Graseby 500 & 3000 Infusion Pump User Manual PDF
Graseby 500 & 3000 Infusion Pump User Manual PDF
Graseby 500 & 3000 Infusion Pump User Manual PDF
Model 500
and Micro 505
Vo l u m e t r i c
Infusion
Pump
Instruction
Manual
http://www.graseby.co.uk
Registered in England. Company number 995550
Wa r n i n g s
Warnings tell you about dangerous
conditions, that could lead to death or
serious injury to the user or patient, that
can occur if you do not obey all of the
instructions in this manual.
1.
2.
3.
4.
5.
6.
7.
Vo l u m e t r i c I n f u s i o n P u m p s
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
24.
25.
26.
27.
Cautions
Cautions tell you about dangerous
conditions that can occur and cause damage
to the pump if you do not obey all of the
instructions in this manual.
1.
2.
3.
4.
5.
6.
Vo l u m e t r i c I n f u s i o n P u m p s
Contents
Contents
New features of version 0.71 software .............................................................. v
Chapter 1 - Introduction
Introduction to the 500/505 pumps ............................................................. 1 - 1
Model 500 Volumetric pump ............................................................................... 1 - 1
Micro 505 Volumetric pump ................................................................................ 1 - 1
Epidural administration ...................................................................................... 1 - 2
Pump features .................................................................................................... 1 - 3
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Contents
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Contents
Chapter 3 - Options
Introduction .................................................................................................. 3 - 1
Options available ................................................................................................ 3 - 1
Using options ...................................................................................................... 3 - 2
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iii
Contents
C h a p t e r 4 - Tro u bl e s h o o t i n g
Introduction .................................................................................................. 4 - 1
Whats in this chapter .......................................................................................... 4 - 1
Who should read this chapter ............................................................................ 4 - 1
Specifications/Standards
Specifications .............................................................................................. S - 1
Standards .................................................................................................... S - 9
Trumpet curves ......................................................................................... S - 10
Appendix
Nurse-Call Feature ....................................................................................... A - 1
Index
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Contents
New Options
The new options (and some of the
previous options) can be enabled on the
Technician Menu. This means that they
can appear when appropriate, but can
be disabled if not required. On the
instruction label on the pump, Options
numbered 1 to 8 are the ones that
appeared in previous versions of the
pump software. The additional new
options shown on the label are:
New Menu
KVO Rate
Drug Library to allow selection and
display of a drug label.
New features
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Contents
Safety features
a timeout safety feature has been
added. This means that when
messages are not actioned within
the timeout period, for example
setting a value, the pump reverts to
the previous display.
safety keypad lockout, this feature
is only activated when operating the
pump on AC power. It allows the
user to lockout the keypad after
setting the pump up for use, so that
it can be ready for infusion at a
later time.
Configurable safety features that can be
controlled on the Technician Menu are:
automatic keypad lock after one
minute, to prevent malicious
tampering, and increase patient
safety;
preset rate and VTBI limits, so that
Infusion Rate and Volume to be
vi
Display features
configured parameters are shown on
the Message Display when the pump
is switched on.
Configurable display features that can be
controlled on the Technician Menu are:
the backlight may be activated when
the keypad is touched, or kept on
permanently;
one of 30 preset drug labels may be
selected and viewed as required
during an infusion;
the display of micrograms (when
programming an infusion using
dose-rate calculation) can be shown
as g or mcg;
the time display may include the
suffix GMT, or the suffix can be
suppressed if it is not appropriate.
Servicing features
On the Technician Menu, the pump can
be programmed with a pump ID to suit
the hospital protocol, and a service due
date:
the ID, for example the serial
number of the pump, or an
alphanumeric pump name, is
displayed each time the pump is
turned on;
when a Service Date is set, the date
is displayed each time the pump is
switched on. An alarm sounds when
the date is reached.
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Introduction
Chapter 1
Introduction
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Introduction
Epidural administration
Both the Model 500 and the Micro
505 pumps may be used for epidural
administration.
Anaesthetics
Epidural administration of
anaesthetics is limited to short-term
(not to exceed 96 hours) infusion, with
indwelling catheters specifically
indicated for short-term delivery of
anaesthetic drugs.
Analgesics
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Introduction
Pump features
The main features of the 500 and 505
pumps are listed below:
Safety features
The pumps have been designed with a
high emphasis on safety:
there is an optional automatic
keypad lock which prevents
inadvertent operation and increases
patient safety;
the keypad can also be locked
manually at any time;
a pump may be configured so that
its Infusion Rate and Volume to be
Infused are limited to a suitable
range; this prevents values being
entered accidentally which are
inappropriate for infusions in
particular environments (such as
epidural infusions).
the pumps have indicators that are
lit to show if they are running on
battery or mains;
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Introduction
Display features
Apart from the standard display,
pumps can be configured to show extra
information, either as a standard
message display or by pressing a key to
toggle the display.
Standard displays are:
the volume infused in the current
infusion;
the infusion rate;
the Volume to be Infused in the
remainder of the infusion.
Additionally:
the rate and volume to be infused
displays are automatically adjusted
to make them easy to read in any
light;
the time remaining in the present
infusion may be viewed;
the total volume of fluid delivered to
your patient since the totaliser was
last cleared to be viewed; also
displayed with the total volume is
the total time (hours and minutes)
that the pump has been in use since
the totaliser was last cleared;
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Introduction
Optional features
Some pumps are optionally fitted with
a Nurse-Call Feature which allows a
pump to be connected to a hospital
nurse call system and signal alarms
occurring in the pump.
