Argus 708 V User manual

y
N
Manual for Volumetric Infusion Pump
ARGUS 708 V
Made in Switzerland
C € 0120

Drop detector
Drop chamber
Pressure sensor
„upstream“
14.225. A708 en.V4.3X
Global alarm
Anti „free-flow“
clamp holder
23.12.2005 / PJ
Introduction
Air bubble
detector
Pressure sensor
„downstream“

Introduction
Universal clamp Staff alert and
RS-232-connection
connection
mu Drop detector
Identification plate
with pump serial
number
MŠ ^
h È
AC
power
LU
g
connection
mi
UB
ο
DC-connection & QUICK®100
Docking Station interface
Basic position, when pump is not in operation!
You can only close the pump door when an IVIP® 708 set is inserted
(storage position)
14.225. A708 en.V4.3X 23.12.2005/ PJ

Introduction
1 Introduction
1.1 General information
Congratulations on selecting the Swiss high-tech and top quality ARGUS 708 V infusion
pump. This medical device meets all the provisions of the directive MDD 93/42/EEC
which apply to it.
The ARGUS 708 V infusion pump is characterized particularly by the following advan-
tages:
- Swiss made high-tech quality volumetric pump
- Intuitive, very easy operation
- Modern design, light-weight and compact
- CODAN IVIP® 708 sets with the anti free flow clamp for a safety use
- User-selectable occlusion alarm limit
- Upstream & downstream pressure monitoring with bar graph display of line pressure
- ARGUS multi-functional clamping system
- Table top operation possible
- QUICK® 100 Docking Station compatible
- Flash memory for fast software updates
1.2 Use
The ARGUS 708 V infusion pump can be used in standard applications requiring the
highest degree of accuracy, as well as in special cancer therapies, blood transfusions
and enteral nutrition.
Caution! The ARGUS 708 V infusion pump may only be used consumables and
CODAN IVIP® 708 sets (specified in the appendix), witch are recom-
mended by ARGUS Medical. The safety of the patient may be endangered.
1.3 Scope of supply
ARGUS 708 V infusion pump with power cord, external drop detector and user manual.
Options: Bottle holder, rail combi clamp.
1.4 Maintenance
No special maintenance is necessary for the ARGUS 708 V infusion pump, apart from
the technical safety check. There are no wear and tear parts that will require preventive
replacement.
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1.5 Support
Introduction
Servicing should only be carried out by ARGUS Medical AG trained personnel or by an
approved local distributor. In case of repair, send the unit with the filled out “repair order
form” (see service manual) to the local distributor. Further information is available from:
1.6 Symbols
А
IPX2
18-30°C
14.225._A708 en.V4.3X
ARGUS Medical AG
CH-3627 Heimberg / Switzerland
EMAIL: [email protected]
www.argusmedical.com
Caution: consult accompanying documents
Protected against dripping (+15° tilted) when operated in horizontal position
Complies with MDD 93/42/EEC directive
Applied parts CF type device (leak currents protection)
Double insulation
Staff alerting system
Conform to WEEE 2002/96/EC directive
(Waste in Electrical and Electronic Equipment)
Data communication interface
Drop detector
Infusion flow direction
Recommended temperature range for the solution and IV sets
23.12.2005 / PJ 6

Control panel
2 Control panel
2.1 Operations and alarm displays
KVO-Infusion *
Battery alarm
Occlusion / Set
installationalarm
Battery operation
mi total
mi inf.
h. inin
External supply Air bubble
charging batte р - TT - alarm
(charging гу) (9 oo (0 1 (4 (る (sw
ARGUS
708
>>
Global alarm
Door alarm /
Clamp alarm
Drop alarm
* KVO-operation (Keep Vein Open):
- 3 mlfh for infusion rates 2 10 ml/h
- 1 ml/h or set infusion rate, whichever is less, for infusion
rates <10 mi/h
Alarm situation: - An intermittent acoustic sound is released (can be momentarily muted
with „Mode“ key)
- The staff alert system is activated
- A pictogram is turned on and the global alarm is flashing
Caution! The ARGUS infusion pump cannot be started, if:
ο the tube is not properly installed in the pump
e the pressure in the tube is too high or the infusion solution too cold
e the infusion tube contains air bubbles inside air detector
ο the infusion rate is = 0.0 ml/h
e the door is open (anti free flow clamp not in place)
e the battery is depleted (applies only when operated on battery)
e anon recommended IV-Set (without anti free flow clamp) is used
14.225._A708 en.V4.3X 23.12.2005 / PJ 7

