baxter 6060 2M9832 User manual

Multi–Therapy
Ambulatory Infusion Pump
Product Code 2M9832
0543

Warning
There are risks associated with using anything other than the recommended sets with this
device. ets designated for use with this device are identified in Chapter 3, “Using Admin-
istration ets.” Baxter’s warranty on this device will be null and void and Baxter will
assume no responsibility for incidents which may occur if the product is not used in accor-
dance with product labeling.
Computer Software Copyrights
©Copyright 2000 Baxter Healthcare Corporation. All rights reserved.
For use only by Baxter Healthcare Corporation. The software contains proprietary informa-
tion belonging to Baxter Healthcare Corporation. The software must not be reproduced or
disclosed to others without prior written approval. Any unauthorized use of this information
may subject the user to substantial liability.
Documentation Copyrights
Duplication or distribution of this manual and any information contained within is strictly
prohibited without the express written permission of Baxter. This manual and any informa-
tion contained within, may not be reproduced, distributed, or transmitted in any form, or by
any means, for any purpose, without the express written permission of Baxter. To order
additional copies of this manual, or other related manuals, contact your local Baxter er-
vice Center.
Disclaimer
The information in this document has been carefully examined and is believed to be
entirely reliable. However, no responsibility is assumed for inaccuracies. Furthermore,
Baxter reserves the right to make changes to any products herein to improve readability,
function, or design. Baxter does not assume any liability arising out of the application or
use of any product or circuit described herein; neither does it cover any license under its
patent rights nor the rights of others.
Trademar Information
Baxter, the Baxter wordmark, 6060 Multi–Therapy Pump, the 6060 logo, AutoClamp, and
Auto–Ramp are trademarks of Baxter International Inc. in the U. . These and other trade-
mark applications pending. Other product names and trademarks appearing in this manual
are the property of their respective owners.
Patent Information
This device is protected under one or more of the following U. . Patents: 5,620,312;
5,628,619; 5,637, 093; 5,683, 367; 5,766,155; 5,791,880; 5,795,327; 5,807,336; Des.
375,848; Des. 380,260 and foreign equivalents. Other U. . and Foreign patents pending.

07-19-12-353 6060™ Multi–Therapy Pump Operator’s Manual i
Change Record
Original Issue: August 2000
Page or Range Revision
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Meaning of the CE Mark ymbol
ii 6060™ Multi–Therapy Pump Operator’s Manual 07-19-12-353
Meaning of the CE Mar Symbol
This symbol represents adherence to Council
Directive 93/42/EEC (14 June 1993) of the European
Communities concerning medical devices.
The electromagnetic compatibility (EMC)
requirements are part of the essential
requirements of the Medical Device Directive.
0543
Device: 6060™ Multi–Therapy Pump
Catalogue
Number:
2M9 32
Manufacturer: Manufactured by an affiliate of:
Baxter Healthcare Corporation
Deerfield, IL 60015 USA
Made in Singapore
Authorized
Representative:
Baxter S.A.
B-7 60 Lessines, Belgium

07-19-12-353 6060™ Multi–Therapy Pump Operator’s Manual iii
Table of Contents
Change Record.................................................................. i
Meaning of the CE Mark Symbol.................................... ii
Table of Contents........................................................... iii
Chapter 1 Introduction..................................................................... 1-1
Overview...................................................................... 1-1
Features........................................................................ 1-2
Safety Summary........................................................... 1-4
General ................................................................. 1-4
Definitions ............................................................ 1-5
Serial Number Format .......................................... 1-6
General Warnings ................................................. 1-6
General Cautions .................................................. 1-
Notes ..................................................................... 1-9
Chapter 2 Pump Description ........................................................... 2-1
Overview...................................................................... 2-1
Front Panel................................................................... 2-1
Rear Panel.................................................................... 2-4
Cassette Chamber ........................................................ 2-6
Administration Set Components.................................. 2-
Chapter 3 Basic Operation............................................................... 3-1
Overview...................................................................... 3-1
Unpacking the Pump.................................................... 3-1
Using Administration Sets........................................... 3-2
Gravity Priming .................................................... 3-2
Loading the Administration Set ............................ 3-3
Using the Pump to Prime ...................................... 3-4
Using the 100 ml Lock Box .................................. 3-5
Using the 250 ml Lock Box .................................. 3-7
General Notes on Programming and Delivery............. 3-
Entering and Changing Infusion Parameters ............... 3-
Entering Infusion Parameters ............................... 3-9
Accepting or Changing Previously
Programmed Parameters ............................... 3-9

