MRidium 3860+ Reference Guide

Initial Setup 1.1| Selecting the Proper IV Set a. Select the 1056 IV Set when infusing from a bag or bottle fluid source (18mL).

Initial Setup 1.2 | Proper Flow Clamp Positioning for Priming the IV Set 1

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b. Select the 1057 IV Set when infusing from a syringe fluid source (15mL).

Ready to Prime

Pull Through

Push In

Flow Closed

Flow Open

c. Select the 1058 IV Set as an extension or adapter for current IV Infusions (4mL).

Post Prime When priming, DO NOT STRETCH the Silicon Segment of the IV Set as this can cause freeflow issues during infusions. 4 Ensure all roller and/or slide clamps are in the closed position.

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Initial Setup

Initial Setup

1.3 | Power ON the Pump

1.5 | Loading the IV Set a. Insert the round Disk on the IV set into the “Disk Slot” on top of the pump.

Press the ( I ) button as shown to power on the pump.

b. Tilt up and insert the top of the Black Flow Clamp into the pump, then push to insert as shown. The clamp will click when secured. - DO NOT Push the Black Flow Clamp which triggers a Check Door Alarm and cause possible Freeflow.

1.4 | Open the Door “Push Down” on the Purple Button, “Pull Out” on the Handle.

Purple Button

c. Secure tubing inside Bubble Detector d. Firmly CLOSE THE DOOR

Handle

Door Pin

Note: Contact your biomed department if the door pin does not look as shown.

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Ensure Door Handle is FULLY Latched, Open All Clamps, Vent Caps. No fluid flow should be in the drip chamber of the IV set or bubbles in a syringe. If fluid flow is present, clamp the IV tubing and repeat steps 1.2 on page 2.

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Before Programming Channels A or B

Programming Channel A

2.1 | Selecting Infusion Type: Drug Libraries A or B Use Library A for Channel A, and Library B for Channel B a. Press the softkey next to New Patient (Drug Library A) or Press the softkey next to New Patient (Drug Library B)

b. Press the softkey next to Dose Rate Calc. A or Press the softkey next to Dose Rate Calc. B

2.2 | Selecting Medication: Drug Library A a. Press the UP or DOWN arrow keys to scroll through listed medications. Press ENTER when the proper medication is highlighted.

b. Primary is highlighted, press ENTER again. Program entries with Numeric Keypad such as: - Dose; ENTER - Weight (kg); ENTER - VTBI; ENTER

c. Push Start A will appear when programmed correctly. d. To start infusion, press the Start/Stop A Button. 5

Startup Screen

Menu Screen

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Programming Channel B 2.3 | Selecting Medication: Drug Library B a. Press the MENU button.

Programming Basic Infusions 3.1 | Rate Mode: Channel A a. Press the softkey by “New Patient- Rate Mode” on Main Menu Screen.

b. Press Dose Rate Cal. B (Reference 2.1) c. Press the UP or DOWN arrow keys to scroll through listed medication. Press ENTER when the proper medication is highlighted. d. Primary is highlighted, press ENTER again. Program entries with Numeric Keypad such as: - Dose; ENTER - Weight (kg); ENTER - VTBI; ENTER e. Push Start B icon will appear when programmed correctly.

f. To start infusion, press the Start/Stop B Button. 7

(as shown in 2.1)

b. Press the softkey by RATE on the screen -Program RATE number using the Numeric Keypad -Press the ENTER Key

c. Press VTBI Softkey - Program the VTBI using the Numeric Keypad - Press the ENTER key Ready to Start will appear at bottom of the screen.

d. Press the Start/Stop A Button to start infusion. 8

Programming Basic Infusions 3.2 | Rate Mode: Channel B

Titrating Basic Infusions 3.3 | Rate Mode: Channel A or B During Infusion In Progress

a. Press the softkey by “New Patient- Rate Mode” on Main Menu Screen. (as shown in step 2.1)

b. Press the Channel B softkey -Program RATE number using the Numeric Keypad -Press the ENTER Key

c. Press VTBI Softkey - Program the VTBI using the Numeric Keypad - Press the ENTER key Ready to Start will appear at bottom of the screen.

a. Press the softkey by Channel A or B at the bottom of the screen.

b. Press Rate softkey -Program RATE number using the Numeric Keypad -Press the ENTER Key OR c. Press VTBI Softkey - Program the VTBI using the Numeric Keypad - Press the ENTER key

d. Press the Start/Stop B Button to start infusion. 9

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Programming a Bolus 4 | Proper DERS Bolus Programming* a. To program a bolus, press Bolus Softkey A/B or press Menu Button. b. From Menu screen, press Softkey by Bolus A or Bolus B.

KVO (Keep Vein Open) 5 | Resuming Infusion During KVO a. Press Start/Stop A or B (depending on channel in use) to return to running screen.

b. Press the VTBI Softkey.

c. Press Dose Softkey. d. Program dose using Numeric Keypad e. PRESS the TIME button, program time using Numeric Keypad.

c. Program new VTBI using Numeric Keypad

d. Press ENTER Ready to Start will appear at bottom of the screen.

- Enter the infusion time of 6 seconds (0.1 minutes) to 99 minutes. f. Press ENTER to Start Bolus.

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Note: Primary infusion will resume following completion of bolus. *Bolus option ONLY available if enabled by facility pharmacy.

e. Press Start/Stop A or B Button to resume infusion. 12

Alarm Messages First, Review ALARM Messages, then Press the ALARM SILENCE button before proceeding.

6.1| Check Door Alarm a. If Door is OPEN - Pull BLACK FLOW CLAMP, Press ALARM SILENCE. - Set BLACK FLOW CLAMP to Pull Through Position and Reload.

Alarm Messages 6.2| PT Occlusion Alarm Alarm will sound if occlusion between the pump and patient occurs. Check between the pump and patient to assure that All Clamps have been Opened and fluid flow is permitted.

6.3| Inlet Occlusion Alarm Alarm will sound if an occlusion has been detected between the fluid source and the pump. Check between the IV fluids and the pump to assure that all Clamps/Vents are Opened and no tubing is Kinked or Restricted.

Vent Clamp

b. If Door is CLOSED, verify Door Handle is FULLY Latched. - Press in on Door Handle, DO NOT push down on Purple Button. - Press ALARM SILENCE. c. If Door is CLOSED and FULLY Latched, Check Door Pin Condition. - If Door Pin damaged or missing, remove pump from use. - Contact facility Biomedical Department for repair. 13

6.4| Bubble Detected Alarm Alarm will sound if an air bubble is in the IV Set. Open the pump door, remove the set, follow the facility’s protocol on removing air. Re-install IV set by repeating Steps 1.5 and secure tubing through Bubble Detector.

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Alert Messages

Notes

7.1| Rate Too High

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Visual Message

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Resolution

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- During Bolus Setup: Check “Time” settings and adjust as necessary. Typically the “Time value needs to be reviewed and increased if appropriate.

7.2| Rate Too Low

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Visual Message

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Resolution

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- During Bolus Setup: Check “Time” settings and adjust as necessary. Typically the “Time value needs to be reviewed and decreased if appropriate. If ALARMS persist or other technical issues not mentioned in this guide, Remove Pump from use and contact your facility’s Biomedical Department and/or IRadimed Technical Support at: 1-866-677-8022 15

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Always be aware of the Flow Clamp Position Open Tubing 1

Partially Clamped 2

Ready to Prime

Clamped Tubing 3

Push In

Full product technical specifications are available upon request.

Pull Through Scan For

Refer to MRidium1138 Operation Manual for further instruction. Information subject to change. ©IRadimed Corporation 2020 - All rights reserved

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