B. Braun HORIZON Nxt Operation Manual
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B. Braun HORIZON Nxt Operation Manual

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Summary of Contents for B. Braun HORIZON Nxt

  • Page 1 Artisan Technology Group is your source for quality new and certified-used/pre-owned equipment SERVICE CENTER REPAIRS WE BUY USED EQUIPMENT • FAST SHIPPING AND DELIVERY Experienced engineers and technicians on staff Sell your excess, underutilized, and idle used equipment at our full-service, in-house repair center We also offer credit for buy-backs and trade-ins •...
  • Page 2 HORIZON Nxt® Operation Manual ©1999 B.Braun Medical Inc. This manual may not, in whole or in part, be copied, photocopied, reproduced, translated, or converted to any electronic or machine-readable form without prior written consent of B.Braun Medical Inc. 950520 Rev F...

  • Page 3: Table Of Contents

    PROGRAM Mode ....................5-5 q (x)° Schedule.....................5-5 Schedule Next Run .....................5-9 Select MAX Pressure ..................5-10 Set PROFILE Parameters ...................5-11 ® Horizon Nxt 6/00 Modular Infusion System 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 4 Cautions ......................8-5 Service and Performance Information ..............8-7 Specifications ......................8-8 Chapter 9 Table 1 DRUG LIST ................9-1 Index ........................Index-1 ® Horizon Nxt 6/00 Modular Infusion System 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 5: Chapter 1 Introduction

    B. Braun Medical shall not be liable for any incidental or consequential loss, damage, or expense, directly or indirectly arising from the use of this device other than replacement of all or part of it. B. Braun Medical neither assumes, nor authorizes any other person to assume for it, another or additional liability or responsibility in connection with this device.

  • Page 6: Intended Use

    Intended Use The Horizon Nxt® is intended for use with B. Braun Medical Horizon® I.V. sets to regulate the flow of primary and secondary fluids when positive pressure is required. The infusion system is capable of delivering fluid from a negative head height (when the I.V. fluid container is lower than the pump), and provides clinically accepted volumetric accuracy for all standard I.V.

  • Page 7: Blood Infusion

    Blood Infusion The Horizon Nxt can be used for infusion of blood and blood products. For blood infusion, a Horizon Pump Blood Set should be used. Do not attempt to piggyback blood. The normal saline roller clamp on the blood tubing set must be clamped off.

  • Page 8: Chapter 2 Product Description

    Chapter 2 PRODUCT DESCRIPTION The Horizon Nxt® has been developed in reponse to the special needs of all caregivers in the medical setting. Operating Modes The Horizon Nxt pump has five operating modes: Standard Mode - for simple IV fluid delivery with piggyback capability.

  • Page 9: Illustrations

    9. Primary Run Key 20. Primary Volume Display 10. Piggyback Run Key 21. Door Lever 11. Data Keys Horizon Nxt® Modular Infusion System 2 - 2 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 10 Figure 2: Rear View 1. Panel Lock Out Switch 2. Serial Communication Data Port B. Braun Medical Carrollton, TX 75006 Figure 3: Inside the Door 1. Cassette Alignment Pins 2. Air-In-Line Detector 3. Free Flow Protection Clip Horizon Nxt® Modular Infusion System...

  • Page 11: Important Keys

    Daisy Chaining Daisy chaining allows up to 5 Horizon Nxt® or Horizon® pumps to be plugged into each other with only one pump plugged into a wall outlet. On the side of each Horizon Nxt pump is an electrical outlet. Only another Horizon or Horizon Nxt pump should be plugged into that outlet.

  • Page 12: Chapter 3 Principles Of Operation

    2) Plug the pump’s power cord into a hospital-grade electrical outlet, or the AC Receptacle on the side of another Horizon or Horizon Nxt pump. 3) Press the Power key. If the Information Screen says: "PROGRAM Operation Was Interrupted..." choose an option using the keys.

