Moog CURLIN INFUSION PainSmart User Manual
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Moog CURLIN INFUSION PainSmart User Manual

Ambulatory infusion system
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User Manual
for use with the
PainSmart
and PainSmart
IOD
™
™
Ambulatory Infusion System
Moog Medical Devices Group
tf 800.970.2337
ph 801.264.1001
fx 801.264.1051
www.moog.com/medical

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Summary of Contents for Moog CURLIN INFUSION PainSmart

  • Page 1 User Manual for use with the PainSmart and PainSmart ™ ™ Ambulatory Infusion System Moog Medical Devices Group tf 800.970.2337 ph 801.264.1001 fx 801.264.1051 www.moog.com/medical...
  • Page 2 Important Safety Note 4 When using a Curlin Infusion Pump in a life sustaining situation, use AC Adapter, and provide an extra set of “C” cell batteries in addition to the batteries that are installed in the pump. 4 Check pump between patient use per procedure (see maintenance chapter).
  • Page 3 For 24-hour Clinical or Technical Support call toll free: 1-800-970-2337 Covered by U.S. Patents 5,575,631 5,683,233 5,791,881 5,924,852 6,164,921 6,371,732 B1 Des. 408,911 Des. 437,547 S. Other U.S. and Foreign Patents Pending Copyright © 2000/2011 Moog, Inc. All Rights Reserved Revision I Reorder Number 360-9043...

  • Page 4: Table Of Contents

    Keypad Function ........37 Indications for Use ........5 Description of the Info-On- Special Features of the Pump ....6 Demand (IOD) Feature (Optional) of the Moog Curlin Regulatory Agency Approvals ....7 ™ Infusion PainSmart IOD Pump..38 Warnings, Cautions, Notices ....8 Info-On-Demand (IOD) Key List of Abbreviations ......
  • Page 5 TABLE OF CONTENTS History Event Log ......... 53 Prime ............ 67 Prime Direction Screen ......68 Clearing the History Log....... 54 Options ..........69 Clearing Patient Information ....54 PCA Options Menu ......69 Changing Date and Time ...... 55 Clinician Dose Menu......70 Change Date and Time Screen ....55 Clinician Dose Run Screen ....70 Shift Totals Screens .......71...
  • Page 6 TABLE OF CONTENTS CLEANING, ENVIRONMENTAL CONDITIONS, AND MAINTENANCE ........108 Cleaning ..........108 Transport and Storage ......109 Operating Environment ...... 109 Maintenance........109 Limited Warranty ........ 109 Procedure for Checking Pumps Between Patients ..........111 TECHNICAL SPECIFICATIONS ......... 115 CLINICIAN INFORMATION AND ACCESS CODE ........
  • Page 7 Figure 2.8 Closing the Pump Door ....21 Figure 2.9 Proper Installation of the Moog Curlin Infusion Administration Set into the Pump ............23 Figure 2.10 Top Cutaway View of the Moog Curlin Infusion Pump with Moog Curlin Infusion Administration Set in Proper Installation Position ........24 Figure 2.11 ............26...

  • Page 8: Introduction

    2 microliters, and its small, compact, lightweight design allows mobility for ambulatory patients. The Moog Curlin Infusion pump can be carried in any of the four convenient carryall soft-packs, pole mounted, placed into the locked “safety shells,” or set on a suitable surface for use.

  • Page 9: Special Features Of The Pump

    Small, accurate, ambulatory, volumetric infusion pump that provides reliable and safe • delivery of infusion therapies. ™ The optional Info-On-Demand feature of the Moog Curlin Infusion PainSmart • pump safely provides additional information to the user when the pump is in the RUN mode.

  • Page 10: Regulatory Agency Approvals

    Underwriters Laboratories has evaluated the Moog Curlin Infusion pump with AC Adaptors 360-2026, 360-2022Kit , 47684 and 47685 to EN 60601-1 and CSA C22.2 No. 601-1 for General Standards of Safety for Medical Equipment and found the Moog Curlin Infusion pump to be compliant.

  • Page 11: Warnings, Cautions, Notices

    60601-1 and EN 60601-2-24 and both were found to be compliant. The indicator shown at the left appears throughout this manual to IMPORTANT emphasize important information in the operation of the Moog INFORMATION Curlin Infusion pump. Please read these sections carefully.
  • Page 12 The pump can only be brought back into service if the volumetric accuracy test passes per the user manual. If the pump fails volumetric accuracy it must be returned to Moog Medical Devices Group for evaluation.
  • Page 13 Do not try to insert foreign objects into any of the pump connectors, as such objects may • damage the pump. Use only Moog Curlin Infusion external power sources to power the Moog Curlin Infusion • pump. Using other power sources may result in circuitry or microprocessor damage.
  • Page 14 NOTICES • The Moog Curlin Infusion pump is not intended for the administration of blood or cellular blood products. • Dispose of all used administration sets in accordance with all applicable regulatory and institutional policies. • Teach users to check all tubing sites for proper aseptic connections and to check the administration sets for air leaks before and during the infusion.
  • Page 15 Moog representative. • The Moog Curlin Infusion pump has been tested and found to comply with the European Standard EN 60601-1-2:1993 and EN 60601-2-24:1994. These limits are designed to provide reasonable protection against harmful interference in a typical medical installation.

