Table of Contents Introduction .....................1 Physical Description................3 Operating Instructions .................10 Precautions ..................10 Loading the Pump ................11 Starting a Primary Infusion ...............14 Starting a Secondary Infusion ............17 Using Volume-Time Programming ...........18 Changing the Flow Rate While the Pump Is Running ......20 The OPTIONS Key ................21 Using the Manual Programmed Delivery Profile ......21 Using the Ramp Programmed Delivery Profile ........24...
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Change record 7-19-01-602 Original issue: 4/92 Rev. A: 6/92 Rev. B: 4/93 Rev. C: 11/94 Rev. D: 3/99 Page Revision Front cover 2–11 13–14 15–38 40–46 Back cover A zero in the “Revision” column indicates original issue. Rev. D...
Introduction ® The Flo-Gard 6201 Volumetric Infusion Pump from Baxter can deliver a wide variety of fluids over a broad range of in- fusion rates. Its features include: • Uses only standard Baxter solution administration sets. • Configurable settings allow the pump to be custom- tailored to best suit the hospital's needs.
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• An independent secondary medication program. The pump automatically switches over to the primary program upon completion. • Volume-Time programming automatically calcu- lates flow rate. • Automatic self-test routine checks for proper func- tion before use. • Five-hour memory retains infusion data after power-off.
Physical Description All front panel items are shown in Figure 1. Front Panel ITEM FUNCTION Shows all alarm and alert messages. 1. Message display Backlights the displays when pressed. Pressing the key again 2. BACK LIGHT key turns the backlight off. If the pump is running on battery power, the backlight remains on for 60 seconds each time the BACK LIGHT key is pressed.
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BACK LIGHT ALARM PUMPING ALERT SILENCE NEXT TOT VOL STATUS CLEAR TOT VOL TIME RATE VTBI START STOP CHARGE START RATE VTBI Flo-Gard® 6201 OPTIONS COMPUTER MONITOR VOLUMETRIC INFUSION PUMP CONTROL Figure 1. Front View...
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Front Panel ITEM FUNCTION 13. MONITOR legend Lights when the pump is being monitored by a computer. Lights when the pump is being controlled by a computer. 14. COMPUTER CON- TROL legend Starts the delivery of the secondary solution. 15. SEC START key 16.
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The pump head features are shown in Figure 2. Pump Head Features ITEM FUNCTION Detects a complete tubing restriction up- 1. Upstream occlusion sensor stream of the pump. The linear peristaltic pump mechanism con- 2. Pumping fingers sists of cam-driven pumping fingers which successively manipulate the tubing against the backplate, resulting in fluid movement in a downward direction.
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The following items are located on the rear of the pump and are shown in Figure 3. Rear Panel Features ITEM FUNCTION Secures the pump to the I.V. pole. 1. I.V. pole clamp Stores the power cord. 2. Power cord strap 3.
Epidural Administration • Epidural administration of anesthetics is limited to short-term infusion (not to exceed 96 hours) with in- dwelling catheters specifically indicated for short- term anesthetic epidural drug delivery. • Epidural administration of analgesics is limited to use with indwelling catheters specifically indicated for either short-term or long-term analgesic epidural drug delivery.
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3. Close set regulating clamp. 4. Open pump door. Raise pump door latch to horizontal po- sition and pull door open. 5. Load the set. a. Press to open position. SAFETY CLAMP b. If your hospital has enabled the slide clamp loading feature, in- sert the slide clamp on the I.V.
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6. Close pump door. If resistance is felt when closing the door, check for misloaded I.V. set. 7. Open set regulating a. Verify that no drops are falling in clamp completely. drip chamber. If flow is observed, close regulating clamp, recheck I.V. set loading and verify that the proper administration set is being used.
If the pump is plugged into an AC outlet, the plug icon is lit. If the pump is running on battery power, the battery icon is lit. g. If the message INSERT SLIDE CLAMP appears when you close the door, the slide clamp loading option is enabled.
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b. Program desired VTBI (in mL) on keyboard. Set VTBI equal to the amount of fluid in the container or less if desired. c. To correct a mistake, press again and re-enter the cor- PRI VTBI rect VTBI. The VTBI is displayed in the main display.
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b. The PUMPING LED goes out and STOPPED appears in the message display. c. If the pump is not restarted within two minutes, an audible alert sounds. 6. To restart an infusion, press the key. PRI START 7. When the infusion com- When the pump has delivered the se- pletes: lected volume, it sounds an alert tone...
