ICU Medical 20709 LifeCare PCA Infusion System with Hospira MedNet User Manual FlagstaffBook

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System
Operating
Manual ®
For Use With List 20709
430-04685-001 (Rev. 7/05)
Change History
Title
Description of Change
Pages Affected
430-04685-001
(Rev. 6/05)
This draft was reviewed by Ken
Hsu, JoAnn Fujii, May 20, 2005.
All
430-04685-001
(Rev. 7/05)
•
•
The tables in Chapter 10 were revised.
The IEC 60601-1 reference added.
•
•
Print Event History
Log revised.
UpdatingDrugLibrary
(Sect.6-3) added.
430-04685-001 (Rev. 7/05)
10-2 and 10-3
1-22
B-2
6-9
i
TABLE OF CONTENTS
Page
SECTION 1
DESCRIPTIVE INFORMATION . . . . . . . . . . . . . . . . . . 1-1
1.1 PRODUCT DESCRIPTION . . . . . . . . . . . . . . . . . . . 1-2
1.2 INDICATIONS FOR USE . . . . . . . . . . . . . . . . . . . . . 1-3
patient selection . . . . . . . . . . . . . . . . . . . . . . . . 1-3
user qualifications . . . . . . . . . . . . . . . . . . . . . . . 1-3
1.3 CONTRAINDICATIONS FOR USE . . . . . . . . . . . . . . 1-4
1.4 CONVENTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
warnings, cautions, and notes . . . . . . . . . . . . . 1-6
1.5 DEFINITIONS (GENERAL AND CLINICAL) . . . . . . . . 1-7
1.6 PRECAUTIONS AND WARNINGS . . . . . . . . . . . . . 1-12
unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
general . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
programming . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
loading dose/dose limits . . . . . . . . . . . . . . . . . 1-14
operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-15
maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . 1-16
alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-17
epidural administration . . . . . . . . . . . . . . . . . . 1-17
battery operation . . . . . . . . . . . . . . . . . . . . . . . 1-18
sets and accessories . . . . . . . . . . . . . . . . . . . 1-19
electrical artifacts . . . . . . . . . . . . . . . . . . . . . . 1-20
interconnecting of medical equipment . . . . . . 1-22
1.7 GUIDANCE ON EMC COMPATIBILITY . . . . . . . . . 1-22
1.8 FCC INFORMATION . . . . . . . . . . . . . . . . . . . . . . 1-23
us fcc statement . . . . . . . . . . . . . . . . . . . . . . . 1-23
fcc interference statement . . . . . . . . . . . . . . . . 1-23
radio frequency exposure statement . . . . . . . . 1-24
SECTION 2
PRINCIPLES OF OPERATION. . . . . . . . . . . . . . . . . . .
2.1 FEATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
drug recognition . . . . . . . . . . . . . . . . . . . . . . . .
modes of delivery . . . . . . . . . . . . . . . . . . . . . . .
430-04685-001 (Rev. 7/05)
2-1
2-3
2-3
2-3
ii
Table of Contents
programming . . . . . . . . . . . . . . . . . . . . . . . . . . .
battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
biomedical . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
other features . . . . . . . . . . . . . . . . . . . . . . . . . .
2.2 ADMINISTRATION EQUIPMENT . . . . . . . . . . . . . . .
2-4
2-4
2-4
2-4
2-4
2-5
SECTION 3
EQUIPMENT DESCRIPTION . . . . . . . . . . . . . . . . . . . .
3.1 FRONT PANEL . . . . . . . . . . . . . . . . . . . . . . . . . .
3.2 VIAL CRADLE ASSEMBLE . . . . . . . . . . . . . . . . . . .
3.3 REAR PANEL . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.4 OPERATING BUTTONS & KEYS . . . . . . . . . . . . . . .
3-1
3-2
3-3
3-4
3-5
SECTION 4
BASIC OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
4.1 GUIDED START UP FOR PREFILLED VIALS . . . . . . 4-2
4.2 GUIDED START UP FOR CUSTOM VIALS . . . . . . . . 4-8
4.3 GETTING STARTED . . . . . . . . . . . . . . . . . . . . . . 4-15
unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
connecting the patient pendant . . . . . . . . . . . . 4-16
system self-tests . . . . . . . . . . . . . . . . . . . . . . . 4-16
data retention . . . . . . . . . . . . . . . . . . . . . . . . . 4-17
4.4 OPERATING THE PCA INFUSER . . . . . . . . . . . . . 4-18
intravenous pca infuser administration . . . . . . 4-18
epidural pca infuser administration . . . . . . . . . 4-19
4.5 LOADING A VIAL . . . . . . . . . . . . . . . . . . . . . . . . 4-21
4.6 ADJUSTING SETTINGS . . . . . . . . . . . . . . . . . . . . 4-23
changing alarm volume . . . . . . . . . . . . . . . . . . 4-24
changing contrast of main display . . . . . . . . . . 4-25
changing or confirming time and date . . . . . . . 4-26
4.7 NEW PATIENT . . . . . . . . . . . . . . . . . . . . . . . . . . 4-29
4.8 PURGING THE SYSTEM . . . . . . . . . . . . . . . . . . . 4-30
4.9 LOADING DOSE . . . . . . . . . . . . . . . . . . . . . . . . . 4-32
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
iii
SECTION 5
SELECT MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
5.1 MODES OF DELIVERY . . . . . . . . . . . . . . . . . . . . . 5-2
protocols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
pca only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
continuous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
pca+continuous . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.2 PCA ONLY MODE . . . . . . . . . . . . . . . . . . . . . . . 5-4
5.3 CONTINUOUS MODE . . . . . . . . . . . . . . . . . . . . . . 5-9
5.4 PCA+CONTINUOUS MODE . . . . . . . . . . . . . . . . 5-13
5.5 PROTOCOLS . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-18
5.6 DOSE LIMIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-21
programming the 4 (or 1) hour dose limit . . . . 5-22
programming a dose limit . . . . . . . . . . . . . . . . 5-22
programming no dose limit . . . . . . . . . . . . . . . 5-24
clearing or changing a dose limit . . . . . . . . . . . 5-25
5.7 CLEARING THE HISTORY AND/OR RX SETTINGS . 5-28
5.8 USING REVIEW/CONFIRMATION SCREENS . . . . . 5-29
5.9 CHANGING SETTINGS DURING SETUP . . . . . . . . 5-30
stopping infusion . . . . . . . . . . . . . . . . . . . . . . . 5-30
turning the infuser off . . . . . . . . . . . . . . . . . . . 5-30
5.10 MAKING CHANGES AFTER SETUP . . . . . . . . . . 5-31
reviewing the current settings . . . . . . . . . . . . . 5-31
changing settings . . . . . . . . . . . . . . . . . . . . . . 5-31
changing the cca . . . . . . . . . . . . . . . . . . . . . . . 5-33
5.11 CLEARING SHIFT TOTALS . . . . . . . . . . . . . . . . 5-34
5.12 CHANGING A VIAL . . . . . . . . . . . . . . . . . . . . . . 5-35
5.13 ADDING A SUPPLEMENTAL LOADING DOSE . . . . 5-37
5.14 CHECKING HISTORY & SETTINGS . . . . . . . . . . . 5-38
5.15 HISTORY AND EVENT LOG . . . . . . . . . . . . . . . . 5-40
430-04685-001 (Rev. 7/05)
iv
Table of Contents
SECTION 6
ADVANCED PROGRAMMING
WITH HOSPIRA MEDNETTM SOFTWARE . . . . . . . . . 6-1
6.1 GUIDED START-UP USING
HOSPIRA MEDNET TM SOFTWARE . . . . . . . . . . . 6-2
6.2 SELECT CCA . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
6.3 UPDATING THE DRUG LIBRARY . . . . . . . . . . . . . . 6-9
6.4 SOFT LIMIT OVERRIDE . . . . . . . . . . . . . . . . . . . 6-11
6.5 HARD LIMIT VIOLATION . . . . . . . . . . . . . . . . . . . 6-11
6.6 IMPORTANT SYMBOLS . . . . . . . . . . . . . . . . . . . . 6-12
no rule sets . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
soft limit override . . . . . . . . . . . . . . . . . . . . . . . 6-12
wireless . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-13
6.7 AUTOPROGRAMMING . . . . . . . . . . . . . . . . . . . . . 6-14
SECTION 7
TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . .
7.1 STATUS MESSAGES . . . . . . . . . . . . . . . . . . . . . .
7.2 INFUSER ALARM SYSTEM . . . . . . . . . . . . . . . . . .
7.3 SILENCING AN ALARM . . . . . . . . . . . . . . . . . . . . .
7.4 ALARMS AND MESSAGES . . . . . . . . . . . . . . . . . . .
7.5 INFUSER STALLING . . . . . . . . . . . . . . . . . . . . . . .
7-1
7-2
7-4
7-5
7-6
7-9
SECTION 8
MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.1 INFUSER STORAGE . . . . . . . . . . . . . . . . . . . . . . .
8.2 CLEANING AND SANITIZING . . . . . . . . . . . . . . . . .
8.3 BATTERY MAINTENANCE . . . . . . . . . . . . . . . . . . .
8.4 SERVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8-1
8-2
8-2
8-5
8-6
SECTION 9
SPECIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.1 STORED OCCLUSION VOLUME . . . . . . . . . . . . . . .
9.2 TIME FROM OCCLUSION TO ALARM . . . . . . . . . . .
9.3 DELIVERY RATE ACCURACY . . . . . . . . . . . . . . . .
trumpet curves . . . . . . . . . . . . . . . . . . . . . . . . .
example . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.4 TRUMPET CURVES . . . . . . . . . . . . . . . . . . . . . . .
9-1
9-5
9-5
9-5
9-6
9-6
9-8
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
SECTION 10
PRESCRIPTION DELIVERY LIMITS . . . . . . . . . . . . . 10-1
APPENDIX A
GENERATING BAR CODE LABELS
(HOSPIRA MEDNETTM SOFTWARE ENABLED) . . . . A-1
example of label layout & sample . . . . . . . . . . . a-3
label diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . a-4
APPENDIX B
NETWORK PRINTER SETUP. . . . . . . . . . . . . . . . . . . . B-1
printing event history log . . . . . . . . . . . . . . . . . . b-2
downloading logs to a pc . . . . . . . . . . . . . . . . . . b-3
APPENDIX C
WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
APPENDIX D
CONTACT INFORMATION . . . . . . . . . . . . . . . . . . . . . . D-1
INDEX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I-1
430-04685-001 (Rev. 7/05)
vi
430-04685-001 (Rev. 7/05)
Table of Contents
LifeCare PCA Infusion System
1- 1
Section 1
Descriptive Information
The latest patient controlled analgesia (PCA) offered by Hospira,
LifeCare PCA® Infusion System with Hospira MedNetTM
Software, allows clinicians to administer, or patients to selfadminister analgesia, safely and effectively within clinician
programmed limits.
The PCA Infusion System is used in a wide range of clinical
settings that includes but is not limited to the following:
MEDICAL
LABOR/DELIVERY/POST
PARTUM
BURN UNIT
SURGICAL
OPERATING ROOM
ONCOLOGY
CRITICAL CARE UNITS
POST ANESTHESIA CARE
UNIT (PACU)
PEDIATRICS
430-04685-001 (Rev. 7/05)
1- 2
Descriptive Information
1.1 Product Description
The primary features of the PCA Infuser device are Hospira
MedNetTM Software and the bar code reader that are designed to
enhance patient safety and automate drug identification. Other
enhancements include new programming features and the ability
to read pharmacy-generated bar codes.
The PCA Infusion System includes a microprocessor based
infusion device with keypad controls, patient pendant, a bar
coded drug vial, and a compatible administration set
(see Administration Equipment on page 2- 5 for list of compatible sets).
The infuser has an Ethernet port for computer or printer
connections. The software is field upgradeable. It is intended to
operate on AC power, but an internal battery is provided to
maintain operation for short periods of time when AC power is not
available.
The vials are single-use, bar coded, and prefilled with a
prescription drug by Hospira/Abbott, or the vials are sterile and
empty to be custom-filled by the hospital pharmacy.
The PCA Infuser offers the following modes of delivery:
•
•
•
PCA ONLY
CONTINUOUS ONLY
PCA+CONTINUOUS
The PCA Infuser is able to store frequently used prescriptions
called protocols. The protocols are available for Hospira/Abbott
prefilled vials and custom syringes. The protocols must be set up
by a hospital-designated authority in the Biomed Mode or through
Hospira MedNetTM Software (if enabled).
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
1- 3
1.2 Indications for Use
The LifeCare PCA® Infusion System with Hospira MedNetTM
Software is intended for accurate, volumetric, infusion of
analgesic drugs by continuous or patient demanded intravenous
administration. It is intended for short-term continuous (less than
96 hours) epidural administration of analgesic drugs.
WARNING
For epidural use, administer only anesthetics/
analgesics approved for epidural administration (as
indicated or allowed by the drugs’ FDA approved
labeling). Epidural administration of drugs other than
those indicated for epidural use could result in serious
injury to the patient.
PATIENT SELECTION
Patients selected to use the PCA Infuser should be able to
understand the relationship between pain and pushing the PCA
Infuser patient pendant for pain relief. Patients selected for the
use of the PCA Infuser should be able to physically selfadminister a PCA dose using the patient pendant.
WARNING
Patient Pendant Is only to be pressed by the patient.
USER QUALIFICATIONS
All clinicians should be appropriately trained to program the PCA
Infuser prior to use.The PCA Infuser is intended for use at the
direction or under the supervision of licensed physicians or
certified health care professionals. Clinicians must be trained in
infuser use, administration of parenteral and epidural fluids and
drugs, and the prevention of related IV complications and
precautions to prevent accidental infusion of air. Training should
430-04685-001 (Rev. 7/05)
1- 4
Descriptive Information
emphasize the assessment and monitoring of patients receiving
potent analgesic medications, and the appropriate treatment for
possible adverse reactions.
1.3 Contraindications For Use
The PCA Infuser should not be used for patient controlled
analgesia by patients who do not have the cognitive ability to
understand the use of self-administered pain medication, nor
have the physical capacity to operate the patient pendant, if
required.
Drugs not compatible with silicone rubber or PVC plastic, or
drugs not stable under infusion conditions should not be used
with this system.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
1- 5
1.4 Conventions
This section describes the conventions used throughout this
manual:
Convention
Application
Example
ITALIC
REFERENCE TO A SECTION,
FIGURE, OR TABLE.
(See Front Panel on
page 3-2..)
[BRACKETED ALLCAPS]
KEYS OR BUTTONS ON THE
DEVICE ARE DISPLAYED IN
[ON/OFF]
[BRACKETED ALLCAPS] OR WITH A GRAPHIC.
OR
ITALIC SMALLCAPS>
SOFTKEY OPTIONS
PREVIOUS>
INITIAL CAPS LOWERCASE
SCREEN DISPLAYS AND
DEVICE LABELS (AS
APPROPRIATE)
SELECT DELIVERY MODE
BOLD
EMPHASIS
...SETS ARE SUPPLIED
STERILE AND ARE FOR....
430-04685-001 (Rev. 7/05)
1- 6
Descriptive Information
WARNINGS, CAUTIONS, AND NOTES
Alert Messages used throughout this manual are described
below. Pay particular attention to these messages.
WARNING
A Warning Message contains special safety emphasis
and must be observed at all times. Failure to observe
a Warning Message is potentially life threatening.
CAUTION: A CAUTION usually appears in front of a
procedure or statement. It contains information that
could prevent irreversible product damage or
hardware failure. Failure to observe a CAUTION could
result in serious patient or user injury.
NOTE: A Note highlights information that helps explain a
concept or procedure.
This symbol directs the user to consult accompanying
documents.
NOTE: Figures are rendered as graphic representations
to approximate the actual product. Therefore, figures
may not exactly reflect the product.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
1- 7
1.5 Definitions (General and Clinical)
TERMS
DEFINITIONS
Accuracy
The degree to which the instrument is
capable of delivering the volume of
analgesic drug that is displayed or targeted
to be delivered. Accuracy shall be specified
as the maximum allowable delivery error
from a targeted or displayed value
(see Section 9 Specifications on page 9- 1).
Autoprogramming
Complete or partial program received from
a bar code enabled Point-of-Care System
requiring clinician confirmation prior to
administration.
Battery Fault
A battery that will not accept a full charge.
Bolus
A fixed amount of drug delivered in a short
amount of time. A PCA dose.
Button
A hard key on the front panel or on the
patient pendant.
Clinical Care Area
(CCA)
An area of the hospital that authorized
hospital staff is permited to use specific
drugs. The clinician selects a CCA after
turning on the infuser. The hospital may
create from one to eighteen CCA’s.
Connectivity
Engine (CE)
A component of the infuser that controls
Ethernet and wireless communication
between the network server and infuser.
Continuous
Infusion program characterized by a
constant, fixed-rate dose.
430-04685-001 (Rev. 7/05)
1- 8
Descriptive Information
TERMS
DEFINITIONS
Custom Syringe
or Vial
A bar coded Hospira/Abbott sterile empty
vial that is custom-filled by a pharmacy.
Default Drug
Library (DDL)
A pre-programmed drug library embedded
in the infuser software. The infuser uses
the DDL until a User-defined Drug Library
is installed and supersedes the DDL.
Dose Limit
User-programmable parameter specifying
the maximum amount of drug that can be
administered via PCA dose and continuous
delivery in a programmable rolling time
period consisting of discrete accumulation
periods of 6 minutes.
NOTE: Dose Limit periods are specified as
1 and 4 hours on an infuser with the DDL;
on infusers with a User-defined Drug
Library, the dose limit periods can be
defined as 1, 4, 6, or 12 hours.
Drug Library
Download
The process of moving the User-defined
Drug Library from the network server to the
infuser.
Drug Library
Installation
The process of moving the User-defined
Drug Library from the CE to the infuser.
History
Displays Rx Settings, PCA Summary and the Event
Log.
Hospira MedNetTM
Software
Network based application software used
to upload event logs and download the
user-defined drug library to the infuser.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
TERMS
1- 9
DEFINITIONS
Infusing
The infuser is ON and a DELIVERY SCREEN is
displayed. The infusing mechanism may or
may not be actually infusing at any given
time.
LCD
Liquid Crystal Display
LED
Light Emitting Diode
Loading Dose
An optional dose programmed during
Setup before entering the program.
The loading dose can be administered at
any time by the clinician during the
programmed therapy. For more information
see Loading Dose on page 4- 32.
Lockout Interval
A programmed time interval specifying the
minimum time that must pass after a
loading dose or PCA dose (bolus) is
administered; this time interval specifies
when the next PCA dose can begin
infusing. Bolus requests made during the
lock out interval are denied.
Muting Period
The period between the silencing of an
alarm by pressing the [SILENCE] key and the
resumption of the alarm.
Occlusion
A blockage in the PCA Infuser set that
prevents the infuser from pumping fluid into
the patient. Possible causes of occlusions
are kinked or plugged non-patent IV tubing.
Occlusion
Pressure
The maximum pressure produced as a
result of an occlusion in the PCA Infuser
set.
430-04685-001 (Rev. 7/05)
1- 10
Descriptive Information
TERMS
DEFINITIONS
On
The infuser is turned on using either A/C or
battery power. The infuser is not
necessarily pumping when ON.
Patient Pendant
A hand held pendant connected to the
infuser that allows the patient to request a
PCA dose (bolus) by pressing a button.
PCA Mode
Infusion therapy characterized by bolus
doses administered on patient demand
subject to a lockout interval and, optionally,
a dose limit.
PCA Set
Tubing connecting the PCA Vial to the
patient.
PCA Vial
Vial compatible with the infuser that is
either prefilled with drug by Abbott or
Hospira (standard vial) or filled by the
hospital pharmacy (custom vial).
Prime
Manually removing air from the syringe and
line.
Purge
The process during which the pumping
mechanism is run to remove air from the
PCA set.
Rule Set
A list of upper, lower, soft and/or hard limits
for delivery parameters. Rule sets reside in
the User-Defined Drug Library and are
associated with a specific vial within a
CCA.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
TERMS
1- 11
DEFINITIONS
Rx Settings
The current programmed therapy. Includes
PCA Dose, PCA Lockout Interval,
Continuous Rate, Loading Dose and Dose
Limit amount.
Soft Keys
The five keys to the right of the device’s
LCD display. Each key’s function is
dependent on the screen displayed data.
Stored Protocols
Frequently used therapy settings stored in
the infuser's memory. Stored protocols can
be recalled again, making it unnecessary
for the operator to program the same
therapy settings each time they are
needed. Stored protocols are determined
by the health care facility.
