Hospira GEMSTAR 13088-04-01 User manual

®
Infusion Pump
For use with the
Hospira GemStar Pain Management Pump
®
List 13088-04 - 01/ 0 2
Hospira, Inc., Lake Forest, IL 60045
430-10984-001 (Rev. 01/06)
System Operating Manual
430-10984-001.book Page i Friday, March 31, 2006 4:49 PM

Hospira GemStar Manual 430-10984-001 (Rev. 03/06) i
Hospira GemStar® Infusion Pump
System Operating Manual
For use with the
Hospira GemStar® Pain Management Pump
List 13088-04-01/02
PLEASE
Read this entire manual before
using the Hospira GemStar® Pump
This manual is designed for use by healthcare professionals, caregivers, and patients.
The Hospira Technical Support Operations hotline is available 24 hours a day (in the
USA) to provide consultation and technical assistance regarding the Hospira
GemStar® Pump.
In the USA: Hospira Technical Support Operations
1-800-241-4002
Outside the USA: Contact your local Hospira
sales office
To order additional copies of this manual
(List 13088) call Hospira Customer Care:
1-877-9HOSPIRA
(1-877-946-7747)
430-10984-001.book Page i Friday, March 31, 2006 4:49 PM

ii Hospira GemStar Manual 430-10984-001 (Rev. 03/06)
Change History
Part Number Description of Change Pages Changed
430-10984-001
(Rev. 03/06)
Original Issue N/A
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Hospira GemStar Manual 430-10984-001 (Rev. 03/06) iii
Contents
1. Introduction 1
GemStar® Pump Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
GemStar® Pump Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
GemStar® Pump Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Menu System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Indications for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Contraindications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
2. Basic Operation 17
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Selecting a Power Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Using the GemStar® Docking Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Powering On the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Accessing the Delivery Mode Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Programming the Pump. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Starting a New Container . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
GemStar® Pump Set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Loading the Cassette. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Releasing the Cassette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Priming a GemStar® Pump Set. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
3. Pain Management 45
Therapy Features and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Pain Management Programming. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Bolus Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Rate Titration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Loading Dose Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Changing a Pain Management Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Pain Management Programming Worksheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
4. Options Menu 55
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Tips for Using the Options Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
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Contents
iv Hospira GemStar Manual 430-10984-001 (Rev. 03/06)
Review Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Histories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Keypad Lock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Change Pump Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Set Clock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Speed Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Connecting to the Data Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Transferring Data Using a Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
5. Clinician Instructions 77
Clinician Locking Sequence Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Program and Deliver a Clinician Activated Loading Dose . . . . . . . . . . . . . . . . . . . 79
Shift Totals and History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
6. Troubleshooting 81
Alarm Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Alert Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Other Display Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
7. Maintenance 95
Pump Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Cleaning and Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
8. Operation Test 99
Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
Test Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Performing the Operation Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100
Printing Test Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Operation Test Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
9. Optional System Components 109
Connecting the Bolus Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Using the GemStar® Lockboxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Using the Hospira Carrying Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Using the GemStar® Docking Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
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Hospira GemStar Manual 430-10984-001 (Rev. 03/06) v
Contents
10. Pump Sets 123
11. GemStar® Pump Specifications 127
Occlusion Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130
12. Warranty/Technical Assistance 145
A. Electrical Potentials 147
Guidance on EMC Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Information Regarding Electrostatic Discharge (ESD) . . . . . . . . . . . . . . . . . . . . 148
Index 149
IEC Symbols inside back cover
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Notes
vi Hospira GemStar Manual 430-10984-001 (Rev. 03/06)
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Hospira GemStar Manual 430-10984-001 (Rev. 03/06) 1
Chapter 1
Introduction
The Hospira GemStar® Pain Management Pump is a small and lightweight,
single-channel infusion device designed for use in the home, in the hospital, or
anywhere electronic infusion is required. The GemStar® Pump can be powered by
AC mains adaptor, rechargeable battery pack, docking station, or two disposable AA
alkaline batteries. When powered by batteries, the GemStar® Pump is ideal for
ambulatory patients.
The following conventions are used throughout this manual:
CAUTION: A CAUTION contains information that could prevent
irreversible product damage or hardware failure. Failure to
observe a caution could result in serious patient or user injury.
Convention Use Example
[ALL CAPS] Pump keys Press [YES/ENTER] to continue.
