Abbott GEMSTAR Operating Manual
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Abbott GEMSTAR Operating Manual

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ABBOTT
TM
System Operating Manual
For use with the
Abbott GemStar Pump
List 13000-36
ABBOTT LABORATORIES, NORTH CHICAGO, IL 60064, USA
430-600095-002 (Rev. 8/02)

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Summary of Contents for Abbott GEMSTAR

  • Page 1 ABBOTT System Operating Manual For use with the Abbott GemStar Pump List 13000-36 ABBOTT LABORATORIES, NORTH CHICAGO, IL 60064, USA 430-600095-002 (Rev. 8/02)
  • Page 2 This manual is designed for use by healthcare professionals, caregivers, and patients. For consultation and technical support, contact your local Abbott Laboratories sales office. This manual is designed for use with Abbott GemStar Pumps used in the United Kingdom, Australia, and other English-speaking countries. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 3 Change History Part Number Description of Change Pages Changed 430-600095-001 Original Release (Rev. 3/00) 430-600095-002 Second Release (Rev. 8/02) Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 4: Table Of Contents

    Operating Modes ....... . 8 Abbott GemStar Pump Set ......8 Indications for Use .
  • Page 5 Set Clock ........77 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 6 Using the Abbott GemStar Lockboxes ....112 Using the Abbott Carrying Cases ..... . . 114 Using the Abbott GemStar Docking Station .
  • Page 7 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 8: Introduction

    AC mains adaptor, rechargeable battery pack, two disposable AA batteries, or the Abbott GemStar Docking Station. The Abbott GemStar Pump is designed for use in the home, in the hospital, or anywhere electronic infusion is required. When powered by batteries, the Abbott GemStar Pump is ideal for ambulatory patients.

  • Page 9: Abbott Gemstar Pump Layout

    Introduction Abbott GemStar Pump Layout POWER STOP START SILENCE ABBOTT BACK-UP CHANGE OPTIONS PURGE HELP ENTER Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 10 • Otherwise displays Shift Totals. PURGE • Clears an AIR-IN-LINE alarm. • Primes an Abbott GemStar Pump Set. * Not all menu items are available with all modes. Refer to the appropriate section for more information. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 11: Abbott Gemstar Pump Components

    Tubing Channel Align pump set tubing in this channel. Cassette Pocket Load the cassette into this pocket. Battery Pack Use to connect the Abbott GemStar Connector Rechargeable Battery Pack to the pump. Battery Install two fresh, disposable AA Compartment batteries in this compartment for battery power.

  • Page 12: Therapies

    Delivery of mg, mcg, or · · mL/hr with a selectable KVO (Keep Vein Open) option · Variable Time Chronotherapy Legend: • = Available Note: Menu items may vary depending on the pump’s configuration. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 13: Abbott Gemstar Pump Features

    Review the history on the display, or download it to a printer or computer. • Speed Protocols Stores up to nine frequently used programs Refer to the “Options Menu” in the pump’s memory for quick access. section. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 14: Menu System

    Introduction Menu System The Abbott GemStar Pump uses a menu system that provides step-by-step guidance through all of the pump’s functions. Refer to the following table for a list of functions within each menu. Use the keypad to select menu items, answer display prompts, and enter numeric values as required.

  • Page 15: Operating Modes

    Additional disposable components, such as air-eliminating filters and extension sets, may be added to the line as required by the therapy. To use an Abbott GemStar Pump Set, follow the instructions included with the set. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 16: Indications For Use

    Introduction The basic components of the Abbott GemStar Pump Set are shown below: Piercing Pin Proximal End Cassette Distal End Tubing Slide Clamp Flow Stop Secure Lock Anti-Siphon Valve Indications for Use Physicians or certified, licensed healthcare professionals should always oversee infusions.

