PLUM A + Technical Service Manual Rev B May 2013

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Plum A+ Infusion System

Technical Service Manual

Change History Part Number

Description of Change

430-95150-009 (Rev. 02/10)

Ninth Issue Update power cord content in Section 1, Section 5, and Section 7 Update Electrical Safety Test in Section 5

430-95150-010 (B, 2013-05)

Tenth Issue Update graphics to: Remove Hospira copyright from Display and Keypad figures) (Sections 1 and 5). Update Alarms Log and Setting the Time and Date figures with more current year (2011) (Section 1 only). Delete Rear View figure to show that screw that cannot be installed with new device front case (Section 5 and 7). Section 5, Distal Air-in-Line Test section: Change DISTAL AIR A. BACKPRIME to N234 DISTAL AIR. Add Note about older versions. Section 6, Troubleshooting: Delete Morgan Hill return address information. Section 6, Error Codes Requiring Technical Service table, entries E378 and E379: Add replace CPU PWA corrective actions. Section 6, Troubleshooting Procedures section: Add Notes regarding operational alarm messages and unrestricted flow. Add new section Unrestricted Flow to add unrestricted flow procedure with unrestricted flow warning and regulator closer caution (Unrestricted Flow section). Section 7, update procedures as follows: Update front enclosure replacement procedure. Update fluid shield procedure with regulator closer and unrestricted flow steps, figures, warnings, and cautions. Section 7, Separating the Front Enclosure, Rear Enclosure, and Main Chassis section: Add Note about older versions of the device and the shoe. Update Separating the Front Enclosure, Main Chassis, and Rear Chassis graphic to remove shoe from front enclosure. Section 7, Front Enclosure, Rear Enclosure, and Main Chassis Replacement section: Add Note about older versions of the device and the shoe. Add Note about shoe gaskets in newer devices Section 7, Cassette Door and Fluid Shield Replacement section: Extensive revision to add steps, figures, cautions regarding unrestricted flow and the regulator closer. Section 8, Specifications: Update air-in-line Air in Line Alarm (Air in Line Alarm for single air bolus to be 0.1 ml or larger) for single air bolus and cumulative air bolus (0.25 ml out of 4.9 ml). Section 9, Drawings Update info about older versions to line item 23 in Table 9-2. Back Page: Delete Morgan Hill return address information. Update IEC symbols/descriptions. Add “All Rights Reserved”.

Technical Service Manual

Plum A+ Infusion System

CHANGE HISTORY

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Plum A+ Infusion System

Technical Service Manual

Contents Section 1 INTRODUCTION. 1.1 1.2 1.3 1.4 1.5 1.6 1.7

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SCOPE... CONVENTIONS... COMPONENT DESIGNATORS... ACRONYMS AND ABBREVIATIONS... USER QUALIFICATION... ARTIFACTS... INSTRUMENT INSTALLATION PROCEDURE . 1.7.1 UNPACKING... 1.7.2 INSPECTION... 1.7.3 SELF TEST... BIOMED SETTINGS... 1.8.1 IV PARAMETERS... 1.8.1.1 COMMON IV PARAMETERS . 1.8.1.2 DEFAULT UNITS/DRUG . . 1.8.1.3 MACRO IV PARAMETERS. . 1.8.2 ALARMS LOG... 1.8.3 SETTING THE TIME AND DATE . . .

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. 1-1 . 1-2 . 1-2 . 1-3 . 1-5 . 1-5 . 1-5 . 1-6 . 1-6 . 1-6 . 1-8 . 1-9 . 1-10 . 1-11 . 1-13 . 1-14 . 1-15

Section 2 WARRANTY

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SYSTEM OPERATING MANUAL .

