Related Manuals for Hospira Plum A+
Summary of Contents for Hospira Plum A+
- Page 1 System Operating Manual For use with List Numbers: 20677, 20678, 20679-04 Back Options/ Prime Vol Inf HOSPIRA, INC., LAKE FOREST, IL 60045, USA 430-95597-001 (Rev. 06/05)
- Page 2 For Systems With Hospira MedNet Software Change History Description of Title Changes Pages Affected 430-95597-001 First Release (Rev. 06/05) 430-95597-001 (Rev. 06/05)
-
Page 3: Table Of Contents
® Plum A+ Infusion Systems Contents Section 1, Descriptive Information ....1-1 ......1-1 RODUCT ESCRIPTION . - Page 4 For Systems With Hospira MedNet Software ....... 3-6 ONTROLS ....... 3-7 DMINISTRATION .
- Page 5 ® Plum A+ Infusion Systems ......6-6 IGHTING ONTRAST ....... 6-10 ARIABLE .
- Page 6 All Rights Reserved This document and the subject matter disclosed herein are proprietary information. Hospira retains all the exclusive rights of dissemination, reproduction, manufacture and sale. Any party using this document accepts it in confidence, and agrees not to duplicate it in whole or in part nor disclose it to others without the written consent of Hospira.
-
Page 7: Section 1, Descriptive Information
® Plum A+ Infusion Systems ECTION Descriptive Information NOTE: In this manual, references to Plum A+ apply to both systems unless otherwise noted. ® Plum A+ List # 20679-04 NOTE: This operating manual may also be used with Device List Numbers 12391-04 &... -
Page 8: Product Description
Both are cassette based multi-function infusion systems. The Plum A+ allows two lines in and one line out while the Plum A+3 allows six lines in and three lines out. Each pump can be used for standard, piggyback, or concurrent delivery. -
Page 9: Indications For Use
® Plum A+ Infusion Systems Hospira Mednet networked application software for drug library downloads and Auto-programming to the infuser. Indications for Use UALIFICATION The Plum A+ is intended for use at the direction or under the supervision of licensed physicians or certified healthcare... -
Page 10: Warnings, Cautions, And Notes
For Systems With Hospira MedNet Software ONVENTION PPLICATION XAMPLE [BRACKETED Keys or buttons on [START] ALL CAPS] the device are displayed in [BRACKETED ALL CAPS] or with a graphic. Softkey Options [Italic] [Choose] Initial Caps Screen displays and Program lowercase... -
Page 11: Precautions
® Plum A+ Infusion Systems NOTE: A Note highlights information that helps explain a concept or procedure. This symbol directs the user to consult accompanying documents. When visible on the display, this symbol informs the user to use CAUTION because the specified drug has NOT been programmed with specified safety limits. -
Page 12: Concurrent Flow
99.9. Any fraction of a milliliter delivered is not displayed, but is retained in memory. • For Plum A+3 users, be aware that changing the weight on one device does NOT change the weight on the other two devices. - Page 13 ® Plum A+ Infusion Systems • 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. Dopamine, for example, delivered at 1.5 mL/hr should not be accompanied by an infusion programmed any faster than 7.5 mL/hr.
