NIKI T34 & T34L In Service Guide.pdf
Origins in New Zealand in 1983
New Zealand’s largest private medical supplier
Sydney HQ since 1999
-Caesarea Medical Pumps
– Anaesthetic & I.V. Products
– Pharmacy ,TPN Consumables
– Disposable Optical Laryngoscope
Established in 1993
Incorporated in Israel & Germany
Privately owned company
Main focus on small ambulatory technology
Advanced therapies in Chronotherapy (Sinusoidal
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
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
Immunology / Thalassemia – High viscosity
drugs, subcut, increased Occlusion pressure
Palliative / Home Care – “Closed” protocol.
Program locked, no titration, KVO off, Set
Emergency / Retrieval
No user calculations
- reducing programming errors
No mandatory consumables
- uses and detects any brand or size
Large screen display
READ ME !!
Program LOCK- No change to duration or
rate (by Accident)
Audible AND Visual Alarms
•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
Battery 9V Duracell, can
be replaced without
2-5 days infusion per
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
3 Point Syringe ldentification
A- Barrel clamp arm
detects size/width of barrel and
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
Pump can be setup, programmed for
any brand and size of syringe
ie Terumo OR BD or…
Lift clamp and
1ml Length is
Distance from 0
to 3ml divided by
3 = 17mm
Hard Height is
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
Watch Actuator – Moves to same
position as last syringe !
Software Version displayed
Check Pump settings Occlusion, Max
rate, Program Lock ON, Battery %
Load syringe !!
Check Syringe Brand and Size
Check volume, Duration, rate
Start Infusion ?
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)
Only ONE prime is allowed each time the NIKI is
turned on. To re-prime, pump must be turned off and on again.
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
Only ONE prime is allowed each time the NIKI is turned on.
To re-prime, pump must be turned off and on again.
Once infusion is started:
Time Remaining is displayed
Infusion Rate is displayed in ml/hr
Syringe brand display alternates with
KEYPAD Lock OFF The pump can be stopped and
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.
key to display infusion data :
(Volume to be Infused)
VI (Volume Infused…. so Far)
Battery Level eg74%
Data should match that of syringe
Audible and Visual alarms for the
Pump Paused Too Long – Take Action
Check syringe sensors ….
Occlusion Alarm –Default pressure (540
Near end infusion (15min)
Battery Low ~15min
10ml infusion (0.42ml/hr) Alarm
sounds after 8 hours
SHOULD press YES to stay at same
What if we push NO?
Push NO for new Program
Remaining 6.6ml will be
recalculated over 24 hrs at a new
rate of 0.28ml/hr
Battery goes Flat etc
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
Put in empty syringe with ORIGINAL volume
Start pump and press NO for new infusion.
Remove empty syringe
Wind actuator forward to original position
Place in original syringe and start pump pressing YES to
This should then show original infusion rate.
Alternatively calculate time remaining and adjust Duration
accordingly in Change Setup menu. (Ensure Duration is
reset to 24 hours at end of infusion)
Press IINFO Key
Press until “Change Setup” appears
Enter Level One code using
This accesses a menus where a number of
parameters can be adjusted, These include
◦ Default duration, Occlusion alarm setting, Program Lock
◦ Backlight, LED blinking, etc