Table of Contents
iv 6060™ Multi–Therapy Pump Operator’s Manual 07-19-12-353
Delivery Profile Overview......................................... 3-10
Continuous .......................................................... 3-11
Auto–Ramp® Profile .......................................... 3-11
Intermittent ......................................................... 3-11
25 Periods ........................................................... 3-12
PCA .................................................................... 3-12
Programming an Infusion .......................................... 3-13
Delay Delivery ................................................... 3-15
Ready Screens / Final Confirmation Screens ..... 3-16
Reviewing Profile Parameters ................................... 3-17
Powering the Pump Off ............................................. 3-17
Chapter 4 Programming Infusions ................................................. 4-1
Overview ..................................................................... 4-1
Programming Continuous Profile................................ 4-1
Titration in Continuous Profile ............................. 4-6
Repeating a Continuous Infusion ......................... 4-9
Programming Auto–Ramp® Profile .......................... 4-10
Repeating an Auto–Ramp® Profile Infusion ...... 4-16
Early Down-Ramping During Auto–Ramp®
Profile Delivery ........................................... 4-16
Programming Intermittent Profile ............................. 4-1
Interrupting an Intermittent Infusion .................. 4-24
Audible Alerts When KO Rate is 0.0 ml/hr ....... 4-26
Changing the Fluid Bag to Continue the
Program Cycle ............................................. 4-26
Programming 25 Periods Profile ............................... 4-2
Programming 25 Periods Profile by Rate ........... 4-30
Programming 25 Periods Profile by Time .......... 4-32
Repeating a 25 Periods Program ........................ 4-35

07-19-12-353 6060™ Multi–Therapy Pump Operator’s Manual v
Programming PCA Infusions..................................... 4-36
Begin Programming PCA Profile ....................... 4-36
Choose Method of Limiting Amount of
Medication ................................................... 4-3
Set PCA Profile Titration Limits ........................ 4-42
Program Optional Loading Dose ........................ 4-44
Check Programmed Parameters ......................... 4-44
Select Appropriate PCA Security Level ............. 4-45
Completing PCA Programming ......................... 4-46
Titrating a PCA Infusion .................................... 4-47
Giving a Demand /Remote Bolus ....................... 4-49
Giving a Clinician-Activated Dose .................... 4-50
Reviewing PCA Profile Parameters ................... 4-51
Changing Basal Rate and/or Bolus Parameters
Without Losing PCA Data .......................... 4-57
Changing Preprogrammed Titration Limits or Medi-
cation Volume Limits During an Infusion .. 4-59
Using Configuration Mode to Customize Available
PCA Profile Options .................................... 4-63
Chapter 5 Deli ery Options and Ad anced Functions.................. 5-1
Overview...................................................................... 5-1
Shortcut Delivery of a Programmed Infusion.............. 5-2
Shortcut Delivery in Programmable Mode ........... 5-2
Shortcut Delivery in Lockout Mode ..................... 5-3
Resuming Delivery of an Interrupted Infusion............ 5-4
Resuming an Interrupted Infusion ........................ 5-4
Resetting an Interrupted Infusion to the
Beginning ...................................................... 5-5
Selecting or Programming a Different Infusion ... 5-6
Clearing the Volume Infused Display ......................... 5-
Clearing the Memory................................................... 5-9
Changing Concentration Without Affecting
Programmed Rate ................................................. 5-9
Making the Pump Profile-Specific ............................ 5-10
Setting Volume Accrual ............................................ 5-13
Setting Date and Time ............................................... 5-14
Entering the Patient’s Identification Number ............ 5-15
Programmable Mode / Lockout Mode....................... 5-16
Accessing and Programming Lockout Mode ..... 5-16
Delivering a Programmed Infusion in
Lockout Mode ............................................. 5-1