  • Page 17: Contraindications For Use

    Contraindications for Use The Abbott GemStar Pump should not be operated by persons who do not have the mental and physical capability or the emotional stability to properly operate this pump. Drugs not compatible with silicone rubber or PVC plastic, or not stable under infusion conditions, should not be used with this system.
  • Page 18 Introduction Regarding Drugs Used, Pump Sets, and Containers USE ONLY Abbott GemStar Pump Sets with the Abbott GemStar Pump. Use of unauthorized sets may result in injury to the patient or damage to the pump. NEVER use drugs that are incompatible with silicone rubber or PVC plastic.
  • Page 19 If the quality of the grounding source is in doubt, operate the pump only with batteries. USE ONLY the AC mains adaptors specifically labeled for use with the Abbott GemStar Pump. Installing disposable batteries is recommended, regardless of the power source used, to provide continuing operation if the external power source fails.
  • Page 20 USE ONLY the AC mains adaptor specifically labeled for use with the Abbott GemStar Pump to charge the battery pack. The Abbott GemStar AC Mains Adaptor is for use with the Abbott GemStar Pump or Abbott GemStar Battery Pack only. DO NOT use the Abbott GemStar AC mains adaptor with other products.
  • Page 21 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 22: System Setup

    Select the appropriate optional system components, such as a bolus cord, as required. Selecting a Power Source The Abbott GemStar Pump may be powered by one or more of the following: Abbott GemStar AC Mains Adaptor Abbott GemStar Battery Pack Two disposable AA batteries Abbott GemStar Manual 430-600095-002 (Rev.
  • Page 23 Return the battery door to the battery compartment (D). Turn the battery door clockwise (E). Ensure the battery door is secured under the slot. Snap the tab down to lock the battery door in place (F). Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 24 Plug the AC mains adaptor into a standard wall outlet. CAUTION: ALWAYS connect to a grounded AC mains power source when using the AC mains adaptor. USE ONLY AC mains adaptors specifically labeled for use with the Abbott GemStar Pump. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 25: Priming An Abbott Gemstar Pump Set

    System Setup Priming an Abbott GemStar Pump Set The Abbott GemStar Pump Set must be primed to eliminate air from the cassette and tubing before loading into the pump. WARNING: ALWAYS remove air from the cassette, tubing, and injection site prior to connecting to the patient. ALWAYS disconnect the pump set from the patient prior to priming or purging.
  • Page 26 If necessary, tap the cassette to eliminate any remaining air bubbles. Return the cassette to the upright position. Continue priming until fluid fills the tubing. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 27 When priming is complete, ensure no fluid flows at the distal end of the pump set. If flow is observed, DO NOT use the pump set. Connect the pump set to the patient-access device. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 28 Close the CAIR® (roller) clamp. Insert the piercing pin into the container. Suspend the container on an I.V. Pole. Squeeze the drip chamber until filled halfway. Invert the cassette approximately 45°. Open the CAIR® (roller) clamp. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 29 When priming is complete, ensure no fluid flows at the distal end of the pump set. If flow is observed, DO NOT use the pump set. Connect the pump set to the patient-access device. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 30 CAUTION: When priming is complete, ensure no fluid flows at the distal end of the pump set. If flow is observed, DO NOT use the pump set. Connect the pump set to the patient-access device Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 31 If necessary, tap the cassette to eliminate any remaining air bubbles. Return the cassette to the upright position. Continue priming until fluid fills the tubing. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 32 When priming is complete, ensure no fluid flows at the distal end of the pump set. If flow is observed, DO NOT use the pump set. If extension set has a Y-extension, prime it if needed. Connect the pump set to the patient-access device. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 33: Loading The Cassette

    STOP mode. If flow is observed, DO NOT use the pump set. Connect the pump set to the patient-access device. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 34: Releasing The Cassette

    Push down on the cassette release button on the top of the pump. Remove the cassette. Note: When the cassette is released from the pump, the cassette flow stop automatically reverts to the closed position, preventing free flow. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 35 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 36: Basic Operation

    [CHANGE] before pressing [YES/ENTER] to reset the value to zero. [BACK-UP] Press [BACK-UP] to return to a previous display, to exit OPTIONS, or to exit the HELP mode. Note: To power-off the pump, press and HOLD until the display clears. ON/OFF Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 37: Powering On The Pump

    Basic Operation Powering On the Pump CAUTION: If the self-test does not display or if beeps do not sound at power-on, contact Abbott Customer Support before using the pump. Press [ ] to power-on the pump. The pump ON/OFF GEMSTAR 7...

