Belmont RI-2 User manual

OPERATOR’S MANUAL

I
OPERATOR’S MANUAL
780 BOSTON ROAD
BILLERICA, MA 01821, USA
T: 866.663.0212
F: 978.663.0214
TECHNICAL SUPPORT
USA: 8 .397.4 47
WORLDWIDE: +1.978.663.0212
[e-mail]
WWW.BELMONTMEDTECH.COM
Belmont Medical Technologies
780 Boston Road
Billerica, MA 01821, USA
Emergo Europe B
Prinsessegracht 20
2514 AP The Hague
The Netherlands
[phone]
All service calls & questions should be directed to:
USA: 855.397.4547
Worldwide: +1.978.663.0212
CAUTION: Federal law (USA) restricts this device to sale by
or on the order of a physician.
P/N 702-00190 Rev. I

II
The Belmont
®
Rapid Infuser RI-2
Operator’s Manual
Table of Contents
Page No.
Chapter 1: Introduction – System Overview
Introduction ...................................................................................................... 1-1
Indications for Use ........................................................................................... 1-1
Contraindications ............................................................................................. 1-1
Overview of the Belmont
®
Rapid Infuser RI-2................................................... 1-2
Control Panel: Display and Keys...................................................................... 1-3
Chapter 2: Operation
Introduction ...................................................................................................... 2-1
Step-by-Step Operating Procedures ................................................................ 2-2
Inspecting the System .......................................................................... 2-2
IV Pole Mounting .................................................................................. 2-2
Installing the Disposable Set ................................................................ 2-3
Installing the Optional Large Reservoir................................................. 2-4
Powering on the System....................................................................... 2-5
Installing Fluid Bag ............................................................................... 2-5
Priming the Main System...................................................................... 2-6
Priming the Patient Line ....................................................................... 2-6
Connecting to Patient ........................................................................... 2-7
Initiating Infusion .................................................................................. 2-7
Maintaining Infusion.............................................................................. 2-8
Pressure Control .................................................................................. 2-8
Automatic Air Purging........................................................................... 2-8
Bolus Infusion (Infuse a Fixed Volume) ................................................ 2-9
Recirculation......................................................................................... 2-9
Stop...................................................................................................... 2-9
Battery Operation ............................................................................... 2-10
Low Battery ........................................................................................ 2-10
Accidental Power Off.......................................................................... 2-10
End of Procedure ............................................................................... 2-11
Emergency Manual Operation ............................................................ 2-11

III
Page No.
Chapter 3: Alarms and Troubleshooting Guide
Introduction ...................................................................................................... 3-1
Operational Alarms .......................................................................................... 3-1
Air Detection......................................................................................... 3-1
Door Open............................................................................................ 3-2
Fluid Out............................................................................................... 3-2
High Pressure....................................................................................... 3-3
Low Battery .......................................................................................... 3-3
Missing Disposable............................................................................... 3-3
Heating Alarms ................................................................................................ 3-4
System Error #101 (Heating Fault) ....................................................... 3-4
System Error #102 (Over Temperature) ............................................... 3-4
Hardware Alarms ............................................................................................. 3-5
System Error #201 (Air Detector Failure).............................................. 3-5
System Error #202 (Fluid Out Detector Failure).................................... 3-5
System Error #203 (Heater Fault)......................................................... 3-5
System Error #204 (Heater Feedback Fault) ........................................ 3-5
System Error #205 (Heater Hardware Fault)......................................... 3-5
System Error #206 (Power Driver Module Overheating) ....................... 3-5
System Error #207 (Pump Failure) ....................................................... 3-5
System Error #208 (Valve Failure)........................................................ 3-6
System Error #209 (Board Overheating)............................................... 3-6
System Error #210 (Internal Computer Malfunction)............................. 3-6
Troubleshooting Other Operational Difficulties ................................................. 3-7
Chapter 4: Parameter Setting and Preventive Maintenance
Introduction ................................................................................................. 4-1
System Setup ................................................................................................. 4-2
1. Date/Time............................................................................................. 4-3
2. Display Brightness................................................................................ 4-4
3. Language Setup ................................................................................... 4-4
4. Key Rate .............................................................................................. 4-4
5. Bolus Volume ....................................................................................... 4-4
6. Pressure Limit ...................................................................................... 4-4
Service and Preventive Maintenance Schedule ............................................... 4-5
Schedule 1................................................................................................ 4-5
Schedule 2................................................................................................ 4-5
Routine Maintenance ....................................................................................... 4-6
1. Clean and/or Disinfect Exterior ............................................................. 4-6
2. Fluid Out and In-Line Air Detectors....................................................... 4-6
3. Power Cord .......................................................................................... 4-6