ALL CAPS Display messages The pump displays:
ENTER TO CONFIRM.
WARNING: A WARNING message contains special safety
information and must be observed at all times. Failure
to observe a warning message could be life
threatening.
GNote: A NOTE contains information or examples to help explain instructions.
ITip: A TIP contains information that makes the pump easier to use.
GNote: Examples are provided only to help explain a pump function and may not
be clinically relevant. Graphics are for illustrative purposes only and may not
reflect the actual product.
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1. Introduction
2 Hospira GemStar Manual 430-10984-001 (Rev. 03/06)
GemStar® Pump Layout
Shown approximate size
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Hospira GemStar Manual 430-10984-001 (Rev. 03/06) 3
1. Introduction
1DISPLAY • Displays the pump’s status.
2• Silences an alarm.
• This silences an alert for five minutes and an alarm for two minutes.
3 • Stops infusion.
4 • Starts infusion.
5 • Lights continuously when the pump is powered by AC mains.
• Flashes when the pump is powered by external batteries (e.g., battery pack).
• Not lit when using disposable AA batteries.
6 • Powers the pump on or off. To power-off the pump, press and hold until the
display clears.
7 • Returns to previous steps during programming.
• Exits Help, Change, and Options menus.
8• Displays the following menu items from the STOP or RUN mode*:
New Container Change Program
New Program
• Resets a numeric value to zero.
9• Displays the following Options Menu items from the STOP or RUN mode*:
1 Review Program 4 Pump Settings 7 Speed Protocol
2 Histories 5 Set Clock
3 Keypad Lock 6 Print
• Scrolls through program review and help messages.
• Toggles between AM and PM in time-based entries.
• DOWN arrow toggles between units of measure when entering concentrations.
10 • Toggles between AM and PM in time-based entries.
• UP arrow enters a decimal point in numeric entries.
• Scrolls back by one screen in program review.
11 • Responds “YES” to display questions.
• Accepts entries and goes to the next step.
12 • Responds “NO” to display questions.
13 • Displays information during programming steps and alarm conditions.
• Displays Shift Totals, except during programming steps and alarm conditions.
14 • Clears an AIR-IN-LINE alarm.
• Primes a GemStar® Pump Set.
15 [0] - [9] • Selects menu items and enters numeric values. If two numbers appear before a
menu item (e.g., 02), press both number keys to select that item.
* Not all menu items are available with all modes.
CHANGE
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1. Introduction
4 Hospira GemStar Manual 430-10984-001 (Rev. 03/06)
GemStar® Pump Components
1Bolus Button Press this button to start a
bolus delivery if available in
the current program.
2Pole Clamp Track Use to connect to an optional
pole clamp.
3Cassette Release
Button
Push down on this button to
release the cassette.
4Power Connector Use to connect the AC mains
adaptor.
5Data Port
Connector
Use to connect the GemStar®
serial cable.
6Bolus Connector Use to connect a bolus cord.
7Tubing Channel Place the pump set tubing in
this channel.
8Cassette Pocket Load the cassette into this
pocket.
9I.V. Tubing Guide Use to hold the I.V. tubing.
10 Battery Pack
Connector
Use to connect the GemStar®
Rechargeable Battery Pack.
11 Battery Compartment Install two fresh, disposable
AA batteries in this
compartment.
Top View
Bottom/Side View
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Hospira GemStar Manual 430-10984-001 (Rev. 03/06) 5
1. Introduction
GemStar® Pump Features
Feature Description Reference Page
• Adjustable
Settings
Adjusts the distal occlusion pressure limits,
air sensor sensitivity, real-time clock, and
audible alarm volume.
Chapter 4 Options Menu
• Alerts and
Alarms
Signals audible and visual alarms when
attention is required.
Chapter 6
Troubleshooting
• Audible
Keypad
Response
Sounds a single beep when any key is
pressed. If an invalid key is pressed, the
pump sounds a flutter tone.
Chapter 1 Introduction,
GemStar® Pump Layout
•Keypad
Lock
Restricts access to various options. Four
lock levels are available.
Chapter 4 Options Menu
and Chapter 5 Clinician
Instructions
•New
Container
Repeats the current program without
reprogramming the pump.
Chapter 2 Basic
Operation
• Power-on
Self-test
Performs a self-test each time the pump is
powered on.
Chapter 2 Basic
Operation
• Operation
Test
Performs user-assisted tests to verify the
pump is operating properly.