  • Page 38: Programming The Pump

    STOP Tip: If you enter an incorrect numeric value during programming, press [ CHANGE BEFORE pressing [ ] to reset the value to zero. Then enter the correct YES/ENTER value. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 39: Starting A New Container

    STOP CHANGE Select from the Change Menu. displays for NEW CONTAINER NEW CONTAINER several seconds and the amount infused clears from the pump’s memory. Review the program. Press [ ] to begin delivery. START Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 40: Weight Dosed

    Enter the value in mL when “mL” flashes on the display. • Press [ ] to confirm. • YES/ENTER Enter the rate. The pump automatically displays the mL/hr equivalent even when another unit of measure is selected. Enter the VTBI. Review the program. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 41: Auto Kvo

    NEW RATE Press [ ] within 10 seconds to accept the change and begin delivery at • YES/ENTER the new rate. Press [ ] to continue delivery at the programmed rate. • Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 42: Changing A Weight Dosed Program

    ] and select [ STOP CHANGE CHANGE PROGRAM As each program parameter displays, make the desired changes or press ] to accept the current setting. YES/ENTER Review the program. Press [ ] to begin delivery. START Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 43: Weight Dosed Programming Worksheet

    (0.8 mL/hr or less) the rate may be too slow for that drug. Consider using a lower drug concentration with these drugs so a pump rate above 0.8 mL/hr can be used. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 44: Pain Management

    The loading dose rate is 125 mL/hr. Note: The use of a lockbox is recommended with pain management protocols. Refer to "Using the Abbott GemStar Lockboxes" on page 106 for instructions on using a lockbox with the Abbott GemStar Pump.

  • Page 45: Bolus Delivery

    125 mL/hr. A bolus cord is available for patient bolus requests; refer to Connecting the Bolus Cord in the “Optional System Components” section for more information. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 46 To do this: Press this key: Bolus lockout time is set to: Deliver the remaining bolus amount The time of delivery completion [YES/ENTER] Clear the undelivered bolus amount The time the bolus was interrupted [NO] Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 47: Loading Dose Delivery

    COMPLETE THE LOADING DOSE? displays. Refer to the following table for the appropriate response: To do this: Press this key: Deliver the remaining loading dose amount [YES/ENTER] Clear the undelivered loading dose amount [NO] Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 48: Changing A Pain Management Program

    ] and select [ STOP CHANGE CHANGE PROGRAM As each program parameter displays, make the desired changes, or press ] to accept the current setting. YES/ENTER Review the program. Press [ ] to begin delivery. START Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 49: Pain Management Programming Worksheet

    0.1 - 99999 mg 1 - 9999000 mcg 0.1 - 9999 mL Air Sensitivity q On Alarms at approx. 0.5 mL of air q 2 mL Alarms at approx. 2 mL of air q Off No alarm Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 50: Ml/Hr Only

    The rate can be titrated while the pump is infusing. An optional secondary container can be “piggybacked” on the primary container during regular delivery using an Abbott GemStar Piggyback Pump Set. Refer to Piggybacking in this section for more information.

  • Page 51: Auto Kvo

    • Piggybacking Piggybacking with the Abbott GemStar Pump requires the use of an Abbott GemStar Primary Piggyback Pump Set with a proximal Y-site backcheck valve and a secondary piggyback set with an extension hook. The secondary container must be higher than the primary container.
  • Page 52 7 inches (17.8 cm) above the fluid level in the primary container. Use additional extension hooks if necessary. Connect the secondary pump set to the proximal Y-site (or proximal port). Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 53 Canceling a Piggyback Delivery Press [ ] and select [ from the Change Menu. CHANGE PIGGYBACKING Press [ ] to reset the dose amount to zero. CHANGE Press [ ] to cancel piggyback delivery. YES/ENTER Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 54: Changing A Ml/Hr Only Program

    As each program parameter displays, make the desired changes or press ] to accept the current setting. YES/ENTER Press [ ] to begin delivery. START Note: A program review is not required and is only available through the Change or Options Menu. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 55: Ml/Hr Only Programming Worksheet

    ™ Abbott GemStar mL/hr Only Programming Worksheet GIVE: Parameter Selections and/or Values to be Programmable Ranges Entered Therapy mL/hr Only Rate 0.1 - 1000 mL/hr VTBI (Volume To Be Infused) 0.1 - 9999 mL Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 56: Intermittent