  • Page 13: Standard Mode

    2) Connect the piggyback set to the upper injection site (the site above the pump) on the primary set. 3) Lower the primary bag at least 8 inches. Note: To minimize or prevent fluid flow from the primary container during Horizon Nxt® ModularInfusion System 3 - 2 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ...

  • Page 14: Piggyback Callback

    An intermittent alarm will continue to sound to notify the user that a rate change has been attempted and cancelled. Pressing any key will silence the alarm. With Pump on Hold: Horizon Nxt® Modular Infusion System 3 - 3 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ...
  • Page 15 2) Press the keys to change the rate. 3) Press the key to start the infusion. Horizon Nxt® ModularInfusion System 3 - 4 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 16: Chapter 4 Menus

    Chapter 4 MENUS The Horizon Nxt® can be customized to fit your specific needs. The User Menu and Alternate Menu contain options identified by each individual hospital. The following options will always appear in one of the 2 menus. Main Menu Change Alarm Volume changes the volume of the audible alarm.

  • Page 17: Change Alarm Volume

    Cursor & Press ENTER The pump will return to the previous Hold or Run state. Dose Mode: The Dose Mode is fully described in the Dose Mode Chapter. Horizon Nxt® Modular Infusion System 4 -2 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 18: Occlusion Limit

    4) Press keys to change the pressure limit 5) Press NTER The pump will return to the previous Hold state. Horizon Nxt® Modular Infusion system 4 - 3 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 19: Alternate Menu Items

    NTER this message is clear. Then press ENTER key. The pump will return to the previous Hold or Run state. Horizon Nxt® Modular Infusion System 4 -4 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 20: Chapter 5 Custom Menu Options

    Micro Rate / Limit limits the infusion rate. (Useful for Pediatric and Neonatal settings). Monitor Docking allows the Horizon Nxt® with MedScan to communicate with select monitoring systems to visually display current infusion parameters. This option must be turned on by the Biomedical Department.

  • Page 21: Check Battery Level

    FULLY CHARGED EXIT Press the key to return to the Hold or Run state. NTER Horizon Nxt® with MedScan Modular Infusion System 5 - 2 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 22: Hold Extender

    5) Press keys to select "Micro Rate / Limit" URSOR 6) Press NTER Horizon Nxt® with MedScan Modular Infusion System 5 - 3 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 23: Monitor Docking

    Clamp the Serial Data Communication IR (Infrared) Module over the Serial Data Communication fluid resistant window on the back of the Horizon Nxt pump whose information you wish displayed. 1) Grasp the Serial Data Communication IR Module with index finger on top and thumb on grooved surface on the bottom.

  • Page 24: Piggyback Callback

    2) Press 3) Press keys to select q(x)° Schedule URSOR 4) Press NTER Horizon Nxt® with MedScan Modular Infusion System 5 - 5 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 25 Start dose at 10:35a time VALIDATE Note: The time is displayed in military time. Use 00:00 to represent Horizon Nxt® with MedScan Modular Infusion System 5 - 6 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 26 Time Left = 0 hr 29 min Total Infused = 2.7 ml Occlusion Limit = 300 mmHg 3 Doses left To Exit: Horizon Nxt® with MedScan Modular Infusion System 5 - 7 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 27 1) Press 2) Press keys to select "Exit q(x)° Schedule URSOR 3) Press NTER Horizon Nxt® with MedScan Modular Infusion System 5 - 8 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 28: Schedule Next Run

    Hold LED will blink. Press the key to cancel Schedule Next Run. Note: To prevent tampering of the Schedule, press the Panel Lock Out Switch on the rear of the pump. Horizon Nxt® with MedScan Modular Infusion System 5 - 9 6/00 950520 Rev F...

  • Page 29: Select Max Pressure

    When the Horizon Nxt with MedScan is being used for epidural infusions, the source container and administration set should be clearly differentiated from source containers and administration sets used for other routes of infusion.