Occlusion alarm
К
k
Air bubble alarm
Battery alarm
Door alarm
14.225. A708 en.V4.3X
Control panel
Downstream Occlusion
(The patient side pressure in the tube exceeds the electronic pressure
alarm level, the entire pressure bar graph turns on, an intermittent acoustic
alarm sounds, the alarm lights are blinking)
* Needle obstructed? * Roller clamp patient side closed?
* Kinked line patient side? + Bad set position inside door?
3 Check above points and resolve problem
Caution!
The automatic pressure reduction can withdraw blood from the patient.
Upstream-Occlusion
(exceeded under pressure bottle side, the right segment of the bar graph
turns on, an intermittent alarm sounds, the alarm lights are blinking)
* Filter in drop chamber obstructed? » Kinked line bottle side?
* Bad set position inside door? * Bottle empty?
* Drop chamber ventilation cap closed?
3 Check above points and resolve problem.
If no obvious problem is found, close roller clamp, open pump door, shift
set approximately 12 cm towards the right, close pump door, reopen
roller clamp and start the pump again.
Air was detected
* Air bubbles in the IV set? + Tube not properly positioned?
3 Remove air bubbles, reinstall the IV set with his AFF-clamp or check if
recommended IV set is used
Pre alarm battery low
(The battery pictogram turns on, an intermittent acoustic alarm sounds)
* Battery almost empty, pump will stop in approx. 15 minutes
Battery empty
(The battery pictogram turns on, an intermittent acoustic alarm sounds, the
alarm lights are blinking)
* The pump goes in stop mode while the battery alarm continues for 6 min.
Thereafter the pump is switched off automatically in order to prevent a to-
tal discharge of the battery.
~> Immediately connect the power cord to the mains outlet and
continue to infuse, battery will be recharged automatically.
Door open
Anti free flow clamp not in place?
23.12.2005 / PJ 8

Drop alarm
End alarm
Safety check
Stand-by alarm
Technical alarm
NURSE CALL
è
ALARM MUTING
MODE
CLEARING
START
STOP
14.225. A708 en.V4.3X
Control panel
Deviation of the total number of drops with regard to the set infusion rate
* The tube roller clamp is closed? * Infusion bottle empty?
+ The level of the liquid in the drop chamber is too high? * Free-flow?
* Deviation of the total number of drops with regard to the set inf. rate?
3 Check above points and resolve problem
Infusion end
The
volume total has been reached (— KVO operation)
Reminder alarm for safety standard check
If the display flashes "CtrL" several times after switching the pump on,
it is time for the safety standard check.
3 Please refer to your technical staff
No manipulation has been made for 2 minutes
(pump in stop mode)
3 Press key “MODE”
F-code (F-XX)
Technical alarm (failure) with continuous acoustic sound.
3 If F-code is invisible, press the “MODE” key
Staff alerting system
A connecting socket allows the unit to be hooked up to an external paging
system. The optical and acoustic alarms of the pump are not affected.
“MODE” muting system
By pressing the “MODE” key the acoustic alarm can be interrupted for
2 minutes. After the muting time has elapsed the alarm is reactivated
automatically.
Clearing of the alarm condition
After the cause of the failure has been corrected, press the “Start/Stop”
key to clear the alarm condition and to restart the infusion.
23.12.2005 / PJ 9