    KVO between doses. Note: If KVO is desired before a delayed start, you must increase the container size to accommodate the desired KVO volume. Select the air sensitivity. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 57 Tip: To use a delayed start without specifying a start time: (1) Press [ YES/ENTER (2) Complete the program review; (3) Power-off the pump; (4) When the pump is powered on again, complete the program review, then press [ ] to begin START delivery. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 58: Intermittent Delivery Interruptions

    If an Intermittent dose is interrupted and the pump is placed in the mode during the on or off cycle of the current dose, the dose continues delivery from the point where it was interrupted and all subsequent doses are shifted. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 59 When the dose is complete, the start time for the Next Dose displays. To change the start time refer to the “Options Menu” section. Any missed Intermittent doses, except the first dose, are added to the end of the delivery schedule. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 60: Changing An Intermittent Program

    ] and select [ STOP CHANGE CHANGE PROGRAM As each program parameter displays, make the desired changes or press ] to accept the current setting. YES/ENTER Review the program. Press [ ] to begin delivery. START Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 61: Intermittent Programming Worksheet

    * The pump automatically calculates the minimum container size required to deliver the number of programmed doses and KVO between doses. If KVO is desired before a delayed start, you must increase the container size to accommodate the desired KVO volume. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 62: Total Parenteral Nutrition (Tpn)

    KVO volume. Select the air sensitivity. Review the program. WARNING: I I f the cassette is removed from the pump, ALWAYS disconnect the pump set from the patient and purge the line before restarting therapy. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 63: Changing A Tpn Program

    Note: Time is entered in hours:minutes. For one hour, press [ not [ Press [ ] to return to the mode, then press [ ] to begin Auto YES/ENTER START Taper Down. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 64: Tpn Programming Worksheet

    * Maximum VTBI is 9600 mL minus any taper amount. ** Programmable ranges for taper down are 1 minute to 3 hours OR 2 times the remaining volume divided by the continuous delivery rate, whichever is less. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 65 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 66: Continuous

    The rate can be titrated while the pump is infusing. An optional secondary container can be “piggybacked” on the primary container during regular delivery using an Abbott GemStar Piggyback Pump Set. Refer to Piggybacking in this section for more information.

  • Page 67: Rate Titration

    • Piggybacking Piggybacking with the Abbott GemStar Pump requires the use of an Abbott GemStar Primary Piggyback Pump Set with a proximal Y-site backcheck valve and a secondary piggyback set with an extension hook. The secondary container must be higher than the primary container.
  • Page 68 7 inches (17.8 cm) above the fluid level in the primary container. Use additional extension hooks if necessary. Connect the secondary pump set to the proximal Y-site (or proximal luer port). Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 69 Canceling a Piggyback Delivery Press [ ] and select [ from the Change Menu. CHANGE PIGGYBACKING Press [ ] to reset the dose amount to zero. CHANGE Press [ ] to cancel piggyback delivery. YES/ENTER Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 70: Changing A Continuous Program

    ] and select [ STOP CHANGE CHANGE PROGRAM As each program parameter displays, make the desired changes or press ] to accept the current setting. YES/ENTER Review the program. Press [ ] to begin delivery. START Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 71: Continuous Programming Worksheet

    (VTBI + KVO) 1 - 9999000 mcg 0.1 - 9999 mL Air Sensitivity q On Alarms at approx. 0.5 mL of air q 2 mL Alarms at approx. 2 mL of air q Off No alarm Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 72: Variable Time

    Note: You must increase the container size to accommodate bolus deliveries. Select the air sensitivity. Review the program. WARNING: I I f the cassette is removed from the pump, ALWAYS disconnect the pump set from the patient and purge the line before restarting therapy. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 73: Variable Time Delivery Interruptions

    Press [ ] to begin delivery. START Note: The container size cannot be made smaller than the daily total of phases, base rate, and KVO combined; or the current amount delivered, whichever is greater. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 74: Variable Time Programming Worksheet

    On Alarms at approx. 0.5 mL of air q 2 mL Alarms at approx. 2 mL of air q Off No alarm *Sum of all phases must equal 100% when programmed in percentages. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 75 Variable Time Phase Start Time Stop Time Percentage Rate Dose TOTAL Note: The sum of all phases must equal 100% when programmed in percentages. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 76: Options Menu

    To select the Print Menu without scrolling the display, press [ Note: When the pump exits , the display returns to the mode the pump was in when OPTIONS the Options Menu was accessed. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 77: Review Program

