GemSTAR List 13000 Patient Quick Reference Guide

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Abbott GemStar® Infusion Pump System Patient Quick Reference Guide For use with the Abbott GemStar Pump List 13000

This reference guide is designed for use by patients who are familiar with operating the Abbott GemStar Pump. Refer to the Abbott GemStar System Operating Manual for complete instructions and precautions for using the Abbott GemStar Pump.

Abbott Customer Support 1-800-241-4002 The Abbott Customer Support hotline is available 24 hours a day (in the USA).

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Contents Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Abbott GemStar Pump Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Abbott GemStar Pump Components . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Power Sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Installing Disposable Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Connecting the Abbott GemStar AC Adaptor. . . . . . . . . . . . . . . 10 Using the Abbott GemStar Rechargeable Battery Pack . . . . . . . 11 Abbott GemStar Pump Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Loading the Cassette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Releasing the Cassette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Priming Abbott GemStar Pump Sets Using the PURGE Key . . 18 Priming Abbott GemStar Pump Sets . . . . . . . . . . . . . . . . . . . . . 20 Changing a Container . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Using the 250 mL Carrying Case . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

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Glossary

2

administration port

Connector on a flexible fluid container where the piercing pin from a pump set is inserted.

administration set

See pump set.

air-eliminating-filter

Filter used on an administration set to reduce the risk of infusing air.

anti-siphon valve

Prevents fluid from backing up in part of an administration set and reduces the potential for free-flow.

cassette

Fluid pumping mechanism in the administration set.

distal end

End that is furthest from the fluid container (below the pump).

distal occlusion

Blockage between the pump and the patient.

external batteries

Non-disposable batteries. Usually refers to the rechargeable battery pack or the docking station when it is NOT connected to AC power.

external power source

Any power source, except disposable batteries, e.g. AC adaptor, rechargeable battery pack, docking station.

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Glossary flow stop

A device on the cassette that opens and closes the fluid path through the cassette.

keep vein open (KVO)

A very slow delivery rate designed to maintain fluid flow to the patient-access device.

occlusion

Blockage in the tubing.

occlusion sensor

Sensor that detects blockage in the tubing.

piercing pin

Sharp plastic “pin” on the pump set that pierces the container.

prime

Elimination of air from an administration set by forcing fluid through the tubing, cassette, and injection site.

proximal end

End that is closest to the fluid container (above the pump).

proximal occlusion

Blockage between the pump and the fluid container.

pump set

Tubing set (tubing, clamp, etc.) for use with the pump.

purge

Clear out air from the tubing.

volume to be infused (VTBI)

Amount of fluid that will be delivered during a programmed therapy.

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Abbott GemStar Pump Layout

SILENCE

STOP

START

ABBOTT

1 4 7 PURGE

4

POWER ®

2 5 8 0

3 6 9

HELP

NO

ON/OFF BACK-UP

CHANGE

OPTIONS

YES ENTER

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Abbott GemStar Pump Layout 1 2

DISPLAY

• Displays the pump’s status. • Silences an alarm.

3

• Stops infusion.

4

• Starts infusion.

5

POWER

6 7 8

9

10

11 12 13 14 15 [0] - [9]

• Lights continuously when the pump is using AC power. • Flashes when the pump is using external batteries, such as the rechargeable battery pack. • Powers the pump on or off. To power-off the pump, press and hold until the display clears. • Returns to previous steps during programming. • Exits Help, Change, and Options menus. • Displays the following menu items*: New Container Titrate VTBI New Program Piggybacking Change Program • Resets a numeric value to zero. • Displays the following Options Menu items*: 1 Review Program 4 Pump Setting 7 Speed Protocol 2 Histories 5 Set Clock 8 Next Dose 3 Keypad Lock 6 Print • Scrolls through display messages. • Toggles between AM and PM in time-based entries. • UP arrow enters a decimal point in numeric entries. • Down arrow toggles between units of measure when entering concentrations. • Responds “YES” to display questions. • Accepts entries and goes to the next step. • Responds “NO” to display questions. • Displays information during programming steps and alarm conditions. Otherwise, displays Shift Totals. • Clears an AIR-IN-LINE alarm. • Primes an Abbott Gemstar Pump Set. • Selects menu items and enters numeric values. If two numbers appear before a menu item, i.e. 02, press both number keys to select that item.

