Hospira Plum XL User manual

System
Operating
Manual
For use with list 11859-04
WithDataPort
TM
430-05709-003 (A, 01/2009)
XLDCOVR.FM Page 1 Friday, January 16, 2009 2:29 PM

System Operating Manual i
CHANGE HISTORY
Part Number Description of Change
Revised
Pages
430-05709-001
(Rev. 8/97)
Original release
430-05709-A01
(Rev. 09/04)
Changed Abbott to Hospira
Verbiage
Front and Back
Covers, Change
History, iii, iv, 3
thru 9, 12, 15,
19, 30, 34, 37,
40 thru 46, 49,
50, 52
430-05709-002
(Rev. 02/05)
Second release All
430-05709-003
(A, 01/2009)
Third release All
CHNGHTOC.FM Page i Friday, January 16, 2009 2:31 PM

ii Plum XL Micro/Macro with DataPort
CONTENTS
1.0 CONVENTIONS . . . . . . . . . . . . . . . 1
1.1 Warnings Cautions, and Notes . . . . . . 1
2.0 FEATURES . . . . . . . . . . . . . . . . . 3
2.1 User Qualification . . . . . . . . . . . 4
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 Operating Keys . . . . . . . . . . . . 9
4.3 Additional Features . . . . . . . . . . 11
5.0 INSTRUCTIONS FOR USE . . . . . . . . . . . 13
5.1 Setup . . . . . . . . . . . . . . . . 13
5.2 Cassettes . . . . . . . . . . . . . . 13
5.2.1 Preparing the Cassette . . . . . . 14
5.2.2 Priming the Cassette . . . . . . . 16
5.2.3 Loading the Cassette . . . . . . . 17
5.2.4 Preparing the Secondary Line . . . 17
5.3 Using The DataPort . . . . . . . . . . 19
5.3.1 Attaching DataPort Accessories . . 20
6.0 PROGRAMMING . . . . . . . . . . . . . . . 21
6.1 Primary Only Delivery . . . . . . . . . 22
6.2 Secondary Only Delivery . . . . . . . . 23
6.3 Piggyback Delivery. . . . . . . . . . . 25
6.4 Backpriming . . . . . . . . . . . . . 27
6.5 Changing Containers . . . . . . . . . . 29
6.6 Titration . . . . . . . . . . . . . . . 30
CHNGHTOC.FM Page ii Friday, January 16, 2009 2:31 PM

System Operating Manual iii
6.7 Clear Volume . . . . . . . . . . . . . 30
6.8 Lockout . . . . . . . . . . . . . . . 30
7.0 TROUBLESHOOTING . . . . . . . . . . . . 31
7.1 Alarms . . . . . . . . . . . . . . . 31
7.2 Malfunctions . . . . . . . . . . . . . 34
7.3 Technical Assistance . . . . . . . . . 35
8.0 PRECAUTIONS . . . . . . . . . . . . . . . 37
8.1 Artifacts . . . . . . . . . . . . . . . 37
8.2 Healthcare Professional and Patient Related 37
8.3 Epidural Administration . . . . . . . . 39
8.4 Battery Operation . . . . . . . . . . . 40
8.5 Sets and Accessories . . . . . . . . . 40
8.6 Backpriming . . . . . . . . . . . . . 41
8.7 General . . . . . . . . . . . . . . . 41
9.0 CLEANING, MAINTENANCE, AND STORAGE . . 43
9.1 Cleaning and Sanitizing . . . . . . . . 43
9.2 Battery Maintenance . . . . . . . . . . 46
9.3 Storage . . . . . . . . . . . . . . . 47
9.4 Service . . . . . . . . . . . . . . . 47
10.0 SYSTEM ACCESSORIES . . . . . . . . . . . 49
11.0 SPECIFICATIONS . . . . . . . . . . . . . . 51
12.0 WARRANTY . . . . . . . . . . . . . . . . 53
©Copyright 2009 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. Printed in USA
CHNGHTOC.FM Page iii Friday, January 16, 2009 2:31 PM

iv Plum XL Micro/Macro with DataPort
NOTES
CHNGHTOC.FM Page iv Friday, January 16, 2009 2:31 PM

