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Summary of Contents for Hospira Micro Macro plum XL
- Page 1 System System Operating Operating Manual Manual For use with list 11846-04 For use with list 11846-04 M M T T M M E E T T S S Y Y S S N N O O I I S S U U F...
- Page 2 (Rev. 09/10) Note: Note: Change page manuals assembled by Hospira, Change page manuals assembled by Hospira, Inc. include a change page Inc. include a change page identifier in the part number on identifier in the part number on the cover page and on the bottom of each changed the cover page and on the bottom of each changed page.
- Page 3 (Rev. 09/10) Note: Note: Change page manuals assembled by Hospira, Change page manuals assembled by Hospira, Inc. include a change page Inc. include a change page identifier in the part number on identifier in the part number on the cover page and on the bottom of each changed the cover page and on the bottom of each changed page.
- Page 4 CONTENTS CONTENTS 1. 1.0 0 CONV NVE E NT NTIO ION N S S ......1 1 .
- Page 5 This document and the subject matter disclosed herein are This document and the subject matter disclosed herein are proprietary information. Hospira retains all the exclusive rights of proprietary information. Hospira retains all the exclusive rights of dissemination, reproduction, manufacture and sale. Any party using dissemination, reproduction, manufacture and sale.
- Page 6 NOTES NOTES i i v v P P l l u u m m X X L L M M i i c c r r o o / / M M a a c c r r o o...
- Page 7 1.0 CONVENTIONS This section describes the conventions used throughout this manual, as follows: Convention Application Example Italic Reference to a (See Figure 3-1, section, figure, or table Priming Cassette) Function or mode Primary Only: Attach specific instructions an empty container.. [ALL CAPS] Keys or touchswitches [OFF CHARGE] on the device are...
- Page 8 A Note highlights information that helps explain a concept or procedure. This symbol directs the user to consult accompanying documents. Figures are rendered as graphic representations to approximate the actual product; therefore, figures may not exactly reflect the product. Plum XL Micro/Macro...
- Page 9 FEATURES The Plum® XL Micro/Macro is a dual-line volumetric infusion system designed to meet the growing demand for hospital-wide, as well as alternate site and home healthcare, standardization. With its primary line, secondary line, and piggyback fluid delivery capability, the Plum XL is suited for a wide range of medical/surgical and critical care applications.
- Page 10 KVO at dose end (1.0 mL/hr or less depending on delivery rate) Long battery life for emergency backup and temporary portable operation User Qualification The Plum XL is suitable for intravenous and epidural infusion. Plum XL users should be under the supervision of a healthcare professional and should be instructed about using and troubleshooting this device.
- Page 11 3.0 GETTING STARTED This section describes the instrument installation procedures for the Plum XL Micro/Macro. Unpacking Inspect the Plum XL packaging for visible shipping damage. If any damage is found, contact the delivering carrier immediately. Carefully remove the Plum XL from the shipping carton. Retain the packing slip and save all packing material in case the Plum XL is damaged or fails the self-test and has to be returned to the manufacturer.
- Page 12 If an alarm occurs during the self-test, note the message, then take the appropriate corrective action (see Section 7.0, TROUBLESHOOTING ) . Repeat the self-test. If the alarm recurs, remove the Plum XL from service and contact Hospira Technical Support Operations. Plum XL Micro/Macro...
- Page 13 4.0 COMPONENTS The front and back of the Plum XL components are illustrated below. LCD Screen Door Control Handle Dial TITRATE QUICKS ET BACK PRIME HOLD/RESET SET VTBI CLEAR SET RATE AC Power CHARGE Indicator Cassette SILENCE Door Pump Operating Silence Indicator ...
- Page 14 Control Dial Settings OFF CHARGE stops all active HOLD/RESET SET VTBI functions. The battery charges in CLEAR SET RATE any dial setting when the Plum XL is connected to AC power. Store CHARGE the Plum XL in the OFF CHARGE setting and plugged into AC power.
- Page 15 starts fluid delivery at the HOLD/RESET SET VTBI rate set by the user. RUN is the SET RATE CLEAR only setting that delivers fluid. The pump operating indicator CHARGE light on the front panel flashes during pumping. HOLD/RESET stops fluid HOLD/RESET SET VTBI delivery.
