Transcription
MOOG Medical Devices GroupCurlin 6000 Series Ambulatory Infusion PumpCLINICIANINSTRUCTIONSGETTING STARTED
CAUTION:Previous RX must be cleared from the pump prior to new patient use. Refer to the “CURLIN 6000 TRAINING &QUICK REFERENCE GUIDE FOR BETWEEN PATIENT USE” (Contact Customer Service for information).INSTALLING/CHANGING THE BATTERIES1. PAUSE the pump.2. Turn the pump OFF.3. Open the battery door by sliding the gray “slider” to the right to the “UNLOCK” position and slide thedoor down to remove.4. Remove old batteries from the top first. Insert new batteries bottom or flat side against the coils first,then push the top side into place.5. Replace door and return slider to “LOCK” position and turn pump ON.6. Press YES to PROGRAM (or LIBRARY if using the protocol LIBRARY).7. Press YES to RESUME (or YES to Repeat RX if current container has not begun or if changing thecontainer).8. Press RUN to start.INSTALLING THE ADMINISTRATION SET1. Open pump door.2. Remove the old tubing.3. Remove the new administration set from the package.4. Twist and remove breakaway tab from YELLOW Flow-Stop.5. L ocate the BLUE and YELLOW arrows inside the pump as a reference point.6. Insert the tubing using the reference points.7. E nsure the tubing passes through the notch in front of the door hinge.8. Center tubing over pumping fingers.9. C lose the door securely. Be sure top of door is flush with top of the pump.
PRIMING THE SETCAUTION: Disconnect set from patient’s access site before priming.NOTE: Review program settings prior to priming.NOTE: Filters must be primed in the upright position (do not invert). Refer to Instructions for Use in setpackage.BY GRAVITY:NOTE: To remove air from IV bag, turn bag upside down after attaching the set and gently squeeze bagwhile priming until air is eliminated from the bag.1. Twist and remove breakaway tab from YELLOW Flow-Stop prior to connecting to solution container.2. Squeeze YELLOW Flow-Stop between thumb and forefinger to allow fluid to flow through tubing.BY PUMP:NOTE: Therapy must be programmed and administration set must be installed into the pump prior topump priming. Sets with in-line ASV must be primed on the pump.1. Release any clamps on the administration set.2. Press the PRIME key from the “RUN TO START” screen.3. Press and hold the PRIME key until set is free of air; release PRIME key to stop (each prime cycleallows up to 6 mL of fluid).4. Press the YES key to exit priming.CHANGING THE SOLUTION CONTAINER1. Press the PAUSE key.2. Change the solution container.3. Highlight REPEAT RX, then press YES.4. Highlight correct therapy if requested, then press YES.5. If any on-screen alerts appear, press the YES key.6. Note any on-screen ADVISORY and press YES to continue.7.The program will auto-scroll (or confirm each field by pressing YES).8. Press RUN to start the infusion.
MOOG Medical Devices GroupCurlin 6000 Series Ambulatory Infusion PumpCLINICIANINSTRUCTIONSPROGRAMMING
PROGRAMMING A CONTINUOUS THERAPY USING MANUAL PROGRAM MODENOTE: When operating the pump on battery power, the LCD screen dims after a period of time toconserve battery power. Any keypress will illuminate the screen.NOTE: U se the UP/DOWN ARROW keys to move highlighter. Use the numeric keys for data entry.1. Turn the pump ON and wait for the self-test to complete.2. Highlight PROGRAM from the SELECT menu and press YES.NOTE: The following screen (“NEW PROGRAM”) will not appear if the previous RX has been cleared fromthe pump. If this screen does not appear, skip to step #4.3. H ighlight NEW PROGRAM and press YES. Enter access code, if prompted.4. H ighlight CONTINUOUS from the therapy selection menu and press YES. If any on-screen alerts appear,press the YES key.5. With Unidentified highlighted, press YES (this indicates Manual Programming Mode).6. Select units: Press YES if units desired is indicated (choices are mg, mcg or mL). To change unitspress NO until desired unit is reached, then press YES to confirm. If mg or mcg is selected, enter theconcentration and press YES.7. Press YES to leave the Delayed Start Off, or press NO to set a delay and refer to the Delayed Startsection.8. Press YES to leave MedLMTS Off, or press NO to set MedLMTS. Refer to the User Manual for MedLMTSinstructions.9. At