Bodyguard 323 User manual

BodyGuard™323 Multi-Therapy
Ambulatory Infusion Pump
Patient Guide
BodyGuardTM 323

How to Use This Booklet
This booklet gives you information about how to use your BodyGuard
323 infusion pump. It supplements the instructions given to you by your
healthcare provider.
Some of the information may not apply to your treatment or the pump
you are using. Your healthcare provider will explain the information you
need to know for your specific treatment and the way your pump is set up.
Your healthcare provider may write down additional instructions about
your treatment, including who to call if you have a question or problem.
Table of Contents
Section Page
Warnings and Precautions 2
About Your BodyGuard 323 Pump 4
Pump Overview 4
Pump Carrying Pouch 5
Keypad Control Buttons 5
Pump Display Screen 6
Starting and Stopping the Pump 7
Recharging the Battery 8
Changing Disposable 9-Volt Batteries 11
Delivering a Bolus Dose 13
Changing the Bag/Tubing Set 13
Pump Cleaning and Care 19
Alarm Signals and What to Do 21
Who to Call for Help Back Cover
1

Warnings and Precautions
Please observe the following warnings, precautions and instructions.
Failure to do so could result in damage to the pump, or death or
serious injury.
• Do not drop the pump, knock it against hard objects or put heavy
weight on top of it. If any of these things happen, inspect the
pump for damage. If the pump is damaged or is not functioning
properly, turn off the pump power and contact your healthcare
provider immediately.
• Do not try to open the pump casing, take the pump apart or fix the
pump yourself. Voltage present on the internal components may
cause severe electrical shock resulting in death or serious injury. If
a problem occurs or the pump is not functioning properly, turn off
the pump power and contact your healthcare provider immediately.
• Before starting medication infusion, check the tubing for a pinched
or twisted tube, a closed clamp or other occlusions (blockages) and
for any air bubbles. Correct any occlusion and remove any air bubble
as instructed by your healthcare provider.
• Before removing the medication bag/tubing set, close the tubing
with the clamp to prevent uncontrolled infusion of medication.
• Before connecting the pump tubing to your IV catheter, check all
tubing for air bubbles. Remove any air bubbles as instructed by
your healthcare provider. Air bubbles in the tubing can cause an
air embolism.
• Do not prime the tubing set with the tubing connected to your
IV catheter. This can cause over-infusion of medication or an
air embolism.
• Operate or store the pump only in temperatures between 59° and
113° F, and at a humidity level no higher than 85%.
• Do not use the pump in the presence of flammable anesthetics or
explosive gases. The pump presents a possible explosion hazard if
used in the presence of such materials.
!WARNING
2

!CAUTION
• Do not use the pump if you think it might be damaged or is not
working properly. Turn off the pump power and contact your
healthcare provider immediately. If the pump alarms, follow the
instructions in this booklet or the instructions given to you by
your healthcare provider.
• Do not leave the rechargeable battery empty for more than several
hours. This may damage the battery. Recharge a low or empty
battery as soon as possible by connecting the pump to the wall
charger plugged into a wall outlet or other AC power source.
• Do not store the pump with the rechargeable battery empty. This
may damage the battery. Recharge a low or empty battery as soon
as possible by connecting the pump to the wall charger plugged
into a wall outlet or other AC power source.
• Do not use the pump near high-energy radio-frequency sources,
such as cell phones. Exposure to these sources may trigger false
alarm signals in the pump.
• Do not allow water or other fluids to get inside the pump.
Fluids getting into the pump may damage it. If the pump
gets wet, turn off the pump power and contact your healthcare
provider immediately.
• Do not clean the pump with acetone, other plastic solvents
or abrasive cleaners. These chemicals can damage the
pump’s components.
• Use the pump only as directed by your healthcare provider.
Failure to use the pump according to your healthcare provider’s
instructions may interfere with your treatment.
• Patients using the pump on their own, or individuals responsible
for helping patients to use it, must be instructed in its proper use.
Patients must not use the pump on their own if they have not been
properly instructed.
• This pump has been prescribed for you only, as part of your
treatment. Do not let others use it.
• Federal (USA) law restricts this device to sale by or on the order
of a physician.
3

