C-me T34L User manual

100-090SL Rev. 03
Software Version LCAT / LCATBOL
T34L
™
Syringe Pump
Operator Manual
0344
Caesarea Medical Electronics Ltd. MedNet GmbH.
16 Shacham street, North Industrial Borkstrasse 10
Park Caesarea 48163 Muenster
P.O.Box 4294, Caesarea 38900, Israel Germany
Tel: [phone] T: [phone]
www.cme-infusion.com

T34L™ Operator Manual
2

NOTE: Caesarea Medical Electronics Ltd. (CME) strongly recommends that this manual is
read by every user of the T34LTM syringe pump and that they comprehensively understand
its contents before operating the device. It is also recommended that before being allowed to
use the device all personnel should receive training from either Caesarea Medical
Electronics Ltd. (CME) or those trained by Caesarea Medical Electronics Ltd. (CME) to
deliver training on this device. Competency of all attendees should be assessed with both
the trainee and assessor signing to confirm their readiness to operate the device in the
clinical setting

T34L™ Operator Manual
3
Table of Contents
1 –Introduction 4
2 –Modes of Operation 5
3 –Keypad Description and Functions 6
4 –Symbols, Warnings and Cautions 7
System Symbols........................................................................................................7
Terms Used In Manual ..............................................................................................8
Intended Use .............................................................................................................8
Warnings ...................................................................................................................8
Cautions ....................................................................................................................9
5 –Installation and Set Up 10
Unpacking................................................................................................................10
Power Supply and Charging the Pump....................................................................10
6 - Administration Sets 12
7 –Access Codes & Keypad Lock 13
User Access Codes.................................................................................................13
Keypad Lock............................................................................................................13
8 –Infusion Set Up & Programming 14
Alarms Verification...................................................................................................14
Syringe Selection.....................................................................................................14
Priming the Administration Set.................................................................................14
Pre-Loading & Syringe Placement...........................................................................14
Power Up.................................................................................................................14
Syringe Detection & Confirmation............................................................................15
Setting Infusion Parameters ....................................................................................16
Setting the Infusion Rate .........................................................................................16
9 –Accessories 18
Carry Pouch.............................................................................................................18
Pole Mounting Unit ..................................................................................................19
10 –Recommended Checks during Infusion 20
Event Log (History)..................................................................................................20
11 –Advanced Functions 21
KVO (Keep Vein Open) Operation...........................................................................21
12 –Alarm Conditions and Troubleshooting 22
Alarm Conditions .....................................................................................................22
Troubleshooting.......................................................................................................23
13 - Change Set Up 24
14 –Specifications 25
15 –Service and Maintenance 26
Cleaning ..................................................................................................................26
Storage....................................................................................................................26
Service.....................................................................................................................26
16 –Default Syringes 27
LIMITED WARRANTY 28

1 - Introduction
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1 –Introduction
T34LTM is a small, lightweight, robust, battery or mains powered, both hospital and ambulatory syringe
pump designed to deliver the contents of most commonly used 2 to 60ml syringes over a specified
duration or at a given rate in milliliters per hour (ml/h). A screw drives the pump actuator and syringe
plunger forward at a controlled rate. This rate is adjustable from 0.1 to 650 ml/h; in increments of 0.1 ml/h
up to 100 ml and 1 ml from 100 to 650 ml/h.
The size and weight of the T34LTM makes it ideal for ambulatory use in either a hospital or homecare/out-
patient setting. It is equally suitable for adults or for pediatric use.
The syringe pump can be easily concealed beneath clothing in a pouch fitted at either the chest (inside a
jacket) or on the waist. A compact lockbox is available to protect against damage to or tampering with the
pump or displacement of the syringe.
T34LTM offers 3 point syringe detection enabling the pump to identify all commonly used (or programmed)
syringe brands & size. This feature minimizes the risk of user programming errors. The sensors also
activate an alarm if the syringe is removed or partially displaced during infusion.
The pump may be used to deliver via any common infusion routes including central, peripheral venous,
epidural, intra-arterial or subcutaneous providing the medicines being administered are licensed for such
use.
Warning: Do not operate the T34LTM until you have read and understood the contents of this
user manual paying attention to Warnings, Cautions & Notes as described below.
This manual will ensure the user will:
1. Be able to identify the key features of the T34LTM and understand their function
2. Be able to correctly load a syringe into the T34LTM
3. Be able to program the T34LTM to deliver the contents of the syringe
4. Be able to access and interpret patient history and event log data
5. Be able to troubleshoot and resolve alarm conditions
In the user manual you will find important information marked as followed:
Warning: Indicates the information is a warning. Warnings advise you of circumstances that
could result in INJURY OR DEATH to the patient/operator.
Caution: Indicates that the information is a caution. Cautions advise you of circumstances
that could result in DAMAGE to the device.
Warning: Indicates that the information is additional important information or a tip that will
help you recover from an error or point you to related information.
Warning: T34LTM is a medical device designed for the safe, accurate delivery of appropriate
infusion regimes and should only be operated by, or under the supervision of, a medical
professional. Incorrect or inappropriate use could lead to serious injury or death.

