Delphi IVantage™ Volumetric Ambulatory Infusion System User Manual

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Manufactured by:

European Representative:

Delphi Medical Systems Delphi World Headquarters and Customer Center 5725 Delphi Drive Troy, Michigan 48098-2815 U.S.A. Tel: [1] 888.526.1426 www.delphimedical.com

MediMark® Europe Sarl. 11, rue Emile Zola. BP 2332 F-38033 Grenoble Cedex 2 France Tel: +33 (0) 4 76 86 43 22 Fax: +33 (0) 4 76 17 19 82 E-mail: [email protected]

0086

Classification This pump is classified with respect to electric shock, fire, and mechanized hazards only in accordance with: • IEC 60601-1 (1988), Mechanical Electrical Equipment, Part 1: General Requirements for Safety +A1(91) +A2(95) • EN 60601-1 (1990), Medical Electrical Equipment, Part 1: General Requirements for Safety +A1(93) +A2(95) • UL 60601-1 (2003), Medical Electrical Equipment, Part 1: General Requirements for Safety • CAN/CSA C22.2 No. 601.1-M90 (1990), Medical Electrical Equipment, Part 1: General Requirements for Safety • IEC 60601-1-2 (2004), Edition 2.1, Medical Electrical Equipment, Parts 1-2: General Requirements for Safety-Collateral Standard: Electromagnetic Compatibility-Requirements and Tests • IEC 60601-1-4 (2000), Edition 1.1 Consolidated Edition, Medical Electrical Equipment, Parts 1-4: General Requirements for Safety- Collateral Standard: Programmable Electrical Medical Systems • IEC 60601-2-24 (1998), Medical Electrical Equipment, Part 2: Particular Requirements for the Safety of Infusion Pumps and Controllers This equipment is classified as: • Class II • Type CF • Splash-proof (IPX4)

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• Not suitable for use with flammable anesthetic mixtures with air, oxygen, or nitrous oxide • Continuous operation

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Explanation of Packaging and Labeling Symbols Lot number of the product Expiration date of the product Class II equipment Protected against splashing water Attention, consult accompanying documents Type CF equipment Single use only, do not reuse Sterile product, product sterilized by EO Do not use if package is damaged Minimum and maximum storage temperature Separate collection for electrical and electronic equipment This end up Fragile/breakable Minimum and maximum storage atmospheric pressure Minimum and maximum storage humidity

Intended Use The Delphi IVantage™ volumetric ambulatory infusion system is designed to provide safe and accurate delivery of a broad range of intravenous fluids, medications, blood, and blood products. The instrument is also suitable for the administration of medications into the epidural space surrounding the spinal cord. DL-00058 Rev. 4

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General Information This user manual provides information for users of the Delphi IVantage volumetric ambulatory infusion system. IVantage is a small, lightweight ambulatory infusion system designed to deliver infusion sets in hospitals and alternate-use sites. For the sake of brevity, the terms “IVantage” or “pump” are sometimes used in this document to refer to the IVantage volumetric ambulatory infusion system. Before using the pump, be sure to read carefully and understand all sections of this user manual. Failure to read and understand the instructions may lead to misuse of the pump, which could result in harm to the patient. Typographical Conventions in This User Manual This guide contains warnings, precautions, and notes to help call your attention to the most important safety and operational aspects of the pump. To help identify these items when they occur in the text, they are shown using the following typographical conventions: WARNING: STATEMENTS THAT DESCRIBE SERIOUS ADVERSE REACTIONS AND POTENTIAL SAFETY HAZARDS. PRECAUTION: STATEMENTS THAT CALL ATTENTION TO INFORMATION REGARDING ANY SPECIAL CARE TO BE EXERCISED BY THE PRACTITIONER AND/OR PATIENT FOR THE SAFE AND EFFECTIVE USE OF THE DEVICE.

IMPORTANT: Statements that call attention to additional significant information about the device or a procedure. Note: Statements that provide supplemental information.