Table of Contents
vi 6060™ Multi–Therapy Pump Operator’s Manual 07-19-12-353
Switching From Lockout Mode to Programmable
Mode ........................................................... 5-19
Setting Infusion Data Parameters .............................. 5-20
Infusion Data Parameters in Programmable
Mode ........................................................... 5-21
Infusion Data Parameters in Lockout Mode ....... 5-23
Displaying Volume and Time Remaining .......... 5-25
Chapter 6 Troubleshooting .............................................................. 6-1
Alarms ......................................................................... 6-1
Alert Messages ............................................................ 6-6
Chapter 7 Maintenance and Storage............................................... 7-1
Overview ..................................................................... 7-1
Powering the Pump...................................................... 7-1
Using the Internal Batteries .................................. 7-2
Using the Rechargeable External Battery Pack .... 7-5
Using the Battery Eliminator/Charger .................. 7-9
Cleaning..................................................................... 7-10
Recommended Cleaners ..................................... 7-10
Cleaning Procedure ............................................ 7-11
Preventive Maintenance ............................................ 7-12
Storing the Pump ....................................................... 7-12
Chapter 8 Technical Specifications ................................................. 8-1
Dose Limits .......................................................... -3
Accessories ........................................................... -4
Operating Environment ........................................ -5
Storage Environment ............................................ -5
Applicable Standards ............................................ -6
Recommended Practices ....................................... -6
Chapter 9 Summary of Configurable Settings............................... 9-1
Chapter 10 Warranty and Ser ice Information ............................ 10-1
Warranty .................................................................... 10-1
Service Information ................................................... 10-2
Appendix A Spanish-English Display Text Translation.................. A-1
Appendix B Glossary .......................................................................... B-1
Index ...................................................................................Index-1

07-19-12-353 6060™ Multi–Therapy Pump Operator’s Manual 1-1
Chapter 1
1
IntroductionChapt er 1
Overview
This manual provides operating instructions for the
6060™ Multi–Therapy Pump. The following
information is provided in this chapter:
■“Features,” 1-2
■“Safety Summary,” 1-4
The 6060™ Multi–Therapy Pump (referred to in this
manual as “the pump”) provides accurate, safe, and
reliable volumetric delivery and may be used for
subcutaneous, arterial, intravenous, and epidural
delivery routes.
The pump is intended for infusion therapy. Pump
users should be under the supervision of a clinician
and should be instructed in using and troubleshooting
the pump.
! WARNING !
This manual is intended for clinicians only. Do not
permit patients to have access to this manual. Do
not disclose the pump’s security codes to patients.

Features
1-2 6060™ Multi–Therapy Pump Operator’s Manual 07-19-12-353
Features
■Ve r sa t i l e
The pump can be programmed for five
primary delivery profiles:
•Continuous
•Auto–Ramp® Profile
•Intermittent
•25 Periods
•Patient-Controlled Analgesia (PCA)
■Convenient
Small size and weight increase patient
mobility and make pump suitable for many
ambulatory clinical applications.
■Selectable Delivery Rate Units
Delivery rate can be programmed in
milliliters (ml), milligrams (mg), or
micrograms (µg).
■Selectable Air-in-line Detection Sensitivity
Air-in-line detector can be set for 0.1 ml, 0.5
ml, 2.0 ml, or disabled.
■Protection From Inadvertent Infusion
Interruption
Two separate key presses are required to turn
off the pump while it is running.
■Protection Against Accidental Free Flow
The AutoClamp™ device on the
administration set automatically clamps the
tubing to ensure that there is no accidental
free flow when the pump door is opened and
the cassette is removed from the pumping
chamber.

Introduction
07-19-12-353 6060™ Multi–Therapy Pump Operator’s Manual 1-3
1
■Memory
Infusion status is saved if the pump is turned
off before an infusion is completed. When
the pump is restarted, the infusion may be
resumed.
Programmed infusion parameters for each of
the five modes are saved until they are
changed by the operator. Reprogramming the
parameters before each use is not necessary.
■Protection From Unauthorized Use
Selectable lockout levels and passcode
protection help guard against unauthorized
use of the pump.
■Portable
Several options are available for powering
the pump, including standard 9-volt alkaline
batteries.
■Simple YES/NO Programming
To program, you simply agree or disagree
with the pump’s prompts by pressing the
YES or NO keys.
Pressing YES accepts the displayed option or
parameter; pressing NO rejects the displayed
option and causes the pump to clear a value
or to offer an alternative selection.
The pump requires that a parameter be
selected and confirmed at each programming
step before progressing to the next step.
When infusion parameter entry is complete
and within range, the pump displays READY.