Control panel
2.2 Special key functions
O "ON/OFF"
© This key is used to switch the pump on and off.
To switch the unit off, press the key 2 seconds.
© "100", "10" mr "0.1"
90:00 08:00 ab? | These keys are used for all numerical inputs.
~ "MODE"
tete The key "MODE" has the following 4 functions:
- Acoustic and flashing global alarm muting system (for 2 minutes)
- Input mode (select the display for an input)
- Interrogation mode for "ml total" and "h.min"
- Selection of the programmable features (see chapter 4.2)
"START/STOP"
This key is used to start or stop an infusion. In alarm state, this key starts
the pump and mutes the acoustic and global alarm. In stopped state "KVO"
operation is switched on (default, configurable). If the stopped state lasts for
more than 2 minutes, an acoustic reminder signal is activated.
— C— Clear the display
© The selected display will be set to zero
08:00 by pressing both keys simultaneous.
Auto repeat
© Pressing a key for longer than 1 sec., the corre-
80:00 0W00 Mai” sponding number is set automatically forward.
Software release display and display test
・ 〇 ^ Keep the key "MODE" pressed and press the key "ON/OFF".
© wes The left hand display shows "708", the right hand display "rx.xx"
(software release) during 3 sec.
Afterwards the visual display test starts as follows:
Display of "2", "4", "7" "F.", "ml total", "ml inf‘, h.min", pressure
display, operation symbols, alarm symbols and "ALARM" with
acoustical beeps.
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Qe
14.225. A708 en.V4.3X
Control panel
Call back of the last infusion values
Keep the key "1" pressed and press the key "ON/OFF".
The following values are now available in the display:
Infusion rate, preset volume, infused volume, infusion time, pres-
sure limit, medicament No. and the last preselected bolus volume.
PC-configuration
Keep the key "10" pressed and press the key "ON/OFF". For further
information about this function please refer to the technical staff.
23.12.2005/ PJ 11

