ICU Medical 20678-04-01 Infusion System with Hospira MedNet (TM) Software User Manual Cover
Hospira, Inc. Infusion System with Hospira MedNet (TM) Software Cover
Contents
- 1. Users Manual Part I
- 2. Users Manual Part II
Users Manual Part II
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 7
Because the Dose falls outside
the soft limits, the infuser
beeps three times (Invalid Key
Warning), and generates the
error message:
“Dose > 8. Override?”
13 Select
[Yes].
NOTE: A SOFT limit override will be recorded in the History
Events Log.
This will bring up the PROGRAM
CONFIRMATION screen.
14 If Dose, Drug, Conc., Weight &
Rate appear correct, select
[Yes] to begin program.
NOTE: If the selected drug has been
pre-programmed with dosing units
and concentration, the concentration
drug amount or diluent volume cannot be changed whether
delivering or stopped. The only way to change to a different
concentration is to clear the program.
However, if selected drug has not been pre-programmed (or still
operating with the DDL), the concentration can be changed for
a program.
AProgram Dose Calc
Yes No
Dose > 8. Override?
Conc
Weight
400
70
mg
kg
250 mL
Dose
VTBI
Duration
Rate
10
250
09: 30
26.
3
mcg/kg/min
mL
hr : min
mL/hr
DOPamine
AProgram Dose Calc
Yes No
Dose
Drug
Conc
Weight
Rate
Delivery will be:
10
400
70
26
.3
mcg/kg/min
mg
kg
mL/hr
Confirm Program?
DOPamine
250 mL
MedSurg
sec05.fm Page 7 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 8 430-95597-001 (Rev. 06/05)
The Main Delivery screen
appears displaying the
information just entered.
NOTE: The Program Type and Drug
are displayed as well as the Dose
Rate and Dose Units.
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
26.3
00
0
10
mcg/kg/min
DOPamine
MedSurg
Dose
Dose Calculation
sec05.fm Page 8 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 9
Dose Calc (mg/min on B)
DOSE CALCULATION- Allows programming Dose
Rates in alternative units of measure. Dose
Calculation can be used in Simple Delivery, Loading
Dose, and Multistep.
Clear ALL settings when changing patients or
multiple programming parameters.
1Select
[B] at the Main
Delivery Screen.
The Line B Programming
screen appears.
2Select
[Drug List].
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
26.3
00
0
10
mcg/kg/min
DOPamine
MedSurg
Dose
Dose Calculation
B
PROGRAM
Mode
Rate
VTBI
Duration
mL/hr
mL
hr : min
Program
Options
Change
Mode
Cancel/
Back
Change using Change Mode
Piggyback
0
0
00:00
MedSurg
Drug
List
sec05.fm Page 9 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 10 430-95597-001 (Rev. 06/05)
The Drug List Screen appears,
in mainly alphabetical order.
NOTE: Default entry is “No Drug
Selected”.
3Use to highlight desired
drug name.
When list does not contain
desired generic drug name or
group name select
[Page Down] (or
[Page Up]) until it shows,
then use to highlight
choice.
4Select
[Enter] to indicate selection and advance to
the Program Selection screen.
The Select Program screen for
Line B appears.
5Select
[Choose] to continue.
B
MedSurg
Page
Up
Page
Down
Cancel/
Back
Enter
Select, then Enter
No Drug Selected
Albumin 5%
Aldesleukin
Alfentanil
Alteplase
Alteplase
Amikacin
Amiodarone
25 grams/500 mL
2.6 mg/50 mL
10 mg/250 mL
50 mg/50 mL
100 mg/100 mL
100 mL
150 mg/100 mL
B
MedSurg
Page
Up
Page
Down
Cancel/
Back
Enter
Select, then Enter
Labetalol
Lepirudin
Lidocaine
Lidocaine
Lidocaine
Liposyn 10%
Liposyn 20%
Milrinone
200 mg/200 mL
100 mg/250 mL
1 grams/250 mL
2 grams/500 mL
4 grams/500 mL
100 mL
500 mL
200 mcg/100 mL
B
PROGRAM
Choose Back
Select, then Choose
Standard Program
Loading Dose
Multistep
Lidocaine
sec05.fm Page 10 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 11
If selected drug has been programmed with
established dosing units and concentration, skip to
step 8.
The Program Dose Calc
screen appears.
NOTE: Cursor defaults to package
insert (or hospital) recommended
dose units associated with the
selected drug.
6Select
[Choose] to continue.
Or, use to change the units
to use in the delivery.
If desired, select
[Page Down] to see more units of
measure.
The Container Concentration
Selection screen appears
whenever the selected Dose
Units are gram-based (e.g.,
grams, mg, mcg, or ng)
otherwise this screen is
skipped.
NOTE: Cursor defaults to package
insert recommended concentration
units associated with the selected
drug.
7Select
[Choose] to continue. Or, use to change
the Container Concentration units to use in the
delivery.
BProgram Dose Calc
Choose Back
Select, then Choose
Lidocaine
mL/hr
mcg/kg/min
mcg/kg/hr
mcg/min
mcg/hr
mg/kg/hr
mg/min
mg/hr
grams/hr
ng/kg/min
mmol/min
mmol/hr
mEq/hr
Page
Up
Page
Down
B
Program Dose Calc
Choose Back
Select, then Choose
Drug Conc in Container
mcg
mg
grams
Lidocaine
sec05.fm Page 11 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 12 430-95597-001 (Rev. 06/05)
The next page of the Program
Dose Calc screen appears to
provide for entry of delivery
program parameters.
8Use keypad to enter desired
values. Once entered, use
to highlight the next field.
NOTE: If selected drug has established Rule Sets (e.g., non-
blank concentration), the Mode field will be highlighted upon
entry to this screen.
9To change the Piggyback Delivery Mode default,
scroll down to Mode using , then select
[Change Mode].
NOTE: Delivery Mode Option is available on Line B, its default
is Piggyback, and the Weight field is gone.
10 Continue entering desired
values using the keypad. Use
to advance to the next field.
NOTE: When entering the RATE,
with a VTBI value entered, the DOSE
and DURATION fields are
automatically updated. To understand
the Automatic Calculation feature,
see Examples of Automatic
Calculation on page 6-10.
BProgram Dose Calc
Program
Options
Cancel/
Back
Enter value using keypad
Conc
2
500
grams
mL
Dose
VTBI
Duration
Rate
0
0
00: 00
0
mg/min
mL
hr : min
mL/hr
Mode Piggyback
Lidocaine
BProgram Dose Calc
Program
Options
Cancel/
Back
Enter value using keypad
Conc 2
500
grams
mL
Dose
VTBI
Duration
Rate
2
500
16 : 40
30
mg/min
mL
hr : min
mL/hr
Mode Concurrent
Lidocaine
sec05.fm Page 12 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 13
NOTE: The Duration field temporarily changes to dashes when
the computed value is larger than what can be displayed.
11 Continue entering the RATE value, if desired.
NOTE: As Rate is entered, the Duration and Dose are
automatically adjusted as individual numbers are entered.
NOTE: If the Duration value is changed, the Rate and Dose are
automatically adjusted.
NOTE: At this point, programming is complete unless
[Program Options] are desired. See Section 6, Additional
Features, for more information.
CAUTION: VERIFY ALL VALUES BEFORE STARTING INFUSION.
12 To start the delivery, press
.
This will bring up the PROGRAM
CONFIRMATION screen.
13 If Dose, Drug, Conc., Weight, &
Rate appear correct, select
[Yes] to begin program.
NOTE: If the selected drug has been
pre-programmed with dosing units
and concentration, the concentration drug amount or diluent
volume cannot be changed whether delivering or stopped. The
only way to change to a different concentration is to clear the
program.
However, if selected drug has not been pre-programmed (or still
operating with the DDL), the concentration can be changed for
a program.
B
Program Dose Calc
Yes No
Dose
Drug
Conc
Weight
Rate
Delivery will be:
2
2
70
30
mg/min
grams
kg
mL/hr
Confirm Program?
Lidocaine
500 mL
MedSurg
sec05.fm Page 13 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 14 430-95597-001 (Rev. 06/05)
Upon , the Main Delivery
Screen shows delivery status
for both A and B lines.
NOTE: See Delivery Rate Range in
Section 9. The ratio of concurrent
rates has recommendations specified
on page 1-7.
A
A
B
B
STOPPED PUMPING
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
26.3
10.
1
30
Dose
2
mg/min
mcg/kg/min
MedSurg
Lidocaine
Dose Calculation
DOPamine
Dose Calculation
sec05.fm Page 14 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 15
Loading Dose
LOADING DOSE- Allows programming of an initial
infusion rate for a specific volume, followed
automatically by a maintenance rate from the same
container (e.g., a fluid challenge). If Dose Calc is
used, the Loading Dose and Maintenance Dose are
in the same unit of measure, over the same period of
time (mcg/min), from the same container.
Clear ALL settings when changing patients or
multiple programming parameters.
The Area Selection screen will
appear if your system has been
programmed with the MedNet
accessory.
Use to select CCA and
bring you to the Main Delivery
Screen.
NOTE: To change CCA while
infusing, see Changing CCA While Infusing on page 6-12.
1Select
[A] (or
[B]) at the
Main Delivery screen.
Area Selection
Enter
Select, then Enter
Any Hospital, USA
MM/DD/YY XXYYZZ- 123456
ICU
MedSurg
OR
Cardio
Urology
Psych
Recov
L&D
5 West
Renal
Neo ICU
OB/GYN
Oncol
Ad ICU
ER
7 South
3 North
4 North
A
A
B
B
STOPPED STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
Back
Prime
0
00
0
MedSurg
sec05.fm Page 15 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 16 430-95597-001 (Rev. 06/05)
The selected Line (A or B)
Programming screen appears.
2Select
[Drug List].
The Drug List Screen appears,
in mainly alphabetical order.
NOTE: Default entry is “No Drug
Selected”. This process will guide you
through a “fluid challenge”, so “No
Drug Selected” will be entered.
3Select
[Enter] to indicate
selection and advance to the
Program selection screen.
The Select Program screen for
Line A (or B) appears.
NOTE: This example shows line A
being programmed.
APROGRAM
Rate
VTBI
Duration
mL/hr
mL
hr : min
Program
Options
Cancel/
Back
Drug
List
Enter Value using keypad
0
0
00:00
MedSurg
AMedSurg
Page
Up
Page
Down
Cancel/
Back
Enter
Select, then Enter
No Drug Selected
Albumin 5%
Aldesleukin
Alfentanil
Alteplase
Alteplase
Amikacin
Amiodarone
25 grams/500 mL
2.6 mg/50 mL
10 mg/250 mL
50 mg/50 mL
100 mg/100 mL
100 mL
150 mg/100 mL
APROGRAM
Choose Back
Select, then Choose
Standard Program
Loading Dose
Multistep
sec05.fm Page 16 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 17
4Use to scroll down to
Loading Dose.
