Hospira Symbiq System Operating Manual
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Hospira Symbiq System Operating Manual

Hospira Symbiq System Operating Manual

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System Operating Manual
For List Number 16026-04 (One-Channel Infuser)
The SYMBIQ™ Infusion System is designed for use by health care professionals. The Hospira
Customer Support hotline is available 24 hours a day (in the USA) to provide consultation and
technical assistance regarding the SYMBIQ™ Infusion System.
Refer to the Device Development Document for complete specifications and restrictions.
SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
O
L OAD / EJECT
ICU
A
13.1 mL / hr
103 mL
DOPamine
DOPamine
[ 400 mg / 250 mL ]
Rate
13.1
mL / hr
VTBI
103
mL
Press Tab A to display Near Viewing Delivery screen.
Mode
Settings
Logs
09:57 AM
Hospira Technical Support Operations
1-800-241-4002
To order additional copies of this manual
(P/N 430-10599-001), call 1-877-946-7747
STOP
Lock
Alarm

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Summary of Contents for Hospira Symbiq

  • Page 1 Alarm 09:57 AM The SYMBIQ™ Infusion System is designed for use by health care professionals. The Hospira Customer Support hotline is available 24 hours a day (in the USA) to provide consultation and technical assistance regarding the SYMBIQ™ Infusion System.
  • Page 2 SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 3: Table Of Contents

    Program (Basic) ..........40 SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 4 Nearing End Of Infusion ........120 SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 5 High-Risk Medications ........148 Using the Hospira MedNet® Service Suite (MMS) ....149 Programming a Soft Outside limits Message .
  • Page 6 B: A PPENDIX LARM ESSAGES AND ROUBLESHOOTING C: A PPENDIX CCESSORIES DMINISTRATION OMPONENTS D: G PPENDIX LOSSARY E: D (DDL) PPENDIX EFAULT IBRARY NDEX SYMBIQ™ I & W NFUSION YSTEM ICENSE ARRANTY SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 7 Alarm messages, alarm criteria, and troubleshooting suggestions. Appendix C Hospira accessories, administration sets, components, and list numbers. Appendix D—Glossary Acronyms, expressions, terms, and their definitions. Appendix E Default Drug Library (DDL) in tabular form. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 8 What is in this book OTES SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 9: Chapter 1: Introduction

    Term Care, Urgent Care, Transport, and Physician Offices. Intended Audience The SYMBIQ™ Infusion System is intended for use at the direction of or under the supervision of licensed physicians or certified healthcare professionals who are trained in the use of infusers and the administration of parenteral, enteral, and epidural fluids and medications.

  • Page 10: Warnings And Cautions

    • Federal (USA) law restricts this device to sale by or on the order of physicians or other licensed health practitioners. • DO NOT place the SYMBIQ™ Infusion System in service if it fails any of the diagnostic self-tests. • Before use, inspect the AC cord to check for defects.

  • Page 11: Epidural Administration

    Epidural administration of medications other than those indicated for epidural use could result in serious injury to the patient. • For epidural administration, the use of Hospira catheters, SYMBIQ™ sets without Y-sites, and "epidural" stickers indicating ongoing epidural administration are recommended.

  • Page 12: Battery Operation Cautions

    CDC guidelines or hospital policy • USE ONLY SYMBIQ™ administration sets with the SYMBIQ™ Infusion System. Use of unauthorized sets may result in injury to the patient or damage to the infuser. Hospira ®...

  • Page 13: Unintended Bolus Delivery

    Cleaning Cautions • To avoid mechanical or electronic damage, DO NOT immerse the SYMBIQ™ Infusion System in fluids or cleaning solutions. DO NOT spray cleaning solutions in or near infuser openings. DO NOT allow cleaning solutions to saturate the air-in-line detectors or enter the infuser when cleaning the air-in-line detectors.

