Care Fusion Alaris GW Manual

s
Alaris® GW Volumetric Pump
(with Set Detection Mode disabled)
Directions For Use
en

1000DF00440 Issue 3 1/38
Alaris® GW Volumetric Pumps
Contents
Page
Introduction ..............................................................................................2
About This Manual ........................................................................................3
Quick Start Guide .........................................................................................3
Features of the Alaris® GW Volumetric Pump ...............................................................4
Controls and Indicators ....................................................................................5
Symbol Definitions ........................................................................................6
Operating Precautions ....................................................................................7
Getting Started ..........................................................................................10
Starting the Infusion .....................................................................................14
Secondary / Piggyback Infusions ..........................................................................15
Basic Features ............................................................................................16
User Selectable Options ..................................................................................19
Configurable Options Sheet ..............................................................................20
Alarms ...................................................................................................21
Warnings ................................................................................................22
Flow Sensor Operation ...................................................................................23
Compatible Dedicated Infusion Sets ......................................................................24
Associated Products ......................................................................................27
Maintenance .............................................................................................28
Cleaning and Storage ....................................................................................29
Specifications ............................................................................................30
IrDA, RS232 and Nursecall Specification ...................................................................33
Trumpet and Flow Rate Curves ...........................................................................34
Technical Description ....................................................................................35
Products and Spare Parts .................................................................................36
Service Contacts .........................................................................................37

1000DF00440 Issue 3 2/38
Alaris® GW Volumetric Pumps
Introduction
Introduction
The Alaris® GW Volumetric Pump (herein after referred to as 'Pump') is a small lightweight volumetric infusion pump that provides
accurate and reliable infusions over a range of rates.
To achieve the nominal performance stated in this DFU, CareFusion strongly recommends use of Alaris® GW branded dedicated infusion
sets. Facilities intending to use non-dedicated infusion sets with the set detection mode disabled are advised to assess performance
prior to clinical use. If adequate performance is not achieved, then Alaris® GW branded dedicated infusion sets should be used or the
Alaris® GW Volumetric Pump should be re-calibrated. The use of a flow sensor is mandatory when the automatic set detection mode on
the pump is disabled.
ADISCLAIMER. This pump has been tested and approved by CareFusion for use only with CareFusion dedicated
infusion sets. In the event the user is considering using infusion sets, not approved for use with the Alaris® GW
Volumetric Pump, the user should consult an authorized CareFusion representative for compatibility and/or
calibration information prior to use. In no event, however, does CareFusion make any representations or warranties
concerning the adequacy and safe performance of any non-dedicated infusion sets as it relates to the operation of
the pump and the accuracy of the infusion.
In no event shall CareFusion be liable for any damages of any kind or nature, including without limitation, direct or
indirect, special, consequential, or incidental damages arising from, or in connection with, the use of non-dedicated
infusion sets (Infusion sets not manufactured by CareFusion), regardless of whether CareFusion has been advised
as to the possibility of such use.
Intended Purpose
The Alaris® GW Volumetric Pump is intended for use by medical staff for the purpose of controlling infusion rate and volume.
Conditions for Use
The Alaris® GW Volumetric Pump should only be operated by medical staff competent in the use of automated volumetric pumps and
in the management of infusion therapy. Medical staff should determine the suitability of the device in their care area for its intended
purpose.
Indications
The Alaris® GW Volumetric Pump is indicated for the infusion of fluids, medications, parenteral nutrition, blood and blood products
through clinically acceptable routes of administration; such as intravenous (IV), intra-arterial (IA), subcutaneous, epidural or irrigation of
fluid spaces. The Alaris® GW Volumetric Pump is indicated for use on adults and paediatrics.
Contraindications
The Alaris® GW Volumetric Pump is contraindicated for enteral therapies.

1000DF00440 Issue 3 3/38
Alaris® GW Volumetric Pumps
About This Manual
About This Manual
The user must be thoroughly familiar with the pump described in this manual prior to use.
All illustrations used in this manual show typical settings and values which may be used in setting up the functions of the pump.
These settings and values are for illustrative use only. The complete range of settings and values are detailed in the specifications section.
Conventions used in this manual
BOLD Used for Display names, software commands, controls and indicators referenced in this manual, for
example, Battery Indicator, PURGE, ON/OFF button.
'Single quotes' Used to indicate cross-references made to another section of this manual.
Italics Used to refer to other documents or manuals and also used for emphasis.
AImportant Information: Wherever this symbol is shown an Important note is found. These notes highlight
an aspect of use that is important for the user to be aware of when operating the pump.
Quick Start Guide
1. Half fill the drip chamber.
2. Press a to switch pump on.
3. Load the infusion set and open in-line clamp.
4. Prime (E) set: Press b once. Whilst E is displayed press b again and hold to clear all visible air from the line.
5. Enter rate using h / f.
6. Press e once to confirm and scroll to VTBI.
7. Enter VTBI using h / f , or switch off VTBI by scrolling f until OFF is displayed.
8. Press e to confirm and scroll to VI.
9. If necessary, press c to clear VI.
10. Connect Infusion set to the patient access device.
11. Press d to start infusion.

