KCI NuTech PlexiPulse Installation instructions

P/N
700507
AUGUST
1995
©
Nulec
|
|
P.O.
Box
33698
A
KCI
Company
—
San
Antonio,
Texas
78265-3698
A
KCI
Company
Call
Toll
Free
1-800-446-6303

The
proposed
pump
is
currently
being
used
on
the
market
as
the
PlexiPulse*,
which
has
already
met
UL544
standards.
Other
pumps,
however,
which
are
not
presently
UL
listed,
may
be
substituted
in
the
future.
This
manual
will
deal
with
two
models
of
the
PlexiPulse®
pump.
These
models
can
be
differentiated
by
the
color
of
the
Power
button
located
on
the
front
face
of
the
pump
case.
These
models
will
be
referred
to
throughout
this
manual
as
a
“Red
Button
Unit”
or
a
“Green
Button
Unit”.
The
PlexiPulse®
pump
is
to
be
used
with
PlexiPulse®
wraps
only.

|
TABLE
OF
CONTENTS
|
|
Introduction
........o.oooooocoooo
ono
oo...
.
..
.
.
.
«e...
+...
.
.
+...
.
.
...
1-1
Features
.
+...
+...
+...
. .
.
+.
+.
2...
. .
.
.
o.
..«.
2-1
Patient
PlaceMent.............oooooooooooo
ooo
ao
ooo...
..
.
...
o...
...
3-1
Quick
Reference
Guide
.
......................44.
sus.
41
Operating
Instructions
.
.......................................
44...
5-1
Preparation
forUSe
...........ooo
oo
ooo ooo
o...
+...
.
«e...
.
...........
6-1
Setup
ProcedureS
.
2.
.
. 2
2 2
2 2
2
2
이 이 이 이
요요
요요
요요
요요
요요
요요
요요
요요
요요
요요
이
이
요요
요요
의
이
이
오오
6-1
Check-out
Procedures
............................................
6-1
Infection
Control
Procedures
.
.
.......................................
6-2
Troubleshooting.
..........o.o
oo
ooo
oooooo
noo...
.
+...
+...
+...
...
.
+.
...
7-1
Maintenance
.
ee
ee
8-1
Open
Pump
(ase
.........
8-6
Power
Cord
Removal/Replacement
.
....................................
8-6
Power
Switch
RemovaVReplacement
.
...................................
8-6
Fan
Removal/Replacement
.....................
0
8-6
Printed
Circuit
Board
Removal/Replacement
................................
8-7
In-Line
Air
Filter/Dryer
Removal/Replacement
.
...............................
8-7
Compressor
Removal/Replacement
.
....................................
8-7
Foam
Air
Filter
Removal/Replacement
...................................
8-8
Solenoid/Manifold
Removal/Replacement
.
.................................
8-8
LCD
Removal/Replacement
.
----υ--ἷ-,,
8-9
Membrane
Switch
Assembly
Removal/Replacement
...........
ーー
8-9
Replacement
Parts
Listing
..............
<.
+.
+++.
+-
+-
-0.0
...........
-
9-1
Specifications
.
00000000808
10-1
Questions
and
Information
.........................
ーー
11-1

|
INTRODUCTION
|
The
PlexiPuise®
pump
is
a
pneumatic
compression
device
designed
to
increase
blood
flow
in
non-ambulatory
or
resting
patients.
—
The
veins
in
the
calf
and
foot
provide
a
natural
pump
that,
when
compressed,
push
blood
back
toward
the
heart.
The
PlexiPulse®
pump
helps
this
natural
calf
and
foot
pump
circulate
blood
throughout
the
system
when
the
normal
circulatory
process
is
disabled
due
to
surgery,
injury,
or
disease.
The
PlexiPulse®
pump
is
connected
by
tubing
to
individual
inflatable
calf
wraps
and
foot
wraps
that
can
be
operated
together
or
independently.
Each
calf
and
foot
wrap
is
designed
to
provide
a
comfortable
fit
around
the
calf
and
foot,
with
an
air
bladder
that
squeezes
“all
around”
the
soleal
sinus
in
the
calf
and
venous
plexus
in
the
arch
as
well
as
collateral
veins
in
both
the
calf
and
foot.
Location
(one
or
both
calves,
one
or
both
feet,
or
one
or
both
calf
and
foot
combination),
frequency,
and
intensity
of
pulsation,
as well
as
duration
of
air
bladder
inflation
is
controlled
by
a
microprocessor
and
monitored
by
a
pressure
feedback
system
built
into
the
pump,
ensuring
the
patient
will
receive
the
desired
pulsation
intensity.
INDICATIONS
The
PlexiPulse®
pump
is
indicated
for
patients
who
would
benefit
from
a
pneumatic
compression
device
that
would
heip
to:
e
Prevent
Deep
Venous
Thrombosis
(DVT).
e
Prevent
venous
stasis.
e
Enhance
arterial
circulation.
«
Reduce
post-operative
pain
and
swelling.
e
Reduce
edema.
e
Reduce
wound
healing
time.
e
Treat
and
assist
healing
of
cutaneous
ulceration.
e
Reduce
compartmental
pressures.
e
Reduce
the
need
for
anticoagulant
medications.
CONTRAINDICATIONS
Patient
conditions
for
which
the
PlexiPulse*
pump
is
contraindicated
include:
e
Presumptive
evidence
of
congestive
heart
failure.
e
Suspected
pre-existing
DVT.
8/95
1-1
Introduction

