Alaris™ GH Syringe PumpAlaris™ GH Guardrails™ Syringe PumpAlaris™ CC Syringe PumpAlaris™ CC Guardrails™ Syringe Pump (with Plus Software)Models: 8002TIG03, 8003TIG03, 8002TIG03-G, 8003TIG03-GQuick Reference Guide – en

0000CF04465 Iss. 1 2/16

Cont

rols

• This guide supports the following Alaris™ Syringe Pumps with Plus

software, hereinafter referred to as the pump:

– Alaris™ GH Syringe Pump

– Alaris™ GH Guardrails™ Syringe Pump

– Alaris™ CC Syringe Pump

– Alaris™ CC Guardrails Syringe Pump

• This guide is not intended to be comprehensive instructions for the set-up and operation of the pump.

• For complete pump information, refer to the Directions For Use.

• All persons operating the pump should consult the Directions For Use.

ON/OFF button

RUNbutton

HOLD button OPTION button

PURGE/BOLUS button

MUTE button

CHEVRONkeys

Softkeys PRESSURE button

BATTERY indicator

AC POWER indicator

0000CF04465 Iss. 1 3/16

1. Open syringe clamp.

a

b

2. Securely place barrel flange (a) in between the two parts of the syringe flange clamp (b). Ensure syringe can remain in position with syringe clamp open.

3. Close syringe clamp.

e

dc

4. Ensure that both plunger grippers (c) are fully locked on to the plunger flange (d) and the upper finger grip (e) has returned to its original position.

Load

ing

a Sy

ringe

0000CF04465 Iss. 1 4/16

YES NO

CLEARSETUP?

DRUG : adrenalineRATE : 0.10ml/hVOLUME : 4.79ml

ICU

1. Switch the pump on a.

2. When CLEAR SETUP? screen is shown:• Select YES to clear previous setup• Select NO to retain previous setup goto step 6.

YES NO

CONFIRMPROFILE?

Data Set : Data set nameVersion : 1Released: 11 AUG 2009 13:02:52

Guardrails ™

ICU

3. When CONFIRM PROFILE screen is shown:• Select NO to change profile and then follow on screen prompts• Select YES to retain current profileNote: The CONFIRM PROFILE screen is only shown if more than one profile

is available in the data set.

SELECTDRUGml/h

DOSING ONLYDRUGS A B C D E F G H I J K L M N O OK

4. When Select Infusion Setup screen is shown select using the f keys:• ml/h• DOSING ONLY• DRUGS (A-Z)

5. Press OK to confirm and follow the prompts as required.

6. Clear Volume Infused, if required, by selecting VOLUME softkey and then press YES softkey.

7. Load the syringe according to the procedure in this guide.

8. Ensure extension set is attached to syringe, but disconnected from patient. Insert pressure disc into pressure transducer, as required.

Star

ting

the

Infu

sion

0000CF04465 Iss. 1 5/16

CONFIRM

IVAC 50

TYPE+ ADJUST -

ON HOLD3.15ml/h3.00µg/kg/min

9. Ensure that the syringe type and size match those displayed on the pump then press CONFIRM. If required, the make of syringe can be changed by pressing the TYPE softkey.

PURGE QUIT

HOLD KEY BELOWENSURE INFUSION SET IS DISCONNECTED FROM PATIENT

PURGE

200ml/h

10. Press i button to enter the purge screen. Then press and hold the PURGE softkey to purge the extension set.

11. Enter or adjust the rate using the f keys, if required.

12. Press b button to start the infusion. INFUSING will be displayed.

Star

ting

the

Infu

sion

con

tinue

d

0000CF04465 Iss. 1 6/16

Hands-On Bolus Only

BOLUS1.5ml200ml/h

+ ADJUST -

HOLD KEY BELOWVOLUME

BOLUS

QUIT

1. During infusion press the i button once to display the BOLUS MODE screen.

2. Use the f keys to adjust the bolus rate if required. 3. To deliver the bolus press and hold the BOLUS softkey. When the desired bolus

volume has been delivered or the bolus volume limit is reached, release the softkey.

If the VTBI is reached during a bolus, the VTBI complete alarm will sound.

Hands-On and Hands-Free Bolus

1. Press the i button once to display the BOLUS MODE screen.2. Press the YES softkey to go to the HANDSFREE bolus screen or press HANDSON

softkey.

3. Use the f keys to adjust the bolus DOSE if required. If necessary press the RATE softkey to adjust the bolus delivery rate.