IV
Page No.
4. Temperature Probes............................................................................. 4-6
5. Fan Guards .......................................................................................... 4-6
6. Seals ................................................................................................. 4-6
7. Instrument Door and Ceramic Disks ..................................................... 4-7
8. Rubber Feet ......................................................................................... 4-7
Testing the System and Operational Check-Out .............................................. 4-8
Materials Required.................................................................................... 4-8
1. Visual Inspection .................................................................................. 4-8
2. System Operational Checkout .............................................................. 4-9
3. Battery Run Time ................................................................................. 4-9
4. Electrical Safety Test - Leakage Current ............................................ 4-10
5. Hardware Verification ......................................................................... 4-12
6. Clean the pump head ......................................................................... 4-17
Checklist ........................................................................................................ 4-18
Electromagnetic Compatibility ........................................................................ 4-20
Fuse............................................................................................................... 4-22
Calling for Service.......................................................................................... 4-22
Chapter 5: Technical Specifications of the Belmont
®
Rapid Infuser RI-2
Dimensions ...................................................................................................... 5-1
Portability......................................................................................................... 5-1
Power AC......................................................................................................... 5-1
Battery ............................................................................................................. 5-1
Environment..................................................................................................... 5-2
Operating Parameters...................................................................................... 5-2
Operating Panel............................................................................................... 5-3
Safety and Monitoring ...................................................................................... 5-3
Alarm States and Controls ............................................................................... 5-4
Disposable Sets............................................................................................... 5-4
Classifications.................................................................................................. 5-5
Symbols and Definitions................................................................................... 5-6
Waste Electrical and Electronic Equipment ...................................................... 5-7

Chapter 1: System Overview
1-1
It is essential that you read and understand this
manual
before operating the system.
INTRODUCTION
The Belmont
®
Rapid Infuser RI-2, warms blood, colloid, and crystalloid to physiologic
temperature at user-set rates from 10 to 750 milliliters per minute (ml/min) with 1000
ml/min as an option. 2.5 and 5.0 ml/min (150 and 300 ml/hr) are also available to keep
the venous line open.
The system monitors temperature, line pressure, and air in the fluid path to ensure safe
operation and alarms at all unsafe conditions. A hardware override circuit prevents unsafe
operation in case of system computer failure. A screen displays flow rate, total fluid
infused, temperature, line pressure, alarm and status messages and proper procedures
to proceed safely after an alarm situation. Keys appropriate to a particular point in the
operation are displayed on the touch screen.
A battery backup allows for mobile transport of the patient. During battery operation, fluid
warming is disabled while pump operation and safety monitoring remain active. The built-
in rechargeable battery automatically charges whenever the system is connected to line
power.
INDICATI
ONS FOR USE
•Infusion of crystalloid, colloid, or blood product, including packed red blood cells,
as volume replacement for patients suffering from blood loss due to trauma or
surgery.
•Infusion of warmed fluid to re-warm patients after surgery or for hypothermia.
•Infusion of warmed fluid for irrigation in urology procedures.
CONTRAINDICATIONS
•The system should not be used where the desired flow rate is below 2.5 ml/min or
above 1000 ml/min.
•The system should not be used to warm platelets, cryo-precipitates, or granulocyte
suspensions.
•This system is not intended for drug administration.
•The Belmont
®
Rapid Infuser RI-2 should not be used where rapid infusion is
medically contraindicated.
• Lactated Ringer’s solution, dextrose in water, and hypotonic sodium chloride
solutions should not be added to blood components (AABB Technical Manual
17
th
edition, page 624).