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Section 3 Section 4 THEORY OF OPERATION 4.1 4.2

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GENERAL DESCRIPTION... ELECTRONIC SUBSYSTEM OVERVIEW... 4.2.1 CPU SUBSYSTEM... 4.2.1.1 CPU... 4.2.1.2 SYSTEM MEMORY ADDRESS MAP... 4.2.1.3 PROGRAMMABLE READ-ONLY MEMORY . 4.2.1.4 STATIC RANDOM ACCESS MEMORY . . . 4.2.1.5 CONTROL LOGIC... 4.2.1.6 LCD CONTROLLER... 4.2.1.7 LCD BACKLIGHT CONTROL... 4.2.1.8 LCD CONTRAST CONTROL... 4.2.1.9 REAL-TIME CLOCK... 4.2.1.10 VOLTAGE MONITOR WATCHDOG TIMER . 4.2.1.11 ANALOG-TO-DIGITAL CONVERTER . . . 4.2.1.12 DIGITAL-TO-ANALOG CONVERTER . . . 4.2.1.13 FRONT PANEL KEYPAD MATRIX... 4.2.1.14 FRONT PANEL [ON/OFF] KEY... 4.2.1.15 FRONT PANEL LED INDICATORS... 4.2.1.16 KEYPAD LOCKOUT INTERFACE... 4.2.1.17 NURSE CALL INTERFACE... 4.2.1.18 AUDIBLE INDICATORS...

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4-1 4-2 4-2 4-2 4-2 4-3 4-3 4-3 4-3 4-4 4-4 4-4 4-5 4-5 4-7 4-7 4-7 4-7 4-8 4-8 4-8

Plum A+ Infusion System

CONTENTS

4.3

4.4

4.5

4.2.1.19 BARCODE READER INTERFACE... 4.2.1.20 DATAPORT INTERFACE... 4.2.1.21 POWER SUPPLY INTERFACE... 4.2.1.22 MECHANISM INTERFACE... 4.2.2 POWER SUPPLY SUBSYSTEM... 4.2.2.1 MAIN SWITCHING REGULATOR... 4.2.2.2 MAIN REGULATOR FAULT DETECTION . . 4.2.2.3 SYSTEM POWER... 4.2.2.4 AUXILIARY SUPPLIES... 4.2.2.5 POWER CONTROL... 4.2.2.6 BATTERY VOLTAGE MEASUREMENT . . . 4.2.2.7 BATTERY CHARGE/DISCHARGE CURRENT  MEASUREMENT... 4.2.2.8 BATTERY CHARGER... 4.2.3 MECHANISM SUBSYSTEM... 4.2.3.1 MOTORS/MOTOR DRIVE... 4.2.3.2 MOTOR POSITION SENSORS... 4.2.3.3 V2_5 REFERENCE VOLTAGE... 4.2.3.4 AIR SENSORS... 4.2.3.5 PRESSURE SENSORS... 4.2.3.6 PRESSURE SENSOR CALIBRATION... 4.2.3.7 CASSETTE TYPE/PRESENCE SELECTION . . 4.2.3.8 SERIAL EEPROM... PRINTED WIRING ASSEMBLIES... 4.3.1 POWER SUPPLY PWA... 4.3.2 PERIPHERAL PWA... 4.3.3 CPU PWA... 4.3.4 DRIVER PWA... 4.3.5 SWITCH PWA... 4.3.6 APP PWA... REMOTE MOUNTED PERIPHERALS... 4.4.1 LCD... 4.4.2 SEALED LEAD ACID BATTERY... 4.4.3 BARCODE READER WAND... MECHANICAL OVERVIEW... 4.5.1 CASSETTE... 4.5.2 MECHANISM ASSEMBLY... 4.5.2.1 MOTOR AND VALVE ASSEMBLIES... A/B VALVE SUBSYSTEM... 4.5.2.2 4.5.2.3 INLET/OUTLET VALVE SUBSYSTEM . . . 4.5.2.4 PLUNGER DRIVE SUBSYSTEM...

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.4-9 .4-9 4-10 4-11 4-12 4-13 4-13 4-14 4-14 4-14 4-15

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4-15 4-16 4-16 4-16 4-18 4-18 4-19 4-20 4-22 4-22 4-22 4-23 4-23 4-24 4-24 4-25 4-26 4-26 4-26 4-26 4-27 4-27 4-27 4-27 4-29 4-29 4-30 4-31 4-31

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Section 5 MAINTENANCE AND SERVICE TESTS . . 5.1 5.2

ROUTINE MAINTENANCE... 5.1.1 CLEANING AND SANITIZING PERFORMANCE VERIFICATION TEST 5.2.1 EQUIPMENT REQUIRED . . . 5.2.2 INSPECTION... 5.2.3 TEST SETUP... 5.2.4 SELF TEST... 5.2.5 CASSETTE ALARM TEST . . 5.2.6 FREE FLOW TEST...