Standard Syringe
A prefilled bar coded drug vial in which the
infuser identifies the drug and
concentration. The drug and concentration
are found in the Drug Library by using the
bar code on the vial. Standard syringes are
also known as prefilled drug vials.
User-defined Drug
Library
A drug library that contains hospital defined
clinical care areas (CCAs) and rule sets
created with Hospira MedNetTM Software.
Warning
An indication to advise the clinician of a
possible dangerous condition.
430-04685-001 (Rev. 7/05)
1- 12
Descriptive Information
1.6 Precautions and Warnings
UNPACKING
Product damage may occur unless proper care is exercised
during the unpacking and setup process. The battery may not be
fully charged upon receipt.
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LifeCare PCA Infusion System
1- 13
GENERAL
This section addresses general safety and operational procedures.
•
Possible explosion hazard exists if used in the presence of
flammable anesthetics.
WARNING
Possible explosion hazard exists if the infuser is used
in the presence of flammable anesthetics.
•
Potent analgesic medications are used with this device. Refer
to drug package insert for precautions and possible adverse
reactions.
•
Refer to analgesic package enclosure for possible incompatibility with fluid or drug being delivered through the IV line.
•
Coupling together of more than one infuser into one patient line
may significantly affect the infusion rate of at least one of the
infusers.
•
Do not use sharp objects such as pens, scissors, or fingernails
to press keys. Such objects may damage keys and cause a
malfunction.
•
Arrange tubing, cords, and cables to minimize the risk of patient
strangulation or entanglement.
•
Failure to use Hospira/Abbott vials and Hospira/Abbott PCA
Infuser sets with the integral anti-siphon valve may cause an
inaccurate dose delivery to the patient.
•
The system must be primed prior to purging. Remove all air
from vial before placing it into the infuser.
•
Always close the slide clamp on the PCA Infuser administration
set before removing or the replacing syringe, and before discontinuing infusion.
•
Patient must be disconnected from the PCA Infuser set before
the purge cycle.
•
Vial and injector must be securely locked into the infuser before
beginning delivery.
430-04685-001 (Rev. 7/05)
1- 14
Descriptive Information
PROGRAMMING
This section presents known infuser programming cautions.
WARNING
For custom syringes, confirm that the displayed
concentration (mg/mL) or (mcg/mL) exactly matches
the concentration value and drug name on the syringe.
If they do not match, under/overdosage may result.
•
In the CONTINUOUS and PCA+CONTINUOUS modes, if a
purge is not performed after a syringe change, the infuser automatically performs a small system compliance step to remove
slack when the [START/PAUSE] key is pressed (with the door
locked). Although, fluid is not normally delivered to the patient
during the compliance step, under some conditions up to 0.3
mL of fluid may be delivered. If 0.3 mL of fluid represents a hazard to the patient, disconnect the set during this operation.
•
At flow rates less than 0.5 mL/hr, there may be a significant
delay before flow is established if the system is not purged.
•
Selections are rounded up to the nearest tenth of a digit for mg/
mL values or to the nearest digit for mcg/mL values.
LOADING DOSE/DOSE LIMITS
This section presents Loading Dose and Loading Dose
information and cautions.
•
•
•
The loading dose is always included in the total dose delivered.
•
Patient Pendant is only to be pressed by the intended patient.
Setting a new dose limit will not erase the previous dose history.
Always monitor the PCA Infuser when delivering medication
with the door open.
WARNING
Patient Pendant is only to be pressed by the patient.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
1- 15
OPERATION
This section presents operational information and cautions.
•
Perform close assessment and monitoring of patients receiving
potent analgesic medication for possible adverse reactions.
•
The PCA Infuser is not intended to be used for frequent, longterm portable operation. Keep plugged into a properly grounded
AC receptacle whenever possible, and reserve battery power
for temporary portable operation and emergency backup. If the
AC receptacle is in doubt, use battery power.
430-04685-001 (Rev. 7/05)
1- 16
Descriptive Information
MAINTENANCE
This section addresses infuser maintenance.
•
Always confirm that the bar code reader window is clean.
Blood, fingerprints, condensation, and other elements may
obstruct the view of the bar code reader. Elements on the window (other than scratches) can be cleaned by using one of the
recommended cleaning solutions. See Section 8 Maintenance on
page 8-1.
•
Window scratches cannot be wiped clean and will probably lead
to window replacement.
•
To avoid mechanical or electrical damage, do not immerse the
infuser in any fluids or cleaning solutions.
•
Some cleaning and sanitizing compounds 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.
•
•
•
Do not sterilize by heat, steam, ETO, or radiation.
•
Hospital policies and guidelines must always be followed to ensure
patient safety and to minimize the potential for patient hazards.
Do not place the PCA Infuser in service if it fails the self-test.
Hospira will be responsible for the safety effect, reliability, and
performance of this device only if: adjustments, modifications,
or repairs are performed by persons authorized by Hospira; the
electrical setup at the point of use complies with appropriate
local requirements; and the device is used in accordance with
the instructions for use identified in this operating manual.
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LifeCare PCA Infusion System
1- 17
ALARMS
This section presents alarm information.
•
If the MALFUNCTION Alarm Message is seen and sounds, press
the [ON/OFF] key to turn the infuser off. Then turn the infuser
back on. If the malfunction alarm repeats, remove the infuser from
service.
EPIDURAL ADMINISTRATION
This section contains epidural administration information.
•
Recommended use of the epidural route is to provide anesthesia or analgesia for periods up to 96 hours.
•
It is strongly recommended that the epidural infusion system be
prominently identified as EPIDURAL. Failure to identify the infusion system as epidural could result in incorrect administration
of intravenous rather than epidural formulations. In addition,
failure to identify the epidural infusion system could result in
confusion with other infusion systems delivering concomitant
intravenous formulations.
•
This device can be used to administer only those anesthetics/
analgesics approved for epidural administration (as indicated or
allowed by the drugs’ FDA approved labeling). Epidural administration of drugs other than those indicated for epidural use
could result in serious injury to the patient.
•
For epidural administration, the use of infuser sets without Ysites, and epidural stickers indicating ongoing epidural administration are recommended.
•
Administration of drugs via the epidural route should be limited
to personnel familiar with associated techniques and patient
management problems. Proper epidural placement of the catheter is essential since catheter migration could result in intravascular or intrathecal administration. Facilities practicing
epidural administration must be equipped with resuscitative
equipment, oxygen, naloxone, and other resuscitative drugs.
Adequate monitoring equipment is recommended for continuous monitoring of the patient during epidural administration.
Patients must be observed frequently for side effects in a fullyequipped and staffed environment for at least 24 hours following completion of drug administration by the epidural route.
430-04685-001 (Rev. 7/05)
1- 18
Descriptive Information
CAUTION: Delayed respiratory depression following
continuous epidural administration of preservativefree morphine sulfate has been reported.
•
The epidural space has 58 openings through which fluid can
exit. Pressure buildup during administration is transient. However, if a large volume of fluid is administered over a short time
period, the pressure will take longer to return to normal. If over
delivery occurs during administration, observe the patient
closely for signs of spinal cord compression (disorientation,
headache, transient neuralgias) and drug overdose.
BATTERY OPERATION
This section documents battery information.
WARNING
Unplug the AC power cord before removing the battery door.
CAUTION: When the PCA Infuser is connected to a
patient, do not operate the PCA Infuser with the
battery removed. Use of a properly maintained and
charged battery helps ensure proper operation.
•
The battery may not be fully charged upon receipt. Connect the
PCA Infuser to AC power for at least 16 hours.
•
Use AC power whenever possible. Connect to AC power during
storage to ensure a fully charged battery during a power outage.
•
Always connect the infuser to a properly grounded receptacle
unless battery operation is desired. If quality earth grounding
source is in doubt, use battery power.
•
If the low-battery alarm sounds, connect to AC power immediately.
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LifeCare PCA Infusion System
1- 19
SETS AND ACCESSORIES
Use Hospira/Abbott LifeCare PCA® Set List 6517 whenever the
infuser is in CONTINUOUS or PCA+CONTINUOUS Modes.
•
When using PCA or PCA+CONTINUOUS Mode, another fluid
line may be attached to the distal backcheck Y site. Use Hospira/Abbott LifeCare PCA® Infuser set, List 3559, 6516, or a
combination of List 6514 and 6517.
•
It is recommended that highly viscous solutions and drugs, colloidal suspensions, and emulsions should not be delivered
through the inline backcheck valve of the PCA Infuser set.
Valve functionality may be compromised by the presence of
residue.
•
Refer to vial and set package inserts for precautions and information on proper handling.
430-04685-001 (Rev. 7/05)
1- 20
Descriptive Information
ELECTRICAL ARTIFACTS
This section addresses electrical artifacts and their remedies.
•
Nonhazardous, low-level electrical potentials are commonly
observed when fluids are administered using infusion devices.
These potentials are well within accepted safety standards, but
may create artifacts on voltage-sensing equipment such as
ECG, EMG, and EEG machines. These artifacts vary at a rate
that is associated with the infusion rate. If the monitoring
machine is not operating correctly or has loose or defective
connections to its sensing electrodes, these artifacts may be
accentuated so as to simulate actual physiological signals. To
determine if the abnormality in the monitoring equipment is
caused by the infusion device instead of some other source in
the environment, set the infusion device so that it is temporarily
not delivering fluid. Disappearance of the abnormality indicates
that it was probably caused by the electronic noise generated
by the infusion device. Proper setup and maintenance of the
monitoring equipment should eliminate the artifact. Refer to the
appropriate monitoring equipment system documentation for
setup and maintenance instructions.
•
The PCA Infusion System is designed to operate normally in
the presence of most encountered electromagnetic interference
(EMI) conditions. In the event of extreme levels of interference,
such as those encountered next to an electrosurgical generator,
it is possible that the normal operation of a sensor or microcomputer might be disrupted. Even in this event, the outcome would
likely be a false alarm or detected system malfunction and
would not result in a hazard to the patient or clinician.
•
This equipment has been tested and found to comply with the
EMC limits for the Medical Device Directive 93/42/EEC (EN
55011 Class B and IEC/EN 60601-1-2:2001). These limits are
designed to provide reasonable protection against harmful
interference in a typical medical installation. The equipment
generates, uses, and can radiate radio frequency energy, and if
not installed and used in accordance with the instructions may
cause harmful interference to other devices in the vicinity. However, there is no guarantee that interference will not occur in a
particular installation. If this equipment causes harmful interference with radio, television, or other devices, which can be
determined by turning the equipment off and on, the user is
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
1- 21
encouraged to try to correct the interference by one or more of
the following measures:
•Reorient or relocate the receiving device
•Increase the separation between the equipment
•Connect the equipment into an outlet on a circuit
different from that to which the other device(s) is
connected
•Consult the manufacturer or field service technician
for help
• Portable and mobile RF communications equipment,
such as cellular telephones, 2-way radios, Bluetooth
devices, microwave ovens, in close proximity to this
device may affect wireless and wired communications
with the infusion pump and/or the operation of the
infusion pump. Special precautions need to be exercised
regarding EMC, These include:
•Use of a shielded Ethernet cable (CAT5 STP or
better) for plugging into the RJ45 Ethernet
connector. Using an unshielded Ethernet cable may
result in increased emissions.
•
Maintaining a minimum separation distance of 2 ½ ft between
the infusion pump system and portable/mobile RF communications equipment
•
List Number 20709 is compliant to IEC/EN 60601-1-2 (2001)
and have been tested and found to comply with EMC limits for
the Medical Device Directive 93/42/EEC (EN 55011 Class B
and IEC/EN 60601-1-2:2001).
For more information see Appendix D Contact Information on page D- 1.
430-04685-001 (Rev. 7/05)
1- 22
Descriptive Information
INTERCONNECTING OF MEDICAL EQUIPMENT
Accessory equipment connected to the analog and digital
interfaces must be certified according to the respective IEC
Standards (e.g. IEC 60950 for data processing equipment and
IEC 60601-1 for Medical Equipment). Furthermore, all
configurations shall comply with the system standard IEC 606011-1. Any person who connects additional equipment to the signal
input or output part configures a medical system, and is therefore
responsible for ensuring that the system complies with the
requirements of the system Standard IEC 60601-1-1. If in doubt,
consult the technical service department or your local
representative.
1.7 Guidance on EMC Compatibility
•
There is a shared responsibility between manufacturers, customers, and users to ensure that medical equipment and systems are designed and operated as intended. Medical electrical
equipment requires precautions regarding electromagnetic
compatibility, and must be installed and used according to the
electromagnetic compatibility information provided in this manual.
•
The device is suitable for use in all establishments, including
domestic establishments. If extended operation during power
mains interruption is needed, use battery power.
•
•
Always manage the electromagnetic environment.
The guidance included in this manual provides information
needed to
•Determine the device’s suitability for use in the
intended environment.
•Manage the electromagnetic environment to permit
the device to perform as intended without disturbing
other equipment.
•
Separate the device from all other electronic equipment. If the
device must be used near other electrical equipment, monitor
the equipment to ensure there is no electromagnetic interference.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
1- 23
•
Devices should not be used adjacent to or stacked with other equipment. If the device must be used adjacent to or stacked with other
equipment, monitor the devices to verify normal operation.
•
USE ONLY components specifically labeled for use with the
PCA Infusion System to help ensure the device operates as
intended.
•
If you suspect external RF sources or other equipment are influencing device operation, contact the Biomedical Engineering
Department for additional guidelines concerning electromagnetic immunity.
•
Contact the Biomedical Engineering Department for additional
information in the technical service manual concerning operating devices near RF sources.
1.8 FCC Information
FCC ID: STJ-20709
US FCC (FEDERAL COMMUNICATIONS
COMMISSION) STATEMENT
•
This device complies with part 15 of the FCC Rules. Operation
is subject to the following two conditions: (1) This device may
not cause interference, and (2) This device must accept any
interference, including that may cause undesired operation of
this device.
FCC INTERFERENCE STATEMENT
•
This equipment has been tested and found to comply with the
limits for a Class B digital device, pursuant to Part 15 of the
FCC Rules. These limits are designed to provide reasonable
protection against harmful interference in a residential installation. This equipment generates, uses, and can radiate radio frequency energy. If not installed and used in accordance with the
instructions, it may cause harmful interference to radio communications. However, there is no guarantee that interference will
not occur in a particular installation. If this equipment does
cause harmful interference to radio or television reception,
430-04685-001 (Rev. 7/05)
1- 24
Descriptive Information
which can be determined by turning the equipment off and on,
the user is encouraged to try and correct the interference by
one or more of the following measures:
•Reorient or relocate the receiving antenna.
•Increase the distance between the equipment and
the receiver.
•Connect the equipment to an outlet on a circuit
different from that to which the receiver is
connected.
•Consult the dealer or an experienced radio/TV
technician for help.
•
Changes or modifications not expressly approved by Hospira
could void the user's authority to operate the equipment.
RADIO FREQUENCY EXPOSURE STATEMENT
•
The Wireless LAN radio device in the Connectivity Engine
peripheral board with this infusion device has been evaluated
and found compliant to the requirements of the following Radio
Frequency exposure standards:
•Federal Communications Commission, OET
Bulletin 65 (Edition 97-01), Supplement C (Edition
01-01), Evaluating Compliance with FCC
Guidelines for Human Exposure to Radio frequency
Electromagnetic Fields, July 2001.
•Industry Canada, Evaluation Procedure for Mobile
and Portable Radio Transmitters with respect to
Health Canada's Safety Code 6 for Exposure of
Humans to Radio Frequency Fields, Radio
Standards Specification RSS-102 Issue 1
(Provisional): September 1999.
•
The radiated output power of this Wireless LAN device is far
below the FCC radio frequency exposure limits. The Wireless
LAN device has been evaluated with one inch separation of
human body from the antenna and found to be compliant with
FCC RF exposure limits.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
2- 1
Section 2
Principles of Operation
The PCA Infuser is a portable infusion pump that allows a patient
to self-administer analgesia within programmed limits as well as
providing continuous infusion of a desired drug. Generally, a
clinician following a physician’s order programs the infuser with
operating parameters, which may include the following:
•
•
•
Drug Dose and Concentration
Loading Dose
Delivery Mode Setting
•
•
•
PCA
CONTINUOUS
PCA+CONTINUOUS
•
•
•
•
PCA Dose
•
Protocols
(Hospital configured programs stored in the infuser)
Lockout Interval
Rate of Continuous Flow
1 or 4 Hour Dose Limit
(factory setting 4-hour when using DDL)
Available operating parameters and their allowed ranges are
determined based on the confirmed vial and the delivery mode
selected. The loading dose and dose limits are optional. This
programmed flexibility allows the physician to tailor an effective
pain management program unique to each patient.
430-04685-001 (Rev. 7/05)
2- 2
Principles of Operation
The PCA Infuser may be programmed to deliver the following:
•
•
•
PCA doses (PCA Mode)
Continuous background infusion
with no PCA doses permitted (CONTINUOUS Mode).
Continuous rate and PCA doses
(PCA+CONTINUOUS Mode).
Analgesic drugs may be delivered through the PCA Infuser
intravenously by any of the three modes cited above. In addition,
Preservative-Free Morphine Sulfate Injection, USP, or other
approved analgesic drugs can be administered epidurally through
a recommended Low Priming Volume PCA Set without a Yadapter. The epidural route may be used to provide analgesia by
any of the three modes of infuser operation.
A lockout Interval controls the frequency that a patient may
receive a PCA dose of analgesic. If the infuser is set in the PCA
or PCA+CONTINUOUS Mode, the patient may request a bolus of
analgesic during therapy by pressing the patient pendant button;
this causes the infuser to release the specified bolus of analgesic
into the IV line. After a Loading or Supplemental Loading Dose
delivery, the patient cannot receive any additional patient
requested boluses until the lockout interval has elapsed,
assuming the dose limit has not been exceeded (see Dose
Limit on page 5- 21).
The alarm system sounds an audible alarm to alert the user of
various conditions or a malfunction (see Alarms and
Messages on page 7- 6).
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
2- 3
2.1 Features
The following features are addressed in this section:
•
•
•
•
•
•
•
Drug Recognition
Modes Of Delivery
Programming
Battery
Biomedical
Options
Other Features
DRUG RECOGNITION
•
Bar code reader identifies drug name and concentration in the
vial (prefilled Hospira/Abbott vials only).
•
Bar code reader identifies the drug name and concentration of
custom-filled vials when appropriate pharmacy-generated bar
codes are used and Hospira MedNetTM Software is enabled.
MODES OF DELIVERY
•
•
•
PCA Only
Continuous
PCA + Continuous
430-04685-001 (Rev. 7/05)
2- 4
Principles of Operation
PROGRAMMING
•
•
Keypad with large numbers, decimal point & icons for easy use
Prompting alphanumeric display
BATTERY
•
•
8 V Battery
Battery for emergency backup and temporary portable
operation (approx. 2.5 hrs.)
BIOMEDICAL
•
•
•
•
•
RJ-45 Ethernet Connector
•
Nurse Call Relay Connector
Software is Field Upgradable
Diagnostic Setup Options
Alarm History
Ability to Store Protocols for Hospira/Abbott Prefilled Vials and
Custom (Sterile Empty) Vials
OPTIONS
•
Infusion History
OTHER FEATURES
•
•
•
•
•
Prefilled and Sterile Empty Vials
•
•
Panel Back Illumination
Wireless Antenna
Autoprogramming
Microprocessor Control
Liquid Crystal Display (LCD) and Light-Emitting Diode (LED)
Display
Security Features
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
2- 5
2.2 Administration Equipment
The following sets may be used in any delivery mode. The
following sets are supplied sterile and are for single use only
administration sets:
List
3559:
PCA Set, Mini-Bore with Integral Anti-Siphon
Valve-SL 170 cm. Approximate priming volume
2.3 mL. For use in PCA mode via intravenous
route.
List
6514:
PCA Extension Set with Backcheck Valve-SL 25
cm. Approximate priming volume 1.1 mL. For use
in conjunction with Set 6517 to convert from
Continuous to PCA Mode via Intravenous route.
List
6516:
PCA Set-Long, Mini-Bore with Integral AntiSiphon Valve-SL 218 cm. Approximate Priming
Volume 2.6 mL. For use in PCA Mode when extra
length needed via Intravenous route.
List
6517:
PCA Continuous Infusion Set, Mini-Bore with
Integral Anti-Siphon Valve-SL 203 cm.
Approximate Priming Volume 1.5 mL.
For use in Continuous and PCA+Continuous
Modes via intravenous route.
For use in PCA, Continuous, and PCA +
Continuous modes via epidural route.
