Braun Infusomat Space Instructions For Use Manual

Braun Infusomat Space Instructions For Use Manual

Automatic infusion system
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Infusomat® Space
and Accessories
Rx only
Instructions for Use
It is recommended that all pumps at
your institution are equipped with
the same software version.
US
Valid for software 586U

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Summary of Contents for Braun Infusomat Space

  • Page 1 Infusomat® Space and Accessories Rx only Instructions for Use It is recommended that all pumps at your institution are equipped with the same software version. Valid for software 586U...
  • Page 2: Table Of Contents

    CONTENTS Infusomat® Space Overview ....................3 Symbols on Product........................9 Patient Safety ........................11 Menu Structure / Navigation....................13 Entering values ........................15 Chapter 1 Operation......................18 1.1 Inserting and Priming line in Pump..................18 1.2 Drug Library..........................20 1.3 Programming a PRIMary Infusion in the Drug Library ...........25 1.4 Programming a SECondary Infusion in the Drug Library ..........28 1.5 Programming an Intermittent Dose Over Time Infusion ..........32 1.6 Programming a Loading Dose in the Drug Library............33...
  • Page 3: Infusomat® Space Overview

    INFUSOMAT SPACE® OVERVIEW I N F U S O M AT ® S PA C E O V E R V I E W Follow on screen prompts using arrow keys to navigate menus, select parameters, change values and respond to...
  • Page 4 Push lever for rotation. Caution: Do not lean on pump Pole clamp when attached to pole! release button Caution: A maximum of three B. Braun Space pumps can be stacked together when used with the PoleClamp SP.
  • Page 5 INFUSOMAT® SPACE OVERVIEW Attaching Pump to Pole Clamp Pole clamp Line up slots on top sides of pump with handle grooves of Pole Clamp and slide pump into Pole clamp Pole Clamp until locking mechanism clicks. release button To remove, simultaneously press release button on frame and push handle down while pulling pump out from pole clamp.
  • Page 6 INFUSOMAT® SPACE OVERVIEW Space Pole Clamp (speed clamp) (model 8713131) Attaching Pole Clamp to IV Pole Position the opening of the Pole Clamp on pole and turn black knob clockwise until pole clamp is secured to IV pole. Turn black knob counter clockwise to release from IV pole.
  • Page 7 INFUSOMAT® SPACE OVERVIEW Locking Devices Together Line up the grooves of the lower pump with the slots of the upper pump and slide the lower pump until the lock clicks and the green buttons are aligned with each other. To disconnect, push green locking button of the upper pump and slide lower pump out.
  • Page 8 INFUSOMAT® SPACE OVERVIEW Caution: Do not lean on pump when attached to pole! Caution: A maximum of three B. Braun Space pumps can be stacked together when used with the Space Pole Clamp (speed clamp). Power supply holder The Space Pole Clamp (speed clamp) can...
  • Page 9: Symbols On Product

    SYMBOLS ON PRODUCT S Y M B O L S O N P R O D U C T Symbol Explanation Mandatory action: see instruction for use. See accompanying documents. Type CF unit with defibrillation protection Protection class II device Symbol indicating separate collection for electrical and electronic equipment (2002/96/EC) only for valid for Europe, not applicable for US...
  • Page 10 SYMBOLS ON PRODUCT List of abbreviations KVO = Keep Vein Open VTBI = Volume To Be Infused LED = Light-Emitting Diode MRI = Magnetic Resonance Imaging (indicator lamps) BSA = Body Surface Area TPN = Total Parenteral Nutrition...
  • Page 11: Patient Safety

    Warnings and Cautions • The initial training of the Infusomat® Space is to be performed by B. Braun sales and/or clinical personnel or other authorized persons. After each soft- ware update, the user must refer to the Instructions for Use to review changes to the device and software.
  • Page 12 PATIENT SAFETY • Compare physician order to programming parameters including drug name, patient profile and dosing prior to starting infusion. • Check default values pre-populated from drug library with physician order prior to starting infusion. • Consider additional monitoring which may be required when infusing high risk medications.
  • Page 13: Menu Structure / Navigation

