s-1235_operation_manual.pdf
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Atom Syringe Pump S-1235
Operation Manual
TO THE OPERATOR AND THE PERSON IN CHARGE OF
MAINTENANCE AND CARE OF THE UNIT:
• Read this Manual carefully before operating the unit.
• Manual where it is readily accessible for reference in case of need.
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Contact information
Our authorized representative
Australia
Parker Healthcare Pty Ltd
16 Redland Drive, Mitcham, Victoria 3132, Australia
Tel. : 61 3 98720222
Fax. : 61 3 9873 5911
EU countries
PHARMASERVE-LILLY S.A.C.I.
Pharmaserve-Lilly S.A.C.I
15th klm National Road Athens-Lamia, 145 64 Kifissia, Greece
Post Address : P.O.Box 51288, 145 10 Kifissia, Greece
Tel. : 3016294600
Fax. : 3016294610
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INTRODUCTION
This Operation Manual deals with the specifications, operation and maintenance of the Atom Syringe Pump S1235. Atom is by no means held responsible for any malfunction arising from a user ignoring the instructions for
operation and maintenance described in this Manual as well as for any accident attributable to repair by someone
other than our serviceman or a qualified repairman.
Read this Manual carefully and familiarize yourself thoroughly with its contents before operating the unit. Keep
this Manual where it is readily accessible for reference in case of need. If any technical problem should arise,
please contact your local representative.
CAUTION
This product is shipped without being disinfected. Be sure to clean and disinfect the unit before
using it for the first time after purchase.
Used parts and products no longer safe to use should be disinfected and/or sterilized and then
disposed of as medical wastes.
Fields of use
(1) Place
general wards, ICUs/NICUs, ORs, etc.
(2) This product can be used for accurate infusion of nutritional solutions and medical fluids to neonates including preterm neonates.
SAFETY INFORMATION
Instructions to ensure the safe operation of the unit are found throughout this Manual. Please read the Manual
carefully before operating the unit. Please follow the instructions in operating the unit.
[1] Basic Instructions
1. Follow the instructions for safe use of the unit.
Follow the operating instructions described in this Manual for safe use of the unit.
2. Inspect the unit on a periodical basis.
Periodical inspection is needed to use the unit under optimum conditions.
3. Never use the unit when faulty.
If any damage or malfunction of the unit should be noticed, stop using it immediately and contact your local
representative.
4. EMC (electromagnetic compatibility)
Medical electrical equipment needs special precautions regarding EMC and needs to be installed and put into
service according to the EMC information provided in this Manual.
[2] Definition of Warning Indication
Two levels of warning indication are used throughout this Manual and on the unit. They are defined as
follows:
A WARNING notice indicates an indirectly (potentially) hazardous situation
WARNING : which, if not avoided, will result in death or serious injury, serious damage to
property such as total loss of use of equipment, and a fire.
CAUTION :
A CAUTION notice indicates a hazardous situation which, if not avoided, can
result in minor or moderate injury, partial damage to property, and loss of data
stored in computers.
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[3] Definition of Marks
1. Marks to indicate caution or warning
Mark
Title and Indication
General attention
Indicates unspecified general caution or warning.
2. Marks to prohibit action
Mark
Title and Indication
General prohibition
Indicates unspecified general prohibition.
Prohibition of disassembly
Indicates prohibition of disassembly of the unit where it may cause an electric shock or other
hazards.
3. Marks to give instructions for action
Title and Indication
Mark
General instruction
Indicates unspecified general action on the part of the user.
Remove the power plug from the power outlet
Instructs the user to remove the power plug from the power outlet in the case of malfunction or
where a thunderbolt may fall.
Connect a ground wire
Instructs the user to connect the ground wire without fail where the unit is provided with a
ground terminal.
4. Marks to classify the unit
Mark
Title and Indication
Degree of protection against an electric shock
Type CF equipment
IPX1
Degree of protection against harmful ingress of water
Equipment protected against water dripping vertically.
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5. Other marks
Mark
Title and Indication
Recycle mark (battery)
Recycling recommended.
Li-ion
AC mark
Signal input/output
A connector in which an input and an output are combined.
External power source mark
The LED comes on to indicate that the unit is connected to an external power source.
