About This Manual About This Manual The User must be thoroughly familiar with the BD Alaris™ neXus GP Volumetric Pump (hereinafter referred to as Pump) described in this manual prior to use . All illustrations used in this manual show typical settings and values which may be used in setting up the functions of the Pump .
. The BD Alaris™ neXus GP Volumetric Pump is intended to be used for the purpose of controlling rate and volume . The BD Alaris™ neXus GP Volumetric Pump is indicated for use on adults and paediatrics .
BD Alaris™ neXus GP Volumetric Pump Overview Conditions for Use The BD Alaris™ neXus GP Volumetric Pumps are restricted medical devices intended for use by qualified, trained personnel to deliver either continuous or intermittent infusion therapy of: • Fluids • Medications •...
BD Alaris™ neXus GP Volumetric Pump Overview Features of the Volumetric Pump Alarm indicator Door Display Softkeys Chevrons Control keys and indicators (See overleaf) Door lever Handle Release lever Flow sensor connector for rotating cam RS232/Nursecall connector (cover removed for clarity)
BD Alaris™ neXus GP Volumetric Pump Overview Controls Symbol Description ON/OFF button – Press once to switch the Pump on . Press and hold down for approximately three seconds to switch the Pump off . Note: Logs are maintained for power down events including when the Pump is powered down or unexpected power loss .
BD Alaris™ neXus GP Volumetric Pump Overview Main Display Features Main Display – If VTBI has not been set (flow sensor must be used) Infusion Status / ON HOLD ON HOLD Drug Name / Profile Name / SET RATE WITH...
Indicates that the Pump is running at a rate above (pointing up) a Guardrails™ Soft Limit . WiFi Indicates when the Pump is connected, via Wi-Fi, to the BD Alaris™ Communication Engine (ACE) . WiFi Indicates when the Pump is not connected to ACE via Wi-Fi .
BD Alaris™ neXus GP Volumetric Pump Overview Labelling Symbols Symbol Description Attention (Consult accompanying document) Potential Equalisation (PE) Connector RS232/Nursecall Connector Defibrillation-proof type CF applied part (Degree of protection against electrical shock) IP33 Protected from solid objects greater than 2 .5mm Protected against direct sprays up to 60°...
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BD Alaris™ neXus GP Volumetric Pump Overview Keep Dry Catalogue number Serial Number Medical Device BDDF00558 Issue 5 12/72...
Wi-Fi Configuration The Pump is able to utilize a hospital Wi-Fi network to connect to the BD Alaris™ Communication Engine if one is deployed at the facility . A Wi-Fi Configuration Package must be first created and transferred to the Pump using the BD Alaris™...
• Refer to ‘Display of Units’ section of this DFU for configurable units. • The default data set does not have drug-specific Guardrails™ limits. To set the limits use the BD Alaris™ neXus Editor software to create a custom data set. Care should be taken when specifying the Guardrails™...
BD Alaris™ neXus GP Volumetric Pump Getting Started Pole Clamp Installation Mount the Pump on the pole or Workstation as close to patient heart level as possible. Prior to each use, check the pole clamp: • does not show any signs of excessive wear, •...
BD Alaris™ neXus GP Volumetric Pump Getting Started Workstation or Equipment Rail Installation The rotating cam can be fitted to the rectangular bar on the Workstation or equipment rails measuring 10mm by 25mm . 1 . Align the rotating cam on the rear of the Pump...
BD Alaris™ neXus GP Volumetric Pump Getting Started Alaris™ Safety Clamp Alaris™ Safety Clamp*: Safety Clamp In Non Occluded Position: When a new infusion set is removed from packaging the Safety Clamp will be in this position**: Clamp in NON OCCLUDED...
/ roller clamp . • BD infusion sets are fitted with an in-line clamp, which can be used to occlude tubing in case it is required to stop fluid flow .
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BD Alaris™ neXus GP Volumetric Pump Getting Started Operating Environment • Intended environments include general wards, critical and intensive care, operating rooms, accident and emergency rooms . The Pump may be used in an ambulance environment . Ensure that the Pump is appropriately attached using the provided pole clamp . The Pump is designed to withstand possible bumps and vibrations whilst being used in an ambulance, complying with the standard EN 1789 .
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• Accessories: Do not use any non-recommended accessory with the Pump . The Pump is tested and compliant with the relevant EMC claims only with the recommended accessories . Use of any accessory, transducer or cable other than those specified by BD may result in increased emissions or decreased Pump immunity .
