ICU Medical 20678-04-01 Infusion System with Hospira MedNet (TM) Software User Manual Cover

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Document ID	560677
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Document Description	Users Manual Part II
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Document Type	User Manual
Display Format	Adobe Acrobat PDF - pdf
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Date Submitted	2005-07-11 00:00:00
Date Available	2005-08-22 00:00:00
Creation Date	2005-07-11 10:24:21
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sec05.fm Page 7 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
Because the Dose falls outside
the soft limits, the infuser
beeps three times (Invalid Key
Warning), and generates the
error message:
“Dose > 8. Override?”
Program Dose Calc
DOPamine
Conc
Weight
400 mg
70 kg
Dose
VTBI
Duration
Rate
10
250
09: 30
26.3
250 mL
mcg/kg/min
mL
hr : min
mL/hr
Dose > 8. Override?
Yes
13 Select
No
[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.
Program Dose Calc
MedSurg
Delivery will be:
Dose
Drug
Conc
Weight
Rate
10 mcg/kg/min
DOPamine
400 mg 250 mL
70 kg
26.3 mL/hr
Confirm Program?
Yes
No
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.
430-95597-001 (Rev. 06/05)
5- 7
sec05.fm Page 8 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
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 PUMPING STOPPED B
DOPamine
Dose Calculation
10
Rate
mL/hr
Vol Inf
mL
Dose
mcg/kg/min
MedSurg
26.3
5- 8
Options/
Vol Inf
430-95597-001 (Rev. 06/05)
sec05.fm Page 9 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
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.
Select [B] at the Main
Delivery Screen.
A PUMPING STOPPED B
DOPamine
Dose Calculation
10
Rate
mL/hr
Vol Inf
mL
Dose
mcg/kg/min
MedSurg
26.3
The Line B Programming
screen appears.
Select
[Drug List].
Options/
Vol Inf
PROGRAM
MedSurg
Mode
Rate
VTBI
Duration
Piggyback
00:00
mL/hr
mL
hr : min
Change using Change Mode
Program Change
Options
Mode
430-95597-001 (Rev. 06/05)
Drug
List
Cancel/
Back
5- 9
sec05.fm Page 10 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
The Drug List Screen appears,
in mainly alphabetical order.
NOTE: Default entry is “No Drug
Selected”.
MedSurg
No Drug Selected
25 grams/500 mL
Albumin 5%
2.6 mg/50 mL
Aldesleukin
10 mg/250 mL
Alfentanil
50 mg/50 mL
Alteplase
100 mg/100 mL
Alteplase
100 mL
Amikacin
150 mg/100 mL
Amiodarone
Select, then Enter
Page
Up
Use
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
choice.
Enter
Cancel/
Back
MedSurg
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
Select, then Enter
Page
Up
Page
Down
Enter
Cancel/
Back
to highlight
Select [Enter] to indicate selection and advance to
the Program Selection screen.
The Select Program screen for
Line B appears.
Page
Down
PROGRAM
Lidocaine
Standard Program
Select
[Choose] to continue.
Loading Dose
Multistep
Select, then Choose
Choose
5- 10
Back
430-95597-001 (Rev. 06/05)
sec05.fm Page 11 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
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.
Program Dose Calc
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
Select, then Choose
Page
Up
Select
Lidocaine
Page
Down
Choose
Back
[Choose] to continue.
Or, use
to change the units
to use in the delivery.
If desired, select
measure.
[Page Down] to see more units of
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.
Program Dose Calc
Lidocaine
Drug Conc in Container
mcg
mg
grams
Select, then Choose
Choose
Back
NOTE: Cursor defaults to package
insert recommended concentration
units associated with the selected
drug.
Select [Choose] to continue. Or, use
to change
the Container Concentration units to use in the
delivery.
430-95597-001 (Rev. 06/05)
5- 11
sec05.fm Page 12 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
The next page of the Program
Dose Calc screen appears to
provide for entry of delivery
program parameters.
Program Dose Calc
Lidocaine
Conc
Mode
Dose
VTBI
Duration
Rate
Use keypad to enter desired
2 grams
500 mL
Piggyback
00: 00
mg/min
mL
hr : min
mL/hr
Enter value using keypad
Program
Options
values. Once entered, use
to highlight the next field.
Cancel/
Back
NOTE: If selected drug has established Rule Sets (e.g., nonblank concentration), the Mode field will be highlighted upon
entry to this screen.
To change the Piggyback Delivery Mode default,
scroll down to Mode using
[Change Mode].
, then select
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.
5- 12
Program Dose Calc
Lidocaine
Conc
Mode
Dose
VTBI
Duration
Rate
2 grams
500 mL
Concurrent
500
16 : 40
30
mg/min
mL
hr : min
mL/hr
Enter value using keypad
Program
Options
Cancel/
Back
430-95597-001 (Rev. 06/05)
sec05.fm Page 13 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
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
Program Dose Calc
MedSurg
This will bring up the PROGRAM
CONFIRMATION screen.
13 If Dose, Drug, Conc., Weight, &
Delivery will be:
Dose
Drug
Conc
Weight
Rate
2 mg/min
Lidocaine
2 grams 500 mL
70 kg
30 mL/hr
Confirm Program?
Yes
No
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.
430-95597-001 (Rev. 06/05)
5- 13
sec05.fm Page 14 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
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.
5- 14
A STOPPED PUMPING B
DOPamine
Dose Calculation
Lidocaine
Dose Calculation
26.3
Rate
mL/hr
30
Vol Inf
mL
0.1
mcg/kg/min
Dose
MedSurg
mg/min
Options/
Vol Inf
430-95597-001 (Rev. 06/05)
sec05.fm Page 15 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
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.
