infusomat_space_instructions_for_use_sw_586u_aug_20.pdf
Page 1
Infusomat® Space
and Accessories
Rx only
Instructions for Use
It is recommended that all pumps at
your institution are equipped with
the same software version.
US
Valid for software 586U
Page 2
CONTENTS
Infusomat® Space Overview ...................................................................................................3
Symbols on Product...................................................................................................................9
Patient Safety ......................................................................................................................11
Menu Structure / Navigation...............................................................................................13
Entering values ......................................................................................................................15
Chapter 1 Operation..........................................................................................................18
1.1 Inserting and Priming line in Pump......................................................................................18
1.2 Drug Library..................................................................................................................................20
1.3 Programming a PRIMary Infusion in the Drug Library ...................................................25
1.4 Programming a SECondary Infusion in the Drug Library ...............................................28
1.5 Programming an Intermittent Dose Over Time Infusion ................................................32
1.6 Programming a Loading Dose in the Drug Library...........................................................33
1.7 Programming a Bolus with Dose and Time in the Drug Library ..................................35
1.8 Manual Bolus...............................................................................................................................36
1.9 Changing Care Unit ...................................................................................................................37
1.10 Changing display while pump is running ...........................................................................38
1.11 Basic Infusion (programming the pump outside of the drug library) ........................38
1.12 IV Line Change and New Therapy Start...............................................................................40
1.13 End of Infusion............................................................................................................................41
1.14 Standby Mode .............................................................................................................................42
Chapter 2
Pump Menus....................................................................................................43
2.1 Infusion Totals.............................................................................................................................43
2.2 Options ..........................................................................................................................................44
2.2.1 Downstream Occlusion Pressure...............................................................................44
2.2.2 Upstream Pressure ........................................................................................................44
2.2.3 Alarm Volume .................................................................................................................44
2.2.4 Dose Rate Calculator....................................................................................................44
2.2.5 Data Lock .........................................................................................................................48
2.2.6 KVO Mode........................................................................................................................48
2.2.7 Contrast / Display Light / Keypad Light..................................................................48
2.2.8 Bolus Rate........................................................................................................................49
2.2.9 Date / Time......................................................................................................................49
2.2.10 Macro mode ....................................................................................................................49
2.3.11 Wireless Activation .......................................................................................................49
2.3 Status Menu.................................................................................................................................49
Chapter 3
Alarms................................................................................................................51
3.1
3.2
3.3
3.4
Chapter 4
Chapter 5
Chapter 6
*The availability of
the listed features
depends on the
configuration of
the pump's
biomed file.
**Technical Safety
Check.
Wireless Drug Library Upload.....................................................................55
AutoProgramming and Barcoding.............................................................58
Battery Operation and Maintenance........................................................61
6.1
6.2
6.3
6.4
Chapter 7
Chapter 8
Chapter 9
Chapter 10
Ordering
Device Alarms ..............................................................................................................................51
Pre-Alarms and Operating Alarms.........................................................................................51
Reminder Alarms ........................................................................................................................53
Alarm Prompts.............................................................................................................................54
General...........................................................................................................................................61
Safety Instructions.....................................................................................................................62
Battery with WiFi .......................................................................................................................62
Battery maintenance.................................................................................................................63
Start Up Graphs and Trumpet Curves ......................................................66
Technical Data.................................................................................................67
Warranty / Training / TSC** / Service / Disinfection / Disposal ......76
Optional Space Accessories.........................................................................80
......................................................................................................................84
2
Page 3
INFUSOMAT SPACE® OVERVIEW
I N F U S O M AT ® S PA C E O V E R V I E W
Follow on screen prompts using arrow keys to navigate
menus, select parameters, change values and respond to
on screen prompts.
q
Press to clear values in
programming screens or to
go back one screen.
c
Yellow LED: Pre-alarm, reminder alarm
Press to
initiate
bolus.
