Alaris Medical Systems Medley 8100 User manual

ALARM
INFUSING
STANDBY
CHANNEL
SELECT
CHANNEL
OFF
RESTART
PAUSE
PUMP
MEDLEY™
MMEEDDIICCAATTIIOONNSSAAFFEETTYYSSYYSSTTEEMM
IINNFFUUSSIIOONNPPUUMMPPMMOODDUULLEE
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DIRECTIONS FFOR UUSE
INFUSION PUMP MODULE
MODEL 8100
To Purchase, Visit Avobus.com or call 1-800-674-3655

INTRODUCTION GETTING STARTED ALARMS, ADVISORIES
AND PROMPTS
TABLE OF CONTENTS
INTRODUCTION
ABOUT THE SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FEATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SYMBOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
GETTING STARTED
WARNINGS AND CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
CONTROLS AND INDICATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
INSTALLATION PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ATTACHING AND DETACHING CHANNELS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
START-UP SEQUENCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
PREPARING INFUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DISPLAYS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
PRIMARY MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
SECONDARY MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
CHANNEL LABELS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
POWERING OFF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
CHANGING PRIMARY SOLUTION CONTAINER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
CHANGING AND RELOADING SET DURING INFUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
DRUG CALCULATION PARAMETERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
SETTING UP DRUG CALCULATION WITH DRUG LIBRARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
SETTING UP DRUG CALCULATION FOR NON-LIBRARY DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
SETTING BOLUS DOSE (DRUG CALCULATION WITH DRUG LIBRARY) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
SETTING BOLUS DOSE (DRUG CALCULATION FOR NON-LIBRARY DRUGS) . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
ANESTHESIA MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
REVIEWING SERIAL NUMBER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
REVIEWING SOFTWARE VERSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
ALARMS, ADVISORIES AND PROMPTS
DEFINITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
AUDIO CHARACTERISTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
ADVISORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
ERRORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
MAINTENANCE
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
CONFIGURABLE SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
CHECK-IN AND CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
INSPECTION REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
SERVICE INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
APPENDIX
TRUMPET AND START-UP CURVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
MAINTENANCE APPENDIX

Technical Support
For technical information related to maintenance procedures and service manual support.
Phone:
[phone]
Toll-free, within the United States: [phone], Ext. 6003
Toll-free, within Canada:
Eastern: [phone]
Western: [phone]
For more detailed information, refer to the “Service Information” section of this document.
GENERAL CONTACT INFORMATION
Customer Advocacy
For clinical and technical questions, feedback, and troubleshooting assistance.
Phone, toll-free, within the United States and Canada: [phone], Ext. 7812
E-Mail: [email protected]

INTRODUCTION
INTRODUCTION
INTRODUCTION 1
The MEDLEY™ Medication Safety System is a modular infusion
and monitoring system intended for use in today’s growing
professional healthcare environment, including healthcare
facilities and home care, for use on adults, pediatrics and
neonates.
The MEDLEY™ Pump Module is intended for facilities that utilize
infusion pumps for the delivery of fluids, medications, blood and
blood products using continuous or intermittent delivery
through clinically acceptable routes of administration; such as,
intravenous (IV), intra-arterial (IA), subcutaneous, epidural,
enteral, or irrigation of fluid spaces.
The MEDLEY™ Medication Safety System consists of the
Programming Module (Model 8000), the Guardrails®Safety
Software, and detachable modules (or “channels”), which
provide infusion or monitoring capabilities.
This document provides directions for use for the Model 8100
Infusion Pump Module. Please read all instructions, for both the
Pump Module and Programming Module, before using the
device.
The MEDLEY™ System uses a wide variety of ALARIS®MEDLEY™/
Gemini Administration Sets. The sets are designed for use with
the Pump Module as well as for gravity-flow, stand-alone use.
For specific administration set instructions, refer to the directions
for use provided with the set. For set priming and loading
instructions, refer to the “Start-Up Sequence” section of this
document.
Contraindications: None known.
About the System
To Purchase, Visit Avobus.com or call 1-800-674-3655