2 –Modes of Operation
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2 –Modes of Operation
The T34LTM Syringe Pump has three modes of operation. In summary these are:
1) VOLUME OVER TIME (Program Lock OFF) –Pump will deliver the volume confirmed over the default
duration or a new duration confirmed by the user.
THIS MODE IS IDEAL WHERE - it is common to use the same delivery regime (duration) but some
flexibility may occasionally be required.
Although the pump calculates volume in the syringe the user can set a lower VTBI (e.g. if KVO is
required) during infusion set up.
Pump is configured with a Default Duration (e.g. 24 hours) to guide the user to make the
appropriate selection during set up but the user can change the duration. The next time a new
program is set the default is restored.
OPTIONS - Titration can be enabled allowing the user to set upper and lower infusion rate limits
during set up to allow titration of the infusion rate without stopping the Pump.
2) VOLUME OVER TIME (Program Lock ON - DEFAULT) –Pump will deliver the full contents of the
syringe fitted over the Default Duration set on the pump.
THIS MODE IS IDEAL WHERE –the entire contents of a syringe are always required to be delivered
over the same duration (e.g. 24 hours). The duration is locked so the user CANNOT change it. This
prevents programming errors and makes setting up an infusion very simple.
User CANNOT change either the VTBI or the Default Duration time
Pump calculates the volume, applies the pre-set duration and calculates the appropriate rate for
the infusion.
User only checks and confirms infusion summary screen (showing duration, rate and volume)
matches the prescription before Starting the infusion
User access code required to change any of the pumps settings
Titration is NOT possible in Program Lock ON mode
3) RATE PER HOUR MODE –Default Duration is set to Zero under the Change Set Up menu (access
code required).
THIS MODE IS IDEAL WHERE –different infusion rates are used each time and the users are familiar
and comfortable with making the calculation of infusion rates themselves.
Pump calculates the volume in the syringe and then the user sets the rate in ml/hr (default is
ALWAYS zero if New Program confirmed so user has to scroll to select the infusion rate or
infusion cannot be started)
Titration can be enabled in Rate per Hour mode. See "Rate Titration" feature in Change Set Up
Menu (code required).
Warning: make sure you fully understand all of the possible modes especially the one your
pump is configured to before operating the T34LTM.

NOTE: your T34LTM can be configured to one of the above modes (as appropriate to your
clinic/setting) during installation by either CME or your service centre. Take time to consider
which mode is best for your practice.

