Hospira Plum XL User manual

1
1
Rev.

System Operating Manual

System Operating Manual i
CHANGE HISTORY
Part Number Description of Change Revised Pages
430-00571-001 Original release
430-00571-002 Second issue
430-00571-A02
(Rev. 11/96) Updated cover part number
Updated Change History
Updated copyright date
Added battery statement
Addednoteforsecondarydelivery
Updated shipping address
Updated UL/CSA information
Updated manual part number
(no other changes)
Cover
iiii
3, 24, 28
16
23, 32
32
1, 5, 6, 13, 26, 30
430-00571-B02
(Rev. 1/97) Updated cover part number
Updated Change History
Updated copyright date
Added noteforsecondarydelivery
Updated shipping address
Updated manual part number
(no other changes)
Cover
iiii
16
32
13, 30
430-00571-C02
(Rev. 8/97) Updated front and back cover
Updated Change History
Updated manual part number
(no other changes)
Cover, Back
i32
430-00571-D02
(Rev. 09/04) Changed Abbott to Hospira
Verbiage Front and Back Covers, Change
History, ii, iii, iv, 3,
6, 9, 20, 23, 26, 29
thru 32
430-00571-003
(Rev. 09/10) Third release
Note: Change page manuals assembled by Hospira, Inc. include a change page
identifier in the part number on the cover page and on the bottom of each
changed page. This change page manual is identified as 430-00571-003.

ii Plum XL
CONTENTS
1.0 CONVENTIONS . . . . . . . . . . . . . . . 1
1.1 Warnings Cautions, and Notes . . . . . . 1
2.0 FEATURES . . . . . . . . . . . . . . . . . 3
3.0 GETTING STARTED . . . . . . . . . . . . . 5
3.1 Unpacking . . . . . . . . . . . . . . 5
3.2 Self Test . . . . . . . . . . . . . . . 5
4.0 COMPONENTS . . . . . . . . . . . . . . . 7
4.1 Control Dial Settings . . . . . . . . . . 8
4.2 Keys . . . . . . . . . . . . . . . . . 9
4.3 Audio Switch . . . . . . . . . . . . . 9
5.0 INSTRUCTIONS FOR USE . . . . . . . . . . . 11
5.1 Cassette . . . . . . . . . . . . . . . 11
5.1.1 Prepare Cassette. . . . . . . . . 11
5.1.2 Prime Cassette . . . . . . . . . 13
5.1.3 Load Cassette . . . . . . . . . . 14
5.1.4 Prepare Secondary Line . . . . . . 14
6.0 PROGRAMMING . . . . . . . . . . . . . . . 17
6.1 Primary Only Delivery . . . . . . . . . 17
6.2 Secondary Only Delivery . . . . . . . . 18
6.3 Piggyback Delivery. . . . . . . . . . . 20
6.4 Backpriming . . . . . . . . . . . . . 22
6.5 Changing Containers . . . . . . . . . . 23
6.6 Titration . . . . . . . . . . . . . . . 24
6.7 Clear Volume . . . . . . . . . . . . . 24
7.0 TROUBLESHOOTING . . . . . . . . . . . . . 25
7.1 Alarms . . . . . . . . . . . . . . . . 25

System Operating Manual iii
7.2 Malfunctions . . . . . . . . . . . . . 27
7.3 Technical Assistance . . . . . . . . . 28
7.4 Precautions . . . . . . . . . . . . . 28
8.0 CLEANING/SANITIZING . . . . . . . . . . . 33
9.0 STORAGE . . . . . . . . . . . . . . . . . 35
10.0 BATTERY MAINTENANCE . . . . . . . . . . 37
11.0 SERVICE . . . . . . . . . . . . . . . . . 39
12.0 SYSTEM ACCESSORIES . . . . . . . . . . . 41
13.0 SPECIFICATIONS . . . . . . . . . . . . . . 43
14.0 WARRANTY . . . . . . . . . . . . . . . . 45
Copyright 2004 Hospira, Inc. All Rights Reserved
This document and the subject matter disclosed herein are
proprietary information. Hospira retains all the exclusive rights of
dissemination, reproduction, manufacture and sale. Any party using
this document accepts it in confidence, and agrees not to duplicate it
in whole or in part nor disclose it to others without the written consent
of Hospira.

iv Plum XL
NOTES

System Operating Manual 1
1.0 CONVENTIONS
The following conventions are used throughout this manual.
1.1 Warnings, Cautions, and Notes
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.
CAUTION: A CAUTION usually appears in front of a
procedureorstatement.Itcontainsinformationthatcould
prevent irreversible product damage or hardware failure.
Neglecting to pay attention to a CAUTION could result in
serious patient or user injury.
Note: A Note highlights information that helps explain a
concept or procedure.
Convention Application Example
Italic Reference to a
section, figure, or table
Function or mode
specific instructions
(See Figure 3-1,
Priming Cassette)
Primary Only: Attach
an empty container.
[ALL CAPS] Keys or touchswitches
on the device are
described all caps in
brackets
[OFF CHARGE]
[SPEC. FUNC]
ALL CAPS
Initial Caps
lowercase
Screen displays and
device labels (as
appropriate)
LOW BATTERY
Bold Emphasis ...sets are supplied
Sterile and are for....

