i-Vac P5000 Mk II Manual

IVAC P5000 Mk II
P5000 GB/FR/D 5001FAOPT71 ISSUE 8
SW V2R8
Directions For Use
Mode D’Emploi
Gebrauchsanweisung

English
Getting Started Page
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Features of the IVAC P5000 Syringe Pump . . . . . . . . . . . . . . . . . 2
Controls and Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Operating Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 - 5
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Pole Clamp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Replacing the Mains Fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Loading a Syringe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Starting the Pump . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Front Panel and Main Display . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Purge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Clinician Over-Ride . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
PCAM Patient History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
PCA Demands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Drug Infused . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
24 Hour Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
PCAM Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Pumping Pressure Icon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Maximum Dose Icon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
PCAM Patient Hand Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Using Pre-Set PCAM Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Alarm Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 - 16
Configured Options Page
Drug Names and Safety Limits . . . . . . . . . . . . . . . . . . . . . . . . . 17
General Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 - 20
Clock Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Pre-Set Protocol Set Up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Specifications Page
RS232/Nurse Call Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Self Test Routine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Self Test Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24 - 25
Configuration Record . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Symbol Definition and Equipment Classification . . . . . . . . . . . . . 27
Syringe Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Compatible Extension Lines and Syringes . . . . . . . . . . . . . . . . . 28
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 - 31
Routine Maintenance Procedures . . . . . . . . . . . . . . . . . . . . . . . 32
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Cleaning and Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Battery Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Occlusion Pressure Limits for IVAC 50 ml Syringes . . . . . . . . . . . 34
Bolus Volume Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Spare Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Service Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Technical Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Trumpet and Start-Up Curves . . . . . . . . . . . . . . . . . . . . . . . . 37 - 38
Service Contacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Contents
5001FAOPT71 ISS 8.0 i/ iv

Français
Mise en Route Page
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Fonctions de l’IVAC PCAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Boutons de commande et voyants lumineux . . . . . . . . . . . . . . . . 43
Précautions d’utilisation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 - 45
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Noix de fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Remplacement des fusibles . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Installation de la seringue . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Démarrage de la pompe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Console et Menu Principal . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Purge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Bolus Manuel Dérogatoire . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Historique de la PCAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Demandes de PCA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Médicament Perfusé . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Récapitulatif des dernières 24 heures . . . . . . . . . . . . . . . . . . . . 51
Registre des événements de la PCAM . . . . . . . . . . . . . . . . . . . . 51
Imprimer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Icône de la Pression de Pompage . . . . . . . . . . . . . . . . . . . . . . . 53
Icône de la Dose Maximum . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Poignée de commande de la PCAM . . . . . . . . . . . . . . . . . . . . . . 53
Utilisation des protocoles pré-réglés . . . . . . . . . . . . . . . . . . . . . 54
Procédures d'alarme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 - 56
Options Page
Noms des médicaments et Limites de sécurité . . . . . . . . . . . . . . 57
Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59 - 60
Programmation de l'horloge . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Protocole pré-réglé . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Caractéristiques Page
RS232/ Appel de l'infirmière . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Procédures d'auto-test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Série d'auto-test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64 - 65
Registre de configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Définition des symboles et Classification des matériaux . . . . . . . 67
Types de seringue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Prolongateurs et seringues compatibles . . . . . . . . . . . . . . . . . . 68
Caractéristiques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 - 71
Procédures de l'entretien de routine . . . . . . . . . . . . . . . . . . . . . 72
Destruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Nettoyage et rangement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
Fonctionnement de la batterie . . . . . . . . . . . . . . . . . . . . . . . . . 73
Limites de la pression d'occlusion pour les seringues IVAC de 50ml 74
Précision du volume du bolus . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Pièces Détachées . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Description technique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
Courbes en trompette / de démarrage . . . . . . . . . . . . . . . . . . 77 - 78
Centres d’Entretien . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
Garantie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Contenu
5001FAOPT71 ISS 8.0ii / iv

