BD Alaris CCneXus1 Manual

BD Alaris™neXus CC Syringe Pump
Model: CCneXus1
en Directions For Use

BDDF00281 Issue 4 1/64
BD Alaris™ neXus CC Syringe Pumps
Contents
About This Manual ......................................................................5
Conventions Used in this Manual ...................................................................5
Overview ...............................................................................6
Introduction....................................................................................... 6
Intended Purpose ..............................................................................6
Intended Users .................................................................................6
Clinical Benefits ................................................................................7
Conditions for Use .............................................................................. 7
Indications.....................................................................................7
Contraindications .............................................................................. 7
Undesirable Side-Eects ........................................................................ 7
Compatibility...................................................................................7
Features of the Pump ..............................................................................8
Controls........................................................................................ 9
Indicators...................................................................................... 9
Main Display Features .........................................................................10
Screen Icons ..................................................................................10
Labelling Symbols .............................................................................11
Getting Started ........................................................................12
Initial Set-up .....................................................................................12
Language Selection ...............................................................................12
Power Input ......................................................................................12
Wi-Fi Configuration ...............................................................................12
Pole Clamp Installation ...........................................................................13
Workstation or Equipment Rail Installation .........................................................14
Securing the Syringe with Optional Lock box........................................................15
Operating Precautions ............................................................................17
Operation .............................................................................20
Syringe Loading ..................................................................................20
Prepare Syringe and Administration Set.........................................................20

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BD Alaris™ neXus CC Syringe Pumps
Operating the Pump ..............................................................................23
Advanced Features .....................................................................26
Bolus Infusion ....................................................................................26
Purge ............................................................................................27
Volume To Be Infused (VTBI) ......................................................................27
Clear Volume .....................................................................................27
Rate Lock. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Rate Titration.....................................................................................28
Dosing Summary .................................................................................28
Set VTBI over Time ...............................................................................29
24 Hour Log ......................................................................................29
Event Log ........................................................................................29
Data Set Details ..................................................................................29
Infusion Setup....................................................................................29
Pump Details .....................................................................................30
Add Drug.........................................................................................30
Adjust Alarm Volume..............................................................................30
Profile Filter.......................................................................................30
Standby ..........................................................................................31
Date and Time....................................................................................31
Network Status ...................................................................................31
Wireless Connection ..............................................................................31
In Line Pressure Monitoring Features ...............................................................32
Auto Set Pressure (If enabled) ..................................................................32
Pressure Level with Pressure Disc fitted ..........................................................32
Alarms and Warnings...................................................................33
Original Alarms ...................................................................................33
Alarm Priority Level Indicators..................................................................35
Third Edition Alarms ..............................................................................36
Alarm Priority Level Indicators..................................................................37
Prompts ..........................................................................................38
Configuration ..........................................................................39
Configured Options ...............................................................................39
Alarm Presets .................................................................................39
Additional Configured Options Available ........................................................39

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BD Alaris™ neXus CC Syringe Pumps
BD Alaris™ neXus Editor Software Profile Configuration ..............................................40
Dose Rate Units ..................................................................................42
BD Alaris™ neXus Editor Software Profile Drug library................................................43
Profile Syringe Library .............................................................................43
Associated Products ....................................................................44
Recognised Syringes ..............................................................................44
Alaris™ Gateway Workstation v1.3.x or v1.6.x .......................................................46
BD Alaris™ MRI Capsule v1.3.x .....................................................................46
Compatible Extension Sets ........................................................................47
Standard Sets .................................................................................47
Blood Sets ....................................................................................47
TPN Sets ......................................................................................47
Low Sorbing Sets ..............................................................................48
Light Protected Sets ...........................................................................48
NICU Sets.....................................................................................48
Maintenance ..........................................................................49
Routine Maintenance Procedures ..................................................................49
Battery Operation ................................................................................49
Cleaning and Storage .............................................................................50
Disposal..........................................................................................51
Technical Data .........................................................................52
Specifications.....................................................................................52
Infusion Specifications.........................................................................52
Bolus Specifications............................................................................52
Bolus Volume Accuracy*........................................................................52
Critical Volume ................................................................................53
Purge Specifications ...........................................................................53
Keep Vein Open (KVO) Rate ....................................................................53
End Of Syringe Rate ...........................................................................53
Volume To Be Infused (VTBI)...................................................................53
VTBI Complete Rate ...........................................................................53
Near End Of Infusion Alarm ....................................................................53
End Of Infusion (EOI) Alarm....................................................................53
Maximum Pumping Pressure Limit ..............................................................53
Occlusion Accuracy ............................................................................53
System Accuracy ..............................................................................54
Data Set Specification .........................................................................54
Electrical Classification.........................................................................54
Battery Specifications..........................................................................54