Area Selection
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
Select, then Enter
Enter
NOTE: To change CCA while
infusing, see Changing CCA While Infusing on page 6-12.
Select [A] (or [B]) at the
Main Delivery screen.
A STOPPED STOPPED B
Rate
mL/hr
Vol Inf
mL
MedSurg
Back
Prime
430-95597-001 (Rev. 06/05)
Options/
Vol Inf
5- 15
sec05.fm Page 16 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
The selected Line (A or B)
Programming screen appears.
Select
PROGRAM
MedSurg
[Drug List].
Rate
mL/hr
VTBI
mL
00:00
Duration
hr : min
Enter Value using keypad
Program
Options
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.
Drug
List
Cancel/
Back
MedSurg
No Drug Selected
25 grams/500 mL
Albumin 5%
2.6 mg/50 mL
Aldesleukin
10 mg/250 mL
Alfentanil
50 mg/50 mL
Alteplase
100 mg/100 mL
Alteplase
100 mL
Amikacin
150 mg/100 mL
Amiodarone
Select, then Enter
Page
Up
Page
Down
Enter
Cancel/
Back
Select [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.
PROGRAM
Standard Program
Loading Dose
Multistep
Select, then Choose
Choose
5- 16
Back
430-95597-001 (Rev. 06/05)
sec05.fm Page 17 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
Use
to scroll down to
Loading Dose.
PROGRAM
Standard Program
Loading Dose
Select
[Choose] to continue.
Multistep
Select, then Choose
Choose
The next page of the Program
Loading Dose screen appears.
Select
A Program Loading Dose
mg/min
mg/hr
grams/hr
ng/kg/min
mmol/min
mmol/hr
mEq/hr
mL/hr
mcg/kg/min
mcg/kg/hr
mcg/min
mcg/hr
mg/kg/hr
[Choose] to continue.
Or, use
to change the units
to use in the delivery.
Back
Select, then Choose
Page
Up
Page
Down
Choose
Back
If desired, select [Page
Down] to see more units of measure.
The Loading Dose
Programming screen appears.
The default field is Rate. Since
a “Fluid Challenge” is being
performed in this example,
press
to advance to the
VTBI field.
430-95597-001 (Rev. 06/05)
A Program Loading Dose
Rate
mL/hr
VTBI
mL
Duration
hr : min
00 : 00
00 : 00
Enter value using keypad
Program
Options
Cancel/
Back
5- 17
sec05.fm Page 18 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
Enter value using keypad.
A Program Loading Dose
Rate
mL/hr
VTBI
mL
250
Duration
hr : min
00 : 00
00 : 00
Enter value using keypad
Program
Options
Use
field.
to highlight the next
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.
5- 18
Cancel/
Back
A Program Loading Dose
Rate
mL/hr
500
VTBI
mL
250
Duration
hr : min
00 : 30
00 : 00
Enter value using keypad
Program
Options
Cancel/
Back
A Program Loading Dose
Rate
mL/hr
500
75
VTBI
mL
250
Duration
hr : min
00 : 30
00 : 00
Enter value using keypad
Program
Options
Cancel/
Back
430-95597-001 (Rev. 06/05)
sec05.fm Page 19 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
12 Enter the set of desired values
A Program Loading Dose
for Step-2 of the program.
13 Select
[Program Options] to
select a Delayed Start or
Standby.
Rate
mL/hr
500
75
VTBI
mL
250
750
Duration
hr : min
00 : 30
10 : 00
Enter value using keypad
Program
Options
Cancel/
Back
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.
Program Options
Loading Dose
Delay Start for 00:00 hr:min
Callback
No
Enter Value using keypad
Standby
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.
Enter
Cancel/
Back
Program Options
Loading Dose
Delay Start for 00:05 hr:min
Callback
Yes
Change using Yes/No
Yes/No
Enter
Cancel/
Back
15 Select
[Enter] to accept the changes and return to
the Program Loading Dose screen.
430-95597-001 (Rev. 06/05)
5- 19
sec05.fm Page 20 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
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
BEFORE STARTING INFUSION.
VALUES
Program Loading Dose
MedSurg
Delivery will be:
No Drug Selected
500 mL/hr
250 mL
Drug
Rate
VTBI
17 If Drug and Rate appear
correct, select
program.
Confirm Program?
[Yes] to begin
The Main Delivery Screen
appears.
NOTE: The words “DELAYED” and
“Loading Dose” appear in the upperleft corner. These indicate the options
which have been selected.
Yes
No
A DELAYED STOPPED B
Loading Dose
500
Rate
mL/hr
Vol Inf
mL
MedSurg
After the programmed delay
period has expired, the Plum
A+ starts “Pumping”. This is
indicated where “Delayed”
previously was displayed.
Options/
Vol Inf
A PUMPING STOPPED B
Loading Dose
500
Rate
mL/hr
Vol Inf
mL
MedSurg
5- 20
Options/
Vol Inf
430-95597-001 (Rev. 06/05)
sec05.fm Page 21 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
After the Step-1 has
completed, the Main Delivery
Screen changes to the second
step.
Maintenance Dose
NOTE: A flashing “Callback Line A”
message and the audio alarm sound
indicates activation of that option.
N105 Callback Line A
A PUMPING STOPPED B
75
Rate
mL/hr
250
Vol Inf
mL
MedSurg
Options/
Vol Inf
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.
STOPPED B
KVO
Maintenance Dose
Rate
mL/hr
1000
Vol Inf
mL
MedSurg
N161 Line A VTBI complete
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
Options/
Vol Inf
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.
430-95597-001 (Rev. 06/05)
5- 21
sec05.fm Page 22 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
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.