    MENU STRUCTURE / NAVIGATION MENU STRUCTURE / NAVIGATION Overview of Keys and Displays On/Off key Clear and/or back key Door open key OK key Start/Stop key Keypad with arrows Bolus key Initiation of Auto-programming order All display screen shots are examples and may be different depending on pump configuration and infusion settings.
  • Page 14 MENU STRUCTURE / NAVIGATION Display All status information is available in the bottom line of the display. The desired information can be selected by using and will be displayed (e. g. care area, drug long name, time/ VTBI remaining drug concentration, total volume, infused totals for PRIMary and SECondary) until changed by user.
  • Page 15: Entering Values

    ENTERING VALUES ENTERING VALUES For an infusion parameter to be entered and/or edited, the pump displays the name of the value being edited (rate, doserate, etc), format and unit of measure (dosing unit, volume, time, etc). In the screen below, a Doserate value is to be entered, which in this case is specified as mcg/kg/h.
  • Page 16 ENTERING VALUES Arithmetic logic: An alternative method for entering and titrating values uses arithmetic logic: Pressing the Up arrow one time in the “ones” place increases the value to 10.5 Pressing the Down arrow button from the “ones” place decreases the value to Pressing the Up arrow button from the “ones”...
  • Page 17 ENTERING VALUES IMPORTANT: If a value increase or decrease is not possible due to a hard limit (as 19.5 could be expected in this case), the value of the hard limit is displayed as the highest acceptable value. If the down arrow is pressed on the above screen, the pump displays the previous value i.e.
  • Page 18: Chapter 1 Operation

    OPERATION 1.1 Inserting IV Line and Priming in Pump • Ensure that the pump is properly installed (see Infusomat Space Overview above). Check the equipment for completeness and damages. • Spike infusion bag and fill drip chamber to 2/3 full.
  • Page 19 OPERATION Chapter 1 Next attach the white clip. Insure silicone segment is not stretched or twisted, stars on tubing must be in straight line and line loading guide should not be twisted. Anti-Free Insert the green anti-freeflow clip in Flow the green slot, in the direction indi- clip insertion cated by the arrow, until the opening...
  • Page 20: Drug Library

    Chapter 1 Note: During priming, all air in line alarms are inactive. • Connect IV line to the patient and observe B. Braun landing page. Press program infusion. Note: Pump automatically powers up in the drug library for all new infusions.
  • Page 21 OPERATION Chapter 1 • Weight or BSA may be changed by scrolling to weight or BSA on home screen and editing weight or BSA. • Drugs may have a clinical advisory set up in the drug library which must be confirmed by pressing before proceeding.
  • Page 22 OPERATION Chapter 1 Drugs may be marked for PRIMary only, SECondary only or both in the drug library. When selecting drugs, in the library drug names will only appear if marked for that mode in the drug library file. In addidtion a drug may be marked to deactivate SECondary mode.
  • Page 23 OPERATION Chapter 1 When the is pressed again the hard limit message is displayed and remains until confirmed by pressing k. Upon pressing the button, the pump editor field reverts to the last confirmed value programmed prior to the value that created the alert. Example 2: Drug with a lower hard limit of 0.2 g Current value is 0.3 g...
  • Page 24 OPERATION Chapter 1 Example 3: Pump maximum rate is 1200ml/hr Current value 1100ml/hr Pressing the once with the cursor in the hundreds column displays value of 1200ml/hr which is at but not above the hard limit. When the is pressed once again with the cursor in the hundreds column the hard limit message is displayed and remains until confirmed by pressing k.
  • Page 25: Programming A Primary Infusion In The Drug Library

    OPERATION Chapter 1 1.3 Programming a PRIMary Infusion in Drug Library When the IV line has been loaded and primed, the B Braun landing page appears. • Press to program an infusion. Note: Programming of infusion parameters may be done prior to loading the IV line by pressing from this screen.
  • Page 26 OPERATION Chapter 1 Note: Care unit may be changed on any of the above navigation screens. This will re- quire re-programming the therapy when a care unit change is done prior to beginning the infusion. See Section 1.9 for instructions on changing the Care Unit while infusing. •...
  • Page 27 OPERATION Chapter 1 Note: Home symbol is displayed in upper left of home screen. Home screen may be ac- cessed from run screen by pressing key. Note: Default values may be present when set in drug library, in this case the editor screens do not appear, confirm values and press to begin the infusion or press arrow to edit default values.
  • Page 28: Programming A Secondary Infusion In The Drug Library