Set-up
3 Set-up
3.1 General information
The A708 pump must only be used under the supervision of qualified clinical or nursing
staff. The user has the responsibility to read and to observe the following instructions.
Only use CODAN IVIP® 708 standard administration sets with an anti free flow clamp in
accordance with the instructions of the manufacturer. Under normal conditions, we rec-
ommend to change the IV administration set every 24 hours or after 2.5 liters infused.
Caution! Only use the recommended accessories, consumables and CODAN
IVIP® 708 sets with Luer- Look connections (see appendix). The func-
tional safety of the pump is not guaranteed if non approved IV-sets are
used. The safety of the patient may be endangered. This also applies in
the case the patient line is connected with other infusion systems.
3.2 Installation
The ARGUS 708 V infusion pump can be mounted on a table top, an IV-stand / ceiling
pole (up to diameter 38mm), a standard rail system (optional accessory) and on a pole
on the QUICK®100 Docking Stations. When fixed to an IV stand, the equipment should
not be mounted higher than 1.2 m over the floor so that the stability remains.
To fix the equipment to a rail system, use the optional available ARGUS multi-functional
clamping system.
3.3 Pump set-up
The ARGUS 708 V infusion pump must only be used under the supervision of qualified
clinical or nursing staff. Only use CODAN IVIP® 708 standard IV administration sets in
accordance with the instructions of the manufacturer.
The user has also the responsibility to read and to observe the following instructions.
Caution! The connection of several infusion types (gravity, syringe pumps, peristal-
tic pumps, etc.) together into the same tube can be very dangerous.
The combination is allowed with the ARGUS 708 V if at least an IV-set
eguipped with a back check-valve is used in every line.
This type of connection should only be used if expressively specified in the
operation manual of each device and/or approved by a notified body and
applied under a trained gualified clinical or nursing staff.
a) Connect the power cord to the AC line
b) Open the IV set packaging, slide the roller clamp down the line to be able to place it
between pump and patient, then close roller clamp and connect the IV-set to the
fluid container
c) Fill the drop chamber 1/3 to max. 1/2, open the roller clamp and fill the entire set
(make sure to remove all air bubbles)
d) Close the roller clamp again
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Set-up
e) Slide the drop detector over the drop chamber as shown in picture B and C.
Observe the notch and do not pull on the spring (see picture D).
| Drop detector WRONG !
CODAN-set
B.Braun-set
f)
Open
the
pump
door
by
pulling
up
the
door
handle
Anti free flow clamp
in flow stop position
Anti free flow clamp
in free flow position
g) Insert the anti free flow clamp into the matching red recess, anti free flow clamp in
flow stop position (see pictures above). Place the tube slightly stretched in the tube
guides and push the tube properly into the notches both sides of the pump
h) Close the pump door and open the tube roller clamp
i) Check that there is no "free-flow"
j) Connect the IV set to the patient IV catheter
k) Be sure that the pressure in the tube is zero (= 0 bar)
l) Switch the pump ON
m) Proceed to the flow rate input in accordance with the following chapters
Caution! Please mind the position of the decimal point:
For display values up to 999.9 a" For display values z 1000
Display auto increment: If a numerical key is pressed
for longer than 1 sec, the corres-ponding number is automatically incremented. If key “100” is
pressed for automatic incre-ment, check for correct decimal point position since 1000 values
can be entered this way.
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Set-up
3.4 Delivery operation without a preset volume
This function is only available if drop detector is enabled!
m! total
mi inf.
h. min
ェ ーー Cc - ㅡ
( 10 4 0.1 (/ ^ START
09:00 00:00 0009 | MODE STOP
green stream
ARGUS 708
1. Turn pump ON! 3. Start the infusion!
2. Input the desired infusion
rate (e.g. 200 ml/h)!
3.5 Delivery operation with a preset volume (VTBI)
2. Input the desired infusion
rate (e.g. 200 mi/h)!
1. Turn pump ON!
mltotal
LIGA
h. min
TT CT -
(10 (1 / 며 ^ ES 5. Start the infusion!
A EC
arean ctreai Fi}
ARGUS 708
4. Input the desired infusion 3. Press this key once; indica-
volume (e.g. 300 ml)! tion VTBI "ml total" turns on!
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Set-up
3.6 Input of volume and infusion time with automatic rate calculation
3. Input the desired infusion
volume (e.g. 20 mi)!
mi totai
mi inf.
h. min
2. Press this key once; indiction
VTBI "ml total" turns on!
r—C—
1. Tum pump ОМ! © Go Go Ch e (GE (y
green st ram"
ARGUS 703
5. Input the de-
sired infusion Minutes
time!
6.By pressing this key, the
calculated flowrate will be
displayed!
Please check if the dis-
played infusion rate suits
4. Press this key until
> © indication MM
00:00 08:00 00:08
turns on!
your application before you
start the infusion!
Pressing this key again will
start the infusion!
10h 10min 1 min
3.7 Change the infusion rate without infusion interruption
1. The present running infusion
flowrate is e.g. 20.2 ml/h.
ml total
mi inf.
h. min
AA n
de) 100 10 1 0.1 ÇE (Con
© (100 (10 Co (e. 00 MODE STOP
AkCUS708
2. Input the new infusion
rate (e.g. 42.7 ml/h)!
4. Mute the alarm
3. If the new infusion rate is not
confirmed with the START
key within 2 seconds the dis-
play ml/h starts to flash! The
pump still infuses with the
previous flowrate!
If the new flowrate is not con-
firmed within 15 seconds the
acoustic alarm will be re-
leased and the previous infu-
sion rate will be displayed
again. The pump still infuses
with the previous flowrate!
Confirm old flow rate and
clear the alarm with this key!
with this key!
14.225. A708 en.V4.3X 23.12.2005 / PJ
15