  • Page 14: Radio Frequency Exposure Statement

    FCC RF exposure limits. Electrical Artifacts in Clinical Settings The SYMBIQ™ Infuser has been tested and found to comply with EMC/EMI limits in accordance with: • The use of portable and mobile RF equipment may have an impact on this and other pieces of medical equipment •...
  • Page 15 • Use of radio frequency emitting devices (other than the wireless communication module if installed in the SYMBIQ™ Infuser) such as cellular telephones and 2-way radios in close proximity of this device may affect its operation. Take the following measures to correct...
  • Page 16 Chapter 1: Introduction Warnings and Cautions OTES SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 17: Chapter 2: Infuser Overview

    Many features of the SYMBIQ infuser system are configurable through the Hospira MedNet® software. For details on facility-defined configuration, contact the facility software administrator. Infuser Layout—Front Figure 1 depicts the front of a one-channel SYMBIQ™ Infusion System and the infuser touchscreen.

  • Page 18: Infuser Buttons

    Touchscreen Buttons The SYMBIQ™ Infusion System touchscreen allows you to access and use on-screen buttons and keypads. A membrane covers the LCD display so a single keypress does not cause significant infuser pole movement nor is it mistaken for a double keypress. When an active touchscreen button is pressed, the infuser sounds an audible valid key tone.

  • Page 19: Touchscreen Icons And Symbols

    Drop-down list field Select End-of-list indicator (for drop-down lists) CCA/Patient information button SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 20 Upper soft limit icon (displays on a channel tab when an upper soft limit is overridden, and the program confirmed on that channel) SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 21 Mode, Settings, Mode Logs Lock Alarm Settings Logs, Lock, and Alarm. 08:45 AM The second row displays Time, WiFi Enabled Icon, and Battery Status. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 22: Infuser Layout-Rear

    Infuser Layout—Rear Figure 2 depicts the rear layout of the SYMBIQ™ Infusion System. Figure 2: Rear View and Layout of the SYMBIQ™ Infusion System Table 5 outlines features on the rear of the infuser that correspond to the numbers in Figure 2 above.

  • Page 23: Rear Infuser Ac Power Outlet

    Chapter 2: Infuser Overview Rear Infuser AC Power Outlet The rear infuser AC power outlet on the back of the SYMBIQ™ Infusion System is specifically designed to accommodate one additional SYMBIQ™ Infuser. Never connect more than one additional infuser to the primary infuser connected to an AC power outlet; connecting any additional infusers may cause an electrical safety hazard.

  • Page 24: Wireless Communication

    The infuser will connect to the network if a wireless network access point is recognized. The SYMBIQ™ Infusion System supports wireless communication via an internal wireless communications module and antennae. Use the SYMBIQ™ Infusion System’s wired or wireless connectivity options to communicate with server-based networks or hospital local area networks.

  • Page 25: Infuser Features

    Pole Clamp ONLY) Infuser Features The SYMBIQ™ Infusion System has three levels of features: • Channel Level—accessed by buttons on the infuser touchscreen. Used to select therapies and supplemental deliveries, these features include: - Bolus—displays the Bolus programming screen (if a Bolus therapy is partially or fully programmed) or the Bolus selection screen (if a Bolus therapy is not programmed) - Program—displays the Basic Programming screen...

  • Page 26: Channel Level Features

    VTBI greater than zero. For more information on programming therapies, see “Chapter 5: Program (Basic) Therapy” on page “Chapter 7: Advanced Therapies” on page 87, and “Chapter 8: Program Options” on page 105. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 27: Program Level Features Options

    • Standby—place the infuser in Standby mode for up to 24 hours until Start Program is pressed • Alarm Options—alarm options include: - Distal Occlusion - Proximal Occlusion - Infusion Complete Callback - Air-in-line - Nearing End of Infusion SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 28: Device Level Features

    137. • Lock—displays the Program Lock/Unlock Passcode Entry screen Settings Use the settings button to access and adjust the infuser settings: • Sound Volume—keypress volume and alarm volume • Screen—screen brightness SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 29 4. When finished adjusting settings on the Settings Sound Volume screen, press Save. Other Settings Sound Volume screen buttons do the following: - Low Urgency—press button for audible Low Urgency alarm tone at the current level SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 30: Date And Time Settings

    1. From any infuser screen, locate and press Settings to display the Settings screen. 2. On the Settings screen, press Date & Time to display the Settings Date & Time screen. See Figure 11: "Settings Screen" on page SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 31: Program Lock