Chapter 1: System Overview
1-2
OVERVIEW OF THE BELMONT
®
RAPID
INFUSER
RI
-
2
The complete system consists of the Belmont
®
Rapid Infuser RI-2 Control System, which
is mounted on an IV pole, and the Disposable Set. The Belmont
®
Rapid Infuser RI-2
can be used only with the supplied disposables. A large volume 3-liter reservoir is
available as an optional accessory for convenience in cases involving very large infusion
volumes, see page 2-4.
The Disposable Set is preconnected and has a sterile fluid path. It is intended for single
patient use only . Side effects may apply only to the Disposables Sets. The Belmont
®
Rapid Infuser RI-2 Hardware does not pose risk of side effects.
Disclaimer: the IV pole is not required for use; it is not considered critical-detachable
component and ordering an IV pole from Belmont is optional.
System Diagram Showing Main Components
Major components of the Control System:
1. Fluid Out Detector detects and alarms at
an out of fluid situation.
2. Power Switch turns system power on and
off.
3. Roller Pump is designed for pumping
accuracy and reliability.
4. Display and control panel show status and
alarm messages with touch keys at the
bottom of the screen.
5. IR Temperature Probe (Output Probe)
monitors output fluid temperature as it
exits the Heat Exchanger.
6. Air Detector detects air in the line. If air is
detected the valve wand is closed
immediately to prevent air into the patient.
Pumping and heating stop, alarm sounds
and “Air Detection” message is displayed
on screen.
7. Valve wand closes off the recirculation line
when the system is in the infusion mode
and closes off the infusion line when the
system is in the recirculation mode. It
immediately closes the infusion line to the
patient when an error condition occurs
which may require user intervention.
8. IR Temperature Probe (Input Probe)
monitors input fluid temperature as it
enters the Heat Exchanger.
Fluid Out (1)
Detector
Display (4)
IR (5)
Probe
Air (6)
Detector
Valve (7)
Wand
IR Probe
(8)
Power (2)
Switch
Roller Pump
(3)

Chapter 1: System Overview
1-3
CONTROL PANEL:
DISPLAY AND KEYS
The control panel consists of the touch screen display, which incorporates a bright
graphical display with touch pad keys. The display shows status and alarm messages at
the top and middle and contains the touch keys at the bottom.
CONTROL PANEL SUMMARY
Status Display:
•Flow Rate in ml/min (The Belmont
®
Rapid Infuser RI-2
displays both the user Set Flow Rate and the Actual
Flow Rate)
•Volume Infused
•Infusate Temperature in ºC
•Pressure in the Fluid Line in mmHg
•Bolus Volume (when infusion of a
fixed bolus of fluid is desired).
Function Keys: The keys that control all system functions are displayed on the screen.
The screen is changed each time a function key is pressed. Only keys
that are relevant to the desired function are presented. The active key
is highlighted.
There are three (3) different levels of sensitivity: Fast, Medium, and
Slow. The key sensitivity is set at the factory to medium but can be
adjusted by the operator in SERVICE MODE.
See Chapter 4, page 4-4 for ‘Key Rate’ sensitivity setup.
Alarm Display: Graphical alarm messages indicating where errors have occurred and
suggested operator action.

Chapter 2: Operation
2-1
INTRODUCTION
This chapter explains the procedure for setting up and initiating safe and effective operation of
the Belmont
®
Rapid Infuser RI-2. To change screens’ language, select language at start-up or
go to Chapter 4 “LANGUAGE SETUP” to setup your preferred language.
WARNING!
Do not use this product in the presence of flammable anesthetics.
WARNING!
To avoid risk of electric shock, this device must only be connected to a
supply main with protective earth.
WARNING!
Do not use with pressure infusers or “bag squeezers”. The system
pump provides adequate pressure to infuse fluid.
WARNING!
The Belmont
®
Rapid Infuser RI-2, is not for use in warming platelets,
cryo
-
precipitates, or granulocyte suspensions.
WARNING!
The Belmont
®
Rapid Infuser RI-2, is intended for infusion of high-volume
warm replacement fluid or blood component. It is not intended for drug
administration.
WARNING!
Do not mix lactated Ringer’s or other solutions containing
calcium with citrated blood products.
Use only anticoagulated blood products.