* Not all menu items are available with all modes.

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Abbott GemStar Pump Components

Top View

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1

Bolus Button

Press to start a bolus delivery if available.

2

Pole Clamp Track

Connect to an optional pole clamp.

3

Cassette Release Button

Push down to release the cassette.

4

Power Connector

Connect to AC adaptor.

5

Data Port Connector

Connect to printer or computer.

6

Bolus Connector

Connect to bolus cord.

7

Tubing Channel

Place the pump set tubing in this channel.

8

Cassette Pocket

Load the cassette into this pocket.

9

Battery Pack Connector

Connect the Abbott Gemstar Rechargeable Battery Pack.

10

Battery Compartment

Install two fresh, disposable AA batteries in this compartment.

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Power Sources CAUTION: ALWAYS replace BOTH batteries with fresh, disposable AA batteries when a change is required. Use of rechargeable batteries in the battery compartment is NOT recommended. Install two fresh, disposable AA batteries for backup power when using an external power source. The pump will continue to operate on backup power if the external power source fails. ALWAYS connect to a grounded AC power source when using the AC adaptor. USE ONLY AC adaptors specifically labeled for use with the Abbott GemStar Pump.

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Power Sources Installing Disposable Batteries 1

Flip up the tab of the battery door on the bottom of the pump.

2

Hold onto the tab and turn the battery door to the left until it is released from the battery compartment. Pull the door free and remove any existing batteries. Install two fresh, disposable AA batteries into the battery compartment. Make sure the batteries are inserted as shown. Return the battery door to the battery compartment. Turn the battery door to the right. Make sure the battery door is secured under the slot. Flip down the tab of the battery door to lock in place. Flip down the tab of the battery door to lock in place.

3 4

5 6

7 8

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1

2

3

4 5

7

6

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Power Sources Connecting the Abbott GemStar AC Adaptor 1

Connect the cord of the AC adaptor to the connector labeled “3 VDC” on the bottom of the pump.

2

Plug the AC adaptor into a standard wall outlet.

CAUTION: When removing the cord from the bottom of the pump, firmly grasp the connector and pull straight out. DO NOT twist or bend the cord or connector.

/

10

Note: The green LED to AC power.

POWER

on the pump remains lit when connected

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Power Sources Using the Abbott GemStar Rechargeable Battery Pack CAUTION: During charging, the battery pack is warm. If the battery pack becomes hot to the touch, IMMEDIATELY unplug AC power and contact Abbott Customer Support.

To connect the battery pack: 1

Line up the connectors on the top of the battery pack with the holes on the bottom of the pump. 1

2

Snap the battery pack into place.

2

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Power Sources To release the battery pack: 1

Press the release button on the battery pack.

2

Pull the battery pack straight out from the pump.

2 1

/

12

Note: When the pump is connected to the battery pack, the pump’s green LED flashes and the battery pack light is off. When the pump is connected to the battery pack at power-on, the pump displays USING EXT BATT.

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Power Sources To recharge the battery pack: 1

Plug the pin connector of the AC adaptor into the port on the bottom of the battery pack.

2 3

Plug the AC adaptor into a standard wall outlet. Leave the battery pack connected to the AC adaptor for at least 8 hours to completely recharge the battery pack.

CAUTION: When removing the cord from the bottom of the pump, firmly grasp the connector and pull straight out. DO NOT twist or bend the cord or connector.

/

Note: The battery pack light is yellow while the battery pack is charging. When the battery pack is fully charged, the battery pack light is green.