** See the current product sales catalog for available drugs and sets **
430-04685-001 (Rev. 7/05)
2- 6
430-04685-001 (Rev. 7/05)
Principles of Operation
LifeCare PCA Infusion System
3-1
Section 3
Equipment Description
The following subjects are addressed in this section:
•
Front Panel
•
Vial Cradle Assemble
•
Rear Panel
•
Operating Buttons & Keys
430-04685-001 (Rev. 7/05)
3-2
Equipment Description
3.1
Security
Door
Front Panel
Vial Cradle
Release
Mechanism
(Holder)
LED
Display
Vial
Cradle
Clips
LCD
Display
Softkeys
Door
Lock
Keypad
Buttons
AC Power
Indicator
PCA
Bar code
Reader
Window
Injector
430-04685-001 (Rev. 7/05)
Battery Power Indicator
LifeCare PCA Infusion System
3-3
3.2 Vial Cradle Assemble
Cradle
Release
Mechanism
Wireless
Antenna
Upper Vial
Retainer
Vial Base
Bar code
Reader
Window
(vial bar
code must
face toward
window)
Vial
Stopper
Vial Lip
Injector
Injector
Flange (Vial
Plunger)
Luer-Lock
Fitment
Vial Cradle
Clips
Vial Sensor
Switch
(Top Vial
Cradle Clip)
Lower Vial
Retainer
(Middle
Bracket)
Injector
Flange
Retainer
Injector
Sensor
Switch (back
of retainer)
430-04685-001 (Rev. 7/05)
3-4
Equipment Description
3.3 Rear Panel
Patient
Pendant Nurse Call
Jack
Jack
Ground
Test
Point
Patient
Pendant
Patient
Pendant
Cable
Fastener
Patient
Pendant
(blue
handle)
Ethernet
Jack/
Printer
Connecto
Universa
l IV Pole
Clamp with
Dual LockTM
NOTE: Pole
Clamp is
locked when
security door
is closed and
locked. Unit
cannot be
removed
from IV pole
without key.
Battery
and Fuse
Access
Door
AC Cord
Connector
430-04685-001 (Rev. 7/05)
Stabilizer
foot
LifeCare PCA Infusion System
3-5
3.4 Operating Buttons & Keys
The [ON/OFF] Button controls
the power of the PCA Infuser.
The [CLEAR] Button is used to
clear an entry.
The [ENTER] Button is used to
select and accept various
screen options.
The [EXIT] Button is used to
return to the main display
from non-programming
screens.
The [SILENCE/VOLUME] Button is
used to temporarily silence an
alarm while correcting a
condition to temporarily
silence an alarm while
correcting a condition, to
temporarily mute the keypad
for two minutes, or to adjust
alarm volume when the
infuser is in run mode.
430-04685-001 (Rev. 7/05)
3-6
Equipment Description
The [START/PAUSE] Button is
used to start or pause a
continuous infusion or PCA
bolus.
The [HISTORY] Button is used
to display parameter settings,
dose history, review Rx, and
review the event log. It also
provides access to the Print
History Softkey (Hospira
MednetTM Software not
enabled).
The numeric Buttons are
used to enter values for any
field requiring numeric data.
The [DECIMAL POINT] Button is
used for entering numbers
with a decimal point. An
example would be 10.5 mg.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
3-7
Keys (or Softkeys) are
touchkeys which are located
to the right of the main
display. They perform a
variety of functions correlating
to the description displayed
on the screen.
An example of a softkey in
this manual is PCA ONLY>.
Battery indicator illuminates
continuously when infuser is
running on battery power.
AC (mains) power indicator
illuminates when infuser is
plugged into AC power.
LED displays the dose
delivered.
When displaying dose
delivery in micrograms, a
vertical “walking stick”
appears on the right side of
the display.
When displaying dose
delivering in milligrams, the
“walking stick” appears on the
left side of the display.
430-04685-001 (Rev. 7/05)
3-8
Equipment Description
PCA Patient Pendant is used
by the patient to deliver the
drug upon the press of the
button.
WARNING
PATIENT PENDANT IS
ONLY TO BE PRESSED
BY THE PATIENT.
If the Patient Pendant is
partially pressed, a Pendant
Fault Message will appear.
This can be corrected by
releasing the button. A PCA
bolus will not be delivered
during a Pendant Fault
condition.
The Ethernet port connects to
a local area network.
The Nurse Call Jack provides
remote notification of an
alarm event.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
Section 4
4- 1
Basic Operation
The following subjects are addressed in this section:
•
•
•
•
•
•
•
•
•
Guided Start up for Prefilled Vials
Guided Start up for Custom Vials
Getting Started
Operating the PCA Infuser
Loading a Vial
Adjusting Settings
New Patient
Purging the System
Loading Dose
430-04685-001 (Rev. 7/05)
4- 2
Basic Operation
4.1 Guided Start up for Prefilled Vials
LIFECARE PCA
SELF TEST
1. Press
BUTTON, or load drug vial
into cradle, to power on the infuser.
See Loading a Vial on page 4-21.
Upon initial start-up, the self-test
begins. It may take several
seconds for the Hospira logo to
appear on the screen.
This screen is followed by another
screen displaying self-test information
that includes the following: time, date,
software version and copyright data.
During the self-test, the infuser reads
the bar code label.
LifeCare PCA
SELF TEST
COMPLETE
2. Select CONTINUE> to advance to the
next screen.
RAM . . . . . OK
FLASH . . . OK
CPU ID . . . OK
CPU . . . . . OK
TIMER . . . .OK
SYSTEM
SETTINGS
CONTINUE
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
The NEW PATIENT SCREEN appears if the
infuser has been off for 4 hours or less.
Select YES> or NO>.
3.
If NO> is selected, the History and
Rx settings are kept.
4- 3
„ New
Patient?
Yes
No
4.
If the YES> option is selected, the
History and Rx settings are
cleared. Select CONFIRM> to
confirm choice and continue.
HISTORY AND
RX SETTINGS
CLEARED
A screen appears to confirm that
History was cleared.
5.
Select CONFIRM> to accept the
inserted drug, or remove the vial if
it is not correct.
MORPHINE PF
1 mg/mL
CONFIRM
1 mg/mL
MORPHINE PF
TO RX
REMOVE VIAL
IF NOT CORRECT
CONFIRM
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4- 4
Basic Operation
MORPHINE PF
1 mg/mL
PURGE?
PURGING
RECOMENDED
6. Select either YES> or NO> to purge
the system.
See Purging the System on page 4-30
for more information.
YES
NO
MORPHINE PF
1 mg/mL
DISCONNECT
SET FROM
PATIENT
PRESS AND HOLD
PURGE KEY
7. If YES> is selected, disconnect the
set from the patient, and press and
hold the PURGE> Softkey.
While purging is occurring, the word
PURGING is displayed.
PURGE
PREVIOUS
MORPHINE PF
1 mg/mL
PURGE
COMPLETE?
YES
NO
NOTE: Purging is recommended to
remove system slack when a new
vial is inserted. The maximum
volume delivered during a purge is
3mL.
Upon release of the PURGE> Softkey,
the display asks if the purge is
complete.
8. Select YES> to continue, or select
NO> to purge again until complete.
9. After purging is complete,
reconnect set to patient.
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LifeCare PCA Infusion System
10. Set Loading Dose (if desired) by
selecting YES>. See Loading Dose
on page 4-32 for more
information.
4- 5
MORPHINE PF
1 mg/mL
SET LOADING
DOSE?
YES
NO
11. Enter a Loading Dose within the
displayed range.
Then press ENTER .
MORPHINE PF
1 mg/mL
ENTER
LOADING DOSE
THEN PRESS
ENTER BUTTON
0.1 - 10 mg
2 mg
milligrams
PREVIOUS
12. The DELIVER LOADING DOSE NOW
SCREEN allows the option of
delivering the loading dose now
or after the programming is
complete.
MORPHINE PF
1 mg/mL
DELIVER
LOADING DOSE
NOW?
YES
DELIVER LATER
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4- 6
Basic Operation
MORPHINE PF
1 mg/mL
PRESS
START BUTTON
TO INFUSE
1 mg
LOADING DOSE
13. If YES> was selected, press
BUTTON to infuse the
the
programmed Loading Dose.
NOTE: The loading dose mode is
the only mode that the infuser will
deliver with the door unlocked.
PREVIOUS
WARNING
Always monitor the infuser when delivering medication
with the door unlocked.
14. If the DELIVER LATER option is selected, the screen advances
to the SELECT DELIVERY MODE SCREEN.
MORPHINE PF
1 mg/mL
PRESS
PAUSE BUTTON
TO STOP
1 mg
milligrams
INFUSING
LOADING DOSE
15. The screen displays the amount of
analgesic delivered as it infuses.
The bottom of the screen displays
text confirming that the Loading
Dose is being delivered. Upon
completion, the red LED (above
the LCD) displays the amount
delivered.
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LifeCare PCA Infusion System
16. The SELECT MODE SCREEN
appears. See Modes of Delivery
on page 5-2 for more information.
4- 7
MORPHINE PF
1 mg/mL
SELECT
DELIVERY MODE
PCA ONLY
PCA + CONT.
CONTINUOUS
PROTOCOLS
PREVIOUS
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4- 8
Basic Operation
4.2 Guided Start up for Custom Vials
LIFECARE PCA
SELF TEST
NOTE: Custom vials without
pharmacy-generated bar codes
can only be used with the default
drug library. Press
BUTTON, or
load drug vial into cradle,
to power on the infuser. See
Loading a Vial on page 4-21. Upon
initial start-up, the self-test begins.
It may take several seconds for the
Hospira logo to appear on the
screen.
This screen is followed by another screen displaying self-test
information that includes the following: time, date, software
version and copyright data. During the self-test, the infuser reads
the bar code label.
LifeCare PCA
SELF TEST
COMPLETE
1. Select CONTINUE> to advance to
the next screen.
RAM . . . . . OK
FLASH . . . OK
CPU ID . . . OK
CPU . . . . . OK
TIMER . . . .OK
SYSTEM
SETTINGS
CONTINUE
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
1.
2.
The NEW PATIENT SCREEN appears
if the infuser has been off for 4
hours or less. Select YES> or
NO>.
If NO> is selected, the History and
Rx settings are kept.
4- 9
„ New
Patient?
Yes
No
3.
If the YES> option is selected, the
History and Rx settings are
cleared. Select CONFIRM> to
confirm choice and continue.
HISTORY AND
RX SETTINGS
CLEARED
A screen appears to confirm that
History was cleared.
NOTE: An Alpha Vial is a type of sterile empty vial that
can be customized by your hospital pharmacy.
430-04685-001 (Rev. 7/05)
4- 10
Basic Operation
ALPHA VIAL
CONFIRM
CUSTOM
VIAL TO RX
REMOVE VIAL
IF NOT
CORRECT
4. Select CONFIRM> to accept the
inserted drug, or remove the vial if
it is not correct.
CONFIRM
ALPHA VIAL
PURGE?
PURGING
RECOMMENDED
5. Select either YES> or NO> to purge
the system.
See Purging the System on page 4-30
for more information.
YES
NO
ALPHA VIAL
DISCONNECT
SET FROM
PATIENT
PRESS AND HOLD
PURGE KEY
6. If YES> is selected, disconnect the
set from the patient, and press
and hold the PURGE> Softkey.
While purging is occurring, the word
PURGING is displayed.
PURGE
PREVIOUS
NOTE: Purging is recommended to
remove system slack when a new
vial is inserted. The maximum
volume delivered during a purge is
3mL.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
Upon release of the PURGE> Softkey,
the display asks if the purge is
complete.
7.
Select YES> to continue, or select
NO> to purge again until complete.
8.
After purging is complete,
reconnect set to patient.
9.
4- 11
ALPHA VIAL
PURGE
COMPLETE?
YES
NO
Select desired units of measure.
For the demonstration purposes
Micrograms is selected.
ALPHA VIAL
SELECT UNITS
OF MEASURE
MILLIGRAMS
(mg)
MICROGRAMS
(mcg)
430-04685-001 (Rev. 7/05)
4- 12
Basic Operation
ALPHA VIAL
ENTER DRUG
CONCENTRATION
THEN PRESS
ENTER BUTTON
1-100 mcg/mL
mcg
10 mL
micrograms
PREVIOUS
10. Enter desired drug
concentration within the
displayed range.
NOTE: Only whole numbers
may be entered when using
micrograms (mcg). If a decimal
entry is attempted, the display
will inform the user that the
decimal point is not allowed.
Press [CLEAR] to zero the value.
Then enter a whole value within
the displayed range.
11. Then press ENTER
ALPHA VIAL
10 mcg/mL
12. Confirm the drug concentration
by selecting CONFIRM>.
CONFIRM
10 mcg/mL
CONCENTRATION
TO
PHYSICIAN RX
CONFIRM
PREVIOUS
ALPHA VIAL
10 mcg/mL
SET LOADING
DOSE?
13. Set Loading Dose (if desired) by
selecting YES>.
See Loading Dose on page 4-32
for more information.
YES
NO
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
14. Enter a Loading Dose within the
displayed range.Then
press ENTER .
4- 13
ALPHA VIAL
10 mcg/mL
ENTER
LOADING DOSE
THEN PRESS
ENTER BUTTON
1 - 100 mcg
20 mcg
micrograms
PREVIOUS
15. The DELIVER LOADING DOSE NOW
SCREEN allows the option of
delivering the loading dose now
or after the programming is
complete.
ALPHA VIAL
10 mcg/mL
DELIVER
LOADING DOSE
NOW?
YES
DELIVER LATER
16. If YES> was selected, press
the
BUTTON to infuse the
programmed Loading Dose.
NOTE: The loading dose mode is
the only mode that the infuser will
deliver with the door unlocked.
ALPHA VIAL
10 mcg/mL
PRESS
START BUTTON
TO INFUSE
20 mcg
LOADING DOSE
PREVIOUS
430-04685-001 (Rev. 7/05)
4- 14
Basic Operation
WARNING
Always monitor the infuser when delivering medication
with the door unlocked.
17. If the DELIVER LATER option is selected, the screen advances
to the SELECT DELIVERY MODE SCREEN.
ALPHA VIAL
10 mcg/mL
PRESS
PAUSE BUTTON
TO STOP
15 mcg
micrograms
INFUSING
LOADING DOSE
ALPHA VIAL
10 mcg/mL
SELECT
DELIVERY MODE
18. The screen displays the amount of
analgesic delivered as it infuses.
The bottom of the screen displays
text confirming that the Loading
Dose is being delivered. Upon
completion, the red LED (above
the LCD) displays the amount
delivered.
The SELECT MODE SCREEN appears.
See Modes of Delivery on page 5-2 for
more information.
PCA ONLY
PCA + CONT.
CONTINUOUS
PROTOCOLS
PREVIOUS
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4- 15
4.3 Getting Started
This section details the PCA Infuser setup procedures.
UNPACKING
Inspect the PCA Infuser packaging for possible shipping damage.
If damage is found, contact the delivery company immediately.
Unpack the PCA Infuser carefully, and inspect the PCA Infuser
thoroughly for damage. Retain the packing slip and save all
packing material in case the PCA Infuser is damaged or fails the
infuser self-test and has to be returned to Hospira.
CAUTION: Carefully unpack and setup the PCA
Infuser to avoid product damage. Do not use the PCA
Infuser if it appears damaged in any way. The battery
may not be charged upon receipt.
CAUTION: If the PCA Infuser appears to be
damaged, contact Hospira.
430-04685-001 (Rev. 7/05)
4- 16
Basic Operation
CONNECTING THE PATIENT PENDANT
The Patient Pendant should be plugged into the unit prior to
programming.
1. Connect Patient Pendant plug into the back of unit opening
labeled Patient Pendant.
2. Tighten connector ring snugly to confirm proper attachment.
SYSTEM SELF-TESTS
Connect the AC power (mains) cord to an AC power receptacle,
then confirm that the power plug icon is illuminated on the front of
the infuser.
To verify readiness for operation, a systematic self-testing of the
processing, delivery, and safety systems is performed whenever
the PCA Infuser is turned on.
CAUTION: Do not place the PCA Infuser in service if
it fails the system self-tests.
NOTE: If the quality of the earth grounding source is in
doubt, use battery power.
Self-test failures are reported in the Malfunction Log as a
Malfunction Condition.
If an alarm occurs during the Power On Self-Test, identify the
alarm message, then take corrective action (see section, Alarms
and Messages on page 7- 6).
Power the infuser ON. If the alarm recurs, remove the PCA Infuser
from service and contact the hospital biomedical department or
the local Hospira representative.
Unlock the door and press the [ON/OFF] BUTTON, or insert the vial to
turn the power on. Check the screen display and listen for a beep
that indicates the audio is working. Wait for the self-tests to
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4- 17
complete. If a vial was not previously inserted and the self-test
was successful, put a vial (with a fully primed set) into the infuser.
NOTE: When operating on battery power, a LOW BATTERY
Message displays to prompt for an AC power connection.
CAUTION: Do not operate the PCA Infuser with the
battery removed. Use of a properly maintained and
charged battery helps ensure proper operation.
To ensure a fully charged battery, connect the PCA Infuser to AC
power for a minimum of six hours while in the OFF MODE.
DATA RETENTION
Delivery program settings and programming option selections are
retained in memory unless erased.
The infuser will automatically erase the program and the history if
infuser is off for more than 4 hours. If the infuser is restarted after
being off for 4 hour or less, the NEW PATIENT SCREEN allows the
clinician to either keep the current program and history, or erase
the program and history.
The infuser has the capacity of recording up-to 20,000 events.
The PCA Infuser displays up to 400 events by pressing the
[HISTORY] Button. Events recorded include opening or closing of the
security door, starting or stopping continuous infusion, an alarm
condition, and so on. All event descriptions are preceded with
time of occurrence.
430-04685-001 (Rev. 7/05)
4- 18
Basic Operation
4.4 Operating the PCA Infuser
The following topics are addressed in this section:
•
•
Intravenous PCA Infuser Administration
Epidural PCA Infuser Administration
INTRAVENOUS PCA INFUSER ADMINISTRATION
1. Connect the syringe to the set and manually prime set.
2. Attach primary IV set line to recommended PCA Infuser set,
list #’s 3559, 6516, or 6517 attached to list 6514 via backcheck valve port.
3. Prime IV set and the lower portion of the PCA Infuser set, and
close the manual clamp on the IV set.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4- 19
EPIDURAL PCA INFUSER ADMINISTRATION
NOTE: The administration of drugs is restricted to those
analgesic drugs approved for continuous epidural
administration.
Recommended use of the epidural route is for labor and delivery,
acute pain control, or post-operative analgesia for periods up to
96 hours.
WARNING
It is strongly recommended that the epidural infusion
system be prominently identified as epidural. Failure
to identify it as epidural may result in incorrect
administration of intravenous rather than epidural
formulations. In addition, failure to identify the
epidural infusion could result in confusion with other
infusion systems delivering concomitant intravenous
formulations.
For epidural use, administer only anesthetics/
analgesics approved for epidural administration (as
indicated or allowed by the drugs’ FDA approved
labeling). Epidural administration of drugs other than
those indicated for epidural use could result in serious
injury to the patient.
If a patient access device is not indwelling, prime and establish
epidurally. Confirm proper placement. Attach recommended low
priming volume infuser set, without Y-injection sites, to patient
access device.
CAUTION: Epidural administration of drugs by PCA
Infuser and/or CONTINUOUS MODEs should be
limited to personnel familiar with associated
techniques and patient management problems.
Proper epidural placement of the catheter is essential
since catheter migration could result in intravascular
and intrathecal administration. Facilities practicing
continuous epidural administration must be equipped
with resuscitative equipment, oxygen, naloxone and
430-04685-001 (Rev. 7/05)
4- 20
Basic Operation
other resuscitative drugs. Adequate monitoring
equipment is re commended for c ontinuous
monitoring of the patient during epidural
administration. Patients must be observed for sideeffects frequently in a fully equipped and staffed
environment for at least 24 hours following
completion of epidural drug administration.
CAUTION: Delayed respiratory depression following
continuous epidural administration of preservativefree morphine sulfate has been reported.
If over-delivery occurs during administration, observe the patient
carefully for signs of the following:
•
Compression on spinal cord (disorientation, headache, or
transient neuralgia)
•
Drug overdose
The epidural space has 58 openings through which fluid can exit.
Pressure build-up during administration is transient. However, if a
large volume of fluid is administered over a short period, the
pressure will take longer to return to normal.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4- 21
4.5 Loading a Vial
WARNING
Failure to use compatible Hospira/Abbott vial/injector
and Hospira/Abbott PCA Infuser sets with integral antisiphon valve may cause an inaccurate dose delivery to
the patient.
