baxter Flo-Gard 6201 User manual

Operator's Manual
Flo-Gard® 6201
Volumetric Infusion Pump

Table of Contents
Introduction.............................................................................................1
Physical Description...............................................................................3
Operating Instructions .........................................................................10
Precautions ......................................................................................10
Loading the Pump ............................................................................11
Starting a Primary Infusion...............................................................14
Starting a Secondary Infusion ..........................................................17
Using Volume- ime Programming ...................................................18
Changing the Flow Rate While the Pump Is Running ......................20
he OP IONS Key...........................................................................21
Using the Manual Programmed Delivery Profile ..............................21
Using the Ramp Programmed Delivery Profile ................................24
Computer Control.......................................................................29
Computer Monitoring..................................................................30
Locking the Front Panel....................................................................30
Battery Powered Operation..............................................................31
FLOW CHECK Information Display..................................................31
Cleaning and Storage...........................................................................32
lerts and larms ................................................................................33
Technical Specifications......................................................................38
Configurable Options ...........................................................................40
Warranty and Service Information ......................................................45
Warranty...........................................................................................45
Service Information ..........................................................................46

ii Rev. D
Change record
7-19-01-602
Original issue: 4/92
Rev. A: 6/92
Rev. B: 4/93
Rev. C: 11/94
Rev. D: 3/99
Page Revision
ront cover 0
iB
ii D
1B
2–11 0
12 B
13–14 0
15–38 B
39 C
40–46 B
Back cover D
A zero in the “Revision” column indicates original issue.

Introduction
The lo-Gard®6201 Volumetric Infusion Pump from Baxter
can deliver a wide variety of fluids over a broad range of in-
fusion rates. Its features include:
•Uses only standard Baxter solution administration
sets.
•Configurable settings allow the pump to be custom-
tailored to best suit the hospital's needs.
•Computer control capability allows remote control
or monitoring of the lo-Gard®6201 pump via a
standard RS232-C interface.
•Pumps a wide variety of fluids, including blood and
fat emulsions.
•Suitable for use in epidural administration.
•Safety clamp automatically occludes the tubing
when the pump door is opened.
•Occlusion sensors detect both upstream and down-
stream restrictions. Sensitivity of the downstream
occlusion sensor is selectable through the pump's
configuration.
•low check display shows resistance to flow.
•Ultrasonic air-in-line detector. Sensitivity of the air
detector is selectable through the pump's configura-
tion.
•The Programmed Delivery Profile (PDP) enables
manual programming or ramped calculation of up to
10 sequential infusion programs for situations
where multiple flow rates are indicated.
•Slide clamp loading option provides flow shutoff
when I.V. set is removed from the pump.
•Locking control panel helps prevent patient tamper-
ing.
1
Rev.B

•An independent secondary medication program. The
pump automatically switches over to the primary
program upon completion.
•Volume-Time programming automatically calcu-
lates flow rate.
•Automatic self-test routine checks for proper func-
tion before use.
•ive-hour memory retains infusion data after
power-off.
•Easily replaceable fuse, battery, and power cord.
2

Physical Description
All front panel items are shown in igure 1.
Front Panel
ITEM FUNCTION
1. Message display Shows all alarm and alert messages.
2. B CK LIGHT key Backlights the displays when pressed. Pressing the key again
turns the backlight off. If the pump is running on battery
power, the backlight remains on for 60 seconds each time the
B CK LIGHT key is pressed.
3. SILENCE key Temporarily silences an audible alarm or alert for two min-
utes, unless another alarm occurs within the two minute si-
lence period. All messages remain displayed until the cause of
the alarm or alert is alleviated.
4. NEXT legend Lights when the TOT VOL/ST TUS key is functioning as the
NEXT key.
5. TOT VOL/ST TUS
key Displays total volume delivered when pressed. The key is also
used to advance to the next step when programming a delivery
profile. (See NEXT legend, item 4 above.)
6. CLE R TOT VOL
key Resets the total volume delivered to zero when the pump is
stopped.
7. TIME key Enters the time over which an infusion is to take place during
Volume-Time programming.
8. STOP key Stops the pump until further instructions are given. The mes-
sage
STOPPED appears when the key is pressed. An alert will
sound if the pump is stopped for more than two minutes.
Clears all programming alerts while pump is running.
9. Door latch Opens and closes pump door for I.V. set loading and removal.
10. ON-OFF/CH RGE
key Turns pump on and off. The internal battery charger remains
on regardless of the ON-OFF/CH RGE key as long as the
pump is plugged in.
11. Battery icon Lights when the pump is operating on battery power.
12. Plug icon Always lit when pump is plugged in and battery is charging.
3

