Hospira GemStar Series User manual

430-96527-005 (B, 2012-08)
Hospira, Inc.,
275 North Field Drive
Lake Forest,
IL 60045, USA
TM
Infusion System
System Operating Manual
Hospira, Sector 2,
Finisklin Business and
Technology Park
Finisklin, Sligo, Ireland
For use with the
Hospira GemStar Pump
List 13086-04
List 13087-04
List 13088-04

Hospira GemStar System Operating Manual i
Hospira GemStar Infusion System
System Operating Manual
For use with the
Hospira GemStar Infusion System
List 13086-04
List 13087-04
List 13088-04
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 13086,13087,13088) call Hospira Customer Care:
1-877-9HOSPIRA
(1-877-946-7747)

ii Hospira GemStar System Operating Manual
Change History
Part Number Description of Change Pages Changed
430-96527-001
(Rev. 03/06)
Original Issue N/A
430-96527-002
(Rev. 01/07)
Second Release All
430-96527-003
(Rev. 08/08)
Third Release All
430-96527-004
(Rev. 11/10)
Fourth Release All
430-96527-005
(Rev. 2012-08)
Added complete Hospira address,
Manufacturer symbol and CE
Mark symbol, updated Part No.
Front Cover
Deleted trademark and updated
copyright statements and moved
Caution and Warning to bottom of
page
Page vii
Updated trademark symbols for
Hospira products
Throughout
Updated and added IEC symbols,
moved table of symbols and
Caution and Warning to front
Page vii
Update Sterile R and Do Not
Reuse symbols
Pages 32 and 181
Added a statement in the Warning
not to prime the set using the
PURGE key
Pages 39, 44, 71
Added a reference, Warning,
instructions, and index entry for
reprogramming a delayed start
time
Pages 73, 207
Updated the cause and remedy of
the NO DELAY START display
message
Page 151

Hospira GemStar System Operating Manual iii
Contents
IEC Symbols vii
1. Introduction 1
GemStar Pump Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
GemStar Pump Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Therapies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
GemStar Pump Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Menu System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Indications for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Contraindications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2. Basic Operation 19
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Selecting a Power Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Powering On the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Accessing the Programming Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Programming the Pump. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Starting a New Container . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
GemStar Pump Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Loading the Cassette. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Releasing the Cassette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Priming a GemStar Pump Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
3. Total Parenteral Nutrition (TPN)
- Not Applicable to List 13088 53
Therapy Features and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
TPN Programming. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Changing a TPN Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
TPN Auto Taper Down . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
TPN Programming Worksheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Contents
iv Hospira GemStar System Operating Manual
4. Pain Management
- Not Applicable to List 13086 59
Therapy Features and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Pain Management Programming. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Bolus Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Loading Dose Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Changing a Pain Management Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
5. Intermittent 69
Therapy Features and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Intermittent Programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Intermittent Delivery Interruptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Changing an Intermittent Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Intermittent Programming Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
6. Continuous
- Not Applicable to List 13088 79
Therapy Features and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Continuous Programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Rate Titration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Piggybacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
Changing a Continuous Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Continuous Programming Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
7. Weight Dosed
- Not Applicable to List 13088 87
Therapy Features and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Weight Dosed Programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Auto KVO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Rate Titration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
VTBI Titration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Changing a Weight Dosed Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
GemStar Weight Dosed Programming Worksheet . . . . . . . . . . . . . . . . . . . . . . . . 91
Programming a Precedex (dexmedetomidine hydrochloride injection) Delivery . . 92
GemStar Precedex (dexmedetomidine hydrochloride injection) Programming
Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Hospira GemStar System Operating Manual v
Contents
8. mL/hr Only
- Not Applicable to List 13088 95
Therapy Features and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
mL/hr Only Programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Auto KVO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Rate Titration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
VTBI Titration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Piggybacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98
Changing a mL/hr Only Program. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
mL/hr Only Programming Worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102
9. Variable Time
- Not Applicable to List 13088 103
Therapy Features and Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Variable Time Programming . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Variable Time Delivery Interruptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Changing a Variable Time Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
GemStar Variable Time Programming Worksheet . . . . . . . . . . . . . . . . . . . . . . . 107
10. Options Menu 109
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Tips for Using the Options Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Review Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Histories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Keypad Lock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Change Pump Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Set Clock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Print . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
Speed Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122
Next Dose (Not available for List 13088). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
Connecting to the Data Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124
Transferring Data Using a Computer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
11. Clinician Instructions 131
Clinician Locking Sequence Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
Program and Deliver a Clinician Activated Loading Dose . . . . . . . . . . . . . . . . . . 134
Shift Totals and History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

