Hospira Plum 360 Operating Manual

Hospira Plum 360 Operating Manual

30010-27, 30011-27, 30012-27, 30010-54, 30011-54, 30012-54, 30010-57, 30011-57, 30012-57
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For use with the following list numbers
CE Marked
Not CE Marked, not
available in Europe
System Operating Manual
Australian Sponsor:
430-98340-001 (B, 2016-12)
INFUS
Compatible with
Hospira UK Limited
EC REP
Horizon, Honey Lane
Hurley, Maidenhead, SL6 6RJ, UK
Hospira Pty Ltd,
Melbourne VIC,
Australia,
Telephone: 1300 046 774
Software
30010-27, 30011-27, 30012-27,
30010-54, 30011-54, 30012-54,
30010-57, 30011-57, 30012-57
30010-04, 30011-04, 30012-04,
30010-10, 30011-10, 30012-10,
30010-65, 30011-65, 30012-65
TM
:
Hospira Inc.
275 N. Field Drive
Lake Forest, Illinois, 60045
USA

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Do you have a question about the Plum 360 and is the answer not in the manual?

Questions and answers

Tamara Mendoza
April 14, 2025

Can you change the alarm sound to a different ringtone? The alarm sounds similar to our BIPAP machines, and the confusion causes alarm fatigue.

1 comments:
Mr. Anderson
April 15, 2025

No, the alarm sound on the Hospira Plum 360 cannot be changed to a different ringtone. The device uses a built-in main audible indicator and keypad beeper with preset tones. Only the volume of the main alarm can be adjusted.

This answer is automatically generated

Kare Bender
February 11, 2025

How do I reset the battery in the Plum 360 iv pump

1 comments:
Mr. Anderson
February 12, 2025

To reset the battery in the Hospira Plum 360 IV pump, follow these steps:

1. Access the BIOMED SETTINGS screen.
2. Press [CHANGE BATTERY] to clear the Replace Battery warning and reset battery parameters.

If the battery door and pad are replaced, routine verification is not required. However, if there is a possibility of damage during the procedure, perform the PVT (Performance Verification Test) as outlined in the service manual.

This answer is automatically generated

julia
May 18, 2025

Can you give platelets infusion through the plum iv set using the pump? I have a patient with an IV that is not allowing gravity infusion, but site flushes

Carla Glasbrener
January 28, 2025

We're looking at running flolan through a primary syringe with our plum pumps for respiratory/ventilator use. Is this possible? If so, what tubing and/or syringes would we need to use?

Summary of Contents for Hospira Plum 360

  • Page 1 30010-04, 30011-04, 30012-04, available in Europe 30010-10, 30011-10, 30012-10, 30010-65, 30011-65, 30012-65 System Operating Manual Hospira Inc. Hospira UK Limited EC REP 275 N. Field Drive Horizon, Honey Lane Lake Forest, Illinois, 60045 Hurley, Maidenhead, SL6 6RJ, UK Australian Sponsor:...
  • Page 2 Notes System Operating Manual...
  • Page 3 Plum 360 Infuser Change History Part Number Description of Change 430-98340-001 Initial Release (A, 2016-10) 430-98340-001 Added “Expected Service Life” definition to (B, 2016-12) glossary in Section 1. Updated “Battery Maintenance” in Section 10. Updated “Battery Operation” and “Expected Service Life” specifications in Section 11.
  • Page 4 Notes System Operating Manual...
  • Page 5: Table Of Contents

    Plum 360 Infuser Contents Section 1, Introduction ....1-1 Intended Use ........1-2 User Qualification .
  • Page 6 Includes Systems Compatible with Hospira MedNet Taiwan NCC Warning Statement ....1-27 Suspected Cybersecurity Event or Threat ....1-28 Section 2, Equipment Description.
  • Page 7 Plum 360 Infuser Programming a Callback Alarm ....3-21 Restarting the Delivery Automatically After a Distal Occlusion Alarm......3-21 Stopping and Restarting a Delivery .
  • Page 8 Section 6, Auto-Programming ....6-1 Auto-Programming the Plum 360 Infuser ....6-2 Section 7, Additional Features ....7-1 Delay a Line.
  • Page 9 Plum 360 Infuser Put Piggyback Mode in Standby ....7-3 Cancel Piggyback Mode Standby ....7-3 Examples of Automatic Calculation.
  • Page 10 Includes Systems Compatible with Hospira MedNet Line B Alarms ........9-11 High Priority Alarms .
  • Page 11 Multiple Device Adapter ..... . . 12-23 Hospira I.V. Pole ......12-25 T-bar Accessory.
  • Page 12 Includes Systems Compatible with Hospira MedNet Notes System Operating Manual...
  • Page 13: Section 1, Introduction

    Plum 360 Infuser Section 1 Introduction The Plum 360™ is a large volume infuser capable of delivering fluids for a variety of therapies such as parenteral, enteral, or epidural infusions. The Plum 360 infuser can deliver fluids over a broad range of infusion rates and is capable of Concurrent delivery from one or more rigid or flexible fluid containers.
  • Page 14: Intended Use

    Includes Systems Compatible with Hospira MedNet The Plum 360 can act as a standalone infuser, or in conjunction with the Hospira MedNet™ software to provide medication safety software at the point of care, with customized drug libraries to support hospital defined protocols by clinical care area.
  • Page 15: User Qualification

    Plum 360 Infuser User Qualification The Plum 360 infuser is intended for use at the direction or under the supervision licensed physicians certified healthcare professionals who are trained in the use of the infuser and the administration of parenteral, enteral, and epidural therapies and the administration of whole blood and blood products.
  • Page 16: Conventions

    Includes Systems Compatible with Hospira MedNet Conventions This section describes the conventions used throughout this manual, as follows: Convention Application Example Italic Function or mode Primary Only: specific instructions, Attach an empty or disclaimer container. Adjusting Italic, bold, blue Reference to a section,...
  • Page 17: Messages

    Plum 360 Infuser CAUTION A CAUTION CONTAINS INFORMATION THAT COULD PREVENT IRREVERSIBLE PRODUCT DAMAGE OR HARDWARE FAILURE FAILURE TO OBSERVE A CAUTION COULD RESULT IN SERIOUS USER OR PATIENT INJURY MANDATORY ACTION A Mandatory Action symbol means the instructions that follow describe a required action.
  • Page 18: Definitions

    Includes Systems Compatible with Hospira MedNet Definitions Term Definition Administration Set The cassette with flexible tubing assembly that connects a source fluid container to a patient access device for fluid administration. Air Trap A component of the cassette that allows trapping and removal of proximal air.
  • Page 19 Body Surface Area, in m , for calculation of medication doses that require a patient’s height and weight. CAIR™ Trade name of Hospira's enhanced performance roller clamp. Cassette A component of an administration set specifically designed to work with the Plum infuser that facilitates two lines in and one line out, allowing primary and secondary I.V.
  • Page 20 Filling Head Height The height difference between the source (FHH) container and the distal line output. Hard Limit The upper- and lower-dosing limits associated with a drug, in Hospira MedNet drug library, that cannot be overridden by the operator. System Operating Manual...
  • Page 21 Plum 360 Infuser Term Definition Hospira MedNet Hospira MedNet provides healthcare professionals with the capability to send, receive, and store information from infusers. The bi-directional communication between the HMSS and infusers includes infusion parameters, infuser default configurations, infuser location, history, events, trending, alarms and status.
  • Page 22 Includes Systems Compatible with Hospira MedNet Term Definition Mode A type of secondary infusion, either Piggyback or Concurrent. Multistep A sequential program that can deliver up to 10 steps from one container at different rates, VTBI doses, s and durations using the same dosing unit.
  • Page 23: Precautions

    This section details precautions and possible hazards. Warnings, Cautions, and Guidelines For safe operation of the Plum 360 infuser, observe the Warnings, Cautions, and recommendations in the following sections. System Operating Manual...
  • Page 24: General Warnings And Cautions

    OF PATIENT STRANGULATION OR ENTANGLEMENT. DO NOT PLACE THE INFUSER IN SERVICE IF IT FAILS THE SELF TEST. DO NOT OPERATE THE PLUM 360 INFUSER WITH THE CASE OPENED. ALTHOUGH UNLIKELY, FAILURE OF CERTAIN ROBUST MECHANICAL COMPONENTS SUCH AS THE ANTI-FREE FLOW...
  • Page 25: Piggyback, Concurrent, And Secondary Delivery

    Plum 360 Infuser DO NOT USE THE INFUSER IN A MRI ENVIRONMENT OR IN THE PRESENCE OF STRONG MAGNETIC FIELDS. SERIOUS INJURY OR DAMAGE TO EQUIPMENT MAY RESULT. DO NOT USE THE INFUSER IN ANY HYPERBARIC OR OXYGEN- R I C H E N V I R O N M E N T . S E RI O U S I N J U R Y OR D A M A G E TO EQUIPMENT MAY RESULT.
  • Page 26 When delivering short half-life critical drugs (see Critical Drug Examples on page 1-15) using the Plum 360 infuser in Concurrent mode, the following delivery rate guidelines should be observed: • If the critical drug (with half-life less than 6 minutes) is to be infused at less than 2 mL/hr, the other infusion should be no faster than 5 times the critical drug’s rate.
  • Page 27 Plum 360 Infuser NOTE: The total of the primary rate plus the secondary rate cannot exceed 500 mL/hr. These guidelines apply only when infusing short half-life critical drugs in Concurrent mode. Individual patient responses may vary requiring adjustment of delivery rates.
  • Page 28: Guidelines When Opening The Cassette Door

    Administration Sets and Accessories Guidelines • Use only compatible LifeCare PlumSets with the Plum 360 infuser. See individual set instructions for additional information. • Administration sets should be changed at least every 96 hours.
  • Page 29 Plum 360 Infuser WARNING WHEN INFUSING AT LOW DELIVERY RATES (5 mL/HR OR LESS) USE THICK-WALLED MICROBORE PLUMSETS. THIS WILL REDUCE THE AMOUNT OF THE UNINTENDED FLUID BOLUS THAT MAY BE DELIVERED WHEN A DISTAL OCCLUSION IS RELEASED. • Microbore PlumSets are not recommended at flow rates above 100 mL/hr.
  • Page 30: Precautions To Avoid Unintended Bolus