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5-1 .5-1 5-2 .5-3 .5-3 .5-4 .5-4 .5-6 .5-6

Technical Service Manual

CONTENTS

5.3 5.4

5.2.7 DISPLAY TEST... 5.2.8 KEYPAD VERIFICATION/FUNCTIONAL TEST. 5.2.9 ALARM LOUDNESS TEST... 5.2.10 LOCKOUT SWITCH TEST... 5.2.11 PROXIMAL OCCLUSION TEST... 5.2.12 PROXIMAL AIR-IN-LINE TEST... 5.2.13 DISTAL AIR-IN-LINE TEST... 5.2.14 DISTAL OCCLUSION TEST... 5.2.15 DELIVERY ACCURACY TEST... 5.2.16 NURSE CALL TEST... 5.2.17 ELECTRICAL SAFETY TEST... 5.2.18 END OF THE PVT... PERIODIC MAINTENANCE INSPECTION... BATTERY OPERATION OVERVIEW...

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TECHNICAL ASSISTANCE... WARNING MESSAGES... ALARM MESSAGES AND ERROR CODES... 6.3.1 OPERATIONAL ALARM MESSAGES... 6.3.2 ERROR CODES REQUIRING TECHNICAL SERVICE TROUBLESHOOTING PROCEDURES... 6.4.1 UNRESTRICTED FLOW...

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5-6 5-7 5-8 5-9 5-9 5-10 5-10 5-12 5-14 5-15 5-15 5-16 5-16 5-17

Section 6 TROUBLESHOOTING . 6.1 6.2 6.3

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Section 7 REPLACEABLE PARTS AND REPAIRS... 7.1 7.2

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REPLACEABLE PARTS... 7-1 REPLACEMENT PROCEDURES... 7-1 7.2.1 SAFETY AND EQUIPMENT PRECAUTIONS... 7-1 7.2.2 REQUIRED TOOLS AND MATERIALS... 7-2 7.2.3 RUBBER FOOT PAD REPLACEMENT... 7-2 7.2.4 BATTERY, WIRE HARNESS, DOOR, AND DOOR PAD  REPLACEMENT... 7-4 7.2.5 AC POWER CORD, RETAINER, AND VELCRO STRAP  REPLACEMENT... 7-6 7.2.6 PERIPHERAL ASSEMBLY REPLACEMENT... 7-8 7.2.7 PERIPHERAL ASSEMBLY COMPONENT REPLACEMENT... 7-11 7.2.7.1 VOLUME CONTROL KNOB REPLACEMENT... 7-12 7.2.7.2 PERIPHERAL COVER REPLACEMENT... 7-13 7.2.8 SEPARATING THE FRONT ENCLOSURE, REAR ENCLOSURE, AND MAIN CHASSIS... 7-14 7.2.9 FRONT ENCLOSURE, REAR ENCLOSURE, OR MAIN CHASSIS REPLACEMENT... 7-16 7.2.9.1 SHOE GASKET REPLACEMENT... 7-17 7.2.9.2 FRONT/REAR ENCLOSURE GASKET REPLACEMENT . . 7-17 7.2.10 REAR ENCLOSURE COMPONENT REPLACEMENT... 7-19 7.2.10.1 POLE CLAMP EXTRUSION AND BACKING PLATE REPLACEMENT... 7-20 7.2.10.2 POLE CLAMP SHAFT/KNOB ASSEMBLY AND SHAFT TIP REPLACEMENT... 7-21 7.2.10.3 REAR ENCLOSURE GASKET AND HANDLE GASKET REPLACEMENT... 7-22