Chapter 8 Operation
Test
•Program
History
Maintains a history event log, with a date
and time stamp of each event for each
program. Review the history on the display,
or download it to a printer or computer.
Chapter 4 Options Menu
•Speed
Protocols
Stores up to nine frequently used programs
in the pump’s memory for quick access.
Chapter 4 Options Menu
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1. Introduction
6 Hospira GemStar Manual 430-10984-001 (Rev. 03/06)
Menu System
The GemStar® Pump uses a menu system that provides step-by-step instructions
through all of the pump’s functions. Refer to the following table for a list of functions
in each menu.
Use the keypad to select menu items, respond to display messages, and enter numeric
values. For example, press [2] to select HISTORIES from the Options Menu.
GNote: Menu items may vary depending on the pump’s configuration.
ITip: A menu item does not have to be on the display to be selected. For example,
when the Options Menu first displays, only the first four menu items are shown.
Instead of pressing the down arrow to see the other menu items, press [5] to go
directly to SET CLOCK.
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Hospira GemStar Manual 430-10984-001 (Rev. 03/06) 7
1. Introduction
To display
this menu:
Do this: Menu Items Available
Delivery Mode
Menu
1 Press to display
the Change menu.
2 Select NEW PROGRAM.
1 CONTINUOUS
2 BOLUS
3 CONT + BOLUS
Change Menu Press . 1NEW CONTAINER
2 NEW PROGRAM
3 CHANGE PROGRAM
Note: If the current therapy is Weight Dosed
or mL/hr Only and the pump is in RUN
mode:
3 TITRATE VTBI
will replace
3 CHANGE PROGRAM
on the menu display.
Note: Piggybacking is available only in
mL/hr Only and Continuous therapies.
Note: Menu items change depending on
when Change Menu is viewed.
Options Menu Press . 1 REVIEW PROGRAM
2 HISTORIES
3 KEYPAD LOCK
4 PUMP SETTINGS
5 SET CLOCK
6 PRINT
7 SPEED PROTOCOL
For more information on: Refer to the following pages:
Delivery Mode Menu Chapter 3 Pain Management, page 45.
Change Menu For menu item [1], refer to Starting a New Container
in Chapter 2 Basic Operation, on page 30. For
menu items [2] and [3], refer to Chapter 3 Pain
Management, page 45.
Options Menu Chapter 4 Options Menu, page 55.
CHANGE
CHANGE
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1. Introduction
8 Hospira GemStar Manual 430-10984-001 (Rev. 03/06)
Operating Modes
The GemStar® Pump has four operating modes:
Mode Description
Help Mode The pump enters the HELP mode when is pressed during
programming or an alarm condition. The HELP mode displays
additional information about the current condition.
Programming Mode The pump enters the PROGRAMMING mode after the pump is
powered on or when is pressed.
Run Mode After is pressed, the pump enters the RUN mode, even
when not infusing.
Stop Mode When programming is complete, the pump enters the STOP
mode until is pressed.
When the programmed therapy is complete, and during certain
alarm conditions, the pump automatically enters the STOP mode.
Press to enter the STOP mode at any time, except during a
CHECK CASSETTE alarm.
CHANGE
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Hospira GemStar Manual 430-10984-001 (Rev. 03/06) 9
1. Introduction
Indications for Use
Physicians or certified, licensed healthcare professionals should always oversee
infusions. Healthcare professionals should always supervise pump users and instruct
users in pump operation and troubleshooting. Instruction should include how to
prevent intravenous (I.V.) related complications, including how to prevent accidental
infusion of air.
The pump is suitable for intravenous, arterial, subcutaneous, short-term epidural
infusion of general I.V. fluids and medications. The epidural route is recommended to
provide anesthesia or administer analgesia for periods up to 96 hours.
For epidural use, the administration of drugs is restricted to those anesthetic and
analgesic drugs approved for continuous epidural administration: e.g., Chloroprocaine
Hydrochloride USP, Lidocaine Hydrochloride USP, and Morphine Sulfate Injection
USP (Preservative Free).
For epidural administration, the following is recommended:
Nylon or Teflon®catheter
Pump sets without Y-sites
Stickers for the tubing indicating ongoing administration
GNote: Epidural administration of anesthetics is recommended in the continuous
mode only. Epidural administration of analgesics may be delivered by continuous,
bolus, or continuous with bolus.