    SPEED PROTOCOL selecting Review/Resume from the Change Menu; NEXT DOSE or at power-on if a program is stored in the pump’s memory and the pump has been powered off for 5 or more minutes. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 78: Histories

    • Amount delivered through has been programmed during bolus delivery the last 48 hours. Perform user-assisted Operation • Display messages guide the OPERATION TEST user through each section of Test. the test Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 79 Speed Protocol is recalled, or the History is cleared. Operation Test This function allows the testing of various pump operations to ensure the Abbott GemStar Pump is working properly. Refer to the “Operation Test” section for instructions. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 80: Keypad Lock

    3 NEW CONTAINER Full Lock 4 FULL LOCK The Abbott GemStar Pump allows two lock levels to be applied at the same time. Therapy Lock may be used with either Full Lock, New Container Lock or Rate Change Lock. When two lock levels are applied, if a function is available under one lock level but not the other, the more stringent restrictions apply.
  • Page 81 Under Therapy Lock, the new program must be of the same type that was programmed when the pump was · · locked. · · Piggybacking · Rate Titration · Operation Test · Clear History Select Another Therapy Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 82: Change Pump Settings

    Change the distal occlusion Default Setting: High OCCL SENSOR sensor sensitivity. The pump alarms when distal pressure is greater than the selected occlusion sensor limit. Adjust the audible alarm Default Setting: Maximum SOUND LEVEL level. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 83 ] to increase the sound ENTER WHEN DONE level. Use [ ] to decrease the sound level. Tip: Press [ ] to restore the sound level to CHANGE the default setting. Press [ ] when done. YES/ENTER Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 84: Set Clock

    SPEED PROTOCOL NEXT DOSE Select from the Options Menu. PRINT Select the number key that corresponds to the desired print function. When the print transmission is complete, the pump exits OPTIONS Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 85: Speed Protocol

    Store a program in pump memory for later use. ASSIGN REVIEW/RECALL Review assigned protocols from the RUN or STOP mode. Recall an assigned protocol from the STOP mode. DELETE Delete protocols from pump memory. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 86: Next Dose

    Use the number keys to enter the start time for the PRINT next dose. Press [ ] when done to YES/ENTER SPEED PROTOCOL accept the change and exit OPTIONS NEXT DOSE Tip: Use to toggle between AM and PM. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 87: Connecting To The Data Port

    Options Menu Connecting to the Data Port The Data Port may be used to connect the Abbott GemStar Pump to a Seiko® DPU 414 or compatible serial printer to print the Operation Test results or the files available from the Print Menu. Using communication software included with most computer operating systems (or available from local sources), these files can also be transferred to a computer.
  • Page 88 SW3-3 Parity condition: ONLINE SW3-4 Flow control: H/S busy ONLINE SW3-5 Baud rate: 2400 bps ONLINE SW3-6 Baud rate: 2400 bps FEED SW3-7 Baud rate: 2400 bps FEED SW3-8 Baud rate: 2400 bps ONLINE Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 89 WARNING: Disconnect the pump from the patient BEFORE connecting the pump to a printer or computer. CAUTION: Do not connect the Abbott GemStar AC Mains Adaptor to a printer. Note: For maximum battery life, the pump should be operated on AC mains when connected to a printer or computer.
  • Page 90 Connect the serial printer cable to the data port (D) on the bottom of the pump. Configure the communications software on the computer. Refer to Configuration Settings on page 80. Tip: After the data transfer is complete, the file may be viewed or printed using any text editor. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 91 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 92: Clinician Instructions

    Enter the lock sequence number. Asterisks display as the numbers are entered. Lock, enter [ • THERAPY , and lock levels, enter • UNLOCKED FULL NEW CONTAINER RATE CHANGE Note: Default lock sequence numbers are shown. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 93: Program And Deliver A Clinician Activated Loading Dose

    DELIVER THE LOADING DOSE NOW? Note: If [ ] is pressed, infusion DOES NOT begin automatically when the YES/ENTER clinician activated loading dose is complete. Press [ ] to resume infusion after the START loading dose is complete. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 94: Display Shift Totals

    ] to clear the shift totals or press YES/ENTER ] to exit without clearing the shift totals. OPTIONS Tip: Press [ ] to display shift totals when the pump is not in HELP PROGRAMMING mode or an alarm condition. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 95 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 96: Troubleshooting