1. Squeeze Cradle Release Mechanism
together at the top of the holder and
move to the uppermost position.
NOTE: Always verify that the
bar code reader window is
clean before inserting vial.
DRUG NAME
2. When inserting bottom of glass vial
into middle black bracket, ensure
that the bar code label faces the
bar code reader on the right side of
the vial compartment.
CAUTION: Do not position
vial into upper vial clip first.
Vial lip may crack or chip.
3. Insert bottom of glass vial into the
middle black bracket.
4. Gently press upper end of glass vial
into upper black bracket.
5. Squeeze the top of the Cradle
Release Mechanism and move down
until the vial injector snaps into the
bottom bracket.
6. Select CONTINUE>.
7. If vial bar code is not read by the
infuser, slowly rotate the vial and
position with the bar code on the
right until bar code has been read.
430-04685-001 (Rev. 7/05)
4- 22
Basic Operation
CAUTION: Vial and injector must be securely locked
into the infuser before beginning delivery.
WARNING
Cracked vials may not show evidence of leakage until
delivery pressure is applied.
NOTE: If the device is OFF, improper loading of syringe
will turn the device ON and activate a non-silenceable
CHECK SYRINGE alarm within 30 seconds after
CONTINUE> is selected. Proper loading (engaging injector
flange) silences the alarm.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4- 23
4.6 Adjusting Settings
1. Press
BUTTON to power on the
infuser. Upon initial start-up, the
self-test begins. It may take several
seconds for the Hospira logo to
appear on the screen.
2.
Select SYSTEM SETTINGS> to view
the Change Settings Menu.
NOTE: Date and time may also be
configured using the Hospira
MedNetTM Software (if enabled).
LifeCare PCA
SELF TEST
LifeCare PCA
SELF TEST
COMPLETE
RAM . . . . . OK
FLASH . . . OK
CPU ID . . . OK
CPU . . . . . OK
TIMER . . . .OK
SYSTEM
SETTINGS
CONTINUE
3.
Adjust settings by selecting
the appropriate softkey.
SELECT
SETTING
TO CHANGE
VOLUME
CONTRAST
TIME/DATE
CONTINUE
430-04685-001 (Rev. 7/05)
4- 24
Basic Operation
CHANGING ALARM VOLUME
1. Select VOLUME>.
SELECT
SETTING
TO CHANGE
VOLUME
CONTRAST
TIME/DATE
CONTINUE
SELECT ALARM
VOLUME
HIGH
2. Select desired volume,
then SAVE & EXIT>.
The current setting flashes at this
screen.
MEDIUM
LOW
CANCEL
SAVE & EXIT
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4- 25
CHANGING CONTRAST OF MAIN DISPLAY
1. Select CONTRAST>.
SELECT
SETTING
TO CHANGE
VOLUME
CONTRAST
TIME/DATE
CONTINUE
2.
3.
Select desired adjustment
softkey repeatedly until
contrast is optimized for
viewing.
Select SAVE & EXIT>.
ADJUST LCD
CONTRAST TO
DESIRED LEVEL
LIGHTER
DARKER
CANCEL
SAVE & EXIT
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4- 26
Basic Operation
CHANGING OR CONFIRMING TIME AND DATE
WARNING
Changing the date or time will clear all totals. The
current program will remain intact when the time/date
function is accessed. Lockouts or limits in place when
the time/date is changed will remain in effect.
SELECT
SETTING
TO CHANGE
1. Select TIME/DATE>.After selecting
TIME/DATE>, a warning screen
appears to indicate that changing
the date or time will clear all totals.
VOLUME
CONTRAST
TIME/DATE
CONTINUE
WARNING!
CHANGING THE
DATE OR TIME
WILL CLEAR
ALL TOTALS!
NOTE: When Hospira MedNetTM
Software is enabled on a network
server, TIME/DATE is automatically
updated when the infuser is on.
2. When the WARNING SCREEN
appears, select CONTINUE>.
3.
Set Time with number buttons.
Enter hour as two digits (01:00)
and minutes as two digits (01:07
PM).
CONTINUE
PREVIOUS
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LifeCare PCA Infusion System
4.
Select AM/PM> to alternate
between AM and PM.
NOTE: Time may be displayed
using the 12 or 24 hour clock. The
default setting is the 12 hour clock.
The clock selection option is
available in the Biomed Mode.
5.
After changing the time, select
NEXT> to change the date.
6.
To change the date, set
the date with the Numbers
Buttons.
4- 27
SET TIME WITH
NUMBERS
BUTTONS
TOGGLE AM/PM
10:43 PM
AM/PM
NEXT
SET DATE WITH
NUMBERS
BUTTONS
The current setting for Date will flash.
NOTE: Date must be entered in
MM/DD/YY sequence.
01/15/01
NEXT
430-04685-001 (Rev. 7/05)
4- 28
CONFIRM
CURRENT
TIME AND DATE
SETTINGS
9:21 PM
01/15/01
CONFIRM
CHANGE
CANCEL
Basic Operation
7. Select NEXT> again after changing
to the desired date. The
CONFIRMATION SCREEN appears.
Select CONFIRM> to verify the
changed settings.
8. Then select CONTINUE> to exit the Change System Settings
Menu and display the VIAL CONFIRMATION SCREEN (if the vial is
loaded properly).
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4- 29
4.7 New Patient
1. The NEW PATIENT SCREEN appears if
the infuser has been off for 4 hours
or less. Select YES> or NO>.
NOTE: If the infuser has been off
for 4 hours or less, the History and
Rx settings are automatically
cleared and the NEW PATIENT
SCREEN is not shown.
2.
New
Patient?
Yes
No
If YES> is selected, the History
and Rx settings are cleared.
If NO> is selected, the History and
Rx settings are kept, and a screen
appears offering the option to
CLEAR HISTORY> or CONTINUE>.
HISTORY AND
RX SETTINGS
CLEARED
430-04685-001 (Rev. 7/05)
4- 30
Basic Operation
4.8 Purging the System
WARNING
The patient must be disconnected from the PCA
Infuser set before the purge cycle.
After the infuser is turned on and the self-tests are complete, the
purge system prompt appears. Confirm that the PCA Infuser set
is disconnected from the patient’s IV line before pressing YES> to
initiate the purge cycle.
To remove system slack when a new syringe is installed, we
recommend purging the infuser before beginning operation.
Press and hold the PURGE> key. The flow rate during purging is
approximately 250 mL/hr. As soon as fluid is seen at the end of
the administration set, and no air remains in the set, release the
key. After the PURGE> key is released, the purge cycle will stop
and the infuser prompts you to respond if flow was seen. If flow
was not seen, the cycle may be repeated until a total of 3 mL has
been delivered.
NOTE: The infuser only allows the user to purge if Manual
Purge is enabled in Biomed Mode. If it is disabled,
purging is not an option.
NOTE: Prime the system before purging. Remove all air
from the syringe before loading it into the infuser.
NOTE: Drug delivered during the purge cycle is not
stored in system memory and will not be displayed.
CAUTION: In Continuous and PCA+Continuous
Modes, if a purge is not performed after a syringe
change, the infuser automatically performs a small
system compliance step to remove slack when [Start]
is pressed (with the door locked). Although, fluid is
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4- 31
not normally delivered to the patient during the
compliance step, under some conditions up to 0.3 mL
of fluid may be delivered. If 0.3 mL of fluid represents
a hazard to the patient, disconnect the set during this
operation.
1. If YES> is selected, disconnect the
set from the patient, and press and
hold the PURGE> Softkey.
NOTE: While purging is occurring,
the word PURGING will be
displayed.
NOTE: Purging is recommended to
remove system slack when a new
vial is inserted. The maximum
volume delivered during a purge is
3 mL.
Upon release of the PURGE> Softkey, the
display asks if the purge is complete.
2.
Select YES> to continue, or select
NO> to purge again until complete.
Reconnect set to patient.
MORPHINE PF
1 mg/mL
DISCONNECT
SET FROM
PATIENT
PRESS AND HOLD
PURGE KEY
PURGE
PREVIOUS
MORPHINE PF
1 mg/mL
PURGE
COMPLETE?
YES
NO
430-04685-001 (Rev. 7/05)
4- 32
Basic Operation
4.9 Loading Dose
After the drug concentration has been confirmed, an optional
loading dose may be programmed to provide an immediate bolus
to the patient.
MORPHINE PF
1 mg/mL
SET LOADING
DOSE?
YES
1. Set Loading Dose (if desired) by
selecting YES>.
If NO> is selected, the screen advances
to the SELECT MODE SCREEN. See
Modes of Delivery on page 5-2 for
information on modes.
NO
NOTE: A supplemental loading
dose can also be delivered after
the programming sequence is
complete and infusing by opening
the door and selecting the LOADING
DOSE> key.
MORPHINE PF
1 mg/mL
ENTER
LOADING DOSE
THEN PRESS
ENTER BUTTON
0.1 - 10 mg
2. Enter a Loading Dose within the
displayed range.
3. Then press ENTER .
2 mg
milligrams
PREVIOUS
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LifeCare PCA Infusion System
4.
5.
4- 33
The next screen offers the options
of infusing the loading dose now
or later (after programming is
complete). If DELIVER LOADING
DOSE NOW ? is desired, press the
YES> Softkey to infuse the
programmed Loading Dose.
MORPHINE PF
1 mg/mL
If the DELIVER LATER option is
desired, the screen advances to
the SELECT DELIVERY MODE
SCREEN.
DELIVER LATER
DELIVER
LOADING DOSE
NOW?
YES
See Modes of Delivery on page 5-2
for more information.
6.
If YES> was selected, press
BUTTON to infuse the
the
programmed Loading Dose.
MORPHINE PF
1 mg/mL
PRESS
START BUTTON
TO INFUSE
2 mg
LOADING DOSE
PREVIOUS
The screen displays the amount of
analgesic delivered as it infuses. The
bottom of the screen displays text
confirming that the Loading Dose is
being delivered. Upon completion, the
red LED (above the LCD) displays the
amount delivered.
After delivery is complete, the SELECT
MODE SCREEN appears. See Modes of
Delivery on page 5-2.
MORPHINE PF
1 mg/mL
PRESS
PAUSE BUTTON
TO STOP
0.5 mg
milligrams
INFUSING
LOADING DOSE
430-04685-001 (Rev. 7/05)
4- 34
430-04685-001 (Rev. 7/05)
Basic Operation
LifeCare PCA Infusion System
Section 5
5-1
Select Mode
This section addresses these topics:
•
•
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•
•
•
•
•
•
•
•
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•
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Modes of Delivery
PCA Only Mode
Continuous Mode
PCA+Continuous Mode
Protocols
Dose Limit
Clearing the History and/or Rx Settings
Using Review/Confirmation Screens
Changing Settings During Setup
Making Changes After Setup
Clearing Shift Totals
Changing a Vial
Adding a Supplemental Loading Dose
Checking History & Settings
History and Event Log
430-04685-001 (Rev. 7/05)
5-2
Select Mode
5.1 Modes of Delivery
The PCA Infuser delivers analgesia in one of three modes:
•
PCA ONLY
•
CONTINUOUS
•
PCA+CONTINUOUS
PROTOCOLS
Protocols for Hospira/Abbott prefilled drug vials and sterile empty
vials are created in the Biomed Mode or through the Hospira
MedNetTM Software.
There are 10 stored protocols available (without Hospira
MedNetTM Software enabled) or 90 stored protocols (5 per CCA)
available (with Hospira MedNetTM Software enabled).
PCA ONLY
A patient initiated dose may be administered using the patient
pendant when the PCA AVAILABLE Message appears. After
completing the dose, the infuser enters either the preset
LOCKOUT Interval or the DOSE LIMIT REACHED State (if a
dose limit has been entered). Further delivery is prohibited in both
of these conditions.
Interrupting delivery by pressing [START/STOP], opening the door,
loss of power, reaching the dose limit, emptying the vial, or a
malfunction alarm may result in partial doses.
The screen message alerts the user that the PCA Infuser is not
available, and a different audible tone occurs if the patient
pendant button is pressed (unless deactivated in Biomed Mode).
NOTE: Dose Limit periods are specified as 1 and 4 hours
on an infuser with the Default Drug Library. Dose Limit
periods on infusers with a User-defined Drug Library,
may be defined as 1, 4, 6, or 12 hours.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5-3
CONTINUOUS
A programmed Continuous infusion is started by pressing the
[START/PAUSE] Button after the door is closed and locked. The
patient pendant is disabled in CONTINUOUS Mode. Upon
reaching the DOSE LIMIT, if entered, the infuser stops drug
delivery, and the designated HR LIMIT REACHED Message is
displayed.
NOTE: Dose Limit periods are specified as 1 and 4 hours
on an infuser with the Default Drug Library. Dose Limit
periods on infusers with a User-defined Drug Library may
be defined as 1, 4, 6, or 12 hours.
NOTE: In CONTINUOUS or PCA+CONTINUOUS Mode,
The [START/PAUSE] Button must be pressed within 30 seconds
of locking the door or the infuser sounds an alarm.
PCA+CONTINUOUS
A programmed PCA+Continuous infusion is started by pressing
the [START/PAUSE] Button after the door is closed and locked. A
patient initiated PCA dose may be administered using the patient
pendant when the PCA AVAILABLE Message appears. When the
patient-initiated dose is activated, the PCA dose is delivered prior
to the CONTINUOUS infusion rate. After the PCA dose is
completed, the infuser enters the LOCKOUT Interval. While in the
lockout period, the CONTINUOUS infusion remains in progress,
but the patient initiated dose cannot be activated. If a Dose limit
has been reached, the infuser stops all drug delivery.
NOTE: Dose Limit periods are specified as 1 and 4 hours
on an infuser with the Default Drug Library. Dose Limit
periods on infusers with a User-defined Drug Library may
be defined as 1, 4, 6, or 12 hours.
NOTE: In CONTINUOUS or PCA+CONTINUOUS Mode,
The [START/PAUSE] Button must be pressed within 30 seconds
of locking the door or the infuser sounds an alarm.
430-04685-001 (Rev. 7/05)
5-4
Select Mode
5.2 PCA Only Mode
For detailed startup information including vial insertion, clearing
settings, purging, and setting a Loading Dose, see Loading a
Vial on page 4 - 20.
For information on adjusting system settings such as contrast
and volume see Adjusting Settings on page 4 - 22.
LifeCare PCA
SELF TEST
1. Unlock door and press
Button,
or load drug vial into cradle, to
power on the infuser. Upon initial
start-up the self-test begins. It may
take several seconds for the
Hospira logo to appear on the
screen.
2. Select CONTINUE> to advance to
the next programming screen.
3. Select YES> or NO> at the NEW
PATIENT SCREEN if the infuser has been OFF 4 hours or less.
See New Patient on page 4-28 for more information.
4. Select CONFIRM> to accept the inserted drug, or remove the vial if it is
not correct. See New Patient on page 4-28 for more information.
5. Select either YES> or NO> to purge the system.
See Purging the System on page 4-29 for more information.
6. If YES> is selected, disconnect the set from the patient, and
press & hold the PURGE> Softkey.
7. Select YES> to continue, or select NO> to purge again until
complete.
8. Reconnect set to patient.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5-5
9. Set Loading Dose (if desired) by selecting YES>.
See Loading Dose on page 4-31 for more information.
10. Enter a Loading Dose within the displayed range.
11. Then press ENTER .
Select YES> to infuse the programmed
Loading Dose. Select Deliver Later> to
delay loading dose delivery.
MORPHINE PF
1 mg/mL
DELIVER
LOADING DOSE
NOW?
YES
DELIVER LATER
12.
From the Select Delivery Mode
SCREEN, select PCA ONLY>.
MORPHINE PF
1 mg/mL
SELECT
DELIVERY MODE
PCA ONLY
PCA + CONT.
CONTINUOUS
PROTOCOLS
PREVIOUS
430-04685-001 (Rev. 7/05)
5-6
Select Mode
MORPHINE PF
1 mg/mL
ENTER
PCA DOSE
THEN PRESS
ENTER BUTTON
0.1 - 5 mg
13. Enter the desired PCA dose using
the numeric keypad. If the value
is entered incorrectly, press
change value.
to
14. Then press ENTER .
2 mg
milligrams
PREVIOUS
MORPHINE PF
1 mg/mL
ENTER
LOCKOUT
INTERVAL
THEN PRESS
ENTER BUTTON
5-120 min
10 min
minutes
If programming changes need to be
made, select PREVIOUS> to return to the
preceding screen.
15. Enter a lockout Interval value.
(The value range is displayed on
the screen.)
If the value is entered incorrectly, press
to change value.
16. Then press ENTER .
PREVIOUS
MORPHINE PF
1 mg/mL
SET A DOSE
LIMIT?
YES
NO
If programming changes need to be
made, select PREVIOUS> to return to the
preceding screen.
17. Set a specific dose limit by
selecting YES> and advancing to
the Dose Limit Enter Value
SCREEN. Or select NO> to choose
No Dose Limit.
No Dose Limit will be selected for this
example.
PREVIOUS
If Hospira MedNetTM Software is
enabled and a upper hard or soft limit
for that CCA and drug, then a DOSE
LIMIT entry is required, and this screen will not be displayed.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5-7
NOTE: See Dose Limit on page 5-21 (1 or 4 hour) for
complete information about this feature.
18. Select CONFIRM> to verify the NO
DOSE LIMIT selection.
Select PREVIOUS> to return to the
preceding screen.
MORPHINE PF
1 mg/mL
CONFIRM NO
DOSE LIMIT?
CONFIRM
PREVIOUS
19. Select CONFIRM> to verify
settings. Or, select PREVIOUS> to
return to the preceding screen.
20. Close and lock door. Place key in
a secure location. After locking
the door the PCA bolus is
available for infusion. Patient
presses pendant to initiate PCA
dose.
MORPHINE PF
1 mg/mL
PCA ONLY
PCA DOSE
LOCKOUT
2 mg
10 min
4 HOUR LIMIT
NO
CONFIRM
PREVIOUS
430-04685-001 (Rev. 7/05)
5-8
Select Mode
MORPHINE PF
1 mg/mL
PCA ONLY
PCA LOCKOUT
NO 4 HR LIMIT
7.5 mg
Approximately 10 seconds after the
door is locked, the DOOR LOCKED
Message disappears. After delivering
the PCA dose, the PCA LOCKOUT
Message appears indicating the PCA
Infuser is locked out.
milligrams
TOTAL DELIVERED
PCA DOSE =
2 mg
If the Patient Pendant is partially
pressed, a Pendant Fault Message
appears. This is corrected by releasing
the button.
When the Dose Limit is reached, a message is displayed to
indicate the Dose Limit has been reached.
NOTE: A clinician may stop a PCA dose delivery in
progress without unlocking the door by pressing the
[STOP/PAUSE] BUTTON.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5-9
5.3 Continuous Mode
For detailed startup information including vial insertion, clearing
settings, purging, and setting a Loading Dose, see Loading a
Vial on page 4 - 20.
For information on adjusting system settings such as contrast
and volume see Adjusting Settings on page 4 - 22.
1. Unlock door and press
Button,
or load drug vial into cradle, to
power on the infuser. Upon initial
start-up the self-test begins. It may
take several seconds for the
Hospira logo to appear on the
screen.
LifeCare PCA
SELF TEST
2. Select CONTINUE> to advance to the
next programming screen.
3. Select YES> or NO> at the NEW
PATIENT SCREEN if the infuser has
been OFF 4 hours or less.
See New Patient on page 4-28 for
more information.
4. Select CONFIRM> to accept the
inserted drug, or remove the vial if it is not correct.
See New Patient on page 4-28 for more information.
5. Select either YES> or NO> to purge the system.
See Purging the System on page 4-29 for more information.
6. If YES> is selected, disconnect the
set from the patient, and press & hold the PURGE> Softkey.
7. Select YES> to continue, or select NO> to purge again until
complete.
430-04685-001 (Rev. 7/05)
5 - 10
Select Mode
8. After purging, reconnect set to patient.
9. Set Loading Dose (if desired) by selecting YES>.
See Loading Dose on page 4-31 for more information.
Enter a Loading Dose within the displayed range.
10. Then press ENTER .
MORPHINE PF
1 mg/mL
DELIVER
LOADING DOSE
NOW?
YES
Select YES> to infuse the programmed
Loading Dose. Select Deliver Later> to
delay loading dose delivery.
DELIVER LATER
MORPHINE PF
1 mg/mL
SELECT
DELIVERY MODE
11. From the Select Delivery Mode
SCREEN, select CONTINOUOUS>.