3 –Keypad Description and Functions
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3 –Keypad Description and Functions
No.
Function
Description
1.
Operation LED
Green Indicator
Lights during system Self-Test
An intermittent green light indicates infusion delivery
Red Indicator
Indicates an alarm state with a continuous red light
Lights when the pump is in a stand-by mode during programming
2.
Plus key
Scrolls between options
3.
NO/STOP key
a. Takes user back a step
b. stops pump
4.
1 Infra Red sensor
5.
ON/OFF key
Switches the pump on and off
6.
Forward key
7.
YES/START key
Confirms choices
8.
Minus key
scrolls between options
9.
Backward key
10.
Info key
a. shows technical data and Battery status
b. Long press will Lock/Unlock Keypad
11.
Pump display
Backlight can be enabled when any key pressed
1
2
3
5
6
6
7
8
9
4
10
11

4 –Symbols, Warnings and Cautions
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4 –Symbols, Warnings and Cautions
System Symbols
The following symbols are used on the T34LTM Syringe Pump and components. Labels on the pump or
statements in this manual preceded by any of the following words and/or symbols are of special
significance and/or are intended to help you to operate the pump in a safe and successful manner.
Caution
Refer to operating instructions
0344
CE mark indicates conformance to Medical Device Directive 93/42/EEC.
Do not dispose of in municipal waste. Symbol indicates separate collection for
electronic equipment. (WEEE Directive 2002/96/EEC). NOTE: Does not apply to the
battery.
Do not dispose of battery in municipal waste. Symbol indicates separate collection for
battery is required.
The use of single-use disposable components on more than one patient is a
biological hazard. Do not reuse single-use disposable components.
Type CF applied part.
Date of Manufacture
Serial Number
Expiry Date (consumables)
Lot Number (consumables)
Sterilized with Ethylene Oxide
LOT
STERILE EO

4 –Symbols, Warnings and Cautions
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Terms Used In Manual
Warning: Indicates that the information is a warning. Warnings advise you of circumstances
that could result in injury or death to the patient or operator. Read and understand this manual
and all warnings completely before operating the T34L™syringe system.
Caution: Indicates that the information is a caution. Cautions advise you of circumstances
that could result in damage to the device. Read and understand this manual and all cautions
completely before operating the T34L™syringe system.

NOTE: Indicates that the information that follows is additional important information or a tip
that will help you operating the T34L™ syringe system.
Intended Use
The T34LTM Syringe Driver is designed for infusion of medications or fluids requiring continuous or
intermittent delivery at precisley controlled infusion rate through all clinically acceptable routes of
administration including intravenous, percutaneous, intra-arterial, epidural, enteral, in clise proximirt to
nerves, and into intraoperative site (soft tissue/body cavity/surgical wound site). The system is intended
for patients who require nutrituin fluids, chemotherapeutic agents and general fluid therapy in hospital and
home care environments.
Contraindications
oInfusion of blood and blood products
oInfusion of insulin
oInfusion of critical medications whose stoppage or interruption could cause serious injury or death
oUse in ambulatory regimens by patients who do not possess the mental, physical or emotional
capability to self-administer their therapy; or who are not under the care of a responsible individual
Warnings
To avoid the possibility of injury or death, please note the following advice before using the T34LTM
Syringe Pump:
Warning: CME syringe pumps should not be used for infusion of medications whose stoppage
or interruption could cause serious injury or death.
Warning: A kinked/occluded infusion line may impair the operation and accuracy of the pump.
Before operation, verify that the infusion line is not kinked or occluded.
Warning: Never take a syringe that is not empty off the Pump if it is still connected to the
patient. The infusion line must be disconnected or clamped before removing the syringe to
prevent free flow and the risk of serious injury or death to the patient.
Warning: Ensure there is no air present in the syringe and also completely prime the
administration set before loading the syringe into the pump to prevent the risk of infusing air into
the patient (air embolism).
Warning: Adjustments, maintenance, or repair made by un-certified service personnel may
impair the operation of the pump and/or the accuracy of the infusion. Make sure any
adjustments, maintenance, or repair of the device is carried out by authorized skilled technicians