Green or Red LED:
or
Green LED:
Infusing
Red LED:
Operating or Device Alarm
Blue LED:
Press to select and/or confirm
values/settings/alarms/messages.
x
B
n o
Initiating connection to wireless
battery or SpaceStation
k
Press to turn
pump on/off
and initiate
stand by
mode.
Press to
open the
pump door.
f
S
m
Press to initiate auto-programming
orders when prompted.
Press to Start/Stop
infusion.
Cover of Battery Compartment
Before changing the battery, always disconnect the pump from the patient and switch the device off.
To remove the battery cover, push the button below the battery compartment with the point of a pen and pull the
cover away from the device. Slide the green locking mechanism on the back of the battery up and take out the battery
pack for repalcement.
A crank key used to open the pump door, which is stuck closed, is attached to the inside of the battery compartment
cover (for more information see subchapter 1.12).
Port P3 for future options
3
Port P2 for power supply, SpaceStation, combi lead
and additional accessory leads (staff call, service plug)
Page 4
INFUSOMAT® SPACE OVERVIEW
Anti-free flow clip
(set based free
flow protection)
Opening
lever
Downstream
pressure sensor
Pump based free flow
prevention safety clamp
Air
sensor
Line Loading
Guide
Yellow
caution light
Line guide
cover
Upstream
pressure sensor
Pole Clamp SP (model 8713130)
Rotation lever
Pole clamp
release button
4
Attaching Pole Clamp to IV Pole
Position the opening of the Pole Clamp on
pole and turn the grey locking knob clockwise until pole clamp is secured to IV pole.
Turn grey knob counter clockwise to release.
For vertical positioning of Pole Clamp push
rotation lever down and rotate pump
either way until lever clicks into notch.
Push lever for rotation.
Caution: Do not lean on pump
when attached to pole!
Caution: A maximum of three B. Braun
Space pumps can be stacked together
when used with the PoleClamp SP.
Page 5
INFUSOMAT® SPACE OVERVIEW
Attaching Pump to Pole Clamp
Line up slots on top sides of pump with
grooves of Pole Clamp and slide pump into
Pole Clamp until locking mechanism clicks.
To remove, simultaneously press release
button on frame and push handle down
while pulling pump out from pole clamp.
Pole clamp
handle
Pole clamp
release button
Pump slots
Locking Devices Together
A maximum of three pumps (Infusomat®
Space or Perfusor® Space) may be
inter-locked on a single pole clamp.
Caution: Avoid external mechanical
action.
Line up the grooves of the lower pump with
the slots of the upper pump and slide the
lower pump in until the lock clicks and the
green buttons are aligned with each other.
To disconnect, push green locking button of
upper pump and slide lower pump out.
The pump is now securely attached to Pole
Clamp.
• Do not position the pump unit over the
patient.
Underside view
Clamp grids
• DO NOT use any Pole Clamp that shows
signs of damage.
• DO NOT use Pole Clamp with missing
clamp grids.
5
Page 6
INFUSOMAT® SPACE OVERVIEW
Space Pole Clamp (speed clamp)
(model 8713131)
Attaching Pole Clamp to IV Pole
Position the opening of the Pole Clamp
on pole and turn black knob clockwise
until pole clamp is secured to IV pole.
Turn black knob counter clockwise to
release from IV pole.
Attaching Pump to Pole Clamp
Line up slots on top sides of pump with
grooves of Pole Clamp and slide pump
into Pole Clamp until locking mechanism clicks.
The pump is now securely attached to the
pole clamp.
• Do not position the pump unit over
the patient.
6
Page 7
INFUSOMAT® SPACE OVERVIEW
Locking Devices Together
Line up the grooves of the lower pump
with the slots of the upper pump and
slide the lower pump until the lock
clicks and the green buttons are aligned
with each other. To disconnect, push
green locking button of the upper pump
and slide lower pump out.
A maximum of three pumps (Infusomat®
Space or Perfusor® Space) may be interlocked on a single pole clamp.
Caution: Avoid external mechanical action.