5Select
[Choose] to continue.
The next page of the Program
Loading Dose screen appears.
6Select
[Choose] to continue.
Or, use to change the units
to use in the delivery.
If desired, select
[Page
Down] to see more units of measure.
The Loading Dose
Programming screen appears.
7The default field is Rate. Since
a “Fluid Challenge” is being
performed in this example,
press to advance to the
VTBI field.
APROGRAM
Choose Back
Select, then Choose
Standard Program
Loading Dose
Multistep
AProgram Loading Dose
Choose Back
Select, then Choose
mL/hr
mcg/kg/min
mcg/kg/hr
mcg/min
mcg/hr
mg/kg/hr
mg/min
mg/hr
grams/hr
ng/kg/min
mmol/min
mmol/hr
mEq/hr
Page
Up
Page
Down
AProgram Loading Dose
Cancel/
Back
Program
Options
Enter value using keypad
Duration
hr : min
00 : 00
00 : 00
VTBI
mL
0
0
mL/hr
0
0
Rate
1
2
sec05.fm Page 17 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 18 430-95597-001 (Rev. 06/05)
8Enter value using keypad.
9Use to highlight the next
field.
10 Enter Duration using keypad.
The Rate value is automatically
calculated. To understand the
Automatic Calculation feature,
see Examples of Automatic
Calculation on page 6-10.
11 After the values for loading
dose Step-1 are entered, use
to highlight the
maintenance dose, Step-2.
NOTE: The Loading Dose program
has two steps. The first is the loading
dose followed by the maintenance
dose. These words will appear on the
main screen as each step is delivered.
AProgram Loading Dose
Cancel/
Back
Program
Options
Enter value using keypad
Duration
hr : min
00 : 00
00 : 00
mL/hr
0
0
Rate
1
2
VTBI
mL
250
0
AProgram Loading Dose
Cancel/
Back
Program
Options
Enter value using keypad
mL/hr
500
0
Rate
1
2
VTBI
mL
250
0
Duration
hr : min
00 : 30
00 : 00
AProgram Loading Dose
Cancel/
Back
Program
Options
Enter value using keypad
Duration
hr : min
00 : 30
00 : 00
mL/hr
500
75
Rate
1
2
VTBI
mL
250
0
sec05.fm Page 18 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 19
12 Enter the set of desired values
for Step-2 of the program.
13 Select
[Program Options] to
select a Delayed Start or
Standby.
NOTE: At this point, programming is
complete unless
[Program
Options] are desired. See Section 6,
Additional Features, for more
information.
NOTE: Nurse Callback enables an
alarm when a change in the delivery
on a line occurs such as completing
Step-1 and starting Step-2. Or on line
B, a piggyback delivery is completed
and line A is starting its delivery.
14 Enter a delay time (less than
24 hours) using the keypad.
NOTE: Not available if a delivery is
taking place on the line.
NOTE: Nurse Callback cannot be
changed while a delivery is taking
place on the line.
15 Select
[Enter] to accept the changes and return to
the Program Loading Dose screen.
AProgram Loading Dose
Cancel/
Back
Program
Options
Enter value using keypad
Duration
hr : min
00 : 30
10 : 00
mL/hr
500
75
Rate
1
2
VTBI
mL
250
750
AProgram Options
Cancel/
Back
Enter
Standby
Enter Value using keypad
Delay Start for 00:00 hr:min
Callback No
Loading Dose
AProgram Options
Cancel/
Back
Enter
Yes/No
Change using Yes/No
Delay Start for 00:05 hr:min
Callback Yes
Loading Dose
sec05.fm Page 19 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 20 430-95597-001 (Rev. 06/05)
NOTE:
[Cancel/Back] returns the fields to their original value
and displays the previous screen.
16 To start the delivery, press .
This will bring up the PROGRAM
CONFIRMATION screen.
CAUTION: VERIFY ALL VALUES
BEFORE STARTING INFUSION.
17 If Drug and Rate appear
correct, select
[Yes] to begin
program.
The Main Delivery Screen
appears.
NOTE: The words “DELAYED” and
“Loading Dose” appear in the upper-
left corner. These indicate the options
which have been selected.
After the programmed delay
period has expired, the Plum
A+ starts “Pumping”. This is
indicated where “Delayed”
previously was displayed.
A
Program Loading Dose
Drug
Rate
VTBI
Delivery will be:
500
250
mL/hr
mL
Confirm Program?
No Drug Selected
!
Yes No
MedSurg
A
A
B
B
DELAYED STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
500
00
0
Loading Dose
MedSurg
!
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
500
00
0
Loading Dose
MedSurg
sec05.fm Page 20 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 21
After the Step-1 has
completed, the Main Delivery
Screen changes to the second
step.
NOTE: A flashing “Callback Line A”
message and the audio alarm sound
indicates activation of that option.
18 The user should acknowledge
the Callback message and stop the audio alarm by
pressing .
Upon completion of delivery,
the screen shows a flashing
“Line A VTBI complete”
message and the audible alarm
sounds.
NOTE: The KVO rate will change to
the rate of 1 mL/hr or less depending
on delivery rate and “Pumping” mode
changes to “KVO”. If Continue Rate
option was selected, pumping continues at original rate.
19 Press to stop alarm sound.
NOTE: Warning message continues to flash and audio alarm
will return after a two minute period of silence, unless delivery is
stopped or VTBI of last line is changed.
A
A
B
B
STOPPED
Options/
Vol Inf
N105 Callback Line A
PUMPING
Rate
mL/hr
Vol Inf
mL
75
250 0
0
Maintenance Dose
MedSurg
A
A
B
B
STOPPED
Options/
Vol Inf
N161 Line A VTBI complete
KVO
Rate
mL/hr
Vol Inf
mL
1
1000 0
0
Maintenance Dose
MedSurg
sec05.fm Page 21 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 22 430-95597-001 (Rev. 06/05)
Multistep Programming
MULTISTEP- Allows a sequential program to deliver
up to 10 steps; fluid volumes and delivery rates may
be programmed for each step. The program may be
entered based on Rate and Volume or Volume and
Time. If Dose Calc is used, the delivery steps are in
the same unit of measure, over the same period of
time, from the same container.
Clear ALL settings when changing patients or
multiple programming parameters.
The Area Selection screen will
appear if your system has been
programmed with the MedNet
accessory.
Use to select CCA and
bring you to the Main Delivery
Screen.
NOTE: To change CCA while
infusing, see Changing CCA While Infusing on page 6-12.
1Select
[A] at the Main
Delivery screen.
Area Selection
Enter
Select, then Enter
Any Hospital, USA
MM/DD/YY XXYYZZ- 123456
ICU
MedSurg
OR
Cardio
Urology
Psych
Recov
L&D
5 West
Renal
Neo ICU
OB/GYN
Oncol
Ad ICU
ER
7 South
3 North
4 North
A
A
B
B
STOPPED STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
Back
Prime
0
00
0
MedSurg
sec05.fm Page 22 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 23
The Line A Programming
screen appears.
2Select
[Drug List].
The Drug List Screen appears,
in mainly alphabetical order.
NOTE: Default entry is “No Drug
Selected”.
3Use to highlight desired
drug name.
When list does not contain
desired drug name or drug
class name, select
[Page Down] (or
[Page
Up]) until it shows, then use
to highlight choice.
4Select
[Enter] to indicate selection and advance to
the Program Selection screen.
APROGRAM
Rate
VTBI
Duration
mL/hr
mL
hr : min
Program
Options
Cancel/
Back
Drug
List
Enter Value using keypad
0
0
00:00
MedSurg
AMedSurg
Page
Up
Page
Down
Cancel/
Back
Enter
Select, then Enter
No Drug Selected
Albumin 5%
Aldesleukin
Alfentanil
Alteplase
Alteplase
Amikacin
Amiodarone
25 grams/500 mL
2.6 mg/50 mL
10 mg/250 mL
50 mg/50 mL
100 mg/100 mL
100 mL
150 mg/100 mL
AMedSurg
Page
Up
Page
Down
Cancel/
Back
Enter
Select, then Enter
Tirofiban
Tobramycin
Tobramycin
Vancomycin
VinCRIStine
VinCRIStine
5 mg/100 mL
40 mg/50 mL
80 mg/100 mL
500 mg/100mL
100 mL
50 mL
sec05.fm Page 23 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 24 430-95597-001 (Rev. 06/05)
The Select Program screen for
Line A (or B) appears.
NOTE: This example shows line A
being programmed.
5Use to scroll down to
Multistep.
6Select
[Choose] to continue.
If selected drug has been
programmed with established
dosing units and concentration,
skip to step 9.
The Program Multistep screen
appears.
NOTE: Cursor defaults to package
insert recommended dose units
associated with the selected drug.
7Use key to highlight the
units to use in the delivery.
8Select
[Choose] to continue.
If desired, select
[Page Down] to see more units of
APROGRAM
Choose Back
Select, then Choose
Standard Program
Loading Dose
Multistep
VinCRIStine
APROGRAM
Choose Back
Select, then Choose
Standard Program
Loading Dose
Multistep
VinCRIStine
AProgram Multistep
Choose Back
Select, then Choose
VinCRIStine
mL/hr
mcg/kg/min
mcg/kg/hr
mcg/min
mcg/hr
mg/kg/hr
mg/min
mg/hr
grams/hr
ng/kg/min
mmol/min
mmol/hr
mEq/hr
Page
Up
Page
Down
sec05.fm Page 24 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 25
measure.
The Multistep Programming
screen appears.
9Rate is the default field. Enter
value using keypad.
10 Use to highlight the
Duration or VTBI field.
NOTE: The VTBI value is
automatically computed when the
Duration value is entered. If VTBI is
entered, the Duration value is
automatically computed.
11 Use to drop down to Step-
2, Rate field.
12 Enter the set of desired values
for Step-2 of the program.
Continue process for each
additional Step.
AProgram Multistep
Cancel/
Back
Enter value using keypad
Program
Options
More
Steps
Rate
mL/hr
Duration
hr : min
00 : 00
00 : 00
00 : 00
00 : 00
VTBI
mL
0
0
0
0
50
0
0
0
1
2
3
4
VinCRIStine
AProgram Multistep
Cancel/
Back
Enter value using keypad
Program
Options
More
Steps
Rate
mL/hr
Duration
hr : min
01 : 00
00 : 00
00 : 00
00 : 00
VTBI
mL
50
0
0
0
50
0
0
0
1
2
3
4
VinCRIStine
AProgram Multistep
Cancel/
Back
Enter value using keypad
Program
Options
More
Steps
Rate
mL/hr
Duration
hr : min
01 : 00
00 : 00
00 : 00
00 : 00
VTBI
mL
50
0
0
0
50
100
0
0
1
2
3
4
VinCRIStine
sec05.fm Page 25 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 26 430-95597-001 (Rev. 06/05)
NOTE: When Step-4 is programmed,
using [SELECT] to advance will
highlight another item on this screen.