SAFETY
TIPS
Do
Not
Walk
in
Foot
Wrap
-
Foot
wraps
must
always
be
removed
before
a
patient
is
allowed
to
walk.
Regular
Skin
Assessments
-
Skin
condition
should
be
assessed
regularly,
particularly
for:
-
e
Vascularly
compromised
patients.
e
Diabetics
with
reduced
feeling
in
extremities.
Liquids
-
Avoid
spilling
liquids
on
any
part
of
the
pump
case.
If
spills
do
occur:
e
Clean
liquid
from
case
wearing
rubber
gloves
or
other
electrical
insulators
to
avoid
shock.
e
Check
operation
of
controls
and
other
components
in
area
of
spill.
e
Perform
applicable
troubleshooting
procedures.
See
the
Troubleshooting
and
Maintenance
chapters
of
this
manual
for
more
information.
NOTE:
Liquids
remaining
on
the
electronic
controls
can
cause
corrosion
which
may
cause
the
electronic
components
to
fail.
Component
failures
may
cause
the
unit
to
operate
erratically,
possibly
producing
potential
hazards
to
patient
and
staff.
introduction
1-2
RAR

|
FEATURES
|
The
PlexiPulse®
All-In-One
System
_
The
PlexiPulse®
All-in-One
system
offers
a
therapeutic
edge
in
foot
and
leg
compression.
The
system
can
accommodate
any
of
the
following
PlexiPulse®
wraps
with
just
one
pump;
the
user
can
even
use
different
wraps
on
the
left
and
right
side
at
the
same
time.
e
Foot
Wrap
-
Helps
provide
excellent
proximal
DVT
prophylaxis
by
squeezing
“all
around”
the
venous
plexus
in
the
arch
and
collateral
veins
of
the
foot.
e
Calf
Wrap
-
Shown
with
numerous
products
to
help
provide
good
distal
and
proximal
DVT
prophylaxis.
»
Combo
Wrap
-
A
combination
of
both
therapies
may
provide
the
most
aggressive
DVT
prophylaxis.
e
Custom
Wrap
-
Helps
provide
compression
therapy
for
under
cast
and
other
specialized
uses.
Individualized
Patient
Therapy
When
prescribed,
the
PlexiPulse®
pump
can
be
adjusted
to
provide
pulsation
therapy
that
is
customized
in
location
(one
or
both
sides),
frequency,
intensity,
and
duration
to
meet
individual
patient
needs.
The
ranges
of
adjustment,
as
well
as
the
“standard”
pulsation
settings,
are
listed
below:
«
Location
of
Pulsation
-
Left,
Right,
or
Both
sides
-
“standard”
is
Both
sides.
e
Frequency
of
Pulsation
(Cycle
Time)
-
20
to
60
seconds
-
“standard”
is
20
seconds.
e
Intensity
of
Pulsation
(Pressure
Settings)
- 1
to
5
-
“standard”
is
3.
e
Duration
of
inflation
(Hold
Time)
- 1
to
5
seconds
-
“standard”
is
2
seconds.
“Ramping-Up”
to
Desired
Impulse
Pressure
The
PlexiPulse®
pump
begins
pulsation
at
an
intensity
(pressure)
less
than
that
selected,
and
“ramps-up"
to
the
desired
amount
of
pressure
over
a
period
of
approximately
2-3
minutes.
“Ramping-Up”
helps
to
improve
patient
compliance
by
increasing
comfort.
Pressure
Feedback
The
intensity
of
pulsation
(inflation
pressure
of
the
air
bladder
in
the
disposable
wrap)
is
automatically
monitored
and
adjusted
to
ensure
the
patient
receives
the
desired
pulsation
intensity.
If
the
disposable
wrap
is
loose,
air
bladder
pressure
is
increased;
if
the
disposable
wrap
is
tight,
air
bladder
pressure
is
decreased.
Pressure
feedback
and
the
resulting
automatic
compensation
help
to
avoid
the
incidence
of
skin
breakdown,
patient
discomfort,
reduced
therapy,
and
constant
alarming,
common
in
other
extemal
pneumatic
compression
devices.
Microprocessor
Control
Panel
The
PlexiPulse*
pump
has
a
user-friendly,
menu-driven,
control
panel
which
provides
prompts
to
lead
the
user
through
selection
and
operation
of
the
pump
functions.
See
the
Quick
Reference
Guide
and
Operating
Instructions
sections
of
this
manual
for
more
information.
8/95
|
2-1
Features

