SK-600I - Operator's Manual v1.0 (En)
SK-600I - Operator's Manual v1.0 (En)
SK-600I - Operator's Manual v1.0 (En)
Infusion Pump
Operator’s Manual
© Copyright 2017 Shenzhen Shenke Medical Instrument Technical Development Co., Ltd. All
rights reserved.
Version: 1.0
I
Intellectual Property Statement
SHENZHEN SHENKE MEDICAL INSTRUMENT TECHNICAL DEVELOPMENT CO., LTD.
(hereinafter called SK Medical) owns the intellectual property rights to this product and this
manual. This manual may refer to information protected by copyright or patents and does not
convey any license under the patent rights or copyright of SK Medical, nor the rights of others.
SK Medical intends to maintain the contents of this manual as confidential information. Disclosure
of the information in this manual in any manner whatsoever without the written permission of SK
Medical is strictly forbidden.
All information contained in this manual is believed to be correct. SK Medical shall not be liable
for errors contained herein or for incidental or consequential damages in connection with the
furnishing, performance, or use of this manual.
SK Medical is responsible for the effects on safety, reliability and performance of this product,
only if:
All installation operations, expansions, changes, modifications and repairs of this product are
conducted by SK Medical authorized personnel.
The electrical installation of the relevant room complies with the applicable national and local
requirements.
The product is used in accordance with the instructions for use.
II
Warranty
THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES,
EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS
FOR ANY PARTICULAR PURPOSE.
Exemptions
SK Medical's obligation or liability under this warranty does not include any transportation or other
charges or liability for direct, indirect or consequential damages or delay resulting from the
improper use or application of the product or the use of parts or accessories not approved by SK
Medical or repairs by people other than SK Medical authorized personnel.
Company Contact
Shenzhen Shenke Medical Instrument Technical
Manufacturer:
Development Co., Ltd
Floor 2, 3, 4, Building 1, Section 1, Baiwangxin Hi-Tech
Address: Industrial Park, Songbai Road, Xili, Nanshan, Shenzhen
518108, P.R. China
Website: www.skmedica.com
Tel: +86 755 82402696
Fax: +86 755 82438567
III
Preface
Manual Purpose
This manual contains the instructions necessary to operate the product safely and in accordance
with its function and intended use. Observance of this manual is a prerequisite for proper product
performance and correct operation and ensures patient and operator safety.
This manual is based on the maximum configuration and therefore some contents may not apply
to your product. If you have any question, please contact us.
This manual is an integral part of the product. It should always be kept close to the equipment so
that it can be obtained conveniently when needed.
Intended Audience
This manual is geared for clinical professionals who are expected to have a working knowledge of
medical procedures, practices and terminology as required for monitoring of critically ill patients.
Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect the setup
or data displayed on the equipment.
Conventions
Italic text is used in this manual to quote the referenced chapters or sections.
[ ] is used to enclose screen texts.
<> is used to enclose the keys.
→ is used to indicate operational procedures.
IV
Contents
1 Safety ..................................................................................................................... 1-1
1.1 Safety Information ............................................................................................... 1-1
1.1.1 Dangers................................................................................................... 1-1
1.1.2 WARNING ............................................................................................... 1-2
1.1.3 CAUTION ................................................................................................ 1-3
1.1.4 NOTE ...................................................................................................... 1-4
1.2 Equipment Symbols ............................................................................................ 1-4
10 Maintenance...................................................................................................... 10-1
10.1 Inspection ........................................................................................................ 10-1
10.2 Maintenance Plan ........................................................................................... 10-1
2
10.3 View Information ............................................................................................. 10-2
10.4 Safe Disposal and Recycling .......................................................................... 10-2
3
1 Safety
1.1 Safety Information
The safety statements presented in this chapter refer to basic safety information that the operator
must pay attention to and abide by when using the infusion pump. There are additional safety
statements in other chapters or sections, which may be the same as or similar to the following, or
specific to particular operations.
Dangers
Indicates an imminent hazard that, if not avoided, could result in death, serious injury or damage to
product/property.
WARNING
Indicates a potential hazard or unsafe practice that, if not avoided, could result in death, serious
injury or damage to product/property.
CAUTION
Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor personal
injury, product malfunction or damage to product/property.
NOTE
Provides application tips or other useful information to ensure that you get the most out of the
product.
1.1.1 Dangers
This Manual does not contain any information at the "Danger" level.
1-1
1.1.2 WARNING
WARNING
Device, cables and accessories must be inspected before use to guarantee their normal and safe
operation.
This equipment can only be connected to the socket with ground protection. Please adopt a
rechargeable battery instead of the socket as the power supply if the socket is not provided with a
ground lead.
To prevent fire or explosion, do not operate the equipment in the presence of anesthetic, flammable
or explosive materials.
Do not open the equipment casing as there is the impending danger of electric shock. Equipment
maintenance and upgrades must be carried out by maintenance technicians whom are trained and
licensed by the manufacturer. Moreover, the process must be done only after the AC power supply is
disconnected. Maintenance carried out by individuals non-affiliated to the manufacturer or by
non-licensed personnel may affect the safety, performance and function of the product.
When used with electrosurgery equipment, the safety of patients should be ensured.
The patient's clinical condition and the working condition of the infusion pump must be monitored
carefully, the alarm volume and alarm levels need to be set according to the actual needs. Operation
and performance relying solely on the auditory alarm system alone is not sufficient, and setting the
alarm at a low volume may endanger the patient. If the alarm volume is less than the surroundings
volume, which can further lead to operators identify alarm mistakenly.
Please carefully install the power line and cables with various accessories to prevent the patient
from choking or suffocation caused by entanglement of the cables or by electrical disturbance.
The packaging materials must be disposed of in compliance with local laws and regulations or the
hospital policy on waste management.They must be kept out of the reach of children.
Infusion set knots, filter coagulation and occlusions arising from needle insertion can cause the
pressure inside the infusion set to rise during infusion. When this occurs, removing the occlusion
can cause excessive liquid drug to be infused into the patient, so appropriate measures should be
taken.
The pump should not be placed more than 100 cm above or below the level of the patient’s heart. The
smaller the height difference between the pump, the more accurate the pressure test in the infusion
cannula will be.
