Alaris Medical Systems MedSystem III 2865 Manual

BCA
START
STOP
MORE
OPTIONS
STANDARD
DISPLAY
ON/OFF
®
®
Infusion Pump
Alaris®Products
Directions for Use
MedSystem III®Infusion Pump
Models 2865/2866
(With Advanced Dose Rate Calculation and Drug List Editor)
June 2006

General Contact Information
Customer Advocacy
Clinical and technical feedback.
Phone - North America: 800.854.7128, Ext. 7812
E-Mail - North America: [email protected]
E-Mail - International: [email protected]
Technical and Customer Services - UK
Maintenance and service information support.
Instrument return, service assistance, and order placement.
Technical Support - North America
Maintenance, service information support, and troubleshooting.
United States:
Phone:
858.458.6003
800.854.7128, Ext. 6003
Canada:
Phone:
Eastern: 800.908.9918
Western: 800.908.9919
Customer Service:
Freephone: 0800 917 8776
E-Mail: UK-Customer-
[email protected]
Technical Service:
Freephone: 0800 389 6972
E-Mail: UK-Technical-
[email protected]
Customer Care - North America
Instrument return, service assistance, and order placement.
United States:
Phone: [phone]
Canada:
Phone: [phone]
Cardinal Health
Alaris®Products
10221 Wateridge Circle
San Diego, California 92121
http://www.cardinal.com/alaris
Cardinal Health
The Crescent, Jays Close
Basingstoke, Hampshire, RG22 4BS,
United Kingdom
http://www.cardinalhealth.co.uk/alaris
Part Number 10014781 ©2006 Cardinal Health, Inc. or one of its subsidiaries. All rights reserved.

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
i
Table of Contents
Table of Contents
INTRODUCTION
ABOUT THE MEDSYSTEM III®INFUSION PUMP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FEATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SYSTEM COMPONENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
SYMBOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
GETTING STARTED
WARNINGS AND CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
PREPARING THE INFUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
PREPARING THE ADMINISTRATION SET. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
LOADING THE SET. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
FRONT PANEL OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Instrument Control Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Standard Display Page . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PROGRAMMING PAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
To Turn Pump On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
To Turn Pump Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
To View Infusion Settings For All Active Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
To Activate Additional Standard Display Softkey Prompts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
To Select Channel And Display Programming Page. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
To Program Infusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
To Access Alarm Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
To Activate Additional Programming Page Softkeys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
PROGRAMMING PRIMARY FUNCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
To Set Primary Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
To Set Primary Volume Remaining (VR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
To Clear Primary Volume Infused (VI). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
To Titrate Or Change Primary Rate During Infusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
To Change Volume Remaining During Infusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
To Clear Volume infused During Infusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
MAKING CHANGES WHILE INFUSING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
To Simultaneously Clear Total Volume Infused For All Channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
To Place A Channel On Standby During Infusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
To Start An Infusion From Standby Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
PROGRAMMING OPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
To Setup An Infusion By Rate/Volume or Volume/Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
KVO STATUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
To Resume Infusion When VR=0 (KVO). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
SECONDARY MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Preparing The Administration Set And Container . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Programming Secondary Infusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
To Set Secondary Volume Remaining (VR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
To Clear Secondary Volume Infused (VI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
To Set Secondary Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
To Set Rate Of Infusion From A Time Enrty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
To Titrate Or Change Secondary Rate During Infusion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
To Review Or Change Primary Value(s) During Secondary Infusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
To Start Primary Infusion Before Secondary Completes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
DOSE RATE CALCULATOR (DRC) USING A SPECIFIC DRUG NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Programming Drug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Programming Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Programming Concentration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
ii Table of Contents
GETTING STARTED (CONTINUED)
DOSE RATE CALCULATOR (DRC) USING A SPECIFIC DRUG NAME (CONTINUED)
Programming Dose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Changing Volumetric Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Changing Volume Remaining . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Clearing The Volume Infused (VI) And Dose Infused (DI). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Changing DRC Values While Infusing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
DOSE RATE CALCULATOR PROGRAMMING WITH DRUG?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Programming Weight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Programming Concentration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Programming Dose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Changing Volumetric Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Changing Volume Remaining . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Clearing Volume Infused (VI) Or Dose Infused (DI) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Editing Drug List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Discontinuing DRC Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
DEVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
To Change Device Type . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
CONFIG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
To Access Instrument Settings Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
NOTE SOFT KEY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
To Access NOTE(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
BATLOG (BATTERY HISTORY LOG) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
To Access Battery History Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
ALARMS, ADVISORIES AND PROMPTS
RESPONDING TO AN ADVISORY, ALARM OR FAULT MESSAGE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
ALARM RESPONSE KEYS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
ADVISORIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
FAULT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
WATCHDOG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
OTHER CONDITIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
MAINTENANCE
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
CHECK-IN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Physical Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Functional Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Check-In Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Electrical Safety Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Power Tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Cassette And Sensor Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Patient-Side Occlusion Detector Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Fluid-Side Occlusion Detector Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Air In Line Detector Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
New Instument Volume Accuracy Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Watchdog Audio Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Before Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
To Clean . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
INSPECTION REQUIREMENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
SERVICE INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
iii
Table of Contents
GLOSSARY
ABBREVIATIONS, ACRONYMS, UNITS OF MEASURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
APPENDIX
TRUMPET AND START UP CURVES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Pressure Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
EMC TABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
TRADEMARKS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
iv Table of Contents
THIS PAGE
INTENTIONALLY
LEFT BLANK