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Abbott GemStar Pump Set To use an Abbott GemStar Pump Set, follow the instructions included with the set. A typical Abbott GemStar Pump Set is shown below:

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1

Piercing Pin

6

Tubing

2

Proximal End

7

Slide Clamp

3

Cassette

8

Secure Lock

4

Flow Stop (open

9

Anti-Siphon valve

5

Distal End

/ close

)

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Abbott GemStar Pump Set WARNING:

ALWAYS prime the pump set to remove air from the cassette, tubing, and injection sites prior to connecting to the patient. ALWAYS disconnect the pump set from the patient prior to priming or purging. Arrange tubing, cords, and cables to minimize the risk of patient strangulation or entanglement. Failure to use the anti-siphon valve may result in unrestricted flow.

CAUTION: USE ONLY Abbott GemStar Pump Sets with the Abbott GemStar Pump. Use of unauthorized sets may result in injury to the patient or damage to the pump. To prevent contamination, use aseptic technique with all fluid-path connections. Remove protective coverings as assembly progresses.

/

Note: Purge rate is 250 mL/hr. The pump purges for up to 2 minutes each time you press and hold [PURGE].

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Abbott GemStar Pump Set Loading the Cassette

16

1

Identify the four black cassette latches inside the cassette pocket.

2

Line up the cassette as shown (with the flow stop button facing the pump).

3

Insert the cassette into the cassette pocket by pushing firmly along the entire cassette until it is firmly seated.

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Abbott GemStar Pump Set 4

Verify that all four cassette latches are securely holding the cassette.

CAUTION: Make sure the cassette is properly installed. When properly installed, all four cassette latches are visibly holding the cassette securely in the cassette pocket.

/

5

Place the tubing in the tubing channel. Note: The pump cannot be powered off during a CHECK CASSETTE alarm (refer to page 25 in Troubleshooting), except during PROGRAMMING mode). To power-off the pump, make sure the cassette is properly installed.

Releasing the Cassette 1 Close the slide clamp on the distal line. 2 3

/

Push down on the cassette release (large black button) on the top of the pump. Remove the cassette.

Note: When the cassette is released from the pump, the cassette flow stop automatically closes, preventing free flow.

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Abbott GemStar Pump Set Priming Abbott GemStar Pump Sets WITHOUT a Drip Chamber Using the PURGE Key WARNING:

/

18

Failure to use the anti-siphon valve may result in unrestricted flow.

Note: The PURGE function is only available if there is a program in the pump. 1

Push down on the flow stop to close the cassette.

2

Hold the container with the administration port toward the ceiling and insert the piercing pin.

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Abbott GemStar Pump Set 3

Load the cassette. CAUTION: Make sure all four cassette latches are clearly visible after the cassette is installed.

4

Program desired therapy.

5

Press [PURGE].

6

The pump displays PRIME THE SET? Press [YES/ENTER].

7

While holding the container with the port toward the ceiling, press and hold [PURGE].

Continue using the [PURGE] key until fluid fills the tubing. Make sure all air is removed from the container, cassette, and tubing.

PURGE

HELP

CAUTION: When priming is complete, make sure no fluid flows at the distal end of the pump set. If flow is observed, DO NOT use the pump set. 8

Connect the pump set to the patient-access device.

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Abbott GemStar Pump Set Priming Abbott GemStar Pump Sets WITHOUT a Drip Chamber WARNING:

20

Failure to use the anti-siphon valve may result in unrestricted flow.

1

Push down on the flow stop to close the cassette.

2

Hold the container with the administration port toward the ceiling and insert the piercing pin.

3

Push down on the flow stop to open (priming position) the cassette.

4

Invert the cassette approximately 45°.

5

While holding the rotated cassette, squeeze or roll the container to remove air from the container and cassette.

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Abbott GemStar Pump Set 6

Return the cassette to the upright position. Continue priming until fluid fills the tubing.

7

Push down on the flow stop to close the cassette.

8

Load the cassette. CAUTION: Make sure all four cassette latches are clearly visible after the cassette is installed. When priming is complete, make sure no fluid flows at the distal end of the pump set. If flow is observed, DO NOT use the pump set.