2INTRODUCTION
Features
Anesthesia Mode The Anesthesia Mode allows the anesthesiologist to access additional
drugs in each profile that are appropriate to anesthesiology. This mode
also features permanent pause and the ability to set higher air-in-line
settings.
AutoRestart The AutoRestart feature is part of the MEDLEY™ System’s advanced
Downstream Occlusion Detection system. If enabled, the AutoRestart
feature minimizes nuisance patient side occlusion alarms caused by
momentary kinking of tubing, IV pushes, etc.
Bolus Dose The Bolus Dose mode enables the clinician to program a bolus infusion.
It is possible to program a bolus using the Guardrails®Drug Library or
using the Drug Calculation feature. The bolus infusion can be
programmed with or without a continuous infusion following the bolus.
Channel Labels The Channel Label feature is available if the Profiles feature is enabled. It
provides a hospital-defined list of labels which can be displayed in the
Channel Message Display, allowing the user to identify the channel with
the solution being infused, the catheter location or other helpful
information.
Drug Calculation The Drug Calculation mode allows the user to:
enter the desired drug dose and the MEDLEY™ System calculates the
correct flow rate to achieve the desired dose,
OR
enter the desired flow rate and the MEDLEY™ System calculates the
corresponding drug dose.
Dynamic Pressure Display The Dynamic Pressure Display is located just below the Channel Status
information in the Main Display of the Programming Module. If
enabled, it graphically displays the current patient side occlusion pressure
set point and the current patient side operating pressure for that
channel.
Flow Rates The flow rate range is from 0.1 to 999 mL/h. Rates between 0.1 and 99.9
may be selected in 0.1 mL/h increments. Rates from 100 to 999 mL/h are
selected in 1mL/h increments.
Free Flow Protection All MEDLEY™/Gemini Disposable Sets utilize a unique clamping device,
the Flo–Stop®Device, to prevent inadvertent free flow when the set is
removed from the instrument.
Guardrails®Drug Library The Guardrails®Drug Library feature is a Drug Calculation mode available
when the Profiles feature is enabled. It provides a hospital-defined list of
up to 100 drugs and concentrations appropriate for use in the selected
profile. Using the Drug Library automates programming steps, including
the drug name, drug amount and diluent volume, and activates the
hospital-established best-practice Guardrails®Limit.

INTRODUCTION 3
Guardrails®Prompt The Guardrails®Safety Software is designed to help prevent
programming errors by:
• Customizing device configurable settings to meet the need of the
selected hospital area/unit (profile).
• Comparing user programming with hospital-defined best-practice
guidelines.
• Providing a Guardrails®Prompt if an out-of-limits entry is made.
Occlusion Pressure The MEDLEY™ System provides a complete range of Downstream
Occlusion Detection options, including:
• Pump mode, where the downstream occlusion alarm threshold is
525 mmHg at flow rates of 30 mL/h or greater. For rates <30 mL/h,
the occlusion pressure is rate-dependent, to ensure rapid response to
occlusions.
• Selectable pressure mode, where the downstream occlusion alarm
threshold can be adjusted by the user in 25 mmHg increments, up to
the maximum occlusion pressure of 525 mmHg.
• AutoRestart (see previous page)
In addition, the MEDLEY™ System provides fluid side occlusion detection.
Profiles The Profiles feature allows a unique set of system options (profile) to be
configured to optimize system function for a specific hospital area or
patient type. A profile is comprised of a configuration, with system
settings and defaults customized by the user to best meet the needs of
the profile area/patient type.
Secondary Infusions Dual rate sequential piggyback (Secondary) infusions may be infused at
delivery rates and volumes independent of the primary infusion
parameters. Automatic changeover occurs to the primary infusion
parameters when the secondary infusion is complete if a
MEDLEY™/Gemini Check Valve Administration Set is used.
System Configuration The System Configuration mode provides the ability for qualified
personnel to customize device settings. If the Profiles feature is enabled,
the system settings defined for the selected profile are automatically
activated.
Tamper Resist The Tamper Resist feature provides a quick, one-touch lockout of the
front keypad.
Volume/Duration The Volume/Duration infusion option allows the user to program a
volume-to-be-infused (VTBI) and duration (infusion time), and the flow
rate is automatically calculated.
Volume-To-Be-Infused (VTBI)The volume-to-be-infused (VTBI) range is from 0.1 to 9999 mL. Volumes
between 0.1 and 999.9 may be selected in 0.1 mL increments. VTBIs
from 1000 to 9999 mL are selected in 1mL increments.
Features (Continued)
INTRODUCTION