It is recommended that infusion pump is used with infusion sets recommended by manufacturers
(please refer to 5.9 Recommended Infusion Sets List for specific brands). When use of
non-recommended infusion sets, please make sure to confirm relevant infusion performance (such
as accuracy, bubble and pressure) on infusion pump, and contact the company for calibration
service, the infusion sets can only be used after confirmation, otherwise SK Medical is not
responsible for infusion performance (such as accuracy, bubble and pressure) and relevant alarm
function of the infusion pump.
Its accuracy cannot be guaranteed when the pump is used with an infusion set without calibration.
Do not touch the patient when connecting the peripheral equipment via the input/output signal ports
to prevent patient leakage current from exceeding the requirements specified by the standard.
In the process of defibrillation, do not touch patient and other non-defibrillation equipments to
prevent electric shock damage, and defibrillation will not affect the basic performance (such as
infusion accuracy, alarm and signal transmission) of the pump.
1-2
1.1.3 CAUTION
CAUTION
Use the accessories specified in this Operator’s Manual to guarantee the patient’s safety.
When this infusion pump and its accessories exceed their service life, they must be disposed of in
accordance with local statutes or hospital regulations. If you have any queries, please contact your
distributor or the manufacturer.
After installation of the infusion set and before infusion, check for leakages. If any are found, they
should be rectified as soon as possible.
For SK series infusion sets, it is recommended to replace the infusion set or adjust the fixing site of
the infusion set after the infusion has been running for 36 hours to guarantee accuracy. For infusion
sets of other brand, it is recommended to test the service life of the infusion set to determine the
time interval of changing the fixing site of the infusion set; if the service life of the infusion set is not
tested, it is recommended to adjust the fixing site of the infusion set every 4-8 hours after infusion
begins to guarantee accuracy.
Electromagnetic fields may affect equipment performance. This makes it necessary for other
equipment used in the vicinity of the pump to meet EMC standards. Mobile phones, X ray and MRI
equipment are all potential interference sources because of their high-intensity electromagnetic
radiation.
Before the equipment is connected to the power supply, check that the voltage and frequency of the
power supply match the specifications on the label or in this Operator’s Manual.
Please install and carry the equipment correctly to protect the equipment from damage from drops,
impacts, violent shaking or other external mechanical forces.
Disposable accessories must be disposed of after use in accordance with the relevant hospital
regulations.
Avoid direct sunshine, high temperatures and dampness.
Check the built-in battery before use to make sure it has sufficient power. Recharge the battery if
necessary.
The infusion set with the luer taper is recommended for use, which can effectively prevent patients
from under current caused by the occurrence of the cannula to slip out when under tension.
1-3
1.1.4 NOTE
NOTE
Install the equipment in a position where it can be easily accessed for inspection, operation and
maintenance.
Keep this Operator’s Manual near to the equipment for future ease of reference.
The software of the equipment is developed according to the software development demands of
IEC60601-1 standard, which can minimize the possibility of the risk caused by program error.
This Operator’s Manual describes the most complete functional configuration of the equipment. The
product you are using may not have some of the settings or functions described herein.
Do not insert devices that are not specified by the manufacturer into the multifunction interface.
During infusion, the infusion pump can accurately control the rate, infusion volume and infusion
time, and monitor the operation in real-time, to effectively prevent over currents, under currents and
instances of backflow.
The device is not in touch with the drugs or patients directly. Thus, there is no need to process
Biocompatibility test on it.
NOTE!
Refer to the
ON/OFF
accompanying document
(This Manual)
Alternating current
Battery
power supply (AC)
Clear/Back Start
Bolus Confirm
Stop Menu
Caution Lock
1-4
Multifunction interface Infusion set
Protected against
Drop sensor interface defibrillation CF applied
parts
Stacking limit by
Fragile, handle with care
number
Electronic equipment:
dispose of separately
Serial number
to avoid polluting the
environment
1-5
2 Overview
2.1 Description
2.1.1 Indications for Use
The Infusion Pump is used in conjunction with the infusion set to control the dose of liquid infused
into the patient’s body.
The Infusion Pump is suitable for adults, children and newborns in clinical departments.
This Infusion Pump is expected to be used in institutes or units with healthcare capabilities. This
includes but is not limited to: outpatient departments, emergency departments, wards, ICU,
operating rooms, observation rooms, clinics, and nursing hospital.
WARNING
The infusion pump is for clinical use. It must only be used under appropriate conditions by
professional clinicians, medical device technicians, or by suitably trained nurses. Personnel using
this product must receive sufficient training. This product must not be operated by anyone who has
not been authorized to do so or has not received suitable training .
2.1.2 Contraindications
None
Since some parts and functions are optional, the Infusion Pump you purchased may not contain
these additional parts and their relevant functions.
2-1
2.2 Host
2.2.1 Front View
2-2
2.2.2 Front View with the Door Opened
2 2
1. Parameter area
Display battery icon, every parameter and the parameter value of the current screen, etc.
2. Prompt bar
Display run icon. The run icon on the screen displays the running operation:
The icon indicates normal running. Arrows move from right to
■
left, and the running speed increases as the rate is increased.
■ Motor stops caused by alarms during infusion, no icon.
2-3
3 Installation and Setting
3.1 Installation
WARNING
Equipment assembly and refit (including correct protective grounding connection) during life period
must be carried out by maintenance technicians whom are trained and licensed by the manufacturer,
and evaluated according to the specified IEC60601-1. Please contact the company if you have any
queries.
The software copyright for this equipment belongs to the manufacturer. Unless explicitly authorized,
any alteration, reproduction or sale by any means or in any form by any organization or individual is
prohibited.
All the analog equipment and digital facilities should be certified according to the specified IEC
standard (such as: IEC60950 Information Technology Equipment Safety and IEC60601-1 Medical
Electrical Equipment Safety). Moreover, all equipment should be connected based on the
requirements of the valid version of the IEC60601-1 system. The qualified individual responsible for
connecting auxiliary equipment to the input and output signal ports is also accountable for making
the system in accordance with the IEC60601-1 standard. Please contact the company if you have any
queries.
When this equipment combining with other electrical equipments forms a combination with a special
function, and the user cannot determine whether there is an impending danger from each equipment
specification (such as a danger of electric shock due to aggregation of current leakage), please
contact the company or a specialist in the field at the hospital, to guarantee that all equipment in the
combination are safe enough and will not be damaged.