Contents
vi Hospira GemStar System Operating Manual
12. Troubleshooting 137
Alarm Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138
Alert Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
Other Display Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151
13. Maintenance 153
Pump Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Cleaning and Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155
14. Operation Test 157
Equipment Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Test Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
Performing the Operation Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158
Printing Test Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
GemStar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Operation Test Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
15. Optional System Components 167
Connecting the Bolus Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Using the GemStar Lockboxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170
Using the Hospira Carrying Cases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Using the GemStar Docking Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 179
16. Pump Sets 181
17. GemStar Pump Specifications 185
Occlusion Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 188
18. Warranty/Technical Assistance 201
A. Electrical Potentials 203
Guidance on EMC Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
Information Regarding Electrostatic Discharge (ESD) . . . . . . . . . . . . . . . . . . . . 204
Index 205

Hospira GemStar System Operating Manual vii
IEC Symbols
CAUTION: Federal (USA) law restricts this device to sale by or on the order of
a physician or other licensed practitioner.
All Rights Reserved Printed in USA
The ‘C’ and ‘US’ indicators adjacent to
the CSA Mark signify that the product
has been evaluated to the applicable CSA
and ANSI/UL Standards, for use in
Canada and the U.S., respectively. This
‘US’ indicator includes products eligible
to bear the ‘NRTL’ indicator. NRTL, i.e.
National Recognized Testing Laboratory,
is a designation granted by the U.S.
Occupational Safety and Health
Administration (OSHA) to laboratories
which have been recognized to perform
certification to U.S. Standards.
Per IEC 60601-1 F-Type Applied Part
complying with the highest degree of
protection against electric shock. Type
CF Applied Parts are those parts suitable
for direct cardiac application.
Attention: Consult accompanying
documents.
Indicates compliance of this
device to the Medical Device
Directive 93/42/EEC
Do Not Reuse
Authorized Representative:
Hospira, Sector 2, Finisklin Business
and Technology Park
Finisklin, Sligo, Ireland
Sterile Fluid Path (sterilized using
irradiation)
Keep Dry
The GemStar Pump has been assessed
and complies with the following standard;
IEC/EN 60601-2 (2001)
Fragile, Handle with Care
Manufactured by
Hospira, Inc., 275 North Field Drive,
Lake Forest, IL 60045, USA
Temperature Limitation
Protected against vertically falling water
drops. This Way Up
DANGER: Possible explosion hazard exists if used in the presence of
flammable anesthetics.
TYPE CF

Notes
viii Hospira GemStar System Operating Manual

Hospira GemStar System Operating Manual 1
Chapter 1
Introduction
The GemStar 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.
dNote: A NOTE contains information or examples to help explain instructions.
fTip: A TIP contains information that makes the pump easier to use.
dNote: 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.

Chapter 1. Introduction
2 Hospira GemStar System Operating Manual
GemStar Pump Layout
Shown approximate size

Hospira GemStar System Operating Manual 3
Chapter 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 (or Titrate VTBI)
New Program Piggybacking
• 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 8 Next Dose
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.

Chapter 1. Introduction
4 Hospira GemStar System Operating Manual
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

Hospira GemStar System Operating Manual 5
Chapter 1. Introduction
Therapies
Seven types of therapy are available for infusion of medications and fluids. The
following table lists possible applications and available features of each therapy.
Therapy Possible Applications
TPN Total Parenteral Nutrition
fluid delivery ••
Pain
Management
Infusion of analgesics or
anesthetics for patient-
controlled pain
management (PCA),
epidural infusion and
parenteral administration
of general I.V. fluids
••
Intermittent Interval-based therapies
such as antibiotics •
Continuous Infusion of mg, mcg, or
mL/hr with a selectable
KVO (Keep Vein Open)
option
•• •
Weight Dosed Critical care, pediatrics •• •
mL/hr Only Simple rate programming ••• •
Variable Time Chronotherapy ••
• = Available
dNote: pain management is the only therapy available for List 13088.
AUTOKVO
TITRATE
RATE
PIGGY-
BACKING
BOLUS
LOADING
DOSE
TAPERUP
/DOWN
TITRATE
VTBI
OPTIONAL
KVO