Canadian and U.S. Certification Mark: Products bearing this mark have been tested and
certified in accordance with applicable U.S. and Canadian electrical safety and performance
standards (CSA C22.2 No. 601.1, UL 2601-1 and IEC 60601–2–24).
Electrical Shock Protection Rating: Type CF, Defibrillation-proof
Protection against fluid ingress: Drip Proof
Attention: Refer to accompanying documentation.
IUI Connector: Inter-Unit Interface connector used to establish power and
communications between the Programming Module and add on channels.
Manufacturing Date: Number adjacent to symbol indicates the month and year of
manufacture.
Consult operating instructions.
CAUTION: Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.
Single-Use. Do not re-use.
Product contains a particular element; such as, = DEHP in fluid pathway.
Product DOES NOT contain a particular element; such as, = set is latex-free.
Drops per milliliter specification for product will be identified on drop symbol.
Product incorporates SmartSite®Needle-Free Valve Ports and should not be accessed by a
needle.
Approximate set priming volume.
Expiration date for product will be identified near hour glass symbol.
LATEX
DEHP
4INTRODUCTION
Symbols
+75
IPX1
!
MM-YYYY
nly
O
XX ml
XX
2
Single-Use
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GETTING STARTED
GETTING STARTED 5
GETTING STARTED
NOTE: Although the MEDLEY™ System is built and tested to
exacting specifications, it is not intended to replace the supervision
of IV infusions by medical personnel. The user should become
thoroughly familiar with the features and operation of the
MEDLEY™ System and exercise vigilance in its utilization.
Definitions
This heading alerts the user to potential serious outcomes
(death, injury or serious adverse events) to the patient or user.
WARNING
This heading alerts the user to take special care for the safe and
effective use of the device.
CAUTION
For WARNINGS and CAUTIONS for the Programming Module,
refer to its Directions for Use.
To ensure proper performance of the MEDLEY™ System and to
reduce potential injury, observe the following precautions:
Epidural Administration
The MEDLEY™ System can be used for epidural administration
of anesthetic and analgesic drugs. This application is only
appropriate when using analgesics and anesthetics labeled
for continuous epidural administration and catheters
intended specifically for epidural use. Use only a
MEDLEY™/Gemini Series set, wwiitthhoouutta ‘Y’ connector or
injection port, for epidural infusions.
• Epidural administration of anesthetic drugs: Use
indwelling catheters specifically indicated for short term
(96 hours or less) anesthetic epidural drug delivery.
• Epidural administration of analgesic drugs: Use indwelling
catheters specifically indicated for either short term or
long term analgesic epidural drug delivery.
Warnings and Cautions
Epidural administration of drugs
other than those indicated for
epidural use could result in serious
injury to the patient.
WARNING
It is strongly recommended that the
infusion pump, source container and
MEDLEY™/Gemini Administration Set
used for epidural drug delivery be
clearly differentiated from those used
for other types of administration.
WARNING
nly
O

6GETTING STARTED
Warnings and Cautions (Continued)
This infusion device is a positive pressure delivery system,
capable of developing positive fluid pressures to overcome
widely varying resistances to flow encountered in practice,
including resistances to flow imposed by small gauge catheters,
filters and intra-arterial infusion. It is neither designed nor
intended to detect infiltrations and will not alarm under
infiltration conditions.
WARNING
Hospital personnel must ensure the compatibility of the drugs as
well as the performance of each channel as part of the overall
infusion. Potential hazards include drug interactions, inaccurate
delivery rates, inaccurate pressure alarms and nuisance alarms.
WARNING
The use of positive displacement infusion devices ported
together with gravity flow infusion systems into a common IV
site may impede the flow of common “gravity only” systems,
affecting their performance. Hospital personnel must ensure the
performance of the common IV site is satisfactory under these
circumstances.
WARNING
References in this document to specific drugs and drug doses
are for example only. Refer to specific drug product labeling for
information concerning appropriate administration techniques
and dosages.
WARNING
This instrument is designed to stop fluid flow under alarm
conditions. Periodic patient monitoring must be performed to
ensure the infusion is proceeding as expected.
WARNING
Use only MEDLEY™/Gemini Series administration sets. The use of
any other set may cause improper instrument operation,
resulting in an inaccurate fluid delivery or other potential
hazard.
WARNING
Do not use the MEDLEY™ System during Magnetic Resonance
Imaging (MRI).
WARNING