13 When Step-4 is programmed,
select
[More Steps] to program up
to 10 Steps.
NOTE: Using [SELECT] will not
advance you to the additional steps.
14 To set up Steps 5 through 10,
enter desired values as
performed for Steps 1 through
4.
To see the previous steps,
select
[Prev Steps].
15 To start the delivery, press
.
This will bring up the
Confirmation screen.
CAUTION: VERIFY ALL VALUES
BEFORE STARTING INFUSION.
AProgram Multistep
Cancel/
Back
Enter value using keypad
Program
Options
More
Steps
Rate
mL/hr
Duration
hr : min
01 : 00
08 : 15
01 : 00
01 : 00
VTBI
mL
50
825
75
50
50
100
75
50
1
2
3
4
VinCRIStine
AProgram Multistep
Cancel/
Back
Enter value using keypad
Program
Options
Prev
Steps
Rate
mL/hr
Duration
hr : min
00 : 00
00 : 00
00 : 00
00 : 00
00 : 00
00 : 00
VTBI
mL
0
0
0
0
0
0
0
0
0
0
0
0
5
6
7
8
9
10
VinCRIStine
A
Program Multistep
Drug
Rate
VTBI
Delivery will be:
50
50
mL/hr
mL
Confirm Program?
VinCRIStine
!
Yes No
MedSurg
sec05.fm Page 26 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 5- 27
The Main Delivery Screen
displays Step-1 in the upper-
left corner.
NOTE: In units other than mL/hr, the
Dose rate and units also will be
displayed.
Example of Multistep Screen
Pumping on Step-2.
16 To change a program
parameter while pumping,
select
[A].
NOTE: The “*” in a Step number field
indicates the step is delivering or “d”
indicates each completed step.
17 Enter a value using the
keypad.
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
50
27.
5
0
0
VinCRIStine
Step 1
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
100
652 0
0
VinCRIStine
Step 2
AProgram Multistep
Cancel/
Back
Enter value using keypad
Program
Options
More
Steps
Rate
mL/hr
Duration
hr : min
01 : 00
08 : 15
01 : 00
01 : 00
VTBI
mL
50
825
75
50
50
100
75
50
d
3
4
VinCRIStine
sec05.fm Page 27 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
5- 28 430-95597-001 (Rev. 06/05)
If Rate value is changed, the
Duration will automatically
change.
NOTE: Only the current delivering
step and future steps can be
changed.
18 To start the delivery, press
.
This will bring up the
Confirmation screen.
CAUTION: VERIFY ALL VALUES
BEFORE STARTING INFUSION.
NOTE: The Values are now updated
on the Main Delivery Screen.
The infuser reverts to KVO
when last Step completes.
The last step can be restarted
by entering a new VTBI value.
AProgram Multistep
Cancel/
Back
Enter value using keypad
Program
Options
More
Steps
Rate
mL/hr
Duration
hr : min
01 : 00
06 : 36
01 : 00
01 : 00
VTBI
mL
50
825
75
50
50
125
75
50
d
3
4
VinCRIStine
A
Program Multistep
Drug
Rate
VTBI
Delivery will be:
125
825
mL/hr
mL
Confirm Program?
VinCRIStine
!
Yes No
MedSurg
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
125
658 0
0
VinCRIStine
Step 2
sec05.fm Page 28 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 6- 1
SECTION 6
Additional Features
Simple Delivery Using Delayed
Start
1Before or after entering the
simple delivery program, select
[Program Options].
NOTE: To program a Delayed Start
using an advanced program (i.e.,
Dose Calc) you must first select
which line you want (A or B), next
select
[Drug List], and then
[Program Options]. If you program
the Delayed Start first, it will be
cleared upon entry into Select
Program mode.
The Default screen for
Program Options appears.
B
PROGRAM
Mode
Rate
VTBI
Duration
mL/hr
mL
hr : min
Program
Options
Change
Mode
Cancel/
Back
Drug
List
Change using Change Mode
Concurrent
5
250
50:00
MedSurg
BProgram Options
Cancel/
Back
Enter
Standby
Enter Value using keypad
Delay Start for 00:00 hr:min
Callback No
sec06.fm Page 1 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
6- 2 430-95597-001 (Rev. 06/05)
2Enter values for desired hours
and/or minutes.
3Select
[Enter] to confirm
delayed start.
CAUTION: VERIFY ALL VALUES
BEFORE STARTING INFUSION.
4Press to confirm
programming.
Line B is delayed for the time
entered.
NOTE: Delayed line drip indicator is
solid, not flashing. It will begin
flashing when actually pumping.
Piggyback with Nurse Callback
1After programming in desired
values for both lines, select
[Program Options].
NOTE: To set a nurse callback, the
infuser must be stopped. This
function can be selected either before
or after entering the Piggyback
delivery program.
BProgram Options
Cancel/
Back
Enter
Standby
Enter Value using keypad
Delay Start for 01:00 hr:min
Callback No
A
A
B
B
PUMPING DELAYED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
125
850 0
5
!!
MedSurg
B
PROGRAM
Mode
Rate
VTBI
Duration
mL/hr
mL
hr : min
Program
Options
Cancel/
Back
Enter value using keypad
Piggyback
200
100
00:30
MedSurg
Drug
List
sec06.fm Page 2 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 6- 3
The default screen for Program
Options appears.
Use to highlight “Callback”
field and select
[Yes/No], if
necessary to obtain “Yes”, then
select
[Enter].
NOTE: Callback default of Yes or No is a biomedical setting and
must be configured using the Hospira MedNet accessory.
CAUTION: VERIFY ALL VALUES BEFORE STARTING INFUSION.
2Press to confirm
program setting and return to
Main Delivery screen.
At end of Piggyback delivery,
with Callback enabled for the
line, Callback alarm is issued.
3Press to clear alarm.
BProgram Options
Cancel/
Back
Enter
Yes/No
Change using Yes/No
Delay Start for 00:00 hr:min
Callback Yes
B
PROGRAM
Mode
Rate
VTBI
Duration
mL/hr
mL
hr : min
Program
Options
Cancel/
Back
Enter value using keypad
Piggyback
200
100
00:30
MedSurg
Drug
List
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
5.5
0.3100
200
N104 Callback Line B
MedSurg
! !
sec06.fm Page 3 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
6- 4 430-95597-001 (Rev. 06/05)
Possible Non-Delivery Programmed
NOTE: Whenever a valid [START]
key is pressed, the device checks the
delivery program(s) for non-delivery
conditions (such as Line B Piggyback
without Line A or delayed start) that
could permit a period of non-delivery.
If so, the display presents this
warning screen.
1Select
[Yes] to continue with
delivery. Or, select
[No] to cancel.
Using the Standby Feature
Standby is a feature that
enables the clinician to
program the infuser up to 23:
59 minutes in advance of
Starting.
1If Line A is infusing, select
[A] or
[B] to access
program screen of line to be
placed on Standby.
2Select
[Program Options].
3Select
[Standby].
B
PROGRAM
Yes No
Attention: Line A is stopped or
delayed. Line B in piggyback mode
gives no KVO or alarm at dose end.
Continue anyway?
AProgram Dose Calc
Program
Options
Cancel/
Back
Enter value using keypad
Conc
Weight
400
70
mg
kg
250 mL
Dose
VTBI
Duration
Rate
10
250
09: 30
26.
3
mcg/kg/min
mL
hr : min
mL/hr
DOPamine
sec06.fm Page 4 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 6- 5
4Confirm the information
displayed is correct, then select
[Yes] to place program on
Standby mode.
NOTE: This example screen shows a
Dose Calculation Program with a
Standby. It looks similar to the
Program Confirmation screen with
the substitution of “Put delivery in
Standby” replacing “Confirm
Program”. Selecting
[Yes] confirms both the Program
and the Standby.
5Press to remove
Standby and start the infusion.
AProgram Dose Calc
Yes No
Dose
Drug
Conc
Weight
Rate
Delivery will be:
10
400
70
26.
3
mcg/kg/min
mg
kg
mL/hr
Put delivery in Standby?
DOPamine
250 mL
MedSurg
!
A
A
B
B
STANDBY STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
26.3
00
0
10
mcg/kg/min MedSurg
DOPamine
Dose Calculation
sec06.fm Page 5 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
6- 6 430-95597-001 (Rev. 06/05)
Select Option- Volumes Infused,
Pressure/Post Infusion Rate, and
Lighting/Contrast
1To select Options Screen,
select
[Options/Vol Inf].
2Use to highlight an option.
3Select
[Choose] to select the
Volumes Infused screen.
This will bring up the Volumes
Infused screen which defaults
to Total Volume.
4Use to scroll to Line A or B.
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
5.
5
393 0
0
MedSurg
DOPamine
Dose Calculation
AB
OPTIONS
Choose
Change
CCA Back
Select, then Choose
Release 13.x - xx/xx/xx
Volumes Infused
Pressure/Post Infusion Rate
Lighting/Contrast
Any Hospital, USA
MM/DD/YY XXYYZZ-123456
AB
OPTIONS
Enter Cancel/
Back
Press CLEAR to clear value
Volumes Infused
Line A
Line B
Total Vol
mL
mL
mL
0
0
393
DOPamine
Dose Calculation
sec06.fm Page 6 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 6- 7
5To reset Line A (or B) Volume
Infused,use to highlight
and press .
6To restore the cleared quantity,
select
[Cancel/Back].
7To reset all volumes, use to
highlight Total Vol, then press
.
8To restore all quantities, select
[Cancel/Back] softkey.
AB
OPTIONS
Enter Cancel/
Back
Press CLEAR to clear value
Volumes Infused
Line A
Line B
Total Vol
mL
mL
mL
0
0
393
DOPamine
Dose Calculation
AB
OPTIONS
Enter Cancel/
Back
Press CLEAR to clear value
Volumes Infused
Line A
Line B
Total Vol
mL
mL
mL
0
0
0
DOPamine
Dose Calculation
sec06.fm Page 7 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
6- 8 430-95597-001 (Rev. 06/05)
9When clearing of quantities is completed, select
[Enter] to return to the Main Delivery screen.
10 Select
[Options/Vol Inf] from
the Main Delivery screen to
return to the Options screen.
11 Use to highlight the
Pressure/Post Infusion Rate
option.
12 Select
[Choose] to continue.
NOTE: Prior to changing Pressure/Post Infusion Rate, infuser
must be stopped.
13 Use to highlight Continue
Rate or Distal Pressure Limit
field.
14 Continue Rate allows a choice
when VTBI is completed.
Select
[KVO/Rate].
