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Related Manuals for CareFusion Alaris VP Plus Guardrails
Summary of Contents for CareFusion Alaris VP Plus Guardrails
- Page 1 Alaris™ VP Plus Guardrails™ Directions For Use Volumetric Pump...
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Page 2: Table Of Contents
Alaris™ VP Plus Guardrails™ Volumetric Pump Contents Page Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Intended Purpose . - Page 3 Alaris™ VP Plus Guardrails™ Volumetric Pump Basic Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Clear Volume Infused .
- Page 4 Alaris™ VP Plus Guardrails™ Volumetric Pump Infusion Sets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Standard Infusion Sets .
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Page 5: Introduction
Guardrails Software data sets . Intended Purpose The Alaris VP Plus Guardrails Volumetric Pump is intended for use by clinical staff for the purpose of controlling infusion rate and volume . Conditions for Use The Alaris VP Plus Guardrails Volumetric Pump should only be operated by clinical staff competent in the use of automated volumetric pumps and in the management of infusion therapy . -
Page 6: Features Of The Pump
Alaris™ VP Plus Guardrails™ Volumetric Pump Features of the Pump Features of the Pump Alert indicator Door Display Softkeys Chevrons Mute Prime/Bolus Pressure Hold Options Battery indicator AC power indicator On/Off Door Lever Handle Release lever for rotating Flow sensor interface RS232/Nursecall connector (cover... -
Page 7: Controls And Indicators
Alaris™ VP Plus Guardrails™ Volumetric Pump Controls and Indicators Controls and Indicators Controls Symbol Description ON/OFF button - Press once to switch the Pump on . Press and hold down for approximately three seconds to switch the Pump off . RUN button - Press to start the infusion . -
Page 8: Symbol Definitions
Alaris™ VP Plus Guardrails™ Volumetric Pump Symbol Definitions Symbol Definitions Labelling Symbols Symbol Description Caution: If a tool is required to remove a cover then this should be performed by qualified service personnel only . Consult accompanying documents Potential Equalisation (PE) Connector RS232/Nursecall Connector Defibrillation-proof type CF applied part (Degree of protection against electrical shock) IPX3... -
Page 9: Main Display Features
Alaris™ VP Plus Guardrails™ Volumetric Pump Main Display Features Main Display Features Main Display NORADrenaline Infusion Status/Drug Name/ Profile Name/Primary or Secondary RATE ml/h Infusion Rate Dose Rate mcg/kg/min mmHg VTBI Volume to be Infused Line Pressure Volume Infused VOLUME 1 h 48 m 00 s Time remaining Downstream Occlusion... -
Page 10: Operating Precautions
Uncontrolled flow may result if the infusion set is not properly isolated from the patient, i .e . closing a tap in the set or activating an in-line clamp/roller clamp . • CareFusion infusion sets are fitted with an in-line clamp, which can be used to occlude tubing in case it is required to stop fluid flow . •... -
Page 11: Alarm Conditions
MRI devices, therefore the Pump is not an MRI compatible Pump . If use of the Pump within an MRI environment is unavoidable, then CareFusion highly recommends securing the Pump at a safe distance from the magnetic field outside the identified Controlled Access Area in order to evade any magnetic interference to the Pump or MRI image distortion . -
Page 12: Hazards
Care should be taken in the placement of power cables and RS232 cables to prevent accidental tugging . • Warning: Alaris VP Plus Guardrails Volumetric Pumps should not be modified or altered in any way, except where explicitly directed or authorised by CareFusion . Any use of Alaris VP Plus Guardrails Volumetric... -
Page 13: Getting Started
1 . Check that the Pump is complete, undamaged and that the voltage rating specified on the label is compatible with your AC power supply . 2 . Items supplied are : • Alaris VP Plus Guardrails Volumetric Pump • Directions For Use (CD) • AC Power Cable (as requested) •... -
Page 14: Pole Clamp Installation
Alaris™ VP Plus Guardrails™ Volumetric Pump Getting Started Pole Clamp Installation The pole clamp is fitted to the rear of the Pump and will provide secure fixing to vertical IV poles of a diameter between 15 and 40mm . 1 . Pull the folded pole clamp towards you and unscrew the clamp to Recessed area leave enough room for the size of the pole . -