PCA ONLY
PCA + CONT.
CONTINUOUS
PROTOCOLS
PREVIOUS
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
12. Enter a continuous rate using the
keypad. The value range is
displayed on the screen.
If value is entered incorrectly, press
to change value.
13. Then press ENTER .
If programming changes need to be
made, select PREVIOUS> to return to the
preceding screen.
14. Set a specific dose limit by
selecting YES> and advancing to
the Dose Limit Enter Value
SCREEN. Select NO> to choose No
Dose Limit.
No Dose Limit will be selected for this
example.
If Hospira MedNetTM Software is
enabled and a upper hard or soft limit
for that CCA and drug, then a DOSE
LIMIT entry is required, and this screen
will not be displayed.
5 - 11
MORPHINE PF
1 mg/mL
ENTER
CONT. RATE
THEN PRESS
ENTER BUTTON
0.5-100 mg/hr
mg
2 hr
milligrams
PREVIOUS
MORPHINE PF
1 mg/mL
SET A DOSE
LIMIT?
YES
NO
PREVIOUS
NOTE: The pre-programmed Dose Limit is 1 or 4 hours.
The Hospira MedNetTM Software range is larger (1, 4, 6,
or 12 hours). For complete information on this feature,
see Dose Limit on page 5 - 21.
430-04685-001 (Rev. 7/05)
5 - 12
Select Mode
MORPHINE PF
1 mg/mL
CONFIRM NO
DOSE LIMIT?
15. Select CONFIRM> to verify No
Dose Limit selection.
Select PREVIOUS> to return to the
preceding screen.
CONFIRM
PREVIOUS
MORPHINE PF
1 mg/mL
CONTINUOUS
16. Select CONFIRM> to verify settings.
Or, select PREVIOUS> to return to
the preceding screen.
CONT. RATE
2 mg/hr
4 HOUR LIMIT
17. Close and lock door. Place key in
a secure location.
NO
CONFIRM
PREVIOUS
MORPHINE PF
1 mg/mL
CONTINUOUS
18. Press
to begin therapy.
Approximately 10 seconds after
door is locked and
2 mg
milligrams
TOTAL DELIVERED
CONT. RATE =
2 mg/hr
is
pressed, the DOOR LOCKED
Message disappears.
When the Dose Limit is reached, a
message is displayed that indicates the
Dose Limit has been reached.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 13
5.4 PCA+Continuous Mode
For detailed startup information including vial insertion, clearing
settings, purging, and setting a Loading Dose, see Loading a
Vial on page 4 - 20.
For information on adjusting system settings such as contrast
and volume see Adjusting Settings on page 4 - 22.
1. Unlock door and press
Button,
or load drug vial into cradle, to
power on the infuser. Upon initial
start-up the self-test begins. It may
take several seconds for the
Hospira logo to appear on the
screen.
LifeCare PCA
SELF TEST
2. Select CONTINUE> to advance to the
next programming screen.
3. Select YES> or NO> at the NEW
PATIENT SCREEN if the infuser has been OFF 4 hours or
less. See New Patient on page 4-28 for more information.
4. Select CONFIRM> to accept the inserted drug, or remove the
vial if it is not correct. See New Patient on page 4-28 for more
information.
5. Select either YES> or NO> to purge the system.
See Purging the System on page 4-29 for more information.
6. If YES> is selected, disconnect the set from the patient, and
press & hold the PURGE> Softkey.
7. Select YES> to continue, or select NO> to purge again until
complete.
8. Reconnect set to patient.
430-04685-001 (Rev. 7/05)
5 - 14
9.
Select Mode
Set Loading Dose (if desired) by selecting YES>.
See Loading Dose on page 4-31 for more information.
10. Enter a Loading Dose within the displayed range.
11. Then press ENTER .
MORPHINE PF
1 mg/mL
DELIVER
LOADING DOSE
NOW?
YES
12. Select YES> to infuse the
programmed Loading Dose.
Select Deliver Later> to delay
loading dose delivery.
DELIVER LATER
MORPHINE PF
1 mg/mL
SELECT
ENTER
DELIVERY
PCA DOSEMODE
THEN PRESS
ENTER
PCABUTTON
ONLY
0.1+- CONT.
5 mg
PCA
13. From the SELECT MODE SCREEN,
select PCA + CONT>.
CONTINUOUS
2 mg
milligrams
PROTOCOLS
PREVIOUS
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
14. Enter PCA dose value using the
keypad. The value range is
displayed on the screen.
If value is entered incorrectly, press
to change value.
If programming changes need to be
made, select PREVIOUS> to return to the
preceding screen.
16. Enter a Lockout Interval value.
(Value range is displayed on the
screen.)
If the value is entered incorrectly, press
to change the value.
18. Enter a Continuous Rate. The
value range is displayed on
screen.
If the value is entered incorrectly, press
19. Then press ENTER .
2 mg
PREVIOUS
MORPHINE PF
1 mg/mL
ENTER LOCKOUT
INTERVAL
THEN PRESS
ENTER BUTTON
5-120 min
minutes
If programming changes need to be
made, select PREVIOUS> to return to the
preceding screen.
to change the value.
ENTER
PCA DOSE
THEN PRESS
ENTER BUTTON
0.1-5 mg
10 min
17. Then press ENTER .
MORPHINE PF
1 mg/mL
milligrams
15. Then press ENTER .
5 - 15
PREVIOUS
MORPHINE PF
1 mg/mL
ENTER
CONT. RATE
THEN PRESS
ENTER BUTTON
0.1-20 mg/hr
2 mg
hr
milligrams
PREVIOUS
430-04685-001 (Rev. 7/05)
5 - 16
Select Mode
If programming changes need to be made, select PREVIOUS> to
return to the preceding screen.
MORPHINE PF
1 mg/mL
SET A DOSE
LIMIT?
20. Set a specific dose limit by
selecting YES> and advancing to
the DOSE LIMIT ENTER VALUE
SCREEN. Or select NO> to choose
NO DOSE LIMIT.
YES
NO
PREVIOUS
Setting a specific Dose Limit will be
selected for this example.
If Hospira MedNetTM Software is
enabled and a upper hard or soft limit
for that CCA and drug, then a DOSE
LIMIT entry is required, and this screen
will not be displayed.
NOTE: The pre-programmed Dose
Limit is 1 or 4 hours. The Hospira
MedNetTM Software range is larger
(1, 4, 6, or 12 hours). For complete
information on this feature
see Dose Limit on page 5 - 21.
MORPHINE PF
1 mg/mL
ENTER 4 HOUR
DOSE LIMIT
THEN PRESS
ENTER BUTTON
2-80 mg
40 mg
milligrams
PREVIOUS
21. Enter the Dose Limit value using
the numeric keypad (the range is
displayed on the screen).
If the value is entered incorrectly, press
to change value.
22. Then press ENTER .
If programming changes need to be
made, select PREVIOUS> to return to the
preceding screen.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
23. Select CONFIRM> to verify
settings. Or, select PREVIOUS> to
return to the preceding screen.
24. Close and lock door. Place key in
a secure location. After locking
the door the PCA bolus is
available for infusion. The patient
presses pendant to initiate PCA
dose.
25. Press
to begin therapy.
Approximately 10 seconds after
door is locked and
5 - 17
MORPHINE PF
1 mg/mL
PCA+CONT
PCA DOSE
2 mg
LOCKOUT
10 min
CONT. RATE
2 mg/hr
4 HOUR LIMIT
40 mg
CONFIRM
PREVIOUS
MORPHINE PF
1 mg/mL
PCA+CONT.
PCA AVAILABLE
is
pressed, the DOOR LOCKED
Message disappears.
2 mg
milligrams
When the Dose Limit is reached, a
message is displayed that indicates the
Dose Limit has been reached.
TOTAL DELIVERED
CONT. RATE
2 mg/hr
430-04685-001 (Rev. 7/05)
5 - 18
Select Mode
5.5 Protocols
For detailed startup information including vial insertion, clearing
settings, purging, and setting a Loading Dose, see Loading a
Vial on page 4 - 20.
For information on adjusting system settings such as contrast
and volume see Adjusting Settings on page 4 - 22.
NOTE: Protocols may be established by the hospital via
Hospira MedNetTM Software or via Biomed Mode. Hospira
MedNetTM Software enabled devices allow for protocol
programming from the Rx Rules application. Only
Protocols associated with the inserted drug vial will be
available.
LIFECARE PCA
SELF TEST
1.
Unlock door and press
Button,
or load drug vial into cradle, to
power on the infuser. Upon initial
start-up, the self-test begins. It
may take several seconds for the
Hospira logo to appear on the
screen.
2. Select CONTINUE> to advance to
the next programming screen.
3. Select YES> or NO> at the NEW
PATIENT SCREEN if the infuser has been OFF 4 hours or less. For
more information see New Patient on page 4 - 28.
4. Select CONFIRM> to accept the inserted drug, or remove the
vial if it is not correct. See New Patient on page 4-28 for more
information.
5. Select either YES> or NO> to purge the system. For more
information see Purging the System on page 4 - 29.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 19
6. If YES> is selected, disconnect the set from the patient, and
press and hold the PURGE>.
7. Select YES> to continue, or select NO> to purge again until
complete.
8. After purging, reconnect set to patient.
9. Set Loading Dose (if desired) by selecting YES>. For more
information see Loading Dose on page 4 - 31.
10. Enter a Loading Dose in the displayed range.
11. Then press ENTER .
12. Press
to infuse programmed
Loading Dose. Select DELIVER
LATER> to delay loading dose
delivery. From the SELECT
DELIVERY MODE SCREEN, select
PROTOCOLS>.
MORPHINE PF
1 mg/mL
SELECT
DELIVERY MODE
PCA ONLY
PCA + CONT.
CONTINUOUS
PROTOCOLS
PREVIOUS
13. Press ENTER to accept protocol,
or select NEXT PROTOCOL> and
PREVIOUS> to view other stored
protocols if available.
MORPHINE PF
„PRESS ENTER
TO SELECT
PCA DOSE
2 mg
LOCKOUT
10 min
4 HOUR LIMIT
NONE
NEXT PROTOCOL
#3 PREVIOUS
430-04685-001 (Rev. 7/05)
5 - 20
Select Mode
MORPHINE PF
1 mg/mL
PCA+CONT
PCA DOSE
2 mg
LOCKOUT
10 min
CONT. RATE
2 mg/hr
4 HOUR LIMIT
40 mg
CONFIRM
PREVIOUS
14. Select CONFIRM> to accept
the chosen protocol settings. Or
press PREVIOUS> to return to the
preceding screen.
15. Close and the lock door. Place key
in a secure location.
16. Press
to begin therapy.
Approximately 10 seconds after
door is locked and
is
pressed, the DOOR LOCKED
MESSAGE disappears.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 21
5.6 Dose Limit
The dose limit is a physician prescribed value that serves to limit
the total dosage delivered in any 4 hour (or 1 hour) period. This
optional feature provides added safety that limits the total drug
delivered in all delivery modes.
NOTE: Dose limit periods are specified as 1 and 4 hours
on a infuser using the Default Drug Library (DDL); on
infusers using User-Defined Drug Libraries created with
the Hospira MedNetTM Software, the dose limit periods
are 1, 4, 6, or 12 hours. There is a NO Dose Limit option
as well with DDL and User Defined Drug Library. The
PCA Infuser is factory set to program a 4 hour dose limit.
For the purpose of simplifying this section, examples will
be written for a 4 hour dose limit program.
NOTE: A supplemental Loading Dose may be delivered
at any time during operation by opening the door and
selecting the LOADING DOSE> key.
When the sum of all doses (PCA dose, CONTINUOUS dose, and
any applicable loading or supplemental loading dose) in a rolling
4 hour period equals or exceeds the 4 hour dose limit, the
patient’s requests for PCA doses are denied, and a 4 HR LIMIT
REACHED Message appears. In all modes, the infuser stops
delivery when the 4 hour dose limit is reached, except during
administration and delivery of a supplemental loading dose.
As the oldest dose (either PCA dose, CONTINUOUS dose, or a
supplemental loading dose) ages out of the 4 hour dose record,
the 4 HR LIMIT REACHED Message disappears. The infuser
accepts patient initiated dose requests in PCA Only and
PCA+CONTINUOUS Modes (if the programmed PCA Lockout
Interval has elapsed) and resumes infusion at the continuous rate
in the CONTINUOUS and PCA+CONTINUOUS Modes.
NOTE: Setting a new dose limit will not erase the
previous dose history.
430-04685-001 (Rev. 7/05)
5 - 22
Select Mode
PROGRAMMING THE 4 (OR 1) HOUR DOSE LIMIT
The opportunity to program this feature is presented in two entry
screens. The first screen prompts the clinician to choose whether
or not to set a Dose Limit. Selecting NO> brings up the CONFIRM NO
DOSE LIMIT SCREEN. Selecting YES> brings up the DOSE LIMIT ENTER
VALUE SCREEN. This requires that the clinician enter a value within
the displayed range.
NOTE: If Hospira MedNetTM Software is enabled, and a
upper hard or soft limit for that CCA and drug has been
assigned, then a DOSE LIMIT entry is required.
PROGRAMMING A DOSE LIMIT
MORPHINE PF
1 mg/mL
SET A DOSE
LIMIT?
YES
1.
Select YES> at the DOSE LIMIT
SELECTION SCREEN.
The display advances to the DOSE LIMIT
ENTER VALUE SCREEN.
NO
PREVIOUS
MORPHINE PF
1 mg/mL
ENTER 4 HOUR
DOSE LIMIT
THEN PRESS
ENTER BUTTON
.1-80 mg
40 mg
milligrams
PREVIOUS
2. Enter the 4 HOUR DOSE LIMIT value
using the numeric keypad.
NOTE: Entry of zero for the 4 HR
Dose Limit, using the numeric
keypad, is NOT accepted by the
PCA Infuser; see Programming No
Dose Limit on page 5 - 24.
3. Then press ENTER .
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4. Select CONFIRM> to accept
the chosen protocol settings. Or
press PREVIOUS> to return to the
preceding screen.
5. Close and lock the door. Place key
in a secure location.
6. Press
to begin therapy.
Approximately 10 seconds after
door is locked and
5 - 23
MORPHINE PF
1 mg/mL
PCA+CONT
PCA DOSE
2 mg
LOCKOUT
10 min
CONT. RATE
2 mg/hr
4 HOUR LIMIT
40 mg
CONFIRM
PREVIOUS
is
pressed, the DOOR LOCKED
MESSAGE disappears.
430-04685-001 (Rev. 7/05)
5 - 24
Select Mode
PROGRAMMING NO DOSE LIMIT
MORPHINE PF
1 mg/mL
SET A DOSE
LIMIT?
YES
1.
Select NO> at the DOSE LIMIT
SELECTION SCREEN.
The display advances to the Confirm
NO DOSE LIMIT SCREEN.
NO
PREVIOUS
MORPHINE PF
1 mg/mL
CONFIRM NO
DOSE LIMIT?
CONFIRM
2. Select CONFIRM> to verify the
selection of the No Dose limit.
NOTE: When NO LIMIT has been
programmed, the message NO
4 HR LIMIT will be displayed after
the door has been locked.
PREVIOUS
MORPHINE PF
1 mg/mL
PCA+CONT
PCA DOSE
2 mg
LOCKOUT
10 min
CONT. RATE
2 mg/hr
4 HOUR LIMIT
40 mg
CONFIRM
PREVIOUS
3. Select CONFIRM> to accept
the chosen protocol settings. Or
press PREVIOUS> to return to the
preceding screen.
4. Close and the lock door. Place key
in a secure location.
5. Press
to begin therapy.
Approximately 10 seconds after
door is locked and
is
pressed, the DOOR LOCKED
MESSAGE disappears.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 25
CLEARING OR CHANGING A DOSE LIMIT
1. Unlock door to stop the infuser.
2. Select CHANGE RX>.
NOTE: CHANGE CCA> will only
display if Hospira MedNetTM
Software has been enabled.
3. Select NEXT> to display more
change options.
MORPHINE PF
1 mg/mL
PAUSED
PCA+CONT
LOCK DOOR
TO BEGIN
LOADING DOSE
CHANGE RX
CLEAR SHIFT
CHANGE CCA
MORPHINE PF
1 mg/mL
SELECT
SETTINGTO CHANGE
MODE
PCA DOSE
CONT. RATE
NEXT
SAVE & EXIT
430-04685-001 (Rev. 7/05)
5 - 26
Select Mode
MORPHINE PF
1 mg/mL
4. Select DOSE LIMIT>.
SELECT SETTING
TO CHANGE
LOCKOUT
DOSE LIMIT
NEXT
SAVE & EXIT
MORPHINE PF
1 mg/mL
SET A DOSE
LIMIT?
YES
NO
PREVIOUS
MORPHINE PF
1 mg/mL
CONFIRM NO
DOSE LIMIT?
5. Set a specific dose limit by
selecting YES> then advance to
the DOSE LIMIT ENTER VALUE
SCREEN.
Or, select NO> to choose NO DOSE LIMIT.
No Dose Limit will be selected for this
example.
6. Select CONFIRM> to verify the NO
DOSE LIMIT selection. Or, select
PREVIOUS> to return to the
preceding screen.
CONFIRM
PREVIOUS
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
7. Press SAVE & EXIT> at the next
screen. This will bring up the
REVIEW/CONFIRMATION SCREEN.
5 - 27
MORPHINE PF
1 mg/mL
SELECT
SETTINGTO CHANGE
LOCKOUT
DOSE LIMIT
NEXT
SAVE & EXIT
8. Press CONFIRM> to accept a new
program.
MORPHINEPF
1 mg/mL
PCA ONLY
PCA DOSE
LOCKOUT
2 mg
10 min
4HOUR LIMIT
NO
CONFIRM
PREVIOUS
430-04685-001 (Rev. 7/05)
5 - 28
Select Mode
5.7 Clearing the History and/or Rx Settings
„ New
Patient?
Yes
No
MORPHINE PF
1 mg/mL
CONFIRM
1 mg/mL
MORPHINE PF
TO RX
REMOVE VIAL
IF NOT CORRECT
1. To clear the HISTORY AND RX settings
turn the infuser [OFF] and [ON] again
to get to the NEW PATIENT Screen.
2.
Press Yes> and HISTORY AND RX
settings are cleared.
NOTE: The NEW PATIENT SCREEN
appears if the infuser has been off
for 4 hours or less. HISTORY AND RX
are automatically cleared and the
NEW PATIENT SCREEN is not
displayed.
3. Select CONFIRM> to accept the
inserted drug, or remove the vial if
it is not correct.
CONFIRM
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 29
5.8 Using Review/Confirmation Screens
Prior to locking the infuser and
removing the key, a REVIEW/
CONFIRMATION SCREEN appears as
shown below. As determined by the
programmed mode of delivery, the
screen displays the current settings for
the applicable parameters (including
PCA Dose, Lockout Interval,
Continuous Rate, and Dose Limit).
MORPHINE PF
1 mg/mL
PCA+CONT
PCA DOSE
2 mg
LOCKOUT
10 min
CONT. RATE
2 mg/hr
4 HOUR LIMIT
40 mg
CONFIRM
PREVIOUS
•
Clinicians should review each programmed parameter and ensure that
the displayed program agrees with
the physician’s order.
•
If all of the programmed parameters AGREE with the physician’s
order, the clinician accepts the settings by selecting CONFIRM>.
•
If one or more of the programmed parameters do not agree with the
physician’s order, the clinician should select PREVIOUS> until the
incorrectly programmed parameter(s) is displayed. Depending on
the incorrect parameter(s), the programmed values may be
changed by either entering the new value by using the numeric keypad and pressing [ENTER] or selecting the new setting using the
appropriate SOFTKEY>. Once the appropriate parameters have been
changed, the REVIEW/CONFIRMATION SCREEN will be presented
again. The clinician should review each setting to ensure agreement
with the physician’s order.
•
Once CONFIRM> has been selected, the clinician should close and
lock the door.
•
Place the key in a secure location.
•
Upon locking the door, the PCA Infuser is available if the mode is set
on PCA ONLY. If mode is set for PCA + CONTINUOUS or CONTINUOUS, therapy will begin after pressing [START/PAUSE].
430-04685-001 (Rev. 7/05)
5 - 30
Select Mode
5.9 Changing Settings During Setup
During setup, select PREVIOUS> to return to the preceding display
and enter the desired setting. Each time PREVIOUS> is selected,
the message display reverts to the previous setting, until the first
setting is displayed.
STOPPING INFUSION
1. Close slide clamp on the PCA Infuser administration set.
WARNING
Always close slide clamp on the PCA administration
set before removing or replacing the syringe, and
before discontinuing infusion.
