baxter Ipump User manual

Operator's Manual
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Ipump Pain Management System
Operator’s Manual Appendix A
Product Code: 2L3107
2L3107K
Software Versions: 2.03.00
Note: Before operating this pump, the user should carefully read this manual to fully understand
how the pump functions and to ensure its safe and proper operation.
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Notice
There are risks associated with using anything other than the recommended sets with this device. Sets designated for use
with this device are listed in “Accessories, Disposables, and Recommended Sets,” 8-1. Baxter’s warranty on this device
will be null and void, and Baxter will assume no responsibility for incidents that may occur if the product is not used in
accordance with product labeling.
Computer Software Copyrights
© Copyright 1999–2006, Baxter Healthcare Corporation. All rights reserved.
For use only by Baxter Healthcare Corporation. The software contains proprietary information 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 information 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.
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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 without notice 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.
Trademark Information
Baxter, the Baxter wordmark, Ipump, Viaflex, and IntraVia are trademarks of Baxter International Inc.
TOR and Hi-TOR are trademarks of Huntington Professional Products. LpH and Septisol are trademarks of
STERIS Corporation. Super-Edisonite is a trademark of Colgate-Palmolive Co. Other product names appearing
in this manual are the property of their respective owners.
Year 2000 Compliance
This product has been designed for Year 2000 compliance. Roll over between all significant time demarcations (for
example, days, months, years, centuries), special dates, and leap years, will be performed correctly. Neither the
performance nor the functionality is affected by dates prior to, during and after the year 2000 up to the year 2098.
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Warranty
Baxter warrants that the equipment shall be free from defects in materials and workmanship when delivered
to the original purchaser. Baxter’s sole obligation shall be to repair or replace the product (excluding
batteries), at Baxter’s option and expense, for a period of one year following the date of initial delivery.
This warranty extends only to the original purchaser, is not assignable or transferable, and shall not apply to
auxiliary equipment or disposable accessories. There are risks associated with using anything other than the
recommended Baxter sets designated for use with the Ipump Pain Management System. Baxter’s warranty
to repair or replace the product will be null and void if this product is used contrary to the directions for use
contained in the labeling. Baxter will assume no responsibility for incidents that may occur if the product is
not used in accordance with product labeling.
THERE ARE NO OTHER WARRANTIES INCLUDING ANY IMPLIED WARRANTY AND ANY
WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE WHICH
EXTEND BEYOND THE DESCRIPTION OF THE PRODUCT AND THOSE EXPRESSLY SET FORTH
IN ITS LABELING. In no event shall Baxter be responsible for incidental, consequential, or exemplary
damages. Modification, alteration, recalibration, or abuse, and service by other than a Baxter authorized
representative may void the warranty.
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Meaning of the CE Mark Symbol
This symbol represents adherence to Medical Device Directive (MDD) 93/42/EEC.
The electromagnetic compatibility (EMC) requirements are part of the essential requirements of
the MDD.
Device: Ipump Pain Management System
Catalog Number: xxxxx 2L3107K
Manufacturer: Manufactured by an affiliate of:
Baxter Healthcare Corporation
Deerfield, IL 60015 USA
Made in Singapore
Authorized Baxter S.A.