WARNING: Delayed respiratory depression following continuous
epidural administration of preservative-free morphine
sulfate has been reported.
GNote: Facilities practicing epidural anesthesia/analgesia must be staffed and
equipped to manage cardio-pulmonary resuscitation (CPR). Supplies should
include oxygen, naloxone, and other appropriate resuscitative drugs and
equipment. Monitor patients continuously (e.g., oximetry) during epidural
administration. Frequently observe patient for side effects (for up to 24 hours)
following completion of drug administration by the epidural route.
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1. Introduction
10 Hospira GemStar Manual 430-10984-001 (Rev. 03/06)
Contraindications for Use
Persons who do not have the mental and physical capability or the emotional stability
to properly use the GemStar® Pump should not operate this pump.
DO NOT use the following with the GemStar® Pump System:
Drugs not compatible with silicone rubber or PVC plastic
Drugs not stable under infusion conditions
Warnings and Cautions
Pay attention to the following warnings and cautions when operating the GemStar®
Pump. These warnings and cautions are repeated in the manual when relevant to the
procedure being discussed. Pay attention to all alert messages.
General Warnings and Cautions
Federal (USA) law restricts this device to sale by or on the order of a physician or
other licensed practitioner.
Manual references to specific values are approximate only, unless indicated
otherwise. Air-in-line sensitivity values are approximate only.
When a proximal occlusion alarm activates, DO NOT power-off the pump.
Closely supervise patients who are likely to be adversely affected by unintended
operations and failures, including interrupted medication or fluid infusion. Ensure
provisions for immediate corrective action are available.
Regarding Drugs Used, Pump Sets, and Containers
USE ONLY GemStar® Pump Sets with the GemStar® Pump. Use of
unauthorized sets may result in injury to the patient or damage to the pump.
Some microbore tubing delivery accuracy may be affected when used at extreme
operating temperatures (<10°C, >35°C), relative humidity (<20%) and delivery
rates (<4.9 mL/hr, >350 mL/hr). Refer to individual set labels for specific
instructions and operating conditions.
Delivery accuracy may be impacted when there is air present in the cassette.
Follow the instructions in the individual set labels to remove any visible air from
the cassette.
Ensure slide clamp or lower CAIR® clamp is open prior to inserting cassette.
When using pre-filled vials, ensure vial and injector are securely locked in
lockbox before beginning delivery.
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Hospira GemStar Manual 430-10984-001 (Rev. 03/06) 11
1. Introduction
A cracked vial might not show evidence of leakage until delivery pressure is
applied.
When using nonvented syringes, the system may underdeliver. System delivery
accuracy could be reduced by as much as 5%.
When using PCA vials (except in a lockbox with a spring assist mechanism), the
system may underdeliver. System delivery accuracy could be reduced by as much
as 5%.
Variations in filling head (such as container height) may affect delivery accuracy
by no more than 5%.
When using the GemStar® Spring Assist Mechanism (SAM) Lockbox, USE
ONLY GemStar® Pump sets designated for use with the GemStar® SAM
Lockbox. Failure to use designated sets could result in unrestricted flow.
NEVER use drugs that are incompatible with silicone rubber or PVC plastic
(unless these items are specially treated and labeled to be compatible with such
drugs).
To reduce the loss of potency for drugs known to be absorbed by PVC plastic and
silicone, begin infusion as soon as practical after priming the pump set. Use of
high flow rates during infusion will minimize drug absorption.
DO NOT use medications that are unstable under infusion conditions.
ALWAYS use connections with Luer Lock™ fittings.
To prevent contamination, use aseptic technique with all fluid-path connections.
Remove the protective coverings as assembly progresses.
ALWAYS place the flow stop in the closed position when the set is not in the
pump.
Before installing the cassette in the pump, ensure all slide or lower CAIR®
(roller) clamps are open. Failure to open the slide or lower CAIR® (roller) clamps
BEFORE installing the cassette may result in restricted flow.
DO NOT back-prime the pump set using a syringe. Back priming may result in
restricted flow.
Ensure the cassette is properly installed. When properly installed, all four cassette
latches are visibly holding the cassette securely in the cassette pocket.
Ensure the tubing is behind the tubing guide (at the distal end).
Arrange tubing, cords, and cables to minimize the risk of patient strangulation or
entanglement.