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Warnings and Precautions IMPORTANT

Users should read this entire manual before operating the IVantage volumetric ambulatory infusion system. FOR HELP

If you have questions about the information in this user manual or about the safe operation of this pump, contact your local distributor. WARNINGS OVERVIEW

CRITICAL! EXPLOSION HAZARD. DO NOT USE IN THE PRESENCE OF FLAMMABLE ANESTHETICS! DO NOT INCINERATE UNIT. WARNING: 1. DO NOT USE A PUMP, INFUSION SET, OR ACCESSORY THAT SHOWS ANY SIGN OF DAMAGE. 2. THE PUMP DOES NOT DETECT AIR BUBBLES OR OCCLUSION WHEN PRIMING. WHEN PRIMING, DO NOT CONNECT THE INFUSION SET TO THE PATIENT. 3. DO NOT USE THIS PUMP IN THE SHOWER, BATH, OR SAUNA/STEAM BATH. 4. DO NOT SUBMERGE THIS PUMP IN WATER OR OTHER LIQUID. 5. PATIENTS COULD BE SERIOUSLY INJURED BY THE EPIDURAL ADMINISTRATION OF DRUGS NOT INDICATED FOR EPIDURAL USE. 6. BEFORE STARTING AN INFUSION, WITH THE CASSETTE INSTALLED IN THE PUMP AND THE FLOW-PROTECTION CLAMP OPEN, VERIFY THAT THERE IS NO FLOW OF FLUID FROM THE INFUSION SET. ALSO CHECK THAT THE PROGRAMMED INFORMATION IS CORRECT. 7. IN PCA MODE, A LOCK LEVEL OF 3 IS STRONGLY RECOMMENDED. WHEN SELECTING ANOTHER LEVEL, THE HEALTHCARE PROFESSIONAL MUST FIRST CAREFULLY CONSIDER AND ASSESS THE ENVIRONMENT IN WHICH THE PUMP WILL BE USED AND WHAT LEVEL OF CONTROL AND/OR INFORMATIONAL ACCESS WILL BE REQUIRED BY HEALTH CARE PROFESSIONALS AND/OR PATIENTS. 8. CLOSE THE INFUSION SET’S FLOW-PROTECTION CLAMP BEFORE AND AFTER REMOVING THE INFUSION SET FROM THE PUMP TO PREVENT UNRESTRICTED FLOW.

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PRECAUTION: 7. WHEN SELECTING INFUSION SET CHANGE INTERVALS, FOLLOW THE CDC OR OTHER APPROPRIATE GUIDELINES. HOWEVER, NEVER USE THE INFUSION SET LONGER THAN (WHICHEVER OCCURS FIRST): • 96 HOURS • 4 L OF FLUID • INTERVAL LISTED ON INFUSION SET PACKAGING 8. SELECT INFUSION SETS WITH CARE. FOR EXAMPLE, DO NOT ADMINISTER DRUGS THAT ARE INCOMPATIBLE WITH SILICONE RUBBER OR PVC PLASTIC. 9. THIS INFUSION PUMP IS NOT RECOMMENDED FOR THE INFUSION OF MEDICATIONS REQUIRING A HIGH DEGREE OF FLOW PRECISION, SUCH AS SHORT HALF-LIFE VASOACTIVE AGENTS, DUE TO THE INTERMITTENT NATURE OF THE FLUID DELIVERY. 10. DO NOT CONNECT THE IVANTAGE PUMP’S INFUSION SET TO OTHER INFUSION LINES IF THE COMBINED OCCLUSION PRESSURE WOULD EXCEED 12 PSI (0.8 BAR). 11. TO DELIVER INFUSIONS FROM A SYRINGE, THE SYRINGE MUST BE IN A VERTICAL POSITION, USING A VENTED ADAPTOR AND LOCKBOX. 12. ONLY APPROVED ACCESSORIES SHOULD BE USED WITH THIS PUMP. 13. WHEN INFUSING THROUGH A CENTRAL LINE CATHETER, LUER LOCK ADAPTORS SHOULD BE USED. 14. THIS PUMP MAY INTERACT WITH SOME ECG EQUIPMENT DURING INFUSIONS. REFER TO THE ECG MANUAL FOR INFORMATION ABOUT THE PROPER SETUP OF THE ECG. 15. DO NOT CLEAN, DISINFECT, OR STERILIZE ANY PART OF THE PUMP WITH ETHYLENE OXIDE GAS OR BY AUTOCLAVING. THIS MAY DAMAGE THE PUMP AND WILL VOID THE WARRANTY; DISINFECT THE PUMP’S EXTERNAL PARTS ONLY, USING APPROVED CLEANSERS OR DISINFECTANTS. 16. THESE CHEMICALS MAY DAMAGE THE PUMP’S FRONT PANEL: ACETALDEHYDE, ACETONE, AMMONIA, BENZENE, HYDROXYTOLUENE, METHYLENE CHLORIDE, OR OZONE. DO NOT USE THOSE CHEMICALS OR CLEANSERS CONTAINING N-ALKYLDIMETHYLBENZYLAMMONIUM CHLORIDE. 17. ONLY USE THE FOLLOWING CLEANSERS OR DISINFECTANTS ON THE IVANTAGE PUMP: • LpH® SE CONCENTRATED GERMICIDAL DETERGENT • HI-TOR® PLUS • A SOLUTION OF 10 PERCENT BLEACH IN WATER • SOAPY WATER