Removing Pump from Pole Clamp
Pull both end tabs simultaneously to
gently eject/release the pump from pole
clamp. Slide pump out by hand to
remove fully from pole clamp.
➀
➁
Vertical Positioning
Simply turn the pump either way until it
clicks into notch at 90 degree/vertical
position.
➂
7
Page 8
INFUSOMAT® SPACE OVERVIEW
Caution: Do not lean on pump
when attached to pole!
Caution: A maximum of three B. Braun
Space pumps can be stacked together
when used with the Space Pole Clamp
(speed clamp).
Power supply holder
The Space Pole Clamp (speed clamp) can
hold up to 2 Space Power Supplies
(8713112D) on the rear of the pole
clamp.
DO NOT use any Pole Clamp that shows signs of damage.
8
Page 9
SYMBOLS ON PRODUCT
SYMBOLS ON PRODUCT
Symbol
Explanation
Mandatory action: see instruction for use.
See accompanying documents.
Type CF unit with defibrillation protection
Protection class II device
Symbol indicating separate collection for electrical and
electronic equipment (2002/96/EC) only for valid for Europe,
not applicable for US
CE mark compliant to Directive 93/42/EEC
Temperature Limit
Moisture Limit
Limitation of the atmospheric pressure
Non-ionizing electromagnetic radiation
General warning sign (e.g. Caution)
Unsafe symbol (Do not use in MRI environment!)
LOT
Batch number
SN
Serial number
9
Page 10
SYMBOLS ON PRODUCT
List of abbreviations
KVO = Keep Vein Open
LED = Light-Emitting Diode
(indicator lamps)
TPN = Total Parenteral Nutrition
10
VTBI = Volume To Be Infused
MRI = Magnetic Resonance Imaging
BSA = Body Surface Area
Page 11
PATIENT SAFETY
PAT I E N T S A F E T Y
Indications for Use
Read Instructions
for Use prior to
operation. The
infusion device
should only be
used by trained
healthcare
professionals.
The Infusomat® Space Volumetric Infusion Pump System is intended for use on
adults, pediatrics, and neonates for the intermittent or continuous delivery of
parenteral fluids, medications, blood and blood products through clinically
accepted routes of administration. These routes include intravenous, intraarterial, subcutaneous, and epidural.
Infusomat® Space Volumetric Infusion Pump System is intended to be used by
trained healthcare professionals in healthcare facilities.
Dedicated Disposables
The Infusomat Space is intended to be used with only dedicated disposables
labeled for the different routes of administration.
Warnings and Cautions
• The initial training of the Infusomat® Space is to be performed by B. Braun
sales and/or clinical personnel or other authorized persons. After each software update, the user must refer to the Instructions for Use to review
changes to the device and software.
Caution: Ensure the unit is properly positioned and secured (see ch.
Infusomat® Space Overview). Do not position pump above patient or in
a position where a patient could be harmed , should the pump fall.
• Prior to administration, visibly inspect the pump for damage, missing
parts or contamination and check audible and visible alarms during
selftest.
• Only connect to patient once the line has been correctly inserted and
completely primed (chapter 1.1). Disconnect from patient during line change
to prevent unintended delivery.
Caution: Insure the infusion line is free of kinks.
Caution: Do not operate in the presence of flammable anesthetics or in
a hyperbaric oxygen chamber.
• Not be used adjacent and stacked with other equipment except B. Braun
Space devices.
Caution: The Infusomat Space System is unsafe to use in proximity to
magnetic resonance imaging (MRI) equipment.
• Compare the displayed value with the entered value prior to starting
infusion.
11
Page 12
PATIENT SAFETY
• Compare physician order to programming parameters including drug name,
patient profile and dosing prior to starting infusion.
• Check default values pre-populated from drug library with physician order
prior to starting infusion.
• Consider additional monitoring which may be required when infusing high
risk medications.
• Consider plausibility of calculated flow rate for infusions programmed with
BSA to assist in determining accuracy of patient height and weight values.
