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User Manual for use with the ™ ™ ™ 6000 CMS and 6000 CMS Ambulatory Infusion System Moog Medical Devices Group tf 800.970.2337 ph 801.264.1001 fx 801.264.1051 www.moog.com/medical...
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Important Safety Note 4 When using a Curlin Infusion Pump in a life sustaining situation, use AC Adapter, and provide an extra set of “C” cell batteries in addition to the batteries that are installed in the pump. 4 Check pump between patient use per procedure (see maintenance chapter).
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Gravity Priming Set and Filter ....18 Starting the Pump ........42 Steps in Installing Administration Welcome Screen ........42 Set into Moog Curlin Infusion Power Status Screen ......43 Pumps ........... 19 Preventive Maintenance Screen .... 43 Select Program or Bio-Med Setup Up Stream Occlusion Alarm Screen ..........
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TABLE OF CONTENTS Program/BioMed Setup Menu ..... 51 Clear Hourly Totals Screen ....66 Resume/Repeat Rx/New Continuous MedLMTS™ Menu ...66 Program Menu ........51 Air-In-Line Sensor O Message Screen ...........67 Resuming a erapy ......52 Air-In-Line Sensor Set at 2mL Repeating a Pre-Programmed Alert Screen ..........67 erapy ..........52 Reviewing or Changing the...
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TABLE OF CONTENTS Reviewing or Changing the Resuming the Current Container ..101 Program ..........84 Hanging a New Container ....101 Starting the Infusion ......85 Entering a New Program ..... 102 PCA Run Screen ........85 Infusion Complete ......102 PCA Information Screens .....86 TPN Infusion Complete .....102 Interrupting an Infusion .......
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TABLE OF CONTENTS Intermittent Infusion Complete ..117 Alerts, Alarms, and Error Codes ..133 Stopping the Infusion ......118 ACCESSORIES ........154 Pause Menu Screen ......118 Soft Carry Packs ........154 VARIABLE THERAPY ......119 Detachable Pole Clamps ...... 155 Prescription Menus ......
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FIGURE 1.2 MOOG CURLIN INFUSION AMBULATORY PUMP BACK, BOTTOM, AND RIGHT VIEW ......... 13 FIGURE 1.3 SAMPLES OF MOOG CURLIN INFUSION ADMINISTRATION SETS ..14 FIGURE 1.4 SPIKING THE FLUID CONTAINER, GRAVITY PRIMING THE SET AND USING THE SLIDE CLAMP TO CLOSE THE TUBING ............
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I nt roduc t ion e Moog Curlin Infusion pumps have been designed with the user in mind and have the latest in friendly, simple-to-learn technology to allow fast and easy access to the features of these pumps. With a little introduction and training, an operator will quickly be able to program and use these pumps to deliver the therapies prescribed.
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I ndic at ions for U se e Moog Curlin infusion pump can be used for intravenous, intra-arterial, epidural, subcutaneous, or enteral infusions. Any therapy should be overseen by a physician or a certi ed, licensed healthcare practitioner. e infusion pump can provide therapy to patients/users who are ambulatory and needed an alternative to receiving their medication in a restricted manner (hospital or clinic).
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• ree tamper-resistant lock settings to assist in maintaining patient compliance and safety. • Patient and therapy speci c programming features via the Moog Curlin Infusion BIOMED SETUP and Options Menus (when not limited by the institution). • Ability, at the institution level, to con gure the pump for speci c administration route or units of measure: º...
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Underwriters Laboratories has evaluated the Moog Curlin Infusion pump with AC Adaptors 360-2026, 360-2022Kit, 47684 and 47685 to EN 60601-1 and CSA C22.2 No. 601-1 for General Standards of Safety for Medical Equipment and found the Moog Curlin Infusion pump to be compliant.
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• Use only Moog Curlin Infusion administration sets in your Moog Curlin Infusion pump. Use of non-proprietary administration sets may alter accuracy in delivery of uids and could result in over or under infusions, leading to possible patient injury or death.
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If the pump fails volumetric accuracy it must be returned to Moog Medical Devices Group for evaluation.
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Do not try to insert foreign objects into any of the pump connectors, as such objects may damage the pump. • Use only Moog Curlin Infusion external power sources to power the Moog Curlin Infusion pump. Using other power sources may result in circuitry or microprocessor damage. •...
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NOTICES • e Moog Curlin Infusion pump is not intended for the administration of blood or cellular blood products. • Dispose of all used administration sets in accordance with all applicable regulatory and institutional policies. • Teach users to check all tubing sites for proper aseptic connections and to check the administration sets for air leaks before and during the infusion.
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EN 60601-1. If in doubt, consult the technical services department or your local Moog representative. • e Moog Curlin Infusion pump has been tested and found to comply with the European Standard EN 60601-1-2:1993 and EN 60601-2-24:1994. ese limits are designed to provide reasonable protection against harmful interference in a typical medical installation.
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List of Abbreviat ions #BOLS/hr = Number of Bolus Doses per hour In Patient controlled analgesia the number of boluses allowed per hour 0-15 RATE = Amount rate may be changed TIME = Interval until rate may be changed = Amount = Amount to be infused = Bolus Attempted Options hourly screen shows amount of bolus doses attempted...
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To set date enter 2 digit month = Maximum Upper limit of a bolus or patient demand dose, or infusion rate = Options Once prescription is programmed, this key provides customizing features as locking programs from changes, alarm volume, battery level, amount of air detection, adjust occlusion alarm, hourly totals, shift totals, clinician dosing = Patient Controlled Analgesia Pain control by continuous rate of infusion with options for patient controlled...
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Pum p I llust rat ions a nd Fe at ure s Figure 1 .1 M oog Curlin I nfusion Am bulat or y Pum p—Front , Top a nd Le ft V ie w...
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Serial Number Label Battery Compartment Door with Caution Label External Power Jack Port Right View Pump Door (2 Pin Port) Figure 1 .2 M oog Curlin I nfusion Am bulat or y Pum p—Ba ck , Bot t om , a nd Right V ie w...