1000DF00440 Issue 3 4/38
Alaris® GW Volumetric Pumps
Features of the Alaris® GW Volumetric Pump
Features of the Alaris® GW Volumetric Pump
Main Display -
Displays the infusion rate, VTBI, VI
and time remaining for VTBI / Time
infusions. Display will flash when
pump is operating on battery.
Tubing Guide -
Guide to assist in the loading
of the Infusion set.
Door Latch -
Press outer latch to
open the pump door.
Flow Stop Mechanism -
When activated the mechanism
will stop fluid flow.
Flow Direction Label
Bevel -
Releases the flow
stop mechanism lever
arm when the door is
closed.
Keypad
Display Indicators
Air Sensor Pressure Sensor
Infra Red
Communications
port (IrDA)
Folded Pole Clamp
Potential Equalisation
(PE) connector
Mains Inlet
Flow Sensor Interface
RS232 / Nurse call
Connector
Release Lever -
For Rotating cam.
Mains Fuses
Rotating Cam -
To lock onto the
rectangular bars.

1000DF00440 Issue 3 5/38
Alaris® GW Volumetric Pumps
Controls and Indicators
Controls and Indicators
Controls
Symbol Description
aON/OFF button - Press once to switch the pump ON. Press and hold down for approximately 3 seconds to
switch the pump OFF.
dRUN/HOLD button - Press to start the infusion or to put the infusion on hold.
cCLEAR/SILENCE button - Press to silence alarm for 1 minute. The alarm will resound after this time. Resets
numeric values to zero.
bPRIME/BOLUS button - Primes the Infusion set. Administers bolus during the infusion.
lPRIMARY/SECONDARY button - Switches the pump between Primary and Secondary infusion modes. (If
enabled).
eENTER button - Scrolls between rate, time, VTBI and total volume infused (VI). Enters values for selected infusion
/ configuration parameters. Confirms the rate during an infusion titration.
hf CHEVRON keys - Increases or decreases the infusion rate, TIME limit and VTBI. Press and hold to increase the
selection speed. Used to adjust user selectable options
Indicators: (when illuminated)
Symbol Description
SAC POWER indicator - When illuminated the pump is connected to an AC power supply.
RATE The pump is displaying the infusion rate in millilitres per hour (ml/h).
VTBI The pump is displaying the Volume To Be Infused (VTBI) in millilitres (ml).
VI The pump is displaying the Volume Infused (VI) in millilitres (ml).
TIME The pump is displaying the infusion time in hours : mins.
MICRO The pump is operating in the MICRO Mode. When not illuminated the pump is in the STANDARD Mode.
SEC The pump is operating in the SECONDARY Mode. When not illuminated the pump is in the PRIMARY Mode.
ml/hr (Millilitres / hour) When ml is illuminated the pump displays the rate, VTBI or VI. When the hr is illuminated the
pump displays the rate or infusion time.

1000DF00440 Issue 3 6/38
Alaris® GW Volumetric Pumps
Symbol Definitions
Symbol Definitions
Labelling Symbols:
Symbol Description
wAttention (Consult accompanying document)
xPotential Equalisation (PE) Connector
>RS232/Nursecall Connector.
kType CF applied part. (Degree of protection against electrical shock)
OProtected against vertically falling drops of water
rAlternating Current
sDevice complies with the requirements of Council Directive 93/42/EEC as amended by 2007/47/EC.
TDate of Manufacture
tManufacturer
+Connector for Flow Sensor
UNot for Municipal Waste
WFuse rating
EC REP Authorised representative in the European Community
XInfusion indicator - Displays fluid drops detected by the flow sensor when infusing at a normal rate.
YInfusion indicator - Displays fluid drops detected by the flow sensor when infusing in MICRO mode.