-
Page 14: Epidural Administration
• For epidural administration, the use of Hospira catheters, Plum sets without Y-sites, and "epidural" stickers indicating ongoing epidural administration are recommended. -
Page 15: Battery Operation
® Plum A+ Infusion Systems • Administration of drugs via the epidural route should be limited to personnel familiar with associated techniques and patient management problems. Proper epidural placement of the catheter is essential since catheter migration could result in intravascular or intrathecal administration. Facilities practicing epidural administration must be equipped with resuscitative equipment, oxygen, naloxone, and other resuscitative drugs. -
Page 16: Sets And Accessories
For Systems With Hospira MedNet Software ETS AND CCESSORIES • Only compatible LifeCare PlumSets can be used with the Plum A+. See individual set instructions for additional information. • Administration sets should be changed per CDC guidelines or healthcare provider policy. Discard after use. -
Page 17: Cleaning
(-- -- --). The user must clear these fields using the [CLEAR] key prior to entering new values. • The Plum A+3 is to be used with an IV pole with a 6-wheel base and a shelf. LEANING For more information on cleaning the infuser, see Section 8. -
Page 18: Artifacts
For Systems With Hospira MedNet Software • Open cassette door and remove the cassette. • Open the flow regulator briefly to dissipate the pressure and then close it. • Eliminate the source of occlusion (closed clamp). • Reinsert the cassette and close the cassette door. - Page 19 ® Plum A+ Infusion Systems generator, it is possible that the normal operation of a sensor or microcomputer might be disrupted. Even in this event, the outcome would likely be a false alarm or detected system malfunction and would not result in a hazard to patient or operator.
- Page 20 For Systems With Hospira MedNet Software • Maintaining a minimum separation distance of 2 ½ ft between the Infusion pump system and portable/ mobile RF communications equipment • List Numbers 12391 and 11971 are compliant to IEC/EN 60601-1-2 (1993) List Numbers 20678 & 20679 are compliant to IEC/EN...
-
Page 21: Fcc Information
® Plum A+ Infusion Systems with other equipment, monitor the devices to verify normal operation. • USE ONLY components specifically labeled for use with the Plum A+ Infusion System to help ensure the device operates as intended. • If you suspect external RF sources or other equipment are influencing device operation, contact the biomedical engineering department for additional guidelines concerning electromagnetic immunity. - Page 22 • Consult the dealer or an experienced radio/TV technician for help. • Changes or modifications not expressly approved by Hospira could void the user's authority to operate the equipment. ADIO REQUENCY...
-
Page 23: Section 2, Principles Of Operation
® Plum A+ Infusion Systems ECTION Principles of Operation Features The Plum A+ is a dual-line volumetric infusion system designed to meet the growing demand for hospital-wide, as well as alternate site and home healthcare, standardization. With its primary line, secondary line, and piggyback fluid delivery capability, the Plum A+ is suited for a wide range of medical/ surgical and critical care applications. -
Page 24: Plumset Capabilities
• Air Removal/Backpriming • Air Detection-Proximal • Air Detection-Distal ATTERY NOTE: The Plum A+3 utilizes three batteries. • Battery Gauge • Less than 8-Hour Battery Recharge Time • Long battery life (3 hours) for emergency backup and temporary portable operation EDICAL •... -
Page 25: Communication
® Plum A+ Infusion Systems • Microprocessor control • Large liquid crystal display (LCD) screen • Panel back illumination on mains power • Lockout switch • Standard syringe use • Parenteral and nonparenteral (enteral) fluid delivery • Blood and blood products delivery •... - Page 26 For Systems With Hospira MedNet Software EFINITION Alternate Units Drug Amount, Diluent, Patient Weight (if Parameters applicable), and Dose Rate. Auto-Program A physician order sent to the infuser. Auto-Program An auto-program is considered “new” if (new) either of the following conditions are met: A) There is no program on the associated line.
- Page 27 A single uninterrupted discrete volume of fluid delivered over a discrete period of time. Cassette A Hospira standard Plum Macro Cassette that contains the actual pumping chamber with inlet and outlet valves. It also contains access ports to diaphragms for proximal and distal line pressure sensing and chambers for air trapping and air quantity measurement.
- Page 28 For Systems With Hospira MedNet Software EFINITION Concentration For Dose Calculation based Line A or B delivery programming of premixed drugs, the concentration consists of Drug Amount (in micrograms [mcg], milligrams [mg], grams, milliequivalents [mEq], millimols [mmols], or units [USP Units]) and Diluent (Volume in milliliters [mL]).
- Page 29 The Drug Library is based on hospital-defined best practices. The Drug Library is customized and downloaded into the Infuser by authorized hospital personnel using Hospira MedNet Networked software. 430-95597-001 (Rev. 06/05) 2- 7...