    Includes Systems Compatible with Hospira MedNet Precautions to Avoid Unintended Bolus In addition to the following procedure, refer to Maximum Unintended Bolus Volume Released After Distal Occlusion is Resolved page 11-9. Use the following procedure to avoid the administration of an unintended bolus following a distal occlusion: 1.
  • Page 31: Guidelines To Avoid Air In The Patient Line

    Plum 360 Infuser Guidelines to Avoid Air in the Patient Line • Air bubbles may form distal to the cassette as the result of normal outgassing of dissolved air in the fluid in one or more of the following cases: •...
  • Page 32: Battery Guidelines

    (mains) power during storage to ensure a fully charged battery for emergencies. • Do not use the Plum 360 infuser to operate on patients when the battery is removed. Use of a properly maintained and charged battery helps to ensure proper operation.
  • Page 33: Artifacts

    The Plum 360 infuser 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 encountered next to an electrosurgical generator, it is possible that the normal operation of a sensor or microcomputer might be disrupted.
  • Page 34: Interconnecting Of Medical Equipment

    Includes Systems Compatible with Hospira MedNet 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 •...
  • Page 35: Guidance On Emc Compatibility

    The Plum 360 infuser has been tested to the requirements of IEC 60601-1-2012, IEC 60601-1-2:2007, and IEC 60601-2-24-2012. The Plum 360 infuser is also compliant to EN 60601-1-2:2007 and EN 60601-2-24:1998. The infuser meets the EMC requirements of the Medical Device Directive 93/42/EEC with amendments by 2007/47/ EC.
  • Page 36: Fcc Information

    Includes Systems Compatible with Hospira MedNet 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.
  • Page 37: Canadian Department Of Communications Industry Canada Notice (Canada Only)

    Plum 360 Infuser If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures: •...
  • Page 38: R&Tte

    5.1dBi (5 GHz) Frequency Tolerance: ±20ppm R&TTE Hospira Inc., hereby declares that this Plum 360 infuser is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC. The Plum 360 infuser is intended to support radio telecommunication throughout the European Union.
  • Page 39: Rohs

    Plum 360 Infuser RoHS Hospira Inc., hereby declares that this Plum Infusion Pump is in compliance with Directive 2011/65/EU on the restriction of the use of certain hazardous substances in electrical and electronic equipment (RoHS). Taiwan NCC Warning Statement According to “Administrative Regulations on Low Power Radio Waves Radiated Devices”...
  • Page 40: Suspected Cybersecurity Event Or Threat

    Includes Systems Compatible with Hospira MedNet Suspected Cybersecurity Event or Threat The section contains information on the recommended procedure upon detecting a suspected cybersecurity event or threat. 1. Contact hospital and/or follow hospital guidelines to report the suspected cybersecurity event or threat.
  • Page 41: Section 2, Equipment Description

    Plum 360 Infuser Section 2 Equipment Description For a technical description of the Plum 360 infuser, see the Plum 360 Infuser Technical Service Manual. The Plum 360 infuser includes the infuser (pumping module) and attached Connectivity Engine peripheral module (CE module), and this System Operating Manual.
  • Page 42: Keypad And Display

    Includes Systems Compatible with Hospira MedNet Section 12 for a list of Plum administration sets and optional accessories. The following sections describe the Plum 360 infuser hardware and Plum administration sets. Keypad and Display This manual covers Plum 360 infusers with an alphanumeric keypad and Plum 360 infusers with a numeric keypad.
  • Page 43: Numeric Keypad

    Plum 360 Infuser Numeric Keypad Audio Paused Key Line B Flow Line A Flow Indicator Indicator Line Status Region Working Region Rate mL/hr Messages Vol Inf Name Medical Softkey Hospira Select Line A/B to program Label MedNet Connected Back Settings /...
  • Page 44: Operating Keys

    Includes Systems Compatible with Hospira MedNet Operating Keys [ON/OFF] - Infuser power on and off. See Turning Power Turning Power Off for more information. [START] - Is the first key to press to start a delivery. For safety reasons, every delivery must be confirmed by checking the programming and then pressing an additional softkey, in response to a prompt.
  • Page 45 Plum 360 Infuser [AUDIO PAUSED] - Has two functions, temporarily silencing all audio output for any active alarms for two minutes or temporarily silencing keypad input sound feedback for two minutes if there are no active alarms. See Programming a...
  • Page 46 Includes Systems Compatible with Hospira MedNet Alphanumeric Keypad Number keys - Have two functions, entering numbers a b c d e f in any highlighted field and navigating through the drug library. g h i j k l m n o...
  • Page 47: Indicators

    Upper Soft Limit Override - appears next to the drug name when the dosage of the drug being infused is higher than the upper soft limit set for the drug in the Custom Drug Library (for systems with Hospira MedNet software only). System Operating Manual...
  • Page 48 Ethernet - appears when the infuser is communicating with the network over a wired (Ethernet) connection. Hospira MedNet Connection - appears when the infuser is communicating with Hospira MedNet software over either a wireless or Ethernet connection.
  • Page 49 Plum 360 Infuser Battery Capacity - shows the battery charge level when a battery is installed in the infuser, or indicates that a battery is not installed. The following figure shows all possible appearances for this symbol. From left to right, the symbols represent 100%, 75% 50%, and 25% charge levels, a fully-depleted battery, and a battery not installed.
  • Page 50: Ce Module

    Includes Systems Compatible with Hospira MedNet CE Module Connection of the Plum 360 infuser to an IT network could result in previously unidentified risks to patients, operators, or third parties. The organization that makes those connections must identify and control those risks.
  • Page 51 Yellow * For information about CE shutdown, see the Plum 360 Infuser Technical Service Manual. Volume Knob – adjusts the sound level of the audible alarm. Rotate the knob clockwise to increase the volume. Rotate the knob counterclockwise to decrease the volume.
  • Page 52: Pole Clamp, Potential Equalization Terminal, And Power Cord

    The power cord connection to the infuser is protected by an enclosure to prevent accidental disconnection. The power cord can be replaced if damaged (see the Plum 360 Infuser Technical Service Manual). 2-12 System Operating Manual...
  • Page 53 Plum 360 Infuser Potential Equalization Terminal - is used to ensure that the infuser is at the same electric potential (voltage) as the other devices in the treatment location. Ideally the electrical potential is at zero volts, so that no current can inadvertently flow from one device to another through a patient.
  • Page 54: Plum Administration Sets

    Includes Systems Compatible with Hospira MedNet Plum Administration Sets Plum administration sets are available for a wide variety of uses, including intravenous, blood, enteral, and epidural deliveries. Intravenous, epidural, and blood sets are supplied sterile. Some sets have additional features such as burettes, filters, or special tubing...
  • Page 55: The Plum Cassette

    Plum 360 Infuser The Plum Cassette Each PlumSet includes a proprietary cassette that works with the infuser’s pumping mechanism provide fluid delivery, air management, and occlusion detection. The following figure shows the parts of the cassette. (PROXIMAL) PRIMARY (PROXIMAL) LINE...
  • Page 56 Includes Systems Compatible with Hospira MedNet Most cassettes also include a secondary port for attaching a line or syringe for Piggyback or Concurrent fluid delivery. The secondary port has one of these connectors: Clave secondary ports are compatible with sets or syringes that employ male luer adaptors for connection.
  • Page 57 Plum 360 Infuser The cassette also has these features: • A finger grip to assist placing the cassette in the correct position, to guide and load it into the door tracks of the cassette door. • A pumping chamber that works with the pumping mechanism on the infuser to pump fluid to the patient.
  • Page 58: Other Administration Set Features

    Includes Systems Compatible with Hospira MedNet Other Administration Set Features Most Plum administration sets have some combination of the following features. For complete information about all the features of a particular administration set, refer to the label on the administration set packaging.
  • Page 59 Plum 360 Infuser Roller Clamps allow controlled fluid flow. OPEN • To gradually increase fluid flow, slide the roller POSITION Open towards the fully position. • Observe the fluid drops in the drip chamber. • To gradually decrease and then stop fluid flow,...
  • Page 60 Includes Systems Compatible with Hospira MedNet Notes 2-20 System Operating Manual...
  • Page 61: Section 3, Basic Operations

    See the Plum 360 Infuser Technical Service Manual for more information. If using Hospira MedNet safety software, the infuser must also be connected to the facility’s network to...
  • Page 62: Mounting The Infuser On An I.v. Pole

    Includes Systems Compatible with Hospira MedNet 2. Connect the power cord to an AC (mains) power receptacle and confirm that the green AC ON indicator lights. Ensure that access to the mains plug is not blocked while using the infuser so that the plug can be disconnected from the mains power receptacle in the event of an emergency.
  • Page 63 NOTE: The Plum 360 infuser pole clamp has a ratchet mechanism that produces an audible click when properly tightened. When the pole clamp is tight enough, a ratcheting...
  • Page 64: Mounting Multiple Infusers To An I.v. Pole

    Multiple Device Adapter on page 12-23. The documentation included with the Hospira I.V. pole lists the allowable number of infusers and their mounting heights to maintain the required stability of the system. For guidance, refer to the illustration on page 3-5.
  • Page 65 Plum 360 Infuser I.V. Pole with Three Mounted Infusers System Operating Manual...
  • Page 66: Attaching A Nurse Call Interface Cable

    Includes Systems Compatible with Hospira MedNet Attaching a Nurse Call Interface Cable The Plum 360 infuser can connect to your facility’s Nurse Call system through the Plum Nurse Call Interface cable (see Accessories page 12-20). To connect the infuser to a Nurse Call system: 1.
  • Page 67 Plum 360 Infuser Infuser components located behind the cassette door interact with the cassette to control fluid flow, preventing primary and secondary fluids from mixing, and allowing fluid to reach the patient only when the infuser is pumping. The fluid regulator closes to prevent fluid flow to a patient.
  • Page 68: Opening The Cassette Door Completely