Chapter 2: Operation
2-2
STEP
-
BY
-
STEP OPERATING PROCEDURES
SET
-
UP
INSPECTING THE SYSTEM
•Power cord
•Reservoir Support
•Disposable Set
•Large Reservoir and holder, if needed
Inspect the system to ensure that you have all
necessary components.
Ensure that circuit breaker is easily accessible to turn off
in an emergency situation.
Use only supplied power cord.
IV POLE MOUNTING
•IV Pole: 5 wheel, maximum diameter 1
1/4"
•Install the Support Assembly 30" from
the ground, if not already installed.
•Mount the Belmont
®
Rapid Infuser RI-2
on the IV Pole above the Support
Assembly
•Install the Reservoir Support app. 9"
above the top of the system
CAUTION:
DISCLAIMER:THE IV POLE IS NOT REQUIRED FOR
USE;IT IS NOT CONSIDERED CRITICAL-
DETACHABLE COMPONENT AND ORDERING AN IV
POLE FROM BELMONT IS OPTIONAL.
If an IV Pole is used, check that the system
is securely clamped to the IV pole and will
not tip over
1. Install the support assembly (support clamp and
washer) approximately 30" from the ground.
•While holding clamp closed, loosen the screw to
open up the clamp. Install clamp on the IV pole,
holding clamp close and tighten screw using the
supplied 3/16 Allen wrench.
•Snap the plastic washer onto the IV pole above
the support clamp.
2. Lift up on the “Pole Clamp Release Handle” to open.
Mount the system onto the IV pole, above the
support assembly, by pushing down on the pole
clamp release handle. Check that the system is
locked in place before proceeding.
3. Clamp the reservoir support onto the IV pole
approximately 9" above the Belmont
®
Rapid Infuser
RI-2.
•Make certain that there is nothing obstructing
the air vents at the bottom of the system.
IV POLE
RI
-
2
UNIT
SUPPORT
CLAMP
PLASTIC
WASHER
RESERVOIR SUPPORT
Pole Clamp
Release
Handle
30 in (76 cm)

Chapter 2: Operation
2-3
INSTALLING THE DISPOSABLE SET
WARNING:
The disposable set is for single patient use
only. Do not reuse.
Store the disposable set in a dry well-
ventilated area free from exposure to
chemical vapors.
We strongly recommend loading and
priming the disposable set just prior to the
procedure.
3-Spike Disposable set with key components
1. Snap reservoir chamber into
the reservoir support clamp.
2. Open the door. Insert heat
exchanger with red arrow
pointing up (Red tinted
tubing to red stripe on unit.)
3. Firmly position the interlock
block into the fluid out
detector.
4. Guide the curved piece of
pump tubing (Blue tinted
tubing) over the pump
head. Check that the thinner
recirculate line is in the
grove to the right.
Do not kink or twist the
tubing
5. Place the pressure chamber
into the pressure chamber
well. Firmly insert the wider
infuse line into the air
detector and to the left of
valve wand.
Do not apply excessive
pressure to the pressure
transducer. The pressure
transducer can be
damaged with excessive
force. Do not use the
system if the pressure
transducer is damaged.
6. Place the thinner recirculate line to the right of the
air detector, and to the right of the valve wand.
7. Close and latch the door. Make certain the pump
tubing is not caught. Connect the patient line.
Check Valve
Roller Clamp
Infuse
Line
Bag Clamps
Air Vent
Reservoir
Chamber
Interlock Block
Pump Tubing
Recirculate
Line
Patient
Line
Pressure
Chamber
Red Tinted
Tubing
Coarse
Filter
Heat Exchanger
Bag Spikes

Chapter 2: Operation
2-4
INSTALLING THE OPTIONAL LARGE
RESERVOIR
•Install large reservoir holder
•Install large reservoir
CAUTION:
Do not pressurize or apply a vacuum to
the reservoir
1. Using aseptic techniques, remove the reservoir
chamber from the 3-Spike disposable set by
disconnecting the luer connectors.
•Disconnect the larger pump tubing by pressing
in the luer lock tab and pulling out the connector.
•Disconnect the thinner recirculate line by
unscrewing the connector.
2. Attach the large reservoir holder onto the IV pole, if
used, and place the reservoir into the holder.
3. Assemble the large reservoir using aseptic
techniques by attaching the three fluid supply tails
onto the top of the reservoir.
4. Connect the large reservoir to the fitting of the 3-
Spike disposable set.
5. Adjust the reservoir holder to make sure that the two
connection leads underneath the reservoir are not
stretched or kinked.
Stretched or kinked connection leads can cause
flow restrictions and frequent Fluid Out alarms.