1. Prepare secondary fluid a. To perform automatic piggybacking, ® container and admini- a Continu-Flo set from Baxter stration set. must be used as the primary set. b. Follow directions accompanying the products. c. Ensure all air is expelled from the secondary set.
c. To correct a mistake, press again and re-enter the cor- SEC VTBI rect value. 6. Open secondary set Check also that the primary set regulat- on/off clamp. ing clamp is open. 7. Press to begin a. Verify that drops begin falling in the SEC START the infusion.
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2. Press the key (or PRI VTBI , if you are pro- SEC VTBI gramming a secondary infusion). 3. Program the desired To correct a mistake, press the VTBI on the keyboard. and re-enter the correct VTBI. 4. Press the key.
Changing the Flow Rate While the Pump Is Running To change the primary or secondary flow rate during the course of an infusion, follow the procedure given below. The keys to press for secondary infusions are shown in paren- theses. 1.
The OPTIONS Key key is used to place the pump into Computer OPTIONS Control mode and to set a Programmed Delivery Profile (PDP). The key is active only when set in the OPTIONS pump's configuration. Pressing the key selects OPTIONS Computer Control and/or PDP.
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2. Place the pump into Pro- Press the key until the message PGM gram Delivery Profile DELIV appears and the legend over NEXT mode by pressing the key is illuminated. TOT VOL/STATUS key. TIONS The pump is now in PDP mode for an in- fusion with up to 10 different steps.
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d. To begin the Programmed Delivery Profile, press . The mes- PRI START sage REVIEW PDP appears if you have not completed reviewing the stored PDP. After you have reviewed all steps and pressed , the PRI START pump begins delivering fluid. Note: If you enter Programmed Delivery Profile mode and then try to start the pump without first entering a...
Note: When programming a PDP step, you must set one of the following combinations: Primary Rate and Pri- mary VTBI, Primary VTBI and Time, or Primary Rate and Time. When Time is entered, Primary VTBI or Primary Rate must be entered first. The pump will then calculate the Primary Rate and display it when key is pressed.
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When the Ramp PDP is running the pump will display the rate and VTBI of each step, along with the time remaining until completion of the Ramp PDP. A message will indicate the current phase of the Ramp PDP ( DELAY, RAMP UP, LEVEL DELV, RAMP DOWN ).
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Note: If any of the entered parameters (Total VTBI, Run Time, Delay Time, Ramp Up and Ramp Down) are outside the pump's capabilities, the message Hi or Lo appears as appropriate on the main display. 1. Verify that the a. If is not illuminated, your OPTIONS OPTIONS...
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c. To begin the Ramp PDP, press . The message REVIEW PGM START appears if you have not completed reviewing the stored Ramp PDP. Af- ter you have reviewed all parameters and pressed PRI START the pump begins delivering fluid. Note: If you enter Ramp PDP and try to start the pump without first entering data, the message ENTER DATA...
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a. TOTAL VTBI appears in the message display. b. Press the key to allow the entry of a new value. c. Enter the value on the numerical keyboard. d. Press the key to lock in the pro- NEXT grammed value and advance to DELAY TIME .
p. Press the key to display TOTAL NEXT VTBI . q. To begin the Ramp PDP, press , the pump begins delivering START fluid. 6. To resume an unfinished Ramp PDP: Note: If the pump is turned off while delivering a Ramp PDP, the user can resume the profile, where it was in- terrupted, if the pump is turned back on within one hour.
Computer Monitoring When the pump is set up for computer monitoring, informa- tion is gathered by a remote computer via the COMMUNICA- . The computer connected to the pump does not TIONS PORT control it; it simply monitors infusion data. The MONITOR legend on the front panel lights whenever the computer queries the pump for information.
Battery Powered Operation The pump automatically switches to battery operation when the AC power is interrupted or the pump is unplugged. When operating on battery power, the battery icon on the front panel is lit. The battery automatically recharges whenever the pump is plugged in. It is recommended that the pump be plugged in during storage to help maintain the batteries at full charge.
Cleaning and Storage The pump's exterior may be cleaned with a soft cloth, spar- ingly dampened with any of the cleaners listed below. Fol- low manufacturers' dilution instructions for concentrated cleaners. Used pumps should be cleaned/disinfected with an agent from the list below before use on another patient. If spillage into the pump mechanism occurs, clean immediate- ly by wiping with a soft cloth dampened with any of the cleaners listed below.