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Note: Administration sets with anti-siphon valve (ASV) protection can also be used for additional free-flow protection CAUTION: USE ONLY MOOG CURLIN INFUSION ADMINISTRATION SETS WITH THIS PUMP Figure 1 .3 Sa m ple s of M oog Curlin I nfusion Adm inist rat ion Se t s...
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Pre pa ring M e dic at ion for I nfusion/Cha nging I V Ba gs Figure 1 .4 Spik ing t he Fluid Cont a ine r, Gravit y Prim ing t he Se t a nd U sing t he Slide Cla m p t o Close t he Tubing...
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Figure 1 .5 M oog Curlin I nfusion Adm inist rat ion se t I nt e gra l Flow -St op w it h bre a k a w a y t a b Figure 1 .6 I nt e nt iona lly Ope ning t he I nt e gra l Flow -St op...
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Ope ning a nd Closing t he Pum p Door e pump door, located on the top of the Moog Curlin Infusion pump, has a sturdy “over center” latching mechanism, which assists in securely closing the door. Review the following illustrations: Figure 1 .7 Ope ning t he Pum p Door...
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5. Use aseptic technique and universal precautions as directed by the policies of your healthcare facility or institution. 6. Use only Moog Curlin Infusion administration sets with the Moog Curlin Infusion pump. 7. Dispose of administration sets in accordance with all applicable regulatory and institutional...
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Figure 1 .9 Prope r I nst a llat ion of t he M oog Curlin I nfusion Adm inist rat ion Se t int o t he Pum p St e ps in I nst a lling Adm inist rat ion Se t int o M oog Curlin I nfusion Pum ps 1.
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I nfusion Adm inist rat ion Se t in Prope r I nst a llat ion Posit ion U p St re a m Oc clusion Ala r m Fe at ure e Moog Curlin Infusion pump has an Up Stream Occlusion alarm feature, e.g., it detects low up-stream pressure.
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I nst a lling t he Bat t e rie s a nd U sing Ex t e r na l Pow e r e Moog Curlin Infusion pump can be powered solely with the use of two C-cell alkaline batteries installed into the pump as shown in Figure 1.11.
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Bat t e r y Re pla c e m e nt , Alt e r nat e Bat t e r y Door Figure 1 .1 1 • e battery door compartment is located on the back of the pump.
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* It is recommended to use Duracell® Procell® Batteries in Moog Curlin pumps ** C-cell batteries only, this function will not check external battery pump power levels. Whenever an external source is powering the pump, it is still I M PORTAN T important to always install the two C-cell batteries.
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Ex t e r na l Pow e r Sourc e s Re cha rge a ble Lit hium I on (Li-I on) Bat t e r y Pa ck (3 6 0 -2 0 3 0 ) Ove r vie w e Li-Ion Battery Pack (pictured below) is designed to be used with 2 fully charged C-cell batteries to power a model 2000, 4000, 6000 or PainSmart™...
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• Do not use this battery pack with the Moog Curlin 340-2022 (POWDEC AC Adaptor WM10-6.9V) as the combination may exceed the allowable limits for emitted electromagnetic interference.
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Dire c t ions for U se Charging the Battery Pack e Moog Curlin 57797 and 58831 AC adapters can be used to recharge the battery. A fully discharged battery will recharge in less than 15 hours. Note: Do NOT use Moog Curlin 360-2026 (Globtek GTM341-7.5-800), Moog Curlin 340- 2026 (Globtek GTM341-7.5-800), or the Moog Curlin 340-2022 (POWDEC AC adaptor...
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Connect here • e charge LED will illuminate yellow if the battery needs to be recharged. See below: • Charge the battery pack for 15 hours or until the LED turns green indicating the battery is fully charged.
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5 and 40 degrees celsius. If the fault condition persists, then the battery pack should be returned to Moog Medical Devices Group for replacement of the battery. U sing t he Bat t e r y Pa ck t o Pow e r t he Pum p •...
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• When the external battery pack is nearly depleted, the red LED indicator will be illuminated. • e pump may continue to be used until the disposable C-cells are depleted. • Disconnect battery pack from pump prior to recharging the battery pack. M a int e na nc e ere is no need to fully discharge the batteries periodically since Li-Ion batteries do not have a memory e ect.
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AC Ada pt or/Cha rge r is accessory becomes the external power source when plugged directly into the Moog Curlin Infusion pump (see Figure 1.2 for external power port location on the bottom of the pump). AC adaptor can also be used to recharge the portable battery pack by plugging the connecting cable into the recharging port on the battery pack (see Figure 1.13).
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Bolus Cord U se When the PCA therapy is used, patient bolus dosing can be programmed. To facilitate ease of patient self-dosing, the patient can use the Bolus key or the Remote Bolus Access Cord. When a bolus dose is requested two beeps will sound to indicate that the dose has started. If a bolus dose is requested and denied, one beep will sound.
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Le a r ning Pum p Fe at ure s Learning to operate the Moog Curlin Infusion pump requires a few basic points of understanding that remain constant in every therapy. It may be helpful to read through these steps rst, and then go back and use them to operate the Moog Curlin Infusion pump.
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ENTER key. Note: e Moog Curlin Infusion pump requires you to a rmatively accept a selection. Up arrow or Down arrow will not accept a selection. 7. HELP/OPTIONS: Used to request a help screen when the pump is paused or is at the “Infusion Complete Screen.”...
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De sc ript ion of t he I nfo-On-De m a nd (I OD) Fe at ure Figure 2 .2 I OD Ke ypa d w it h I nfo-On-De m a nd Fe at ure To view any of the Info-On-Demand screens on the pump display, press the related key while the pump is in the “RUN”...
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I nfo-On-De m a nd (I OD) Ke y Func t ions Designation and functionality of the ten numeric keys of the Info-On-Demand keyboard: 1. Date and Time (DateTime): e Date and Time Screen displays the current date and time according to the pump.
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5. Hourly Total (HrlyTot): e information displayed here includes the hourly “Volume (amount) Infused,” the number of “Bolus Given” and the number of “Bolus Asked”. Within the allocated 15 seconds, the user can scroll up or down the screen. Changes to this screen are not allowed.
