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baxter 2M91617A Operator's Manual

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Operator's Manual
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CX
PRODUCT CODES: 2M91617A and 2M91637A
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Prior to using this pump, read this manual carefully to fully understand
the pump's functionality and to ensure safe and proper operation.
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CD071968806

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Summary of Contents for baxter 2M91617A

  • Page 1 Operator’s Manual PRODUCT CODES: 2M91617A and 2M91637A Prior to using this pump, read this manual carefully to fully understand the pump’s functionality and to ensure safe and proper operation. CD071968806...
  • Page 2 Baxter. This manual and any information contained within, may not be reproduced, distributed, or transmitted in any form, or by any means, for any purpose, without the express written permission of Baxter. To order additional copies of this manual, or other related manuals, contact your local Baxter Service Center. Disclaimer The information in this document has been carefully examined and is believed to be entirely reliable.

  • Page 3: Table Of Contents

    Table of Contents Material Specifications ................... ix Chapter 1 Introduction ........User Assistance Information.................
  • Page 4 Table of Contents Display Reference Guide ..................2-10 Main Display Screen................2-11 Programming Screens ................2-13 Pop-up Windows ................2-14 Menus ....................2-14 Main Display Icons .................. 2-14 Label Location ....................2-17 Pump Software Features ..................2-19 PERSONALITY Feature Sets ..............2-19 Label Library ...................
  • Page 5 Table of Contents Chapter 4 Operating Instructions ......Starting Up ........... . 4-1 Powering On Using AC Power ................
  • Page 6 Table of Contents Programming an Infusion ........4-21 Primary Infusions....................
  • Page 7 Table of Contents Adding or Changing a Label Line During an Infusion ........4-71 Viewing COLLEAGUE GUARDIAN Limits During an Infusion ....4-71 Changing the Secondary Flow Rate During an Infusion ........4-73 Panel Lockout ..................... 4-74 Activating/Deactivating Panel Lockout........... 4-74 Auto Lock ....................
  • Page 8 Table of Contents Chapter 6 Configurable Options....... 6-1 Overview....................... 6-1 General Pump Options..................
  • Page 9 Table of Contents Troubleshooting Alarms ..................8-7 Overview....................About the Damaged Battery Alarm ............Troubleshooting Air Detected Alarms............Troubleshooting Other Alarms ..............8-12 Troubleshooting Alerts ..................8-16 Chapter 9 Technical Specifications ......Pump Specifications .....................
  • Page 10 Table of Contents Chapter 11 Quick Reference Guide ......11-1 User Assistance Information................11-1 North America ..................

  • Page 11: Material Specifications

    Table of Contents Material Specifications The pump contains the plastics and alloys listed below. Note: No natural latex was used in the manufacture of this pump or its power cord and plug.  Acrylonitrile Butadiene Styrene (ABS)  Acetal 25% Glass Fiber (GF) Reinforced ...
  • Page 12 Table of Contents COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL CD071968806...

  • Page 13: Chapter 1 Introduction

    For product usage information or clinical questions, call Baxter Medication Delivery Product Information Center at 1-800-933-0303. Outside North America Visit www.baxter.com/baxter_worldwide.html for contact information or call your Baxter customer service representative to locate the nearest service center. Overview Note: All information contained in this manual is applicable to the COLLEAGUE CXE (single channel pump) and COLLEAGUE 3 CXE (triple channel pump) unless otherwise noted.
  • Page 14  Special programming functions for dosing  Configurable PERSONALITY feature sets  Uses Baxter standard administration sets equipped with keyed slide clamps. See “Recommended Administration Sets,” 4-15.  Automatic tube loading with misloading detection  A label library displaying the medication/solution being administered.

  • Page 15: Safety Summary

    Introduction Safety Summary The pump has a flexible graphical interface that can be used to configure the available features. As many as eight custom PERSONALITY feature sets can be created by selecting the operating functions which are needed to meet the needs of an individual care area or for specific therapies.

  • Page 16: Labeling Symbol Definitions

    • Use collection and return systems available to you. Bar below bin: Product distributed after August 13, 2005. For more information on return, recovery or recycling of this product, please contact your local Baxter representative. COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL...
  • Page 17 • Battery must be recycled. Bar below bin: Product distributed after August 13, 2005. Battery: Nonspillable lead acid sealed battery. For more information on return, recovery or recycling of this product, please contact your local Baxter representative. Fragile; handle with care. Keep dry.

  • Page 18: Warnings And Cautions

    Warnings and Cautions  Labeling abbreviations: COMM. PORT Communications Port VOL. Volume CONT. Contrast  Serial Number Format: Year of Manufacture Month of (15 = 2005) Manufacture 15040362DS Sequential Single Channel COLLEAGUE CXE Pump Number Year of Manufacture Month of (15 = 2005) Manufacture 15060362US...

  • Page 19: Warnings

    • Clearly distinguish pumps used for epidural drug delivery from pumps used for other routes of administration. This device should be repaired only by Baxter authorized service personnel or ! WARNING ! Baxter-trained hospital biomedical engineering personnel, using only Baxter recommended parts.
  • Page 20 COLLEAGUE pump compatible or denoted with an “s” in the product code. If you have questions about administration set compatibility, contact the Baxter Product Information Center at the number shown on the administration set labeling. Using anything other than the recommended administration sets with this pump will result in operation that is not within the constraints and parameters of the device.

  • Page 21: Cautions

    Do not allow fluid to enter the tubing channel or load wet tubing into the pump. ! WARNING ! Contact your Baxter Service Center for assistance immediately if fluid enters the tubing channel. The tubing channel should be cleaned as soon as possible by Baxter-trained, qualified personnel to minimize potential difficulties caused by fluid pooling and drying on the mechanism.

  • Page 22: Notes

    • If this is an initial purchase from the manufacturer, you may return a signed copy of the packing list to the manufacturer in order to comply with these requirements. Call 1-800-THE-PUMP or Baxter’s local sales office for additional information. Indications for Use...
  • Page 23 Introduction Indications for Use The COLLEAGUE CXE and COLLEAGUE 3 CXE pumps can be used in the following care areas:   General Floor of the Hospice Facility Hospital  Outpatient/Subacute  Critical/Intensive Care Facilities   Neonatal Intensive Care Nursing Facilities ...
  • Page 24 Indications for Use 1-12 COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL CD071968806...

  • Page 25: Chapter 2 Description

    Chapter 2 Description Chapter 2 Overview This chapter describes the controls, indicators, and displays on the pump, and provides a brief functional description of the pump’s features and infusion modes. The following information is provided in this chapter:  “Description of Controls and Indicators” on page 2-2 ...

  • Page 26: Description Of Controls And Indicators

    Description of Controls and Indicators Description of Controls and Indicators Front Panel Features Figure 2-1 is the front view of the single channel pump. MAIN BODY See Table 2-1 MAIN DISPLAY PUMP MODULE See Table 2-2 PUMP MODULE DISPLAY SLOT FOR KEYED SLIDE CLAMP STATUS LEDS TUBING CHANNEL FLUID FLOW DIRECTION LABEL...
  • Page 27 Description Description of Controls and Indicators Figure 2-2 is the front view of the triple channel pump. Table 2-1 describes the controls and indicators on the main body of the pump. MAIN BODY See Table 2-1 TUBING GUIDE MAIN DISPLAY PUMP MODULES See Table 2-2 CHANNEL A...
  • Page 28 Description of Controls and Indicators Table 2-1 Main Body Controls and Indicators Item Description Function Keys This key accesses the Main Display screen from all other operating screens, except screens with pop-up windows or passcode service functions. This key accesses the Volume History screen, allowing the user to view a history of volume delivered.
  • Page 29 Illumination of this icon also indicates the battery is being charged. This yellow icon is lit only when the pump is operating on battery power. MONITOR For Baxter diagnostic purposes only. COMPUTER CONTROL FOR FUTURE USE. Triple channel pumps only. The color-coded tubing guide on the left side of triple channel pumps assists the clinician in identifying lines during a multi-channel infusion.

  • Page 30: Pump Module Features

    Description of Controls and Indicators Table 2-1 Main Body Controls and Indicators — continued Item Description The pump’s Main Display is capable of displaying 10 different colors and includes information for all three channels of a triple channel pump. Note: For optimum viewability, view the display from a position directly in front of the screen.
  • Page 31 Description Description of Controls and Indicators Table 2-2 Pump Module Controls and Indicators — continued Description Triple channel pumps only. • When pressed once, this key selects or deselects a particular pump channel for use. The LED on the key lights and the selected channel’s programming screen appears on the Main Display.
  • Page 32 Description of Controls and Indicators Table 2-2 Pump Module Controls and Indicators — continued ALERT LED This yellow LED remains on continuously during an alert condition, if there are no active alarms. ALARM LED This red LED flashes on and off during an alarm condition and remains on continuously during a failure condition.

  • Page 33: Rear Panel Features

    Description Description of Controls and Indicators Rear Panel Features See Figure 2-3 for the rear view of a triple channel pump. Table 2-3 describes the rear panel features. MAIN DISPLAY AUDIO SPEAKER CONTRAST CONTROL VOLUME CONTROL PANEL LOCKOUT BUTTON FUSE HOLDERS BACKUP BEEPER GRILL COMMUNICATION PORT...