System Operating Manual 1
1.0 CONVENTIONS
This section describes the conventions used throughout
this manual, as follows:
1.1 Warnings Cautions, and Notes
Alert messages used throughout this manual are
described below. Pay particular attention to these
messages.
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.
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]
ALL CAPS
Initial Caps
lowercase
Screen displays and
device labels (as
appropriate)
TURN TO RUN
Bold Emphasis ...sets are supplied
Sterile and are for....
XLDSEC1.FM Page 1 Friday, January 16, 2009 2:34 PM

2 Plum XL Micro/Macro with DataPort
CAUTION: A CAUTION usually appears in front of a
procedure or statement. It contains information that
could 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.
This symbol directs the user to consult
accompanying documents.
Note: Figures are rendered as graphic representations
to approximate the actual product; therefore, figures
may not exactly reflect the product.
XLDSEC1.FM Page 2 Friday, January 16, 2009 2:34 PM

System Operating Manual 3
2.0 FEATURES
The Plum® XL Micro/Macro with DataPort is a dual-line
volumetric infusion system designed to meet the growing
demand for hospital-wide, as well as alternate site and
home healthcare, standardization. With its primary line,
secondary line, and piggyback fluid delivery capability,
the Plum XL Micro/Macro with DataPort is suited for a
wide range of medical/surgical and critical care
applications. Full compatibility with LifeCare®
PlumSets® administration sets and accessories, and the
LifeShield® needleless protection systems, makes the
Plum XL Micro/Macro with DataPort a convenient and
cost-effective infusion system.
The following features are included in the Plum XL
Micro/Macro with DataPort:
oNonpulsatile volumetric accuracy
oMicro/Macro 0.1-999 mL/hr flow rate range
oConvenient QuicksetTM Programming allows
clinician to quickly increase rate and volume
oMicroprocessor control
oLarge LCD screen
oPanel back illumination on AC power
oLockout switch
oWide range of standard and specialty administration
sets
oStandard fullfill, partfill, syringe and vial use
oParenteral, blood and nonparenteral (enteral) fluid
delivery
oAnti free-flow protection
oBackpriming
oTitration
XLDSEC2.FM Page 3 Friday, January 16, 2009 2:35 PM

4 Plum XL Micro/Macro with DataPort
oKVO at dose end (1.0 mL/hr or less depending on
delivery rate)
oLong battery life for emergency backup and
temporary portable operation
oDataPort
2.1 User Qualification
The Plum XL Micro/Macro with DataPort is suitable for
intravenous and epidural infusion. Plum XL
Micro/Macro with DataPort users should be under the
supervision of a healthcare professional and should be
instructed about using and troubleshooting this device.
This instruction should emphasize preventing related IV
complications, including appropriate precautions to
prevent accidental infusion of air. The epidural route can
be used to provide anesthesia or analgesia.
WARNING
THIS DEVICE CAN ADMINISTER ONLY THOSE
ANESTHETICS/ANALGESICS APPROVED FOR
EPIDURAL ADMINISTRATION (AS INDICATED OR
ALLOWED BY THE DRUGS’ FDA APPROVED LABELING).
EPIDURAL ADMINISTRATION OF DRUGS OTHER THAN
THOSE INDICATED FOR EPIDURAL USE COULD RESULT
IN SERIOUS INJURY TO THE PATIENT.
XLDSEC2.FM Page 4 Friday, January 16, 2009 2:35 PM

System Operating Manual 5
3.0 GETTING STARTED
This section describes the instrument installation
procedures for the Plum XL Micro/Macro with DataPort.
3.1 Unpacking
CAUTION: Product damage may occur unless
proper care is exercised during unpacking and
installation. Do not use the Plum XL Micro/Macro
with DataPort if it appears damaged in any way. The
battery may not be charged upon receipt.
Inspect the Plum XL Micro/Macro with DataPort
packaging for visible shipping damage. If any damage is
found, contact the delivering carrier immediately.
Carefully remove the Plum XL Micro/Macro with
DataPort from the shipping carton. Retain the packing
slip and save all packing material in case the Plum XL
Micro/Macro with DataPort is damaged or fails the
self-test and has to be returned to the manufacturer.
Inspect the Plum XL Micro/Macro with DataPort
thoroughly for damage.
CAUTION: If the Plum XL Micro/Macro with
DataPort appears to be damaged; contact Hospira
(see Section 7.3, Technical Assistance).
3.2 Self-Test
CAUTION: Do not place the Plum XL Micro/Macro
with DataPort in service if it fails the self-test.
Connect the AC power cord to AC power, then confirm
that the AC power indicator illuminates (next to the OFF
CHARGE setting). Place a primed administration set into
the cassette door (see Section 5.0, INSTRUCTIONS FOR
USE). Close the cassette door.
XLDSEC3.FM Page 5 Friday, January 16, 2009 2:36 PM