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Technical Information Electromagnetic Compatibility (EMC) Information Medical electrical equipment requires special precautions regarding electromagnetic compatibility (EMC). Portable and mobile radio frequency (RF) communications equipment can affect devices such as the IVantage volumetric ambulatory infusion system. As such, the pump should not be used adjacent to other equipment. If this is not practical, then observe the pump to make sure it is operating properly after installation. PRECAUTION: THE USE OF NON-RECOMMENDED ACCESSORIES MAY RESULT IN INCREASED EMC EMISSIONS OR DECREASED EMC IMMUNITY OF THE IVANTAGE PUMP. REFER TO THE IVANTAGE PUMP’S APPROVED ACCESSORIES LIST.

Guidance and manufacturer’s declaration: electromagnetic emissions The IVantage pump is intended for use in the electromagnetic environment specified below. The customer or the user of the IVantage pump should ensure that it is used in such an environment.

x

Emissions test

Compliance

Electromagnetic environment/guidance

RF emissions CISPR 11

Group 1

The IVantage pump uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

RF emissions CISPR 11

Class B

Harmonic emissions IEC 61000-3-2

Class B

Voltage fluctuations/ flicker emissions IEC 61000-3-3

Complies

The IVantage pump is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes.

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Guidance and manufacturer’s declaration: electromagnetic immunity The IVantage pump is intended for use in the electromagnetic environment specified below. The customer or the user of the IVantage pump should ensure that it is used in such an environment. Immunity test

IEC 60601 test level

Compliance level

Electromagnetic environment/guidance

Electrostatic discharge (ESD) IEC 61000-4-2

±6 kV contact ±8 kV air

±8 kV contact ±15 kV air

Floors should be wood, concrete, or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.

Electrical fast transient/burst IEC 61000-4-4

±2 kV for power supply lines ±1 kV for input/output lines

±2 kV for power supply lines ±2 kV for input/output lines

Mains power quality should be that of a typical commercial or hospital environment.

Surge IEC 61000-4-5

±1 kV differential mode ±2 kV common mode

±2 kV differential mode ±2 kV common mode

Mains power quality should be that of a typical commercial or hospital environment.

Voltage dips, short interruptions, and voltage variations on power supply input lines IEC 61000-4-11

<5% UT (>95% dip in UT) for 0.5 cycle 40% UT (60% dip in UT) for 5 cycles 70% UT (30% dip in UT) for 25 cycles <5% UT (>95% dip in UT) for 5 s

<5% UT (>95% dip in UT) for 0.5 cycle 40% UT (60% dip in UT) for 5 cycles 70% UT (30% dip in UT) for 25 cycles <5% UT (>95% dip in UT) for 5 s

Mains power quality should be that of a typical commercial or hospital environment. If the IVantage pump user requires continued operation during power mains interruptions, the pump should be powered from an uninterruptible power supply or a fully charged battery.