  • Page 16: List Of Abbreviations

    List of Abbreviations #BOLS/hr = Number of bolus doses per hour In patient controlled analgesia the number of boluses allowed per hour 0-15 = Amount rate may be changed ∆ RATE = Interval until rate may be changed ∆ TIME = Amount = Amount to be infused = Bolus Attempted...
  • Page 17 A unit of liquid measure 1/1000 of a liter Month To set date enter 2 digit month = Maximum Upper limit of a bolus or patient demand dose, or infusion rate = Options Once prescription is programmed, this key provides customizing features as locking programs from changes, alarm volume, battery level, amount of air detection, adjust occlusion alarm, hourly totals, shift totals, clinician dosing = Patient Controlled Analgesia...

  • Page 18: Features Of The Pump And Administration Sets

    Features of the Pump and Administration Sets The Moog Curlin Infusion PainSmartTM and PainSmartTM IOD pumps have been designed with the user in mind and have the latest in friendly, simple-to-learn technology to allow fast and easy access to the features of these pumps. With a little introduction and training, an operator will quickly be able to program and use these pumps to deliver the therapies prescribed.

  • Page 19: Figure 2.2 Moog Curlin Infusion Ambulatory Pump - Back, Bottom, And Right View

    Battery Compartment Door with Caution Label Recessed Release Pin for Battery Door External Power Jack P ort (2 Pin Port) Right View Pump Door Power Jack’s Unique Keyhole Figure 2.2 Moog Curlin Infusion Ambulatory Pump – Back, Bottom, and Right View...

  • Page 20: Disposable Administration Set Illustrations And Features

    Disposable Administration Set Illustrations and Features Note: An important feature of the Moog Curlin Medical administration set is the unique design of the set-based Integral Flow-Stop. When the set is new, the Integral Flow-Stop has a breakaway tab that keeps the Integral Flow-Stop open and allows the tubing to be gravity primed.

  • Page 21: Preparing Medication For Infusion/Changing Iv Bags

    Preparing Medication for Infusion/Changing IV Bags Figure 2.4 Spiking the Fluid Container, Gravity Priming the Set, and Using the Slide Clamp to Close the Tubing...

  • Page 22: Figure 2.6 Intentionally Opening The Integral Flow-Stop

    Figure 2.5 Curlin Infusion Administration Set Integral Flow-Stop with Breakaway Tab Figure 2.6 Intentionally Opening the Integral Flow-Stop...

  • Page 23: Opening And Closing The Pump Door

    Opening and Closing the Pump Door The pump door, located on the top of the Moog Curlin Infusion pump, has a sturdy “over center” latching mechanism, which assists in securely closing the door. Review the following illustrations: Figure 2.7 Opening the Pump Door...

  • Page 24: Figure 2.8 Closing The Pump Door

    Figure 2.8 Closing the Pump Door...

  • Page 25: Choosing And Installing The Moog Curlin Infusion Administration Set

    5. Use aseptic technique and universal precautions as directed by the policies of your healthcare facility or institution. 6. Use only Moog Curlin Infusion administration sets with the Moog Curlin Infusion pump. 7. Dispose of administration sets in accordance with all applicable regulatory and institutional...

  • Page 26: Steps In Installing Administration Set Into Moog Curlin Infusion Pumps

    Figure 2.9 Proper Installation of the Moog Curlin Infusion Administration Set into the pump Steps in Installing Administration Set into Moog Curlin Infusion Pumps 1. Fully open the door of the pump.

  • Page 27: Up Stream Occlusion Alarm Feature

    Administration Set in Proper Installation Position Up Stream Occlusion Alarm Feature The Moog Curlin Infusion pump has an Up Stream Occlusion alarm feature, e.g., it detects low up-stream pressure. This feature notifies you if an occlusion is present between the IV container and the pump.

  • Page 28: Installing The Batteries And Using External Power

    Installing the Batteries and Using External Power The Moog Curlin Infusion pump can be powered solely with the use of two C-cell alkaline batteries installed into the pump as shown in Figure 2.11. C-cell batteries are readily available at most retail facilities that carry alkaline batteries.

  • Page 29: Battery Replacement, Alternate Battery Door

    Battery Replacement, Alternate Battery Door Figure 2.11 • The battery door compartment is located on the back of the pump. • To open the door, depress the recessed release pin. (Use a small coin such as a penny to depress the pin.) •...
  • Page 30 * It is recommended to use Duracell® Procell® Batteries in Moog Curlin Pumps ** C-cell batteries only, this function will not check external battery pump power levels. Duracell and Procell are registered trademarks of Proctor & Gamble.