4 –Symbols, Warnings and Cautions
T34L™ Operator Manual
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certified by CME service centre.
Warning: The T34LTM syringe pump system should be operated within a temperature range of
5C to 40C and in humidity in range of 5% to 90%. Operation at temperatures and/or humidity
outside this range may affect accuracy.
Warning: Unsafe operation may result from using improper accessories. Use only accessories
and options designed for this system supplied by CME.
Warning: Disposables must be compatible with the medicine delivered. Please check with the
manufacturer of the administration set before use.
Warning: Dropping the Syringe Pump could cause damage to components. If the pump is
dropped, return the pump for inspection by qualified service personnel.
Warning: Use good aseptic technique when filling the syringe and priming the administration
set. Patient infection may result from the use of non-sterile components. Maintain sterility of all
disposable components and do not re-use single use sets.
Warning: Do not operate the pump near high-energy radio-frequency emitting equipment,
such as electro-surgical cauterizing equipment as this may result in false alarm signals or error
messages being displayed.
Warning: The maximum volume that may be infused under SINGLE FAULT CONDITION is
0.15 ml (depending on syringe size in use).
Warning: The equipment is not suitable for use in the presence of flammable mixtures.
Warning: The T34LTM syringe pump must always be used in a CME Ltd. pouch or similar
receptacle if used in direct sunlight. If the pump is exposed to direct sunlight, it may affect
functionality.
Cautions
To avoid possible damage to the equipment, observe the following:
Caution: Xylene, Acetone or similar solvents could damage components. Do not clean the
pump with these chemicals. Clean solution spills immediately using a damp, not wet, cloth or
sponge and a mild detergent or 10% bleach solution. Wipe dry.
Caution: Immersing the T34LTM Syringe pump in liquid could cause damage to components.
Do not immerse the pump into any type of liquid.
Caution: Battery damage could occur at ambient temperatures >500C (122F).

5 –Installation and Set Up
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5 –Installation and Set Up
Unpacking
1. Remove the T34LTM Syringe Pump & accessories from the packaging and inspect for damage during
shipment or storage.
Warning: Do not use T34LTM if there are any obvious signs of damage. Return for inspection
by authorized service personnel.
2. Make sure you have the following items:
T34LTM Syringe Pump
Operation Manual
Carry Pouch (Optional)
Lockbox (Optional)
External Charger
Pole mounting unit (Optional)
If any items are missing or damaged, contact your supplies department to order replacement.
Power Supply and Charging the Pump
The T34LTM pump includes a Li-Polymer battery which enables operation when the patient is ambulatory,
being moved, or even during electrical power failures. Fully charged, the battery provides 15-17 hours of
operation at an infusion rate of 125 ml/h.
Wall Charger
To charge the battery, connect the charger plug to mains power supply and to the pump DC connector on
the rear of the pump. Note that the DC connector must be inserted directly in the correct way.

NOTE: After the “End Battery“ signal has been activated or following long periods of storage,
wait 2 minutes after the pump has been connected to an AC power supply before operating.
Caution: Leaving the battery in an uncharged state for a long period of time may damage the
battery.
Caution: do not twist the DC connector while disconnecting from the rear of the pump.

NOTE: Whenever possible, use the pump connected to an AC power supply. This preserves
the battery power supply for emergency use or for situations where the AC power is not
available.

5 –Installation and Set Up
T34L™ Operator Manual
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
NOTE: Replace the battery once every two years in certified service centers.

NOTE: Charge the unit with dedicated T34LTM charger only.
Battery Test
When setting up the pump on a patient always check that there is enough battery charge remaining to
cover the infusion duration. To do so follow one of the procedures below:
Check the Start Up Screen, displayed on power up, indicating % battery life remaining
Press INFO key when the pump is stopped and select Battery Level, press YES to view battery
meter
During infusion press the INFO key twice to check
Battery Level, in all cases verify sufficient battery charge
is available to complete the current program. If not,
charge the battery.
Sufficient battery charge may vary depending on your
setting, infusion rate, number of times the information
options/screen backlight are used.
Battery Level
85%
Empty Full