Area Selection
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
Select, then Enter
Enter
NOTE: To change CCA while
infusing, see Changing CCA While Infusing on page 6-12.
Select [A] at the Main
Delivery screen.
A STOPPED STOPPED B
Rate
mL/hr
Vol Inf
mL
MedSurg
Back
Prime
5- 22
Options/
Vol Inf
430-95597-001 (Rev. 06/05)
sec05.fm Page 23 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
The Line A Programming
screen appears.
Select
PROGRAM
MedSurg
[Drug List].
Rate
mL/hr
VTBI
mL
00:00
Duration
hr : min
Enter Value using keypad
Program
Options
The Drug List Screen appears,
in mainly alphabetical order.
NOTE: Default entry is “No Drug
Selected”.
Drug
List
Cancel/
Back
MedSurg
No Drug Selected
25 grams/500 mL
Albumin 5%
2.6 mg/50 mL
Aldesleukin
10 mg/250 mL
Alfentanil
50 mg/50 mL
Alteplase
100 mg/100 mL
Alteplase
100 mL
Amikacin
150 mg/100 mL
Amiodarone
Select, then Enter
Page
Up
Use
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
Page
Down
Enter
Cancel/
Back
MedSurg
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
Select, then Enter
Page
Up
Page
Down
Enter
Cancel/
Back
to highlight choice.
Select [Enter] to indicate selection and advance to
the Program Selection screen.
430-95597-001 (Rev. 06/05)
5- 23
sec05.fm Page 24 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
The Select Program screen for
Line A (or B) appears.
PROGRAM
VinCRIStine
Standard Program
NOTE: This example shows line A
being programmed.
Loading Dose
Multistep
Select, then Choose
Choose
Use
to scroll down to
Multistep.
Back
PROGRAM
VinCRIStine
Standard Program
Loading Dose
Select
[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.
Multistep
Select, then Choose
Choose
Back
Program Multistep
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
Select, then Choose
Use
key to highlight the
units to use in the delivery.
Select
Page
Down
Choose
Back
[Choose] to continue.
If desired, select
5- 24
Page
Up
[Page Down] to see more units of
430-95597-001 (Rev. 06/05)
sec05.fm Page 25 Wednesday, June 8, 2005 8:31 AM
Plum A+® Infusion Systems
measure.
The Multistep Programming
screen appears.
Rate is the default field. Enter
value using keypad.
Program Multistep
VinCRIStine
Rate
VTBI
Duration
mL/hr
50
mL
hr : min
00 : 00
00 : 00
00 : 00
00 : 00
Enter value using keypad
Program
Options
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 Step2, Rate field.
12 Enter the set of desired values
for Step-2 of the program.
Continue process for each
additional Step.
430-95597-001 (Rev. 06/05)
More
Steps
Cancel/
Back
Program Multistep
VinCRIStine
Rate
VTBI
Duration
mL/hr
50
mL
50
hr : min
01 : 00
00 : 00
00 : 00
00 : 00
Enter value using keypad
Program
Options
More
Steps
Cancel/
Back
Program Multistep
VinCRIStine
Rate
VTBI
Duration
mL/hr
50
100
mL
50
hr : min
01 : 00
00 : 00
00 : 00
00 : 00
Enter value using keypad
Program
Options
More
Steps
Cancel/
Back
5- 25
sec05.fm Page 26 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
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.
Program Multistep
VinCRIStine
Rate
VTBI
Duration
mL/hr
50
100
75
50
mL
50
825
75
50
hr : min
01 : 00
08 : 15
01 : 00
01 : 00
Enter value using keypad
Program
Options
Cancel/
Back
More
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
Program Multistep
VinCRIStine
10
Rate
VTBI
Duration
mL/hr
mL
hr : min
00 : 00
00 : 00
00 : 00
00 : 00
00 : 00
00 : 00
Enter value using keypad
Program
Options
Cancel/
Back
Prev
Steps
Program Multistep
MedSurg
Delivery will be:
Drug
Rate
VTBI
This will bring up the
Confirmation screen.
CAUTION:
VERIFY ALL
BEFORE STARTING INFUSION.
5- 26
VinCRIStine
50 mL/hr
50 mL
Confirm Program?
VALUES
Yes
No
430-95597-001 (Rev. 06/05)
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Plum A+® Infusion Systems
The Main Delivery Screen
displays Step-1 in the upperleft corner.
A PUMPING STOPPED B
VinCRIStine
Step 1
NOTE: In units other than mL/hr, the
Dose rate and units also will be
displayed.
50
Rate
mL/hr
27.5
Vol Inf
mL
Example of Multistep Screen
Pumping on Step-2.
A PUMPING STOPPED B
VinCRIStine
Step 2
16 To change a program
100
Rate
mL/hr
652
Vol Inf
mL
parameter while pumping,
select [A].
Program Multistep
VinCRIStine
17 Enter a value using the
Options/
Vol Inf
NOTE: The “*” in a Step number field
indicates the step is delivering or “d”
indicates each completed step.
Options/
Vol Inf
Rate
VTBI
Duration
mL/hr
50
100
75
50
mL
50
825
75
50
hr : min
01 : 00
08 : 15
01 : 00
01 : 00
keypad.
Enter value using keypad
Program
Options
430-95597-001 (Rev. 06/05)
More
Steps
Cancel/
Back
5- 27
sec05.fm Page 28 Wednesday, June 8, 2005 8:31 AM
For Systems With Hospira MedNetTM Software
If Rate value is changed, the
Duration will automatically
change.
Program Multistep
VinCRIStine
NOTE: Only the current delivering
step and future steps can be
changed.