2. Unlock door.
3. Or, press
for Continuous or PCA + Continuous.
NOTE: If paused longer than two minutes without
pressing an appropriate key, the infuser alarm will sound.
TURNING THE INFUSER OFF
1. Close slide clamp on PCA administration set.
2. Unlock door.
3. Press
Button
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 31
5.10 Making Changes After Setup
REVIEWING THE CURRENT SETTINGS
Settings may be reviewed while the infuser is running or stopped.
1. Press
HISTORY Button twice.
2. Press EXIT to return to main menu.
Or, select PREVIOUS> to return to the preceding display.
CHANGING SETTINGS
1. Unlock the door while the infuser is
running. The infuser will be
paused.
2. Select CHANGE RX> to change
individual settings.
NOTE: CHANGE CCA> only displays if
Hospira MedNetTM Software has
been enabled.
3. Select the desired field to change
(EXAMPLE PCA DOSE>).
Or, select NEXT> to display more change
options, such as Lockout and Dose
Limit.
NOTE: If the mode of delivery is
changed, the display prompt for
reprograming uses the same steps
outlined in the beginning of this
section.
MORPHINE PF
1 mg/mL
PAUSED
PCA+CONT
LOCK DOOR
TO BEGIN
LOADING DOSE
CHANGE RX
CLEAR SHIFT
CHANGE CCA
MORPHINEPF
1 mg/mL
SELECT
SETTINGTO CHANGE
MODE
PCA DOSE
CONT. RATE
NEXT
SAVE & EXIT
The value previously set for the PCA dose will flash.
430-04685-001 (Rev. 7/05)
5 - 32
Select Mode
MORPHINE PF
1 mg/mL
ENTER
PCA DOSE
THEN PRESS
ENTER BUTTON
4. Enter the desired PCA dose using
the numeric keypad. (The value
range is displayed on the screen.)
If the value is entered incorrectly,
press
0.1 - 5 mg
1 mg
to change value.
5. Then press ENTER .
milligrams
PREVIOUS
MORPHINE
1 mg/mL
SELECT
SETTING TO CHANGE
MODE
If programming changes need to be
made, select PREVIOUS> to return to the
preceding screen.
6. If no settings require change,
confirm by selecting SAVE AND
EXIT>.
PCA DOSE
CONT. RATE
SAVE & EXIT
MORPHINE PF
1 mg/mL
PCA ONLY
PCA DOSE
LOCKOUT
7. Select CONFIRM> to accept the new
program.
1 mg
10 min
4HOUR LIMIT
NO
CONFIRM
PREVIOUS
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 33
CHANGING THE CCA
1. Unlock the door while the infuser is
running. The infuser will pause.
2. Select CHANGE CCA> to change
the setting.
NOTE: CHANGE CCA> will only
display if Hospira MedNetTM
Software has been enabled.
MORPHINE PF
1 mg/mL
CARDIOLOGY
PAUSED
PCA+CONT
LOCK DOOR
TO BEGIN
LOADING DOSE
CHANGE RX
CLEAR SHIFT
CHANGE CCA
WARNING
Changing the CCA clears the RX settings.
3. At the WARNING SCREEN
select CONTINUE>.
MORPHINE PF
1 mg/mL
CARDIOLOGY
WARNING!
CHANGING CCA
WILL CLEAR THE
RX SETTINGS
CONTINUE
PREVIOUS
4. Select new CCA.
SELECT CCA
PACU
MEDSURG
PEDIATRICS
ER
NEXT
430-04685-001 (Rev. 7/05)
5 - 34
Select Mode
5.11 Clearing Shift Totals
1. Review & record shift totals using
HISTORY BUTTON before clearing the shift totals.
the
2. Unlock the door while the infuser is
running. The infuser will be
paused.
MORPHINE PF
1 mg/mL
PAUSED
PCA+CONT
LOCK DOOR
TO BEGIN
LOADING DOSE
CHANGE RX
CLEAR SHIFT
CHANGE CCA
3. Select CLEAR SHIFT> to display the
option to clear the total dose
delivered.
NOTE: CHANGE CCA> will only
display if Hospira MedNetTM
Software was enabled.
4. Select YES> to clear shift totals
and return to the previous screen.
MORPHINE PF
1 mg/mL
CLEAR SHIFT
TOTALS?
YES
NO
NOTE: Selecting YES> clears the
PCA Summary data and total dose
delivered, but does not clear dose
limit data.
5. Or, select NO> to return to previous
screen.
6. Close and the lock door. Place key
in a secure location.
7. Press
to begin therapy. Approximately 10 seconds after
door is locked and
is pressed, the DOOR LOCKED
MESSAGE disappears.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 35
5.12 Changing a Vial
1. The alarm message EMPTY SYRINGE appears along with the
statement REPLACE SYRINGE.
2. Close the slide clamp on the PCA administration set.
NOTE: The screen displays that the infuser is PAUSED.
3. Remove the old vial by firmly grasping the glass vial on both
sides and pulling straight out.
4. Load the new vial as shown before.
(See Loading a Vial on page 4 - 20.)
If a change is detected from the
previous vial or infused drug, the
WARNING! DRUG AND/OR CONCENTRATION
CHANGE DETECTED SCREEN appears.
MORPHINE PF
1 mg/mL
WARNING!
CONCENTRATION
CHANGE
DETECTED!
CONTINUE OR
REMOVE VIAL IF
INCORRECT
CONTINUE
5. Verify vial and Rx. If vial and Rx
is as intended, select CONTINUE>.
Available selections depend on
the previous vial drug and
concentration in the infuser verses
the new vial.
6. Select YES> when Purge is displayed.
WARNING
Disconnect the patient from the PCA set before the
purge cycle.
7. At this point:
a. Disconnect the set from the patient.
b. Release the slide clamp on the PCA administration set.
430-04685-001 (Rev. 7/05)
5 - 36
Select Mode
c. Select & hold the PURGE> key until fluid is seen at the end
of the set and no air remains inside the set.
NOTE: Purging is recommended to remove slack when a new vial is
inserted. The system must be primed before purging. The maximum
volume delivered during a purge is 3 mL.
NOTE: The drug delivered during the purge cycle is NOT stored in
system memory and will not be displayed.
CAUTION: In CONTINUOUS and PCA+CONTINUOUS
Modes, if a purge is not performed after a syringe
change, the infuser automatically performs a small
system compliance step to remove slack when [START]
is pressed (with doors locked). Although fluid is not
normally delivered to the patient during the
compliance step, it is recommended that the set be
disconnected from the patient during this operation.
8. Upon release of the PURGE> Softkey, the prompt asks if the
purge is complete.
a. Select YES> to continue, or select NO> to purge again un
complete.
b. Reconnect the set to the patient.
c. The CONFIRMATION Screen appears.
d. Review the entered parameters, and if they are correct,
select CONFIRM>.
9. Close and lock the door to begin infusion. Press the
BUTTON if the infuser is in the Continuous or
PCA + Continuous Mode.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 37
5.13 Adding a Supplemental Loading Dose
1. Unlock the door the infuser will
pause.
2. Select LOADING DOSE>.
MORPHINE PF
1 mg/mL
PAUSED
PCA+CONT
LOCK DOOR
TO BEGIN
NOTE: CHANGE CCA> will only
display if Hospira MedNetTM
Software has been enabled.
LOADING DOSE
3. Enter a Loading Dose within the
displayed range.
MORPHINE PF
1 mg/mL
CHANGE RX
CLEAR SHIFT
CHANGE CCA
ENTER
LOADING DOSE
THEN PRESS
ENTER BUTTON
0.1 - 10 mg
4. Then press ENTER .
2.5 mg
milligrams
PREVIOUS
5. Press
dose.
to infuse the loading
MORPHINE PF
1 mg/mL
NOTE: The loading dose may be
halted at any time by pressing
[START/PAUSE].
PRESS
START BUTTON
TO INFUSE
2.5 mg
LOADING DOSE
6. Close and lock the door.
PREVIOUS
430-04685-001 (Rev. 7/05)
5 - 38
Select Mode
5.14 Checking History & Settings
NOTE: Program may be reviewed at any time by
pressing the HISTORY BUTTON
1. To Check History or settings, press
PRESS HISTORY
OR ENTER
BUTTON TO
SCROLL
THROUGH
HISTORY
PRINT HISTORY
MORPHINE PF
1 mg/mL
PCA+CONT
PCA DOSE
LOCKOUT
0.5 mg
5 min
CONT. RATE
10 mg/hr
4 HOUR LIMIT
NO
MORE...
PREVIOUS
BUTTON
at any time.
2. Press
or ENTER BUTTON to
scroll through history. Or select
PRINT HISTORY> to print (if connected
to printer).
The Print History option does not
appear when Hospira MedNetTM
Software is enabled.
3. Press
or ENTER BUTTON a
second time for more information.
When MORE is displayed, more
information is stored in infuser history.
NOTE: Partial boluses can be the
result of interrupting delivery by
pressing [START/STOP] (PCA +
Count.), opening the door (PCA
Only), loss of power, reaching the
dose limit, emptying the vial, or a
malfunction alarm.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
4. Continue to press
or ENTER
BUTTON for more information such
as:
5 - 39
TIME : 8:04 PM
DATE : 01/15/01
S/N:12920191
DELIVERED:
LOADING DOSE
2 mg
4 HOUR DOSE
2 mg
TOTAL DEL.
2 mg
MORE...
•
Last one hour information if
configured
•
Last 24-Hour information if
configured
•
Current settings
•
Total drug delivered toward the
dose limit
•
Event Log
PREVIOUS
The Event Log shows all events since
the last Clear History. Up to 400
events are shown.
5. Press
EXIT
to return to the MAIN DELIVERY SCREEN.
6. Close and lock door. Press [START/PAUSE] if in Continuous or
PCA+Continous mode.
430-04685-001 (Rev. 7/05)
5 - 40
Select Mode
5.15 History and Event Log
The infuser stores data on therapy settings, quantity and/or
number of doses delivered, and has the capacity of recording up
to 20,000 events. The PCA Infuser displays a chronological
record of 400 of the most recent events occurring during infusion
by pressing the [HISTORY] Button. These events include: PCA doses
requested, the amount delivered, the change of any settings, the
opening or closing of the security door, start or stop of continuous
infusion, and alarm conditions (For more information see Data
Retention on page 4 - 16).
Pressing the [HISTORY] Button displays this data on the LCD.
Pressing PRINT HISTORY> generates a hard copy printout of the
data.
When the infuser is configured with the HOUR-BY-HOUR history
format, the number of PCA injections, partial doses, and patient
demands occurring in each one-hour period during the last 24
hours may be displayed or printed. Only the one-hour periods
with PCA activity are displayed and printed. When the infuser is
configured for the LAST 1 & 24 HOUR history format, PCA
activity totals in the last hour and in the last 24 hours are
displayed and printed.
Note: The HOUR-BY-HOUR and the LAST 1 & 24 HOUR history
totals represent a dynamic summation of past delivery of drugs
and events. Data is accumulated in 10 minute time slots. At any
given time, the last 10 minute time slot may represent anywhere
from 0 to 10 minutes of data. The hour and 24-hour periods are
approximate only and may, in fact, represent as small as 50
minutes of data for the LAST HOUR total and 23 hours 50
minutes for the LAST 24 HOUR total.
Note: PCA requested doses (patient demands) as recorded in
the history display and event log may not reflect the total number
of demands. (Maximum of 100 patient demands per 10 minute
interval.)
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
5 - 41
Note: Events occurring while printing is in progress are stored in
memory, but not included in the current printout.
Note: If the lithium battery, the micro-controller unit, or the
electronics assembly have been replaced, the serial number will
NOT display on printouts.
See the following pages for a sample history printout (in the
PCA+CONTINUOUS Mode).
430-04685-001 (Rev. 7/05)
5 - 42
430-04685-001 (Rev. 7/05)
Select Mode
LifeCare PCA Infusion System
5 - 43
430-04685-001 (Rev. 7/05)
5 - 44
430-04685-001 (Rev. 7/05)
Select Mode
LifeCare PCA Infusion System
5 - 45
430-04685-001 (Rev. 7/05)
5 - 46
430-04685-001 (Rev. 7/05)
Select Mode
LifeCare PCA Infusion System
6-1
Section 6
Advanced Programming
with Hospira MedNetTM
Software
The following topics are addressed in this section:
•
•
•
•
•
•
Guided Start-up Using Hospira MedNet TM Software
Select CCA
Soft Limit Override
Hard Limit Violation
Important Symbols
Autoprogramming
430-04685-001 (Rev. 7/05)
6-2
Advanced Programming with Hospira MedNetTMSoftware
6.1 Guided Start-up Using
Hospira MedNet TM Software
User Defined Drug Libraries are developed by hospital personnel
in conjunction with the pharmacy using Hospira MedNetTM
Software.
User Defined Drug Libraries allow hospitals to customize drugs in
the library with preselected upper and lower delivery limits to
ensure patient safety.
Hospira/Abbott prefilled bar coded PCA Vials and custom vials
(with pharmacy-generated bar codes) may be used with the
Hospira MedNetTM Software. For instructions on how to produce
pharmacy-generated bar codes see Appendix A on page A- 1.
LifeCare PCA
SELF TEST
1. Press
BUTTON, or load drug vial
into cradle to power infuser [ON].
See Loading a Vial on page 4- 21.
Upon initial start-up, the self-test
begins. It may take several
seconds for the Hospira logo to
appear on the screen.
This screen is followed by another
screen displaying self-test information
that includes the following: time, date,
software version and copyright data. During the self-test, the
infuser reads the bar code label.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
2. Select CONTINUE> to advance to
the next screen.
6-3
LifeCare PCA
SELF TEST
COMPLETE
RAM . . . . . OK
FLASH . . . OK
CPU ID . . . OK
CPU . . . . . OK
TIMER . . . .OK
SYSTEM
SETTINGS
CONTINUE
3. The NEW PATIENT SCREEN appears if
the infuser has been off for 4 hours
or less. Select YES> or NO>.
4. If NO> is selected, the History and
Rx settings are kept. If YES> is
selected, the History and Rx
settings are cleared.
New
Patient?
Yes
No
5. Select CONFIRM> to accept the
inserted drug, or remove the vial if
it is not correct.
MORPHINE PF
1 mg/mL
CONFIRM
1 mg/mL
MORPHINE PF
TO RX
REMOVE VIAL
IF NOT CORRECT
CONFIRM
430-04685-001 (Rev. 7/05)
6-4
Advanced Programming with Hospira MedNetTMSoftware
SELECT CCA
PACU
ONCOLOGY
ER
PEDIATRIC
NEXT
MORPHINE PF
1 mg/mL
PURGE?
PURGING
RECOMENDED
6. Select the softkey next to the
desired CCA. (example PACU)
If only one CCA has been created, that
CCA becomes the default CCA, and
this screen is skipped.
If the desired CCA is not displayed,
select NEXT> to view more options.
7. Select either YES> or NO> to purge
the system.
See Purging the System on page 4- 30
for more information.
YES
NO
MORPHINE PF
1 mg/mL
DISCONNECT
SET FROM
PATIENT
PRESS AND HOLD
PURGE KEY
8. If YES> is selected, disconnect the
set from the patient, and press and
hold the PURGE> Softkey.
While purging is occurring, the word
PURGING is displayed.
PURGE
PREVIOUS
NOTE: Purging is recommended to
remove system slack when a new
vial is inserted. The maximum
volume delivered during a purge is
3mL.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
Upon release of the PURGE> Softkey,
the display asks if the purge is
complete.
9.
Select YES> to continue, or select
NO> to purge again until complete.
10. After purging is complete,
reconnect set to patient.
6-5
MORPHINE PF
1 mg/mL
PURGE
COMPLETE?
YES
NO
11. Set Loading Dose (if desired) by
selecting YES>.
See Loading Dose on page 4- 32
MORPHINE PF
1 mg/mL
PACU
SET LOADING
DOSE?
for more information.
YES
NO
Enter a Loading Dose within the
displayed range.
12. Then press ENTER .
MORPHINE PF
1 mg/mL
PACU
ENTER
LOADING DOSE
THEN PRESS
ENTER BUTTON
2 mg
milligrams
PREVIOUS
430-04685-001 (Rev. 7/05)
6-6
Advanced Programming with Hospira MedNetTMSoftware
MORPHINE PF
1 mg/mL
PACU
DELIVER
LOADING DOSE
NOW?
YES
13. The DELIVER LOADING DOSE NOW
SCREEN allows the option of
delivering the loading dose now
or after the programming is
complete.
DELIVER LATER
MORPHINE PF
1 mg/mL
PACU
PRESS
START BUTTON
TO INFUSE
2 mg
LOADING DOSE
PREVIOUS
14. If YES> was selected, press
to infuse the programmed
Loading Dose.
NOTE: The LOADING DOSE Mode
is the only mode that the infuser
will deliver with the door
unlocked.
WARNING
Always monitor the infuser when delivering medication
with the door unlocked.
15. If the DELIVER LATER option is desired, the screen advances
to the SELECT DELIVERY MODE SCREEN.
See Modes of Delivery on page 5- 2 for more information.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
16. The screen displays the amount of
analgesic delivered as it infuses.
The bottom of the screen displays
text confirming that the Loading
Dose is being delivered. Upon
completion, the red LED (above
the LCD) displays the amount
delivered.
17. The SELECT MODE SCREEN
appears. See Modes of Delivery
on page 5- 2 for more information.
6-7
MORPHINE PF
1 mg/mL
PACU
PRESS
PAUSE BUTTON
TO STOP
2 mg
milligrams
INFUSING
LOADING DOSE
MORPHINE PF
1 mg/mL
PACU
SELECT
DELIVERY MODE
PCA ONLY
PCA + CONT.
CONTINUOUS
PROTOCOLS
PREVIOUS
430-04685-001 (Rev. 7/05)
6-8
Advanced Programming with Hospira MedNetTMSoftware
6.2 Select CCA
SELECT CCA
The SELECT CCA SCREEN displays if a
user-defined drug library is installed
with more than one CCA. Select the
option appropriate for the patient.
PACU
MEDSURG
PEDIATRICS
ER
NEXT
If there is only one CCA, this screen
will not display.
NOTE: The prior CCA flashes.
NOTE: If the wrong CCA is
unintentionally chosen, turn the
Infuser off, then on, and select the
correct CCA.
NOTE: When using the Protocol
feature be aware that the Protocol numbers are unique
to each Clinical Care Area. For example, the protocol for
Morphine PF 1mg/mL concentration for PCA + Cont.
delivery with a PCA dose of 1mg and continuous rate of
0.5mg may be assigned protocol No. 1 in the Surgical
CCA and No. 6 in the Medical CCA.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
6-9
6.3 Updating the Drug Library
When the user presses OFF to shut the
Infuser down, if a new user-defined
drug library is available for installation
the infuser will display the NEW DRUG
LIBRARY AVAILABLE SCREEN.
Select [No] to skip the installation and
continue using the current library. The
infuser will power off.
NEW DRUG
LIBRARY
AVAILABLE
INSTALL NOW?
YES
NO
or
Select [Yes] to begin the installing the
new drug library.
The Drug Library Installation Screen
will flash the words In Progress on the
screen.
DRUGLIBRARY
INSTALL
IN PROGRESS
CAUTION: When a new drug library is installing, ensure
the AC power cord is plugged in until the process is
complete.
430-04685-001 (Rev. 7/05)
6 - 10
Advanced Programming with Hospira MedNetTMSoftware
DRUGLIBRARY
INSTALL
SUCCESSFUL
SHUTTING
DOWN
UNABLE TO
INSTALL
DRUG LIBRARY
The infuser displays the DRUG LIBRARY
INSTALL SUCCESSFUL SCREEN after the
libray has been installed successfully.
The infuser will power off automatically.
If the Drug Library is not installed within
15 minutes or if it fails to install, the
Infuser displays the UNABLE TO INSTALL
DRUG LIBRARY SCREEN, and the infuser
will power off automatically.
The previous library will be active when
the infuser is re-started.
SHUTTING
DOWN
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
6 - 11
6.4 Soft Limit Override
When entering parameters, if a soft
limit is exceeded, a soft limit override
screen is displayed.
1. Review display for the exceeded
parameter.
2. Select CONFIRM> to override the
programmed soft limit, or select
change to correct the parameter.