• KVO- The infuser will revert to a fixed KVO of 1 mL/hr or the
last programmed Rate, whichever is less.
• Rate- The infuser will continue at the Rate programmed.
NOTE: Option will be for both line A and line B selections.
15 To change Distal Pressure Limit when highlighted,
AB
OPTIONS
Choose
Change
CCA Back
Select, then Choose
Release 13.x - xx/xx/xx
Volumes Infused
Pressure/Post Infusion Rate
Lighting/Contrast
Any Hospital, USA
MM/DD/YY XXYYZZ-123456
AB
OPTIONS
Enter Cancel/
Back
Change using KVO/Rate
Pressure/Post Infusion Rate
Continue Rate
Distal Pressure Limit
Distal Pressure
KVO
6
0
psi
psi
KVO/
Rate
DOPamine
Dose Calculation
sec06.fm Page 8 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 6- 9
enter value between 0.1 and 15 psi.
16 Select
[Enter] to keep changes and return to the
Main Delivery screen, or
[Cancel/Back] to restore
original values and return to the Options screen.
NOTE: Continue Rate default of KVO or Rate must be
configured using the Hospira MedNet software.
17 Select
[Options/Vol Inf] from
the Main Delivery screen to
return to the Options screen.
18 Use to highlight Lighting/
Contrast Option.
19 Select
[Choose] to continue.
20 Press to highlight Backlight
Intensity or Display Contrast.
21 While viewing display for
desired effect, select either
[Increase Setting] or
[Decrease Setting] to change
level.
22 Select
[Enter] to keep change(s) and return to the
Main Delivery screen, or
[Cancel/Back] to restore
previous settings and return to the Options screen.
AB
OPTIONS
Choose
Change
CCA Back
Select, then Choose
Release 13.x - xx/xx/xx
Volumes Infused
Pressure/Post Infusion Rate
Lighting/Contrast
Any Hospital, USA
MM/DD/YY XXYYZZ-123456
AB
OPTIONS
Enter Cancel/
Back
Use Inc/Decrease Settings
Lighting/Contrast
Backlight Intensity
Display Contrast
Decrease
Setting
Increase
Setting
sec06.fm Page 9 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
6- 10 430-95597-001 (Rev. 06/05)
Variable Rate Cap
NOTE: Variable Rate Cap is used to set the maximum rate
values to be accepted by the device. The clinician cannot
change it once it has been programmed. It must be configured
using the Hospira MedNet software.
Examples of Automatic Calculation
AT STARTUP
Initial programming allows the clinician to enter two of the three
programming parameters (Rate, VTBI, or Duration) and the
third is automatically calculated. (Refer to table below)
WHILE RUNNING (TITRATION)
Changing two parameters after startup of the infusion will allow
for the re-calculation of the third parameter.
1st Action 2nd Action [AUTOCALC]
enter RATE enter VTBI [DURATION]
enter VTBI enter DURATION [RATE]
enter RATE enter DURATION [VTBI]
sec06.fm Page 10 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 6- 11
NOTE: VTBI will not be re-calculated if the Rate and Duration
are changed. VTBI must be cleared and then the new VTBI re-
entered. The new VTBI will automatically calculate a new Rate.
AT KVO
Audible KVO alarm will sound, clinician will need to re-set the
appropriate settings.
1st Action 2nd Action [AUTOCALC]
change RATE keep VTBI [DURATION]
change RATE change VTBI [DURATION]
change VTBI keep RATE [DURATION]
change DURATION keep VTBI [RATE]
change VTBI change DURATION [RATE]
change RATE change DURATION Recalculates [RATE]
based on previous
VTBI and new
DURATION
1st Action 2nd Action [AUTOCALC]
enter VTBI keep RATE [DURATION]
enter DURATION keep RATE [VTBI]
change RATE enter VTBI [DURATION]
enter DURATION enter VTBI [DURATION]
enter VTBI enter DURATION [RATE]
change RATE change DURATION [VTBI]
sec06.fm Page 11 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
6- 12 430-95597-001 (Rev. 06/05)
Changing CCA While Infusing
1Select
[Options/Vol Inf] from
the Main Delivery screen.
2Select
[Change CCA].
3Press to highlight desired
CCA, then select
[Enter] to
confirm the change.
The delivery continues until
VTBI equals zero, or you stop
the program and clear the
settings.
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
26.3
0.20
0
10
mcg/kg/min
DOPamine
Dose Calculation
ER
Dose
AB
OPTIONS
Choose
Change
CCA Back
Select, then Choose
Release 13.x - xx/xx/xx
Volumes Infused
Pressure/Post Infusion Rate
Lighting/Contrast
Any Hospital, USA
MM/DD/YY XXYYZZ-123456
Area Selection
Enter
Select, then Enter
Any Hospital, USA
MM/DD/YY XXYYZZ- 123456
ICU
MedSurg
OR
Cardio
Urology
Psych
Recov
L&D
5 West
Renal
Neo ICU
OB/GYN
Oncol
Ad ICU
ER
7 South
3 North
4 North
sec06.fm Page 12 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 6- 13
The message bar informs the
user of the changed CCA.
When VTBI reaches zero
(infusion is competed), VTBI
may no longer be incremented.
To program, the user must first
select
[Back], then press the
key.
Auto-Programming
Auto-Programming is a new feature for the Hospira Plum A+
line of infusion pumps. It can only be used if the feature has
been installed in conjunction with your Hospital Information
System (HIS) and Barcode Point-Of-Care (BPOC) Unit. It works
by scanning barcode labels for the patient, pump, and IV bag
using a BPOC Unit, such as a PDA. This information is then
transferred to the pump utilizing either it’s wireless antenna or
RJ-45 Ethernet connector. The feature reduces the number of
steps needed to program an infusion.
NOTE: If the physician’s order for an auto-program therapy
exceeds the capabilities of the pump or is above a hospital
defined hard drug limit, the infusion parameters for auto-
programming will be rejected and the order will need to be re-
checked.
A
A
B
B
PUMPING STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
26.3
0.30
0
10
mcg/kg/min
DOPamine
Dose Calculation
ICU
Dose
Line A using prior CCA
APROGRAM
Back
Press Back,
then press STOP key.
This program was started under a
previous CCA.
sec06.fm Page 13 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
6- 14 430-95597-001 (Rev. 06/05)
NOTE: It is important that biomed personnel ensure that the
barcode identification label affixed to each infuser corresponds
to the correct Connectivity Engine Identification Number. This
way the correct order will be sent to the appropriate infuser.
NOTE: The wireless icon will not appear if an Ethernet cable is
used to connect to the BPOC system.
1Power On the pump as
described in Section 4.2.
2After the CCA has been
selected, the pump is ready for
auto-programming.
NOTE: The Auto-Program feature
must begin on the Main Delivery
Screen (with the desired line STOPPED).
3Following your hospital’s procedure, activate your
BPOC Unit.
4Scan the patient wristband to pull up the patient’s
task list on the BPOC Unit.
5Scan the IV bag. IV Task and documentation with
Order Details is displayed on the BPOC.
6Scan the barcode of the available pump channel that
is not currently infusing (A or B).
NOTE: If the scanned medication does not exist in the Hospira
MedNet Rx Rules medication library, no medication will be
A
A
B
B
STOPPED STOPPED
Rate
mL/hr
Vol Inf
mL
Options/
Vol Inf
Back
Prime
0
00
0
MedSurg
sec06.fm Page 14 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 6- 15
displayed on the pump and “No Drug Selected” will be seen on
the subsequent Confirmation and Main Delivery Screens.
7Programming screen is auto-
filled.
8Verify ALL parameters. If
changes are desired, the
infusion parameters can be
manually changed using the
keypad on the pump.
9Press to display the Confirmation screen.
10 Select
[Yes] to confirm
programming and begin
infusion.
The BPOC will reconfirm that
the pump parameters match
the order.
11 Complete the transaction on
the BPOC Unit or document
the process per hospital
procedure.
AProgram Dose Calc
Program
Options
Cancel/
Back
Enter value using keypad
Conc
Weight
400
70
mg
kg
250 mL
Dose
VTBI
Duration
Rate
10
250
09: 30
26.
3
mcg/kg/min
mL
hr : min
mL/hr
DOPamine
AProgram Dose Calc
Yes No
Dose
Drug
Conc
Weight
Rate
Delivery will be:
10
400
70
26
.3
mcg/kg/min
mg
kg
mL/hr
Confirm Program?
DOPamine
250 mL
MedSurg
sec06.fm Page 15 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
6- 16 430-95597-001 (Rev. 06/05)
NOTES
sec06.fm Page 16 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 7- 1
SECTION 7
Alarms and Troubleshooting
Warning Messages
NOTE: Other error and warning messages will occur when
appropriate for the current selection context. For instance, when
a change to a required parameter would result in clearing some
delivery settings, the warning message will appear when that
field is selected. When an input error has just been made, the
three quick beeps of an Invalid Key Warning will sound and an
appropriate warning message will be shown to explain the
MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
Stop delivery then turn
off
Attempting to turn the
infuser off while a
delivery is in progress.
Stop all lines, then turn
infuser off.
Warning: Replace
Battery
The battery current
charge is greater than
200 mA/hr.
The battery voltage is
less than the depleted
threshold and charge
level is higher than the
low charge threshold.
Replace battery.
Warning: Charger
Service
The charging circuitry is
not behaving as
expected (charge
voltage is not changing)
and can reduce battery
life.
Silence key is pressed.
Warning: Low Battery Pump not plugged in to
AC power.
Plug into AC power, only
about 30 minutes of
battery life remains.
sec07.fm Page 1 Wednesday, June 15, 2005 8:05 AM
For Systems With Hospira MedNetTM Software
7- 2 430-95597-001 (Rev. 06/05)
problem. All such messages will be cleared or replaced by
another message upon the next valid input key press.
Response to Alarms
1Disable Lockout by confirming back switch is in the down
position or press the decimal key followed by 9, 6, & 3 on the
keypad.
2Press [SILENCE] key.
3Identify/Observe Alarm condition.
4Correct Alarm condition (see following tables).
5Press [START] to resume infusion.
NOTE: Alarm messages begin with an alphanumeric code for
tracking purposes only. If troubleshooting does not correct the
problem, record the code number and contact technical
support.
sec07.fm Page 2 Wednesday, June 15, 2005 8:05 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 7- 3
General Alarms
CODE MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
N100 Unrecognized
cassette
Attempting to use
unrecognized cassette.
Turn off or insert
recognized cassette.
N101 No Action
Alarm
Pump programming
incomplete.
Press [START] or
continue
programming.
N102 Infuser Idle 2
Minutes
Pump is ON without
operator input.
Standby time has
elapsed.
Begin programming or
turn infuser OFF.
Re-enter all
programmed data.
N103 Memory Failure The infuser did not
accept the previous
programmed data.
Re-enter all
programmed data.