representative: B-7860 Lessines, Belgium
0123
REF
EC REP
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Contents Meaning of the CE Mark Symbol..................................................................... v
Chapter 1. Product Overview ....................................................................... 1-1
Key Features ............................................................................................... 1-1
Programming Options ................................................................................. 1-2
Record Management ................................................................................... 1-2
Security ........................................................................................................ 1-3
Organization of This Manual....................................................................... 1-3
Safety Summary............................................................................................ 1-5
General Information........................................................................ 1-5
Serial Number Format .................................................................... 1-6
Label Symbol Definitions................................................................ 1-7
Definitions....................................................................................... 1-9
Warnings ......................................................................................... 1-9
Cautions ........................................................................................ 1-13
Notes ............................................................................................. 1-15
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Chapter 2. Ipump Pain Management System Description
Ipump Pain Management System Package Contents .................................. 2-2
Pump Components ....................................................................................... 2-4
Pump Key Pad ............................................................................................. 2-5
Action Keys .................................................................................................. 2-6
Pump Symbols ............................................................................................. 2-9
LCD Symbols.............................................................................................. 2-10
Chapter 3. Setting Up the Pump
Installing and Changing the Battery ........................................................... 3-2
Install the 9-volt Alkaline Battery .................................................. 3-2
Change the Battery ......................................................................... 3-4
Connecting the AC Adapter.......................................................................... 3-5
Connecting the PCA Cord............................................................................ 3-7
Unlocking and Opening the Cover ............................................................ 3-10
Removing or Changing the Cover.............................................................. 3-10
Preparing, Loading, and Changing the Tubing Set and Fluid Bag .......... 3-13
Loading the Tubing Set ................................................................ 3-14
Filling and Loading the Fluid Bag................................................ 3-16
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Changing the Tubing Set and/or Fluid Bag.................................. 3-20
Attaching or Removing the Pump From a Pole (Optional) ...................... 3-21
Attach the Pump to a Pole............................................................. 3-21
Remove the Pump from the Pole................................................... 3-23
Chapter 4. Configurable Options
Chapter 5. Using the Pump
Preliminary Information .............................................................................. 5-2
Select Settings and Enter Values .................................................... 5-2
Turn on the Back Light ................................................................... 5-3
Retain Programming Data ............................................................. 5-3
Display the Power Status ................................................................ 5-3
Basic Pump Procedures .............................................................................. 5-4
Turn On the Pump........................................................................... 5-5
Turn Off the Pump .......................................................................... 5-6
Select the Language ....................................................................... 5-7
Accept or Modify Date and Time Settings....................................... 5-8
Unlock and Lock the Cover........................................................... 5-10
Enter the Security Code................................................................. 5-11
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Use the Initial Prescription ......................................................... 5-12
Select the Mode and Units ............................................................ 5-13
Set the Concentration.................................................................... 5-14
Set the Fluid Volume in the Bag ................................................... 5-15
Prime the Tubing Set..................................................................... 5-16
Upstream Occlusion Testing...................................................................... 5-18
Programming the Prescription .................................................................. 5-19
Programming the PCA Dose......................................................... 5-20
Setting the PCA Delay Period....................................................... 5-21
Programming the Basal Rate........................................................ 5-22
Setting the Dose Limit ................................................................... 5-23
Programming the Continuous Rate .............................................. 5-25
Programming the Bolus Dose....................................................... 5-26
Programming a Supplemental (Clinician) Bolus ......................... 5-28
Starting, Stopping, Restarting the Infusion................................................ 5-31
Starting the Infusion...................................................................... 5-31
Stopping the Infusion..................................................................... 5-32
(Sleep Mode Option) ..................................................................... 5-32
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Restarting the Infusion ................................................................. 5-33
Changing the Prescription During Infusion............................................... 5-35
Reviewing the Therapy History ................................................................. 5-37
Review the Prescription ................................................................ 5-37
Navigating Through Patient History............................................. 5-39
View a Patient’s History .............................................................. 5-40
History Not Available Message..................................................... 5-49
Optional History Printout ............................................................. 5-49
Chapter 6. Alerts and Alarms
Alerts ............................................................................................................ 6-1
Alarms ........................................................................................................ 6-10
Chapter 7. Preventive Maintenance
Authorized Service Centers.......................................................................... 7-1
Cleaning the Pump ...................................................................................... 7-1
Cleaning the Carrying Case......................................................................... 7-1
Preventive Maintenance Checklist .............................................................. 7-4
Transporting and Storing the Pump............................................................. 7-5
Repair and Troubleshooting......................................................................... 7-6
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Chapter 8. Accessories, Disposables, and Recommended Sets
Chapter 9. Technical Specifications
Technical Specifications............................................................................... 9-1
Recommended Practices .............................................................................. 9-5
Flow Rate Accuracy of the System............................................................... 9-5
Startup Graph Description........................................................................... 9-6
How Trumpet Graphs are Interpreted ......................................................... 9-7
How Trumpet Graphs are Created............................................................... 9-8
How Trumpet Graphs Can be Used............................................................. 9-9
Startup and Trumpet Graphs at 0.1 mL/hr................................................. 9-10
Startup and Trumpet Graphs at 3.0 mL/hr................................................. 9-11
List of Materials......................................................................................... 9-12
Chapter 10. Electromagnetic Compatibility Statement
Glossary
Index
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Chapter 1. Product Overview
The Ipump Pain Management System (hereafter referred to as the “pump”) is indicated for the controlled
delivery (continuous, intermittent, and continuous plus intermittent) of analgesic, sedative, and anesthetic
solutions through clinically acceptable routes of administration including intravenous, subcutaneous, and
epidural, and for regional (local) analgesia applications.
