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ELFensor P3/ELFensor P6/ELFensor P9 Ambulatory Infusion Pump User Manual MEDCAPTAIN MEDICAL TECHNOLOGY CO., LTD. Manufacturer : MEDCAPTAIN MEDICAL TECHNOLOGY CO., LTD. Manufacturer Address: 12th Floor, Baiwang Research Building, No.5158 Shahe West Road, Xili, Nanshan, 518055 Shenzhen, Guangdong, PEOPLE'S REPUBLIC OF CHINA...
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MEDCAPTAIN reserves the final interpretation right to this manual. To ensure high accuracy and efficiency of its products and services, MEDCAPTAIN shall have the right to change the contents of this manual without prior notice under the premise of complying with medical device regulations.
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Item Meaning Boldfaced Indicates controls on the control panel, or on-screen objects such as menu items or Word keys. > Select a menu item or a key following the path.
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Thanks for purchasing the MEDCAPTAIN product. ● MEDCAPTAIN provides a limited warranty on the product. Within the warranty period, after-sales services for the product are provided free of charge. The length of the warranty period is stipulated in the sales contract. For details, contact your local distributor. However, a product damage or failure is not covered by the warranty if it is caused by: −...
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T h i s p a g e i s i n t e n t i o n a l l y l e f t b l a n k .
1 O verview 1�1 Intended Purpose This product is intended to deliver medications to patients through intravenous, intra-arterial, subcutaneous, intraoperative site (soft tissue, body cavity/surgical wound site), epidural space, or subarachnoid space. Total parenteral nutrition (TPN) is limited to intravenous infusion. 1�2 Intended Users The pump can be used in medical settings, like hospitals, clinics, nursing homes, and homecare...
2 S afety This chapter describes important precautions for operating the ELFensor P3/P6/P9 ambulatory infusion pump. To ensure the safety of both the operator and the patient, read this chapter carefully before using the pump. You should be fully aware of the precautions provided in this manual.
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2 Safety ● If a battery stinks, has a high temperature, deforms, changes color, or encounters other exceptions during use, charging, or storage, stop using the battery immediately and take it out of the battery compartment. If necessary, contact the after-sales service department of the manufacturer.
2 Safety ● Do not use the pump in a strong electric or magnetic field or near mobile radio-frequency communication equipment as this may compromise the performance of the pump or cause a fault. ● Do not stack the pump with other equipment as this may compromise the performance of the pump or cause a fault.
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2 Safety Symbol Meaning Model number General warning sign (Background: yellow; Symbol & outline: black) Caution, read the accompanying documents Defibrillation-proof type CF applied part Class II equipment IP34 Protected against solid foreign objects of 2,5 mm Ø and greater; protected against splashing water Alternating current Direct current...
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2 Safety Symbol Meaning Refer to instruction manual/booklet (Background: blue; symbol: white) Comply with the requirements of Directive 2012/19/EU Waste Electrical & Electronic Equipment Non-ionizing electromagnetic radiation This way up Fragile, handle with care Keep dry Keep away from sunlight Atmospheric pressure limitation Temperature limit Humidity limitation...
3 P roduct Specifications Name Ambulatory infusion pump Model / Specifications ELFensor P3, ELFensor P6, ELFensor P9 Dimensions 103 mm (W) × 107 mm (H) × 33 mm (D) Weight About 0.37 kg (battery included) Operating Conditions Ambient temperature: 5°C ~ 40°C...
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− Charging duration: ≤4h when powered off and ≤7h when powered on and at the infusion rate of 5 ml/h ● Powered by four AA batteries (ELFensor P3) − Battery brand: NANFU (model: LR6) − Battery life (continuous operation at room temperature with default settings): ≥168h at the infusion rate of 5 ml/h;...
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3 Product Specifications Alarm Message Infusion End, Infusion End KVO Start, Battery Empty, Patient-side OCCL, Air Bubble In Line, Fluid-side OCCL, Cassette Detached, Infusion Near End, Cass. Unlocked, Reminder Alarm, Standby End, Dose Limit Exceeded, Communication Error, Battery Low, No Battery, No AC Power, PCA Controller Removed, and mechanical fault (ERR211) Date of Manufacture See the product label...