Rate
VTBI
Duration
mL/hr
50
125
75
50
mL
50
825
75
50
hr : min
01 : 00
06 : 36
01 : 00
01 : 00
Enter value using keypad
Program
Options
18 To start the delivery, press
Cancel/
Back
More
Steps
Program Multistep
MedSurg
Delivery will be:
This will bring up the
Confirmation screen.
CAUTION:
VERIFY ALL
BEFORE STARTING INFUSION.
VinCRIStine
125 mL/hr
825 mL
Drug
Rate
VTBI
Confirm Program?
VALUES
Yes
NOTE: The Values are now updated
on the Main Delivery Screen.
No
A PUMPING STOPPED B
VinCRIStine
Step 2
The infuser reverts to KVO
when last Step completes.
125
Rate
mL/hr
658
Vol Inf
mL
The last step can be restarted
by entering a new VTBI value.
5- 28
Options/
Vol Inf
430-95597-001 (Rev. 06/05)
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Plum A+® Infusion Systems
SECTION 6
Additional Features
Simple Delivery Using Delayed
Start
Before 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.
PROGRAM
MedSurg
Mode Concurrent
Rate
VTBI
Duration
250
50:00
mL/hr
mL
hr : min
Change using Change Mode
Program Change
Options
Mode
Drug
List
Program Options
Cancel/
Back
Delay Start for 00:00 hr:min
Callback
No
Enter Value using keypad
Standby
430-95597-001 (Rev. 06/05)
Enter
Cancel/
Back
6- 1
sec06.fm Page 2 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
Enter values for desired hours
and/or minutes.
Program Options
Delay Start for 01:00 hr:min
Select [Enter] to confirm
delayed start.
Callback
No
Enter Value using keypad
CAUTION:
VERIFY ALL VALUES
BEFORE STARTING INFUSION.
Standby
Enter
Cancel/
Back
Press
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.
A PUMPING DELAYED B
125
Rate
mL/hr
850
Vol Inf
mL
MedSurg
Options/
Vol Inf
Piggyback with Nurse Callback
After 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.
6- 2
PROGRAM
MedSurg
Mode
Rate
VTBI
Duration
Piggyback
200
100
00:30
mL/hr
mL
hr : min
Enter value using keypad
Program
Options
Drug
List
Cancel/
Back
430-95597-001 (Rev. 06/05)
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Plum A+® Infusion Systems
The default screen for Program
Options appears.
Program Options
Delay Start for 00:00 hr:min
Use
to highlight “Callback”
field and select [Yes/No], if
necessary to obtain “Yes”, then
select
[Enter].
Callback
Yes
Change using Yes/No
Yes/No
Enter
Cancel/
Back
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.
Press
to confirm
program setting and return to
Main Delivery screen.
PROGRAM
MedSurg
Mode
Piggyback
200
100
00:30
Rate
VTBI
Duration
mL/hr
mL
hr : min
Enter value using keypad
Program
Options
At end of Piggyback delivery,
with Callback enabled for the
line, Callback alarm is issued.
Drug
List
A PUMPING STOPPED B
5.5
Rate
mL/hr
200
0.3
Vol Inf
mL
100
Press
Cancel/
Back
to clear alarm.
MedSurg
N104 Callback Line B
430-95597-001 (Rev. 06/05)
Options/
Vol Inf
6- 3
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For Systems With Hospira MedNetTM Software
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.
PROGRAM
Attention: Line A is stopped or
delayed. Line B in piggyback mode
gives no KVO or alarm at dose end.
Continue anyway?
Yes
No
Select [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.
If Line A is infusing, select
[A] or [B] to access
program screen of line to be
placed on Standby.
Select
[Program Options].
Select
[Standby].
6- 4
Program Dose Calc
DOPamine
Conc
Weight
Dose
VTBI
Duration
Rate
400 mg
70 kg
10
250
09: 30
26.3
250 mL
mcg/kg/min
mL
hr : min
mL/hr
Enter value using keypad
Program
Options
Cancel/
Back
430-95597-001 (Rev. 06/05)
sec06.fm Page 5 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
Confirm 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.
Press
to remove
Standby and start the infusion.
Program Dose Calc
MedSurg
Delivery will be:
Dose
Drug
Conc
Weight
Rate
10 mcg/kg/min
DOPamine
400 mg 250 mL
70 kg
26.3 mL/hr
Put delivery in Standby?
Yes
No
A STANDBY STOPPED B
DOPamine
Dose Calculation
26.3
Rate
mL/hr
Vol Inf
mL
10
mcg/kg/min
MedSurg
430-95597-001 (Rev. 06/05)
Options/
Vol Inf
6- 5
sec06.fm Page 6 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
Select Option- Volumes Infused,
Pressure/Post Infusion Rate, and
Lighting/Contrast
To select Options Screen,
select [Options/Vol Inf].
A PUMPING STOPPED B
DOPamine
Dose Calculation
5.5
Rate
mL/hr
393
Vol Inf
mL
MedSurg
Options/
Vol Inf
OPTIONS
Use
Select [Choose] to select the
Volumes Infused screen.
to highlight an option.
Release 13.x - xx/xx/xx
Volumes Infused
Pressure/Post Infusion Rate
Lighting/Contrast
Any Hospital, USA
MM/DD/YY XXYYZZ-123456
Select, then Choose
Change
CCA
This will bring up the Volumes
Infused screen which defaults
to Total Volume.
Use
to scroll to Line A or B.
Choose
Back
OPTIONS
DOPamine
Dose Calculation
Volumes Infused
Line A
Line B
Total Vol
0 mL
0 mL
393 mL
Press CLEAR to clear value
Enter
6- 6
Cancel/
Back
430-95597-001 (Rev. 06/05)
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Plum A+® Infusion Systems
To reset Line A (or B) Volume
OPTIONS
DOPamine
Dose Calculation
Infused,use
and press
to highlight
To restore the cleared quantity,
select [Cancel/Back].