Date of manufacture
WARRANTIES
This equipment is guaranteed by Atom Medical Corporation for a period of one year from the date of delivery to be
free of any defects in both materials and workmanship when used normally for its intended purpose. Any parts of
this equipment proving to be so defective will be repaired or replaced at no charge during the warranty period. In
the following cases, however, actual expenses need to be paid even during the warranty period.
(1) Wear and tear of expendables.
(2) Trouble and damage due to improper handling, such as dropping the unit during transport or transfer.
(3) Trouble and damage due to a fire, salt, gas, extraordinary voltage, earthquake, thunder, storm and
flood, or other natural calamities.
(4) Travel expenses in the case of a trip to an isolated island, a remote place, etc. for the purpose of repair.
Damage in shipment should be reported promptly to Atom accompanied by the certificate of the carrier concerned.
All correspondence concerning the equipment should specify the model name and the serial number.
WARNING
Atom is by no means held responsible for compensation for death, injury or damage to property if such loss
should occur due to any of the following causes.
1. Trouble or damage due to installation, relocation, maintenance or repair by someone other than technical personnel belonging to Atom.
2. Trouble or damage of Atom products caused by a product of another company other than that supplied
by Atom.
3. Trouble or damage due to modification, maintenance or repair using a part other than that specified by
Atom.
4. Trouble or damage due to neglecting the operating precautions or operating instructions described in
the Operation Manual of the unit.
5. Trouble or damage due to operation under ambient conditions, including electrical requirements and
installation requirements, other than those described in the Operation Manual.
6. Trouble due to carelessness or improper modification.
7. Trouble or damage due to using secondhand equipment.
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[1] Precautions on Jamming
WARNING
Medical radio knives, portable and mobile communication equipment, and other devices which
generate high-frequency noise can cause jamming to various electric equipment for medical use
and thus result in malfunction. Since portable and mobile communication equipment, etc. are
often used in medical facilities, some measures should be taken to prevent jamming due to such
devices. Portable and mobile communication equipment and other devices which generate high
frequency should not be used near the unit during its operation to prevent malfunction of the unit
due to jamming.
[2] Responsibility for Care of Equipment
CAUTION
It is the user (a hospital, a doctor’s office, a clinic) that is responsible for the operation, maintenance and care of the electric equipment for medical use. The equipment should be used only by
medical personnel.
[3] Prohibition of Modification
WARNING
Do not disassemble or modify the unit. Otherwise, a fire, an electric shock or injury may result.
[4] Periodical Inspection
CAUTION
Proper periodical inspection is needed to use the unit under optimum conditions.
[5] In Case of Trouble
CAUTION
If any abnormal condition or trouble should occur to the unit, indicate on the unit that it is out of
order and contact immediately your local representative. See the beginning of this Operation
Manual for where to make contact.
If any abnormal condition or trouble should occur, do not use the unit until it has been repaired
completely by a service engineer so as to prevent possible danger.
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C
O
N
T
E
N
T
S
INTRODUCTION .............................................................................................. 1
[1] Operating Precautions
1-1.
WARNING .......................................................................................... 6
1-2.
CAUTION ........................................................................................ 10
[2] Description .................................................................................................... 12
[3] Parts Identification
3-1. Main Body .............................................................................................. 12
3-2. Operation Panel ..................................................................................... 13
3-3. Side Views of the Main Body ............................................................... 13
[4] Installation
4-1. Attaching the Mounting Table ............................................................. 14
4-2. Power Outlet and Grounding ............................................................... 15
4-3. Power Source ......................................................................................... 16
[5] How to use (Operation)
5-1. Preparation ............................................................................................. 18
5-2. Operation ................................................................................................ 20
5-3. Other Functions ..................................................................................... 27
[6] Alarm ............................................................................................................... 33
[7] Maintenance Inspection
7-1. Inspection before Use ........................................................................... 35
7-2. Monthly Inspection ............................................................................... 37
7-3. Bimonthly inspection ............................................................................ 38
7-4. Disinfection ............................................................................................ 41
7-5. Parts Requiring Periodical Replacement ............................................ 42
7-6. Inspection Check List ............................................................................ 43
7-7. How to Replace the Battery .................................................................. 44
7-8. How to Replace the Fuses .................................................................... 45
7-9. Life ........................................................................................................... 46
7-10. Disposal .................................................................................................. 46
[8] Technical Data .............................................................................................. 47
[9] Characteristics of the Unit
9-1. Flow Rate Characteristics ..................................................................... 49
9-2. Occlusion Characteristics ..................................................................... 50
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[1] Operating Precautions
Please follow the operating instructions described in this Manual for safe use of the unit. The unit should be
operated only by those who have been trained and instructed properly in its operation. The unit should be
operated only for its intended use.