  • Page 34: Color Reference Guide

    Display Reference Guide Table 2-3 Rear Panel Features — continued Item Description Audio speaker and beeper Generate alert and alarm tones. Mounting clamp and knob Secures the pump to a pole. Manual tube release Flip-out knob for manual tube unloading. The Panel Lockout button disables all the front panel keys except the Main PANEL LOCKOUT button...

  • Page 35: Main Display Screen

    Description Display Reference Guide Main Display Screen The main display screen provides information about the current or most recent infusion. Information which may appear on main display screens is described in the following table. Examples of main display screens are shown in and described in Table 2-5.
  • Page 36 Display Reference Guide PERSONALITY Feature Set Single Channel Pump Infusion parameters Status line COLLEAGUE GUARDIAN (no message present) feature icon (mortar and pestle) Battery Charge Icon Battery Charge Icon (blinking) (blinking) Operating State Icon (Running) Up and down arrow keys Label Dose mode identifier Prompt line...

  • Page 37: Programming Screens

    Description Display Reference Guide Programming Screens Programming screens have fields where infusion program values are entered. The programming screens for each programming mode are different because each mode requires that different information be programmed. Programming screen examples are shown in Figure 2-5. Single Channel Pump Status Line Battery Charge Icon...

  • Page 38: Pop-Up Windows

    Display Reference Guide Pop-up Windows Pop-up windows are message boxes that appear on top of the usual screen display. Pop-ups may require user response in order to clear them from the display. Menus In some situations, a menu containing additional selections is provided ...
  • Page 39 Description Display Reference Guide Table 2-6 Main Display Icons — continued Icon Description As the battery charge level continues to decrease, the battery charge icon continues to change. When the battery time remaining is 20 to 60%, the icon contains two yellow bars as shown at left.
  • Page 40 Display Reference Guide Table 2-6 Main Display Icons — continued Icon Description This icon indicates a Delay Start infusion. It is displayed on the primary programming screen when programming a delay start infusion for a channel, and on the main display when a programmed delay start infusion is pending for a channel.

  • Page 41: Label Location

    Figure 2-7 shows the location of the pump’s labels for single channel pumps. Figure 2-8 shows the location of the pump’s labels for triple channel pumps. If any labels are missing or damaged, contact your local Baxter Service Center for replacement information. COLLEAGUE GUARDIAN...
  • Page 42 Label Location COLLEAGUE GUARDIAN MAINTAIN BATTERY CHARGE (OPTIONAL) FEATURE TEMPERATURE LIMITS TUBING GUIDE LABEL SIGNATURE/RATINGS (English pumps only) WORDMARK SERIAL NUMBER BAR CODE COLLEAGUE 3 CXE CHANNEL ATTENTION SELECT “A” LABEL MANUAL TUBE RELEASE CHANNEL SELECT “B” LABEL CHANNEL CONTRAST CONTROL SELECT “C”...

  • Page 43: Pump Software Features

    Description Pump Software Features Pump Software Features In addition to basic infusion delivery capabilities, the pump has the following features that help to enhance versatility and to help ensure accurate infusion programming. PERSONALITY Feature Sets The pump provides the capability for a facility to create up to eight different custom PERSONALITY feature sets, programmed with infusion settings specific to a particular care area or therapy.

  • Page 44: Label Library

    Infusion Modes Label Library This configurable feature allows the user to select informational labels for display on the Programming screen (Figure 2-9) and Main Display screen (Figure 2-10), and an eight-character abbreviation of the label on the Pump Module display. For information on selecting a label during programming, see “Selecting a Label,”...

  • Page 45: Rate-Volume Infusions

    Description Infusion Modes Rate-Volume Infusions This mode allows programming the flow rate and the infusion volume, and the pump then runs at the programmed rate until the programmed volume has been delivered. The pump then switches to the KVO (Keep Vein Open) rate.
  • Page 46 Infusion Modes General information about the COLLEAGUE GUARDIAN feature is listed below.  Labels configured with limits using the COLLEAGUE GUARDIAN feature appear in a separate list. The list of COLLEAGUE GUARDIAN labels is accessed by pressing the soft key from the Primary Rate-Volume or Colleague Guardian Volume-Time programming screen, or by pressing the Change...
  • Page 47 Description Infusion Modes  On the Main Display, the flow rate for infusions for which the clinician chose to override the predefined limits are displayed in red text on a yellow background. See Figure 2-12 for an example of a Main Display screen for an infusion that overrides the COLLEAGUE GUARDIAN feature limits.

  • Page 48: Dose Modes

    Infusion Modes Dose Modes Dose programming lets the user program a primary infusion using dose parameters. The dose can be programmed independent of patient parameters or based on patient body weight. The following dose modes are allowed:  General (independent of patient parameters) •...

  • Page 49: Changing A Parameter After All Parameters Have Been Entered

    Description Infusion Modes  Based on patient body weight: × Dose Patient Weight Rate ----------------------------------------------------- - Concentration To calculate dose from an entered rate, the following formulas are applied:  General: × Dose Rate Concentration  Based on patient body weight: ×...

  • Page 50: Primary Delay Start Mode

    Infusion Modes For instructions on programming dose infusions, see “Programming a Primary Dose Mode Infusion (Non-Weight Based),” 4-39 and “Programming a Primary Dose Mode Infusion (Weight-Based),” 4-43. Primary Delay Start Mode Primary Delay Start is an optional feature available on the Programming Modes menu.

  • Page 51: Chapter 3 Preparation For Use

    Chapter 3 Preparation for Use Chapter 3 Environmental Conditions The pump should be operated within the following environmental conditions in order to meet the pump's performance specifications:  Temperature: 15ºC to 38ºC (59ºF to 100ºF)  Relative Humidity: 20% to 95% (non-condensing) ...

  • Page 52: Mounting The Pump On An Iv Pole

    Setup Instructions Before initially powering on the pump, charge the battery for at least 12 uninterrupted hours. A complete charge may take longer than 12 hours. Mounting the Pump on an IV Pole When attaching this pump to an IV pole, ensure it has been securely clamped CAUTION and ensure that the IV pole is stable and secure.

  • Page 53: Changing The Mounting Bracket Orientation (Single Channel Pumps Only)

    Check-out If the pump has been dropped or appears to be damaged, it should be taken out of ! WARNING ! service and inspected by Baxter-trained, qualified personnel only. Perform the following visual inspections before each use:  Display screens and keypads: check for wear, scratches, or cracks ...
  • Page 54 Check-out COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL CD071968806...

  • Page 55: Chapter 4 Operating Instructions

    Chapter 4 Operating Instructions Chapter 4 Note: Throughout the Operating Instructions chapters, sample screens for a triple channel pump are shown. See “Display Reference Guide” on page 2-10 for the screen display differences between triple channel pumps and single channel pumps. Starting Up Powering On Using AC Power Note:...
  • Page 56 Self-diagnostic testing occurs whenever the pump is powered ON. If any of the following occur during self-diagnostic testing, the pump must be removed from service and inspected by Baxter-trained, qualified personnel:  Dark spots or lines on Main Display while display is all white.
  • Page 57 Operating Instructions Powering On Using AC Power If the pump is running on AC power, the Main Display prompts the user to perform the speaker test. This helps ensure that alarms and alerts are audible and that the volume level is appropriate for the care area.
  • Page 58 Powering On Using AC Power On completion of all self-diagnostic tests, the Power On screen changes to the display shown in Figure 4-4 (for triple channel pumps, Channels B and C power off after self-diagnostic tests complete). The soft keys available on this screen depend on the configuration options selected for the pump: ...

  • Page 59: Selecting A Pump Personality Feature Set

    Operating Instructions Selecting a Pump PERSONALITY Feature Set Selecting a Pump PERSONALITY Feature Set The PERSONALITY feature set can only be changed at power on. Changing the PERSONALITY feature set also clears the volume history and the programming parameter settings such as Rate and Volume to be Infused.

  • Page 60: Adjusting The Audible Volume

    Adjusting the Audible Volume Adjusting the Audible Volume To adjust the volume of the audible tones produced by the pump: Locate the volume control on rear of the device handle. Rotate the volume control to increase or decrease the volume as needed.

  • Page 61: Low Battery Condition

    Operating Instructions Powering On Using Battery Power Low Battery Condition If the pump is powered up on battery power and a Low Battery condition exists, a Plug In Now alert pop-up is displayed (Figure 4-9) prior to the speaker test, alerting the user that there is less than 30 minutes of battery time remaining.

  • Page 62: Operating On Battery Power

    Battery Charge Icon Descriptions Operating on Battery Power The pump can be battery-powered in emergency situations and while transporting patients. AC power should be used when not transporting patients. The battery charge icon is displayed at all times in the upper left part of the screen, even when the device is operating on AC power (Figure 4-11).
  • Page 63 Operating Instructions Battery Charge Icon Descriptions Table 4-1 Battery Charge Icons and Descriptions — continued Icon Description When the battery time remaining is only 5 minutes, the battery charge icon appears as an empty outline as shown at left. The icon will remain an empty outline until the battery is depleted and pump shuts itself off.