To reset all volumes, use
to
highlight Total Vol, then press
To restore all quantities, select
[Cancel/Back] softkey.
430-95597-001 (Rev. 06/05)
Volumes Infused
Line A
Line B
Total Vol
0 mL
0 mL
393 mL
Press CLEAR to clear value
Enter
Cancel/
Back
OPTIONS
DOPamine
Dose Calculation
Volumes Infused
Line A
Line B
Total Vol
0 mL
0 mL
0 mL
Press CLEAR to clear value
Enter
Cancel/
Back
6- 7
sec06.fm Page 8 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
When 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.
OPTIONS
Release 13.x - xx/xx/xx
Volumes Infused
Pressure/Post Infusion Rate
Lighting/Contrast
11
Use
to highlight the
Pressure/Post Infusion Rate
option.
12 Select
Any Hospital, USA
MM/DD/YY XXYYZZ-123456
Select, then Choose
Change
CCA
Back
Choose
[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].
OPTIONS
DOPamine
Dose Calculation
Pressure/Post Infusion Rate
Continue Rate
KVO
Distal Pressure Limit
6 psi
Distal Pressure
0 psi
Change using KVO/Rate
KVO/
Rate
Enter
Cancel/
Back
• 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,
6- 8
430-95597-001 (Rev. 06/05)
sec06.fm Page 9 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
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.
OPTIONS
Release 13.x - xx/xx/xx
Volumes Infused
Pressure/Post Infusion Rate
Lighting/Contrast
18 Use
to highlight Lighting/
Contrast Option.
19 Select
Any Hospital, USA
MM/DD/YY XXYYZZ-123456
Select, then Choose
Change
CCA
Choose
Back
[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.
OPTIONS
Lighting/Contrast
Backlight Intensity
Display Contrast
Use Inc/Decrease Settings
Decrease Increase
Setting Setting
Enter
Cancel/
Back
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.
430-95597-001 (Rev. 06/05)
6- 9
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For Systems With Hospira MedNetTM Software
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)
1st Action
enter RATE
enter VTBI
enter RATE
2nd Action
enter VTBI
enter DURATION
enter DURATION
[AUTOCALC]
[DURATION]
[RATE]
[VTBI]
WHILE RUNNING (TITRATION)
Changing two parameters after startup of the infusion will allow
for the re-calculation of the third parameter.
6- 10
430-95597-001 (Rev. 06/05)
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Plum A+® Infusion Systems
NOTE: VTBI will not be re-calculated if the Rate and Duration
are changed. VTBI must be cleared and then the new VTBI reentered. The new VTBI will automatically calculate a new Rate.
1st Action
change RATE
change RATE
change VTBI
change DURATION
change VTBI
change RATE
2nd Action
keep VTBI
change VTBI
keep RATE
keep VTBI
change DURATION
change DURATION
[AUTOCALC]
[DURATION]
[DURATION]
[DURATION]
[RATE]
[RATE]
Recalculates [RATE]
based on previous
VTBI and new
DURATION
AT KVO
Audible KVO alarm will sound, clinician will need to re-set the
appropriate settings.
1st Action
enter VTBI
enter DURATION
change RATE
enter DURATION
enter VTBI
change RATE
2nd Action
keep RATE
keep RATE
enter VTBI
enter VTBI
enter DURATION
change DURATION
430-95597-001 (Rev. 06/05)
[AUTOCALC]
[DURATION]
[VTBI]
[DURATION]
[DURATION]
[RATE]
[VTBI]
6- 11
sec06.fm Page 12 Wednesday, June 8, 2005 8:35 AM
For Systems With Hospira MedNetTM Software
Changing CCA While Infusing
Select [Options/Vol Inf] from
the Main Delivery screen.
A PUMPING STOPPED B
DOPamine
Dose Calculation
26.3
Rate
mL/hr
0.2
10
Vol Inf
mL
Dose
mcg/kg/min
ER
Options/
Vol Inf
OPTIONS
Select
[Change CCA].
Release 13.x - xx/xx/xx
Volumes Infused
Pressure/Post Infusion Rate
Lighting/Contrast
Any Hospital, USA
MM/DD/YY XXYYZZ-123456
Select, then Choose
Change
CCA
Press
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.
6- 12
Choose
Back
Area Selection
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
Select, then Enter
Enter
430-95597-001 (Rev. 06/05)
sec06.fm Page 13 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
The message bar informs the
user of the changed CCA.
A PUMPING STOPPED B
DOPamine
Dose Calculation
26.3
Rate
mL/hr
0.3
10
Vol Inf
mL
Dose
mcg/kg/min
ICU
Line A using prior 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
Options/
Vol Inf
PROGRAM
Press Back,
then press STOP key.
This program was started under a
previous CCA.
key.
Back
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 autoprogramming will be rejected and the order will need to be rechecked.
430-95597-001 (Rev. 06/05)
6- 13
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For Systems With Hospira MedNetTM Software
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.
Power On the pump as
described in Section 4.2.
A STOPPED STOPPED B
After the CCA has been
selected, the pump is ready for
auto-programming.
Rate
mL/hr
Vol Inf
mL
MedSurg
Back
Prime
Options/
Vol Inf
NOTE: The Auto-Program feature
must begin on the Main Delivery
Screen (with the desired line STOPPED).
Following your hospital’s procedure, activate your
BPOC Unit.
Scan the patient wristband to pull up the patient’s
task list on the BPOC Unit.
Scan the IV bag. IV Task and documentation with
Order Details is displayed on the BPOC.