1-1.
WARNING
Death or serious injury due to a fire or an electric shock will result if the instructions given below are not
followed.
Syringes to be used with the unit should be disposable syringes (10mL,
20mL, 30mL, 50mL) produced by the manufacturer indicated on the main
body. Use of a syringe of a different manufacturer will cause an unacceptable flow rate error.
Be sure to follow the doctor’s instructions in setting the flow rate (infusion
rate).
Never use the unit in conjunction with a gravity-type infusion using the same
line.
Doing so may cause improper infusion or may cause the unit to generate no alarm.
Use only the power cord supplied with the unit.
Otherwise, a fire or an electric shock may result.
Avoid damaging the power cord.
A damaged power cord may cause a fire or an electric shock.
쎲 Do not pinch the power cord between the unit and the wall, a shelf or the floor.
쎲 Do not place the power cord near a heating apparatus; do not heat the power cord.
쎲 Do not put anything heavy on the power cord.
쎲 Be sure to grasp the power plug with your hand to remove the power cord from the power outlet.
A damaged power cord should be replaced immediately with a new one.
Be sure to insert the power plug fully into a power outlet. Incomplete insertion of the plug may cause heat to generate and a fire may result.
Check the power outlet regularly to make sure that it presents no abnormality. A loose or damaged outlet can cause a poor electrical connection, which
may generate heat and result in a fire.
Keep the area around the power plug and power outlet free of dust. Accumulated dust on the plug can cause heat to generate and may lead to a fire.
Do not touch the power plug with a wet hand.
Otherwise, an electric shock may result.
Operate the unit on AC power whenever an AC outlet is available.
The power outlet should be located near the unit to prevent accidental contact with a trailing power
cord. Use a separate power outlet for each unit.
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Ensure that the power input terminal does not come into contact with a
medical fluid or other fluids.
If a medical fluid or any other fluids comes in contact with the power input terminal, wipe it off
immediately, to avoid the possibility of fire.
Ground the unit securely.
Otherwise, an electric shock due to current leakage may result. To complete the ground connection, connect the power cord only to a 3P power outlet including a ground terminal and grounded
properly. Do not operate the unit if you have any doubt about its ground connection.
Do not use the unit in possibly flammable environment.
Fire ignition or explosion could result.
Equipment generating high frequency must not be used near the unit.
If equipment generating high frequency, such as medical radio knives and portable and mobile communication equipment, should be used near the unit during its operation, jamming may cause the
unit to malfunction. Do not use such devices near the unit.
Do not disassemble or modify the unit.
Otherwise, a fire, electric shock or injury may result.
Do not install the unit where it will be exposed to excessive humidity, dust or
steam.
Otherwise, a fire or an electric shock may result.
If you continue to operate the unit on the battery after a low battery alarm is
given, the unit will stop operation completely in thirty minutes or so (when
the battery is new). As soon as the low battery alarm is given, switch the
unit to AC power.
During the infusion, do not rely only on the alarm functions of the unit but
keep on monitoring with your own eyes. Check the fluid level in the syringe
to ensure proper operation of the unit.
If the unit is going to be used with a radio knife in an operating room, etc.,
check the following before use. If any trouble should occur, remove the
cause before operating the unit.
(1) The amount of high frequency noise generated by a radio knife depends on the type of the radio
knife in use. The old vacuum tube gap type, which generates much noise, must not be used with
the unit.
(2) The unit must be sufficiently away both from the cord of the radio knife (including the knife
holder, the cord itself and the polar plate lead) and from the main body of the radio knife.
(3) The power plugs of the radio knife and the unit must be connected to separate power outlets on
different circuits.
