NIKI Advanced Troubleshooting Guide

A. B.

C. D. E.

F. G. H. I.

Reacquaint Basic function Syringe brands and issues Software differences, versions Priming Yes-Resume No-New Syringe Change Setup/ Technician Menus Occlusion Pressure Demonstration of Comm Station

BodyGuard 323 Infusion Pump System BodyGuard 545 Epidural Infusion Pump System BodyGuard 575 PCA Infusion Pump System

Applica 2002 Paediatric Infusion Pump System

NIKI T34 Syringe Pump T34L Syringe Pump



Device type: Syringe driver with motor driven linear actuator, pulsed motion

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Flow rate/Bolus: 0.5 to 100 ml/hr (0.1ml increments), 100 to 1000 ml/hr (1ml increments)

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Clinician assisted bolus option and full PCA model available.

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Duration: 1min to 5 days in 1 min increments

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Actuator stroke: 60mm

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Syringe sizes: 2ml to 50ml, BD, Monoject, Braun, Terumo, CODAN, custom option

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Lockbox: Weight 185gm, will accommodate up to 30ml BD syringe.

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System accuracy: +/- 2%, approx +/- 5% with syringe and set

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Occlusion pressure: 100 to 1000mmHg

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Battery: Duracell Alkaline 9V or Lithium rechargeable, Approx 7 full deliveries

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Indicators: 3 line LCD display 122 x 32 pixel

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Alarms: Both audible and visual:

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◦Downstream Occlusion ◦Near end Infusion (15min from end)

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◦End Infusion ◦Syringe empty

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◦Low Battery, 15min ◦End Battery

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◦Load Syringe ◦Pump Unattended

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◦Syringe dislodged ◦Technical fault

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Event history: Downloadable 500 events via Infrared

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Dimensions: 169mm x 53mm x 23mm

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Weight: 262gm with battery

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Housing: ABS fire retardant

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Classification: Type CF Equipment

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Electrical Safety: Complies with EN 60601-1 Electrical safety, IEC 60601-2-24 Infusion Pumps, IEC

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60601-1-4 Programmable Device, IEC 601.1 EMC, UL 2601-1 and CAN/CSA

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C22.2 No 601.1.

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Standards: Manufactured in accordance with ISO 13485. CE marked in accordance with

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device directive 93/42/EEC

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Operating Conditions: Temperature +15ºC to +45ºC (593ºF to 113ºF)

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Humidity 20% to 90% non condensing

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Air Pressure 70kPa to 110kPa

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 ON KEYPAD Lock hold down the until bar has crossed the screen.  To turn off repeat the procedure 

i INFO

button

 Pump setup dependant on clinical

setting

 Emergency /Retrieval – “Open” protocol, any drug, max rate possible, KVO on, titratable rate  NETS / NICU – “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

 Program Lock ON  Max Rate set at 5ml/hr  Occlusion Pressure set at 540 mmHg

 Duration set at 24 hrs

Actuator

•INFO – Infusion data, Battery check, Change setup, Keypad LOCK •UP/DOWN – Change numbers, scroll in menus •YES/NO (Start / Stop) – Select menu options, confirm data •FF/BACK – Move actuator for syringe insertion or Prime line •ON/OFF •LED – Green when running, Red when stopped •Instructions on Front Panel

Battery 9V Duracell, can be replaced without opening lockbox

Terminals for Communications station Download Event Log

Terumo only one range  BD Plastipak, may not be marked  BD Precise,”Precise”, same as Terumo  Braun Omnifix, Monoject, rare in market  Hospital Choice, Ramsay Group NOTE: Luer Slip 

and Luer Lock are different diameters

Nipro, Northern Territory  Labels. Be careful. Ensure flat on barrel surface  LockBox. Only designed for 20ml syringes. Can fit BD 30ml but needs modification for Terumo 30ml. 

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

  

   

Ensure Clamp is DOWN 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

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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

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

 There are

currently ~5 different NIKI software versions in use in Australia  The latest is NCAT10410c.  Only significant clinical change is “Prime Volume” increased to 2ml (Some older pumps may have only 0.2/0.5ml)

 Majority of changes are internal software

and Biomedical functions

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 5.Watching fluid in the line hold down  FF button until prime is

completed.

6.Maximum prime is 2.0ml (Setting 0 – 2ml) 7.What does YES Mean ? 8.What does NO mean ?

NOTE: Only ONE prime is allowed each time the NIKI is turned on. To re-prime, pump must be turned off and on again.

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

After Prime

NOTE: Only ONE prime is allowed each time the NIKI is turned on. To re-prime, pump must be turned off and on again.

Scenario A  18ml Infusion, Rate 0.75ml/hr  Alarm sounds after 8 hours.  12ml remaining  SHOULD press YES to stay at same rate 0.75ml/hr  What if we push NO?  Push NO for new Program  Remaining 12ml will be

recalculated over 24 hrs at a new rate of 0.5ml/hr

If:  Alarm Sounds  Battery goes Flat etc … NO ONLY Press if it is a NEWLY filled syringe for the patient. In this case the pump will recalculate the volume in the syringe over 24 hours STOP