-45 Ethernet connector.
LifeCare PCA Infusion System 6 - 15 6. Verify that the Loading Dose setting is correct. To change the Loading Dose value, select CHG SETTINGS>. Otherwise, if the Loading Dose value is correct, select CONFIRM>. 7. To deliver Loading Dose and begin the program, select YES> on the LOADING DOSE NOT GIVEN SCREEN. To cancel the Loading Dose and just start the program, select CANCEL>. 8. Close and lock the door. Press [START] to begin program. 430-04685-001 (Rev.
6 - 16 Advanced Programming with Hospira MedNetTMSoftware 430-04685-001 (Rev.
LifeCare PCA Infusion System Section 7 7-1 Troubleshooting The PCA Infuser is programmed to display status and alarm messages and to sound an audible tone for most alarm conditions. These messages and alarm conditions are described in the following sections: • • • • • Status Messages Infuser Alarm System Silencing an Alarm Alarms and Messages Infuser Stalling 430-04685-001 (Rev.
7-2 Troubleshooting 7.1 Status Messages Displayed status messages are defined in the following table: MESSAGE DEFINITION DOOR LOCKED Message indicates the security door is closed and locked. It displays for 10 seconds and disappears. PCA LOCKOUT Message appears only in the PCA or PCA+CONTINUOUS Mode. The message remains until the lockout interval elapses and is displayed after a successful patientoriginated dose delivery.
LifeCare PCA Infusion System 7-3 MESSAGE DEFINITION PCA+CONT. Message displayed when infuser is in PCA+CONTINUOUS Mode. PAUSED Message displayed when infuser is stopped, but door is locked. Or, if door is opened. 430-04685-001 (Rev.
7-4 Troubleshooting 7.2 Infuser Alarm System During an Alarm condition, the system performs the following actions: • The current display message is saved to the event log. • A flashing alarm message appears on the display (See Alarms and Messages on page 7-6). • A repetitive, audible tone sounds with all MALFUNCTION alarms except PENDANT FAULT, which is a single tone with continuous visual flashing.
LifeCare PCA Infusion System 7-5 7.3 Silencing an Alarm To silence an alarm, press the [SILENCE] key, then follow the displayed messages. All alarms except the MALFUNCTION, CHECK VIAL, CHECK INJECTOR, and CHECK SYRINGE, can be muted. Clear the cause of the alarm, if possible, and press the [START/PAUSE] key to resume operation for Continuous or PCA + Continuous Modes. The original display message will be restored. NOTE: If the MALFUNCTION alarm sounds, press the [ON/ OFF] key to turn the infuser off.
7-6 Troubleshooting 7.4 Alarms and Messages MUTING TIMES POSSIBLE CAUSE CORRECTIVE ACTION Bar code Not Read 1 minute Vial not loaded properly • Position vial correctly Check Settings 1 minute Door locked without appropriate therapy settings • Open the door. Complete settings. Occlusion 1 minute Occlusion detected • Open security door if closed. Remove back pressure by squeezing and releasing the cradle release handles. Identify and correct the cause of the occlusion.
LifeCare PCA Infusion System 7-7 MUTING TIMES POSSIBLE CAUSE CORRECTIVE ACTION Check Injector None Vial is detected and injector not properly loaded • Properly insert injector into holder assembly or removal of vial Decimal Point Not Allowed! N/A Attempting to select the decimal point button when programming in micrograms (mcg). • Press [Clear] and enter valid whole number. Empty Syringe 15 minutes Empty vial detected • Press [Silence] to silence the alarm.
7-8 Troubleshooting MUTING TIMES POSSIBLE CAUSE CORRECTIVE ACTION Dead Battery None Battery life has expired • Apply AC power Pendant Fault - O Visible Flashing Occurs Pendant not secured into port • Secure pendant into port MESSAGE Faulty Connection or pendant Partial Pendant press Using PCA Plus II Patient Pendant (white handle) • Replace pendant or infuser • Release pendant button • Confirm use of PCA Patient Pendant (blue handle) Pendant Fault - S Visible Flashing Occurs Electrical Shor
LifeCare PCA Infusion System 7-9 7.5 Infuser Stalling If Hospira MedNetTM Software is enabled and the infuser stalls or suspends communication with an external devices, such as the MMU, for an inordinate amount of time, discontinue use and send the infuser to the Biomed Department for restarting. 430-04685-001 (Rev.