Check for any abnormal conditions before starting the pump.
Before pressing the [START] switch, check that no medical fluid is flowing out of the tip of the
needle. If the unit is properly set up but any medical fluid is flowing out, the main body may be faulty.
Stop using the unit immediately, indicate on the main body that it is out of order, and contact your
local representative.
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Check for conformity to the applicable standard if the unit is going to be
connected to another medical device for use as a system.
Accessory equipment connected to the analogue and digital interfaces must comply with the relevant IEC standards (e.g. IEC60950 for data processing equipment). Furthermore all configurations
should comply with IEC60601-1-1. But the items that are not specified as part of the system should
not be connected. Anybody who connects additional equipment to the signal input or signal output
configures a medical system, and therefore should make the medical system comply with the requirements of 60601-1-1 on his or her own responsibility. If in doubt, consult your local representative.
The unit cannot detect an abnormal flow rate such as an excessive infusion
and an insufficient infusion. Therefore, while using the unit, periodically
check that the movement of the plunger of the syringe corresponds to a
preselected flow rate.
The unit is not provided with an alarm function to warn the user when the I.V.
needle has come off the vein and extravascular infusion has occurred. Therefore, periodically check the puncture site.
Check that the plunger of the syringe is securely held by the plunger flange
holder on the slider. If the plunger should be off the plunger flange holder
or the flange of the syringe barrel should not be held properly by the barrel
flange holder, siphoning (infusion due to a natural fall) or a back flow may
result. To prevent accidents, the head between the unit and the patient connection should be minimal.
The unit is designed to infuse a medical fluid into a patient by using a positive pressure. Therefore, it cannot detect any fluid leakage due to a disconnected infusion line or a damaged filter. While using the unit, periodically
check the unit for any of these failures. Use of a lock-type connection for
the infusion line is recommended.
If the unit is used in a circuit where an excessive negative pressure can be
generated, the plunger of the syringe may be dislodged from the slider of
the syringe pump. This will cause a rapid infusion. Do not use the unit in a
circuit where an excessive negative pressure can be generated.
<Example> 쎲 in a circuit between a transcutaneous circulation support circuit and a patient
쎲 in a circuit between a blood pump for artificial dialysis and a patient
Pay utmost attention even when the negative pressure is in a low level ( 100mmHg).
The unit must be used within 65cm of the patient’s heart level.
If occlusion should occur due to a bent tube in the infusion line, a clogged
filter or a thrombus in the syringe needle, the pressure in the infusion line
will rise. If the cause of the occlusion should be removed with the pressure
in the infusion line increased, an excessive volume of the medical fluid will
be delivered at a time to the patient. Be sure to clamp the infusion line or
take some other appropriate measure before attempting to remove the cause
of the occlusion.
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If there should be a gap between the flange of the syringe plunger and the
slider, no infusion will occur for some time after starting the infusion even
though the slider may move. After setting the syringe properly, be sure to
press the [PRIME] switch and fill the infusion line to the tip with the medical
fluid. This will prevent the above-mentioned gap.
Never operate the unit in the area where Radiological Equipment and MRI
are controlled, as well as where hyperbaric oxygen therapy is performed.
Remove the unit from service immediately if it has been subjected to an
impact (e.g., the pump has fallen onto the floor, or been affected by a fall of
an I.V pole).
The integrity of the unit should be checked and verified after such impact because the unit may be
damaged inside even through its external appearance exhibits no abnormality.
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1-2.
CAUTION
Injury or damage to ambient object may result if the instructions given below are not followed.
Remove the power plug from the power outlet before moving the unit to
another place or when the unit is going to be idle for a long time.
Moving the unit to another place with the power plug connected to the power outlet will damage the
power cord and may cause a fire or an electric shock.
Remove the power plug from the power outlet before cleaning or disinfecting the unit.
Cleaning or disinfecting the unit with the power plug connected to the power outlet may cause an
electric shock.
Be sure to clean and disinfect the unit before using it for the first time after
purchase.
Ground peripheral electric equipment securely.
Place the unit on a stable surface.
Placing the unit on an unstable platform or a tilted surface will cause it to fall or drop and may hurt
someone. Check the strength of the place where the unit is to be placed or installed.