    OPERATION Chapter 1 • When all parameters have been entered and confirmed with k, “Start” appears in upper right of display. • Press to begin infusion. Note: PRIM will appear in upper left of screen to indicate PRIMary is running. When pump is stopped, PRIM appears next to home symbol.
  • Page 29 OPERATION Chapter 1 "Back to PRIM" allows the pump to be set to require a manual switch back to PRIMary in which case the pump stops and alarms when the SECondary is complete, or auto- change whereby the pump converts to the PRIMary setting when the SECondary dose/VTBI has been infused.
  • Page 30 OPERATION Chapter 1 Note: The SECondary bag must be hung at least 8 inches above the PRIMary. The 8 inch interval is measured from the bottom of the SECondary bag to the top of fluid level in the PRIMary.
  • Page 31 OPERATION Chapter 1 Note: When running a SECondary infusion at rates greater than 300ml/hr clamp off the PRIMary infusion to prevent concurrent flow. Dose over Time run screen will indicate drug name and count down remaining time. Note: During SECondary administration, the PRIMary may be resumed at any time by pressing the key to stop the SECondary infusion, scrolling to and selecting "resume PRIMary", selecting it with...
  • Page 32: Programming An Intermittent Dose Over Time Infusion

    OPERATION Chapter 1 • Scroll to desired drug, press arrow or to select. • Confirm previous values by scrolling to each parameter. When all are checked press to confirm and then press to begin infusion. Note: Reminder to check bag height and unclamp SEConday will appear, press again to begin SECondary infusion.
  • Page 33: Programming A Loading Dose In The Drug Library

    OPERATION Chapter 1 • Enter Total time and press to confirm. Note: When default values have been set in the Drug Library there will not be a prompt to enter values. Values may be edited by scrolling to the parameter and pressing the arrow key.
  • Page 34 OPERATION Chapter 1 Note: Soft and Hard limit alerts will be generated based on drug library settings. • Press arrow key to access doserate/rate editor to set continuous infusion. • Enter doserate or rate for continuous infusion and confirm with k. •...
  • Page 35: Programming A Bolus With Dose And Time In The Drug Library

    OPERATION Chapter 1 Note: Once "No" is selected it is no longer possible to recall the loading dose. 1.7 Programming a Bolus with Dose and Time in the Drug Library The Infusomat® Space allows for delivery of a programmed bolus for drugs which have been set up in the drug library for bolus dosing.
  • Page 36: Manual Bolus

    OPERATION Chapter 1 Note: The word Bolus superimposed over the run arrows is displayed on the screen. Note: Failure to press BOL to start bolus will result in reminder alarm. • The pump will automatically convert back to the continuous infusion when the bolus is complete.
  • Page 37: Changing Care Unit

    OPERATION Chapter 1 To deliver a manual bolus: • While an infusion is running, press key. • Select “Use Manual Bolus feature”. • Press and hold key. • Bolus amount will count up on pump display. Manual bolus is limited to 10 seconds. The pump may be set to emit an audible tone every 1ml of solution delivered.
  • Page 38: Changing Display While Pump Is Running

    OPERATION Chapter 1 The doserate, dose or time editor will appear and required confirmation if parameter exceeds the soft limit in the new Care Unit. The soft limit warning will be shown requiring an over ride or new programming to proceed as in Section 1.2. Pump will display message if Care Unit was not changed because drug or drug concentration is not available in new Care Unit or hard limits are exceeded.
  • Page 39 OPERATION Chapter 1 • A second prompt requires responding yes with to "Continue without limits". • Respond “yes” or “no” to "Use dose rate calc?" (if configured). See Section 2.2.4. Note: While under Basic Infusion, the pump is not using any drug library safety limits. •...
  • Page 40: Line Change And New Therapy Start

    OPERATION Chapter 1 3.) Enter rate and time: The infusion volume will be calculated and displayed on the bottom of the display. Rate titration will result in re-calculation of VTBI. 1.12 IV Line Change and New Therapy Start Note: Always close roller clamp and disconnect the line from the patient before changing a line to avoid inadvertent free flow.
  • Page 41: End Of Infusion

    "Exit and clear infusion". Note prompt will indicate if PRIM, SEC or both will be cleared depending on current pump mode and infusion status. B. Braun landing page will be displayed. 1.13 End of Infusion •...
  • Page 42: Standby Mode

    3 sec to power off the pump. Note: When pump is powered up user will be prompted to continue last infusion, answering No returns to B. Braun landing page. Note: Pump cannot be powered off with IV line inserted.
  • Page 43: Chapter 2 Pump Menus