Next? Press YES to continue.NOTE: Bag Volume should include overfill volume if pump priming and/or a KVO is programmed.10. E nter Bag Volume, press YES.NOTE: To force an auto-calculation, enter any 2 of the 3 entries: Amt TBI, RATE or TIME, the unknown fieldwill auto-calculate. Bypass the unknown field by using the DOWN ARROW key. Enter the knownfields pressing YES to confirm each. The unknown field will auto-calculate. Press YES to confirmthis field.11. E nter Amt TBI (if known), press YES.12. E nter RATE (if known), press YES.13. E nter TIME (if known), press YES.14. Continue pressing YES if needed until the KVO field is highlighted.NOTE: I f a KVO rate of 0.1 to 10 mL is entered, the pump will give audible alerts every 20 minutes at theend of the infusion. Whereas if zero KVO is entered the pump will alarm every 3 seconds at the endof the infusion.15. Enter KVO rate (if any), press YES.16. Press YES at DONE?CONTINUOUS THERAPY
PROGRAMMING A CONTINUOUS THERAPY USING PROTOCOL LIBRARY MODENOTE: When operating the pump on battery power, the LCD screen dims after a period of time toconserve battery power. Any keypress will illuminate the screen.NOTE: Use the UP/DOWN ARROW keys to move highlighter. Use the numeric keys for data entry.1. Turn the pump ON and wait for the self-test to complete.2. Highlight LIBRARY from the SELECT menu and press YES.3. Highlight NEW PROGRAM and press YES. Enter access code, if prompted.NOTE: While YES is highlighted in the Page Down field, press YES to move to the next page while in theCAT (category) and DRG (drug) menus.4. Highlight the desired CAT, press YES.5. Highlight the desired DRG, press YES.6. Press YES to ACCEPT?7. If any on-screen alerts appear, press the YES key.8. Note any on-screen ADVISORY and press YES to continue.9. Press YES to confirm the dosing UNITS.10. If a concentration is present, ensure the concentration matches the medication container. If correct,press YES to confirm.11. Press YES to leave the Delayed Start Off, or press NO to set a delay and refer to the Delayed Startsection.12. At Next? press YES to continue.13. Accept pre-programmed values for BAG VOL, Amt TBI, RATE, TIME and KVO if they are correct, bypressing YES to each field.14. If changes are needed to the pre-programmed values, highlight the desired field and press NO.Enter the correct value and press YES.15. Continue as above until programming is completed.16. Press YES at DONE?SETTING A DELAYED START1. At the Delay field, press NO to OFF, then press YES to ON.2. Enter Time infusion should begin (HH:MM), press YES.3. Enter Date infusion should begin (MM/DD/YY), press YES.4. Press YES to ACCEPT.SETTING MEDLMTS1. At the medLMTS field, press NO to OFF, then press YES to ON.2. Enter the upper limits of the infusion rate (the range for this field is 0.1 to 400 mL/hr), then press YES.3. Press YES to ACCEPT.CONTINUOUS THERAPY
“RUN TO START” SCREEN1. Press the NO key to review the program and/or change the RX (see CHANGING THE RX section forinstructions).2. Press the OPTIONS Key to review or change desired pump settings (see OPTIONS section forinstructions).3. Press the PRIME Key to prime the set (see Priming section under GETTING STARTED for instructions).4. Press RUN to start the infusion.CHANGING THE RX (BAG VOL, Amt TBI, RATE, TIME, KVO)1. Press the PAUSE key.2. Press YES to RESUME.3. Press NO to review.4. Press YES to each field until the value to change is reached.5. At the desired field(s), enter the new program parameters (enter access code if prompted). If anaccess code was needed, enter the new parameters again. Press YES to confirm.6. Press YES to all other highlighted areas if no other changes are to be made.7. At DONE? press YES.8. Press RUN to start the infusion.CONTINUOUS THERAPY