PATIENT
PLACEMENT
|
Before
beginning
patient
placement,
personnel
should
familiarize
themselves
with
the
procedures
outlined
in
the
Quick
Reference
Guide
and
Operating
Instructions
chapters
of
this
manual
as
well
as
the
procedures
listed
_
below:
NOTE:
The
procedures
described
below
are
for
placement
of
the
PlexiPulse®
pump
in
a
hospital
environment
where
property
ground
three-prong
outlets
are
provided.
Before
a
PlexiPulse®
pump
can
be
placed
in
a
home
environment,
outlets
in
the
home
must
be
checked
for
proper
grounding.
If
the
home
outlet
to
be
used
is
not
a
property
ground
three-prong
outlet,
a
Patient’s
Assumption
of
Risks
form must
be
obtained
from
the
KCI
Legal
Department
and
a
properly
grounded
UL-listed
two-prong
adapter
must
be
used.
1.
Hang
the
PlexiPulse®
pump
case
on
footboard
of
bed using
adjustable
hanging
arms
located
on
each
side
of
the
pump
case.
2.
Apply disposable
wrap(s)
as
shown
below:
Right/Left
Foot
Wrap
Instructions
@
Position
foot
over
disposable
as
shown.
Fold
first
flap
over
top
of
foot.
©
Fold
second
flap
(with
hook-and-loop
patch)
comfortably
over
top
of
first
flap
and
secure.
©
Wrap
back
strip
comfortably
over
heel
and
secure.
Universal
Calf
Wrap
Instructions
@
Position
Calf
Wrap
behind
calf
as
shown.
Fold
first
flap
over
top
of
leg.
FOOT
AND
CALF
WRAPS
©
Fold
second
flap
(with
hook-and-loop
patch)
comfortably
over
top
of
first
flap
and
secure.
Custom
Wrap
Instructions
@
Wrap
extremity
with
stretch
cotton
several
times.
©
Using
a
Custom
Wrap
(part
#235502),
partially
inflate
bladder
(two-thirds
to
three-quarters)
by
blowing
air
into
tubing.
Kink
tube
to
prevent
leakage.
This
will
help
ensure
there
is
enough
room
for
the
bladder
to
inflate.
Place
bladder
in
location
of
desired
compression,
ensuring
red
spigot
is
easily
accessible.
Wrap
cast
material
around
the
bladder
and
under
the
red
connector
several
times
to
help
build
up
the
base
and
to
help
prevent
pain
at
the
connector.
Finish
the
cast.
00
090
Connect
tubing
on
Custom
Wrap
to
tubing
on
Pump.
(This
connector
can
easily
be
detached
whenever
the
patient
needs
to
move away
from
the
pump.)
8/95
3-1
Patient
Placement

3.
Connect
disposable
wrap(s)
to
pump
case
as
shown
below:
©
Press
valve
tab
to
ensure
valve
is
prepared
for
tube
insertion.
Valve
will
“click”
if it
was
not
in
correct
position
to
receive
tube.
@
insert
tube
connector
into
appropriate
valve.
Valve
will
“click”
when
tube
is
tocked
into
place.
NOTE:
Press
valve
tab
to
release
and
remove
connector.
4.
Plug
pump
case
power
cord
into
a
115
VAC
15
Amp
outlet.
NOTE:
Be
sure
power
to
this
outlet
is
not
controlled
by
a
wall
switch.
5.
Press
POWER
switch
located
on
front
face
of
pump
case
to
New
Patient?
activate
the
PlexiPulse?
pump.
The
display
shown
at
right
will
|
NO
-
appear,
either:
ーー
4
σι;
y
C
m?
e
Press
“A”
under
NO,
if
the
patient
is
not
a
new
patient.
Will
PULSE
at
evious
Settings
|
p
っ
The
unit
will
begin
pulsation
at
previous
settings
held
in
memory
since
the
unit
was
last
tumed
off.
The
display
shown
at
right
will
appear
temporarily
and
then
automatically retum
to
the
Home
Display.
>I
tu
¡del
oje
UU)
e
Press
OPTIONS
button
to
begin
adjustments
as
described
in
the
Operating
Instructions
chapter
of
this
manual;
or
e
Press
“B”
under
YES,
if
the
patient
is
a
new
patient
or
if
“standard”
settings
are
desired.
PULSE
-
Press
ONS
to
Adjust
Y
C
yil
OPT
pr
The
unit
will
begin
pulsation
at
the
“standard”
settings,
and
can
now
be
adjusted
and
customized
for
the
individual
patient.
The
display
shown
at
right
will
appear.
>
|
ula
|,
İL
e
Press
OPTIONS
button
to
begin
adjustments
as
described
in
the
Operating
Instructions
chapter
of
this
manual.
e If
OPTIONS
button
is
not
pressed,
the
unit
will
automatically
begin
to
pulse
at
“standard”
settings:
—
Both,
Cycle
20
sec.,
Hold
2
sec.,
Pressure
Settings
3
—
and
then
automatically
retum
to
the
Home
Display.
e
If
neither
“A”
nor
“B”
are
pressed
after
25
seconds,
the
unit
will
automatically
begin
pulsation
at
previous
settings
and
return
to
the
Home
Display.
Patient
Placement
29