afety ummary
1-4 6060™ Multi–Therapy Pump Operator’s Manual 07-19-12-353
Safety Summary
General
Prior to operating this pump, carefully read this
manual to fully understand the pump’s functionality
and to ensure safe and proper operation.
Although the pump has been designed and
manufactured to exacting specifications, it is not
intended to replace trained personnel in the
supervision of infusions.
BEFORE USING THE PUMP WITH THE
OPTIONAL RECHARGEABLE EXTERNAL
BATTERY PACK, CHARGE THE BATTERY
PACK FOR AT LEAST 24 HOURS.
Note: U.S. only: lay users should always have access to a
trained professional when using this pump. In addi-
tion, lay users should read and follow the appropriate
instructions in the Patient User Guides available
through their clinician.
When disposing of this pump or the administration
sets designed for use with the pump, follow local
regulations and guidelines.
In accordance with the International Standard, IEC
60601-1 (19 -12) Medical Electrical Equipment —
Part 1: General Requirements for Safety, the 6060™
Multi–Therapy Pump is classified as:
■Class II, internally powered
■IPX0
■Not suitable for use with flammable
anesthetic mixtures with air, oxygen or
nitrous oxide
■Continuous operation

Introduction
07-19-12-353 6060™ Multi–Therapy Pump Operator’s Manual 1-5
1
Definitions
Warning messages indicate a possible hazard which,
if not avoided, could result in severe personal injury
or death.
Caution messages indicate a problem or unsafe
practice which, if not avoided, could result in minor
or moderate personal injury, product or property
damage.
Note messages provide supplemental information to
the accompanying text.
Table 1-1 provides definitions of symbols used on the
pump’s labeling.
Table 1-1 Labeling symbol definitions
IPX0 Ordinary equipment – enclosed equipment without protec-
tion against water ingress.
Class II Battery Eliminator/Charger: Double-insulated.
Fuse.
Attention, consult accompanying documents.
■Labeling abbreviations:
PCA/COMM.
PORT
Patient-Controlled Analgesia/Communications Port
EXT POWER External Power

afety ummary
1-6 6060™ Multi–Therapy Pump Operator’s Manual 07-19-12-353
Serial Number Format
General Warnings
104362HR
equential
Number
Code for 6060™
Multi–Therapy Pump
Year of Manufacture
(1 = 2001) Month of Manufacture
(April)
Month of manufacture for
pumps made in 2000 is
encoded as follows:
July 2000: 57
August 2000: 58
eptember 2000: 59
October 2000: 60
November 2000: 61
December 2000: 62
! WARNING !
To ensure safe and proper operation, read the manual
and any instructions accompanying disposables or
accessories before operating this device.
! WARNING !
The administration sets should be disposed of in an
appropriate manner, considering the nature of the
residual fluid that may be contained within, in
accordance with institution disposal practices.
! WARNING !
This pump should be used only with Baxter
accessories specified in Table 8-3 on page 8-4. There
are ris s associated with using anything other than
the recommended accessories with this pump.
! WARNING !
DO NOT CONNECT THE ADMINISTRATION SET TO
THE PATIENT WHEN PRIMING.
! WARNING !
Do not use a pump that appears to be damaged or
tampered with, or is not functioning properly. If the
pump has been dropped or appears to be damaged, it
should be ta en out of service and inspected by
qualified service personnel only.
! WARNING !
Never open the pump’s housing. Refer all servicing to
an authorized technician.
! WARNING !
Stop infusion if signs or symptoms of infiltration
occur.

