Alaris Medical Systems MedSystem III Manual

DIRECTIONS FOR USE
BCA
START
STOP
MORE
OPTIONS
STANDARD
DISPLAY
ON/OFF
®®
DLE
®
MedSystem III®®Infusion System
with Advanced Dose Rate Calculation
and Drug List Editor

INTRODUCTION GETTING STARTED ALARMS, ADVISORIES
AND PROMPTS
TABLE OF CONTENTS
INTRODUCTION
ABOUT THE PUMP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FEATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SYSTEM COMPONENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
SYMBOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
GETTING STARTED
WARNINGS AND CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
PREPARING THE INFUSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
PREPARING THE ADMINISTRATION SET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
LOADING THE SET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
FRONT PANEL OVERVIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
PROGRAMMING PAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
PROGRAMMING PRIMARY FUNCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
MAKING CHANGES WHILE INFUSING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROGRAMMING OPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
KVO STATUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
SECONDARY MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
DOSE RATE CALCULATOR (DRC) USING A SPECIFIC DRUG NAME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
DOSE RATE CALCULATOR PROGRAMMING WITH DRUG? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
DEVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
CONFIG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
NOTE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
BATLOG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
ALARMS, ADVISORIES AND PROMPTS
RESPONDING TO AN ADVISORY, ALARM OR FAULT MESSAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
ALARM RESPONSE KEYS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
ADVISORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
FAULT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
WATCHDOG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
OTHER CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
MAINTENANCE
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
CHECK-IN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
INSPECTION REQUIREMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
SERVICE INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
GLOSSARY
ABBREVIATIONS, ACRONYMS, UNITS OF MEASURE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
MAINTENANCE GLOSSARY

Technical Support
For technical information related to maintenance procedures and service manual support.
Phone:
Outside the United States: [phone]
Toll-Free, within the United States : [phone], Ext. 6003
Toll-Free, within Canada : [phone] (Eastern) OR [phone] (Western)
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

INTRODUCTION 1
INTRODUCTION
INTRODUCTION
About the Pump
The MedSystem III®Drug List Editor Multi-Channel Infusion
Pump is intended for use in today’s growing professional
healthcare environment, including healthcare facilities and home
care, for use on adults, pediatrics and neonates.
The MedSystem III®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.
The MedSystem III®Drug List Editor Multi-Channel Infusion
Pump features:
• Three independent fluid delivery systems in the space of one.
• Compact size:
- reduces bedside clutter
- simplifies patient transport
• Easy to set up and use, yet provides advanced features.
• Accurate delivery of a variety of fluids.
• Uses administration sets that provide free-flow protection.
Contraindications: None known.

2INTRODUCTION
Features
Multi-channel Fluid Delivery System
The instrument combines three independent infusion
channels in an unparalleled small size.
Lightweight/portable
The pump with pole clamp weighs just over 5 pounds and
is easy to transport.
Unique, rotating pole clamp
The pump may be attached to a variety of surfaces.
Dose Rate Calculator (DRC)
The pump 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)
The pump drug list can be customized using Drug List
Editor software.
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:
Free-flow Protection
The MedSystem III® system Administration Sets contain a
cassette that provides protection from free-flow conditions.
To remove the cassette from the pump, the cassette’s slide
clamp is pulled to full extension, occluding the tubing and
preventing fluid from flowing.
General Purpose
Neonatal
Controller Pressure
Operating Room
General Purpose II
Operating Room II
BCA
START
STOP
MORE
OPTIONS
STANDARD
DISPLAY
ON/OFF
®®
DLE
®
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

INTRODUCTION
INTRODUCTION 3
Features (Continued)
Monitoring System
The instrument continuously monitors pump conditions
and alerts with adjustable audio tones and visual messages.
Data Monitoring
The pump 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)
The pump 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.
Secondary Mode
Allows the user to program two different rates of infusion
to run sequentially.
Syringe Delivery
Accommodates 20cc to 60cc syringe.
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
BCA
START
STOP
MORE
OPTIONS
STANDARD
DISPLAY
ON/OFF
®®
DLE
®