Deutsch
Bedienung Seite
Einführung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Funktionen der IVAC PCAM . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82
Bedienelemente und Anzeigen . . . . . . . . . . . . . . . . . . . . . . . . . 83
Vorsichtsmaßnahmen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84 - 85
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Stativklemme . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
Ersetzen der Sicherungen für den Wechselstromanschluß . . . . . . 86
Laden der Spritze . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
Starten der Pumpe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
Vorderseite und Hauptdisplay . . . . . . . . . . . . . . . . . . . . . . . . . 89
Füllen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Anwendereingriff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
PCAM Patientendatenspeicher . . . . . . . . . . . . . . . . . . . . . . . . . 90
PCA-Anforderungen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Infundiertes Medikament . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
24-Stunden-Aufzeichnung . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
PCAM Ereignisbericht . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Drucken . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
Förderdrucksymbol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Symbol Maximaldosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
PCAM Patientenhandtaste . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Verwendung vorprogrammierter PCAM-Protokolle . . . . . . . . . . . 94
Vorgehen bei Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95 - 96
Konfigurierte Optionen Seite
Medikamente und Förderbereiche . . . . . . . . . . . . . . . . . . . . . 97 - 98
Allgemeine Optionen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99 - 100
Uhrzeit einstellen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101
Programmieren der Protokolle . . . . . . . . . . . . . . . . . . . . . . . . . 102
Spezifikationen Seite
RS232/ Schwesternruf . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
Selbsttestroutine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Selbsttestsequenz . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 - 105
Konfigurationsaufzeichnung . . . . . . . . . . . . . . . . . . . . . . . . . . 106
Symboldefinition und Geräteklassifikation . . . . . . . . . . . . . . . . 107
Spritzenfabrikate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108
Kompatible Infusionsbestecke und Spritzen . . . . . . . . . . . . . . . 108
Spezifikationen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109 - 111
Routinewartung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Entsorgung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Reinigung und Lagerung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Muster für P5000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113
Batteriebetrieb . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Verschlußdruckgrenzen für IVAC 50-ml-Spritzen . . . . . . . . . . . . 114
Bolusvolumengenauigkeit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Ersatzteile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115
Wartungsgeräte . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Technische Beschreibung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Trompeten und Start-up-Kurven . . . . . . . . . . . . . . . . . . . . . 117 - 118
Service Kontaktadressen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Garantie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120
Inhalt
5001FAOPT71 ISS 8.0 iii / iv

Contents
5001FAOPT71 ISS 8.0iv / iv

Getting Started
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5001FAOPT71 ISS 8.0
Page
English
Getting Started 2 - 15
Configured Options 16 - 22
Specification 23 - 40
Français
Pour Démarrer 42 - 56
Options Configurées 57 - 62
Caractéristiques 63 - 80
Deutsch
Bedienung 82 - 96
Konfigurierte Optionen 97 - 102
Spezifikation 103 - 120

Getting Started
2/ 120 5001FAOPT71 ISS 8.0
uUser configured PCA protocols.
uComprehensive history.
uLarge graphics format display.
uTwo key positions providing separation of nursing
and programming procedures.
u5 pre-set hospital PCA protocols.
uUnique electronic hand set with status indicator.
uCommunications and nurse call interfaces.
Introduction
The IVAC PCAM system allows a patient to maintain a consistent level of pain relief by
providing self administration of a clinician-prescribed dose of analgesic as and when it
is required.
When the hand set is operated and the demand is within the parameters set by the
clinician, the PCAM will automatically administer a precise bolus dose of analgesic.
For enhanced monitoring and management of post operative acute pain within the
hospital, the IVAC PCAM provides convenient Patient Controlled Analgesia (PCA) and
detailed information at the bed-side about the patients use of PCA.
Central to an effective pain service, PCAM promotes improved pain management,
more effective use of nursing resources, better patient outcomes and can contribute
towards a quicker discharge from hospital.
Features of IVAC PCAM

BATTERY & AC POWER
INDICATORS - Indicates
when the unit is running from
its internal battery or
connected to the AC power
supply with the battery being
charged.
Getting Started
3/ 120
5001FAOPT71 ISS 8.0
Controls and Indicators
STOP Button - Press to
stop the infusion. The
Amber light will flash to
indicate an alarm.
START Button - Press START
button to commence PCAM
operation. The GREEN light
will illuminate when the pump
is infusing.
Use + and - arrow buttons to move
cursor and increase/decrease
values shown on the display
during setup and configuration.
MAIN DISPLAY - For screen
information see Starting the Pump.
HISTORY Button -
Press HISTORY
button to display
PCAM history graphs
and event records.
PURGE Button - Press both PURGE buttons
simultaneously and hold down to purge the
extension line during set up. PURGE will only
operate when the cover is open and the key switch
is in the RUN position.
PRINT Button - Press
PRINT button to print
patient history. A suitable
printer must be connected.
ARROW Buttons - Use
ARROW buttons in
conjunction with prompts
shown in the display.
KEY SWITCH - The KEY SWITCH turns the power
ON/OFF and is used to select SET and RUN modes.
Switching from RUN to SET modes without first pressing
the STOP button will automatically stop the infusion.