MORPHINE PF
1 mg/mL
PCA DOSE
6 mg
IS OVER
5 mg
LIMIT
CONFIRM
OVERIDES
CONFIRM
CHANGE
All soft limit overrides made during
programming are indicated on the
INFUSION SCREEN with an appropriate
upper or lower limit arrow. See Important Symbols
for details.
on page 6- 12
6.5 Hard Limit Violation
When entering parameters, if a
hard limit is exceeded, a HARD
LIMIT VIOLATION SCREEN is
displayed. Hard limits cannot be
overridden. The only way to
continue is to select CHANGE> to
change the parameter.
MORPHINE PF
1 mg/mL
PACU
PCA DOSE
NOT
ALLOWED FOR
MED AND CCA
MAX ALLOWED =
8 mg
CHANGE
430-04685-001 (Rev. 7/05)
6 - 12
Advanced Programming with Hospira MedNetTMSoftware
6.6 Important Symbols
NO RULE SETS
The Cautionary Symbol
is displayed on the infusion screen to advise
the user to program with caution
because the established rule set does
not have any soft or hard safety limits.
SOFT LIMIT OVERRIDE
The upper
and lower
Soft Limit
Override symbols are displayed on the
infusion screen to inform the user that
one or more soft limits have been
overridden.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
6 - 13
WIRELESS
The Wireless
symbol is displayed
to inform the user that the PCA Infuser
has an active connection to the
wireless network.
PACU
WAITING FOR
AUTO PROGRAM
The wireless icon is only displayed on
the Waiting for Autoprogram SCREEN.
MANUAL
PROGRAM
This symbol indicates that the PCA
Infuser is connected to the wireless
network. It does not indicate if data is
currently being sent or received. The
Waiting for Autoprogram Message will flash on the screen.
430-04685-001 (Rev. 7/05)
6 - 14
Advanced Programming with Hospira MedNetTMSoftware
6.7 Autoprogramming
Autoprogramming is a new feature for Hospira PCA infusion
pumps. It can only be used if the feature has been installed in
conjunction with your Hospital Information System (HIS) and Bar
code Point-of-Care (BPOC) Unit. It works by scanning bar code
labels for the patient and infuser using a BPOC hand-held unit.
This information is then transferred to the infuser utilizing either
its 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 autoprogram
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 needs to be rechecked. The pump allows the
clinician to change soft limits by changing the value when
the SOFT LIMIT VIOLATION SCREEN appears.
1.
Power On the pump by pressing ON/OFF.
2. After the CCA has been selected, the pump is ready for
autoprogramming.
3. Scan the patient wristband to pull up the patient’s task list on
the BPOC hand-held unit.
4. Choose the IV task as displayed on the BPOC unit.
NOTE: If the scanned medication does not exist in the
Hospira MedNetTM Software, Rx Rules medication
library, an invalid barcode alarm will be activated. The
programming screen is auto-filled.
5. Verify ALL parameters. If changes are desired, select
CHG SETTINGS>. Otherwise, if the Rx settings are
correct, select CONFIRM>.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
6 - 15
6. Verify that the Loading Dose setting is correct. To change
the Loading Dose value, select CHG SETTINGS>.
Otherwise, if the Loading Dose value is correct, select
CONFIRM>.
7. To deliver Loading Dose and begin the program, select
YES> on the LOADING DOSE NOT GIVEN SCREEN. To cancel
the Loading Dose and just start the program, select
CANCEL>.
8. Close and lock the door. Press [START] to begin program.
430-04685-001 (Rev. 7/05)
6 - 16
Advanced Programming with Hospira MedNetTMSoftware
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
Section 7
7-1
Troubleshooting
The PCA Infuser is programmed to display status and alarm
messages and to sound an audible tone for most alarm
conditions. These messages and alarm conditions are described
in the following sections:
•
•
•
•
•
Status Messages
Infuser Alarm System
Silencing an Alarm
Alarms and Messages
Infuser Stalling
430-04685-001 (Rev. 7/05)
7-2
Troubleshooting
7.1 Status Messages
Displayed status messages are defined in the following table:
MESSAGE
DEFINITION
DOOR
LOCKED
Message indicates the security door is closed
and locked. It displays for 10 seconds and
disappears.
PCA
LOCKOUT
Message appears only in the PCA or
PCA+CONTINUOUS Mode. The message
remains until the lockout interval elapses and
is displayed after a successful patientoriginated dose delivery.
4 (1) HR LIMIT
REACHED
Message displayed if 4 (or 1) hour dose limit
has been selected and reached with security
door locked without Hospira MedNetTM
Software enabled.
Message displayed if 1, 4, 6, 8, 12, hour dose
limit has been selected and reached with
security door locked with Hospira MedNetTM
Software enabled.
PCA
AVAILABLE
Message indicates patient can initiate a dose
in PCA or PCA+CONTINUOUS Mode.
PCA
Message displayed when infuser is in PCA
Mode.
CONTINUOUS
Message displayed when infuser is in
CONTINUOUS Mode.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
7-3
MESSAGE
DEFINITION
PCA+CONT.
Message displayed when infuser is in
PCA+CONTINUOUS Mode.
PAUSED
Message displayed when infuser is stopped,
but door is locked. Or, if door is opened.
430-04685-001 (Rev. 7/05)
7-4
Troubleshooting
7.2 Infuser Alarm System
During an Alarm condition, the system performs the following
actions:
•
The current display message is saved to the event log.
•
A flashing alarm message appears on the display (See
Alarms and Messages on page 7-6).
•
A repetitive, audible tone sounds with all MALFUNCTION alarms
except PENDANT FAULT, which is a single tone with continuous
visual flashing. The audible tone volume is adjustable to low,
medium, or high by accessing system settings during self-test
at Start-up. It can also be accessed by pressing [SILENCE/VOLUME]
when infuser is in RUN Mode. Select desired volume of alarm,
then press SAVE AND EXIT> Softkey.
NOTE: The infuser stops delivery when any of following
alarms occur: CHECK INJECTOR, CHECK VIAL, CHECK SYRINGE,
EMPTY SYRINGE, OCCLUSION, DEAD BATTERY or MALFUNCTION.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
7-5
7.3 Silencing an Alarm
To silence an alarm, press the [SILENCE] key, then follow the
displayed messages. All alarms except the MALFUNCTION, CHECK
VIAL, CHECK INJECTOR, and CHECK SYRINGE, can be muted.
Clear the cause of the alarm, if possible, and press the [START/PAUSE]
key to resume operation for Continuous or PCA + Continuous
Modes. The original display message will be restored.
NOTE: If the MALFUNCTION alarm sounds, press the [ON/
OFF] key to turn the infuser off. Turn the infuser on. If the
malfunction repeats, remove infuser from service. Refer
infuser to the hospital’s technical support or contact
Hospira Technical Support Operations.
NOTE: In the event two or more alarms conditions
simultaneously occur, the alarm with shortest muting
period will take priority and be displayed first.
If the alarm is muted and a second alarm condition occurs during
the muting period, an audible alarm signaling the new condition
will immediately occur.
NOTE: Alarm cadence can be configured for different
sounds to differentiate between infusers in the Biomed
Mode or by Hospira MedNetTM software.
430-04685-001 (Rev. 7/05)
7-6
Troubleshooting
7.4 Alarms and Messages
MUTING
TIMES
POSSIBLE
CAUSE
CORRECTIVE
ACTION
Bar code
Not Read
1 minute
Vial not loaded
properly
• Position vial correctly
Check
Settings
1 minute
Door locked
without
appropriate
therapy settings
• Open the door.
Complete settings.
Occlusion
1 minute
Occlusion
detected
• Open security door if
closed. Remove back
pressure by
squeezing and
releasing the cradle
release handles.
Identify and correct
the cause of the
occlusion. Alarm will
self correct.
Check
Syringe
None
Syringe (Vial
and Injector) not
properly loaded
• Close Slide Clamp
Immediately
Injector
detected and
vial not properly
loaded
• Properly insert vial
into holder assembly
or removal of injector
MESSAGE
Check Vial
None
430-04685-001 (Rev. 7/05)
• Clean bar code
reader
window
• Properly insert
syringe into holder
assembly
LifeCare PCA Infusion System
7-7
MUTING
TIMES
POSSIBLE
CAUSE
CORRECTIVE
ACTION
Check
Injector
None
Vial is detected
and injector not
properly loaded
• Properly insert
injector into holder
assembly or removal
of vial
Decimal
Point Not
Allowed!
N/A
Attempting to
select the
decimal point
button when
programming in
micrograms
(mcg).
• Press [Clear] and
enter valid whole
number.
Empty
Syringe
15
minutes
Empty vial
detected
• Press [Silence] to
silence the alarm.
Unlock and open the
security door and
squeeze and release
handles in order to
replace vial. May turn
infuser OFF while
preparing new vial.
Door Open
N/A
Door left open
or unlocked for
more than 2
minutes
• Close door and Lock
Infuser
Paused
minutes
Infusion paused
for more than 2
minutes
• Press [START/PAUSE]
key again, or unlock
door
Low Battery
10
minutes
Battery life has
less than thirty
minutes
remaining and is
currently
operating on
battery power
• Apply AC power.
failure to connect to
AC power may cause
battery damage.
MESSAGE
430-04685-001 (Rev. 7/05)
7-8
Troubleshooting
MUTING
TIMES
POSSIBLE
CAUSE
CORRECTIVE
ACTION
Dead
Battery
None
Battery life has
expired
• Apply AC power
Pendant
Fault - O
Visible
Flashing
Occurs
Pendant not
secured into
port
• Secure pendant into
port
MESSAGE
Faulty
Connection or
pendant
Partial Pendant
press
Using PCA Plus
II Patient
Pendant
(white handle)
• Replace pendant or
infuser
• Release pendant
button
• Confirm use of PCA
Patient Pendant
(blue handle)
Pendant
Fault - S
Visible
Flashing
Occurs
Electrical Short
in pendant
• Replace pendant
Check PCA
Infuser Set
to Relieve
Pressure
None
Pressure in line
possible
occlussion and
vial stiction
• Verify proper
placement of injector
430-04685-001 (Rev. 7/05)
• Removal of vial and/
or manual purge of
vial and re-insert vial.
LifeCare PCA Infusion System
7-9
7.5 Infuser Stalling
If Hospira MedNetTM Software is enabled and the infuser stalls or
suspends communication with an external devices, such as the
MMU, for an inordinate amount of time, discontinue use and send
the infuser to the Biomed Department for restarting.
430-04685-001 (Rev. 7/05)
7 - 10
430-04685-001 (Rev. 7/05)
Troubleshooting
LifeCare PCA Infusion System
Section 8
8-1
Maintenance
The following topics are addressed in this section:
•
•
•
•
Infuser Storage
Cleaning and Sanitizing
Battery Maintenance
Service
‘430-04685-001 (Rev. 7/05)
8- 2
Maintenance
8.1 Infuser Storage
To prolong the life of the PCA Infuser, observe the following
storage precautions:
•
Store away from excessive heat, cold, and, humidity
•
Store the PCA Infuser connected to AC (mains) power
•
Switch off using the [ON/OFF] key
8.2 Cleaning and Sanitizing
Establish a routine infuser cleaning schedule to keep it
contamination free.
CAUTION: Always check that the bar code reader
window is clean. Blood, fingerprints, condensation,
and other elements may obstruct the view of the bar
code reader. Elements on the window (other than
scratches) can be cleaned by using one of the
recommended cleaning solutions in this section.
CAUTION: To avoid mechanical or electronic
damage, do not immerse the PCA Infuser in any fluids
or cleaning solutions.
CAUTION: Some cleaning and sanitizing
compounds may slowly degrade components made
from some plastic materials. Do not use compounds
containing combinations of isopropyl alcohol and
dimethyl benzyl ammonium chloride.
CAUTION: Do not sterilize by heat, steam, ethylene
oxide (ETO), or radiation. Apply disinfectants to the
outside surface of the infuser only. Using abrasive
cleaners or cleaning solutions not recommended by
Hospira may result in product damage.
CAUTION:
To avoid infuser damage, cleaning
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
8-3
solutions should only be used as directed. The
disinfecting properties of cleaning solutions vary;
consult the manufacturer for specific information.
CAUTION: Never use sharp objects such as
fingernails, paper clips, or needles to clean any part
of the PCA Infuser.
Establish a routine weekly schedule for cleaning the infuser case,
front panel, and patient pendant. To clean, proceed as follows:
Turn the PCA Infuser off with the [ON/OFF] switch, then disconnect
from AC power.
The exposed surfaces of the PCA Infuser 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.
Cleaning
Solution
Manufacturer
Preparation
Manu-Klenz®
Calgon Vestal
Laboratories
Per manufacturer's
recommendation
Formula C TM
Diversey
Corporation
Per manufacturer's
recommendation
CoverageTMHBV
Steris Corporation,
A division of
Calgon Vestal
Laboratories
Per manufacturer's
recommendation
Sporicidin®
Sporicidin
International
Per manufacturer's
recommendation
Dispatch®
Caltech Industries
Per manufacturer's
recommendation
Precise®
Caltech Industries
Per manufacturer's
recommendation
‘430-04685-001 (Rev. 7/05)
8- 4
Maintenance
Cleaning
Solution
Manufacturer
Preparation
Household bleach
Various
Per hospital
procedures; do not
exceed one part
bleach in ten parts
water
On a routine basis, clean all of the elements behind the syringe
door using cotton-tipped swabs saturated with cleaning solution.
The door may be unlatched from the door handle to facilitate
cleaning.
WARNING
Failure to clean infuser’s outside surfaces after
patient use may spread infection. Please follow
hospital infection protocols by cleaning the infuser for
infection control.
No other routine maintenance is required; the infuser has no
other user serviceable parts. All service must be carried out by
Hospira qualified technical personnel. A technical service manual
may be ordered from Hospira Technical Service.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
8-5
8.3 Battery Maintenance
WARNING
Disconnect the AC power cord from AC supply before
removing the battery door.
CAUTION: Do not operate the PCA Infuser on
patients with the battery removed. Use of a properly
maintained and charged battery helps ensure proper
operation.
CAUTION: If the low-battery alarm sounds, connect
the PCA Infuser to AC (mains) power immediately.
The PCA Infuser is battery powered for emergency backup and
temporary portable operation. A fully charged, conditioned
battery provides 2.5 hours of continuous operation from start to
low battery alarm, and will deliver at least 30 mL of solution.
The battery charges whenever the PCA Infuser is connected to
AC (mains) power. If the PCA Infuser is switched off, a recharge
takes approximately 16 hours. The recharge takes longer if the
PCA 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 PCA Infuser to AC (mains) power whenever
possible.
‘430-04685-001 (Rev. 7/05)
8- 6
Maintenance
8.4 Service
All servicing or adjustments to the PCA Infuser should be referred
to qualified technical personnel. A technical service manual may
be ordered from the local Hospira sales office.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
Section 9
9-1
Specifications
Administration Sets:
Use only compatible Hospira/Abbott PCA
sets with Integral Anti-Siphon Valve
Atmospheric
Pressure:
0 - 10,000 feet (0 - 3,000m) or equivalent
pressure
Battery:
One sealed, lead-acid, rechargeable 8 V
battery, internal to device. Accessible for
ease of field replacement with colorcoded leads and polarized connector.
Battery Life:
A conditioned battery at full charge should
operate for at least 2.5 hours of
continuous operation before a LOW
BATTERY alarm. The PCA Infuser provides
a LOW BATTERY warning at least 30
minutes prior to shutdown.
Casing:
High-impact plastic
430-04685-001 (Rev. 7/05)
9-2
Delivery Rate:
Specifications
See Section 10 Prescription Delivery
Limits on page 10- 1.
Mode
Delivery Rate
PCA Mode:
Approximately 1 mL in 35
seconds
CONTINUOUS
Mode:
Variable from 0.1 x
concentration (mg/hr or
mcg/hr) to 20 x
concentration (mg/hr or
mcg/hr)
PCA+CONT.
Mode:
Variable from 0.1 x
concentration (mg/hr or
mcg/hr) to 20 x
concentration (mg/hr or
mcg/hr) + PCA dose (mg)
Dimensions:
Approximately 8”W 13”H 6”D, excluding
pole clamp protrusion and power cord
storage.
Drug Concentration
Settings:
See Section 10 Prescription Delivery
Limits on page 10- 1.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
Electrical Safety:
9-3
Meets IEC/EN/UL 60601-1 standards for:
Spec
Description
Class 1:
AC (mains) supply
equipment using protective
earth
Type CF:
Equipment providing a
higher degree of electyric
shock protection
Drip Proof IPX1:
The case is disinfectable
and protected against
dripping water.
Note: Not to be used in the
presence of flammable
anesthesics
Electromagnetic
Interference
(EMI) and Radio
Frequency
Interference
(RFI):
The LifeCare PCA® is
designed to perform in the
typical hospital
environment
A qualified service
technician should verify
performance in any
environment where EMI or
RFI levels are excessive
Electrical Leakage:
Risk current limits meets standard
IEC/EN/UL 60601-1
Fuses:
1.0 A, 250 V, Slow Blowing
Lockout Interval
Range:
5 to 120 minutes in
1- minute increments
Maximum Infusion
Pressure:
45 psig
430-04685-001 (Rev. 7/05)
9-4
Specifications
Maximum
Overinfusion:
The maximum overinfusion under single
fault conditions is 25%
Occlusion Alarm
Pressure:
15 psig ± 5psig
Occlusion Bolus
Volume:
2 mL for fully primed set (max)
Operating
Temperature:
5° to 40° C, 10% - 90% relative humidity
Power Cord:
Hospital-grade AC cord,
10 ft. long, with transparent plug and
retainer plate.
Power
Requirements:
105-130 Volts, 57 - 63 Hz, <50 W
Printer Port:
Maximum nondestruct voltage is 5 V
Recharge:
After discharge to the LOW BATTERY
operative limit, the battery will recharge to
at least 80% of its charge capacity in 16
hours, provided it is plugged into rated AC
power. The infuser will operate on AC
power in the event the battery is open or
shorted.
Self-Discharge:
50% of charge retained for at least one
month when unit is neither plugged-in nor
operating.
Storage
Temperature:
-20° to 60° C, 10% - 90% relative humidity
Weight:
Approximately 10 lbs. with battery
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
9-5
9.1 Stored Occlusion Volume
DELIVERY
RATE
PRESSURE
LIMIT
(Average)b
STORED
VOLUME
(Average)
0.1 mL/hr
12.8 psig
0.92 mL
5 mL/hr
12.6 psig
0.94 mL
20 mL/hr
12.7 psig
0.96 mL
9.2 Time from Occlusion to Alarm
DELIVERY
RATE
PRESSURE
LIMIT
(Average)b
TIME TO
OCCLUDE
(Average)
0.1 mL/hr
12.8 psig
12 hours
5 mL/hr
12.6 psig
11 minutes
20 mL/hr
12.7 psig
3 minutes
9.3 Delivery Rate Accuracy
Delivery accuracy is ± 5% at continuous delivery rates greater
than 1.0 mL/hr. For accuracy data at other flow rates, see the
following typical trumpet curves. The under-delivery that may
occur at rates less than 0.5 mL/hr or bolus volumes less than 0.5
mL may be substantially greater than 5%, and is due primarily to
the variability of friction between the syringe plunger and barrel.
This under delivery may include periods of no delivery.
430-04685-001 (Rev. 7/05)
9-6
Specifications
If multiple, partial PCA doses are delivered, the accumulated total
reflected in the history totals may be more than the sum of the
PCA doses logged in the event log. This is due to the fact that
only a portion of the next 0.1 mg (or 1 mcg) may have been
delivered at the time any of the PCA doses were interrupted. As
these portions accumulate, their combined total may account for
0.1 mg (or 1 mcg).
TRUMPET CURVES
The typical 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.
Refer to the Example on page 9- 6 to read a Trumpet Curve
Graph. 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 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
the nominal rate. The average delivery rate error over the entire
2nd hour was +1.6% (D).
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
9-7
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 may 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 Morphine administered at 5 mL/mg. At
5 minutes, the average drug delivery error would be
within the range of +2.8% and -0.5% of the expected
nominal rate.