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8. Percent Bolus (%Bols): is screen provides Bolus Volume as percentage of Total Volume. “TBOL” is the total volume infused through bolus, “TVOL” is the total volume infused, and “% BOLS” is the percentage of TBOL over TVOL. Changes to this screen are not allowed. Bots 9.
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LED Light I ndic at ors is three-light feature gives the user feedback on the current status of the pump. 1. Green indicates a RUNNING status of the pump and blinks approximately once every three seconds when a therapy is in progress. 2.
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Identi er bar with down arrow indicator Figure 2 .3 Sa m ple of displa y sc re e n...
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Cha pt e r Ba sic s of Progra m m ing e Moog Curlin Infusion pump allows the operator to customize this device to meet the speci c infusion needs of each individual patient. is chapter will explain the customizing features along with the programming steps.
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3. Data Entry Screens are used to specify prescription parameters. S a m p l e D a t a E n t r y S c r e e n In the above example, the cursor rests on a eld requiring numeric data entry for speci c prescription information, e.g., the volume in the IV bag.
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U sing “H e lp” Help Screens are available for data entry/selection screens, during Action Field screens (refer to sample screen on pg. 39), and at the Infusion Complete screen. To access help, press the HELP key. Use the arrow keys to scroll through the help message, and then press the HELP key again to exit help.
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When the Moog Curlin Infusion pump successfully passes its self-test, a brief message of “System OK” appears, and the display moves to the next screen: P o w e r S t a t u s S c r e e n is screen displays the active power source of the pump, whether internal (batteries) or external power.
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Selecting “BIOMED SETUP” allows the pump to be programmed and customized by the clinician to perform a number of special functions including setting the system clock (See “BIOMED SETUP”) Accessing “BIOMED SETUP” requires you to enter a clinician access code. (Refer to the chapter entitled, “Clinician Information and Access Code,”...
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If the maintenance due date will occur during the time the patient will be on service, the clinician may wish to select another Moog Curlin Infusion pump for this patient. is action will avoid any undue concern on the patient’s part at the notice of “Maintenance Due”...
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BIOMED SETUP Menu. 8. ENABLE THERAPY: is eld is used to customize the Moog Curlin Infusion pump to the speci c therapy ordered for the patient. When you select this function by pressing the YES/ ENTER key, the menu below appears, listing all ve of the possible therapies.
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Moog Curlin Infusion print package and by selecting the “Print Pt. Hx” option. Selecting the “Clear Hx Log” option will erase the patient history log. When the history log is full, it will overwrite on a “...
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H i s t o r y E v e n t L o g Figure 3 .1 H ist or y Eve nt Log 9. PRINT PATIENT HISTORY: To print the patient history log, connect the Data Interface Cable to the communication port on left side of the pump before selecting this command. (FOLLOW DIRECTIONS THAT ACCOMPANY THE DATA INTERFACE CABLE.) e pump will display:...
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BIOMED SETUP Menu. If the Patient History Log stops before all data is transferred, exit and restart the “Print Pt. Hx” command. Note: To utilize the print feature of the Moog Curlin Infusion pump, you must have a PC running the hyperterminal program within MS Windows™, and use the Moog Curlin Infusion Data Interface Cable which is purchased separately.
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When you select “YES,” all patient data clears and the display returns to the BIOMED SETUP Menu. Selecting “NO” aborts the feature and also returns to the menu. 13. CHANGE CONTRAST: e contrast on the display screen is automatically optimized and is no longer changeable with this option.
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If a therapy is in progress, the date and time changing functions will I M PORTAN T not be accessible until the therapy is complete. If “***ALERT*** I N FORM AT I ON DATE AND TIME CHANGE NOT ALLOWED” appears you will need to go to CLEAR PATIENT DATA/Rx above date and time and choose “enter”...
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Re sum ing a t he ra py RESUME - If a therapy is interrupted and the pump is turned o or paused before completion of the infusion, you may select “RESUME” by moving the cursor to this eld and pressing the YES/ ENTER key.
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If the current infusion is to be discontinued and a new IV bag started, press YES/ENTER to repeat. If the current infusion is to continue, press NO, and you will be prompted to resume the therapy. H ow t o go t o “N e w Progra m ” NEW PROGRAM—If the cursor is moved to this eld and the YES/ENTER key is pressed, the display changes to allow you to select which therapy you wish to program: Se le c t ing a T he ra py...
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Progra m m ing a 6 0 0 0 CM S pum p w it h Prot oc ol Libra r y Sa fe t y Syst e m (PLSS) Ve rsion 2 progra m Refer to Protocol Library Safety Software manual, part number 360-7042 YES key is used to verify or enter NO key is used to change, erase or leave screen Turn the pump on, watch self test and power source bar.
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Progra m m ing a Pum p w it h a Prot oc ol Libra r y Note: e ability to program, resume, or repeat a Library Protocol is restricted to the LIBRARY menu option. Press to scroll down to the LIBRARY function. Highlight LIBRARY, and then press YES, the following screen appears: R e s u m e / R e p e a t R x / N e w...
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8. An optional ADVISORY <message> may appear, Press YES to continue or NO to return to main LIBRARY screen. 9. To use the Library erapy as pre-programmed in the pump, select YES in each highlighted area to accept the information. To change any of the preselected drug therapy options when highlighted, press NO and enter correct information.
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Re sum ing a Libra r y T he ra py RESUME—If a therapy is interrupted and the pump is turned o or paused before completion of the infusion, you may select “RESUME” by moving the cursor to this eld and pressing the YES/ ENTER key.
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If a therapy has not completed and the REPEAT Rx function is selected, the following screen will display: If the current infusion is to be discontinued and a new IV bag started, press YES/ENTER to repeat. If the current infusion is to continue, press NO, and you will be prompted to resume the therapy.
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Cha pt e r Cont inuous T he ra py Continuous erapy is designed to allow a constant programmed rate of infusion. egin programming a Continuous erapy by selecting “Continuous” from the Select erapy Screen. e following display screen appears and requires you to enter information needed to program this therapy: Pre sc ript ion M e nus C o n t i n u o u s...
