Abbott GEMSTAR User manual

ABBOTT LABORATORIES, NORTH CHICAGO, IL 60064, USA
ABBOTT
TM
For use with the
Abbott GemStar Pump
List 13000-36
System Operating Manual
430-600095-002 (Rev. 8/02)

Abbott GemStar™Pump
System Operating Manual
For use with the
Abbott GemStar Pump
List 13000-36
PLEASE
Read this entire manual before
using the Abbott GemStar Pump
This manual is designed for use by healthcare professionals, caregivers, and
patients.
For consultation and technical support, contact your local Abbott
Laboratories sales office.
This manual is designed for use with Abbott GemStar Pumps used in the United
Kingdom, Australia, and other English-speaking countries.
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) i

Change History
Part Number Description of Change Pages Changed
430-600095-001
(Rev. 3/00)
Original Release N/A
430-600095-002
(Rev. 8/02)
Second Release N/A
ii Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

Contents
Introduction 1
Abbott GemStar Pump Layout ......................... 2
Abbott GemStar Pump Components ...................... 4
Therapies .................................... 5
Abbott GemStar Pump Features ........................ 6
Menu System .................................. 7
Operating Modes ................................ 8
Abbott GemStar Pump Set ........................... 8
Indications for Use ............................... 9
Contraindications for Use ........................... 10
Warnings and Cautions ............................ 10
System Setup 15
Setup Overview ................................ 15
Selecting a Power Source ........................... 15
Priming an Abbott GemStar Pump Set .................... 18
Loading the Cassette ............................. 26
Releasing the Cassette ............................ 27
Basic Operation 29
Quick Start ................................... 29
Operating Tips ................................. 29
Powering On the Pump ............................ 30
Accessing the Programming Menu ...................... 30
Programming the Pump ............................ 31
Starting a New Container ........................... 32
Weight Dosed 33
Therapy Features and Specifications ..................... 33
Weight Dosed Programming .......................... 33
Auto KVO ................................... 34
Rate Titration ................................. 34
Changing a Weight Dosed Program ...................... 35
Weight Dosed Programming Worksheet .................... 36
Pain Management 37
Therapy Features and Specifications ..................... 37
Pain Management Programming ....................... 37
Bolus Delivery ................................. 38
Loading Dose Delivery ............................. 40
Changing a Pain Management Program .................... 41
Pain Management Programming Worksheet ................. 42
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) iii

mL/hr Only 43
Therapy Features and Specifications ..................... 43
mL/hr Only Programming ........................... 43
Auto KVO ................................... 43
Rate Titration ................................. 44
Piggybacking .................................. 44
Changing a mL/hr Only Program ....................... 47
mL/hr Only Programming Worksheet ..................... 48
Intermittent 49
Therapy Features and Specifications ..................... 49
Intermittent Programming ........................... 49
Intermittent Delivery Interruptions ....................... 51
Changing an Intermittent Program ....................... 53
Intermittent Programming Worksheet ..................... 54
Total Parenteral Nutrition (TPN) 55
Therapy Features and Specifications ..................... 55
TPN Programming ............................... 55
Changing a TPN Program ........................... 56
TPN Auto Taper Down ............................. 56
TPN Programming Worksheet ......................... 57
Continuous 59
Therapy Features and Specifications ..................... 59
Continuous Programming ........................... 59
Rate Titration ................................. 60
Piggybacking .................................. 60
Changing a Continuous Program ....................... 63
Continuous Programming Worksheet ..................... 64
Variable Time 65
Therapy Features and Specifications ..................... 65
Variable Time Programming .......................... 65
Variable Time Delivery Interruptions ..................... 66
Changing a Variable Time Program ...................... 66
Variable Time Programming Worksheet .................... 67
Options Menu 69
Overview .................................... 69
Tips for Using the Options Menu ....................... 69
Review Program ................................ 70
Histories .................................... 71
Keypad Lock .................................. 73
Change Pump Settings ............................ 75
Set Clock .................................... 77
iv Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