Please make sure this equipment is securely fixed and positioned. Positioning changes and severe
shock can lead to minor changes in the delivery accuracy.
NOTE
Keep the packing case and packaging materials for future transportation or storage .
WARNING
They must be kept out of the reach of children.The packaging materials must be disposed of in
compliance with local laws and regulations or the hospital policy on waste management.
The equipment may be contaminated by microbes during storage, transport and use. Please ensure
that the package is undamaged before using, do not use if there is any damage.
3-1
3.1.2 Operating Conditions
The operating environment of this infusion pump must meet the requirements in A.1.2 Operating
Environment.
The operating environment should also be appropriately protected from noise, vibration, dust, and
corrosive, inflammable or explosive substances. If installed inside the equipment case, a
sufficient space before and after the equipment case should be ensured to facilitate operation,
maintenance and repairing work. There should be a 2" (5 cm) gap around the infusion pump to
ensure that air can circulate freely for a better cooling effect.
When the pump is transferred from one place to another, differences in temperature and humidity
can cause condensation to form inside the pump. If this occurs, do not switch the pump to the
"ON" state until the condensation has gone.
WARNING
Please use only when the operating environment meets the requirements specified above.
Otherwise, the pump's performance will not match the technical specifications in A Product
Specifications. Device failure and other unexpected consequences may also result.
3-2
2. Tighten the pole clamp clockwise
to firmly fix the device on the IV stand
(round vertical bar with diameter size
of 15-32mm).
WARNING
The earthing wire in the three-plug connector should be grounded. If there is a doubt whether the AC
power system is grounded or not, please adopt the built-in battery and contact an electrical
technician at the hospital or the company.
Do not touch the power plug with wet or moist hands! If there is a liquid drug or residue on or around
the power socket or plug, the user should completely clean and dry the area before plugging into the
power supply, or accidents or injuries may result!
NOTE
Compatible power supply: 100–240 V~, 50/60 Hz.
The AC power cable should be correctly inserted and secured into the socket.
Removing power cord is to disconnect equipment from power supply. Please ensure suitable
clearance around the device to facilitate connect and remove power cord.
NOTE
This section should be used with the optional drop sensor. The user may skip the instructions in this
section if a drop sensor is not included with the infusion pump.
3-3
1. Firmly insert the signal line of drop sensor into the connecting port on the right side panel of
the pump.
2. Clip the drop sensor to the drip chamber, making sure that the drop sensor is above the
surface of the liquid.
3. Press to start the infusion. The light of drop sensor flashes green when liquid is detected
in normal infusion status.
NOTE
The surface of the liquid in the drip chamber must be lower than the drop sensor, which should be
between 1/3 and 1/2 of the drip chamber.
The positioning block of the drip chamber must be inserted vertically through the positioning groove
on the drop sensor.
Do not excessively tilt the drop sensor, or expose it to direct sunlight during infusion. Otherwise,
accuracy of the drop sensor may be influenced.
Make sure that the drip chamber is not clamped too tightly by the drop sensor.
It is suggested that the singal line of drop sensor should be changed every six months.
CAUTION
Please check the system date and time to keep accurate records in the History function.
3-4
4 Basic Operation
4.1 Infusion Flow Chart
Turn pump on Press to activate and turn on the pump, the pump will
run start-up checks and display the start-up screen;
Install infusion set Please refer to 4.2.2 Insert the Infusion Set;
Finish Press ;
Turn pump off Hold down (>3 s) , until the Power Off progress bar
complete.
4-1
4.2 Operational Procedures
4.2.1 Turn on the Pump
Please turn on the device as in the following steps:
1. Perform a safety inspection referring to 10.1 Inspection before turning on the pump.
2. Press , the system will initiate the self-test and the screen will display the [System
Self-test] interface:
The system will give out a sound "di" —— indicating the self-testing of the
loudspeaker to be successful.
The color of the alarm indicator lamp will change from red to yellow, turn on and off
orderly —— indicating the self-testing of the alarm lamp to be successful.
The system will give out a sound of "di" —— indicating the self-testing of the buzzer
to be successful.
3. Enter the operation interface after successfully completing the system self-test, and now
you can operate the system through the key board.
WARNING
Please monitor the self-test process to make sure that the speaker, the alarm light, and the buzzer
are all self-tested successfully. Otherwise, please contact the company and do not operate the pump
until maintenance is performed.
Please contact the company if the infusion pump is damaged or cannot operate properly, and it
cannot be used for patient infusion.
4-2
2. Pull the liquid check clip button upward
1. Pull the door holder and open the door.
left, and open the liquid check clip.
3. Straighten the infusion set, align the central 4. Close the door, the interface will enter
tube seat, put it in flatly, and install the infusion [Infusion set selection] interface, indicating
set as shown in the figure. that the infusion set is installed correctly;
otherwise, it needs to be reinstalled.
WARNING
The infusion set should be firmly inserted into the slot, and not jutting on the outside of the slot.
Before using this infusion pump, the infusion pump, infusion set and other accessories should be
installed correctly.
4-3
4.2.3 Change the Infusion Set
Follow the steps below to change the infusion set:
1. To prevent patient injury due to free flow, before changing the infusion set or extruded tube,
please shut down the Robert clip (or flow rate regulator). During infusion, press to stop
the pump.
2. Pull the door holder, open the door, pull the liquid check clip button upward left, and take out
the installed infusion set.
3. Please refer to 4.2.2 Insert the Infusion Set to reinstall the infusion set.
shut down the Robert clip (or flow rate regulator). During infusion, press to stop the
pump.
2. Take out the installed infusion bottle (bag), and reinstall it.
On the [Infusion set selection] screen, press to select the infusion set brand, and
press for confirmation. Specific brand, please refer to 5.9 Common Infusion Set Brands.
CAUTION
Please confirm that the current selected brand is the same as the brand actually used.
Press to exit [Main Menu], and enter the [Rate Mode Setting/Running] interface.
4-4
Mode Parameters Parameter Range
Rate 0.1-1500ml/h
Rate Mode
VTBI 0.1-9999ml
3. Press to exit [Drip setting] interface, and enter the [Rate Mode Setting] interface.
4. Change the unit of Rate to “drip/min”, set the parameters, and then press to start the
infusion.