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next eld. If the infusion IS to be delayed until a later time, press the NO/CHANGE key. delay start will change from “OFF” to “ON.” Press the YES/ENTER to accept and the infusion start time screen will appear. e time format (12 hr AM/PM or 24 hr Military) selected in the BIOMED SETUP Menu will apply in this table;...
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C o n t i n u o u s M e d L M T S ™ L i m i t S c r e e n a. MaxRATE (Maximum Rate) limits: Use the numeric keys to enter the upper limits of the infusion rate.
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1 to 9999. 3. RATE: e Moog Curlin Infusion pump can deliver from 0.1 mL to 400 mL per hour. Use the numeric keys to enter the prescribed rate. If the time of the infusion is entered rst, the pump will automatically calculate the rate.
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four choices: R u n O p t i o n s S c r e e n Note that you do not need to answer yes or no questions or enter data with the numeric keys as previously requested. is screen requires only that you press the corresponding key on the keypad to begin the requested function.
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While the PRIME key is depressed, the following screen appears: e amount used for the prime session is accumulated and displayed on the bottom eld of this screen. 6. When priming is complete, release the PRIME key. e following screen will display: 7.
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C o n t i n u o u s O p t i o n s M e n u Note: e pump’s default settings are indicated above in the left screen. 1. LOCK: When the lock is set to “OFF ” the clinician has access to all of the pump functions. After the pump is completely programmed, change the lock to meet the security needs of this therapy.
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3. CLR HRLY (Clear Hourly Totals): To clear Hourly Totals press the NO/CHANGE key to change OFF to ON and then press YES/ENTER. e following screen will appear: C l e a r H o u r l y T o t a l s S c r e e n a.
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If setting is changed, the settings will remain in e ect until a new therapy is programmed. Whenever the Air-In-Line Sensor is set to OFF, Moog Curlin Infusion I M PORTAN T recommends the use of an air-eliminating lter.
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Also, when the Air-In-Line Sensor is completely disabled and the infusion goes to an “Infusion Complete” or “Empty Bag” status, the Air Sensor setting will automatically change to 2 mL. 7. AUDIO (Audio Volume): is feature allows you to adjust the audio volume of the pump’s alarm setting.
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is screen displays as long as the infusion is running. Notice the information on each eld: e rst line displays the rate of the infusion in whichever units/hour has been selected. information toggles with the programmed “Amount To Be Infused.” e second line displays a graphic bar representing the percentage of the completed infusion.
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Re sum ing t he Curre nt Cont a ine r 1. RESUME: To resume the therapy in progress from where it left o , press the YES/ENTER key at this eld. e pump will return to the Run Options Screen, and you can resume the therapy.
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Ent e ring a N e w Progra m 3. NEW PROGRAM: To program an entirely new prescription or a di erent therapy, press the YES/ENTER key at this eld (the ability to change these parameters may be controlled by the lock setting).
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3. TOT Vol (Total Volume): If units are mg or mcg, this eld will also toggle to give the Total Infused. 4. KVO Rate: e preset KVO rate displays. 5. Infusion Complete is considered an alarm status, and the audio alarm will beep periodically (every 3 seconds if there is no KVO, every 20 minutes if there is a KVO) to alert the user to this condition.
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Cha pt e r PCA T he ra py PCA or Patient Controlled Analgesia is designed for therapies requiring a continuous rate of infusion, patient controlled demand boluses, or both. egin programming a PCA erapy by selecting “PCA” from the Select erapy Screen.
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3. ADMIN Rt (Administration Route): Allows a selection from three routes of administration: the default setting of IV (intravenous), EPI (epidural), and SQ (subcutaneous). If Epidural is selected, the erapy Identi er Bar in the Prescription Menu will display “EPI” instead of “PCA.”...
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P C A M e d l i m i t L i m i t s S c r e e n a. MAX RATE (Maximum Rate) limits: Use the numeric keys to enter the upper limits of the infusion rate.
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1 to 9999. 2. BASL RATE (Basal Rate): e Moog Curlin Infusion pump in PCA erapy can be set for a continuous basal infusion (see Figure 5.1)Use the numeric keys to enter the prescribed rate (the “units”...
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is eld will not be accepted with the YES/ENTER key until the rate is adjusted to fall within pump’s range. When the rate is correct, use the YES/ENTER key to accept, and move to the next eld. 3. BOLUS (Bolus Dose): Use the numeric keys to enter the prescribed bolus (patient demand dose) and when correct, press the YES/ENTER key to accept and move on to the next eld (see Figure 5.1).
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1. Press and release the PRIME key at the Run Options Screen. e following screen appears: P r i m e D i r e c t i o n S c r e e n 3. Disconnect the administration set from the patient’s access site using aseptic protocols. Priming with the set connected to the patient could result in overdose I M PORTAN T and may cause injury or even death to the patient.
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Note: e amount of uid used in the priming process will be deducted from the Bag Volume Total but will NOT be counted in the amount infused because this amount is not to be delivered to the patient. e bag volume should still be equal to or greater than the Amount TBI before you can proceed with the infusion.
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require a clinician access code. (See “Clinical Information and Access Code” chapter for access code information, lock setting table and available features for each lock setting.) 2. ClinDOSE? (Clinician Dose): Allows an additional prescribed dose to be administered by a clinician at any time except during a Load Dose or Bolus Dose.
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S h i f t T o t a l s S c r e e n s a. Cleared/ELAPSED: is eld displays the date and time the shift total was last cleared. It toggles with the amount of time elapsed since that clearing. b.
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e. To exit this screen, press the NO/CHANGE key. 5. CLR HRLY (Clear Hourly Totals): To clear Hourly Totals press the NO/CHANGE key to change OFF to ON and then press YES/ENTER. e following screen will appear: C l e a r H o u r l y T o t a l s S c r e e n...
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If setting is changed, the new settings will remain in e ect until a new therapy is programmed. Whenever the Air-In-Line Sensor is set to OFF, Moog recommends I M PORTAN T the use of an air-eliminating lter.
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A i r - I n - L i n e S e n s o r O f f M e s s a g e S c r e e n is message alerts you to the Air-In-Line Sensor being set to “OFF.” e message will require answering yes or no to whether the administration set being used has an air-eliminating lter.