Power frequency (50/60 Hz) magnetic field IEC 61000-4-8

3 A/m

3 A/m

Power frequency magnetic fields should be at levels characteristic of a typical commercial or hospital environment.

Note: UT is the AC mains voltage prior to application of the test level.

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Guidance and manufacturer’s declaration: electromagnetic immunity (cont.) Immunity test

IEC 60601 test level

Compliance level

Electromagnetic environment/guidance

Conducted RF IEC 61000-4-6

3 Vrms 150 kHz to 80 MHz outside ISM bands* 3 V/m 80 MHz to 2.5 GHz

3 Vrms

Portable and mobile RF communications equipment should be used no closer to any part of the IVantage pump, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance: d = [3.5/3] √P d = [3.5/10] √P 80 MHz to 800 MHz d = [7/10] √P 800 MHz to 2.5 GHz where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer and d is the recommended separation distance in meters. Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey*, should be less than the compliance level in each frequency range**. Interference may occur in the vicinity of equipment marked with the following symbol:

Radiated RF IEC 61000-4-3

10 V/m

*Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the pump is used exceeds the applicable RF compliance level above, the pump should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the pump. **Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

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Recommended separation distances between portable and mobile RF communications equipment and the IVantage pump The IVantage pump is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The IVantage pump user can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the IVantage pump as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter (W)

Separation distance (m) according to frequency of transmitter 150 kHz to 80 MHz to 800 MHz to 2.5 GHz 80 MHz 800 MHz d = [3.5/3] √P

d = [3.5/10] √P

d = [7/10] √P

0.01

0.12

0.12

0.23

0.1

0.37

0.37

0.74

1

1.17

1.17

2.33

10

3.69

3.69

7.38

100

11.67

11.67

23.33

For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. Note: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. Note: These guidelines may not apply in all situations. Electromagnetic propagation is affected by the absorption and reflection from structures, objects, and people.

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Contents Classification... ii Explanation of Packaging and Labeling Symbols... iii Intended Use... iii General Information... v Warnings and Precautions... vi Technical Information... x IVantage Pump Specifications... xvi Pump Controls and Features... 2 Combination Key Functions... 4 Initial Pump Setup... 6 Pump Environment/Storage... 6 Battery Charging... 6 Operating the Pump... 7 Turning the Pump On and Autocheck... 7 Turning the Pump Off... 8 Selecting the Infusion Mode... 8 Preparing the Infusion Set... 10 Using the Pump-Assisted Priming Feature... 10 Gravity Priming Option... 12 Completing Priming... 12 Programming Infusions... 13 Continuous Infusion... 13 Stopping the Infusion... 14 Completing the Infusion... 15 Repeating the Infusion... 16 Programming a Secondary/Piggyback Infusion... 16 Total Parenteral Nutrition (TPN) Infusion... 17 Immediate Taper-Down... 20 Stopping the Infusion... 21 Completing the Infusion... 21 Repeating the Infusion... 22

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Dose Mode Infusion... 23 Stopping the Infusion... 26 Completing the Infusion... 26 Repeating the Infusion... 27 Patient-Controlled Analgesia (PCA)... 27 Stopping the Infusion... 32 Completing the Infusion... 32 Repeating the Infusion... 33 PCA Lock Levels... 34 Changing Pump Mode Configurable Parameters... 35 Pump Alerts/Alarms... 40 Pump Maintenance/Cleaning... 43 Pump Maintenance Record... 46 Warranty... 47 Trademarks... 48 Disclaimer... 49 Trumpet Graphs... 50