  • Page 31: External Power Sources

    External Power Sources Rechargeable Lithium Ion (Li-Ion) Battery Pack (360-2030) Overview The Li-Ion Battery Pack (pictured below) is designed to be used with 2 fully charged C-cell batteries ™ to power a model 2000, 4000, 6000 or PainSmart infusion pump for an extended period of time without being connected to a power outlet.
  • Page 32 • Do not use this battery pack with the Moog Curlin 340-2022 (POWDEC AC Adaptor WM10-6.9V) as the combination may exceed the allowable limits for emitted electromagnetic interference.
  • Page 33 Notice The Rechargeable Battery Pack DFU is a supplement to the Moog Medical Devices Group Pump User's Manual. All other applicable WARNINGS, CAUTIONS and NOTICES are found in the User's Manual and should be referred to when using this DFU.
  • Page 34 • The charge LED light will illuminate yellow if the battery needs to be recharged. See below: • Charge the battery pack for 15 hours or until the LED turns green indicating the battery is fully charged.
  • Page 35 5 and 40 degrees celsius. If the fault condition persists, then the battery pack should be returned to Moog Medical Devices Group for replacement of the battery. Using the Battery Pack to Power the Pump •...
  • Page 36 • Do not use the pump’s display (see cautions) to predict external battery life. • When the external battery pack is nearly depleted, the red LED indicator will be illuminated. • The pump may continue to be used until the disposable C-cells are depleted. •...

  • Page 37: Ac Adaptor/Charger

    AC Adaptor/Charger This accessory becomes the external power source when plugged directly into the Moog Curlin Infusion pump. The AC Adaptor can also be used to recharge the portable battery pack by plugging the connecting cable into the recharging port on the battery pack.

  • Page 38: Bolus Cord Use

    Bolus Cord Use When the PCA therapy is used, patient bolus dosing can be programmed. To facilitate ease of patient self-dosing, the patient can use the Bolus Key or the Remote Bolus Access Cord. When a bolus dose is requested two beeps will sound to indicate that the dose has started. If a bolus dose is requested and denied, one beep will sound.

  • Page 40: Learning Pump Features

    Chapter Learning Pump Features Learning to operate the Moog Curlin Infusion pump requires a few basic points of understanding that remain constant in every therapy. It may be helpful to read through these steps first, and then go back and use them to operate the Moog Curlin Infusion pump.

  • Page 41: Keypad Function

    5. NO/CHANGE: Used to respond “NO” to data or questions presented or to reject or to change highlighted data. Note: The Moog Curlin Infusion pump requires you to actively change a selection. The Up arrow or Down arrow will not change a selection.

  • Page 42: Description Of The Info-On-Demand (Iod) Feature (Optional) Of The Moog Curlin Infusion Painsmart Iod Pump

    Description of the Info-On-Demand (IOD) Feature (Optional) of the Moog Curlin Infusion PainSmart™ IOD Pump Figure 3.2. PainSmart™ IOD Keypad with Info-On-Demand Feature To view any of the Info-On-Demand screens on the pump display, press the related key while the pump is in the RUN mode, i.e., running a therapy.

  • Page 43: Info-On-Demand (Iod) Key Functions

    Info-On-Demand (IOD) Key Functions Designation and functionality of the ten numeric keys of the Info-On-Demand keyboard: 1. Date and Time (DateTime): The Date and Time screen displays the current date and time according to the pump. Changes to this screen are not allowed. Date Time 2.
  • Page 44 5. Hourly Total (HrlyTot): The information displayed here includes the hourly Volume (amount) Infused, the number of Bolus Given and the number of Bolus Asked. Within the allocated 15 seconds, the user can scroll up or down the screen. Changes to this screen are not allowed.
  • Page 45 8. Percent Bolus (%Bols): This screen provides Bolus Volume as percentage of Total Volume. TBOL is the total volume infused through bolus, TVOL is the total volume infused, and % BOLS is the percentage of TBOL over TVOL. Changes to this screen are not allowed.

  • Page 46: Description Of The Custom Features

    An alert will be displayed if a value greater than the factory set Maximum Basal Rate Limit value is entered in BASL RATE, MedLMTS Mx Rate, and MedLMTS Delta Rate. For example, while programming a PCA (IV) therapy in a customized Moog Curlin Infusion ™...

  • Page 47: Led Light Indicators

    Customized Lock Level setting ™ A customized Moog Curlin Infusion PainSmart IOD pump may have a certain Lock Level value set in the factory which is not the default OFF. It can be any one of these values: Lock Level 1, Lock Level 2, or Lock Level 3.

  • Page 48: Display Screen

    Display Screen The display screen provides a maximum of four lines of text, or fields, at any one time for feedback regarding the pump status and data entry. It notifies the user with prompts or messages when necessary. The screen has backlighting that remains: •...

  • Page 50: Basics Of Programming

    Chapter Basics of Programming The Moog Curlin Infusion pump allows the operator to customize this device to meet the specific infusion needs of each individual patient. This chapter will explain the customizing features along with the programming steps. rogramming the Moog Curlin Infusion pump requires initial orientation and training, but the programming steps have been designed to be user friendly and self-prompting to minimize training time.