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Screen. It will appear only for review purposes. Attempts to change the Pre-Prescription Menu during a new program review will cause an alert screen to be displayed, notifying the programmer that changes will require reprogramming of the prescription. St a r t ing t he I nfusion RUN: When the programming is complete and the pump has been primed properly and connected to the access site, press the RUN key at the Run Option screen to start the therapy.
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rate is set at “0”, the yellow LED light will blink along with the green light until the bolus is actually being delivered. While the bolus is infusing, only the green light will blink. e information on the run screen will alternate between a four-line display and a large font display of each individual line of information on the screen.
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c. Press the OPTIONS or PRIME keys if either of these functions is desired at this time. H a nging a N e w Cont a ine r 2. REPEAT Rx: To repeat the present therapy and add another IV container with the same prescription, press the YES/ENTER key at this eld.
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Press YES/ENTER to maintain the current schedules and continue with the programming of the pump. Press NO/CHANGE to start a new schedule. e following screen will then appear asking you to con rm the clearing of the schedules. Press YES/ENTER to clear the current schedules and continue with the programming of the pump.
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I nfusion Com ple t e When the infusion is complete, the audio alarm will beep, and the following screen will display: Note: To temporarily silence the alarm, press the SILENCE key. P C A I n f u s i o n C o m p l e t e is screen displays: 1.
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Press YES/ENTER to maintain the current schedules and continue with the programming of the pump. Press NO/CHANGE to start a new schedule. e following screen will then appear asking you to con rm the clearing of the schedules. Press YES/ENTER to clear the current schedules and continue with the programming of the pump.
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Cha pt e r T PN T he ra py w it h Aut om at ic Ra m ping is therapy is designed to allow a level rate of infusion of parenteral nutritional products with the option of tapering at the beginning, end, or both of the infusion. It also has an early ramp-down feature.
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After the entire prescription program is accepted, if the pump is turned o and back on, press YES at “PROGRAM” and YES to “REPEAT Rx.” e cursor will automatically scroll through the program. No changes will be allowed in the Pre-Prescription Menu during this time, thus maintaining the originally programmed Delay Start time.
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9999. 3. Inf RATE (Infusion Rate or rate of the level infusion): e Moog Curlin Infusion pump can deliver from 0.1 mL to 400 mL per hour. Use the numeric keys to enter the prescribed rate. When this eld is correct, use the YES/ENTER key to accept the rate and move to the next eld.
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accept and move the cursor to the next eld. Since this eld is optional, “0” may be entered and accepted. e range for this eld is 0:00 to 9:00 HH:MM. 6. TotTime (Total Time): is eld displays the entire time period over which the infusion will be delivered, including up and down ramp times.
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administration set was rst connected to the bag (see Chapter 1, “Preparing Medication for Infusion”). However, if it was not done then or if there are any remaining air bubbles to be removed, the pump’s “PRIME” function will assist in this process. To prime the set by using the pump, follow the directions below.
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7. To continue priming, press the PRIME key again. If priming is complete, press YES/ ENTER to exit and return to the Run Option Screen. e total amount of solution used in this priming session displays on the bottom eld. Note: e amount of uid used in the priming process will be deducted from the Bag Volume Total but will NOT be counted in the amount infused because this amount is not to be...
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pump has been set into a locked condition, any subsequent request to change the lock will require a clinician access code. (See “Clinical Information and Access Code” chapter for access code information, lock setting table and available features for each lock setting.) 2.
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YES/ENTER to select and move the cursor to the next line. Whenever the Air-In-Line Sensor is set to OFF, Moog recommends I M PORTAN T the use of an air-eliminating lter.
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A i r - I n - L i n e S e n s o r S e t 2 m L A l e r t S c r e e n Also, when the Air-In-Line Sensor is completely disabled and the infusion goes to an “Infusion Complete”...
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T P N R u n S c r e e n is screen will continue to display as long as the infusion is running. Notice the information on each eld: e rst eld displays the “RATE” of the infusion. If the therapy is in a ramp up or down phase, the rate will change accordingly to re ect the gradual increase or decrease in rate.
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I nt e rrupt ing a n I nfusion e infusion can be paused at any time by pressing the PAUSE key. e yellow standby LED light blinks, and the Resume/Repeat Rx/New Program Menu screen is displayed. e screen o ers the user three options: Re sum ing t he Curre nt Cont a ine r 1.
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b. If the incomplete therapy is to be continued, press NO and the Pause Menu Screen will be displayed, then press YES and the Run Options Screen will be displayed. To resume the un nished therapy, press RUN. Ent e ring a N e w Progra m 3.
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is screen displays: 1. “INFUSION COMPLETE.” 2. A graphic representation (completely lled in bar graph) indicating infusion complete, or the smaller “dot” con guration (shown here) if a KVO RATE is programmed. 3. “TOT Vol” (Total Volume): Displays the total volume infused. 4.
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Cha pt e r I nt e r m it t e nt T he ra py Intermittent erapy is designed to deliver programmed intervals and rates of speci ed amounts of infusates and to optionally deliver small amounts of the infusate between doses to keep the access site patent.
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will change to “ON.” Now, when you press the YES/ENTER to accept, the infusion start time screen will appear: e time format (12 hr AM/PM or 24 hr Military) selected in the BIOMED SETUP Menu will apply in this table; and, if Military was selected, the AM/PM eld will not appear here. If the entire delay start screen is to be aborted, press the NO key at the “ACCEPT”...
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0.1 to 999. 3. DOSE RATE (Rate at which each dose is to be delivered): e Moog Curlin Infusion pump can deliver from 0.1 mL to 400 mL per hour. Use the numeric keys to enter the prescribed rate (again, the units chosen in the pre-infusion menu will appear here).
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Note: If you have entered the dose amount and rate, the pump will automatically calculate the dose duration. 5. DOSE Freq (Dose Frequency): Represents the time from the start of one dose to the start of the next (e.g., every six hours). Use the numeric keys to enter the dose frequency, and when correct, press the YES/ENTER key to accept the cycle time and to move on to the next eld.