    Includes Systems Compatible with Hospira MedNet Opening the Cassette Door Completely The cassette door can be opened flat if needed, for example, to retrieve a dropped cap, remove a stuck cassette, or wipe a spill. WARNING CLOSE ALL CLAMPS ON THE PRIMARY AND SECONDARY...
  • Page 69 Plum 360 Infuser 3. Press the yellow door release tab on the lower part of the door lever to disengage the cassette door from the door latch, and then gently press the cassette door down until it opens completely. CLOSE...
  • Page 70: Closing The Cassette Door

    Includes Systems Compatible with Hospira MedNet Closing the Cassette Door Keep the cassette door closed while not in use to avoid damage to the cassette door. To close the cassette door, press down on the cassette door lever. BEFORE OPENING DOOR...
  • Page 71: Turning Power On

    2. Press [ON/OFF] until you hear a beep, the Hospira logo appears on the screen, and the Line A and Line B flow indicators (drip symbols) briefly blink.
  • Page 72: Turning Power Off

    3-22). 2. Press [ON/OFF] until you hear a beep. NOTE: If the Plum 360 infuser has been turned off for longer than five hours, all delivery settings are cleared and programming options are restored to their default selections for next use.
  • Page 73: Using The Keypad And Controls

    Plum 360 Infuser Using the Keypad and Controls The alphanumeric keypad on the Plum 360 infuser has two functions, entering information to program a delivery and searching through the drug library. Using the Keypad to Enter Program Information When entering numbers in a Program screen (to program a delivery rate or VTBI, for example), highlight the field and press the number keys as needed.
  • Page 74: Locking And Unlocking The Keypad

    • Each attempt is also recorded in the infuser log. Logs can be retrieved by the Biomedical staff. See the Plum 360 Infuser Technical Service Manual for more information. 3-14 System Operating Manual...
  • Page 75 Plum 360 Infuser To lock the keypad (Method #1): 1. Press the [LOCK KEYPAD] hard key. 2. The Passcode data entry Passcode screen appears on the display. 3. Enter the passcode using the Enter Passcode to Lock Keypad numeric keypad.
  • Page 76 Includes Systems Compatible with Hospira MedNet 3. Press the [Lock Keypad] soft key. 4. The Passcode data entry Passcode screen appears on the display. 5. Enter the passcode using the Enter Passcode to Lock Keypad numeric keypad. Passcode **** 6. Press the [Enter]...
  • Page 77: Using The Keypad To Search The Drug List

    To search the drug list and select a drug: 1. Display the drug list. • For systems with Hospira MedNet software, the custom drug list appears after you select a CCA and Line A or Line B. • For systems without Hospira MedNet software, select Line A [Drug List]...
  • Page 78: Working With Alarms

    [Choose]. Working with Alarms Alarms on the Plum 360 infuser have two components, a message that appears on the display and an audible signal. The infuser has an intelligent alarm system that handles more than one alarm at a time.
  • Page 79: Test The Alarm System

    Plum 360 Infuser Test the Alarm System To test the alarm system before using on a patient: 1. Load a non-primed cassette in the infuser and power the infuser on if it is not already on. 2. Verify the Cassette Test Failure alarm activates and the audible alarm sounds.
  • Page 80: Adjusting The Audio Alarm Volume

    Includes Systems Compatible with Hospira MedNet NOTE: Each alarm puts an entry in the infuser logs. If troubleshooting does not correct the problem, contact the Biomedical department, who can check the logs and further isolate the problem. A malfunction alarm alerts you to turn off the infuser and restart it.
  • Page 81: Programming A Callback Alarm

    • When the infuser detects a distal occlusion, delivery stops immediately and the infuser issues an alarm. The Plum 360 infuser can restart the delivery automatically if the distal occlusion clears within 60 seconds. This gives time to resolve the occlusion without the need to restart the delivery manually by pressing the [START] key.
  • Page 82: Stopping And Restarting A Delivery

    Includes Systems Compatible with Hospira MedNet If Hospira MedNet software is installed, each CCA can be configured to allow up to 10 restarts per infusion. Without Hospira MedNet software, the number of restarts can be configured by the Biomedical staff for the default CCA (DDL). To view the maximum number...
  • Page 83 Plum 360 Infuser If you are stopping the infusion entirely, see Discontinuing Fluid Administration on page 4-28 for instructions on removing the administration set from the patient. See Discontinuing Electronic Flow Control and Setting Gravity Flow on page 4-25 for instructions on removing the administration set from the infuser but continuing fluid administration.
  • Page 84: Clearing A Line

    Complete alarm, and begins delivering a Post Infusion Rate. The default Post Infusion Rate setting is KVO, but the default setting can be changed in Hospira MedNet software by the CCA. On infusers without Hospira MedNet software, the Post Infusion Rate default setting can be changed by a biomedical technician.
  • Page 85: Cca Settings

    Plum 360 Infuser You can change the default setting to one of the following: • KVO - the infuser continues to deliver fluid at a Keep Vein Open (KVO) rate of 1 mL/hr. If the delivery rate of the infusion that just completed was less than 1 mL/hr, the KVO rate will continue at the same delivery rate (for example, if the delivery rate was 0.5 mL/hr,...
  • Page 86: Post Infusion Rate (Loading Dose Delivery And Multistep Delivery)

    Includes Systems Compatible with Hospira MedNet 2. Press [Choose].  Post Infusion Rate The Post Infusion Rate screen appears, with the current setting highlighted. Post Infusion Rate 3. To change the current setting, press [KVO/ Rate] (to return to the previous setting, press [KVO/Rate]...
  • Page 87 “Yes” to the “New Patient?” prompt, or when you select a new CCA. To view and clear the volumes infused: 1. On the main delivery screen (of a Plum 360 infuser with Hospira MedNet software), press [Settings/Vols/CCA] to display the Settings/Vols/CCA screen shown on page 3-25.
  • Page 88: Adjusting Display Lighting And Contrast

    Includes Systems Compatible with Hospira MedNet Adjusting Display Lighting and Contrast You can adjust the lighting and contrast on the infuser display screen to ensure visibility and customize the level for the surrounding environment. To adjust display lighting and contrast: 1.
  • Page 89: Viewing Cca And Infuser Settings

    Clinical Care Area (CCA). • For systems with Hospira MedNet software, CCA/Infuser settings are configured for each CCA through the Hospira MedNet software. The settings are downloaded to all infusers over the network through a wireless or Ethernet connection.
  • Page 90 Includes Systems Compatible with Hospira MedNet To view the current CCA and Infuser settings: On an infuser with a DDL, the CCA is set by a biomed technician. You cannot select a CCA on an infuser with a DDL. 1. On the delivery screen, press [Settings/Vols/...
  • Page 91: Cca/Infuser Setting Descriptions

    Plum 360 Infuser CCA/Infuser Setting Descriptions CCA Settings Description Maximum Rate The highest rate that you can program for a single line or Piggyback delivery. For Concurrent delivery, the total rate for Line A + Line B must be <= 500 mL/hr.
  • Page 92: Default Distal Alarm Pressure

    Includes Systems Compatible with Hospira MedNet CCA Settings Description Default Distal Alarm Displays the normal Distal Alarm Pressure Pressure Limit for the CCA. You can change this value for a delivery, when needed. Setting the Distal Pressure Alarm Limit on page 3-34 for more information.
  • Page 93 Plum 360 Infuser Infuser Settings Description Default End of Infusion: Sets the rate of infusion after VTBI is delivered to either KVO (Keep Vein Open) or Rate. Setting the Post Infusion Rate on page 3-24 for more information. Default B Delivery Mode Sets the initial Line B delivery mode to Piggyback or Concurrent.
  • Page 94: Changing The Default Infuser Settings

    Includes Systems Compatible with Hospira MedNet Changing the Default Infuser Settings CCA settings are set based on the patient population and cannot be changed. Infuser settings that begin with “Default” can be adjusted for a particular delivery, if clinically necessary.
  • Page 95 Plum 360 Infuser To view the current distal pressure reading and set the distal pressure limit: 1. On the main delivery screen, press [Settings/ Pressure  Vols/CCA] to display the Settings/Vols/CCA screen shown on page 3-25. 2. Use [SELECT] to highlight...
  • Page 96: Changing The Default Line B Delivery Mode

    Includes Systems Compatible with Hospira MedNet 4. Change the limit to the desired PSI value between 3 and 12. 5. Use the keypad to Press [Done] to save your changes and [Previous return to the Settings/Vols/CCA screen or press Screen] to view the settings without making changes.
  • Page 97: Section 4, Plum Administration Sets

    Plum 360 Infuser Section 4 Plum Administration Sets Plum 360 infuser operation requires single-use LifeCare Plum series administration sets (PlumSets). For a list of approved administration sets, visit the Hospira website (http://products.hospira.com). CAUTION PLUM ADMINISTRATION SETS ARE NOT FOR USE WITH HIGH...
  • Page 98: Priming A Primary Administration Set