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Plum A+ Infusion System

CONTENTS

7.2.11 7.2.12

MINIPOLE ASSEMBLY REPLACEMENT... MAIN CHASSIS ASSEMBLY COMPONENT REPLACEMENT . . 7.2.12.1 POWER SUPPLY PWA REPLACEMENT... 7.2.12.2 KEYPAD AND GROUND GASKET REPLACEMENT . . 7.2.12.3 DISPLAY REPLACEMENT... 7.2.12.4 CPU PWA REPLACEMENT... 7.2.12.5 PIEZO ALARM REPLACEMENT... 7.2.12.6 MECHANISM ASSEMBLY REPLACEMENT... 7.2.12.7 CASSETTE DOOR AND FLUID SHIELD REPLACEMENT 7.2.12.8 OPENER HANDLE ASSEMBLY REPLACEMENT . . .

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Section 8 SPECIFICATIONS .

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Section 9 DRAWINGS .

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APPENDIX

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INDEX .

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Technical Service Manual

CONTENTS

Figures Figure 1-1. Figure 1-2. Figure 1-3. Figure 1-4. Figure 1-5. Figure 1-6. Figure 1-7. Figure 1-8. Figure 1-9. Figure 1-10. Figure 1-11. Figure 4-1. Figure 4-2. Figure 4-3. Figure 4-4. Figure 4-5. Figure 4-6. Figure 4-7. Figure 4-8. Figure 5-1. Figure 5-2. Figure 5-3. Figure 5-4. Figure 6-1. Figure 7-1. Figure 7-2. Figure 7-3. Figure 7-4. Figure 7-5. Figure 7-6. Figure 7-7. Figure 7-8. Figure 7-9. Figure 7-10. Figure 7-11. Figure 7-12. Figure 7-13. Figure 7-14 Figure 7-15 Figure 7-16 Figure 7-17 Figure 7-18 Figure 7-19 Figure 9-1. Figure 9-2. Figure 9-3. Figure 9-4. Figure 9-5. Figure 9-6. Figure 9-6. Figure 9-7. Figure 9-8. Figure 9-9.

Display and Keypad... Biomed Settings... IV Parameters... Common IV Parameters (Version 10.3)... Common IV Parameters (Version 11.3 or higher)... Default Units/Drug... Dose Units for Drug... Conc Units for Drug... Macro IV Parameters... Alarms Log... Setting the Time and Date... Serial Interface to ADC... System Startup and Shutdown Timing, Battery Powered... Stepper Motor Coils... Air Sensor Block Diagram... Pressure Sensor Excitation and Amplifier Block Diagram... Major Elements of the Dual-Channel Cassette... Fluid Path in the Cassette... Mechanism Valve Pins and Sensor Locations... Display and Keypad... Rear View... Special Cassettes with Bubble Sensor Tips Removed... Distal Occlusion Test Setup... Regulator Closer... Bottom View... Battery Assembly... AC Power Cord Assembly... Rear View... Peripheral Assembly... Peripheral Assembly Components... Separating the Front Enclosure, Main Chassis, and Rear Enclosure . Front Enclosure Gaskets... Rear Enclosure Components... Minipole Assembly... Main Chassis Assembly Components... Keypad, Display, CPU PWA, and Piezo Alarm... CPU PWA Replacement... Mechanism Assembly Replacement... Fluid Shield Tab... Normal Fluid Shield Tab Before and After Assembly is Seated . . Close-up Views of Normal (left) and Bent (right) Fluid Shield Tab . Fluid Shield Replacement... Cassette Door and Opener Handle Replacement... Illustrated Parts Breakdown... Front Enclosure, Rear Enclosure, and Main Chassis... Front Enclosure Assembly... Rear Enclosure Assembly... Peripheral Assembly... Main Chassis Assembly (1 of 2)... Main Chassis Assembly (2 of 2)... AC Power Cord Assembly and Battery Assembly... CPU PWA and Main Chassis... Mechanism Assembly...

