Braun Infusomat Space User manual

Infusomat® Space
Infusion Pump System
2nd Generation Software
Quick
Reference
Guide

1
NAVIGATION
Programming through screens:
The pump screens will always indicate what
keys to press.
Entering values:
Use the left and right arrow keys to move the
cursor so the desired numerical value is highlighted.
Use the up and down arrow keys to increase or decrease
the number.
Accessing Home Screen:
Pump returns to the Home screen when stopped.
Press while infusion is running to return to the
Home screen. Access all menus from the Home screen.
NOTE: Scroll Bar appears on screens when more
information is available.
CHANGE PUMP DISPLAY
1. With the pump running, press or to
choose preferred value to display on bottom left
corner of display, (i.e. drug long name, Care Unit,
volume totals, etc.)
Understanding Pump Symbols:
For a complete listing of pump symbols, refer to the last
section of this guide.
Home
Symbol Scroll
Bar

2 3
OPEN DOOR AND LOAD IV LINE
1. Press to power on.
2. Press door open key . Respond to prompt and
press to open door.
CAUTION: Keep the roller clamp closed while inserting
IV line.
3. (1) Load IV line from right to left. Insert the
two hole clip.
(2) Attach white pronged clip.
NOTE: Ensure silicone tubing segment is not twisted.
(3) Insert the green anti-free ow clip in the green
slot (with hook facing down and away from pump)
until the opening lever snaps out and the ashing
yellow light goes out indicating pump has occluded
IV line.
4. Press IV line into the air sensor guide and notches
on right and left side of the pump.
5. Close the pump door by rmly placing pressure until
you feel the pump pull the door shut.
NOTE: Do not open the roller clamp until programming
prompt appears.
CAUTION: Pump door will not close and pump alarms
if the anti-free ow clip is not properly inserted. Do not
force door closed, check IV line and anti-free ow clip
(green) for proper loading.

2 3
6. If priming is activated, press to prime on the
pump.
7. Note prompt to “Disconnect IV line from patient
before priming”, press to conrm.
8. Respond to “Priming stopped” message by conrming
with . Respond to “Repeat priming” prompt with
for “Yes” or for “No”.
PRIMARY INFUSION
1. “Continue last infusion?”, press for “Yes”or
for “No”.
2. If “Yes”, scroll to conrm each value using and
to conrm values. If no, press to program
new infusion.
3. Select Care Unit using and conrm with .
4. Select Patient Prole using and conrm
with .
5. Select “All drugs” or a drug category, using
and conrm with .
6. Select drug using and conrm with .
Navigate through the list with and or use
and to skip through the alphabet
(i.e. ABC-DEF).
7. Select drug concentration using and
conrm with .
8. If prompted, read and conrm clinical advisory
with .
9. Enter or edit infusion parameters by scrolling
to desired parameter and press to open the
value editor.

4 5
10. Use and to move to the digit to be
programmed.
NOTE: The may be used to clear existing values.
11. Use and to program new values.
12. Press to conrm value.
13. If value is outside soft limits, respond to prompt with
for “Yes” to override soft limit and for “No”.
Note change in soft limit symbol when overridden.
or .
NOTE: If value is outside hard limit, press to conrm
message and edit value.
14. Scroll down to enter and/or review VTBI and Time.
VTBI is required to start the infusion.
15. Press to begin infusion.

4 5
TITRATION
NOTE: The doserate/rate may be titrated while the pump
is running.
1. Press to open editor.
2. Program desired value using . Press to
conrm which initiates new doserate/rate.
CHANGE WEIGHT, BSA, VTBI AND TIME
NOTE: Changing VTBI or Time may change infusion rate/
dose depending on infusion mode.
1. Press to return to the Home screen if pump is
infusing.
2. Scroll to Weight, BSA, VTBI or Time using .
3. Press to select.
4. Enter new value using .
5. Conrm with .

6 7
SECONDARY INFUSION
NOTE: Prime SECondary IV line manually, close roller
clamp and connect to PRIMary IV line at needleless port
ABOVE the pump.
1. Stop PRIMary infusion by pressing .
2. Scroll to and select “SECondary” by using .
3. Four sub-menus will be displayed:
• New SECondary
• Use a Previous SEC infusion
• Back to PRIM
Determines switch back to PRIMary. “manual”
stops the pump and alarms when the SECondary is
complete. “Auto-change” converts to the PRIMary
infusion when the SECondary is complete.
NOTE: The method of switching back to PRIMary
remains for all SECondary infusions until changed.
• Basic infusion
4. Select “New SECondary” with .
5. Select drug using and conrm with .
NOTE: SECondary medications will most frequently be
set up as Dose Over Time infusions.
6. Enter Total Dose using and conrm with .
7. Enter Total Time using and conrm with .
NOTE: The pump calculates rate and VTBI.
8. Press , note message to check bag height
and unclamp SECondary. Press again to conrm
message and begin infusion.