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Before the infusion is started, it is important to consider a few I M PORTAN T remaining issues, such as checking the administration set to be sure it I N FORM AT I ON was primed or purged of all air, or perhaps the pump may need to be put into a security lock setting for additional safety.
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milliliters is delivered. Continue this process until all air has been purged from the IV bag and the administration set. Note: If the bag volume is depleted during priming, a subsequent priming event cannot be initiated. While the PRIME key is depressed, the following screen appears: e amount used for the prime session is accumulated and displayed on the bottom eld of this screen.
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YES/ENTER at the “ACCEPT OPT?” eld. I n t e r m i t t e n t O p t i o n s M e n u Note: e pump’s default settings are indicated above in the left screen. 1.
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YES/ENTER to select and move the cursor to the next line. Whenever the Air-In-Line Sensor is set to OFF, Moog recommends I M PORTAN T the use of an air-eliminating lter.
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is message alerts you to the Air-In-Line Sensor being set to “OFF.” e message will require answering “yes” or “no” to whether the administration set being used has an air-eliminating lter. If you press the YES key to indicate that there is an air-eliminating lter in use, the Air-In-Line Sensor will be completely disabled and the pump will start the infusion.
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ere are two remaining selections to consider from the Run Options Screen: NO to REVIEW and RUN to START. Revie w ing or Cha nging t he Progra m To review or make any changes in the prescription programming, press the NO/CHANGE key at the Run Options Screen, and the prescription screens will reappear (changes may be inhibited by lock setting).
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I n t e r m i t t e n t I n f o r m a t i o n S c r e e n s Note: e top line of these running screens will display the name of the running protocol when programmed in the Library mode, or it will display "Unidenti ed"...
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programmed, a Select erapy Screen will list all preprogrammed therapies. Select which therapy to repeat by moving the cursor to the therapy of choice and pressing the YES/ENTER key. e pump will then display the program screen with the last programmed values of the therapy and the cursor will automatically advance through the prescription menus.
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Ent e ring a N e w Progra m 3. NEW PROGRAM: To program an entirely new prescription or a di erent therapy, press the YES/ENTER key at this eld (the ability to change these parameters may be controlled by the lock setting).
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1. When the infusion is resumed thirty minutes or less past the scheduled “Next Dose Time,” the dose is ready for immediate delivery and no changes will be made in the original scheduling except to shorten the next KVO time between doses to comply with the dosing cycle. 2.
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green light blinks when the KVO rate is infusing (if one is programmed) and the red light blinks to indicate that the Infusion Complete alarm exists. St opping t he I nfusion To halt the infusion at “Infusion Complete,” press the PAUSE key and then choose to either: 1.
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Cha pt e r Va ria ble T he ra py is therapy is designed to allow twenty-four speci ed programs of varying amounts, rates, and times of delivery. egin programming a Variable erapy by selecting “Variable” from the Select erapy Screen.
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“ON.” Now, when you press YES/ENTER to accept, the infusion start time screen will appear: e time format (12 hr AM/PM or 24 hr Military) selected in the BIOMED SETUP Menu will apply in this table; and, if military was selected, the AM/PM eld will not appear here. If the entire delay start screen is to be aborted, press the NO key at the “ACCEPT”...
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the “NEXT?” eld and press the YES/ENTER key to move on to the next screen. At the following screens, the prescription information is entered to complete the programming of the therapy. Variable erapies are programmed in individual dose screens, from one up to twenty-four. Before information about each individual dose is entered, the bag volume and number of total doses per bag are entered on the initial programming screen.
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1 to 9999, or the remaining bag volume amount. 3. RATE: e Moog Curlin Infusion pump can deliver from 0.1 mL to 400 mL per hour. Use the numeric keys to enter the prescribed rate for this dose. When this eld is correct, press the YES/ENTER key to accept, and move to the next eld.
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5. NEXT?: If there are any changes to be made, use the arrow keys to locate the eld to be changed, use the numeric keys to enter the corrected information, and press YES/ENTER to accept the new data. If all elds are acceptable, move the cursor to the “NEXT?” eld and press the YES/ENTER key to accept and move on to the next dose programming screen.
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Prim e e IV bag and administration set should be inspected and be free of all air and air bubbles before they are connected to the access site. Priming may have been done by gravity when the administration set was rst connected to the bag (see Chapter 1, “Preparing Medication for Infusion”). However, if it was not done then or if there are any remaining air bubbles to be removed, the pump’s “PRIME”...
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7. To continue priming, press the PRIME key again. If priming is complete, press YES/ ENTER to exit and return to the Run Options Screen. e total amount of solution used in this priming session displays on the bottom eld. Note: e amount of uid used in the priming process will be deducted from the Bag Volume Total but will NOT be counted in the amount infused because this amount is not to be...
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1. LOCK: When the lock is set to “OFF, ” the clinician has access to all of the pump functions. After the pump is completely programmed, change the lock to meet the security needs of this therapy. ere are four choices: “OFF,” “1,” “2,” or “3.” Each level higher limits the available options.
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YES/ENTER to select and move the cursor to the next line. Whenever the Air-In-Line Sensor is set to OFF, Moog recommends I M PORTAN T the use of an air-eliminating lter.
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Also, when the Air-In-Line sensor is completely disabled and the infusion goes to an “Infusion Complete” or “Empty Bag” status, the Air Sensor setting will automatically change to 2 mL. 6. AUDIO (Audio Volume): is feature allows you to adjust the audio volume of the pump’s alarm setting.
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is information toggles with the following: V a r i a b l e R u n S c r e e n is screen displays as long as the infusion is running. Notice the information on each eld: e rst eld displays the “RATE” of the infusion in whichever units/hour has been selected. is eld toggles to also display the current dose # of total doses programmed.
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I nt e rrupt ing a n I nfusion e infusion can be paused at any time by pressing the PAUSE key. e yellow standby LED light blinks, and the Resume/Repeat Rx/New Program Menu screen is displayed. e screen o ers the user three options: Re sum ing t he Curre nt Cont a ine r 1.