    Sterile administration sets are indicated on the administration set packaging. Refer to the packaging for the method of sterilization. WARNING USE ONLY HOSPIRA PLUM ADMINISTRATION SETS WITH A CASSETTE SPECIFIED FOR USE WITH THE PLUM INFUSER. USE OF NON-PLUM CASSETTES CAN RESULT IN IMPROPER FUNCTIONING OF THE INFUSER OR INACCURATE DELIVERY.
  • Page 99 Plum 360 Infuser WARNING INSPECT THE ADMINISTRATION SET PACKAGING. IF THE PACKAGING IS NOT INTACT, DISCARD IT AND USE A NEW SET. Do not use a Plum Administration set for longer than 96 continuous hours. Administration sets are single-patient use only.
  • Page 100 Includes Systems Compatible with Hospira MedNet CAUTION BE CAREFUL WHEN PIERCING THE SOLUTION CONTAINER TO AVOID PUNCTURING IT 5. Insert the piercing pin into the outlet on the fluid container using a twisting motion. Do not insert the piercing pin while the container is hanging above the infuser.
  • Page 101 Plum 360 Infuser 8. If using a rigid fluid container (glass bottle, for example), open the filter vent cover above the drip chamber. If using a flexible plastic container, make sure this vent cover is closed. OPEN CLOSED 9. Invert the cassette so that the secondary port is pointing down.
  • Page 102 Includes Systems Compatible with Hospira MedNet 11. When the first drop appears in the pumping chamber, turn the cassette upright. FIRST DROP 12. Continue to slowly prime the set until all air is removed from the cassette and the remainder of the tubing.
  • Page 103 Plum 360 Infuser 13. Once priming is complete, push the flow regulator in to close it. CAUTION CHECK THE DRIP CHAMBER AND THE DISTAL END OF THE TUBING TO CONFIRM THAT THERE IS NO FLOW AND THAT NO KINKS APPEAR...
  • Page 104: Loading A Cassette

    Includes Systems Compatible with Hospira MedNet Loading a Cassette To load a primed cassette into the infuser: 1. Lift the lever to open the cassette door. 2. Grasp the cassette by the finger grip. FINGER GRIP 3. Slide the cassette between the cassette door and the door guides.
  • Page 105 Plum 360 Infuser 4. Press the lever down to close the cassette door. BEFORE OPENING DOOR WARNING: CLOSE ALL CLAMPS BEFORE OPENING DOOR CLOSE LEVER WHEN CLOSE LEVER WHEN LEVER CLOSED 5. Insert the proximal line into the Line A tubing guide.
  • Page 106: Preparing A Secondary Delivery From An Administration Set

    Administration Set The following procedure gives the general steps for preparing a secondary Hospira administration set for a Piggyback or Concurrent delivery. Refer to the set packaging for complete instructions on how to prime the administration set you are about to use.
  • Page 107 Plum 360 Infuser 2. Open the set packaging and remove the set. Make sure the roller clamp on the set is in the closed position. CLOSED POSITION CAUTION BE CAREFUL WHEN PIERCING THE SOLUTION CONTAINER TO AVOID PUNCTURING IT 3. Insert the piercing pin into the secondary container outlet using a twisting motion.
  • Page 108 Includes Systems Compatible with Hospira MedNet 5. Squeeze the drip chamber to fill it about 1/3 full or to the score mark. Do not completely fill the drip chamber. 6. If using a rigid fluid container (glass bottle, for example), open the filter vent cover above the drip chamber.
  • Page 109: Connecting A Secondary Line Or Syringe

    Plum 360 Infuser 8. After all air is removed, close the roller clamp. TO CLOSE CLOSED CAIR CLAMP POSITION ROLLER ROLLER 9. Attach the line to the secondary port (see Connecting a Secondary Line or Syringe on page 4-13). 10. Insert the secondary line into the Line B tubing guide.
  • Page 110: Connecting To A Clave Port

    Includes Systems Compatible with Hospira MedNet Connecting to a Clave Port The Clave is a needle-free connector with an internal design that prevents leakage from the top of the connector. The secondary line or syringe can be attached directly to the port. Avoid twisting...
  • Page 111 Plum 360 Infuser NOTE: Do not twist or bend the Clave when accessing the secondary port. 2. Secure the connection: • If attaching a secondary line, continue to support the Clave with one hand as you move the locking collar over the port with...
  • Page 112: Connecting To A Prepierced Port

    Includes Systems Compatible with Hospira MedNet Connecting to a Prepierced Port prepierced port requires locking blunt cannula (see Accessories on page 12-20) to provide needle-free access and a secure connection. To connect a line or syringe to a prepierced port: 1.
  • Page 113 Plum 360 Infuser WARNING: CLOSE ALL OPENING DOOR CLOSE LEVER WHEN 3. Center the cannula over the prepierced secondary port and push until the cannula clicks into place. CLOSE LEVER WHEN 4. Gently pull the connection between the secondary line or syringe and the locking blunt cannula to confirm that all connections are secure.
  • Page 114: Connecting To A Capped Port

    Includes Systems Compatible with Hospira MedNet Connecting to a Capped Port A secondary line or syringe attaches directly to the capped port. To prevent leakage from the top of the connector during the following procedure, you must ensure that the cassette door remains closed or clamp the primary line (Line A) before opening the cassette door.
  • Page 115: Priming The Syringe Adapter

    Plum 360 Infuser Priming the Syringe Adapter To prime the syringe adapter: 1. Fill the syringe with solution. 2. Attach the vented syringe adapter onto syringe. 3. Press and hold [Back Prime] to prime the syringe adapter. 4. Refill the syringe.
  • Page 116 Includes Systems Compatible with Hospira MedNet You can attach a syringe to the secondary port on a Plum cassette for Piggyback or Concurrent delivery of a secondary fluid. Follow these guidelines: Syringe sizes 3 mL - 60 mL accepted: 10 mL or smaller syringes require a syringe adapter to ensure delivery accuracy.
  • Page 117: Backpriming

    Plum 360 Infuser Backpriming WARNING THE PLUM 360 INFUSER DOES NOT HAVE CAPABILITY TO DETECT INFILTRATION TO THE PATIENT. CAUTION DURING BACKPRIMING FLUIDS CAN BECOME MIXED AND DILUTED Backpriming is not recommended for reconstituting secondary containers containing dry powders. NOTE: A small amount of fluid may be expelled from the set (less than or equal to 0.05 mL) after backpriming.
  • Page 118: Preparing To Backprime

    Line B fluid container. This setup will resolve a proximal air-in- line alarm for either Line A or Line B. NOTE: Since the Plum 360 infuser delivers the exact VTBI that is programmed for a line, you may need to adjust the VTBI on Line B to account for the extra volume from backprimed fluid.
  • Page 119: Backpriming Procedure

    Plum 360 Infuser Setup for Backpriming into a Syringe If you do not have a delivery set up on Line B, or you need to avoid pumping air and fluid from Line A into Line B, you can attach a syringe...
  • Page 120 Includes Systems Compatible with Hospira MedNet NOTE: If you press and hold the [Backprime] key for two minutes, a stuck key alarm sounds and the display screen shows Power Off then On. Replace pump if alarm continues. 2. If the cassette test detects that there is still air in the line, repeat Step 1 until the cassette test is successful.
  • Page 121: Discontinuing Electronic Flow Control And Setting

    USE FOR ANY RESTRICTIONS REGARDING GRAVITY USE Gravity flow allows you to temporarily continue fluid delivery without the Plum 360 infuser. NOTE: Gravity flow is supported for only one line. When using gravity flow to deliver fluid, only deliver from one fluid container at a time.
  • Page 122 Includes Systems Compatible with Hospira MedNet 5. If only 1 line was pumping, open all clamps. If 2 lines were pumping, you must choose one line for gravity flow. Open the clamps on that proximal line and on the distal line.
  • Page 123: Removing A Secondary Line Or Syringe

    Plum 360 Infuser To resume delivery in a replacement infuser: 1. Close all clamps. 2. Insert the cassette into the infuser and close the door. 3. Open all clamps. 4. Check the drip chamber to ensure that there is no flow.
  • Page 124: Discontinuing Fluid Administration

    Includes Systems Compatible with Hospira MedNet • To remove a syringe from a Clave or capped secondary port - Pull up the plunger slightly to avoid spilling fluid. Twist counterclockwise to disconnect a Luer-Lok or syringe adapter, if present, and remove the syringe from the port. Aseptically cap a capped secondary port.
  • Page 125: Changing Administration Sets

    Plum 360 Infuser 5. Open the cassette door and remove the cassette. 6. Close the cassette door. 7. Discard the set and fluid container per hospital procedure. Changing Administration Sets Plum administration sets should be changed per facility policy or every 96 hours, whichever is less.
  • Page 126: Resolving A Distal Air-In-Line Alarm

    Includes Systems Compatible with Hospira MedNet To change the administration set: Use aseptic technique with all fluid path connections to prevent contamination. Remove caps when required and secure all connections. 1. Stop the infuser, close all clamps, and then remove and discard the old set.
  • Page 127: Avoiding Unintended Bolus While Resolving A Distal

    Plum 360 Infuser Avoiding Unintended Bolus While Resolving a Distal Occlusion When using critical drugs, care must be taken to avoid an unintended bolus. Use the following procedure to avoid the administration of an unintended bolus caused by the buildup of pressure in the cassette...
  • Page 128 Includes Systems Compatible with Hospira MedNet 3. Gently pull out the flow regulator on the cassette to dissipate the pressure for a brief moment, and then push in on the flow regulator to close it. 4. Eliminate the source of occlusion.
  • Page 129: Section 5, Programming

    Programming Features Common to the Default Drug Library and Custom Drug Libraries Auto-Calculations There are three ways that the Plum 360 infuser performs auto- calculations: • In a time-based dosing unit such as mL/hr or mg/kg/hr, where entering the dose calculates the rate and entering the VTBI calculates the duration.
  • Page 130: Programming Line B

    Includes Systems Compatible with Hospira MedNet Programming Line B WARNING E N S U R E M E D I C A T I O N S T H A T A R E D E L I V E R E D CONCURRENTLY, OR IN PIGGYBACK, ARE COMPATIBLE.
  • Page 131: Programming With A Default Drug Library

    Plum 360 Infuser 3. The infuser display asks if you want to clear the line settings. Select [Yes] to clear the line settings. [No] Select to advance to the program screen for the line selected without clearing the settings. NOTE: Clearing a line does not clear the volumes infused.
  • Page 132: Programming With A Drug List