Special functions
4 Special functions
4.1 The electronic pressure sensor
The electronic pressure sensors provide a fast alarm reaction time and a very low occlu-
sion bolus volume. Both patient side (downstream) and container side (upstream) oc-
clusions are recognized.
Caution! Place the CODAN IVIP® 708 set in the pump before the pump is switched on.
The electronic pressure sensor can be used in two different modes:
a) Fixed pressure level
If the pressure in the downstream system exceeds the programmed pressure alarm
level, the infusion will be stopped and an occlusion alarm released. The ARGUS 708 V
will then automatically reduce the pressure in the set; possibly patient blood could
flow back into the tube. Before starting the infusion again, search carefully for the
cause and eliminate the problem.
Caution! If the door has been opened, switch the pump off, close the door and switch
the pump on again while maintaining the “1” key pressed (recall of previous
infusion data).
b) Adjustable pressure level
At any time the staff has the possibility to adjust the pressure alarm level in the menu
"PrL" from 100 to 1000 mbar in 10 steps of 100 mbar (10 - 100 kPa, 75 - 750 mmHg).
If the pressure alarm level is changed while the infusion is running and no key is pressed
during 5 seconds (programmable), both displays change back to the basic position!
After switching the pump off and on again or opening the door, the default programmed
alarm level will be set and the sensor reinitialized.
The full scale of the bar graph pressure display equals the selected patient side pres-
sure alarm level.
The bottle side pressure alarm level is a fixed preprogrammed value. The alarm condi-
tion is shown with a single bar on the right side of the bar graph.
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Special functions
4.2 Programmable options
If one of the following option is to be used, please get in touch with the local distributor
or with ARGUS Medical AG service department.
a) Display of the infusion time
The elapsed infusion time is indicated in hours and minutes.
In the VTBI-mode the remaining time is indicated.
b) SBS (step by step)
If the preset volume is reached and increased afterwards only the difference be-
tween the new and the old value is infused after the pump is restarted.
ο) VTBI (volume to be infused)
The volume to be infused is indicated.
d) Set rate "ml/h" automatically to 0 when the pump is switched on again.
e) The last preset volume "ml" will automatically appear when the pump is switched on
again.
f) Automatic return on default infusion set 1 after power up if set 2, 3 or 4 was used be-
fore power off
g) Neonatology option with inline pressure indication and precision occlusion pressure
limit adjustment (see chapter 4.10)
h) Choice of the occlusion threshold display unit (mbar, mmHg, kPa, cmH20, Psi)
i) No automatic pressure release after occlusion.
j) Air detector, air bubble size programmable (50...1000 pl)
The air bubble size is max.100 ul for rates <10 ml/h
k) Air detector, air volume accumulated over time (e.g. 1 ml over 0,5 h)
I) No acoustic acknowledgement when pump starts to infuse
m) Buzzer volume adjustable
n) Display brightness adjustable
0) KVO options (KVO only at infusion end)
p) Second rate input is required
q) No detection of the upstream occlusion
r) Additional functions:
"SEt""-x-" IV-set selection (see chapter 4.3)
"SEt" "FILL" Fill IV-Set (see chapter 4.4)
"boLu" Bolus application (see chapters 4.5, 4.6 & 4.7)
"CAP" Battery capacity (see chapter 4.8)
"Pri" Pressure limit (see chapter 4.9)
"trA" Transport mode (see chapter 4.11)
"CLr" Clear "ml inf."(volume infused) (see chapter 4.12)
"INF" Display of accumulated "ml inf." since last power up (balance)(4.13)
"dLo" Data-lock (see chapter 4.14)
"Stb" Stand-by (see chapter 4.15)
"MEd" Medication name (see chapter 4.16)
"M" Timer (see chapter 4.17)
14.225. A708 en.V4.3X 23.12.2005 / PJ 17