Introduction
07-19-12-353 6060™ Multi–Therapy Pump Operator’s Manual 1-7
1
! WARNING !
Do not operate the pump with the optional Battery
Eliminator/Charger while the patient is immersed in
water. Doing so can present an electrical shoc
hazard that may cause severe injury or death.
! WARNING !
Avoid excessive moisture near the battery door.
! WARNING !
Epidural administration of drugs other than those
indicated for epidural use could result in serious
injury to the patient.
•Epidural administration of anesthetics is
limited to short term infusion (not to exceed
96 hours) with indwelling catheters
specifically indicated for short term anesthetic
epidural drug delivery.
•Epidural administration of analgesics is
limited to use with indwelling catheters
specifically indicated for either short term or
long term analgesic epidural drug delivery.
•To prevent infusion of drugs not indicated for
epidural use, do not use administration sets
incorporating injection sites during epidural
delivery.
•Clearly distinguish pumps used for epidural
drug delivery from pumps used for other
routes of administration.

afety ummary
1-8 6060™ Multi–Therapy Pump Operator’s Manual 07-19-12-353
General Cautions
Caution
In the U. ., use of device is restricted by Federal Law
(U A) to sale or use by, on the order of, or under the
supervision of a physician or other licensed healthcare
professional.
Caution
Use only accessory equipment complying with the device’s
safety requirements; failure to do so may lead to reduced
safety levels of the resulting system. Consideration
relating to accessory choice shall also include:
•use of the accessory in the patient vicinity
•evidence the safety certification of the
accessory has been performed in accordance
with the appropriate UL2601-1 or IEC 60601-1
and/or IEC 601-1-1 harmonized national
standard.
Caution
As with all medical electronic equipment, care must be
exercised to avoid exposing this device to powerful
sources of electromagnetic interference. Using the pump
near operating equipment which radiate high energy radio
frequencies (such as electrosurgical/cauterising
equipment, two-way radios, or cellular telephones) may
cause false alarm conditions. If this happens, reposition
the pump away from the source of interference.
Caution
When infusing through a central line catheter, Baxter
recommends using sets with a luer lock adapter.

Introduction
07-19-12-353 6060™ Multi–Therapy Pump Operator’s Manual 1-9
1
Notes
Note: U. . Law requires tracking of this device. Parties
acquiring this device must:
•Promptly report the receipt of this device to the
manufacturer
•Report the sale of this device to any home
patient
•Maintain patient and physician information for
short-term home patient placements
•Report the device’s purchases, receipt in trade,
return after sale, loss, destruction, or retire-
ment
•If this is an initial purchase from the manufac-
turer, you may return a signed copy of the
packing list to the manufacturer in order to
comply with these requirements. Contact the
Baxter Andover service facility at
1-800-343-0366 for additional information.

07-19-12-353 6060™ Multi–Therapy Pump Operator’s Manual 2-1
Chapter 2
2
Pump DescriptionChapter 2
Overview
This chapter describes the pump’s controls and
indicators. The following information is included:
■“Front Panel,” 2-1
■“Rear Panel,” 2-4
■“Cassette Chamber,” 2-6
■“Administration Set Components,” 2-
Front Panel
Table 2-1 describes and Figure 2-1 shows items on
the front of the pump.
Table 2-1 Front Panel Keys and Indicators
Item Name Description
1Display Two lines of 16 dot matrix characters. Displays
prompts and infusion status.
2Red and green
status indicator
LEDs
• Flashing green indicator signifies that the pump is
operating at the programmed specifications.
• Flashing red indicator signifies an alarm.
• Steady red indicator signifies a malfunction.
3RUN / HOLD
key
Starts, pauses or restarts an infusion. Temporarily
silences an audible alarm.

Front Panel
2-2 6060™ Multi–Therapy Pump Operator’s Manual 07-19-12-353
4YES /
TITRATE key
• During programming, used to answer the pump’s
prompts and accept the data being displayed.
• During a Continuous or PCA infusion, used to
access and program Titration functions.
5• / INFUSION
DATA key
• During programming, used to enter decimal point.
• While pump is running, used to display volume
and time remaining. At YES to PROGRAM, READY
or *HOLD*, used to review or change infusion
parameters.
6PRIME /
BOLUS key
•At READY or confirmation screens, primes the
administration set.
• During PCA infusions, provides administration of
bolus doses.
7Numeric
keypad
Used to enter numeric parameters and access codes.
NO / REVIEW
key
• During programming, used to answer the pump’s
prompts and reject the data being displayed.
• At confirmation or *HOLD* screens, used to
review the programmed infusion parameters.
• During a PCA profile infusion, used to view the
PCA data.
9ON/OFF
PUMP key
Turns pump on or off.
10 Ambient light
detector
Monitors the external light level and adjusts the
display illumination accordingly.
Table 2-1 Front Panel Keys and Indicators — continued
Item Name Description