Hospira LifeCare PCA Infusion System User manual

Software
Compatible with
Infusion System
For Use with List Number 20837-04,
and for List Number 20709-04
Upgraded with 7.x Software
Hospira, Inc.
275 North Field Drive
Lake Forest, IL 60045, USA
430-97354-001 (F, 2016-02)
System Operating Manual

LifeCare PCA Infusion System
System Operating Manual
Change History
Title Description of Change
430-97354-001
(E, 2015-05)
Initial Release
430-97354-001
(F, 2016-02)
Added information for upgraded pumps (Cover,
Chapter 1, Chapter 11)
Updated Programming a Loading Dose
instructions (Chapter 5)
Updated Clearing Shift Totals instructions
(Chapter 7)
Added cleaning/disinfecting instructions for
the patient pendant strap (Chapter 8)
Updated Appendix C to clarify alarm
information

LifeCare PCA Infusion System
System Operating Manual iii
Contents
CHAPTER 1
INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
INDICATIONS FOR USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
LIFECARE PCA INFUSION SYSTEM
WITHOUT HOSPIRA MEDNET SOFTWARE . . . . . . . . . 1-2
LIFECARE PCA INFUSION SYSTEM
WITH HOSPIRA MEDNET SOFTWARE . . . . . . . . . . . . 1-2
LIST NUMBER 20709-04 UPGRADED TO 7.XSOFTWARE. . . . 1-3
CONVENTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
PRODUCT DESCRIPTION. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
PATIENT SELECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
CONTRAINDICATIONS FOR USE . . . . . . . . . . . . . . . . . . . 1-6
USER QUALIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
VIEWING THE DISPLAY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
HOSPIRA PRE-FILLED VIALS . . . . . . . . . . . . . . . . . . . . . . . . 1-7
PHARMACY-FILLED (CUSTOM) VIALS . . . . . . . . . . . . . . . . . . 1-8
EQUIPMENT DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
FRONT VIEW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
VIAL CRADLE ASSEMBLY . . . . . . . . . . . . . . . . . . . . . . 1-10
REAR VIEW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11
EQUIPOTENTIAL TERMINAL . . . . . . . . . . . . . . . . . . . . . 1-12
PATIENT PENDANT . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
BUTTONS AND KEYS . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
BATTERY CHARGE LEVEL . . . . . . . . . . . . . . . . . . . . . . 1-17
WIRELESS STRENGTH . . . . . . . . . . . . . . . . . . . . . . . . . 1-18
ALARM TREATMENT . . . . . . . . . . . . . . . . . . . . . . . . . . 1-19
EPIDURAL ADMINISTRATION . . . . . . . . . . . . . . . . . . . . . . . . 1-20
ELECTRICAL ARTIFACTS . . . . . . . . . . . . . . . . . . . . . . . . . . 1-22
INTERCONNECTING OF EQUIPMENT . . . . . . . . . . . . . . . 1-24
GUIDANCE ON EMC COMPATIBILITY . . . . . . . . . . . . . . . . . 1-24
FCC INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25
US FCC (FEDERAL COMMUNICATIONS COMMISSION)
STATEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-25
FCC INTERFERENCE STATEMENT . . . . . . . . . . . . . . . . 1-26