• If staff call is used, it is recommended to check the equipment once after
connecting the pump to insure staff call is working.
• If the pump is dropped or is exposed to force, it must be checked by the
service department.
• The default values and limits of the Drug Library provide a safety net and are
not intended to be used to define treatment.
• Changes in position of pump height in relation to patient during infusion
may lead to minor changes in flow accuracy.
• Do not allow liquids to enter into or come into contact with any openings or
electrical connections on the pump or power supply. Fluid exposure in these
areas may result in the risk of short circuit, corrosion or breakdown of
sensitive electrical components, and/or electrical shock. If fluid exposure
occurs, the device should be swapped out with another device in a manner
that presents minimal interruption to patient care. The device should remain
unplugged until it can be inspected by a trained technician for any evidence
of damage and/or residual moisture which may impair the function of the
device.
Safety Standards
Infusomat® Space satisfies all safety standards for medical electrical devices in
compliance with IEC 60601-1:2005 and IEC 60601-2-24: 2012.
• The EMC-limits (electro-magnetic compatibility) according to IEC 60601-12:2007 and IEC 60601-2-24: 2012 are maintained. If the equipment is
operated in the vicinity of other equipment which may cause high levels of
interference (e.g. HF surgical equipment, nuclear spin tomography units,
mobile telephones etc.) may be disturbed. Maintain the protective distances
recommended by the manufacturers of these devices.
• During transport of patients within the facility the Infusomat® Space needs
to be fixed on a suitable restraint system by means of SpaceStation,
Pole Clamp SP or Space Pole Clamp (speed clamp).
• When stored under temperature conditions beyond the defined operating
conditions the Infusomat® Space needs to remain under room temperature at
least one hour before usage.
12
Page 13
MENU STRUCTURE / NAVIGATION
MENU STRUCTURE / NAVIGATION
Overview of Keys and Displays
o
x
f
s
b
n
On/Off key
Door open key
Start/Stop key
Bolus key
C
K
Q
m
Clear and/or back key
OK key
Keypad with arrows
Initiation of Auto-programming
order
All display screen shots are examples and may be different depending on pump
configuration and infusion settings.
Display
Meaning
At the top of the screen the last infusion
is indicated. "Continue last infusion"
question can be answered with Yes/No
question by pressing u for yes or d
for no. Pressing yes recalls all parameters
of the last infusion prior to power off,
both the last primary and secondary
therapies are retained.
Parameters can be changed (e.g. rate in
ml/h) by opening the editor screen
with with l or k. When editing
parameters, use the l or r to
move to the digit to be programmed.
The white background indicates current
digit. Use u or d to change current
setting or C key to clear the values.
Text on the bottom or top of the
screen indicates infusion mode, soft
limit symbol.
Typical display during infusion:
Wireless Current
Set pressure limit
pressure level
Infusion
mode
Connected to Power/Battery Status
Scrolling arrows indicate pump is infusing
Set rate can be opened with l to edit
Soft limit indicator
Drug name
Unit of drug delivery
Infusion status information
13
Page 14
MENU STRUCTURE / NAVIGATION
Display
Meaning
All status information is available in the
bottom line of the display. The desired
information can be selected by using d
u and will be displayed (e. g. care area,
drug long name, time/ VTBI remaining
drug concentration, total volume, infused
totals for PRIMary and SECondary) until
changed by user.
This prompt appears if a user tries to edit
or change a parameter by pressing l
when that parameter is unable to be
changed.
Set pressure level with l or r and confirm by pressing k.
Cancel to edit pressure by using c.
Pre-alarms are indicated by a message on
the display (e.g. “VTBI near end”), an
audible tone and a flashing yellow LED.
To confirm a pre-alarm press k.
Operating alarms stop the infusion, an
audible tone sounds and the red LED
flashes. Confirm alarm by pressing k.
Confirming does not provide an acoustic
feedback.
Press and hold o for 3 sec to turn pump
off. A white bar stretches from left to right
and counts down the 3 sec.