(optional). The product does not include the pump infusion tubing and medication cassette reservoirs. NOTE: The power adapter is provided for ELFensor P6/P9 and optional for ELFensor P3. 4�2 Operating Principle This ambulatory infusion pump is intended to infuse, through positive pressure, a preset volume of drug liquid into the patient's body.
4 Product Description 4�3 Schematic Description No� Item Description Alarm indicator Red: high-priority alarm Yellow: low- or medium-priority alarm Operating When drug is infused at the continuous rate, this indicator flashes indicator in green. Power indicator ● When the pump is powered by using the power adapter and the internal lithium battery is being charged, the power indicator is blue.
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4 Product Description No� Item Description Cassette latch Used to secure the cassette onto the pump and prevent unexpected detachment. Hinge pin Used to secure the medication cassette reservoir. Patient-side Used to detect occlusions on the patient side. occlusion sensor Squeeze Used to squeeze the infusion tubing to realize liquid flow during mechanism...
4 Product Description 4�4 Display Information Area Rate 09:23 Morphine Surplus Vol. Rate 95.5 ml Data Area 15.0 Left Time ml/h 06:22:12 Button Area Operation C.Bolus Pause Area Description Information area Displays information such as the interface name, time, Wi-Fi signal, external power supply, battery level, and alarm message.
Packing list PCA controller NOTE: • Four AA batteries are provided for ELFensor P3. The rechargeable lithium battery is provided for ELFensor P6/P9. • The power adapter is provided for ELFensor P6/P9 and optional for ELFensor P3. • Two types of PCA controller are available: one with a 0.3m cable and one with a 2m cable.
Keep the package and packaging materials for future storage and transport. 5�3 Power Supply The ELFensor P3 ambulatory infusion pump can be powered by four AA batteries or AC power. The ELFensor P6/P9 ambulatory infusion pump can be powered by the internal lithium battery or AC power.
5 Installation Instructions The power adapter can be used as an alternate source of power for the pump and/or to recharge the internal lithium battery. The pump requires that AA batteries or the internal lithium battery are installed as a backup while using the power adapter. Otherwise, when the external power supply is cut off due to a power failure or short circuit, the pump may shut down and fail to trigger alarms, which causes safety risks.
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5 Installation Instructions ● Do not expose the battery to sunlight or temperatures above 60℃. ● Do not use or charge the battery near fire or heat sources. ● Do not use a sharp object to knock or puncture the battery. ●...
5 Installation Instructions 3. Install the battery compartment cover back by aligning it with the clip and pushing it back in place until you hear a clicking sound. 5�3�3 AA Batteries ● Before AA battery replacement, be sure to stop the running infusion or power off the pump. ●...
5 Installation Instructions 3. Install the battery compartment cover back by aligning it with the clip and pushing it back in place until you hear a clicking sound. 5�4 Attaching and Detaching a Medication Cassette Reservoir Before you attach a medication cassette reservoir to the pump, ensure that no air bubble exists in the cassette reservoir and the cassette reservoir has no crack or leakage.
5 Installation Instructions The indicator on the PCA controller has the following states: ● Solid green: indicates that the press is valid and a demand dose has started. ● Flashing in green: indicates that the patient now can press the PCA controller or the PCAdose button on the pump to start a demand dose.
5 Installation Instructions Slot 5�7 Installing the Pump onto an IV Pole After you connect the pump to the pole clamp, install the pump and pole clamp together onto an IV pole. 1. Rotate the IV pole retaining knob of the pole clamp counterclockwise and insert the IV pole into the pole clamp.
5 Installation Instructions 5�8 Putting the Pump into the Pouch (Optional) This ambulatory infusion pump can be put into the pouch provided by the manufacturer and then carried by the patient. 1. Put the pump, with the medication cassette reservoir attached, into the pouch. 2. Pull the infusion tubing out of the pouch through the opening. 3.
LoadingDose mode, Intermittent mode, and Trapezia mode. The default infusion mode is PCA mode. NOTE: For ELFensor P3, only five infusion modes are supported: PCA mode, PIEB mode, PCEA mode, PCS mode, and Rate mode. To select an infusion mode, perform the following steps: 1.
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DemandBolus Enable or disable the setting of a demand bolus. PCEA Mode Infusion Rate ELFensor P3/P6: 0.1 - 500 ml/h ELFensor P9: 0.1 - 800 ml/h Dose Lmt. Enable or disable the setting of an upper limit on the infusion volume within a certain number of hours.