NEVER use vented fluid containers (e.g., glass or rigid plastic) unless suspended
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1. Introduction
12 Hospira GemStar Manual 430-10984-001 (Rev. 03/06)
from a pole.
Stop infusion if signs or symptoms of infiltration occur.
GemStar® Pump Sets contain a pressure-activated anti-siphon valve to reduce the
potential for gravity flow at a typical 36-inch head height.
Failure to use the pressure-activated anti-siphon valve may result in unrestricted
flow if the cassette is not properly installed in the pump.
Always close the slide clamps before removing the cassette from the pump.
Regarding Air-In-Line and Infusion
To reduce the risk of infusing air, use an air-eliminating filter when the air
sensitivity is set to OFF.
ALWAYS prime the pump set to remove all air from the cassette, tubing, and
injection site prior to connecting to the patient.
ALWAYS disconnect the pump set from the patient prior to priming or purging.
Regarding Pump Operation
If the pump does not perform as stated in this manual, remove the pump from
service IMMEDIATELY.
If the pump does not display the self-test or if beeps do not sound at power-on,
check all power connections and install two fresh, disposable AA batteries. If the
problem continues, contact Hospira Technical Support Operations before using
the pump.
Ensure a cassette is installed in the pump before connecting to a printer or
computer. If the pump is connected to a patient: BEFORE connecting the pump
to a computer or printer, press [STOP], close the slide clamp, and eject the
cassette. Leave the pump set connected to the patient. Install another cassette in
the pump before connecting to a printer or computer.
Disconnect the pump from the patient BEFORE performing the Operation Test.
ALWAYS connect to a grounded AC mains power source when using AC mains
power. If the quality of the grounding source is in doubt, operate the pump only
with batteries.
USE ONLY the AC mains adaptors specifically labeled for use with the
GemStar® Pump.
USE ONLY the AC mains adaptor specifically labeled for use with the GemStar®
Pump to charge the battery pack.
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Hospira GemStar Manual 430-10984-001 (Rev. 03/06) 13
1. Introduction
The Hospira GemStar® AC Mains Adaptor is for use with the GemStar® Pump or
GemStar® Rechargeable Battery Pack only. DO NOT use the GemStar® AC
mains adaptor with other products.
During charging, the battery pack is warm. If the battery pack becomes hot to the
touch, IMMEDIATELY unplug the AC mains adaptor and contact Hospira
Technical Support Operations.
Use only the Li-Ion Docking Station and Li-Ion Battery Pack with the GemStar®
Pump.
With the Li-Ion Battery Pack, the LED indicator flashes yellow/green when an
error condition has occurred or when the temperature is too high to charge the
battery pack. In temperatures above 95°F (35°C), cycle AC power to confirm if
battery is charged or if error condition exists. If LED flashes green/yellow, do not
rely on external battery. Move device to cooler temperature and recharge prior to
use. Refer to the battery pack insert for important information and precautions
regarding activating and charging the Li-Ion Battery Pack.
When removing the cord (from the docking station, bottom of the battery pack, or
bottom of the pump), firmly grasp the connector and pull straight out. DO NOT
twist or bend the cord or connector.
To ensure proper pump operation, ALWAYS replace BOTH disposable batteries
with fresh, disposable AA batteries when a change is required.
ALWAYS fully close the battery door when using disposable batteries.
DO NOT use rechargeable batteries in the battery compartment.
Ensure two fresh, disposable AA batteries are installed for backup power when
using other external power sources (e.g., AC Mains adaptor, docking station,
battery pack). The pump will continue to operate on backup power if the external
power source fails. In the event that the internal batteries are removed while the
pump is operating, the power loss event may not be logged in the history, the
programmed therapy may not be retained, and the alarms (audible and visual) may
not occur.
ALWAYS avoid sources of high-intensity electromagnetic radiation (e.g., radio
transmitters, MRI scanners, microwave ovens, X-ray machines, and CAT
scanners).
Use of radio-frequency emitting devices, such as cellular telephones, 2-way
radios, and Electrical Surgical Devices (ESU), in close proximity to this device
may affect its operation.
Possible explosion hazard exists if the pump is used in the presence of flammable
anesthetics. NEVER use the pump in the presence of flammable or explosive
430-10984-001.book Page 13 Friday, March 31, 2006 4:49 PM