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. 1-7 . 1-9 . 1-9 . 1-10 . 1-10 . 1-11 . 1-12 . 1-12 . 1-13 . 1-14 . 1-15 . 4-6 . 4-15 . 4-17 . 4-19 . 4-21 . 4-28 . 4-29 . 4-30 . 5-5 . 5-8 . 5-11 . 5-13 . 6-14 . 7-3 . 7-5 . 7-7 . 7-9 . 7-10 . 7-11 . 7-15 . 7-18 . 7-19 . 7-23 . 7-24 . 7-28 . 7-30 . 7-33 . 7-35 . 7-36 . 7-36 . 7-37 . 7-38 . 9-5 . 9-7 . 9-9 . 9-11 . 9-13 . 9-15 . 9-17 . 9-19 . 9-21 . 9-23

Plum A+ Infusion System

CONTENTS

Tables Table 1-1. Table 1-2. Table 4-1. Table 4-2. Table 4-3. Table 4-4. Table 4-5. Table 4-6. Table 4-7. Table 4-8. Table 4-9. Table 5-1. Table 5-2. Table 6-1. Table 6-2. Table 6-3. Table 6-4. Table 9-1. Table 9-2. Table A-1. Table A-2. Table A-3. Table A-4.

Conventions... System Configuration Data ... Analog Inputs... Keypad Map... CPU-Power Supply Interface... CPU-Mechanism Interface Signals... Power Supply PWA Interface Connections... Peripheral PWA Interface Connections... CPU PWA Interface Connections... Driver PWA Interface Connections... APP PWA Interface Connections... Cleaning Solutions... Electrical Safety Measurements... Warning Messages... Operational Alarm Messages and Corrective Actions... Error Codes Requiring Technical Service... Troubleshooting with the PVT... Drawings... IPB for the Infuser... Guidance and Manufacturerʹs Declaration - Electromagnetic Emissions . . Guidance and Manufacturerʹs Declaration - Electromagnetic Immunity . . Guidance and mmanufacturerʹs Declaration - Electromagnetic Immunity  for Life-Supporting Equipment and Systems... Recommended Separation Distances Between Portable and  Mobile RF Communications Equipment and the Infusion System...

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1-2 1-8 4-6 4-7 4-10 4-11 4-23 4-24 4-25 4-25 4-26 5-2 5-15 6-2 6-3 6-7 6-12 9-1 9-2 A-1 A-2 A-3 A-5

Technical Service Manual

Section 1

INTRODUCTION The Plum A+™ is an advanced medication management system designed to meet the fluid delivery requirements of today’s evolving healthcare environments. The infusion system features primary line, secondary line, and piggyback fluid delivery capabilities, and is suited for a wide range of medical, surgical, and critical care applications. Full compatibility with the LifeCare™ Plum™ Series administration sets and accessories makes the Plum A+ a convenient and cost-effective infusion system.

1.1

SCOPE This manual is organized into the following sections: 

Section 1 Introduction

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Section 2 Warranty

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Section 3 System Operating Manual

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Section 4 Theory of Operation

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Section 5 Maintenance and Service Tests

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Section 6 Troubleshooting

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Section 7 Replaceable Parts and Repairs

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Section 8 Specifications

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Section 9 Drawings

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Appendix

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Index

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Technical Service Bulletins

If a problem in device operation cannot be resolved using the information in this manual,

contact Hospira (see Section 6.1). Specific instructions for operating the device are contained in the Plum A+ and Plum A+3

System Operating Manual. The terms “infusion system”, “infuser”, and “device” are used interchangeably throughout the manual. Figures are rendered as graphic representations to approximate actual product. Therefore, figures may not exactly reflect the product. Screen representations are examples only, and do not necessarily reflect the most current software version.

Technical Service Manual

1-1

Plum A+ Infusion System

SECTION 1 INTRODUCTION

1.2

CONVENTIONS The conventions listed in Table 1-1 are used throughout this manual. Table 1-1. Convention

Conventions

Application

Example

Italic

Reference to a section, figure, table, website, or publication

(see Section 6.1)

[ALL CAPS] ALL CAPS

In-text references to keys, touchswitches, and display messages

[START]  CASSETTE TEST IN PROGRESS

Bold

Emphasis

CAUTION: Use proper ESD grounding techniques when handling components.

Screen displays

Select Set Time and Date.