N230 Prox Air,
Backprime
When the total proximal
air detected exceeds the
limit.
Check for clamps, or
empty containers on
line A or B. Correct as
necessary. Backprime
into line B tubing or
syringe.
N180,
N181,
N186
Distal
Occlusion
Distal line kinked, IV site
clotted or positional,
pressure limit set too
low.
Check distal tubing,
check IV site, reset
pressure limit.
See page 1-10 for
detailed instructions
for avoiding a bolus
following a distal
occlusion.
N187 Neg Distal
Occlusion
Pump too high above
patient or defective set.
Lower infuser or
replace set.
N233,
N234
Distal Air When air is detected at
the distal sensor and
exceeds the limit.
Remove and reprime
cassette using
standard technique.
sec07.fm Page 3 Wednesday, June 15, 2005 8:05 AM
For Systems With Hospira MedNetTM Software
7- 4 430-95597-001 (Rev. 06/05)
N250 Door open
while pumping
Pump door opened
while operating.
Close door with
cassette inserted.
N251 Cassette Test
Failure
Faulty cassette,
proximal or distal
occlusion or air in
cassette detected at
start up.
Check clamps,
manually reprime set,
close door. Backprime
into line B tubing or
syringe if appropriate.
If alarm recurs on
retest, replace set. If
alarm repeats, replace
infuser.
N252 Depleted
Battery
Too much time on
battery power.
Plug into AC (mains)
power.
N253 Hard lockout
Violation
The use of the [STOP]
key during delivery, or
opening the door, while
lockout is enabled.
Unlock lockout switch.
N254 Hard lockout
Enabled
Pressing of any key
except [STOP] during
delivery while any alarm
is active and lockout is
enabled.
Unlock lockout switch.
N255 Soft lockout
Violation
The use of the [STOP]
key during delivery, or
opening the door, while
lockout is enabled.
Unlock lockout by
pressing the decimal
key, followed by 9, 6, &
3 on the keypad.
N256 Soft lockout
Enabled
Pressing of any key
except [STOP] during
delivery while any alarm
is active and lockout is
enabled.
Unlock lockout by
pressing the decimal
key, followed by 9, 6, &
3 on the keypad.
CODE MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
sec07.fm Page 4 Wednesday, June 15, 2005 8:05 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 7- 5
Line A Alarms
CODE MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
N105 Callback Line A Alarm programmed by
user. Change in delivery
for Loading Dose to
Maintenance Step or for
any step in “Multistep”
program provided the
step is not the last step.
Press [SILENCE].
N161 Line A VTBI
complete
VTBI complete on line
A.
Program new VTBI.
N185 Prox Occl A At
Startup
Proximal line
obstructed, line A
container (or syringe)
disconnected or
obstructed during non-
delivery (startup).
Examine line A for
kinks or closed
clamps. If there are
closed clamps, open
the clamps. Then,
open and close door.
Continue
programming. Replace
set if problem persists.
If clamps are not
opened prior to
completion of cassette
test, peak proximal
occlusion may recur.
For syringe, select
[Backprime].
sec07.fm Page 5 Wednesday, June 15, 2005 8:05 AM
For Systems With Hospira MedNetTM Software
7- 6 430-95597-001 (Rev. 06/05)
N184,
N190,
N191
Prox Occl A /
Air
Proximal line
obstructed, line A
container disconnect or
obstruction.
Examine line A for
kinks, closed clamps,
or air in cassette.
N232 Prox Air A,
Backprime
When proximal air
detected exceeds the
limit for the line.
Check for clamps, or
empty container.
Correct as necessary.
Backprime into line B
tubing or syringe.
CODE MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
sec07.fm Page 6 Wednesday, June 15, 2005 8:05 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 7- 7
Line B Alarms
CODE MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
N104 Callback Line
B
Alarm programmed by
user. Change in
delivery for piggyback
delivery, Loading Dose
to Maintenance Step,
or for any step in
“Multistep” program
provided the step is not
the last step.
Press [SILENCE].
N160 Line B VTBI
complete
VTBI complete on line
B.
Program new VTBI.
N183 Prox Occl B
At Startup
Proximal line
obstructed, line B
container (or syringe)
disconnected or
obstructed during non-
delivery (startup).
Examine line B for kinks
or closed clamps. If there
are closed clamps, open
the clamps. Then, open
and close door. Continue
programming. Replace
set if problem persists.
If clamps are not opened
prior to completion of
cassette test, peak
proximal occlusion may
recur.
For syringe, select
[Backprime].
sec07.fm Page 7 Wednesday, June 15, 2005 8:05 AM
For Systems With Hospira MedNetTM Software
7- 8 430-95597-001 (Rev. 06/05)
Malfunctions
N182,
N188,
N189
Prox Occl B /
Air
Proximal line
obstructed, line B
container disconnected
or obstructed.
Examine line B for kinks,
closed clamps, or air in
cassette.
Occlusion caused by
empty container,
backprime into line B
tubing or syringe.
N231 Prox Air B,
Backprime
When proximal air
detected exceeds the
limit for the line.
Check for clamps, or
empty container. Correct
as necessary. Backprime
into line B tubing or
syringe.
CODE MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
E300 or
higher
Malfunction A failure has occurred
in the infuser’s internal
systems.
Record Malfunction
error code. Pump must
be turned OFF to clear
malfunction. If alarm
malfunction repeats,
replace infuser.
CODE MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
sec07.fm Page 8 Wednesday, June 15, 2005 8:05 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 7- 9
General Messages
MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
Cannot Standby in
Piggyback
Selection of
[Standby] when
Line B is in Piggyback
Mode.
Select
[Cancel/
Back].
Cannot Standby with
Delay
Selection of
[Standby] when
Delay time was entered
for program.
[Cancel/Back].
Changing CCA clears
program
Displays when other
than last-used Care
Area is highlighted.
N/A
Change Conc clears
entries
A program delivery
which has been stopped
and drug amount value
is selected. This is
displayed before any
screen or field message.
User can enter new
Concentration using
keypad, or press
[CLEAR] then make new
entry.
Change units clears
entries
A program delivery
which has been stopped
and user highlights
another concentration
unit for the same line.
User can select
[Back] to exit, or
use [SELECT] arrows to
highlight a new value.
Change Vol clears
entries
A program delivery
which has been stopped
and diluent value is
selected. This is
displayed before any
screen or field message.
User can enter new
Concentration volume
using keypad, or press
[CLEAR] then make
another entry.
sec07.fm Page 9 Wednesday, June 15, 2005 8:05 AM
For Systems With Hospira MedNetTM Software
7- 10 430-95597-001 (Rev. 06/05)
Concurrency alert Attempt to start a
multistep or loading
dose delivery whose
later steps would exceed
concurrent delivery limit
if delivery proceeds.
User can enter new
values using number
keypad, or use
[SELECT] arrows to
move to another field to
change the entry. User
can also press [CLEAR].
Concurrency violation Attempt to start a second
line with a delivery rate
that would exceed
concurrent delivery
upper limit immediately.
Or, concurrent delivery
attempt and rate for the
second line is less than
concurrent delivery
lower limit. Takes
precedence over “Rate
must be > n mL/hr”
message. The
combined delivery rate
must fall within the range
of 1.0 mL/hr – 500 mL/hr
or CCA-specific
Maximum Volumetric
Rate, with 0.5 mL/hr
minimum per line.
User can enter new
values using number
keypad, or use
[SELECT] arrows to
move to another field to
change the entry. User
can also press [CLEAR].
Decimal point not
allowed
Attempt to input Decimal
point when either not
used in field or a three-
digit whole number
already input.
Press [CLEAR] Hardkey.
MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
sec07.fm Page 10 Wednesday, June 15, 2005 8:05 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 7- 11
Dose > [X.xx]. Override? Attempt to start program
with parameter that has
caused the Dose (or
Rate, if mL/hr program)
to be greater than the
upper soft limit
[uuuuuuuu] for the
selected drug and CCA.
Also includes placing
program in Standby, and
re-starting a stopped
program.
May be overridden by
selecting
[Yes].
Cleared by pressing of
[NUMERIC KEYS], [.],
[SELECT], [CLEAR] or
[STOP] hard keys, or
[Yes/No] softkeys. Also
cleared by the [ON/OFF]
key when the line is
stopped.
Dose < [X.xx]. Override? Attempt to start program
with parameter that has
caused the Dose (or
Rate, if mL/hr program)
to be less than the lower
soft limit [llllllll] for the
selected drug and CCA.
Also includes placing
program in Standby, and
re-starting a stopped
program.
May be overridden by
selecting
[Yes].
Cleared by pressing of
[NUMERIC KEYS], [.],
[SELECT], [CLEAR] or
[STOP] hard keys, or
[Yes/No] softkeys. Also
cleared by the [ON/OFF]
key when the line is
stopped.
Hard Lockout Enabled The Lockout Switch has
been enabled, no Alarm
is active, and any key
besides Stop is pressed.
Disable the Lockout
switch located on the
back of the device. (See
Section 3)
Illegal when Line
Delivering
Attempt to select
program other than
Dose Calculation while a
Basic program is
delivering on this line.
Select
[Cancel/
Back] or press
[CLEAR]. Pressing
[CLEAR] invokes
another message.
MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
sec07.fm Page 11 Wednesday, June 15, 2005 8:05 AM
For Systems With Hospira MedNetTM Software
7- 12 430-95597-001 (Rev. 06/05)
Input digits > max
allowed
Attempt to input digit that
would exceed the
number of decimal
places allowed for
defined value except
Dose and Rate.
Press [CLEAR] hardkey.
Input value > max
allowed
Attempt to input number
that would cause field to
exceed its defined limit.
In the Drug amount,
Diluent amount, VTBI,
Duration, Patient
Weight, Distal pressure,
and Delayed Start time
fields, the Software shall
display ‘---‘, and the user
must press the Clear
hard key and input a
valid value.
Press [CLEAR] hardkey.
Maximum value reached The display contrast/
intensity has reached its
maximum value.
User can select
[Enter] or
[Cancel/Back].
Minimum value reached The display contrast/
intensity has reached its
minimum value.
User can select
[Enter] or
[Cancel/Back].
No delivery programmed Delivery attempt at Main
Delivery Screen when A
and B have both Rate
and VTBI equal to zero
(no delivery
programmed).
Select a line to program,
or
[Options] or
[Backprime].
Rate must be > 0 mL/hr Delivery attempt when
VTBI is non-zero but
rate is zero.
Use number keypad to
enter a value.
MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
sec07.fm Page 12 Wednesday, June 15, 2005 8:05 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 7- 13
Soft Lockout Enabled While the Soft Lockout is
enabled and no Alarm is
active, either 1) any key
besides Stop is pressed
during delivery, or 2) any
key is pressed while
stopped.
Disable the Soft
Lockout.