7 - 10 430-04685-001 (Rev.
LifeCare PCA Infusion System Section 8 8-1 Maintenance The following topics are addressed in this section: • • • • Infuser Storage Cleaning and Sanitizing Battery Maintenance Service ‘430-04685-001 (Rev.
8- 2 Maintenance 8.1 Infuser Storage To prolong the life of the PCA Infuser, observe the following storage precautions: • Store away from excessive heat, cold, and, humidity • Store the PCA Infuser connected to AC (mains) power • Switch off using the [ON/OFF] key 8.2 Cleaning and Sanitizing Establish a routine infuser cleaning schedule to keep it contamination free. CAUTION: Always check that the bar code reader window is clean.
LifeCare PCA Infusion System 8-3 solutions should only be used as directed. The disinfecting properties of cleaning solutions vary; consult the manufacturer for specific information. CAUTION: Never use sharp objects such as fingernails, paper clips, or needles to clean any part of the PCA Infuser. Establish a routine weekly schedule for cleaning the infuser case, front panel, and patient pendant.
8- 4 Maintenance Cleaning Solution Manufacturer Preparation Household bleach Various Per hospital procedures; do not exceed one part bleach in ten parts water On a routine basis, clean all of the elements behind the syringe door using cotton-tipped swabs saturated with cleaning solution. The door may be unlatched from the door handle to facilitate cleaning. WARNING Failure to clean infuser’s outside surfaces after patient use may spread infection.
LifeCare PCA Infusion System 8-5 8.3 Battery Maintenance WARNING Disconnect the AC power cord from AC supply before removing the battery door. CAUTION: Do not operate the PCA Infuser on patients with the battery removed. Use of a properly maintained and charged battery helps ensure proper operation. CAUTION: If the low-battery alarm sounds, connect the PCA Infuser to AC (mains) power immediately. The PCA Infuser is battery powered for emergency backup and temporary portable operation.
8- 6 Maintenance 8.4 Service All servicing or adjustments to the PCA Infuser should be referred to qualified technical personnel. A technical service manual may be ordered from the local Hospira sales office. 430-04685-001 (Rev.
LifeCare PCA Infusion System Section 9 9-1 Specifications Administration Sets: Use only compatible Hospira/Abbott PCA sets with Integral Anti-Siphon Valve Atmospheric Pressure: 0 - 10,000 feet (0 - 3,000m) or equivalent pressure Battery: One sealed, lead-acid, rechargeable 8 V battery, internal to device. Accessible for ease of field replacement with colorcoded leads and polarized connector. Battery Life: A conditioned battery at full charge should operate for at least 2.
9-2 Delivery Rate: Specifications See Section 10 Prescription Delivery Limits on page 10- 1. Mode Delivery Rate PCA Mode: Approximately 1 mL in 35 seconds CONTINUOUS Mode: Variable from 0.1 x concentration (mg/hr or mcg/hr) to 20 x concentration (mg/hr or mcg/hr) PCA+CONT. Mode: Variable from 0.1 x concentration (mg/hr or mcg/hr) to 20 x concentration (mg/hr or mcg/hr) + PCA dose (mg) Dimensions: Approximately 8”W 13”H 6”D, excluding pole clamp protrusion and power cord storage.
LifeCare PCA Infusion System Electrical Safety: 9-3 Meets IEC/EN/UL 60601-1 standards for: Spec Description Class 1: AC (mains) supply equipment using protective earth Type CF: Equipment providing a higher degree of electyric shock protection Drip Proof IPX1: The case is disinfectable and protected against dripping water.