GETTING STARTED 7
GETTING STARTED
Warnings and Cautions (Continued)
User Precautions
To ensure proper performance of the MEDLEY™ System and to
reduce potential injury to the operator, observe the following
precautions:
• Disconnect from main (AC) and battery power when
performing maintenance.
• Do not open the instrument case. There are no user
serviceable parts inside. The case should only be opened by
qualified service personnel using proper grounding
techniques. When the case is opened, an electrical shock
hazard exists which can result in serious injury to persons and
instrument component damage.
Administration Sets
• A list of approved IV sets recommended by ALARIS Medical
Systems for use with the MEDLEY™ Medication Safety
System Pump Module is listed on the Set Compatibility
Card.
• Before operating the instrument, verify that the
administration set is free from kinks and installed correctly
in the instrument.
•MEDLEY™/Gemini Series sets are supplied with a sterile
fluid path for one time use. Do not resterilize.
• For set replacement interval, refer to facility protocol
and/or government standards (such as, CDC guidelines in
the United States).
• For IV push medication (put instrument on hold), clamp
tubing above the port.
• Flush port(s) per facility protocol.
• Discard administration set per facility protocol.
Parallel Infusions
There are no contraindications regarding the use of the
MEDLEY™ System with any other positive displacement
infusion device when ported together into a common IV site
location.
Use only MEDLEY™/Gemini Series
administration sets. The use of any
other set may cause improper
instrument operation, resulting in an
inaccurate fluid delivery or other
potential hazard.
WARNING
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8GETTING STARTED
User Precautions (Continued)
Warnings and Cautions (Continued)
Artifacts
It is normal for an infusion device to produce nonhazardous
currents when infusing electrolytes. These currents vary
proportional to the infusion device flow rate. When the ECG
monitoring system is not functioning under optimal
conditions, these currents may appear as artifacts, simulating
actual ECG readings. To determine if ECG abnormalities are
caused by patient condition or the ECG equipment, place the
infusion device on hold. If the ECG readings become normal,
the ECG equipment requires attention. Proper setup of the
ECG equipment should eliminate these artifacts. Reference
the appropriate ECG monitoring system documentation for
instructions on setup and maintenance.
Dropping/Jarring
Should an instrument be dropped or severely jarred, it should
be immediately taken out of use and inspected by qualified
service personnel, to ensure its proper function prior to reuse.
Operating Environment
Not for use in the presence of flammable anesthetics. Explosion risk if used in the presence
of flammable anesthetics.
DANGER

GETTING STARTED 9
Warnings and Cautions (Continued)
GETTING STARTED
User Precautions (Continued)
Radio Frequency Interference
Operating the system near equipment which radiates high
energy radio frequencies (electrosurgical/cauterizing
equipment, portable radios, cellular telephones, etc.) may
cause false alarm conditions. If this happens, reposition the
device away from the source of interference or turn off the
device and manually regulate the flow with the clamp and/or
monitor the vital parameters using an appropriate clinical
alternative.
Use of accessories or cables other
than those specified may result in
degraded electromagnetic
compatibility performance of this
device.
WARNING

10 GETTING STARTED
INFUSE
STANDBY
ALARM
CHANNEL
SELECT
CHANNEL
OFF
PAUSE
RESTART
Controls and Indicators
Front/Side View - Door Closed
Infusing
(green)
Alarm
(red)
IUI Connector, Left
Standby
(yellow)
Rate Display
Channel Message Display
Channel Identification
Channel Release Latch
Door Handle
Channel Select Key - When
pressed, selects corresponding
channel for infusion parameter
entry and infusion setup.
Pause Key - When pressed during
an infusion, temporarily stops
infusion on that channel. (After
≈2 minutes, “PRESS START” visual
and audio prompt begins.)
Channel Off Key - When pressed
and held for one second and then
released, stops infusion on that
channel, deselects that channel, and if
only that channel had been operating,
system powers down. Repeat for other
operating channels to power off each
channel.
Restart Key - When pressed, resumes
operation of a previously paused or
alarmed infusion on that channel.
Status Indicators IUI Connector, Right
(not visible)
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GETTING STARTED 11
GETTING STARTED
Controls and Indicators (Continued)
Front View - Door Open
Platen
Upper Tubing
Fitment Retainer
IUI Connector, Right
Door Latch Cam/Slide
Tubing Keeper
Upper Pressure Sensor
Lower Pressure Sensor
Flo-Stop®Recess
Air-in-Line Sensor
Upper Occluder
Lower Occluder
Upper Pumping Finger
Lower Pumping Finger
IUI Connector, Left
(not visible)