Note: This feature is not available in
all countries.
Servicing features
The pumps have been designed with a
number of features for Biomedical
engineers:
a Service Due Indicator, allows a
service date to be set, which is
displayed on power-up with an
alarm;
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Introduction
1 6
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Introduction
This chapter introduces the Volumetric
pump. It explains all the terminology
that you should understand, and the
techniques that you use to operate the
pump.
types of infusion
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Programming keys
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Disconnecting modular
connected pumps
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Switching on
To switch on the pump you can do
either of the following:
press the On/Off key
open the front door by lifting the
latch.
Note: If the pump is switched off and
connnected to AC power and the
saftey keypad lockout feature is
active, the pump cannot be switched
on via the keypad, see Safety keypad
lockout, page 2-22.
Pump Identifier
Drug Label
Primary Min Rate and Max Rate
Primary Max VTBI
Self test
After switching on
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Switching off
For safety reasons, the front door must
be properly closed and any infusion
must be on Hold before you switch off
the pump.
2 8
Low battery
When you switch on the pump, and
during operation, the pump warns you
when the battery capacity is low. If you
see the yellow Battery indicator
flashing whilst the pump is infusing,
you should plug the power cord into the
AC mains supply as soon as possible.
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Audio alarm
When the Volumetric pump requires
attention, it uses an audio alarm to
indicate that there is a problem.
Whilst sounding the alarm, it also
displays a message to explain the
problem. A full list of all the alarm
messages, their possible causes and
how to solve the problem is explained
in Chapter 4, Troubleshooting.
This section explains the different
types of alarm sounds made by the
pump.
You may hear three types of alarm from
the Volumetric:
insistent
non-insistent
continuous (backup alarm).
Insistent alarm
This type of alarm indicates that fluid
delivery has stopped, or cannot be
started. It alerts you to a condition that
must be corrected before the infusion
can be started, or continued, for
example if an occlusion is detected.
The insistent audio alarm consists of
three tones: two high-pitched and one
low-pitched, repeated at two-second
intervals.
2 10
Non-insistent alarm
This type of alarm alerts you to a
condition that needs attention, but has
not caused the infusion to stop. For
example, you hear a non-insistent
alarm if the pump is running on
batteries and the batteries are low, or
if the infusion has switched to a KVO
rate.
The non-insistent audio alarm consists
of two tones, one high-pitched and one
low-pitched, repeated at two-second
intervals. To silence this type of alarm:
press the Silence or Run key to
silence the alarm without stopping
fluid delivery;
press the Hold key to silence the
alarm and stop fluid delivery.
Note: In Quiet Pump mode, there is no
audio alert for certain non-insistent
alarms. See the next page for more
details.
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Types of infusion
Hospital protocols dictate how the
Primary, Secondary and / or Bolus
features are used, and the pump should
be configured to conform with these
protocols.
This section summarises the typical
use of these features of the pump.
Primary
For a Primary infusion, you set up the
pump to deliver solution from a single
container. This diagram shows an
example of how a pump looks when set
up for a Primary infusion using a
Standard administration set (8C-820)
The pumps Volume to be Infused
Display shows the remaining Volume
to be Infused and on its Message
Display the pump shows the total
infused so far.
For full details on how to set up a
Primary infusion: see Setting up a
Primary Infusion, page 2-16.
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Secondary
Primary
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Max VTBI.
If you have entered a rate which is
outside the set limits, or a VTBI which
is greater than the maximum, when you
press Run you see the message:
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If an occlusion is detected
If an occlusion is detected, the Run
light remains lit, but the Pumping
indicator stops. The pump does not give
an occlusion alarm immediately, but
only alarms if the occlusion pressure
continues to exceed the occlusion
threshold for 10 seconds. This helps to
avoid nuisance occlusions.
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Medium
High
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KVO infusion
If you press Silence to stop the alarm,
the pump continues to infuse at the
KVO (Keep Vein Open) rate. The KVO
rate is shown on the Rate display.
Depending on how the pump is
configured, the KVO rate may be:
the default KVO rate of 3.0 mL/h,
the programmed infusion rate if
that was less than 3.0 mL/h;
the KVO rate specified for this
pump, see Specifying a different KVO
Rate, below.
The Message Display shows KVO, as
well as the combined Primary and KVO
volume infused, for example:
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Bolus
KVO
Rate Taper
Dose-Rate Calculation.
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Primary totals
Whilst a Primary infusion is running,
the Message and Volume to be Infused
Displays show the volumes for the
Primary infusion.
Volume to be Infused
The Volume to be Infused display
counts down to show the remaining
volume to be infused for this infusion,
for example:
Secondary totals
Whilst a Secondary infusion is running,
the Message and Volume to be Infused
Displays show the volumes for the
Secondary infusion.
To view Secondary volumes after
completing a Secondary infusion:
1. Press the Secondary/Bolus key.
2. If the Bolus feature is enabled,
press 1 to choose the Secondary
volume.
Bolus totals
If you have carried out a Bolus infusion,
you can view the volumes as follows:
1. Press the Secondary/Bolus key.
2. Press 3 to choose the Bolus volume.
3. The Message Display shows the
infused volume for the Bolus
infusion as shown in this example:
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Options
Chapter 3
Options
Introduction
This chapter describes the Options that
are available for the Volumetric pump.
Some of the optional features allow the
pump to meet the requirements of
special clinical situations.