Contents
iv System Operating Manual
WIRELESS DEVICE CAUTION . . . . . . . . . . . . . . . . . . . . 1-27
RADIO FREQUENCY EXPOSURE STATEMENT. . . . . . . . . 1-27
WARNINGS AND PRECAUTIONS. . . . . . . . . . . . . . . . . . . . . . 1-28
MALFUNCTION ALARM . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-30
BATTERY OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-31
CHAPTER 2
SETUP AND OPERATION . . . . . . . . . . . . . . . . . . . 2-1
INFUSER CONFIGURATIONS
ON AN IV POLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
ATTACHING AN INFUSER TO AN IV POLE. . . . . . . . . . . . . . . . 2-3
REMOVING AN INFUSER
FROM AN IV POLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
ADMINISTRATION SETS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
PRIMING THE ADMINISTRATION SET . . . . . . . . . . . . . . . . . . . 2-8
MANUALLY PRIMING THE ADMINISTRATION SET . . . . . . . 2-8
PRIMING THE ADMINISTRATION SET ON THE INFUSER . . . 2-9
LOADING AVIAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-12
VIAL CHANGES
AND DISCONTINUING THERAPY. . . . . . . . . . . . . . . . . . . 2-15
CHANGING OR REMOVING AVIAL WITH THE SAME
MEDICATION AND CONCENTRATION . . . . . . . . . . . . 2-15
CHANGING OR REMOVING AVIAL WITH DIFFERENT
MEDICATION AND/OR CONCENTRATION . . . . . . . . . 2-16
DISCONTINUING APCA THERAPY . . . . . . . . . . . . . . . . 2-18
CHAPTER 3
MODES OF DELIVERY. . . . . . . . . . . . . . . . . . . . . . 3-1
MODES OF DELIVERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
PCA ONLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
CONTINUOUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-2
PCA + CONTINUOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
DOSE LIMIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-4

LifeCare PCA Infusion System
System Operating Manual v
CHAPTER 4
PROGRAMMING INFUSERS WITH
HOSPIRA MEDNET SOFTWARE. . . . . . . . . . . . . . 4-1
WARNINGS AND CAUTIONS . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
LOADING DOSE/DOSE LIMITS. . . . . . . . . . . . . . . . . . . . . . . . 4-3
PATIENT PENDANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
SYSTEM SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
ADJUSTING CONTRAST OF MAIN DISPLAY . . . . . . . . . . . 4-5
ADJUSTING TIME AND DATE . . . . . . . . . . . . . . . . . . . . . 4-6
PROGRAMMING APCA THERAPY. . . . . . . . . . . . . . . . . . . . . 4-8
TURNING ONTHE INFUSER . . . . . . . . . . . . . . . . . . . . . . 4-8
PROGRAMMING ALOADING DOSE . . . . . . . . . . . . . . . . . 4-8
PROGRAMMING APCA + CONTINUOUS THERAPY. . . . . . . . 4-15
PROGRAMMING ALOADING DOSE . . . . . . . . . . . . . . . . 4-15
PROGRAMMING ACONTINUOUS THERAPY . . . . . . . . . . . . . 4-22
TURNING ONTHE INFUSER . . . . . . . . . . . . . . . . . . . . . 4-22
PROGRAMMING ALOADING DOSE . . . . . . . . . . . . . . . . 4-23
DRUG LIBRARY: SOFT LIMIT, HARD LIMIT,
AND RULE SET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
SOFT LIMIT OVERRIDE . . . . . . . . . . . . . . . . . . . . . . . . 4-29
HARD LIMIT VIOLATION . . . . . . . . . . . . . . . . . . . . . . . . 4-30
RULE SETS CAUTION . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
CHANGING THE CCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-31
UPDATING THE DRUG LIBRARY . . . . . . . . . . . . . . . . . . . . . 4-33
AUTO-PROGRAMMING . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-34
CHAPTER 5
PROGRAMMING INFUSERS WITHOUT
HOSPIRA MEDNET SOFTWARE. . . . . . . . . . . . . . 5-1
WARNINGS AND PRECAUTIONS . . . . . . . . . . . . . . . . . . . . . . 5-2
LOADING DOSE/DOSE LIMITS. . . . . . . . . . . . . . . . . . . . . . . . 5-3
PATIENT PENDANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
SYSTEM SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
ADJUSTING TIME AND DATE . . . . . . . . . . . . . . . . . . . . . 5-5
PROGRAMMING APCA THERAPY. . . . . . . . . . . . . . . . . . . . . 5-7
TURNING ONTHE INFUSER . . . . . . . . . . . . . . . . . . . . . . 5-7