OPTIONS FOR CONTINUOUS THERAPYNOTE: Press YES at each field to advance to the next field. Pressing YES to ACCEPT OPT at the end ofthe menu is mandatory to confirm all changes made in the OPTIONS menu.Lock: This is the security level setting. Press YES to accept or NO to change Lock Setting. Enter accesscode if prompted. Press YES to accept new setting.HRLY TOT: This is the hourly infusion totals. Press YES to leave the screen off or NO to change to ON,then press YES to ON to view. Use the UP/Down Arrow keys to view the previous 24 hour totals. PressNO to exit the screen.CLR HRLY: Press YES to leave the screen off or NO to change to ON, then press YES to ON to view. Atthe ACCEPT? YES/NO field, press YES to clear or NO to retain the Hourly Totals and exit the screen.medLMTS: This OPTION appears only if MedLMTS (medication limits) have been programmed. Thisfeature allows for program parameters to be titrated without interrupting the infusion. Press YES toleave the screen off or NO to titrate, then press YES to ON. Enter new infusion parameters and pressYES to accept.DN Occlu: This is the downstream occlusion sensitivity setting (default setting is LOW). Press YES toaccept or NO to change then press YES to accept.AIR SENS: This is the air-in-line sensitivity setting (default setting is 0.5 mL). Press YES to accept or NOto change then press YES to accept.AUDIO: This is the audible volume control: Press 1-9 to hear level, press YES to accept the desiredvolume.POWER CK: This is the power source with power graph. Press YES to leave the screen off or NOto change to ON, then press YES to ON to view the power graph. Screen automatically returns toOPTIONS menu after several seconds.ACCEPT OPT: Press YES to accept any changes made. Pressing NO will cancel any setting changes.CONTINUOUS THERAPY
PROGRAMMING AN INTERMITTENT THERAPY USING MANUAL PROGRAM MODENOTE: When operating the pump on battery power, the LCD screen dims after a period of time toconserve battery power. Any keypress will illuminate the screen.NOTE: Use the UP/DOWN ARROW keys to move highlighter. Use the numeric keys for data entry.1. Turn the pump ON and wait for the self-test to complete.2. Highlight PROGRAM from the SELECT menu and press YES.NOTE: The following screen (“NEW PROGRAM”) will not appear if the previous RX has been cleared fromthe pump. If this screen does not appear, skip to step #4.3. Highlight NEW PROGRAM and press YES. Enter access code, if prompted.4. Highlight INTERMITTENT from the therapy selection menu and press YES. If any on-screen alertsappear, press the YES key.5. With Unidentified highlighted, press YES (this indicates Manual Programming Mode).6. Select units: Press YES if units desired is indicated (choices are mg, mcg or mL). To change unitspress NO until desired unit is reached, then press YES to confirm. If mg or mcg is selected, enter theconcentration and press YES.7. Press YES to leave the Delayed Start Off, or press NO to set a delay and refer to the Delayed Startsection.8. At Next? Press YES to continue.9. Enter Bag Volume, press YES.NOTE: To force an auto-calculation, enter any 2 of the 3 entries: AMT/DOSE, DOSE RATE or DOSEDURATION, the unknown field will auto-calculate. Bypass the unknown field by using the DOWNARROW key. Enter the known fields pressing YES to confirm each. The unknown field will autocalculate. Press YES to confirm this field.10. Enter AMT/DOSE (if known), press YES.11. Enter DOSE RATE (if known), press YES.12. Enter DOSE DURA (if known), press YES.13. Continue pressing YES if needed until the DOSE Freq field is highlighted.14. Enter DOSE Freq, press YES.NOTE: If a KVO rate of 0.1 to 10 mL is entered, the pump will give audible alerts every 20 minutes at theend of the infusion. Whereas if zero KVO is entered the pump will alarm every 3 seconds at theend of the infusion.15. Enter KVO rate (if any), press YES.16. DOSE/BAG is auto-calculated. Press YES to confirm or NO to change, input desired doses then pressYES.17. The next 2 fields are auto-calculated: REQ VOL and TOT Time. Press YES to confirm each field.18. Press YES at DONE?INTERMITTENT THERAPY
PROGRAMMING AN INTERMITTENT THERAPY USING PROTOCOL LIBRARY MODENOTE: When operating the pump on battery power, the LCD screen dims after a period of time toconserve battery power. Any keypress will illuminate the screen.NOTE: Use the UP/DOWN ARROW keys to move highlighter. Use the numeric keys for data entry.1. Turn the pump ON and wait for the self-test to complete.2. Highlight LIBRARY from the SELECT menu and press YES.3. Highlight NEW PROGRAM and press YES. Enter access code, if prompted.NOTE: While YES is highlighted in the Page Down field, press YES to move to the next page while in theCAT (category) and DRG (drug) menus.4. Highlight the desired CAT, press