(See Section 3)
VTBI must be > 0 Delivery attempt when
rate is non-zero but
VTBI is zero.
Use number keypad to
enter a value.
Value is too high Attempt to move cursor
from field whose input
value is too high.
Use number keypad to
enter a value.
Value is too low Attempt to move cursor
from field requiring a
non-default value.
Use number keypad to
enter a value.
Weight change affects
Line A/B
Selecting the weight field
on line while a weight-
based program is
entered on other line.
Use number keypad to
enter a value.
Minimum Dose X.xx Attempt to start program
with Dose less than
lower hard Dose limit
n.nn.
Use number keypad to
enter a value.
Maximum Dose X.xx Attempt to start program
with Dose greater than
upper hard Dose limit
n.nn.
Attempt to input a Dose
greater than the upper
Hard Limit.
The Software will display
‘---‘, and the user must
press the [CLEAR] hard
key and input a valid
value.
MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
sec07.fm Page 13 Wednesday, June 15, 2005 8:05 AM
For Systems With Hospira MedNetTM Software
7- 14 430-95597-001 (Rev. 06/05)
Minimum Rate X mL/hr Attempt to start mL/hr
program with Rate less
than lower hard Dose
limit nn.n.
Use number keypad to
enter a value.
Maximum Rate X mL/hr Attempt to start mL/hr
program with Rate
greater than the upper
Hard Limit or CCA
Maximum Volumetric
Rate n.
Attempt to input a Rate
greater than the upper
Hard Limit or CCA
Maximum Volumetric
Rate n.
The Software will display
‘---‘, and the user must
press the [CLEAR] hard
key and input a valid
value.
MESSAGE POSSIBLE CAUSE
CORRECTIVE
ACTION
sec07.fm Page 14 Wednesday, June 15, 2005 8:05 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 8- 1
SECTION 8
Cleaning, Maintenance, and
Storage
The cleaning, maintenance, and storage of the Plum A+ are
described in this section.
CLEANING AND SANITIZING
For proper maintenance of the Plum A+, observe the following
cleaning and sanitizing guidelines.
Establish a routine weekly schedule for cleaning the infuser. To
clean, proceed as follows:
• Turn the Plum A+ off using the [ON/OFF] switch
• Disconnect from AC (mains) power
The exposed surfaces of the Plum A+ may be cleaned with a
lint-free cloth dampened by one of the recommended cleaning
solutions in the following list or mild, nonabrasive soapy water.
Clean the cassette door with a soft, lint-free cloth, dampened
with one of the cleaning agents listed in the following table, or a
mild solution of soapy water. Use a small non-abrasive brush to
aid in cleaning the infusion system housing and subsystem
chassis components. To thoroughly clean the cassette
receptacle, disengage the cassette door from the door latch by
pressing the door release tab.
CAUTION: DO NOT ALLOW CLEANING SOLUTIONS TO SATURATE
THE AIR-IN-LINE DETECTORS OR ENTER THE DEVICE WHEN CLEANING
THE AIR-IN-LINE DETECTORS.
sec08.fm Page 1 Wednesday, June 8, 2005 8:38 AM
For Systems With Hospira MedNetTM Software
8- 2 430-95597-001 (Rev. 06/05)
The rubber pad on the Plum A+3 pole clamp, as well as the IV
poles for both instruments, may be cleaned using isopropyl
alcohol.
On a routine basis, clean all of the elements behind the
cassette door using cotton-tipped swabs saturated with
cleaning solution. The cassette door may be unlatched from the
door handle to facilitate cleaning.
CLEANING
SOLUTION MANUFACTURER PREPARATION
CoverageTMHBV Steris Corporation, A
division of Calgon Vestal
Laboratories
Per manufacturer's
recommendation
Formula C TM Diversey Corporation Per manufacturer's
recommendation
Dispatch®Caltech Industries Per manufacturer's
recommendation
Precise®Caltech Industries Per manufacturer's
recommendation
Household bleach Various Per hospital procedures;
do not exceed one part
bleach in ten parts water
Manu-Klenz®Calgon Vestal
Laboratories
Per manufacturer's
recommendation
Sporicidin®Sporicidin International Per manufacturer's
recommendation
Super Edisonite®S. M. Edison Co. Per manufacturer's
recommendation
sec08.fm Page 2 Wednesday, June 8, 2005 8:38 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 8- 3
To unlatch the cassette door from its handle, tilt the device
back, open the cassette door, then push the door release tab to
open the door fully.
CAUTION: TO AVOID MECHANICAL OR ELECTRONIC DAMAGE, DO
NOT IMMERSE THE PLUM A+ IN ANY FLUIDS OR CLEANING
SOLUTIONS.
CAUTION: DO NOT SPRAY CLEANING SOLUTIONS TOWARD ANY
OPENING IN THE INSTRUMENT.
CAUTION: CERTAIN CLEANING AND SANITIZING SOLUTIONS MAY
SLOWLY DEGRADE COMPONENTS MADE FROM SOME PLASTIC
MATERIALS. USING ABRASIVE CLEANERS OR CLEANING SOLUTIONS
NOT RECOMMENDED BY HOSPIRA MAY RESULT IN PRODUCT DAMAGE.
DO NOT USE COMPOUNDS CONTAINING COMBINATIONS OF
ISOPROPYL ALCOHOL AND DIMETHYL BENZYL AMMONIUM CHLORIDE.
CAUTION: NEVER USE SHARP OBJECTS SUCH AS FINGERNAILS,
PAPER CLIPS, OR NEEDLES TO CLEAN ANY PART OF THE INFUSER.
CAUTION: DO NOT STERILIZE BY HEAT, STEAM, ETHYLENE OXIDE
(ETO), OR RADIATION.
CAUTION: TO AVOID INFUSER DAMAGE, CLEANING SOLUTIONS
SHOULD ONLY BE USED AS DIRECTED. THE DISINFECTING
PROPERTIES OF CLEANING SOLUTIONS VARY; CONSULT THE
MANUFACTURER FOR SPECIFIC INFORMATION.
BATTERY MAINTENANCE
CAUTION: DO NOT OPERATE THE INFUSER ON PATIENTS WITH THE
BATTERY REMOVED. USE OF A PROPERLY MAINTAINED AND
CHARGED BATTERY HELPS CONFIRM PROPER OPERATION.
CAUTION: IF THE LOW-BATTERY ALARM SOUNDS, CONNECT TO
AC (MAINS) POWER IMMEDIATELY.
The Plum A+ is battery powered for emergency backup and
temporary portable operation. A fully charged, new battery
provides 3 hours of operation at 125 mL/hr, or delivers 250 mL
total volume if pumping at a rate of 126 mL/hr or greater,
whichever occurs first.
sec08.fm Page 3 Wednesday, June 8, 2005 8:38 AM
For Systems With Hospira MedNetTM Software
8- 4 430-95597-001 (Rev. 06/05)
NOTE: For optimum battery life, the Plum A+ should be
operated on battery power for three continuous hours at least
once every six months and then charged for a minimum of six
hours.
The battery charges whenever connected to AC (mains) power.
If the infuser is switched OFF, recharge takes approximately six
hours. Recharge takes longer if the infuser is turned ON.
As a general rule, the more often the battery is partially
discharged and recharged, the sooner it will need to be
replaced. Consult a qualified biomedical technician for battery
replacement if necessary.
To maintain maximum battery charge and to prolong battery life,
connect the infuser to AC (mains) power whenever possible.
When the infuser is used without wireless, the operation times
may be proportionally longer.
STORAGE
To prolong the life of the Plum A+, observe the following storage
precautions:
• Store the away from excessive heat, cold, and humidity
• Store connected to AC (mains) power
• Switch the infuser OFF using the [ON/OFF] key
SERVICE
All servicing or adjustments to the Plum A+ should be referred
to qualified technical personnel. A technical service manual
may be ordered from the local Hospira sales office.
sec08.fm Page 4 Wednesday, June 8, 2005 8:38 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 9- 1
SECTION 9
Specifications
NOTE: Specification information applies to both systems (Plum
A+ & Plum A+3) unless otherwise noted.
Physical
Electrical
Dimensions: Plum A+- Approximately 8” X 8” X 6”, excluding
pole clamp protrusion and power cord storage.
Plum A+3- Approximately 19” X 15” X 14”,
including pole clamp, barcode wand holder, and
power cord.
Weight: Plum A+- Approximately 9.5 lbs. with battery.
Plum A+3- Approximately 28 ibs. with (3)
batteries.
Casing: High-impact plastic.
Power
Requirements:
Plum A+- 120 V~, 50-60 Hz, 35 VA. Meets UL
60601-1.
Plum A+3- 120 V~, 50-60 Hz, 120 VA.
Fuses: F1, F2, 250V~, 0.5 A. (internal)
Power Cord: Hospital-grade AC cord. 10 ft long, with
transparent plug and retainer plate.
Battery: Plum A+- One sealed, lead-acid, rechargeable 6
V battery, internal to device.
Plum A+3- Three sealed, lead-acid,
rechargeable 6 V batteries, internal to device.
sec09.fm Page 1 Wednesday, June 8, 2005 8:39 AM
For Systems With Hospira MedNetTM Software
9- 2 430-95597-001 (Rev. 06/05)
Wireless Lan Device
Battery Life: With a new fully charged battery, the infuser
operates for a minimum of three hours at 125 mL/
hr or less, or delivers 250 mL if > 126 mL/hr. (Time
is measured from initial pumping to Depleted
Battery Alarm)
Recharge: The battery charges whenever the infuser is
connected to AC power. The recharge time is
approximately six hours with the device operating
at 125 mL/hr on one line.
Electrical
Leakage:
Meets IEC 60601-1 standard: Medical Electronic
Equipment, Part 1: General Requirements for
Safety.
NURSE-CALL
System:
Circuitry
Ratings:
NURSE-CALL alarm is factory set for Normally-
Open (NO)
Contact the Technical Services Center to make an
internal adjustment to change the device from
Normally-Open (NO) to Normally Closed (NC)
system.