Contents
vi System Operating Manual
PROGRAMMING APCA + CONTINUOUS THERAPY . . . . . . . . 5-13
TURNING ONTHE INFUSER. . . . . . . . . . . . . . . . . . . . . . 5-13
PROGRAMMING ACONTINUOUS THERAPY . . . . . . . . . . . . . . 5-19
TURNING ONTHE INFUSER. . . . . . . . . . . . . . . . . . . . . . 5-20
PROGRAMMING ALOADING DOSE . . . . . . . . . . . . . . . . 5-20
PROGRAMMING WITH APHARMACY- FILLED
(CUSTOM) VIAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-24
CHAPTER 6
REVIEWING AND CHANGING RX SUPPLEMENTAL
LOADING DOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
REVIEWING THE CURRENT PROGRAM . . . . . . . . . . . . . . . . . . 6-1
CHANGING THE CURRENT PROGRAM . . . . . . . . . . . . . . . . . . 6-2
PROGRAMMING ASUPPLEMENTAL LOADING DOSE . . . . . . . .6-5
CHAPTER 7
BATTERY AND WIRELESS STATUS
HISTORY AND EVENT LOG . . . . . . . . . . . . . . . . . 7-1
DATA RETENTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
INFUSERS WITHOUT HOSPIRA MEDNET SOFTWARE . . . . . . . .7-3
CHECKING HISTORY AND SETTINGS . . . . . . . . . . . . . . . . . . 7-10
CLEARING SHIFT TOTALS. . . . . . . . . . . . . . . . . . . . . . . . . . 7-11
CHAPTER 8
MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
CLEANING AND DISINFECTION . . . . . . . . . . . . . . . . . . . . . . . 8-1
CLEANING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3
DISINFECTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-18
CLEANING SPILLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-26
BATTERY MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . 8-27
SERVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-28
PRODUCT HANDLING AND DISPOSAL . . . . . . . . . . . . . . . . . 8-28
INFUSER STORAGE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-29

LifeCare PCA Infusion System
System Operating Manual vii
CHAPTER 9
SPECIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
WIRELESS LAN MODULE . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
STORED OCCLUSION VOLUME . . . . . . . . . . . . . . . . . . . . . . . 9-7
TIME FROM OCCLUSION TO ALARM . . . . . . . . . . . . . . . . . . . 9-7
DELIVERY RATE ACCURACY . . . . . . . . . . . . . . . . . . . . . . . . 9-8
TRUMPET CURVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-9
EXAMPLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
TRUMPET CURVES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-11
CHAPTER 10
PROTOCOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
HOSPIRA MEDNET SOFTWARE INFUSERS . . . . . . . . . . . . . . 10-1
PROGRAMMING PROTOCOLS . . . . . . . . . . . . . . . . . . . . 10-2
INFUSERS WITHOUT HOSPIRA MEDNET. . . . . . . . . . . . . . . . 10-6
PROGRAMMING PROTOCOLS . . . . . . . . . . . . . . . . . . . . 10-7
CHAPTER 11
INFORMATION FOR LEGACY
LIFECARE PCA INFUSERS UPGRADED
WITH 7.X SOFTWARE . . . . . . . . . . . . . . . . . . . . . 11-1
IEC 60601-1 COMPLIANCE . . . . . . . . . . . . . . . . . . . . . . . . 11-2
IEC 60601-1-2 COMPLIANCE . . . . . . . . . . . . . . . . . . . . . . 11-2
FLUID INGRESS PROTECTION RATING. . . . . . . . . . . . . . . . . 11-2
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3
STORED OCCLUSION VOLUME . . . . . . . . . . . . . . . . . . . 11-3
TIME FROM OCCLUSION TO ALARM . . . . . . . . . . . . . . . 11-4
CSA MARK. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4