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Pumps which have been altered or modified otherwise than in strict application of directions provided by BD, is at your sole risk, and BD does not provide any warranty for or endorsement on any BD Alaris™ neXus GP Volumetric Pump that has been so modified or altered .
• Ensure the appropriate infusion set for the fluid / drug to be infused has been selected. • Follow the instructions supplied with the individual infusion set. • Only use BD infusion sets specified in the ‘Infusion Sets’ section of the DFU. • Position the fluid container to avoid spillage onto the Pump.
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BD Alaris™ neXus GP Volumetric Pump Operation Step Notes 5 . Hang the fluid container at a minimum height of 45 cm from the bottom of the Pump to the bottom of the fluid container . Raise the fluid container higher than the minimum height when possible, to minimise loops and kinks in the infusion set tubing .
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BD Alaris™ neXus GP Volumetric Pump Operation Step Notes i) Fit top adaptor of infusion set into top set retainer . Top Set Retainer ii) Insert Safety Clamp into retainer . • Avoid any stretching of the silicone segment when...
BD Alaris™ neXus GP Volumetric Pump Operation Flow Sensor Operation (Optional) • The flow sensor automatically monitors the infusion flow rate through the drip chamber. The flow sensor will cause the Pump to alarm if a significant deviation from the infusion rate occurs. The flow sensor will also be able to detect empty containers.
BD Alaris™ neXus GP Volumetric Pump Operation Starting the Infusion When operating the Pump, Users should position themselves at a distance of approximately 0.5 metres from the display. Prime and load the set (Refer to ‘Priming the Infusion Set’ and ‘Loading an Infusion Set’).
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Note: The green run LED will flash to show that the Pump is infusing . Note: If the BD Alaris™ Communication Engine is deployed at the facility and the Pump is not docked to a Workstation, it is recommended to wait until the Pump connects via Wi-Fi prior to starting the infusion (Wi-Fi symbol is not crossed out on the bottom right of the pump screen) .
BD Alaris™ neXus GP Volumetric Pump Operation Changing the Infusion Set 1 . Press to put the Pump ON HOLD . 2 . Close in-line clamp and ensure the access to the patient is isolated . 3 . Disconnect the infusion set from the patient .
The following options enable the Pump to be set-up for use with a specific drug protocol . Drugs are pre-configured in the BD Alaris™ neXus Editor to enable rapid selection of the drug protocol, dosing units and default rate . For increased security when using a configured drug, Guardrails™...
BD Alaris™ neXus GP Volumetric Pump Advanced Features Drugs 1 . Select the required DRUGS alphabetical row from the list using the keys . SELECT 2 . Press OK to confirm . 3 . Select the drug from the displayed list using the keys, press OK to confirm .
• Ensure the infusion set is not connected to a patient before priming the set. • The prime rate and prime volume limit are configured in the data set via the BD Alaris™ neXus Editor. • The default prime rate is 600ml/h.
. Bolus can be used at the start of an infusion or during an infusion . The bolus feature can be configured in the data set via the BD Alaris™ neXus Editor to: a) Bolus Mode – Disabled b) Bolus Mode –...
. Rate Titration If Rate Titration is enabled (in the data set via BD Alaris™ neXus Editor) the infusion rate TITRATE or dose rate (if available) can be adjusted while infusing .
BD Alaris™ neXus GP Volumetric Pump Advanced Features Rate Lock (If enabled) If Rate Lock is enabled, when the infusion rate has been set and the infusion started (or following a bolus infusion) the rate lock prompt will appear on the main display .
5 . Press OK softkey to enter the value or BACK to return to the VTBI . Adjust Alarm Volume This option allows adjustment of the volume if enabled in the data set via BD Alaris™ neXus Editor . 1 . Press the button to access the OPTIONS menu .
Note: If only one profile is available and all others are disabled in this option, the CONFIRM PROFILE screen will not display upon start up . Standby This option allows the Pump to be placed on standby mode . It can be enabled/disabled in the data set via the BD Alaris™ neXus Editor . 1 . Press the button to access the OPTIONS menu .
BD Alaris™ neXus GP Volumetric Pump Advanced Features Secondary (Piggyback) Infusions Secondary (or piggyback) Infusion mode is only available if it has been configured . The application of secondary infusions should be limited to the intermittent therapy of medications which are not sensitive to the total time required to complete an infusion .