Chapter 2: Operation
2-5
POWERING ON THE SYSTEM
•Check that the detachable power cable
is securely seated in the main power
receptacle.
•Ensure that circuit breaker is easily
accessible to turn off in an emergency
situation.
•Plug the system power cord into a
dedicated-grounded, 3-prong, 20 Amp,
AC receptacle. Do not use an adaptor for
ungrounded outlets.
Power-Up Screen
Installation Screen
1. Turn power on by firmly pressing the circuit breaker
to the ON position. The system will perform a self-
check to check the integrity of system parameters.
2. AC POWER PRESENT appears at the logo screen
when the system first powers up. Check the power
cord and AC receptacle connections if the
statement does not appear.
3. PRIME screen will appear.
4. Press NEXT to go to the PRIME screen.
• If screen language is not your preferred
language, turn power off and back on.
• Press SERVICE to go to
CALIBRATION/SETUP screen.
• Press LANG SETUP →choose your preferred
language →NEXT →EXIT SERVICE.
• If you turn power ON without the disposable
set, INSTALLATION screen appears.
• Open the door and follow instructions on
screen to install the disposable set.
• Close the door. PRIME screen will
automatically appear.
INSTALLING FLUID BAG
Install solution compatible with blood for
the main system prime.
,
Prime Screen
1. Hang fluid bag(s) on the IV pole, if used.
2. Completely close bag clamps, remove the bag
spike cap(s). Spike fluid bag(s), pierce it fully to
ensure that fluids flow freely.
3. Open bag clamps.
• When hanging the fluid bag above the
machine, the pump tubing that is seated in the
fluid out detector should not be stretched.
Stretching the pump tubing may cause false
Fluid Out alarms.
• The recirculate line must not be kinked or
restricted.

Chapter 2: Operation
2-6
PRIMING THE MAIN SYSTEM
Prime the main system with solution
compatible with blood. Do not prime with
blood.
System Priming Screen
CAUTION:
Immediately wipe any spills from the device
1. Press PRIME to recirculate 100 ml of fluid at 500
ml/min to remove air and replace the main system
with fluid.
2. The prime volume, 100 ml, countdown is displayed
on the screen. Stop automatically when countdown
reaches 0 ml. SYSTEM PRIMED screen appears.
• If after 30 seconds and the prime volume
remains at 100 ml, the system will stop, alarm
and instruct the user to unclamp the lines and
resume prime.
• If prime has to be stopped, press STOP. The
prime volume countdown will remain on the
screen. Press RESUME PRIME to continue
prime.
PRIMING THE PATIENT LINE
System Primed Screen
Patient Line Primed Screen
To remove air from the patient line.
1. Open the roller clamp and remove the luer cap from
the patient line.
2. Press PT. LINE PRIME
Press once, prime at 50 ml/min. Press and hold,
prime at 200 ml/min.
3. Press STOP after no air in patient line.
WARNING!
Before continuing, you must inspect and make
certain that the patient line is completely primed and
free of air. Any air bubbles after the valve wand in
the patient line must be removed before the
procedure can safely continue.

Chapter 2: Operation
2-7
CONNECTING TO THE PATIENT
Match infusion set to flow rate and fluid
type, see chart.
INITIATING INFUSION
Patient Line Primed and Infuse Screen
Infuse Screen
1. Select an appropriate cannula size for decided flow
rate.
2. Using aseptic technique, make patient connection
without entrapping air.
CAUTION:
A single dedicated intravenous access should be
used exclusively for infusing blood components
and solutions compatible with blood.
1. Press INFUSE to start infusing at 10 ml/min.
2. Press 500 ML/MIN key to infuse at 500 ml/min or
adjust flow rate, as needed, by pressing INFUSE
RATE ▲/INFUSE RATE ▼key (increase/decrease
by 10 ml/min).
WARNING:
Do not mix Lactated Ringer’s or other solutions
containing calcium with citrated blood products.
Use only anticoagulated blood products.
Normal Saline Simulated Red Blood Cells
(60% Hematocrit)
*All catheters are plastic material
+Data on file at Belmont
Maximum Achievable Flow Rate at
300 mmHg
Flow Rate (mL/min)
Catheter: Diameter x Length*