The Options available for the
Volumetric pump are listed on the
Start-up instruction label on the side
of the pump. If your pump does not
display the Option you require, return
the pump to your Biomedical
Options available
The first options are:
1.
2.
3.
4.
Standard Message
Time Remaining
Message Display Light (Backlight)
Battery Test
Min Rate
Max Rate
Max VTBI
Min S/B Rate
Max S/B Rate
Max S/B VTBI
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Options
Using options
There are two ways to select an Option:
Viewing sequentially
To view each available Option, press
the Options key. Each time you press,
it will take you to the next available
option. After the final option, the next
screen is the Standard Message
Display. If you press the Option key
again at the Standard Message, you
re-display the Options.
Options without a number in the list on
the previous page can only be viewed by
using this method.
Fast Access
To go directly to one of the numbered
items, first press the Options key and
then its number on the numeric keypad,
using the one shown in the list on the
previous page or on the side of the
pump. For example, if you press the
Options key and then numeric key 4
you are taken directly to the option to
test the battery.
If a numbered option has been
disabled, nothing will happen. Press
the Options key again to see the next
available option.
3 2
To leave Options
When you have entered a value or set
an option, use the Options key to move
to the next Option, or start
programming the pump by pressing an
active key, for example, Rate,
Occlusion Alarm Setting or Volume
to be Infused.
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Options
1. Standard Message
The Standard Message refers to the
pumps normally displayed message
when an alternative option is not
selected.
2. Time Remaining
This option displays the time
remaining until completion of the
current infusion.
To use the time remaining display
press the Options key and then press
numeric key 2, or press the Options
key until the Message Display shows:
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Options
Tu r n i n g t h e l i g h t o n a n d o f f
To turn the light on
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Options
4 . B a t t e r y Te s t
The battery is automatically tested as
part of the power on sequence, if the
pump is disconnected from the AC
mains supply when it is switched on.
The Battery Gauge is displayed to
U s i n g t h e B a t t e r y Te s t o p t i o n
The Battery Test option can only be
used if the AC cord is disconnected
from the AC mains supply and the
pump is on Hold.
If the pump is disconnected from the
AC mains supply whilst it is infusing,
it continues to infuse and
automatically switches to use the
internal battery.
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Options
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Options
Pe r fo r m i n g Q u i ck R a t e C h a n g e s
1. Press the Options key and then
press numeric key 5, or press the
Options key until the Rate Change
message appears.
2. Press the * key to begin changing the
rate. The Message Display shows
this screen for 10 seconds.
3. Change the rate:
press the 1 key to decrease the
infusion rate by 1 mL/h, or to
decrease by 0.1 mL/h if the original
rate was set in 10ths mL/h, or
press the 3 key to increase the
infusion rate by 1 mL/h, or to
increase by 0.1 mL/h if the original
rate was set in 10ths mL/h.
4. After 10 seconds the Message
Display changes to show the volume
infused so far. The arrows are
displayed as a reminder that the
Quick Rate Change option is still
selected. You can repeat step 3 as
required.
5. When you have finished with Quick
Rate Change, to exit and redisplay
the Standard Message:
press the Options key to display
this screen, then
press * .
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Options
6 . R a t e Ta p e r
This option, if enabled, allows
automatic tapering of the infusion rate,
either up or down for the
administration of Total Parenteral
Nutrition (TPN).
Rate taper is programmed by setting
four infusion variables.
1. Volume
2. Total time or Maximum rate
3. Taper up time
4. Taper down time
The pump then makes the necessary
calculations and performs the rate
changes at the required times.
A Rate Taper infusion can be repeated
exactly as the previous infusion, or
changes can be made if the volume or
time requirements vary from one
infusion to another.
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Options
To e n t e r R a t e Ta p e r
To program an infusion using the Rate
Taper option, the pump must be on
hold.
To ex i t R a t e Ta p e r
To end a Rate Taper infusion, you must
use the Option key to exit the Rate
Taper and return to the standard
operation:
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Options
To p ro g r a m a R a t e Ta p e r by To t a l T i m e
If you need to select the exact total time
for the Rate Taper delivery, you should
choose the Total Time Rate Taper
method.
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Options
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Options
To p ro g r a m a R a t e Ta p e r by M a x i mu m R a t e
If you want to set the maximum rate at
which the pump delivers the Rate Taper
infusion, choose the Maximum Rate
taper method.
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Options
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Options
U s i n g t h e E n d E a r ly f e a t u r e
If it is necessary for a patients Rate
Taper infusion to end earlier than
planned, this feature provides an
alternative to stopping the pump
abruptly when it is infusing at a high
flow rate.
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Options
Either:
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Options
P ro g r a m m i n g o r r e p ro g r a m m i n g t h e R a t e Ta p e r
with Limits set
If any limits are set for the Primary
Rate or Max VTBI, then these will
apply when you program the Rate
Taper or if you modify a program.
Setting limits is described on page
3-29.
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Options
7 . Vo l u m e O v e r T i m e ( VOT )
This option, if enabled in the
Technician Menu, allows you to set up
an infusion using the volume to be
infused and the total time (with the
pump automatically calculating the
infusion rate). It can be used with
either Primary, Secondary or Bolus
infusions.
Note: If rate limits are enabled and set,
you may be restricted in the values you
enter. Always use the Options key to
check any limits before you enter the
mode. See page 3-30 for more details.