Contents
viii System Operating Manual
APPENDIX A
GENERATING BAR CODE LABELS
(HOSPIRA MEDNET SOFTWARE ENABLED) . . . A-1
EQUIPMENT NEEDED TO PRINT A
PHARMACY-GENERATED BAR CODE . . . . . . . . . . . A-2
LABEL DIAGRAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
VALIDATION OF THE PHARMACY-GENERATED
BAR CODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
FILLING THE LIFECARE PCA STERILE EMPTY VIAL . . . A-4
APPENDIX B
ADMINISTRATION SETS
AND ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . B-1
ADMINISTRATION SETS. . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
ACCESSORIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3
APPENDIX C
TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . C-1
INFUSER ALARM SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
INVALID KEYPRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3
MALFUNCTION ALARM . . . . . . . . . . . . . . . . . . . . . . . . . C-3
RESPONDING TO AN ALARM. . . . . . . . . . . . . . . . . . . . . C-3
ADJUSTING THE AUDIO ALARM VOLUME . . . . . . . . . . . C-4
SILENCING AN ALARM . . . . . . . . . . . . . . . . . . . . . . . . . C-4
TESTING THE ALARM SYSTEM . . . . . . . . . . . . . . . . . . . C-4
OCCLUSION ALARM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-6
NETWORK CONNECTIVITY. . . . . . . . . . . . . . . . . . . . . . . . . . C-6
STATUS MESSAGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-7
ALARMS AND MESSAGES . . . . . . . . . . . . . . . . . . . . . . . . . . C-8
APPENDIX D
DEFAULT DRUG LIBRARY AND
PRESCRIPTION DELIVERY LIMITS . . . . . . . . . . . D-1

LifeCare PCA Infusion System
System Operating Manual ix
APPENDIX E
NETWORK PRINTER SETUP. . . . . . . . . . . . . . . . . E-1
DIRECTLY CONNECTED PRINTER . . . . . . . . . . . . . . . . . . . . . E-1
EQUIPMENT NEEDED . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1
PREPARATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1
SETUP PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . E-2
PRINTING PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . E-3
NETWORK PRINTER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
EQUIPMENT NEEDED . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
PREPARATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
SETUP PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
PRINTING PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . E-6
DOWNLOADING LOGS TO APC . . . . . . . . . . . . . . . . . . . . . . E-6
EQUIPMENT NEEDED . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
PREPARATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
SETUP PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
PRINTING PROCEDURE . . . . . . . . . . . . . . . . . . . . . . . . E-12
APPENDIX F
GLOSSARY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1
APPENDIX G
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G-1

Contents
x System Operating Manual
NOTES

LifeCare PCA Infusion
System Operating Manual 1-1
Chapter 1
Introduction
Indications for Use
The LifeCare PCATM infuser is intended for intravenous or epidural
administration of analgesic medications that are delivered by
a continuous rate of infusion and/or with patient demand doses.
The LifeCare PCA infuser allows patients to self-administer
analgesics with defined parameters using a push-button pendant
attached to the device.
The LifeCare PCA is intended for the hospital environment and
not for home use.
A primary feature of the LifeCare PCA infuser is the bar code
reader, which is designed to automate medication and
concentration identification. The bar code reader identifies all
Hospira-approved prefilled medication vials. The Hospira
MedNetTM Software allows the LifeCare PCA infuser to read
pharmacy-generated bar codes on custom-filled vials. The vials
are single-use and barcoded, and are either prefilled with
a medication by Hospira, or are sterile empty vials which can
be custom-filled by the hospital pharmacy (see Appendix A
Generating Bar Code Labels (Hospira MedNet Software
Enabled)).
All LifeCare PCA vials must have a bar code label that is read by
the LifeCare PCA infuser. There is no ability to bypass the bar
WARNING
FOR EPIDURAL USE, ADMINISTER ONLY ANESTHETICS/
ANALGESICS APPROVED FOR EPIDURAL ADMINISTRATION
(AS INDICATED OR ALLOWED BY THE MEDICATIONS’ FDA
APPROVED LABELING OR HEALTH CANADA APPROVED
LABELING). EPIDURAL ADMINISTRATION OF MEDICATIONS
OTHER THAN THOSE INDICATED FOR EPIDURAL USE
COULD RESULT IN SERIOUS INJURY TO THE PATIENT.