Chapter 2: Operation
2-8
MAINTAINING INFUSION
Infuse Screen
Routinely check patient and system parameters, on screen.
Respond to and correct system alarms.
CAUTION:
Replace reservoir chamber or disposable set when the
filter becomes clogged. If it becomes occluded the fluid
out sensor will activate, an audible alarm will sound, a
message “Fluid Out, Check inlet tubing and Filter. Add
more fluid” will appear and the pump will stop.
PRESSURE CONTROL
Regulate the pump speed to keep line
pressure under the user-set pressure
limit.
Pressure Control Screen
The pressure limit is set at the factory to the maximum limit
of 300 mmHg. Limit can be changed, see Chapter 4, page
4-4.
While the system is under pressure control, the system
displays “Infusing-Pressure Control. Press Set Rate to
match Actual Rate” message, pressure status line flashes
and alarm beeps at 10 seconds interval.
Pressure control is due mainly to the small orifice of the
infusion set or any occlusions in the line.
To eliminate the pressure control, press SET RATE key to
match the actual rate that the system is able to maintain
without alarm or use a proper size cannula, see chart to
match infusion set to flow rate and fluid type, page 2-7.
AUTOMATIC AIR PURGING
Automatic Air Purging Screen
After every 500 ml of fluid infused, the system
automatically purges air from the system by closing the
infusion line and opening the recirculation line for a few
seconds.
The recirculate rate is temporarily set to 500 ml/min, if the
flow rate is at or below 500 ml/min, and at the actual flow
rate, if the flow rate is above 500 ml/min.
The RATE status line displays REMOVING AIR during this
process. The volume readout (VOL) remains unchanged
during automatic air purging and resumes counting when
infusion resumes.
When infusion resumes, the system returns to the previously
set rate.

Chapter 2: Operation
2-9
BOLUS INFUSION (INFUSE A FIXED
VOLUME)
Bolus Screen
Deliver fixed volume, factory set to 200 ml, at a rate of 200
ml/min.
To change the flow rate during the bolus infusion, press the
INFUSE RATE ▲or INFUSE RATE ▼or 500 ml/min
RATE key.
Bolus volume can be changed in the Parameters Set-Up
screen (Chapter 4, page 4-4) or by pressing and holding the
BOLUS key in the Infuse screen. The new bolus volume will
appear in the VOL (volume) status line with the prefix of BOL
(bolus). Releasing the Bolus key will start the infusion.
Two sets of numbers are displayed within the BOLUS key
space. The top number is the bolus value set and the bottom
number is the volume pumped and is counting up from 0 to
the volume set on the key. At the end of the bolus volume,
the system beeps and returns to the previously selected flow
rate if the previous rate was 50 ml/min or lower. If the
previous rate was higher than 50 ml/min, the flow rate will be
set to 50 ml/min.
RECIRCULATION
Recirculation Screen
Recirculate fluid, warm, and remove air in the main system
at a preset rate of 200 ml/min. Recirculation automatically
stops and beeps after 5 minutes.
WARNING:
Excessive or prolonged recirculation may damage red
blood cells by exposing them repeatedly to the rollers
inside the pump head.
STOP Temporarily halts pumping and heating. Status display
continues to be active.