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
1
Introduction
About MedSystem III®Infusion Pump
MedSystem III®infusion pump (instrument) with Drug List Editor is
intended for use in today’s growing professional healthcare environment,
including healthcare facilities and home care, for use on adults,
pediatrics and neonates.
Instrument 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.
Instrument is a multi-channel infusion pump intended to deliver multiple
infusions to a single patient.
Instrument with Drug List Editor features:
• Three independent fluid delivery systems in the space of one.
• Compact size:
- reduces bedside clutter
- simplifies patient transport
• Easy to Setup and use, yet provides advanced features.
• Accommodates assorted container types.
• Multiple delivery methods:
Intravenous/Intra-arterial/Subcutaneous/Epidural
• Accurate delivery of a variety of fluids.
• Uses administration sets that provide free-flow protection.
• Six available Device Types with configurable parameters (maximum
and minimum rates, maximum volumes, baseline and maximum
pressures, and air-in-line thresholds) to achieve specific clinical
applications:
General Purpose
Neonatal
Controller Pressure
Operating Room
General Purpose II
Operating Room II
Introduction

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
2Introduction
Features
Multi-channel Fluid Delivery System
Combines three independent infusion channels in an
unparalleled small size.
Lightweight/portable
Instrument with pole clamp weighs just over 5 pounds (2.3
kg) and is easy to transport.
Unique, rotating pole clamp
May be attached to a variety of surfaces.
Dose Rate Calculator (DRC)
Calculates a volumetric or dose rate based on values
entered for patient weight, drug concentration (drug
amount and diluent volume) and dosing parameters.
Drug List Editor (DLE)
Drug list can be customized using Drug List Editor
software.
BCA
START
STOP
MORE
OPTIONS
STANDARD
DISPLAY
ON/OFF
®
®
Infusion Pump
A: Stopped
DRUG? Wt ---- KG= 0.0 LB
A:Conc ------- mg/---- ml
A:Rate ------- ml/h
A:Dose ------- mcg/kg/min
Press Select to choose line
Select Clear
A:VR 1 ml (Vol Rem)
A:VI 0 ml DI 0.0 mg
• Display infusion status for rate, volume remaining and volume infused.
• Infusions can be programmed to deliver at a specified rate or over a specified period of time.
• Secondary mode allows fluids and medications to be delivered at two different rates, sequentially.
• Dose Rate Calculator (DRC) feature performs volumetric rate and/or dose rate calculations.
• With DRC activated, instrument displays infusion status for rate, dosing regimen and drug name.
• Communications Protocol allows clinical monitoring, instrument configuration and maintenance.
• Field Maintenance Software (FMS) available for Biomed to configure, service and troubleshoot
instrument.
Contraindications: None known.
About MedSystem III®Infusion Pump (Continued)