Install the unit out of reach of small children.
Do not operate the unit covered with a cloth.
Overheating may cause a fire or an electric shock.
To change the flow rate or to prime during infusion, press the [STOP] switch
first to stop the infusion. The unit is provided with a safety mechanism,
which does not allow the user to change the flow rate or to prime during
infusion even if an appropriate switch is pressed.
To stop the unit completely, press and hold the power switch for approx.
three seconds to switch off the unit.
Even if the power cord is removed from the power outlet with the power switch on, the internal
battery will supply power and the unit will not stop operation.
The unit is provided with a self-diagnosis mechanism, which will stop the
unit and give an alarm as soon as an internal failure is detected. It takes
less than two seconds to detect an internal failure. (3.5mL max will be infused if the flow rate setting is 1200mL/h.)
Do not drop or knock down the unit, or allow it to be struck by other objects.
Do not install the unit in direct sunshine or near a heating apparatus.
Do not expose the unit to extraordinary high temperature or excessive humidity.
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Do not place anything heavy on the unit.
When the unit is going to be used for the first time after purchase or after
lying idle for some time, connect the unit to AC power to fully charge the
battery.
Insufficient charging may make it impossible to operate the unit on the battery in case of a power
failure.
Protect the syringe holder and the slides carefully from a shock and great
force.
Do not submerge the unit.
The unit uses a rechargeable battery (a lithium ion battery). Before disposing of the unit, remove the lithium ion battery for recycling.
Li-ion
If you have any doubt about the ground connection of the power cord, replace the power cord with a new one. If the doubt remains and yet you must
use the unit, operate the unit on the battery. Bear in mind that you can
operate the unit on the battery only for a limited length of time.
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[2] Description
The Atom Syringe Pump S-1235, based on the internal microcomputer, is designed with safety in mind after
years of our achievements which have won the confidence of our customers. Its features include thorough
safety functions and the operation panel intended to prevent erroneous operation. Continuous infusion driven
by the pulse motor ensures accurate infusion of nutritional solutions and medical fluids to neonates including
preterm neonates with minimal malfunction. In addition, the internal rechargeable battery is conveniently
provided in case of power failure or transport.
[3] Parts Identification
3-1. Main Body
w
er
t
y
!1
i
q
o
No.
q
w
e
r
t
y
Name
Operation panel
Syringe holder
Barrel flange holder
Plunger flange detection lever
Plunger flange holder
Slider
12
No.
u
i
o
!0
!1
!0
Name
Release lever
Slider cover
Shock sensor
Signal input/output (not for use
at present)
Operation indicator
u
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3-2. Operation Panel
q
w
e
mL/h
PRIME
!3
No.
q
w
e
r
t
y
u
!2
!1
!0
START
o
STOP
SILENCE
i
Name
LCD display
Flow rate display
AC power indicator
[POWER] switch
[CLEAR] switch
Number keys
[SILENCE] switch
u
No.
i
o
!0
!1
!2
!3
7
8
9
0
4
5
6
1
2
3
C
.
y
t r
Name
[STOP] switch
[START] switch
[PRIME] switch
[UP] switch
[DOWN] switch
[Screen Changeover] switch
3-3. Side Views of the Main Body
q
u
w
i
e
r
y
t
No.
q
w
e
r
Name
Syringe holder
Release lever
Slider
Nurse call terminal
No.
t
y
u
i
13
Name
Power input terminal (AC inlet)
Speaker
Plunger flange holder
Plunger flange detection lever
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[4] Installation
4-1. Attaching the Mounting Table
(1) Fitting the mounting table
q Holding the sub-lever in the direction of the arrow head 왗, move the lever so that the arrow head
왖 on the lever may align with the arrow head 왔
below “OPEN”.
w Fit the mounting table in the bottom of the syringe
pump so that the hook on the mounting table may
engage with the concave portion of the bottom.
Hook
Bottom of
the Syringe
pump
Mounting
table
e Check for proper engagement.
Then, holding the sub-lever in the direction of the
arrow head 왗, move the lever so that the arrow
head 왖 on the lever may align with the arrow head
왔 below “LOCK”.