Page 15: The Alaris Safety Clamp
Alaris™ VP Plus Guardrails™ Volumetric Pump Getting Started The Alaris Safety Clamp* Safety Clamp in Occluded Position: Safety Clamp in Non-occluded Position: After the infusion set is loaded into the Pump, opening the When a new infusion set is removed from packaging the Safety door activates door hooks which will pull the Safety Clamp Clamp will be in this position**: Slider out, as shown:... -
Page 16: Loading An Infusion Set
Loading an Infusion Set Loading an Infusion Set • Only use dedicated Alaris VP Plus Guardrails Volumetric Pump infusion sets, refer to 'Infusion Sets' section. • Ensure the appropriate infusion set for the fluid/drug to be infused has been selected. -
Page 17: Starting The Infusion
Alaris™ VP Plus Guardrails™ Volumetric Pump Starting the Infusion Starting the Infusion Infusion Setup 1 . Connect the Pump to an AC power supply using the AC power cable . 2 . Load the primed infusion set, see 'Loading an Infusion Set' section . 3 . -
Page 18: Priming The Infusion Set
Alaris™ VP Plus Guardrails™ Volumetric Pump Starting the Infusion 8 . Clear VOLUME infused , if required . This is recommended for a new patient or when a new infusion is set-up . 9 . Enter VTBI, if required, by selecting VTBI softkey on main display . Set VTBI by using the BAGS option and/or keys and press OK to confirm . -
Page 19: Bolus
Alaris™ VP Plus Guardrails™ Volumetric Pump Bolus Bolus Bolus Infusions Bolus - Administering a controlled volume of fluid or drug at an increased rate for diagnostic or therapeutic purposes . The Pump should always be infusing and always be attached to the patient (Drugs given by an IV bolus can achieve immediate and high drug concentration levels) . -
Page 20: Pressure Features
Alaris™ VP Plus Guardrails™ Volumetric Pump Pressure Features Pressure Features • The interpretation of in-line pressure readings and occlusion alarms is the responsibility of the clinician and is dependent on the specific application. • Default downstream occlusion alarm limits for the Pump are configured in the Alaris Editor by profile and by drug. -
Page 21: Basic Features
Alaris™ VP Plus Guardrails™ Volumetric Pump Basic Features Basic Features Clear Volume Infused This option enables the volume infused to be cleared . 1 . Press the VOLUME softkey on main display to show the clear VOLUME INFUSED option . 2 . -
Page 22: Rate Lock
Alaris™ VP Plus Guardrails™ Volumetric Pump Basic Features Rate Lock If Rate Lock is enabled, when the infusion rate has been set and the infusion started or following a bolus infusion the rate lock prompt will appear on the main display . To select the rate lock function press the YES softkey . -
Page 23: Set Vtbi Over Time
Alaris™ VP Plus Guardrails™ Volumetric Pump Basic Features Set VTBI Over Time This option allows a specific VTBI and delivery time, maximum of 24 hours, to be set . The rate necessary to deliver the required volume within the specified time is calculated and displayed . 1 . -
Page 24: Changing The Infusion Set
NOTE: During use of Needle-Free Valve port, fluid may be observed between the housing and blue piston . This fluid does not enter the fluid path and requires no action . NOTE: For product questions or needle-free valve educational materials, contact your CareFusion representative . Consult facility protocols . Consult other organizations that publish guidelines useful in developing facility protocols . -
Page 25: Secondary (Piggyback) Infusions
Alaris™ VP Plus Guardrails™ Volumetric Pump Secondary (Piggyback) Infusions Secondary (Piggyback) Infusions Secondary, or piggyback, Infusion mode is only available if it has been configured . The application of secondary infusions should be limited to the intermittent therapy of medications which are not sensitive to the total time required to complete an infusion . -
Page 26: Service Configuration Mode
Alaris™ VP Plus Guardrails™ Volumetric Pump Service Configuration Mode Service Configuration Mode This section comprises of a list of options which can be configured . Some can be entered via the Pump SERVICE menu, available in Technician Mode, and others through the Alaris Editor Software . Enter the access code on the Pump for SERVICE mode, then select CONFIGURATION, see the Technical Service Manual for details . -
Page 27: Pump Configuration Available Via The Alaris Editor Software