Several alarm conditions detected by this
pump will stop the infusion and generate
audible alarms. Users must perform regular
checks to ensure that the infusion is
progressing correctly and no alarms are
operating.
Getting Started
4/ 120 5001FAOPT71 ISS 8.0
Operating Precautions
This IVAC pump has been calibrated for use
with single-use disposable syringes. To ensure
correct and accurate operation, only use Luer-
Lock versions of the syringe make specified on
the pump or described in this Directions for
Use. Use of non-specified syringes or
administration sets may impair the operation of
the pump and the accuracy of the infusion.
Uncontrolled flow or syphoning may result if
the syringe is located on the pump without its
finger grips and plunger correctly located in the
slots provided, or if it is removed from the
pump before the extension line is properly
isolated from the patient. Isolation may include
closing a tap in the patient line or activating a
flow stop clamp.
When combining several apparatus and/or
instruments with administration sets and other
tubing, for example via a 3 way tap, the
performance of the pump may be impacted
and should be monitored closely.
Do not mount the pump in a vertical position
with the AC power inlet or the syringe pointing
upwards as this could affect electrical safety, in
the event of a fluid spill over the unit or lead to
an infusion of air which may be in the syringe.
To protect against the introduction of air the
user should regularly monitor the progress of
the infusion, syringe, extension line and patient
connections and follow the priming procedure
specified herein.
This is a positive pressure device designed to
achieve very accurate fluid administration by
automatically compensating for resistance
encountered in the infusion system.
The pumping pressure alarm system is not
designed to provide protection against, or
detection of, infiltration conditions which can
occur at low pressures.

Getting Started
5/ 120
5001FAOPT71 ISS 8.0
Operating Precautions
An explosion hazard exists if the instrument is
used in the presence of flammable
anaesthetics. Exercise care to locate the unit
away from any such hazardous sources. An
electrical shock hazard exists if the units
casing is opened or removed. Refer all
servicing to qualified service personnel.
This instrument is protected against the effects
of external interference, including high energy
radio frequency emissions, magnetic fields
and electrostatic discharge (for example, as
generated by electrosurgical and cauterising
equipment, large motors, portable radios,
cellular telephones etc.) and is designed to fail
safe if unreasonable levels of interference are
encountered.
If this instrument is dropped, subjected to
excessive moisture, humidity or high
temperature, or otherwise suspected to have
been damaged, remove it from service for
inspection by a qualified service engineer.
A comprehensive service manual containing
circuit descriptions, servicing and testing
information is available for this unit. It can be
ordered from your ALARIS Medical Systems
authorised distributor (Technical Service
Manual Part Number 5000PB00004).
In some circumstances the unit may be
affected by an electrostatic discharge of +/-8kV
(contact), +/-15kV (air), at test levels lower
than these values the unit will operate
normally. In rare circumstances the unit may
be affected by radiation at a level of 10V/m. If
the unit is affected by this external interference
the unit will fail safe or reset, ( a call back alarm
will occur after 2 minutes). Should false alarm
conditions be encountered either, remove the
source of the interference, or regulate the
infusion by another appropriate means.

Getting Started
6/ 120 5001FAOPT71 ISS 8.0
Installation
Check that the pump is complete, undamaged and that the voltage rating specified on the base
plate is compatible with your AC power supply. Items supplied with this ALARIS Medical Systems
syringe pump are;
uIVAC PCAM Mk II
uPOLE CLAMP
uDIRECTIONS FOR USE
uAC POWER CABLE (AS REQUESTED)
uPROTECTIVE PACKAGING
Connect the unit to the AC power supply for 24 hours to ensure that the internal battery is fully
charged.
Should the pump fail to perform correctly, replace it in its original protective packaging and contact
a qualified service engineer for investigation.
Pole Clamp
The pole clamp is supplied fitted to the rear of the unit and will provide secure fixing to standard
I.V. poles of a diameter of up to 40mm.
The pole clamp can also be fitted in a choice of 4 fixing positions allowing the unit to be mounted
to vertical and horizontal poles, equipment rails and hospital furniture in a variety of convenient
operating orientations.
The pole clamp may be adjusted for use with horizontal fittings by using the existing fixings screws
with the alternative fixing holes in the pole clamp.
The pole clamp may also be secured to the base of the unit in a choice of four positions.
Important:
Do not mount the unit with the AC power inlet or the syringe pointing upwards.
This could affect the electrical safety in the event of a fluid spill or lead to the
infusion of air which may be in the syringe.
Replacing the Mains Fuses
If the pump continually illuminates the battery symbol and the AC power indicator light does not
illuminate when the pump is connected to the AC power supply and switched ON, suspect that
either, the power supply fuse in the AC power plug, or, the internal fuse has blown.
First check the power supply fuse in the AC mains plug, if the AC power indicator light does not
illuminate remove the pump from service. It is recommended that the mains fuses are only
replaced by a qualified service engineer. For further information regarding the replacement of the
internal fuses refer to the technical service manual.