    PUMP MENUS Chapter 2 PUMP MENUS Menus are accessed from the Home screen using the arrow keys. Press while pump is running to access home menu. All menus may be accessed while the pump is running except the SECondary menu. Features displayed in the menus are determined by your facility and set in the service program.
  • Page 44: Options

    PUMP MENUS Chapter 2 2.2 Options 2.2.1 Downstream Occlusion Pressure The higher the pressure level is set, the higher the pressure level must rise before trig- gering an occlusion pressure alarm. • Enter "pressure" in Options Menu by pressing to set downstream pressure limit. •...
  • Page 45 PUMP MENUS Chapter 2 important to realize there are no dose limits. • To access the Dose Rate Calculator go to the Home screen and scroll to Options. Note: Pump may be set up in service program to prompt “Use Dose Rate Calculator?”...
  • Page 46 PUMP MENUS Chapter 2 • Select patient parameter, if any, for dosing calculation. Choices are weight, BSA, or none. • Select the doserate units. • Enter doserate using arrow keys and confirm with k. Confirm and start infusion. • *Enter VTBI or Time. •...
  • Page 47: Data Lock

    PUMP MENUS Chapter 2 2.2.5 Data Lock The pump offers 2 levels of security to prevent unauthorized access which may be set in this menu. A third level may be set in the drug library by drug. A four digit code (default setting “9119”) must be entered within 20 seconds to prevent a data lock alarm.
  • Page 48: Kvo Mode

    PUMP MENUS Chapter 2 • Note that upon activation of data lock the symbol appears on the run screen to the right of the rate/dose indicating changes are only possible after entering the code. If the wrong code is entered four times the pump will go into an audible alarm, the yellow LED will light, and the pump display indicates invalid code.
  • Page 49: Bolus Rate

    PUMP MENUS Chapter 2 2.2.8 Bolus Rate The pump has a default bolus rate which is set in the service program. This rate is used for manual bolusing. For a programmed bolus, this rate will be converted to a time in the time editor screen if no default bolus rate has been set in the drug library and may be changed by adjusting the time.
  • Page 50 PUMP MENUS Chapter 2...
  • Page 51: Chapter 3 Alarms

    ALARMS Chapter 3 ALARMS The Infusomat® Space is equipped with an audible and optical alarm signal. Alarm- Audible Optical signal Staff call User confirmation type signal Red LED Yellow LED Text Device flashes device alarm Follow the instruc- Alarm and alarm tion on the display to press k.
  • Page 52 ALARMS Chapter 3 A stopwatch on the display counts down the remaining time (depending on the service program, between 3-30 min). After that, the pump goes into an opera- ting alarm. Operating alarms: Operating alarms immediately stop the infusion. An audible tone sounds, the red LED flashes and a staff call is activated (optional).
  • Page 53: Reminder Alarms

    ALARMS Chapter 3 Display message Alarm reason “Upstream occlusion - above pump" The upstream pressure between the bag and the pump is high. Check if roller clamp is closed, or infusion line is kinked. “Air bubble alarm"/ "Accumulated air exceeds limit“ Air detector limits are set in the service program. The air bubble size can be set between 0.02 - 0.3ml in increments of 0.01.
  • Page 54: Alarm Prompts

    ALARMS Chapter 3 2. An editor screen was open for programming but no values were confirmed or values were entered but no line is inserted in pump. An acoustic tone sounds in 20 seconds, the display states “Value not confirmed“, the yellow LED is constantly on and a staff call is activated (optional).
  • Page 55: Chapter 4 Wireless Drug Library Upload

    WIRELESS DRUG LIBRARY UPLOAD Chapter 4 W I R E L E S S D R U G L I B R A R Y U P L O A D The pump has the ability to accept new drug library files wirelessly. A file symbol will flash alternately with the wireless antenna symbol on the top of the pump display when a new file is available.
  • Page 56 WIRELESS DRUG LIBRARY UPLOAD Chapter 4 • Press power key to re-start pump, respond to 2 prompts that all values are cleared and new Drug Library has been loaded. • Confirm prompt that previous programming values have been cleared. New drug library has been activated on pump.
  • Page 57 • Once order is confirmed on the hand held or laptop, prompt EHR to send order directly to pump. The order will arrive and appear on the pump within 10 seconds. • Ensure pump is on B Braun landing page (press key to return to landing page).
  • Page 58: Chapter 5 Autoprogramming And Barcoding

