Page 1 Infusion System System Operating Manual For use with the Hospira GemStar Pump List 13086-04 List 13087-04 List 13088-04 Hospira, Sector 2, Hospira, Inc., 275 North Field Drive Finisklin Business and Lake Forest, Technology Park Finisklin, Sligo, Ireland IL 60045, USA...
Page 2 Hospira GemStar Pump This manual is designed for use by healthcare professionals, caregivers, and patients. The Hospira Technical Support Operations hotline is available 24 hours a day (in the USA) to provide consultation and technical assistance regarding the Hospira GemStar Pump.
Page 3 PURGE key Added a reference, Warning, Pages 73, 207 instructions, and index entry for reprogramming a delayed start time Updated the cause and remedy of Page 151 the NO DELAY START display message Hospira GemStar System Operating Manual...
Page 4: Table Of Contents
TPN Programming Worksheet........57 Hospira GemStar System Operating Manual...
Page 5 Worksheet ............93 Hospira GemStar System Operating Manual...
Page 6 Shift Totals and History ..........135 Hospira GemStar System Operating Manual...
Page 7 Using the Hospira Carrying Cases ........
Page 8: Iec Symbols
The GemStar Pump has been assessed and complies with the following standard; Fragile, Handle with Care IEC/EN 60601-2 (2001) Manufactured by Hospira, Inc., 275 North Field Drive, Temperature Limitation Lake Forest, IL 60045, USA Protected against vertically falling water drops.
Page 9 Notes viii Hospira GemStar System Operating Manual...
Page 10: Introduction
Tip: A TIP contains information that makes the pump easier to use. Note: Examples are provided only to help explain a pump function and may not be clinically relevant. Graphics are for illustrative purposes only and may not reflect the actual product. Hospira GemStar System Operating Manual...
Page 11: Gemstar Pump Layout
Chapter 1. Introduction GemStar Pump Layout Shown approximate size Hospira GemStar System Operating Manual...
Page 12 Selects menu items and enters numeric values. If two numbers appear before a menu item (e.g., 02), press both number keys to select that item. * Not all menu items are available with all modes. Hospira GemStar System Operating Manual...
Page 13: Gemstar Pump Components
Top View pocket. I.V. Tubing Guide Use to hold the I.V. tubing. Battery Pack Use to connect the GemStar Connector Rechargeable Battery Pack. Battery Install two fresh, disposable Compartment AA batteries in this compartment. Bottom/Side View Hospira GemStar System Operating Manual...
Page 14: Therapies
• • Weight Dosed Critical care, pediatrics • • • • mL/hr Only Simple rate programming • • Variable Time Chronotherapy • = Available Note: pain management is the only therapy available for List 13088. Hospira GemStar System Operating Manual...
Page 15: Gemstar Pump Features
Review the history on the display, or download it to a printer or computer. • Speed Stores up to nine frequently used programs Chapter 10 Options Protocols in the pump’s memory for quick access. Menu Hospira GemStar System Operating Manual...
Page 16: Menu System
Tip: A menu item does not have to be on the display to be selected. For example, when the Programming Menu first displays, only the first four therapies are shown. Instead of pressing the down arrow to see the other menu items, press [7] to go directly to Variable Time Programming. Hospira GemStar System Operating Manual...
Page 17 Only and Continuous therapies. Note: Menu items change depending on when Change Menu is viewed. Options Menu Press REVIEW PROGRAM HISTORIES KEYPAD LOCK PUMP SETTINGS SET CLOCK PRINT SPEED PROTOCOL NEXT DOSE (NOT AVAILABLE FOR LIST 13088) Hospira GemStar System Operating Manual...
Page 18: Operating Modes
When the programmed therapy is complete, and during certain STOP alarm conditions, the pump automatically enters the mode. STOP Press to enter the mode at any time, except during a CHECK CASSETTE alarm. Hospira GemStar System Operating Manual...
Page 19: Indications For Use
Chloroprocaine Hydrochloride USP, Lidocaine Hydrochloride USP, and Morphine Sulfate Injection USP (Preservative Free). WARNING: Delayed respiratory depression following continuous epidural administration of preservative-free morphine sulfate has been reported. Hospira GemStar System Operating Manual...
Page 20: Contraindications For Use
When a proximal occlusion alarm activates, DO NOT power-off the pump. Closely supervise patients who are likely to be adversely affected by unintended operations and failures, including interrupted medication or fluid infusion. Ensure provisions for immediate corrective action are available. Hospira GemStar System Operating Manual...
Page 21 Use of high flow rates during infusion will minimize drug absorption. DO NOT use medications that are unstable under infusion conditions. ALWAYS use connections with Luer Lock™ fittings. Hospira GemStar System Operating Manual...
Page 22 ALWAYS prime the pump set to remove all air from the cassette, tubing, and injection site prior to connecting to the patient. ALWAYS disconnect the pump set from the patient prior to priming or purging. Hospira GemStar System Operating Manual...
Page 23 If the pump does not display the self-test or if beeps do not sound at power-on, check all power connections and install two fresh, disposable AA batteries. If the problem continues, contact Hospira Technical Support Operations before using the pump.
Page 24 Refer to the appropriate monitoring system documentation for setup and maintenance instructions. The GemStar Pump has been tested and found to comply with EMC/EMI limits in accordance with: Hospira GemStar System Operating Manual...
Page 25 IEC 60601-1-1. If in doubt, contact Hospira Technical Hospira GemStar System Operating Manual...
Page 26 DO NOT use abrasive cleaners or materials on the pump. Using abrasive cleaners or cleaning solutions not recommended by Hospira may result in product damage. Please comply with local disposal and recycling regulations as appropriate for disposable batteries, rechargeable battery packs, medical electronic components, and pump sets.
Page 27 Notes Hospira GemStar System Operating Manual...
Page 28: Basic Operation
7 Select the therapy type and enter a program. Refer to the appropriate therapy chapter for detailed instructions. Note: List 13088 only delivers therapy in the Pain management Mode. 8 Press [ ] to begin delivery. START Hospira GemStar System Operating Manual...
Page 29: Selecting A Power Source
(e.g., AC mains adaptor, docking station, battery pack). The pump will continue to operate on backup power if the external power source fails. Refer to the caution regarding Power Loss on page 15. Hospira GemStar System Operating Manual...
Page 30 5 Return the battery door to the battery compartment. 6 Turn the battery door to the right (clockwise). Ensure the battery door is secured under the slot. 7 Flip closed the tab of the battery door to lock in place. Hospira GemStar System Operating Manual...
Page 31 The pump will continue to operate on backup power if the external power source fails. Refer to the caution regarding Power Loss on page 15. Note: The green LED on the pump remains lit when connected to AC mains power. Hospira GemStar System Operating Manual...
