Moller Medical LiquoGuard 7 User manual

CSF drainage pump
Instruction Manual
en
7

IMPORTANT
READ CAREFULLY BEFORE USE
KEEP THESE INSTRUCTIONS FOR FUTURE CONSULTATION
© Möller Medical GmbH
All rights reserved.
No parts of this document may be reproduced or translated in any form or by any means without the prior
written permission of Möller Medical GmbH. The latest version of the information, specifications and
illustrations provided in this instruction manual is indicated by the version number on the last page. Möller
Medical GmbH reserves the right to make changes to technology, functions, specifications, design and
information at any time and without prior notification.

Table of contents
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Table of contents
1General safety instructions.......................................................................... 9
1.1 Explanation of the safety symbols used .......................................................... 9
1.1.1 Symbols used in instruction manual.................................................... 9
1.1.2 Symbols appearing on the device ....................................................... 9
1.1.3 Symbols appearing on the LiquoGuard®7 display ............................. 10
1.1.4 Symbols indicated on the retail packaging ........................................ 12
1.2 Explanation of the conventions applied......................................................... 14
1.3 Manufacturer’s responsibility......................................................................... 14
1.4 Equipotential bonding.................................................................................... 14
1.5 Owner´s duty of care..................................................................................... 15
1.6 Additional accessories .................................................................................. 16
1.7 Single use..................................................................................................... 16
1.8 Declaration on DEHP.................................................................................... 17
1.9 Application during defibrillation and for electrosurgical devices..................... 17
2Purpose ....................................................................................................... 18
2.1 Indications of temporary intrathecal CSF drainage........................................ 18
2.2 Indications for permanent CSF drainage....................................................... 19
2.3 Contraindications.......................................................................................... 19
2.4 Complications ............................................................................................... 19
2.5 Combination with other products, catheters and cannulas ............................ 20
2.6 Patient population & residual risk.................................................................. 21
2.7 Essential performance .................................................................................. 21
3Product description.................................................................................... 22
3.1 Touchscreen................................................................................................. 23
3.2 Bag holder .................................................................................................... 23
3.3 Universal bracket.......................................................................................... 23
3.4 Pump............................................................................................................ 23
3.5 LEDs............................................................................................................. 23
3.6 Connection options....................................................................................... 24
3.7 User interface ............................................................................................... 25
3.7.1 Tab bar............................................................................................. 26
3.7.2 Softkeys............................................................................................ 27
3.7.3 Keyboard screen............................................................................... 27
3.8 Diagram dialog field ...................................................................................... 29
3.8.1 Diagram............................................................................................ 30
3.8.2 Info bar ............................................................................................. 32

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3.8.3 Softkeys............................................................................................ 33
4Installation and startup............................................................................... 37
4.1 Transport and storage instructions................................................................ 37
4.2 Unpacking the device and inspecting delivery............................................... 37
4.3 Operating the LiquoGuard®7......................................................................... 37
4.3.1 Hanging onto a standard rail............................................................. 38
4.3.2 Installation on an infusion stand........................................................ 38
4.3.3 Connecting and turning the device on............................................... 39
4.4 Suitable operating environment..................................................................... 40
5Application and Operation ......................................................................... 41
5.1 Installation and startup.................................................................................. 41
5.2 Switching on the LiquoGuard®7..................................................................... 41
5.3 Preparing the tubing set................................................................................ 42
5.4 Connecting the sensor cable......................................................................... 42
5.5 Inserting the tube.......................................................................................... 42
5.6 Connecting the catheter................................................................................ 43
5.7 Pressure sensor housing –Positioning and fastening................................... 44
5.8 Changing drainage settings........................................................................... 46
5.8.1 Pressure controlled drainage ............................................................ 46
5.8.2 Volume controlled drainage .............................................................. 47
5.9 Starting the application.................................................................................. 47
5.10 Pausing the application, only pressure monitoring ........................................ 47
5.11 Interrupting the application............................................................................ 48
5.12 Changing the drainage set............................................................................ 49
5.13 Displaying drainage information.................................................................... 49
5.13.1 Alarms .............................................................................................. 49
5.13.2 Battery.............................................................................................. 49
5.14 Turning off the device.................................................................................... 49
5.15 Storage......................................................................................................... 50
6Settings........................................................................................................ 51
6.1 Drainage....................................................................................................... 51
6.1.1 Pset (set pressure value).................................................................. 51
6.1.2 Upper Alarm...................................................................................... 52
6.1.3 Lower Alarm...................................................................................... 52
6.1.4 Vset .................................................................................................. 53
6.2 Alarm............................................................................................................ 54