Getting Started
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5001FAOPT71 ISS 8.0
Loading a Syringe
Place the pump on a stable horizontal surface or secure using the pole clamp fitted.
Prepare, load and prime the single use disposable syringe and extension line using standard
aseptic techniques.
1. Squeeze the finger grips on the plunger
holder and slide the mechanism to the left.
Lift the syringe clamp and rotate to the left.
2. Insert the syringe into the slots on the
plunger holder.
3. Squeeze the finger grips on the plunger
holder and slide the mechanism to the right
until the syringe finger flanges locates in
the V slot.
4. Rotate the syringe clamp forward until it
locks onto the syringe barrel.
5. Check that the syringe plunger and finger
flanges are correctly located in their slots.
Important:
Advance the syringe until the finger
flanges touch the front of the V slot
closest to the syringe clamp. This is
important to prevent delay at the
start of the infusion.
Important:
Only use a syringe of the type and size indicated in this manual. Using an
incorrect syringe could adversely affect the accuracy of the infusion and the
performance of the pump.
When initially loading the syringe, allow for the volume of fluid contained in the
extension line and retained in the syringe at the end of infusion as this “dead-
space” will not be infused.

Important:
The unit will automatically operate from its internal battery if the pump is
switched on without being connected to the AC power supply.
Each time the unit is switched ON, check that the alarm beeps twice and that all
the segments of the display, the green and amber lights are illuminated during the
self test routine.
The Key Switch should not be turned from OFF to SET whilst the syringe extension
line is connected to the patient.
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Starting the Pump
1. AC POWER - Connect unit to AC power
supply using the AC power cable.
2. SET - Insert PCAM key in front panel
switch. Turn to SET position. The unit will
automatically operate from its own internal
rechargeable battery if it is switched ON
without the AC power connected.
3. NEW PATIENT? - AnsweringNO will retain
all previous patient history. YES will
automatically reset the patient history to
zero. Check time and date is correct and
answer YES or NO.
4. SELECT/ MODIFY PROTOCOL - Carefully
check the protocol displayed. If required,
press MODIFY PROTOCOL to adjust the
current protocol, or, NEXT PROTOCOL to
select an alternative pre-set protocol.
5. RUN - Turn the PCAM key to the RUN
position and remove from unit.
6. CHECK PROTOCOL - Carefully check that
protocol is correct. Press OK.
7. CONFIRM SYRINGE - Check that the
syringe type and size being used matches
display. If required, the make of syringe
can be changed by pressing the CHANGE
TYPE button. Press OK.
8. PURGE (if required) - The PURGE buttons
can only be used when the cover is open
and the key switch is in the RUN position.
When the purge operation is complete
close the cover.
9. CONNECT PATIENT - Connect the PCA
extension line to the patient access device.
Recheck the protocol.
10.START - Press START to commence
PCAM operation. PCA AVAILABLE will be
displayed with the protocol summary,
demand and drug totals. If selected, a
loading dose will be delivered.

