In-Service Guide
38 Pages
Preview
Page 1
Caesarea Medical Electronics Syringe Drivers:
NIKI T34 & T34L
Origins in New Zealand in 1983 New Zealand’s largest private medical supplier
Sydney HQ since 1999 Main Principals:
CME
-Caesarea Medical Pumps CODAN – Anaesthetic & I.V. Products BAXA – Pharmacy ,TPN Consumables AIRTRAQ – Disposable Optical Laryngoscope
Established in 1993
Incorporated in Israel & Germany
Privately owned company
Main focus on small ambulatory technology
Advanced therapies in Chronotherapy (Sinusoidal Chemotherapy)
Enteral & MRI Pumps
Device type: Syringe driver with motor driven linear actuator, pulsed motion
Flow rate/Bolus: 0.5 to 100 ml/hr (0.1ml increments), 100 to 1000 ml/hr (1ml increments)
Clinician assisted bolus option and full PCA model available.
Duration: 1min to 5 days in 1 min increments
Actuator stroke: 60mm
Syringe sizes: 2ml to 50ml, BD, Monoject, Braun, Terumo, CODAN, custom option
Lockbox: Weight 185gm, will accommodate up to 30ml BD syringe.
System accuracy: +/- 2%, approx +/- 5% with syringe and set
Occlusion pressure: 100 to 1000mmHg
Battery: Duracell Alkaline 9V or Lithium rechargeable, Approx 7 full deliveries
Indicators: 3 line LCD display 122 x 32 pixel
Alarms: Both audible and visual:
◦Downstream Occlusion ◦Near end Infusion (15min from end)
◦End Infusion ◦Syringe empty
◦Low Battery, 15min ◦End Battery
◦Load Syringe ◦Pump Unattended
◦Syringe dislodged ◦Technical fault
Event history: Downloadable 500 events via Infrared
Dimensions: 169mm x 53mm x 23mm
Weight: 262gm with battery
Housing: ABS fire retardant
Classification: Type CF Equipment
Electrical Safety: Complies with EN 60601-1 Electrical safety, IEC 60601-2-24 Infusion Pumps, IEC
60601-1-4 Programmable Device, IEC 601.1 EMC, UL 2601-1 and CAN/CSA
C22.2 No 601.1.
Standards: Manufactured in accordance with ISO 13485. CE marked in accordance with
device directive 93/42/EEC
Operating Conditions: Temperature +15ºC to +45ºC (593ºF to 113ºF)
Humidity 20% to 90% non condensing
Air Pressure 70kPa to 110kPa
Pump setup dependant on clinical
setting
Emergency /Retrieval – “Open” protocol, any drug, max rate possible, KVO on, titratable rate NETS / NICU / Anaesthesia – “Open” protocol with limits on max rate, Lower occlusion pressure. Immunology / Thalassemia – High viscosity drugs, subcut, increased Occlusion pressure Palliative / Home Care – “Closed” protocol. Program locked, no titration, KVO off, Set duration
Palliative Care
Emergency / Retrieval
NICU
Program Lock
ON
OFF
OFF
Maximum Rate
5ml/hr
600ml/hr
~50ml/hr
Titration
OFF
ON
OFF
Default duration
24 hrs
0
30-60 min
Occlusion Alarm
540-800mmHg
~400mmHg
~300mmHg
OFF
ON
OFF
KVO
No user calculations
- reducing programming errors
No mandatory consumables
- uses and detects any brand or size syringe
Large screen display
READ ME !!
Program LOCK- No change to duration or
rate (by Accident) SAFETY!!!
Audible AND Visual Alarms
Actuator
•Actuator (dont move by hand) •Instructions on Front Panel •ON/OFF (half to one second) •LED – Green when running, Red when stopped •FF/BACK – Move actuator for syringe insertion or Prime line •YES/NO (Start / Stop) – Select menu options, confirm data •UP/DOWN – Change numbers, scroll in menus •INFO – Infusion data, Battery check, Change setup, Keypad LOCK
Battery 9V Duracell, can be replaced without opening lockbox 2-5 days infusion per battery
Terminals for Communications station
Ensure Clamp is DOWN Turn ON Pump, notice actuator will move to same position of LAST syringe. Place syringe on top of Clamp Align barrel flange with groove in pump Press either or to align the Actuator with the end of plunger Lift Clamp, rotate 90 deg Place syringe on pump Close clamp
Align Groove
C
3 Point Syringe ldentification
A- Barrel clamp arm detects size/width of barrel and secures B- Syringe ear/collar sensor small metal switch-detects secure loading of syringe collar C- Plunger sensor detects secure loading of syringe plunger. Ensure plunger is between fingers Pump can be setup, programmed for any brand and size of syringe ie Terumo OR BD or…
A
B
Lift clamp and rotate
1ml Length is Distance from 0 to 3ml divided by 3 = 17mm 51mm
12.3mm
Hard Height is distance from top plunger to top barrel flange
Program Lock ON Max Rate set at 5ml/hr Occlusion Pressure set at 540 mmHg
Duration set at 24 hrs
1.
TURN ON
2.
Watch Actuator – Moves to same
MOST Important
position as last syringe ! 3.
Software Version displayed
4.
Check Pump settings Occlusion, Max
rate, Program Lock ON, Battery % 5.
Load syringe !!
6.
Check Syringe Brand and Size
7.
Check volume, Duration, rate
8.
Start Infusion ?
MOST Important
Fig 1
On day one and other days when a new IV line is used the line will need to be primed. 1. BEFORE Starting Infusion 2. Press FF button once. 3. Check patient is NOT connected 4. Press YES to confirm you want to prime – see Fig 2 5. Watching fluid in the line hold down FF button until prime is completed. 6. Maximum prime is 2.0ml (Setting 0 – 2ml) NOTE: Only ONE prime is allowed each time the NIKI is turned on. To re-prime, pump must be turned off and on again.
Fig 2
Before Prime
1. What does YES Mean ? 2. What does NO mean ? 1. Yes Means “Use the LAST infusion rate” 2. No means “Reset volume to infuse over 24 hours” Default Duration
VOLUME will reduce by prime volume DURATION will reduce based on volume RATE will remain the same
NOTE: Only ONE prime is allowed each time the NIKI is turned on. To re-prime, pump must be turned off and on again.
After Prime
Once infusion is started: Time Remaining is displayed Infusion Rate is displayed in ml/hr Syringe brand display alternates with
“<<<<pump delivering”
KEYPAD Lock OFF The pump can be stopped and turned off KEYPAD Lock ON The pump can be stopped but NOT turned off.
To turn KEYPAD Lock ON or OFF hold down the button until bar has crossed the screen.
i INFO
Press
i INFO
key to display infusion data :
VTBI (Volume to be Infused) VI (Volume Infused…. so Far) Battery Level eg74%
Data should match that of syringe
Audible and Visual alarms for the detection of: Pump Paused Too Long – Take Action Check syringe sensors …. Occlusion Alarm –Default pressure (540
mmHg) Near end infusion (15min) Finished Infusion Battery Low ~15min Syringe dislodged