|
QUICK
REFERENCE
GUIDE
|
PUMP
CONTROLS
POWER
SWITCH
ALARM
SILENCE
Tums
alarm
off
and
begins
“ramp-up”
process
again.
CONTROL
PANEL
>
DISPLAY
PlexiPulse
=
Shows
pulsation
o
status.
SELECT
OPTIONS
Press
to
sequence
a
display
of
available
options.
Select
options
to
customize
pulsation
settings.
TUBING
VALVE
Insert
tubing
connector
here
to
connect
pump
with
disposable
wrap.
PATIENT
PLACEMENT
1.
Apply
disposable
wrap(s)
as
shown
below:
Right/Left
Foot
Wrap
instructions
©
Position
foot
over
disposable
as
shown.
Fold
first
fap
over
top
of
foot.
O
Fold
second
flap
(with
hook-and-loop
patch)
comfortably
over
top
of
first
flap
and
secure.
©
Wrap
back
strip
comfortably
over
heel
and
secure.
Universal
Calf
Wrap
Instructions
©
Position
Calf
Wrap
behind
calf
as
shown.
Fold
first
flap
over
top
of
eg.
Fold
second
flap
(with
hook-and4oop
patch)
comfortably
over
top
of
first
flap
and
secure.
Custom
Wrap
Instructions
©
Wrap
extremity
with
stretch
cotton
several
times.
©
using
a
Custom
Wrap
(part
#235502),
partially
inflate
bladder
(two-thirds
to
three-quarters)
by
blowing
air
into
tubing.
Kink
tube
to
prevent
leakage.
This
will
ensure
there
is
enough
room
for
the
bladder
to
inflate.
Place
bladder
in
location
of
desired
compression,
ensuring
red
spigot
is
easily
accessible.
©
2.
Connect
disposable
wrap(s)
to
pump
case
as
shown
below:
@
Press
valve
tab
to
ensure
valve
is
prepared
for
tube
insertion.
Valve
will
“click”
ifit
was
not
in
correct
position
to
receive
tube.
”
Insert
tube
connector
into
appropriate
vaive.
Valve
will
“click”
when
tube
is
locked
into
place.
4-1
©
ο
FOOT
AND
CALF
WRAP
Wrap
cast
material
around
the
bladder
and
under
the red
connector
several
times
to
help
build up
the
base
and
to
help
prevent
pain
at
the
connector.
Finish
the
cast.
Connect
tubing
on
Custom
Wrap
to
tubing
on
Pump.
(This
connector
can
easily
be
detached
whenever
the
patient
needs
to
move
away
from
the
pump.)
Follow
flow
chart
in
this
chapter
to
activate
the
PlexiPulse®
pump
and
to
customize
“standard”
settings
to
individuai
patient
needs.
|
NOTE:
:
Press
valve
tab
to
!
release
and
remove
|
connector.
NOTE:
Do
Not
Walk
with
Foot
Wrap
【
on
Foot.
|
Quick
Reference
Guide

OPERATING
INSTRUCTIONS
The
flow
chart
below
shows
how
to
activate
the
PlexiPulse?
pump
and
customize
“standard”
pulsation
settings
to
individual
patient
needs.
NOTE:
.
_
“Ramp-Up”
feature
will
activate
when
turning
the
pump
on
and
when
silencing
the
alarm.
Will
PULSE
Will
PULSE
-
Press
3:
Previous
Settings
OPTIONS
to
Adjust
i
a
=
回
OPTIONS:
Pulse
Selectr
Hold
Time
Secs
=
X
Right
Pressure
=
Xx
View
Hour
Meter?
LEFT
<-80TH->
RIGHT
DECR
INCR
HORE
DECR
INCR
HOME
LEFT
RIGHT
UNIT
Cycle
Time
Secs.”
XX
DECR
INCR
HORE
LEGEND
If
neither
“A”
nor
“B”
are
pressed
after
25
seconds,
the
unit
will
automatically
pulse
at
previous
settings.
[2]
This
display
is
shown
temporarily
and
automatically
retums
to
the
Home
Display.
[5]
The
unit
will
automatically
pulse
at
the
“standard”
settings
of.
Ings
of
Both,
Cycle
20
sec.,
Hold
2
sec.,
Pressure
Settings
3.
When
prescribed,
press
OPTIONS
button
to
customize
settings.
Press
OPTIONS
repeatedly
to
sequence
options.
Home
Displays
A}
|B}
LC
Left
DECR
Pressure
=
X
Left
Hours
ΧΧΧΧ.Χ
INCR
μοσε
κεσετ
EXIT
Right
Hours
=
XXXX.X
RESET
EXIT
四
Returns
to
Home
Display.
©
The
side
selected
for
pulsation
will
flash.
Press
button
again
to
retum
to
Home
Display,
or
press
OPTIONS
for
next
setting
option.
@)
Decreases
value
shown
in
display.
Press
OPTIONS
for
next
setting
option.
Increases
value
shown
in
display.
Press
OPTIONS
for
next
setting
option.
@)
Meter
reading
is
brought
back
ta
zero.
©
Returns
to
“View
Hour
Meter’
option.
Unit
Hours
=
XXXX.X
EXIT
Pulse
Left
£
Right
Pulse
Left
only
Each
Home
Display
indicates:
»
Which
side
is
selected
to
receive
puisation.
(Left,
“Right”,
or
"Left
£
Right”)
e
Which
side
has
just
received
pulsation.
(Left,
or
“Right”
will
flash)
Pulse
Right
only
Each
Alarm
Display
indicates:
e
Which
side
is
experiencing
an
abnormality.
Check
Both
ALARM
OFF!
Check
Left
ALARA
OFF!
Quick
Reference
Guide
(Left,
“Right”,
or
“Both”)
»
Silence
the
alarm
by
pressing
either
the
“A”,
“B”,
“C”
or
Alarm
Silence
button.
e
The
unit
will
alarm
again
within
approximately
5
cycles
(2
to
5
minutes),
if
the
abnormality
has
not
been
corrected.
Check
Right
ALARA
OFFS
RAS
42