6 Operating Instructions 6�4 Selecting a Drug This pump supports the drug selection function. To enable this function, choose Local Settings > Infusion Settings > Common Settings and then turn on Drug Selection. After you select an infusion mode, you can select New Infusion to start configuring a new infusion.
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6 Operating Instructions PCEA stands for Patient Controlled Epidural Analgesia. When the patient feels pain during an infusion, the patient can press the PCAdose button on the pump or the connected PCA controller to administer a preset demand dose of medication to the epidural space to relieve the pain.
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6 Operating Instructions • If the continuous rate is not set to 0, apart from demand doses initiated by the patient, there is a continuous infusion at this rate in the background. • A bolus cannot be started during a loading dose, a demand dose, or a PIEB dose. •...
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VTBI 0.1 - 999.9 ml. The increment is 0.1 ml. Infusion Rate ELFensor P3/P6: 0.1 - 500 ml/h ELFensor P9: 0.1 - 800 ml/h ● Between 0.1 and 99.9 ml/h, the increment is 0.1 ml/h. ● Between 100 and 800 ml/h, the increment is 1 ml/h.
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6 Operating Instructions Parameter Description 0.01 - 5.60 m The increment is 0.01. Dose Rate Unit If you set the calculation method to weight, available dose rate units are X/kg/h, X/kg/min, X/kg/24h, X/h, X/min, and X/24h. If you set the calculation method to BSA, available dose rate units are X/ /h, X/m /min, X/ m /24h, X/h, X/min, and X/24h.
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6 Operating Instructions On the parameter setting interfaces, set the VTBI, LoadingDose, Loading Rate, and Maintain Rate parameters. The values of the Loading Time and Maintain Time parameters are automatically calculated. Parameter Description VTBI 0.1 - 999.9 ml. The increment is 0.1 ml. LoadingDose 0.1 - 999.9 ml.
6 Operating Instructions Rate 09:23 Morphine Prime Rate Quit ml/h Edit Param. Start Operation 4. After ensuring that the administration set is disconnected from the patient, tap Yes. The pump starts priming at the default prime rate and stops when the prime volume reaches the preset value or when you tap Stop Prime.
2. Set the C. Bolus Rate and C. Bolus VTBI parameters. The value of the C. Bolus Time parameter is automatically calculated. Parameter Description C. Bolus Rate ELFensor P3/P6: 0.1 - 500 ml/h ELFensor P9: 0.1 - 800 ml/h C. Bolus VTBI 0.1 - 50.0 ml 3. Tap OK. The pump starts a bolus.
6 Operating Instructions • The VTBI parameter can be edited only before an infusion is started or when the infusion is paused. The LoadingDose parameter can be edited only before an infusion is started. 6�7�3 Viewing Report During the infusion, you can choose Operation > View Report to view historical infusions and event logs.
6 Operating Instructions 6�7�6 Selecting Adverse Reactions On the infusion running or pause interface, choose Operation > Adverse Reactions. Select one or more adverse reactions and tap OK. 6�7�7 Performing Quick Settings On the infusion running or pause interface, choose Operation > Quick Settings. On the Quick Settings interface, you can change patient information, the brightness and volume levels, alarm settings, and infusion settings.
6 Operating Instructions 6�10 Putting the Pump into the Standby State Press the ON/OFF button. On the interface that appears, tap Standby. The screen displays the remaining standby time. You can tap Settings to modify the remaining standby time or tap Quit to exit the standby state. 6�11 Powering off the Pump Press and hold the ON/OFF button and tap Power Off on the interface that appears.
7 M enu Settings Local settings of this ambulatory infusion pump include system settings and infusion settings. These settings are stored in the internal memory of the pump and are not lost in case of power failures. During each startup, the pump automatically loads these settings. When you power on the pump, the pump starts a self-check and then displays the home interface.
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7 Menu Settings NOTE: • Set an appropriate alarm volume based on clinical conditions. If the alarm volume level is set to lower than the ambient noise, the alarm audio may not be heard, which may cause patient hazards. • Alarm settings must be completed by professional technicians authorized by the manufacturer to ensure appropriate priorities for the alarm system.