6 –Administration Sets
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6 - Administration Sets
The T34LTM Syringe Pump System can be operated with any extension set with a luer connection
however, for system optimization, accuracy & performance, CME recommends the use of CME
proprietary sets.
Proprietary sets available from CME include:
150cm IV infusion set with check valve
100cm Sub-cut set with needle
Warning: Replace the administration set at least every 24 hours (or in accordance with local
guidelines) to reduce the possibility of bacteria formation/infection.
Warning: Visually inspect packaging and contents before each use. Do not use consumables
if the packaging is in any way damaged as sterility may have been compromised.
Warning: Air embolism during an IV infusion can cause death or serious injury to the patient.
Do not connect a patient to the T34LTM Syringe Pump until all air has been cleared from the fluid
path & syringe. Carefully read the instruction for loading. Puncturing set components could result
in air embolism.
Warning: Drugs must not be administered to the epidural space unless indicated for this
purpose and administered in accordance with the drug manufacturers package insert. Epidural
administration of drugs other than those indicated for epidural use could result in serious injury or
death to the patient.
Warning: Disposables must be compatible with the medicine delivered. Please check with the
manufacturer of the administration set before use.
Caution: Component damage may occur if the set is not correctly attached to the syringe.
Assure all connections are secure; do not over tighten. This will help minimize leaks,
disconnection and component damage.

7 –Access Codes & Keypad Lock
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7 –Access Codes & Keypad Lock
User Access Codes
The T34LTM employs three levels of user access protection to prevent unauthorized changes to the set up
or configuration. Although no access code is required to turn the pump on and run an infusion certain
settings and features may have been configured and locked as appropriate to the clinical application the
Pump is being used for in your practice.

NOTE: No access codes are contained in this manual. Please refer to senior clinical or
technical staff for these codes ONLY if you have been trained and authorized to use them.
Warning: Do not attempt to access Code Protected areas if you are not trained or authorized
to do so. If authorized do not share the Codes with un-authorized personnel.
Placing these settings in a secure area of the pumps menus also simplifies operation of the pump as
everyday users are not required to repeatedly confirm or change common set up parameters whilst setting
up a simple infusion regime.
‘Change Set Up’ mode (see later section) contains configurable settings and features and is protected by
a user code from un-authorized access.
‘Technicians Menu’, used for service and/or repair of the Pump, is also protected by a special access
procedure and different user code from that for ‘Change Set Up’.
In normal use the nurse will not see these fields or be prompted for the technician codes.
Keypad Lock
As well as the ability to lock or limit certain infusion parameters or pump settings, T34LTM allows users to
lock the operation of the keypad if concerned about patients, relatives or un-trained personnel tampering
with the pump. To active the Keypad Lock: -
With the pump infusing, press and hold the INFO key until a
chart is displayed showing a bar moving from left (OFF) to
right (ON).
Hold the key until the bar has moved completely across the
screen and a beep is heard to confirm the lock has been
activated.
To turn the lock off repeat this procedure. The bar will now move from right (ON) to left (OFF)
and a beep will be heard to confirm de-activation.

NOTE: for safety reasons the keypad lock does not affect the operation of the START or STOP
keys as users or patients unaware of how to deactivate the lock may need to STOP an infusion
in an emergency and/or re-start the infusion (e.g. after clearing an alarm).
LOCK MODE
OFF ON

8 –Infusion Set Up & Programming
T34L™ Operator Manual
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Pre-LoadingUse NO to Interrupt …..
T34L
Version LCATXXXXX
ID: HOSPITAL NAME
Occlusion 540mmHgMax. Rate 5ml/hProgram Lock ONBattery Status 98%
8 –Infusion Set Up & Programming

NOTE: all three operating modes are covered below. Note instructions as to how programming
differs in each mode and how to tell what mode the pump is configured in.
Alarms Verification
Audible and visual alarm should be checked according to the following procedure: “switch on” the pump.
Wait more than 2 minutes with no action. Audible alarm and visual message “Pump paused too long”
should be activated.
Syringe Selection
The T34LTM is programmed to recognize most commonly used syringe brands from 2 to 60 ml. Luer lock
syringes MUST be used to ensure secure connection of the administration set.
Priming the Administration Set
1. After filling the syringe attach the administration set, prime manually and apply the clamp.
Warning: Never connect to the patient before loading the syringe into the pump.
Pre-Loading & Syringe Placement
2. Before turning the pump on ensure the syringe is not fitted and the barrel clamp arm is down
Power Up
3. Press ON/OFF key to power the pump up. Screen displayed during
pump Self Test shows (1) Pump model name, (2) Software version &
(3) Pump ID (default ‘Syringe Pump’ but can be configured to local
ID requirements e.g. asset no. or user site through BodyComm™ PC
software).
4. The display will indicate PRE-LOADING and the actuator will start to
move. Wait until it stops moving and the LOAD SYRINGE flashing
screen appears
5. During pre-loading a setting summary screen is displayed showing
key locked parameters that may be appropriate to/restrict the
programming of the pump.