2PlumXL
NOTES

3 SystemOperatingManual
2.0 FEATURES
The Plum XLTM is a dual-line volumetric infusion system
designed to meet the growing demand for hospital-wide
standardization. With its primary line, secondary line, and
piggyback fluid delivery capability, the Plum XL is suited for a
wide range of general floor, critical care, and home care
applications. Compatibility with LifeCare®5000 PlumSet®
administration sets and accessories makes the Plum XL a
convenient and cost-effective system.
The following features are included in the Plum XL:
Non-pulsatile volumetric accuracy
Microprocessor control
Large LCD screen
Wide range of standard and specialty administration sets
Standard fullfill, partfill, syringe and vial use
Parenteral (blood) and non-parenteral (enteral) fluid
delivery
Titration
1 mL/hr KVO at dose end
Battery operation

4PlumXL
NOTES

System Operating Manual 5
3.0 GETTING STARTED
This section describes the instrument installation procedures
for the Plum XL.
ThePlumXLinfusionsystemisforuseatthedirectionorunder
the supervision of licensed physicians or by licensed or
certified healthcare professionalswhoare trained intheuseof
thisdeviceandtheadministrationofparenteralorenteralfluids
and drugs.
3.1 Unpacking
CAUTION: Product damage may occur unless proper
care is exercised during unpacking and installation. Do
not use the device if it appears damaged in any way. The
battery may not be charged upon receipt. Do not place
device in service if it fails the self test.
Inspect the Plum XL packaging for shipping damage. If any
damage is found, contact the delivering carrier immediately.
Inspect the Plum XL thoroughly for damage.
3.2 Self Test
Plug in AC power cord, then confirm the AC plug symbol (next
to the OFF CHARGE setting) is illuminated. Place a primed
administration set into the cassette door (see Instructions for
Use). Close the cassette door.
Note: When plugging the device into an AC power outlet,
grasp the AC power cord plug and use a forward motion into
the socket. Do not use a sideways motion. When unplugging
thedevice, grasptheACpowercordplugand pullstraight out.
Do not pull out using the power cord cable and do not pull out
at an angle.

6PlumXL
Afterthecassettedooris closed,turn
the control dial to SET RATE. The
LCD screen displays all the symbols
briefly. Verify the screen display
matchestheillustration(shownatthe
left) exactly. If the LCD screen does
not match, remove the device from
service and contact hospital or
Hospira technical service personnel.
After the self-test, unplug the Plum XL from AC power and
confirm that BATTERY displays on the screen (indicating
batterypower isinuse).Toensurethebatteryis fullycharged,
remove the administration set, then plug the Plum XL back in
for a minimum of eight hours in the OFF CHARGE setting.
CAUTION: Do not operate the Plum XL with the battery
removed. The use of a properly maintained and charged
battery ensures proper operation. As always, in the event
of an AC power interruption or failure, verify infusion
pump settings.
Note: If an alarm occurs during the self-test, note the
message, then take the appropriate corrective action (see
TROUBLESHOOTING). Repeat the self test. If the alarm
recurs, remove the device from service and contact
appropriate personnel.

System Operating Manual 7
4.0 COMPONENTS
The Plum XL components are illustrated below.
LCD Display
Control
Dial
Pump
Operating
Indicator
Light
Pole Clamp Optional
Minipole
Attachment
Post
Cassette
Door
Door
Handle
Hospital grade
Power Cord
Audio switch
Low
High
Battery
access door
9226A001