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BD Alaris™ neXus GP Volumetric Pump Advanced Features Typical Secondary infusions Secondary Fluid Container IV Pole Usually a smaller container e .g . 50ml, Extension Hook (approx . 26cm) 100ml, 200ml or 250ml . Normally included with the secondary Infusion set . Primary...
Pump itself, or via the BD Alaris™ neXus Editor software . Note: Alarm settings are not lost in case of short power loss . When power is lost for no more than 30 seconds, the alarm settings are restored .
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BD Alaris™ neXus GP Volumetric Pump Alarms Display Infusion Status Cause(s) Action DOWNSTREAM Infusion stopped A blockage has occurred • Check fluid path between Pump and downstream . patient for clamps, connectors, kinks or OCCLUSION blockages . • Examine access site for signs of complications (redness, swelling, pain, heat) .
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BD Alaris™ neXus GP Volumetric Pump Alarms Display Infusion Status Cause(s) Action BATTERY EMPTY Infusion stopped The internal battery is • Connect to power supply immediately exhausted . The Pump will or switch Pump off . automatically switch off in the immediate future .
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BD Alaris™ neXus GP Volumetric Pump Alarms Medium Priority Alarms Medium priority alarms alert the User but may not stop the infusion and are indicated by an audible sound, a flashing amber warning indicator and a message on the display . See the ‘ A larm Priority Level Indicators’ table for more details on how medium priority alarms are indicated .
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BD Alaris™ neXus GP Volumetric Pump Alarms Attention Tones Attention tones alert the User but may not stop the infusion and are indicated by an audible sound, a flashing amber warning indicator and a message on the display . See the ‘ A larm Priority Level Indicators’ table for more details on how Attention tones are indicated .
BD Alaris™ neXus GP Volumetric Pump Alarms 3RD EDITION ALARMS High Priority Alarms High priority alarms stop the infusion and are indicated by a combination of an audible sound, flashing red alarm indicator and a message on the display . See the ‘ A larm Priority Level Indicators’ table for more details on how high priority alarms are indicated .
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BD Alaris™ neXus GP Volumetric Pump Alarms Display Infusion Status Cause(s) Action UPSTREAM Infusion stopped A blockage has occurred • Check all infusion set clamps above the upstream . Pump are fully open . OCCLUSION Possible container empty . • Check that the fluid container is correctly positioned above the Pump, see ‘Loading an Infusion Set’...
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BD Alaris™ neXus GP Volumetric Pump Alarms Display Infusion Status Cause(s) Action SET MISLOAD Pump on hold Set loaded incorrectly . • Clamp infusion set using roller clamp . • Investigate and correct set loading . FLOW SENSOR Infusion stopped Flow sensor unplugged •...
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BD Alaris™ neXus GP Volumetric Pump Alarms Low Priority Alarms Low priority alarms alert the User but may not stop the infusion and are indicated by an audible sound, a solid amber warning indicator and a message on the display . See the ‘ A larm Priority Level Indicators’ table for more details on how low priority alarms are indicated .
BD Alaris™ neXus GP Volumetric Pump Alarms Prompts Prompts are indicated by an audible alarm and message, they cannot be silenced and do not have a visual indicator . Display Infusion Status Cause(s) Action SET VTBI Pump on hold No VTBI / flow sensor .
BD Alaris™ neXus GP Volumetric Pump Alarms Restarting an Infusion following an Air-in-Line Alarm The Pump may be restarted by opening the door, assessing and removing any air from the tubing guide area and in the infusion set on the patient side of the Pump (if required) according to hospital policy.
Enter the access code on the Pump for SERVICE mode, then select CONFIGURATION; see the Technical Service Manual for details . Use BD Alaris™ neXus Editor to configure the Pump configuration, drug library and units enabled for each data set . Alarm Presets The BD Alaris™...
Configuration BD Alaris™ neXus Editor Software Profile Configuration The following options are only configurable in the data set via the BD Alaris™ neXus Editor Software (PC application) . See BD Alaris™ neXus Editor Directions For Use for further details .
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BD Alaris™ neXus GP Volumetric Pump Configuration Large Volume Pump Configuration Settings AIL Limit The single bubble Air-in-line alarm setting . Bolus Mode Controls whether or not the Pump allows bolus delivery method . Bolus Rate Default The default value for bolus rates .