  • Page 64: Battery Charge Alerts And Alarms

    Battery Charge Alerts and Alarms Battery Charge Alerts and Alarms As the pump runs on battery and remaining battery time decreases, a progression of alerts and alarms advise the user of the declining battery power. These alerts and alarms are described below. For additional information, see “Troubleshooting,”...
  • Page 65 Operating Instructions Battery Charge Alerts and Alarms When the battery time remaining reaches 30 minutes, the LOW Battery - Plug In Now alert occurs. An audible tone sounds and a Plug In Now pop-up window displays (Figure 4-14), alerting the user that infusions will stop in less than 30 minutes.

  • Page 66: Battery Charge Progress Indicator Alert

    Battery Charge Progress Indicator Alert When the battery is fully depleted, the NO BATTERY - Plug In Now alarm occurs. An audible tone sounds and a Plug In Now pop-up window displays (Figure 4-16), alerting the user that infusions have stopped and the pump will shut down in less than 5 minutes.

  • Page 67: Damaged Battery Alert And Alarm

    Operating Instructions Damaged Battery Alert and Alarm Damaged Battery Alert and Alarm See “Troubleshooting,” 8-1 for information about the damaged battery alarm and alert. Preparing for an Infusion Preparing the Primary Infusion Container and Set Always read and follow the instructions which accompany the source container ! WARNING ! and administration sets you are using.
  • Page 68 Preparing the Primary Infusion Container and Set The pump may not detect an upstream occlusion if one or more of the following ! WARNING ! conditions exist: • All air removed from the source container • Incomplete insertion of the spike into the source container •...

  • Page 69: Replacing The Primary Infusion Container (Using The Same Administration Set)

    COLLEAGUE pump compatible or denoted with an “s” in the product code. If you have questions about administration set compatibility, contact the Baxter Product Information Center at the number shown on the administration set labeling. Using anything other than the recommended administration sets with this pump will result in operation that is not within the constraints and parameters of the device.

  • Page 70: Loading The Administration Set

    Do not allow fluid to enter the tubing channel or load wet tubing into the pump. ! WARNING ! Contact your Baxter Service Center for assistance immediately if fluid enters the tubing channel. The tubing channel should be cleaned as soon as possible by Baxter-trained, qualified personnel to minimize potential difficulties caused by fluid pooling and drying on the mechanism.
  • Page 71 Operating Instructions Loading the Administration Set Close the keyed slide clamp on the administration set so it occludes the tubing to prevent free flow. Hold the keyed slide clamp with the notched side up (Figure 4-19A). Insert the keyed slide clamp into the slot in the pump (Figure 4-19B). Pull the administration set taut and slide it all the way into and along INTO PUMP...

  • Page 72: Using The Optional Prime Function

    ! WARNING ! regulating clamp immediately. Ensure that all steps have been properly performed. If flow is still observed, remove the pump from service and contact Baxter-trained, qualified personnel. Using the Optional Prime Function Overview The optional Prime function can be used to assist clinicians in preparing a primary administration set for infusion.
  • Page 73 Operating Instructions Using the Optional Prime Function Load the administration set into the desired pump channel as described in “Loading the Administration Set,” 4-16. From the Main Display, access the Programming screen: For single channel pumps: For triple channel pumps: press the soft key or press the desired...
  • Page 74 Using the Optional Prime Function Press and hold the soft key until all the air is expelled from the Prime administration set. The PRIME ACTIVE pop-up (Figure 4-23) is displayed while the soft key is pressed. Release the soft Prime Prime key when finished priming.

  • Page 75: Programming An Infusion

    Operating Instructions Primary Infusions Programming an Infusion Before starting an infusion, the administration set must be fully loaded.  If an administration set has not been loaded and START pressed, a Tube Not Loaded alarm will occur.  If an administration set is still loading and START is pressed, a Tube Loading in Progress alarm will occur.
  • Page 76 Primary Infusions Enter the flow rate using the numeric keypad.  keys to highlight the Volume to be Press the key or use the infused field. Do not enter a Volume to be infused greater than the ! WARNING ! amount of fluid available in the container.
  • Page 77 Operating Instructions Primary Infusions Press the key to start the infusion. START If a secondary infusion has been programmed but not started, or if any values remain from a stopped secondary infusion, a pop-up appears (Figure 4-26) warning that a primary infusion is about to start when a secondary infusion has been programmed.

  • Page 78: Selecting A Label

    Primary Infusions Selecting a Label If the Label Library feature is enabled, use the procedure below to select an informational label for an infusion. Access the desired programming screen: For single channel pumps: For triple channel pumps: press the press the desired Primary Channel Secondary...

  • Page 79: Programming A Primary Volume-Time Infusion

    Operating Instructions Primary Infusions Programming a Primary Volume-Time Infusion From the Main Display screen: For single channel pumps: For triple channel pumps: press the soft key. press the desired Primary Channel Select key. Press the soft key. The Programming Modes menu is Change Mode displayed (Figure 4-30).
  • Page 80 Primary Infusions Note: The time duration must be less than or equal to 99:59. Time Duration If a time greater than 99:59 is entered, **:** is dis- Greater than Time Duration played and highlighted in the field 99:59 (Figure 4-32). The infusion cannot be confirmed or started.

  • Page 81: Programming A Primary Colleague Guardian Infusion (Rate-Volume)

    Operating Instructions Primary Infusions Programming a Primary COLLEAGUE GUARDIAN Infusion (Rate-Volume) From the Main Display, access the Programming screen: For single channel pumps: For triple channel pumps: press the soft key or press the desired Primary Channel keys. key. Rate Volume Select From the Programming screen, press the...
  • Page 82 Primary Infusions The labels for which COLLEAGUE GUARDIAN limits have been defined are displayed in a pop-up window (Figure 4-34). A yellow triangle beside the label indicates that the standard concentration can be edited if clinically necessary.  Use the keys (and soft keys if necessary) Page Up/Page Down...
  • Page 83 Operating Instructions Primary Infusions (Optional) To view a pop-up window (Figure 4-36) showing the limits programmed for the label, highlight the Rate field, then press soft key. Press the soft key to close the pop-up View Limits Done and continue. ...
  • Page 84 Primary Infusions Press the key to begin the infusion. COLLEAGUE START GUARDIAN infusions are indicated by the mortar and pestle icon next to the label on the Main Display screen (Figure 4-38) Note: If the clinical decision was to override the Overriding COLLEAGUE GUARDIAN limits, the rate is displayed COLLEAGUE...

  • Page 85: Programming A Primary Colleague Guardian Infusion (Non-Weight-Based)

    Operating Instructions Primary Infusions Programming a Primary COLLEAGUE GUARDIAN Infusion (Non-Weight-Based) From the Main Display, access the Programming screen: For single channel pumps: For triple channel pumps: press the soft key or press the desired Primary Channel keys. key. Rate Volume Select From the Programming screen, press the...
  • Page 86 Primary Infusions (Optional) To view a pop-up window (Figure 4-41) showing the limits programmed for the label, highlight the Concentration or Dose fields, then press the soft key. Press the View Limits Done soft key to close the pop-up and continue. Concentration limits cannot be overridden.
  • Page 87 Operating Instructions Primary Infusions Press the soft key. Confirm Primary If the values entered result in a dose that is outside the COLLEAGUE GUARDIAN dose limits, a Limits Warning pop-up is displayed, showing the calculated dose and the dose limits (Figure 4-43).

  • Page 88: Programming A Primary Colleague Guardian Infusion (Weight-Based)

    Primary Infusions  Press the soft key to access the secondary infusion Secondary programming screen. Clear or confirm the secondary infusion program as needed. For more information about secondary infusions, see “Secondary Infusions,” 4-48. Note: Clearing the values in the secondary program pre- Unintended vents the warning pop-up from reappearing when Secondary...
  • Page 89 Operating Instructions Primary Infusions The programming mode changes to the mode configured for the selected label, and the Drug Amount, Diluent Volume, and Concentration fields are filled with the defined values. The Weight field is highlighted (Figure 4-46). If a default dose has been configured, it appears in the Dose field.
  • Page 90 Primary Infusions  Use the key to highlight the Dose field. Enter the desired dose (or change the default dose, if clinically appropriate) using the numeric keypad. The pump displays the dose and calculated flow rate. Figure 4-48 Calculated Values (Optional) To view a pop-up window (Figure 4-49) showing the limits programmed for the label, highlight the Concentration or Dose fields, then press the...
  • Page 91 Operating Instructions Primary Infusions If values are changed so that the resulting drug amount, diluent volume, or concentration is non-standard, the changed values are indicated by white triangles beside them (Figure 4-50). Verify that all values are appropriate and:  that pump programming matches the label on the source container and the physician’s order ...
  • Page 92 Primary Infusions Press the key to begin the infusion.COLLEAGUE START GUARDIAN infusions are indicated by a mortar and pestle icon next to the channel on the Main Display screen A yellow triangle is displayed beside the label name if the drug amount, diluent, or concentration was changed to deviate from the standard COLLEAGUE GUARDIAN settings.