4 INTRODUCTION
System Components
Pressure
Dome
Piston
Tubing
Collar
CASSETTE
Portion of administration set,
inserts into cassette holder.
BCA
START
STOP
MORE
OPTIONS
STANDARD
DISPLAY
ON/OFF
®®
DLE
®
LOWER ASSEMBLY
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

INTRODUCTION 5
INTRODUCTION
CONNECTOR PANEL
NOTE: When inserting or removing
connectors to the 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 the
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: The MedSystem III® instrument
is designed to function in any
orientation. However, the effectiveness
of the administration set air trap is
diminished when the instrument is in
other than vertical position.
Attaching Pole Clamp
To attach the pole clamp, position the
clamp jaw over the mounting surface
and turn the knob until the clamp is
tightened and the pump feels secure.
When the knob is as tight as possible,
continued turning will make it click and
spin freely without over-tightening.
System Components (Continued)
COMM
EXTERNAL
POWER
6-9 V
COMM
EXTERNAL
POWER
6-9 V
AC Adapter Power Cord
120V/60 Hz three-pronged
grounded adapter with 4-pin
locking connector.
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6 INTRODUCTION
Symbols
+75
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 (CSA C22.2 No. 601.1, UL 2601-1 and IEC 60601–2–24).
Protection against fluid ingress: Drip Proof.
Attention: 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 the month and year of
manufacture.
Consult operating instructions.
Explosion risk if used in presence of flammable anesthetics.
Caution: Federal (U.S.A.) law restricts this device to sale by or on the order of a physician.
Product is Single-Use, Do not reuse.
Product contains DEHP in the fluid pathway.
Product does not contain DEHP in the fluid pathway.
Product is latex-free.
Product incorporates SmartSite®Needle-Free Valve Ports and should not be accessed by
a needle.
Approximate priming volume.
Drops per milliliter specification for I.V. set will be identified on drop symbol.
Expiration date for I.V. set will be identified near hour glass symbol.
nly
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LATEX
XX ml
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GETTING STARTED
GETTING STARTED
GETTING STARTED 7
NOTE: Although the MedSystem III®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 the
MedSystem III®instrument 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
To ensure proper performance of the MedSystem III®instrument
and to reduce potential injury, observe the following
precautions:
Epidural Administration
The MedSystem III®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 MedSystem III® instrument 28 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
MedSystem III®Administration Set
used for epidural drug delivery be
clearly differentiated from those used
for other types of administration.
WARNING
nly
O

8GETTING 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 other than Low Battery and KVO. Periodic patient
monitoring must be performed to ensure the infusion is
proceeding as expected.
WARNING
Parallel Infusions
There are no contraindications regarding the use of the
MedSystem III®instrument with any other positive
displacement infusion device when ported together into a
common IV site location.
Use only MedSystem III®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

GETTING STARTED 9
GETTING STARTED
Warnings and Cautions (Continued)
User Precautions
To ensure proper performance of the MedSystem III®instrument
and to reduce potential injury to the operator, observe the
following precautions:
• Disconnect from mains (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 MedSystem III®
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 the instrument, verify that the
administration set is free from kinks and installed correctly
in the instrument.
• MedSystem III®administration sets are disposable, have a
sterile fluid path and are intended only for one time use.
Do not resterilize.
• Always power on the 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.
• 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.
CAUTION: Federal (U.S.A
.) law restricts this device to sale by or on the
order of a physician.
Thisset contains DEHPin the fluid path.
Patented: U.S.Patent Nos. 4,689,043; 5,453,098; D-362,062. CA
Patented/BrevetÈ1,238,832. GBPatent No. 238,227. DE D.B.P
.No.
P3774598. FR Brevet No. 238,227. AU Patent Nos. 604,477; 682,789.
Other U.S. and Foreign patents issuedand pending.
LATEX-FREEINFUSIONSET
TWO SM ARTSI TE
Æ
NEEDLE-FREE
VALVE PORTS
CHECKVALVE
0.2 MICRON FILTER
FORUSE WITH
MEDLEYô and IMEDÆGEMINIÆ
Series of Instruments
STERILER
LOT
ALARISMedical Systems,Inc., San Diego, CA 92121-2733 USA
ALARISMedical UKLtd., Basingstoke,Hants, RG22 4BS UK
ASSEMBLED
IN MEXICO
www .alarismed.com
604234
*+H370243005001 / *
Priming
Volume
ª22 ml
Set Length
ª294 cm
(116 in.)
20
REF
2430-0500