Chapter 2: Operation
2-10
BATTERY OPERATION
Battery Operation Screen
CAUTION
Battery operation should be used only
briefly or at very low flow rates because
there is no heating.
1. Press RECIRC key to preheat fluid in the reservoir
chamber.
2. Unplug the system from the wall outlet. The status line
that displays temperature will be flashing BATTERY
NO HEATING to indicate the system is now in battery
mode, the maximum flow rate is 50 ml/min, and
heating is suspended.
3. Adjust the flow rate by pressing INFUSE RATE ▲or
INFUSE RATE ▼or press 50 ML/MIN to immediately
set the infuse rate to the maximum rate of 50 ml/min.
4. When the system is plugged back to the AC outlet, the
flow rate stays at 50 ml/min if the previous flow rate
was greater than 50 ml/min. The system will return to
the previous flow rate if the previous rate was 50
ml/min or lower.
5. The normal running time in battery is at least 30
minutes.
LOW BATTERY
When the battery runs low, the system will display BATT
LOW message and sound an audible alarm. The system
should be plugged into an AC outlet to continue operation
and charge the battery.
The normal recharge time is 8 hours.
ACCIDENTAL POWER OFF
Accidental Power Off Screen
If the circuit breaker was turned to the STANDBY position
while the system is pumping, the system will stop pumping,
and alarm. This message is to protect the system from being
accidentally powered down during a procedure.
To power off the system, press POWER OFF key, on
screen.
To continue with the procedure, turn the circuit breaker back
to the ON position and resume operation.

Chapter 2: Operation
2-11
END OF PROCEDURE
CAUTION:
With fluid in the disposable set and the
system not powered on, keep the patient
line clamped closed when opening the
door to prevent uncontrolled fluid flow.
1. If the pump is on, press STOP.
2. Clamp off the patient line and bag spikes.
3. Turn the system to STANDBY, using the circuit
breaker.
4. Open the door and remove the disposable set from the
system. Practice standard hospital policy when
handling and disposing the bio-hazardous materials.
5. Follow the cleaning procedures outlined in Chapter 4,
pages 4-5 through 4-7 to clean and disinfect the
system.
EMERGENCY MANUAL OPERATION
In the event the system is not operational
during a procedure, fluid can be infused
manually on an emergency basis using
pressure or gravity.
WARNING!
In emergency manual operation, all
safety features of the system have been
bypassed. Monitor the patient line to
ensure that air is not allowed to enter the
patient. Do not apply excessive force on
the fluid bag to avoid rupturing the
disposable set or d
amaging blood cells.
1. Bypass the system by switching to STANDBY on the
circuit breaker.
2. Open the door to allow the fluid to bypass the roller
pump.
3. Remove the infuse line from the valve wand. The rest
of the disposable set may be left intact in the
instrument or may be removed.
4. Open bag clamps and patient line. Apply pressure at
the fluid bag to aid flow.
To avoid rupture the disposable set or damaging blood
cells, do not use excessive force on the bag.

Chapter 3: Alarms and Troubleshooting Guide
3-1
This chapter describes possible causes for alarm messages with suggestions for corrective
actions. When the Belmont
®
Rapid Infuser RI-2 recognizes a situation that is compromising
effective infusing, it stops pumping, heating, moves the valve wand into recirculate position,
displays alarm message, instructions for corrective measure, and sounds an audible alarm. To
mute an alarm and return to normal operation, select the MUTE key on the alarm message screen
and follow the on-screen instructions. When the MUTE key has been selected it will appear to be
highlighted on the display screen.
OPERATIONAL ALARMS
ALARM MESSAGE POSSIBLE
CONDITION
OPERATOR ACTION
AIR DETECTION
Air Detection Alarm Message Screen
Reprime Screen
Air in the line.
Tubing in the air
detection sensor
is not seated
firmly in the
detector.
Leak in the
disposable.
Air detector
sensor dirty.
Air detector
electronics
defective.
Open the door to silence the alarm.
Check for air bubbles and possible
leaks.
Squeeze the tubing directly below air
detector to clear any trapped air out of
the sensor. There should be no trapped
air remaining within the air detector.
Check the air detector and make certain
that it is clean and nothing is obstructing
the sensor.
Reseat the tubing in the air detector and
make certain that it is seated firmly in the
sensor.
Press REPRIME to reprime main
system. If the system does not complete
the reprime because the filter in the
reservoir chamber is clogged, replace
the reservoir chamber or the disposable
set and reprime. The system will
resume infusion upon completion of the
reprime.
Power off and service the machine if
error persists.
DOOR OPEN
Door Open Alarm Screen
The door is open.
No magnet in the
door latch.
Close the door to silence the alarm and
resume.
Check magnet in the door latch.
If the door is opened while the system is
pumping, the system will immediately
stop heating and pumping. The valve
moves to the recirculate position and an
audible alarm sounds.
INTRODUCTION
U
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