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Options
To u s e Vo l u m e O v e r T i m e
1. With the pump on hold, press the
Options key then press numeric key
7, or press the Options key until the
Volume Over Time option appears.
Press the * key to set the program.
2. Enter the volume to be infused.
When the correct volume is
displayed press the * key. If an
incorrect value has been entered
press the Volume to be Infused key
and re-enter the volume.
3. Enter the total infusion time in
hours and minutes. If you make an
error while entering a time value,
press any numeric key until the first
hour digit is flashing, then enter the
correct time value. To start entering
values again from step 2, press the
Volume to be Infused key.
When the correct time is displayed
press the * key.
4. Press the Run key to start the
infusion, or press the * key to review
the settings.
5. When you press Run the Message
Display shows the Standard
Message. When the infusion is
completed, the pump sounds an
alarm, and continues to infuse at
the KVO rate until you press Hold.
Cannot infuse
If you see this message when you press
Run, then you have entered a time/
volume combination that resulted in an
invalid rate.
1. Press the * key to return to step 2
and enter the correct volume and
time values.
2. Press the * key, then press Run.
3 18
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Options
8. Dose-Rate Calculation
This option, if enabled in the Technician
Menu, allows the automatic calculation
of the infusion rate when the following
parameters are set:
dosing rate (for example mcg/min or
mcg/kg/min),
patient weight in kg or lbs (if
required in dose mode selected),
drug amount in fluid container
(MG = milligrams, Gm = grams,
mcg = micrograms, or units),
volume of fluid in container (mL).
Dose-Rate Calculation can be used with
the pump on hold or while running. It is
only available for a Primary infusion.
You can:
press Run to restart the previous
Dose-Rate Calculation infusion, or
press * to review the dose-rate
prescription, or enter new values for
an infusion, or
press Options then * to leave DoseRate Calculation and return to the
Standard Message display.
Note: When you switch on the pump
with DRC Recovery enabled, no
information screens are displayed in the
self test. However, if there is a problem,
such as low battery, a warning message
is displayed with an alarm sounding.
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
3 19
Options
units/hr (units/hour),
mcg/kg/hr (micrograms/kilogram/
hour),
MG/kg/hr (milligrams/kilogram/hour),
MG/kg/min (milligrams/kilogram/
minute),
units/kg/hr (units/kilogram/hour).
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Options
MG/kg/min,
units/kg/hr.
You need to enter the patient weight
when you see a display similar to the
following:
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
3 21
Options
3 22
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Options
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
3 23
Options
3 24
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Options
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
3 25
Options
3 26
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Options
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
3 27
Options
Note: This happens when the calculated rate is valid, but is outside the
VTBI or infusion rate limits set on the
pump. It is not the same as the cannot
infuse message displayed if the
calculation is invalid.
To silence alarm and leave DRC
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Options
Entering rates
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
3 29
Options
To s e t t h e m i n i mu m a n d m a x i mu m i n f u s i o n r a t e
If the Options are enabled, you can
change either or both values. This section
explains how to change both values.
1. Press the Options key repeatedly
until you see the Minimum Rate
display. The current minimum
infusion rate flashes, showing that
you can change this value.
2. Enter a new rate, using the numeric
keypad, then press the * key to
confirm.
If it is correct, to leave the rate
unchanged, just press *.
If the pump finds that the rate is
invalid, the number continues to
flash, so you should repeat this step.
3. With the value for Min Rate static,
press the Options key to display
the flashing Maximum Primary
rate.
4. Enter a new rate then press * to set
the value. Just press * if you want to
leave the maximum rate unchanged.
You can now do one of the following:
press the Options key once to move
on to the next Option;
press the Options key repeatedly to
move through all the Options that
have been enabled on the pump. You
can stop when the Standard
Message is displayed on the screen,
indicating that the pump is ready to
be programmed, or carry on until you
reach the Min Rate screen again,
where you can make further changes;
turn the pump off then on again, to
see the new primary minimum and
maximum values in the messages
displayed in the power up sequence.
3 30
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Options
M a x i mu m V T B I
This Option is to limit the volume that
may be programmed for a single
infusion. The Max VTBI is 9999 (on a
Model 500) or 999 (on a Micro 505),
There is no lower limit for the VTBI.
To s e t t h e m a x i mu m i n f u s i o n vo l u m e
1. Press the Options key repeatedly
until you see the Max VTBI display.
The current maximum VTBI
flashes, showing that you can
change this value.
2. Enter a new VTBI, using the
numeric keypad, then press the *
key to confirm.
If it is correct, to leave the VTBI
unchanged, just press *.
If the pump finds that the rate is
invalid, the number continues to
flash, so you should repeat this
step.
3. Press the Options key to take you
to the next option.
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
3 31
Options
3 32
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Options
K VO r a t e
The pump automatically switches to a
KVO infusion when the programmed
infusion ends. The default rate for KVO
is 3.0 mL/h, or the programmed
infusion rate if that was less than 3.0
mL/h.
The KVO option, if enabled in the
Technician Menu, allows you to set a
different KVO rate.
The pump remembers the value entered
as described here, and uses it as the
KVO rate. You cannot set the KVO rate
to zero.
Micro 505
S e t t i n g a K VO r a t e
1. Press the Options key until you see
the KVO rate display. The current
value flashes, showing that you can
enter a new value.
2. Enter the new KVO Rate using the
numeric keypad, then press * to
confirm.
If the rate is correct, press Options
to move on to the next Option.