6 7
NOTE: The SECondary bag must be hung at least 8
inches above the PRIMary, measured from the bottom
of the SECondary bag to the top of uid level in the
PRIMary.
NOTE: If SECondary rate exceeds 300 ml/hr clamp o
PRIMary to prevent concurrent ow.
9. To resume PRIMary prior to completion of SECondary,
press . Scroll to and select “resume PRIMary”
using arrow keys . Conrm message “Infusion
mode changed to PRIMary” with .
10. Press . Note message to clamp or remove
SECondary. Press again to infuse PRIMary.
NOTE: To resume SECondary, follow same steps as above.
NOTE: To clear a SECondary infusion prior to
completion, press , then Press and to
“delete SECondary”.
NOTE: Pump stores 5 of the previously administered
SECondary medications. They are cleared when the Care
Unit changes or the pump is powered o.
11. To select a previously administered SECondary,
stop PRIMary by pressing .
12. Scroll to and select “SECondary” menu using .
13. Scroll to and select “Use a previous SEC infusion”
using .
14. Scroll to and select drug using .
15. When all values are checked, press and then
press .

8 9
LOADING DOSE
1. Press to answer yes to loading dose prompt.
2. Enter loading dose amount using and conrm
with .
3. Enter loading dose time using arrow keys and
conrm with .
4. Press to access doserate/rate editor to program
continuous infusion.
5. Enter doserate or rate for continuous infusion using
and conrm with .
NOTE: “LDdos” and “Start” alternate in upper right
corner of screen.
6. Press to begin infusion.
7. The loading dose may be stopped at any time by
pressing . Press to conrm prompt with
amount delivered of total programmed.
8. Press to resume infusion, respond to prompt
to continue loading dose with for “Yes” and
for “No”.
NOTE: Once “No” is selected, continuous infusion will
begin and loading dose is no longer accessible.
BOLUS DOSE
1. Press .
2. If prompted, select “Program a bolus dose and time”
using and select with .
3. Enter bolus dose using and conrm with .
4. Enter bolus time using and conrm with .
5. Review bolus parameters and press to begin
bolus.

8 9
MANUAL BOLUS
NOTE: Drug Library limits do not apply to manual
boluses.
1. Press .
2. Select “Use Manual Bolus Feature” using and
select with .
3. Press and hold .
4. Bolus amount will count up on pump display.
5. Manual bolus is limited to 10 seconds.
6. Bolus amount delivered is displayed when 10 seconds
is complete or is released.
7. The pump returns to the continuous infusion when
the is released or 10 seconds is complete.
NOTE: The pump will automatically convert back to the
continuous infusion when the bolus is complete.
6. If bolus is stopped by pressing , press to
conrm prompt with amount delivered of total
programmed.
7. Respond to prompt to deliver remaining bolus with
for “Yes” and for “No”.
8. If pump is stopped by pressing or for red alarm,
press to conrm prompt with amount delivered
of total programmed. Restart infusion by pressing
, respond to prompt as above in step 7.

10 11
CHANGE CARE UNIT
1. From the Home screen, scroll to “Change Care Unit”
using and select with .
NOTE: Care Unit may be changed while the pump is
infusing or stopped.
2. Scroll to desired Care Unit using and select
with .
3. Pump will display conrmation message that Care
Unit has been changed. Press to conrm.
4. If current values exceed soft limit, editor will be
displayed. Respond to soft limit message.
NOTE: Pump will display message if Care Unit was not
changed and reason why Care Unit cannot be changed
(i.e. drug or concentration not available, programming
exceeds hard limits).
BASIC INFUSION
1. Scroll to “Basic infusion” on Care Unit, Patient Pro-
le, Drug Category or Drug selection screens. “Basic
infusion” may also be accessed in the SECondary
menu.
2. The pump requires responding to two prompts that
exiting the drug library has no safety limits.
3. Enter two of the following three parameters using
: VTBI, Time and Rate. Press to conrm
values. VTBI is required to start the infusion.
4. Press to begin infusion.