Page 32 During charging, the battery pack is warm. If the battery pack becomes hot to the touch, IMMEDIATELY unplug AC mains power and contact Hospira Technical Support Operations Ensure two fresh, disposable AA batteries are installed for backup power when using other power sources (e.g., AC mains adaptor, docking station, battery pack).
Page 33 Note: The Li-Ion battery pack (List 13073-03) light is yellow while the battery pack is charging and green when the battery pack is charged or not charging. Li-Ion batteries cannot be charged when the room temperature is greater than 95°F (35°C) or less than 41°F (5°C). Hospira GemStar System Operating Manual...
Page 34 2 Line up the connectors on the bottom of the pump with the connectors on the docking station. 3 Slide the pump into the docking station until it snaps into place. 4 Connect the docking station to AC mains power. Hospira GemStar System Operating Manual...
Page 35 When the docking station is charged or not charging, the light is green. The Li-Ion docking station cannot be charged when the room temperature is greater than 104°F (40°C) or less than 41°F (5°C). Hospira GemStar System Operating Manual...
Page 36: Powering On The Pump
CAUTION: If the pump does not display the self-test or if beeps do not sound at power-on, check all power connections and install two fresh, disposable AA batteries. If the problem continues, contact Hospira Technical Support Operations before using the pump.
Page 37 For more information on: Refer to the following pages: Setting the clock Set Clock in Chapter 10 Options Menu, on page 120. Locking the keypad Keypad Lock in Chapter 10 Options Menu, on page 116. Hospira GemStar System Operating Manual...
Page 38: Accessing The Programming Menu
Tip: To enter a new program when the pump is already powered on: Press [STOP] to place the pump in STOP mode. Press [CHANGE] to display the Change Menu. Select NEW PROGRAM. The pump clears the current program and displays the Programming Menu. Hospira GemStar System Operating Manual...
Page 39: Programming The Pump
The pump stores the program in memory and then SAVING PROGRAM enters mode. STOP Tip: If you enter an incorrect number during programming, press [CHANGE] BEFORE pressing [YES/ENTER] to reset the number to zero. Then enter the correct number. Hospira GemStar System Operating Manual...
Page 40 The UP arrow inserts a decimal point in a numeric value. When entering a numeric value during programming, press to reset the value to zero. Press to return to a previous display, to exit the Options Menu, or to exit HELP mode. Hospira GemStar System Operating Manual...
Page 41: Starting A New Container
Contact a Hospira representative for more information on selecting the appropriate pump set configuration. Additional disposable components, such as air-eliminating filters and extension sets, may be added to the line as required. To use a GemStar Pump Set, follow the instructions included with the set.
Page 42 Chapter 2. Basic Operation A typical GemStar Pump Set is shown below: Piercing Pin Tubing Proximal End Slide Clamp Cassette Secure Lock Flow Stop (open / close Pressure-activated Anti-Siphon valve Distal End Hospira GemStar System Operating Manual...
Page 43 Remove protective coverings as assembly progresses. Opening the Pump Set 1 Open the GemStar Pump Set package and remove the contents. 2 Remove the protective covers from the fluid container administration port and the pump set. Hospira GemStar System Operating Manual...
Page 44: Loading The Cassette
3 Line up the cassette as shown (with the flow stop button facing the pump). Hospira GemStar System Operating Manual...
Page 45: Releasing The Cassette
Note: Ensure the tubing is behind the tubing guide (at the distal end). 3 Remove the cassette. Note: When the cassette is released from the pump, the cassette flow stop automatically closes, preventing free flow. Hospira GemStar System Operating Manual...
Page 46: Priming A Gemstar Pump Set
3 Push down on the flow stop 6 Return the cassette to the upright open (priming position) the cassette. position. Continue priming until fluid fills the tubing. Hospira GemStar System Operating Manual...
Page 47 CAUTION: Ensure all four events occur when using Pain cassette latches are clearly Management therapy: visible after the cassette is installed. Refer to Loading the Complete Review of New Cassette on page 35. Program New Container Air-in-Line Alarm Hospira GemStar System Operating Manual...
Page 48 1 Push down on the flow stop 4 Load the cassette. close the cassette. 2 Hold the container with the administration port toward the ceiling and insert the piercing pin. 3 Ensure slide clamp is open prior to inserting cassette. Hospira GemStar System Operating Manual...
Page 49 If flow is observed, DO NOT use the pump set. 9 Connect the pump set to the patient-access device. 5 Program desired therapy. Hospira GemStar System Operating Manual...
Page 50 2 Insert the piercing pin into the 5 Ensure the CAIR (roller) clamp is container. Suspend the container open prior to inserting cassette. on an I.V. Pole. 6 Invert the cassette approximately 3 Squeeze the drip chamber until 45°. filled halfway. Hospira GemStar System Operating Manual...
Page 51 Refer to Loading the Cassette on page 35. 9 Push down on the flow stop close the cassette. 10 Ensure lower CAIR clamp is open prior to inserting cassette. Hospira GemStar System Operating Manual...
Page 52 CAUTION: When priming is complete, ensure no fluid flows at the distal end of the pump set. If flow is observed, DO NOT use the pump set. 12 Connect the pump set to the patient-access device. Hospira GemStar System Operating Manual...
Page 53 3 Squeeze the drip chamber until close the cassette. filled halfway. 2 Insert the piercing pin into the 4 Push down on the flow stop container. Suspend the container open (priming position) the on an I.V. Pole. cassette. Hospira GemStar System Operating Manual...
Page 54 Refer to Loading the Cassette on page 35. 6 Load the cassette. Note: Ensure the tubing is behind the tubing guide (at the distal end). 7 Program the desired therapy. Hospira GemStar System Operating Manual...
Page 55 CAUTION: When priming is complete, ensure no fluid flows at the distal end of the pump set. If flow is observed, DO NOT use the pump set. 11 Connect the pump set to the patient-access device. Hospira GemStar System Operating Manual...
Page 56 SAM lockbox insert for instructions. 1 If using a pump set with the 2 Open the upper and lower slide Y-extension, use the slide clamp to clamps. close off the KVO (Keep Vein Open) side of the tubing. Hospira GemStar System Operating Manual...
Page 57 3 Push down on the flow stop air is cleared from the pre-filled close the cassette. vial, injector, cassette, and tubing. 4 Connect the pump set to a Hospira pre-filled vial and injector. 8 Push down on the flow stop close the cassette.
Page 58 Refer to Loading the 12 Connect the pump set to the Cassette on page 35 patient-access device. Note: Ensure the tubing is behind the tubing guide (at the distal end). Hospira GemStar System Operating Manual...