- Page 30 For Systems With Hospira MedNet Software EFINITION Duration The time period used to deliver a VTBI at an existing Delivery Rate or as set by the operator. Enteral Delivery via an intestinal route. Error A condition resulting in an audible...
- Page 31 ® Plum A+ Infusion Systems EFINITION Any of the marked locations on the front panels intended for user input via a pressing action. (Keep Vein Open) Internally selected minimal delivery rate, the lesser of 1.0 mL/Hr or actual Rate, intended to provide sufficient fluid flow to decrease the potential for clotting at the IV infusion site.
- Page 32 For Systems With Hospira MedNet Software EFINITION Mechanism The provider of the physical activities of: 1) valve control for Line selection and inlet to or outlet from the Cassette; 2) Plunger extension and retraction for changing fluid volume of the Cassette pumping chamber.
- Page 33 ® Plum A+ Infusion Systems EFINITION Note A Note explains something new, gives tips on performing an activity, or provides a reminder of necessary preparations. Override The clinician acknowledges an Alert, confirms and proceeds with a program containing a parameter that falls outside the hospital-defined Soft Limits.
- Page 34 For Systems With Hospira MedNet Software EFINITION Pressure The measured fluid pressure for Proximal Line A, Proximal Line B, or the Distal line when a fully primed administration set is loaded into a Mechanism with the Cassette Door closed. Programs...
- Page 35 Lettering in combination with lower-case letters to help clinicians differentiate among sound-alike or look-alike drug names. Certain Hospira Default Library drug names are displayed in Tall-Man lettering. Truncate To round-down to the last whole number (e.g., 103.7 would be 103).
- Page 36 For Systems With Hospira MedNet Software EFINITION Volume Infused. VTBI Volume To Be Infused – The volume of fluid or IV solution (remaining) for delivery by a program or Therapy step from a Line. Warning Audible indication at the defined Warning sound level, often accompanied by a brief message, to advise operator that: 1.
-
Page 37: Section 3, Equipment Description
® Plum A+ Infusion Systems ECTION Equipment Description Line B Flow Line A Flow Indicator Indicator Status Status Region Region Working Working Region Battery Region Charge Indicator Message Region Message Region Back Options/ Softkey Label Prime Vol Inf Numeric Softkey Keys Selector (Up/Left) -
Page 38: Operating Keys
For Systems With Hospira MedNet Software Operating Keys NOTE: For Plum A+3, all three pumps act as individual Plum A+’s. The [ON/OFF] key is used to control the power of the Plum A+. NOTE: All deliveries must be stopped in order to turn the power off. - Page 39 ® Plum A+ Infusion Systems The [SILENCE] key is used to silence an audible alarm during actions to correct its cause. The [SELECT] key (or ) is used to move the highlighting cursor between the programming fields. The numeric keys are used to enter values for any highlighted field requiring numeric data.
-
Page 40: Indicators
For Systems With Hospira MedNet Software Softkeys are located at the bottom Cancel/ Standby Enter of the main display and serve a Back variety of functions. What each key does is indicated by the text in the display above the actual softkey. -
Page 41: Display Symbols
® Plum A+ Infusion Systems Display Symbols Battery Capacity Symbol (located on right side of message region on display) indicates relative charge with number of white boxes from left to right. Cautionary Symbol is displayed to alert the user that the infuser is being operated without rule sets (soft or hard limits). -
Page 42: Rear Case Controls
The icon will not be displayed if the infuser is communicating via an ethernet connection. Rear Case Controls NOTE: For Plum A+3, each control applies to all three pumps The audio level rotary knob, located on the back, adjusts the alarm audio level. - Page 43 ® Plum A+ Infusion Systems NOTE: For Plum A+3, keypad lock applies to individual pump in use. NOTE: Pressing of a key while lockout is active results in the display of the lockout enabled message. This action is recommended to confirm each lockout activation.