Introduction
1-2 System Operating Manual
code reader and manually enter the medication into the LifeCare
PCA infuser (see Appendix A Generating Bar Code Labels
(Hospira MedNet Software Enabled)).
LifeCare PCA Infusion System
without Hospira MedNet Software
As a standalone infuser, the LifeCare PCA infuser uses the
Default Drug Library (DDL) to program therapies. The default
drug library uses a single set of predefined rules for all
medication settings (see Appendix D Default Drug Library and
Prescription Delivery Limits).
LifeCare PCA Infusion System
with Hospira MedNet Software
The LifeCare PCA infusion system is used in conjunction with the
server-based Hospira MedNet safety software. Hospira MedNet
Software facilitates networked communication between the
server and Hospira Mednet-compatible infusers.
The Hospira MedNet software enables facilities to define a drug
library based on hospital best practices. A default drug library
is active until a new drug library is downloaded to the infuser with
Hospira MedNet Software. The customized drug library
is downloaded into the infuser by authorized hospital personnel.
Hospital personnel determine and select medications,
concentrations, units of measure, lock-out intervals, dose, dose
limits, and rule sets (upper and lower delivery parameters)
available within a selected Clinical Care Area (CCA).
A hospital-defined drug library can define up to a maximum of 18
CCAs which can include up to 25 medication entries per CCA.
The infuser requires a CCA to be selected prior to programming
a dose. When the CCA is selected, the medication rule sets are
configured for that CCA.
CAUTION: FEDERAL LAW RESTRICTS THIS DEVICE TO SALE
BY OR ON THE ORDER OF APHYSICIAN OR OTHER PRACTITIONER
LICENSED BY THE LAW OF THE STATE IN WHICH HE/SHE
PRACTICES TO USE OR ORDER THE USE OF THE DEVICE.

LifeCare PCA Infusion
System Operating Manual 1-3
List Number 20709-04 Upgraded
to 7.x Software
Legacy LifeCare PCA infusion systems list number 20709-04
upgraded to 7.x software are substantially equivalent with list
number 20837. Any differences associated with list number
20709-04 upgraded to 7.x software are documented in
Chapter 11 Information for Legacy LifeCare PCA Infusers
Upgraded with 7.x Software.
Conventions
The conventions listed in Table 1-1 are used throughout
this manual.
The following conventions are used to call attention to warnings,
cautions, and notes:
Table 1-1. Conventions
Convention Application Example
ITALIC Reference to a chapter,
figure, or table
(See Appendix A)
[BRACKETED
ALL CAPS]
Keys or buttons on
the device are displayed
in [BRACKETED ALL CAPS]
[ON/OFF]
ITALIC SMALL CAPS>Softkey options PREVIOUS>
SMALL CAPS WITH INITIAL
UPPERCASE
Screen displays
and device labels
SELECT DELIVERY MODE
BOLD Emphasis ...SETS ARE SUPPLIED
STERILE AND ARE FOR....
WARNING
A WARNING MESSAGE CONTAINS SPECIAL SAFETY
EMPHASIS AND MUST BE OBSERVED AT ALL TIMES.
FAILURE TO OBSERVE A WARNING MESSAGE
IS POTENTIALLY LIFE-THREATENING.