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b. If the incomplete therapy is to be continued, press NO and the Pause Menu Screen will be displayed, then press YES and the Run Options Screen will be displayed. To resume the un nished therapy, press RUN. Ent e ring a N e w Progra m 3.
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is screen displays: 1. “INFUSION COMPLETE.” 2. A graphic representation (completely lled in bar graph) indicating infusion complete, or the smaller dot con guration (shown here) if a KVO RATE is programmed. 3. “TOT Vol” (Total Volume): If units are mg or mcg, this eld will also toggle to give the Total Infused.
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Trouble shoot ing is section assists in identifying and resolving alert and alarm conditions that may occur during the use of the Moog Curlin Infusion pump. Ale r t s, Ala r m s, a nd Error Code s Alerts, Alarms, and Error Codes are classes of events that are relayed to the user and logged into the history le.
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If no air-eliminating lter is being used, press NO. e infusion will start/ resume and the Air-In-Line sensitivity will be set to 2 mL for the remainder of the infusion. Note: If the screen is not acknowledged with a YES or NO key press, the Air- In-Line sensitivity will be set to 2 mL when the screen is cleared (i.e.
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Note: Access to the programming screens is lock level restrictive. If the actual amount in the source bag/container is su cient to complete the programmed infusion, press YES to start the infusion. Note: If the infusion is continued without su cient volume, Air-In-Line or Up Occlusion alarms may occur later in the infusion.
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LCD Display: “***ALERT *** CALCULATED AMT OUT OF RANGE” Alert: Invalid calculated amount for infusion Cause: e calculated amount for the infusion, based on the values entered for rate and time, exceeds either the pump limit or the value entered for bag volume. Resolution: Recheck data entry for Rx.
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BioMed menu. is feature will erase all programmed therapies in the pump. e date and time can then be changed. If the therapy is to be terminated but the prescription preserved (excluding Delayed Start), go to the Pause Menu, select “REPEAT Rx” and press YES at the “Rx in progress”...
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Alert: Cancellation of a clinician dose is pending and can only be processed with the pump running. Cause: Clinician dose in progress is cancelled while the infusion is paused; and the user attempts to enter a new clinician dose, prior to resuming the infusion. Resolution: Resume the infusion and then program the desired clinician dose.
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Cause: e eld indicated by the ashing cursor has not been accepted. Resolution: Recheck the eld and accept it by pressing the YES/ENTER key. LCD Display: “***ALERT *** GREATER THAN MAX FIELD LIMIT, MAX = _____” Alert: Unable to program a eld with a value that exceeds the maximum limit. Cause: Value entered is greater than the allowable limit.
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Resolution: Enter data that falls within the limits of the program. Refer to the speci c therapy section in the User’s Manual. LCD Display: “***ALERT *** KVO RATE IS GREATER THAN INF RATE” Alert: Unable to enter KVO rate that is greater than infusion rate. Cause: Occurs when user enters a KVO rate that is greater than infusion rate.
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Resolution: Review the User’s Manual for program restrictions or if lock level restricted, change lock setting to access area you wish to modify. LCD Display: “***ALERT *** NEW DOSE IS LESS THAN CURRENT DOSE” Alert: Unable to program a lower number of doses than number of doses already infused Cause: While the Variable or Intermittent therapy is in progress, a lower number of...
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Cause: Modi cation to the current eld is not allowed while the dose is in progress. Resolution: Wait until the dose in progress completes before modifying eld. LCD Display: “***ALERT *** NOT in PCA. NO BOLUS ALLOWED” Alert: Bolus requested when therapy is not PCA. Cause: Remote Bolus button or BOLUS key is pressed when not in PCA therapy.
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Alert: Pause Infusion before turning o . Cause: e OFF key was pressed while the pump was infusing or a running screen displayed. Resolution: Press PAUSE key before pressing OFF key to stop an infusion. LCD Display: “***ALERT *** Rx in progress, YES to Repeat – NO to Return” Alert: REPEAT Rx selected while a therapy is already in progress.
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Resolution: Install the appropriate Moog Curlin Infusion administration set for the desired therapy. Use only Moog Curlin Infusion administration sets. See Chapter 1, gures 1.9 and 1.10 of the User’s Manual for proper installation of the administration set. LCD Display: “***ALERT *** SYSTEM CLOCK NOT SET”...
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LCD Display: “***ALERT *** VALUE LIMIT” Alert: Value entered is below the Library Limit Cause: e value entered is out of range of the soft limit setting(s) for a downloaded therapy. Resolution: e screen will ask the user to override the soft limit value. Pressing YES will accept the new value.
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Alarm: Air-In-Line Cause: Pump has detected air in the administration set during an infusion. Resolution: Check air settings and remove air from administration set and IV bag or reservoir per protocol. (Disconnect from patient’s access site before using prime function.) LCD Display: “***ALARM*** DOWN OCCLUSION”...
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Resolution: Install appropriate Moog Curlin Infusion Administration set for desired therapy. Use ONLY Moog Curlin Infusion Administration sets. If the blue tubing guide on the administration set has been damaged in any way, replace the entire administration set. See Chapter entitled Introduction, Figures 1.9 and 1.10 for proper installation of administration set.
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If the therapy will not be repeated, press PAUSE key and turn the pump o by pressing the OFF key. LCD Display: “STUCK BOLUS KEY” Alarm: Bolus Key is stuck. Cause: e Remote Bolus Cord is not functioning correctly. Resolution: Replace the Remote Bolus Cord.
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ERROR CODES If a pump goes into an error code, a numeric code will appear on the display screen. If this has occurred, turn the pump o and back on. If the error code message does not reappear, continue using the pump. If the pump passes its start-up diagnostic tests, resume the therapy.
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Corrective Action Error LCD Displayed Probable Cause Code Message Bad Cal Data Turn Pump OFF Bad EEPROM Data CRC value Report Error Code To Factory Call Provider Report Error Code To Factory Analog to Digital Converter did not Turn Pump OFF Call Provider Turn Pump OFF Call Provider Air In Line Circuit not Tested Report Error Code To Factory...