- Page 16 changes the rate to QUICKSET change in preprogrammed increments. TITRATE With the Plum XL in SET RATE mode, pressing the [QUICKSET] key causes the rate to change to the next higher entry in this sequence: 0, 5.0, 25.0, 50.0, 75.0, 100, 125, 150, 200, 500, 999.
- Page 17 Additional Features (located on the rear panel) has two sound level settings, high and low. (located on the rear panel) may be used to prevent unauthorized changes to the Plum XL settings. System Operating Manual...
- Page 18 5.0 INSTRUCTIONS FOR USE This section describes the Plum XL Micro/Macro setup and cassette use. Setup WARNING ARRANGE TUBING, CORDS, AND CABLES TO MINIMIZE T H E R I S K O F P A T I E N T S T R A N G U L A T I O N O R ENTANGLEMENT.
- Page 19 Secondary Inlet Port Primary Line (Capped) Finger Grip Flow Regulator Patient L ine Pumping Air Trap Chamber 5.2.1 PREPA RING THE CA SSETTE Use aseptic technique to prepare the cassette for priming, then proceed as follows: Close the upper clamp on the administration set.
- Page 20 Expose the outlet of the IV container, then insert the piercing pin into the outlet with a twisting motion. Fill the drip chamber to the score mark. Open the upper clamp. Plum XL Micro/Macro...
- Page 21 5.2.2 PRIMING THE CA SSETTE To prime the cassette, proceed as follows: Invert the cassette. Turn the flow regulator until a drop of fluid is seen in the pumping chamber. Turn the cassette upright, then prime the remainder of the administration set.
- Page 22 5.2.3 LOADING THE CASSETTE To load the primed cassette into the Plum XL, proceed as follows: Open the cassette door by lifting the door handle. Holding the primed cassette by its fingergrip, slide it into the cassette door guides until it firmly seats in the door.
- Page 23 Before preparing the secondary line, observe the following guidelines: Review the backpriming function (see Section 6.4, Backpriming ) Use sets with an appropriate secondary port Attach the secondary line, syringe, or vial to the appropriate secondary cassette inlet using an 18- or 19- gauge, 1-1/4 inch (or shorter) needle, blunt cannula, or male adapter ...
- Page 24 Syringe: Invert the syringe and expel the air (syringe adapter with blunt cannula is shown). Attach the secondary container to the secondary inlet port (capped port shown on the left, prepierced port on the right). Syringe: When using a 3 to 5 cc syringe, retract the plunger to draw approximately 1 mL of air into the syringe to clear fluid from...
- Page 25 6.0 PROGRAMMING The Plum XL Micro/Macro has the following delivery modes: Primary only delivery Secondary only delivery Piggyback delivery When a rate and a VTBI are entered for the primary line and no settings are entered for the secondary line, the Plum XL will deliver primary only.
- Page 26 Primary Only Delivery To program the Plum XL for primary only delivery, proceed as follows: Turn the control dial to SET HOLD/RESET SET VTBI RATE. CLEAR SET RATE CHARGE Press the [PRI-SEC] key to select the primary line (if it is not already selected).
- Page 27 Turn the control dial to RUN. Primary only delivery begins. (Optional): Set the panel lockout switch to locked to prevent unauthorized tampering of the device (see Section 6.8, Lockout ) . Secondary Only Delivery To program the Plum XL for secondary only delivery, proceed as follows: Confirm that the primary rate and the VTBI are set to 0 (zero) before programming secondary only...
- Page 28 Press the key, or the [QUICKSET] key to set secondary rate. Turn the control dial to SET VTBI. HOLD/RESET SET VTBI SET RATE CLEAR CHARGE Press the key, or the [QUICKSET] key to set the volume to be delivered. Turn the control dial to RUN. Secondary only delivery begins.
- Page 29 Piggyback Delivery To program the Plum XL for piggyback delivery, proceed as follows: Turn the control dial to SET HOLD/RESET SET VTBI RATE. CLEAR SET RATE CHARGE Press the [PRI-SEC] key to select the primary line (if it is not already selected).