Scan 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
6- 14
430-95597-001 (Rev. 06/05)
sec06.fm Page 15 Wednesday, June 8, 2005 8:35 AM
Plum A+® Infusion Systems
displayed on the pump and “No Drug Selected” will be seen on
the subsequent Confirmation and Main Delivery Screens.
Programming screen is autofilled.
Verify ALL parameters. If
changes are desired, the
infusion parameters can be
manually changed using the
keypad on the pump.
Press
Program Dose Calc
Conc
Weight
400 mg
70 kg
Dose
VTBI
Duration
Rate
10
250
09: 30
26.3
250 mL
mcg/kg/min
mL
hr : min
mL/hr
Enter value using keypad
Program
Options
Cancel/
Back
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
DOPamine
Program Dose Calc
MedSurg
Delivery will be:
Dose
Drug
Conc
Weight
Rate
10 mcg/kg/min
DOPamine
400 mg 250 mL
70 kg
26.3 mL/hr
Confirm Program?
Yes
No
Complete the transaction on
the BPOC Unit or document
the process per hospital
procedure.
430-95597-001 (Rev. 06/05)
6- 15
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For Systems With Hospira MedNetTM Software
NOTES
6- 16
430-95597-001 (Rev. 06/05)
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Plum A+® Infusion Systems
SECTION 7
Alarms and Troubleshooting
Warning Messages
CORRECTIVE
ACTION
MESSAGE
POSSIBLE CAUSE
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.
Replace battery.
The battery voltage is
less than the depleted
threshold and charge
level is higher than the
low charge threshold.
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.
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
430-95597-001 (Rev. 06/05)
7- 1
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For Systems With Hospira MedNetTM Software
problem. All such messages will be cleared or replaced by
another message upon the next valid input key press.
Response to Alarms
1 Disable Lockout by confirming back switch is in the down
position or press the decimal key followed by 9, 6, & 3 on the
keypad.
2 Press [SILENCE] key.
3 Identify/Observe Alarm condition.
4 Correct Alarm condition (see following tables).
5 Press [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.
7- 2
430-95597-001 (Rev. 06/05)
sec07.fm Page 3 Wednesday, June 15, 2005 8:05 AM
Plum A+® Infusion Systems
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.
Begin programming or
turn infuser OFF.
Standby time has
elapsed.
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.
430-95597-001 (Rev. 06/05)
7- 3
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For Systems With Hospira MedNetTM Software
CODE
MESSAGE
POSSIBLE CAUSE
CORRECTIVE
ACTION
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.
7- 4
430-95597-001 (Rev. 06/05)
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Plum A+® Infusion Systems
Line A Alarms
CORRECTIVE
ACTION
CODE
MESSAGE
POSSIBLE CAUSE
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 nondelivery (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].
430-95597-001 (Rev. 06/05)
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For Systems With Hospira MedNetTM Software
CORRECTIVE
ACTION
CODE
MESSAGE
POSSIBLE CAUSE
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.
7- 6
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Plum A+® Infusion Systems
Line B Alarms
CORRECTIVE
ACTION
CODE
MESSAGE
POSSIBLE CAUSE
N104
Callback Line
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 nondelivery (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].
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For Systems With Hospira MedNetTM Software
CORRECTIVE
ACTION
CODE
MESSAGE
POSSIBLE CAUSE
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.
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.
N231
Prox Air B,
Backprime
Occlusion caused by
empty container,
backprime into line B
tubing or syringe.
Malfunctions
CODE
MESSAGE
POSSIBLE CAUSE
E300 or
higher
Malfunction
A failure has occurred
in the infuser’s internal
systems.
7- 8
CORRECTIVE
ACTION
Record Malfunction
error code. Pump must
be turned OFF to clear
malfunction. If alarm
malfunction repeats,
replace infuser.
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Plum A+® Infusion Systems
General Messages
CORRECTIVE
ACTION
MESSAGE
POSSIBLE CAUSE
Cannot Standby in
Piggyback
Selection of
[Standby] when
Line B is in Piggyback
Mode.
Cannot Standby with
Delay
Selection of
[Standby] when
Delay time was entered
for program.
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.
430-95597-001 (Rev. 06/05)
Select [Cancel/
Back].
[Cancel/Back].
7- 9
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For Systems With Hospira MedNetTM Software
CORRECTIVE
ACTION
MESSAGE
POSSIBLE CAUSE
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 threedigit whole number
already input.
Press [CLEAR] Hardkey.
7- 10
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Plum A+® Infusion Systems
CORRECTIVE
ACTION
MESSAGE
POSSIBLE CAUSE
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.
430-95597-001 (Rev. 06/05)
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For Systems With Hospira MedNetTM Software
CORRECTIVE
ACTION
MESSAGE
POSSIBLE CAUSE
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.
7- 12
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Plum A+® Infusion Systems
CORRECTIVE
ACTION
MESSAGE
POSSIBLE CAUSE
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 weightbased 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.
The Software will display
‘---‘, and the user must
press the [CLEAR] hard
key and input a valid
value.
Attempt to input a Dose
greater than the upper
Hard Limit.
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For Systems With Hospira MedNetTM Software
CORRECTIVE
ACTION
MESSAGE
POSSIBLE CAUSE
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.
The Software will display
‘---‘, and the user must
press the [CLEAR] hard
key and input a valid
value.
Attempt to input a Rate
greater than the upper
Hard Limit or CCA
Maximum Volumetric
Rate n.
7- 14
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Plum A+® Infusion Systems
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.
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For Systems With Hospira MedNetTM Software
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
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.
8- 2
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Plum A+® Infusion Systems
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 P LUM 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.