4.2.7 Purge
During infusion, the user should prevent air bubbles from entering the blood with the liquid drug,
which may form an aeroembolism and put patients in serious danger. Therefore, air bubbles in
the infusion set should be eliminated before the infusion. On infusion parameters setting interface,
press to enter [Purge] prompt screen. Hold down to enter [Purge] running screen,
WARNING
During the purge, please disconnect the pump from the patient. Otherwise, the patient will be in
serious danger!
NOTE
Purge rate can not be changed.
[Air in line] alarm will not be triggered during purge.
4-5
4.2.8 Set Infusion Parameters
Under rate mode, users can set infusion parameters by pressing , , , and .
4.2.9 Infusion
When ready, connect the infusion set to the patient. Press to start the infusion, and the
screen will display the running icon, the arrows will move from right to left, and the running speed
will increase, which will indicate that the rate will also increase.
WARNING
Users should regularly monitor the connection between the infusion set, pump and patient, and
infuse according to the method mentioned in the manual.
NOTE
When in running status, if there is no operation in other interface over 2 minutes, it will return to the
running screen automatically.
4.2.10 BOLUS
In run screen of rate mode, press to enter [Bolus] settings screen. Follow the ways to start
the bolus:
Manual Bolus: Set bolus parameters, press and hold to manual bolus, and release to
return to the original rate.
NOTE
If no operation is performed within 2 minutes, the infusion pump will automatically exit the Bolus
Settings screen and the procedure must be repeated.
[VTBI Near Done] alarm will not be triggered during bolus.
Occlusion pressure will automatically switch to "High" level when bolus, patient's clinical condition
and working condition of the infusion pump must be monitored carefully.
In run screen of rate mode, press , or to change the value of the [Rate] into the
adjustable state, thus to set the expected rate, press or again for confirmation, then
start to infuse under the new set rate.
4-6
4.2.12 Complete
When [VTBI] is not set during the infusion and infusion is completed, if drop sensor is installed
and the switch of [Drop rate check] is on, the [Empty bottle] alarm will be triggered; if drop
sensor is not installed, the [Air in line] alarm will be triggered.
When [VTBI] is set during the infusion and the remaining infusion time is close to the [Near end]
time set by the users, the [VTBI Near Done] alarm will be triggered. If no action has been taken,
the alarm will not be cancelled automatically until the infusion is completed, and then switch to
[VTBI Done] alarm. Set [Near end] time, please refer to 5.8 Time Near End. When infusion is
completed, enter to [KVO] mode, and KVO mode will run for 30 mins at most. Infusion will stop
automatically after the KVO is finished, and the [KVO Finish] alarm will be triggered. Set KVO
rate, please refer to 5.1 KVO.
4.2.13 Standby
Under non-operation status, tap (<3 s) to enter [Standby] interface, default display previous
standby time, press to modify standby time (range is 00:01-99:59 hh:mm), press for
confirmation after modifying. The pump cannot be put in standby mode if there is a high-level
alarm.
When the standby state is ended, the title bar will display [Standby Time Expired], press to
confirm quit, and the screen will enter to the interface before standby appears. Press to
remain in standby status.
2. Hold down (>3 s) , until the Power Off progress bar complete, and the power will
turn off.
4-7
5 Setting Parameters
5.1 KVO
KVO (Keep Vein Open) means to keep the vein open, during which the infusion pump continues
infusion at a very low rate after finishing the infusion in order to prevent blood backflow or
vascular occlusion.
Select [Main Menu], then you can set Occlusion pressure, Unit of pressure and other settings in
the open menu.
CAUTION
If the patient experiences discomfort at a higher occlusion pressure, monitor the patient's physical
conditions under the higher occlusion pressure closely, and take measures instantly if any abnormal
condition occurs.
When the infusion set with ultrafilter at a lower occlusion pressure, the [Occlusion] alarm might be
triggered at high rate due to resistence generated from liquid flow of ultrafilter. Select a higher
occlusion pressure or lower rate to cancel alarm.
Carefully confirm the edit when changing the current pressure unit.
The pressure icon on the screen indicates the condition of the current
pressure.Solid area indicates the level of occlusion pressure: one, two and three solid area(s)
respectively indicate low, medium and high occlusion pressure.
5-1
5.2.2 Automatic Pressure Release Function (Anti-Bolus)
When occlusion occurs, infusion will stop and the [Occlusion] alarm will be triggered. After the
alarm is triggered, the motor is reversed, and the cannula pressure is then released. This
prevents an additional aggressive dose to the patient after the occlusion is eliminated.
CAUTION
If the patient experiences discomfort or danger at a higher air bubble filter level, monitor the
patient's physical conditions and select the actual needed level. Measures should be taken instantly
if any abnormal condition occurs.
When locked, an icon in the upper-right corner of the screen merges. The following are two
ways for automatic locking and manual locking:
Automatic Locking: Select [Main Menu]→[Auto-lock]: Off, 1-5min. [Off] indicates
closing the function.
Manual Locking: In the running interface, under the unlocking condition, press and hold
5-2
(>3 seconds) to lock the key board.
If unlocking is needed, press and hold (>3 seconds) to unlock, it is automatically unlocked
during the high-level alarm.
WARNING
This equipment has to be used with high elastic tube. If you are not sure whether the tube is high
elastic tube, please contact us for tube test.
5-3
5.11 View Department
The infusion pump are net-connected with BeneFusion CS5 Infusion Supervision System through
the approach of wireless networking, and the system contains department information, the
system will automatically distribute department information to all infusion pumps when pumps are
on.
5-4
6 Other Functions
6.1 Nurse Call
Select [Main Menu]→[System Maintenance]→Input User Maintenance Password →[Nurse
call], and set in the open menu:
Switch
On: Indicates the opening of the nurse call function.
Off: Indicates the closing of the nurse call function.
Signal type
1. Cont.: Indicates that the output nurse call signal type is the same as that of the alarm existence
time, i.e., from the occurrence of the alarm to the end of it.
2. Pulse: Indicates the output nurse call signal is a pulse signal with the type of 1 second. When
several alarms exist at the same time, only one pulse signal can be outputted. If the current alarm
is not removed and another alarm occurs, then one additional pulse signal is outputted.
Trigger type
1. Normally Close: Select when the hospital call system is set as [NC].
2. Normally Open: Select when the hospital call system is set as [NO].
Alarm level: Three options: [High], [Medium] and [Low].The system sends nurse call signals
according to the alarm at the selected alarm level or above
WARNING
Non-medical personnel are forbidden to modify the nurse call setting.