YES.5. Highlight the desired DRG, press YES.6. Press YES to ACCEPT?7. If any on-screen alerts appear, press the YES key.8. Note any on-screen ADVISORY and press YES to continue.9. Press YES to confirm the dosing UNITS.10. If a concentration is present, ensure the concentration matches the medication container. If correct,press YES to confirm.11. Press YES to leave the Delayed Start Off, or press NO to set a delay and refer to the Delayed Startsection.12. At Next? press YES to continue.13. Accept pre-programmed values for BAG VOL, AMT/DOSE, DOSE RATE, DOSE DURA, DOSE Freq, KVOand DOSE/BAG if they are correct, by pressing YES to each field.14. If changes are needed to the pre-programmed values, highlight the desired field and press NO.Enter the correct value and press YES.15. Continue as above until REQ VOL is highlighted.16. The next 2 fields are auto-calculated: REQ VOL and TOT Time. Press YES to confirm each field.17. Press YES at DONE?SETTING A DELAYED START1. At the Delay field, press NO to OFF, then press YES to ON.2. Enter Time infusion should begin (HH:MM), press YES.3. Enter Date infusion should begin (MM/DD/YY), press YES.4. Press YES to ACCEPT.INTERMITTENT THERAPY
“RUN TO START” SCREEN1. Press the NO key to review the program and/or change the RX (see CHANGING THE RX section forinstructions).2. Press the OPTIONS Key to review or change desired pump settings (see OPTIONS section forinstructions).3. Press the PRIME Key to prime the set (see Priming section under GETTING STARTED for instructions).4. Press RUN to start the infusion.CHANGING THE RX (BAG VOL, AMT/DOSE, DOSE RATE, DOSE DURA, DOSE FREQ, KVO,DOSE/BAG)1. Press the PAUSE key.2. Press YES to RESUME.3. Press NO to review.4. Press YES to each field until the value to change is reached.5. At the desired field(s), enter the new program parameters (enter access code if prompted). If anaccess code was needed, enter the new parameters again. Press YES to confirm.6. Press YES to all other highlighted areas if no other changes are to be made.7. At DONE? press YES.8. Press RUN to start the infusion.INTERMITTENT THERAPY
OPTIONS FOR INTERMITTENT THERAPYNOTE: Press YES at each field to advance to the next field. Pressing YES to ACCEPT OPT at the end ofthe menu is mandatory to confirm all changes made in the OPTIONS menu.Lock: This is the security level setting. Press YES to accept or NO to change Lock Setting. Enter accesscode if prompted. Press YES to accept new setting.HRLY TOT: This is the hourly infusion totals. Press YES to leave the screen off or NO to change to ON,then press YES to ON to view. Use the UP/DOWN ARROW keys to view the previous 24 hour totals.Press NO to exit the screen.CLR HRLY: Press YES to leave the screen off or NO to change to ON, then press YES to ON to view. Atthe ACCEPT? YES/NO field, press YES to clear or NO to retain the Hourly Totals and exit the screen.DN Occlu: This is the downstream occlusion sensitivity setting (default setting is LOW). Press YES toaccept or NO to change then press YES to accept.AIR SENS: This is the air-in-line sensitivity setting (default setting is 0.5 mL). Press YES to accept or NOto change then press YES to accept.NEXT DOSE: Press YES to leave the screen off. If the infusion schedule needs to be reset (ex. patientmisses a dose), press NO, enter the HH:MM until the next dose, then press YES to accept.AUDIO: This is the audible volume control: Press 1-9 to hear level, press YES to accept the desiredvolume.POWER CK: This is the power source with power graph. Press YES to leave the screen off or NOto change to ON, then press YES to ON to view the power graph. Screen automatically returns toOPTIONS menu after several seconds.ACCEPT OPT: Press YES to accept any changes made. Pressing NO will cancel any setting changes.INTERMITTENT THERAPY