Page 59 3 Push down on the flow stop open (priming position) the 6 Return the cassette to the upright cassette. position. Continue priming until fluid fills the tubing. Hospira GemStar System Operating Manual...
Page 60 (at the distal end). 10 Load the cassette. 11 Program the desired therapy. CAUTION: Ensure all four cassette latches are clearly visible after the cassette is installed. Refer to Loading the Cassette on page 35. Hospira GemStar System Operating Manual...
Page 61 CAUTION: When priming is complete, ensure no fluid flows at the distal end of the pump set. If flow is observed, DO NOT use the pump set. 15 Connect the pump set to the patient-access device. Hospira GemStar System Operating Manual...
Page 62: Total Parenteral Nutrition (Tpn)
Displays information during Returns to a previous display, programming and alarm exits the Options Menu, and HELP conditions. exits the mode. Clears a numeric value (resets to zero) during programming. Hospira GemStar System Operating Manual...
Page 63: Tpn Programming
9 Review the program. Press to begin review. 10 If using the key to prime the pump set, press [ ] now. PURGE PURGE WARNING: ALWAYS disconnect the pump set from the patient before priming or purging. Hospira GemStar System Operating Manual...
Page 64: Changing A Tpn Program
2 As each message displays, make the desired changes or press [ ] to ENTER accept the current setting. 3 Review the program. Press to begin review. 4 Press [ ] to begin infusion. START Hospira GemStar System Operating Manual...
Page 65: Tpn Auto Taper Down
Note: Time is entered in hours:minutes (00:00). For one hour thirty minutes, press [ ]; not [ 3 Press [ ] to return to the mode, then press [ ] to begin Auto ENTER START Taper Down. Hospira GemStar System Operating Manual...
Page 66: Tpn Programming Worksheet
** Programmable ranges for taper down are 1 minute to 3 hours or 2 times the remaining volume divided by the continuous delivery rate, whichever is less. *** Air Sensitivity may not show in all setting configurations. Hospira GemStar System Operating Manual...
Page 67 Notes Hospira GemStar System Operating Manual...
Page 68: Pain Management
Air-in-Line Alarm VTBI can be titrated. CAUTION: When using PCA vials (except in a lockbox with a spring assist mechanism), the system may underdeliver. System delivery accuracy could be reduced by as much as 5%. Hospira GemStar System Operating Manual...
Page 69 Displays information during Returns to a previous display, programming and alarm exits the Options Menu, and HELP conditions. exits the mode. Clears a numeric value (resets to zero) during programming. Hospira GemStar System Operating Manual...
Page 70: Pain Management Programming
9 Review the program. Press to begin review. 10 If using the PURGE key to prime the pump set, press [ ] now. PURGE WARNING: ALWAYS disconnect the pump set from the patient before priming or purging. Hospira GemStar System Operating Manual...
Page 71: Bolus Delivery
If the bolus delivery does not start, it could be locked out by one of the following conditions: Bolus lockout period Loading dose delivery in progress Bolus dose delivery in progress Bolus per-hour limit 1-hour or 4-hour dose limit Hospira GemStar System Operating Manual...
Page 72 2 Respond as follows: To do this: Press this key: Bolus lockout time is set to: Deliver the remaining The time of delivery completion bolus amount Clear the undelivered The time the bolus was bolus amount interrupted Hospira GemStar System Operating Manual...
Page 73: Loading Dose Delivery
Loading Dose Interruptions Loading dose deliveries can be interrupted by: Pressing [ STOP An alarm condition To continue a loading dose: 1 Resolve the interruption. 2 Press [ ]. The pump displays START COMPLETE THE LOADING DOSE? Hospira GemStar System Operating Manual...
Page 74: Changing A Pain Management Program
2 As each message displays, make the desired changes or press [ ] to YES/ENTER accept the current setting. 3 Review the program. Press to begin review. 4 Press [ ] to begin delivery. START Hospira GemStar System Operating Manual...
Page 75  *For continuous plus bolus delivery. Note: For Bolus Only, the 1-hour or 4-hour dose limit minimum is 1 bolus dose. Container Size 0.1 - 99999 mg 1 - 9999000 mcg 0.1 - 9999 mL Hospira GemStar System Operating Manual...
Page 76 Off No alarm  * The delivery rate is programmable and is delivered in increments of .01. ** Air Sensitivity may not show in all setting configurations. Note: Titrating VTBI does not change initial container volume. Hospira GemStar System Operating Manual...
Page 77 Notes Hospira GemStar System Operating Manual...
Page 78: Intermittent
Displays information during Returns to a previous display, programming and alarm exits the Options Menu, and HELP conditions. exits the mode. Clears a numeric value (resets to zero) during programming. Hospira GemStar System Operating Manual...
Page 79: Intermittent Programming
] to set the call back alarm. YES/ENTER Enter the time before the next dose that the alarm should sound. For example, press [ ] to set the alarm to sound 10 minutes before the start of the next scheduled delivery. Hospira GemStar System Operating Manual...
Page 80 Do not prime the set using the [PURGE] key if an intermittent infusion is being programmed with a delayed start time. Infusion parameters may change if the pump will be turned off for an extended period of time. Hospira GemStar System Operating Manual...
Page 81 Tip: To use a delayed start without specifying a start time: 1 Press [ YES/ENTER 2 Complete the program review. 3 Power-off the pump. 4 When the pump is powered on again, complete the program review, then press [ ] to begin delivery. START Hospira GemStar System Operating Manual...
Page 82: Intermittent Delivery Interruptions
Press [ ] to accept the change YES/ENTER and exit SET CLOCK OPTIONS. PRINT SPEED PROTOCOL NEXT DOSE Tip: When entering the time in 12-hour format, press to toggle between AM and PM. Hospira GemStar System Operating Manual...
Page 83 For example, in the following diagram, an intermittent dose was started at 2:00. The dose was interrupted during the current dose cycle and was started again before the end of the current dose cycle. Dose Delivered - Dose Interrupted - Hospira GemStar System Operating Manual...
Page 84 When the dose is complete, the start time for the Next Dose displays. To change the start time refer to Chapter 10 Options Menu, page 109. Any missed Intermittent doses, except the first dose, are added to the end of the delivery schedule. Hospira GemStar System Operating Manual...
Page 85: Changing An Intermittent Program
2 As each message displays, make the desired changes or press [ ] to YES/ENTER accept the current setting. 3 Review the program. Press to begin review. 4 Press [ ] to begin delivery. START Hospira GemStar System Operating Manual...
Page 86: Intermittent Programming Worksheet
The pump automatically calculates the minimum container size required to deliver the number of programmed doses and KVO between doses. If KVO is desired before a delayed start, increase the container size to include the desired KVO volume. ** Air sensitivity may not show in all setting configurations. Hospira GemStar System Operating Manual...