Throughout this manual, warnings, cautions, and notes are used to emphasize important information as follows: WARNING: A WARNING CONTAINS SPECIAL SAFETY EMPHASIS AND MUST BE OBSERVED AT ALL TIMES. FAILURE TO OBSERVE A WARNING MAY RESULT IN PATIENT INJURY AND BE LIFE-THREATENING. CAUTION: A CAUTION usually appears in front of a procedure or statement. It contains information that could prevent hardware failure, irreversible damage to equipment, or loss of data.

d Note: A note highlights information that helps explain a concept or procedure. 1.3

COMPONENT DESIGNATORS Components are indicated by alpha-numeric designators, as follows: Battery

BT

Diode

D

Resistor

R

Capacitor

C

Fuse

F

Switch

SW

Crystal

Y

Integrated Circuit

U

Transistor

Q

The number following the letter is a unique value for each type of component (e.g., R1, R2).

d Note: Alpha-numeric designators may be followed with a dash (-) number that indicates a pin number for that component. For example, U15-13 is pin 13 of the encoder chip [U15] on the interface PWA.

Plum A+ Infusion System

1-2

Technical Service Manual

1.4

ACRONYMS AND ABBREVIATIONS

1.4

ACRONYMS AND ABBREVIATIONS Acronyms and abbreviations used in this manual are as follows: A Ampere AC Alternating current A/D Analog-to-digital ADC Analog-to-digital converter APP Air, pressure, and pin BCR Barcode reader CCFT Cold cathode fluorescent tube CMOS Complementary metal-oxide semiconductor CPU Central processing unit DAC Digital-to-analog converter DC Direct current DIP Dual in-line package DMA Direct memory access DMM Digital multimeter DPM Digital pressure meter ECG Electrocardiogram EEG Electroencephalogram EEPROM Electrically erasable/programmable read-only memory EMG Electromyogram EMI Electromagnetic interference ESD Electrostatic discharge ETO Ethylene oxide FPGA Field programmable gate array FSR Force sensing resistor hr Hour Hz Hertz ID Identification I/O Input/output IPB Illustrated parts breakdown IV Intravenous KB Kilobyte Kg Kilogram kHz Kilohertz KVO Keep vein open lbs Pounds

Technical Service Manual

1-3

Plum A+ Infusion System

SECTION 1 INTRODUCTION

LCD Liquid crystal display LED Light emitting diode L/S Line select mA Milliampere MB Megabyte mcg Microgram MHz Megahertz min Minute mL Milliliter MMIO Memory-mapped input/output MOSFET Metal-oxide semiconductor field-effect transistor ms Millisecond nF Nanofarad ng Nanogram pF picofarad PROM Programmable read-only memory PVT Performance verification test PWA Printed wiring assembly PWM Pulse width modulator RAM Random-access memory rms Root-mean-square RTC Real-time clock SCC Serial communication controller SCP Serial communication port SLA Sealed lead acid SMT Surface mount technology SPI Serial peripheral interface SRAM Static random access memory TQFP Thin quad flat pack V Volt VAC Volts AC VCC Collector supply voltage VCO Voltage-controlled oscillator VDC Volts DC VSC 5 VDC supply circuitry VSO Voltage sweep oscillator VTBI Volume to be infused WDI Watchdog input

Plum A+ Infusion System

1-4

Technical Service Manual

1.5 USER QUALIFICATION

1.5

USER QUALIFICATION The infusion system is intended for use at the direction of or under the supervision of licensed physicians or certified healthcare professionals who are trained in the use of the infuser and the administration of parenteral and enteral fluids and drugs, and whole blood or red blood cell components. Training should emphasize preventing related IV complications, including appropriate precautions to prevent accidental infusion of air. The epidural route can be used to provide anesthesia or analgesia.

1.6

ARTIFACTS Nonhazardous, low-level electrical potentials are commonly observed when fluids are administered using infusion devices. These potentials are well within accepted safety standards, but may create artifacts on voltage-sensing equipment such as ECG, EMG, and EEG machines. These artifacts vary at a rate that is associated with the infusion rate. If the monitoring machine is not operating correctly or has loose or defective connections to its sensing electrodes, these artifacts may be accentuated so as to simulate actual physiological signals. To determine if the abnormality in the monitoring equipment is caused by the infuser instead of some other source in the environment, set the device so that it is temporarily not delivering fluid. Disappearance of the abnormality indicates that it was probably caused by electronic noise generated by the infuser. Proper setup and maintenance of the monitoring equipment should eliminate the artifact. Refer to the appropriate monitoring system documentation for setup and maintenance instructions.