NOTE: During Pre-Loading the actuator returns to the start position of the last infusion
programmed. If the user regularly uses the same syringe brand, size and fills to the same
volume the actuator will return to the correct position each time & not require adjustment.

8 –Infusion Set Up & Programming
T34L™ Operator Manual
15
10ml BD PlastipakSelect ↑↓ Press YES
Press YES to ResumeNO for New Program
6. If the actuator is not in the required position to accommodate the syringe leave the barrel clamp arm
down and use the FF or BACK keys to move the actuator to the required position (hold the syringe above
the device to gauge the correct location). Forward movement of the actuator is limited for safety reasons
so repeated presses of the FF key may be required. Backwards movement is not restricted).
Caution: The actuator can only be moved as described above. Do not use force to try to
move the actuator manually as this could damage the device and/or affect calibration.
7. Note that the syringe graphic on the Load Syringe screen flashes in three places, lift the barrel clamp arm
and load the syringe into the Pump. First position the flange/collar and plunger simultaneously. As you
correctly seat each point of the syringe note that the flashing indicator for that sensor becomes solid on
the display
8. Note that the syringe graphic on the Load Syringe screen flashes in three places, lift the barrel clamp arm
and load the syringe into the Pump. First position the flange/collar and plunger simultaneously. As you
correctly seat each point of the syringe note that the flashing indicator for that sensor becomes solid on
the display.
9. Finally lower the barrel clamp arm to sit on top of the syringe
barrel. If the syringe is correctly loaded the graphic (right) will
become solid (no flashing components) and the pump will display
the Size and Brand of the syringe detected.
Warning: Do not over-label the syringe or apply anything that changes its external diameter at
the point where the barrel clamp is applied as incorrect syringe detection may result leading to
the pump running at an inappropriate speed for the syringe loaded.
Syringe Detection & Confirmation
10. Check the LCD display to ensure that the Pump has correctly
identified the syringe size and brand.

NOTE: If the syringe brand displayed is not correct use the UP or DOWN arrow keys to scroll
between brands of similar dimensions. This will only happen if the syringe selected has
dimensions within +/-1mm of another commonly used brand that has not been disabled.
11. Press YES/START key to confirm the displayed syringe brand is correct
12. If the pump was stopped and turned off before the last program
reached “End Program” the Resume prompt screen will appear (e.g.
if, during an infusion, the pump was powered off). Press NO to
continue programming the new regime.

NOTE PURGE OPTION:In order to eliminate/reduce slack (visible spaces at the syringe
collar & plunger loading points) and ensure a faster start up time (time to reach the programmed
infusion rate), the user can purge the system (once only) up to a volume limit configured under
Change Set Up (max 0.5 ml). To use this option after syringe confirmation:
a. Press FF key.
b. Ensure the patient is NOT connected to the set & Press Yes to confirm.
c. Press and Hold the FF key until the slack is removed and/or purge is completed
d. Press STOP to return to programming screens when purge is completed.