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BD Alaris™ neXus CC Syringe Pumps
Wi-Fi Specifications ............................................................................54
Radio Equipment Directive Declaration of Conformity Statement .................................54
Memory Retention.............................................................................54
Fuse Type .....................................................................................54
AC Power Supply...............................................................................55
Dimensions ...................................................................................55
Weight........................................................................................55
Protection against fluid ingress .................................................................55
Alarm Conditions ..............................................................................55
Environmental Specifications ...................................................................55
Electrical/Mechanical Safety ...................................................................55
Potential Equalisation Conductor ...............................................................55
EMC ..........................................................................................55
In Line Pressure Monitoring Occlusion Pressure Limits ...............................................56
IrDA, RS232 and Nurse call Specification ...........................................................58
Trumpet Curves and Start-up Curves ...............................................................60
Products and Spare Parts ...............................................................62
Spare Parts and Accessories .......................................................................62
Software .........................................................................................62
Contact Us ............................................................................63
Customer Service Information .....................................................................63
Document History......................................................................64

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BD Alaris™ neXus CC Syringe Pumps
About This Manual
About This Manual
The user must be thoroughly familiar with the BD Alaris™ neXus CC Syringe Pump (hereinafter referred to as Pump)
described in this manual prior to use.
All illustrations used in this manual show typical settings and values which may be used in setting up the functions of the
Pump. These settings and values are for illustrative use only. The complete range of settings and values are detailed in the
specifications section.
• Keep this manual for future reference during the Pump’s operational life.
• It is important to ensure that you only refer to the most recent version of the Directions For Use
and Technical Service Manual for your BD products. These documents are referenced on bd.com.
Paper copies of the Directions For Use can be obtained free of charge by contacting your local BD
representative. An estimated delivery time will be provided when the order is placed.
This document contains proprietary information of Becton, Dickinson and Company or one of its aliates, and its receipt
or possession does not convey any rights to reproduce its contents, or to manufacture or sell any product described.
Reproduction, disclosure, or use other than for the intended purpose without specific written authorization of Becton,
Dickinson and Company or one of its aliates is strictly forbidden.
Conventions Used in this Manual
Bold Used for Display names, software commands, controls and indicators referenced in this manual, for
example, Battery Indicator, PURGE, ON/OFF button.
‘Single quotes’ Used to indicate cross-references made to another section of this manual. For example, see
‘Recognised Syringes’ section.
Italics Used to refer to other documents or manuals. For example, Refer to the relevant Directions For Use
(DFU) for further information.
Also used to define custom terminology specific to a manual e.g. The BD Alaris™ neXus CC Syringe
Pump (hereinafter referred to as Pump).
Warning symbol. A warning is a statement that alerts the user to the possibility of injury, death, or
other serious adverse reactions associated with the use or misuse of a Pump.
Caution symbol. A caution is a statement that alerts the user to the possibility of a problem with
a Pump associated with its use or misuse. Such problems may include Pump malfunction, Pump
failure, damage to a Pump or damage to other property. The caution statement includes the
precaution(s) that should be taken to avoid the hazard.
Note: Notes contain supplementary information or emphasize a point or procedure.