1.7

INSTRUMENT INSTALLATION PROCEDURE CAUTION: Infusion system damage may occur unless proper care is exercised during product unpacking and installation. CAUTION: Infusion system performance may be degraded by electromagnetic interference (EMI) from devices such as electrosurgical units, cellular phones, and two-way radios. Operation of the infusion system under such conditions should be avoided. Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards (e.g., IEC 60601-1 for medical equipment). Furthermore, all configurations shall comply with the system standard IEC 60601-1-1. Any person who connects additional equipment to the signal input or output part is configuring a medical system, and is therefore responsible for ensuring that the system complies with the requirements of IEC 60601-1-1. If in doubt, contact Hospira. Infusion system installation consists of unpacking, inspection, and self test.

Technical Service Manual

1-5

Plum A+ Infusion System

SECTION 1 INTRODUCTION

1.7.1

UNPACKING Inspect the shipping container as detailed in Section 1.7.2. Use care when unpacking the infusion system. Retain the packing slip and save all packing material in the event it is necessary to return the infuser to the factory. Verify the shipping container contains as copy of the system operating manual.

1.7.2

INSPECTION Inspect the shipping container for damage. Should any damage be found, contact the delivering carrier immediately. CAUTION: Inspect the infuser for evidence of damage. Do not use the device if it appears to be damaged. Should damage be found, contact Hospira. Inspect the infusion system periodically for signs of defects such as worn accessories, broken connections, or damaged cable assemblies. Also inspect the infuser after repair or during cleaning. Replace any damaged or defective external parts.

1.7.3

SELF TEST CAUTION:

Do not place the infuser in service if the self test fails.

If an alarm condition occurs during the self test, cycle the power and repeat the self test. If the alarm condition recurs, note the message and take corrective action (see Section 6). Repeat the self test. If the alarm condition continues to recur, remove the infuser from service and contact Hospira.

d Note: Do not place the infuser in service if the battery is not fully charged.

To make certain the battery is fully charged, connect the infuser to AC power for six hours.

d Note: When plugging the device into an AC power outlet, grasp the AC power

cord plug and use a forward motion into the socket. Do not use a sideways motion. When unplugging the device, grasp the AC power cord plug and pull straight out. Do not pull out using the power cord cable and do not pull out at an angle.

To perform the self test, see Figure 1-1, and proceed as follows: 1. Connect the AC power cord to a grounded AC outlet. Verify the Charge/Line indicator CHARGE illuminates and an alarm tone sounds. 2. Without a cassette installed, press [ON/OFF] to turn on the infuser. 3. The infuser briefly displays the SELF TEST screen (see Figure 1-1).

d Note: If the

SELF TEST screen does not appear, contact Hospira.

4. After the self test is complete, the message INSERT PLUM SET CLOSE LEVER appears. 5. Verify the time and date. To set the time and date, see Section 1.8.3.

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Technical Service Manual

1.7

INSTRUMENT INSTALLATION PROCEDURE

6. Open the cassette door and insert a primed cassette. Close the cassette door. The cassette test is complete when the CASSETTE TEST IN PROGRESS message disappears.

d Note: The message may briefly appear prior to the

MECHANISM INITIALIZATION IN PROGRESS CASSETTE TEST IN PROGRESS message.

7. A NEW PATIENT? message may appear. Press [YES]. 8. Press [ON/OFF] to turn off the infuser.

LINE FLOW INDICATORS A B

HOSPIRA Plum A+ Version X.XX - MM/DD/YY  2009

STATUS REGION

System Self Test In Progress

WORKING REGION

MESSAGE REGION SOFTKEY LABEL REGION

START STOP CHARGE

CHARGE/LINE INDICATOR

ON / OFF

1 4 7 CLEAR

Figure 1-1.