Drug Library available via the BD Alaris™ neXus Editor Software The following drug parameters are only configurable in the data set via the BD Alaris™ neXus Editor Software (PC application) . See BD Alaris™ neXus Editor help files for further details .
The Pump uses standard, single-use, disposable infusion sets . The User is responsible for verifying the suitability of a product used, if it is not recommended by BD . • New sets are continuously being developed for our customers. Please contact your local BD representative for availability.
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BD Alaris™ neXus GP Volumetric Pump Associated Products Standard Infusion Sets (No Filter) • No Filter 63200NYB • Length: 260cm • 1 SmartSite™ Needle-Free Valve Port Model Number: 63200NY 60173E • No Filter Artwork Number: 1000AW03032 Change History: Issue Change Order...
Volumetric Pump software, controls battery use, charge and temperature . Any use of battery packs that are not manufactured by BD in the BD Alaris™ neXus Volumetric Pump is at your sole risk, and BD does not provide any warranty for or endorsement on any battery packs that are not manufactured by BD .
BD Alaris™ neXus GP Volumetric Pump Maintenance Cleaning and Storage Cleaning the Pump Before the transfer of the Pump to a new patient and periodically during the use, clean the Pump by wiping over with a lint-free cloth lightly dampened with warm water and a standard disinfectant / detergent solution .
BD Alaris™ neXus GP Volumetric Pump Technical Data Technical Data Specifications Electrical Protection Class I, Type CF (Defibrillation-proof) Electrical/Mechanical Safety Complies with IEC/EN 60601-1 and IEC/EN 60601-2-24 . Electro Magnetic Compatibility (EMC) Complies with IEC/EN 60601-1-2 and IEC/EN 60601-2-24 .
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Radio Equipment Directive Declaration of Conformity Statement Hereby, BD Switzerland Sàrl, declares that the radio equipment type ‘BD Alaris™ neXus GP’ is in compliance with Directive 2014/53/EU . The full text of the EU declaration of conformity is available at the following internet address: https://www .bd .com/en-uk/Infusion/Conformity-Declaration-GP-neXus...
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BD Alaris™ neXus GP Volumetric Pump Technical Data Alarm Conditions Alarms Prompts Advisories AIR IN LINE LEVER OPEN SET VTBI DOSE WOULD EXCEED (Single Bubble) AIR IN LINE VTBI DONE LOCKED DOSE UNDER (Accumulated) DOOR OPEN SET CLOCK DOSE NOT PERMITTED...
BD Alaris™ neXus GP Volumetric Pump Technical Data IrDA, RS232 and Nursecall Specification IrDA / RS232 / Nursecall Feature The IrDA (or RS232 / Nursecall optional feature) is a feature that allows the Pump to be connected to an external device for the purpose of data communication .
Technical Data Infusion Specifications System Accuracy The System includes the Pump and any of the compatible Infusion Sets available from BD . Rate Accuracy is ±5%, achieved under nominal conditions 1a,2 Rate Accuracy is ±10%, achieved under low flow conditions...
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BD Alaris™ neXus GP Volumetric Pump Technical Data Starting the Infusion / Set-up Infusion Parameter Range Infusion Rate 0 .1 – 99 .9ml/h in steps of 0 .1ml/h 100 – 999ml/h in steps of 1ml/h 1000 – 1200ml/h in steps of 10ml/h VTBI Primary (0 –...
BD Alaris™ neXus GP Volumetric Pump Technical Data Trumpet and Flow Rate Curves In this Pump, as with all infusion systems, the action of the pumping mechanism and variations cause short-term fluctuations in rate accuracy . The following curves show typical performance of the system in two ways: 1) the accuracy of fluid delivery over various time periods is measured (trumpet curves), and 2) the delay in onset of fluid flow when infusion commences (start-up curves) .
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BD Alaris™ neXus GP Volumetric Pump Technical Data Trumpet Graph at 1 .0ml/h (Initial Period) Trumpet Graph at 1 .0ml/h (After 72 Hours) 30.0 20.0 10.0 Trumpet Graph at 25.0 ml/h (After 24 Hours) -10.0 -20.0 -30.0 Observation Window (minutes)
December 2020 5 .1 .x Firmware version update October 2021 5 .1 .x Fuse update Contact Us For full contact information please refer to bd .com . Customer Service Information Country Telephone EMAIL Australia Freephone: 1 800 656 100 bd_anz@bd .com België...