-
Page 44: Administration Sets
For Systems With Hospira MedNet Software Administration Sets The Plum A+ is compatible with a wide range of LifeCare Plum series administration sets. Become familiar with the set components before preparing the administration set. Primary Line Secondary Inlet Port (Capped) -
Page 45: Priming The Administration Set
® Plum A+ Infusion Systems Insert piercing pin into container outlet with a twisting motion. Fill Drip chamber to about 1/2 full or to the score mark. Do not completely fill. NOTE: To avoid getting Distal Air Alarms, confirm the fluid bag is positioned higher than the infuser. -
Page 46: Loading The Cassette
For Systems With Hospira MedNet Software Push in the flow regulator to close. Confirm there is no flow. Loading the cassette To load the primed cassette into the plum A+, proceed as follows. Open the cassette door by lifting up the handle. - Page 47 ® Plum A+ Infusion Systems DELIVERY SECONDARY FOLLOWED AUTOMATICALLY BY PRIMARY MODES The Plum A+ features concurrent or piggyback delivery modes when program requires administering more than one fluid. In addition to standard containers, the Plum A+ can use syringes on the secondary port. The secondary line can be prepared without removing or repriming the cassette.
-
Page 48: Discontinuing Electronic Flow Control & Setting Gravity Flow
For Systems With Hospira MedNet Software Set up per operating instructions. (See Sections 4 - 6 of this manual.) Syringe: Secure the container to the cassette door using the optional container support arm (List 12095-03). Discontinuing Electronic Flow Control & Setting Gravity Flow... -
Page 49: Discontinuing Fluid Administration
® Plum A+ Infusion Systems Discontinuing Fluid Administration PRESS STOP STOP CLOSE DOOR DISCARD SET AND FLUID CONTAINER PER HOSPITAL PROCEDURE OPEN DOOR, REMOVE CASSETTE 430-95597-001 (Rev. 06/05) 3- 13... - Page 50 For Systems With Hospira MedNet Software NOTES 3- 14 430-95597-001 (Rev. 06/05)
-
Page 51: Section 4, Basic Operation
Use care when unpacking the infuser. Retain the packing slip and save all packing material in case the infuser is damaged or fails the infuser self-test and has to be returned to Hospira. Inspect thoroughly for damage. CAUTION: I... -
Page 52: Tandem Carrier Instructions
PERATION OF THE INFUSER UNDER THESE CONDITIONS SHOULD BE AVOIDED ANDEM CARRIER INSTRUCTIONS NOTE: The Plum A+3 is NOT to be used with the tandem carrier. It is only to be used with the Plum A+ and other single- channel devices. -
Page 53: Data Retention
(see Section 7, Alarms and Troubleshooting). Turn infuser OFF, then back ON. If the self-test alarm recurs, remove the infuser from service and contact the local Hospira representative. The infuser performs a suite of System Self-Tests when power is applied to confirm readiness for use. -
Page 54: Power On
For Systems With Hospira MedNet Software Power On HOSPIRA Plum A+ Press to Power On the Plum A+ and the System Self- 13.X Jan 31 2005 12:30:30 Tests Screen is displayed. Copyright Hospira, Inc. 2005 System Self Test In Progress... - Page 55 ® Plum A+ Infusion Systems The Area Selection screen will Area Selection appear if your system has been Any Hospital, USA MM/DD/YY XXYYZZ- 123456 programmed with the Hospira Renal MedSurg Neo ICU OB/GYN Cardio Oncol MedNet accessory. Use Urology Ad ICU...
-
Page 56: Simple Delivery
For Systems With Hospira MedNet Software Simple Delivery Example of MedNet Main STOPPED STOPPED Delivery Screen (with cleared settings). The selected area is Rate mL/hr displayed at the bottom. Vol Inf SCREENS SHOWN IN THIS MANUAL ’ ARE EXAMPLES ONLY AND DON... - Page 57 ® Plum A+ Infusion Systems to move down to the DURATION field. If auto-calculated Duration is acceptable, skip to step Use keypad to change/enter PROGRAM MedSurg the hours part of duration if Rate mL/hr desired. VTBI NOTE: When all parameters are 00:05 Duration : min...