  • Page 30: Set Profile Parameters

    “VALIDATE” 6) Press key. NTER 7) Press the key to start the infusion. Horizon Nxt® with MedScan Modular Infusion System 5 - 11 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 31: Site Trend

    Exit URSOR 2) Press key to exit NTER Exit from Menu Horizon Nxt® with MedScan Modular Infusion System 5 - 12 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 32 1) Press the keys to select Exit from menu URSOR 2) Press the NTER Horizon Nxt® with MedScan Modular Infusion System 5 - 13 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 33: Chapter 6 Dose Mode

    Chapter 6 DOSE Mode DOSE Mode calculates the concentration, rate or dose information necessary for use with many critical drug infusions. Note: Medication names available are listed in Chapter 9, Table 1. 1) Press 2) Press 3) Press keys to select DOSE Mode URSOR 4) Press NTER...

  • Page 34: Epidural Category

    1) Press key to select "Clear Drug" URSOR 2) Press NTER 3) Go to Data Screen Note: Generic calculation can be used for drugs not appearing on the list. Epidural Category: 1) Press key to select "Epidural" URSOR 2) Press NTER Pressure will be set to 750 mmHg, and Micro Rate will be...

  • Page 35: Change Setup Parameters

    numeric values. Specifying the amount of two parameters cause the third parameter to be calculated. For example: Specifying a weight of 70 kg, a concentration of 400 mg of Dopamine in 500 ml of fluid at a dose of 5.0 mcg/kg/min resulted in a calculated rate of 26.3 ml/hr.

  • Page 36: Titrate Rate

    1) Press the left or right keys to URSOR DOSAGE CONC BODY move to the appropriate parameter mcg/kg/min 2) Press the up or down keys to URSOR change to the correct parameters (mcg/ change move kg/min to units/hr) Press ENTER when done 3) Press NTER Titrate Rate:...

  • Page 37: Chapter 7 Special Modes

    4) Press the keys to select URSOR "VALIDATE PROFILE" VALIDATE PROFILE 5) Press the NTER Horizon Nxt® Modular Infusion System 7 - 1 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 38: Review/Change Profile Data

    URSOR 3) Press the NTER “Immediate Ramp Down” shows on the Information Screen. Note: The Immediate Ramp Down time is 30 minutes or less. Horizon Nxt® Modular Infusion System 7 - 2 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 39: Exit Profile Mode

    Is this OK? Yes No Cursor & Press Enter The pump will return to the standard Hold state. Horizon Nxt® Modular Infusion System 7 - 3 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 40: Program Mode

    Program, for example: NOT ALLOWED Rate Volume 50.0 35.0 30.0 150.0 ZERO VALIDATE TOTAL = 0.0 ml Horizon Nxt® Modular Infusion System 7 - 4 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 41: Review/Change Program

    Note: Only rate can be changed after an infusion has started 4) Press keys to select “Validate” URSOR 5) Press NTER Restart PROGRAM: Horizon Nxt® Modular Infusion System 7 - 5 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 42: Skip Program Periods

    1) Press 2) Press 3) Press keys to select "Exit PROGRAM Mode” URSOR 4) Press NTER Horizon Nxt® Modular Infusion System 7 - 6 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 43: Chapter 8 Maintenance

    Caution: To avoid electrical shock, turn off the pump and disconnect it from the electrical outlet before cleaning. Sterilization of the pump using ethylene oxide (EtO) gas is not recommended. Horizon Nxt® Modular Infusion System 8 - 1 6/00 950520 Rev F...

  • Page 44: Alarm Procedures

    (Similiar to rebooting a personal computer.). If the alarm recurs, return the pump to a Biomedical Professionial for service. For assistance, call (800) 627-PUMP. Horizon Nxt® Modular Infusion System 8 - 2 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ...