    • date and time settings The program lock is always available unless the Cleaning Lock is active, a system message is active, or the infuser is in an active alarm state. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 32 00:04 hh:mm Volume infused: 0.4 mL Stop Program Press Stop to end infusion. Program button to edit program. Mode Settings Logs Lock Alarm 02:30 PM Figure 16: Accessing the Program Lock SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 33 Enter Code dialog box and displays the screen from which the program lock was accessed without activating the program lock. To deactivate the program lock: 1. On the touchscreen, locate and press Lock. The Enter Code dialog box displays. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 34 Entering an invalid passcode a fourth time closes the Enter Code dialog box and displays the screen from which the program lock was accessed without deactivating the program lock. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 35: Chapter 3: Infuser Operations

    The Power mode is used to power on and power off the infuser. AC Power When attached to an AC mains power source, the SYMBIQ™ Infusion System uses AC power regardless of the level of available battery power. Use AC power whenever possible; the battery is intended as a backup or emergency power source.
  • Page 36 CAUTION: DO NOT place the SYMBIQ™ Infuser in service if it fails any of the diagnostic self-tests. If the infuser has been powered off for less than five hours, previous patient information, program information, and infuser settings are retained.

  • Page 37: Channel Leds

    Channel LEDs During diagnostic self-tests, the channel LEDs located just above the cassette carriage (Figure flash green once, yellow once, and red once. Channel Cassette Carriage Figure 25: Channel LED Location SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 38: Battery Power

    Table 8: Battery Indicator Icons Battery Indicator Icon Power Level Alarm State Battery Indicators when Infuser is operating on battery power Full (76%-100%): None Three-quarters (51%-75%) None SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 39 30 minutes. Immediately connect the infuser to AC power. Note: As long as a low battery condition exists, the Low Battery alarm cannot be cleared, but it may be minimized by pressing the alarm tab. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 40: A/C Power Led

    Chapter 3: Infuser Operations Power Modes Do not use a SYMBIQ™ Infusion System without a properly functioning battery installed. If no battery is detected at power on, the No Battery system message activates (Figure 26). In this case, remove the infuser from service until a properly functioning battery can be installed.

  • Page 41: Power Off

    Figure 21: "On/Off Button" on page Note: If the infuser is powered off before you complete or confirm a program, the partially entered program is cleared the next time the infuser is powered on. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

  • Page 42: Programming Mode

    • Cancel Titration (if accessing the Basic Program screen to titrate the therapy) cancels all changes made to the program • Next—Displays the Confirm Program screen available only when all required program parameters have been entered, • Device Level Buttons—displays device level features. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 43 15 feet. In addition, the pump displays medication name (if enabled in the selected CCA), concentration, and, if in an alarm state, the alarm name for the highest priority alarm. On SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 44 KVO. Stop Mode The SYMBIQ™ Infusion System stops in one of five ways: 1. Pressing Stop Program on the touchscreen. 2. Pressing Emergency Stop on the front of the infuser stops all channels.
  • Page 45 Press Start to resume infusion. Program button to view or edit program. Press here to EMERGENCY STOP clear alarm. Emergency Stop button pressed. Infusion(s) stopped. 00:00:09 Figure 32: Stop Mode Screen—Alarm State SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 46 1. Locate the Emergency Stop button on the front of the infuser. See Figure 30: "Emergency Stop Button" on page 2. Press and release Emergency Stop. All active programs stop infusing and a high urgency alarm sounds. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 47 CCA activates a warning message. Invalid Value Handling Entering a value in a field that exceeds a value limit defined for that field the following occurs: SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 48 Infuser rounds the displayed value. The infuser uses the rounding rules based on one digit beyond what can be displayed. Note: Calculated interim values retain all decimal places supported by the infuser’s hardware. SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)
  • Page 49 Chapter 3: Infuser Operations Biomed Mode Biomed mode is used to perform calibrations and diagnostic tests on the SYMBIQ™ Infusion System. In Biomed mode, a trained and qualified biomedical technician can restore the infuser’s default factory settings and default drug library, configure device settings, and clear all logs and viewable data.
  • Page 50 Chapter 3: Infuser Operations Biomed Mode OTES SYMBIQ™ Infusion System Operating Manual 430-10599-001 (MDS DRAFT 04/06)

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