Voltage-30 VDC Max
Current- 0.25 Amps Max
Contact Rating- 3 Watts Max
Standards: IEEE802.11b
Radio Technology: IEEE802.11b Direct Sequence
Spread Spectrum
Data Transfer
Rate:
11, 5.5, 2, 1 Mbps (auto sense)
sec09.fm Page 2 Wednesday, June 8, 2005 8:39 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 9- 3
VTBI Range
Environment
Delivery Rate Range
FREQUENCY
RANGE
IEEE802.11b
Channels:
Transmit Power:
Antenna:
Certifications:
2412 - 2462 MHz
1-11 (FCC)
100mW (+20dBm) max
Integrated surface mount antenna
FCC Part 15.247
IC RSS-210, RSS-102
FCC ID: STJ-20677
IC: 5627A-20677
VTBI Range: 0.1 to 99.9 mL (in 0.1 mL increments)
100 to 9999 mL (in 1 mL increments)
Operating
Temperature:
5° to 40° C
Storage
Temperature:
-20° to 60° C
Atmospheric
Pressure:
0 - 10,000 feet (0 - 3,000m) or equivalent
pressure
Relative Humidity: 10 - 90% (40° C Max)
Lines A and B: 0.1 - 99.9 mL/hr (in 0.1 mL increments)
100 - 999 mL/hr (in 1 mL increments)
Concurrent
Delivery:
PlumSet:
0.5 mL/hr minimum for each line
500 mL/hr cumulative (A+B) maximum
sec09.fm Page 3 Wednesday, June 8, 2005 8:39 AM
For Systems With Hospira MedNetTM Software
9- 4 430-95597-001 (Rev. 06/05)
Air-in-Line Alarm
Occlusion Alarm and Limits
KVO: 1.0 mL/hr or the last primary delivery rate,
whichever is less
PlumSet (Distal): Bolus 0.1 mL (100 microliters) or larger for
delivery rates less than 500 mL/hr.
Bolus 0.5 mL (500 microliters) or larger for
delivery rates equal to or greater than 500 mL/
hr.
Cumulative 0.25 mL out of 2.6 mL for delivery
rates less than 500 mL/hr.
Cumulative 0.50 mL out of 5.3 mL for delivery
rates equal to or greater than 500 mL/hr.
PlumSet
(Proximal):
Bolus at 0.5 mL, Total 1.0 mL
Distal Occlusion: The DISTAL OCCLUSION alarm sounds after
the distal set tubing or set outlet fitting
becomes occluded.
Proximal
Occlusion:
The PROXIMAL OCCLUSION alarm sounds if
the tubing proximal to the cassette becomes
occluded.
Distal Pressure
Limit
(without alarm):
1 to 15 psig. The maximum pressure is user-
selectable. Factory default setting is 6 psig.
Maximum Infusion
Pressure:
20 psig
sec09.fm Page 4 Wednesday, June 8, 2005 8:39 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 9- 5
Time To Detect Downstream
Occlusions
Bolus Volume Released After
Downstream Occlusions Are
Corrected
RATE
OCCLUSION
ALARM
PRESSURE
SETTING
TYPICAL TIME
TO ALARM
(MACRO)
MAXIMUM TIME
TO ALARM
(MACRO)
25 mL/hr 6 psig
15 psig
38 seconds
98 seconds
47 seconds
106 seconds
1 mL/hr 6 psig
15 psig
17 minutes
45 minutes
22 minutes
49 minutes
* Baseline backpressure is 0 psig *
RATE
OCCLUSION
ALARM
PRESSURE
SETTING
TYPICAL
BOLUS
VOLUME
(MACRO)
MAXIMUM BOLUS
VOLUME (MACRO)
25 mL/hr 6 psig
15 psig
0.23 mL
0.55 mL
0.28 mL
0.63 mL
1 mL/hr 6 psig
15 psig
0.24 mL
0.59 mL
0.30 mL
0.70 mL
* Baseline backpressure is 0 psig *
sec09.fm Page 5 Wednesday, June 8, 2005 8:39 AM
For Systems With Hospira MedNetTM Software
9- 6 430-95597-001 (Rev. 06/05)
Delivery Accuracy
The Plum A+ Infuser was designed and manufactured to maintain
a volumetric delivery rate error of the total fluid delivered of less
than or equal to ± 5% over the course of 48 hours at a
programmed rate of 1 to 999 mL/hr during normal operating
conditions. For use of the device at rates below 1 mL/hr, the
delivery rate error is less than or equal to ± 10%.
Backpressure Effect- Positive backpressure on the distal line may
affect delivery accuracy by no more than 0.5% per psig (2% per
psig for rates between 0.1 and 0.9 mL/hr) for backpressures up to
15 psig. A typical deviation under these conditions is 0.3%.
Negative backpressure may affect delivery accuracy no more
than 2% for pressures up to -2 psig (56 inches of water). A typical
deviation under these conditions is 0.3%.
Filling Head Effect- Variations in filling head (such as container
height) may affect delivery accuracy by no more than 2% for
variations in the range -15 to +28 inches. A typical deviation under
these conditions is 0.5%.
Concurrent Delivery Effect- When both lines (A & B) are
delivering, the ratio of delivery for the fluid with the lowest rate
may be affected by as much as 5% for ratios up to 9 to 1. For
higher ratios, the absolute percentage of delivery for the lowest
rate may be affected by no more than 0.5%. When air is present
in the bubble trap, the absolute percentage of delivery for the
lowest rate may be affected by up to 2.0%. When variations in
container height are present, the absolute percentage of delivery
for the lowest rate may be affected by up to 2.5% for up to 24
inches of container height differences.
Enteral & High Viscosity Fluids
Effects
System delivery accuracy limits for each Enteral and High
Viscosity Fluid, such as those listed in the following table, can be
degraded by an additional maximum of 5%. System accuracy for
Enteral Fluids is defined only for rates of 1 to 200 mL/hr, with no
sec09.fm Page 6 Wednesday, June 8, 2005 8:39 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 9- 7
suspended air in the solution, and using an Hospira Plum enteral
set.
Trumpet Curves
The Trumpet Curve Graphs following the Example show
representative maximum and minimum percent flow rate
deviation from the programmed rate over time. This information
was developed in accordance with IEC 60601-2-24: 1998, Sub-
Clause 50.102. Refer to this standard for detailed information.
How to read a Trumpet Curve Graph (Refer to example on the
following page): The graphs following the Example plot flow rates
at 30 second intervals for the first 2 hours and for the 96th hour of
delivery. The graph plots mean delivery rate error (Average of 3
infusers) for the 2nd hour and the 96th hour as a straight line. The
graph also presents maximum and minimum average delivery
rate error for this interval plotted by averaging delivery errors over
intervals of 2, 5, 11, 19 and 31 minutes (“Trumpet Curve”).
EXAMPLE
From the Trumpet Curve Graph sample that follows, find the 5
minute interval (A) at the horizontal axis and read the
corresponding points (B) and (C) on the vertical axis. The values
are approximately +2.8% and -0.5%.
This means that at the rate of 25 mL/hr the average maximum
flow rate fluctuation for any 5 minute time interval during the 2nd
hour of operation was within the limits of +2.8% and -0.5% from
ENTERAL/HIGH VISCOSITY FLUIDS
Dextrose 20% to 50% concentration
Isomil Powder
Similac Powder
Ensure Plus HN
Twocal HN
Jevity
sec09.fm Page 7 Wednesday, June 8, 2005 8:39 AM
For Systems With Hospira MedNetTM Software
9- 8 430-95597-001 (Rev. 06/05)
the nominal rate. The average delivery rate error over the entire
2nd hour was +1.6% (D).
For other time intervals look at other points at the horizontal axis
and determine corresponding limits as above.
A trained professional can use the resulting graphs to select a infuser
with the appropriate startup and flow characteristics to suit the clinical
application.
NOTE: As an example of how the trumpet curves can be used,
consider the maximum and minimum deviations at the 5 minute
average interval. The upper curve provides the maximum
expected delivery rate error over a 5 minute interval, the lower
curve provides the minimum expected delivery rate error over a
5 minute interval. An example would be Dopamine administered
at 5 µgm/kg/min. At 5 minutes, the average drug delivery error
would be within the range of +2.8% and -0.5% of the expected
nominal rate.
0510 15 20 25 30
15.0%
10.0%
5.0%
0.0%
-5.0%
-10.0%
-15.0%
25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
PERCENT ERROR (%)
Observation Interval (minutes)
+
++
++
Max Mean
+Min
Average Delivery
Rate Error = +1.6%
A
D
Max Negative Error over 5
Minute Interval = -0.5%
C
Max Positive Error over 5
Minute Interval = +2.8%
B
sec09.fm Page 8 Wednesday, June 8, 2005 8:39 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 9- 9
25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Typical)
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
0 5 10 15 20 25 30
Observation Interval (minutes)
Percent Error (%)
Max Min Mean
25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Typical)
-10
-5
0
5
10
15
20
25
30
35
40
45
50
0 10 20 30 40 50 60 70 80 90 100 110 120
Time (minutes)
Rate (ml/hr)
Actual Rate
Programmed Rate
25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Composite of 3 Pumps)
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
0 5 10 15 20 25 30
Observation Interval (minutes)
Percent Error (%)
Max Min Mean
sec09.fm Page 9 Wednesday, June 8, 2005 8:39 AM
For Systems With Hospira MedNetTM Software
9- 10 430-95597-001 (Rev. 06/05)
25 ML/HR, 0 mm Hg DELIVERY HEAD , 96 HOURS
(Typical)
0
5
10
15
20
25
30
35
40
45
50
0 1020304050
Time (minutes)
Rate (ml/hr)
Actual Rate
Programmed Rate
25 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Typical)
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
0 5 10 15 20 25 30
Observation Interval (minutes)
Percent Error (%)
Max Min Mean
25 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Composite of 3 Pumps)
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
0 5 10 15 20 25 30
Observation Interval (minutes)
Percent Error (%)
Max Min Mean
sec09.fm Page 10 Wednesday, June 8, 2005 8:39 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 9- 11
1 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Typical)
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
0 5 10 15 20 25 30
Observation Interval (minutes)
Percent Error (%)
Max Min Mean
1 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Typical)
-0.4
-0.2
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
2.0
0 10 20 30 40 50 60 70 80 90 100 110 120
Time (minutes)
Rate (ml/hr)
Actual Rate Programmed Rate
1 ML/HR, 0 mm Hg DELIVERY HEAD, STARTUP
(Composite of 3 Pumps)
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
0 5 10 15 20 25 30
Observation Interval (minutes)
Percent Error (%)
Max Min Mean
sec09.fm Page 11 Wednesday, June 8, 2005 8:39 AM
For Systems With Hospira MedNetTM Software
9- 12 430-95597-001 (Rev. 06/05)
1 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Typical)
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
1.8
2.0
0 1020304050
Time (minutes)
Rate (ml/hr)
Actual Rate Programmed Rate
1 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Typical)
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
0 5 10 15 20 25 30
Observation Interval (minutes)
Percent Error (%)
Max Min Mean
1 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Composite of 3 Pumps)
-15.0%
-10.0%
-5.0%
0.0%
5.0%
10.0%
15.0%
0 5 10 15 20 25 30
Observation Interval (minutes)
Percent Error (%)
Max Min Mean
sec09.fm Page 12 Wednesday, June 8, 2005 8:39 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 10- 1
SECTION 10
Supplies and Accessories
Administration Fluids
ADMINISTRATION FLUIDS
• All parenteral fluids
• Whole Blood
• Blood fractions
ENTERAL AND HIGH VISCOSITY FLUIDS
• Dextrose 20% to 50% concentration
• Isomil Powder
• Similac Powder
• Ensure plus HN
• TwoCal HN
• Packed red cells
CONTAINERS
• Dual Chamber Parenteral flexible container (Nutrimix)
• Large Volume Parenteral flexible plastic containers, including
premixed
• Large Volume Parenteral glass containers, including
premixed and nutritional
• Part Fill Parenteral flexible plastic containers, including ADD-
Vantage
• Part Fill Parenteral glass containers
• Small Volume Parenterals
• Syringes (may require special adapters)
• Top Filled Enteral bags
• Ready to hang Enteral solution containers
sec10.fm Page 1 Wednesday, June 8, 2005 8:41 AM
For Systems With Hospira MedNetTM Software
10- 2 430-95597-001 (Rev. 06/05)
Accessories
GENERAL
• Syringe Adapter- List# 11986-48
• Mini Pole- List# 12096-04
• Secondary Container Support- List# 12095-03
• Tandem Carrier- List# 12270-01
• Plum A+3 IV Pole (upright)- 12577-04-01
• Plum A+3 IV Pole (base)- 12576-04-01
NETWORKED APPLICATION
• Hospira MedNetTM Medication Management Server Suite
(MMSS)
List# 20676-04
• *Hospira MedNetTM Plug ‘n Play Module
List# 20677
* = For use with Hospira Plum A+ Infusers
Lists 11971-04-03 & above, 12391-04, & 20679-04
NOTE: Contact Technical Support Operations at
1-800-241-4002 for current listing of accessories.