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Purge
1. PURGE can only be operated with the cover
opened and the key switch in the RUN position.
2. Press the PURGE buttons together until fluid
flows and priming of the syringe extension line is
complete. The audible alarm will operate during
use of the PURGE buttons and the volume used
during priming will be shown in the volume
infused display.
The PURGE button allows the delivery of a limited volume of fluid in order to purge the extension line prior to
being connected to a patient.
Important:
The purge feature is not activated when the cover is closed. Ensure that the extension line
is disconnected from the patient before purging the line. No alarms are disabled during the
operation of the purge feature.
Front Panel and Main Display
Time
Drug Infused
Pump Status
Demand
Status
Current Protocol & Syringe Type
Clinician Over-ride
The clinician over-ride feature can be used in RUN mode to administer an additional bolus dose or continuous
background infusion of a limited dose and duration, for example during the PCA lock out period. The clinician
over-ride is a special feature which can be configured according to the specific clinical situation. Clinician over-
ride can also be used in SET mode to allow modification of the pre-set PCA Protocol when this option has been
disabled for normal use. 1. Turn key to RUN position and ensure green light is
illuminated on the STARTbutton.
2. Press and hold down the CLINICIAN OVER-RIDE
button for 2 seconds.
3. Use “+” and “-” arrows and NEXT button to enter
three figure pre-programmed clinician access code
“n n n”. See technical service manual.
4. Select BOLUS or CONTINUOUS.
5. Use “+” and “-” arrows to select the dose delivered,
when the correct value has been entered press
OK.
6. Use “+” and “-” arrows to select period over which
the dose is to be delivered. PressOK when correct
time has been entered.
7. BEGIN BOLUS? YES - Clinician bolus /
continuous infusion will be delivered to the patient.
NO - Quit set up and return to normal operation.
Important:
The delivery of the clinician over-ride continuous infusion will automatically halt while a
Patient or Clinician over-ride bolus is being administrated. To cancel clinician over-ride
during delivery, press STOP and press the YES softkey.
Pumping
Pressure
Maximum
Dose

PCAM Patient History
Each time the PCAM unit is switched ON it will ask if this is a new patient. Pressing YES will
provide opportunity to re-set patient history. Pressing NO continues with the current protocol and
retains all protocol records, event history, graphs etc.
The PCAM will retain the events in a rolling memory. Following selection of a new patient, it
remains possible in technician mode to access previous patient(s) history still held in memory.
Patient history can be accessed at any time by pressing the HISTORY button. PCAM provides a
clear rolling 24 hour graphical representation of the PCA demand pattern and the drug
administered to the patient. The graphs are updated when the history button is pressed and give
values for each completed hour and the current hour.
Getting Started
10 / 120 5001FAOPT71 ISS 8.0
PCA Demands
Drug Infused
Provides a record of the last 24 hours good and failed PCA demands. The good demands are
indicated by the shaded section of the graph and the failed demands by the clear section. The
latest hour is shown at the right side of the display.
This graph provides a clear picture of good and bad PCA demands and pattern of the patients
usage. Used in conjunction with the PCA Demands graph, this display helps to indicate if the PCA
protocol needs modification and when to end treatment.
Record of the total amount of drug administered to the patient over the last 24 hours. The latest
hour is shown at the right side of the display. This graph provides a clear picture of the actual
drug administered, including loading dose, continuous background infusions, clinician over-rides
and protocol changes.
Used in conjunction with the PCA Demands graph, this display helps to indicate relative pattern
of the demand pattern and the actual drug administered.
1. To access the PCA demand graph press
the HISTORY button once.
2. To exit the screen press the BACK softkey.
3. To scroll through to the next History screen
press the HISTORY button.
1. To access the PCA demand graph press
the HISTORY button twice.
2. To return to the previous screen press the
BACK softkey.
3. To scroll through to the next History screen
press the HISTORY button.

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5001FAOPT71 ISS 8.0
24 Hour Review
An hour by hour record of the last 24 hours, showing good and total PCA demands along with the
total dose per hour.
This information provides the accurate demand pattern and drug infused values from which the
other graphs are derived.
PCAM Event Log
Record of events since "NEW PATIENT" selected. Including, protocol selection and changes,
patient demands etc. The event log will also record all alarms.
All events are recorded against date, clock and total drug infused.
1. To access the PCAM 24 Hour Review
press the HISTORY button three times.
2. To return to the previous screen press the
BACK softkey.
3. To scroll through to the next History screen
press the HISTORY button.
1. To access the PCAM Event Log press the
HISTORY button four times.
2. To return to the previous screen press the
BACK softkey.
3. To return to the Protocol Summary press
the HISTORY button again.

A printer fitted with a serial interface (or cable with parallel to serial converter) can be connected
to the PCAM unit, either during normal PCA operation, or, following use. Printing patient history
provides a permanent record and can be used for analysis away from the bedside.
All patient history, including protocols and the 24 hour demand pattern and drug dose
administered graphs are available for printing.
When connected to the printer, the PCAM can also be configured to provide line by line
continuous printing of all events, patient demands etc. as they occur at the bedside. See General
Options.
Printing
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12 / 120 5001FAOPT71 ISS 8.0
Continuous Mode
Enable Continuous printing by selecting YES in General Options.
1. Connect printer.
2. All events will be printed as they occur.
Protocol Summary - connect printer
1. Turn key to SET position.
2. Press PRINT button.
3. All protocol information will be printed with
patient header.
Patient History - connect printer
1. Press PRINT button.
2. All protocol information, demand and drug
totals, 24 hour graphs and records will be
printed with patient header.
Event Log - connect printer
1. Press HISTORY button until event log is
displayed.
2. Use ARROW buttons to position display at
start point for events to be printed.
3. Press PRINT button.
4. All events will be printed from information
on screen forward with time, date and
patient header.
Event Log at New Patient - connect printer
1. Press PRINT button.
2. All events will be printed from the patient
event log.