  • Page 51: Sample Of A Data Entry Screen

    3. Data Entry Screens are used to specify prescription parameters. Sample of a Data Entry Screen In the above example, the cursor rests on a field requiring numeric data entry for specific prescription information, e.g., the volume in the IV bag. The operator enters the correct information using the numeric keys and decimal point key.

  • Page 52: Using "Help

    Some error notices may reset the pump back to its default settings and therefore will require reprogramming. When the Moog Curlin Infusion pump successfully passes its self-test, a brief message of “SYSTEM OK” appears, and the display moves to the next screen:...

  • Page 53: Power Status Screen

    Power Status Screen This screen displays the active power source of the pump, whether internal (batteries) or external power. If the active source is the C-cell batteries, a bar graph will indicate the amount of power remaining in the batteries. This graph is only an approximation of the charge left and is not intended to give a specific representation of battery life.

  • Page 54: Access Code

    Selecting “BIOMED SETUP” allows the pump to be programmed and customized by the clinician to perform a number of special functions including setting the system clock. (See BIOMED SETUP) Accessing “BIOMED SETUP” requires you to enter a clinician access code. (Refer to the chapter entitled, “Clinician Information and Access Code,”...
  • Page 55 Welcome Screen. If the maintenance due date will occur during the time the patient will be on service, the clinician may wish to select another Moog Curlin Infusion pump for this patient. This action will avoid any undue concern on the patient’s part at the notice of “Maintenance Due”...

  • Page 56: Enable Therapy Menu

    BioMed Setup Menu. 8. ENABLE THERAPY: This field is used to customize the Moog Curlin Infusion pump to the specific therapy ordered for the patient. When you select this function by pressing the YES/ ENTER key, the menu below appears, listing all five of the possible therapies.

  • Page 57: Patient History Log

    The patient history log can be printed using the Moog Curlin Infusion print package and by selecting the “Print Pt. Hx” option. Selecting the “Clear Hx Log” option will erase the patient history log. When the history log is full, it will overwrite on a first-in, first-out basis.

  • Page 58: History Event Log

    History Event Log Figure 4.1 History Event Log 9. PRINT PATIENT HISTORY: To print the patient history log, connect the Data Interface Cable to the communication port on left side of the pump before selecting this command. (FOLLOW DIRECTIONS THAT ACCOMPANY THE DATA INTERFACE CABLE.) The pump will display:...

  • Page 59: Clearing The History Log

    BioMed Setup Menu. If the Patient History Log stops before all data is transferred, exit and restart the “Print Pt. Hx” command. Note: To utilize the print feature of the Moog Curlin Infusion pump, you must have a PC ™...

  • Page 60: Changing Date And Time

    13. CHANGE CONTRAST: The contrast on the display screen is automatically optimized and is no longer changeable with this option. Changing Date and Time 14. CHANGE DATE AND TIME: When this field is selected, the screen on the left appears: Change Date and Time Screen This screen is used to set the system Real Time Clock in the pump and will change the date and time displayed on the Welcome Screen.

  • Page 61: Program

    If a therapy is in progress, the date and time changing functions will IMPORTANT not be accessible until the therapy is complete. If “***ALERT*** INFORMATION DATE AND TIME CHANGE NOT ALLOWED” appears you will need to go to CLEAR PATIENT DATA/Rx above date and time and choose “enter”...

  • Page 62: Resuming A Therapy

    Resuming a Therapy 1. RESUME—If a therapy is interrupted and the pump is turned off or paused before completion of the infusion, you may select “RESUME” by moving the cursor to this field and pressing the YES/ENTER key. A notification screen displays, and a prompt is given to run the pump. At this time, you can continue to infuse the prescription from the exact point at which it was interrupted.

  • Page 63: How To Go To New Program

    If the current infusion is to continue, press “NO,” and you will be prompted to resume the therapy. If the current infusion is to be discontinued and a new IV bag started, press YES/ENTER to repeat. The following screen will then appear, asking whether or not you wish to maintain the ™...

  • Page 64: Safety System (Plss)

    Programming a PainSmart pump with Protocol Library Safety System (PLSS) Version 2 program Refer to Protocol Library Safety Software manual, part number 360-7042 YES key is used to verify or enter NO key is used to change, erase or leave screen Turn the pump on, watch self test and power source bar.

  • Page 65: Programming A Pump With A Protocol Library

    Programming a Pump with a Protocol Library Note: The ability to program, resume, or repeat a Library Protocol is restricted to the LIBRARY menu option. Press to scroll down to the “LIBRARY” function. Highlight “LIBRARY,” and then press “YES”, the following screen appears: Resume/Repeat Rx/New Program Menu Note: The “RESUME”...

  • Page 66: Resuming A Library Therapy

    9. To use the Library Therapy as pre-programmed in the pump, select “YES” in each highlighted area to accept the information. To change any of the preselected drug therapy options when highlighted, press “NO” and enter correct information. Note: Some options may be hard locked so that changes cannot be made or there may be preset limits that cannot be exceeded for safety.