The IV line must be removed to power the
pump off. Pump will go into stand-by if
the IV line is not removed.
14
Page 15
ENTERING VALUES
ENTERING VALUES
For an infusion parameter to be entered and/or edited, the pump displays the name of
the value being edited (rate, doserate, etc), format and unit of measure (dosing unit,
volume, time, etc).
In the screen below, a Doserate value is to be entered, which in this case is specified as
mcg/kg/h. The underbars indicate the places which can be entered both to the left
and right side of the decimal point.
The value to be entered must be selected by using the arrow buttons to move the
cursor so the desired numerical value to be changed is highlighted. Use the Left and
Right arrows buttons to move the cursor and the Up and Down arrows keys to increase
or decrease the number.
Entering a new value:
For example, a value of 9.5 can be entered
by pressing the Up arrow button u in the
“ones” place 9 times and then press the
Right arrow button r once to move the
cursor to the “tenths” decimal place and
pressing the Up arrow button u 5 times.
Press the OK button k to confirm the
value, as indicated in the title bar of the
display.
Titrate an existing value:
Select the value to be changed by using the right r and left arrow l keys to highlight desired number, in this case the “ones” place.
To Titrate to another value, e.g. 11.5 press
the Down arrow button d eight times to
get 1.5
Then press the Left arrow button l to
move the cursor to the “tens” place and
press the Up arrow button u once .
15
Page 16
ENTERING VALUES
Arithmetic logic:
An alternative method for entering and titrating values uses arithmetic logic:
Pressing the Up arrow u one time in the
“ones” place increases the value to 10.5
Pressing the Down arrow button d from
the “ones” place decreases the value to
9.5
Pressing the Up arrow button u from the
“ones” place 2 times increases the value to
11.5
Hard Limits:
The editor function keeps the displayed values between the minimum and maximum
hard limits for the selected infusion parameter. This can be either general pump limits
or drug specific limits defined in the drug library. In case an increase of a value would
exceed a hard limit, the pump displays the highest acceptable value presuming the
user wanted a maximum value.
Example: Assume the selected drug has a hard limit set at 15 mcg/kg/h.
Trying to titrate from 9.5 to 19.5. Press the Left button l to move the cursor to the
“tens” place.
Press the Up button u in order to increment to 19.5. As 19.5 is above the limit,
the value displayed is 15, as the hard limit
is the highest acceptable value.
16
Page 17
ENTERING VALUES
IMPORTANT: If a value increase or decrease is not possible due to a hard limit (as 19.5
could be expected in this case), the value of the hard limit is displayed as the highest
acceptable value.
If the down arrow d is pressed on the above screen, the pump displays the previous
value i.e. 9.5.
If the up arrow u is pressed on the
above screen, the pump displays a clear
message that the value entered exceeds
the hard limit.
After the user confirms the message by
pressing the OK button k, the pump prefills the programming editor field with the
last value programmed and confirmed
prior to the value that created the alert.
While in the editor function the arrow
buttons Q and the OK button k are
used to define and confirm a value, the C
(clear) button c can be used to reset the
value to 0.
To exit the editor function, press the C button c again. The value of the infusion parameter
reverts to the last confirmed value.
17
Page 18
OPERATION
Chapter 1
OPERATION
1.1 Inserting IV Line and Priming in Pump
• Ensure that the pump is properly installed (see Infusomat Space Overview above).
Check the equipment for completeness and damages.
• Spike infusion bag and fill drip chamber to 2/3 full.
• Press o to power on. The message “Self-test active” and the software version are
displayed, two audible tones sound and all three LEDs (yellow, green/red and blue)
flash once. The power supply indicator and the set pressure level are
displayed followed by the set limit for the accumulated air volume and the max.
size of air bubbles.
• Observe B. Braun landing page and press k to enter infusion parameters followed
by IV line insertion, or press x and then press u to open the pump door and
insert the line.
Note: Observe message indicating the roller clamp should be closed during set change.