    Abbott GemStar Pump. CAUTION: If the pump does not perform as stated in this manual, stop using it IMMEDIATELY. For consultation and technical support contact your local Abbott Laboratories sales office. Tip: Press [ ] for additional information during programming and alarm HELP conditions.
  • Page 97 2. Power-off the pump. If CODE: NN/MMM/TTT the pump does not power-off, disconnect external power and remove the batteries. 3. Call the telephone number shown on the display message. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 98 Þ Clogged I.V. filter Þ Other obstructions 4. If the problem persists, remove and reinstall the cassette. Refer to Loading the Cassette in the “System Setup” section. 5. Press [START] to begin delivery. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 99 Review the program if • External power has required. failed or has been disconnected and no 3. Press [START] to begin batteries are installed. delivery. • Pump has been powered on with insufficient power source. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 100 • The pump has switched When switching from AC to internal power mains: (disposable batteries) • Press [SILENCE] to due to a loss of external clear the alarm. power or a reduction in external power below acceptable levels. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 101: Alert Messages

    Press [SILENCE] to in 30 minutes or less. quiet the alarm for 10 For bolus only minutes. program, delivery will Note: This alert is only complete during the available with Pain next bolus delivery. Management protocols. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 102 AND Auto mode and clear the KVO is delivering. alarm. Weight Dosed programs. 3. Use the NEW CONTAINER function to repeat the current program. Refer to Starting a New Container in the “Basic Operation” section. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 103 Other parts has remained in the 2. Follow the instructions of the display are not STOP mode for more on the display to clear affected. than three minutes. the alarm. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 104: Other Display Messages

    User has attempted to access a AVAILABLE WHILE to return to the first function that is not available from PROGRAMMING THE programming the first programming display. display. PUMP 2. Complete programming. 3. Access desired function. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 105 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 106: Maintenance

    Maintenance Pump Storage Store the Abbott GemStar Pump in a cool, dry place. Remove the disposable batteries and the battery pack before storing the pump. Program and event history are protected in the software memory for at least one year when power is removed from the pump.
  • Page 107 Clean the exposed surfaces of the pump with a soft, lint-free cloth dampened with the appropriate cleaning solution. Wipe the solution from the pump surface with a water-moistened, lint-free cloth. Use a dry, lint-free cloth to dry the pump after cleaning. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 108: Repair

    DO NOT attempt to repair the pump for any reason. The Abbott GemStar Pump is covered by a manufacturer’s warranty for one year after purchase. During this time, opening the pump case for any reason voids this warranty.
  • Page 109 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 110: Operation Test

    Operation Test This test is designed to ensure your Abbott GemStar Pump is operating properly. Abbott Laboratories recommends performing this test a minimum of once every 12 months. Refer to facility requirements to determine additional testing needs. The test can be performed when the pump is in the...

  • Page 111: Performing The Operation Test

    If the cassette pocket area and latches are free of damage, and ALL of the above • steps are verified, press [ YES/ENTER If damage is found, or ANY of the above steps cannot be verified, press [ • Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 112 • LED Test Verify that both the Power (green) and Alarm (red) LEDs illuminate. Refer to the Abbott GemStar Pump Layout in the “Introduction” section for the location of the LEDs. Enter the results: If both LEDs illuminate, press [ •...
  • Page 113 If the test is failed, clean the sensors and press [ ] to rerun the test or press • ] to confirm failure. YES/ENTER Note: Clean the sensor pins before repeating the proximal occlusion test. Refer to the “Maintenance” section for instructions. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 114: Printing Test Results

    * VERIFIED BY: **************************************** After the results have been **************************************** transmitted to the printer, END OF or if [ ] is pressed, the pump automatically OPERATION TEST proceeds to the Main RESULTS **************************************** Programming Menu. 1234567890123456789012345678901234567890 Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 115: Operation Test Checklist

    Case Inspection Cassette Pocket and Latch Inspection Power Check Keypad Check Display Test LED Test Volume Accuracy Test Distal Occlusion Test Proximal Occlusion Test Air-in-line Test Printed Test Results Serial Number: Verified By: Date: Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 116: Optional System Components

    The battery pack is recharged using an Abbott GemStar AC Mains Adaptor. Abbott GemStar PCA 13071-01 Locks the Abbott GemStar Pump and a 60 mL Abbott PCA syringe in Syringe Lockbox a plastic enclosure. The lockbox can be attached to an I.V. pole using (60 mL) the Abbott GemStar Pole Clamp (available separately).