  • Page 93: Programming A Primary Dose Mode Infusion (Non-Weight Based)

    Operating Instructions Primary Infusions Programming a Primary Dose Mode Infusion (Non-Weight Based) From the Main Display, access the Programming screen: For single channel pumps: For triple channel pumps: press the soft key or press the desired Primary Channel keys. key. Rate Volume Select...
  • Page 94 Primary Infusions Check the units of measure displayed for the Drug Amount. To enter the drug amount in units other than the one displayed: Press the soft key to display the Units Change list Units (Figure 4-54).  Use the keys to highlight the desired units.
  • Page 95 Operating Instructions Primary Infusions  Use the key to highlight the Volume to be infused field (Figure 4-56). The Volume to be infused field defaults to the Diluent Volume. The Volume to be infused may be less than the Diluent Volume, but cannot be greater than the Diluent Volume.
  • Page 96 Primary Infusions Press the appropriate key to begin the infusion. The Main START Display screen shows the rate, volume remaining, and the dose (Figure 4-58). If a secondary infusion has been programmed but not started, or if any values remain from a stopped secondary infusion, a pop-up appears (Figure 4-26 on page 4-23) warning that a primary infusion is about to start when a secondary infusion has been programmed.

  • Page 97: Programming A Primary Dose Mode Infusion (Weight-Based)

    Operating Instructions Primary Infusions Programming a Primary Dose Mode Infusion (Weight-Based) From the Main Display, access the Programming screen: For single channel pumps: For triple channel pumps: press the soft key or press the desired Primary Channel keys. key. Rate Volume Select From the Programming screen, press the...
  • Page 98 Primary Infusions Press the soft key to display the Dose Programming screen Select (Figure 4-61), which allows entry of patient weight. Any dose parameters retained in memory are displayed.  To use the existing parameters, press the soft Confirm Primary key.
  • Page 99 Operating Instructions Primary Infusions Enter the desired Diluent Volume using the numeric keypad. Note: The pump calculates the concentration as diluent vol- Concentration ume is entered. In Figure 4-63, the concentration is too Too High high because the pump is calculating as the numbers High are being entered.
  • Page 100 Primary Infusions  If the weight is outside the allowed weight limits, the word Low or High is displayed (Figure 4-65). Select a weight within limits. Note: The pump is capable of accepting patient weights Weight Limits within the range 0.2 to 600 kg (0.44 to 1322 lb). How- ever, the pump’s current PERSONALITY feature set may have been configured with a narrower weight range.
  • Page 101 Operating Instructions Primary Infusions Note: The pump will detect weight differences and display a Weight pop-up window for the following: Differences (Triple Channel • If a patient weight is entered on one channel Pumps Only) and a different patient weight is entered on another channel.

  • Page 102: Secondary Infusions

    Secondary Infusions Secondary Infusions This optional programming function allows the pump to deliver fluid from a second source container at a rate and volume that is independent of the primary infusion. When the secondary infusion is complete, the pump automatically switches to the programmed primary rate if a confirmed primary infusion exists.

  • Page 103: Setting Up A Secondary Infusion

    Operating Instructions Secondary Infusions Always read and follow the instructions which accompany the source container ! WARNING ! and administration sets you are using. Carefully follow any label copy instructions for loading, removing, and reloading the set, as well as the recommended set change interval.
  • Page 104 Secondary Infusions Programming a Secondary Rate-Volume Infusion Note: Perform steps 1 through 5 of “Setting up a Secondary Secondary Infusion,” 4-49 prior to programming a secondary infu- Set Up sion. From the Main Display screen: For single channel pumps: For triple channel pumps: press the Secondary soft key.
  • Page 105 Operating Instructions Secondary Infusions Note: An optional label may also be selected. See “Selecting Optional Labels a Label” on page 4-24 for details. When all infusion parameters have been entered, verify that:  pump programming matches the label on the source container and the physician’s order ...
  • Page 106 Secondary Infusions When the secondary infusion starts, the RUNNING LED on the Pump Module lights and a moving drop icon is shown on the Main Display (Figure 4-73). Confirm that flow is occurring from the secondary solution container by observing drops falling in the secondary drip chamber.
  • Page 107 Operating Instructions Secondary Infusions Press the soft key. The Programming Modes menu is Change Mode displayed (Figure 4-74). Figure 4-74 Programming Modes Menu  Highlight Secondary Volume-Time using the keys, then press Select soft key. The Secondary Volume-Time Programming screen is displayed (Figure 4-75). Enter the Volume to be infused using the keypad.
  • Page 108 Secondary Infusions Note: The time duration must be less than or equal to 99:59. Time Duration If a time greater than 99:59 is entered, **:** is dis- Greater than Time Duration played and highlighted in the field 99:59 (Figure 4-76). The infusion cannot be confirmed or started.
  • Page 109 Operating Instructions Secondary Infusions Open the On/Off roller clamp on the secondary medication/solution set (Figure 4-77) and immediately press the START key. Note: If a primary infusion has been programmed but not Unconfirmed Unconfirmed Primary Program confirmed, an Primary alarm occurs and a message is displayed on the Program prompt line.

  • Page 110: Enabling The Secondary Callback Alert Option

    Standby Mode Enabling the Secondary Callback Alert Option This optional feature notifies the clinician that the secondary infusion has been completed. When configured, an alert message can be displayed with an audible alert tone when the secondary infusion completes. On the secondary programming screen, the clinician uses the ...

  • Page 111: Standby Activation (Single Channel Pumps)

    Operating Instructions Standby Mode Standby Activation (Single Channel Pumps) Ensure the pump is stopped. (Optional) To preprogram the pump for future use, program the infusion (but do not press the key). START From the Programming screen, press the Change Mode soft key.

  • Page 112: Standby Activation (Triple Channel Pumps)

    Standby Mode The screen changes to the Main Display and shows Standby where the program status information is normally displayed (Figure 4-81). If a label was selected while programming the standby infusion, the label is also shown. Figure 4-81 Standby Main Display Standby Activation (Triple Channel Pumps) Note: Channels B and C are on Standby when the device is first...
  • Page 113 Operating Instructions Standby Mode Note: Standby can also be selected from the Programming Alternate Modes menu (Figure 4-83). After Channel Select is Standby Method pressed (step 1 above), press the Change Mode soft key, then use the  keys to highlight Standby press the Select soft key.

  • Page 114: Standby Deactivation

    Standby Mode Standby Deactivation To exit Standby mode: For single channel pumps: For triple channel pumps: press the soft key, the press the desired Primary Channel Rate key, or the key. Select key. The pump channel exits Standby and reverts to the programming mode in effect when it was placed on Standby.

  • Page 115: Starting A Secondary Infusion After Exiting Standby

    Operating Instructions Standby Mode  Press the soft key to access the secondary infusion Secondary programming screen. Clear or confirm the secondary infusion program as needed. For more information about secondary infusions, see “Secondary Infusions,” 4-48. Note: Clearing the values in the secondary program pre- Unintended vents the warning pop-up from reappearing when Secondary...

  • Page 116: Programming A Delay Start Infusion

    Programming a Delay Start Infusion Press the soft key to return the secondary infusion Secondary programming screen. Press the key to start the infusion. START To start a secondary infusion if the pump channel exits Standby in primary infusion mode: Press the soft key.
  • Page 117 Operating Instructions Programming a Delay Start Infusion The Verify CURRENT Time/Date screen is displayed, showing the current time, month, day, and year (Figure 4-86). This confirmation screen only displays the first time that Delay Start is accessed after the pump is powered on. Note: The first Delay Start programming screen displays the Current Time...

  • Page 118: Viewing Delay Start Settings Prior To The Start Of Infusion

    Programming a Delay Start Infusion Enter the desired starting time for the delayed infusion in 24-hour hh:mm format. A time of up to 23 hours from the current time may be entered. A time of 00:00 corresponds to 12:00 midnight and a time of 23:59 corresponds to 11:59 P.M.

  • Page 119: Exiting Delay Start Mode

    Operating Instructions Programming a Delay Start Infusion From the Main Display: For single channel pumps: For triple channel pumps: press the Primary soft key or press the desired Channel key. key. Rate Select The programmed infusion parameters are displayed on the main display and DELAY appears on the pump module display.

  • Page 120: Powering On With Delay Start Infusions

    Programming a Delay Start Infusion Note: A completely programmed Delay Start infusion may not Delay Start and be placed into Standby. If the pump channel is placed Standby into Standby with a completely programmed Delay Start infusion, the Start At time is cleared. Note: If a Manual Tube Release alarm occurs on a pump Manual Tube...

  • Page 121: While The Infusion Is Running

    Operating Instructions Managing Volume History While the Infusion is Running Managing Volume History This feature provides individual and combined volume history information for each pump channel. The volume(s) infused is retained until cleared, even if the pump is powered off. The current time and date are displayed at the top of the screen.

  • Page 122: Changing The Primary Flow Rate During An Infusion

    Changing the Primary Flow Rate During an Infusion Changing the Primary Flow Rate During an Infusion While the primary infusion is running: For single channel pumps: For triple channel pumps: press the Primary soft key or press the desired Channel key.

  • Page 123: Changing The Dose During An Infusion

    Operating Instructions Changing the Dose During an Infusion Changing the Dose During an Infusion While the infusion is running: For single channel pumps: For triple channel pumps: press the Primary soft key. press the desired Channel key. Select The Dose field is highlighted automatically (Figure 4-93). Changing Note: While the new dose is being entered, a...
  • Page 124 Changing Volume, Weight or Concentration During an Infusion Stop the infusion. Drug amount, diluent volume, concentration, and patient weight cannot be changed while the infusion is running: For single channel pumps: For triple channel pumps: press the key. press the key for the STOP STOP...