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IVantage Pump Specifications Specifications Size: 14 cm W x 6 cm H x 4.4 cm D (5.5" W x 2.3" H x 1.75" D) Weight: 390 g (13 oz.) with battery Operating principle: Rotary peristaltic Delivery modes: Continuous (primary/secondary), TPN, PCA, Dose Power: AC/DC adaptor Input: AC, 100-240V AC, 50-60 Hz, 400 mA Output: DC, 12V DC, 1.25 A Flow rate: 0.1 to 999 mL/h Flow-rate accuracy: • Continuous mode: <1 mL/h ± 10% • PCA mode: <1 mL/h ± 15% • All other modes: ≥1 mL/h ± 5% Free-flow protection: Integrated within cassette/IV line VTBI: 1 to 9,999 mL KVO rate: 0.0 to 9.9 mL/h History: 1,000 events Optional therapy modes: Delayed start (dose and TPN modes); rampup/taper-down or both (TPN mode); emergency taper now (TPN mode) Technical options: Program lock; battery-save mode Additional options: Secondary infusion (continuous mode); mg, mcg, or mL dosing (PCA mode) Occlusion pressure: Low, high, adjustable, or auto range Occlusion detection method: Strain gauge Air-in-line protection: 100 microliters; 300 microliters; OFF Alarms: Set occluded, air-in-set, battery low, change internal battery, battery depleted, change batteries, reservoir empty, reservoir low Occlusion detection: • LOW setting: 0.4 ± 0.2 bar; reaction time of <10 seconds at 100 mL/h • HIGH setting: 0.8 ± 0.2 bar; reaction time of <15 seconds at 100 mL/h • Time to occlude at 0.1 mL/h is <5 hours • Bolus on occlusion release: approximately 0.35 mL (at 100 mL/h and occlusion-pressure level HIGH)

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Air-in-line: Ultrasonic air detector can be set to one of three levels in the biomed mode: • >100: Alarm occurs when a single air bubble of 100 μL or larger (or a cumulative value exceeding 500 μL in 7 minutes) is detected • >300: Alarm occurs when a single air bubble of 300 μL or larger (or a cumulative value exceeding 500 μL in 7 minutes) is detected Note: For the two conditions above, the pump detects all air bubbles larger than 15 μL, adds their volume, and alarms if the total in a 7-minute period is greater than 500 μL.

• OFF: IV pump senses and adds the volume of individual air bubbles larger than 15 μL and triggers an “air-in-set” alarm when a cumulative amount of air exceeding 2000 μL in 7 minutes is detected. The OFF level should not be used for an intravenous application. • Air detector and “air-in-set” alarm cannot be turned off Free-flow protection: Infusion set cannot be ejected unless flow-protection clamp is closed Fluid-ingress protection: Splash-proof (IPX4) Maximum infusion pressure: 0.8 bar Memory retention: Permanent (>10 years) Maximum volume delivered in single fault condition: 0.162 mL Overdose/under-dose protection: Pump stops and activates an alarm if ≥10% or ≤10% of programmed infusion is delivered Environment: Condition

Operating

Transportation/Storage

Relative humidity (non-condensing)

20 to 90%

20 to 90%

Temperature

5°C to +40°C (41°F to 104°F)

-10°C to +40°C (14°F to 104°F)

Atmospheric pressure

700 to 1060 hPa (525 to 795 mm Hg)

700 to 1060 hPa (525 to 795 mm Hg)

Battery: Item

Specification

Battery type

6 x NiMH (1350 mAh), internal rechargeable

Battery run time

Approx. 10 hours at 125 mL/h (in battery-save mode “no”)

Total battery life Battery charge time

Approx. 500 charge/discharge cycles Approx. 4 hours

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Programmable specifications for all modes: Item

Specification

Flow rate

0.1 to 9.9 mL/h in 0.1 mL increments; 10 to 999 mL/h in 1 mL increments

Flow rate during bolus

120 mL/h

VTBI KVO rate

1 to 9,999 mL 0.0 to 9.9 mL/h, programmable in 0.1 mL increments Note: In dose mode, the pump delivers fluid at programmed KVO rate at the end of every infusion and between programmed doses.

Delphi Medical Systems is a wholly owned subsidiary of Delphi Corporation. Delphi Medical Systems has access to Delphi’s technological expertise, in-depth component and systems knowledge, world-class quality and reliability controls, and global resources. Our state-of-the-art systems meet the demanding product and service requirements of today’s challenging medical device market.

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Pump Controls and Features

2

1

ON/STOP/OFF Button • Press to: - Power the pump on - Stop an infusion (hold for two seconds) - Silence the audible beeping for two minutes during an alarm - Power the pump off (press and hold)

2

Cassette Lock/Unlock Switch • To lock the infusion set cassette eject button, slide the switch to the right (locked position) Note: In order to prime the tubing, the cassette lock/unlock switch must be in the unlocked position (slide switch to the left). Before you can program or start the infusion, the cassette lock/unlock switch must be in the locked or latched position (slide switch to the right).