7 Menu Settings 7�1�2 Infusion Settings Infusion settings include KVO settings, occlusion settings, bubble settings, common settings, prime settings, and auto sleep. ■ KVO Settings KVO stands for Keep Vein Open. If the KVO function is enabled, after finishing an infusion task that features a preset VTBI, the infusion pump continues to infuse liquid at the preset KVO rate.
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7 Menu Settings • If a high occlusion level is set, the occlusion alarm is triggered only when a relatively high pressure is accumulated in the infusion tubing. Ensure that the infusion tubing is firmly connected to the medication cassette reservoir. •...
7 Menu Settings ■ Prime Settings Parameter Description Prime Rate Set a prime rate. Valid values: ELFensor P3/P6: 0.1 - 500 ml/h ELFensor P9: 0.1 - 800 ml/h Prime Vol. Set a prime volume. Valid values: 1.0 - 30.0 ml. ■ Auto Sleep Parameter...
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7 Menu Settings Parameter Description WLAN Settings Enable or disable DHCP (Dynamic Host Configuration Protocol). ● If you enable DHCP, network information is obtained automatically. ● If you disable DHCP, you need to configure network information manually. Login Tip Enable or disable the prompt that reminds you to log in to the infusion central monitoring system.
7 Menu Settings We recommend that when you use the pump for the first time, you change the password to ensure security. 7�1�5 Manufacturer Maintenance To ensure the stability and precision of the pump, manufacturer maintenance shall be performed by professional technicians of the manufacturer. 7�2 Patient Management On the home interface, tap Patient Mgmt.
8 A larms and Faults 8�1 Alarm Priorities The infusion pump provides status information about itself and infusion processes. In case of an exception such as a fault, the pump triggers an alarm with text, sound, and light signals. Based on fault severity and threat to safety, alarms are classified into three priorities: low- priority alarms, medium-priority alarms, and high-priority alarms.
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8 Alarms and Faults Alarm Message Alarm Fault Cause Troubleshooting Priority ! Battery Low The battery is running Connect the pump to AC low. power or replace the battery. !!! Battery Empty High The battery is depleted. Connect the pump to AC power or replace the battery.
8 Alarms and Faults Alarm Message Alarm Fault Cause Troubleshooting Priority !! Cass. Unlocked Medium The cassette reservoir Lock the cassette reservoir. is unlocked. !! Communication Medium The network Reconnect the pump to the Error connection failed. network. ! PCA Controller The infusion has Connect the PCA Removed...
9 C leaning and Disinfection Use the materials and methods described in this chapter to clean and disinfect the ambulatory infusion pump. Use of other materials or methods may damage the pump or shorten its service life. ● If you have any questions about the use of cleaning agents or disinfectants, consult your local distributor.
9 Cleaning and Disinfection Cleaning procedure: 1. Immerse a lint free cloth in a neutral or weakly alkaline cleaning agent and then wring out the cloth. 2. Use the lint free cloth to wipe the surfaces of the pump until all contaminants are removed. Be sure to wipe every side and corner of the pump.
9 Cleaning and Disinfection 9�4 Air Drying and Transport ● Do not dry the pump by using a drying machine or similar product. ● Connect the pump to the power supply again after the pump is completely dry. After cleaning and disinfection, place the pump in a shady, cool, and ventilated environment for air drying.
10 M aintenance All preventative and corrective maintenance and all such activities should be performed by Qualified Service Personnel only, with reference to the Service Manual. 10�1 Regular Maintenance To ensure safe use and lengthen the service life of the infusion pump, perform regular maintenance on the infusion pump as described in the following table or perform maintenance when needed.
10 Maintenance 10�1�4 Alarm Check ● During startup, the infusion pump automatically checks the alarm system. You can check whether the alarm system works properly based on the following description. If an exception is found, stop using the pump and contact your local distributor or the manufacturer for repair.
10 Maintenance ● Aging is an inherent characteristic of battery. To ensure safe operation of the pump, contact your local distributor for battery replacement after the internal battery has been used for two years. ● Before battery replacement, ensure that the pump is powered off and disconnected from the external power supply.
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4. Remove the PCA controller. Plug the connector of the PCA controller out of the PCA port of the pump. 5. Take the AA batteries out of the pump (only applicable to ELFensor P3). 6. Pack the pump, batteries, and accessories with dedicated medical waste bags and mark them properly.