8 –Infusion Set Up & Programming
T34L™ Operator Manual
16
10ml BD PlastipakVolume 12 mlChange ↑↓ Press YES
10ml BD PlastipakDuration 24:00Change ↑↓ Press YES
10ml BD PlastipakVolume 12 mlChange ↑↓ Press YES
Volume 12.0mlDuration 24:00Rate 0.50ml/hConfirm, Press YES
10ml BD PlastipakRate 0.5 ml/hConfirm, Press YES
10ml BD PlastipakRate 0ml/hChange ↑↓ Press YES
PROGRAMMING MAY NOW TAKE TWO DIFFERENT PATHS DEPENDING ON WHETHER THE
PUMP HAS BEEN CONFIGURED WITH PROGRAM LOCK ON OR
OFF. PROCEED AS FOLLOWS DEPENDING ON THE SCREEN DISPLAYED
PROCEED TO STEP 12 PROCEED TO STEP 18
PROGRAM LOCK IS OFF PROGRAM LOCK IS ON
Setting Infusion Parameters
13. Once the syringe brand & size are confirmed the pump calculates
and displays the deliverable volume in the syringe.
14. The user can use the arrow keys to adjust the Volume to Be Infused
(VTBI) e.g. to allow a residual volume for KVO (Keep Vein Open) if
required.
Warning: If the volume displayed after loading the syringe is significantly different than the
volume visually confirmed on the syringe scale, remove the syringe, turn off the pump, remove
the pump from use and return to an authorized service centre for inspection, testing and re-
calibration.
15. Press YES/START key to confirm VTBI
16. VOLUME OVER TIME MODE ONLY. The LCD display prompts the
user to set the infusion Duration. Press YES to confirm the Default
Duration or use the ↑↓ arrow keys to change the duration then press
YES.

NOTE: Every pump has a Default Duration set in the access code protected Change Set Up
menu. For example, senior clinical personnel may have set a 24:00 hour default duration. If so
the Duration screen will always default to this duration when New Program is selected.

NOTE: In RATE PER HOUR MODE the Duration screen does
not appear. Instead the pump skips straight to the RATE screen
(left), showing a rate of 0ml/h and asking the user to set the
rate using the ↑↓ arrow keys. In this mode the user sets the rate
required in ml/h instead of the pump calculating the rate based
on pre-set or selected duration). Use the ↑↓ keys to set the rate & press YES.
Setting the Infusion Rate
17. The Pump calculates and displays the rate (in milliliters per hour)
required to deliver the VTBI over the infusion duration confirmed.
18. Press YES to confirm the calculated rate.

8 –Infusion Set Up & Programming
T34L™ Operator Manual
17
Duration ChangedPlease Check rate
Volume 12 mlDuration 24:00Rate 0.5 ml/hConfirm, Press YES
Start Infusion?
Time Remaining 23:57Rate 0.5ml/hr<<<<< Pump Delivering
Time Remaining 23:58Rate 0.5ml/hr10ml BD Plastipak

NOTE: In VOLUME OVER TIME configuration (UNLOCKED)
the user can only set the rate by selecting the required duration.
If a change of rate is required, press NO to back up to the
duration screen and amend duration as required. Upon
confirmation of duration change, the pump alerts the user (right)
to check the new rate which is then displayed.

NOTE: In VOLUME OVER TIME Senior clinical personnel or technicians may have set a
MAXIMUM RATE LIMIT to prevent T34LTM being programmed at rates above a fixed limit in line
with the application the pump is regularly used for. Pump will not allow the user to scroll to a
duration that requires a rate above this limit to deliver the contents of the syringe over that time.
19. The Summary Screen displays the Volume (To Be Infused), Duration
and Infusion rate.
Warning: Always take time to check the contents of the summary screen match the
prescription before starting infusion.
20. Press YES/START to confirm acceptance of the pre-set (if Program Lock ON) or programmed (if LOCK
OFF) infusion parameters.
21. Pump prompts START INFUSION? Check administration set is
attached to patient access device and the clamp is released. Press
YES/START to commence infusion
22. Whilst infusing the display shows Infusion Time Remaining (top line), Infusion Rate (main/central line)
and the bottom line will alternate between Syringe Size & Brand and a delivery animation to indicate the
pump is running (in case the LED indicator on the keypad has been disabled to conserve battery life (see
Change Set Up).