  • Page 125: Adding Or Changing A Label Line During An Infusion

    Operating Instructions Adding or Changing a Label Line During an Infusion Adding or Changing a Label Line During an Infusion If the Label Library feature is enabled, use the procedure below to select an informational label during an infusion. From the Main Display: For single channel pumps: For triple channel pumps: press the...
  • Page 126 Viewing COLLEAGUE GUARDIAN Limits During an Infusion While the infusion is running: For single channel pumps: For triple channel pumps: press the Primary soft key or press the desired Channel keys. key. Rate Volume Select Press the View Limits soft key (Figure 4-98). Figure 4-98 View Limits Soft Key The limits for the label are displayed in a pop-up window (Figure 4-99).

  • Page 127: Changing The Secondary Flow Rate During An Infusion

    Operating Instructions Changing the Secondary Flow Rate During an Infusion Changing the Secondary Flow Rate During an Infusion Use this procedure to change the flow rate of the infusion currently shown on the display. While the secondary infusion is running: For single channel pumps: For triple channel pumps: press the...

  • Page 128: Panel Lockout

    Panel Lockout Panel Lockout Activating/Deactivating Panel Lockout The Panel Lockout feature helps minimize the potential for keypad tampering. It disables all the front panel keys except the Main Display Volume History Channel Select (for triple channel pumps only), keys, and the , and soft keys Back Light...

  • Page 129: Auto Lock

    Operating Instructions Stopping a Primary Infusion Before Completion Auto Lock Auto Lock is available as a configurable option. This option automatically locks the front panel keys when the following conditions are true:  for single channel pumps: an infusion is running ...

  • Page 130: Stopping A Secondary Infusion Before Completion

    Stopping a Secondary Infusion Before Completion To restart the infusion: For single channel pumps: For triple channel pumps: press the Primary soft key, press the Channel Select then press the key. on the desired pump channel, START then press the key.

  • Page 131: Infusion Complete (Switch To Kvo)

    Operating Instructions Infusion Complete (Switch to KVO) Infusion Complete (Switch to KVO) When the volume remaining reaches zero, the pump automatically enters a KVO (Keep Vein Open) alert mode (Figure 4-105). During this alert mode, the pump continues infusing at a preconfigured KVO rate or at the programmed rate, whichever is less.

  • Page 132: Unloading The Administration Set

    Unloading the Administration Set Unloading the Administration Set Automatic Unloading Note: The pump must be powered on to unload the administration set. See “Powering On Using AC Power,” 4-1. If the pump module is running, press the STOP key on the pump module to stop it.

  • Page 133: Using The Manual Tube Release

    Operating Instructions Unloading the Administration Set Using the Manual Tube Release Use Manual Tube Release only when the Tube Loading Mechanism is NOT functioning, or if a channel failure occurs. Note: The pump will not turn on if the Manual Tube Release is in the open position.

  • Page 134: Resetting The Manual Tube Release

    Unloading the Administration Set Resetting the Manual Tube Release If a channel failure occurs and an attempt is made to power off the pump without first resetting the Manual Tube Release, the Reset Manual Tube Release pop-up is displayed (Figure 4-107). Reset the Manual Tube Release as follows: Close the regulating clamp on the administration set.

  • Page 135: Powering Off The Pump

    Operating Instructions Powering Off the Pump Powering Off the Pump While the pump automatically closes the keyed slide clamp, always close the ! WARNING ! regulating clamp on the administration set before loading or removing the administration set from the pump. Press the ON/OFF CHARGE key to power off the pump.

  • Page 136: Options Menu

    Overview Press the key again to power off the pump. ON/OFF CHARGE To power off an individual channel on a triple channel pump, see “Standby Activation (Triple Channel Pumps),” 4-58. Note: The ON/OFF CHARGE key is disabled if the front Panel Lockout panel is locked.

  • Page 137: Managing Occlusion Settings

    Operating Instructions Managing Occlusion Settings To access the Options Menu: From the Main Display, press the soft key to access the Options Options Menu as shown in Figure 4-110.  Use the keys to highlight a function and then press the Select soft key to access that function.

  • Page 138: Auto Restart

    Managing Occlusion Settings If enabled, the Downstream Occlusion Level pop-up is displayed (Figure 4-112). Downstream occlusion levels are displayed, and the present setting is highlighted.  The occlusion level can be modified by using the keys to highlight the new setting, then press the soft key to choose the Select selection.

  • Page 139: Viewing Personality Settings

    Operating Instructions Viewing PERSONALITY Settings Viewing PERSONALITY Settings  From the Options Menu, use the keys to highlight the name of the current PERSONALITY feature set and press the Select soft key (Figure 4-113). The resulting screens allow all the configuration settings for the current PERSONALITY feature set to be viewed.

  • Page 140: Using The Configuration/Service Function

    Display Figure 4-115 Flow Check Main Using the Configuration/Service Function This function is for use by Baxter-trained, qualified personnel only. Accessing this function requires a passcode (Figure 4-116). See the COLLEAGUE Pump Global Service Manual and the COLLEAGUE Pump Configuration Manual for details.

  • Page 141: Chapter 5 Optional Pump Accessories

    This chapter describes the optional accessories available for use with the pump. This pump should be used only with Baxter accessories specified in this chapter. Using anything other than the recommended accessories with this pump will result in operation that is not within the constraints and parameters of the device.

  • Page 142: Colleague Guardian Configuration Tool

    COLLEAGUE GUARDIAN Configuration Tool COLLEAGUE GUARDIAN Configuration Tool This accessory (Baxter product code 2M9541) consists of a PC-based configuration tool that can be used to configure COLLEAGUE pump PERSONALITY features, enter custom labels, and define COLLEAGUE GUARDIAN limits and transfer them to COLLEAGUE pumps with the COLLEAGUE GUARDIAN Feature.

  • Page 143: Chapter 6 Configurable Options

    Chapter 6 Configurable Options Chapter 6 Overview This chapter lists the pump’s configurable features and their initial factory settings. The configurable options are grouped into the following categories:  “General Pump Options” on page 6-2  “COLLEAGUE GUARDIAN Feature Options” on page 6-3 ...

  • Page 144: General Pump Options

    General Pump Options General Pump Options The configurable option settings listed in Table 6-1 affect the operation of the pump regardless of the selected PERSONALITY feature set or label. Table 6-1 General Pump Options Option Available Setting Factory Setting PERSONALITY One permanent and up to eight custom PERSONALITY Permanent Settings Configuration Settings...

  • Page 145: Colleague Guardian Feature Options

    Configurable Options COLLEAGUE GUARDIAN Feature Options COLLEAGUE GUARDIAN Feature Options Table 6-2 lists the infusion modes and parameters that can be programmed using the COLLEAGUE GUARDIAN feature. The COLLEAGUE GUARDIAN feature allows default programming parameters to be set independently for medication/solution labels and custom labels in the pump’s label library.

  • Page 146: Options Specific To Personality Feature Sets

    Options Specific to PERSONALITY Feature Sets Options Specific to PERSONALITY Feature Sets The options listed in Table 6-3 can be set independently for each PERSONALITY feature set. Table 6-3 Options Specific to a PERSONALITY Feature Set Factory Option Available Settings Settings Volume-Time Infusion Available (Enable)
  • Page 147 Configurable Options Options Specific to PERSONALITY Feature Sets Table 6-3 Options Specific to a PERSONALITY Feature Set — continued Factory Option Available Settings Settings Flow Check Display Always displayed when the pump is running (Enable) Disabled Display on demand (Disable) (Provides visual indication of distal resistance to flow.) Patient weight units kg and lbs (allows patient weight to be entered using metric or...
  • Page 148 Options Specific to PERSONALITY Feature Sets Table 6-3 Options Specific to a PERSONALITY Feature Set — continued Factory Option Available Settings Settings Number of Auto Restarts 0 to 9 after a Downstream Occlusion Secondary Callback Alert Available (Enable) Disabled Unavailable (Disable) (When enabled, pump sounds an alert tone when secondary infusion ends and primary infusion resumes) Alert Off Interval...

  • Page 149: Label Library

    Configurable Options Label Library Label Library The pump’s Label Library contains 64 predefined labels and allows up to 436 custom labels to be programmed by facility-authorized personnel. Individual labels can then optionally be programmed with default program limits using the COLLEAGUE GUARDIAN feature, and then enabled or disabled for each PERSONALITY feature set as appropriate for the needs of the facility.
  • Page 150 Label Library Table 6-4 Predefined Medication Labels — continued Name Abbreviation Doxorubicin DOXORUBI Eptifibatide EPTIFIBA Esmolol ESMOLOL Etoposide ETOPOSID Fentanyl FENTANYL Fluorouracil FLUOROUR Heparin Sodium HEPARIN Ifosfamide IFOSFAMI Isoproterenol ISPROTER Ketamine KETAMINE Labetalol LABETALO Lidocaine LIDOCAIN Magnesium Sulfate MAGNESIU Methohexital METHOHEX Methotrexate METHOTRE...

  • Page 151: Application Labels

    Configurable Options Label Library Table 6-4 Predefined Medication Labels — continued Name Abbreviation Phenylephrine PHENYLEP Plicamycin PLICAMYC Procainamide PROCAINA Propofol PROPOFOL Prostaglandin E1 PROSTAGL Rocuronium ROCURONI Sufentanil SUFENTAN Tirofiban TIROFIBA Vecuronium VECURONI Application Labels Table 6-5 is a list of the predefined application labels and abbreviations available within the label library configuration setup.