  • Page 67: Repeating A Pre-Programmed Library Therapy

    Repeating a Pre-Programmed Library Therapy REPEAT Rx—Use this feature if an infusion is complete and you wish to repeat the same prescription over again or if a therapy is programmed and the pump is turned off before the infusion is started. Select this field by moving the cursor to REPEAT Rx, and press the YES/ ENTER key.

  • Page 68: Pca Therapy

    Chapter PCA Therapy The Moog Curlin Infusion pump is designed to deliver PCA, or Patient Controlled Analagesia, therapies. It is designed for therapies requiring a continuous rate of infusion, patient controlled boluses, or both. This chapter covers Moog Curlin Infusion pumps which can be programmed for PCA-IV, Epidural (EPI) or Subcutaneous (SQ).

  • Page 69: Administration Routes

    3. ADMIN Rt (Administration Route): Allows a selection from three routes of administration: the default setting of IV (intravenous), EPI (epidural), and SQ (subcutaneous). If Epidural is selected, the Therapy Identifier bar in the Prescription Menu will display EPI instead of PCA. Each of the routes has defined settings as illustrated in the following table: A d m i n i s t r a t i o n R o u t e s...

  • Page 70: Pca Medlmts™ Setup Screen

    P C A m e d L M T S ™ S e t u p S c r e e n a. MAX RATE (Maximum Rate) limits: Use the numeric keys to enter the upper limits of the infusion rate. When the correct maximum medLIMIT rate is entered, press YES/ENTER and the cursor will move to the next field.

  • Page 71: Pca Prescription Menu

    The range for this field is 1 to 9999. 2. BASL RATE (Basal Rate): The Moog Curlin Infusion pump in PCA Therapy can be set for a continuous basal infusion (see Figure 5.1). Use the numeric keys to enter the prescribed rate (the units chosen in the Pre-Prescription Menu will appear here).

  • Page 72: Run Options Screen

    This field will not be accepted with the YES/ENTER key until the rate is adjusted to fall within pump’s range. When the rate is correct, use the YES/ENTER key to accept, and move to the next field. 3. Pt. BOLUS (Patient Bolus Dose): Use the numeric keys to enter the prescribed bolus (patient demand dose) and when correct, press the YES/ENTER key to accept and move on to the next field.

  • Page 73: Prime Direction Screen

    1. Press and release the PRIME key at the Run Options screen. 2. The following screen appears: P r i m e D i r e c t i o n S c r e e n 3. Disconnect the administration set from the patient’s access site using aseptic protocols. Priming with the set connected to the patient could result in overdose IMPORTANT and may cause injury or even death to the patient.

  • Page 74: Options

    Note: The amount of fluid used in the priming process will be deducted from the Bag Volume Total but will NOT be counted in the amount infused because this amount is not to be delivered to the patient. The bag volume should still be equal to or greater than the Amount TBI before you can proceed with the infusion.

  • Page 75: Clinician Dose Menu

    require a clinician access code. (See “Clinical Information and Access Code” chapter for access code information, lock setting table and available features for each lock setting). 2. ClinDOSE? (Clinician Dose): Allows an additional prescribed dose to be administered by a clinician at any time except during a Load Dose or Bolus Dose.

  • Page 76: Shift Totals Screens

    S h i f t T o t a l s S c r e e n s a. Cleared/ELAPSED: This field displays the date and time the shift total was last cleared. It toggles with the amount of time elapsed since that clearing. b.

  • Page 77: Clear Hourly Totals Screen

    5. CLR HRLY (Clear Hourly Totals): To clear Hourly Totals press the NO/CHANGE key to change OFF to ON and then press YES/ENTER. The following screen will appear: C l e a r H o u r l y T o t a l s S c r e e n a.

  • Page 78: Air-In-Line Sensor Off Message Screen

    If setting is changed, the settings will remain in effect until a new therapy is programmed. Whenever the Air-In-Line Sensor is set to OFF, Moog Curlin Infusion IMPORTANT recommends the use of an air-eliminating filter.

  • Page 79: Pump Will Sense 2Ml Alert Screen

    If you press the NO key to indicate a filter is not in use, the Air-In-Line sensor will be set to detect the presence of any contiguous 2-milliliter air in the line. The alert message below will then briefly appear on the screen. If the alert occurred at the Run Options screen, the pump will start the infusion.

  • Page 80: Starting The Infusion

    Starting the Infusion RUN: When the programming is complete and the pump has been primed properly and connected to the access site, press the RUN key at the Run Option screen to start the therapy. The pump will begin infusing, and except when a Load Dose or Clin Dose is programmed, the following screen will display data on the status of the therapy: P C A R u n...

  • Page 81: Pca Information Screens

    P C A I n f o r m a t i o n S c r e e n s Note: The top line of these running screens will display the name of the running protocol when programmed in the Library mode, or it will display "Unidentified" when programmed outside of the library.

  • Page 82: Hanging A New Container

    Hanging a New Container 2. REPEAT Rx: To repeat the present therapy and add another IV container with the same prescription, press the YES/ENTER key at this field. If more than one therapy is programmed, a Select Therapy Screen will list all preprogrammed therapies. Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES/ENTER key.