430-04685-001 (Rev. 7/05)
9-8
Specifications
9.4 Trumpet Curves
PCA, 0.1 ml/hr, 0 mmHg Delivery Head, 0.9% Saline
Maxima/Minima of 3 Pumps
100.0%
80.0%
60.0%
40.0%
20.0%
0.0%
-20.0%
-40.0%
-60.0%
- -80.0%
100.0%
10
15
20
25
30
Obse r v a t i on I n t e r v a l ( m i n)
PCA, 1 ml/hr, 0 mmHg Delivery Head, 0.9% Saline
Maxima/Minima of 3 Pumps
15.0%
10.0%
5.0%
0.0%
-5.0%
- 10.0%
- 15.0%
10
15
20
25
30
Obse r v a t i o n I nt e r v a l ( m i n )
M ax
Min
M ean
PCA, 5 ml/hr, 0 mmHg Delivery Head 0.9% Saline
Maxima/Minima of 3 Pumps
15.0%
10.0%
5.0%
0.0%
-5.0%
- 10.0%
- 15.0%
10
15
20
25
Obse r v a t i o n I nt e r v a l ( m i n )
M ax
430-04685-001 (Rev. 7/05)
Min
M ean
30
LifeCare PCA Infusion System
9-9
PCA, 5 ml/hr, -100 mmHg Delivery Head, 0.9% Saline
Maxima/Minima of 3 Pumps
15.0%
10.0%
5.0%
0.0%
- 5.0%
-10.0%
-15.0%
- 20.0%
- 25.0%
10
15
20
25
30
Ob se r v a t i o n I n t e r v a l ( m i n )
Max
Mi n
Mean
PCA, 5 ml/hr, +100 mmHg Delivery Head, 0.9% Saline
Maxima/Minima of 3 Pumps
20.0%
15.0%
10.0%
5.0%
0.0%
-5.0%
- 10.0%
- 15.0%
10
15
20
25
30
Ob se r v a t i o n I n t e r v a l ( m i n )
Max
Mi n
Mean
PCA, 20 ml/hr, 0 mmHg Delivery Head, 0.9% Saline
Maxima/Minima of 3 Pumps
15.0%
10.0%
5.0%
0.0%
-5.0%
- 10.0%
- 15.0%
10
15
20
25
30
Ob se r v a t i o n I n t e r v a l ( m i n )
Max
Mi n
Mean
430-04685-001 (Rev. 7/05)
9 - 10
430-04685-001 (Rev. 7/05)
Specifications
LifeCare PCA Infusion System
10 - 1
Section 10
Prescription Delivery Limits
Prescription delivery limits for the loading dose, PCA dose, dose
limit, and continuous delivery rate parameters vary with the drug
and concentration selected. See Table 10.1 on page 10-2 and
Table 10.2 on page 10-3 for listings of the lower and upper limits.
NOTE: Drug and concentration selections are rounded up to
the nearest tenth of a digit for mg/mL values or to the nearest
digit for mcg/mL values. Minimum delivery rate is 0.1 mL/hr
for concentrations between 0.1 and 1 mg/mL.
430-04685-001 (Rev. 7/05)
430-04685-001 (Rev. 7/05)
10
1 -100
0.5-50
1- 50
0.5- 25
0.1-5
PCA dose
(mg)
min- max
1- 200
0.5- 100
0.1-20
Cont. rate
(mg)
min- max
1- 200
0.5- 100
0.1- 20
1 hr limit
(mg)
min- max
1- 800
0.5- 400
0.1- 80
4 hr limit
(mg)
min- max
See current product sales catalog for available drug
Notes: 1Pump will reject values > 999.9 mg
Pump will reject values < 0.1 mg
Lockout interval range is 5 to 120 minutes (increments of 1 minute)
Conc. = Concentration
PF = preservative-free
e HCI
Meperidin
Sulfate
Morphine
0.1-10
Morphine
Sulfate PF
Loading
Dose
(mg)
Conc.
(mg/ mL)
Drug
(Pre-filled
vials)
Table 10.1: PCA Drug And Dose Limits (Pre-Filled Vials)
1 - 999.91
0.5 - 600
0.1 - 120
6 hr limit
(mg)
min- max
1 - 999.91
0.5 - 999.91
0.1 - 240
12 hr limit
(mg)
min- max
10 - 2
Prescription Delivery Limits
Conc. (C)
Range
(units/
mL)
Loading
Dose
min- max
PCA dose
[0.1-10] X C
1 - 100
mcg units
[0.1-5] X C
[0.1-5] X C
[0.1-20] X C
[0.1-20] X C
Cont. rate
(units/hr)
min- max
[0.1-20] X C
[0.1-20] X C
min- max
1 hr limit
[0.1-80] X C
[0.1-80] X C
min- max
4 hr limit
[0.1-10] X C
1 - 500
mcg units
[0.1-5] X C
[0.1-5] X C
[0.1-20] X C1
[0.1-20] X C1
[0.1-20] X C1
[0.1-20] X C1
[0.1-80] X C1
[0.1-80] X C1
See current product sales catalog for available drugs
Notes: 1Pump will reject values > 999.9 mg as well as those > 9999 mcg
Pump will reject values < 0.1 mg as well as those < 1 mcg
Lockout interval range is 5 to 120 minutes (increments of 1 minute)
C = Concentration Value
SEV = sterile empty vial
[0.1-10] X C
0.1 - 50
mg units
Sterile Empty Vial with Pharmacy-Generated Barcode (with Hospira MedNet)
[0.1-10] X C
0.1 - 10
mg units
Sterile Empty Vial (without Hospira MedNet)
Drug
(Custom
vials)
Table 10.2: PCA Drug And Dose Limits (Custom Vials)
[0.1-120] X C1
[0.1-120] X C1
--
--
min- max
6 hr limit
[0.1-240] X C1
[0.1-240] X C1
--
--
min- max
12 hr limit
LifeCare PCA Infusion System
10 - 3
430-04685-001 (Rev. 7/05)
10 - 4
Prescription Delivery Limits
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
A-1
Appendix A
Generating Bar Code Labels
(Hospira MedNetTM Software Enabled)
Hospira recommends that the hospital or pharmacy department
develop clear policies and procedures for the following:
•
Generating Bar Code Labels
•
Applying Labels to Empty Sterile Vials
•
Filling Labeled Empty Sterile Vials
•
Validating Correctly Filled and Labeled Vials
Incorrect labels or filled vials may lead to significant and
potentially fatal adverse events.
The following are general specifications for producing labels
containing pharmacy-generated bar codes for custom drugs.
These labels are adhered on the Hospira/Abbott Sterile Empty
Vials, and should cover the entire existing Sterile Empty Vial bar
code. The proper placement of the pharmacy-generated bar code
label on the Sterile Empty Vial is shown in the Label Diagram on
page A-4. Correct placement of the pharmacy-generated bar
code on the Sterile Empty Vial helps ensure proper reading of the
bar codes by the LifeCare PCA® Infuser.
430-04685-001 (Rev. 7/05)
A-2
Generating Barcode Labels
Equipment:
1. Bar code thermal printer - 300 DPI or higher
2. Bar code label software capable of producing labels
•
ANSI X3.182-1990
•
EAN/UCC Code 128, Code Set C
(numeric characters only)
•
ANSI Grade C or better
•
10 mil (0.010 inches) pitch minium
•
Bar code height is 1 inch
•
18 Characters max
3. Opaque polyester labels, (non-paper labels) which are water
and smudge resistant, are recommended.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
A-3
EXAMPLE OF LABEL LAYOUT & SAMPLE
Example of a pharmacy-generated bar code label on a PCA vial.
The plunger is shown for reference. The human readable label is
on the right side of the vial and is not shown on this illustration.
430-04685-001 (Rev. 7/05)
A-4
Generating Barcode Labels
LABEL DIAGRAM
The label diagram below depicts the area where the bar code
image must be placed within the dimensions shown. The copy
area (length and width must be as specified +/- 1/32”. The center
bar code includes 1/4” quiet zone on each side of the bar code.
The bar code and comodity number must be black on a white
background.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
A-5
The dimensions shown on the previous label diagram represent
Hospira's recommendation for placement of the bar code and
drug name/concentration on a 2"x3" label.
The guidelines ensure the device's integral bar code reader will
align correctly with the bar code on the PCA vial. Your institution
may choose to use a different format for placement of the drug
name and concentration based on your specific hospital
guidelines or size of the label. However, it is recommended that
the system be validated before use.
430-04685-001 (Rev. 7/05)
A-6
Generating Barcode Labels
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
B-1
Appendix B
Network Printer Setup
This section provides information about the printing function.
Equipment needed
•
Infuser
•
Computer meeting the printer setup requirements
•
Network crossover cable
Preparation
•
Connect the crossover cable between the printer
network port and the computer.
•
Plug infuser & printer into AC power
•
Turn on the infuser and printer
Procedure
1. Identify the printer IP settings - refer to printer operating
instructions.
2. Using the printer operating instructions, configure the printer
to match the infuser’s printer network settings: the IP address
is 192.168.0.222 and subnet mask 255.255.0.0
3. Test the installation
Disconnect the crossover cable from the PC and connect it to
the infuser. Power up the infuser and print the history log.
430-04685-001 (Rev. 7/05)
B-2
Network Printer Setup
PRINTING EVENT HISTORY LOG
The history event log can be printed by connecting the
infuser to a network ready printer. Use the previous instructions to configure the printer.
WARNING
Disconnect the infuser from the patient before
connecting the infuser to a printer or computer.
To print from the PCA Infuser, complete the following steps:
1. Load printer with paper.
2. Connect a network crossover cable between the printer and
the infuser.
3. Plug infuser & printer into AC power.
4. Turn-on infuser.
5. Press [History] touch switch to view the history on the display.
6. Press Print HISTORY> Softkey to print history log.
NOTE: After the infuser is turned on to initiate printing,
please allow 2-3 minutes for the infuser to complete startup before attempting to print the event log. If the entire
log is not successfully printed, reprint the log by pressing
the Print HISTORY> Softkey .
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
B-3
DOWNLOADING LOGS TO A PC
Equipment needed
•
•
•
Infuser
PC with Hyper Terminal program
Network crossover cable
Preparation
Connect the crossover cable between the computer and the
infuser. Turn on the infuser and the PC.
Procedure
1. Create a Hyper Terminal connection.
430-04685-001 (Rev. 7/05)
B-4
Network Printer Setup
2. Create a PCA Events connection setting:
3. Establish the connection settings.
•
•
•
Host address is the IP address of the infuser that connected to
the PC.
Port number is 8889 where the infuser will send the events to
the PC.
Connect using TCP/IP protocol.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
B-5
4. The Hyper Terminal program is ready to receive events sent
from the infuser.
5. Printing to a PC.
•
•
To print from the PCA Infuser, complete the following steps:
Press [History] touch switch to view the history on the display.
•
Press Print HISTORY> Softkey to print history log.
430-04685-001 (Rev. 7/05)
B-6
430-04685-001 (Rev. 7/05)
Network Printer Setup
LifeCare PCA Infusion System
Appendix C
C- 1
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 replacement
430-04685-001 (Rev. 7/05)
C- 2
Warranty
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.
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
D-1
Appendix D
Contact Information
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 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 web site at:
WWW.HOSPIRAPARTS.COM
After authorization, ship prepaid product returns to this address:
HOSPIRA
Technical Support Operations
755 Jarvis Drive
Morgan Hill, CA 95037
NOTE: Outside the U.S. contact your local Hospira sales
office.
CAUTION: Federal (USA) law restricts the sale of this
infuser. It can only be procured by the order of a
physician or other licensed practitioner.
The PCA Infuser, Hospira MedNet, LifeShield, and E.L.I. are
trademarks of Hospira. Teflon, Formula C, Manu-Klenz, Super
Edisonite, Coverage, and Sporicidin are not trademarks of
Hospira. Patents Pending.
430-04685-001 (Rev. 7/05)
D-2
430-04685-001 (Rev. 7/05)
US FCC Statement
LifeCare PCA Infusion System
I-1
Index
Softkey 5-25,
Numerics
24-Hour information 5-39
4 HR LIMIT 5-21
4 HR LIMIT REACHED Message
5-21
AC power
1-2
indicator 3-7
Accuracy 1-7
alarm 1-9
system
infuser 1-16
Clear Button 3-5, 4-12
Clear History 5-39
Clear Shift Softkey 5-34
Clinical Care Area 1-7
(CCA) 6-8
clock
2-2
12 hour 4-27
24 hour 4-27
Alert messages 1-6
Alpha Vial 4-9
analgesic 1-3, 2-2
Confirm No Dose Limit Screen
delivered 4-6, 4-14,
package 1-13
4-33, 6-7
anesthetics 1-3
anti-siphon valve 1-13
Autoprogramming 1-7
Confirm Softkey 5-26
Confirmation Screen 4-28, 5-36
Connectivity Engine 1-7
Continuous 1-2, 1-7, 2-2, 5-3, 5-36
infusion 5-3
mode 1-14, 2-2,
rate 5-11, 5-15
1-11
drug vial 1-2
pharmacy-generated
reader 1-2, 1-16
1-2, 4-8, 6-2
1-2, 1-12, 1-15, 1-18
charge 4-17
fault 1-7
indicator 3-7
Biomed Mode 1-2, 5-2, 5-18
bolus 1-7, 2-2, 4-32
doses 1-10
partial 5-38
Button 1-7
battery
CAUTION
message
1-6
CCA 1-7, 1-10, 1-11,
CE 1-7
Change CCA 5-33
6-4, 6-8
430-04685-001 (Rev. 7/05)
5-22,
5-24
bar code
5-31
5-31
Change Rx Softkey
cleaning
5-3
CONTINUOUS ONLY 1-2
custom syringes 1-14
DDL 1-8, 5-21
DECIMAL POINT Button 3-6
Default Drug Library 1-8, 5-21
Defined Drug Library 6-8
Deliver Later Option 4-6, 4-14,
4-33,
6-6
Deliver Loading Dose Now Screen 4-5,
4-13, 6-6
Delivery 1-13
interruption 5-2
Mode Screen 5-5,
Modes 5-21
Parameters 1-10
Screen 1-9
Door Locked Message
5-10
5-8
LifeCare PCA Infusion System
Dose History 1-14, 5-21
Dose Limit 1-8, 1-10, 1-14,
2-1, 5-
2, 5-3, 5-16, 5-21, 5-22
new 5-21
pre-programmed 5-11
Dose Limit Enter Value Screen
5-6, 5-
11, 5-16, 5-22
Dose Limit Periods 5-2, 5-21
DOSE LIMIT REACHED State 5-2
Dose Limit Selection Screen 5-22,
5-
drug concentration 1-11, 1-14, 4-12,
4-32
display
hard limit 1-10,
History 1-8
HOUR-BY-HOUR 5-40
LAST 1 & 24 HOUR 5-40
History and Rx
4-9, 5-28, 6-3
History Button 3-6, 5-31, 5-38, 5-40
History Printout 5-41
Hospira MedNet Software 1-1, 1-2, 5-
2, 5-6, 5-11, 5-16, 5-18, 5-22
HOUR-BY-HOUR history 5-40
HR LIMIT REACHED message 5-3
4-30
drug identification 1-2
Drug Library 1-11
incompatibility
infuse 1-9
Download 1-8
Installation 1-8
1-13
Loading Dose 6-6
infuser
electromagnetic compatibility 1-22
electromagnetic interference 1-20
empty syringe message 5-35
ENTER Button 3-5
epidural 1-3
epidural infusion system 4-19
epidural route 1-17, 2-2
epidural space 1-18
Ethernet
cable 1-21
port 1-2, 3-8
Event History
HOUR-BY-HOUR 5-40
LAST 1 & 24 HOUR 5-40
Event Log 1-8, 5-39
Events recorded 4-17
EXIT Button 3-5
FCC Rules 1-23
flow rate 1-14, 4-30
Front Pannel
3-2
430-04685-001 (Rev. 7/05)
5-30
cleaning 1-16
maintenance 1-16
sets 1-17
equipment description
5-16
settings 4-3,
24
drug delivered
I-2
infusion rate 1-13
infusion therapy 1-10
injector 1-13
keypad controls
1-2
LCD 1-9
LED 1-9, 3-7
Loading Dose
1-9, 1-14, 2-1, 4-5,
4-12, 4-32, 5-5, 5-10, 5-14, 6-5,
6-6
Deliver Later 5-10
displayed range 5-5, 5-10, 5-14
halt 5-37
infuse 4-6, 4-13, 4-33
mode 4-6, 6-6
now 4-33
range 4-5, 4-13, 4-32, 6-5
softkey 5-21
supplemental 2-2, 5-21, 5-37
LifeCare PCA Infusion System
Lockout Interval
1-9, 1-10, 2-2, 5-2,
5-3
value
5-6
PCA + Cont. 6-8
PCA + Continuous
2-2, 5-3, 5-36
5-21
PCA AVAILABLE Message 5-2, 5-3
PCA bolus 5-17
PCA dose 2-2, 5-17
PCA Infusion System 1-1, 1-2
PCA LOCKOUT Message 5-8
PCA Mode 1-10
PCA Only 1-2, 5-2, 5-5
PCA Patient Pendant 3-8
PCA Set 1-10
PCA Vial 1-10
PCA+CONTINUOUS 1-2
Pendant Fault Message 5-8
Prime 1-10, 1-13, 5-36
system 4-30
Print History 5-38
Softkey 5-40
printer connections 1-2
printouts 5-41
procedures 1-13
mode 1-14,
Low Battery Alarm 1-18
Low Battery Message 4-17
Low Priming Volume PCA Set
lower limits 1-10
2-2
Main Delivery Screen. 5-39
malfunction alarm 1-17, 5-2,
Medical Device Directive
5-38
93/42/EEC (EN 55011 Class B 1-20
IEC/EN 60601-1-2
2001 1-20
micrograms 4-12
Modes of Delivery
CONTINUOUS 1-2, 5-2
PCA ONLY 1-2, 5-2
PCA+CONTINUOUS 1-2,
Muting Period
I-3
5-2
1-9
4-3, 4-9, 4-17,
4-29, 5-4, 5-9, 5-13, 5-28, 6-3
Next Protocol Softkey 5-19
No Dose Limit 5-7, 5-26
numeric buttons 3-6
Nurse Call Jack 3-8
New Patient Screen
program values
change 5-29
programmed therapy 1-11
programming features 1-2
Protocols 1-2, 1-11, 5-2,
stored 5-2
purge
1-9
Pressure 1-9
ON/OFF Button 3-5, 6-2
one hour information 5-39
operating parameters 2-1
1-10, 1-13, 5-35, 6-4
complete 4-4
cycle 1-13, 4-30
system 4-30
Occlusion
5-18, 5-
19, 6-8
4-4, 4-10, 4-31, 5-4,
5-9, 5-13, 6-4
Purge Softkey
partial doses 5-2
Patient Pendant 1-2,
Rear Panel
patient pendant
replace syringe message 5-35
Review/Confirmation Screen 5-27,
1-3, 1-4, 1-10,
1-14, 3-8, 4-16, 5-2
5-2
PCA 1-2, 2-1
button
requested doses
equipment description 3-4
5-
29
5-40
RF communications
Rule Set 1-10
1-21
430-04685-001 (Rev. 7/05)
LifeCare PCA Infusion System
Rx Rules 1-11, 5-18
Rx Settings 1-11
safety 1-13
Save & Exit Softkey 5-27
screen message alerts 5-2
Select CCA Screen 6-8
Select Delivery Mode 4-33
Screen
4-6, 4-14, 6-6
Select Mode
PCA + Cont 5-14
PCA Only 5-4
Screen 4-32
1-16, 4-2, 4-8
4-16
set 4-4, 4-10, 4-11, 4-31, 5-4, 510, 5-13, 6-4, 6-5
Set List 1-19
settings 5-30, 5-39
adjust system 5-4, 5-9, 5-13
SILENCE key 1-9
SILENCE/VOLUME button 3-5
slack 1-14, 4-30, 5-36
soft limits 1-10, 5-16
Softkeys 1-11, 3-7
Standard Syringe 1-11
START/PAUSE Button 3-6, 5-3, 5-8
START/STOP Button 5-2
status messages 7-2
stopping infusion 5-30
Stored Protocols 1-11
syringe 1-13, 1-14
change 1-14, 4-30
custom 1-2, 1-8
System Settings 4-23
system slack 4-4, 4-10, 4-30, 6-4
self-test
failures
therapy settings
training
1-11, 5-40
infuser use 1-3
IV complication 1-3
PCA programming 1-3
430-04685-001 (Rev. 7/05)
I-4
units of measure 4-11
unpacking 1-12
upper limits 1-10
User-Defined Drug Library
1-10, 1-
11, 5-2, 5-3, 5-21, 6-2
1-13, 5-2
barcoded 1-2
custom 1-8, 1-10, 4-8, 6-2
custom-filled 1-2
load drug 4-2
PCA 1-10
prefilled 1-2, 1-10, 1-11, 6-2
removal 5-35
standard 1-10
sterile empty 1-2, 1-8
Vial Confirmation Screen 4-28
vial
Vial Cradle
equipment description 3-3
vials
prefilled 1-11
Warning 1-11
warning messages 1-6
Warning! Drug and/or Concentration
Change Detected Screen 5-35

---

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