  • Page 152: Custom Labels

    Label Library Table 6-5 Predefined Application Labels — continued Name Abbreviation Maintenance Line MAINTENA Subcutaneous SUBCUTAN Total Parenteral Nutrition Umbilical Arterial Catheter Umbilical Venous Catheter Custom Labels The pump allows programming of up to 436 custom labels in addition to the predefined label library.

  • Page 153: Chapter 7 Maintenance And Storage

    Do not allow fluid to enter the tubing channel or load wet tubing into the pump. ! WARNING ! Contact your Baxter Service Center for assistance immediately if fluid enters the tubing channel. The tubing channel should be cleaned as soon as possible by Baxter-trained, qualified personnel to minimize potential difficulties caused by fluid pooling and drying on the mechanism.

  • Page 154: Maintenance

    If the cloth has been saturated, it must be wrung out prior to contact with the pump. A foam tipped sponge (Baxter part number TWTX740B) can be used to clean contaminants from corners, recessed areas, the channel slot, the slide clamp prism, the Manual Tube Release area, and seams.

  • Page 155: Battery Care

    See “Storage,” 7-6 for information on charging batteries for pumps in storage. Perform as required but recommended every 12 months. Entire pump Schedule operational checkout by Baxter-trained, qualified personnel or authorized service representative. Battery Care When charging the batteries, ensure the room temperature is between 15° C CAUTION (59°...

  • Page 156: Battery Service Life

    Maintenance The following information is intended to assist in optimizing the performance and service life of the pump's primary batteries. Routine battery care enhances battery performance, which helps ensure optimal pump performance. Battery Service Life It is necessary to perform the recommendations for periodic checking and ! WARNING ! replacement of batteries.

  • Page 157: Optimizing Battery Service Life

    Maintenance and Storage Maintenance Optimizing Battery Service Life Ensuring the following procedures are a part of routine device use can optimize battery service life:  Connect pumps to AC power at all times except in the event of AC power loss or short-term portable operation. ...

  • Page 158: Disposing Of Used Batteries

    Call your authorized Baxter Service Center (see “Service Information,” 10-2) to obtain replacement batteries (Baxter service part number UBAT1010A, Baxter factory part number 5009480001, Yuasa part numbers NP2-12 and MD12020).
  • Page 159 (20-95% RH, non-condensing) environment to safeguard against prolonged exposure to dust and moisture. In conditions falling outside the Environmental Operating Limits (see “Technical Specifications,” 9-1), Baxter recommends that the pump be repackaged in the original shipping materials. CD071968806 COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL...
  • Page 160 Storage COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL CD071968806...

  • Page 161: Chapter 8 Troubleshooting

    Chapter 8 Troubleshooting Chapter 8 Alert, Alarm, and Failure Messages This chapter lists all alert and alarm messages in alphabetical order. Active alert, alarm, and failure messages are displayed on the status line at the top of the Main Display (Figure 8-1). An abbreviated form of the message is also shown on the pump module display.

  • Page 162: Troubleshooting Failures

    Troubleshooting Failures Troubleshooting Failures Overview A failure overrides all alerts and alarms and indicates a potential problem was detected with the pump. A device or channel failure automatically stops any infusion. When a failure is detected, a Failure XXX:YY...Y message (where XXX = failure code and YY...Y = additional diagnostic data) is displayed in the status line of the Main Display.

  • Page 163: Channel Failures (Single Channel Pumps)

    Troubleshooting Troubleshooting Failures Channel Failures (Single Channel Pumps) Figure 8-2 shows the Channel Failure alarm message on a single channel pump. The procedure for responding to a channel failure is provided below. Note: If the pump is running on battery power and a failure Failures occurs, the failure message may not be displayed on occurring on...
  • Page 164 Troubleshooting Failures Press the soft key. The Main Display shows that the pump is Done out of service (Figure 8-4). The pump cannot be used to deliver infusions, but the key can be used to retrieve history Volume History information. Cycle power on the pump by powering off and then powering on again.

  • Page 165: Channel Failures (Triple Channel Pump)

    Troubleshooting Troubleshooting Failures Channel Failures (Triple Channel Pump) Channel failures affect a specific pump channel on the device. Infusions running on unaffected channels can be completed before removing the device from service. Figure 8-5 shows the Channel Failure alarm message. The procedure for responding to a channel failure is provided below.
  • Page 166 Volume History information if desired. Remove the pump from service and have it inspected by Baxter-trained, qualified personnel as soon as possible. Note: If the Manual Tube Release is used following a channel Using Manual...

  • Page 167: Troubleshooting Alarms

    Troubleshooting Troubleshooting Alarms Troubleshooting Alarms Overview Alarm conditions automatically stop the infusion(s) on the affected channel(s) and require immediate attention before the infusion(s) can be restarted. An alarm condition displays a message in the Main Display’s status line(s) and on the affected pump channel display. In addition, the red ALARM LED on the affected pump channel flashes and the alarm tone sounds.

  • Page 168: About The Damaged Battery Alarm

    Troubleshooting Alarms About the Damaged Battery Alarm Note: If a Damaged Battery! Service Now alarm occurs dur- During power ing power on, the pump cannot be used. The Damaged Battery! Service Now alarm occurs if the pump software detects that one or more of the conditions listed below is true during power up.

  • Page 169: Troubleshooting Air Detected Alarms

    Troubleshooting Troubleshooting Alarms Troubleshooting Air Detected Alarms Pulling or tugging on the administration set tubing between the pump channel ! WARNING ! and the patient may cause false Air Detected alarms, which will cause the pump to stop infusing. In order to reduce the potential for this situation to occur: •...
  • Page 170 Troubleshooting Alarms Recommended Action: When an air alarm occurs:  for single channel pumps: the Advance Air pop-up window is automatically displayed.  for triple channel pump: press the Channel Select key to access the appropriate programming screen. The Advance Air pop-up window is displayed (Figure 8-9).
  • Page 171 Troubleshooting Troubleshooting Alarms When the pump detects fluid, FLUID is displayed (Figure 8-11). Figure 8-11 Fluid Detected Release the Advance Air soft key. The pump stops infusing (Figure 8-12). soft key. The Air Detected alarm is reset. Visually Press the Done inspect the air and follow the facility’s procedures for manually removing the air.

  • Page 172: Troubleshooting Other Alarms

    Troubleshooting Alarms Note: If 0.4 mL of air is advanced using the Advance Air soft Advance Air Advance Air Limit key, the screen is displayed (Fig- Limit ure 8-13) and the Advance Air soft key is disabled. Remove the administration set from the pump and remove the air manually.
  • Page 173 Troubleshooting Troubleshooting Alarms Table 8-1 Troubleshooting Alarm Messages Alarm Message Cause Recommended Action X - Close Regulating One of the following occurred • Close the regulating clamp on the while an administration set was administration set and remove the keyed slide Clamp loaded: clamp from the slot.
  • Page 174 Troubleshooting Alarms Table 8-1 Troubleshooting Alarm Messages — continued Alarm Message Cause Recommended Action NO BATTERY - Plug in Now The batteries are depleted and To clear the alarm, plug into an AC power infusions have stopped. The source immediately. A pop-up is displayed, pump must be plugged into AC instructing not to unplug the pump.
  • Page 175 • If alarm occurs again, a hardware problem may exist. Take the pump out of service and have it • A hardware problem may have inspected by Baxter-trained, qualified occurred. personnel. X - Tube Not Loaded The administration set was not •...

  • Page 176: Troubleshooting Alerts

    Troubleshooting Alerts Table 8-1 Troubleshooting Alarm Messages — continued Alarm Message Cause Recommended Action X - Upstream Occlusion A closed clamp, obstruction, or • Ensure the complete insertion of the spike into kink in the administration set is the source container. preventing fluid flow between UPOCCL/label •...
  • Page 177 Troubleshooting Troubleshooting Alerts Note: Channel-specific alarm and alert messages include the Alarm/Alert appropriate channel identifier (A, B, or C) in the main messages on display status line on a triple channel pump. triple channel pumps In this chapter, the channel identifiers are represented by the letter “X”...
  • Page 178 Troubleshooting Alerts Table 8-2 Troubleshooting Alert Messages — continued Alert Message Cause Recommended Action Confirm Power Off ON/OFF CHARGE key was pressed To power off the pump, press once. To ensure that the user intends to ON/OFF CHARGE key a PWR OFF? power off the pump, a second key press is second time.
  • Page 179 Figure 8-17 Limited Battery Alert Pop-up Lithium Battery Low The charge remaining in the lithium Remove the pump from battery is low. service and have BATT LOW Baxter-trained, qualified personnel replace the lithium battery. 8-19 CD071968806 COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL...
  • Page 180 Troubleshooting Alerts Table 8-2 Troubleshooting Alert Messages — continued Alert Message Cause Recommended Action LOW Battery - Plug in Now The charge remaining in the batteries has Plug the pump into an AC 30 minutes of infusion time left (Figure power source as soon as BATT LOW 8-18).
  • Page 181 Troubleshooting Troubleshooting Alerts Table 8-2 Troubleshooting Alert Messages — continued Alert Message Cause Recommended Action X - Rate out of Range The COLLEAGUE GUARDIAN feature Do one of the following as was used to configure rate limits for the appropriate: LIMITS currently selected label, and the currently •...
  • Page 182 Troubleshooting Alerts Table 8-2 Troubleshooting Alert Messages — continued Alert Message Cause Recommended Action X - Unconfirmed Primary With a primary infusion running, the Press the Confirm Primary START key was pressed prior to Confirm Secondary soft key Program confirming programming information. followed by the START key.