    Includes Systems Compatible with Hospira MedNet Programming with a Drug List To program with a drug list: 1. On the Delivery (A/B) Screen, select a line to program. If you are programming a primary delivery, select Line A. If you are programming a secondary delivery, select Line B.
  • Page 133: Programming With A Custom Drug Library

    Plum 360 Infuser Programming with a Custom Drug Library To program with a custom drug library: 1. At power on, select a CCA. NOTE: The CCA can be changed from the Drug List screen. For more information, see Changing a CCA from the Drug List Screen on page 5-7.
  • Page 134: Hard Limits

    Includes Systems Compatible with Hospira MedNet CAUTION BEFORE STARTING DELIVERY VERIFY THE VALUES 9. Press [START]. Confirm the program. Press [Yes]. Hard Limits If a maximum hard limit is exceeded, an alert appears. You cannot proceed until the entry is cleared.
  • Page 135: Programming Line B With Line A Programmed

    Plum 360 Infuser Programming Line B with Line A Programmed WARNING E N S U R E M E D I C A T I O N S T H A T A R E D E L I V E R E D CONCURRENTLY, OR IN PIGGYBACK, ARE COMPATIBLE.
  • Page 136: Delaying A Line

    Includes Systems Compatible with Hospira MedNet Delaying a Line 1. Press[Delay]. 2. Enter time, and press [Done]. Delivery screen shows DELAYED and time delayed. 3. To clear a delay, choose the line, press [Delay], then change or clear the delay settings, then press [Done].
  • Page 137: Putting A Line In Standby - Piggyback Mode

    Plum 360 Infuser Putting a Line in Standby – Piggyback Mode To put a line in standby – Piggyback mode: [Standby] [Yes]. Line B will 1. Press and confirm by pressing stand by, line A will remain pending. [Restart A] 2.
  • Page 138 Includes Systems Compatible with Hospira MedNet Notes 5-10 System Operating Manual...
  • Page 139: Section 6, Auto-Programming

    Five Rights verification process reducing the number of steps to manually program the infuser. After verifying that the order is within the allowed parameters, Hospira MedNet software sends the program parameters to the infuser. A clinician has the option of manually editing the program or confirming and starting the infusion.
  • Page 140: Auto-Programming The Plum 360 Infuser

    6. Scan the barcode on the infuser. NOTE: If the scanned medication does not exist in the Hospira MedNet drug library, no medication will be displayed on the infuser and “No Drug Selected” will be shown on the subsequent Confirmation and Main Delivery Screens.
  • Page 141 Plum 360 Infuser The programming screen Program is automatically filled. DOPamine(CARDIAC) 7. Verify ALL parameters. Conc If changes are desired, Weight you can manually change the Dose mcg/kg/min infusion parameters using the Rate mL/hr VTBI keypad on the infuser. Duration...
  • Page 142 Includes Systems Compatible with Hospira MedNet Notes System Operating Manual...
  • Page 143: Section 7, Additional Features

    Plum 360 Infuser Section 7 Additional Features Delay a Line To program a delayed start, first select a line and program the line (see Programming on page 5-1). 1. On the Program screen, press [Delay]. 2. Enter time in hours and minutes up to 23:59 hh:mm, and press [Done].
  • Page 144: Put 1 Or 2 Lines In Standby From The Delivery Screen (Non-Piggyback)

    Includes Systems Compatible with Hospira MedNet The instructions below describe how to put one or both lines in Standby from the Delivery screen. This can also be accomplished for a single line from that line's Confirmation screen. Put 1 or 2 Lines in Standby from the Delivery Screen (Non-Piggyback) 1.
  • Page 145: Put Piggyback Mode In Standby

    Plum 360 Infuser Put Piggyback Mode in Standby WARNING E N S U R E M E D I C A T I O N S T H A T A R E D E L I V E R E D CONCURRENTLY, OR IN PIGGYBACK, ARE COMPATIBLE.
  • Page 146: Examples Of Automatic Calculation

    Includes Systems Compatible with Hospira MedNet Examples of Automatic Calculation mL/hr - Initial Programming Initial programming allows the clinician to enter two of the three programming parameters (Rate, VTBI, or Duration) and the third is automatically calculated. (Refer to the table below)
  • Page 147: Non-Time-Based Dose Calculation (For Example, Ml)

    Plum 360 Infuser Non-Time-Based Dose Calculation (for example, mL) - Initial Programming 1st Action [AUTOCALC] 2nd Action [AUTOCALC] enter DOSE [VTBI] enter DURATION [RATE] enter DOSE [VTBI] enter RATE [DURATION] enter VTBI [DOSE] enter DURATION [RATE] enter VTBI [DOSE] enter RATE...
  • Page 148: Time-Based Dose Calculation (For Example, Mg/Min)

    Includes Systems Compatible with Hospira MedNet Time-Based Dose Calculation (for example, mg/min) - Initial Programming 1st Action [AUTOCALC] 2nd Action [AUTOCALC] enter DOSE [RATE] enter DURATION [VTBI] enter DOSE [RATE] enter VTBI [DURATION] enter RATE [DOSE] enter DURATION [VTBI] enter RATE...
  • Page 149: Time-Based Dose Calculation (For Example, Mg/Min) - After Vtbi Complete Alarm

    Plum 360 Infuser Time-Based Dose Calculation (for example, mg/min) - After VTBI Complete Alarm 1st Action [AUTOCALC] 2nd Action [AUTOCALC] enter [VTBI] keep DOSE keep RATE DURATION (if VTBI = 0)* enter VTBI [DURATION] keep DOSE keep RATE enter [VTBI]...
  • Page 150 Includes Systems Compatible with Hospira MedNet Notes System Operating Manual...
  • Page 151: Section 8, Delivery Options

    Bolus can be delivered from either line A or line B (while in the piggyback mode). Bolus delivery is available only when using a Custom Drug Library with the Hospira MedNet application; it is not available in the Default Drug Library. Those medications which can be delivered by bolus will have dose, time, and bolus limits defined within Hospira MedNet.
  • Page 152 Includes Systems Compatible with Hospira MedNet To program a bolus on Line A: Program [A] 1. Press (the Line A softkey). NoDrug Selected 2. Press [Bolus] (the Bolus mL/hr softkey is available only if the Rate 1000 medication to be bolused is...
  • Page 153 Plum 360 Infuser 3. On the Bolus programming screen, enter the dose and duration, rate and VTBI will be calculated. 4. Optional: To add a Callback alarm when the Bolus delivery [Add completes, press Callback]. When the Callback alarm occurs, it must be manually cleared. If a Callback alarm is [Remove...
  • Page 154: Programming A Loading Dose

    0.2 mcg/kg/hr for 2 hours. NOTE: All drugs and associated dosages shown in this manual are used solely for the purpose of demonstrating how to program the Plum 360 infuser, and are not meant to represent actual clinical practice. System Operating Manual...
  • Page 155 Plum 360 Infuser To program a Loading Dose delivery: Start programming the line as defined in Programming on page 5-1 until you reach the step that directs you to this section for a Loading Dose program. 1. Press [Loading Dose] before entering any values on the programming screen.
  • Page 156: Programming A Multistep Delivery

    Includes Systems Compatible with Hospira MedNet 7. Confirm that all programming is correct, and then press [Yes] to start delivery of 1 (loading dose). The delivery screen displays the drug name (or No Drug Selected, if applicable), the dosing units, what is currently being...
  • Page 157 Plum 360 Infuser 4. After programming all values in 1 (Step 1), navigate to the 2 (Step 2), and program that step. 5. After programming all values in 2 (Step 2), continue with 3 (Step 3) if desired. [To Steps 4-10] As soon as all values in Step 3 are populated, appears in the softkey row.
  • Page 158: Adding A Step To A Multistep Delivery

    Includes Systems Compatible with Hospira MedNet Adding a Step to a Multistep Delivery A step can be added to a running Multistep infusion only after a running step or a step that has not yet started delivery. NOTE: If the infusion is stopped, the softkey used to add a new step changes to add or remove the Callback.
  • Page 159: Adding Vtbi To Loading Dose Or Multistep Program After Vtbi Complete Alarm Activates

    Plum 360 Infuser Adding VTBI to Loading Dose or Multistep Program After VTBI Complete Alarm Activates The status of delivery steps is shown on the Program screens for Line A and Line B. Display Indicator Delivery Step Status Step is currently running...
  • Page 160 Includes Systems Compatible with Hospira MedNet 4. Press [START] and confirm the program as described in Programming a Loading Dose on page 8-4 and Programming a Multistep Delivery on page 8-6. To stop the post-infusion rate and add more VTBI to all steps: 1.
  • Page 161: Titration

    Plum 360 Infuser Titration Titration is a change in Dose/Rate, Duration, and/or VTBI in a currently running or programmed infusion. NOTE: Titration cannot be performed while a bolus dose is being delivered. Loading Dose Delivery and Multistep Delivery In a Loading Dose delivery or Multistep delivery, during infusion and...
  • Page 162 Includes Systems Compatible with Hospira MedNet When a VTBI Complete alarm occurs on a line that is infusing under a prior CCA: 1. Stop the line. 2. Clear the volume for the line, if desired. 3. Select the line. 4. Clear the line settings.
  • Page 163: Section 9, Alarms And Troubleshooting

    Alarms and Troubleshooting Alarm Priority Levels The Plum 360 infuser has an intelligent alarm system that handles more than one alarm at a time. Alarms are prioritized as high, medium, or low. You can distinguish the priority by the number...
  • Page 164: General Alarms

    Includes Systems Compatible with Hospira MedNet General Alarms High Priority Alarms Alarm Message Possible Cause Corrective Action and Priority Power Off then On. Malfunction. Power the infuser off, Replace pump if alarm and then on. Replace continues. infuser if this does not clear the alarm.
  • Page 165 Avoiding Unintended Bolus While Resolving a Distal Occlusion page 4-31. WARNING THE PLUM 360 INFUSER DOES NOT HAVE CAPABILITY TO DETECT INFILTRATION TO THE PATIENT Pump too high above Distal occlusion Resolve the occlusion by lowering the infuser patient.
  • Page 166 Includes Systems Compatible with Hospira MedNet Alarm Message Possible Cause Corrective Action and Priority Data was cleared. Corruption of Acknowledge the alarm. retained delivery Re-enter all parameters is programming. detected. Autoclear High of SEEP requires fresh delivery setup. Distal AIR! Disconnect / The single air bolus Open the cassette door.
  • Page 167: Medium Priority Alarms