1. Remove Pump Module from its carton.
2. Verify door operates freely.
3. Verify membrane covering inside surface of pumping unit is
not cut or torn.
4. Check for loose parts.
5. Perform Periodic Inspection (see “Inspection Requirements”
section in “Maintenance” chapter.)
6. Perform check-in procedure (see “Check-In and
Configuration” section in “Maintenance” chapter).
If the Pump Module is damaged, contact ALARIS Medical
Systems for authorization to return the equipment for repair,
whether damage or malfunction is the responsibility of the
carrier or ALARIS Medical Systems.
12 GETTING STARTED
Instruments are tested and calibrated before they are packaged
for shipment. They met the specifications listed in the Directions
for Use at that time. To ensure proper operation after shipment,
it is recommended that an incoming inspection be performed
before placing the instrument in use.
Installation Procedure
Unpacking the Pump Module
Attaching and Detaching Channels
Refer to the MEDLEY™ Programming Module (Model 8000)
Directions for Use for detailed instructions on attaching and
detaching channels.
Start-Up Sequence
Powering On the System
1. Connect MEDLEY™ Programming Module to an external AC
power source.
2. Press SYSTEM OONkey on Programming Module.
3. System self test begins:
• Diagnostics test causes all LED display segments and
Status Indicator lights of attached channel(s) to
illuminate briefly.
• Power Indicator illuminates.

• Appropriate channel identification (A, B, Cor D) is
displayed on attached channel(s).
• An Audio tone sounds.
4. At completion of system-on test, “New Patient?” screen
appears on Programming Module.
NOTE: If any of the following conditions are observed, the
Programming Module or the affected channel must be removed
from use and inspected by qualified personnel:
• LED segments are not illuminated during system-on test.
• Indicator lights do not illuminate.
• Appropriate channel identification (A, B, C or D) is not
displayed.
• Audio tone does not sound.
• Main Display does not appear backlit, appears irregular, or has
evidence of a row of pixels not functioning properly.
If the affected channel operates normally when it is attached via the
alternate IUI connector, it may be used until a replacement channel
can be substituted.
GETTING STARTED 13
GETTING STARTED
Start-Up Sequence (Continued)
Powering On the System (Continued)
Preparing Infusion
Preparing Primary Solution Container
Prepare the primary solution container in accordance with the
manufacturer’s directions for use.
Preparing Primary Administration Set
Use only a MEDLEY™/Gemini Series administration set (refer to
Set Compatibility Card for a list of compatible sets). Open the
administration set package, remove the set and close the roller
clamp. Refer to the set’s Directions For Use, on the
administration set packaging.
Loading Primary Administration Set
1. Insert set spike into prepared fluid container, following
accepted hospital procedure, and hang container 20 inches
above Pump Module.
2. Fill drip chamber to 2/3full.
3. Open roller clamp slowly, to prime tubing and clear air from
injection sites and tubing fitments.
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4. Close roller clamp.
5. Open Pump Module door. Install administration set
pumping chamber by properly positioning upper fitment
into fitment recess and then inserting the Flo–Stop®Fitment
into recess below mechanism, with arrow pointing into
Pump Module.
6. Using a finger tip, firmly push tubing toward back of Air-in-
Line Detector.
7. Close Pump Module door and open roller clamp. Verify no
fluid is flowing through drip chamber.
14 GETTING STARTED
Preparing Infusion (Continued)
Loading Primary Administration Set (Continued)
3. Firmly push tubing toward back of
Air-in-Line Detector.
2. Load Flo-Stop®Fitment.
1. Load upper tubing fitment.
1. Prime set per steps 1 - 4 in “Loading Primary Administration
Set” section.
2. Attach set to patient’s vascular access device.
3. Adjust flow rate with set roller clamp.
Preparing Set to Deliver Primary Fluids with Gravity Infusion