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
3
Introduction
Six Device Types available
Six available Device Types with configurable parameters
(maximum and minimum rates, maximum volumes,
baseline and maximum pressures, and air-in-line
thresholds) to achieve specific clinical applications:
General Purpose
Neonatal
Controller Pressure
Operating Room
General Purpose II
Operating Room II
Free-flow Protection
Administration Sets contain a cassette that provides
protection from free-flow conditions. Upon removal of
cassette from instrument, cassette’s slide clamp is pulled
to full extension, occluding the tubing and preventing fluid
from flowing.
Monitoring System
Continuously monitors instrument conditions and alerts
with adjustable audio tones and visual messages.
Data Monitoring
Can be configured to communicate with a remote
computer, such as a centralized patient monitoring
nurse’s station. The COMM receptacle is compatible
with RS-232 cabling. A communications manual that
describes the programming and hardware involved is
available.
Field Maintenance Software (FMS)
Can be modified to accommodate specialized clinical
applications. The Device Type parameters, occlusion
limit, and air-in-line threshold can be configured with the
FMS software.
Features (Continued)
BCA
START
STOP
MORE
OPTIONS
STANDARD
DISPLAY
ON/OFF
®
®
Infusion Pump

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
4Introduction
Features (Continued)
Secondary Mode
Allows user to program two different rates of infusion to
run sequentially.
Syringe Delivery
Accommodates 20cc to 60cc syringes.
Full Range of Delivery Rates
Rates from 0.1 to 999 milliliters per hour.
Battery Capacity
A new fully-charged battery provides 6 to 8 hours of
operating time with rates at 125 ml/h per channel.
A: Secondary Rate 100 ml/h
A: Infusing Secondary
A: Sec VolRem (VR) 100 ml
A: Sec VolInf(VI) 1 ml
A: Sec Time(TR) 1 hr
since 12:37p 01 Feb 02
Stop Affects Secondary
Select Fast

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
5
Introduction
System Components
CASSETTE
Portion of administration set,
inserts into cassette holder.
BCA
START
STOP
MORE
OPTIONS
STANDARD
DISPLAY
ON/OFF
®
®
Infusion Pump
LOWER ASSEMBLY
3 Cassette Holders
Pump Latch Mechanism
Drives the cassette piston
to move fluid through the
tubing.
Air-in-Line Sensor
Detects bubbles of air during
infusion.
Tubing Collar Recess
Holds tubing collar in place.
FRONT PANEL Instrument Keys
Display Screen
Softkey Pads
Channel Indicator Lights
Green:
• Steady - infusing on AC
power
• Flashing - infusing on battery
power
Red:
• Slow flashing - Advisory
• Rapid flashing - Alert
Channel Select Keys
Slide
Clamp
Tubing
Collar
Pressure
Dome
Piston

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
6Introduction
COMM
EXTERNAL
POWER
6-9 V
CONNECTOR PANEL
NOTE:When inserting or removing
connectors into or from receptacles,
avoid excessive force or twisting. To
remove AC adapter from pump first
remove clip that is on connector.
External Power
External power receptacle connects
with power cord.
Plug Symbol
Green light on indicates AC power is
connected; batteries are charging.
COMM
Communications line receptacle
connects with RS-232.
Container Hook
One hook on each side of instrument
Rotating Latch
Allows clamp to spin 360° and position
at every 90°.
Adjustable Pole Clamp
Jaw with clutch feature, mounts pump
to a pole or bedside.
NOTE: Instrument is designed to
function in any orientation. However,
the effectiveness of the administration
set air trap is diminished when
instrumet is in other than vertical
position.
System Components (Continued)
AC Adapter Power Cord
120V/60 Hz three-pronged
grounded adapter with
4-pin locking connector.
(230V/50 Hz adaptor
international)