In the unusual situation that the rate
you enter is not accepted, then the Max
Primary Rate limits are set below the
value you wish to enter. The Min
Primary Rate does not affect the KVO
entry.
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
3 33
Options
Drug Label
The Drug List feature, if enabled in the
Technician Menu, allows you to use the
Options key to select a drug label from
a predefined list that is stored in the
pump.
Drug Library
This is a complete alphabetical list of
the drug labels retained in the pumps
memory. Due to the number of
characters that the pump can display
some of the drug names have been
shortened or abbreviated.
Acetylcysteine
Doxorubicin
Propofol
Alfentanil
Droperidol
Prostaglandin
Aminophylline
Epidural
Remifentanil
Carboplatin
Fentanyl/Bupiv
Ritodrine
Cisplatin
Fluorouracil
Ropivacaine
Cyclophosphamide
Hartmanns
Saline
Dextrose
Heparin
Syntocinon
Dextrose/Saline
Morphine
TPN
Dobutamine
Nitroglycerine
Dopamine
Nitroprusside
Doxapram
Oxytocin
3 34
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Options
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
3 35
Options
3 36
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Tr o u bl e s h o o t i n g
Chapter 4
Tr o u b l e s h o o t i n g
Introduction
This chapter covers all the error
messages and alarms, displayed by the
Volumetric, that notify you of any
operating problem.
If you cannot solve the problem after
reading this chapter, the pump should
be inspected and repaired by a suitably
qualified technician, or returned to
Graseby Medical at the address on the
back cover of this Instruction Manual,
in order to have the fault rectified.
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
4 1
Tr o u b l e s h o o t i n g
4 2
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Tr o u b l e s h o o t i n g
Pump Messages
Messages are divided into those where an alarm sounds and those which just
display a message.
Possible causes
Action
Wa r n i n g M e s s ag e s w i t h a l a r m s
Continuous (back up) alarms
When a continuous alarm occurs, the pump automatically stops the fluid delivery.
Message display
Possible causes
Action
Electrical or
mechanical problem.
Do not use.
Pump needs to be repaired by
a qualified technician or
returned to Graseby Medical.
Potential pump
problem detected.
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
4 3
Tr o u b l e s h o o t i n g
Possible causes
Action
To remove air:
1. Close the lower roller clamp.
2. Open the door latch.
3. Wait briefly for the cassette
to fill.
4. Slowly close the door latch.
5. Repeat if necessary.
or
Cassette loaded
backwards.
Battery is depleted.
Problem detected
above the pump as
the door was being
closed.
4 4
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Tr o u b l e s h o o t i n g
Possible causes
Action
Secondary/Bolus
infusion ended and
Secondary Stop has
been enabled on the
Technician Menu.
Note: In Medium or High occlusion alarm settings, when downline pressure exceeds
the alarm threshold, the motor pauses, the Run key remains lit and the Pumping
indicator stops. If within 10 seconds the pressure drops back below the threshold,
pumping resumes and the alarm does not sound (if pressure remains high, the
alarm sounds). If repeated pressure spikes occur, causing the pump to enter this
filtering mode for a total of 30 seconds, measured over the last 4 minutes that the
pump was infusing, the alarm sounds. Occlusions detected in the Low occlusion
alarm setting cause an immediate alarm.
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
4 5
Tr o u b l e s h o o t i n g
Possible causes
Action
Dose-rate calculation
program setup
started with the
pump running;
dosing parameters
not completed.
4 6
The infusion is
complete and the
pump has switched
to KVO rate.
Battery nearly
depleted (1/2 hour or
less remains).
Secondary infusion
was programmed but
the Primary was run.
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Tr o u b l e s h o o t i n g
Wa r n i n g M e s s a g e s w i t h n o a l a r m s
Message display
Possible causes
Action
Keypad Lock/unlock
button on rear of the
pump has been
pressed.
Dose-rate calculation
program cannot be
infused as entered.
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
4 7
Tr o u b l e s h o o t i n g
Instrument Care
Periodic cleaning of the pump housing
and inside surface of the door is
recommended. Unplug the power cord
and use a sponge or cloth lightly
dampened with a solution of warm
water and a mild, non-staining
disinfectant/cleaner. Do not use
cleaning agents which could damage
the outer pump housing.
4 8
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Specifications/
S t a n d a rd s
Specification
Specifications
General
Weight
5 kg (11 pounds).
Dimensions
Temperature
Operating
Storage
18 to 40 C (64 to 104 F)
-25 to +55 C (-13 to 131 F).
Relative humidity
Operating
Storage
Pressure range
Operating
Storage
Immunity levels
Head-height
Micro 505
15 cm (6 ins) minimum
30 cm (12 ins) when using 60 drops/mL sets
30 cm (12 ins) when using thick solutions*
* certain cytotoxic agents, lipid-based fluids and
other viscous solutions, for example Total
Parenteral Nutrition.
Self test
Vo l u m e t r i c I n f u s i o n P u m p
S 1
Specification
Air bubbles are detected by electronic optoencoder detection device (with self-checking
sensors) located on cassette housing.