10 GETTING STARTED
User Cautions (Continued)
Warnings and Cautions (Continued)
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
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.
• Do not stack instruments on top of each other.
BC
A
START
STOP
MORE
OPTIONS
STANDARD
DISPLAY
ON/OFF
®®
DLE
®
Use of accessories or cables other
than those specified may result in
degraded electromagnetic
compatibility performance of this
device.
WARNING
Explosion risk if used in the presence
of flammable anesthetics.
DANGER

GETTING STARTED 11
GETTING STARTED
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.
Connect the container to the IV set.
Prime the MedSystem III® instrument administration set in
accordance with the Administration Set Directions for Use.
It is important to prime the set properly to eliminate air bubbles.
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.
1. Close the regulating clamp before inserting and removing
the cassette to reduce the risk of free flow.
2. Ensure cassette slide clamp is pulled out (in the closed
position) prior to loading.
3. Press to turn pump on.
4. With tubing down, use a 45-degree upward motion to
insert cassette into channel.
5. Push on clear portion of cassette until completely seated.
Then push in slide clamp flush with entire cassette.
6. Pull down gently on tubing collar. Press with thumb to seat
tubing collar in recess beneath cassette.
GETTING STARTED
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.
WARNING
PPrreessssuurreeDDoommee
SSlliiddeeCCllaammpp
TTuubbiinnggCCoollllaarr
CClleeaarrppoorrttiioonnooffccaasssseettttee
NOTE: Three beeps sound when inserted properly.
A
A
An open regulating clamp and slide
clamp can cause a free-flow
condition and may result in serious
injury to the patient.
Preparing the Infusion
Preparing the Administration Set
Loading the Set
A

Status Line
Displays infusion status (Infusing;
Stopped; Standby; KVO; ALARM;
FAULT; SERVICE) for each channel.
NOTE: Status line in selected channel
is highlighted.
Infusion Rate
Volume Remaining (ml)
Volume Infused (ml)
Prompt Line
Displays messages that prompt the
user to make programming choices
and/or take appropriate actions.
Softkey Prompts
Displays function of specific softkey.
SSTTNNDDBBYYAppears in softkey
information line when
is pressed during
infusion.
CCnnttrrsstt(Contrast) Brightens or
dims display.
GGPPWhen pressed, indicates
full name of selected
Device Type on the
prompt line.
NOTE: Additional softkey prompts are
displayed by pressing .
Softkey Pads (4)
12 GETTING STARTED
Front Panel Overview
Instrument Control Keys
Stopped
START
STOP
ON/OFF MORE
OPTIONS
STANDARD
DISPLAY
AC
B
MedSystem III
®
DLE
®
VR: 996.2
125
ml/h
Start affects channel C
STNDBY Cntrst GP
VI: 12.8
Standby
Standby
VR: 138.8
25
ml/h
VI: 26.9
VR: 93.2
95
ml/h
VI: 16.8
ON/OFF Key
Turns the pump on and
off.
STANDARD DISPLAY
Key
Allows the user to
display Standard Display
page to view infusion
settings for all channels.
MORE OPTIONS Key
Allows the user to
display additional
softkey functions.
START/STOP Key
Starts or stops infusion
on selected channel.
Standard Display Page