Special functions
4.3 Selecting or checking an IV set
This function is only available if it was enabled by the technical service.lt allows selecting or
checking one of the configured IV-set number (brand/type).
The infusion line should be already inserted in accordance with chapter 3.3. The CODAN
IVIP® 708 set selection is only available after switching on the pump and if more than one
IV-set is enabled (do not press the "START" key). As soon as the pump was started once,
this function allows only displaying the selected IV set (both in stop and infusion mode).
The last used IV-set will be stored at switching off the pump.
Insert the chosen CODAN IVIP® 708 set in the pump, close the door and turn on the pump
(‘ON/OFF” key).
1. Press this key until the
function "SEt" "- X -" ap-
pears in the display.
mltotal
mi inf.
h. min
。 デー て ーー р -
100 10 (1 0.1
(100 (AS, ον (91, as (ası 3 . Confi rm you r choice
green 5 earm with this key.
ARGUS 708
2. Press this key until the desired set number appears in the
right display! If no key is pressed within 5 seconds (pro-
grammable) the pump changes back to the basic position.
4.4 Fill IV-set
With this function the user can fill an empty IV-set. This function (only accessible after
the pump is switched on) is only available if it was enabled by the technical service.
While the function "SEt" "FILL" is active, important alarm functions are suppressed!
Caution! Do not connect the IV-set to the patient
1. Press this key until the
function "SEt" "FILL"
appears in the displays!
© p mi imi
h. min
CC m -
(a Ez Coto, Cao οι CE. RM
ARGUS 708
2. As long as this key is pressed the pump runs at the maximum speed. The display
"FILL" is flashing. After 60 sec. the delivery will be interrupted. In order to pump more,
you have to press the key again!
If no key is pressed within 5 sec. (progr.) the pump changes back to the basic position.
14.225. A708 en.V4.3X 23.12.2005 / PJ 18

Special functions
4.5 Input of the bolus rate and the bolus volume
This function (accessible in stop- and run-mode) is only available if it was enabled by the
technical service.
1. Press this key until the function “bolu” “Man”
or “bolu” “Auto” appears in the displays!
mi total
mi inf.
h. min
m AT 6 pi
100 {ο 1 01 a c
(100 Ay Co (oa, a L SR
green stream"
ARGUS 708
2.Pressing this key to activate preselection of the bolus rate.
The left hand display shows the last active bolus rate. "boLr"!
Note: The adjustable pressure alarm level will be set to the maximum of 1200 mbar
while the bolus function is active.
Input of bolus rate:
This function (accessible in stop- and run-mode) is only available if it was enabled by the
technical service.
mi total
M
© i AU
—— C— ー
© A 10 1 01 c
E (100 ay ‘Gs (oa, es E STOP
ARGUS 708
3. Use these keys to enter a
new bolus rate!
If no key is pressed during
5 seconds (programmable),
both displays change back
to the basic position!
14.225._A708 en.V4.3X 23.12.2005 / PJ 19

Special functions
Input of bolus volume:
This function (accessible in stop- and run-mode) is only available if it was enabled by the
technical service. To activate the automatic bolus, it is mandatory to input a bolus vol-
ume.
MT
h. min
(E (us
ANCUS708
4. Press this key to activate
the preselection of the bolus
5. Use these keys to enter a volume. The left display
new bolus volume (e.g.10.0)! shows “tot”, the right hand
If no key is pressed during 5 display shows the last active
seconds (programmable), bolus volume!
both displays change back to
the basic position!
4.6 Manual Bolus application
This function (accessible in stop- and run-mode) is only available if it was enabled by the
technical service.
1. Press this key until the
function "bolu" "MAn"
appears in the displays!
ml total
LENA
h min
—c— n
O (ão 10 1 01 (회
(9 (109 (10 Cio (SA, CE, 、 STOP
Piette Ta
ARG JS 708
2.Start the bolus application with
this key. Hold it down until the
desired bolus volume is infused
or the maximum pre selected
volume is reached!
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