Caution: Close the roller clamp before inserting the IV line and do not
connect to patient until properly loaded and primed.
Insert the IV line from right to
the left starting with the 2 hole
clip.
18
Page 19
OPERATION
Chapter 1
Next attach the white clip.
Insure silicone segment is not
stretched or twisted, stars on tubing
must be in straight line and line
loading guide should not be twisted.
Anti-Free
Flow
clip insertion
Safety
clamp
Door hook
Insert the green anti-freeflow clip in
the green slot, in the direction indicated by the arrow, until the opening
lever snaps out, yellow light goes out
and pump based free flow protection
safety clamp occludes the lines.
Air sensor
guide
• Firmly press tubing into the air sensor guide to make sure the line is properly
inserted into the sensors. Thread the tubing through the notches on the right and
left side of the pump.
• Close the pump door by firmly placing pressure with both hands on each side of the
pump door, continue to press firmly until you hear and feel the motorized door
latch pull the door shut. Do not open roller clamp until the pump directs you to do
so when self test is completed.
Caution: Pump door will not close if the anti free flow clip is not
properly inserted. Do not force door closed - if door is too difficult to
close, check IV line and anti free-flow clip (green) for proper loading.
Caution: Before opening door, close roller clamp. If the door hook
appears damaged or broken remove the pump from service.
• If priming is activated, press u to select yes to prime IV line and note prompt to
disconnect IV line from patient before priming. Press k to confirm and begin
priming. Respond to "priming stopped" message by confirming with k. Respond to
"repeat priming" prompt with u for yes if line is not fully primed or d for no if
fully primed. Please refer to the priming volume on each disposable label.
19
Page 20
OPERATION
Chapter 1
Note: During priming, all air in line alarms are inactive.
• Connect IV line to the patient and observe B. Braun landing page. Press k to
program infusion.
Note: Pump automatically powers up in the drug library for all new infusions.
Note: Last infusion, if any, will be displayed with prompt "Continue last infusion?".
Press u for yes or d for no. If yes, confirm each infusion parameter by scrolling with
t and pressing k to confirm values. If no, press k on B. Braun landing page to
program new infusion.
1.2 Drug Library
The Space Infusomat powers up in the drug library, providing a safety net for clinicians
during programming.
The drug library allows for up to 1200 drug names in up to 10 concentrations per drug
to be sub-divided into 30 categories. These drugs can be assigned to 50 care units and
16 Patient Profiles. Drug categories allow the drug names to be subdivided, such as by
drug type. Patient profiles allow one drug to have different settings such as dose limits,
concentration, clinical advisories, pressure limits, and infusion type based on patient
type or condition. Care Units allow drugs to have different settings based on location
or classes of patients.
• The pump will prompt user to enter weight for weight based dosing and BSA for m2
dosing.
Note: Changing the weight during a weight based infusion or BSA during a m2
infusion will result in a change in the infusion rate to deliver the programmed dose at
the new weight.
20
Page 21
OPERATION
Chapter 1
• Weight or BSA may be changed by scrolling to weight or BSA on home screen and
editing weight or BSA.
• Drugs may have a clinical advisory set up in the drug library which must be
confirmed by pressing l or k before proceeding.
Note: It is possible to view the clinical advisory at any time by accessing the Status
menu from the home screen and scrolling to Drug Info, see Chapter 2.3 for details on
the Status Menu.
The Drug Library provides the ability to set limits for continuous infusions around rate
or doserate, intermittent infusions with limits on dose and time, loading dose and programmed bolus doses with dose and rate. In addition, default values may be entered in
the drug library and will be populated in the infusion parameters on the pump, these
values may be edited.
The Drug Library allows both soft and hard limits to be set. Soft limits may be overridden or value re-programmed per your institutional policy. Hard limits may not be
over-ridden. The soft limit symbol appears to the left of the run screen, as seen in
figure below, to indicate when infusion is within, below or above limits.