    AUTOPROGRAMMING AND BARCODING Chapter 5 • Once all values are confirmed the Home screen is displayed. Note: Soft Limit alert will be issued if value exceeds any soft limits set in drug library, soft limit may be overridden or value re-programmed per institutional policy.
  • Page 59 AUTOPROGRAMMING AND BARCODING Chapter 5 New Primary Infusion: • To accept a new PRIMary order, stop infusion and clear current PRIMary infusion by pressing key and responding “yes” to clear current infusion. SECondary Orders: Orders received after PRIMary has been set will be for SECondary infusions, follow prompts on screen to stop the PRIMary to accept the SECondary order.
  • Page 60 AUTOPROGRAMMING AND BARCODING Chapter 5 BARCODING Please contact your local B. Braun sales representative for barcoding information.
  • Page 61: Chapter 6 Battery Operation And Maintenance

    BATTERY OPERATION AND MAINTENANCE Chapter 6 INTENDED USE The battery module of Space guaranties operation independent of AC power when transporting patients within the facility. The wireless battery module contains a wireless transceiver module to allow data transmission during these transports or when connected to AC power.
  • Page 62: Safety Instructions

    6.2 Safety Instructions Safety Instruction for B.Braun Battery-Pack SP (Li-Ion) Battery pack is suitable only for use with B.Braun Space Infusion devices. Please follow local ordinance and/or regulations for disposal. Fire or chemical burn hazard if battery is mishandled. To avoid possible injury.
  • Page 63 BATTERY OPERATION AND MAINTENANCE Chapter 6 Caution: The pump must be switched off before opening the battery compartment. Open the cover of the battery compartment (see ch. 1.12), unlock the battery by sliding the green hook and pull out the battery using the metal handle. Replace the Battery Pack SP in the battery compartment, lock it with the green hook and test the proper placement by pulling the metal handle.
  • Page 64: Battery Maintenance

    BATTERY OPERATION AND MAINTENANCE Chapter 6 SSID: The Service Set Identifier, is a the service tool HiBaSeD. wireless LAN. The SSID can be up to 32 characters long and can only be set with IP-Address shows the assigned IP address of the infusion pump. Signal strength: The signal strength shows the quality of the connection.
  • Page 65 BATTERY OPERATION AND MAINTENANCE Chapter 6 storage time or a longer operation without battery maintenance the battery pre-alarm time may no longer be maintained. In this case it is necessary to per- form a battery maintenance. To initiate the discharge process the message “Battery maintenance“ and the will be displayed after switching the pump off.
  • Page 66: Start Up Graphs And Trumpet Curves

    The delivery behaviour or delivery precision is influenced by the type of the disposable used. Deviations from the technical data of the pump cannot be excluded if lines (disposables) other than B.Braun approved sets are used. Trumpet Curves Measured values for second hour in each case.
  • Page 67: Technical Data

    Moisture protection IP 22 (drip protected for horizontal usage) External power supply: • Rated voltage Via B. Braun SpaceStation or optional AC adaptor (rated voltage 100 … 240 V AC~, 50/60 Hz) for stand alone operation • External low voltage 11 –...
  • Page 68 Delivery rate < 1 ml/h: KVO rate = programmed rate (default setting 0.1 ml/h) Computer connection USB connection in combination with for Service Program B. Braun interface lead CAN SP (8713230) including electrical insulation. Please pay attention to safety notices. Air detector The Infusomat®...
  • Page 69 TECHNICAL DATA Chapter 8 value may be set between 0.5 – 3.8 ml/hr in increments of 0.1 ml/hr during configuration. In addition, the pump also has a configurable single bubble alarm that can be set between 0.02 – 0.3 ml in increments of 0.01 ml. The pump display indicates if the alarm is a Single bubble alarm or an Accumulated Air alarm and stops the...
  • Page 70 • Use only compatible combinations of equipment, accessories, working parts and disposables with luer lock connectors. • The Infusomat Space System is unsafe to use in proximity to magnetic resonance imaging (MRI) equipment. • Only use combined with approved devices/accessories by the manufacturer, otherwise this may lead to higher emission or reduced immunity.
  • Page 71 TECHNICAL DATA Chapter 8 Drug Units Patient Units Time Units (none) mmol sec (bolus only) milli U kcal** Rate Units (none) per hour only per hour only * no m or per minute dosing ** no m , per minute, or per hour dosing The table below shows the conversion for the dosing units of the gram and units families : Gram family...
  • Page 72 TECHNICAL DATA Chapter 8...
  • Page 73 TECHNICAL DATA Chapter 8...
  • Page 74 TECHNICAL DATA Chapter 8...
  • Page 75 TECHNICAL DATA Chapter 8...
  • Page 76: Warranty / Training / Tsc** / Service / Disinfection / Disposal