PROGRAMMING A PCA THERAPY USING MANUAL PROGRAM MODENOTE: When operating the pump on battery power, the LCD screen dims after a period of time toconserve battery power. Any keypress will illuminate the screen.NOTE: Use the UP/DOWN ARROW keys to move highlighter. Use the numeric keys for data entry.1. Turn the pump ON and wait for the self-test to complete.2. Highlight PROGRAM from the SELECT menu and press YES.NOTE: The following screen (“NEW PROGRAM”) will not appear if the previous RX has been cleared fromthe pump. If this screen does not appear, skip to step #4.3. Highlight NEW PROGRAM and press YES. Enter access code, if prompted.4. Highlight PCA from the therapy selection menu and press YES. If any on-screen alerts appear, pressthe YES key.5. With Unidentified highlighted, press YES (this indicates Manual Programming Mode).6. Select UNITS: Press YES if units desired is indicated (choices are mg, mcg or mL). To change unitspress NO until desired unit is reached, then press YES to confirm. If mg or mcg is selected, enter theconcentration and press YES.7. Select ADMIN RT: Press YES if administration route desired is indicated (choices are IV, Epidural orSQ). To change ADMIN RT press NO until desired route is reached, then press YES to confirm.8. Enter the LOAD DOSE amount if ordered. If no loading dose is ordered, leave at zero, then press YESto confirm.9. Press YES to leave MedLMTS Off, or press NO to set MedLMTS. Refer to the User Manual for MedLMTSinstructions.10. At Next? Press YES to continue.11. Enter Bag Volume, press YES.12. Enter BASL RATE (if any), press YES.13. Enter Pt BOLUS dose (if any), press YES.14. Enter the Pt BOLUS INT (if Pt BOLUS is set), press YES.15. Enter # BOLS/hr, press YES (60/Bolus INt max # Boluses in one hour. This field may be set to themaximum boluses or fewer if ordered).16. Press YES at DONE?PCA THERAPY
PROGRAMMING A PCA THERAPY USING PROTOCOL LIBRARY MODENOTE: When operating the pump on battery power, the LCD screen dims after a period of time toconserve battery power. Any keypress will illuminate the screen.NOTE: Use the UP/DOWN ARROW keys to move highlighter. Use the numeric keys for data entry.1. Turn the pump ON and wait for the self-test to complete.2. Highlight LIBRARY from the SELECT menu and press YES.3. Highlight NEW PROGRAM and press YES. Enter access code, if prompted.NOTE: While YES is highlighted in the Page Down field, press YES to move to the next page while in theCAT (category) and DRG (drug) menus.4. Highlight the desired CAT, press YES.5. Highlight the desired DRG, press YES.6. Press YES to ACCEPT?7. If any on-screen alerts appear, press the YES key.8. Note any on-screen ADVISORY and press YES to continue.9. Press YES to confirm the dosing UNITS.10. If a concentration is present, ensure the concentration matches the medication container. If correct,press YES to confirm.11. Press YES to confirm the ADMIN Rt (Administration Route).12. Enter the LOAD DOSE amount if ordered. If no loading dose is ordered, leave at zero, then press YESto confirm.13. At Next? press YES to continue.14. Accept pre-programmed values for BAG VOL, BASL RATE, Pt BOLUS, BOLUS INT and # BOLS/hr if theyare correct, by pressing YES to each field.15. If changes are needed to the pre-programmed values, highlight the desired field and press NO.Enter the correct value and press YES.16. Continue as above until programming is completed.17. Press YES at DONE?SETTING MEDLMTS1. At the medLMTS field, press NO to OFF, then press YES to ON.2. Enter the dosing limitations of the infusion as follows when applicable:a. MAX RATE (Maximum Rate) limits: Enter the upper limits of the basal infusion rate (the range for thisfield is 0 – 9.9 mL/hr for IV Route, 0 – 25 mL/hr for EPIdural Route, and 0 – 5 mL/hr for SQ Route), thenpress YES.b. ΔRate (Delta Rate): Enter the incremental rate change allowed, if applicable, then press YES. Someprescriptions include incremental levels or delta limitations (ex. “Do not change the rate more than 1mg every hour”. Enter 1 mg in the Rate field). If no delta limitations are needed, leave this field zeroand press YES.c. ΔTime (Delta Time): Enter the incremental time change allowed, if applicable, then press YES. Someprescriptions include incremental levels or delta limitations (using the previous ex. “Do not changethe rate more than 1 mg every hour”, enter 1:00 {1 hr} in the Time field). If no delta limitations areneeded, leave this field 00:00 and press YES.d. M ax BOLS (Maximum Bolus Dose): Enter the upper limits of the patient bolus dose (the range for thisfield is 0 – 9.9 mL/hr for IV, 0 – 25 mL/hr for EPIdural, and 0 – 5 mL/hr for SQ), then press YES.e. MinINT (Minimum Bolus Interval): Enter the minimum amount of time allowed between patient bolusdoses, then press YES.f. #BOLS/hr (Number of Boluses allowed per hour): Enter the maximum number of patient bolusesallowed per hour, then press YES.3. Press YES to ACCEPT.PCA THERAPY