  • Page 83: Entering A New Program

    Entering a New Program 3. NEW PROGRAM: To program an entirely new prescription or different therapy, press the YES/ENTER key at this field (the ability to change these parameters may be controlled by the lock setting). The display will return to the Pre-Prescription Screen. If the current container has not completely infused, the following screen will appear: a.

  • Page 84: Stopping The Infusion

    2. A completely filled in bar graph indicating infusion complete. 3. TOT Vol (Total Volume): If units are mg or mcg, this field will also toggle to give the “Total Infused.” 4. “Infusion Complete” is considered an alarm status, and the audio alarm will beep periodically every three seconds to alert the user to this condition.
  • Page 85 b. NEW PROGRAM: To program an entirely new prescription press the YES/ENTER key when this field is highlighted and the display will return to the Select Therapy Screen. (The lock setting can control access to this function.) Note: The therapy is complete; therefore, “RESUME” is not an option at this time and is not displayed.

  • Page 86: Troubleshooting

    Troubleshooting This section assists in identifying and resolving alert and alarm conditions that may occur during the use of the Moog Curlin Infusion pump. Alerts, Alarms, and Error Codes Alerts, Alarms, and Error Codes are classes of events that are relayed to the user and logged into the history file.
  • Page 87 remainder of the infusion. Note: If the screen is not acknowledged with a YES or NO key press, the Air-In-Line sensitivity will be set to 2 mL when the screen is cleared (i.e. alarm occurs while screen is displayed). ***ALERT *** AIR SENSOR HAS BEEN SET TO 2 ML LCD Display: Alert: Air-In-Line sensitivity will be set to 2mL...
  • Page 88 Cause: Occurs when bag volume is less than amount to be infused. Can also occur when pump’s priming feature is used and bag volume is depleted by the amount used in priming. To modify the Bag Volume or “Amt/Vol TBI,” press NO to return to the Run Resolution: Options screen.
  • Page 89 LCD Display: ***ALERT *** BOLUS REQUESTED Not time for bolus Alert: Cause: BOLUS button or key is pressed before the programmed time interval between bolus doses have elapsed. Advise patient of time limits between bolus doses per agency protocols. Resolution: LCD Display: ***ALERT *** CALCULATED AMT OUT OF RANGE Invalid calculated amount for infusion...
  • Page 90 If it is not necessary to preserve the therapy in progress or any other programmed therapy, use the “CLEAR Rx” feature of the Clinician BioMed menu. This feature will erase all programmed therapies in the pump. The date and time can then be changed. If the therapy is to be terminated but the prescription preserved (excluding Delayed Start), go to the Pause menu, select “REPEAT Rx”...
  • Page 91 Alert: Cancellation of a clinician dose is pending and can only be processed with the pump running. Cause: Clinician dose in progress is canceled while the infusion is paused; and the user attempts to enter a new Clinician Dose, prior to resuming the infusion Resolution: Resume the infusion and then program the desired Clinician Dose.
  • Page 92 Resolution: Recheck the field and accept it by pressing the YES/ENTER key. LCD Display: ***ALERT *** GREATER THAN MAX FIELD LIMIT, MAX = _____ Unable to program a field with a value that exceeds the maximum limit Alert: Cause: Value entered is greater than the allowable limit. Recheck data entry.
  • Page 93 Alert: Unable to enter KVO rate that is greater than infusion rate Occurs when user enters a KVO rate that is greater than infusion rate. Cause: Resolution: Recheck data entry. KVO rate must be less than programmed or calculated infusion rate. LCD Display: ***ALERT *** LESS THAN MIN FIELD LIMIT, MIN = ________ Alert: Unable to program a field with a value that is less than the minimum limit.
  • Page 94 Cause: While the Variable or Intermittent therapy is in progress, a lower number of doses to be delivered is entered than the number already infused. Resolution: Wait until current therapy in progress is complete, or pause pump and, using the 'REPEAT Rx” function, modify the number of doses. Note: Selecting to repeat the therapy in progress will terminate the current therapy.
  • Page 95 Resolution: Remove the remote bolus cord from the pump if connected. Refrain from pressing the BOLUS key. ***ALERT *** NUMBER OF DOSES INVALID LCD Display: Alert: Number of doses entered exceeds maximum for therapy The number of doses per bag in Intermittent therapy exceeds the allowable Cause: maximum.
  • Page 96 Alert: Cause: Administration set is not properly installed. Install the appropriate Moog Curlin Infusion administration set for the Resolution: desired therapy. Use ONLY Moog Curlin Infusion administration sets. See Chapter 2 figures 2.9 and 2.10 of the User’s Manual for proper installation of the administration set.
  • Page 97 Resolution: Use the BioMed SETUP menu Date and Time option to set the date and time. LCD Display: ***ALERT *** THERAPY TIME INVALID Invalid therapy time calculated. Alert: Cause: While programming or modifying an Intermittent therapy, the combination of dose duration and dose frequency result in a prescription with a duration greater than 288:00 HH:MM.
  • Page 98 Door is opened or administration set is not properly installed while the pump Cause: is running Check the door latch assembly and securely close the door. If the door was Resolution: closed properly, re-install the set according to the installation instructions. See Figure 1.8 for instructions on closing door.
  • Page 99 ALARMS Alarms are conditions that require correction by the user and may be a safety issue but are not system errors of the pump. All alarm conditions stop the infusion. The only exception to this rule is at the “Infusion Complete” alarm, which allows the KVO rate, when programmed, to continue infusing.
  • Page 100 Install appropriate Moog Curlin Infusion Administration set for desired Resolution: therapy. Use ONLY Moog Curlin Infusion Administration sets. If the blue tubing guide on the administration set has been damaged in any way, replace the entire administration set. See Chapter 2, Figures 2.9 and 2.10 for proper installation of administration set.
  • Page 101 Resolution: Pause the pump. Check administration set from IV bag to pump for potential causes of occlusion. Open the door of the pump and remove the administration set from the pumping chamber. If an area of the tubing is flattened, massage that area to a more rounded shape. If a clamp is in place, open it;...
  • Page 102 Cause: The Library Protocol units are not valid for the pump configuration. Select a different Library Protocol or revise the Library Protocol. Resolution: ***ALARM *** INVALID ROUTE FOR PUMP CONFIGURATION LCD Display: Alarm: Invalid Route for Pump Configuration The Library Protocol Route is not valid for the pump configuration Cause: Resolution: Select a different Library Protocol or revise the Library Protocol.
  • Page 103 ERROR CODES If a pump goes into an error code, a numeric code will appear on the display screen. If this has occurred, turn the pump off and back on. If the error code message does not reappear, continue using the pump. If the pump passes its start-up diagnostic tests, resume the therapy.
  • Page 104 Corrective Action Error LCD Displayed Probable Cause Code Message History File History Log Erased Report Error Code To Factory Turn pump OFF/ON Bad Cal Data Turn pump OFF Bad EEPROM Data CRC value Report Error Code To Factory Call Provider Report Error Code To Factory Analog to Digital Converter did not Turn Pump OFF Call Provider...
  • Page 105 Corrective Action Error LCD Displayed Probable Cause Code Message Stuck PERIOD Key Stuck Period / Silence Key If Key Was Pressed, Release It. Otherwise Report Error Code To Factory. Turn Pump OFF/ON or Call Provider Stuck ON OFF Key Stuck ON / OFF Key If Key Was Pressed, Release It.
  • Page 106 Corrective Action Error LCD Displayed Probable Cause Code Message Report Error Code To Factory Bad power up state Turn pump OFF/ON Call Provider Report Error Code To Factory Bad A to D Max address Turn pump OFF/ON Call Provider Report Error Code To Factory Turn pump OFF/ON Bad run state Call Provider...
  • Page 107 Corrective Action Error LCD Displayed Probable Cause Code Message Configuration Settings May Have Try To Turn Off Pump Then On. Turn Pump OFF/ON Call Provider Been Compromised If Ok, Continue, If Error Recurs, Return For Service Try To Turn Off Pump Then On. Display String Oversize Turn Pump OFF/ON Call Provider If Ok, Continue, If Error Recurs,...