4
PUMPING LERT
TIME
B CK
LIGHT
SILENCE
TOT VOL
ST TUS
CLE R
TOT VOL
PRI
ST RT
789
456
123
0
.
CLR
L RM
PRI
VTBI
PRI
R TE
ON
OFF
CH RGE
S OP
SEC
R TE SEC VTBI SEC
ST RT
OPTIONS
NEXT
COMPUTER
CONTROL MONITOR
P
U
S
H
VOLUMETRIC INFUSION PUMP
Flo-Gard® 6201
1234
56
7
8
9
10
11
12
13
1415
16
17
18
19
20
21
22
23
24
25
26
27
Figure 1. Front View

Front Panel
ITEM FUNCTION
13.
MONITOR legend Lights when the pump is being monitored by a computer.
14.
COMPUTER CON-
TROL
legend Lights when the pump is being controlled by a computer.
15. SEC ST RT key Starts the delivery of the secondary solution.
16. SEC VTBI key Allows programming of the secondary VTBI.
17. OPTIONS key Allows a computer to control the pump and permits use of the
Programmed Delivery Profile (PDP). If Computer Control
and/or PDP are available, the OPTIONS key is lit.
18. SEC R TE key Allows programming of the secondary infusion rate.
19. CLR key Clears any programming values currently being entered.
20. Numerical keypad Programming values and decimal point are entered with these
keys.
21. PRI VTBI key Allows programming of the primary VTBI.
22. PRI R TE key Allows programming of the primary infusion rate.
23. PRI ST RT key Starts the primary infusion.
24. Main display Shows rate, volume to be infused (VTBI) and total volume in-
fused for primary and secondary infusion programs. The deci-
mal point is displayed as an underscore (example: 99_9).
25.
L RM LED Red LED that blinks during an alarm, accompanied by a mes-
sage display and a repeated sequence of three tones. An alarm
indicates that the pump requires immediate attention.
26.
PUMPING LED Green LED which is constantly lit during pumping.
27.
LERT LED Yellow LED illuminates during alert conditions, accompanied
by a message display and a repeated single tone. An alert indi-
cates that the pump needs timely attention.
5

The pump head features are shown in igure 2.
Pump Head Features
ITEM FUNCTION
1. Upstream occlusion sensor Detects a complete tubing restriction up-
stream of the pump.
2. Pumping fingers The linear peristaltic pump mechanism con-
sists of cam-driven pumping fingers which
successively manipulate the tubing against
the backplate, resulting in fluid movement in
a downward direction.
3. Downstream occlusion
sensor Detects tubing restrictions downstream of the
pump. The sensitivity level can be adjusted to
suit the needs of the hospital through the
pump's configuration.
4. ir sensor Detects air bubbles in the tubing. The sensi-
tivity is adjustable via the pump's configura-
tion.
5. Safety clamp Prevents accidental fluid flow by automati-
cally occluding the tubing whenever the pump
door is opened.
6. Slide clamp slot When the slide clamp loading option is en-
abled, the I.V. set's slide clamp must be in-
serted into this slot. The operator must push
the slide clamp into the slot to occlude the
tubing before the I.V. set can be removed from
the pump. The slide clamp loading option is
selectable through the configuration.
7. Slide clamp spring retainer If your hospital has not selected the slide
clamp loading option, this spring retainer will
be inserted into the slide clamp slot, prevent-
ing the insertion of the slide clamp into the
slot.
6