  • Page 117: Connecting The Bolus Cord

    Interior support for the Abbott Carrying Case - 3 Liter. Abbott GemStar 13075-01 Plugs into a 100 – 240 VAC Volt mains supply to power the Abbott Docking Station GemStar Pump while mounted on an I.V. pole. During periods of (100 –...

  • Page 118: Recharging The Battery Pack

    Optional System Components Recharging the Battery Pack (List 13073-01) The Abbott GemStar Battery Pack may be recharged using the Abbott GemStar AC Mains Adaptor (List 13026-01 [USA] or 13072-01 [Universal]). CAUTION: ALWAYS connect to a grounded AC mains outlet when using AC mains adaptor.

  • Page 119: Using The Abbott Gemstar Lockboxes

    Optional System Components Using the Abbott GemStar Lockboxes The Abbott GemStar Lockbox is an enclosure that can be locked with a key to secure the pump, and a flexible container or syringe. When the pump is secured in the lockbox, the user has access to the AC mains connector, data and bolus ports, keypad, and bolus button.
  • Page 120 Remove the lockbox from the pole. Unlock the lockbox. Open the lockbox and flip the top door up. Press the cassette release button to remove the cassette. Lift the pump out of the lockbox. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 121: Using The Abbott Carrying Cases

    (List 13594-01) This soft-sided carrying case may be worn around the waist. It is designed to hold the Abbott GemStar Pump and up to a 250 mL flexible fluid bag. Place the fluid bag in the zippered compartment (A) on the backside of the case.
  • Page 122 Ensure the tubing exits the side of the case near the zipper tab when the zipper is closed (E). Place the case around the waist. Snap the buckle together to secure. Adjust the belt for a snug, comfortable fit. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 123 These soft-sided carrying cases may be worn around the waist or over the shoulder. They are designed to hold the Abbott GemStar Pump and up to a 500 mL (List 13079-01) or a 1000 mL (List 13980-01) flexible fluid bag.
  • Page 124 (List 13593-01) This soft-sided carrying case may be worn around the waist or as a backpack. It is designed to hold the Abbott GemStar Pump with batteries or a battery pack, and up to a 3 liter flexible fluid bag.
  • Page 125 Ensure the tubing is not kinked. Adjust the shoulder straps and waist belt for a snug, comfortable fit. Tip: When not using the waist belt, secure it under the large flap on the back of the case. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 126: Using The Abbott Gemstar Docking Station

    Optional System Components Using the Abbott GemStar Docking Station (List 13075-01) Connecting the Pump Mount the docking station to the I.V. pole and tighten the knob. Align the connectors on the bottom of the pump with the connectors on the docking station. Slide the pump into the docking station until it snaps into place (A).
  • Page 127 Optional System Components Disconnecting the Pump To remove the pump, press the release button (D) on the top of the docking station and slide the pump out. Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 128: Pump Sets

    Pump Sets The Abbott GemStar Pump Sets, listed in the table on the following page, are available for use with the Abbott GemStar Pump. Contact an Abbott Laboratories Representative for appropriate pump set configurations. Note: All Abbott GemStar Pump Sets are composed of latex-free components only.
  • Page 129 Pump Sets The following sets are a representation of the GemStar™ Pump Sets currently available to the market: LIST DESCRIPTION Ambulatory Sets 13271 GemStar Pump Set, LifeShield , Secure Lock, Pre-Pierced Y-Site, Non-Vented, ™ ® Orange Polyethylene-Lined Light Resistant Microbore Tubing, Pressure-Activated...