6 Plum XL Micro/Macro with DataPort
After the cassette door is closed, turn the control dial to
SET RATE.
The LCD screen displays all the
symbols briefly. Verify that the
screen display exactly matches
the illustration shown at the left.
If the LCD screen does not match
the illustration, remove the
Plum XL from service and contact
the hospital repair facility or
Hospira Technical Support
Operations.
After the general LCD self-test,
the LCD screen displays
duplicated segments of the
numeric display. Verify that the
screen display alternates exactly
as shown in the illustrations at
the left. If the display does not
match the illustrations, remove
the Plum XL Micro/Macro with
DataPort from service and contact
the hospital repair facility or
Hospira Technical Support
Operations.
After the Plum XL Micro/Macro with DataPort completes
self-testing, disconnect it from AC power and confirm
that BATTERY displays on the screen (indicating battery
power is in use). To ensure the battery is fully charged,
remove the administration set, then reconnect the Plum
XL Micro/Macro with DataPort to AC power for a
minimum of eight hours in the OFF CHARGE setting.
CAUTION: Do not operate the Plum XL
Micro/Macro with DataPort 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
If an alarm occurs during the self-test, note the message,
then take the appropriate corrective action (see Section
7.0, TROUBLESHOOTING). Repeat the self-test. If the
alarm recurs, remove the Plum XL Micro/Macro with
DataPort from service and contact Hospira Technical
Support Operations.
XLDSEC3.FM Page 6 Friday, January 16, 2009 2:36 PM

System Operating Manual 7
4.0 COMPONENTS
The front and back of the Plum XL components are
illustrated below.
PRI
SEC
TITRATE
SILENCE
SET RATE
SET VTBI
RUN
BACK
PRIME
HOLD/RESET
CLEAR
VOL
OFF
CHARGE
QUICKSET
Door
Handle
Cassette
Door
LCD Screen
Control
Dial
Pump
Operating
Indicator
Pole
Clamp
Audio
Switch
Lockout
Switch
Power Cord
AC Power
Indicator
Silence
(Alarm)
Optional
Minipole
Attachment
Post
DataPort
XLDSEC4.FM Page 7 Friday, January 16, 2009 2:37 PM

8 Plum XL Micro/Macro with DataPort
4.1 Control Dial Settings
OFF CHARGE stops all active
functions. The 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
for the primary or secondary line
using the or key. The rate
range is 0.1 to 99.9 mL/hr in
0.1-mL increments, then 100 to
999 mL/hr in 1-mL/hr
increments.
Note: Use the [QUICKSET] key
to quickly raise the rate to the
next higher entry in this
sequence: 0, 5.0, 25.0, 50.0,
75.0, 100, 125, 150, 200, 500,
999.
SET VTBI sets the volume to be
infused/delivered (VTBI) from the
primary or secondary line using
the or key. The VTBI
range is 0.1 to 99.9 mL in 0.1-mL
increments, then 100 to 9999 mL
in 1-mL increments.
Note: Use the [QUICKSET] key
to quickly raise the VTBI to the
next higher entry in this
sequence: 0, 10.0, 25.0, 50.0,
100, 150, 250, 500, 1000, 2000,
3000, 4000, 9999.
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
XLDSEC4.FM Page 8 Friday, January 16, 2009 2:37 PM