9-4 Specifications Maximum Overinfusion: The maximum overinfusion under single fault conditions is 25% Occlusion Alarm Pressure: 15 psig ± 5psig Occlusion Bolus Volume: 2 mL for fully primed set (max) Operating Temperature: 5° to 40° C, 10% - 90% relative humidity Power Cord: Hospital-grade AC cord, 10 ft. long, with transparent plug and retainer plate.
LifeCare PCA Infusion System 9-5 9.1 Stored Occlusion Volume DELIVERY RATE PRESSURE LIMIT (Average)b STORED VOLUME (Average) 0.1 mL/hr 12.8 psig 0.92 mL 5 mL/hr 12.6 psig 0.94 mL 20 mL/hr 12.7 psig 0.96 mL 9.2 Time from Occlusion to Alarm DELIVERY RATE PRESSURE LIMIT (Average)b TIME TO OCCLUDE (Average) 0.1 mL/hr 12.8 psig 12 hours 5 mL/hr 12.6 psig 11 minutes 20 mL/hr 12.7 psig 3 minutes 9.
9-6 Specifications If multiple, partial PCA doses are delivered, the accumulated total reflected in the history totals may be more than the sum of the PCA doses logged in the event log. This is due to the fact that only a portion of the next 0.1 mg (or 1 mcg) may have been delivered at the time any of the PCA doses were interrupted. As these portions accumulate, their combined total may account for 0.1 mg (or 1 mcg).
LifeCare PCA Infusion System 9-7 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% -5.0% -10.0% D Average Delivery Rate Error = +1.6% -15.
9-8 Specifications 9.4 Trumpet Curves PCA, 0.1 ml/hr, 0 mmHg Delivery Head, 0.9% Saline Maxima/Minima of 3 Pumps 100.0% 80.0% 60.0% 40.0% 20.0% 0.0% -20.0% -40.0% -60.0% - -80.0% 100.0% 0 5 10 15 20 25 30 Obse r v a t i on I n t e r v a l ( m i n) PCA, 1 ml/hr, 0 mmHg Delivery Head, 0.9% Saline Maxima/Minima of 3 Pumps 15.0% 10.0% 5.0% 0.0% -5.0% - 10.0% - 15.0% 0 5 10 15 20 25 30 Obse r v a t i o n I nt e r v a l ( m i n ) M ax Min M ean PCA, 5 ml/hr, 0 mmHg Delivery Head 0.
LifeCare PCA Infusion System 9-9 PCA, 5 ml/hr, -100 mmHg Delivery Head, 0.9% Saline Maxima/Minima of 3 Pumps 15.0% 10.0% 5.0% 0.0% - 5.0% -10.0% -15.0% - 20.0% - 25.0% 0 5 10 15 20 25 30 Ob se r v a t i o n I n t e r v a l ( m i n ) Max Mi n Mean PCA, 5 ml/hr, +100 mmHg Delivery Head, 0.9% Saline Maxima/Minima of 3 Pumps 20.0% 15.0% 10.0% 5.0% 0.0% -5.0% - 10.0% - 15.
9 - 10 430-04685-001 (Rev.
LifeCare PCA Infusion System 10 - 1 Section 10 Prescription Delivery Limits Prescription delivery limits for the loading dose, PCA dose, dose limit, and continuous delivery rate parameters vary with the drug and concentration selected. See Table 10.1 on page 10-2 and Table 10.2 on page 10-3 for listings of the lower and upper limits. NOTE: Drug and concentration selections are rounded up to the nearest tenth of a digit for mg/mL values or to the nearest digit for mcg/mL values. Minimum delivery rate is 0.
430-04685-001 (Rev. 7/05) 10 1 -100 0.5-50 1- 50 0.5- 25 0.1-5 PCA dose (mg) min- max 1- 200 0.5- 100 0.1-20 Cont. rate (mg) min- max 1- 200 0.5- 100 0.1- 20 1 hr limit (mg) min- max 1- 800 0.5- 400 0.1- 80 4 hr limit (mg) min- max See current product sales catalog for available drug Notes: 1Pump will reject values > 999.9 mg Pump will reject values < 0.1 mg Lockout interval range is 5 to 120 minutes (increments of 1 minute) Conc.