Accuracy
Testing conditions
Model 500
Micro 505
S 2
Vo l u m e t r i c I n f u s i o n P u m p
Specification
Power
AC power supply
Battery type
Leakage current
Over-current protection
Voltage
AC line fuse
Thermal fuse
Battery fuse
100 to 120 V
200 mA
130
1.0 amp
220 to 240 V
2 x 80 mA
130
1.0 amp
Vo l u m e t r i c I n f u s i o n P u m p
S 3
Specification
Model 500
Range
0.1 to 99.9 mL/h
1 to 999 mL/h
Increment
0.1 mL/h
1 mL/h
Micro 505
Range
0.1 to 99.9 mL/h
Increment
0.1 mL/h
Model 500
Range
0.1 to 999.9 mL
1 to 9999 mL
Increment
0.1 mL
1 mL
Micro 505
Range
0.1 to 999.9 mL
Increment
0.1 mL
Model 500
Range
0.1 to 99.9 mL/h
1 to 400 mL/h
Increment
0.1 mL/h
1 mL/h
Micro 505
Range
0.1 to 99.9 mL/h
Increment
0.1 mL/h
Model 500
Range
0.1 to 999.9 mL
1 to 4400 mL
Increment
0.1 mL
1 mL
Micro 505
Range
0.1 to 999.9 mL
Increment
0.1 mL
Range
0 to 59 minutes
0 to 48 hours
Increment
1 minute
1 hour
Volume to be infused
Volume to be infused
Time range
S 4
Vo l u m e t r i c I n f u s i o n P u m p
Specification
Model 500
Range
0.1 to 99.9 mL/h
1 to 999 mL/h
Increment
0.1 mL/h
1 mL/h
Micro 505
Range
0.1 to 99.9 mL/h
Increment
0.1 mL/h
Model 500
Range
0.1 to 99.9 mL
1 to 9999 mL
Increment
0.1 mL
1 mL
Micro 505
Range
0.1 to 99.9 mL
1 to 999 mL
Increment
0.1 mL
1 mL
Range
0 to 59 minutes
0 to 48 hours
Increment
1 minute
1 hour
Time range
Range
0.01 to 99.99
0.1 to 999.9
1 to 9999
Increment
0.01
0.1
1
Range
0.10 to 99.99 kg
0.1 to 453 kg
0.22 to 99.99 lbs
0.2 to 999 lbs
Increment
0.01 kg
0.1 kg
0.01 lbs
0.1 lb.
Units
Kilograms (kg)
Pounds (lbs)
Vo l u m e t r i c I n f u s i o n P u m p
S 5
Specification
Mode
MG drug/bag
Range
0.01 to 99.99
0.1 to 999.9
1 to 99999
Increment
0.01
0.1
1
Gm drug/bag
0.01 to 99.99
0.1 to 99.9
1 to 999
0.01
0.1
1
mcg drug/bag
0.01 to 9.99
0.1 to 99.9
1 to 9999
0.01
0.1
1
units/bag
0.01 to 99.99
0.1 to 999.9
1 to 99999
0.01
0.1
1
Model 500
Range
0.1 to 99.9 mL/h
1 to 999 mL/h
Increment
0.1 mL/h
1 mL/h
Micro 505
Range
0.1 to 99.9 mL/h
Increment
0.1 mL/h
Model 500
Range
0.1 to 999.9 mL
1 to 9999 mL
Increment
0.1 mL
1 mL
Micro 505
Range
0.1 to 999.9 mL
Increment
0.1 mL
Rate range
S 6
Vo l u m e t r i c I n f u s i o n P u m p
Specification
Occlusion sensing
Alarm levels (approximate values)
Pressure units
Low
Medium
High
mmHg
103 mmHg
259 mmHg
517 mmHg
psi
2 psi
5 psi
10 psi
kPa
13.5 kPa
34.5 kPa
68.9 kPa
Time to occlusion
Maximum (measured +25%) delay times for activation of the Occlusion below
pump alarm:
Rate
Low setting
maximum time
to alarm
High setting
maximum time
to alarm
1 mL/h
11 min, 5 sec.
1 hour, 10 min.
25 mL/h
15 sec.
2 min, 35 sec.
KVO rate
Default KVO rate
3.0 mL/h, or at the programmed rate if set at less than these values.
Model 500
Micro 505
Accessories
For a complete list of Administration Sets, please contact Graseby Medical or your
local distributor.
Vo l u m e t r i c I n f u s i o n P u m p
S 7
Specification
Battery is charging/mains
power applied.
Audio alarm silence button.
Attention: dangerous
voltages, risk of electric
shock if the housing is
opened.
Equipotential point.
Internal battery.
Dispose of in an
environmentally safe
manner.
Attention: consult
accompanying documents.
Data input/output.
CF Application
(cardiac floating)
Battery symbols
Recycle battery
Dispose of in an
environmentally safe
manner.
S 8
Alternating current.
Nurse call option (only if
option is fitted)
Vo l u m e t r i c I n f u s i o n P u m p
Specification
Standards
Electrical Safety
0473
Disposal
When the time comes to dispose of the pump, its batteries, or any of its
accessories, do so in the best way to minimise any negative impact on the
environment.
You may be able to use special recycling or disposal schemes. To find out
about these contact your local waste disposal service. Separate any other
parts of the equipment where arrangements can be made for their recovery,
either by recycling or energy recovery.
Important: Existing national or local regulations concerning waste disposal
must take precedence over the above advice.
Patents
USA 5401256
5103214
5429485
5017192
GB
2247765
France
2715073
Vo l u m e t r i c I n f u s i o n P u m p
S 9
Specification
Tr u m p e t c u r v e s
The curves were developed while
testing the Model 500 using a Graseby
Medical Standard Adult Set, 8C-820
administration set.
The curves for the Micro 505 are
identical since both pumps have the
same pumping mechanism.