Chapter 1. Introduction
6 Hospira GemStar System Operating Manual
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 10 Options
Menu
• Alerts and
Alarms
Signals audible and visual alarms when
attention is required.
Chapter 1 Introduction,
GemStar Pump Layout
•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 10 Options
Menu and Chapter 11
Clinician Instructions
•New
Container
Repeats the current program without
reprogramming the pump.
Chapter 2 Basic
Operation
• Piggybacking Allows delivery from a secondary container
during a Continuous or mL/hr Only
program.
Chapter 6 Continuous -
Not Applicable to List
13088 and Chapter 8
mL/hr Only - Not
Applicable to List 13088
•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 14 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 10 Options
Menu
• Speed
Protocols
Stores up to nine frequently used programs
in the pump’s memory for quick access.
Chapter 10 Options
Menu

Hospira GemStar System Operating Manual 7
Chapter 1. Introduction
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 PAIN MANAGEMENT from the Programming
Menu.
dNote: Menu items may vary depending on the pump’s configuration.
fTip: A menu item does not have to be on the display to be selected. For example,
when the Programming Menu first displays, only the first four therapies are shown.
Instead of pressing the down arrow to see the other menu items, press [7] to go
directly to Variable Time Programming.

Chapter 1. Introduction
8 Hospira GemStar System Operating Manual
To display
this menu:
Do this: Menu Items Available
Programming
Menu
Or
Delivery Mode
Menu (FOR LIST
13088 ONLY)
1 Press to
display the Change
menu.
2 Select NEW
PROGRAM.
1 TPN
2 PAIN MANAGEMENT
3 INTERMITTENT
4 CONTINUOUS
5 WEIGHT DOSED
6mL/HR ONLY
7 VARIABLE TIME
1 CONTINUOUS
2 BOLUS
3 CONT + BOLUS
Note: If a program is not currently stored in
pump memory at power-on, the Programming
Menu automatically displays after the self-test.
Change Menu Press . 1 NEW CONTAINER
2 NEW PROGRAM
3 CHANGE PROGRAM
4 PIGGYBACKING
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
8 NEXT DOSE (NOT AVAILABLE FOR LIST 13088)

Hospira GemStar System Operating Manual 9
Chapter 1. Introduction
Operating Modes
The GemStar Pump has four operating modes:
For more information on: Refer to the following pages:
Programming Menu Chapter 2 Basic Operation, page 19.
Change Menu For menu item [1], refer to Starting a New Container
in Chapter 2 Basic Operation, on page 32. For
menu items [2], [3], and [4], refer to the appropriate
therapy chapter.
Options Menu Chapter 10 Options Menu, page 109.
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.

Chapter 1. Introduction
10 Hospira GemStar System Operating Manual
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 and parenteral administration of general I.V. fluids, medications, nutritional
fluids, and blood/blood products. The epidural route is recommended to provide
anesthesia or administer analgesia for periods up to 96 hours.
Intended parenteral administrations include but are not limited to: intravenous (within
a vein), arterial, subcutaneous (tissue just below the skin), regional (located to specific
areas of the body) and epidural analgesia, intrathecal analgesia, intraspinal analgesia,
combined spinal-epidural analgesia, short term epidural infusion, intraspinal (within
the spinal canal), intrathecal (within the subarachnoid or subdural space),
intraoperative sites (soft tissue, body cavity or surgical wounds), intraarticular (within
a joint), intraperitoneal (within the peritoneal cavity), and intracerebroventricular
infusions. The indications for use include hospital, homecare and ambulatory
environments. The system has also been qualified for use in rotary wing aircrafts (e.g.,
helicopters). The pump must be used with sterile, dedicated, GemStar administration
sets.
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).
dNote: 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.

Hospira GemStar System Operating Manual 11
Chapter 1. Introduction
For epidural administration, the following is recommended:
6Nylon or Teflon™catheter
6Pump sets without Y-sites
6Stickers for the tubing indicating ongoing administration
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:
6Drugs not compatible with silicone rubber or PVC plastic
6Drugs 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
6Federal (USA) law restricts this device to sale by or on the order of a physician or
other licensed practitioner.
6Manual references to specific values are approximate only, unless indicated
otherwise. Air-in-line sensitivity values are approximate only.
6When a proximal occlusion alarm activates, DO NOT power-off the pump.
6Closely 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.
dNote: 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.