|
OPERATING
INSTRUCTIONS
|
CONTROL
PANEL
FUNCTIONS
Power-Up
Procedures
1.
Plug
pump
case
power
cord
into
a
115
VAC
15
Amp
outlet.
NOTE:
Be
sure
power
to
this
outlet
is
not
controlled
by
a
wali
switch.
2.
Press
POWER
switch
located
on
front
face
of
pump
case
to
(一
New
Patient?
—)
activate
the
PlexiPulse®
pump.
|
NO
YES
-
|
The
display
shown
at
right
will
appear,
either:
y
+-
7
M
é
P
e
Press
“A”
under
NO,
if
the
patient
is
not
a
new
patient.
(aslı
PULSE
at
1)
The
unit
will
begin
pulsation
at
previous
settings
held
in
memory
|
Previous
Settings
|
since
the
unit
was
last
turned
off.
+P
y
7
:
The
display
shown
at
right
will
appear
temporarily
and
then
automatically
retum
to
the
Home
Display,
or
|
À
B
C
“
ノ
ο
“pr
..
+
ㆍ . ”
アン
N
Press
È
under
ES,
ne
patient
is
a
new
patient
or
if
|
Will
PULSE
-
Press
gs
a
:
OPTIONS
to
Adjust
now
be
adjusted
and
customized
for
the
individual
patient.
The
display
shown
at
right
will
appear.
fi
H
|
İLİ
The
unit
will
begin
pulsation
at
the
“standard”
settings
and
can
$
+
7
АВС
+
Press
OPTIONS
button
to
begin
adjustments
to
the
“standard”
pulsation
settings
as
described
in
the
Pulsation
Adjustment
Procedures
section
of
this
chapter.
e
If
OPTIONS
button
is
not
pressed,
the
unit
will
automatically
begin
to
pulse
at
“standard”
settings—
Both,
Cycle
20
sec.,
Hold
2
sec.,
Pressure
Settings
3
—
and
then
automatically
return
to
the
Home
Display.
NOTE:
/f
neither
“A”
nor
“B"
are
pressed
after
25
seconds,
the
unit
will
automatically
begin
pulsation
at
previous
settings
and
automatically
retum
to
the
Home
Display.
8/95
5-1
Operating
Instructions

3.
After
previous
pulsation
settings
have
been
accepted,
or
have
been
adjusted
using
the
SELECT
OPTIONS
button,
one
of
the
Home
Displays
shown
at
right
will
appear
and
indicate
the
following:
e
Both
left
and
right
sides
are
selected
to
alternately
receive
pulsation
therapy.
-e
Pulsation
on.
e
The
side
that
has
just
received
a
pulsation
will
flash.
+
Only
left
side
is
selected
to
receive
pulsation
therapy.
e
Pulsation
on.
e
Only
right
side
is
selected
to
receive
pulsation
therapy.
e
Pulsation
on.
Anaratinn
Inetrictinas
5-2
„=
=
Pulse
Left
£
Right
|
号
-一
二
一生
Al
JB!
1C
Pulse
Left
Only
F—
FF:
Al
|B:
IC
d
}
|
Pulse
Right
Only
号
-一
号
一重
А
ВС
(n
de
α/ος

Pulsation
Therapy
1.
When
tuming
the
pump
on
or
after
silencing
the
alarm,
pulsation
always
begins
at
a
lower
amount
of
pressure
than
was
selected,
—
and
then
“ramps-up"
to
the
selected
amount
of
pressure
over
a
period
of
approximately
2-3
minutes.
“Ramping-up”
helps
maximize
patient
comfort.
2.
As
pulsation
is
provided,
inflation
pressures
for
each
side
are
monitored.
With
pressure
feedback,
the
pump
will
automatically
adjust
its
output
to
provide
the
amount
of
pressure
selected,
compensating
for
a
disposable
wrap
that
is
too
loose
or
too
tight.
3.
If
pressure
oddities
(i.e.,
disconnected
external
wrap,
kinked
hose,
a
damaged
wrap,
or
an
open
disposable
wrap)
are
detected
for
5
consecutive
cycles,
pulsation
will
continue
while
an
audible
alarm
will
sound.
NOTE:
The
alarm
can
be
temporarily
silenced
by
pressing
either
the
“А”, “В”,
“С”,
or
“Alarm
Silence”
button.
The
unit
will
“ramp-up”,
perform
approximately
5
cycles,
and
then
alarm
again
if
the
abnormality
has
not
been
corrected.
Refer
to
the
Alarm
Procedures
section
of
this
chapter
for
more
information.
Additionally,
if
a
unit
malfunction
is
detected,
an
audible
alarm
will
sound
and
the
unit
will
stop
pulsing.
If
turing
the
pump
off
and
on
and
reconnecting
the
tubing
does
not
resolve
the
abnormality,
contact
your
local
sales
representative
or
NuTech®
Customer
Service
(800)
446-6303.
Pulsation
Adjustment
Procedures
(SELECT
OPTIONS)
When
prescribed,
pulsation
settings
may
be
adjusted.
Pulsation
settings
are
sequentially
displayed
by
repeatedly
pressing
the
SELECT
OPTIONS
button
shown
at
right.
The
options
will
appear
in
the
order
listed
below:
e
Pulse
Select?
e
Cycle
Time
|
e
Hold
Time
e
Left
Pressure
e
Right
Pressure
e
View
Hour
Meter?
e
for
Service
Use
Only
NOTE:
The
“For
Service Use
Only”
option
is
for
use
by
biomedical
staff
only.
NOTE:
/f
no
option
selections
are
made,
in
approximately
one
minute
all
SELECT
OPTION
Displays
will
automatically
retum
to
the
Home
Display.
SELECT
OPTIONS
Operating
instructions