“RUN TO START” SCREEN1. Press the NO key to review the program and/or change the RX (see CHANGING THE RX section forinstructions).2. Press the OPTIONS Key to review or change desired pump settings (see OPTIONS section forinstructions).3. Press the PRIME Key to prime the set (see Priming section under GETTING STARTED for instructions).4. Press RUN to start the infusion.CHANGING THE RX(BAG VOL, BASL RATE, Pt BOLUS, BOLUS INT, # BOLS/hr)1. Press the PAUSE key.2. Press YES to RESUME.3. Press NO to review.4. Press YES to each field until the value to change is reached.5. At the desired field(s), enter the new program parameters (enter access code if prompted). If anaccess code was needed, enter the new parameters again. Press YES to confirm.6. Press YES to all other highlighted areas if no other changes are to be made.7. At DONE? press YES.8. Press RUN to start the infusion.PCA THERAPY
OPTIONS FOR PCA THERAPYNOTE: Press YES at each field to advance to the next field. Pressing YES to ACCEPT OPT at the end of themenu is mandatory to confirm all changes made in the OPTIONS menu.Lock: This is the security level setting. Press YES to accept or NO to change Lock Setting. Enter access codeif prompted. Press YES to accept new setting.Clin DOSE: This is the Clinician Dose feature. Press YES to leave the screen off. If an extra Clinician Dose isordered, press NO to OFF (enter access code if prompted, then press NO to OFF again). Press YES to ON andenter the Clinician Dose. Press YES to confirm Clinician Dose and YES to ACCEPT?SHIFT TOT: This is the accumulated infusion data. Press YES to leave the screen off. To view, press NO toOFF and YES to ON. To clear Shift Totals, press NO to the EXIT field, then YES to CLEAR. Press YES again toEXIT the menu.HRLY TOT: This is the hourly infusion totals. Press YES to leave the screen off or NO to change to ON, thenpress YES to ON to view. Use the UP/DOWN ARROW keys to view the previous 24 hour totals. Press NO toexit the screen.CLR HRLY: Press YES to leave the screen off or NO to change to ON, then press YES to ON to view. At theACCEPT? YES/NO field, press YES to clear or NO to retain the Hourly Totals and exit the screen.medLMTS: This OPTION appears only if MedLMTS (medication limits) have been programmed. This featureallows for program parameters to be titrated without interrupting the infusion. Press YES to leave thescreen off or NO to titrate, then press YES to ON. Enter new infusion parameters and press YES to accept.DN Occlu: This is the downstream occlusion sensitivity setting (default setting is HIGH). Press YES to acceptor NO to change then press YES to accept.AIR SENS: This is the air-in-line sensitivity setting (default setting is 0.5 mL). Press YES to accept or NO tochange then press YES to accept.AUDIO: This is the audible volume control: Press 1-9 to hear level, press YES to accept the desired volume.POWER CK: This is the power source with power graph. Press YES to leave the screen off or NO to changeto ON, then press YES to ON to view the power graph. Screen automatically returns to OPTIONS menu afterseveral seconds.ACCEPT OPT: Press YES to accept any changes made. Pressing NO will cancel any setting changes.PCA TERMS & DEFINITIONSLOADING DOSE - Dose given at start of therapy onlyBASAL RATE- Continuous ratePT BOLUS - PCA demand doseBOLUS INTERVAL - Lockout time between bolus doses# OF BOLUSES/HR - Number of total boluses allowered per hourCLINICIAN DOSE - Clinician given dosePCA THERAPY