    • the Technical Safety Checks are carried out regularly. Warranty B. Braun provides 12 months warranty, from the date of delivery, for every Infusomat® Space pump and for every Battery-Pack SP. This covers repair or replacement of parts damaged as a result of design/manufacturing errors or material defects.
  • Page 77: Cleaning And Disinfecting

    Make sure to remove any visible residue from all surfaces prior to disinfecting. The housing of Infusomat Space , the line guide cover and the IV line guiding areas may be disinfected with EPA registered hospital disinfectants containing 1-propanol, isopropyl alcohol, ethanol or didecyl dimethyl ammonium chloride.
  • Page 78 WARRANTY / TRAINING / TSC* / SERVICE / DISINFECTING / DISPOSAL Chapter 9 peristaltic fingers and membrane Note: Keep instrument upright and do not allow any part of instrument to become saturated with or submersed in fluid during cleaning operation. Do not allow moisture or detergents to come into contact with the electrical connections of the device (P2 or P3 connectors) or any device openings.
  • Page 79 WARRANTY / TRAINING / TSC* / SERVICE / DISINFECTING / DISPOSAL Chapter 9 Disposal The pumps as well as battery packs can be returned to B. Braun for disposal. Separate disposal is required for electrical and electronic equipment (2002/96/EC) Inspection on Delivery Despite careful packaging, the risk of damage during transport cannot be entirely prevented.
  • Page 80: Technical Safety Chapter 10 Optional Space Accessories

    O P T I O N A L S PA C E A C C E S S O R I E S SpaceStation (8713140U) Station that can hold for up to four B. Braun Space pumps. Refer to SpaceStation user manual for operating instructions. For further information contact your B.
  • Page 81 OPTIONAL SPACE ACCESSORIES Chapter 10 Caution: Do not pull on cord to remove connector. A maximum of three plugs can be stacked upon each other in P2 socket. Technical Data: 100 – 240V AC~, 50/60 Hz, 0,4-0,2A Combi Lead SP 12 V (8713133) The Combi Lead SP can connect up to three pumps.
  • Page 82 OPTIONAL SPACE ACCESSORIES Chapter 10 Note: Insure pump is properly secured before attaching fluid bag to short stand and connecting to patient to assure pump cannot fall and harm patient. Battery-Pack SP with Wireless (Li-Ion) (8713182U) For further information on the Battery Pack with wireless (Li-Ion), see chapter 6.3 "Battery Pack SP with WiFi".
  • Page 83 OPTIONAL SPACE ACCESSORIES Chapter 10 turned off turned on turned off static Operating Alarm without Alarm Off- Alarm * Operation dynamic 1 sec Alarm without Off–Alarm Operation dynamic 1 sec 1 sec Alarm with Off-Alarm Operation in the static mode without Off-Alarm, the staff call can be surpressed with Caution: The user should respond to the local pump alarms as well.
  • Page 84: Ordering

    ORDERING Art. No. B. Braun Infusomat® Space (100 - 240 V) + Battery-Pack SP with Wifi (Li-Ion) ............8713051U B. Braun Infusomat® Space (100 - 240 V) + Battery-Pack SP without Wifi (NiMH) ............8713052U Recommended accessories for the B. Braun Infusomat® Space: SpaceStation......................8713140U...
  • Page 85 B. Braun Customer Service at (800) 627-PUMP. A Returned Materials Authorization number will be provided. Carefully pack the pump (preferably in the original packing), and ship it prepaid to the address below. B. Braun cannot assume any responsibility for loss or damage to returned instruments while they are in transit.
  • Page 86 Manufactured by Distributed by B. Braun Melsungen AG B. Braun Medical Inc. 34209 Melsungen 824 12th Avenue Bethlehem, PA 18018-3524 USA Germany www.bbraunusa.com Tel +49 (0) 56 61 71-0 Clinical and technical support for USA: 1-800-854-6851 38911910 • I0045700201 0815...

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