CURLIN MEDICAL

4000 Series ™ and 2000 Series™*

Ambulatory Infusion Pumps

Clinician’s Guide

PCA THERAPY

REFER TO USER’S MANUAL FOR DETAILED INSTRUCTIONS

Data Interface/

Bolus Cord Port

KEYPAD FUNCTION

ON/OFF: Turns pump on and off. When the pump is running, the

PAUSE key must be used to stop infusion first. Then press the OFF key to turn pump off.

RUN/PAUSE: Starts or pauses the pump. When the pump is paused, pressing this key will resume pumping.

UP ARROW/ DOWN ARROW: Used to scroll through the display screens.

NO/CHANGE: Rejects highlighted data.

YES/ ENTER: Accepts highlighted data.

HELP/OPTIONS: Used to request and exit help screen when pump is paused, or go to options screen when pump is running.

./SILENCE: Used to silence alarm for 1 minute intervals, and as a decimal point.

PRIME/BOLUS: Used to prime fluid through the tubing to clear it of air.

LED INDICATORS

Green- pump is running

Yellow- standby

Red- pump in alarm status

SETTING UP THE PUMP

1 Install 2 new “C” size alkaline batteries or connect Battery Pack, or

AC adapter to bottom of pump.

2 Prepare IV bag and attach a new administration set.

3 Eliminate all air from the bag and the administration set (see

PRIMING THE SET).

4 Install set and close pump door.

5 Attach set to venous access device using agency protocol.

Note: If a Check Valve Adapter is provided with your administration set, remove it from the package and connect it to the distal end of the set.

INSTALLING THE ADMINISTRATION SET

Air Detector

Flow-Stop handle

Important Notification

A lack of compliance with proper positioning of the tubing could result in infusion inaccuracies.

Please center the tubing in the pumping area when installing the administration set.

1 Fully open the door of the pump.

2 Close the slide-clamp on the administration set.

3 Activate the Integral “Flow-Stop” by twisting and removing the breakaway tab.

4 Insert the blue tubing guide into the receptacle on right side of pump in the direction of the blue arrow, positioning the tubing in

front of the door hinge.

5 Center the tubing in the middle of the pumping fingers, covering

the yellow dot.

6 Holding the yellow Integral “Flow-Stop” by the handle, insert it on an angle into the receptacle on the left side of the pump in the direction of the yellow arrow. CAUTION: Do not press down on the top of the

Integral “Flow-Stop” when inserting it into the receptacle. This action could inadvertently open the Integral “Flow-Stop” and allow

fluid to flow through the tubing.

7 Open the slide-clamp on the administration set

8 Push the tubing slightly into the black Air Detector slot.

9 Fully close the door of the pump and latch it securely.

PRIMING THE SET

CAUTION: Disconnect set from patient’s access site before priming.

By Gravity:

1 Twist and remove breakaway tab from “Flow- Stop”.

2 Squeeze “Flow-Stop” between thumb and forefinger to allow fluid to flow through tubing.

Electronically:

Note: Set must be installed into the pump.

1 Release any clamps on the administration set.

2 Press and release PRIME key from “Run Options” menu

3 Press and hold the PRIME key until set is free of air; release key to stop (each prime cycle allows up to 6 ml of fluid).

4 When prime is complete, press YES/ENTER to exit the prime screen.

PROGRAMMING FOR PCA THERAPY

1 Turn the pump on.

2 Observe the self-test, the LED lights, and the power source screen.

3 Select PROGRAM from the first selection menu.

4 If multiple therapies are available, select PCA from the therapy selection menu.

5 Complete the pre-prescription menu:

6 Complete the prescription menu:

7 Make selection from run option menu:

8 Press NO to review prescription, OPTIONS to view options menu,

PRIME to prime set, or press RUN key to start infusion.

9 While PCA infusion is running, the display will alternate between various information screens.

10 To interrupt or pause an infusion, press RUN/PAUSE key.

11 Make selection from the pause menu:

12 When the infusion is complete, the following screen displays:

13 To stop a therapy, press PAUSE then turn pump off.

OPTIONS

1 LOCK: Press NO to change Lock Setting (may need access code).

Press YES to accept new setting.