9

Connect the pump set to the patient-access device.

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Changing a Container WARNING:

Disconnect the pump set from the patient before changing the container. Purge the line BEFORE reconnecting the pump set to the patient.

To repeat the current program with a new container: 1

From the STOP mode, press [CHANGE] to display the Change Menu.

2

Select NEW CONTAINER from the Change Menu. The pump displays NEW CONTAINER for several seconds and clears the amount infused from memory. Review the program. Press to begin review. Press [START] to begin delivery.

3 4

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Troubleshooting Display Message

AIR IN LINE

Cause/Condition/Remedy

Cause/Condition: The pump has detected the specified volume of air while infusing and entered the STOP mode. Remedy: 1. Press [SILENCE].

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2.

Press [STOP].

3.

Disconnect the patient from the pump set.

4.

Press and hold [PURGE].

5.

Reconnect the pump set to the patient-access device.

6.

Press [START] to begin infusion.

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Troubleshooting Display Message

DIST. OCCLUSION

Cause/Condition/Remedy

Cause/Condition: The pump has detected distal pressure (below the pump) higher than the specified limit. Remedy: 1. Press [SILENCE]. 2.

Press [STOP].

3.

Check for sources of distal occlusion: Kinked tubing below the pump Clamped patient-access device * Clogged I.V. filter * Other obstructions If the problem continues, remove and reinstall the cassette. * *

4. 5.

Press [START] to begin infusion.

To avoid a bolus infusion after an occlusion: 1. Press [STOP]. 2.

Close the distal clamp.

3.

Release the cassette.

4.

Open the cassette flow stop.

5.

Wait 10 seconds.

6.

Close the cassette flow stop.

7.

Load the cassette.

8.

Open the distal clamp.

9.

Review the program.

10. Press [START].

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Troubleshooting Display Message

PROX. OCCLUSION

Cause/Condition/Remedy

Cause/Condition: The pump has detected sustained proximal pressure (above the pump). Remedy: 1. Press [SILENCE]. 2.

Press [STOP].

3.

Check for sources of proximal occlusion: Kinked tubing above pump Blockage in the bag and in the spike * Empty bag * High torque syringe * Other obstructions If the problem continues, clamp the distal line and reinstall the cassette. Open the distal clamp and press [START]. If the alarm still continues, power-off the pump; then power-on the pump. * *

4.

5.

Press [START] to begin infusion.

CHECK CASSETTE-X Cause/Condition: The cassette is improperly installed or not installed. X indicates where to look for the cause of the alarm: A = Air Sensor D = Distal (below pump) P = Proximal (above pump) Remedy: 1. Press [SILENCE].

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2.

Press [STOP].

3.

Reinstall the cassette.

4.

Press [START] to begin delivery.

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Troubleshooting Display Message

Cause/Condition/Remedy

CHANGE BATTERIES Cause/Condition: The pump has detected weak batteries and entered the STOP mode.

Remedy: 1. Replace both disposable batteries with fresh batteries. Press to restart the pump; OR connect the pump to the AC adaptor and the pump will automatically restart. Replace both batteries as soon as possible. 2. LOW BATTERIES

After power-on, continue the current program.

Cause/Condition: The pump has detected weak batteries and the batteries are the primary power source. Remedy: 1. Press [SILENCE].

26

2.

Press [STOP].

3.

Connect the pump to the AC adaptor, rechargeable battery pack, OR replace both disposable batteries with fresh batteries.

4.

Press [START] to begin infusion.

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Troubleshooting Display Message

USING BATTERIES

Cause/Condition/Remedy

Cause/Condition: This is a normal response when the pump has been powered on with only disposable batteries as a power source; or the pump has switched to disposable batteries due to a loss of external power or a reduction in external power below acceptable levels. Remedy: When powering on the pump: • Press [YES/ENTER] to confirm disposable batteries are the only power source. When switching from AC: • Press [SILENCE].