-
Page 58: Titration
For Systems With Hospira MedNet Software Example of Main Delivery PUMPING STOPPED Screen just after being programmed and started. Rate mL/hr Vol Inf NOTE: The Line A Fluid Flow Indicator also will flash to indicate MedSurg pumping. Options/ Vol Inf... - Page 59 ® Plum A+ Infusion Systems Enter the desired Rate using PROGRAM MedSurg the keypad. Rate mL/hr NOTE: When Rate is changed, the VTBI duration is automatically recomputed 03:20 Duration hr : min using the current VTBI. To understand the Automatic Calculation Enter Value using keypad Program Drug...
- Page 60 For Systems With Hospira MedNet Software Example of changed rate. PROGRAM MedSurg Rate mL/hr From the Main Delivery Screen, select VTBI [A]. 03:20 Duration hr : min Use keypad to change the Enter Value using keypad Program Drug Cancel/ RATE value.
- Page 61 ® Plum A+ Infusion Systems Calculation feature, see Examples of Automatic Calculation on page 6-10. Press Program Confirmation screen will appear. If correct, press to begin infusion. [Yes] NOTE: [START] accepts the change. Delivery is changed to the new VTBI and DURATION and the display brings up the Confirmation screen before returning to the Main Delivery Screen.
-
Page 62: Piggyback Delivery
For Systems With Hospira MedNet Software NOTE: [START] accepts the change. Delivery is changed to the new DURATION and RATE and the display brings up the Confirmation screen before returning to the Main Delivery Screen. Piggyback Delivery PIGGYBACK DELIVERY- PUMPING STOPPED... - Page 63 ® Plum A+ Infusion Systems PROGRAM Select to highlight the MedSurg RATE field. Mode Piggyback Rate mL/hr VTBI To enter delivery rate, use 00:00 Duration hr : min numeric keypad. Enter value using keypad Program Drug Cancel/ Options Back List to move down to the VTBI field.
- Page 64 For Systems With Hospira MedNet Software PROGRAM to move down to the MedSurg DURATION field. Mode Piggyback Rate mL/hr (Optional) Use keypad to VTBI 00:45 Duration hr : change duration. Enter value using keypad Program Drug Cancel/ When all parameters are...
-
Page 65: Concurrent Delivery
® Plum A+ Infusion Systems Concurrent Delivery ONCURRENT ELIVERY PUMPING STOPPED Simultaneous delivery of two fluids at independent flow rates. Rate mL/hr C A U T I O N : O N S U L T D R U G Vol Inf L A B E L I N G C O N F I R M... - Page 66 For Systems With Hospira MedNet Software Verify change to “Concurrent” PROGRAM mode. MedSurg Mode Concurrent Rate mL/hr to highlight Rate field. VTBI 00:00 Duration hr : min Change using Change Mode Program Change Drug Cancel/ Options Mode Back List To enter delivery rate, use...
- Page 67 ® Plum A+ Infusion Systems understand the Automatic Calculation feature, see Examples of Automatic Calculation on page 6-10. to move down to the DURATION field. (Optional) Enter values for desired hours and minutes. NOTE: When Duration is entered, Rate is automatically computed.