1000DF00440 Issue 3 7/38
Alaris® GW Volumetric Pumps
Operating Precautions
Operating Precautions
Infusion Sets
• To ensure correct and accurate operation, only use CareFusion single use infusion sets described in the
'Compatible Dedicated Infusion Sets' section of this Directions for Use. Use an infusion set with an anti-
siphon valve whenever possible. The anti-siphon valve prevents free flow from occurring if an infusion set is
incorrectly loaded or removed from the pump.
• It is recommended that Infusion sets are changed in accordance with the Directions for Use.
Carefully read the Directions For Use supplied with the Infusion set prior to use. Use of non-specified Infusion
sets may impair the operation of the pump and the accuracy of the infusion.
• When combining several apparatus and/or instruments with Infusion sets and other tubing, for example via
a 3-way tap or multiple Infusion, the performance of the pump may be affected and should be monitored
closely.
j• Uncontrolled flow may result if the Infusion set is not properly isolated from the patient i.e. closing a tap in
the set or activating an in-line clamp/roller clamp.
• The Infusion set may be fitted with an in-line clamp, which can be used to occlude tubing in case it is
required to stop fluid flow.
• The Alaris® GW Volumetric Pump is a positive pressure pump, which should use Infusion sets fitted with Luer
lock fittings or equivalent locking connectors.
• To infuse from a burette, close the roller clamp above the burette and open the clamp on the vent on top of
the burette.
• Discard Infusion set if the packaging is not intact or the protector cap is detached. Ensure sets are not kinked
as this may occlude the tubing.
• CareFusion recommends the use of the IVAC® Model 180 Flow Sensor when using sets without anti-siphon
valves or the mandatory use of the IVAC® Model 180 Flow Sensor whenever the pump set detection mode is
disabled. The flow sensor automatically monitors the infusion flow rate through the drip chamber and will
cause the pump to alarm if a significant deviation from the infusion rate occurs. The flow sensor will detect
empty containers.
Mounting the Pump
^• The fluid height in the container must not be more than 1 metre above the patients heart.
%; • Do not mount the pump in a vertical position with the AC power inlet pointing upwards as this could affect
electrical safety, in the event of a fluid spill over the pump.
Operating Pressure
• The pumping pressure alarm system is not designed to provide protection against, or detection of, IV
complications which can occur.
Alarm Conditions
$• Several alarm conditions detected by this pump will stop the infusion and generate visual and audible
alarms. Users must perform regular checks to ensure that the infusion is progressing correctly and no alarms
are operating.

1000DF00440 Issue 3 8/38
Alaris® GW Volumetric Pumps
Operating Precautions
Using Collapsable bags, Glass Bottles & Semi Rigid containers
• It is recommended that the air vent be opened on the Alaris® GW Volumetric Pump set if using glass bottles
or semi-rigid containers, to reduce the partial vacuum formed as the fluid is infused from the container.
This action will ensure the pump can maintain volumetric accuracy whilst the container empties. The action
of opening the air vent for semi-rigid containers should take place after the spiking of the container and
priming of the drip chamber.
Steps for Semi-rigid containers
4.
5.
3.
2.
Spike the
container
Fill drip
chamber to
fill line
Prime the set by
opening / closing the
roller clamp
1.
Close the
roller clamp
Open the air vent
to allow pressure
equalisation - ready
for infusion
Steps for the Collapsable bags
Follow steps 1 to 3 as shown for
the semi-rigid containers, however
do not open vent as in step 4, but
prime the set as per step 5. Ensure
the bag outlet is fully pierced
before filling the drip chamber.
Operating Environment
• When using any infusion pump in conjunction with other pumps or devices requiring vascular access,
extra care is advised. Adverse delivery of medication or fluids can be caused by the substantial variation in
pressures created within the local vascular system by such pumps. Typical examples of those pumps are used
during dialysis, bypass or cardiac assist applications.
• This pump is suitable for use in Hospital and clinical environments other than domestic establishments and
those directly connected to the public single phase AC mains power supply network that supplies buildings
used for domestic purposes. However, it may be used in domestic establishments under the supervision of
Medical professionals with additional necessary appropriate measures. (Consult Technical Service Manual,
appropriately trained technical personnel or CareFusion for further information).
• This pump is not intended to be used in the presence of a flammable anaesthetic mixture with air or oxygen
or nitrous oxide.
• Align all Alaris® GW Volumetric Pumps within a particular hospital or clinical environment to the same
automatic set detection mode (ie. All On or all OFF) to avoid potential confusion amongst users as to the
mode in which the pump is operating under and hence to ensure that the appropriate recommendations for
flow sensor usage are followed.