USING EXT BATT

Cause/Condition: This is a normal response when the pump has been powered on with external batteries as a power source; or switched to external battery power due to a loss of AC power; or switched to external battery power while running on internal batteries. Remedy: When powering on the pump: • Press [YES/ENTER] to confirm external battery power source. When switching from AC: • Press [SILENCE]. Note: If using an AC adaptor, make sure the connections are secure.

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Troubleshooting Display Message

Cause/Condition/Remedy

NO INTERNAL BATT Cause/Condition: NO POWER LOSS ALARM AVAILABLE No disposable batteries or dead disposable ENTER TO CONFIRM batteries; and external batteries.

Remedy: 1. Press [YES/ENTER] to confirm. 2.

POWER LOSS

Power-off the pump and install two fresh, disposable AA batteries as a backup power source.

Cause/Condition: The pump has detected a power failure due to one of the following: • Batteries have been removed while the pump was on battery power only. • External power has failed or has been disconnected and no batteries are installed. • Pump has been powered on with insufficient power source. Remedy: 1. Connect the pump to AC adaptor, rechargeable battery pack, OR replace both disposable batteries with fresh batteries.

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2.

Power-on the pump. Review the program if required.

3.

Press [START] to begin infusion.

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Troubleshooting Display Message

Cause/Condition/Remedy

Cause/Condition: The pump has detected a condition that may CODE: NN/MMM/TTT require service. Remedy: 1. Write down the telephone number and code. CALL 1.800.XXX.XXXX

ALMOST EMPTY

2.

Power-off the pump. If the pump does not power-off, disconnect external power and remove the batteries.

3.

Call the telephone number shown on the display message.

Cause/Condition: Delivery will complete in 30 minutes or less. • For bolus only program, delivery will complete during the next bolus delivery. Remedy: • Press [SILENCE]. Note: This alert is only available with Pain Management protocols.

EMPTY CONTAINER

Cause/Condition: The pump has infused the programmed container size or the VTBI; AND Auto KVO is delivering. Remedy: 1. Press [SILENCE]. 2.

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Press [STOP].

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Troubleshooting Display Message

END OF INFUSION

Cause/Condition/Remedy

Cause/Condition: The pump has completed the program. The pump is delivering KVO if selected. Remedy: If no KVO is selected: 1. Press [SILENCE]. 2.

Press [STOP].

If KVO is selected: 1. The pump sounds 5 beeps approximately every 15 minutes. 2. flashing display

Press [STOP].

Cause/Condition: The pump requires attention. Remedy: Follow the instructions on the display.

PROGRAMMING INCOMPLETE

Cause/Condition: Programming has not been completed. Remedy: 1. Press any key to clear the alarm. 2.

START

Complete the program entries.

Cause/Condition: START flashes on the display. Remedy: 1. Press [SILENCE]. 2.

30

Follow the instructions on the display.

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Using the 250 mL Carrying Case To use the Abbott 250 mL Carrying Case: 1

Make sure the pump set is fully primed and the cassette is properly loaded before placing the pump in the carrying case.

2

Place the fluid bag in the zippered compartment (A) on the backside of the case. Make sure the bag spike is positioned so that the fluid flow is not restricted. 50

0

50

0

100

150

200

3

A

Place the pump inside the front compartment (B) of the case.

B 4

Secure the tubing to the inside of the pack with the Velcro® tabs (C). Make sure the tubing is not kinked.

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Using the 250 mL Carrying Case 5

Use the large Velcro flap (D) on the upper left side of the case to secure the tubing on the outside of the case.

C D 6

Close the zipper. Make sure the tubing exits the side of the case near the zipper tab when the zipper is closed (E).

E

7 8

32

Place the case around the waist and snap the buckle together. Adjust the belt for a snug, comfortable fit.

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Contacts: Clinician: __________________________ Physician: __________________________ Health Care Center: ___________________

GemStar is a registered trademark of Abbott Laboratories, Inc. Copyright © 2002 Abbott Laboratories, Inc. All Rights Reserved Printed in USA Abbott Laboratories, North Chicago, Illinois 60064, USA

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