■ Accuracy test conditions (chapter 201.12.1.103) ● Temperature: 20.5~21.7℃ ● Relative humidity: 59.1~62.7% ● Medication cassette reservoir: MEDCAPTAIN LIFE SCIENCE CO., LTD (500ml); 1 pc ● Infusion pump: 1 pc ● Sampling interval: 15 min ● Test period: 2940 min ● Test liquid: ISO 3696:1987 Class III water...
The following test is performed by using the method described in chapter 201.12.4.4.104 of IEC 60601-2-24:2012. For details, see the previous chapter. ■ Occlusion test conditions ● Temperature: 21.3~22.0℃ ● Relative humidity: 61.5~62.2% ● Medication cassette reservoir: MEDCAPTAIN LIFE SCIENCE CO., LTD (150ml); 1 pc User Manual...
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11 Infusion Characteristics ● Infusion pump: 1 pc ● Length of the infusion tubing: 1m ■ Occlusion test results Table 11-1 Occlusion Level, Alarm Delay, and Unintended Bolus Volume Infusion Rate Occlusion Pressure (mmHg) Occlusion Alarm Time (h:m:s) 0.1 ml/h 03:00:00 1500 06:00:00 1 ml/h 00:18:00 1500 00:36:00 Infusion Rate Occlusion Pressure Occlusion Alarm Unintended Bolus Volume (mmHg) Time (h:m:s) (ml) 5 ml/h 00:04:00 1500...
● The ELFensor P3/P6/P9 ambulatory infusion pump complies with the EMC standards IEC 60601-1-2:2020 and IEC 60601-2-24:2012. ● Users must install and use the ELFensor P3/P6/P9 ambulatory infusion pump based on the EMC information provided in the accompanying document. ● Portable and mobile RF (Radio-Frequency) communication devices may affect the performance of the ELFensor P3/P6/P9 ambulatory infusion pump.
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Guidance and manufacturer’s declaration – electromagnetic emissions The ELFensor P3/P6/P9 ambulatory infusion pump is intended for use in the electromagnetic environment specified below. The customer or the user of the ELFensor P3/ P6/P9 ambulatory infusion pump should ensure that it is used in such an environment.
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135 º, 180 º, and voltage environment. If the user 270 º and 315 º ; 225 º, 270 º variations on of the ELFensor P3/P6/ 0% 1 cycle and 315 º ; power supply P9 ambulatory infusion 0% 1 cycle...
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Guidance and manufacturer’s declaration – electromagnetic immunity The ELFensor P3/P6/P9 ambulatory infusion pump is intended for use in the electromagnetic environment specified below. The customer or the user of the ELFensor P3/ P6/P9 ambulatory infusion pump should ensure that it is used in such an environment.
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To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the ELFensor P3/P6/ P9 ambulatory infusion pump is used exceeds the applicable RF compliance level above, the ELFensor P3/P6/P9 ambulatory infusion pump should be observed to verify normal operation.
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Appendix A Electromagnetic Compatibility (EMC) For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Appendix B Default Factory Settings This appendix lists some default factory settings of the ELFensor P3/P6/P9 ambulatory infusion pump. You can restore the infusion pump to default factory settings if necessary. Parameter Default Factory Setting Infusion Mode PCA mode Prime Vol. 5 ml C. Bolus VTBI...
Appendix C Minimum IT Requirements ■ Hardware 2.4GHz or 5GHz wireless network ■ IT networks characteristics ● Support the TCP/IP communication protocol. ● Support the IPv4 protocol. ■ IT security measures ● Always deploy the wireless network according to local wireless regulations. ● Data communication for all network functions must be performed within the closed network or within the virtually isolated network provided by the hospital.
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Appendix D Parameter Units Parameter Unit Drug amount ng, ug, mg, g, unit, kunit, munit, mIU, IU, kIU, EU, mmol, mol, kcal, and mEq Concentration ng/ml, μg/ml, mg/ml, g/ml, unit/ml, kunit/ml, munit/ml, mIU/ml, IU/ ml, kIU/ml, EU/ml, mmol/ml, mol/ml, kcal/ml, and mEq/ml Dose rate X/min, X/h, X/kg/min, X/kg/h, X/24h, X/kg/24h, X/m /min, X/m...
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