Title Bar
Channel Status
• A solid Channel Letter display
indicates channel is operating.
• An outlined Channel Letter display
indicates channel is attached and
ready for use.
Soft Keys
VTBI = 250.0 mL
VOLUME
INFUSED
AUDIO
ADJUST
SYSTEM
ON
GETTING STARTED 15
GETTING STARTED
NOTE: Throughout this section, the Main Display screens are
aligned so that they coincide with the applicable step.
1. Prime and load administration set as described in
“Preparing Infusion” section.
2. Press CHANNEL SSELECT key on desired Pump Module.
VTBI = 250.0 mL
VOLUME
INFUSED
AUDIO
ADJUST
Midtown Hospital
Adult ICU
Refer to the MEDLEY™ Programming Module (Model 8000)
Directions for Use for general information in the Main Display.
Main Display
Displays
Dynamic Pressure Display
Dynamic Pressure Display
Current operating pressure is
indicated by solid bar.
Patient side occlusion pressure set
point is indicated by tick mark.
SYSTEM
ON
Primary Mode
Primary - Rate/Volume Infusion
>Select RATE
Infusion Setup
RATE
VTBI
mL/h
mL

3. Press RATE soft key and use numeric data entry keys to enter
desired flow rate.
4. Press VTBI soft key and use numeric data entry keys to enter
desired VTBI.
5. Attach set to patient’s vascular access device.
6. Verify correct infusion parameter entry and press START soft
key on Programming Module.
NOTE: The infusion may also be paused by pressing the
PAUSE soft key on the Programming Module.
• Green Infusing Status Indicator illuminates.
• Channel Rate Display displays Rate.
•VTBI counts down in Main Display.
• At completion of infusion, an audio prompt sounds,
“INFUSION COMPLETE–KVO” scrolls in Channel Message
Display and red Alarm Status Indicator flashes. Rate
Display changes to KVO rate and KVO displays next to
channel indicator in Main Display.
16 GETTING STARTED
>Press START
40
Infusion Setup
RATE
VTBI
mL/h
mL
250
PAUSE SECOND-
ARY START
VTBI = 250.0 mL
VOLUME
INFUSED
AUDIO
ADJUST
Midtown Hospital
Adult ICU
Primary Mode (Continued)
Primary - Rate/Volume Infusion
>Select VTBI
40
Infusion Setup
RATE
VTBI
mL/h
mL
Primary - Volume/Duration Infusion
Infusion Setup
RATE
VTBI
___ mL/h
>Select Rate or Restore
Previous Infusion
RESTORE VOLUME
DURATION
____ mL
1. Prime and load administration set.
2. Press CHANNEL SSELECT key on desired Pump Module.
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3. Press VOLUME/DURATION soft key.
4. Press VTBI soft key and use numeric data entry keys to enter
desired VTBI.
5. Press DURATION soft key and use numeric data entry keys to
enter desired duration of the infusion.
6. Attach set to patient’s vascular access device.
7. Verify correct infusion parameter entry and press START soft
key.
• Green Infusing Status Indicator illuminates.
• Channel Rate Display displays Rate.
•VTBI counts down in Main Display.
• At completion of infusion:
a. An audio prompt sounds.
b. “INFUSION COMPLETE–KVO” scrolls in Channel Message
Display.
c. Red Alarm Status Indicator flashes.
d. Rate Display changes to KVO rate.
e. KVO displays next to channel indicator in Main Display.
f. Channel infuses at KVO rate.
GETTING STARTED 17
GETTING STARTED
Primary Mode (Continued)
Primary - Volume/Duration Infusion (Continued)
Infusion Setup
RATE = mL/h
VTBI
DURATION hmin
>Select DURATION
RATE
VOLUME
1000 mL
Infusion Setup
RATE =
VTBI
DURATION
125 mL/h
1000 mL
8:00 hh:mm
>Press START
PAUSE RATE
VOLUME
SECOND-
ARY
START
Infusion Setup
RATE =
mL/h
VTBI
DURATION
hmin
>Select VTBI
RATE
VOLUME
____ mL
RESTORE