Page 87 Notes Hospira GemStar System Operating Manual...
Page 88: Continuous
Displays information during Returns to a previous display, programming and alarm exits the Options Menu, and HELP conditions. exits the mode. Clears a numeric value (resets to zero) during programming. Hospira GemStar System Operating Manual...
Page 89: Continuous Programming
8 Review the program. Press to begin review. 9 If using the PURGE key to prime the pump set, press [ ] now. PURGE WARNING: ALWAYS disconnect the pump set from the patient before priming or purging. Hospira GemStar System Operating Manual...
Page 90: Rate Titration
The piggyback rate and piggyback VTBI display until the secondary container has been delivered. Then the primary infusion continues. Note: The piggyback infusion amount is NOT added to the primary programmed infusion amount. Hospira GemStar System Operating Manual...
Page 91 7 inches (17.8 cm) above the fluid level in the primary container. Use additional extension hooks if necessary. 6 Connect the secondary set to the proximal Y-site (or proximal luer port). Hospira GemStar System Operating Manual...
Page 92 4 Set the infusion time for the secondary container. 5 Press [ ] to begin piggyback delivery. YES/ENTER Note: You must know the amount that has already been delivered. When the piggyback dose amount is changed, the pump begins a new VTBI countdown. Hospira GemStar System Operating Manual...
Page 93: Changing A Continuous Program
2 As each message displays, make the desired changes or press [ ] to YES/ENTER accept the current setting. 3 Review the program. Press to begin review. 4 Press [ ] to begin delivery. START Hospira GemStar System Operating Manual...
Page 94: Continuous Programming Worksheet
Amount 1 - 7200 mL Piggyback 1 min or Infusion Time dose amount / 300 mL/hr to 24 hrs:min hrs or dose amount / 0.1 mL/hr *Air Sensitivity may not show in all setting configurations. Hospira GemStar System Operating Manual...
Page 95 Notes Hospira GemStar System Operating Manual...
Page 96: Weight Dosed
(0.8 mL/hr or less) the rate may be too slow for that drug. Consider using a lower drug concentration with these drugs so a pump rate above 0.8 mL/hr can be used. Hospira GemStar System Operating Manual...
Page 97: Weight Dosed Programming
5 Enter the rate. Note: The pump automatically displays the mL/hr equivalent even when another unit of measure is selected. 6 Enter the VTBI. 7 Review the program. Press to begin review. Hospira GemStar System Operating Manual...
Page 98: Auto Kvo
NEW RATE • Press [ ] within 10 seconds to accept the change and begin YES/ENTER delivery at the new rate. • Press [ ] to continue delivery at the previously programmed rate. Hospira GemStar System Operating Manual...
Page 99: Vtbi Titration
2 As each message displays, make the desired changes or press [ ] to YES/ENTER accept the current setting. 3 Review the program. Press to begin review. 4 Press [ ] to begin delivery. START Hospira GemStar System Operating Manual...
Page 100: Gemstar Weight Dosed Programming Worksheet
CAUTION: When infusing short-half-life drugs (i.e., those dosed with units of mcg/kg/min) at very low rates (0.8 mL/hr or less) the rate may be too slow for that drug. Consider using a lower drug concentration so a pump rate above 0.8 mL/hr can be used. Hospira GemStar System Operating Manual...
Page 101: Programming A Precedex (Dexmedetomidine Hydrochloride Injection) Delivery
WARNING: ALWAYS disconnect the pump set from the patient before priming or purging. 11 If using the PURGE key to prime the pump set, press [ ] now. PURGE 12 Press [ ] to begin the Precedex delivery. START Hospira GemStar System Operating Manual...
Page 102: Gemstar Precedex (Dexmedetomidine Hydrochloride Injection) Programming
* Package Insert recommends 0.2 to 0.7 mcg/kg/hr. The delivery rate is programmable and is delivered in increments of .01. ** Package Insert recommends 1 mcg/kg over10 min . Cannot enter less than 10 min. Note: Numbers increment by hundredths—for example, 0.1 increments to 0.11, then to 0.12. Hospira GemStar System Operating Manual...
Page 103 Notes Hospira GemStar System Operating Manual...
Page 104: Ml/Hr Only
Use copies of the programming worksheet to record program values before programming the pump. WARNING: When using a vented set, ALWAYS use an air-eliminating filter or set the air sensitivity to either ON or 2 mL. Hospira GemStar System Operating Manual...
Page 105: Ml/Hr Only Programming
4 If using the PURGE key to prime the pump set, press [ ] now. PURGE WARNING: ALWAYS disconnect the pump set from the patient before priming or purging. Note: A program review is not required for mL/hr Only programs. Hospira GemStar System Operating Manual...
Page 106: Auto Kvo
NEW RATE • Press [ ] within 10 seconds to accept the change and begin YES/ENTER delivery at the new rate. • Press [ ] to continue delivery at the previously programmed rate. Hospira GemStar System Operating Manual...
Page 107: Vtbi Titration
The piggyback rate and piggyback VTBI display until the secondary container has been delivered. Then the primary infusion continues. Note: The piggyback infusion amount is NOT added to the primary programmed infusion amount. Hospira GemStar System Operating Manual...
Page 108 7 inches (17.8 cm) above the fluid level in the primary container. Use additional extension hooks if necessary. 6 Connect the secondary set to the proximal Y-site (or proximal luer port). 7 Program a secondary delivery. Hospira GemStar System Operating Manual...
Page 109 4 Set the infusion time for the secondary container. 5 Press [ ] to begin piggyback delivery. YES/ENTER Note: You must know the amount that has already been delivered. When the piggyback dose amount is changed, the pump begins a new VTBI countdown. Hospira GemStar System Operating Manual...
Page 110: Changing A Ml/Hr Only Program
2 As each message displays, make the desired changes or press [ ] to YES/ENTER accept the current setting. 3 Press [ ] to begin delivery. START Note: A program review is not required and is available only through the Change or Options Menu. Hospira GemStar System Operating Manual...
Page 111: Ml/Hr Only Programming Worksheet
(Volume To Be Infused) 0.1 - 9999 mL Piggyback Dose Amount 1 - 7200 mL Piggyback Infusion 1 min or Time dose amount / 300 mL/hr to 24 hrs:min hrs or dose amount / 0.1 mL/hr Hospira GemStar System Operating Manual...
Page 112: Variable Time
Displays information during Returns to a previous display, programming and alarm exits the Options Menu, and HELP conditions. exits the mode. Clears a numeric value (resets to zero) during programming. Hospira GemStar System Operating Manual...
Page 113: Variable Time Programming
KVO for one day or in a 24-hour period. If delivering the protocol for more than one day, multiply this amount by the number of days of therapy. Note: Increase the container size to include bolus deliveries. 11 Select the air sensitivity, if required. Hospira GemStar System Operating Manual...
Page 114: Variable Time Delivery Interruptions