sec10.fm Page 2 Wednesday, June 8, 2005 8:41 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 11- 1
SECTION 11
Warranty
Subject to the terms and conditions herein, Hospira, Inc., herein
referred to as Hospira, warrants that (a) the product shall
conform to Hospira's standard specifications and be free from
defects in material and workmanship under normal use and
service for a period of one year after purchase, and (b) the
replaceable battery shall be free from defects in material and
workmanship under normal use and service for a period of 90
days after purchase. Hospira makes no other warranties,
express or implied, as to merchantability, fitness for a particular
purpose, or any other matter.
Purchaser's exclusive remedy shall be, at Hospira's option, the
repair or replacement of the product. In no event shall Hospira's
liability arising out of any cause whatsoever (whether such
cause be based in contract, negligence, strict liability, other tort,
or otherwise) exceed the price of such product, and in no event
shall Hospira be liable for incidental, consequential, or special
damages or losses or for lost business, revenues, or profits.
Warranty product returned to Hospira must be properly
packaged and sent freight prepaid.
The foregoing warranty shall be void in the event the product
has been misused, damaged, altered, or used other than in
accordance with product manuals so as, in Hospira's judgment,
to affect its stability or reliability, or in the event the serial
number or lot number has been altered, effaced, or removed.
The foregoing warranty shall also be void in the event any
person, including the Purchaser, performs or attempts to
perform any major repair or other service on the product without
having been trained by an authorized representative of Hospira
and using Hospira documentation and approved spare parts.
For purposes of the preceding sentence, "major repair or other
service" means any repair or service other than the
sec11.fm Page 1 Wednesday, June 8, 2005 8:41 AM
For Systems With Hospira MedNetTM Software
11- 2 430-95597-001 (Rev. 06/05)
replacement of accessory items such as batteries and
detachable mains power cords.
In providing any parts for repair or service of the product,
Hospira shall have no responsibility or liability for the actions or
inactions of the person performing such repair or service,
regardless of whether such person has been trained to perform
such repair or service. It is understood and acknowledged that
any person other than an Hospira representative performing
repair or service is not an authorized agent of Hospira.
sec11.fm Page 2 Wednesday, June 8, 2005 8:41 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 12- 1
SECTION 12
Default Drug Library (DDL)
NOTE: This list is only accurate if no custom drug library has
been developed using the Hospira MedNet accessory. Once a
custom drug library has been developed, this list will no longer
be accessable. Only Hospira personnel can re-install the DDL.
Use drug manufacturer recommendations for IV administration
when using the Plum A+ infusion infuser.
DRUG NAME
DEFAULT DOSE
RATE
DEFAULT
CONCENTRATION
No Drug Selected mL/hr N/A
Abciximab mcg/kg/min mg/mL
Acyclovir mL/hr N/A
Albumin mL/hr N/A
Aldesleukin mL/hr N/A
Alfentanil mcg/kg/min mcg/mL
Alteplase (rt-PA) mg/kg/hr mg/mL
Amikacin mL/hr N/A
Aminophylline mg/hr mg/mL
Amiodarone mg/min mg/mL
Amphotericin B mL/hr N/A
Ampicillin mL/hr N/A
Atracurium mL/hr N/A
Azithromycin mL/hr N/A
Bleomycin mL/hr N/A
Blood Products mL/hr N/A
Bretylium mg/min mg/mL
Carboplatin mL/hr N/A
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For Systems With Hospira MedNetTM Software
12- 2 430-95597-001 (Rev. 06/05)
Cefazolin mL/hr N/A
Cefepime mL/hr N/A
CefoPERAZONE mL/hr N/A
CefoTAXIME mL/hr N/A
CefoTETAN mL/hr N/A
CefoXITIN mL/hr N/A
CeftAZIDime mL/hr N/A
CeftIZOXime mL/hr N/A
Ceftriaxone mL/hr N/A
Cefuroxime mL/hr N/A
Cimetidine mL/hr N/A
Ciprofloxacin mL/hr N/A
Cisplatin mL/hr N/A
Clindamycin mL/hr N/A
Cotrimoxazole mL/hr N/A
Cytarabine mL/hr N/A
Diltiazem mg/hr mg/mL
DOBUTamine mcg/kg/min mg/mL
Docetaxel mL/hr N/A
DOPamine mcg/kg/min mg/mL
DOXOrubicin mL/hr N/A
Epinephrine mcg/min mg/mL
Epoprostenol ng/kg/min mg/mL
Eptifibatide mcg/kg/min mg/mL
Erythromycin mL/hr N/A
Esmolol mcg/kg/min mg/mL
Etoposide mL/hr N/A
Famotidine mL/hr N/A
DRUG NAME
DEFAULT DOSE
RATE
DEFAULT
CONCENTRATION
sec12.fm Page 2 Wednesday, June 8, 2005 8:45 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05) 12- 3
Fentanyl mL/hr N/A
Fluconazole mL/hr N/A
Flumazenil mL/hr N/A
Fluorouracil mL/hr N/A
Furosemide mL/hr N/A
Gatifloxacin mL/hr N/A
Gentamicin mL/hr N/A
Heparin units/kg/hr units/mL
Hydromorphone mL/hr N/A
Ifosfamide mL/hr N/A
Insulin units/hr units/mL
Labetalol mg/min mg/mL
Lepirudin mg/kg/hr mg/mL
Leucovorin mL/hr N/A
Levofloxacin mL/hr N/A
Lidocaine mg/min grams/mL
Lorazepam mL/hr N/A
Magnesium grams/hr grams/mL
Mannitol grams/hr grams/mL
Mesna mL/hr N/A
MethoHEXITAL mL/hr N/A
MethoTREXATE mL/hr N/A
Metoclopramide mL/hr N/A
Metronidazole mL/hr N/A
Midazolam mL/hr N/A
Milrinone mcg/kg/min mg/mL
Morphine mg/hr mg/mL
Nafcillin mL/hr N/A
DRUG NAME
DEFAULT DOSE
RATE
DEFAULT
CONCENTRATION
sec12.fm Page 3 Wednesday, June 8, 2005 8:45 AM
For Systems With Hospira MedNetTM Software
12- 4 430-95597-001 (Rev. 06/05)
NitroGLYCERIN mcg/min mg/mL
NitroPRUSSIDE mcg/kg/min mg/mL
Norepinephrine mcg/min mg/mL
Ofloxacin mL/hr N/A
Ondansetron mL/hr N/A
Oxacillin mL/hr N/A
Oxytocin mUn/min units/mL
Paclitaxel mL/hr N/A
Pantoprazole mg/min mg/mL
Penicillin mL/hr N/A
Pentobarbital mL/hr N/A
Phenylephrine mcg/min mg/mL
Piperacillin mL/hr N/A
Potassium mEq/hr mEq/mL
Procainamide mg/min grams/mL
Propofol mcg/kg/min mg/mL
Ranitidine mL/hr N/A
STREPTOkinase units/hr units/mL
Theophylline mg/kg/hr mg/mL
Ticar-clavulanate mL/hr N/A
Tirofiban mcg/kg/min mg/mL
Tobramycin mL/hr N/A
UROkinase mL/hr N/A
Vancomycin mL/hr N/A
Verapamil mL/hr N/A
VinCRIStine mL/hr N/A
DRUG NAME
DEFAULT DOSE
RATE
DEFAULT
CONCENTRATION
sec12.fm Page 4 Wednesday, June 8, 2005 8:45 AM
Plum A+® Infusion Systems
430-95597-001 (Rev. 06/05)
For customer service within the United States, contact:
1-877-9-HOSPIRA (1-877-946-7747)
For technical assistance, product return authorization, and to
order parts, accessories, or manuals within the United States,
contact Hospira, Inc. Technical Support Operations:
1-800-241-4002
To order parts using the online eCatalog, download technical
publications, technical training courses, and additional services,
visit the website at:
www.hospiraparts.com
After authorization, ship prepaid product returns to the following
address:
Hospira, Inc.
Technical Support Operations
755 Jarvis Drive
Morgan Hill, CA 95037
Outside the U.S., contact your local Hospira, Inc. sales office.
back.fm Page 1 Wednesday, June 8, 2005 8:49 AM
For Systems With Hospira MedNetTM Software
430-95597-001 (Rev. 06/05)
CAUTION: FEDERAL (USA) LAW RESTRICTS THIS INFUSER TO
SALE BY OR ON THE ORDER OF A PHYSICIAN OR OTHER LICENSED
PRACTITIONER.
WARNING
POSSIBLE EXPLOSION HAZARD EXISTS IF THE INFUSER
IS USED IN THE PRESENCE OF FLAMMABLE
ANESTHETICS.
Plum A+ Infusion Pump is a registered trademark of Hospira, Inc.
Hospira MedNet, LifeShield, and E.L.I. are trademarks of
Hospira Incorporated. CLAVE, Teflon, Formula C, Manu-Klenz, Super
Edisonite, Coverage, Sporicidin, Dispatch, and Precise are not
trademarks of Hospira.
®
C US
Class 1 Mains supply equipment using protective earth
IPX1Drip Proof
Medical Equipment Protected against dripping water
Type CF
Equipment providing adequate degree of protection against
electrical shock and suitable for application to patient
UL 60601-1
CSA 601.1
MCN 160992
back.fm Page 2 Wednesday, June 8, 2005 8:49 AM