1000DF00440 Issue 3 9/38
Alaris® GW Volumetric Pumps
Operating Precautions
Electromagnetic Compatibility and Interference
/• This pump is protected against the effects of external interference, including high energy radio frequency
emissions, magnetic fields and electrostatic discharge (for example, as generated by electrosurgical and
cauterising equipment, large motors, portable radios, cellular telephones etc.) and is designed to remain safe
when unreasonable levels of interference are encountered.
• Therapeutic Radiation Equipment: Do not use the pump in the vicinity of any Therapeutic Radiation
Equipment. Levels of radiation generated by the radiation therapy equipment such as Linear Accelerator,
may severely affect functioning of the pump. Please consult manufacturer’s recommendations for safe
distance and other precautionary requirements. For further information, please contact your local CareFusion
representative.
• Magnetic Resonance Imaging (MRI): The pump contains ferromagnetic materials which are susceptible to
interference with magnetic field generated by the MRI devices. Therefore, the pump is not considered an MRI
compatible pump as such. If use of the pump within an MRI environment is unavoidable, then CareFusion
highly recommends securing the pump at a safe distance from the magnetic field outside the identified
Controlled Access Area in order to evade any magnetic interference to the pump; or MRI image distortion.
This safe distance should be established in accordance with the manufacturers’ recommendations regarding
electromagnetic interference (EMI). For further information, please refer to the product technical service
manual (TSM). Alternatively, contact your local CareFusion representative for further guidance.
• Accessories: Do not use any non-recommended accessory with the pump. The pump is tested and compliant
with the relevant EMC claims only with the recommended accessories. Use of any accessory, transducer
or cable other than those specified by CareFusion may result in increased emissions or decreased pump
immunity.
&
• In some circumstances the pump may be affected by an electrostatic discharge through air at levels close
to or above 15kv; or by radio frequency radiation close to or above 10v/m. If the pump is affected by this
external interference the pump will remain in a safe mode; the pump will duly stop the infusion and alert
the user by generating a combination of visual and audible alarms. Should any encountered alarm condition
persist even after user intervention, it is recommended to replace that particular pump and quarantine the
pump for the attention of appropriately trained technical personnel.
• This pump is a CISPR 11 Group 1 Class B device and uses RF energy only for its internal function in the normal
product offering. Therefore, its RF emissions are very low and are not likely to cause any interference with the
nearby electronic equipment. However, this pump emits a certain level of electromagnetic radiation which
is within the levels specified by IEC/EN60601-1-2 and IEC/EN60601-2-24. If the pump interacts with other
equipment, measures should be taken to minimise the effects, for instance by repositioning or relocation.
• For further information on electromagnetic compatibility, please consult Technical Service Manual,
1000SM00006.
Earth Conductor
d• The Alaris® GW Volumetric Pump is a Class I device, therefore must be earthed when connected to an AC
power supply.
• This pump also has an internal power source.
• When connected to an external power source, a three-wire (Live, Neutral, Earth) supply must be used. If the
integrity of the external protective conductor on the AC power cable has been compromised, the pump
should be disconnected from the AC power source and operated utilising the internal battery.
Hazards
B• An explosion hazard exists if the pump is used in the presence of flammable anaesthetics. Exercise care to
locate the pump away from any such hazardous sources.
• A fire hazard may exist if the pump is used in the presence of high oxygen concentrations.
m• Dangerous Voltage: An electrical shock hazard exists if the pump’s casing is opened or removed. Refer all
servicing to qualified service personnel.
V• Electrostatic discharge (ESD) precautions are required when connecting RS232/Nurse Call. Touching the pins
of the connectors may result in ESD protection failure. It is recommended that all actions must be taken by
appropriately trained personnel.
*• If this pump is dropped, subjected to excessive moisture, fluid spillage, humidity or high temperature, or
otherwise suspected to have been damaged, remove it from service for inspection by a qualified service
engineer. When transporting or storing the pump, use original packaging where possible, and adhere to
temperature, humidity and pressure ranges stated in the Specifications section and on the outer packaging.

1000DF00440 Issue 3 10/38
Alaris® GW Volumetric Pumps
Getting Started
Getting Started
ABefore operating the pump read this Directions For Use (DFU) manual carefully.
Initial Set Up
1. Check that the pump is complete, undamaged and that the voltage rating specified on the label is compatible with your AC power
supply.
2. Items supplied are :
• Alaris® GW Volumetric Pump
• User Support CD (Directions For Use)
• AC Power Cable (as requested)
• Protective Packaging
• Model 180 Flow Sensor (Pump model dependent, if not supplied then the flow sensor can be ordered separately)
3. Connect the pump to the AC power supply for at least 2½ hours to ensure that the internal battery is charged (verify that the S is
lit).
AThe pump will automatically operate from its internal battery if the pump is switched on without being connected
to the power supply.
Should the pump fail to perform correctly, replace in its original protective packaging, where possible and contact
a qualified service engineer for investigation.
4. Facilities intending to use non-dedicated infusion sets with the Set Detection Mode disabled are advised to assess performance of
the pump and infusion set combination prior to clinical use. If adequate performance is not achieved, then the Alaris® GW branded
dedicated infusion sets should be used or the pump should be recalibrated by following the volumetric calibration procedure
described in the Technical Service Manual Addendum 1000SM00014.
AFactory set calibration values in the Alaris® GW Volumetric Pump are intended specifically to support the use of
Alaris® GW branded dedicated infusion sets. Compatibility of factory calibration settings with Alaris® GW branded
dedicated infusion sets is controlled by CareFusion.
CareFusion reserves the right to make changes to the Alaris® GW Volumetric Pump without notice which may
affect its performance with non-dedicated infusion sets. If adequate performance is not achieved, then Alaris® GW
branded dedicated infusion sets should be used or the Alaris® GW Volumetric pump should be re-calibrated.
It is recommended that the performance of any non-dedicated infusion set is re-evaluated periodically as the set
manufacturer may change specifications significant to the performance of the Alaris® GW Volumetric Pump without
notice.