Alerts and Alarms The following chart describes the pump's alarm and alert messages along with the cause of each. Message Flow Condition Status Alert Messages No flow Pump has been in STOPPED mode for two minutes. STOPPED Primary VTBI has been delivered. The pump has switched to a KVO rate of 5 mL/hr or programmed rate, whichever is PRI VTBI = 0 less.
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Message Flow Condition Status The SEC COMPLETE alert option is enabled and the pump change has completed its secondary program and has switched to COMPLETE primary. Press any enabled key to exit from this alert. Secondary program data is being entered while pump is change running.
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Message Flow Condition Status No flow An attempt has been made to start a manual or ramped PGM DELIV Programmed Delivery Profile before reviewing all the data. REVIEW PGM Either review the PDP parameters by pressing NEXT until the first parameter is again displayed, or press OPTIONS to leave PDP mode.
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Message Flow Condition Status Alarm Messages No flow I.V. set is not loaded properly. Open the pump door and ver- CHECK SET ify that the set is loaded properly against the pumping fin- LOADING gers and through the upstream and downstream occlusion sensors.
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Message Flow Condition Status No flow Pump failure. Power the pump off and back on to reset. If FAILURE in failure recurs, have the pump serviced. message display with code number in main display No flow There has been no communication between the pump and COM TIMEOUT the computer for the specified time period.
ITEM SPECIFICATION Catalog Code Number 2M8063 Description Linear Peristaltic Volumetric Infusion Pump Administration Set Baxter “s” designated sets Keep Vein Open (KVO) 5 mL/hr or programmed rate, whichever is less Rate Nurse Call Available through the COMMUNICATIONS PORT. Battery 12 Volt, 2.0 Ah sealed lead-acid...
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ITEM SPECIFICATION Ramp PDP Total VTBI: 100-9,999 in 1 mL increments for Run Time Parameter Ranges equal to or less than 16 hours; 200 - 9999 in 1mL incre- ments for Run Time greater than 16 hours. Upper limit can be reduced by authorized service personnel. Delay Time: 00:00 - 08:00 hours in minute increments.
Configurable Options The pump has several features which can be selected to best suit the needs of the hospital. The settings for these fea- tures are referred to as the configuration. To see your pump's configuration settings: a. The pump must be stopped. Press simultane- TIME TOT VOL/STATUS...
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Configurable Options Item Descriptor Options Factory Setting Occlusion Alarm Level OCCLUSION 1 = LEVEL 1 LEVEL (Pressure increments LEVEL n (approximately 7 psig) which will result in an 2 = LEVEL 2 OCCLUSION alarm. (approximately 12 psig) This setting will be dis- 3 = LEVEL 3 played for one second af- (approximately 17 psig)
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Configurable Options Item Descriptor Options Factory Setting Maximum Flow Rate MAX RATE 1–1999 mL/hr 1999 mL/hr Maximum VTBI MAX VTBI 1–9999 mL 9999 mL Flow Check Display FLOW 1 = OFF CHECK (The CLR & TOT VOL/STATUS keys must be pressed to view the Flow Check display) 2 = ON (Flow Check display visible...
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Configurable Options Item Descriptor Options Factory Setting Close Clamp Message CLOSE CLMP 1 = OFF (CLOSE CLAMP appears 2 = ON with DOOR OPEN mes- sage to remind the user to close the I.V. set regu- lating clamp when the pump door is open.) Slide Clamp Loading Op- INS CLAMP...
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Configurable Options Item Descriptor Options Factory Setting Programmed Delivery 1 = DISABLED (No PDP al- DIS- Profile lowed) ABLED Note: Ramp PDP is 2 = FIVE HOUR (Profile can available only on be entered from front panel pumps running soft- and is saved in 5-hour mem- ware versions later ory.)
Baxter's sole obligation shall be limited to repair or replacement, at Baxter's option and expense, of the defective part or unit, excluding batteries, for a period of one year following the date of initial delivery. The warranty period for batteries is limited to a period of six months following the date of initial delivery.
Shipping costs for all units returned to Baxter Healthcare Corporation shall be paid by the customer. The unit must be packed in its original container or in another Baxter ap- proved container that will provide adequate protection dur- ing shipment. To ensure prompt return, a Baxter Product Service representative must be notified before shipping any unit for repair.
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