In the middle of a phase and the phase The pump immediately begins start was missed because of a program delivery of the current phase at its interruption or a missed program start. current time-based point. Hospira GemStar System Operating Manual...
Page 115: Changing A Variable Time Program
4 Press [ ] to begin delivery. START Note: The container size cannot be made smaller than the daily total of phases, base rate, and KVO combined; or the current amount delivered, whichever is greater. Hospira GemStar System Operating Manual...
Page 116: Gemstar Variable Time Programming Worksheet
 2 mL Alarms at approx. 2 mL of air  No alarm  Sum of all phases must equal 100% when programmed in percentages. ** Air Sensitivity may not show in all setting configurations. Hospira GemStar System Operating Manual...
Page 117 Chapter 9. Variable Time Phase Start Time Stop Time Percentage Rate Dose Note: The sum of all phases must equal 100% TOTAL when programmed in percentages. Hospira GemStar System Operating Manual...
Page 118: Options Menu
Accepts entries or continues The UP arrow inserts a decimal when done viewing a display. point in a numeric value. Returns to a previous display, exits the Options Menu, and HELP exits the mode. Hospira GemStar System Operating Manual...
Page 119 Note: This option is caused a missed dose in an intermittent program and changing the not available for List intermittent program. next dose is allowed. 13088. Hospira GemStar System Operating Manual...
Page 120: Review Program
] and select OPTIONS HISTORIES HISTORIES KEYPAD LOCK 2 Select the number key for the desired function. PUMP SETTINGS 3 Complete the appropriate steps for the selected SET CLOCK function. PRINT SPEED PROTOCOL NEXT DOSE Hospira GemStar System Operating Manual...
Page 121 Amount delivered through bolus delivery hours. Perform • Messages that guide the user through each section OPERATION TEST of the test user-assisted Operation Test. Note: Some menu items may not be available depending on the configuration of the pump. Hospira GemStar System Operating Manual...
Page 122 YES/ENTER the shift totals. • Press [ ] to exit OPTIONS without clearing the shift totals. Tip: Press [HELP] to display shift totals when the pump is not in PROGRAMMING mode or an alarm condition. Hospira GemStar System Operating Manual...
Page 123 1 Press [ ] and select OPTIONS HISTORIES. 2 Select from the Histories Menu. CLEAR HISTORY 3 The pump display for 3–4 seconds before exiting CLEARING HISTORY OPTIONS. Tip: Press [BACK-UP] to exit OPTIONS immediately. Hospira GemStar System Operating Manual...
Page 124 Speed Protocol is recalled, or the History is cleared. Operation Test The Operation Test checks several pump functions to ensure the GemStar Pump is working properly. Refer to Chapter 14 Operation Test on page 157 for instructions. Hospira GemStar System Operating Manual...
Page 125: Keypad Lock
Clinicians: refer to Chapter 11 Clinician Instructions on page 131 for detailed instructions. Hospira GemStar System Operating Manual...
Page 126 Piggybacking • • VTBI Titration • • Rate Titration • • Operation Test • • Clear History • Select Another Therapy Hospira GemStar System Operating Manual...
Page 127: Change Pump Settings
SOUND LEVEL alarm level. The alarm cannot be turned off completely. The alarm automatically reverts to the maximum volume if the user does not respond within one minute. Note: The current setting flashes on the display. Hospira GemStar System Operating Manual...
Page 128 24 hours. • Press [ ] to permanently change the distal occlusion setting. The YES/ENTER new setting will remain in effect until the setting is changed again through the Options Menu. Hospira GemStar System Operating Manual...
Page 129: Set Clock
MON, JUL 26, 06 Tip: To view the clock from the RUN or STOP mode, ENTER TO CONFIRM press [YES/ENTER], then immediately press and HOLD [1]. The clock displays until [1] is released. Hospira GemStar System Operating Manual...
Page 130: Print
Print the current program, shift and volume totals, and the PRINT BOLUS Hx bolus history (Hx) for the latest 48 hours. Cancel printing. This function is only available if the pump is STOP PRINT printing. Hospira GemStar System Operating Manual...
Page 131: Speed Protocol
If the selected speed protocol is already assigned, the pump displays REPLACE PROTOCOL ASSIGNMENT? • Press [ ] to replace the protocol. The pump displays the new speed YES/ENTER protocol and exits OPTIONS • Press [ ] to keep the existing protocol and exit OPTIONS Hospira GemStar System Operating Manual...
Page 132: Next Dose (Not Available For List 13088)
2 Use the number keys to enter the start time for the NEXT DOSE next dose. Press [ ] to accept the change YES/ENTER and exit OPTIONS Tip: When entering the time in 12-hour format, press to toggle between AM and PM. Hospira GemStar System Operating Manual...
Page 133: Connecting To The Data Port
Equipment Needed Connect to Printer Connect to Computer • • GemStar Pump Hospira Serial Printer Cable List • • 13078-01 Seiko DPU 414 or Compatible • Serial Printer Serial DB9 Female-to-Female •...
Page 134 3 Set the switches according to the following table. Press the ONLINE button to continue setting switches. • Press ONLINE to set switch ON. • Press FEED to set switch OFF. 4 Continue setting switches until “Dip SW setting complete!!” is printed. Hospira GemStar System Operating Manual...
Page 135 ONLINE SW3-3 Parity condition: ONLINE SW3-4 Flow control: H/S busy ONLINE SW3-5 Baud rate: 2400 bps ONLINE SW3-6 Baud rate: 2400 bps FEED SW3-7 Baud rate: 2400 bps FEED SW3-8 Baud rate: 2400 bps ONLINE Hospira GemStar System Operating Manual...
Page 136 3 Ensure the printer is ONLINE and ready to receive data. Refer to printer documentation for more information. 4 Ensure paper is loaded in the printer. 5 Select the desired print function from the pump menu. Hospira GemStar System Operating Manual...
Page 137 6 Connect the GemStar serial cable to the data port on the bottom of the pump. 7 Configure the communication software on the computer. Refer to Configuration Settings on page 125. Tip: After the data transfer is complete, use any text editor to view or print the file. Hospira GemStar System Operating Manual...
Page 138: Transferring Data Using A Computer
10 Select the Settings tab. 11 Select the ASCII setup button. 12 Ensure ‘Append line feeds to incoming line ends’ is checked. 13 Click OK in the ASCII setup window. 14 Click OK in the Properties window. Hospira GemStar System Operating Manual...
Page 139 121. 11 Wait for the transmission to complete. 12 From the menu, select Transfer > Capture Text > Stop. 13 Exit HyperTerminal. 14 Use any text editor to view or print the file. Hospira GemStar System Operating Manual...
Page 140: Clinician Instructions
Place the pump in STOP mode, press [YES], and then press and hold [1]. The clock displays until you release [1]. Program a Loading From the Pain Management STOP mode, press Dose [YES/ENTER], and then press [0] to program a Loading Dose. Hospira GemStar System Operating Manual...
Page 141: Clinician Locking Sequence Instructions