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BD Alaris™ neXus CC Syringe Pumps
Overview
Overview
Introduction
These Directions For Use can be used with the BD Alaris™ neXus CC Syringe Pump (Model: CCneXus1).
The BD Alaris™ neXus CC Syringe Pump is a small lightweight Pump that provides accurate and reliable infusions over a
range of rates.
If the model number is CCneXus1-S, then refer to the relevant Directions For Use for those Pumps.
Note: Any serious incident that occurs in relation to this Pump should be reported to the manufacturer, and to the
relevant local regulatory authority.
The BD Alaris™ neXus CC Syringe Pump functions with a wide range of standard, single-use, disposable Luer lock syringes
together with extension sets. The Pump accepts syringe sizes from 5ml to 50ml. A full list of recognised syringes can
be found in the ‘Recognised Syringes’ section. A list of recommended extension sets can be found in the ‘Compatible
Extension Sets’ section.
The BD Alaris™ neXus CC Syringe Pump can be programmed to deliver fluids utilising rate, volume over time, dose
rate calculation, and pre-programmed drug dosing protocols containing concentration values, and Guardrails™ dosing
safetylimits.
The BD Alaris™ neXus Editor software is a medical device accessory which allows the hospital to develop a best-practice
data set of IV medication dosing guidelines for patient-specific care areas referred to as profiles. Each profile contains a
specific library of drugs, as well as an appropriate Pump configuration.
A profile also contains Guardrails™ Soft and Hard Limits, based on clinical requirements. Soft limits may be overridden
during infusion programming and Hard Limits may not be overridden.
The BD Alaris™ neXus CC Syringe Pump with a data set loaded, provides automatic alerts when a dosing limit, bolus limit,
loading dose limit, age or weight limit has been exceeded. These safety alerts are provided without the need for the Pump
to be connected to a PC or network.
The hospital-defined data set is developed and approved through pharmacy and clinical input, and then transferred into
the Pump by Qualified Service Personnel, either manually using BD Alaris™ neXus Transfer Tool or automatically via BD
Alaris™ Communication Engine.
The BD Alaris™ neXus CC Syringe Pump can connect to the BD Alaris™ Communication Engine, if one is deployed at the
medical facility. Then connected, either by docking to a connected Alaris™ Gateway Workstation or via hospital Wi-Fi.
Pumps infusion data, logs and configuration information will be automatically detected.The BD Alaris™ neXus CC Syringe
Pump features an in-line pressure sensor technology, capable of highly accurate, real time pressure monitoring. Improving
the early detection of occlusions, by reducing time to alarm, and reducing the potential risk of post occlusion bolus.
Intended Purpose
The BD Alaris™ neXus CC Syringe Pumps are used within hospitals, healthcare facilities and during medical ambulance
ground transport to deliver either continuous or intermittent therapy through clinically acceptable routes of
administration. The BD Alaris™ neXus CC Syringe Pump is intended to be used for the purpose of controlling rate and
volume. The BD Alaris™ neXus CC Syringe Pump is indicated for use on adults, paediatrics and neonates.
Intended Users
The primary users of the BD Alaris™ neXus CC Syringe Pump are:
• Nurse
• Physician
• Biomedical Engineer/Technician
• Nurse Educator
Secondary users of the BD Alaris™ neXus CC Syringe Pump include:
• Pharmacist
• Materials Manager