  • Page 45: Alarm Troubleshooting Guide

    Press LOAD and reload tubing. Cassette not in place Set a Piggyback rate Set Piggyback Rate Horizon Nxt® Modular Infusion System 8 - 3 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 46 Set Piggyback Volume Set a Primary rate Set Primary Rate Set a Primary volume Set Primary Volume Horizon Nxt® Modular Infusion System 8 - 4 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 47: Cautions

    Operation Manual. The Horizon Nxt® Infusion Pump is not intended to substitute for regular patient observation and evaluation. Do not attempt to infuse two fluids simultaneously using the Horizon Nxt Infusion Pump.
  • Page 48 Do not use visibly damaged pumps or pumps with bent, damaged or missing components. Pumps should be tested for proper performance semiannually. Federal (U.S.A.) law restricts this device to sale by or on the order of a physician. Horizon Nxt® Modular Infusion System 8 - 6 6/00 950520 Rev F...

  • Page 49: Service And Performance Information

    Service at the phone number below for a Returned Goods Authorization (RGA) number, then carefully pack the pump (preferably in the original packing), and ship it prepaid to the address below. B. Braun Medical cannot assume any responsibility for loss or damage to returned instruments while they are in transit.

  • Page 50: Specifications

    0.1 to 2.9 mL/hr set- tings. Volume Delivered Accuracy: +/- 5% Fluid Types: All standard I.V. fluids Horizon Nxt® Modular Infusion System 8 - 8 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 51 Permanent data retention after the pump is turned off, unless the battery is depleted or dis- connected, or unless the Data Retention De- faults have been otherwise selected in the Biomed Options. Horizon Nxt® Modular Infusion System 8 - 9 6/00 950520 Rev F...

  • Page 52: Chapter 9 Table 1 Drug List

    Diltiazem 125 mg in 125 ml mg/hr 250 mg in 250 ml 0 mg in 0 ml Horizon Nxt® Modular Infusion System 9 - 1 6/00 950520 RevF Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 53 Heparin (units/kg/hr) 20,000 units in 500 ml units/kg/hr 25,000 units in 250 ml 0 units in 0 ml Horizon Nxt® Modular Infusion System 9 - 2 6/00 950520 RevF Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 54 NTG (mcg/min) 50 mg in 250 ml mcg/min 100 mg in 250 ml 0 mg in 0 ml Horizon Nxt® Modular Infusion System 9 - 3 6/00 950520 RevF Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 55 Sufentanil 250 mcg in 5 ml mcg/kg/hr 50 mcg in 1 ml 0 mcg in 0 ml Horizon Nxt® Modular Infusion System 9 - 4 6/00 950520 RevF Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 56 Vercuronium 5 mg in 5 ml mcg/kg/min 10 mg in 5 ml 0 mg in 0 ml Horizon Nxt® Modular Infusion System 9 - 5 6/00 950520 RevF Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 57 Dosage Units Caution: Federal Law restricts this device to sale by or on the order of a physician. B.Braun Medical Inc. Carrollton, TX USA 75006 Horizon Nxt® Modular Infusion System 9 - 6 6/00 950520 RevF Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...

  • Page 58: Index

    Titrate Dose, 6-4 Titrate Rate, 6-4 Enter Key, 2-2, 2-4 Epidural Administration, 1-2, 5-9, 6-2 Free Flow Protection Clip, 2-3 Horizon Nxt® Modular Infusion System Index - 1 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 59 Data Entry, 7-4 Exit PROGRAM Mode, 7-6 Restart PROGRAM, 7-6 Review/Change PROGRAM, 7-5 Skip PROGRAM Periods, 7-6 Horizon Nxt® Modular Infusion System Index - 2 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 60 Standard Mode, 2-1 For Primary Fluids, 3-2 For Piggyback Fluids, 3-2 Sympathetic flow, 3-3 Titration, 3-3, 6-4 Horizon Nxt® Modular Infusion System Index - 3 6/00 950520 Rev F Artisan Technology Group - Quality Instrumentation ... Guaranteed | (888) 88-SOURCE | www.artisantg.com...
  • Page 61 Artisan Technology Group is your source for quality new and certified-used/pre-owned equipment SERVICE CENTER REPAIRS WE BUY USED EQUIPMENT • FAST SHIPPING AND DELIVERY Experienced engineers and technicians on staff Sell your excess, underutilized, and idle used equipment at our full-service, in-house repair center We also offer credit for buy-backs and trade-ins •...

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