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
7
Introduction
COMM
EXTERNAL
POWER
6-9 V
Symbols
CUS
IPX1
!
MM-YYYY
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.
Protection against fluid ingress: Drip Proof.
Caution: Refer to accompanying documentation.
U.S. Certification Mark: Products bearing this mark have been tested and certified
in accordance with applicable U.S. electrical safety and performance standards
(UL 544).
Manufacturing Date: Number adjacent to symbol indicates month and year of
manufacture.
Consult operating instructions.
Explosion risk if used in presence of flammable anesthetics.
U
L
R
V
O
L
U
M
E
T
R
I
C
I
N
F
U
S
I
O
N
P
U
M
P
L
I
S
T
E
D
2
5
0
J
Attaching Pole Clamp
To attach pole clamp, position clamp
jaw over mounting surface and turn
knob until the clamp is tightened and
pump feels secure. When knob is as
tight as possible, continued turning will
make it click and spin freely without
over-tightening.
System Components (Continued)

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
8Introduction
LATEX
XX ml
XX
Symbols (Continued)
Caution: Federal (U.S.A.) law restricts this device to sale by or on order of a
physician.
Single-Use. Do not reuse.
DEHP in fluid pathway.
No DEHP in fluid pathway.
Product is latex-free.
Product incorporates SmartSite Needle-Free Valve ports and should not be accessed
by a needle.
Approximate administration set, priming volume.
Drops per milliliter specification for product will be identified on drop symbol.
Expiration date for product will be identified near hour glass symbol.
DEHP
Single-Use
2
nly
O

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
9
Getting Started
Getting Started
NOTE: Although instrument 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 instrument
and exercise vigilance in its utilization.
To ensure proper performance of instrument and to reduce
potential injury, observe the following precautions:
Epidural Administration
Instrument 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 instrument, without a ‘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
A WARNING is an alert to a potential hazard which could
result in serious personal injury and/or product damage if
proper procedures are not followed.
A CAUTION is an alert to a potential hazard which could
result in minor personal injury and/or product damage if
proper procedures are not followed.
WARNING
CAUTION
nly
O
WARNING
The use of any accessory, transducer,
or cable with instrument other than
those specified may result in increased
emissions or decreased immunity
or electromagnetic compatibility
performance of this device.
WARNING
Only connect equipment approved to
IEC EN 60601-1 or UL 1069 approved
medical or hospital signaling equipment
WARNING
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
instrument, source container and
instrument Administration Set used
for epidural drug delivery be clearly
differentiated from those used for other
types of administration.

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
10 Getting Started
Warnings and Cautions (Continued)
WARNING
Instrument is designed to stop fluid flow under alarm conditions other
than Low Battery and KVO. Periodic patient monitoring must be
performed to ensure the infusion is proceeding as expected.
WARNING
Instrument 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 compatibility of drugs as well
as 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
Use only Instrument 28 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
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 performance of
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.

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
11
Getting Started
Parallel Infusions
There are no contraindications regarding the use of an
instrument with any other positive displacement infusion
device when ported together into a common IV site
location.
To ensure proper instrument performance and to reduce
potential injury to the operator, observe the following
precautions:
• Disconnect from mains (AC) and battery power when
performing maintenance.
• To disconnect AC power, unplug power cord from back of
instrument.
• Do not open 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 Cardinal
Health, for use with instrument is listed on the Set
Compatibility Card. The use of any other set may cause
improper instrument operation, resulting in inaccurate
fluid delivery.
• Before operating instrument, verify that the
administration set is free from kinks and installed
correctly.
• Instrument administration sets are disposable, have a
sterile fluid path and are intended only for one time use.
Do not resterilize.
• Always power on instrument before inserting the set.
• Do not insert a cassette into a channel with a SERVICE
prompt.
• Remove any cassettes from channel(s) requiring
service.
• Ensure the cassette is properly installed before starting
infusions.
Warnings and Cautions (Continued)
CAUTI
ON:F
eder
al(
U.S
.
A.)l
awr
estr
ic
t
st
his devic
eto saleb yoront
he
or
derofaphysic
ia
n.
Thissetcont
ainsDEHPi
nthef
lu
id pat
h.
P
atented:U.S.
P
at
entNos.4,689,0
43;5,
453,0
98;D-
362,
062.CA
P
atented/
Br
evet
È1,238,832.GBP
at
entNo
.238,
227.DED.B
.P
.N
o.
P3774598.FRBr
evetNo.238,
227.AUP
at
entNos.604,4
77;682,789.
OtherU.S
.
andF
or
eig
npat
ent
sissuedandpendin
g.
LATEX-FREEINFUSIONSET
TW O SM AR TSITEÆ
NEEDLE-FREEVA LV E POR TS
CHECK VA L
VE
0.
2MICRON FI
L
TER
FORUSEWITH
MEDLEY
ôa
ndI
MED
Æ
GEMI
NI
Æ
Seri
esofI
nst
r
ument
s
STERI
LER
LO T
ALARI
SMedicalSystems
,
I
nc.
,SanDi
ego,CA92121-2733USA
ALARI
SMe
dic
alUKLt
d.
,Basin
gsto
ke,Hant
s,RG224B SUK
ASSEMBLED
I
NMEXI
CO
www.
al
ar
i
smed.com
604234
*+
H37024
30050
01/*
Pr
i
mi
ng
Volume
22ml
SetLength
294cm
(
116i
n.
)
20
REF
2430-0500