LOCK
OPEN
Lever
Sub-lever
(2) Turn the pole mounting lever and attach the mounting table to the I.V. pole or the bed support. The
diameter of the I.V. pole or the bed support to which
the mountingtable can be attached is 13-34mm.
Pole mounting
lever
CAUTION
The main body of the syringe pump is fixed
with a rail-type locking mechanism. Attach
the mounting table fixedly to the pole or the
support with the pole fixing screw. If not attached fixedly, the mounting table with the
syringe pump on may slide down the pole or
the support.
(3) Tilting the mounting table (available as an optional
mount which is sold separately)
Turn the tilting screw and tilt the syringe pump to a
desired angle. Adjust the angle to make the LCD
display easy to see.
Syringe Pump
S-1235
LOCK
OPEN
Mounting table
Tilting screw
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4-2. Power Outlet and Grounding
WARNING
The power outlet should be located near the unit to prevent accidental contact with a trailing
power cord. Use a separate power outlet for each unit.
To complete the ground connection, connect the power cord only to a 3P power outlet including
a ground terminal and grounded properly.
Never use an additional multiple portable socket-outlet or extension cord. Do not operate the
unit if you have any doubt about its ground connection.
Ground peripheral electric equipment securely.
The rated voltage of this unit is 220-240V~, current consumption is 0.07A, and the frequency is
50Hz. The operating voltage range is 220-240V~10%. Do not connect the unit any other power
source.
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4-3. Power Source
The unit operates either on AC power or on the internal battery.
The unit comes from the factory without a battery loaded. Make sure to load the battery and fully charge it
before use. The battery included is not charged. To load the battery, refer to the instructions in "7-7. How to
Replace the Battery".
쮿 Operation on AC power
(1) Connect the power cord supplied with the unit to the AC inlet (on the right side of the main body). Connect the power plug to the power outlet. The red AC power indicator above the [POWER] switch will
come on to indicate that the unit is connected to AC power.
The internal battery will be automatically charged while the unit is connected to AC power.
(2) Press and hold the [POWER] switch on the operation panel (for at least one second) to switch on the unit.
쮿 Operation on the internal battery
The unit automatically switches to battery operation if it is not connected to AC power supply or experiences
power sags. A fully charged internal battery (at least ten hours of charging with the unit switched off, or at
least twenty hours of charging with the unit switched on) provides about three hours of continuous operation.
Fully charge the battery before operating the unit.
(1) Press and hold the power switch on the operation panel (for at least one second) to switch on the unit.
(2) The “
” mark will flash in the lower right portion of the LCD display on the operation panel to
indicate that the unit is operating on the battery.
The battery indicator (
) indicates how much power remains in the battery by means of four bars. As
the battery loses its power during operation, the number of lit bars (max. four) decreases one by one.
Battery indicator
Operation
Low battery alarm
Off
Charging
Flashing
Four bars on
On
Flashing
Fully charged for approx. three
hours of operation
No battery
Battery failure
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WARNING
Operate the unit on AC power whenever an AC outlet is available.
It a low battery alarm is given, switch to the operation on the AC power source immediately.
CAUTION
To ensure that the battery indicator reflects remaining battery power accurately:
쎲 Fully charge the battery first of all when the battery is installed.
쎲 An error may develop in the indication of remaining battery power as the cycle of charging and
discharging is repeated. To prevent inaccurate indication, charge the battery to its full capacity.
The battery discharges itself even when it is not used. When you are going to operate the unit on
the internal battery which has been left unused for more than two weeks, be sure to off the unit
and charge the battery for at least ten hours. The battery is automatically charged while the unit is
operating on AC power.
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[5] How to use (Operation)
5-1. Preparation
5-1-1. Self-diagnosis function
The self-diagnosis function of the unit automatically checks the internal conditions of the unit. If any fault
should be detected, a message and an error code will appear on the LCD display, and an audible alarm will
sound.
CAUTION
If a message and an error code should appear and an audible alarm should sound in self-diagnosis,
stop using the pump and contact your local representative.
5-1-2. Setting the syringe
WARNING
Syringes to be used with the unit should be disposable syringes produced by the manufacturer
indicated on the LCD display. To use a syringe of a different manufacturer, change the setting to
select a desired manufacturer by referring to the instructions in “5-3-3. CE mode”.