GETTING STARTED
GETTING STARTED 13
GETTING STARTED
Programming Page
Selected channel is indicated by the
letter displayed at the beginning of
the first five lines.
Status Line
Displays infusion status for selected
channel.
Infusion Rate
Volume Remaining
Time Remaining
Volume Infused
Date/Time
Displays when volume infused was
last cleared and infusion began.
Prompt Line
Displays messages that prompt the
user to make programming choices
and/or take appropriate action.
Softkey Prompts
Displays function of specific softkey.
Select – Moves highlight bar
through the programmable
infusion parameters.
↑↑– Increases highlighted value.
↓↓– Decreases highlighted value.
FFaasstt↑↑– Increases or decreases
highlighted value at
greater increments.
FFaasstt↓↓
FFaasstt↑↑
A: Primary Rate 25 ml/h
A: Stopped
MedSystem III
®
DLE
®
Press Select to choose line
Select Fast
A: Pri VolRem (VR) 250 ml
A: Pri VolInf (VI) 10 ml
since 12:37p 01 Feb 02
A: Pri Time(TR) 10h 00m
ON/OFF MORE
OPTIONS
STANDARD
DISPLAY
AC
B
START
STOP

14 GETTING STARTED
Press .
• Upon start-up, the instrument performs an automatic self-
test. Listen for a “beep” to ensure that the audio alarm
transducer functions properly.
• Instrument Information page is momentarily displayed.
• Continuing to hold down ON/OFF key will keep the
Information page on the display.
• When the ON/OFF key is released, the Standard Display page
is displayed.
Press and hold .
• Display disappears.
• Pump is turned off.
Press .
• Standard Display page is displayed.
With the Standard Display page displayed:
1. Press once.
•TToottVVooll,DDeevviiccee,CCoonnffiigg, and NNootteesoftkeys appear.
2. Press again.
•BBaattllooggand DDeemmooWWDDsoftkeys appear.
Press , or .
• Selected channel programming page is displayed.
With programming page displayed:
1. Press Select to choose value to change.
• Value is highlighted.
2. Scroll through values using ↑↑, ↓↓, FFaasstt↑↑or FFaasstt↓↓.
•↑↑and FFaasstt↑↑increase highlighted values in single or
multiple increments.
To activate additional Standard Display softkey prompts
To turn pump off
To view infusion settings for all active channels
To select channel and display Programming Pages
To program infusion
To turn pump on

GETTING STARTED 15
To program infusion (continued)
GETTING STARTED
•↓↓and FFaasstt↓↓decrease highlighted values in single or
multiple increments.
• Pressing ↑↑or ↓↓changes direction of the FFaasstt↑↑or
FFaasstt↓↓..
• Highlight remains flashing until EEnntteerris pressed. If
EEnntteerris not pressed, the entry incomplete advisory will
sound.
3. Press EEnntteerrto accept new value.
• Highlight moves to next programmable value if channel
status is SSttooppppeeddor SSttaannddbbyy.
• If status is Infusing, highlight remains on selected value.
4. To recall a previous value after a new value is introduced
but not entered, press .
• Recall soft key appears.
5. Press RReeccaallll.
• Number returns to previous value.
6. Press .
• Infusion starts or stops immediately, unless the
channel’s programming is incomplete, or if an advisory,
alarm, or fault condition exists on selected channel.
•AALLAARRMMis displayed in affected channel status line.
• Alarm condition is displayed on the Standard Display of the
affected channel.
Press affected channel , or .
• Alarm Information page is displayed for that channel.
With the programming page displayed:
1. Press .
2. Press 22°°SSeeccto access Secondary page
OR
3. Press CCaallccOOnnto access Dose Rate Calculation page.
To access alarm information
To activate additional Programming Page softkeysys
See the ALARMS,
ADVISORIES AND PROMPTS
section of this manual for
more alarm information.
See the GETTING STARTED
section of this manual for
information on the use of
the Dose Rate Calculator
function.