1000DF00440 Issue 3 11/38
Alaris® GW Volumetric Pumps
Getting Started
Pole Clamp Installation
A pole clamp is fitted to the rear of the pump and will provide secure fixing to vertical I.V. poles of a diameter between 15 and 40 mm.
**
Recessed
area
1. Pull the folded pole clamp towards you and unscrew the clamp to leave
enough room for the size of the pole.
2. Place pump around pole and tighten screw until the clamp is secured to the
pole.
ANever mount the pump such that the Infusion stand becomes
top heavy or unstable.
Ensure pole clamp is folded away and stored within recessed
area at the rear of the pump before connecting to a Docking
Station/Workstation* or when not in use.
Docking Station/Workstation* or Equipment Rail Installation
Release lever
Rectangular bar Rotating cam The rotating cam can be fitted to the rectangular bar on the
Docking Station/Workstation* or equipment rails measuring 10mm
by 25mm.
1. Align the rotating cam on the rear of the pump with the
rectangular bar on the Docking Station/Workstation* or the
equipment rail.
2. Push the pump firmly onto the rectangular bar or equipment
rail.
3. Ensure that the pump 'clicks' securely into position onto the rail
or bar.
4. To release, push the release lever and pull the pump forwards.
AIt is recommended that infusion bags be located on a hanger directly above the pump with which they are being
used. This minimises the potential for confusion of Infusion sets when multiple volumetric pumps are used.
*Alaris® DS Docking Station and Alaris® Gateway Workstation.

1000DF00440 Issue 3 12/38
Alaris® GW Volumetric Pumps
Getting Started
Loading an Infusion Set
AEnsure the appropriate Infusion set for the fluid/drug to be infused has been selected.
Follow the instructions supplied with the individual Infusion set.
Use of non-specified Infusion sets may impair the operation of the pump and the accuracy of the infusion. For
Alaris® GW Volumetric Pump Infusion sets refer to 'Infusion Sets' section of the DFU.
Position the IV fluid container to avoid spillage onto the pump.
Ensure that the tubing is inserted completely into the pumping channel, avoiding any slack.
When using 273-003 Infusion sets, ensure a separation of at least 30cm is maintained between the pump and the
upper Y-site.
1. Close the in-line clamp on the Infusion set. Press the door latch to open the
tubing cover door.
2. Release the flow stop mechanism by pushing the lever arm up and to the right.
3. Avoiding any slack, insert the infusion set from left to right into the slot
provided, following the flow direction label. Make sure that the infusion set is
pressed firmly past the constriction points and into the slots on either side of
the casing.
4. Re-engage the flow stop mechanism by pushing the lever left and down.
5. Close the tubing cover door. Use the recesses in the cover door to press the
door firmly to ensure the latch is correctly applied. Open in-line clamp on the
Infusion set.
6. Observe fluid chamber and check for no fluid flow.