4. Press the flashing BOLUS softkey once to begin the delivery of the preset bolus. 5. To terminate a bolus being delivered press STOP softkey. This will stop the bolus

and continue infusing at the set rate. Press the h button to stop the bolus delivery and place the pump on hold.NOTE: If the bolus volume reaches the set bolus volume limit the bolus will

stop and the pump will revert to infuse at the set infusion rate.

Bolu

s Inf

usio

ns

0000CF04465 Iss. 1 7/16

Rate Titration

If Rate Titration is enabled:

1. Select the new rate using the f keys.2. The message <START TO CONFIRM> will flash on screen and the pump continues

to infuse at the original rate.

3. Press the b button to start infusing at the new rate.

If Rate Titration is disabled:

1. Press the h button to put the pump on hold.

2. Select the new rate using the f keys.

3. Press the b button to start infusing at the new rate.

Rate

Titr

atio

n

0000CF04465 Iss. 1 8/16

Volume To Be Infused (VTBI)1. Press the VTBI softkey on main display to enter the volume to be infused screen.

2. Enter the volume to be infused using the f keys and press OK to confirm.

3. Set the END RATE using the f keys. Press OK to confirm.Setting VTBI over TimeThis option allows a specific VTBI and delivery time to be set. 1. Stop the infusion. Press d button to access the options menu.

2. Select the SET VTBI OVER TIME option using the f keys and press the OK softkey.

3. Adjust the volume to be infused using the f keys. 4. Press the OK softkey to confirm.

5. Enter the time over which the volume is to be infused using the f keys . The infusion rate will automatically be calculated.

6. Press OK softkey to enter the value or BACK to return to the VTBI.

7. Set the END RATE using the f keys. Press OK to confirm.

VTBI

0000CF04465 Iss. 1 9/16

Pressure options with a pressure disc fitted is only applicable to the Alaris™ CC Syringe Pump and the Alaris™ CC Guardrails Syringe Pump.

Auto Set Pressure (If enabled)If the Auto Set Pressure Option is enabled then the pump automatically adjusts the pressure occlusion limit. After 15 minutes of infusion the pump automatically adjusts the occlusion pressure limit to X mmHg above the average infusion pressure, taken from the average of the last five minutes of infusion. The pressure adjusted, X, which takes the AUTO OFFSET value configured and scales it dependent on the average infusion pressure. At pressures up to 100mmHg the AUTO OFFSET value is added. From this pressure to above, the alarm level is set to whatever the AUTO OFFSET value is as a percentage above the average infusion pressure up to the maximum pressure of 1000mmHg.

Pressure Level

+ ADJUST - AUTOTREND07:50

59mmHg

LINE PRESSURE

89mmHgOK

08:10

Current in-linepressure. Pressure alarm limit.

20 minute trend graph.

Adjusts pressure alarm level.

1. To check and adjust the pressure level, press the e button.

2. Press the f keys to increase or decrease the alarm limit. The new limit will be indicated on the display.

3. The AUTO Pressure feature may be used when a stable pressure has been achieved over a short period of infusion. The automatic pressure alarm level is set by pressing the AUTO softkey.

4. Press the TREND softkey to view the pressure trend of the previous 12 hours. The pressure trend can be viewed at 15 minute intervals by using the +/- softkeys.

5. Press OK to confirm the new limit and exit the screen.

Pres

sure

with

a p

ress

ure

disc

fitt

ed

0000CF04465 Iss. 1 10/16

Pressure Level

+ ADJUST -

L1 PUMPING PRESSURE

L5OK

Current pumpingpressure

Pressure alarm limit

Adjusts pressure alarm level

1. To check and adjust the pressure level, press the e button.

2. Press the f keys to increase or decrease the alarm limit. The new limit will be indicated on the display.

3. Press OK to confirm the new limit and exit the screen.

Pres

sure

with

out a

pre

ssur

e di

sc fi

tted

0000CF04465 Iss. 1 11/16

Alarm ActionDRIVE DISENGAGEDThe drive system has been disengaged during operation.

• Check the finger grips and the position of the syringe.

OCCLUSIONExcessive pressure measured at the syringe plunger exceeding the alarm limit.

• Identify and remove the cause of the blockage in the drive, syringe, or administration system before restarting the infusion.

LINE OCCLUSION*Excessive pressure measured in the extension set at the pressure sensing disc exceeding the alarm limit.

• Identify and remove the cause of the blockage in the patient access site, or administration system before restarting the infusion.

CHECK SYRINGEIncorrect size of syringe has been fitted, the syringe has not been positioned correctly or has been disturbed during operation.

• Check the syringe location and the position.

PRESSURE DISC OUT* The pressure disc has been removed from the pressure transducer during the infusion.

• Replace the pressure disc then restart the infusion.