D O 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 . T HE 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 . U SE 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.
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For Systems With Hospira MedNetTM Software
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.
8- 4
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Plum A+® Infusion Systems
SECTION 9
Specifications
NOTE: Specification information applies to both systems (Plum
A+ & Plum A+3) unless otherwise noted.
Physical
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.
Electrical
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.
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For Systems With Hospira MedNetTM Software
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:
NURSE-CALL alarm is factory set for NormallyOpen (NO)
Contact the Technical Services Center to make an
internal adjustment to change the device from
Normally-Open (NO) to Normally Closed (NC)
system.
Circuitry
Ratings:
Voltage-30 VDC Max
Current- 0.25 Amps Max
Contact Rating- 3 Watts Max
Wireless Lan Device
9- 2
Standards:
IEEE802.11b
Radio Technology:
IEEE802.11b Direct Sequence
Spread Spectrum
Data Transfer
Rate:
11, 5.5, 2, 1 Mbps (auto sense)
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Plum A+® Infusion Systems
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
VTBI Range:
0.1 to 99.9 mL (in 0.1 mL increments)
100 to 9999 mL (in 1 mL increments)
Environment
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)
Delivery Rate Range
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:
0.5 mL/hr minimum for each line
500 mL/hr cumulative (A+B) maximum
PlumSet:
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For Systems With Hospira MedNetTM Software
KVO:
1.0 mL/hr or the last primary delivery rate,
whichever is less
Air-in-Line Alarm
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
Occlusion Alarm and Limits
9- 4
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 userselectable. Factory default setting is 6 psig.
Maximum Infusion
Pressure:
20 psig
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Plum A+® Infusion Systems
Time To Detect Downstream
Occlusions
RATE
OCCLUSION
ALARM
PRESSURE
SETTING
TYPICAL TIME
TO ALARM
(MACRO)
MAXIMUM TIME
TO ALARM
(MACRO)
25 mL/hr
6 psig
38 seconds
47 seconds
15 psig
98 seconds
106 seconds
6 psig
17 minutes
22 minutes
15 psig
45 minutes
49 minutes
1 mL/hr
* Baseline backpressure is 0 psig *
Bolus Volume Released After
Downstream Occlusions Are
Corrected
RATE
OCCLUSION
ALARM
PRESSURE
SETTING
TYPICAL
BOLUS
VOLUME
(MACRO)
MAXIMUM BOLUS
VOLUME (MACRO)
25 mL/hr
6 psig
0.23 mL
0.28 mL
15 psig
0.55 mL
0.63 mL
6 psig
0.24 mL
0.30 mL
15 psig
0.59 mL
0.70 mL
1 mL/hr
* Baseline backpressure is 0 psig *
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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
9- 6
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Plum A+® Infusion Systems
suspended air in the solution, and using an Hospira Plum enteral
set.
ENTERAL/HIGH VISCOSITY FLUIDS
Dextrose 20% to 50% concentration
Isomil Powder
Similac Powder
Ensure Plus HN
Twocal HN
Jevity
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, SubClause 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
430-95597-001 (Rev. 06/05)
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For Systems With Hospira MedNetTM Software
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.
25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
PERCENT ERROR (%)
15.0%
10.0%
Max Positive Error over 5
Minute Interval = +2.8%
5.0%
0.0%
C Max Negative Error over 5
Minute Interval = -0.5%
-5.0%
-10.0%
Average Delivery
Rate Error = +1.6%
-15.0%
10
15
20
Observation Interval (minutes)
Max
Min
25
30
Mean
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.
9- 8
430-95597-001 (Rev. 06/05)
sec09.fm Page 9 Wednesday, June 8, 2005 8:39 AM
Plum A+® Infusion Systems
25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Typical)
50
45
Rate (ml/hr)
40
35
30
25
20
15
10
-5
-10
10
20
30
40
50
60
70
80
90
100
110
120
Time (minutes)
Actual Rate
Programmed Rate
25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Typical)
Percent Error (%)
15.0%
10.0%
5.0%
0.0%
-5.0%
-10.0%
-15.0%
10
15
20
25
30
Observation Interval (minutes)
Max
Min
Mean
25 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Composite of 3 Pumps)
Percent Error (%)
15.0%
10.0%
5.0%
0.0%
-5.0%
-10.0%
-15.0%
10
15
20
25
30
Observation Interval (minutes)
Max
430-95597-001 (Rev. 06/05)
Min
Mean
9- 9
sec09.fm Page 10 Wednesday, June 8, 2005 8:39 AM
For Systems With Hospira MedNetTM Software
25 ML/HR, 0 mm Hg DELIVERY HEAD , 96 HOURS
(Typical)
50
45
Rate (ml/hr)
40
35
30
25
20
15
10
10
20
30
40
50
Time (minutes)
Actual Rate
Programmed Rate
25 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Typical)
Percent Error (%)
15.0%
10.0%
5.0%
0.0%
-5.0%
-10.0%
-15.0%
10
15
20
25
30
Observation Interval (minutes)