Puisation
Location
(“Pulse
Select?”)
Adjustment
1.
Press
SELECT
OPTIONS
button
until
“Pulse
Select?”
is
displayed
as
shown
at
right.
Use
“Pulse
Select?”
to
select
the
side(s)
to
receive
pulsation
therapy.
Location
can
be
adjusted
to
left,
right,
or
both
sides.
Press
either
the
“A”,
“B”,
or
“C”
button
to
direct
pulsation
as
described
below:
e
Press
“A”
under
LEFT
to
direct
pulsation
to
only
the
left
side.
»
Press
“B”
under
BOTH
to
direct
pulsation
to
both
sides
on
an
altemating
cycle.
e
Press
“C”
under
RIGHT
to
direct
pulsation
to
only
the
right
side.
NOTE:
The
side(s)
selected
for
pulsation,
either
“LEFT”,
“BOTH”,
or
“RIGHT”,
will
flash.
Press
the
button
under
the
selection
that
is
flashing
to
return
to
the
Home
Display.
Cycle
Time
Adjustment
1.
2.
3.
4.
Press
SELECT
OPTIONS
button
until
“Cycle
Time
Secs.
=
XX”
is
displayed
as
shown
at
right.
Use
“Cycle
Time
Secs.
=
XX"
to
view
and
adjust
the
approximate
time
required
for
the
disposable
wrap
to
inflate,
hold
pressure,
and
then
deflate,
in
the
number
of
sides
(one
or
both)
selected.
Example:
If
both
sides
are
selected
for
pulsation,
and
the
cycle
time
is
30
seconds,
each
side
will,
on
an
alternating
basis,
inflate,
hold,
and
deflate
over
a
period
of
about
30
seconds.
If
only
one
side
is
selected
for
pulsation,
and
the
cycle
time
is
30
seconds,
the
disposable
wrap
on
that
side
will
inflate,
noid,
and
deflate
over
the
period
of
approximately
30
seconds.
Cycle
time
can
be
adjusted
from
20
to
60
seconds
in
10
second
increments.
,
.
Press
“A”
under
DECR
to
decrease
cycle
time.
Press
“B"
under
INCR
to
increase
cycle
time.
When
the
desired
cycle
time
is
shown,
either:
»
|
Press“C"
under
HOME
to
retum
to
the
Home
Display,
or
e
Press
SELECT
OPTIONS
button
to
display
the
next
option.
Overatina
Instructions
Ел
Pulse
Select?
LEFT<-
BOTH
~>RIGHT
ノ
у
А
В
С
_
Cycle
Time
Secs.
=
XX
HOME
DECR
INCR
V—w—Y
A
B
C

Hold
Time
Adjustment
1.
Press
SELECT
OPTIONS
button
until
“Hoid
Time
Secs.
=
X"
is
Hold
Ti
s 一
displayed
as
shown
at
right.
|
9
ime
Secs.
=X
.
DECR
INCR
HOME
Use
“Hold
Time
Secs.
=
X"
to
view
and
adjust
the
time
that
air
is
ji
을
held
in
the
individual
disposable
wrap
(between
inflation
and
y
y
y
deflation),
during
a
cycle.
A
B
C
Hold
time
is
the
same
for
each
side
regardless
of
whether
one
or
both
sides
are
selected.
Hold
time
can
be
adjusted
from
1
to
5
seconds
in
1
second
increments.
2.
Press
“A”
under
DECR
to
decrease
hold
time.
3.
Press
“B”
under
INCR
to
increase
hold
time.
4.
When
the
desired
hoid
time
is
shown,
either:
»
Press
“C”
under
HOME
to
retum
to
the
Home
Display,
or
e
Press
SELECT
OPTIONS
button
to
display
the
next
option.
\
8/95
5-5
Operating
Instructions