7
Figure 2. Pump Head Features
1
2
3
4
5
6
7

The following items are located on the rear of the pump and
are shown in igure 3.
Rear Panel Features
ITEM FUNCTION
1. I.V. pole clamp Secures the pump to the I.V. pole.
2. Power cord strap Stores the power cord.
3. udio speakers or generation of alarm and alert tones.
4. Battery compartment Allows access to the battery by authorized
service personnel only.
5. VOLUME knob Adjusts volume of alert and alarm tones. The
alarm and alert tones cannot be turned com-
pletely off.
6. P NEL LOCK switch Disables all front panel keys except B CK
LIGHT and TOT VOL/ST TUS when pressed.
7. Power cord Supplies AC power to the pump when plugged
into hospital-grade earth-grounded outlet. Re-
movable by authorized service personnel only.
8. Fuse use compartment is located behind power
cord retention strain relief plate.
9. COMMUNIC TIONS PORT Standard RS-232C port that allows the pump
to communicate with a computer.
8

9
P NEL LOCK
VOLUME
COMMUNIC TIONS
PORT
1
2
(PUSH)
3
4
5
6
7
8
9
Figure 3. Rear of Pump

Operating Instructions
Precautions
General
•DANGER—Poss ble explos on hazard f used
n the presence of flammable anesthet cs.
•Operate pump from 115 V, 60 Hz, hospital-grade
earth-grounded outlet only.
•Though the factory-supplied configuration settings
are suitable for most therapies, the operator and
hospital professionals should verify that the pump's
settings are appropriate for their clinical applica-
tions.
•Use only with standard Baxter soft tubing admini-
stration sets with an “s” designation.
•Read and understand this manual before using the
lo-Gard®6201 pump.
•When infusing fluid through a central line catheter,
Baxter recommends that sets with a Luer lock
adapter be used.
•If using a filter set, use only filters which are suit-
able for use with infusion pumps. Read and follow
instructions of the filter to be used.
•To use the automatic piggyback function, use only
Continu- lo®sets from Baxter as the primary line
with a compatible secondary set for the secondary
line.
10

Epidural dministration
•Epidural administration of anesthetics is limited to
short-term infusion (not to exceed 96 hours) with in-
dwelling 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 that are not indicated
for epidural use, do not use administration sets that
incorporate injection sites during epidural delivery.
•It is strongly recommended that pumps used for
epidural drug delivery be clearly differentiated from
pumps used for other routes of administration.
•WARNING—Ep dural adm n strat on of drugs
other than those nd cated for ep dural use
could result n ser ous njury to the pat ent.
Loading the Pump
1. Plug the pump in. Plug power cord into a 115 V, 60Hz
grounded outlet, unless temporary bat-
tery power is required. The plug icon
lights whenever the pump is plugged in.
When the pump is not plugged in and is
battery-powered, the battery icon will
light.
2. Prepare solution. Prepare fluid container and administra-
tion set according to the directions ac-
companying the products. Prime the set.
Ensure all air is expelled from the set.
11

3. Close set regulating
clamp.
4. Open pump door. Raise pump door latch to horizontal po-
sition and pull door open.
5. Load the set. a. Press S FETY CL MP to open position.
b. If your hosp tal has enabled the
sl de clamp load ng feature, in-
sert the slide clamp on the I.V. set
fully into the slot, so that it is flush
with the pump housing. (See igure
4.) If the slide clamp loading feature
is not enabled, a black spring re-
tainer occupies the slide clamp slot
and the slide clamp cannot be in-
serted. Proceed to step c.
Note: During an emergency, in the alert mode, the pump
will operate without inserting the slide clamp. An
alert tone will sound until the slide clamp is inserted
or the
SILENCE key is pressed. In the
alarm mode (software versions later
than 1.08), the pump will OT start
and an alarm tone will sound if the
slide clamp is not loaded.)
c. Load the tubing through the guide
channel from bottom to top as shown
in igure 4.
d. Ensure that the tubing is loaded
straight through the pump mecha-
nism tubing guides and safety
clamp.
e. Ensure that the tubing is touching
the pumping fingers before closing
the pump door.
12 Rev.B
Figure 4. I.V. Set Loading
Slide clamp
in slot