8PlumXL
4.1 Control Dial Settings
OFF CHARGE Stops all active
functions. Battery charges in any dial
setting when the Plum XL is
connected to AC power. Store the
Plum XL in the OFF CHARGE setting
and plugged into AC power.
SET RATE Sets the delivery rate
fortheprimaryorsecondarylineusing
the keys. The rate range is
1 to 9999 mL/hr (1 mL increments).
SET VTBI Sets the volume to be
delivered (VTBI) from the primary or
secondary line using the
keys.TheVTBI rangeis 1 to 9999mL
(1 mL increments).
RUN Starts fluid delivery at the rate
set by the user. RUN is the only
position that delivers fluid. The flow
indicator light (drip symbol) on the
front panel flashes during pumping.
HOLD/RESET Stopsfluiddelivery.
Fluid containers can be changed in
thissetting. Ifthepumpingunitisinan
alarm condition, HOLD/RESET
silences the audible alarm. Alarm
messages are retained until control
dial is returned to RUN setting.
CLEAR VOL Clears the total
volume delivered. To avoid
unintentional erasure of volumes, an
alert sounds to allow the user to
changethesettingbeforethevolumes
are cleared (see Clear Volume).
OFF
CHARGE
SET RATE
SET VTBI
RUN
HOLD/RESET
CLEAR
VOL
OFF
CHARGE
SET RATE
SET VTBI
RUN
HOLD/RESET
CLEAR
VOL
OFF
CHARGE
SET RATE
SET VTBI
RUN
HOLD/RESET
CLEAR
VOL
OFF
CHARGE
SET RATE
SET VTBI
RUN
HOLD/RESET
CLEAR
VOL
OFF
CHARGE
SET RATE
SET VTBI
RUN
HOLD/RESET
CLEAR
VOL
OFF
CHARGE
SET RATE
SET VTBI
RUN
HOLD/RESET
CLEAR
VOL

System Operating Manual 9
4.2 Keys
[PRI-SEC] key selects the fluid line to
program. Press the [PRI-SEC] key
when the control dial is in SET RATE
or SET VTBI to toggle between the
primary and secondary line.
[TITRATE] key adjusts the fluid
delivery rate up or down while
pumping is in progress. Hold the
[TITRATE]keywhilepressingthe
or keytoincreaseordecreasethe
delivery rate.
[BACKPRIME] key clears any air
accumulated in the cassette. Press
the [BACKPRIME] key when the
control dial is in HOLD/RESET to
pump fluid from the primary line and
expel the air into the secondary line.
Backpriming is also used to reprime
empty secondary tubing above the
cassette.
[SILENCE] key temporarily mutes
audiblealarms.Thealarmdisplayand
theLCDscreen continueto flash.The
audible alarm resumes after two
minutes if the alarm condition is not
corrected. To silence a Low Battery
alarm, refer to the alarm tips in the
Troubleshooting Section.
4.3 AUDIO SWITCH
The audio switch has two sound level
settings. Turn the switch toward the
front panel for the LOW setting or
toward the back for the HIGH setting.
PRI
SEC
TITRATE
BACK
PRIME
SILENCE

10 Plum XL
NOTES

System Operating Manual 11
5.0 INSTRUCTIONS FOR USE
Cassette priming, loading, and device programming are
explained in this section.
5.1 CASSETTE
The Plum XL is compatible with the wide range of LifeCare
5000 PlumSet administration sets. Become familiar with the
components illustrated below before preparing the cassette.
5.1.1 PREPARE CASSETTE
Use aseptic technique to prepare the cassette for
priming, then proceed as follows:
Close administration set upper clamp.
Flow
Regulator
Pumping
Chamber
Primary Line
Secondary
Inlet Port
(Capped)
Finger Grip
Patient Line
Air Trap

12 Plum XL
Push in flow regulator to close it.
Expose outlet of IV container, then
insert piercing pin with a twisting
motion.
Fill drip chamber to score mark.
Open the upper clamp.

System Operating Manual 13
5.1.2 PRIME CASSETTE
To prime the cassette, proceed as follows:
Invert the cassette.
Turn flow regulator until a dropof fluid
is seen in the pumping chamber.
Turn cassette upright, then prime
remainder of the administration set.
Push in flow regulator to close.
Confirm no flow.

14 Plum XL
5.1.3 LOAD CASSETTE
To load the primed cassette into the Plum XL,
proceed as follows:
Open cassette door by lifting the
handle up.
Holding the primed cassette by its
handle, slide it into the cassette door
guides until it firmly seats in the door.
Close the cassette door. Confirm no
flow.
5.1.4 PREPARE SECONDARY LINE
CAUTION: Consult drug container labeling to
confirm drug compatibility, concentration,
delivery rates, and volumes are all suitable for
intermittent or continuous secondary, or
piggyback delivery mode.
PlumXL featuresasecondaryor piggybackdelivery
mode when patient infusion therapy requires
administering more than one drug.
In addition to standard containers, Plum XL uses
syringesorvialsonthesecondaryportforpiggyback
or secondary delivery. The secondary line can be
prepared without removing or repriming the
cassette.