Inflation
Pressure
Adjustment
1.
Press
SELECT
OPTIONS
button
until
“Left
Pressure
=
X"
is
displayed
as
shown
at
right.
|
Left
Pressure
= X
DECR
INCR
HOME
Use
“Left
Pressure
=
X”
to
view
and
adjust
the
pressure
with
y
7
y
which
the
left
disposable
wrap
is
inflated
during
each
cycle.
|
a
Pressure
settings
can
be
adjusted
from
a
value
of
1
to
5.
A!
|
В
C
J
The
following
chart
shows
what
each
pressure
setting
corresponds
to
in
mmHg
at
the
wrap.
Pressure
Pressure
Setting
(mmHg)*
140
150
160
170
180
ab
wh
一
“Prior
to
leaving
the
factory,
every
PlexiPulse®
pump
is
tested
using
a
one-liter
infant
test
lung
to
ensure
that
the
pump
operates
to
produce
pressures
within
+/-
15
mmHg
of
these
intended
pressures.
2.
Press
“A”
under
DECR
to
decrease
pressure.
3.
Press
“B”
under
INCR
to
increase
pressure.
4.
When
the
desired
left
pressure
setting
is
shown,
either:
e
Press
“C”
under
HOME
to
return
to
the
Home
Display,
or
e
Press
SELECT
OPTIONS
button
to
display
the
next
option.
5.
Press
SELECT
OPTIONS
button
until
“Right
Pressure
=
X"
is
: 。
i
P
=
X
displayed
as
shown
at
right.
Right
ressure
DECR
INCR
HOME
Use
“Right
Pressure
=
X*
to
view
and
adjust
the
pressure
with
+
y
y
which
the
nght
disposable
wrap
is
inflated
during
each
cycle.
᾿
Adjustment
of
the
pressure
in
the
right
disposable
wrap
is
A
B
;
C
i
identical
to
that
described
for
the
left
in
Steps
1-3.
;
=
6.
When
the
desired
right
pressure
is
shown,
either:
e
Press
“C”
under
HOME
to
return
to
the
Home
Display,
or
e
Press
SELECT
OPTIONS
button
to
dispiay
the
next
option.
Oneratina
Instructions
5-5
ema

Therapy
Hours
Meter
1.
Press
SELECT
OPTIONS
button
until
“View
Hour
Meter?”
is
displayed
as
shown
at
right.
Use
“View
Hour
Meter?”
to
view
the
number
of
therapy
hours
received
by
the
left
and
right
sides
and
the
unit.
Left,
Right,
and
Unit
Hours
are
shown
to
the
nearest
1/10
hour.
Press
“A”
under
LEFT
to
view
therapy
hours
provided
to
the
left
side.
The
display
shown
at
right
will
appear.
e
Press
“A”
again
to
reset
the
number
of
hours
for
this
side
to
0.
e
Press
“C”
under
EXIT
to
retum
to
the
“View
Hour
Meter?”
display.
With
the
“View
Hour
Meter?”
display
showing,
press
“B”
under
RIGHT
to
view
therapy
hours
provided
to
the
right
side.
The
display
shown
at
right
will
appear.
。
Press
“A”
again
to
reset the
number
of
hours
for
this
side
to
0.
e
Press
“C”
under
EXIT
to
retum
to
the
“View
Hour
Meter?”
display.
With
the
"View
Hour
Meter?”
display
showing,
press
“C”
under
UNIT
to
view
total
number
of
hours
of
pump
operation.
The
display
shown
at
right
will
appear.
The
Unit
Hours
will
be
useful
to
your
biomedical
department.
Unit
Hours
cannot
be
reset.
ο
Press
“C”
under
EXIT
to
retum
to
the
“View
Hour
Meter?”
display.
e
Press
SELECT
OPTIONS
to
begin
the
sequence
of
options
again.
5-7
(vie
Hour
Meter?
LEFT
RIGHT
UNIT
V_G_%
|
B
EN
>
O
RESET
E
Hours
=
XXXX.X?
m
)
4
品
|
olak
Ed
Right
Hours
=
XXXX.
Я
КЕЗЕТ
EXIT
al
]
J
>
В
[С
+—y+—
Y
|
Operating
instructions

Alarm
Procedures
An
alarm
will
sound
and
the
pump
will
continue
pulsing
if
one
of
the
following
occurs
for
approximately
5
consecutive
cycles:
e
Disconnected
external
wrap
Open
disposable
wrap
Damaged
wrap
Kinked
hose
A
visual
inspection
of
the
PlexiPulse“
system
will
usually
indicate
which
of
the
above
conditions
is
present,
and
the
appropriate
steps
can
then
be
taken
to
fix
the
situation.
An
alarm
will
sound
and
the
pump
will
immediately
(or
within
3
cycles
if
during
“ramp-up")
stop
pulsing
if
the
unit
detects
an
internal
mafunction
or
if
the
external
tubing
is
disconnected
at
the
pump.
If
tuming
the
pump
off
and
on
and
reconnecting
the
tubing
does
not
resolve
the
abnormality,
please
call
your
local
sales
representative
or
NuTech®
Customer
Service
(800)
446-6303.
One
of
the
Alarm
Displays
shown
at
right
will
appear
and
indicate
the
following:
NOTE:
The
alarm
can
be
temporarily
silenced
by
pressing
either
the
“A”,
*B”,
“C*
or
Alarm
Silence
buttons.
The
unit
will
“ramp-up”,
perform
approximately
5
cycles,
and
then
alarm
again
if
the
abnormality
has
not
been
corrected.
An
abnormality
is
detected
on
both
sides.
Press
either
the
“A”,
“B”,
“C”
or
Alarm
Silence
button
to
silence
the
alarm.
An
abnormality
is
detected
on
the
left
side.
Press
either
the
“A”,
“B”,
“C”
or
Alarm
Silence
button
to
silence
the
alarm.
An
abnormality
is
detected
on
the
right
side.
Press
either
the
“A”,
“B”,
“C”
or
Alarm
Silence
button
to
silence
the
alarm.
Operating
instructions
5-8
[
て
heck
Both
ALARM
OFF!
>
|@
to
ida
old
q
+
f
Check
Left
Y
|
ten
ores
7
(А)
В)
[©
Check
Right
ALARM
OFF!
>
€
je
aje
nr