This lightweight, compact pump can be battery operated for portability or connected to an AC power source
for stationary use. A specially designed optional locking pole-mounting clamp allows the pump to be
attached to a standard IV pole. With the pole clamp removed, the pump can be placed into a comfortable
carrying case.
Key Features
The pump’s key features include:
QAir sensor
QPreventive maintenance alert
QMultilanguage interface
QDetailed history display and printout capability
QAbility to transfer configuration data via a
serial port to another pump
QUpstream and downstream occlusion detectors
QProgrammable limits for Patient Controlled
Analgesia (PCA) doses
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Programming Options
The pump can be programmed to provide:
QPCA, Basal and PCA (Basal+PCA), or Continuous infusions
QInfusion rates in mL, mg, and μg
QPhysician-prescribed values for the desired therapy
QClinician- or institution-selected operating limits
When the pump is programmed for PCA, the patient has the option of self-administering analgesic
medications on an as-needed basis. The Basal+PCA programming option combines this patient-controlled
method with a minimum continuous dose.
Record Management
The pump tracks the programming, time, and history of each infusion. All of this data is retained in the
memory of the pump’s microprocessor when the pump is off.
The pump is equipped with a real-time clock that provides the correct date and time for record management.
The date and time are displayed on the screen and included on any printouts generated by using the optional
printer.
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Security
For patient security, the pump may be configured to require the:
QInsertion of a key in the cover lock (KEY ONLY)
QEntry of a security code before programming or changing the prescription (CODE ONLY)
QBoth key insertion and code entry (KEY+CODE) – the factory default configuration
Note: If the pump is configured to require only the entry of a security code, the cover that holds the IV bag is optional.
Note: Use of security features, such as KEY+CODE, should be governed by individual care site policies and regulations regard-
ing the use of controlled substances.
Organization of This Manual
This manual is designed for use by trained health care professionals.
! 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.
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The chapters of this manual provide the following information:
QChapter 2 – Ipump Pain Management System Description – covers what is included in the shipping
package and the components of the pump.
QChapter 3 – Setting Up the Pump – describes how to install the pump battery, load and prepare the
tubing set, mount the pump on a pole, set up connections, and remove the cover.
QChapter 4 – Configurable Options – lists the factory-set options and how to reset these values.
QChapter 5 – Using the Pump – contains step-by-step instructions for setting up prescriptions, starting
and stopping infusions, and accessing and reviewing a patient’s prescription history.
QChapter 6 – Alerts and Alarms – provides an alphanumeric list of the alert and alarm messages that
may occur and how to resolve them.
QChapter 7 – Preventive Maintenance – contains references on conducting functional checks and
storage procedures and authorized service center contacts.
QChapter 8 – Accessories, Disposables, and Recommended Sets – contains a list of accessories,
including bags and sets, that can be used with the pump.
QChapter 9 – Technical Specifications – contains a list of the pump’s physical and operational specifications.
QChapter 10 – Electromagnetic Compatibility Statement – identifies the EMC standards to which the
pump was subjected, the test levels and levels met, and general EMC guidance.
QA Glossary and an Index are included to assist in using the pump and this manual.
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Safety Summary
General Information
Although the pump has been designed and manufactured to exacting specifications, it is not intended to
replace trained personnel in the supervision of pain management infusions.
This product is classified by Underwriters Laboratories Inc. with respect to electric shock, fire, and
mechanical hazards only in accordance with UL 2601-1 (UL 60601-1), Second edition, and CAN/CSA C22.2
No. 601.1. In accordance with these documents, and in accordance with international standard IEC 60601-1
(1988-12) Medical Electrical Equipment — Part 1: General Requirements for Safety, the pump is classified
as:
QClass II, internally powered
QType CF
QDrip-proof (IPX1)
QNot suitable for use with flammable anesthetic mixtures with air, oxygen, or nitrous oxide
QContinuous operation
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Before operating this pump, the user should carefully read this manual to understand fully how the pump
functions and to ensure its safe and proper operation. This manual has been developed with consideration of
the requirements in the Collateral Standard IEC 60601-2-24, First Edition 1998-02, Medical Electrical
Equipment, Part 2-24: Particular Requirements for the Safety of Infusion Pumps and Controllers.
When disposing of this device or the sets designed for use with the device, follow local regulations and
guidelines.
Serial Number Format
10090343AL
Sequential
Number
Product Identifier
Year of Manufacture
(11 = 2001, 9 = 1999)
Month of
Manufacture
SN
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