6. Close pump door. If resistance is felt when closing the
door, check for misloaded I.V. set.
7. Open set regulating
clamp completely.
a. Verify that no drops are falling in
drip chamber. If flow is observed,
close regulating clamp, recheck I.V.
set loading and verify that the
proper administration set is being
used.
b. If flow is again observed, do not use
the pump. Have it inspected by serv-
ice personnel.
Note: Always close the administration set regulating
clamp(s) before opening pump door and removing set.
8. Attach set to I.V. access
site.
9. Turn pump on by press-
ing the ON/OFF CH RGE
key. Verify that the
pump performs the fol-
lowing self-test:
a. All segments of both displays appear
momentarily.
b. Three separate audible tones sound.
c. If a Hospital Area Designator (HAD)
has been programmed into the
pump, it appears for 3 seconds.
d. The occlusion detection level is mo-
mentarily displayed in the message
display (
LEVEL 1, 2, or 3 ), followed
by
UDIBLE SWITCHOVER if the
Audible Switchover option is en-
abled.
e. If Auto Restart and low Check are
both enabled, the message
UTO
REST RT
appears for one second
following the occlusion detection
level display.
13

f. If the pump is plugged into an AC
outlet, the plug icon is lit. If the
pump is running on battery power,
the battery icon is lit.
g. If the message
INSERT SLIDE
CL MP
appears when you close the
door, the slide clamp loading option
is enabled. Close the I.V. set's regu-
lating clamp, open the door, and
insert the I.V. set's slide clamp fully
into the slide clamp slot located be-
low the safety clamp. Close the door
and open the regulating clamp.
10. Set VOLUME knob on the
rear of the pump to the
desired level.
Starting a Primary Infusion
1. Set primary flow rate as
follows:
a. Press PRI R TE.
b. Program desired flow rate (in
mL/hr) on keyboard. Zero cannot be
entered as the first digit.
c. A selected flow rate higher than the
allowable maximum results in the
message
Hi appearing in the PRI
RATE display. To correct a mistake,
press CLR or PRI R TE again and re-
enter correct rate. The flow rate is
displayed in the main display.
2. Set primary volume to
be infused.
a. Press PRI VTBI.
14

b. Program desired VTBI (in mL) on
keyboard. Set VTBI equal to the
amount of fluid in the container or
less if desired.
c. To correct a mistake, press CLR or
PRI VTBI again and re-enter the cor-
rect VTBI. The VTBI is displayed in
the main display.
3. If necessary, reset the
volume previously in-
fused to zero.
Press the CLE R TOT VOL key.
Note: Always verify programmed information prior to start-
ing the pump.
4. Start the pump. a. Press PRI ST RT. The green
PUMP-
ING
LED lights and a moving bar
appears next to the flow rate setting.
b. If the alarm (software versions later
than 1.08) or the alert tone sounds
with the message
INSERT SLIDE
CL MP
when you press PRI ST RT,
the slide clamp loading option is en-
abled and the slide clamp has not
been loaded into the slide clamp slot.
Close the I.V. set's regulating clamp,
open the door, and insert the I.V.
set's slide clamp fully into the slide
clamp slot located below the safety
clamp. Close the door and open the
regulating clamp.
c. Confirm flow by checking for drops
in the I.V. set drip chamber.
5. To stop an infusion bef-
ore it is complete:
a. Press the STOP key.
15
Rev.B

b. The PUMPING LED goes out and
STOPPED appears in the message
display.
c. If the pump is not restarted within
two minutes, an audible alert
sounds.
6. To restart an infusion,
press the PRI ST RT key.
7. When the infusion com-
pletes:
When the pump has delivered the se-
lected volume, it sounds an alert tone
and switches to a KVO (Keep Vein
Open) rate of 5 mL/hr or the current
rate setting, whichever is lower.
8. Remove set from pump
as follows:
a. Press the STOP key.
b. Close administration set regulating
clamp.
c. Open pump door.
d. If the slide clamp loading option is
enabled, press the slide clamp fully
into its slot.
e. Press the S FETY CL MP to the open
position.
f. Check that no fluid is flowing in set,
then remove set from pump.
g. To turn the pump off, press the ON-
OFF/CH RGE key.
16 Rev.B