    Plum 360 Infuser Alarm Message Possible Cause Corrective Action and Priority Keypad locked. While the keypad Enter valid keypad Enter code to disable. was locked, unlock code. someone pressed High [STOP] or opened the cassette door during delivery. Medium Priority Alarms...
  • Page 168: Low Priority Alarms

    Includes Systems Compatible with Hospira MedNet Low Priority Alarms Alarm Message Possible Cause Corrective Action and Priority Keep Plugged into AC! The battery or Power off the infuser. Service battery/ battery charge Replace the infuser replace pump. circuitry needs as soon as possible, servicing.
  • Page 169: Line A Alarms

    Plum 360 Infuser Line A Alarms High Priority Alarms Alarm Message Possible Cause Corrective Action and Priority No Action Alarm! No operator action Press any key on Start or Clear line A. for 2 minutes when the infuser except Line A has been [AUDIO PAUSED].
  • Page 170 Includes Systems Compatible with Hospira MedNet Alarm Message Possible Cause Corrective Action and Priority Proximal OCCLUSION Proximal occlusion Examine the proximal or air detected on line for kinks and Check Line A. Line A during correct any found. delivery. If the occlusion is...
  • Page 171: Medium Priority Alarms

    Plum 360 Infuser Alarm Message Possible Cause Corrective Action and Priority [Backprime] Proximal AIR Line A! The single air bolus Press Backprime. detected at the Backpriming proximal sensor in page 4-21. High Line A exceeds the Check the syringe size.
  • Page 172 Includes Systems Compatible with Hospira MedNet Alarm Message Possible Cause Corrective Action and Priority Proximal OCCLUSION Proximal occlusion Examine Line A detected on Line A for kinks. Resolve then during backprime. Resolve the occlusion. Backprime. Either backprime or open and close the Medium cassette door.
  • Page 173: Line B Alarms

    Plum 360 Infuser Line B Alarms High Priority Alarms Alarm Message Possible Cause Corrective Action and Priority No Action Alarm! No operator action Press any key on Start or Clear line B. for 2 minutes when the infuser except Line B has been [AUDIO PAUSED].
  • Page 174 Includes Systems Compatible with Hospira MedNet Alarm Message Possible Cause Corrective Action and Priority VTBI Completed Line B! A Concurrent Add VTBI on Line B. Add more VTBI delivery on Line B Stop delivery on Line B. or Clear B.
  • Page 175 Plum 360 Infuser Alarm Message Possible Cause Corrective Action and Priority [Backprime] Proximal AIR Line B! The single air bolus Press Backprime. detected at the Backpriming proximal sensor in page 4-21. High Line B exceeds the Check the syringe size.
  • Page 176: Medium Priority Alarms

    Includes Systems Compatible with Hospira MedNet Medium Priority Alarms Alarm Message Possible Cause Corrective Action and Priority Callback to Line B! A Callback Alarm was Press [AUDIO programmed for Line B, Silence audio to PAUSED]. which is in Piggyback clear.
  • Page 177 Plum 360 Infuser Alarm Message Possible Cause Corrective Action and Priority Proximal Proximal occlusion detected Examine line B for OCCLUSION B. on Line B during cassette kinks. Resolve then integrity test. Make sure a line or Backprime syringe is attached to...
  • Page 178: Lines A And B Alarms

    Includes Systems Compatible with Hospira MedNet Lines A and B Alarms High Priority Alarms Alarm Message Possible Cause Corrective Action and Priority No Action Alarm! Rate was Press a labeled softkey. Acknowledge Alert. recalculated; operator has not High acknowledged the alert within 30 seconds.
  • Page 179 Plum 360 Infuser Alarm Message Possible Cause Corrective Action and Priority [Stop All] Delivery was No operator action Press not STOPPED! for 15 seconds [Stop A] [Stop B] Choose line(s) to stop. when the user has [Cancel] attempted to stop...
  • Page 180 Includes Systems Compatible with Hospira MedNet Alarm Message Possible Cause Corrective Action and Priority [Yes] No Action Alarm! Standby is possible Press to confirm and no operator [No] the program or Yes: Start action for 2 minutes to go back to the...
  • Page 181 Plum 360 Infuser Alarm Message Possible Cause Corrective Action and Priority [Yes] No Action Alarm! Soft limit override Press to confirm Yes: Override. No: Edit and no operator [No] the program or action for 2 minutes go back to the Program...
  • Page 182: Rejected Auto-Programs

    Includes Systems Compatible with Hospira MedNet Alarm Message Possible Cause Corrective Action and Priority [Backprime] Proximal AIR! The cumulative air Press Backprime. detected at the Backpriming proximal sensors in page 4-21. High Line A and Line B Check the syringe size.
  • Page 183 The program was rejected because it contains Press , or invalid data. wait for this screen to automatically dismiss. [OK] The program was rejected by Hospira MedNet Press , or wait due to drug library incompatibility. for this screen to automatically dismiss. [Reject]...
  • Page 184 Includes Systems Compatible with Hospira MedNet Message Action [Reject] The program was rejected because the Press combined rate of line A and line B cannot or wait for this screen exceed 500 mL/hr in concurrent mode. to automatically dismiss. [Reject]...
  • Page 185 Plum 360 Infuser Message Action [Reject] The program was rejected because there is an Press unconfirmed program on the infuser. or wait for this screen to automatically dismiss. Resubmit the program. [Reject] The program was rejected because a change Press , or to a non-rate-based infusion is not supported.
  • Page 186: Partially Programmed Line

    Includes Systems Compatible with Hospira MedNet Partially Programmed Line In this case, an auto-program is rejected because of a partially programmed line. A line is partially programmed when a drug is selected for the line and the line program has not been cleared or confirmed.
  • Page 187: Section 10, Cleaning, Maintenance, Storage, And Service

    Section 10 Cleaning, Maintenance, Storage, and Service Cleaning the Infuser The Plum 360 infuser should be thoroughly cleaned and disinfected between patient use, and prior to performing repairs and preventive maintenance. For instructions, see the Plum 360 Infuser Technical Service Manual.
  • Page 188: Cleaning Procedure

    Includes Systems Compatible with Hospira MedNet Cleaning Procedure The following procedure describes how to clean nonhazardous spills or soil from the infuser during the course of patient care. • Non-hazardous fluid spills should be wiped up as soon as possible, and not allowed to dry on the infuser.
  • Page 189: Cleaning Supplies

    Plum 360 Infuser 3. Wipe up the spill. • Use a spiral pattern when wiping, moving from the inner to outer edges of each surface to avoid recontaminating the areas you have already wiped. • When part of the cleaning cloth or wipe becomes soiled or saturated, start wiping with an unused part.
  • Page 190: Infuser Maintenance

    To obtain additional information on cleaning the infuser, contact Hospira. Infuser Maintenance The Plum 360 infuser requires annual preventive maintenance that is performed by qualified service personnel. There is no clinician- required maintenance. See the Plum 360 Infuser Technical Service Manual for instructions.
  • Page 191: Storage

    Plum 360 Infuser NOTE: If spare parts other than Hospira-approved spare parts are used for battery replacement, the warranty on the Plum 360 infuser shall be void. The battery system requires annual preventive maintenance. See the Plum 360 Infuser Technical Service Manual for instructions.
  • Page 192: Service

    • The Plum 360 infuser can be disconnected from the mains supply by removing the power cord from the wall socket. 10-6 System Operating Manual...
  • Page 193: Section 11, Specifications

    Inappropriate disposal of the device can result into Hazards to the Environment. Refer to the Plum 360 Infuser Technical Service Manual or contact Hospira Service Center for the current disposal process or follow your facility procedure for proper disposal of the device.
  • Page 194: Electrical

    Includes Systems Compatible with Hospira MedNet Electrical WARNING AT THE END OF THE BATTERY’S SERVICE LIFE, DISPOSE OF THE BATTERY BY DELIVERING IT TO AN AUTHORIZED LEAD-ACID BATTERY RECYCLER. Power Requirements: 100 - 120 V ; 50-60 Hz; 50 VA (30010-04,...
  • Page 195 Plum 360 Infuser Nurse Call Interface: The nurse call interface active state is factory set for Normally-Open (NO) Contact the Technical Services Center to change the device from Normally-Open (NO) to Normally-Closed (NC). Nurse Call Voltage: 30 VDC Circuitry Ratings:...
  • Page 196 Includes Systems Compatible with Hospira MedNet NOTES: Batteries operate on electrochemical reaction, which converts chemical energy to electric energy. The electrochemical reaction is reduced as temperature lowers, thus, available discharge capacity is greatly reduced at temperatures as low as –15°C.
  • Page 197: Connectivity Engine

    Plum 360 Infuser Connectivity Engine Wireless Standards: IEEE 802.11 a/b/g/n Radio Technology: 802.11a: Orthogonal Frequency Division Multiplex 802.11b: Direct Sequence Spread Spectrum 802.11g: Orthogonal Frequency Division Multiplex 802.11n: Orthogonal Frequency Division Multiplex Data Transfer Rate: 802.11a: Up to 54 Mbps 802.11b: Up to 11 Mbps...
  • Page 198: Vtbi Range

    Includes Systems Compatible with Hospira MedNet Certifications: FCC Part 15.247, 15.407 IC RSS-210, RSS-102 FCC ID: STJ-SDMAN IC No: 5627A-SDMAN VTBI Range VTBI Range: 0.1 to 99.9 mL (in 0.1 mL increments) 100 to 9999 mL (in 1 mL increments)
  • Page 199: Occlusion Alarm And Limits