1000DF00440 Issue 3 13/38
Alaris® GW Volumetric Pumps
Getting Started
Power On/Off
To power up the pump:
1. Press the a button once and release.
2. Check:
• A high pitch sounder is activated for 3 seconds during this time the main speaker 'beeps' once upon power up sequence.
• All display segments and all indicators are lit.
• If an error occurs during self-test the pump will alarm.
3. After this self-test the pump will display last rate setting entered or zero, depending on the configuration.
To power down the pump:
1. Press and hold a. The pump will display OFF3-OFF2-OFF1.
2. If the a button is released during the countdown the pump will not power down and it will return to its previous state.
AIf the pump alarms, segments / indicators do not light up correctly or 2 audible sounds are not heard, then the pump
must be powered down immediately, and a qualified service engineer contacted. If transportation to an engineer is
necessary, it is recommended to use the original protective packaging.
Priming the Infusion Set
AUse an infusion set with an anti-siphon valve whenever possible. The anti-siphon valve prevents free flow from
occurring if an infusion set is incorrectly loaded or removed from the pump. Infusion sets with an anti-siphon valve
can only be primed when loaded in the pump.
When using infusion sets without an anti-siphon valve eg. 273-004, 273-007 and 273-008, the infusion set can be
primed without using the pump. Use of a flow sensor is recommended when using an infusion set without an anti-
siphon valve. The flow sensor will cause the pump to alarm if a significant deviation from the set infusion rate occurs.
1. Ensure the pump is switched on and in-line clamp is open.
2. Load the Infusion set (see 'Loading the Infusion Set').
3. Press b button once E will be displayed.
4. Press and Hold b button while E is still displayed, prime the Infusion set until there is no visible air in the IV line (according to
hospital protocol).
5. Attach the set to the patient or other Infusion set.
6. Start the infusion (see 'Starting the Infusion').
AUse the prime function to fill the Infusion sets before starting an infusion.
Never connect the Infusion set to the patient during the priming process.
The prime (E) volume delivered will not be subtracted from the VTBI, or added to the total volume infused.
Automatic Set Detection
When using a compatible dedicated CareFusion infusion set (refer to 'Compatible Dedicated Infusion Sets' section), it is recommended
that the set detection mode is enabled on the Alaris® GW Volumetric Pump. This mode can be enabled in Technician Mode on the pump
(refer to the Technical Service Manual addendum 1000SM00014 for more details).
Align all Alaris® GW Volumetric Pumps within a particular hospital or clinical environment to the same automatic set detection mode (ie.
All On or all OFF). This will help to avoid potential confusion amongst users as to the mode in which the pump is operating under and
hence to ensure that the appropriate recommendations for flow sensor usage are followed.
When the automatic set detection is set to On, the pump automatically tests that a compatible CareFusion Infusion set has been loaded
correctly (refer to 'Compatible Dedicated Infusion Sets' section). The test will occur at the start of the first infusion after the pump is
switched on or after the door has been opened; the pump will run in reverse for 10 seconds and then forward for 10 seconds, the test
takes a maximum of 20 seconds to complete. During this operation the clinician may observe a blood return that will be more evident if
using a small catheter.
If the pump fails to detect a correct CareFusion Infusion set or detects a possible set misload, then the pump will alarm and display
Q refer to 'Alarms and Warnings' section of this DFU.
Please contact your local CareFusion representative if further information or support is required regarding the Automatic Set Detection
operation or the application of this pump in specific clinical settings, e.g. neonatal.

1000DF00440 Issue 3 14/38
Alaris® GW Volumetric Pumps
Starting the Infusion
Starting the Infusion
Check:
• The pump is switched on.
• The Infusion set has been primed (refer to 'Priming the Infusion Set' section of this DFU).
• The in-line clamp is open.
• The flow sensor is connected (refer to 'Flow Sensor Operation' section of this DFU).
• U indicates a drop is detected by the flow sensor during infusion.
Standard Mode
1. Enter infusion rate using the f h keys.
2. Press e button once to confirm the infusion rate.
3. Enter VTBI using the f h keys or switch VTBI off by pressing the f button until OFF is displayed.
4. Press e button to confirm the VTBI.
5. Press c to clear VI if required.
6. Press d button to start infusing.
Standard Mode with VTBI / Time Infusion on
1. Enter VTBI using the f h keys.
2. Press e button once to confirm the VTBI.
3. Enter TIME using the f h keys.
4. Press e button to confirm the TIME.
5. Press c to clear VI if required.
6. Press d button to start infusing.
Micro Mode
1. Enter infusion rate using the f h keys.
2. Press e button once to confirm the infusion rate.
3. Enter VTBI using the f h keys or switch VTBI off by pressing the f button until OFF is displayed.
4. Press e button to confirm the VTBI.
5. Press c to clear VI if required.
6. Press d button to start infusing.
Micro Mode with VTBI / Time Infusion on
1. Enter VTBI using the f h keys.
2. Press e button once to confirm the VTBI.
3. Enter TIME using the f h keys.
4. Press e button to confirm the TIME.
5. Press c to clear VI if required.
6. Press d button to start infusing.