7 Enter the lock sequence number. Asterisks display as the numbers are entered. • Lock, enter [ THERAPY • , and lock levels, enter UNLOCKED FULL CONTAINER RATE CHANGE Note: Default lock sequence numbers are shown. Hospira GemStar System Operating Manual...
Page 142 7 Enter the lock sequence number. Asterisks display as the numbers are entered. • Lock, enter [ THERAPY • , and lock levels, enter UNLOCKED FULL CONTAINER RATE CHANGE Note: Default lock sequence numbers are shown. Hospira GemStar System Operating Manual...
Page 143: Program And Deliver A Clinician Activated Loading Dose
To deliver the loading dose immediately, press [ YES/ENTER Primary infusion DOES NOT begin automatically when the clinician activated loading dose is complete. Press [ ] to continue primary infusion. START To deliver the loading dose later, press [ Hospira GemStar System Operating Manual...
Page 144: Shift Totals And History
PROGRAMMING mode or an alarm condition. Clear History Event Log and Bolus History 1 Press [ ] and select OPTIONS HISTORIES 2 Select CLEAR HISTORY displays and the pump exits OPTIONS CLEARING HISTORY Hospira GemStar System Operating Manual...
Page 145 Displays the PROGRAM A LOADING DOSE? been programmed screen but not delivered, displays the DELIVER LOADING DOSE NOW? screen CURRENT DATE [YES/ENTER] + [1] Displays the real time clock as long as [1] is held AND TIME down displaying Hospira GemStar System Operating Manual...
Page 146: Troubleshooting
Hospira Technical Support Operations hotline (available 24 hours a day). To return the pump for service, first contact Hospira Customer Support between 7:00 AM and 4:00 PM Pacific time. Have the pump serial number available. Hospira Technical Support Operations...
Page 147: Alarm Messages
PURGE ]. Purge and hold [ volume may be limited in a Pain Management program. Reconnect the pump set to the patient-access device. START Press [ ] to begin infusion. Hospira GemStar System Operating Manual...
Page 148 Refer to the caution regarding Power Loss on page 15. After power-on, resume the current program. Refer to Accessing the Programming Menu in Chapter 2 Basic Operation for more information. Hospira GemStar System Operating Manual...
Page 149 1.800.XXX.XXXX that may require Power-off the pump. If the service. CODE: NN/MMM/TTT pump does not power-off, [SERVICE ALARM] disconnect external power and remove the batteries. Call the telephone number shown on the display message. Hospira GemStar System Operating Manual...
Page 150 35. the Cassette o stop. START Press [ ] to begin Load the infusion. cassette into the pump. Open the distal clamp. Review the program. START 10 Press [ to start the pump. Hospira GemStar System Operating Manual...
Page 151 Press [ ] to begin this interval may be infusion. different. Note: In case of low battery alarm during printing, replace the batteries and reprint Plug in AC main and reprint. Hospira GemStar System Operating Manual...
Page 152 (e.g., AC mains adaptor, docking station, battery pack). The pump will continue to operate on backup power if the external power source fails. Refer to the caution regarding Power Loss on page 15. Hospira GemStar System Operating Manual...
Page 153 Note: Ensure the tubing is behind the tubing guides (at the distal end). CAUTION: Ensure all four cassette latches are clearly visible after the cassette is installed. Refer to Loading the Cassette n page 35 Hospira GemStar System Operating Manual...
Page 154 (e.g., AC mains levels. adaptor, docking station, battery pack). The pump will continue to operate on backup power if the external power source fails. Refer to the caution regarding Power Loss on page 15. Hospira GemStar System Operating Manual...
Page 155 (e.g., AC mains internal batteries. adaptor, docking station, battery pack). The pump will continue to operate on backup power if the external power source fails. Refer to the caution regarding Power Loss on page 15 Hospira GemStar System Operating Manual...
Page 156: Alert Messages
• Cable is plugged in to both the pump and the printer. • Cable part number and printer settings are correct. If the problem continues, select from STOP PRINT the Print Menu to cancel all print jobs. Hospira GemStar System Operating Manual...
Page 157 STOP mode and clear the alarm. If KVO is selected: The pump sounds 5 beeps approximately every 15 minutes. STOP Press [ ] to place STOP the pump in mode and clear the alarm. Hospira GemStar System Operating Manual...
Page 158 (e.g., AC mains adaptor, docking station, battery pack). The pump will continue to operate on backup power if the external power source fails. Refer to the caution regarding Power Loss on page 15. Hospira GemStar System Operating Manual...
Page 159 START flashes on programmed pump has minutes. the display. Other remained in the STOP Follow the instructions parts of the display mode for more than three on the display to clear are not affected. minutes. the alarm. Hospira GemStar System Operating Manual...
Page 160: Other Display Messages
The VTBI + KVO volume Press [ ] to display the PROGRAM EXCEEDS resulted in a container size allowed values. MAX CONTAINER greater than the allowed SIZE. CHANGE Change the program values. PROGRAM VALUES. value. Hospira GemStar System Operating Manual...
Page 161 Press [ ] to return THIS OPTION NOT access a function that is not to the first programming display. AVAILABLE WHILE available from the first PROGRAMMING THE Complete programming. PUMP programming display. Access desired function. Hospira GemStar System Operating Manual...
Page 162: Maintenance
DO NOT use abrasive cleaners or materials on the pump. Using abrasive cleaners or cleaning solutions not recommended by Hospira may result in product damage. To avoid pump damage, cleaning solutions should be used only as directed in the table on the following page.
Page 163 3 Clean the exposed surfaces of the pump with a soft, lint-free cloth dampened with the appropriate cleaning solution. 4 Wipe the solution from the pump surface with a water-moistened, lint-free cloth. 5 Use a dry, lint-free cloth to dry the pump after cleaning. Hospira GemStar System Operating Manual...
Page 164: Repair
During this time, opening the pump case for any reason voids this warranty. Refer to Chapter 18 Warranty/Technical Assistance, page 201 for details. Refer all service to Hospira certified technicians only. A GemStar Technical Field Service Manual is available to Hospira certified technicians. Hospira GemStar System Operating Manual...
Page 165 Notes Hospira GemStar System Operating Manual...
Page 166: Operation Test
Chapter 14 Operation Test This test is designed to ensure the GemStar Pump is operating properly. Hospira recommends performing this test a minimum of once every 12 months. Refer to facility requirements to determine additional testing needs. The test can be performed when the pump is in the...
Page 167: Test Setup
If the pump is free of damage and all the screws and labels are in place, press YES/ENTER • If damage is found on the case or keypad, or any screws or labels are missing, press [ Hospira GemStar System Operating Manual...
Page 168 If the cassette pocket area and latches are free of damage, and ALL of the above steps are verified, press [ YES/ENTER • If damage is found, or ANY of the above steps cannot be verified, press [ Hospira GemStar System Operating Manual...