Max
Min
Mean
25 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Composite of 3 Pumps)
Percent Error (%)
15.0%
10.0%
5.0%
0.0%
-5.0%
-10.0%
-15.0%
10
15
20
25
30
Observation Interval (minutes)
Max
9- 10
Min
Mean
430-95597-001 (Rev. 06/05)
sec09.fm Page 11 Wednesday, June 8, 2005 8:39 AM
Plum A+® Infusion Systems
Rate (ml/hr)
1 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Typical)
2.0
1.8
1.6
1.4
1.2
1.0
0.8
0.6
0.4
0.2
0.0
-0.2
-0.4
10
20
30
40
50
60
70
80
90
100
110
120
Time (minutes)
Actual Rate
Programmed Rate
1 ML/HR, 0 mm Hg DELIVERY HEAD, START UP
(Typical)
Percent Error (%)
15.0%
10.0%
5.0%
0.0%
-5.0%
-10.0%
-15.0%
10
15
20
25
30
Observation Interval (minutes)
Max
Min
Mean
1 ML/HR, 0 mm Hg DELIVERY HEAD, STARTUP
(Composite of 3 Pumps)
Percent Error (%)
15.0%
10.0%
5.0%
0.0%
-5.0%
-10.0%
-15.0%
10
15
20
25
30
Observation Interval (minutes)
Max
430-95597-001 (Rev. 06/05)
Min
Mean
9- 11
sec09.fm Page 12 Wednesday, June 8, 2005 8:39 AM
For Systems With Hospira MedNetTM Software
Rate (ml/hr)
1 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Typical)
2.0
1.8
1.6
1.4
1.2
1.0
0.8
0.6
0.4
0.2
0.0
10
20
30
40
50
Time (minutes)
Actual Rate
Programmed Rate
1 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Typical)
Percent Error (%)
15.0%
10.0%
5.0%
0.0%
-5.0%
-10.0%
-15.0%
10
15
20
25
30
Observation Interval (minutes)
Max
Min
Mean
1 ML/HR, 0 mm Hg DELIVERY HEAD, 96 HOURS
(Composite of 3 Pumps)
Percent Error (%)
15.0%
10.0%
5.0%
0.0%
-5.0%
-10.0%
-15.0%
10
15
20
25
30
Observation Interval (minutes)
Max
9- 12
Min
Mean
430-95597-001 (Rev. 06/05)
sec10.fm Page 1 Wednesday, June 8, 2005 8:41 AM
Plum A+® Infusion Systems
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 ADDVantage
• Part Fill Parenteral glass containers
• Small Volume Parenterals
• Syringes (may require special adapters)
• Top Filled Enteral bags
• Ready to hang Enteral solution containers
430-95597-001 (Rev. 06/05)
10- 1
sec10.fm Page 2 Wednesday, June 8, 2005 8:41 AM
For Systems With Hospira MedNetTM Software
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.
10- 2
430-95597-001 (Rev. 06/05)
sec11.fm Page 1 Wednesday, June 8, 2005 8:41 AM
Plum A+® Infusion Systems
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
430-95597-001 (Rev. 06/05)
11- 1
sec11.fm Page 2 Wednesday, June 8, 2005 8:41 AM
For Systems With Hospira MedNetTM Software
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.
11- 2
430-95597-001 (Rev. 06/05)
sec12.fm Page 1 Wednesday, June 8, 2005 8:45 AM
Plum A+® Infusion Systems
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
No Drug Selected
mL/hr
Abciximab
mcg/kg/min
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
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
Carboplatin
mL/hr
430-95597-001 (Rev. 06/05)
DEFAULT
CONCENTRATION
N/A
mg/mL
N/A
mg/mL
N/A
12- 1
sec12.fm Page 2 Wednesday, June 8, 2005 8:45 AM
For Systems With Hospira MedNetTM Software
DRUG NAME
DEFAULT DOSE
RATE
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
DOPamine
mcg/kg/min
DOXOrubicin
mL/hr
Epinephrine
mcg/min
mg/mL
Epoprostenol
ng/kg/min
mg/mL
Eptifibatide
mcg/kg/min
mg/mL
Erythromycin
mL/hr
Esmolol
mcg/kg/min
Etoposide
mL/hr
N/A
Famotidine
mL/hr
N/A
12- 2
DEFAULT
CONCENTRATION
N/A
mg/mL
N/A
N/A
mg/mL
430-95597-001 (Rev. 06/05)
sec12.fm Page 3 Wednesday, June 8, 2005 8:45 AM
Plum A+® Infusion Systems
DRUG NAME
DEFAULT DOSE
RATE
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
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
Lorazepam
mL/hr
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
430-95597-001 (Rev. 06/05)
DEFAULT
CONCENTRATION
units/mL
grams/mL
N/A
N/A
12- 3
sec12.fm Page 4 Wednesday, June 8, 2005 8:45 AM
For Systems With Hospira MedNetTM Software
DRUG NAME
DEFAULT DOSE
RATE
DEFAULT
CONCENTRATION
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
Paclitaxel
mL/hr
Pantoprazole
mg/min
Penicillin
mL/hr
N/A
Pentobarbital
mL/hr
N/A
Phenylephrine
mcg/min
Piperacillin
mL/hr
Potassium
mEq/hr
mEq/mL
Procainamide
mg/min
grams/mL
Propofol
mcg/kg/min
mg/mL
Ranitidine
mL/hr
STREPTOkinase
units/hr
units/mL
Theophylline
mg/kg/hr
mg/mL
Ticar-clavulanate
mL/hr
Tirofiban
mcg/kg/min
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
12- 4
units/mL
N/A
mg/mL
mg/mL
N/A
N/A
N/A
mg/mL
430-95597-001 (Rev. 06/05)
back.fm Page 1 Wednesday, June 8, 2005 8:49 AM
Plum A+® Infusion Systems
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.
430-95597-001 (Rev. 06/05)
back.fm Page 2 Wednesday, June 8, 2005 8:49 AM
For Systems With Hospira MedNetTM Software
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.
Equipment providing adequate degree of protection against
electrical shock and suitable for application to patient
Type CF
IPX1
Drip Proof
Medical Equipment
Class 1
®
US
Protected against dripping water
Mains supply equipment using protective earth
UL 60601-1
CSA 601.1
MCN 160992
430-95597-001 (Rev. 06/05)

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