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6.2.1 General............................................................................................. 54
6.2.2 Flow.................................................................................................. 55
6.2.3 Pulsation........................................................................................... 57
6.2.4 Parenchymal/Tip sensor ................................................................... 59
6.2.5 Monitor/Nurse Call............................................................................ 59
6.2.6 CPP/cMAP Sensor............................................................................ 59
6.3 Setup............................................................................................................ 59
6.3.1 Language.......................................................................................... 59
6.3.2 Display.............................................................................................. 60
6.3.3 Config............................................................................................... 62
6.3.4 Operation.......................................................................................... 64
6.3.5 Service.............................................................................................. 65
6.3.6 Presettings........................................................................................ 68
7Alarm signals and corrective measures.................................................... 69
7.1 Presence of an alarm condition..................................................................... 69
7.1.1 Technical and physiological alarm conditions.................................... 69
7.1.2 Pause alarm signal ........................................................................... 70
7.1.3 System error..................................................................................... 71
7.2 Testing alarm functions................................................................................. 72
7.3 Alarm system, dual safety............................................................................. 72
7.4 Alarm system overview................................................................................. 73
7.5 Alarm system description.............................................................................. 80
7.6 Troubleshooting............................................................................................ 83
7.7 Service.......................................................................................................... 84
8Care.............................................................................................................. 86
8.1 Cleaning and disinfection.............................................................................. 86
8.2 Service.......................................................................................................... 87
8.3 Replacing the battery.................................................................................... 87
8.4 Disposal........................................................................................................ 87
9Device options ............................................................................................ 88
9.1 Monitor/Nurse call......................................................................................... 89
9.1.1 Patient monitor system...................................................................... 89
9.1.2 Nurse call system.............................................................................. 90
9.2 Documentation.............................................................................................. 91
9.2.1 Patient data....................................................................................... 91

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9.2.2 Application data................................................................................ 92
9.2.3 Set marker........................................................................................ 94
9.2.4 History .............................................................................................. 95
9.2.5 Printing ............................................................................................. 97
9.3 Presettings.................................................................................................... 99
9.3.1 Editing the LiquoGuard®7 presettings ............................................... 99
9.3.2 Copy drainage settings to tubing set............................................... 101
9.4 Printing ....................................................................................................... 101
9.5 Parenchymal/Tip sensor ............................................................................. 102
9.5.1 Connecting the Parenchymal/Tip senor .......................................... 103
9.5.2 Settings........................................................................................... 104
9.6 CPP/cMAP.................................................................................................. 107
9.6.1 Basic principles............................................................................... 107
9.6.2 Positioning the MAP sensor............................................................ 107
9.6.3 Connecting the MAP sensor ........................................................... 108
9.6.4 cMap sensor settings...................................................................... 108
9.7 Lumbar infusion test.................................................................................... 109
9.7.1 General description......................................................................... 109
9.7.2 Indications....................................................................................... 111
9.7.3 Contraindications............................................................................ 111
9.7.4 Complications................................................................................. 111
9.7.5 Combination with other products..................................................... 112
9.7.6 Patient population........................................................................... 112
9.7.7 Residual risk................................................................................... 112
9.7.8 Execution of the lumbar infusion test............................................... 112
9.7.9 Application and operation................................................................ 113
9.7.10 Settings........................................................................................... 116
9.7.11 Alarms ............................................................................................ 118
10 Appendix ................................................................................................... 119
10.1 Technical data............................................................................................. 119
10.2 Electromagnetic emission ........................................................................... 122
10.3 Electromagnetic resistance......................................................................... 123
10.4 Recommended safety distances................................................................. 125
10.5 Use in a CT and MRI environment.............................................................. 126
10.5.1 Important safety instructions ........................................................... 126
10.5.2 Measures to avoid image artifacts in MRI ....................................... 127

Table of contents
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10.5.3 After MRI imaging........................................................................... 128
10.6 Accessories ................................................................................................ 129
Index ................................................................................................................... 134

Page 8 of 136

General safety instructions
Page 9 of 136
1 General safety instructions
1.1 Explanation of the safety symbols used
In this instruction manual, visual symbols are usedto highlight important instructions . These
references are prerequisites for preventing hazards to patients and operating personnel, as
well for avoiding damages or malfunctioning of the device.
1.1.1 Symbols used in instruction manual
Caution
Information or help
1.1.2 Symbols appearing on the device
Type BF applied part
Defibrillation-proof type CF applied part
Serial number (the 4 digits indicate the ear and month of
manufacture in YYMM format)
Consult instructions for use
Follow instructions for use
Complies with ANSI/AAMI ES 60601-1
CAN/CSA 22.2 No. 60601-1-08
Alternating current
Return and disposal according to WEEE Directive
Main alarm
Backup alarm
Main battery

General safety instructions
Page 10 of 136
Backup battery
ICP
Parenchymal or tip sensor connection (compatiple with Philips
M1006B invasive pressure module connection).
Patient monitor output (compatible with Edwards TruWave)
“ON” for a part of equipment
“OFF” for a part of equipment
Pcsf
Tubing set connection
In/Out
Connection for I/O connector
Only the LiquoGuard®7Multi-Hub accessory may be
attached to this connection!
USB host
RJ45 network connection
Connection to the nurse call system
The BF application parts (Pcsf and ICP) are specified as an application part.
1.1.3 Symbols appearing on the LiquoGuard®7 display
Pump is in Pause mode
Pump is in Application running mode
All alarms are displayed and emitted
10:00
One or more alarms have been actively paused by the
operator. Alarms are not emitted. The remaining time until the
alarms are displayed again is shown.
off
Drainage quantity counter off