Technical Service Manual

2 5 8 0

3 6 9 .

SOFT KEYS

SELECT KEYPAD

SILENCE

Display and Keypad

1-7

Plum A+ Infusion System

SECTION 1 INTRODUCTION

1.8

BIOMED SETTINGS The BIOMED SETTINGS screens contain the following options that can be changed or reviewed by qualified personnel: - IV Parameters - Alarms Log - Set Time and Date All infusers (new or refurbished) are shipped with factory settings (see Table 1-2). Upon entry to Biomed mode, any drug library waiting for installation will be installed, and the infuser will power off at completion. Biomed screens do not time out for the Infuser Idle alarm or No Action alarm. The battery will not be detected in Biomed mode. To access Biomed settings, proceed as follows: 1. Open the door and turn on the device. The infusion system will perform a self test. 2. After the self test is complete, the message INSERT PLUM SET CLOSE LEVER appears. 3. Press the decimal [.] key, then [START], and verify the BIOMED SETTINGS screen is displayed (see Figure 1-2).

d Note: The

BIOMED SETTINGS screen will display [CHANGE BATTERY] on Plum A+ software versions 11.4 and higher. [CHANGE BATTERY] does not appear on versions 11.3 and lower. Table 1-2.

System Configuration Data

Data

Options Range

Factory Setting

Maximum macro IV mode delivery rate

0.1 - 99.9 mL/hr and 100 - 999 mL/hr

999 mL/hr

Macro Distal Occlusion alarm (pressure level)

1 to 15 psi

6 psi

Deliver Together enable

Concurrent or Piggyback

Piggyback

Delayed Start/Standby enable

Yes or No

Yes

Continue Rate

Rate or KVO

KVO

Nurse Callback default

Yes or No

No

Time

(24 hr) 00:00 - 23:59 in one minute increments

Factory time

Date

1/1/2002 - 12/31/2098

Factory date

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Technical Service Manual

1.8

BIOMED SETTINGS

BIOMED SETTINGS IV Screen Parameters AlarmS Log Set Time and Date

Select, then Choose Change Battery Figure 1-2.

Choose

Biomed Settings

1.8.1

IV PARAMETERS The IV PARAMETERS screen contains Common IV Parameters, Default Units/Drug, and Macro IV Parameters. To change the IV parameters, see Figure 1-3, and proceed as follows: 1. Access the BIOMED SETTINGS screen as described in Section 1.8. 2. Select IV Screen Parameters, and press [CHOOSE].

BIOMED SETTINGS IV Parameters

Common IV Parameters Default Units/Drug Macro IV Parameters

Select, then Choose Choose Figure 1-3.

Technical Service Manual

Back

IV Parameters

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Plum A+ Infusion System

SECTION 1 INTRODUCTION

1.8.1.1

COMMON IV PARAMETERS To view Common IV Parameters, see Figure 1-4 or Figure 1-5 and proceed as follows: 1. Access the IV PARAMETERS screen as described in Section 1.8.1. 2. Select Common IV Parameters, and press [CHOOSE]. Verify the COMMON IV PARAMETERS screen is displayed. 3. Select the parameter to be changed. Using the [CHANGE VALUE] softkey, select the desired value, and press [ENTER]. Repeat this step for each parameter to be changed. 4. If there are no other changes, press [CANCEL/BACK], and verify the IV PARAMETERS screen is displayed. 5. Press [BACK] to return to the BIOMED SETTINGS screen, or turn off the infuser.

BIOMED SETTINGS Common IV Parameters Continue Rate KVO Deliver Together Concurrent Enable Delay Start Yes Callback Default Yes Select using Change Value Change Value Figure 1-4.

Enter

Cancel/ Back

Common IV Parameters (Version 10.3)

BIOMED SETTINGS Common IV Parameters Continue Rate KVO Deliver Together Concurrent Enable Delay/Standby Yes Callback Default No

Select using Change Value Change Value Figure 1-5.

Plum A+ Infusion System

Enter

Cancel/ Back

Common IV Parameters (Version 11.3 or Higher)

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