Use of a syringe of a manufacturer not indicated on the LCD display will cause an unacceptable
flow rate error.
Check that the flange of the syringe plunger is securely held by the plunger flange holder on the
slider. If the flange of the plunger should be off the plunger flange holder, siphoning (infusion
due to a natural fall) or a back flow may result.
Check that the flange of the syringe barrel is properly held by the barrel flange holder. If the
flange of the syringe barrel should be off the barrel flange holder, flow rate accuracy and alarm
functions cannot be guaranteed.
After setting the syringe properly, be sure to press the [PRIME] switch and fill the infusion line to
the tip of the needle with the medical fluid, before sticking the needle in the patient’s arm. If there
should be a gap between the flange of the syringe plunger and the slider, infusion will not start
for some time. Be sure to prime the unit to make the slider press the flange of the syringe
plunger.
쮿 How to set the syringe
(1) Push the slider release lever and move the slider as rightward as possible.
(2) Pull up the syringe holder until it can turn right and left. Turn the syringe holder either to the right or to
the left so that the syringe barrel can be held by the barrel flange holder. (When turned either to the right
or to the left, the syringe holder will not come down.)
(3) Fill the syringe with a medical fluid and push the plunger to expel air from inside the syringe.
(4) Fit the flange of the syringe barrel in the slit of the barrel flange holder.
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(5) Push the slider release lever and move the slider until it touches the flange of the syringe plunger and fix
securely.
The slider will not move if the release lever is not pushed sufficiently. After moving the slider, check that
the flange of the syringe plunger is placed properly between the plunger flange holder and the slider.
(6) Turn the syringe holder until it can move down. Move down the syringe holder to fix the syringe barrel.
Syringe holder
Slider
Flange of the syringe barrel
Release lever
Syringe
Plunger flange holder
Barrel flange holder
Slit
(7) Connect an infusion line (an extension tube, an infusion needle, etc.) to the syringe.
CAUTION
If the flange of the syringe barrel is not held properly by the barrel flange holder, the “FLANGE
OFF” alarm will appear and infusion cannot be started.
If the plunger of the syringe is not placed tightly against the slider, the “PLUNGER OFF” alarm will
appear and infusion cannot be started.
If the syringe is not held fixedly by the syringe holder, the “SYRINGE OFF” alarm will appear and
infusion cannot be started.
If the flange of the syringe plunger is not held fixedly by the plunger flange holder, the syringe
“NEAR EMPTY” alarm and the “SYRINGE EMPTY” alarm may not occur. Set the syringe securely.
If infusion is started with only a small volume of medical fluid in the syringe, the syringe “NEAR
EMPTY” alarm and the “SYRINGE EMPTY” alarm may not occur.
19
Page 22
WARNING
Do not mount the outer cylinder guard vertically
on the cylinder guard holder. This incorrect placement will cause the syringe size to be miread
and result in inaccurate flow volumes.
Outer cylinder guard holder
Do not infuse the patient with the inner cylinder
improperly sitting on top of the inner cylinder
guard holder. The syringe should be securely
positioned within the guard holder.
Improper placement will cause the syringe size
to be misread causing inaccurate flow volumes,
possible stoppage of the infusion, and alarms
signaling the syringe has become disconnected.
Inner cylinder guard holder
5-2. Operation
5-2-1. Setting the flow rate
Calculate and set the required flow rate based on the doctor’s instructions. The flow rate range is 0.1
~ 300.0mL/h in 0.1mL/h increments. (Up to 1200mL/h is selectable for a 50mL syringe. See “5-3-3. CE
mode.)
(1) Switch on the unit. A buzzer will sound and the
message “SET FLOW RATE” will appear on the
LCD display. The name of the manufacturer and
the size of the syringe currently attached will be
displayed below.
SET FLOWRATE
∑
0.0
CLR
Terumo
mL
10mL
(2) Check that “0.0” is flashing (red) on the flow rate
display.
mL/h
PRIME
20
START
STOP
SILENCE
Page 23
(3) Use appropriate number keys to set the desired flow
rate.
To correct the flow rate, press the [CLEAR] switch.