Alaris™ VP Plus Guardrails™ Volumetric Pump Pump Configuration available via the Alaris Editor Software Pump Configuration available via the Alaris Editor Software The following options are only configurable via the PC based Alaris Editor Software, see Alaris Editor help files for further details . Data Set Configuration Settings Profile Filtering Controls whether the user is able to filter which profiles will be available on the Pump . -
Page 28: Large Volume Pump Configuration Settings
Alaris™ VP Plus Guardrails™ Volumetric Pump Pump Configuration available via the Alaris Editor Software Large Volume Pump Configuration Settings AIL Limit Set the single bubble Air-in-line alarm . Bolus Mode Controls whether or not the Pump allows bolus delivery method . Bolus Rate Default Set the default value for bolus rates . -
Page 29: Drug Library Available Via The Alaris Editor Software
Alaris™ VP Plus Guardrails™ Volumetric Pump Drug Library available via the Alaris Editor Software Drug Library available via the Alaris Editor Software The following drug parameters are only configurable via the PC based Alaris Editor Software, see Alaris Editor help files for further details . -
Page 30: Alarms
Alaris™ VP Plus Guardrails™ Volumetric Pump Alarms Alarms Alarms stop the infusion and are indicated by a combination of an audible sound, flashing red alert indicator and a message on the display . 1 . Check the display for an alarm message and review table below for cause and action . Press to silence the sound for 2 minutes, CANCEL to clear the message . - Page 31 Alaris™ VP Plus Guardrails™ Volumetric Pump Alarms Display Cause Action • Check flow sensor . • Check fluid level in container . • Ensure all clamps above Pump are open . NO FLOW Flow sensor detects no flow . • Check fluid level in drip chamber . •...
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Page 32: Warnings
Alaris™ VP Plus Guardrails™ Volumetric Pump Warnings Warnings Warnings alert the user but may not stop the infusion and are indicated by an audible sound, a flashing amber alert indicator and a message on the display . to silence the sound for 2 minutes, CANCEL to clear the message . 1 . -
Page 33: Prompts
Alaris™ VP Plus Guardrails™ Volumetric Pump Prompts Prompts Prompts alert the user but may not stop the infusion and are indicated by an audible sound, a flashing amber alert indicator and a message on the display . to silence the sound for 2 minutes, CANCEL to clear the message . 1 . -
Page 34: Advisories
Alaris™ VP Plus Guardrails™ Volumetric Pump Advisories Advisories Advisories alert the user and are indicated by an audible sound and a message on the display . Display Cause Action • Check infusion setting . Infusion rate set exceeds a Guardrails soft DOSE WOULD EXCEED •... -
Page 35: Flow Sensor Operation (Optional)
Alaris™ VP Plus Guardrails™ Volumetric Pump Flow Sensor Operation (Optional) Flow Sensor Operation (Optional) The flow sensor automatically monitors the infusion flow rate through the drip chamber. The flow sensor will cause the Pump to alarm if a significant deviation from the infusion rate occurs. The flow sensor will also be able to detect empty containers. -
Page 36: Specifications
Alaris™ VP Plus Guardrails™ Volumetric Pump Specifications Specifications Electrical Protection Class I, Type CF (Defibrillation-proof ) Electrical/Mechanical Safety Complies with IEC/EN60601-1 and IEC/EN60601-2-24 Potential Equalisation Conductor The function of the Potential Equalisation Connector (Conductor) is to provide a direct connection between the Pump and the potential equalisation busbar of the electrical installation . - Page 37 Alaris™ VP Plus Guardrails™ Volumetric Pump Specifications System Accuracy Rate Accuracy is ±5%, achieved under nominal conditions 1a,2 Rate Accuracy is ±10%, achieved under low flow conditions 1b,2 Variations of container head height, outlet back pressure or any combination of these can affect mean rate accuracy. Factors that can influence container head height and outlet back pressure are: Flow rate, catheter length and inner diameter, administration set length and inner diameter, container fill level and pump level, IV solution viscosity, and IV solution temperature.
- Page 38 Alaris™ VP Plus Guardrails™ Volumetric Pump Specifications Air-in-line detection Single Bubble: 50µl, 100µl, 250µl or 500µl . Bubble accumulation: 1ml over a 15 minute window . Single Bubble Air-in-line detector accuracy (Nominally): 50μl 54μl ± 1μl 100μl 108μl ± 1μl 250μl 262μl ±...