The nurse call function must be used in conjunction with a special cable.
NOTE
Medical personnel should not consider the nurse call function as the main alarm notice approach,
and rather combine the sound and visual alarms of the infusion pump and the clinical performances
and symptoms of the patient in order to judge the patient's conditions and take further attention as
needed.
6-1
If password is not required for to-be-connected network, you can connect the network
directly.
Note: The wireless icon on the upper-right corner indicates the pump is configured with wireless
module and connected successfully. No icon indicates no wireless module is configured or no
connection.
The pump can be net-connected with BeneFusion CS5 Infusion Supervision System (hereinafter
called CIMS) through the approach of wireless network. The pump sends real-time infusion
parameters, alarm, prompt and other information to CIMS, CIMS and the pump can display
synchronously. For detailed descriptions, please refer to the instructions of CIMS. Normal
communication of the pump and CIMS depends on whether the network connection is successful,
operators are unable to observe the operation status of the pump in real time when the
communication is interrupted. After the network connection settings of the pump and CIMS are
modified, operators shall reset the network connection as required in the manual to ensure the
communication of the pump and CIMS are restored.
NOTE
Wireless security transmission distance is no more than 50 meters.
2.4 GHz Wi-Fi frequency range, WEP and WPA/WPA2 security modes and 802.11b/g/n wireless
standard are supported.
The settings of the wireless network must be conducted by technicians approved by the company or
maintenance staff designated by the company.
6-2
7 Alarms
The alarm is used in order to alert the medical staff by means of sound and light when abnormal
situations occur during the infusion procedure which can lead to infusion changes or when the
infusion of the patient cannot continue due to the unexpected breakdown or pause/delay of the
infusion pump.
WARNING
It is potentially hazardous to use the same or similar equipment with different alarm presets within
the same area.
7-1
7.2.1 Multi-level Alarm Rules
When several alarms occur simultaneously, the alarms proceed according to the following rules:
When several alarms at different levels occur, the visible alarms and audible alarms are
consistent with the highest-level alarms.
When several alarms at different levels occur, only the highest-level alarm is displayed,
and after it is cancelled, the lower-level alarm will then be displayed.
When several alarms at the same level occur, the alarm information will be
demonstrated in an alternate manner.
The title bar of the infusion pump screen will display the corresponding alarm information during
the alarm blast, to see more details in C Alarm Information.
NOTE
The [No Communication] alarm of the pump and BeneFusion CS5 Infusion Supervision System are
delayed for 3 minutes, while other alarms are delayed for less than 5 seconds .
For high level (except battery empty) and medium level alarms, press to pause alarm
sound for 2 minutes, no alarm sound is made in any case. When the alarm pause time expires,
the alarm tone will sound. Press to cancel high level alarms (except battery empty and
system error).
For low level alarms, press , no alarm sound, alarm information and alarm light, until it is
triggered next time.
NOTE
7-2
7.4 Alarm Countermeasures
WARNING
When an alarm is triggered, the patient's condition should be checked firstly and operation should
only be allowed to proceed after the reason for the triggering of the alarm is ruled out .
When an alarm is triggered, please follow these steps and take appropriate action:
1. Check the patient;
2. Check the alarm type and the parameter which triggered the alarm;
3. Determine the reason for the alarm;
4. Eliminate the reason for the alarm;
5. Check whether the alarm has cleared.
NOTE
Please refer to C Alarm Information for specific handling procedures for each alarm.
The operator position shall be the normal operating position of the infusion pump (0.5m). Otherwise,
operators might identify alarm mistakenly.
7-3
8 Battery
WARNING
The battery can not be disassembled. The battery should be changed by maintenance staff
designated by the company only. Inserting fuel cell or changing battery by personnel who has not
received suitable training may cause such danger as overtemperature, fire or explode.
The infusion pump is configured with rechargeable Lithium ion batteries to ensure that the
infusion pump can be used normally under the condition of the patient's migration within the
hospital or during the circumstance of a power failure. When the infusion pump switches to the
AC power, the battery can be charged regardless of whether the infusion pump is on or off. The
battery is chargeable only within the infusion pump. During charge, the battery icon in the
upper-right corner of the screen floats left and right. If the battery icon stops floating and is
completely filled, it indicates that the battery is fully charged. Under the condition of a sudden
power failure, the pump will automatically use the battery to provide power as a backup.
The battery icon on the screen indicates the condition of the battery:
The battery jar of the infusion pump is installed with batteries, and the white
fill area indicates the quantity of electricity.
The power supply by the battery can only be sustained for a limited period of time. The [Battery
Empty] alarm will be triggered when the battery voltage is too low, and red alarm light will flash.
The alarm will continue within the remaining time of the battery’s electric quantity and cannot be
paused. Now, the infusion pump should be switched on to AC power for charging.
NOTE
The lifespan of the battery depends on how frequently it is used and on how long it has been used,
battery capactiy decreases with increase in charging and discharging times. If the maintenance and
storage of the battery is appropriate, the lifespan of the Lithium ion battery is no less than 300 times
of full charging and discharging. If the use of battery is improper, its lifespan shall be shortened or in
failure status. We recommend replacing the lithium battery every 3 years.
Please connect to the AC power source if [Battery Empty] alarm is triggered. To prevent battery not
used for a long time or in battery empty status, if battery is not charging more than two months after
battery is empty, battery will be in failure status. Do not charge the failure battery, and replace the
failure battery.
If battery will not be used for a long time, we recommend keeping the battery in a fully charged state
and charging the battery every two months for lifespan guarantee. Please replace the battery if the
length of its lifetime is obviously shortened during optimization.
The length of the battery’s lifetime depends on the device configuration and operation, for example:
Under the condition of the power supply by the battery, frequent infusion at a high rate will also
shorten the length of the battery’s lifetime.
WARNING
The battery must not be disassembled, burned or short-circuited. Burning, exploding or leaking
batteries can cause personal injury.
8-2
9 Preservation and Sanitation
The pump must be cleaned or disinfected using the materials and methods listed in this section.
The manufacturer will not be responsible for any damage or accident caused by cleaning and
disinfection using other materials and methods.
The manufacturer shall not be held responsible for the efficacy of the following chemicals or
methods for infection control. Please contact your hospital's infection prevention department or
epidemiology specialists for advice on infection control practices.