BATTERY LOWBattery charge low with 30 minutes operation remaining.

• Reconnect to the AC power supply to charge the internal battery and continue operation.

BATTERY EMPTYThe internal battery is too low to operate the pump.

• Immediately connect the pump to the AC power supply and cycle the power to resume operation.

NEAR END OF INFUSIONThe pump is nearing the end of the infusion.

• Prepare next infusion, if required.

END OF INFUSIONThe pump has reached the end of the infusion.

• Prepare next infusion, if required.

Alar

ms

0000CF04465 Iss. 1 12/16

Alarm ActionTITRATION NOT CONFIRMEDThe infusion rate has been changed, but has not been confirmed and 2 minutes has expired without any operation.

• Press the c button to silence the alarm, then press the CANCEL softkey to clear this message.

• Check infusion rate and confirm by pressing the b button or press the h button to revert to the previous rate.

• Pressing QUIT will cancel the titration and keep the original rate..

VTBI DONEThe pre-set Volume To Be Infused is complete.

• Prepare next infusion, if required.

AC POWER FAILAC Power has been disconnected and the pump is operating on battery power.

• Reconnect AC power supply or press the c button to silence the alarm and continue with battery operation.

• The alarm will automatically cancel if the AC power supply is reconnected.

ADD DRUG NOT COMPLETEThe ADD DRUG operation has not been completed.

• Press CANCEL softkey and complete ADD DRUG option.

Error Code and MessageThe alarm system has detected an internal malfunction.

• Note the malfunction code. • Remove pump from service for examination

by a qualified service engineer.ATTENTION (with “3 Beeps”)Pump left on hold for 2 minutes without starting operation.

• Review pump setup.• Start infusion or turn off pump.

*Alaris™ CC Syringe Pump and the Alaris™ CC Guardrails Syringe Pump only

Display ActionDOSE WOULD EXCEED Infusion rate entered exceeds a Guardrails

soft limit.

• Check the infusion setting.• To confirm OVERRIDE LIMIT?

press YES.• To deny OVERRIDE LIMIT?

press NO.

DOSE UNDER Infusion rate entered is under a Guardrails soft limit.

Alar

ms c

ontin

ued

0000CF04465 Iss. 1 13/16

Display ActionDOSE NOT PERMITTED Dose rate entered exceeds the hard maximum limit.

• Check the infusion setting and adjust to appropriate required rate.

RATE NOT PERMITTED Infusion rate entered exceeds the hard maximum limit.

CONCENTRATION NOT PERMITTED Concentration entered exceeds the hard maximum limit, or is under the hard minimum limit.

BOLUS DOSE NOT PERMITTED Bolus dose entered exceeds the hard maximum limit.

WEIGHT OUTSIDE LIMIT Patient weight entered exceeds or is under a Guardrails soft limit.

• Check the weight setting.• To confirm OVERRIDE LIMIT?

press YES.• To deny OVERRIDE LIMIT?

press NO.

BOLUS DOSE OVER Bolus dose entered exceeds a Guardrails soft limit.

• Check the bolus setting.• To confirm OVERRIDE LIMIT?

press YES.• To deny OVERRIDE LIMIT?

press NO.

BOLUS DOSE UNDER Bolus dose entered is under a Guardrails soft limit.

Prom

pts

0000CF04465 Iss. 1 14/16

Pole Clamp Installation

ü

Top edge

Recess

• Ensure the pole clamp is not protruding above the top edge of the pump and is not bent. If bent or damaged contact your local BD representative for a replacement part, if required.

Check the pole clamp is in the folded position and is stored in the recess, beneath the top edge of the pump, when the pole clamp is not in use.

The pole clamp is fitted to the rear of the pump and will provide secure fixing to vertical I.V. poles of a diameter between 15 and 40 mm.

* *

1. Pull the folded pole clamp down and unscrew the clamp to leave enough room for the size of the pole.

2. Place pump around pole and tighten screw until the clamp is secured to the pole.

Mou

ntin

g/Re

mov

ing

Pum

ps

0000CF04465 Iss. 1 15/16

Mounting Pumps

1. Align the rotating cam on the rear of the pump with the rectangular bar.

2. Hold the pump horizontally, push the pump firmly onto the rectangular bar or equipment rail.

3. The pump should click into position when fitted to the bar.

4. Ensure that the pump is positioned securely. Check pump is secure by rocking pump from side to side with both hands before leaving pump in place.

Removing Pumps

To remove pump, push the release lever inwards (as shown) and at the same time pull the pump forwards with both hands.

Mou

ntin

g/Re

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Pum

ps c

ontin

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