  • Page 108: Accessories

    Chapter Accessories There are a number of helpful accessories for use with the Moog Curlin Infusion pumps. Some of the most common accessories are described in this chapter. For a complete and updated list, refer to the Moog website. www.moog.com/medical.

  • Page 109: Remote Bolus Cord (340-2005)

    Remote Bolus Cord (340-2005) This five-foot flexible cable offers a remote push button switch for the patient’s use in administering bolus dosing in the PCA therapy. This accessory cannot be used in any therapy except PCA; and if it is left connected for any other therapy, an alert message will display on the pump screen, instructing the operator to remove this cable.

  • Page 110: Lockable Safety Shells

    Lockable Safety Shells These accessories are hard-plastic, durable cases that are lockable with a key. The 250 mL safety shell (360-0018) will secure medication bags of up to 250 mL, administration set and the pump, and yet allow access to the pump’s keypad, controls, communication connectors, and battery compartment door.

  • Page 111: Pump Holster (340-0111)

    This accessory is a simple “slide pump in” case with a pole clamp-mounting bracket on the back, allowing the pump to securely be mounted onto a pole and yet allow the user easy access to the display, keypad, controls, battery compartment, and connectors for external power or communications. Moog Curlin Medical Holster with pole mount to be attached to an IV pole.

  • Page 112: Keypad Covers

    Keypad Covers These accessories are hard-plastic, durable keypad covers that can optionally be used with the (340-0141, 340-0141-01 and 340-0141-02) lockboxes to cover the keypad. The keypad covers are available in four configurations: • Type 0 (340-0142) covers all the keys. •...

  • Page 114: Cleaning, Environmental Conditions, And Maintenance

    Chapter Cleaning, Environmental Conditions, and Maintenance Following the guidelines for care listed below will assure the best appearance and longest life of the Moog Curlin Infusion pump. Cleaning The Moog Curlin Infusion pumps are designed to be resistant to fluid spillage from any direction but are not to be immersed in solutions.