Page 169 10 seconds. To view the solid boxes for another 10 seconds after the display times-out, press 2 Enter the results: • If the display fills with solid boxes, press [ YES/ENTER • If the display does not fill with solid boxes, press [ Hospira GemStar System Operating Manual...
Page 170 5 Press [ START 6 Enter the results: • If the pump delivers between 19.0 to 21.0 mL, press [ YES/ENTER • If the pump does not deliver between 19.0 to 21.0 mL, press [ Hospira GemStar System Operating Manual...
Page 171 If the test is failed, clean the sensors and press to rerun the test or press ] to confirm failure. YES/ENTER Note: Clean the sensor pins before repeating the proximal occlusion test. Refer to Chapter 13 Maintenance for instructions. Hospira GemStar System Operating Manual...
Page 172: Printing Test Results
Printer in Chapter 10 Options Menu, on page 127. 2 Press [ ] to print the test results. YES/ENTER 3 The pump displays the Programming Menu when the results have finished transmitting or if [ ] is pressed. Hospira GemStar System Operating Manual...
Page 173 Chapter 14. Operation Test Hospira GemStar System Operating Manual...
Page 174: Gemstar
Display Test   LED Test   Volume Accuracy Test   Distal Occlusion Test   Proximal Occlusion Test   Air-in-line Test   Printed Test Results Serial Number: Verified By: Date: Hospira GemStar System Operating Manual...
Page 175 Notes Hospira GemStar System Operating Manual...
Page 176: Optional System Components
Locks the GemStar Pump and up to a 250 mL Lockbox flexible I.V. container or 30 mL PCA vial in a plastic enclosure. The lockbox can be attached to an I.V. pole using the GemStar Pole Clamp (available separately). Hospira GemStar System Operating Manual...
Page 177 3 liter or smaller flexible container and the GemStar Pump with batteries or battery pack. Includes List 13590-01. Hospira 3 Liter Carrier 13590-01 Interior support for the Hospira Carrying Case - 3 Liter. Hospira GemStar System Operating Manual...
Page 178 GemStar Triple Pole 13022-01 Not for use with a lockbox. Holds up to three Clamp GemStar devices. GemStar Technical 13000-38 Provides advance instructions for Hospira Field Service Manual Certified Technicians. GemStar 13000-97 Provides advance instructions for Biomed Configuration Guide technicians.
Page 179: Connecting The Bolus Cord
AC mains, data and bolus ports, keypad, and bolus button. Note: For the GemStar Universal Lockbox (List 12499-01) and GemStar Lockbox with Spring Assist Mechanism (SAM) (List 20706-01) refer to the lockbox for instructions. Hospira GemStar System Operating Manual...
Page 180 7 Place the pre-filled vial inside the lockbox ( 9 Ensure the tubing will not be pinched when closing the lockbox. 10 Close and lock the lockbox. 11 Remove the key. Hospira GemStar System Operating Manual...
Page 181 7 Place the flexible container inside Note: Ensure the tubing is in the the lockbox with the tubing guide (at the distal end). administrative port down ( 11 Ensure the tubing will not be pinched when closing the lockbox. Hospira GemStar System Operating Manual...
Page 182: Using The Hospira Carrying Cases
4 Press the cassette release button to remove the cassette. 5 Lift the pump out of the lockbox. Using the Hospira Carrying Cases Ensure the administration set is fully primed and the cassette is properly loaded before placing the pump in the carrying case. Refer to Loading the Cassette on page 35 for more information.
Page 183 These soft-sided carrying cases can be worn around the waist or over the shoulder. They are designed to hold the GemStar Pump and up to a 500 mL (List 13079-01) or a 1000 mL (List 13980-01) flexible fluid bag. Hospira GemStar System Operating Manual...
Page 184 ( ) and ). Ensure the tubing is not kinked. 7 Zip the case closed. Ensure the tubing exits through one of the sides near the zipper tab when the case is closed. Hospira GemStar System Operating Manual...
Page 185 GemStar Pump with batteries or a battery pack, and up to a 3 liter flexible fluid bag. Note: This carrying case includes an interior support (Hospira 3 Liter Carrier List 13590-01) that may be removed from the case and used separately.
Page 186 Ensure the tubing is not kinked. 14 Adjust the shoulder straps and waist belt for a snug, comfortable fit. Tip: When not using the waist belt, secure it under the large flap on the back of the case. Hospira GemStar System Operating Manual...
Page 187 Chapter 15. Optional System Components Hospira GemStar System Operating Manual...
Page 188: Using The Gemstar Docking Station
Note: The Li-Ion docking station light is yellow while the docking station is charging. When the docking station is charged or not charging, the light is green. The Li-Ion docking station cannot be charged when the room temperature is greater than 104°F (40°C) or less than 41°F (5°C). Hospira GemStar System Operating Manual...
Page 189 1 Press the release button on the top docking station. of the docking station. 2 Plug the printer cable into the 2 Slide the pump out. printer port on the rear, right side of the docking station. Hospira GemStar System Operating Manual...
Page 190: Pump Sets
Contact a Hospira Representative for appropriate pump set configurations. Fluid path and areas beneath undisturbed protective set covers are sterile and nonpyrogenic in the intact unit package.
Page 191 Injector and Female Luer Lock Adapter, Microbore Tubing, 96 in (244 cm) 13261 Latex-Free, GemStar Pump Set and Extension Set with Integral Pressure-Activated Anti-Siphon Valve, Secure Lock, Nonvented, Microbore Tubing, Yellow Striped Tubing, 110 in (279 cm) Hospira GemStar System Operating Manual...
Page 192 Convertible Piercing Pin, 2 CLAVE Connectors, Macrobore Tubing, 110 in (279 cm) 13274 Latex-Free, LifeShield, GemStar Piggyback Pump Set, with 0.2 Micron Filter, Secure Lock, Convertible Piercing Pin, 3 CLAVE Connectors, Pre-Attached Pre-Activated Anti-Siphon Valve, Macrobore Tubing, 110 in (279 cm) Hospira GemStar System Operating Manual...
Page 193 Notes Hospira GemStar System Operating Manual...
Page 194: Gemstar Pump Specifications
(Universal) complies with CSA 22.2 Input: 100–240 VAC N0 601.1 and IEC/UL 60601-1 Output: 3.0 VDC Battery: Two disposable AA alkaline batteries Battery Pack: Rechargeable (using GemStar AC mains adaptor) List 13073 Lithium-ion rechargeable battery Hospira GemStar System Operating Manual...
Page 195 Accuracy of ±5 minutes per month or better at temperatures Real Time Clock between 59° F and 95° F (15° C and 35° C) Hospira GemStar System Operating Manual...
Page 196 Diagnostic routine, including motor speed and air-detection monitoring, is repeated continuously while the pump is powered on Error and alarm conditions are indicated by both audible and visual alarms; delivery in progress is stopped, if appropriate (refer to Chapter 12 Troubleshooting) Hospira GemStar System Operating Manual...
Page 197: Occlusion Information
4 Press down on to open the flow stop. 5 Wait 10 seconds. 6 Press down on to close the flow stop. 7 Ensure slide clamp or lower CAIR clamp is open prior to inserting cassette. Hospira GemStar System Operating Manual...