1000DF00440 Issue 3 15/38
Alaris® GW Volumetric Pumps
Secondary / Piggyback Infusions
Secondary / Piggyback Infusions
Secondary (or piggyback) Infusion mode is only available if configured, refer to Configurable Options section of this DFU.
Secondary Infusion mode is used to administer an intermittent fluid / drug solution e.g. 4 hourly antibiotic infusion using:
• A primary infusion set with an in-line check valve before the Y-Injection site e.g. 273-003 or 273-303E.
• A secondary infusion set e.g. 72213 or 72213N.
APrimary fluid container must hang lower (approximately 20cm lower) than the secondary fluid container to allow
the secondary infusion to run. Primary infusion will restart on completion of the secondary infusion.
1. Set the primary infusion, but do not start (refer to 'Starting the Infusion' section of this DFU). If pump is running press d button to
put pump on hold.
2. Prime Secondary Infusion set, following the instructions supplied.
3. Close the in-line clamp on the secondary set.
4. Connect secondary Infusion set into upper Y-injection site of the primary Infusion set.
5. Lower primary fluid container using extension hook supplied with the secondary Infusion set.
6. Press l button and S will be displayed.
Rate / Volume Or VTBI / TIME
7. Enter required rate using the hf keys. Enter VTBI using the hf keys.
8. Press e button to scroll to VTBI. Press e button to scroll to TIME.
9. Enter VTBI using the hf keys. Enter TIME using hf keys.
10. Open the in-line clamp on the secondary set.
11. Press e button to scroll further, or press d button to start the secondary infusion.
12. Ensure the SEC (Secondary) indicator is lit.
Note: The infusion rate will automatically revert to the primary infusion rate when the secondary infusion is complete. On completion
of the primary infusion the pump will continue at Keep Vein Open rate (KVO) rate.
ADuring primary / secondary infusion of 2 drugs into a single lumen line, it is essential to ensure drug / fluid
compatibility by consulting a drug compatibility chart or local pharmacist, prior to infusion.
The secondary set connects to the upper Y-connection on the primary Infusion set.
To set the Secondary Infusion the pump must be on G or not running.
Secondary infusion rates above 270ml/h may cause simultaneous flow from secondary and primary fluid sources.
Typical Secondary Infusions:
Extension Hook
Normally included with the secondary Infusion
set.
Primary Infusion set must hang lower to allow the
secondary infusion to run and primary infusion to
restart on completion of the secondary.
Primary Fluid Container
Secondary Fluid Container
Usually a smaller container e.g.
50ml, 100ml, 200ml or 250ml.
Secondary Infusion Set
e.g. 72213. Usually shorter
tubing to reach the Y-site on
the primary Infusion set.
Primary Infusion set
e.g. 273-003 with an upper Y-injection site.
In-line Clamp
e.g. roller clamp.
In-line Clamp e.g Roberts clamp.
IV Pole
Check Valve
Prevents secondary infusions
from flowing back up the
primary Infusion set instead
of to the patient.
Upper Y-Injection Site on
Primary Infusion Set.
1
2
AIf using a flow sensor it must be
on the primary Infusion set.

1000DF00440 Issue 3 16/38
Alaris® GW Volumetric Pumps
Basic Features
Basic Features
Rate Titration
1. Enter the new infusion rate using the f h keys.
2. Press e button to confirm the infusion rate.
Note: The rate can be increased or decreased without interrupting the infusion.
AIf the new rate selected is not confirmed the pump will revert to the current rate and no change in the infusion rate
will occur.
Bolus Infusions
To administer a bolus infusion:
1. Press b button once and C will be displayed.
2. Press and Hold b button while C is still displayed, release b button after administering the desired bolus volume.
Note: Bolus volume given will be added to the total volume infused (VI) and subtracted from the volume to be infused (VTBI).
Panel Lock
The Panel Lock feature minimises the risk of unintentional changes to the infusion settings, whilst infusing.
p
If Panel Lock is enabled then displays for all (non-operational) button presses.
Panel Lock prevents button operation with the exception of:
• Scrolling between infusion parameters using the e button.
• Muting the alarm using the c button.
• Pausing / resuming the infusion using the d button.
Optimising the Pumps Performance
Pump performance may be optimised by moving a new section of the infusion set in the pumping mechanism every 24 hours. To insert
a new section of tubing:
1. Press d to place the infusion on HOLD.
2. Ensure the in-line clamp is closed.
3. Open the pump door, release the flow stop mechanism and move the Infusion set approximately 15cm along. See 'Loading the
Infusion Set'.
4. Close the door, press d to restart the infusion.
Hold Mode
Press d to pause the infusion. Press d again to resume the infusion.
A call back alarm will activate if the pump is left on G for more than 2 minutes.
KVO (Keep Vein Open) Rate
At the end of infusion, the pump will continue to infuse at a very low rate (refer to 'Specifications' section of this DFU). KVO is used to
keep the patients vein open, in order to prevent blood clots and catheter occlusions.
AIf the KVO rate is greater than the set infusion parameters then the pump will continue to infuse at the set infusion
rate.
If the KVO rate has been configured to OFF the pump will stop infusing and generate an alarm.