9.1 Description
Please make sure that your device and other fittings are clean without dust. In order to prevent
any damage to the device, please abide by the following rules:
Dilute all cleaning agents and disinfectants in accordance with the manufacturer’s
instructions, or use as low a concentration as possible.
Do not immerse or submerge the device in liquid.
Do not pour liquid on the device or accessories.
Avoid liquid from entering the pump body.
Do not use abrasive materials (such as steel wool or silver polishes), or any strong solvent
(such as acetone or any detergent containing acetone).
WARNING
Turn off the pump and disconnect the AC power source line from the socket before cleaning . Do not
clean and disinfect the device, export history record and perform other operations when patients are
using the pump.
9.2 Cleaning
The pump should be cleaned regularly. If operating in dirty or sandy areas, cleaning should be
more frequent. Before cleaning, please consult or refer to the hospital's specific regulations
concerning medical device cleaning.
CAUTION
Never use EtO or formaldehyde for disinfection.
Do not conduct high pressure or high temperature disinfection for the infusion pump and its
accessories.
9-2
10 Maintenance
WARNING
The hospital or medical facility using this infusion pump must set up a comprehensive maintenance
plan. Failure to do so may result in equipment failure or other unexpected consequences, and may
even jeopardize personal safety.
All safety inspections or maintenance work involving the disassembly of the device must be
conducted by professional maintenance personnel. Actions by unqualified persons may result in
device failure and may even jeopardize personal safety.
Please contact the company immediately if you encounter problems with the device.
10.1 Inspection
The infusion pump must be given a thorough inspection before use, after 6-12 months of
continuous use, and after maintenance or upgrades, to ensure that it is operating and functioning
normally. The inspection criteria are:
The environment and power supply meet requirements.
The equipment and accessories have no mechanical damage.
The power cord is not damaged and has sufficient electrical insulation.
Accessories used with the pump are correct.
The alarm system functions correctly.
Battery performance.
Self-checking and pump functions are normal.
If there are any forms of damage or abnormal circumstances, do not use the infusion pump and
contact the company immediately.
Preventive maintenance (refers to the Once every two years, or when you
Maintenance Manual for pressure suspect the occlusion alarm is abnormal,
calibration, sensor calibration, and the flow volume is inaccurate, or the
pump inspection). infusion set is incorrectly identified.
10-1
10.3 View Information
Select [Main Menu]→ [Version Information]. In the [Version Information] interface, you can
view the version information of the infusion pump.
10-2
11 Accessories
WARNING
Use the accessories specified in this chapter only. Other accessories may cause damage to this
infusion pump, or cannot reach the specification in this manual.
Please do not replace an accessory if its package or itself is damaged.
Materials PN
0020-20-12522
009-002755-00
009-002756-00
Power cord 009-002757-00
(Select PN according to sales area) 009-002758-00
009-003358-00
009-003651-00
009-002758-00
Standard pole clamp 115-031551-00
NOTE
This Operator’s Manual describes the most complete functional configuration of the system. The
device you are using may not have some of the settings or functions described herein .
11-1
A Product Specifications
A.1 Safety Specifications
A.1.1 Product Classification
Classified according to the China SFDA, this infusion pump is a Type II device. Classifications of
this infusion pump according to the IEC60601-1 standard are as follows:
Safety
Components Host
NOTE:
I: Type I devices
CF: Class CF applied parts, can be directly used in the heart.
IP34: Protected against solid foreign objects with a diameter no less than 2.5mm and
protected against spraying water.
Unsuitable: The device is unsuitable to be used in environments containing air mixed with
flammable anesthetic gas, oxygen or nitrous oxide.
Portable devices: Can be moved from one place to another by one or more persons or by
other means when the devices are in use or being used.
Portable infusion pump: Used to control the infusion of patients and are devices which can
be carried by the patients continuously.
A-1
A.1.2 Operating Environment
Work environment
Temperature 5-40ºC
Storage environment
Temperature -20-60 ºC
AC Power Supply
Voltage 100-240 V~
Frequency 50/60 Hz
Current 0.40-0.14A
Voltage DC 10V-16V
Current 2.25-1.5A
A-2
A.3.2 Battery
Internal battery
No. of batteries 1
Shutdown delay At least 30 mins (new battery, after the first low battery alarm)
A-3
A.3.6 Signal Output Interface
Nurse call signal output
A.4 Specifications
Parameters Specifications Factory Default
Infusion set used in conjunction with infusion
pump should meet the requirements of ISO
Infusion set
8536-4:2004 Infusion equipment for medical /
standard
use— Part 4: Infusion sets for single use,
gravity feed, MOD
Compatible
Infusion set diameter: 3.5-4.5mm
infusion set /
Infusion set thickness: 0.8-1.2mm
sizes (ml)
Unit of Rate (ml/h): 0.1-1500ml/h, the
increment is 0.1 ml/h ;
Rate ---
Unit of Rate (drop/min): 1-(400 *drip/60)
drop/min, the increment is 1 drop/min.
Drip 10-60 drop/ml, the increment is 1 drop/ml 20 drop/ml
A-4
Anti-bolus On, Off On
Low, Medium and High respectively are
150±125mmHg (20±16.7kPa),
525±125mmHg (70±16.7kPa),
Occl. pressure Medium (525mmHg)
900±180mmHg (120±24.0 kPa)
Maximum occlusion pressure is about
1300mmHg.
Pressure unit mmHg, kPa, bar and psi mmHg
1-5, respectively are (50, 100, 250, 500, 800)
Bubble size μl 100μl
Sensitivity of single bubble is 50μl.
Accum. bubble 0.1-4.0ml/h 1.5ml/h
Volume 1-8 4
Brightness 1-8 4
25 00:00:13 0.035
1 00:23:52 0.036
Medium
25 00:01:28 0.027
25 00:02:33 0.034
NOTE
Test conditions:
FLUKE IDA4 PLUS tester
Infusion set brand: SK
Test temperature: 20±2℃
Extension tube length: 1 meter
Occlusion alarm pressure, alarm delays and bolus volume may vary depending on test conditions,
temperature and tube length.
The above data are only typical values under normal test conditions. The actual data may vary as
test conditions change. Please refer to the test data for the product you have purchased. Under the
same standard occlusion value and rate, the higher the value of the tested pressure is, the longer the
alarm time will be delayed.