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Corrective Action Error LCD Displayed Probable Cause Code Message Stuck 0 Key Stuck 0 Key If Key Was Pressed, Release It Turn Pump OFF/ON or Call Provider Otherwise Report Error Code To Factory Stuck 1 Key Stuck 1 Key If Key Was Pressed, Release It Otherwise Report Error Code To Factory Turn Pump OFF/ON or Call Provider Stuck 2 Key...
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Corrective Action Error LCD Displayed Probable Cause Code Message Turn pump OFF/ON Call Provider Bad Volume Type Report Error Code To Factory Turn pump OFF/ON Call Provider Bad Rate Type Report Error Code To Factory Turn pump OFF/ON Call Provider Bad Motor Test Number Report Error Code To Factory Turn pump OFF/ON Call Provider...
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Corrective Action Error LCD Displayed Probable Cause Code Message Interrupt Depth Overflow Try To Turn Off Pump Then On Turn Pump OFF/ON Call Provider If Ok, Continue, If Error Recurs, Return For Service Try To Turn Off Pump Then On Invalid Malfunction Code Turn Pump OFF/ON Call Provider If Ok, Continue, If Error Recurs,...
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Cha pt e r Ac c e ssorie s ere are a number of helpful accessories for use with the Moog Curlin Infusion pumps, and their descriptions and diagrams for use are included in this chapter. Soft Ca rr y Pa ck s Please refer to our website at www.moog.com/medical to review the latest carry packs for use with...
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De t a cha ble Pole Cla m ps e pole clamps attach to the Lockable Safety Shells or the Pump Holster and can accommodate a pole of .75 to 1.25-inch diameter. ere is a Standard Pole Clamp (340-0104) as well as a Lock- able Pole Clamp (340-0125) available.
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95 or greater using the hyperterminal communications program of MS Windows® . An instruction booklet is shipped with the Interface Cable. It is also used for communications between the Moog Curlin Infusion CMS pump and the PC running the CMS program.
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Cle a ning, Environm e nt a l Condit ions, a nd M a int e na nc e Following the guidelines for care listed below will assure the best appearance and longest life of the Moog Curlin Infusion pump.
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Tra nspor t a nd St ora ge During transport or storage, the batteries should be removed, the pump should be cleaned and kept in its hard-shell packing case. e environmental conditions should be within the range of: • An ambient temperature -20° F to 140°F •...
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1. PARTIES COVERED BY THIS WARRANTY: is warranty extends only to the original purchaser of the pump. is warranty does not extend to subsequent purchasers. e original purchaser may be a patient, medical personnel, or a medical facility that purchases the pump for treatment of patients.
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Inpatient/Hospital Environment Moog Medical o ers delivery sets with an anti-siphon valve for use in clinical situations where in between patient checks may not be practical. Note: Between patient testing is not required for Moog Curlin Infusion pumps when integral anti-siphon valve administration sets are being used.
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• Beaker with clean, fresh water or IV container. Note: If the administration set contains a lter, sterile saline or sterile water should be used. Maintenance Between Patients is procedure does not replace the recommended preventive maintenance. e pump should receive preventive maintenance by a quali ed technician annually.
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a. Install a new primed Administration Set in the pump and latch the door. b. Connect the up-stream side of administration set to a water source 12 inches +/-2 inches above the pump. c. Connect the downstream side of the administration set to a volumetric accuracy measurement device (i.e.
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e. Air-In-Line Sensor - Reinstall the administration set properly and resume the infusion. From the Options Menu set the AIL SENS (AIR IN LINE sensitivity) to 0.1mL. With the pump running introduce an air bolus of approximately 0.5mL into the uid path at the input side of the pump.
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Cha pt e r Te chnic a l Specifications e following speci cations apply to the Moog Curlin Infusion Ambulatory Infusion Pump: ITEM SPECIFICATION Pumping Mechanism Curvilinear peristaltic nger action Pump Size Height: 5 inches Width: 4 inches Depth: 2.5 inches Weight: 17.5 ounces...
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Recommended administration set usage not to exceed 72* hours. *follow standards of practice for set changes Administration Sets Proprietary Moog Curlin Infusion non-DE- HP, PVC administration sets available in di erent con gurations. Non ltered microbore sets ± 4 mL.
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ITEM SPECIFICATION Down Occlusion For non- ltered sets: Detection Time Rate Low Pressure High Pressure Microbore tubing with 0.1 mL/hr ≤ 1 hr. 30 minutes ≤ 2 hrs. 15 minutes occlusion at distal Luer 1 mL/hr ≤ 7 minutes ≤ 1min. 30 seconds 10 mL/hr ≤...
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Guidance and Manufacturer’s Declaration - Electromagnetic Immunity The PainSmart™ IOD , 6000 CMS™ and 6000 CMS™ IOD™ is intended for use in electromagnetic environment specified below. The customer or the user of the PainSmart™ IOD, 6000 CMS™ and 6000 CMS™ IOD™should assure that it is used in such an environment. Immunity Test IEC 60601 Compliance Level...
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Guidance and Manufacturer’s Declaration - Electromagnetic Immunity The PainSmart™ IOD , 6000 CMS™ and 6000 CMS™ IOD™ is intended for use in electromagnetic environment specified below. The customer or the user of the PainSmart™ IOD, 6000 CMS™ and 6000 CMS™ IOD™should assure that it is used in such an environment. Immunity Test IEC 60601 Compliance Level...
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Clinic ia n I nfor m at ion a nd Ac c e ss Code is chapter should be removed before initial patient training and instruction on the Moog Curlin Infusion pump so the intended locked functions or secured functions of the pump cannot be accessed except by a trained clinician.
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* Lock Level 2 only requires an access code to prime in the PCA mode Note: To determine the software version of the pump, turn the pump on and review the screen that appears after the “Moog 6000” screen and immediately before the “POWER SOURCE INTERNAL POWER” screen appears.
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Note: Entering a New Program will NOT change the Lock Level from its current setting. e user selects a preprogrammed protocol from a Protocol Library Safety System enabled pump. In this case, the pump defaults to the Protocol and erases the Lock Level setting. If a locked-out function is requested, such as PRIME in lock setting 3, a screen will appear request- ing the entry of the access code.
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