3

Cassette EJECT Button • When unloading the infusion set, press the eject button to release the cassette from the pump receptacle Note: Before you can eject the cassette, close the cassette flow-protection clamp and ensure that the cassette lock/unlock switch is in the unlocked position (slide switch to the left).

4

Cassette Receptacle • The rotary peristaltic cassette assembly fits here

5

Cassette Plateau • When a cassette is inserted into the receptacle, the plateau is depressed, allowing the motor shaft to engage

6

Air and Pressure Detector • An ultrasonic detector is used to sense air bubbles in the tubing

7

START/BOLUS Button • Press to: - Start an infusion after programming the pump - Resume an infusion that has stopped - Administer a bolus dose during PCA infusions (hold for two seconds)

8

DOWN ARROW/NO Button • Press to: - Select “No” when programming - Decrease numerical data when programming infusions Note: The longer the button is pressed and held, the faster the numbers decrease.

9

UP ARROW/YES Button • Press to: - Select “Yes” when programming - Prime IV set - Increase numerical data when programming infusions Note: The longer the button is pressed and held, the faster the numbers increase.

10

SELECT Button • Press to: - Confirm a programmed value or selected option - Review/reprogram current infusion parameters without stopping the infusion

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INFO/OPTION Button • Press to: - Access configurable options when powering up (by simultaneously pressing the

and

buttons)

- Display battery gauge (battery charge level and estimated hours/minutes that the pump can run on battery power) during operation - View volume infused and/or volume clear (press and hold) - View other display options, depending on pump mode selected - During the infusion, all options are accessible by pressing this key (total infused volume, PSI change, program lock, immediate taper-down, repeat program, etc.) Note: If the biomed mode setting for occlusion level is set to the adjustable option, press and hold to access and change the occlusion alarm level.

12

LCD Display • This two-line display can show 16 characters per line • During infusion, a repeating pattern of squares moves down the display’s left side to indicate fluid flow along with the rate, VTBI, and time display

13

AC Indicator • Green light indicates the pump is powered by the AC adaptor • When running on battery power, light is off

14

Run Indicator • Green light blinks during an infusion

15

Alarm Indicator • When the pump requires attention, red light blinks along with an audible alarm • During alerts, the alarm beeps twice every five seconds-with a series of five beeps • During alarms, the alarm beeps five times every three seconds

16

Multipurpose Connector • Receptacle for AC adaptor and other optional accessories such as the PCA control button

1

2

3

16 4 5

15 14

6

13

12

11

10

9

8

7

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Combination Key Functions Some functions, such as panel lock and change pump settings, are accessed by pressing two buttons simultaneously.

and Buttons When the pump is powered off and disconnected from AC power, press and hold these two buttons for four seconds to access the following functions:

Change Pumping Mode • When “CHANGE PUMP MODE? Y/N” is displayed, press the button to change pump modes. • Press the

button to resume operation with previously set options.

Change User Interface Language • When “LANGUAGE: ENGLISH? Y/N” is displayed, press the button to confirm English. • Press the

button to review other language choices.

• Press the

button to select the new language choice.

Change Pump Infusion Mode • Current pump mode will be displayed (e.g., “PCA MODE”) and “Y/N.” • Press the button to change or review other pump mode options, such as continuous, TPN, or dose mode. Note: Press and release the is made.

• Press the

button to cycle the four options continuously until a selection

button when the desired mode is displayed to select it.

Access Configurable Parameters • When “REVIEW BIOMED? Y/N” is displayed, press the button to access a variety of selectable settings (see “Changing Pump Mode Configurable Parameters” on page 35). Note: After biomed selections are confirmed, the pump will start up in normal operation in the infusion mode selected. Note: During any of the above reviews, if no selection is made within two minutes the pump will display “TO CONTINUE PRESS ENTER” along with two audible beeps every 20 seconds.

4

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