    Plum 360 Infuser Occlusion Alarm and Limits Temperature and length of administration set affect the maximum occlusion detection time. Distal Occlusion: The DISTAL OCCLUSION alarm sounds after the distal set tubing or set outlet fitting becomes occluded or vacuum occurs.
  • Page 200: Time To Detect Downstream Occlusions

    Includes Systems Compatible with Hospira MedNet Time To Detect Downstream Occlusions Maximum Time Distal Flow Distal Pressure to Detect Tubing Rate Alarm Limit Setting Downstream Type Occlusion .1 mL/hr 1 psi (52 mmHg) Microbore 27 minutes .1 mL/hr 15 psi (776 mmHg)
  • Page 201: Maximum Unintended Bolus Volume Released After Distal Occlusion Is Resolved

    Plum 360 Infuser Maximum Unintended Bolus Volume Released After Distal Occlusion is Resolved Maximum Typical Distal Pressure Distal Unintended Unintended Flow Alarm Limit Tubing Bolus Bolus Rate Setting Type Volume Volume Released Released 1 mL/hr 1 psi (52 mmHg) Microbore 0.01 mL...
  • Page 202: Delivery Accuracy

    Includes Systems Compatible with Hospira MedNet Delivery Accuracy This table defines the standard conditions for delivery accuracy. Delivery Accuracy 0.1 to 0.9 mL/hr (in 0.1 mL increments) ±10% 1 to 999 mL/hr (in 1 mL increments) ±5% Ambient and Fluid Temperature 22°C ±...
  • Page 203: Bolus Delivery Accuracy

    5%. System delivery accuracy for enteral fluids is defined only for rates of 1 to 200 mL/hr, with no suspended air in the solution, and using a Hospira Plum enteral set. System Operating Manual 11-11...
  • Page 204: Trumpet Curves

    Includes Systems Compatible with Hospira MedNet Trumpet Curves Trumpet Curve graphs following example show representative maximum and minimum percent flow rate deviation from the programmed rate over time. This information was developed in accordance with IEC 60601-2-24:2012. Refer to this standard for detailed information.
  • Page 205: Example

    Plum 360 Infuser 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% 0.5%.
  • Page 206 Includes Systems Compatible with Hospira MedNet 1 mL/hr, 0 mm Hg DELIVERY HEAD, START UP (Typical) -0.2 -0.4 Time (minutes) Actual Rate Programmed Rate 11-14 System Operating Manual...
  • Page 207 Plum 360 Infuser 1 mL/hr, 0 mm Hg DELIVERY HEAD, 48 HOURS (Typical) -0.2 -0.4 2820 2830 2840 2850 2860 2870 2880 Time (minutes) Actual Rate Programmed Rate 1 mL/hr, 0 mm Hg DELIVERY HEAD, 48 HOURS (Typical) Interval (minutes)
  • Page 208 Includes Systems Compatible with Hospira MedNet 11-16 System Operating Manual...
  • Page 209 Plum 360 Infuser 25 mL/hr, 0 mm Hg DELIVERY HEAD, START UP (Typical) Time (minutes) Actual Rate Programmed Rate System Operating Manual 11-17...
  • Page 210 Includes Systems Compatible with Hospira MedNet 11-18 System Operating Manual...
  • Page 211 Plum 360 Infuser System Operating Manual 11-19...
  • Page 212 Includes Systems Compatible with Hospira MedNet Notes 11-20 System Operating Manual...
  • Page 213: Administration Sets

    Plum 360 Infuser Section 12 Supplies and Accessories Administration Sets (for list numbers ending in -04, -10, and -65) Primary I.V. PlumSets List Length Secondary Drops/ Description Number (in) Port 11003 LifeShield Primary Prepierced PlumSet, Prepierced Port, Prepierced Y-Site, 104 Inch,...
  • Page 214 Includes Systems Compatible with Hospira MedNet List Length Secondary Drops/ Description Number (in) Port 12339 LifeShield Latex-Free Capped Primary I.V. PlumSet, Convertible Pin, 103 Inch with Orange Polyethylene-Lined*/ Light Resistant Tubing, Clave Y-Site, and Option-Lok Connector 12538 LifeShield Primary Clave...
  • Page 215 Plum 360 Infuser List Length Secondary Drops/ Description Number (in) Port 14246 LifeShield Primary Prepierced PlumSet Prepierced Port, Prepierced Y-Site, Distal Microbore Tubing, 104 Inch, Non-DEHP 14247 LifeShield Primary Capped PlumSet, Clave Y-Site, Distal Microbore Tubing, 104 Inch, Non-DEHP 14248...
  • Page 216 Includes Systems Compatible with Hospira MedNet List Length Secondary Drops/ Description Number (in) Port 14253 LifeShield Primary Capped PlumSet, 2 Clave Y-Sites, 0.2 Micron Filter, 112 Inch, Non-DEHP 14254 LifeShield Primary Clave PlumSet Clave Port, 2 Clave Y-Sites, 0.2 Micron Filter,...
  • Page 217 Plum 360 Infuser List Length Secondary Drops/ Description Number (in) Port 14687-38 LifeShield Primary Clave PlumSet, Clave Port, Clave Y-Site, 103 Inch, Non-DEHP 14954 LIFECARE 5000 Clave LifeShield with Clave, 0.2 Micron Filter, Option-Lok Connector, Convertible Piercing Pin, Dual Channel,...
  • Page 218: Secondary I.v. Set

    Includes Systems Compatible with Hospira MedNet Secondary I.V. Set List Length Secondary Drops/ Description Number (in) Port 20619 Latex-Free Secondary I.V. PlumSet, Convertible Pin, 19 Inch, with Option- Lok Connector, Non-DEHP Burettes/Solusets List Length Secondary Drops/ Description Number (in) Port...
  • Page 219 Plum 360 Infuser List Length Secondary Drops/ Description Number (in) Port 14272-28 LifeShield Plum Prepierced 150 mL Burette Set, Prepierced Injection Site, Prepierced Port, 2 Prepierced Y-Sites, 114 Inch, Non-DEHP 14272-29 LifeShield Primary Prepierced Plum Microdrip 150 mL Burette Set,...
  • Page 220: Blood Sets

    Includes Systems Compatible with Hospira MedNet Blood Sets List Length Secondary Drops/ Description Number (in) Port 14210 LifeShield Plum Blood Prepierced Set, 100 mL Burette with Prepierced Injection Site, 170 Micron Filter, Prepierced Secondary Port, Non-Vented, 105 Inch, Non-DEHP 14211...
  • Page 221: Enteral Sets

    Plum 360 Infuser Enteral Sets List Length Secondary Drops/ Description Number (in) Port 14257 Primary Enteral None PlumSet, 98 Inch, Non-DEHP 14258 Primary Enteral None PlumSet, 40 mm Screw Cap, 98 Inch, Non-DEHP 14260 Primary Enteral None PlumSet Integral Container, 103 Inch,...
  • Page 222: Conversion Plumsets

    Includes Systems Compatible with Hospira MedNet Conversion PlumSets Clave or Capped Luer-Lok syringes must be fitted with a syringe primary port: adapter to decrease the possibility of proximal occlusion alarms. Slip syringes smaller than 10 mL also require a syringe adapter.
  • Page 223: Extension Sets

    Plum 360 Infuser Extension Sets List Length Secondary Drops/ Description Number (in) Port 19098 LifeShield Latex-Free Capped Macrobore PlumSet, Extension Set 19553 Plum Extension Set, Clave 28 Inch, with Clave Secondary Port Administration Sets (for list numbers ending in -27, -54, and -57) Primary I.V.
  • Page 224 Includes Systems Compatible with Hospira MedNet List Secondary Drops/ Description Length Number Port 12194 LIFESHIELD, Primary 84 in CLAVE PLUMSET, 2 CLAVE 213 cm Multiport Connector, 15 Micron Filter, CLAVE Y-Site, PE Lined Tubing, Latex-Free, SL, 213 cm 12195 LIFESHIELD, Latex-...
  • Page 225 Plum 360 Infuser List Secondary Drops/ Description Length Number Port 14006 Primary PLUMSET, 107 in Capped 15 Micron Filter in Sight 272 cm Chamber, PE Lined Light Resistant Tubing, Distal Microbore Tubing, Latex- Free, SL, 272 cm 14007 LIFESHIELD, Latex-...
  • Page 226 Includes Systems Compatible with Hospira MedNet List Secondary Drops/ Description Length Number Port 14013 LIFESHIELD, Primary 107 in CLAVE PLUMSET, 15 Micron 272 cm Filter in Sight Chamber, CLAVE Port, CLAVE Y-Site, PE Lined Tubing, Latex-Free, SL, 272 cm 14014...
  • Page 227 Plum 360 Infuser List Secondary Drops/ Description Length Number Port 14024 LIFESHIELD, Primary 103 in CLAVE PLUMSET, MICRODRIP, 262 cm 15 Micron Filter in Sight Chamber, CLAVE Port, CLAVE Y-Site, Distal Microbore Tubing, Latex- Free, SL, 262 cm 14239 LIFESHIELD, Primary...
  • Page 228: Secondary I.v. Sets

    Includes Systems Compatible with Hospira MedNet Secondary I.V. Sets List Secondary Drops/ Description Length Number Port 12197 LIFESHIELD, PLUM 19 in Secondary Set, 48 cm inverted CLAVE, Backcheck Valve, PE Lined Light Resistant Tubing, Latex-Free, 48 cm 12198 LIFESHIELD, PLUM...
  • Page 229 Plum 360 Infuser List Secondary Drops/ Description Length Number Port 11944 LIFESHIELD, PLUM 140 in CLAVE 150 mL Burette Set, 356 cm CLAVE Injection Site, 15 Micron Filter in Sight Chamber, CLAVE Port, 0.2 Micron Filter, (3)CLAVE Y-Sites, Latex Free, SL, 356 cm...
  • Page 230: Blood Sets