About Your BodyGuard 323 Pump
You have been prescribed the BodyGuard 323 ambulatory infusion pump
as part of your treatment. “Infusion” means that the pump delivers
(or “infuses”) medication from a medication bag through a set of
tubing and your IV catheter into your bloodstream.
The healthcare provider can program the BodyGuard 323 pump to
operate in a variety of automatic modes to control how it infuses
medication. Once your pump is started, it may infuse medication
continuously or in a “stop and go” pattern, depending on the treatment
you require. Your healthcare provider will explain your treatment and what
to expect.
If your pump is programmed to infuse Patient Controlled Analgesia
(PCA), you may be permitted to give yourself additional bolus doses
of medication when needed for pain relief. Your healthcare provider will
explain how to do this.
Pump Overview
Keypad Control buttons
to operate the pump
Tubing Door Open to
change tubing set
Display Screen Shows
information about
pump operation
Status Light Blinks
green when pump is
operating. Shows red
when pump is stopped
or alarming.
4

Pump Carrying Pouch
The carrying pouch provides an easy way for you to wear and protect the
pump and medication bag during your daily activities.
Keypad Control Buttons
Note: Your healthcare provider will explain which buttons you can use.
Press and hold to turn pump power on or off.
Before turning power off, stop infusion.
Stops infusion. Silences alarm.
Starts infusion.
Primes tubing set. Starts bolus dose.
Press during infusion to view current level of
battery power and check pump operating status.
Press up and down arrow keys to scroll
through menu options on display screen.
ON
OFF
STOP
NO
START
OK
PRIME
PIGGY
Info
20
5

Pump Display Screen
Pump Display Screen (PCA mode only)
Note: The information on your pump’s display screen will be different
depending on your treatment. Your healthcare provider will explain the
information you will see on your pump’s display screen.
Battery Level Indicator
Shows current battery life.
Full black means a full battery.
No black means battery is empty.
Infusion Mode
Infusion Rate
Battery Level Indicator
Infusion Mode
PCA
Infusion Rate
Bolus Volume
Operating
Indicator
Operating
Indicator
Symbols (“drips”)
moving down
the screen mean
pump is
operating.
C
O
N
T
Rate
50 ml/hr
Rate
Bolus
4.5 ml/hr
2 ml
PCA
6

Starting and Stopping the Pump
To Start the Pump
1. Turn the power on by pressing the button.
2. The display screen will show self-testing information for a few
seconds as the pump powers up. The information on your pump’s
screen will be different from the illustration given here.
3. When the self-test information is replaced by a new display,
follow the directions on the screen or the instructions given to you
by your healthcare provider.
Instructions from your healthcare provider:
___________________________
___________________________
___________________________
___________________________
___________________________
___________________________
WARNING
Before starting medication infusion, check the tubing for a pinched or
twisted tube, a closed clamp or other occlusions (blockages) and for
any air bubbles. Correct any occlusion and remove any air bubble as
instructed by your healthcare provider. An uncorrected occlusion of the
tubing can cause under- or non-delivery of medication that may result in
death or serious injury. Air bubbles in the tubing can cause an air
embolism that may result in death or serious injury.
CME BodyGuard 323
Version XXXXX
S.N. XXXXX
ON
OFF
!
7

To Stop the Pump
1. Stop infusion by pressing the button.
2. Turn the power off by pressing and holding the button
until the bar on the screen turns completely black.
Note: After pressing the button, you have 2 minutes
to turn off the power. At the end of 2 minutes without turning
off the power, the pump will alarm to remind you to take action.
Recharging the Battery
When to Recharge
Your healthcare provider will explain if your pump uses a rechargeable
battery. Follow your healthcare provider’s instructions for checking the
battery level and recharging the battery.
The battery does not need to be empty to recharge. The battery will
charge while the pump is operating, and even when it is not operating,
as long as the pump is connected to the wall charger and the charger is
connected to a wall outlet or other AC power source. That means the
battery can recharge while you are sitting or resting.
CAUTION
Do not leave the rechargeable battery empty for more than several
hours. This may damage the battery. Recharge a low or empty
battery as soon as possible by connecting the pump to the wall charger
plugged into a wall outlet or other AC power source.
STOP
2 min
Press OK to Start
STOP
NO
ON
OFF
OFF
WAIT FOR BEEP
STOP
NO
!
8

To Check Battery Level
While the pump is operating, press the button 2 times. The
Battery Level screen displays a black bar showing the current level of
battery power. If less than one-third of the black bar is left, follow the
below instructions to recharge the battery.
If Low Battery Alarm Occurs
The pump’s Low Battery alarm comes on when the battery has about 30
minutes before total loss of power. The audio alarm beeps every minute
and the status light alternates between flashing green and red. The
pump screen alternates between the Low Battery display and the Rate
display. If this alarm occurs, follow the below instructions to recharge
the battery.
To Recharge the Battery
Important: Do not remove the rechargeable battery for any reason.
If you experience a problem with it, contact your healthcare provider.
1. Plug the charger into a wall or other AC outlet.
Battery Level
Empty Full
Low Battery
Connect to Charger
9
Info