-
Page 68: Stop And Start With Only 1 Line Pumping
For Systems With Hospira MedNet Software Stop and Start with only 1 Line Pumping Press at the Main PUMPING STOPPED Delivery Screen. Rate mL/hr Vol Inf NOTE: If [A] (or [B]) is selected prior to pressing [STOP], the display MedSurg will return to the programming screen. -
Page 69: Stop And Start With Both Lines Pumping
® Plum A+ Infusion Systems Stop and Start with Both Lines pumping Press at the Main PUMPING PUMPING Delivery Screen. Rate mL/hr Vol Inf MedSurg Options/ Vol Inf Select [Stop [Stop PUMPING PUMPING [Stop All]. Rate mL/hr NOTE: If [A] (or [B]) is selected Vol Inf prior to [STOP], the display will show... -
Page 70: Backpriming
For Systems With Hospira MedNet Software To resume infusion, STOPPED STOPPED press Rate mL/hr Vol Inf Select [Start MedSurg B], or [Start [Start All]. Choose line(s) to start: Or, to discontinue infusion, Start Start Start Cancel press Clamp secondary tubing if connected. -
Page 71: Clearing Settings
® Plum A+ Infusion Systems Select and hold BACKPRIMING until fluid [Back Prime] Rate pumped from line A to line B mL/hr has expelled the air from Vol Inf cassette air trap into MedSurg Secondary container. Release Backprime to Stop Back Options/ Prime... - Page 72 For Systems With Hospira MedNet Software Select Line (or B if active) STOPPED STOPPED from the stopped Main Delivery Rate Screen. mL/hr Vol Inf NOTE: If Line A or B is programmed with a Therapy (i.e., Dose MedSurg Calculation), Rate, VTBI and...
-
Page 73: Updating Drug Library
® Plum A+ Infusion Systems Updating Drug Library If a new Drug Library is Library Install available, the New Drug Library New Drug Library Install screen will be displayed. Available The Installation may take up to an hour. Select to begin the [Yes] Ensure AC power cord is plugged in. - Page 74 For Systems With Hospira MedNet Software NOTES 4- 24 430-95597-001 (Rev. 06/05)
-
Page 75: Section 5, Advanced Programs
® Plum A+ Infusion Systems ECTION Advanced Programs (Dose Calculation) Allows programming Dose Rates in alternative Standard units of measure. Dose Calculation can be used in Simple Delivery, Loading Dose, and Program Multistep. Allows programming of an initial infusion rate for a specific volume, followed automatically by a maintenance rate from the same container (e.g., a fluid challenge). - Page 76 For Systems With Hospira MedNet Software Dose Calc (mcg/kg/min on A) Allows programming Dose ALCULATION Rates in alternative units of measure. Dose Calculation can be used in Simple Delivery, Loading Dose, and Multistep. Clear ALL settings when changing patients or multiple programming parameters.
- Page 77 ® Plum A+ Infusion Systems The Line A Programming PROGRAM screen appears. MedSurg Rate mL/hr Select for Dose [Drug List] VTBI Calculation programming. 00:00 Duration hr : min Enter Value using keypad Program Drug Cancel/ Options Back List The Drug List Screen appears, MedSurg in mainly alphabetical order.
- Page 78 For Systems With Hospira MedNet Software Soft upper limit of 8 mcg/kg/min Hard upper limit of 12 mcg/kg/min NOTE: The SOFT and HARD limits are not displayed. However, the limit is provided if a value is programmed outside the acceptable range. Typically, the pharmacy will set the limit.
- Page 79 ® Plum A+ Infusion Systems The Container Concentration Program Dose Calc Selection screen appears DOPamine whenever the selected Dose Drug Conc in Container Units are gram-based (e.g., grams, mg, mcg, or ng), grams otherwise this screen is skipped. Select, then Choose Choose Back NOTE: Cursor defaults to package...
- Page 80 For Systems With Hospira MedNet Software Continue to enter values using Program Dose Calc DOPamine the keypad, and advancing to Conc 250 mL Weight the next field using Dose mcg/kg/min VTBI Duration 00: 00 hr : min Rate mL/hr NOTE: As the Dose value is entered, Enter value using keypad the Rate is automatically calculated.
Need help?
Do you have a question about the Plum A+ and is the answer not in the manual?
Questions and answers
Does the IVPB have to be greater than a certain amount of volume to be run on the IV pump?
Yes, the Hospira Plum A+ IV pump requires a minimum volume to be set for IVPB administration. For example, in the case of acyclovir, the drug library was updated to require a minimum volume of 250 mL per dose to ensure safe infusion.
This answer is automatically generated