Conc. (C) Range (units/ mL) Loading Dose min- max PCA dose [0.1-10] X C 1 - 100 mcg units [0.1-5] X C [0.1-5] X C [0.1-20] X C [0.1-20] X C Cont. rate (units/hr) min- max [0.1-20] X C [0.1-20] X C min- max 1 hr limit [0.1-80] X C [0.1-80] X C min- max 4 hr limit [0.1-10] X C 1 - 500 mcg units [0.1-5] X C [0.1-5] X C [0.1-20] X C1 [0.1-20] X C1 [0.1-20] X C1 [0.1-20] X C1 [0.1-80] X C1 [0.
10 - 4 Prescription Delivery Limits 430-04685-001 (Rev.
LifeCare PCA Infusion System A-1 Appendix A Generating Bar Code Labels (Hospira MedNetTM Software Enabled) Hospira recommends that the hospital or pharmacy department develop clear policies and procedures for the following: • Generating Bar Code Labels • Applying Labels to Empty Sterile Vials • Filling Labeled Empty Sterile Vials • Validating Correctly Filled and Labeled Vials Incorrect labels or filled vials may lead to significant and potentially fatal adverse events.
A-2 Generating Barcode Labels Equipment: 1. Bar code thermal printer - 300 DPI or higher 2. Bar code label software capable of producing labels • ANSI X3.182-1990 • EAN/UCC Code 128, Code Set C (numeric characters only) • ANSI Grade C or better • 10 mil (0.010 inches) pitch minium • Bar code height is 1 inch • 18 Characters max 3. Opaque polyester labels, (non-paper labels) which are water and smudge resistant, are recommended. 430-04685-001 (Rev.
LifeCare PCA Infusion System A-3 EXAMPLE OF LABEL LAYOUT & SAMPLE Example of a pharmacy-generated bar code label on a PCA vial. The plunger is shown for reference. The human readable label is on the right side of the vial and is not shown on this illustration. 430-04685-001 (Rev.
A-4 Generating Barcode Labels LABEL DIAGRAM The label diagram below depicts the area where the bar code image must be placed within the dimensions shown. The copy area (length and width must be as specified +/- 1/32”. The center bar code includes 1/4” quiet zone on each side of the bar code. The bar code and comodity number must be black on a white background. 430-04685-001 (Rev.
LifeCare PCA Infusion System A-5 The dimensions shown on the previous label diagram represent Hospira's recommendation for placement of the bar code and drug name/concentration on a 2"x3" label. The guidelines ensure the device's integral bar code reader will align correctly with the bar code on the PCA vial. Your institution may choose to use a different format for placement of the drug name and concentration based on your specific hospital guidelines or size of the label.
A-6 Generating Barcode Labels 430-04685-001 (Rev.
LifeCare PCA Infusion System B-1 Appendix B Network Printer Setup This section provides information about the printing function. Equipment needed • Infuser • Computer meeting the printer setup requirements • Network crossover cable Preparation • Connect the crossover cable between the printer network port and the computer. • Plug infuser & printer into AC power • Turn on the infuser and printer Procedure 1. Identify the printer IP settings - refer to printer operating instructions. 2.
B-2 Network Printer Setup PRINTING EVENT HISTORY LOG The history event log can be printed by connecting the infuser to a network ready printer. Use the previous instructions to configure the printer. WARNING Disconnect the infuser from the patient before connecting the infuser to a printer or computer. To print from the PCA Infuser, complete the following steps: 1. Load printer with paper. 2. Connect a network crossover cable between the printer and the infuser. 3. Plug infuser & printer into AC power.