  • Page 130: Abbott Gemstar Pump Specifications

    Abbott GemStar Pump Specifications Physical The Abbott GemStar Pump is composed of latex-free components only Dimensions: Height: 5.5 in. (14.0 cm) Width: 3.8 in. (9.7 cm) Depth: 2.0 in. (5.1 cm) Weight: Approximately 17 oz. (482 grams) excluding batteries Transport and Storage...
  • Page 131 High Alarms when pump detects distal pressure greater than 26 psi (179 kPa) ±14 psi (±96 kPa) Proximal Occlusion: Alarms when pump detects proximal pressure less than or equal to -4 psi (-28 kPa) Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 132 Diagnostic routine, including motor speed and air-detection monitoring, is repeated continuously while the pump is powered on Error and alarm conditions are indicated by both audible and visual alarms; delivery in progress is stopped, if appropriate (refer to the “Troubleshooting” section) Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 133: Occlusion Information

    Wait 10 seconds. Press down on to close the flow stop. Load the cassette into the pump. Open the distal clamp. Review the program. Press [ ] to start the pump. START Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 134 The maximum over-infusion which may occur from a single fault condition is 2.78 mL. The sets used in this testing are comparable to Abbott GemStar Pump Set List 13273. Note: False occlusion alarms and fluid delivery inconsistencies may occur when pumping viscous fluids in microbore tubing at rates greater than 500 mL/hr.
  • Page 135 0.1 mL, 0 mm Hg Delivery Head, Start Up -0.1 Time (minutes) ¾ Actual Rate ----- Programmed Rate PERCENT ERROR 0.1 mL, 0 mm Hg Delivery Head, Start Up Observation Interval (minutes) Max +Min Mean Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 136 1 mL, 0 mm Hg Delivery Head, Start Up -0.2 -0.4 Time (minutes) ¾ Actual Rate ----- Programmed Rate PERCENT ERROR 1 mL, 0 mm Hg Delivery Head, Start Up 30.0% 20.0% 10.0% 0.0% -10.0% -20.0% -30.0% Observation Interval (minutes) Mean Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 137 1 mL, 0 mm Hg Delivery Head, Hour 96 -0.2 -0.4 Time (minutes) ¾ Actual Rate ----- Programmed Rate PERCENT ERROR 1 mL, 0 mm Hg Delivery Head, Hour 96 30.0% 20.0% 10.0% 0.0% -10.0% -20.0% -30.0% Observation Interval (minutes) Mean Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 138 15.0 10.0 -5.0 -10.0 Time (minutes) ¾ Actual Rate ----- Programmed Rate PERCENT ERROR 25 mL, 0 mm Hg Delivery Head, Start Up 15.0% 10.0% 5.0% 0.0% -5.0% -10.0% -15.0% Observation Interval (minutes) Mean Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 139 25 mL, 0 mm Hg Delivery Head, 96 Hour Time (minutes) ¾ Actual Rate ----- Programmed Rate PERCENT ERROR 25 mL, 0 mm Hg Delivery Head, 96 Hour 15.0% 10.0% 5.0% 0.0% -5.0% -10.0% -15.0% Observation Interval (minutes) Mean Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 140 15.0 10.0 -5.0 -10.0 Time (minutes) ¾ Actual Rate ----- Programmed Rate PERCENT ERROR 25 mL, -100 mm Hg Delivery Head, Start Up 15.0% 10.0% 5.0% 0.0% -5.0% -10.0% -15.0% Observation Interval (minutes) Mean Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 141 15.0 10.0 -5.0 -10.0 Time (minutes) ¾ Actual Rate ----- Programmed Rate PERCENT ERROR 25 mL, +100 mm Hg Delivery Head, Start Up 15.0% 10.0% 5.0% 0.0% -5.0% -10.0% -15.0% Observation Interval (minutes) Mean Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 142 Time (minutes) ¾ Actual Rate ----- Programmed Rate PERCENT ERROR 25 mL, 0 mm Hg Delivery Head, -20 in H2O Filling Head, Start Up 15.0% 10.0% 5.0% 0.0% -5.0% -10.0% -15.0% Observation Interval (minutes) Mean Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 143 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)

  • Page 144: Warranty

    90 days. On return to Abbott Laboratories, the pump will be repaired or replaced within the terms of this warranty. Material returned to Abbott Laboratories must be properly packaged and sent freight prepaid.
  • Page 145 Notes Abbott GemStar Manual 430-600095-002 (Rev. 8/02)
  • Page 146 Attention: Consult accompanying documents. Abbott GemStar and Luer Lock are trademarks of Abbott Laboratories, Inc. CAIR and LifeShield are registered trademarks of Abbott Laboratories, Inc. Super Edisonite is a registered trademark of S.M. Edison Chemical Company. Seiko is a registered trademark of Seiko Instruments, Inc.

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