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BD Alaris™ neXus CC Syringe Pumps
Overview
Clinical Benefits
The BD Alaris™ neXus CC Syringe Pump provides continuous or intermittent infusion of parenteral fluids and or drugs to
treat a variety of medical conditions. Electronic infusion devices are used when the patient’s critical medical condition
dictates a more immediate, accurate and sustained impact from the fluids and medications than can be achieved with
oral therapies or other forms of intravenous administration (e.g. gravity administration or IV pushes). The fluids and drugs
being administered either sustain normal physiologic bodily functions or provide therapeutic eects to combat disease
or an unhealthy patient condition due to injury or other compromised status. The BD Alaris™ neXus CC Syringe Pump
incorporates an in-line pressure monitoring system which allows clinicians to monitor the pressure in the infusion set in
real time. In-line pressure monitoring significantly shortens the time to alarm in the event of an occlusion.
Conditions for Use
The BD Alaris™ neXus CC are restricted medical devices intended for use by qualified, trained personnel to deliver either
continuous or intermittent infusion therapy of:
• Fluids
• Medications
• Nutritional supplements
• Blood and blood products
BD cannot guarantee the continued system accuracy with other manufacturers’ syringes as identified in
the ‘Recognised Syringes’ table. Manufacturers may change syringe specification significant to system
accuracy without prior notification.
Indications
The BD Alaris™ neXus CC Syringe Pumps are indicated for delivery of therapies through the following clinically acceptable
routes:
• Intravenous (IV)
• Subcutaneous
• Irrigation of fluid spaces
Contraindications
The BD Alaris™ neXus CC Syringe Pump is contraindicated for:
• Enteral therapies
Undesirable Side-Effects
The BD Alaris™ neXus CC Syringe Pump has no undesirable side-eects associated with its use when used in accordance
with the Directions For Use.
Compatibility
The BD Alaris™ neXus CC Syringe Pump is compatible with the following:
• The Alaris™ Gateway Workstation v1.3.x and v1.6.x and the BD Alaris™ MRI Capsule v1.3.x – see ‘Associated
Products’
• Standard, single-use, disposable extension sets and syringes with Luer lock connectors – see ‘Compatible Extension
Sets’ and ‘Recognised Syringes’
• The Active RFID asset tag supplied by BD with this Pump
• The following software products are also compatible – see ‘Products and Spare Parts’
-BD Alaris™ neXus Editor v5.0
-BD Alaris™ neXus Transfer Tool v5.0
-BD Alaris™ Technical Utility v2.0
-BD Alaris™ Communication Engine v2.0
-BD Alaris™ CQI Event Reporter v4.4

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BD Alaris™ neXus CC Syringe Pumps
Overview
Features of the Pump
Extension set
hook
Release
lever for
rotating
cam
Carrying
handle
IR communications
port
RS232
Connector
Folded pole
clamp
Potential
Equalisation (PE)
connector
Rating plate (see ‘Labelling
Symbols’ for key to symbols)
Pressure transducer
Rotating cam to
lock on to horizontal
rectangular bars
M
e
d
i
c
a
l
D
e
v
i
c
e
I
n
t
e
r
f
a
c
e
(
M
D
I
)
High visibility
alarm indicator
Release lever for
rotating cam
Shelf for chevron
keys and softkeys
Positive Plunger
Grippers
Display
Syringe Clamp
ON / OFF
RUN
HOLD
PURGE / BOLUS
MUTE
PRESSURE
OPTIONS
Extension set
hook
Pressure transducer
Finger Grips

BDDF00281 Issue 4 9/64
BD Alaris™ neXus CC Syringe Pumps
Overview
Controls
Symbol Description
a
ON / OFF button – Press once to switch the Pump on. Press and hold down for 3 seconds to
switch the Pump o.
Note: Logs are maintained for power down events including when the Pump is powered
down or unexpected power loss.
bRUN button – Press to start the infusion. The green LED will flash during infusion.
hHOLD button – Press to put the infusion on hold. The amber LED will be lit while on hold.
R
MUTE button – Press to silence alarm for two minutes. To re-enable the alarm audio press
the MUTE button a second time.
Note: Attention alarm only: when not in alarm press and hold until four audible beeps are
heard for 15 minutes silence.
i
PURGE / BOLUS button – Press to access PURGE or BOLUS soft keys. Press and hold down
soft key to operate.
PURGE – primes the extension set with fluid or drug during initial set up.
• Pump is on hold
• Extension set must not be connected to the patient
• Volume Infused (VI) is not added
BOLUS – fluid or drug delivered at an accelerated rate.
• Pump is infusing
• Extension set should be connected to the patient
• VI is added
dOPTIONS button – Press to access additional feature options.
ePRESSURE button – Use this button to display the pumping pressure and alarm level. This
button will also display the pressure trend display.
fCHEVRON keys – Double or single for faster/slower increase or decrease of values shown on
display.
gBLANK SOFTKEYS – Use in conjunction with the prompts shown on the display.
Indicators
Symbol Description
jBATTERY indicator – When illuminated the Pump is running on the internal battery. When
flashing the battery power is low with less than 30 minutes of use remaining.
SAC POWER indicator – When illuminated the Pump is connected to an AC power supply and
the battery is being charged.