10 11
DOSERATE CALCULATION
The Doserate Calculator may be used to calculate a
doserate for a medication that is not in the drug library.
No dose limits apply.
1. To access the Doserate Calculator, go to the Home
screen and scroll to “Options” menu.
2. Enter the following as prompted: concentration
units, amount of drug in bag, volume of bag, program
with weight/BSA/none, doserate units, and doserate
amount. The pump calculates the ow rate in ml/hr.
ASSIGNING A BASIC OR DOSERATE CALCULATION
INFUSION TO DRUG LIBRARY
1. From the Home screen, scroll to “Options” using
and select with .
2. Scroll to “Assign to Drug Library” using and
select .
3. Follow steps for drug library programming.
NOTE: All Drug Library limits will be applied to the
infusion.
IV LINE CHANGE
NOTE: Always close roller clamp and disconnect the
patient before changing IV line to avoid inadvertent
free ow.
1. Press to stop the infusion.
2. Press and respond to prompt to clamp IV line.
3. Open the pump door by pressing . Once door
nishes opening automatically, pull down on door to
fully open. Expect some resistance.

12 13
4. Press down the green opening lever completely until
it locks in place and yellow triangle light is ashing.
Remove IV line from right to left.
5. Insert new IV line following steps in “Open Door and
Load IV Line” section above.
END INFUSION AND POWER OFF
1. Press to stop the infusion.
2. Follow steps 2 through 4 above to remove IV line.
3. Close the pump door.
4. Press for 3 seconds to power o
the pump.
NOTE: Pump cannot be powered o with IV line inserted.
STANDBY MODE
1. Press to stop the infusion. Leave the IV line
inserted in the pump.
2. Press and hold for 3 seconds.
3. Exit Standby by pressing .
INFUSION TOTALS
1. From the Home screen scroll to “Infused Totals” using
and selecting with .
2. PRIMary, SECondary and Totals of both are displayed.
3. Scroll to desired value using and select with .
4. Respond to “Reset values to zero?” prompt by press-
ing for “Yes” and for “No”.
NOTE: Infusion totals are automatically cleared when
“No” is selected to “Continue last infusion?” on power up.

12 13
WIRELESS DRUG LIBRARY UPLOAD
1. Observe alternating with on the top line
of the pump display when a new Drug Library is
available.
2. Press to stop the infusion. Follow instructions above
under “End Infusion and Power O” to power o.
3. Wait 10 seconds, a progress bar will appear on
pump, do not power pump back on until Drug Library
Upload is complete as indicated by progress bar.
4. When pump is re-started, respond to two prompts
that all values are cleared and new drug library has
been loaded.
RED ALARMS AND TROUBLESHOOTING
Red alarms stop the infusion. The pump emits an audible
signal and red LED ashes. The display states “Alarm”
and the reason for the alarm. The alarm signals are
conrmed and turned o by pressing . Correcting the
alarm state depends on the cause of the alarm.
Red alarms:
“VTBI infused” “Time expired”
“Battery empty” “Downstream Occlusion”
“KVO nished” “Standby time expired”
“Upstream Occlusion” “Air bubble/Accumulated air”
“Danger of Free Flow”
Troubleshooting RED ALARMS
Downstream/Upstream pressure - Check clamps and
patient line.

14 15
Air bubble/accumulated air - Respond “Yes” or “No”
to prompt for priming to clear the air. If “Yes” is selected
to prime IV line, respond to prompt to disconnect IV line
from patient.
Danger of Free Flow - Anti-free ow clip is not prop-
erly inserted. Conrm danger free ow messages, clamp
the line, respond to open door prompt, remove the IV
line and reinsert IV line per IV line loading instructions.
Other TROUBLESHOOTING
Door fails to close - Press open door button again
while door is open and re-close door.
Persistent air in line alarm with no visible air -
Close roller clamp, open door, remove IV line and inspect
for bubble trapped in IV line at air in line sensor.

14 15
UNDERSTANDING PUMP SYMBOLS
Home screen, contains all menu options
Primary infusion is programmed
and/or running
Secondary infusion is programmed and/or
running
Secondary, Dose Over Time infusion is
programmed and/or running
Pressure indicator, Top line: Current pressure
level, Bottom Line: Set pressure limit
Pump is locked
Pump in Standby
Infusion is within the range of the lower
and upper soft limits
Infusion is below the upper soft limit
Infusion is above the lower soft limit
Infusion is above the upper soft limit
Infusion is below the lower soft limit

1616
No hard or soft limits are set
Battery status
Connected to power/battery status
Scrolling arrows indicate pump is infusing
New drug library le is available
Wireless is connected
Wireless is not connected
Wireless is turned o

See operator’s manual for complete instructions
for use.
Rx only. ©2016 B. Braun Medical Inc.
All rights reserved. IS214 RTS3 5/16
For clinical and technical
support, call 800-854-6851 or
visit www.BBraunUSA.com