1000DF00440 Issue 3 17/38
Alaris® GW Volumetric Pumps
Basic Features
Changing the Infusion Set
1. Press d to put the pump ON HOLD.
2. Close in-line clamp and ensure the IV access to the patient is isolated.
3. Disconnect the Infusion set from the patient.
4. Open pump door and remove Infusion set from the pump and discard the set and fluid container according to hospital protocol.
5. Place new Infusion set into pump, see 'Loading the Infusion Set'.
6. Squeeze the drip chamber approximately half full or up to fill line (if the drip chamber is marked) with fluid.
7. Prime the set manually.
8. Restart infusion, see 'Getting Started'.
AWhen changing the Infusion set or the fluid container use aseptic technique according to hospital protocol. It
is recommended that Infusion sets are changed in accordance with the Directions for Use. Carefully read the
Directions For Use supplied with the Infusion set prior to use. The set change interval is 24 hours.
Changing the Fluid Container
1. Press d to put the pump ON HOLD.
2. Remove bag spike on Infusion set from empty / used container. Discard empty / used container according to hospital protocol.
3. Insert spike into new container.
4. Squeeze the drip chamber approximately half full or up to fill line (if the drip chamber is marked) with fluid.
5. Restart infusion, see 'Getting Started'.
AWhen changing the Infusion set or the fluid container use aseptic technique according to hospital protocol. It
is recommended that Infusion sets are changed in accordance with the Directions for Use. Carefully read the
Directions For Use supplied with the Infusion set prior to use.
SmartSite® Needle-Free System Instructions
SmartSite® Needle-Free Valve is designed to permit safe gravity flow and automated flow, injection and aspiration of fluids without the
use of needles by utilising Luer lock and Luer slip connectors.
APrecautions:
Discard if packaging is not intact or protector caps are unattached.
If SmartSite® Needle-Free Valve is accessed by a needle in an emergency the valve will be damaged causing leakage.
Replace SmartSite® Needle-Free Valve immediately.
SmartSite® Needle-Free Valve contraindicated for blunt cannula system.
DO NOT leave slip Luer syringes unattended.
DIRECTIONS - Use Aseptic Technique
1. Prior to every access, swab top of SmartSite® Needle-Free Valve port with 70% Isopropyl alcohol (1-2 seconds) and allow to dry
(approximately 30 seconds).
NOTE: Dry time is dependent on temperature, humidity, ventilation of the area.
2. Prime valve port. If applicable, attach syringe to SmartSite® Needle-Free Valve port and aspirate miniscule air bubbles.
3. When used with administration sets always refer to individual set directions for use as change interval may vary according to clinical
application (e.g. infusions of blood, blood products, and lipid emulsions).
NOTE: During use of Needle-Free Valve port, fluid may be observed between the housing and blue piston. This fluid does not enter
the fluid path and requires no action.
NOTE: For product questions or needle-free valve educational materials, contact your CareFusion representative. Consult facility
protocols. Consult other organisations that publish guidelines useful in developing facility protocols.

1000DF00440 Issue 3 18/38
Alaris® GW Volumetric Pumps
Basic Features
Clearing Air-In-Line
1. Press d button to silence the air-in-line alarm and put the pump on hold.
2. Close the in-line clamp.
3. Open the door to view the air bubble.
NOTE: Air-in-line alarms can be activated by both single bubbles and bubbles accumulated over time.
4. Disconnect the Infusion set from the patient and ensure the IV access to the patient is isolated.
5. Close the door.
6. Open the in-line clamp.
7. Press the b button once and E will be displayed.
8. Press and hold the b button while E is still displayed until there is no visible air in the IV line (according to hospital protocol).
9. Close the in-line clamp.
10. Attach the Infusion set to the patient.
11. Open the in-line clamp and restore the IV access to the patient.
12. Press the d button to resume the infusion.
AUse aseptic technique according to hospital protocol.
AInfusion sets without an in-line anti-siphon valve must be clamped before disconnecting from the patient and the
prime (E) procedure will not be necessary to remove the air-in-line, as the air can be removed by gravity.

1000DF00440 Issue 3 19/38
Alaris® GW Volumetric Pumps
User Selectable Options
User Selectable Options
ATo set the user options the pump must be on G or in set-up mode, and the relevant user selectable options are
enabled. See also 'Configurable Options' section in this DFU.
Press e button and hold for 2 seconds to enter User Selectable Options.
Note: Number of e button presses are dependent upon the User Select Mode Options which have been enabled. The following
instructions are based upon all options being enabled.
Setting the Occlusion Pressure Level
1. When PrES is displayed.
2. Select HI, nor or Lo using the h f keys to set the occlusion pressure level to High, Normal or Low.
3. Press e button to return to G or set-up mode or next option.
Setting the Alarm Volume
1. Press e button until tonE is displayed.
2. Select an alarm volume between 1 (Low) and 7 (High) using the h f keys.
3. Press e button to return to G or set-up mode, or next option.
Setting a VTBI / Time Infusion
1. Press e button until R is displayed.
2. Select On or OFF using the h f keys to turn the VTBI / time infusion setting on or off.
3. Press e button to return to G or set-up mode, or next option.
4. Make sure that the TIME indicator is lit if set to on.
Note: The TIME increases / decreases in rate dependant units e.g. 10ml @ 99.9ml/h is 6mins, therefore 0:06 is displayed.
Setting to Micro Mode
1. Press e button until T is displayed.
2. Select On or OFF using the h f keys to turn micro mode on or off.
3. Press e button to return to G or set-up mode, an audible sounder will confirm the status.
4. Make sure that the MICRO indicator is lit if set to on.