S 10
Vo l u m e t r i c I n f u s i o n P u m p
Vo l u m e t r i c I n f u s i o n P u m p
Specification
S 11
Specification
S 12
Vo l u m e t r i c I n f u s i o n P u m p
Appendix
Appendix
Nurse-Call Feature
Some pumps are fitted with a NurseCall feature which makes these pumps
compatible with most existing hospital
nurse-call systems.
A Graseby Medical pump equipped
with the nurse-call feature may be
connected to the hospital's system by
inserting a 0.25 inch system plug into
Symbol Definitions:
Nurse-Call
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
A - 1
Appendix
A - 2
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Index
Index
Index
Symbols
5 Step Setup 2 - 19
A
Accessing options 3 - 2
Accessories S - 7
Accuracy
of pump (spec) S - 2
Administration set
loading cassette 2 - 18
loading problem alarm 4 - 4
priming 2 - 17
Air detect system S - 2
Air in cassette 4 - 4
Alarms
audio backup 2 - 11
dose/rate change 3 - 27
insistent 4 - 4
low battery 2 - 9
messages 4 - 3
non-insistent 4 - 6
occlusion below pump 2 - 24
overview 2 - 10
programming messages 4 - 3
warning messages 4 - 3
Audio alarm 2 - 10
Automatic keypad locking 2 - 22
Bolus
ending 2 - 32
feature enabled 2 - 26
setting up and running 2 - 31
totals 2 - 34
Button
see also Keys
unlock keypad 2 - 22
C
Cassette
loading into pump 2 - 18
CE Marking S - 9
Change rate
dosing rate change 3 - 25
quick rate change option 3 - 7
running rate change 2 - 21
warning messages 4 - 6
Clamp
attach pump to IV pole 2 - 5
roller clamp on admin set 2 - 17
warning 4 - 4
Clip
safety 2 - 18, S - 1
Connecting
pump to IV pole 2 - 5
secondary admin set 2 - 28
Continuous - backup alarm 2 - 11
Back pressure 2 - 24
Backlight 3 - 4
Backup audio alarm 2 - 11
Bag
height above pump 2 - 16, 2 - 27
Bag height above pump S - 1
Battery
battery test option 3 - 5
recharging 2 - 9
specification of S - 3
too low 4 - 4
using the pump on 2 - 8
Design standard S - 10
Diagram
front of pump 2 - 2
loading cassette 2 - 18
modular connection system 2 - 5
primary infusion 2 - 12
rate taper infusion 3 - 8
rear of pump 2 - 4
secondary infusion 2 - 13
Dimensions of pump S - 1
Disconnect
modular connected pumps 2 - 6
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Index 1
Index
Display
infusion information 2 - 21
light 3 - 4
on pump 2 - 2
Disposal of pump S - 9
Door
open alarm 4 - 4
Dose-Rate Calculation 3 - 19
example 3 - 23
recovery 3 - 19
warning messages 4 - 6
Dosing rate 3 - 20
Download history 1 - 5
Drug amount 3 - 21
Drug Label
display 2 - 23
example 3 - 34
option 3 - 34
selecting 3 - 35
E
Electrical safety standard S - 9
Ending
bolus infusion 2 - 32
primary infusion 2 - 25
rate taper infusion 3 - 9
secondary infusion 2 - 32
Epidural administration 1 - 2
F
Fast Access to Options 3 - 2
Faulty pump 4 - 3
Fluid Ingress protection S - 9
Free flow protection S - 1
Front of the pump 2 - 2
symbols appearing on S - 8
Fuses S - 3
Height
bag above pump 2 - 16, 2 - 27, S - 1
no flow warning 4 - 5
High
occlusion alarm setting 2 - 24
History on pump 1 - 5
Hold
alarm 4 - 5
key 2 - 20
I
Indicators
'Battery operation' 2 - 8
'Mains operation' 2 - 2
'Primary infusion' 2 - 2
'Pumping' 2 - 21
'Secondary/Bolus infusion' 2 - 2
Infusion
bolus 2 - 31
change rate while running 2 - 21
effect of options on 2 - 15
KVO 2 - 25, 3 - 33
limits 3 - 29
options available 3 - 1
overview of types 2 - 12
primary 2 - 19
ranges of rates/times/volumes S - 4
restore previous rate 2 - 35
secondary 2 - 26
stop 2 - 23
volume infused 2 - 33
Volume Over Time 3 - 18
Insistent alarm 2 - 10, 4 - 4
Instrument care 4 - 8
IPX1 S - 10
IV pole 2 - 5
Giving set
load the cassette 2 - 18
priming 2 - 17
Graph
trumpet curve S - 10
Index 2
Keypad lock
manual or automatic 2 - 22
warning message 4 - 7
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Index
Keys
hold 2 - 20
programming 2 - 3
unlock keypad 2 - 22
Kg or lbs 3 - 21
KVO
alarm message 4 - 6
default rate S - 7
infusion 2 - 25
option 3 - 33
specify rate 2 - 25
Label
show drug 3 - 34
Leakage current S - 3
Library
of drug labels 3 - 34
Light
backlight on/off 3 - 4
message display 3 - 4
Limits
effect on infusion 2 - 15
effect on rate taper 3 - 9
in dose-rate calcs 3 - 19
programming rate taper 3 - 16