  • Page 115: Transport And Storage

    Transport and Storage During transport or storage, the batteries should be removed; the pump should be cleaned and kept in its hard-shell packing case. The environmental conditions should be within the range of: • An ambient temperature -20° F to 140°F •...
  • Page 116 1. PARTIES COVERED BY THIS WARRANTY: This warranty extends only to the original Purchaser of the pump. This warranty does not extend to subsequent purchasers. The original Purchaser may be a patient, medical personnel, or a medical facility that purchases the pump for treatment of patients.

  • Page 117: Procedure For Checking Pumps Between Patients

    Also, various parameters are initialized. Note: Between patient testing is not required for Moog Curlin Infusion pumps when anti- siphon valve administration sets are being used. This procedure is intended to be used by technicians familiar with operation of the Moog Curlin ™ PainSmart IOD infusion pump.
  • Page 118 • Beaker with clean, fresh water or IV container. Note: If the administration set contains a filter, sterile saline or sterile water should be used. Maintenance between Patients 1. CLEAN AND INSPECT PUMP FOR DAMAGE: a. Clean the pump with a soft cloth dampened with a designated antiseptic, disinfectant solution or a solution of household bleach diluted 9:1 with water.
  • Page 119 inches above the pump. c. Connect the downstream side of the administration set to a volumetric accuracy measurement device (i.e. a calibrated scale or burette) at the same level as the pump +/- 2 inches. Pre Rx: Pre Rx: UNITS: UNITS: Admin Rt: CONC:...
  • Page 120 c. Up Stream Occlusion - Resume the infusion pumping then pinch off or close the up-stream side of the administration set. Confirm that the pump goes into an Up Occlusion alarm. Open or clear the up stream occlusion, press PAUSE then RESUME the infusion. d.

  • Page 122: Technical Specifications

    Chapter Technical Specifications The following specifications apply to the Moog Curlin Infusion Ambulatory Infusion Pump: Note: Flow rates and bolus dose limits may be less than indicated in these tables based on specific customizations. ITEM SPECIFICATION Curvilinear peristaltic finger action...
  • Page 123 Single Fault Conditions is 0.8 mL. Recommended administration set usage not to exceed 72* hours. *follow standards of practice for set changes Proprietary Moog Curlin Infusion non- Administration Sets DEHP, PVC administration sets available in different configurations. Non-filtered microbore sets ± 4 mL.
  • Page 124 Down Occlusion Detection For non-filtered sets: Time Rate Low Pressure High Pressure Microbore tubing with 0.1 mL/hr ≤ 1 hr. 30 minutes ≤ 2 hrs. 15 minutes occlusion at distal Luer 1 mL/hr ≤ 7 minutes ≤ 16 minutes 10 mL/hr ≤...

  • Page 132: Clinician Information And Access Code

    Chapter Clinician Information and Access Code This chapter should be removed before initial patient training and instruction on the Moog Curlin Infusion pump so the intended locked functions or secured functions of the pump cannot be accessed except by a trained clinician. Removal of this chapter will assist in patient safety.
  • Page 133 Guidance and Manufacturer’s Declaration - Electromagnetic Immunity The PainSmart™ IOD , 6000 CMS™ and 6000 CMS™ IOD™ is intended for use in electromagnetic environment specified below. The customer or the user of the PainSmart™ IOD, 6000 CMS™ and 6000 CMS™ IOD™should assure that it is used in such an environment. Immunity Test IEC 60601 Compliance Level...
  • Page 134 Guidance and Manufacturer’s Declaration - Electromagnetic Immunity The PainSmart™ IOD , 6000 CMS™ and 6000 CMS™ IOD™ is intended for use in electromagnetic environment specified below. The customer or the user of the PainSmart™ IOD, 6000 CMS™ and 6000 CMS™ IOD™should assure that it is used in such an environment. Immunity Test IEC 60601 Compliance Level...
  • Page 135 Lock Setting Table The following table illustrates which features are controlled under which lock settings: “No” indicates that the correct access code must be entered in order to perform the pump operation. Active Lock Lock Lock Lock Pump Operation Therapy Change Lock Settings All settings with correct access code Turn Pump Off/On...
  • Page 136 1. The setting is changed by using either the “BioMed SETUP” function or the OPTIONS function. Note: Entering a new program will NOT change the Lock Level from its current setting. 2. The user selects a preprogrammed Protocol from a Protocol Library Safety System- enabled pump.

  • Page 138: Painsmart Tm Iod

    Chapter PainSmart IOD Catalog Numbers PAINSMART IOD CATALOG NUMBERS Lens Catalog Number Units Default Route Fixed Route # Lock Color Code Digits 360-1300-E1 Yellow 360-1300-E2 Yellow 360-1300-E3 White 360-1300-E4 White 360-1300-E5 White 360-1300-E6 White 360-1300-E7 White 360-1300-E8 Green 360-1300-E9 White 360-1300-E10 Green Pump has been factory configured to specifications indicated in the above columns.
  • Page 141 Rev. I 360-9043...

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