System Operating Manual 9
RUN starts fluid delivery at the
rate set by the user. RUN is the
only setting that delivers fluid.
The pump operating indicator
light on the front panel flashes
during pumping.
HOLD/RESET stops fluid
delivery. Fluid containers can be
changed in this setting. If the
pumping unit is in an alarm
condition, HOLD/RESET silences
the audible alarm. Alarm
messages are retained until
control dial is returned to the RUN
setting.
CLEAR VOL clears the total
volume delivered. To avoid
unintentional erasure of volumes,
an alert sounds to allow the user
to change the setting before the
volumes are cleared (see Section
6.7, Clear Volume).
4.2 Operating Keys
[PRI-SEC] 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] adjusts the fluid
delivery rate up or down while
pumping is in progress. Hold the
[TITRATE] key while pressing the
or key to increase or
decrease the delivery rate.
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
PRI
SEC
TITRATE
QUICKSET
XLDSEC4.FM Page 9 Friday, January 16, 2009 2:37 PM

10 Plum XL Micro/Macro with DataPort
[QUICKSET] changes the rate to
change in preprogrammed
increments.
With the Plum XL in SET RATE
mode, pressing the [QUICKSET]
key causes the rate to change to
the next higher entry in this
sequence: 0, 5.0, 25.0, 50.0,
75.0, 100, 125, 150, 200, 500,
999.
With the instrument in VTBI
mode, pressing the [QUICKSET]
key causes VTBI to change to the
next higher entry in this
sequence: 0, 10.0, 25.0, 50.0,
100, 150, 250, 500, 1000, 2000,
3000, 4000, 9999.
[BACKPRIME] 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.
[SILENCE] temporarily mutes
audible alarms. The alarm display
and the LCD screen continue to
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 Section 7.0,
TROUBLESHOOTING.
TITRATE
QUICKSET
BACK
PRIME
SILENCE
XLDSEC4.FM Page 10 Friday, January 16, 2009 2:37 PM

System Operating Manual 11
4.3 Additional Features
AUDIO SWITCH (located on the
rear panel) has two sound level
settings, high and low.
LOCKOUT SWITCH (located on
the rear panel) may be used to
prevent unauthorized changes to
the Plum XL settings.
XLDSEC4.FM Page 11 Friday, January 16, 2009 2:37 PM

12 Plum XL Micro/Macro with DataPort
NOTES
XLDSEC4.FM Page 12 Friday, January 16, 2009 2:37 PM

System Operating Manual 13
5.0 INSTRUCTIONS FOR USE
This section describes the Plum XL Micro/Macro with
DataPort setup and cassette use.
5.1 Setup
WARNING
ARRANGE TUBING, CORDS, AND CABLES TO MINIMIZE
THE RISK OF PATIENT STRANGULATION OR
ENTANGLEMENT.
To set up the Plum XL Micro/Macro with DataPort, plug
the power cord into an AC power outlet, unless
temporary battery operation is desired.
Note: Use AC power whenever possible. Store the Plum
XL Micro/Macro with DataPort connected to AC power
to ensure a fully charged battery for emergency use.
Set the audio switch to the desired volume level, HIGH
or LOW.
The Plum XL Micro/Macro with DataPort may be safely
and conveniently mounted on an IV stand.
5.2 Cassettes
The Plum XL Micro/Macro with DataPort is compatible
with the wide range of PlumSets administration sets.
Become familiar with the components illustrated in the
following figure before preparing the cassette.
XLDSEC5.FM Page 13 Friday, January 16, 2009 2:38 PM

14 Plum XL Micro/Macro with DataPort
5.2.1 PREPARING THE CASSETTE
Use aseptic technique to prepare the cassette
for priming, then proceed as follows:
Close the upper clamp on the
administration set.
Push in the flow regulator to close
it.
Flow
Regulator
Pumping
Chamber
Primary Line
Secondary
Inlet Port
(Capped)
Finger Grip
Patient Line
Air Trap
XLDSEC5.FM Page 14 Friday, January 16, 2009 2:38 PM

System Operating Manual 15
Expose the outlet of the IV
container, then insert the piercing
pin into the outlet with a twisting
motion.
Fill the drip chamber to the score
mark.
Open the upper clamp.
XLDSEC5.FM Page 15 Friday, January 16, 2009 2:38 PM