LifeCare PCA Infusion System B-3 DOWNLOADING LOGS TO A PC Equipment needed • • • Infuser PC with Hyper Terminal program Network crossover cable Preparation Connect the crossover cable between the computer and the infuser. Turn on the infuser and the PC. Procedure 1. Create a Hyper Terminal connection. 430-04685-001 (Rev.
B-4 Network Printer Setup 2. Create a PCA Events connection setting: 3. Establish the connection settings. • • • Host address is the IP address of the infuser that connected to the PC. Port number is 8889 where the infuser will send the events to the PC. Connect using TCP/IP protocol. 430-04685-001 (Rev.
LifeCare PCA Infusion System B-5 4. The Hyper Terminal program is ready to receive events sent from the infuser. 5. Printing to a PC. • • To print from the PCA Infuser, complete the following steps: Press [History] touch switch to view the history on the display. • Press Print HISTORY> Softkey to print history log. 430-04685-001 (Rev.
B-6 430-04685-001 (Rev.
LifeCare PCA Infusion System Appendix C C- 1 Warranty Subject to the terms and conditions herein, Hospira, Inc., herein referred to as Hospira, warrants that (a) the product shall conform to Hospira's standard specifications and be free from defects in material and workmanship under normal use and service for a period of one year after purchase, and (b) the replaceable battery shall be free from defects in material and workmanship under normal use and service for a period of 90 days after purchase.
C- 2 Warranty 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.
LifeCare PCA Infusion System D-1 Appendix D Contact Information 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 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 web site at: WWW.
D-2 430-04685-001 (Rev.
LifeCare PCA Infusion System I-1 Index Softkey 5-25, Numerics 24-Hour information 5-39 4 HR LIMIT 5-21 4 HR LIMIT REACHED Message 5-21 A AC power 1-2 indicator 3-7 Accuracy 1-7 alarm 1-9 system infuser 1-16 Clear Button 3-5, 4-12 Clear History 5-39 Clear Shift Softkey 5-34 Clinical Care Area 1-7 (CCA) 6-8 clock 2-2 12 hour 4-27 24 hour 4-27 Alert messages 1-6 Alpha Vial 4-9 analgesic 1-3, 2-2 Confirm No Dose Limit Screen delivered 4-6, 4-14, package 1-13 4-33, 6-7 anesthetics 1-3 anti-sipho
LifeCare PCA Infusion System Dose History 1-14, 5-21 Dose Limit 1-8, 1-10, 1-14, 2-1, 5- 2, 5-3, 5-16, 5-21, 5-22 new 5-21 pre-programmed 5-11 Dose Limit Enter Value Screen 5-6, 5- 11, 5-16, 5-22 Dose Limit Periods 5-2, 5-21 DOSE LIMIT REACHED State 5-2 Dose Limit Selection Screen 5-22, 5- drug concentration 1-11, 1-14, 4-12, 4-32 display H hard limit 1-10, History 1-8 HOUR-BY-HOUR 5-40 LAST 1 & 24 HOUR 5-40 History and Rx 4-9, 5-28, 6-3 History Button 3-6, 5-31, 5-38, 5-40 History Printout 5-41
LifeCare PCA Infusion System Lockout Interval 1-9, 1-10, 2-2, 5-2, 5-3 value 5-6 PCA + Cont.
LifeCare PCA Infusion System Rx Rules 1-11, 5-18 Rx Settings 1-11 S safety 1-13 Save & Exit Softkey 5-27 screen message alerts 5-2 Select CCA Screen 6-8 Select Delivery Mode 4-33 Screen 4-6, 4-14, 6-6 Select Mode PCA + Cont 5-14 PCA Only 5-4 Screen 4-32 1-16, 4-2, 4-8 4-16 set 4-4, 4-10, 4-11, 4-31, 5-4, 510, 5-13, 6-4, 6-5 Set List 1-19 settings 5-30, 5-39 adjust system 5-4, 5-9, 5-13 SILENCE key 1-9 SILENCE/VOLUME button 3-5 slack 1-14, 4-30, 5-36 soft limits 1-10, 5-16 Softkeys 1-11, 3-7 Standard