Introduction
1-4 System Operating Manual
Note: A Note highlights information that helps explain a concept
or procedure.
Figures and graphics are rendered as representations
to approximate the actual product, and may not exactly reflect the
product.
Product Description
The LifeCare PCA infuser features three infusion modes:
•Patient-Controlled Analgesia (PCA)
•PCA Plus Continuous
•Continuous
An optional dose (loading dose) can be programmed by the
clinician at any time during therapy for additional pain relief.
The LifeCare PCA infuser is used in a wide range of clinical
settings that include but are not limited to the following:
Features of the LifeCare PCA infuser include:
•Microprocessor-based infusion device with keypad controls
•Patient pendant
•Barcoded medication vial
•Compatible administration set
CAUTION: A CAUTION USUALLY APPEARS IN FRONT
OF A PROCEDURE OR STATEMENT. ITCONTAINS INFORMATION
THAT COULD PREVENT IRREVERSIBLE PRODUCT DAMAGE
OR HARDWARE FAILURE. FAILURE TO OBSERVE ACAUTION
COULD RESULT IN SERIOUS PATIENT OR USER INJURY.
MEDICAL LABOR/DELIVERY/
POST PARTUM
BURN UNIT
SURGICAL OPERATING ROOM ONCOLOGY
CRITICAL CARE UNITS POST ANESTHESIA
CARE UNIT (PACU)
PEDIATRICS

LifeCare PCA Infusion
System Operating Manual 1-5
Note: The LifeCare PCA infuser contains a Connectivity
Engine module that provides wired Ethernet and wireless
802.11 a/b/g local area networking capabilities.
This allows the Hospira MedNet networked application
software to download drug libraries to the infuser and
enable the auto-programming feature.
•Ethernet port for computer or printer connections
•Nurse call interface
See Appendix B Administration Sets and Accessories
for a list of compatible LifeCare PCA administration sets.
The LifeCare PCA infuser is intended to operate on AC power,
and an internal battery is provided to maintain operation for short
periods of time when AC power is not available.
The LifeCare PCA infuser is able to store frequently used
prescriptions called protocols (see Chapter 10 Protocols).
The protocols are available for Hospira prefilled vials and custom
syringes. The protocols must be set up by a hospital-designated
authority in the Biomed Mode or through Hospira MedNet
Software (if enabled).
Patient Selection
Patients selected to use the LifeCare PCA infuser should be able
to understand the relationship between pain and pushing the
LifeCare PCA infuser patient pendant button for pain relief.
Patients selected for the use of the LifeCare PCA infuser should
be able to physically self-administer a PCA dose using the patient
pendant.
WARNING
THE PATIENT PENDANT BUTTON IS TO BE PRESSED ONLY
BY THE INTENDED PATIENT.
WARNING
EXERCISE CAUTION WHEN THE PATIENT IS AMBULATORY
WHILE CONNECTED TO THE INFUSER.

Introduction
1-6 System Operating Manual
Contraindications For Use
The LifeCare PCA infuser should not be used for patient-
controlled analgesia by patients who do not have the cognitive
ability to understand the use of self-administered pain
medication, nor have the physical capacity to operate the patient
pendant, if required.
Medications that are not compatible with silicone rubber or PVC
plastic, or are unstable under infusion conditions should not be
used with this system.
Do not use medications that are contraindicated for use with the
LifeCare PCA infuser (for example, blood products, enteral
feedings and lipids, cytotoxic drugs, and high-viscosity fluids).
User Qualifications
All clinicians should be appropriately trained to program the
LifeCare PCA infuser prior to use. The LifeCare PCA infuser
is intended for use at the direction or under the supervision
of licensed physicians or certified health care professionals.
Clinicians must be trained in infuser use, administration
of parenteral and epidural fluids and medications, and the
prevention of related IV complications and precautions to prevent
accidental infusion of air. Training should emphasize the
assessment and monitoring of patients receiving potent analgesic
medications, and the appropriate treatment for possible adverse
reactions.
Viewing the Display
When operating the infuser, position yourself at a distance
of no more than 39 inches (1 meter) from the display. Ensure you
are directly in front of the display, or at an angle of no more than
25 degrees off this position.