2 CLINICIAN DOSE: Press NO to change, YES to accept, enter dose amount and press YES to accept.

3 SHIFT TOTAL **: Press NO then YES to view. Press YES to exit.

To CLEAR, press NO at EXIT then YES to CLEAR.

4 HOURLY TOTAL **: Press NO then YES to view. Scroll - to review. Press NO to exit.

5 CLEAR HOURLY **: Press NO then YES to view. Press YES to clear, NO to retain and exit.

6 TI TRATE: (Appears only if previously selected) Press NO to change, YES to accept, enter new rate and press YES to accept.

7 DOWN OCCLUSION: Press NO to change, YES to accept.

8 AIR SENSITIVITY: Press NO to change, YES to accept.

9 AUDIO: Press 1-9 to hear level, press YES to accept.

10 POWER CHECK: Press NO then YES to check level.

11 ACCEPT OPT? Press YES to accept any changes made.

HOW TO CHANGE THE LOCK SETTING

1 Lock may be initially selected in BIOMED SETUP.

2 When infusing, press OPTIONS key.

3 Scroll to LOCK and press NO to change.

4 Enter access code at prompt.

5 Select the appropriate Lock Setting.

6 Press YES/ENTER to select.

7 Exit Options menu by pressing YES at “ACCEPT OPT?” field.

INSTALLING BATTERIES

1 Turn pump OFF or connect to AC adapter.

2 Open the battery door on the back of pump by depressing the release pin with a small coin and sliding it in a downward motion.

3 Install 2 new “C” size alkaline batteries with both positive poles at the top of the battery compartment

4 Slide the battery compartment door back into place.

USING THE HELP FUNCTIONS

1 When programming, press the HELP key. While running, press

PAUSE, then press HELP key.

2 When a HELP screen is displayed and there is more text to read that is not displayed on the screen, or icons will appear, scroll up and down the text using the ARROW keys.

3 When finished, press the HELP key again to exit the HELP screen.

CURLIN MEDICAL, LLC

15751 Graham Street

Huntington Beach, CA 92649

Tel: (888) 287-5999 www.curlinmedical.com

Reorder No 350-9019

©

2001– 2003 Curlin Medical, LLC. All rights reserved. 08/03 Rev. D

PUMP ALARMS & RESOLUTIONS

LCD DISPLAY RESOLUTION

INFUSION

COMPLETE

Press PAUSE, add another IV bag, select

REPEAT Rx and confirm fields, or turn the pump off.

ALARM

AIR-IN-LINE

Remove air from administration set and IV bag.

(Disconnect set from patient’s access site prior to using prime function.)

ALARM

DOWN

OCCLUSION

ALARM

UP

OCCLUSION

Check administration set from the pump to patient’s access site for cause of occlusion.

Correct obstruction per protocol. Consider changing the pressure setting from Low to High.

When occlusion is resolved, the alarm will stop and pumping will resume.

Check administration set from IV bag to pump for cause of occlusion. When ready to begin infusion, press PAUSE, select RESUME, and press RUN.

Check for excessive pressure on IV bag. When ready to begin infusion, press PAUSE, select

RESUME, and press RUN.

ALARM

HIGH UP

PRESSURE

ALARM

SET NOT

INSTALLED

Install appropriate Curlin Medical administration set. Use ONLY Curlin Medical administration sets. See User’s Manual or IV set directions for proper installation instructions.

To resolve, press RUN and resume the therapy or continue with operating procedure.

ALARM

UNATTENDED

PUMP

ALARM

REPLACE SET

Replace set, prime set if necessary, select

RESUME and press RUN when ready to begin.

ALARM

DOOR OPEN

ALARM

EMPTY

BATTERY

Check placement of administration set and close pump door properly. See User’s Manual for instructions.

Press the pause key and turn pump off. Install 2 new “C” size alkaline batteries.

ERROR CODE If an error code occurs, turn pump off then back on. If it reoccurs, notify dispensing agency

* Versions 39 and higher

** Not available on the 2000 Series