- Page 30 Turn the control dial to SET HOLD/RESET SET VTBI RATE. CLEAR SET RATE CHARGE Press the [PRI-SEC] key to select the secondary line. Press the key, or the [QUICKSET] key to set the secondary rate. Turn the control dial to SET VTBI. HOLD/RESET SET VTBI SET RATE...
- Page 31 Turn the control dial to RUN. Piggyback delivery begins. When secondary delivery completes, Plum XLs with software revisions 1.02 and earlier beep five times and begin primary delivery. (Optional): Set the panel lockout switch to locked to prevent unauthorized tampering of the device (see Section 6.8, Lockout ...
- Page 32 Primary only: Attach an empty container or syringe to the secondary inlet port (syringe shown). Primary only: Press and hold the BACK [BACKPRIME] key until enough PRIME fluid from the primary line expels the trapped air into the secondary container.
- Page 33 To resume delivery, turn the HOLD/RESET SET VTBI control dial to RUN. SET RATE CLEAR CHARGE Changing Containers To change a container, use aseptic technique and proceed as follows: Turn the control dial to HOLD/RESET SET VTBI HOLD/RESET. SET RATE CLEAR CHARGE With the cassette door closed,...
- Page 34 Titration Titration is the incremental adjustment of the fluid delivery rate while pumping (primary or secondary) is in progress. To titrate fluid delivery, hold down the [TITRATE] key and press the key to increase or decrease the delivery rate. Clear Volume CLEAR VOL erases the total volume delivered from memory.
- Page 35 This section contains solutions to routine clinical conditions that may occur while using the Plum XL Micro/Macro that do not require assistance from hospital or Hospira Technical Support Operations personnel. Problems that may occur in the Plum XL are in two categories: alarms and malfunctions.
- Page 36 The following tips help correct the alarm conditions that may occur: MESSAGE POSSIBL E CA USE CORRECTIVE ACTION AIR IN LINE Air detected distal Remove and reprime to cassette cassette AIR IN LINE Air detected Backprime to expel all BACKPRIMING proximal to cassette air ...
- Page 37 MESSAGE POSSIBL E CA USE CORRECTIVE ACTION LOW BATTERY Approximately 30 Connect to AC power minutes of battery power remains Note: Pressing the [SILENCE] key mutes the audible alarm for 15 minutes from the time the LOW BATTERY alarm occurred Note: When the battery discharges, pumping stops and the alarm sounds continuously for...
- Page 38 MESSAGE POSSIBL E CA USE CORRECTIVE ACTION VTBI Secondary Only, or Discontinue infusion, or COMPLETE Primary Only: change container and Programmed VTBI program new VTBI completed setting Piggyback: Primary VTBI completed Note: KVO also displays on the screen indicating the KVO rate is in progress Malfunctions During a malfunction, an "Er"...
- Page 39 Technical Assistance For technical assistance, technical training information, or to order parts, accessories, or manuals, contact Hospira Technical Support Operations. The telephone number for Technical Support Operations 1-800-241-4002 Do not return the Plum XL without prior approval from Hospira Technical Support Operations.
- Page 40 8.0 PRECAUTIONS For optimum operation of the Plum XL Micro/Macro, observe the following precautions. Artifacts Nonhazardous, low level electrical potentials are commonly observed when fluids are administered using infusion devices. These potentials are well within accepted safety standards, but may create artifacts on voltage sensing equipment such as ECG, EMG, and EEG machines.
- Page 41 Consult the drug container labeling to confirm drug compatibility, concentration, delivery rates, and volumes are all suitable for intermittent or continuous secondary or piggyback delivery mode. Setting the primary rate greater than the secondary rate will result in a more rapid infusion of any residual secondary drug remaining in the line and the cassette.
- Page 42 For epidural administration, the use of a nylon catheter ® (Hospira List No. 1193) or a Teflon catheter (Hospira List No. 6947), pump sets without Y-sites and "epidural" stickers indicating ongoing epidural administration are recommended.
- Page 43 take longer to return to normal. If overdelivery occurs during administration, observe the patient closely for signs of spinal cord compression (disorientation, headache, transient neuralgias) and drug overdose. Battery Operation The battery may not be fully charged upon receipt. Connect the Plum XL to AC power for at least eight hours with the control dial in the OFF CHARGE setting.