    Includes Systems Compatible with Hospira MedNet Blood Sets List Length Secondary Drops/ Description Number (in) Port 14210 LIFESHIELD, PLUM 105 in Prepierced Blood 100mL Burette 267 cm Set, Prepierced Injection Site, 170 Micron Filter, Prepierced Port, Non-Vented, 267 cm 14211...
  • Page 231: Enteral Sets

    Screw Cap, Latex- Free, SL, 249 cm Administration Fluids The Plum 360 infuser is intended for parenteral, enteral, and epidural therapies and the administration of whole blood and blood products. Containers The Plum 360 infuser and its compatible administration sets support a wide variety of containers, including: •...
  • Page 232: Accessories

    • Top Filled Enteral bags • Ready-to-Hang Enteral solution containers Accessories There are a variety of accessories for use with the Plum 360 infuser as listed in the following table. Refer to the explanatory sections for some of the accessories that follow the table.
  • Page 233 Plum 360 Infuser 1. Obtain a Hospira I.V. Pole (six wheel type with six locking casters) to mount the Tandem Carrier. 2. Rotate the carrier clamp wheel to open the clamp sufficiently to be able to slide the carrier onto the I.V. Pole.
  • Page 234 Includes Systems Compatible with Hospira MedNet Do Not extend pole greater than 68 Inches (172 cm) from the floor. Do Not mount bar higher than 40 Inches (102 cm) from the floor. The Tandem Carrier/I.V. Pole system was tested to a maximum mobile load of 23.3 kilograms using 4 one-liter I.V.
  • Page 235: Multiple Device Adapter

    Follow these directions to ensure stability in non-mobile use. 1. Obtain a Hospira I.V. Pole (six wheel type with six locking casters) to mount the MDA. 2. For the upper and lower I.V. Pole clamp pieces: Loosen and remove the two screws that hold the semi-circular clamp pieces together.
  • Page 236 Includes Systems Compatible with Hospira MedNet Position top bracket slot to fit around knob and recess in upper Do Not extend pole mounting block to rest greater than 72 Inches on collar of IV Pole (183 cm) from the clamp.
  • Page 237: Hospira I.v. Pole

    Plum 360 Infuser Hospira I.V. Pole The Hospira I.V. Pole with locking casters has been tested for stability according to the requirements of IEC 60601-1:2012. The I.V. Pole can be used in mobile and non-mobile situations. Follow these directions to ensure stability in mobile use.
  • Page 238 Includes Systems Compatible with Hospira MedNet ole with multiple infusers 12-26 System Operating Manual...
  • Page 239: T-Bar Accessory

    Plum 360 Infuser T-bar Accessory The T-bar Accessory (T-BA) can be mounted to the Hospira I.V. Pole as shown in the diagram below. It can be used in mobile and non- mobile situations. 1. Obtain a Hospira I.V. Pole (six wheel type with six locking casters) to mount the T-BA.
  • Page 240 Includes Systems Compatible with Hospira MedNet Maximum extension height -72 Inches (183 cm) Maximum mounting height - 0 Inches (127 cm) 12-28 System Operating Manual...
  • Page 241: I.v. Mini-Pole

    I.V. Mini-Pole The I.V. Mini-Pole (MP) mounts to the rear pole clamp frame of the Plum 360 infuser as shown in the diagram below. It can be used in mobile and non-mobile situations. 1. Remove the Locking Clip from the pole shaft.
  • Page 242: Hospira Mednet Safety Software

    Hospira MedNet Safety Software Hospira MedNet is a server-based safety software application that manages infusion information across Hospira infusion platforms including the Plum 360, Plum A+, and LifeCare PCA systems. Hospira MedNet software facilitates networked communication between the server and Hospira MedNet-compatible infusers.
  • Page 243: Loss Of Communication

    Contact your Hospira sales representative for ordering and installation information. Loss of Communication If the Plum 360 infuser loses communication with Hospira MedNet software, it will continue to infuse without interruption. However, log content and status will not be sent and auto-programs and software/drug library updates will not be received until communication is restored.
  • Page 244 Includes Systems Compatible with Hospira MedNet Notes 12-32 System Operating Manual...
  • Page 245: Section 13, Warranty

    (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.
  • Page 246 Purchaser, uses other than Hospira-approved spare parts for replacement of batteries. 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.
  • Page 247: Section 14, Ccas And Drug Libraries

    Plum 360 Infuser Section 14 CCAs and Drug Libraries Plum 360 infuser programming is based on the concepts of a Clinical Care Area (CCA) with a Drug Library and infuser settings that support the needs of the CCAs patient population.
  • Page 248 NOTE: Once a custom drug library has been installed, the DDL CCA and its default drug list will no longer be available. To restore the DDL, see the Plum 360 Infuser Technical Service Manual. When you select a drug from the DDL during programming, the selected drug appears on the delivery screen, allowing the clinical team to see what drug is being delivered.
  • Page 249 Plum 360 Infuser Default Drug Name Dosing Units Concentration No Drug Selected mL/hr Abciximab mcg/kg/min mg/mL Acetaminophen mg/hr mg/mL Acyclovir mL/hr Albumin mL/hr Aldesleukin mL/hr Alteplase (rt-PA) mg/kg/hr mg/mL Aminophylline mg/hr mg/mL Amiodarone mg/min mg/mL Amiodarone-BOLUS mL/hr Amphotericin B mg/kg/hr...
  • Page 250 Includes Systems Compatible with Hospira MedNet Default Drug Name Dosing Units Concentration Ceftriaxone mL/hr Cetuximab mg/mL mg/m Ciprofloxacin mL/hr Cisplatin mL/hr Clindamycin mL/hr Cyclophosphamide mL/hr Cytarabine mL/hr Dacarbazine mg/m /min Dexamethasone mg/hr mg/mL Dexmedetomidine mcg/kg/hr mcg/mL Diltiazem mg/hr mg/mL DOBUTamine...
  • Page 251 Plum 360 Infuser Default Drug Name Dosing Units Concentration Fosphenytoin mL/hr mg/mL Furosemide mL/hr Gemcitabine mg/mL mg/m /min Gentamicin mL/hr Heparin units/hr units/mL Heparin Wt-based units/kg/hr units/mL Hydromorphone mL/hr Ifosfamide mL/hr Immune globulin mL/hr InfLIXimab mL/hr mg/mL Insulin units/hr units/mL...
  • Page 252 Includes Systems Compatible with Hospira MedNet Default Drug Name Dosing Units Concentration Metoclopramide mL/hr Metronidazole mL/hr Midazolam mL/hr Milrinone mcg/kg/min mg/mL MitoMYcin mg/mL mg/m Morphine mg/hr mg/mL Nafcillin mL/hr NitroGLYCERIN mcg/min mg/mL NitroPRUSSIDE mcg/kg/min mg/mL Norepinephrine mcg/min mg/mL Ondansetron mL/hr...
  • Page 253 Plum 360 Infuser Default Drug Name Dosing Units Concentration Tobramycin mL/hr mL/hr Trastuzumab mg/kg mg/mL UROkinase mL/hr Valproate sodium mL/hr mg/mL Vancomycin mL/hr Vasopressin units/min units/mL Verapamil mL/hr VinBLAStine mg/mL mg/m VinCRIStine mL/hr System Operating Manual 14-7...
  • Page 254 Includes Systems Compatible with Hospira MedNet DDL CCA and Infuser Settings When the infuser is operating under the DDL CCA, it has the following CCA and infuser settings: CCA Settings: Maximum Rate: mL/hr Maximum Patient Weight: Minimum Patient Weight: Maximum Patient Height:...
  • Page 255: Custom Drug Library (Cdl)

    Each drug counts only once, even when used in multiple CCAs The hard and soft limits together comprise a Rule Set. See the Hospira MedNet Meds Software User Guide for more information about custom drug libraries and how to build them. System Operating Manual 14-9...
  • Page 256: Dosing Units And Allowable Ranges

    Includes Systems Compatible with Hospira MedNet Dosing Units and Allowable Ranges The following table lists the dosing units available with the Plum 360 infuser, the allowable input ranges, and the increment values for each range. When the infuser is operating under the DDL, the entire range is available within each dosing unit, for every drug.
  • Page 257 Plum 360 Infuser Category Dosing Units Range Increment Liters 0.001-9.999 0.001 liters/m /day, liters/m /hr, 10.00-99.99 0.01 liters/m /min 100-9999 mEq, mEq/min, mEq/hr, 0.001-0.999 0.001 mEq/day, mEq/kg, mEq/kg/min, 1.00-9.99 0.01 mEq/kg/hr, mEq/kg/day, 10.0-99.9 mEq/m , mEq/m /min, 100-9999 mEq/m /hr, mEq/m...
  • Page 258: Patient Data Limits

    Includes Systems Compatible with Hospira MedNet Category Dosing Units Range Increment Million Million Units, Million Units/kg, 0.001-0.999 0.001 Units Million Units/kg/min, 1.00-9.99 0.01 Million Units/kg/hr, 10.0-99.9 Million Units/min, Million Units/hr, 100-999 Million Units/m Million Units/m /min, Million Units/m Patient Data Limits...
  • Page 259 To order parts, contact Spare Parts Customer Service: 1-866-488-6088 or by email: pumppartsservices@pfizer.com www.hospiraparts.ca All Other Countries For technical assistance, contact your local Hospira sales office CAUTION FEDERAL LAW RESTRICTS THIS INFUSER TO SALE BY OR ON THE ORDER OF A PHYSICIAN OR OTHER LICENSED PRACTITIONER WARNING POSSIBLE EXPLOSION HAZARD EXISTS IF THE INFUSER IS USED IN THE PRESENCE OF FLAMMABLE ANESTHETICS.
  • Page 260 Testing Laboratory), is a designation granted by the U.S. Occupational Safety and Health Administration (OSHA) to laboratories which have been recognized to perform certification to U.S. Standards. Hospira Inc. Hospira UK Limited 275 N. Field Drive EC REP Horizon, Honey Lane...

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