  • Page 183: Chapter 9 Technical Specifications

    Single Channel Shuttle Volumetric Infusion Pump Baxter product code 2M91637A Triple Channel Shuttle Volumetric Infusion Pump Administration Sets Standard Baxter administration sets equipped with keyed slide clamps. See “Recommended Administration Sets,” 4-15. AC Power Requirements 100/120 VAC 50/60 Hz or 220-240 VAC 50/60 Hz.
  • Page 184 Pump Specifications Component Description Range of Programmable Flow Primary Infusion Rates • 0.1 to 99.9 mL/hr in 0.1 mL/hr increments • 1 to 1200 mL/hr in 1 mL/hr increments Secondary Infusion • 0.1 to 99.9 mL/hr in 0.1 mL/hr increments •...
  • Page 185 Technical Specifications Pump Specifications Component Description Nominal Downstream Downstream Occlusion Alarm sensitivity is a configurable option. Occlusion Level for Alarm Rate range in mL/hr <21 21-200 >200 103 mmHg (2 psig) 207 mmHg (4 psig) 310 mmHg (6 psig) Minimum 258 mmHg (5 psig) 414 mmHg (8 psig) 569 mmHg (11 psig) Moderate...

  • Page 186: Interfaces

    See “Storage,” 7-6 for additional information. Accessories Syringe Adapter (Baxter product code 2D0300). COLLEAGUE GUARDIAN Configuration Tool (Baxter product code 2M9541). COLLEAGUE DL2 Event History Download Application (Baxter product code 2M9530). Note: Accessories may not be available for use in all countries. Ground Impedance Less than 0.2 ohms (tested per UL 60601-1).

  • Page 187: Colleague Communication Cable

    COLLEAGUE Communication Cable is attached; it is not suitable for use in the patient environment. External Monitoring The External Monitoring feature is for Baxter diagnostic purposes only. Recommended Practices  Connections of this pump into the same patient line with other infusion systems or accessories may alter the system performance.

  • Page 188: Volumetric Accuracy Of The System

    Volumetric Accuracy of the System Volumetric Accuracy of the System The pump, using the administration sets identified in Chapter 4, maintains a volumetric accuracy as presented in Table 9-1. Table 9-1 Volumetric Accuracy † Flow Rate Range Accuracy 0.1 to 0.9 mL/hr* ±10% 1.0 to 9.9 mL/hr** ±7%...

  • Page 189: Startup Graph Description

    Technical Specifications Startup Graph Description Table 9-2 documents deviations at 25 mL/hr from the accuracy stated above per the requirements of Sub-Clause 50.102 of IEC 60601-2-24 Part 2. Table 9-2 Accuracy Information Average Maximum † Variable Condition Deviation Deviation Back Pressure -100 mmHg 4.1% 6.9%...

  • Page 190: How Trumpet Curve Graphs Are Interpreted

    How Trumpet Curve Graphs are Interpreted How Trumpet Curve Graphs are Interpreted The trumpet curve (Figure 9-2) provides a graphical view of the maximum deviation in flow rate from the programmed delivery rate for specific segments of delivery time. The horizontal axis does not represent elapsed delivery time, but rather acts as a graphical reference for selecting specific observation time intervals.

  • Page 191: How Trumpet Curves Can Be Used

    Technical Specifications How Trumpet Curves can be Used How Trumpet Curves can be Used Trumpet curves can be important sources of information for the medical professional who must decide whether a certain infusion pump can be used with a particular drug. For example, when delivering a drug with a short half-life, very small deviations in flow over the course of an infusion would be desirable to ensure that the deviations in plasma level also remained small.
  • Page 192 Accuracy Tests 2nd Hour Q (Flow Rate) = 1.01, A (Accuracy) = 0.71% -15% -25% Average of 8 pumps -35% Figure 9-4 Trumpet Graph, 2nd Hour of Delivery, 1 mL/hr 72nd Hour Average of 8 pumps 4260 4270 4280 4290 4300 4310 4320...

  • Page 193: Tested At 25 Ml/Hr

    Technical Specifications Accuracy Tests Tested at 25 mL/hr 50.0 Startup Graph First 2 Hours 45.0 40.0 35.0 30.0 25.0 20.0 15.0 Average of 8 pumps 10.0 -5.0 Time (minutes) Figure 9-7 Delivery Startup, First Two Hours, 25 mL/hr 2nd Hour Q (Flow Rate) = 25.02, A (Accuracy) = 0.07% Average of 8 pumps -10% Figure 9-8 Trumpet Graph, 2nd Hour of Delivery, 25 mL/hr...
  • Page 194 Accuracy Tests 72nd Hour Q (Flow Rate) = 25.32, A (Accuracy) = 1.29% Average of 8 pumps -10% Figure 9-10 Trumpet Graph, 72nd Hour of Delivery, 25 mL/hr 1. Maximum Infusion Pressure Generated The maximum infusion pressure prior to alarm activation is 931 mmHg (18 psi) at 25 mL/hr when tested per Sub-Clause 51.101a of IEC 60601-2-24 Part 2.
  • Page 195 Technical Specifications Accuracy Tests 3. Bolus Volume Released After Downstream Occlusions Are Corrected Typical Maximum Occlusion Alarm Bolus Bolus Rate Pressure Setting Volume Volume* 1 mL/hr Minimum 103 mmHg (2 psig) 0.1 mL 0.1 mL Moderate 258 mmHg (5 psig) 0.1 mL 0.2 mL Maximum 465 mmHg (9 psig)

  • Page 196: Electromagnetic Compatibility Statement

    The use of accessories and cables other than those specified in this manual, with ! WARNING ! the exception of cables sold by Baxter as replacement parts for internal components, may result in increased emissions, decreased immunity or may result in operation that is not within the constraints and parameters of the device.
  • Page 197 Technical Specifications Electromagnetic Compatibility Statement Table 9-3 Guidance and Manufacturer's Declaration - Electromagnetic Emissions The pump is intended for use in the electromagnetic environment specified below. The customer or the user of the pump should assure that it is used in such an environment. Emission Test Compliance Electromagnetic Environment - Guidance...
  • Page 198 Electromagnetic Compatibility Statement Table 9-4 Guidance and Manufacturer's Declaration - Electromagnetic Immunity — continued The pump is intended for use in the electromagnetic environment specified below. The customer or the user of the pump should assure that it is used in such an environment. IEC 60601 Immunity Test Test Level...
  • Page 199 Technical Specifications Electromagnetic Compatibility Statement Table 9-5 Guidance and Manufacturer's Declaration - Electromagnetic Immunity- for Life-Supporting Equipment and Systems The pump is intended for use in the electromagnetic environment specified below. The customer or the user of the pump should assure that it is used in such an environment. IEC 60601 Compliance Immunity Test...
  • Page 200 Electromagnetic Compatibility Statement Notes for Table 9-5 Note 1 At 80 MHz and 800 MHz, the higher frequency range applies. Note 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. Note 3 The pump was tested to the requirements of IEC 60601-1-2: 2001/A1:2004, Ed.
  • Page 201 Technical Specifications Electromagnetic Compatibility Statement Table 9-6 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Pump - for Life-Supporting Equipment and Systems The pump is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the pump can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the pump as recommended below, according to the maximum output power of the communications equipment.
  • Page 202 Electromagnetic Compatibility Statement 9-20 COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL CD071968806...

  • Page 203: Chapter 10 Warranty And Service Information

    Baxter-designated IV administration sets with this pump will result in operation that is not within the constraints and parameters of the device. Baxter’s warranty to repair or replace the product will be null and void if this product is used contrary to the directions for use contained in the labeling or if used with non-recommended sets.

  • Page 204: Service Information

    In the event that your pump needs to be returned for service, obtain a Return Authorization by calling 1-800-THE-PUMP or your local service center. Shipping costs for all pumps returned to Baxter shall be paid for by the customer. The pump must be packed in its original container or in another Baxter approved container that will provide adequate protection during shipment.

  • Page 205: Chapter 11 Quick Reference Guide

    For product usage information or clinical questions, call Baxter Medication Delivery Product Information Center at 1-800-933-0303. Outside North America Visit www.baxter.com/baxter_worldwide.html for contact information or call your Baxter customer service representative to locate the nearest service center. 11-1 CD071968806 COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL...

  • Page 206: Warnings And Cautions

    Warnings and Cautions Warnings and Cautions Warnings The COLLEAGUE 3 CXE pump is intended for use in delivering multiple infusions ! WARNING ! to a single patient. Never use the pump to deliver infusions to more than one patient simultaneously. Do not use this pump in Linear Accelerator Radiation Therapy suites or Magnetic ! WARNING ! Resonance Imaging Suites.

  • Page 207: Power On And Personality Feature Set Selection

    Quick Reference Guide Power On and PERSONALITY Feature Set Selection Power On and PERSONALITY Feature Set Selection Note: The COLLEAGUE and COLLEAGUE 3 pumps have not been evaluated for use in care areas other than those listed on page 1-11. Press the key to turn the pump ON.