9 –Accessories
T34L™ Operator Manual
18
9 –Accessories
Optional accessories for the T34LTM:
Carry pouch for pump (up to 50/60ml syringe)
Pole mounting unit
Carry Pouch
After the syringe has been loaded the T34LTM can be placed into the carry pouch to protect the Pump,
syringe & contents from damage or syringe displacement. The pouch can be carried on the shoulders or
over the waists.
Use of pouches for protection of pumps during transportation
WARNING: The T34L™syringe pump must always be used in a CME Ltd pouch or similar receptacle if
used in direct sunlight. If the pump is exposed to direct sunlight, it may affect functionality.
Using the pump with a CME Ltd. pouch or similar receptacle during transportation or patient ambulation
whilst the pump is infusing protects the pump functionality and the medication in the syringe from
exposure to direct sunlight. The pouch will also protect the pump from damage or syringe displacement.
When using the CME Ltd re-useable (washable) pouch, it is possible to access the screen and keypad of the
device during infusion by lifting the Velcro flap of the pouch whilst the pump remains in the pouch.
When using either a CME Ltd re-useable (washable) or disposable (single patient use) pouch it is possible to
remove the forward part of the device during infusion from the pouch to inspect the syringe without removing the
rear section of the device. CME Ltd pouches can be carried on the shoulder or around the waist for
convenience.

9 –Accessories
T34L™ Operator Manual
19
Pole Mounting Unit
The T34LTM is pole mountable, vertically of horizontally. Connect the pole mounting
unit to the pole using the adjusting screw, and just click in the T34LTM back hooks
onto the pole mounting unit.
Mounting device for two syringe pumps is also available.
Back hook
Release
handle
Adjusting
screw

10 –Recommended Checks during Infusion
T34L™ Operator Manual
20
VI 0.1ml
VTBI 14.2ml
Rate 0.6ml/h
20 ml BD Plastipak
Travel 3.61 mm/ml
Battery Level
50%
VTBI 10.01 VI 1.99
10 –Recommended Checks during
Infusion
It is recommended that procedures are established for regular checks on the progress of the infusion.
Patients, relatives as well as medical staff, should be made aware of a few simple checks that can be
made. These are to confirm the following: -
CHECK THE LCD DISPLAY to confirm the pump is still running at the same infusion rate as
originally set (unless the Titration option has been enabled and the user/patient has been
authorized to adjust the rate within the programmed limits)
CHECK THE GREEN LED IS FLASHING AND/OR “<<<<<Pump Delivering” animation appears
intermittently on the bottom line of the LCD display (green delivery LED can be disabled or the
interval lengthened to preserve battery life)
CHECK FOR SIGNS OF PHYSICAL DAMAGE to the Pump or accessories.
PRESS THE INFO KEY to check:
SINGLE PRESS - Volume to be Infused (VTBI) &
Volume Infused (VI). Syringe graphic shows VTBI
& VI in graphical form
DOUBLE PRESS for Battery life remaining shown as a
percentage and in graph form.

NOTE: After pressing the INFO key either a third press or waiting a few seconds returns the
display to the main infusion display screen. Excessive key presses or usage of the INFO feature
will reduce battery life. Use only as required to optimize battery performance.
Event Log (History)
The event log shows a complete time and date stamped record of the last 512 pump events along with a
record of pump status (volume infused, rate, etc) at the time of the event. Event log data cannot be
deleted or altered. To view the event log: -
1. Press STOP to temporarily interrupt the infusion
2. Press the INFO key and scroll to ‘Event Log’. Press YES to
confirm selection.
3. Screen now shows the most current event, alarm, date, time,
etc. Use the Up & Down arrow keys to scroll through events to find the event of interest (e.g.
an alarm or programming change).
4. Pressing INFO when on any chosen event to display further
data regarding this event. The user can scroll through the
information using the UP and DOWN arrow keys to check how
the pump was set up, whether keypad lock was ON and the
pressure settings and other technical data at the time of the
event.

NOTE: Each event is assigned a number and the pump stores the last 512 in memory. The
event log “loops” adding the newest and deleting the oldest event.
Event No.: 2635
04.03.2005 17:08
Switched ON
Press INFO - Details