Maximum Dose Icon
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The PUMPING PRESSURE ICON can be used to
provide a constant visual indication of the current
pumping pressure and the pressure level at which
the alarm will operate. As the pressure required to
administer the infusion increases, the box will be
filled until the pressure reaches the alarm level.
The pump will then stop infusing and the
occlusion alarm will operate.
An alarm warning will operate if the hand set is disconnected from the unit while it is in operation or the
hand set is connected to the unit with the PCA button depressed. In addition, the unit can be operated
in continuous or clinician over-ride modes without the hand set connected, should this be indicated.
Pumping Pressure Icon
PCAM Patient Hand Set
The patient hand set supplied with the PCAM is designed to be ambidextrous and suitable for both adult
and paediatric use. The hand set provides an indicator light which clearly shows when the PCAM is
available and can be configured to flash when a PCA dose is being delivered.
The indicator on the patient hand set will reflect
the configuration of the PCAM system and will
provide feed-back on all, or just good demands,
and the indicator light can be disabled should the
clinical situation require.
Where appropriate the hand-set can be
configured so that the patient will not need to refer
to the instrument to assess if PCA is being
delivered, or is available.
The hand set is provided with a clip for attaching
it to bedding or clothing.
The PCAM concept is that the patient can be instructed in the use of the hand set as it will carry all the
information required by the patient using PCA. This design simplifies patient instruction and encourages
a smooth transfer to alternative devices used to treat long term chronic pain, should this be indicated.
A latching (but non locking) connector makes the
hand set easy to fit. To remove, hold the body of
the connector and pull away from the pump.
The MAXIMUM DOSE ICON provides an
indication of the amount of drug that has been
administered during the limit period. The limit
period is displayed alongside the bottle and the
bottle fills up as doses are added to the mass
infused. The bottle will appear to be full if the dose
limit reaches the alarm level and the pump will
then stop infusing. A message “Max Dose Limit”
will be displayed and the icon will flash until
dosing is less than the maximum dose limit.
Clinician override is always available.
Refer to GENERAL OPTIONS for instructions for
displaying icons in the main display.

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14 / 120 5001FAOPT71 ISS 8.0
When ever a new protocol is selected, modified or the key switch is turned to the SET position,
the CONFIRM PROTOCOL display will appear. Pressing OK automatically records the protocol
and any changes in the EVENT LOG history.
Using Pre-Set PCAM Protocols
Operation of PCAM is greatly simplified by the use of PRE-SET PCA protocols. When the PCAM
key switch is turned to the SET position the unit will automatically display pre-set PROTOCOL A
if NEW PATIENT has been selected, or, display the previous protocol in use if NEW PATIENT has
not been selected.
With the key switch in the SET position, it is possible for the user to modify the pre-set protocol
using the MODIFY PROTOCOL button and select another pre-set protocol using the NEXT
PROTOCOL button.
To modify a Pre-Set Protocol
1. Press MODIFY PROTOCOL indicated on
the screen.
2. The protocol summary will be displayed.
Use ARROWS to highlight a field, press
ALTER to enter that field and “+”, “-”
arrows to select desired values.
3. When field is correct press CONFIRM or
CANCEL.
4. Display will show:
5. Press OK to return to display.
(Note: A modified protocol has no pre-set
letter).
Protocol
Drug name Drug ‘X’
Drug conc. 1.0mg/ml
PCA Dose 1.0mg (1.0ml)
Lockout period 5 mins
Occlusion level 4
Continuous 0µg/h (0.0ml/h)
Loading dose 0µg (0.0ml)
Max. limit 50mg (50.0ml)
Limit duration 4 hours
PCA delivery STAT
A
To change to another pre-set protocol
Press NEXT PROTOCOL to display the step through the pre-set protocol.
Pre-set protocols are identified as A to E. When the desired protocol has been selected it can be
used by turning the key switch to the RUN position, or, can be modified using the MODIFY
PROTOCOL.
To confirm protocol
Drug ‘X’