16 GETTING STARTED
Programming Primary Function
To set primary rate
1. Press , or .
• Programming Page is displayed.
• Rate is highlighted.
2. Press SSeelleeccttif current rate is desired
OR
3. Press ↑↑, ↓↓, FFaasstt↑↑or FFaasstt↓↓to change rate.
• Value flashes.
4. Press EEnntteerrto confirm.
• Highlight moves to volume remaining (VR)
1. Press SSeelleeccttif current VR is desired
OR
2. Press ↑↑, ↓↓, FFaasstt↑↑or FFaasstt↓↓to change VR.
• Value flashes.
3. Press EEnntteerrto confirm.
• Primary time remaining (TR) is calculated automatically
based on VR and rate.
• Highlight moves to volume infused (VI).
1. Press SSeelleeccttif current VI is desired
OR
2. Press CClleeaarrto reset volume infused to zero.
• Date and time are cleared.
•CClleeaarrsoftkey switches to RReeccaallll.
3. Press EEnntteerrto confirm
OR
4. Press RReeccaallllsoftkey to recall previous VI, date and time.
THEN
5. Open regulating clamp on administration set.
6. Press to begin infusion.
• Channel starts infusing.
• Current date and time are entered.
7. Press
OR
• Display reverts to Standard Display page after one
minute.
8. Verify settings.
9. Verify solution flow from primary container.
TTo set primary volume remaining (VR)
To clear primary volume infused (VI)
A: Stopped
A: Primary Rate 100 ml/h
A: Pri VolRem (VR) 500 ml
A: Pri VolInf(VI) 1 ml
A: Pri Time(TR) 05h 00m
since 12:37p 01 Feb 02
Press Select to choose line
Select Fast
A: Stopped
A: Primary Rate 100 ml/h
A: Pri VolRem (VR) 500 ml
A: Pri VolInf(VI) 1 ml
A: Pri Time(TR) 05h 00m
since 12:37p 01 Feb 02
Press Select to choose line
Select Fast
A: Stopped
A: Primary Rate 100 ml/h
A: Pri VolRem (VR) 500 ml
A: Pri VolInf(VI) 1 ml
A: Pri Time(TR) 05h 00m
since 12:37p 01 Feb 02
Press Select to choose line
Select Fast
A: Pri VolInf(VI) 800 ml
A: Primary Rate 100 ml/h
A: Stopped
A: Pri VolRem (VR) 500 ml
A: Pri Time(TR) 05h 00m
since 12:37p 01 Feb 02
Press Select to choose line
Select Clear
A: Pri VolInf(VI) 0ml
A: Primary Rate 100 ml/h
A: Stopped
A: Pri VolRem (VR) 500 ml
A: Pri Time(TR) 05h 00m
since -----
Press Enter or Recall
Enter Recall

GETTING STARTED 17
Making Changes While Infusing
GETTING STARTED
To titrate or change primary rate during infusion
1. Press , or .
• Programming Page is displayed.
• Rate is highlighted.
2. Press ↑↑, ↓↓, Fast ↑↑or Fast ↓↓to change Rate
• Value flashes.
3. Press EEnntteerrto confirm.
• New rate begins infusing immediately.
1. Press , or .
• Programming Page is displayed.
• Rate is highlighted.
2. Press SSeelleeccttto highlight VR.
3. Press ↑↑, ↓↓, FFaasstt↑↑or FFaasstt↓↓to change VR.
• Value flashes.
4. Press EEnntteerrto confirm.
• Infusion continues with new volume remaining
1. Press , or .
• Programming Page is displayed.
• Rate is highlighted.
2. Press SSeelleeccttto highlight VI.
3. Press CClleeaarrthen EEnntteerrto reset volume infused to zero.
• Date and time are cleared.
•CClleeaarrsoftkey switches to RReeccaallll.
4. Press EEnntteerrto confirm
• Infusion continues with volume infused reset to zero.
• Current date and time are entered
OR
5. Press RReeccaallllsoftkey to recall previous VI value, date and
time.
To change volume remaining during infusion
To clear volume infused during infusion
NOTE: When the channel VI is cleared, that volume is not
subtracted from the volume on the TotVol page.