Page 198 Refer to Loading the Cassette on page 35. Note: Ensure the tubing is behind the tubing guide (at the distal end). 9 Review the program. Press to begin review. 10 Press [ ] to start the pump. START Hospira GemStar System Operating Manual...
Page 199 The maximum over-infusion volume from a single fault condition is based upon the calculation of the maximum time to generate an alarm times the maximum rate possible (1000 mL/hr) as a consequence of the fault. This has been determined not to exceed 2.78 mL. Hospira GemStar System Operating Manual...
Page 200 +2.8% and -0.5% from the nominal rate. The average delivery rate error over the entire 2nd hour was +1.6% ( For other time intervals look at other points at the horizontal axis and determine corresponding limits as above. Hospira GemStar System Operating Manual...
Page 201 5 minute interval. An example would be Dopamine administered at 5 mcg/kg/min. At 5 minutes, the average drug delivery error would be within the range of +2.8% and -0.5% of the expected nominal rate. Hospira GemStar System Operating Manual...
Page 202 FLOW RATE 0.1 mL, 0mm Hg Delivery Head, Start Up Time (minutes) — Actual Rate --- Programmed Rate PERCENT ERROR 0.1 mL, 0 mm Hg Delivery Head, Start Up Observation Interval (minutes) Observation Interval (minutes) Mean Hospira GemStar System Operating Manual...
Page 203 — Actual Rate --- Programmed Rate PERCENT ERROR 1 mL, 0 mm Hg Delivery Head, Start Up 30.0% 30.0% 20.0% 20.0% 10.0% 10.0% 0.0% 0.0% -10.0% -10.0% -20.0% -20.0% -30.0% -30.0% Observation Interval (minutes) Mean Hospira GemStar System Operating Manual...
Page 204 — Actual Rate --- Programmed Rate PERCENT ERROR 1 mL, 0 mm Hg Delivery Head, Hour 96 30.0% 30.0% 20.0% 20.0% 10.0% 10.0% 0.0% 0.0% -10.0% -10.0% -20.0% -20.0% -30.0% -30.0% Observation Interval (minutes) Mean Hospira GemStar System Operating Manual...
Page 205 — Actual Rate --- Programmed Rate PERCENT ERROR 25 mL, 0 mm Hg Delivery Head, Start Up 15.0 15.0% 10.0 10.0% 5.0% 5.0% 0.0% 0.0% -5.0% -5.0% -10.0% -10.0% -15.0% -15.0% Observation Interval (minutes) Mean Hospira GemStar System Operating Manual...
Page 206 — Actual Rate --- Programmed Rate PERCENT ERROR 25 mL, 0 mm Hg Delivery Head, 96 Hour 15.0% 15.0% 10.0% 10.0% 5.0% 5.0% 0.0% 0.0% -5.0 -5.0% -10.0% -10.0% -15.0% -15.0% Observation Interval (minutes) Mean Hospira GemStar System Operating Manual...
Page 207 — Actual Rate --- Programmed Rate PERCENT ERROR 25 mL, -100 mm Hg Delivery Head, Start Up 15.0% 15.0% 10.0% 10.0% 5.0% 5.0% 0.0% 0.0% -5.0 -5.0% -10.0% -10.0% -15.0% -15.0% Observation Interval (minutes) Mean Hospira GemStar System Operating Manual...
Page 208 — Actual Rate --- Programmed Rate PERCENT ERROR 25 mL, +100 mm Hg Delivery Head, Start Up 15.0% 15.0% 10.0% 10.0% 5.0% 5.0% 0.0% 0.0% -5.0% -5.0% -10.0% -10.0% -15.0% -15.0% Observation Interval (minutes) Mean Hospira GemStar System Operating Manual...
Page 209 — Actual Rate --- Programmed Rate PERCENT ERROR 25 mL, 0 mm Hg Delivery Head, -20 in H20 Filling Head, Start Up 15.0% 15.0% 10.0% 10.0% 5.0% 5.0% 0.0% 0.0% -5.0 -5.0% -10.0% -10.0% -15.0% -15.0% Observation Interval (minutes) Mean Hospira GemStar System Operating Manual...
Page 210: Warranty/Technical Assistance
The warranty on the optional battery pack and other accessories is limited to 90 days. On return to Hospira, the pump will be repaired or replaced within the terms of this warranty. Material returned to Hospira must be properly packaged and sent freight prepaid.
Page 211 For technical assistance and product return authorization within the United States, contact: 1-800-241-4002 For additional technical assistance, including Technical Service Bulletins, technical training, and product information, visit the web site at: www.hospiraparts.com Note: Outside the U.S, contact your local Hospira sales office. Hospira GemStar System Operating Manual...
Page 212: Electrical Potentials
Cellular phones should be turned off within 10 feet of all electronic medical devices. Other RF equipment should be used no closer to any part of the device, including all cables, than required. Monitor the devices to verify normal operation. Hospira GemStar System Operating Manual...
Page 213: Information Regarding Electrostatic Discharge (Esd)
30%. To reduce the potential of damage from ESD: Touch the frame of the device, earth, or a large metal object to discharge one's body. Use a grounding wrist strap prior to touching connectors. Hospira GemStar System Operating Manual...
Page 214: Index
Weight Dosed therapy, bolus delivery, – Auto Taper Down bolus dose interruptions, in TPN therapy, clinician instructions, See also taper down; taper up connecting the bolus cord, history, occlusion information, optional system components, Hospira GemStar System Operating Manual...
Page 215 GemStar AC mains using, adaptor, dose limit, connecting to a computer, drip chamber See also Data Port priming pump sets with a drip connecting to the Seiko printer, chamber, See also Data Port Hospira GemStar System Operating Manual...
Page 216 Luer Lock, Rate Change Lock, unlocking the pump, infusion system layout, – lockboxes Intermittent therapy, – using the GemStar lockboxes, – changing an Intermittent therapy, Hospira GemStar System Operating Manual...
Page 217 New Container Lock Histories, locking the pump, Keypad Lock, unlocking the pump, Next Dose, next dose, Operation Test, Print, Review Program, occlusion, Set Clock, changing the occlusion sensor Speed Protocol, settings, tips for using the options menu, Hospira GemStar System Operating Manual...
Page 218 PURGE Key, Hospira GemStar System Operating Manual...
Page 219 RUN mode, features and specifications, programmable ranges, programming of, shift totals and history, Programming Worksheet, SILENCE key, troubleshooting, – specifications alarm messages, – pump, alert messages, Speed Protocols, other display messages, assign, review/recall, delete, – Hospira GemStar System Operating Manual...
Page 220 Precedex programming worksheet, programmable ranges, programming of, programming worksheet, rate titration, VTBI Titration, worksheet Continuous Programming, Intermittent Programming, mL/hr Only Programming, Pain Management Programming, Precedex Programming, TPN Programming, Variable Time Programming, Weight Dosed Programming, Hospira GemStar System Operating Manual...
Page 221 Notes Hospira GemStar System Operating Manual...

Hospira GemStar Series System Operating Manual

IEC Symbols

1 Introduction

2 Basic Operation

3 Total Parenteral Nutrition (TPN)

Not Applicable to List 13088

4 Pain Management

Not Applicable to List 13086

5 Intermittent

6 Continuous

Not Applicable to List 130

7 Weight Dosed

Not Applicable to List 13088

8 Ml/Hr Only

Not Applicable to List 13088

9 Variable Time

Not Applicable to List 13088

10 Options Menu

11 Clinician Instructions

12 Troubleshooting

13 Maintenance

14 Operation Test

15 Optional System Components

16 Pump Sets

17 Gemstar Pump Specifications

18 Warranty/Technical Assistance

Electrical Potentials

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Table of Contents