A-6
A.6 Infusion Accuracy Curve and Trumpet Curve
The following typical infusion accuracy table expresses performance after infusion has started
and infusion fluctuations occurring within a certain period of time after normal infusion flow
volumes have been reached. The infusion accuracy table is for reference only, detailed infusion
accuracy curve is in accordance with the final device.
NOTE
Infusion accuracy may be influenced by the pump's environment (such as pressure, temperature,
humidity and any infusion consumables used).
A-7
Unit of Rate (ml/h)
A-8
Unit of Rate (drop/min)
A-9
B EMC and Radio Regulatory Compliance
B.1 EMC
This pump complies with EMC standard IEC60601-1-2 and IEC60601-2-24.
NOTE
Use of accessories, sensors or cables outside of the specified scope of this pump may increase
electromagnetic emissions and/or lower the electromagnetic immunity of the pump.
This pump may not be used in close proximity to or stacked with other equipment. If necessary,
closely observe the pump to ensure that it is able to operate normally in its environment.
Special care must be taken to protect the pump from electromagnetic interference. The following
requirements describe the conditions in which the pump must be installed and maintained.
The pump should not be used at the same time as any MRI (Magnetic Resonance Imaging) or other
similar equipment in order to avoid the possibility of the pump malfunctioning or crashing due to
electromagnetic interference.
Even if other equipment is compliant with CISPR emission requirements, it may still interfere with
pump operation.
Where electromagnetic signals are weaker than the measuring device's sensitivity range,
measurements may be inaccurate.
This pump is intended to be used only by qualified medical professionals. Operation of the device
may cause radio interference or disturbance of other equipment within the pump's vicinity.
Mitigation measures may be necessary, such as the reorientation and the re-placement of the
surrounding equipment or by shielding the appropriate venue.
Portable and mobile RF communications equipment can affect the performance of measuring
devices.
Devices of A Type are intended to be used in hospital. This pump conducts emission and radiation
disturbance, so there may be potential difficulty in guaranteeing EMC under other circumstances.
User shall install and use the device according to the EMC information of random file.
B-1
Guidance and statements regarding electromagnetic emissions
This pump should be used in the electromagnetic environment for which it was
designed. The customer or user should ensure that the pump is used in an
electromagnetic environment that complies with the following conditions.
B-2
Guidance and statements regarding electromagnetic immunity
This pump should be used in the electromagnetic environment for which it was designed.
The customer or user should ensure that the pump is used in an electromagnetic
environment that complies with the following conditions.
Electromagnetic
Immunity test IEC60601 test level Standard
environment - guidance
Electrostatic ±8 kV contact ±8 kV contact Flooring must be wood,
discharge discharge discharge concrete or ceramic tile. If
(ESD) ±15 kV air ±15 kV air the floor is lined with
IEC 61000-4-2 discharge discharge synthetic materials there
must be a relative
humidity of at least 30%.
Electrical fast ±2 kV power cord ±2 kV power cord The network power source
transient ±1 kV I/O cable must be of typical
(EFT) commercial or hospital
IEC 61000-4-4 quality.
Surge ±1 kV differential ±1 kV differential
IEC 61000-4-5 mode mode
±2 kV common ±2 kV common
mode mode
Voltage drops, <5% UT (drop>95% <5% UT (drop>95% The network power source
short UT) 0.5 cycle UT) 0.5 cycle must be of typical
interruptions commercial or hospital
and changes 40% UT (drop 60% 40% UT (drop 60% quality. If the pump needs
IEC 61000-4-11 UT) 5 cycles UT) 5 cycles to run continuously, we
recommend using an
70% UT (drop 30% 70% UT (drop 30% uninterruptible power
UT) 25 cycles UT) 25 cycles supply (UPS) in case of
interruptions to the main
<5% UT (drop>95% <5% UT (drop>95% power supply.
UT) 5 seconds UT) 5 seconds
Power 400 A/m 400 A/m The power frequency
frequency magnetic field must be at
magnetic field a typical level for typical
(50/60 Hz) commercial or hospital
IEC 61000-4-8 environments.
NOTE:UT refers to the voltage of the AC power network before voltage testing.
B-3
Guidance and statements regarding electromagnetic immunity
This pump should be used in the electromagnetic environment for which it was designed.
The customer or user should ensure that the pump is used in an electromagnetic
environment that complies with the following conditions.
IEC 60601 Standa
Immunity test Electromagnetic environment - guidance
Test level rd
Conducted 10 Vrms 10 Portable and mobile radio frequency
immunity 150 k–80 MHz Vrms communications devices must be used at the
IEC61000-4-6 stipulated distance away from the pump or
Radiated 20 V/m 20 V/m any system components (including the
immunity 80 M–2.7 GHz cables). This isolation distance is calculated
IEC61000-4-3 using appropriate formulas selected on the
basis of the frequency of the radiation.
Recommended calculation formulas for
isolation distance are:
d 0.4 P
d 0.2 P 80 M–800 MHz
d 0.4 P 800 M–2.7 GHz
Where P is the rated maximum output power
of the transmitter, in W.d is the
recommended distance, in m.
The field strength of the radio frequency
transmitter obtained by measuring the
electromagnetic fielda must be within
compliant levels for every frequency rangeb.
May cause interference if used in close
proximity to equipment with the following
symbols:
Note 1: Between 80 MHz–800 MHz, use a formula for higher frequency bands.
Note 2: The above guidance is not suitable for use in all conditions. Material structures,
objects and people can absorb and reflect electromagnetic waves, affecting
electromagnetic propagation.
a
Field strengths for radio (honeycomb and wireless) handset base stations and terrestrial
mobile radio receiving apparatus, antenna reception apparatus, and FM and AM
radio/television broadcasts cannot be accurately estimated using a purely theoretical
approach.
The use of electromagnetic field measuring methods should be considered when
estimating the electromagnetic environment produced by a fixed radio frequency
transmitter. If the measured field strengths in the environment in which this pump is used
exceed stipulated RF levels, the pump must be observed to check whether normal
operation is possible. If any abnormal performance is observed, action must be taken
immediately: for example, by changing the position of the pump or moving it to another
environment.
b
In a frequency range of 150 kHz–80 MHz, the field strength should be less than 3 V/m.