L/h
NCE
7
8
9
0
4
5
6
1
2
3
C
.
5-2-2. Priming the syringe
(1) Press the [PRIME] switch, and the screen shown on
the right will appear on the LCD display. Check that
the syringe is set properly, and then continue to press
down the [PRIME] switch.
As long as the [PRIME] switch is held down, a medical fluid is delivered at a high rate of 100-300mL/h
(in the CE mode) with a 10mL, 20mL or 30mL syringe or at 100-1200mL/h (in the CE mode) with a
50mL syringe, so that the medical fluid will be rapidly supplied to the tip of the needle. During priming, the priming flow rate will be shown on the flow
rate display. The priming rate is selectable in the CE
mode (See “5-3-3. CE mode).
PRIME?
Confirm syringe.
Press 컅컅 again
Terumo
10mL
(2) Insert the needle into the patient’s arm.
CAUTION
Before starting infusion, be sure to prime the syringe until the medical fluid comes out from the tip
of the needle. This will expel air from inside the line. This will also eliminate play from the drive
mechanism of the syringe pump. Priming ensures that infusion will be started as soon as the
[START] switch is pressed.
Check to make sure that no drip is coming out of the needle tip after the needle is filled with the
medical fluid up to the tip. If you find the fluid dripping from the needle tip, check the syringe again
to make sure that it is properly placed.
I.V. needle
21
Page 24
5-2-3. Starting infusion
Press the [START] switch, and the screen shown on the
right will appear on the LCD display. Check the syringe
size, the name of the manufacturer of the syringe, the
proper setting of the syringe and the selected flow rate
shown on the display. Then press the [START] switch to
start the infusion.
START?
Confirm syringe & Rate.
Press
again
Terumo
CAUTION
10mL
Before starting infusion, check the flow rate
setting for any error in the position of a decimal point or the number of digits to prevent
excessive or insufficient delivery.
5-2-4. Changing the occlusion pressure alarm level
Press the [Screen Changeover] switch until the screen
shown on the right appears on the LCD display. The
screen shows the trend of the infusion pressure over the
past 90 minutes. A desired occlusion pressure alarm level
is selectable from five options by using the [Up/Down]
switches. An alarm will be given if the infusion pressure
should exceed the selected alarm level. Check the trend
of the infusion pressure shown on the screen and set a
desired occlusion pressure alarm level.
The occlusion pressure alarm level should be set a little
higher than the trend. If it is set too high, an alarm will
be delayed. If it is set too low, an alarm will be given too
frequently. Select and set an appropriate level.
INFUSING
PRES.
5
Terumo
Selected Trend of infusion Occulusion Press
level
pressure
alarm level
[Screen Changeover]
switch
The setting at the time of shipment is “Level 5”.
CAUTION
If any abnormal condition should be observed, stop using the unit immediately, and
contact your local representative.
The occlusion pressure actually detected
somewhat varies depending on the syringe
and the needle in use. The numerical values
in the table are given as standards.
See “9-2. Occlusion Characteristics” for typical data on the detection of occlusion.
22
10mL
[Up/Down]
switch
Occlusion pressure alarm level
(Up to 90 minutes of display)
Setting
Detected occlusion level
Level 5
Level 4
Level 3
Level 2
Level 1
120[kPa]
100[kPa]
80[kPa]
60[kPa]
40[kPa]
Page 25
5-2-5. Stopping the infusion, changing the flow rate and priming
To stop the infusion temporarily, press the [STOP] switch.
Stop the infusion in progress to change the flow rate or to
prime.
STOPPED
∑
5.5
CLR
Terumo
mL
10mL
[Up]
switch
5-2-6. Clearing the total volume infused
To clear the total volume infused (∑), stop the infusion
first. Press the [Screen Changeover] switch until the
screen shown on the right appears on the LCD display.
Then press the [Up] switch twice.
STOPPED
∑
CLR
WARNING
For safety’s sake, the unit is designed in such
a way that the flow rate cannot be changed or
no priming will occur during infusion even if the
number key or the [PRIME] switch is pressed.
To change the flow rate or to prime, press first
the [STOP] switch to stop the infusion.
23
Terumo
0.0
10mL
mL