2. Connect the charger cable to the pump’s DC port. To connect,
match the clip on the cable plug to the slot located on the inside
upper right of the DC port. Then push the plug all the way into
the port.
DC Port
3. Wait two minutes. Then restart infusion by pressing the
button. The battery will charge while the pump is operating.
4. During charging, the charger light shows red until the battery is fully
charged. Then the light turns green.
5. When charging is complete, disconnect the charger cable from the
pump. To disconnect, press and hold the black button on the cable
plug while pulling the plug straight out.
Additional instructions: ___________________________________________
________________________________________________________________
________________________________________________________________
START
OK
10

Changing 9-Volt Disposable Batteries
If your pump uses disposable 9-volt alkaline batteries, follow the
instructions below to remove and replace low batteries before they
become empty.
When Low Battery Alarm Occurs
The pump’s Low Battery alarm comes on when the batteries have about
30 minutes before total loss of power. The audio alarm beeps every
minute and the status light alternates between flashing green and red.
The pump screen alternates between the Low Battery display and the
Rate display.
If the low battery alarm occurs, follow these 7 steps to change
the batteries:
To Change the Batteries
1. Stop infusion by pressing the button.
2. Turn the power off by pressing and holding the button
until the bar on the screen turns completely black.
Note: After pressing the button, you have 2 minutes
to turn off the power. At the end of 2 minutes without turning
off the power, the pump will alarm to remind you to take action.
Low Battery
Connect to Charger
STOP
2 min
Press OK to Start
STOP
NO
ON
OFF
OFF
WAIT FOR BEEP
STOP
NO
11

3. Locate the pump battery case on the back of the pump. Pull up on
the battery case release tab. Lift up the right side of the battery
case to remove it from the pump.
4. Remove the batteries from the battery case. Replace them
with 2 new 9-volt alkaline batteries. Insert them so that the + and -
terminals on the batteries match the + and - slots of the battery case.
5. Insert the battery case back into the pump. Insert the left side of
the case first. Then push down on the right side until the release tab
clicks into place. Push the tab down to ensure that the case is secure.
6. Turn the power on by pressing the button.
7. Restart infusion by pressing the button and following the
instructions on the display screen.
ON
OFF
START
OK
12

Delivering a Bolus Dose
If you are receiving Patient-Controlled Analgesia (PCA) infusion for
pain relief, your healthcare provider will explain when and how to give
yourself a bolus dose of additional medication to relieve your pain. Use
either of these 2 ways to give yourself a bolus dose, as instructed by
your healthcare provider:
1. Press the button on the pump keypad.
OR
2. Insert the bolus dose cable plug into the jack labeled BOLUS on the
side of the pump. Then press the button at the end of the cable to
activate a bolus dose.
To stop a bolus dose, press the button.
When to give yourself a bolus dose:________________________________
Additional instructions: ___________________________________________
________________________________________________________________
Changing the Bag/Tubing Set
If appropriate for your treatment, your healthcare provider will explain
when and how to remove an empty medication bag with attached
tubing set and replace it with a full bag/tubing set.
Change an empty medication bag/tubing set as instructed here:
________________________________________________________________
________________________________________________________________
________________________________________________________________.
Important:
Handle the new medication bag/tubing set carefully to prevent
contamination of the set and your medication:
• Before handling, wash your hands thoroughly with soap and running
warm water for about 20 seconds.
PRIME
PIGGY
STOP
NO
13

• Do not touch the open tubing ends with your fingers. Also, do not let
the open ends touch your body or any other object.
• Use protective gloves if instructed by your healthcare provider.
• Other instructions: ____________________________________________
_______________________________________________________________
To Remove Old Bag/Tubing Set
1. Stop infusion by pressing the button.
Before removing the medication bag/tubing set, close the tubing with
the clamp to prevent uncontrolled infusion of medication, which could
result in death or serious injury.
2. Close the clamp on the old tubing set. To close the clamp, pull the
tubing down into the narrow part of the clamp.
3. Close the clamp on your IV catheter as instructed by your healthcare
provider.
4. Open the pump door by pulling down on the door latch located on
the right side of the pump.
5. Remove the old tubing set from the pump by pulling it out gently
with your fingers.
6. Disconnect the old tubing set from your infusion line.
7. Dispose of the old bag/tubing set as instructed by your healthcare
provider:
________________________________________________________________
________________________________________________________________
________________________________________________________________.
STOP
NO
14
!WARNING