e
The
unit
is
detecting
an
intemal
abnormality.
Unit
Malfunction
e
Call
your
local
sales
representative
or
NuTech*
Customer
CALL
FOR
SERVICE
Service
(800)
446-6303.
PV
А
В!
|С
Power-Down
Procedures
1.
Press
POWER
switch
to
tum
off
the
PlexiPulse®
pump.
2.
Unplug
pump
case
power
cord
from
wall
outlet.
NOTE:
Pulsation
settings
are
retained
in
memory
when
the
unit
is
turned
off.
During
the
power-up
procedures,
the
operator
will
be
given
an
option
to
either
reinstate
the
previous
pulsation
settings,
or
to
go
to
the
“standard
settings”
for
a
new
patient.
3.
Remove
and
discard
disposable
wraps
and
tubing.
8/95
5-9
Operating
Instructions

|
PREPARATION
FOR
USE
|
Preparing
the
PlexiPulse®
pump
for
use
entails
inspecting
the
unit
for
any
damaged
or
unserviceable
components
as
well
as
performing
procedures
outlined
in
the
Set-Up
Procedures,
Check-out
Procedures,
and
Infection
.
Control
Procedures
sections
of
this
chapter.
SET-UP
PROCEDURES
The
unit
is
shipped
from
the
manufacturer
fully
assembled
and
ready
to
be
put
into
service
with
the
addition
of
the
articles
listed
in
Step
3
below.
Before
putting
the
unit
into
service,
the
following
steps
should
be
performed:
1.
Open
carton.
Do
not
use
sharp
instruments
to
open
carton.
Damage
to
the
pump
case
could
result.
2.
Inspect
pump
case
for
visible
damage
occurring
from
transport.
Contact
carrier
and
NuTech®
Customer
Service
(800)
446-6303
immediately
if
damage
is
observed.
3.
Gather
the
following
articles
from
inventory:
+
One
PlexiPulse”
pump
and
Quick
Reference
Guide.
+
One
Disposable
wrap
package
with
left
and
right
wraps
or
1
pair
of
custom
wraps
(sterile
wraps
can
also
be
ordered,
if
needed).
4.
Attach
the
Quick
Reference
Guide
to
the
pump
case
using
the
re-usable
ty-wrap
around
the
case
handle.
5.
Perform
the
Check-Out
Procedures
described
below:
CHECK-OUT
PROCEDURES
Procedures
to
verify
proper
operation
of
the
PlexiPulse®
pump
are
provided
in
the
following
steps.
Refer
to
the
Quick
Reference
Guide
and
Operating
instructions
chapter
of
this
manual
if
necessary.
If
the
results
of
the
procedure
are
not
as
specified,
refer
to
the
Troubleshooting
chapter
of
this
manual.
1.
Plug
pump
case
power
cord
into
a
115
VAC
15
Amp
outlet.
Press
POWER
switch.
Observe
the
following:
e
Light
in
switch
illuminates.
e
Pump
is
activated.
e
“New
Patient?’
display
appears
at
control
panel.
2.
Press
the
“B”
button
for
YES
in
response
to
the
display
prompt.
Observe
the
following:
+
The
unit
will
automatically
begin
pulsation
at
the
“standard”
pulsation
settings.
You
should
be
able
to
hear
and
feel
air
coming
out
from
the
tubing
connectors..
e
As
SELECT
OPTIONS
button
is
pressed,
sequencing
the
pulsation
options,
the
settings
viewed
are:
Both,
Cycle
20
sec.,
Hold
2
sec.,
Pressure
Settings
3.
3.
Press
the
SELECT
OPTIONS
button
to
sequence
and
customize
available
Pulsation
Therapy
options.
Follow
procedures
outlined
in
the
Pulsation
Adjustment
Procedures
section
of
the
Operating
instructions
chapter
of
this
manual.
Results
of
the
procedures
must
correspond
with
those
outlined.
NOTE:
An
electrical
leakage
test
has
already
been
performed
on
the
unit.
Leakage
is
below
100
microamps.
All
additional
required
tests
to
meet
UL544
standards
have
also
been
performed
prior
to
shipment.
8/95
6-1
Preparation
for
Use
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