  • Page 208: Power Off

    Do not allow fluid to enter the tubing channel or load wet tubing into the pump. ! WARNING ! Contact your Baxter Service Center for assistance immediately if fluid enters the tubing channel. The tubing channel should be cleaned as soon as possible by Baxter-trained, qualified personnel to minimize potential difficulties caused by fluid pooling and drying on the mechanism.
  • Page 209 If flow is observed when tubing is loaded but the pump is not running, close the ! WARNING ! regulating clamp immediately. Ensure that all steps have been properly performed. If flow is still observed, remove the pump from service and contact Baxter-trained, qualified personnel. 11-5 CD071968806 COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL...

  • Page 210: Programming A Primary Rate-Volume Infusion

    Programming a Primary Rate-Volume Infusion Programming a Primary Rate-Volume Infusion Note: If the pump status is unclear, close any pop-up win- Pump Status dows on the display and press the Main Display key to continue. For single channel pumps: press the Primary soft key.

  • Page 211: Selecting A Label

    Quick Reference Guide Selecting a Label Selecting a Label For single channel pumps: press the soft key. Primary For triple channel pumps: press the desired Channel Select key. Press the soft key. The Programming Modes Menu is Change Mode displayed. ...

  • Page 212: Programming A Primary Volume-Time Infusion

    Programming a Primary Volume-Time Infusion Programming a Primary Volume-Time Infusion For single channel pumps: press the soft key. Primary For triple channel pumps: press the desired Channel Select key. Press the soft key. The Programming Modes Menu is Change Mode displayed.
  • Page 213 Quick Reference Guide Programming a COLLEAGUE GUARDIAN Infusion (Rate-Volume) For single channel pumps: press the soft key. Primary For triple channel pumps: press the desired Channel Select key. Press the soft key from the Programming Colleague Guardian screen. The labels for which COLLEAGUE GUARDIAN limits have been defined are displayed in a pop-up window (Figure 11-6).

  • Page 214: Programming A Colleague Guardian Dose Mode Infusion

    Programming a COLLEAGUE GUARDIAN Dose Mode Infusion   Press key) to accept the out-of limits flow rate Accept Rate and continue with the infusion as programmed. Press the key to begin the infusion. START COLLEAGUE GUARDIAN infusions are indicated by the mortar and pestle icon next to the label on the Main Display screen.
  • Page 215 Quick Reference Guide Programming a COLLEAGUE GUARDIAN Dose Mode Infusion  For weight-based modes, the Weight field is highlighted (Figure 11-10). If a default dose has been configured, it appears in the Dose field. Figure 11-9 Non-Weight-Based Figure 11-10 Weight-Based Programming Screen Programming Screen For weight-based modes, enter patient weight using the numeric...
  • Page 216 Programming a COLLEAGUE GUARDIAN Dose Mode Infusion (Optional) If the label is set up to allow non-standard concentration programming, the drug amount, diluent volume, and concentration  can be changed by using the keys to highlight the appropriate field and entering new values using the numeric keypad. ...

  • Page 217: Programming A Dose Mode Infusion

    Quick Reference Guide Programming a Dose Mode Infusion Press to begin the infusion. START COLLEAGUE GUARDIAN infusions are indicated by the mortar and pestle icon next to the label on the Main Display screen. A yellow triangle is displayed beside the label name if the drug amount, diluent, or concentration was changed to deviate from the standard COLLEAGUE GUARDIAN settings.

  • Page 218: Programming A Secondary Rate-Volume Infusion

    Programming a Secondary Rate-Volume Infusion For weight-based modes, enter patient weight in kg (or lbs) using the numeric keypad. The pump calculates the values for the remaining fields. For small patients, weight can be entered in grams (or ounces) if appropriate.

  • Page 219: Programming A Secondary Volume-Time Infusion

    Quick Reference Guide Programming a Secondary Volume-Time Infusion Programming a Secondary Volume-Time Infusion For single channel pumps: press the soft key. Secondary For triple channel pumps: press the desired Channel Select key, then press the soft key. Secondary Press the soft key.
  • Page 220 Standby Mode  Use the keys to highlight Standby, then press the soft Select key. The Standby pop-up is displayed (Figure 11-16). Figure 11-16 Standby Pop-up  key next to the YES shown on the pop-up to place the Press the pump into Standby mode.

  • Page 221: Unloading The Administration Set

    Quick Reference Guide Unloading the Administration Set Unloading the Administration Set Automatic Unloading If the pump module is running, press the STOP key on the pump module to stop it. Close the regulating clamp on the administration set. Press the Open key on the pump module.

  • Page 222: Resetting The Manual Tube Release

    Unloading the Administration Set Close the regulating clamp on the administration set. Locate the appropriate Manual Tube Release on the right side of the pump channel. Push and grasp the release tab (Figure 11-17A), turning it out (Figure 11-17B). Rotate the tab counterclockwise until it stops (Figure 11-17C).
  • Page 223 Quick Reference Guide Unloading the Administration Set Reset the Manual Tube Release as follows: Close the regulating clamp on the administration set. Ensure there is no administration set or foreign object in the tubing channel. Turn the release tab (Figure 11-17A) clockwise until it stops and push the tab into its socket.

  • Page 224: Troubleshooting Failures

    Troubleshooting Failures Troubleshooting Failures Device Failure Device failures affect all infusions running on the device. When a device failure has occurred, follow the directions below: Close the regulating clamp on the administration set. Unload the administration set. Request a replacement pump immediately. Cycle power on the pump by powering off and then powering on again.

  • Page 225: Troubleshooting Alarms

    For triple channel pumps, allow any infusions running on the other pump channels to complete. Remove the pump from service and have it inspected by Baxter-trained, qualified personnel as soon as possible. Do not continue with this procedure. Based on the result, do one of the following: ...
  • Page 226 • Close the regulating clamp on the administration set and remove the admin- istration set. Reload the set. • If alarm occurs again, a hardware problem may exist. Take the pump out of service and have it inspected by Baxter-trained, qualified personnel. 11-22 COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL...

  • Page 227: Troubleshooting Alerts

    Quick Reference Guide Troubleshooting Alerts Upstream Occlusion UPOCCL/label Pump module display message: A closed clamp, obstruction, or kink in the administration set is preventing Cause: fluid flow between the source container and the pump. Correct the problem causing the occlusion. Action: •...
  • Page 228 Troubleshooting Alerts 11-24 COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL CD071968806...

  • Page 229: Index

    Index Appendix A unconfirmed secondary program 8-15 upstream occlusion 8-16 abbreviations used in label library list alarm silence key ac power requirements alarms, battery-related 4-10 accessories alert messages COLLEAGUE DL2 Event History Download advance air 8-17 Application battery approaching end of life 8-17 COLLEAGUE GUARDIAN Configuration Tool changing primary program...
  • Page 230 4-10 programmable parameters, list of battery-related alerts 4-10, 4-12 triangle indicator in label list 4-28, 4-31, 4-34 communication port Baxter customer service website 2-9, 9-4 10-2 completing a primary infusion 4-77 bolus volume after clearing occlusions 9-13 computer control icon...
  • Page 231 pump module keys feature list rear panel features flow check serial number description 2-14 device failure 8-2, 11-20 display 4-85 icon 2-15 diluent volume 4-40, 4-45 flow rate dimensions of pump changing 4-68, 4-73 display during advance air darkened during priming illustration 2-12 range specifications...
  • Page 232 label locations labels 2-17 programming modes menu 2-14 adding after programming 4-71 programming screen 2-13 application rear panel selecting for display 4-24 using manual tube release 4-79 leakage current incomplete primary programming alarm 8-13 LEDs incomplete primary programming alert 8-19 library, pump labels 2-20 incomplete secondary alarm...
  • Page 233 operating on battery power primary out of range alarm 8-14 operating temperature prime alert 8-15 8-20 options priming 4-18 auto restart flow rate during 4-84 clinician override 4-84 product features COLLEAGUE GUARDIAN feature programming configuration/service 4-86 configuration/service function dose based on patient weight 4-86 4-43 flow check display...
  • Page 234 return shipping information service information 10-2 10-2 running on battery alert setting up a secondary infusion 8-21 4-49 setting up the pump silence key 8-7, 8-17 safety silencing alarm tones definition of warnings and cautions soft key 2-11 summary speaker test screen, darkened specifications screens...
  • Page 235 titrating dose trumpet curves 4-69 tracking requirements, U.S. tube loading alarm 1-10 8-15 transferring configurable settings from one pump to tube misloaded alarm 8-15 another tube not loaded alarm 8-15 triangle, COLLEAGUE GUARDIAN label list 4-28, 4-31, turning the pump off 4-81 4-34 turning the pump on...
  • Page 236 Index-8 COLLEAGUE CXE VOLUMETRIC INFUSION PUMP OPERATOR’S MANUAL CD071968806...
  • Page 237 CD071968806...
  • Page 238 Switzerland Made in Singapore by: Baxter Healthcare SA, Singapore Branch 2 Woodlands Industrial Park D, Street 2 Singapore 737778, Singapore Baxter Healthcare Corporation CD071968806 Deerfield, IL 60015 USA Original Release 04/2013 © Copyright 2013 Baxter Healthcare Corporation. All rights reserved.

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