LifeCare PCA Infusion
System Operating Manual 1-7
Hospira Pre-Filled Vials
Hospira pre-filled vials are available for standalone infusers and
Hospira MedNet-enabled infusers. The LifeCare PCA infuser’s
bar code reader identifies the bar code and displays the
medication name and concentration of that pre-filled vial.
The following Hospira pre-filled medication vials are FDA
approved for use with the LifeCare PCA infuser:
•Hospira Morphine Sulfate 1 mg/mL
•Hospira Morphine 5 mg/mL
•Hospira Meperidine Hydrochloride 10 mg/mL
The LifeCare PCA sterile empty vial is made of USP Type 1 glass
with a silicone rubber stopper and is the same composition as the
Hospira prefilled vials.
WARNING
FAILURE TO USE HOSPIRA-APPROVED VIALS, INJECTORS,
AND LIFECARE PCA ADMINISTRATION SETS WITH
INTEGRAL PRESSURE ACTIVATED VALVES MAY CAUSE
AN INACCURATE DOSE DELIVERY TO THE PATIENT.
CAUTION: FOR ADMINISTRATION OF AMEDICATION VIA
ASTERILE
EMPTY VIAL, REVIEW THE MEDICATION PACKAGE
INSERT TO ENSURE VIAL COMPATIBILITY AND STABILITY OF THE
MEDICATION FOR THE DURATION OF ADMINISTRATION. CONSULT
WITH PHARMACY.

Introduction
1-8 System Operating Manual
Pharmacy-Filled (Custom) Vials
For standalone infusers without Hospira MedNet Software
Custom vials are sterile empty 30 mL vials which are filled by the
hospital pharmacy. A pharmacy-filled (custom) vial offers your
facility the flexibility to infuse medications per your facility’s
practice. The LifeCare PCA infuser reads the bar code on the
custom-filled vial, displays the medication name as OTHER DRUG,
and prompts the clinician to enter the concentration.
For infusers using Hospira MedNet Software
Custom vials are sterile empty 30 mL vials which are filled by the
hospital pharmacy and labeled with a unique bar code.
A pharmacy-filled (custom) vial offers your facility the flexibility
to infuse medications per your facility’s practice.
Hospira MedNet Software allows the LifeCare PCA infuser
to read the pharmacy-generated bar code on the custom-filled
vial. The bar codes are linked to the rule sets within the Hospira
MedNet Software. This ensures that when the custom-filled vial
is inserted into the infuser, the displayed medication and
concentration are linked to the corresponding rule set.

LifeCare PCA Infusion
System Operating Manual 1-9
Equipment Description
This section shows the front view, vial cradle assembly, rear view,
and buttons and keys of the infuser.
Front View
Figure 1-1 shows the front view of the LifeCare PCA infuser.
Figure 1-1. Front View
Cradle Release Mechanism
(Holder)
Vial
Security
Door
Vial
Cradle
Clips
Bar Code
Reader
Window Injector Battery Power
Indicator
AC Power
Indicator
Keypad
Buttons
Door
Lock
Softkeys
LCD
Display
LED
Display

Introduction
1-10 System Operating Manual
Vial Cradle Assembly
Figure 1-2 shows a detailed view of the LifeCare PCA vial cradle
assembly.
Figure 1-2. Vial Cradle Assembly
Wireless
Antenna
Upper Vial
Retainer
Vial
Cradle
Clips
Vial
Sensor
Switch
(Top Vial
Cradle Clip)
Lower Vial
Retainer
(Middle
Bracket)
Injector
Flange
Retainer
Injector
Sensor
Switch
(Back of
Retainer)
Cradle
Release
Mechanism
9LDO%DVH
Bar Code
Reader
Window
(vial bar code
must face
toward window)
Vial Stopper
Vial Lip
Injector
Injector Flange
(Vial Plunger)
Luer-Lock
Fitment