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
12 Getting Started
Warnings and Cautions (Continued)
• 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.
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.
Radio Frequency Interference
• This equipment system is intended for use by healthcare
professionals only. This is a CISPR 11 Class B Group
2 Medical equipment system. In a domestic enviornment
this equipment or system may cause radio interference,
in which case it may be necessary to take adequate
mitigation measures, such as re-orienting, relocating
or shielding instrument or filtering the connection to
the public mains network.
BC
A
START
STOP
MORE
OPTIONS
STANDARD
DISPLA
Y
ON/OFF
®®
DLE
®
Explosion risk if used in the
presence of flammable anesthetics.
DANGER

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
13
Getting Started
WARNING
Use of accessories or cables
other than those specified may
result in degraded electromagnetic
compatibility performance of this
device.
• Medical Electrical Equipment needs special precautions
regarding EMC and needs to be installed, put into
service and used according to the EMC information
provided in the accompanying documents.
• Portable and Mobil RF communications can affect
Medical Electrical Equipment.
• 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.
Other Precautions
• The AC adapter must be connected to a properly
grounded, 3-wire receptacle (“Hospital Use” or “Hospital
Grade”).
• Avoid excessive force or twisting of detachable power
cords when inserting or removing connector terminals.
• Use AC adapter indoors only.
• Instruments should not be used adjacent to or stacked
with other equipment, if adjacent or stacked use is
necessary, instrument should be observed to verify
normal operation in the configuration used.
Prepare solution container in accordance with the
manufacturer’s instructions.
• A syringe can be used as the container for the IV fluid to
be infused. Syringe sizes from 20cc to 60cc of such as the
B-D and Monoject brands can be used.
Warnings and Cautions (Continued)

Directions for Use
MedSystem III® infusion pump
Models 2865/2866
14 Getting Started
Connect the container to the IV set.
Prime the Instrument administration set in accordance with the
Administration Set Directions for Use.
It is important to prime the set properly to eliminate air
bubbles.
NOTE: The Model 8631A Syringe Holder is available as an
accessory that provides a convenient place to hold syringes
while they are being used as containers for IV fluid. The
Syringe Holder is designed to be easily installed and removed
from the top of the pump and to support up to three syringes.
Do not use the Syringe Holder as a handle to carry the pump.
Pressure Dome
Slide
Clamp
Tubing Collar
Clear portion of cassette
Preparing Infusion
Ensure the cassette slide clamp is pushed in completely so
tubing is not occluded.
Invert the cassette so tubing is up. Slowly open the regulating
clamp and establish fluid flow to fully prime the set. Gently
tap the cassette and ‘Y’ sites as necessary to remove all air.
Gently massage the pressure dome to ensure no air bubbles
are trapped.
Close the regulating clamp before inserting and removing the
cassette to reduce the risk of free flow.
Preparing Administration Set
WARNING
An open regulating clamp and
slide clamp can cause a free-flow
condition and may result in serious
injury to the patient.