B-4
It is recommended that the pump be kept away from
portable/mobile RF communications equipment
The pump can be used in electromagnetic environments in which RF interference is
controlled. In order to avoid electromagnetic interference, the customer or user should
maintain the minimum recommended distance between the pump and portable/mobile RF
communication equipment. The following recommended isolation distances are calculated
on the basis of the maximum output power of the communications equipment.
Calculate isolation distances on the
Transmitter ratings basis of transmitter frequencies (m)
Maximum output 150 k–80 MHz 80 M–800 MHz 800 M–2.7 GHz
power (W)
d 0.4 P d 0.2 P d 0.4 P
100 4 2 4
If the rated maximum output power of the transmitter is not included above, the isolation
distance may be estimated by using the formula in the corresponding column. In the
formula, P is the rated maximum output power of the transmitter as provided by the
manufacturer, in W.
Note 1: Between 80M-800MHz, use a formula for higher frequency bands.
Note 2: The above guidance is not suitable for use in all conditions. Material structures,
objects and people can absorb and reflect electromagnetic waves, affecting electromagnetic
propagation.
B-5
B.2 Radio Regulatory Compliance
RF Parameter
Description
Item
IEEE 802.11b IEEE 802.11g IEEE 802.11n
Operating
Frequency Band 2412~2472 2412~2472 2412~2472
(MHz)
Modulation DSSS and CCK OFDM OFDM
Transmitter
Output Power <20 <20 <20
(Typical)(dBm)
The device configured with wireless module complies with part 15 of the FCC Rules. Operation is
subject to the condition that this device does not cause harmful interference.
FCC Compliance of the device configured with wireless module: This device complies with part
15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not
cause harmful interference, and (2) this device must accept any interference received, including
interference that may cause undesired operation. Any changes or modifications to this equipment
not expressly approved by our company may cause harmful radio frequency interference and
void your authority to operate this equipment.
This radio device used in this product is in compliance with the essential requirements and other
relevant provisions of Directive 1999/5/EC (Radio Equipment and Telecommunications Terminal
Equipment Directive).
WARNING
Keep a distance of at least 20cm (8 in.) away from the device when wireless module function is in
use.
B-6
C Alarm Information
This chapter presents the alarm information of the infusion pump. Prompt information for
operation guidance will not be presented in this chapter.
The table shows the appropriate countermeasures for each piece of information related to alarm
triggering. If the problem still exists after operating according to the countermeasures, please
contact the company.
Alarm Alarm
Reason Countermeasure
Information level
Under operation, bolus
and other status, infusion Press to cancel alarm,
cannula blocked during
eliminate the causes of the
infusion, and occlusion
[Occlusion] High pressure of infusion tube,
pressure reached the
threshold of preset and then press to continue
occlusion pressure
the infusion.
threshold.
Size of single bubble or
bubbles accumulated in 1
[Air in line] High Press to cancel alarm.
hour reaches to the
preset value.
C-1
Alarm Alarm
Reason Countermeasure
Information level
The infusion pump
performs no operation
Operate the pump or open the
[Reminder] Low during the set reminder
door to cancel alarm.
time after the infusion set
is installed to it.
Motor operation error,
Alarm cannot be cancelled.
data communication
[System Error] High Please stop operation and
error, sensor failure and
contact the company.
etc.
1. The alarm will not be cancelled
automatically until the infusion is
Required time for the
completed, and then switch to
[VTBI Near remaining VTBI volume
Low [VTBI Done] alarm.
Done] almost reaches the set
[Time near end]. 2. Or press to pause alarm
sound.
C-2
Alarm Alarm
Reason Countermeasure
Information level
Infusion pump and
BeneFusion CS5 Infusion
Supervision System are
communicated
successfully over Wi-Fi,
the network Press or restore the
[No
Low communication is communication between infusion
communication]
abnormally interrupted for pump(s) and BeneFusion CS5
3 minutes. After the alarm Infusion Supervision System.
is triggered, infusion of
the pump will not be
influenced, and the pump
continues infusion.
NOTE
All alarm sounds can be paused by pressing , except for the circumstance of [Battery Empty].
C-3
D Symbols and Terms
D.1 List of Units
Abbreviation Meaning
A ampere
℃ centigrade
cm centimeter
dB decibel
g gram
hr hour
Hz hertz
inch inch
k kilo
kg kilogram
kPa kilopascal
l litre
lb pound
m meter
mg milligrams
min minute
ml milliliter
mm millimeters
s second
μg Microgram
V volt
VA volt ampere
W watt
D-1
D.2 List of Symbols
Symbols Meaning
- minus
% percent
/ Per; divide; or
~ to
^ power
+ plus
= equal to
± plus or minus
× multiply
© copyright
AC Alternating current
Anti-Bolus Anti-Bolus
BOLUS Bolus
CE Conformité Européenne
DC Direct current
D-2
Abbreviation Meaning
EtO C2H4O
ID Identification
Max Maximum
Min Minimum
OR Operating room
SN Series Number
kPa 1kPa=7.5mmHg=0.145psi=0.01bar
psi 1psi=51.724mmHg=6.897kPa=0.069bar
bar 1bar=750mmHg=14.5psi=100kPa
lb 1 lb=0.454kg
D-3
E Toxic and Hazardous Substances or Elements
Pb Hg Cd Cr(VI) PBB PBDE
Name of the Parts
Pb Hg Cd Cr(VI) PBB PBDE
Front housing ○ ○ ○ ○ ○ ○
Back housing ○ ○ ○ ○ ○ ○
Device ○ ○ ○ ○ ○ ○
Keys
housing
Facing ○ ○ ○ ○ ○ ○
Labels ○ ○ ○ ○ ○ ○
Display Display ○ ○ ○ ○ ○ ○
Host hardware ○ ○ ○ ○ ○ ○
PCBA ○ ○ ○ ○ ○ ○
Cartons (K=K ○ ○ ○ ○ ○ ○
crimp paper)
Packaging Foam packages ○ ○ ○ ○ ○ ○
(EPE)
Plastic bag (PE) ○ ○ ○ ○ ○ ○
Connecting pieces ○ ○ ○ ○ ○ ○
General
Power cord ○ ○ ○ ○ ○ ○
Battery Battery ○ ○ ○ ○ ○ ○
Accessories Accessories ○ ○ ○ ○ ○ ○
E-1
P/N: 046-010759-00(1.0)