PROGRAMMING A TPN THERAPY USING MANUAL PROGRAM MODENOTE: When operating the pump on battery power, the LCD screen dims after a period of time toconserve battery power. Any keypress will illuminate the screen.NOTE: Use the UP/DOWN ARROW keys to move highlighter. Use the numeric keys for data entry.1. Turn the pump ON and wait for the self-test to complete.2. Highlight PROGRAM from the SELECT menu and press YES.NOTE: The following screen (“NEW PROGRAM”) will not appear if the previous RX has been cleared fromthe pump. If this screen does not appear, skip to step #4.3. Highlight NEW PROGRAM and press YES. Enter access code, if prompted.4. Highlight TPN from the therapy selection menu and press YES. If any on-screen alerts appear, pressthe YES key.5. With Unidentified highlighted, press YES (this indicates Manual Programming Mode).6. Press YES to leave the Delayed Start Off, or press NO to set a delay and refer to the Delayed Startsection.7. At Next? Press YES to continue.NOTE: Bag Volume should include overfill volume if pump priming and/or a KVO is programmed.8. Enter Bag Volume, press YES.NOTE: To force an auto-calculation, enter any 3 of the 4 entries: Vol TBI, INF RATE, UP/DN Ramp or TOTTIME, the unknown field will auto-calculate. Bypass the unknown field by using the DOWNARROW key (typically the INF RATE). Enter the known fields pressing YES to confirm each. Theunknown field will auto-calculate. Press YES to confirm this field.9. Enter Vol TBI (if known), press YES.10. Enter INF RATE (if known), press YES.11. Enter UP Ramp and DN Ramp (if any), press YES after each entry.12. Enter TOT TIME (if known), press YES. Continue pressing YES if needed until the KVO field ishighlighted.NOTE: If a KVO rate of 0.1 to 10 mL is entered, the pump will give audible alerts every 20 minutes at theend of the infusion. Whereas if zero KVO is entered the pump will alarm every 3 seconds at theend of the infusion.13. Enter KVO rate (if any), press YES.14. Press YES at DONE?TPN THERAPY
PROGRAMMING A TPN THERAPY USING PROTOCOL LIBRARY MODENOTE: When operating the pump on battery power, the LCD screen dims after a period of time toconserve battery power. Any keypress will illuminate the screen.NOTE: Use the UP/DOWN ARROW keys to move highlighter. Use the numeric keys for data entry.1. Turn the pump ON and wait for the self-test to complete.2. Highlight LIBRARY from the SELECT menu and press YES.3. Highlight NEW PROGRAM and press YES. Enter access code, if prompted.NOTE: While YES is highlighted in the Page Down field, press YES to move to the next page while in theCAT (category) and DRG (drug) menus.4. Highlight the desired CAT, press YES.5. Highlight the desired DRG, press YES.6. Press YES to ACCEPT?7. If any on-screen alerts appear, press the YES key.8. Note any on-screen ADVISORY and press YES to continue.9. Press YES to leave the Delayed Start Off, or press NO to set a delay and refer to the Delayed Startsection.10. At Next? press YES to continue.11. Accept pre-programmed values for BAG VOL, Vol TBI, INF RATE, UP Ramp, DN Ramp, TOT TIME andKVO if they are correct, by pressing YES to each field.12. If changes are needed to the pre-programmed values, highlight the desired field and press NO.Enter the correct value and press YES.13. Continue as above until programming is completed.14. Press YES at DONE?SETTING A DELAYED START1. At the Delay field, press NO to OFF, then press YES to ON.2. Enter Time infusion should begin (HH:MM), press YES.3. Enter Date infusion should begin (MM/DD/YY), press YES.4. Press YES to ACCEPT.“RUN TO START” SCREEN1. Press the NO key to review the program and/or change the RX (see CHANGING THE RX section forinstructions).2. Press the OPTIONS Key to review or change desired pump settings (see OPTIONS section forinstructions).3. Press the PRIME Key to prime the set (see Priming section under GETTING STARTED for instructions).4. Press RUN to start the infusion.TPN THERAPY
CHANGING THE RX (BAG VOL, Vol TBI, INF RATE, UP Ramp, DN Ramp, TOT TIME, KVO)1. Press the PAUSE key.2. Press YES to RESUME.3. Press NO to review.4. Press YES to each field until the value to change is reached.5. At the desired field(s), enter the new program parameters (enter access code if prompted). If anaccess code was needed, enter the new parameters again. Press YES to confirm.6. Press YES to all other highlighted areas if no other changes are to be made.7. At DONE? press YES.8. Press RUN to start the infusion.OPTIONS FOR TPN THERAPYNOTE: Press YES at each field to advance to the next field. Pressing YES to ACCEPT OPT at the end ofthe menu is mandatory to confirm all changes made
Previous RX must be cleared from the pump prior to new patient use. Refer to the “CURLIN 6000 TRAINING & QUICK REFERENCE GUIDE FOR BETWEEN PATIENT USE” (Contact Customer Service for information). INSTALLING/CHANGING THE BATTERIES 1. PAUSE the