- Page 44 Use 19-gauge or larger needle or catheter for viscous fluids if operating at rates greater than 500 mL/hr.Use a cassette with a capped secondary port when delivering viscous fluids on the secondary line. Backpriming Backpriming is not recommended for reconstituting secondary containers containing dry powders.
- Page 45 Certain cleaning and sanitizing compounds may slowly degrade components made from some plastic materials. Using abrasive cleaners or cleaning solutions not recommended by Hospira may result in product damage. Do not use compounds containing combinations of isopropyl alcohol and dimethyl benzyl ammonium chloride.
- Page 46 9.0 CLEANING, MAINTENANCE, AND STORAGE The cleaning, maintenance, and storage of the Plum XL Micro/Macro are described in this section. Cl ean ing an d Sani ti zi ng For proper maintenance of the Plum XL, observe the following cleaning and sanitizing guidelines. Plum XL Micro/Macro...
- Page 47 Establish a routine weekly schedule for cleaning the Plum XL. To clean the Plum XL, proceed as follows: Turn the control dial to HOLD/RESET SET VTBI OFF CHARGE, then disconnect CLEAR SET RATE the Plum XL from AC power. CHARGE The exposed surfaces of the Plum XL may be cleaned with a lint-free cloth dampened with one of the recommended cleaning solutions listed as follows or...
- Page 48 Cleaning Solution Manufacturer Preparation ® Super Edisonite S. M. Edison Co. manufacturer's recommendation ® Vesphene II se Calgon Vestal Laboratories manufacturer's recommendation ® Manu-Klenz Calgon Vestal Laboratories manufacturer's recommendation Formula C Diversey Corporation manufacturer's recommendation Household bleach Various Per hospital procedures;...
- Page 49 Battery Maintenance The Plum XL is battery powered for emergency backup and temporary portable operation. A fully charged new battery will provide approximately eight hours of operation at 125 mL/hr or 1000 mL volume delivered per pumping unit, whichever occurs first. The Plum XL should be operated on battery power for six continuous hours at least once every six months for optimum performance and battery life.
- Page 50 Service All servicing or adjustments to the Plum XL should be referred to qualified technical personnel. A Technical Service Manual may be ordered from Hospira Technical Support Operations. Plum XL Micro/Macro...
- Page 51 10.0 SYSTEM ACCESSORIES Plum XL Micro/Macro is compatible with all Plum accessories, and all PlumSets administration sets. Accessories are updated without notice. Contact a Hospira representative for current listings. System Operating Manual...
- Page 52 11.0 SPECIFICATIONS Approximately 8.25H x 7.5W x 8.75D inches (excluding pole clamp) Approximately 7.75 lbs (with battery) High-impact plastic 100-130 VAC, 47/63 Hz, less than 35 W Hospital-grade AC cord, 10 ft long, 0.5 A, 250 V, Slow Blowing Sealed lead-acid, rechargeable 8 V battery, internal to device.
- Page 53 The battery charges whenever the Plum XL Micro/Macro is connected to AC power. If the device is turned to OFF CHARGE, recharge takes approximately eight hours. Recharge takes longer if the device is turned on. 10 to 40 C, 10% to 90% relative humidity -20 to 60 C 10% to 90%...
- Page 54 NOTES Plum XL Micro/Macro...
- Page 55 whatsoever (whether such cause be based in contract, negligence, strict liability, other tort or otherwise) exceed the price of such product, and in no event shall Hospira be liable for incidental, consequential, or special damages or losses or for lost business, revenues, or profits.
- Page 56 AC power cords. In providing any parts for repair or service of the product, Hospira shall have no responsibility or liability for the actions or inactions of the person performing such repair or service, regardless of whether such person has been trained to perform such repair or service.
- Page 57 NOTES System Operating Manual...
- Page 58 THE PRESENCE OF FLA MMABL E ANESTHETICS. Patents Pending Plum, PlumSets, LifeShield, and LifeCare are registered trademarks of Hospira, Inc. Plum XL and Quickset are trademarks of Hospira, Inc. Teflon, Formula C, Manu-Klenz, Vesphene II se, and Super Edisonite are not registered trademarks of Hospira, Inc.
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