Print ...................................... 77
Speed Protocol ................................ 78
Next Dose ................................... 79
Connecting to the Data Port .......................... 80
Clinician Instructions 85
Clinician Locking Sequence Instructions ................... 85
Program and Deliver a Clinician Activated Loading Dose ........... 86
Display Shift Totals .............................. 87
Troubleshooting 89
Alarm Messages ................................ 89
Alert Messages ................................ 94
Other Display Messages ............................ 97
Maintenance 99
Pump Storage ................................. 99
Cleaning and Disinfecting ........................... 99
Repair .................................... 101
Operation Test 103
Equipment Required ............................. 103
Test Setup .................................. 103
Performing the Operation Test ........................ 104
Printing Test Results ............................. 107
Operation Test Checklist ........................... 108
Optional System Components 109
Connecting the Bolus Cord .......................... 110
Recharging the Battery Pack ......................... 111
Using the Abbott GemStar Lockboxes .................... 112
Using the Abbott Carrying Cases ....................... 114
Using the Abbott GemStar Docking Station ................. 119
Pump Sets 121
Abbott GemStar Pump Specifications 123
Occlusion Information ............................ 126
Warranty 137
IEC Symbols inside back cover
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) v

vi Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Notes

Introduction
The Abbott GemStar™ Pump is a small and lightweight, single-channel infusion device
that can be powered by AC mains adaptor, rechargeable battery pack, two disposable AA
batteries, or the Abbott GemStar Docking Station. The Abbott GemStar Pump is designed
for use in the home, in the hospital, or anywhere electronic infusion is required. When
powered by batteries, the Abbott GemStar Pump is ideal for ambulatory patients.
The following conventions are used throughout this manual:
Convention Use Example
[ALL CAPS] Keys Press [YES/ENTER] to continue.
ALL CAPS Display messages The pump displays END OF
INFUSION.
WARNING: A WARNING message contains special safety emphasis and
must be observed at all times. Failure to observe a warning
message is potentially life threatening.
CAUTION: A CAUTION usually appears in front of a procedure or statement. It
contains information that could prevent irreversible product damage or
hardware failure. Neglecting to pay attention to a caution could result in
serious patient or user injury.
dNote: A NOTE provides information to help clarify a procedure or statement.
fTip: A TIP emphasizes a procedure or statement that makes the pump easier to
use.

Abbott GemStar Pump Layout
2 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
Introduction
POWER
ABBOTT
123
56
89
0
4
7
BACK-UP
CHANGE
OPTIONS
YES
ENTER
START
SILENCE
STOP
NO
HELP
PURGE

1 DISPLAY •Four-line display indicates the pump’s status.
2 SILENCE •Temporarily silences alarm.
3 STOP •Stops infusion.
4 START •Starts infusion.
5 POWER INDICATOR •Indicates the pump is powered by AC mains when lit continuously.
•Indicates the pump is powered by external batteries when flashing.
6•Powers the pump on or off.
7 BACK-UP •Provides access to previous steps during programming.
•Exits Help, Change, and Options menus.
8 CHANGE •Provides access to these menu items from the STOP or RUN
mode*:
1 Review/Resume
2 New Container
3 New Program
4 Change Program
5 Piggybacking
• Corrects an entry during a programming step.
9 OPTIONS • Provides access to these menu items from the STOP or RUN
mode*:
1 Review Program
2 Histories
3 Keypad Lock
4 Pump Settings
5 Set Clock
6 Print
7 Speed Protocol
8 Next Dose
10 •Scrolls through display messages.
•UP arrow enters a decimal point in numeric entries.
11 YES/ENTER •Responds “YES” to display questions.
•Accepts entries and advances to the next step.
12 NO •Responds “NO” to display questions.
13 HELP •Provides context-sensitive information during programming steps
and alarm conditions.
•Otherwise displays Shift Totals.
14 PURGE •Clears an AIR-IN-LINE alarm.
•Primes an Abbott GemStar Pump Set.
*Not all menu items are available with all modes. Refer to the appropriate section for more information.
Introduction
Abbott GemStar Manual 430-600095-002 (Rev. 8/02) 3
ON/OFF