Soft Limits:
The following symbols describe the display status with regard to the limits:
The infusion is within the range of the lower and upper
soft limits
=
The infusion is below the upper soft limit
=
The infusion is above the upper soft limit
=
The infusion is above the upper soft limit
=
The infusion is below the lower soft limit
=
No soft or hard limits are set
=
21
Page 22
OPERATION
Chapter 1
Drugs may be marked for PRIMary only, SECondary only or both in the drug library.
When selecting drugs, in the library drug names will only appear if marked for that
mode in the drug library file. In addidtion a drug may be marked to deactivate
SECondary mode.
Hard Limits:
Two types of hard limits are possible. Hard limits may be set in the drug library
for rate/doserate, and amount or time of administration for each drug. If the set
rate/doserate (continuous, bolus or loading) or amount (dose or volume) is outside the values set in the drug library as a hard limit it is not possible to exceed
the hard limit.
In addition the pump has hard limits, the maximum rate of 1200ml/hr cannot
be exceeded. Additionally, the pump may be set in the configuration file to
have maximum limits for both continuous and bolus rates which cannot be
exceeded, these also produce hard limit alerts when attempting to program
values which exceed the set limit.
The hard limit message stays on the screen until confirmed by the user and the editor
reverts to the last value that was confirmed.
Below are 3 examples of values entered that exceed the hard limit of the drug library
or the pump:
Example 1:
Drug with a upper hard limit set at 15 mcg/kg/h
Current value is 10 mcg/kg/h
Pressing the u once with the cursor in the tens column would produce a value of 20
mcg/kg/h which is above the hard limit of 15 mcg/kg/h. The pump displays 15
mcg/kg/hr, the hard limit value.
22
Page 23
OPERATION
Chapter 1
When the u is pressed again the hard limit message is displayed and remains until
confirmed by pressing k.
Upon pressing the k button, the pump editor field reverts to the last confirmed
value programmed prior to the value that created the alert.
Example 2:
Drug with a lower hard limit of 0.2 g
Current value is 0.3 g
Pressing the d once with the cursor in the tenths column displays value
of 0.2 g which is at but not below the hard limit.
When the d is pressed once again with the cursor in the tenths column the hard
limit message is displayed and remains until confirmed by pressing k.
Upon pressing k the pump editor reverts to the last confirmed value programmed
prior to the value that created the alert.
23
Page 24
OPERATION
Chapter 1
Example 3:
Pump maximum rate is 1200ml/hr
Current value 1100ml/hr
Pressing the u once with the cursor in the hundreds column displays value
of 1200ml/hr which is at but not above the hard limit.
When the u is pressed once again with the cursor in the hundreds column
the hard limit message is displayed and remains until confirmed by pressing k.
Upon pressing k the pump editor field reverts to the last confirmed value
programmed prior to the value that created the alert.
Note: It is important to carefully check default values to be certain they match
physician order.
24
Page 25
OPERATION
Chapter 1
1.3 Programming a PRIMary Infusion in Drug Library
When the IV line has been loaded and primed, the B Braun landing page appears.
• Press k to program an infusion.
Note: Programming of infusion parameters may be done prior to loading the IV
line by pressing k from this screen.
• Select the Care Unit using the u and d arrows to scroll through the list
and press the l arrow or k key to make selection.
Note: A basic infusion may be selected from this list. Basic infusions are
addressed in Section 1.11.
Scroll bar
Note: Scroll bar appears on all screens when additional information is available, use
arrow keys to scroll. In all menus the screen always loops back to the top when
bottom of list is reached.
• Select patient profile using Q arrow keys and confirm with l arrow or
k. If no profile is set in the drug library, this step will be skipped.
• Select the drug category using Q arrow keys and confirming with l arrow
or k. "All drugs" may be selected or search by specific category. If no
categories have been set in the drug library this step will be skipped.
• All drugs are listed alphabetically. Navigate through the list with u and d
arrows or use l and r arrows to quickly skip through the alphabet in
groups of 3 (i.e. ABC-DEF) . Press l arrow or k to select drug.
25