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Page 39: Associated Products
Alaris™ VP Plus Guardrails™ Volumetric Pump Associated Products Associated Products The Alaris Gateway Workstation Product SKU 80203UNS0y-xx Supply Voltage 115-230V, ~50-60Hz Electrical Rating 460VA (Maximum) Protection Against Electrical Shock Class 1 Classification Continuous Operation Supply to Pump 115-230V, ~50-60Hz, 60VA The Alaris DS Docking Station Product SKU 80283UNS00-xx... -
Page 40: Infusion Sets
The Pump uses standard, single use, disposable infusion sets . The user is responsible for verifying the suitability of a product used, if it is not recommended by CareFusion . • New sets are continuously being developed for our customers. Please contact your local CareFusion representative for availability. -
Page 41: Secondary Infusion Sets
Alaris™ VP Plus Guardrails™ Volumetric Pump Infusion Sets Secondary Infusion Sets • 1 SmartSite® Needle-Free Valve Port • 1 SmartSite® Needle-Free • Male Luer with Backcheck 72947NE 72946NE Valve Port Valve • Length: 30cm • Length: 35cm • Light Protected •... -
Page 42: Maintenance
Alaris Volumetric Pump, and in conjunction with Alaris Volumetric Pump software, controls battery use, charge and temperature . Any use of battery packs that are not manufactured by CareFusion in the Alaris Volumetric Pump is at your sole risk, and CareFusion does not provide any warranty for or endorsement on any battery packs that are not manufactured by CareFusion . -
Page 43: Cleaning And Storage
Alaris™ VP Plus Guardrails™ Volumetric Pump Cleaning and Storage Cleaning and Storage Before cleaning always switch OFF and disconnect from the AC power supply. Never allow liquid to enter the casing and avoid excess fluid build up on the Pump. Do not use aggressive cleaning agents as these may damage the exterior surface of the Pump. -
Page 44: Storing The Pump
. If you wish to discard electrical and electronic equipment, please contact your CareFusion affiliate office or distributor for further information . -
Page 45: Irda, Rs232 And Nursecall Specification
Alaris™ VP Plus Guardrails™ Volumetric Pump IrDA, RS232 and Nursecall Specification IrDA, RS232 and Nursecall Specification IrDA/RS232/Nursecall Feature The IrDA/RS232/Nursecall is a feature that allows the Pump to be connected to an external device for the purpose of data communication . The nursecall interface provides a remote backup to the internal audible alarm. -
Page 46: Trumpet And Flow Rate Curves
Alaris™ VP Plus Guardrails™ Volumetric Pump Trumpet and Flow Rate Curves Trumpet and Flow Rate Curves In this Pump, as with all infusion systems, the action of the pumping mechanism and variations cause short-term fluctuations in rate accuracy . The following curves show typical performance of the system in two ways: 1) the accuracy of fluid delivery over various time periods is measured (trumpet curves), and 2) the delay in onset of fluid flow when infusion commences (start-up curves) . - Page 47 Alaris™ VP Plus Guardrails™ Volumetric Pump Trumpet and Flow Rate Curves Start-up Graph at 25 .0ml/h (Initial Period) Trumpet Graph at 25 .0ml/h (After 24 Hours) 50.0 45.0 40.0 35.0 30.0 25.0 20.0 15.0 10.0 Time (minutes) Observation Window (minutes) Maximum Error Minimum Error Overall Mean = 1 .0%...
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Page 48: Products And Spare Parts
The Technical Service Manual (1000SM00022) is now available in electronic format on the World Wide Web at :- www .carefusion .co .uk/alaris-technical/ A username and password are required to access our manuals . Please contact a local customer services representative to obtain login details . -
Page 49: Service Contacts
Alaris™ VP Plus Guardrails™ Volumetric Pump Service Contacts Service Contacts For service contact your local Affiliate Office or Distributor: CareFusion, CareFusion, CareFusion, CareFusion, PO Box 5527, Tullastr . 8-12 Döbrentei tér 1, Avda . São Miguel, 296 Atelier 14 Dubai, United Arab Emirates . - Page 50 All rights reserved. All other trademarks are property of their respective owners. © 2013 – 2018 CareFusion Corporation or one of its affiliates. All rights reserved. This document contains proprietary information of CareFusion Corporation or one of its affiliates,...