setting rate and VTBI 3 - 29
Loading dose 2 - 26
Lock keypad 2 - 22
Low
battery alarms 2 - 9
occlusion alarm setting 2 - 24
M
Mass units 3 - 20
Maximum infusion rate
for rate taper 3 - 12
KVO 2 - 25
range available on pump S - 4
setting limit 3 - 29
Maximum VTBI 3 - 31
Medium
occlusion alarm setting 2 - 24
Message Display
at switch on 2 - 7
O
Occlusion
below pump message 2 - 24, 4 - 5
detection 2 - 23
Occlusion Alarm 2 - 23, 4 - 5
approx values of settings 2 - 24, S - 7
change the setting 2 - 24
setting 2 - 18
Options 3 - 1
'Battery Test' 3 - 5
'Dose-Rate Calculation' 3 - 19
'Drug Label' 3 - 34
effect on infusions 2 - 15
fast access to 3 - 2
'KVO Rate' 3 - 33
'Max/min rate and VTBI' 3 - 29
'Message Display Light' 3 - 4
'Quick Rate Change' 3 - 7
'Rate Limit' 3 - 29
'Rate Taper' 3 - 8
'Standard Message' 3 - 3
'Time Remaining' 3 - 3
using 3 - 2
'Volume Over Time' 3 - 17
'VTBI limit' 3 - 29
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Index 3
Index
Patient weight
in dose-rate calculation 3 - 19
Kg or lbs 3 - 21
Pole
clamp 2 - 5
saver 2 - 5
Power supply 2 - 7, S - 3
Preset limits
alarm message 4 - 3
effect on infusions 2 - 15
error message on Run 2 - 20
setting 3 - 29
Pressure, see Occlusion Alarm
Primary Infusion
5- or 6-step setup 2 - 19
ending 2 - 25
overview 2 - 12
setting up 2 - 16
totals 2 - 34
Prime
administration set 2 - 17
secondary admin set 2 - 27
Problems
handling 4 - 2
Programming
alarms 4 - 3
keys 2 - 3
KVO rate 3 - 33
mass units 3 - 20
patient's weight 3 - 21
primary infusion 2 - 19
rate taper infusion 3 - 9
secondary infusion 2 - 29
volume over time infusion 3 - 18
Pump
features 1 - 3
indicators and displays 2 - 2
programming keys 2 - 3
service alarm 4 - 3
sounds 2 - 10
switching on 2 - 7
Pumping indicator 2 - 21, 2 - 23
Index 4
R
Rate
change in D-R calc 3 - 25
change while running 2 - 21
quick rate change option 3 - 7
setting min/max limits 3 - 29
titration 2 - 21
Rate change not completed 4 - 6
Rate Taper 3 - 8
end early feature 3 - 14
preset limits set 3 - 16
program by max rate 3 - 12
program by total time 3 - 10
restart or reprogram 3 - 15
Re-run infusion 2 - 35
Rear of the pump 2 - 4
symbols appearing on S - 8
Recharging the battery 2 - 9
Recovery
dose-rate calculation 3 - 19
Restore infusion rate 2 - 35
Roller clamp 2 - 17
Running rate change 2 - 21
S
Safety
clip 2 - 18, S - 1
clip alarm message 4 - 4
dose/rate change alarms 3 - 27, 4 - 6
rate and VTBI limits 3 - 29
Safety keypad lockout 2 - 22
Secondary infusion
alarm 4 - 6
bolus enabled 2 - 30
ending 2 - 14, 2 - 32
programming 2 - 29
secondary stop 2 - 28
setting up 2 - 26
totals 2 - 34
VTBI 2 - 28
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Index
Security
on pump 2 - 22
Self test 2 - 7, S - 1
Service
due date display 2 - 7
pump service warning 4 - 3
servicing features 1 - 5
Silence key 2 - 7, 2 - 11, 2 - 22
Solution
prepare for infusion 2 - 16
thick S - 1
Sounds 2 - 10
Standard Message
display option 3 - 3
Standards S - 9
Start up
label showing options 3 - 1
on battery 2 - 8
switching on 2 - 7
Stop
infusion 2 - 23
Storage of pump S - 1
Switching off 2 - 8
Switching on 2 - 7
using the battery 2 - 8
System check alarm 4 - 3
T
Taper, rate 3 - 8
Technician Menu 3 - 1
Test
battery 3 - 5
conditions S - 2
Thick solutions, warning S - 1
Time
rate taper program 3 - 10
to occlusion S - 7
volume over time program 3 - 17
Time Remaining
display option 3 - 3
Titration (rate) 2 - 21
Total infusion volume
Bolus 2 - 34
Primary 2 - 34
Secondary 2 - 34
Total Volume
checking 2 - 33
clearing 2 - 33
TPN 3 - 8
Troubleshooting 4 - 2
preset limits and rate taper 3 - 16, 3 28
preset limits exceeded 2 - 20
Trumpet curves S - 10
Tubing set, see Administration set
U
Unit of measure 3 - 21
Unlock keypad 2 - 22
V
Voltage S - 3
Volume
checking infused totals 2 - 33
set the VTBI 2 - 19
VTBI key 2 - 3
Volume Over Time 3 - 17
Volumetric
standards S - 9
VTBI
dose-rate calculation 3 - 22
secondary 2 - 28
setting limit 3 - 29
W
Warnings
messages - no alarm 4 - 7
Weight
Kg or lbs 3 - 21
of pump S - 1
patient's 3 - 19
programming in D-R calc 3 - 21
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l
Index 5
Index
Index 6
Vo l u m e t r i c I n f u s i o n P u m p I n s t r u c t i o n M a n u a l