To Install New Bag/Tubing Set
1. Close the clamp on the new medication bag/tubing set. To close the
clamp, pull the tubing down into the narrow part of the clamp.
2. Orient the new bag/tubing set so that the medication bag is to the
left of the pump.
3. Locate the pumping segment of the new bag/tubing set. It is softer
than the rest of the tubing. It is about 4 ½ inches long starting from
the black set key. The set key fits into a slot that has the same shape
and is located in the tubing channel of the pump.
4. Match the set key to the slot. Then push the key all the way in.
15
Set Key
Pumping
Segment
Tubing Channel
Set Key Slot

5. Press the rest of the pumping segment into the tubing channel.
Important: While inserting into the tubing channel, keep the
pumping segment straight but do not stretch it.
6. Close the pump tubing door until you hear it click shut.
7. You are now ready to prime the new tubing set. Do not connect the
new tubing set to your IV catheter and restart infusion yet. Wait until
after you have primed the new tubing set.
Do not prime the tubing set with the tubing connected to your IV
catheter. This can cause over-infusion of medication or an air embolism,
which may result in death or serious injury.
To Prime the New Tubing Set
Prime the new tubing set as instructed by your healthcare provider:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________.
Or follow these 12 steps:
Note: If you are receiving PCA infusion, your priming procedure will be
different from this one. Prime the new tubing set as instructed by your
healthcare provider.
1. Make sure you are NOT connected to the tubing set. The tubing set
should not be connected to your IV catheter until after the tubing
set has been primed.
16
!WARNING

2. Stop infusion by pressing the button.
3. Press the button. The Prime screen is displayed.
4. Press the button.
5. Use the keypad buttons to enter the amount of priming fluid volume.
This is usually 5 ml, or as specified by your healthcare provider:
__________ml.
6. Press the button to start priming the tubing set.
The pump screen displays the progress of priming. The pump stops
automatically when priming is complete. You can stop priming at any
time by pressing the button.
7. Repeat steps 3-6 above to infuse additional priming fluid.
PRIME
PIGGY
START
OK
START
OK
STOP
NO
PRIME
Disconnect Patient
Press OK to Start
Prime Vol ___ml
Press OK to Continue
5
Prime 5 ml
05
2
17
STOP
NO

18
Before connecting the pump tubing to your IV catheter, check all tubing
for air bubbles. Remove any air bubbles as instructed by your healthcare
provider. Air bubbles in the tubing can cause an air embolism that may
result in death or serious injury.
8. When you are done priming the new tubing set, check all of the
tubing for air bubbles. Follow your healthcare provider’s instructions
to remove any air bubbles from the tubing.
9. Connect the new tubing set to your IV catheter. Turn the connector
until it is snug. Do not overtighten.
10. Open the clamps on the new tubing set and on your IV catheter.
11. Before starting infusion, check the new medication bag and tubing
set to make sure they are:
• Properly connected
• Tubing is not twisted, pinched or clamped
• All air has been eliminated
12. Press the button to restart medication infusion.
Additional instructions: _______________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
_____________________________________________________________
START
OK
!WARNING

19
Pump Cleaning and Care
Your pump will require little routine maintenance if you use it in its
protective carrying pouch. Inspect the pump from time to time. If it
requires cleaning, or if a problem or alarm signal occurs, please
observe the warnings, precautions and instructions listed below.
• Always turn the pump power off and unplug the wall charger from the
outlet or other AC power source before cleaning the pump.
• Clean the outside of the pump from time to time using a lint-free
cloth dampened with warm water and a mild detergent or
disinfectant. Do not use caustic solvents like paint thinner or lacquer
remover to clean the pump or wall charger.
• Do not try to clean the inside of the pump. Do not immerse the
pump or wall charger in water. If water or debris gets into the
pump, turn the pump power off and contact your healthcare
provider immediately.
• The pump is not waterproof so be sure to keep it dry. When
showering, place the pump outside of the shower or in a waterproof
bag. The pump carrying pouch is not waterproof.
• If the pump alarms, follow the instructions in this booklet or the
instructions given to you by your healthcare provider to correct
the problem.
• If you cannot correct a problem indicated by an alarm signal, contact
your healthcare provider.
• If the pump appears damaged or is not functioning properly, turn off
the pump power and contact your healthcare provider immediately.
Do not try to open the pump casing, take the pump apart or fix the
pump yourself. Voltage present on the internal components may cause
severe electrical shock resulting in death or serious injury. If a problem
occurs or the pump is not functioning properly, turn off the pump power
and contact your healthcare provider immediately.
!WARNING